Dominican Health Services
- Assets
- $11.1m
- Revenue
- $255.7k
- Investments
- $0.0
- Employees
- 0
- Location
- Santa Cruz, CA
- Founding
- 10/2015
- Data as of
- 06/2021
- EIN
- 77-0056778
Organization Overview
Dominican Health Services is located in Santa Cruz, CA. The organization was established in 2015. According to its NTEE Classification (E21) the organization is classified as: Community Health Systems, under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Dominican Health Services is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 06/2021, Dominican Health Services generated $255.7k in total revenue. This represents a relatively dramatic decline in revenue. Over the past 6 years, the organization has seen revenues fall by an average of (5.7%) each year.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
TO OPERATE IN SUPPORT OR BENEFIT OF AND DISTRIBUTE MONEY AND PROPERTY TO DIGNITY HEALTH DBA: DOMINICAN HOSPITAL.
Describe the Organization's Program Activity:
Part 3 - Line 4a
THE ORGANIZATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA DOMINICAN HOSPITAL ("HOSPITAL"). AS A SUPPORTING ORGANIZATION, THE ORGANIZATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITAL.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Nanette Mickiewicz MD Board Member/executive Vice Pres | OfficerTrustee | 0.1 | $0 |
Steve Snodgrass President / Chairperson | OfficerTrustee | 0.1 | $0 |
Susan Macmillan Secretary | OfficerTrustee | 0.1 | $0 |
Julie Peterson Treasurer / CFO (thru 8/7/20) | Officer | 1 | $0 |
Jeffrey P Daneff Treasurer / CFO (started 5/17/21) | Officer | 1 | $0 |
Rita Dean Op Board Member | Trustee | 0.1 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $111,032 |
| Investment income | $55,885 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $88,733 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $255,650 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $0 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $0 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $8,876,389 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $2,223,164 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $11,099,553 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $170 |
| Total liabilities | $170 |
| Net assets without donor restrictions | $11,099,383 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $11,099,553 |
Grants Recieved
Over the last fiscal year, we have identified 1 grants that Dominican Health Services has recieved totaling $5,513.
| Awarding Organization | Amount |
|---|---|
Dominican Santa Cruz Hospital Foundation Santa Cruz, CA PURPOSE: COMMUNITY HEALTH | $5,513 |
Peer Organizations
| Organization Name | Assets | Revenue |
|---|---|---|
Ajo Community Health Center Ajo, AZ | $9,609,061 | $7,787,948 |
Vitalyst Health Foundation Phoenix, AZ | $145,402,177 | $11,995,078 |
Northbay Health Advantage Fairfield, CA | $93,273,302 | $3,699,610 |
Healthier Kids Foundation Santa Clara County San Jose, CA | $5,503,217 | $5,858,092 |
California Association Of Health Plans Sacramento, CA | $5,888,259 | $4,729,386 |
Foundation Accountable Care Network Riverside, CA | $0 | $4,548,348 |
Community Health Centers Of America Modesto, CA | $1,382,171 | $2,841,901 |
Community Partnership Of Southern Arizona Cpsa Inc Tucson, AZ | $17,527,238 | $3,138,259 |
Healthcare Association Of Hawaii Honolulu, HI | $6,063,425 | $3,208,043 |
Arizona Health Care Association Phoenix, AZ | $2,354,303 | $2,741,975 |
Verity Health System Of California Inc Woodland Hills, CA | $0 | $0 |
California Healthcare Performance Information System San Francisco, CA | $366,882 | $2,135,158 |