2017-05-05T11:25:23-05:00 2016-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2015-07-01 680220314 Dignity Health Medical Foundation % AMY SMITH DIGN 9163792778 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 CHRISTOPHER MCGOLDRICK CFO 9168512559 2017-04-24 true VALERIE J BALL P00178114 4159635100 2017-05-01 2015 2021-01-29 14:40:06Z Christopher McGoldrick CFO 3400 DATA DRIVE RANCHO CORDOVA CA 95670 791245925 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. 10 0 2545 0 0 146262823 191287485 523495413 599054801 172867 325107 1407536 578532 671338639 791245925 56688 16814 0 0 177219302 212266240 0 0 0 497006206 579818763 674282196 792101817 -2943557 -855892 198558335 211260494 112962073 126517778 85596262 84742716 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 402528892 16814 380801724 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. 201823806 0 190930030 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. 28882002 0 27323047 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. 633234700 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 true false true 956 0 true 2545 true false false false false false false false false false false X 10 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 462631 96292 Keith Frey MD Board Member 2.0 40.0 X 0 678682 81470 Nanette Mickiewicz MD Board Member 2.0 40.0 X 0 681873 106663 Marvin O'Quinn Ex-officio Board Member 1.0 40.0 X 0 3366518 582108 Scott Robertson MD Board Member 2.0 40.0 X 0 453982 68693 Bruce Swartz Board Member 2.0 40.0 X 0 880137 103936 Todd A Strumwasser MD Board Member 2.0 40.0 X 0 1881169 158333 Anthony Scott Carswell Secretary 2.0 40.0 X X 0 814853 118054 Gary Greensweig DO Chair 2.0 40.0 X X 0 861651 123706 Joseph Jasser MD CEO 40.0 0.0 X X 0 868338 109225 George Lenzi CFO (Terminated 1/14/16) 40.0 0.0 X 472194 0 44972 Thomas Lowry Interim CFO (Started 12/2015) 40.0 0.0 X 0 486817 71996 Sigrid Owyang VP Clinic Operations 40.0 0.0 X 325800 0 50265 Jennifer Schaab VP Clinic Operations 40.0 0.0 X 331003 0 28304 Jennifer A Lloyd Director, Managed Care 40.0 0.0 X 265565 0 54553 Kathryne Eggers VP Project Management Office 40.0 0.0 X 283042 0 41747 Sivasubramanian R Manoharan Chief Radiation Physicist 40.0 0.0 X 271878 0 50614 Eric R Osborn Process & Apps Integration 40.0 0.0 X 272919 0 40552 Dean K Ward Vice President Operations 40.0 0.0 X 273870 0 48991 John M Pietrzak Interim Exec Dir Clinic Admin 40.0 0.0 X 266400 0 19447 Karl Silberstein Former Officer 0.0 40.0 X 0 1206142 139604 2762671 12642793 2139525 189 true true false GETIXHEALTH LLC 9800 CENTRE PKWY suite 1100 HOUSTON TX 770368263 Revenue Cycle servic 3341463 TRIMEDX LLC 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 Technology Mgmt serv 2743676 DESCOR BUILDERS 3164 GOLD CAMP DR suite 250 RANCHO CORDOVA CA 95670 contractor 2117691 QUEST DIAGNOSTICS FILE 50342 LOS ANGELES CA 900740320 Laboratory services 1940796 MEDIREVV 2600 UNIVERSITY PARKWAY CORALVILLE IA 522413212 Revenue Cycle servic 1869041 112 175416259 4079093 11792133 23695 191287485 PATIENT NET OF CHARITY & BAD DEBT 900099 361887922 361887922 MEDICARE / MEDICAID PAYMENTS 900099 190930030 190930030 PHYSICIAN PROFESSIONAL FEES 900099 16201353 16201353 HOSPITALIST PROGRAM REVENUE 900099 20473967 20473967 CMS INCENTIVES 900099 4081706 4081706 5479823 5479823 599054801 305107 305107 0 0 1196 0 1196 0 1196 1196 20000 0 20000 20000 20000 0 0 0 ADMINSTRATIVE SERVICES 900099 277073 277073 EAP 900099 141747 141747 MEDICAL RECORDS 900099 99900 99900 58616 58616 577336 791245925 599054801 903639 X 16814 16814 0 0 0 1197454 884956 312498 0 153036727 110148703 42888024 4765328 4423400 341928 42551318 30636949 11914369 10715413 10636265 79148 0 2009429 1263889 745540 137902 137902 0 0 0 363155055 337697938 25457117 0 3571938 837295 2734643 14589231 5755316 8833915 33106486 2952224 30154262 0 27354366 7566880 19787486 1719776 747752 972024 0 314074 140137 173937 2500439 2500439 0 16107769 7799317 8308452 1994328 1686 1992642 MEDICAL PROVIDER/OUT OF NETWOR 61054313 61054313 0 0 MEDICAL SUPPLIES 50497885 49702129 795756 0 DUES & SUBSCRIPTIONS 461707 203147 258560 0 RECRUITING 434545 377533 57012 0 809520 388057 421463 792101817 633234700 158867117 0 11177 2806 38487470 50310508 0 0 36679899 40668901 0 0 0 0 722159 434160 0 0 11279080 9105874 200677701 94511837 108488889 106165864 0 0 0 0 125211 127557 2764450 2764450 0 1680374 198558335 211260494 68022969 85476268 0 0 779467 651851 0 0 0 0 0 0 0 0 0 0 44159637 40389659 112962073 126517778 X 85471051 84615159 125211 127557 0 0 85596262 84742716 198558335 211260494 X -855892 2346 X X false true X true true true X X 1 DIGNITY HEALTH 941196203 3 true 775994048 0 1 775994048 0 true false false false false true false false false false false false false false false true false Sched A, PART I, LINE 11G 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, MERCY MEDICAL CENTER MERCED FOUNDATION AND ST. JOSEPH'S FOUNDATION OF SAN JOAQUIN. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10 1 0 true true PART I-B, LINE 4B DURING THE YEAR, DIGNITY HEALTH MEDICAL FOUNDATION PAID MEMBERSHIP DUES TO REDDING CHAMBER OF COMMERCE ("THE CHAMBER"). THE INVOICE PROVIDED FOR VOLUNTARY CONTRIBUTIONS TO THE CHAMBER'S POLITICAL ACTION COMMITTEE (PAC). THE CHECK REQUEST FOR ANNUAL DUES INADVERTENTLY INCLUDED AMOUNTS FOR VOLUNTARY CONTRIBUTIONS TO THE 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 OBTAIN A REFUND FROM THE CHAMBER FOR THE AMOUNT DESIGNATED FOR THE PAC. A COPY OF THE REFUND CHECK, DATED 3/22/2017, EVIDENCING THAT OF THE $25.00 REFUND RECEIVED, $10.00 OF THE PAC FUND HAS BEEN RECOVERED, HAVE BEEN ATTACHED TO FORM 4720. THIS REPRESENTS THE FULL AMOUNT OF INADVERTENT PAYMENT MADE RELATED TO VOLUNTARY CONTRIBUTIONS TO THE CHAMBER'S PAC. 4422099 4422099 61063825 17230121 43833704 54265852 27354443 26911409 76193525 49927273 26266252 4732400 4732400 106165864 0 DUE TO RELATED PARTIES 36330227 LONG-TERM PENSION PAYABLE 2143166 NON CURRENT LIABILITIES 1916266 40389659 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 MERCY MEDICAL CENTER MERCED FOUNDATION 2740 M STREET MERCED CA 95340 942450442 501(C)(3) 10000 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. true true false false false false false false false Christina Fernandez DD JD BCC Board Member 0 229392 0 219809 0 13430 0 41336 0 54956 0 558923 0 0 Keith Frey MD Board Member 0 459506 0 211652 0 7524 0 57458 0 24012 0 760152 0 0 Nanette Mickiewicz MD Board Member 0 365571 0 304521 0 11781 0 57024 0 49639 0 788536 0 0 Marvin O'Quinn Ex-officio Board Member 0 1108841 0 1903624 0 354053 0 519262 0 62846 0 3948626 0 265387 Scott Robertson MD Board Member 0 356938 0 96750 0 294 0 41663 0 27030 0 522675 0 0 Bruce Swartz Board Member 0 442506 0 415313 0 22318 0 71030 0 32906 0 984073 0 0 Todd A Strumwasser MD Board Member 0 500001 0 1036990 0 344178 0 113034 0 45299 0 2039502 0 0 Anthony Scott Carswell Secretary 0 412864 0 395887 0 6102 0 66568 0 51486 0 932907 0 0 Gary Greensweig DO Chair 0 450493 0 400653 0 10505 0 70888 0 52818 0 985357 0 0 Joseph Jasser MD CEO 0 485134 0 380449 0 2755 0 71183 0 38042 0 977563 0 0 George Lenzi CFO (Terminated 1/14/16) 266383 0 25000 0 180811 0 26404 0 18568 0 517166 0 0 0 Thomas Lowry Interim CFO (Started 12/2015) 0 312529 0 164391 0 9897 0 40612 0 31384 0 558813 0 0 Sigrid Owyang VP Clinic Operations 259566 0 65212 0 1022 0 31456 0 18809 0 376065 0 0 0 Jennifer Schaab VP Clinic Operations 262820 0 65487 0 2696 0 25337 0 2967 0 359307 0 0 0 Jennifer A Lloyd Director, Managed Care 211985 0 52561 0 1019 0 27443 0 27110 0 320118 0 0 0 Kathryne Eggers VP Project Management Office 224896 0 56978 0 1168 0 24050 0 17697 0 324789 0 0 0 Sivasubramanian R Manoharan Chief Radiation Physicist 255367 0 15771 0 740 0 25518 0 25096 0 322492 0 0 0 Eric R Osborn Process & Apps Integration 127935 0 29929 0 115055 0 17018 0 23534 0 313471 0 0 0 Dean K Ward Vice President Operations 224305 0 48966 0 599 0 22160 0 26831 0 322861 0 0 0 John M Pietrzak Interim Exec Dir Clinic Admin 266400 0 0 0 0 0 19447 0 0 0 285847 0 0 0 Karl Silberstein Former Officer 0 578216 0 537311 0 90615 0 89559 0 50045 0 1345746 0 67914 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. PAYMENTS RELATED TO THIS PLAN FOR ONE OFFICER AND ONE HIGHEST COMPENSATED EMPLOYEE OCCURED IN 2015 INCLUDE G LENZI; $153,123, AND E OSBORN; $84,444. 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 2015. CERTAIN LISTED PERSONS are eligible to participate in one of two non-qualified 457(f) plans that are subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is for executives hired prior to June 30, 2006. The benefit is intended to bridge the difference, if any, between the benefit provided under the Dignity Health Excess Benefit Plan had benefit service not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. Benefits vest under this 457(f) plan at the later of the date the participant attains age 62 or is credited with 15 years of service. The 2010 Executive Deferred Compensation Plan is for certain officers and key employees, primarily those who are not eligible to participate in the Dignity Health Excess Benefit Plan or the 2007 Executive Deferred Compensation Plan described above. This benefit provides an annual accrual of 10% of total compensation and is payable annually on July 1 once vested, which is age 62 with 5 years of service; the plan also allows for special awards. Payments pursuant to the plan arrangements for one board member occurred during 2015 include M. O'Quinn, $265,387. 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. Payments pursuant to the plan for one former key employee occurred during 2015 include K. Silberstein, $67,914. 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. FORM 990, PART, VI, XI and XII FORM 990, PART VI, SECTION A, LINE 2 G. GREENSWIEG, B. Swartz, J. JASSER, MD, T. LOWRY - business relationship B. Swartz, S. Carswell - business relationship B. Swartz, K. FREY, MD - 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 real or potential conflicts arising from the business, financial and personal interests held by such covered persons or their family members. Covered persons are required to disclose to their superiors and to relevant decision makers any interest that may present a conflict, or the appearance of a conflict of interest. Such disclosure is required on a transactional basis at the time such conflicts arise, when an individual becomes a covered person, and annually thereafter. Each covered person is required to certify at least annually that he/she: (1) has received a copy of the policy applicable to his/her position; (2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflicts of interest disclosure statement as required by the policy. The President/CEO and EVP/General Counsel prepare annual reports of reported conflicts of interest, which are provided to the Board of Directors, Committee Chairs, and key leaders of the organization to enable responsible individuals to monitor and manage disclosed conflicts of interest and assure decisions are made in the organization's best interests. The procedures for addressing a conflict of interest related to a proposed transaction include, but are not limited to, the following: (1) the conflicting interest is fully disclosed to the Board of Directors, 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 the Standards of Conduct, which are applicable to all employees and which are administered by the VP/Corporate Compliance Officer who has reporting responsibility to the President/CEO as well as to the Audit and Compliance Committee of the Board of Directors. FORM 990, PART VI, SECTION B, LINE 15A ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2015, 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; $2,346 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 SERVICES TOTAL FEES:8693273 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL CONSULTING TOTAL FEES:4825346 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE/REPAIRS/UTILITY TOTAL FEES:6093767 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL/CLEANING SERVICES TOTAL FEES:1358214 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:4057692 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:8569448 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