2014-05-02T18:00:51-05:00 2013-06-30 135565207 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2012-07-01 203256125 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION FREN 8055426496 1911 Johnson Avenue San Luis Obispo CA 93401 SUE ANDERSEN 2014-04-28 true VALERIE J BALL P00178114 4159635100 2012 2015-11-30 17:44:51Z SUE ANDERSEN 1400 EAST CHURCH STREET SANTA MARIA CA 93454 2712644 false X WWW.SUPPORTFRENCHHOSPITAL.ORG X 2005 CA TO PROVIDE FINANCIAL ASSISTANCE AND SUPPORT SERVICES FOR DIGNITY HEALTH (DBA: FRENCH HOSPITAL MEDICAL CENTER). 17 16 0 84 0 0 1883345 2099762 0 0 80464 28463 -51745 -126066 1912064 2002159 1069040 1136021 0 0 0 0 85743 32768 167004 384630 807190 1539413 1975979 372651 26180 9651399 9572446 328668 61775 9322731 9510671 FOUNDATION EXISTS TO SUPPORT THE VALUES OF DIGNITY HEALTH, DBA FRENCH HOSPITAL MEDICAL CENTER. THE FOUNDATION IS RESPONSIBLE FOR THE RECEIPT, MAINTENANCE, AND TRANSFER OF MONEY AND PROPERTY FOR THE BENEFIT OF THE HOSPITAL. FOUNDATION SUPPORT ALLOWS THE HOSPITAL TO FURTHER ITS MISSION TO CONTRIBUTE TO THE WELLNESS OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST-EFFECTIVE MANNER. false false 1545633 1136021 0 THE FOUNDATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA FRENCH HOSPITAL 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 BENEFICIARY ORGANIZATION. 1545633 true true false false false false false false true false false false false true true false true false false false false false true true false false true false true false false false false false false false false true true false false false true false false false false true X 0 0 0 false false false false false true true false false false false X 17 16 true false false false true true true true true false false false true true true true true false false false CA X DEBBIE NICKLAS 8055426496 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 ALAN IFTINIUK 6.00 40.00 X X 0 503733 67886 PATRICK O'HARA 2.00 0 X X 0 0 0 PIERRE RADEMAKER 2.00 0 X X 0 0 0 SANDY DUNN 4.00 0 X X 0 0 0 BARBARA GEORGE 1.00 0 X 0 0 0 BILL THOMA 1.00 0 X 0 0 0 DAVID ARRONA 1.00 0 X 0 0 0 ERIN STEED 1.00 0 X 0 0 0 GREG BLAND 1.00 0 X 0 0 0 JILL ANDERSON 1.00 0 X 0 0 0 LESLIE MCKINLEY 1.00 0 X 0 0 0 LINDA WILSON 1.00 0 X 0 0 0 NIPOOL PATEL 1.00 0 X 0 0 0 REESE DAVIES 1.00 0 X 0 0 0 THOMAS VENDEGNA MD 1.00 0 X 0 0 0 WAYNE SIMON 1.00 0 X 0 0 0 WILLIAN STATLER 1.00 0 X 0 0 0 CHUCK COVA 1.00 40.00 X 0 479236 65981 DEBBY NICKLAS 40.00 0.00 X 0 158589 31585 SUE ANDERSEN 1.00 25.00 X 0 337742 46007 0 1479300 211459 0 false true false 0 358051 827544 10000 904167 103563 2099762 0 0 0 0 0 0 0 0 0 0 28463 28463 0 0 0 0 0 378823 378823 0 0 0 194447 358051 326278 -131831 -131831 11149 5384 5765 5765 0 0 0 0 0 0 0 0 0 2002159 0 0 -97603 1136021 1136021 0 0 0 0 0 0 0 0 0 0 0 0 0 32768 32768 5857 5857 562306 349290 203352 9664 148472 27204 121268 29691 20761 8670 260 26712 18458 8014 240 0 22788 13901 6836 2051 6369 3885 1911 573 0 2004 1223 601 180 0 0 0 0 DUES AND SUBSCIPTIONS 1617 1132 485 LICENSES AND TAXES 1374 962 412 0 0 0 0 1975979 1545633 263342 167004 0 0 0 2534883 142554 4250478 4063586 0 0 62596 5616 0 0 0 0 2554055 5112321 239821 232523 0 0 0 9566 15846 9651399 9572446 14609 45492 312500 5009 1559 50 0 0 0 0 0 0 0 11224 328668 61775 X 484707 447134 4329309 4542555 4508715 4520982 9322731 9510671 9651399 9572446 26180 161760 0 X false true X true false X X X X false false false DIGNITY HEALTH (DBA FRENCH HOSPITAL MEDICAL CENTER) 941196203 3 true true true 1970122 1 1970122 DESCRIPTION OF NON-MONETARY SUPPORT, SCHEDULE A, PART I, LINE 11H, DIGNITY HEALTH (DBA: FRENCH HOSPITAL MEDICAL CENTER): THE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBA FRENCH HOSPITAL MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS. , RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4630026 12267 179707 4822000 4725653 5110 -100737 4630026 2809000 1760948 155705 4725653 1529977 1586391 65632 373000 2809000 1245659 342662 -58344 1529977 0.00000 1.00000 0.00000 false false 0 0 0 0 0 0 0 OTHER LIABILITIES 10000 DUE TO RELATED PARTIES 1224 11224 X Intended uses of endowment funds Schedule D, Part V, Line 4 ENDOWMENTS ARE USED FOR THE HEARST CANCER RESOURCE CENTER, CAPITAL, AND OTHER HOSPITAL PROGRAMS. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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. X X X X X true DELAURO & ASSOCIATES 2005 GALVESTON ST SAN DIEGO CA 92110 CONSULTING false 32768 -32768 32768 -32768 CA 2013 SHARE THE HOPE 279394 238769 40625 0 44142 9006 21890 1500 20556 2012 GALA 127601 70791 56810 0 82250 25126 21743 700 13949 3 145503 48491 97012 100 10333 26271 12587 600 35525 552498 358051 194447 100 136725 60403 56220 2800 70030 326278 -131831 Describe the custody or control arrangement. Schedule G, Part I, Line 2b DELAURO & ASSOCIATES-DELAURO AND ASSOCIATES PROVIDES IDEAS FOR MARKETING MATERIALS, PROPOSED EVENT TYPES AND ACTIVITIES AT SUCH EVENTS, AS WELL AS SPECIAL MEETINGS AT THE HOSPITAL, ETC. THE FOUNDATION IS NOT ABLE TO TRACK WHAT DONATION THAT WAS GIVEN AT ANY EVENT WAS BECAUSE OF THE WORK PERFORMED BY THE CONSULTANT THEREFORE, PART I, LINE 2B, COLUMN (IV) GROSS RECEIPTS FROM ACTIVITY HAS BEEN LEFT BLANK. THE SUCCESS OF THE ENTIRE CAMPAIGN IS USED TO DETERMINE HOW GOOD OF A JOB DELAURO AND ASSOCIATES DOES ALONG WITH THE INPUT FROM DONORS.; true DIGNITY HEALTH DBA FRENCH HOSPITAL MEDICAL CENTER 1911 JOHNSON AVE SAN LUIS OBISPO CA 93401 941196203 501(C)(3) 1136021 0 N/A N/A HOSPITAL SUPPORT 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 AS A SEC. 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTION OF, OR TO CARRY OUT THE PURPOSES OF THE GRANTEE LISTED IN PART II, ITEM 1 (DIGNITY HEALTH DBA FRENCH HOSPITAL MEDICAL CENTER), WHICH INCLUDES MAKING PAYMENTS DIRECTLY TO THE BENEFICIARY ORGANIZATION. false true false false false false false false false ALAN IFTINIUK 0 393002 0 88316 0 22414 0 33806 0 34080 0 571619 0 0 CHUCK COVA 0 385893 0 75678 0 17666 0 37414 0 28567 0 545217 0 0 DEBBY NICKLAS 0 127492 0 30731 0 366 0 14535 0 17050 0 190174 0 0 SUE ANDERSEN 0 294342 0 31281 0 12119 0 28612 0 17395 0 383749 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE ORGANIZATION 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 ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SEVERANCE SCHEDULE J, PART I, LINE 4A CERTAIN PERSONS LISTED ON PART VII PARTICIPATE IN A DIGNITY HEALTH SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 WEEK 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 WERE MADE UNDER THIS PLAN DURING 2012. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b CERTAIN OFFICERS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2012. CERTAIN PERSONS LISTED ON PART VII ARE ELIGIBLE TO PARTICIPATE IN THE 2007 DIGNITY HEALTH EXECUTIVE DEFERRED COMPENSATION PLAN, A NONQUALIFIED 457(F) PLAN THAT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. NO BENEFIT WILL VEST UNDER THIS 457(F) PLAN BEFORE THE ATTAINMENT OF AGE 62 OR THE COMPLETION OF 15 YEARS OF SERVICE. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2012. 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 THIS PLAN DURING 2012. VESTED AMOUNTS, IF ANY, FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR VESTING OCCURS (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS W-2 REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). SCHEDULE J, PART II, SUPPLEMENTAL INFORMATION SCHEDULE J, PART II ALTHOUGH THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION 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 THE ORGANIZATION SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND DIGNITY HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE AND REVENUE. X 4 1380 COMPARABLE SALE X 104 RESALE VALUE X 5941 RESALE VALUE X 3 32083 MARKET VALUE X 1 400 COMPARABLE SALE X GIFT-CERT/TICKETS 35 18614 COMPARABLE SALE X FOOD AND WINE 103 27586 COMPARABLE SALE X JEWELRY 6 8227 COMPARABLE SALE X MEDICAL EQUIPMENT 2 6772 COMPARABLE SALE X SPORTING GOODS 5 2456 COMPARABLE SALE 0 false true false Explanations of reporting method for number of contributions Schedule M, Part I ART - WORKS OF ART: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. BOOKS AND PUBLICATIONS: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. CLOTHING AND HOUSEHOLD GOODS: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. SECURITIES - PUBLICLY TRADED: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. COLLECTIBLES: THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OTHER: GIFT-CERT/TICKETS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OTHER: FOOD AND WINE - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OTHER: JEWELRY - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OTHER: MEDICAL EQUIPMENT - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. OTHER: SPORTING GOODS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 4 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. EMPLOYEES REPORTED ON W3 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. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 BOARD MEMBER DAVID ARONA AND OFFICER ALAN IFTINIUK. - FAMILY RELATIONSHIP Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. Members or stockholders electing members of governing body 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. Decisions requiring approval by members or stockholders 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE RETURN WAS REVIEWED BY THE ACCOUNTING DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM ENGAGED BY THE ORGANIZATION TO REVIEW THE RETURN. MANAGEMENT PRESENTED THE DRAFT OF THE FORM 990 TO THE FINANCE COMMITTEE. DUE TO TIMING, THE FINANCE COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990, EXCLUDING COMPENSATION INFORMATION, SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. Conflict of interest policy 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 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 DIRECTOR LEVEL AND ABOVE, AND ANY OTHER PERSONNEL AT HIS OR HER DISCRETION). THE ORGANIZATION'S BOARD IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS ARISING FROM BUSINESS, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERIORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON, AND ANNUALLY THEREAFTER. EACH COVERED PERSON IS REQUIRED TO CERTIFY AT LEAST ANNUALLY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE POLICY APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AS REQUIRED BY THE POLICY. THE PRESIDENT/CEO AND EVP/GENERAL COUNSEL PREPARE ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST WHICH ARE PROVIDED TO THE BOARD OF DIRECTORS, COMMITTEE CHAIRS, AND KEY LEADERS OF THE ORGANIZATION TO ENABLE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED PERSONS, AND CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS OR POLICIES ; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS. THERE ARE ALSO CONFLICTS OF INTEREST PROVISIONS UNDER THE STANDARDS OF CONDUCT APPLICABLE TO ALL EMPLOYEES, AND WHICH ARE ADMINISTERED BY THE CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE AUDIT & COMPLIANCE COMMITTEE. FORM 990, PART VI, LINE 15 FORM 990, PART VI, LINE 15 FOR 2012 COMPENSATION THE SUPPORTED ORGANIZATION'S HUMAN RESOURCES DEPARTMENT CONDUCTED AN ANNUAL REVIEW AND ANALYSIS TO PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGE OF KEY EXECUTIVES. COMPENSATION IS ALSO REVIEWED ANNUALLY AS PART OF THE MERIT INCREASE PROCESS. Governing documents, conflict of interest policy and financial statements available to the public 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. Other Expenses Form 990, Part IX, Line 11g ADMINSTRATIVE SERVICES - TOTAL EXPENSE: 366412, PROGRAM SERVICE EXPENSE: 210175, MANAGEMENT AND GENERAL EXPENSES: 152674, FUNDRAISING EXPENSES: 3563; OTHER PROFESSIONAL SERVICES - TOTAL EXPENSE: 20990, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 20990, FUNDRAISING EXPENSES: ; JANITORIAL AND CLEANING - TOTAL EXPENSE: 2064, PROGRAM SERVICE EXPENSE: 1445, MANAGEMENT AND GENERAL EXPENSES: 619, FUNDRAISING EXPENSES: ; CATERING - TOTAL EXPENSE: 1305, PROGRAM SERVICE EXPENSE: 914, MANAGEMENT AND GENERAL EXPENSES: 391, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 171535, PROGRAM SERVICE EXPENSE: 136756, MANAGEMENT AND GENERAL EXPENSES: 28678, FUNDRAISING EXPENSES: 6101; Number of contributions or items contributed. Schedule M, part I, column (b), Line 18 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT-CERT/TICKETS GIFT-CERT/TICKETS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=FOOD AND WINE FOOD AND WINE - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=JEWELRY JEWELRY - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=MEDICAL EQUIPMENT MEDICAL EQUIPMENT - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=SPORTING GOODS SPORTING GOODS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 4 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 18 THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT-CERT/TICKETS GIFT-CERT/TICKETS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=FOOD AND WINE FOOD AND WINE - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=JEWELRY JEWELRY - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=MEDICAL EQUIPMENT MEDICAL EQUIPMENT - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=SPORTING GOODS SPORTING GOODS - THE FOUNDATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. DIGNITY HEALTH DBA FRENCH HOSPITAL MED 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 HOSPITAL CA 501(C)(3) 3 NA false false true true false false false false false false false false true false false false false false false false