Saint Francis Memorial Hospital

“The organization's sole corporate member is dignity community care, a 501(c)(3) exempt organization. On february 1, 2019, dignity health and catholic health initiatives ("chi"), a colorado nonprofit corporation, effected a business combination. On that date, chi changed its name to commonspirit and became the sole corporate member of dignity health. Commonspirit is a catholic healthcare system sponsored by the public juridic person, catholic health care federation (chcf"). As part of the alignment, on the effective date of february 1, 2019, dignity health caused to transfer non-catholic owned community hospitals, non-catholic subsidiary hospitals, and certain other non-catholic operations to dignity community care, a colorado nonprofit corporation.”

“Dignity community care, as the sole corporate member, ratifies the selection of members and the dignity community care board approves new board members of the organization.”

“The organization is subject to the governance requirements of the commonspirit health governance matrix. Thus, many key decisions addressed in the bylaws require the foundation to act by making a "recommendation," which is then formally acted on by the dignity community care board. Examples include amending corporate documents, approving members of governing board, approving removal of members of governing board, approval of dissolution and selling or disposing of assets. 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.”

“The form 990 was reviewed by finance and accounting (regional dignity health management and commonspirit's tax department), which worked closely with an independent accounting firm engaged to review the return. The board of trustees has delegated the review of the form 990 to the finance committee. Management provided the draft of the form 990 to the finance committee before filing the return with the irs for discussion at the committee meeting. The draft was complete except it excluded compensation information. Subsequent to its review, the finance committee reported back to the board regarding its review and provided a draft to the board of trustees, again excluding compensation.”

“The organization has adopted the related organization, commonspirit's conflicts of interest policy. The conflicts of interest ("coi") policy (the "policy") was put in place to protect the interests of commonspirit in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. The policy was last updated during the tax year ended 6/30/2021. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: - members of corporate and community boards of system entities - members of committees of corporate and community boards of system entities - members of the executive leadership team ("elt") of commonspirit - corporate officers of system entities - key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above - employees of system entities at the vice president level and above - all individuals engaged in research at institutions owned or operated by a system entity - select employees as determined from time to time by leadership disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.”

“Form 990, part vi, section b, line 15a although the president is compensated by dignity health, for 2020 compensation, compensation levels for the organization's top management official were established by the related organization, commonspirit. Commonspirit's board of stewardship trustees, appoints a human resources and compensation committee, comprised 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 outside legal counsel as necessary and qualified independent compensation and benefits specialists (independent experts) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparable data is obtained from the independent experts, (e.g., total economic benefits paid by similarly situated organizations, both taxable and tax-exempt, for similar job responsibilities). Key deliberations of the committee are documented in meeting minutes which are approved at the next committee meeting and provided to the board of directors. The documentation of the deliberations includes (a) the terms of the 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 b, line 15b for 2020, the parent organization's human resources department conducted an annual review and analysis to provide benchmarking data for the total compensation and benefits package of key executives. The compensation for these individuals was based on the qualification and experience of the candidates. Compensation is also reviewed annually as part of the merit increase process.”

“Federal tax laws do not mandate that the organization's governing documents and conflict of interest policy be made available for public inspection. The organization is included in commonspirit's consolidated financial statements which are available on commonspirit's website and upon request.”

“D. Morissette, t. Strumwasser, md, j. Fee, d. Klein, md, d. Kumar, t. Pierce and j. Welton received compensation for services provided to a related organization, dignity health. T. Pierce received compensation for services provided to a related organization, dignity community care.”

“Medical services: program service expenses 13,295,993. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,295,993. Administrative services: program service expenses 3,611,205. Management and general expenses 5,220,070. Fundraising expenses 0. Total expenses 8,831,275. Repairs and maintenance: program service expenses 2,206,216. Management and general expenses 3,189,129. Fundraising expenses 0. Total expenses 5,395,345. Professional consulting & other services: program service expenses 536,642. Management and general expenses 775,726. Fundraising expenses 0. Total expenses 1,312,368. Parking and security: program service expenses 709,690. Management and general expenses 1,025,872. Fundraising expenses 0. Total expenses 1,735,562. Storage/shred/janitorial: program service expenses 347,934. Management and general expenses 502,945. Fundraising expenses 0. Total expenses 850,879. Laundry/linen: program service expenses 166,212. Management and general expenses 240,263. Fundraising expenses 0. Total expenses 406,475. Other purchased services: program service expenses 488,949. Management and general expenses 706,786. Fundraising expenses 0. Total expenses 1,195,735. Other fees: program service expenses 6,595,382. Management and general expenses 93,574. Fundraising expenses 0. Total expenses 6,688,956.”

“Gain on adoption of asu 2017-17 1,619,246. Interest in net assets of unconsolidated foundation 18,891,634.”

“The organization did not change its oversight or selection process during the tax year.”

“The organization's federal awards were included in commonspirit's consolidated uniform guidance audited schedule of federal expenditures for the period of july 1, 2020, to june 30, 2021.”

“$967,102; centralized transactions: transfers for journal entries recorded centrally at commonspirit to standardize contractual allowance methodology across all commonspirit affiliates and subsidiaries. Recorded centrally at year end and transferred to facilities in the following year.”