2015-05-15T08:29:15-05:00 2014-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2013-07-01 941196203 DIGNITY HEALTH % MARY CONNICK - FINANCE DEPT DIGN 4154385500 185 Berry Street Suite 300 San Francisco CA 94107 MICHAEL BLASZYK CFO 4154385500 2015-05-14 true REGINA L PRINCE P00576936 4154385500 2015-05-14 2013 2016-03-07 17:11:31Z MICHAEL BLASZYK 185 BERRY STREET SAN FRANCISCO CA 94107 10601561326 false X www.dignityhealth.org X 1954 CA Dignity Health is committed to furthering the healing ministry of Jesus through the delivery of affordable health care, advocacy for the poor and community partnerships. 10 9 49928 7775 23479257 990 98811080 8205245150 8053649140 359557441 443310156 58222772 59358653 8623026353 8655129029 162756927 187309516 0 0 4577305554 4592357636 0 0 0 3577679180 3598797109 8317741661 8378464261 305284692 276664768 12569336861 12980966213 7893273428 7599300441 4676063433 5381665772 X OUR MISSION: DIGNITY HEALTH IS COMMITTED TO FURTHERING THE HEALING MINISTRY OF JESUS. WE DEDICATE OUR RESOURCES TO 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. OUR VISION: A VIBRANT, NATIONAL HEALTH CARE SYSTEM KNOWN FOR SERVICE, CHOSEN FOR CLINICAL EXCELLENCE, STANDING IN PARTNERSHIP WITH PATIENTS, EMPLOYEES AND PHYSICIANS TO IMPROVE THE HEALTH OF ALL COMMUNITIES SERVED. OUR VALUES: DIGNITY HEALTH IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE TO THE COMMUNITIES WE SERVE. ABOVE ALL ELSE WE VALUE: DIGNITY - RESPECTING THE INHERENT VALUE AND WORTH OF EACH PERSON. COLLABORATION - WORKING TOGETHER WITH PEOPLE WHO SUPPORT COMMON VALUES AND VISION TO ACHIEVE SHARED GOALS. JUSTICE - ADVOCATING FOR SOCIAL CHANGE AND ACTING IN WAYS THAT PROMOTE RESPECT FOR ALL PERSONS AND DEMONSTRATE COMPASSION F false false 7263992175 187309516 8042137336 Dignity Health is a California nonprofit public benefit corporation headquartered in San Francisco, California. Dignity Health, together with its subsidiary corporations, is one of the largest not-for-profit acute health care delivery systems in the United States as measured by annual revenue. Dignity Health operated 39 hospitals throughout major California markets and in the Phoenix, Arizona and Las Vegas, Nevada metropolitan markets during the year ended June 30, 2014. Dignity health and its subordinate corporations' facilities included approximately 8,500 licensed acute care beds and approximately 700 licensed skilled nursing beds as of June 30, 2014. Dignity health maintains a prominent market share in many of its service areas, and many of its hospitals rank among the finest in the nation. With a significant presence in Greater Sacramento, San Francisco Bay Area, Southern California, Central Coast, Central California, and Northern California, Dignity Health's California operations are well dispersed throughout the state. Dignity Health's hospitals operate emergency rooms that are open to all persons regardless of ability to pay; have governing bodies in which primarily independent persons representative of the community comprise a majority; engage in the training and education of healthcare professionals; and participate in Medicaid, Medicare, Tricare and/or other government-sponsored health care programs. This organization is a public benefit corporation exempt from taxation under Section 501(c)(3) of the internal revenue code. 7263992175 true true true true false false false false false true true true true false true true false true false false true true false false false false true true true true true true true false false false false true false false true true true true false false true true true true false false true X 5087 0 true 49928 true true true true CJ BR DA GR ID IS KS MY PL TH false false false false false false false false X 10 9 true false false false false false true true true false true true true true true true true true true true true true AZ CA X MARY CONNICK - FINANCE DEPT 4154385500 185 BERRY STREET SAN FRANCISCO CA 94107 X Andrew C Agwunobi MD Board Member 3.0 0.0 X 29250 0 Mark DeMichele Board Member 3.0 0.0 X 31500 0 Peter G Hanelt CPA Board Member 3.0 0.0 X 30000 0 0 Julie Hyer OP Board Member 3.0 0.0 X 0 0 Todd Pierce Board Member 3.0 0.0 X 28500 0 Patrick Steele Board Member 3.0 0.0 X 27000 0 Judy Carle RSM Board Vice Chair 3.0 0.0 X X 0 0 Caretha Coleman Board Chairperson 5.0 0.0 X X 38813 0 Tessie Guillermo Board Secretary 3.0 0.0 X X 30750 0 Lloyd H Dean BOARD MEMBER/PRESIDENT/CEO 40.0 0.0 X X 6917391 0 1139989 Michael D Blaszyk SEVP, Chief Financial Officer 40.0 0.0 X 3528848 0 586339 Rick Grossman EVP General Counsel 40.0 0.0 X 837521 0 196925 Diane Lee VP & Associate General Counsel 40.0 0.0 X 533213 0 65861 Marvin O'Quinn SEVP, Chief Operating Officer 40.0 0.0 X 2899983 0 1122219 Elizabeth Shih EVP, Chief Admin Officer 40.0 0.0 X 2632490 0 229389 Steven Barron SVP, Operations So Cal East 40.0 0.0 X 935069 0 103200 Keith Callahan SVP, Supp & Srvcs Resrcs Mgmt 40.0 0.0 X 755923 0 84090 Mary Connick SVP Finance, Corporate Control 40.0 0.0 X 779679 0 91123 Charles P Francis SEVP, CHIEF STRATEGY OFFICER 40.0 0.0 X 1794105 0 262065 Lisa Gamshad Zuckerman VP, Treasury Services 40.0 0.0 X 636645 0 92593 Linda Hunt SVP Operations - Arizona 40.0 0.0 X 1931180 0 125214 Jeffrey W Land VP Corporate Real Estate 40.0 0.0 X 613640 0 88105 Bernita McTernan EVP/SPONSORSHIP/MISSION INTEGR 40.0 0.0 X 1541205 0 159506 Timothy Panks SVP Finance & Rev Cycle Mgmt 40.0 0.0 X 563455 0 68475 Darryl Robinson EVP/ Chief HR Officer 40.0 0.0 X 967972 0 122582 Karl Silberstein SVP Financial Operations 40.0 0.0 X 1159514 0 119206 Michael Taylor SVP OPERATIONS-SAC/SAN JOAQUIN 40.0 0.0 X 1670779 0 131083 LeAnne Trachok SVP, Revenue Services 40.0 0.0 X 792425 0 76553 Karl Ulrich MD Interim SVP Ops Sac-San Joaqui 40.0 0.0 X 725333 0 75419 Glenna L Vaskelis SVP Operations- Bay Area 40.0 0.0 X 894332 0 111109 Robert Wiebe MD EVP CHIEF MEDICAL OFFICER 40.0 0.0 X 1778173 0 906091 Tammara Wilcox SVP, Managed Care 40.0 0.0 X 829171 0 93071 Deanna Wise EVP, Chief Information Officer 40.0 0.0 X 1420873 0 260880 Charles Cova SVP Operations- Central Coast 40.0 0.0 X 892541 0 88072 Laurie Harting SVP Operations- So Cal West 40.0 0.0 X 962085 0 90546 Daniel Roach VP Compliance and Audit 40.0 0.0 X 840252 0 101295 Hillery Trippe VP, Risk Services 40.0 0.0 X 906598 0 33005 Jon VanBoening SVP Operations- Central Valley 40.0 0.0 X 921019 0 110718 Derek F Covert Former Officer 0.0 0.0 X 2175920 0 13598 Rodney A Davis Former Key Employee 40.0 0.0 X 1121662 0 101881 Saliba Salo Former Key Employee 40.0 0.0 X 555407 0 85933 Herbert Vallier Former EVP-Chief HR Officer 0.0 0.0 X 141354 0 9555 45871570 0 6945690 11282 true true false CLARK CONSTRUCTION GROUP 7500 OLD GEORGETOWN RD BETHESDA MD 208146133 CONTRACTORS 20664584 ERNST YOUNG LLP 200 PLAZA DRIVE SECAUCUS NJ 07094 Consulting Services 19906636 OPTUM360 LLC 13625 TECHNOLOGY DR EDEN PRAIRIE MN 55344 Revenue Cycle Svcs 10245150 MANATT PHELPS AND PHILLIPS LLP 11355 W OLYMPIC BLVD LOS ANGELES CA 900641614 Consulting Services 7244849 DELOITTE TOUCHE LLP PO BOX 844708 DALLAS TX 752844708 Consulting Services 7053771 680 X 67555858 22030945 9224277 426875 98811080 PATIENT NET OF CHARITY/BAD DEBT 900099 4823816343 4823816343 MEDICARE/MEDICAID PAYMENTS 900099 3032786663 3032786663 MANAGEMENT SERVICES 541610 88711595 88711595 MEANINGFUL USE INCENTIVES (EHR) 900099 40125716 40125716 MED OFFICE BLDG 621300 11556740 11556740 56652083 45140279 11511804 8053649140 131959156 0 11463667 120495489 283253 283253 209942 209942 3748634 587205 3161429 0 3161429 34873 3126556 2232761482 24151357 1937498386 8346706 295263096 15804651 311067747 311067747 0 0 0 CAFETERIA 900099 21547857 0 21547857 GIFT SHOP 453220 4759870 0 4759870 PARKING LOT 812930 3527946 190404 3337542 26151609 278509 25873100 55987282 8655129029 8042137336 23479257 490701356 X 186312767 186312767 956749 956749 40000 40000 0 43758982 23395267 20363715 249670 249670 3550039064 3209972116 340066948 219456887 198850583 20606304 528223773 486940658 41283115 250629260 230220244 20409016 0 27291529 407297 26884232 8119925 8119925 8059430 7039887 1019543 0 21755838 21755838 936624291 627514153 309110138 0 50725747 3145176 47580571 165009867 122428862 42581005 141249262 86277603 54971659 0 111929232 94577974 17351258 19321048 11278664 8042384 0 11563766 6336491 5227275 190907796 190907796 0 393411391 331065822 62345569 94153071 56660509 37492562 MEDICAL SUPPLIES 1095374539 1095374539 0 0 MEDI-CAL PROVIDER FEE 156638072 156638072 0 0 MEDICAL PRVDR/OUT-OF NTWRK CST 87231053 87231053 0 0 UNRELATED BUSINESS INC TAXES 72493 72493 0 0 79358759 50347400 29011359 8378464261 7263992175 1114472086 0 206418 173627 1503921577 1376748933 15388298 26966126 1196698641 1397726348 200000 550000 0 0 62832410 59425049 148418929 153255364 556300566 381196061 8758793352 4708674851 3843859411 4050118501 2849870482 2768684401 862113445 1268139458 1441654432 1376607252 19622748 15584695 68249504 105790398 12569336861 12980966213 1743550930 1696996132 0 0 26593350 29302261 3658976075 3427625299 0 0 0 0 1202145963 1437005954 0 0 1262007110 1008370795 7893273428 7599300441 X 4513062761 5214735965 129793292 131586303 33207380 35343504 4676063433 5381665772 12569336861 12980966213 X 276664768 206843052 222094519 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25 0 3 0 true true true true false true 19867 false true 6813760 true 267833 false true 957970 8059430 false PART I-B, LINE 4B During the year, Dignity Health paid membership dues to Greater Bakersfield Chamber of Commerce ("the Chamber"). The invoice provided for voluntary contributions to the Chamber's Political Action Committee (PAC). The check request for annual dues inadvertently included an amount for voluntary contributions to the PAC. Dignity Health has policies and procedures in place to avoid such transactions, and once the organization became aware of this situation, immediate action was taken to obtain a refund from the Chamber for the amounts designated for the PAC. A copy of the refund check, dated 5/22/2014, evidencing that $25.00 has been recovered has been attached to Form 4720. This represents the full amount of inadvertent payment made related to voluntary contributions to The Chamber's PAC. PART II-B THE ORGANIZATION PAID FEES TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES, AND PAID COMPENSATION TO STAFF AND MANAGEMENT IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, WHICH INCLUDED MEETING WITH AND CALLING GOVERNMENT OFFICIALS, AND DEVELOPED AND SENT LETTERS. IN ADDITION, THIS ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSES INCLUDE DIRECTING, DEVELOPING, AND AFFECTING PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THE ORGANIZATION PAID ANNUAL DUES TO THESE ASSOCIATIONS, WHICH MAY BE USED FOR LOBBYING PURPOSES AS REFLECTED ON PART II-B, LINE 1I, OTHER ACTIVITIES. 119411098 2115261 12008691 184339 1121080 1050168 131179463 112677658 3857469 9375208 211353 6287884 0 119411098 114824736 5904333 -1307763 216638 6527010 0 112677658 92617477 9388271 14666246 304610 1542648 0 114824736 78739233 12468055 7851317 87952 6353176 0 92617477 0.14000 0.86000 0.00000 true true true 195518852 195518852 4014655420 2017372328 1997283092 61400035 40787693 20612342 3616106779 2573352476 1042754303 871112266 77162354 793949912 4050118501 POOLED INVESTMENTS 1268139458 F 1268139458 INVESTMENT IN UNCONSOLIDATED 158080267 F INVESTMENTS IN HEALTH RELATED 1197762801 F INVESTMENTS IN HEALTH RELATED 20764184 C 1376607252 0 PENSION PAYABLE 688650936 DUE TO RELATED PARTIES 253458332 ASSET RETIREMENT OBLIGATIONS 31401067 OTHER NON-CURRENT LIABILITIES 16012992 DEFERRED COMPENSATION 18847468 1008370795 X SCH D, Part V, Line 4 DIGNITY HEALTH HAS VARIOUS SUPPORTING 501(C)(3) FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THEY OPERATE TO RAISE FUNDS FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF, DIGNITY HEALTH'S HOSPITALS. DIGNITY HEALTH'S INTENDED USE FOR THE FUNDS IS TO INVEST IN EXPANDING ACCESS TO CARE, PURCHASE OR CONSTRUCT STATE-OF-THE-ART EQUIPMENT AND BUILDINGS, AND PROVIDE ADVANCED TRAINING AND EDUCATION TO CAREGIVERS AND PATIENTS. SCHEDULE 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. true Central America and the Caribbean 0 0 Investments N/A 312170 Central America and the Caribbean 0 0 Investments N/A 1915951821 Europe (Including Iceland and Greenland) 0 0 Investments N/A 194732641 Europe (Including Iceland and Greenland) 0 0 Grantmaking N/A 40000 0 0 0 0 2111036632 2111036632 Europe (Including Iceland and Greenland) GENERAL 40000 CHECK 0 N/A N/A 1 0 true false true true true false SCHEDULE F, PART I, LINE 2 THE GRANTS ARE APPROVED BY THE HOSPITAL'S ADMINISTRATION DEPARTMENT OR A DESIGNATED COMMITTEE REVIEWS AND APPROVES GRANTS TO BE AWARDED. THE INTERNATIONAL ORGANIZATIONS MUST BE ALIGNED WITH THE DIGNITY HEALTH MISSION. SCHEDULE F, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL EUROPE (INCLUDING ICELAND AND GREENLAND): ACCRUAL GRANTS: ACCRUAL true true X true X true X 500. true true false true true 97332 156854678 147586 156707092 0.01870 938282 2014893573 1288088735 726804838 0.08680 259303 60925790 20730421 40195369 0.00480 1294917 2232674041 1308966742 923707299 0.11030 636 660165 63382812 7230151 56152661 0.00670 105 37062 72491171 9057686 63433485 0.00760 45 111332 31599888 3881644 27718244 0.00330 10 408 33538270 10379685 23158585 0.00280 231 126566 25854773 783827 25070946 0.00300 1027 935533 226866914 31332993 195533921 0.02340 1027 2230450 2459540955 1340299735 1119241220 0.13370 4 53 2059307 1195163 864144 0.00010 4 49 232669 0 232669 23 2058 1533448 331113 1202335 0.00010 5 4 39795 1344 38451 12 1135 285966 16600 269366 31 3563 111814 0 111814 26 1251 560832 42095 518737 0.00010 5 325 1681515 0 1681515 0.00020 110 8438 6505346 1586315 4919031 0.00050 true 183198410 0 1807946536 2166332224 -358385688 X true true St Joseph's Outpatie Surgery 0.26030 0.00000 0.39960 Desert Ridge Outpati Surgery 0.31320 0.00000 0.12000 Southwest Orthopedic Surgery 0.05960 0.00000 0.88100 Surgery Center of Pe Surgery 0.25360 0.00000 0.21520 Chandler Endoscopy A Surgery 0.25550 0.00000 0.49000 Southwest Lithotrips Litho/Kidney 0.09000 0.00000 0.79000 BNI Management LLC Mgmt services 0.25000 0.00000 0.75000 St Joseph's Cardiolo Mgmt services 0.50000 0.00000 0.50000 Excelsius Surgical L Medical Technology Developmen 0.03110 0.00000 0.48840 San Martin Surgery C Surgery 0.43490 0.00000 0.10230 Parkway Surgery Cent Surgery 0.27140 0.00000 0.41810 San Martin Investors Real Estate (RENT/LEASE) 0.04700 0.00000 0.33150 North State Surgery Surgery 0.31650 0.00000 0.33198 Sacramento Midtown E Surgery 0.20000 0.00000 0.80000 Folsom Sierra Endosc Surgery 0.51000 0.00000 0.38972 Folsom Outpatient Su Surgery 0.30080 0.00000 0.39970 Roseville Surgery Ce Surgery 0.28320 0.00000 0.18310 Grass Valley Outpati Surgery 0.22850 0.00000 0.31594 St Joseph's Surgery Surgery 0.79762 0.00000 0.15238 Stockton Outpatient Surgery 0.25550 0.00000 0.49000 CBCC Outsmarting Can Cancer 0.51000 0.00000 0.49000 Santa Cruz Surgery C Surgery 0.50000 0.00000 0.50000 Santa Cruz Comprehen Imaging 0.50000 0.00000 0.50000 Dominican Breast Cen Imaging 0.50000 0.00000 0.50000 Dominican Magnetic R Imaging 0.80000 0.00000 0.20000 San Francisco Cyberk Cancer 0.39000 0.00000 0.18000 Coastal Surgical Spe Surgery 0.51000 0.00000 0.49000 Templeton Surgery Ce Surgery 0.70450 0.00000 0.29470 Plaza Surgery Center Surgery 0.50800 0.00000 0.49200 Renaissance Imaging Imaging 0.49000 0.00000 0.32350 Inland Endoscopy Cen Surgery 0.25000 0.00000 0.39000 Medical Pavilion at Real Estate (RENT/LEASE) 0.25000 0.00000 0.45250 Radiation Oncology C Cancer 0.50000 0.00000 0.50000 NSC Channel Islands Surgery Center 0.51000 0.00000 0.48600 34 1 St Joseph's Hospital and Medical Ctr 350 W Thomas Road Phoenix AZ 85013 www.dignityhealth.org/stjosephs H-3003 X X X X X 2 Mercy San Juan Medical Center 6501 Coyle Avenue Carmichael CA 95608 www.dignityhealth.org/mercysanjuan 30000063 X X X X 3 Mercy General Hospital 4001 J Street Sacramento CA 95819 www.dignityhealth.org/mercygeneral 30000062 X X X X 4 Mercy Medical Center Redding 2175 Rosaline Avenue Redding CA 96001 redding.mercy.org/ 230000024 X X X X 5 Chandler Regional Hospital 475 South Dobson Road Chandler AZ 85224 www.dignityhealth.org/chandlerregional H-3002 X X X 6 St Joseph's Medical Center of Stockto 1800 N California Street Stockton CA 95204 www.stjosephscares.org/ 30000284 X X X X 7 St Rose Dominican Hospital - Siena 3001 St Rose Parkway Henderson NV 89052 www.dignityhealth.org/las-vegas 2969HOS-21 X X X X 8 Northridge Hospital Medical Center 1830 Roscoe Boulevard Northridge CA 91328 www.dignityhealth.org/northridgehospital 930000114 X X X X 9 Dominican Hospital 1555 Soquel Drive Santa Cruz CA 95065 www.dominicanhospital.org 70000030 X X X 10 Marian Regional Medical Center 1400 E Church Street Santa Maria CA 93454 www.marianmedicalcenter.org/ 50000040 X X X 11 California Hospital Medical Center 1401 South Grand Avenue Los Angeles CA 90015 www.dignityhealth.org/californiahospital 930000024 X X X X 12 St Bernardine Medical Center 2101 N Waterman Avenue San Bernardino CA 92404 www.dignityhealth.org/stbernardinemedica 240000206 X X X 13 Mercy Hospital (Bakersfield) 2215 Truxtun Avenue Bakersfield CA 93301 www.mercybakersfield.org/ 120000184 X X X 14 Mercy Gilbert Medical Center 3555 S Val Vista Drive Gilbert AZ 85297 www.dignityhealth.org/mercygilbert H-3972 X X X 15 Methodist Hospital of Sacramento 7500 Hospital Drive Sacramento CA 95823 www.dignityhealth.org/methodistsacrament 30000064 X X X X 16 Sequoia Hospital 170 Alameda de las Pulgas Redwood City CA 94062 www.sequoiahospital.org/ 220000045 X X X 17 Mercy Medical Center Merced 333 Mercy Avenue Merced CA 95340 www.mercymercedcares.org/ 40000178 X X X X 18 St John's Regional Medical Center 1600 North Rose Avenue Oxnard CA 93030 www.stjohnshealth.org/ 50000064 X X X 19 St Mary Medical Center - Long Beach 1050 Linden Avenue Long Beach CA 90813 www.dignityhealth.org/stmarymedical 930000012 X X X X 20 St Mary's Medical Center 450 Stanyan Street San Francisco CA 94117 www.stmarysmedicalcenter.org/ 220000071 X X X X 21 Mercy Hospital of Folsom 1650 Creekside Drive Folsom CA 95630 www.dignityhealth.org/mercyfolsom 30000372 X X X 22 Glendale Memorial Hospital and Health 1420 South Central Avenue Glendale CA 91204 www.dignityhealth.org/glendalememorial 930000099 X X X 23 St Rose Dominican Hospital - San Mart 8280 West Warm Springs Road Las Vegas NV 89113 www.dignityhealth.org/las-vegas 4576HOS-6 X X X 24 Woodland Memorial Hospital 1325 Cottonwood Street Woodland CA 95695 www.dignityhealth.org/woodland 30000115 X X X 25 St Rose Dominican Hospital - Rose de 102 E Lake Mead Drive Henderson NV 89015 www.dignityhealth.org/las-vegas 659HOS-20 X X X 26 French Hospital Medical Center 1911 Johnson Avenue San Luis Obispo CA 93401 www.frenchmedicalcenter.org 50000031 X X X 27 St John's Pleasant Valley Hospital 2309 Antonio Avenue Camarillo CA 93010 www.stjohnshealth.org/ 50000048 X X X 28 St Elizabeth Community Hospital 2550 Sister Mary Columba Drive Red Bluff CA 96080 redbluff.mercy.org/ 230000036 X X X 29 Arroyo Grande Community Hospital 345 S Halcyon Road Arroyo Grande CA 93420 www.arroyograndehospital.org/ 50000021 X X X 30 Mercy Medical Center Mt Shasta 914 Pine Street Mt Shasta CA 96067 www.mercymtshasta.org/ 230000015 X X X X 31 Southwest Orthopedic & Spine Hospital 750 North 40th Street Phoenix AZ 85008 OASISHOSPITAL.COM SH5128 X Orthopedic/Spine HOSPITAL 32 St Joseph's Behavioral Health Center 2510 N California Street Stockton CA 95204 www.stjosephscanhelp.org/ 30000367 X 33 Arizona Orthopedic Specialty Hospital 2905 West Warner Road Chandler AZ 85224 AZOSH.COM SH3571 X Orthopedic Hospital 34 St Joseph's Westgate Medical Center 7300 N 99th Avenue Glendale AZ 85305 www.dignityhealth.org/westgate H6522 X X X St Joseph's Hospital and Medical Ctr 1 true X X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy San Juan Medical Center 2 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy General Hospital 3 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Medical Center Redding 4 true X X X X X X X X 11 true false true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Chandler Regional Hospital 5 true X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Joseph's Medical Center of Stockto 6 true X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Rose Dominican Hospital - Siena 7 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Northridge Hospital Medical Center 8 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Dominican Hospital 9 true X X X X X X X X X 12 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Marian Regional Medical Center 10 true X X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false California Hospital Medical Center 11 true X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Bernardine Medical Center 12 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Hospital (Bakersfield) 13 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Gilbert Medical Center 14 true X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Methodist Hospital of Sacramento 15 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Sequoia Hospital 16 true X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Medical Center Merced 17 true X X X X X X X X 12 true false true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St John's Regional Medical Center 18 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Mary Medical Center - Long Beach 19 true X X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Mary's Medical Center 20 true X X X X X X X X 12 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Hospital of Folsom 21 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Glendale Memorial Hospital and Health 22 true X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Rose Dominican Hospital - San Mart 23 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Woodland Memorial Hospital 24 true X X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Rose Dominican Hospital - Rose de 25 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false French Hospital Medical Center 26 true X X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St John's Pleasant Valley Hospital 27 true X X X X X X X X X 13 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false St Elizabeth Community Hospital 28 true X X X X X X X X X 11 true false true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Arroyo Grande Community Hospital 29 true X X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Mercy Medical Center Mt Shasta 30 true X X X X X X X X 11 true false true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Southwest Orthopedic & Spine Hospital 31 true X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X false false true true 200. false true X X X true true X true false X X X X true X false false St Joseph's Behavioral Health Center 32 true X X X X X X X X 13 true true true X SEE SECTION C X SEE SECTION C X X X X X X X X false false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false Arizona Orthopedic Specialty Hospital 33 true X X X X X X X X 12 true true true X SEE SECTION C X X X X X X X false false true true 200. true 500. true X X X true true X true false X X X X true X false false St Joseph's Westgate Medical Center 34 false true true 200. true 500. true X X X X X X X true true X X X X X X X true false X X X X true X false false SECTION B, LINE 1 - CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT St Joseph's Westgate Medical Center THE HOSPITAL BEGAN OPERATING EFFECTIVE 5/12/14. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CURRENTLY BEING CONDUCTED IN CONJUNCTION WITH ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER AS THE TWO HOSPITALS SERVE THE SAME SERVICE AREA. SECTION B, LINE 3- COMMUNITY SERVED BY NEEDS ASSESSMENT St Joseph's Hospital and Medical Center IN JUNE 2012, THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES COMPLETED A COMPREHENSIVE CHNA FOR MARICOPA COUNTY. THIS COLLABORATIVE EFFORT WAS THE CULMINATION OF AN 18-MONTH PROCESS THAT INVOLVED A WIDE VARIETY OF LOCAL PUBLIC HEALTH AGENCIES, HOSPITALS, COMMUNITY HEALTH CENTERS, EDUCATIONAL AND SOCIAL SERVICE AGENCIES, COMMUNITY MEMBERS, HEALTH ADVOCATES, AND OTHER STAKEHOLDERS DOCUMENTED IN THE CHNA REPORT. ASSESSMENTS WERE CONDUCTED USING A VARIETY OF METHODS FROM HEALTH DATA ANALYSIS TO SURVEYS AND FOCUS GROUPS. FOUR-HUNDRED TWENTY-NINE SURVEYS WERE COMPLETED IN FOUR ETHNIC/RACIAL MINORITY COMMUNITIES INCLUDING: HISPANIC/LATINO, ASIAN PACIFIC ISLANDER, AFRICAN AMERICAN, AND NATIVE AMERICAN; 241 SURVEYS WERE CONDUCTED WITH COMMUNITY PARTNERS/HEALTH PROFESSIONALS; AND 303 SURVEYS WERE CONDUCTED WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH STAFF. MERCY SAN JUAN MEDICAL CENTER MERCY SAN JUAN MEDICAL CENTER COMPLETED ITS MOST RECENT CHNA IN THE SPRING OF 2013, IN PARTNERSHIP WITH THE NONPROFIT RESEARCH ORGANIZATION VALLEY VISION, REGIONAL HEALTH SYSTEMS, PUBLIC HEALTH EXPERTS, SIERRA HEALTH FOUNDATION, AND CALIFORNIA STATE UNIVERSITY, SACRAMENTO. THE PROCESS ENGAGED MULTIPLE COMMUNITY STAKEHOLDERS OVER A NINE-MONTH PERIOD THAT IN ADDITION TO RESIDENTS, INCLUDED SCHOOL DISTRICT OFFICIALS, PHYSICIANS, LEADERS OF COMMUNITY HEALTH, AND SOCIAL SERVICE ORGANIZATIONS, AND THE 70-MEMBER HEALTHY SACRAMENTO COALITION. THE ASSESSMENT USED A MIXED METHODS RESEARCH APPROACH. PRIMARY QUALITATIVE DATA WAS OBTAINED FROM INTERVIEWS WITH HOSPITAL CLINICAL AND COMMUNITY BENEFIT STAFF MEMBERS AND 25 KEY INFORMANTS (AREA HEALTH AND COMMUNITY EXPERTS). FIVE FOCUS GROUPS WERE CONDUCTED WITH AREA RESIDENTS, AND PHONE INTERVIEWS AND WEBSITE ANALYSES WERE CONDUCTED TO ASSESS COMMUNITY HEALTH ASSETS. MERCY GENERAL HOSPITAL MERCY GENERAL HOSPITAL COMPLETED ITS MOST RECENT CHNA IN THE SPRING OF 2013, IN PARTNERSHIP WITH THE NONPROFIT RESEARCH ORGANIZATION VALLEY VISION, REGIONAL HEALTH SYSTEMS, PUBLIC HEALTH EXPERTS, SIERRA HEALTH FOUNDATION, AND CALIFORNIA STATE UNIVERSITY, SACRAMENTO. THE PROCESS ENGAGED MULTIPLE COMMUNITY STAKEHOLDERS OVER A NINE-MONTH PERIOD THAT IN ADDITION TO RESIDENTS, INCLUDED SCHOOL DISTRICT OFFICIALS, PHYSICIANS, LEADERS OF COMMUNITY HEALTH, AND SOCIAL SERVICE ORGANIZATIONS, AND THE 70-MEMBER HEALTHY SACRAMENTO COALITION. THE ASSESSMENT USED A MIXED METHODS RESEARCH APPROACH. PRIMARY QUALITATIVE DATA WAS OBTAINED FROM INTERVIEWS WITH HOSPITAL CLINICAL AND COMMUNITY BENEFIT STAFF MEMBERS AND 37 KEY INFORMANTS (AREA HEALTH AND COMMUNITY EXPERTS). TEN FOCUS GROUPS WERE CONDUCTED WITH AREA RESIDENTS, AND PHONE INTERVIEWS AND WEBSITE ANALYSES WERE CONDUCTED TO ASSESS COMMUNITY HEALTH ASSETS. MERCY MEDICAL CENTER REDDING (MMCR) MMCR CONDUCTED THE 2014 CHNA USING COMMUNITY BENEFIT STAFF TO OVERSEE THE PROCESS. THE CHNA PROCESS INCORPORATED DATA FROM A SURVEY AND ALSO SECONDARY DATA RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA) RELATING TO A WIDE ARRAY OF COMMUNITY HEALTH INDICATORS. PRIMARY SURVEY DATA WAS COLLECTED BY USING BOTH PAPER SURVEYS AND AN IDENTICAL WEB-BASED SURVEY. THE SURVEY INSTRUMENT WAS DEVELOPED BY MMCR AND THE PUBLIC HEALTH DEPARTMENT AND IS SIMILAR TO PREVIOUS SURVEYS USED IN THE REGION. THE SURVEYS COLLECTED INFORMATION ABOUT PERCEIVED HEALTH NEEDS FROM COMMUNITY MEMBERS, STAKEHOLDERS AND PROVIDERS. THE SURVEYS WERE EMAILED TO APPROXIMATELY 1,000 EMAILS THROUGH A DISTRIBUTION LIST THAT THE HOSPITAL USES TO DISSEMINATE HEALTH EDUCATION MATERIALS. THE HOSPITAL DISTRIBUTED SURVEYS TO ZIP CODES WITHIN THE PRIMARY SERVICE AREA, INCLUDING ZIP CODES WITH DISPROPORTIONATE UNMET HEALTH NEEDS. THERE WERE 168 SURVEYS COMPLETED FOR A RETURN RATE OF APPROXIMATELY 16.8%. THE FOLLOWING PARTNERS ASSISTED THE HOSPITAL IN CONDUCTING THE NEEDS ASSESSMENT, INCLUDING THE SURVEY: THE MMCR ADVISORY COUNCIL, COMPRISED OF ACTIVE COMMUNITY MEMBERS REPRESENTING ALL OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA, AND SHASTA COUNTY PUBLIC HEALTH. IN ADDITION TO PROVIDING ASSISTANCE WITH THE SURVEY DESIGN, PUBLIC HEALTH REPRESENTATIVES DISTRIBUTED THE SURVEYS TO THEIR EMPLOYEES AND CLIENTS. CHANDLER REGIONAL MEDICAL CENTER (CRMC) THROUGH THE 2012 NEEDS ASSESSMENT, CRMC AND MERCY GILBERT MEDICAL CENTER CONSULTED WITH ARIZONA STATE UNIVERSITY COMMUNITY HEALTH INFORMATION RESEARCH. THE PRIMARY DATA COLLECTION INCLUDED INTERVIEWS WITH STAFF AND LEADERS OF MORE THAN 20 COMMUNITY SERVICES AGENCIES IN FIVE MUNICIPALITIES, AND TWO FOCUS GROUPS IN COMMUNITY AGENCY LOCATIONS. CRMC PARTNERED WITH ARIZONA STATE UNIVERSITY DOCTORAL STUDENTS AND CHANDLER GILBERT COMMUNITY COLLEGE NURSING STUDENTS TO CONDUCT THE AGENCY INTERVIEWS AND FOCUS GROUPS. GOVERNMENT AGENCY RESOURCES INCLUDED ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM, ARIZONA DEPARTMENT OF HEALTH SERVICES, PUBLIC DATA SOURCES, ARIZONA CANCER REGISTRY, ARIZONA HEALTH STATUS AND VITAL STATISTICS, ARIZONA HEALTH SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM, AND US CENSUS. ST. JOSEPH'S MEDICAL CENTER OF STOCKTON THE HEALTHIER COMMUNITY COALITION, WHICH INCLUDES AREA HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND COMMUNITY PARTNERS, RETAINED VALLEY VISION, INC., TO CONDUCT THE 2012 CHNA. VALLEY VISION ASSEMBLED A TEAM OF EXPERTS FROM MULTIPLE SECTORS TO CONDUCT THE ASSESSMENT, INCLUDING A PUBLIC HEALTH EXPERT AND A GEOGRAPHER, AS WELL AS ADDITIONAL PUBLIC HEALTH PRACTITIONERS AND CONSULTANTS TO COLLECT AND ANALYZE DATA. A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM MORE THAN 180 RESIDENTS OF SAN JOAQUIN COUNTY, EXPERT INTERVIEWS WITH 45 KEY INFORMANTS, AND FOCUS GROUP INTERVIEWS WITH 137 COMMUNITY MEMBERS. MEMBERS OF THE COMMUNITY REPRESENTING DIFFERENT DEMOGRAPHIC GROUPS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS TO UNDERSTAND THE LIVED EXPERIENCE OF THESE COMMUNITY MEMBERS AS IT RELATES TO HEALTH DISPARITIES AND CHRONIC DISEASE. IN ALL, EIGHT FOCUS GROUPS WERE CONDUCTED. CONTENT ANALYSIS WAS PERFORMED ON FOCUS GROUP INTERVIEW NOTES AND/OR TRANSCRIPTS TO IDENTIFY KEY THEMES AND SALIENT HEALTH ISSUES AFFECTING COMMUNITY RESIDENTS. FURTHER INPUT WAS GATHERED AT MEETINGS OF THE HEALTHIER COMMUNITY COALITION AND THE ANNUAL COMMUNITY HEALTH FORUM, HELD IN NOVEMBER 2012. ST. ROSE DOMINICAN HOSPITALS - ROSE DE LIMA, SAN MARTIN AND SIENA THE HEALTHY COMMUNITIES INSTITUTE (HCI) OF BERKELEY, CALIFORNIA, IN PARTNERSHIP WITH ST. ROSE DOMINICAN HOSPITALS, CONDUCTED A CHNA OF CLARK COUNTY, NEVADA IN 2013. BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES WERE USED TO ENSURE AN ACCURATE PROFILE OF THE ST. ROSE SERVICE AREAS. PRIMARY AND SECONDARY DATA FROM A VARIETY OF SOURCES INCLUDES: PAPER AND ELECTRONIC SURVEYS; DATA FROM EXISTING LITERATURE AND DATABASES; AND INFORMATION FROM COMMUNITY STAKEHOLDERS. SEVERAL TOOLS WERE CREATED FOR PRIMARY DATA COLLECTION, AND MANY METHODOLOGIES WERE UTILIZED, INCLUDING: 1) 221 INDIVIDUALS COMPLETED A SURVEY RANKING THE TOP HEALTH ISSUES FOR THEIR FAMILY AND THE COMMUNITY. THE SURVEY PROVIDED THE LIST OF 15 HEALTH ISSUES THAT WERE SELECTED AFTER AN ANALYSIS OF HCI AND PREVENTION QUALITY INDICATOR DATA. A CONVENIENCE SAMPLE OF THOSE UTILIZING ST. ROSE COMMUNITY OUTREACH PROGRAMS COMPLETED THE SURVEYS; 2) MORE THAN 50 KEY COMMUNITY STAKEHOLDERS, INCLUDING REPRESENTATIVES OF THE UNIVERSITY OF NEVADA AT LAS VEGAS DEPARTMENT OF PUBLIC HEALTH, WERE INVITED TO COMPLETE A SURVEY RANKING PRIORITY HEALTH NEEDS IDENTIFYING WAYS ST. ROSE CAN ADDRESS THESE HEALTH ISSUES, AND PROVIDING SUGGESTIONS FOR ENHANCED COLLABORATION WITH PARTNER ORGANIZATIONS. NORTHRIDGE HOSPITAL (NHMC) NHMC, IN COLLABORATION WITH THE VALLEY CARE COMMUNITY CONSORTIUM (VCCC), DEVELOPED NHMC'S 2013 CHNA IN COMPLIANCE WITH FEDERAL REQUIREMENTS. VCCC IS THE HEALTH PLANNING COLLABORATIVE FOR THE SAN FERNANDO AND SANTA CLARITA VALLEYS IN LOS ANGELES COUNTY. DATA WERE SUMMARIZED FROM SECONDARY DATA SOURCES TO DESCRIBE 17 HEALTH ISSUES. TABLES OF DISEASES BY ZIP CODE FOCUSING ON THE HOSPITAL'S PRIMARY SERVICE AREA, USING THE 2012 THOMSON REUTERS DATABOOK, WERE COMPARED WITH AVAILABLE COUNTY, STATE AND NATIONAL DATA (CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, LOS ANGELES DEPARTMENT OF PUBLIC HEALTH, THE CENTERS FOR DISEASE CONTROL, AND HEALTHY PEOPLE 2020) AND ANALYZED. BASED ON THIS ANALYSIS, DISCUSSION TOPICS WERE DEVELOPED TO GATHER PRIMARY DATA THROUGH LOCAL FOCUS GROUPS, COMMUNITY FORUMS, PAPER SURVEYS, AN ONLINE SURVEY AND INTERVIEWS WITH KEY INFORMANTS, INCLUDING PUBLIC HEALTH REPRESENTATIVES. THIS COMMUNITY INPUT WAS OBTAINED FROM ACROSS THE HOSPITAL'S COMMUNITY, WITH A FOCUS ON PERSONS AND AREAS IMPACTED BY HEALTH DISPARITIES. DOMINICAN HOSPITAL THE COMMUNITY ASSESSMENT PROJECT I MERCY MEDICAL CENTER MT. SHASTA MERCY MEDICAL CENTER MT. SHASTA CONDUCTED THE 2014 CHNA USING COMMUNITY BENEFIT STAFF TO OVERSEE THE PROCESS. MERCY MEDICAL CENTER MT. SHASTA TOOK INTO CONSIDERATION AVAILABLE INTERNAL AND EXTERNAL RESOURCES, AND PARTNERED WITH OUTSIDE INDIVIDUALS AND ORGANIZATIONS AS APPROPRIATE THROUGHOUT THE CHNA PROCESS. THE CHNA PROCESS INCORPORATED DATA FROM A SURVEY AND ALSO SECONDARY DATA RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). PRIMARY SURVEY DATA WAS COLLECTED BY USING BOTH PAPER SURVEYS AND AN IDENTICAL WEB-BASED SURVEY. THE SURVEY INSTRUMENT WAS DEVELOPED BY MERCY MEDICAL CENTER MT. SHASTA AND THE PUBLIC HEALTH DEPARTMENT, AND IS SIMILAR TO PREVIOUS SURVEYS USED IN THE REGION. THE SURVEYS COLLECTED INFORMATION ABOUT PERCEIVED HEALTH NEEDS FROM COMMUNITY MEMBERS, STAKEHOLDERS AND PROVIDERS. IN ADDITION TO PROVIDING ASSISTANCE WITH THE SURVEY DESIGN, PUBLIC HEALTH AGENCY REPRESENTATIVES DISTRIBUTED THE SURVEYS TO THEIR EMPLOYEES AND CLIENTS. THE HOSPITAL DISTRIBUTED SURVEYS TO ZIP CODES WITHIN THE PRIMARY SERVICE AREA, INCLUDING ZIP CODES WITH DISPROPORTIONATE UNMET HEALTH NEEDS. THE FOLLOWING PARTNERS ASSISTED THE HOSPITAL IN CONDUCTING THE NEEDS ASSESSMENT, INCLUDING THE SURVEY: THE MERCY MEDICAL CENTER MT.SHASTA COMMUNITY ADVISORY COUNCIL COMPRISED OF ACTIVE COMMUNITY MEMBERS REPRESENTING ALL OF THE COMMUNITIES IN OUR PRIMARY SERVICE AREA; SISKIYOU COUNTY RURAL HEALTH CLINICS; AND SISKIYOU COUNTY COMMUNITY RESOURCE CENTERS. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL THE HOSPITAL UTILIZED INFORMATION COMPILED IN A 2012 COUNTYWIDE CHNA BY THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES. THIS COLLABORATIVE EFFORT WAS THE CULMINATION OF AN 18-MONTH PROCESS THAT INVOLVED A WIDE VARIETY OF LOCAL PUBLIC HEALTH AGENCIES, HOSPITALS, COMMUNITY HEALTH CENTERS, EDUCATIONAL AND SOCIAL SERVICE AGENCIES, COMMUNITY MEMBERS, HEALTH ADVOCATES, AND OTHER STAKEHOLDERS DOCUMENTED IN THE CHNA REPORT. ASSESSMENTS WERE CONDUCTED USING A VARIETY OF METHODS FROM HEALTH DATA ANALYSIS TO SURVEYS AND FOCUS GROUPS. FOUR-HUNDRED TWENTY-NINE SURVEYS WERE COMPLETED IN FOUR ETHNIC/RACIAL MINORITY COMMUNITIES INCLUDING: HISPANIC/LATINO, ASIAN PACIFIC ISLANDER, AFRICAN AMERICAN, AND NATIVE AMERICAN; 241 SURVEYS WERE CONDUCTED WITH COMMUNITY PARTNERS/HEALTH PROFESSIONALS; AND 303 SURVEYS WERE CONDUCTED WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH STAFF. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER THE HEALTHIER COMMUNITY COALITION, WHICH INCLUDES AREA HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND COMMUNITY PARTNERS RETAINED VALLEY VISION, INC. TO CONDUCT THE 2012 CHNA. VALLEY VISION ASSEMBLED A TEAM OF EXPERTS FROM MULTIPLE SECTORS TO CONDUCT THE ASSESSMENT, INCLUDING A PUBLIC HEALTH EXPERT AND A GEOGRAPHER, AS WELL AS ADDITIONAL PUBLIC HEALTH PRACTITIONERS AND CONSULTANTS TO COLLECT AND ANALYZE DATA. A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH WAS USED TO CONDUCT THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA. PRIMARY DATA COLLECTION INCLUDED INPUT FROM MORE THAN 180 RESIDENTS OF SAN JOAQUIN COUNTY, EXPERT INTERVIEWS WITH 45 KEY INFORMANTS, AND FOCUS GROUP INTERVIEWS WITH 137 COMMUNITY MEMBERS. MEMBERS OF THE COMMUNITY REPRESENTING DIFFERENT DEMOGRAPHIC GROUPS WERE RECRUITED TO PARTICIPATE IN THE FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS TO UNDERSTAND THE LIVED EXPERIENCE OF THESE COMMUNITY MEMBERS AS IT RELATES TO HEALTH DISPARITIES AND CHRONIC DISEASE. IN ALL, EIGHT FOCUS GROUPS WERE CONDUCTED. CONTENT ANALYSIS WAS PERFORMED ON FOCUS GROUP INTERVIEW NOTES AND/OR TRANSCRIPTS TO IDENTIFY KEY THEMES AND SALIENT HEALTH ISSUES AFFECTING COMMUNITY RESIDENTS. FURTHER INPUT WAS GATHERED AT MEETINGS OF THE HEALTHIER COMMUNITY COALITION AND THE ANNUAL COMMUNITY HEALTH FORUM HELD IN NOVEMBER 2012. ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL THE HOSPITAL UTILIZED INFORMATION COMPILED IN A 2012 COUNTYWIDE CHNA BY THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE ARIZONA DEPARTMENT OF HEALTH SERVICES. THIS COLLABORATIVE EFFORT WAS THE CULMINATION OF AN 18-MONTH PROCESS THAT INVOLVED A WIDE VARIETY OF LOCAL PUBLIC HEALTH AGENCIES, HOSPITALS, COMMUNITY HEALTH CENTERS, EDUCATIONAL AND SOCIAL SERVICE AGENCIES, COMMUNITY MEMBERS, HEALTH ADVOCATES, AND OTHER STAKEHOLDERS DOCUMENTED IN THE CHNA REPORT. ASSESSMENTS WERE CONDUCTED USING A VARIETY OF METHODS FROM HEALTH DATA ANALYSIS TO SURVEYS AND FOCUS GROUPS. FOUR-HUNDRED TWENTY-NINE SURVEYS WERE COMPLETED IN FOUR ETHNIC/RACIAL MINORITY COMMUNITIES INCLUDING: HISPANIC/LATINO, ASIAN PACIFIC ISLANDER, AFRICAN AMERICAN, AND NATIVE AMERICAN; 241 SURVEYS WERE CONDUCTED WITH COMMUNITY PARTNERS/HEALTH PROFESSIONALS; AND 303 SURVEYS WERE CONDUCTED WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH STAFF. SECTION B, LINE 4- OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSSESSMENT ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER BANNER HEALTH, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL, AND ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL MERCY SAN JUAN MEDICAL CENTER MERCY HOSPITAL OF FOLSOM, MERCY GENERAL HOSPITAL, METHODIST HOSPITAL OF SACRAMENTO, SIERRA NEVADA MEMORIAL HOSPITAL, WOODLAND MEMORIAL HOSPITAL, UC DAVIS MEDICAL CENTER, KAISER PERMANENTE, SUTTER MEDICAL CENTER MERCY GENERAL HOSPITAL MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, METHODIST HOSPITAL OF SACRAMENTO, SIERRA NEVADA MEMORIAL HOSPITAL, WOODLAND MEMORIAL HOSPITAL, UC DAVIS MEDICAL CENTER, KAISER PERMANENTE, SUTTER MEDICAL CENTER CHANDLER REGIONAL MEDICAL CENTER MERCY GILBERT MEDICAL CENTER ST. JOSEPH'S MEDICAL CENTER OF STOCKTON ST. JOSEPH'S BEHAVIORAL HEALTH, DAMERON HOSPITAL, SUTTER-TRACY HOSPITAL, KAISER STOCKTON AND LODI HEALTH ST. ROSE DOMINICAN HOSPITAL - SIENA CAMPUS ST. ROSE DOMINICAN HOSPITAL SAN MARTIN AND ST. ROSE DOMINICAN HOSPITAL DE LIMA NORTHRIDGE HOSPITAL MEDICAL CENTER ADVANCE HEALTH MEDICAL CENTER, DEL CARMEN MEDICAL CENTER, GLENDALE ADVENTIST MEDICAL CENTER, HENRY MAYO NEWHALL MEMORIAL HOSPITAL, HOLLYWOOD COMMUNITY HOSPITAL OF VAN NUYS, KAISER PERMANENTE WOODLAND HILLS, KAISER PERMANENTE PANORAMA CITY, MISSION COMMUNITY HOSPITAL, PROVIDENCE HEALTH CENTER, SHERMAN OAKS HOSPITAL, AND VALLEY PRESBYTERIAN HOSPITAL DOMINICAN HOSPITAL SUTTER MATERNITY AND SURGERY CENTER, WATSONVILLE COMMUNITY HOSPITAL MARIAN REGIONAL MEDICAL CENTER ARROYO GRANDE COMMUNITY HOSPITAL AND FRENCH HOSPITAL MEDICAL CENTER CALIFORNIA HOSPITAL MEDICAL CENTER GOOD SAMARITAN HOSPITAL AND ST. VINCENT MEDICAL CENTER ST. BERNARDINE MEDICAL CENTER COMMUNITY HOSPITAL SAN BERNARDINO MERCY HOSPITAL BAKERSFIELD DELANO REGIONAL MEDICAL CENTER, BAKERSFIELD MEMORIAL HOSPITAL, KAISER PERMANENTE AND SAN JOAQUIN COMMUNITY HOSPITAL MERCY GILBERT MEDICAL CENTER CHANDLER REGIONAL MEDICAL CENTER METHODIST HOSPITAL OF SACRAMENTO MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, SIERRA NEVADA MEMORIAL HOSPITAL, WOODLAND MEMORIAL HOSPITAL, UC DAVIS MEDICAL CENTER, KAISER PERMANENTE, SUTTER MEDICAL CENTER SEQUOIA HOSPITAL STANFORD HOSPITAL & CLINICS, SETON MEDICAL CENTER, MILLS-PENINSULA HEALTH SERVICES, SAN MATEO MEDICAL CENTER, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD, KAISER PERMANENTE SAN MATEO AREA ST. JOHN'S REGIONAL MEDICAL CENTER ST. JOHN'S PLEASANT VALLEY HOSPITAL ST. MARY MEDICAL CENTER - LONG BEACH LONG BEACH MEMORIAL, MILLER'S CHILDREN'S HOSPITAL, COMMUNITY HOSPITAL OF LONG BEACH, AND LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES IN COLLABORATION WITH KAISER PERMANENTE ST. MARY'S MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER, CHINESE HOSPITAL, KAISER PERMANENTE HOSPITAL, SAINT FRANCIS MEMORIAL HOSPITAL, UCSF MEDICAL CENTER MERCY HOSPITAL OF FOLSOM MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, METHODIST HOSPITAL OF SACRAMENTO, SIERRA NEVADA MEMORIAL HOSPITAL, WOODLAND MEMORIAL HOSPITAL, UC DAVIS MEDICAL CENTER, KAISER PERMANENTE, SUTTER MEDICAL CENTER GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER GLENDALE ADVENTIST MEDICAL CENTER AND USC VERDUGO HILLS HOSPITAL ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS ST. ROSE DOMINICAN HOSPITAL SIENA AND ST. ROSE DOMINICAN HOSPITAL DE LIMA WOODLAND MEMORIAL HOSPITAL MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, METHODIST HOSPITAL OF SACRAMENTO, SIERRA NEVADA MEMORIAL HOSPITAL, UC DAVIS MEDICAL CENTER, KAISER PERMANENTE, SUTTER MEDICAL CENTER ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS ST. ROSE DOMINICAN HOSPITAL SIENA AND ST. ROSE DOMINICAN HOSPITAL SAN MARTIN FRENCH HOSPITAL MEDICAL CENTER ARROYO GRANDE COMMUNITY HOSPITAL AND MARIAN REGIONAL MEDICAL CENTER ST. JOHN'S PLEASANT VALLEY HOSPITAL ST. JOHN'S REGIONAL MEDICAL CENTER ARROYO GRANDE COMMUNITY HOSPITAL FRENCH HOSPITAL MEDICAL CENTER AND MARIAN REGIONAL MEDICAL CENTER SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, BANNER HEALTH, CHANDLER REGIONAL MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, AND ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL ST. JOSEPH'S BEHAVIORAL HEALTH CENTER ST. JOSEPH'S MEDICAL CENTER OF STOCKTON, DAMERON HOSPITAL, SUTTER-TRACY HOSPITAL, KAISER STOCKTON AND LODI HEALTH ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, BANNER HEALTH, CHANDLER REGIONAL MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, AND SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL SECTION B, LINE 5A- AVAILABILITY OF NEEDS ASSESSMENT INDIVIDUAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN SUMMARIES MAY BE ACCESSED AT HTTP://WWW.DIGNITYHEALTH.ORG/CM/CONTENT/PAGES/COMMUNITY-BENEFIT.ASP INDIVIDUAL WEB SITES FOR EACH FACILITY ARE PROVIDED BELOW. ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER http://www.dignityhealth.org/stjosephs/about-us/community-benefit/communit y-benefit-resources MERCY SAN JUAN MEDICAL CENTER http://www.dignityhealth.org/sacramento/about-us/community-benefit/serving -the-community MERCY GENERAL HOSPITAL http://www.dignityhealth.org/sacramento/about-us/community-benefit/serving -the-community MERCY MEDICAL CENTER REDDING http://redding.mercy.org/Who_We_Are/Serving_the_Community/index.htm CHANDLER REGIONAL HOSPITAL http://www.dignityhealth.org/chandlerregional/about-us/community-benefit-a nd-outreach ST. JOSEPH'S MEDICAL CENTER OF STOCKTON http://www.stjosephscares.org/Who_We_Are/Serving_the_Community/index.htm ST. ROSE DOMINICAN HOSPITALS - SIENA CAMPUS http://www.dignityhealth.org/las-vegas/about-us/community-health-needs-ass essment NORTHRIDGE HOSPITAL MEDICAL CENTER http://www.dignityhealth.org/northridgehospital/who-we-are/serving-the-com munity DOMINICAN HOSPITAL http://www.dominicanhospital.org/Who_We_Are/Serving_the_Community/index.ht m MARIAN REGIONAL MEDICAL CENTER http://www.marianmedicalcenter.org/Who_We_Are/Serving_the_Community/index. htm CALIFORNIA HOSPITAL MEDICAL CENTER http://www.dignityhealth.org/californiahospital/who-we-are/community-benef its ST. BERNARDINE MEDICAL CENTER http://www.dignityhealth.org/stbernardinemedical/who-we-are/serving-the-co mmunity MERCY HOSPITAL BAKERSFIELD http://www.mercybakersfield.org/Who_We_Are/Serving_the_Community/index.htm MERCY GILBERT MEDICAL CENTER http://www.dignityhealth.org/mercygilbert/about-us/community-benefit-outre ach METHODIST HOSPITAL OF SACRAMENTO http://www.dignityhealth.org/sacramento/about-us/community-benefit/serving -the-community SEQUOIA HOSPITAL http://www.sequoiahospital.org/Who_We_Are/Serving_the_Community/index.htm MERCY MEDICAL CENTER MERCED http://www.mercymercedcares.org/Who_We_Are/Serving_the_Community/index.htm ST. JOHN'S REGIONAL MEDICAL CENTER http://www.stjohnshealth.org/Who_We_Are/Serving_the_Community/index.htm ST. MARY MEDICAL CENTER - Long Beach http://www.dignityhealth.org/stmarymedical/community-benefits ST. MARY'S MEDICAL CENTER http://www.stmarysmedicalcenter.org/Who_We_Are/Serving_the_Community/index .htm MERCY HOSPITAL OF FOLSOM http://www.dignityhealth.org/sacramento/about-us/community-benefit/serving -the-community GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER http://www.dignityhealth.org/glendalememorial/who-we-are/serving-the-commu nity/community-health-needs-assessment-and-plan ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS http://www.dignityhealth.org/las-vegas/about-us/community-health-needs-ass essment WOODLAND MEMORIAL HOSPITAL http://www.dignityhealth.org/woodland/Community-Benefit ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS http://www.dignityhealth.org/las-vegas/about-us/community-health-needs-ass essment FRENCH HOSPITAL MEDICAL CENTER http://www.frenchmedicalcenter.org/Who_We_Are/Serving_the_Community/index. htm ST. JOHN'S PLEASANT VALLEY HOSPITAL http://www.stjohnshealth.org/Who_We_Are/Serving_the_Community/index.htm ST. ELIZABETH COMMUNITY HOSPITAL http://redbluff.mercy.org/Who_We_Are/Serving_the_Community/DEVCV120839 ARROYO GRANDE COMMUNITY HOSPITAL http://www.arroyograndehospital.org/Who_We_Are/Serving_the_Community/index .htm MERCY MEDICAL CENTER MT. SHASTA http://www.mercymtshasta.org/Who_We_Are/Serving_the_Community/index.htm SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL HTTP://WWW.OASISHOSPITAL.COM/ ST. JOSEPH'S BEHAVIORAL HEALTH CENTER http://www.stjosephscanhelp.org/Who_We_Are/Serving_the_Community/index.htm ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL HTTP://AZOSH.COM/ SECTION B, LINE 5B - OTHER WEBSITES MERCY HOSPITAL SAN JUAN HTTP://WWW.HEALTHYLIVINGMAP.COM MERCY GENERAL HOSPITAL HTTP://WWW.HEALTHYLIVINGMAP.COM ST. JOSEPH'S MEDICAL CENTER OF STOCKTON WWW.HEALTHIERSANJOAQUIN.ORG. DOMINICAN HOSPITAL HTTP://WWW.APPLIEDSURVEYRESEARCH.ORG/PROJECTS_DATABASE/QUALITY-OF-LIFE/SAN TA-CRUZ-COUNTY-COMMUNITY-ASSESSMENT-PROJECT-CAP.HTML MERCY HOSPITAL BAKERSFIELD HTTP://WWW.HEALTHYKERN.ORG/ METHODIST HOSPITAL OF SACRAMENTO HTTP://WWW.HEALTHYLIVINGMAP.COM SEQUOIA HOSPITAL WWW.HOSPITALCONSORT.ORG HTTP://WWW.PLSINFO.ORG/HEALTHYSMC/PDF/2013_EXECUTIVE_SUMMARY_FINAL.PDF ST. MARY'S MEDICAL CENTER HTTP://WWW.SFHIP.ORG/ MERCY HOSPITAL FOLSOM HTTP://WWW.HEALTHYLIVINGMAP.COM WOODLAND MEMORIAL HOSPITAL HTTP://WWW.HEALTHYLIVINGMAP.COM ST. JOSEPH'S BEHAVIORAL HEALTH CENTER WWW.HEALTHIERSANJOAQUIN.ORG. SECTION B, LINE 7 - NEEDS NOT ADDRESSED IN NEEDS ASSESSMENT ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER WITHIN THE SCOPE OF THE HOSPITAL'S SERVICES, THE PRIORITY NEEDS NOT BEING ADDRESSED ARE THOSE OF CHILDREN'S HEALTH FROM 1 TO 15 YEARS OF AGE. THESE HEALTH ISSUES ARE BEING ADDRESSED IN VARIOUS WAYS BY SEVERAL OTHER HEALTH PROVIDERS IN THE COMMUNITY. IN 2012 THE HOSPITAL JOINED PHOENIX CHILDREN'S HOSPITAL IN HELPING TO ADDRESS THESE NEEDS. MERCY SAN JUAN MEDICAL CENTER THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS DENTAL CARE; OTHER FACILITIES IN THE AREA ARE ALREADY PROVIDING DENTAL CARE. THE HOSPITAL DOES NOT AT THIS TIME HAVE RESOURCES TO ADDRESS THE NEED FOR HEALTHY FOODS. THIS NEED IS ADDRESSED BY ANOTHER HOSPITAL IN THE AREA. MERCY GENERAL HOSPITAL THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS DENTAL CARE; OTHER FACILITIES IN THE AREA ARE ALREADY PROVIDING DENTAL CARE. THE HOSPITAL DOES NOT AT THIS TIME HAVE RESOURCES TO ADDRESS THE NEED FOR HEALTHY FOODS. THIS NEED IS ADDRESSED AT ANOTHER HOSPITAL IN THE AREA. MERCY MEDICAL CENTER REDDING WHILE THE HEALTH NEEDS AND RISKS OF DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT WERE ALSO IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT, THE HOSPITAL HAS LIMITED RESOURCES AND ABILITY TO EFFECT SUSTAINABLE CHANGE. MERCY MEDICAL CENTER REDDING WILL SUPPORT LOCAL NON-PROFIT ORGANIZATIONS THAT ADDRESS THOSE NEEDS THROUGH DONATIONS, SPONSORSHIPS, AND THE COMMUNITY GRANTS PROGRAM, AS APPROPRIATE. CHANDLER REGIONAL MEDICAL CENTER TO ADDRESS NEEDS NOT SPECIFICALLY MET BY CHANDLER REGIONAL MEDICAL CENTER, STRONG AND EFFECTIVE PARTNERSHIPS ENSURE THE COMMUNITY HAS ACCESS TO CARE, REGARDLESS OF THE NEED. SERVICES NOT PROVIDED BY THE HOSPITAL ARE MET BY OTHER HEALTH CARE FACILITIES OR PARTNERS IN THE SERVICE AREA. SERVICES NOT PROVIDED BY CRMC INCLUDE OUTPATIENT CANCER TREATMENT SERVICES, BEHAVIORAL HEALTH, BURN TREATMENT, AND IN-PATIENT PEDIATRICS. ST. JOSEPH'S MEDICAL CENTER OF STOCKTON IDENTIFIED HEALTH NEEDS NOT BEING ADDRESSED DIRECTLY BY THE HOSPITAL INCLUDE: LACK OF OR LIMITED ACCESS TO DENTAL CARE, LIMITED OR NO NUTRITION LITERACY/ACCESS TO HEALTHY, NUTRITIOUS FOODS, FOOD SECURITY, LIMITED TRANSPORTATION OPTIONS, AND A LACK OF SAFE AND AFFORDABLE PLACES TO BE ACTIVE. ALTHOUGH NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION PLAN, THESE NEEDS WILL RECEIVE SECONDARY SUPPORT BY THE HOSPITAL, AS ABLE. THIS MAY INCLUDE SUPPORTING PARTNERS BETTER SUITED TO ADDRESS THESE NEEDS THROUGH THE GRANTS PROGRAM. ST. ROSE HOSPITAL SIENA CAMPUS HEALTH NEEDS NOT BEING ADDRESSED INCLUDE: TOBACCO USAGE, BABIES WITH LOW BIRTHWEIGHT, CERVICAL CANCER SCREENING AND PREVENTION, COLORECTAL CANCER SCREENING AND PREVENTION, COPD MANAGEMENT, FLU AND PNEUMONIA IMMUNIZATIONS, HEALTHY ENVIRONMENTS INCLUDING ACCESS TO FITNESS AND NUTRITION, LACK OF SOCIAL SUPPORT, AND OBESITY. ST. ROSE DOMINICAN HOSPITALS' PROGRAMS MAY TOUCH UPON ASPECTS OF THESE HEALTH ISSUES, ALTHOUGH NOT AS A PRIMARY FOCUS, THROUGH EXISTING PROGRAMS OR PARTNERSHIPS WITH OTHERS IN THE COMMUNITY. NORTHRIDGE HOSPITAL MEDICAL CENTER ONE OF THE NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT NOT BEING ADDRESSED BY NORTHRIDGE HOSPITAL MEDICAL CENTER IS ACCESS TO AFFORDABLE DENTAL HEALTH SERVICES. THE HOSPITAL DOES NOT HAVE THE RESOURCES TO ADDRESS THIS HEALTH ISSUE, BUT THE HOSPITAL DOES MAKE REFERRALS TO APPROPRIATE CARE PROVIDERS. DOMINICAN HOSPITAL DOMINICAN HOSPITAL WILL NOT FOCUS ON ISSUES RELATED TO CATEGORIES THAT INCLUDE SELECT WOMEN'S SERVICES, SUBSTANCE ABUSE AND CHEMICAL DEPENDENCY ISSUES, ORAL/DENTAL CARE,AND END OF LIFE ISSUES. THESE ISSUES ARE EITHER BEYOND THE SCOPE OF HOSPITAL RESOURCES OR ARE ALREADY BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. MARIAN REGIONAL MEDICAL CENTER ORAL HEALTH, CULTURAL AWARENESS AND TRANSPORTATION ARE THREE AREAS IDENTIFIED IN THE NEEDS ASSESSMENT THAT WILL NOT BE DIRECTLY ADDRESSED BY THE HOSPITAL. THE HOSPITAL OFFERS SPACE WITHIN THE FACILITY AND SUPPORT SERVICES FOR SOME ORAL HEALTH NEEDS, BUT THE HEALTH ISSUE IS BEING ADDRESSED BY OTHERS IN THE COMMUNITY. THOUGH THE HOSPITAL DOES NOT HAVE A SPECIFIC FOCUS ON CULTURAL AWARENESS OR TRANSPORTATION, BOTH WILL BE GIVEN CONSIDERATION AS THE OTHER HEALTH PRIORITIES ARE ADDRESSED. CALIFORNIA HOSPITAL MEDICAL CENTER NEEDS IDENTIFIED IN THE CHNA NOT BEING ADDRESSED BY CALIFORNIA HOSPITAL MEDICAL CENTER INCLUDE ALZHEIMER'S DISEASE (LOW INCIDENCE RATE), ALLERGIES (OTHER FACILITIES ASSIST ADOLESCENTS), CANCER (ASSIST INDIVIDUALS TO FIND A MEDICAL HOME FOR PREVENTIVE SERVICES), HIV/AIDS (ADDRESSED BY OTHER RESOURCES IN THE COMMUNITY), AND SEXUALLY TRANSMITTED DISEASES (LA COUNTY DEPT OF PUBLIC HEALTH AND LOCAL PUBLIC HEALTH CLINICS ARE ADDRESSING THIS ISSUE). ST. BERNARDINE MEDICAL CENTER NEEDS IDENTIFIED IN THE CHNA WITH UNFAVORABLE COMPARISONS TO THE GOALS ESTABLISHED BY HEALTHY PEOPLE 2020 THAT ARE NOT ADDRESSED IN THE ESTABLISHED HEALTH PRIORITIES INCLUDE: HIV/AIDS, CANCER SCREENINGS AND PREVENTION PRACTICES (SENIOR PNEUMONIA SHOT, COLORECTAL CANCER SCREENING, PAP SMEAR, AND MAMMOGRAM). WHILE RECOGNIZING THAT THESE ARE VALID HEALTH CONCERNS, WITH LIMITED RESOURCES THE COMMITTEE PRIORITIZED HEALTH ISSUES THAT IMPACT HOSPITAL ADMISSIONS, RECOGNIZING THAT THERE ARE EXISTING COMMUNITY RESOURCES IN PLACE THAT HAVE THE COMPETENCIES AND CAPACITY TO ADDRESS THESE OTHER ISSUES. MERCY HOSPITAL BAKERSFIELD LOW BIRTHWEIGHT AND INFANT MORTALITY ARE NOT BEING ADDRESSED BY THE HOSPITAL. THESE ISSUES ARE BEING ADDRESSED BY OTHER ENTITIES AND ORGANIZATIONS IN THE COMMUNITY. MERCY GILBERT MEDICAL CENTER TO ADDRESS NEEDS NOT SPECIFICALLY MET BY MERCY GILBERT MEDICAL CENTER, STRONG AND EFFECTIVE PARTNERSHIPS ENSURE THE COMMUNITY HAS ACCESS TO CARE, REGARDLESS OF THE NEED. SERVICES NOT PROVIDED BY THE HOSPITAL ARE MET BY OTHER HEALTH CARE FACILITIES OR PARTNERS IN THE SERVICE AREA. SERVICES NOT PROVIDED BY MERCY GILBERT MEDICAL CENTER INCLUDE OUTPATIENT CANCER TREATMENT SERVICES, BEHAVIORAL HEALTH, BURN TREATMENT, AND IN-PATIENT PEDIATRICS. METHODIST HOSPITAL OF SACRAMENTO THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS DENTAL CARE; OTHER FACILITIES IN THE AREA ARE ALREADY PROVIDING DENTAL CARE. THE HOSPITAL DOES NOT AT THIS TIME HAVE RESOURCES TO ADDRESS THE NEED FOR HEALTHY FOODS. THIS NEED IS ADDRESS BY ANOTHER FACILITY IN THE AREA. SEQUOIA HOSPITAL SEQUOIA HOSPITAL WILL NOT BE DIRECTLY FOCUSING ON MENTAL HEALTH, ORAL HEALTH, VIOLENCE OR STDS/HIV-AIDS ISSUES BECAUSE THEY ARE BEYOND THE SCOPE OF THE HOSPITAL FACILITY AND ARE BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. MERCY MEDICAL CENTER MERCED MERCY MEDICAL CENTER MERCED HAS PROGRAMS AND HEALTH SERVICES TO ADDRESS ALL OF THE TOP ELEVEN IDENTIFIED HEALTH PRIORITIES, EXCEPT FOR THE FOLLOWING FOUR: FAMILY PLANNING, ORAL HEALTH, INJURY AND VIOLENCE PREVENTION, AND VISION. SERVICES ARE BEING PROVIDED IN THE COMMUNITY BY OTHER ENTITIES OR THE HOSPITAL DOES NOT HAVE EXPERTISE IN THESE AREAS. ST. JOHN'S REGIONAL MEDICAL CENTER THE HOSPITAL HAS LIMITED ABILITY TO ADDRESS THE DIFFERENCES IN PROSPERITY/POVERTY AT A PUBLIC POLICY LEVEL, DUE TO A LACK OF A MEANINGFUL AVENUE TO APPROACH THIS ISSUE. NONETHELESS, THE HOSPITAL DOES HAVE REPRESENTATION ON THE GOLD COAST BOARD AND A MONTHLY NETWORKING MEETING IN AN ATTEMPT TO BUILD COHESION AT A HUMAN SERVICES PROVIDER LEVEL. THE CHNA NEED REGARDING "CONTINUING ENVIRONMENTAL DEGRADATION" IS NOT ADDRESSED DUE TO A LACK OF STAFF AND FUNDING; HOWEVER ST. JOHN'S HOSPITAL HAS AN EFFECTIVE IN-HOUSE ECOLOGY PROGRAM WHICH IS INTENDED TO REDUCE THE FACILITY'S OWN ECOLOGICAL FOOTPRINT. ST. MARY MEDICAL CENTER THE HOSPITAL IS NOT DIRECTLY ADDRESSING THE FOLLOWING PRIORITIES: ARTHRITIS, EXERCISE CLASSES, DRUG AND ALCOHOL PROGRAMS, BEFORE AND AFTER SCHOOL PROGRAMS, COUNSELING AND ASSISTED LIVING. THESE ARE EITHER BEYOND THE EXPERTISE OF THE HOSPITAL OR ARE BEING ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS. ST. MARY'S MEDICAL CENTER THE IDENTIFIED NEED TO "ENSURE SAFE AND HEALTHY LIVING ENVIRONMENTS" IS BEYOND THE SCOPE OF THE HOSPITAL'S SERVICES AND RESOURCES, AND IT IS ALREADY BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. MERCY HOSPITAL FOLSOM THE HOSPITAL DOES NOT HAVE THE EXPERTISE TO ADDRESS DENTAL CARE; OTHER FACILITIES IN THE AREA ARE ALREADY PROVIDING DENTAL CARE. THE HOSPITAL DOES NOT AT THIS TIME HAVE RESOURCES TO ADDRESS THE NEED FOR HEALTHY FOODS. THIS NEED IS ADDRESS BY ANOTHER FACILITY IN THE AREA. GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER WILL NOT BE ADDRESSING DISABILITY AND ORAL HEALTH DUE TO LIMITED RESOURCES. FURTHERMORE, GLENDALE HEALTHY KIDS WORKS WITH CHILDREN IN THE COMMUNITY TO PROVIDE ORAL HEALTH EDUCATION AND SERVICES FOR CHILDREN. ST. ROSE HOSPITAL SAN MARTIN CAMPUS HEALTH NEEDS NOT BEING ADDRESSED INCLUDE: TOBACCO USAGE, BABIES WITH LOW BIRTHWEIGHT, CERVICAL CANCER SCREENING AND PREVENTION, COLORECTAL CANCER SCREENING AND PREVENTION, COPD MANAGEMENT, FLU AND PNEUMONIA IMMUNIZATIONS, HEALTHY ENVIRONMENTS INCLUDING ACCESS TO FITNESS AND NUTRITIO SECTION B, LINE 11 - ELIGIBILITY FOR PROVIDING DISCOUNTED CARE CRITERIA DIGNITY HEALTH OPERATES TWO FOR-PROFIT HOSPITALS THROUGH JOINT VENTURE ARRANGEMENTS. THESE HOSPITALS ARE SPECIALTY HOSPITALS THAT PRIMARILY PROVIDE ELECTIVE SURGERY TO PATIENTS. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL PROVIDES A 35% DISCOUNT TO ALL SELF-PAY PATIENTS. SECTION B, LINE 14G - OTHER WAYS HOSPITAL PUBLICIZED FINANCIAL ASSISTANCE ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS, A COPY OF THE CHARITY CARE 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, AND THE FACILITY'S WEBPAGE ADDRESS WHERE ADDITIONAL INFORMATION AND APPLICATIONS CAN BE ACCESSED. SECTION B, LINE 20D - MEANS USED TO DETERMINE AMOUNTS BILLED FOR ALL HOSPITALS THAT MARKED BOX 20D PATIENTS WHO ARE APPLYING FOR DISCOUNTS UNDER THE DISCOUNT PROVISION POLICY 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. PATIENTS WHOSE INCOME IS ABOVE 350% BUT NOT MORE THAN 500% OF THE FPL ARE ELIGIBLE TO RECEIVE SERVICES AT 135% OF THE HIGHEST AVERAGE PAYMENT RATE THE HOSPITAL WOULD RECEIVE FOR PROVIDING SERVICES TO PATIENTS COVERED BY MEDICARE, MEDICAID, OR ANY OTHER GOVERNMENT-SPONSORED HEALTH ROGRAM OF HEALTH BENEFITS IN WHICH THE HOSPITAL PARTICIPATES. 89 Folsom Outpatient Surgery Center (USPI) 1651 Creekside Drive Folsom CA 95630 Surgery Center NICU Operating CO of Santa Cruz LLC 1555 Soquel Drive Santa Cruz CA 95065 Neonatal Healthcare USP Surgery Center - Parkway 100 N Green Valley Pkwy 125 Henderson NV 89074 Surgery Center St Joseph's Outpatient Surgery Center 240 West thomas Road Phoenix AZ 85013 Surgery Center St Joseph's Surgery Center LP (USPI) 1800 N California Street Ste 1 Stockton CA 95204 Surgery Center DH Nevada Imaging Center Siena 861 Coronada Center Drive 101 Henderson NV 89052 Imaging Center USP Surgery Center - Durango 8530 W Sunset Road Las Vegas NV 89113 Surgery Center Folsom Sierra Endoscopy Center 1600 Creekside Drive Folsom CA 95630 Endoscopy Center Simon Med - Greenfield 1425 S Greenfield Suite 114 Mesa AZ 85206 Imaging Center Court Street Surgery Center 2184 Court Street Redding CA 96001 Surgery Center CBCC Outsmarting Cancer LLC 6501 Truxtun Avenue Bakersfield CA 93309 Radiation / Oncology incl Cyberknife Coastal Surgical Specialist Inc 921 Oak Park Boulevard 100B Pismo Beach CA 93449 Surgery Center Mercy Surgery Center 2175 Rosaline Avenue Suite A Redding CA 96001 Surgery Center Simon Med - Thunderbird III & III 5410 W Thunderbird Road 100/105/21 Glendale AZ 85306 Imaging Center DH Nevada Imaging Center Spring Valley 5495 S Rainbow Boulevard 101 103 Las Vegas NV 89118 Imaging Center Simon Med - Dobson III 235 S Dobson Suites 1 and 1870 W Fr Chandler AZ 85224 Imaging Center Simon Med - Mountain View 9201 E Mountain View Road Suite 150 Scottsdale AZ 85258 Imaging Center Simon Med - OPEN MRI & Imaging Phoenix 1331 N 7th Street Suite 150 Phoenix AZ 85006 Imaging Center St John's Regional Imaging Center LLC 1700 N Rose Avenue 110 Oxnard CA 93030 Imaging center Surgery Center of Peoria 13260 North 94th Drive Suite 200 Peoria AZ 85381 Surgery Center Crockett School Family Practice Clinic 4825 E Roosevelt Street Phoenix AZ 85008 Surgery Center Surgery Center of Scottsdale 8962 East Desert Cove Drive Scottsdale AZ 85260 Surgery Center Simon Med - Spectrum 2680 S Val Vista Drive Bldg 7 Suite Gilbert AZ 85295 Imaging Center Warner Park Ambulatory Surgical 604 West Warner Road Bldg A Chandler AZ 85225 Surgery Center Desert Ridge Outpatient Surgery Center 20940 North Tatum Boulevard Suite 1 Phoenix AZ 85050 Surgery Center Simon Med - Avondale 10815 W McDowell Road Suite 102 Avondale AZ 85323 Imaging Center Renaissance Imaging Center at Northridge 18436 Roscoe Boulevard Northridge CA 91328 Imaging Center Roseville USP Surgery Center 1420 E Roseville Parkway No 100 Roseville CA 95661 Surgery Center Huger Mercy Living Center 2345 W Orangewood Phoenix AZ 85021 Assisted Living Facility Plaza Surgery Center 525 E Plaza 100 Santa Maria CA 93454 Surgery Center 21st Century Oncology (Redding) 963 Butte Street Redding CA 96001 Oncology Radiation Oncology Center of Ventura Cou 1700 N Rose Ave 120 OxnardCamarillo CA 93030 Imaging Center Santa Cruz Surgery Center 3003 Paul Sweet Road Santa Cruz CA 95065 Surgery Center NSC Channel Islands LLC 2030 Wankel Way Oxnard CA 93030 Surgery Center St Joseph's Medical Group Maternal Fetal 1727 W Frye Ste 210 Chandler AZ 85224 Multi-specialty clinics Simon Med - Sun City - Peoria 9403 W Thunderbird Road Peoria AZ 95381 Imaging Center Simon Med - Desert Ridge 20830 N Tatum Blvd Suite 190 Phoenix AZ 85050 Imaging Center Simon Med - Baywood 130 S 63rd St Bldg 4 Mesa AZ 85206 Imaging Center Simon Med - Dobson Imaging (PDI) 1111 S Dobson Road Mesa AZ 85202 Imaging Center Simon Med - Daly City 455 Hickey Blvd Suite 200 Daly City CA 94015 Imaging Center Simon Med - Fashion Square 6740 E Camelback Road Suites 100 Scottsdale AZ 85251 Imaging Center Chandler Endoscopy Center 2095 W Pecos Road Suite 1 Chandler AZ 85224 Surgery Center Templeton Surgery Center 1310 Las Tables Rd Suite 104 Templeton CA 93465 Surgery Center Simon Med - Deer Valley 20414 N 27th Avenue Phoenix AZ 85027 Imaging Center Simon Med - Sun City West 13624 W Camino Del Sol Suite 300 Sun City West AZ 85375 Imaging Center Dominican Magnetic Resonance Imaging Cen 1545 Soquel Drive Santa Cruz CA 95065 Imaging Center Simon Med - Queen Creek 36297 N Gantzel Road Suite 101 Queen Creek AZ 85140 Imaging Center Simon Med - Surprise Stadium Village 14823 W Bell Road Suite 110 Surprise AZ 85374 Imaging Center Simon Med - Ahwatukee 15810 S 45th St Suite 110 Phoenix AZ 85048 Imaging Center Simon Med - Palm Valley III (aka Goodye 13657 W McDowell Rd Suites 207 21 Goodyear AZ 85338 Imaging Center Simon Med - San Francisco 325 Sacramento Street San Francisco CA 94104 Imaging Center Simon Med - Prescott Valley 3033 N Windsong Drive Suite 102 Prescott Valley AZ 86314 Imaging Center Woodland Adult Day Health 20 N Cottonwood Street Woodland CA 95695 Health Center Stockton Outpatient Surgery Center LLC 2388 N California Street Stockton CA 95204 Surgery Center Sacramento Midtown Endoscopy 3941 J Street Sacramento CA 95819 Surgery Center 21st Century Oncology (Mt Shasta) 902 Pine Street Mt Shasta CA 96067 Oncology Simon Med - Redwood City 345 Convention Way Suite D1 Redwood City CA 94063 Imaging Center Simon Med - 19th Avenue 6707 N 19th Ave Suite 108 Phoenix AZ 85015 Imaging Center St Joseph's Medical Group Peoria North C 7727 W Deer Valley Road Peoria AZ 85382 Multi-specialty clinics Simon Med - Chandler Imaging (PDI) 725 S Dobson Road Suite 105 Chandler AZ 85224 Imaging Center Dominican Breast Center 1661 Soquel Drive Bldg G Santa Cruz CA 95065 Imaging Center Trinity Care Infusion Services 18440 Roscoe Boulevard Northridge CA 91325 Infusion Center St Joseph's Medical Group Adult Cardiova 1727 W Frye Suite 210 Chandler AZ 85224 Multi-specialty clinics Simon Med - Burlingame 1860 El Camino Real Suite 101 Burlingame CA 94010 Imaging Center Simon Med - Monterey 665 Munras Avenue 109 Monterey CA 93940 Imaging Center Simon Med - Stand Up MRI of Beverly Hill 8370 Wilshire Blvd Suite 110 Beverly Hills CA 90211 Imaging Center Simon Med - Superstition Imaging (PDI) 875 N Greenfield Road Suite 107 Gilbert AZ 85234 Imaging Center Metro Surgery Center LP 3131 W Peoria Avenue Phoenix AZ 95381 Surgery Center Simon Med - San Francisco - MRI 50 Francisco Street Suite 105 San Francisco CA 94133 Imaging Center Simon Med - San Rafael 4144 Redwood Highway Suite B San Rafael CA 94903 Imaging Center Simon Med - Los Gatos 14651 S Bascom Los Gatos CA 95032 Imaging Center Santa Cruz Comprehensive Imaging LLC 1685 Commercial Way Santa Cruz CA 95065 Imaging Center Southwest Lithotripsy 100 W Third Ave Suite 350 Columbus OH 43201 Lithotripsy Simon Med - Mesa Drive 456 N Mesa Drive Mesa AZ 85201 Imaging Center Simon Med - Orange Grove LLC 1845 W Orange Grove Rd Bldg 5 Suite Tucson AZ 85704 Imaging Center Dignity Health Medical Group Nevada LLC 10001 S Eastern Ave Suite 203 Henderson NV 89052 Multi-specialty clinics The Barbara Greenspun Women's Care Cente 100 N Green Valley Pkwy Suite 330 Henderson NV 89074 Health Center Simon Med - Academy (LLC) 310 N Wilmot Rd - 302 303 304 Tucson AZ 85711 Imaging Center Dignity Health Medical Group Nevada LLC 7190 S Cimarron Road Las Vegas NV 89052 Multi-specialty clinics Dignity Health Medical Group Nevada LLC 8689 W Charleston Blvd Suite 105 Las Vegas NV 89117 Multi-specialty clinics Simon Med - Mountain View 105 South Drive Ste 100/110 Mountain View CA 94040 Imaging Center Simon Med - Thompson Peak 7304 E Deer Valley Road Bldg E Scottsdale AZ 85255 Imaging Center Dignity Health Medical Group Nevada LLC 10001 S Eastern Avenue Suite 209 Henderson NV 89052 Multi-specialty clinics Simon Med - McCormick Ranch 8630 E Via De Ventura St 208 Scottsdale AZ 85258 Imaging Center Northern Arizona Congenital Heart Center 1330 Rim Drive Ste A Flagstaff AZ 86001 Congenital Heart Center Redding Surgery Center 2439 Sonoma Redding CA 96001 Surgery Center CHWUSP Oxnard Surgery Centers LLC 1700 N ROSE AVENUE STE 100 Oxnard CA 93030 Surgery Center Radiation Oncology Center of Ventura Cou 5301 Mission Oaks Boulevard Suite A Camarillo CA 93012 Surgery Center Simon Med - Fiesta 1457 W Southern Ave Suite 26 Mesa AZ 85202 Imaging Center PART I, LINES 6A & 6B - COMMUNITY BENEFIT EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, PREPARES A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING DEPARTMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY HEALTH INCLUDES A CONSOLIDATED COMMUNITY BENEFIT REPORT IN ITS ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES(SEE PART VI, LINE 6). DIGNITY HEALTH'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEB SITE. SUMMARIES OF THE INDIVIDUAL HOSPITALS' REPORTS ARE POSTED ONLINE AND FULL REPORTS ARE AVAILABLE BY REQUEST. Part I, Line 7 - FINANCIAL ASSISTANCE & CERTAIN OTHER COMMUNITY BENEFITS A COSTING METHODOLOGY IS USED TO CALCULATE FINANCIAL ASSISTANCE FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE. DIGNITY HEALTH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO PATIENTS. 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 EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF THE INSTRUCTIONS FOR FORM 990, 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 AGGREGATED FOR EACH PATIENT BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH SERVICES PROVIDED TO EACH PATIENT. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF PAYMENT ASSISTANCE 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 PAYMENT ASSISTANCE 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. PART I, LINE 7B - MEDICAID INCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $156.6 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY HEALTH IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D), IS $242.4 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS. PART I, LINE 7, COLUMN (F) - BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), WHICH IS NON-PATIENT RELATED BAD DEBT EXPENSE, IS $3,197,895 AND HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F). PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES INCLUDED IN SUBSIDIZED HELATH SERVICES IS $3.7 MILLION OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION. PART I, LINE 7I INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $6.6 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"). CHFT WAS ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. Part II - COMMUNITY BUILDING ACTIVITIES DIGNITY HEALTH'S EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED GO BEYOND PROVIDING HEALTH SERVICES. DIGNITY HEALTH'S ACTIVITIES SUPPORT COMMUNITIES BY OFFERING THE EXPERTISE AND SERVICES OF THE ORGANIZATION. DIGNITY HEALTH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL AND ECONOMIC BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. THROUGH THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM, LOW INTEREST LOANS AND LINES OF CREDIT ARE PROVIDED TO NON-PROFITS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING AFFORDABLE HOUSING AND SOCIAL SERVICES VITAL TO A COMMUNITY'S HEALTH. THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM HAS PROVIDED LOANS TOTALING $143 MILLION SINCE ITS INCEPTION IN 1990. THE INVESTMENT IMPACTS HAVE INCLUDED: HOUSING - NEARLY 500 RENTALS AND HOMES HAVE BEEN CONSTRUCTED OR IMPROVED IN CALIFORNIA, AND 180 UNITS OF AFFORDABLE SENIOR RENTAL AND ASSISTED LIVING UNITS HAVE BEEN DEVELOPED IN NEVADA; COMMUNITY DEVELOPMENT - ACCESS TO SHELTERS SERVING HOMELESS INDIVIDUALS DISCHARGED FROM HOSPITAL EMERGENCY ROOMS HAVE BEEN PROVIDED IN CENTRAL LOS ANGELES AND PHOENIX; COMMUNITY CLINICS - EXPANSION OF TWO HEALTH CENTERS IN SANTA CRUZ HAS BEEN PROVIDED AS WELL AS FINANCING ASSISTANCE OF AN INNOVATIVE TRANSIT ORIENTED DEVELOPMENT PROJECT IN THE WATTS DISTRICT OF SOUTH LOS ANGELES, REFURBISHING A 140-UNIT RENTAL COMPLEX THAT WILL HAVE A NEW FEDERALLY QUALIFIED HEALTH CLINIC ON THE PREMISES; FRESH FOODS - THE FRESHWORKS FUND INVESTED OVER $31 MILLION IN 11 HEALTHY FOOD PROJECTS AND CREATED NEARLY 400 NEW JOBS; MICROLENDING - FINANCED 55 SMALL BUSINESSES IN ARIZONA, NEVADA AND CALIFORNIA; AND INTERMEDIARIES - LOANS WILL LEVERAGE $25 MILLION FOR THE CONSTRUCTION OF AFFORDABLE HOUSING AND COMMUNITY FACILITIES (PRIMARY HEALTH CLINICS) FOR THE ELDERLY AND DISABLED. OFTEN THE LARGEST EMPLOYERS IN THEIR COMMUNITIES, DIGNITY HEALTH HOSPITALS PARTICIPATE IN ECONOMIC DEVELOPMENT COUNCILS AND LOCAL CHAMBERS OF COMMERCE. GRANTS ARE OFFERED TO COMMUNITY ORGANIZATIONS FOR THE PURPOSE OF ECONOMIC DEVELOPMENT OR TO HELP ENSURE A CONTINUUM OF CARE FOR THE COMMUNITY. YOUTH PROGRAMS FOCUS ON ACTIVITIES TO DETER DELINQUENCY, DEVELOP LEADERSHIP SKILLS, ENHANCE LITERACY AND ACADEMIC SUCCESS, IMPROVE HEALTH, CULTIVATE COMMUNITY RESPONSIBILITY, PROVIDE EDUCATION WITH CULTURAL ENRICHMENT, AND OFFER CAREER EXPLORATION OPPORTUNITIES. DIGNITY HEALTH HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO SERVE AS MEMBERS OF COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY HEALTH ADVOCACY REPRESENTATIVES ARE TIRELESS AS THEY STRIVE TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE AND HUMAN RIGHTS. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE THE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK-FORCE SHORTAGE. MANY DIGNITY HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS AND HOUSING EXAMPLES OF PHYSICAL IMPROVEMENTS AND HOUSING INCLUDE SUBSIDIZING LOW INCOME HOUSING UNITS IN SANTA CRUZ AND PARTNERING WITH "REBUILDING TOGETHER" TO RESTORE HOMES OF LOW INCOME INDIVIDUALS IN THE LAS VEGAS VALLEY. COMMUNITY BUILDING - ECONOMIC DEVELOPMENT ACTIVITIES INCLUDE THE INVOLVEMENT OF THE LEADERSHIP STAFF OF SEVERAL DIGNITY HEALTH FACILITIES PARTICIPATE IN CHAMBERS OF COMMERCE AND VARIOUS CIVIC ORGANIZATIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. COMMUNITY BUILDING - COMMUNITY SUPPORT DIGNITY HEALTH FACILITIES LEAD AND/OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF THE SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ENGAGE AND STRENGTHEN THE COMMUNITIES SERVED. COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS DIGNITY HEATH IS ENGAGED IN ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. THE COMMITMENT OF DIGNITY HEALTH TO IMPROVE AND SUSTAIN THE ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING A PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS TO REDUCE WASTE AT ITS SOURCE AND TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. DIGNITY HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT AND ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, DIGNITY HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO OTHER USERS (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. DIGNITY HEALTH HAS TRANSITIONED TO PRODUCTS THAT ARE FREE OF POLYVINYL CHLORIDE (PVC) AND DI(2-ETHYLHEXYL) PHTHALATE (DEHP) AND HAS ELIMINATED THE USE OF MERCURY. COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT / TRAINING FOR COMMUNITY MEMBERS DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT. COMMUNITY BUILDING - COALITION BUILDING THE DIGNITY HEALTH MISSION STATEMENT SPECIFICALLY CALLS UPON US "TO PARTNER WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE." IN THIS REGARD, DIGNITY HEALTH FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES. COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT STAFF AT DIGNITY HEALTH HOSPITALS ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS. DIGNITY HEALTH ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS A SHAREHOLDER. COMMUNITY BUILDING - WORKFORCE DEVELOPMENT DIGNITY HEALTH IS COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE, AND ACTIVELY ENGAGES IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY HEALTH FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, HAVE PARTNERED WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORKFORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS. Part III - BAD DEBT, MEDICARE, & COLLECTION PRACTICES SECTION A, LINE 2 - BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) 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 PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED. DIGNITY HEALTH 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. DIGNITY HEALTH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, DISCOUNTS FOR THE MEDICALLY INDIGENT, 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 RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 25% FOR PATIENTS SEEN AT CALIFORNIA AND ARIZONA FACILITIES, AND 30% FOR PATIENTS SEEN AT NEVADA FACILITIES. 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. SECTION A, LINE 3 - BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT AS COMMUNITY BENEFIT DIGNITY HEALTH MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR PAYMENT ASSISTANCE UPON ADMISSION. DIGNITY HEALTH'S PAYMENT 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 PAYMENT 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, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. SECTION A, LINE 4 - BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE THE FOLLOWING ARE EXCERPTS FROM DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2014, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR CHARITY AND DOUBTFUL ACCOUNTS: PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. DIGNITY HEALTH REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES AND RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS, A SIGNIFICANT PORTION OF DIGNITY HEALTH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, DIGNITY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. SECTION B, LINE 8 - COMMUNITY BENEFIT AND METHODOLOGY FOR DETERMINING MEDICARE COSTS DIGNITY HEALTH HOSPITALS PREPARE 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. IN HOSPITALS, ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL OF $674.0 MILLION, AS REPORTED BELOW IN PART VI, 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 DIGNITY HEALTH 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 $358.3 MILLION REPORTED ON PART III, SECTION B, LINE 7, FOR FEE FOR SERVICE MEDICARE PATIENTS, THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS. SECTION C, LINE 9B - COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE DIGNITY HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR PAYMENT ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE DIGNITY HEALTH FACILITY OR 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 PAYMENT ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S PATIENT PAYMENT ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY HEALTH 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. DIGNITY HEALTH DOES NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES. 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 EACH HOSPITAL PATIENT PAYMENT ASSISTANCE DEPARTMENT. 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. PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO CHNAS REPORTED IN PART V, SECTION B IN ADDITION TO CONDUCTING CHNAS, DIGNITY HEALTH CONTINUOUSLY ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS. DIGNITY HEALTH GAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH THESE COMMUNITY PARTNERS. DIGNITY HEALTH ALSO USES HEALTH CARE UTILIZATION DATA TO ASSESS THE DEMAND FOR CARE FOR PERSONS PRESENTING WITH AMBULATORY CARE SENSITIVE CONDITIONS THAT EVIDENCE SUGGESTS COULD HAVE BEEN AVOIDED, AT LEAST IN PART, THROUGH MORE PROACTIVE OR MORE ROBUST PRIMARY OUTPATIENT CARE. HOSPITALS, COMMUNITY LEADERS, AND POLICY MAKERS USE SUCH DATA TO IDENTIFY COMMUNITY NEED LEVELS, TARGET RESOURCES, AND TRACK THE IMPACT OF PROGRAMMATIC AND POLICY INTERVENTIONS. DIGNITY HEALTH, IN PARTNERSHIP WITH TRUVEN HEALTH (FORMERLY SOLUCIENT), DEVELOPED A COMMUNITY NEED INDEX (CNI) WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. THE CNI AGGREGATES FIVE SOCIOECONOMIC INDICATORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THESE INCLUDE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX BASED ON THESE DATA IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE ON DIGNITY HEALTH'S WEBSITE: http://www.dignityhealth.org/cm/content/pages/community-investments.asp PART VI, LINE 3 - PATIENT EDUCATION ON ELIGIBILITY FOR FINANCIAL ASSISTANCE COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC FOR DIGNITY HEALTH'S WHOLLY OWNED HOSPITALS: INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND 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 DIGNITY HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS WITH ANNUAL INCOMES LESS THAN $250,000 RECEIVE AN UNINSURED DISCOUNT OF 25% FOR SERVICES PROVIDED IN A CALIFORNIA OR ARIZONA FACILITY, AND 30% FOR SERVICES PROVIDED IN A NEVADA FACILITY, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION. 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, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. UNINSURED PATIENTS RECEIVE COPIES OF THE FINANCIAL ASSISTANCE AND MEDICAID APPLICATIONS 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 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 DIGNITY HEALTH 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 DIGNITY HEALTH 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. PART VI, LINE 4 - COMMUNITY INFORMATION DIGNITY HEALTH DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING IS A SUMMARY OF THE COMMUNITIES SERVED BY DIGNITY HEALTH, INCLUDING THE DEMOGRAPHICS OF EACH COMMUNITY. DIGNITY HEALTH HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERED ITS PRIMARY SERVICE AREA. THIS IS BASED ON A PERCENTAGE OF HOSPITAL DISCHARGES. SECONDARY SERVICE AREAS INCLUDE NEIGHBORING AREAS AND POPULATIONS BEYOND THE PRIMARY SERVICES AREA THAT HAVE UNMET HEALTH NEEDS. ARROYO GRANDE COMMUNITY HOSPITAL SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 105,216 DIVERSITY: CAUCASIAN 69.6%, HISPANIC 23.4%, ASIAN OR PACIFIC ISLANDER (ASIAN/PI) 3.2%, AFRICAN AMERICAN 0.7%, OTHER 3.1% AVERAGE HOUSEHOLD INCOME: $74,766 UNINSURED: 15.3% UNEMPLOYMENT: 8.1% NO HS DIPLOMA: 11.8% RENTERS: 37.1% CNI SCORE: 3.4 MEDICAID PATIENTS: 11.0% OTHER AREA HOSPITALS: 2 CALIFORNIA HOSPITAL MEDICAL CENTER. WHILE THE HOSPITAL IS LOCATED IN SERVICE PLANNING AREA (SPA) 4 OF METRO LOS ANGELES, ITS SERVICE AREA ALSO INCLUDES PARTS OF SPA 6 (SOUTH) AND SPA 8 (SOUTH BAY). CALIFORNIA HOSPITAL MEDICAL CENTER IS LOCATED IN A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND SERVES A MEDICALLY UNDERSERVED POPULATION. POPULATION: 1,571,248 DIVERSITY: CAUCASIAN 5.8%, HISPANIC 65%, ASIAN/PI 7.9%, AFRICAN AMERICAN 19.6%, OTHER 1.7% AVERAGE INCOME: $47,328 UNINSURED: 30.5% UNEMPLOYMENT: 10.9% NO HS DIPLOMA: 40.6% RENTERS: 74.0% CNI SCORE: 5 MEDICAID PATIENTS: 35.0% OTHER AREA HOSPITALS: 6 CHANDLER REGIONAL MEDICAL CENTER'S COMMUNITY IS THIRTY-SIX ZIP CODES IN MARICOPA AND PINAL COUNTIES, ARIZONA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION IN SEVERAL ZIP CODES OF THE SERVICE AREA. POPULATION: 605,394 DIVERSITY: CAUCASIAN 55.7%, HISPANIC 25%, ASIAN/PI 7.3%, AFRICAN AMERICAN 5.5%, OTHER 6.5% AVERAGE INCOME: $79,192 UNINSURED: 6% UNEMPLOYMENT: 5.6% NO HS DIPLOMA: 9.5% RENTERS: 26% CNI: 3.0 MEDICAID: ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM: AHCCCS: 18% OTHER AREA HOSPITALS: 2 IN THE PRIMARY SERVICE AREA, 12 IN THE SECONDARY SERVICE AREA DOMINICAN HOSPITAL. THE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS A RELATIVELY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. POPULATION: 63,440 (CITY OF SANTA CRUZ); 52,508 (CITY OF WATSONVILLE) (JAN 2014) DIVERSITY: CAUCASIAN 58.3%, HISPANIC 33.0%, ASIA/PI 4.4%, AFRICAN AMERICAN 0.8%, TWO OR MORE RACES 3.4%, OTHER 0.1% AVERAGE INCOME: $82,904 UNINSURED: OVERALL 16.2% UNEMPLOYMENT: 9.5% NO HS DIPLOMA: 13% RENTERS: 43% CNI SCORE: 3.5 MEDICAID PATIENTS: 14.7% OTHER AREA HOSPITALS: 2 FRENCH HOSPITAL MEDICAL CENTER IS LOCATED IN CENTRAL SAN LUIS OBISPO COUNTY. ITS PRIMARY SERVICE AREA ENCOMPASSES SAN LUIS OBISPO, ATASCADERO, MORRO BAY, LOS OSOS AND PASO ROBLES, WITH A SECONDARY SERVICE AREA IDENTIFIED AS PISMO BEACH, ARROYO GRANDE, OCEANO, GROVER BEACH AND AVILA BEACH. THE SERVICE AREA OF FRENCH HOSPITAL MEDICAL CENTER HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND AS A MEDICALLY UNDERSERVED POPULATION. POPULATION: 242,493 DIVERSITY: CAUCASIAN 70.5%, HISPANIC 21%, ASIAN 3.4%, AFRICAN AMERICAN 2%, AMERICAN INDIAN/ALASKA NATIVE 0.5%, TWO OR MORE RACES 2.4%, OTHER 0.2% AVERAGE INCOME: $74,235 UNINSURED: 16.1% UNEMPLOYMENT: 5% NO HS DIPLOMA: 11.3% RENTERS: 35.8% CNI SCORE: 3.6 MEDICAID PATIENTS: 11.6% OTHER AREA HOSPITALS: 3 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER'S SERVICE AREA INCLUDES BURBANK, GLENDALE, LA CRESCENTA, LOS ANGELES, NORTH HOLLYWOOD, PANORAMA CITY, SUNLAND, SUN VALLEY, AND TUJUNGA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 1,436,704 DIVERSITY: CAUCASIAN 28.7%, HISPANIC 50.9%, ASIAN/PI 13.0%, AFRICAN AMERICAN 5.3%, AMERICAN INDIAN/ALASKAN NATIVE 0.2%, TWO OR MORE RACES 1.7%, OTHER 0.2% AVERAGE INCOME: $63,363 UNINSURED: 23.3% NO HIGH SCHOOL DIPLOMA: 28.8% RENTERS: 61.7% CNI SCORE: 4.8 MEDICAID PATIENTS: 26.9% OTHER HOSPITALS SERVING THE AREA: 2 MARIAN REGIONAL MEDICAL CENTER IS LOCATED IN NORTHERN SANTA BARBARA COUNTY WITH THE SANTA MARIA VALLEY AS THE LARGEST REGION IN ITS SERVICE AREA. THE LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA INCLUDE THE CITY OF SANTA MARIA AND GUADALUPE WITH THE SECONDARY SERVICE AREA BEING NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. POPULATION: 138,189 DIVERSITY: CAUCASIAN 29.8%, HISPANIC 62.4%, ASIAN/PI 4.4%, AFRICAN AMERICAN 1.2%, OTHER 2.2% AVERAGE INCOME: $68,848 UNINSURED: 15.4% UNEMPLOYMENT: 8% NO HS DIPLOMA: 28.8% RENTERS: 38.6% CNI SCORE: 4.5 MEDICAID PATIENTS: 16.7% OTHER AREA HOSPITALS: 0 MERCY GENERAL HOSPITAL, A TERTIARY CARE FACILITY, SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. THE HOSPITAL'S PRIMARY SERVICE AREA LIES IN THE CENTRAL DOWNTOWN AREA OF SACRAMENTO, AND INCLUDES 40 ZIP CODES. POPULATION: 1,521,777 DIVERSITY: CAUCASIAN 47.26%, HISPANIC 22.90%, AFRICAN AMERICAN 9.20%, ASIAN/PI 15.18%, AMERICAN INDIAN/ALASKA NATIVE .56%, OTHER 4.9% MEDIAN HOUSEHOLD INCOME: $51,214 UNINSURED: 14.1% UNEMPLOYMENT: 10.6% NO HIGH SCHOOL DIPLOMA: 15% RENTERS: 39.3% CNI SCORE: 4.0 MEDICAID PATIENTS: 20.3% OTHER AREA HOSPITALS: 7 MERCY GILBERT MEDICAL CENTER'S COMMUNITY INCLUDES THE URBAN AND SUBURBAN AREAS OF MARICOPA COUNTY, INCLUDING CHANDLER, GILBERT, PHOENIX, TEMPE, AND MESA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 917,973 DIVERSITY: CAUCASIAN 62.9% HISPANIC 23.1%, ASIAN/PI 5.1%, AFRICAN AMERICAN 4.2%, OTHER 4.7% AVERAGE INCOME: $75,835 UNINSURED: 11.9% UNEMPLOYMENT: 5.9% NO HS DIPLOMA: 3.7% RENTERS: 15% CNI SCORE: 2.7 MEDICAID PATIENTS: 95,357 OTHER AREA HOSPITALS: 3 PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREA MERCY HOSPITAL BAKERSFIELD SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD (THE COUNTY SEAT) AND OUTLYING RURAL COMMUNITIES SUCH AS LOST HILLS, TAFT, AND WASCO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. POPULATION: 610,579 DIVERSITY: CAUCASIAN 33.9%, HISPANIC 52.3%, ASIAN/PI 5.1%, AFRICAN AMERICAN 6.0%, OTHER 2.7% AVERAGE HOUSEHOLD INCOME: $61,877 UNINSURED: 22.3% UNEMPLOYMENT: 10.4% NO HS DIPLOMA: 28.4% RENTERS: 37.7% CNI SCORE: 4.8 MEDICAID PATIENTS: 20.9% OTHER AREA HOSPITALS: 9 MERCY HOSPITAL OF FOLSOM'S PRIMARY SERVICE AREA ENCOMPASSES BOTH SUBURBAN AND RURAL AREAS OF SACRAMENTO COUNTY AND EXTENDS INTO EL DORADO COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES MAJOR COMMUNITIES, INCLUDING FOLSOM, RANCHO CORDOVA, SLOUGHHOUSE, EL DORADO HILLS, RESCUE, SHINGLE SPRINGS, PLACERVILLE, ORANGEVALE, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, AND OTHER SURROUNDING NEIGHBORHOODS. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 395,398 DIVERSITY: CAUCASIAN 70.1%, HISPANIC 13.7%, AFRICAN AMERICAN 3.8%, ASIAN 7.8%, AMERICAN INDIAN/ALASKA NATIVE 0.6%, OTHER 4.0% MEDIAN INCOME: $70,532 UNINSURED: 9.36% UNEMPLOYMENT: 6.2% NO HIGH SCHOOL DIPLOMA: 7.9% RENTERS: 29.6% CNI SCORE: 3.0 MEDICAID PATIENTS: 12.1% OTHER AREA HOSPITALS: 1 MERCY MEDICAL CENTER MERCED'S PRIMARY SERVICE AREA IS COMPRISED OF THE COMMUNITIES OF MERCED, ATWATER, WINTON AND LIVINGSTON. MERCED IS A MEDICALLY UNDERSERVED AREA. POPULATION: MERCED COUNTY 255,793 (PROVIDED BY THE 2010 US CENSUS) HOSPITAL SERVICE AREA 155,207 DIVERSITY: CAUCASIAN 31.1%, HISPANIC 52.3%, ASIAN/PI 9.4%, AFRICAN AMERICAN 4.6%, AMERICAN INDIAN/ALASKA NATIVE 0.5%, OTHER 2.1% AVERAGE INCOME: $42,267 UNEMPLOYMENT: SEPTEMBER 2012, 14.5% UNINSURED: 29.82% NO HS DIPLOMA: 30.6% CNI SCORE: 4.8 MEDICAID PATIENTS: 30% OTHER AREA HOSPITALS: 2 MERCY MEDICAL CENTER MT. SHASTA SERVES AN AREA COMPRISED MOSTLY OF ZIP CODES IN SOUTHERN SISKIYOU COUNTY. PORTIONS OF SISKIYOU COUNTY ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THE FOLLOWING DATA REPRESENTS THE PRIMARY SERVICE AREA. POPULATION: 17,168 DIVERSITY: CAUCASIAN 80.2% , HISPANIC 10.2%, ASIAN/PI 2.5%, AFRICAN AMERICAN 2.5%, AMERICAN INDIAN/ALASKA NATIVE 1.2%, TWO OR MORE RACES 3.3%, OTHER 0.1% MEDIAN INCOME: $41,742 UNINSURED: 19.3% UNEMPLOYMENT: 13.0% NO HS DIPLOMA: 8.1% RENTERS: 27.8% CNI MEDIAN SCORE: 3.8 M PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH USE OF SURPLUS FUNDS - AS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, DIGNITY HEALTH REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR DIGNITY HEALTH TO DELIVER ON ITS MISSION, INCLUDING ENSURING THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTHCARE. OPEN MEDICAL STAFF - MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND TO ULTIMATELY MAKE A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES. CREDENTIALS VERIFICATION IS THE DETERMINATION OF WHETHER A PRACTITIONER'S CREDENTIALS ARE AUTHENTIC AND VALID. THE ROLE OF THE BOARD - THE DIGNITY HEALTH BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. DIGNITY HEALTH HOSPITAL COMMUNITY BOARDS AND SUBSIDIARY BOARDS (COMMUNITY BOARDS), WHICH ARE RATIFIED BY THE DIGNITY HEALTH BOARD, ARE RESPONSIBLE FOR ENSURING THE HOSPITALS DEVELOP PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE. IN ADDITION, COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE BROADER HEALTH OF THE COMMUNITY. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARD MAY DESIGNATE A COMMUNITY HEALTH COMMITTEE OF THE BOARD TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD, OR BOARD COMMITTEE, PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS ASSESSMENTS AND DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT PLAN AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS AND THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS. THE COMMUNITY BOARD IS ALSO RESPONSIBLE FOR REVIEW AND APPROVAL OF THE ANNUAL HOSPITAL COMMUNITY BENEFIT PLAN AND REPORT. DIGNITY HEALTH PROVIDES HOSPITAL SERVICES AND CARRIES OUT ITS MISSION AT THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITIES, AS WELL AS COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN SUMMARIES FOR EACH FACILITY, PLEASE VISIT THE DIGNITY HEALTH WEBSITE AT http://www.dignityhealth.org/cm/content/pages/community-health.asp INDIVIDUAL FACILITY COMMUNITY BENEFIT REPORTS AND PLANS ARE ALSO ACCESSIBLE AT http://www.dignityhealth.org/cm/content/pages/community-benefit.asp PART VI, LINE 6 - AFFILIATED HEALTHCARE SYSTEM AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA. 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, 2014, IS AS FOLLOWS. Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 118,274 175,717,000 1.7% Unpaid Costs of Medicaid/Medi-Cal 1,182,999 864,074,000 8.3% Other Means-tested Programs 269,323 51,389,000 0.5% Community Services: Community Health Services 434,278 39,122,000 0.4% Health Professions Education 54 24,000 0.0% Subsidized Health Services 108,604 27,467,000 0.3% Donations 128,428 19,579,000 0.2% Community Building Activities 4,623 1,508,000 0.0% Community Benefit Operations 2,886 6,793,000 0.1% Total Community Services for the poor 678,873 94,493,000 1.0% Total Benefits for the Poor 2,249,469 1,185,673,000 11.5% Benefits for the Broader Community: Community Services: Community Health Services 297,849 13,162,000 0.1% Health Professions Education 37,567 63,515,000 0.6% Subsidized Health Services 3,990 771,000 0.0% Research 408 23,158,000 0.2% Donations 31,034 9,080,000 0.1% Community Building Activities 7,068 3,716,000 0.0% Community Benefit Operations 21 1,110,000 0.0% Total Benefits for the Broader Community 377,937 114,512,000 1.1% Total Community Benefits 2,627,406 1,300,185,000 12.6% Unpaid Costs of Medicare 1,032,864 674,324,000 6.5% Total Community Benefits including Cost of Medicare 3,660,270 1,974,509,000 19.1% true 5 Cities Homeless Coalition PO Box 558 GROVER BEACH CA 93483 270413593 501(c)(3) 12000 0 N/A N/A Community Health About Care Inc PO Box 3278 CHANDLER AZ 852443278 342047687 501(c)(3) 25234 0 N/A N/A Community Health Allan Hancock College 800 S COLLEGE DRIVE SANTA MARIA CA 934546399 521692042 Govt 210000 0 N/A N/A Education support Friends Fore Golf Alliance For Housing & Healing 825 Colorado Boulevard Suite 100 LOS ANGELES CA 90041 954147364 501(c)(3) 15000 0 N/A N/A Community Health Alliance For Pharmaceutical Access Incorporated 237 Town Center West Suite 122 SANTA MARIA CA 93458 203117940 501(c)(3) 82500 0 N/A N/A Community Health Alpha House A Place For New Beginnings PO BOX 712 TAFT CA 93268 770366593 501(c)(3) 7942 0 N/A N/A community Health Al-Shifa Clinic Inc 2034-B Mallory Street SAN BERNARDINO CA 92407 330855769 501(c)(3) 25000 0 N/A N/A Community Health Alzheimer's Disease And Related Disorders Associat 1777-A Capitola Road SANTA CRUZ CA 95062 942897949 501(c)(3) 53500 0 N/A N/A Community Health Alzheimer's Disease And Related Disorders Associat 4221 Wilshire Boulevard Suite 400 LOS ANGELES CA 90010 953718119 501(c)(3) 5254 0 N/A N/A Community Health Alzheimer's Disease Association Of Kern County Inc 5500 Olive Drive Building 1 BAKERSFIELD CA 93308 770017561 501(c)(3) 36560 2200 Book cabinets Community Health American Cancer Society California Division Inc 1165 EAST AVEnue SuiTE 100 CHICO CA 95926 941170350 501(c)(3) 32500 0 N/A N/A Community Health American Cancer Society Great West Division Inc 4550 East Bell Road Suite 126 Phoenix AZ 85032 131788491 501(c)(3) 17750 0 N/A N/A Community Health American Heart Association Inc 100 Montgomery Street Suite 1650 SAN FRANCISCO CA 94104 135613797 501(c)(3) 343339 0 N/A N/A Community Health American Lung Association In California 575 Market Street Suite 2125 SAN FRANCISCO CA 941052870 940362650 501(c)(3) 5254 0 N/A N/A Community Health American Lung Association Of The Southwest Inc 102 W MCDowell Road Phoenix AZ 85003 860111676 501(c)(3) 6040 0 N/A N/A Community Health American National Red Cross PO Box 100805 PASADENA CA 911890805 530196605 501(c)(3) 56085 0 N/A N/A Community Health Archdiocese Of Los Angeles 3424 Wilshire Boulevard LOS ANGELES CA 900102241 951642382 501(c)(3) 23200 0 N/A N/A Community Health Architects Of Peace Foundation 1589 Welford Circle HAYWARD CA 94544 262241256 501(c)(3) 45000 0 N/A N/A Community Health Arizona Bridge To Independent Living 15218 S 45Th Place PHOENIX AZ 85044 860486447 501(c)(3) 40000 0 N/A N/A Community Health Arroyo Grande Community Hospital Foundation 345 S Halcyon Road Arroyo Grande CA 93406 203256066 501(c)(3) 436617 0 N/A N/A Foundation Support Arthritis Foundation Southern California Chapter 4060 CHESTNUT Street RIVERSIDE CA 92501 951885447 501(c)(3) 16000 0 N/A N/A Community Health Ascencia 437 Fernando Court GLENDALE CA 91104 204233822 501(c)(3) 20000 0 N/A N/A Community Health Asian Community Nursing Home 7801 Rush River Drive SACRAMENTO CA 95831 942271380 501(c)(3) 25000 0 N/A N/A Community Health Asian Week Foundation 564 Market Street Suite 320 SAN FRANCISCO CA 94104 201719535 501(c)(3) 9500 0 N/A N/A Community Health Assistance League Of San Bernardino 580 W 6Th Street SAN BERNARDINO CA 92410 956065105 501(c)(3) 18750 0 N/A N/A Community Health Assistance League Of Ventura County 913 E Santa Clara Street VENTURA CA 93001 952100846 501(c)(3) 8000 0 N/A N/A Community Health Association Of California Nurse Leader 2520 Venture Oaks Way Suite 210 SACRAMENTO CA 95833 942910850 501(c)(3) 10000 0 N/A N/A Community Health Training Kits Atwater Police Cadets 750 Bellevue Road ATWATER CA 95301 770451403 501(c)(3) 14284 0 N/A N/A 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N/A Education Support Mercy Beyond Borders 1885 De La Cruz Boulevard Suite 101 SANTA CLARA CA 950503000 260323282 501(c)(3) 25000 0 N/A N/A Community Health Mercy Foundation 3400 Data Drive Rancho Cordova CA 94577 237072762 501(c)(3) 2327328 0 N/A N/A Foundation Support Mercy Foundation Bakersfield DBA FRIENDS OF MERCY PO Box 119 Bakersfield CA 93302 770201321 501(c)(3) 862123 0 N/A N/A Foundation Support Mercy Foundation North 2400 Washington Street Suite 410 Redding CA 96001 943136799 501(c)(3) 901386 0 N/A N/A Foundation Support Mercy Housing California 1100 Duchow Way FOLSOM CA 95630 943081666 501(c)(3) 317850 0 N/A N/A Community Health Mercy Housing Southwest 4802 E Ray Road Suite 23 Pmb256 PHOENIX AZ 85044 470646706 501(c)(3) 200000 0 N/A N/A Community Health Mercy Medical Center Merced Foundation 301 East 13th Street Merced CA 95340 770035928 501(c)(3) 582699 0 N/A N/A Foundation Support Mercy Retirement Care Center 3431 Foothill Boulevard OAKLAND CA 94601 941156579 501(c)(3) 15000 0 N/A N/A Community Health Mission Dolores Academy 3371 16Th Street SAN FRANCISCO CA 84114 202849575 501(c)(3) 10000 0 N/A N/A Community Health Mountain Communities Healthcare Foundation PO Box 3051 WEAVERVILLE CA 96093 270460666 501(c)(3) 12867 0 N/A N/A Community Health Museum Of African Diaspora 685 Mission Street 3Rd Floor SAN FRANCISCO CA 94105 943338239 501(c)(3) 319400 0 N/A N/A Community Health Nami Merced County 827 W 20Th Street MERCED CA 95340 412198536 501(c)(3) 10000 0 N/A N/A Community Health Nami Of San Joaquin County PO Box 448 STOCKTON CA 95201 680050622 501(c)(3) 8000 0 N/A N/A Community Health National Association For The Advancement Of Colore 1215 K Street Suite 1609 SACRAMENTO CA 95814 954617376 501(c)(3) 24000 0 N/A N/A Community Health National Multiple Sclerosis Society 1700 OWENS STreet SuiTE 190 SAN FRANCISCO CA 94158 941294935 501(c)(3) 5936 0 N/A N/A community Health Native American Community Health Center Inc 4520 N Central Avenue Suite 350 PHOENIX AZ 85012 942540194 501(c)(3) 30000 0 N/A N/A Community Health assistant Native American Connections 4520 N Central Avenue Suite 600 PHOENIX AZ 85012 860293585 501(c)(3) 40000 0 N/A N/A Community Health Necessities Bag Sacramento 826 Mission Way Sacramento CA 95819 208852114 501(c)(3) 8500 0 N/A N/A Community Health Needs Center PO Box 933 TAFT CA 93268 651305502 501(c)(3) 25000 0 N/A N/A Community Health Neighbors Who Care Inc 10450 E Riggs Road Suite 113 SUN LAKES AZ 85248 860966061 501(c)(3) 42276 0 N/A N/A Community Health Nichi Bei Foundation PO Box 15693 SAN FRANCISCO CA 94115 943255070 501(c)(3) 20000 0 N/A N/A Community Health Northern California Center For Family Awareness In PO Box 991473 REDDING CA 96003 680363217 501(c)(3) 30000 0 N/A N/A Community Health Northern California Child Development 220 Sycamore Street Suite 200 RED BLUFF CA 96080 941642028 501(c)(3) 22402 0 N/A N/A Community Health Northern Valley Catholic Social Service Inc 2400 Washington Avenue REDDING CA 96001 200984601 501(c)(3) 18220 0 N/A N/A Community Health Northridge Hospital Foundation 18300 Roscoe Boulevard Northridge CA 91328 237444901 501(c)(3) 1071852 0 N/A N/A Foundation Support NV Diabetes Association For Children And Adults 1005 Terminal Way Suite 104 RENO NV 88502 880386000 501(c)(3) 15000 0 N/A N/A Community Health One In Long Beach Inc 2017 E Fourth Street Long Beach CA 90814 953523149 501(c)(3) 10000 0 N/A N/A Community Health Opportunity Village Assoc For Retarded Citizens 6300 West Oakey Boulevard Las Vegas NV 89146 886003567 501(c)(3) 9180 0 N/A N/A Community Health Pacific Trauma Specialists Of Folsom 706 Natoma Street FOLSOM CA 95630 455267300 501(c)(3) 53000 0 N/A N/A Community Health Panetta Institute For Public POLICY 100 Campus Center Bldg 86E Csumb SEASIDE CA 93955 770495799 501(c)(3) 11000 0 N/A N/A Community Health Partners In Care Foundation Inc 15030 Ventura Boulevard Suite 19-81 SHERMAN OAKS CA 91403 953954057 501(c)(3) 9800 0 N/A N/A Community Health Partners In Care Of El Dorado County Inc PO Box 845 PLACERVILLE CA 95667 205016935 501(c)(3) 50000 0 N/A N/A Community Health Pathways Home Health And Hospice 585 N MARY AVEnue SUNNYVALE CA 94085 942823240 501(c)(3) 26000 0 N/A N/A Community Health Pathways LA 3500 W 6Th Street Suite 500 LOS ANGELES CA 90020 953258661 501(c)(3) 18000 0 N/A N/A Community Health Peninsula Family Service 24 Second Avenue SAN MATEO CA 94401 941186169 501(c)(3) 75000 0 N/A N/A Community Health Peninsula Volunteers Inc 800 Middle Avenue MENLO PARK CA 94025 941294939 501(c)(3) 35000 0 N/A N/A Community Health Phoenix Children'S Hospital Foundation 2929 E Camelback Road Suite 122 Phoenix AZ 85016 742421549 501(c)(3) 5850 0 N/A N/A Community Health Phoenix Indian Center 4520 Central Avenue Suite 250 PHOENIX AZ 85012 866006566 501(c)(3) 30000 0 N/A N/A Community Health Children Phoenix Symphony Association One North First street Suite 200 Phoenix AZ 85004 866000134 501(c)(3) 31000 0 N/A N/A Community Health Points Of Light Foundation 465 California Street Suite 425 SAN FRANCISCO CA 94104 650206641 501(c)(3) 25000 0 N/A N/A Community Health President-Board Of Trustees Santa Clara College 500 El Camino Real SANTA CLARA CA 950531400 941156617 501(c)(3) 35000 0 N/A N/A Community Health Project Fit America PO BOX 308 BOYES HOT SPRINGS CA 95416 363730823 501(c)(3) 8900 0 N/A N/A Community Health Puentes 4719 Quail Lakes Drive Suite G STOCKTON CA 95207 270715942 501(c)(3) 48000 0 N/A N/A Community Health Raising Special Kids 5025 E Washington Street Suite 204 PHOENIX AZ 85034 860517082 501(c)(3) 13000 0 N/A N/A Community Health Red Bluff Roundup Rodeo Museum And Historical Soci PO Box 1028 RED BLUFF CA 96080 680333674 501(c)(3) 10750 0 N/A N/A Community Health Redwood City San Mateo County Chamber Of Commerce 1450 Veterans Boulevard Suite 125 Redwood City CA 94063 940337914 501(c)(6) 6325 0 N/A N/A Community Health Rescue Mission Alliance 104 N Hayes Avenue OXNARD CA 93030 237278002 501(c)(3) 12000 0 N/A N/A Community Health Retreat & Refresh Stroke Camp 425 W Giles Lane Peoria AZ 61614 640954851 501(c)(3) 23800 0 N/A N/A Community Health Right Road Recovery Programs 2110 Ferry Street ANDERSON CA 96007 942588754 501(c)(3) 15840 0 N/A N/A Community Health Riverside County Physicians Memorial Foundation 3993 Jurupa Avenue RIVERSIDE CA 92506 956080778 501(c)(3) 13750 0 N/A N/A Community Health Roman Catholic Archbishop Of San Francisco 1 Peter Yorke Way SAN FRANCISCO CA 94109 941156707 501(c)(3) 75000 0 N/A N/A Community Health Roseman University Of Health Sciences 11 Sunset Way Henderson NV 89014 880435559 501(c)(3) 5894 0 N/A N/A Education Support Rotacare Bay Area Inc PO Box 18430 SAN JOSE CA 951588430 770328723 501(c)(3) 21000 0 N/A N/A Community Health Rural Innovations In Social Economics Inc 17313 Fremont Avenue ESPARTO CA 95627 680121168 501(c)(3) 17500 0 N/A N/A Community Health Sacramento Loaves & Fishes 1351 North C Street SACRAMENTO CA 95811 680189897 501(c)(3) 30000 0 N/A N/A Community Health Sacramento Running Association 120 PONDEROSA Court FOLSOM CA 95630 943300121 501(c)(3) 10000 0 N/A N/A Community Health Saint Vincent De Paul Center 300 Baker Street BAKERSFIELD CA 93305 951853364 501(c)(3) 30200 0 N/A N/A Community Health San Bernardino Sexual Assault Services Inc 444 N Arrowhead Avenue Suite 101 SAN BERNARDINO CA 92401 953543081 501(c)(3) 25000 0 N/A N/A Community Health San Carlos Chamber Of Commerce 1500 LAUREL STreet SuiTE B SAN CARLOS CA 940705103 941074734 501(c)(6) 7500 0 N/A N/A Community Health San Francisco African American Historical & Cultur 680 McAllister Street SAN FRANCISCO CA 94102 941721596 501(c)(3) 10000 0 N/A N/A Community Health San Francisco Chamber Of Commerce 235 Montgomery Street 12Th Floor SAN FRANCISCO CA 94104 940834950 501(c)(6) 11582 0 N/A N/A Community Health San Francisco Retina Foundation 1445 BUSH Street SAN FRANCISCO CA 94109 205175062 501(c)(3) 11000 0 N/A N/A Community Health San Francisco Senior Center 890 Beach Street SAN FRANCISCO CA 94109 941212136 501(c)(3) 25000 0 N/A N/A Community Health San Joaquin County Office Of Education Educat Fntd PO Box 213030 STOCKTON CA 952139030 680342748 501(c)(3) 52000 0 N/A N/A Community Health San Joaquin Delta Community College District 5151 PACIFIC AVEnue STOCKTON CA 95207 941044400 Govt 6500 0 N/A N/A Education Support San Luis Obispo County Child Abuse Prevention Coun PO Box 16036 SAN LUIS OBISPO CA 93406 770206822 501(c)(3) 10819 0 N/A N/A Community Health San Luis Obispo Marathon 205 Suburban Road Suite 6 San Luis Obispo CA 93401 272625758 Govt 6300 0 N/A N/A Community Health Santa Barbara County Schools 402 FARNEL RoaD SUITE M Santa Maria CA 93458 956000940 Govt 5400 0 N/A N/A EDUCATION SUPPORT Santa Cruz Women'S Health Center 250 LOCUST Street SANTA CRUZ CA 95060 237428303 501(c)(3) 1500000 0 N/A N/A Community Health Santa Maria Valley Fish Meals On Wheels PO Box 6526 SANTA MARIA CA 93454 952757731 501(c)(3) 9992 0 N/A N/A Community Health Second Harvest Food Bank 800 Ohlone Parkway WATSONVILLE CA 95076 770326685 501(c)(3) 22500 0 N/A N/A Community Health Self Help For The Elderly 407 Sansome Street SAN FRANCISCO CA 941113123 941750717 501(c)(3) 40000 0 N/A N/A Community Health Senior Citizens Legal Services 501 SOQUEL AVEnue SuiTE F SANTA CRUZ CA 95062 942280258 501(c)(3) 27750 0 N/A N/A Community Health Senior Services For Northern California 1525 Post Street SAN FRANCISCO CA 941096567 946615829 501(c)(3) 25000 0 N/A N/A Community Health Senoras Of Excellence Senores Of Distinction 1709 Shadow Mountain Place Las Vegas NV 89108 264252853 501(c)(3) 6750 0 N/A N/A Community Health Sequoia Hospital Foundation 170 Alameda de Las Pulgas Redwood City CA 94062 942909990 501(c)(3) 1681913 0 N/A N/A Foundation Support Serotonin Surge Charities 1955 COWELL Boulevard DAVIS CA 95616 680411254 501(c)(3) 35000 0 N/A N/A Community Health Servants Of Mary Ministers To The Sick 140 North G Street OXNARD CA 93030 956054374 501(c)(3) 12000 0 N/A N/A Community Health Service First Of Northern Ca 102 W Bianchi Road STOCKTON CA 95207 680367046 501(c)(3) 15000 0 N/A N/A Community Health SF General Hospital Foundation 2789 25th Street SAN FRANCISCO CA 94110 943189424 501(c)(3) 2500000 0 N/A N/A Community Health SF SB Committee Inc 555 Mission Street Suite 3000 SAN FRANCISCO CA 94105 461177365 501(c)(6) 37500 0 N/A N/A Community Health Shanti Project Inc 730 Polk Street SAN FRANCISCO CA 941097813 942297147 501(c)(3) 25000 0 N/A N/A Community Health Shasta Community Health Center 1035 Placer Street REDDING CA 96001 680165855 501(c)(3) 50000 0 N/A N/A Community Health Shasta County Health And Human Services Agency 1855 PLACER STreet SUITE 201 REDDING CA 96001 946000535 Govt 20000 0 N/A N/A Community Health Shasta County Young Mens Christian Association 1155 COURT Street REDDING CA 96001 941212141 501(c)(3) 10000 0 N/A N/A Community Health Shasta Senior Nutrition Program 100 Mercy Oaks Drive Redding CA 96003 942650429 501(c)(3) 331760 0 N/A N/A Community Health Shasta Women'S Refuge 2880-A Benton Drive REDDING CA 96003 942663045 501(c)(3) 35000 0 N/A N/A Community Health Sierra Foothills Aids Foundation 12183 Locksley Lane Suite 208 AUBURN CA 95602 680179770 501(c)(3) 20000 0 N/A N/A Community Health related Sisters Of Mercy Of The Americas West Midwest Comm 360 Hamilton Suite 2 SAN FRANCISCO CA 94134 262400800 501(c)(3) 40000 0 N/A N/A Community Health Sisters Of St Dominic Congregation Of The Most Hol 1520 Grand Avenue SAN RAFAEL CA 949012236 946080138 501(c)(3) 25000 0 N/A N/A Community Health Sisters Of St Francis - Mt Alvernomarian Residence 124 S College Drive SANTA MARIA CA 94064 204019358 501(c)(3) 25000 0 N/A N/A Community Health SLO Noor Foundation 1428 Phillips Lane Suite B4 SAN LUIS OBISPO CA 93401 271412176 501(c)(3) 22000 0 N/A N/A Community Health Social Advocates For Youth Santa Maria Valley Yout 105 N Lincoln SANTA MARIA CA 93458 953144808 501(c)(3) 15000 0 N/A N/A Community Health South Central Family Health Center 1111 E Vernon Avenue LOS ANGELES CA 90011 953877793 501(c)(3) 18400 0 N/A N/A Community Health Southeast Asian Assistance Center 5625 24Th Street SACRAMENTO CA 95822 680227882 501(c)(3) 40000 0 N/A N/A Community Health Southwest Behavioral Health Services Inc 3450 N 3Rd Street PHOENIX AZ 85012 860290033 501(c)(3) 39000 0 N/A N/A Community Health Southwest Human Development 2850 N 24Th Street PHOENIX AZ 85008 860407179 501(c)(3) 43731 0 N/A N/A Community Health Special Olympics Southern California Inc 615 S McClelland SANTA MARIA CA 93454 954538450 501(c)(3) 16650 0 N/A N/A Community Health Spelman College 350 Spelman Lane SW Box 616 ATLANTA GA 303144399 580566243 501(c)(3) 173836 0 N/A N/A Education Support St Anthony Foundation 150 Gold Gate Avenue SAN FRANCISCO CA 94102 941513140 501(c)(3) 201000 0 N/A N/A Community Health St Barnabas Senior Services Of Los Angeles 675 S Carondelet Street LOS ANGELES CA 90057 951641435 501(c)(3) 18000 0 N/A N/A Community Health St Bernardine Medical Center Foundation 2101 N Waterman Avenue San Bernadino CA 92404 237440086 501(c)(3) 883990 0 N/A N/A Foundation Support St Jeanne De Lestonnac Free Clinic 1215 E Chapman Avenue ORANGE CA 92866 953499011 501(c)(3) 13750 0 N/A N/A Community Health St John's Healthcare Foundation 1600 NORTH ROSE AVEnue OXNARD CA 93030 202865781 501(c)(3) 1246328 0 N/A N/A Foundation Support St Joseph High School 4120 S BRADLEY ROAD Santa Maria CA 93455 952315939 501(c)(3) 7402 0 N/A N/A EDUCATION SUPPORT St Joseph Parish School 2460 GOLD STREET REDDING CA 96001 941337645 501(c)(3) 5500 0 N/A N/A Education Support St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 501(c)(3) 1696480 0 N/A N/A Foundation Support St Joseph's Foundation Of San Joaquin 1800 N California Street Stockton CA 95204 510432777 501(c)(3) 892076 0 N/A N/A Foundation Support St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90801 237153876 501(c)(3) 2127108 0 N/A N/A Foundation Support St Mary's Dining Room 545 W SONORA Street STOCKTON CA 95203 942687280 501(c)(3) 67379 0 N/A N/A Community Health St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 501(c)(3) 1109077 0 N/A N/A Foundation Support St Rose Dominican Health Foundation 102 East Lake Mead Parkway Henderson NV 89015 880349432 501(c)(3) 2606318 0 N/A N/A Foundation Support small equipment Stockton Shelter For The Homeless PO Box 4803 STOCKTON CA 95204 680095693 501(c)(3) 13000 0 N/A N/A Community Health hygiene items/ pamphlet rack Suicide Prevention Of Yolo County Inc PO Box 622 DAVIS CA 95617 942619492 501(c)(3) 15000 0 N/A N/A Community Health Sustainable Economic Enterprise Of Los Angeles 6255 Sunset Boulevard Suite 714 LOS ANGELES CA 90028 954597000 501(c)(3) 20000 0 N/A N/A Community Health Tarzana Treatment Centers 18646 Oxnard Street TARZANA CA 91356 942219349 501(c)(3) 50000 0 N/A N/A Community Health Tempe Community Action Agency 2150 E Orange Street TEMPE AZ 85281 860254820 501(c)(3) 33333 0 N/A N/A Community Health The Arc Of Amador & Calaveras 75 Academy Drive SUTTER CREEK CA 95685 237312930 501(c)(3) 6000 0 N/A N/A Community Health The Board Of Trustees Of The Leland Stanford Junio 1265 Welch Road MC 5415 STANFORD CA 94305 941156365 501(c)(3) 650100 0 N/A N/A Community Health The Community Service Education And Research Fund 5380 ELVAS AVEnue SACRAMENTO CA 95819 237003581 501(c)(3) 15000 0 N/A N/A Community Health The Friendship Club 138 New Mohawk Road Suite 275 NEVADA CITY CA 95959 680262000 501(c)(3) 10000 0 N/A N/A Community Health The Public Good Projects Inc 105 Madison Ave 11Th Floor NEW YORK NY 10016 462717584 501(c)(3) 1000000 0 N/A N/A Community Health The Salvation Army 900 W James M Wood Boulevard LOS ANGELES CA 90015 941156347 501(c)(3) 53000 0 N/A N/A Community Health The Shade Tree Inc PO Box 669 LAS VEGAS NV 89125 880253276 501(c)(3) 20000 0 N/A N/A Community Health The UC Davis Foundation 4610 X Street Suite 4202 SACRAMENTO CA 95817 946081352 501(c)(3) 28702 0 N/A N/A Community Health University Of Arizona 100 West Washington 13th floor Phoenix AZ 85003 742652689 Govt 13920000 0 N/A N/A Education Support The Valley Economic Alliance 5121 VAN NUYS Boulevard SuiTE 200 Sherman Oaks CA 914031497 954524503 501(c)(3) 14800 0 N/A N/A Community Health Town Of Gilbert -Gilbert Fire Department 85 E Civic Center Drive Gilbert AZ 85296 866000246 GOVT 14500 0 N/A N/A Community Health Transitional Living & Community Support 2777 Fair Oaks Boulevard Suite 4440 SACRAMENTO CA 95825 942777955 501(c)(3) 50000 0 N/A N/A Community Health Iu-Mien Community Services PO Box 245693 SACRAMENTO CA 95824 680364879 501(c)(3) 20000 0 N/A N/A Community Health United States Veterans Initiative 800 W 6Th Street Suite 1505 LOS ANGELES CA 90017 954382752 501(c)(3) 15000 0 N/A N/A Community Health United Way 5405 Stockdale Highway Suite 200 BAKERSFIELD CA 933092560 952274560 501(c)(3) 44000 0 N/A N/A Community Health United Way Of Merced County 658 W Main Street MERCED CA 95348 942633265 501(c)(3) 50000 0 N/A N/A Community Health United Way Of Santa Cruz County 4450 Capitola Road Suite 106 CAPITOLA CA 95010 941422471 501(c)(3) 56771 0 N/A N/A Community Health University Foundation At Sacramento State 6000 J Street SACRAMENTO CA 958196026 943001359 501(c)(3) 100000 0 N/A N/A Education Support University Of The Pacific 3601 Pacific Avenue STOCKTON CA 95211 941156266 501(c)(3) 24250 0 N/A N/A Education Support Unlv Foundation 4505 S Maryland Parkway Box 451006 Las Vegas NV 891541006 942790134 501(c)(3) 48715 0 N/A N/A Education Support Valley Of The Sun Young Mens Christian Association 1655 W Frye Road CHANDLER AZ 85224 860096799 501(c)(3) 22500 0 N/A N/A Community Health Valley Vision Inc 1900 S Street SACRAMENTO CA 95814 943214572 501(c)(3) 10000 0 N/A N/A Community Health Vision Y Compromiso 1000 N Alameda Street Suite 350 LOS ANGELES CA 90012 320071651 501(c)(3) 5900 0 N/A N/A Community Health Volunteers In Medicine Of Southern Nevada Inc 4770 Harrison Drive Suite 200 LAS VEGAS NV 89121 392072453 501(c)(3) 81593 0 N/A N/A Community Health Volunteers In Victims Assistance 2020 Hurley Way Suite 205 SACRAMENTO CA 95814 680000542 501(c)(3) 40000 0 N/A N/A Community Health Weave Incorporated 1900 K Street SACRAMENTO CA 95814 942493158 501(c)(3) 50000 0 N/A N/A Community Health Wellspace Health Family Service Agency 8912 VOLUNTEER Lane Suite 100 SACRAMENTO CA 95826 941713704 501(c)(3) 1213232 0 N/A N/A Community Health Westcare Nevada Inc PO Box 94738 Las Vegas NV 89123 942778981 501(c)(3) 52429 0 N/A N/A Community Health Western Sierra Medical Clinic Inc 1345 Whispering Pines GRASS VALLEY CA 95945 942279011 501(c)(3) 13333 0 N/A N/A Community Health Westside Neighborhood Clinic 2125 Santa Fe Avenue LONG BEACH CA 90810 952973364 501(c)(3) 20000 0 N/A N/A Community Health Willie L Brown Jr Center On Politics And Public Se 100 Embarcadero Penthouse SAN FRANCISCO CA 94105 421572763 501(c)(3) 10000 0 N/A N/A Community Health Women's Shelter Program Of San Luis Obispo County PO Box 125 SAN LUIS OBISPO CA 93406 953370729 501(c)(3) 7745 0 N/A N/A Community Health Woodland Memorial Hospital Foundation 1321 Cottonwood Street Woodland CA 95695 946167964 501(c)(3) 463900 0 N/A N/A Foundation Support Yolo Community Care Continuum PO Box 1101 DAVIS CA 95617 942623205 501(c)(3) 20000 0 N/A N/A Community Health Yolo County Children's Alliance 600 A STreet SuiTE Y DAVIS CA 95616 680526185 501(c)(3) 15000 0 N/A N/A Community Health Yolo Family Resource Center 828 COURT Street WOODLAND CA 95695 470871252 501(c)(3) 20000 0 N/A N/A Community Health Young Mens Christian Association Of San Joaquin Co 6135 Tam OShanter Drive STOCKTON CA 95210 941156319 501(c)(3) 65000 0 N/A N/A Community Health Ywca Of Glendale California 735 E Lexington Drive GLENDALE CA 91206 951644057 501(c)(3) 20000 0 N/A N/A Community Health Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 501(C)(3) 809464 0 N/A N/A Foundation Support 345 8 DIRECT CASH ASSISTANCE 2534 12462 0 N/A N/A FINANCIAL ASSISTANCE TO PATIENTS/NEEDY 7262 401605 0 N/A N/A SCHOLARSHIP 128 57650 0 N/A N/A SPONSORSHIP OF MEDICAL CONFERENCE 1 10000 0 N/A N/A DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 6738 0 60354 COST CLOTHING, CAR SEATS MEDICAL SUPPLIES/EQUIPMENT TO INDIGENTS 115 0 57970 BOOK MEDICAL SUPPLIES PHARMACY CHARITY PRESCRIPTION 532 0 24960 COST PHARMACEUTICALS PROVISION OF FOOD/MEALS 87590 0 331748 COST FOOD/MEALS Part I, line 1 INCLUDED IN PART II ABOVE IS $4,723,108 RELATED TO The Dignity Health Community Grants program. THIS PROGRAM IS one way in which Dignity Health supports and enhances the advocacy, social justice and healthier communities efforts of its hospitals and the religious sponsors of our Catholic hospitals. Begun in 1990, the program's initial objectives were: (1) to strengthen the bonds among our member hospitals; and (2) to partner with other nonprofit organizations that share our values and also work to improve the health status and quality of life of the communities we serve. Each of the grant recipients are required to submit an annual accountability report to Dignity Health. The reports reflect activities performed, objectives, and outcomes reached by the grant recipientS. All organizations that apply for these grants are required to be a 501(c)(3) organization. OTHER GRANTS ARE PROVIDED BY Dignity Health (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER Dignity Health'S EXEMPT PURPOSE. GRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT Dignity Health AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. Several grants are provided to other organizations in which Dignity Health supports community efforts. In addition, grants are provided to individuals, primarily patients, due to financial need or urgent, unforeseen occurrences requiring immediate action. Examples of assistance include transportation costs to a hospital for treatment, pharmacy costs for indigent patients, and sheltered meals. The grants are approved by the hospital's Administration department or a designated committee reviews and approves grants to be awarded. Part II $6,576,221 IN GRANT PAYMENTS TO THE CALIFORNIA HEALTH FOUNDATION AND TRUST, A 501(C)(3) PUBLIC BENEFIT CHARITY ESTABLISHED TO SPONSOR AND SUPPORT HEALTH CARE, WERE RECOGNIZED IN CONNECTION WITH THE CALIFORNIA PROVIDER FEE PROGRAMS IN FISCAL YEAR 2014. IN ADDITION, $13,920,000 IN GRANT PAYMENTS WERE ALSO PROVIDED TO UNIVERSITY OF ARIZONA, A GOVERNMENT INSTITUTION, TO SUPPORT THE DEVELOPMENT OF EDUCATION, TRAINING AND CLINICAL RESEARCH PROGRAMS. X X X true true X X X X true true false false false false false false true true Lloyd H Dean BOARD MEMBER/PRESIDENT/CEO 1581557 0 5076340 0 259494 0 1045513 0 94476 0 8057380 0 231775 0 Michael D Blaszyk SEVP, Chief Financial Officer 883634 0 2227020 0 418194 0 521207 0 65132 0 4115187 0 394020 0 Rick Grossman EVP General Counsel 410854 0 337117 0 89550 0 141422 0 55503 0 1034446 0 0 0 Diane Lee VP & Associate General Counsel 268520 0 250388 0 14305 0 38445 0 27416 0 599074 0 0 0 Marvin O'Quinn SEVP, Chief Operating Officer 918044 0 1908776 0 73163 0 1056836 0 65383 0 4022202 0 0 0 Elizabeth Shih EVP, Chief Admin Officer 755075 0 1815344 0 62071 0 159880 0 69509 0 2861879 0 0 0 Steven Barron SVP, Operations So Cal East 387195 0 511976 0 35898 0 53943 0 49257 0 1038269 0 0 0 Keith Callahan SVP, Supp & Srvcs Resrcs Mgmt 354084 0 367404 0 34435 0 51105 0 32985 0 840013 0 0 0 Mary Connick SVP Finance, Corporate Control 369318 0 398668 0 11693 0 53424 0 37699 0 870802 0 0 0 Charles P Francis SEVP, CHIEF STRATEGY OFFICER 630480 0 1014102 0 149523 0 201148 0 60917 0 2056170 0 135296 0 Lisa Gamshad Zuckerman VP, Treasury Services 323343 0 309809 0 3493 0 45782 0 46811 0 729238 0 0 0 Linda Hunt SVP Operations - Arizona 564849 0 699467 0 666864 0 82535 0 42679 0 2056394 0 643684 0 Jeffrey W Land VP Corporate Real Estate 318906 0 290570 0 4164 0 43783 0 44322 0 701745 0 0 0 Bernita McTernan EVP/SPONSORSHIP/MISSION INTEGR 512902 0 984730 0 43573 0 96944 0 62562 0 1700711 0 0 0 Timothy Panks SVP Finance & Rev Cycle Mgmt 291661 0 161788 0 110006 0 34471 0 34004 0 631930 0 0 0 Darryl Robinson EVP/ Chief HR Officer 195512 0 771000 0 1460 0 114562 0 8020 0 1090554 0 0 0 Karl Silberstein SVP Financial Operations 550768 0 588754 0 19992 0 75024 0 44182 0 1278720 0 0 0 Michael Taylor SVP OPERATIONS-SAC/SAN JOAQUIN 556342 0 841793 0 272644 0 90220 0 40863 0 1801862 0 0 0 LeAnne Trachok SVP, Revenue Services 324928 0 448957 0 18540 0 53813 0 22740 0 868978 0 0 0 Karl Ulrich MD Interim SVP Ops Sac-San Joaqui 530669 0 146559 0 48105 0 41168 0 34251 0 800752 0 0 0 Glenna L Vaskelis SVP Operations- Bay Area 425579 0 447647 0 21106 0 59281 0 51828 0 1005441 0 0 0 Robert Wiebe MD EVP CHIEF MEDICAL OFFICER 679154 0 1083023 0 15996 0 878646 0 27445 0 2684264 0 0 0 Tammara Wilcox SVP, Managed Care 406391 0 418835 0 3945 0 56691 0 36380 0 922242 0 0 0 Deanna Wise EVP, Chief Information Officer 560543 0 858452 0 1878 0 232165 0 28715 0 1681753 0 0 0 Charles Cova SVP Operations- Central Coast 390630 0 474385 0 27526 0 58884 0 29188 0 980613 0 0 0 Laurie Harting SVP Operations- So Cal West 393853 0 536888 0 31344 0 63063 0 27483 0 1052631 0 0 0 Daniel Roach VP Compliance and Audit 374953 0 458873 0 6426 0 57032 0 44263 0 941547 0 0 0 Hillery Trippe VP, Risk Services 163036 0 26799 0 716763 0 19225 0 13780 0 939603 0 0 0 Jon VanBoening SVP Operations- Central Valley 426681 0 466938 0 27400 0 60419 0 50299 0 1031737 0 0 0 Derek F Covert Former Officer 61922 0 0 0 2113998 0 7788 0 5810 0 2189518 0 2013000 0 Rodney A Davis Former Key Employee 464803 0 502216 0 154643 0 65349 0 36532 0 1223543 0 119689 0 Saliba Salo Former Key Employee 376312 0 154225 0 24870 0 39595 0 46338 0 641340 0 0 0 Herbert Vallier Former EVP-Chief HR Officer 62337 0 0 0 79017 0 3784 0 5771 0 150909 0 0 0 Sch J, PART I, LINES 1A, 4A, & 4B PART I, 1A First class travel and upgrades to such are treated on an exception basis according to Dignity Health policy. Such travel totaling $40,868 was provided to five officers, directors and key employees. No amounts have been included as reportable compensation as these travel expenses were incurred for business purposes. There was no charter travel in 2013. Tax gross-up payments were provided to one officer and one key employee related to relocation expenses and/or forgiveness of relocation loans based on service requirements met. These gross up payments were included as taxable compensation to the listed persons. Club dues have been paid by Dignity Health for business use by four key and highest compensated employees. No amounts have been included as reportable income as expenses related to personal usage, if any, are paid by these employees. No amount has been paid for club dues for officers. Dignity Health does not pay or reimburse for any health club memberships. PART I, 4A Dignity Health's key employees and officers and certain highly compensated employees 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. Payments pursuant to the plan arrangement for one highest compensated employee occurred during 2013 related to such terminations: H. Trippe, $626,777. PART I, 4B Certain officers and key employees 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. Payments pursuant to the plan arrangement for one former officer occurred during 2013: D. Covert, $2,013,000. Dignity Health's key employees and certain officers and highly compensated employees 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. No benefit will vest under this 457(f) plan before the attainment of age 62 or the completion of 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. Payments pursuant to the plan arrangements for one board member/officer and two key employees occurred during 2013 L. Dean, $231,775; R. Davis, $119,689; and L. Hunt, $643,684. 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. There were no payments related to this plan in 2013. Certain officers and key employees participate in the Dignity Health Supplemental Executive Retention/Retirement Plan, a nonqualified supplemental benefit plan which in 2002 was offered to members of the executive management team by the Dignity Health Board of Directors and would be paid only if the executives stayed with the organization for a specified number of years as the primary purpose of this plan is to provide for the retention and retirement of the participants. The executive management team was recruited from stable careers in organizations from across the country and from various industries to engineer and lead a financial and operational turnaround after the organization had lost nearly $1 billion in net operating performance. The calculation for the payments to each executive is based on the value of a final average pay annuity benefit based on retirement age and service years to the organization. Distribution occurs each July 1 if the plan formula warrants a payment. Payments made during 2013 pursuant to this plan include $394,020 to M. Blaszyk and $135,296 to C. Francis. Vested amounts are reported as deferred compensation in the year vesting occurs (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 I, 8 Dignity Health entered into an employment contract with a key employee in 2013 that is subject to the initial contract exception described in Regulations section 53.4958-4(a)(3). The employment contract represents an initial contract under which the key employee receives fixed payments, and as such, is not subject to section 4958. Sch J - PART II Dignity Health's executive compensation philosophy is designed to assist Dignity Health 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 and revenue. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521598225 13033FRT9 2004-04-28 470300483 BOND A: CUSIP 13033FRT9-SEE PRT VI true false false B THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ 860445263 566816GY4 2004-04-28 259114410 BOND B: CUSIP 566816GY4-SEE PRT VI true false false C CITY OF HENDERSON NEVADA 886000720 425203BM7 2004-04-28 166163811 BOND C: CUSIP 425203BM7-SEE PRT VI true false false D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521598225 13033FTN0 2004-05-19 150000000 BOND D: CUSIP 13033FTN0-SEE PRT VI false false true A 395000 362375000 473075038 7910480 6640000 0 4074727 25069705 7774075 0 421606051 0 2004 true true true true B 235000 175000000 268026055 8557517 0 0 2542136 0 6949390 158912634 74718546 16345832 2006 true false true true C 720000 125000000 171864069 4164721 5184771 0 1638159 0 2791982 109338989 48745447 0 2007 true true true true D 0 0 143115163 0 0 0 0 0 0 121926573 0 21188590 2007 false false true true A false true true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false true true true true true 0.00400 0.00000 0.00400 false false 0.00000 false true C false true true true true true 0.00100 0.00000 0.00100 false false 0.00000 false true D false true true true true true 0.00800 0.00700 0.01500 false false 0.00000 false true A false false false true true true CITIGROUP & JPMORGAN 21.2 false true true LEHMAN BROTHERS 22.2 true true true B false false false true true true JP MORGAN 5. false true true LEHMAN BROTHERS 22.2 true true true C false false false true true true CITIGROUP 5. false true true LEHMAN BROTHERS 23.2 true true true D false false false true true false 0 false 0 true true A true B true C true D true BOND A: CUSIP 13033FRT9 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund prior bond issues - California Health Facilities Financing Authority ("CHFFA") 1988 AB (issued June 23, 1988) CHFFA 1992 A (issued September 1, 1992); CHFFA (ST. JOSEPH'S) 1993 A (issued January 4, 1994); California Statewide Communities Development Authorities ("CSCDA") 1993 A Certificates of Participation ("COPs") (issued August 12, 1993); CHFFA 1994 AB (issued January 27, 1994); CHFFA 1996 B (issued May 30, 1996); CHFFA 1996 CD (issued May 30, 1996); CHFFA 1996 F (issued December 12, 1996); CHFFA 1997 ABC (issued October 15, 1997); CHFFA 1998 A (issued December 3, 1998). Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. Part IV, Line 4a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 5c Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND B: CUSIP 566816GY4 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - AZ 1993 A (issued August 12, 1993); AZ 1994 A (issued January 27, 1994); and to finance capital expenditures for construction of Mercy Gilbert and add a new tower at St. Joseph's Hospital and Medical Center. Part II, Line 13 The Industrial Development Authority of Maricopa County (IDAMC) 2004 SERIES AB construction fund proceeds were spent by 2006 on projects that were substantially completed by that date. In March 2009, the IDAMC 2004 Series B bonds were refinanced with a draw on a taxable line of credit, and in May 2009, a portion of the draw on the line was refinanced with tax-exempt debt. In March 2009, approximately $17 million was released from debt service reserve funds, a portion of which is allocable to the un-refinanced portion of the taxable line of credit and a portion of which is allocable to the May 2009 tax-exempt bonds. Such funds are currently unspent and will be used either for capital projects or to redeem or defease May 2009 bonds. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. Part IV, Line 4a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 5c Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND C: CUSIP 425203BM7 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues NV 1994 A (issued January 27, 1994) and NV 1998 A (issued December 3, 1998) to finance capital expenditures for the construction of a new hospital, St. Rose Dominican Hospital - San Martin Campus. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. Part IV, Line 4a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 5a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND D: 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 on Part II, Line 3 reflects only the portion of the bond issue borrowed by Dignity Health and currently outstanding. A small part of the difference between the issue price and proceeds is due to investment earnings. Part I, Column (f) To 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, Dignity Health borrowed the sum of $143,112,407 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 performed on 6/30/2014. BOND E: CUSIP 13033FG46 Part I, Column (c) The CHFFA 2005 Series ABCDEF bonds were exchanged in May 2008 for the CHFFA 2008 Series FHIJKL 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 due to investment earnings. Part I, Column (f) Refunding of prior bond issues - CHFFA 1988 Series A (issued December 3, 1998); CHFFA 1995 Series H (issued May 25, 1995); CHFFA 1997 Series A (issued October 15, 1997); CHFFA 1998 Series A (issued December 3, 1998); CSCDA 1999 (issued December 9, 1999) and to finance capital expenditures at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 11/2/2010. Part IV, Line 4a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND F: 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 on Part II, Line 3 reflects only the portion of the bond issue borrowed by Dignity Health and currently outstanding. A small part of the difference between the issue price and proceeds is due to investment earnings. Part I, Column (f) To finance acquisition of medical equipment and construction and renovation of hospital facilities. Part II, Line 3 In October 2012, certain loans originated with proceeds of the bonds matured and were repaid to the issuer. Of such repayments, Dignity Health borrowed the sum of $147,665,635 to finance the construction/renovation of the facilities and the acquisition of medical equipment at various hospitals. $15,000,000 of the loan pool remained the same and was not required to repurpose the assets. 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. BOND G: CUSIP 040507GL3 Part I, Column (c) The Arizona Health Facility Authority (AHFA) 2005 Series CDE bonds were exchanged in May 2008 for the AHFA 2008 Series ABC Bonds and November 2009 the AHFA 2008 Series ABC bonds and November 2009 the AHFA 2008 Series C bonds were exchanged 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. AHFA 2005 Series BCDE, of which AHFA 2005 Series CDE were exchanged for AHFA 2008 Series ABC, of which AHFA 2008 Series C was exchanged for AHFA 2009 Series F. The CUSIP number noted on Schedule K '040507GL3' is the CUSIP from the original Form 8038 filed for the 2005 Series BCDE Bonds, all of which were issued on November 10, 2005. On May 16, 2008, the AHFA 2005 CDE Bonds were exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for AHFA 2008 Series ABC. The AHFA 2008 Series C Bonds were later exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for the AHFA 2009 Series F Bonds on November 12, 2009. All the series noted above have the same maturity of July 1, 2035. The CUSIPs of the outstanding bonds are AHFA 2005 Series B '040507GM1', AHFA 2008 A '040507JT3', AHFA 2008 B '040507JU0' and AHFA 2009 Series F '040507MK8.' 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 on Part II, Line 3 reflects only the portion of the bond issue borrowed by Dignity Health and currently outstanding. A small part of the difference between the issue price and proceeds is due to investment earnings. Part I, Column (f) To finance acquisition of medical equipment and construction and renovation of hospital facilities. Part II, Line 3 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 the 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 performed on 1/28/2014. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND H: CUSIP 130795DH7 Part I, column (c) The CSCDA 2007 Series ABC bonds were exchanged in May 2008 for the CSCDA 2008 Series CFG 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 due to investment earnings. Part I, Column (f) Refunding of prior bond issues - CA 1995 A (issued May 25, 1995); CA 1996 A (issued May 30, 1996); and CA 1999 A (issued December 9, 1999); and to finance capital expenditures at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. Part IV, Line 4a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to CSCDA 2007 Series ABC, such hedges were deemed terminated May 16, 2008 (CSCDA 2007 Series A were later exchanged for CSCDA 2008 Series C fixed rate bonds), May 14, 2009 (CSCDA 2007 Series C were exchanged without a reissuance for CSCDA 2008 Series G and later refinanced to CHFFA 2009 Series A fixed rate bonds) and November 12, 2009 (CSCDA 2007 Series B were exchanged without a reissuance for CSCDA 2008 Series F and later refinanced with CHFFA 2009 Series G put bonds) as a result of either the refinancing of these bonds or the exchange (without a reissuance) and conversion of these bonds into long-term fixed-rate bonds. The CSCDA DEF bonds are still outstanding and continue to have hedges associated with them. Part IV, Line 4e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND I: CUSIP 130795DR5 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (c) California Statewide Community Development Authority (CSCDA) 2007 Series G-L, of which CSCDA 2007 Series G-J were exchanged for CSCDA 2008 Series ABDE. The CUSIP number noted on Schedule K '130795DR5' is the CUSIP from the original Form 8038 filed for the 2007 Series G-L Bonds, all of which were issued on November 10, 2005. On May 16, 2008, the CSCDA 2007 Series GHIJ Bonds were exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for CSCDA 2008 Series ABDE, and there was an interest rate conversion on the CSCDA 2007 Series KL Bonds. The latest maturities on the currently outstanding exchanged bonds are the CSCDA 2007 Series KL Bonds, both of which have a final maturity date of July 1, 2041. The CUSIPs are '130795TV9' for the CSCDA 2007 Series K Bonds and '130795TW7' for the CSCDA Series 2007 L Bonds. The CSCDA 2007 Series GHIJ bonds were exchanged in May 2008 for the CSCDA 2008 Series ABDE 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 (f) To finance capital expenditures at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2013. BOND J: CUSIP 566816HP2 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - AZ 1999 A (issued December 9, 1999); and to finance capital expenditures at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND K: CUSIP 759835AA9 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) To finance acquisition and renovation of hospital facility (including Emergency Room) and acquisition of medical equipment. Part III, Line 8A Although the City of Reno, Nevada, health facility revenue bonds, 2007 Series A (the "2007 Reno bonds"), are shown on line 1 of Part I of this Schedule K, Dignity Health and the City of Reno, Nevada (the "City"), took appropriate remedial action with respect to all of the 2007 Reno bonds, under section 1.141-12(d) of the treasury regulations, on September 24, 2012, by defeasing a pro rata portion of the 2007 Reno bonds, in the principal amount of $42,085,000, within 90 days of the sale by Dignity Health of Saint Mary's Regional Medical Center ("SMRMC"), in Reno, Nevada. Such defeasance will cause such portion of the 2007 Reno bonds to be redeemed on their first optional redemption date of July 1, 2017. Because the consideration for the sale of SMRMC was exclusively cash, pursuant to section 1.141-12(d)(2) of the treasury regulations, Dignity Health and the City were permitted to meet, and met, the requirements of section 1.141-12(d) of the treasury regulations with respect to all of the 2007 Reno bonds by applying the "disposition proceeds" received from the sale of SMRMC to the defeasance of a pro rata portion of the 2007 Reno bonds through their first optional redemption date of July 1, 2017. Such pro rata portion of the 2007 Reno bonds was determined to have a principal amount of $42,085.000. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND L: CUSIP 425203CF1 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - NV 1998 A (issued December 3, 1998); NV 1999 series A (issued December 9, 1999); NV 2004 Series B (issued April 28, 2004); and to finance capital expenditures at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND M: CUSIP 13033LAZ0 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund California Health Facilities Financing Authority 2008 Series CDE (issued May 16, 2008); and California Statewide Communities Development Authority 2008 Series G (issued May 16, 2008); and to finance capital projects at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND N: CUSIP 566816JJ4 Part I, Column (f) Refinance taxable line of credit used to refinance Industrial Development Authority of Maricopa County Arizona 2004 Series B bonds issued on April 28, 2004. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND O: CUSIP 13033LEQ6 Part I, Column (f) Refund California Health Facilities Financing Authority 2008 Series ABF; and California Statewide Communities Development Authority 2008 Series F bonds issued on May 16, 2008. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2011. BOND P: CUSIP 040507MJ1 Part I, Column (f) REFUND ARIZONA HEALTH FACILITIES AUTHORITY 2008 SERIES D BONDS ISSUED ON MAY 16, 2008. Part IV, Line 2c THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 6/30/2011. BOND Q: CUSIP 566816JL9 Part I, Column (f) Refund Industrial Development Authority of Maricopa County Arizona 1992 Series A bonds issued on September 1, 1992 and Industrial Development Authority of Maricopa County Arizona 1998 Series A bonds issued on December 3, 1998. BOND R: CUSIP 13033LSZ1 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund CHFFA 1993 Series A bonds issued on March 17, 1993, CHFFA 1996 Series E bonds issued on December 12, 1996, CHFFA 1997 Series A bonds issued on October 15, 1997 and CHFFA 1998 Series A bonds Issued On December 3, 1998. Repay line of credit used to retire CHFFA 2004 Series H bonds issued on April 28, 2004. Finance capital projects at various hospital facilities. Part II, Line 11 Bond proceeds were used to pay off the CHFFA 2004 Series H put bond that came due on 7/1/2011 that was financed with a draw on the working line of credit. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND S: CUSIP 040507MU6 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f)Finance capital projects at various hospital facilities. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND T: CUSIP 13033LUD7 Part I, Column (f) Refund CHFFA 2009 Series BC bonds issued on May 14, 2009 and CHFFA 2009 Series G bonds issued on November 12, 2009. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. BOND U: CUSIP 040507MV4 Part I, Column (f) Refund Industrial Development Authority of Maricopa County Arizona 2009 Series B bonds issued on May 14, 2009 and Arizona Health Facilities Financing Authority 2009 Series E bonds issued on November 12, 2009. Part IV, Line 2c The calculation for computing no rebate due was performed on 6/30/2014. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FG46 2005-11-10 351135742 BOND E: CUSIP 13033FG46-SEE PRT VI true false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033FYE4 2005-11-10 200000000 BOND F: CUSIP 13033FYE4-SEE PRT VI false false true C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507GL3 2005-11-10 224000000 BOND G: CUSIP 040507GL3-SEE PRT VI false false true D CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITIES 680164610 130795DH7 2007-04-26 400000000 BOND H: CUSIP 130795DH7-SEE PRT VI true false false A 126050000 48850000 371233588 0 1267420 90735463 3431823 10560456 0 265238426 0 0 2014 true true true true B 0 0 162665635 0 0 0 0 0 0 162665635 0 0 2010 false false true true C 0 0 224006108 0 0 0 0 0 0 224006108 0 0 2007 false false true true D 0 120000000 415050133 0 1538212 35018520 3068236 14157815 0 289056921 72210429 0 2010 true true true true A false true true true true true 0.00300 0.00800 0.01100 false false 0.00000 false true B false true true true true true 0.00900 0.01300 0.02200 false false 0.00000 false true C false true true true true true 0.00900 0.00000 0.00900 false false 0.00000 false true D false true true true true true 0.00300 0.00000 0.00300 false false 0.00000 false true A false false false true true true CITIGROUP 26.6 false true false 0 true true B false false false true true false 0 false 0 true true C false false false true true false 0 false 0 true true D false false false true true true CITIGROUP & JPMORGAN 34.2 false true false 0 true true A true B true C true D true A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITIES 680164610 130795DR5 2007-04-26 276250000 BOND I: CUSIP 130795DR5-SEE PRT VI false false false B THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ 860445263 566816HP2 2007-04-26 178702052 BOND J: CUSIP 566816HP2-SEE PRT VI true false false C CITY OF RENO NEVADA 886000201 759835AA9 2007-04-26 98635589 BOND K: CUSIP 759835AA9-SEE PRT VI true false false D CITY OF HENDERSON NEVADA 886000720 425203CF1 2007-04-26 200626751 BOND L: CUSIP 425203CF1-SEE PRT VI false false false A 17975000 0 289090306 0 10999192 0 1709208 7085792 0 269296114 0 0 2010 false false true true B 0 350000 183520354 0 0 0 1378183 0 0 104818303 77323868 0 2010 false true true true C 0 42085000 99762600 0 1209888 0 835589 0 0 19917123 77800000 0 2012 true false true true D 37380000 0 200689268 0 0 0 1599260 0 0 7062517 192027491 0 2008 true true true true A false true true true true true 0.01800 0.01200 0.03000 false false 0.00000 false true B false true true true true true 0.03300 0.00000 0.03300 false false 0.00000 false true C false true true true true true 0.00000 0.00000 0.00000 false true 1.00000 true true D false true true true true true 0.00800 0.00000 0.00800 false false 0.00000 false true A false false false true true false 0 false 0 true true B false false false true false false 0 false 0 true true C false false false true false false 0 false 0 true true D false false false true false false 0 false 0 false true A true B true C true D true A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LAZ0 2009-05-14 457778078 BOND M: CUSIP 13033LAZ0-SEE PRT VI true false false B THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ 860445263 566816JJ4 2009-05-14 127153706 BOND N: CUSIP 566816JJ4-SEE PRT VI true false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LEQ6 2009-11-12 235106175 BOND O: CUSIP 13033LEQ6-SEE PRT VI true false false D ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507MJ1 2009-11-12 75689293 BOND P: CUSIP 040507MJ1-SEE PRT VI true false false A 20000000 119895000 458924591 0 39626977 0 8153078 0 0 161519536 249625000 0 2014 true false true true B 10000000 75115000 127153706 0 0 0 2153706 0 0 0 125000000 0 2007 true false true true C 0 124720000 235106175 0 0 0 3506175 0 0 0 231600000 0 2014 true false true true D 0 35870000 75689293 0 0 0 1014293 0 0 0 74675000 0 2009 true false true true A false true true true true true 0.02400 0.00000 0.02400 false false 0.00000 false true B false true true true true true 0.01400 0.00000 0.01400 false false 0.00000 false true C false true true true true true 0.03400 0.00000 0.03400 false false 0.00000 false true D false true true true true true 0.00600 0.00000 0.00600 false false 0.00000 false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true true false 0 false 0 false true D false false false true true false 0 false 0 false true A true B true C true D true A THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ 880445263 566816JL9 2011-07-14 115008059 BOND Q: CUSIP 566816JL9-SEE PRT VI false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LSZ1 2011-11-09 515217012 BOND R: CUSIP 13033LSZ1-SEE PRT VI false false false C ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507MU6 2011-11-09 125000601 BOND S: CUSIP 040507MU6-SEE PRT VI false false false D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LUD7 2012-06-27 140000000 BOND T: CUSIP 13033LUD7-SEE PRT VI false false false A 19190000 0 115008059 0 0 0 0 0 0 0 115008059 0 2002 true false true true B 14110000 0 515248052 0 17885926 0 0 0 0 204434621 290213029 2714476 2014 true false true true C 0 0 125269274 0 0 0 0 0 0 80420655 0 44848619 false false true true D 0 0 140000000 0 0 0 0 0 0 0 140000000 0 2014 true false true true A false true true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false true true true true true 0.00500 0.00000 0.00500 false false 0.00000 false true C false true true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true D false true true true true true 0.04600 0.00000 0.04600 false false 0.00000 false true A false true false true false false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true A ARIZONA HEALTH FACILITIES AUTHORITY 860453292 040507MV4 2012-06-27 75000000 BOND U: CUSIP 040507MV4-SEE PRT VI false false false A 0 0 75000000 0 0 0 0 0 0 0 75000000 0 2007 true false true true A false true true true true true 0.02800 0.00000 0.02800 false false 0.00000 false true A false false false true false false 0 false 0 false true A true Rick Grossman OFFICER relocation X 550000 550000 false false true 550000 Wade Dean Family member of L Dean 56966 Employment false Paige Gemuenden Famly membr of K Callahan 45472 Employment false Caitlin E Barron Family member of S Barron 18081 Employment false Allison Cova Family member of C Cova 129151 Employment false E-lead Resources Inc Family member of L Dean 2190559 Marketing products & services false X 1 24000 COMPARABLE SALE X 534 RESALE VALUE X 283615 RESALE VALUE X 13 1160 COMPARABLE SALE X MEDICAL EQUIPMENT 7 80525 COMPARABLE SALE X TOYS 15 13715 COMPARABLE SALE X TICKETS/GIFT CERTIFICATES 3 9548 COMPARABLE SALE X OFFICE EQUIPMENT 1 2700 COMPARABLE SALE X ELECTRONICS 2 945 COMPARABLE SALE X FLOWER SUPPLIES 1 489 COMPARABLE SALE X SPORTING GOODS 2 9502 COMPARABLE SALE X FOOD & WINE 4 142 COMPARABLE SALE 0 false true true SCH M, PART I-EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS ART - WORKS OF ART: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. COLLECTIBLES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. MEDICAL EQUIPMENT: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. TICKETS/GIFT CERTIFICATES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OFFICE EQUIPMENT: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. ELECTRONICS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FLOWER SUPPLIES: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SPORTING GOODS: THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. FOOD & WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Sch M, Part 1, Line 32b DIGNITY HEALTH IS SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF DIGNITY HEALTH'S HOSPITALS. FORM 990, PART V, LINE 4B - NAME OF FOREIGN COUNTRY (CONT'D) TURKEY FORM 990, PART VI, GOVERNANCE AND MANAGEMENT DISCLOSURES FORM 990, PART VI, SECTION A, LINE 2 M. Blaszyk and P. Hanelt- business relationship FORM 990, PART VI, SECTION A, LINE 7b In its governance restructuring in 2012, the corporation committed in its bylaws to continue a healing ministry based on the life and works of Jesus in the provision of healthcare services in the communities it serves ("the healing ministry.") To further the healing ministry, the rights formerly reserved to the religious founding co-sponsors of dignity health in this regard were preserved post-restructuring as follows: a sponsorship council was formed pursuant to the bylaws, composed of members of the co-sponsoring organizations, and responsible for overseeing and acting upon issues of catholic identity for catholic-sponsored facilities, and informing the healing ministry of the corporation, including both catholic-sponsored and non-Catholic sponsored facilities, through the right to appoint three of seven members of the mission integrity committee of the board and to approve any changes in the statement of common values. The mission integrity committee is responsible for evaluation and resolution of management, operational, and patient care issues that impact conformance with the mission and values of the healing ministry in the operations of the corporation; approving policies and procedures with respect to implementation and conformance to the mission and values of the healing ministry; establishing and maintaining systems for monitoring compliance with the mission and values of the healing ministry, the operational integrity of the statement of common values and the ethical and religious directives; the operational integrity of mission integration standards; pastoral care and education programs; and ministry leadership formation programs. In addition, the mission integrity committee shall have the power and responsibility to review and monitor the system's labor practices and pension administration. The mission committee may propose changes to the statement of common values, provided the proposal is first reviewed with the sponsorship council, which has the sole power to veto any such changes before they are presented to the corporation's board for final approval. In addition to working through the sponsorship council, at least two members of the dignity health board continue to be women religious, serving as individuals, not as representatives of their congregations. Also, each individual sponsoring congregation continues to have the right to approve the sale or closure of its sponsored catholic hospitals or disposition of its other stable patrimony, or the change of name of such Catholic hospital. FORM 990, PART VI, SECTION B, LINE 11B The Board of Directors delegated the review of the Form 990 to the Audit and Compliance Committee. The organization's VP/Financial Services and Reporting, and the outside accounting firm it engaged to review the return, presented each section of the final draft of this Form 990 to the Audit and Compliance Committee. Compensation schedules and disclosures were presented to the Human Resources and Compensation Committee of the Dignity Health Board of Directors by executive management. The Audit and Compliance Committee also met with various personnel involved in the preparation process of the return, including, but not limited to, the SVP/Finance and Corporate Controller, the VP/Compliance and Internal Audit, and the Tax Manager. The review included an explanation of each schedule of the Form 990 and the pertinent information contained on each schedule. Subsequent to its review, the Audit and Compliance Committee reported back to the Board regarding its oversight of the Form 990 and a complete copy of the Form 990 was provided to the entire Board before the return was filed. FORM 990, PART VI, SECTION B, LINE 12C The Board of Directors has promulgated policies for disclosure and management of conflicts of interest. 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 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 any 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; (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 person with the conflict of interest 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 also conflicts of interest provisions under the standards of conduct applicable to all employees, which are administered by the chief compliance officer who has reporting responsibility to the Audit and Compliance Committee. FORM 990, PART VI, SECTION B, LINE 15A & 15B The 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 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 require that the organization's governing documents and policies related to conflicts of interest be made available for public inspection. The organization makes its consolidated audited financial statements available on its website and upon request. The financial statements are also attached to this Form 990. FORM 990, PART VI, SECTION C, LINE 19 Federal tax laws do not require that the organization's governing documents and policies related to conflicts of interest be made available for public inspection. The organization makes its consolidated audited financial statements available on its website and upon request. The financial statements are also attached FORM 990, PART XI, Line 9 - Reconciliation of Net Assets CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY; 99,640,000 REVENUE FROM HEALTH-RELATED ACTIVITIES ORGANIZED AS CORPORATIONS/EXEMPT ORGANIZATIONS; 107,367,127 MARK-TO-MARKET ON INTEREST RATE SWAPS; 2,682,936 CHANGE IN INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATIONS; 12,201,537 CHANGE IN OWNERSHIP INTERESTS HELD BY CONTROLLED SUBSIDIARIES AND OTHER FUND BALANCE TRANSFERS; 202,919 FORM 990, PART XII, Line 3a - Financial Statements AND Reporting The organization's federal awards were included in dignity health and subordinate corporations' consolidated OMB Circular A-133 audited schedule of federal expenditures. FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES/CONSULTING TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:84515430 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY/LINEN SERVICES TOTAL FEES:27047007 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX Arizona Care Network LLC 350 W Thomas Rd Phoenix AZ 85013 454494682 Care Network AZ 643 0 DIGNITY HLTH CHMC Hope Street Family Center Property 1401 South Grand Avenue Los Angeles CA 90015 270967098 Real Property CA 105729 77354 DIGNITY HLTH Dignity Health Nevada Imaging Company LL 5495 South Rainbow Blvd Suite 203 Las Vegas NV 89118 263322792 Imaging SVC NV 4927857 6173768 DIGNITY HLTH Dignity Health USP Oxnard Surgery Center 1700 N ROSE AVENUE STE 100 OXNARD CA 93030 200707388 OP Surgery CA 0 0 DIGNITY HLTH Dignity Health Medical Group Nevada LLC 3001 St Rose Parkway Henderson NV 89052 462574491 clinics NV 909903 1958194 DIGNITY HLTH Dignity Health Purchasing Network LLC 3033 North Third Avenue Phoenix AZ 85013 455555133 Group Purchas AZ 2181791 1937829 DIGNITY HLTH Southern California Integrated Care Netw 2101 NORTH WATERMAN AVENUE San Bernardino CA 92404 455566171 Care Network CA 0 1098807 DIGNITY HLTH St John's Regional Imaging Center LLC 1700 N ROSE AVENUE STE 110 Oxnard CA 93030 770483564 OP Radiology CA 3249805 2524272 DIGNITY HLTH St Francis Foundation LLC 112 E Victoria Street Santa Barbara CA 93101 421691710 Leasing CA 0 1520494 DIGNITY HLTH St Rose Quality Care Network LLC 102 E Lake Mead Drive Henderson NV 89015 462147857 Care Network NV 29863 93758 DIGNITY HLTH Trinity Care LLC 901 Corporate Center Drive Suite 40 Monterey Park CA 91754 330805338 Health care CA 14066624 1594236 DIGNITY HLTH Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 Hospital CA 501(c)(3) 3 DIGNITY HLTH true Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(c)(3) 3 DIGNITY HLTH true Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 11A-I DIGNITY HLTH true DIGNITY HEALTH Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp clin CA 501(c)(3) 11A-I DIGNITY HLTH true DIGNITY HEALTH Workers' Comp SELF-INS 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(c)(3) 11A-I DIGNITY HLTH true Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hea CA 501(c)(3) 11A-I DIGNITY HLTH true Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Sr Housing CA 501(c)(3) 9 DHS true Golden Umbrella 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior ctr CA 501(c)(3) 7 DIGNITY HLTH true Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(c)(3) 3 NA false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(c)(3) 9 DIGNITY HLTH true Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinics CA 501(c)(3) 3 DIGNITY HLTH true Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(c)(3) 3 DIGNITY HLTH true Shasta Senior Nutrition Program 100 Mercy Oaks Drive Redding CA 96003 942650429 Sr Meal CA 501(c)(3) 7 DIGNITY HLTH true Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(c)(3) 3 DIGNITY HLTH true St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 11A-I DIGNITY HLTH true St Mary Catholic Housing Corporation 1050 Linden Avenue Long Beach CA 90813 330007728 Sr HOusing CA 501(c)(3) 1 DIGNITY HLTH true St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 office space CA 501(c)(3) 11A-I DIGNITY HLTH true Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Barrow Foundation UK 350 West Thomas Road Phoenix AZ 85013 311724184 FNDRSING FND AZ 501(c)(3) 11C-III-FI NA false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FNDRSING FND AZ 501(c)(3) 11C-III-FI DIGNITY HLTH false California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles CA 90015 954000909 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Community Hospital Foundation of San Ber 1805 Medical Center Drive San Bernardino CA 92411 953051931 FNDRSING FND CA 501(c)(3) 11A-I CHSB true DIGNITY HEALTH Foundation 185 Berry Street San Francisco CA 94107 462037641 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true DIGNITY HEALTH Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FNDRSING FND AZ 501(c)(3) 11A-I DIGNITY HLTH true Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Marian Regional Medical Center Foundatio 1400 E Church Street Santa Maria CA 93454 953818027 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Mercy Foundation Sacramento 3400 Data Drive 3rd Flr Rancho Cordova CA 95670 237072762 FNDRSING FND CA 501(c)(3) 11A-I NA false MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13th Street Merced CA 95340 770035928 FNDRSING FND CA 501(c)(3) 11A-I DIGNITY HLTH true Northridge Hospital 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5663224 16004394 1.00000 true true true true true false true false false false false false true true false false false false false true Community Hospital San Bernardino a 5873450 SEE PART VII Dignity Health Medical Foundation a 3303723 SEE PART VII DignityUSP NorCal Surgery Centers LLC a 408408 SEE PART VII Dominican Magnetic Resonance Imaging Center a 138558 SEE PART VII Golden Umbrella a 145757 SEE PART VII Shasta Senior Nutrition Program a 272484 SEE PART VII SMI Imaging LLC a 118551 SEE PART VII St Joseph's Foundation of San Joaquin a 30000 SEE PART VII St Joseph's Surgery Center LP a 387825 SEE PART VII St Mary Health Venture a 35109 SEE PART VII St Mary Professional Building a 177000 SEE PART VII Arizona Care Network LLC B 1300000 SEE PART VII Arroyo Grande Community Hospital Foundation b 436617 SEE PART VII California Hospital Medical Center Foundation b 1650918 SEE PART VII DHRT Holdings LLC B 1134415 SEE PART VII DignityAbrazo Health Network LLC B 1425000 SEE PART VII Dignity Health Foundation East Valley b 1815462 SEE PART VII Dignity Health Holding Corporation b 22215198 SEE PART VII Dignity Health Medical Foundation b 116637542 SEE PART VII Dominican Breast Center LLC b 90000 SEE PART VII Dominican Hospital Foundation b 1185597 SEE PART VII Dominican Magnetic Resonance Imaging Center b 282000 SEE PART VII French Hospital Medical Center Foundation b 966054 SEE PART VII Glendale Memorial Health Foundation b 915254 SEE PART VII Golden Umbrella b 324693 SEE PART VII Inland Health Organization of Southern Califo b 3300909 SEE PART VII Marian Regional Medical Center Foundation b 918702 SEE PART VII Mercy Foundation Bakersfield b 862123 SEE PART VII Mercy Medical Center Merced Foundation b 582699 SEE PART VII Northridge Hospital Foundation b 1071852 SEE PART VII Shasta Senior Nutrition Program b 320341 SEE PART VII St Bernardine Medical Center Foundation b 883990 SEE PART VII St John's Healthcare Foundation b 1243628 SEE PART VII St Joseph's Foundation b 1696230 SEE PART VII St Joseph's Foundation of San Joaquin b 892076 SEE PART VII St Mary Medical Center Foundation b 2125608 SEE PART VII St Mary's Medical Center Foundation b 1109077 SEE PART VII St Rose Dominican Health Foundation b 2601318 SEE PART VII California Hospital Medical Center Foundation c 4028265 SEE PART VII Dignity Health Foundation East Valley c 2678196 SEE PART VII Dominican Hospital Foundation c 2304324 SEE PART VII French Hospital Medical Center Foundation c 2109989 SEE PART VII Glendale Memorial Health Foundation c 348743 SEE PART VII Marian Regional Medical Center Foundation c 2810945 SEE PART VII Mercy Foundation Bakersfield c 2049680 SEE PART VII Mercy Medical Center Merced Foundation c 650843 SEE PART VII Northridge Hospital Foundation c 2934551 SEE PART VII St Bernardine Medical Center Foundation c 2141672 SEE PART VII St John's Healthcare Foundation c 551292 SEE PART VII St Joseph's Foundation c 5257117 SEE PART VII St Joseph's Foundation of San Joaquin c 3212700 SEE PART VII St Mary Medical Center Foundation c 4685682 SEE PART VII St Mary's Medical Center Foundation c 2441835 SEE PART VII St Rose Dominican Health Foundation c 5821732 SEE PART VII Dignity Health Holding Corporation d 125000 SEE PART VII SMI Imaging LLC D 1487048 SEE PART VII Dignity Health Holding Corporation f 200000000 SEE PART VII Bakersfield Memorial Hospital l 26878997 SEE PART VII CDS of Nevada Inc l 215275 SEE PART VII Community Hospital San Bernardino l 15115508 SEE PART VII Community Hospital San Bernardino Foundation l 49788 SEE PART VII Dignity Health Foundation East Valley l 86260 SEE PART VII Dignity Health Hospital Prof Liab Self-Insura l 8644118 SEE PART VII Dignity Health Medical Foundation l 19154179 SEE PART VII Dignity Health Workers' Comp Self-Insurance T l 1061319 SEE PART VII DignityUSP NorCal Surgery Centers LLC l 3338342 SEE PART VII Dominican Oaks Corporation l 221133 SEE PART VII Folsom Sierra Endoscopy Center l 2052441 SEE PART VII French Hospital Medical Center Foundation l 58140 SEE PART VII Glendale Memorial Health Foundation l 60780 SEE PART VII Inland Health Organization of Southern Califo l 256530 SEE PART VII Marian Regional Medical Center Foundation l 52560 SEE PART VII Mercy Davis Cancer Center Management Co LLC l 2869973 SEE PART VII Mercy Foundation Bakersfield l 62915 SEE PART VII Mercy McMahon Terrace l 92738 SEE PART VII NICU OPERATING CO SANTA CRUZ LLC l 3967725 SEE PART VII Northridge Hospital Foundation l 95220 SEE PART VII PACIFIC CENTRAL COAST HEALTH CENTERS L 595704 SEE PART VII Saint Francis Memorial Hospital l 19086895 SEE PART VII Saint Mary's Preferred Health Insurance Compa l 439752 SEE PART VII Saint Mary's HealthFirst l 6671725 SEE PART VII Sierra Nevada Memorial-Miners Hospital l 7109680 SEE PART VII St Bernardine Medical Center Foundation l 70548 SEE PART VII St John's Healthcare Foundation l 220720 SEE PART VII St Joseph's Foundation of San Joaquin l 118697 SEE PART VII St Joseph's Surgery Center LP l 4643864 SEE PART VII St Mary Health Venture l 2918346 SEE PART VII St Mary Medical Center Foundation l 148046 SEE PART VII St Mary Professional Building l 262633 SEE PART VII St Rose Dominican Health Foundation l 175320 SEE PART VII Trinity Care Infusion Services l 111158 SEE PART VII Bakersfield Memorial Hospital m 309048 SEE PART VII CBCC Outsmarting Cancer LLC m 150351 SEE PART VII DignityAbrazo Health Network LLC M 1746558 SEE PART VII Dignity Health Hospital Prof Liab Self-Insura m 91662816 SEE PART VII Dignity Health Workers' Comp Self-Insurance T m 20878960 SEE PART VII Dignity Health Medical Foundation m 17977857 SEE PART VII Folsom Sierra Endoscopy Center m 5470101 SEE PART VII Saint Francis Memorial Hospital m 58619 SEE PART VII Saint Mary's HealthFirst m 8027872 SEE PART VII DignityUSP NorCal Surgery Centers LLC s 8016000 SEE PART VII Dominican Health Services s 75000 SEE PART VII Folsom Sierra Endoscopy Center s 1403520 SEE PART VII NICU Operating CO of Santa Cruz LLC s 3583711 SEE PART VII NSC CHANNEL ISLANDS LLC s 203668 SEE PART VII RBR MANAGEMENT LLC S 165660 SEE PART VII St Joseph's Surgery Center LP s 1265822 SEE PART VII Schedule R, Part V, Line 2 column (c) PART V, LINE 1A - DIGNITY HEALTH LEASES FACILITIES AND/OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS (FUNDRAISING FOUNDATIONS, JOINT VENTURES AND MEDICAL FOUNDATION). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE AMOUNTS CHARGED FOR SUCH AGREEMENTS. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE AMOUNTS CHARGED UNDER THESE AGREEMENTS. DIGNITY HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS, FUNDRAISING FOUNDATIONS AND WHOLLY OWNED ORGANIZATIONS). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE INTEREST PAYMENTS CHARGED FOR THESE LOANS. PART V, LINE 1B, AND 1C - DIGNITY HEALTH AND ITS HOSPITAL FACILITIES ARE SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS OPERATE FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF DIGNITY HEALTH AND ITS HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO DIGNITY HEALTH FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM DIGNITY HEALTH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" INCLUDE FUNDS EXPENDED BY DIGNITY HEALTH ON BEHALF OF THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED AS GRANTS BY DIGNITY HEALTH HOSPITALS FROM THE FOUNDATIONS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" ALSO INCLUDE FUNDING SUPPORT OF DIGNITY HEALTH MEDICAL FOUNDATION (DHMF), WHICH OPERATES CLINICS IN THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS THROUGHOUT CALIFORNIA. DIGNITY HEALTH ALSO PROVIDES FUNDING SUPPORT OF OTHER EXEMPT ORGANIZATIONS THAT PROVIDE SERVICES TO COMMUNITIES SERVED BY DIGNITY HEALTH FACILITIES WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". DIGNITY HEALTH ALSO PROVIDES CAPITAL FUNDING TO CERTAIN RELATED ORGANIZATIONS, WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". PART V, LINE 1D - DIGNITY HEALTH MADE LOANS TO AND LOAN GUARANTEES ON BEHALF OF VARIOUS RELATED ORGANIZATIONS. AMOUNTS REPORTED AS TRANSACTION TYPE "D" REPRESENT THE FAIR MARKET VALUE OF THE LOANS AND GUARANTEES. PART V, LINE 1F - DIGNITY HEALTH RECEIVED A RETURN ON CAPITAL CONTRIBUTION FROM DIGNITY HEALTH HOLDING CORPORATION WHICH IS REFLECTED AS A DIVIDEND. PART V, LINE 1L - DIGNITY HEALTH FACILITIES PERFORM VARIOUS SERVICES FOR OTHER RELATED ORGANIZATIONS. BELOW IS A SUMMARY OF THE TRANSACTIONS AMONG RELATED ORGANIZATIONS FOR SUCH ACTIVITIES. DIGNITY HEALTH'S CONTROLLED ENTITIES ARE ASSESSED AN AMOUNT TO COVER THE SYSTEM OFFICE OPERATIONS. IN ADDITION, AN EXPENSE IS ALSO ASSESSED TO COVER CENTRALIZED INFORMATION TECHNOLOGY COSTS OF THE ORGANIZATION, CENTRALIZED ACCOUNTS PAYABLE, PAYROLL, ACCOUNTING, DECISION SUPPORT, AND CERTAIN OTHER MANAGEMENT SERVICES. DIGNITY HEALTH HOSPITALS PROVIDE CARE TO INDIVIDUALS INSURED BY SAINT MARY'S HEALTHFIRST. AMOUNTS REPORTED UNDER TRANSACTION TYPE "L" INCLUDE NET PATIENT REVENUE RELATED TO THESE SERVICES. IN FY14, DIGNITY HEALTH HOSPITALS ALSO PERFORMED SERVICES FOR OTHER RELATED ORGANIZATIONS. SERVICES INCLUDED PLANT MAINTENANCE, LAUNDRY SERVICES, PATIENT FINANCIAL SERVICES MANAGEMENT, CENTRAL STERILIZATION SERVICES, CATERING SERVICES FOR PATIENT NOURISHMENT, AND OTHER SERVICES AS DEEMED NECESSARY. THE SERVICES PERFORMED ARE REIMBURSED AT COST. PART V, LINE 1M - PHYSICIAN CLINIC SUPPORT SERVICES ARE PROVIDED TO DIGNITY HEALTH HOSPITALS BY DHMF. DHMF OPERATES CLINICS WITH LOCATIONS THROUGHOUT NORTHERN CALIFORNIA AND NEVADA. AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE THE PAYMENTS MADE TO DHMF FOR THE HOSPITALISTS AND RISK POOL PROGRAMS. DIGNITY HEALTH IS SELF-INSURED FOR WORKERS' COMPENSATION BENEFITS AND FOR HOSPITAL PROFESSIONAL AND GENERAL LIABILITY RISKS. DIGNITY HEALTH MAINTAINS SEPARATE TRUSTS FOR THESE PROGRAMS FROM WHICH CLAIMS AND RELATED EXPENSES AND COSTS OF ADMINISTERING THE PLANS ARE PAID. DIGNITY HEALTH HOSPITALS FUND THE TRUSTS, SUCH THAT OVER TIME, ASSETS HELD EQUAL LIABILITIES FOR CLAIMS INCURRED. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE THE CASH TRANSFERRED FROM DIGNITY HEALTH TO THE TRUSTS FOR THE FY14 FUNDING OF THE SELF-INSURANCE PROGRAMS. CERTAIN DIGNITY HEALTH HOSPITALS PURCHASED HEALTH INSURANCE FOR THEIR EMPLOYEES FROM SAINT MARY'S HEALTHFIRST. AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE PAYMENTS MADE FOR INSURANCE PREMIUMS. PART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS.