Civic Intelligence

Dignity Health Medical Foundation

990 • Fiscal year 2014 • EIN 68-0220314

Jul 01, 2013 to Jun 30, 2014 • Filed on Apr 30, 2015

3400 Data DriveSuite95670

(916) 379-2778

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

70th percentile

0.52x

Higher debt load relative to assets than 70% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

15th percentile

0.17x

Higher debt load relative to revenue than 15% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

35th percentile

3.1%

Higher net margin than 35% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

73rd percentile

11%

Faster asset growth than 73% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$186,230,543

Up $18,992,460 (+11%) from 2013

Net Assets

Up

$88,682,205

Up $17,501,208 (+25%) from 2013

Liabilities

Up

$97,548,338

Up $1,491,252 (+1.6%) from 2013

Revenue

$570,134,713

No earlier filing loaded for comparison.

Expenses

Up

$552,635,770

Up $80,382,536 (+17%) from 2013

Net Income

$17,498,943

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800M$600M$400M$200M$0Assets 2010: $132,067,393Liabilities 2010: $94,689,316Net Assets 2010: $37,378,0772010Assets 2011: $136,030,820Liabilities 2011: $94,105,294Net Assets 2011: $41,925,5262011Assets 2012: $160,520,045Liabilities 2012: $86,866,309Net Assets 2012: $73,653,7362012Assets 2013: $167,238,083Liabilities 2013: $96,057,086Net Assets 2013: $71,180,9972013Assets 2014: $186,230,543Liabilities 2014: $97,548,338Net Assets 2014: $88,682,2052014Assets 2015: $198,558,335Liabilities 2015: $112,962,073Net Assets 2015: $85,596,2622015Assets 2016: $211,260,494Liabilities 2016: $126,517,778Net Assets 2016: $84,742,7162016Assets 2017: $209,475,457Liabilities 2017: $122,543,041Net Assets 2017: $86,932,4162017Assets 2018: $282,915,718Liabilities 2018: $144,088,571Net Assets 2018: $138,827,1472018Assets 2019: $329,811,583Liabilities 2019: $157,328,181Net Assets 2019: $172,483,4022019Assets 2020: $477,201,605Liabilities 2020: $269,161,383Net Assets 2020: $208,040,2222020Assets 2021: $587,190,210Liabilities 2021: $397,336,515Net Assets 2021: $189,853,6952021Assets 2022: $590,501,406Liabilities 2022: $408,002,962Net Assets 2022: $182,498,4442022Assets 2023: $659,338,395Liabilities 2023: $405,519,925Net Assets 2023: $253,818,4702023Assets 2024: $656,000,369Liabilities 2024: $435,710,268Net Assets 2024: $220,290,1012024

Highlighted filing

2014

Assets$186,230,543
Liabilities$97,548,338
Net Assets$88,682,205

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $330,997,3262010Expenses 2011: $373,021,2732011Expenses 2012: $439,785,5852012Expenses 2013: $472,253,2342013Revenue 2014: $570,134,713Expenses 2014: $552,635,770Net Income 2014: $17,498,9432014Revenue 2015: $671,338,639Expenses 2015: $674,282,196Net Income 2015: -$2,943,5572015Revenue 2016: $791,245,925Expenses 2016: $792,101,817Net Income 2016: -$855,8922016Revenue 2017: $858,717,048Expenses 2017: $856,527,276Net Income 2017: $2,189,7722017Revenue 2018: $1,010,009,983Expenses 2018: $957,767,990Net Income 2018: $52,241,9932018Revenue 2019: $1,105,035,786Expenses 2019: $1,088,058,169Net Income 2019: $16,977,6172019Revenue 2020: $1,277,382,117Expenses 2020: $1,238,918,288Net Income 2020: $38,463,8292020Revenue 2021: $1,313,200,385Expenses 2021: $1,334,377,512Net Income 2021: -$21,177,1272021Revenue 2022: $1,352,115,034Expenses 2022: $1,372,183,356Net Income 2022: -$20,068,3222022Revenue 2023: $1,499,323,425Expenses 2023: $1,430,783,732Net Income 2023: $68,539,6932023Revenue 2024: $1,480,579,523Expenses 2024: $1,517,016,209Net Income 2024: -$36,436,6862024

Highlighted filing

2014

Revenue$570,134,713
Expenses$552,635,770
Net Income$17,498,943
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Apr 30, 2015
Return Version
2013v4.0
Gross Receipts
$570,154,356
Mission and Program Overview

Mission

Dignity health medical foundation's mission is to establish, operate, and maintain a multi-specialty outpatient medical clinic to provide compassionate, high-quality, affordable patient care services and health education. Our clinic is committed to expanding quality health care access to those in need and contributing to the health and well-being of the communities we serve.

To establish, operate, and maintain a multi-specialty outpatient medical clinic to benefit the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$102,646,540$110,954,296▲ $8,307,756
Accounts Receivable$25,382,637$34,222,342▲ $8,839,705
Savings and Temporary Cash Investments$30,587,643$31,398,730▲ $811,087
Prepaid Expenses and Deferred Charges$5,453,293$5,866,456▲ $413,163
Intangible Assets$607,869$2,537,651▲ $1,929,782
Other Notes and Loans Receivable, Net$940,483$950,027▲ $9,544
Investments Program Related$265,331$267,597▲ $2,266
Cash and Non-Interest-Bearing Accounts$11,666$12,444▲ $778
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$167,238,083$186,230,543▲ $18,992,460
Other Assets Total$1,342,621$21,000▼ $1,321,621
Liabilities
Accounts Payable and Accrued Expenses$44,020,829$50,163,331▲ $6,142,502
Other Liabilities$51,453,040$46,607,769▼ $4,845,271
Deferred Revenue$583,217$777,238▲ $194,021
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$96,057,086$97,548,338▲ $1,491,252
Net Assets / Fund Balance
Unrestricted Net Assets$70,915,666$88,414,608▲ $17,498,942
Temporarily Rstr Net Assets$265,331$267,597▲ $2,266
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$71,180,997$88,682,205▲ $17,501,208
Total Liabilities and Net Assets / Fund Balance$167,238,083$186,230,543▲ $18,992,460

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$23,030,358$35,570,769$58,601,127
Buildings$40,463,658$11,840,567$52,304,225
Leasehold Improvements$26,321,629$17,068,512$43,390,141
Other Land Buildings$16,716,552-$16,716,552
Land$4,422,099-$4,422,099
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas LowryCFOFT$299,755$183,940$483,695
Sigrid OwyangVP Clinic OperationsFT$224,722$134,009$358,731
Marjorie D GorthyDirector Executive - MicFT$178,487$103,499$281,986
Edward KellyExec Director Grtr Bay AreaFT$195,983$68,776$264,759
Jennifer SchaabVP Clinic OperationsFT$190,775$69,330$260,105
Jennifer A LloydDirector, Managed CareFT$167,572$77,488$245,060
Karen GrimmerDirector, FinanceFT$165,792$68,196$233,988
Steven ScharmannDirector Patient Financial SerFT$142,772$84,869$227,641
Terence MalloyDirector Clinical InformaticsFT$155,480$50,712$206,192

Board Members and Trustees

NameTitle
Karl SilbersteinChairman
Bruce SwartzBoard Member
Christina FernandezDDJDBCCBoard Member
Gary Greensweig DOBoard Member
Karl Ulrich MDBoard Member
Nanette Mickiewicz MDBoard Member
Marvin O'QuinnEx-officio Board Member
Joseph Jasser MDCEO
George LenziCFO (started 5/2014)
Jag Gill Sc DFormer officer (thru 12/2012)
Gary SpaughFormer Secretary
Anthony Scott CarswellSecretary
Kevin VaziriService Area Leader Woodland

Highest Paid Contractors

ContractorServicesLocationCompensation
Sacramento Midtown Endoscopy CenterMedical Services-$775,206
Sacramento Bariatric Medical AssociMedical Services-$553,600
Women's Care Medical GroupMedical Services-$443,450
American Medical ResponseMedical Services-$317,056
Path LogicPathology services-$235,892
Revenue and Support

Revenue Composition

Contributions and Grants
$128,535,283
Program Service Revenue
$439,846,830
Investment Income
$229,066
Other Revenue
$1,523,534
All Other Contributions
$8,185,473
Change in Net Assets
$17,498,943
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$400,860,993
Salaries, Compensation, and Employee Benefits$151,761,818
Grants and Similar Amounts Paid$12,959
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$231,053,865$14,197,876$0$245,251,741
Other Salaries and Wages$80,363,877$30,866,731-$111,230,608
Other Employee Benefits$21,323,043$7,107,284-$28,430,327
Occupancy$8,732,411$12,360,193-$21,092,604
Information Technology$2,350,903$14,864,862-$17,215,765
Office Expenses$7,186,543$6,025,722-$13,212,265
Depreciation Depletion$5,621,918$7,158,695-$12,780,613
Payroll Taxes$8,189,523$88,740-$8,278,263
Interest-$2,756,286-$2,756,286
Advertising$830,599$1,779,428-$2,610,027
Pension Plan Contributions$2,440,134$59,111-$2,499,245
Insurance$92,163$1,416,009-$1,508,172
Fees for Services Management$295,689$1,116,233-$1,411,922
Current Officers, Directors, Trustees, and Key Employees$979,668$343,707-$1,323,375
Travel$647,340$515,334-$1,162,674
Other Expenses$220,141$243,447$0$463,588
All Other Expenses$179,322$197,906-$377,228
Conferences and Meetings$109,503$108,605-$218,108
Fees for Services Legal-$146,897-$146,897
Grants to Domestic Orgs$12,959--$12,959
Total Functional Expenses$449,970,526$102,665,244$0$552,635,770
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
94-1422471-501(c)(3)Community Health$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$44,197,868
Long-term Pension Payable$1,390,986
Non Current Liabilities$1,004,524
Deferred Compensation$14,391
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

EIN
68-0220314
In Care Of
% KAREN GRIMMER
Phone
9163792778

Signing Officer

Name
George Lenzi
Title
CFO
Phone
9168512559
Signed
2015-04-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
George Lenzi CFO
Formed
1990
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
0
Employees
1,781
Volunteers
0

Preparer

Preparer
Valerie J Ball
Phone
9168512559
Supplemental Narrative

Additional Explanations

FORM 990, PART, VI, XI and XII

Form 990, part vi, section a, line 6 the sole corporate member is dignity health, a 501(c)(3) exempt organization. Form 990, part vi, section a, line 7a dignity health, as the sole corporate member, ratifies the selection of members and the dignity health board approves new board members of the organization. Form 990, part vi, section a, line 7b reserved rights of the corporate member include adoption of mission and philosophy statements, amendment or restatement of articles of incorporation and bylaws, dissolution of the corporation, acquisition of another corporation, creation of a new subsidiary, merger or consolidation with another corporation, participation as a general or limited partner in any venture, incurring long-term indebtedness in excess of normal operating requirements, ratification of board member appointments and dismissals, selection and removal of independent auditors, and transactions outside the ordinary course of business. Form 990, part vi, section b, line 11a there is a two level review for the dignity health medical foundation form 990; first the accounting manager worked closely with the parent organization and an independent accounting firm it engaged to review the form 990, the final review was done by the ceo and senior vice president of financial operations. The draft was complete except it excluded compensation information for directors who are also key executives of dignity health, the filing organization's sole member. Compensation by dignity health to those directors was reviewed by the compensation and benefits committee of the dignity health board of directors. Form 990, part vi, section b, line 12c the organization has adopted dignity health's conflicts of interest policy. Under such policies, the evp/general counsel is responsible for collecting, reviewing and validating annual disclosures of all covered persons (i.e., board and board committee members, officers and executive leadership, key employees, management personnel at the director level and above, and any other personnel at his or her discretion). The organization's board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. All covered persons are required to disclose real or potential conflicts arising from business, financial and personal interests held by such covered persons or their family members. Covered persons are required to disclose to their superiors and to relevant decision makers any interest that may present a conflict or the appearance of a conflict of interest. Such disclosure is required on a transactional basis at the time such conflicts arise, when an individual becomes a covered person, and annually thereafter. Each covered person is required to certify at least annually that he/she: (1) has received a copy of the policy applicable to his/her position; (2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflicts of interest disclosure statement as required by the policy. The president/ceo and evp/general counsel prepare annual reports of reported conflicts of interest which are provided to the board of directors, committee chairs, and key leaders of the organization to enable responsible individuals to monitor and manage disclosed conflicts of interest and assure decisions are made in the organization's best interests. The procedures for addressing any conflict of interest related to a proposed transaction include, but are not limited to, the following: (1) the conflicting interest is fully disclosed to the board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) if warranted, alternatives to the proposed

Form 990 Part IX Line 11G

Description:medical /professional consult total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:maintenance/repairs/utility total fees:6136287

Form 990 Part IX Line 11G

Description:administrative services total fees:5293927

Form 990 Part IX Line 11G

Description:collection agencies total fees:1049464

Form 990 Part IX Line 11G

Description:other purchases services total fees:5567340

Financial Statement Notes

Sched D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE

Dignity health reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm1Gary Greensweig DO
IRS990/Form990PartVIISectionAGrp/PersonNm2Nanette Mickiewicz MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Marvin O'Quinn
IRS990/Form990PartVIISectionAGrp/PersonNm4Bruce Swartz
IRS990/Form990PartVIISectionAGrp/PersonNm5Karl Ulrich MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Anthony Scott Carswell
IRS990/Form990PartVIISectionAGrp/PersonNm7Joseph Jasser MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Karl Silberstein
IRS990/Form990PartVIISectionAGrp/PersonNm9George Lenzi
IRS990/Form990PartVIISectionAGrp/PersonNm10Thomas Lowry
IRS990/Form990PartVIISectionAGrp/PersonNm11Edward Kelly
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IRS990/Form990PartVIISectionAGrp/PersonNm13Jennifer Schaab
IRS990/Form990PartVIISectionAGrp/PersonNm14Kevin Vaziri
IRS990/Form990PartVIISectionAGrp/PersonNm15Jennifer A Lloyd
IRS990/Form990PartVIISectionAGrp/PersonNm16Karen Grimmer
IRS990/Form990PartVIISectionAGrp/PersonNm17Terence Malloy
IRS990/Form990PartVIISectionAGrp/PersonNm18Steven Scharmann
IRS990/Form990PartVIISectionAGrp/PersonNm19Marjorie D Gorthy
IRS990/Form990PartVIISectionAGrp/PersonNm20Gary Spaugh
IRS990/Form990PartVIISectionAGrp/PersonNm21Jag Gill Sc D
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt3Ex-officio Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt7CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt8Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt9CFO (STARTED 5/2014)
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Exec Dir Grtr Bay Area
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP Clinic Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP Clinic Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt14Service Area Leader Woodland
IRS990/Form990PartVIISectionAGrp/TitleTxt15Director, Managed Care
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director, Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director Clinical Informatics
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director Patient Financial Ser
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIR EXECUTIVE - MIC
IRS990/Form990PartVIISectionAGrp/TitleTxt20Former Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt21Former officer (thru 12/2012)
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IRS990/MissionDesc0DIGNITY HEALTH MEDICAL FOUNDATION'S MISSION IS TO ESTABLISH, OPERATE, AND MAINTAIN A MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC TO PROVIDE COMPASSIONATE, HIGH-QUALITY, AFFORDABLE PATIENT CARE SERVICES AND HEALTH EDUCATION. OUR CLINIC IS COMMITTED TO EXPANDING QUALITY HEALTH CARE ACCESS TO THOSE IN NEED AND CONTRIBUTING TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE.
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IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$656$436$220$1,481$1,517$36.4
2023Summary only. Only limited summary data is available for this year.$659$406$254$1,499$1,431$68.5
2022Summary only. Only limited summary data is available for this year.$591$408$182$1,352$1,372$20.1
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$587$397$190$1,313$1,334$21.2
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$477$269$208$1,277$1,239$38.5
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$330$157$172$1,105$1,088$17.0
2018Summary only. Only limited summary data is available for this year.$283$144$139$1,010$958$52.2
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$209$123$86.9$859$857$2.19
2016Summary only. Only limited summary data is available for this year.$211$127$84.7$791$792$0.86
2015Summary only. Only limited summary data is available for this year.$199$113$85.6$671$674$2.94
2014Detailed filing. Detailed filing data is available for this year.$186$97.5$88.7$570$553$17.5
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$167$96.1$71.2$472
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$161$86.9$73.7$440
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$136$94.1$41.9$373
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$132$94.7$37.4$331