2019-05-15T20:09:52-05:00 2018-06-30 KPMG LLP 55 Second Street 1400 San Francisco CA 94105 990 2017-07-01 860174371 Barrow Neurological Foundation % RANDY BRADLEY BARR 6024063992 350 West Thomas Road Phoenix AZ 85013 KATE COBB President 4083671379 2019-05-14 true Valerie J Ball P00178114 4159635100 2019-05-15 167.68.102.5 94029720191355000276 2019-05-15 P AFC1CABF2724952AFBFC3879A4882118A11459E7 AFC1CABF2724952AFBFC3879A4882118A11459E7 2017 2019-02-21 02:37:17Z JEFFREY JACKSON 3033 n third avenue phoenix AZ 85013 66264025 false X WWW.supportbarrow.org X 1961 AZ TO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH. 25 23 0 40 0 19257038 37617305 0 0 4336970 6494430 1067543 1131817 24661551 45243552 9603412 13441891 0 0 0 0 0 0 215594 4317399 4435677 13920811 17877568 10740740 27365984 143335154 177126293 4225758 4721801 139109396 172404492 TO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST.JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH. false false 13441891 13441891 0 The foundation raises funds to support Barrow Neurological Institute, a department of St. Josephs Hospital and Medical Center IN PHOENIX, ARIZONA ('HOSPITAL'). 13441891 true true false false false false false false false true false true false false true true true false false false true false false false true true false true false true false false false false false false false false true false false false false true false false false true X 25 25 true 0 false true CJ VI EI false false false true true false false false false false X 25 23 false false false false false false true true true false false false true true true true true false false false AZ X RANDY BRADLEY 6023072546 350 W THOMAS ROAD PHOENIX AZ 85013 Booker T Evans Director 1.0 0.0 X 0 0 0 Ira A Fulton Director 1.0 0.0 X 0 0 0 Tomas Gorny Director 1.0 0.0 X 0 0 0 Lisa Handley Director 1.0 0.0 X 0 0 0 Michael Hecomovich Director 1.0 0.0 X 0 0 0 Robert Hobbs Sr Director (Thru 8/31/2017) 1.0 0.0 X 0 0 0 Karen C King-Brooks Director 1.0 0.0 X 0 0 0 William Langer Jr Director 1.0 0.0 X 0 0 0 Robert Lavinia Director 1.0 0.0 X 0 0 0 Michael Lawton MD Director 1.0 0.0 X 0 0 0 Stephen Lenn Director 1.0 0.0 X 0 0 0 Larry Mayhew Director 1.0 0.0 X 0 0 0 Kent McClelland Director 1.0 0.0 X 0 0 0 Patrick McGroder III Director 1.0 0.0 X 0 0 0 William Metzler Director 1.0 0.0 X 0 0 0 Mitchell Pierce Director 1.0 0.0 X 0 0 0 David Rauch Director 1.0 0.0 X 0 0 0 Jim Swanson Director 1.0 0.0 X 0 0 0 E Jeffrey Walsh DIRECTOR 1.0 0.0 X 0 0 0 Patty White Director 0.5 39.5 X 0 891914 100870 Jerry Worsham III Director 1.0 0.0 X 0 0 0 Katherine Cobb CEO 10.0 30.0 X X 0 230428 35937 Dan L Grubb Vice Chair 1.0 0.0 X X 0 0 0 Michael Haenel Chair 1.0 0.0 X X 0 0 0 Michael R King Secretary 1.0 0.0 X X 0 0 0 Karen C McConnell Treasurer 1.0 0.0 X X 0 0 0 Jeffrey Jackson CFO 1.0 39.0 X 0 342561 43652 Terri Hoffman Former Officer 0.0 40.0 X 0 246831 37968 0 1711734 218427 0 true true false Pavillion Advisory Group 227 W Monroe St Suite 220 CHICAGO IL 60606 Consulting 232565 1 0 0 2274805 4310538 0 31031962 87507 37617305 0 1748028 1748028 0 79 79 0 0 0 19779302 15032900 4746402 4746402 4746402 158728 2274805 255481 -96753 -96753 6960545 5732092 1228453 1228453 0 0 0 OTHER INCOME 900099 38 38 38 45243552 7626247 X 13441891 13441891 0 0 0 0 0 0 0 0 0 0 38511 38511 12880 12880 53 53 0 343137 343137 3403721 3403721 169037 110274 58763 197413 97674 99739 58600 58600 0 5736 5736 41611 31036 10575 0 9263 7768 1495 0 0 0 22726 22726 DUES & SUBSCRIPTIONS 66648 65376 1272 FOOD 27183 13312 13871 IN-KIND DISBURSEMENTS 20443 6953 13490 DONOR CULTIVATION 9918 9918 8797 2326 6471 17877568 13441891 4220083 215594 X 0 0 7120952 14976204 14835635 30439633 0 0 0 0 0 0 0 0 0 0 166382 485757 0 0 104475606 109707138 16713171 21493701 0 0 0 0 23408 23860 143335154 177126293 286809 244715 3648875 4249176 5000 0 0 0 0 0 0 0 0 0 0 0 285074 227910 4225758 4721801 X 39904753 44869456 65360897 92675184 33843746 34859852 139109396 172404492 143335154 177126293 X 27365984 5360299 75856 127500 365457 X false true X true false X 13095525 17063225 14098913 19257038 37617305 101132006 0 0 13095525 17063225 14098913 19257038 37617305 101132006 44006186 57125820 1508329 1796495 17521698 1605930 1404347 23836799 0 8936497 8353362 7722968 7451638 7119311 39583776 164552581 0.34716 0.42980 X 54682045 1012001 2883398 1722817 56854627 49901286 980412 4930171 1129824 54682045 48015996 3695314 -848906 961119 49901285 47972789 72007 1152908 1181707 48015997 42488519 2048899 4652075 1216704 47972789 0.12000 0.62000 0.26000 false false POOLED INVESTMENTS 21493701 F 21493701 0 SPLIT INTEREST AGREEMENTS 227910 227910 X 53070982 5360299 75856 565255 2241455 8242865 44828117 343137 72298 415435 45243552 19775886 2241455 2241455 17534431 343137 343137 17877568 INTENDED USE OF THE ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 Endowment funds are used to support the Barrow Neurological Institute's research and medical education programs. ASC 740 FOOTNOTE SCHEDULE D, PART X, LINE 2 THE FOUNDATION HAS BEEN CLASSIFIED AS AN OTHER-THAN PRIVATE FOUNDATION AND IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2018. RECONCILIATION OF REVENUE FROM AFS TO FORM 990 SCHEDULE D, PART XI, LINE 2d Reclass from expense $ 2,241,455 Schedule D, Part XI, Line 4b change in split interest adjustments 72,298 SCHEDULE D, PART XII, LINE 2d Indirect Expenses for Health and Wealth Raffle $ 2,241,455 Central America and the Caribbean Investments N/A 9669264 Europe (Including Iceland and Greenland) Investments N/A 3469908 13139172 13139172 false false false false false false PART I, LINE 3, COLUMN F THE EXPENDITURES ARE REPORTED ON AN ACCRUAL BASIS. Barrow Ball 2245180 2187900 57280 64965 28250 85 10566 Lou Grubbs Golf 188352 86905 101447 13347 10772 54821 72674 0 2433532 2274805 158727 13347 75737 83071 85 83240 255480 -96753 false false 6960545 2557750 1058501 2115841 false 6960545 2557750 1058501 2115841 5732092 1228453 AZ true false false false 1.00000 CBIZ MHM LLC 4722 N 24th St Suite 300 Phoenix AZ 85016 false Teresa Davia SUPERVISION, RECORD KEEPING, HIRING AND FIRING X false true DIGNITY HEALTH DBA ST JOSEPHS HOSP & MED CENTER 350 W THOMAS ROAD PHOENIX AZ 85013 941196203 501(c)(3) 13441891 N/A N/A Support hospital 1 SCHEDULE I, PART I, LINE 2 The Foundation operates exclusively for the benefit of, to perform the functions of, or to carry out the purposes of the grantee listed in Part II, item 1 (Dignity health, dba St. Joseph's Hospital and Medical Center), which includes making DISTRIBUTIONS directly to the beneficiary organization, transferring and monitoring that restrictions are met before release of funds and expenditure of such funds. true true false false false false false false false Patty White Director 453133 276821 161960 65886 34984 992784 141084 Katherine Cobb CEO 208051 22377 0 18207 17730 266365 0 Jeffrey Jackson CFO 284185 47360 11016 34449 9203 386213 0 Terri Hoffman Former Officer 204483 41134 1214 22275 15693 284799 0 SCHEDULE J, part 1, line 3 THE FOUNDATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE COMPENSATION OF THE PERSON WHO IS THE TOP MANAGEMENT OFFICIAL FOR THIS ORGANIZATION.SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCHEDULE J, part I, line 4a CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES FAIR COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 36 WEEKS 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. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2017. SCHEDULE J, Part I, line 4b CERTAIN LISTED PERSONS HIRED PRIOR TO JUNE 30, 2006 ARE ELIGIBLE TO PARTICIPATE IN THE 2007 DIGNITY HEALTH EXECUTIVE DEFERRED COMPENSATION PLAN, A NONQUALIFIED 457(F) PLAN, THAT IS SUBJECT TO SUBSTANIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICES NOT BEEN FROZEN AT JANUARY 1,2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. NO BENEFIT UNDER THE 457(F) PLAN BEFORE THE ATTAINMENT OF AGE 62 OR THE COMPLETION OF 15 YEARS OF SERVICE. 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. NO PAYMENTS WERE MADE UNDER THIS PLAN IN 2013. CERTAIN LISTED PERSONS PARTICIPATE IN THE DIGNITY HEALTH KEY EMPLOYEE SHARE OPTION PLAN (KEYSOP), WHICH WAS FROZEN IN MAY 2002. THE KEYSOP PROGRAM WAS ESTABLISHED IN 2001 WITH THE PURPOSE OF PROVIDING INCOME DEFERRAL OPPORTUNITIES TO ELIGIBLE EMPLOYEES, FOR THE COMPANY'S KEY EMPLOYEE RETENTION PROGRAM. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2017. SCHEDULE J, Part II, Supplemental disclosures ALTHOUGH THE ORGANIZATION DOES NOT DIRECTLY EMPLOY ANY PERSONNEL, THE SUPPORTED ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO FULFILL THE ORGANIZATION'S 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 THE ORGANIZATION SERVES,PROMOTING 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 THE ORGANIZATION'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, TARGETS THE 75TH PERCENTILE OF THE MARKET IN WHICH THE ORGANIZATION COMPETES FOR EXECUTIVES, COMMENSURATE WITH THE SIZE OF THE ORGANIZATION AND COMPLEXITY OF THE ORGANIZATION. X 1790 Resale value X 7854 Resale value X 1 55604 RESALE PRICE X 3 4594 Average Market Value X Other Gift Certificates 1 25 Comparable sale X Other Food and Wine 3 11522 Comparable sale X Other Electronics 1 1500 Comparable sale X Other Medical Equipment 1 600 Comparable sale X Other Office Equipment 1 4018 Comparable sale false true false Schedule M, Part I, column (b) The amounts reported in Schedule M, Part I column (b) consist of the number of contributions received. FORM 990, PART I, LINE 5 AND PART V, LINE 2A The organization does not have employees.The foundation operates for the benefit of the hospital and utilizes the employees of that hospital. The proportionate salaries and benefits for these individuals are allocated to the Foundation. The salaries of these employees are included in the hospital entity's Form W-3 and federal employment tax returns. FORM 990, PART V, LINE 7H Barrow Neurological did not file a 1098-C since the donated car is used by the hospital. FORM 990, PART VI, SECTION A, LINE 7b The supported organization, Dignity Health, a 501(c)(3) organization, must approve any changes to the bylaws of the Foundation that would have the effect of changing the purpose of the organization. FORM 990, PART VI, SECTION B, LINE 11A The Foundation's Vice President of Operations and CEO Reviewed the form 990 in detail prior to filing, as did the Foundation's Audit and Finance Committee. Due to timing of Board meetings, the full board did not receive a copy of the Form 990 prior to filing. However, the form was provided to the full board at the first meeting subsequent to the filing date. FORM 990, PART VI, SECTION B, LINE 12c The Foundation has adopted Dignity Health's Conflicts of Interest Policy. The Foundation's Board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (e.g., board members, officers and executive leadership, key employees). Covered persons are required to disclose real or potential conflicts at the time such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to submit an updated disclosure statement and to sign a statement affirming that he/she: (1) has received a copy of the Conflicts of Interest Policy; (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. The completed questionnaires are reviewed by Dignity Health's Legal Department and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest 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 transaction are investigated, competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a Board meeting which cannot be resolved is referred to the Governance Committee; and (6) the transaction or action must be approved by a majority of disinterested persons. All conflicts of interest, whether resolved or unresolved, are reported in the Foundation's Form 990. FORM 990, PART VI, SECTION B, LINE 15 THE ORANIZATION DOES NOT EMPLOY PERSONNEL, HOWEVER, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2017 COMPENSATION, DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTANT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE 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 RESPONSIBILITES). 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. FORM 990, PART VI, SECTION C, LINE 19 Federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection. The organization makes its consolidated financial statements available on its website and upon request. FORM 990, PART XI, LINE 9 Reclass bad debt and py pledge adj to net asset $ 437,755 Change in value split interest trust $ (72,298) ============================================================ Total Form 990, Part XI, Line 9 $ 365,457 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:2533205 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY ASSESSMENTS TOTAL FEES:674422 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL CONSULTING FEES TOTAL FEES:121991 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING EXPENSES TOTAL FEES:26260 FORM 990 PART IX LINE 11G DESCRIPTION:PHOTOGRAPHY EXPENSES TOTAL FEES:9305 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:38538 DIGNITY HEALTH dba St Joseph's hospital 350 West Thomas Road Phoenix AZ 85013 941196203 Hospital AZ 501(C)(3) 3 na false St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 Support.org AZ 501(C)(3) 12A Dignity false Congenital Heart Foundation 350 West Thomas Road Phoenix AZ 85013 942941245 Support.org AZ 501(C)(3) 12A Dignity false false true true false false false false false false false false true false true false false true false false