UCSF HEALTH COMMUNITY HOSPITALS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: UCSF HEALTH COMMUNITY HOSPITALS (EIN 94-1156295)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-01
IRS object ID: 201241229349300974
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-01T20:06:22-04:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941156295	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	4153536600	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 Hyde Street	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94109	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ALAN FOX	Name
Title	CFO	Title
Date Signed	2012-05-01	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4159635100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Alan Fox	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	900 Hyde Street	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94109	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	250064087	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHWHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1938	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	To provide compassionate, quality, cost effective medical and healthcare related services to meet the needs of the communities we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1161	TotalNbrEmployees
Total Nbr Volunteers	332	TotalNbrVolunteers
Total Gross UBI	501840	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	963108	ContributionsGrantsPriorYear
Contributions Grants Current Year	525044	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	188941500	ProgramServiceRevenuePriorYear
Program Service Revenue CY	216409062	ProgramServiceRevenueCY
Investment Income Prior Year	4270604	InvestmentIncomePriorYear
Investment Income Current Year	6057495	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1304547	OtherRevenuePriorYear
Other Revenue Current Year	1315164	OtherRevenueCurrentYear
Total Revenue Prior Year	195479759	TotalRevenuePriorYear
Total Revenue Current Year	224306765	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	95467	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	659485	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	115681638	SalariesEtcPriorYear
Salaries Etc Current Year	121790325	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	82222637	OtherExpensePriorYear
Other Expenses Current Year	100764534	OtherExpensesCurrentYear
Total Expenses Prior Year	197999742	TotalExpensesPriorYear
Total Expenses Current Year	223214344	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2519983	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1092421	RevenuesLessExpensesCY
Total Assets BOY	323138980	TotalAssetsBOY
Total Assets EOY	343759229	TotalAssetsEOY
Total Liabilities BOY	82547616	TotalLiabilitiesBOY
Total Liabilities EOY	83278794	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	240591364	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	260480435	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	204981444	Expense
Grants	659485	Grants
Revenue	215907222	Revenue
Description	Saint Francis Memorial Hospital's mission is to contribute to the health of the community through the provision of quality services delivered in a compassionate and cost effective manner. The hospital has 356 beds and serviced patients as follows: outpatient visits of 133,820; emergency visits of 32,950; and inpatient and outpatient operating room cases of 3,359. Inpatient services: acute medical/surgical care and rehab, intensive and burn care, adult psych, skilled nursing facility, pharmacy, cardiopulmonary, surgery and telemetry unit. Outpatient services: emergency care, sports medicine and occupational health clinics, pulmonary rehab, psych day care, outpatient burn care, spine and joint center, diagnostic imaging, radiation oncology, retail pharmacy, gastrointestinal services and physical therapy services. Support services: chaplaincy program, family support services, palliative care, parking services, nursing education services, health sciences library; as well as support, time and money to organizations and individuals throughout the community.	Description
Total Program Service Expense	204981444	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	227	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1161	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LARA HARROW - FINANCE DEPT	NamePerson
Telephone Number	9168512000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3400 DATA DRIVE 3RD FLOOR	AddressLine1
City	RANCHO CORDOVA	City
State	CA	State
ZIP Code	95670	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Jane Bachmann
Board Member	3.0	X	0	0	0
Dr Mel Blaustein
Board Member	3.0	X	122916	0	0
Dr Amy Bossen
Board Member	3.0	X	10000	0	0
Carrie Byles
Board Member	3.0	X	0	0	0
Dr Gary Chan
Board Member	3.0	X	1266	0	0
Anna Cheung
Board Member	3.0	X	0	518723	64965
Dr Issa Eshima
Board Member	3.0	X	0	0	0
Robert Eves
Board Member	3.0	X	0	0	0
William G Gaede
Board Member	3.0	X	0	0	0
Dr Guido J Gores
Board Member	3.0	X	0	0	0
Mary Kane RN JD
Board Member	3.0	X	0	0	0
Dr Frank Malin
Board Member	3.0	X	0	0	0
Dr David J Malone
Board Member	3.0	X	16225	0	0
Dr Victor Prieto
Board Member	3.0	X	192579	0	0
Julie Soo JD
Board Member	3.0	X	0	0	0
Dr Peter Teng
Board Member	3.0	X	0	0	0
Wendy Xa
Board Member	3.0	X	0	0	0
Susan Campbell
Chair	8.0	X	0	0	0	X
Dr Clement Jones
Secretary	3.0	X	0	0	0	X
Alan Fox
CFO	40.0		326191	0	48370	X
Tom Hennessy
Service Area Leader	40.0		0	789687	74790	X
Anthony Jackson
COO	40.0		288881	0	39401		X
Helen Karow
Director OR	40.0		200847	0	36016		X
Dennis Kneeppel
CNE	40.0		286953	0	31448		X
Juli Maxworthy
Sr Director/Quality	40.0		184744	0	35422		X
Raymond Miller
Director-Pharmacy	40.0		195541	0	27179		X
Barbara Morrissette
VP HR	40.0		191544	0	26566		X
Dallas Ryan
Director Materials Management	40.0		207586	0	33725		X
Andrew Smith
VP Medical Affairs	40.0		281912	0	23410		X
Lloyd Yandell
Director-Facilities	40.0		158399	0	17167		X
Abbie Yant
Senior Director-Advocacy	40.0		189098	0	39082		X
Susanne Gardino
Registered Nurse	40.0		241458	0	17944			X
Harendra C Joshi
Coordinator Nuclear Medicine	40.0		245778	0	20915			X
Bradford K Moy
Medical Director	30.0		261781	0	22989			X
John Ikona Ubi
Registered Nurse	40.0		270260	0	45041			X
Doris Y Yau
Staff Nurse II	20.0		299556	0	48057			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4173515	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1308410	TotalReportableCompFrmRltdOrgs
Total Other Compensation	652487	TotalOtherCompensation
Number Individuals GT100 K	381	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CITY BUILDING INC
PIER 26 ANNEX NORTH	SAN FRANCISCO	CA	94105	Construction Service	7696575
REHABCARE GRP INC
7733 FORSYTH BLVD SUITE 2300	ST LOUIS	MO	631502096	Therapy	2055580
GALEN INPATIENT PHYSICIANS
2100 POWELL ST STE 900	EMERYVILLE	CA	946081803	Medical Services	1860696
CITY PARK
1234 PINE ST	SAN FRANCISCO	CA	94109	Parking Services	737060
DIVERSIFIED CLINICAL SERVICES
4500 SALISBURY RD SUITE 300	JACKSONVILLE	FL	32216	Management Services	616507

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Government Grants	237464	GovernmentGrants
All Other Contributions	287580	AllOtherContributions
Total Contributions	525044	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REV/CHARITY CARE	900099	166307120	166307120
MEDICARE / MEDICAID PAYMENTS	900099	46587565	46587565
MEDICAL OFF BLDGS	532000	2376649	2376649
PHARMACY	446110	7026	3443	3583
LABORATORY	621500	524481	26224	498257

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	606221	TotalRevenueColumn
Related Or Exempt Function Income	606221	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	216409062	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2544164	TotalRevenueColumn
Exclusion	$2,544,164	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	29227350	Securities
Other	43303	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	25716243	Securities
Other	41079	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3511107	Securities
Other	2224	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3513331	TotalRevenueColumn
Exclusion	$3,513,331	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	900099	214530	$214,530
PARKING LOT FEES	812930	812871	$812,871
GIFT SHOPS	453220	47179	$47,179

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	240584	TotalRevenueColumn
Exclusion	$240,584	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1315164	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	224306765	TotalRevenueColumn
Related Or Exempt Function Income	215907222	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	501840	UnrelatedBusinessRevenue
Exclusion	$7,372,659	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	659485	Total
Program Services	659485	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3154767	Total
Program Services	2978192	ProgramServices
Management And General	176575	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	93279846	Total
Program Services	87474454	ProgramServices
Management And General	5805392	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6791780	Total
Program Services	6352490	ProgramServices
Management And General	439290	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12360545	Total
Program Services	11561071	ProgramServices
Management And General	799474	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6203387	Total
Program Services	5802154	ProgramServices
Management And General	401233	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	113715	Total
Management And General	113715	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	72759	Total
Management And General	72759	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	20511	Total
Management And General	20511	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	114435	Total
Management And General	114435	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22969983	Total
Program Services	16066899	ProgramServices
Management And General	6903084	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	567536	Total
Program Services	18457	ProgramServices
Management And General	549079	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4511478	Total
Program Services	4177505	ProgramServices
Management And General	333973	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7747611	Total
Program Services	7721492	ProgramServices
Management And General	26119	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3551394	Total
Program Services	3241832	ProgramServices
Management And General	309562	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	93630	Total
Program Services	55211	ProgramServices
Management And General	38419	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	117816	Total
Program Services	32777	ProgramServices
Management And General	85039	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	833947	Total
Program Services	833901	ProgramServices
Management And General	46	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9326083	Total
Program Services	9020988	ProgramServices
Management And General	305095	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	915407	Total
Program Services	915407	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	14659101	14659101
MEDICAL SUPPLIES	21368015	21365576	2439
MEDI-CAL PROVIDER FEE	10173204	10173204
DUES & SUBSCRIPTIONS	239519	39478	200041
LICENSES & TAXES	447610	343669	103941

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2920780	Total
Program Services	1488101	ProgramServices
Management And General	1432679	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	223214344	Total
Program Services	204981444	ProgramServices
Management And General	18232900	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7877	BOY
EOY	7877	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1877805	BOY
EOY	5964725	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	82502	BOY
EOY	34418	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	28072350	BOY
EOY	26486198	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1189666	BOY
EOY	689262	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2679044	BOY
EOY	2813976	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5703424	BOY
EOY	9006391	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	259171913	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	158580092	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	99803905	BOY
EOY	100591821	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	93531964	BOY
EOY	105724420	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	68046443	BOY
EOY	74582141	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22144000	BOY
EOY	17858000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	323138980	BOY
EOY	343759229	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19867344	BOY
EOY	19402313	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	4731	BOY
EOY	5456647	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	10000000	BOY
EOY	10000000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	72664	BOY
EOY	17529	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	52602877	BOY
EOY	48402305	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	82547616	BOY
EOY	83278794	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	169771613	BOY
EOY	183124987	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	40309473	BOY
EOY	46841516	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	30510278	BOY
EOY	30513932	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	240591364	BOY
EOY	260480435	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	323138980	BOY
EOY	343759229	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1092421	ReconcilationRevenueExpenses
Reconcilation Other Changes	18796650	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$20,511	OtherActivitiesAmount
Total Lobbying Expenditures IIB	20511	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II - B	Identifier
Explanation	Lobbying expenditures paid by the Parent organization for annual membership dues where expenses are allocated to the hospital: American Hospital Association $2,382 Catholic Health Association $1,559 Hospital Association of So. Cal $16,570 ------- TOTAL $20,511 =======	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	36206485	BeginningOfYearBalance
Contributions	3654	Contributions
Investment Earnings Or Losses	5190056	InvestmentEarningsOrLosses
Other Expenditures	5061472	OtherExpenditures
End Of Year Balance	36338723	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	33349590	BeginningOfYearBalance
Contributions	6794	Contributions
Investment Earnings Or Losses	3252188	InvestmentEarningsOrLosses
Other Expenditures	402087	OtherExpenditures
End Of Year Balance	36206485	EndOfYearBalance

Field	Value	IRS element (for citing)
Current Year Minus2 Years		CurrentYearMinus2Years
Board Designated EOY Balance	0.16640	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.83360	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2094567	OtherCostOrOtherBasis
Book Value	2094567	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	132800345	OtherCostOrOtherBasis
Depreciation	87694197	Depreciation
Book Value	45106148	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	196844	OtherCostOrOtherBasis
Depreciation	171740	Depreciation
Book Value	25104	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	93722767	OtherCostOrOtherBasis
Depreciation	70714155	Depreciation
Book Value	23008612	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30357390	OtherCostOrOtherBasis
Book Value	30357390	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	100591821	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	UNCONSOLIDATED FOUNDATION	Description
Book Value	74582141	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	74582141	TotalOfBookValueProgramRelated

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	PREPAID PENSION EXPENSE	Description
Book Value	17858000	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	17858000	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO RELATED PARTIES	$46,094,699
PENSION LIABILITY	$1,676,989
OTHER NON CURRENT LIABILITIES	$534,548
DEFERRED COMPENSATION	$96,069

Field	Value	IRS element (for citing)
Total Of Amounts	48402305	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Sch D, Part V, Line 4	Identifier
Explanation	The endowment funds are intended to be used to support the hospital's healthcare needs and other hospital program needs.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	3497	PersonsServed
Total Community Benefit Expense	3620156	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	3620156	NetCommunityBenefitExpense
Percent Of Total Expense	0.01740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	9859	PersonsServed
Total Community Benefit Expense	44707650	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29208687	DirectOffsettingRevenue
Net Community Benefit Expense	15498963	NetCommunityBenefitExpense
Percent Of Total Expense	0.07430	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	1872	PersonsServed
Total Community Benefit Expense	4891636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4891636	NetCommunityBenefitExpense
Percent Of Total Expense	0.02350	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	15228	PersonsServed
Total Community Benefit Expense	53219442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29208687	DirectOffsettingRevenue
Net Community Benefit Expense	24010755	NetCommunityBenefitExpense
Percent Of Total Expense	0.11520	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	2070	PersonsServed
Total Community Benefit Expense	1982618	TotalCommunityBenefitExpense
Direct Offsetting Revenue	43193	DirectOffsettingRevenue
Net Community Benefit Expense	1939425	NetCommunityBenefitExpense
Percent Of Total Expense	0.00930	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	806	PersonsServed
Total Community Benefit Expense	413821	TotalCommunityBenefitExpense
Direct Offsetting Revenue	237818	DirectOffsettingRevenue
Net Community Benefit Expense	176003	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	33789	PersonsServed
Total Community Benefit Expense	480148	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	480148	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	9191	PersonsServed
Total Community Benefit Expense	782060	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24850	DirectOffsettingRevenue
Net Community Benefit Expense	757210	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	45856	PersonsServed
Total Community Benefit Expense	3658647	TotalCommunityBenefitExpense
Direct Offsetting Revenue	305861	DirectOffsettingRevenue
Net Community Benefit Expense	3352786	NetCommunityBenefitExpense
Percent Of Total Expense	0.01600	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	61084	PersonsServed
Total Community Benefit Expense	56878089	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29514548	DirectOffsettingRevenue
Net Community Benefit Expense	27363541	NetCommunityBenefitExpense
Percent Of Total Expense	0.13120	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	14500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	14500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,414,421	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	47218022	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	63455271	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-16237249	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	900 Hyde ST	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94109	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Saint Francis Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Schedule H, part I, Line 7, column (f)	The amount of bad debt expense included on Form 990, Part IX, line 25, column (A) is $14,659,101 and has been subtracted for purposes of calculating the percentages in column (f).
Schedule H, part I, Line 7	For purposes of calculating the amounts provided in the table, SFMH uses a cost accounting system that combines relative value units (RVU) and cost to charge ratios (CCR) to allocate costs to the patient level. 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 where the services were provided. The calculation is similar to the 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 rolled up to the patient level based upon the billed procedure charge codes associated with those services provided to each specific patient. This is done for all patient segments including inpatient, outpatient, emergency department, private insurance, Medicaid, Medicare, uninsured and self pay. The cost accounting system is utilized to determine the unreimbursed cost of Medicaid and other means-tested government programs. The cost of charity care 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 charity care 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.
Schedule H, Part II - Community Building Activities	Under work force development, we have Cristo Rey/Immaculate Conception Academy as part of our Mentoring Programs. Immaculate Conception Academy (ICA), is an all girls Catholic high school, which offers a college preparatory education in the Dominican tradition. As part of the Cristo Rey Network, ICA operates with a unique program of strong college prep curriculum partnered with a corporate work study component. Membership in the Cristo Rey Network allows ICA to open its doors to capable students desiring a faith based high school education but without adequate means to afford it. Saint Francis provides mentoring opportunities for up to 4 ICA students throughout the academic year.
Schedule H, Part III, 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 financial 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. As noted in Part I, Line 3, SFMH provides free or discounted care to uninsured or under-insured individuals at or below 500% of the Federal Poverty Level. SFMH 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. The expected patient payment amount on the patient's bill reflects this discount. SFMH makes every effort in determining if a patient qualifies for charity care upon admission. SFMH follows CHW's financial assistance policy. CHW's financial 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 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. CHW also utilizes a Payment Assistance Rank Ordering (PARO) scoring system to assist in determining if a patient may qualify for charity care 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 financial assistance. In its development, special attention was paid to those socio-economic 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, SFMH does not believe that any amounts included in Part III, Line 2, are attributable to patients eligible under the organization's charity care policy. The following is an excerpt from CHW and its subordinate corporations' consolidated annual audited financial statements for the year ended June 30, 2011, 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. SFMH manages its collection risk by regularly reviewing its accounts and contracts and by providing appropriate allowances. Reserves for charity and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheet.
Schedule H, Part III, Line 8	SFMH prepares 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. Another factor to be considered is a separate average cost per diem for intensive care unit, coronary care unit, and other special care inpatient hospital units. CHW believes that the entire Medicare shortfall of $429.3 million, as reported below in Part VI, Line 6, 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 CHW 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 $16.2 million reported on Part III, Section B, Line 7, primarily for fee for service Medicare patients, as well as the unreimbursed portion of Medicare Managed Care and Medicare Capitated programs for SFMH.
Schedule H, Part III, Line 9b	SFMH ensures that patient accounts are processed fairly and consistently. SFMH follows CHW's collection policy. CHW's collection policy contains provisions that prohibit the collection of amounts due from patients who the organization knows qualify for charity care. Accounts with incorrect or incomplete demographic information are assigned to a collection agency if SFMH or the billing company retained by CHW is unable to obtain an updated address through skip tracing or other means. For patients who have an application pending for either government-sponsored financial assistance or for assistance under CHW'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, SFMH 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. SFMH 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 financial assistance department. Upon assignment of such a patient account to a collection agency, SFMH requires the agency to comply with the Fair Debt Collection Practices Act.
Schedule H, Part VI, Line 2 - Needs Assessment	In San Francisco since the late 1990's the Building a Healthier San Francisco Coalition (BHSF) made up of healthcare and health related organizations of which SFMH is a member, have worked together to produce the California state-mandated Community Needs Assessment for San Francisco. As a member of BHSF, Saint Francis Memorial Hospital has taken these assessment findings and through a process directed by the SFMH Board's Community Advisory Committee has set priorities for the SFMH Community Benefit Plan. In 2007, BHSF launched a new website HealthmattersinSF.org which is home to all of the data that is the basis for the San Francisco Community Needs Assessment. Following the launch of the website, a series of stakeholder meetings took place to support the process of setting citywide priorities for community benefit planning at a city level and then at the hospital level. These stakeholders coalesced to become the San Francisco Community Benefit Partnership of which SFMH is a member. Beginning in 2009, the Community Benefits Partnership defined a process for data assessment and priority setting that would create the 2010 San Francisco Community Needs Assessment. The end result of this new assessment process is Community vital Signs. Community Vital Signs The Community Benefit Partnership transformed the 4 priority areas from the 2007 assessment to 10 priority health goals for the 2010 San Francisco Community Needs Assessment. At a Community Stakeholder meeting on November 13, 2009, the Partnership hosted over 75 participants representing a cross-section of expertise in health and human services. These community stakeholders confirmed the relevance of the 10 health goals and planted the seeds for 10 affinity groups comprised of subject matter experts for each of the 10 health goals. The health goals were adopted by the San Francisco Health Commission on February 2, 2010, which now inform and guide the SFHM 2011 Community Benefit Report and the 2012 Community Benefit Plan. The 10 priority health goals are: 1. Increase Access to Quality Medical Care 2. Increase Physical Activity and Healthy Eating to Reduce Chronic Disease 3. Stop the Spread of Infectious Diseases 4. Improve Behavioral Health 5. Prevent and Detect Cancer 6. Raise Healthy Kids 7. Have a Safe and Healthy Place to Live 8. Improve Health and Health Care Access for Persons with Disabilities 9. Promote Healthy Aging 10. Eliminate Health Disparities On September 23, 2010, the San Francisco Community Benefit Partnership presented the dynamic 2010 Community Needs Assessment through the re-launch of Health Matters in San Francisco and introduction of Community Vital Signs and concept of Collaboration Centers. Community Vital Signs is the newest, most effective platform to provide current baseline for each indicator and their associated benchmarks, paving a clear and dynamic path forward in promoting the 10 priority health goals of San Francisco. It provides a central web-based location for: 1) Assessing health and health care needs; 2) Guiding health policy through collaboration; and 3) Evaluating impacts of health interventions. A.Community Needs Index Saint Francis Memorial Hospital also makes full use of the Community Needs Index (CNI), which analyzes the community needs of a specific geographic region by measuring barriers to health care including income, education, cultural, insurance, and housing. A numerical value is assigned to those areas of highest to lowest needs. These CNI scores correlate with data showing these communities also have rates of hospitalization for ambulatory care sensitive conditions. Residents in the communities with scores of "5" are more than twice likely to need inpatient care for preventable conditions than communities with a score of "1". Of the six identified zip codes in our catchment area, five of them rate as "highest needy." These zip codes include 94102 (Tenderloin), 94103 (SOMA), 94104 (Downtown), 94108 (Chinatown), and 94133 (North Beach), which allow further focus or refinement of our Community Benefit intervention for maximum and strategic impact. The CHW CNI findings are in alignment with the other health indicator data found on the Health Matters in SF website. B. Assets Assessment Following the development of the Community Vital Signs, participants in these meetings aided in identifying current assets in the form of programs and projects related to the goal and indicators. Subsequently, during this process, over 350 potential data indicators were identified to measure progress of the health goals. The Partnership then narrowed down the indicators to the 34 most relevant indicators that have current available data and benchmarks with additional research by BHSF and input during the Stakeholder Workshop on June 4, 2010. The Health Matters in SF website hosts a Collaboration Center for each health goal with the aim to continue and enhance the engagement of experts and community advocates, and health improvement process by participating in the Affinity Groups. BHSF is working with HCI to develop the web tools to enhance both individuals and organizations' ability to collaborate. C. Developing the Hospital's Implementation Plan (Community Benefit Report & Plan) At the November 2010 CAC meeting, the CAC conducted an exercise to identify existing institutional and community partner resources and categorizing them under each of the 10 health goals represented in Community Vital Signs. The exercise consisted of 3 rounds. In round 1, the CAC listed an inventory of all the programs within the scope of Saint Francis Memorial Hospital's Community Benefit program that are already being worked on to support each Community Vital Sign. In round 2, each member of the CAC voted for what they believed to be the top 3 goals to focus on by nominal group process voting. Finally in round 3, the results of the voting were announced and the Community Vital Sign indicator being used as a proxy to measure each goal was discussed in detail. As a result of the process, the CAC selected 6 of the 10 Community Vital Signs for the hospital's Community Benefit Plan focus. Community Vital Signs which Saint Francis Memorial Hospital chose not to address this year were: - Prevent and Detect Cancer: 2 votes - Raise Healthy Kids: 1 vote - Improve Health and Health Care Access for Persons with Disabilities: 0 Votes These needs were not selected because they are beyond the scope of the services offered by Saint Francis Memorial Hospital and they are already being addressed by other organizations in the community. Many of the services or programs directly address the needs of vulnerable populations in our community with Disproportionate Unmet Health Needs (DUHN). Communities with DUHN are defined as having a high prevalence or severity for a particular health concern to be addressed by a program activity, or community residents who face multiple health problems and who have limited access to timely, high quality health care. Our Community Benefit plan's services that address DUHNs include: Charity Care, Community Health Fairs, Dore Urgent Clinic, Emergency Department, Glide Health Services, Hep B Free, Homecoming Services Program, Navigator Program, Rally Visitation Services, and Recuperation Programs. Data used to validate this selection includes data from the Health Matters in SF website. At Saint Francis Memorial Hospital, some of our prominent Community Benefit programs serve to contain the growth of community health care costs. One example is the partnership with Glide Health Services, which enables timely access to health care and ensures the prevention of disease progression. D. Planning for the Uninsured/Underinsured Patient Population Saint Francis Memorial Hospital abides by the CHW Financial Assistance Policy that defines eligibility for Charity Care. Financial Counselors work directly with patients to assess whether they are eligible for government sponsored health programs. If the patient is eligible, the Financial Counselor will assist the patient with completing the application process. Patients that are making a good-faith effort to settle their bills may qualify for interest free, extended payment plans. This policy exceeds the California Hospital Association Voluntary Principles and Guidelines for Assisting Low-Income Uninsured Patients. Patient Financial Assistance notices, as required by local ordinance, are posted in four languages (Spanish, English, Russian and Chinese) in all registration areas. Financial Counselors are trained to enroll eligible patients into Healthy San Francisco. Healthy San Francisco provides a medical home and primary physician to uninsured residents of San Francisco. Although this is not an insurance program, Healthy San Francisco reinvents the health care safety net enabling the uninsured to access primary and preventative care. Through our partnership with Glide Health Services, Saint Francis Memorial Hospital provides outpa
Schedule H, Part VI, Line 3 - Patient Education of Eligibility for	Communication of the Financial Assistance Program to Patients and the Public: SFMH follows CHW's Financial Assistance Program. Information about patient financial assistance is available from SFMH, including a contact number for patients to call for information and assistance. The information is provided to patients at Emergency Registration, Hospital Admissions Registration and Outpatient Registration Points on the main campus and at offsite satellite clinics. Notices are posted in each of these areas as well. Written information is provided in the primary languages spoken by the populations served by the facility. At the point of registration, all patients receive brochures explaining the facility's charity care program and the availability of government sponsored programs. Uninsured patients receive copies of the charity care and Medicaid applications in addition to the brochure upon admission to the facility. It is SFMH's policy that at the time of patient billing, facilities provide to all uninsured patients the same billing information concerning services and charges provided to all other patients who receive care at SFMH facilities. If financial 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 charity care, instructions on how to apply for a government program or charity care and the provision of such applications. Any member of the SFMH staff or medical staff may make referral of patients for financial assistance. The patient or a family member, a close friend or associate of the patient may also make a request for financial assistance.	Assistance
Schedule H, Part VI, Line 4 - Community Information	Saint Francis Memorial Hospital is the only hospital located in downtown San Francisco. Patients' accessing the hospital's services range from the city's richest to poorest residents. Our primary service area includes Downtown, Nob Hill, North Beach, the Waterfront and areas with disproportionate unmet health needs: the Tenderloin, Chinatown and South of Market Area (SOMA) communities. The City and County of San Francisco is a densely populated urban environment with a residential population of 805,235 and a daytime population over 1.2 million. The city embraces a diverse ethnic culture 48.5% Caucasian, 33.3% Asian, 6.1% African American, 15.1% Hispanic, 4.7% - two or more races, 0.4% Native Hawaiian/Pacific Islander, 0.5% American Indian/Alaska Native, 6.5% other. The population is highly educated with 85% high school graduates and 50% with a college degree. There are an estimated 73,000 persons without health insurance in San Francisco. The cost of living in San Francisco is one of the highest in the nation. The Tenderloin The Tenderloin is one of San Francisco's most densely populated and neediest neighborhoods. Approximately 28,991 residents live in the 94102 zip code. The residents of the Tenderloin speak many languages, are of many races and income levels. The neighborhood is home to many immigrant families, 27.3% of which are linguistically isolated. 43% of residents speak a language other than English at home. The Tenderloin is one of the city's most impoverished neighborhoods. It is also home to many of the city's non-profits that provide the resources and networks that individuals need to build new lives. The average median income of residents is only $22,351, with 24.5% of residents living below the federal poverty level. The Tenderloin is a very diverse community, 16.5% of residents are African American, 13.5% are Latino, 25% are Asian, and 0.4% are Native Hawaiian or Other Pacific Islander. The North of Market Community Benefit District was established in 2005 with the goal of providing consistent cleaning, beautification and safety services to the Tenderloin. These services are paid for by a tax on property owners. In 2009, the Tenderloin was deemed a National Historic District. Chinatown Established in the 1850's this neighborhood is one of the oldest Chinatowns in Northern California. Chinatown's architecture, restaurants and shopping make it one of the city's most popular tourist destinations. Chinatown is one of the city's most densely populated neighborhoods with 13,716 residents living in this small area. Since the neighborhood's birth in the 1800's it has been home to many immigrants. Today, 16% of its residents live below the poverty line. The median income of residents living in Chinatown is $31,542. A majority (58%) of residents living in this neighborhood are Asian or Pacific Islander. Only 1.3% of residents living in Chinatown are African American and 4.2% are Hispanic or Latino. 61% of residents speak a language other than English at home. South of Market Area South of Market Area (SOMA) is the fastest growing neighborhood in San Francisco with a population of 23,016 residents. Dozens of high rise condos and retail outlets are currently under development. This neighborhood exhibits high poverty rates, particularly for adults and seniors. There is a high near poverty rate among Children and in SOMA, unemployment and labor force non-participation continue to be issues for residents. 22.5% of SOMA residents live below the federal poverty line. SOMA is a very diverse neighborhood: 11.8% of residents are African American, 24.9% are Asian or Pacific Islander and 25.1% are Hispanic or Latino. 49% of SOMA residents speak a language other than English at home. The Transbay Terminal Replacement Project, along with many new residential high rises, is transforming the city's skyline and these neighborhood demographics. However, the neighborhood is still home to a number of single room occupancy hotels and poor persons. The community has been federally designated as a Medically Underserved Area/Population, given that 5 Federally Qualified Health Centers (FQHC) are located in the 94102, 94103 and 94133 zip codes. They are: Glide Health Services, Curry Senior Center, St. Anthony's Free Clinic, South of Market Health Center and North East Medical Services. Also in the community are non-FQHC clinics and Chinese Hospital.
Schedule H, Part VI, Line 5 - Other Information	The Hospital is governed by a Board of Trustees, the majority of whom reside within its primary service area and who are not employees, contractors or family members thereof. All surplus funds generated by SFMH are reinvested back into the organization to improve patient care and provide healthcare services to its community. SFMH has an open medical staff with privileges available to all qualified physicians in the area; In addition, SFMH furthers its exempt purpose by promoting the health of the community by exercising the following: - Operating an emergency room that is open to all persons regardless of ability to pay; - Partnering with Glide Health Clinic, an FQHC serving the underserved in the Tenderloin Neighborhood. - Engaging in the training and education of health care professionals;
Schedule H, Part VI, Line 6 - Affiliated Health Care System	SFMH is affiliated with CHW. Affiliates of CHW 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 CHW and its subordinate corporations for the year ended June 30, 2011, is as follows: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 97,422 152,563,579 1.6% Unpaid Costs of Medicaid/Medi-Cal 1,035,601 444,972,896 4.7% Other Means-tested Programs 253,140 63,978,237 0.7% Community Services: Community Health Services 552,089 49,285,673 0.5% Health Professions Education 21,637 10,998,382 0.1% Subsidized Health Services 219,756 37,388,406 0.4% Donations 233,077 37,415,522 0.4% Community Building Activities 15,081 1,642,251 0.0% Community Benefit Operations 19,210 6,983,659 0.1% Total Community Services for the poor 1,060,850 143,713,893 1.5% Total Benefits for the Poor 2,447,013 805,228,605 8.5% Benefits for the Broader Community: Community Services: Community Health Services 2,004,902 23,003,029 0.2% Health Professions Education 52,255 65,128,468 0.7% Subsidized Health Services 124,290 11,026,699 0.1% Research 5,057 24,166,007 0.3% Donations 202,417 7,914,381 0.1% Community Building Activities 63,555 8,148,278 0.1% Community Benefit Operations 937 2,883,276 0.0% Total Benefits for the Broader Community 2,453,413 142,270,138 1.5% Total Community Benefits 3,562,475 571,626,794 10.0% Unpaid Costs of Medicare 1,109,062 429,356,656 4.5% Total Community Benefits including Cost of Medicare 6,009,488 1,376,855,399 14.5%
Schedule H, Part I, line 7b, column (f)	In January 2010, the State of California enacted legislation that provided for supplemental Medi-Cal payments to certain hospitals funded by a quality assurance fee paid by participating hospitals and matching federal funds ("the 2010 Hospital Fee Program"). The legislation covered the period of April 1, 2009 through December 31, 2010. The Centers for Medicare & Medicaid Services approved the 2010 Hospital Fee Program in its entirety in December 2010, and therefore all activity of the program was recognized during the year ended June 30, 2011. Quality assurance fees recognized during the year of $10.2 million are included in total community benefit expense related to unreimbursed Medicaid (Part I, line 7b, column b), and fee-for-service supplemental payments of $15.0 million recognized during the year are reflected under the Medicaid program as direct offsetting revenue (Part I, line 7b, column d). This net reduction in the cost of the Medicaid program is driving a large decrease in the overall cost of community benefit expense as a percent of total expenses when compared to prior years. The California Hospital Association created a private program, the California Health Foundation and Trust ("CHFT"), established for several purposes, including aggregating and distributing financial resources to support charitable activities at various hospitals and health systems in California. Upon approval of the legislation noted above in December 2010, SFMH recorded a pledge to a grant fund established by CHFT in the amount $0.5 million. The grant is reported under other benefits (Part I, line 7i, column c), as cash and in-kind contributions to community groups.
STATE FILING OF COMMUNITY BENEFIT REPORT	CA,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Alisa Ann Ruch Burn Foundation
665 3rd St Ste 345	San Francisco	CA	94107	237162017	501(c)(3)	7075	0	N/A	N/A	Quality of Life
San Francisco Foundation Community Initiative
354 Pine St Ste 700	San Francisco	CA	94104	943255070	501(c)(3)	8500	0	N/A	N/A	Social Health
Glide Health Services
330 Ellis St	San Francisco	CA	94102	941156481	501(c)(3)	9370	0	N/A	N/A	Service for the Poor
Hospital Council of Northern & Central California
1215 K St 800	Sacramento	CA	95814	941533644	501(c)(6)	86887	0	N/A	N/A	Social Health
ICA San Francisco Work Study
3625 24th St	San Francisco	CA	94110	264450576	501(c)(3)	14500	0	N/A	N/A	Educational Support
California Health Foundation and Trust
1215 K Street Ste 800	Sacramento	CA	94103	941489356	501(c)(3)	500387	0	N/A	N/A	Improve access to & betterment of healthcare

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PART I, LINE 2	Identifier
Explanation	As a 501(c)(3) organization, we provide assistance to various charitable organizations to promote CHW's Mission. A designated Committee establishes and evaluates priorities and allocation of funds with emphasis on promotion of healthy communities and community collaboration. We do not monitor and report program outcomes. Spending is tracked on an ongoing basis to ensure that annual spending is within the budgeted amount.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Anna Cheung
0	311224	0	192045	0	15454	0	31950	0	33015	0	583688	0	0
Dr Victor Prieto
192579	0	0	0	0	0	0	0	0	0	192579	0	0	0
Alan Fox
234513	0	75094	0	16584	0	24996	0	23374	0	374561	0	0	0
Tom Hennessy
0	311577	0	252401	0	225709	0	36437	0	38353	0	864477	0	0
Anthony Jackson
214640	0	72531	0	1710	0	16897	0	22504	0	328282	0	0	0
Helen Karow
165012	0	35139	0	696	0	17330	0	18686	0	236863	0	0	0
Dennis Kneeppel
207137	0	70092	0	9724	0	23107	0	8341	0	318401	0	0	0
Juli Maxworthy
141866	0	34509	0	8369	0	15177	0	20245	0	220166	0	0	0
Raymond Miller
159528	0	33898	0	2115	0	10916	0	16263	0	222720	0	0	0
Barbara Morrissette
154005	0	36628	0	911	0	11046	0	15520	0	218110	0	0	0
Dallas Ryan
171053	0	35975	0	558	0	17969	0	15756	0	241311	0	0	0
Andrew Smith
211049	0	30000	0	40863	0	13748	0	9662	0	305322	0	0	0
Lloyd Yandell
134950	0	20456	0	2993	0	13572	0	3595	0	175566	0	0	0
Abbie Yant
151387	0	33908	0	3803	0	16672	0	22410	0	228180	0	0	0
Susanne Gardino
241158	0	300	0	0	0	17144	0	800	0	259402	0	0	0
Harendra C Joshi
239951	0	300	0	5527	0	13694	0	7221	0	266693	0	0	0
Bradford K Moy
226981	0	33887	0	913	0	14813	0	8176	0	284770	0	0	0
John Ikona Ubi
268635	0	1625	0	0	0	18685	0	26356	0	315301	0	0	0
Doris Y Yau
298192	0	1364	0	0	0	20309	0	27748	0	347613	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, LINE 3	Although the organization employs personnel, the Organization relied on a related organization, Catholic Healthcare West, that used one or more of the methods described in Schedule J, Part I, Line 3, to establish the Organization's Service Area Leader's compensation. See Schedule O disclosure for Form 990, Part VI, Section B, Line 15a for additional information.
Schedule J, J-1	SFMH does not compensate directors, Dr. Mel Blaustein, Dr. Amy Bossen, Dr. Gary Chan, Dr. David J. Malone and Dr. Victor Prieto for their services as board members. All compensation and benefits reported represent compensation as Medical Directors of SFMH.
PART I, LINE 4a	The employees paid by the parent organization 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. The organization's non-contractual employees participate in a severance plan that provides fair compensation, ranging from payments of 2 weeks to 18 weeks of base compensation, depending on the employee's position, in the event of a position elimination or other involuntary termination, in accordance with the guidelines of the plan. Severance for employees covered by collective bargaining agreements varies by agreement.
PART I, LINE 4b	Certain listed persons hired prior to June 30, 2006 are eligible to participate in the 2007 CHW Executive Deferred Compensation Plan, a nonqualified 457(f) plan that is subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is intended to provide a benefit approximating the difference, if any, between the benefit provided under the CHW Excess Benefit Plan and the benefit provided under the qualified benefit plan that substantially replaced the Excess Plan. No benefit will vest under the 457(f) plan before the later of the attainment of age 62 while employed or the completion of 15 years of service. Certain listed persons participate in the CHW Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the CHW retirement plan whose benefits are affected by the limitations imposed by Sections 401(a)(17) and 415 of the Internal Revenue Code. Benefit service under this plan was frozen as of January 1, 2008. No payments were made to any listed persons during 2010 pursuant to this plan. Certain listed persons participate in the CHW 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 to any listed persons during 2010 pursuant to this plan.
PART II, SUPPLEMENTAL DISCLOSURES	The organization's executive compensation philosophy is designed to assist the organization in attracting and retaining the caliber of executives required to enable the organization to fulfill its mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities the organization serves, promoting 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 Compensation and Benefits Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and the organization's commitment to serving the poor and disenfranchised in the communities it serves.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITHY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521643828	IssuerEIN
CUSIP Number	13033FYE4	CUSIPNumber
Date Issued	2005-11-10	DateIssued
Issue Price	200000000	IssuePrice
Description Of Purpose	NEW MONEY TO FINANCE CAPITAL Expen	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	10092698	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	113606	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	0	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	9979093	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2007	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Any Research Agreements	true	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00604	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00604	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	true	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	true	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	Schedule K, Part IV	Identifier
Explanation	BOND A: 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. Saint Francis Memorial Hospital, as a separate entity, received $10 million of the $200 million of the CHFFA 2005HI pool bonds. Part III, Line 3a Although there are management or service contracts that may generate private use, we have policies and procedures in place that require such contract be in compliance with Revenue Procedure 97-13. Part III, Line 3b Although there are research agreements which may result in private use, we have policies and procedures in place that require such contract be in compliance with Revenue Procedure 2007-47.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
HADDAD LANZEROTTI MALIN et al
Gores and Malin - BOD	80135	Payment for medical Services	false
HADDAD LANZEROTTI MALIN et al
Gores and Malin - BOD	92160	LEASING	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, PART VI - GOVERNANCE, MANAGEMENT, DISCLOSURE	FORM 990, PART VI, SECTION A, LINE 2: Drs Malin and Gores are partners in a Medical Group practice. FORM 990, PART VI, SECTION A, LINE 6: The sole corporate member is Catholic Healthcare West, a 501(c)(3) exempt organization. FORM 990, PART VI, SECTION A, LINE 7a: CHW, as the sole corporate member, ratifies the selection of members and the CHW Board approves new Board members of the organization. FORM 990, PART VI, SECTION A, LINE 7b: Reserved rights of the corporate member include adoption of mission and philosophy statements, amendment or restatement of articles of incorporation and bylaws, dissolution of the corporation, acquisition of another corporation, creation of a new subsidiary, merger or consolidation with another corporation, participation as a general or limited partner in any venture, incurring long-term indebtedness in excess of normal operating requirements, ratification of board member appointments and dismissals, selection and removal of independent auditors, and transactions outside the ordinary course of business. FORM 990, PART VI, SECTION B, LINE 11A: The form 990 was reviewed by finance and accounting (regional CHW management and corporate tax department), which worked closely with an independent accounting firm engaged to review the return. The Board of Trustees has delegated the review of the Form 990 to the Finance Committee. Management provided the draft of the Form 990 to the Finance Committee before filing the return with the IRS for discussion at the committee meeting. The draft was complete except it excluded compensation information. Subsequent to its review, the Finance Committee reported back to the Board regarding its review and provided a draft to the Board of Trustees, again excluding compensation. FORM 990, PART VI, SECTION B, LINE 12c: The Organization has adopted CHW's Conflicts of Interest Policy. The Organization's Board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the conflicts of interest policy, 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 conflicts of interest policy; (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. The completed questionnaires are reviewed by CHW's Legal Department and any persons with actual or potential conflicts are informed via written communication. 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) any conflicting issues arising during the course of a board meeting which cannot be resolved are to be referred to an independent committee of the Board of Directors; and (6) the transaction or action must be approved by a majority of disinterested persons. All conflicts of interest, whether resolved or unresolved, are reported in the Organization's Form 990. FORM 990, PART VI, SECTION B, LINE 15a: Although the organization employs personnel, the Service Area Leader is compensated by Catholic Healthcare West (CHW). For 2010, CHW's Compensation and Benefits department conducted an annual review and analysis to provide benchmarking data for the total compensation and benefits package of the Service Area Leader. Appropriate comparability data for similar jobs in peer companies (both taxable and tax-exempt) is obtained from independent third-party survey sources. FORM 990, PART VI, SECTION B, LINE 15b: For 2010, The parent organization's human resources department conducted an annual review and analysis to provide benchmarking data for the total compensation and benefits package of key executives. The compensation for these individuals was based on the qualification and experience of the candidates. Compensation is also reviewed annually as part of the merit increase process. FORM 990, PART VI, SECTION B, LINE 19: Federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection. The organization makes its financial statements available on its website and upon request.
Form 990, PART XI, LINE 5	Change in unrealized gains in the amount OF $12,260,954. Interest in net assets of unconsolidated foundation in the amount of $6,535,696.
Form 990, Part XII, Line 3b	The organization's federal awards were included in CHW's consolidated OMB Circular A-133 audited Schedule of Federal Expenditures.
HOURS DEVOTED FOR RELATED ORGANIZATION	NAME:Anna Cheung TITLE:Board Member HOURS:40	FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Catholic Healthcare West	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	185 Berry Street	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94107	ZIPCode

Field	Value	IRS element (for citing)
EIN	941196203	EIN
Primary Activities	Hospital	PrimaryActivities
Legal Domicile State	CA	LegalDomicileState
Exempt Code Section	501(c)(3)	ExemptCodeSection
Public Charity Status	3	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1