Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2019 , and ending 06-30-2020
BCheck if applicable:
CName of organization
DIGNITY HEALTH
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
185 BERRY STREET SUITE 200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAN FRANCISCO, CA94107
D Employer identification number

94-1196203
E Telephone number

G Gross receipts $ 14,250,796,671
F Name and address of principal officer:
DANIEL MORISSETTE
185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.DIGNITYHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1954
M State of legal domicile: CA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: AS AN AFFILIATE OF COMMONSPIRIT HEALTH (COMMONSPIRIT), DIGNITY HEALTH IS COMMITTED TO MAKING THE HEALING PRESENCE OF GOD KNOWN IN OUR WORK BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 44,153
6 Total number of volunteers (estimate if necessary) ............. 6 4,453
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 19,185,107
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 124,346,241 352,943,688
9 Program service revenue (Part VIII, line 2g) ......... 9,392,096,475 8,077,789,439
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 326,446,578 237,849,742
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 73,722,023 91,755,863
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 9,916,611,317 8,760,338,732
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 358,621,474 336,667,724
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) 4,906,507,486 4,256,256,422
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 4,532,139,662 3,965,314,767
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 9,797,268,622 8,558,238,913
19 Revenue less expenses. Subtract line 18 from line 12....... 119,342,695 202,099,819
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 14,297,253,487 16,437,015,348
21 Total liabilities (Part X, line 26)............. 9,163,248,752 12,203,756,629
22 Net assets or fund balances. Subtract line 21 from line 20..... 5,134,004,735 4,233,258,719
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 7,294,334,647 including grants of $ 336,667,724 ) (Revenue $ 8,074,129,048 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet7,294,334,647
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
Yes
 
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
2,791
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
44,153
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBR , CJ , GR , HK , ID , IS , MY , PL , KS , TW , TH , TU
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMARY TYREN185 BERRY STREET SUITE 200   SAN FRANCISCO,CA94107 (415) 438-5500
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) LLOYD H DEAN......................................................................
BOARD MEMBER/CEO
20.00
.................
30.00
X   X       13,327,537 0 3,417,690
(2) RICK GROSSMAN......................................................................
EVP GENERAL COUNSEL (THRU 6/30/19)
40.00
.................
10.00
      X     7,620,277 0 192,517
(3) MARVIN O'QUINN......................................................................
PRESIDENT & CHIEF OPERATING OFFICER
20.00
.................
30.00
    X       5,037,654 0 562,200
(4) KEVIN E LOFTON FACHE......................................................................
BOARD MEMBER/CEO (THRU 6/30/20)
20.00
.................
30.00
X   X       0 5,572,945 33,619
(5) DANIEL J MORISSETTE CPA......................................................................
TREASURER/ SEVP CFO
20.00
.................
30.00
    X       3,332,751 0 378,955
(6) DEANNA WISE......................................................................
FORMER KE (THRU 12/31/18)
0.00
.................
0.00
          X 3,876,785 0 16,095
(7) ELIZABETH SHIH......................................................................
SEVP CHIEF ADMINISTRATIVE OFFICER
20.00
.................
30.00
    X       3,475,394 0 751,090
(8) DARRYL ROBINSON......................................................................
SEVP CHIEF HUMAN RESOURCE OFFICER
20.00
.................
30.00
      X     3,012,757 0 330,656
(9) ROBERT WIEBE MD......................................................................
EVP CHIEF MEDICAL OFFICER
20.00
.................
30.00
      X     2,893,670 0 352,798
(10) LAURIE HARTING......................................................................
SVP OPERATIONS & CEO GREATER SACRAMENTO DIVISION
40.00
.................
10.00
      X     3,152,837 0 176,508
(11) CHARLES P FRANCIS......................................................................
SEVP CHIEF STRATEGY OFFICER
20.00
.................
30.00
      X     2,880,272 0 219,029
(12) MARY CONNICK......................................................................
SVP FINANCE CORPORATE CONTROLLER (THRU 6/30/19)
50.00
.................
0.00
      X     2,583,008 0 93,973
(13) ELIZABETH I KEITH......................................................................
EVP/SPONSORSHIP/MISSION INTEGRATION PHILANTHROPY
30.00
.................
20.00
      X     2,139,763 0 224,203
(14) CHARLES COVA......................................................................
SVP OPERATIONS & CEO CA CENTRAL COAST DIVISION
50.00
.................
0.00
      X     2,041,185 0 183,144
(15) LINDA HUNT......................................................................
SVP OPERATIONS & CEO ARIZONA DIVISION
40.00
.................
10.00
      X     1,938,690 0 219,259
(16) KEITH CALLAHAN......................................................................
SVP SUPP & SRVCS RESOURCES MGMT (THRU 6/28/19)
50.00
.................
0.00
      X     1,820,650 0 89,662
(17) JULIE SPRENGEL......................................................................
SVP OPERATIONS & CEO NEVADA/SOUTHERN CALIFORNIA DI
40.00
.................
10.00
      X     1,730,065 0 175,706
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) LISA GAMSHAD ZUCKERMAN........................................................................
SYSTEM SVP TREASURY & STRATEGIC INVESTMENTS
20.00
.......................30.00
      X     1,653,674 0 210,095
(19) JON VANBOENING........................................................................
SVP OPERATIONS & CEO CENTRAL CALIFORNIA DIVISION
40.00
.......................10.00
      X     1,545,360 0 220,563
(20) PATRICIA WEBB FACHE........................................................................
SEVP CHIEF ADMINISTRATIVE OFFICER
5.00
.......................45.00
    X       0 1,700,640 34,477
(21) JEFFREY W LAND........................................................................
SYSTEM SVP NATIONAL REAL ESTATE SERVICES
30.00
.......................20.00
      X     1,545,879 0 141,493
(22) TODD A STRUMWASSER MD........................................................................
SVP OPERATIONS & CEO NORTHERN CALIFORNIA DIVISION
40.00
.......................10.00
      X     1,484,094 0 196,623
(23) PAUL EDGETT III........................................................................
CHIEF BUSINESS LINES OFFICER
20.00
.......................30.00
      X     0 1,631,607 47,118
(24) MITCH MELFI ESQ........................................................................
SECRETARY/CHIEF LEGAL OFFICER
20.00
.......................30.00
    X       0 1,640,990 37,534
(25) TIMOTHY PANKS........................................................................
SVP FINANCE & REVENUE CYCLE MANAGEMENT (THRU 6/30/
40.00
.......................10.00
      X     1,489,225 0 90,714
(26) ANTHONY SCOTT CARSWELL........................................................................
SYSTEM SVP MARKET STRATEGY AND DEVELOPMENT
30.00
.......................20.00
        X   1,353,553 0 186,210
(27) BENJIE M LOANZON........................................................................
SYSTEM SVP FINANCE AND CORPORATE CONTROLLER
30.00
.......................20.00
      X     1,336,350 0 188,734
(28) THOMAS KOPFENSTEINER STD........................................................................
CHIEF MISSION OFFICER
20.00
.......................30.00
      X     0 1,482,923 26,535
(29) KATHLEEN SANFORD RN DBA FACHE........................................................................
CHIEF NURSING OFFICER
20.00
.......................30.00
      X     0 1,448,706 44,513
(30) BRUCE SWARTZ........................................................................
SVP PHYSICIAN ENTERPRISE
20.00
.......................30.00
        X   1,320,919 0 120,124
(31) TAMMARA WILCOX........................................................................
SYSTEM SVP PAYER STRATEGY & RELATIONSHIPS
30.00
.......................20.00
        X   1,300,827 0 170,547
(32) JULIA N BIETSCH........................................................................
MARKET VP-PE-NETWORK DEVELOPMENT (THRU 12/1/19)
40.00
.......................10.00
        X   1,306,522 0 113,704
(33) PAGE E WEST........................................................................
CHIEF NURSE EXECUTIVE (THRU 1/18/19)
40.00
.......................10.00
        X   1,264,257 0 16,505
(34) IAN BOASE........................................................................
FORMER OFFICER (THRU 1/31/19)
40.00
.......................10.00
          X 793,845 0 124,611
(35) MARK KORTH........................................................................
FORMER KE (THRU 6/4/19)
50.00
.......................0.00
          X 656,950 0 64,402
(36) KARL SILBERSTEIN........................................................................
FORMER KE (THRU 1/11/19)
40.00
.......................0.00
          X 452,107 0 51,274
(37) TESSIE GUILLERMO........................................................................
BOARD CHAIR
5.00
.......................5.50
X   X       23,750 130,000 0
(38) MARK DEMICHELE........................................................................
BOARD MEMBER
4.50
.......................5.00
X           18,750 110,000 0
(39) PETER G HANELT CPA........................................................................
BOARD MEMBER
3.50
.......................3.50
X           17,500 110,000 0
(40) PATRICK STEELE........................................................................
BOARD MEMBER
3.50
.......................4.00
X           17,500 110,000 0
(41) KENT BRADLEY MD........................................................................
BOARD MEMBER
2.50
.......................2.50
X           16,250 110,000 0
(42) CHRISTOPHER LOWNEY........................................................................
BOARD VICE CHAIR
6.00
.......................5.00
X   X       0 125,000 0
(43) ANTOINETTE HARDY-WALLER RN MJ........................................................................
BOARD MEMBER
1.50
.......................4.00
X           0 111,313 0
(44) GERALDINE BEDNASH PHD RN FAAN........................................................................
BOARD MEMBER
1.50
.......................2.00
X           0 100,000 0
(45) JAMES P HAMILL........................................................................
BOARD MEMBER
1.50
.......................3.00
X           0 100,000 0
(46) GARY R YATES MD........................................................................
BOARD MEMBER
1.50
.......................2.00
X           0 100,000 0
(47) JUDY CARLE RSM........................................................................
BOARD MEMBER
3.50
.......................3.50
X           0 0 0
(48) BARBARA HAGEDORN SC........................................................................
BOARD MEMBER
1.50
.......................4.00
X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 78,460,607 14,584,124 9,502,880
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet12,981
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
OPTUM360 LLC

11000 OPTUM CIRCLE
EDEN PRAIRIE,MN55344
REVENUE CYCLE SERVICES 425,709,452
TRIMEDX LLC

5451 LAKEVIEW PKWY S DR
INDIANAPOLIS,IN46268
MAINTENANCE SERVICES 114,110,585
MEDICAL SOLUTIONS LLC

1010 N 102ND ST
OMAHA,NE68114
STAFFING SERVICES 112,660,560
CERNER CORP

2702 ROCKCREEK PKWY
KANSAS CITY,MO64117
TECHNOLOGY SERVICES 70,487,946
JE DUNN CONSTRUCTION CO

1001 LOCUST ST
KANSAS CITY,MO64106
CONTRACTORS 66,671,460
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1,075
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 64,005,759
e Government grants (contributions)1e 283,514,391
f All other contributions, gifts, grants, and similar amounts not included above1f 5,423,538
g Noncash contributions included in lines 1a - 1f:$ 1g 2,355,164
h Total. Add lines 1a-1f.......MediumBullet 352,943,688
 Program Service RevenueAmt Business Code
2a PATIENT NET OF CHARITY 900099 4,731,938,613 4,731,938,613    
b MEDICARE/MEDICAID PYMN 900099 2,828,540,661 2,828,540,661    
c MANAGEMENT SERVICES 541610 457,126,904 457,126,904    
d MEDICAL OFFICE BLDG 621300 12,875,033 12,875,033    
e PROGRAM RENTAL INCOME 532000 6,853,755 6,853,755    
f All other program service revenue. 40,454,473 36,794,082 3,660,391  
g Total. Add lines 2a–2f .....MediumBullet 8,077,789,439
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 108,988,825     108,988,825
4 Income from investment of tax-exempt bond proceedsMediumBullet 40,139     40,139
5 Royalties...........MediumBullet 51,562     51,562
(ii) Personal (i) Real
6a Gross rents   6,495,803 6a
b Less: rental expenses   0 6b
c Rental income or (loss)   6,495,803 6c
d Net rental income or (loss).......MediumBullet 6,495,803     6,495,803
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 391,468 5,618,887,249 7a
b Less: cost or other basis and sales expenses 0 5,490,457,939 7b
c Gain or (loss) 391,468 128,429,310 7c
d Net gain or (loss).........MediumBullet 128,820,778     128,820,778
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a CAFETERIA 722514 18,802,296     18,802,296
b PASS-THROUGH INVESTMNT 900099 12,139,007   12,139,007  
c CHFT GRANT CREDIT 900099 8,523,894     8,523,894
d All other revenue .... 45,743,301   3,385,709 42,357,592
e Total. Add lines 11a–11d ...... MediumBullet 85,208,498
12 Total revenue. See instructions.....MediumBullet 8,760,338,732 8,074,129,048 19,185,107 314,080,889
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 335,339,207 335,339,207
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 1,328,517 1,328,517
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 73,846,685 64,139,477 9,707,208  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 422,606   422,606  
7 Other salaries and wages........ 3,225,435,049 2,801,756,901 423,678,148  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 263,567,527 260,744,619 2,822,908  
9 Other employee benefits ....... 464,754,427 454,463,628 10,290,799  
10 Payroll taxes ........... 228,230,128 224,756,014 3,474,114  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 11,281,787   11,281,787  
c Accounting ........... 6,573,650   6,573,650  
d Lobbying ........... 1,636,546 909,327 727,219  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 14,280,388   14,280,388  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 1,153,640,926 716,673,130 436,967,796  
12 Advertising and promotion .... 62,392,266 646,581 61,745,685  
13 Office expenses ....... 140,813,590 99,808,497 41,005,093  
14 Information technology ...... 160,945,930 83,209,045 77,736,885  
15 Royalties ..        
16 Occupancy ........... 110,156,116 82,977,108 27,179,008  
17 Travel ............ 17,254,330 9,446,812 7,807,518  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 5,186,509 2,690,348 2,496,161  
20 Interest ........... 213,056,981 212,353,590 703,391  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 442,813,999 386,576,621 56,237,378  
23 Insurance ... 53,490,738 31,131,609 22,359,129  
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 SUPPLIES 1,096,256,403 1,095,406,744 849,659 0
b MEDI-CAL PROVIDER FEE 294,616,308 294,616,308 0 0
c MED PRVDR/OUT-OF-NTWK C 116,101,004 116,101,004 0 0
d UNRELATED BUSINESS TAX 728,604 0 728,604 0
e All other expenses 64,088,692 19,259,560 44,829,132  
25 Total functional expenses. Add lines 1 through 24e 8,558,238,913 7,294,334,647 1,263,904,266 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 106,531 1 97,067
2 Savings and temporary cash investments ......... 1,845,659,269 2 2,255,698,243
3 Pledges and grants receivable, net ...... 26,001,706 3 26,714,756
4 Accounts receivable, net ............. 1,022,192,187 4 986,698,960
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6  
7 Notes and loans receivable, net ........... 106,802,386 7 110,415,287
8 Inventories for sale or use ............ 143,017,865 8 202,582,993
9 Prepaid expenses and deferred charges ...... 868,862,558 9 1,015,585,817
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,167,787,221
b Less: accumulated depreciation 10b 611,396,787 4,581,489,220 10c 4,556,390,434
11 Investments—publicly traded securities . 556,727,243 11 1,741,398,662
12 Investments—other securities. See Part IV, line 11 ..... 2,147,379,673 12 2,186,363,162
13 Investments—program-related. See Part IV, line 11 .. 973,705,245 13 1,016,492,835
14 Intangible assets ............... 504,990,000 14 504,989,999
15 Other assets. See Part IV, line 11 ........... 1,520,319,604 15 1,833,587,133
16 Total assets. Add lines 1 through 15 (must equal line 33)... 14,297,253,487 16 16,437,015,348
Liabilities 17 Accounts payable and accrued expenses ..... 1,769,404,906 17 2,665,209,478
18 Grants payable ... 0 18  
19 Deferred revenue ......... 32,257,787 19 76,540,608
20 Tax-exempt bond liabilities ......... 2,284,075,000 20 3,479,381,821
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 2,788,844,084 23 2,169,493,771
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 2,288,666,975 25 3,813,130,951
26 Total liabilities. Add lines 17 through 25.. 9,163,248,752 26 12,203,756,629
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 4,929,284,541 27 4,053,625,459
28 Net assets with donor restrictions ........... 204,720,194 28 179,633,260
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 5,134,004,735 32 4,233,258,719
33 Total liabilities and net assets/fund balances ........ 14,297,253,487 33 16,437,015,348
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
8,760,338,732
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
8,558,238,913
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
202,099,819
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
5,134,004,735
5
Net unrealized gains (losses) on investments ...............
5
-116,762,181
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-986,083,654
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
4,233,258,719
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
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)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, 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 2019. 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 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
DIGNITY HEALTH
 
Employer identification number
94-1196203
Part I
Contributors
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2019)

Additional Data


Software ID:  
Software Version:  
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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
 
Employer identification number

94-1196203
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$ 500
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$ 50
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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) 2019

Schedule C (Form 990 or 990-EZ) 2019
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ...................................................................................................................

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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
21,642
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
727,219
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
427,961
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
459,724
j
Total. Add lines 1c through 1i ....................................................................................................
1,636,546
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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
PART I-B, LINE 4A: DURING THE YEAR, DIGNITY HEALTH PAID MEMBERSHIP DUES TO THE LAS VEGAS METRO CHAMBER OF COMMERCE ("THE CHAMBER"). THE INVOICE FOR THE ANNUAL DUES INCLUDED A VOLUNTARY CONTRIBUTION TO THE CHAMBER'S POLITICAL ACTION COMMITTEE (PAC), WHICH THE PAYMENT INADVERTENTLY INCLUDED. DIGNITY HEALTH HAS POLICIES AND PROCEDURES IN PLACE TO AVOID SUCH TRANSACTIONS, AND ONCE THE ORGANIZATION BECAME AWARE OF THIS SITUATION, IMMEDIATE ACTION WAS TAKEN TO REQUEST THE REFUND FROM THE CHAMBER FOR THE AMOUNT DESIGNATED FOR THE PAC. THE CHAMBER ISSUED A MEMBERSHIP DUES CREDIT ON THE LAS VEGAS METRO CHAMBER OF COMMERCE INVOICE IN THE AMOUNT OF $500.00 DATED 01/01/2021, EVIDENCING THE PAYMENT HAS BEEN RECOVERED. DOCUMENTATION HAS BEEN ATTACHED TO FORM 4720 AND THE EXCISE TAX HAS BEEN PAID. THIS REPRESENTS THE FULL AMOUNT OF THE INADVERTENT PAYMENT MADE RELATED TO THE VOLUNTARY CONTRIBUTION INADVERTENTLY PAID TO THE CHAMBER'S PAC.
PART II-B, LINE 1: LOBBYING EXPENDITURES PAID BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES AND OTHER SUCH LOBBYING ACTIVITIES REFLECTED ON LINES 1F AND 1I ABOVE: 340B HEALTH $2,786 AFFORDABLE HOMES FOR SAN FRANCISCANS NOW $100,000 ALLIANCE OF CATHOLIC HEALTHCARE $25,495 AMERICAN ACADEMY OF FAMILY PHYSICIANS $345 AMERICAN HOSPITAL ASSOCIATION $63,729 ASSOCIATION FOR HEALTHCARE $1,100 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME $1,593 CALIFORNIA HOSPICE AND PALLIATIVE CARE ASSOCIATION $1,043 CALIFORNIA HOSPITAL ASSOCIATION $287,932 CASSIDY & ASSOCIATES INC $77,500 CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES $47,368 EMERGENCY NURSES ASSOCIATION $677 FERRARI PUBLIC AFFAIRS $57,290 GREATER OXNARD CHAMBER OF COMMERCE $200 INVEST IN PHOENIX $5,000 KEEPING ARIZONA HEALTHY $300,000 NEVADA HOSPITAL ASSOCIATION $21,451 PRIVATE ESSENTIAL ACCESS COMM HOSP INC $87,428 SOCIETY OF HOSPITAL MEDICINE $265 SOCIETY OF THORACIC SURGEONS $1,955 THE GREATER LAS VEGAS CHAMBER OF COMMERCE $1,100 TRAUMA CENTER ASSOCIATION OF AMERICA INC $1,840 YES ON B SPONSORED BY SAN FRANCISCO FIREFIGHTERS LOCAL 798 $100,000 VARIOUS OTHER ORGANIZATIONS UNDER $100 $844 TOTAL EXPENDITURES PAID TO ORGANIZATIONS $1,186,943
PART II-B THE ORGANIZATION PAID FEES TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES, PAID COMPENSATION TO STAFF AND MANAGEMENT IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, HELD MEETINGS WITH AND CALLED GOVERNMENT OFFICIALS, AND DEVELOPED AND SENT LETTERS. IN ADDITION, THIS ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSES INCLUDE DIRECTING, DEVELOPING, AND AFFECTING PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THE ORGANIZATION PAID ANNUAL DUES TO THESE ASSOCIATIONS, WHICH MAY BE USED FOR LOBBYING PURPOSES AS REFLECTED ON PART II-B, LINE 1I, OTHER ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 142,467,934 165,612,275 144,666,878 126,979,938 128,552,281
b Contributions ... 8,800,580 5,096,943 15,292,563 10,466,769 9,081,967
c Net investment earnings, gains, and losses 6,141,923 5,203,723 14,429,311 12,723,787 -1,441,121
d Grants or scholarships ... 15,966 188,817   170,477 75,000
e Other expenditures for facilities
and programs ...
2,717,368 29,408,378 8,776,477 5,322,053 9,134,573
f Administrative expenses .... 519,579 3,847,812   11,086 3,616
g End of year balance ...... 154,157,524 142,467,934 165,612,275 144,666,878 126,979,938
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet9.000 %
b
Permanent endowment SchDMd Bullet76.000 %
c
Term endowment SchDMd Bullet15.000 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
Yes
 
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
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 .....   574,862,173 574,862,173
b Buildings ....   2,609,945,567 155,089,547 2,454,856,020
c Leasehold improvements   40,410,804 9,843,130 30,567,674
d Equipment ....   1,251,462,218 433,175,983 818,286,235
e Other .....   691,106,459 13,288,127 677,818,332
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 4,556,390,434
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other 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) POOLED INVESTMENTS
2,186,363,162 F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 2,186,363,162
Part VIII
Investments—Program 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)INVESTMENTS IN UNCONSOLIDATED FOUNDATIONS 170,741,004 F
(2)INVESTMENTS IN HEALTH RELATED ENTITIES 648,318,397 F
(3)INVESTMENTS IN HEALTH RELATED ENTITIES 197,433,434 C
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 1,016,492,835
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)OTHER LONG-TERM ASSETS 374,246,706
(2)DUE FROM RELATED PARTIES 1,459,340,427
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,833,587,133
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 5,337,274
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 3,813,130,951
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) 2019

Schedule D (Form 990) 2019
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
PART V, LINE 4: DIGNITY HEALTH HAS VARIOUS SUPPORTING 501(C)(3) FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THEY OPERATE TO RAISE FUNDS FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF, DIGNITY HEALTH'S HOSPITALS. DIGNITY HEALTH'S INTENDED USE FOR THE FUNDS IS TO INVEST IN EXPANDING ACCESS TO CARE, PURCHASE OR CONSTRUCT STATE-OF-THE-ART EQUIPMENT AND BUILDINGS, AND PROVIDE ADVANCED TRAINING AND EDUCATION TO CAREGIVERS AND PATIENTS.
PART X, LINE 2: DIGNITY HEALTH IS INCLUDED IN COMMONSPIRIT HEALTH'S FY20 CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT 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) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 332,063
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 3,237,724,871
EUROPE 0 0 INVESTMENTS N/A 610,869,218
SOUTH AMERICA 0 0 INVESTMENTS N/A 3,032,015
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 3,851,958,167
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 3,851,958,167
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 3: CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL EUROPE (INCLUDING ICELAND AND GREENLAND): ACCRUAL SOUTH AMERICA: ACCRUAL SOUTH ASIA: ACCRUAL
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
0 125,386 102,567,746 0 102,567,746 1.200 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 926,826 2,180,908,932 1,810,787,462 370,121,470 4.320 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 14,382 15,306,814 3,671,490 11,635,324 0.140 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   1,066,594 2,298,783,492 1,814,458,952 484,324,540 5.660 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 429 477,695 53,501,456 10,358,326 43,143,130 0.500 %
f Health professions education (from Worksheet 5) . . . 44 5,605 88,860,015 21,574,022 67,285,993 0.790 %
g Subsidized health services (from Worksheet 6) . . . . 18 2,510 5,962,278 318,346 5,643,932 0.070 %
h Research (from Worksheet 7) . 4 0 39,445,064 37,652,795 1,792,269 0.020 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 122 97,616 20,604,598 8,902,865 11,701,733 0.140 %
j Total. Other Benefits . . 617 583,426 208,373,411 78,806,354 129,567,057 1.520 %
k Total. Add lines 7d and 7j . 617 1,650,020 2,507,156,903 1,893,265,306 613,891,597 7.180 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 2 52 2,568,948 811,831 1,757,117 0.020 %
2 Economic development 5 10 93,680 0 93,680 0 %
3 Community support 16 2,910 990,415 335,370 655,045 0.010 %
4 Environmental improvements 3 0 82,795 0 82,795 0 %
5 Leadership development and
training for community members
5 352 270,595 1,119 269,476 0 %
6 Coalition building 7 17,896 250,311 149,343 100,968 0 %
7 Community health improvement advocacy 7 661 50,282 21,351 28,931 0 %
8 Workforce development 4 27 569,876 0 569,876 0.010 %
9 Other 0 0 0 0    
10 Total 49 21,908 4,876,902 1,319,014 3,557,888 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
61,161,592
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,515,571,003
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,968,064,307
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-452,493,304
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 FOLSOM SIERRA ENDOSCOPY CENTER
 
SURGERY 51.000 % 0 % 49.000 %
22 SANTA CRUZ SURGERY CENTER
 
SURGERY 50.000 % 0 % 50.000 %
33 SANTA CRUZ COMPREHENSIVE IMAGING LLC
 
IMAGING 50.000 % 0 % 50.000 %
44 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
 
IMAGING 80.000 % 0 % 20.000 %
55 CBCC OUTSMARTING CANCER LLC
 
CANCER 51.000 % 0 % 49.000 %
66 INLAND ENDOSCOPY CENTER
 
SURGERY 24.500 % 0 % 30.000 %
77 MEDICAL PAVILION AT ST JOHN'S
 
REAL ESTATE (RENT/LEASE) 25.000 % 0 % 26.420 %
88 BNI MANAGEMENT LLC
 
MGMT SERVICES 26.040 % 0 % 73.960 %
99 ST JOSEPH'S CARDIOLOGY MANAGEMENT LLC
 
MGMT SERVICES 50.000 % 0 % 50.000 %
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?29Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
350 W THOMAS ROAD
PHOENIX,AZ85013
WWW.DIGNITYHEALTH.ORG/STJOSEPHS
H-3003
X X   X   X X     D
2 MERCY SAN JUAN MEDICAL CENTER
6501 COYLE AVENUE
CARMICHAEL,CA95608
WWW.DIGNITYHEALTH.ORG/MERCYSANJUAN
030000063
X X   X     X     A
3 MERCY GENERAL HOSPITAL
4001 J STREET
SACRAMENTO,CA95819
WWW.DIGNITYHEALTH.ORG/MERCYGENERAL
030000062
X X   X     X     A
4 MARIAN REGIONAL MEDICAL CENTER ARROYO GRANDE
1400 E CHURCH STREET
SANTA MARIA,CA93454
WWW.MARIANMEDICALCENTER.ORG/
50000040
X X   X     X     B
5 MERCY MEDICAL CENTER REDDING
2175 ROSALINE AVENUE
REDDING,CA96001
WWW.DIGNITYHEALTH.ORG/MERCY-REDDING
230000024
X X   X     X     B
6 ST ROSE DOMINICAN HOSPITAL - SIENA
3001 ST ROSE PARKWAY
HENDERSON,NV89052
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
2969HOS-21
X X   X     X     E
7 DOMINICAN HOSPITAL
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
WWW.DOMINICANHOSPITAL.ORG
070000030
X X         X     B
8 ST MARY MEDICAL CENTER - LONG BEACH
1050 LINDEN AVENUE
LONG BEACH,CA90813
WWW.DIGNITYHEALTH.ORG/STMARYMEDICAL
930000012
X X   X     X     F
9 ST BERNARDINE MEDICAL CENTER
2101 N WATERMAN AVENUE
SAN BERNARDINO,CA92404
WWW.DIGNITYHEALTH.ORG/STBERNARDINEMED
240000206
X X         X     A
10 MERCY HOSPITAL (BAKERSFIELD)
2215 TRUXTUN AVENUE
BAKERSFIELD,CA93301
WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFOR
120000184
X X         X     A
11 ST JOHNS REGIONAL MEDICAL CENTER
1600 NORTH ROSE AVENUE
OXNARD,CA93030
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000064
X X         X     H
12 MERCY MEDICAL CENTER MERCED
333 MERCY AVENUE
MERCED,CA95340
WWW.MERCYMERCEDCARES.ORG/
040000178
X X   X     X     A
13 MERCY GILBERT MEDICAL CENTER
3555 S VAL VISTA DRIVE
GILBERT,AZ85297
WWW.DIGNITYHEALTH.ORG/MERCYGILBERT
H-3972
X X         X     D
14 MERCY HOSPITAL OF FOLSOM
1650 CREEKSIDE DRIVE
FOLSOM,CA95630
WWW.DIGNITYHEALTH.ORG/MERCYFOLSOM
030000372
X X         X     A
15 ST MARYS MEDICAL CENTER
450 STANYAN STREET
SAN FRANCISCO,CA94117
WWW.STMARYSMEDICALCENTER.ORG/
220000071
X X   X     X     F
16 ST ROSE DOMINICAN HOSPITAL - SAN MARTIN
8280 WEST WARM SPRINGS ROAD
LAS VEGAS,NV89113
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
4576HOS-6
X X         X     E
17 ST ELIZABETH COMMUNITY HOSPITAL
2550 SISTER MARY COLUMBA DRIVE
RED BLUFF,CA96080
WWW.DIGNITYHEALTH.ORG/STELIZABETHHOSP
230000036
X X         X     B
18 ST JOHNS PLEASANT VALLEY HOSPITAL
2309 ANTONIO AVENUE
CAMARILLO,CA93010
WWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/L
050000048
X X         X     H
19 MERCY MEDICAL CENTER MT SHASTA
914 PINE STREET
MT SHASTA,CA96067
WWW.MERCYMTSHASTA.ORG/
230000015
X X     X   X     F
20 CARONDELET ST JOSEPH'S HOSPITAL
350 S WILMOT ROAD
TUCSON,AZ85711
HTTPS://WWW.CARONDELET.ORG/LOCATIONS
H-7308
X X         X     G
21 ST JOSEPH'S WESTGATE MEDICAL CENTER
7300 N 99TH AVENUE
GLENDALE,AZ85305
WWW.DIGNITYHEALTH.ORG/WESTGATE
H-6522
X X         X     D
22 CARONDELET ST MARY'S HOSPITAL
1601 W ST MARYS ROAD
TUCSON,AZ85745
HTTPS://WWW.CARONDELET.ORG/LOCATIONS
H-7303
X X         X     G
23 ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA
102 E LAKE MEAD DRIVE
HENDERSON,NV89015
WWW.DIGNITYHEALTH.ORG/LAS-VEGAS
659HOS-20
X X         X     E
24 DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN N
1550 W CRAIG ROAD
NORTH LAS VEGAS,NV89032
WWW.STROSENH.ORG/LOCATIONS/NORTH-LAS-
8544-HOS-0
X           X X NEIGHBORHOOD HOSPITAL C
25 DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN
4855 BLUE DIAMON ROAD
LAS VEGAS,NV89139
WWW.STROSENH.ORG/LOCATIONS/BLUE-DIAMO
8594-HOS-0
X           X X NEIGHBORHOOD HOSPITAL C
26 DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN SAHARA
4890 W SAHARA AVENUE
LAS VEGAS,NV89146
WWW.STROSENH.ORG/LOCATIONS/SAHARA/
8686-HOS-0
X           X X NEIGHBORHOOD HOSPITAL C
27 DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE DOMINICAN WEST
9880 W FLAMINGO
LAS VEGAS,NV89147
WWW.STROSENH.ORG/LOCATIONS/WEST-FLAMI
8652-HOS-0
X           X X NEIGHBORHOOD HOSPITAL C
28 CARONDELET HOLY CROSS HOSPITAL
1171 W TARGET RANGE ROAD
NOGALES,AZ85321
WWW.CARONDELET.ORG/LOCATIONS
H-7306
X       X   X      
29 CARONDELET MARANA HOSPITAL
5620 CORTARO FARMS ROAD
TUCSON,AZ85742
WWW.CARONDELET.ORG/LOCATIONS
H10006
X X                
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.STROSENH.ORG/ABOUT/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.STROSENH.ORG/HELPINGHANDS/
b
WWW.STROSENH.ORG/HELPINGHANDS/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP C
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP D
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP E
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP F
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP G
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CARONDELET.ORG/ABOUT/COMMUNITY-OUTREACH
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP G
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP G
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP G
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP H
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP H
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP H
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP H
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CARONDELET HOLY CROSS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
28
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CARONDELET.ORG/ABOUT/COMMUNITY-OUTREACH
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CARONDELET HOLY CROSS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
CARONDELET HOLY CROSS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CARONDELET HOLY CROSS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CARONDELET MARANA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
29
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2 Yes  
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3   No
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20  
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5    
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a    
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b    
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7    
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10    
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CARONDELET MARANA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
b
WWW.CARONDELET.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
CARONDELET MARANA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CARONDELET MARANA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
CARONDELET MARANA HOSPITAL PART V, SECTION B, LINE 2: CARONDELET MARANA HOSPITALTHE HOSPITAL WAS ACQUIRED OR PLACED INTO SERVICE IN FEBRUARY 2020.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2017 CHNA, TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL AND BY COMMUNITY PARTNERS WERE CONTACTED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEW PARTICIPANTS INCLUDED LEADERS AND REPRESENTATIVES OF THE UNITED WAY, AREA HEALTH EDUCATION CENTER, FEDERALLY QUALIFIED HEALTH CENTER, WORKFORCE DEVELOPMENT AGENCY, FOOD BANK, AND COUNTY PUBLIC HEALTH. THE HOSPITAL ALSO CONSULTED FOUR RECENT COMMUNITY ASSESSMENTS FROM 2016 TO 2018 THAT INCLUDED COMMUNITY INPUT ON TOPICS INCLUDING THE LOCAL FOOD SYSTEM, WOMEN'S BEHAVIORAL HEALTH, ELDER HEALTH AND A U.S. ENVIRONMENTAL PROTECTION AGENCY REPORT ON HEALTHY PLACES.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 11: THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING PRIORITIZED SIGNIFICANT HEALTH AND HEALTH-RELATED NEEDS: MENTAL HEALTH, ECONOMIC INSECURITY, OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, DIABETES, BIRTH INDICATORS, DENTAL CARE AND SUBSTANCE ABUSE. HOLY CROSS HOSPITAL HAS PROGRAMS, SERVICES AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS OVERWEIGHT AND OBESITY, ACCESS TO HEALTH CARE, AND DIABETES. THE HOSPITAL IS AND WILL CONTINUE TO MEET NEEDS THROUGH: PROVISION OF CHARITY CARE; MEDICAID/AHCCCS NAVIGATION PROGRAMS; DIABETES SUPPORT GROUPS; NUTRITION COUNSELING; COLLABORATING ON PROMOTORA OUTREACH AND COMMUNITY EDUCATION; PARTICIPATION IN COMMUNITY HEALTH GROUPS SUCH AS THE VIVIR MEJOR COALITION; EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE BY OUR CRITICAL ACCESS HOSPITAL; AND SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. AS A SMALL CRITICAL ACCESS HOSPITAL, THE FACILITY DOES NOT HAVE THE RESOURCES OR PERSONNEL TO TAKE THE LEAD IN ADDRESSING MENTAL HEALTH, ECONOMIC INSECURITY, BIRTH INDICATORS, DENTAL CARE OR SUBSTANCE ABUSE. THE HOSPITAL WILL PARTNER WITH AND SUPPORT OTHERS IN THE COMMUNITY ADDRESSING THESE NEEDS, AS APPROPRIATE.
CARONDELET HOLY CROSS HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
CARONDELET MARANA HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: MERCY SAN JUAN MEDICAL CENTER, - FACILITY 3: MERCY GENERAL HOSPITAL, - FACILITY 9: ST BERNARDINE MEDICAL CENTER, - FACILITY 10: MERCY HOSPITAL (BAKERSFIELD), - FACILITY 12: MERCY MEDICAL CENTER MERCED, - FACILITY 14: MERCY HOSPITAL OF FOLSOM
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMFOR THE 2019 CHNA REPORT, QUALITATIVE DATA INCLUDED INTERVIEWS WITH 121 COMMUNITY HEALTH EXPERTS, MEMBERS OF THE COUNTY'S DEPARTMENT OF PUBLIC HEALTH, SOCIAL-SERVICE PROVIDERS THAT REPRESENTED MEDICALLY UNDERSERVED POPULATIONS, AND MEDICAL PERSONNEL IN ONE-ON-ONE AND GROUP INTERVIEWS, AS WELL AS A TOWN HALL MEETING. ALL INTERVIEW PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. FURTHER, 154 COMMUNITY RESIDENTS PARTICIPATED IN 15 FOCUS GROUPS ACROSS THE COUNTY.ST. BERNARDINE MEDICAL CENTERFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT ON HEALTH ISSUES, DISPARITIES AND ASSETS THROUGH INTERVIEWS WITH 13 KEY COMMUNITY STAKEHOLDERS, PUBLIC HEALTH, SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. PARTICIPANTS INCLUDED REPRESENTATIVES OF: CALIFORNIA STATE UNIVERSITY - SAN BERNARDINO, LEGAL AID SOCIETY OF SAN BERNARDINO, LESTONNAC FREE CLINIC, COUNTY OF SAN BERNARDINO DEPARTMENT OF BEHAVIORAL HEALTH, MARY'S MERCY CENTER, HOPE PROGRAM, FIRST PRESBYTERIAN CHURCH OF SAN BERNARDINO, SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, CITY OF SAN BERNARDINO, SAN BERNARDINO COUNTY PUBLIC HEALTH DEPARTMENT, HOUSING AUTHORITY OF THE COUNTY OF SAN BERNARDINO, AND CATHOLIC CHARITIES.MERCY HOSPITAL BAKERSFIELDFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY SURVEYS AND INTERVIEWS WITH INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. FORTY-ONE INTERVIEWS WERE COMPLETED WITH PEOPLE SELECTED TO COVER A WIDE RANGE OF COMMUNITIES WITHIN KERN COUNTY, REPRESENTING DIFFERENT AGE GROUPS, RACIAL/ETHNIC POPULATIONS AND UNDERSERVED POPULATIONS. AMONG THE ORGANIZATIONS REPRESENTED WERE: KERN COUNTY PUBLIC HEALTH SERVICES DEPARTMENT, KERN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, BAKERSFIELD HOMELESS CENTER, KERN FOOD POLICY, COUNCIL BAKERSFIELD CITY SCHOOLS AND MERCY HOUSING. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ELECTRONIC AND PAPER FORMATS, IN ENGLISH AND SPANISH, AND 1,114 USABLE SURVEYS WERE COMPLETED. SURVEYS WERE DISTRIBUTED VIA HOSPITAL WAITING ROOMS AND SERVICE SITES, COMMUNITY PARTNER HEALTH AND SOCIAL SERVICE AGENCIES, AND THROUGH SOCIAL MEDIA, INCLUDING POSTING THE SURVEY LINK ON HOSPITAL FACEBOOK PAGES. FOR COMMUNITY MEMBERS WHO WERE ILLITERATE, AN AGENCY STAFF MEMBER READ THE SURVEY INTRODUCTION AND QUESTIONS TO THE CLIENT IN HIS/HER PREFERRED LANGUAGE AND MARKED HIS/HER RESPONSES ON THE SURVEY.MERCY MEDICAL CENTER MERCEDFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A KEY INFORMANT SURVEY AND A BROAD COMMUNITY SURVEY. TO SOLICIT INPUT FROM KEY INFORMANTS, INDIVIDUALS WHO HAVE A BROAD INTEREST AND EXPERTISE IN THE HEALTH OF THE COMMUNITY, A TARGETED ONLINE SURVEY WAS CONDUCTED. IT WAS COMPLETED BY 49 PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND OTHER COMMUNITY LEADERS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS WERE AMONG THOSE PARTICIPATING: MERCED COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH, AND MERCED COUNTY EMERGENCY MEDICAL SERVICES AGENCY. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY THOSE COMPLETING THE KEY INFORMANT SURVEY INCLUDED: AFRICAN-AMERICANS, AIDS/HIV/STD PATIENTS, ASIANS/PACIFIC ISLANDERS, CHILDREN, DUAL DIAGNOSIS PATIENTS, THE ELDERLY, ESL OR NON-ENGLISH SPEAKERS, HISPANICS, HMONG, THE HOMELESS, IMMIGRANTS/REFUGEES, LOW INCOME, MEDICARE/MEDICAID RECIPIENTS, THE MENTALLY ILL, MOTHERS, THOSE WITH SPECIAL NEEDS, TEENS, THE UNDOCUMENTED, AND THE UNINSURED/UNDERINSURED. ADDITIONALLY, THE BROAD COMMUNITY SURVEY OBTAINED INPUT FROM 300 RESPONDENTS BASED ON A RANDOM SAMPLE TELEPHONE SURVEY. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: MERCY SAN JUAN MEDICAL CENTER, MERCY HOSPITAL OF FOLSOM, MERCY GENERAL HOSPITAL, AND METHODIST HOSPITAL OF SACRAMENTO UC DAVIS MEDICAL CENTER, SUTTER MEDICAL CENTER SACRAMENTOST. BERNARDINE MEDICAL CENTERCOMMUNITY HOSPITAL OF SAN BERNARDINOMERCY HOSPITAL BAKERSFIELDDELANO REGIONAL MEDICAL CENTER, BAKERSFIELD MEMORIAL HOSPITAL, KAISER PERMANENTE, ADVENTIST HEALTH (BAKERSFIELD AND TEHACHAPI VALLEY)MERCY MEDICAL CENTER MERCEDMEMORIAL HOSPITAL LOS BANOS, VALLEY CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMTHESE GREATER SACRAMENTO HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES, 2) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES, 3) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD, 4) SYSTEM NAVIGATION, 5) INJURY AND DISEASE PREVENTION AND MANAGEMENT, 6) A SAFE AND VIOLENCE-FREE ENVIRONMENT, 7) ACCESS TO ACTIVE LIVING AND HEALTHY EATING, 8) CULTURAL COMPETENCY, AND 9) ACCESS TO SPECIALTY AND EXTENDED CARE. INITIATIVES THAT ADDRESS THESE PRIORITIES LARGELY TARGET VULNERABLE AND AT-RISK POPULATIONS, WITH EMPHASIS ON COLLABORATION WITH OTHER DIGNITY HEALTH HOSPITALS AND COMMUNITY PARTNERS. THE HOSPITALS ARE ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN EACH FACILITY'S IMPLEMENTATION STRATEGY, WHICH ARE AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS AT THESE HOSPITALS INCLUDE: MERCY FAMILY HEALTH CENTER (METHODIST HOSPITAL ONLY), CATHOLIC SCHOOL NURSE PROGRAM, CARE FOR THE UNDOCUMENTED, MERCY CLINIC LOAVES & FISHES, WELLSPACE CAPACITY BUILDING, NAVIGATION TO WELLNESS, TLCS TRIAGE NAVIGATOR, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH CONSULTATIONS AND CONSERVATORSHIP SERVICES, WHOLE PERSON CARE / PATHWAYS TO HEALTH + HOME, HEALTHIER LIVING, MERCY FAITH AND HEALTH PARTNERSHIP, HOUSING WITH DIGNITY HOMELESS PROGRAM, INTERIM CARE PROGRAM, REFERNET INTENSIVE OUTPATIENT MENTAL HEALTH PARTNERSHIP, SAFE KIDS PROGRAM, SPIRIT PROJECT: THE SACRAMENTO PHYSICIANS' INITIATIVE TO REACH OUT, INNOVATE AND TEACH, PATIENT NAVIGATOR PROGRAM, CONGESTIVE HEART ACTIVE MANAGEMENT PROGRAM, HUMAN TRAFFICKING RESPONSE PROGRAM, WEAVE PATIENT ADVOCATE, HEALTHY WOMEN AND FAMILIES, INITIATIVE TO REDUCE AFRICAN AMERICAN CHILD DEATHS, FOOD EXPLORATION AND SCHOOL TRANSFORMATION, RECREATE FOR HEALTH, SALUD CON DIGNIDAD / HEALTH WITH DIGNITY, DEMENTIA CARE AND SUPPORT NAVIGATION, AND ONCOLOGY NURSE PROGRAM. THE HOSPITALS DO NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES. THE HOSPITALS ARE NOT ADDRESSING ACCESS TO MEETING FUNCTIONAL NEEDS - TRANSPORTATION AND PHYSICAL DISABILITY AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL AND METHODIST HOSPITAL OF SACRAMENTO. MANY OF THE CURRENT INITIATIVES INCLUDE A TRANSPORTATION COMPONENT ALTHOUGH SERVICES ARE LIMITED. AS OF MARCH 2020, IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITALS HAVE IMPLEMENTED IMMEDIATE RELIEF MEASURES AND AS A BROADER COMMUNITY BENEFIT STRATEGY, THE HOSPITALS CONTINUE TO LOOK FOR OPPORTUNITIES TO SUPPORT PROGRAMS AND INITIATIVES THAT SEEK TO ADDRESS ISSUES RELATED TO COVID-19. MOREOVER, THE HOSPITALS HAVE CONTINUOUSLY ENGAGED IN COLLABORATIVE EFFORTS FOCUSING ON DEVELOPMENT OF A BROAD CLINICAL AND SOCIOECONOMIC PLANS WITH MULTI-DISCIPLINARY PARTNERS FROM HEALTH CARE, BUSINESS, SOCIAL SERVICES, GOVERNMENT, COMMUNITY BASED ORGANIZATIONS AND WIDER SOCIETY.ST. BERNARDINE MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH CARE, 2) BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE AND MISUSE 3) CHRONIC DISEASES (INCLUDES OVERWEIGHT AND OBESITY), 4) HOUSING AND HOMELESSNESS, AND 5) SAFETY AND VIOLENCE. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FINANCIAL ASSISTANCE (CHARITY CARE), COMMUNITY HEALTH NAVIGATOR, FREE COMMUNITY HEALTH EDUCATION, FREE FLU SHOTS, COMMUNITY GRANTS PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BABY & FAMILY CENTER, CHRONIC DISEASE SUPPORT GROUPS, ACCELERATING INVESTMENT FOR HEALTHY COMMUNITIES INITIATIVE, FAMILY FOCUS CENTER, AND STEPPING STONES PROGRAM. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY HOSPITAL BAKERSFIELDTHE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS AND THAT FORM THE BASIS OF THE CHNA WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: ACCESS TO HEALTH CARE, ALZHEIMER'S DISEASE, CHRONIC DISEASES, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS. THE HOSPITAL IS ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. ACCESS TO CARE: FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, COORDINATED CARE NETWORK INITIATIVE, COMMUNITY HEALTH INITIATIVE, HOMEMAKER CARE PROGRAM AND PRESCRIPTION PURCHASES. ALZHEIMER'S DISEASE: COMMUNITY GRANTS PROGRAM AND HOMEMAKER CARE PROGRAM. CHRONIC DISEASES: COMMUNITY GRANTS PROGRAM AND COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES. OVERWEIGHT AND OBESITY: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS, CLASSES AND HEALTH SCREENINGS, AND HEALTHY KIDS IN HEALTHY HOMES. PREVENTIVE PRACTICES: COMMUNITY GRANTS PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY WELLNESS PROGRAM SEMINARS AND CLASSES, SMOKING CESSATION PROGRAM, AND COMMUNITY HEALTH INITIATIVE. SOCIAL DETERMINANTS OF HEALTH/BASIC NEEDS: COMMUNITY GRANTS PROGRAM, LEARNING AND OUTREACH CENTERS, COORDINATED CARE NETWORK INITIATIVE, ART AND SPIRITUALITY CENTER AND HOMEMAKER CARE PROGRAM. THE HOSPITAL WILL NOT FOCUS ON THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: BIRTH INDICATORS, DENTAL CARE, ENVIRONMENTAL POLLUTION, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND MISUSE, UNINTENTIONAL INJURIES AND VIOLENCE AND INJURY PREVENTION. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, THE HOSPITAL HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. IT HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH PIVOTED ITS FOCUS AS THE ARRIVAL OF COVID-19 AND CALIFORNIA'S SHELTER-IN-PLACE ORDER IMPACTED OUR WORK IN 2020. THIS INCLUDED EXPANDING THE EMERGENCY FOOD BASKET PROGRAM, OFFERING VIRTUAL HEALTH EDUCATION CLASSES, INCREASING THE FREQUENCY OF HOT MEAL PROGRAMS, AND ASSISTING CLIENTS TELEPHONICALLY WITH HEALTH INSURANCE ENROLLMENT, EDUCATION AND UTILIZATION.MERCY MEDICAL CENTER MERCEDTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) CANCER, 3) DIABETES, 4) HEART DISEASE & STROKE, 5) FAMILY PLANNING - INFANT HEALTH 6) NUTRITION, PHYSICAL ACTIVITY & WEIGHT, AND 7) RESPIRATORY DISEASES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: FAMILY PRACTICE CLINIC, KIDS CARE PEDIATRIC CLINIC, GENERAL MEDICINE CLINIC, PATIENT FINANCIAL ASSISTANCE PROGRAM, MERCY ED AND INPATIENT VOLUNTEER PROGRAM, CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, DIABETES CLASSES, DIABETES SELF-MANAGEMENT PROGRAM, NATIONAL DIABETES PREVENTION PROGRAM, ASTHMA COALITION, SMOKING CESSATION CLASSES, TOBACCO COALITION, ASTHMA SELF-MANAGEMENT PROGRAM, CHILDBIRTH CLASSES, LACTATION CLASSES, BABY CAF, CAESARIAN CLASSES, CERTIFIED STROKE HOSPITAL, STROKE TELEMEDICINE, CARDIAC REHAB PROGRAM, STROKE SUPPORT AND RESOURCE CLASSES, STEPS PROGRAM, ZUMBA AND YOGA CLASSES, SCHOOL OUTREACH PROGRAM, FAMILY HEALTH FESTIVAL & 5K STROKE AWARENESS RUN, WALK WITH EASE PROGRAM, MERCY UC DAVIS CANCER CENTER, AMERICAN CANCER SOCIETY PARTNERSHIP, CANCER SUPPORT GROUPS, AND MASSAGE THERAPY SUPPORT GROUPS. MERCY MEDICAL CENTER HAS CHOSEN TO NOT ADDRESS THE FOLLOWING HEALTH NEEDS: SUBSTANCE ABUSE, DEMENTIA, & ALZHEIMER'S DISEASE, INJURY & VIOLENCE AND POTENTIALLY DISABLING CONDITIONS. PATIENTS WILL BE GIVEN COMMUNITY RESOURCES TO ADDRESS ANY OF THESE HEALTH NEEDS WHICH WOULD APPLY TO THAT SPECIFIC INDIVIDUAL. MERCY DOES NOT HAVE THE CAPACITY OR SERVICES TO ADDRESS THESE ISSUES AND ALL ARE BEING ADDRESSED BY ANOTHER ORGANIZATION IN MERCED COUNTY.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE, - FACILITY 5: MERCY MEDICAL CENTER REDDING, - FACILITY 7: DOMINICAN HOSPITAL, - FACILITY 17: ST ELIZABETH COMMUNITY HOSPITAL
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 5: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT INTO THE NEEDS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS VIA A COMMUNITY HEALTH SURVEY BASED ON QUESTIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEY, PREVIOUS CHNA REPORTS, AND INPUT PROVIDED BY THOSE REPRESENTING COMMUNITY BENEFIT/OUTREACH ACTIVITIES. THE SURVEY WAS COMPLETED BY 866 ADULTS AGED 18 AND OLDER IN BOTH SPANISH AND ENGLISH, IN 23 DIFFERENT LOCATIONS WITHIN THE COMMUNITY, INCLUDING CHURCHES, SENIOR CENTERS, COMMUNITY EVENTS, HOMELESS SHELTERS AND SCHOOL EVENTS. ORGANIZATIONS PROVIDING INPUT OR ASSISTING IN THE SURVEY PROCESS INCLUDED: CENTRAL COAST COMMISSION FOR SENIOR CITIZENS, SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT, SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT, MARIAN REGIONAL MEDICAL CENTER'S COMMUNITY BENEFIT COMMITTEE, FIVE CHURCHES, FOODBANK OF SAN LUIS OBISPO COUNTY, GOOD SAMARITAN SHELTER, LITTLE HOUSE BY THE PARK, GUADALUPE OASIS SENIOR COMMUNITY CENTER, OCEANO SENIOR CENTER, PEOPLE'S KITCHEN, PEOPLES' SELF-HELP HOUSING, SANTA MARIA BONITA SCHOOL DISTRICT, AND SANTA MARIA PARKS AND RECREATION.MERCY MEDICAL CENTER REDDINGFOR THE 2019 CHNA, THE HOSPITAL PARTNERED WITH OUTSIDE INDIVIDUALS AND ORGANIZATIONS, INCLUDING FOR OBTAINING COMMUNITY INPUT OR QUALITATIVE DATA FROM KEY STAKEHOLDER FOCUS GROUPS, SURVEYS, AND MEETINGS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THESE REPRESENTATIVES INCLUDED PUBLIC HEALTH AND INDIVIDUALS WITH KNOWLEDGE OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. AMONG THE COMMUNITY PARTICIPANTS WERE: CITY OF REDDING, FIRST 5 SHASTA, HEALTH SHASTA COLLABORATIVE, PUBLIC HEALTH ADVISORY BOARD, REACH HIGHER SHASTA, REDDING RANCHERIA, SHASTA COMMUNITY HEALTH CENTER, SHASTA COUNTY HEALTH & HUMAN SERVICES AGENCY, AND THE STRENGTHENING FAMILIES COLLABORATIVE. IN FOCUS GROUP DISCUSSIONS, THE FACILITATOR GUIDED GROUPS THROUGH A DISCUSSION OF REVIEWING HEALTH NEED TOPICS AND THEN PRIORITIZING THEM VIA A RANKING PROCESS.DOMINICAN HOSPITALFOR THE 2019 CHNA, THE HOSPITAL OBTAINED COMMUNITY INPUT VIA KEY INFORMANT INTERVIEWS WITH LOCAL HEALTH EXPERTS, AND A SURVEY WITH 22 COMMUNITY LEADERS AND HEALTH EXPERTS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT AND REPRESENTATIVES FROM THE MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. REPRESENTATIVES OF THE FOLLOWING PARTICIPATED: COUNTY OF SANTA CRUZ (HEALTH SERVICE AGENCY, HUMAN SERVICES DEPARTMENT, BEHAVIORAL HEALTH), DIENTES COMMUNITY DENTAL CARE, HOMELESS SERVICES CENTER, SALUD PARA LA GENTE, SECOND HARVEST FOOD BANK, COMMUNITY ACTION BOARD, JANUS, HEALTH IMPROVEMENT PARTNERSHIP, COMMUNITY BRIDGES, SANTA CRUZ COMMUNITY HEALTH CENTERS, FIRST FIVE SANTA CRUZ COUNTY, SANTA CRUZ COUNTY OFFICE OF EDUCATION, AND UNITED WAY OF SANTA CRUZ COUNTY. THE HOSPITAL ALSO USED PRIMARY DATA COLLECTED FROM THE BIENNIAL COMMUNITY ASSESSMENT PROJECT SURVEY CONDUCTED WITH A REPRESENTATIVE SAMPLE OF SANTA CRUZ COUNTY RESIDENTS. THIS SURVEY ASSESSES QUALITY OF LIFE ACROSS FIVE SUBJECT AREAS: THE ECONOMY, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT AND THE NATURAL ENVIRONMENT.ST. ELIZABETH COMMUNITY HOSPITALFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED THROUGH FOCUS GROUPS AND A CONVENIENCE SAMPLING HEALTH SURVEY TO GAIN A THOROUGH UNDERSTANDING OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS MOST OFTEN SERVED. THE HOSPITAL LOOKED TO COMMUNITY BASED ORGANIZATIONS TO REPRESENT THEIR RESPECTIVE CLIENTELE IN THE SURVEY PROCESS WHEREVER APPROPRIATE. FOCUS GROUP MEETINGS WERE CONDUCTED WITH INDIVIDUALS AND GROUPS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THOSE REPRESENTED INCLUDES: 211 TEHAMA, ADULT SERVICES, BLAIR'S CREMATION, COUNTY BOARD OF SUPERVISORS, BROOKDALE ASSISTED LIVING, COMMUNITY ACTION AGENCY, CORNING HEALTHCARE DISTRICT, CORNING SENIOR CENTER, GREENVILLE RANCHERIA, HOUSING TOOLS, MERCY HOUSING, P.A.T.H - POOR & THE HOMELESS, PARATRANSIT SERVICES, PASSAGES - AREA AGENCY ON AGING, TEHAMA COUNTY PUBLIC HEALTH, RED BLUFF HEALTH CARE, SOCIAL SERVICES/COMMUNITY ACTION AGENCY, TEHAMA COUNTY HEALTH SERVICES, TEHAMA COUNTY PUBLIC GUARDIAN, TEHAMA TOGETHER AND VETERANS SERVICES.
FACILITY REPORTING GROUP B PART V, SECTION B, LINE 11: MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDETHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) EDUCATIONAL ATTAINMENT FOR ADULTS IN THE COMMUNITY, 2) ACCESS TO PRIMARY HEALTH CARE, INCLUDING BEHAVIORAL HEALTH, 3) AGING, MORE MATURE POPULATION, AND 4) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FORMAL MIXTECO INTERPRETER PROGRAM, TRANSITIONAL CARE MANAGEMENT (TCM) PROGRAM, DEVELOPMENT OF BEHAVIORAL HEALTH CRISIS STABILIZATION CENTER, FINANCIAL ASSISTANCE PROGRAMS, FAMILY PRACTICE RESIDENT OUTREACH PROGRAM, PROMOTORES DE SALUD, EMERGENCY DEPARTMENT EXPANSION, STREET MEDICINE OUTREACH PROGRAM, MENTAL HEALTH CRISIS INTERVENTION PROGRAM, FAITH COMMUNITY NURSE PROGRAM, DIGNITY HEALTH WELLNESS PROGRAMS, FREE SCREENING MAMMOGRAM CLINICS, AND BILINGUAL SUPPORT GROUPS. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY MEDICAL CENTER REDDINGTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ALCOHOL AND OTHER SUBSTANCE USE (INCLUDING TOBACCO), 2) CHILD ABUSE, 3) DIABETES, AND 4) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: TOBACCO RECOVERY SELF-MANAGEMENT WORKSHOPS, THE DIABETES EMPOWERMENT EDUCATION PROGRAM, CONTINUUM OF CARE COLLABORATION WITH EMPIRE RECOVERY CENTER FOR DETOX SERVICES, MULTISECTOR COUNTYWIDE COLLABORATION - SHASTA COUNTY WHOLE PERSON CARE, CHILD ABUSE PROGRAM - DEVELOPMENT OF CHILDREN'S LEGACY CENTER, PARTICIPATION ON THE NORTHERN CALIFORNIA ADVERSE CHILDHOOD EXPERIENCES COLLABORATIVE, NUTRITION CLASSES, AND TELE-PSYCHIATRY. MERCY MEDICAL CENTER REDDING DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS COMMUNICABLE DISEASES. SHASTA COUNTY IS HOME TO A WEALTH OF ORGANIZATIONS, BUSINESSES, AND NONPROFITS THAT CURRENTLY OFFER PROGRAMS AND SERVICES IN SEVERAL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AREAS. MERCY MEDICAL CENTER REDDING WILL CONTINUE TO BUILD COMMUNITY CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY BASED ORGANIZATIONS.DOMINICAN HOSPITALTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) BEHAVIORAL HEALTH, 2) CONTINUUM OF CARE: PREVENTION, ACCESS AND DELIVERY, 3) ECONOMIC SECURITY: INCOME, EMPLOYMENT, EDUCATION, HOUSING AND FOOD SECURITY, AND 4) HUMAN TRAFFICKING. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DOMINICAN HEALTH PSYCHIATRIC RESOURCE TEAM, JANUS OF SANTA CRUZ SUBSTANCE USE DISORDER AND CO-OCCURRING DISORDER PROGRAM, DOMINICAN HOSPITAL CARE COORDINATION TEAM, GRANT FUNDING FOR HOMELESS SERVICES CENTER'S RECUPERATIVE CARE CENTER, GRANT FUNDING FOR ROTACARE FREE HEALTH CLINIC AT THE LIVE OAK SENIOR CENTER, PERSONAL ENRICHMENT PROGRAM, DOMINICAN HOSPITAL MOBILE WELLNESS CLINIC, PASSPORT TO HEALTH (P2H) PROGRAM, COMMUNITY BRIDGES WELLNESS NAVIGATION PROJECT, MONARCH SERVICES ENDING THE GAME - HUMAN TRAFFICKING PROGRAM, AND DOMINICAN HOSPITAL HUMAN TRAFFICKING TASKFORCE. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.ST. ELIZABETH COMMUNITY HOSPITALTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, AND 2) HOMELESSNESS. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PROVIDE SERVICES FOR VULNERABLE POPULATIONS (FINANCIAL ASSISTANCE), INCREASE ACCESS TO CARE THROUGH PHYSICIAN RECRUITMENT EFFORTS, COMMUNITY SUPPORT THROUGH PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CLINICS, HEALTH EDUCATION OUTREACH, EMERGENCY DEPARTMENT BASED PATIENT NAVIGATION, ONSITE SCHOOL HEALTH SCREENINGS, TELE-PSYCHIATRY, COMMUNITY MENTAL HEALTH RESOURCES/PARTNERSHIP, BEHAVIORAL EVALUATION SERVICES, AND OUTPATIENT CLINIC BEHAVIORAL HEALTH SERVICES. ST. ELIZABETH COMMUNITY HOSPITAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL IDENTIFIED SIGNIFICANT HEALTH NEEDS. THE HOSPITAL IS NOT DIRECTLY PLANNING INTERVENTIONS THAT WOULD FULLY ADDRESS AGING ISSUES AND HOMELESSNESS. TEHAMA COUNTY IS HOME TO A WEALTH OF ORGANIZATIONS, BUSINESSES, AND NONPROFITS THAT CURRENTLY OFFER PROGRAMS AND SERVICES IN SEVERAL OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AREAS. WHILE THERE ARE POTENTIAL RESOURCES AVAILABLE TO ADDRESS ALL OF THE IDENTIFIED NEEDS OF THE COMMUNITY, THE NEEDS ARE TOO SIGNIFICANT AND DIVERSE FOR ANY ONE ORGANIZATION. ST. ELIZABETH COMMUNITY HOSPITAL WILL CONTINUE TO BUILD COMMUNITY CAPACITY BY STRENGTHENING PARTNERSHIPS AMONG LOCAL COMMUNITY BASED ORGANIZATIONS.
PART V, SECTION B FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 24: DE CRAIG RANCH LLC DBA DIGNITY HEALTH - ST RO, - FACILITY 25: DE BLUE DIAMOND LLC DBA DIGNITY HEALTH - ST R, - FACILITY 26: DE SAHARA LLC DBA DIGNITY HEALTH - ST ROSE DO, - FACILITY 27: DE FLAMINGO LLC DBA DIGNITY HEALTH - ST ROSE
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A RANDOMIZED TELEPHONE SURVEY OF CLARK COUNTY RESIDENTS AND FOCUS GROUP INTERVIEWS OF VULNERABLE POPULATIONS IN THE COMMUNITY SERVICE AREA. THE SURVEY ASSESSED COMMUNITY HEALTH NEEDS IN THREE AREAS: PERSONAL HEALTH BEHAVIORS, EXPERIENCES ACCESSING HEALTHCARE, AND OPINIONS ABOUT COMMUNITY HEALTH. ADDITIONALLY, SEVERAL DEMOGRAPHIC QUESTIONS WERE ASKED. ONCE SURVEY QUESTIONS WERE FINALIZED, THE SURVEY WAS TRANSLATED INTO SPANISH. THERE WERE 378 COMPLETIONS OF THE 15-MINUTE PHONE SURVEY. FOR FOCUS GROUPS, THE DISCUSSION GUIDE INCLUDED QUESTIONS REGARDING GENERAL HEALTH ACTIVITIES, ACCESS TO HEALTHCARE, QUALITY OF CARE, SATISFACTION WITH HEALTHCARE, AND RECOMMENDATIONS FOR IMPROVEMENT, IN ADDITION TO QUESTIONS TO CAPTURE INFORMATION ABOUT HEALTH NEEDS UNIQUE TO POPULATIONS. A TOTAL OF SEVEN GROUPS WERE HELD WITH 70 PARTICIPANTS. THE SOUTHERN NEVADA HEALTH DISTRICT, THE LOCAL HEALTH AUTHORITY, WAS A CHNA COLLABORATOR AND CONTRIBUTED INPUT.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6A: ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS, ST. ROSE DOMINICAN HOSPITAL SIENA CAMPUS, DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT, NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 11: THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MOTOR VEHICLE AND PEDESTRIAN SAFETY, 3) VIOLENCE PREVENTION, 4) SUBSTANCE USE, AND 5) MENTAL HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, TRANSITIONAL RESPITE FOR THE HOMELESS PROGRAM - CATHOLIC CHARITIES, HELPING HANDS PROGRAM, LEND A HAND OF BOULDER CITY, ENGELSTAD FOUNDATION RED ROSE, STALLMAN TOURO CLINIC AT THE SHADE TREE, TOE TAG MONOLOGUES, PATIENT FINANCIAL ASSISTANCE, ZERO FATALITIES PROGRAM, AARP DRIVERS SAFETY, CAR SEAT SAFETY CHECKS, HUMAN TRAFFICKING RESPONSE PROGRAM, MENTAL HEALTH FIRST AID (ADULT & YOUTH), SAFETALK SUICIDE PREVENTION, PARENT GUN SAFETY CLASS, SENIOR PEER COUNSELING, RAPE CRISIS CENTER, PREVENT CHILD ABUSE NEVADA, THE SHADE TREE, ST. JUDE'S RANCH FOR CHILDREN, EMPOWERING MOTHERS FOR POSITIVE OUTCOMES WITH EDUCATION, RECOVERY, AND EARLY DEVELOPMENT; ALCOHOLICS ANONYMOUS & NARCOTICS ANONYMOUS SUPPORT, FOUNDATION FOR RECOVERY, LET'S TALK SUPPORT GROUPS, AND PERINATAL MOOD AND ANXIETY DISORDER (PMAD). THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 20C: THE HOSPITALS PROCESS COMPLETE FINANCIAL ASSISTANCE APPLICATIONS. FOR INCOMPLETE APPLICATIONS, THE HOSPITAL REACHES OUT TO PATIENTS BY PHONE AND LETTER IN AN EFFORT TO OBTAIN MISSING INFORMATION IN ORDER TO MAKE A DETERMINATION OF ELIGIBILITY.
FACILITY REPORTING GROUP C PART V, SECTION B, LINE 20D: THE HOSPITALS DO NOT HAVE A PRESUMPTIVE ELIGIBILITY PROCESS IN PLACE.
PART V, SECTION B FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, - FACILITY 13: MERCY GILBERT MEDICAL CENTER, - FACILITY 21: ST JOSEPH'S WESTGATE MEDICAL CENTER
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, DATA WAS COLLECTED FIRST THROUGH 36 FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH 152 KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE HOSPITALS' PRIMARY SERVICE AREA. MEMBERS OF THE COMMUNITY HEALTH INTEGRATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY. THE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH CONTRIBUTED INPUT AS PART OF ITS WORK TO PRODUCE THE CHNA REPORT WITH THE HOSPITALS.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 6A: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTER, MERCY GILBERT MEDICAL CENTER, CHANDLER REGIONAL MEDICAL CENTER, SOUTHWEST ORTHOPEDIC AND SPINE HOSPITAL (OASIS HOSPITAL), ARIZONA ORTHOPEDIC SPECIALTY HOSPITAL (ARIZONA SPECIALTY HOSPITAL), ARIZONA GENERAL HOSPITAL LAVEEN, ARIZONA GENERAL HOSPITAL MESA, ARIZONA SPINE AND JOINT HOSPITAL, DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL, ADELANTE HEALTHCARE, BANNER HEALTH, MAYO HOSPITAL, NATIVE HEALTHCARE, PHOENIX CHILDREN'S HOSPITAL
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 11: ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ST. JOSEPH'S WESTGATE MEDICAL CENTERTHE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL/BEHAVIORAL HEALTH/SUBSTANCE ABUSE, 3) OVERWEIGHT/OBESITY DIET RELATED ILLNESSES, 4) CANCER, 5) TRAUMA/INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: EDUCATION, ENROLLMENT AND OUTREACH ACTIVITIES, CARE NAVIGATION FOR VULNERABLE POPULATIONS AND NEEDY POPULATIONS, MUHAMMED ALI PARKINSON'S CENTER, PROMOTORAS/COMMUNITY HEALTH WORKERS, MOMOBILE (MATERNAL OUTREACH MOBILE UNIT), CARE COORDINATION HOME VISITING, MENTAL HEALTH FIRST AID, DIGNITY HEALTH COMMUNITY GRANTS, SUBSTANCE ABUSE INITIATIVES WITH COMMUNITY MEDICAL SERVICES, MATERNAL MENTAL HEALTH PROGRAMS, ALZHEIMER AND DEMENTIA EDUCATION, DEEP (DIABETES EDUCATION AND EMPOWERMENT PROGRAM) SELF-MANAGEMENT WORKSHOPS, HEALTHIER LIVING WITH CHRONIC CONDITIONS, HEALTH PROMOTION AND STROKE PREVENTION EDUCATION FOR SENIORS, ACTIVATE SEPSIS PREVENTION AND ASSISTANCE PROGRAM, STOP THE BLEED PROGRAM, PEDESTRIAN SAFETY - COMMUNITY EDUCATION, ACTIVATE/ACTIVATE PRIME AND BALANCE MATTERS FALLS PREVENTION PROGRAMS, HUMAN TRAFFICKING TASK FORCE, TRAUMATIC BRAIN INJURY PREVENTION PROGRAMS - BARROW BRAINBOOK AND BARROW BRAIN BALL, MEDICAL RESPITE AND TRANSITIONAL PLACEMENT, HOMEVP COMMITTEE - CONTINUUM OF CARE PARTNERSHIPS, HOMELESS INITIATIVE (SB1152), 2MATCH (TO MATCH ALIGN AND MATCH THROUGH COMMUNITY HUBS), WOMEN'S WELLNESS CLINIC, AZ DEPARTMENT OF HEALTH - BREAST AND OVARIAN CANCER SCREENING PROGRAM, CANCER SUPPORT NAVIGATION, AND MEDICATION ASSISTANCE. THE HOSPITALS WERE SIGNIFICANTLY IMPACTED BY COVID-19 AND ADDRESSED EXACERBATED COMMUNITY NEEDS BY WORKING WITH COMMUNITY PARTNERS TO PROVIDE TRANSPORTATION AND SHELTER FOR HOMELESS COVID-19 POSITIVE PATIENTS BEING DISCHARGED FROM THE HOSPITALS. SEVERAL OUTREACH PROGRAMS WERE CONVERTED TO VIRTUAL PLATFORMS SO THAT THE COMMUNITY COULD STILL PARTICIPATE AND RECEIVE SUPPORT WHILE SHELTERING IN PLACE. THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH THEIR OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY GILBERT MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MENTAL HEALTH AND BEHAVIORAL HEALTH, 3) DIABETES, 4) BREAST CANCER, 5) INJURY PREVENTION, AND 6) SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: DIGNITY HEALTH COMMUNITY GRANTS PROGRAM, FIRST TEETH FIRST, CHILDREN'S DENTAL CLINIC, IMMUNIZATIONS 2019 - 2021, BUILDING BLOCKS VISION AND HEARING SCREENING, HEALTHIER LIVING PROGRAM, MOMMY FIT CAMPS PROGRAM, THINK FIRST, CRMC TRAUMA SERVICES INJURY PREVENTION, PREGNANCY AND POSTPARTUM SUPPORT GROUP & LET'S TALK THERAPY GROUP, AND THE CENTER FOR DIABETES MANAGEMENT. OTHER PROGRAMS INCLUDED HOSPITAL TO HOME NAVIAGATION AND TRASITION PROGRAMS FOR HIGH RISK SENIORS, HOMELESS, DRUG ADDICTION, SUICIDE, AND MATERNAL CHILD HEALTH, MENTAL HEALTH. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.IN 2020 THE HOSPITAL BEGAN ADDRESSING NEEDS EXACERBATED BY THE COVID PANDEMIC THAT INLCUDED GRANTS TO NONPROFITS ADDRESSING COVID-19 RELATED NEEDS, AND PPE TO NONPROFITS. THE HOSPITAL ALSO CONVERTED FROM IN-PERSON TO USE OF TELE-DENTISTRY, TELE-MEDICINE, AND VIRTUAL PLATFORMS TO MAINTAIN ACCESS TO CRITICAL EDUCATION AND SERVICES. ADDITIONAL ACTIONS TO ADDRESS COVID INCLUDED HOMELESS OUTREACH, TESTING, SHELTER, AND TREATMENT, COLLABORATION WITH LOCAL GOVERNANCE ON COMMUNITY RESOURCING, NONPROFIT RESOURCING, IMPROVED ACCESS TO CARE FOR THE UNDERSERVED, AND MORE INTENTIONAL DISCUSSION ON SOCIAL AND RACIAL INJUSTICE AND INEQUITY.
FACILITY REPORTING GROUP D PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 6: ST ROSE DOMINICAN HOSPITAL - SIENA, - FACILITY 16: ST ROSE DOMINICAN HOSPITAL - SAN MARTIN, - FACILITY 23: ST ROSE DOMINICAN HOSPITAL - ROSE DE LIMA
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A RANDOMIZED TELEPHONE SURVEY OF CLARK COUNTY RESIDENTS AND FOCUS GROUP INTERVIEWS OF VULNERABLE POPULATIONS IN THE COMMUNITY SERVICE AREA. THE SURVEY ASSESSED COMMUNITY HEALTH NEEDS IN THREE AREAS: PERSONAL HEALTH BEHAVIORS, EXPERIENCES ACCESSING HEALTHCARE, AND OPINIONS ABOUT COMMUNITY HEALTH. ADDITIONALLY, SEVERAL DEMOGRAPHIC QUESTIONS WERE ASKED. ONCE SURVEY QUESTIONS WERE FINALIZED, THE SURVEY WAS TRANSLATED INTO SPANISH. THERE WERE 378 COMPLETIONS OF THE 15-MINUTE PHONE SURVEY. FOR FOCUS GROUPS, THE DISCUSSION GUIDE INCLUDED QUESTIONS REGARDING GENERAL HEALTH ACTIVITIES, ACCESS TO HEALTHCARE, QUALITY OF CARE, SATISFACTION WITH HEALTHCARE, AND RECOMMENDATIONS FOR IMPROVEMENT, IN ADDITION TO QUESTIONS TO CAPTURE INFORMATION ABOUT HEALTH NEEDS UNIQUE TO POPULATIONS. A TOTAL OF SEVEN GROUPS WERE HELD WITH 70 PARTICIPANTS. THE SOUTHERN NEVADA HEALTH DISTRICT, THE LOCAL HEALTH AUTHORITY, WAS A CHNA COLLABORATOR AND CONTRIBUTED INPUT.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6A: DE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGO, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA, DIGNITY HEALTH REHABILITATION HOSPITAL (SIENA CAMPUS)
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 6B: SOUTHERN NEVADA HEALTH DISTRICT, NEVADA INSTITUTE FOR CHILDREN'S RESEARCH AND POLICY
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 11: THE HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MOTOR VEHICLE AND PEDESTRIAN SAFETY, 3) VIOLENCE PREVENTION, 4) SUBSTANCE USE, AND 5) MENTAL HEALTH. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: NEVADA HEALTH LINK & MEDICAID ENROLLMENT, TRANSITIONAL RESPITE FOR THE HOMELESS PROGRAM - CATHOLIC CHARITIES, HELPING HANDS PROGRAM, LEND A HAND OF BOULDER CITY, ENGELSTAD FOUNDATION RED ROSE, STALLMAN TOURO CLINIC AT THE SHADE TREE, TOE TAG MONOLOGUES, PATIENT FINANCIAL ASSISTANCE, ZERO FATALITIES PROGRAM, AARP DRIVERS SAFETY, CAR SEAT SAFETY CHECKS, HUMAN TRAFFICKING RESPONSE PROGRAM, MENTAL HEALTH FIRST AID (ADULT & YOUTH), SAFETALK SUICIDE PREVENTION, PARENT GUN SAFETY CLASS, SENIOR PEER COUNSELING, RAPE CRISIS CENTER, PREVENT CHILD ABUSE NEVADA, THE SHADE TREE, ST. JUDE'S RANCH FOR CHILDREN, EMPOWERING MOTHERS FOR POSITIVE OUTCOMES WITH EDUCATION, RECOVERY, AND EARLY DEVELOPMENT; ALCOHOLICS ANONYMOUS & NARCOTICS ANONYMOUS SUPPORT, FOUNDATION FOR RECOVERY, LET'S TALK SUPPORT GROUPS, AND PERINATAL MOOD AND ANXIETY DISORDER (PMAD). THE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP E PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP F
FACILITY REPORTING GROUP F CONSISTS OF: - FACILITY 8: ST MARY MEDICAL CENTER - LONG BEACH, - FACILITY 15: ST MARYS MEDICAL CENTER, - FACILITY 19: MERCY MEDICAL CENTER MT SHASTA
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 5: ST. MARY MEDICAL CENTER - LONG BEACHFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. LONG BEACH FORWARD, A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON PRODUCING A HEALTHY LONG BEACH, WAS SELECTED TO CONDUCT THE FOCUS GROUPS. THE HOSPITAL PROVIDED GUIDANCE ON THE POPULATIONS TO ENGAGE AND POTENTIAL TOPICS, HEALTH NEEDS AND QUESTIONS. LONG BEACH FORWARD DESIGNED THE FOCUS GROUP PROTOCOL AND WORKED WITH SIX LONG BEACH-BASED ORGANIZATIONS OR PROGRAMS, INCLUDING THE LGBTQ CENTER OF LONG BEACH, LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA, LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES' BLACK INFANT HEALTH PROGRAM, PROJECT RETURN PEER SUPPORT NETWORK AT CENTURY VILLAGES AT CABRILLO, ROSE PARK NEIGHBORHOOD ASSOCIATION, AND UNITED CAMBODIAN COMMUNITY. THESE WERE SELECTED TO REACH A RANGE OF VULNERABLE POPULATIONS. A TOTAL OF 91 PEOPLE PARTICIPATED IN SIX FOCUS GROUPS. TWENTY KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. THE LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES WAS A PARTICIPANT IN ALL PHASES OF THE CHNA.ST. MARY'S MEDICAL CENTERFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, A CO-CONVENOR OF THE ASSESSMENT, AS WELL AS EXTENSIVE COMMUNITY ENGAGEMENT. THE CHNA INCLUDED FOUR CATEGORIES OF FOCUS GROUPS: KEY INFORMANT GROUP INTERVIEW, EQUITY COALITION FOCUS GROUPS, FOOD INSECURE PREGNANT WOMEN FOCUS GROUPS, AND KAISER PERMANENTE FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: THE CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION, THE ASIAN PACIFIC ISLANDER HEALTHY PARITY COALITION, AND THE AFRICAN AMERICAN HEALTH EQUITY COALITION. THE HOMELESS PRENATAL PROGRAM HELD FOUR FOCUS GROUPS WITH WOMEN WHO EXPERIENCED FOOD INSECURITY WHILE PREGNANT. EACH FOCUS GROUP FOCUSED ON A DIFFERENT GROUP OF WOMEN: SPANISH, CHINESE, MULTI-ETHNIC ENGLISH SPEAKERS, AND AFRICAN AMERICAN. CHNA PARTNER KAISER PERMANENTE CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS ON YOUTH HEALTHY EATING AND ACTIVE LIVING, AND HOMELESS AND/OR HIV POSITIVE YOUTH.MERCY MEDICAL CENTER MT. SHASTAFOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED VIA A COMMUNITY SURVEY AND KEY INFORMANT SURVEYS. THE COMMUNITY SURVEY WAS DISTRIBUTED ELECTRONICALLY TO OUTLETS THROUGHOUT THE COUNTY, INCLUDING EMPLOYEES OF THE ORGANIZATIONS PARTICIPATING IN THE CHNA, SCHOOLS, RESOURCE CENTERS, HEALTHCARE PROVIDERS, AND SOCIAL MEDIA. HARD COPIES WERE MADE AVAILABLE AT HEALTHCARE PROVIDER OFFICES, RESOURCE CENTERS, THE PUBLIC HEALTH MOBILE UNIT, AND UPON REQUEST. THE COMMUNITY SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH, AND IT HAD 617 TOTAL RESPONDENTS. THE KEY INFORMANT SURVEY REACHED PUBLIC HEALTH AND REPRESENTATIVES OF MINORITY, UNDERSERVED AND POOR AND VULNERABLE POPULATIONS. THE FOLLOWING WERE REPRESENTED: COUNTY OF SISKIYOU HEALTH AND HUMAN SERVICES, SCOTT VALLEY UNIFIED SCHOOL DISTRICT, YREKA UNION ELEMENTARY SCHOOL DISTRICT, NORTHERN CALIFORNIA INDIAN DEVELOPMENT COUNCIL, SISKIYOU COUNTY OFFICE OF EDUCATION, MT. SHASTA AMBULANCE, MOUNTAIN VALLEY HEALTH CENTERS, SHASTA CASCADE CLINICS, SISKIYOU AGAINST RX ADDICTION, AND KLAMATH HEALTH SERVICES.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6A: ST. MARY MEDICAL CENTER - LONG BEACHLONG BEACH MEMORIAL CAREST. MARY'S MEDICAL CENTERSAINT FRANCIS MEMORIAL HOSPITAL, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, CHINESE HOSPITAL, KAISER PERMANENTE SAN FRANCISCO, UCSF MEDICAL CENTERMERCY MEDICAL CENTER MT. SHASTAFAIRCHILD MEDICAL CENTER
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 6B: ST. MARY MEDICAL CENTER - LONG BEACHCITY OF LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE CHILDREN'S CLINICST. MARY'S MEDICAL CENTERSAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP MEMBERS INCLUDING: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HEALTH SERVICES NETWORK, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, COMMUNITY CLINIC CONSORTIUM, SAN FRANCISCO INTERFAITH COUNCIL, METTA FUND, JEWISH HOMEMERCY MEDICAL CENTER MT. SHASTASISKIYOU COUNTY PUBLIC HEALTH
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 11: ST. MARY MEDICAL CENTER - LONG BEACHTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO HEALTH SERVICES, 2) FOOD INSECURITY,3) HOUSING AND HOMELESSNESS, 4) MENTAL HEALTH, AND 5) PREVENTIVE PRACTICES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PATIENT FINANCIAL ASSISTANCE, COMMUNITY GRANTS PROGRAM, FAMILY CLINIC OF LONG BEACH, MARY HILTON FAMILY CLINIC, FAMILIES IN GOOD HEALTH PROGRAM, CARE (COMPREHENSIVE AIDS RESOURCE AND EDUCATION) PROGRAM, CULTURAL TRAUMA & MENTAL HEALTH RESILIENCY PROGRAM, BAZZENI WELLNESS CENTER, EVERY WOMAN COUNTS PROGRAM, AND MOBILE CARE UNIT SCREENINGS. SMMC-LB WILL NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: CHRONIC DISEASES, ECONOMIC INSECURITY, ENVIRONMENT, EXERCISE/NUTRITION/WEIGHT, ORAL HEALTH, PREGNANCY AND BIRTH OUTCOMES, PUBLIC SAFETY, SEXUALLY TRANSMITTED INFECTIONS AND SUBSTANCE USE AND MISUSE. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, SMMC-LB HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS. SMMC-LB HAS INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.ST. MARY'S MEDICAL CENTERTHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES, 2) HOUSING SECURITY AND AN END TO HOMELESSNESS 3) FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING 4) SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH AND 5) SAFETY FROM VIOLENCE AND TRAUMA. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: SR. MARY PHILIPPA HEALTH CENTER, FINANCIAL ASSISTANCE FOR UNINSURED/ UNDERINSURED AND LOW INCOME RESIDENTS, GRADUATE MEDICAL EDUCATION, INTERNSHIPS FOR HEALTH PROFESSIONALS IN TRAINING, COMMUNITY GRANT TO THE SAN FRANCISCO CARE AND JUSTICE ALLIANCE, BREAST CANCER SECOND OPINION PANEL, BREAST CANCER SUPPORT GROUP, HIV SERVICES, TRANSPORTATION ASSISTANCE, SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP, HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM, LOW COST MEALS FOR SENIORS, DIABETES EDUCATION PROGRAM, SHARING THE JOY, SENIOR YOGA, LINEN SERVICE FOR COMMUNITY SHELTERS, DONATIONS OF CLOTHING, MEALS AND TRANSPORTATION TO HOMELESS PATIENTS, COUNSELING ENRICHED EDUCATION PROGRAM, ADOLESCENT PSYCHIATRY SERVICES, HUMAN TRAFFICKING AWARENESS TASKFORCE, AND COMMUNITY GRANTS TO LA CASA DE LAS MADRES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.MERCY MEDICAL CENTER MT. SHASTATHE HOSPITAL IS ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO CARE, 2) MATERNAL AND CHILD HEALTH, AND 3) MENTAL HEALTH. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: HEALTH SCREENING-FREE MAMMOGRAM PROGRAM, TRANSPORTATION ASSISTANCE, COMMUNITY PARTNERSHIPS TO ENHANCE ACCESS TO PRIMARY AND SPECIALTY CARE, DIABETES EDUCATION AND COMMUNITY PRESENTATIONS, PATIENT FINANCIAL ASSISTANCE, LACTATION COUNSELING SERVICES, PRENATAL BREASTFEEDING CLASSES, CHILD BIRTH CLASSES, COLLABORATION WITH FIRST FIVE BOOK PROGRAM IN RURAL HEALTH CLINIC SETTING, PARTNERSHIPS WITH GREAT NORTHERN SERVICES FREE SUMMER LUNCH PROGRAM FOR CHILDREN AGES 18 AND UNDER, TELE-PSYCHIATRY, CO-OCCURRING SUBSTANCE DISORDER TREATMENT PROGRAM, MENTAL HEALTH SPECIALIST, MENTAL HEALTH TASK FORCE, BEREAVEMENT/GRIEF SUPPORT GROUP, AND BEHAVIORAL EVALUATION SERVICES. THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND WITH COMMUNITY PARTNERS.
FACILITY REPORTING GROUP F PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B FACILITY REPORTING GROUP G
FACILITY REPORTING GROUP G CONSISTS OF: - FACILITY 20: CARONDELET ST JOSEPH'S HOSPITAL, - FACILITY 22: CARONDELET ST MARY'S HOSPITAL
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, PRIMARY QUALITATIVE DATA WAS COLLECTED FROM COMMUNITY STAKEHOLDERS, KEY INFORMANTS AND COMMUNITY MEMBERS AT LARGE. MONTHLY MEETINGS BETWEEN THE PROJECT CONSULTANTS AND THE PIMA COUNTY COMMUNITY HEALTH NEED ASSESSMENT ADVISORY TEAM, WHICH IS COMPRISED OF PUBLIC HEALTH, HEALTH SYSTEM, AND ACADEMIC PROFESSIONALS, WERE HELD TO PROVIDE INPUT TO THE DATA COLLECTION AND ANALYSIS PROCESS. COMMUNITY INPUT WAS INCORPORATED THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, COMMUNITY FORUMS AND A WEB-BASED COMMUNITY HEALTH SURVEY. COMMUNITY PARTICIPANTS INCLUDED REPRESENTATIVES FROM EL RIO HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, HEALTHY PIMA, PIMA COUNTY ADMINISTRATOR OFFICE AND TOHONO O'ODHAM NATION.
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6A: CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALBANNER UNIVERSITY MEDICAL CENTER, TUCSON MEDICAL CENTER
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 6B: CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITALMEMBERS OF THE HEALTHY PIMA INITIATIVE, INCLUDING: EL RIO COMMUNITY HEALTH CENTER, DESERT SENITA COMMUNITY HEALTH CENTER, MARANA COMMUNITY HEALTH CENTER, MARIPOSA COMMUNITY HEALTH CENTER, UNITED COMMUNITY HEALTH CENTER, PASCUA YAQUI TRIBE, PIMA COUNTY HEALTH DEPARTMENT, TOHONO O'ODHAM DEPARTMENT OF HEALTH & HUMAN SERVICES, COMMUNITY FOOD BANK OF SOUTHERN ARIZONA, AND PIMA COUNTY ADMINISTRATOR'S OFFICE
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 11: THE 2018 CHNA IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS THAT SHOULD BE CONSIDERED PRIORITIES IN THE COUNTY: BEHAVIORAL HEALTH, OBESITY & CHRONIC DISEASE, AND ACCESS TO SERVICES. THE CARONDELET HEALTH NETWORK HAS PROGRAMS, SERVICE AND PARTNERSHIPS IN PLACE TO HELP THE COMMUNITY ADDRESS THESE AREAS AND HAS DEVELOPED A COMPREHENSIVE IMPLEMENTATION PLAN TO DO SO THAT INCLUDES PROVISION OF CHARITY CARE, MEDICAID/AHCCCS NAVIGATION PROGRAMS, IN-PATIENT BEHAVIORAL HEALTH PROGRAM AND CARE COORDINATION, PARTICIPATION IN COMMUNITY HEALTH GROUPS, EXPANDED CLINICAL SERVICES AND SPECIALIST COVERAGE, SIGNIFICANT SUPPORT OF LOCAL COMMUNITY GROUPS AND ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. COVID-19 CAUSED A SINGIFICANT REDUCTION IN IN-PERSON COMMUNITY HEALTH PROGRAMS AFTER MARCH 2020; THESE WILL RESUME ONCE IT IS SAFE TO DO SO.
FACILITY REPORTING GROUP G PART V, SECTION B, LINE 13H: PATIENTS QUALIFY FOR DISCOUNTED CARE IF GROSS FAMILY INCOME IS BETWEEN 200% AND 300% OF THE FEDERAL POVERTY LEVEL AT THE TIME OF THE APPLICATION, AND HOSPITAL CHARGES IN THE PAST SIX MONTHS EXCEED TWICE THE PATIENT'S GROSS ANNUAL FAMILY INCOME.
PART V, SECTION B FACILITY REPORTING GROUP H
FACILITY REPORTING GROUP H CONSISTS OF: - FACILITY 11: ST JOHNS REGIONAL MEDICAL CENTER, - FACILITY 18: ST JOHNS PLEASANT VALLEY HOSPITAL
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 5: FOR THE 2019 CHNA, THE HOSPITALS CONDUCTED A COMMUNITY HEALTH ASSESSMENT SURVEY, DESIGNED AND DISSEMINATED BY THE VENTURA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE. A TOTAL OF 2,722 RESPONSES WERE COLLECTED. OF THE TOTAL SURVEY PARTICIPANTS, 85% COMPLETED THE SURVEY IN ENGLISH AND 15% COMPLETED THE SURVEY IN SPANISH. IN ADDITION, 16 KEY INFORMANT INTERVIEWS AND FOUR GROUP DISCUSSIONS WERE HELD WITH 53 PARTICIPANTS. INTERVIEWEES WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS AND/OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL AND HEALTH DEPARTMENT, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. PUBLIC HEALTH AGENCIES PARTICIPATING INCLUDED THE CAMARILLO HEALTH CARE DISTRICT AND VENTURA COUNTY PUBLIC HEALTH.
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 6A: ST. JOHN'S REGIONAL MEDICAL CENTER, ST. JOHN'S PLEASANT VALLEY HOSPITAL, ADVENTIST HEALTH SIMI VALLEY, COMMUNITY MEMORIAL HOSPITAL, AND OJAI VALLEY COMMUNITY HOSPITAL
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 6B: MEMBERS OF THE VENTURA COUNTY CHNA COLLABORATIVE (VCCHNAC), INCLUDING: CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, INC., VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER, AND VENTURA COUNTY PUBLIC HEALTH
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 11: THESE VENTURA COUNTY HOSPITALS ARE ADDRESSING OR CURRENTLY DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) IMPROVE ACCESS TO HEALTH SERVICES, 2) ADDRESS SOCIAL NEEDS, AND 3) IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS. THE HOSPITALS ARE ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY (DEVELOPED IN PARTNERSHIP WITH THE VENTURA COUNTY COMMUNITY HEALTH ASSESSMENT COLLABORATIVE), WHICH IS AVAILABLE TO THE PUBLIC ONLINE. STRATEGIES AND PROGRAMS INCLUDE: A COUNTYWIDE COMMUNITY RESOURCE AND REFERRAL NETWORK/PLATFORM WHICH CAN BE ADOPTED BY PARTICIPATING HOSPITALS AND OTHER COMMUNITY BASED ORGANIZATIONS TO INCREASE INTRA- AND INTER-AGENCY REFERRALS AND TRACKING OF HIGH RISK/HIGH NEED CLIENTS; SCREENING FOR FOOD INSECURITY AT PROVIDER PRACTICES AND HOSPITALS TO CONNECT HIGH NEED/HIGH RISK CLIENTS TO FEDERAL/STATE/LOCAL FOOD ACCESS PROGRAMS AND FOOD RESOURCES FOR THEIR UNMET NEEDS; IMPLEMENTATION OF A COMMUNITY BASED CARE TRANSITION PROGRAM PER SECTION 3026 OF THE AFFORDABLE CARE ACT TO SUPPORT MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION; VCCHNAC WILL EVOLVE INTO A BACKBONE ORGANIZATION WITH EQUAL PARTNERSHIP FROM HOSPITALS, LOCAL HEALTH DEPARTMENTS AND COMMUNITY BASED ORGANIZATIONS (CBOS) WHICH SUPPORT CROSS-SECTORAL OPERATIONS AND ALIGNED FUNDING STREAMS. THE PRIORITIZED HEALTH NEEDS OF BEHAVIORAL HEALTH ISSUES AND CHRONIC DISEASE ARE NOT BEING ADDRESSED BY THE HOSPITALS BECAUSE OTHER COMMUNITY STAKEHOLDERS ARE CURRENTLY LEADING INTERVENTIONS TO ADDRESS THESE HEALTH NEEDS IN THE COUNTY. FURTHER, THE PRIORITIZED STRATEGIES THAT HAVE BEEN CHOSEN ARE UPSTREAM STRATEGIES THAT TARGET ROOT CAUSES OF THE POOR HEALTH OUTCOMES THAT AFFECT VULNERABLE POPULATIONS IN THE COUNTY SUCH AS FOOD INSECURITY. THESE STRATEGIES NEED TO BE IMPLEMENTED COUNTY-WIDE THROUGH COLLABORATIVE AND COLLATERAL ACTION AND REQUIRE ALL THE PARTNERS TO ENGAGE IN EXTENSIVE SHARING OF TECHNOLOGY AND DATA IN A HIPAA COMPLIANT MANNER. GIVEN THE WIDE SCOPE OF THE SELECTED STRATEGIES, THE VCCHNAC PARTNERSHIP WILL NEED TO FOCUS ITS RESOURCES AND EXPERTISE ON THE SELECTED PRIORITIES TO DEMONSTRATE IMPACT. THAT FOCUS WILL REQUIRE CONCERTED EFFORTS AND TIME AND LEAVE VCCHNAC WITH NO RESOURCES TO TAKE ON THE REMAINING PRIORITIES IN THIS ITERATION OF THE JOINT COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS).
FACILITY REPORTING GROUP H PART V, SECTION B, LINE 16J: ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE AVAILABILITY OF PATIENT FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE ALSO INCLUDED IN EACH FACILITY'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS ON EACH FACILITY'S WEB PAGE. EACH HOSPITAL DISTRIBUTES THE PLAIN LANGUAGE SUMMARY OF THE POLICY TO ITS COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE, AND/OR TO LOCAL COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS INCLUDING RECIPIENTS OF COMMUNITY HEALTH GRANTS.
PART V, SECTION B, LINE 7A - CHNA ON HOSPITAL FACILITY'S WEB SITE ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED ATWWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHNA REPORT WEB SITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW.FACILITY REPORTING GROUP AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/ABOUT-US/COMMUNITY-HEALTH-AND-OUTREACH/HEALTH-NEEDS-ASSESSMENTST. BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STBERNARDINEMEDICAL/ABOUT-US/SERVING-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLANMERCY HOSPITAL BAKERSFIELDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCY-BAKERSFIELD/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENTMERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MERCYMEDICAL-MERCED/ABOUT-US/COMMUNITY-BENEFIT-REPORTFACILITY REPORTING GROUP BMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/MARIANREGIONAL/ABOUT-US/COMMUNITY-BENEFITSMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-REDDING/ABOUT-US/COMMUNITY-BENEFITDOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/DOMINICAN/ABOUT-US/COMMUNITY-BENEFITS/BENEFITS-REPORTSST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/STELIZABETHHOSPITAL/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP DST. JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/STJOSEPHS/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-BENEFIT-RESOURCESST. JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/ABOUT-US/COMMUNITY-BENEFITMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/ABOUT-US/COMMUNITY-BENEFIT-OUTREACH/BENEFITS-REPORTSFACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/ABOUT-US/SERVING-THE-COMMUNITYFACILITY REPORTING GROUP FST. MARY MEDICAL CENTER - LONG BEACHWWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/ABOUT-US/COMMUNITY-BENEFITSST. MARY'S MEDICAL CENTERHTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/STMARYS/ABOUT-US/COMMUNITY-BENEFITMERCY MEDICAL CENTER MT. SHASTAHTTPS://WWW.DIGNITYHEALTH.ORG/NORTH-STATE/LOCATIONS/MERCY-MTSHASTA/ABOUT-US/COMMUNITY-BENEFITFACILITY REPORTING GROUP HST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/ABOUT-US/COMMUNITY-BENEFITST. JOHN'S PLEASANT VALLEY HOSPITALWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/PLEASANTVALLEY/ABOUT-US/COMMUNITY-BENEFIT
PART V, SECTION B, LINE 10A - IMPLEMENTATION STRATEGIES ON WEB SITES GROUP REPORTING FACILITY A-F AND HDIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATWWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.
PART V, SECTION B, LINE 16A, 16B AND 16C - FAP APPLICATION FORM WEBSITE FACILITY REPORTING GROUP AMERCY SAN JUAN MEDICAL CENTER, MERCY GENERAL HOSPITAL, MERCY HOSPITAL OF FOLSOMWWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEST. BERNARDINE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STBERNARDINEMEDICAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENTS/PAYMENT-ASSISTANCEMERCY HOSPITAL (BAKERSFIELD)WWW.DIGNITYHEALTH.ORG/MERCY-BAKERSFIELD/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEMERCY MEDICAL CENTER MERCEDWWW.DIGNITYHEALTH.ORG/MERCYMEDICAL-MERCED/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP BMARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATIONMERCY MEDICAL CENTER REDDINGWWW.DIGNITYHEALTH.ORG/MERCY-REDDING/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSDOMINICAN HOSPITALWWW.DIGNITYHEALTH.ORG/DOMINICAN/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYMENT-ASSISTANCEST. ELIZABETH COMMUNITY HOSPITALWWW.DIGNITYHEALTH.ORG/STELIZABETHHOSPITAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP CDE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGAS, DE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMOND, DE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGO, DE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARAWWW.STROSENH.ORG/HELPINGHANDS/FACILITY REPORTING GROUP DST JOSEPH'S HOSPITAL AND MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STJOSEPHS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCEST JOSEPH'S WESTGATE MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/WESTGATE/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEMERCY GILBERT MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/ARIZONA/LOCATIONS/MERCYGILBERT/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEFACILITY REPORTING GROUP EST. ROSE DOMINICAN HOSPITAL - SIENA, ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN, ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMAWWW.DIGNITYHEALTH.ORG/LAS-VEGAS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCEFACILITY REPORTING GROUP FST. MARY MEDICAL CENTER - LONG BEACHHTTPS://WWW.DIGNITYHEALTH.ORG/SOCAL/LOCATIONS/STMARYMEDICAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-PAYMENT-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEST. MARY'S MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/STMARYS/PATIENTS-AND-VISITORS/PATIENTS/BILLING/PAYMENT-ASSISTANCEMERCY MEDICAL CENTER MT SHASTAWWW.DIGNITYHEALTH.ORG/MERCY-MTSHASTA/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE-PROGRAMSFACILITY REPORTING GROUP HST. JOHN'S REGIONAL MEDICAL CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-COAST/LOCATIONS/STJOHNSREGIONAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCEST. JOHN'S PLEASANT VALLEY HOSPITALWWW.DIGNITYHEALTH.ORG/PLEASANTVALLEY/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-PAYMENT-INFORMATION/PAYMENT-ASSISTANCE
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?33
Name and address Type of Facility (describe)
1 1 - DIGNITY HEALTH MEDICAL GROUP ARIZONA
500 W THOMAS RD
PHOENIX,AZ85013
MULTI-SPECIALTY CLINICS
2 2 - UNIVERSITY OF ARIZONA CANCER CENTER AT DIG
625 N 6TH STREET
PHOENIX,AZ85004
CANCER CENTER
3 3 - CARONDELET MEDICAL GROUP INC
6567 E CARONDELOT DR 555
TUCSON,AZ85710
MEDICAL GROUP
4 4 - VENTURA COUNTY IMAGING GROUP LLC
1510 COTNER AVE
LOS ANGELES,CA90025
IMAGING CENTER
5 5 - DIGNITY HEALTH - MERCY GILBERT SLEEP CENTE
3420 MERCY RD
GILBERT,AZ85297
SLEEP CENTER
6 6 - MERCY DAVIS CANCER CENTER LLC
333 MERCY AVENUE
MERCED,CA95340
CANCER CENTER
7 7 - NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
NEONATAL HEALTHCARE
8 8 - HUGER MERCY LIVING CENTER
2345 W ORANGEWOOD
PHOENIX,AZ85021
ASSISTED LIVING FACILITY
9 9 - RADIATION ONCOLOGY CENTER OF VENTURA CNT
5301 MISSION OAKS BOULEVARD SUITE A
CAMARILLO,CA93012
SURGERY CENTER
10 10 - RADIATION ONCOLOGY CENTER OF VENTURA CNT
1700 N ROSE AVENUE 120
OXNARD,CA93030
IMAGING CENTER
11 11 - 21ST CENTURY ONCOLOGY (REDDING)
963 BUTTE STREET
REDDING,CA96001
ONCOLOGY
12 12 - DIGNITY HEALTH - ASSOCIATED SURGICAL ASSOC
3367 S MERCY ROAD STE 150
GILBERT,AZ85297
WEIGHT LOSS CENTER
13 13 - USRC DIGNITY HEALTH ACUTE LLC-CHANDLER ACU
1955 W FRYE ROAD
CHANDLER,AZ85224
ACUTE CARE CLINIC
14 14 - USRC DIGNITY HEALTH ACUTE LLC-ST JOSEPH AC
350 W THOMAS ROAD
PHOENIX,AZ85013
ACUTE CARE CLINIC
15 15 - DHMGN-HENDERSON MULTI-SPECIALTY CLINIC
10001 S EASTERN AVE SUITE 203
HENDERSON,NV89052
MULTI-SPECIALTY CLINICS
16 16 - ST ROSE NEUROSURGERY CLINIC
2865 SIENA HEIGHTS DR STE 131
HENDERSON,NV89052
MULTI-SPECIALTY CLINICS
17 17 - CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE
BAKERSFIELD,CA93309
RADIATION / ONCOLOGY INCL CYBERKNIFE
18 18 - USRC DIGNITY HEALTH ACUTE LLC-MERCY ACUTES
3555 S VAL VISTA DRIVE
GILBERT,AZ85297
ACUTE CARE CLINIC
19 19 - ST ROSE CARDIOVASCULARTHORACIC SURGERY CL
7190 S CIMARRON RD
LAS VEGAS,NV89113
MULTI-SPECIALTY CLINICS
20 20 - DHMGN-PAVILION URGENT CARE CLINIC
800 N GIBSON RD SUITE 101
HENDERSON,NV89011
URGENT CARE
21 21 - SANTA CRUZ SURGERY CENTER
3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
SURGERY CENTER
22 22 - CARONDELET MEDICAL MALL AT GREEN VALLEY IM
400 W CAMINO CASA VERDE SUITE 200
GREEN VALLEY,AZ85614
IMAGING CENTER
23 23 - CARONDELET IMAGING CENTER
6567 E CARONDELET DR SUITE 105
TUCSON,AZ85710
IMAGING CENTER
24 24 - THE BARBARA GREENSPUN WOMEN'S CARE CENTER
100 N GREEN VALLEY PKWY SUITE 330
HENDERSON,NV89074
HEALTH CENTER
25 25 - 21ST CENTURY ONCOLOGY (MT SHASTA)
902 PINE STREET
MT SHASTA,CA96067
ONCOLOGY
26 26 - USRC DIGNITY HEALTH ACUTE LLC-WESTGATE ACU
7300 N 99TH AVE
GLENDALE,AZ85305
ACUTE CARE CLINIC
27 27 - CARONDELET RIVER STONE IMAGING CENTER
4892 N STONE AVE SUITE 180
TUCSON,AZ85704
IMAGING CENTER
28 28 - ST JOHN'S REGIONAL IMAGING CENTER LLC
1700 N ROSE AVENUE 110
OXNARD,CA93030
IMAGING CENTER
29 29 - DIGNITY HEALTH USP OXNARD SURGERY CENTERS
1700 N ROSE AVENUE STE 100
OXNARD,CA93030
SURGERY CENTER
30 30 - WESTERN DIAGNOSTIC SERVICES LAB
1414 E MAIN STREET STE 102
SANTA MARIA,CA93465
LABORATORY/PATHOLOGY
31 31 - CARONDELET MEDICAL MALL AT RITA RANCH IMAG
8290 S HOUGHTON RD SUITE 100
TUCSON,AZ85747
IMAGING CENTER
32 32 - SANTA CRUZ COMPREHENSIVE IMAGING LLC
1685 COMMERCIAL WAY
SANTA CRUZ,CA95065
IMAGING CENTER
33 33 - DOMINICAN MAGNETIC RESONANCE IMAGING CENTE
1545 SOQUEL DRIVE
SANTA CRUZ,CA95065
IMAGING CENTER
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: EACH TAX-EXEMPT HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, EXCEPT FOR THOSE LISTED BELOW, PREPARED A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIGNITY HEALTH IS INCLUDED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT IN COMMONSPIRIT HEALTH'S ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 6). COMMONSPIRIT HEALTH'S FINANCIAL STATEMENTS ARE POSTED ON DIGNITY HEALTH'S EXTERNAL WEB SITE. THE INDIVIDUAL HOSPITALS' COMMUNITY BENEFIT REPORTS ARE MADE AVALABLE TO THE PUBLIC ON BOTH DIGNITY HEALTH'S AND EACH HOSPITAL'S WEB SITES, AND ARE AVAILABLE BY REQUEST.THE FOLLOWING HOSPITALS DID NOT PREPARE A SEPARATE COMMUNITY BENEFIT REPORT:CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALCARONDELET HOLY CROSS HOSPITALCARONDELET HOLY MARANA HOSPITALDE CRAIG RANCH LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN NORTH LAS VEGASDE BLUE DIAMOND LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN BLUE DIAMONDDE FLAMINGO LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN WEST FLAMINGODE SAHARA LLC DBA DIGNITY HEALTH ST. ROSE DOMINICAN SAHARA
PART I, LINE 7: A COSTING METHODOLOGY IS USED TO CALCULATE FINANCIAL ASSISTANCE FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE. DIGNITY HEALTH USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO PATIENTS. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF THE INSTRUCTIONS FOR FORM 990, SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN AGGREGATED FOR EACH PATIENT BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH SERVICES PROVIDED TO EACH PATIENT. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF PAYMENT ASSISTANCE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR PAYMENT ASSISTANCE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.PART I, LINE 7B: MEDICAIDINCLUDED IN COMMUNITY BENEFIT EXPENSE FOR MEDICAID, COLUMN (C) IS $247 MILLION OF QUALITY ASSURANCE FEES ASSESSED TO DIGNITY HEALTH IN ACCORDANCE WITH THE CALIFORNIA PROVIDER FEE PROGRAMS. INCLUDED IN DIRECT OFFSETTING REVENUE FOR MEDICAID, COLUMN (D), IS $540 MILLION IN SUPPLEMENTAL PAYMENTS RECEIVED UNDER THESE PROGRAMS.
PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $48 THOUSAND OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $3.6 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"). CHFT WAS ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH, AND EDUCATION.
PART I, LN 7 COL(F): THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES: DIGNITY HEALTH'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. DIGNITY HEALTH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. IN ADDITION TO THE EXAMPLES BELOW, DIGNITY HEALTH HOSPITALS' ANNUAL COMMUNITY BENEFIT REPORTS EACH DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED "OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS."THE DIGNITY HEALTH COMMUNITY INVESTMENT PROGRAM HAS PROVIDED, SINCE 1990, LOW INTEREST LOANS AND LINES OF CREDIT TO NON-PROFIT ORGANIZATIONS THAT ARE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING AFFORDABLE HOUSING, ACCESS TO HEALTH CARE, HEALTHY FOOD AND SOCIAL SERVICES VITAL TO A COMMUNITY'S HEALTH, ALONG WITH CLIMATE CHANGE MITIGATION AND SMALL BUSINESS DEVELOPMENT IN DISTRESSED COMMUNITIES. DIGNITY HEALTH INVESTS DIRECTLY IN INDIVIDUAL PROJECTS AND THROUGH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS. IN FISCAL YEAR 2020, COMBINED WITH DIGNITY COMMUNITY CARE, THE PROGRAM HAD 50 APPROVED LOANS WITH $98.8 MILLION PROVIDED. EXAMPLES OF RECENT INVESTMENTS ARE: $500,000 LOAN TO EVERYTABLE, PBC TO BUILD THE INFRASTRUCTURE FOR A FRANCHISE PROGRAM FOCUSED ON ENTREPRENEURS FROM LOW- TO MEDIUM-INCOME COMMUNITIES AND THE BUILD-OUT AND LAUNCH OF NEW STORES, WITH THE PURPOSE OF MAKING HEALTHY FOOD AFFORDABLE, CONVENIENT, AND ACCESSIBLE; $4,980,000 TO DELTA COMMUNITY DEVELOPERS CORPORATION - TWO LOANS TO ACQUIRE AND REHABILITATE 40 UNITS OF PERMANENT AFFORDABLE HOUSING FOR LOW-INCOME SENIORS AND TO DEVELOP 19 UNITS OF AFFORDABLE HOUSING IN STOCKTON FOR MENTALLY-ILL RESIDENTS, AND A $1.0 MILLION LINE OF CREDIT TO STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND) TO PURCHASE TAX-DEFAULT LOTS AND BLIGHTED HOMES FOR REHABILITATION AND TO PROVIDE PERMANENT HOUSING FOR LOW-INCOME FAMILIES AND INDIVIDUALS EXPERIENCING HOMELESSNESS. THE REVOLVING LOAN WILL ALSO BE USED TO SUPPORT THE DEVELOPMENT OF AFFORDABLE HOUSING FOR SENIORS AND THE DEVELOPMENT OF SINGLE-FAMILY HOMES FOR LOW-INCOME FAMILIES.DIGNITY HEALTH HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO SERVE AS MEMBERS OF COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. DIGNITY HEALTH ADVOCACY REPRESENTATIVES WORK TO IMPROVE ACCESS TO HEALTH CARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE, HUMAN RIGHTS AND A CLEAN AND HEALTHY ENVIRONMENT AS PART OF MISSION-DRIVEN ADVOCACY. IN MEDICALLY UNDERSERVED AREAS, EFFORTS TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORK-FORCE SHORTAGES. A NUMBER OF DIGNITY HEALTH HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS.COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS AND HOUSING:EXAMPLES OF PHYSICAL IMPROVEMENTS AND HOUSING INCLUDE LOW-INTEREST LOANS FOR NEW DEVELOPMENT AND REHAB OF AFFORDABLE HOUSING THROUGH THE COMMUNITY INVESTMENT PROGRAM AND SUBSIDIZING LOW INCOME HOUSING UNITS IN SANTA CRUZ. OVER FIFTY PERCENT OF THE $98.8 MILLION IN APPROVED LOANS AT THE END OF FY20 WERE IN TRANSITIONAL OR AFFORDABLE HOUSING.COMMUNITY BUILDING - ECONOMIC DEVELOPMENT:ACTIVITIES INCLUDE THE PARTICIPATION OF LEADERSHIP STAFF OF SEVERAL DIGNITY HEALTH FACILITIES IN CHAMBERS OF COMMERCE AND VARIOUS CIVIC ORGANIZATIONS, AND CHARITABLE CONTRIBUTIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, VITALITY AND STABILITY OF LOCAL, LOW-INCOME COMMUNITIES.COMMUNITY BUILDING - COMMUNITY SUPPORT:DIGNITY HEALTH FACILITIES LEAD AND/OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT THE HEALTHY DEVELOPMENT AND SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ENGAGES AND STRENGTHENS THE COMMUNITIES SERVED. DIGNITY HEALTH ALSO MAKES CHARITABLE DONATIONS TO ORGANIZATIONS FOR SUPPORT AND DEVELOPMENT OF UNDERSERVED YOUTH, DISASTER RELIEF, AND BASIC NEEDS FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS:DIGNITY HEATH IS ENGAGED IN ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AND THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS, IN PART THROUGH SUSTAINABILITY AND IN PART THROUGH ADVOCACY. THE COMMITMENT OF DIGNITY HEALTH TO IMPROVE AND SUSTAIN THE ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING AN ENVIRONMENTALLY PREFERABLE PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS TO REDUCE WASTE AT ITS SOURCE AND TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. DIGNITY HEALTH'S INVESTMENT POLICY SCREENS TO EXCLUDE FROM THE PORTFOLIO COMPANIES THAT EXTRACT AND/OR BURN THERMAL COAL, A PRODUCT WHICH HAS IMPACT ON THE HEALTH OF PERSONS, COMMUNITIES AND THE EARTH MAKES IT CONTRARY TO DIGNITY HEALTH'S HEALING MISSION. DIGNITY HEALTH ATTEMPTS TO PURCHASE GOODS WITH RECYCLED CONTENT AND REDUCED PLASTIC CONTENT, AND ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, DIGNITY HEALTH FOCUSES ON REUSE WITHIN THE HOSPITAL, TRANSFER TO OTHER USERS (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY, PROPER WASTE DISPOSAL. DIGNITY HEALTH HAS TRANSITIONED TO PRODUCTS THAT ARE FREE OF POLYVINYL CHLORIDE (PVC) AND DI (2-ETHYLHEXYL) PHTHALATE (DEHP) AND HAS ELIMINATED THE USE OF MERCURY.COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:DIGNITY HEALTH HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH PARTICIPATION IN AND CHARITABLE CONTRIBUTIONS TO LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT FOR VULNERABLE POPULATIONS.COMMUNITY BUILDING - COALITION BUILDING:DIGNITY HEALTH FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND BOARDS, HELP TO STIMULATE AND AT TIMES LEAD COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES.COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT:STAFF AT DIGNITY HEALTH HOSPITALS AND THE DIGNITY HEALTH SYSTEM ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS TO BENEFIT HEALTH. DIGNITY HEALTH ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS A SHAREHOLDER.COMMUNITY BUILDING - WORKFORCE DEVELOPMENT:DIGNITY HEALTH IS COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE, AND ACTIVELY ENGAGES IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. DIGNITY HEALTH SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS. SEVERAL DIGNITY HEALTH FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, PARTNER WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORKFORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS.
PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; IN ARIZONA AND NEVADA, UNDER 200%, 201%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL, IN CALIFORNIA UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. DIGNITY HEALTH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL DIGNITY HEALTH FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 4: THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2020, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS, A SIGNIFICANT PORTION OF DIGNITY HEALTH'S UNINSURED PATIENTS WILL BE UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, DIGNITY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8: DIGNITY HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL OF $2.4 BILLION FOR THE CONSOLIDATED ENTITIES, AS REPORTED IN PART VI, LINE 6, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. DIGNITY HEALTH'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $452 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B: DIGNITY HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. DIGNITY HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE DIGNITY HEALTH FACILITY, OR BILLING COMPANY RETAINED BY DIGNITY HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, DIGNITY HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2: IN ADDITION TO EACH LICENSED HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, DIGNITY HEALTH AND ITS HOSPITALS ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. DIGNITY HEALTH OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS.DIGNITY HEALTH HOSPITALS CREATE AND MAKE AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.DIGNITY HEALTH, IN PARTNERSHIP WITH TRUVEN HEALTH ANALYTICS, DEVELOPED A COMMUNITY NEED INDEX (CNI) WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH CARE SERVICES. THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE ARE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS.
PART VI, LINE 3: INFORMATION ABOUT DIGNITY HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES DIGNITY HEALTH'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG.AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF DIGNITY HEALTH REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4: DIGNITY HEALTH HOSPITALS DELIVER CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING ARE BRIEF DESCRIPTIONS AND DEMOGRAPHIC SUMMARIES OF THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS. DIGNITY HEALTH HOSPITALS DEFINE THE COMMUNITY AS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE HOSPITAL, BASED ON THE ORIGINS OF THE TOP 75-80 PERCENT OF HOSPITAL DISCHARGES. FOR CHNA PURPOSES, SOME HOSPITALS USE THE COUNTY IN WHICH THEY ARE LOCATED AS THEIR COMMUNITY DEFINITION.ST. JOSEPH'S HOSPITAL AND MEDICAL CENTERTHE HOSPITAL IS LOCATED IN PHOENIX, ARIZONA WITHIN THE COUNTY OF MARICOPA. IT SERVES ALL OF MARICOPA COUNTY AND AREAS BEYOND, BUT ITS PRIMARY SERVICE AREA IS BASED ON 84 ZIP CODES REPRESENTING THE TOP 80% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 3,630,458 WHITE - NON-HISPANIC: 48.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 6.0%HISPANIC OR LATINO: 37.4%ASIAN/PACIFIC ISLANDER: 4.0%ALL OTHERS: 4.3%BELOW POVERTY: 12.0%UNEMPLOYMENT: 5.5%NO HIGH SCHOOL DIPLOMA: 15.0%MEDICAID: 10.0%UNINSURED: 5.4%OTHER AREA HOSPITALS: 48MERCY SAN JUAN MEDICAL CENTERTHE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES A BROAD SUBURBAN AREA IN THE NORTHERN PORTION OF SACRAMENTO COUNTY AND EXTENDS INTO SOUTH PLACER COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES SACRAMENTO, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, NORTH HIGHLANDS, ANTELOPE, AND OTHER SURROUNDING NEIGHBORHOODS.TOTAL POPULATION: 1,114,188HISPANIC OR LATINO: 21.1%WHITE: 56.0%BLACK/AFRICAN AMERICAN: 6.4%ASIAN/PACIFIC ISLANDER: 11.2%ALL OTHER: 5.3%BELOW POVERTY: 10.0%UNEMPLOYMENT: 6.3%NO HIGH SCHOOL DIPLOMA: 10.3%MEDICAID (HOUSEHOLD): 8.9%UNINSURED (HOUSEHOLD): 4.7%OTHER AREA HOSPITALS: 6MERCY GENERAL HOSPITALTHE HOSPITAL, A TERTIARY CARE FACILITY, SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. THE HOSPITAL'S PRIMARY SERVICE AREA LIES IN THE CENTRAL DOWNTOWN AREA OF SACRAMENTO, AND INCLUDES 43 ZIP CODES.TOTAL POPULATION: 1,622,013HISPANIC OR LATINO: 24.2%WHITE: 43.8%BLACK/AFRICAN AMERICAN: 9.2%ASIAN/PACIFIC ISLANDER: 17.0%ALL OTHER: 5.8%.BELOW POVERTY: 10.9%UNEMPLOYMENT: 6.8%NO HIGH SCHOOL DIPLOMA: 12.6%MEDICAID (HOUSEHOLD): 9.5%UNINSURED (HOUSEHOLD): 4.7%OTHER AREA HOSPITALS: 7MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDEMARIAN REGIONAL MEDICAL HOSPITAL, WHICH INLCUDES ARROYO GRANDE COMMUNITY HOSPITAL, IS LOCATED IN TWO ADJACENT COUNTIES: SANTA BARABAR COUNTY AND SAN LUIS OBISPO COUNTY.MARIAN REGIONAL MEDICAL CENTER IS LOCATED IN SANTA MARIA, CALIFORNIA, IN NORTHERN SANTA BARBARA COUNTY WITH THE SANTA MARIA VALLEY AS THE LARGEST REGION IN ITS SERVICE AREA. THE LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA INCLUDE THE CITIES OF SANTA MARIA AND GUADALUPE, WITH THE SECONDARY SERVICE AREA BEING NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. ARROYO GRANDE COMMUNITY HOSPITAL SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 235,641WHITE - NON-HISPANIC: 38.5%BLACK/AFRICAN AMERICAN: 1.1%HISPANIC OR LATINO: 53.2%ASIAN/PACIFIC ISLANDER: 4.6%ALL OTHERS: 2.6%BELOW POVERTY 8.6%UNEMPLOYMENT: 4.9%NO HS DIPLOMA: 23.3%MEDICAID (HOUSEHOLD): 7.2%UNINSURED (HOUSEHOLD): 4.6 %OTHER AREA HOSPITALS: 3MERCY MEDICAL CENTER REDDINGTHE HOSPITAL SERVES AN AREA COMPRISED OF ZIP CODES IN REDDING AND SURROUNDING COMMUNITIES IN SHASTA, TEHAMA AND TRINITY COUNTIES. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. POPULATION: 205,030TOTAL POPULATION: 205,472 WHITE - NON-HISPANIC: 77.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 1.0%HISPANIC OR LATINO: 12.4%ASIAN/PACIFIC ISLANDER: 3.2%ALL OTHERS: 6.0%BELOW POVERTY: 11.4%UNEMPLOYMENT: 5.7%NO HIGH SCHOOL DIPLOMA: 9.9%MEDICAID (HOUSEHOLD): 9.1%UNINSURED (HOUSEHOLD): 5.6%OTHER AREA HOSPITALS: 1ST. ROSE DOMINICAN HOSPITALS - DE LIMA, SAN MARTIN, AND SIENATHE HOSPITALS SERVE THE AREAS SURROUNDING THE THREE ACUTE CARE FACILITIES IN THE SOUTHERN PORTION OF THE LAS VEGAS VALLEY, AS WELL AS CLARK COUNTY AS A WHOLE. THIS AREA ENCOMPASSES URBAN AND SUBURBAN AREAS WITH DIVERSE SOCIOECONOMIC CONDITIONS. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 2,217,048WHITE - NON-HISPANIC 42.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.0%HISPANIC OR LATINO 31.3%ASIAN/PACIFIC ISLANDER 10.8%ALL OTHERS 4.3%MEDIAN INCOME: $57,611UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 15.1%MEDICAID: 16.3%UNINSURED: 12.1%OTHER AREA HOSPITALS: 13 ACUTE CARE; 11 LONG TERM ACUTE, REHABILITATION, AND BEHAVIORAL HEALTHDOMINICAN HOSPITALTHE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS A RELATIVELY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 273,213WHITE - NON-HISPANIC 56.8%BLACK/AFRICAN AMERICAN - NON-HISPANIC 1.5%HISPANIC OR LATINO 34.0%ASIAN/PACIFIC ISLANDER 5.5% ALL OTHERS 2.2%MEDIAN INCOME: $82,234UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 13.7%MEDICAID: 26.1%UNINSURED: 8.2%OTHER AREA HOSPITALS: 2ST. MARY MEDICAL CENTER - LONG BEACHTHE HOSPITAL IS LOCATED IN LONG BEACH, CALIFORNIA, THE SECOND LARGEST CITY IN LOS ANGELES COUNTY AND 39TH IN THE NATION. ST. MARY MEDICAL CENTER ALSO SERVES THE SURROUNDING COMMUNITIES OF WILMINGTON, CARSON, SAN PEDRO, SEAL BEACH, SIGNAL HILL, LAKEWOOD, AND BELLFLOWER. THE ST. MARY SERVICE AREA HAS REGIONS THAT ARE ECONOMICALLY CHALLENGED, HAS A GREAT DEAL OF HOMELESSNESS, AND HAS AN INFLUX OF TRANSITORY POPULATIONS; MANY OF THE RESIDENTS IN THE SERVICE AREA LIVE BELOW THE POVERTY LEVEL. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 994,436 WHITE - NON-HISPANIC: 19.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 13.2%HISPANIC OR LATINO: 52.5%ASIAN/PACIFIC ISLANDER: 12.3%ALL OTHERS: 3.0%BELOW POVERTY: 12.4%UNEMPLOYMENT: 6.7%NO HIGH SCHOOL DIPLOMA: 23.1%MEDICAID: 11.3%UNINSURED: 5.3%OTHER AREA HOSPITALS: 9ST. BERNARDINE MEDICAL CENTERTHE HOSPITAL SERVES A BROAD AND DIVERSE POPULATION. WHILE A FEW OF THE COMMUNITIES ENJOY A HIGHER STANDARD OF LIVING, THE MAJORITY OF THE COMMUNITIES ARE HIGH NEED. EIGHTY PERCENT (80%) OF DISCHARGES COME FROM THE FOLLOWING CITIES: BANNING, BEAUMONT, BLOOMINGTON, COLTON, CRESTLINE, FONTANA, HEMET, HESPERIA, HIGHLAND, RANCHO CUCAMONGA, REDLANDS, RIALTO, SAN BERNARDINO, VICTORVILLE AND YUCAIPA. MANY OF THE NEIGHBORHOODS SERVED HAVE BEEN FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS.TOTAL POPULATION: 1,025,102 WHITE - NON-HISPANIC: 20.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 8.0%HISPANIC OR LATINO: 64.0%ASIAN/PACIFIC ISLANDER: 5.0%ALL OTHERS: 2.4%BELOW POVERTY: 15.2%UNEMPLOYMENT: 9.0%NO HIGH SCHOOL DIPLOMA: 25.2%MEDICAID (HOUSEHOLD): 10.8%UNINSURED (HOUSEHOLD): 6.1%OTHER AREA HOSPITALS: 5***ADDITIONAL DISCLOSURES RELATED TO PART VI, LINE 4 ARE LOCATED AFTER THE DISCLOSURE FOR PART VI, LINE 7***
PART VI, LINE 5: USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, DIGNITY HEALTH REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR DIGNITY HEALTH TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.THE ROLE OF THE BOARD: THE DIGNITY HEALTH BOARD OF DIRECTORS AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO SET PRIORITIES AND TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. DIGNITY HEALTH HOSPITAL COMMUNITY BOARDS, WHICH ARE RATIFIED BY THE DIGNITY HEALTH BOARD, ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS DEVELOP PROGRAMSTO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE, FOR CONDUCTING AND ADOPTING COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS AND IMPLEMENTATION STRATEGIES, AND FOR PRODUCING AND MAKING WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS. COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY HEALTH INITIATIVES TO PROMOTE THE HEALTH OF THE COMMUNITY, WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARDS MAY DESIGNATE A COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEE TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD OR BOARD COMMITTEE PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY HEALTH NEEDS ASSESSMENTS, DEVELOPING THE HOSPITAL'S IMPLEMENTATION STRATEGY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS, AND THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS.COMMUNITY GRANTS, SOCIAL INNOVATION PARTNERSHIP GRANTS, AND COMMUNITY INVESTMENT: DIGNITY HEALTH HOSPITALS PROVIDE MORE THAN $5.8 MILLION IN FINANCIAL GRANTS ANNUALLY TO LOCAL COMMUNITY ORGANIZATIONS TO ADDRESS SIGNIFICANT HEALTH NEEDS FROM LOCAL CHNAS. GRANTEES SET PERFORMANCE GOALS AND REPORT SEMI-ANNUALLY ON PROGRESS AND RESULTS. DIGNITY HEALTH OPERATES A SOCIAL INNOVATION PARTNERSHIP GRANT PROGRAM TO SPUR NEW APPROACHES AND SOLUTIONS TO ENHANCING HEALTH AND HEALTH CARE NEEDS IN THE COMMUNITIES SERVED BY ITS HOSPITALS. DIGNITY HEALTH OPERATES A $100 MILLION COMMUNITY INVESTMENT PROGRAM THAT HELPS BUILD CAPACITY OF NON-PROFIT ORGANIZATIONS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING HOUSING FOR VULNERABLE POPULATIONS, SUPPORT FOR PRIMARY CARE, AND MORE. MORE INFORMATION ABOUT EACH OF THESE INITIATIVES IS ONLINE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH.DIGNITY HEALTH HOSPITALS ARE IMPLEMENTING A FORMAL REFERRAL SYSTEM OF PATIENTS TO HEALTH IMPROVEMENT PROGRAMS AND SOCIAL SUPPORT SERVICES IN THEIR COMMUNITIES. THIS TECHNOLOGY-SUPPORTED SYSTEM INCLUDES COMMUNITY HEALTH STAFF, CARE COORDINATORS AND SOCIAL WORKERS IN THE HOSPITALS, PLUS SELECT COMMUNITY-BASED PARTNER ORGANIZATIONS. THIS COORDINATED COMMUNITY NETWORK INITIATIVE ADDRESSES THE NEEDS OF ALL PATIENTS, WITH A FOCUS ON HIGH-NEED AND VULNERABLE INDIVIDUALS, BEYOND ACUTE MEDICAL CARE. DIGNITY HEALTH PROVIDES HOSPITAL SERVICES AND CARRIES OUT ITS MISSION AT THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITIES, AS WELL AS COPIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION STRATEGIES AND COMMUNITY BENEFIT REPORTS FOR EACH FACILITY, VISIT THE DIGNITY HEALTH WEBSITE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS, IN ADDITION TO THE WEBSITES REPORTED IN PART V, LINE 7.CARONDELET ST. JOSEPH'S HOSPITAL, CARONDELET ST. MARY'S HOSPITAL AND CARONDELET HOLY CROSS HOSPITALTHE HOSPITALS HAVE ACTIVE WELLNESS COMMITTEES THAT OFFER AND DEVELOP COMMUNITY-BASED EVENTS TO PROMOTE COMMUNITY HEALTH AND WELLNESS, INCLUDING IN THE AREAS OF EXERCISE, SAFETY AND INJURY PREVENTION, AND FUNDRAISING TO ADDRESS DISEASES. THE HOSPITALS INVEST FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING AND EDUCATION. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.
PART VI, LINE 6: AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, AND GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA AND LAS VEGAS AND HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES DIGNITY HEALTH, FOR THE YEAR ENDED JUNE 30, 2020, IS $2.4 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 50.
PART VI, LINE 7, REPORTS FILED WITH STATES CA,NV
PART VI, LINE 4 - COMMUNITY INFORMATION (CONT'D) MERCY HOSPITAL BAKERSFIELDTHE HOSPITAL SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD (THE COUNTY SEAT) AND OUTLYING RURAL COMMUNITIES SUCH AS LOST HILLS, TAFT, AND WASCO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 599,835 WHITE - NON-HISPANIC: 30.7%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.0%HISPANIC OR LATINO: 56.1%ASIAN/PACIFIC ISLANDER: 5.5%ALL OTHERS: 2.7%BELOW POVERTY: 16.4%UNEMPLOYMENT: 9.5%NO HIGH SCHOOL DIPLOMA: 23.9%MEDICAID (HOUSEHOLD): 11.4%UNINSURED (HOUSEHOLD): 6.0%OTHER AREA HOSPITALS: 9ST. JOHN'S REGIONAL MEDICAL CENTER AND ST. JOHN'S PLEASANT VALLEY HOSPITAL ARE LOCATED IN VENTURA COUNTY, CALIFORNIA. VENTURA COUNTY IS LOCATED ON THE CENTRAL COAST OF CALIFORNIA, NORTH OF LOS ANGELES, AND IS COMPRISED OF THE FOLLOWING CITIES: SAN BUENAVENTURA, OXNARD, THOUSAND OAKS AND CAMARILLO. THERE ARE ALSO SMALLER TOWNS INCLUDING OJAI, SIMI VALLEY, MOORPARK, FILLMORE AND PORT HUENEME, PLUS SEVERAL OTHER UNINCORPORATED AREAS. VENTURA COUNTY INCLUDES A MAJOR COMMERCIAL PORT, A LARGE MILITARY BASE AND CHANNEL ISLANDS HARBOR. THE HOSPITALS SERVE A MEDICALLY UNDERSERVED AREA.ST. JOHN'S REGIONAL MEDICAL CENTERTHE PRIMARY SERVICE AREA INCLUDES OXNARD, PORT HUENEME AND A PORTION OF CAMARILLO.TOTAL POPULATION: 290,047 WHITE - NON-HISPANIC: 20.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.2%HISPANIC OR LATINO: 68.4%ASIAN/PACIFIC ISLANDER: 6.9%ALL OTHERS: 2.1%BELOW POVERTY: 9.8%UNEMPLOYMENT: 5.9%NO HIGH SCHOOL DIPLOMA: 26.6%MEDICAID: 9.3%UNINSURED: 5.2%OTHER AREA HOSPITALS: 6ST. JOHN'S PLEASANT VALLEY HOSPITALTHE PRIMARY SERVICE AREA IS CAMARILLO AND A PORTION OF OXNARD.TOTAL POPULATION: 143,878 WHITE - NON-HISPANIC: 35.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.3%HISPANIC OR LATINO: 50.2%ASIAN/PACIFIC ISLANDER: 9.4%ALL OTHERS: 2.9%BELOW POVERTY: 7.4%UNEMPLOYMENT: 5.3%NO HIGH SCHOOL DIPLOMA: 16.7%MEDICAID (HOUSEHOLD): 6.7%UNINSURED (HOUSEHOLD): 3.7%OTHER AREA HOSPITALS: 6MERCY MEDICAL CENTER MERCEDTHE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF THE COMMUNITIES OF MERCED, ATWATER, WINTON AND LIVINGSTON. MERCED IS A MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 162,603WHITE - NON-HISPANIC 26.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC 3.8%HISPANIC OR LATINO 57.3%ASIAN/PACIFIC ISLANDER 9.5%ALL OTHER 3.1%BELOW POVERTY: 21.5%UNEMPLOYMENT: 13.4%NO HIGH SCHOOL DIPLOMA: 28.7%MEDICAID: 12.7%UNINSURED: 7.3%OTHER AREA HOSPITALS: 2MERCY GILBERT MEDICAL CENTERTHE HOSPITAL'S COMMUNITY INCLUDES THE URBAN AND SUBURBAN AREAS OF MARICOPA COUNTY, INCLUDING CHANDLER, GILBERT, QUEEN CREEK, SAN TAN VALLEY, AND MESA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 1,196,040WHITE - NON-HISPANIC: 62.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.6%HISPANIC OR LATINO: 22.2%ASIAN/PACIFIC ISLANDER: 5.9%ALL OTHERS: 4.9%BELOW POVERTY: 6.6%UNEMPLOYMENT: 4.6%NO HIGH SCHOOL DIPLOMA: 8.8%MEDICAID: 7.9%UNINSURED: 4.5%OTHER AREA HOSPITALS: 4 IN PRIMARY SERVICE AREA, 12 SECONDARY SERVICE AREAMERCY HOSPITAL OF FOLSOMTHE PRIMARY SERVICE AREA ENCOMPASSES BOTH SUBURBAN AND RURAL AREAS OF SACRAMENTO COUNTY AND EXTENDS INTO EL DORADO COUNTY. WITHIN ITS PRIMARY SERVICE AREA, THE HOSPITAL SERVES MAJOR COMMUNITIES, INCLUDING FOLSOM, RANCHO CORDOVA, SLOUGHHOUSE, EL DORADO HILLS, RESCUE, SHINGLE SPRINGS, PLACERVILLE, ORANGEVALE, CITRUS HEIGHTS, CARMICHAEL, FAIR OAKS, AND OTHER SURROUNDING NEIGHBORHOODS. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 547,567WHITE - NON-HISPANIC: 67.7%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 3.9%HISPANIC OR LATINO: 14.8%ASIAN/PACIFIC ISLANDER: 8.6%ALL OTHERS: 5.0%UNEMPLOYMENT: 5.6%NO HIGH SCHOOL DIPLOMA: 7.2%MEDICAID: 6.8%UNINSURED: 3.8%OTHER AREA HOSPITALS: 1ST. MARY'S MEDICAL CENTERTHE HOSPITAL SERVES A GEOGRAPHIC SERVICE AREA THAT INCLUDES SAN FRANCISCO, SOUTH SAN FRANCISCO, DALY CITY, PACIFICA AND SOUTHERN MARIN COUNTY. PARTS OF SAN FRANCISCO (47 CENSUS TRACTS) ARE FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS. NONE OF THESE TRACTS ARE CONTIGUOUS TO ST. MARY'S.TOTAL POPULATION: 893,803 WHITE - NON-HISPANIC: 39.5%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 4.7%HISPANIC OR LATINO: 15.6%ASIAN/PACIFIC ISLANDER: 36.1%ALL OTHERS: 4.1%BELOW POVERTY: 5.4%UNEMPLOYMENT: 4.1%NO HIGH SCHOOL DIPLOMA: 11.9%MEDICAID (HOUSEHOLD): 7.6%UNINSURED (HOUSEHOLD): 2.8%OTHER AREA HOSPITALS: 8ST. ELIZABETH COMMUNITY HOSPITALTHE HOSPITAL IS LOCATED IN TEHAMA COUNTY. THE COUNTY IS BORDERED BY GLENN COUNTY TO THE SOUTH, TRINITY AND MENDOCINO COUNTIES TO THE WEST, SHASTA COUNTY TO THE NORTH, AND BUTTE AND PLUMAS COUNTIES TO THE EAST. IT IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY, AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE HOSPITAL SERVICE AREA INCLUDES RED BLUFF, GERBER, CORNING, LOS MOLINOS AND COTTONWOOD. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.TOTAL POPULATION: 86,572 WHITE - NON-HISPANIC: 63.8%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 0.7%HISPANIC OR LATINO: 29.0%ASIAN/PACIFIC ISLANDER: 1.7%ALL OTHERS: 4.8%BELOW POVERTY: 14.4%UNEMPLOYMENT: 9.6%NO HIGH SCHOOL DIPLOMA : 17.5%MEDICAID (HOUSEHOLD): 10.2%UNINSURED: 10.8%OTHER AREA HOSPITALS: 1MERCY MEDICAL CENTER MT. SHASTATHIS CRITICAL ACCESS HOSPITAL SERVES AN AREA COMPRISED MOSTLY OF ZIP CODES IN SOUTHERN SISKIYOU COUNTY. PORTIONS OF SISKIYOU COUNTY ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THE FOLLOWING DATA REPRESENTS THE PRIMARY SERVICE AREA.TOTAL POPULATION: 17,094 WHITE - NON-HISPANIC: 77.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 2.0%HISPANIC OR LATINO: 12.0%ASIAN/PACIFIC ISLANDER: 2.7%ALL OTHERS: 5.4%BELOW POVERTY: 12.6%UNEMPLOYMENT: 6.2%NO HIGH SCHOOL DIPLOMA: 6.7%MEDICAID (HOUSEHOLD): 8.6%UNINSURED (HOUSEHOLD): 5.7%OTHER AREA HOSPITALS: 1CARONDELET ST. JOSEPH'S HOSPITALCARONDELET ST. MARY'S HOSPITALTHE HOSPITALS SERVE PIMA COUNTY, ARIZONA. THE MAJORITY OF THE PIMA COUNTY POPULATION LIVES IN THE EASTERN HALF OF THE COUNTY, WITH APPROXIMATELY ONE-THIRD OF THE POPULATION RESIDING IN UNINCORPORATED AREAS. THE CITY OF TUCSON IS THE COUNTY SEAT AS WELL AS THE SECOND LARGEST CITY IN ARIZONA, WITH AN ESTIMATED POPULATION OF 535,677 IN 2017 ACCORDING TO THE U.S. CENSUS. DEMOGRAPHICS FOR PIMA COUNTY ARE AS FOLLOWS:TOTAL POPULATION: 1,018,504WHITE - NON-HISPANIC 51.3%BLACK/AFRICAN AMERICAN - NON-HISPANIC 3.4%HISPANIC OR LATINO 37.4%ASIAN/PACIFIC ISLANDER 3.1%ALL OTHERS 4.8%MEDIAN INCOME: $51,899UNEMPLOYMENT: 5.2%NO HIGH SCHOOL DIPLOMA: 12.7%MEDICAID: 21.4%UNINSURED: 12.2%OTHER AREA HOSPITALS: 4ST. JOSEPH'S WESTGATE MEDICAL CENTERTHE HOSPITAL IS LOCATED IN GLENDALE, ARIZONA IN MARICOPA COUNTY, APPROXIMATELY NINE MILES NORTHWEST OF DOWNTOWN PHOENIX. IT IDENTIFIES ITS PRIMARY SERVICE AREA AS THE ZIP CODES REPRESENTING THE TOP 75% OF PATIENTS BY VOLUME. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED, MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 1,169,157 WHITE - NON-HISPANIC: 37.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 7.3%HISPANIC OR LATINO: 47.3%ASIAN/PACIFIC ISLANDER: 3.7%ALL OTHERS: 3.8%BELOW POVERTY: 13.2%UNEMPLOYMENT: 5.9%NO HIGH SCHOOL DIPLOMA: 18.5%MEDICAID: 10.0%UNINSURED: 5.9%OTHER AREA HOSPITALS: 3 SHORT-TERM ACUTE; 2 PSYCHIATRICDE CRAIG RANCH LLC DBA ST. ROSE DOMINICAN - NORTH LAS VEGASTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF NINE ZIP CODES IN LAS VEGAS AND NORTH LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS, AS WELL AS MEDICALLY UNDESERVED AREAS.TOTAL POPULATION: 374,561WHITE - NON-HISPANIC 26.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC 20.4%HISPANIC OR LATINO 42.6%ASIAN/PACIFIC ISLANDER 6.8%ALL OTHERS 4.0%MEDIAN INCOME: $52,080UNEMPLOYMENT: 6.2%NO HIGH SCHOOL DIPLOMA: 22.7%MEDICAID: 19.6%UNINSURED: 14.4%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYDE BLUE DIAMOND LLC DBA ST. ROSE DOMINICAN - BLUE DIAMONDTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF 10 ZIP CODES IN LAS VEGAS AND BLUE DIAMOND, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA.TOTAL POPULATION: 277,963WHITE - NON-HISPANIC 41.4%BLACK/AFRICAN AMERICAN - NON-HISPANIC 9.7%HISPANIC OR LATINO 19.8%ASIAN/PACIFIC ISLANDER 23.1%ALL OTHERS 6.0%MEDIAN INCOME: $69,550UNEMPLOYMENT: 4.0%NO HIGH SCHOOL DIPLOMA: 9.3%MEDICAID: 8.7%UNINSURED: 7.0%OTHER AREA HOSPITALS: 16 IN CLARK COUNTY
DE SAHARA LLC DBA ST. ROSE DOMINICAN - SAHARA THE HOSPITAL PRIMARILY SERVES RESIDENTS OF SIX ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.TOTAL POPULATION: 228,972WHITE - NON-HISPANIC 33.0%BLACK/AFRICAN AMERICAN - NON-HISPANIC 11.4%HISPANIC OR LATINO 44.0%ASIAN/PACIFIC ISLANDER 8.3%ALL OTHERS 3.3%MEDIAN INCOME: $41,474UNEMPLOYMENT: 7.2%NO HIGH SCHOOL DIPLOMA: 20.8%MEDICAID: 22.8%UNINSURED: 16.4%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYDE FLAMINGO LLC DBA ST. ROSE DOMINICAN - WEST FLAMINGOTHE HOSPITAL PRIMARILY SERVES RESIDENTS OF SEVEN ZIP CODES IN LAS VEGAS, NEVADA. THE HOSPITAL SERVICE AREA INCLUDES DENTAL, MENTAL AND PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS.TOTAL POPULATION: 259,846WHITE - NON-HISPANIC 51.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC 8.8%HISPANIC OR LATINO 17.6%ASIAN/PACIFIC ISLANDER 17.6%ALL OTHERS 4.8%MEDIAN INCOME: $68,753UNEMPLOYMENT: 4.7%NO HIGH SCHOOL DIPLOMA: 8.7%MEDICAID: 10.7%UNINSURED: 8.6%OTHER AREA HOSPITALS: 16 IN CLARK COUNTYCARONDELET HOLY CROSS HOSPITALTHE HOSPITAL IS LOCATED IN SANTA CRUZ COUNTY, ARIZONA IN THE SOUTHEAST PART OF THE STATE ALONG THE BORDER WITH MEXICO. MOST POPULATED AREAS ARE ALONG THE INTERSTATE 19 HIGHWAY. CITIES IN THE SERVICE AREA INCLUDE NOGALES, RIO RICO, ELGIN, SONOITA AND PATAGONIA.TOTAL POPULATION: 45,868WHITE - NON-HISPANIC 15.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC 0.6%HISPANIC OR LATINO 82.4%ASIAN/PACIFIC ISLANDER 0.6%ALL OTHERS 0.8%MEDIAN INCOME: $42,932UNEMPLOYMENT: 6.3%NO HIGH SCHOOL DIPLOMA: 26.7%MEDICAID: 32.5%UNINSURED: 12.9%OTHER AREA HOSPITALS: 0CARONDELET MARANA HOSPITALCARONDELET MARANA HOSPITAL IS LOCATED IN THE NORTHWEST TUCSON AREA. THE HOSPITAL OPENED ITS DOORS ON APRIL 24, 2020. NO COMMUNITY INFORMATION WAS AVAILABLE FOR THE HOSPITAL DURING THE TAX YEAR.
Schedule H (Form 990) 2019
Additional Data


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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
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number
94-1196203
Part I
General Information on Grants and Assistance
1
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? ........................
2
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) 3STRANDS GLOBAL INC
3941 PARK DR
EL DORADO HILLS,CA95762
27-4594317 501(C)(3) 80,000       COMMUNITY HEALTH
(2) AARP FOUNDATION
601 E ST NW
WASHINGTON,DC20049
52-0794300 501(C)(3) 215,000       COMMUNITY HEALTH
(3) ABILITY360 INC FKA ARIZONA BRIDGE TO INDEPENDENT LIVING PHX HEAT
5025 E WASHINGTON ST
PHOENIX,AZ85034
86-0486447 501(C)(3) 15,000       COMMUNITY HEALTH
(4) ADDICTION HAVEN INC
400 N SUNSET DR
CHANDLER,AZ85225
81-0936970 501(C)(3) 49,864       COMMUNITY HEALTH
(5) ADRIAN DOMINICAN SISTERS INC
1257 E SIENA HEIGHTS DR
ADRIAN,MI49221
84-3503684 501(C)(3) 25,000       COMMUNITY HEALTH
(6) AIM HIGH FOR HIGH SCHOOL
PO BOX 410715
SAN FRANCISCO,CA941410715
94-3296338 501(C)(3) 9,540       EDUCATION SUPPORT
(7) ALCHEMIST CDC
4625 44TH ST
SACRAMENTO,CA95820
20-1891448 501(C)(3) 10,000       COMMUNITY HEALTH
(8) ALLAN HANCOCK COLLEGE FOUNDATION
800 S COLLEGE DR
SANTA MARIA,CA934546399
95-3143396 501(C)(3) 135,000       EDUCATION SUPPORT
(9) ALLIANCE FOR PHARMACEUTICAL ACCESS INC
506 E PLAZA DR
SANTA MARIA,CA93454
20-3117940 501(C)(3) 45,000       COMMUNITY HEALTH
(10) ALPHA PREGNANCY HELP CENTER
700 LOUGHBOROUGH DR
MERCED,CA95348
77-0079754 501(C)(3) 15,000       COMMUNITY HEALTH
(11) ALS ASSOCIATION ARIZONA CHAPTER
360 E CORONADO RD
PHOENIX,AZ85004
86-0727136 501(C)(3) 9,000       COMMUNITY HEALTH
(12) ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATIONS INC DBA ALZHEIMERS AS
225 N MICHIGAN AVE
CHICAGO,IL60601
13-3039601 501(C)(3) 177,500       COMMUNITY HEALTH
(13) ALZHEIMERS DISEASE ASSOCIATION OF KERN COUNTY INC
PO BOX 22108
BAKERSFIELD,CA93390
77-0017561 501(C)(3) 25,000       COMMUNITY HEALTH
(14) AMANECER COMMUNITY COUNSELING SERVICES
1200 WILSHIRE BLVD
LOS ANGELES,CA90017
95-3076578 501(C)(3) 80,000       COMMUNITY HEALTH
(15) AMBULATORY SURGERY ACCESS COALITION OPERATION ACCESS
1119 MARKET ST
SAN FRANCISCO,CA941031553
94-3180356 501(C)(3) 18,428       COMMUNITY HEALTH
(16) AMERICAN CANCER SOCIETY INC
250 WILLIAMS ST
ATLANTA,GA30303
13-1788491 501(C)(3) 62,250       COMMUNITY HEALTH
(17) AMERICAN HEART ASSOCIATION WESTERN STATES AFFILIATE
7425 W PALMS BLUFFS AVE
FRESNO,CA93711
13-5613797 501(C)(3) 62,740       COMMUNITY HEALTH
(18) AMERICAN LIVER FOUNDATION CORP
4545 E SHEA BLVD
PHOENIX,AZ85028
36-2883000 501(C)(3) 6,216       COMMUNITY HEALTH
(19) AMERICAN LUNG ASSOCIATION OF THE SOUTHWEST INC
102 W MCDOWELL
PHOENIX,AZ850031299
86-0111676 501(C)(3) 10,275       COMMUNITY HEALTH
(20) ARCADIA SCOTTSDALE UNITED SOCCER CLUB DBA PHOENIX RISING YOUTH SOCCER
PO BOX 5075
SCOTTSDALE,AZ85261
86-0395005 501(C)(3) 150,000       COMMUNITY HEALTH
(21) ARIZONA DIAMONDBACKS FOUNDATION INC
401 E JEFFERSON STREET
PHOENIX,AZ85004
86-0901615 501(C)(3) 10,000       COMMUNITY HEALTH
(22) ARIZONA LATIN AMERICAN MEDICAL ASSOCIATION
PO BOX 24152
TEMPE,AZ85285
86-0743958 501(C)(3) 8,500       COMMUNITY HEALTH
(23) ARIZONA STATE UNIVERSITY
PO BOX 876505
TEMPE,AZ852876505
86-0196696 ARIZONA STATE 12,860,000       EDUCATION SUPPORT
(24) ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON ROAD
ARROYO GRANDE,CA93420
20-3256066 501(C)(3) 587,982 500 FMV FOOD FOUNDATION SUPPORT
(25) ASIAN PACIFIC SELF DEVELOPMENT DBA SOUTHEAST ASIAN HEALTH COMMITTEE
3830 N ALVARADO ST
STOCKTON,CA95204
68-0224100 501(C)(3) 51,094       COMMUNITY HEALTH
(26) ASTER AGING INC
45 W UNIVERSITY DR
MESA,AZ852015831
94-2596075 501(C)(3) 49,000       COMMUNITY HEALTH
(27) BAKERSFIELD RECOVERY SVCS INC
PO BOX 3218
BAKERSFIELD,CA93385
77-0168396 501(C)(3) 50,000       COMMUNITY HEALTH
(28) BARROW FOUNDATION UK
350 W THOMAS ROAD
PHOENIX,AZ85013
31-1724184 501(C)(3) 25,430       FOUNDATION SUPPORT
(29) BARROW NEUROLOGICAL FOUNDATION
350 W THOMAS ROAD
PHOENIX,AZ850134409
86-0174371 501(C)(3) 4,899,331       FOUNDATION SUPPORT
(30) BAY AREA COUNCIL FOUNDATION
201 CALIFORNIA ST
SAN FRANCISCO,CA94111
20-1826827 501(C)(3) 24,000       COMMUNITY HEALTH
(31) BAY SCHOLARS
465 CALIFORNIA ST
SAN FRANCISCO,CA94104
46-3467919 501(C)(3) 50,000       COMMUNITY HEALTH
(32) BENEFICIENT TECHNOLOGY INC
480 CALIFORNIA AVE
PALO ALTO,CA94306
77-0555413 501(C)(3) 112,500       COMMUNITY HEALTH
(33) BETHANY SERVICES DBA BAKERSFIELD HOMELESS CENTER
1600 EAST TRUXTUN AVE
BAKERSFIELD,CA93305
95-2858936 501(C)(3) 1,528,750       COMMUNITY HEALTH
(34) BOYS & GIRLS CLUBS OF KERN COUNTY DBA BOYS CLUB OF BAKERSFIELD
801 NILES ST
BAKERSFIELD,CA93305
95-2462246 501(C)(3) 15,000       COMMUNITY HEALTH
(35) BRAIN INJURY CENTER
PO BOX 1477
CAMARILLO,CA93011
77-0491413 501(C)(3) 50,000       COMMUNITY HEALTH
(36) CACHE CREEK CONSERVANCY
PO BOX 8249
WOODLAND,CA95695
68-0374372 501(C)(3) 30,085       COMMUNITY HEALTH
(37) CALIFORNIA ASSOC OF FOOD BANKS
1624 FRANKLIN ST
OAKLAND,CA94612
68-0392816 501(C)(3) 200,000       COMMUNITY HEALTH
(38) CALIFORNIA COALITION FOR RURAL HOUSING PROJECT
717 K ST
SACRAMENTO,CA95814
94-2832634 501(C)(3) 47,500       COMMUNITY HEALTH
(39) CALIFORNIA FOOD POLICY ADVOCATES INC
1970 BROADWAY
OAKLAND,CA94612
94-3163142 501(C)(3) 92,595       COMMUNITY HEALTH
(40) CALIFORNIA FORWARD
127 UNIVERSITY AVE
BERKELEY,CA94710
26-0566540 501(C)(3) 25,000       COMMUNITY HEALTH
(41) CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800
SACRAMENTO,CA95814
94-1498697 501(C)(3) 3,564,077       COMMUNITY HEALTH
(42) CALIFORNIA POLYTECHNIC STATE UNIVERSITY FOUNDATION
1 GRAND AVE
SAN LUIS OBISPO,CA93407
20-4927897 501(C)(3) 62,500       EDUCATION SUPPORT
(43) CARRIES TOUCH INC
372 FLORIN RD
SACRAMENTO,CA95831
30-0394368 501(C)(3) 75,000       COMMUNITY HEALTH
(44) CATHOLIC CHARITIES COMMUNITY SERVICES
4747 N 7TH AVE
PHOENIX,AZ85013
86-0223999 501(C)(3) 100,000       COMMUNITY HEALTH
(45) CATHOLIC CHARITIES DIOCESE OF MONTEREY
922 HILBY AVE
SEASIDE,CA93955
77-0042961 501(C)(3) 45,000       COMMUNITY HEALTH
(46) CATHOLIC CHARITIES OF CALIFORNIA INC
1107 NINTH ST
SACRAMENTO,CA95814
95-4098671 501(C)(3) 50,000       COMMUNITY HEALTH
(47) CATHOLIC CHARITIES OF SOUTHERN NEVADA
1501 LAS VEGAS BLVD N
LAS VEGAS,NV89101
88-0059425 501(C)(3) 103,000       COMMUNITY HEALTH
(48) CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO
825 CHESTER AVE
BAKERSFIELD,CA93301
94-1678938 501(C)(3) 67,577       COMMUNITY HEALTH
(49) CATHOLIC CHARITIES OF THE DIOCESE OF STOCKTON
1106 N EL DORADO ST
STOCKTON,CA95202
94-1629114 501(C)(3) 50,000       COMMUNITY HEALTH
(50) CENTRO SANTA CATALINA DBA ADRIAN DOMINICAN SISTERS
1209 ALABAMA ST
EL PASO,TX79930
74-2996070 501(C)(3) 10,000       COMMUNITY HEALTH
(51) CENTURY VILLAGES AT CABRILLO
1000 CORPORATE POINTE
CULVER CITY,CA902300000
95-4646521 501(C)(3) 35,000       COMMUNITY HEALTH
(52) CERES INC
99 CHAUNCY ST SIXTH FLOOR
BOSTON,MA02111
22-3053747 501(C)(3) 15,000       COMMUNITY HEALTH
(53) CHICKS IN CRISIS
9455 E STOCKTON BLVD
ELK GROVE,CA95624
94-3371317 501(C)(3) 10,000       COMMUNITY HEALTH
(54) CIRCLE THE CITY
300 W CLARENDON AVE
PHOENIX,AZ85013
26-2420730 501(C)(3) 105,000       COMMUNITY HEALTH
(55) CITY CENTER OF SAN JOAQUIN
848 EAST HAMMER LN
STOCKTON,CA95210
81-4312693 501(C)(3) 42,500       COMMUNITY HEALTH
(56) CITY OF HENDERSON
240 WATER ST
HENDERSON,NV89015
88-6000720 CITY OF HENDERSON 9,680       COMMUNITY HEALTH
(57) CITY OF MERCED
678 WEST 18TH ST
MERCED,CA95340
94-6000371 CITY OF MERCED 16,500       COMMUNITY HEALTH
(58) CITY OF SACRAMENTO
951 I STREET
SACRAMENTO,CA95814
94-6000410 CITY OF SACRAMENTO 1,292,000       COMMUNITY HEALTH
(59) CITY YEAR INC
287 COLUMBUS AVE
BOSTON,MA02116
22-2882549 501(C)(3) 23,695       COMMUNITY HEALTH
(60) CITYSERVE NETWORK
7001 AUBURN STREET
BAKERSFIELD,CA93306
82-4490879 501(C)(3) 95,750       COMMUNITY HEALTH
(61) CLARK COUNTY PUBLIC EDUCATION FOUNDATION DBA THE PUBLIC EDUCATION FOUNDATIO
4350 S MARYLAND PKWY
LAS VEGAS,NV89119
88-0275767 501(C)(3) 6,500       COMMUNITY HEALTH
(62) CLEAN PRODUCTION ACTION INC
1310 BROADWAY
SOMERVILLE,MA02144
45-3560728 501(C)(3) 5,073       COMMUNITY HEALTH
(63) CLEO EULAU CENTER FOR CHILDREN AND ADOLESCENTS
711 COLORADO AVE
PALO ALTO,CA943033912
77-0393676 501(C)(3) 20,000       COMMUNITY HEALTH
(64) COLLEGE OF SOUTHERN NEVADA FOUNDATION INC
6375 W CHARLESTON BLVD WCE310
LAS VEGAS,NV891461164
94-2889686 501(C)(3) 10,000       EDUCATION SUPPORT
(65) COLON CANCER ALLIANCE INC
1025 VERMONT AVE NW
WASHINGTON,DC20005
86-0947831 501(C)(3) 9,300       COMMUNITY HEALTH
(66) COMMUNITY ACTION AGAINST RAPE DBA THE RAPE CRISIS CENTER
801 S RANCHO DR
LAS VEGAS,NV89106
88-0135811 501(C)(3) 50,000       COMMUNITY HEALTH
(67) COMMUNITY AGAINST SEXUAL HARM
3101 1ST AVE
SACRAMENTO,CA95817
46-1498182 501(C)(3) 78,300       COMMUNITY HEALTH
(68) COMMUNITY BRIDGES COMPUTING RESOURCES INC TAX DEPT
519 MAIN ST
WATSONVILLE,CA950764356
94-2460211 501(C)(3) 25,000       COMMUNITY HEALTH
(69) COMMUNITY INITIATIVES DBA COMMUNITY INITIATIVES SF HEP B FREE BAY AREA
1000 BROADWAY
OAKLAND,CA94607
94-3255070 501(C)(3) 23,750       COMMUNITY HEALTH
(70) CORPORATION FOR SUPPORTIVE HOUSING
800 S FIGUEROA
LOS ANGELES,CA90017
13-3600232 501(C)(3) 54,000       COMMUNITY HEALTH
(71) COUNTY OF SANTA CRUZ
PO BOX 801
SANTA CRUZ,CA950610801
94-6000534 COUNTY OF SANTA CRUZ 25,000       COMMUNITY HEALTH
(72) COUNTY OF SHASTA A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA
1855 PLACER ST SUITE 201
REDDING,CA96001
94-6000535 COUNTY OF SHASTA 20,000       COMMUNITY HEALTH
(73) COURT APPOINTED SPECIAL ADVOCATES OF KERN COUNTY CASA OF KERN COUNTY
1717 COLUMBUS ST
BAKERSFIELD,CA93305
77-0344298 501(C)(3) 7,500       COMMUNITY HEALTH
(74) CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
2500 CALIFORNIA PLAZA
OMAHA,NE68178
47-0376583 501(C)(3) 211,911       EDUCATION SUPPORT
(75) CRISIS INTERVENTION SERVICES DBA TAHOE SAFE ALLIANCE
948 INCLINE WAY
INCLINE VILLAGE,NV89451
94-2985554 501(C)(3) 15,000       COMMUNITY HEALTH
(76) DELTA ETA BOULE FOUNDATION
1741 HIGH ST
DENVER,CO80218
84-1459058 501(C)(3) 25,000       COMMUNITY HEALTH
(77) DIENTES COMMUNITY DENTAL CLINIC INC
1830 COMMERCIAL WAY B
SANTA CRUZ,CA950651819
77-0311752 501(C)(3) 35,000       COMMUNITY HEALTH
(78) DIGNITY COMMUNITY CARE
185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
81-5009488 501(C)(3) 12,335,449       HOSPITAL SUPPORT
(79) DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE
REDDING,CA96003
23-7115371 501(C)(3) 980,876       COMMUNITY HEALTH
(80) DIGNITY HEALTH FOUNDATION
185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
46-2037641 501(C)(3) 963,554       FOUNDATION SUPPORT
(81) DIGNITY HEALTH FOUNDATION EAST VALLEY
1727 WEST FRYE ROAD SUITE 230
CHANDLER,AZ85224
74-2418514 501(C)(3) 1,751,653       FOUNDATION SUPPORT
(82) DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE
RANCHO CORDOVA,CA95670
68-0220314 501(C)(3) 208,286,453       MEDICAL FOUNDATION SUPPORT
(83) DIGNITY HEATH FOUNDATION-INLAND EMPIRE
2101 NORTH WATERMAN AVE
SAN BERNARDINO,CA92404
23-7440086 501(C)(3) 712,205       FOUNDATION SUPPORT
(84) DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
94-2450442 501(C)(3) 1,077,399 5,100 FMV SF 49ERS/SF GIANTS TICKETS FOUNDATION SUPPORT
(85) DOWNTOWN STREETS INC
1671 THE ALAMEDA
SAN JOSE,CA95126
20-5242330 501(C)(3) 25,000       COMMUNITY HEALTH
(86) DOWNTOWN WOMENS CENTER
442 S SAN PEDRO ST
LOS ANGELES,CA90013
31-1597223 501(C)(3) 54,000       COMMUNITY HEALTH
(87) ECONOMIC DEVELOPMENT CORP
777 AUDITORIUM DR
REDDING,CA96001
94-1417261 501(C)(3) 10,000       COMMUNITY HEALTH
(88) EMMANUEL HOSPITAL ASSOCIATION
215 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS,IL60004
36-4245509 501(C)(3) 50,000       COMMUNITY HEALTH
(89) EMPIRE HOTEL ALCOHOLIC REHABILITATION CENTER
1237 CALIFORNIA ST
REDDING,CA960010618
94-2326975 501(C)(3) 41,543       COMMUNITY HEALTH
(90) ENTERPRISE COMMUNITY PARTNERS INC
101 MONTGOMERY ST
SAN FRANCISCO,CA94104
52-1231931 501(C)(3) 10,000       COMMUNITY HEALTH
(91) FACING HISTORY & OURSELVES
24301 SOUTHLAND DR
HAYWARD,CA94545
04-2761636 501(C)(3) 22,000       COMMUNITY HEALTH
(92) FAITHWORKS COUMMUNITY COALITION INC
2825 WEST STREET 1
REDDING,CA96001
33-0805113 501(C)(3) 70,000       COMMUNITY HEALTH
(93) FAMILY ASSISTANCE PROGRAM
15075 SEVENTH ST
VICTORVILLE,CA923953810
33-0107971 501(C)(3) 64,000       COMMUNITY HEALTH
(94) FAMILY PROMISE OF THE VERDUGOS
PO BOX 7151
BURBANK,CA91510
26-2458342 501(C)(3) 25,000       COMMUNITY HEALTH
(95) FAMILY SERVICE AGENCY OF TEHANA COUNTY DBA FAMILY COUNSELING CENTER
1347 GRANT ST
RED BLUFF,CA96080
94-1616456 501(C)(3) 25,112       COMMUNITY HEALTH
(96) FAMILY SERVICES AGENCY OF SANTA BARBARA COUNTY
123 E GUTIERREZ
SANTA BARBARA,CA93101
95-1644031 501(C)(3) 80,605       COMMUNITY HEALTH
(97) FOLSOM ECONOMIC DEVELOPMENT CORPORATION DBA FEDCORP
200 WOOL ST
FOLSOM,CA95630
68-0377492 501(C)(3) 10,000       COMMUNITY HEALTH
(98) FOOD LITERACY CENTER FKA CALIFORNIA FOOD LITERACY CENTER
2973 3RD AVE
SACRAMENTO,CA95817
45-3973268 501(C)(3) 150,000       COMMUNITY HEALTH
(99) FOOD RUNNERS
2579 WASHINGTON ST
SAN FRANCISCO,CA94109
94-3129692 501(C)(3) 0 9,951 COST FOOD COMMUNITY HEALTH
(100) FOODWHAT INC
1156 HIGH ST
SANTA CRUZ,CA95064
81-2590280 501(C)(3) 50,000       COMMUNITY HEALTH
(101) FORWARD REDDING FOUNDATION
1321 BUTTE ST STE 100
REDDING,CA96001
94-3013946 501(C)(3) 7,500       COMMUNITY HEALTH
(102) FOUNDATION FOR PUBLIC RELATIONS RESEARCH & EDU DBA INSTITUTE FOR PUBLIC REL
PO BOX 11840
GAINESVILLE,FL326118400
13-6161619 501(C)(3) 13,000       COMMUNITY HEALTH
(103) FOUNDATION FOR RECOVERY INC
4800 ALPINE PL
LAS VEGAS,NV89107
20-3380211 501(C)(3) 50,000       COMMUNITY HEALTH
(104) FRESH START WOMEN'S FOUNDATION
1130 E MCDOWELL RD
PHOENIX,AZ85006
86-0762610 501(C)(3) 5,420       COMMUNITY HEALTH
(105) FRIENDS FOR YOUTH INC
1741 BROADWAY ST
REDWOOD CITY,CA940632403
94-2961034 501(C)(3) 20,000       COMMUNITY HEALTH
(106) FRIENDS OF THE COMMISSION ON THE STATUS OF WOMEN
PO BOX 191482
SAN FRANCISCO,CA94119
51-0183349 501(C)(3) 7,820       COMMUNITY HEALTH
(107) FRIENDS OF THE LONG BEACH FIREFIGHTERS
3205 LAKEWOOD BLVD
LONG BEACH,CA90808
93-1223990 501(C)(3) 11,000       COMMUNITY HEALTH
(108) FRIENDS OF THE MISSION
PO BOX 8485
WOODLAND,CA95776
91-1834006 501(C)(3) 750,000       COMMUNITY HEALTH
(109) FUSE CORPS
1202 RALSTON AVE
SAN FRANCISCO,CA94129
27-5469219 501(C)(3) 25,000       COMMUNITY HEALTH
(110) FUTURE LEADERS OF AMERICA INC
509 W MORRISON
SANTA MARIA,CA93458
77-0071036 501(C)(3) 90,984       COMMUNITY HEALTH
(111) GIANTS COMMUNITY FUND AKA JUNIOR GIANTS
24 WILLIE MAYS PLZ
SAN FRANCISCO,CA94107
94-3200061 501(C)(3) 9,000       COMMUNITY HEALTH
(112) GILBERT EDUCATION FOUNDATION INC
PO BOX 2461
GILBERT,AZ852992461
86-1023126 501(C)(3) 13,000       COMMUNITY HEALTH
(113) GLENDALE YOUTH ALLIANCE INC
1255 S CENTRAL AVE
GLENDALE,CA91204
95-4453585 501(C)(3) 68,000       COMMUNITY HEALTH
(114) GOLD COUNTRY COMMUNITY COUNCIL INC
PO BOX 968
GRASS VALLEY,CA95945
94-2436273 501(C)(3) 25,000       COMMUNITY HEALTH
(115) GOOD NEWS RESCUE MISSION
2842 S MARKET ST
REDDING,CA96001
94-1652602 501(C)(3) 25,000       COMMUNITY HEALTH
(116) GOOD SAMARITAN SHELTER
245 E INGER DRIVE SUITE 103B
SANTA MARIA,CA93458
77-0133375 501(C)(3) 0 48,942 COST FOOD COMMUNITY HEALTH
(117) GRANITE WELLNESS CENTERS FKA COMMUNITY RECOVERY RESOURCES
PO BOX 6028
AUBURN,CA95604
94-2275091 501(C)(3) 59,760       COMMUNITY HEALTH
(118) GREAT NORTHERN SERVICES
310 BOLES ST
WEED,CA96094
94-2562423 501(C)(3) 29,854       COMMUNITY HEALTH
(119) GRIMM FAMILY EDUCATION FOUNDATION CORP
11001 RIVER RUN BLVD
BAKERSFIELD,CA93311
27-3194151 501(C)(3) 35,318       COMMUNITY HEALTH
(120) HAMILTON FAMILIES
1631 HAYES ST
SAN FRANCISCO,CA94117
94-3055602 501(C)(3) 8,000       COMMUNITY HEALTH
(121) HARM REDUCTION SERVICES INC
3647 40TH ST
SACRAMENTO,CA95817
68-0300656 501(C)(3) 80,000       COMMUNITY HEALTH
(122) HEALTH ALLIANCE OF NORTHERN CALIFORNIA
PO BOX 990834
REDDING,CA960990834
31-1580642 501(C)(3) 9,600       COMMUNITY HEALTH
(123) HEALTH IMPROVEMENT PARTNERSHIP OF SANTA CRUZ COUNTY
343 SOQUEL AVE
SANTA CRUZ,CA95062
01-0826156 501(C)(3) 40,000       COMMUNITY HEALTH
(124) HEALTHY COMMUNITY FORUM
8928 VOLUNTEER LN
SACRAMENTO,CA958263238
68-0377256 501(C)(3) 100,000       COMMUNITY HEALTH
(125) HENDERSON NEVADA CHAMBER OF COMMERCE
400 N GREEN VALLEY PKWY
HENDERSON,NV89074
88-0071419 501(C)(6) 34,590       COMMUNITY HEALTH
(126) HOFFMANN HOSPICE OF THE VALLEY DBA HOFFMANN HOSPICE
4325 BUENA VISTA RD
BAKERSFIELD,CA93311
77-0386207 501(C)(3) 16,450       COMMUNITY HEALTH
(127) HOMEWARD BOUND
2302 W COLTER ST
PHOENIX,AZ85015
86-0660875 501(C)(3) 50,000       COMMUNITY HEALTH
(128) HOPE FOR ADDICTION INC
1500 S BOULDER ST UNIT D
GLENDALE,AZ85296
47-1315465 501(C)(3) 25,000       COMMUNITY HEALTH
(129) HOPE THROUGH HOUSING FOUNDATION
8421 HAVEN AVE
RANCHO CUCAMONGA,CA91730
33-0802554 501(C)(3) 26,500       COMMUNITY HEALTH
(130) HOSPICE OF THE VALLEY
1510 E FLOWER ST
PHOENIX,AZ85014
86-0338886 501(C)(3) 5,350       COMMUNITY HEALTH
(131) HOUSE OF REFUGE INC
6935 E WILLIAMS FIELD RD
MESA,AZ852126300
86-0662244 501(C)(3) 12,250       COMMUNITY HEALTH
(132) HOUSING MATTERS FKA HOMELESS SERVICES CENTER
115-B CORAL ST
SANTA CRUZ,CA95060
77-0126783 501(C)(3) 105,104       COMMUNITY HEALTH
(133) HUNTINGTONS DISEASE SOCIETY OF AMERICA
PO BOX 8152
GLENDALE,AZ85312
13-3349872 501(C)(3) 13,000       COMMUNITY HEALTH
(134) ICAN IMPROVING CHANDLER AREA NEIGHBORHOODS
650 E MORELOS ST
CHANDLER,AZ85225
86-0761030 501(C)(3) 49,000       COMMUNITY HEALTH
(135) INTERFACE CHILDREN FAMILY SERVICES
1305 DEL NORTE RD 200
CAMARILLO,CA93010
95-2944459 501(C)(3) 40,000       COMMUNITY HEALTH
(136) JANUS OF SANTA CRUZ
200 7TH AVE
SANTA CRUZ,CA950624669
94-2739130 501(C)(3) 150,000       COMMUNITY HEALTH
(137) JJ S LEGACY
PO BOX 12793
BAKERSFIELD,CA93389
27-3546375 501(C)(3) 7,000       COMMUNITY HEALTH
(138) JMJ MATERNITY HOMES
435 W 21ST ST
MERCED,CA95340
20-5611546 501(C)(3) 27,500       COMMUNITY HEALTH
(139) JOURNEY OUT
7136 HASKELL AVE 125
VAN NUYS,CA91406
95-3817864 501(C)(3) 52,337       COMMUNITY HEALTH
(140) KENT L BRADLEY DBA CORE COMMUNITIES
712 WHALERS WAY
FORT COLLINS,CO80525
26-4420115 501(C)(3) 50,000       COMMUNITY HEALTH
(141) KERN COUNTY WOUNDED HEROES FUND
3121 STANDARD ST
BAKERSFIELD,CA93308
80-0215850 501(C)(3) 75,000       COMMUNITY HEALTH
(142) KIDS COMMUNITY DENTAL CLINIC OF BURBANK
400 W ELMWOOD AVE
BURBANK,CA91506
95-4791296 501(C)(3) 20,000       COMMUNITY HEALTH
(143) LA FAMILIA COUNSELING CENTER INC
5523 34TH ST
SACRAMENTO,CA958204725
94-2270786 501(C)(3) 56,195       COMMUNITY HEALTH
(144) LA FAMILY HOUSING CORPORATION
7843 LANKERSHIM BLVD
NORTH HOLLYWOOD,CA91605
95-3920560 501(C)(3) 107,500       COMMUNITY HEALTH
(145) LARKIN STREET YOUTH SERVICES
134 GOLDEN GATE AVE
SAN FRANCISCO,CA94102
94-2917999 501(C)(3) 60,000       COMMUNITY HEALTH
(146) LAS VEGAS DRAGON BOAT CLUB LLC
729 SKIPJACK DR
HENDERSON,NV89015
83-0946398   7,500       COMMUNITY HEALTH
(147) LAURA HART BURDICK FOUNDATION
15029 N THOMPSON PEAK PKWY
SCOTTSDALE,AZ85260
20-8643591 501(C)(3) 10,000       COMMUNITY HEALTH
(148) LEGAL AID SOCIETY OF SAN BERNARDINO
588 W SIXTH ST
SAN BERNARDINO,CA92410
95-1997024 501(C)(3) 70,727       COMMUNITY HEALTH
(149) LEND-A-HAND INC
400 UTAH ST
BOULDER CITY,NV890052620
88-0250959 501(C)(3) 20,000       COMMUNITY HEALTH
(150) LEON & SYLVIA PANETTA INSTITUTE FOR PUBLIC POLICY
100 CAMPUS CENTER
SEASIDE,CA93955
77-0495799 501(C)(3) 15,000       COMMUNITY HEALTH
(151) LEUKEMIA & LYMPHOMA SOCIETY INC
3877 N 7TH ST
PHOENIX,AZ85014
13-5644916 501(C)(3) 13,500       COMMUNITY HEALTH
(152) LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS INC
4041 BRIDGE ST
FAIR OAKS,CA95628
33-0720982 501(C)(3) 20,000       COMMUNITY HEALTH
(153) LIFEMOVES FKA INNVISION SHELTER NETWORK
181 CONSTITUTION DR
MENLO PARK,CA94025
77-0160469 501(C)(3) 20,000       COMMUNITY HEALTH
(154) LINKS FOR LIFE INC
1706 CHESTER AVENUE 200
BAKERSFIELD,CA93301
93-1088003 501(C)(3) 25,000       COMMUNITY HEALTH
(155) LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
1996 EASTMAN AVE
VENTURA,CA93003
95-1693538 501(C)(3) 25,000       COMMUNITY HEALTH
(156) LOCUS IMPACT INVESTING
7814 CAROUSEL LN
RICHMOND,VA23294
26-3114011 501(C)(3) 45,000       COMMUNITY HEALTH
(157) LOS OSOS CARES INC
PO BOX 6602
LOS OSOS,CA934126602
82-3047951 501(C)(3) 80,000       COMMUNITY HEALTH
(158) LOS RIOS COMMUNITY COLLEGE DISTRICT DBA FOLSOM LAKE COLLEGE SAC CITY COLLE
1919 SPANOS COURT
SACRAMENTO,CA95825
94-1576340 LOS RIOS COLLEGE DST 15,000       EDUCATION SUPPORT
(159) LUNG TRANSPLANT SUPPORT ORGANIZATION INC
PO BOX 13322
PHOENIX,AZ85002
26-2876893 501(C)(3) 8,000       COMMUNITY HEALTH
(160) LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
2502 E UNIVERSITY DR
PHOENIX,AZ85034
86-0252302 501(C)(3) 49,000       COMMUNITY HEALTH
(161) MAKING HOPE HAPPEN FOUNDATION
777 NORTH F ST
SAN BERNARDINO,CA92410
33-0122847 501(C)(3) 263,000       COMMUNITY HEALTH
(162) MAPIMPANA CHILDRENS PROJECT
PO BOX 1533
LOMA LINDA,CA92354
82-4642151 501(C)(3) 11,003       COMMUNITY HEALTH
(163) MARC COMMUNITY RESOURCE INC RANDY GRAY
924 N COUNTRY CLUB DR
MESA,AZ852014108
86-0137109 501(C)(3) 65,557       COMMUNITY HEALTH
(164) MARCH OF DIMES FOUNDATION
PO BOX 673667
MARIETTA,GA30006
13-1846366 501(C)(3) 8,900       COMMUNITY HEALTH
(165) MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET
SANTA MARIA,CA93454
95-3818027 501(C)(3) 1,012,147       FOUNDATION SUPPORT
(166) MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2601 E ROOSEVELT ST
PHOENIX,AZ85008
86-0830701 MARICOPA COUNTY 4,622,917       COMMUNITY HEALTH
(167) MARYS MERCY CENTER
PO BOX 7563
SAN BERNARDINO,CA92411
33-0632426 501(C)(3) 202,584       COMMUNITY HEALTH
(168) MEDSHARE INTERNATIONAL
3240 CLIFTON SPRINGS RD
DECATUR,GA30034
58-2433968 501(C)(3) 50,000 42,585 COST MEDICAL EQUIPMENT AND SUPPLIES COMMUNITY HEALTH
(169) MENTAL HEALTH AMERICA OF LOS ANGELES
200 PINE AVE STE 400
LONG BEACH,CA90802
95-1881491 501(C)(3) 86,000       COMMUNITY HEALTH
(170) MERCED COMMUNITY COLLEGE DISTRICT
3600 M ST
MERCED,CA95348
77-0362218 MERCED COLLEGE DIST 148,345       EDUCATION SUPPORT
(171) MERCED RESCUE MISSION
PO BOX 3319
MERCED,CA95344
77-0284849 501(C)(3) 961,656       COMMUNITY HEALTH
(172) MERCY FOUNDATION
3400 DATA DRIVE
RANCHO CORDOVA,CA95670
23-7072762 501(C)(3) 2,076,013       FOUNDATION SUPPORT
(173) MERCY FOUNDATION BAKERSFIELD DBA FRIENDS OF MERCY FOUNDATION
PO BOX 119
BAKERSFIELD,CA93302
77-0201321 501(C)(3) 895,716       FOUNDATION SUPPORT
(174) MERCY FOUNDATION NORTH
2400 WASHINGTON STREET SUITE 410
REDDING,CA96001
94-3136799 501(C)(3) 1,153,683       FOUNDATION SUPPORT
(175) MERCY MEDICAL CENTER MERCED FOUNDATION
333 MERCY AVENUE
MERCED,CA95340
77-0035928 501(C)(3) 549,860       FOUNDATION SUPPORT
(176) MIND MATTERS CLINIC INC
150 BIG TREES RD
MURPHYS,CA95247
26-1442370 501(C)(3) 32,000       COMMUNITY HEALTH
(177) MISSION OF MERCY INC
360 E CORONADO RD
PHOENIX,AZ85004
86-0704883 501(C)(3) 105,000       COMMUNITY HEALTH
(178) MONARCH SERVICES SERVICIOS MONARCA
233 E LAKE AVE
WATSONVILLE,CA95076
94-2462783 501(C)(3) 39,645       COMMUNITY HEALTH
(179) MT SHASTA RECREATION & PARKS DISTRICT
PO BOX 314
MT SHASTA,CA96067
94-6003419 MT SHASTA REC & PARK 5,500       COMMUNITY HEALTH
(180) MUSCULAR DYSTROPHY ASSOC INC
4500 S LAKESHORE DR
TEMPE,AZ85282
13-1665552 501(C)(3) 6,900       COMMUNITY HEALTH
(181) MUSEUM OF THE AFRICAN DIASPORA
685 MISSION ST
SAN FRANCISCO,CA94105
94-3338239 501(C)(3) 900,000       COMMUNITY HEALTH
(182) MY SISTER'S HOUSE
3053 FREEPORT BLVD
SACRAMENTO,CA95818
68-0464114 501(C)(3) 15,632       COMMUNITY HEALTH
(183) NAMI GLENDALE
1540 E COLORADO ST
GLENDALE,CA91205
95-3984872 501(C)(3) 30,000       COMMUNITY HEALTH
(184) NAMI LONG BEACH AREA
PO BOX 91206
LONG BEACH,CA90814
33-0141550 501(C)(3) 60,000       COMMUNITY HEALTH
(185) NAMI MERCED COUNTY
827 W 20TH ST
MERCED,CA95340
41-2198536 501(C)(3) 14,000       COMMUNITY HEALTH
(186) NATIONAL ALLIANCE ON MENTAL ILLNESS LOS ANGELES COUNTY
624 WOODBURY RD
GLENDALE,CA912062648
95-4049720 501(C)(3) 90,000       COMMUNITY HEALTH
(187) NATIONAL ALLIANCE ON MENTAL ILLNESS SAN FERNANDO VALLEY
14545 SHERMAN CIR
VAN NUYS,CA91405
95-3952653 501(C)(3) 57,500       COMMUNITY HEALTH
(188) NATIONAL BRAIN TUMOR SOCIETY INC
55 CHAPEL ST
NEWTON,MA02458
04-3068130 501(C)(3) 20,000       COMMUNITY HEALTH
(189) NATIONAL HEALTH FOUNDATION
515 S FIGUEROA ST
LOS ANGELES,CA90071
23-7314808 501(C)(3) 169,724       COMMUNITY HEALTH
(190) NATIONAL KIDNEY FOUNDATION OF ARIZONA
360 E CORONADO RD
PHOENIX,AZ85004
86-6052343 501(C)(3) 16,548       COMMUNITY HEALTH
(191) NATIONAL MULTIPLE SCLEROSIS SOCIETY
5025 E WASHINGTON ST
PHOENIX,AZ85034
13-5661935 501(C)(3) 6,500       COMMUNITY HEALTH
(192) NEIGHBORS WHO CARE INC
10450 E RIGGS RD
SUN LAKES,AZ85248
86-0966061 501(C)(3) 49,000       COMMUNITY HEALTH
(193) NEURO AND BRAIN COMMUNITY FOUNDATION
433 W MONTE CIRLCE
MESA,AZ85210
81-2518553 501(C)(3) 10,000       COMMUNITY HEALTH
(194) NEVADA CLINICAL SERVICES INC
3186 S MARYLAND PKWY
LAS VEGAS,NV89119
45-2211040   1,485,000       COMMUNITY HEALTH
(195) NEVADA COMMUNITY FOUNDATION INC
410 SOUTH RAMPART BLVD
LAS VEGAS,NV89145
88-0241420 501(C)(3) 5,500       COMMUNITY HEALTH
(196) NEVADA SYSTEM OF HIGHER EDUCATION DBA UNIVERSITY OF NEVADA RENO
1664 N VIRGINIA ST
RENO,NV89557
88-6000024 501(C)(3) 20,069       EDUCATION SUPPORT
(197) NORTH OF MARKET DBA TENDERLOIN COMMUNITY BENEFIT CORPORATION
512 ELLIS ST
SAN FRANCISCO,CA94109
20-3828997 501(C)(3) 68,358       COMMUNITY HEALTH
(198) NORTHERN CALIF CENTER FOR FAMILY AWARENESS
PO BOX 991473
REDDING,CA960991473
68-0363217 501(C)(3) 30,000       COMMUNITY HEALTH
(199) ONE DEGREE
2370 MARKET ST
SAN FRANCISCO,CA941141524
36-4729392 501(C)(3) 200,000       COMMUNITY HEALTH
(200) ONE GENERATION VALLEY SENIOR SERV & RESOURCES CENTER
17400 VICTORY BLVD
VAN NUYS,CA91406
95-4066979 501(C)(3) 52,337       COMMUNITY HEALTH
(201) ONE LIFE COUNSELING CENTER
961 LAUREL ST
SAN CARLOS,CA94070
81-0919786 501(C)(3) 20,000       COMMUNITY HEALTH
(202) OPERATION BBQ RELIEF
22720 JOE HOLT PKWY
PECULIAR,MO64078
45-2442792 501(C)(3) 154,000       COMMUNITY HEALTH
(203) PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREET
SANTA MARIA,CA93454
77-0447575 501(C)(3) 35,352,899       CLINIC SUPPORT
(204) PEOPLE ACTING IN COMMUNITY TOGETHER INC DBA PACT
1100 SHASTA AVE
SAN JOSE,CA95126
77-0090129 501(C)(3) 14,600       COMMUNITY HEALTH
(205) PHOENIX CHILDRENS HOSPITAL FOUNDATION
2929 E CAMELBACK RD
PHOENIX,AZ85016
74-2421549 501(C)(3) 8,750       COMMUNITY HEALTH
(206) PHOENIX HOUSES OF LOS ANGELES INC
11600 ELDRIDGE AVE
LAKE VIEW TERRACE,CA91342
23-7084897 501(C)(3) 52,337       COMMUNITY HEALTH
(207) POOR AND THE HOMELESS TEHAMA COUNTY COALITION
PO BOX 315
RED BLUFF,CA96080
68-0465095 501(C)(3) 33,204       COMMUNITY HEALTH
(208) PROJECT CURE
2100 W 14TH STREET
TEMPE,AZ85281
84-1568566 501(C)(3) 0 6,190 COST MEDICAL SUPPLIES COMMUNITY HEALTH
(209) PUBLIC HEALTH INSTITUTE DBA C NET SOLUTIONS
1700 TRIBUTE RD
SACRAMENTO,CA958154402
94-1646278 501(C)(3) 20,000       COMMUNITY HEALTH
(210) PURPLE RIBBON COUNCIL TO CUT OUT DOMESTIC ABUSE INC DBA BLOOM365
20403 N LAKE PLEASANT RD
PEORIA,AZ85382
26-2944620 501(C)(3) 100,000       COMMUNITY HEALTH
(211) RED BLUFF ROUND-UP ASSOCIATION
PO BOX 1028
RED BLUFF,CA96080
94-6110315   12,500       COMMUNITY HEALTH
(212) RESOURCES FOR COMMUNITY DEVELOPMENT DBA ACCESSHOME
PO BOX 492275
REDDING,CA960493375
31-1531658 501(C)(3) 268,525       COMMUNITY HEALTH
(213) ROMAN CATHOLIC ARCHBISHOP OF LOS ANGELES INC
3424 WILSHIRE BLVD
LOS ANGELES,CA900102241
95-1642382 501(C)(3) 46,000       COMMUNITY HEALTH
(214) ROMAN CATHOLIC ARCHDIOCESE OF SAN FRANCISCO
1 PETER YORKE WAY
SAN FRANCISCO,CA94109
94-1156707 501(C)(3) 349,368       COMMUNITY HEALTH
(215) ROTACARE BAY AREA INC
514 VALLEY WY
MILIPITAS,CA95035
77-0328723 501(C)(3) 25,000       COMMUNITY HEALTH
(216) SACRAMENTO LIFE CENTER
2316 BELL EXECUTIVE LANE
SACRAMENTO,CA95825
23-7182685 501(C)(3) 75,730       COMMUNITY HEALTH
(217) SACRAMENTO LOAVES AND FISHES
1351 NORTH C ST
SACRAMENTO,CA95811
68-0189897 501(C)(3) 10,000       COMMUNITY HEALTH
(218) SACRAMENTO REGIONAL FAMILY JUSTICE CENTER FOUNDATION
PO BOX 276551
SACRAMENTO,CA958276551
46-4522608 501(C)(3) 81,415       COMMUNITY HEALTH
(219) SACRAMENTO SELF HELP HOUSING INC
PO BOX 188445
SACRAMENTO,CA95818
68-0217383 501(C)(3) 9,200       COMMUNITY HEALTH
(220) SACRAMENTO STEPS FORWARD
1331 GARDEN HWY
SACRAMENTO,CA95833
27-4907397 501(C)(3) 25,000       COMMUNITY HEALTH
(221) SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER
16360 ROSCOE BLVD
VAN NUYS,CA91406
95-6194487 501(C)(3) 50,802       COMMUNITY HEALTH
(222) SAN FRANCISCO FORTY NINERS FOUNDATION
4949 MARIE P DEBARTOLO WY
SANTA CLARA,CA95054
77-0287514 501(C)(3) 106,920       COMMUNITY HEALTH
(223) SAN FRANCISCO GENERAL HOSPITAL FOUNDATION
2789 25TH ST
SAN FRANCISCO,CA94110
94-3189424 501(C)(3) 33,283       COMMUNITY HEALTH
(224) SAN FRANCISCO PLANNING URBAN RESEACH ASSOCIATION SPUR
654 MISSION ST
SAN FRANCISCO,CA94105
94-1498232 501(C)(3) 50,000       COMMUNITY HEALTH
(225) SANTA CRUZ COMMUNITY HEALTH CENTERS
125 WATER ST
SANTA CRUZ,CA95060
23-7428303 501(C)(3) 198,948       COMMUNITY HEALTH
(226) SANTA CRUZ COMMUNITY VENTURES
23 E BEACH ST
WATSONVILLE,CA95076
77-0247648 501(C)(3) 50,000       COMMUNITY HEALTH
(227) SECOND HARVEST FOOD BANK OF SANTA CRUZ COUNTY
800 OHLONE PKWY
WATSONVILLE,CA95076
77-0326685 501(C)(3) 25,000       COMMUNITY HEALTH
(228) SELF HELP FOR ELDERLY
731 SANSOME ST
SAN FRANCISCO,CA94111
94-1750717 501(C)(3) 40,000       COMMUNITY HEALTH
(229) SEQUOIA HOSPITAL FOUNDATION
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY,CA940622799
94-2909990 501(C)(3) 7,300       COMMUNITY HEALTH
(230) SHANTI PROJECT
3170 23RD STREET
SAN FRANCISCO,CA94110
94-2297147 501(C)(3) 55,457       COMMUNITY HEALTH
(231) SHASTA COMMUNITY HEALTH CENTER
1035 PLACER ST
REDDING,CA96001
68-0165855 501(C)(3) 420,050       COMMUNITY HEALTH
(232) SHASTA COUNTY CHILD ABUSE PREVENTION COORDINATING COUNCIL
2280 BENTON DR BLDG C B
REDDING,CA96003
68-0151867 501(C)(3) 15,000       COMMUNITY HEALTH
(233) SHASTA COUNTY YOUNG MENS CHRISTIAN ASSOCIATION
1155 COURT ST
REDDING,CA96001
94-1212141 501(C)(3) 20,000       COMMUNITY HEALTH
(234) SHASTA WOMENS REFUGE INC DBA ONE SAFE PLACE
2880-A BENTON DR
REDDING,CA96003
94-2663045 501(C)(3) 100,000       COMMUNITY HEALTH
(235) SISTERS OF MERCY OF THE WEST MIDWEST DBA MERCY CENTER
2300 ADELINE DR
BURLINGAME,CA94010
26-2400800 501(C)(3) 5,500       COMMUNITY HEALTH
(236) SISTERS OF ST FRANCIS-MOUNT ALVERNO
1330 BREWSTER AVE
REDWOOD CITY,CA940621312
23-7290790 501(C)(3) 195,000       COMMUNITY HEALTH
(237) SLO NOOR FOUNDATION
1428 PHILLIPS LN
SAN LUIS OBISPO,CA93401
27-1412176 501(C)(3) 102,128       COMMUNITY HEALTH
(238) SONRISAS DENTAL HEALTH INC CHERYL A FAMA
430 EL CAMINO REAL N
SAN MATEO,CA94401
94-3390196 501(C)(3) 20,000       COMMUNITY HEALTH
(239) SOUTH BAY SPORTS & PREVENTIVE MEDICINE ASSOCIATES INC
PO BOX 28490
SAN JOSE,CA95159
20-5745058   20,000       COMMUNITY HEALTH
(240) SOUTHERN NEVADA MEDICAL INDUSTRY COALITION DBA LAS VEGAS HEALS
PO BOX 80808
LAS VEGAS,NV89180
26-4228889 501(C)(3) 10,000       COMMUNITY HEALTH
(241) ST DOMINICS CHURCH ARCHDIOCESE OF SF
2390 BUSH ST
SAN FRANCISCO,CA94115
94-0830425 501(C)(3) 25,457       COMMUNITY HEALTH
(242) ST JEANNE DE LESTONNAC FREE CLINIC
1215 E CHAPMAN AVE
ORANGE,CA928662237
95-3499011 501(C)(3) 75,000       COMMUNITY HEALTH
(243) ST JOHN'S HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE
OXNARD,CA93030
20-2865781 501(C)(3) 979,408       FOUNDATION SUPPORT
(244) ST JOSEPH'S FOUNDATION
350 W THOMAS ROAD
PHOENIX,AZ85013
94-2941245 501(C)(3) 1,878,402       FOUNDATION SUPPORT
(245) ST JUDES RANCH FOR CHILDREN NEVADA REGION
200 WILSON CIR
BOULDER CITY,NV89005
20-2917263 501(C)(3) 25,000       COMMUNITY HEALTH
(246) ST MARY MEDICAL CENTER FOUNDATION
1045 ATLANTIC AVENUE
LONG BEACH,CA90813
23-7153876 501(C)(3) 1,401,104       FOUNDATION SUPPORT
(247) ST MARY'S MEDICAL CENTER FOUNDATION
450 STANYAN STREET
SAN FRANCISCO,CA94117
94-3336143 501(C)(3) 979,584       FOUNDATION SUPPORT
(248) ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY
HENDERSON,NV89052
88-0349432 501(C)(3) 2,389,612       FOUNDATION SUPPORT
(249) ST VINCENT DE PAUL STORE INC
300 BAKER ST
BAKERSFIELD,CA93305
95-1853364 501(C)(3) 70,000       COMMUNITY HEALTH
(250) STEVE AOKI CHARITABLE FUND
15260 VENTURA BLVD
SHERMAN OAKS,CA91403
46-1531926 501(C)(3) 15,000       COMMUNITY HEALTH
(251) STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS
1209 E 8TH ST
STOCKTON,CA95206
94-3179778 501(C)(3) 900,000       COMMUNITY HEALTH
(252) STUDENTS FOR ECO-EDUCATION AND AGRICULTURE INC DBA SEEAG
4517 MARKET ST
OJAI,CA93024
37-1639971 501(C)(3) 57,500       COMMUNITY HEALTH
(253) STUDENTS SUPPORTING BRAIN TUMOR RESEARCH
8390 E VIA DE VENTURA
SCOTTSDALE,AZ85258
20-0345903 501(C)(3) 5,400       COMMUNITY HEALTH
(254) TARZANA TREATMENT CENTERS
18646 OXNARD ST
TARZANA,CA91356
94-2219349 501(C)(3) 59,698       COMMUNITY HEALTH
(255) TEEN KITCHEN PROJECT
PO BOX 1853
SOQUEL,CA95073
27-0524692 501(C)(3) 40,000       COMMUNITY HEALTH
(256) TENET HEALTHCARE FOUNDATION
1445 ROSS AVE
DALLAS,TX752029036
74-2873537 501(C)(3) 25,000       COMMUNITY HEALTH
(257) THE COMMUNITY SERVICE EDUCATION AND RESEARCH FUND
5380 ELVAS AVE
SACRAMENTO,CA95819
23-7003581 501(C)(3) 29,400       COMMUNITY HEALTH
(258) THE DEMOCRACY COLLABORATIVE FOUNDATION INC
1422 EUCLID AVE
CLEVELAND,OH44115
20-0387511 501(C)(3) 65,000       COMMUNITY HEALTH
(259) THE EMERGENCY FOOD BANK
7 W SCOTTS AVE
STOCKTON,CA95203
68-0002165 501(C)(3) 50,000       COMMUNITY HEALTH
(260) THE KRISTI YAMAGUCHI ALWAYS DREAM FOUNDATION
125 RAILROAD AVE
DANVILLE,CA94526
94-3255817 501(C)(3) 7,500       COMMUNITY HEALTH
(261) THE LAUDATO SI CHALLENGE INC
2 MEADOWS WAY
FAIRFAX,CA949302151
82-5244693 501(C)(3) 30,000       COMMUNITY HEALTH
(262) THE MUTUAL ASSISTANCE NETWORK
811 GRAND AVE
SACRAMENTO,CA95838
68-0332694 501(C)(3) 80,000       COMMUNITY HEALTH
(263) THE SALVATION ARMY SOUTHERN CALIFORNIA DIVISON HEADQUARTERS
180 E OCEAN BLVD
LONG BEACH,CA90802
94-1156347 501(C)(3) 204,000       COMMUNITY HEALTH
(264) THE SHADE TREE INC
PO BOX 669
LAS VEGAS,NV89125
88-0253276 501(C)(3) 50,000       COMMUNITY HEALTH
(265) THE UTILITY REFORM NETWORK
268 BUSH STREET 3933
SAN FRANCISCO,CA94104
23-7351081 501(C)(3) 350,000       COMMUNITY HEALTH
(266) THE WALL LAS MEMORIAS
5619 MONTE VISTA STREET
LOS ANGELES,CA90042
95-4468225 501(C)(3) 28,750       COMMUNITY HEALTH
(267) THE WILDLANDS CONSERVANCY
39611 OAK GLEN RD
OAK GLEN,CA92399
33-0676450 501(C)(3) 12,500       COMMUNITY HEALTH
(268) TIDES CENTER
1012 TORNEY AVE
SAN FRANCISCO,CA94129
94-3213100 501(C)(3) 211,500       COMMUNITY HEALTH
(269) TIPPING POINT COMMUNITY
220 MONTGOMERY ST
SAN FRANCISCO,CA94104
20-2121739 501(C)(3) 1,000,000       COMMUNITY HEALTH
(270) TRI COUNTY COMMUNITY NETWORK
37477 MAIN ST
BURNEY,CA96013
91-1841029 501(C)(3) 50,000       COMMUNITY HEALTH
(271) TUCSON STROKE LEADERSHIP GROUP INC
125 E RUDASILL RD
TUCSON,AZ85704
46-2110927 501(C)(3) 20,000       COMMUNITY HEALTH
(272) TYLER ROBINSON FOUNDATION
400 S 4TH STREET 500
LAS VEGAS,NV89101
46-2570835 501(C)(3) 100,000       COMMUNITY HEALTH
(273) UNITED THROUGH EDUCATION
4180 LA JOLLA VILLAGE DR
LA JOLLA,CA92037
81-2483202 501(C)(3) 20,000       COMMUNITY HEALTH
(274) UNITED WAY INC DBA UNITED WAY OF GREATER LOS ANGELES
1150 S OLIVE ST
LOS ANGELES,CA90015
95-2274801 501(C)(3) 65,000       COMMUNITY HEALTH
(275) UNITED WAY OF NORTHERN CALIFORNIA
2280 BENTON DR BLDG B
REDDING,CA96003
94-1251675 501(C)(3) 20,000       COMMUNITY HEALTH
(276) UNITED WAY OF SANTA CRUZ COUNTY
4450 CAPITOLA RD
CAPITOLA,CA95010
94-1422471 501(C)(3) 94,000       COMMUNITY HEALTH
(277) UNITED WAY WORLDWIDE
701 N FAIRFAX ST
ALEXANDRIA,VA22314
13-1635294 501(C)(3) 100,000       COMMUNITY HEALTH
(278) UNITED WAYS OF CALIFORNIA
1107 FAIR OAKS AVE
SOUTH PASADENA,CA91030
94-1646369 501(C)(3) 50,000       COMMUNITY HEALTH
(279) UNIVERSITY CORPORATION AT MONTEREY BAY
100 CAMPUS CENTER
SEASIDE,CA93955
77-0387459 501(C)(3) 45,000       EDUCATION SUPPORT
(280) UNIVERSITY OF ARIZONA
PO BOX 3520
TUCSON,AZ857223520
74-2652689 ARIZONA 10,058,100       EDUCATION SUPPORT
(281) UNIVERSITY OF NEVADA LAS VEGAS FOUNDATION DBA UNLV FOUNDATION
4505 MARYLAND PKWY
LAS VEGAS,NV89154
94-2790134 501(C)(3) 189,040       EDUCATION SUPPORT
(282) VALLEY OF THE SUN YOUNG MENS CHRISTIAN ASSOCIATION
350 N 1ST AVE
PHOENIX,AZ850031513
86-0096799 501(C)(3) 103,000       COMMUNITY HEALTH
(283) VISION THEATRICAL FOUNDATION INC
8550 W CHARLESTON BLVD
LAS VEGAS,NV89117
88-0507905 501(C)(3) 50,000       COMMUNITY HEALTH
(284) VMSN INC DBA VOLUNTEERS IN MEDICINE OF SOUTHERN NEVADA
1240 N MARTIN LUTHER KING BLVD
LAS VEGAS,NV89106
39-2072453 501(C)(3) 13,000       COMMUNITY HEALTH
(285) VOLUNTEERS IN MEDICINE DBA CLINIC BY THE BAY
4877 MISSION ST
SAN FRANCISCO,CA94112
26-2593712 501(C)(3) 14,600       COMMUNITY HEALTH
(286) WALKSACRAMENTO
909 12TH ST
SACRAMENTO,CA95814
94-3395491 501(C)(3) 11,972       COMMUNITY HEALTH
(287) WELLNESS WORKS
540 W BORADWAY
GLENDALE,CA91204
95-4554824 501(C)(3) 20,000       COMMUNITY HEALTH
(288) WELLSPACE HEALTH FAMILY SERVICE AGENCY
8912 VOLUNTEER LN STE 100
SACRAMENTO,CA95826
94-1713704 501(C)(3) 600,000       COMMUNITY HEALTH
(289) WHOLE PERSON CARE INITIATIVE
1215 K ST
SACRAMENTO,CA95814
82-1005805 501(C)(3) 250,000       COMMUNITY HEALTH
(290) WOMENS HEALTH INNOVATIONS OF ARIZONA
3303 S LINDSAY RD
GILBERT,AZ85297
47-4784379 501(C)(3) 49,000       COMMUNITY HEALTH
(291) WOMENS RESOURCE CENTERS OF SOUTHERN NEVADA
1701 W CHARLESTON BLVD
LAS VEGAS,NV89102
94-2944732 501(C)(3) 6,500       COMMUNITY HEALTH
(292) YOLO HOSPICE
PO BOX 1014
DAVIS,CA95617
94-2597528 501(C)(3) 56,800       COMMUNITY HEALTH
(293) CALIFORNIA IMMIGRANT POLICY CENTER
634 S SPRING ST STE 600A
LOS ANGELES,CA90014
81-5304541 501(C)(3) 10,000       COMMUNITY HEALTH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
288
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
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) DIRECT CASH ASSISTANCE 5 11,250 0    
(2) FINANCIAL ASSISTANCE TO PATIENTS/NEEDY 2466 669,224 0    
(3) SCHOLARSHIP 59 69,858 0    
(4) DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY 21232 0 88,070 COST SHOES, CLOTHING, HYGIENE KITS, DIAPERS, WIGS, TOYS, FOOD, FLOWERS
(5) MEDICAL SUPPLIES/EQUIPMENT TO PATIENTS/INDIGENTS 2581 0 27,434 COST DURABLE MEDICAL EQUIPMENT
(6) PHARMACY CHARITY PRESCRIPTION 1832 0 329,710 COST PHARMACEUTICALS, MEDICATION, PRESCRIPTIONS
(7) PROVISION OF FOOD/MEALS 16276 0 132,970 COST FOOD, MEALS, BABY FORMULA SUPPLEMENTS, FOOD VOUCHERS
(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
PART I, LINE 2: INCLUDED IN PART II ABOVE IS $5,863,777 RELATED TO THE DIGNITY HEALTH COMMUNITY GRANTS PROGRAM. THIS PROGRAM IS ONE WAY IN WHICH DIGNITY HEALTH SUPPORTS AND ENHANCES THE ADVOCACY, SOCIAL JUSTICE AND HEALTHIER COMMUNITIES EFFORTS OF ITS HOSPITALS AND THE RELIGIOUS SPONSORS OF OUR CATHOLIC HOSPITALS. BEGUN IN 1990, THE PROGRAM'S INITIAL OBJECTIVES WERE: (1) TO STRENGTHEN THE BONDS AMONG OUR MEMBER HOSPITALS; AND (2) TO PARTNER WITH OTHER NONPROFIT ORGANIZATIONS THAT SHARE OUR VALUES AND WORK TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. EACH OF THE GRANT RECIPIENTS IS REQUIRED TO SUBMIT AN ANNUAL ACCOUNTABILITY REPORT TO DIGNITY HEALTH. THE REPORTS REFLECT ACTIVITIES PERFORMED, OBJECTIVES, AND OUTCOMES REACHED BY THE GRANT RECIPIENTS. ALL ORGANIZATIONS THAT APPLY FOR THESE GRANTS ARE REQUIRED TO BE 501(C)(3) ORGANIZATIONS. OTHER GRANTS ARE PROVIDED BY DIGNITY HEALTH (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER DIGNITY HEALTH'S EXEMPT PURPOSE. GRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT DIGNITY HEALTH AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. SEVERAL GRANTS ARE PROVIDED TO OTHER ORGANIZATIONS IN WHICH DIGNITY HEALTH SUPPORTS COMMUNITY EFFORT, AND FOR OPERATIONAL SUPPORT OF THE MEDICAL FOUNDATION AND CLINICS. IN ADDITION, GRANTS ARE PROVIDED TO INDIVIDUALS, PRIMARILY PATIENTS, DUE TO FINANCIAL NEED OR URGENT, UNFORESEEN OCCURRENCES REQUIRING IMMEDIATE ACTION. EXAMPLES OF ASSISTANCE INCLUDE PHARMACY COSTS, ROOM AND BOARD/LODGING AND SHELTERED MEALS FOR INDIGENT PATIENTS. THE GRANTS ARE APPROVED BY THE HOSPITAL'S ADMINISTRATION DEPARTMENT OR A DESIGNATED COMMITTEE.
PART II $3,564,077 IN GRANT PAYMENTS TO THE CALIFORNIA HEALTH FOUNDATION AND TRUST, A 501(C)(3) PUBLIC BENEFIT CHARITY ESTABLISHED TO SPONSOR AND SUPPORT HEALTH CARE, WERE RECOGNIZED IN CONNECTION WITH THE CALIFORNIA PROVIDER FEE PROGRAMS IN FISCAL YEAR 2020. $10,058,100 IN GRANT PAYMENTS WERE PROVIDED TO THE UNIVERSITY OF ARIZONA, A GOVERNMENT INSTITUTION, TO SUPPORT THE DEVELOPMENT OF EDUCATION, TRAINING AND CLINICAL RESEARCH PROGRAMS. $12,860,000 IN GRANT PAYMENTS WERE PROVIDED TO ARIZONA STATE UNIVERSITY, A GOVERNMENT INSTITUTION, TO SUPPORT THE EDUCATION, TRAINING AND RESEARCH IN THE ADVANCEMENT OF IMAGING TECHNOLOGY AND DESIGN, BUILDING A HEALTHY CLINICAL FORCE AND ADVANCING THE UNDERSTANDING OF IMMUNOLOGY IN TRANSPLANTATION MEDICINE.
Schedule I (Form 990) 2019



Additional Data


Software ID:  
Software Version:  


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
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes on 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 .........
1b
Yes
 
2
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 on Line 1a? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1LLOYD H DEAN
BOARD MEMBER/CEO
(i)

(ii)
1,942,477
-------------
0
8,157,579
-------------
0
3,227,481
-------------
0
3,302,242
-------------
0
115,448
-------------
0
16,745,227
-------------
0
3,042,693
-------------
0
2RICK GROSSMAN
EVP GENERAL COUNSEL (THRU 6/30/19)
(i)

(ii)
395,883
-------------
0
1,208,149
-------------
0
6,016,245
-------------
0
150,492
-------------
0
42,025
-------------
0
7,812,794
-------------
0
2,793,750
-------------
0
3MARVIN O'QUINN
PRESIDENT & CHIEF OPERATING OFFICER
(i)

(ii)
1,638,534
-------------
0
3,031,336
-------------
0
367,784
-------------
0
485,531
-------------
0
76,669
-------------
0
5,599,854
-------------
0
326,231
-------------
0
4KEVIN E LOFTON FACHE
BOARD MEMBER/CEO (THRU 6/30/20)
(i)

(ii)
0
-------------
1,796,768
0
-------------
3,204,923
0
-------------
571,254
0
-------------
15,817
0
-------------
17,802
0
-------------
5,606,564
0
-------------
0
5DANIEL J MORISSETTE CPA
TREASURER/ SEVP CFO
(i)

(ii)
1,349,240
-------------
0
1,975,581
-------------
0
7,930
-------------
0
340,398
-------------
0
38,557
-------------
0
3,711,706
-------------
0
0
-------------
0
6DEANNA WISE
FORMER KE (THRU 12/31/18)
(i)

(ii)
0
-------------
0
182,896
-------------
0
3,693,889
-------------
0
16,095
-------------
0
0
-------------
0
3,892,880
-------------
0
988,431
-------------
0
7ELIZABETH SHIH
SEVP CHIEF ADMINISTRATIVE OFFICER
(i)

(ii)
1,020,285
-------------
0
1,850,665
-------------
0
604,444
-------------
0
657,095
-------------
0
93,995
-------------
0
4,226,484
-------------
0
496,573
-------------
0
8DARRYL ROBINSON
SEVP CHIEF HUMAN RESOURCE OFFICER
(i)

(ii)
925,320
-------------
0
1,974,603
-------------
0
112,834
-------------
0
274,521
-------------
0
56,135
-------------
0
3,343,413
-------------
0
0
-------------
0
9ROBERT WIEBE MD
EVP CHIEF MEDICAL OFFICER
(i)

(ii)
1,041,623
-------------
0
1,648,302
-------------
0
203,745
-------------
0
315,919
-------------
0
36,879
-------------
0
3,246,468
-------------
0
189,492
-------------
0
10LAURIE HARTING
SVP OPERATIONS & CEO GREATER SACRAME
(i)

(ii)
694,882
-------------
0
686,234
-------------
0
1,771,721
-------------
0
130,081
-------------
0
46,427
-------------
0
3,329,345
-------------
0
1,722,082
-------------
0
11CHARLES P FRANCIS
SEVP CHIEF STRATEGY OFFICER
(i)

(ii)
1,061,002
-------------
0
1,797,352
-------------
0
21,918
-------------
0
146,018
-------------
0
73,011
-------------
0
3,099,301
-------------
0
0
-------------
0
12MARY CONNICK
SVP FINANCE CORPORATE CONTROLLER (TH
(i)

(ii)
243,653
-------------
0
453,269
-------------
0
1,886,086
-------------
0
69,988
-------------
0
23,985
-------------
0
2,676,981
-------------
0
642,450
-------------
0
13ELIZABETH I KEITH
EVP/SPONSORSHIP/MISSION INTEGRATION
(i)

(ii)
628,854
-------------
0
1,307,730
-------------
0
203,179
-------------
0
179,090
-------------
0
45,113
-------------
0
2,363,966
-------------
0
0
-------------
0
14CHARLES COVA
SVP OPERATIONS & CEO CA CENTRAL COAS
(i)

(ii)
623,038
-------------
0
846,816
-------------
0
571,331
-------------
0
138,431
-------------
0
44,713
-------------
0
2,224,329
-------------
0
534,953
-------------
0
15LINDA HUNT
SVP OPERATIONS & CEO ARIZONA DIVISIO
(i)

(ii)
702,537
-------------
0
921,817
-------------
0
314,336
-------------
0
152,034
-------------
0
67,225
-------------
0
2,157,949
-------------
0
270,976
-------------
0
16KEITH CALLAHAN
SVP SUPP & SRVCS RESOURCES MGMT (THR
(i)

(ii)
229,097
-------------
0
435,361
-------------
0
1,156,192
-------------
0
67,530
-------------
0
22,132
-------------
0
1,910,312
-------------
0
0
-------------
0
17JULIE SPRENGEL
SVP OPERATIONS & CEO NEVADA/SOUTHERN
(i)

(ii)
724,055
-------------
0
991,723
-------------
0
14,287
-------------
0
159,612
-------------
0
16,094
-------------
0
1,905,771
-------------
0
0
-------------
0
18LISA GAMSHAD ZUCKERMAN
SYSTEM SVP TREASURY & STRATEGIC INVE
(i)

(ii)
603,856
-------------
0
1,035,285
-------------
0
14,533
-------------
0
154,335
-------------
0
55,760
-------------
0
1,863,769
-------------
0
0
-------------
0
19JON VANBOENING
SVP OPERATIONS & CEO CENTRAL CALIFOR
(i)

(ii)
656,567
-------------
0
699,420
-------------
0
189,373
-------------
0
127,931
-------------
0
92,632
-------------
0
1,765,923
-------------
0
121,270
-------------
0
20PATRICIA WEBB FACHE
SEVP CHIEF ADMINISTRATIVE OFFICER
(i)

(ii)
0
-------------
910,322
0
-------------
622,477
0
-------------
167,841
0
-------------
16,675
0
-------------
17,802
0
-------------
1,735,117
0
-------------
0
21JEFFREY W LAND
SYSTEM SVP NATIONAL REAL ESTATE SERV
(i)

(ii)
426,419
-------------
0
559,446
-------------
0
560,014
-------------
0
95,353
-------------
0
46,140
-------------
0
1,687,372
-------------
0
551,926
-------------
0
22TODD A STRUMWASSER MD
SVP OPERATIONS & CEO NORTHERN CALIFO
(i)

(ii)
699,611
-------------
0
764,158
-------------
0
20,325
-------------
0
137,784
-------------
0
58,839
-------------
0
1,680,717
-------------
0
0
-------------
0
23PAUL EDGETT III
CHIEF BUSINESS LINES OFFICER
(i)

(ii)
0
-------------
848,293
0
-------------
608,753
0
-------------
174,561
0
-------------
14,455
0
-------------
32,663
0
-------------
1,678,725
0
-------------
0
24MITCH MELFI ESQ
SECRETARY/CHIEF LEGAL OFFICER
(i)

(ii)
0
-------------
856,473
0
-------------
624,970
0
-------------
159,547
0
-------------
15,625
0
-------------
21,909
0
-------------
1,678,524
0
-------------
0
25TIMOTHY PANKS
SVP FINANCE & REVENUE CYCLE MANAGEME
(i)

(ii)
218,311
-------------
0
401,250
-------------
0
869,664
-------------
0
63,014
-------------
0
27,700
-------------
0
1,579,939
-------------
0
0
-------------
0
26ANTHONY SCOTT CARSWELL
SYSTEM SVP MARKET STRATEGY AND DEVEL
(i)

(ii)
575,795
-------------
0
765,842
-------------
0
11,916
-------------
0
126,946
-------------
0
59,264
-------------
0
1,539,763
-------------
0
0
-------------
0
27BENJIE M LOANZON
SYSTEM SVP FINANCE AND CORPORATE CON
(i)

(ii)
620,869
-------------
0
709,560
-------------
0
5,921
-------------
0
126,258
-------------
0
62,476
-------------
0
1,525,084
-------------
0
0
-------------
0
28THOMAS KOPFENSTEINER STD
CHIEF MISSION OFFICER
(i)

(ii)
0
-------------
768,542
0
-------------
559,325
0
-------------
155,056
0
-------------
16,675
0
-------------
9,860
0
-------------
1,509,458
0
-------------
0
29KATHLEEN SANFORD RN DBA FACHE
CHIEF NURSING OFFICER
(i)

(ii)
0
-------------
774,030
0
-------------
548,878
0
-------------
125,798
0
-------------
16,358
0
-------------
28,155
0
-------------
1,493,219
0
-------------
0
30BRUCE SWARTZ
SVP PHYSICIAN ENTERPRISE
(i)

(ii)
592,524
-------------
0
695,800
-------------
0
32,595
-------------
0
74,991
-------------
0
45,133
-------------
0
1,441,043
-------------
0
0
-------------
0
31TAMMARA WILCOX
SYSTEM SVP PAYER STRATEGY & RELATION
(i)

(ii)
548,950
-------------
0
741,390
-------------
0
10,487
-------------
0
122,560
-------------
0
47,987
-------------
0
1,471,374
-------------
0
0
-------------
0
32JULIA N BIETSCH
MARKET VP-PE-NETWORK DEVELOPMENT (TH
(i)

(ii)
355,515
-------------
0
491,149
-------------
0
459,858
-------------
0
83,123
-------------
0
30,581
-------------
0
1,420,226
-------------
0
0
-------------
0
33PAGE E WEST
CHIEF NURSE EXECUTIVE (THRU 1/18/19)
(i)

(ii)
40,905
-------------
0
0
-------------
0
1,223,352
-------------
0
12,036
-------------
0
4,469
-------------
0
1,280,762
-------------
0
0
-------------
0
34IAN BOASE
FORMER OFFICER (THRU 1/31/19)
(i)

(ii)
374,920
-------------
0
348,184
-------------
0
70,741
-------------
0
72,543
-------------
0
52,068
-------------
0
918,456
-------------
0
0
-------------
0
35MARK KORTH
FORMER KE (THRU 6/4/19)
(i)

(ii)
301,872
-------------
0
0
-------------
0
355,078
-------------
0
35,241
-------------
0
29,161
-------------
0
721,352
-------------
0
0
-------------
0
36KARL SILBERSTEIN
FORMER KE (THRU 1/11/19)
(i)

(ii)
47,538
-------------
0
385,556
-------------
0
19,013
-------------
0
46,552
-------------
0
4,722
-------------
0
503,381
-------------
0
0
-------------
0
37TESSIE GUILLERMO
BOARD CHAIR
(i)

(ii)
23,750
-------------
130,000
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
23,750
-------------
130,000
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
PART I, LINE 1A FIRST CLASS AND CHARTER TRAVEL AND UPGRADES TO SUCH ARE TREATED ON AN EXCEPTION BASIS ACCORDING TO DIGNITY HEALTH POLICY. SUCH FIRST CLASS AND CHARTER TRAVEL WERE PROVIDED TO ONE BOARD MEMBER, ONE BOARD MEMBER/OFFICER, TWO OFFICERS, AND EIGHT KEY EMPLOYEES. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE COMPENSATION AS THESE TRAVEL EXPENSES WERE INCURRED FOR BUSINESS PURPOSES. TAX GROSS-UP PAYMENTS WERE PROVIDED TO ONE BOARD MEMBER/OFFICER, TWO KEY EMPLOYEES AND ONE FORMER KEY EMPLOYEE. THESE GROSS UP PAYMENTS WERE INCLUDED AS TAXABLE COMPENSATION TO THE LISTED PERSONS. CLUB DUES HAVE BEEN PAID BY DIGNITY HEALTH FOR BUSINESS USE BY THREE KEY EMPLOYEES. NO AMOUNT HAS BEEN PAID FOR CLUB DUES FOR THESE LISTED INDIVIDUALS. DIGNITY HEALTH DOES NOT PAY OR REIMBURSE FOR ANY HEALTH CLUB MEMBERSHIPS. NO AMOUNTS HAVE BEEN REPORTED AS INCOME AS NO CLUB DUES HAVE BEEN REIMBURSED FOR PERSONAL PURPOSES. SECURITY SERVICES, INCLUDING VEHICLES AND DRIVERS, ARE PROVIDED TO AN OFFICER PURSUANT TO A QUALIFIED SECURITY ASSESSMENT, AND AS SUCH, NO AMOUNTS HAVE BEEN REPORTED AS INCOME.
PART I, LINE 3 DURING THE TAX YEAR, DIGNITY HEALTH WAS LED BY TWO CEOS. ONE OF THE CEOS WAS COMPENSATED BY COMMONSPIRIT HEALTH ("COMMONSPIRIT"), A RELATED ORGANIZATION. BOTH DIGNITY HEALTH AND COMMONSPIRIT USED THE FOLLOWING TO ESTABLISH THE CEOS' COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. IN EARLY 2019, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD OF STEWARDSHIP TRUSTEES ("BOARD") AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND REPORTED OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND MADE A RECOMMENDATION TO THE COMMONSPIRIT BOARD AS TO REASONABLE AND APPROPRIATE STIPEND LEVELS, WHICH THE BOARD APPROVED. COMMONSPIRIT PLANS TO REVIEW BOARD STIPEND LEVELS AT THE SOONER OF THREE YEAR INTERVALS OR PROPOSED ADJUSTMENTS.
PART I, LINES 4A-B PART I, 4A DIGNITY HEALTH'S CERTAIN LISTED PERSONS PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019 INCLUDE: K. CALLAHAN, $1,108,341; M. CONNICK, $1,149,151; R. GROSSMAN, $2,900,392; T. PANKS, $788,219; J. BIETSCH, $393,444; P. WEST, $1,139,567 AND D. WISE, $2,705,458. FOR CERTAIN REPORTABLE INDIVIDUALS EMPLOYED BY COMMONSPIRIT, PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 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 POLICY. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019. PART I, 4B CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019 INCLUDE: M. CONNICK, $642,450 AND R. GROSSMAN $2,793,750. COMMONSPIRIT, A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR ITS DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019. DIGNITY HEALTH'S 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 OCCURRED DURING 2019 INCLUDE L. DEAN, $3,042,693; M. O'QUINN, $326,231 E. SHIH, $496,573; C. COVA, $534,953; L. HARTING, $1,722,082; L. HUNT, $270,976; J. LAND, $551,926, J. VANBOENING, $121,270, R. WIEBE, $189,492 AND D. WISE, $988,431. CERTAIN LISTED PERSONS EMPLOYED BY COMMONSPIRIT, PARTICIPATE IN A DEFERRED COMPENSATION PLAN. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT HEALTH'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION, ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS OF THE SUPER VESTING RULES DURING 2019 INCLUDE: P. EDGETT, III, $141,855; T. KOPFENSTEINER, $132,155; K. LOFTON, $533,406; M. MELFI, $141,771; K. SANFORD, $102,897 AND P. WEBB, $144,939. 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 THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE 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. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2019. 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)).
SCHEDULE J, PART II DIGNITY HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST DIGNITY HEALTH IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE DIGNITY HEALTH TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES DIGNITY HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND DIGNITY HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, 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 2019.
Schedule J (Form 990) 2019

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number
94-1196203
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1598225 13033FTN0 05-19-2004 150,000,000 BOND B:CUSIP 13033FTN0-SEE PART VI   X   X X  
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033FYE4 11-10-2005 200,000,000 BOND C:CUSIP 13033FYE4-SEE PART VI   X   X X  
C ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507GL3 11-10-2005 224,000,000 BOND D:CUSIP 040506GL3-SEE PART VI   X   X X  
D CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 130795DH7 04-26-2007 400,000,000 BOND E:CUSIP 130795DH7-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LEQ6 11-12-2009 235,106,175 BOND L:CUSIP 13033LEQ6 - SEE PART VI X     X   X
THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ
 
86-0445263 566816JL9 07-14-2011 115,008,059 BOND N: CUSIP 566816JL9-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LSZ1 11-09-2011 515,217,012 BOND O: CUSIP 13033LSZ1-SEE PART VI X     X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MU6 11-09-2011 125,000,601 BOND P: CUSIP 04057MU6-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LUD7 06-27-2012 140,000,000 BOND Q: CUSIP 13033LUD7-SEE PART VI   X   X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MV4 06-27-2012 75,000,000 BOND R: CUSIP 04057MV4-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033L4V6 10-15-2014 294,763,279 BOND S: CUSIP 13033L4V6-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13032ULN6 12-06-2016 270,095,000 BOND T: CUSIP 13032ULN6-SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................   94,200,000 109,050,000  
2 Amount of bonds legally defeased .............. 131,985,000   16,765,000 160,000,000
3 Total proceeds of issue .................. 143,120,259 162,665,635 224,006,108 415,050,133
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     17,885,926 1,538,212
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 3,506,175     3,068,236
8 Credit enhancement from proceeds .............       14,157,815
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 143,120,259 162,665,635 224,006,108 289,056,921
11 Other spent proceeds ............. 231,600,000 115,008,059 290,213,028 107,228,949
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2007 2010 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
  X   X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
  X   X   X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 1.600 % 1.500 % 0.070 % 0.260 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.700 % 1.300 % 0.010 % 0.800 %
6 Total of lines 4 and 5 ............. 2.300 % 2.800 % 0.080 % 0.260 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider ..........  
 
 
 
 
 
CITIGROUP &
JPMORGAN
c Term of hedge .........       3420.0000000000 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........             X  
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period? X   X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2011 ISSUER NAME: THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2018 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019
BOND B: CUSIP 13033FTN0 PART I, COLUMN (C) THE CHFFA 2004 SERIES J BONDS WERE EXCHANGED IN NOVEMBER 2009 FOR THE CHFFA 2009 SERIES H BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN MAY 2013, ALL OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $143,112,407 TO FINANCE THE CONSTRUCTION/RENOVATION OF FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 13033FYE4 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN OCTOBER 2012, CERTAIN LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $147,665,635 TO FINANCE THE CONSTRUCTION/RENOVATION OF THE FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 040507GL3 PART I, COLUMN (C) THE ARIZONA HEALTH FACILITY FINANCING AUTHORITY (AHFA) 2005 SERIES CDE BONDS WERE EXCHANGED IN MAY 2008 FOR THE AHFA 2008 SERIES ABC BONDS, AND IN NOVEMBER 2009 THE AHFA 2008 SERIES C BONDS WERE EXCHANGED PURSUANT TO NOTICE 2008-41 WHICH DID NOT TREAT THE EXCHANGE AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. AHFA 2005 SERIES BCDE, OF WHICH AHFA 2005 SERIES CDE WERE EXCHANGED FOR AHFA 2008 SERIES ABC, OF WHICH AHFA 2008 SERIES C WAS EXCHANGED FOR AHFA 2009 SERIES F. THE CUSIP NUMBER NOTED ON SCHEDULE K '040507GL3' IS THE CUSIP FROM THE ORIGINAL FORM 8038 FILED FOR THE 2005 SERIES BCDE BONDS, ALL OF WHICH WERE ISSUED ON NOVEMBER 10, 2005. ON MAY 16, 2008, THE AHFA 2005 CDE BONDS WERE EXCHANGED, PURSUANT TO IRS NOTICE 2008-41, WITHOUT CAUSING A REISSUANCE, FOR AHFA 2009 SERIES F BONDS ON NOVEMBER 12, 2009. ALL OF THE SERIES NOTED ABOVE HAVE THE SAME MATURITY DATE OF JULY 1, 2035. THE CUSIPS OF THE OUTSTANDING BONDS ARE AHFA 2005 SERIES B '040507GM1', THE AHFA 2008 A '040507JT3', AHFA 2008 B '040507JU0', AHFA 2009 SERIES F '04057MK8'. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE THE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF THE LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CEASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IT WAS ASSOCIATED.
BOND E: CUSIP 130795DH7 PART I, COLUMN (C) THE CSCDA 2007 SERIES ABC BONDS WERE EXCHANGED IN MAY 2008 FOR THE CSCDA 2008 SERIES CFG BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND PRIOR BOND ISSUES - CA 1995 SERIES A (ISSUED MAY 25, 1995); CA 1996 SERIES A (ISSUED MAY 30, 1996); AND CA 1999 SERIES A (ISSUED DECEMBER 9, 1999); AND TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 6/30/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. PART IV, LINE 4A ALTHOUGH AT THE TIME OF SALE OF THE ABOVE SERIES OF BONDS, HEDGES WERE PROPERLY IDENTIFIED WITH RESPECT TO CSCDA 2007 SERIES ABC, SUCH HEDGES WERE DEEMED TERMINATED MAY 16, 2008 (CSCDA 2007 SERIES A WERE LATER EXCHANGED FOR CSCDA 2008 SERIES C FIXED RATE BONDS), MAY 14, 2009 (CSCDA 2007 SERIES C WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES G AND LATER REFINANCED TO CHFFA 2009 SERIES A FIXED RATE BONDS) AND NOVEMBER 12, 2009 (CSCDA 2007 SERIES B WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES F AND LATER REFINANCED WITH CHFFA 2009 SERIES G PUT BONDS) AS A RESULT OF EITHER THE REFINANCING OF THESE BONDS OR THE EXCHANGE (WITHOUT A REISSUANCE) AND CONVERSION OF THESE BONDS INTO LONG-TERM FIXED-RATE BONDS. THE CSCDA DEF BONDS ARE STILL OUTSTANDING AND CONTINUE TO HAVE HEDGES ASSOCIATED WITH THEM. PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IS WAS ASSOCIATED.
BOND L: CUSIP 13033LEQ6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2008 SERIES ABF; AND CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 2008 SERIES F BONDS ISSUED ON MAY 16, 2008. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 6/30/2011, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND N: CUSIP 566816JL9 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1992 SERIES A BONDS ISSUED ON SEPTEMBER 1, 1992 AND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 7/1/2018, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND O: CUSIP 13033LSZ1 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CHFFA 1993 SERIES A BONDS ISSUED ON MARCH 17, 1993, CHFFA 1996 SERIES E BONDS ISSUED ON DECEMBER 12, 1996, CHFFA 1997 SERIES A BONDS ISSUED ON OCTOBER 15, 1997 AND CHFFA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. REPAY LINE OF CREDIT USED TO RETIRE CHFFA 2004 SERIES H BONDS ISSUED ON APRIL 28, 2004. FINANCE CAPITAL PROJECTS AT VARIOUS HOSPITAL FACILITIES. PART II, LINE 11 BOND PROCEEDS WERE USED TO PAY OFF THE CHFFA 2004 SERIES H PUT BOND THAT CAME DUE ON 7/1/2011. THESE WERE FINANCED WITH A DRAW ON THE WORKING LINE OF CREDIT.
BOND P: CUSIP 040507MU6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES.
BOND Q: CUSIP 13033LUD7 PART I, COLUMN (F) REFUND CHFFA 2009 SERIES BC BONDS ISSUED ON MAY 14, 2009 AND CHFFA 2009 SERIES G BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND R: CUSIP 040507MV4 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 2009 SERIES B BONDS ISSUED ON MAY 14, 2009 AND ARIZONA HEALTH FACILITIES FINANCING AUTHORITY 2009 SERIES E BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019 AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND S: CUSIP 13033L4V6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CHFFA 2005 SERIES BCDEF (EXCHANGED TO CHFFA 2008 SERIES HIJKL BONDS IN MAY 16, 2008), CURRENT REFUND PRIOR BOND ISSUES - CHFFA 2004 SERIES G AND REFINANCE AMOUNTS ON A BANK LINE OF CREDIT THAT WERE USED TO PAY OFF CHFFA 2004 SERIES I, CHFFA 2009 SERIES D AND CHFFA 2009 SERIES F PUT BONDS. THE ADVANCED REFUNDED BONDS REFUNDED PRIOR BOND ISSUES - CHFFA 1988 SERIES A (ISSUED DECEMBER 3, 1998); CHFFA 1995 SERIES H (ISSUED MAY 25, 1995); CHFFA 1997 SERIES A (ISSUED OCTOBER 15, 1997); CHFFA 1998 SERIES A (ISSUED DECEMBER 3, 1998); CSCDA 1999 (ISSUED DECEMBER 9, 1999) AND FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND T: CUSIP 13032ULN6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CSCDA 2007 SERIES KL (ISSUED APRIL 26, 2007); CSCDA 2007 SERIES GHIJ (EXCHANGED TO CSCDA 2008 SERIES ABDE BONDS ON MAY 16, 2008).
Schedule K (Form 990) 2019

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number
94-1196203
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1598225 13033FTN0 05-19-2004 150,000,000 BOND B:CUSIP 13033FTN0-SEE PART VI   X   X X  
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033FYE4 11-10-2005 200,000,000 BOND C:CUSIP 13033FYE4-SEE PART VI   X   X X  
C ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507GL3 11-10-2005 224,000,000 BOND D:CUSIP 040506GL3-SEE PART VI   X   X X  
D CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 130795DH7 04-26-2007 400,000,000 BOND E:CUSIP 130795DH7-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LEQ6 11-12-2009 235,106,175 BOND L:CUSIP 13033LEQ6 - SEE PART VI X     X   X
THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ
 
86-0445263 566816JL9 07-14-2011 115,008,059 BOND N: CUSIP 566816JL9-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LSZ1 11-09-2011 515,217,012 BOND O: CUSIP 13033LSZ1-SEE PART VI X     X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MU6 11-09-2011 125,000,601 BOND P: CUSIP 04057MU6-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LUD7 06-27-2012 140,000,000 BOND Q: CUSIP 13033LUD7-SEE PART VI   X   X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MV4 06-27-2012 75,000,000 BOND R: CUSIP 04057MV4-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033L4V6 10-15-2014 294,763,279 BOND S: CUSIP 13033L4V6-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13032ULN6 12-06-2016 270,095,000 BOND T: CUSIP 13032ULN6-SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................   94,200,000 109,050,000  
2 Amount of bonds legally defeased .............. 131,985,000   16,765,000 160,000,000
3 Total proceeds of issue .................. 143,120,259 162,665,635 224,006,108 415,050,133
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     17,885,926 1,538,212
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 3,506,175     3,068,236
8 Credit enhancement from proceeds .............       14,157,815
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 143,120,259 162,665,635 224,006,108 289,056,921
11 Other spent proceeds ............. 231,600,000 115,008,059 290,213,028 107,228,949
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2007 2010 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
  X   X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
  X   X   X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 1.600 % 1.500 % 0.070 % 0.260 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.700 % 1.300 % 0.010 % 0.800 %
6 Total of lines 4 and 5 ............. 2.300 % 2.800 % 0.080 % 0.260 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider ..........  
 
 
 
 
 
CITIGROUP &
JPMORGAN
c Term of hedge .........       3420.0000000000 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........             X  
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period? X   X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2011 ISSUER NAME: THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2018 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019
BOND B: CUSIP 13033FTN0 PART I, COLUMN (C) THE CHFFA 2004 SERIES J BONDS WERE EXCHANGED IN NOVEMBER 2009 FOR THE CHFFA 2009 SERIES H BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN MAY 2013, ALL OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $143,112,407 TO FINANCE THE CONSTRUCTION/RENOVATION OF FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 13033FYE4 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN OCTOBER 2012, CERTAIN LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $147,665,635 TO FINANCE THE CONSTRUCTION/RENOVATION OF THE FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 040507GL3 PART I, COLUMN (C) THE ARIZONA HEALTH FACILITY FINANCING AUTHORITY (AHFA) 2005 SERIES CDE BONDS WERE EXCHANGED IN MAY 2008 FOR THE AHFA 2008 SERIES ABC BONDS, AND IN NOVEMBER 2009 THE AHFA 2008 SERIES C BONDS WERE EXCHANGED PURSUANT TO NOTICE 2008-41 WHICH DID NOT TREAT THE EXCHANGE AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. AHFA 2005 SERIES BCDE, OF WHICH AHFA 2005 SERIES CDE WERE EXCHANGED FOR AHFA 2008 SERIES ABC, OF WHICH AHFA 2008 SERIES C WAS EXCHANGED FOR AHFA 2009 SERIES F. THE CUSIP NUMBER NOTED ON SCHEDULE K '040507GL3' IS THE CUSIP FROM THE ORIGINAL FORM 8038 FILED FOR THE 2005 SERIES BCDE BONDS, ALL OF WHICH WERE ISSUED ON NOVEMBER 10, 2005. ON MAY 16, 2008, THE AHFA 2005 CDE BONDS WERE EXCHANGED, PURSUANT TO IRS NOTICE 2008-41, WITHOUT CAUSING A REISSUANCE, FOR AHFA 2009 SERIES F BONDS ON NOVEMBER 12, 2009. ALL OF THE SERIES NOTED ABOVE HAVE THE SAME MATURITY DATE OF JULY 1, 2035. THE CUSIPS OF THE OUTSTANDING BONDS ARE AHFA 2005 SERIES B '040507GM1', THE AHFA 2008 A '040507JT3', AHFA 2008 B '040507JU0', AHFA 2009 SERIES F '04057MK8'. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE THE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF THE LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CEASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IT WAS ASSOCIATED.
BOND E: CUSIP 130795DH7 PART I, COLUMN (C) THE CSCDA 2007 SERIES ABC BONDS WERE EXCHANGED IN MAY 2008 FOR THE CSCDA 2008 SERIES CFG BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND PRIOR BOND ISSUES - CA 1995 SERIES A (ISSUED MAY 25, 1995); CA 1996 SERIES A (ISSUED MAY 30, 1996); AND CA 1999 SERIES A (ISSUED DECEMBER 9, 1999); AND TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 6/30/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. PART IV, LINE 4A ALTHOUGH AT THE TIME OF SALE OF THE ABOVE SERIES OF BONDS, HEDGES WERE PROPERLY IDENTIFIED WITH RESPECT TO CSCDA 2007 SERIES ABC, SUCH HEDGES WERE DEEMED TERMINATED MAY 16, 2008 (CSCDA 2007 SERIES A WERE LATER EXCHANGED FOR CSCDA 2008 SERIES C FIXED RATE BONDS), MAY 14, 2009 (CSCDA 2007 SERIES C WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES G AND LATER REFINANCED TO CHFFA 2009 SERIES A FIXED RATE BONDS) AND NOVEMBER 12, 2009 (CSCDA 2007 SERIES B WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES F AND LATER REFINANCED WITH CHFFA 2009 SERIES G PUT BONDS) AS A RESULT OF EITHER THE REFINANCING OF THESE BONDS OR THE EXCHANGE (WITHOUT A REISSUANCE) AND CONVERSION OF THESE BONDS INTO LONG-TERM FIXED-RATE BONDS. THE CSCDA DEF BONDS ARE STILL OUTSTANDING AND CONTINUE TO HAVE HEDGES ASSOCIATED WITH THEM. PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IS WAS ASSOCIATED.
BOND L: CUSIP 13033LEQ6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2008 SERIES ABF; AND CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 2008 SERIES F BONDS ISSUED ON MAY 16, 2008. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 6/30/2011, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND N: CUSIP 566816JL9 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1992 SERIES A BONDS ISSUED ON SEPTEMBER 1, 1992 AND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 7/1/2018, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND O: CUSIP 13033LSZ1 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CHFFA 1993 SERIES A BONDS ISSUED ON MARCH 17, 1993, CHFFA 1996 SERIES E BONDS ISSUED ON DECEMBER 12, 1996, CHFFA 1997 SERIES A BONDS ISSUED ON OCTOBER 15, 1997 AND CHFFA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. REPAY LINE OF CREDIT USED TO RETIRE CHFFA 2004 SERIES H BONDS ISSUED ON APRIL 28, 2004. FINANCE CAPITAL PROJECTS AT VARIOUS HOSPITAL FACILITIES. PART II, LINE 11 BOND PROCEEDS WERE USED TO PAY OFF THE CHFFA 2004 SERIES H PUT BOND THAT CAME DUE ON 7/1/2011. THESE WERE FINANCED WITH A DRAW ON THE WORKING LINE OF CREDIT.
BOND P: CUSIP 040507MU6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES.
BOND Q: CUSIP 13033LUD7 PART I, COLUMN (F) REFUND CHFFA 2009 SERIES BC BONDS ISSUED ON MAY 14, 2009 AND CHFFA 2009 SERIES G BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND R: CUSIP 040507MV4 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 2009 SERIES B BONDS ISSUED ON MAY 14, 2009 AND ARIZONA HEALTH FACILITIES FINANCING AUTHORITY 2009 SERIES E BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019 AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND S: CUSIP 13033L4V6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CHFFA 2005 SERIES BCDEF (EXCHANGED TO CHFFA 2008 SERIES HIJKL BONDS IN MAY 16, 2008), CURRENT REFUND PRIOR BOND ISSUES - CHFFA 2004 SERIES G AND REFINANCE AMOUNTS ON A BANK LINE OF CREDIT THAT WERE USED TO PAY OFF CHFFA 2004 SERIES I, CHFFA 2009 SERIES D AND CHFFA 2009 SERIES F PUT BONDS. THE ADVANCED REFUNDED BONDS REFUNDED PRIOR BOND ISSUES - CHFFA 1988 SERIES A (ISSUED DECEMBER 3, 1998); CHFFA 1995 SERIES H (ISSUED MAY 25, 1995); CHFFA 1997 SERIES A (ISSUED OCTOBER 15, 1997); CHFFA 1998 SERIES A (ISSUED DECEMBER 3, 1998); CSCDA 1999 (ISSUED DECEMBER 9, 1999) AND FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND T: CUSIP 13032ULN6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CSCDA 2007 SERIES KL (ISSUED APRIL 26, 2007); CSCDA 2007 SERIES GHIJ (EXCHANGED TO CSCDA 2008 SERIES ABDE BONDS ON MAY 16, 2008).
Schedule K (Form 990) 2019

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number
94-1196203
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1598225 13033FTN0 05-19-2004 150,000,000 BOND B:CUSIP 13033FTN0-SEE PART VI   X   X X  
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033FYE4 11-10-2005 200,000,000 BOND C:CUSIP 13033FYE4-SEE PART VI   X   X X  
C ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507GL3 11-10-2005 224,000,000 BOND D:CUSIP 040506GL3-SEE PART VI   X   X X  
D CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 130795DH7 04-26-2007 400,000,000 BOND E:CUSIP 130795DH7-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LEQ6 11-12-2009 235,106,175 BOND L:CUSIP 13033LEQ6 - SEE PART VI X     X   X
THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ
 
86-0445263 566816JL9 07-14-2011 115,008,059 BOND N: CUSIP 566816JL9-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LSZ1 11-09-2011 515,217,012 BOND O: CUSIP 13033LSZ1-SEE PART VI X     X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MU6 11-09-2011 125,000,601 BOND P: CUSIP 04057MU6-SEE PART VI X     X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LUD7 06-27-2012 140,000,000 BOND Q: CUSIP 13033LUD7-SEE PART VI   X   X   X
ARIZONA HEALTH FACILITIES AUTHORITY
 
86-0453292 040507MV4 06-27-2012 75,000,000 BOND R: CUSIP 04057MV4-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033L4V6 10-15-2014 294,763,279 BOND S: CUSIP 13033L4V6-SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13032ULN6 12-06-2016 270,095,000 BOND T: CUSIP 13032ULN6-SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................   94,200,000 109,050,000  
2 Amount of bonds legally defeased .............. 131,985,000   16,765,000 160,000,000
3 Total proceeds of issue .................. 143,120,259 162,665,635 224,006,108 415,050,133
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     17,885,926 1,538,212
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 3,506,175     3,068,236
8 Credit enhancement from proceeds .............       14,157,815
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 143,120,259 162,665,635 224,006,108 289,056,921
11 Other spent proceeds ............. 231,600,000 115,008,059 290,213,028 107,228,949
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2007 2010 2007 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
  X   X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
  X   X   X X  
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 1.600 % 1.500 % 0.070 % 0.260 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.700 % 1.300 % 0.010 % 0.800 %
6 Total of lines 4 and 5 ............. 2.300 % 2.800 % 0.080 % 0.260 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X X  
b Name of provider ..........  
 
 
 
 
 
CITIGROUP &
JPMORGAN
c Term of hedge .........       3420.0000000000 %
d Was the hedge superintegrated? ......               X
e Was the hedge terminated? ........             X  
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period? X   X   X   X  
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2015 ISSUER NAME: CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2011 ISSUER NAME: THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2018 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: ARIZONA HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019
BOND B: CUSIP 13033FTN0 PART I, COLUMN (C) THE CHFFA 2004 SERIES J BONDS WERE EXCHANGED IN NOVEMBER 2009 FOR THE CHFFA 2009 SERIES H BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN MAY 2013, ALL OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $143,112,407 TO FINANCE THE CONSTRUCTION/RENOVATION OF FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND C: CUSIP 13033FYE4 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN OCTOBER 2012, CERTAIN LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, DIGNITY HEALTH BORROWED THE SUM OF $147,665,635 TO FINANCE THE CONSTRUCTION/RENOVATION OF THE FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND D: CUSIP 040507GL3 PART I, COLUMN (C) THE ARIZONA HEALTH FACILITY FINANCING AUTHORITY (AHFA) 2005 SERIES CDE BONDS WERE EXCHANGED IN MAY 2008 FOR THE AHFA 2008 SERIES ABC BONDS, AND IN NOVEMBER 2009 THE AHFA 2008 SERIES C BONDS WERE EXCHANGED PURSUANT TO NOTICE 2008-41 WHICH DID NOT TREAT THE EXCHANGE AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. AHFA 2005 SERIES BCDE, OF WHICH AHFA 2005 SERIES CDE WERE EXCHANGED FOR AHFA 2008 SERIES ABC, OF WHICH AHFA 2008 SERIES C WAS EXCHANGED FOR AHFA 2009 SERIES F. THE CUSIP NUMBER NOTED ON SCHEDULE K '040507GL3' IS THE CUSIP FROM THE ORIGINAL FORM 8038 FILED FOR THE 2005 SERIES BCDE BONDS, ALL OF WHICH WERE ISSUED ON NOVEMBER 10, 2005. ON MAY 16, 2008, THE AHFA 2005 CDE BONDS WERE EXCHANGED, PURSUANT TO IRS NOTICE 2008-41, WITHOUT CAUSING A REISSUANCE, FOR AHFA 2009 SERIES F BONDS ON NOVEMBER 12, 2009. ALL OF THE SERIES NOTED ABOVE HAVE THE SAME MATURITY DATE OF JULY 1, 2035. THE CUSIPS OF THE OUTSTANDING BONDS ARE AHFA 2005 SERIES B '040507GM1', THE AHFA 2008 A '040507JT3', AHFA 2008 B '040507JU0', AHFA 2009 SERIES F '04057MK8'. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE, THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN ON PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY DIGNITY HEALTH AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE THE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF THE LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CEASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IT WAS ASSOCIATED.
BOND E: CUSIP 130795DH7 PART I, COLUMN (C) THE CSCDA 2007 SERIES ABC BONDS WERE EXCHANGED IN MAY 2008 FOR THE CSCDA 2008 SERIES CFG BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND PRIOR BOND ISSUES - CA 1995 SERIES A (ISSUED MAY 25, 1995); CA 1996 SERIES A (ISSUED MAY 30, 1996); AND CA 1999 SERIES A (ISSUED DECEMBER 9, 1999); AND TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 6/30/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE. PART IV, LINE 4A ALTHOUGH AT THE TIME OF SALE OF THE ABOVE SERIES OF BONDS, HEDGES WERE PROPERLY IDENTIFIED WITH RESPECT TO CSCDA 2007 SERIES ABC, SUCH HEDGES WERE DEEMED TERMINATED MAY 16, 2008 (CSCDA 2007 SERIES A WERE LATER EXCHANGED FOR CSCDA 2008 SERIES C FIXED RATE BONDS), MAY 14, 2009 (CSCDA 2007 SERIES C WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES G AND LATER REFINANCED TO CHFFA 2009 SERIES A FIXED RATE BONDS) AND NOVEMBER 12, 2009 (CSCDA 2007 SERIES B WERE EXCHANGED WITHOUT A REISSUANCE FOR CSCDA 2008 SERIES F AND LATER REFINANCED WITH CHFFA 2009 SERIES G PUT BONDS) AS A RESULT OF EITHER THE REFINANCING OF THESE BONDS OR THE EXCHANGE (WITHOUT A REISSUANCE) AND CONVERSION OF THESE BONDS INTO LONG-TERM FIXED-RATE BONDS. THE CSCDA DEF BONDS ARE STILL OUTSTANDING AND CONTINUE TO HAVE HEDGES ASSOCIATED WITH THEM. PART IV, LINE 4E ALTHOUGH NONE OF THE INTEREST RATE SWAPS (EACH A "SWAP AND COLLECTIVELY THE "SWAPS") ENTERED INTO WITH RESPECT TO CERTAIN OF THE BOND ISSUES SET FORTH IN SCHEDULE K WERE ACTUALLY TERMINATED BY EITHER DIGNITY HEALTH, WHICH WAS THE PARTY TO THE SWAP, OR BY THE COUNTERPARTY TO THE PARTICULAR SWAP, EACH SWAP WAS DEEMED TERMINATED PURSUANT TO SECTION 1.148-4(H)(3)(IV)(A) OF THE TREASURY REGULATIONS AT THE TIME SUCH SWAP CASED TO BE A "QUALIFIED HEDGE" WITH RESPECT TO THE BONDS WITH WHICH IS WAS ASSOCIATED.
BOND L: CUSIP 13033LEQ6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 2008 SERIES ABF; AND CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 2008 SERIES F BONDS ISSUED ON MAY 16, 2008. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 6/30/2011, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND N: CUSIP 566816JL9 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1992 SERIES A BONDS ISSUED ON SEPTEMBER 1, 1992 AND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 7/1/2018, IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND O: CUSIP 13033LSZ1 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) REFUND CHFFA 1993 SERIES A BONDS ISSUED ON MARCH 17, 1993, CHFFA 1996 SERIES E BONDS ISSUED ON DECEMBER 12, 1996, CHFFA 1997 SERIES A BONDS ISSUED ON OCTOBER 15, 1997 AND CHFFA 1998 SERIES A BONDS ISSUED ON DECEMBER 3, 1998. REPAY LINE OF CREDIT USED TO RETIRE CHFFA 2004 SERIES H BONDS ISSUED ON APRIL 28, 2004. FINANCE CAPITAL PROJECTS AT VARIOUS HOSPITAL FACILITIES. PART II, LINE 11 BOND PROCEEDS WERE USED TO PAY OFF THE CHFFA 2004 SERIES H PUT BOND THAT CAME DUE ON 7/1/2011. THESE WERE FINANCED WITH A DRAW ON THE WORKING LINE OF CREDIT.
BOND P: CUSIP 040507MU6 PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) TO FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES.
BOND Q: CUSIP 13033LUD7 PART I, COLUMN (F) REFUND CHFFA 2009 SERIES BC BONDS ISSUED ON MAY 14, 2009 AND CHFFA 2009 SERIES G BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND R: CUSIP 040507MV4 PART I, COLUMN (F) REFUND INDUSTRIAL DEVELOPMENT AUTHORITY OF MARICOPA COUNTY ARIZONA 2009 SERIES B BONDS ISSUED ON MAY 14, 2009 AND ARIZONA HEALTH FACILITIES FINANCING AUTHORITY 2009 SERIES E BONDS ISSUED ON NOVEMBER 12, 2009. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019 AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND S: CUSIP 13033L4V6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CHFFA 2005 SERIES BCDEF (EXCHANGED TO CHFFA 2008 SERIES HIJKL BONDS IN MAY 16, 2008), CURRENT REFUND PRIOR BOND ISSUES - CHFFA 2004 SERIES G AND REFINANCE AMOUNTS ON A BANK LINE OF CREDIT THAT WERE USED TO PAY OFF CHFFA 2004 SERIES I, CHFFA 2009 SERIES D AND CHFFA 2009 SERIES F PUT BONDS. THE ADVANCED REFUNDED BONDS REFUNDED PRIOR BOND ISSUES - CHFFA 1988 SERIES A (ISSUED DECEMBER 3, 1998); CHFFA 1995 SERIES H (ISSUED MAY 25, 1995); CHFFA 1997 SERIES A (ISSUED OCTOBER 15, 1997); CHFFA 1998 SERIES A (ISSUED DECEMBER 3, 1998); CSCDA 1999 (ISSUED DECEMBER 9, 1999) AND FINANCE CAPITAL EXPENDITURES AT VARIOUS HOSPITAL FACILITIES. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 7/1/2019, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND T: CUSIP 13032ULN6 PART I, COLUMN (F) ADVANCE REFUNDED PRIOR BOND ISSUES - CSCDA 2007 SERIES KL (ISSUED APRIL 26, 2007); CSCDA 2007 SERIES GHIJ (EXCHANGED TO CSCDA 2008 SERIES ABDE BONDS ON MAY 16, 2008).
Schedule K (Form 990) 2019

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WADE DEAN FAMILY MEMBER OF L DEAN, BOD/ OFFICER 65,325 EMPLOYMENT   No
(2) ALLISON COVA FAMILY MEMBER OF C COVA, KEY EMPLOYEE 253,984 EMPLOYMENT   No
(3) ANGELA DEMICHELE FAMILY MEMBER OF M DEMICHELE, BOD 103,297 EMPLOYMENT   No
(4) E-LEAD RESOURCES INC
 
FAMILY MEMBER OF L DEAN, BOD/ OFFICER 3,163,226 MARKETING PRODUCTS & SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 2 1,950 COMPARABLE SALE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 175 RESALE VALUE
5 Clothing and household
goods .......
X 17,417 RESALE VALUE
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( COVID FOOD/MEDICAL SUPPLIES ) X 69 1,777,155 COST
26 Other Right pointing arrow large image ( MEDICAL EQUIPMENT ) X 11 380,880 COMPARABLE SALE
27 Other Right pointing arrow large image ( FOOD AND WINE ) X 27 137,009 COMPARABLE SALE
28 Other Right pointing arrow large image ( 3D MODEL OF HOSPITAL CAMPUS EXPANSION ) X 1 20,000 COMPARABLE SALE
Other Right pointing arrow large image ( MEDICAL SUPPLIES ) X 8 11,939 COMPARABLE SALE
Other Right pointing arrow large image ( TOYS ) X 8 4,074 COMPARABLE SALE
Other Right pointing arrow large image ( GIFT CERTIFICATES/TICKETS ) X 7 2,290 COMPARABLE SALE
Other Right pointing arrow large image ( WIGS ) X 2 1,900 COMPARABLE SALE
Other Right pointing arrow large image ( PHONE CHARGERS ) X 1 375 COMPARABLE SALE
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): ART - WORKS OF ART: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. COVID FOOD AND MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. MEDICAL EQUIPMENT: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FOOD AND WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. 3D MODEL OF HOSPITAL CAMPUS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. GIFT CERTIFICATES/TICKETS/ENTERTAINMENT: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. WIGS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. PHONE CHARGERS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.
PART I, LINE 32B: DIGNITY HEALTH IS SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF DIGNITY HEALTH'S HOSPITALS.
Schedule M (Form 990) (2019)

Additional Data


Software ID:  
Software Version:  
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
2019
Open to Public
Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
Return Reference Explanation
FORM 990, PART III, LINE 1 OUR MISSION: COMMONSPIRIT'S MISSION, VISION AND VALUES INFORM EVERY ASPECT OF OUR WORK EACH DAY, AND REMIND US THAT WE SERVE OUR PATIENTS, THEIR FAMILIES, OUR COMMUNITIES AND ALSO EACH OTHER. OUR MISSION, VISION AND VALUES WORK HAND IN HAND: THE FIRST STATES OUR PURPOSE, THE NEXT DECLARES OUR AMBITION, AND OUR VALUES GUIDE OUR ACTIONS AND SHAPE OUR CULTURE. TOGETHER, THEY HELP US ACHIEVE THE HEALTH CARE FUTURE WE'RE BEGINNING TO BUILD. OUR VISION: A HEALTHIER FUTURE FOR ALL INSPIRED BY FAITH, DRIVEN BY INNOVATION, AND POWERED BY OUR HUMANITY. DIGNITY HEALTH IS COMMITTED TO MAKING THE HEALING OF GOD KNOWN. WE ASPIRE TO BE A HEALTH CARE MINISTRY. THROUGH TEAMWORK AND INNOVATION, FAITH AND COMPASSION, ADVOCACY AND ACTION, WE ENDEAVOR EVERY DAY TO KEEP OUR PATIENTS HAPPY, HEALTHY, AND WHOLE. OUR VALUES: IN LIVING OUR MISSION, WE STRIVE TO DELIVER COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH CARE; SERVE AND ADVOCATE FOR THOSE SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNER WITH OTHERS IN THE COMMUNITIES WE SERVE TO IMPROVE THE QUALITY OF LIFE. IN CARRYING OUT OUR HEALING MINISTRY, WE EMBODY THE VALUES OF COMPASSION, INCLUSION, INTEGRITY, EXCELLENCE AND COLLABORATION. THESE VALUES ARE FURTHER EXPLAINED BELOW. COMPASSION: CARE WITH LISTENING, EMPATHY AND LOVE. ACCOMPANY AND COMFORT THOSE IN NEED OF HEALING. INCLUSION: CELEBRATE EACH PERSON'S GIFTS AND VOICE. RESPECT THE DIGNITY OF ALL. INTEGRITY: INSPIRE TRUST THROUGH HONESTY. DEMONSTRATE COURAGE IN THE FACE OF INEQUITY. EXCELLENCE: SERVE WITH FULLEST PASSION, CREATIVITY, AND STEWARDSHIP. EXCEED EXPECTATIONS OF OTHERS AND OURSELVES. COLLABORATION: COMMIT TO THE POWER OF WORKING TOGETHER. BUILD AND NURTURE MEANINGFUL RELATIONSHIPS.
FORM 990, PART III, LINE 4A DIGNITY HEALTH IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. DIGNITY HEALTH OPERATED 21 HOSPITALS THROUGHOUT MAJOR CALIFORNIA DIVISIONS AND IN THE ARIZONA AND NEVADA DIVISIONS DURING THE YEAR ENDED JUNE 30, 2020. DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' FACILITIES INCLUDED APPROXIMATELY 4,836 LICENSED ACUTE CARE BEDS AND APPROXIMATELY 169 LICENSED SKILLED NURSING BEDS AS OF JUNE 30, 2020. DIGNITY HEALTH MAINTAINS A PROMINENT MARKET SHARE IN MANY OF ITS DIVISIONAL AREAS, AND MANY OF ITS HOSPITALS RANK AMONG THE FINEST IN THE NATION. WITH A SIGNIFICANT PRESENCE IN GREATER SACRAMENTO, SAN FRANCISCO BAY AREA, SOUTHERN CALIFORNIA, CENTRAL COAST, CENTRAL CALIFORNIA, AND NORTHERN CALIFORNIA, DIGNITY HEALTH'S CALIFORNIA OPERATIONS ARE WELL DISPERSED THROUGHOUT THE STATE. DIGNITY HEALTH'S HOSPITALS OPERATE EMERGENCY ROOMS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; HAVE COMMUNITY BOARDS IN WHICH PRIMARILY INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; ENGAGE IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS; AND PARTICIPATE IN MEDICAID, MEDICARE, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THIS ORGANIZATION IS A PUBLIC BENEFIT CORPORATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION A, LINE 1 THE DIGNITY HEALTH BYLAWS PROVIDE THAT THE REQUIREMENTS AND PROVISIONS RELATING TO COMMITTEES OF THE BOARD SHALL BE AS SET FORTH IN THE BYLAWS OF THE MEMBER. COMMONSPIRIT HEALTH'S BOARD OF STEWARDSHIP TRUSTEES HAS AN EXECUTIVE COMMITTEE WHICH CONSISTS ONLY OF MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES AND INCLUDES BOTH THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD OF STEWARDSHIP TRUSTEES, THE CO-CHIEF EXECUTIVE OFFICERS OF COMMONSPIRIT HEALTH, AND ONE ADDITIONAL TRUSTEE. PURSUANT TO THE COMMONSPIRIT HEALTH BYLAWS, EXCEPT AS OTHERWISE PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF STEWARDSHIP TRUSTEES. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF STEWARDSHIP TRUSTEES, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF STEWARDSHIP TRUSTEES, THE BYLAWS, OR APPLICABLE LAW. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF STEWARDSHIP TRUSTEES AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF STEWARDSHIP TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 2 CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WITH DIGNITY HEALTH (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES AT THE DIRECTION OF DIGNITY HEALTH. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS: PRIMED MANAGEMENT CONSULTING - M. O'QUINN, B. SWARTZ DIGNITY-GOHEALTH URGENT CARE MANAGEMENT LLC - T. STRUMWASSER, B. SWARTZ ARIZONA CARE NETWORK LLC, ARIZONA CARE NETWORK NEXT LLC AND DIGNITY/ABRAZO HEALTH NETWORK LLC - HUNT, B.SWARTZ OPTUM 360, LLC AND OPTUM SERVICES - P. HANELT, L. ZUCKERMAN CONCENTRA GROUP HOLDINGS - K. BRADLEY, L. ZUCKERMAN DIGNITY HEALTH GLOBAL EDUCATION LTD. - M. O'QUINN, K. SANFORD DIGNITY HEALTH BIOLIFE HOLDING - B. LOANZON, E. SHIH DIGNITY/USP NORCAL SURGERY CARE CENTER LL C - L. HARTING, T. STRUMWASSER DIGNITY HEALTH HOLDING CORPORATION - E. SHIH, D. MORISSETTE, C. FRANCIS, M. O'QUINN DIGNITY HEALTH PROVIDER RESOURCES, INC. - B. SWARTZ, T. WILCOX, J. BIETSCH DIGNITY HEALTH INSURANCE LTD. - C. COVA, K. LOFTON, M. MELFI, D. MORISSETTE, M. O'QUINN, R. WIEBE FIRST INITIATIVES INSURANCE LTD. - K. LOFTON, M. MELFI, A. HARDY-WALLER, D. MORISSETTE CONSOLIDATED HEALTH SERVICES - M. MELFI, P. EDGETT, III FRANCISCAN HEALTH SERVICES - M. MELFI, T. KOPFENSTEINER CHI CENTER FOR TRANSITIONAL RESEARCH - K. SANFORD, R. WIEBE
FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE FEBRUARY 1, 2019, THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, COMMONSPIRIT HEALTH, A 501(C)(3) EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A SPONSOR THE CANONICAL SPONSOR OF THE CORPORATION IS CATHOLIC HEALTH CARE FEDERATION ("CHCF"), A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW OF THE ROMAN CATHOLIC CHURCH. CHCF'S RESERVED RIGHTS OVER COMMONSPIRIT HEALTH, THE CORPORATION'S SOLE CORPORATE MEMBER, INCLUDE APPROVAL AND REMOVAL OF ANY MEMBERS OF THE COMMONSPIRIT HEALTH BOARD OF TRUSTEES. BECAUSE, PURSUANT TO ITS BYLAWS, THE DIGNITY HEALTH BOARD OF DIRECTORS SHALL AT ALL TIMES BE THOSE PERSONS WHO SERVE FROM TIME TO TIME AS THE DIRECTORS OF COMMONSPIRIT, AND ELECTION, RESIGNATION, REMOVAL OR VACANCY ON COMMONSPIRIT'S BOARD OF DIRECTORS SHALL AUTOMATICALLY AND SIMULTANEOUSLY HAVE AN IDENTICAL EFFECT ON THE DIGNITY HEALTH BOARD OF DIRECTORS, CHCF RETAINS CONTROL OVER THE APPROVAL OR REMOVAL OF MEMBERS OF THE DIGNITY HEALTH BOARD OF DIRECTORS. IN ADDITION, CHCF RETAINS CANONICAL APPROVAL AUTHORITY OVER THE ALIENATION OF PROPERTY BELONGING TO CHCF.
FORM 990, PART VI, SECTION A, LINE 7B COMMONSPIRIT, AS THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH, HAS SPECIFIC RESERVED RIGHTS AS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX WITH RESPECT TO CERTAIN CORPORATE ACTIONS OF THE FILING ORGANIZATION AND ITS SUBSIDIARIES. THOSE RESERVED RIGHTS INCLUDE THE RIGHT TO: -APPROVE A SUBSTANTIAL CHANGE IN MISSION OR PHILOSOPHICAL DIRECTION OF DIGNITY HEALTH -CLOSURE OF A HOSPITAL BY DIGNITY HEALTH -APPROVE AMENDMENT OF THE ARTICLES AND BYLAWS OF DIGNITY HEALTH -APPROVE INCURRENCE OF DEBT BY DIGNITY HEALTH, INCLUDING WITHOUT LIMITATION, BORROWINGS, LOANS, ENCUMBRANCES, OPERATING LEASES AND CAPITAL LEASES, IN EXCESS OF THRESHOLDS AND WITHIN LIMITS ESTABLISHED BY COMMONSPIRIT HEALTH -APPROVE A JOINT VENTURE OR PARTNERSHIP HAVING DIGNITY HEALTH AS A PARTY -APPROVE AN INCREASE OR DECREASE TO AN EXISTING JOINT VENTURE OR PARTNERSHIP INTEREST BY DIGNITY HEALTH -APPROVE CREATION OF A NEW CORPORATION OR LIMITED LIABILITY COMPANY BY DIGNITY HEALTH -APPROVE MERGER OR CONSOLIDATION OF DIGNITY HEALTH -APPROVE DISSOLUTION OF DIGNITY HEALTH -SELL OR DISPOSE OF (I) ASSETS IN EXCESS OF THRESHOLDS ESTABLISHED BY COMMONSPIRIT HEALTH OR (II) ALL OR SUBSTANTIALLY ALL OF AN OPERATING UNIT OF THE ASSETS OF DIGNITY HEALTH -APPROVE AN ACQUISITION OF, OR NEW DIRECT INVESTMENT IN, AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY HEALTH -APPROVE AN INCREASE OR DECREASE IN AN EXISTING DIRECT INVESTMENT IN AN ENTERPRISE BUSINESS LINE OR OTHER SUCH COMPANY OR CORPORATE ENTITY BY DIGNITY HEALTH -APPOINTMENT OR TERMINATION OF A CEO BY DIGNITY HEALTH -ADOPT LONG RANGE AND STRATEGIC PLANS BY DIGNITY HEALTH -ADOPT CONSOLIDATED HEALTHCARE SYSTEM OPERATING AND CAPITAL BUDGET FOR DIGNITY HEALTH -ADOPT VARIATIONS FROM OPERATING AND/OR CAPITAL BUDGET IN EXCESS OF THRESHOLD ESTABLISHED BY COMMONSPIRIT HEALTH BY DIGNITY HEALTH IN ADDITION, COMMONSPIRIT HEALTH HAS RETAINED RIGHTS CONCERNING APPROVAL OF COMPENSATION PHILOSOPHY, INCENTIVE COMPENSATION DESIGN AND ESTABLISHMENT OF ANNUAL AND LONG TERM INCENTIVE GOALS, EXECUTIVE COMPENSATION PLANS AND REVIEW OF TOTAL REMUNERATION FOR REASONABLENESS.
FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S SYSTEM VICE PRESIDENT OF FINANCE-DIGNITY HEALTH CONTROLLER AND THE TAX MANAGER REVIEWED THE FINAL DRAFT OF THIS FORM 990 WITH THE SVP/FINANCE AND CORPORATE CONTROLLER OF COMMONSPIRIT. THE SVP/FINANCE AND CORPORATE CONTROLLER OF COMMONSPIRIT REVIEWED THE DRAFT OF THIS FORM 990 WITH THE SEVP/CHIEF FINANCIAL OFFICER. THE REVIEWS INCLUDED AN EXPLANATION OF EACH SCHEDULE OF THE FORM 990 AND THE PERTINENT INFORMATION CONTAINED ON EACH SCHEDULE. THE VP AND DEPUTY GENERAL COUNSEL, NATIONAL SERVICES AND BUSINESS LINES, REVIEWED GOVERNANCE SCHEDULES AND THE EVP/CHIEF COMPLIANCE OFFICER REVIEWED THE CONFLICT OF INTEREST SCHEDULES. COMPENSATION SCHEDULES AND DISCLOSURES WERE REVIEWED WITH THE SEVP, CHIEF HUMAN RESOURCES OFFICER AND THE DIGNITY HEALTH BOARD OF DIRECTORS HUMAN RESOURCES AND COMPENSATION COMMITTEE. THE COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C: THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THROUGH FEBRUARY 7, 2019, CONFLICTS WERE ADMINISTERED SOLELY THROUGH DIGNITY HEALTH'S GOVERNANCE POLICY (DESCRIBED BELOW). ON FEBRUARY 8, 2019, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC HEALTH MINISTRIES OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH, THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPROVED COMMONSPIRIT HEALTH CORPORATE RESPONSIBILITY POLICY NO. G-001, COMMONSPIRIT HEALTH CONFLICTS OF INTEREST POLICY. THIS POLICY APPLIES TO MEMBERS OF COMMONSPIRIT SYSTEM ENTITIES, CORPORATE BOARDS AND COMMITTEES OF THOSE CORPORATE BOARDS, MEMBERS OF CERTAIN COMMUNITY BOARDS OF COMMONSPIRIT SYSTEM ENTITIES AND MEMBERS OF COMMITTEES OF THOSE COMMUNITY BOARDS, CORPORATE OFFICERS OF COMMONSPIRIT SYSTEM ENTITIES, EMPLOYEES OF COMMONSPIRIT SYSTEM ENTITIES AT THE LEVEL OF VICE PRESIDENT OR ABOVE, AND ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. THIS POLICY STIPULATES THAT, BECAUSE THE PRE-CLOSING CHI COI POLICIES AND PRE-CLOSING DIGNITY HEALTH COI POLICIES ENCOMPASS THE CATEGORIES OF COVERED PERSONS THAT ARE MINIMALLY REQUIRED BY THE NEW SYSTEM POLICY, THE PRE-CLOSING CHI COI POLICY SHALL CONTINUE TO APPLY TO THE CHI ENTITIES AND THE INDIVIDUALS WHO WERE SUBJECT TO THE PRE-CLOSING CHI COI POLICIES; AND THE PRE-CLOSING DIGNITY HEALTH COI POLICIES SHALL CONTINUE TO APPLY TO THE DIGNITY HEALTH ENTITIES AND THE INDIVIDUALS WHO WERE SUBJECT TO THE PRE-CLOSING DIGNITY HEALTH COI POLICIES. HOWEVER, NOTWITHSTANDING THE FOREGOING, UNTIL COMMONSPIRIT HEALTH ADOPTS A SINGLE PROCESS FOR IDENTIFYING AND MANAGING CONFLICTS OF INTEREST FOR ALL SYSTEM ENTITIES, THE FOLLOWING INDIVIDUALS SHALL BE SUBJECT TO THE PRE-CLOSING CHI COI POLICIES FROM AND AFTER THE EFFECTIVE DATE OF CORPORATE RESPONSIBILITY POLICY NO. G-001: 1. MEMBERS OF THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES AND MEMBERS OF THE COMMITTEES OF THE BOARD OF STEWARDSHIP TRUSTEES; 2. CORPORATE OFFICERS OF COMMONSPIRIT HEALTH; 3. MEMBERS OF THE BOARD OF DIRECTORS OF DIGNITY HEALTH AND MEMBERS OF THE COMMITTEES OF THE BOARD OF DIRECTORS OF DIGNITY HEALTH. DURING THE PERIOD JULY 1, 2019 JUNE 30, 2020, DIGNITY HEALTH WAS ALSO SUBJECT TO THE PRE-CLOSING DIGNITY HEALTH WRITTEN CONFLICT OF INTEREST POLICIES (THE "DIGNITY HEALTH COI POLICIES"). THESE POLICIES PROVIDE FOR THE DISCLOSURE AND SUBSEQUENT REVIEW AND MANAGEMENT OF CONFLICTS OF INTEREST THAT MAY EXIST FOR 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 DESIGNATED PERSONNEL ("COVERED PERSONS"). AS NOTED ABOVE, THESE PRE-CLOSING DIGNITY HEALTH COI POLICIES CONTINUE TO APPLY AFTER FEBRUARY 8, 2019 TO THOSE INDIVIDUALS PREVIOUSLY COVERED UNDER THE DIGNITY HEALTH POLICY EXCEPT FOR THE MEMBERS OF THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES, CORPORATE OFFICERS OF COMMONSPIRIT HEALTH, DIGNITY HEALTH BOARD OF DIRECTORS AND MEMBERS OF THE COMMITTEES OF THE BOARD OF DIRECTORS OF DIGNITY HEALTH (ALL OF WHOM ARE COVERED BY THE PRE-CLOSING CHI COI POLICY BEGINNING ON FEBRUARY 8, 2019). PURSUANT TO THE AFORESAID POLICIES, DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS DESCRIBED BELOW. A. DISCLOSURE OBLIGATIONS: 1. ONGOING: EACH PERSON COVERED BY THE COMMONSPIRIT COI POLICY IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE TO HIS/HER DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE CHAIR, ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST. THE PERSON MUST DISCLOSE THE ACTUAL OR POTENTIAL CONFLICT AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ANY SITUATION IN WHICH THE PERSON IS IN DOUBT IT IS EXPECTED THAT FULL DISCLOSURE BE MADE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION AS TO THE EXISTENCE OF A CONFLICT. 2. PERIODIC WRITTEN: IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, PERIODIC WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED AS FOLLOWS: A) INITIALLY: UPON AFFILIATON WITH A COMMONSPIRIT ENTITY B) AT LEAST ANNUALLY VIA A FORMAL SYSTEM OR SYSTEM ENTITY - ADMINISTERED SURVERY OR SIMILAR PROCESS, AND C) PROMPTLY UPON LEARNING OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT HAS NOT ALREADY BEEN DISCLOSED. 3. FAILURE TO DISCLOSE - AN INDIVIDUAL WHO FAILS TO ADHERE TO THE POLICY MAY BE SUBJECT TO DISCIPLINARY OR CORRECTIVE ACTIONS INCLUDING WITHOUT LIMITATION, TERMINATION OF EMPLOYMENT, OR REMOVAL FROM A BOARD OR COMMITTEE SERVICE. B. CONFLICTS REVIEW: 1. NO DISCLOSED CONFLICTS: IN THE ABSENCE OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, NO FOLLOW-UP CONFLICTS REVIEW IS REQUIRED OR PERFORMED. 2. DISCLOSURE OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS: A) ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS (DEPENDING UPON THE ROLE OF THE INDIVIDUAL DISCLOSING THE ACTUAL OR POTENTIAL CONFLICT) TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL FOR A CONFLICT MAY EXIST. B) IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT MAY EXIST, I. IN THE CASE OF BOARD OR COMMITTEE MEMBERS OR OFFICERS, ISSUES ARE ELEVATED TO THE EXECUTIVE COMMITTEE OF THE BOARD OR BOARD CHAIR. II. IN THE CASE OF OTHER PERSONS, CONFLICTS ISSUES ARE ELEVATED TO THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC"). C. CONFLICTS DETERMINATION AND MANAGEMENT: 1. MATTERS ELEVATED TO C-CIRC: A) THE C-CIRC DETERMINES WHETHER A DISCLOSED OR OTHERWISE IDENTIFIED INTEREST IS A CONFLICT OF INTEREST. IF THE C-CIRC DETERMINES THAT A COI EXISTS, AND ADEQUATE CONTROLS ARE NOT IN PLACE TO MITIGATE THE CONFLICT, THE C-CIRC FACILITATES DEVELOPMENT OF A COI MANAGEMENT PLAN DESIGNED TO MITIGATE THE CONFLICT. DESIGNATED ENTITY STAFF ARE RESPONSIBLE FOR MONITORING THE COI MANAGEMENT PLAN AND FOR DOCUMENTING MONITORING ACTIVITIES. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 12C B) APPEAL - IF A PERSON DOES NOT AGREE WITH A DETERMINATION MADE BY THE C-CIRC, ITS INTERPRETATION OF THE COI POLICY, STILL SEEKS AN EXEMPTION OR EXCEPTION, OR SEEKS FURTHER CLARIFICATION OF THE C-CIRC 'S DECISION, THE INDIVIDUAL MAY APPEAL THE DECISION THROUGH HIS OR HER MANAGER FOR RECONSIDERATION BY THE C-CIRC, AND THE C-CIRC WILL REVIEW AND ISSUE A FINAL DETERMINATION BASED UPON ANY NEW OR ADDITIONAL INFORMATION PRESENTED. 2. MATTERS ELEVATED TO THE EXECUTIVE COMMITTEE OR BOARD CHAIR: A) DETERMINATION OF EXISTENCE OF CONFLICT - THE BOARD CHAIR OR HIS OR HER DESIGNEE PERFORMS ANY FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR ASSUMES THE CHAIR'S ROLE OUTLINED IN THE COI POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THE COI POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, IS MADE. THE BOARD CHAIR THEN MAKES AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING THE COI REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER TRUSTEE AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED UNDER THE COI POLICY, THE MATTER IS SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH MAKES A FINAL DETERMINATION AS TO THE MATTER PRESENTED. THAT DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, IS REFLECTED IN THE EXECUTIVE COMMITTEE MINUTES AND IS REPORTED TO THE BOARD. B) BOARD EVALUATION OF TRANSACTIONS INVOLVING AN OFFICER / BOARD MEMBER CONFLICT OF INTEREST - I. THE BOARD CAREFULLY SCRUTINIZES AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH COMMONSPIRIT OR A COMMONSPIRIT ENTITY IS A PARTY AND IN WHICH THE TRUSTEE OR A CORPORATE OFFICER EITHER: 1. HAS A MATERIAL FINANCIAL INTEREST; OR 2. IS A TRUSTEE OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A COMMONSPIRIT AFFILIATED ORGANIZATION). II. THE BOARD MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE TRUSTEES ON THE BOARD (NOT COUNTING ANY INTERESTED TRUSTEE). IN REVIEWING SUCH TRANSACTIONS BETWEEN COMMONSPIRIT OR COMMONSPIRIT ENTITIES AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, TRUSTEES OR CORPORATE OFFICERS, THE BOARD ACTS NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION IS NOT APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO COMMONSPIRIT OR THE COMMONSPIRIT ENTITY. III. A CONFLICTED TRUSTEE OR CORPORATE OFFICER IS NOT PERMITTED TO USE HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE APPROVAL OR DISAPPROVAL OF THE CONFLICTED TRANSACTION. HOWEVER, IF REQUESTED, SUCH TRUSTEE OR CORPORATE OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM TRUSTEES, AS HIS OR HER KNOWLEDGE MAY BE RELEVANT. THE TRUSTEE OR CORPORATE OFFICER IS EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. C) BOARD EVALUATION OF NON-TRANSACTIONAL CONFLICTS - I. THE BOARD CAREFULLY REVIEWS AND SCRUTINIZES ANY NON-TRANSACTIONAL CONFLICT OF INTEREST (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH COMMONSPIRIT OR A COMMONSPIRIT ENTITY, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). II. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE TRUSTEE OR CORPORATE OFFICER UNDER THE CIRCUMSTANCES (INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION) TO BEST PROTECT THE INTERESTS OF COMMONSPIRIT OR THE COMMONSPIRIT ENTITY. THE BOARD IS ENCOURAGED TO CONSULT WITH THE GENERAL COUNSEL OF COMMONSPIRIT OR HIS OR HER DESIGNEE WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. III. THE CONFLICTED TRUSTEE OR CORPORATE OFFICER IS NOT PERMITTED TO USE HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE CONFLICT MATTER. HOWEVER, IF REQUESTED, SUCH TRUSTEE OR CORPORATE OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM TRUSTEES, AS HIS OR HER KNOWLEDGE MAY BE RELEVANT. THE TRUSTEE OR CORPORATE OFFICER IS EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. D) RECORD OF PROCEEDINGS - WITH RESPECT TO BOARD MEMBER AND OFFICER CONFLICTS OF INTEREST, MINUTES OF THE BOARD ARE EXPECTED TO REFLECT THE IDENTITY OF THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED TRUSTEE OR CORPORATE OFFICER WAS EXCUSED DURING THE DISCUSSION, AND THAT THE INTERESTED TRUSTEE ABSTAINED FROM VOTING. D. CONFLICTS REPORTING: ALL CONFLICTS OF INTEREST ARE REPORTED BY COMMONSPIRIT AS REQUIRED BY LAW, REGULATIONS, AND POLICY. UNDER DIGNITY HEALTH'S PRE-CLOSING COI POLICY, 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 OR 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 POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY IS USED 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 REQUIRE THAT THE BOARD SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH EITHER APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH DIGNITY HEALTH OR A DIGNITY HEALTH ENTITY IS A PARTY AND IN WHICH THE DIRECTOR EITHER: HAS A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A DIGNITY HEALTH-AFFILIATED ORGANIZATION). THE BOARD MUST APPROVE THE TRANSACTION BY MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY INDIVIDUAL WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN DIGNITY HEALTH OR DIGNITY HEALTH ENTITIES AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO DIGNITY HEALTH OR THE DIGNITY HEALTH ENTITY.
FORM 990, PART VI, SECTION B, LINE 15 AS OUTLINED IN PART VI, SECTION A, LINE 7B ABOVE, THE BOARD OF DIRECTORS AND CORPORATE OFFICERS OF DIGNITY HEALTH SHALL AT ALL TIMES BE THOSE PERSONS WHO SERVE THE BOARD OF DIRECTORS AND CORPORATE OFFICERS, RESPECTIVELY, OF COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT 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 AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT 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 C, LINE 19 FEDERAL TAX LAWS DO NOT REQUIRE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES RELATED TO CONFLICTS OF INTEREST BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS AVAILABLE ON ITS WEBSITE AND UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THIS FORM 990.
PART VII, SECTION A, COLUMN (A) PRESENTATION OF COMPLETE NAMES AND TITLES OF CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A (10) LAURIE HARTING SVP OPERATIONS & CEO, GREATER SACRAMENTO DIVISION (12) MARY CONNICK SVP, FINANCE, CORPORATE CONTROLLER (THRU 6/30/19) (13) ELIZABETH I. KEITH EVP/SPONSORSHIP/MISSION INTEGRATION, PHILANTHROPY (14) CHARLES COVA SVP OPERATIONS & CEO, CALIFORNIA CENTRAL COAST DIVISION (15) LINDA HUNT SVP OPERATIONS & CEO, ARIZONA DIVISION (16) KEITH CALLAHAN SVP, SUPP & SRVCS RESOURCES MGMT (THRU 6/28/19) (17) JULIE SPRENGEL SVP OPERATIONS & CEO, NEVADA/SOUTHERN CALIFORNIA DIVISION (18) LISA GAMSHAD (ZUCKERMAN) SYSTEM SVP TREASURY & STRATEGIC INVESTMENTS (19) JON VANBOENING SVP OPERATIONS & CEO, CENTRAL CALIFORNIA DIVISION (21) JEFFREY W. LAND SYSTEM SVP NATIONAL REAL ESTATE SERVICES (22) TODD A STRUMWASSER, MD SVP OPERATIONS & CEO, NORTHERN CALIFORNIA DIVISION (25) TIMOTHY PANKS SVP, FINANCE & REVENUE CYCLE MANAGEMENT (THRU 6/30/19) (26) ANTHONY SCOTT CARSWELL SYSTEM SVP MARKET STRATEGY AND DEVELOPMENT (27) BENJIE M. LOANZON SYSTEM SVP FINANCE AND CORPORATE CONTROLLER (29) KATHLEEN SANFORD, RN, DBA, FACHE CHIEF NURSING OFFICER (31) TAMMARA WILCOX SYSTEM SVP PAYER STRATEGY & RELATIONSHIPS (32) JULIA N BIETSCH MARKET VP-PE-NETWORK DEVELOPMENT (THRU 12/1/19)
FORM 990, PART IX, LINE 11G MEDICAL FEES: PROGRAM SERVICE EXPENSES 317,847,626. MANAGEMENT AND GENERAL EXPENSES 123,437,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 441,284,776. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 67,309,216. MANAGEMENT AND GENERAL EXPENSES 184,785,228. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 252,094,444. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 114,094,411. MANAGEMENT AND GENERAL EXPENSES 44,308,932. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,403,343. REPAIRS/MAINTENANCE/DEMOLITION: PROGRAM SERVICE EXPENSES 95,179,795. MANAGEMENT AND GENERAL EXPENSES 36,963,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,143,175. OUTSOURCED MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 17,122,730. MANAGEMENT AND GENERAL EXPENSES 6,649,667. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,772,397. LAUNDRY & LINEN: PROGRAM SERVICE EXPENSES 12,902,350. MANAGEMENT AND GENERAL EXPENSES 5,010,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,913,019. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 92,217,002. MANAGEMENT AND GENERAL EXPENSES 35,812,770. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,029,772.
FORM 990, PART XI, LINE 9: CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -1,146,175,821. CHANGE IN ACCOUNTING PRINCIPLE -6,618,176. REVENUE FROM HEALTH-RELATED ACTIVITIES ORGANIZED AS CORPS/EXEMPT ORGS 135,852,966. MARK TO MARKET ON INTEREST RATE SWAPS -1,117,890. CHANGE IN INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATIONS/RELATED ORGS -25,071,666. CHANGE IN EQUITY INTEREST IN JOINT VENTURES -5,703,668. PUSHDOWN OF ACQUISITION ACCNTNG TO RELATED ORGS PURSUANT TO THE AFFILIATION -21,485,731. GAIN ON ADOPTION OF ASU 2017-17 85,846,832. OTHER FUND BALANCE TRANSFERS -1,610,500.
FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XII, LINE 3B - FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2019, TO JUNE 30, 2020.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
DIGNITY HEALTH
 
Employer identification number

94-1196203
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

(1) DIGNITY HEALTH PURCHASING NETWORK LLC
3033 NORTH THIRD AVENUE
PHOENIX,AZ85013
45-5555133
GROUP PURCHASING AZ 9,155,291 8,853,700 DIGNITY HEALTH
 
(2) DIGNITY HEALTH USP OXNARD SURGERY CENTERS LLC
1700 N ROSE AVENUE STE 100
OXNARD,CA93030
20-0707388
OP SURGERY CA 0 0 DIGNITY HEALTH
 
(3) ST FRANCIS FOUNDATION LLC
112 E VICTORIA STREET
SANTA BARBARA,CA93101
42-1691710
LEASING CA 0 1,376,537 DIGNITY HEALTH
 
(4) ST JOHN'S REGIONAL IMAGING CENTER LLC
1700 N ROSE AVENUE STE 110
OXNARD,CA93030
77-0483564
OP RADIOLOGY CA 11,690 134,409 DIGNITY HEALTH
 




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?
Yes No
(1)ALEGENT CREIGHTON CLINIC
12809 W DODGE RD

OMAHA,NE68154
47-0765154
HOSPITAL NE 501(C)(3) LINE 3 ACH
 
 
No
(2)ALEGENT CREIGHTON HEALTH
12809 W DODGE RD

OMAHA,NE68154
47-0757164
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD

OMAHA,NE68124
47-0484764
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(4)ALEGENT HEALTH-COMMUNITY MEMORIAL HOSP OF MISSOURI VALLEY IA
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-0776568
HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(5)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST

OMAHA,NE68122
47-0376615
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(6)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST

SCHUYLER,NE68661
47-0399853
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368

CORNING,IA50841
42-0782518
HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(8)ALVERNA APARTMENTS
300 SE 8TH AVE

LITTLE FALLS,MN56345
41-1351177
LONG-TERM CARE MN 501(C)(3) LINE 10 CSH
 
 
No
(9)APPLETREE COURT
601 OAK ST

BRECKENRIDGE,MN56520
41-1850500
SENIOR LIVING MN 501(C)(3) LINE 10 SFH
 
 
No
(10)ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD

ARROYO GRANDE,CA93420
20-3256066
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(11)BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET

BAKERSFIELD,CA93301
95-1802779
HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(12)BARROW FOUNDATION UK
13 CHURCH STREET
NUNNEY,ENGLANDBA11 4LW
UK
31-1724184
FUNDRAISING FOUNDATION UK 501(C)(3) LINE 12D, III-O N/A
 
No
(13)BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROAD

PHOENIX,AZ85013
86-0174371
FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 DIGNITY HEALTH
 
 
No
(14)BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170

THE WOODLANDS,TX77384
27-4499340
PHYSICIANS TX 501(C)(3) LINE 12A, I SLCHS
 
 
No
(15)BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0458535
PHYSICIANS TX 501(C)(3) LINE 3 SLHS
 
 
No
(16)BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
23-2187242
HEALTHCARE PA 501(C)(3) LINE 12A, I CSH
 
 
No
(17)BRAZOSPORT HEALTH FOUNDATION INC
1 WEST WAY CT

LAKE JACKSON,TX77566
76-0080110
FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I BRHS
 
 
No
(18)BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
80-0240261
PHYSICIANS TX 501(C)(3) LINE 3 BRHS
 
 
No
(19)BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2759890
HOSPITAL TX 501(C)(3) LINE 3 SJSC
 
 
No
(20)BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2913931
HEALTHCARE TX 501(C)(3) LINE 10 SJSC
 
 
No
(21)CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUE

LOS ANGELES,CA90015
95-4000909
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(22)CARRINGTON HEALTH CENTER
800 N 4TH ST

CARRINGTON,ND58421
45-0227311
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(23)CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLE

CENTENNIAL,CO80112
84-0405257
HOSPITAL CO 501(C)(3) LINE 3 CSH
 
 
No
(24)CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE

DES MOINES,IA50314
42-0680448
HOSPITAL IA 501(C)(3) LINE 3 CSH
 
 
No
(25)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 KELLY JOHNSON BLVD 204

COLORADO SPRINGS,CO80920
84-0902211
FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC
 
 
No
(26)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204

COLORADO SPRINGS,CO80920
27-0930004
HEALTHCARE CO 501(C)(3) LINE 12A, I CSH
 
 
No
(27)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
46-0992796
PHYSICIANS CO 501(C)(3) LINE 12A, I CHINS
 
 
No
(28)CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

ROSEBURG,OR97471
26-3946191
SURGERY CENTER OR 501(C)(3) LINE 10 MMC
 
 
No
(29)CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200

BAKERSFIELD,CA93311
84-4171789
CLINIC CA 501(C)(3) LINE 3 DCC
 
 
No
(30)CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY

GREAT BEND,KS67530
48-0543724
HOSPITAL KS 501(C)(3) LINE 3 CSH
 
 
No
(31)CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

FARGO,ND58104
27-1966847
HOME HEALTH MN 501(C)(3) LINE 10 CSH
 
 
No
(32)CHI HEALTH FOUNDATION
12809 W DODGE RD

OMAHA,NE68154
47-0648586
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH
 
 
No
(33)CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400

ERLANGER,KY41018
20-2741651
INVESTMENTS KY 501(C)(3) LINE 12A, I CSH
 
 
No
(34)CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A

TOLEDO,OH43623
34-1892096
SENIOR LIVING OH 501(C)(3) LINE 12B, II SFH
 
 
No
(35)CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLE

FORT OGLETHORPE,GA30742
82-2748395
HOSPITAL GA 501(C)(3) LINE 3 MHCS
 
 
No
(36)CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-1261716
HEALTHCARE CO 501(C)(3) LINE 10 CHI NS
 
 
No
(37)CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-2532084
HEALTHCARE CO 501(C)(3) LINE 12A, I CSH
 
 
No
(38)CHI NEBRASKA
12809 WEST DODGE ROAD

OMAHA,NE68510
36-3233121
HEALTHCARE NE 501(C)(3) LINE 12A, I CSH
 
 
No
(39)CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
23-2342997
HEALTHCARE PA 501(C)(3) LINE 12A, I CSH
 
 
No
(40)CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW

ALBUQUERQUE,NM87102
71-0897107
COMMUNITY NM 501(C)(3) LINE 12A, I CSH
 
 
No
(41)CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
71-0236913
HOSPITAL AR 501(C)(3) LINE 3 CHISVHS
 
 
No
(42)CHI ST VINCENT HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125064
HOLDING CO AR 501(C)(3) LINE 12B, II SVIMC
 
 
No
(43)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125131
PHYSICIANS AR 501(C)(3) LINE 3 CHISVHS
 
 
No
(44)COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
47-0617373
HEALTHCARE CO 501(C)(3) LINE 12A, I N/A
 
No
(45)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
85-0919176
INVESTMENTS CA 501(C)(3) LINE 12A, I CSH
 
 
No
(46)COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
27-1050565
HEALTHCARE CO 501(C)(3) LINE 12A, I CSH
 
 
No
(47)COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVE

SAN BERNARDINO,CA92411
95-1643373
HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(48)COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR

CINCINNATI,OH45202
23-7419853
HOLDING CO OH 501(C)(4) N/A GSH
 
 
No
(49)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-1294399
FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV
 
 
No
(50)CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVE

LEXINGTON,KY40504
61-1400619
HOSPITAL KY 501(C)(3) LINE 3 SJHS
 
 
No
(51)DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
81-5009488
HOSPITAL CO 501(C)(3) LINE 3 CSH
 
 
No
(52)DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE

REDDING,CA96003
23-7115371
SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DIGNITY HEALTH
 
Yes
 
(53)DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
46-2037641
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(54)DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUE

SAN BERNARDINO,CA92404
23-7440086
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(55)DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROAD

CHANDLER,AZ85224
74-2418514
FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(56)DIGNITY HEALTH HPL SELF-INSURANCE TRUST
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
94-3006034
SELF INSURANCE CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(57)DIGNITY HEALTH INSURANCE NEVADA LTD
185 BERRY STREET STE 200

SAN FRANCISCO,NV94107
81-3800752
SELF INSURANCE NV 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(58)DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE

RANCHO CORDOVA,CA95670
68-0220314
MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC
 
 
No
(59)DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
94-6612446
SELF INSURANCE CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(60)DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
77-0056778
COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(61)DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
94-2450442
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(62)DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
77-0127719
OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS
 
Yes
 
(63)EAST TEXAS CLINICAL SERVICES
2801 VIA FORTUNA SUITE 500

AUSTIN,TX78746
45-4736213
HEALTHCARE TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(64)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE

ENUMCLAW,WA98022
91-0715805
HOSPITAL WA 501(C)(3) LINE 3 FHS
 
 
No
(65)FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
61-1345363
HOSPITAL KY 501(C)(3) LINE 3 KOH
 
 
No
(66)FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
56-2351341
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH
 
 
No
(67)FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

TOLEDO,OH43623
34-1931806
HEALTHCARE OH 501(C)(3) LINE 10 CHILC
 
 
No
(68)FRANCISCAN FOUNDATION
1717 SOUTH J ST

TACOMA,WA98405
91-1145592
FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS
 
 
No
(69)FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST

TACOMA,WA98405
91-0564491
HOSPITAL WA 501(C)(3) LINE 3 CSH
 
 
No
(70)FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY

TACOMA,WA98402
43-1882377
PHYSICIANS MO 501(C)(3) LINE 10 CSH
 
 
No
(71)FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200

TACOMA,WA98402
91-1939739
HEALTHCARE WA 501(C)(3) LINE 10 FHS
 
 
No
(72)FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE

SOUTH MILWAUKEE,WI53172
39-1093829
HEALTHCARE WI 501(C)(3) LINE 10 CSH
 
 
No
(73)FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUE

SAN LUIS OBISPO,CA93401
20-3256125
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(74)GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST

GARRISON,ND58540
45-0227752
HOSPITAL ND 501(C)(3) LINE 3 SAMC
 
 
No
(75)GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUE

GLENDALE,CA91204
95-3625651
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(76)GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
20-1536108
MINISTRIES CO 501(C)(3) LINE 12A, I CSH
 
 
No
(77)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR

CINCINNATI,OH45202
31-1778403
EDUCATION OH 501(C)(3) LINE 2 GSH
 
 
No
(78)GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOOR

CINCINNATI,OH45202
31-1206047
FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH
 
 
No
(79)GOOD SAMARITAN HOSPITAL
PO BOX 1990

KEARNEY,NE68848
47-0379755
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(80)GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST

KEARNEY,NE68847
47-0659443
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH
 
 
No
(81)HARRISON MEDICAL CENTER
2520 CHERRY AVE

BREMERTON,WA98310
91-0565546
HOSPITAL WA 501(C)(3) LINE 3 FHS
 
 
No
(82)HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE

BREMERTON,WA98310
91-1197626
FUNDRAISING FOUNDATION WA 501(C)(3) LINE 7 HMC
 
 
No
(83)HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308

LEXINGTON,KY40504
83-2170324
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12B, II KOH
 
 
No
(84)HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
76-0761782
FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC
 
 
No
(85)HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW

BURIEN,WA98166
91-0712166
HOSPITAL WA 501(C)(3) LINE 3 FHS
 
 
No
(86)HOUSE OF MERCY
1111 6TH AVE

DES MOINES,IA50314
42-1323808
SHELTER IA 501(C)(3) LINE 7 CHI-IA CORP
 
 
No
(87)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E LIBERTY ST STE 500

LOUISVILLE,KY40202
61-1029768
HOSPITAL KY 501(C)(3) LINE 3 KOH
 
 
No
(88)KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800

LOUISVILLE,KY40202
61-1352729
HEALTHCARE KY 501(C)(3) LINE 10 JHSMH
 
 
No
(89)KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1029769
HEALTHCARE KY 501(C)(3) LINE 12B, II CSH
 
 
No
(90)LAKEWOOD HEALTH CENTER
600 MAIN AVE S

BAUDETTE,MN56623
41-0758434
HOSPITAL MN 501(C)(3) LINE 3 CSH
 
 
No
(91)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S

BAUDETTE,MN56623
41-1893795
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC
 
 
No
(92)LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(93)LUFKIN VISION ACQUISITIONS
PO BOX 1447

LUFKIN,TX75901
82-0563768
PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(94)MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2761145
HOSPITAL TX 501(C)(3) LINE 3 SJSC
 
 
No
(95)MADONNA MANOR INC
2344 AMSTERDAM ROAD

VILLA HILLS,KY51017
61-0654635
LIVING ASSIST KY 501(C)(3) LINE 10 CHILC
 
 
No
(96)MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET

SANTA MARIA,CA93454
95-3818027
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(97)MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROAD

SAN ANDREAS,CA95249
68-0127677
HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(98)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-1839548
FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS
 
 
No
(99)MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-0532345
HOSPITAL TN 501(C)(3) LINE 3 CSH
 
 
No
(100)MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500

CHATTANOOGA,TN37411
03-0417049
HEALTHCARE TN 501(C)(3) LINE 10 MHCS
 
 
No
(101)MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447

LUFKIN,TX75902
75-0755367
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(102)MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447

LUFKIN,TX75902
76-0436439
HOSPITAL TX 501(C)(3) LINE 3 MHSET
 
 
No
(103)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447

LUFKIN,TX75902
75-2663904
HOSPITAL TX 501(C)(3) LINE 3 MHSET
 
 
No
(104)MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE

LUFKIN,TX95904
75-2721155
PHYSICIANS TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(105)MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

LUFKIN,TX95902
75-2492741
HOSPITAL TX 501(C)(3) LINE 3 MHSET
 
 
No
(106)MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE

DES MOINES,IA50314
42-6076069
AUXILIARY IA 501(C)(3) LINE 12A, I MF-DM IA
 
 
No
(107)MERCY CLINICS INC
1111 6TH AVE

DES MOINES,IA50314
42-1193699
PHYSICIANS IA 501(C)(3) LINE 10 CHI-IA CORP
 
 
No
(108)MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE

DES MOINES,IA50314
42-1511682
EDUCATION IA 501(C)(3) LINE 2 CHI-IA CORP
 
 
No
(109)MERCY FOUNDATION BAKERSFIELD
PO BOX 119

BAKERSFIELD,CA93302
77-0201321
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(110)MERCY FOUNDATION NORTH
2625 EDITH AVENUE SUITE E

REDDING,CA96001
94-3136799
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I N/A
 
No
(111)MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

DES MOINES,IA50314
23-7358794
FUNDRAISING FOUNDATION IA 501(C)(3) LINE 7 CHI-IA CORP
 
 
No
(112)MERCY FOUNDATION SACRAMENTO
3400 DATA DRIVE 3RD FLR

RANCHO CORDOVA,CA95670
23-7072762
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I N/A
 
No
(113)MERCY FOUNDATION INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-6088946
FUNDRAISING FOUNDATION OR 501(C)(3) LINE 7 MMC
 
 
No
(114)MERCY HEALTH CARE FOUNDATION
PO BOX 368

CORNING,IA50841
42-1461064
FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING
 
 
No
(115)MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC
 
 
No
(116)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR

COUNCIL BLUFFS,IA51503
42-1178204
FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHBMHS
 
 
No
(117)MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE

DEVILS LAKE,ND58301
45-0227012
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(118)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE

DEVILS LAKE,ND58301
35-2367360
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 MHDL
 
 
No
(119)MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0226553
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(120)MERCY MCMAHON TERRACE
3865 J STREET

SACRAMENTO,CA95816
68-0117340
SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DIGNITY HEALTH
 
Yes
 
(121)MERCY MEDICAL CENTER
1301 15TH AVE WEST

WILLISTON,ND58801
45-0231183
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(122)MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE

CENTERVILLE,IA52544
42-0680308
HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP
 
 
No
(123)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE E

NEWTON,IA50314
42-1470935
HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP
 
 
No
(124)MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET

MERCED,CA95340
77-0035928
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(125)MERCY MEDICAL CENTER INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0386868
HOSPITAL OR 501(C)(3) LINE 3 CSH
 
 
No
(126)MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST

WILLISTON,ND58801
45-0381803
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC
 
 
No
(127)NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(128)NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUE

BISMARCK,ND58501
91-1845296
MANAGEMENT ND 501(C)(3) LINE 7 NCHA
 
 
No
(129)NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVD

NORTHRIDGE,CA91328
23-7444901
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(130)OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

OAKES,ND58474
45-0231675
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(131)OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST

OAKES,ND58474
71-0966606
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH
 
 
No
(132)PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREET

SANTA MARIA,CA93454
77-0447575
CLINIC CA 501(C)(3) LINE 3 DCC
 
 
No
(133)PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116
PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(134)PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE

RANCHO CORDOVA,CA95670
46-5322209
HOSPITAL CA 501(C)(3) LINE 3 DIGNITY HEALTH
 
Yes
 
(135)PROVIDENCE CARE CENTER
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1658625
HEALTHCARE OH 501(C)(3) LINE 10 CHILC
 
 
No
(136)PROVIDENCE CARE CENTERS
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1826099
HOLDING CO OH 501(C)(3) LINE 12B, II CHILC
 
 
No
(137)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1896807
LIVING COMM OH 501(C)(3) LINE 10 CHILC
 
 
No
(138)PUEBLO STEPUP
1925 E ORMAN AVE STE G52

PUEBLO,CO81004
84-1234295
COMMUNITY CO 501(C)(3) LINE 7 CHIC
 
 
No
(139)REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 SYLVESTER ROAD SW

BURIEN,WA98166
91-1170040
HOSPITAL WA 501(C)(3) LINE 3 FHS
 
 
No
(140)SET OF COLORADO SPRINGS INC
9100 E MINERAL CIRCLE

CENTENNIAL,CO80112
84-1183335
SENIOR CENTER SERVICES CO 501(C)(3) LINE 7 CHIC
 
 
No
(141)SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD

DENVILLE,NJ07834
22-2876836
HEALTHCARE NJ 501(C)(3) LINE 10 SCHS
 
 
No
(142)SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD

DENVILLE,NJ07834
22-3639733
MANAGEMENT NJ 501(C)(3) LINE 10 CSH
 
 
No
(143)SAINT CLARE'S HOSPITAL INC
25 POCONO RD

DENVILLE,NJ07834
22-3319886
HEALTHCARE NJ 501(C)(3) LINE 3 SCHS
 
 
No
(144)SAINT ELIZABETH FOUNDATION
555 S 70TH ST

LINCOLN,NE68510
47-0625523
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC
 
 
No
(145)SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST

LINCOLN,NE68510
36-3233120
HOSPITAL NE 501(C)(3) LINE 3 SERMC
 
 
No
(146)SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST

LINCOLN,NE68510
47-0379836
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(147)SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY

GRAND ISLAND,NE68803
47-0376601
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(148)SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804

GRAND ISLAND,NE68802
47-0630267
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC
 
 
No
(149)SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREET

SAN FRANCISCO,CA94109
94-1156295
HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(150)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST

BEREA,KY40403
26-0152877
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS
 
 
No
(151)SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1334601
HOSPITAL KY 501(C)(3) LINE 3 KOH
 
 
No
(152)SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200

LEXINGTON,KY40504
61-1159649
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS
 
 
No
(153)SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE

LONDON,KY40741
26-0438748
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS
 
 
No
(154)SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR

MOUNT STERLING,KY40353
27-2884584
FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS
 
 
No
(155)SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREET

DICKINSON,ND58601
36-3418207
FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC
 
 
No
(156)SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVE

SAN GABRIEL,CA91776
95-3430341
INACTIVE CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(157)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST

SCHUYLER,NE68661
36-3630014
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS
 
 
No
(158)SEQUOIA HOSPITAL FOUNDATION
170 ALAMEDA DE LAS PULGAS

REDWOOD CITY,CA94062
94-2909990
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12D, III-O N/A
 
No
(159)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAY

GRASS VALLEY,CA95945
94-1439787
HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(160)SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
44-0545809
HOSPITAL MO 501(C)(3) LINE 3 CSH
 
 
No
(161)ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE

BISMARCK,ND58501
45-0226711
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(162)ST ANTHONY HOSPITAL
2801 ST ANTHONY WAY

PENDLETON,OR97801
93-0391614
HOSPITAL OR 501(C)(3) LINE 3 CSH
 
 
No
(163)ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAY

PENDLETON,OR97801
93-0992727
FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH
 
 
No
(164)ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR

MORRILTON,AR72110
71-0245507
HOSPITAL AR 501(C)(3) LINE 3 SVIMC
 
 
No
(165)ST CATHERINE HOSPITAL
401 EAST SPRUCE ST

GARDEN CITY,KS67846
48-0543721
HOSPITAL KS 501(C)(3) LINE 3 CSH
 
 
No
(166)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST

GARDEN CITY,KS67846
20-0598702
FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I SCH
 
 
No
(167)ST CLARE COMMONS
12469 FIVE POINT ROAD

TOLEDO,OH43551
27-0163752
LIVING COMM OH 501(C)(3) LINE 10 CHILC
 
 
No
(168)ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
93-0433692
HEALTHCARE OR 501(C)(4) N/A CSH
 
 
No
(169)ST FRANCIS FOUNDATION OF SANTA BARBARA
2323 DE LA VINA ST SUITE 104

SANTA BARBARA,CA93105
23-7137119
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(170)ST FRANCIS HOME
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0729978
LTERM CARE MN 501(C)(3) LINE 10 CSH
 
 
No
(171)ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREET

SANTA BARBARA,CA93103
77-0022302
INACTIVE CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(172)ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD

DENVILLE,NJ07834
22-2536017
ELDERLY CARE NJ 501(C)(3) LINE 8 SCHS
 
 
No
(173)ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0695598
HOSPITAL MN 501(C)(3) LINE 3 CSH
 
 
No
(174)ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE

OXNARD,CA93030
20-2865781
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(175)ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2351158
FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12B, II SJSC
 
 
No
(176)ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2847594
HEALTHCARE TX 501(C)(3) LINE 10 SJSC
 
 
No
(177)ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-0591461
HOSPITAL MD 501(C)(3) LINE 3 CSH
 
 
No
(178)ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE

BRYAN,TX77802
20-3159302
PHYSICIANS TX 501(C)(3) LINE 3 SJSC
 
 
No
(179)ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-1311775
PHYSICIANS MD 501(C)(3) LINE 12A, I SJMC
 
 
No
(180)ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-1282696
HOSPITAL TX 501(C)(3) LINE 3 SJSC
 
 
No
(181)ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
45-4088170
HOSPITAL TX 501(C)(3) LINE 3 SJSC
 
 
No
(182)ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE

BRYAN,TX77802
46-3265423
HEALTHCARE TX 501(C)(3) LINE 10 SJSC
 
 
No
(183)ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2455161
MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(184)ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603
HOSPITAL MN 501(C)(3) LINE 3 CSH
 
 
No
(185)ST JOSEPHS FOUNDATION
350 WEST THOMAS ROAD

PHOENIX,AZ85013
94-2941245
FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(186)ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET

STOCKTON,CA95204
51-0432777
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(187)ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY ST

DICKINSON,ND58601
45-0226429
HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(188)ST LEONARD
8100 CLYO ROAD

CENTERVILLE,OH45458
34-1940863
LIVING COMM OH 501(C)(3) LINE 10 CHILC
 
 
No
(189)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505

HOUSTON,TX77030
27-3733278
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(190)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-1947374
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(191)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-0335902
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(192)ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0536234
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(193)ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
45-3811485
FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS
 
 
No
(194)ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269

HOUSTON,TX77225
76-0536232
MANAGEMENT TX 501(C)(3) LINE 12A, I CSH
 
 
No
(195)ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-3734606
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(196)ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
76-0531716
PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(197)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549
PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL
 
 
No
(198)ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE

LONG BEACH,CA90813
23-7153876
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(199)ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUE

LONG BEACH,CA90813
23-7373088
INACTIVE CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(200)ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD

NEBRASKA CITY,NE68410
47-0443636
HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(201)ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE

NEBRASKA CITY,NE68410
47-0707604
FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SMCH
 
 
No
(202)ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREET

SAN FRANCISCO,CA94117
94-3336143
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(203)ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY

HENDERSON,NV89052
88-0349432
FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DIGNITY HEALTH
 
Yes
 
(204)ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
51-0169537
FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC
 
 
No
(205)ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0236917
HOSPITAL AR 501(C)(3) LINE 3 CSH
 
 
No
(206)ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0830696
HEALTHCARE AR 501(C)(3) LINE 10 SVIMC
 
 
No
(207)SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
34-1412964
HEALTHCARE OH 501(C)(3) LINE 12A, I CSH
 
 
No
(208)SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
45-5357161
FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I SFH
 
 
No
(209)THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1826097
ASSIST LIVING OH 501(C)(3) LINE 10 CHILC
 
 
No
(210)THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
74-1385192
HOSPITAL TX 501(C)(3) LINE 3 SLHS
 
 
No
(211)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR

CINCINNATI,OH45202
31-0537486
HOSPITAL OH 501(C)(3) LINE 3 CSH
 
 
No
(212)THE PHYSICIAN NETWORK
2000 Q ST STE 500

LINCOLN,NE68503
47-0780857
PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA
 
 
No
(213)TOTAL HEALTHCARE
9100 E MINERAL CIRCLE

CENTENNIAL,CO80112
84-0927232
HOSPITAL CO 501(C)(3) LINE 3 CHIC
 
 
No
(214)TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
31-1329423
FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS
 
 
No
(215)TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
34-1818681
HEALTHCARE OH 501(C)(3) LINE 12A, I N/A
 
No
(216)TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET

DENNISON,OH44621
27-5401105
HOSPITAL OH 501(C)(3) LINE 3 THS
 
 
No
(217)TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD

STEUBENVILLE,OH43952
34-1522484
ASSIST LIVING OH 501(C)(3) LINE 7 THS
 
 
No
(218)UNITY FAMILY HEALTHCARE
815 SE 2ND ST

LITTLE FALLS,MN56345
41-0721642
HOSPITAL MN 501(C)(3) LINE 3 CSH
 
 
No
(219)VILLA NAZARETH INC
801 PAGE DR

FARGO,ND58103
45-0226714
LTERM CARE ND 501(C)(3) LINE 10 CSH
 
 
No
(220)VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD

SPARTA,NJ07871
22-1768334
HOME HEALTH NJ 501(C)(3) LINE 10 SCHS
 
 
No
(221)WOODLAND MEMORIAL HOSPITAL FOUNDATION
1321 COTTONWOOD STREET 305

WOODLAND,CA95695
94-6167964
FUNDRAISING FOUNDATION CA 501(C)(3) LINE 7 N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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


Yes No Yes No
(1) AMERICAN MERCY HOME CARE LLC

1700 EDISON DR
MILFORD,OH45150
83-0486150
HOME HEALTH OH N/A
N/A       No     No  
(2) ARIZONA CARE NETWORK - NEXT LLC

350 W THOMAS RD
PHOENIX,AZ85018
47-4696671
CARE NETWORK AZ N/A
N/A       No     No  
(3) ARIZONA CARE NETWORK LLC (ACN LLC)

350 W THOMAS RD
PHOENIX,AZ85013
45-4494682
CARE NETWORK AZ N/A
N/A       No     No  
(4) AUDUBON LAND COMPANY LLC

630 SOUTHPOINTE COURT 200
COLORADO SPRINGS,CO80906
84-1513085
REAL ESTATE CO N/A
N/A       No     No  
(5) AVON EMERGENCY AND URGENT CARE CENTER LLC

9100 E MINERAL CIRCLE
CENTENNIAL,CO80112
81-1727282
HEALTHCARE SRVC CO N/A
N/A       No     No  
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC

6624 FANNIN ST STE 1100
HOUSTON,TX77030
47-2079184
HEALTHCARE SRVC TX N/A
N/A       No     No  
(7) BERGAN MERCY SURGERY CENTER LLC

7710 MERCY RD STE 200
OMAHA,NE68124
20-8671994
AMBUL SURG CTR NE N/A
N/A       No     No  
(8) BERYWOOD OFFICE PROPERTIES LLC

2501 CITICO AVENUE
CHATTANOGA,TN37404
62-1875199
PHYS OFFICE TN N/A
N/A       No     No  
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

709 WING ON PLAZA 62 MODY ROAD TST
HONG KONG    
CH
HEALTH SERVICES CH N/A
N/A       No     No  
(10) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY STE 310
LEXINGTON,KY40504
61-1386736
DIAGNOSTIC IMAGING KY N/A
N/A       No     No  
(11) CBCC OUTSMARTING CANCER LLC

6501 TRUXTUN AVENUE
BAKERSFIELD,CA93309
46-1602286
RADIATION / ONCOLOGY CA DIGNITY HEALTH
 
RELATED -1,310,037 11,539,015   No   Yes   51.000 %
(12) CENTRAL NEBRASKA REHABILITATION SERVICES LLC

3004 W FAIDLEY AVENUE
GRAND ISLAND,NE68803
81-0653461
PHYSICAL THERAPY NE N/A
N/A       No     No  
(13) CENTURA-SCA HOLDINGS LLC

569 BROOK VILLAGE STE 901
BIRMINGHAM,AL35209
47-4823023
OP SURGERY CENTER AL N/A
N/A       No     No  
(14) CHI OPERATING INVESTMENT PROGRAM LP

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
47-0727942
INVESTMENTS CO N/A
N/A       No     No  
(15) CHICAMSURG SURGERY CENTERS LLC

1A BURTON HILLS BLVD
NASHVILLE,TN37215
46-5683027
SURGERY CENTER CO N/A
N/A       No     No  
(16) COLORADO SPRINGS CK LEASING LLC

630 SOUTHPOINTE COURT 200
COLORADO SPRINGS,CO80906
26-2982714
REAL ESTATE CO N/A
N/A       No     No  
(17) COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC

1700 EDISON DR
MILFORD,OH45150
31-1746556
HOME HEALTH OH N/A
N/A       No     No  
(18) DE JV LLC

8686 NEW TRAILS DRIVE
THE WOODLANDS,TX77381
32-0496548
EMERGENCY CARE NV DIGNITY HEALTH
 
RELATED 2,275,046 7,845,001   No     No 51.000 %
(19) DHHP SURGERY CENTERS LLC

1513 S GRAND AVENUE STE 350
LOS ANGELES,CA90015
83-1847466
SURGERY CA N/A
N/A       No     No  
(20) DHRT HOLDINGS LLC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
35-2484591
HOLDING COMPANY DE DIGNITY HEALTH
 
RELATED 26,686,020 220,449,545   No   Yes   33.870 %
(21) DIGNITY- GOHEALTH URGENT CARE MANAGEMENT LLC

5555 GLENRIDGE CONNECTOR SUITE 700
ATLANTA,GA30342
35-2548698
MANAGEMENT SERVICES DE N/A
N/A       No     No  
(22) DIGNITY HEALTH AT HOME LLC

1700 EDISON DR
MILFORD,OH45150
82-4674115
HEALTHCARE SRVC DE N/A
N/A       No     No  
(23) DIGNITY HEALTH SPECIALTY PHARMACY LLC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
32-0589462
SPECIALTY PHARMACY SERVICES DE N/A
N/A       No     No  
(24) DIGNITY HOME RECOVERY CARE LLC

49 MUSIC SQUARE WEST SUITE 401
NASHVILLE,TN37203
83-2832522
HOME RECOVERY PROGRAM DE N/A
N/A       No     No  
(25) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
20-2999237
SURGERY TX N/A
N/A       No     No  
(26) DIGNITYUSP NORCAL SURGERY CENTERS LLC

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
20-2468509
SURGERY TX N/A
N/A       No     No  
(27) DIGNITYUSP PHOENIX SURGERY CENTERS LLC

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
13-4248908
SURGERY TX N/A
N/A       No     No  
(28) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
35-2584991
SURGERY TX N/A
N/A       No     No  
(29) DIGNITY-ABRAZO HEALTH NETWORK LLC

3030 N CENTRAL AVENUE SUITE 1402
PHOENIX,AZ85012
46-5477985
MANAGEMENT SERVICES AZ N/A
N/A       No     No  
(30) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER

1545 SOQUEL DRIVE
SANTA CRUZ,CA94065
77-0095477
IMAGING CENTER CA DIGNITY HEALTH
 
RELATED -281,486 193,878   No   Yes   80.000 %
(31) ECCS ACQUISITION COMPANY LLC

2940 NORTH CIRCLE DRIVE
COLORADO SPRINGS,CO80909
35-2656413
AMBUL SURG CTR CO N/A
N/A       No     No  
(32) FOLSOM SIERRA ENDOSCOPY CENTER LP

1650 CREEKSIDE DRIVE 1600
FOLSOM,CA95630
68-0482416
ENDOSCOPY CA DIGNITY HEALTH
 
RELATED -37,564 458,816   No   Yes   51.000 %
(33) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC

6622 WOLLOCHET DR NW
GIG HARBOR,WA98335
46-3494108
REAL ESTATE WA N/A
N/A       No     No  
(34) FRANCISCAN SPECIALTY CARE LLC

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
81-3725123
HEALTHCARE SRVC WA N/A
N/A       No     No  
(35) GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC

1700 EDISON DR
MILFORD,OH45150
20-1792869
HOME HEALTH OH N/A
N/A       No     No  
(36) HC SL VINTAGE I LLC

18000 W SARAH LANE STE 250
BROOKFIELD,WI53045
27-0453767
PROPERTY HOLDING WI N/A
N/A       No     No  
(37) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196
LAUNDRY NE N/A
N/A       No     No  
(38) HEARTLAND ONCOLOGY LLC

2337 E CRAWFORD ST
SALINA,KS67401
46-4265403
ONCOLOGY KS N/A
N/A       No     No  
(39) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17031 LAKESIDE HILLS DR
OMAHA,NE68130
20-4267902
AMBUL SURG CTR NE N/A
N/A       No     No  
(40) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496
ENDOSCOPY SRVC NE N/A
N/A       No     No  
(41) LINCOLN CK LEASING LLC

555 SOUTH 70TH STREET
LINCOLN,NE68510
26-2496856
REAL ESTATE NE N/A
N/A       No     No  
(42) MEMORIAL MEDICAL PLAZA

3838 SAN DIMAS SUITE B 201
BAKERSFIELD,CA93301
36-4510880
REAL ESTATE CA N/A
N/A       No     No  
(43) MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC

2740 M STREET
MERCED,CA95340
94-3358445
MANAGEMENT OF CANCER CENTER CA DIGNITY HEALTH
 
RELATED 2,657,322 8,626,425   No   Yes   50.000 %
(44) MERCY REHABILITATION HOSPITAL LLC

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
81-4437201
HEALTHCARE SRVC TX N/A
N/A       No     No  
(45) MILITARY ROAD PROPERTIES LLC

181 S 333RD STREET STE 250
FEDERAL WAY,WA98003
91-2067879
REAL ESTATE WA N/A
N/A       No     No  
(46) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST STE 20300
OMAHA,NE68122
27-0263191
SPINE HOSPITAL NE N/A
N/A       No     No  
(47) NICU OPERATING CO OF SANTA CRUZ LLC

1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
46-0502935
NEONATAL HEALTHCARE CA DIGNITY HEALTH
 
RELATED 2,891,064 12,096,915   No     No 51.000 %
(48) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,AR72120
71-0799771
AMBUL SURG CTR AR N/A
N/A       No     No  
(49) NORTHERN PLAINS LABORATORY LLC

401 N 9 STREET
BISMARK,ND58501
84-1641341
DIAGNOSTIC SERVICES ND N/A
N/A       No     No  
(50) NSC CHANNEL ISLANDS LLC

3000 RIVERCHASE GALLERIA SUITE 500
BIRMINGHAM,AL35244
77-0418197
AMBULATORY SURGICAL CENTER CA N/A
N/A       No     No  
(51) OMG ARIZONA LLC

130 SUTTER STREET 2ND FLR
SAN FRANCISCO,CA94104
47-1708588
MEDICAL OFFICE AZ N/A
N/A       No     No  
(52) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80228
37-1577105
ORTHO HOSPITAL CO N/A
N/A       No     No  
(53) PARK RAPIDS AREA HEALTH CARE

600 PLEASANT AVENUE S
PARK RAPIDS,MN56470
20-4926259
HEALTHCARE SRVC MN N/A
N/A       No     No  
(54) PASADENA URGENCY CENTER LLC

4600 E SAM HOUSTON PKWY SOUTH
PASADENA,TX77505
81-2482854
URGENT CARE TX N/A
N/A       No     No  
(55) PATIENT TRANSPORT SERVICES OF COLUMBUS INC

1700 EDISON DR
MILFORD,OH45150
26-4601285
AMBULANCE OH N/A
N/A       No     No  
(56) PENINSULA RADIATION ONCOLOGY LLC

314 MLK JR WAY STE 11
TACOMA,WA98405
87-0808610
HEALTHCARE SRVC WA N/A
N/A       No     No  
(57) PENRAD IMAGING LLC

1390 KELLY JOHNSON BLVD
COLORADO SPRINGS,CO80920
84-1072619
MEDICAL IMAGING CO N/A
N/A       No     No  
(58) PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC

19625 62ND AVENUE SOUTH STE 101
KENT,WA98032
45-2901632
HOLDING COMPANY WA N/A
N/A       No     No  
(59) PLAZA SURGERY CENTER LP

525 E PLAZA DRIVE SUITE 100
SANTA MARIA,CA93454
77-0573567
SURGERY CA N/A
N/A       No     No  
(60) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,TX77002
27-3280598
HOSPITAL TX N/A
N/A       No     No  
(61) PRECISION MEDICINE ALLIANCE LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
35-2569159
DIAGNOSTIC SERVICES CO N/A
N/A       No     No  
(62) PUEBLO AMBULATORY SURGERY CENTER LLC

25 MONTEBELLO RD
PUEBLO,CO81003
62-1488737
SURGERY CENTER CO N/A
N/A       No     No  
(63) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY

1700 N ROSE AVENUE SUITE 120
OXNARD,CA93030
77-0191706
IMAGING CA DIGNITY HEALTH
 
RELATED 282,153 807,013   No   Yes   50.000 %
(64) RBR MANAGEMENT LLC

91 CORPORATE PARK DRIVE SUITE 120
HENDERSON,NV89074
27-1466450
AMBULANCE NV DIGNITY HEALTH
 
RELATED 811,382 3,142,282   No     No 50.100 %
(65) REID-ANC HOME CARE SERVICES LLC

1700 EDISON DR
MILFORD,OH45150
37-1454747
HOME HEALTH IN N/A
N/A       No     No  
(66) SAINT JOSEPH - SCA HOLDINGS LLC

1451 HARRODSBURG RD
LEXINGTON,KY40503
45-3801157
OP SURGERY DE N/A
N/A       No     No  
(67) SAINT JOSEPH-ANC HOME CARE SERVICES

1700 EDISON DR
MILFORD,OH45150
26-3330545
HOME HEALTH KY N/A
N/A       No     No  
(68) SANTA CRUZ COMPREHENSIVE IMAGING LLC

1661 SOQUEL DRIVE SUITE G
SANTA CRUZ,CA95065
01-0550623
IMAGING CA DIGNITY HEALTH
 
RELATED 136,593 447,152   No   Yes   50.000 %
(69) SANTA CRUZ LAND & BUILDING LP

1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
77-0285236
REAL ESTATE CA N/A
N/A       No     No  
(70) SANTA CRUZ SURGERY CENTER LLC

3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
77-0194916
SURGERY CA DIGNITY HEALTH
 
RELATED 17,906 131,743   No   Yes   50.000 %
(71) SOUTHEASTERN HOME CARE LLC

1700 EDISON DR
MILFORD,OH45150
27-1219638
HOME HEALTH OH N/A
N/A       No     No  
(72) ST JOSEPH'S SURGERY CENTER LP

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
20-1019390
SURGERY TX N/A
N/A       No     No  
(73) ST ELIZABETH HOME CARE SERVICES LLC

1700 EDISON DR
MILFORD,OH45150
26-1236191
HOME HEALTH KY N/A
N/A       No     No  
(74) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
COLORADO SPRINGS,CO80918
26-3134100
REAL ESTATE CO N/A
N/A       No     No  
(75) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,TX77030
71-0959365
DIAGNOSTICS TX N/A
N/A       No     No  
(76) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
30-0427437
HOSPITAL TX N/A
N/A       No     No  
(77) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

6624 FANNIN STE 800
HOUSTON,TX77030
46-2795726
DIAGNOSTICS TX N/A
N/A       No     No  
(78) TEMPLETON SURGERY CENTER LLC

1310 LAS TABLAS ROAD SUITE 104
TEMPLETON,CA94365
20-2246616
SURGERY CA N/A
N/A       No     No  
(79) THE MEDICAL PAVILION AT ST JOHN'S

1700 ROSE AVENUE
OXNARD,CA93030
77-0332349
REAL ESTATE CA DIGNITY HEALTH
 
RELATED -68,581 1,364,140   No   Yes   25.000 %
(80) THREE SPRING IMAGING LLC

1 MERCADO ST STE 200A
DURANGO,CO81301
81-3571570
HEALTHCARE SRVC CO N/A
N/A       No     No  
(81) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC

18330 ROSCOE BLVD
NORTHRIDGE,CA91328
80-0864336
SURGERY CA N/A
N/A       No     No  
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?
Yes No
(1) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC

12809 WEST DODGE RD
OMAHA,NE68154
47-0802396
MANAGED CARE NE N/A
C         No
(2) ALL SAINTS INSURANCE COMPANY SPC LTD

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMAN  
CJ
98-0556913
INSURANCE CJ N/A
C         No
(3) ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC

2801 FRANCISCAN DRIVE
BRYAN,TX77802
74-2466914
HEALTHCARE TX N/A
C         No
(4) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC

3900 OLYMPIC BLVD STE 400
ERLANGER,KY41018
84-1112049
MANAGEMENT SERVICES CO N/A
C         No
(5) AMERICAN NURSING CARE INC

1700 EDISON DR
MILFORD,OH45150
31-1085414
HOME HEALTH OH N/A
C         No
(6) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699
HOME HEALTH OH N/A
C         No
(7) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851
FITNESS CLUB KY N/A
C         No
(8) BRAZOSPORT HEALTH ALLIANCE

1 WEST WAY COURT
LAKE JACKSON,TX77566
76-0518376
HEALTH CARE TX N/A
C         No
(9) CADUCEUS MEDICAL ASSOCIATES INC

5600 BRAINERD ROAD STE 500
CHATTANOOGA,TN37411
62-1570736
HEALTHCARE TN N/A
C         No
(10) CAPTIVE MANAGEMENT INITIATIVES LTD

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMAN  
CJ
98-0663022
CAPTIVE MANAGEMENT CJ N/A
C         No
(11) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
27-2269511
RESEARCH CO N/A
C         No
(12) CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC

1201 W FRANK AVE
LUFKIN,TX75904
83-4184717
CONDO ASSOC TX N/A
C         No
(13) CLEARRIVER HEALTH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4495960
INSURANCE TN N/A
C         No
(14) COASTAL SURGICAL SPECIALISTS INC

921 OAK PARK BLVD SUITE 101
PISMO BEACH,CA93449
74-3000596
HEALTHCARE CA N/A
S         No
(15) COMCARE SERVICES INC

5570 DTC PARKWAY
ENGLEWOOD,CO80111
84-0904813
INACTIVE CO N/A
C         No
(16) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212
HOME HEALTH OH N/A
C         No
(17) DES MOINES MEDICAL CENTER INC

1111 6TH AVE
DES MOINES,IA50314
42-0837382
REAL ESTATE IA N/A
C         No
(18) DIGNITY HEALTH HOLDING CORPORATION

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
46-0675371
HOLDING CO NV N/A
C         No
(19) DIGNITY HEALTH INSURANCE LTD

PO BOX 1051 KY1-1102
GRAND CAYMAN ISLANDS,GRAND CAYMAN  
CJ
98-1065338
INSURANCE CJ DIGNITY HEALTH
 
C -576,908 72,583,023 100.000 % Yes  
(20) DIGNITY HEALTH PROVIDER RESOURCES INC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
47-3366764
HEALTH PLAN CA N/A
C         No
(21) DIVERSIFIED HEALTH RESOURCES INC

100 MEDICAL DRIVE
LAKE JACKSON,TX77566
76-0222679
HEALTH CARE TX N/A
C         No
(22) FIRST INITIATIVES INSURANCE LTD

PO BOX 10073 APO
GEORGETOWN,GRAND CAYMAN  
CJ
98-0203038
INSURANCE CJ N/A
C         No
(23) FRANCISCAN CITY URGENT CARE SVCS PS DBA CITY MD-FRANCISCAN UC

1345 AVE OF THE AMERICAS
NEW YORK,NY10105
81-2174959
HEALTHCARE NY N/A
C         No
(24) FRANCISCAN SERVICES INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2487967
HEALTHCARE CO N/A
C         No
(25) GOOD SAMARITAN OUTREACH SERVICES

PO BOX 1990
KEARNEY,NE68848
47-0659440
MEDICAL CLINIC NE N/A
C         No
(26) HARVESTPLAINS HEALTH OF IOWA

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
47-3451750
INSURANCE WA N/A
C         No
(27) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC

1400 E CHURCH STREET
SANTA MARIA,CA93454
77-0074057
HEALTHCARE CA N/A
C         No
(28) HEALTH SYSTEMS ENTERPRISES INC

PO BOX 1990
KEARNEY,NE68848
47-0664558
MGMT NE N/A
C         No
(29) HEALTHCARE MGMT SERVICES ORGANIZATION INC

1149 MARKET ST
TACOMA,WA98402
91-1865474
HEALTH ORG. WA N/A
C         No
(30) HEARTLANDPLAINS HEALTH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4368223
INSURANCE NE N/A
C         No
(31) HIGHLINE MEDICAL GROUP

1717 S J STREET
TACOMA,WA98405
91-1407026
MEDICAL SERVICES WA N/A
C         No
(32) INTEGRATED MEDICAL SERVICES

9250 N 3RD STREET SUITE 4010
PHOENIX,AZ85020
86-0783428
MULTI-SPECIALTY PHYSICIANS GROUP AZ N/A
C         No
(33) KOMG-LOUISVILLE REGION INC

201 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
83-2481198
HEALTHCARE KY N/A
C         No
(34) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC

300 WERNER ST
HOT SPRINGS,AR71913
71-0720429
REAL ESTATE AR N/A
C         No
(35) MEDQUEST

1301 15TH AVENUE WEST
WILLISTON,ND58801
45-0392137
SALE OF DME ND N/A
C         No
(36) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC

1201 W FRANK AVE
LUFKIN,TX75904
46-3622849
HEATH CARE TX N/A
C         No
(37) MERCY PARK APARTMENTS LTD

1111 6TH AVE
DES MOINES,IA50314
42-1202422
HOUSING IA N/A
C         No
(38) MERCY SERVICES CORP

2700 STEWART PARKWAY
ROSEBURG,OR97471
93-0824308
RETAIL SALES OR N/A
C         No
(39) MHI CLINICAL SERVICES

1201 W FRANK AVE
LUFKIN,TX75904
46-1967952
HEALTHCARE TX N/A
C         No
(40) MILLENNIUM SURGERY CENTER INC

9300 STOCKDALE HWY 200
BAKERSFIELD,CA93311
77-0513445
HEALTHCARE CA N/A
S         No
(41) MOUNTAIN MANAGEMENT SERVICES INC

6028 SHALLOWFORD RD
CHATTANOOGA,TN37421
62-1570739
MGMT SVC ORG TN N/A
C         No
(42) NORTH CENTRAL HEALTH CARE ALLIANCE

PO BOX 5538
BISMARK,ND58506
45-0439894
HEALTHCARE ND N/A
C         No
(43) PATIENT TRANSPORT SERVICES INC

1700 EDISON DR
MILFORD,OH45150
31-1100798
HOME HEALTH OH N/A
C         No
(44) QUALCHOICE ADVANTAGE

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
47-3433912
INSURANCE WA N/A
C         No
(45) QUALCHOICE HEALTH PLAN SVS INC (FKA COLLABHEALTH PLAN SVS INC)

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1224037
ADMIN SERVICES CO N/A
C         No
(46) QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC)

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1222808
HOLDING CO CO N/A
C         No
(47) QUALCHOICE HOLDINGS INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
27-4075520
HOLDING CO AR N/A
C         No
(48) QUALCHOICE OF NEBRASKA

2401 S 73RD ST
OMAHA,NE68124
81-0738827
INACTIVE NE N/A
C         No
(49) RIVERLINK HEALTH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4380824
INSURANCE OH N/A
C         No
(50) RIVERLINK HEALTH OF KENTUCKY INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4828332
INSURANCE KY N/A
C         No
(51) ROSS PARK PHARMACY INC

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1832654
PHARMACY OH N/A
C         No
(52) SAINT CLARE'S PRIMARY CARE INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
22-2441202
BILLING SERVICES NJ N/A
C         No
(53) SJH SERVICES CORPORATION

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2307408
HEALTHCARE CO N/A
C         No
(54) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR STE 160
LEXINGTON,KY40503
27-0164198
MGMT KY N/A
C         No
(55) SOUNDPATH HEALTH INC

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
42-1720801
INSURANCE WA N/A
C         No
(56) ST MARY HEALTH VENTURES INC

1050 LINDEN AVENUE
LONG BEACH,CA90813
95-1912528
RETAIL PHARMACY CA DIGNITY HEALTH
 
C 1,827,586 4,869,598 100.000 % Yes  
(57) ST ANTHONY DEVELOPMENT COMPANY

1415 SOUTHGATE
PENDLETON,OR97801
93-1216943
ATHLETIC CLUB OR N/A
C         No
(58) ST JOSEPH DEVELOPMENT COMPANY INC

1717 SOUTH J ST
TACOMA,WA98405
91-1480569
RENTAL WA N/A
C         No
(59) ST LUKE'S HEALTH SYSTEM HOLDINGS INC

6624 FANNIN STE 800
HOUSTON,TX77030
76-0637138
HOLDING CO TX N/A
C         No
(60) ST VINCENT COMMUNITY HEALTH SERVICES INC

TWO ST VINCENT CIRCLE
LITTLE ROCK,AR72205
71-0710785
HEALTHCARE AR N/A
C         No
(61) STE HOLDINGS

12809 WEST DODGE RD
OMAHA,NE68154
82-2383629
HOLDING CO NE N/A
C         No
(62) SUGAR LAND DOCTOR GROUP

1317 LAKE POINT PARKWAY
SUGAR LAND,TX77478
45-4270163
MEDICAL CLINIC TX N/A
C         No
(63) TOWSON MANAGEMENT INC

7601 OSLER DR
TOWSON,MD21204
52-1710750
MGMT SERVICES MD N/A
C         No
(64) TRINITY MANAGEMENT SERVICES ORGANIZATION

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1471026
MGMT SERVICES OH N/A
C         No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
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 .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) DIGNITY HEALTH CONNECTED LIVING

A 495,058 SEE PART VII
(2) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER

A 96,259 SEE PART VII
(3) PORT CITY OPERATING COMPANY LLC

A 3,526,700 SEE PART VII
(4) ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION

B 588,482 SEE PART VII
(5) DIGNITY HEALTH FOUNDATION

B 963,554 SEE PART VII
(6) DIGNITY HEALTH FOUNDATION - INLAND EMPIRE

B 712,205 SEE PART VII
(7) DIGNITY HEALTH FOUNDATION EAST VALLEY

B 1,751,653 SEE PART VII
(8) DOMINICAN HOSPITAL FOUNDATION

B 1,082,499 SEE PART VII
(9) MARIAN REGIONAL MEDICAL CENTER FOUNDATION

B 1,012,147 SEE PART VII
(10) MERCY FOUNDATION BAKERSFIELD

B 895,716 SEE PART VII
(11) MERCY MEDICAL CENTER FOUNDATION MERCED

B 549,860 SEE PART VII
(12) ST ROSE DOMINICAN HEALTH FOUNDATION

B 2,389,612 SEE PART VII
(13) ST JOHN'S HEALTHCARE FOUNDATION

B 979,408 SEE PART VII
(14) ST JOSEPH'S FOUNDATION

B 1,878,402 SEE PART VII
(15) ST MARY MEDICAL CENTER FOUNDATION

B 1,401,104 SEE PART VII
(16) ST MARY'S MEDICAL CENTER FOUNDATION

B 979,584 SEE PART VII
(17) ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION

C 1,268,393 SEE PART VII
(18) DIGNITY HEALTH FOUNDATION

C 1,786,022 SEE PART VII
(19) DIGNITY HEALTH FOUNDATION - INLAND EMPIRE

C 1,514,994 SEE PART VII
(20) DIGNITY HEALTH FOUNDATION EAST VALLEY

C 920,665 SEE PART VII
(21) DOMINICAN HOSPITAL FOUNDATION

C 4,545,655 SEE PART VII
(22) MARIAN REGIONAL MEDICAL CENTER FOUNDATION

C 3,677,358 SEE PART VII
(23) MERCY FOUNDATION BAKERSFIELD

C 1,173,982 SEE PART VII
(24) MERCY MEDICAL CENTER FOUNDATION MERCED

C 204,978 SEE PART VII
(25) ST ROSE DOMINICAN HEALTH FOUNDATION

C 5,426,030 SEE PART VII
(26) ST JOHN'S HEALTHCARE FOUNDATION

C 2,302,185 SEE PART VII
(27) ST JOSEPH'S FOUNDATION

C 5,257,169 SEE PART VII
(28) ST MARY MEDICAL CENTER FOUNDATION

C 2,997,943 SEE PART VII
(29) ST MARY'S MEDICAL CENTER FOUNDATION

C 1,011,983 SEE PART VII
(30) ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION

L 302,200 SEE PART VII
(31) DIGNITY HEALTH CONNECTED LIVING

L 212,335 SEE PART VII
(32) DIGNITY HEALTH FOUNDATION

L 545,110 SEE PART VII
(33) DIGNITY HEALTH FOUNDATION - INLAND EMPIRE

L 619,004 SEE PART VII
(34) DIGNITY HEALTH FOUNDATION EAST VALLEY

L 925,874 SEE PART VII
(35) DIGNITY HEALTH HOSPITAL PROF LIAB SELF-INSURANCE TRUST

L 7,497,808 SEE PART VII
(36) DIGNITY HEALTH WORKERS' COMP SELF-INSURANCE TRUST

L 746,798 SEE PART VII
(37) DOMINICAN HOSPITAL FOUNDATION

L 643,414 SEE PART VII
(38) DOMINICAN OAKS CORPORATION

L 1,206,753 SEE PART VII
(39) MARIAN REGIONAL MEDICAL CENTER FOUNDATION

L 372,370 SEE PART VII
(40) MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC

L 1,810,418 SEE PART VII
(41) MERCY FOUNDATION BAKERSFIELD

L 430,605 SEE PART VII
(42) MERCY MCMAHON TERRACE (FKA MERCY SENIOR HOUSING INC)

L 55,292 SEE PART VII
(43) MERCY MEDICAL CENTER FOUNDATION MERCED

L 262,144 SEE PART VII
(44) NICU OPERATING COMPANY OF SANTA CRUZ LLC

L 4,665,356 SEE PART VII
(45) PORT CITY OPERATING COMPANY LLC

L 50,568,547 SEE PART VII
(46) ST ROSE DOMINICAN HEALTH FOUNDATION

L 1,353,428 SEE PART VII
(47) ST FRANCIS FOUNDATION OF SANTA BARBARA

L 57,541 SEE PART VII
(48) ST JOHN'S HEALTHCARE FOUNDATION

L 624,132 SEE PART VII
(49) ST JOSEPH FOUNDATION OF SAN JOAQUIN

L 666,498 SEE PART VII
(50) ST JOSEPH'S FOUNDATION

L 992,270 SEE PART VII
(51) ST MARY HEALTH VENTURES INC

L 4,006,878 SEE PART VII
(52) ST MARY MEDICAL CENTER FOUNDATION

L 819,771 SEE PART VII
(53) ST MARY'S MEDICAL CENTER FOUNDATION

L 664,265 SEE PART VII
(54) DIGNITY HEALTH HOSPITAL PROF LIAB SELF-INSURANCE TRUST

M 53,777,568 SEE PART VII
(55) DIGNITY HEALTH WORKERS' COMP SELF-INSURANCE TRUST

M 13,152,460 SEE PART VII
(56) PORT CITY OPERATING COMPANY LLC

M 4,377,393 SEE PART VII
(57) RBR MANAGEMENT LLC

M 3,724,602 SEE PART VII
(58) DE JV LLC

S 3,464,940 SEE PART VII
(59) DOMINICAN HEALTH SERVICES

S 139,450 SEE PART VII
(60) RADIATION ONCOLOGY CENTERS OF VTA COUNTY

S 350,000 SEE PART VII
(61) RBR MANAGEMENT LLC

S 502,004 SEE PART VII
(62) SANTA CRUZ SURGERY CENTER LLC

S 100,000 SEE PART VII
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
PART V, LINE 2 COLUMN (C) PART V, TRANSACTION TYPE A DIGNITY HEALTH LEASES FACILITIES AND/OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS (WHOLLY-OWNED ORGANIZATIONS AND JOINT VENTURES). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE AMOUNTS CHARGED FOR SUCH AGREEMENTS. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE AMOUNTS CHARGED UNDER THESE AGREEMENTS. DIGNITY HEALTH PROVIDES LOANS TO RELATED ORGANIZATIONS (HOSPITALS, JOINT VENTURES AND WHOLLY-OWNED ORGANIZATIONS). AMOUNTS REPORTED AS TRANSACTION TYPE "A" REPRESENT THE INTEREST PAYMENTS CHARGED FOR THESE LOANS. PART V, TRANSACTION TYPE B AND C DIGNITY HEALTH AND ITS HOSPITAL FACILITIES ARE SUPPORTED BY VARIOUS FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS OPERATE FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF DIGNITY HEALTH AND ITS HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO DIGNITY HEALTH FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM DIGNITY HEALTH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" INCLUDE FUNDS EXPENDED BY DIGNITY HEALTH ON BEHALF OF THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED AS GRANTS BY DIGNITY HEALTH HOSPITALS FROM THE FOUNDATIONS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" ALSO INCLUDE FUNDING SUPPORT TO DIGNITY HEALTH MEDICAL FOUNDATION (DHMF), WHICH OPERATES CLINICS IN THE COMMUNITIES SERVED BY DIGNITY HEALTH HOSPITALS THROUGHOUT CALIFORNIA. DIGNITY HEALTH ALSO PROVIDES FUNDING SUPPORT TO OTHER EXEMPT ORGANIZATIONS THAT PROVIDE SERVICES TO COMMUNITIES SERVED BY DIGNITY HEALTH FACILITIES WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". DIGNITY HEALTH ALSO PROVIDES CAPITAL FUNDING TO CERTAIN RELATED ORGANIZATIONS, WHICH IS INCLUDED UNDER TRANSACTION TYPE "B". PART V, TRANSACTION TYPE L DIGNITY HEALTH FACILITIES PERFORM VARIOUS SERVICES FOR OTHER RELATED ORGANIZATIONS. DIGNITY HEALTH'S CONTROLLED ENTITIES ARE ASSESSED AN AMOUNT TO COVER THE SYSTEM OFFICE OPERATIONS. IN ADDITION, AN EXPENSE IS ALSO ASSESSED TO COVER CENTRALIZED INFORMATION TECHNOLOGY COSTS OF THE ORGANIZATION, CENTRALIZED ACCOUNTS PAYABLE, PAYROLL, ACCOUNTING, DECISION SUPPORT, AND CERTAIN OTHER MANAGEMENT SERVICES. IN FISCAL YEAR 2020, DIGNITY HEALTH HOSPITALS ALSO PERFORMED OPERATIONAL SERVICES FOR OTHER RELATED ORGANIZATIONS INCLUDING PLANT MAINTENANCE, LAUNDRY SERVICES AND OTHER SERVICES AS DEEMED NECESSARY. THE SERVICES PERFORMED ARE REIMBURSED AT COST. PART V, TRANSACTION TYPE M LABORATORY SUPPORT SERVICES ARE PROVIDED TO DIGNITY HEALTH HOSPITALS BY PORT CITY OPERATING COMPANY LLC. A RELATED JOINT VENTURE PROVIDES AMBULANCE SERVICES TO DIGNITY HEALTH HOSPITALS LOCATED IN NEVADA. DIGNITY HEALTH IS SELF-INSURED FOR WORKERS' COMPENSATION BENEFITS AND FOR HOSPITAL PROFESSIONAL AND GENERAL LIABILITY RISKS. DIGNITY HEALTH MAINTAINS SEPARATE TRUSTS FOR THESE PROGRAMS FROM WHICH CLAIMS AND RELATED EXPENSES AND COSTS OF ADMINISTERING THE PLANS ARE PAID. DIGNITY HEALTH HOSPITALS FUND THE TRUSTS, SUCH THAT OVER TIME, ASSETS HELD EQUAL LIABILITIES FOR CLAIMS INCURRED. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "M" INCLUDE THE CASH TRANSFERRED FROM DIGNITY HEALTH TO THE TRUSTS FOR THE FY20 FUNDING OF THE SELF-INSURANCE PROGRAMS. PART V, TRANSACTION TYPE S AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS AND TRANSFERS OF ASSETS FROM RELATED ORGANIZATIONS.
Schedule R (Form 990) 2019

Additional Data


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