2019-05-01T17:38:56-05:00 2018-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2017-07-01 942941245 St Joseph's Foundation % RANDY BRADLEY FINANCE DEPT STJO 6023072546 350 West Thomas Road Phoenix AZ 85013 JEFFREY JACKSON CFO 6024064618 2019-05-01 true VALERIE J BALL P00178114 4159635100 162.135.0.62 94661320191215000014 2019-05-01 P AD538940DC5A4E8C7023F4289E6268AD8315BFF9 58D2EFD71874899272368D0A62EB83F204FE69E4 2017 2019-02-21 02:37:17Z JEFFREY JACKSON CFO 3030 N CENTRAL AVE STE 135 PHOENIX AZ 85012 43882187 false X www.supportstjosephs.org X 1981 AZ TO FUND THE WORK OF DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, A NONPROFIT PUBLIC BENEFIT CORPORATION, A CHARITABLE ORGANIZATION AS DESCRIBED IN SECT 501(C)(3). 22 18 0 86 0 0 8292407 5448689 0 0 3110447 6211126 9729 23615 11412583 11683430 4626326 4617653 0 0 0 0 8280 16000 46205 1463458 1743730 6098064 6377383 5314519 5306047 87236821 100559946 2745754 8065194 84491067 92494752 TO RAISE FUNDS AND PROVIDE SUPPORT SERVICES FOR PATIENT CARE, MEDICAL EDUCATION, COMMUNITY OUTREACH, RESEARCH, AND CARE FOR THOSE IN NEED AT DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. false false 4617653 4617653 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ("HOSPITAL"). AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITAL. 4617653 true true false true false false false false false true false true false false true true false true false false true false false true true false false true false true false false false false false false false false true false false false false true true false false false true X 1 0 true 0 false true CJ false false false true true false false false false X 22 18 true false false false true true true true true false false false true true true true true false false false AZ X RANDY BRADLEY FINANCE DEPT 6023072546 3200 N CENTRAL AVE Phoenix AZ 85012 X John Anton Director 1.0 0.0 X 0 0 0 Barry Berman Director 1.0 0.0 X 0 0 0 Ross Bremner MD Ex-officio Director 1.0 40.0 X 0 870365 106372 Anne Burns MD Director 1.0 5.0 X 0 7088 0 Ralph Drosten MD Director 1.0 40.0 X 0 521424 72990 Kathleen Graham Director 1.0 0.0 X 0 0 0 Ollie J Harper MD Director 1.0 0.0 X 0 0 0 Cullen Maxey Director 1.0 0.0 X 0 0 0 David McCaleb Director 1.0 0.0 X 0 0 0 Jaime Northam Director 1.0 0.0 X 0 0 0 Earl Petznick Jr Director 1.0 0.0 X 0 0 0 Kim Sterling-Heflin Director 1.0 0.0 X 0 0 0 Roger Stevenson Director 1.0 0.0 X 0 0 0 Greg Valladao Director 1.0 0.0 X 0 0 0 Patty White Ex-officio DIRECTOR 1.0 40.0 X 0 891914 100870 L Jane Wilbershide Director 1.0 0.0 X 0 0 0 David Zowine Director 1.0 0.0 X 0 0 0 Shelby Butterfield Chairman 1.0 0.0 X X 0 0 0 Terri Hoffman Foundation CEO 30.0 10.0 X X 0 246831 37969 Jennifer Lunt Vice-Chair 1.0 0.0 X X 0 0 0 Michael O'Connor Secretary 1.0 0.0 X X 0 0 0 Saundra Schrock Treasurer 1.0 0.0 X X 0 0 0 Jeffrey Jackson CFO 1.0 40.0 X 0 342561 43652 0 2880183 361853 0 false true false PAVILION ADVISORY GROUP INC 227 W MONROE STREET CHICAGO IL 60606 Investment CONSULTNT 145995 1 X 254884 1622081 3571724 63141 5448689 0 2901744 2901744 0 0 0 0 0 35422936 32113554 3309382 3309382 3309382 101448 254884 85203 16245 16245 7370 0 7370 7370 0 0 0 0 11683430 6234741 X 4617653 4617653 0 0 0 0 0 0 0 0 0 0 4763 0 4763 0 1750 0 1750 0 45 0 45 0 16000 16000 213959 0 213959 0 1288031 0 1275157 12874 22080 0 22080 0 83636 0 83636 0 7480 0 7480 0 0 68855 0 68855 0 16091 0 16091 0 0 819 0 819 0 0 0 0 1710 0 1710 0 FOOD COSTS 10420 0 7700 2720 DONOR CULTIVATION 9518 0 0 9518 DUES AND SUBSCRIPTIONS 6274 0 6274 0 OTHER EXPENSES 8299 0 3206 5093 6377383 4617653 1713525 46205 X 0 0 2913299 5707408 1618108 1418865 0 0 0 0 0 0 0 0 0 0 258321 0 0 0 65447452 72633559 16717000 20517000 0 0 0 0 282641 283114 87236821 100559946 237853 5152323 2271151 2551752 0 0 0 0 0 0 0 0 0 0 0 0 236750 361119 2745754 8065194 X 44054454 48252075 29273574 32079468 11163039 12163209 84491067 92494752 87236821 100559946 X 5306047 2720328 8108 -10533 -20265 X false true X true false X X X 1 DIGNITY HEALTH (DBA ST JOSEPH'S HOSPITAL & MEDICAL CTR) 941196203 3 true 4570313 1807070 1 4570313 1807070 true false false false false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 12G THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. false false false false false false false false true 45 45 false SCH C, PART II-B, LINE I LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: ASSOCIATION FOR HEALTHCARE PHILANTHROPY; $45. 29481258 1153316 5942726 317284 36260016 26464788 1003225 2828936 815691 29481258 26770922 1041007 -529101 818040 26464788 26565154 92340 544409 430981 26770922 23840857 16809 3151088 443601 26565153 0.54000 0.34000 0.12000 false false POOLED INVESTMENTS 20517000 F 20517000 0 ANNUITIES PAYABLE 186194 DUE TO RELATED PARTIES 174925 361119 X SCH D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED TO SUPPORT THE HOSPITAL BUILDING PROJECTS, COMMUNITY CLINICS, RESEARCH, MEDICAL EDUCATION AND OTHER VARIOUS OUTREACH HOSPITAL PROGRAMS. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE DIGNITY HEALTH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. Central America and the Caribbean Investments n/a 20517399 20517399 20517399 false false false false false false Schedule F, Part V The organization uses the accrual method of accounting to determine the amounts in Schedule F, Part I, Line 3, column (f). X X X X X true Good Works Philathropy Partners 328 East Braeburn Drive Phoenix AZ 85022 Grant Writing false 16000 16000 AZ GOLF 356332 254884 101448 0 3347 10772 32125 0 38959 none 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 356332 254884 101448 0 3347 10772 32125 0 38959 85203 16245 true Dignity Health DBA St Joseph's Hospital & Med Ctr 350 W Thomas Rd Phoenix AZ 85013 941196203 501(c)(3) 4570313 47340 FMV Medical Equipment Hospital Support 1 0 PART I, LINE 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 (DIGNITY HEALTH DBA ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER), WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION, TRANSFERRING AND MONITORING THAT RESTRICTIONS ARE MET BEFORE RELEASE OF FUNDS AND EXPENDITURE OF SUCH FUNDS. false true false false false false false false false Ross Bremner MD Ex-officio Director 0 645662 0 207001 0 17702 0 76181 0 30191 0 976737 0 15080 Ralph Drosten MD Director 0 404442 0 62269 0 54713 0 45489 0 27501 0 594414 0 52580 Patty White Ex-officio DIRECTOR 0 453133 0 276821 0 161960 0 65886 0 34984 0 992784 0 141084 Terri Hoffman Foundation CEO 0 204483 0 41134 0 1214 0 22275 0 15694 0 284800 0 0 Jeffrey Jackson CFO 0 284185 0 47360 0 11016 0 34449 0 9203 0 386213 0 0 SCHEDULE J, PART I, LINE 3 THE FOUNDATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE COMPENSATION OF THE PERSON WHO IS THE TOP MANAGEMENT OFFICIAL FOR THIS ORGANIZATION. THE COMPENSATION WAS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATION, ALTHOUGH THE LISTED PERSON PROVIDED APPROXIMATELY 1 HOUR PER WEEK TO THE FILING ORGANIZATION AS ITS TOP MANAGEMENT OFFICER. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A CERTAIN LISTED PERSONS PARTICIPATE IN A DIGNITY HEALTH SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 36 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS WERE MADE TO ANY LISTED PERSONS DURING 2017 PURSUANT TO THIS PLAN. SCHEDULE J, PART I, LINE 4B CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR TWO CURRENT BOARD MEMBERS OCCURRED DURING 2017 INCLUDE R BREMBER, MD; $15,080 AND R DROSTEN, MD; $52,580. CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE TO ANY LISTED PERSONS DURING 2017 PURSUANT TO THIS PLAN. CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S 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. PAYMENTS PURSUANT TO THE PLAN FOR A CURRENT BOARD MEMBER INCLUDES P WHITE; $141,084. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). PART III, SUPPLEMENTAL DISCLOSURES THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, HOWEVER, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2017. X 7650 RESALE VALUE X 4267 RESALE VALUE X 3 8809 Average market value X 1 50 Comparable sale X 1 1800 Comparable sale X FOOD AND WINE 13 2035 Comparable sale X ENTERTAINMENT/GIFTS CERTIFICATES 1 50 Comparable sale X TOYS 16 520 Comparable sale X Medical Equipment 2 37500 Comparable sale X Gift baskets 3 300 Comparable sale X Teeth whitening kit 1 160 Comparable sale false true false SCH M, PART I, COLUMN B SECURITIES PUBLICLY TRADED: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. COLLECTIBLES: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FOOD AND WINE: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. DRUGS AND MEDICAL SUPPLIES: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. MEDICAL EQUIPMENT: THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. GIFT CERTIFICATES/TICKETS (ENTERTAINMENT): THE FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. TOYS: THE FOUNDATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. OTHER NON-CASH CONTRIBUTIONS: THE FOUNDATION IS REPORTING A COMBINATION OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FORM 990, PARTS V, VI, VII AND XI FORM 990, PART V, LINE 2A THE ORGANIZATION DOES NOT HAVE EMPLOYEES. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF THE HOSPITAL AND UTILIZES THE EMPLOYEES OF THAT HOSPITAL. THE PROPORTIONATE SALARIES AND BENEFITS FOR THESE INDIVIDUALS ARE ALLOCATED TO THE FOUNDATION. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED IN THE HOSPITAL ENTITY'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS AS MEMBERS OF THE BOARDS OF DIRECTORS OF DIGNITY HEALTH SUBSIDIARIES AND JOINT VENTURES: J JACKSON AND P WHITE FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. THE SOLE CORPORATE MEMBER MAY APPOINT AND REMOVE ANY DIRECTOR OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S CHIEF PHILANTHROPY OFFICER AND HOSPITAL CFO REVIEWED THE FORM 990 IN DETAIL PRIOR TO FILING. DUE TO TIMING OF BOARD COMMITTEE AND FULL BOARD MEETINGS, THE COMMITTEES NOR FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. HOWEVER, THE FORM WILL BE PROVIDED TO THE FINANCE COMMITTEE AND FULL BOARD AT THE FIRST MEETING SUBSEQUENT TO THE FILING DATE. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE EVP/GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL DESIGNATED BY THE FILING OFFICER (COVERED PERSONS). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE VP/CORPORATE COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT EMPLOY PERSONNEL; HOWEVER, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2017 COMPENSATION, DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS(INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS RELATED ORGANIZATION'S, DIGNITY HEALTH, WEBSITE AND UPON REQUEST. FORM 990, PART VII, SECTION A THE ORGANIZATION DOES NOT COMPENSATE BOARD MEMBERS/OFFICERS R BREMNER, MD, A BURNS, MD, R DROSTEIN, MD, P WHITE, T HOFFMAN AND J JACKSON FOR THEIR SERVICES AS CURRENT BOARD MEMBERS OR OFFICERS. ALL COMPENSATION AND BENEFITS REPORTED REPRESENT COMPENSATION AS EMPLOYEES TO THE RELATED ORGANIZATION. FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS: $(20,265) FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:1243273 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:14131 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING TOTAL FEES:14398 FORM 990 PART IX LINE 11G DESCRIPTION:PHOTOGRAPHY TOTAL FEES:150 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:16079 DIGNITY HEALTH dbaStJoseph's HOSPITAL 350 West Thomas Road Phoenix AZ 85013 941196203 Hospital CA 501(3)(C) 3 NA false Barrow Neurological Foundation 3110 N Central Avenue Suite 135 Phoenix AZ 85012 860174371 Support Hosp AZ 501(3)(C) 7 NA false THE CONGENITAL HEART FOUNDATION 350 West Thomas Road Phoenix AZ 85013 263342554 support hospi AZ 501(3)(C) 12 TYPE I Dignity Hlth false Charitable Remainder Trust (3) 3110 N Central Avenue Suite 135 Phoenix AZ 85012 866224983 Remainder Uni AZ SJFnd Trust 0 0 1.00000 true false true true false false false false false false false false true false true true false true false false none