2016-05-04T23:18:47-05:00 2015-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2014-07-01 953818027 Marian Regional Medical Center Foundation % RANDY BRADLEY MARI 8057393688 1400 EAST CHURCH STREET SANTA MARIA CA 93454 SUE ANDERSEN CFO 8057393600 2016-05-03 true VALERIE J BALL P00178114 4159635100 2016-05-04 2014 2016-08-17 19:52:53Z SUE ANDERSEN CFO 1400 East Church Street Santa Maria CA 93454 10192895 false X www.supportmarianmedical.org X 1982 CA TO PROVIDE FINANCIAL ASSISTANCE AND SUPPORT SERVICES FOR DIGNITY HEALTH (DBA: MARIAN REGIONAL MEDICAL CENTER) 21 19 0 24 0 3180418 4058143 0 0 856340 902297 53805 75038 4090563 5035478 3091945 2869643 0 0 0 0 4873 0 371891 902008 915358 3998826 3785001 91737 1250477 17401024 16091962 1971127 110588 15429897 15981374 X FOUNDATION EXISTS TO SUPPORT THE VALUES OF DIGNITY HEALTH, DBA MARIAN REGIONAL MEDICAL CENTER. THE FOUNDATION IS RESPONSIBLE FOR THE RECEIPT, MAINTENANCE, AND TRANSFER OF MONEY AND PROPERTY FOR THE BENEFIT OF DIGNITY HEALTH. FOUNDATION SUPPORT ALLOWS THE HOSPITAL TO FURTHER ITS MISSION OF DELIVERING COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES; SERVING AND ADVOCATING FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE. false false 3046537 2869643 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) TYPE I SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA MARIAN REGIONAL MEDICAL CENTER ("HOSPITAL"). AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITAL. 3046537 true true false true false false false false false true false true false false true true false true false false false false false false true false false true false true false false false false false false false false true true false false false true false false false true X 0 0 0 false false false false false true true false false false false X 21 19 true false false false true true true true true false false false true true true true true false false false CA X RANDY BRADLEY 6023072546 3033 N 3RD AVE PHOENIX AZ 85013 X Gregory Beebe Board Member 0.5 0.0 X 0 0 0 Robert Dichmann MD Board Member 0.5 0.0 X 0 0 0 Sister Pius Fahlstrom OSF Board Member 0.5 23.5 X 0 0 7287 Kevin Ferguson MD Ex-off board membr END 12/2014 0.5 0.0 X 0 0 0 Michael Galloway Board Member 0.5 0.0 X 0 0 0 Marcy Ginkel Board Member 0.5 0.0 X 0 0 0 Barbara Martinez Johnson Board Member 0.5 0.0 X 0 0 0 Laura Hoffman King Board Member 0.5 0.0 X 0 0 0 Sophia Lariz Board Member 0.5 0.0 X 0 0 0 Jodi Mrozek Ex-officio Member 0.5 0.0 X 0 0 0 George M Murphy Board Member 0.5 0.0 X 0 0 0 Mary Oates MD Board Member 1.0 0.0 X 0 0 0 Lauren Pincot Board Member 0.5 0.0 X 0 0 0 Anne Rigali Board Member 0.5 0.0 X 0 0 0 Juan Reynoso MD Board Member 0.5 2.2 X 0 18676 0 Christina H Slimack Board Member 0.5 0.0 X 0 0 0 Denise Valente Board Member 0.5 0.0 X 0 0 0 Jeff York Board Member 0.5 0.0 X 0 0 0 Rob Buchanan Vice-Chair 1.0 0.0 X X 0 0 0 Chuck Cova Service Area President 1.0 40.0 X X 0 822656 96489 Albert Schultz MD Chair 1.0 0.0 X X 0 0 0 Cynthia Schur Secretary/Treasurer 1.0 0.0 X X 0 0 0 Sue Andersen Chief Financial Officer 1.0 40.0 X 0 462780 60610 Stephanie Grogan Executive Director 40.0 0.0 X 0 189416 26281 0 1493528 190667 0 false true false 0 X 103794 940680 250 3013419 60018 4058143 0 266800 0 266800 0 0 0 0 0 5715293 5079796 635497 635497 0 635497 150359 103794 77621 72738 0 72738 2300 0 2300 0 2300 0 0 5035478 0 977335 X 2869643 2869643 0 0 0 0 0 0 0 0 0 0 0 0 40 0 40 0 0 42528 0 42528 0 703028 174944 219771 308313 19500 1950 9750 7800 86596 43057 43539 17385 0 17385 0 0 0 9349 0 9235 114 0 6239 0 6239 0 0 0 0 0 DUES AND SUBSCRIPTIONS 17342 0 17342 0 DONOR RECOGNITION/CULTIVATION 11752 0 0 11752 FLOWER EXPENSE 1226 0 1226 0 LICENSES AND TAXES 373 0 0 373 3785001 3046537 366573 371891 X 54741 50000 3261716 1031477 167639 874674 0 0 0 0 0 0 0 0 0 0 24018 16099 0 10407185 10679262 3430955 3378508 0 0 0 0 54770 61942 17401024 16091962 122162 61459 1832076 0 2225 0 0 0 0 0 0 0 0 0 0 0 14664 49129 1971127 110588 X 9375051 9110266 2665225 3454392 3389621 3416716 15429897 15981374 17401024 16091962 X 1250477 -689436 -9564 X false true X true false X X X 1 DIGNITY HEALTH (DBA MARIAN REGIONAL MEDICAL CENTER) 941196203 3 true 2869308 908992 1 2869308 908992 true false false false false false false false false false false false false false false true false Part I, Line 11G THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBA MARIAN REGIONAL MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 40 40 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $40. 4044000 26716 84842 215415 3940143 3898268 370732 225000 4044000 3812308 5030 311030 230100 3898268 4613680 1000 -49265 753107 3812308 3972680 641000 4613680 0.87000 0.13000 false false POOLED INVESTMENTS 3378508 F 3378508 0 OTHER LIABILITIES 16071 ANNUITY PAYABLE 33058 49129 X Sch D, PART V, LINE 4 Endowments are used to support hospital building projects and programs and services of Dignity Health, dba Marian Regional Medical Center. 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. 2014 DINNER 254153 103794 150359 0 33098 10441 27999 0 6083 none 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 254153 103794 150359 0 33098 10441 27999 0 6083 77621 72738 true Dignity Health dba Marian Regional Medical Center 1400 E Church Street Santa Maria CA 93454 941196203 501(c)(3) 2869308 335 RESALE VALUE BOOKS Hospital Support 1 0 PART I, LINE 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 (DIGNITY HEALTH DBA MARIAN REGIONAL MEDICAL CENTER), WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION, TRANSFERRING AND MONITORING THAT RESTRICTIONS ARE MET BEFORE RELEASE OF FUNDS AND EXPENDITURE OF SUCH FUNDS. false true false false false false false false false Chuck Cova Service Area President 0 434701 0 368567 0 19388 0 63543 0 32946 0 919145 0 0 Sue Andersen Chief Financial Officer 0 324282 0 124345 0 14153 0 38987 0 21623 0 523390 0 0 Stephanie Grogan Executive Director 0 142633 0 44033 0 2750 0 18842 0 7439 0 215697 0 0 Part I, Line 3 The Organization relied on a related organization, Dignity Health, that used one or more of the methods described in Schedule J, Part I, Line 3, to establish the Organization's top management official's compensation. See Schedule O disclosure for Form 990, Part VI, Section B, Line 15 for additional information. PART I, LINE 4a CERTAIN LISTED PERSONS participate in a severance plan that provides market-standard compensation, ranging from payments of 6 months to 2 years of base compensation, depending on the executive's position, in the event of a position elimination or other involuntary termination, in accordance with the guidelines of the plan. NO PAYMENTS WERE MADE DURING 2014 PURSUANT TO THE PLAN ARRANGEMENT. PART I, LINE 4b CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2014. 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. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2014. CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH KEY EMPLOYEE SHARE OPTION PLAN (KEYSOP), WHICH WAS FROZEN IN MAY 2002. THE KEYSOP PROGRAM WAS ESTABLISHED IN 2001 WITH THE PURPOSE OF PROVIDING INCOME DEFERRAL OPPORTUNITIES TO EMPLOYEES ELIGIBLE FOR THE COMPANY'S KEY EMPLOYEE RETENTION PROGRAM. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2014. 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 ALTHOUGH THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY is designed to assist THE ORGANIZATION in attracting and retaining the caliber of executives required to enable Dignity Health 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 Dignity Health serves, promoting patient and employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Human Resources and Compensation Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and Dignity Health'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. X 2 800 COMPARABLE SALE X 335 Comparable Sale X 641 Comparable Sale X 1 53380 Average market value X 1 230 COMPARABLE SALE X Food and Wine 8 2050 COMPARABLE SALE X Gift Certificates/CARDS 7 952 Comparable sale X 9.5 YARDS READY MIX CONCRETE 1 950 COMPARABLE SALE X Toys 4 530 Comparable sale X Sporting Goods 1 150 COMPARABLE SALE 0 false true false SCH M, PART I, COLUMN B ARTS - WORKS OF ART: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SECURITIES-PUBLICLY TRADED: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. COLLECTIBLES: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FOOD AND WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. GIFT CERTIFICATES/CARDS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. 9.5 YARDS READY MIX CONCRETE: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. SPORTING GOODS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART V, VI AND VII FORM 990, PART V, LINE 2A THE ORGANIZATION DOES NOT HAVE EMPLOYEES. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF THE HOSPITAL AND UTILIZES THE EMPLOYEES OF THAT HOSPITAL. THE PROPORTIONATE SALARIES AND BENEFITS FOR THESE INDIVIDUALS ARE ALLOCATED TO THE FOUNDATION. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED IN THE HOSPITAL ENTITY'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS AS MEMBERS OF THE BOARDS OF DIRECTORS OF JOINT VENTURES HEALTH SERVICES OF THE PACIFIC CENTRAL COAST AND Management Services Organization of Santa Maria, Inc., RESPECTIVELY. SUE ANDERSEN, SISTER PIUS FAHLSTROM, OSF, KEVIN FERGUSON, MD AND CHARLES COVA SUE ANDERSEN, SISTER PIUS FAHLSTROM, OSF AND CHARLES COVA FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE FOUNDATION. 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 11A THE RETURN WAS REVIEWED BY THE ACCOUNTING DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM ENGAGED BY THE ORGANIZATION TO REVIEW THE RETURN. MANAGEMENT PRESENTED THE DRAFT OF THE FORM 990 TO THE FOUNDATION BOARD. THE DRAFT WAS COMPLETE EXCEPT IT EXCLUDED COMPENSATION INFORMATION. THE FINAL DRAFT WAS PROVIDED TO THE BOARD, EXCLUDING COMPENSATION, BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION 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; (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 15 FOR 2014 COMPENSATION, THE SUPPORTED ORGANIZATION'S 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 TOP MANAGEMENT OFFICIAL). 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 employees. The Human Resources and Compensation Committee also engages outside legal counsel as necessary and qualified independent compensation and benefits specialists (independent experts) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparable data is obtained from the independent experts, (e.g., total economic benefits paid by similarly situated organizations, both taxable and tax-exempt, for similar job responsibilities). Key deliberations of the Committee are documented in meeting minutes which are approved at the next Committee meeting and provided to the Board of Directors. The documentation of the deliberations includes (a) the terms of the transaction approved and the date approved, (b) the members of the Committee who were present during discussion of the approved transaction and those who voted on it, and (c) the comparability data obtained and relied upon by the Committee and how the data was obtained. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A ONE OR MORE OF THE INDIVIDUALS WHO PROVIDE SERVICES TO THE ORGANIZATION AS OFFICERS OR DIRECTORS ARE MEMBERS OF A RELIGIOUS CONGREGATION. SINCE ALL SUCH SISTERS ARE SUBJECT TO VOWS OF POVERTY, FAIR MARKET VALUE COMPENSATION FOR THEIR SERVICES IS PAID DIRECTLY OR INDIRECTLY TO THE RELIGIOUS CONGREGATION OF WHICH THEY ARE A MEMBER. THE NON-TAXABLE BENEFITS ARE PAID ON BEHALF OF THE ORDER. THE SUPPORTED ORGANIZATION DOES NOT COMPENSATE BOARD MEMBER JUAN REYNOSO, MD, FOR HIS SERVICES AS A BOARD MEMBER. THE COMPENSATION REPORTED REPRESENT COMPENSATION FOR PHYSICIAN SERVICES FOR THE SUPPORTED ORGANIZATION. FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS; (9,564) FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:658138 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:36959 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL CONSULTING TOTAL FEES:7931 DIGNITY HEALTH dba MARIAN REGIONAL MC 1400 E CHURCH STREET SANTA MARIA CA 93454 941196203 Hospital CA 501(c)(3) 3 na false false true true false false false false false false false true false false false false false false false NONE