BARROW NEUROLOGICAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BARROW NEUROLOGICAL FOUNDATION (EIN 86-0174371)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201431299349302823
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-09T21:02:22-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 Second Street 1400AddressLine1
CitySan FranciscoCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860174371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Barrow Neurological FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RANDY BRADLEYInCareOfName
Name ControlBARRNameControl
Phone6024063992Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 West Thomas RoadAddressLine1
Address Line2SuiteAddressLine2
CityPhoenixCity
StateAZState
ZIP Code85013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBrain MortensonName
TitleChief Executive OfficerTitle
Phone6024063992Phone
Date Signed2014-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159635100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMatthew CoxNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13033 n third avenueAddressLine1
CityphoenixCity
StateAZState
ZIP Code85013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30088703GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.supportbarrow.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1961YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12182920ContributionsGrantsPriorYear
Contributions Grants Current Year14070001ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year5475984InvestmentIncomePriorYear
Investment Income Current Year3905447InvestmentIncomeCurrentYear
Other Revenue Prior Year581691OtherRevenuePriorYear
Other Revenue Current Year191560OtherRevenueCurrentYear
Total Revenue Prior Year18240595TotalRevenuePriorYear
Total Revenue Current Year18167008TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11744055GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10974259GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year9879TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY63508TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year893709TotalFundrsngExpCurrentYear
Other Expense Prior Year2635765OtherExpensePriorYear
Other Expenses Current Year3195855OtherExpensesCurrentYear
Total Expenses Prior Year14389699TotalExpensesPriorYear
Total Expenses Current Year14233622TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3850896RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3933386RevenuesLessExpensesCY
Total Assets BOY93933843TotalAssetsBOY
Total Assets EOY104505202TotalAssetsEOY
Total Liabilities BOY4727909TotalLiabilitiesBOY
Total Liabilities EOY4914410TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY89205934NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY99590792NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST.JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11850140Expense
Grants10974259Grants
DescriptionThe Foundation is an IRC Sec 509(a)(3) supporting organization to Barrow Neurological Institute, a department of St. Joseph's Hospital and Medical Center in Phoenix, Arizona ('Hospital'). As a supporting organization, the Foundation operates exclusively for the benefit of, to perform the functions of, or to carry out the purposes of the Hospital which include making distributions directly to the Hospital.Description
Total Program Service Expense11850140TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
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SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
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Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included17NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRANDY BRADLEYNamePerson
Telephone Number6023072546TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 W THOMAS ROADAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85013ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
GREG ANDERSEN
CHAIR1.00.0XX000
Angela Cesal
Director1.00.0X000
Shelley Duane
Director1.00.0X000
Booker T Evans Jr
Director1.00.0X000
Ira A Fulton
Director1.00.0X000
Barbara Greiner Glass
SECRETARY1.00.0XX000
Michael Haenel
VICE CHAIR1.00.0XX000
Lisa Handley
TREASURER1.00.0XX000
Guy Inzalaco
Director1.00.0X000
Mike King
DirecTOR1.00.0X000
Kathryn X Kramer
CEO THRU 03/15/201330.010.0XX024436534706
Larry Mayhew
Director1.00.0X000
Stephen Lenn
Director1.00.0X000
Patrick R McGroder III
Director1.00.0X000
Herman Orcutt
DIRECTOR1.00.0X000
Dan Pierce
Director1.00.0X000
Robert F Spettzler MD
Director1.00.0X000
E Jeffrey Walsh
Director1.00.0X000
Patty White
Director1.039.0X050359365746
John Peters
CFO THRU 12/31/20121.039.0X035099351243
Matthew Cox
CFO from 10/6/20131.039.0X
Robert D Hopkins
Vice President Fundraising30.010.0020246634281X
Kathleen Norton
Vice President Fundraising30.010.0017310325318X
Kelli K Smith
Vice President Operations30.010.0020733539234X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1681855TotalReportableCompFrmRltdOrgs
Total Other Compensation250528TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Suns Legacy Parnters LLC
201 East Jefferson StreetPHOENIXAZ85004advertising400000
CBIZ MHM LLC
3101 North Central Ave Sutie 300PHOENIXAZ85012Raffle Accounting240000
Pavillion Advisory Group
500 W Madison St Suite 2740CHICAGOIL60661investment advisors123078
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns48048FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events1409296FundraisingEvents
Related Organizations3036742RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions9575915AllOtherContributions
Noncash Contributions572452NoncashContributions
Total Contributions14070001TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1940568TotalRevenueColumn
Exclusion$1,940,568ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

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Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities8900783Securities

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Securities6935904Securities

Gain Or Loss GainOrLoss

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Securities1964879Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column1964879TotalRevenueColumn
Exclusion$1,964,879ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events313006GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1409296CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses266600FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column46406TotalRevenueColumn
Exclusion$46,406ExclusionAmount
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Gross Income Gaming4863575GrossIncomeGaming
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Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column144384TotalRevenueColumn
Exclusion$144,384ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

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DescriptionOTHER REVENUEDescription
Total Revenue Column770TotalRevenueColumn
Exclusion$770ExclusionAmount
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Total Other Revenue770TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column18167008TotalRevenueColumn
Exclusion$4,097,007ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total10974259Total
Program Services10974259ProgramServices

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total0Total

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total0Total

Pension Plan Contributions PensionPlanContributions

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Total0Total

Other Employee Benefits OtherEmployeeBenefits

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Total0Total

Payroll Taxes PayrollTaxes

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Total0Total

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Total0Total

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total49755Total
Management And General49755ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total63508Total
Fundraising63508Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Program Services0ProgramServices
Management And General254645ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

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Advertising Advertising

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Management And General15541ManagementAndGeneral
Fundraising24705Fundraising

Office Expenses OfficeExpenses

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Program Services0ProgramServices
Management And General26197ManagementAndGeneral
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Information Technology InformationTechnology

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Total30798Total
Program Services0ProgramServices
Management And General30798ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total214760Total
Program Services0ProgramServices
Management And General214695ManagementAndGeneral
Fundraising65Fundraising

Travel Travel

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Total88409Total
Program Services0ProgramServices
Management And General20059ManagementAndGeneral
Fundraising68350Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

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Total8382Total
Program Services0ProgramServices
Management And General8382ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total25199Total
Management And General25199ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS2598601110214884
MEDICAL SUPPLIES77407740
DONOR CULTIVATION1354513545
DONOR RECOGNITION83858385

All Other Expenses AllOtherExpenses

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Total37192Total
Management And General19964ManagementAndGeneral
Fundraising17228Fundraising

Total Functional Expenses TotalFunctionalExpenses

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Management And General1489773ManagementAndGeneral
Fundraising893709Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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EOY7722675EOY

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EOY4521782EOY

Accounts Receivable AccountsReceivable

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Receivables From Officers Etc ReceivablesFromOfficersEtc

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EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY152423BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

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BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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EOY87549208EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY0BOY
EOY4472232EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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Other Assets Total OtherAssetsTotal

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EOY239305EOY

Total Assets TotalAssets

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EOY104505202EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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EOY282793EOY

Grants Payable GrantsPayable

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EOY4222579EOY

Deferred Revenue DeferredRevenue

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BOY50000BOY
EOY3601EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

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BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

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EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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EOY405437EOY

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EOY4914410EOY
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Follow SFAS117XFollowSFAS117

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EOY27135019EOY

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EOY45668363EOY

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BOY26236509BOY
EOY26787410EOY

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EOY99590792EOY

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EOY104505202EOY
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Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3933386ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6474113ReconciliationUnrealizedInvest
Reconcilation Other Changes-22641ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1DIGNITY HEALTH DBA ST JOSEPH'S HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN941196203EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$14,233,622Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts14233622SumOfAmounts
General ExplanationTHE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF DIGNITY HEALTH DBA ST. JOSEPH'S HOSPITAL/MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILSGeneralExplanation

Schedule B IRS990ScheduleB

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Contributor Name Business ContributorNameBusiness

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Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

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Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
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Contributions558760Contributions
Investment Earnings Or Losses3222440InvestmentEarningsOrLosses
Other Expenditures903595OtherExpenditures
End Of Year Balance42488519EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance40636716BeginningOfYearBalance
Contributions112651Contributions
Investment Earnings Or Losses-557135InvestmentEarningsOrLosses
Other Expenditures581318OtherExpenditures
End Of Year Balance39610914EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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Contributions5992711Contributions
Investment Earnings Or Losses4919381InvestmentEarningsOrLosses
Other Expenditures481282OtherExpenditures
End Of Year Balance40636716EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25003040BeginningOfYearBalance
Contributions2863077Contributions
Investment Earnings Or Losses2585540InvestmentEarningsOrLosses
Other Expenditures245751OtherExpenditures
End Of Year Balance30205906EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance30787227BeginningOfYearBalance
Contributions620081Contributions
Investment Earnings Or Losses-4642367InvestmentEarningsOrLosses
Other Expenditures1761901OtherExpenditures
End Of Year Balance25003040EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.14000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.23000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSPLIT INTEREST AGREEMENTSDescription
Amount$405,437Amount
FieldValueIRS element (for citing)
Total Of Amounts405437TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt27057077TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6474114NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities44550DonatedSrvcAndUseOfFacilities
Other Revenues2636492OtherRevenues
Revenue Not Rptd F9909155156RevenueNotRptdF990
Revenue Subtotal17901921RevenueSubtotal
Investment Expenses Not Included242446InvestmentExpensesNotIncluded
Other Revenues Not Included22641OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt265087RevenueNotRptdOnFinStmt
Total Revenue Per Form99018167008TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16672218TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities44550DonatedServicesUseOfFacilities
Other Expenses Included2636492OtherExpensesIncluded
Expenses Not Rptd F9902681042ExpensesNotRptdF990
Expenses Subtotal13991176ExpensesSubtotal
Investment Expenses Not Included2242446InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt242446ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014233622TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF THE ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4Endowment funds are used to support the Barrow Neurological Institute's research and medical education programs.
ASC 740 FOOTNOTESCHEDULE D, PART X, LINE 2THE 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, 2013.
RECONCILIATION OF REVENUE FROM AFS TO FORM 990SCHEDULE D, PART XI, XII LINE 2DCONSULTING AND OTHER FUNDRAISING COSTS OF RAFFLE $ 2,636,492 SCHEDULE D, PART XI, LINE 4B CHANGE IN VALUE OF SPLIT INTEREST TRUSTS $ 22,641

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Specific Services ProvidedN/ASpecificServicesProvided
Total Expenditures4472232TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent4472232SubtotalAmountSpent
Total Amount Spent4472232TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 3, COLUMN FIdentifier
ExplanationTHE EXPENDITURES ARE REPORTED ON AN ACCRUAL BASIS.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualRuffalo CodyNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 3018AddressLine1
CityCedar RapidsCity
StateIAState
ZIP Code52406ZIPCode
FieldValueIRS element (for citing)
ActivityPHONE SOLICIATIONActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts5795GrossReceipts
Amount Retained By Contractor63508AmountRetainedByContractor
Net To Organization-57713NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts5795TotalGrossReceipts
Total Retained By Contractors63508TotalRetainedByContractors
Total Net To Organization-57713TotalNetToOrganization
Licensed StatesAZLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LOU GRUBB GOLFNameOfEvent1
Gross Receipts Event1394053GrossReceiptsEvent1
Charitable Contributions Event1302422CharitableContributionsEvent1
Gross Revenue Event191631GrossRevenueEvent1
Non Cash Prizes Event120669NonCashPrizesEvent1
Rent Facility Costs Event121700RentFacilityCostsEvent1
Food And Beverage Event169271FoodAndBeverageEvent1
Entertainment Event1500EntertainmentEvent1
Other Direct Expenses Event148991OtherDirectExpensesEvent1
Name Of Event2BARROW BALLNameOfEvent2
Gross Receipts Event21328250GrossReceiptsEvent2
Charitable Contributions Event21106875CharitableContributionsEvent2
Gross Revenue Event2221375GrossRevenueEvent2
Food And Beverage Event252735FoodAndBeverageEvent2
Entertainment Event210547EntertainmentEvent2
Other Direct Expenses Event242188OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total1722303GrossReceiptsTotal
Charitable Contributions Total1409297CharitableContributionsTotal
Gross Revenue Total Events313006GrossRevenueTotalEvents
Non Cash Prizes Total Events20669NonCashPrizesTotalEvents
Rent Facility Costs Total Events21700RentFacilityCostsTotalEvents
Food And Beverage Total Events122006FoodAndBeverageTotalEvents
Entertainment Total Events11047EntertainmentTotalEvents
Other Direct Expenses Total Events91179OtherDirectExpensesTotalEvents
Direct Expense Summary Events266601DirectExpenseSummaryEvents
Net Income Summary46405NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming4863575GrossRevenueOtherGaming
Cash Prizes Other Gaming1631075CashPrizesOtherGaming
Non Cash Prizes Other Gaming451624NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming2636492OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming4863575GrossRevenueTotalGaming
Cash Prizes Total Gaming1631075CashPrizesTotalGaming
Non Cash Prizes Total Gaming451624NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming2636492OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming4719191DirectExpenseSummaryGaming
Net Gaming Income Summary144384NetGamingIncomeSummary
FieldValueIRS element (for citing)
LicensedfalseLicensed
Explanation If NoThe Health and Wealth Raffle operates under State Statue, no license required.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonCBIZ MHM LLCNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line13101 N Central Ave Suite 300AddressLine1
CityPhoenixCity
StateAZState
ZIP Code85012ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonTerri HoffmanGamingManagerNamePerson
Gaming Manager Services ProvidedSupervision and RecordkeepingGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
DIGNITY HEALTH DBA ST JOSEPHS HOSP & MED CENTER
350 W THOMAS ROADPHOENIXAZ85013941196203501(c)(3)1090658526666FMVEquipmentSupport hospital
STJOSEPH FOUNDATION
350 W Thomas RoadPHOENIXAZ85012942941245501(C)(3)41008n/an/aSupport Foundation
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I, LINE 2Identifier
ExplanationAs a Sec. 509(a)(3) supporting organization, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Kathryn X Kramer
CEO THRU 03/15/2013018725205478102332023079011627027907100
John Peters
CFO THRU 12/31/2012031025103971701025030279020964040223600
Robert D Hopkins
Vice President Fundraising016095103737004145018892015389023674700
Kathleen Norton
Vice President Fundraising01384340317940287501627809040019842100
Kelli K Smith
Vice President Operations016596403917702194019682019552024656900
Patty White
Director0392257094400016936038834026912056933900

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, part 1, line 1aClub dues have been paid by the organization for business use for 2 listed persons for recruiting and business entertainment purposes. No amounts have been included as reportable income as expenses related to personal usage are paid by the listed persons. 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. THE COMPENSATION WAS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATION, ALTHOUGH THE LISTED PERSON PROVIDED APPROXIMATELY 1 HOUR PER WEEK TO THE FILING ORGANIZATION AS ITS TOP MANAGEMENT OFFICER. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.
SCHEDULE J, part I, line 4aCERTAIN 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 2012.
SCHEDULE J, Part I, line 4bCERTAIN 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. 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 2012.
SCHEDULE J, Part II, Supplemental disclosuresALTHOUGH 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.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990375NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99030471NoncashContribsRptdF990
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions10NumberOfContributions
Noncash Contribs Rptd F990519739NoncashContribsRptdF990
Method Of Determining RevenuesAverage Market ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions36NumberOfContributions
Noncash Contribs Rptd F9907106NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XOther-Food and Wine925864Comparable sale
XOTHER-ELECTRONICS123765Comparable sale
XOther Jewelry61080Comparable sale
XOther-Sporting Goods573Comparable sale
XOther Toys150Comparable sale
XOTHER - GIFT CERTIFICATES & TICKETS83929Comparable sale
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSchedule M, Part I, column (b)Identifier
ExplanationThe amounts reported in Schedule M, Part I column (b) consist of the number of contributions received.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART I, LINE 5 AND PART V, LINE 2AThe organization does not have employees. As a supporting organization, 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 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 organization does not employ personnel, HOWEVER, the Chief Executive Officer is compensated by Dignity Health. Dignity Health's Compensation and Benefits department conducts an annual review and analysis to provide benchmarking data for the total compensation and benefits package of the Chief Executive Officer. Appropriate comparability data for similar jobs in peer companies (both taxable and tax-exempt) is obtained from independent third-party survey sources. 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 change in value split interest trusts - $22,641.
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:PURCHASED STAFF SERVICES TOTAL FEES:1765236FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:311667FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:INTERCOMPANY FEES TOTAL FEES:6501FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:OTHER PUCHASED SERVICES TOTAL FEES:75418FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:PARKING FEES TOTAL FEES:1095FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:PHOTOGRAPHY SERVICES TOTAL FEES:16809FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:CATERING SERVICES TOTAL FEES:119431FORM 990 PART IX LINE 11G

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DIGNITY HEALTH dba St Joseph's hospital
350 West Thomas RoadPhoenixAZ85013941196203HospitalAZ501(C)(3)3nafalse
St Joseph's Foundation
350 West Thomas RoadPhoenixAZ85012942941245Support.orgAZ501(C)(3)11cDignityfalse
Congenital Heart Foundation
350 West Thomas RoadPhoenixAZ85012942941245Support.orgAZ501(C)(3)11cDignityfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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