2019-05-03T00:38:52-05:00 2018-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2017-07-01 462037641 Dignity Health Foundation % MARYLEE MADDEN-BOST DIGN 4154385500 185 Berry Street Suite 300 San Francisco CA 94107 FRED NAJJAR TREASURER 4154385500 2019-04-26 true VALERIE J BALL P00178114 4159635100 162.135.0.62 94661320191235000003 2019-05-03 P 737F355340B50F254548178A0A13AB89EADBC088 58D2EFD71874899272368D0A62EB83F204FE69E4 2017 2019-02-21 02:37:17Z FRED NAJJAR 185 Berry Street 300 San Francisco CA 94107 4319813 false X www.dignityhealthfoundation.org X 2013 CA TO PROVIDE FINANCIAL ASSISTANCE AND SUPPORTING SERVICES FOR DIGNITY HEALTH. 12 10 0 12 0 0 4279967 4192871 0 0 16519 8469 -720714 -683711 3575772 3517629 652091 1501224 0 0 0 0 0 0 404837 928715 898374 1580806 2399598 1994966 1118031 4265969 5614706 6277 229885 4259692 5384821 X DIGNITY HEALTH FOUNDATION SERVES AS A SUPPORTING ORGANIZATION TO DIGNITY HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION RECOGNIZED AS A TAX-EXEMPT CHARITABLE ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). THE FOUNDATION PROVIDES FUNDRAISING SUPPORT AND SERVICES SYSTEM-WIDE TO DIGNITY HEALTH AND ITS NETWORK OF HOSPITALS, WHILE STREAMLINING ADMINISTRATIVE COSTS THROUGH INCREASED OPERATIONAL EFFICIENCY. THE FOUNDATION PROVIDES FOCUSED PHILANTHROPIC SUPPORT TO DRIVE INNOVATION AT DIGNITY HEALTH, IMPROVE CLINICAL OUTCOMES, GROW ACCESS TO CARE, AND ENABLE DIGNITY HEALTH TO SERVE MORE PEOPLE. false false 1539553 1501224 0 DIGNITY HEALTH FOUNDATION IS AN IRC SEC 509(A)3 SUPPORTING ORGANIZATION TO DIGNITY HEALTH. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTION OF, OR TO CARRY OUT THE EXEMPT PURPOSES OF DIGNITY HEALTH. THE FOUNDATION PROVIDES SUPPORT TO DIGNITY HEALTH BY CARRYING OUT DIGNITY HEALTH'S EXEMPT PURPOSE OF ADVANCING HEALTHCARE BY SEEKING PHILANTHROPIC GRANTS AND CONTRIBUTIONS FROM ORGANIZATIONS AND INDIVIDUALS THAT ADVANCE HEALTHCARE SYSTEM-WIDE TO DIGNITY HEALTH. 1539553 true true false true false false false false false true false false false false true true false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true X 3 0 true 0 false false false false false true true false false false false false X 12 10 false false false false true true true true true false false true true true true true true false false false CA X MARYLEE MADDEN-BOST 6023072520 3033 NORTH 3RD AVENUE PHOENIX AZ 85013 X Willie Brown Jr Board Member 1.0 0.0 X 0 0 0 John de Souza Board Member 1.0 0.0 X 0 0 0 Melissa Dyrdahl Board Member 1.0 0.0 X 0 0 0 Amir Mashkoori Board Member 1.0 0.0 X 0 0 0 Michael Covarrubias Board Member 1.0 0.0 X 0 0 0 Lisa Suennen Board Member 1.0 0.0 X 0 0 0 Geetha Vallabheneni Board Member 1.0 0.0 X 0 0 0 Nancy Bussani Secretary (thru 1/5/18) 32.0 8.0 X X 0 408133 80502 Lloyd H Dean Ex-officio Member/President 1.0 40.0 X X 0 11927529 1489954 Fred Najjar Treasurer 1.0 40.0 X X 0 700373 95408 Jed York Chairman 2.0 0.0 X X 0 0 0 Janet Reilly Board Member 1.0 0.0 X 0 0 0 Oliver W Wesson Jr Board Member 1.0 0.0 X 0 0 0 0 13036035 1665864 0 false true false Paula deluc inc dba paula deluc fin 1350 park avenue EMERYVILLE CA 94608 catering Services 160279 rhp inc dba got light 211 industrial st SAN FRANCISCO CA 941241916 production SERVICES 146752 BLUEPRINT STUDIOS TRENDS INC 352 SHAW RD SAN FRANCISCO CA 94080 Decor Rental Service 129161 3 X 1343629 2051736 797506 439716 4192871 0 32994 32994 0 0 0 0 0 26388 2200 23090 30023 3298 -27823 -24525 -24525 65360 1343629 749071 -683711 -683711 0 0 0 0 0 0 0 3517629 -675242 X 1501224 1501224 0 0 0 0 0 0 0 0 0 0 5418 5418 0 23 23 0 327 327 766604 38329 412915 315360 58151 1129 57022 29520 14271 15249 125 125 0 0 17140 10603 6537 0 19202 8533 10669 0 0 0 0 DUES & SUBSCRIPTIONS 1502 0 1502 0 LICENSES AND TAXES 362 0 362 0 2399598 1539553 455208 404837 X 0 0 3615379 5252812 298155 70271 0 0 0 0 0 0 0 0 0 0 15997 164951 0 0 95405 73520 60233 53152 0 0 0 0 180800 0 4265969 5614706 6277 16362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 213523 6277 229885 X 627442 1354018 3391989 3789019 240261 241784 4259692 5384821 4265969 5614706 1118031 7098 X X false true X true true true X X X 1 DIGNITY HEALTH 941196203 3 true 1458410 941188 1 1458410 941188 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, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. false false false false false false false false true 23 23 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $23. 247338 1524 248862 127572 115260 7077 2571 247338 124915 3845 -1189 127571 28184 96155 576 124915 24707 3477 28184 0.97000 0.03000 false false 0 DUE TO RELATED PARTIES 213523 213523 X SCHD D, PART V, LINE 4 TO FUND STUDENT SCHOLARSHIPS FOR UNIVERSITY OF CALIFORNIA STUDENTS WORKING AS RESIDENTS OR INTERNS WITHIN THE DIGNITY HEALTH SYSTEM, AND TO SUPPORT COMMUNITY HEALTH PROGRAMS IN UNDERSERVED COMMUNITIES. SCHD D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE DIGNITY HEALTH REVIEWS ITS TAX POSITIONS Quarterly AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 2018 HH GALA 1379828 1314468 65360 0 0 43015 206571 65888 433597 2017 HH GALA 29161 29161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1408989 1343629 65360 0 0 43015 206571 65888 433597 749071 -683711 true DIGNITY HEALTH 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 941196203 501(C)(3) 1444971 42810 FMV COGNITIVE TEST TOOL HOSPITAL SUPPORT PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 465322209 501(C)(3) 12739 N/A N/A HOSPITAL SUPPORT 2 SCHEDULE I, PART I, LINE 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTION OF, OR TO CARRY OUT THE EXEMPT PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 (DIGNITY HEALTH), WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. false true false false false false false false false Nancy Bussani Secretary (thru 1/5/18) 0 275095 0 126846 0 6192 0 31753 0 48749 0 488635 0 0 Lloyd H Dean Ex-officio Member/President 0 1787802 0 7604203 0 2535524 0 1385625 0 104329 0 13417483 0 2492734 Fred Najjar Treasurer 0 372581 0 302956 0 24836 0 61954 0 33454 0 795781 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 PARTICIPATE IN A SEVERANCE PLAN ESTABLISHED BY ITS SUPPORTED ORGANIZATION. THE PLAN PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS OCCURRED DURING 2017 PURSUANT TO THE PLAN. PART I, LINE 4B ONE LISTED PERSON PARTICIPATES 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 PURSUANT TO THE PLAN OCCURRED DURING 2017. ONE LISTED PERSON IS ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS DURING 2017 INCLUDE L. DEAN, $1,711,358. ONE LISTED PERSON PARTICIPATES IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE IS BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. PAYMENTS MADE DURING 2017 PURSUANT TO THIS PLAN INCLUDE L. DEAN, $781,376 COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). SCHEDULE J, PART III THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, HOWEVER, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2017. X 2 2100 SALES PRICE X 3 5078 AVERAGE MARKET VALUE X MEDICAL EQUIPMENT 35 377934 SALES PRICE X JEWELRY 1 30023 APPRAISAL X OFFICE EQUIPMENT 3 23181 SALES PRICE X SECURITY FIREARM 1 1400 SALES PRICE 0 false true true SCHEDULE M, PART I, COLUMN B CARS AND OTHER VEHICLES - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED SECURITIES - PUBLICLY TRADED - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED MEDICAL EQUIPMENT - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. JEWELRY - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. OFFICE EQUIPMENT - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SECURITY FIREARMS - THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART 1, LINE 32B DIGNITY HEALTH FOUNDATION USES THE RELATED ORGANIZATION TO SOLICIT TANGIBLE PROPERTIES THAT COULD BE USED FOR SALE. FORM 990 PARTS V - XII FORM 990, PART V, LINE 2A THE FOUNDATION DOES NOT HAVE EMPLOYEES. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF DIGNITY HEALTH AND UTILIZES THE EMPLOYEES OF DIGNITY HEALTH. THE PROPORTIONATE SALARIES AND BENEFITS FOR THESE INDIVIDUALS ARE ALLOCATED TO THE FOUNDATION. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED IN THE DIGNITY HEALTH ENTITY'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART V, LINE 7H TWO VEHICLES WERE TRANSFERRED TO THE FOUNDATION FROM A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS, AND MAY APPOINT AND REMOVE ANY BOARD MEMBERS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE SOLE 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 FOUNDATION'S DIRECTOR OF PHILANTHROPY OPERATIONS REVIEWED THE FORM 990. IN ADDITION, THE SUPPORTED ORGANIZATION'S TAX MANAGER WORKED CLOSELY WITH THE CORPORATE ACCOUNTING DIRECTOR AND THE INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. THE FORM 990, IN ITS ENTIRETY, WAS PROVIDED BY THE FOUNDATION'S BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S POLICIES FOR THE DISCLOSURE AND MANAGEMENT OF CONFLICTS OF INTEREST. UNDER SUCH POLICIES, THE EVP/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 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 15 FOR 2017, COMPENSATION IS DETERMINED IN ACCORDANCE WITH AN ANNUAL REVIEW PROCESS AND AGREED UPON GOALS AND DIGNITY HEALTH COMPENSATION POLICIES FOR INCENTIVE PAY. 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 EMPLOYEES. 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 ALL COMPENSATION AND BENEFITS REPORTED FOR DIRECTORS AND OFFICERS REPRESENT COMPENSATION AS AN EMPLOYEE OF THE SUPPORTED ORGANIZATION. FORM 990, PART XII, LINE 3B THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN DIGNITY HEALTH'S CONSOLIDATED OMB CIRCULAR A-133 AUDITED SCHEDULE OF FEDERAL EXPENDITURES. FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:703623 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL CONSULTING TOTAL FEES:57269 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:3867 FORM 990 PART IX LINE 11G DESCRIPTION:MERCHANT FEE TOTAL FEES:698 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1147 DIGNITY HEALTH 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 941196203 HOSPITAL SVCS CA 501(C)(3) 3 NA false false true true false false false false false false false false true false false false false false false false NONE