2013-05-15T09:41:57-05:00 2012-06-30 KPMG LLP 55 SECOND STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2011-07-01 941196203 DIGNITY HEALTH % MARY CONNICK - FINANCE DEPT DIGN 4154385500 185 Berry Street San Francisco CA 94107 MICHAEL BLASZYK 2013-05-13 true 4159635100 2011 2016-02-25 16:41:14Z Michael Blaszyk 185 BERRY STREET SAN FRANCISCO CA 94580 12991201476 false X www.dignityhealth.org X 1954 CA DIGNITY HEALTH IS COMMITTED TO FURTHERING THE HEALING MINISTRY OF JESUS THROUGH THE DELIVERY OF HIGH-QUALITY, AFFORDABLE HEALTHCARE, ADVOCACY FOR THE POOR AND DISENFRANCHISED, AND COMMUNITY PARTNERSHIPS. 9 6 52583 7446 24917698 -3024875 97147541 112863395 8779351242 8999136668 285531034 320401740 49678394 52366029 9211708211 9484767832 104771301 171669107 0 0 4423096831 4540284595 0 0 209975 4173204334 4619989956 8701072466 9331943658 510635745 152824174 11364399198 11602501370 7233832220 8080888449 4130566978 3521612921 X Our mission: Dignity Health is committed to furthering the healing ministry of Jesus. We dedicate our resources to delivering compassionate, high-quality, affordable health services; serving and advocating for our sisters and brothers who are poor and disenfranchised; and partnering with others in the community to improve the quality of life. Our vision: A vibrant, national health care system known for service, chosen for clinical excellence, standing in partnership with patients, employees and physicians to improve the health of all communities served. Our values: Dignity Health is committed to providing high-quality, affordable health care to the communities we serve. Above all else we value: Dignity - respecting the inherent value and worth of each person. Collaboration - working together with people who support common values and vision to achieve shared goals. Justice - advocating for social change and acting in ways that promote respect for all persons and demonstrate compassion f false false 8299124630 171669107 8976263281 Dignity Health, Formerly Catholic Healthcare West, is a California nonprofit public benefit corporation headquartered in San Francisco, California. Dignity Health, together with its subsidiary corporations, is one of the largest not-for-profit acute healthcare delivery systems in the United States as measured by annual revenue. Dignity Health operated 40 hospitals throughout major California markets and in the Phoenix, Arizona and Las Vegas and Reno, Nevada metropolitan markets during the year ended June 30, 2012. Dignity Health's and its subordinate corporations' facilities included approximately 8,400 licensed acute care beds and approximately 800 licensed skilled nursing beds as of 6/30/12. Dignity Health maintains prominent market shares in many of its service areas, and many of its hospitals rank among the finest in the nation. With a significant presence in Sacramento, San Francisco, Southern California, San Joaquin Valley, Central Coast, Central California, Northern California and Santa Cruz, Dignity Health's California operations are well dispersed throughout the state. Dignity Health's hospitals operate emergency rooms that are open to all persons regardless of ability to pay; have open medical staffs with privileges available to all qualified physicians in the area; have governing bodies in which primarily independent persons representative of the community comprise a majority; engage in the training and education of healthcare professionals; and participate in Medicaid, Medicare, CHAMPUS, Tricare and/or other government-sponsored healthcare programs. This organization is a public benefit corporation exempt from taxation under section 501(c)(3) of the internal revenue code. 8299124630 true true true true false false false false false true true true true false true false false true false false true false false false false false true true true true true true true false false false false true false false true true true true false false true true true true false false true X 5721 0 true 52583 true true true true CJ UK BD false false false false false false false false X 9 6 true false true false false true true true true false true true true true true true true true true true true true AZ CA X MARY CONNICK - FINANCE DEPT 4154385500 185 BERRY STREET SAN FRANCISCO CA 94107 X Andrew C Agwunobi MD 2.0 X 0 0 0 Sheila Browne RSM 2.0 X 0 0 0 Morgan Clayton 2.0 X 0 0 0 Mark DeMichele 2.0 X 0 0 0 James M Givens CFA 2.0 X 0 0 0 Peter G Hanelt CPA 2.0 X 0 0 0 Lillian Anne Healy CCVI 2.0 X 0 0 0 Rodney F Hochman MD 2.0 X 0 0 0 Julie Hyer OP 2.0 X 0 0 0 Maureen McInerney OP 2.0 X 0 0 0 Kenneth Mills MD 8.0 X 35610 0 0 Patricia Rayburn OSF 2.0 X 0 0 0 Susan Snyder OP 2.0 X 0 0 0 Jarrett Anderson Esq 8.0 X X 0 0 0 Judy Carle RSM 2.0 X X 0 0 0 Caretha Coleman 2.0 X X 0 0 0 Tessie Guillermo 2.0 X X 0 0 0 Lloyd H Dean 40.0 X X 4882756 0 1127670 Michael D Blaszyk 40.0 X 2266439 0 633670 Derek F Covert 40.0 X 1230665 0 118738 William J Hunt 40.0 X 2415727 0 127564 Diane Lee 40.0 X 351458 0 51647 Marvin O'Quinn 40.0 X 2991707 0 441153 Elizabeth Shih 40.0 X 1703310 0 154085 Keith Callahan 40.0 X 536802 0 58573 Gary F Conner 40.0 X 172770 0 14598 Mary Connick 40.0 X 578433 0 66982 Rodney A Davis 40.0 X 736378 0 78656 Charles P Francis 40.0 X 1555319 0 221844 Linda Hunt 40.0 X 912528 0 96637 Jeffrey W Land 40.0 X 477513 0 75097 Bernita McTernan 40.0 X 1181716 0 122563 Mark A Meyers 40.0 X 702349 0 87081 Timothy Moran 40.0 X 606055 0 26412 Karl Silberstein 40.0 X 800229 0 90529 Michael Taylor 40.0 X 882129 0 44276 LeAnne Trachok 40.0 X 522273 0 56082 Herbert Vallier 40.0 X 1779534 0 117876 Glenna L Vaskelis 40.0 X 643864 0 88764 Robert Wiebe MD 40.0 X 1336440 0 250894 Benjamin R Williams 40.0 X 1535004 0 39362 Deanna Wise 40.0 X 414295 0 77682 John M Wray 40.0 X 1034939 0 107671 Lisa Gamshad Zuckerman 40.0 X 511943 0 73761 Marwan Ghazoul MD 40.0 X 706219 0 66911 John G Bibby 40.0 X 736185 0 51157 Naftaly Attias MD 40.0 X 743122 0 72316 Scott R Petersen MD 40.0 X 713588 0 75816 Dana G Seltzer MD 40.0 X 803685 0 75873 Saliba Salo X 421975 0 45125 Mike Uboldi X 690990 0 78483 Ernest H Urquhart X 300000 0 0 37913949 0 4915548 9626 true true false KITCHELL CONTRACTORS INC 1707 E HIGHLAND AVE SUITE 200 PHOENIX AZ 85016 CONTRACTOR 74787169 DPR CONSTRUCTION INC 2480 NATOMAS PARK DR STE 100 SACRAMENTO CA 95833 CONTRACTOR 38774147 HUNT CONSTRUCTION GROUP INC 6720 N SCOTTSDALE RD SUITE 300 SCOTTSDALE AZ 85253 CONTRACTOR 36406945 ANGELICA TEXTILE SERVICES 925 S 8TH ST COLTON CA 92324 LAUNDRY SERVICES 21905601 CLARK CONSTRUCTION GROUP 575 ANTON BLVD COSTA MESA CA 92626 CONTRACTOR 18304736 1091 78865559 23231551 10766285 1240785 112863395 PATIENT NET OF CHARITY 900099 5319891274 5319891274 MEDICARE/MEDICAID PAYMENTS 900099 3454213210 3454213210 MANAGEMENT SERVICES 541610 77686043 77686043 MEANINGFUL USE INCENTIVES 900099 50468675 50468675 MED OFFICE BLDG 621300 14858275 14858275 82019191 59145804 22873387 8999136668 113814934 0 -338100 114153034 148529 148529 387256 387256 1701634 136874 1564760 1564760 1564760 3708948803 3786244 3505707668 589102 203241135 3197142 206438277 206438277 0 0 0 CAFETERIA 900099 22724612 22724612 PARKING LOT 812930 3122388 181032 2941356 CHILD CARE 624410 1472197 824705 647492 23094816 1376674 21718142 50414013 9484767832 8976263281 24917698 370723458 170121544 170121544 1547563 1547563 0 0 40319470 18828455 21491015 305138 131805 173333 3454699137 3165368982 289157663 172492 263355894 249957361 13398533 533815708 513421664 20381807 12237 247789248 241137225 6640485 11538 0 16214551 5073 16209478 8152738 8152738 1348500 205064 1143436 0 19467558 19467558 782083183 564012167 218070614 402 26565958 2248453 24317505 207860300 175595992 32260785 3523 141547721 21829992 119717729 0 106437019 86522349 19914670 15707585 6033242 9667936 6407 0 6595503 2521527 4073126 850 297520430 297520430 0 374710797 264185357 110525440 150442156 109850940 40591216 MEDICAL SUPPLIES 1072580576 1072580576 0 0 BAD DEBT 827350057 827350057 0 0 MEDI-CAL PROVIDER FEE 283449324 283449324 0 0 UNRELATED BUSINESS INC TAXES 31817 31817 0 0 281924183 224667671 57253986 2526 9331943658 8299124630 1032609053 209975 209628 201754 1366641634 1771651215 15845346 14545124 1103971165 1110544285 866667 700000 0 0 81007175 70021497 143678916 142416302 447266947 536058758 7667004990 3997414811 3610676976 3669590179 3169224216 2662145617 605767197 723927824 752252844 814818481 6197886 6182886 60792601 79697448 11364399198 11602501370 1686427192 1916503335 2848549 0 193634991 31741234 3542101637 3784811560 0 0 0 0 574590964 580465085 0 0 1234228887 1767367235 7233832220 8080888449 X 3975743442 3312717706 122431687 176171790 32391849 32723425 4130566978 3521612921 11364399198 11602501370 X 152824174 -761778231 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1350 135 0 true true false true false true 57526 false true 367151 true 236295 false true 687528 1348500 false PART I-B, LINE 4B During the year, Dignity Health paid membership dues to Rancho Cordova Chamber of Commerce, Greater Bakersfield Chamber of Commerce, Las Vegas Chamber of Commerce and The Chamber ("the Chambers"). The invoices provided for voluntary contributions to the Chambers' Political Action Committees (PACs). The check requests for annual dues inadvertently included an amount for voluntary contributions to the PACs. Dignity Health 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 Chambers for the amounts designated for the PAC. Copies of the refund checks, dated 12/4/2012, 11/15/2012, 12/18/2012 and 12/20/2012 evidencing that $1,350.00 has been recovered have been attached to Form 4720. This represents the full amount of inadvertent payments made related to voluntary contributions to The Chambers' PACs. PART II-B THE ORGANIZATION PAID FEES TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES, PAID COMPENSATION TO STAFF AND MANAGEMENT IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, WHICH INCLUDED MEETING WITH AND CALLING GOVERNMENT OFFICIALS, AND DEVELOPED AND SENT LETTERS. IN ADDITION, THIS ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSEs include DIRECTing, DEVELOPing, AND AFFECTing PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THE ORGANIZATION PAID ANNUAL DUES TO THESE ASSOCIATIONS, which may be used FOR LOBBYING PURPOSES AS REFLECTED ON PART II-B, LINE 1i, OTHER ACTIVITIES. 114824736 5904333 -1307763 216638 6527010 0 112677658 92617477 9388271 14666246 304610 1542648 0 114824736 78739233 12468055 7851317 87952 6353176 0 92617477 89391160 1411823 -10569881 0 1493869 0 78739233 0.14000 0.86000 0.00000 true true true 194416612 194416612 3606061038 1751410802 1854650236 50079726 28257680 21822046 3035792008 2146210663 889581345 780655606 71535666 709119940 3669590179 POOLED INVESTMENTS 723927824 F 723927824 INTEREST IN NET ASSETS OF 136777568 F INVESTMENTS IN HEALTH RELATED 678040913 F 814818481 50000 DEFERRED COMPENSATION 25648655 OTHER NON-CURRENT LIABILITIES 16535533 ASSET RETIREMENT OBLIGATIONS 28390965 DUE TO RELATED PARTIES 291948494 PENSION & OTHER RETIREMENT OBL 1404793588 1767367235 SCH D, Part V, Line 4 DIGNITY HEALTH has various supporting 501(C)(3)fundraising foundations. AS sUPPORTING ORGANIZATIONs, THEy OPERATE TO RAISE FUNDS FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF, DIGNITY HEALTH's HOSPITALs. DIGNITY HEALTH'S INTENDED USE FOR THE FUNDS IS TO INVEST IN EXPANDING ACCESS TO CARE, PURCHASE or construct STATE-OF-THE-ART EQUIPMENT and buildings, AND PROVIDE ADVANCED TRAINING AND EDUCATION TO CAREGIVERS AND PATIENTS. Central America and the Caribbean 0 0 Program Services see Sch F, Part V 72638 Central America and the Caribbean 0 0 Investments N/A 258865 Central America and the Caribbean 0 0 Investments N/A 594484103 Europe (Including Iceland and Greenland) 0 0 Investments N/A 24874698 0 0 0 0 619690304 619690304 true false true true true false Part I, Line 3 (1) DIGNITY HEALTH SENDS MEDICAL MISSION TEAMS ANNUALLY TO ESQUIPULAS, GUATEMALA, A REMOTE AREA SOUTHEAST OF GUATEMALA CITY, IN SUPPORT OF THE SISTERS OF CHARITY OF THE INCARNATE WORD AND THE SISTERS OF MERCY OF THE AMERICAS. WITH A TOTAL POPULATION OF NEARLY 13 MILLION PEOPLE, APPROXIMATELY 10 MILLION GUATEMALANS LIVE IN POVERTY AND TWO-THIRDS OF THAT NUMBER LIVE IN EXTREME POVERTY. DIGNITY HEALTH'S VOLUNTEER DOCTORS, NURSES, AND SPECIALISTS PROVIDE PRIMARY CARE TREATMENT TO ABOUT 200 PEOPLE PER CLINIC. NURSE EDUCATORS ARE ALSO PRESENT TO OFFER HEALTH AND WELLNESS EDUCATION TO COMMUNITY LEADERS AND FAMILIES. EXPENDITURES REPORTED ARE FOR MEDICAL SUPPLIES AND EQUIPMENT, SALARIES, WAGES, AND OTHER EMPLOYMENT-RELATED COSTS, AND TRAVEL COSTS. THESE EXPENDITURES WERE BASED ON THE ACCRUAL METHOD OF ACCOUNTING AS REPORTED ON THE ORGANIZATION'S FINANCIAL STATEMENTS. AFTER FULFILING THE PROGRAM'S INITIAL FIVE-YEAR COMMITMENT in 2011, AND KNOWING THAT THE WORK IN ESQUIPULAS WAS FAR FROM COMPLETE, DIGNITY HEALTH SHIFTED FROM THE PRIMARY CARE CLINIC MODEL TO FOCUS ON CLINICAL EDUCATION AND TRAINING. THIS SHIFT IS IN DIRECT RESPONSE TO THE FEEDBACK FROM BOTH THOSE IN GUATEMALA AND THE DIGNITY HEALTH TEAM MEMBERS. THE CLINICAL EDUCATION AND TRAINING FOCUSED ON "SHADOWING" MEDICAL STUDENTS, NURSES, MIDWIVES AND PASTORAL HEALTH CARE WORKERS WHO WORKED IN THE FIELD AND IN THE LOCAL HOSPITALS AND CLINICS. BY "SHADOWING," THIS WILL ASSIST IN BETTER UNDERSTANDING THE SKILLS AND PRACTICAL KNOWLEDGE THE COMMUNITY IS SEEKING AND DEEPEN THE RELATIONSHIPS WITH THE LEADERS WITHIN THE LOCAL CLINICAL COMMUNITY, ENABLING THE DEVELOPMENT OF SPECIFIC CURRICULUM, RESOURCES AND MATERIALS TO BEST MEET THE COMMUNITY'S NEEDS. true true X true X true X 500. true true true false true true 94977 172911115 721367 172189748 0.02030 920928 1971413497 1420754944 550658553 0.06480 268762 88199001 32927842 55271159 0.00650 1284667 2232523613 1454404153 778119460 0.09160 784 1052343 84022398 7504365 76518033 0.00900 127 68408 78405498 9371603 69033895 0.00810 64 157106 31899120 5010542 26888578 0.00320 26 26281 30070016 48446 30021570 0.00350 253 282361 35812034 198858 35613176 0.00420 1254 1586499 260209066 22133814 238075252 0.02800 1254 2871166 2492732679 1476537967 1016194712 0.11960 6 1143 2086910 1337749 749161 0.00010 4 3072 134636 0 134636 0.00000 29 4932 762759 478 762281 0.00010 4 1669 53667 6886 46781 0.00000 17 2903 364081 960 363121 41 30808 865855 0 865855 0.00010 24 1117 437309 0 437309 0.00010 5 786 1118253 0 1118253 0.00010 130 46430 5823470 1346073 4477397 0.00050 true 178188832 0 1726653831 2136684120 -410030289 X true true St Joseph's Outpatie Surgery 0.52700 0.00000 0.35000 Southwest Orthopedic Real Estate 0.11630 0.00000 0.88370 Chandler Endoscopy A Surgery 0.51000 0.00000 0.49000 Southwest Lithotrips Litho/Kidney 0.09000 0.00000 0.79000 BNI Management LLC Mgmt services 0.25000 0.00000 0.75000 Surgery Center of Re Surgery 0.14072 0.00000 0.73475 Reno Cyberknife LLC Imaging 0.20000 0.00000 0.33330 St Mary's Outpatien Surgery 0.48270 0.00000 0.37794 Reno Imaging Partner Imaging 0.51000 0.00000 0.49000 San Martin Surgery C Surgery 0.30130 0.00000 0.36590 Parkway Surgery Cent Surgery 0.27050 0.00000 0.43000 San Martin Investors Real Estate (Rent/Lease) 0.04700 0.00000 0.33150 North State Surgery Surgery 0.63170 0.00000 0.33650 Sacramento Midtown E Surgery 0.20000 0.00000 0.80000 Folsom Sierra Endosc Surgery 0.51000 0.00000 0.38972 Folsom Outpatient Su Surgery 0.60530 0.00000 0.39470 Roseville Surgery Ce Surgery 0.56530 0.00000 0.18310 Grass Valley Outpati Surgery 0.45610 0.00000 0.31594 St Joseph's Surgery Surgery 0.79760 0.00000 0.13000 Santa Cruz Surgery C Surgery 0.50000 0.00000 0.50000 Santa Cruz Comprehen Imaging 0.50000 0.00000 0.50000 Dominican Breast Cen Imaging 0.50000 0.00000 0.50000 Dominican Magnetic R Imaging 0.80000 0.00000 0.20000 Coastal Surgical Spe Surgery 0.51000 0.00000 0.49000 Templeton Surgery Ce Surgery 0.65260 0.00000 0.15260 Plaza Surgery Center Surgery 0.52370 0.00000 0.47630 Renaissance Imaging Imaging 0.49000 0.00000 0.30350 Inland Endoscopy Cen Surgery 0.25000 0.00000 0.75000 Medical Pavilion at Real Estate (Rent/Lease) 0.25000 0.00000 0.75000 Radiation Oncology C Imaging 0.50000 0.00000 0.50000 SimonMed Imaging LLC Imaging 0.83900 0.00000 0.16100 34 1 St Joseph's Hospital and Medical Center

350 W Thomas Rd Phoenix AZ 85013

X X X X X 2 Mercy General Hospital

4001 J st Sacramento CA 95819

X X X X 3 Mercy San Juan Medical Center

6501 Coyle Ave Carmichael CA 95608

X X X 4 St Joseph's Medical Center of Stockton

1800 N California St Stockton CA 95204

X X X X 5 Mercy Medical Center Redding

2175 Rosaline Ave Redding CA 96001

X X X X 6 Mercy BAKERSFIELD

2215 Truxtun Ave Bakersfield CA 93301

X X X 7 Northridge Hospital Medical Center

1830 Roscoe Blvd Northridge CA 91328

X X X X 8 Dominican Hospital

1555 Soquel dr Santa Cruz CA 95065

X X X 9 California Hospital Medical Center

1401 South Grand Ave Los Angeles CA 90015

X X X X 10 Chandler Regional Hospital

475 South Dobson rd Chandler AZ 85224

X X X 11 St Rose Dominican Hospital - Siena

3001 St Rose Parkway Henderson NV 89052

X X X 12 St Bernardine Medical Center

2101 N Waterman Ave San Bernardino CA 92404

X X X 13 St John's Regional Medical Center

1600 North Rose Ave Oxnard CA 93030

X X X 14 Mercy Medical Center Merced

333 Mercy Avenue Merced CA 95340

X X X X 15 Sequoia Hospital

170 Alameda de las Pulgas Redwood City CA 94062

X X X 16 Marian Regional Medical Center

1400 E Church st Santa Maria CA 93454

X X X 17 St Mary Medical Center

1050 Linden Ave Long Beach CA 90813

X X X X 18 Mercy Gilbert Medical Center

3555 S Val Vista Dr Gilbert AZ 85297

X X X 19 Methodist Hospital of Sacramento

7500 Hospital Dr Sacramento CA 95823

X X X X 20 St Mary's Medical Center

450 Stanyan St San Francisco CA 94117

X X X X 21 Glendale Memorial Hospital and Health Ce

1420 South Central Ave Glendale CA 91204

X X X 22 Mercy Hospital of Folsom

1650 Creekside Dr Folsom CA 95630

X X X 23 St Rose Dominican Hospital - San Martin

8280 West Warm Springs Rd Las Vegas NV 89113

X X X 24 Woodland Memorial Hospital

1325 Cottonwood St Woodland CA 95695

X X X 25 St Rose Dominican Hospital -Rose de Lima

102 E Lake Mead Dr Henderson NV 89015

X X X 26 French Hospital Medical Center

1911 Johnson Ave San Luis Obispo CA 93401

X X X 27 St Elizabeth Community Hospital

2550 Sister Mary Columba Dr Red Bluff CA 96080

X X X 28 St John's Pleasant Valley Hospital

2309 Antonio Ave Camarillo CA 93010

X X X 29 Arroyo Grande Community Hospital

345 S Halcyon rd Arroyo Grande CA 93420

X X X 30 Mercy Medical Center Mt Shasta

914 Pine St Mt Shasta CA 96067

X X X X 31 Orthopedic & Surgical Specialty Co LLC

2905 West Warner Road Chandler AZ 85224

X For-profit hospital operated through a joint venture 32 St Josephs Behavioral Health Center

2510 N California St Stockton CA 95204

X 33 SAINT MARY'S REGIONAL MEDICAL CENTER

235 West Sixth St RENO CA 89503

X X X 34 Southwest Orthopedic and Spine Hospital

750 North 40th Street PHOENIX AZ 85008

X For-profit hospital operated through a joint venture St Joseph's Hospital and Medical Center 1 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy General Hospital 2 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy San Juan Medical Center 3 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Joseph's Medical Center of Stockton 4 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy Medical Center Redding 5 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy BAKERSFIELD 6 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Northridge Hospital Medical Center 7 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Dominican Hospital 8 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false California Hospital Medical Center 9 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Chandler Regional Hospital 10 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Rose Dominican Hospital - Siena 11 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Bernardine Medical Center 12 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St John's Regional Medical Center 13 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy Medical Center Merced 14 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Sequoia Hospital 15 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Marian Regional Medical Center 16 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Mary Medical Center 17 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy Gilbert Medical Center 18 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Methodist Hospital of Sacramento 19 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Mary's Medical Center 20 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Glendale Memorial Hospital and Health Ce 21 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy Hospital of Folsom 22 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Rose Dominican Hospital - San Martin 23 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Woodland Memorial Hospital 24 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Rose Dominican Hospital -Rose de Lima 25 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false French Hospital Medical Center 26 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St Elizabeth Community Hospital 27 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false St John's Pleasant Valley Hospital 28 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Arroyo Grande Community Hospital 29 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Mercy Medical Center Mt Shasta 30 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Orthopedic & Surgical Specialty Co LLC 31 true true 200. true 500. true X X X true true X true false true X false false St Josephs Behavioral Health Center 32 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false SAINT MARY'S REGIONAL MEDICAL CENTER 33 true true 200. true 500. true X X X X X X X true true X X X X X X X true false true X false false Southwest Orthopedic and Spine Hospital 34 true true 200. false true X X X true true X X true false true X false false 74 Court Street Surgery Center

2184 Court Street Redding CA 96001

Surgery Center Mercy Surgery Center

2175 Rosaline Ave Suite A Redding CA 96001

Surgery Center Folsom Outpatient Surgery Center

1651 Creekside Drive Folsom CA 95630

Surgery Center NICU Operating CO of Santa Cruz LLC

1555 Soquel dr Santa Cruz CA 95065

Neonatal Healthcare Simon Med - Greenfield

1425 S Greenfield Suite 114 Mesa AZ 85206

Imaging Center USP Surgery Center - Parkway

100 N Green Valley Pkwy 125 Henderson NV 89074

Surgery Center Simon Med - Thunderbird III

5410 W Thunderbird Road Suites 1001 Glendale AZ 85306

Imaging Center Simon Med - Mountain View

9201 E Mountain View Road Suite 150 Scottsdale AZ 85258

Imaging Center Simon Med - Dobson III

235 S Dobson Suite 1 and 1870 W Fry Chandler AZ 85224

Imaging Center Simon Med - Avondale

10815 W McDowell Rd Suite 102 Avondale AZ 85323

Imaging Center Simon Med - Spectrum

2680 S Val Vista Drive Bldg 7 Suite Gilbert AZ 85295

Imaging Center Simon Med - San Francisco

325 Sacramento Street San Francisco CA 94104

Imaging Center 21st Century Oncology (Mt Shasta)

902 Pine St Mt Shasta CA 96067

Oncology 21st Century Oncology (Redding)

963 Butte Street Redding CA 96001

Oncology USP Surgery Center - Durango

8530 W Sunset Rd Las Vegas NV 89113

Surgery Center Simon Med - Sun City West

13624 W Camino Del Sol Suite 300 Sun City West AZ 85375

Imaging Center Simon Med - Baywood

130 S 63rd St Bldg 4 Mesa AZ 85206

Imaging Center Simon Med - SunCity - Peoria

9403 W Thunderbird Road Peoria AZ 95381

Imaging Center Simon Med - Fiesta

1457 W Southern Ave Suite 26 Mesa AZ 85202

Imaging Center Simon Med - Desert Ridge

20830 N Tatum Blvd Suite 190 Phoenix AZ 85050

Imaging Center CHW Nevada Imaging Center Spring Valley

5495 S Rainbow Blvd 101 103 203 Las Vegas NV 89118

Imaging Center Santa Cruz Surgery Center

3003 Paul Sweet Rd Santa Cruz CA 95065

Surgery Center Simon Med - Daly City

455 Hickey Blvd Suite 200 Daly City CA 94015

Imaging Center Warner Park Ambulatory Surgical

604 West Warner Road Bldg A Chandler AZ 85225

Surgery Center Sacramento Midtown Endoscopy

3941 J St Sacramento CA 95819

Surgery Center Simon Med - Deer Valley

20414 N 27th Avenue Phoenix AZ 85027

Imaging Center Simon Med - Queen Creek

36297 N Gantzel Road Suite 101 Queen Creek AZ 85140

Imaging Center Renaissance Imaging Center at Northridge

18436 Roscoe Blvd Northridge CA 91328

Imaging Center Simon Med - Palm Valley

13657 W McDowell Rd Suite 207 Goodyear AZ 85338

Imaging Center Simon Med - Fashion Square

6740 E Camelback Road Suites 100 Scottsdale AZ 85251

Imaging Center Roseville USP Surgery Center

1420 E Roseville Parkway No 100 Roseville CA 95661

Surgery Center Redding Surgery Center

2439 Sonoma Redding CA 96001

Surgery Center Simon Med - Prescott Valley

3033 N Windsong Drive Suite 102 Prescott Valley AZ 86314

Imaging Center CHW Nevada Imaging Center Siena

861 Coronada Center Drive 101 Henderson NV 89052

Imaging Center Simon Med -Stand Up MRI of Beverly Hills

8370 Wilshire Blvd Suite 110 Beverly Hills CA 90211

Imaging Center Simon Med - Surprise Stadium Village

14823 W Bell Road Suite 110 Surprise AZ 85374

Imaging Center Simon Med - Redwood City

345 Convention Way Suite D1 Redwood City CA 94063

Imaging Center Folsom Sierra Endoscopy Center

1600 Creekside Drive Folsom CA 95630

Endoscopy Center Simon Med - Burlingame

1860 El Camino Real Suite 101 Burlingame CA 94010

Imaging Center Crockett School Family Practice Clinic

4825 E Roosevelt Street Phoenix AZ 85008

Clinic Simon Med - Mesa Drive

456 N Mesa Drive Mesa AZ 85201

Imaging Center Simon Med - San Rafael

4144 Redwood Highway Suite B San Rafael CA 94903

Imaging Center Simon Med - 19th Avenue

6707 N 19th Ave Suite 108 Phoenix AZ 85015

Imaging Center Dominican Breast Center

1661 Soquel Drive Bldg G Santa Cruz CA 95065

Imaging Center Plaza Surgery Center

525 E Plaza 100 Santa Maria CA 93454

Surgery Center Simon Med - Maryvale

4616 N 51st Avenue Suite 104 Phoenix AZ 85031

Imaging Center Huger Mercy Living Center

2345 W Orangewood Phoenix AZ 85021

Asst Living Facility Santa Cruz Comprehensive Imaging LLC

1685 Commercial Way Santa Cruz CA 95065

Imaging Center Templeton Surgery Center

1310 Las Tablas Road Suite 104 Templeton CA 93465

Surgery Center Simon Med - Metro III

3201 W Peoria Ave Suite B301 B402 Phoenix AZ 85029

Imaging Center Trinity Care Infusion Services

18440 Roscoe Boulevard Northridge CA 91325

Infusion Center Simon Med - San Francisco - MRI

50 Francisco Street Suite 105 San Francisco CA 94133

Imaging Center St Joseph's Medical Group Maternal Fetal

1727 W Frye Ste 210 Chandler AZ 85224

Clinic Dominican Magnetic Resonance Imaging Cen

1545 Soquel Dr Santa Cruz CA 95065

Imaging Center Simon Med - Payson

117 E Main Street Suite D100 Payson AZ 85541

Imaging Center Woodland Adult Day Health

20 N Cottonwood St Woodland CA 95695

Health Center St Joseph's Outpatient Surgergy Center

240 West thomas Road Phoenix AZ 85013

Surgery Center Simon Med - Thompson Peak

7304 E Deer Valley Road Bldg E Scottsdale AZ 85255

Imaging Center St Joseph's Medical Group Adult Cardiova

1727 W Frye Ste 210 Chandler AZ 85224

Clinic Surgery Center of Peoria

13260 North 94th Drive Suite 200 Peoria AZ 85381

Surgery Center Simon Med - Peoria Women's Center

9125 W Thunderbird Road Suite 100 Peoria AZ 85381

Imaging Center St Joseph's Medical Group Peoria North C

7727 W Deer Valley Rd Peoria AZ 85382

Clinic The Barbara Greenspun Women's Care Cente

100 N Green Valley Pkwy Suite 330 Henderson NV 89074

Health Center Surgery Center of Scottsdale

8962 East Desert Cove Drive Scottsdale AZ 85260

Surgery Center Radiation Oncology Center of Ventura Cou

1700 N Rose Ave 120 OxnardCamarillo CA 93030

Surgery Center Radiation Oncology Center of Ventura Cou

5301 Mission Oaks Boulevard Suite A Camarillo CA 93012

Surgery Center Southwest Lithotripsy

100 W Third Ave Suite 350 Columbus OH 43201

Lithotripsy Northern Arizona Congenital Heart Center

1330 Rim Drive Ste A Flagstaff AZ 86001

Clinic Simon Med - Ahwatukee

15810 S 45th St Suite 110 Phoenix AZ 85048

Imaging Center Metro Surgery Center LP

3131 W Peoria Ave Phoenix AZ 95381

Surgery Center Chandler Endoscopy Center

2095 W Pecos Road Suite 1 Chandler AZ 85224

Surgery Center Desert Ridge Outpatient Surgery Center

20940 North Tatum Boulevard Suite 1 Phoenix AZ 85050

Surgery Center CHWUSP Oxnard Surgery Centers LLC

1700 N ROSE AVENUE STE 100 Oxnard CA 93030

Surgery Center St John's Regional Imaging Center LLC

1700 N Rose Ave 110 Oxnard CA 93030

Imaging center Part I, Line 6a and 6b EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, PREPARES A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING DEPARTMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY HEALTH INCLUDES A CONSOLIDATED COMMUNITY BENEFIT REPORT IN ITS ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 7). DIGNITY HEALTH'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEB SITE. SUMMARIES OF THE INDIVIDUAL HOSPITALS' REPORTS ARE POSTED ONLINE AND FULL REPORTS ARE AVAILABLE BY REQUEST. Part I, Line 7b, 7g and 7i Part I, Line 7b Included in community benefit expense for Medicaid, column (c), is $283.4 million of quality assurance fees assessed to Dignity Health in accordance with the California provider fee programs. Included in direct offsetting revenue for Medicaid, column (d), is $492.6 million in supplemental payments received under these programs. Part I, Line 7g DIGNITY HEALTH REPORTED $5,592,140 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD BE UNAVAILABLE IN THE COMMUNITY, THERE WOULD BE INSUFFICIENT AVAILABILITY IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION. Part I, Line 7i Included in cash and in-kind contributions for community benefit is $17.3 million in grants to a fund established by the California Health Foundation and Trust ("CHFT"). CHFT was established for several purposes, including aggregating and distributing financial resources to support charitable activities at various hospitals and health systems in California. Part I, Line 7, column (f) THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $827,350,057 AND HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F). Part I, Line 7 FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, DIGNITY HEALTH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO PATIENTS. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN AGGREGATED FOR EACH PATIENT BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH SERVICES PROVIDED TO EACH PATIENT. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF PAYMENT ASSISTANCE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR PAYMENT ASSISTANCE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH AND CASH AND IN-KIND DONATIONS. Part II - COMMUNITY BUILDING ACTIVITIES AT DIGNITY HEALTH, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE GO BEYOND PROVIDING HEALTH SERVICES. DIGNITY HEALTH'S ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND SERVICES OF THE ORGANIZATION. DIGNITY HEALTH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL AND ECONOMIC BARRIERS TO GOOD HEALTH AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. THROUGH THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM, LOW INTEREST LOANS AND LINES OF CREDIT ARE PROVIDED TO NON-PROFITS THAT ARE ADDRESSING SOME OF THE SOCIAL DETERMINANTS, INCLUDING AFFORDABLE HOUSING AND SERVICES, VITAL TO A COMMUNITY'S HEALTH. OFTEN THE LARGEST EMPLOYER IN THE COMMUNITY, DIGNITY HEALTH HOSPITALS PARTICIPATE IN ECONOMIC DEVELOPMENT COUNCILS AND LOCAL CHAMBERS OF COMMERCE. GRANTS ARE OFFERED TO COMMUNITY ORGANIZATIONS FOR THE PURPOSE OF ECONOMIC DEVELOPMENT OR TO HELP ENSURE A CONTINUUM OF CARE FOR THE COMMUNITY. YOUTH PROGRAMS FOCUS ON ACTIVITIES TO DETER DELINQUENCY, DEVELOP LEADERSHIP SKILLS, ENHANCE LITERACY AND ACADEMIC SUCCESS, IMPROVE HEALTH, CULTIVATE COMMUNITY RESPONSIBILITY, PROVIDE EDUCATION WITH CULTURAL ENRICHMENT AND OFFER CAREER EXPLORATION OPPORTUNITIES. THERE ARE ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. LIFE AND CIVIC SKILLS TRAINING PROGRAMS ARE OFFERED, INCLUDING CAREER DEVELOPMENT TO ENSURE GAINFUL EMPLOYMENT IN AN ERA OF UNPRECEDENTED UNEMPLOYMENT. DIGNITY HEALTH HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO REPRESENT THE HOSPITALS ON COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY HEALTH ADVOCACY REPRESENTATIVES ARE TIRELESS AS THEY STRIVE TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE AND HUMAN RIGHTS. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE THE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. MANY DIGNITY HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS / HOUSING o EMPLOYEES PARTNERED WITH REBUILDING TOGETHER TO MAKE CRITICAL REPAIRS TO THREE HOMES IN THE LAS VEGAS VALLEY FOR LOW-INCOME, DISABLED AND/OR AGING RESIDENTS. THIS PROJECT STRIVES TO PRESERVE AFFORDABLE HOME OWNERSHIP AND REVITALIZE COMMUNITIES. IN ADDITION, DIGNITY HEALTH'S DOMINICAN HOSPITAL IN SANTA CRUZ SUBSIDIZES LOW INCOME HOUSING. COMMUNITY BUILDING - ECONOMIC DEVELOPMENT o LEADERSHIP STAFF MEMBERS OF SEVERAL DIGNITY HEALTH FACILITIES ACTIVELY PARTICIPATE IN CHAMBERS OF COMMERCE, CIVIC ORGANIZATIONS AND COALITIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. COMMUNITY BUILDING - COMMUNITY SUPPORT o DIGNITY HEALTH FACILITIES LEAD OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF THE SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ALSO ENGAGES AND STRENGTHENS THE SCHOOL COMMUNITY. COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS o THE COMMITMENT OF DIGNITY HEALTH TO IMPROVE AND SUSTAIN OUR ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING A PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS. FIRST, DIGNITY HEALTH SEEKS TO REDUCE WASTE AT ITS SOURCE BY REDESIGNING PROCESSES AND PURCHASING PRACTICES TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. SECOND, ONCE A PROCUREMENT NEED IS IDENTIFIED, DIGNITY HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT THAT CAN SPECIFICALLY BE RECYCLED AND HAVE A LOW LIFE CYCLE IMPACT ON THE ENVIRONMENT. ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, DIGNITY HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO ANOTHER USER (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. o MARIAN MEDICAL CENTER IS ONE OF ONLY A FEW HOSPITALS IN THE NATION TO HAVE A COGENERATION PLANT THAT OPERATES ON METHANE GAS. THE 2000 SQUARE FOOT FACILITY USES WASTE METHANE GAS TO PRODUCE AS MUCH AS ONE MEGAWATT OF ELECTRICITY. THE COGENERATION PROCESS SIGNIFICANTLY REDUCES METHANE EMISSIONS IN THE ENVIRONMENT AND OFFSETS THE USE OF NON-RENEWABLE RESOURCES SUCH AS COAL, NATURAL GAS AND OIL. COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT / TRAINING FOR COMMUNITY MEMBERS o DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT. COMMUNITY BUILDING - COALITION BUILDING o THE DIGNITY HEALTH MISSION STATEMENT SPECIFICALLY CALLS UPON US "TO PARTNER WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE." DIGNITY HEALTH FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES. COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT o STAFF AT DIGNITY HEALTH HOSPITALS THROUGHOUT THE SYSTEM ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS. o DIGNITY HEALTH ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS, THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS SHAREHOLDERS. COMMUNITY BUILDING - WORKFORCE DEVELOPMENT o DIGNITY HEALTH AND ITS ASSOCIATED FACILITIES ARE COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE AND ACTIVELY ENGAGE IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS o SEVERAL DIGNITY HEALTH FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, HAVE PARTNERED WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS. Part III, Section A, Line 4 THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT. DIGNITY HEALTH PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS AT OR BELOW 200% OR 500%, RESPECTIVELY, OF THE FEDERAL POVERTY LEVEL. DIGNITY HEALTH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, DISCOUNTS FOR THE MEDICALLY INDIGENT, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 25% FOR PATIENTS SEEN AT CALIFORNIA AND ARIZONA FACILITIES, AND 30% FOR PATIENTS SEEN AT NEVADA FACILITIES. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DIGNITY HEALTH MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR PAYMENT ASSISTANCE UPON ADMISSION. DIGNITY HEALTH'S PAYMENT ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS CHARITY ARE REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY. THE FOLLOWING IS AN EXCERPT FROM DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2012, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR CHARITY AND DOUBTFUL ACCOUNTS: PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE ARE REPORTED AT THE NET REALIZABLE AMOUNT FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. DIGNITY HEALTH REGULARLY REVIEWS ACCOUNTS AND CONTRACTS AND PROVIDES APPROPRIATE CONTRACTUAL ALLOWANCES, RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS THAT ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERGE, AND OTHER COLLECTION INDICATORS. Part III, Section B, Line 8 DIGNITY HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. IN HOSPITALS, ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL OF $520.0 MILLION, AS REPORTED BELOW IN PART VI, LINE 6, WHICH IS NET OF PRIOR YEAR COST REPORT SETTLEMENTS OF $53.9 MILLION, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY DIGNITY HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $410.0 MILLION REPORTED ON PART III, SECTION B, LINE 7, FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS ADDITIONAL AMOUNTS RELATED TO THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR DIGNITY HEALTH'S HOSPITALS. Part III, Section C, Line 9b DIGNITY HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR PAYMENT ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE DIGNITY HEALTH FACILITY OR BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED PAYMENT ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S PATIENT PAYMENT ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. DIGNITY HEALTH DOES NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF EACH HOSPITAL PATIENT PAYMENT ASSISTANCE DEPARTMENT. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART V, SECTION B - FACILITY POLICIES AND PRACTICES LINE 10 DIGNITY HEALTH OPERATES TWO FOR-PROFIT HOSPITALS THROUGH JOINT VENTURE ARRANGEMENTS. THESE HOSPITALS ARE SPECIALTY HOSPITALS THAT PRIMARILY PROVIDE ELECTIVE SURGERY TO PATIENTS. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL PROVIDES A 35% DISCOUNT TO ALL SELF-PAY PATIENTS. LINE 13G SEE BELOW FOR PART VI, LINE 3 - PATIENT EDUCATION ON ELIGIBILITY FOR ASSISTANCE FOR ADDITIONAL DISCLOSURES RELATED TO DIGNITY HEALTH'S PAYMENT ASSISTANCE PROGRAM. ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S PAYMENT ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS, A COPY OF THE CHARITY CARE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION, AND THE FACILITY'S WEBPAGE ADDRESS WHERE ADDITIONAL INFORMATION AND APPLICATIONS CAN BE ACCESSED. LINE 19D AT ALL OF DIGNITY HEALTH'S TAX-EXEMPT HOSPITALS, PATIENTS WHO ARE APPLYING FOR DISCOUNTS UNDER THE DISCOUNT PROVISION POLICY WHOSE HOUSEHOLD INCOME IS AT OR BELOW 350% OF THE FPL ARE ELIGIBLE TO RECEIVE SERVICES AT THE HIGHEST AVERAGE PAYMENT RATE THE HOSPITAL WOULD RECEIVE FOR PROVIDING SERVICES FROM MEDICARE, MEDICAID, OR ANY OTHER GOVERNMENT-SPONSORED HEALTH PROGRAM OF HEALTH BENEFIT IN WHICH THE HOSPITAL PARTICIPATES. PATIENTS WHOSE INCOME IS ABOVE 350% BUT NOT MORE THAN 500% OF THE FPL ARE ELIGIBLE TO RECEIVE SERVICES AT 135% OF THE AVERAGE RATES OF PAYMENT THE DIGNITY HEALTH FACILITY WOULD RECEIVE FOR PROVIDING SERVICES TO PATIENTS COVERED BY MEDICARE, MEDICAID, OR ANY OTHER GOVERNMENT-SPONSORED HEALTH PROGRAM OF HEALTH BENEFITS IN WHICH THE HOSPITAL PARTICIPATES, WHICHEVER IS GREATER. SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL DOES NOT HAVE A LIMIT ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AS A MAJORITY OF THE CARE PROVIDED IS ELECTIVE RATHER THAN EMERGENCY OR OTHER MEDICALLY NECESSARY, HOWEVER, A 35% DISCOUNT IS PROVIDED TO ALL SELF-PAY PATIENTS. THOSE ELIGIBLE FOR CHARITY CARE ARE NOT CHARGED ANY AMOUNT. PART VI, LINE 2 - NEEDS ASSESSMENT IN ACCORDANCE WITH DIGNITY HEALTH POLICY AND CALIFORNIA STATE SENATE BILL 697, ALL OF DIGNITY HEALTH'S TAX-EXEMPT HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. THIS INFORMATION IS UTILIZED IN DEVELOPING A STRATEGY TO ADDRESS PRIORITIZED NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITIES DIGNITY HEALTH SERVES. MANY DIGNITY HEALTH HOSPITALS CONDUCT ASSESSMENTS THROUGH THE AUSPICES OF MULTI-HOSPITAL CONSORTIA. OTHER DIGNITY HEALTH HOSPITALS HIRE OUTSIDE ORGANIZATIONS TO COMPILE DATA AND SOME UTILIZE EXISTING DATA COLLECTED AND MADE ACCESSIBLE BY OTHER ORGANIZATIONS, INCLUDING PUBLIC HEALTH DEPARTMENTS. QUANTITATIVE INDICATOR DATA ARE COLLECTED FROM SECONDARY DATA SOURCES, WHICH MAY INCLUDE CENSUS DATA, PUBLIC HEALTH ASSESSMENTS, THE LOCAL DEPARTMENT OF EDUCATION, AND LAW ENFORCEMENT RECORDS. PRIMARY DATA TO CAPTURE THE PERSPECTIVES OF THE COMMUNITIES' RESIDENTS MAY BE CONDUCTED THROUGH FOCUS GROUPS, IN-PERSON INTERVIEWS, COMMUNITY FORUMS, NEIGHBORHOOD SURVEYS OR THROUGH TELEPHONE INTERVIEWS. DIGNITY HEALTH ALSO USES UTILIZATION DATA TO ASSESS THE DEMAND FOR CARE FOR PERSONS PRESENTING WITH AMBULATORY CARE SENSITIVE CONDITIONS THAT EVIDENCE SUGGESTS COULD HAVE BEEN AVOIDED, AT LEAST IN PART, THROUGH MORE PROACTIVE OUTPATIENT CARE. HOSPITALS, COMMUNITY LEADERS, AND POLICY MAKERS USE SUCH DATA TO IDENTIFY COMMUNITY NEED LEVELS, TARGET RESOURCES, AND TRACK THE IMPACT OF PROGRAMMATIC AND POLICY INTERVENTIONS. IN ADDITION, DIGNITY HEALTH, IN PARTNERSHIP WITH THOMSON REUTERS (FORMERLY SOLUCIENT), DEVELOPED A COMMUNITY NEED INDEX (CNI), WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. THE CNI AGGREGATES FIVE SOCIOECONOMIC INDICATORS LONG KNOWN TO CONTRIBUTE TO HEALTH DISPARITY, WHICH ARE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE, AND APPLIES THEM TO EVERY ZIP CODE IN THE UNITED STATES. EACH ZIP CODE IS THEN GIVEN A SCORE RANGING FROM 1.0 (LOW NEED) TO 5.0 (HIGH NEED). RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGEABLE CONDITIONS, SUCH AS EAR INFECTIONS, PNEUMONIA OR CONGESTIVE HEART FAILURE, AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES BETWEEN GEOGRAPHIC REGIONS AND ILLUSTRATES THE ACUTE NEEDS OF SEVERAL NOTABLE GEOGRAPHIES, INCLUDING INNER CITY AND RURAL AREAS. FURTHER, IT SHOULD ENABLE HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO ALLOCATE RESOURCES WHERE THEY ARE MOST NEEDED, USING A STANDARDIZED, QUANTITATIVE TOOL. THE CNI PROVIDES DIGNITY HEALTH WITH AN IMPORTANT MEANS TO STRATEGICALLY ALLOCATE RESOURCES WHERE IT WILL BE MOST EFFECTIVE IN MAINTAINING A HEALTHY COMMUNITY. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE ON DIGNITY HEALTH'S WEBSITE: HTTP://WWW.DIGNITYHEALTH.ORG/WHO_WE_ARE/COMMUNITY_HEALTH/STGSS044508 PART VI, LINE 3 - PATIENT EDUCATION ON ELIGIBILITY FOR ASSISTANCE COMMUNICATION OF THE PAYMENT ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC FOR DIGNITY HEALTH'S WHOLLY OWNED HOSPITALS: INFORMATION ABOUT DIGNITY HEALTH'S PAYMENT ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S PAYMENT ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. PAYMENT ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES DIGNITY HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS WITH ANNUAL INCOMES LESS THAN $250,000 RECEIVE AN UNINSURED DISCOUNT OF 25% FOR SERVICES PROVIDED IN A CALIFORNIA OR ARIZONA FACILITY, AND 30% FOR SERVICES PROVIDED IN A NEVADA FACILITY, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A PAYMENT ASSISTANCE APPLICATION. PAYMENT ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S PAYMENT ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. UNINSURED PATIENTS RECEIVE COPIES OF THE PAYMENT ASSISTANCE AND MEDICAID APPLICATIONS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IT IS DIGNITY HEALTH'S POLICY THAT AT THE TIME OF PATIENT BILLING, DIGNITY HEALTH FACILITIES PROVIDE TO ALL UNINSURED PATIENTS THE SAME BILLING INFORMATION CONCERNING SERVICES AND CHARGES PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE CARE AT DIGNITY HEALTH FACILITIES. IF PAYMENT ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED PAYMENT ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR PAYMENT ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF DIGNITY HEALTH REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S PAYMENT ASSISTANCE PROGRAM AND A COPY OF THE PAYMENT ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR PAYMENT ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR PAYMENT ASSISTANCE. PART VI, LINE 4 - COMMUNITY INFORMATION DIGNITY HEALTH DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA,CALIFORNIA AND NEVADA. FOLLOWING IS A SUMMARY OF THE COMMUNITIES SERVED BY DIGNITY HEALTH, INCLUDING THE DEMOGRAPHICS OF EACH COMMUNITY. DIGNITY HEALTH HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERED ITS PRIMARY SERVICE AREA. THIS IS BASED ON A PERCENTAGE OF HOSPITAL DISCHARGES AND IS ALSO USED IN VARIOUS OTHER DEPARTMENTS OF THE SYSTEM AND HOSPITAL, INCLUDING STRATEGY AND PLANNING: ARROYO GRANDE COMMUNITY HOSPITAL (AGCH) - AGCH SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. ARROYO GRANDE COMMUNITY HOSPITAL CONDUCTED ITS NEEDS AND ASSETS ASSESSMENT FOR 2011/2012 BY UTILIZING SECONDARY DATA FROM VARIOUS OTHER AGENCIES SUCH AS KIDSDATA.ORG; CHILDREN IN LUCIA MAR UNIFIED SCHOOL DISTRICT 2010, HUNGER IN AMERICA, HUNGER IN SAN LUIS OBISPO COUNTY, 2010; UNITED STATES CENSUS BUREAU 2009; CHILDREN NOW, CALIFORNIA REPORT CARD 2010; ACTION FOR HEALTHY COMMUNITIES COMPREHENSIVE REPORT 2010; AND CALIFORNIA CANCER FACTS & FIGURES 2010. OTHER SECONDARY DATA COMES FROM LOCAL COMMUNITY-BASED ORGANIZATIONS WHO WORK IN PARTNERSHIP WITH AGCH TO ASSESS THE COMMUNITY, PARTICIPATE IN HEALTHCARE PROGRAM DESIGN AND PARTNER TO RESEARCH FUNDING FOR PROGRAMS OFFERED FOCUSING ON THE DISPROPORTIONATE UNMET HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ARROYO GRANDE COMMUNITY DEMOGRAPHICS -POPULATION 76,494 -DIVERSITY 67% CAUCASIAN, 26.4% HISPANIC, 3.0% ASIAN, 0.7% AFRICAN AMERICAN, 2.9% OTHER -AVERAGE INCOME $76,346 -UNINSURED 15.14% -UNEMPLOYMENT 4.1% -NO HS DIPLOMA 12% -RENTERS 29.4% -CNI SCORE 3.4 -MEDICAID PATIENTS 8.5% -OTHER AREA HOSPITALS 2 CALIFORNIA HOSPITAL MEDICAL CENTER (CHMC) - THE COMMUNITY THAT CHMC SERVES IS DEFINED AS CHMC'S PRIMARY AND SECONDARY SERVICE AREA AND IS LOCATED IN CENTRAL/DOWNTOWN AND SOUTH CENTRAL LOS ANGELES. CHMC POOLED ITS RESOURCES WITH FIVE OTHER HOSPITALS AND ONE GROUP OF COMMUNITY CLINICS TO COLLECT INFORMATION ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THEIR SERVICE COMMUNITY. THE REPORT WAS DEVELOPED USING BOTH QUANTITATIVE AND QUALITATIVE DATA SOURCES. TO THE EXTENT NECESSARY, SECONDARY OR EXISTING DATASETS WERE ACCESSED TO UPDATE THE PREVIOUS NEEDS ASSESSMENT. DATA SOURCES FOR THIS PURPOSE INCLUDE REPORTS FROM THE LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES, INCLUDING THE LOS ANGELES HEALTH SURVEY, AND ADDITIONAL DATA ON LIVE BIRTHS AND DEATHS. THE PROJECT TEAM UTILIZED 2009 PROJECTION DATA. CALIFORNIA HOSPITAL MEDICAL CENTER IS LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA AND SERVES A MEDICALLY UNDERSERVED POPULATION. CALIFORNIA HOSPITAL MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 1,278,702 -DIVERSITY 5.1% CAUCASIAN, 64.7% HISPANIC, 5.6% ASIAN, 22.9% AFRICAN AMERICAN, 1.7% OTHER -AVERAGE INCOME $44,966 -UNINSURED 40.66% -UNEMPLOYMENT 7.5% -NO HS DIPLOMA 42.20% -RENTERS 66% -CNI SCORE 5 -MEDICAID PATIENTS 33.35% -OTHER AREA HOSPITALS 6 CHANDLER REGIONAL MEDICAL CENTER - A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED THROUGH ARIZONA STATE UNIVERSITY'S HEALTH INFORMATION AND RESEARCH CENTER. MULTIPLE DATA SOURCES WERE INCLUDED IN THE ANALYSIS INCLUDING A COMBINATION OF QUALITATIVE INFORMATION (E.G. SURVEY RESULTS) AND QUANTITATIVE INFORMATION (E.G. ARIZONA HEALTHGRADES ADMINISTRATIVE HEALTH DATA). QUANTITATIVE INFORMATION WAS INCLUDED TO PROVIDE THE BEST PICTURE OF THE COMMUNITY'S HEALTH. SECONDARY DATA WAS OBTAINED FROM THE DIGNITY HEALTH CNI, THE U.S. CENSUS BUREAU, AND THE ARIZONA DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION IN SEVERAL ZIP CODES OF THE SERVICE AREA. CHANDLER REGIONAL MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 853,712 -DIVERSITY 59.48% CAUCASIAN, 25.10% HISPANIC, 5.30% ASIAN, 4.80% AFRICAN AMERICAN, 5.32% OTHER -AVERAGE INCOME $73,599 -UNINSURED 19.39% -UNEMPLOYMENT 5.8% -NO HS DIPLOMA 11.60% -RENTERS 31.9% -CNI SCORE 2.8 -MEDICAID PATIENTS 17.76% -OTHER AREA HOSPITALS 2 PRIMARY SERVICE AREA -OTHER SERVICE HOSPITALS 12 SECONDARY SERVICE AREA DOMINICAN HOSPITAL - THE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS A RELATIVELY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. DOMINICAN HOSPITAL PARTNERS WITH THE UNITED WAY OF SANTA CRUZ COUNTY IN CONVENING A CONSORTIUM OF PUBLIC AND PRIVATE HEALTH, EDUCATION, HUMAN SERVICE AND CIVIC ORGANIZATIONS IN THE SPONSORSHIP OF THE COMMUNITY ASSESSMENT PROJECT OF SANTA CRUZ COUNTY (CAP). UNDER THE GUIDANCE OF THE CAP STEERING COMMITTEE, APPLIED SURVEY RESEARCH, A NOT-FOR-PROFIT SOCIAL RESEARCH FIRM, MANAGES THE ASSESSMENT, COLLECTING SECONDARY (PRE-EXISTING) DATA AND CONDUCTING THE ANNUAL COMMUNITY SURVEY FOR PRIMARY (PUBLIC OPINION) DATA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. DOMINICAN HOSPITAL COMMUNITY DEMOGRAPHICS -POPULATION 230,387 -DIVERSITY 55.1% CAUCASIAN, 36.9% HISPANIC, 4% ASIAN, 0.9% AFRICAN AMERICAN, 3.1% OTHER -AVERAGE INCOME $84,016 -UNINSURED 15.85% -UNEMPLOYMENT 5.6% -NO HS DIPLOMA 17.4% -RENTERS 38.3% -CNI SCORE 2.9 -MEDICAID PATIENTS 14.50% -OTHER AREA HOSPITALS 2 FRENCH HOSPITAL MEDICAL CENTER (FHMC) - THE PRIMARY SERVICE AREA FOR FHMC IS SAN LUIS OBISPO, MORRO BAY, LOS OSOS, ATASCADERO AND PASO ROBLES. A SECONDARY SERVICE AREA IS IDENTIFIED AS ARROYO GRANDE, PISMO BEACH, GROVER BEACH, OCEANO, AND AVILA BEACH. FRENCH HOSPITAL MEDICAL CENTER CONDUCTED ITS NEEDS AND ASSETS ASSESSMENT FOR FY 2011/2012 FOR THE PRIMARY SERVICE AREA BY UTILIZING SECONDARY DATA FROM VARIOUS AGENCY REPORTS SUCH AS: ACTION FOR HEALTHY COMMUNITIES 2010 REPORT, CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS), CHILDREN'S NOW CALIFORNIA REPORT CARD 2010, CALIFORNIA CANCER FACTS AND FIGURES-2010, THE HEALTH STATUS REPORT SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT 2010 AND, THE COMMUNITY NEEDS INDEX. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. FRENCH HOSPITAL MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 233,399 -DIVERSITY 70.3% CAUCASIAN, 21.0% HISPANIC, 3.4% ASIAN, 2.1% AFRICAN AMERICAN, 3.2% OTHER -AVERAGE INCOME $71,165 -UNINSURED 19.27% -UNEMPLOYMENT 4.8% -NO HS DIPLOMA 11.50% -RENTERS 35.1% -CNI SCORE 3.4 -MEDICAID PATIENTS 10.84% -OTHER AREA HOSPITALS 3 GLENDALE MEMORIAL HOSPITAL - THE HOSPITAL SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. ITS PRIMARY SERVICE AREA ENCOMPASSES 29 ZIP CODES IN THE COUNTY OF LOS ANGELES. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. IN 2010, FMA COMMUNITY HEALTH CONSULTING PREPARED THE ASSESSMENT ON BEHALF OF THE THREE NOT-FOR-PROFIT HOSPITALS SERVING THE GLENDALE COMMUNITY: GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER, GLENDALE ADVENTIST MEDICAL CENTER AND VERDUGO HILLS HOSPITAL. THREE APPROACHES, INCLUDING SECONDARY DATA AND INFORMATION, ASSET MAPPING AND QUALITATIVE AND QUANTITATIVE PRIMARY RESEARCH WERE UTILIZED. FMA COMMUNITY HEALTH CONSULTANTS SUMMARIZED KEY DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH STATUS INDICATORS FOR EACH HOSPITAL'S SERVICE AREA. DEMOGRAPHIC INFORMATION WAS ANALYZED USING PUBLISHED INFORMATION FROM THE 2000 AND 2010 U.S. BUREAU OF THE CENSUS AND AS AVAILABLE THROUGH NIELSEN CLARITAS, INC., A PRIVATE VENDOR OF DEMOGRAPHIC AND OTHER RELATED INFORMATION, CREATED ON HEALTHYCITY.ORG. FURTHER INFORMATION WAS OBTAINED THROUGH MORE THAN 30 COMMUNITY-BASED SERVICE ORGANIZATIONS. GLENDALE MEMORIAL HOSPITAL COMMUNITY DEMOGRAPHICS -POPULATION 1,147,351 -DIVERSITY 32.8% CAUCASIAN, 48.1% HISPANIC, 13.3% ASIAN, 3.5% AFRICAN AMERICAN, 2.3% OTHER -AVERAGE INCOME $61,822 -UNINSURED 27.74% -UNEMPLOYMENT 6.8% -NO HS DIPLOMA 26.60% -RENTERS 59.2% -CNI SCORE 4.6 -MEDICAID PATIENTS 22.79% -OTHER AREA HOSPITALS 2 MARIAN MEDICAL CENTER - MARIAN MEDICAL CENTER, LOCATED IN NORTHERN SANTA BARBARA COUNTY, HAS THE SANTA MARIA VALLEY AS ITS LARGEST SERVICE AREA. THE FOUR LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA ARE THE CITY OF SANTA MARIA, THE CITY OF GUADALUPE, THE UNINCORPORATED PORTION OF NORTH COUNTY THAT INCLUDES ORCUTT, SISQUOC AND TEPESQUET WITH NIPOMO, AN UNINCORPORATED COMMUNITY OF APPROXIMATELY 13,000 PEOPLE IN SOUTHERN SAN LUIS OBISPO COUNTY. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPUL . ST. BERNARDINE MEDICAL CENTER - THE PRIMARY SERVICE AREA ENCOMPASSES NINE CITIES COVERING 17 ZIP CODES THAT INCLUDE BLOOMINGTON, COLTON, CRESTLINE, FONTANA, HESPERIA, HIGHLAND, RIALTO, YUCAIPA AND SAN BERNARDINO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. IN FY11 ST. BERNARDINE MEDICAL CENTER (SBMC), IN COLLABORATION WITH COMMUNITY HOSPITAL OF SAN BERNARDINO (CHSB), CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. BIEL CONSULTING WAS ENGAGED TO CONDUCT THE ASSESSMENT FOR THE PRIMARY SERVICE AREA OF THE HOSPITAL. CHSB AND SBMC DEVELOPED A LIST OF 25 KEY STAKEHOLDERS (INDIVIDUALS, AGENCIES, ORGANIZATIONS, AND COALITIONS) WHO ARE WELL ALIGNED IN THE ONGOING MISSION AND COLLABORATION TO MEET THE UNMET NEEDS OF THE SERVICE AREA. BIEL CONSULTING USED THIS LIST TO COLLECT PRIMARY DATA THROUGH STAKEHOLDER INTERVIEWS. EXECUTIVE OFFICERS/ADMINISTRATORS WERE ALSO INTERVIEWED. EIGHT FOCUS GROUPS (SIX ENGLISH AND TWO SPANISH) WERE CONDUCTED WITH 90 AREA RESIDENTS WHO ARE CLIENTS OF COMMUNITY ORGANIZATIONS IN THE SERVICE AREA AND 107 PUBLIC SURVEYS WERE COMPLETED BY HARD PAPER COPY OR VIA THE INTERNET THROUGH A SURVEY LINK POSTED ON THE SBMC WEBSITE. SECONDARY DATA WAS OBTAINED FROM SEVERAL RESOURCES, INCLUDING CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, ENVIRONMENTAL SYSTEMS RESEARCH INSTITUTE, INC. (ESRI), HOUSING AUTHORITY OF SAN BERNARDINO COUNTY, HUD, U.S. BUREAU OF THE CENSUS, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA HEALTH INTERVIEW SURVEY AND NATIONAL CANCER INSTITUTE. ST. BERNARDINE MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 1,127,424 -DIVERSITY 28.9% CAUCASIAN, 55.7% HISPANIC, 4.5% ASIAN, 8.5% AFRICAN AMERICAN, 2.4% OTHER -AVERAGE INCOME $59,401 -UNINSURED 25.43% -UNEMPLOYMENT 8.0% -NO HS DIPLOMA 25.90% -RENTERS 31.60% -CNI SCORE 4.5 -MEDICAID PATIENTS 23.59% -OTHER AREA HOSPITALS 5 ST. ELIZABETH COMMUNITY HOSPITAL - ST. ELIZABETH COMMUNITY HOSPITAL (SECH) IS LOCATED IN TEHAMA COUNTY. THE COUNTY IS BORDERED BY GLENN COUNTY TO THE SOUTH, TRINITY AND MENDOCINO COUNTIES TO THE WEST, SHASTA COUNTY TO THE NORTH, AND BUTTE AND PLUMAS COUNTIES TO THE EAST. THE COUNTY IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY, AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE HOSPITAL SERVICE AREA INCLUDES RED BLUFF, GERBER, CORNING, LOS MOLINOS AND COTTONWOOD. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ST. ELIZABETH COMMUNITY HOSPITAL IS COMMITTED TO INVOLVING AND INFORMING THE RESIDENTS OF TEHAMA COUNTY IN A COMMUNITY NEEDS ASSESSMENT SURVEY PROCESS. THE SECH COMMUNITY BENEFIT TEAM UTILIZED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THROUGH A PARTNERSHIP WITH THE SIMPSON COLLEGE BACHELORS OF NURSING ASPIRE STUDENTS AND CALIFORNIA STATE UNIVERSITY, CHICO'S HEALTH SERVICES ADMINISTRATION PROGRAM. A MIXED METHODOLOGY WAS EMPLOYED VIA PAPER SURVEYS AND IDENTICAL WEB-BASED SURVEYS VIA SURVEY MONKEY.COM. THE SAMPLE DESIGN UTILIZED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 450 INDIVIDUALS LIVING IN TEHAMA COUNTY AGED 18 AND OLDER. SURVEY RESPONSES FROM THE COMMUNITY WERE OBTAINED IN PERSON BY ATTENDING VARIOUS HEALTH AGENCY AND COMMITTEE MEETINGS, HEALTH AND EDUCATION FAIRS AND ONLINE THROUGH COMMUNITY EMAIL LISTS PROVIDED BY THE LOCAL CHAMBERS OF COMMERCE. ADDITIONALLY ANNOUNCEMENTS REGARDING THE SURVEY WERE MADE IN THE LOCAL NEWSPAPERS THAT INCLUDED THE ELECTRONIC LINK ADDRESS BY WHICH THE SURVEY WAS ACCESSED. ONCE DATA WAS OBTAINED, IT WAS THEN ANALYZED BY EVALUATING PUBLISHED REPORTS FROM NATIONAL SOURCES SUCH AS HEALTHY PEOPLE 2020 OR THE 2010 US CENSUS TO QUANTITATIVELY COMPARE DATA COLLECTED IN 2011 CHNA. DATA WAS THEN COMPARED QUALITATIVELY BY QUANTIFYING STATISTICS NUMERICALLY AND COMPARING AGAINST SECONDARY DATA SOURCES. ST. ELIZABETH HOSPITAL COMMUNITY DEMOGRAPHICS -POPULATION 86,414 -DIVERSITY 68.9% CAUCASIAN, 24.7% HISPANIC, 1.4% ASIAN, 0.5% AFRICAN AMERICAN, 4.5% OTHER -AVERAGE INCOME $49,847 -UNINSURED 29.24% -UNEMPLOYMENT 5.6% -NO HS DIPLOMA 20.90% -RENTERS 33.8% -CNI SCORE 4.4 -MEDICAID PATIENTS 23.22% -OTHER AREA HOSPITALS 1 ST. JOHN'S PLEASANT VALLEY HOSPITAL AND ST. JOHN'S REGIONAL MEDICAL CENTER - COMMUNITY IS DEFINED AS THE RESIDENT POPULATION WITHIN THE HOSPITALS' SERVICE AREAS. ST. JOHN'S PLEASANT VALLEY HOSPITAL IN CAMARILLO AND ST. JOHN'S REGIONAL MEDICAL CENTER IN OXNARD SERVE ALL OF VENTURA COUNTY. THE PRIMARY SERVICE AREAS INCLUDE CAMARILLO, OXNARD AND PORT HUENEME. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. THE ST. JOHN'S COMMUNITY ADVISORY BOARD PARTNERED WITH OTHER HEALTHCARE ORGANIZATIONS TO FORM THE COMMUNITY NEEDS ASSESSMENT COLLABORATIVE GROUP. THE INNOVATIVE RESEARCH GROUP WAS CONTRACTED TO CONDUCT TELEPHONE SURVEYS OF VENTURA COUNTY. A COMBINATION OF RANDOM SAMPLING AND SIMPLE RANDOM SAMPLING METHODS WERE USED. THE POPULATION WAS DIVIDED INTO TWENTY-THREE ZIP CODE AREAS FOR THE SURVEY. ST. JOHN'S PLEASANT VALLEY HOSPITAL COMMUNITY DEMOGRAPHICS -POPULATION 222,842 -DIVERSITY 27.0% CAUCASIAN, 60.8% HISPANIC, 8.2% ASIAN, 1.9% AFRICAN AMERICAN, 2.1% OTHER -AVERAGE INCOME $ 83,468 -UNINSURED 12.01% -UNEMPLOYMENT 6.2% -NO HS DIPLOMA 28.40% -RENTERS 36.2% -CNI SCORE 3.5 -MEDICAID PATIENTS 15.84% -OTHER AREA HOSPITALS 4 ST. JOHN'S REGIONAL MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 236,827 -DIVERSITY 16.1% CAUCASIAN, 72.8% HISPANIC, 6.9% ASIAN, 2.3% AFRICAN AMERICAN, 1.9% OTHER -AVERAGE INCOME $70,214 -UNINSURED 12.86% -UNEMPLOYMENT 6.2% -NO HS DIPLOMA 34.50% -RENTERS 41.1% -CNI SCORE 4.1 -MEDICAID PATIENTS 16.96% -OTHER AREA HOSPITALS 5 ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER - ST. JOSEPH'S HOSPITAL DRAWS APPROXIMATELY 90% OF ITS PATIENTS FROM MARICOPA COUNTY WITH THE REMAINDER DRAWING FROM FROM OUTSIDE MARICOPA COUNTY BUT WITHIN ARIZONA, OR FROM OUTSIDE THE STATE. (NOTE: 61% OF THE POPULATION OF THE STATE OF ARIZONA RESIDES WITHIN MARICOPA COUNTY.) THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ASSESSES THE NEEDS OF THE COMMUNITY ON AN ONGOING BASIS AND USES THE ASSESSMENT CONDUCTED BY THE ARIZONA STATE UNIVERSITY CENTER FOR HEALTH INFORMATION AND RESEARCH (CHIR) AND OTHER SOURCES THROUGHOUT THE YEAR. CHIR UTILIZES THE ARIZONA HEALTH QUERY, A COMMUNITY HEALTH DATA SYSTEM CREATED BY THE VOLUNTARY PARTICIPATION OF HEALTH CARE INSURERS AND PROVIDERS. THE DATA COMBINES INFORMATION ABOUT MORE THAN SEVEN MILLION PERSONS PROVIDING INFORMATION ABOUT THE PRIMARY SERVICE AREA (MARICOPA COUNTY) AND THE SECONDARY SERVICE AREA (THE REST OF THE STATE OF ARIZONA). ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER COMMUNITY DEMOGRAPHICS -POPULATION 3,262,225 -DIVERSITY 51.4% CAUCASIAN, 36.1% HISPANIC, 3.4% ASIAN, 5.2% AFRICAN AMERICAN, 3.9% OTHER -AVERAGE INCOME $62,976 -UNINSURED 19.39% -UNEMPLOYMENT 6.2% -NO HS DIPLOMA 18.4% -RENTERS 32.2% -CNI SCORE 3.8 -MEDICAID PATIENTS 17.76% -OTHER AREA HOSPITALS 38 ST. JOSEPH'S MEDICAL CENTER/ST. JOSEPH'S BEHAVIORAL HEALTH CENTER - THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL CENTER (SJMC) AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER IS STOCKTON AND THE SECONDARY SERVICE AREA IS SAN JOAQUIN COUNTY. SJMC ALSO SERVES AS A REFERRAL FOR TERTIARY CARE FOR SURROUNDING COUNTIES, WHICH INCLUDE ALPINE, AMADOR, CALAVERAS, MARIPOSA, STANISLAUS AND TUOLUMNE COUNTIES. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. APPLIED SURVEY RESEARCH CONDUCTED THE 2011 NEEDS ASSESSMENT FOR A CONSORTIUM OF HOSPITALS AND AGENCIES IN THE STOCKTON SERVICE AREA, INCLUDING: ST. JOSEPH'S MEDICAL CENTER, DAMERON HOSPITAL, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, ST. MARY'S INTERFAITH COMMUNITY SERVICES, FIRST FIVE OF SAN JOAQUIN, COMMUNITY MEDICAL CENTERS, UNIVERSITY OF THE PACIFIC, HEALTH PLAN OF SAN JOAQUIN, KAISER PERMANENTE, SUTTER TRACY COMMUNITY HOSPITAL, HEALTHIER COMMUNITY COALITION OF SAN JOAQUIN AND THE BREAST FEEDING COALITION OF SAN JOAQUIN. PRIMARY DATA WERE OBTAINED FROM A TELEPHONE SURVEY AND FACE-TO-FACE SURVEY OF SAN JOAQUIN COUNTY RESIDENTS. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO: US CENSUS, FEDERAL, STATE AND LOCAL GOVERNMENT AGENCIES; ACADEMIC INSTITUTIONS; ECONOMIC DEVELOPMENT GROUPS; HEALTH CARE INSTITUTIONS; AND COMPUTERIZED SOURCES THROUGH ONLINE DATABASES AND THE INTERNET. ST. JOSEPH'S HOSPITAL / ST. JOSEPH'S BEHAVIORAL HEALTH CENTER COMMUNITY DEMOGRAPHICS -POPULATION 362,584 -DIVERSITY 39.5% CAUCASIAN, 40.0% HISPANIC, 11.4% ASIAN, 5.4% AFRICAN AMERICAN, 3.7% OTHER -AVERAGE INCOME $57,497 -UNINSURED 28.03% -UNEMPLOYMENT 9.9% -NO HS DIPLOMA 29.40% -RENTERS 40.2% -CNI SCORE 4.6 -MEDICAID PATIENTS 27.60% -OTHER AREA HOSPITALS 7 ST. MARY MEDICAL CENTER, LONG BEACH - ST. MARY MEDICAL CENTER IS LOCATED IN LONG BEACH, CA, THE SECOND LARGEST CITY IN LOS ANGELES COUNTY AND 34TH IN THE NATION. ST. MARY MEDICAL CENTER ALSO SERVES PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH USE OF SURPLUS FUNDS - AS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, DIGNITY HEALTH REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR US TO DELIVER ON OUR MISSION, INCLUDING ENSURING THAT EVERYONE IN THE COMMUNITIES WE SERVE HAS ACCESS TO HEALTHCARE. OPEN MEDICAL STAFF - MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND TO ULTIMATELY MAKE A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES. CREDENTIALS VERIFICATION IS THE DETERMINATION WHETHER A PRACTITIONER'S CREDENTIALS ARE AUTHENTIC AND VALID. THE ROLE OF THE BOARD - THE DIGNITY HEALTH BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. DIGNITY HEALTH HOSPITAL COMMUNITY BOARDS AND SUBSIDIARY BOARDS (COMMUNITY BOARDS), WHICH ARE RATIFIED BY THE DIGNITY HEALTH BOARD, ARE RESPONSIBLE FOR ENSURING THE HOSPITALS DEVELOP PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE. IN ADDITION, COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE BROADER HEALTH OF THE COMMUNITY. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARD MAY DESIGNATE A COMMUNITY HEALTH COMMITTEE OF THE BOARD TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD, OR BOARD COMMITTEE, PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS ASSESSMENTS AND DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT PLAN AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS AND THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS. THE COMMUNITY BOARD IS ALSO RESPONSIBLE FOR REVIEW AND APPROVAL OF THE ANNUAL HOSPITAL COMMUNITY BENEFIT PLAN AND REPORT. DIGNITY HEALTH PROVIDES HOSPITAL SERVICES AND CARRIES OUT OUR MISSION AT THE FOLLOWING FACILITIES IN CALIFORNIA, ARIZONA AND NEVADA. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITES, PLEASE VISIT THEIR INDIVIDUAL WEB SITES, WHICH ARE PROVIDED BELOW. ARROYO GRANDE COMMUNITY HOSPITAL HTTP://WWW.ARROYOGRANDEHOSPITAL.ORG/ CALIFORNIA HOSPITAL MEDICAL CENTER HTTP://WWW.CHMCLA.ORG/ CHANDLER REGIONAL HOSPITAL HTTP://WWW.CHANDLERREGIONAL.ORG/ DOMINICAN HOSPITAL HTTP://WWW.DOMINICANHOSPITAL.ORG FRENCH HOSPITAL MEDICAL CENTER HTTP://WWW.FRENCHMEDICALCENTER.ORG GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER HTTP://WWW.GLENDALEMEMORIAL.COM MARIAN REGIONAL MEDICAL CENTER HTTP://WWW.MARIANMEDICALCENTER.ORG/ MERCY GENERAL HOSPITAL HTTP://WWW.MERCYGENERAL.ORG/ MERCY GILBERT MEDICAL CENTER HTTP://WWW.MERCYGILBERT.ORG MERCY HOSPITAL OF FOLSOM HTTP://WWW.MERCYFOLSOM.ORG/ MERCY HOSPITAL OF BAKERSFIELD HTTP://WWW.MERCYBAKERSFIELD.ORG/ MERCY SOUTHWEST HOSPITAL HTTP://WWW.MERCYBAKERSFIELD.ORG/ MERCY MEDICAL CENTER MERCED HTTP://WWW.MERCYMERCEDCARES.ORG/INDEX.HTM MERCY MEDICAL CENTER MT. SHASTA HTTP://WWW.MERCYMTSHASTA.ORG/ MERCY MEDICAL CENTER REDDING HTTP://REDDING.MERCY.ORG/ MERCY SAN JUAN MEDICAL CENTER HTTP://WWW.MERCYSANJUAN.ORG/ METHODIST HOSPITAL OF SACRAMENTO HTTP://WWW.METHODISTSACRAMENTO.ORG/ NORTHRIDGE HOSPITAL MEDICAL CENTER HTTP://WWW.NORTHRIDGEHOSPITAL.ORG SAINT MARY'S REGIONAL MEDICAL CENTER HTTP://WWW.SAINTMARYSRENO.ORG/ SEQUOIA HOSPITAL HTTP://WWW.SEQUOIAHOSPITAL.ORG/ ST. BERNARDINE MEDICAL CENTER HTTP://WWW.STBERNARDINEMEDCTR.ORG/ ST. ELIZABETH COMMUNITY HOSPITAL HTTP://REDBLUFF.MERCY.ORG/ ST. JOHN'S PLEASANT VALLEY HOSPITAL HTTP://WWW.STJOHNSHEALTH.ORG/ ST. JOHN'S REGIONAL MEDICAL CENTER HTTP://WWW.STJOHNSHEALTH.ORG/ ST. JOSEPH'S BEHAVIORAL HEALTH CENTER HTTP://WWW.STJOSEPHSCANHELP.ORG/ ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER HTTP://WWW.STJOSEPHS-PHX.ORG ST. JOSEPH'S MEDICAL CENTER HTTP://WWW.STJOSEPHSCARES.ORG/ ST. MARY MEDICAL CENTER HTTP://WWW.STMARYMEDICALCENTER.ORG/ ST. MARY'S MEDICAL CENTER HTTP://WWW.STMARYSMEDICALCENTER.ORG/ ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ ST. ROSE DOMINICAN HOSPITALS - SIENA CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ WOODLAND HEALTHCARE HTTP://WWW.WOODLANDHEALTHCARE.ORG ST. ROSE DOMINICAN HOSPITALS - SIENA CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ WOODLAND HEALTHCARE HTTP://WWW.WOODLANDHEALTHCARE.ORG PART VI, LINE 6 - AFFILIATED HEALTHCARE SYSTEM AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE FOR DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS FOR THE YEAR ENDED JUNE 30, 2012, IS AS FOLLOWS: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 108,530 188,380,000 2.0% Unpaid Costs of Medicaid/Medi-Cal 1,060,508 571,491,000 6.0% Other Means-tested Programs 280,517 66,067,000 0.7% Community Services: Community Health Services 525,831 53,467,000 0.6% Health Professions Education 86 27,000 0.0% Subsidized Health Services 193,751 28,297,000 0.3% Donations 155,219 33,140,000 0.3% Community Building Activities 12,811 1,623,000 0.0% Community Benefit Operations 3,884 8,911,000 0.1% Total Community Services for the poor 891,582 125,465,000 1.3% Total Benefits for the Poor 2,341,137 951,403,000 10.0% Benefits for the Broader Community: Community Services: Community Health Services 585,949 17,034,000 0.2% Health Professions Education 68,974 69,132,000 0.7% Subsidized Health Services 9,430 2,210,000 0.0% Research 26,281 30,049,000 0.3% Donations 165,149 7,584,000 0.1% Community Building Activities 38,641 3,138,000 0.0% Community Benefit Operations 87 1,446,000 0.0% Total Benefits for the Broader Community 894,511 130,593,000 1.3% Total Community Benefits 3,235,648 1,081,996 11.3% Unpaid Costs of Medicare 1,116,214 519,981,000 5.4% Total Community Benefits including Cost of Medicare 4,351,862 1,601,977,000 16.7% STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI CA,NV, true 1736 Family Crisis Center 2116 Arlington Ave Ste 200 Los Angeles CA 90018 953989251 501(c)(3) 18008 N/A N/A Social Health About Care Inc 600 W Ray Rd Chandler AZ 85225 342047687 501(c)(3) 12672 N/A N/A Quality of Life Access to Healthcare Network Inc 4001 S Virginia Street Ste F Reno NV 89502 721619489 501(c)(3) 25000 N/A N/A Service for the Poor Friends Fore Golf ALLAN HANCOCK COLLEGE 800 S COLLEGE DR SANTA MARIA CA 93454 521692042 Govt 215000 N/A N/A Educational Support Alliance for Housing and Healing 825 Colorado Blvd Suite 100 Los Angeles CA 90041 954147364 501(c)(3) 15015 N/A N/A Social Health Alliance for Pharmaceutical Access Inc 237 Town Center West 122 Santa Maria CA 93458 203117940 501(c)(3) 78750 N/A N/A Service for the Poor Al-Shifi Clinic Inc 2034-B Mallory St San Bernardino CA 92407 330855769 501(c)(3) 20000 N/A N/A Service for the Poor Alzheimer's Disease And Related Disorders Assoc 9213 Archibald Ave Rancho Cucamonga CA 91730 953718119 501(c)(3) 10000 N/A N/A Quality of Life Alzheimer's Disease Assoc of Kern County 5500 Olive Dr Bldg 1 Bakersfield CA 93308 770017561 501(c)(3) 45858 N/A N/A Quality of Life American Cancer Society Inc 1523 California Ave Bakersfield CA 93304 941170350 501(c)(3) 8500 N/A N/A Social Health American Heart Association Inc 4445 S Jones Suite B-1 Las Vegas NV 89141 135613797 501(c)(3) 180106 N/A N/A Social Health American Lung Assoc of the Southwest Inc 10615 Double R Boulevard Reno NV 89521 860111676 501(c)(3) 31251 N/A N/A Social Health American Lung Association in California 441 Mackay Drive San Bernardino CA 92408 940362650 501(c)(3) 15000 N/A N/A Educational Support American Red Cross 1355 Ohio Avenue Los Angeles CA 90025 530196605 501(c)(3) 10160 N/A N/A Social Health AMERICAN RED CROSS 85 2ND ST 8TH Fl SAN FRANCISCO CA 94105 943045430 501(c)(3) 100000 N/A N/A Social Health ANDRE AGASSI FOUNDAtion for Education 3960 HOWARD HUGHES PKWY STE 750 LAS VEGAS NV 89109 341759295 501(c)(3) 11390 N/A N/A Educational Support Arizona Facts of Life Inc 1122 E Buckeye Road Ste A-4 Phoenix AZ 85034 861078466 501(c)(3) 25000 N/A N/A Social Health Arizona State University Foundation 300 E University Drive Tempe AZ 85281 866051042 501(c)(3) 51100 N/A N/A educational support Arizona's Children Association 2833 N 3rd Street Phoenix AZ 85004 860096772 501(c)(3) 50000 N/A N/A Social Health ARROYO GRANDE COMMUNITY HOSP FOUNDATION 345 S Halcyon Rd ARROYO GRANDE CA 93406 203256066 501(c)(3) 237712 N/A N/A Foundation Support ARTHRITIS FOUNDATION 2261 LAS POSITAS SANTA BARBARA CA 93105 951885447 501(c)(3) 22500 N/A N/A Preventative Care Asian Pacific Community in Action 6741 N 7th Street Phoenix AZ 85014 753040117 501(c)(3) 20880 N/A N/A Social Health Asian Pacific Self-Development & Residential 3830 N Alvarado Ave Suite C Stockton CA 95204 680224100 501(c)(3) 24000 N/A N/A Social Health ASIAN WEEK FOUNDATION 564 MARKET ST SAN FRANCISCO CA 94104 201719535 501(c)(3) 11000 N/A N/A Quality of Life Assistance League of San Bernardino 580 West 6th St San Bernardino CA 92410 956065105 501(c)(3) 22500 N/A N/A Service for the Poor Atwater Police Activities League 750 Bellevue Road 1200 Atwater CA 95301 770451403 501(c)(3) 10000 N/A N/A Social Health Bakersfield College 1801 Panorama Drive 115 Bakersfield CA 93307 956006644 Govt 130145 N/A N/A Educational Support Training Kits Bakersfield Sports Foundation PO Box 13221 Bakersfield CA 93389 270198735 501(c)(3) 20000 N/A N/A Quality of Life Barrow Foundation UK 350 W Thomas Rd Phoenix AZ 85013 311724184 501(c)(3) 142799 N/A N/A Foundation Support Barrow Neurological Foundation 350 W Thomas Rd Phoenix AZ 85013 860174371 501(c)(3) 2497161 N/A N/A Foundation Support BAY AREA COUNCIL 201 CALIFORNIA ST 1450 SAN FRANCISCO CA 94111 237325853 501(c)(4) 50000 N/A N/A Quality of Life Bayview Hunters Point Multipurpose Senior Ctr Inc 1706 Yosemite Ave San Francisco CA 94134 942186268 501(c)(3) 20000 N/A N/A Social Health Behavioral Health Services Inc 15519 Crenshaw Boulevard Gardena CA 90249 952838006 501(c)(3) 15240 N/A N/A Social Health Bishop Gallegos Maternity Home 6423 Lang Avenue Sacramento CA 95823 680315971 501(c)(3) 45000 N/A N/A Social Health Black Nurses Association Inc 5060 N 19th Ave 210 Phoenix AZ 85015 953543065 501(c)(3) 25000 N/A N/A Preventative Care Board Of Regents Nevada System Of Higher Education 1664 N Virginia St Reno NV 89557 886000024 Govt 59910 N/A N/A educational support Boys & Girls Club of Camarillo 1500 Templar Avenue Camarillo CA 93010 956194547 501(c)(3) 10000 N/A N/A social health Boys & Girls Club of Greater Oxnard & Port Hueneme 1900 W 5th Street Oxnard CA 93030 951785162 501(c)(3) 19000 N/A N/A Social Health Boys & Girls Club of Merced 615 W 15th Street Merced CA 95340 770357487 501(c)(3) 17000 N/A N/A Social Health Boys & Girls Club of Redlands Inc 1251 Clay Street Redlands CA 92374 956187083 501(c)(3) 13000 N/A N/A Social Health BOYS & GIRLS CLUB OF SANTA MARIA VALLEY 901 N RAILROAD SANTA MARIA CA 93458 952468116 501(c)(3) 7560 N/A N/A Social Health Boys & Girls Club of Southern Nevada 6330 S Sandhill Rd Ste 3 Las Vegas NV 89120 880095779 501(c)(3) 7500 N/A N/A Social Health Cabrillo College Foundation 6500 Soquel Dr Aptos CA 95003 946121953 501(c)(3) 10000 N/A N/A Social Health Cal State Bakersfield Foundation 9001 Stockdale Hwy Bakersfield CA 93311 952643086 501(c)(3) 6000 N/A N/A Educational Support Calaveras Mentoring Foundation 150 Big Trees Road Ste D Murphys CA 95247 800512251 501(c)(3) 8677 N/A N/A Service for the Poor California Dragon Boat Association 268 Bush St 888 San Francisco CA 94104 522153488 501(c)(3) 10000 N/A N/A Quality of Life California Health Foundation and Trust 1215 K Street Ste 800 Sacramento CA 95814 941498697 501(c)(3) 17337428 N/A N/A Service for the Poor California Hospital Medical Ctr Foundation 1401 South Grand Ave Los Angeles CA 90015 954000909 501(c)(3) 1607919 N/A N/A Foundation Support CALIFORNIA MED ASSOCIATION FOUNDATION 3835 N FREEWAY BLVD STE 100 SACRAMENTO CA 95834 946062822 501(c)(3) 35000 N/A N/A Social Health California State University Stanislaus One University Circle Turlock CA 95382 770207337 Govt 9500 N/A N/A Scholarship Support California State University Stanislaus Fnd One University Circle Turlock CA 95382 770492209 501(c)(3) 100000 N/A N/A Educational Support Camarillo Health Care District 3639 E Las Posas Rd Ste 117 Camarillo CA 93010 952834854 Govt 10000 0 N/A N/A Social Health Camarillo Hospice Corp 400 Rosewood Avenue Ste 102 Camarillo CA 93010 953347061 501(c)(3) 10000 N/A N/A Service for the Poor Cancer Support Community-Santa Monica 1990 S Bundy Drive 100 Los Angeles CA 90025 330287070 501(c)(3) 18008 n/a n/a Social Health Cancer Well Fit Inc 6699 Bay Laurel Place Avila Beach CA 93424 273635992 501(c)(3) 14300 N/A N/A Social Health CARE Chest of Sierra Nevada 7910 N Virginia Street Reno NV 89506 943118373 501(c)(3) 27455 N/A N/A Service for the Poor Carenow 8000 McConnell Ave los angeles CA 90045 272984870 501(c)(3) 50000 N/A N/A Preventative Care Catholic Charities CYO of the Archdiocese 2255 HAYES ST SAN FRANcISCO CA 94117 941498472 501(c)(3) 23250 N/A N/A Quality of Life Catholic Charities of LA 123 East 14th Street Long Beach CA 90813 951690973 501(c)(3) 8500 N/A N/A Service for the Poor Catholic Charities of Stockton 1106 N El Dorado Street Stockton CA 95202 941629114 501(c)(3) 25000 N/A N/A Service for the Poor Catholic Charities San Bernardino Riverside 1450 North D St San Bernardino CA 92411 953516461 501(c)(3) 17500 N/A N/A Social Health Catholic Relief Services 228 W Lexington St Baltimore MD 21201 135563422 501(c)(3) 500000 N/A N/A Service for the poor Celebrity Fight Night Foundation Inc 2111 E Highland Ave Ste 135 Phoenix AZ 85016 860903119 501(c)(3) 81000 N/A N/A Preventative Care Center for Community Health and Well-Being 1900 T Street Sacramento CA 95811 680248303 501(c)(3) 35800 N/A N/A Service for the Poor Center for Healthcare Decisions 3400 Data Drive Rancho Cordova CA 95670 680441958 501(c)(3) 15000 N/A N/A Social Health Center for Healthy Aging 11 Fillmore Way Reno NV 89519 371581035 501(c)(3) 9840 N/A N/A Preventative Care CENTRAL COAST COMMISSION FOR SENIOR CITIZENS 528 SOUTH BROADWAY SANTA MARIA CA 93434 952943625 501(c)(3) 5457 N/A N/A Social Health CENTRAL COAST RESCUE MISSION 1207 N MCCLELLAND ST SANTA MARIA CA 93454 237278002 501(c)(3) 5457 N/A N/A Service for the Poor Cerebral Palsy Association of Merced County 632 W 13th Street Merced CA 95340 941494854 501(c)(3) 8000 N/A N/A Social Health Chandler Chamber of Commerce 475 S Dobson Road Chandler AZ 85224 860107200 501(c)(6) 6188 N/A N/A Social Health Chandler Education Foundation Inc 1525 W Frye Road Chandler AZ 85224 860589677 501(c)(3) 50000 N/A N/A Educational Support Child Advocates of Nevada County 200 Providence Mine Rd Ste 208 Nevada City CA 95959 680317841 501(c)(3) 10000 N/A N/A Quality of life Child Crisis Center 817 N Country Club Dr Mesa AZ 85201 860407090 501(c)(3) 12000 N/A N/A Social Health Children's Dental Foundation 455 E Columbia St Ste 32 Long Beach CA 90806 952111124 501(c)(3) 15000 N/A N/A Social Health Children's Heart Foundation 3006 S Maryland Pkwy Las Vegas NV 89109 880405506 501(c)(3) 5500 N/A N/A Preventative care Citizens Who Care Inc 1017 Main Street Woodland CA 95695 680154969 501(c)(3) 7500 N/A N/A Quality of Life Clark County Medical Society Auxiliary 2590 Russell Road Las Vegas NV 89120 237290810 501(c)(3) 6400 N/A N/A Quality of Life Clinic by the Bay 4877 Mission Street San Francisco CA 94618 262593712 501(c)(3) 10000 N/A N/A Preventative Care Community Action Partnership of San Luis Obispo Co 1030 Southwood Dr San Luis Obispo CA 93401 952410253 501(c)(3) 5500 N/A N/A Service for the Poor Community Bridges 236 Santa Cruz Avenue Aptos CA 95003 942460211 501(c)(3) 48495 N/A N/A Preventative Care Community Medical Center Inc 7210 Murray Drive Stockton CA 95210 942437106 501(c)(3) 55000 N/A N/A Social Health Community Service Education and Research Fund 5380 Elvas Avenue Sacramento CA 95819 237003581 501(c)(3) 15000 N/A N/A Service for the Poor County of Santa Cruz 701 Ocean St Suite 340 Santa Cruz CA 95060 946000534 Govt 16310 N/A N/A Social Health Court Appointed Special Advocates Of Kern County 2000 24th St Ste 130 Bakersfield CA 93301 770344298 501(c)(3) 40000 N/A N/A Social Health CUESTA COLLEGE FOUNDATION PO BOX 8016 SAN LUIS OBISPO CA 93403 237225601 501(c)(3) 30000 N/A N/A Educational Support Curry Senior Center 333 Turk Street San Francisco CA 94102 237362588 501(c)(3) 12240 N/A N/A Social Health Dientes Community Dental Care 1830 Commercial Way Santa Cruz CA 95065 770311752 501(c)(3) 10000 N/A N/A Preventative Care Dignity Health Foundation East Valley 1727 West Frye Rd Chandler AZ 85224 742418514 501(c)(3) 1479462 N/A N/A Foundation Support Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 501(c)(3) 99164931 N/A N/A Medical Fnd Support Dignity's Alcove Inc 141 S California Street Stockton CA 95202 510574997 N/A 25000 N/A N/A Social Health Domestic Violence and Sexual Assault Coalition Inc 960 McCourtney Rd Ste E Grass Valley CA 95949 942688893 501(c)(3) 10000 N/A N/A Social Health DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 501(C)(3) 776340 N/A N/A FOUNDATION SUPPORT DOMINICAN UNIVERSITY OF CAlifornia 50 ACACIA AVE 600 SAN RAFAEL CA 94901 941156525 501(c)(3) 6000 N/A N/A Educational Support Easter Seals Nevada 6200 W Oakey Blvd Las Vegas NV 89146 942815686 501(c)(3) 40000 N/A N/A Social Health Effort Inc 1820 J Street Sacramento CA 95811 941713704 501(c)(3) 241344 N/A N/A Quality of Life El Centrito Family Learning Center 937 W 5th Street Oxnard CA 93032 311652255 501(c)(3) 10000 N/A N/A Service for the Poor El Dorado County Community Health 4327 Golden Ctr Dr Placerville CA 95667 421533531 501(c)(3) 45000 N/A N/A Social Health El Hogar Community Services Inc 3780 Rosin Crt Ste 110 Sacramento CA 95834 680032730 501(c)(3) 90000 N/A N/A Quality of Life El Nido Family Centers 10200 Sepulveda Blvd Ste 350 Mission Hills CA 91345 953186429 501(c)(3) 25000 N/A N/A Social Health El Sol Neighborhood Educational Center 1717 W 5th Street San Bernardino CA 92411 330552297 501(c)(3) 19305 N/A N/A Social Health Enrichment Works 5605 Woodman Ave Ste 207 Valley Glen CA 91401 954754624 501(c)(3) 18008 N/A N/A Quality of Life Esperanza Inc 1911 W Earl Drive Phoenix AZ 85015 237087997 501(c)(3) 50000 N/A N/A Service for the poor Families First Inc 2100 Fifth Street Davis CA 95618 942295953 501(c)(3) 10000 N/A N/A Social Health Family Service Agency of Tehama County 1347 Grant Street Red Bluff CA 96080 941616456 501(c)(3) 13960 N/A N/A Social Health First 5 Shasta 1135 Pine Street Ste 21 Redding CA 96001 680475361 Govt 35000 N/A N/A Social Health Food Bank of Northern Nevada Inc 550 Italy Drive McCarran NV 89434 942924979 501(c)(3) 50000 N/A N/A Service for the Poor Food bank of Santa Barbara County 490 West Foster Road Santa Maria CA 93455 770169214 501(c)(3) 10250 N/A N/A Service for the Poor FOOD Share Inc 4156 Southband Road Oxnard CA 93036 770018162 501(c)(3) 20000 N/A N/A Social Health For the Child Inc 4565 California Avenue Long Beach CA 90807 953601230 501(c)(3) 15000 N/A N/A Quality of Life FOUNDATION OF THE SANTA BARBARA REGIONAL HEALTH AU 4050 CALLE REAL SANTA BARBARA CA 93110 810587227 501(c)(3) 5457 N/A N/A Preventative Care FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVE SAN LUIS OBISPO CA 93405 203256125 501(c)(3) 552201 N/A N/A Foundation Support Fresh Start Women's Foundation 1130 E McDowell Road Phoenix AZ 85006 860762610 501(c)(3) 9250 N/A N/A Social Health GET OFF THE COUCH POTATO SPORTS PRODUCTIONS PO BOX 13959 SAN LUIS OBISPO CA 93406 272625758 N/A 12000 N/A N/A Social Health related Gifts to Share Inc 1231 I Street 400 Sacramento CA 95814 942985546 501(c)(3) 51000 N/A N/A Quality of Life Girl Scouts Heart of California 6601 Elvas Avenue Sacramento CA 95819 941582429 501(c)(3) 10000 N/A N/A Preventative Care Girls Inc of the Northern Sacramento Valley 332 Pine Street Ste H Red Bluff CA 96080 542192527 501(c)(3) 9570 N/A N/A Social Health Glaucoma Research & Education Group Inc 55 Stevenson Street San Francisco CA 94105 943208182 501(c)(3) 26000 N/A N/A Educational Support Glendale Association for the Retarded 6512 San Fernando Road Glendale CA 91201 951976088 501(c)(3) 13000 N/A N/A Social Health Glendale Community Free Health Clinic 134 N Kenwood St Rm 330 Glendale CA 91206 870732681 501(c)(3) 16000 N/A N/A Service for the Poor Glendale Healthy Kids 223 N JACKSON ST B-17 Glendale CA 91209 954487466 501(c)(3) 20000 N/A N/A Preventative Care Glendale Memorial Health Foundation 1420 S Central Ave Glendale CA 91204 953625651 501(c)(3) 909553 N/A N/A Foundation Support Glide Foundation 300 Ellis Street San Francisco CA 94102 941156481 501(c)(3) 50000 N/A N/A Service for the Poor Golden Umbrella 200 Mercy Oaks Drive Redding CA 96003 237115371 501(c)(3) 120291 N/A N/A Service for the Poor Good News Rescue Mission 2842 South Market St Redding CA 96001 941652602 501(c)(3) 7744 N/A N/A Social Health Good Samaritan Shelter 731 South Lincoln St Santa Maria CA 93458 770133375 501(c)(3) 26732 N/A N/A Quality of Life H Street Clinic 1329 North H St San Bernardino CA 92405 208191393 501(c)(3) 139740 N/A N/A Social Health HAROLD PUMP FOUNDATION 13636 VENTURA BLVD SHERMAN OAKS CA 91432 954807001 501(c)(3) 36680 N/A N/A Social Health Haven Hills Inc 6918 Owensmouth Ave Canoga Park CA 91303 953196247 501(c)(3) 30000 N/A N/A Quality of Life Health Access Washoe County Inc 1450 Ridgeview Dr 200 Reno NV 89519 880293149 501(c)(3) 203643 Book Medical equipment Quality of Life Health for All Inc 4201 I Street Ste 7 Sacramento CA 95814 942747710 501(c)(3) 50000 N/A N/A Service for the Poor Health Improvement Partnership of Santa Cruz Count 1600 Green Hills Rd Scotts Valley CA 95066 010826156 501(c)(3) 66000 N/A N/A Social Health Health Insight of Nevada 6830 W Oquendo Rd Ste 102 Las Vegas NV 89118 522347096 501(c)(3) 50000 N/A N/A Preventative Care HEALTHCARE WITHOUT HARM 12355 SUNRISE VALLEY DR RESTON VA 20191 522358837 501(c)(3) 19183 N/A N/A Social Health Barrow Neurological Institute Holy Family High School College Preparatory 400 E Lomita Avenue Glendale CA 91205 956188587 501(c)(3) 15000 N/A N/A Educational Support Homeless Services Center 115 Coral Street Santa Cruz CA 95060 770126783 501(c)(3) 20000 N/A N/A Service for the Poor Hope Community Health Center 312 N Alma School Rd Ste 9C Chandler AZ 85224 201526381 501(c)(3) 50000 N/A N/A Social Health Hospice of Santa Cruz County 940 Disc Drive Scotts Valley CA 95066 942497618 501(c)(3) 10000 N/A N/A Social Health Hospital Association of Southern California 1000 Town Ctr Dr Ste 300 Oxnard CA 93036 951519378 501(c)(6) 59784 N/A N/A Educational Support Hospital Consortium Of San Mateo County 222 W 39th Ave 3A09 San Mateo CA 94403 942637032 501(c)(3) 46267 N/A N/A Quality of Life Hospital Council of Northern & Central CA 1215 K Street Ste 730 Sacramento CA 95814 942663197 n/a 43042 N/A N/A Social Health Immanuel Presbyterian Church 3300 Wilshire Blvd Los Angeles CA 90010 951643330 501(c)(3) 18008 N/A N/A Quality of Life communities. Improving Chandler Area Neighborhoods 650 E MORELOS ST Chandler AZ 85248 860761030 501(c)(3) 34000 N/A N/A Preventative Care InnVision Shelter Network 1580A Maple Street Redwood City CA 94063 770160469 501(c)(3) 38046 cost Food Service for the Poor Interval House 6615 E Pacific Coast Hwy 170 Long Beach CA 90803 953389113 501(c)(3) 15000 N/A N/A Quality of Life Jewish Family & Children's Service Of Long Beach 3801 E Willow Street Long Beach CA 90815 952273033 501(c)(3) 9250 N/A N/A Social Health Juvenile Diabetes Research Foundation Intl 1522-18th Steet 206 Bakersfield CA 93301 231907729 501(c)(3) 10200 N/A N/A Preventative Care Keep Memory Alive 888 W Bonneville Ave Las Vegas NV 89106 880515534 501(c)(3) 9500 N/A N/A Quality of Life Keogh Health Foundation 1750 E Glendale Ave Phoenix AZ 85020 200251176 501(c)(3) 50000 N/A N/A Service for the Poor Kern Adult Literacy Council Laubach Method Inc 331 18th Street Bakersfield CA 93301 237312722 501(c)(3) 6650 N/A N/A Quality of Life Kern Assistive Technology Center 3101 Sillect Ave 115 Bakersfield CA 93308 800073571 501(c)(3) 34276 N/A N/A Quality of Life Korean American Family Service Center 3727 W 6th St 320 Los Angeles CA 90020 953899329 501(c)(3) 18008 N/A N/A Social Health LA Child Guidance Clinic 3031 S Vermont Avenue Los Angeles CA 90007 951690974 501(c)(3) 18008 N/A N/A Preventative Care Legal Aid Society of San Bernardino 588 West Sixth St San Bernardino CA 92410 951997024 501(c)(3) 22500 N/A N/A Social Health Lend a Hand Boulder City 400 Utah Street Boulder City NV 89005 880250959 501(c)(3) 10000 N/A N/A Social Health Leukemia & Lymphoma Society Inc 340 West Fallbrook Avenue Suite 10 Fresno CA 93711 135644916 501(c)(3) 7250 N/A N/A Preventative Care Links for Life Inc 1706 Chester Ave 200 Bakersfield CA 93301 931088003 501(c)(3) 29650 N/A N/A Preventative Care Livingston Memorial Visiting Nurse Assoc 1996 Eastman Ave Ste 101 Ventura CA 93003 951693538 501(c)(3) 15000 N/A N/A Preventative Care LivingWell Medical Clinic 113 Presley Way Ste 4 Grass Valley CA 95945 680081566 501(c)(3) 10000 N/A N/A Preventative Care Los Angeles Fire Department Foundation 1875 Century Park East 200 Los Angeles CA 90067 272007326 501(c)(3) 8000 N/A N/A Quality of Life March of Dimes Foundation 4201 W Shaw Avenue Ste 105 Fresno CA 93722 131846366 501(c)(3) 50350 N/A N/A Quality of Life Marian Medical Center Foundation 1400 E Church St Santa Maria CA 93454 953818027 501(c)(3) 516166 N/A N/A Foundation Support Maricopa County Asthma Coalition 1919 E Thomas Road Phoenix AZ 85016 742421549 Govt 18440 N/A N/A Quality of Life Mary's Mercy Center 641 N Roberds Ave San Bernardino CA 92411 330632426 501(c)(3) 23200 N/A N/A Preventative Care McCloud Healthcare Clinic Inc 116 W Minnesota Ave McCloud CA 96057 680427383 501(c)(3) 14570 N/A N/A Preventative Care Meals on Wheels of Long Beach Inc 241 Cedar Ave Long Beach CA 90802 952829715 501(c)(3) 9249 N/A N/A Quality of Life Medshare International 2937 Alvarado Street San Leandro CA 94577 582433968 501(c)(3) 109112 Book Medical supplies Medical supplies Mentor Kids USA 15333 North Pima Rd Ste 305 Scottsdale AZ 85260 860865368 501(c)(3) 25000 N/A N/A Social Health grant) Merced County Health Care Consortium 3605 Hospital Road H Atwater CA 95301 203530014 501(c)(3) 24519 N/A N/A Social Health Mercy Foundation 3400 Data Drive Rancho Cordova CA 95670 237072762 501(c)(3) 3176009 N/A N/A Foundation Support Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 501(c)(3) 694795 N/A N/A Foundation Support Mercy Foundation North 2400 Washington Ave Ste 410 Redding CA 96001 943136799 501(c)(3) 881775 N/A N/A Foundation Support Mercy Housing California 1360 Mission St Ste 300 San Francisco CA 94103 943081666 501(c)(3) 53490 N/A N/A Quality of Life Mercy Housing Inc 4802 E Ray Rd Phoenix AZ 85044 470646706 501(c)(3) 20000 N/A N/A Quality of Life Mercy Medical Center Merced Foundation 301 East 13th Street Merced CA 95340 770035928 501(c)(3) 530365 N/A N/A Foundation Support Mind Matters Clinic 150 Big Trees Road Ste D Murphys CA 95247 261442370 501(c)(3) 5400 N/A N/A Social Health Mission of Mercy 1741 E Morten Ave Ste C-2 Phoenix AZ 85020 860704883 501(c)(3) 28000 N/A N/A Social Health MMC for Children & Families 155 15th Street Ste 160A West Sacramento CA 95691 371424390 501(c)(3) 75000 N/A N/A Social Health Most Holy Redeemer Church 100 Diamond Street San Francisco CA 94114 941156774 501(c)(3) 10000 N/A N/A Quality of Life Mt Shasta Gymnastics 225 Sunrise Drive Mt Shasta CA 96067 680009235 501(c)(3) 8233 N/A N/A Social Health MUSEUM OF AFRICAN DIASPORA 685 MISSION ST 3RD FL SAN FRANCISCO CA 94105 943338239 501(c)(3) 506300 N/A N/A Operational/programs support National Alliance on Mental Health 14545 Sherman Circle Van Nuys CA 91405 953952653 501(c)(3) 6000 N/A N/A Social Health opening NATIONAL ASSOC OF HEALTH SERVICE EXEC Inc 1050 CONNECTICUT AVE NW 10TH WASHINGTON DC 20036 621312239 501(c)(3) 44300 N/A N/A Operational/programs support National Council Of The United States Society Of S 608 University Avenue Sacramento CA 95825 135562362 501(c)(3) 5510 N/A N/A Service for the Poor National Multiple Sclerosis Society 1700 Owens Street Ste 190 W1B San Francisco CA 94158 941294935 501(c)(3) 31000 N/A N/A Quality of Life Native American Community Health Ctr Inc 4520 N Central Ave 620 Phoenix AZ 85012 942540194 501(c)(3) 25000 N/A N/A Preventative Care Native American Connections Inc 4520 N Central Ave Ste 600 Phoenix AZ 85012 860293585 501(c)(3) 25000 N/A N/A Quality of Life NATL ASSOC FOR THE ADVANCEMENT OF COLORED PEOPLE 1215 K ST STE 1609 SACRAMENTO CA 95814 954617376 501(c)(3) 15000 N/A N/A Social Health Neighborhood Legal Svcs of Los Angeles County 13327 Van Nuys Boulevard Pacoima CA 91331 952408642 501(c)(3) 20000 N/A N/A Service for the Poor Nevada Diabetes Assoc For Children And Adults Inc 1005 Terminal Way 170 Reno NV 89502 880386000 501(c)(3) 15960 N/A N/A Service for the Poor Nevada State College Foundation 1125 Nevada State Drive Henderson NV 89002 880464591 501(c)(3) 50000 N/A N/A Educational Support NEWCASTLE UNITED FOOTBALL CLUB 1042 N MOUNTAIN AVE STE 110 UPLAND CA 91786 900807845 N/A 6500 N/A N/A Social Health Northern NV HIV Outpatient Prog Edu & Svc 467 Ralston Street Reno NV 89503 860865357 501(c)(3) 27500 N/A N/A Quality of Life Northern Valley Catholic Social Svcs Inc 220 Sycamore Street Red Bluff CA 96080 200984601 501(c)(3) 24570 N/A N/A Social Health NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE CA 91328 237444901 501(c)(3) 1187190 N/A N/A Foundation Support NOT FOR SALE Fund 270 CAPISTRANO RD HALF MOON BAY CA 94019 205659783 501(c)(3) 20000 N/A N/A Social Health OAKLAND METROPOLITAN CHAMBER OF COMMERCE Fndtn 475 14TH ST OAKLAND CA 94612 953217684 501(c)(3) 25000 N/A N/A Community support P O P S I C L E Center Inc 8711 E Pinnacle Peak Road 290 Scottsdale AZ 85255 208095826 501(c)(3) 8000 N/A N/A Quality of Life PANETTA INSTITUTE FOR PUBLIC POLICY 100 CAMPUS CNT SEASIDE CA 93955 770495799 501(c)(3) 6250 N/A N/A Social Health PARTNERS IN CARE FOUNDATION 15030 VENTURA BLVD 19-812 SHERMAN OAKS CA 91403 953954057 501(c)(3) 7100 N/A N/A Quality of Life Pathways Hospice Foundation 585 N Mary Ave Sunnyvale CA 94085 770280660 501(c)(3) 24600 N/A N/A Quality of Life Peninsula Family Service 24 Second Avenue San Mateo CA 94401 941186169 501(c)(3) 61267 N/A N/A Social Health Peninsula Volunteers Inc 800 Middle Avenue Menlo Park CA 94025 941294939 501(c)(3) 25000 N/A N/A Social Health People for Leisure and Youth Inc 615 South McClelland St Santa Maria CA 93454 770469844 501(c)(3) 18500 N/A N/A Quality of Life People Reaching Out Inc 5299 Auburn Boulevard Sacramento CA 95841 942795430 501(c)(3) 50000 N/A N/A Social Health Phoenix Indian Center Inc 4520 N Central Ave Ste 250 Phoenix AZ 85012 866006566 501(c)(3) 25000 N/A N/A Social Health Phoenix Symphony Association One North First St Ste 200 Phoenix AZ 85004 866000134 501(c)(3) 27800 N/A N/A Quality of Life Powerhouse Ministries Inc 311 Market Street Folsom CA 95630 680020855 501(c)(3) 50000 N/A N/A Social Health Prevent Alcohol and Risk Related Trauma in Youth PO Box 1342 Folsom CA 95763 911764812 501(c)(3) 10000 N/A N/A Educational Support PRIDE Industries 10030 Foothills Blvd Roseville CA 95747 941650529 501(c)(3) 30000 N/A N/A Quality of Life Raising Special Kids 5025 E Washington St 204 Phoenix AZ 85034 860517082 501(c)(3) 10000 N/A N/A Social Health Rebuilding Together Valley of the Sun 2123 S Priest Ste 213 Tempe AZ 85282 860680607 501(c)(3) 10000 N/A N/A Social Health Regents of the University of Cal Berkeley 2195 HEARST AVE RM 120 MC 1104 BERKELEY CA 94720 946002123 501(c)(3) 116667 N/A N/A Educational Support Regents Of The University Of California 2101 E Earhard Ave Ste 200 Stockton CA 95206 946036494 501(c)(3) 25000 N/A N/A Educational Support assistant Remote Area Medical Foundation 950 Reserve Dr Ste 120 Roseville CA 95678 452408171 501(c)(3) 10000 N/A N/A Preventative Care Roman Catholic Archbishop Of Los Angeles 3424 WILSHIRE BLVD LOS ANGELES CA 90010 951642382 501(c)(3) 22600 N/A N/A Social Health Roman Catholic Archbishop Of San Francisco 1122 Jamestown Ave San Francisco CA 94124 941156707 501(c)(3) 95500 N/A N/A Religious Community Roman Catholic Bishop Of Las Vegas 215 Palo Verde Drive Henderson NV 89009 880059349 501(c)(3) 22300 N/A N/A Social Health Roseville Home Start 410 Riverside Avenue Roseville CA 95678 911657990 501(c)(3) 40000 N/A N/A Social Health RotaCare Bay Area Inc 3190 S Bascom Ave Ste 170 San Jose CA 95158 770328723 501(c)(3) 25000 N/A N/A Social Health Sacramento Children's Home 2750 Sutterville Road Sacramento CA 95820 941156588 501(c)(3) 50000 N/A N/A Social Health Sacramento District Dental Foundation 915 28th Street Sacramento CA 95816 237067087 501(c)(3) 40000 N/A N/A Preventative Care Saint Mary's Foundation 235 W 6th Street Reno NV 89520 880188386 501(c)(3) 1227202 N/A N/A Foundation Support Samaritan House 4031 Pacific Boulevard San Mateo CA 94403 237416272 501(c)(3) 8050 N/A N/A Social Health San Bernardino Sexual Assault Services Inc 444 N Arrowhead Ave Ste 101 San Bernardino CA 92401 953543081 501(c)(3) 10000 N/A N/A Social Health SAN FRANCISCO EVENT COMMITTEE 325 Sharon Park Drive 308 200 Menlo Park CA 94025 943001337 501(c)(3) 10000 N/A N/A Community Support SAN FRANCISCO PLANNING & URBAN RESEARCH ASSOc 654 MISSION ST SAN FRANCISCO CA 94105 941498232 501(c)(3) 24750 N/A N/A Quality of Life SAN FRANCISCO SHANGHAI Friendship Committee 809 SACRAMENTO ST SAN FRANCISCO CA 94108 942878895 501(c)(3) 7000 N/A N/A Social Health San Joaquin County Office of Education Foundation PO Box 213030 Stockton CA 95213 680342748 501(c)(3) 35000 N/A N/A Educational support SANTA BARBARA COUNTY EDUCATION OFFICE PO BOX 6307 SANTA BARBARA CA 93160 956000940 Govt 5499 N/A N/A Quality of Life Santa Barbara County Sheriffs Relief & Benefit Ass 315 CAMINO DEL REMEDIO SANTA BARBARA CA 93110 237045577 501(c)(4) 84000 N/A N/A Preventative Care SANTA MARIA ROTARY OF SANTA MARIA PO BOX 1518 SANTA MARIA CA 93456 953376523 501(c)(4) 8250 N/A N/A Social Health Santa Maria Valley FISH PO Box 6526 Santa Maria CA 93456 952757731 501(c)(3) 10000 N/A N/A Quality of Life Santa Maria Valley YMCA 3400 Skyway Drive Santa Maria CA 93455 952158363 501(c)(3) 16000 N/A N/A Social Health Second Harvest Food Bank of Santa Cruz County 800 Ohlone Parkway Watsonville CA 95076 770326685 501(c)(3) 25000 N/A N/A Quality of Life Self Help for the Elderly 407 Sansome Street San Francisco CA 94111 941750717 501(c)(3) 10000 N/A N/A Social Health Children Senior Citizens Legal Services 501 Soquel Ave Suite F Santa Cruz CA 95062 942280258 501(c) (3) 11670 N/A N/A Service for the Poor Sequoia Hospital Foundation 170 Alameda de Las Pulgas Redwood City CA 94062 942909990 501(c)(3) 1395447 N/A N/A Foundation Support Serotonin Surge Charities 1955 Cowell Boulevard Davis CA 95618 680411254 501(c)(3) 35000 N/A N/A Preventative Care Servant of Mary Ministers to the Sick 140 North G Street Oxnard CA 93030 956054374 501(c)(3) 20636 N/A N/A Service for the Poor Shanti Project Inc 730 Polk St 3rd Fl San Francisco CA 94109 942297147 501(c)(3) 20000 N/A N/A Quality of Life Shasta Community Health Center 1035 Placer Street Redding CA 96001 680165855 501(c)(3) 50000 N/A N/A Social Health Shasta County Dept of Public Health 1855 Placer St Ste 201 Redding CA 96001 946000535 Govt 20000 N/A N/A Social Health Shasta Senior Nutrition Program 100 Mercy Oaks Drive Redding CA 96003 942650429 501(c)(3) 115645 N/A N/A Service for the Poor SMOOTH Inc 240 East Roemer Way Santa Maria CA 93454 953059115 501(c)(3) 10000 N/A N/A Social Health Southwest Human Development 2850 N 24th Street Phoenix AZ 85008 860407179 501(c)(3) 32000 N/A N/A Quality of Life Special Olympics Southern California Inc 3200 N Sillect Avenue Bakersfield CA 93308 954538450 501(c)(3) 17570 N/A N/A Social Health SPELMAN COLLEGE 350 SPELMAN LN SW BOX 616 ATLANTA GA 30314 580566243 501(c)(3) 200000 N/A N/A Educational Support ST ANTHONY FOUNDATION 121 GOLDEN GATE AVE SAN FRANCISCO CA 94102 941513140 501(c)(3) 200000 N/A N/A Quality of Life St Barnabas School 3980 Marron Ave Long Beach CA 90807 330527343 501(c)(3) 7500 N/A N/A Educational support St Bernardine Medical Center Foundation 2101 N Waterman Ave San Bernardino CA 92404 237440086 501(c)(3) 914005 N/A N/A Foundation Support St John's Healthcare Foundation 1600 N Rose Ave Oxnard CA 93030 202865781 501(c)(3) 1121167 N/A N/A Foundation Support St John's Retirement Village 135 Woodland Avenue Woodland CA 95965 941636507 501(c)(3) 7500 N/A N/A Quality of Life ST JOSEPH HIGH SCHOOL 4120 S BRADLEY RD SANTA MARIA CA 93455 952315939 501(c)(3) 5361 N/A N/A Educational Support St Joseph's Foundation 350 W Thomas Rd Phoenix AZ 85013 942941245 501(c)(3) 1680147 N/A N/A Foundation Support St Joseph's Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 501(c)(3) 1001429 N/A N/A Foundation Support St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 501(c)(3) 2065845 N/A N/A Foundation Support St Mary's Interfaith Community Services 545 W Sonora Street Stockton CA 95203 942687280 501(c)(3) 11342 N/A N/A Service for the Poor St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 501(c)(3) 871307 N/A N/A Foundation Support St Rose Dominican Health Foundation 2865 Siena Heights Dr Ste 300 Henderson NV 89052 880455713 501(c)(3) 2094035 N/A N/A Foundation support St Vincent de Paul Stores Inc 316 Baker Street Bakersfield CA 93305 951853364 501(c)(3) 36000 N/A N/A Service for the Poor ST VINCENT'S SANTA BARBARA 4200 CALLE REAL SANTA BARBARA CA 93110 951643367 501(c)(3) 5457 N/A N/A Religious Community Stockton Symphony Association Inc 1024 W Robinhood Drive Ste 1 Stockton CA 95207 941462758 501(c)(3) 8600 N/A N/A Quality of Life Tarzana Treatment Centers Inc 18646 Oxnard Street Tarzana CA 91356 942219349 501(c)(3) 44918 0 N/A N/A Social Health The Congenital Heart Foundation 350 W Thomas Rd Phoenix AZ 85013 263342554 501(c)(3) 134836 N/A N/A Foundation Support The Friendship Club 138 New Mohawk Road Ste 272 Nevada City CA 95959 680262000 501(c)(3) 7500 N/A N/A Social Health The NETWORK 801 PENNSYLVANIA AVE STE 460 WASHINGTON DC 20003 520984255 501(c)(3) 40000 N/A N/A Service for the Poor The Salvation Army 30-400 Landau Blvd Cathedral City CA 92234 941156347 501(c)(3) 61865 N/A N/A Social Health The Shade Tree Inc 1 West Owens Ave North Las Vegas NV 89030 880253276 501(c)(3) 50000 N/A N/A Service for the Poor The UC Davis Foundation PO BOX 179001 SACRAMENTO CA 95817 946081352 501(c)(3) 55756 N/A N/A Educational support The Valley Economic Alliance 5121 VAN NUYS BLVD STE 200 SHERMAN OAKS CA 914031497 954524503 501(c)(3) 10000 N/A N/A Social Health Thrift Shop-cancer Aid 317 South Auburn St Grass Valley CA 95945 237153211 501(c)(3) 10000 N/A N/A Social Health Tiger mountain Foundation 836 E South mountain Ave Phoenix AZ 85042 270806147 501(c)(3) 25000 N/A N/A Quality of Life Trauma Intervention Programs Inc PO Box 93202 Las Vegas NV 89193 330317893 501(c)(3) 8800 N/A N/A Preventative Care Trinity Hospital 60 Easter Ave Weaverville CA 96093 208236808 Govt 50000 N/A N/A Social Health United Iu-Mien Community 6000 Lemon Hill Avenue Sacramento CA 95824 680364879 501(c)(3) 50000 N/A N/A Social Health United States Veterans Initiative 800 W 6th St Ste 1506 Los Angeles CA 90017 954382752 501(c)(3) 13000 N/A N/A Social Health United Way of Merced County Inc 658 West Main Street Merced CA 95340 942633265 501(c)(3) 25000 N/A N/A Preventative Care United Way of Santa Cruz County 4450 Capitola Road 106 Capitola CA 95010 941422471 501(c)(3) 63250 N/A N/A Preventative Care University Foundation at Sacramento State 6000 J Street Sacramento CA 95819 943001359 501(c)(3) 100000 N/A N/A Educational Support University of Arizona 100 W Washington 13th Fl Phoenix AZ 85003 742652689 Govt 15300000 N/A N/A research/teaching/ University Of Nevada Las Vegas Foundation 4505 Maryland Pkwy Las Vegas NV 89154 942790134 501(c)(3) 70000 N/A N/A Educational Support UNIVERSITY OF VIRGINIA ALUMNI ASSOCIATION 211 EMMET ST S 690 CHARLOTTESVILLE VA 22904 540485595 501(c)(3) 10000 N/A N/A Educational Support Vetfund Foundation 1227 O ST SACRAMENTO CA 95814 205195691 501(c)(3) 10050 N/A N/A Social Health related Volunteers in Medicine of So Nevada Inc 4770 Harrison Dr 105 Las Vegas NV 89121 392072453 501(c)(3) 50000 N/A N/A Social Health Weave Inc 1900 K Street Sacramento CA 95811 942493158 501(c)(3) 50000 N/A N/A Social Health related West Side Community Resource Center 915 N 10th Street 20 Taft CA 93268 651305502 501(c)(3) 24888 N/A N/A Social Health Westcare Nevada Inc PO Box 94738 Las Vegas NV 89123 942778981 501(c)(3) 23017 N/A N/A Community Support Westside Neighborhood Clinic 2125 San Fe Avenue Long Beach CA 90810 952973364 501(c)(3) 15000 N/A N/A Social Health WOMEN TO WOMEN INTERNATIONAL 4455 CONNECTICUT AVE STE 200 WASHINGTON DC 20008 521838756 501(c)(3) 50000 N/A N/A Quality of Life Women's Center Youth and Family Center 620 N San Joaquin Street Stockton CA 95202 942341360 501(c)(3) 5040 N/A N/A Service for the Poor Womenshelter of Long Beach PO Box 32107 Long Beach CA 90813 951644058 501(c)(3) 9249 N/A N/A Social Health Woodland Memorial Hospital Foundation 1321 Cottonwood Street Woodland CA 95670 946167964 501(c)(3) 295342 N/A N/A Foundation Support Worksite Wellness LA 595 S Western Avenue Los Angeles CA 90047 550802354 501(c)(3) 18008 N/A N/A Service for the Poor YMCA 1655 Frye Road Chandler AZ 85224 860096799 501(c)(3) 19275 0 N/A N/A Preventative Care YMCA Of Metropolitan Los Angeles 6901 Lennox Avenue Van Nuys CA 91405 951644052 501(c)(3) 40000 0 N/A N/A Preventative Care Yolo Community Care Continuum 168 College Street Woodland CA 95695 942623205 501(c)(3) 10000 0 N/A N/A Social Health Yolo Family Resource Center 828 Court Street Woodland CA 95695 470871252 501(c)(3) 31113 0 N/A N/A Quality of Life Yolo Family Service Agency 455 First Street Woodland CA 95695 941452884 501(c)(3) 10000 N/A N/A Quality of Life Yolo Wayfarer Center Christian Mission 207 4th Street Woodland CA 95776 680059409 501(c)(3) 8843 N/A N/A Quality of Life Youth Violence Prevention Council for Shasta Count 1700 Pine Street Ste 250 Redding CA 96001 680381728 501(c)(3) 10000 N/A N/A Social Health Zen Hospice Project Inc 44 Gough St Ste 303 San Francisco CA 94103 943155375 501(c)(3) 25000 N/A N/A Quality of Life 292 9 DIRECT CASH ASSISTANCE 723 96094 N/A N/A FINANCIAL ASSISTANCE TO NEEDY 605 50470 N/A N/A FINANCIAL ASSISTANCE TO PATIENTS 2788 111588 N/A N/A SCHOLARSHIP 15 16250 N/A N/A SPONSORSHIP OF MEDICAL CONFERENCE 1 10000 N/A N/A DONATION OF CLOTHING/GIFTS TO NEEDY 3055 24180 COST Clothing and gifts PROVISION OF FOOD/MEALS 71428 272413 COST Food MEDICAL SUPPLIES/EQUIPMENT TO INDIGENTS 3555 821533 book Medical supplies OTHER IN-KIND DONATIONS TO NEEDY 639 6247 COST Car seats/ diapers PHARMACY CHARITY PRESCRIPTION 1010 137687 COST Pharmaceuticals PROVISION OF SCHOOL SUPPLIES 229 1100 COST School supplies Part I, line 1 INCLUDED IN PART II ABOVE IS $4,050,855 RELATED TO The Dignity Health Community Grants program. THIS PROGRAM IS one way in which Dignity Health supports and enhances the advocacy, social justice and healthier communities efforts of its hospitals and the religious sponsors of our Catholic hospitals. Begun in 1990, the program's initial objectives were: (1) to strengthen the bonds among our member hospitals; and (2) to partner with other nonprofit organizations that share our values and also work to improve the health status and quality of life of the communities we serve. Each of the grant recipients are required to submit an annual accountability report to Dignity Health. The reports reflect activities performed, objectives and outcomes reached by the grant recipientS. All organizations that apply for these grants are required to be a 501(c)(3) organization. OTHER GRANTS ARE PROVIDED BY Dignity Health (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER Dignity Health'S EXEMPT PURPOSE. GRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT Dignity Health AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. Several grants are provided to other organizations in which Dignity Health supports community efforts. In addition, grants are provided to individuals, primarily patients, due to financial need or urgent, unforeseen occurrences requiring immediate action. Examples of assistance include transportation costs to a hospital for treatment, pharmacy costs for indigent patients, and sheltered meals. The grants are approved by the hospital's Administration department or a designated committee reviews and approves grants to be awarded. X X X true true X X X X true true false false false false false false false Lloyd H Dean 1387651 0 2510407 0 984698 0 1052285 0 75385 0 6010426 0 960524 0 Michael D Blaszyk 865377 0 1099787 0 301275 0 576026 0 57644 0 2900109 0 280662 0 Derek F Covert 535662 0 676397 0 18606 0 73182 0 45556 0 1349403 0 0 0 William J Hunt 649215 0 570038 0 1196474 0 77332 0 50232 0 2543291 0 0 0 Diane Lee 239322 0 107567 0 4569 0 27385 0 24262 0 403105 0 0 0 Marvin O'Quinn 869909 0 1817959 0 303839 0 390406 0 50747 0 3432860 0 0 0 Elizabeth Shih 623398 0 788373 0 291539 0 104121 0 49964 0 1857395 0 253744 0 Keith Callahan 264386 0 173676 0 98740 0 33188 0 25385 0 595375 0 0 0 Gary F Conner 72554 0 75000 0 25216 0 8525 0 6073 0 187368 0 0 0 Mary Connick 357087 0 211306 0 10040 0 40070 0 26912 0 645415 0 0 0 Rodney A Davis 448399 0 263200 0 24779 0 48672 0 29984 0 815034 0 0 0 Charles P Francis 568968 0 830376 0 155975 0 174403 0 47441 0 1777163 0 143300 0 Linda Hunt 561972 0 330012 0 20544 0 58451 0 38186 0 1009165 0 0 0 Jeffrey W Land 298797 0 175670 0 3046 0 34552 0 40545 0 552610 0 0 0 Bernita McTernan 481999 0 662634 0 37083 0 73451 0 49112 0 1304279 0 0 0 Mark A Meyers 431768 0 252591 0 17990 0 47217 0 39864 0 789430 0 0 0 Timothy Moran 130013 0 0 0 476042 0 12226 0 14186 0 632467 0 0 0 Karl Silberstein 503589 0 279775 0 16865 0 52152 0 38377 0 890758 0 0 0 Michael Taylor 55769 0 721000 0 105360 0 44276 0 0 0 926405 0 0 0 LeAnne Trachok 327150 0 193246 0 1877 0 35367 0 20715 0 578355 0 0 0 Herbert Vallier 560612 0 718750 0 500172 0 73744 0 44132 0 1897410 0 0 0 Glenna L Vaskelis 402198 0 224850 0 16816 0 43210 0 45554 0 732628 0 0 0 Robert Wiebe MD 590330 0 737725 0 8385 0 223760 0 27134 0 1587334 0 0 0 Benjamin R Williams 146571 0 264533 0 1123900 0 27534 0 11828 0 1574366 0 0 0 Deanna Wise 313461 0 100000 0 834 0 68567 0 9115 0 491977 0 0 0 John M Wray 446331 0 570679 0 17929 0 65993 0 41678 0 1142610 0 0 0 Lisa Gamshad Zuckerman 315945 0 192788 0 3210 0 37202 0 36559 0 585704 0 0 0 Marwan Ghazoul MD 586046 0 118303 0 1870 0 40374 0 26537 0 773130 0 0 0 John G Bibby 228519 0 174585 0 333081 0 29677 0 21480 0 787342 0 0 0 Naftaly Attias MD 252492 0 489745 0 885 0 50074 0 22242 0 815438 0 0 0 Scott R Petersen MD 589083 0 118910 0 5595 0 47932 0 27884 0 789404 0 0 0 Dana G Seltzer MD 279818 0 519907 0 3960 0 53564 0 22309 0 879558 0 0 0 Saliba Salo 339352 0 64574 0 18049 0 30934 0 14191 0 467100 0 0 0 Mike Uboldi 426672 0 250342 0 13976 0 46114 0 32369 0 769473 0 0 0 Ernest H Urquhart 300000 0 0 0 0 0 0 0 0 0 300000 0 0 0 Sch J, PART I, LINES 1A, 4A, & 4B PART I, 1A First class travel and upgrades to such are treated on an exception basis according to Dignity Health policy. Such travel totaling $28,704 was provided to 9 officers, directors and key employees. No amounts have been included as reportable compensation as these travel expenses were incurred for business purposes. There was no charter travel in 2011. PART I, 1A Tax gross-up payments were provided to two key employees related to relocation expenses. Tax gross-up payments were also provided to two officers and one key employee of the organization related to forgiveness of relocation loans based on service requirements met. These gross up payments were included as taxable compensation to the listed persons. PART I, 1A Club dues have been paid by Dignity Health for business use by two key employees. No amounts have been included as reportable income as expenses related to personal usage, if any, are paid by these employees. No amount has been paid for club dues for officers. Dignity Health does not pay or reimburse for any health club memberships. PART I, 4A Dignity Health's key employees and officers and certain highly compensated employees participate in a 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 pursuant to the plan arrangement for one officer, two key employees and one highest compensated employee occurred during 2011 related to both eliminated positions and involuntary terminations; W. Hunt $1,000,000; T. Moran $445,544; B. Williams $1,043,783 and J. Bibby $295,944. PART I, 4B Certain officers and key employees 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 2011. PART I, 4B Dignity Health's key employees and certain officers and highly compensated employees 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. No benefit under this formula will vest under this 457(f) plan before the attainment of age 62 or the completion of 15 years of service. The 2010 Executive Deferred Compensation Plan is for certain officers and key employees 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. No payments were made under this plan during 2011. PART I, 4B 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 2011. PART I, 4B Certain officers and key employees participate in the Dignity Health Supplemental Executive Retention/Retirement Plan, a nonqualified supplemental benefit plan which in 2002 was offered to members of the executive management team by the Dignity Health Board of Directors and would be paid only if the executives stayed with the organization for a specified number of years as the primary purpose of this plan is to provide for the retention and retirement of the participants. The executive management team was recruited from stable careers in organizations from across the country and from various industries to engineer and lead a financial and operational turnaround after the organization had lost nearly $1 billion in net operating performance. The calculation for the payments to each executive is based on the value of a final average pay annuity benefit based on retirement age and service years to the organization. Distribution occurs each July 1 if the plan formula warrants a payment. Vested amounts are reported as deferred compensation in the year vesting occurs (Schedule J, Part II, column C) and are reflected again as reportable compensation in the year paid (Schedule J, Part II, column B(iii)). Payments made during 2011 pursuant to this plan include $960,524 to L. Dean, $280,662 to M. Blaszyk, $143,300 to C. Francis and $253,744 to E. Shih. Sch J - PART II SCH J - PART II Dignity Health's executive compensation philosophy is designed to assist Dignity Health in attracting and retaining the caliber of executives required to enable Dignity Health 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 Dignity Health 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, targets the 75th percentile of the market in which Dignity Health competes for executives, commensurate with the size and complexity of the organization. CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521598225 13033FRT9 2004-04-28 470300483 BOND A: CUSIP 13033FRT9-SEE PRT VI true false false THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ 860445263 566816GY4 2004-04-28 259114410 BOND B: CUSIP 566816GY4-SEE PRT VI false false false CITY OF HENDERSON NEVADA 886000720 425203BM7 2004-04-28 166163811 BOND C: CUSIP 425203BM7-SEE PRT VI false false false CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521598225 13033FTN0 2004-05-19 150000000 BOND D: CUSIP 13033FTN0-SEE PRT VI false false false 45900000 4100000 472399331 7910067 0 428246052 4074726 25069705 7098781 0 0 0 2004 true true true true 0 0 267956955 8557073 0 74718546 2542136 0 6947963 158912634 0 16278603 2006 true false true true 0 0 171862421 4163061 5184771 48745447 1638159 0 2791994 109338989 0 0 2007 true true true true 0 0 136994286 0 0 0 0 0 0 136994286 0 0 2007 false false true true false true true true true true 0.00000 0.00000 0.00000 true false true true true true true 0.00015 0.00000 0.00015 true false true true true true true 0.00061 0.00000 0.00061 true false true true true true true 0.00067 0.01121 0.01188 true false true true CITIGROUP & JPMORGN 21.2 false true true LEHMAN BROTHERS 22.2 true true false false true true JP MORGAN 5. false true true LEHMAN BROTHERS 22.2 true true false false true true CITIGROUP 5. false true true LEHMAN BROTHERS 23.2 true true false false true false 0 false 0 true false X BOND A: CUSIP 13033FRT9 - ADDITIONAL SCHEDULES ARE INCLUDED 0 Prt I,(e)difference due to investment earnings. 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Marvin O'Quinn relocation loan X 600000 400000 false false true Herb Vallier relocation loan X 300000 300000 false false true 700000 Wade Dean Family member of L Dean 63281 Employment false Kristin Anderson Family member-J Anderson 98235 Employment false SonoSite Inc R Hochman, BOD 402710 Equipment and services false Marianne Hyer Family member of J Hyer 36681 Employment false Mercy Doctors Medical Group K Mills, ownership int>5% 171639 Lease payments false Ashley Olson Family member of M Uboldi 11817 Employment false Jason Olson Family member of M Uboldi 44932 Employment false Paige Gemuenden Famly membr of M Callahan 50192 Employment false X 91 44841 COMPARABLE SALE X 279957 RESALE VALUE X 4 519400 COMPARABLE SALE X 11 70550 COMPARABLE SALE X LAND & BLDG IMPROVEMENTS 12 99418 COST X ELECTRONICS 2 68998 COMPARABLE SALE X FURNITURE & FIXTURES 48 46145 COMPARABLE SALE X TOYS 77 44712 COMPARABLE SALE X Medical Equipment 3 26631 COMPARABLE SALE X ENTERTAINMENT 4 22643 COMPARABLE SALE X DENTAL SUPPLIES 1 10055 COMPARABLE SALE X FOOD & WINE 1 2072 COMPARABLE SALE X WIGS 1 1926 COMPARABLE SALE X BLANKETS 1 1500 COMPARABLE SALE X SEASONAL FLOWERS 1 960 COMPARABLE SALE X CRYSTAL STEMWARE 1 922 COMPARABLE SALE X OFFICE EQUIPMENT 1 55 COMPARABLE SALE 0 false true true SCH M, PART I, COLUMN B THE ORGANIZATION IS REPORTING A COMBINATION OF EITHER THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED. Sch M, Part 1, Line 32b DIGNITY HEALTH IS SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF DIGNITY HEALTH'S HOSPITALS. PART VI, GOVERNANCE AND MANAGEMENT DISCLOSURES FORM 990, PART VI, SECTION A, LINE 2 Officer D. Covert has a family relationship with key employee M. Connick. FORM 990, PART VI, SECTION A, LINE 4 In January 2012, the Corporation implemented a governance restructuring and announced its name change to Dignity Health. The governance restructuring was implemented through revisions to Catholic Healthcare West's corporate documents, including Restated Articles of Incorporation and Restated Bylaws. Dignity Health transitioned to a self-perpetuating Board of Directors structure from the prior structure where the Board of Directors was appointed by Corporate Members, which had been comprised of women religious appointed by the religious orders that sponsored the organization. There was no change to the ownership, use of the corporation's assets or federal tax identification number, nor did the governance restructuring impact the corporation's management structure or nonprofit status. Dignity Health has received an IRS determination letter to maintain its 501(c)(3) tax-exempt status, retroactive to the application date in December 2011. See line 7b below for reserved powers of co-sponsors. FORM 990, PART VI, SECTION A, LINES 6 AND 7a Prior to the January 2012 governance restructuring and name change noted above, the organization was co-sponsored by six congregations ("co-sponsors") that had specific governance rights and responsibilities, including the appointment of the organization's Corporate Members which were automatically on the Board of Directors. Subsequent to the restructuring, Dignity Health transitioned to a self-perpetuating Board of Directors structure with significant reserved powers held by the former members as described herein. FORM 990, PART VI, SECTION A, LINE 7b Prior to the January 2012 governance restructuring and name change noted above, reserved rights of the Corporate Members (and in some instances the Corporate Members and the co-sponsors separate and apart from the Corporate Members) included the adoption of, or material change in, the mission and philosophy statements of the organization and its subordinates, amendment or restatement of articles of incorporation and bylaws, sale or disposition of all or substantially all assets of the organization, appointment or termination of the chief executive officer, change of name of the organization, entering into or materially changing any relationship with any acute care hospital or adding a new sponsor, and acquisition or construction of a new acute care facility that constitutes property subject to the norm of church law, dissolution of the Corporation, and merger or consolidation with another corporation with the organization as the disappearing corporation. In its governance restructuring, pursuant to the legacy of the co-sponsors, the Corporation committed in its bylaws to continue a healing ministry based on the life and works of Jesus in the provision of healthcare services in the communities it serves ("the healing ministry.") To further the healing ministry, the rights formerly reserved to the co-sponsors of Dignity Health were preserved post-restructuring as follows. A Sponsorship Council was formed pursuant to the Bylaws, composed of members of the co-sponsoring organizations, and responsible for overseeing and acting upon issues of Catholic identity for Catholic-sponsored facilities, and informing the healing ministry of the Corporation, including both Catholic-sponsored and non-Catholic sponsored facilities, through the right to appoint three of seven members of the Mission Integrity Committee of the Board and to approve any changes in the Statement of Common Values. The Mission Integrity Committee is responsible for evaluation and resolution of management, operational, and patient care issues that impact conformance with the mission and values of the healing ministry in the operations of the Corporation; approving policies and procedures with respect to implementation and conformance to the mission and values of the healing ministry; establishing and maintaining systems for monitoring compliance with the mission and values of the healing ministry; the operational integrity of the Statement of Common Values and the Ethical and Religious Directives; the operational integrity of mission integration standards; pastoral care and education programs; and ministry leadership formation programs. In addition, the Mission Integrity Committee shall have the power and responsibility to review and monitor the System's labor practices and pension administration. The Mission Committee may propose changes to the Statement of Common Values, provided the proposal is first reviewed with the Sponsorship Council, which has the sole power to veto any such changes before they are presented to the Corporation's Board for final approval. In addition to working through the Sponsorship Council, at least two members of the Dignity Health Board continue to be women religious, serving as individuals, not as representatives of their congregations. Finally, each individual sponsoring congregation would continue to have the right to the approval of the sale or closure of its sponsored Catholic hospitals or disposition of its other stable patrimony, or the change of name of such Catholic hospital. FORM 990, PART VI, SECTION B, LINE 11A The Board of Directors delegated the review of the Form 990 to the Audit and Compliance Committee. The organization's SVP/Finance & Corporate Controller and the VP/Financial Services and Reporting, and the outside accounting firm it engaged to review the return, presented each section of the final draft of this Form 990 to the Audit and Compliance Committee. Compensation schedules and disclosures were presented to the Human Resources and Compensation Committee of the Dignity Health Board of Directors by executive management. The Audit and Compliance Committee also met with various personnel involved in the preparation process of the return, including, but not limited to, the SEVP/Chief Financial Officer and VP/Compliance and Internal Audit. The review included an explanation of each schedule of the Form 990 and the pertinent information contained on each schedule. Subsequent to its review, the Audit and Compliance Committee reported back to the Board regarding its oversight of the Form 990 and the complete copy of the Form 990 was provided to the entire Board before the return was filed. . FORM 990, PART VI, SECTION B, LINE 12C The Board of Directors delegated to the Audit and Compliance Committee responsibility for monitoring conflicts of interest disclosures and for addressing any potential or actual conflicts. Dignity Health's policies related to conflicts of interest charge the EVP/General Counsel with responsibility for reviewing and validating disclosures, and maintaining adequate records of disclosures. Pursuant to these policies, an annual conflict of interest disclosure statement, aimed at determining any family and business relationships and transactions, or other transactions that may pose a potential conflict, is distributed to all covered persons (e.g., board members, officers and executive leadership, key employees and all management personnel whose responsibilities include business decisions which may give rise to conflicts of interest). Covered persons are also required to disclose real or potential conflicts at the time such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to submit an updated disclosure statement and to sign a statement affirming that he/she: (1) has received a copy of the policy applicable to their 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 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 must be approved by a majority of disinterested persons, based on certain criteria; 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B The Board of Directors appoints a Human Resources and Compensation Committee, comprised solely of directors, who are independent with respect to executive compensation, to be accountable for setting reasonable compensation packages for each officer and key employee (including the President/CEO). The 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 employees. The Human Resources and Compensation Committee also engages outside legal counsel as necessary and a qualified independent compensation and benefits specialist (independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparability data is obtained from the independent experts, e.g., total economic benefits paid by similarly situated organizations (both taxable and tax-exempt) for similar job responsibilities. Key deliberations of the Committee are documented in meeting minutes which are approved at the next Committee meeting and provided to the Board of Directors. The documentation of the decision includes (a) the terms of the transaction that was approved and the date it was approved, (b) the members of the Committee who were present during discussion of the transaction that was approved and those who voted on it, and (c) the comparability data obtained and relied upon by the Committee and how the data was obtained. FORM 990, PART VI, SECTION B, LINE 19 Federal tax laws do not require that the organization's governing documents, policies related to conflicts of interest and financial statements be made available for public inspection. The organization makes its consolidated financial statements available on its website and upon request. The financial statements are also attached to this Form 990. FORM 990, PART VII, SECTION A Dignity Health does not compensate Director Ken Mills for his services as a board member, but rather for administrative and medical director services provided at a Dignity Health facility. FORM 990, PART XI - Reconciliation of Net Assets, Line 5 Change in unrealized gains/(losses); $(196,549,413) Change in non-controlling interest; $502,587 Change in additional minimum pension liability; $(582,711,000) Investment in health related activities organized as corps/exempt Organizations; $41,885,234 Mark-to-market on interest rate swaps; $2,682,936 Interest in net assets of unconsolidated foundation/related entities; $(1,832,061) Book/tax difference k-1 investments; $(26,391,121) Change in ownership interest-JV; $(291,911) Other fund balance transfers; $926,518 FORM 990, PART XII - Financial Statements AND Reporting, LINE 3 The organization's federal awards were included in Dignity Health and Subordinate Corporations' consolidated OMB Circular A-133 audited schedule of federal expenditures. SCHEDULE K BOND A: CUSIP 13033FRT9 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund prior bond issues - California Health Facilities Financing Authority ("CHFFA") 1988 AB; CHFFA 1992 A; CHFFA (ST. JOSEPH'S) 1993 A; California Statewide Communities Development Authorities ("CSCDA") 1993 A Certificates of Participation ("COPs"); CHFFA 1994 AB; CHFFA 1996 B; CHFFA 1996 CD; CHFFA 1996 F; CHFFA 1997 ABC; CHFFA 1998 A. Part I, Column (g) $4.1 million of the CHFFA 2004 H was defeased in 2005. The first call date is 7/1/2011. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contract be in compliance with Revenue Procedure 2007-47. Part IV, Line 1 Arbitrage calculations were performed by our arbitrage consultants and reviewed by Dignity Health (formerly Catholic Healthcare West). Such consultants determined that there was no rebatable arbitrage liability; accordingly, no Form 8038-T was required to be filed. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D bonds which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A bonds which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a qualified hedge with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND B: CUSIP 566816GY4 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - AZ 1993 A; AZ 1994 A; and new money to finance capital expenditures for construction of Mercy Gilbert and add a new tower at St. Joseph's Hospital and Medical Center. Part II, Line 13 The Industrial Development Authority of Maricopa County (IDAMC) 2004 SERIES AB construction fund proceeds were spent by 2006 on projects that were substantially completed by that date. In March 2009, the IDAMC 2004 Series B bonds were refinanced with a draw on a taxable line of credit, and in May 2009, a portion of the draw on the line was refinanced with tax-exempt debt. In March 2009, approximately $17 million was released from debt service reserve funds, a portion of which is allocable to the un-refinanced portion of the taxable line of credit and a portion of which is allocable to the May 2009 tax-exempt bonds. Such funds are currently unspent and will be used either for capital projects or to redeem or defease May 2009 bonds. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 1 Arbitrage calculations were performed by our arbitrage consultants and reviewed by Dignity Health. Such consultants determined that there was no rebatable arbitrage liability; accordingly, no Form 8038-T was required to be filed. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND C: CUSIP 425203BM7 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues NV 1994 A NV 1998 A and new money to finance capital expenditures for the construction of a new hospital, St. Rose Dominican Hospital - San Martin Campus. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 1 Arbitrage calculations were performed by our arbitrage consultants and reviewed by Dignity Health. Such consultants determined that there was no rebatable arbitrage liability; accordingly, no Form 8038-T was required to be filed. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. . BOND D: CUSIP 13033FTN0 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. The separate entities received $14 million of the $150 million of the CHFFA 2004 Series J and K pool bonds. Part I, Column (f) New money to fund various projects and medical equipment at numerous hospitals in California. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 1 Arbitrage calculations were performed by our arbitrage consultants and reviewed by Dignity Health. Such consultants determined that there was no rebatable arbitrage liability; accordingly, no Form 8038-T was required to be filed. BOND E: CUSIP 13033FG46 Part I, Column (c) California Health Facilities Financing Authority (CHFFA) 2005 SERIES A-G, of which CHFFA 2005 SERIES A-F were exchanged for CHFFA 2008 SERIES FHIJKL. The CUSIP number noted on Schedule K '13033FG46' is the CUSIP from the original Form 8038 filed for the 2005 Series A-G bonds, all of which were issued on November 10, 2005. On May 16, 2008, the CHFFA series 2005 A-F bonds were exchanged pursuant to IRS Notice 2008-41, without causing a reissuance, for CHFFA 2008 series FHIJKL, of which the longest maturity, within series J (maturing July 1, 2032), was CUSIP number '13033F3D0.' Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - CHFFA 1988 A; CHFFA 1995 H; CHFFA 1997 A; CHFFA 1998 A; CSCDA 1999 and new money for capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed-rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND F: CUSIP 13033FYE4 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. The separate entities received $37 million of the $200 million of the CHFFA 2005 Series H and I pool bonds. Part I, Column (f) New money to finance capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. . BOND G: CUSIP 040507GL3 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (c) Arizona Health Facility Authority (AHFA) 2005 Series BCDE, of which AHFA 2005 Series CDE were exchanged for AHFA 2008 Series ABC, of which AHFA 2008 Series C was exchanged for AHFA 2009 Series F. The CUSIP number noted on Schedule K '040507GL3' is the CUSIP from the original Form 8038 filed for the 2005 Series BCDE Bonds, all of which were issued on November 10, 2005. On May 16, 2008, the AHFA 2005 CDE Bonds were exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for AHFA 2008 Series ABC. The AHFA 2008 Series C Bonds were later exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for the AHFA 2009 Series F Bonds on November 12, 2009. All the series noted above have the same maturity of July 1, 2035. The CUSIPs of the outstanding bonds are AHFA 2005 Series B '040507GM1', AHFA 2008 A '040507JT3', AHFA 2008 B '040507JU0' and AHFA 2009 Series F '040507MK8.' Part I, Column (f) New money to finance capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND H: CUSIP 130795DH7 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - CA 1995 A; CA 1996 A; and CA 1999 A; and new money for capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to CSCDA 2007 Series ABC, such hedges were deemed terminated May 16, 2008 (CSCDA 2007 Series A were later exchanged for CSCDA 2008 Series C fixed rate bonds), May 14, 2009 (CSCDA 2007 Series C were exchanged without a reissuance for CSCDA 2008 Series G and later refinanced to CHFFA 2009 Series A fixed rate bonds) and November 12, 2009 (CSCDA 2007 Series B were exchanged without a reissuance for CSCDA 2008 Series F and later refinanced with CHFFA 2009 Series G put bonds) as a result of either the refinancing of these bonds or the exchange (without a reissuance) and conversion of these bonds into long-term fixed-rate bonds. The CSCDA DEF bonds are still outstanding and continue to have hedges associated with them. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in Schedule K were actually terminated by either Dignity Health, which was the party to the swap, or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. BOND I: CUSIP 130795DR5 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (c) California Statewide Community Development Authority (CSCDA) 2007 Series G-L, of which CSCDA 2007 Series G-J were exchanged for CSCDA 2008 Series ABDE. The CUSIP number noted on Schedule K '130795DR5' is the CUSIP from the original Form 8038 filed for the 2007 Series G-L Bonds, all of which were issued on November 10, 2005. On May 16, 2008, the CSCDA 2007 Series GHIJ Bonds were exchanged, pursuant to IRS Notice 2008-41, without causing a reissuance, for CSCDA 2008 Series ABDE, and there was an interest rate conversion on the CSCDA 2007 Series KL Bonds. The latest maturities on the currently outstanding exchanged bonds are the CSCDA 2007 Series KL Bonds, both of which have a final maturity date of July 1, 2041. The CUSIPs are '130795TV9' for the CSCDA 2007 Series K Bonds and '130795TW7' for the CSCDA Series 2007 L Bonds. Part I, Column (f) New money to finance capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. . BOND J: CUSIP 566816HP2 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - AZ 1999 A; and new money for capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND K: CUSIP 759835AA9 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Repayment of line of credit used to retire prior outstanding bonds and new money for an emergency room expansion and medical equipment. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part VI - Supplemental Information Although the City of Reno, Nevada, health facility revenue bonds (Catholic Healthcare West), 2007 Series A (the "2007 Reno bonds"), are shown on line 1 of Part I of this Schedule K, Dignity Health (formerly Catholic Healthcare West) and the City of Reno, Nevada (the "City"), took appropriate remedial action with respect to all of the 2007 Reno bonds, under section 1.141-12(d) of the treasury regulations, on September 24, 2012, by defeasing a pro rata portion of the 2007 Reno bonds, in the principal amount of $42,085,000, within 90 days of the sale by Dignity Health of Saint Mary's Regional Medical Center ("SMRMC"), in Reno, Nevada. Such defeasance will cause such portion of the 2007 Reno bonds to be redeemed on their first optional redemption date of July 1, 2017. Because the consideration for the sale of SMRMC was exclusively cash, pursuant to section 1.141-12(d)(2) of the treasury regulations, Dignity Health and the City were permitted to meet, and met, the requirements of section 1.141-12(d) of the treasury regulations with respect to all of the 2007 Reno bonds by applying the "disposition proceeds" received from the sale of SMRMC to the defeasance of a pro rata portion of the 2007 Reno bonds through their first optional redemption date of July 1, 2017. Such pro rata portion of the 2007 Reno bonds was determined to have a principal amount of $42,085.000. BOND L: CUSIP 425203CF1 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - NV 1998 A; NV 1999 A; NV 2004 Series B; and new money for capital expenditures at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND M: CUSIP 13033LAZ0 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund California Health Facilities Financing Authority 2008 Series CDE; and California Statewide Communities Development Authority 2008 Series G issued on May 16, 2008; and new money to finance capital projects at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND N: CUSIP 566816JJ4 Part I, Column (f) Repay line of credit used to retire Industrial Development Authority of Maricopa County Arizona 2004 Series B bonds issued on April 28, 2004. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND O: CUSIP 13033LEQ6 Part I, Column (f) Refund California Health Facilities Financing Authority 2008 Series ABF; and California Statewide Communities Development Authority 2008 Series F bonds issued on May 16, 2008. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. . BOND P: CUSIP 040507MJ1 Part I, Column (f) Refund Arizona Health Facilities Authority 2008 Series D bonds issued on May 16, 2008. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND Q: CUSIP 566816JL9 Part I, Column (f) Refund Industrial Development Authority of Maricopa County Arizona 1992 Series A bonds issued on September 1, 1992 and Industrial Development Authority of Maricopa County Arizona 1998 Series A bonds issued on December 3, 1998. BOND R: CUSIP 13033LSZ1 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund CHFFA 1993 Series A bonds issued on March 17, 1993, CHFFA 1996 Series E bonds issued on December 12, 1996, CHFFA 1997 Series A bonds issued on October 15, 1997 and CHFFA 1998 Series A bonds Issued On December 3, 1998. Repay line of credit used to retire CHFFA 2004 Series H bonds issued on April 28, 2004. New money to finance capital projects at various hospital facilities. Part II, Line 11 Bond proceeds were used to pay off the CHFFA 2004 Series H put bond that came due on 7/1/2011 that was financed with a draw on the working line of credit. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND S: CUSIP 040507MU6 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) New money to finance capital projects at various hospital facilities. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND T: CUSIP 13033LUD7 Part I, Column (f) Refund CHFFA 2009 Series BC bonds issued on May 14, 2009 and CHFFA 2009 Series G bonds issued on November 12, 2009. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND U: CUSIP 040507MV4 Part I, Column (f) Refund Industrial Development Authority of Maricopa County Arizona 2009 Series B bonds issued on May 14, 2009 and Arizona Health Facilities Financing Authority 2009 Series E bonds issued on November 12, 2009. Part III, Line 3a Although there are management or service contracts that may generate private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3c Although there are research agreements which may result in private use, Dignity Health has policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Arizona Care Network LLC 350 W Thomas Rd Phoenix AZ 85013 454494682 Care Network AZ 0 0 Dignity Hlth CHMC Hope Street Family Center Property 1401 South Grand Avenue Los Angeles CA 90015 270967098 Real Property CA 0 0 Dignity Hlth CHW Nevada Imaging Company LLC 5495 South Rainbow Blvd Suite 203 Las Vegas NV 89118 263322792 Imaging Svc NV 25509188 12831166 Dignity Hlth CHWUSP Oxnard Surgery Centers LLC 1700 N ROSE AVENUE STE 100 OXNARD CA 93030 200707388 OP Surgery CA 440716 1287915 SJOSC Dignity Health Purchasing Network LLC 3033 North Third Avenue Phoenix AZ 85013 455555133 Group Purchas CA 0 0 Dignity Hlth Southern California Integrated Care Netw 2101 NORTH WATERMAN AVENUE San Bernardino CA 92404 455566171 Care Network CA 0 0 Dignity Hlth St John's Regional Imaging Center LLC 26250 Enterprise Court Suite 100 Lake Forest CA 92630 770483564 OP Radiology CA 3129626 954428 Dignity Hlth St Francis Foundation LLC 112 E Victoria Street Santa Barbara CA 93101 421691710 Leasing CA 0 1568094 Dignity Hlth St Rose Quality Care Network LLC 102 E Lake Mead Drive Henderson NV 89015 462147857 Care Network NV 0 0 Dignity Hlth Trinity Care LLC 901 Corporate Center Drive Suite 40 Monterey Park CA 91754 330805338 Health care CA 12544725 1763719 Dignity Hlth Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 Hospital CA 501(C)(3) 3 DIGNITY HLTH true Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Administratio CA 501(c)(3) 11A DIGNITY HLTH true DIGNITY HEALTH Workers' Comp SELF-INS 185 Berry Street San Francisco CA 94107 946612446 Administratio CA 501(C)(3) 11A DIGNITY HLTH true DIGNITY HEALTH Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 Multi-sp clin CA 501(C)(3) 11A DIGNITY HLTH true Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 Hospital CA 501(C)(3) 3 DIGNITY HLTH true Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Hea CA 501(C)(3) 11A DIGNITY HLTH true Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Sr Housing CA 501(C)(3) 9 DHS true Golden Umbrella 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior ctr CA 501(C)(3) 7 DIGNITY HLTH true Marian Community Clinics Inc 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(C)(3) 3 DIGNITY HLTH true Mark Twain St Joseph's Healthcare Corp 768 Mountain Ranch Road San Andreas CA 95249 680127677 Hospital CA 501(C)(3) 3 NA false Mercy Senior Housing Inc 3865 J Street Sacramento CA 95816 680117340 SR HOUSING CA 501(C)(3) 9 DIGNITY HLTH true Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 Hospital CA 501(C)(3) 3 DIGNITY HLTH true Saint Mary's Outpatient Surgery Center 235 West Sixth Street Reno NV 89520 800035199 OP surgery NV 501(C)(3) 3 DIGNITY HLTH true Shasta Senior Nutrition Program 100 Mercy Oaks Drive Redding CA 96003 942650429 Sr Meal CA 501(C)(3) 7 DIGNITY HLTH true Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 Hospital CA 501(C)(3) 3 DIGNITY HLTH true St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(C)(3) 11A DIGNITY HLTH true St Mary Catholic Housing Corporation 1050 Linden Avenue Long Beach CA 90813 330007728 Sr HOusing CA 501(C)(3) 1 DIGNITY HLTH true St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 Provide offic CA 501(C)(3) 11A DIGNITY HLTH true Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FNDRSING FND AZ 501(C)(3) 11A DIGNITY HLTH true California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles CA 90015 954000909 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true DIGNITY HEALTH Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FNDRSING FND AZ 501(C)(3) 11A DIGNITY HLTH true Community Hospital Foundation of San Ber 1805 Medical Center Drive San Bernardino CA 92411 953051931 FNDRSING FND CA 501(C)(3) 11A CHSB true Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Marian Medical Center Foundation 1400 E Church Street Santa Maria CA 93454 953818027 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Mercy Foundation Sacramento 3400 Data Drive 3rd Flr Rancho Cordova CA 95670 237072762 FNDRSING FND CA 501(C)(3) 11A NA false Northridge Hospital Foundation 18300 Roscoe Blvd Northridge CA 91328 237444901 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Saint Mary's Foundation 520 West Sixth Street Reno NV 89520 880188386 FNDRSING FND NV 501(C)(3) 11A DIGNITY HLTH true San Gabriel Valley Medical Center Founda 438 West Las Tunas Drive San Gabriel CA 91776 953430341 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true Sequoia Hospital Foundation 170 Alameda de las Pulgas Redwood City CA 94062 942909990 FNDRSING FND CA 501(C)(3) 11D NA false St Bernardine Medical Center Foundation 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St John's Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 FNDRSING FND AZ 501(C)(3) 11A DIGNITY HLTH true St Joseph's Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St Mary's Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 FNDRSING FND CA 501(C)(3) 11A DIGNITY HLTH true St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson CA 89052 880349432 FNDRSING FND NV 501(C)(3) 11A DIGNITY HLTH true The Congenital Heart Foundation 350 W Thomas Road Phoenix AZ 85013 263342554 FNDRSING FND AZ 501(C)(3) 11A DIGNITY HLTH true Barrow Foundation UK 350 West Thomas Road Phoenix AZ 85013 311724184 FNDRSING FND UK 501(C)(3) 11D NA false Woodland Memorial Hospital Foundation 1321 Cottonwood Street 305 Woodland CA 95695 946167964 FNDRSING FND CA 501(C)(3) 7 NA false Southwest Catholic Health Network Corpor 4350 E Cotton Center Blvd Bldg D Phoenix AZ 85040 860527381 Health Suppor AZ 501(C)(3) 11A NA false St Mary's Hospital Guild 235 W 6TH STREET RENO NV 89503 886004507 FUNDRAISING NV 501(C)(3) 11A na false MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13th Street Merced CA 95340 770035928 FNDRSING FND CA 501(C)(3) 7 DIGNITY HLTH true Boston Common Intl Social Index fund LLC 84 State Street Suite 1000 Boston MA 02109 030491645 Investment MA Dignity Health Investment 1694919 40277873 false 0 false 0.86300 CHW Nevada Imaging Company LLC 2835 S Jones Blvd No 3 Las Vegas NV 89146 263322792 Imaging Ctr NV Dignity Health Related -4514717 11088950 false 0 true 0.75000 CHWUSP Las Vegas Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 202999237 Surgery TX Dignity Health Related 1250386 5694508 false 0 false 0.50100 CHWUSP Phoenix II LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 542105660 Surgery TX Dignity Health Related 1009761 8794871 false 0 false 0.50100 CHWUSP Phoenix Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 134248908 Surgery TX Dignity Health Related -7725055 39103144 false 0 false 0.50100 CHWUSP Sacramento Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 202468509 Surgery TX Dignity Health Related 3307757 17307962 false 0 false 0.50100 Dominican Magnetic Resonance Imaging Cen 1545 Soquel Drive Santa Cruz CA 94065 770095477 Imaging Center CA Dignity Health Related -12189 429521 false 0 true 0.80000 Folsom Sierra Endoscopy Center LP 1650 Creekside Drive 1600 Folsom CA 95630 680482416 Endoscopy Center CA Dignity Health Related 1734434 380695 false 0 true 0.51000 Mercy Davis Cancer Center Management Co 2740 M Street Merced CA 95340 943358445 cancer ctr mgmt CA Dignity Health Related 402767 5591028 false 0 true 0.50000 NICU Operating CO of Santa Cruz LLC 1555 Soquel Drive Santa Cruz CA 95065 460502935 Neonatal Hlth CA Dignity Health Related 2720301 7665514 false 0 false 0.51000 Plaza Surgery Center LP 525 E Plaza Drive Suite 100 Santa Maria CA 93454 770573567 Surgery CA Marian Hlth Svc Related 0 0 false 0 true 0.61900 Santa Cruz Land & Building LP 1555 Soquel Drive Santa Cruz CA 95065 770285236 Real estate CA Dominican Hlth Related 0 0 false 0 true 0.86210 SMI Imaging LLC 6740 E Camelback Road Ste 101 Scottsdale AZ 85251 264000683 Imaging Ctr CA Dignity Health Related -738585 34493013 false 0 false 0.55730 St Joseph's Surgery Center LP 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 201019390 Surgery TX Dignity Health Related 1324183 3124485 false 0 true 0.79760 St John's Outpatient Surgery Center LP 1700 N ROSE AVENUE STE110 Oxnard CA 93030 200707477 Surgery CA CHWUSP Related -409942 2561857 false 0 false 0.68500 Templeton Surgery Center LLC 1310 Las Tablas Road Suite 104 Templeton CA 94365 202246616 Surgery CA Dignity Health Related 193831 2258108 false 0 true 0.65260 Dominican Breast Center LLC 1661 SOQUEL DIRVE SUITE G SANTA CRUZ CA 95065 770419106 IMAGING CA DIGNITY HEALTH RELATED -39640 262094 false 0 true 0.50000 Radiation Oncology Centers of Ventura Co 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA DIGNITY HEALTH RELATED 568301 346710 false 0 true 0.50000 Santa Cruz Surgery Center LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA DIGNITY HEALTH RELATED 712555 1119864 false 0 true 0.50000 Sacramento Midtown Endoscopy Center 3941 J STREET SUITE 460 SACRAMENTO CA 95819 680125513 SURGERY CA DIGNITY HEALTH RELATED 538889 337768 false 0 true 0.20000 SHARED CLARITY 4425 EAST COTTON CENTER BLVD PHOENIX AZ 85040 454233576 SURGERY AZ DIGNITY HEALTH RELATED 0 0 false 0 true 0.50000 CDS of Nevada Inc 1510 Meadowland Lane Reno NV 89502 880202496 3rd Party Admin NV Saint Mary's HF C Corp 4315310 778726 1.00000 Coastal Surgical Specialists Inc 921 Oak Park Blvd Suite 101 Pismo Beach CA 93449 743000596 Ambulatory Surger CA Dignity Health S Corp 1412459 3121775 0.51000 Dignity Health Insurance Ltd PO Box 1051 KY1-1102 Grand Cayman Islands CJ 981065338 Self Ins Fund CJ Dignity Health C Corp 88584 26139162 1.00000 Glendale Memorial Services Corporation 1420 South Central Avenue Glendale CA 91204 954051021 Hlth Care Mgt CA Dignity Health C Corp 0 287085 1.00000 Inland Health Organization of Southern C 1980 Orange Tree Lane Ste 200 Redlands CA 92374 330578944 Hlth Care Mgt CA Dignity Health C Corp 1919414 1910278 1.00000 Management Services Organization of Sant 1400 E Church Street Santa Maria CA 93454 770318135 Health Mgmt Svc CA Dignity Health C Corp 0 0 1.00000 Marian Health Services Inc 1400 E Church Street Santa Maria CA 93454 770074057 Health Services CA Dignity Health C Corp 333254 1507514 1.00000 Millenium Surgery Center Inc 9300 Stockdale Hwy 200 Bakersfield CA 93311 770513445 OP Surgery Svc CA BMH S Corp 1519526 12747852 0.59856 Saint Mary's Multi-specialty clinic inc 1625 Prater Way Suite 102 Sparks NV 89434 113763590 Clinics NV Saint Mary's HF C Corp 9607266 6720284 1.00000 Saint Mary's Healthfirst 1510 Meadowland Lane Reno NV 89502 880293082 Insurance Provide NV Dignity Health C Corp 87792750 33725842 1.00000 Saint Mary's Preferred Health Insurance 1510 Meadowland Lane Reno NV 89502 880193357 Insurance Provide NV Saint Mary's HF C Corp 100065409 24018153 1.00000 St Mary Health Ventures Inc 1050 Linden Avenue Long Beach CA 90813 951912528 Retail Pharmacy CA Dignity Health C Corp 2130935 2370138 1.00000 Trinity Care Infusion Services 18440 Roscoe Boulevard Northridge CA 91325 330828794 Home Care Med Svc CA Dignity Health C Corp 1669800 432128 1.00000 true true true true false false false false false false true true false false false false false true Arroyo Grande Community Hospital Foundation c 350000 See Part VII Arroyo Grande Community Hospital Foundation b 237037 See Part VII Bakersfield Memorial Hospital k 16075764 See Part VII Bakersfield Memorial Hospital r 237975 See Part VII Bakersfield Memorial Hospital l 331113 See Part VII Bakersfield Memorial Hospital c 337584 See Part VII Barrow Neurological Foundation c 11617487 See Part VII Barrow Neurological Foundation b 2589971 See Part VII Boston Common Intl Social Index fund LLC r 272749 See Part VII California Hospital Medical Center Foundation c 10065267 See Part VII California Hospital Medical Center Foundation b 1607919 See Part VII CDS k 556767 See Part VII CHWUSP Phoenix II LLC d 6122747 See Part VII CHWUSP Sacramento Surgery Center LLC l 3145158 See Part VII CHWUSP Sacramento Surgery Center LLC r 3581938 See Part VII Community Hospital San Bernardino k 11530862 See Part VII Community Hospital San Bernardino r 876754 See Part VII Dignity Health Foundation East Valley k 81728 See Part VII Dignity Health Foundation East Valley c 2128625 See Part VII Dignity Health Foundation East Valley b 1477812 See Part VII Dignity Health Hospital Prof Liab Self-Insura k 8339678 See Part VII Dignity Health Hospital Prof Liab Self-Insura l 147439080 See Part VII Dignity Health Medical Foundation b 99164932 See Part VII Dignity Health Medical Foundation k 11108480 See Part VII Dignity Health Medical Foundation a 479795 See Part VII Dignity Health Medical Foundation l 14302968 See Part VII Dignity Health Workers' Comp Self-Insurance T k 642762 See Part VII Dignity Health Workers' Comp Self-Insurance T l 23096088 See Part VII Dominican Hospital Foundation c 1105982 See Part VII Dominican Hospital Foundation b 776340 See Part VII Dominican MRI a 101022 See Part VII Dominican MRI r 68219 See Part VII Folsom Sierra Endoscopy Center k 1584486 See Part VII Folsom Sierra Endoscopy Center l 5489543 See Part VII Folsom Sierra Endoscopy Center r 1680450 See Part VII French Hospital Medical Center Foundation c 1069040 See Part VII French Hospital Medical Center Foundation b 550751 See Part VII Glendale Memorial Health Foundation b 1447101 See Part VII Golden Umbrella a 145757 See Part VII Golden Umbrella b 120291 See Part VII Inland Health Organization k 217699 See Part VII Inland Health Organization b 1112228 See Part VII Marian Medical Center Foundation c 7149092 See Part VII Marian Medical Center Foundation b 516166 See Part VII Mark Twain Healthcare Corporation k 4304328 See Part VII Mercy Foundation Bakersfield dba Friends of M c 1479214 See Part VII Mercy Foundation Bakersfield dba Friends of M b 694795 See Part VII Mercy Foundation Sacramento b 3176008 See Part VII Mercy Foundation Sacramento c 3502030 See Part VII Mercy Medical Center Merced Foundation b 530365 See Part VII Mercy Medical Center Merced Foundation c 1461016 See Part VII Mercy Surgery Center a 391454 See Part VII NICU Operating Company of Santa Cruz LLC r 1851721 See Part VII Northridge Hospital Foundation k 60948 See Part VII Northridge Hospital Foundation c 2492746 See Part VII Northridge Hospital Foundation b 1187190 See Part VII Preferred Health Insurance Corporation k 1155293 See Part VII Saint Francis Memorial Hospital k 13052712 See Part VII Saint Francis Memorial Hospital r 889279 See Part VII Saint Mary's Foundation c 10722030 See Part VII Saint Mary's Foundation b 1227202 See Part VII Saint Mary's Health First k 2905337 See Part VII Saint Mary's Health First b 24000000 See Part VII Saint Mary's Multi-Specialty Clinic Inc (Pri a 331338 See part VII Saint Mary's Multi-Specialty Clinic Inc (Pri k 910444 See Part VII Saint Mary's Outpatient Surgery Center Galena c 8425489 See Part VII Sequoia Hospital Foundation c 1452445 See Part VII Sequoia Hospital Foundation b 1395447 See Part VII Shasta Senior Nutrition Program a 272484 See Part VII Shasta Senior Nutrition Program b 115645 See Part VII Sierra Nevada Memorial Miners Hospital k 3980673 See Part VII St John's Healthcare Foundation c 303830 See Part VII St John's Healthcare Foundation b 336791 See Part VII St Bernardine Medical Center Foundation b 919005 See Part VII St Bernardine Medical Center Foundation c 2587398 See Part VII St John's Healthcare Foundation k 85848 See Part VII St John's Healthcare Foundation c 3346594 See Part VII St John's Healthcare Foundation b 784376 See Part VII St Joseph's Foundation c 3492324 See Part VII St Joseph's Foundation b 1680147 See Part VII St Joseph's Foundation of San Joaquin b 1001427 See Part VII St Joseph's Foundation of San Joaquin a 38400 See Part VII St Joseph's Foundation of San Joaquin c 1983589 See Part VII St Joseph's Foundation of San Joaquin k 69528 See Part VII St Joseph's Surgery Center LP a 448506 See Part VII St Joseph's Surgery Center LP k 5224900 See Part VII St Mary Health Ventures Inc a 35109 See Part VII St Mary Health Ventures Inc k 1715695 See Part VII St Mary Medical Center Foundation k 140509 See Part VII St Mary Medical Center Foundation c 3953713 See Part VII St Mary Medical Center Foundation b 2065845 See Part VII St Mary Professional Building a 214689 See Part VII St Mary Professional Building k 376007 See Part VII St Mary's Medical Center Foundation c 3105497 See Part VII St Mary's Medical Center Foundation b 871307 See Part VII St Rose Dominican Health Foundation k 125369 See Part VII St Rose Dominican Health Foundation b 2094035 See Part VII St Rose Dominican Health Foundation c 3815169 See Part VII The Congenital Heart Foundation b 134836 See Part VII Woodland Memorial Hospital Foundation b 295342 See Part VII Woodland Memorial Hospital Foundation c 466239 See Part VII Schedule R, Part V, Line 2 column (c) PART V, LINE 1A - DIGNITY HEALTH LEASES FACILITIES AND/OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS (FOUNDATIONS, JOINT VENTURES AND MEDICAL FOUNDATION). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE AMOUNTS CHARGED FOR SUCH AGREEMENTS. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE AGREEMENTS. PART V, LINE 1B, AND 1C - DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS ARE SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS OPERATE FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS' HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO THE SUPPORTED ORGANIZATIONS FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM DIGNITY HEALTH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" REPRESENT FUNDS EXPENDED BY DIGNITY HEALTH ON BEHALF OF THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED FROM THE FOUNDATIONS AS GRANTS TO DIGNITY HEALTH HOSPITALS. PHYSICIAN CLINIC SUPPORT SERVICES FOR DIGNITY HEALTH MEDICAL FOUNDATION ("DHMF") - DHMF OPERATES CLINICS WITH LOCATIONS THROUGHOUT CALIFORNIA AND NEVADA. THE OPERATIONS OF THE MEDICAL FOUNDATIONS ARE FUNDED THROUGH THE PARTICIPATING DIGNITY HEALTH HOSPITALS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" TOTALING $99.2 MILLION REPRESENT THE TOTAL FUNDING SUPPORT BY THE PARTICIPATING DIGNITY HEALTH HOSPITALS FOR THE OPERATIONS OF DHMF. DHMF OPERATES IN THE COMMUNITIES SERVED BY THOSE HOSPITALS. PART V, LINE 1D - DIGNITY HEALTH MADE LOANS AND LOAN GUARANTEES FOR VARIOUS RELATED ORGANIZATIONS. AMOUNTS REPORTED AS TRANSACTION TYPE "D" REPRESENT THE FAIR MARKET VALUE OF THE LOANS AND GUARANTEES. PART V, LINE 1K - DIGNITY HEALTH FACILITIES PERFORM VARIOUS SERVICES FOR OTHER RELATED ORGANIZATIONS. BELOW IS A SUMMARY OF THE TRANSACTIONS AMONG RELATED ORGANIZATIONS FOR SUCH ACTIVITIES. 1. SYSTEM OFFICE ALLOCATIONS - DIGNITY HEALTH'S CONTROLLED ENTITIES ARE ASSESSED AN AMOUNT TO COVER THE SYSTEM OFFICE OPERATIONS. IN ADDITION, AN EXPENSE IS ALSO ASSESSED TO COVER CENTRALIZED INFORMATION TECHNOLOGY COSTS OF THE ORGANIZATION, CENTRALIZED ACCOUNTS PAYABLE AND PAYROLL SERVICES, AND CERTAIN OTHER MANAGEMENT SERVICES. AMOUNTS REPORTED UNDER TRANSACTION TYPE "K" FOR THE ITEMS DESCRIBED ABOVE TOTALED $71.5 MILLION FOR THE YEAR ENDED JUNE 30, 2012. 2. DIGNITY HEALTH HOSPITALS ALSO PERFORM SERVICES FOR OTHER RELATED ORGANIZATIONS. SERVICES INCLUDE PLANT MAINTENANCE, LAUNDRY SERVICES, PATIENT FINANCIAL SERVICES MANAGEMENT, CENTRAL STERILIZATION SERVICES, CATERING SERVICES FOR PATIENT NOURISHMENT, AND OTHER SERVICES AS DEEMED NECESSARY. THE SERVICES PERFORMED ARE REIMBURSED AT COST. PART V, LINE 1L - 1. PHYSICIAN CLINIC SUPPORT SERVICES BY DIGNITY HEALTH MEDICAL FOUNDATION ("DHMF") - DHMF OPERATES CLINICS WITH LOCATIONS THROUGHOUT NORTHERN CALIFORNIA AND NEVADA. AMOUNTS REPORTED UNDER TRANSACTION TYPE "L" REPRESENT THE PAYMENTS MADE TO THE MEDICAL FOUNDATION FOR THE HOSPITALISTS AND RISK POOL PROGRAMS. 2. DIGNITY HEALTH IS SELF INSURED FOR WORKERS' COMPENSATION BENEFITS AND FOR HOSPITAL PROFESSIONAL AND GENERAL LIABILITY RISKS. DIGNITY HEALTH MAINTAINS SEPARATE TRUSTS FOR THESE PROGRAMS FROM WHICH CLAIMS AND RELATED EXPENSES AND COSTS OF ADMINISTERING THE PLANS ARE PAID. DIGNITY HEALTH HOSPITALS FUND THE TRUSTS, SUCH THAT OVER TIME, ASSETS HELD EQUAL LIABILITIES FOR CLAIMS INCURRED. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "L" REPRESENT THE CASH TRANSFERRED FROM DIGNITY HEALTH TO THE TRUSTS FOR THE FY13 FUNDING OF THE SELF INSURANCE PROGRAMS. PART V, LINE 1R - AS THE PARENT ORGANIZATION, DIGNITY HEALTH RECEIVES FUNDING FOR VARIOUS EXPENDITURES OF THE ORGANIZATION. AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" REPRESENT FUNDING FOR ITEMS DESCRIBED BELOW. 1. JOINT VENTURES - K-1 DISTRIBUTIONS - DIGNITY HEALTH HAS PARTNERSHIPS (JOINT VENTURES) WITH OTHER ORGANIZATIONS. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" FOR THESE PARTNERSHIPS REFLECT DISTRIBUTIONS AS REPORTED ON SCHEDULE K-1 OF THE PARTNERSHIPS' TAX RETURNS. 2. JOINT VENTURES - ADDITIONAL CAPITAL FUNDING - DIGNITY HEALTH HAS PARTNERSHIPS (JOINT VENTURES) WITH OTHER ORGANIZATIONS. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" FOR THESE PARTNERSHIPS REFLECT ADDITIONAL CAPITAL CONTRIBUTIONS TO THESE JOINT VENTURES. 3. SEISMIC RISK POOL FUNDING FROM RELATED ENTITIES DURING THE YEAR IS REPORTED AS TRANSACTION TYPE "R".