2018-05-09T17:29:50-05:00 2017-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2016-07-01 680220314 Dignity Health Medical Foundation % AMY SMITH DIGN 9163792778 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 JENNIFER SCHAAB COO 6267442328 2018-05-09 true VALERIE J BALL P00178114 4159635100 2018-05-09 162.135.0.58 94357320181295000009 2018-05-09 P 71B798D437BAB477821F8EE737E3D2E7E02778A4 58D2EFD71874899272368D0A62EB83F204FE69E4 2016 2021-01-29 14:40:06Z Christopher McGoldrick CFO 3400 DATA DRIVE RANCHO CORDOVA CA 95670 858717048 false X www.dignityhealth.org X 1990 CA TO ESTABLISH, OPERATE, AND MAINTAIN A MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC TO BENEFIT THE COMMUNITIES WE SERVE. 9 0 2781 0 0 191287485 213360623 599054801 644687027 325107 543723 578532 125675 791245925 858717048 16814 40595 0 0 212266240 231543363 0 0 0 579818763 624943318 792101817 856527276 -855892 2189772 211260494 209475457 126517778 122543041 84742716 86932416 X DIGNITY HEALTH MEDICAL FOUNDATION'S MISSION IS TO ESTABLISH, OPERATE, AND MAINTAIN A MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC TO PROVIDE COMPASSIONATE, HIGH-QUALITY, AFFORDABLE PATIENT CARE SERVICES AND HEALTH EDUCATION. OUR CLINIC IS COMMITTED TO EXPANDING QUALITY HEALTH CARE ACCESS TO THOSE IN NEED AND CONTRIBUTING TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. false false 450041039 40595 391872636 DIGNITY HEALTH MEDICAL FOUNDATION OUTPATIENT SERVICES INCLUDE FAMILY, PEDIATRIC, AND GERIATRIC MEDICINE AS WELL AS A VARIETY OF SPECIALTIES. AMONG THE SPECIALTY HEALTHCARE SERVICES WE PROVIDE TO OUR PATIENTS ARE MENTAL HEALTH SERVICES, PAIN MANAGEMENT, REHABILITATION AND OCCUPATIONAL SERVICES, OPHTHALMOLOGY, CARDIOLOGY, DIAGNOSTIC IMAGING, OUTPATIENT SURGERY, NEUROLOGY, ORTHOPEDICS, PODIATRY, RADIATION ONCOLOGY AND INFUSION, AND OBSTETRICS AND GYNECOLOGY. 250585303 0 217250707 Dignity Health Medical Foundation outpatient services includes medical services for the community. Approximately 32% of DHMF patient revenues and expenses are in support of MediCal and Medicare covered patients. Our clinics are located in the Sacramento Region [Sacramento, El Dorado Hills, Elk Grove, Folsom, Cameron Park, Roseville, and Rocklin], Woodland, Sierra Nevada, Stockton, Santa Cruz, San Francisco, Ventura, Bakersfield, Merced, Redding, Ventura, Inland Empire, and Sequoia. 41020518 0 35563684 Other Related Income - Dignity Health Medical Foundation outpatient services also include support for our communities by actively participating with and/or in the community with the following types of activities: Charity Care, Flu Clinic, Cash Donations, Cancer Screenings, Health Fairs, Price Pharmacy where the average uninsured participating patient has a cost savings of $1,500 per year, Training up and coming physicians, and Telehealth which is working with the hospital to ensure timely diagnosis to patients. 741646860 true true true false false false false false false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true X 982 0 true 2781 true false false false false false false false false false false X 9 0 true false false false true true true true true false false false true true true true true false false false CA X AMY SMITH 9163793013 3400 DATA DRIVE RANCHO CORDOVA CA 95670 X Christina Fernandez DD JD BCC Board Member 2.0 40.0 X 0 489312 89036 Keith Frey MD Board Member 2.0 40.0 X 0 713702 87962 Nanette Mickiewicz MD Board Member 2.0 40.0 X 0 813429 119142 Marvin O'Quinn Ex-officio Board Member 1.0 40.0 X 0 4070795 709590 Scott Robertson MD Board Member 2.0 40.0 X 0 460218 70139 Todd A Strumwasser MD Board Member 2.0 40.0 X 0 1138118 155268 Anthony Scott Carswell Secretary 2.0 40.0 X X 0 853823 121404 Gary Greensweig DO Chair 2.0 40.0 X X 0 848238 132838 Joseph Jasser MD CEO 40.0 0.0 X X 0 975313 117510 Bruce Swartz Board Member/ Interim CEO 2.0 40.0 X X 0 925245 111758 Thomas Lowry Interim CFO 40.0 0.0 X 0 434490 71016 Christopher McGoldrick CFO 40.0 0.0 X 177228 0 17029 Jennifer A Lloyd Director, Managed Care 40.0 0.0 X 271268 0 59103 Sigrid Owyang VP Clinic Operations 40.0 0.0 X 338141 0 53319 Jennifer Schaab VP Clinic Operations 40.0 0.0 X 408309 0 38822 Dean K Ward VP Operations, Bay Area 40.0 0.0 X 310023 0 53530 Alan Brooker Medical Director 40.0 0.0 X 365623 0 40909 Kathryne Eggers VP Project Management Office 40.0 0.0 X 286140 0 48573 Sivasubramanian R Manoharan Chief Radiation Physicist 40.0 0.0 X 270505 0 52511 Melanie A Radko VP Quality Management 40.0 0.0 X 269068 0 42088 Ernest A Wallerstein Interim Executive Director 40.0 0.0 X 259662 0 20254 Karl Silberstein Former Officer 0.0 40.0 X 0 1193321 150322 2955967 12916004 2362123 224 true true false DESCOR BUILDERS 3164 GOLD CAMP DR RANCHO CORDOVA CA 95670 contractor 5317953 TRIMEDX LLC 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 Technology Mgmt serv 4213712 GETIXHEALTH LLC 9800 CENTRE PKWY HOUSTON TX 770368263 Revenue Cycle SVC 2851207 MEDIREVV 2600 UNIVERSITY PARKWAY CORALVILLE IA 522413212 Revenue Cycle svc 1814947 ECG MANAGEMENT CONSULTANTS INC 1111 THIRD AVE SEATTLE WA 981013201 Consulting services 1443054 112 189252230 3706527 20401866 213360623 PATIENT NET OF CHARITY & BAD DEBT 900099 371509477 371509477 0 0 MEDICARE / MEDICAID PAYMENTS 900099 217250707 217250707 0 0 PHYSICIAN PROFESSIONAL FEES 900099 17125276 17125276 0 0 HOSPITALIST PROGRAM REVENUE 900099 24670116 24670116 0 0 RESIDENCY 900099 4067007 4067007 0 0 10064444 10064444 0 0 644687027 477067 477067 0 0 774 0 774 0 774 774 66656 0 66656 66656 66656 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS 900099 113623 113623 CAFETERIA 722212 11535 11535 OTHER OPERATING REVENUE 900099 -257 -257 124901 858717048 644687027 0 669398 X 40595 40595 0 0 0 1952160 1828821 123339 0 0 162514147 153995061 8519086 0 8410586 7871895 538691 0 46950003 33742687 13207316 0 11716467 11629925 86542 0 0 1959898 0 1959898 0 77856 0 77856 0 0 0 0 0 0 0 396465204 343417817 53047387 0 3447594 2384637 1062957 0 14849555 10762723 4086832 0 39144127 27094733 12049394 0 0 29882521 18330253 11552268 0 1897278 1474987 422291 0 0 386078 289907 96171 0 2411519 0 2411519 0 0 17170699 12778194 4392505 0 1855016 882644 972372 0 MEDICAL PROVIDER/OUT OF NETWOR 60578468 60578468 0 0 MEDICAL SUPPLIES 53061472 53061472 0 0 DUES & SUBSCRIPTIONS 493274 454146 39128 0 RECRUITING 389348 362557 26791 0 873411 665338 208073 856527276 741646860 114880416 0 2806 3451 50310508 41908484 0 0 40668901 41094819 0 0 0 0 434160 425820 0 0 9105874 15113835 216115260 109624616 106165864 106490644 0 0 0 0 127557 127485 2764450 2764450 1680374 1546469 211260494 209475457 85476268 85528860 0 0 651851 670126 0 0 0 0 0 0 0 33962 0 0 40389659 36310093 126517778 122543041 X 84615159 86804931 127557 127485 0 0 84742716 86932416 211260494 209475457 X 2189772 -72 X X false true X true true true X X 1 DIGNITY HEALTH 941196203 3 true 839356577 0 1 839356577 0 true false false false false true false false false false false false false false false true false Sched A, PART I, LINE 12G DIGNITY HEALTH MEDICAL FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. SCHED A, PART IV, LINE 6 AS DIRECTED BY ITS SUPPORTED ORGANIZATION, THE ORGANIZATION MADE GRANTS TO FOUNDATIONS THAT ARE PART OF THE DIGNITY HEALTH HEALTHCARE SYSTEM, DOMINICAN HOSPITAL FOUNDATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 801 0 80 0 true true PART I-B, LINE 4B During the year, Dignity Health Medical Foundation (DHMF) paid membership dues to the Greater Bakersfield Chamber of Commerce (GBCC) and Merced Mariposa County Medical Society (MMCMS). The invoices provided for voluntary contributions to GBCC's and MMCMS' Political Action Fund (PAF) and Political Action Committee (PAC). The check requests for annual dues inadvertently included or directed amounts for voluntary contributions to the PAF or PAC. Dignity Health Medical Foundation has policies and procedures in place to avoid such transactions, and once the organization became aware of this situation, immediate action was taken to request a refund from the GBCC for the $25 amount designated for the PAF. DHMF is awaiting the receipt of the refund check. The MMCMS invoices allow organizations to redirect the PAC dues to an education or other non-political fund, by checking a box on the invoice. This box was inadvertently not checked. DHMF has requested that these PAC amounts be redirected to the non-political fund on the respective invoices. 4422099 4422099 61063825 19825403 41238422 65101194 34197601 30903593 79711576 55601612 24109964 5816566 5816566 106490644 0 DUE TO RELATED PARTIES 31474043 LONG-TERM PENSION PAYABLE 2543057 NON CURRENT LIABILITIES 2292993 36310093 X Sched D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE DIGNITY HEALTH REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 501(C)(3) 25000 0 N/A N/A COMMUNITY HEALTH 1 0 Sched I, PART I, LINE 2 GRANTS ARE PROVIDED BY DIGNITY HEALTH MEDICAL FOUNDATION TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER DIGNITY HEALTH MEDICAL FOUNDATION'S EXEMPT PURPOSE. ALL ORGANIZATIONS THAT ARE PROVIDED GRANTS ARE REQUIRED TO BE A SECTION 501(C)(3) ORGANIZATION. false true false false false false false false false Christina Fernandez DD JD BCC Board Member 0 235710 0 240577 0 13025 0 45703 0 43333 0 578348 0 0 Keith Frey MD Board Member 0 468385 0 237793 0 7524 0 63580 0 24382 0 801664 0 0 Nanette Mickiewicz MD Board Member 0 378442 0 421831 0 13156 0 70571 0 48571 0 932571 0 0 Marvin O'Quinn Ex-officio Board Member 0 1184985 0 2482066 0 403744 0 643301 0 66289 0 4780385 0 290362 Scott Robertson MD Board Member 0 353211 0 106454 0 553 0 44237 0 25902 0 530357 0 0 Todd A Strumwasser MD Board Member 0 576166 0 544744 0 17208 0 96592 0 58676 0 1293386 0 0 Anthony Scott Carswell Secretary 0 432671 0 412123 0 9029 0 71159 0 50245 0 975227 0 0 Gary Greensweig DO Chair 0 451591 0 383632 0 13015 0 74233 0 58605 0 981076 0 0 Joseph Jasser MD CEO 0 494887 0 477432 0 2994 0 79752 0 37758 0 1092823 0 0 Bruce Swartz Board Member/ Interim CEO 0 455692 0 444766 0 24787 0 78491 0 33267 0 1037003 0 0 Thomas Lowry Interim CFO 0 320164 0 104696 0 9630 0 38719 0 32297 0 505506 0 0 Christopher McGoldrick CFO 134835 0 29000 0 13393 0 12810 0 4219 0 194257 0 0 0 Jennifer A Lloyd Director, Managed Care 207685 0 62542 0 1041 0 28500 0 30603 0 330371 0 0 0 Sigrid Owyang VP Clinic Operations 258841 0 76353 0 2947 0 34133 0 19186 0 391460 0 0 0 Jennifer Schaab VP Clinic Operations 320298 0 85185 0 2826 0 35755 0 3067 0 447131 0 0 0 Dean K Ward VP Operations, Bay Area 239235 0 69828 0 960 0 25792 0 27738 0 363553 0 0 0 Alan Brooker Medical Director 280496 0 80827 0 4300 0 36219 0 4690 0 406532 0 0 0 Kathryne Eggers VP Project Management Office 219032 0 65596 0 1512 0 29130 0 19443 0 334713 0 0 0 Sivasubramanian R Manoharan Chief Radiation Physicist 250540 0 18720 0 1245 0 26919 0 25592 0 323016 0 0 0 Melanie A Radko VP Quality Management 205047 0 61524 0 2497 0 25450 0 16638 0 311156 0 0 0 Ernest A Wallerstein Interim Executive Director 259662 0 0 0 0 0 20254 0 0 0 279916 0 0 0 Karl Silberstein Former Officer 0 590635 0 575854 0 26832 0 99246 0 51076 0 1343643 0 0 Sched J, PART I, LINE 3 DIGNITY HEALTH MEDICAL FOUNDATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH THAT USED A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH DIGNITY HEALTH MEDICAL FOUNDATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. Sched J, PART I, LINE 4A CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS RELATED TO THIS OCCURED IN 2016. Sched J, PART I, LINE 4B 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 UNDER THE PLAN DURING 2016. 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 ONE BOARD MEMBER OCCURRED DURING 2016 INCLUDE M. OQUINN, $290,362. CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH KEY EMPLOYEE SHARE OPTION PLAN (KEYSOP), WHICH WAS FROZEN IN MAY 2002. THE KEYSOP PROGRAM WAS ESTABLISHED IN 2001 WITH THE PURPOSE OF PROVIDING INCOME DEFERRAL OPPORTUNITIES TO EMPLOYEES ELIGIBLE FOR THE COMPANY'S KEY EMPLOYEE RETENTION PROGRAM. NO PAYMENTS WERE MADE UNDER THE PLAN DURING 2016. 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)). Sched J, PART II THE 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 2016. FORM 990, PART, VI, XI and XII FORM 990, PART VI, SECTION A, LINE 2 K. FREY, S. CARSWELL, B. SWARTZ, J. JASSER, MD - BUSINESS RELATIONSHIP B. SWARTZ, G. GREENSWIEG - BUSINESS RELATIONSHIP B. SWARTZ, K. FREY, MD - BUSINESS RELATIONSHIP B. SWARTZ, S. CARSWELL - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THERE IS A TWO LEVEL REVIEW FOR THE DIGNITY HEALTH MEDICAL FOUNDATION FORM 990; FIRST THE ACCOUNTING MANAGER WORKED CLOSELY WITH THE PARENT ORGANIZATION AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW THE FORM 990, THE FINAL REVIEW WAS DONE BY THE CEO AND CFO. THE DRAFT WAS ALSO RECEIVED BY THE BOARD OF DIRECTORS. THE DRAFT WAS COMPLETE EXCEPT IT EXCLUDED COMPENSATION INFORMATION FOR DIRECTORS WHO ARE ALSO KEY EXECUTIVES OF DIGNITY HEALTH, THE FILING ORGANIZATION'S SOLE MEMBER. COMPENSATION BY DIGNITY HEALTH TO THOSE DIRECTORS WAS REVIEWED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE DIGNITY HEALTH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE EVP/GENERAL COUNSEL IS RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS (I.E., BOARD AND BOARD COMMITTEE MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL AT HIS OR HER DISCRETION). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERIORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON, AND ANNUALLY THEREAFTER. EACH COVERED PERSON IS REQUIRED TO CERTIFY AT LEAST ANNUALLY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE POLICY APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AS REQUIRED BY THE POLICY. THE PRESIDENT/CEO AND EVP/GENERAL COUNSEL PREPARE ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST, WHICH ARE PROVIDED TO THE BOARD OF DIRECTORS, COMMITTEE CHAIRS, AND KEY LEADERS OF THE ORGANIZATION TO ENABLE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD OF DIRECTORS, MEMBERS OF BOARD COMMITTEES WITH SUBJECT MATTER JURISDICTION AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED PERSONS, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS OR POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTHS STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE VP/CORPORATE COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2016, 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 B, LINE 15B DIGNITY HEALTH MEDICAL FOUNDATION COMPENSATION AND BENEFITS DEPARTMENT CONDUCTS ANNUAL REVIEWS AND ANALYSIS THAT ALLOWS A RANGE FOR COMPENSATION FOR EACH KEY EMPLOYEE FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGE. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN UNCONSOLIDATED FOUNDATION; $(72) FORM 990, PART XII, LINE 3A THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN DIGNITY HEALTH'S CONSOLIDATED OMB CIRCULAR A-133 AUDITED SCHEDULE OF FEDERAL EXPENDITURES. FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE ASSISTANCE TOTAL FEES:10359000 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:5513919 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE AND REPAIRS TOTAL FEES:6731163 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL TOTAL FEES:1896377 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:4213516 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEES TOTAL FEES:4209807 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:3697676 DIGNITY HEALTH 185 Berry Street San Francisco CA 94107 941196203 Hospital CA 501(C)(3) 3 NA false false false true false false false false false false true true true true false false false false false false none