BAKERSFIELD MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BAKERSFIELD MEMORIAL HOSPITAL (EIN 95-1802779)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201701329349304235
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T13:08:24-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951802779	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bakersfield Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% BERNADETTE JAMES	InCareOfNm
Business Name Control	BAKE	BusinessNameControlTxt
Phone	6613271792	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	185 BERRY STREET SUITE 300	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94107	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID YEAGER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6613274647	PhoneNum
Signature	2017-05-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	VALERIE J BALL	PreparerPersonNm
PTIN	P00178114	PTIN
Phone	4159635100	PhoneNum
Preparation	2017-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID YEAGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 34th Street	AddressLine1Txt
City	Bakersfield	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$509,756,108	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.Bakersfieldmemorial.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1951	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE MEDICAL AND HEALTHCARE SERVICES TO THE COMMUNITY. TO THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1937	TotalEmployeeCnt
Total Volunteers	121	TotalVolunteersCnt
Total Gross UBI	$861,831	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$563,943	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,904,538	PYContributionsGrantsAmt
CY Contributions Grants	$2,404,907	CYContributionsGrantsAmt
PY Program Service Revenue	$443,771,242	PYProgramServiceRevenueAmt
CY Program Service Revenue	$421,290,269	CYProgramServiceRevenueAmt
PY Investment Income	$10,274,264	PYInvestmentIncomeAmt
CY Investment Income	$8,317,027	CYInvestmentIncomeAmt
PY Other Revenue	$1,852,988	PYOtherRevenueAmt
CY Other Revenue	$1,944,861	CYOtherRevenueAmt
PY Total Revenue	$457,803,032	PYTotalRevenueAmt
CY Total Revenue	$433,957,064	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,125,133	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,321,660	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$172,239,987	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$181,394,624	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$210,797,691	PYOtherExpensesAmt
CY Other Expenses	$210,092,228	CYOtherExpensesAmt
PY Total Expenses	$387,162,811	PYTotalExpensesAmt
CY Total Expenses	$396,808,512	CYTotalExpensesAmt
PY Revenues Less Expenses	$70,640,221	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,148,552	CYRevenuesLessExpensesAmt
Total Assets BOY	$543,346,408	TotalAssetsBOYAmt
Total Assets EOY	$561,112,134	TotalAssetsEOYAmt
Total Liabilities BOY	$118,490,999	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$118,742,845	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$424,855,409	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$442,369,289	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$339,618,558	ExpenseAmt
Grant	$5,321,660	GrantAmt
Revenue	$419,891,678	RevenueAmt
Desc	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 378 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 150,385; EMERGENCY VISITS OF 77,252; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 9,261; AND INPATIENT AND OUTPATIENT CARDIAC PROCEDURES OF 5,797. 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.	Desc
Total Program Service Expenses	$339,618,558	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	206	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1937	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BERNADETTE JAMES	PersonNm
Phone	9166313370	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10901 GOLD CENTER DRIVE SUITE 300	AddressLine1Txt
City	RANCHO CORDOVA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Morgan Clayton
Director	8.0	0.0	Yes (X)	$0	$0	$0
John R Findley MD
Director	8.0	0.0	Yes (X)	$0	$0	$0
Susan P Helper MD
Director (thru 3/31/16)	8.0	0.0	Yes (X)	$0	$0	$0
Stephen Helvie MD
Director	8.0	0.0	Yes (X)	$0	$0	$0
Donald McMurtrey
Director	8.0	0.0	Yes (X)	$0	$0	$0
Javier Miro MD
Director	8.0	0.0	Yes (X)	$0	$0	$0
Bruce Peters
Director	8.0	32.0	Yes (X)	$0	$610,485	$73,675
Sandra Serrano
Director	8.0	0.0	Yes (X)	$0	$0	$0
Susie Small
Director	8.0	0.0	Yes (X)	$0	$0	$0
Stephen T Clifford
Vice-Chairman	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
D Bradley Hannink
Secretary / Treasurer	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Robert Noriega
Chairman	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Jon VanBoening
President & CEO	40.0	0.0	Yes (X)	$0	$1,349,466	$160,262	Yes (X)
Jesica Hanson
VP / CFO	40.0	0.0		$447,007	$0	$68,435	Yes (X)
Susan Benham
VP Chief Dev Officer	40.0	0.0		$186,207	$0	$42,095		Yes (X)
Terri Church
VP / CNE	40.0	0.0		$298,390	$0	$43,634		Yes (X)
Sheri Comaianni
VP / HR	40.0	0.0		$332,973	$0	$51,806		Yes (X)
Kenneth Keller
VP/COO	40.0	0.0		$218,838	$0	$33,297		Yes (X)
Robin Mangarin-Scott
VP STRATEGIC MRKTG COMM CCASA	40.0	0.0		$223,337	$0	$40,187		Yes (X)
Rodney Mark Root MD
VP / CMO	40.0	0.0		$416,306	$0	$64,715		Yes (X)
Kevin Walters
VP, Chief Strategy Officer/CAO	40.0	0.0		$590,795	$0	$76,756		Yes (X)
Whabong Anderson
Registered Nurse	40.0	0.0		$276,097	$0	$30,834			Yes (X)
Todd C Goodall
VP Strategy & Business Dev	40.0	0.0		$220,246	$0	$40,825			Yes (X)
John L Holbert
Controller (thru 12/2015)	40.0	0.0		$251,822	$0	$23,545			Yes (X)
David J Lozano
Director of Pharmacy	40.0	0.0		$220,704	$0	$53,777			Yes (X)
Joan M Van Alstyne
Director Quality Improvement	40.0	0.0		$221,411	$0	$23,502			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,904,133	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,959,951	TotReportableCompRltdOrgAmt
Total Other Compensation	$827,345	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	418	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRIMEDX LLC
5451 LAKEVIEW PKWY S DR	INDIANAPOLIS	IN	46268	Management services	$3,104,888
ARAMARK HEALTHCARE
27310 NETWORK PL	CHICAGO	IL	606731273	Management services	$2,724,253
MEDLINE INDUSTRIES INC
DEPT LA 21558	PASADENA	CA	918851558	Contractor	$2,673,710
WESTWAYS STAFFING SVC INC
500 CITY PKWY W Suite 130	ORANGE	CA	92868	Staffing services	$2,671,404
TERRIO THERAPY-FITNESS INC
8302 ESPRESSO DR Suite 100	BAKERSFIELD	CA	93314	Physical Therapists	$2,283,770

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$2,129,294	RelatedOrganizationsAmt
All Other Contributions	$275,613	AllOtherContributionsAmt
Total Contributions	$2,404,907	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT NET OF CHARITY & BAD DEBT & EHR	900099	$261,210,545	$261,210,545
MEDICARE/MEDICAID PAYMENTS	900099	$158,022,033	$158,022,033
MILLENNIUM SURGERY CENTER INC	621990	$1,398,591		$1,398,591
DIABETES CLINIC INCENTIVE REVENUE	900099	$250,981	$250,981
TRAUMA CARE	900099	$135,103	$135,103

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$273,016	TotalRevenueColumnAmt
Related Or Exempt Func Income	$273,016	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$421,290,269	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,969,021	TotalRevenueColumnAmt
Exclusion	$2,969,021	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$112,282	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$112,282	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,282	TotalRevenueColumnAmt
Exclusion	$112,282	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$80,590,230	SecuritiesAmt
Other	$556,820	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$75,796,644	SecuritiesAmt
Other	$2,400	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,793,586	SecuritiesAmt
Other	$554,420	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,348,006	TotalRevenueColumnAmt
Exclusion	$5,348,006	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$982,651	$982,651
GIFT SHOP	453220	$588,563	$588,563
CLINICAL TRIAL STUDIES/SPECIMEN TESTING	900099	$34,342		$34,342

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$227,023	TotalRevenueColumnAmt
Unrelated Business Revenue	-$571,102	UnrelatedBusinessRevenueAmt
Exclusion	$798,125	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,832,579	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$433,957,064	TotalRevenueColumnAmt
Related Or Exempt Func Income	$419,891,678	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$861,831	UnrelatedBusinessRevenueAmt
Exclusion	$10,798,648	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,289,503	TotalAmt
Program Services	$5,289,503	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$32,157	TotalAmt
Program Services	$32,157	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,404,899	TotalAmt
Program Services	$3,167,070	ProgramServicesAmt
Management And General	$237,829	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$215,002	TotalAmt
Program Services	$215,002	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,049,189	TotalAmt
Program Services	$126,491,736	ProgramServicesAmt
Management And General	$8,557,453	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,688,741	TotalAmt
Program Services	$8,981,917	ProgramServicesAmt
Management And General	$706,824	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,743,558	TotalAmt
Program Services	$23,636,460	ProgramServicesAmt
Management And General	$107,098	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,293,235	TotalAmt
Program Services	$8,735,641	ProgramServicesAmt
Management And General	$557,594	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$800,796	TotalAmt
Management And General	$800,796	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$84,597	TotalAmt
Management And General	$84,597	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$100,560	TotalAmt
Program Services	$883	ProgramServicesAmt
Management And General	$99,677	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,065,781	TotalAmt
Management And General	$1,065,781	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,481,753	TotalAmt
Program Services	$39,828,540	ProgramServicesAmt
Management And General	$18,653,213	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,484,642	TotalAmt
Program Services	$34,078	ProgramServicesAmt
Management And General	$1,450,564	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,855,163	TotalAmt
Program Services	$4,722,738	ProgramServicesAmt
Management And General	$2,132,425	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,799,286	TotalAmt
Program Services	$580,177	ProgramServicesAmt
Management And General	$21,219,109	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,637,243	TotalAmt
Program Services	$3,637,243	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$377,496	TotalAmt
Program Services	$136,454	ProgramServicesAmt
Management And General	$241,042	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$514,117	TotalAmt
Program Services	$245,892	ProgramServicesAmt
Management And General	$268,225	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,294,846	TotalAmt
Program Services	$2,294,846	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,428,561	TotalAmt
Program Services	$9,428,561	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,177,935	TotalAmt
Program Services	$4,177,935	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$59,833,961	$59,831,386	$2,575	$0
MEDI-CAL PROVIDER FEE	$27,722,594	$27,722,594	$0	$0
MEDICAL PRVDR/OUT-OF-NTWRK CST	$8,095,630	$8,095,630	$0	$0
UBI TAXES PAID	$133,000	$0	$133,000	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,204,267	TotalAmt
Program Services	$2,332,115	ProgramServicesAmt
Management And General	$872,152	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$396,808,512	TotalAmt
Program Services	$339,618,558	ProgramServicesAmt
Management And General	$57,189,954	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$300	BOYAmt
EOY	$4,290	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,652,387	BOYAmt
EOY	$21,661,682	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,515,689	BOYAmt
EOY	$41,669,618	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$728,227	BOYAmt
EOY	$1,045,195	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,895,769	BOYAmt
EOY	$5,145,621	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$67,849,749	BOYAmt
EOY	$95,871,524	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$340,686,036	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,301,520	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$135,854,347	BOYAmt
EOY	$138,384,516	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,976,948	BOYAmt
EOY	$99,364,453	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$73,797,948	BOYAmt
EOY	$127,697,526	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$25,701,283	BOYAmt
EOY	$17,893,948	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,373,761	BOYAmt
EOY	$12,373,761	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$543,346,408	BOYAmt
EOY	$561,112,134	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,897,449	BOYAmt
EOY	$57,776,507	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,887,593	BOYAmt
EOY	$27,887,593	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,346,996	BOYAmt
EOY	$1,697,442	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,358,961	BOYAmt
EOY	$31,381,303	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$118,490,999	BOYAmt
EOY	$118,742,845	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,967,961	BOYAmt
EOY	$434,751,319	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,817,448	BOYAmt
EOY	$7,547,970	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,000	BOYAmt
EOY	$70,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$424,855,409	BOYAmt
EOY	$442,369,289	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$543,346,408	BOYAmt
EOY	$561,112,134	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,148,552	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$19,284,311	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$350,361	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$100,560	OtherActivitiesAmt
Total Lobbying Expenditures	$100,560	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1i	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION $3,038 CATHOLIC HEALTH ASSOCIATION $1,845 CALIFORNIA HOSPITAL ASSOCIATION $79,152 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $15,629 340 B HEALTH $14 GREATER BAKERSFIELD CHAMBER OF COMMERCE $161 SOCIETY OF THORACIC SURGEONS $711 OTHER LOBBYING DUES ALLOCATED TO LOBBYING $10	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$71,346	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$193	InvestmentEarningsOrLossesAmt
End Year Balance	$71,153	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,228	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,111	OtherExpendituresAmt
End Year Balance	$71,346	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,221	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7	InvestmentEarningsOrLossesAmt
End Year Balance	$70,228	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,214	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7	InvestmentEarningsOrLossesAmt
End Year Balance	$70,221	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$70,207	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7	InvestmentEarningsOrLossesAmt
End Year Balance	$70,214	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,263,176	OtherCostOrOtherBasisAmt
Book Value	$5,263,176	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,700,100	OtherCostOrOtherBasisAmt
Depreciation	$108,089,636	DepreciationAmt
Book Value	$96,610,464	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$869,738	OtherCostOrOtherBasisAmt
Depreciation	$147,556	DepreciationAmt
Book Value	$722,182	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,493,652	OtherCostOrOtherBasisAmt
Depreciation	$90,353,289	DepreciationAmt
Book Value	$20,140,363	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,359,370	OtherCostOrOtherBasisAmt
Depreciation	$3,711,039	DepreciationAmt
Book Value	$15,648,331	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$138,384,516	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER SECURITIES	Desc
Book Value	$127,697,526	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$127,697,526	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO RELATED PARTIES	$27,502,057
PENSION PAYABLE	$3,492,686
DEFERRED COMPENSATION	$180,717
OTHER NON-CURRENT LIABILITIES	$205,843

Field	Value	IRS element (for citing)
Total Liability	$31,381,303	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE	DIGNITY HEALTH REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	2506	PersonsServedCnt
Total Community Benefit Expns	$1,486,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,486,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	69504	PersonsServedCnt
Total Community Benefit Expns	$174,184,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,110,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,073,914	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	72010	PersonsServedCnt
Total Community Benefit Expns	$175,671,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,110,659	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,560,433	NetCommunityBenefitExpnsAmt
Total Expense	0.07190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	25595	PersonsServedCnt
Total Community Benefit Expns	$1,249,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$221,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,027,521	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$489	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	14168	PersonsServedCnt
Total Community Benefit Expns	$1,348,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,231,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	39763	PersonsServedCnt
Total Community Benefit Expns	$2,598,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$339,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,259,017	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Persons Served	111773	PersonsServedCnt
Total Community Benefit Expns	$178,269,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,449,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,819,450	NetCommunityBenefitExpnsAmt
Total Expense	0.07760	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	242	PersonsServedCnt
Total Community Benefit Expns	$46,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,365	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$1,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,357	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	2357	PersonsServedCnt
Total Community Benefit Expns	$17,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,197	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2619	PersonsServedCnt
Total Community Benefit Expns	$65,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,919	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,879,894	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$70,362,769	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$85,224,008	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,861,239	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MILLENNIUM SURGERY
AMBULATORY SURGERY CENTER	0.5767	0.4233	0.4233
MEMORIAL MEDICAL PLA
MOB	0.2144	0.6606	0.6606

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bakersfield Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 34th Street	AddressLine1Txt
City	Bakersfield	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93301	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.bakersfieldmemorial.org	WebsiteAddressTxt
State License	120000181	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Bakersfield Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.HEALTHYKERN.ORG/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see section c	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see section c	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see section c	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART V	FormAndLineReferenceDesc
Explanation	SCHEDULE H, PART V, SEC B, LINE 5 THE 2015 CHNA PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO IDENTIFY COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS, AND DISCOVER GAPS IN RESOURCES. INFORMATION WAS OBTAINED THROUGH A COMMUNITY SURVEY OF 935 RESIDENTS AND 33 INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH DEPARTMENT, AND SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. A COMPLETE LIST OF INTERVIEWEES NAME, TITLES AND ORGANIZATIONS IS IN THE CHNA REPORT. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT AND IN A PAPER VERSION IN ENGLISH AND SPANISH. IT WAS DISTRIBUTED TO HOSPITAL PATIENTS, IN HOSPITAL WAITING ROOMS AND SERVICE SITES, AND THROUGH SOCIAL MEDIA INCLUDING HOSPITAL FACEBOOK PAGES. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS. THIRTY-FIVE PERCENT OF RESPONDENTS WERE ON MEDICAID OR HAD NO INSURANCE, AND 10 PERCENT HAD MEDICARE COVERAGE. SCHEDULE H, PART V, SEC B, LINE 6A DELANO REGIONAL MEDICAL CENTER, DIGNITY HEALTH MERCY HOSPITALS BAKERSFIELD, KAISER PERMANENTE AND SAN JOAQUIN COMMUNITY HOSPITAL SCHEDULE H, PART V, SEC B, LINE 7A http://www.dignityhealth.org/bakersfieldmemorial/dignity-health-in-kern-co unty/community-programs/community-benefit-report SCHEDULE H, PART V, SEC B, LINE 10A THE HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. IMPLEMENTATION STRATEGIES ARE ALSO ON THE THE FACILITYS WEB SITE, AT THE SAME LOCATION AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7a ABOVE. SCHEDULE H, PART V, SEC B, LINE 11 BAKERSFIELD MEMORIAL HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA WHICH INCLUDE OVERWEIGHT AND OBESITY; ACCESS TO HEALTH CARE; CHRONIC DISEASES (ASTHMA/LUNG DISEASE, CANCER, CARDIOVASCULAR DISEASE, DIABETES); AND BASIC NEEDS SERVICES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS WIDELY AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PATIENT FINANCIAL ASSISTANCE; BREAST HEALTH PROGRAM; COMMUNITY HEALTH INITIATIVE; HOMEMAKER CARE PROGRAM; PRESCRIPTION PURCHASES FOR INDIGENTS; COMMUNITY WELLNESS PROGRAM; CHRONIC DISEASE SELF-MANAGEMENT PROGRAM/DIABETES SELF-MANAGEMENT PROGRAM; ASTHMA MANAGEMENT PROJECT; SMOKING CESSATION PROGRAM; IN-HOME HEALTH EDUCATION; HEALTH EDUCATION AND SCREENINGS; HEALTHY KIDS IN HEALTHY HOMES; LEARNING AND OUTREACH CENTERS; AND ART AND SPIRITUALITY CENTER. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, THE HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: DENTAL HEALTH, ENVIRONMENTAL HEALTH, MATERNAL AND INFANT HEALTH, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS AND SUBSTANCE ABUSE. THE HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY; THEREFORE, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATIONS AREAS OF FOCUS AND EXPERTISE. SCHEDULE H, PART V, SEC B, LINES 16A, 16B AND 16C http://www.dignityhealth.org/bakersfieldmemorial/patients-and-visitors/pat ients/billing-information/payment-assistance SCHEDULE H, PART V, SEC B, LINE 16I 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 FACILITYS WEB PAGE. SCHEDULE H, PART V, SEC B, LINE 20D THIS ACTION ONLY FOR THOSE THAT ACTUALLY APPLY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SEC B, LINE 22D UNINSURED PATIENTS WHO ARE APPLYING FOR FINANCIAL ASSISTANCE WHOSE HOUSEHOLD INCOME IS AT OR BELOW 350% OF THE FPL ARE ELIGIBLE TO RECEIVE SERVICES AT THE HIGHEST AVERAGE PAYMENT RATE THE HOSPITAL WOULD RECEIVE FOR PROVIDING SERVICES FROM MEDICARE, MEDICAID, OR ANY OTHER GOVERNMENT SPONSORED HEALTH PROGRAM OR HEALTH BENEFIT IN WHICH THE HOSPITAL PARTICIPATES IN CALIFORNIA, AND IN ARIZONA AND NEVADA THE AMOUNT GENERALLY BILLED. THE MAXIMUM CHARGE THAT MAY BE BILLED TO A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY IS KNOWN AS THE AMOUNT GENERALLY BILLED (AGB). NO PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED MORE THAN THE AGB FOR THE ELIGIBLE SERVICE(S) PROVIDED TO THE PATIENT. DIGNITY HEALTH CALCULATES THE AGB ON A FACILITY-BY-FACILITY BASIS USING THE "LOOKBACK" METHOD BY MULTIPLYING THE "GROSS CHARGES" FOR ANY ELIGIBLE SERVICES THAT IT PROVIDES BY ABG PERCENTAGES WHICH ARE BASED UPON PAST CLAIMS ALLOWED UNDER MEDICARE AND PRIVATE INSURANCE AS SET FORTH IN FEDERAL LAW.	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $28 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 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. THE CALIFORNIA HOSPITAL ASSOCIATION CREATED A PRIVATE PROGRAM, THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"), ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. DURING THE YEAR, BMH RECORDED A PLEDGE TO A GRANT FUND ESTABLISHED BY CHFT IN THE AMOUNT $0.9 MILLION. THE GRANT IS REPORTED UNDER OTHER BENEFITS (PART I, LINE 7I, COLUMN C), AS CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS.
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. IT IS A RESPONSIBILITY THAT WE EAGERLY EMBRACE AS A DEFINING CHARACTERISTIC OF OUR ORGANIZATION. 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, VICTIMS SERVED, AND FAMILIES TAUGHT TO MANAGE CHRONIC DISEASE). SOME OF THE COMMUNITY BUILDING PROGRAMS OFFERED INCLUDE: COMMUNITY SUPPORT PROGRAM: COMMITTEES THAT RESPOND TO COMMUNITY NEED DESCRIPTION: BAKERSFIELD MEMORIAL HOSPITAL EMPLOYEES DONATING THEIR TIME AND EXPERTISE TO BOARDS AND COMMITTEES THAT SERVE THE COMMUNITY. PROGRAM: HOMEWORK CLUB DESCRIPTION: THE HOMEWORK CLUB PROVIDES AN ACADEMICALLY STRUCTURED AFTER SCHOOL PROGRAM FOR UNDERSERVED STUDENTS ATTENDING FIRST THROUGH SEVENTH GRADES. THE PROGRAM FOCUSES ON PROVIDING A SAFE ENVIRONMENT FOR PRE-TEENS TO WORK ON HOMEWORK AND OTHER ACADEMIC SKILLS. PROGRAM: SUPPORT A COMMUNITY ENDEAVOR DESCRIPTION: BAKERSFIELD MEMORIAL HOSPITAL EMPLOYEES VOLUNTEERING THEIR TIME TO SUPPORT COMMUNITY ENDEAVORS THAT PROMOTE HEALTH AND WELL-BEING. 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. IN COLLABORATION WITH OVER 20 COMMUNITY AGENCIES, THE HOMEMAKER CARE PROGRAM WILL OFFER SKILLS TRAINING IN THE FIELD OF IN-HOME SUPPORTIVE SERVICES. COALITION BUILDING PROGRAM: COMMITTEES THAT RESPOND TO COMMUNITY NEED DESCRIPTION: BAKERSFIELD MEMORIAL HOSPITAL EMPLOYEES DONATING THEIR TIME AND EXPERTISE TO BOARDS AND COMMITTEES THAT SERVE THE COMMUNITY. PROGRAM: HOLIDAY BASKETS DESCRIPTION: HOLIDAY BASKETS ARE PROVIDED BY ST. PHILIPS PARISH TO PROVIDE FOOD TO FAMILIES IN NEED DURING THE HOLIDAY SEASON. THE MERCY AND MEMORIAL HOSPITALS' LEARNING AND OUTREACH CENTERS SUBMIT ELIGIBLE FAMILIES TO THE CHURCH CONTACT AND DISTRIBUTE THE BASKETS TO ELIGIBLE FAMILIES. PROGRAM: SCHOOL SUPPORTIVE SERVICES DESCRIPTION: THE SCHOOL SUPPORTIVE SERVICES PROGRAM PROVIDES SUPPORT TO ELEMENTARY, JUNIOR HIGH AND HIGH SCHOOLS THROUGHOUT KERN COUNTY BY SPONSORING EVENTS, PROVIDING CLOTHING AND SHOES AND OFFERING EDUCATIONAL INSERVICE PRESENTATIONS TO STUDENTS AND THEIR FAMILIES.
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 200%, 201%-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 A 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 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 DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2016, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR CHARITY AND DOUBTFUL ACCOUNTS: PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE ARE REPORTED AT THE NET REALIZABLE AMOUNT FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. 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. BMH BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $895 MILLION, 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 $14.8 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR 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 HE BILLING COMPANY RETAINED BY DIGNITYHEALTH. 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	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. THE COMMUNITY ADVISORY BOARD IS A DIVERSE GROUP THAT INCLUDES COMMUNITY MEMBERS, PHYSICIANS, FAITH-BASED REPRESENTATIVES, AND BUSINESS HEALTH EXECUTIVES WHO PROVIDE A BROAD SPECTRUM OF PERSPECTIVES ON PLANS PRESENTED FOR THEIR APPROVAL. MEMORIAL HOSPITALS 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 HOSPITALS 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 FOUR 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. THE COMMITTEE PROVIDES INPUT, ADVICE, AND APPROVAL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY, COMMUNITY BENEFIT PLAN, AND PROGRAM MONITORING. REPORTS APPROVED BY THE COMMUNITY BENEFIT COMMITTEE ARE THEN SUBMITTED TO THE BOARD OF MEMORIAL HOSPITAL FOR FINAL APPROVAL. ONE 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 (OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT). THE COUNTY COVERS MORE THAN 8,100 SQUARE MILES, GEOGRAPHICALLY MAKING IT 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 NATIONS 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 COUNTYS 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: 589,112 Race/Ethnicity: White - Non-Hispanic 32.9%; Black/African American - Non-Hispanic 5.4%; Hispanic or Latino 54.3%; Asian/Pacific Islander 4.7%; All Others 2.7% Median Income: $52,663 Unemployment: 7.9% No High School Diploma : 25.8% Medicaid: 32.3% Uninsured: 8.7% 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, 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 BOARD OF DIRECTORS IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESS. THE BOARD OF DIRECTORS IS A DIVERSE GROUP THAT INCLUDES COMMUNITY MEMBERS, PHYSICIANS, FAITH-BASED REPRESENTATIVES, AND BUSINESS HEALTH EXECUTIVES WHO PROVIDE A BROAD SPECTRUM OF PERSPECTIVES ON PLANS PRESENTED FOR THEIR APPROVAL. MEMORIAL HOSPITAL'S PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP. A COMMUNITY BENEFIT COMMITTEE 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 FOUR 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. THE COMMITTEE PROVIDES INPUT, ADVICE, AND APPROVAL FOR THE COMMUNITY BENEFIT PLAN. THE APPROVED PLAN IS THEN SUBMITTED TO THE BOARD OF BAKERSFIELD MEMORIAL HOSPITAL FOR FINAL APPROVAL. 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; OPENING OUR FACILITIES FOR MEETINGS; 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. BY PARTICIPATING IN EFFORTS SUCH AS KERN COUNTY'S ASSESSMENT PROCESS, THE COMPREHENSIVE CANCER AWARENESS COLLABORATIVE, FIRST 5 OF KERN COUNTY, AND COMMUNITY HEALTH FAIRS, WE JOIN OTHER COMMUNITY LEADERS AND PARTNERS IN PROBLEM SOLVING AND HEALTH PLANNING.
Sch H, PART VI, LINE 6-AFFILIATED HEALTH CARE SYSTEM	BMH IS AFFILIATED WITH DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH 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 FOR DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS FOR THE YEAR ENDED JUNE 30, 2016, IS AS FOLLOWS: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 140,490 96,453,000 0.8% Unpaid Costs of Medicaid/Medi-Cal 1,623,229 927,750,000 7.3% Other Means-tested Programs 275,647 7,027,000 0.1% Community Services: Community Health Services 371,669 44,816,000 0.4% Health Professions Education 84 48,000 0.0% Subsidized Health Services 321,882 47,172,000 0.4% Donations 108,977 22,245,000 0.2% Community Building Activities 6,090 1,679,000 0.0% Community Benefit Operations 65 8,030,000 0.1% Total Community Services for the poor 808,767 123,990,000 1.1% Total Benefits for the Poor 2,848,133 1,155,220,000 9.3% Benefits for the Broader Community: Community Services: Community Health Services 307,874 13,768,000 0.1% Health Professions Education 24,127 70,327,000 0.6% Subsidized Health Services 5,215 1,147,000 0.0% Research 565 7,370,000 0.1% Donations 36,410 6,544,000 0.1% Community Building Activities 16,623 2,724,000 0.0% Community Benefit Operations 28 1,318,000 0.0% Total Benefits for the Broader Community 390,842 103,198,000 0.8% Total Community Benefits 3,238,975 1,258,418,000 10.1% Unpaid Costs of Medicare 1,098,561 895,491,000 7.1% Total Community Benefits including Unpaid Costs of Medicare 4,337,536 2,153,909,000 17.2%

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
Dignity Health Medical Foundation
3400 Data Drive	Rancho Cordova	CA	95670	680220314	501(c)(3)	$3,417,527	$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)	$893,741	$0	N/A	N/A	Community Health
Garden Pathways Inc
1616 29th Street	Bakersfield	CA	93301	770442212	501(c)(3)	$54,020	$0	N/A	N/A	Community Health
Catholic Charities of the Diocese of Fresno
149 N Fulton St	Fresno	CA	937011607	941678938	501(c)(3)	$15,050	$0	N/A	N/A	Community Health
Hoffman Hospice of the Valley Inc
8501 Brimhall Rd Ste 100	Bakersfield	CA	93312	770386207	501(c)(3)	$12,625	$0	N/A	N/A	Community Health
St Vincent De Paul Store Inc
300 Baker St	Bakersfield	CA	93305	951853364	501(c)(3)	$7,000	$0	N/A	N/A	Community Health
Kern County Hispanic Chamber of Commerce Incorpora
231 H Street	Bakersfield	CA	93304	680182048	501(c)(6)	$17,000	$0	N/A	N/A	Community Support
Bakersfield Memorial Hospital Foundation
420 34th Street	Bakersfield	CA	93301	953555043	501(c)(3)	$444,159	$0	N/A	N/A	Foundation Support
Roman Catholic Bishop of Fresno
900 H Street	Bakersfield	CA	93304	941294942	501(c)(3)	$12,500	$0	N/A	N/A	Community Support
JJ's Legacy
Po Box 12793	Bakersfield	CA	93309	273546375	501(c)(3)	$10,000	$0	N/A	N/A	Community Support
Kern Citizens for Sustainable Government
Po Box 81075	Bakersfield	CA	93380	273702300	501(c)(4)	$7,500	$0	N/A	N/A	Community Support
Chamber Of Commerce Of Greater Bakersfield
1725 Eye Street	Bakersfield	CA	93303	950521125	501(c)(6)	$8,042	$0	N/A	N/A	Community Support
Bakersfield Symphony Orchestra Inc
1328 34th Street	Bakersfield	CA	93301	956001765	501(c)(3)	$12,500	$0	N/A	N/A	Community Support
Dignity Health
185 Berry Street	San Francisco	CA	94107	941196203	501(c)(3)	$300,000	$0	N/A	N/A	Hospital Support

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS	2	$5,000	$0	N/A	N/A
PROVISION OF FOOD/MEALS	11627	$0	$23,937	FMV	FOOD
DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY	748	$0	$2,334	COST	CLOTHING/HH GOODS
PROVISION OF SCHOOL SUPPLIES	256	$0	$34	FMV	SCHOOL SUPPLIES
DONATION OF DIAPERS/HYGIENE ITEMS	419	$0	$852	FMV	DIAPERS/HYGIENE ITEM

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2 - GENERAL INFORMATION ON GRANTS & ASSISTANCE	FormAndLineReferenceDesc
Explanation	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. RELEVANCY 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce Peters
Director	$0	$352,608	$0	$249,114	$0	$8,763	$0	$51,973	$0	$21,702	$0	$684,160	$0	$0
Jon VanBoening
President & CEO	$0	$565,596	$0	$584,164	$0	$199,706	$0	$91,946	$0	$68,316	$0	$1,509,728	$0	$158,356
Jesica Hanson
VP / CFO	$302,935	$0	$143,478	$0	$594	$0	$40,951	$0	$27,484	$0	$515,442	$0	$0	$0
Susan Benham
VP Chief Dev Officer	$152,446	$0	$33,056	$0	$705	$0	$19,212	$0	$22,883	$0	$228,302	$0	$0	$0
Terri Church
VP / CNE	$222,885	$0	$64,690	$0	$10,815	$0	$27,485	$0	$16,149	$0	$342,024	$0	$0	$0
Sheri Comaianni
VP / HR	$221,510	$0	$108,327	$0	$3,136	$0	$32,619	$0	$19,187	$0	$384,779	$0	$0	$0
Kenneth Keller
VP/COO	$174,492	$0	$35,000	$0	$9,346	$0	$21,549	$0	$11,748	$0	$252,135	$0	$0	$0
Robin Mangarin-Scott
VP STRATEGIC MRKTG COMM CCASA	$183,699	$0	$38,443	$0	$1,195	$0	$16,369	$0	$23,818	$0	$263,524	$0	$0	$0
Rodney Mark Root MD
VP / CMO	$313,272	$0	$91,176	$0	$11,858	$0	$37,507	$0	$27,208	$0	$481,021	$0	$0	$0
Kevin Walters
VP, Chief Strategy Officer/CAO	$389,992	$0	$182,078	$0	$18,725	$0	$49,846	$0	$26,910	$0	$667,551	$0	$0	$0
Whabong Anderson
Registered Nurse	$266,266	$0	$4,496	$0	$5,335	$0	$22,256	$0	$8,578	$0	$306,931	$0	$0	$0
Todd C Goodall
VP Strategy & Business Dev	$203,967	$0	$15,000	$0	$1,279	$0	$15,985	$0	$24,840	$0	$261,071	$0	$0	$0
John L Holbert
Controller (thru 12/2015)	$166,757	$0	$35,680	$0	$49,385	$0	$14,965	$0	$8,580	$0	$275,367	$0	$0	$0
David J Lozano
Director of Pharmacy	$171,171	$0	$41,181	$0	$8,352	$0	$23,951	$0	$29,826	$0	$274,481	$0	$0	$0
Joan M Van Alstyne
Director Quality Improvement	$175,026	$0	$36,994	$0	$9,391	$0	$21,046	$0	$2,456	$0	$244,913	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 COMMPENSATION, 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 2015.
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. There were no payments related to this plan in 2015. CERTAIN LISTED PERSONS are eligible to participate in one of two 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 for one officer occurred during 2015 include J. VanBoening, $158,356. 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 II, 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521598225	13033FTN0	2004-05-19	$150,000,000	BOND A: CUSIP 13033FTN0-SEE PRT VI	false	false	Yes (true)
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13033FYE4	2005-11-10	$200,000,000	BOND B: CUSIP 13033FYE4-SEE PRT VI	false	false	Yes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$2,887,593	$0	$0	$0	$0	$0	$0	$2,887,593	$0	$0	2006	false	false	Yes (true)	Yes (true)
B	$0	$0	$26,804,899	$0	$0	$0	$0	$0	$0	$26,804,899	$0	$0	2008	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00300	0.00000	0.00300	false	false	0.00000	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00300	0.00000	0.00300	false	false	0.00000	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

BOND A: CUSIP 13033FTN0

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. 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. PART I, COLUMN (F) FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. 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 $2,887,5937 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. PART IV, LINE 2C THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFOMED ON 6/30/2016.

BOND B: CUSIP 13033FYE4

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. PART I, COLUMN (F) FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART IV, LINE 2C THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFOMED ON 1/28/2015.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARISSA MCMURTREY
FAMILY MEMBR, D MCMURTREY	$70,101	EMPLOYMENT	false
BRENDA MCMURTREY
FAMILY MEMBR, D MCMURTREY	$114,301	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PARTS VI, VII, XI AND XII	FORM 990, PART VI, LINE 2A J. VAN BOENING, J. HANSON, B. PETERS - BUSINESS RELATIONSHIP J. VAN BOENING, B. Peters - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE 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 BOARD OF DIRECTORS HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE AND PLANNING COMMITTEE. THE ORGANIZATION'S CFO AND CONTROLLER WORKED CLOSELY WITH THE PARENT ORGANIZATION AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW THE RETURN AND PRESENTED EACH SECTION OF THE FINAL DRAFT OF FORM 990, EXCLUDING COMPENSATION SCHEDULES TO THE FINANCE AND PLANNING COMMITTEE. SUBSEQUENT TO ITS REVIEW, THE FINANCE AND PLANNING COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990 AND THE FINAL DRAFT, EXCLUDING COMPENSATION SCHEDULES WAS PROVIDED TO THE ENTIRE VOTING 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 EVP/General Counsel is responsible for collecting, reviewing and validating annual disclosures of all covered persons (i.e., Board and Board Committee members, officers and executive leadership, key employees, management personnel at the vice president level and above, and any other personnel at his or her discretion). All covered persons are required to disclose real or potential conflicts arising from the business, financial and personal interests held by such covered persons or their family members. Covered persons are required to disclose to their superiors and to relevant decision makers any interest that may present a conflict, 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, and annually thereafter. Each covered person is required to certify at least annually that he/she: (1) has received a copy of the policy applicable to his/her position; (2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflicts of interest disclosure statement as required by the policy. The President/CEO and EVP/General Counsel prepare annual reports of reported conflicts of interest, which are provided to the Board of Directors, Committee Chairs, and key leaders of the organization to enable 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 include, but are not limited to, the following: (1) the conflicting interest is fully disclosed to the Board of Directors, members of Board Committees with subject matter jurisdiction 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 is excluded from the discussion and 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 persons, consistent with any requirements of bylaws or policies; and (6) any conflicting issues arising during the course of a board meeting which cannot be resolved may be referred to an independent committee of the Board of Directors. There are similar conflicts of interest provisions under the 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; $(80,883) INTEREST IN UNCONSOLIDATED FOUNDATION; $(269,478)
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:MEDICAL FEES TOTAL FEES:15802497
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:12626440
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATIVE SVCS TOTAL FEES:11240916
FORM 990 PART IX LINE 11G	DESCRIPTION:OPTUM360 FEES TOTAL FEES:9759912
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES-CONSULTING TOTAL FEES:5006285
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1989077
FORM 990 PART IX LINE 11G	DESCRIPTION:JANITORIAL/CLEANING/WASTE MGMT TOTAL FEES:1138707
FORM 990 PART IX LINE 11G	DESCRIPTION:LAUNDRY & LINEN SVCS TOTAL FEES:917919

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
DIGNITY HEALTH
185 Berry Street	San Francisco	CA	94107	941196203	Hospital	CA	501(c)(3)	3	NA	false
Bakersfield Memorial Hospital Foundation
420 34th Street	Bakersfield	CA	93301	953555043	Fundraising	CA	501(c)(3)	11a	BMH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Medical Plaza LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3538 San Dimas STE B 201	AddressLine1Txt
City	Bakersfield	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93301	ZIPCd

Field	Value	IRS element (for citing)
EIN	364510880	EIN
Primary Activities	MOB	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$122,736	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,637,336	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.21000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MILLENNIUM SURGERY CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9300 STOCKDALE HWY STE 200	AddressLine1Txt
City	BAKERSFIELD	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93311	ZIPCd

Field	Value	IRS element (for citing)
EIN	770513445	EIN
Primary Activities	AMBULATORY SU	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	S CORP	EntityTypeTxt
Share Of Total Income	$670,590	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,655,545	ShareOfEOYAssetsAmt
Ownership	0.57666	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Bakersfield Memorial Hospital foundation
b	$444,159	Per agreement
Bakersfield Memorial Hospital foundation
c	$1,826,896	Per agreement
Bakersfield Memorial Hospital foundation
P	$63,294	PER AGREEMENT
millennium surgery center inc
l	$89,325	per agreement
millennium surgery center inc
s	$1,387,938	see part vi

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch R, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	TRANSACTIONS B AND C: BMH IS SUPPORTED BY ONE FUNDRAISING FOUNDATION. 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.	ExplanationTxt