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 951802779 Bakersfield Memorial Hospital % LARA CARTOSCELLI BAKE 6613271792 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 DAVID YEAGER CFO 6613274647 2020-06-30 true LISA M MEYER MANAGER P01490170 4159635100 2020-07-03 162.135.0.63 94661320201865000022 2020-07-04 P DEF24398F57A1B11258052B8999847005C044E0B 6C6F510C6DBB30CB6B3A10A52E01BBA2D1FA3EEF 2018 2020-11-19 02:30:22Z DAVID YEAGER 420 34th Street Bakersfield CA 93301 704721842 false X WWW.Bakersfieldmemorial.org X 1951 CA TO PROVIDE MEDICAL AND HEALTHCARE SERVICE TO THE COMMUNITY. TO THE COMMUNITY. 12 9 2109 142 2352038 1993604 2549359 3757238 483596911 498609993 16331596 16669691 2275121 2423859 504752987 521460781 14350320 8518117 0 0 202266774 215048497 0 0 0 245624477 257759058 462241571 481325672 42511416 40135109 633013084 692782795 111900792 107917049 521112292 584865746 X BAKERSFIELD MEMORIAL HOSPITAL (BMH) IS DEDICATED TO DELIVERING HEALTH SERVICES THAT ARE COMPASSIONATE, HIGH-QUALITY AND AFFORDABLE. WE PROMOTE HEALTHY LIFESTYLES AS AN INTEGRAL PART OF THE COMMUNITY WE SERVE, WITH A SPECIAL CONCERN FOR THE UNDERSERVED. false false 429786519 8518117 496327597 BAKERSFIELD MEMORIAL HOSPITAL'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL HAS 371 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 157,558; EMERGENCY VISITS OF 93,762; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 8,257; AND INPATIENT AND OUTPATIENT CARDIAC PROCEDURES OF 4,208. BMH HAS A 24-HOUR EMERGENCY ROOM AND PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE PROGRAM AS WELL AS A WIDE RANGE OF COMMERCIALLY INSURED. BMH ALSO PROVIDES SERVICES TO INDIVIDUALS WITHOUT THE ABILITY TO PAY - SERVICES FOR WHICH BMH RECEIVES NO REIMBURSEMENT FROM ANY OUTSIDE SOURCE. INPATIENT SERVICES: ACUTE MEDICAL/SURGICAL CARE/PSYCHIATRIC; CANCER CENTER; CARDIOVASCULAR SURGERY; CARDIAC CATHETERIZATION LAB; PEDIATRIC ACUTE AND INTENSIVE CARE; NEONATAL INTENSIVE CARE; EMERGENCY/QUICK CARE; INTENSIVE CARE; PHARMACY; SURGERY; SPEECH PATHOLOGY; SOCIAL SERVICES; RESPIRATORY CARE; PHYSICAL THERAPY; TRANSITIONAL CARE UNIT AND WOMEN AND INFANT CARE UNIT. OUTPATIENT SERVICES: AMBULATORY TREATMENT CENTER; CARDIAC REHABILITATION; CARDIOPULMONARY; DIAGNOSTIC IMAGING; LABORATORY; OUTPATIENT SURGERY CENTER; REHABILITATION SERVICES; AND WELLNESS/OCCUPATIONAL MEDICINE. SUPPORT SERVICES: CHAPLAINCY PROGRAM; EDUCATIONAL SERVICES; HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. 429786519 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true true true true false false false false false false false false true true true false false false false true true true false false true 195 0 true 2109 true true true false false false false false false false false false false false X 12 9 true false true false true true true true true false false false true true true true true false false true true CA X LARA CARTOSCELLI 9166313370 10901 GOLD CENTER DRIVE SUITE 300 RANCHO CORDOVA CA 95670 Morgan Clayton Director 8.0 0.0 X 0 0 0 Daniel Clifford Director (started 1/2019) 8.0 0.0 X 0 0 0 John R Findley MD Director 8.0 0.0 X 0 0 0 Stephen Helvie MD Director 8.0 0.0 X 0 0 0 Donald McMurtrey Director 8.0 0.0 X 0 0 0 Javier Miro MD Director 8.0 0.0 X 0 0 0 Bruce Peters Director 8.0 32.0 X 0 500970 69728 Sandra Serrano Director 8.0 0.0 X 0 0 0 Susie Small Secretary 8.0 0.0 X X 0 0 0 Stephen T Clifford Vice-Chairman (thru 8/2018) 8.0 0.0 X X 0 0 0 D Bradley Hannink Vice-Chairman 8.0 0.0 X X 0 0 0 Kenneth Keller President & CEO STARTED 1/2019 40.0 0.0 X X 510774 0 77812 Robert Noriega Chairman 8.0 0.0 X X 0 0 0 Jon VanBoening President & CEO (thru 12/2018) 40.0 10.0 X X 0 1436503 190485 David Yeager VP / CFO 40.0 0.0 X 555156 0 59114 Susan Benham VP Chief Dev Officer 40.0 0.0 X 163690 0 34089 Terri Church VP / CNE 40.0 0.0 X 329878 0 43320 Robin Mangarin-Scott VP STRATEGIC MRKTG COMM CCASA 40.0 0.0 X 250917 0 44845 Rodney Mark Root MD VP / CMO 40.0 0.0 X 331855 0 57866 Michael Sloan VP / HR 40.0 0.0 X 277350 0 79407 Kevin Walters VP, Chief Strategy Officer/Chi 40.0 0.0 X 592495 0 93777 Hemmal Kothary MD Chief Physician Executive 40.0 0.0 X 366131 0 61455 Li-Jia Isaac Lin VP Business Development 40.0 0.0 X 235130 0 49692 Alfredo Pastor Registered Nurse 40.0 0.0 X 255618 0 19938 Maria J Vinluan-Felix Senior Cardiothoracic PA 40.0 0.0 X 247410 0 41305 Sid Gallego Registered Nurse 40.0 0.0 X 242310 0 51950 Jesica Hanson FORMER OFFICER 0.0 40.0 X 0 244448 19067 4358714 2181921 993850 482 true true false MEDICAL SOLUTIONS LLC 1010 N 102ND ST OMAHA NE 68114 Staffing services 5568628 COMPREHENSIVE BLOOD CANCER 6501 TRUXTUN AVE BAKERSFIELD CA 93309 Medical Services 4973323 PREMIER HOSPITALISTS OF BFL 3838 SAN DIMAS ST BAKERSFIELD CA 93301 Medical Services 3167687 TERRIO THERAPY-FITNESS INC 8302 ESPRESSO DR BAKERSFIELD CA 93314 Physical Therapists 3098514 VALLEY CHILDRENS MEDICAL GROUP 9300 VALLEY CHILDRENS PL MADERA CA 93636 Medical Services 2638726 88 3756942 296 90935 3757238 PATIENT NET OF CHARITY & BAD DEBT/PRICE CONCESSION 900099 293199144 293199144 0 0 MEDICARE/MEDICAID PAYMENTS 900099 202667018 202667018 0 0 MILLENNIUM SURGERY CENTER INC 900099 2282396 0 2282396 0 MEANINGFUL USE 900099 95018 95018 0 0 EDUCATION 541610 107889 107889 0 0 258528 258528 0 498609993 3930254 3930254 0 0 124875 124875 0 124875 124875 195925498 75000 183234806 26255 12690692 48745 12739437 48745 12690692 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 1442566 0 0 1442566 CLINICAL TRIAL STUDIES 621511 20897 0 20897 0 GIFT SHOP 453220 553934 0 0 553934 281587 0 281587 2298984 521460781 496327597 2352038 19023908 X 8463092 8463092 55025 55025 0 0 3564845 3329925 234920 323944 179076 144868 163276507 153899991 9376516 9863765 9000679 863086 26924154 26742798 181356 11095282 10350716 744566 0 228554 228554 92203 92203 28865 28865 0 1477878 1477878 69987389 50934910 19052479 0 2364173 53523 2310650 7119957 5461667 1658290 14253425 796164 13457261 0 4830451 4816627 13824 478694 207375 271319 0 360255 305880 54375 1612027 1612027 0 22653336 22653336 1900730 1900730 MEDICAL SUPPLIES 75475957 75475190 767 0 MEDICAL-CAL PROVIDER FEES 26418584 26418584 0 0 MEDICAL PROVIDER/OUT OF NETWK 25306866 25306866 0 0 UBI TAXES PAID 390000 0 390000 0 2779714 1822338 957376 481325672 429786519 51539153 0 X 4488 4703 32717684 62373148 10695 9460 48944952 52956389 0 0 0 0 1085786 924717 7045195 7162969 72568587 85671550 197621352 6995068 157176102 190626284 170928554 113384787 113406570 158442860 16750710 15071766 12373761 6100000 0 54162 633013084 692782795 58438757 62188106 0 0 5119 6250 27887593 27887593 0 0 0 0 549123 192660 0 0 25020200 17642440 111900792 107917049 X 513609588 579059248 7432704 5736498 70000 70000 521112292 584865746 633013084 692782795 X 40135109 -3655273 27273618 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 28865 28865 false SCHEDULE C, PART II-B, LINE 1I LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN ASSOCIATION DIABETES EDUCATORS $45 AMERICAN ASSOC OF CARDIO & PULM REHAB $2 AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING $31 ASSOCIATION OF FOOD SERVICE PROFESSIONALS $3 ASSOCIATION OF NUTRITION & FOODSERVICE PROF $2 ASSOCIATION OF PERIOPERTIVE REGISTERED NURSES $12 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION $3,576 CATHOLIC HEALTH ASSOCIATION $5,436 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $19,486 340 B HEALTH $263 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES $9 ------- TOTAL EXPENDITURES PAID TO ORGANIZATIONS $28,865 ======= 70964 126 71090 71036 -72 70964 71153 -117 71036 71346 -193 71153 70228 7 -1111 71346 0.00000 0.99000 0.01000 false true true 12400000 12400000 124261519 2753110 121508409 1046000 58571 987429 49123268 4065225 45058043 10790565 118162 10672403 190626284 OTHER SECURITIES 158442860 F 158442860 0 DUE TO RELATED PARTIES 9962367 PENSION PAYABLE 7454595 DEFERRED COMPENSATION 209815 OTHER NON-CURRENT LIABILITIES 15663 17642440 X Sch D, PART V, LINE 4 BAKERSFIELD MEMORIAL FOUNDATION, A RELATED ORGANIZATION, HOLDS A PERMANENT ENDOWMENT FUND. THE EARNINGS ON THIS ENDOWMENT IS USED TO FUND NURSING SCHOLARSHIPS GRANTED BY THE FOUNDATION EACH YEAR. Sch D, PART VI - LAND, BUILDING, AND EQUIPMENT DUE 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. Sch D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE COMMONSPIRIT HEALTH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 250. true X 500. true true true false true true 3717 2496034 0 2496034 0.00520 82654 196137852 175850263 20287589 0.04210 86371 198633886 175850263 22783623 0.04730 33 27850 2092166 360656 1731510 0.00360 1 1 137947 0 137947 0.00030 4 357 101254 0 101254 0.00020 15 14627 1655746 4182 1651564 0.00340 53 42835 3987113 364838 3622275 0.00750 53 129206 202620999 176215101 26405898 0.05480 4 1009 195705 11252 184453 0.00040 1 36 47772 47772 0.00010 5 1045 243477 11252 232225 0.00050 true 2202726 0 80864696 102553534 -21688838 X true true MILLENNIUM SURGERY AMBULATORY SURGERY CENTER 0.5678 0.2632 MEMORIAL MEDICAL PLA MOB 0.2144 0.6606 1 1 Bakersfield Memorial Hospital 420 34th Street Bakersfield CA 93301 www.dignityhealth.org/bakersfieldmemoria 120000181 X X X Bakersfield Memorial Hospital 1 false false true X X X X X X X X X 18 true true false true X SEE SECTION C X true 18 true SEE SECTION C false true X 250. 500. X X X X true true X X X X true X see section c X see section c X see section c X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V SCHEDULE H, PART V, SEC B, LINE 5 FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY SURVEYS AND INTERVIEWS WITH INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. FORTY-ONE INTERVIEWS WERE COMPLETED WITH PEOPLE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN KERN COUNTY, REPRESENTING DIFFERENT AGE GROUPS, RACIAL/ETHNIC POPULATIONS AND UNDERSERVED POPULATIONS. AMONG THE ORGANIZATIONS REPRESENTED WERE: KERN COUNTY PUBLIC HEALTH SERVICES DEPARTMENT, KERN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, BAKERSFIELD HOMELESS CENTER KERN FOOD POLICY COUNCIL BAKERSFIELD CITY SCHOOLS AND MERCY HOUSING. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ELECTRONIC AND PAPER FORMATS, IN ENGLISH AND SPANISH, AND 1,114 USABLE SURVEYS WERE COMPLETED. SURVEYS WERE DISTRIBUTED VIA HOSPITAL WAITING ROOMS AND SERVICE SITES, COMMUNITY PARTNER HEALTH AND SOCIAL SERVICE AGENCIES, AND THROUGH SOCIAL MEDIA, INCLUDING POSTING THE SURVEY LINK ON HOSPITAL FACEBOOK PAGES. FOR COMMUNITY MEMBERS WHO WERE ILLITERATE, AN AGENCY STAFF MEMBER READ THE SURVEY INTRODUCTION AND QUESTIONS TO THE CLIENT IN HIS/HER PREFERRED LANGUAGE AND MARKED HIS/HER RESPONSES ON THE SURVEY. SCHEDULE H, PART V, SEC B, LINE 6A MERCY HOSPITAL BAKERSFIELD, DELANO REGIONAL MEDICAL CENTER, KAISER PERMANENTE, ADVENTIST HEALTH (BAKERSFIELD AND TEHACHAPI VALLEY) SCHEDULE H, PART V, SEC B, LINE 7A ALL 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 BAKERSFIELD MEMORIAL HOSPITAL IS PROVIDED BELOW. HTTPS://www.dignityhealth.org/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIE LD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SEC B, LINE 10A DIGNITY 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. THE IMPLEMENTATION STRATEGY IS ALSO ON BAKERSFIELD MEMORIAL HOSPITAL'S WEB SITE, AT THE SAME LOCATION AS THEIR CHNA REPORT LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SEC B, LINE 11 THE 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. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE, ALZHEIMER'S DISEASE, CHRONIC DISEASES, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS. THE HOSPITAL IS ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. ACCESS TO CARE: FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, COORDINATED CARE NETWORK INITIATIVE, COMMUNITY HEALTH INITIATIVE, HOMEMAKER CARE PROGRAM AND PRESCRIPTION PURCHASES. ALZHEIMER'S DISEASE: COMMUNITY GRANTS PROGRAM AND HOMEMAKER CARE PROGRAM. CHRONIC DISEASES: COMMUNITY GRANTS PROGRAM AND COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES. OVERWEIGHT AND OBESITY: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS, CLASSES AND HEALTH SCREENINGS, AND HEALTHY KIDS IN HEALTHY HOMES. PREVENTIVE PRACTICES: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES, SMOKING CESSATION PROGRAM, AND COMMUNITY HEALTH INITIATIVE. SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS: COMMUNITY GRANTS PROGRAM, LEARNING AND OUTREACH CENTERS, COORDINATED CARE NETWORK INITIATIVE, ART AND SPIRITUALITY CENTER AND HOMEMAKER CARE PROGRAM. THE HOSPITAL WILL NOT FOCUS ON THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: BIRTH INDICATORS, DENTAL CARE, ENVIRONMENTAL POLLUTION, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND MISUSE, UNINTENTIONAL INJURIES AND VIOLENCE AND INJURY PREVENTION. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, THE HOSPITAL HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. IT HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY. SCHEDULE H, PART V, SEC B, LINES 16A, 16B AND 16C HTTP://WWW.DIGNITYHEALTH.ORG/BAKERSFIELDMEMORIAL/PATIENTSANDVISITORS/PATIE NTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE SCHEDULE H, PART V, SEC B, LINE 16J ADDITIONAL MEASURES TAKEN TO PUBLICIZE THE ORGANIZATION'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 FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON THE FACILITY'S WEB PAGE. THE PLAIN LANGUAGE SUMMARY IS INCLUDED IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT WHICH IS WIDELY AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEB SITE. THE HOSPITAL SHARED THE PLAIN LANGUAGE SUMMARY WITH ITS COMMUNITY HEALTH/COMMUNITY BENEFIT COMMITTEE, WHICH INCLUDES COMMUNITY REPRESENTATIVES, AS WELL AS MANY COMMUNITY PARTNER AGENCIES INCLUDING: KERN COUNTY NETWORK FOR CHILDREN, KERN COUNTY DEPARTMENT OF HUMAN SERVICES, KERN HEALTH SYSTEMS, MERCY HOUSING, KERN COUNTY DEPARTMENT OF PUBLIC HEALTH, UNIVISION COMMUNICATIONS, ALZHEIMERS' ASSOCIATION, BAKERSFIELD ASSOCIATION OF RETARDED CITIZENS, BAKERSFIELD PREGNANCY CENTER, CATHOLIC CHARITIES, ST. VINCENT DE PAUL CENTER, BAKERSFIELD SENIOR CENTER, AND COMMUNITY ACTION PARTNERSHIP. Sch H, PART I, LINE 7 FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, BMH 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 THE HOSPITAL 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. Sch 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. BMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $26.42 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 $64.01 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET REDUCTION IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE DECREASE 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 $1.23 MILLION 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. SCH H, PART II - COMMUNITY BUILDING ACTIVITIES THE MISSION OF BAKERSFIELD MEMORIAL HOSPITAL AS THE LARGEST HEALTH CARE PROVIDER IN KERN COUNTY IS TO OCCUPY A LEADERSHIP ROLE IN BUILDING A HEALTHIER COMMUNITY. THE COMMUNITY BENEFIT REPORT AND PLAN CONTAINS EXAMPLES OF THE PROGRAMS AND INITIATIVES WE HAVE UNDERTAKEN THAT MAKE A POSITIVE, MEASURABLE IMPACT ON THE COMMUNITY WE SERVE (I.E., DOLLARS SPENT ON INDIGENT MEDICAL CARE, CHILDREN FED AND CLOTHED, AND FAMILIES TAUGHT TO MANAGE CHRONIC DISEASE). SOME OF THE COMMUNITY BUILDING PROGRAMS OFFERED INCLUDE: COMMUNITY SUPPORT PROGRAM: HOMEWORK CLUB DESCRIPTION: THE HOMEWORK CLUB PROVIDES AN ACADEMICALLY STRUCTURED AFTER SCHOOL PROGRAM FOR UNDERSERVED STUDENTS ATTENDING FIRST THROUGH SIXTH GRADE. THE PROGRAM FOCUSES ON PROVIDING A SAFE ENVIRONMENT FOR PRE-TEENS TO WORK ON HOMEWORK AND OTHER ACADEMIC SKILLS. LEADERSHIP DEVELOPMENT PROGRAM: HOMEMAKER CARE PROGRAM - TRAINING DESCRIPTION: THE HOMEMAKER CARE PROGRAM PROVIDES A TWO-WEEK COMPREHENSIVE EMPLOYMENT READINESS SKILLS TRAINING FOCUSING IN INDIVIDUALS TRANSITIONING FROM UNEMPLOYMENT INTO THE WORKFORCE. PARTICIPANTS ARE TRAINED TO OFFER COMPETENT AND RELIABLE SERVICES TO THE EVER GROWING SENIOR POPULATION. PROGRAM: ART FOR HEALING DESCRIPTION: THE ART AND SPIRITUALITY CENTER OFFERS COMMUNITY MEMBERS AN OPPORTUNITY TO EXPERIENCE THE HEALING BENEFITS THAT MAY COME FROM CREATIVE EXPRESSION. THE CENTER IS ALSO OPEN TO THOSE WHO JUST WANT TO COME INTO A QUIET AND REFLECTIVE SPACE TO READ, PRAY OR HAVE A QUIET CONVERSATION WITH OTHERS. SCH 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. BAKERSFIELD MEMORIAL HOSPITAL (BMH) 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. BMH 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 AT BMH 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. SCH H, PART III, LINE 3 BMH MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. BMH FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. BMH'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 FINANCIAL 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 PAYMENT 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, BMH 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. SCH 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. BMH 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. SCH H, PART III, LINE 8 BMH 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 BAKERSFIELD MEMORIAL HOSPITAL, BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $2.2 BILLION, AS REPORTED IN PART III, 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 BMH AND OTHER HOSPITALS 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 $21.7 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 BMH. SCH H, PART III, LINE 9B BMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. BMH FOLLOWS DIGNITY HEALTH'S PATIENT FINANCIAL ASSISTANCE POLICY. BMH'S BILLING AND 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 BMH 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 BMH'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, BMH 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, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. SCH H, PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, BAKERSFIELD MEMORIAL HOSPITAL ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT ORGANIZATIONS, PUBLIC HEALTH DEPARTMENT, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. THE HOSPITAL OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH COMMUNITY HEALTH PARTNERSHIPS AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. BAKERSFIELD 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. ANOTHER TOOL USED TO ASSESS HEALTH NEED IS THE COMMUNITY NEED INDEX (CNI) CREATED AND MADE PUBLICLY AVAILABLE BY DIGNITY HEALTH AND TRUVEN HEALTH ANALYTICS. THE CNI ANALYZES DATA AT THE ZIP CODE LEVEL ON FIVE FACTORS KNOWN TO CONTRIBUTE OR BE BARRIERS TO HEALTH CARE ACCESS: INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. SCORES FROM 1.0 (LOWEST BARRIERS) TO 5.0 (HIGHEST BARRIERS) FOR EACH FACTOR ARE AVERAGED TO CALCULATE A CNI SCORE FOR EACH ZIP CODE IN THE COMMUNITY. RESEARCH HAS SHOWN THAT COMMUNITIES WITH THE HIGHEST CNI SCORES EXPERIENCE TWICE THE RATE OF HOSPITAL ADMISSIONS FOR AMBULATORY CARE SENSITIVE CONDITIONS AS THOSE WITH THE LOWEST SCORES. SCH H, PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE INFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE AVAILABLE FROM BMH, INCLUDING A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'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 THE DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES BMH 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 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 BMH REQUIRE 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 BMH FACILITY 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. SCH H, PART VI, LINE 4-COMMUNITY INFORMATION BAKERSFIELD MEMORIAL HOSPITAL SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD AND OUTLYING RURAL COMMUNITIES. MEMORIAL DETERMINES THE PRIMARY SERVICE AREA BY ASSIGNING ZIP CODES BASED ON PATIENT DISCHARGES. OVER 70% OF INPATIENT DISCHARGES CONSTITUTE THE PRIMARY SERVICE AREA. THE COUNTY COVERS MORE THAN 8,100 SQUARE MILES, MAKING IT GEOGRAPHICALLY THE THIRD LARGEST COUNTY IN THE STATE. THE LANDSCAPE IS DIVERSE, RANGING FROM HIGH DESERT TO MOUNTAINS TO VAST EXPANSES OF RICH AGRICULTURAL FLATLANDS. KERN COUNTY CONSISTENTLY RANKS AMONG THE TOP FIVE MOST PRODUCTIVE AGRICULTURAL COUNTIES IN THE UNITED STATES AND IS ONE OF THE NATION'S LEADING PETROLEUM-PRODUCING COUNTIES. AGRICULTURE IS THE THIRD LARGEST INDUSTRY IN THE COUNTY AND ACCOUNTS FOR 24% OF PRIVATE SECTOR JOBS. SEASONAL AND CYCLICAL FLUCTUATIONS IN EMPLOYMENT IN THE AGRICULTURE AND PETROLEUM INDUSTRIES DRIVE KERN COUNTY'S UNEMPLOYMENT RATE CONSISTENTLY WELL ABOVE THE STATE AVERAGE. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL COMMUNITY FACTS AND DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. TOTAL POPULATION: 630,314 RACE/ETHNICITY: WHITE - NON-HISPANIC 31.5%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 5.7%; HISPANIC OR LATINO 54.4%; ASIAN/PACIFIC ISLANDER 5.7%; ALL OTHERS 2.7% MEDIAN INCOME: $59,508 UNEMPLOYMENT: 6.7% NO HIGH SCHOOL DIPLOMA: 25.3% MEDICAID: 37.4% UNINSURED: 10.0% OTHER AREA HOSPITALS: 9 NEARLY TWO-THIRDS OF KERN COUNTY'S RESIDENTS-AND MOST OF ITS MAJOR HEALTH CARE PROVIDERS-ARE CLUSTERED IN AND AROUND BAKERSFIELD. IN ADDITION TO BAKERSFIELD MEMORIAL HOSPITAL, OTHER HEALTH PROVIDERS IN BAKERSFIELD INCLUDE TWO OTHER DIGNITY HEALTH HOSPITALS - MERCY HOSPITAL DOWNTOWN AND MERCY HOSPITAL SOUTHWEST, KERN MEDICAL CENTER, KAISER PERMANENTE, ADVENTIST HEALTH - BAKERSFIELD (FKA SAN JOAQUIN COMMUNITY HOSPITAL), THE HEART HOSPITAL, GOOD SAMARITAN HOSPITAL, CLINICA SIERRA VISTA AND, OMNI FAMILY HEALTH. THE SERVICE AREA FOR THESE PROVIDERS IS BAKERSFIELD. WHENEVER POSSIBLE, AN EFFORT IS MADE FOR COMMUNITY-BASED COLLABORATION TO SOLVE PROBLEMS AND ENSURE SUSTAINABLE HEALTH PROGRAMS OVER THE LONG TERM TO POPULATIONS THAT NEED IT THE MOST. MANY OF BAKERSFIELD'S POOREST RESIDENTS ARE CONCENTRATED IN THE CITY'S SOUTHEAST QUADRANT, THE SITE OF TWO OF OUR COMMUNITY OUTREACH CENTERS. THE POPULATION IS LARGELY AFRICAN AMERICAN AND HISPANIC/LATINO, WITH A HIGH CONCENTRATION OF LIMITED-ENGLISH SPEAKING INDIVIDUALS (MANY UNDOCUMENTED), ELEVATED YOUTH GANG ACTIVITY, AND A HIGH UNEMPLOYMENT RATE. THESE NEIGHBORHOODS INCLUDE RUNDOWN MOTELS THAT HOUSE A TRANSIENT HOMELESS POPULATION, INCLUDING MANY FAMILIES WITH CHILDREN. MOST OF THESE RESIDENTS HAVE NOT RECEIVED HEALTH SERVICES OR ASSISTANCE BECAUSE OF POVERTY, CHRONIC SUBSTANCE ABUSE, LANGUAGE BARRIERS, LACK OF TRANSPORTATION, A STRONG MISTRUST OF ESTABLISHED INSTITUTIONS, AND LACK OF KNOWLEDGE AND UNDERSTANDING ABOUT ACCESSING AND USING AVAILABLE SERVICES. FOR MANY LOW-INCOME INDIVIDUALS AND FAMILIES LIVING IN THE OUTLYING RURAL COMMUNITIES OF KERN COUNTY, GEOGRAPHIC ISOLATION HEIGHTENS THESE BARRIERS TO HEALTH CARE AND OTHER SERVICES. SCH H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH BAKERSFIELD MEMORIAL HOSPITAL HAS A BOARD OF DIRECTORS. THE BOARD IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESS. MEMORIAL HOSPITAL'S PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD ASSISTS THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH IN PRIORITIZING PROGRAMS THAT ARE IN LINE WITH THE HOSPITAL'S STRATEGIC PLAN. COMMITTEE MEMBERS INCLUDE REPRESENTATIVES OF THE HOSPITAL EXECUTIVE MANAGEMENT TEAM, THE BUSINESS COMMUNITY, SOCIAL SERVICE AGENCIES, COMMUNITY VOLUNTEERS, BOARD MEMBERS, AND EMPLOYEES. THIS GROUP MEETS SIX TIMES ANNUALLY TO HELP ENSURE THAT OUR OUTREACH SERVICES RESPOND TO IDENTIFIED COMMUNITY NEEDS AND ARE EFFECTIVELY WORKING TO IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITY. BAKERSFIELD MEMORIAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN KERN COUNTY IN ALL OF IT'S DEPARTEMENTS WITH THE EXCEPTION OF CLOSED SERVICE AND CONTRACTS FOR DOCTOR GROUPS (E.G. PATHOLOGY). BAKERSFIELD MEMORIAL HOSPITAL REINVESTS ALL ITS OPERATING AND INVESTMENT INCOME IN HOSPITAL IMPROVEMENTS, TECHNOLOGY ENHANCEMENTS, COMMUNITY HEALTH PROGRAMS, AND EMPLOYEE BENEFITS. THIS ACTIVE REINVESTMENT MAKES IT POSSIBLE FOR US TO DELIVER ON OUR MISSION, INCLUDING ENSURING THAT EVERYONE HAS ACCESS TO HEALTH CARE. CARING FOR THE COMMUNITY BEYOND THE HOSPITAL WALLS LED TO THE FOUNDING IN 1991 OF THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH FOR MERCY AND MEMORIAL HOSPITALS. IN RESPONSE TO IDENTIFIED UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY, TODAY THE DEPARTMENT OPERATES MORE THAN 45 PROGRAMS IN BAKERSFIELD, ARVIN, SHAFTER, MCFARLAND, DELANO, LAKE ISABELLA, LOST HILLS, RIDGECREST, TAFT, TEHACHAPI, WASCO, AND OTHER OUTLYING COMMUNITIES IN KERN COUNTY WHERE THERE IS LIMITED ACCESS TO HEALTH CARE AND RELATED SERVICES. BAKERSFIELD MEMORIAL HOSPITAL MAKES MANY ADDITIONAL CONTRIBUTIONS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THESE NON-QUANTIFIABLE BENEFITS TAKE MANY FORMS INCLUDING: NURTURING GRASSROOTS COMMUNITY-BASED INITIATIVES; LENDING THE EXPERTISE OF OUR EMPLOYEES TO COMMUNITY COLLABORATIVES AND BOARDS; AND ACTIVELY ADVOCATING FOR THE POOR AND UNDERSERVED. WE ARE AN ENTHUSIASTIC PARTICIPANT IN A NUMBER OF COLLABORATIVE EFFORTS THAT BRING TOGETHER DIVERSE ORGANIZATIONS FROM THE PUBLIC, PRIVATE, AND NONPROFIT SECTORS. SCH H, PART VI, LINE 6-AFFILIATED HEALTH CARE SYSTEM AFFILIATES OF BAKERSFIELD MEMORIAL HOSPITAL ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTIG REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES BAKERSFIELD MEMORIAL HOSPITAL, 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% true Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 501(c)(3) 6144181 0 N/A N/A Medical Fnd Support California Health Foundation and Trust 1215 K Street Suite 800 Sacramento CA 95814 941498697 501(c)(3) 1225320 0 N/A N/A Community Health Bakersfield Memorial Hospital Foundation 420 34th Street Bakersfield CA 93301 953555043 501(c)(3) 490203 0 N/A N/A Foundation Support Dignity Health 185 Berry Street San Francisco CA 94107 941196203 501(c)(3) 372500 0 N/A N/A Hospital Support GARDEN PATHWAYS INC 1616 29TH ST BAKERSFIELD CA 93301 770442212 501(c)(3) 53650 0 N/A N/A Community Health HOFFMANN HOSPICE OF THE VALLEY DBA HOFFMANN HOSPIC 4325 BUENA VISTA RD BAKERSFIELD CA 93311 770386207 501(c)(3) 18667 0 N/A N/A Community Health Habitat for Humanity 1500 E 19th Street Bakersfield CA 93305 311185975 501(c)(3) 0 14824 Book HOUSE Community Health CITYSERVE NETWORK 7001 AUBURN STREET BAKERSFIELD CA 93306 824490879 501(c)(3) 12500 0 N/A N/A Community Health GLOBAL FAMILY CARE NETWORK INC PO BOX 13160 BAKERSFIELD CA 93389 208346599 501(c)(3) 10625 0 N/A N/A Community Health ALPHA PSI EDUCATION SCHOLARSHIP AND LEADERSHIP FOU PO BOX 4092 STOCKTON CA 952044092 651316835 501(c)(3) 10000 0 N/A N/A Education Support HEALTH THROUGH WHOLENESS INC 3400 CALLOWAY DR BAKERSFIELD CA 93312 271571199 501(c)(3) 10000 0 N/A N/A Community Health CBCC FOUNDATION FOR COMMUNITY WELLNESS INC 6401 TRUXTON BAKERSFIELD CA 93309 770491071 501(c)(3) 9600 0 N/A N/A Community Health CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO 149 N FULTON ST FRESNO CA 93701 941678938 501(c)(3) 8248 0 N/A N/A Community Health COURT APPOINTED SPECIAL ADVOCATES OF KERN COUNTY 1717 COLUMBUS ST BAKERSFIELD CA 93305 770344298 501(c)(3) 7500 0 N/A N/A Community Health CALIFORNIA STATE UNIVERSITY 9001 STOCKDALE HWY BAKERFIELD CA 93311 952643086 501(c)(3) 6300 0 N/A N/A Education Support 15 0 PROVISION OF FOOD/MEALS 10092 31274 FMV FOOD/MEALS PHARMACY CHARITY PRESCRIPTION 158 22641 BOOK Pharmaceuticals DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 2364 1110 FMV HYGIENE/OTHER ITEMS PART I, LINE 2 - GENERAL INFORMATION ON GRANTS & ASSISTANCE DONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE HOSPITAL AND SUPPORT VARIOUS COMMUNITY PROGRAMS. BAKERSFIELD MEMORIAL HOSPITAL PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS SPECIAL NEEDS DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS. SPECIAL NEEDS THE DIRECTOR OF SPECIAL NEEDS REVIEWS AND APPROVES ALL GRANTS AND DONATIONS RELATED TO ITS DEPARTMENT. ONCE THE GRANT/DONATION IS PROVIDED NO FURTHER TRACKING IS CONDUCTED AS THE ORGANIZATIONS RECEIVING THE GRANT ARE CHARITABLE ORGANIZATIONS. DONATING DIRECTLY TO COMMUNITY EVENTS/PROGRAMS THE SENIOR DIRECTOR OF SALES AND MARKETING REVIEWS AND EVALUATES REQUESTS FOR THE HOSPITAL TO DONATE TO OR SPONSOR COMMUNITY EVENTS AND PROGRAMS. ORGANIZATIONS SEEKING DONATIONS MAY BE CHARITABLE OR NON-CHARITABLE. THE FOLLOWING ARE THE CRITERIA THAT MARKETING USES TO EVALUATE DONATIONS: 1. RELEVANCE TO HEALTHCARE-RELATED ISSUES 2. RELEVANCE TO THE HOSPITAL'S MISSION 3. RELEVANCE TO THE HOSPITAL'S PRESENCE OR SUPPORT OF COMMUNITY PROGRAMS OR SERVICES. PROVIDE A COMMUNITY BENEFIT (I.E. HEALTH EDUCATION) AND/OR IMPROVE THE LIVES OF THE COMMUNITY IN WHICH THE HOSPITAL SERVES 4. OPPORTUNITY FOR THE HOSPITAL TO BUILD AND FOSTER RELATIONSHIPS IN THE COMMUNITY TO FURTHER ITS REACH IN THE COMMUNITY (I.E. BUSINESS DEVELOPMENT, SERVICE-LINE GROWTH, ETC.) IF DEEMED APPROPRIATE AND MEETING THE CRITERIA, THE REQUEST IS PRESENTED TO THE HOSPITAL PRESIDENT, WHO APPROVES THE SPONSORSHIP OR DONATION. X true true false true false false false false false false false Bruce Peters Director 0 380677 0 113093 0 7200 0 46806 0 22922 0 570698 0 0 Kenneth Keller President & CEO STARTED 1/2019 386894 0 58635 0 65245 0 44549 0 33263 0 588586 0 0 0 Jon VanBoening President & CEO (thru 12/2018) 0 610853 0 592831 0 232819 0 102318 0 88167 0 1626988 0 173085 David Yeager VP / CFO 376731 0 163569 0 14856 0 50393 0 8721 0 614270 0 0 0 Susan Benham VP Chief Dev Officer 161544 0 500 0 1646 0 17813 0 16276 0 197779 0 0 0 Terri Church VP / CNE 267902 0 50500 0 11476 0 33413 0 9907 0 373198 0 0 0 Robin Mangarin-Scott VP STRATEGIC MRKTG COMM CCASA 197624 0 49940 0 3353 0 19671 0 25174 0 295762 0 0 0 Rodney Mark Root MD VP / CMO 318879 0 500 0 12476 0 33353 0 24513 0 389721 0 0 0 Michael Sloan VP / HR 186117 0 90555 0 678 0 31872 0 47535 0 356757 0 0 0 Kevin Walters VP, Chief Strategy Officer/Chi 399350 0 188002 0 5143 0 54641 0 39136 0 686272 0 0 0 Hemmal Kothary MD Chief Physician Executive 202839 0 163292 0 0 0 29881 0 31574 0 427586 0 0 0 Li-Jia Isaac Lin VP Business Development 234630 0 500 0 0 0 25399 0 24293 0 284822 0 0 0 Alfredo Pastor Registered Nurse 255618 0 0 0 0 0 19938 0 0 0 275556 0 0 0 Maria J Vinluan-Felix Senior Cardiothoracic PA 246870 0 0 0 540 0 22160 0 19145 0 288715 0 0 0 Sid Gallego Registered Nurse 236075 0 2452 0 3783 0 22895 0 29055 0 294260 0 0 0 Jesica Hanson FORMER OFFICER 0 244048 0 400 0 0 0 19067 0 0 0 263515 0 0 PART I, LINE 1A CLUB DUES HAVE BEEN PAID BY THE ORGANIZATION FOR BUSINESS USE BY ONE DIRECTOR/OFFICER, WHO IS THE PRESIDENT, FOR RECRUITING AND BUSINESS ENTERTAINMENT PURPOSES. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE INCOME AS EXPENSES RELATED TO PERSONAL USAGE ARE PAID BY THE EMPLOYEE. PART I, LINE 3 ALTHOUGH 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. PART I, LINE 4A CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 MONTHS TO 12 MONTHS 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 PURSUANT TO THE PLAN ARRANGEMENT DURING 2018. PART I, LINE 4B CERTAIN OFFICERS 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 RELATED TO THIS PLAN OCCURED IN 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. A PAYMENT PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE BOARD MEMBER/OFFICER OCCURRED DURING 2018 INCLUDE J. VANBOENING; $173,085. 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 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 THE ORGANIZATION 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 DIGNITY HEALTH'S 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521598225 13033FTN0 2004-05-19 150000000 BOND B: CUSIP 13033FTN0-SEE PRT VI false false true B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FYE4 2005-11-10 200000000 BOND C: CUSIP 13033FYE4-SEE PRT VI false false true A 0 0 2887593 0 0 0 0 0 0 2889593 0 0 2006 false false true true B 0 0 26804899 0 0 0 0 0 0 26804899 0 0 2008 false false true true A false true true true true true 0.00400 0.00400 false false 0.00000 false true B false true true true true true 0.00400 0.00000 0.00400 false false false true A false false false true true false 0 false 0 true true B false false false true true false 0 false 0 true true A true B true BOND B: CUSIP 13033FTN0 SCHEDULE K, PART I, COLUMN (C) THE CHFFA 2004 SERIES J BONDS WERE EXCHANGED IN NOVEMBER 2009 FOR THE CHFFA 2009 SERIES H BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. SCHEDULE 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 FACT THAT THE COMPOSITE BOND ISSUE 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 BAKERSFIELD 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 II, LINE 3 IN MAY 2013, ALL OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, BAKERSFIELD MEMORIAL HOSPITAL BORROWED THE SUM OF $2,887,593 TO FINANCE THE CONSTRUCTION/RENOVATION OF FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. SCHEDULE K, PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2018, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. BOND C: CUSIP 13033FYE4 SCHEDULE 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 FACT THAT THE COMPOSITE BOND ISSUE 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 BAKERSFIELD 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. MARISSA MCMURTREY FAMILY MEMBR, D MCMURTREY, BOD 62114 EMPLOYMENT false BRENDA MCMURTREY FAMILY MEMBR, D MCMURTREY, BOD 116962 EMPLOYMENT false TEL-TEC SECURITY SYSTEMS OWNED BY M. CLAYTON, BOD 120053 SECURITY SERVICES false X MEDICAL EQUIPMENT 1 90935 AVERAGE MARKET VALUE 0 false true false SCHEDULE M, PART I, COLUMN B MEDICAL EQUIPMENT - THE HOSPITAL IS REPORTING THE NUMBER OF CONTRIBUTIONS. Form 990, PART I, LINE 22 AFFILIATION 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 (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, LINE 2A J. VAN BOENING, B. PETERS, D. YEAGER - BUSINESS RELATIONSHIP J. VAN BOENING, K. KELLER, D. YEAGER, M. ROOT - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH 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 7A EFFECTIVE FEBRUARY 1, 2019, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE 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 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 ORGANIZATION'S CFO WORKED CLOSELY WITH THE PARENT ORGANIZATION AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW. DUE TO TIMING THE FINAL DRAFT OF THE FORM 990 WAS NOT PRESENTED TO THE BOARD BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE 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. STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE VP/CORPORATE 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 15A ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE PRESIDENT IS COMPENSATED BY DIGNITY HEALTH. 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 15B COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS BASED ON A COMPREHENSIVE EVALUATION FOCUSING ON ALL ASPECTS OF THE INCUMBENT'S ASSIGNED DUTIES AND ASSESSED PERFORMANCE IN CARRYING OUT THE PHILOSOPHY AND MISSION OF DIGNITY HEALTH AND ITS SPONSORING CONGREGATIONS. ADDITIONALLY, COMPARATIVE DATA AND MARKET SURVEYS REGARDING COMPENSATION IN THE SURROUNDING MARKETPLACE ARE CONSIDERED. THE SALARIES ARE FINALIZED BY THE SERVICE AREA LEADER IN COORDINATION WITH THE ORGANIZATION'S VP OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL 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 XI, LINE 9 CHANGE OF OWNERSHIP INTEREST-JV; $(6,726) INTEREST IN UNCONSOLIDATED FOUNDATION; $ (1,696,206) ADJUSTMENT OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO ACQUISITION ACCOUNTING; $28,976,550 FORM 990 - SAFE HARBOR ELECTION DISCLOSURE TANGIBLE 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 11G DESCRIPTION:REVENUE SERVICES EXPENSE TOTAL FEES:11899900 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:21283605 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:10912211 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:17294054 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL CONSULTING TOTAL FEES:4213062 FORM 990 PART IX LINE 11G DESCRIPTION:STORAGE/JANITORIAL/WASTE MGMT TOTAL FEES:1560497 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY & LINEN SERVICES TOTAL FEES:1037826 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1786234 Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(c)(3) 3 DHDCC false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 Hospital CO 501(c)(3) 3 CSH false Dignity Health 185 Berry Street Suite 300 San Francisco CA 94107 941196203 Hospital CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center CA 501(c)(3) 7 Dignity Hlth false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Ins Fund NV 501(c)(3) 12A-I Dignity Hlth false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp CLIN CA 501(c)(3) 12A-I DHDCC false Dignity Health Workers' Comp Self-Insura 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(c)(3) 12A-I Dignity Hlth false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hlt CA 501(c)(3) 12A-I Dignity Hlth false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 SR HOUSING CA 501(c)(3) 10 DHS false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(c)(3) 3 DHDCC false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(c)(3) 10 Dignity Hlth false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DHDCC false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 Hospital CA 501(c)(3) 3 Dignity Hlth false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(c)(3) 3 DHDCC false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(c)(3) 3 DHDCC false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Barrow Foundation UK 13 CHURCH STREET NUNNEY ENGLAND UK BA11 4LW 311724184 FNDRSING FND UK 501(c)(3) 12D-III-NFI NA false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FNDRSING FND AZ 501(c)(3) 7 Dignity Hlth false California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles CA 90015 954000909 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation - Inland Empir 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false Marian Regional Medical Center Foundatio 1400 E Church Street Santa Maria CA 93454 953818027 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Mercy Foundation North 2625 Edith Avenue Suite E Redding CA 96001 943136799 FNDRSING FND CA 501(c)(3) 12A-I NA false Mercy Foundation Sacramento 3400 Data Drive 3rd Flr Rancho Cordova CA 95670 237072762 FNDRSING FND CA 501(c)(3) 12A-I NA false Mercy Medical Center Merced Foundation 301 E 13th Street Merced CA 95340 770035928 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false Northridge Hospital Foundation 18300 Roscoe Blvd Northridge CA 91328 237444901 FNDRSING FND CA 501(c)(3) 12A-I DHDCC false San Gabriel Valley Medical Center Founda 438 West Las Tunas Drive San Gabriel CA 91776 953430341 INACTIVE CA 501(c)(3) 12A-I Dignity Hlth false Sequoia Hospital Foundation 170 Alameda de las Pulgas Redwood City CA 94062 942909990 FNDRSING FND CA 501(c)(3) 12D-III-NFI NA false St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St John's Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 FNDRSING FND AZ 501(c)(3) 12A-I Dignity Hlth false St Joseph's Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 FNDRSING FND CA 501(c)(3) 12A-I Dignity Hlth false St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson NV 89052 880349432 FNDRSING FND NV 501(c)(3) 12A-I Dignity Hlth false Woodland Memorial Hospital Foundation 1321 Cottonwood Street 305 Woodland CA 95695 946167964 FNDRSING FND CA 501(c)(3) 7 NA false ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) 12A-I SLCHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) 12A-I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) 12A-I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING CO 501(c)(3) 12A-I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) 12A-I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTE KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH false CHI INSTITUTE FOR RESEARCH AND INNOVATIO 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) 12A-I CSH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) 12A-I CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) 12A-II SFH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HEALTHCARE GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) 12A-I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) 12A-I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) 12A-I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) 12A-I CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3) 3 CHISVHS false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) 12A-II SVIMC false CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3) 3 CHISVHS false COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) 12A-I NA false COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) N/A GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3) 12A-I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 LT ACH KY 501(c)(3) 3 SJHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) 12A-I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) 12A-I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CSH false FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) 12A-I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEAL 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN FOUNDATION OF CINCINNATI 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3) 12A-I GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH false HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS false HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC false HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING KY 501(c)(3) 12A-II KOH false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) 12A-I SFMC false HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) 12A-II CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING ND 501(c)(3) 7 LHC false LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) 12A-I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC false MEMORIAL HEALTH CARE SYSTEM FOUNDATION I 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 300417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 SLHS false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET false MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) 12A-I MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) 12A-I MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP false MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP false MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3) 7 CHI-IA CORP false MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3) 7 MMC false MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3) 12A-I AHMH-Corning false MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3) 12A-I MHVC false MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3) 12A-I AHBMHS false MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3) 3 CSH false MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3) 7 MHDL false MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3) 3 CSH false MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3) 3 CSH false MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3) 3 CHI-IA CORP false MERCY MEDICAL CENTER - NEWTON DBA SKIFF 204 N 4th Ave E Newton IA 50314 421470935 PHYSICIANS IA 501(c)(3) 3 CHI-IA CORP false MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3) 3 CSH false MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3) 12A-I MMC false NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA false Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck ND 58501 911845296 MANAGEMENT ND 501(c)(3) 7 NCHA false OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3) 3 CSH false OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3) 12A-I OCH false PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) 12A-I MHSET false PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC false PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) 12A-II FLC false PROVIDENCE RESIDENTIAL COMMUNITY CORPORA 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC false PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC false REGIONAL HOSPITAL FOR RESPIRATORY AND CO 16251 Sylvester Road SW Burien WA 98166 911170040 HEALTHCARE WA 501(c)(3) 3 FHS false SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 LTERM CARE CO 501(c)(3) 7 CHIC false SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS false SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3) 6 SCHS false SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CSH false SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 2 SCHS false SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3) 7 SERMC false SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3) 3 SERMC false SAINT ELIZABETH 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AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF BMH. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO THE SUPPORTED ORGANIZATION FROM THE FOUNDATION OR DIRECTLY TO THE FOUNDATION FROM BMH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" REPRESENT FUNDS BMH TRANSFERRED TO THE FOUNDATION FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED FROM THE FOUNDATION AS GRANTS TO BMH. TRANSACTION L: BAKERSFIELD MEMORIAL HOSPITAL PROVIDED MANAGED CARE CONSULTING SERVICES TO MILLENNIUM SURGERY CENTER INC. THESE SERVICES WERE PAID BASED ON CONTRACT TERMS ESTABLISHED BY CURRENT MARKET VALUE OF SUCH SERVICES. TRANSACTION P: BASED ON AGREEMENT SET FORTH WITH BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION, SELECT ADMINISTRATIVE EXPENSES ARE REIMBURSED ON A MONTHLY BASIS TO THE FOUNDATION. TRANSACTION S: AMOUNTS INCLUDED WERE RELATED TO SHAREHOLDER DISTRIBUTIONS. MILLENNIUM SURGERY CENTER INC'S CEO AND CFO REVIEWED THE QUARTERLY FINANCIALS TO DETERMINE THE AMOUNT OF THE DISTRIBUTION. AFTER THE CEO AND CFO REVIEWED THE AMOUNT FOR DISTRIBUTION, THIS INFORMATION WAS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. SCHEDULE R, PART VII AS PART OF THE ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS, AS REPORTED IN PARTS II, TO DIGNITY COMMUNITY CARE. ENTITIES TRANSFERRED DURING THE YEAR LIST DIGNITY HEALTH AND DIGNITY COMMUNITY CARE, "DH/DCC", AS THE DIRECT CONTROLLING ENTITY ON SCHEDULES R, PART II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR.