TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Juan P Bravo...................................................................... Director	2.0 ................. 40.0	X			0	360,400	49,800
(2) Christina Fernandez DD JD BCC...................................................................... Board Member (thru 7/2/2018)	2.0 ................. 40.0	X			0	560,962	72,712
(3) Keith Frey MD...................................................................... Board Member	2.0 ................. 40.0	X			0	730,656	90,592
(4) Nanette Mickiewicz MD...................................................................... Board Member	2.0 ................. 40.0	X			0	535,743	105,341
(5) Marvin O'Quinn...................................................................... Ex-officio Board Member	1.0 ................. 50.0	X			0	4,112,323	369,135
(6) Todd A Strumwasser MD...................................................................... Board Member	2.0 ................. 50.0	X			0	1,269,128	163,287
(7) Robert Wiebe MD...................................................................... Board Member	2.0 ................. 50.0	X			0	2,337,699	212,462
(8) Mark Behl...................................................................... CEO	40.0 ................. 0.0	X	X		0	305,592	24,967
(9) Gary Greensweig DO...................................................................... Chair	2.0 ................. 40.0	X	X		0	916,094	143,061
(10) Scott Robertson MD...................................................................... Secretary	2.0 ................. 40.0	X	X		0	598,540	79,426
(11) Bruce Swartz...................................................................... Brd Mbr/Intrm CEO thru 9/2018	2.0 ................. 50.0	X	X		0	1,096,001	132,682
(12) Lawrence Blumenthal...................................................................... Interim CFO	10.0 ................. 30.0		X		0	427,320	72,373
(13) Theresa M Hylen...................................................................... CFO	40.0 ................. 0.0		X		0	0	0
(14) Christopher McGoldrick...................................................................... CFO (thru 3/29/19)	40.0 ................. 0.0		X		368,861	0	61,329
(15) Sigrid Owyang...................................................................... VP Clinic Operations	40.0 ................. 0.0			X	330,725	0	54,034
(16) Jennifer Schaab...................................................................... VP Clinic Ops (thru 11/9/18)	40.0 ................. 0.0			X	522,581	0	46,202
(17) Dean K Ward...................................................................... VP Ops, Bay Area (thru 1/5/18)	40.0 ................. 0.0			X	216,389	0	4,012

(A) Name and business address	(B) Description of services	(C) Compensation
CDP DEVELOPMENT INC, 8775 FOLSOM BLVD SACRAMENTO,CA95826	contractor	5,519,426
CITY BUILDING INC, 212 N SAN MATEO DR SAN MATEO,CA94401	contractor	5,286,263
SYNERGY PHYSICIANS CORP, 9070 W DESERT COVE AVE SCOTTSDALE,AZ85260	Medical Services	5,272,101
MEDICINE PHYSICIANS INC, 8849 AHMED AVE ELKGROVE,CA95624	Medical Services	5,096,318
GETIXHEALTH LLC, 9800 CENTRE PKWY HOUSTON,TX770368263	Revenue Cycle SVCS	3,653,079
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 92

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) DIGNITY HEALTH	941196203	3	Yes		11,880	617,537,617
(B) DIGNITY COMMUNITY CARE	815009488	3	Yes		8,486	441,098,298
Total 2					20,366	1,058,635,915

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Yes

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Yes

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Sched A, PART I, LINE 12G	DIGNITY HEALTH MEDICAL FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH AND DIGINITY COMMUNITY CARE, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS.
SCHEDULE A, PART IV, LINE 5A	ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. PRIOR TO FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. THE EIN OF THE SUPPORTED ORGANIZATIONS CHANGED FROM 94-1196203 TO 81-5009488. SCHEDULE A, PART IV, LINE 6 AS DIRECTED BY ITS SUPPORTED ORGANIZATION, THE ORGANIZATION MADE GRANTS TO FOUNDATIONS THAT ARE PART OF THE DIGNITY HEALTH HEALTHCARE SYSTEM, ST. JOSEPH'S FOUNDATION.

Return Reference

Explanation

Sched A, PART I, LINE 12G

DIGNITY HEALTH MEDICAL FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH AND DIGINITY COMMUNITY CARE, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS.

SCHEDULE A, PART IV, LINE 5A

ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. PRIOR TO FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. THE EIN OF THE SUPPORTED ORGANIZATIONS CHANGED FROM 94-1196203 TO 81-5009488. SCHEDULE A, PART IV, LINE 6 AS DIRECTED BY ITS SUPPORTED ORGANIZATION, THE ORGANIZATION MADE GRANTS TO FOUNDATIONS THAT ARE PART OF THE DIGNITY HEALTH HEALTHCARE SYSTEM, ST. JOSEPH'S FOUNDATION.

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Dignity Health Medical Foundation

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization Dignity Health Medical Foundation		Employer identification number 68-0220314

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization Dignity Health Medical Foundation			Employer identification number 68-0220314
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

7,525

Total. Add lines 1c through 1i ....................................................................................................

7,525

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I	LOBBYING PORTION FOR ANNUAL MEMBERSHIP DUES: MEDICAL GROUP MANAGEMENT ASSOCIATION $92 CALIFORNIA CHAMBER OF COMMERCE $117 AMERICA'S PHYSICIAN GROUPS $7,176 AMERICAN HEALTH INFORMATION MANAGEMENT ASSOC $14 AMERICAN COLLEGE OF PHYSICIANS $120 SOCIETY FOR HUMAN RESOURCE MANAGEMENT $6 TOTAL EXPENDITURES PAID TO ORGANIZATIONS $7,525

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	0	3,040,000		3,040,000
b	Buildings ....	0	56,516,050	1,058,253	55,457,797
c	Leasehold improvements	0	44,767,418	2,963,590	41,803,828
d	Equipment ....	0	35,474,558	2,973,453	32,501,105
e	Other .....	0	36,667,764	0	36,667,764
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					169,470,494

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)OWNERSHIP INTERESTS IN HEALTH	34,850,336	C
(2)INVESTMENT IN UNCONSOLIDATED	151,041	F
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	35,001,377

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO RELATED PARTIES	22,247,360
LONG-TERM PENSION PAYABLE	3,438,222
NON CURRENT LIABILITIES	2,071,521
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	27,757,103
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART VI LAND, BUILDING, AND EQUIPMENT	DUE TO THE ACQUISITION ACCOUNTING TREATMENT APPLIED TO THE AFFILIATION BETWEEN DIGNITY HEALTH AND CHI, THE ASSETS AND LIABILITIES OF DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS WERE MEASURED AND RECORDED AT FAIR VALUE UPON THE EFFECTIVE DATE OF FEBRUARY 1, 2019.
SchedULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE	COMMONSPIRIT HEALTH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2018

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Dignity Health Medical Foundation

Employer identification number
68-0220314

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) St Joseph's Foundation 350 W THOMAS ROAD PHOENIX,AZ85013	94-2941245	501(c)(3)	10,000	0	N/A	N/A	Community Health

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Sched I, PART I, LINE 2	GRANTS ARE PROVIDED BY DIGNITY HEALTH MEDICAL FOUNDATION TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER DIGNITY HEALTH MEDICAL FOUNDATION'S EXEMPT PURPOSE. ALL ORGANIZATIONS THAT ARE PROVIDED GRANTS ARE REQUIRED TO BE A SECTION 501(C)(3) ORGANIZATION.

Schedule I (Form 990) 2018

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Juan P Bravo Director	(i) (ii)	0 ------------- 230,334	0 ------------- 105,055	0 ------------- 25,011	0 ------------- 34,461	0 ------------- 15,339	0 ------------- 410,200	0 ------------- 0
2Christina Fernandez DD JD BCC Board Member (thru 7/2/2018)	(i) (ii)	0 ------------- 100,999	0 ------------- 372,774	0 ------------- 87,189	0 ------------- 45,717	0 ------------- 26,995	0 ------------- 633,674	0 ------------- 0
3Keith Frey MD Board Member	(i) (ii)	0 ------------- 490,603	0 ------------- 225,575	0 ------------- 14,478	0 ------------- 64,820	0 ------------- 25,772	0 ------------- 821,248	0 ------------- 0
4Nanette Mickiewicz MD Board Member	(i) (ii)	0 ------------- 397,879	0 ------------- 120,022	0 ------------- 17,842	0 ------------- 49,107	0 ------------- 56,234	0 ------------- 641,084	0 ------------- 0
5Marvin O'Quinn Ex-officio Board Member	(i) (ii)	0 ------------- 1,240,596	0 ------------- 2,452,308	0 ------------- 419,419	0 ------------- 297,510	0 ------------- 71,625	0 ------------- 4,481,458	0 ------------- 294,506
6Todd A Strumwasser MD Board Member	(i) (ii)	0 ------------- 621,208	0 ------------- 628,585	0 ------------- 19,335	0 ------------- 106,062	0 ------------- 57,225	0 ------------- 1,432,415	0 ------------- 0
7Robert Wiebe MD Board Member	(i) (ii)	0 ------------- 821,609	0 ------------- 1,329,924	0 ------------- 186,166	0 ------------- 176,634	0 ------------- 35,828	0 ------------- 2,550,161	0 ------------- 172,903
8Mark Behl CEO	(i) (ii)	0 ------------- 146,150	0 ------------- 40,000	0 ------------- 119,442	0 ------------- 14,595	0 ------------- 10,372	0 ------------- 330,559	0 ------------- 0
9Gary Greensweig DO Chair	(i) (ii)	0 ------------- 480,304	0 ------------- 419,543	0 ------------- 16,247	0 ------------- 79,671	0 ------------- 63,390	0 ------------- 1,059,155	0 ------------- 0
10Scott Robertson MD Secretary	(i) (ii)	0 ------------- 430,038	0 ------------- 166,792	0 ------------- 1,710	0 ------------- 55,225	0 ------------- 24,201	0 ------------- 677,966	0 ------------- 0
11Bruce Swartz Brd Mbr/Intrm CEO thru 9/2018	(i) (ii)	0 ------------- 481,246	0 ------------- 585,898	0 ------------- 28,857	0 ------------- 91,842	0 ------------- 40,840	0 ------------- 1,228,683	0 ------------- 0
12Lawrence Blumenthal Interim CFO	(i) (ii)	0 ------------- 293,260	0 ------------- 132,215	0 ------------- 1,845	0 ------------- 42,107	0 ------------- 30,266	0 ------------- 499,693	0 ------------- 0
13Christopher McGoldrick CFO (thru 3/29/19)	(i) (ii)	298,557 ------------- 0	67,598 ------------- 0	2,706 ------------- 0	37,141 ------------- 0	24,188 ------------- 0	430,190 ------------- 0	0 ------------- 0
14Sigrid Owyang VP Clinic Operations	(i) (ii)	270,729 ------------- 0	54,410 ------------- 0	5,586 ------------- 0	33,766 ------------- 0	20,268 ------------- 0	384,759 ------------- 0	0 ------------- 0
15Jennifer Schaab VP Clinic Ops (thru 11/9/18)	(i) (ii)	312,282 ------------- 0	137,840 ------------- 0	72,459 ------------- 0	43,465 ------------- 0	2,737 ------------- 0	568,783 ------------- 0	0 ------------- 0
16Dean K Ward VP Ops, Bay Area (thru 1/5/18)	(i) (ii)	9,683 ------------- 0	0 ------------- 0	206,706 ------------- 0	1,670 ------------- 0	2,342 ------------- 0	220,401 ------------- 0	0 ------------- 0
17Jane A Weldon VP Operations, So Cal	(i) (ii)	261,296 ------------- 0	56,714 ------------- 0	11,083 ------------- 0	28,389 ------------- 0	20,506 ------------- 0	377,988 ------------- 0	0 ------------- 0
18Sivasubramanian R Manoharan Chief Radiation Physicist	(i) (ii)	265,028 ------------- 0	13,748 ------------- 0	1,292 ------------- 0	29,019 ------------- 0	26,995 ------------- 0	336,082 ------------- 0	0 ------------- 0
19Kathryne Eggers VP Project Management Office	(i) (ii)	13,125 ------------- 0	0 ------------- 0	209,776 ------------- 0	6,521 ------------- 0	1,682 ------------- 0	231,104 ------------- 0	0 ------------- 0
20Marjorie D Gorthy Exec Dir - MIC (thru 1/4/19)	(i) (ii)	210,412 ------------- 0	31,662 ------------- 0	1,416 ------------- 0	26,353 ------------- 0	19,811 ------------- 0	289,654 ------------- 0	0 ------------- 0
21Marvin G Labrie Executive Director - Santa Cru	(i) (ii)	236,307 ------------- 0	29,403 ------------- 0	1,513 ------------- 0	25,288 ------------- 0	42,750 ------------- 0	335,261 ------------- 0	0 ------------- 0
22Melanie A Radko VP Quality Management	(i) (ii)	228,070 ------------- 0	44,951 ------------- 0	2,622 ------------- 0	29,789 ------------- 0	18,095 ------------- 0	323,527 ------------- 0	0 ------------- 0
23Anthony Scott Carswell FORMER OFFICER	(i) (ii)	0 ------------- 511,898	0 ------------- 641,522	0 ------------- 10,723	0 ------------- 98,644	0 ------------- 57,035	0 ------------- 1,319,822	0 ------------- 0
24Karl Silberstein Former Officer	(i) (ii)	0 ------------- 617,999	0 ------------- 726,310	0 ------------- 1,182,951	0 ------------- 113,558	0 ------------- 54,132	0 ------------- 2,694,950	0 ------------- 1,154,898

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Sched J, PART I, LINE 3	DIGNITY HEALTH MEDICAL FOUNDATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH THAT USED A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH DIGNITY HEALTH MEDICAL FOUNDATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
Sched J, PART I, LINE 4A	CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE KEY EMPLOYEE AND ONE HIGHEST PAID EMPLOYEE OCCURRED DURING 2018 INCLUDE D. WARD; $157,266 AND K. EGGERS $170,955.
Sched J, PART I, LINE 4B	CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE UNDER THE PLAN DURING 2018. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE FORMER OFFICER OCCURRED DURING 2018 INCLUDE K. SILBERSTEIN; $1,154,898. CERTAIN LISTED PERSONS 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 IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE SUCCESSFULLY. 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. PAYMENTS MADE DURING 2018 PURSUANT TO THIS PLAN INCLUDE M. O'QUINN, $294,506; AND R. WIEBE, MD, $172,903. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
Sched J, PART III	THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2018.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Return Reference	Explanation
Form 990, PART I, LINE 22	AFFILIATION OF CHI AND DIGNITY HEALTH ON FEBRUARY 1, 2019 CATHOLIC HEALTH INITIATIVES ("CHI") AND DIGNITY HEALTH EFFECTED A BUSINESS COMBINATION AS DISCUSSED IN NOTE 1 OF COMMONSPIRIT HEALTH'S ("COMMONSPIRIT") AUDITED FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED JUNE 30, 2019. DUE TO THE CIRCUMSTANCES OF THE BUSINESS COMBINATION BETWEEN CHI AND DIGNITY HEALTH, THROUGH THE ALIGNMENT UNDER CATHOLIC HEALTH CARE FEDERATION ("CHCF"), THE TRANSACTION QUALIFIED FOR ACQUISITION ACCOUNTING WITH COMMONSPIRIT (FORMERLY KNOWN AS CHI) AS THE ACCOUNTING ACQUIRER OF DIGNITY HEALTH. NO CASH CONSIDERATION WAS INVOLVED IN THE AFFILIATION. AS PART OF THE AFFILIATION, DIGNITY HEALTH CAUSED TO TRANSFER EIGHT NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE. THE TRANSFER OF THESE NET ASSETS, STEPPED UP TO FAIR VALUE PURSUANT TO THE APPLICATION OF ACQUISITON ACCOUNTING, IS RECORDED IN NET ASSETS (SEE PART XI, LINE 9). FORM 990, PART VI, SECTION A, LINE 2 B. SWARTZ, T. STRUMWASSER - BUSINESS RELATIONSHIP M. O'QUINN, B. SWARTZ - BUSINESS RELATIONSHIP B. SWARTZ, G. GREENSWIEG - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS. FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. PRIOR TO FEBRUARY 1, 2019, THE ORGANIZATION'S SOLE CORPORATE MEMBER WAS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EFFECTIVE FEBRUARY 1, 2019, DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE FOUNDATION. PRIOR TO FEBRUARY 1, 2019, DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THERE IS A TWO LEVEL REVIEW FOR THE DIGNITY HEALTH MEDICAL FOUNDATION FORM 990; FIRST THE ACCOUNTING DIRECTOR WORKED CLOSELY WITH THE PARENT ORGANIZATION AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW THE FORM 990, THE FINAL REVIEW WAS DONE BY THE CEO AND CFO. THE DRAFT WAS ALSO RECEIVED BY THE BOARD OF DIRECTORS. THE DRAFT WAS COMPLETE EXCEPT IT EXCLUDED COMPENSATION INFORMATION FOR DIRECTORS WHO ARE ALSO KEY EXECUTIVES OF DIGNITY HEALTH, THE FILING ORGANIZATION'S SOLE MEMBER. COMPENSATION BY DIGNITY HEALTH TO THOSE DIRECTORS WAS REVIEWED BY THE COMPENSATION AND BENEFITS COMMITTEE OF THE DIGNITY HEALTH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL DESIGNATED BY THE FILING OFFICER ("COVERED PERSONS"). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE EVP/CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15A	ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2018, DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION B, LINE 15B DIGNITY HEALTH MEDICAL FOUNDATION COMPENSATION AND BENEFITS DEPARTMENT CONDUCTS ANNUAL REVIEWS AND ANALYSIS THAT ALLOWS A RANGE FOR COMPENSATION FOR EACH KEY EMPLOYEE FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGE. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN OWNERSHIP INTEREST ON SALE IN A JOINT VENTURE; $91,389 CHANGE IN OWNERSHIP INTEREST ON PURCHASE IN A JOINT VENTURE; $ 517,160 CHANGE IN INTEREST IN UNCONSOLIDATED FOUNDATION; $898 ADJUSTMENT OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO ACQUISITION ACCOUNTING; $16,069,191
FORM 990, PART XII, LINE 3A	THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN DIGNITY HEALTH AND SUBORDINATE CORPORATIONS' UNIFORM GUIDANCE SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2018, TO JANUARY 31, 2019, AND COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF FEBRUARY 1, 2019, TO JUNE 30, 2019.
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:MANAGEMENT FEES TOTAL FEES:28339363
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMIN SERVICES TOTAL FEES:19240509
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE/REPAIRS TOTAL FEES:6918653
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:17084004

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Dignity Health Medical Foundation

Employer identification number

68-0220314

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Bakersfield Memorial Hospital 420 34TH Street Bakersfield,CA93301 95-1802779	Hospital	CA	501(c)(3)	3	DHDCC		No
(2)Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino,CA92411 95-1643373	Hospital	CA	501(c)(3)	3	DHDCC		No
(3)Dignity Community Care 185 Berry Street Suite 300 San Francisco,CA94107 81-5009488	Hospital	CO	501(c)(3)	3	CSH		No
(4)Dignity Health 185 Berry Street Suite 300 San Francisco,CA94107 94-1196203	Hospital	CA	501(c)(3)	3	CSH		No
(5)Dignity Health Connected Living 200 Mercy Oaks Drive Redding,CA96003 23-7115371	Senior Center	CA	501(c)(3)	7	Dignity Hlth		No
(6)Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco,CA94107 94-3006034	Administratio	CA	501(c)(3)	12A-I	Dignity Hlth		No
(7)Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco,NV94107 81-3800752	Self Ins Fund	NV	501(c)(3)	12A-I	Dignity Hlth		No
(8)Dignity Health Workers' Comp Self-Insura 185 Berry Street San Francisco,CA94107 94-6612446	Administratio	CA	501(c)(3)	12A-I	Dignity Hlth		No
(9)Dominican Health Services 1555 Soquel Drive Santa Cruz,CA95065 77-0056778	Community Hlt	CA	501(c)(3)	12A-I	Dignity Hlth		No
(10)Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz,CA95065 77-0127719	SR HOUSING	CA	501(c)(3)	10	DHS		No
(11)Mark Twain Medical Center 768 Mountain Ranch Road San Andreas,CA95249 68-0127677	Hospital	CA	501(c)(3)	3	DHDCC		No
(12)Mercy McMahon Terrace 3865 J Street Sacramento,CA95816 68-0117340	SR HOUSING	CA	501(c)(3)	10	Dignity Hlth		No
(13)Pacific Central Coast Health Centers 1400 E Church Street Santa Maria,CA93454 77-0447575	Clinic	CA	501(c)(3)	3	DHDCC		No
(14)Port City Operating Company LLC 3400 Data Drive Rancho Cordova,CA95670 46-5322209	Hospital	CA	501(c)(3)	3	Dignity Hlth		No
(15)Saint Francis Memorial Hospital 900 Hyde Street San Francisco,CA94109 94-1156295	Hospital	CA	501(c)(3)	3	DHDCC		No
(16)Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley,CA95945 94-1439787	Hospital	CA	501(c)(3)	3	DHDCC		No
(17)St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara,CA93103 77-0022302	INACTIVE	CA	501(c)(3)	12A-I	Dignity Hlth		No
(18)St Mary Professional Building Inc 1050 Linden Avenue Long Beach,CA90813 23-7373088	INACTIVE	CA	501(c)(3)	12A-I	Dignity Hlth		No
(19)Arroyo Grande Community Hospital Foundat 345 S Halcyon Rd Arroyo Grande,CA93420 20-3256066	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(20)Barrow Foundation UK 13 CHURCH STREET NUNNEY,ENGLANDBA11 4LW UK 31-1724184	FNDRSING FND	UK	501(c)(3)	12D-III-NFI	NA		No
(21)Barrow Neurological Foundation 350 West Thomas Road Phoenix,AZ85013 86-0174371	FNDRSING FND	AZ	501(c)(3)	7	Dignity Hlth		No
(22)California Hospital Medical Center Found 1401 South Grand Avenue Los Angeles,CA90015 95-4000909	FNDRSING FND	CA	501(c)(3)	12A-I	DHDCC		No
(23)Dignity Health Foundation 185 Berry Street San Francisco,CA94107 46-2037641	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(24)Dignity Health Foundation - Inland Empir 2101 N Waterman Avenue San Bernardino,CA92404 23-7440086	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(25)Dignity Health Foundation East Valley 475 South Dobson Road Chandler,AZ85224 74-2418514	FNDRSING FND	AZ	501(c)(3)	12A-I	Dignity Hlth		No
(26)Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz,CA95065 94-2450442	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(27)French Hospital Medical Center Foundatio 1911 Johnson Avenue San Luis Obispo,CA93401 20-3256125	FNDRSING FND	CA	501(c)(3)	12A-I	DHDCC		No
(28)Glendale Memorial Health Foundation 1420 South Central Avenue Glendale,CA91204 95-3625651	FNDRSING FND	CA	501(c)(3)	12A-I	DHDCC		No
(29)Marian Regional Medical Center Foundatio 1400 E Church Street Santa Maria,CA93454 95-3818027	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(30)Mercy Foundation Bakersfield PO Box 119 Bakersfield,CA93302 77-0201321	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(31)Mercy Foundation North 2625 Edith Avenue Suite E Redding,CA96001 94-3136799	FNDRSING FND	CA	501(c)(3)	12A-I	NA		No
(32)Mercy Foundation Sacramento 3400 Data Drive 3rd Flr Rancho Cordova,CA95670 23-7072762	FNDRSING FND	CA	501(c)(3)	12A-I	NA		No
(33)Mercy Medical Center Merced Foundation 301 E 13th Street Merced,CA95340 77-0035928	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(34)Northridge Hospital Foundation 18300 Roscoe Blvd Northridge,CA91328 23-7444901	FNDRSING FND	CA	501(c)(3)	12A-I	DHDCC		No
(35)San Gabriel Valley Medical Center Founda 438 West Las Tunas Drive San Gabriel,CA91776 95-3430341	INACTIVE	CA	501(c)(3)	12A-I	Dignity Hlth		No
(36)Sequoia Hospital Foundation 170 Alameda de las Pulgas Redwood City,CA94062 94-2909990	FNDRSING FND	CA	501(c)(3)	12D-III-NFI	NA		No
(37)St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara,CA93105 23-7137119	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(38)St John's Healthcare Foundation 1600 North Rose Avenue Oxnard,CA93030 20-2865781	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(39)St Joseph's Foundation 350 West Thomas Road Phoenix,AZ85013 94-2941245	FNDRSING FND	AZ	501(c)(3)	12A-I	Dignity Hlth		No
(40)St Joseph's Foundation of San Joaquin 1800 N California Street Stockton,CA95204 51-0432777	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(41)St Mary Medical Center Foundation 1050 Linden Avenue Long Beach,CA90813 23-7153876	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(42)St Mary's Medical Center Foundation 450 Stanyan Street San Francisco,CA94117 94-3336143	FNDRSING FND	CA	501(c)(3)	12A-I	Dignity Hlth		No
(43)St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson,NV89052 88-0349432	FNDRSING FND	NV	501(c)(3)	12A-I	Dignity Hlth		No
(44)Woodland Memorial Hospital Foundation 1321 Cottonwood Street 305 Woodland,CA95695 94-6167964	FNDRSING FND	CA	501(c)(3)	7	NA		No
(45)ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA,NE68154 47-0765154	HEALTHCARE	NE	501(c)(3)	3	ACH		No
(46)ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA,NE68154 47-0757164	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(47)ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY RD OMAHA,NE68124 47-0484764	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(48)ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP 631 N 8TH ST MISSOURI VALLEY,IA51555 42-0776568	HEALTHCARE	IA	501(c)(3)	3	CHI NEBRASKA		No
(49)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA,NE68122 47-0376615	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(50)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY 104 W 17TH ST SCHUYLER,NE68661 47-0399853	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(51)ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING,IA50841 42-0782518	HEALTHCARE	IA	501(c)(3)	3	CHI NEBRASKA		No
(52)ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS,MN56345 41-1351177	LTERM CARE	MN	501(c)(3)	10	CSH		No
(53)APPLETREE COURT 601 OAK ST BRECKENRIDGE,MN56520 41-1850500	SENIOR LIVING	MN	501(c)(3)	10	SFH		No
(54)BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS,TX77384 27-4499340	PHYSICIANS	TX	501(c)(3)	12A-I	SLCHS		No
(55)BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0458535	PHYSICIANS	TX	501(c)(3)	3	SLHS		No
(56)BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2187242	HEALTHCARE	PA	501(c)(3)	12A-I	CSH		No
(57)BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON,TX77566 76-0080110	FUNDRAISING	TX	501(c)(3)	12A-I	BRHS		No
(58)BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON,TX77566 80-0240261	HEALTHCARE	TX	501(c)(3)	3	BRHS		No
(59)BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2759890	HEALTHCARE	TX	501(c)(3)	3	SJSC		No
(60)BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2913931	HEALTHCARE	TX	501(c)(3)	10	SJSC		No
(61)CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON,ND58421 45-0227311	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(62)CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial,CO80112 84-0405257	HEALTHCARE	CO	501(c)(3)	3	CSH		No
(63)CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES,IA50314 42-0680448	HEALTHCARE	IA	501(c)(3)	3	CSH		No
(64)CATHOLIC HEALTH INITIATIVES COLORADO FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS,CO80920 84-0902211	FUNDRAISING	CO	501(c)(3)	7	CHIC		No
(65)CATHOLIC HEALTH INITIATIVES NATIONAL FOU 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS,CO80920 27-0930004	FUNDRAISING	CO	501(c)(3)	12A-I	CSH		No
(66)CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-0992796	HEALTHCARE	CO	501(c)(3)	12A-I	CHINS		No
(67)CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG,OR97471 26-3946191	PHYSICIANS	OR	501(c)(3)	10	MMC		No
(68)CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	SURGERY CENTE	KS	501(c)(3)	3	CSH		No
(69)CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO,ND58104 27-1966847	HEALTHCARE	MN	501(c)(3)	10	CSH		No
(70)CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA,NE68154 47-0648586	FUNDRAISING	NE	501(c)(3)	7	ACH		No
(71)CHI INSTITUTE FOR RESEARCH AND INNOVATIO 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	HEALTHCARE	CO	501(c)(3)	12A-I	CSH		No
(72)CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER,KY41018 20-2741651	HEALTHCARE	KY	501(c)(3)	12A-I	CSH		No
(73)CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO,OH43623 34-1892096	HEALTHCARE	OH	501(c)(3)	12A-II	SFH		No
(74)CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE,GA30742 82-2748395	HEALTHCARE	GA	501(c)(3)	3	MHCS		No
(75)CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HEALTHCARE	CO	501(c)(3)	10	CHI NS		No
(76)CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HEALTHCARE	CO	501(c)(3)	12A-I	CSH		No
(77)CHI NEBRASKA 12809 West Dodge Road Omaha,NE68510 36-3233121	HEALTHCARE	NE	501(c)(3)	12A-I	CSH		No
(78)CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTHCARE	PA	501(c)(3)	12A-I	CSH		No
(79)CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(c)(3)	12A-I	CSH		No
(80)CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 71-0236913	HEALTHCARE	AR	501(c)(3)	3	CHISVHS		No
(81)CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125064	HOLDING CO	AR	501(c)(3)	12A-II	SVIMC		No
(82)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS,AR71913 26-1125131	HEALTHCARE	AR	501(c)(3)	3	CHISVHS		No
(83)COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0617373	HEALTHCARE	CO	501(c)(3)	12A-I	NA		No
(84)COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI,OH45206 23-7419853	HOLDING CO	OH	501(c)(4)	N/A	GSH		No
(85)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV 631 N 8TH ST MISSOURI VALLEY,IA51555 42-1294399	FUNDRAISING	IA	501(c)(3)	12A-I	AH-CMHMV		No
(86)CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON,KY40504 61-1400619	LT ACH	KY	501(c)(3)	3	SJHS		No
(87)East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN,TX78746 45-4736213	HEALTHCARE	TX	501(c)(3)	12A-I	SLHS		No
(88)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW,WA98022 91-0715805	HEALTHCARE	WA	501(c)(3)	3	FHS		No
(89)FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 61-1345363	HEALTHCARE	KY	501(c)(3)	3	KOH		No
(90)FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN,KY40004 56-2351341	FUNDRAISING	KY	501(c)(3)	12A-I	FH		No
(91)FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO,OH43623 34-1931806	HEALTHCARE	OH	501(c)(3)	10	FLC		No
(92)FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA,WA98405 91-1145592	FUNDRAISING	WA	501(c)(3)	10	FHS		No
(93)FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA,WA98405 91-0564491	HEALTHCARE	WA	501(c)(3)	3	CSH		No
(94)FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA,WA98402 43-1882377	PHYSICIANS	MO	501(c)(3)	10	CSH		No
(95)FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA,WA98402 91-1939739	HEALTHCARE	WA	501(c)(3)	10	FHS		No
(96)FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE,WI53172 39-1093829	HEALTHCARE	WI	501(c)(3)	10	CSH		No
(97)GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON,ND58540 45-0227752	HEALTHCARE	ND	501(c)(3)	3	SAMC		No
(98)GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	MINISTRIES	CO	501(c)(3)	12A-I	CSH		No
(99)GOOD SAMARITAN COLLEGE OF NURSING & HEAL 619 OAK ST ACCOUNTING-3 W CINCINNATI,OH45206 31-1778403	EDUCATION	OH	501(c)(3)	2	GSH		No
(100)GOOD SAMARITAN FOUNDATION OF CINCINNATI 619 OAK ST ACCOUNTING-3 W CINCINNATI,OH45206 31-1206047	FUNDRAISING	OH	501(c)(3)	12A-I	GSH		No
(101)GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(102)GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY,NE68847 47-0659443	FUNDRAISING	NE	501(c)(3)	7	GSH		No
(103)HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON,WA98310 91-0565546	HEALTHCARE	WA	501(c)(3)	3	FHS		No
(104)HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON,WA98310 91-1197626	FUNDRAISING	WA	501(c)(3)	7	HMC		No
(105)HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON,KY40504 83-2170324	FUNDRAISING	KY	501(c)(3)	12A-II	KOH		No
(106)HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING	MN	501(c)(3)	12A-I	SFMC		No
(107)HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN,WA98166 91-0712166	HEALTHCARE	WA	501(c)(3)	3	FHS		No
(108)HOUSE OF MERCY 1111 6TH AVE DES MOINES,IA50314 42-1323808	SHELTER	IA	501(c)(3)	7	CHI-IA CORP		No
(109)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE 250 E Liberty St Ste 500 LOUISVILLE,KY40202 61-1029768	HEALTHCARE	KY	501(c)(3)	3	KOH		No
(110)KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE,KY40202 61-1352729	HEALTHCARE	KY	501(c)(3)	10	JHSMH		No
(111)KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1029769	HEALTHCARE	KY	501(c)(3)	12A-II	CSH		No
(112)LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE,MN56623 41-0758434	HEALTHCARE	MN	501(c)(3)	3	CSH		No
(113)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE,MN56623 41-1893795	FUNDRAISING	ND	501(c)(3)	7	LHC		No
(114)LINUS OAKES INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0821381	SENIOR LIVING	OR	501(c)(3)	10	MMC		No
(115)LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON,ND58054 82-0558836	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(116)LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN,TX75901 82-0563768	PROPERTY MGMT	TX	501(c)(3)	12A-I	MHSET		No
(117)MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2761145	HEALTHCARE	TX	501(c)(3)	3	SJSC		No
(118)MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS,KY51017 61-0654635	LIVING ASSIST	KY	501(c)(3)	10	FLC		No
(119)MEMORIAL HEALTH CARE SYSTEM FOUNDATION I 2525 DE SALES AVE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING	TN	501(c)(3)	7	MHCS		No
(120)MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA,TN37404 62-0532345	HEALTHCARE	TN	501(c)(3)	3	CSH		No
(121)MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA,TN37411 30-0417049	HEALTHCARE	TN	501(c)(3)	10	MHCS		No
(122)MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN,TX75902 75-0755367	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(123)MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN,TX75902 76-0436439	HEALTHCARE	TX	501(c)(3)	3	MHSET		No
(124)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN,TX75902 75-2663904	HEALTHCARE	TX	501(c)(3)	3	MHSET		No
(125)MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN,TX95904 75-2721155	PHYSICIANS	TX	501(c)(3)	12A-I	MHSET		No
(126)MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN,TX95902 75-2492741	HEALTHCARE	TX	501(c)(3)	3	MHSET		No
(127)MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(c)(3)	12A-I	MF-DM IA		No
(128)MERCY CLINICS INC 1111 6TH AVE DES MOINES,IA50314 42-1193699	PHYSICIANS	IA	501(c)(3)	10	CHI-IA CORP		No
(129)MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(c)(3)	2	CHI-IA CORP		No
(130)MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES,IA50314 23-7358794	FUNDRAISING	IA	501(c)(3)	7	CHI-IA CORP		No
(131)MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG,OR97471 93-6088946	FUNDRAISING	OR	501(c)(3)	7	MMC		No
(132)MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING	IA	501(c)(3)	12A-I	AHMH-Corning		No
(133)MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0435338	FUNDRAISING	ND	501(c)(3)	12A-I	MHVC		No
(134)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING	IA	501(c)(3)	12A-I	AHBMHS		No
(135)MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE,ND58301 45-0227012	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(136)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE,ND58301 35-2367360	FUNDRAISING	ND	501(c)(3)	7	MHDL		No
(137)MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY,ND58072 45-0226553	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(138)MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON,ND58801 45-0231183	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(139)MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HEALTHCARE	IA	501(c)(3)	3	CHI-IA CORP		No
(140)MERCY MEDICAL CENTER - NEWTON DBA SKIFF 204 N 4th Ave E Newton,IA50314 42-1470935	PHYSICIANS	IA	501(c)(3)	3	CHI-IA CORP		No
(141)MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG,OR97471 93-0386868	HEALTHCARE	OR	501(c)(3)	3	CSH		No
(142)MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING	ND	501(c)(3)	12A-I	MMC		No
(143)NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN,NE68526 39-2031968	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(144)Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck,ND58501 91-1845296	MANAGEMENT	ND	501(c)(3)	7	NCHA		No
(145)OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES,ND58474 45-0231675	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(146)OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES,ND58474 71-0966606	FUNDRAISING	ND	501(c)(3)	12A-I	OCH		No
(147)PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN,TX75902 75-2493116	PROPERTY MGMT	TX	501(c)(3)	12A-I	MHSET		No
(148)PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY,OH44870 34-1658625	HEALTHCARE	OH	501(c)(3)	10	FLC		No
(149)PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY,OH44870 34-1826099	HOLDING CO	OH	501(c)(3)	12A-II	FLC		No
(150)PROVIDENCE RESIDENTIAL COMMUNITY CORPORA 5055 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1896807	LIVING COMM	OH	501(c)(3)	10	FLC		No
(151)PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO,CO81004 84-1234295	COMMUNITY	CO	501(c)(3)	7	CHIC		No
(152)REGIONAL HOSPITAL FOR RESPIRATORY AND CO 16251 Sylvester Road SW Burien,WA98166 91-1170040	HEALTHCARE	WA	501(c)(3)	3	FHS		No
(153)SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial,CO80112 84-1183335	LTERM CARE	CO	501(c)(3)	7	CHIC		No
(154)SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE,NJ07834 22-2876836	HEALTHCARE	NJ	501(c)(3)	10	SCHS		No
(155)SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE,NJ07834 22-2502997	FUNDRAISING	NJ	501(c)(3)	6	SCHS		No
(156)SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE,NJ07834 22-3639733	MANAGEMENT	NJ	501(c)(3)	10	CSH		No
(157)SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE,NJ07834 22-3319886	HEALTHCARE	NJ	501(c)(3)	2	SCHS		No
(158)SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN,NE68510 47-0625523	FUNDRAISING	NE	501(c)(3)	7	SERMC		No
(159)SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN,NE68510 36-3233120	HEALTHCARE	NE	501(c)(3)	3	SERMC		No
(160)SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN,NE68510 47-0379836	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(161)SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND,NE68803 47-0376601	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(162)SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING	NE	501(c)(3)	7	SFMC		No
(163)SAINT JOSEPH BEREA HOSPITAL FOUNDATION I 305 ESTILL ST BEREA,KY40403 26-0152877	FUNDRAISING	KY	501(c)(3)	7	SJHS		No
(164)SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 61-1334601	HEALTHCARE	KY	501(c)(3)	3	KOH		No
(165)SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON,KY40504 61-1159649	FUNDRAISING	KY	501(c)(3)	12A-I	SJHS		No
(166)SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741 26-0438748	FUNDRAISING	KY	501(c)(3)	7	SJHS		No
(167)SAINT JOSEPH MOUNT STERLING FOUNDATION I 225 FALCON DR MOUNT STERLING,KY40353 27-2884584	FUNDRAISING	KY	501(c)(3)	7	SJHS		No
(168)SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON,ND58601 36-3418207	FUNDRAISING	ND	501(c)(3)	12A-I	SJHHC		No
(169)SCHUYLER MEMORIAL HOSPITAL FOUNDATION IN 104 W 17TH ST SCHUYLER,NE68661 36-3630014	FUNDRAISING	NE	501(c)(3)	12A-I	AHMHS		No
(170)SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 44-0545809	HEALTHCARE	MO	501(c)(3)	3	CSH		No
(171)ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK,ND58501 45-0226711	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(172)ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON,OR97801 93-0391614	HEALTHCARE	OR	501(c)(3)	3	CSH		No
(173)ST ANTHONY HOSPITAL FOUNDATION 2801 St Anthony Way PENDLETON,OR97801 93-0992727	FUNDRAISING	OR	501(c)(3)	12A-I	SAH		No
(174)ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON,AR72110 71-0245507	HEALTHCARE	AR	501(c)(3)	3	SVIMC		No
(175)ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY,KS67846 48-0543721	HEALTHCARE	KS	501(c)(3)	3	CSH		No
(176)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDA 401 EAST SPRUCE ST GARDEN CITY,KS67846 20-0598702	FUNDRAISING	KS	501(c)(3)	12A-I	SCH		No
(177)ST CLARE COMMONS 12469 Five Point Road TOLEDO,OH43551 27-0163752	LIVING COMM	OH	501(c)(3)	10	FLC		No
(178)ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 93-0433692	HEALTHCARE	OR	501(c)(4)	N/A	CSH		No
(179)ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(c)(3)	10	CSH		No
(180)ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE,NJ07834 22-2536017	ELDERLY CARE	NJ	501(c)(3)	8	SCHS		No
(181)ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE,MN56520 41-0695598	HEALTHCARE	MN	501(c)(3)	3	CSH		No
(182)ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2351158	FUNDRAISING	TX	501(c)(3)	12A-II	SJSC		No
(183)ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2847594	HEALTHCARE	TX	501(c)(3)	10	SJSC		No
(184)ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-0591461	HEALTHCARE	MD	501(c)(3)	3	CSH		No
(185)ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN,TX77802 20-3159302	HEALTHCARE	TX	501(c)(3)	3	SJSC		No
(186)ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY,MD21030 52-1311775	PHYSICIANS	MD	501(c)(3)	12A-I	SJMC		No
(187)ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-1282696	HEALTHCARE	TX	501(c)(3)	3	SJSC		No
(188)ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN,TX77802 45-4088170	HEALTHCARE	TX	501(c)(3)	3	SJSC		No
(189)ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN,TX77802 46-3265423	HEALTHCARE	TX	501(c)(3)	10	SJSC		No
(190)ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2455161	MANAGEMENT	TX	501(c)(3)	12A-I	SLHS		No
(191)ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS,MN56470 41-0695603	HEALTHCARE	MN	501(c)(3)	3	CSH		No
(192)ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 Fairway St DICKINSON,ND58601 45-0226429	HEALTHCARE	ND	501(c)(3)	3	CSH		No
(193)ST LEONARD 8100 CLYO ROAD CENTERVILLE,OH45458 34-1940863	LIVING COMM	OH	501(c)(3)	10	FLC		No
(194)ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT 6624 FANNIN ST STE 2505 HOUSTON,TX77030 27-3733278	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(195)ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-1947374	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(196)ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-0335902	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(197)ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON,TX77030 76-0536234	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(198)ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON,TX77004 45-3811485	FUNDRAISING	TX	501(c)(3)	7	SLHS		No
(199)ST LUKE'S HEALTH SYSTEM CORPORATION PO Box 20269 HOUSTON,TX77225 76-0536232	MANAGEMENT	TX	501(c)(3)	12A-I	CSH		No
(200)ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON,TX77030 26-3734606	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(201)ST LUKE'S PROPERTIES CORPORATION 1213 Hermann Drive Ste 855 HOUSTON,TX77004 76-0531716	PROPERTY MGMT	TX	501(c)(3)	12A-I	SLHS		No
(202)ST LUKE'S SUGAR LAND PROPERTIES CORPORAT 6624 FANNIN ST STE 2505 HOUSTON,TX77030 45-4120549	PROPERTY MGMT	TX	501(c)(3)	12A-I	SLCDC-SL		No
(203)ST MARY'S COMMUNITY HOSPITAL 1301 Grundman Boulevard NEBRASKA CITY,NE68410 47-0443636	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA		No
(204)ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING	NE	501(c)(3)	7	SMCH		No
(205)ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING	AR	501(c)(3)	12A-I	SVIMC		No
(206)ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HEALTHCARE	AR	501(c)(3)	3	CSH		No
(207)ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	HEALTHCARE	AR	501(c)(3)	10	SVIMC		No
(208)SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 34-1412964	HEALTHCARE	OH	501(c)(3)	12A-I	CSH		No
(209)SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE,OH43537 45-5357161	FUNDRAISING	OH	501(c)(3)	12A-I	FLC		No
(210)THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY,OH44870 34-1826097	ASSIST LIVING	OH	501(c)(3)	10	FLC		No
(211)THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON,TX77566 74-1385192	HEALTHCARE	TX	501(c)(3)	3	SLHS		No
(212)THE GOOD SAMARITAN HOSPITAL OF CINCINNAT 619 OAK ST ACCOUNTING-3 W CINCINNATI,OH45206 31-0537486	HEALTHCARE	OH	501(c)(3)	3	CSH		No
(213)THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN,NE68503 47-0780857	PHYSICIANS	NE	501(c)(3)	12A-I	CHI NEBRASKA		No
(214)TOTAL HEALTHCARE 9100 E Mineral Circle Centennial,CO80112 84-0927232	HEALTHCARE	CO	501(c)(3)	3	CHIC		No
(215)TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE,OH43952 31-1329423	FUNDRAISING	OH	501(c)(3)	12A-I	THS		No
(216)TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE,OH43952 34-1818681	HEALTHCARE	OH	501(c)(3)	12A-I	SFH		No
(217)TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON,OH44621 27-5401105	HEALTHCARE	OH	501(c)(3)	3	SFH		No
(218)TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE,OH43952 34-1522484	ASSIST LIVING	OH	501(c)(3)	7	THS		No
(219)UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS,MN56345 41-0721642	HEALTHCARE	MN	501(c)(3)	3	CSH		No
(220)VILLA NAZARETH INC 801 PAGE DR FARGO,ND58103 45-0226714	LTERM CARE	ND	501(c)(3)	10	CSH		No
(221)VISITING NURSE ASSOCIATION OF ST CLARE'S 191 WOODPORT RD SPARTA,NJ07871 22-1768334	HOME HEALTH	NJ	501(c)(3)	10	SCHS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Arizona Care Network LLC (ACN LLC) 4222 E THOMAS RD STE 400 PHOENIX,AZ85018 45-4494682	Care Network	AZ	NA	N/A	0	0			0			0 %
(2) CBCC Outsmarting Cancer LLC 6501 Truxtun Avenue Bakersfield,CA93309 46-1602286	Radiation / Oncol	CA	NA	N/A	0	0			0			0 %
(3) DE JV LLC 8686 New Trails Drive The Woodlands,TX77381 32-0496548	Emergency Care	NV	NA	N/A	0	0			0			0 %
(4) DHHP Surgery Centers LLC 1513 S Grand Avenue Ste 350 Los Angeles,CA90015 83-1847466	Surgery	DE	NA	N/A	0	0			0			0 %
(5) DHRT Holdings LLC 185 Berry Street Suite 300 San Francisco,CA94107 35-2484591	Holding Company	DE	NA	N/A	0	0			0			0 %
(6) Dignity- GoHealth Urgent Care Management 5555 Glenridge Connector Suite 700 Atlanta,GA30342 35-2548698	Management Servic	DE	NA	N/A	0	0			0			0 %
(7) Dignity Health Specialty Pharmacy LLC 185 Berry Street Suite 300 San Francisco,CA94107 32-0589462	Specialty Pharmac	DE	NA	N/A	0	0			0			0 %
(8) Dignity Home Recovery Care LLC 49 Music Square West Suite 401 Nashville,TN37203 83-2832522	Home Recovery Pro	DE	NA	N/A	0	0			0			0 %
(9) DIGNITYUSP LAS VEGAS SURGERY CENTERS LL 15305 Dallas Parkway Suite 1600 LB Addison,TX75001 20-2999237	Surgery	TX	NA	N/A	0	0			0			0 %
(10) DignityUSP NorCal Surgery Centers LLC 15305 Dallas Parkway Suite 1600 LB Addison,TX75001 20-2468509	Surgery	TX	DHMF	RELATED	5,650,428	36,333,529		No	0		No	50.100 %
(11) DIGNITYUSP PHOENIX SURGERY CENTERS LLC 15305 Dallas Parkway Suite 1600 LB Addison,TX75001 13-4248908	Surgery	TX	NA	N/A	0	0			0			0 %
(12) DignityUSPJohn Muir East Bay Surg Ctrs 15305 Dallas Parkway Suite 1600 LB Addison,TX75001 35-2584991	Surgery	TX	DHMF	RELATED	917,142	6,614,561		No	0		No	50.100 %
(13) Dignity-Abrazo Health Network LLC 3030 N Central Avenue Suite 1402 Phoenix,AZ85012 46-5477985	Management Servic	AZ	NA	N/A	0	0			0			0 %
(14) Dominican Magnetic Resonance Imaging Cen 1545 Soquel Drive Santa Cruz,CA94065 77-0095477	Imaging Center	CA	NA	N/A	0	0			0			0 %
(15) Folsom Sierra Endoscopy Center LP 1650 Creekside Drive 1600 Folsom,CA95630 68-0482416	Endoscopy	CA	NA	N/A	0	0			0			0 %
(16) Memorial Medical Plaza 3838 San Dimas Suite B 201 Bakersfield,CA93301 36-4510880	Real estate	CA	NA	N/A	0	0			0			0 %
(17) Mercy Davis Cancer Center Management Co 2740 M Street Merced,CA95340 94-3358445	Management of Can	CA	NA	N/A	0	0			0			0 %
(18) NICU Operating CO of Santa Cruz LLC 1555 Soquel Drive Santa Cruz,CA95065 46-0502935	Neonatal Healthca	CA	NA	N/A	0	0			0			0 %
(19) NSC Channel Islands LLC 3000 Riverchase Galleria Suite 500 Birmingham,AL35244 77-0418197	Ambulatory surgic	CA	NA	N/A	0	0			0			0 %
(20) OMG Arizona LLC 130 Sutter Street 2nd Flr San Francisco,CA94104 47-1708588	Medical Office	AZ	NA	N/A	0	0			0			0 %
(21) Plaza Surgery Center LP 525 E Plaza Drive Suite 100 Santa Maria,CA93454 77-0573567	Surgery	CA	NA	N/A	0	0			0			0 %
(22) Radiation Oncology Centers of Ventura Co 1700 N ROSE AVENUE SUITE 120 OXNARD,CA93030 77-0191706	IMAGING	CA	NA	N/A	0	0			0			0 %
(23) RBR Management LLC 91 Corporate Park Drive Suite 120 Henderson,NV89074 27-1466450	Ambulance	NV	NA	N/A	0	0			0			0 %
(24) Santa Cruz Comprehensive Imaging LLC 1661 Soquel Drive Suite G Santa Cruz,CA95065 01-0550623	Imaging	CA	NA	N/A	0	0			0			0 %
(25) Santa Cruz Land & Building LP 1555 Soquel Drive Santa Cruz,CA95065 77-0285236	Real estate	CA	NA	N/A	0	0			0			0 %
(26) Santa Cruz Surgery Center LLC 3003 PAUL SWEET ROAD SANTA CRUZ,CA95065 77-0194916	SURGERY	CA	NA	N/A	0	0			0			0 %
(27) St Joseph's Surgery Center LP 15305 Dallas Parkway Suite 1600 LB Addison,TX75001 20-1019390	Surgery	TX	NA	N/A	0	0			0			0 %
(28) Templeton Surgery Center LLC 1310 Las Tablas Road Suite 104 Templeton,CA94365 20-2246616	Surgery	CA	NA	N/A	0	0			0			0 %
(29) The Medical Pavilion at St John's 1700 Rose Avenue Oxnard,CA93030 77-0332349	Real Estate	CA	NA	N/A	0	0			0			0 %
(30) Valley Physicians Surgery Center At Nort 18330 Roscoe Blvd Northridge,CA91328 80-0864336	Surgery	CA	NA	N/A	0	0			0			0 %
(31) Audubon Land Company LLC 630 Southpointe Court 200 COLORADO SPRINGS,CO80906 84-1513085	Real Estate	CO	NA	N/A	0	0			0			0 %
(32) AVON EMERGENCY AND URGENT CARE CENTER LL 9100 E Mineral Circle Centennial,CO80112 81-1727282	HEALTHCARE SRVC	CO	NA	N/A	0	0			0			0 %
(33) BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 Fannin St Ste 1100 HOUSTON,TX77030 47-2079184	HEALTHCARE SRVC	TX	NA	N/A	0	0			0			0 %
(34) BERGAN MERCY SURGERY CENTER LLC 7710 Mercy Rd Ste 200 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	NA	N/A	0	0			0			0 %
(35) BERYWOOD OFFICE PROPERTIES LLC 2501 Citico Avenue CHATTANOGA,TN37404 62-1875199	PHYS OFFICE	TN	NA	N/A	0	0			0			0 %
(36) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC IMAGIN	KY	NA	N/A	0	0			0			0 %
(37) CENTRAL NEBRASKA REHABILITATION SERVICES 3004 W FAIDLEY AVENUE GRAND ISLAND,NE68803 81-0653461	Physical Therapy	NE	NA	N/A	0	0			0			0 %
(38) CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM,AL35209 47-4823023	OP SURGERY CENTER	AL	NA	N/A	0	0			0			0 %
(39) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	NA	N/A	0	0			0			0 %
(40) CHICAMSURG Surgery Centers LLC 1A Burton Hills Blvd Nashville,TN37215 46-5683027	SURGERY CENTER	CO	NA	N/A	0	0			0			0 %
(41) CHICLARKIN VENTURES LLC 9100 E Mineral Circle Centennial,CO80112 47-4210888	URGENT CARE	CO	NA	N/A	0	0			0			0 %
(42) Colorado Springs CK Leasing LLC 630 Southpointe Court 200 COLORADO SPRINGS,CO80906 26-2982714	REAL ESTATE	CO	NA	N/A	0	0			0			0 %
(43) FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-3725123	HEALTHCARE SRVC	WA	NA	N/A	0	0			0			0 %
(44) HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD,WI53045 27-0453767	PROPERTY HOLDING	WI	NA	N/A	0	0			0			0 %
(45) HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	NA	N/A	0	0			0			0 %
(46) Heartland Oncology LLC 2337 E Crawford St Salina,KS67401 46-4265403	ONCOLOGY	KS	NA	N/A	0	0			0			0 %
(47) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	NA	N/A	0	0			0			0 %
(48) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	NA	N/A	0	0			0			0 %
(49) LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET Lincoln,NE68510 26-2496856	Real Estate	NE	NA	N/A	0	0			0			0 %
(50) Mercy Rehabilitation Hospital LLC 680 SOUTH FOURTH STREET LOUISVILLE,KY40202 81-4437201	HEALTHCARE SRVC	TX	NA	N/A	0	0			0			0 %
(51) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	NA	N/A	0	0			0			0 %
(52) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	NA	N/A	0	0			0			0 %
(53) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80228 37-1577105	ORTHO HOSPITAL	CO	NA	N/A	0	0			0			0 %
(54) Pasadena Urgency Center LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA,TX77505 81-2482854	URGENT CARE	TX	NA	N/A	0	0			0			0 %
(55) PENINSULA RADIATION ONCOLOGY LLC 314 MLK JR WAY STE 11 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	NA	N/A	0	0			0			0 %
(56) Penrad Imaging LLC 1390 Kelly Johnson Blvd COLORADO SPRINGS,CO80920 84-1072619	Medical Imaging	CO	NA	N/A	0	0			0			0 %
(57) PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON,TX77002 27-3280598	HOSPITAL	TX	NA	N/A	0	0			0			0 %
(58) Pueblo Ambulatory Surgery Center LLC 25 Montebello Rd Pueblo,CO81003 62-1488737	SURGERY CENTER	CO	NA	N/A	0	0			0			0 %
(59) SAINT JOSEPH - SCA HOLDINGS LLC 1451 Harrodsburg RD LEXINGTON,KY40503 45-3801157	OP SURGERY	DE	NA	N/A	0	0			0			0 %
(60) SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD,OH45150 26-3330545	HOME HEALTH	KY	NA	N/A	0	0			0			0 %
(61) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	NA	N/A	0	0			0			0 %
(62) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON,TX77030 71-0959365	DIAGNOSTICS	TX	NA	N/A	0	0			0			0 %
(63) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	NA	N/A	0	0			0			0 %
(64) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON,TX77030 46-2795726	DIAGNOSTICS	TX	NA	N/A	0	0			0			0 %
(65) THREE SPRING IMAGING LLC 1 Mercado St STE 200A DURANGO,CO81301 81-3571570	HEALTHCARE SRVC	CO	NA	N/A	0	0			0			0 %
(66) WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVENUE STE 100 CLIVE,IA50325 20-5345295	HEALTHCARE SRVC	IA	NA	N/A	0	0			0			0 %
(67) Precision Medical Alliance LLC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 35-2569159	Diagnostic Servic	CO	NA	N/A	0	0			0			0 %
(68) Dignity Health at Home LLC 1700 EDISON DR MILFORD,OH45150 82-4674115	HEALTHCARE SRVC	DE	NA	N/A	0	0			0			0 %
(69) American Mercy Home Care LLC 1700 EDISON DR MILFORD,OH45150 83-0486150	HOME HEALTH	OH	NA	N/A	0	0			0			0 %
(70) Community Mercy Home Care Services of Sp 1700 EDISON DR MILFORD,OH45150 31-1746556	HOME HEALTH	OH	NA	N/A	0	0			0			0 %
(71) Good Samaritan Home Care Services of Vin 1700 EDISON DR MILFORD,OH45150 20-1792869	HOME HEALTH	OH	NA	N/A	0	0			0			0 %
(72) Reid-ANC Home Care Services LLC 1700 EDISON DR MILFORD,OH45150 37-1454747	HOME HEALTH	IN	NA	N/A	0	0			0			0 %
(73) Southeastern Home Care LLC 1700 EDISON DR MILFORD,OH45150 27-1219638	HOME HEALTH	OH	NA	N/A	0	0			0			0 %
(74) St Elizabeth Home Care Services LLC 1700 EDISON DR MILFORD,OH45150 26-1236191	HOME HEALTH	KY	NA	N/A	0	0			0			0 %
(75) Patient Transport Services of Columbus I 1700 EDISON DR MILFORD,OH45150 26-4601285	Ambulance	OH	NA	N/A	0	0			0			0 %
(76) Military Road Properties LLC 181 S 333rd Street STE 250 Federal Way,WA98003 91-2067879	Real Estate	WA	NA	N/A	0	0			0			0 %
(77) Performance Medical Equipment & Respirat 19625 62nd Avenue South STE 101 Kent,WA98032 45-2901632	Holding Company	WA	NA	N/A	0	0			0			0 %
(78) Highline Physical Therapy Group 181 S 333rd Street STE 250 Federal Way,WA98003 91-1431904	Physical Therapy	WA	NA	N/A	0	0			0			0 %
(79) Franciscan Medical Pavilion Bonney Lake 6622 Wollochet Dr NW Gig Harbor,WA98335 46-3494108	Real Estate	WA	NA	N/A	0	0			0			0 %
(80) Park Rapids Area Health Care 600 Pleasant Avenue S Park Rapids,MN56470 20-4926259	HEALTHCARE SRVC	MN	NA	N/A	0	0			0			0 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Coastal Surgical Specialists Inc 921 Oak Park Blvd Suite 101 Pismo Beach,CA93449 74-3000596	Ambulatory Surger	CA	NA	S Corp	0	0	0 %
(2) Dignity Health Holding Corporation 185 Berry Street Suite 300 San Francisco,CA94107 46-0675371	Holding Company	NV	NA	C Corp	0	0	0 %
(3) Dignity Health Insurance Ltd (Cayman Isl PO Box 1051 GRAND CAYMAN ISLAKY1-1102 CJ 98-1065338	Self Ins Fund	CJ	NA	C Corp	0	0	0 %
(4) Dignity Health Provider Resources Inc 185 Berry Street Suite 300 San Francisco,CA94107 47-3366764	Health Plan	CA	NA	C Corp	0	0	0 %
(5) Health Services of the Pacific Central C 1400 E Church Street Santa Maria,CA93454 77-0074057	Health Services	CA	NA	C Corp	0	0	0 %
(6) Integrated Medical Services 9250 N 3rd Street Suite 4010 Phoenix,AZ85020 86-0783428	Multi-sp phys grp	AZ	NA	C Corp	0	0	0 %
(7) Management Services Organization of Sant 1400 E Church Street Santa Maria,CA93454 77-0318135	INACTIVE	CA	NA	C Corp	0	0	0 %
(8) Millennium Surgery Center Inc 9300 Stockdale Hwy 200 Bakersfield,CA93311 77-0513445	OP SURGERY SVCS	CA	NA	S Corp	0	0	0 %
(9) St Mary Health Ventures Inc 1050 Linden Avenue Long Beach,CA90813 95-1912528	Retail Pharmacy	CA	NA	C Corp	0	0	0 %
(10) Alegent HealthCreighton St Joseph Manag 12809 West Dodge Rd Omaha,NE68154 47-0802396	Managed Care	NE	NA	C Corp	0	0	0 %
(11) All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown,GRAND CAYMANKY1-1001 CJ 98-0556913	Insurance	CJ	NA	C Corp	0	0	0 %
(12) ALLIANCE HEALTH PROVIDERS OF BRAZOS Vall 2801 FRANCISCAN DRIVE BRYAN,TX77802 74-2466914	Healthcare	TX	NA	C Corp	0	0	0 %
(13) Alternative Insurance Management Service 3900 OLYMPIC BLVD STE 400 Erlanger,KY41018 84-1112049	Management Servic	CO	NA	C Corp	0	0	0 %
(14) AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD,OH45150 31-1085414	HOME HEALTH	OH	NA	C Corp	0	0	0 %
(15) AMERIMED INC 1700 EDISON DR MILFORD,OH45150 31-1158699	HOME HEALTH	OH	NA	C Corp	0	0	0 %
(16) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	Fitness Club	KY	NA	C Corp	0	0	0 %
(17) BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON,TX77566 76-0518376	Health Care	TX	NA	C Corp	0	0	0 %
(18) Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga,TN37411 62-1570736	Healthcare	TN	NA	C Corp	0	0	0 %
(19) Captive Management Initiatives Ltd PO BOX 10073 APO Georgetown,GRAND CAYMANKY1-1001 CJ 98-0663022	Captive Managemen	CJ	NA	C Corp	0	0	0 %
(20) Catholic Health Initiatives Center for T 198 INVERNESS DRIVE WEST Englewood,CO80112 27-2269511	Research	CO	NA	C Corp	0	0	0 %
(21) CHI St Luke's Health - Memorial Condomin 1201 W Frank Ave Lufkin,TX75904 83-4184717	Condo Assoc	TX	NA	C Corp	0	0	0 %
(22) ClearRiver Health 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4495960	Insurance	TN	NA	C Corp	0	0	0 %
(23) Comcare Services Inc 5570 DTC Parkway Englewood,CO80111 84-0904813	Inactive	CO	NA	C Corp	0	0	0 %
(24) CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD,OH45150 31-1378212	HOME HEALTH	OH	NA	C Corp	0	0	0 %
(25) Des Moines Medical Center Inc 1111 6TH AVE Des Moines,IA50314 42-0837382	Real Estate	IA	NA	C Corp	0	0	0 %
(26) Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON,TX77566 76-0222679	Health Care	TX	NA	C Corp	0	0	0 %
(27) First Initiatives Insurance LTD PO BOX 10073 APO Georgetown,GRAND CAYMANKY1-1001 CJ 98-0203038	Insurance	CJ	NA	C Corp	0	0	0 %
(28) Franciscan City Urgent Care Services PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK,NY10105 81-2174959	Healthcare	NY	NA	C Corp	0	0	0 %
(29) Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 23-2487967	Healthcare	CO	NA	C Corp	0	0	0 %
(30) Good Samaritan Outreach Services PO Box 1990 Kearney,NE68848 47-0659440	Medical Clinic	NE	NA	C Corp	0	0	0 %
(31) HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY,WA98001 47-3451750	Insurance	WA	NA	C Corp	0	0	0 %
(32) Health Systems Enterprises Inc PO BOX 1990 Kearney,NE68848 47-0664558	MGMT	NE	NA	C Corp	0	0	0 %
(33) Healthcare MGMT Services Organization IN 1149 MARKET ST Tacoma,WA98402 91-1865474	Health Org.	WA	NA	C Corp	0	0	0 %
(34) HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4368223	Insurance	NE	NA	C Corp	0	0	0 %
(35) Highline Medical Group 1717 S J Street Tacoma,WA98405 91-1407026	Medical Services	WA	NA	C Corp	0	0	0 %
(36) KOMG-Louisville Region Inc 201 Abraham Flexner Way Louisville,KY40202 83-2481198	Healthcare	KY	NA	C Corp	0	0	0 %
(37) Medical Office Building Horizontal Prope 300 Werner St Hot Springs,AR71913 71-0720429	Real Estate	AR	NA	C Corp	0	0	0 %
(38) Medquest 1301 15TH AVENUE WEST Williston,ND58801 45-0392137	Sale of DME	ND	NA	C Corp	0	0	0 %
(39) Memorial CV Service Line Management Comp 1201 W Frank Ave Lufkin,TX75904 46-3622849	Heath Care	TX	NA	C Corp	0	0	0 %
(40) Mercy Park Apartments LTD 1111 6th AVE Des Moines,IA50314 42-1202422	Housing	IA	NA	C Corp	0	0	0 %
(41) Mercy Services Corp 2700 STEWART PARKWAY Roseburg,OR97471 93-0824308	Retail Sales	OR	NA	C Corp	0	0	0 %
(42) MHI Clinical Services 1201 W Frank Ave Lufkin,TX75904 46-1967952	Healthcare	TX	NA	C Corp	0	0	0 %
(43) Mountain Management Services Inc 6028 Shallowford Rd Chattanooga,TN37421 62-1570739	MGMT SVC ORG	TN	NA	C Corp	0	0	0 %
(44) North Central Health Care Alliance PO Box 5538 Bismark,ND58506 45-0439894	Healthcare	ND	NA	C Corp	0	0	0 %
(45) PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD,OH45150 31-1100798	HOME HEALTH	OH	NA	C Corp	0	0	0 %
(46) QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock,AR72211 71-0794605	Insurance	AR	NA	C Corp	0	0	0 %
(47) QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY,WA98001 47-3433912	Insurance	WA	NA	C Corp	0	0	0 %
(48) QualChoice Health Plan Services Inc (fka 198 INVERNESS DRIVE WEST Englewood,CO80112 46-1224037	Admin Services	CO	NA	C Corp	0	0	0 %
(49) QualChoice Health Inc (fka CollabHealth 198 INVERNESS DRIVE WEST Englewood,CO80112 46-1222808	Holding Co	CO	NA	C Corp	0	0	0 %
(50) QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 27-4075520	Holding Co	AR	NA	C Corp	0	0	0 %
(51) QualChoice Life and Health Insurance Com 12615 Chenal Parkway STE 300 Little Rock,AR72211 71-0386640	Insurance	AR	NA	C Corp	0	0	0 %
(52) QualChoice of Nebraska 2401 S 73rd St Omaha,NE68124 81-0738827	Inactive	NE	NA	C Corp	0	0	0 %
(53) RiverLink Health 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4380824	Insurance	OH	NA	C Corp	0	0	0 %
(54) RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4828332	Insurance	KY	NA	C Corp	0	0	0 %
(55) Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1832654	Pharmacy	OH	NA	C Corp	0	0	0 %
(56) Saint Clare's Primary Care Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 22-2441202	Billing Services	NJ	NA	C Corp	0	0	0 %
(57) SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood,CO80112 23-2307408	Healthcare	CO	NA	C Corp	0	0	0 %
(58) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington,KY40503 27-0164198	Mgmt	KY	NA	C Corp	0	0	0 %
(59) SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way,WA98001 42-1720801	Insurance	WA	NA	C Corp	0	0	0 %
(60) St Anthony Development Company 1415 Southgate Pendleton,OR97801 93-1216943	Athletic Club	OR	NA	C Corp	0	0	0 %
(61) St Joseph Development Company Inc 1717 SOUTH J ST Tacoma,WA98405 91-1480569	Rental	WA	NA	C Corp	0	0	0 %
(62) St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston,TX77030 76-0637138	Holding Co	TX	NA	C Corp	0	0	0 %
(63) St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock,AR72205 71-0710785	Healthcare	AR	NA	C Corp	0	0	0 %
(64) StableView Health Inc 198 INVERNESS DRIVE WEST Englewood,CO80112 46-4373713	Insurance	KY	NA	C Corp	0	0	0 %
(65) STE Holdings 12809 West Dodge Rd Omaha,NE68154 82-2383629	Holding Co	NE	NA	C Corp	0	0	0 %
(66) Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land,TX77478 45-4270163	Medical Clinic	TX	NA	C Corp	0	0	0 %
(67) Towson Management Inc 7601 OSLER DR Towson,MD21204 52-1710750	Mgmt Services	MD	NA	C Corp	0	0	0 %
(68) TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE,OH43952 34-1471026	Mgmt Services	OH	NA	C Corp	0	0	0 %

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) DIGNITYUSP NORCAL SURGERY CENTERS LLC	S	6,865,332	SEE PART VII
(2) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC	S	592,096	SEE PART VII
(3) DIGNITYUSP NORCAL SURGERY CENTERS LLC	L	1,180,210	SEE PART VII
(4) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC	L	90,298	SEE PART VII

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V, LINE 2 COLUMN (C)

PART V, LINE 1L - DIGNITY HEALTH MEDICAL FOUNDATION PERFORMS CERTAIN MANAGEMENT SERVICES (SUCH AS GROUP PURCHASING AND PAYOR CONTRACTING) PURSUANT TO A MANAGEMENT SUBCONTRACT AGREEMENT. PART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS AND TRANSFERS OF ASSETS FROM RELATED ORGANIZATION.

SCHEDULE R, PART VII

AS PART OF THE ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS, AS REPORTED IN PART II, TO DIGNITY COMMUNITY CARE. ENTITIES TRANSFERRED DURING THE YEAR LIST DIGNITY HEALTH AND DIGNITY COMMUNITY CARE, "DH/DCC", AS THE DIRECT CONTROLLING ENTITY ON SCHEDULES R, PART II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR.

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ESTABLISH, OPERATE, AND MAINTAIN A MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC TO BENEFIT THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	3,364
6	Total number of volunteers (estimate if necessary) .............	6	9
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	275,953,334	253,907,786
9	Program service revenue (Part VIII, line 2g) .........	727,686,456	844,554,452
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,244,737	6,361,845
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	125,456	211,703
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,010,009,983	1,105,035,786
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	397,813	20,366
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	240,912,217	260,782,891
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	716,457,960	827,254,912
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	957,767,990	1,088,058,169
19	Revenue less expenses. Subtract line 18 from line 12.......	52,241,993	16,977,617
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	282,915,718	329,811,583
21	Total liabilities (Part X, line 26).............	144,088,571	157,328,181
22	Net assets or fund balances. Subtract line 21 from line 20.....	138,827,147	172,483,402

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 659,942,796 including grants of $ 20,366 ) (Revenue $ 574,917,584 )
	DIGNITY HEALTH MEDICAL FOUNDATION OUTPATIENT SERVICES INCLUDE FAMILY, PEDIATRIC, AND GERIATRIC MEDICINE AS WELL AS A VARIETY OF SPECIALTIES. AMONG THE SPECIALTY HEALTHCARE SERVICES WE PROVIDE TO OUR PATIENTS ARE MENTAL HEALTH SERVICES, PAIN MANAGEMENT, REHABILITATION AND OCCUPATIONAL SERVICES, OPHTHALMOLOGY, CARDIOLOGY, DIAGNOSTIC IMAGING, OUTPATIENT SURGERY, NEUROLOGY, ORTHOPEDICS, PODIATRY, RADIATION ONCOLOGY AND INFUSION, AND OBSTETRICS AND GYNECOLOGY.

4b	(Code: ) (Expenses $ 259,542,242 including grants of $ 0 ) (Revenue $ 226,103,535 )
	Dignity Health Medical Foundation outpatient services includes medical services for the community. Approximately 32% of DHMF patient revenues and expenses are in support of MediCal and Medicare covered patients. Our clinics are located in the Sacramento Region [Sacramento, El Dorado Hills, Elk Grove, Folsom, Cameron Park, Roseville, and Rocklin], Woodland, Sierra Nevada, Stockton, Santa Cruz, San Francisco, Ventura, Bakersfield, Merced, Redding, Ventura, Inland Empire, and Sequoia.

4c	(Code: ) (Expenses $ 49,971,528 including grants of $ 0 ) (Revenue $ 43,533,333 )
	Other Related Income - Dignity Health Medical Foundation outpatient services also include support for our communities by actively participating with and/or in the community with the following types of activities: Charity Care, Flu Clinic, Cash Donations, Cancer Screenings, Health Fairs, Price Pharmacy where the average uninsured participating patient has a cost savings of $1,500 per year, Training up and coming physicians, and Telehealth which is working with the hospital to ensure timely diagnosis to patients.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses969,456,566

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Jane A Weldon........................................................................ VP Operations, So Cal	40.0 .......................0.0	X			329,093	0	48,895
(19) Sivasubramanian R Manoharan........................................................................ Chief Radiation Physicist	40.0 .......................0.0		X		280,068	0	56,014
(20) Kathryne Eggers........................................................................ VP Project Management Office	40.0 .......................0.0		X		222,901	0	8,203
(21) Marjorie D Gorthy........................................................................ Exec Dir - MIC (thru 1/4/19)	40.0 .......................0.0		X		243,490	0	46,164
(22) Marvin G Labrie........................................................................ Executive Director - Santa Cru	40.0 .......................0.0		X		267,223	0	68,038
(23) Melanie A Radko........................................................................ VP Quality Management	40.0 .......................0.0		X		275,643	0	47,884
(24) Anthony Scott Carswell........................................................................ FORMER OFFICER	0.0 .......................40.0			X	0	1,164,143	155,679
(25) Karl Silberstein........................................................................ Former Officer	0.0 .......................50.0			X	0	2,527,260	167,690

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,056,974	16,941,861	2,279,982

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	250,186,095
e	Government grants (contributions)		1e	3,721,691

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		253,907,786

		Business Code
2a	PATIENT NET OF CHARITY & BAD DEBT	621400	548,267,696	548,267,696
b	MEDICARE / MEDICAID PAYMENTS	621400	226,103,535	226,103,535
c	PHYSICIAN PROFESSIONAL FEES	621400	21,317,233	21,317,233
d	HOSPITALIST	621400	33,618,982	33,618,982
e	MANAGEMENT SERVICES	621400	4,144,933	4,144,933
f	All other program service revenue.		11,102,073	11,102,073
g	Total. Add lines 2a–2f ....		844,554,452

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,361,845			6,361,845
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	MEDICAL RECORD REVENUE		900099	89,566			89,566
b	RECOVERY FEES		900099	82,706			82,706
c	CAFETERIA		722212	11,360	0	0	11,360
d	All other revenue ....			28,071	0	0	28,071
e	Total. Add lines 11a–11d ......			211,703
12	Total revenue. See Instructions......			1,105,035,786	844,554,452	0	6,573,548

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	18,555	18,555
2	Grants and other assistance to domestic individuals. See Part IV, line 22	1,811	1,811
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,638,831	1,534,033	104,798
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	185,313,527	176,990,663	8,322,864
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,854,271	6,551,439	302,832
9	Other employee benefits .......	53,523,821	51,146,874	2,376,947
10	Payroll taxes ...........	13,452,441	12,848,426	604,015
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	2,632,197		2,632,197
c	Accounting ...........	149,981		149,981
d	Lobbying ...........	7,525		7,525
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	497,494,640	433,518,745	63,975,895	0
12	Advertising and promotion ....	3,998,459	1,965,811	2,032,648
13	Office expenses .......	15,829,853	11,699,607	4,130,246
14	Information technology ......	31,751,726	18,586,762	13,164,964
15	Royalties ..	0
16	Occupancy ...........	35,736,347	21,071,967	14,664,380
17	Travel ............	2,282,428	1,874,381	408,047
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	306,056	253,190	52,866
20	Interest ...........	1,141,421	1,141,421
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	29,401,890	24,947,026	4,454,864
23	Insurance ...	1,349,103	495,831	853,272
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL PROVIDER/OUT OF NETWOR	142,672,612	142,672,612	0	0
b	MEDICAL SUPPLIES	58,339,526	58,339,526	0	0
c	LICENSES & TAXES	667,715	385,953	281,762	0
d	DUES & SUBSCRIPTIONS	533,894	520,533	13,361	0
e	All other expenses	2,959,539	2,891,400	68,139
25	Total functional expenses. Add lines 1 through 24e	1,088,058,169	969,456,566	118,601,603	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			3,451	1	4,302
2	Savings and temporary cash investments .........			45,592,431	2	30,512,865
3	Pledges and grants receivable, net ......			0	3	69,230
4	Accounts receivable, net .............			42,875,222	4	54,281,837
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			307,984	7	134,583
8	Inventories for sale or use ........			190,153	8	84,427
9	Prepaid expenses and deferred charges ......			26,473,026	9	35,526,163
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	176,465,790
b	Less: accumulated depreciation	10b	6,995,296	113,342,945	10c	169,470,494
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			33,958,708	13	35,001,377
14	Intangible assets ...............			18,717,449	14	977,214
15	Other assets. See Part IV, line 11 ...........			1,454,349	15	3,749,091
16	Total assets. Add lines 1 through 15 (must equal line 34)...			282,915,718	16	329,811,583

17	Accounts payable and accrued expenses .....	104,415,997	17	123,643,121
18	Grants payable ...	0	18	0
19	Deferred revenue .........	714,309	19	2,394,030
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	26,255	23	3,533,927
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	38,932,010	25	27,757,103
26	Total liabilities. Add lines 17 through 25..	144,088,571	26	157,328,181

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	138,677,004	27	172,332,361
28	Temporarily restricted net assets ...........	150,143	28	151,041
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	138,827,147	33	172,483,402
34	Total liabilities and net assets/fund balances ........	282,915,718	34	329,811,583