Civic Intelligence

Dignity Health Medical Foundation

990 • Fiscal year 2017 • EIN 68-0220314

Jul 01, 2016 to Jun 30, 2017 • Filed on May 09, 2018

185 Berry Street Suite 300San Francisco, CA 94107

(916) 379-2778

Siviq Scores

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

Liabilities / Assets

75th percentile

0.58x

Higher debt load relative to assets than 75% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

13th percentile

0.14x

Higher debt load relative to revenue than 13% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

30th percentile

0.3%

Higher net margin than 30% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

97th percentile

$4,780,385

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

16th percentile

-0.8%

Faster asset growth than 16% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

63rd percentile

8.5%

Faster revenue growth than 63% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Down

$209,475,457

Down $1,785,037 (-0.8%) from 2016

Net Assets

Up

$86,932,416

Up $2,189,700 (+2.6%) from 2016

Liabilities

Down

$122,543,041

Down $3,974,737 (-3.1%) from 2016

Revenue

Up

$858,717,048

Up $67,471,123 (+8.5%) from 2016

Expenses

Up

$856,527,276

Up $64,425,459 (+8.1%) from 2016

Net Income

Up

$2,189,772

Up $3,045,664 (+356%) from 2016

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

2017

Assets$209,475,457
Liabilities$122,543,041
Net Assets$86,932,416

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

2017

Revenue$858,717,048
Expenses$856,527,276
Net Income$2,189,772
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 9, 2018
Return Version
2016v3.1
Gross Receipts
$858,717,048
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$106,165,864$106,490,644▲ $324,780
Savings and Temporary Cash Investments$50,310,508$41,908,484▼ $8,402,024
Accounts Receivable$40,668,901$41,094,819▲ $425,918
Prepaid Expenses and Deferred Charges$9,105,874$15,113,835▲ $6,007,961
Intangible Assets$2,764,450$2,764,450→ $0
Other Notes and Loans Receivable, Net$434,160$425,820▼ $8,340
Investments Program Related$127,557$127,485▼ $72
Cash and Non-Interest-Bearing Accounts$2,806$3,451▲ $645
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$211,260,494$209,475,457▼ $1,785,037
Other Assets Total$1,680,374$1,546,469▼ $133,905
Liabilities
Accounts Payable and Accrued Expenses$85,476,268$85,528,860▲ $52,592
Other Liabilities$40,389,659$36,310,093▼ $4,079,566
Deferred Revenue$651,851$670,126▲ $18,275
Mortgage Notes Payable Secured by Investment Property$0$33,962▲ $33,962
Grants Payable$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$126,517,778$122,543,041▼ $3,974,737
Net Assets / Fund Balance
Unrestricted Net Assets$84,615,159$86,804,931▲ $2,189,772
Temporarily Rstr Net Assets$127,557$127,485▼ $72
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$84,742,716$86,932,416▲ $2,189,700
Total Liabilities and Net Assets / Fund Balance$211,260,494$209,475,457▼ $1,785,037

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$24,109,964$55,601,612$79,711,576
Leasehold Improvements$30,903,593$34,197,601$65,101,194
Buildings$41,238,422$19,825,403$61,063,825
Other Land Buildings$5,816,566-$5,816,566
Land$4,422,099-$4,422,099
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jennifer SchaabVP Clinic OperationsFT$320,298$126,833$447,131
Alan BrookerMedical DirectorFT$280,496$126,036$406,532
Sigrid OwyangVP Clinic OperationsFT$258,841$132,619$391,460
Dean K WardVP Operations, Bay AreaFT$239,235$124,318$363,553
Kathryne EggersVP Project Management OfficeFT$219,032$115,681$334,713
Jennifer A LloydDirector, Managed CareFT$207,685$122,686$330,371
Sivasubramanian R ManoharanChief Radiation PhysicistFT$250,540$72,476$323,016
Melanie A RadkoVP Quality ManagementFT$205,047$106,109$311,156
Ernest A WallersteinInterim Executive DirectorFT$259,662$20,254$279,916
Christopher McGoldrickCFOFT$134,835$59,422$194,257

Board Members and Trustees

NameTitle
Gary Greensweig DOChair
Christina Fernandez DD JD BCCBoard Member
Keith Frey MDBoard Member
Nanette Mickiewicz MDBoard Member
Scott Robertson MDBoard Member
Todd A Strumwasser MDBoard Member
Bruce SwartzBoard Member/ Interim CEO
Marvin O'QuinnEx-officio Board Member
Joseph Jasser MDCEO
Karl SilbersteinFormer Officer
Thomas LowryInterim CFO
Anthony Scott CarswellSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Descor Builderscontractor3164 GOLD CAMP DR, Rancho Cordova, CA 95670$5,317,953
Trimedx LLCTechnology Mgmt serv5451 LAKEVIEW PKWY S DR, Indianapolis, IN 46268$4,213,712
Getixhealth LLCRevenue Cycle SVC9800 CENTRE PKWY, Houston, TX 77036-8263$2,851,207
MedirevvRevenue Cycle svc2600 UNIVERSITY PARKWAY, Coralville, IA 52241-3212$1,814,947
Ecg Management Consultants INCConsulting services1111 THIRD AVE, Seattle, WA 98101-3201$1,443,054
Revenue and Support

Revenue Composition

Contributions and Grants
$213,360,623
Program Service Revenue
$644,687,027
Investment Income
$543,723
Other Revenue
$125,675
All Other Contributions
$20,401,866
Change in Net Assets
$2,189,772
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$624,943,318
Salaries, Compensation, and Employee Benefits$231,543,363
Grants and Similar Amounts Paid$40,595
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$343,417,817$53,047,387$0$396,465,204
Other Salaries and Wages$153,995,061$8,519,086$0$162,514,147
Other Employee Benefits$33,742,687$13,207,316$0$46,950,003
Information Technology$27,094,733$12,049,394$0$39,144,127
Occupancy$18,330,253$11,552,268$0$29,882,521
Depreciation Depletion$12,778,194$4,392,505$0$17,170,699
Office Expenses$10,762,723$4,086,832$0$14,849,555
Payroll Taxes$11,629,925$86,542$0$11,716,467
Pension Plan Contributions$7,871,895$538,691$0$8,410,586
Advertising$2,384,637$1,062,957$0$3,447,594
Interest$0$2,411,519$0$2,411,519
Fees for Services Legal$0$1,959,898$0$1,959,898
Current Officers, Directors, Trustees, and Key Employees$1,828,821$123,339$0$1,952,160
Travel$1,474,987$422,291$0$1,897,278
Insurance$882,644$972,372$0$1,855,016
All Other Expenses$665,338$208,073-$873,411
Other Expenses$362,557$26,791$0$389,348
Conferences and Meetings$289,907$96,171$0$386,078
Fees for Services Accounting$0$77,856$0$77,856
Grants to Domestic Orgs$40,595--$40,595
Total Functional Expenses$741,646,860$114,880,416$0$856,527,276
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Dominican Hospital FoundationSanta Cruz, CA501(c)(3)Community Health$25,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
Yes
Lobbying activity
No
Subject to proxy tax
No

Reported Spending and Taxes

Line ItemAmount
Political Expenditures$801
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$31,474,043
Long-term Pension Payable$2,543,057
Non Current Liabilities$2,292,993
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

Filer Name
Dignity Health Medical Foundation
EIN
68-0220314
In Care Of
% AMY SMITH
Phone
9163792778
Address
185 BERRY STREET SUITE 300, SAN FRANCISCO, CA 94107

Signing Officer

Name
Jennifer Schaab
Title
COO
Phone
6267442328
Signed
2018-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher McGoldrick CFO
Formed
1990
Legal Domicile
CA
Voting Board Members
9
Independent Board Members
0
Employees
2,781
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
55 SECOND STREET SUITE 1400, SAN FRANCISCO, CA 94105
Preparer
Valerie J Ball
Phone
4159635100
Supplemental Narrative

Additional Explanations

FORM 990, PART, VI, XI and XII

Form 990, part vi, section a, line 2 k. Frey, s. Carswell, b. Swartz, j. Jasser, md - business relationship b. Swartz, g. Greenswieg - business relationship b. Swartz, k. Frey, md - business relationship b. Swartz, s. Carswell - business relationship 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 11b 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 cfo. The draft was also received by the board of directors. The draft was complete except it excluded compensation information for directors who are also key executives of dignity health, the filing organization's sole member. Compensation by dignity health to those directors was reviewed by the compensation and benefits committee of the dignity health board of directors. Form 990, part vi, section b, line 12c the organization has adopted dignity health's conflicts of interest policy. Under such policies, the 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 vice president level and above, and any other personnel at his or her discretion). All covered persons are required to disclose actual or potential conflicts arising from the 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 a 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 of directors, members of board committees with subject matter jurisdiction and any other relevant decision-makers; (2) the interested person responds to factual questions related to the substance of the transaction or ar

Form 990 Part IX Line 11G

Description:administrative assistance total fees:10359000

Form 990 Part IX Line 11G

Description:medical fees total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:consulting total fees:5513919

Form 990 Part IX Line 11G

Description:maintenance and repairs total fees:6731163

Form 990 Part IX Line 11G

Description:janitorial total fees:1896377

Form 990 Part IX Line 11G

Description:collection total fees:4213516

Form 990 Part IX Line 11G

Description:management fees total fees:4209807

Form 990 Part IX Line 11G

Description:other purchased services total fees:3697676

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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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
2017Detailed filing. Detailed filing data is available for this year.$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