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DIGNITY HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
DIGNITY HEALTH (EIN 94-1196203)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111369349305206
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T14:44:15-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941196203EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Catholic Healthcare WestBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATHNameControl
Phone4154385500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1185 Berry StreetAddressLine1
CitySan FranciscoCity
StateCAState
ZIP Code94107ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL BLASZYKName
TitleSEVP/CFOTitle
Date Signed2011-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159635100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael BlaszykNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1185 BERRY STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94580ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12841841491GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.chwhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionCatholic Healthcare West and our Sponsoring Congregations are committed to furthering the healing ministry of Jesus.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees52215TotalNbrEmployees
Total Nbr Volunteers10210TotalNbrVolunteers
Total Gross UBI26852252TotalGrossUBI
Net Unrelated Business Txbl Income-605851NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year95569320ContributionsGrantsPriorYear
Contributions Grants Current Year97575926ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7546763542ProgramServiceRevenuePriorYear
Program Service Revenue CY7833539936ProgramServiceRevenueCY
Investment Income Prior Year35269802InvestmentIncomePriorYear
Investment Income Current Year113216061InvestmentIncomeCurrentYear
Other Revenue Prior Year104141464OtherRevenuePriorYear
Other Revenue Current Year112917285OtherRevenueCurrentYear
Total Revenue Prior Year7781744128TotalRevenuePriorYear
Total Revenue Current Year8157249208TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year65963767GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY68346972GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3938744876SalariesEtcPriorYear
Salaries Etc Current Year4187378160SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year221252TotalFundrsngExpCurrentYear
Other Expense Prior Year3469964736OtherExpensePriorYear
Other Expenses Current Year3719617259OtherExpensesCurrentYear
Total Expenses Prior Year7474673379TotalExpensesPriorYear
Total Expenses Current Year7975342391TotalExpensesCurrentYear
Revenues Less Expenses Prior Year307070749RevenuesLessExpensesPriorYear
Revenues Less Expenses CY181906817RevenuesLessExpensesCY
Total Assets BOY9371833613TotalAssetsBOY
Total Assets EOY10197049833TotalAssetsEOY
Total Liabilities BOY6792133949TotalLiabilitiesBOY
Total Liabilities EOY7422975561TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2579699664NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2774074272NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION: CATHOLIC HEALTHCARE WEST AND OUR SPONSORING CONGREGATIONS ARE 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 GROWING AND DIVERSIFIED HEALTH CARE MINISTRY DISTINGUISHED BY EXCELLENT QUALITY AND COMMITTED TO EXPANDING ACCESS TO THOSE IN NEED. OUR VALUES: CATHOLIC HEALTHCARE WEST 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 FOR OUR SISTERSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6949652033Expense
Grants68346972Grants
Revenue7810089448Revenue
DescriptionCatholic Healthcare West is a California nonprofit public benefit corporation headquartered in San Francisco, California. Catholic Healthcare West, together with its subsidiary corporations (CHW), is one of the largest not-for-profit acute healthcare delivery systems in the United States as measured by annual revenue. CHW operates 40 hospitals throughout major California markets and in the Phoenix, Arizona and Las Vegas and Reno, Nevada metropolitan markets. CHW's facilities include approximately 8,910 licensed acute care beds and approximately 926 licensed skilled nursing beds. CHW maintains prominent market shares in many of its service areas, and many of its hospitals rank among the finest in the nation. With a significant presence in Sacramento, San Francisco, Southern California, San Joaquin Valley, Central Coast, Central California, Northern California and Santa Cruz, CHW's California operations are well dispersed throughout the state. The hospital activities of the sponsors of CHW date back to 1856. CHW was founded in 1986 when two religious congregations brought together the 10 facilities they sponsored at the time. Since then, CHW has grown significantly in size through mergers, affiliations and development of expanded markets. Today, CHW includes many facilities that are non-Catholic community sponsored facilities, as well as those that are Catholic religiously sponsored facilities. CHW's hospitals operate emergency rooms that are open to all persons regardless of ability to pay; have open medical staffs with privileges available to all qualified physicians in the area; 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, CHAMPUS, Tricare and/or other government-sponsored healthcare programs. This organization is a public benefit corporation exempt from taxation under section 501(c)(3) of the internal revenue code. CHW is listed in the Official Catholic Directory (OCD). Qualified Catholic Organizations which are listed in the OCD qualify for automatic exemption under 501(c)(3) via a group ruling. The annual ruling dated July 28, 2009 reaffirmed the original ruling dated March 25, 1946.Description
Total Program Service Expense6949652033TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965717NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees52215NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryDANameOfForeignCountry
Name Of Foreign CountryGRNameOfForeignCountry
Name Of Foreign CountryKSNameOfForeignCountry
Name Of Foreign CountryMYNameOfForeignCountry
Name Of Foreign CountryPLNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY CONNICK - FIN DEPTNamePerson
Telephone Number4154385500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1185 BERRY STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94107ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Dr Andrew C Agwunobi
Board Member3.0X000
Sheila Browne RSM
Board Member3.0X000
Judy Carle RSM
Board Member5.0X000
Morgan Clayton
Board Member3.0X000
Mark DeMichele
Board Member3.0X000
Dr Thomas L Garthwaite
Board Member3.0X000
James M Givens CFA
Board Member3.0X000
Peter G Hanelt CPA
Board Member3.0X000
Lillian Anne Healy CCVI
Board Member3.0X000
Dr Rodney F Hochman
Board Member3.0X000
Maureen McInerney OP
Board Member3.0X001143
Dr Kenneth Mills
Board Member /Medical Director11.0X4380400
Patricia Rayburn OSF
Board Member3.0X000
Judy Rimbey OP
Board Member3.0X000
Susan Snyder OP
Board Member3.0X000
Jarrett Anderson Esq
Board Chair10.0X000X
Caretha Coleman
Board Member / Secretary3.0X000X
Tessie Guillermo
Board Vice Chair3.0X000X
Lloyd H Dean
Board Member, President/ CEO40.0X41169110645298X
Michael D Blaszyk
EVP, Chief Financial Officer40.043076570572107X
Derek F Covert
SVP, Legal Svcs/Gen Counsel40.011653910100487X
William J Hunt
EVP, Chief Operating Officer40.020173740151395X
Elizabeth Shih
SVP, Chief Admin Officer/ Asst40.018079620293626X
Marvin O'Quinn
EVP, Chief Operating Officer40.019300970119149X
Diane Lee
VP & Assoc Gen Cnsl, Asst Sec40.0367235047671X
Keith Callahan
VP, Supply Chain Mgmt & e.Comm40.0608626064776X
Gary F Conner
VP, Financial Operations40.0989809081028X
Mary Connick
VP Finance, Corp Controller40.0646370063354X
Charles P Francis
SVP, Chief Strategy Officer40.014523470160175X
Linda Hunt
Service Area Leader40.0775038078738X
Jeffrey W Land
VP Corporate Real Estate40.0523497067309X
Bernita McTernan
SVP, Sponsorship, Mission Inte40.010505020101396X
Timothy Moran
Service Area Leader40.0607453076995X
Karl Silberstein
VP, Financial Operations40.0730704078298X
LeAnne Trachok
VP, Revenue Services40.0578662055464X
Ernest H Urquhart
SVP, Chief HR Officer40.014243260339030X
Dr Robert Wiebe
SVP, CMO40.0993468082397X
John M Wray
SVP, Managed Care40.0968119091580X
Lisa Zuckerman
VP, Treasury Services40.0556125066390X
Benjamin R Williams
SVP, Chief Information Officer40.0812746081728X
Dr Naftaly Attias
Physician40.0713464063849X
Dr David Cleveland
Exec Dir, Heart and Lung Inst40.0758246059433X
Alan Iftiniuk
Service Area Leader40.0688925074523X
Dr Scott R Petersen
Physician40.0766924073142X
Dr Dana G Seltzer
Chairman - Orthopedics40.0822246070221X
William Fuchs
Former Key Employee40.016812670631899X
Saliba Salo
Former Key Employee40.0626138050170X
Mike Uboldi
Former Key Employee40.0660323071813X
Jeff Winter
Former Key Employee40.015756100738228X
FieldValueIRS element (for citing)
Total Reportable Comp From Org36767366TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation5252812TotalOtherCompensation
Number Individuals GT100 K8137NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TURNER CONSTRUCTION CO
1211 H STSACRAMENTOCA95814General Contractor57559843
DPR CONSTRUCTION INC
2480 NATOMAS PARK DR STE 100SACRAMENTOCA95833General Contractor22440806
C OVERAA CO
200 PARR BLVDRICHMONDCA94801General Contractor12261885
ANGELICA TEXTILE SERVICES
925 S 8TH STCOLTONCA92324Laundry Services17128714
BOGARD CONSTRUCTION INC
350-A CORAL STSANTA CRUZCA95060General Contractor5447849
FieldValueIRS element (for citing)
Number Of Contractors GT100 K917NumberOfContractorsGT100K
Related Organizations63137842RelatedOrganizations
Government Grants25849179GovernmentGrants
All Other Contributions8588905AllOtherContributions
Noncash Contributions2402846NoncashContributions
Total Contributions97575926TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT/CHARITY90009949035913524903591352
MEDICARE/MEDICAID PAYMENTS90009928297679382829767938
MED OFFICE BLDG6213001673454316734543
LABORATORY5413801451860214518602
PHARMACY44611083136318313631

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column60613870TotalRevenueColumn
Related Or Exempt Function Income59995615RelatedOrExemptFunctionIncome
Unrelated Business Revenue618255UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue7833539936TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column85900435TotalRevenueColumn
Unrelated Business Revenue740142UnrelatedBusinessRevenue
Exclusion$85,160,293ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1352460TotalRevenueColumn
Exclusion$1,352,460ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column3405TotalRevenueColumn
Exclusion$3,405ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1345159Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real121639Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1223520Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1223520TotalRevenueColumn
Exclusion$1,223,520ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4709921698Securities
Other512112Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4684258826Securities
Other211818Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities25662872Securities
Other300294Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column25963166TotalRevenueColumn
Exclusion$25,963,166ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MGMT SERVICES54161064450024495054$63,954,970
CAFETERIA90009921978088$21,978,088
PARKING LOT8129302679856178936$2,500,920

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column22582392TotalRevenueColumn
Unrelated Business Revenue1987632UnrelatedBusinessRevenue
Exclusion$20,594,760ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue111690360TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8157249208TotalRevenueColumn
Related Or Exempt Function Income7810089448RelatedOrExemptFunctionIncome
Unrelated Business Revenue26852252UnrelatedBusinessRevenue
Exclusion$222,731,582ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total67847899Total
Program Services67847899ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total491724Total
Program Services491724ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total7349Total
Program Services7349ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total34902144Total
Program Services30665705ProgramServices
Management And General4236439ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total132152Total
Management And General132152ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3198856827Total
Program Services2804733288ProgramServices
Management And General393932256ManagementAndGeneral
Fundraising191283Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total263951192Total
Program Services235529605ProgramServices
Management And General28421587ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total460713981Total
Program Services427317162ProgramServices
Management And General33396819ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total228821864Total
Program Services210551589ProgramServices
Management And General18270275ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15059775Total
Program Services467018ProgramServices
Management And General14592757ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8103499Total
Program Services64330ProgramServices
Management And General8039169ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1509535Total
Program Services804250ProgramServices
Management And General705285ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total10965784Total
Program Services3012024ProgramServices
Management And General7953760ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total681180164Total
Program Services481653807ProgramServices
Management And General199526096ManagementAndGeneral
Fundraising261Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total20991056Total
Program Services1950189ProgramServices
Management And General19040867ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total211155545Total
Program Services173118934ProgramServices
Management And General38030980ManagementAndGeneral
Fundraising5631Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total115705904Total
Program Services28837191ProgramServices
Management And General86868713ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total107102076Total
Program Services89899522ProgramServices
Management And General17202554ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12255417Total
Program Services5674289ProgramServices
Management And General6560090ManagementAndGeneral
Fundraising21038Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6062668Total
Program Services2422667ProgramServices
Management And General3638081ManagementAndGeneral
Fundraising1920Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total229237377Total
Program Services229237377ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total372604645Total
Program Services274982498ProgramServices
Management And General97622147ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total31158531Total
Program Services19156499ProgramServices
Management And General12002032ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES10628676311062867631
BAD DEBT682933281682933281
MEDICAL PRVDR/OUT-OF NTWRK CST5603685955320132716727
DUES & SUBSCRIPTIONS1105496533522477702559159
UNRELATED BUSINESS INC TAXES140500140500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83492047Total
Program Services56613326ProgramServices
Management And General26877761ManagementAndGeneral
Fundraising960Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7975342391Total
Program Services6949652033ProgramServices
Management And General1025469106ManagementAndGeneral
Fundraising221252Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY203786BOY
EOY21838EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1161615972BOY
EOY1258073060EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8576129BOY
EOY9029148EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1101946668BOY
EOY1055515244EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY800000BOY
EOY533333EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY83740349BOY
EOY86439693EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY129368785BOY
EOY137666675EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125448757BOY
EOY243180236EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7058350249LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3623035926LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3312496887BOY
EOY3435314323EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2480617176BOY
EOY2739423276EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY442637187BOY
EOY588527356EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY463894670BOY
EOY571750574EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6218642BOY
EOY6212886EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54268605BOY
EOY65362191EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9371833613BOY
EOY10197049833EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1375194567BOY
EOY1753060141EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY3011249BOY
EOY6022731EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27743630BOY
EOY31417900EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3624750534BOY
EOY3584111299EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY501119413BOY
EOY553930080EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1260314556BOY
EOY1494433410EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6792133949BOY
EOY7422975561EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2456921016BOY
EOY2646990892EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100057483BOY
EOY100281591EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22721165BOY
EOY26801789EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2579699664BOY
EOY2774074272EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9371833613BOY
EOY10197049833EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$51,604MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,352,509GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$272,579DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1676692TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-BIdentifier
ExplanationTHIS ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSEs include DIRECTing, DEVELOPing, AND AFFECTing PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THIS ORGANIZATION PAID ANNUAL FEES TO THE ASSOCIATIONS, COMPENSATION TO STAFF IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, WHICH INCLUDED MEETING WITH AND CALLING GOVERNMENT OFFICIALS, DEVELOPING AND SENDING LETTERS AND PUBLICATIONS, and fees TO OTHER ORGANIZATIONS which may be used FOR LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance78750122BeginningOfYearBalance
Contributions11968055Contributions
Investment Earnings Or Losses7851317InvestmentEarningsOrLosses
Grants Or Scholarships87952GrantsOrScholarships
Other Expenditures6352676OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance92128866EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance89391160BeginningOfYearBalance
Contributions1411823Contributions
Investment Earnings Or Losses-10569881InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1722677OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance78510425EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.16000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.84000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis184081600OtherCostOrOtherBasis
Book Value184081600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3579766454OtherCostOrOtherBasis
Depreciation1718297467Depreciation
Book Value1861468987BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis44481881OtherCostOrOtherBasis
Depreciation27838878Depreciation
Book Value16643003BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2734188897OtherCostOrOtherBasis
Depreciation1804520062Depreciation
Book Value929668835BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis515831417OtherCostOrOtherBasis
Depreciation72379519Depreciation
Book Value443451898BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3435314323TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPOOLED INVESTMENTSDescription
Book Value588527356BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities588527356TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INTEREST IN NET ASSETS OF111196615F
INVESTMENTS IN HEALTH RELATED460553959F
FieldValueIRS element (for citing)
Total Of Book Value Program Related571750574TotalOfBookValueProgramRelated
Federal Income Tax Liability302371FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DEFERRED HOME HEALTH REIMBURSEMENT$1,415,701
DEFERRED COMPENSATION$25,050,158
OTHER NON-CURRENT LIABILITIES$80,825,029
DUE TO RELATED PARTIES$201,303,656
PENSION PAYABLE$1,185,536,495
FieldValueIRS element (for citing)
Total Of Amounts1494433410TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Sch D, Part XThe consolidated audited financial statements for CHW and its subordinate corporations did not include a FIN 48 footnote disclosure as the liability was not SIGNIFICANT TO THE FINANCIAL STATEMENTS.
SCH D, Part V, Line 4CHW has various supporting 501(C)(3)fundraising foundations. AS sUPPORTING ORGANIZATIONs, THEy OPERATE EXCLUSIVELY TO RAISE FUNDS FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF, CHW's HOSPITALs. CHW'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 F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services Providedsee Sch F, Part IVSpecificServicesProvided
Total Expenditures151980TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent151980TotalAmountSpent

Grants To Ind Outside US GrantsToIndOutsideUS

FieldValueIRS element (for citing)
Type Of AssistanceMedical Supplies & Equipment for disaster victimsTypeOfAssistance
RegionCent. America/CaribbeanRegion
Amount Of Non Cash Assistance2087AmountOfNonCashAssistance
Description Of Non Cash AssistanceMED EQUIP/SUDescriptionOfNonCashAssistance

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierPart I, Line 3Identifier
ExplanationCHW has been sending medical mission teams annually to Esquipulas, Guatemala, a remote area southeast of Guatemala City, in support of the sisters of charity of the incarnate word and the sisters of Mercy of the Americas. With a total population of nearly 13 million people, approximately 10 million Guatemalans live in poverty and two-thirds of that number live in extreme poverty. CHW's volunteer doctors, nurses, and specialists provide primary care treatment to about 200 people per clinic. Nurse educators are also present to offer health and wellness education to community leaders and families. Expenditures reported are for medical supplies and equipment, salaries, wages, and other employment-related costs, and travel costs.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served94133PersonsServed
Total Community Benefit Expense131883430TotalCommunityBenefitExpense
Direct Offsetting Revenue2988601DirectOffsettingRevenue
Net Community Benefit Expense128894829NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served812730PersonsServed
Total Community Benefit Expense1476801018TotalCommunityBenefitExpense
Direct Offsetting Revenue966676398DirectOffsettingRevenue
Net Community Benefit Expense510124620NetCommunityBenefitExpense
Percent Of Total Expense0.07000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served256438PersonsServed
Total Community Benefit Expense87414205TotalCommunityBenefitExpense
Direct Offsetting Revenue37755964DirectOffsettingRevenue
Net Community Benefit Expense49658241NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served1163301PersonsServed
Total Community Benefit Expense1696098653TotalCommunityBenefitExpense
Direct Offsetting Revenue1007420963DirectOffsettingRevenue
Net Community Benefit Expense688677690NetCommunityBenefitExpense
Percent Of Total Expense0.09450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served3042900PersonsServed
Total Community Benefit Expense81062900TotalCommunityBenefitExpense
Direct Offsetting Revenue8955164DirectOffsettingRevenue
Net Community Benefit Expense72107736NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served69539PersonsServed
Total Community Benefit Expense65025776TotalCommunityBenefitExpense
Direct Offsetting Revenue12489425DirectOffsettingRevenue
Net Community Benefit Expense52536351NetCommunityBenefitExpense
Percent Of Total Expense0.00720PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served255806PersonsServed
Total Community Benefit Expense52119927TotalCommunityBenefitExpense
Direct Offsetting Revenue3770490DirectOffsettingRevenue
Net Community Benefit Expense48349437NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served23285PersonsServed
Total Community Benefit Expense28419317TotalCommunityBenefitExpense
Direct Offsetting Revenue1228937DirectOffsettingRevenue
Net Community Benefit Expense27190380NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served373334PersonsServed
Total Community Benefit Expense11288178TotalCommunityBenefitExpense
Direct Offsetting Revenue209926DirectOffsettingRevenue
Net Community Benefit Expense11078252NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served3764864PersonsServed
Total Community Benefit Expense237916098TotalCommunityBenefitExpense
Direct Offsetting Revenue26653942DirectOffsettingRevenue
Net Community Benefit Expense211262156NetCommunityBenefitExpense
Percent Of Total Expense0.02890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served4928165PersonsServed
Total Community Benefit Expense1934014751TotalCommunityBenefitExpense
Direct Offsetting Revenue1034074905DirectOffsettingRevenue
Net Community Benefit Expense899939846NetCommunityBenefitExpense
Percent Of Total Expense0.12340PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served52PersonsServed
Total Community Building Expense2119390TotalCommunityBuildingExpense
Direct Offsetting Revenue1453155DirectOffsettingRevenue
Net Community Building Expense666235NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2002PersonsServed
Total Community Building Expense3322TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3332NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served13549PersonsServed
Total Community Building Expense1178168TotalCommunityBuildingExpense
Direct Offsetting Revenue7637DirectOffsettingRevenue
Net Community Building Expense1170531NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1008PersonsServed
Total Community Building Expense4729TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4729NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served10613PersonsServed
Total Community Building Expense506907TotalCommunityBuildingExpense
Direct Offsetting Revenue485DirectOffsettingRevenue
Net Community Building Expense506422NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs47NumberOfActivitiesOrPrograms
Persons Served53575PersonsServed
Total Community Building Expense1210487TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1210487NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served4248PersonsServed
Total Community Building Expense4075637TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4075637NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served440PersonsServed
Total Community Building Expense635241TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense635241NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served417PersonsServed
Total Community Building Expense109109TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense109109NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs151NumberOfActivitiesOrPrograms
Persons Served85904PersonsServed
Total Community Building Expense9842990TotalCommunityBuildingExpense
Direct Offsetting Revenue1461277DirectOffsettingRevenue
Net Community Building Expense8381723NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$148,680,467BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare1613384857AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1857447698CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-244062841MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (31 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
See Sch O Entity 1
Surgery0.510000.000000.49000
See Sch O Entity 2
Surgery0.501000.000000.00000
See Sch O Entity 3
Surgery0.350000.000000.10040
See Sch O Entity 4
Real Estate (Rent/Lease)0.860000.000000.14000
See Sch O Entity 5
Surgery0.500000.000000.50000
See Sch O Entity 6
Imaging0.500000.000000.50000
See Sch O Entity 7
Imaging0.500000.000000.50000
See Sch O Entity 8
Imaging0.800000.000000.20000
See Sch O Entity 9
Surgery0.510000.000000.49000
See Sch O Entity 10
Surgery0.200000.000000.80000
See Sch O Entity 11
Surgery0.510000.000000.49000
See Sch O Entity 12
Surgery0.501000.000000.00000
See Sch O Entity 13
Surgery0.303260.000000.21160
See Sch O Entity 14
Surgery0.326300.000000.32370
See Sch O Entity 15
Surgery0.308000.000000.22919
See Sch O Entity 16
Imaging0.490000.000000.30345
See Sch O Entity 17
Surgery0.138700.000000.75000
See Sch O Entity 18
Radiosurgery0.200000.000000.40000
See Sch O Entity 19
Real Estate (Rent/Lease)0.250000.000000.75000
See Sch O Entity 20
Imaging0.500000.000000.50000
See Sch O Entity 21
Surgery0.501000.000000.00000
See Sch O Entity 22
Surgery0.307600.000000.33200
See Sch O Entity 23
Litho/Kidney0.090000.000000.79000
See Sch O Entity 24
Surgery0.800000.000000.13300
See Sch O Entity 25
Imaging0.250000.000000.15000
See Sch O Entity 26
Surgery0.501000.000000.00000
See Sch O Entity 27
Surgery0.297490.000000.37330
See Sch O Entity 28
Surgery0.275550.000000.45000
See Sch O Entity 29
Real Estate (Rent/Lease)0.047000.000000.33500
See Sch O Entity 30
Surgery0.652700.000000.11140
See Sch O Entity 31
Surgery0.600000.000000.40000

Form990 Schedule H Part V Form990ScheduleHPartV (53 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOtherCritical Access HospitalCriticalAccessHospitalResearch FacilityResearchFacility
Mercy Medical Center Redding
2175 Rosaline AveReddingCA96001XXXX
Mercy Surgery Center
2175 Rosaline Ave Suite AReddingCA96001Surgery Center
Court Street Surgery Center
2184 Court StreetReddingCA96001Surgery Center
Redding Surgery Center
2439 SonomaReddingCA96001Surgery Center
Mercy General Hospital
4001 J stSacramentoCA95819XXXX
Sacramento Midtown Endoscopy
3941 J StSacramentoCA95819Surgery Center
Methodist Hospital of Sacramento
7500 Hospital DrSacramentoCA95823XXXX
Sequoia Hospital
170 Alameda de las PulgasRedwood CityCA94062XXX
California Hospital Medical Center-LA
1401 South Grand AveLos AngelesCA90015XXXX
Northridge Hospital Medical Center
1830 Roscoe BlvdNorthridgeCA91328XXXX
Trinity Care LLC
18440 Roscoe BoulevardNorthridgeCA91325Home Health
Trinity Care Infusion Services
18440 Roscoe BoulevardNorthridgeCA91325Infusion Center
Arroyo Grande Community Hospital
345 S Halcyon rd Arroyo Grande rdArroyo GrandeCA93420XXX
Coastal Cancer Care and Diagnostic Ctr
921 Oak Park Boulevard 100BPismo BeachCA93449Cancer Diagnostic Center
French Hospital Medical Center
1911 Johnson AveSan Luis ObispoCA93401XXX
St John's Pleasant Valley Hospital
2309 Antonio AveCamarilloCA93010XXX
St John's Regional Medical Center
1600 North Rose AveOxnardCA93030XXX
Radiation Oncology Center of Ventura Cou
1700 N Rose Ave 120OxnardCA93030Surgery Center
Radiation Oncology Center of Ventura Cou
5301 Mission Oaks Boulevard Suite ACamarilloCA93012Surgery Center
Chandler Regional Hospital
475 South Dobson rdChandlerAZ85224XXX
Mercy Gilbert Medical Center
3555 S Val Vista DrGilbertAZ85297XXX
St Elizabeth Community Hospital
2550 Sister Mary Columba DrRed BluffCA96080XXX
St Joseph's Behavioral Health Center
2510 N California StStocktonCA95204X
Dominican Hospital
1555 Soquel drSanta CruzCA95065XXX
Dominican Magnetic Resonance Imaging Cen
1545 Soquel DrSanta CruzCA95065Imaging Clinic
Santa Cruz Surgery Center
3003 Paul Sweet RdSanta CruzCA95065Surgery Center
Santa Cruz Comprehensive Imaging LLC
1685 Commercial WaySanta CruzCA95065Imaging Center
St Rose Dominican Hospital-Siena Campus
3001 St Rose ParkwayHendersonNV89052XXX
St Rose Dominican Hospital-San Martin
8280 West Warm Springs RdLas VegasNV89113XXX
Mercy Hospital
2215 Truxtun AveBakersfieldCA93301XXX
Mercy Southwest Hospital
400 Old River RdBakersfieldCA93311XXX
Glendale Memorial Hospital & Health CTR
1420 South Central AveGlendaleCA91204XXX
Mercy Medical Center Mt Shasta
914 Pine StMt ShastaCA96067XXXX
Siskiyou Home Health Services
317 Deetz RdMt ShastaCA96067Home Health
St Mary Medical Center - Long Beach
1050 Linden AveLong BeachCA90813XXXX
Marian Medical Center
1400 E Church stSanta MariaCA93454XXX
Marian West Campus
505 East Plaza DriveSanta MariaCA93454X
Plaza Surgery Center
525 E Plaza 100Santa MariaCA93454Surgery Center
Mercy Hospital of Folsom
1650 Creekside DrFolsomCA95630XXX
Folsom Sierra Endoscopy Center
1600 Creekside DriveFolsomCA95630Endoscopy Center
Saint Mary's Regional Medical Center
235 West Sixth StRenoNV89503XXX
St Joseph's Medical Center of Stockton
1800 N California StStocktonCA95204XXXX
St Joseph's Surgery Center
1800 N California St 1StocktonCA95204Surgery Center
Mercy San Juan Medical Center
6501 Coyle AveCarmichaelCA95608XXX
Mercy Medical Center Merced
333 Mercy AvenueMercedCA95341XXXX
Mercy Medical Center Merced Dominican Ca
2740 M StreetMercedCA95340X
St Rose Dominican Hospital-Rose de Lima
102 E Lake Mead DrHendersonNV89015XXX
St Joseph's Hospital and Medical Center
350 W Thomas RdPhoenixAZ85013XXXXX
St Joseph Medical Group East Valley
3420 S Mercy Road Suite 121GilbertAZ85297Clinic
St Bernardine Medical Center
2101 N Waterman AveSan BernardinoCA92404XXX
St Mary's Medical Center - San Francisco
450 Stanyan StSan FranciscoCA94117XXXX
St John's Regional Imaging Center LLC
1700 N Rose Ave STE 110OXNARDCA93030IMAGING CENTER
CHWUSP OXNARD SURGERY CENTERS LLC
1700 N ROSE AVE STE 100OXNARDCA93030IMAGING CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaNot applicable. The organization uses the Federal Poverty Guidelines (FPG) to determine eligibility.IncomeBasedCriteria
Annual Community Benefit ExplnEach 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. CHW 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 7). CHW's financial statements are posted on CHW's external web site. Summaries of the individual hospitals' reports are posted online and full reports are available by request.AnnualCommunityBenefitExpln
Costing Method UsedFor purposes of calculating the amounts provided in the table, CHW uses a cost accounting system that combines relative value units (RVU) and cost to charge ratios (CCR) to allocate costs to the patient level. The cost accounting system algorithm allocates total operating expenses to the procedure charge code level based upon an RVU for procedures that have been studied and assigned an RVU, or based upon a CCR for unstudied procedures that do not have an RVU assigned. When a CCR is used, the system calculates that CCR on a departmental specific basis at each individual hospital where the services were provided. The calculation is similar to the calculation on Worksheet 2 of Schedule H, Ratio of Patient Care Cost to Charges, except it is calculated on a departmental specific basis, not in the aggregate. The allocated procedure charge code level costs are then rolled up to the patient level based upon the billed procedure charge codes associated with those services provided to each specific patient. This is done for all patient segments including inpatient, outpatient, emergency department, private insurance, Medicaid, Medicare, uninsured and self pay. The cost accounting system is utilized to determine the unreimbursed cost of Medicaid and other means-tested government programs. The cost of charity care is calculated by applying the CCR derived from the cost accounting system on a per facility basis, to the charges incurred on patients that qualify for charity care at the respective facility. The actual cost is reported for other community benefit activities such as community health improvement services, community benefit operations, health professions education, subsidized health services, research and cash and in-kind donations.CostingMethodUsed
Subsidized Health Services ExplnCHW reported $10,208,812 as subsidized health services associated with physician clinics as these services are provided to the communities at a financial loss. If CHW did not provide these services, they would be unavailable in the community, there would be insufficient availability in the community, or the service would become the responsibility of the government or another tax-exempt organization.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBad debt expense included on Form 990, Part IX, line 25, column (A) of $682,933,281 has been subtracted for purposes of calculating the percentages in column (f).PercentOfTotalExpenseExpln
Bad Debt FootnoteThe 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 financial assistance, and are otherwise uninsured. Any portion of a patient bill remaining after applying financial, uninsured or other discounts or payments received on the account that are ultimately determined to be uncollectible are written off to bad debt. As noted in Part I, Line 3, CHW provides free or discounted care to uninsured or under-insured individuals at or below 200% or 500%, respectively, of the Federal Poverty Level. CHW 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. CHW makes every effort in determining if a patient qualifies for charity care upon admission. CHW's financial assistance policy is communicated to patients upon admission and is available in the languages primarily spoken in the community. It is also posted in various common areas of the hospital 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. CHW also utilizes a Payment Assistance Rank Ordering (PARO) scoring system to assist in determining if a patient may qualify for charity care 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 financial assistance. In its development, special attention was paid to those socio-economic 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 charity are reported as bad debt. As such, CHW does not believe that any amounts included in Part III, Line 2, are attributable to patients eligible under the organization's charity care policy. The following is an excerpt from CHW and its subordinate corporations' consolidated annual audited financial statements for the year ended June 30, 2010, related to accounts receivable and allowances for charity and doubtful accounts: Patient accounts receivable and net patient service revenue are reported at the net realizable amount from patients, third-party payors, and others for services rendered. CHW manages its collection risk by regularly reviewing its accounts and contracts and by providing appropriate allowances. Reserves for charity and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheet.BadDebtFootnote
Shortfall As Community BenefitCatholic Healthcare West 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. CHW believes that the entire Medicare shortfall of $345.6 million, as reported below in Part VI, Line 7, which is net of prior year cost report settlements of $35,357,760, 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 CHW 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 $244.1 million reported on Part III, Section B, Line 7, for fee for service Medicare patients, as well as additional amounts related to the unreimbursed portion of Medicare Managed Care and Medicare Capitated programs for CHW's hospitals and the hospitals of its subordinate organizations.ShortfallAsCommunityBenefit
Debt Collection PolicyCHW ensures that patient accounts are processed fairly and consistently. CHW's collection policy contains provisions that prohibit the collection of amounts due from patients who the organization knows qualify for charity care. Accounts with incorrect or incomplete demographic information are assigned to a collection agency if the CHW facility or billing company retained by CHW is unable to obtain an updated address through skip tracing or other means. For patients who have an application pending for either government-sponsored financial assistance or for assistance under CHW'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, CHW 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. CHW 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 financial assistance department. Upon assignment of such a patient account to a collection agency, CHW requires the agency to comply with the Fair Debt Collection Practices Act.DebtCollectionPolicy
Number Of Facility Type Expln1 Cancer Diagnostic Center 1 Community Health Clinic 1 Endoscopy Center 2 Home Health Facilities 3 Imaging Facilities 1 Infusion Center 10 Surgery CentersNumberOfFacilityTypeExpln
Needs AssessmentPart VI, Line 2 - Needs Assessment In accordance with CHW policy and California State Senate Bill 697, all CHW hospitals assess the healthcare needs of their respective communities once every three years. This information is utilized in developing a strategy to address prioritized needs and improve the health of the communities CHW serves. Many CHW hospitals conduct assessments through the auspices of multi-hospital consortia. Other CHW hospitals hire outside organizations to compile data while some utilize existing data collected and made accessible by other organizations, including public health departments. Quantitative indicator data are collected from secondary data sources, which may include census data, public health assessments, the local department of education, and law enforcement records. Primary data to capture the perspectives of the communities' residents may be conducted through focus groups, in-person interviews, community forums, neighborhood surveys or through telephone interviews. CHW also uses 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 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. In addition, CHW, in partnership with Thomson Reuters (formerly Solucient), developed a Community Need Index (CNI), which provides an aggregate score of the socio economic barriers that put residents at greater risk of needing health services. The CNI aggregates five socioeconomic indicators long known to contribute to health disparity, which are income, culture/ language, education, housing status, and insurance coverage, and applies them to every zip code in the United States. Each zip code is then given a score ranging from 1.0 (low need) to 5.0 (high need). Residents of communities with the highest CNI scores were shown to be twice as likely to experience preventable hospitalization for manageable conditions, such as ear infections, pneumonia or congestive heart failure, 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 between geographic regions and illustrates the acute needs of several notable geographies, including inner city and rural areas. Further, it should enable health care providers, policymakers, and others to allocate resources where they are most needed, using a standardized, quantitative tool. The CNI provides CHW with an important means to strategically allocate resources where it will be most effective in maintaining a healthy community. Additional information about the CNI is accessible on CHW's website: http://www.chwhealth.org/Who_We_Are/Community_Health/STGSS044508NeedsAssessment
Patient Education AssistancePart VI, Line 3 - Patient Education on Eligibility for Assistance Communication of the Financial Assistance Program to Patients and the Public: Information about CHW's Financial Assistance Program and a contact number are made available to patients and the public. Patients are informed of the facility's charity care 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 CHW facility may elect. Such information is provided in the primary languages spoken in the communities CHW'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 charity care application. Payment 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 CHW's website at www.chwhealth.org. At the point of registration, all patients receive brochures explaining the facility's charity care program and the availability of government sponsored programs. Uninsured patients receive copies of the charity care and Medicaid applications in addition to the brochure upon admission to the facility. It is CHW's policy that at the time of patient billing, CHW facilities provide to all uninsured patients the same billing information concerning services and charges provided to all other patients who receive care at CHW facilities. 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 charity care, instructions on how to apply for a government program or charity care and the provision of such applications. Additionally, contract terms with collection vendors working on behalf of CHW require all initial statements to uninsured patients to include verbiage informing patients of the facility's charity care program and a copy of the charity care application. Also, any member of the CHW 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.PatientEducationAssistance
Community InformationSEE SCHEDULE 0 FOR Part VI, Line 4 - Community InformationCommunityInformation
Community Building ActivitiesPart VI, Line 5 - Community Building Activities At CHW, our efforts to promote the health of the communities we serve go beyond providing health services. CHW's activities support community assets by offering the expertise and services of the organization. CHW takes a proactive approach to addressing the social and economic barriers to good health and agrees with the World Health Organization definition of health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Contributions from CHW hospitals include housing rehabilitation, contributions to community-based assisted living and senior and low-income housing projects. Often the largest employer in the community, CHW 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. There are ongoing efforts to reduce community environmental hazards in the air, water and ground, as well as the safe removal of other toxic waste products. Life and civic skills training programs are offered, including career development to ensure gainful employment in an era of unprecedented unemployment. CHW hospitals open their doors to community groups and also represent the hospitals on community coalitions that focus on the well-being of their respective communities. CHW 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, recruitment of 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 CHW hospitals offer health career mentoring projects and provide school-based and community programs that drive entry into health careers and nursing practice. The following is a brief description of the community building activities for each hospital: Arroyo Grande Community Hospital continues to collaborate with community agencies, whenever possible, establishing community partnerships to effectively address identified community healthcare needs. California Hospital Medical Center participates in major Community Building Activities and has multi million dollar funded grants (federal, State and local) for the program. The Hope Street Family Center received grants for child development, health education and making sure that all children and families, especially those at risk or with disabilities, have the services and support that they need to develop, flourish, and be valued members of the community. Chandler Regional Hospital community building activities include physical improvements, coalition building and workforce development. All of these areas that our organizations are involved in indirectly promote the health of the communities that we serve. For instance, coalition building involves several of our organization's leaders and their time spent with local organizations on their committees and/or boards. The organizations promote access to healthcare, access to healthier lifestyles, education about healthy lives, etc. Dominican Hospital provides apartments to low income senior residents at a reduced market rate. Also, an Organic Garden is located on the hospital campus. It provides not only herbs for the cafeteria, as originally envisioned, but also organic produce. Any member of the community is welcome to help in the garden and receive produce in return. This exemplifies collaboration and by producing healthy food, addresses the healing mission of the Hospital at its most basic level. A Medical Occupations Program provides high school students an introduction to the world of medicine by making connections with industry standards, learning medical terminology, visiting medical facilities, and meeting persons from all aspects of medicine. Leadership Santa Cruz is a County-wide program held annually. This program allows Dominican Hospital leadership to meet with other community leaders and strategize on the promotion of health in Santa Cruz County. French Hospital Medical Center, partnering with agencies such as the Community Health Clinics, People Self Help Housing, San Luis Obispo Parks and Recreation Department, YMCA, San Luis Obispo American Heart Association, American Cancer Society and American Red Cross, has helped to enhance and build community benefit programs. Collaborating with these and other local agencies can provide support services and resources for those with breast and other types of cancer, those in need of prenatal care, diabetes prevention and management of chronic disease. Glendale Memorial Hospital and Health Center maintains a grant funded cancer research project that provides research, education and support to the community on Cancer. Marian Medical Center's service area, as revealed in the assessment, continues to have health disparities, socio economic challenges and unmet health needs. Collaborative partnerships such as the Healthier Communities Council, Healthy Start Collaborative, Children's Health Initiative Advisory Council, and the Health and Disabilities Services Advisory Committee focus on strategies to reduce health disparities and develop or sustain community capacity building initiatives with existing community based organizations. Participating agencies include First Five; Santa Barbara Public Health Dept, City of Santa Maria; Martha's Meals through St. Peter's Episcopal Church; Guadalupe's Healthy Start and Senior Center; Health Linkages and Community Action Commission. The latter two agencies continue to provide fluoride varnish for the State Pre schools and Head Start program. Marian's Community Clinic partners with the Community Education Department to facilitate health promotion and screenings focusing on the poor, vulnerable and Latino populations. Mercy General Hospital, Mercy Hospital of Folsom, Mercy San Juan Medical Center and Methodist Hospital advocate to improve the public health care safety net in Sacramento County and the surrounding region as it is critical in this time of economic recession when an estimated 208,000 individuals are without health insurance coverage and state and local government continues to cut health and social support programs and services. Regular contact is maintained with county and city officials, and community leaders and the CHW Sacramento Service Area Hospitals are actively engaged in many organizations to provide a voice for the underserved, develop initiatives for healthier communities, and enhance economic development and quality of life. Significant volunteer time is spent serving the community in this capacity on the boards of organizations that include: - Capitol Community Health Network, which strives to bring community nonprofit primary care, behavioral health and specialty clinics in the region together in collaboration to build capacity and advocate for important system changes - Hospital Council Mental Health Task Force, which is developing strategy and recommendations for community solutions to rebuild mental health care safety net services - Sacramento County Public Health Advisory Board, which provides guidance on priority issues to the Sacramento County Board of Supervisors - East Sacramento Chamber of Commerce - Sacramento Steps Forward, a task force to find permanent housing solutions for the growing homeless population in the region. The hospitals also participate in fundraising events to support meaningful health improvement programs and services by community based nonprofit organizations. Mercy Gilbert's community building activities include physical improvements, coalition building and workforce development. Coalition building involves several of the organization's leaders and time spent with local organizations on various committees and/or boards. The organizations promote access to healthcare, access to healthier lifestyles, education about healthy lives, etc. The workforce development program, education consortium works with local schools to educate and inform students about healthcare careers. The educational program provides students with information they may need to choose a path in healthcare, which in turn provides the community with appropriate healthcare workers. Mercy Hospitals of Bakersfield / Mercy Southwest Hospital - The mission of Mercy Hospitals of Bakersfield and the status as the largest health care provider in Kern County dictate that we occupy a leadership role in building a healthier community. The Community Benefit Report and Plan contaiCommunityBuildingActivities
Other InformationSEE SCHEDULE 0 FOR Part VI, Line 6 - Other InformationOtherInformation
Affiliated Health Care SystemPART VI, LINE 7 - Affiliates of CHW 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 CHW and its subordinate corporations for the year ended June 30, 2010, is as follows: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 110,381 142,746,446 1.7% Unpaid Costs of Medicaid/Medi-Cal 944,650 558,385,256 6.5% Other Means-tested Programs 269,294 56,864,415 0.7% Community Services: Community Health Services 553,419 48,887,807 0.5% Health Professions Education 21,746 6,431,872 0.1% Subsidized Health Services 212,434 36,161,087 0.4% Donations 256,564 8,509,998 0.1% Community Building Activities 69,194 1,805,508 0.0% Community Benefit Operations 11,547 5,645,250 0.1% Total Community Services for the poor 1,124,904 107,441,522 1.2% Total Benefits for the Poor 2,449,229 865,437,639 10.1% Benefits for the Broader Community: Community Services: Community Health Services 2,464,586 19,716,268 0.2% Health Professions Education 49,929 46,618,328 0.5% Subsidized Health Services 114,349 13,649,835 0.2% Research 23,285 27,190,380 0.3% Donations 158,111 3,762,689 0.1% Community Building Activities 77,077 6,774,273 0.1% Community Benefit Operations 95,948 2,000,665 0.0% Total Benefits for the Broader Community 2,983,285 119,712,438 1.4% Total Community Benefits 5,432,514 985,150,077 11.5% Unpaid Costs of Medicare 995,245 345,619,895 4.0% Total Community Benefits including Cost of Medicare 6,427,759 1,330,769,972 15.5%AffiliatedHealthCareSystem
Reports Filed With StatesCAReportsFiledWithStates
Reports Filed With StatesNVReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (308 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
100 black Men of the Bay Area
302 PENDLETON WAYOaklandCA94607943065997501(c)(3)80000NANAImprove Quality Life
Access to Healthcare Network
235 West Sixth StRenoNV89504721619489501(c)(3)243490NANAService for the Poor
Advocates for the Disabled Inc
5060 N 19th Ave 306PhoenixAZ85016860285294501(c)(3)172640NANASocial Health
ALLAN HANCOCK COLLEGE
800 S COLLEGE DRSANTA MARIACA93454521692042N/A1999200NANAScholarships
Alliance Against Family Violence
1921 19th StBakersfieldCA93302953604240501(c)(3)250000NANASocial Health
Alliance for Pharmaceutical Access APA Inc
221 Town Center WestSanta MariaCA93458203117940501(c)(3)150000NANAPreventative Care122
Alpha House A Place for New Beginnings
PO Box 712TaftCA93268770366593501(c)(3)200000NANAImprove Quality Life
Al-Shifa Clinic
2034-B Mallory StSan BernardinoCA92407330855769501(c)(3)250000NANAImprove Quality Life
Alzheimer's Assoc Desert Southwest Chapter
1028 E McDowell RdPhoenixAZ85006860402582501(c)(3)272500NANAImprove Quality Life
Amanecer Community Counseling Services
1200 Wilshire BlvdLos AngelesCA90017953076578501(c)(3)170000NANAImprove Quality Life1200
American Cancer Society
4940 Van Nuys BlvdSherman OaksCA91403841316555501(c)(3)65000NANASocial Health301
American Cancer Society
1765 CHALLENGE WaYSan FranciscoCA94105941170350501(c)(3)439970NANAImprove Quality Life Training Kits115
AMERICAN HEART ASSOCiation
100 Montgomery StSan FranciscoCA94104135613797501(c)(3)2859460NANASocial Health1650
American Jewish Committee
121 STEWART ST 405San FranciscoCA94105942213100501(c)(3)177200NANAImprove Quality Life
American Lung Association
10615 Double R BlvdRenoNV89521860111676501(c)(3)243490NANASocial Health
American Lung Association In California
2025 Westwind DR CBakersfieldCA93301940362650501(c)(3)210000NANASocial Health
American Red Cross - Bay Area Chapter
85 Second St 8th FLSan FranciscoCA94105943045430501(c)(3)350000NANASocial Health
Andre Agassi Foundation for Education
3883 Howard Hughes PkwyLas VegasNV89169341759295501(c)(3)110830NANACommunity Education
Another Way
1365 S Waterman AveSan BernardinoCA92408237121672501(c)(3)73000NANAImprove Quality Life
Archdiocese of San Francisco
1 Peter Yorke Waysan franciscoCA941096602941158707501(c)(3)500000NANAAdvocacy for the poor
Arizona Foundation for the Eye Health
4602 N 16th StPhoenixAZ85016860943010501(c)(3)220000NANASocial Health
Arizona Lost Boys Center
1918 W Van Buren StPhoenixAZ85009331061192501(c)(3)250000NANAImprove Quality Life
Armenian American Medical Society Ladies Auxiliary
PO Box 32GlendaleCA91209954108352501(c)(3)290050NANAImprove Quality Life
Armenian Evangelical Union
PO Box 11145GlendaleCA91228770202388501(c)(3)150000NANAImprove Quality Life
ARROYO GRANDE COUMMUNITY HSP FOUNDATION
345 S HALCYON RDARROYO GRANDECA93420203256066501(c)(3)2415880NANAFoundation Support
Arroyo Grande High School
495 Valley RdArroyo GrandeCA93420261340552501(c)(3)90000NANAHealth Education Support
Asian Pacific Community in Action
6741 N 7th StPhoenixAZ85014753040117501(c)(3)326500NANACommunity Support
Asian Week Foundation
809 Sacramento StSan FranciscoCA94108201719535501(c)(3)150000NANAPrevention/treatment of Hepatitis B
Assistance League of San Bernardino
580 West 6th StSan BernardinoCA92410956065105501(c)(3)250000NANAService for the Poor
Assistance League of Ventura County
913 East Santa Clara StVenturaCA93001952100846501(c)(3)125000NANAImprove Quality Life
ASSOCiation OF CA NURSE LEADERS
PO BOX 1047SACRAMENTOCA958121047942910850501(c)(3)70000NANASocial Health
Back to School Project
PO Box 292Red BluffCA96080680033622501(c)(3)142150NANAService for the Poor
Bakersfield College
1801 Panorama DrBakersfieldCA93307956006644501(c)(3)1554850NANAscholarships
Bakersfield Police Activities League
301 E 4th StBakersfieldCA93307770375436501(c)(3)250000NANASocial Health
Barrow Neurological Foundation
350 W Thomas RdPhoenixAZ85013860174371501(c)(3)17673080NANAFoundation Support
Bay Area Council
201 California StSan FranciscoCA94111237325853501(c)(4)600500NANAImprove Quality Life14th floor
Beacon House Association
1003 S Beacon StSan PedroCA90733237376148501(c)(3)132070NANASocial Health
Bethany Services
1600 E Truxtun AveBakersfieldCA93305952858936501(c)(3)234240NANAImprove Quality Life
Bishop Gallegos Maternity Home
PO Box 305Fair OaksCA95628680315971501(c)(3)250000NANASocial Health
Black Coalition on AIDS
2800 Third StSan FranciscoCA94107943098879501(c)(3)130000NANAImprove Quality Life
Blue Mountain Coalition for Youth and Families
PO Box 41West PointCA95255680286016501(c)(3)66020NANAImprove Quality Life
B'NAI B'rith International
REGION 17 Dept 224Los AngelesCA90068530179971501(c)(3)55000NANAImprove Quality Life
Board of Regents - University of Nevada
Unsom Deans Office 346RenoNV89557886000024501(c)(3)1493490NANAEducation support
Boys & Girls Club of Camarillo
1500 Temple AveCamarilloCA93010956194547501(c)(3)100000NANASocial Health
Boys & Girls Clubs of Las Vegas
PO Box 26689Las VegasNV89126880093150501(c)(3)250000NANAImprove Quality Life
Boys & Girls Club of East Valley
1405 E Guadalupe Road 4TempeAZ85283860550646501(c)(3)76000NANAImprove Quality Life
Boys & Girls Club of Bakersfield
PO Box 5JBakersfieldCA93385952462246501(c)(3)250000NANAService for the Poor
BoyS & Girls Club of Merced
615 W 15th StMercedCA95340770357187501(c)(3)104180NANAService for the Poor
CALIFornia STATE UNIVERSITY
1000 E Victoria StCarsonCA90747931043787Govt1020000NANAEducation Support
California Hospital Med Ctr Foundation
1401 South Grand AveLos AngelesCA90015954000909501(c)(3)11611310NANAFoundation Support
Camarillo Hospice Corp
400 Rosewood Ave 102CamarilloCA93010953347061501(c)(3)150000NANAService for the Poor
Capital City Aids Fund
PO box 160636SacramentoCA95816680385175501(c)(3)150000NANASocial Health
CARE Chest of Sierra Nevada
7910 North Virginia StRenoNV89506943118373501(c)(3)243490NANAService for the Poor
Caregivers Volunteers Assisting Elderly
1765 Goodyear Ave 205VenturaCA93003770081692501(c)(3)150000NANAImprove Quality Life
CATHOLIC CHARITIES
1106 EL DORADO STSTOCKTONCA95202941629114501(c)(3)255000NANAService for the Poor
Catholic Charities Community Services
4747 N 7th AvePhoenixAZ85013860223999501(c)(3)250000NANAImprove Quality Life
Catholic Charities CYO
180 Howard St 100San FranciscoCA94015941498472501(c)(3)85000NANAImprove Quality Life
Catholic Charities of San Bernardino Riveside
1450 North D StSan BernardinoCA92405953516461501(c)(3)255300NANASocial Health
Catholic Community Services of Northern Nevada
PO Box 5099RenoNV89513880339754501(c)(3)120000NANASocial Health
Catholic Community Services of Southern AZ Valle
5025 E Washington St 114PhoenixAZ85034860100880501(c)(3)403810NANASocial Health
Catholic Relief Services
228 W Lexington StBaltimoreMD21201135563422501(c)(3)313050NANAImprove Quality Life
Catholic Social Service of Sacramento
5890 Newman CourtSacramentoCA95819942576612501(c)(3)200000NANAImprove Quality Life
Celebrity Fight Night Foundation
2111 E Highland Ave 135PhoenixAZ85016860903119501(c)(3)535000NANABenefits Muhammad Ali Parkinson Ctr & Barrow Neurological Institute
Center for African American Health
PO BOX 21201PhoenixAZ85036731628275501(c)(3)247550NANASocial Health
Center for community Health and Well-Being Inc
1900 T StSacramentoCA95811680248303501(c)(3)450000NANASocial Health
Central City Lutheran Mission
1354 N D StSan BernardinoCA92405208191393501(c)(3)1657900NANAService for the Poor
Chandler Christian Community Center
PO Box 591ChandlerAZ85244860428780501(c)(3)175000NANACommunity support
Chandler Education Foundation
1525 West Frye RdChandlerAZ85224860589677501(c)(3)254600NANACommunity Support
Chandler Gilbert Community College
2626 E Pecos RdChandlerAZ85225860185552govt100000NANAeducation support
Chandler Unified School District
1525 W Frye RdChandlerAZ85224866000515501(c)(3)200000NANAeducation Support
Children's Crisis Center
PO Bx 1062ModestoCA95353942686499501(c)(3)90000NANAImprove Quality Life
Children's Dental Foundation
455 E Columbia St 32Long BeachCA90806952111124501(c)(3)127570NANASocial Health
Chinese American Voters Association
838 Grant Ave 403San FranciscoCA94108942502267501(c)(3)145000NANAImprove Quality Life
CHW Foundation-East Valley
1727 West Frye Rd 230ChandlerAZ85224742418514501(c)(3)14402020NANAFoundation Support
CHW Medical Foundation
3400 data driverancho cordovaCA95670680220314501(c)(3)342107820NANAMedical Fnd Support
Circle the City
220 S 12th AvePhoenixAZ85007262420730501(c)(3)200000NANAImprove Quality Life
City of Reno Mental Health Triage Center
PO Box 1900RenoNV89501886000201Govt2999880NANAService for the Poor
College of SoutherN Nevada
6375 W Charleston BlvdLas VegasNV89146942889686501(c)(3)255000NANAEducation support
Community Action Against Rape
6375 W Charleston BlvdLas VegasNV89146880135811501(c)(3)173380NANAImprove Quality LifeW1B
Community Action Board of Santa Cruz County Inc
406 Main St 207WatsonvilleCA95076942523780501(c)(3)160000NANAImprove Quality Life
Community Action Partnership of SLO County Inc
1030 Southwood DrSan Luis ObispoCA93401952410253501(c)(3)115000NANAImprove Quality Life
Community Counseling Center
1120 Almond Tree Ln 207Las VegasNV89104943119458501(c)(3)241500NANASocial Health
Community Medical Centers
PO Box 779StocktonCA95021942437106501(c)(3)250000NANASocial Health
Community Recovery Resources
440 Henderson StGrass ValleyCA95945942275091501(c)(3)150000NANASocial Health
Community Resource Project Inc
915 BroadwaySacramentoCA95818942280427501(c)(3)300000NANAService for the Poor
Community Service Education and Research Fund
5380 Elvas AveSacramentoCA95819237003581501(c)(3)150000NANAService for the Poor
Community Social Model Advocates
508 Mendocino CtAtwaterCA95301330373222501(c)(3)109380NANASocial Health
Corning Christian Assistance
PO Box 872CorningCA96021943111702501(c)(3)120000NANAService for the Poor
SANTA BARBARA COUNTY SHERIFF'S RELIEF & BENEFIT
315 CAMINO DEL REMEDIO 210SANTA BARBARACA93110237045577501(c)(4)720000NANASocial Health
Cover the Kids
915 I St 5th FloorSacramentoCA95814942985546501(c)(3)300000NANASocial Health
Crisis Pregnancy Center
2460 Athens AveReddingCA96001680037686501(c)(3)250000NANASocial Health
CUESTA COLLEGE FOUNDATION
PO Box 8106San Luis ObispoCA93403237225601501(c)(3)450000NANAScholarships
Didi Hirsch Psychiatric Service
4760 Sepulveda BlvdCulver CityCA90230951816023501(c)(3)170000NANAImprove Quality Life
Domestic Abuse Center
8817 Reseda Blvd CNorthridgeCA91324954301872501(c)(3)150000NANAImprove Quality Life
Domestic Violence & Sexual Assault Coalition
PO Box 484Grass ValleyCA95945942688893501(c)(3)188740NANAImprove Quality Life
Economic Alliance of the San Fernando Valley
5121 Van Nuys BlvdSherman OaksCA91403954524503501(c)(3)100000NANACommunity Support200
Effort
1820 J StreetSacramentoCA95811941713704501(c)(3)250000NANASocial Health
El Rio Community Health Center Foundation
829 W CongressTucsonAZ85745860816675501(c)(3)250000NANASocial Health
Elk Grove Economic Development Corp
9370 Studio Ct 110Elk GroveCA95758208447767501(c)(6)550000NANAImprove Quality Life
EMERGENCY FOOD BANK
7 SCOTTS AVESTOCKTONCA95202680002165501(c)(3)265000NANAService for the Poor
Empire Hotel Alcoholic Rehabilitation CTR
1237 California StReddingCA960010618942326975501(c)(3)250000NANASocial Health
End of Life Sypnosium
P O Box 119BakersfieldCA93302770201321501(c)(3)6236310NANAImprove Quality Life Children
Enrichment Works
5605 Woodman Ave 207Valley GlenCA91401954754624501(c)(3)302510NANAImprove Quality Life
Familia Center
711 E Cliff DrSanta CruzCA95060770071589501(c)(3)170000NANAImprove Quality Life
Family & Child Treatment of Southern Nevada
1050 S Rainbow BlvdLas VegasNV89145880214362501(c)(3)185470NANASocial Health
Family Service Agency of San Mateo County
24 Second AveSan MateoCA94401941186169501(c)(3)250000NANASocial Health
Family Service Agency of Tehama County
1347 Grant StRed BluffCA96080941616456501(c)(3)140000NANASocial Health
Florence Crittenden Services of Arizona
715 W MariposaPhoenixAZ85012860103282501(c)(3)270000NANAImprove Quality Life
Food Bank Coalition of SLO Co
PO Box 2070Paso RoblesCA93447770210727501(c)(3)55000NANAService for the Poor
Food Bank of Northern Nevada Inc
550 Italy DriveMcCarranNV89434942924979501(c)(3)243490NANAService for the Poor
Food Bank of Yolo County
1244 Fortna AveWoodlandCA95776237111782501(c)(3)60000NANANUTRITION EDUCATION
Food Share
4156 Southbank RdOxnardCA93036770018162501(c)(3)140000NANAService for the Poor
Foothill Family Service
2500 E Foothill Blvd 300PasadenaCA91107951690990501(c)(3)160000NANAImprove Quality Life
For the Child
4565 California AveLong BeachCA90807953601230501(c)(3)127570NANAImprove Quality Life
Foundation of the Santa Barbara Regional Health Au
110 CastilianGoletaCA93117810587227501(c)(3)117220NANAPreventative Care
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1941 JOHNSON AVESAN LUIS OBISPOCA93401203256125501(c)(3)3892320NANAFoundation Support
Friends of Prado Day Center
PO Box 12444San Luis ObispoCA93406770540323501(c)(3)60000NANAImprove Quality Life
Garces Memorial High School
2800 Loma Linda DrBakersfieldCA93305941347028501(c)(3)93400NANAEducation Support
Giving Life Ministries
416 Perlite StHendersonNV89015880245919501(c)(3)100000NANAService for the Poor
Gladys Taylor McGarey Medical Foundation
4848 E Cactus Rd 506ScottsdaleAZ85254860677257501(c)(3)54000NANAImprove Quality Life
Glaucoma Research & Education Group
55 Stevenson StSan FranciscoCA94105943208182501(c)(3)245000NANAPreventative Care
Glendale community Free Health Clinic
134 N Kenwood stGlendaleCA91206870732681501(c)(3)150000NANASocial Health
Glendale Healthy Kids
223 N Jackson St B-17GlendaleCA91206954487466501(c)(3)185000NANAHealthcare access & prevention
Glendale Memorial Health Foundation
1420 S Central AveGlendaleCA91204953625651501(c)(3)8114060NANAFoundation Support
Glide Foundation
330 ELLIS STSan FranciscoCA94102941156481501(c)(3)196500NANAService for the Poor
Global Health and Safety Initiative
12355 Sunrise Valley DrRestonVA20191522358837501(c)(3)1156250NANASocial Health690
Golden Empire Gleaners
1326 30th StBakersfieldCA93301770084637501(c)(3)200000NANAService for the Poor related
Good Samaritan Shelter Inc
731 South LincolnSanta MariaCA93454770133375501(c)(3)200000NANAImprove Quality Life related
GOSPEL CENTER RESCUE MISSION
445 S SAN JOAQUINSTOCKTONCA95203941375835501(c)(3)260000NANAService for the Poor
Greater Phoenix Economic Council
2 N Central Ave 2500PhoenixAZ85004860539979501(c)(3)269000NANASocial Health
Hanna Boys Center
17000 Arnold DrSonomaCA95476941156478501(c)(3)210000NANAImprove Quality Life
Harold Pump Foundation
13636 Ventura Blvd 416Sherman OaksCA91423954807001501(c)(3)361500NANAService for the Poor
Haven Hills
PO Box 260Canoga ParkCA91303953196247501(c)(3)200000NANAImprove Quality Life
Health Improvement Partnership of Santa Cruz
1600 Green Hills RdScotts ValleyCA95066010826156501(c)(3)250000NANAQuality of Life101
HELP of Southern Nevada
1640 E Flamingo Rd 100Las VegasNV89119880108496501(c)(3)235500NANASocial Health Capital Campaign
Henderson Allied Community Advocates
178 Westminster WayHendersonNV89015943202139501(c)(3)150000NANASocial Health
Henderson Chamber of Commerce Fndtn Inc
112 Water StHendersonNV89015880358312501(c)(3)99510NANACommunity Support
Henrietta Weill Memorial Clinic
3628 Stockdale HwyBakersfieldCA93309951643391501(c)(3)226730NANASocial Health
Holy Family School
1122 E Robidoux stWilmingtonCA90744330008053501(c)(3)150000NANAService for the Poor
Home of Neighborly Services San Bernardino
839 N Mt VernonSan BernardinoCA92411951716798501(c)(3)59340NANAImprove Quality Life
Homestead Supportive Housing Corporation
1490 Drew Ave 160DavisCA95616204049583501(c)(3)250000NANAImprove Quality Life
Homeward Bound
2302 W Colter StPhoenixAZ85012860660875501(c)(3)250000NANAImprove Quality Life
Hospice of Santa Cruz County
940 Disc DrScotts ValleyCA95066942497618501(c)(3)160000NANAImprove Quality Life
Hospice of the Foothills
11270 Rough Ready HwyGrass ValleyCA95945942674084501(c)(3)100000NANAImprove Quality Life
Hospital Association of Southern California
6633 Telephone Rd 210VenturaCA93003951519378501(c)(6)828000NANAHealthcare advocacy
HOSPITAL COUNCIL
1215 K ST 730SACRAMENTOCA95814941533644501(c)(6)824330NANASocial Health
Hospital Council of Northern & Central CA
1215 K St 730SacramentoCA95814942663197501(c)(3)473750NANASocial Health
Human Investment Project Inc
364 S Railroad AveSan MateoCA94401942154614501(c)(3)100000NANAImprove Quality Life
ICA San Francisco Work Study Inc
3625 24th StSan FrancicsoCA94110264450576501(c)(3)145000NANAeducation support
ICAN improving chandlers area neighborhoods
201 S Washington StChandlerAZ85225860761030501(c)(3)220000NANACommunity Support
Immanuel Presbyterian Church
3300 Wilshire BlvdLos AngelesCA90010951643330501(c)(3)170000NANAImprove Quality Life
International Museum of Women
101 HOWARD STSan FranciscoCA941190038770072401501(c)(3)1012500NANAImprove Quality Life480
Interval House
6615 E Pacific Coast Hwy 170Long BeachCA90803953389113501(c)(3)127570NANAImprove Quality Life
juvenile diabetes research Foundation intl
5542 S Fort Apache RdLas VegasNV89148231907729501(c)(3)281510NANACommunity support120
Junior Athletics Inc
9711 S Eastern AveLas VegasNV89183263904876501(c)(3)55000NANACommunity supportH5-130
Brandon Webbs K Foundation
73 Cavalier Blvd 204FlorenceKY41042270346460501(c)(3)100000NANAImprove Quality Life
Kern River Valley Senior Citizens
PO Box 2664Lake IsabellaCA93240953740281501(c)(3)100000NANAImprove Quality Life
Korean American Family Service Center
3727 W 6th St 320Los AngelesCA90020953899329501(c)(3)170000NANASocial Health
Laguna Honda Hospital Volunteers Inc
90 New Montgomery Stsan franciscoCA94105946065339501(c)(3)146670NANAImprove Quality Life11th fl
Las Vegas Area Council Boy Scouts of America
7220 S ParadiseLas VegasNV89119221576300501(c)(3)95500NANACommunity support
Legal Aid Society of San Bernardino
354 West Sixth StSan BernardinoCA92401951997024501(c)(3)250000NANAService for the Poor
Lend a Hand Inc
400 Utah StBoulder CityNV89005880250959501(c)(3)80000NANAImprove Quality Life
Living Grace Home
1806 Somersby LaneHendersonNV89014263911446501(c)(3)250000NANAImprove Quality Life
Livingston Memorial Visiting Nurse Association
1996 Eastman Ave 101VenturaCA93003951693538501(c)(3)140000NANAImprove Quality Life Students
Los Angeles Child Guidance Clinic
3031 S Vermont AveLos AngelesCA90007951690974501(c)(3)170000NANASocial Health
Maggie's Place
PO BOX 1102PhoenixAZ85001860972675501(c)(3)150000NANASocial Health
March of Dimes
1755 Creekside Oaks DrSacramentoCA95833131846366501(c)(3)651500NANASocial Health130
Marian Medical Center Foundation
1400 E Church StSANTA MARIACA93454953818027501(c)(3)5489770NANAFoundation Support
Maricopa County Asthma Coalition
1919 E Thomas Rd Bldg BPhoenixAZ85016742421549501(c)(3)180000NANAImprove Quality Life3231
Mary's Mercy Center
PO Box 7563San BernardinoCA92411330632426501(c)(3)265000NANASocial Health
Maternal and Child Health Access
1111 W 6th St fl 4Los AngelesCA90017954555879501(c)(3)170000NANASocial Health
McCloud Healthcare Clinic
PO Box 1143McCloudCA96057680427383501(c)(3)157720NANASocial Health
MedShare
3240 Clifton Springs RdDecaturGA30034582433968501(c)(3)1500008602fmvMEDICAL SUPPLIESSocial Health;
Merced County Health Care Consortium
PO Box 2627MercedCA95344203530014501(c)(3)173620NANASocial Health
Mercy Beyond Borders
1885 De la Cruz Blvd 101Santa ClaraCA95050260323282501(c)(3)250000NANAImprove Quality Life
Mercy Foundation Sacramento
3400 Data DrSacramentoCA95670237072762501(c)(3)27532590NANAFoundation Support
Mercy Housing
1999 Broadway 1000DenverCO80202470646706501(c)(3)1000000NANAImprove Quality Life
Mercy Housing
1350 MISSION STDenverCO80202841559406501(c)(3)2000000NANAImprove Quality Life
Mind Matters Clinic
150 Big Trees RDMurphysCA92547261442370501(c)(3)65960NANASocial Health
Mission of Mercy Inc
PO Box 102FairfieldPA17320860704883501(c)(3)200000NANAService for the Poor
MMC for Children & Families
155 15th St 160ASacramentoCA95691371424390501(c)(3)450000NANASocial Health
Morehouse College
830 West view drive SWAtlantaGA30314580566205501(c)(3)2745000NANAScholarships
Most Holy Redeemer Church
100 Diamond StSan FranciscoCA94114941156774501(c)(3)100000NANAImprove Quality Life
Mt Shasta Community Resource Center
432 N Mt Shasta BlvdMt ShastaCA96067202528991501(c)(3)55650NANASocial Health
Museum of the African Diaspora
685 MISSION STSAN FRANCISCOCA94105943338239501(c)(3)664700NANAImprove Quality Life3RD FLOOR
My Sister's House
3053 Freeport Blvd 120SacramentoCA95818680464114501(c)(3)250000NANAImprove Quality Life
NAACP
1215 K St 1609SacramentoCA958143954954617376501(c)(4)202500NANAImprove Quality Life
NAHSE
8630 FENTON ST 126WashingtonDC20036621312239501(c)(3)250000NANAImprove Quality Life
National Multiple Sclerosis Society Southern Calif
1880 30th Street 105BakersfieldCA93301951727656501(c)(3)200000NANASocial Health board member
National Multiple Sclerosis Society-AZ Chapter
5025 E Washington St 102PhoenixAZ850342005135661935501(c)(3)100000NANAImprove Quality Life
Native American Connections
4520 N Central Ave 600PhoenixAZ85012860293585501(c)(3)200000NANAImprove Quality Life
Neighborhood Legal Services
13327 Van Nuys BlvdPacoimaCA91331952408642501(c)(3)250000NANAService for the Poor
Neighbors Who Care
10450 E Riggs Rd 113Sun LakesAZ85248860966061501(c)(3)137890NANAService for the Poor kids
Nevada Cancer Institute
One Breakthrough WayLas VegasNV89135043632553501(c)(3)90990NANAPreventative Care
Nevada Childhood Cancer Foundation
6070 S Eastern Ave 200Las VegasNV89119880302673501(c)(3)70000NANACommunity support
Nevada Homeless Alliance
1504 N Main StLas VegasNV89101651291029501(c)(3)110000NANACommunity support
Nevada Partnership for Homeless Youth
PO Box 20135Las VegasNV89112880476452501(c)(3)100000NANASocial Health
No California Center for Family Awareness
PO Box 991473ReddingCA96003680363217501(c)(3)250000NANASocial Health
Nor Cal Think Pink
PO Box 492191ReddingCA960492191753077679501(c)(3)62000NANASocial Health
North of Market Senior Services
333 Turk StSan FranciscoCA94102237362588501(c)(3)100000NANAService for the Poor
North Valley Caltholic Social Services
2400 Washington AveReddingCA96001200984601501(c)(3)305000NANASocial Health
Northeast Valley Health Corporation
1172 N Maclay AveSan FernandoCA91340237120632501(c)(3)250000NANASocial Health
Northridge Hospital Foundation
18300 Roscoe BlvdNorthridgeCA91325237444901501(c)(3)72000NANAFoundation support
Oakdale Community Aquatic Therapy Foundation
250 S Oak Ave Bldg C1OakdaleCA95361562565088501(c)(3)90000NANASocial Health
Oakdale Police Department Senior Outreach Departm
245 N Second AveOakdaleCA95361946000383501(c)(3)90000NANAImprove Quality Life
Option House Inc
P O Box 970San BernardinoCA92402953760212501(c)(3)250000NANASocial Health
Partners in Care
PO Box 845PlacervilleCA95667205016935501(c)(3)150000NANASocial Health
Partners in care foundation
732 Mott St 150San FernandoCA91340953954057501(c)(3)136500NANASocial Health
Path Achieve Glendale
437 Fernando CourtGlendaleCA91104204233822501(c)(3)101490NANAImprove Quality Life related
PATHWAYS
585 N Mary AveSunnyvaleCA94085912823240501(c)(3)250000NANAImprove Quality Life
Peninsula Volunteers Inc
800 Middle AveMenlo ParkCA94025941294939501(c)(3)250000NANAService for the Poor
PHS Commissioned Officers Foundation
8201 Corporate Dr 200LandoverMD20785522258463501(c)(3)125000NANApublic health officers support
Powerhouse Ministries Inc
PO Box 1611FolsomCA95630680020855501(c)(3)250000NANAImprove Quality Life
A New Leaf inc
868 E University DrMesaAZ85203860256667501(c)(3)150000NANAImprove Quality Life
Progress Foundation
368 Fell StSan FranciscoCA94102941716828501(c)(3)475700NANAfund Urgent Care
Public Health Institute
555 12th St 10th FLOaklandCA94607941646278501(c)(3)500000NANASocial Health
Rebuilding Together Peninsula
PO Box 4031Menlo ParkCA94026943106209501(c)(3)100000NANAService for the Poor
Rescue Mission Alliance
315 N A StOxnardCA93030237278002501(c)(3)100000NANASocial Health
RotaCare Bay Area Inc
PO Box 18430San JoseCA951588430770328723501(c)(3)250000NANAImprove Quality Life
Sacramento District Dental Foundation
915 28th StSacramentoCA95816237067087501(c)(3)250000NANASocial Health
Sacramento Food Bank & Family Services
333 Thrid StSacramentoCA95817943315566501(c)(3)85000NANAService for the Poor
Sacramento Public Policy Foundation
1717 I StSacramentoCA95817611614386501(c)(3)200000NANAService for the Poor
Saint Francis of Assisi Catholic Church
2300 Sunridge Heights PkwyHendersonNV89052880009349501(c)(3)278800NANACommunity support
St Vincent De Paul Catherine's Center
50 North B StSan MateoCA94401941375833501(c)(3)55000NANAService for the Poor
Salud Para La Gente
195 Aviation Way 200WatsonvilleCA95076942705747501(c)(3)130000NANAImprove Quality Life
Salvation Army
746 W Fifth StSan BernardinoCA92410941156347501(c)(3)265010NANASocial Health
Samaritan House
1511 S Claremont StSan MateoCA94402237416272501(c)(3)150000NANAService for the Poor
San Bernardino Sexual Assault Services
444 N Arrowhead Ave 101San BernardinoCA92401953543081501(c)(3)59340NANASocial Health
San Francisco Community Clinic Consortui
1550 Bryant St 450San FranciscoCA94103942897258501(c)(3)250000NANASocial Health
San Francisco General Hospital Foundation
2789 25th St 2028San FranciscoCA94110943189424501(c)(3)286790NANAImprove Quality Life
San Francisco Planning & Urban Research
654 Mission StSan FranciscoCA941084305941498232501(c)(3)54000NANAImprove Quality Life
San Francisco Retina Foundation
185 Berry St 130San FranciscoCA94107205175062501(c)(3)190000NANAPreventative Care
San Francisco Senior Center
890 Beach StSan FranciscoCA94109941212136501(c)(3)250000NANASocial Health
SAN JOAQUIN COUNTY
PO BOX 1020STOCKTONCA95201946000531Govt83120NANAService for the Poor
San Joaquin County Office of Education
PO Box 213030StocktonCA952139030680006282Govt250000NANAPreventative Care
Santa Maria Valley Fish Meals on Wheels
PO Box 6526Santa MariaCA93456952757731501(c)(3)150000NANASocial Health
SANTA MARIA VALLEY YMCA
3400 SKYWAY DRSANTA MARIACA93455952158363501(c)(3)110000NANASocial Health
Science Foundation Arizona
400 E Van Buren St 200PhoenixAZ85004204365711501(c)(3)200000NANAImprove Quality Life
SECOND HARVEST FOOD BANK
PO BOX 990WATSONVILLECA95076770326685501(c)(3)110000NANAService for the Poor
Second Harvest Food Bank of Santa Clara and San Ma
750 Curtner AveSan JoseCA95125942614101501(c)(3)96090NANAService for the Poor
Self Help for the Elderly
407 Sansome StSan FranciscoCA941113123941750717501(c)(3)192200NANAImprove Quality Life
Serotonin Surge Charities
1955 Cowell BlvdDavisCA95618680411254501(c)(3)346610NANASocial Health
Servants of Mary Ministers to the Sick
140 N Green StOxnardCA93030956054374501(c)(3)219400NANASocial Health
SF Bar Association Foundation
301 Battery StSan FranciscoCA94111942931349501(c)(3)300000NANAService for the Poor3rd floor
Shasta Community Health Center
1035 Placer StReddingCA96001680165855501(c)(3)562800NANASocial Health
Shasta County Child Abuse Prevention Coordinating
2280 Benton Dr Bldg C BReddingCA96001680151867501(c)(3)250000NANAImprove Quality Life
Shasta Family YMCA
1155 N Court StReddingCA96001941212141501(c)(3)150000NANASocial Health
Sierra Family Medical Clinic Inc
15301 Tyler Foote RdNevada CityNV95959680320801501(c)(3)125000NANAImprove Quality Life
Sierra Saving Grace Homeless Project of Sierra co
3503 M StreetMercedCA95340770384586501(c)(3)173620NANAImprove Quality Life
Sierra Services for the Blind
546 Searis AveNevada CityNV95959942760029501(c)(3)100000NANAImprove Quality Life
SMOOTH INC
240 E ROEMER WAYSANTA MARIACA93454953059115501(c)(3)64250NANAService for the Poor
Society for the Blind
1238 S StSacramentoCA95811941384666501(c)(3)250000NANAImprove Quality Life
Southwest Center for HIVAIDS
1144 E McDowell Rd 200PhoenixAZ85013860695862501(c)(3)250000NANASocial Health
Southwest Human Development
2850 North 24th StPhoenixAZ85008860407179501(c)(3)150000NANAImprove Quality Life
Special Olympics Southern California
6730 E Carson StLong BeachCA90808954538450501(c)(3)77500NANAImprove Quality Life
Special Olympics
1805 N Central Ave 900PhoenixAZ85004860307564501(c)(3)200000NANAImprove Quality Life
St Bernardine Medical Center Foundation
2101 N Waterman AveSan BernardinoCA92404237440086501(c)(3)9667340NANAFoundation Support
St John's Healthcare Foundation
1600 N Rose AveOxnardCA93010202865781501(c)(3)12747130NANAFoundation Support
ST JOSEPH'S FOUNDATION of san joaquin
1800 N CALIFORNIA STSTOCKTONCA95204510432777501(c)(3)12820890NANAFoundation Support
St Joseph's Foundation
350 W Thomas RdPhoenixAZ85013942941245501(c)(3)27539790NANAFoundation Support
St Mary Medical Center Foundation
1050 Linden AveLong BeachCA90813237153876501(c)(3)24189770NANAFoundation Support
ST MARY'S INTERFAITH
545 W SONORASTOCKTONCA95203942687280501(c)(3)88375996FMVProvision of clothinService for the Poor
St Mary's Medical Center Foundation
450 Stanyan StSan FranciscoCA94117943336143501(c)(3)9337850NANAFoundation Support
St Nicholas Church
PO Box 368AtwaterCA95301753266299501(c)(3)173620NANAImprove Quality Life
STate of NV Agencies - NV State College Foundation
1125 Nevada State DrHendersonNV89002886000022Govt400000NANAEducation support
St Patrick's Home for Children Inc
5945 Franklin BlvdSacramentoCA95824680133108501(c)(3)250000NANASocial Health
St Paul of the Shipwreck
1122 Jamestown AveSan FranciscoCA94124941156797501(c)(3)240000NANAService for the Poor
St Vincent De Paul
1730 E Monroe StPhoenixAZ85034860096789501(c)(3)66500NANASocial Health
St Vincent de Paul Society
503 Giuseppe CtRosevilleCA95678680205405501(c)(3)250000NANASocial Health
St Vincent DePaul of SF
169 Stillman StSan FranciscoCA94107941571017501(c)(3)191300NANAService for the Poor
Stanford Settlement Neighborhood Center
450 West El Camino AveSacramentoCA95833941550842501(c)(3)250000NANAImprove Quality Life
Students Supporting Brain Tumor Research
8390 E Via de Ventura F-110ScottsdaleAZ85258200345903501(c)(3)100000NANASocial Health
Su Casa - Ending Domestic Violence
3840 Woodruff Ave 203Long BeachCA90808953495175501(c)(3)127570NANAImprove Quality Life
Sunset Youth Services
3918 Judah StSan FranciscoCA94122931004117501(c)(3)100000NANAService for the Poor
Susan G Komen for the Cure
2040 W Bethany Home Rd 120PhoenixAZ85015752845061501(c)(3)100000NANAImprove Quality Life
Tarzana Treatment Center
18646 Oxnard StTarzanaCA91356942219349501(c)(3)250000NANASocial Health
The Catholic University of America
620 Michigan Ave NEWashingtonDC200775216530196583501(c)(3)100000NANAImprove Quality Life
The Gathering Inn
PO Box 297RosevilleCA95678841657746501(c)(3)250000NANASocial Health
The Harold Pump Foundation
13636 Ventura BlvdSherman OaksCA91423944807001501(c)(3)100000NANAImprove Quality Life
The Shade Tree Inc
PO Box 669Las VegasNV89125880253276501(c)(3)250000NANAImprove Quality Life
The Wellness Community
360 East Palm LanePhoenixAZ85004860897810501(c)(3)205000NANAImprove Quality Life
Time Out Inc
PO BOX 306PaysonAZ85547860723051501(c)(3)75000NANAImprove Quality Life
Touchstone Behavioral Health
6153 W Olive 1GlendaleAZ85302860223116501(c)(3)229000NANASocial Health
Transitional Food and Shelter Inc
3770 N River RdPaso RoblesCA93446770489535501(c)(3)80000NANAImprove Quality Life
Tri-County Commission for Senior Citizens
528 South BroadwaySanta MariaCA93456952943625501(c)(3)125000NANAImprove Quality Life
Tumbleweed Center for Youth Development
1419 N 3rd St 104PhoenixAZ85004237284153501(c)(3)238200NANASocial Health
UC Davis Health Systems
4900 Broadway 1150SacramentoCA95820680334324501(c)(3)23590490NANASocial Health
United Way of Santa Cruz County
PO Box 1458CapitolaCA95010941422471501(c)(3)170000NANAService for the Poor
UNLV Foundation
4505 Maryland PkwyLas VegasNV89154942790134501(c)(3)75800NANACommunity support
Valley Community Clinic
6801 Coldwater Canyon AveNorth HollywoodCA91605237050082501(c)(3)125000NANAImprove Quality Life
Ventura County Medical Resource Foundation
2323 Knoll DrVenturaCA93003956096141501(c)(3)100000NANASocial Health
Volunteer Center of Calaveras County
PO Box 196San AndreasCA95249680303129501(c)(3)66020NANAImprove Quality Life
Volunteers in Medicine of Southern Nevada
7437 S Eastern Ave 440Las VegasNV89123392072453501(c)(3)250000NANASocial Health
Volunteers of America
1900 Point West Way 270SacramentoCA95815946001984501(c)(3)250000NANAImprove Quality Life
WellCare Foundation
55 East Lexington AvePhoenixAZ85012860948883501(c)(3)267500NANASocial Health
Westcare Nevada
PO Box 94738Las VegasNV89123942778981501(c)(3)427150NANACommunity support
Westside Neighborhood Clinic
2125 Santa Fe AveLong BeachCA90810952973364501(c)(3)127570NANASocial Health
Wise and Healthy Aging
1527 4th St 2nd FlSanta MonicaCA90401952788014501(c)(3)75000NANASocial Health
Women Shelter of Long Beach
PO Box 32107Long BeachCA90832951644058501(c)(3)127570NANASocial Health
WOMEN'S CENTER OF SAN JOAQUIN
620 N SAN JOAQUIN STSTOCKTONCA95202942341360501(c)(3)330000NANAImprove Quality Life
Women's Empowerment
1400 North C StSacramentoCA95811030520643501(c)(3)250000NANAQuality of Life
Woodland Memorial Hospital Foundation
1321 Cottonwood StWoodlandCA95695946167964501(c)(3)2079790NANAFoundation Support
Woodland United Way
1017 Main StWoodlandCA95695941651096501(c)(3)81600NANAHospital Support
Yolo Family Service Agency
455 1st StWoodlandCA95695941452884501(c)(3)250000NANAImprove Quality Life
Yolo Wayfarer Center
285 Fourth StWoodlandCA95695680059409501(c)(3)260000NANAImprove Quality Life
Saint Mary's Foundation
520 west sixth StRenoNV89520880188386501(c)(3)10833390N/AN/AFoundation support
ST ROSE DOMINICAN HEALTH FOUNDATION
2865 Siena HeightsHendersonNV89052880349432501(C)(3)17301970N/AN/AFOUNDATION SUPPORT
Mercy Medical Center Merced Foundation
301 East 13th StreetMercedCA95341770035928501(c)(3)4246270n/an/afoundation support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants580TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations54TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (14 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
BURIAL ASSISTANCE FOR INFANTS16960N/AN/A
CASH FOR CANCER PATIENTS TO PAY BILLS122523220N/AN/A
Scholarships775000N/AN/A
Provision of cash for medical expenses115000N/AN/A
cash assistance with funerals/financial distress66411340N/AN/A
Charity Patients - Poverty Assistance9880104789FMVFOOD/CLOTHING/GOODS
Home Health Services34025106FMVHOME HEALTH SERVICES
MOTEL ROOM STAY FOR HOMELESS10310COSTMOTEL ROOM STAY
Provision of First Aid cards40098costFIRST AID CARDS
Pharmacy Charity Prescriptions6840196667costPharmaceuticals
Provision of Wigs to Cancer Charity Patients20002994costWIGS
Retreat for breast cancer patients701175COSTRETREAT
Shelter Meals10515042887costMEALS
Provision of Taxi Vouchers to Charity Patients672014546costTAXI VOUCHERS

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPart I, line 1Identifier
ExplanationINCLUDED IN PART II ABOVE IS $3,584,690 RELATED TO The CHW Community Grants program. THIS PROGRAM IS one way in which CHW supports and enhances the advocacy, social justice and healthier communities efforts of its hospitals and religious sponsors. 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 CHW. 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 Sec. 501 (c)(3) organization. OTHER GRANTS ARE PROVIDED BY CHW (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER CHW'S EXEMPT PURPOSE. gRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT CHW AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lloyd H Dean
135472502025619073656706073520379460476220906652850
Michael D Blaszyk
873367095887602475414052770604440104879764024582200
Derek F Covert
541925059004603342006281203767501265878000
William J Hunt
8845060868276026459209877505262002168769000
Elizabeth Shih
6011590645632056117102497160439100210158805273710
Marvin O'Quinn
8341720656502043942307802704112202049246000
Diane Lee
2423500120699041860263910212800414906000
Keith Callahan
33874202475900222940382550265210673402000
Gary F Conner
547458040341303893805008603094201070837000
Mary Connick
36043502635510223840400720232820709724000
Charles P Francis
5769810637482023788401176960424790161252202294740
Linda Hunt
52027702378530169080469170318210853776000
Jeffrey W Land
3019640219104024290345530327560590806000
Bernita McTernan
451919055289304569006022804116801151898000
Timothy Moran
39575801990880126070382820387130684448000
Karl Silberstein
42396802936640130720447610335370809002000
LeAnne Trachok
32937802356510136330370820183820634126000
Ernest H Urquhart
4962790651321027672602997520392780176335602657490
Dr Robert Wiebe
59295203934230709305635602604101075865000
John M Wray
451468049382502282605703403454601059699000
Lisa Zuckerman
3232440231354015270367310296590622515000
Benjamin R Williams
4820310327217034980497690319590894474000
Dr Naftaly Attias
266077044675306340446100192390777313000
Dr David Cleveland
6299030119354089890391480202850817679000
Alan Iftiniuk
40475102657790183950427710317520763448000
Dr Scott R Petersen
6122390148662060230471050260370840066000
Dr Dana G Seltzer
2913360526950039600504580197630892467000
William Fuchs
3062440001375023061225301964602313166000
Saliba Salo
34145902516760330030385970115730676308000
Mike Uboldi
42968702179570126790412140305990732136000
Jeff Winter
3066650001268945072077701745102313838000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
SUPPLEMENTAL INFORMATION FOR PART I, LINES 1A, 4A, & 4BPart I, 1a First Class travel or the equivalent at the cost of $9,982 was provided on three occasions to the President/Chief Executive Officer, an officer of the organization, due to an extraordinarily compressed travel schedule or transcontinental flight. No amounts have been included as reportable income as these travel expenses were incurred for business purposes. Part I, 1a Tax gross-up payments were provided to two EVP-Chief Operating Officers who are officers of the organization, related to relocation expenses. These gross up payments were included as income to these employees. Part I, 1a Club dues have been paid by CHW for business use by one key employee and one highest paid employee who are Service Area Leaders for recruiting and business entertainment purposes. No amounts have been included as reportable income as expenses related to personal usage are paid by these employees. Part I, 4a CHW's key employees and certain officers and highly compensated employees participate in a severance plan that provides fair 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 and deferred compensation pursuant to the plan arrangement for two former Key Employees occured during 2009 related to eliminated positions; W. Fuchs $1,799,810 and J. Winter $1,800,495. Part I, 4b Certain officers and key employees participate in the CHW Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the CHW Retirement Plan whose benefits are affected by the limitations imposed by sections 401(a)(17) and 415 of the Internal Revenue Code. Benefit service under this plan was frozen as of January 1, 2008. No Payments were made to any listed persons during 2009 pursuant to this plan. Part I, 4b CHW's key employees and certain officers and highly compensated employees hired prior to June 30, 2006 are eligible to participate in the CHW Executive Deferred Compensation Plan, a nonqualified 457(f) plan which is intended to provide a benefit approximating the difference, if any, between the benefit provided under the CHW Excess Benefit Plan and the benefit provided under the qualified benefit plan that substantially replaced the Excess Plan. No benefit will vest under the 457(f) plan before the latter of the attainment of age 62 while employed or the completion of 15 years of service. Part I, 4b Certain listed persons participate in the CHW 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. A payment of $270,624 was made to E. Shih during 2009. Part I, 4b Certain officers and key employees participate in the CHW Supplemental Executive Retention/Retirement Plan, a nonqualified supplemental benefit plan which in 2002 was offered to members of the executive management team by the CHW 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 ultimate retirement security 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 retirement age and service years to the organization, and distribution is only available after a vesting period and while the executive is actively employed with CHW. Vested amounts are reported as deferred compensation in the year vesting occurs (column C) and are reflected again as reportable compensation in the year paid (column B(iii)). Payouts are recorded as reportable compensation in column B(iii) and are also reported in Column F, as the deferral of this retirement income was reported in prior years when amounts were vested. Payments made during 2009 pursuant to this plan include $665,285 to L. Dean, $2,458,220 to M. Blaszyk, $229,474 to C. Francis, $257,107 to E. Shih, and $265,749 to E. Urquhart. The payouts were due to changes in the Internal Revenue Code relating to the treatment of deferred compensation plans. The American Jobs Creation Act of 2004 added Internal Revenue Code (IRC) Sec. 409A to change the treatment of nonqualified deferred compensation plans, including timing of payouts and income recognition to the plan participant. As part of CHW's modification of its nonqualified deferred compensation plans to meet the requirements of IRS Sec. 409A, it was determined that the payouts were necessary as part of this conformity to tax law.
SUPPLEMENTAL INFORMATION - PART IICHW's executive compensation philosophy is designed to assist CHW in attracting and retaining the caliber of executives required to enable CHW 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 CHW 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 Compensation and Benefits Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and CHW'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, targets the 75th percentile of the market in which CHW competes for executives, commensurate with the size AND COMPLEXITY of the organization.
SUPPLEMENTAL INFORMATION - SCHEDULE J-2CHW DOES NOT COMPENSATE DIRECTORS, KEN MILLS AND MAUREEN MINERNEY, OP, FOR THEIR SERVICES AS BOARD MEMBERS. All Compensation and benefits reported for directors represent compensation as EITHER an employee OR MEDICAL DIRECTOR of CHW. One or more of the individuals who provide services to the organization as directors, officers, or key employees are members of a religious congregation. Since all such Sisters are subject to vows of poverty, fair market value compensation for their services is paid directly or indirectly to the religious congregation of which they are a member. The non-taxable benefits are paid on behalf of the order.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52159822513033FRT92004-04-28470300483Bond A: CUSIP 13033FRT9 -SEE SCH Otruefalse
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52159822513033FTN02004-05-19150000000Bond B: CUSIP 13033FTN0 -SEE SCH Ofalsefalse
THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ
860445263566816GY42004-04-28259114410Bond C: CUSIP 566816GY4 -SEE SCH Ofalsefalse
CITY OF HENDERSON NEVADA
886000720425203BM72004-04-28166163811Bond D: CUSIP 425203BM7 -SEE SCH Ofalsefalse
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
52164382813033FG462005-11-10351135742Bond E: CUSIP 13033FG46 -SEE SCH Ofalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
47239832412910343428246051029144431209749802004truetruetruetrue
136994286000001369942862007falsefalsetruetrue
26786199685572277471854616185609254213569458441589126342006truefalsetruetrue
1718544504165552487454470163815927815321145237602007truetruetruetrue
37123358809073546301399227902665058462010truetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetrue0.000000.004000.00400true
falsetruetruetruetrue0.000000.000000.00000true
falsetruetruetruetrue0.001000.000000.00100true
falsetruetruetruetrue0.001000.000000.00100true
falsetruetruetruetrue0.001000.004000.00500true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
citibank & JP Morgan
falsetruetrue21.2trueLEHMAN BROTHERS22.2truetruefalse
(no name)
falsetruefalsetruefalse
JP MORGAN
falsetruetrue5.trueLEHMAN BROTHERS22.2truetruefalse
CITIBANK
falsetruetrue5.trueLEHMAN BROTHERS23.2truetruefalse
CITIBANK & JP MORGAN
falsetruetrue26.6falsetruefalse

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Bill Hunt
relocation loanX$300,000200000falsefalsetrue
Marvin O'Quinn
relocation loanX$500,000333333falsefalsetrue
FieldValueIRS element (for citing)
Total Balance Due533333TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Wade Dean
Family member of L Dean,54980Employmentfalse
Kristin Anderson
Family member-J Anderson77172Employmentfalse
SonoSite Inc
R Hochman, BOD467168Equipment and servicesfalse

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9909800NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99020NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Clothing And Household GoodsClothingAndHouseholdGoods

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99036283NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901094NoncashContribsRptdF990
Method Of Determining RevenuesAVERAGE FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990208502NoncashContribsRptdF990
Method Of Determining RevenuesappraisalMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOther
CollectiblesCollectibles

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990240NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions33NumberOfContributions
Noncash Contribs Rptd F990135599NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (11 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XFood and Wine1103COMPARABLE SALE
XELECTRONICS17000COMPARABLE SALE
XMedical Equipment1011243384COMPARABLE SALE
XOffice Equipment22050COMPARABLE SALE
XTOYS21250COMPARABLE SALE
XHEALING GARDEN - redding126952COMPARABLE SALE
XHealing garden - SBMC384400COMPARABLE SALE
XCONVENT IMPROVEMENTS1399325COMPARABLE SALE
XLIGHTING FOR CAMPUS180832COMPARABLE SALE
XROOF FOR 403 BLDG117550COMPARABLE SALE
XLIGHTING & METAL WORK1148462COMPARABLE SALE
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierExplanationExplanation
SCH M, PART I, COLUMN BTHE ORGANIZATION IS REPORTING a combination of either THE NUMBER OF CONTRIBUTIONS or THE NUMBER OF ITEMS RECEIVED.
Sch M, Part 1, Line 32bCatholic Healthcare West is supported by 32 fundraising foundations. AS SUPPORTING ORGANIZATIONs, THE FOUNDATIONs solicit and process non-cash contributions on behalf of CHW's hospitals.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART V, IRS FILINGS AND PART VI, GOVERNANCE AND MGMT DISCLOSURESThis Schedule O of Catholic Healthcare West's (CHW's) 2009 Form 990 includes an overview of CHW, required governance disclosures, and additional disclosures as required. The CHW Board of Directors has delegated the review of this Form 990 to the Audit and Compliance Committee. The Audit and Compliance Committee met with various personnel involved in the preparation process of the return, including, but not limited to, the EVP/Chief Financial Officer, SVP/General Counsel, and VP/Compliance and Internal Audit. Compensation schedules and disclosures were presented to the Compensation and Benefits Committee of the CHW Board of Directors by Executive Management. FORM 990, PART VI, SECTION A, LINE 2 Officer D. Covert has a family relationship with key employee M. Connick. FORM 990, PART VI, SECTION A, LINE 6 CHW's co-sponsors have specific governance rights and responsibilities, including the appointment of CHW's corporate members. CHW has six (6) classes of Corporate Members, each of which shall have and exercise specific reserved rights with respect to certain matters, as follows: (a) A Corporate Members. The A Corporate Members shall be two (2) members of the Sisters of Mercy of the Americas West Midwest Community, one each to be an individual associated with the Auburn and Burlingame Regional Communities prior to their assimilation into the West Midwest Community, as appointed by the President of the West Midwest Community or a governance body of the West Midwest Community delegated such authority by the Community Leadership Team. (b) B Corporate Member. The B Corporate Member shall be the Prioress of the Adrian Dominican Sisters or her designee, who shall be a member of the Adrian Dominican Sisters. (c) C Corporate Member. The C Corporate Member shall be the duly elected Prioress General of the Dominican Sisters of San Rafael or her designee who shall be a member of the Dominican Sisters of San Rafael. (d) D Corporate Member. The D Corporate Member shall be the duly elected General Superior of the Incarnate Word Sisters or her designee who shall be a member of the Incarnate Word Sisters. (e) E Corporate Member. The E Corporate Member shall be the duly elected Prioress of the Kenosha Dominicans or her designee who shall be a member of the Kenosha Dominicans. (f) F Corporate Member. The F Corporate Member shall be the duly elected Provincial Minister of the Redwood City Franciscans or her designee who shall be a member of the Redwood City Franciscans. FORM 990, PART VI, SECTION A, LINE 7a CHW is co-sponsored by six congregations that have specific governance rights and responsibilities, including the appointment of CHW's corporate members. FORM 990, PART VI, SECTION A, LINE 7b Reserved rights of the co-sponsors include THE adoption of, OR MATERIAL CHANGE IN, THE mission and philosophy statements OF CHW AND ITS SUBORDINATES, amendment or restatement of articles of incorporation and bylaws, SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS OF CHW, APPOINTMENT OR TERMINATION OF THE CHIEF EXECUTIVE OFFICER, CHANGE OF NAME OF CHW, ENTERING INTO OR MATERIALLY CHANGING ANY RELATIONSHIP WITH ANY ACUTE CARE HOSPITAL OR ADDING A NEW SPONSOR, AND ACQUISITION OR CONSTRUCTION OF A NEW ACUTE CARE FACILITY THAT WILL CONSTITUTE PROPERTY SUBJECT TO THE NORM OF CHURCH LAW, dissolution of the corporation, AND merger or consolidation with another corporation WITH CHW AS THE DISAPPEARING CORPORATION. FORM 990, PART VI, SECTION B, LINE 11A As noted above, the Board of Directors delegated the review of the Form 990 to the Audit and Compliance Committee. The organization's VP/Finance & Corporate Controller and the Senior Director of Financial 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 Compensation and Benefits Committee of the CHW 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 EVP/Chief Financial Officer, SVP/General Counsel, and VP/Compliance and Internal Audit. 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 the final draft was provided to the entire Board before the return was filed. FORM 990, PART VI, SECTION B, LINE 12C The Board of Directors delegated to the Audit and Compliance Committee responsibility for monitoring conflicts of interest disclosures and for addressing any potential or actual conflicts. CHW's Conflict of Interest Policy charges the SVP/General Counsel with responsibility for reviewing and validating disclosures, and maintaining adequate records of disclosures. Pursuant to the Conflicts of Interest Policy, an annual conflict of interest disclosure statement, aimed at determining any family and business relationships and transactions, or other transactions that may pose a potential conflict, is distributed to all covered persons (e.g., board members, officers and executive leadership, key employees and all management personnel whose responsibilities include business decisions which may give rise to conflicts of interest). Covered persons are also required to disclose real or potential conflicts at the time such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to submit an updated disclosure statement and to sign a statement affirming that he/she: (1) has received a copy of the Conflicts of Interest Policy; (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 SVP/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 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) any conflicting issues ARISING during the course of a Board meeting which cannot be resolved are TO BE referred to AN INDEPENDENT COMMITTEE OF the Board of Directors; and (6) the transaction or action must be approved by a majority of disinterested persons. FORM 990, PART VI, SECTION B, LINE 15A & 15B Annually, the Board of Directors appoints a Compensation and Benefits Committee, comprised solely of directors, who are independent with respect to executive compensation, to be accountable for setting reasonable compensation packages for each officer and key employee (including the President/CEO). The Compensation and Benefits 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 Compensation and Benefits Committee also engages outside legal counsel as necessary and a qualified independent compensation and benefits specialist (independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparability 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 decision includes (a) the terms of the transaction that was approved and the date it was approved, (b) the members of the committee who were present during debate on the transaction that was approved 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 V, IRS FILINGS AND PART VI, GOVERNANCE AND MGMT DISCLOSURESFORM 990, PART VI, SECTION B, LINE 19 Federal tax laws do not require that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection. The organization makes its consolidated financial statements available on its website and upon request.
FORM 990, PART XI, - FINANCIAL STATEMENTS/REPORTING DISCLOSURESFORM 990, PART XI, LINE 3 The organization's federal awards were included in Catholic Healthcare West and Subordinate Corporations' consolidated OMB Circular A-133 audited Schedule of Federal Expenditures.
Schedule H, Part IV: MANAGEMENT COMPANIES AND JOINT VENTURESEntity 1: Coastal Surgical Specialists Inc Entity 2: CHW/USP Phoenix II LLC Entity 3: Orthopedic and Surgical Specialty Company LLC Entity 4: Santa Cruz Land & Building LP Entity 5: Santa Cruz Surgery Center Entity 6: Santa Cruz Comprehensive Imaging LLC Entity 7: Dominican Breast Center LLC Entity 8: Dominican Magnetic Resonance Imaging Center Entity 9: Plaza Surgery Center Entity 10: The Sacramento Midtown Endoscopy Center Entity 11: Folsom Sierra Endoscopy Center LP Entity 12: CHW/USP Sacramento Surgery Centers LLC Entity 13: Roseville Surgery Center LP Entity 14: Folsom Outpatient Surgery Center LP Entity 15: North State Surgery Centers LLC Entity 16: Renaissance Imaging Center at Northridge Hospital LLC Entity 17: Surgery Center of Reno Entity 18: Reno Cyberknife LLC Entity 19: Medical Pavilion at St John's Entity 20: Radiation Oncology Center of Ventura County Entity 21: CHW/USP Surgery Centers LLC Phoenix Entity 22: St Joseph's Outpatient Surgery Center Entity 23: Southwest Lithotripsy Entity 24: St Joseph's Surgery Center LP Entity 25: Health Diagnostics of Daly City Entity 26: CHW/USP Surgery Centers of Las Vegas LLC Entity 27: San Martin Surgery Center LLC - Durango Entity 28: Parkway Surgery Center LLC Entity 29: San Martin Investors Limited Partnership Entity 30: St Mary's Outpatient Surgery Center at Galena LLC Entity 31: Millenium Surgery Center Inc
Schedule H, Part VI, Line 4Community Information CHW delivers care to diverse communities across Arizona, California and Nevada. Following is a summary of the communities served by CHW, including the demographics of each community: Arroyo Grande Community Hospital (AGCH) - AGCH 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. AGHC derives the assessment of the health needs for the primary service area by utilizing data from various other agencies such as: Kidsdata.org, Children Now California Report Card 2009, 2007 CA Health Interview Survey, the 2010 North Santa Barbara County Economic Forecast, California Cancer Facts & Figures 2009, The Adult and Aging Network, the executive summary of Paradox in Paradise Hidden Health Inequities on California's Central Coast, and Santa Barbara County Public Health Department Community Health Status 2009. The hospital serves a federally-designated medically underserved area. Community Demographics (San Luis Obispo County) - Population 245,728 - Diversity 73.3% Caucasian, 18.8% Hispanic, 3.2% Asian, 1.9% African American, .8% Other - Average Income $60,088 - Uninsured 22.7% - Unemployment 4% - No HS Diploma 12.1% - Renters 39% - CNI Score 3.1 - Medicaid Patients 11.1% - Other Area Hospitals 2 California Hospital Medical Center (CHMC) - The Community that CHMC serves is defined as CHMC's primary and secondary service area and is located in Central/Downtown and South Central Los Angeles. CHMC pooled its resources with five other hospitals and one group of community clinics to collect information about the health and well-being of residents in their service community. Seven major content areas were used to report community needs: Access, Health Behaviors, Risk Behaviors, Chronic Disease, Communicable Diseases, Mental Health, and Community and Social Issues. Primary data was also collected through focus groups and interviews. The hospital serves a federally-designated medically underserved area. Community Demographics (Los Angeles County) - Population 9,590,921 - Diversity 28.9% Caucasian, 47.3% Hispanic, 13% Asian, 8.8% African American, .5% American Indian/Alaska Native, 1.5% Other - Average Income $55,452 - Uninsured 28.9% - Unemployment 5% - No HS Diploma 24.5% - Renters 51% - CNI Score 4.9 - Medicaid Patients 65.2% - Other Area Hospitals 19 Chandler Regional Hospital - The defined service area is considered to be all of Maricopa County. The community needs assessment was completed through Arizona State University's Health Information and Research Center. Multiple data sources were included in the analysis including a combination of qualitative information (e.g. survey results) and quantitative information (e.g. Arizona HealthGrades administrative health data) was included to provide the best picture of the community's health. Secondary data were obtained from the CHW CNI, the U.S. Census Bureau, the Arizona Disease Control and Preventions Behavioral Risk Factor Surveillance System. The hospital serves a federally-designated medically underserved area. Community Demographics (Maricopa County) - Population 3,812,022 - Diversity 59% Caucasian, 30.6% Hispanic, 2.9% Asian, 4.3% African American, 1.9% American Indian/Alaska Native, 1.3% Other - Average Income $58,416 - Uninsured 21% - Unemployment 4.1% - No HS Diploma 15.7% - Renters 33% - CNI Score 3.0 - Medicaid Patients 17.7 % - Other Area Hospitals 7 Dominican Hospital - The primary service area is Santa Cruz County which covers 441 square miles, and is relatively a physically 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. Dominican Hospital partners with the United Way of Santa Cruz County in convening a consortium of public and private health, education, human service and civic organizations in the sponsorship of the Community Assessment Project of Santa Cruz County (CAP). Under the guidance of the CAP steering committee, Applied Survey Research, a not-for-profit social research firm, manages the assessment, collecting secondary (pre-existing) data and conducting the annual community survey for primary (public opinion) data. The hospital serves a federally-designated medically underserved area and a medically underserved population. Community Demographics (Santa Cruz County) - Population 244,426 - Diversity 62.9% Caucasian, 29% Hispanic, 3.8% Asian, .4% American Indian/ Alaska Native, 2.9% Other - Average Income $50,605 - Uninsured 22.3% - Unemployment 5.1% - No HS Diploma 14.9% - Renters 40% - CNI Score 3.5 - Medicaid Patients 14.3% - Other Area Hospitals 2 French Hospital Medical Center (FHMC) - The primary service area for FHMC is San Luis Obispo, Morro Bay, Los Osos, Atascadero and Paso Robles. A secondary service area is identified as Arroyo Grande, Pismo Beach, Grover Beach, Oceano, and Avila Beach. FHMC conducts its assessment of the health needs for the primary service area by utilizing secondary data from various other agency reports such as: ACTION for Healthy Communities, California Health Interview Survey, Children's NOW California Report Card 2010, California Cancer Facts and Figures-2009, Paradox in Paradise, Hidden Health Inequities on California's Central Coast, San Luis Obispo Chamber of Commerce 2009-2010 City Economic Forecast, and Community Health Status Report San Luis Obispo County Public Health Department 2009. The hospital serves a federally-designated medically underserved area. Community Demographics (San Luis Obispo County) - Population 245,728 - Diversity 73.3% Caucasian, 18.8% Hispanic, 3.2% Asian, 1.9% African American, .9% American Indian/Alaska Native 1.9% Other - Average Income $60,088 - Uninsured 22.7% - Unemployment 4% - No HS Diploma 12.1% - Renters 39% - CNI Score 3.5 - Medicaid Patients 6.6 % - Other Area Hospitals 3 Glendale Memorial Hospital - The hospital serves residents from a broad geographic area. Its primary service area encompasses 29 zip codes in the county of Los Angeles. The hospital serves a federally-designated medically underserved area. The health needs assessment was conducted by Feldman, Milliken & Associates, on behalf of the three not-for-profit hospitals serving the Glendale community: Glendale Memorial Hospital and Health Center, Glendale Adventist Medical Center and Verdugo Hills Hospital. Three approaches have been integrated into the Community Benefit and Health Needs Assessment: secondary data and information, asset mapping, and both qualitative and quantitative primary research. Community Demographics (City of Glendale) - Population 192,954 - Diversity 63% Caucasian, 17.8% Hispanic, 16% Asian, 2% African American, .1% American Indian/Alaska Native, 1.1% Other - Average Income $41,805 - Uninsured 28.9% - Unemployment 4.1% - No HS Diploma 15.6% - Renters 61% - CNI Score 4.5 - Medicaid Patients 28.2 % - Other Area Hospitals 11
Schedule H, Part VI, Line 4Marian Medical Center - Marian Medical Center, located in northern Santa Barbara County, has the Santa Maria Valley as its largest service area. The four largest communities in Marian's primary service area are the City of Santa Maria, the City of Guadalupe, the unincorporated portion of North County that includes Orcutt, Sisquoc and Tepesquet with Nipomo, an unincorporated community of approximately 13,000 people in southern San Luis Obispo County. The hospital serves a federally-designated medically underserved area and a medically underserved population. Marian Medical Center conducts its assessment of the health needs for the primary service area by utilizing data from various other agencies such as: Kidsdata.org, Children Now California Report Card 2009, 2007 CA Health Interview Survey, the 2010 North Santa Barbara County Economic Forecast, California Cancer Facts & Figures 2009, The Adult and Aging Network, the executive summary of Paradox in Paradise Hidden Health Inequities on California's Central Coast, and Santa Barbara County Public Health Department Community Health Status 2009. Community Demographics (Santa Barbara County) - Population 383,866 - Diversity 52.5% Caucasian, 38.8% Hispanic, 4.4% Asian, 1.9% African American, 1% American Indian/Alaska Native, 1.4% Other - Average Income $60,088 - Uninsured 19.3% - Unemployment 4% - No HS Diploma 19.2% - Renters 46% - CNI Score 4.0 - Medicaid Patients 20.9 % - Other Area Hospitals 1 Mercy General Hospital - As a tertiary care facility, Mercy General Hospital serves residents from a broad geographic area. Its primary service area encompasses 47 zip codes. Mercy General's core service area is in the central area of Sacramento County. The hospital serves a federally-designated medically underserved area. The 2010 Community Needs Assessment examined the unmet health care needs of underserved populations living in the Greater Sacramento region as a collaborative effort by the CHW Sacramento Service Area hospitals, Kaiser Permanente, Sutter Health Sacramento Sierra Region, and the University of California Davis Health Care System. Input was received from county health officers from each of the four counties being studied; numerous healthcare professionals and experts who served as key informants, including those who manage or work in area community clinics; medical practitioners who work within various segments of underserved areas; homeless; immigrant and other target populations; and healthcare consultants. Information was also sought from a wide range of community-based organizations within segments of the target population that deliver specialty services such as prenatal and infant care, family counseling, and mental health. Primary data was included from members of the target populations themselves (recent immigrants new to the US and region) and members of the many diverse ethnic communities that call this region home (Hmong, Eastern Europe and Hispanic) were engaged to provide their first-hand experiences, concerns and needs. Community Demographics (Sacramento County) - Population 1,346,473 - Diversity 52.2% Caucasian, 19.7% Hispanic, 13.4 % Asian, 10.1% African American, 1% American Indian/Alaska Native, 3.6% Other - Average Income $56,882 - Uninsured 17.6% - Unemployment 5.7% - No HS Diploma 14.9% - Renters 40% - CNI Score 3.5 - Medicaid Patients 16.2 % - Other Area Hospitals 11 Mercy Gilbert Medical Center - The defined service area for Mercy Gilbert Medical Center is all of Maricopa County. The community needs assessment was completed through Arizona State University's Health Information and Research Center. Multiple data sources were included in the analysis including a combination of qualitative information (e.g. survey results) and quantitative information (e.g. Arizona HealthGrades administrative health data) was included to provide the best picture of the community's health. Secondary data were obtained from the CHW CNI, the U.S. Census Bureau, and the Arizona Disease Control and Prevention Behavioral Risk Factor Surveillance System. The hospital serves a federally-designated medically underserved area. Community Demographics (Maricopa County) - Population 3,812,022 - Diversity 59% Caucasian, 30.6% Hispanic, 2.9% Asian, 4.3% African American, 1.9% American Indian/Alaska Native, 1.3% Other - Average Income $58,416 - Uninsured 21% - Unemployment 4.1% - No HS Diploma 15.7% - Renters 33% - CNI Score 2.6 - Medicaid Patients 16.7 % - Other Area Hospitals 7 Mercy Hospital of Folsom - Mercy Hospital of Folsom is located within the City of Folsom in the eastern suburbs of Sacramento County. The hospital's core service area includes Folsom, El Dorado Hills, Cameron Park, Shingle Springs and Rescue. Its primary service area extends to portions of Rancho Cordova, Sloughhouse and Placerville. The hospital serves a federally-designated medically underserved area. The 2010 Community Needs Assessment examined the unmet health care needs of underserved populations living in the Greater Sacramento region as a collaborative effort by the CHW Sacramento Service Area hospitals, Kaiser Permanente, Sutter Health Sacramento Sierra Region, and the University of California Davis Health Care System. Input was received from county health officers from each of the four counties being studied; numerous healthcare professionals and experts who served as key informants, including those who manage or work in area community clinics; medical practitioners who work within various segments of underserved areas; homeless; immigrant and other target populations; and healthcare consultants. Information was also sought from a wide range of community-based organizations within segments of the target population that deliver specialty services such as prenatal and infant care, family counseling, and mental health. Primary data was included from members of the target populations themselves (recent immigrants new to the US and region) and members of the many diverse ethnic communities that call this region home (Hmong, Eastern Europe and Hispanic) were engaged to provide their first-hand experiences, concerns and needs. Community Demographics (City of Folsom) - Population 56,870 - Diversity 68.3% Caucasian, 11% Hispanic, 11% Asian, 7.5% African American, .4% American Indian/Alaska Native, 1.8% Other - Average Income $73,175 - Uninsured 17.6% - Unemployment 3.3% - No HS Diploma 10.9% - Renters 27% - CNI Score 2.9 - Medicaid Patients 10.3% - Other Area Hospitals 12 Mercy Hospitals of Bakersfield - Mercy Hospitals of Bakersfield serve all of Kern County, including Bakersfield (the county seat) and outlying rural communities such as Taft, Arvin and Lake Isabella. The hospital serves a federally-designated medically underserved area and a medically underserved population. A community-wide needs assessment is conducted every three years through a collaborative effort of Bakersfield Memorial Hospital, Delano Regional Medical Center, Kaiser Permanente, Mercy Hospitals of Bakersfield, San Joaquin Community Hospital and other community partners. This assessment provides a baseline of demographic, health, and social indicators for Kern County. The annual Kern County Network for Children Report Card is also used to corroborate the focus of services. The needs assessment process involves a study of demographics, health access, health care usage, health behaviors, and health status. Social and environmental factors that affect health outcomes are also taken into consideration. Community consultation and feedback (qualitative data) is sought by review of the quantitative data to identify key priority areas in the communities that require attention. Mercy Hospitals Bakersfield Community Demographics (Kern County) - Population 743,112 - Diversity 31.8% Caucasian, 46.1% Hispanic, 3.8% Asian, 5.7% African American, 11.6% Other - Average Income $50,776 - Uninsured 29.3% - Unemployment 6% - No HS Diploma 28.6% - Renters 38% - CNI Score 4.1 - Medicaid Patients 10.6% - Other Area Hospitals 7
Schedule H, Part VI, Line 4Mercy Medical Center Mt. Shasta (MMCMS) - MMCMS is located in Siskiyou County, the northern most part of California, and is bordered by Oregon's southern most border, Modoc County to the east, and Trinity and Shasta Counties to the south. The primary service area includes Mt. Shasta, Dunsmuir, McCloud, and Weed/Lake Shastina and the secondary service area includes Fort Jones, Etna Montague, Dorris, Tulelake, and Yreka. The services of Professional Research Consultants were contracted to conduct the needs assessment. Primary data was collected through telephone surveys of randomly selected Siskiyou County residents age 18 and older. The random sample was adjusted for age, sex, ethnicity and geographic distribution. Qualitative data was collected from two focus groups comprised of representatives of the community's medical professionals and also of community leaders. Secondary data was compiled from a variety of existing (secondary) data sources, including public health morbidity and mortality statistics. Community Demographics (Siskiyou County) - Population 43,469 - Diversity 80.8% Caucasian, 9.7% Hispanic, 1.4% African American, 1.5% Asian, 2.7% American Indian/Alaska Native, 3.9% Other - Average Income $36,823 - Uninsured 29.7% - Unemployment 5.7% - No HS Diploma 12.1% - Renters 33% - CNI Score 4.0 - Medicaid Patients 18.9% - Other Area Hospitals 7 Mercy Medical Center Merced (MMCM) - The primary service area includes the County of Merced, and within the County, the City of Merced and the following zip code areas: 95340, 95301, 95348, 95388, and 95334. The hospital serves a federally-designated medically underserved area. A community health assessment, the Merced County Health Status Profile, was conducted by the Merced County Department of Public Health. The primary data sources for this report come from the California Department of Public Health, Center for Health Statistics, Office of Health Information and Research, and County Health Status Profiles. Community Demographics (Merced County) - Population 238,377 - Diversity 35% Caucasian, 52.1% Hispanic, 7% Asian, 3.8% African American, 1% American Indian/Alaska Native, 1.1% Other - Average Income $42,629 - Uninsured 31.6% - Unemployment 7.7% - No HS Diploma 33.1% - Renters 44% - CNI Score 4.9 - Medicaid Patients 30.0% - Other Area Hospitals 5 Mercy Medical Center Redding - Mercy Medical Center Redding serves a primary service area comprised of zip codes in Redding and surrounding communities in Shasta, Tehama and Trinity County. Professional Research Consultants (PRC) conducted the community health assessment for Shasta County. Through a series of telephone interviews, focus groups and the evaluation of existing health related data, PRC compiled a report inventorying community health priorities and provided recommendations for areas of intervention. The hospital serves a federally-designated medically underserved area. Community Demographics (Shasta County) - Population 176,963 - Diversity 83.3% Caucasian, 7.7% Hispanic, 2.6% Asian, 1% African American, 2.6% American Indian/Alaska Native 2.8% Other - Average Income $42,362 - Uninsured 32.7% - Unemployment 6% - No HS Diploma 12.7% - Renters 34% - CNI Score 4.0 - Medicaid Patients 19.3% - Other Area Hospitals 6 Mercy San Juan Medical Center - Mercy San Juan Medical Center is located in the northern Sacramento County suburbs, serving major communities that include Citrus Heights, Fair Oaks, North Highlands, Carmichael, Antelope, Roseville, and other neighboring cities that comprise 22 zip codes. The hospital serves a federally-designated medically underserved area. The 2010 Community Needs Assessment examined the unmet health care needs of underserved populations living in the Greater Sacramento region as a collaborative effort by the CHW Sacramento Service Area hospitals, Kaiser Permanente, Sutter Health Sacramento Sierra Region, and the University of California Davis Health Care System. Input was received from county health officers from each of the four counties being studied; numerous healthcare professionals and experts who served as key informants, including those who manage or work in area community clinics; medical practitioners who work within various segments of underserved areas; homeless; immigrant and other target populations; and healthcare consultants. Information was also sought from a wide-range of community-based organizations within segments of the target population that deliver specialty services such as prenatal and infant care, family counseling, and mental health. Primary data was included from members of the target populations themselves, recent immigrants new to the US and region, and members of the many diverse ethnic communities that call this region home (Hmong, Eastern Europe and Hispanic) were engaged to provide their first-hand experiences, concerns and needs. Community Demographics (Sacramento County) - Population 1,534,044 - Diversity 52.2% Caucasian, 19.7% Hispanic, 13.4% Asian, 10.1% African American, 1% American Indian/Alaska Native, 3.6% Other - Average Income $56,882 - Uninsured 17.6% - Unemployment 5.7% - No HS Diploma 14.9% - Renters 40% - CNI Score 3.4 - Medicaid Patients 24.5 % - Other Area Hospitals 13 Methodist Hospital of Sacramento - Methodist's primary service area encompasses a major portion of south Sacramento County. The hospital's primary service area is comprised of 12 zip codes, and includes the suburban communities of Elk Grove, Laguna, Wilton and Galt. A portion of the hospital's primary service area known as the Fruitridge area is designated a federal Medically Underserved Area. The 2010 Community Needs Assessment examined the unmet health care needs of underserved populations living in the Greater Sacramento region as a collaborative effort by the CHW Sacramento Service Area hospitals, Kaiser Permanente, Sutter Health Sacramento Sierra Region, and the University of California Davis Health Care System. Input was received from county health officers from each of the four counties being studied; numerous healthcare professionals and experts who served as key informants, including those who manage or work in area community clinics; medical practitioners who work within various segments of underserved areas; homeless; immigrant and other target populations; and healthcare consultants. Information was also sought from a wide range of community-based organizations within segments of the target population that deliver specialty services such as prenatal and infant care, family counseling, and mental health. Primary data was included from members of the target populations themselves, recent immigrants new to the US and region, and members of the many diverse ethnic communities that call this region home (Hmong, Eastern Europe and Hispanic) were engaged to provide their first-hand experiences, concerns and needs. Community Demographics (Sacramento County) - Population 1,534,044 - Diversity 52.2% Caucasian, 19.7% Hispanic, 13.4% Asian, 10.1% African American, 1% American Indian/Alaska Native, 3.6% Other - Average Income $56,882 - Uninsured 17.6% - Unemployment 5.7% - No HS Diploma 14.9% - Renters 40% - CNI Score 3.6 - Medicaid Patients 34.8 % - Other Area Hospitals 11
Schedule H, Part VI, Line 4Northridge Hospital Medical Center - Service Provider Area (SPA) 2 encompasses 999.24 square miles and is the largest of Los Angeles County's eight service planning areas. SPA 2 consists of thirty-six cities and sixty-five zip codes. In excess of two million people live in the San Fernando and Santa Clarita Valleys (SPA 2). The hospital serves a federally-designated medically underserved area and a medically underserved population. The 2010 edition of Assessing the Community's Needs: A Triennial Report on the San Fernando and Santa Clarita Valleys, was developed by the Valley Care Community Consortium (VCCC) and represents the collaborative efforts of multiple agencies, including community-based and faith-based organizations, hospitals, clinics, schools, churches, social service agencies, government agencies, elected officials and other community stakeholders. Developed by the National Association of City and County Health Officials and the Centers for Disease Control, Mobilizing for Action through Planning and Partnerships employs a community-wide strategic planning tool for improving community health. This process allowed for a more in-depth review and analysis of some of the critical health issues facing SPA 2. Primary data was collected from more than 200 organizations through in-person or phone interviews. These interviews supplemented secondary data and provided missing or unavailable information. Community Demographics (Los Angeles County) - Population 9,519,338 - Diversity San Fernando Valley 40.1% Caucasian, 41.5% Hispanic, 10.5% Asian, 3.6% African American, 4.3% Other Santa Clarita Valley 62.4% Caucasian, 23.6 Hispanic, 6.8% Asian, 3.4% African American, 3.8% Other - Average Income $55,452 - Uninsured 28.9% - Unemployment 8.2% / 4.6% - No HS Diploma 46.7% / 13.10% - Renters 49% / 27% - CNI Score 4.0 - Medicaid Patients 23.4% - Other Area Hospitals 11 Saint Mary's Regional Medical Center - Washoe County covers an area of 6,600 square miles in the northwest section of the state of Nevada and includes Reno, Sparks, Carson City, Cold Springs, Crystal Bay, Empire, Incline Village, Lockwood, McCarran, Nixon, Spanish Springs, Sun Valley, Verdi, Wadsworth, and Washoe Valley. The hospital serves a federally-designated medically underserved population. The results of Saint Mary's Community Needs Assessment, which were derived from secondary data, are based on the critical health issues identified in Washoe County. These health issues are derived from Healthy People 2010's Leading Health Indicators, leading causes of death in Washoe County, and unfavorable findings in comparison with state and national averages. Community Demographics (Washoe County) - Population 396,093 - Diversity 67.7% Caucasian, 20.8% Hispanic, 5.2% Asian, 1.8% American Indian/ Alaska Native, 2.3% African American, 2.2% Other - Average Income $57,335 - Uninsured 21% - Unemployment 4.2% - No HS Diploma 13.9% - Renters 40% - CNI Score 3.4 - Medicaid Patients 8.8% - Other Area Hospitals 2 Sequoia Hospital - Sequoia Hospital's primary service area includes the communities within the Sequoia Healthcare District boundaries: Belmont, San Carlos, Redwood City, Atherton, Menlo Park, Woodside and Portola Valley. The hospital serves a federally-designated medically underserved area. The Healthy Community Collaborative of San Mateo County, a group of 16 San Mateo County organizations produce the county-wide community needs assessment. The Collaborative retained Professional Research Consultants, Inc. to conduct the needs assessment, which included two components: collection of secondary research materials and primary research activities. Community Demographics (San Mateo County) - Population 691,716 - Diversity 45.7% Caucasian, 23.1% Hispanic, 23.8% Asian, 3.2% African American, .4% American Indian/Alaska Native, 3.8% Other - Average Income $84,879 - Uninsured 14.3% - Unemployment 4.1% - No HS Diploma 11.7% - Renters 38% - CNI Score 3.0 - Medicaid Patients 3.6% - Other Area Hospitals 16 St. Bernardine Medical Center - The primary Service Area encompasses nine cities covering 17 zip codes that include Bloomington, Colton, Crestline, Fontana, Hesperia, Highland, Rialto, Yucaipa and San Bernardino. The hospital serves a federally-designated medically underserved area. Targeted interviews and focus groups were used to gather information and opinions from members of the SBMC community. Secondary data was collected by obtaining and analyzing a variety of local, county, and state sources to present a community profile, birth and death characteristics, access to health care, chronic diseases, social issues, and school and student characteristics. Community Demographics (San Bernardino County) - Population 1,944,626 - Diversity 36.3% Caucasian, 46.6% Hispanic, 5.8% Asian, 8.9% African American, 1% American Indian/Alaska Native, 1.4% Other - Average Income $54,768 - Uninsured 25.1% - Unemployment 5.9% - No HS Diploma 22.7% - Renters 35% - CNI Score 4.3 - Medicaid Patients 27.7% - Other Area Hospitals 8 St. Elizabeth Community Hospital - St. Elizabeth Community Hospital is located in Tehama County. The county is bordered by Glenn County to the south, Trinity and Mendocino counties to the west, Shasta County to the north, and Butte and Plumas counties to the east. The county is situated in the northern portion of the Sacramento Valley, and is divided in half by the Sacramento River. The hospital service area includes Red Bluff, Gerber, Corning, Los Molinos and Cottonwood. The hospital serves a federally-designated medically underserved area. St. Elizabeth Community Hospital is committed to involving and informing the residents of Tehama County in a Community Needs Assessment Survey process. Professional Research Consultants has been the agency engaged by the North State Service Area to conduct the assessment. In addition to secondary data sources, a telephone interview methodology, with a random sample of 500 individuals living in Tehama County, aged 18 and over, was also employed. The sample of 500 area residents is highly representative of the adult population and presents a maximum error rate of plus or minus 4.4% at the 95 percent level of confidence. Community Demographics (Tehama County) - Population 58,934 - Diversity 73.8% Caucasian, 20% Hispanic, 1.3% Asian, .9% African American, 2% American Indian/Alaska Native, 2% Other - Average Income $38,160 - Uninsured 27.9% - Unemployment 5.3% - No HS Diploma 20.3% - Renters 36% - CNI Score 4.1 - Medicaid Patients 24.3% - Other Area Hospitals 6 St. John's Pleasant Valley Hospital and St. John's Regional Medical Center - Community is defined as the resident population within the hospitals' service areas. St. John's Pleasant Valley Hospital in Camarillo and St. John's Regional Medical Center in Oxnard serve all of Ventura County. The primary service areas include Camarillo, Oxnard and Port Hueneme. The hospitals serve a federally-designated medically underserved area. The St. John's Community Advisory Board partnered with other healthcare organizations to form the Community Needs Assessment Collaborative Group. The Innovative Research Group was contracted to conduct telephone surveys of Ventura County. A combination of random sampling and simple random sampling methods were used. The population was divided into twenty-three zip code areas for the survey. Community Demographics (Ventura County) - Population 783,035 - Diversity 51.9 Caucasian, 37.3% Hispanic, 6.6% Asian, 2% African American, 1.2% American Indian/Alaska Native, 1% Other - Average Income $76,190 - Uninsured 21.2% - Unemployment 4.1% - No HS Diploma 17.7% - Renters 32% - CNI Score - SJPVH 3.7 - Medicaid Patients 8.7% - Other Area Hospitals 5 Community Demographics (City of Oxnard) - Population 182,612 - Diversity 14.9% Caucasian, 73.5% Hispanic, 7.1% Asian, 2.4% African American, .3% Native Hawaiian or Pacific Islander, .2% American Indian/Alaska Native, 1.6% Other - Average Income $48,603 - Uninsured 21.2% - Unemployment 4.8% - No HS Diploma 36.9% - Renters 43% - CNI Score - SJRMC 3.9 - Medicaid Patients 15.5% - Other Area Hospitals 5
Schedule H, Part VI, Line 4St. Joseph's Hospital and Medical Center - St. Joseph's Hospital draws approximately 90% of its patients from Maricopa County, 9% from outside Maricopa County but within Arizona, and 4% from outside the state. (Note: 61% of the population of the state of Arizona resides within Maricopa County.) The hospital serves a federally-designated medically underserved area. St. Joseph's Hospital and Medical Center assesses the needs of the community on an ongoing basis and uses the assessment conducted by the Arizona State University Center for Health Information and Research (CHIR) and other sources throughout the year. CHIR utilizes the Arizona Health Query, a community health data system created by the voluntary participation of health care insurers and providers. The data combines information about more than seven million persons providing information about the primary service area (Maricopa County) and the secondary service area (the rest of the state of Arizona). Community Demographics (Maricopa County) - Population 3,812,022 - Diversity 59% Caucasian, 30.6% Hispanic, 2.9% Asian, 4.3% African American, 1.9% American Indian/Alaska Native, 1.3% Other - Average Income $58,416 - Uninsured 21% - Unemployment 4.1% - No HS Diploma 15.7% - Renters 33% - CNI Score 3.5 - Medicaid Patients 31.1% - Other Area Hospitals 19 St. Joseph's Medical Center/St. Joseph's Behavioral Health Center The primary service area of St. Joseph's Medical Center (SJMC) and St. Joseph's Behavioral Health Center is Stockton and the secondary service area is San Joaquin County (pop. 672,388 - 2008). SJMC also serves as a referral for tertiary care for surrounding counties, which include Alpine, Amador, Calaveras, Mariposa, Stanislaus and Tuolumne Counties. The hospital serves a federally-designated medically underserved area. Applied Survey Research conducts the needs assessment for a consortium of hospitals and agencies in the Stockton service area, including St. Joseph's Medical Center, Dameron Hospital, Sutter Tracy Community Hospital, Kaiser Permanente, First 5 San Joaquin, Healthier Community Coalition, San Joaquin County Human Services Agency, San Joaquin County Office of Education and the Health Plan of San Joaquin. Primary data were obtained from a telephone survey and face-to-face survey of San Joaquin County residents. Secondary data were collected from a variety of sources, including but not limited to: US Census, federal, state and local government agencies; academic institutions; economic development groups; health care institutions; and computerized sources through online databases and the Internet. Community Demographics (San Joaquin County) - Population 642,816 - Diversity 39.4% Caucasian, 36.4% Hispanic, 13.7% Asian, 7.3% African American, .9% American Indian/Alaska Native, 2.3% Other - Average Income $35,453 - Uninsured 28.2% - Unemployment 6.7% - No HS Diploma 24.1% - Renters 37% - CNI Score 4.5 - Medicaid Patients 21.1% - Other Area Hospitals 5 St. Mary Medical Center - Long Beach - St. Mary Medical Center is located in Long Beach, CA, the second largest city in Los Angeles County and 34th in the nation. St. Mary Medical Center also serves the surrounding communities of Wilmington, Carson, San Pedro, Seal Beach, Signal Hill, Lakewood, and Bellflower. St. Mary Medical Center partnered with Community Hospital of Long Beach and Long Beach Memorial Medical Center/Miller's Children's Hospital to conduct the tri-annual Community Needs Assessment. The collaboration contracted with California State University Long Beach and the Department of Public Health. Primary data was collected from more than 450 residents who utilized the Key Informant Survey and the Long Beach Health Needs Assessment Survey. The Long Beach Community Health Needs Assessment included the Key Informant Survey Data, Long Beach Health Needs Assessment Data, California Health Interview Survey-2003 Data, and many other secondary data collected from partners and stakeholders. The hospital serves a federally-designated medically underserved area and a medically underserved population. Community Demographics (City of Long Beach) - Population 453,962 - Diversity 44.6% Caucasian, 14.2% Hispanic, 31.4% Asian, 13.6% African American, .5% American Indian/Alaska Native, 3% Other - Average Income $37,270 - Uninsured 28.9% - Unemployment 5.8% - No HS Diploma 21.7% - Renters 58% - CNI Score 4.4 - Medicaid Patients 40.9% - Other Area Hospitals 9 St. Mary's Medical Center - San Francisco - The community of St. Mary's Medical Center is defined as the City and County of San Francisco. The San Francisco Community Health Assessment went paperless in 2007. The website www.healthmattersinsf.org examines the health conditions in San Francisco, now in a dynamic new web-based format. Similar to prior assessments, national, state, and local data remain at the core of the information. The hospital serves a federally-designated medically underserved area. Community Demographics (San Francisco County) - Population 780,154 - Diversity 44.6% Caucasian, 14.2% Hispanic, 31.4 Asian, 6.5% African American, .5% American Indian/Alaska Native, 2.8% Other - Average Income $55,221 - Uninsured 17.2% - Unemployment 4.5% - No HS Diploma 14.4% - Renters 62% - CNI Score 3.3 - Medicaid Patients 8.0% - Other Area Hospitals 7 St. Rose Dominican Hospitals (SRDH) - DeLima Campus, San Martin Campus, Siena Campus - St. Rose Dominican Hospitals serve the areas surrounding the three acute care facilities in the southern portion of the Las Vegas Valley. This area includes the City of Henderson and the southwest area of Clark County/Las Vegas, which are urban and suburban areas with diverse socioeconomic conditions. The hospitals serve a federally-designated medically underserved population. The UNLV Nevada Institute for Children's Research and Policy in partnership with St. Rose Dominican Hospitals conducted a Community Health Needs Assessment of Clark County, Nevada with specific focus on geographic areas serviced by St. Rose. Both quantitative and qualitative research methodologies were used to ensure an accurate profile of the St. Rose Service area. This report combines both primary and secondary data from a variety of sources, including telephone, paper, and electronic surveys; data from existing literature and databases; and information from community focus groups. Community Demographics (Clark County) - Population 1,802,189 - Diversity 51.8% White, 27.9% Hispanic, 7.2% Asian, 9.7% African American, .7% American Indian/Alaska Native, 2.7% Other - Average Income $56,691 - Uninsured 21% - Unemployment 5% - No HS Diploma 17% - Renters 41% - CNI Score 3.2 - Medicaid Patients 9.9% de Lima, 4.6% Siena, 4.7% San Martin - Other Area Hospitals 10 Woodland Healthcare - Woodland Healthcare is located in Yolo County, and the hospital's primary service area includes seven zip codes in the cities of Woodland; Davis; Dixon; Esparto; Winters; West Sacramento; Dunnigan; and Knights Landing. The hospital serves a federally-designated medically underserved area. The Community Needs Assessment examined the unmet health care needs of underserved populations living in the Greater Sacramento region as a collaborative effort by the Sacramento Service Area hospitals, Kaiser Permanente, Sutter Health Sacramento Sierra Region, and the University of California Davis Health Care System. Input was received from county health officers from each of the four counties being studied; numerous healthcare professionals and experts who served as key informants, including those who manage or work in area community clinics; medical practitioners who work within various segments of underserved areas; homeless; immigrant and other target populations; and healthcare consultants. Information was also sought from a wide-range of community-based organizations within segments of the target population that deliver specialty services such as prenatal and infant care, family counseling, and mental health. Primary data was included from members of the target populations themselves - recent immigrants new to the US and region - and members of the many diverse ethnic communities that call this region home (Hmong, Eastern Europe and Hispanic) were engaged to provide their first-hand experiences, concerns and needs. Community Demographics (Yolo County) - Population 186,332 - Diversity 53.5% Caucasian, 28.5% Hispanic, 2.4% African American, 11.6% Asian, 1.1% American Indian/Alaska Native 2.9% Other - Average Income $57,877 - Uninsured 20% - Unemployment 5.2% - No HS Diploma 16% - Renters 45% - CNI Score 3.9 - Medicaid Patients 17.0 % - Other Area Hospitals 11
Schedule H, Part VI, Line 6Other Information SEE FORM 990, PART III, 4A FOR A BRIEF INTRODUCTION OF CATHOLIC HEALTHCARE WEST Use of Surplus Funds As a not-for-profit organization dedicated to improving the quality of life, CHW reinvests all its operating and investment income in hospital improvements, technology enhancements, community health programs, and employee benefits. This active reinvestment makes it possible for us to deliver on our mission, including ensuring that everyone has access to health care. 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 whether a practitioner's credentials are authentic and valid. The Role of the Board The CHW Board of Directors establishes key measures of system-wide community benefit performance and receives regular reports on progress toward established goals. CHW Hospital Community Boards and Subsidiary Boards (Community Boards), which are ratified by the CHW 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 and assets, developing the hospital's community benefit plan and monitoring progress toward identified goals. If applicable, Board members of the Committee will ensure that the Community Board is regularly briefed on activities and developments and will also ensure 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. Catholic Healthcare West provides hospital services and carries out our mission at the following locations in California, Arizona and Nevada: Arroyo Grande Community Hospital 345 South Halcyon Road Arroyo Grande, California, 93420 (805) 489-4261 http://www.arroyograndehospital.org/ Arroyo Grande Community Hospital (AGCH), with a history of service in the community since 1961, became a member of Catholic Healthcare West in 2004. This not-for-profit 65-bed hospital primarily serves residents in southern San Luis Obispo County. It is a state of-of-the-art facility providing a full range of services, including medical-surgical, acute care and emergency care. Its emergency department is one of the busiest in the area, treating an average of 1800 patients each month, and consistently excelling in patient satisfaction ratings. The AGCH Community Board reviews community outreach statistics, as well as program content and design, through monthly reports provided by Mission Services. At the end of each fiscal year the Community Board reviews the annual community benefit report and plan to decide which projects will be funded to ensure AGCH's commitment to serve the community, particularly the poor, underserved and disadvantaged. The Community Benefit team also reviews program activities quarterly to ensure commitment to the strategic plan and to maintain awareness of community needs, particularly those of the poor, underserved and disadvantaged. To strengthen AGCH's community benefit programs and develop an infrastructure to ensure the success of community programs, Program Digest leaders have been identified for each of the Community Benefit program digests. These leaders are responsible for identifying and meeting their program's community benefit goals and report progress of their programs to the Community Benefit Team at quarterly meetings. The following are examples of Community Benefit Programs and services provided in response to the priority needs of the community, which include prevention and management of chronic disease, cancer prevention, outreach to the low income, homeless and senior populations: - Healthcare Education Program - Provides the southern San Luis Obispo County both underserved and broader community with health-related education programming that empower community members to become proactive and assume responsibility for their health, and to educate people to prevent chronic disease conditions. - Cancer Awareness - AGCH and Coastal Cancer Center partnered to provide education, support groups, screenings and health information to encourage prevention, early detection and disease and disability management for cancer patients. The Coastal Cancer Center provides resources for patients and their families in the AGCH service area and referrals to the Hearst Cancer Resource Center and Marian Cancer Resource Center, and other community partners. California Hospital Medical Center 1401 South Grand Avenue Los Angeles, California, 90015 (213) 748-2411 http://www.chmcla.org/ Since 1887, California Hospital Medical Center (CHMC) has been at the heart of downtown and active in caring for our downtown and inner city communities. The 316-bed private, non-profit hospital is a leader in acute care services and in the development of innovative programs that make a difference in both the local community and the medical profession. The J. Thomas McCarthy Center for Emergency Services is the only full-service, 24 hour emergency department in central Los Angeles, serving more than 45,000 patients per year. In 2004 CHMC opened a Level II Trauma Center which is open 24 hours a day, 7 days a week and cares for an average of more than 185 patients per month. CHMC also participates in USC/UCLA Residency Program, which allows resident physicians to complete their residency program at the hospital. The CHMC Community Board is a group composed of doctors, lawyers, educators and local community leaders. The following are examples of Community Benefit Programs and services provided in response to the priority needs of the community, which include health promotion/disease prevention and disease management: - Healthy Eating Lifestyle Program - Addresses the current epidemic of pediatric obesity. The long-term goal of this program is to prevent the development of complications such as type 2 diabetes, cardiovascular disease, osteoarthritis, and various cancers. - Type 2 Diabetes Prevention, Screening, and Intervention Program - Provides comprehensive educational offerings for patients at high risk for the development of type 2 diabetes and for those already diagnosed with the disease. This program fulfills the recommendations of the CDC's Task Force on Community Preventive Services in that it integrates disease management, case management, and self-management education.
Schedule H, Part VI, Line 6Chandler Regional Hospital 475 South Dobson Road Chandler, Arizona, 85224 (480) 728-3000 http://www.chandlerregional.org/ Opened in 1961, Chandler Regional Hospital was funded through grassroots fundraising and bonds issued by the community of Chandler. The hospital is known for the Chandler Family Birth Center, its Level II Trauma Center and its award winning community outreach programs. Chandler's community benefit effort is marked by thoughtful study and dialogue that leads to important community action. This action fulfills the mission to provide direct services to our sisters and brothers who are poor and to advocate on their behalf. The CHW core value of collaboration can also be found in the many efforts to partner with others in the community to improve the quality of life. The following are examples of Community Benefit Programs and services provided in response to the priority needs of the community, which include chronic disease management and the promotion of health and wellness at the community level: - The Diabetes Center offers education and disease self-management classes to individuals with Type 1, Type 2 and gestational diabetes as well as those at risk of developing it and their families. Classes and support groups provide an overview of the condition, disease management and counseling. The Diabetes Center is actively involved in in-patient collaborations to improve patient education materials, patient consultations, physician engagement, and patient referrals to the Diabetes Center. The Diabetes Center extends services to the underserved populations through collaborations with key partners in the community. These fundamental partnerships enhance capacity building and continuum of care and ultimately lead to better disease management, decreased admissions, and improved quality of life. - Immunization Program - Immunizations are a vital component to the health and well being of every child, and are required by the state. Unfortunately, many families are unable to get the required shots due to lack of resources, insurance and cultural barriers. In an answer to this need, CHW-East Valley has long supported free immunizations clinics held throughout the community. This includes children under age 18 who do not have insurance, or their insurance does not cover immunizations, or are American Indian or Native American. CHW is recognized by Arizona's Vaccines for Children Program for the number of immunizations given by a healthcare facility. Dominican Hospital 1555 Soquel Drive Santa Cruz, California, 95065 (831) 462-7700 http://www.dominicanhospital.org Dominican Hospital is a religious-sponsored not-for-profit community hospital located in the city of Santa Cruz, California, seventy miles south of San Francisco along the coastline of the Monterey Bay. This 379-bed hospital has a rich tradition of collaboration with the community. The hospital has an annual admission of over 13,350 patients and the emergency department sees over 39,800 visits a year. The following are examples of Community Benefit Programs and services provided in response to the priority needs of the community, which include access to primary medical care for low income, access to prenatal services and early cancer detection and treatment: - Kidsmart Provides health screening for children, grades K 10 (vision, hearing, and scoliosis) in public and private schools. These services are no longer provided by the school districts, so Dominican has stepped up to provide them. - Pediatric Clinic Provides access to primary health care services for infants, children, and teens with MediCal, Central Coast Alliance for Health, CHDP, CCS, Healthy Families and Health Kids health coverage. - Dominican Prenatal Services Provides access for the low income pregnant women to one stop shopping health services, medical care, health, nutritional and psych social education and community referral. - Bennett and Suzy Katz Cancer Resource Center (KCRC) - A collaboration with the Cancer Society, the Santa Cruz Tobacco Coalition, the Women Care Program, and the Lymphoma and Leukemia Society, providing education, support, and resource information to patients and families. French Hospital Medical Center 1911 Johnson Avenue San Luis Obispo, California, 93401 (805) 543-5353 http://www.frenchmedicalcenter.org French Hospital Medical Center was founded in 1946 by the hospital's namesake, Dr. Edison French and has 112 licensed beds. Major programs and services include cardiac care, critical care, diagnostic imaging, emergency medicine and obstetrics. The following are examples of Community Benefit Programs and services provided in response to the priority needs of the community, which include healthcare education and disease prevention and cancer resources: - Cardiac Wellness - Cardiovascular disease is the leading cause of death in the United States. HeartAware is a web-based software FHMC utilizes to provide an assessment of cardiovascular health status and identify those medical or lifestyle conditions that may lead to development of the disease. This profile can enable community members to take control of their health and provide them with the best defense against cardiovascular disease. - The Congestive Heart Failure (CHF) program provides education to patients diagnosed with CHF during the hospital stay in addition to providing discharge instructions. Patients enrolled in the program are provided consistent telephonic patient follow-up and education thereby decreasing the number of readmissions to the hospital. This program also serves cardiac patients through education, risk assessment and referrals. - The Hearst Cancer Resource Center provides information, education and support services for cancer patients and their families. The center is staffed with qualified personnel and collaborates with existing services in the community. The center will be part of a regional approach in concert with the other CHW Central Coast Service Area. Glendale Memorial Hospital & Health Center 1420 South Central Avenue Glendale, California, 91204 (818) 502-1900 http://www.glendalememorial.com Glendale Memorial Hospital and Health Center (GMHHC) is an acute care hospital with 231 licensed beds. GMHHC is continually ranked (by HealthGrades) among the best in the entire country: ranked among the top 5% in the nation for heart surgery. Ranked among the top 3 hospitals in California for heart surgery, five-star rated for the treatment of heart failure, and ranked among the top 10% in the nation for the treatment of stroke. The following are examples of community benefit programs and services provided in response to priority health needs of the community, including health promotion and disease prevention as well as disease management programs: - The Diabetes Education Program at GMHHC is committed to providing high quality, comprehensive, culturally sensitive outpatient based education, nutrition, and psychosocial services to adult clients with caring and compassion. The Diabetes Education Program offers classes in diabetes self-management, as well as individual instruction and nutrition counseling in English and Spanish. The Nutrition Clinic offers individual nutrition education and classes in weight management and carbohydrate counting. - The primary purpose of the Glendale Community Free Health Clinic is to provide free healthcare to the uninsured and underinsured working poor and other low-income individuals who otherwise would not likely have access to such healthcare. The clinic provides no-cost patient care, prescriptions, resources and referral advocacy and creates community partnerships to assist people with specialists, diagnostic services, and pharmaceuticals.
Schedule H, Part VI, Line 6Marian Medical Center 1400 East Church Street Santa Maria, California, 93454 (805) 739-3000 http://www.marianmedicalcenter.org/ In 1940, the Sisters of St. Francis of Penance and Christian Charity founded Our Lady of Perpetual Help Hospital. Today, the hospital, known as Marian Medical Center, is a 167-bed medical facility with two hospital campuses, Marian and Marian West. Marian also offers a 95-bed Extended Care Center, providing sub-acute health care for those in need of short-term, intermediate or long-term care. Centers of Excellence include the Marian Cancer Center, 24-hour Emergency Services, the Plaza Diagnostic Imaging Center, Orthopedic Care, Marian Hospice Services and the Marian Heart Center. Additional specialty services include Marian's Same Day Care Center, Marian Community Clinics located in Santa Maria and Guadalupe, Marian Rehabilitation Services, Marian Health and Wellness Center, the Family Birthing Center and an Urgent Care Center. The following are examples of Community Benefit Programs and services provided in response to the priority health needs of the community, including access to healthcare services, cancer education and services and disease management programs: - North Santa Maria and Guadalupe clinics provide access to health care for the underserved and disadvantaged for primary and specialty medical care to reduce health disparities. The Santa Maria Clinic includes Obstetrics & Gynecological care, and the New Life Program for crisis pregnancies offers counseling, support groups, adoption referrals, and clothing for mother and baby. These clinics also provide learning opportunities for medical assistants and health professionals, ensuring that the next generation of healthcare professionals has "real world" training and a commitment to providing care to all populations. - The Marian Cancer Care Center addresses medical, physical, social, financial, spiritual and emotional needs of cancer patients and their families. The Center provides expert care while advancing the understanding of early diagnosis, treatment, cure and prevention of cancer. Social and rehabilitative support services are provided for cancer patients, their families and loved ones that include consultations with oncology nurse, social workers and nutritionist. - The Congestive Heart Failure Program (CHF) - Continues to close the gap for the medical and educational needs of patients by collaborating among the acute care hospital, Marian Home Health and physicians' offices. This program minimizes readmission of patients and decreases the severity of the illness. Mercy General Hospital 4001 J Street Sacramento, California, 95819 (916) 453-4545 http://www.mercygeneral.org/ Mercy General Hospital's history in Sacramento dates back to the opening of the first hospital by the Sisters of Mercy - Mater Misericordiae - in the downtown area. The Sisters broke ground for Mercy General in 1925. The hospital is currently licensed for 342 beds and operates a fulltime emergency department. Highlights of services include: Alex G. Spanos Heart and Vascular Center, Mercy Heart and Vascular Institute, Mercy Neurological Institute of Northern California, the Retina Institute and an Orthopedic Center of Excellence. Mercy General Hospital specifically sponsors and takes an active role in programs that address priorities within include access to care and heart disease: - Mercy Clinic Loaves & Fishes, which provides free episodic and urgent health care to the homeless. - Mercy Clinic Norwood, which provides free and low cost primary care services to the poor and vulnerable populations in Del Paso Heights, an economically depressed community. - CHAMP (Congestive Heart Active Management Program) that provides a vital medical link to heart failure patients when they leave the hospital to improve their understanding and ability to manage this chronic disease, and reduce their risk of readmission. Mercy Gilbert Medical Center 3555 S. Val Vista Drive Gilbert, Arizona, 85296 (480) 728-8000 http://www.mercygilbert.org Mercy Gilbert Medical Center opened its doors on June 5, 2006, and offers all major services of an acute care hospital. The four-story, full-service, acute-care facility houses 210 private rooms, with plans to grow the bed capacity to 212 as community needs increase. Mercy Gilbert offers a large variety of health services including an Emergency Department; a full range of surgical services; women's services; imaging services, including MRI and CT; cardiac services and cancer/oncology services. The following are examples of Community Benefit Programs and services provided in response to the priority health needs of the community, including promotion of health and wellness and chronic disease management. - The Center for Faith Health Ministries strengthens the faith community in its role as advocate for whole person healing. Through a covenanted partnership (12 to date) with CHW, faith community members are provided a seamless transition from home to hospital/acute care services back to home. This Discharge Transition process offers opportunities to make more informed and appropriate decisions regarding continuity of care and use of health care services. Chronic disease management, particularly congestive heart failure, is also addressed through the work of the Faith Community Nurse and Health Team. - The Diabetes Center offers education and disease self-management classes to individuals with Type 1, Type 2 and gestational diabetes as well as those at risk of developing it and their families. Classes and support groups provide an overview of the condition, disease management and counseling. The Diabetes Center is actively involved in in-patient collaborations to improve patient education materials, patient consultations, physician engagement, and patient referrals to the Diabetes Center. The Diabetes Center extends services to the underserved populations through collaborations with key partners in the community. These fundamental partnerships enhance capacity building and continuum of care and ultimately lead to better disease management, decreased admissions, and improved quality of life. Mercy Hospital of Folsom 1650 Creekside Drive Folsom, California, 95630 (916) 983-7400 http://www.mercyfolsom.org/ Mercy Hospital of Folsom is an integral part of Folsom, El Dorado Hills and neighboring foothill communities, providing all levels of healthcare from preventive to emergency. Its history in the community dates back nearly 30 years when the Sisters of Mercy acquired the struggling 30-bed Twin Lakes Hospital in order to maintain the health care safety net for what was then a small, rural community. In 1989, the Sisters opened the new 85-bed Mercy Hospital of Folsom on a 26-acre parcel of property donated by the Cummings and Tsakopulos families. Mercy Hospital of Folsom specifically sponsors and takes an active role in programs that address priorities within its service area, including access to care and chronic conditions: - White Rock Family Clinic provides free and low cost primary care to the underserved (largely Hispanic/Latino) in an area that lacks access. - Folsom Family Clinic provides free and low cost primary care to low income residents who otherwise would go without health care. - Community Health Education programs to help both the poor and broader community minimize health risk behaviors and manage chronic illness.
Schedule H, Part VI, Line 6Mercy Hospitals of Bakersfield 2215 Truxtun Avenue Bakersfield, California, 93301 (661) 632-5000 http://www.mercybakersfield.org/ Founded in 1910 by the Sisters of Mercy, this acute care hospital in downtown Bakersfield is licensed for 144 beds and an additional 50-bed skilled nursing facility. Mercy Hospital offers a full range of medical/surgical services, including the Florence R. Wheeler Cancer Center. Mercy Southwest Hospital 400 Old River Road Bakersfield, CA 93311 (661) 663-6000 Mercy Southwest Hospital was built in 1992 and is located in southwest Bakersfield. This 78-bed acute care hospital focuses on outpatient and short-stay services specializing in obstetrics, women's care, medical/surgical care and orthopedic services. Two professional medical service office buildings are located on the hospital campus. Caring for the community beyond the hospital walls led to the founding, in 1991, of the Department of Special Needs & Community Outreach. Today, the department operates more than 58 programs in Bakersfield, Arvin, Shafter, McFarland, Delano, Lake Isabella, Ridgecrest, Taft, and other outlying communities in Kern County where there is limited access to health care and related services. The following are examples of Community Benefit Programs and services provided in response to the priority health needs of the community, including access to primary health care services, health education and management of chronic conditions: - The Community Wellness Program provides personalized in-home health education and monitoring; community health screening clinics; health education classes; and referrals to other local health care and social service resources. - Empowerment Program - a comprehensive chronic disease self-management program designed to provide patients who have chronic diseases with the knowledge, tools and motivation needed to become proactive in their health. Each program seminar consists of six weekly classes covering a variety of topics including nutrition, exercise, use of medications, communication with doctors, stress management, and evaluating new treatments. Mercy Medical Center Merced Community Campus 333 Mercy Ave. Merced, California, 95340 (209) 385-7000 http://www.mercymercedcares.org/index.htm In 1921 members of the Merced Community began raising funds to build a hospital that would serve the rural population of Merced. The twenty-two bed hospital admitted its first patient in November 1923 under the name Mercy Hospital. The Dominican sisters of Kenosha Wisconsin took over operation of the facility in 1949. In 2001 Merced Community Hospital, which had been founded in 1853, affiliated with Mercy Hospital and Health Services to form a two-campus facility. In 2010 a new state-of-the art facility was opened, replacing the former two. Services include: licensed acute care facilities, outpatient facilities, a cancer center, maternity unit, a home care unit, a physical and cardiac rehabilitation center, ambulatory surgery, sleep disorder lab, pediatric clinic, a wound care center and general medicine and specialty clinics. The following are examples of Community Benefit Programs and services provided in response to priority health needs in the community, including access to quality health care and chronic disease management: - South East Asian Community Out-Reach - By improving the understanding of Western Medicine within the South East Asian (Hmong, Mein, Loa) community and improving our understanding of the South East Asian culture, we should be able to decrease inappropriate use of the ED, decrease the hospital length of stay and increase medication compliance among South East Asian patients with chronic diseases. Hospital staff and physicians hold a weekly educational meeting with Hmong, Mein and Loa community leaders for a mutual learning session. This is an opportunity for South East Asian patients to voice health care issues and any health related misunderstandings to health care professionals. Tours of the hospital familiarize them with the facility and with personnel. - MMCM Community Health Education - Community Education and Safety Classes/Clinics are held to educate and train community members on various health concerns. Community Health classes include Prenatal Care, CPR in Schools, Boot Camp for Dads, Heartsaver CPR, Car Seat Safety, Diabetes Care, Weight Management, COPD, Pneumonia, Nutrition Education, Healthy Hearts, Heat Safety, and Water Safety. Mercy Medical Center Mt. Shasta 914 Pine St Mt. Shasta, California, 96067 (530) 926-6111 http://www.mercymtshasta.org/ Sponsored by the Sisters of Mercy, the hospital opened in 1938. Mercy Medical Center Mt. Shasta (MMCMS) is one of three medical centers comprising the CHW North State Service Area, along with Mercy Medical Center Redding and St. Elizabeth Community Hospital in Red Bluff. MMCMS is a rural medical center and is designated as a "Critical Access Hospital." The hospital's centers of excellence include the Mercy Regional Cancer Center and the Mercy Care Center, and the hospital is also known for its emergency services. Mercy Medical Center Mt. Shasta has designated staff members that represent the Hospital on a variety of community boards and other health service agencies throughout the county. The hospital uses surplus community dollars to show monetary support for these agencies and their various programs. Furthermore the hospital invests in a formal community health needs assessment every three years, the results are then available to all health related agencies. The following are examples of Community Benefit Programs and services provided in response to priority health needs, including cancer and tobacco cessation. - The local Medi-Cal clinic had planned ceasing operations in early 2010 and a major demographic (under and un-insured residents) of our community could potentially not have access to quality health care other than our hospital emergency department. We were able to respond to this desperate community need in a timely fashion with only a two week time period between the closure of the Alpine Clinic and the opening of the Mercy Mt. Shasta Community Clinic. Currently, there is an average of 50 patient visits per day at the clinic. - 102 free skin cancer screenings were provided, with 10 findings of probable cancers. Several local physicians collaborated with MMCMS staff in providing these screenings, and MMCMS promoted these screenings in area newspapers. - Tobacco Cessation Program (smoking and chewing) - In collaboration with the Siskiyou County Tobacco Education project, tobacco cessation classes are offered several times per year. The American Lung Association, American Cancer Society, and American Health Association provide important information for this program. The overarching goal of the program is to educate the community about the importance of quitting (or not starting) tobacco use as a community service to help build healthier communities.
Schedule H, Part VI, Line 6Mercy Medical Center Redding 2175 Rosaline Avenue Redding, California, 96001 (530) 225-6000 http://redding.mercy.org/ Mercy Medical Center Redding (MMCR) is CHW's northern most regional medical center located at the tip of the Sacramento River Valley in Redding, California. The hospital originally opened in 1907 by Dr. Ferdinand Stabel and was named in honor of his wife. The Sisters of Mercy purchased St. Caroline's Hospital in 1944, renaming it Mercy Hospital. In 1953, the Sisters of Mercy built a new Hospital at its current location. Mercy Medical Center Redding is licensed for 264 beds. The hospital's centers of excellence include the Mercy Regional Cancer Center, the Mercy Heart Center and the Mercy Emergency Department and Trauma Center. The following are examples of Community Benefit Programs and services provided in response to priority health needs, including physical activity and fitness and cancer: - Healthy Shasta - Mercy Medical Center Redding is a founding partner of the Healthy Shasta collaborative and currently involves 15 community organizations. This countywide program is aimed at increasing the proportion of children and adults who participate in daily moderate physical activity as well as decreasing the prevalence of childhood obesity in Shasta County. The strategy is to partner with local entities, leverage appropriate resources and decrease duplication of programming. Through planning and resource sharing, the collaborative works to increase the utilization and expansion of our great local assets such as walking/biking trails, bike lanes, parks and farmers' markets. Overall, Healthy Shasta fosters collaboration that moves Shasta County forward as a unified entity that supports and encourages healthy living for all and makes Shasta County a place where the healthy choice is the easy choice. - Cancer Deaths/Skin Cancers/Prostate Exams - Develop comprehensive education and screening program to identify cancer at its earliest stage for successful treatment regarding skin, breast, lung, colon, prostate cancer as well as invest resources in increasing awareness of signs of listed cancer conditions. Mercy San Juan Medical Center 6501 Coyle Avenue Carmichael, California, 95608 (916) 537-5000 http://www.mercysanjuan.org/ Mercy San Juan Medical Center was established in 1967 by the Sisters of Mercy. The hospital's centers of excellence include a Level II Trauma Center, Family Birth Center and Neonatal Intensive Care Unit, and the hospital is also known for its cardiac services, Mercy Center for Breast Health and Mercy Sleep Center. Licensed for 370 beds, the hospital opened a new 6-story wing in 2009 bringing 110 additional private patient care beds to the community. All CHW Sacramento Service Area Hospitals offer medical staff privileges to any qualifying physicians. The Sacramento Community Board serves in an oversight role to ensure that community benefit practices and programs are aligned with and support the mission, policy and priorities of the region and the organization. Additionally, a Community Benefit Board Committee a sub committee of the board focuses on shaping the service area's community benefit plan and budget, making sure programs respond to priority health needs that are identified through community assessments and/or by hospital leadership. Community benefit funding, with an emphasis on disproportionate unmet health and health related needs, is provided in many forms by all hospitals within the CHW Sacramento Service Area. Mercy San Juan Medical Center specifically sponsors and takes an active role in programs that address priorities within its service area, which include access to care and heart disease: - Mercy Clinic North Highlands offers free primary care to residents in a community that faces major barriers to health care access. - Mercy San Juan Medical Center, like other hospitals within the CHW Sacramento Service Area also provides assistance to all uninsured patients for enrollment in government sponsored health insurance programs, free transportation, and in this time of public health crisis, free psychiatric consultations to all who are admitted to the hospital with mental illness. - CHAMP (Congestive Heart Active Management Program) that provides a vital medical link to heart failure patients when they leave the hospital to improve their understanding and ability to manage this chronic disease, and reduce their risk of readmission. Methodist Hospital of Sacramento 7500 Hospital Drive Sacramento, California, 95823 (916) 423-3000 http://www.methodistsacramento.org/ Financed by a bond measure and private contributors, Methodist Hospital opened in 1973 after a decade-long effort to expand health care services for a rural community in need. After signing an affiliate agreement in 1993, Methodist continues its commitment to provide care to a growing community today under the Catholic Healthcare West umbrella. The hospital is known for its Family Birth Center/Pediatric Concentrated Care Unit, Orthopedic and Sports Medicine Center, and Occupational and Physical Therapy Center. The hospital's sub-acute skilled nursing facility, Bruceville Terrace, is ranked as one of the best facilities of its kind in the nation. In 2009 the hospital celebrated the grand opening of an expanded state-of-the-art emergency department. All CHW Sacramento Service Area Hospitals offer medical staff privileges to any qualifying physicians. The Sacramento Community Board serves in an oversight role to ensure that community benefit practices and programs are aligned with and support the mission, policy and priorities of the region and the organization. Additionally, a Community Benefit Board Committee a sub committee of the board focuses on shaping the service area's community benefit plan and budget, making sure programs respond to priority health needs that are identified through community assessments, and/or by hospital leadership. Community benefit funding, with an emphasis on disproportionate unmet health and health related needs, is provided in many forms by all hospitals within the CHW Sacramento Service Area. Methodist Hospital specifically sponsors and takes an active role in programs that address priorities within its service area, including access to care and disease prevention/treatment: - Mercy Family Health Center, which provides primary health care to the poor and underinsured. - Free blood pressure, cholesterol and other health screenings through the hospital's Family Practice Residency. - Mercy Family Health Center - Houses the Methodist Hospital Family Practice Residency program. The center provides primary care for thousands of uninsured and underinsured residents. The Residency program trains an ethnically diverse group of medical school graduates in the Family Practice specialty. Residents also provide education programs for children and adult health screening in the community periodically during the year.
Schedule H, Part VI, Line 6Northridge Hospital Medical Center 18300 Roscoe Boulevard Northridge, California, 91328 (818) 885-8500 http://www.northridgehospital.org Northridge Hospital Medical Center (NHMC) has been a significant part of the community for 54 years and is licensed as a 411-bed hospital. NHMC's services include: Level II Trauma Center, Stroke Center, Babies First Maternity Program, Behavioral Health, Cancer Center, Center for Rehabilitative Medicine, Heart and Lung Center, and Women's Center. The hospital's senior leadership serves on the Boards of several local community charities. The hospital sponsors health fairs, provides free educational classes on-site and support groups, makes presentations in the community, and educates the community about seasonal illnesses through radio and televised interviews. The following are examples of Community Benefit Programs and services provided in response to priority health needs of the community, including increased services to victims of trauma and violence and programs to address the obesity and diabetes epidemic: - Center for Assault Treatment Services (CATS) - The only program in the entire San Fernando Valley that provides victims of sexual abuse with medical treatment, forensic evidence collection and counseling, 24 hours a day, seven days a week. CATS also provides child abuse prevention education to professionals in the San Fernando Valley who work with children and are therefore mandated by law to report any reasonable suspicion of child abuse. - School-based Obesity and Diabetes Initiative (SODI) - The School-based Obesity and Diabetes Initiative is a program designed to reduce the rate of obesity and diabetes locally by targeting elementary, middle and high school students (grades 5, 7 and 9), their parents and school staff in the Los Angeles Unified School District (LAUSD) Local District 1 schools in underserved San Fernando Valley communities. The program assists public schools in assessing their health needs, developing improvement plans and implementing wellness programs with a focus on obesity and diabetes. Saint Mary's Regional Medical Center 235 West Sixth Street Reno, NV 89503 (775) 770-3000 http://www.saintmarysreno.org/ Founded in 1908 by the Dominican Sisters of San Rafael, Saint Mary's is a 380-bed facility located in downtown Reno. The regional medical center offers cardiac, emergency, surgical, cancer, neurology, orthopedics, radiology, rehabilitation, and obstetrical services as well as home health and hospice services. Saint Mary's Regional Medical Center provides organizational support and participates as a provider to the Access to Healthcare Network Program. The Access to Healthcare Network Program is a non-profit discounted healthcare program for the uninsured and underinsured Nevadans. Saint Mary's employees actively participate on many community boards and committees that work to improve the health of the community. Our hospital maintains an open medical staff, an emergency room, and utilizes community members as advisory board members and committee member in order to obtain community input and maintain transparency. The following are examples of Community Benefit Programs and services provided to address priority health needs of the community, including prevention and management of chronic disease and improved access to oral health care: - The Congestive Heart Failure (CHF) Readmission Initiative - A multi-disciplinary approach to provide integrated services for the un/underinsured. By improving access to primary care services and providing outpatient care management assistance, this program is reducing readmissions among this patient population. - Dental Health Program - Coordinated by Saint Mary's staff, provides restorative dental care to local schools; over 600 low income children were served through the Northern Nevada Dental Health Program, and the Oral Surgery program provides needed services for low-income children and special needs adults 2.5 days each week. Sequoia Hospital 170 Alameda de las Pulgas Redwood City, California, 94062 (650) 369-5811 http://www.sequoiahospital.org/ Founded in 1950, Sequoia is an accredited, not-for-profit, 301-bed community hospital providing innovative and exceptional healthcare to Bay Area residents. Sequoia ranks in the top percentile of U.S. hospitals for patient satisfaction and is a leader in quality and safety initiatives. Nationally known for pioneering advanced cardiac care, the hospital has been designated a 2009 Blue Distinction for Cardiac Care by Blue Cross and Blue Shield of California. The hospital also excels in stroke care, emergency services, and birthing services. The following are examples of Community Benefit Programs and services provided to address priority health needs, including diabetes education and management and healthy aging in place: - Live Well with Diabetes - Develop skills and knowledge about prevention and management of diabetes in the local underserved Latino community. - Fall Prevention - Provides a series of classes in fall prevention to decrease the rate of falls in older adults in the community. St. Bernardine Medical Center 2101 N Waterman Avenue San Bernardino, California, 92404 (909) 883-8711 http://www.stbernardinemedctr.org/ St. Bernardine Medical Center was founded in 1931 by the Sisters of Charity of the Incarnate Word. St. Bernardine Medical Center offers a myriad of health care services both locally and to the tertiary communities within the Inland Empire. Licensed for 463 beds with an average daily census of 210, the hospital is now known for its emergency services, obstetric and pediatrics, high tech diagnostics and treatment capabilities, cardiac and cancer services. In 2009 the hospital also opened an Urgent Care Center. SBMC enjoys an active Community Benefits Initiative Committee which brings together key hospital personnel with community stakeholders to ensure the outreach programs offered continue to evolve and meet the needs of the poor and vulnerable in our community. In addition to two Community Board members and key administrative staff, the membership of the committee includes representation from Catholic Charities, H Street Clinic (a local low cost clinic), Mary's Mercy Center, Goodwill Southern California, Legal Aid Society of San Bernardino as well as the San Bernardino Mayor's Office. The Community Grants Program and an in-house Grants Program provide financial resources to local community based organizations that partner with the hospital on key health initiatives. The following are examples of Community Benefit Programs and services provided in response to priority health needs of the community, including access to primary care and diabetes/obesity: - H Street Clinic. In an effort to provide more appropriate and immediate primary care to the disproportionate unmet health-related needs population, St. Bernardine Medical Center strengthened an existing partnership with the Central City Lutheran Mission in order to open the doors of the H Street Clinic to the community. Of the 1,000 new patients seen at the clinic in FY10, 181 would have gone to the SBMC Emergency Department for care if they did not have access to care in the clinic. - The Diabetes Education Program is in response to H Street Clinic's request for diabetes education. Documented health histories indicated that 80% to 90% of patients seen at the clinic are diagnosed with diabetes. The disease education program is a collaborative effort of the hospital, the clinic and key community diabetes education partners and is designed to decrease admissions for uncontrolled diabetes among the participants in the health intervention.
Schedule H, Part VI, Line 6St. Elizabeth Community Hospital 2550 Sister Mary Columbia Drive Red Bluff, California, 96080 (530) 529-8000 http://redbluff.mercy.org/ St. Elizabeth Community Hospital, (SECH) located in Red Bluff serves the nearly 61,686 people who reside in Tehama County plus a secondary market that includes bordering communities in the counties of Glenn, Butte and Shasta. Established in 1907, SECH offers the surrounding communities the latest in medical technology and comprehensive care. The hospital is a 76-bed acute care hospital known for its Level III trauma center, family centered maternity care and for its emergency services. The hospital offers a full range of health services, including home health and hospice services. St. Elizabeth Community Hospital has designated staff members who hold seats on Mental Health Services, County Health Board, Northern Valley Catholic Social Services Resource Center, Rotary International Service Club, Chamber of Commerce, and other health service agencies throughout the county. The hospital uses surplus community dollars to show monetary support for these agencies and their various programs. The following are examples of Community Benefit Programs and services provided in response to priority health issues of the community, including Heart Disease/Stroke (including obesity, nutrition and physical activity) and diabetes prevention. - Safe Education & Recreation for Rural Families (SERRF) - SERRF combines nutritional education with exercise for children in the age categories of 8 to 12 in the format of an after school program. The SERRF program is available at 26 Tehama County schools and serves nearly 1800 students per year. - All patients admitted to SECH with a primary diagnosis of diabetes received diabetic and nutrition management counseling and education prior to discharge. These patients were also encouraged to attend a community diabetic education class and support group, which is also open to the broader community. Additionally, if desired, each participant received follow up phone calls for a minimum of six months and was provided medical nutrition therapy outpatient services by a Registered Dietician. St. John's Pleasant Valley Hospital 2309 Antonio Avenue Camarillo, California, 93010 (805) 389-5800 http://www.stjohnshealth.org/ St. John's Pleasant Valley Hospital, nestled near the foothills of Camarillo, was founded in 1974 by a group of community leaders who believed that the community needed a hospital in its midst. Licensed for 180 beds, St. John's Pleasant Valley Hospital has the only 24-hour, hospital-based hyperbaric medicine and wound healing center in western Ventura County. St. John's Pleasant Valley Hospital offers a complete array of medical programs, services, education, and support groups. St. John's Regional Medical Center 1600 North Rose Avenue Oxnard, California, 93030 (805) 988-2500 http://www.stjohnshealth.org/ The Sisters of Mercy established St. John's Hospital in Oxnard in 1912. The hospital grew from a six-room wooden structure on a ten-acre parcel of land to today's 265-bed facility on a 48-acre parcel in northeast Oxnard, now known as St. John's Regional Medical Center. SJRMC offers comprehensive medical programs and services, including cardiac care, oncology, orthopedics, and neurology, and is also home to St. John's Cancer Center of Ventura County. The following are examples of comprehensive Community Benefit Programs provided in response to priority health issues of the community, including chronic disease management, children and youth health and wellness, women's health services and immunizations: - St. John's has developed a multi year plan to prevent and reduce the impact of diabetes mellitus in the community by working with community partners, including St. John's Latino Healthcare League. The Diabetes Initiative offers a three pronged approach: (1) providing physicians and healthcare providers with the latest standards of care for diabetes mellitus diagnosis and management; (2) expanding and enhancing obesity and diabetes prevention programs for youth; (3) providing education, support, case management and access to treatment for underserved individuals who have been diagnosed with diabetes. As an aspect of these efforts, and through the advocacy of Congressional Representative Lois Capps, St. John's was awarded federal funds to expand preventative, educational and case management diabetes efforts through September 2011. - Additional community benefit priorities established in collaboration with community stakeholders include offerings under St. John's Cancer Center of Ventura County, and programs that address prenatal care, immunizations and the health needs of seniors. St. Joseph's Behavioral Health Center 2510 North California Street Stockton, California, 95204 (209) 461-2000 http://www.stjosephscanhelp.org/ St. Joseph's Behavioral Health Center (SJBHC) is a 35-bed licensed not-for-profit psychiatric hospital serving Central California and also serves as a referral for tertiary care for surrounding counties, which include Alpine, Amador, Calaveras, Mariposa, Stanislaus and Tuolumne Counties. The hospital has been providing specialized psychiatric and chemical recovery services for over 30 years. Specialized Geropsychiatric services meet the needs of the elderly population. Inpatient and partial hospitalization services are provided to adults 18 years and older. Outpatient services are provided for adults, adolescents and children above the age of five years old. The following are examples of Community Benefit Programs and services provided: - Geropsychiatric Services - Through a cooperative agreement with one of the active psychiatrists, the hospital has been able to provide free 24-hour charity care to geropsychiatric patients who lacked either Part A or Part B Medicare services. This cooperative agreement to provide charity care by one of the psychiatrists, who is board certified in geropsychiatric medicine, has provided services to the underserved elderly without insurance benefits. - SJBHC provides community presentations on management of behavioral disturbances in the elderly with cognitive disorders. - Support Groups and Aftercare - Offers free or low cost support groups and aftercare for program graduates.
Schedule H, Part VI, Line 6St. Joseph's Hospital and Medical Center 350 West Thomas Road Phoenix, Arizona, 85013 (602) 406-3000 http://www.stjosephs-phx.org St. Joseph's Hospital and Medical Center has been a symbol of quality healthcare in the Valley of the Sun for more than 110 years. It is licensed for 738 beds, making it the largest hospital in Arizona. SJMC is the only Arizona hospital to be voted a "Best Place to Work in the Valley" six years in a row and named a top hospital by Ranking Arizona Magazine. The hospital has been routinely recognized as one of the country's best neuroscience centers by U.S. News & World Report and was also recently named one of the "Top 25 Workplaces for Women" in Arizona. St. Joseph's is home to the internationally renowned Barrow Neurological Institute; St. Joseph's Children's Health Center, which is the second largest provider of comprehensive pediatric services in the state; The Heart & Lung Institute at St. Joseph's; and St. Joseph's Trauma Center, which is the only Level 1 trauma center in Arizona that's verified by the American College of Surgeons. Members of the leadership team, physicians, and employees at St. Joseph's Hospital and Medical Center serve and participate on local and national nonprofits organizations, local chapters of national nonprofits, and on county and state departments. The degree of their participation varies from active member, advisory and board member capacity. St. Joseph's Hospital and Medical Center also provides any surplus supplies and equipment to Project Cure which provides help to third world countries. This allows the hospital and community to be served beyond our walls and nation. Clinical and nonclinical individuals provide health services within the community through community clinics, health and resource fairs, and serving the community where it is needed. The following are examples of Community Benefit Programs and services provided in response to the priority health needs of the community, including access to healthcare services and chronic illnesses: - The Maternity Outreach Mobile Unit (MOMobile) - Increases accessibility to MOMobile and Department of Reproductive Medicine (DORM) services for the poor and disenfranchised - primarily the Hispanic, African American and Native American populations to improve birth outcomes and mortality. Both the MOMobile and the DORM provide prenatal services for free or for a reduced fee. The hospital sees Medicaid patients in the DORM but only uninsured patients in the MOMobile. - The Asthma Intervention Program - Serves asthmatic children between the ages of 5 and 14 and their caregivers. The purpose is to provide families with the knowledge and means to manage their child's asthma at home. Families learn what causes asthma attacks and what to do to reduce triggers in the home and elsewhere. They learn how asthma medication works and the necessity to take them as prescribed. Frequently, the child with asthma has no medical home and families can't afford medications. The Asthma Counselor assists families to locate affordable clinics that can treat these children. Additional psychosocial issues may be affecting asthma management and they are also addressed. Families are expected to attend asthma education groups and to participate in the program for one year. However, if families can demonstrate they have the skills to manage their child's asthma they can finish in 6 months. Families are given allergen mattress and pillow covers, peak flow meters and spacers. St. Joseph's Medical Center 1800 North California Street Stockton, California, 95204 (209) 943-2000 http://www.stjosephscares.org/ St. Joseph's Medical Center (SJMC) is a religious-sponsored, not-for-profit, community hospital located in central Stockton. Celebrating a history of 110 years of service to the community since it was founded in 1899 by Father William O'Connor and administered by the Dominican Sisters of San Rafael, St. Joseph's has a well-established tradition of partnering with the community. The hospital currently has 365 beds. St. Joseph's has three Centers of Excellence: a Comprehensive Heart Center, Comprehensive Cancer Center and Maternal/Child Services, including a Level II Neonatal Intensive Care Unit, which recently expanded with the opening of a new pavilion. Key service lines include Cardiology, Open Heart Surgery, General Surgery, Vascular Surgery, Neurology, Neurosurgery, Neonatology Obstetrics/ Gynecology, Oncology and Urology. The following are examples of Community Benefit Programs and services provided in response to priority health needs of the community, including improved access to primary health care services, and breast cancer services: - CareVan Services - Offers free primary care services to uninsured persons including health screenings, education and referral services, medical diagnosis and treatment, pharmacy, and diagnostic testing. Specialty clinics provide podiatry services and orthopedic and immunization services. A bilingual Certified Diabetes Educator provides education and care management to persons with diabetes. Patients also receive medications, diabetic testing supplies and are monitored by the CareVan providers. - Mobile Mammography Program (MMU) - St. Joseph's MMU is a full-service, self-contained mammography unit on wheels featuring the latest in state-of-the-art digital mammography technology. The MMU offers screening mammography services to Northern California women who face barriers to health access. St. Mary Medical Center 1050 Linden Avenue Long Beach, California, 90813 (562) 491-9000 http://www.stmarymedicalcenter.org/ St. Mary Medical Center (SMMC), is the only Catholic hospital in the Long Beach area. SMMC is a 403-bed, teaching hospital affiliated with the UCLA School of Medicine. SMMC's emergency department is a base station for the City of Long Beach and the hospital offers a full range of programs and services. There are countless ways in which St. Mary Medical Center makes difficult-to-measure contributions to improve the health status of the community. These non-quantifiable benefits take many forms, including nurturing grassroots community-based initiatives; lending the expertise of our people to community collaboratives and boards; and actively advocating for the poor and underserved. St. Mary has open medical staff for most departments including medicine, surgery, pediatrics, and obstetrics. The St. Mary Medical Center Medical Education department works with community clinics and their physicians to provide seamless care to clients through hospitalist services for these mostly uninsured populations and also through communications to these clinics about their clients. The Faith Health Resource Ambassadors Program works with health ministries and parish nurses at the congregational level in providing education, bulletin information, health speakers, and health fairs/displays/screenings at more than 40 faith congregations in the greater Long Beach area. In collaboration with various nursing schools and the Long Beach health department, the St. Mary Ambassadors provided free flu shots to more than 1000 residents in areas of disproportionate unmet health needs with a focus on the vulnerable in the African American, Khmer, and Latino/Spanish speaking communities. The following are examples of Community Benefit Programs and services provided in response to priority health needs of the community, including access to care for the underserved and culturally diverse populations with a focus on women, children and seniors and chronic and infectious diseases including AIDS: : - St. Mary Senior Health Services Program - The program targets those 55 years and older. Ongoing services include: free health education classes and workshops, free health screenings, complimentary hospital parking and transportation, low cost exercise classes and massage sessions, complimentary computer training and access to a copier and fax, as well as a well-stocked resource center including "books on loan." - Comprehensive AIDS Resource and Education (CARE) Program - continues to rank as one of the finest and largest programs of its kind in the nation. CARE offers outpatient medical clinic, social and medical case management, social services, mental health evaluations and services, nutritional services, attendant care and other home health services, Family Services Program and Family Food Bank, HIV anonymous and confidential counseling and testing, access to AIDS Clinical Trials, plus a dental clinic.
Schedule H, Part VI, Line 6St. Mary's Medical Center 450 Stanyan Street San Francisco, California, 94117 (415) 668-1000 http://www.stmarysmedicalcenter.org/ St. Mary's Medical Center is sponsored by the Sisters of Mercy and has cared for the people of the San Francisco Bay Area since 1857. For 153 years, St. Mary's has built a reputation for quality, personalized care, patient satisfaction, and exceptional clinical outcomes. A full-service acute care facility, St. Mary's Medical Center is licensed for 403 beds, specializes in adult medical care and is recognized for excellence in bariatric surgery, cardiovascular care, emergency services, orthopedics, and acute rehabilitation, among other services. The hospital also provides adolescent mental health services, an adult day health center and a medical clinic. A centerpiece of St. Mary's charitable mission, the Sister Mary Philippa Clinic is the largest private medical clinic in San Francisco and serves 3,500 needy and underinsured patients. A vital part of the city's healthcare safety net, the clinic offers adult primary care and specialty care including cardiology, ophthalmology, optometry, gynecology, podiatry, dermatology, rheumatology, and psychiatry. In addition, the clinic operates the largest HIV/AIDS clinic outside of the public health department. Other ancillary services included on site interpreters, a pharmacy, and access to the hospital's laboratory and radiology services. Through the clinic, patients receive preventative care that benefits both the patient and larger community. Without access to routine care, underinsured or uninsured patients often delay treatment resulting in more severe illness, increased and inappropriate use of the emergency room, and higher costs. The St. Mary's Community Board has eighteen members consisting of religious sponsors, the hospital President, Chief of Staff, medical staff, and the San Francisco community. The Board's Community Benefit and Planning Committee has fourteen members representing a variety of ethnic communities; nonprofit advocates from the areas of health, mental health, and social services; Sisters of Mercy; Community Board; medical staff; and hospital Vice President of Mission and Community Services. The hospital staff develops this Benefit Plan and Report, receives input from the Community Benefit and Planning Committee and the Hospital Community Board. Emphasis is placed on addressing priorities, reviewing programming, and assessing what is reasonable and adequate given hospital resources and infrastructure. Conspicuous expressions of our organizational commitment to Community benefit include health fairs; free health screenings for blood pressure, cholesterol, and diabetes; low cost senior citizen meals in the hospital cafeteria; HIV/AIDS services; diabetes classes; palliative care; psychological and education testing for children; a hospital wide recycling program; and patient support groups. Additionally, St Mary's furthers its exempt status by promoting the health of the community through programs and services to address the health priorities of the community, including improving access to health care and preventing chronic diseases and promoting wellness. - Sister Mary Philippa Health Center - This Health Center is at the core of St. Mary's Medical Center's response to community needs and provides a coordinated program of comprehensive outpatient health services including adult primary care, medical and surgical specialties, HIV care, advice nurse, social services, translation services, patient advocacy, diabetes education, nutrition, and pharmacy services. The population served by the Health Center is an ethnically and socially diverse group and includes Indo-Asians, Hispanic, Caucasian, Native Americans and African Americans. - Diabetes is a leading complication to cardio/vascular disease, and stroke and heart disease are identified in the top five causes of premature mortality in the SF Health Assessment. The hospital continues its commitment to fighting diabetes with education and exercise classes through the Sr. Mary Philippa Clinic. An educator and physical therapist provide regular classes to low income persons with diabetes or at risk, and who do not have a primary care physician. Participants are taught to prevent diabetes, control the disease, and reduce the complications. The Diabetes program is certified as an American Diabetes Association approved program, whereby every patient receives an enhanced level of services from an endocrinologist, nurse educator, and nutritionist. This is one of only two certified programs in San Francisco. St. Rose Dominican Hospital - Rose de Lima Campus 102 East Lake Mead Parkway Henderson, Nevada, 89015 (702) 564-2622 http://www.strosehospitals.org/ The Rose de Lima campus, founded in 1947, with 145 beds, has been continually recognized by HealthInsight as #1 in the state for quality measures, based on outstanding performance in three main areas: 1) leadership commitment, 2) stable nursing environment and 3) embedding appropriate practice. St. Rose Dominican Hospital - San Martin Campus 8280 W Warmsprings Road Henderson, Nevada, 89052 (702) 616-5000 http://www.strosehospitals.org/ The newest St. Rose campus, San Martn, houses 147 beds. Although relatively new, this hospital has already earned many accolades including a top ranking in the 2009 edition of Consumer Reports with the other two St. Rose campuses as the top three acute-care hospitals in the Las Vegas Valley. St. Rose Dominican Hospitals - Siena Campus 3001 Saint Rose Parkway Henderson, Nevada, 89052 (702) 616-5000 http://www.strosehospitals.org/ The Siena Campus, founded in 2000, has 219 beds. In 2009 Siena was recognized as one of the top 125 hospitals in the nation by Consumers' Checkbook and reported in the May/June 2009 issue of AARP Magazine. This honor came as the result of a survey of doctors from across the country asking them where they recommended that their patients seek care for difficult cases including complicated heart conditions, cancer and other unusual ailments. From 140,000 hospital ratings, the organization published a listing of the 125 best hospitals in the nation's 53 largest population centers. In addition to the Coalition building described in Part VI Question 5, many of the employees in the Barbara Greenspun Women's Care Center participate in a variety of coalition building activities. These activities include participation in the following: - Safe Kids Coalition - Nevada Cancer Coalition - Maternal Child Health Coalition - Southern Nevada Immunization Coalition - Southern Nevada Breastfeeding Task Force - Nevada Tobacco Prevention Coalition - Southern Nevada Injury Prevention Partnership (Sub group of the Trauma Board) - Helping Hands Coalition Additionally, all three of the hospitals in the St. Rose Dominican Hospitals system were honored with a "Partner Recognition Award" by Practice Greenhealth, a national membership organization for health care facilities committed to environmentally responsible operations. The award is one of the organization's Environmental Excellence Awards given each year to honor outstanding environmental achievements in the health care sector.
Schedule H, Part VI, Line 6The Partner Recognition award is for healthcare facilities that have begun to work on environmental improvements, achieved some progress, and have less than 10 percent recycling rate for the total waste stream. The hospitals have also joined with Catholic Healthcare West in supporting the Healthier Hospitals Initiative-an organization created by CHW and five other health care systems with the goal of speeding the health care sector toward environmental sustainability. Specifically HHI has goals to provide health benefits for patients, staff and the community by reducing emissions and pollutants that are increasingly linked to chronic disease by: engaging in environmentally preferred purchasing and building practices, reducing health care's use of natural resources and generation of waste, and encouraging/incorporating sustainability and safety as essential elements in the organization's culture The following are examples of Community Benefit Programs and services provided for all three campuses in response to priority health needs in the community, including activity limitations, cancer screenings and heart disease/stroke: - Helping Hands of Henderson - Assists individuals 60 years of age and older who live in a Henderson, NV Zip Code with transportation needs to medical/dental appointments, prescription pickup and grocery shopping. Homebound clients receive regular phone calls to check on their well being. The program allows for easy access to physicians, grocery shopping, pharmacy pick up, and other needed services to allow the senior to maintain an independent and healthy life. By providing this service we are attempting to help seniors remain independent in their own homes. This is accomplished by allowing them access to transportation to meet daily needs. - The RED Rose Program - Provides free mammography, ultra sound, biopsy and surgical consultations for individuals 49 years and younger who are uninsured or underinsured. Support services are also available, such as payment of monthly utilities, transportation cost, groceries, rent and other incidentals while fighting breast cancer. - Community Wellness Program - Provides low or no cost group and individual education designed to promote awareness of five priority chronic diseases: heart disease, stroke, diabetes, pulmonary disease, and cancer. It also provides resources and referrals focusing on risk factor awareness, individual risk identification, healthy behavior identification and promotion, healthy behavior adoption, health literacy, and provides referrals to community services and resources. Woodland Healthcare 1325 Cottonwood Street Woodland, California, 95695 (530) 662-3961 http://www.woodlandhealthcare.org Woodland Healthcare's history in Yolo County dates back to the opening of the Woodland Sanitarium in 1905. The Woodland Sanitarium grew to become the Woodland Clinic Hospital in the 1920s. In 1967, a new Woodland Memorial Hospital and Woodland clinic were completed with the help of the community. In 1992, Woodland Clinic and Woodland Memorial Hospital formed an affiliation to create Woodland Healthcare. The hospital is licensed for 108 acute care beds. All CHW Sacramento Service Area Hospitals offer medical staff privileges to any qualifying physicians. The Woodland Healthcare Community Benefit Committee serves in an oversight role to ensure that community benefit practices and programs are aligned with and support the mission, policy and priorities of the region and the organization. The Committee ensures that programs respond to priority health needs that are identified through community assessments, and/or by hospital leadership. Community benefit funding, with an emphasis on disproportionate unmet health and health related needs, is provided in many forms by all hospitals within the CHW Sacramento Service Area. Woodland Healthcare specifically sponsors and takes an active role in programs that address priorities within its service area such as: - Chronic Disease Management Program - Community health education that targets lower income families on varied health topics meant to inform and educate the community on current health issues. - Health fairs in the community where various free screenings are offered to the low income populations. - Healthy Lives, a six week diabetes education program targeted at the Spanish speaking population in Yolo County. - Student internships in a clinical setting. - Various support groups to provide education and counseling for patients and their families as they deal with stroke, cancer or upcoming major surgeries. - Yolo Adult Day Health Center, which is designed for adults struggling to function independently. Woodland Healthcare, like other hospitals within the CHW Sacramento Service Area also provides assistance to uninsured patients for enrollment in government sponsored health insurance programs. The following are examples of Community Benefit Programs and services provided in response to priority health needs of the community, including diabetes and access to care: - "Healthy Lives" Community Health Education - Healthy Lives is a 6-week diabetes education program taught in Spanish at Holy Rosary Church, including signs and symptoms of diabetes, nutrition, medications, etc. - Collaborations with the Public Health and Women Who Walk organizations offer an optional healthy cooking class and an exercise component. Classes are also taught at various locations in the county. - Prescription Medicines for the Poor - Woodland Healthcare maintains a charity care program to provide prescription medicines for low-income, uninsured patients. This is a separate program from the overall charity care provided by the hospital.
Schedule KBond A: CUSIP13033FRT9 Part I, Column (f) REFUND PRIOR BONDS - CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY (CHFFA) 1988 AB; CHFFA 1992 A; CHFFA (ST. JOSEPH'S) 1993 A; CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITIES (CSCDA) 1993 A COPS; CHFFA 1994 A; CHFFA 1994 B; CHFFA 1996 B; CHFFA 1996 CD;CHFFA 1996 F; CHFFA 1997 ABC; CHFFA 1998 A. Part I, Column (g) CHFFA 2005 Series A-G, of which CHFFA 2005 Series A-F were exchanged for CHFFA 2008 Series FHIJKL In October 25, 2005, a defeasance escrow was established with proceeds of a taxable borrowing for the CHFFA 2004 Series H in the amount of $4.1 million. The final payment date of the CHW 2004 Series H Bonds is July 1, 2011. Part IV, Line 1 Arbitrage calculations were performed by an arbitrage consultant. Such consultant determined that there was no rebatable arbitrage liability; accordingly, no form 8038-T was required to be filed. Part IV, Line 3a 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 ARIZONA HEALTH FACILITIES AUTHORITY (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 4a 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 13033FTN0 Part I, Column (f) NEW MONEY TO FUND VARIOUS PROJECTS AND MEDICAL EQUIPMENT AT NUMEROUS HOSPITALS IN CALIFORNIA. Part IV, Line 1 Arbitrage calculations were performed by an arbitrage consultant. Such consultant determined that there was no rebatable arbitrage liability; accordingly, no form 8038-T was required to be filed. Bond C: CUSIP 566816GY4 Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - AZ 1993 A; AZ 1994 A; AND NEW MONEY TO FINANCE CAPITAL EXPENDITURES FOR the CONSTRUCTION OF MERCY GILBERT AND ADD A NEW TOWER AT ST. JOSEPH'S. Part II, Line 8 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 unrefinanced 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 1 Arbitrage calculations were performed by an arbitrage consultant. Such consultant determined that there was no rebatable arbitrage liability; accordingly, no form 8038-T was required to be filed. Part IV, Line 3a 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 4a 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 425203BM7 Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - NV 1994 A; NV 1998 A; AND NEW MONEY TO FINANCE CAPITAL EXPENDITURES FOR THE CONSTRUCTION of a NEW HOSPITAL, ST. ROSE dominican hospital - SAN MARTIN CAMPUS. Part IV, Line 1 Arbitrage calculations were performed by an arbitrage consultant. Such consultant determined that there was no rebatable arbitrage liability; accordingly, no form 8038-T was required to be filed. Part IV, Line 3a 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 4a 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 E: CUSIP 13033FG46 Part I, Column (c) CHFFA 2005 Series A-G, of which CHFFA 2005 Series A-F were exchanged for CHFFA 2008 Series FHIJKL. The CUSIP number noted on Schedule K '13033FG46' is the CUSIP from the original Form 8038 filed for the 2005 Series A-G Bonds, all of which were issued on November 10, 2005. On May 16, 2008, the CHFFA Series 2005 A-F Bonds were exchanged pursuant to IRS Notice 2008-41, without causing a reissuance, for CHFFA 2008 Series FHIJKL, of which the longest maturity, within Series J (maturing July 1, 2032), was CUSIP number '13033F3D0.' Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - CHFFA 1988 A; CHFFA 1995 H; CHFFA 1997 A; CHFFA 1998 A; CSCDA 1999 AND NEW MONEY FOR CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Part IV, Line 3a 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. Bond F: CUSIP 13033FYE4 Part I, Column (f) NEW MONEY TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Bond G: CUSIP 040507GL3 Part I, Column (c) 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 (f) NEW MONEY TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES.
Schedule KBond H: CUSIP 130795DH7 Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - CA 1995 A; CA 1996 A; AND CA 1999 A; AND NEW MONEY FOR CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Part IV, Line 3a 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. Bond I: CUSIP 130795DR5 Part I, Column (c) 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 [or converted] 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. Part I, Column (f) NEW MONEY TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Bond J: CUSIP 566816HP2 Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - AZ 1999 A; AND NEW MONEY FOR CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Bond K: CUSIP 759835AA9 Part I, Column (f) REPAYMENT OF LINE OF CREDIT USED TO RETIRE PRIOR OUTSTANDING BONDS AND NEW MONEY FOR AN Emergency room EXPANSION AND MEDICAL EQUIPMENT. Bond L: CUSIP 425203CF1 Part I, Column (f) REFUNDING OF PRIOR BOND ISSUES - NV 1998 A; NV 1999 A; NV 2004 B; AND NEW MONEY FOR CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. Bond M: CUSIP 13033LAZ0 Part I, Column (f) REFUND CHFFA 2008 SERIES CDE; AND CSCDA 2008 SERIES G ISSUED ON MAY 16, 2008; AND NEW MONEY TO FINANCE CAPITAL PROJECTS AT VARIOUS HOSPITAL FACILITIES. Bond N: CUSIP 566816JJ4 Part I, Column (f) REPAY LINE OF CREDIT USED TO RETIRE IDAMC ARIZONA 2004 SERIES B BONDS ISSUED ON APRIL 28, 2004. Bond O: CUSIP 13033LEQ6 Part I, Column (f) REFUND CHFFA 2008 SERIES ABF; AND CSCDA 2008 SERIES F BONDS ISSUED ON MAY 16, 2008. Bond P: CUSIP 040507MJ1 Part I, Column (f) REFUND AHFA 2008 SERIES D BONDS ISSUED ON MAY 16, 2008. BONDS A THROUGH P Part III, Line 3a Although there are management or service contracts that may generate private use, CHW has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3b Although there are research agreements which may result in private use, CHW has policies and procedures in place that require such agreements be in compliance with Revenue Procedure 2007-47.
Schedule R, Part V, Line 2 column (c)Part V, line 1a - CHW received interest from various related organizations during the year in the form of cash. The interest rates were at market rates and are intended to cover the actual cost of the borrowing. Part V, line 1b, and 1c - CHW and its related organizations are supported by 27 fundraising foundations. As supporting organizations, the foundations operate for the benefit of, to raise funds for, or to carry out the purposes of CHW and its related organizations' hospitals. As a result, payments are made directly to the supported organizations from the foundations or directly to the foundations from CHW. Amounts reported under transaction type "b" represents funds transferred from CHW to the foundations for operational expenses. Amounts reported as transaction type "c" represent funds received from the foundations as grants to CHW. Part V, line 1d - CHW made loans and loan guarantees for various related organizations. Amounts reported as transaction type "d" represents the FMV of the loans and guarantees. Part V, line 1i - CHW leases facilities or equipment to certain related organizations (foundations, joint ventures and medical foundations). Amounts reported as transactions type "i" represent the amounts charged for such leases. Part V, line 1k - CHW facilities perform various services for other related organizations. Below is a summary of the transactions among related organizations for such activities. 1. System office allocations - CHW'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 and payroll service centers, and certain other management services. Amount reported under transaction type "k" for the items described above totaled $47.2 million for the year ended June 30, 2010. 2. Physician clinic support services for CHW Medical Foundation "CHWMF" - CHWMF operates clinics with locations (referred to as "care centers") throughout Northern California. The operations of the medical foundations are funded through the participating CHW hospitals. Amounts reported under transaction type "k" totaling $34.2 million represent the total funding support by the participating CHW hospitals for the services performed by CHWMF. CHWMF services are provided in the community served by those hospitals. 3. CHW hospitals also perform services for other related organizations. Services include plant maintenance, laundry services, patient financial services management, central sterilization services, catering services for patient nourishments and other services as deemed necessary. The services performed are reimbursed at cost. Part V, line 1l - CHW is self insured for workers' compensation benefits and for hospital professional and general liability risks insurance. CHW maintains separate trusts for these programs from which claims and related expenses and costs of administering the plans are paid. CHW hospitals fund the trusts, such that over time, assets held equal liabilities for claims incurred. The amounts reported under transaction type "l" totaling $76.5 million represent the cash transferred from CHW to the trusts for the FY10 funding of the self insurance programs. Part V, line 1m - Facilities are shared between the organization and a few of its supporting organizations. The amounts reported as transaction "m" represent the value of the equivalent rent for the facilities shared. Part V, line 1n - CHW's fundraising foundations do not employ personnel directly. CHW employs individuals that are dedicated to perform duties for its foundations (supporting organizations). The amounts reported as transaction type "n" represent the costs incurred (salaries and benefits) by CHW for such employees. Part V, line 1o, and 1p - Intercompany activity is common among CHW and its related organizations. Reimbursements for expenses incurred by the organizations are reported as transaction types "o" and "p". Amounts reimbursed are at cost. Part V, line 1r - As the parent organization, CHW receives funding for various expenditures of the organization. Amounts reported under transaction type "r" represent funding for items described below. 1. Pension Funding - CHW maintains defined benefit retirement plans that cover substantially all eligible employees of CHW. CHW's funding policy requires that, at a minimum, each participating hospital makes contributions equal to its unfunded normal cost plus amortization of any unfunded actuarial accrued liability. The pension funding reported under transactions type "r" for separate legal entities controlled by CHW totaled $13.5 million for the year ended June 30, 2010. 2. Debt (interest and principal) funding - CHW has a centralized debt management system. The controlled entities fund total debt payments (interest and principal) on intercompany borrowing. The debt funding reported under transactions type "r" for the separate legal entities controlled by CHW totaled $85.2 million for the fiscal year. 3. Joint ventures K-1 distributions - CHW has partnerships (joint ventures) with other organizations. The amounts reported under transaction type "r" include the investment distributions CHW received from its joint ventures.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St John's Regional Imaging Center LLC
1700 N Rose Avenue Ste 110OxnardCA93030770483564OP RadiologyCA40832742277349NA
St Francis Foundation LLC
112 E Victoria StreetSanta BarbaraCA93101421691710Real estateCA01615694NA
Trinity Care LLC
901 Corporate Center Dr Ste 406Monterey ParkCA91754330805338Health careCA112959891139686NA
CHWUSP OXNARD SURGERY CENTERS LLC
1700 N ROSE AVENUE STE 100OXNARDCA93030200707388OP SURGERYCA-4451582317530NA

Form990 Schedule R Part II Form990ScheduleRPartII (48 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Legal Domicile Foreign CountryLegalDomicileForeignCountry
Bakersfield Memorial Hospital
420 34TH StreetBakersfieldCA93301951802779HospitalCA501(c)(3)3NA
Catholic Healthcare West Hospital and Pr
185 Berry StreetSan FranciscoCA94107943006034AdministratioCA501(c)(3)11; Type 1NA
Catholic Healthcare West Workers' Compen
185 Berry StreetSan FranciscoCA94107946612446AdministratioCA501(c)(3)11; Type 1NA
CHW Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314Multi-sp clinCA501(c)(3)11; Type 1NA
Community Hospital of San Bernardino
1805 Medical Center DriveSan BernardinoCA92411951643373HospitalCA501(c)(3)3NA
Dominican Health Services
1555 Soquel DriveSanta CruzCA95065770056778Community HeaCA501(c)(3)11; Type 1NA
Dominican Oaks Corporation
1555 Soquel DriveSanta CruzCA95065770127719Sr HousingCA501(c)(3)9DHS
Golden Umbrella
200 Mercy Oaks DriveReddingCA96003237115371Senior ctrCA501(c)(3)7NA
Marian Community Clinics Inc
1400 E Church StreetSanta MariaCA93454770447575ClinicCA501(c)(3)3NA
Mark Twain St Joseph's Healthcare Corpor
768 Mountain Ranch RoadSan AndreasCA95249680127677HospitalCA501(c)(3)3NA
Mercy Senior Housing Inc
3865 J StreetSacramentoCA95816680117340SR HOUSINGCA501(c)(3)9NA
Saint Francis Memorial Hospital
900 Hyde StreetSan FranciscoCA94109941156295HospitalCA501(c)(3)3NA
Saint Mary's Outpatient Surgery Center a
235 West Sixth StreetRenoNV89520800035199Outpatient suNV501(c)(3)3NA
Shasta Senior Nutrition Program
100 Mercy Oaks DriveReddingCA96003942650429Sr MealCA501(c)(3)7NA
Sierra Nevada Memorial-Miners Hospital
155 Glasson WayGrass ValleyCA95945941439787HospitalCA501(c)(3)3NA
St Francis Hospital Support Corporation
601 E Micheltorena StreetSanta BarbaraCA93103770022302INACTIVECA501(c)(3)11; Type 1NA
St Mary Catholic Housing Corporation
1050 Linden AvenueLong BeachCA90813330007728Sr HOusingCA501(c)(3)1NA
St Mary Professional Building Inc
1050 Linden AvenueLong BeachCA90813237373088Provide officCA501(c)(3)11; Type 1NA
Arroyo Grande Community Hospital Foundat
345 S Halcyon RdArroyo GrandeCA93420203256066Fundraising FCA501(c)(3)11; Type 1NA
Barrow Neurological Foundation
350 West Thomas RoadPhoenixAZ85013860174371Fundraising FAZ501(c)(3)11; Type 1NA
California Hospital Medical Center Found
1401 South Grand AvenueLos AngelesCA90015954000909Fundraising FCA501(c)(3)11; Type 1NA
CHW Foundation East Valley
475 South Dobson RoadChandlerAZ85224742418514Fundraising FAZ501(c)(3)11; Type 1NA
Community Hospital Foundation of San Ber
1805 Medical Center DriveSan BernardinoCA92411953051931Fundraising FCA501(c)(3)11; Type 1CHSB
Dominican Hospital Foundation
1555 Soquel DriveSanta CruzCA95065942450442Fundraising FCA501(c)(3)11; Type 1NA
French Hospital Medical Center Foundatio
1911 Johnson AvenueSan Luis ObispoCA93401203256125Fundraising FCA501(c)(3)11; Type 1NA
Glendale Memorial Health Foundation
1420 South Central AvenueGlendaleCA91204953625651Fundraising FCA501(c)(3)11; Type 1NA
Marian Medical Center Foundation
1400 E Church StreetSanta MariaCA93454953818027Fundraising FCA501(c)(3)11; Type 1NA
Mercy Foundation Bakersfield
PO Box 119BakersfieldCA93302770201321Fundraising FCA501(c)(3)11; Type 1NA
Mercy Foundation Sacramento
3400 Data Drive 3rd FlrRancho CordovaCA95670237072762Fundraising FCA501(c)(3)11; Type 1na
Northridge Hospital Foundation
18300 Roscoe BlvdNorthridgeCA91328237444901Fundraising FCA501(c)(3)11; Type 1NA
Saint Mary's Foundation
520 West Sixth StreetRenoNV89520880188386Fundraising FNV501(c)(3)11; Type 1NA
San Gabriel Valley Medical Center Founda
438 West Las Tunas DriveSan GabrielCA91776953430341Fundraising FCA501(c)(3)11; Type 1NA
Sequoia Hospital Foundation
170 Alameda de las PulgasRedwood CityCA94062942909990Fundraising FCA501(c)(3)11; Type 3NA
St Bernardine Medical Center Foundation
2101 N Waterman AvenueSan BernardinoCA92404237440086Fundraising FCA501(c)(3)11; Type 1NA
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104Santa BarbaraCA93105237137119Fundraising FCA501(c)(3)11; Type 1NA
St John's Healthcare Foundation
1600 North Rose AvenueOxnardCA93030202865781Fundraising FCA501(c)(3)11; Type 1NA
St Joseph's Foundation
350 West Thomas RoadPhoenixAZ85013942941245Fundraising FAZ501(c)(3)11; Type 1NA
St Joseph's Foundation of San Joaquin
1800 N California StreetStocktonCA95204510432777Fundraising FCA501(c)(3)11; Type 1NA
St Mary Medical Center Foundation
1050 Linden AvenueLong BeachCA90813237153876Fundraising FCA501(c)(3)11; Type 1NA
St Mary's Medical Center Foundation
450 Stanyan StreetSan FranciscoCA94117943336143Fundraising FCA501(c)(3)11; Type 1NA
St Rose Dominican Health Foundation
3001 St Rose ParkwayHendersonCA89052880349432Fundraising FNV501(c)(3)11; Type 1NA
The Congenital Heart Foundation
350 W Thomas RoadPhoenixAZ85013263342554Fundraising FAZ501(c)(3)11; Type 1NA
Barrow Foundation UK
350 West Thomas RoadPhoenixAZ85013311724184Fundraising F501(c)(3)11; Type 3NAUK
Woodland Memorial Hospital Foundation
1321 Cottonwood Street 305WoodlandCA95695946167964Fundraising FCA501(c)(3)7NA
Southwest Catholic Health Network Corpor
4350 E Cotton Center Blvd Bldg DPhoenixAZ85040860527381Health SupporAZ501(c)(3)11; Type 1NA
VILLA SERRA corporation
1555 Soquel DriveSanta CruzCA95065770226589INACTIVECA501(c)(3)9NA
St Mary's Hospital Guild
235 W 6TH STREETRENONV89503886004507FUNDRAISINGNV501(c)(3)11; Type 1na
MERCY MEDICAL CENTER MERCED FOUNDATION
2740 M StreetMercedCA95340770035928FNDRSING FNDCA501(c)(3)7NA

Form990 Schedule R Part III Form990ScheduleRPartIII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
CHW Nevada Imaging Company LLC
2835 S Jones Blvd No 3Las VegasNV89146263322792Imaging CenteNVNARELATED-89143620313670false$0true
CHWUSP Phoenix II LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001542105660Ambulatory suTXNARELATED31277911704792false$0false
CHWUSP Sacramento Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202468509Surgery CenteTXNARELATED337635715756654false$0false
CHWUSP Las Vegas Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202999237Outpatient suTXNARELATED2799915284242false$0false
Dominican Magnetic Resonance Imaging Cen
1545 Soquel DriveSanta CruzCA94065770095477Medical labsCANARELATED23754390945false$0true
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600FolsomCA95630680482416Ambulatory gaCANARELATED1006329439733false$0true
Mercy Davis Cancer Center Mgmt Co LLC
2740 M StreetMercedCA95340943358445Management ofCANARELATED5617674245290false$0true
NICU Operating CO of Santa Cruz LLC
1555 Soquel DriveSanta CruzCA95065460502935Neonatal HealCANARELATED63431668132405false$0true
Northridge Gamma Knife LLC
4501 N Winchester AvenueChicagoIL60640201616363StereotacticILNARELATED-2543394987false$0false
Plaza Surgery Center LP
525 E Plaza Drive Suite 100Santa MariaCA93454770573567Ambulatory suCAMarian Hlth SvcRELATED00false$0false
Santa Cruz Land & Building LP
1555 Soquel DriveSanta CruzCA95065770285236Ownership ofCADominican HSRELATED00false$0false
St Joseph's Surgery Center LP
15305 Dallas Parkway Suite 1600 LBAddisonTX75001201019390Outpatient suTXnaRELATED7596783891531false$0true
CHWUSP Phoenix Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001134248908AMBULATORY SVTXNARELATED2188199574358false$0false
Boston Common Intl Social Index fund LLC
84 State Street Suite 1000BostonMA02109030491645INVESTMENTsMANAINVESTMENT52602143189320false$0false
St Mary's Surgery Center at Galena LLC
235 West Sixth StreetRenoNV89520264094998SURGERY CENTERNVNARELATED-444264829981false-$441,054false
CHWUSP OXNARD SURGERY CENTER
1700 N ROSE AVENUE STE 110OXNARDCA93030200707388SURGERY CENTERCANARELATED3411920false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
CDS of Nevada Inc
1510 Meadowland LaneRenoNV895028802024963rd Prty adminNVSaint Mary's HFC Corp384097120786041.00000
COASTAL SURGICAL SPECIALISTS INC
921 Oak Park Blvd Suite 101Pismo BeachCA93449743000596Ambulatory SuCANAS Corp6417449884150.51028
Glendale Memorial SVCS corp
1420 South Central AvenueGlendaleCA91204954051021Health Care MCANAC Corp2992870851.00000
Inland Health Organization of Southern C
1980 Orange Tree Lane Ste 200RedlandsCA92374330578944Health Care MCANAC Corp-155497954813271.00000
Management Services Organization of Sant
1400 E Church StreetSanta MariaCA93454770318135Health ManageCANAC Corp001.00000
Marian Health Services Inc
1400 E Church StreetSanta MariaCA93454770074057Health ServicCANAC Corp34609717307501.00000
Primary Care Plus
1625 Prater Way Suite 102SparksNV89434113763590Urgent care cNVSaint Mary's HFC Corp41174377693021.00000
Saint Mary's Healthfirst
1510 Meadowland LaneRenoNV89502880293082Insurance ProNVNAC Corp89686977393594491.00000
Saint Mary's Preferred Health Insurance
1510 Meadowland LaneRenoNV89502880193357Insurance ProNVSaint Mary's HFC Corp66446646190183231.00000
St Mary Health Ventures Inc
1050 Linden AvenueLong BeachCA90813951912528Retail PharmaCANAC Corp183255526207131.00000
Trinity Care Infusion services
18440 Roscoe BoulevardNorthridgeCA91325330828794Home Care MedCANAC Corp253849920973781.00000
CHW Insurance Ltd (Cayman Island Corp)
SELF INSURANCNAC CORP2787417793601.00000PO BOX 1051 KY1-1102Grand CaymanCJCJ
MILLENIUM SURGERY CENTER inc
9300 Stockdale Hwy 200BakersfieldCA93311770513445OP Surgery SvcsCABMHS Corp000.60000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (121 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Arroyo Grande Community Hospital Foundation
b240438
Arroyo Grande Community Hospital Foundation
c110779
Arroyo Grande Community Hospital Foundation
N128360
Bakersfield Memorial Hospital
r17975498
Bakersfield Memorial Hospital
o229163
Bakersfield Memorial Hospital
p216856
Bakersfield Memorial Hospital
q278191
Bakersfield Memorial Hospital
k12534279
Barrow Neurological Foundation
B742316
Barrow Neurological Foundation
C11868121
Barrow Neurological Foundation
N974342
BOSTON COMMON INTL SOCIAL INDEX FUND LLC
R526021
California Hospital Foundation
C2126785
California Hospital Foundation
B357784
California Hospital Foundation
N803347
CDS
r1336564
CHW - Hospital & Professional Liability Self-
k8086796
CHW - Hospital & Professional Liability Self-
l39305836
CHW Foundation East Valley
B769351
CHW Foundation East Valley
p31170
CHW Foundation East Valley
c1744681
CHW Foundation East Valley
N669347
CHW Medical Foundation
i2159076
CHW Medical Foundation
r59283598
CHW Medical Foundation
k43254355
CHW Nevada Imaging Company LLC
d2100000
CHW Worker's Compensation Self-InsuranceTrust
k1017096
CHW Worker's Compensation Self-InsuranceTrust
l31458150
CHWUSP Phoenix II LLC
d3535264
CHWUSP Phoenix II LLC
n60555
CHWUSP Sacramento Surgery Center LLC
r3174119
CHWUSP Sacramento Surgery Center LLC
o2089265
Community Hospital of San Bernardino
r11499292
Community Hospital of San Bernardino
k8621726
Congenital Heart Foundation
c106071
Congenital Heart Foundation
B49216
Congenital Heart Foundation
N180406
Dominican Hospital Foundation
i19692
Dominican Hospital Foundation
c2183162
Dominican Hospital Foundation
N63490
Dominican Magnetic Resonance Imaging Center
i108117
Dominican Oaks Corporation
r1931804
Folsom Sierra Endoscopy Center
o3471586
Folsom Sierra Endoscopy Center
r1034790
Folsom Sierra Endoscopy Center
p306880
French Hospital Medical Center Foundation
c402355
French Hospital Medical Center Foundation
B202440
French Hospital Medical Center Foundation
N185932
Friends of Mercy Foundation
b616331
Friends of Mercy Foundation
c1784230
Friends of Mercy Foundation
m32000
Friends of Mercy Foundation
n23108
Glendale Memorial Health Foundation
p449827
Glendale Memorial Health Foundation
C404945
Glendale Memorial Health Foundation
N361579
Golden Umbrella
a75840
Inland Health Organization
k1134000
Marian Community Clinics
p1184176
Marian Health Services
p437169
Marian Medical Center Foundation
b300048
Marian Medical Center Foundation
c1952488
Marian Medical Center Foundation
N248854
Mark Twain St Joseph's Healthcare Corp
r1278715
Mark Twain St Joseph's Healthcare Corp
k3691212
Mercy Medical Center Merced Foundation
B424627
Mercy Medical Center Merced Foundation
C1199485
Mercy Senior Housing Inc dba Mercy McMahon T
r690148
Mercy Senior Housing Inc dba Mercy McMahon T
k17738
Mercy Surgery Center
a376253
Mercy Surgery Center
d287500
NICU Operating Company of Santa Cruz LLC
r6803752
Northridge Hospital Foundation
B7100
Northridge Hospital Foundation
C2140640
Northridge Hospital Foundation
N20000
Outpatient Surgery Center Galena
r824894
Preferred Health Insurance Corp
r204851
Primary Care Plus
r2465589
Saint Francis Memorial Hospital
r7027273
Saint Francis Memorial Hospital
k10606096
Shasta Senior Nutrition Program
a42000
Sierra Nevada Miners Hospital
r2788232
Sierra Nevada Miners Hospital
k3523128
St Joseph's Surgery Center LP
a249
St Joseph's Surgery Center LP
i428960
St Joseph's Surgery Center LP
d13027
St Joseph's Surgery Center LP
k136796
St Joseph's Surgery Center LP
n4960850
St Mary health Venture
a130375
St Mary health Venture
n1169887
St Mary health Venture
p742945
St Rose Hospital Foundation
c3891727
St Rose Hospital Foundation
b730682
St Rose Hospital Foundation
n999515
St Bernardine Medical Center Foundation
c821404
St Bernardine Medical Center Foundation
n461437
St Bernardine Medical Center Foundation
r208502
St Bernardine Medical Center Foundation
b966734
St John's Healthcare Foundation
c2280012
St John's Healthcare Foundation
b1274713
St Joseph's Foundation of San Joaquin
b324919
St Joseph's Foundation of San Joaquin
c5050956
St Joseph's Foundation of San Joaquin
i38400
St Joseph's Foundation of San Joaquin
n918770
St Joseph's Foundation
c3047248
St Joseph's Foundation
b793933
St Joseph's Foundation
n1730425
St Mary Catholic Housing Corporation
r454715
St Mary Medical Center Foundation
c4071666
St Mary Medical Center Foundation
b1369398
St Mary Medical Center Foundation
n1048079
St Mary Professional Building Inc
a170144
St Mary Professional Building Inc
o280345
St Mary Professional Building Inc
r800399
Saint Mary's Foundation
c1083339
Saint Mary's Foundation
b7673645
St Mary's Health First
r1560008
St Mary's Medical Center Foundation
l910004
St Mary's Medical Center Foundation
m23781
St Mary's Medical Center Foundation
c278505
St Mary's Medical Center Foundation
n560013
Woodland Memorial Hospital Foundation
q207979