FRIENDS OF SANTA ROSA FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FRIENDS OF SANTA ROSA FOUNDATION (EIN 74-2723391)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-08
IRS object ID
201321289349300932
Schema version
2011v1.5
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)
Timestamp2013-05-08T11:32:58-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742723391EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Friends of Santa Rosa FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TONY LOBASSOInCareOfName
Name ControlFRIENameControl
Phone2107042800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 NE LOOP 410AddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78216ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn BelName
TitleVP/Chief DevelopmmentTitle
Date Signed2013-05-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN BELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE INTL CTR 100 NE LOOP 410AddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78216ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2414357GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.santarosafoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionFriends of Santa Rosa Fdn serves the philanthropic needs of Santa Rosa Health Care Corp (SRHCC) by soliciting & distributing contributions in support of adult healthcare services at SRHCC.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year560181ContributionsGrantsPriorYear
Contributions Grants Current Year2141362ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1085900InvestmentIncomePriorYear
Investment Income Current Year236517InvestmentIncomeCurrentYear
Other Revenue Prior Year-53261OtherRevenuePriorYear
Other Revenue Current Year-64163OtherRevenueCurrentYear
Total Revenue Prior Year1592820TotalRevenuePriorYear
Total Revenue Current Year2313716TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year569965GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2563038GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21769SalariesEtcPriorYear
Salaries Etc Current Year23978SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year2346TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year22528TotalFundrsngExpCurrentYear
Other Expense Prior Year242882OtherExpensePriorYear
Other Expenses Current Year371921OtherExpensesCurrentYear
Total Expenses Prior Year836962TotalExpensesPriorYear
Total Expenses Current Year2958937TotalExpensesCurrentYear
Revenues Less Expenses Prior Year755858RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-645221RevenuesLessExpensesCY
Total Assets BOY8443436TotalAssetsBOY
Total Assets EOY9176467TotalAssetsEOY
Total Liabilities BOY1049386TotalLiabilitiesBOY
Total Liabilities EOY86764TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7394050NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9089703NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE OBJECTIVES OF FRIENDS OF SANTA ROSA FOUNDATION ARE TO ASSIST, BENEFIT, AND SUPPORT SANTA ROSA HEALTH CARE CORPORATION IN PROVIDING HEALTH CARE SERVICES FOR RESIDENTS OF SAN ANTONIO AND SOUTH TEXAS BY RAISING MONEY TO SUPPORT THE ESTABLISHMENT, MAINTENANCE AND OPERATIONS OF HOSPITALS AND RELATED HEALTH AND MEDICAL CARE FACILITIES, PROGRAMS AND SERVICES. THE FOUNDATION SERVES AS A LIAISON BETWEEN SANTA ROSA HEALTH CARE CORPORATION, THE COMMUNITY AND SOUTH TEXAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2820267Expense
Grants2563038Grants
Revenue0Revenue
DescriptionFRIENDS OF SANTA ROSA FOUNDATION (THE "FOUNDATION") IS A TEXAS NON-PROFIT ORGANIZATION SERVING THE PHILANTHROPIC NEEDS OF CHRISTUS SANTA ROSA HEALTH CARE CORPORATION (THE "HEALTH SYSTEM"). IT IS THE FOUNDATION'S RESPONSIBILITY TO ENCOURAGE AND RECEIVE CONTRIBUTIONS FROM INDIVIDUALS, CORPORATIONS, ASSOCIATIONS, AND FOUNDATIONS. THESE CONTRIBUTIONS ARE DISTRIBUTED TO THE HEALTH SYSTEM AND ITS NON-PROFIT HOSPITALS, IN ACCORDANCE WITH THE INTENTIONS OF THE DONORS AND WITHIN THE CONFINES OF THE FOUNDATION'S GOALS AND OBJECTIVES. ALL CONTRIBUTIONS ASSIST THE HEALTH SYSTEM IN PROVIDING CONTINUING HIGH QUALITY HEALTH CARE IN AREAS SUCH AS MODERNIZATION AND CONSTRUCTION OF HOSPITAL FACILITIES, ACQUISITION OF HOSPITAL EQUIPMENT, AND OTHER SPECIAL HEALTH CARE NEEDS OF THE HEALTH SYSTEM. THE FOUNDATION'S SOLE CORPORATE MEMBER IS THE HEALTH SYSTEM. THE HEALTH'S SYSTEM'S SOLE CORPORATE MEMBER IS CHRISTUS HEALTH. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT CHRISTUS SANTA ROSA HOSPITAL, A 601-BED INTEGRATED HEALTH SYSTEM, CHRISTUS SANTA ROSA CHILDREN'S HOSPITAL, A 276-BED SPECIALIZED PEDIATRIC FACILITY SERVING CHILDREN FROM A 90-COUNTY AREA, AND CHRISTUS SANTA ROSA HOSPITAL-NEW BRAUNFELS, A 112-BED HOSPITAL FACILITY. EACH OF THE FACILITIES OF CHRISTUS SANTA ROSA SHARES ONE OBJECTIVE - WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY. CHRISTUS SANTA ROSA HEALTH CARE CORPORATION IS PART OF CHRISTUS HEALTH, WHICH WAS FORMED IN 1999 TO STRENGTHEN THE 147-YEAR-OLD, FAITH-BASED HEALTH CARE MINISTRIES OF THE CONGREGATIONS OF THE SISTERS OF CHARITY OF THE INCARNATE WORD OF HOUSTON AND SAN ANTONIO. FOUNDED ON THE MISSION "TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST," CHRISTUS IS CHALLENGED TO REACH OUT TO, AND BEYOND, MORE THAN 60 COMMUNITIES WE SERVE TO HELP THOSE IN NEED. CHRISTUS HEALTH RESPONDS TO HEALTH CARE NEEDS THROUGH SERVICES PROVIDED AT MORE THAN 60 HOSPITALS AND LONG-TERM CARE FACILITIES, AS WELL AS DOZENS OF HEALTH CARE CLINICS, PHYSICIANS' OFFICES, OUTPATIENT SERVICES, AND COMMUNITY-BASED PROGRAMS IN TEXAS, LOUISIANA, ARKANSAS, IOWA, MISSOURI, GEORGIA, NEW MEXICO AND MEXICO. ALTHOUGH PROGRAMS MAY DIFFER FROM FACILITY TO FACILITY, EACH OF OUR HEALTH CARE ENTITIES HAS THE SAME OBJECTIVE - WHICH IS TO LEAD THE WAY TO A HEALTHIER COMMUNITY.Description
Total Program Service Expense2820267TotalProgramServiceExpense
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
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
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 ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
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
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTONY LOBASSONamePerson
Telephone Number2107044624TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 N SANTA ROSA STREETAddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78207ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Frank B Arnold
Director1.0X
Mario A Barrera
Secretary1.0XX
Sister Germaine Corbin CCVI
Director1.0X
Laurie H Griffith
Chairperson1.0XX
Madelon Yanta Leone
Director1.0X
James K Lowry MD
Director1.0X
Nancy Maurer
Director1.0X
Harriett Raney
Vice Chairperson1.0XX
Virginia Shannon
Director1.0X
S Van Stewart
Treasurer1.0XX
Sister Yolanda Tarango CCVI
Director1.0X
Gerald EYost
Director1.0X
Susan Granzin
Director1.0X
Jose A Santos MD
Director (Term 10/2011)1.0X
Cathy Amato
Director (Effective 4/2012)1.0X
Pattie Davis
Director (Effective 1/2012)1.0X
Linda B O'Brien
Chf Develop Ofcr (Term 2/1/12)8.0X019161622846
Cindy Atmar
Int Exec Dir (2/1/12-6/30/12)40.0X6875614151
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs260372TotalReportableCompFrmRltdOrgs
Total Other Compensation36997TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonnaNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events128342FundraisingEvents
Related Organizations18653RelatedOrganizations
All Other Contributions1994367AllOtherContributions
Noncash Contributions1557756NoncashContributions
Total Contributions2141362TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column236517TotalRevenueColumn
Exclusion$236,517ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events36478GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events128342CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses100641FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-64163TotalRevenueColumn
Exclusion-$64,163ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn
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Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column2313716TotalRevenueColumn
Exclusion$172,354ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total2563038Total
Program Services2563038ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

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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

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23978Total
Program Services23978ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total2270Total
Management And General2270ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total66425Total
Management And General66425ManagementAndGeneral

Fees For Services Other FeesForServicesOther

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Total12274Total
Management And General12274ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total22528Total
Fundraising22528Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17118Total
Management And General17118ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6867Total
Management And General6867ManagementAndGeneral

Travel Travel

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Total6288Total
Management And General6288ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1035Total
Management And General1035ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

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Total3266Total
Management And General3266ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Operational Reimbursement194463194463
MOBILE MAMMOGRPHY REV TRNSFR3469634696
Foreign Medical Mission Trip18851885
WESTOVER HILLS EXPENSE17071707

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1099Total
Program Services500ProgramServices
Management And General599ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2958937Total
Program Services2820267ProgramServices
Management And General116142ManagementAndGeneral
Fundraising22528Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2578169BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY3892329BOY
EOY5648507EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

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BOY0BOY
EOY22892EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY1846392BOY
EOY1846392EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

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BOY126546BOY
EOY1658676EOY

Total Assets TotalAssets

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BOY8443436BOY
EOY9176467EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY1049386BOY
EOY86764EOY

Grants Payable GrantsPayable

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BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

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BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

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BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

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BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

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BOY1049386BOY
EOY86764EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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BOY7394050BOY
EOY9089703EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

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BOY7394050BOY
EOY9089703EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

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BOY8443436BOY
EOY9176467EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-645221ReconcilationRevenueExpenses
Reconcilation Other Changes2340874ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
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 Line1CHRISTUS SANTA ROSA HEALTH CARE CORPBusinessNameLine1
FieldValueIRS element (for citing)
EIN741109665EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$2,820,267Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts2820267SumOfAmounts
General ExplanationFRIENDS OF SANTA ROSA FOUNDATION IS INCLUDED IN THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS BY THE IRS, WHICH EXEMPTS THE FOLLOWING FROM INCOME TAX UNDER IRC SECTION 501(C)(3): THE AGENCIES AND INSTRUMENTALITIES AND EDUCATIONAL, CHARITABLE, AND RELIGIOUS INSTITUTIONS OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THE ROMAN CATHOLIC CHURCH IN THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS APPEARING IN THE OFFICIAL CATHOLIC DIRECTORY. FRIENDS OF SANTA ROSA FOUNDATION IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND IS THEREBY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3) AND THEREFORE DOES NOT HAVE A DETERMINATION LETTER FROM THE IRS.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5738721BeginningOfYearBalance
End Of Year Balance5738721EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5140635BeginningOfYearBalance
Investment Earnings Or Losses598086InvestmentEarningsOrLosses
End Of Year Balance5738721EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4762601BeginningOfYearBalance
Investment Earnings Or Losses378034InvestmentEarningsOrLosses
End Of Year Balance5140635EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus3 YearsCurrentYearMinus3Years
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INT.-FREEDMAN TRUSTDescription
Book Value1846392BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1846392TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from Related Orgs169513
IntraCompany A/R1489163
FieldValueIRS element (for citing)
Total Book Value Other Assets1658676TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDS- ORGANIZATION'S INTENDED USES OF ENDOWMENT FUNDSFORM 990, SCH D, PART V, LINE 4THE ENDOWMENT FUND IS SUPPORTING CHRISTUS SANTA ROSA HOSPITAL'S CONTINUING PROFESSIONAL EDUCATION, PHYSICIAN FELLOWSHIP IN THE NEUROLOGICAL DEPARTMENT, ADULT CANCER CARE SERVICES, AND GENERAL HOSPITAL PROJECTS.
UNCERTAIN TAX POSITIONS UNDER ASC 740FORM 990, SCHEDULE D, PART XPER FOOTNOTE 3 IN THE CONSOLIDATED FINANCIAL STATEMENTS, THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF JUNE 30, 2012 AND 2011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LuncheonNameOfEvent1
Gross Receipts Event1116435GrossReceiptsEvent1
Charitable Contributions Event194270CharitableContributionsEvent1
Gross Revenue Event122165GrossRevenueEvent1
Food And Beverage Event118523FoodAndBeverageEvent1
Entertainment Event153500EntertainmentEvent1
Other Direct Expenses Event19244OtherDirectExpensesEvent1
Name Of Event2Golf TournamntNameOfEvent2
Gross Receipts Event239000GrossReceiptsEvent2
Charitable Contributions Event227390CharitableContributionsEvent2
Gross Revenue Event211610GrossRevenueEvent2
Rent Facility Costs Event26000RentFacilityCostsEvent2
Food And Beverage Event22620FoodAndBeverageEvent2
Other Direct Expenses Event24546OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events9385GrossReceiptsOtherEvents
Charitable Contrib Other Events6682CharitableContribOtherEvents
Gross Revenue Other Events2703GrossRevenueOtherEvents
Food And Beverage Other Events2633FoodAndBeverageOtherEvents
Other Direct Expenses Other Events3575OtherDirectExpensesOtherEvents
Gross Receipts Total164820GrossReceiptsTotal
Charitable Contributions Total128342CharitableContributionsTotal
Gross Revenue Total Events36478GrossRevenueTotalEvents
Rent Facility Costs Total Events6000RentFacilityCostsTotalEvents
Food And Beverage Total Events23776FoodAndBeverageTotalEvents
Entertainment Total Events53500EntertainmentTotalEvents
Other Direct Expenses Total Events17365OtherDirectExpensesTotalEvents
Direct Expense Summary Events100641DirectExpenseSummaryEvents
Net Income Summary-64163NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Christus Santa Rosa Health Care Corporation
333 N Santa Rosa StreetSan AntonioTX78207741109665501(c)(3)1000000Capital Contribution for Equipment
Christus Santa Rosa Health Care Corporation
333 N Santa Rosa StreetSAN ANTONIOTX78207741109665501(C)(3)5280FMVEQP SUPP EVENT COST
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
333 N SANTA ROSA STSAN ANTONIOTX78207741109665501(C)(3)1557756PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE ORGANIZATION FOLLOWS CHRISTUS HEALTH MANAGEMENT DIRECTIVE NO. 0006, "CONTRIBUTIONS/DONATIONS TO OTHER ORGANIZATIONS". BEFORE ANY DONATION IS MADE, TWO CRITERIA ARE ADDRESSED: (1) ORGANIZATION TEST AND (2) IRS TEST. THE ORGANIZATION TEST ENSURES THAT DONATIONS ARE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, EDUCATIONAL, AND RELIGIOUS PURPOSES, AND IN FURTHERANCE OF OUR PURPOSE OF SUPPORTING THE HEALING MINISTRY OF JESUS CHRIST AND ADVANCING, PROMOTING, AND SUPPORTING THE HEALTHCARE MINISTRIES OF THE SPONSORING CONGREGATIONS. CONTRIBUTIONS CAN BE MADE TO SUPPORT CHRISTUS SYSTEM MEMBERS AND TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS, PARTICULARLY THOSE DESIGNED TO SUPPORT AND BENEFIT THE POOR AND UNDERSERVED. THE ORGANIZATION CONSIDERED FOR DONATIONS MUST BE AN IRS SECTION 501(C)(3) ORGANIZATION AND DOCUMENTATION TO THAT EFFECT OBTAINED. TO SATISFY THE IRS TEST, CONTRIBUTIONS GIVEN MUST BE DEDICATED TO ACHIEVING CHARITABLE PURPOSES NOT FOR PERSONAL BENEFIT BUT FOR PUBLIC BENEFIT. CONTRIBUTIONS ARE PROHIBITED TO ORGANIZATIONS THAT CONTRIBUTE TO POLITICAL CAMPAIGNS, CANDIDATES FOR OFFICE, OR CONDUCT MORE THAN INCIDENTAL LOBBYING. DOCUMENTATION MUST SUPPORT HOW THE DONATION MEETS ORGANIZATIONAL PURPOSES AND FURTHERANCE OF MISSION. DONATIONS SHOULD BE MODEST IN SCOPE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonLinda B O'BrienNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs169703CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs21332BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs581OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs16068DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs6778NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs214462TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationTHE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL ALSO SERVES CHRISTUS SANTA ROSA HEALTH CARE CORPORATION. ALL COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING TOP MANAGEMENT OFFICIAL COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A, COMPANION TRAVEL LINDA O'BRIEN WAS TAXED ON $347 RELATED TO COMPANION TRAVEL AS A RESULT OF A CHRISTUS HEALTH HOSTED MEETING.
Supplemental Compensation InformationDIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.Form 990, Part VII, 1A
SUPPLEMENTAL COMPENSATION INFORMATIONDEFERRED COMPENSATION INCLUDES EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.Form 990, Schedule J, Part II, Column C

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
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 Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901557756NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierThird Party to sell noncash contributionsIdentifier
Return ReferenceForm 990, Schedule M, Line 32bReturnReference
ExplanationAn outside broker was hired to sell the noncash contribution of land during the fiscal year ending 6/30/12.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental InformationForm 990, Page 1, Item CDoing Business As FRIENDS OF SANTA ROSA FOUNDATION OPERATES UNDER THE FOLLOWING NAMES: FRIENDS OF CHRISTUS SANTA ROSA HEALTH CARE FOUNDATION CHRISTUS SANTA ROSA FOUNDATION CHRISTUS SANTA ROSA FRIENDS FOUNDATION FRIENDS OF CHRISTUS SANTA ROSA FOUNDATION DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 SANTA ROSA HEALTH CARE CORPORATION IS THE SOLE CORPORATE MEMBER OF FRIENDS OF SANTA ROSA FOUNDATION.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aSANTA ROSA HEALTH CARE CORPORATION MUST APPROVE THE DIRECTORS OF FRIENDS OF SANTA ROSA FOUNDATION, WITH THE EXCEPTION OF THE LIFE DIRECTORS AND THE SANTA ROSA REPRESENTATIVES (PRESIDENT OF SANTA ROSA HOSPITAL AUXILIARY, PRESIDENT OF SANTA ROSA AUXILIARY NORTHWEST, AND PRESIDENT/CEO OF SANTA ROSA HEALTH CARE CORPORATION).
Process used to review Form 990Form 990, Part VI, Question 11bTHE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S EXTERNAL INDEPENDENT ACCOUNTANTS. THE CHRISTUS HEALTH ACCOUNTING DEPARTMENT WORKS WITH AN EXTERNAL ACCOUNTING FIRM IN PREPARATION AND REVIEW OF THE FORM 990. THE FILING ORGANIZATION'S CFO, OR OTHER DESIGNEE, REVIEWS THE FORM 990. THE FINAL FORM 990 THAT WILL BE FILED WITH THE IRS IS POSTED TO A SECURE INTERNET PORTAL FOR ALL MEMBERS OF THE BOARD OF DIRECTORS TO VIEW. REVIEW OF THE FINAL FORM 990 OCCURS PRIOR TO FILING WITH THE IRS IN THE SPRING OF 2013 VIA A WEB PORTAL POLLING TOOL BY THE RESPECTIVE CHRISTUS ORGANIZATION'S BOARD, BASED ON A SET OF SUGGESTED REVIEW PROCESSES DEVELOPED BY CHRISTUS HEALTH. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, QUESTION 12 AT THE END OF EACH CALENDAR YEAR, THE CHRISTUS HEALTH CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST QUESTIONNAIRE TO ALL OF THE ORGANIZATION'S BOARD AND COMMITTEE MEMBERS FOR COMPLETION PRIOR TO THE 1ST OF JANUARY IN THE NEXT YEAR. THE CORPORATE SECRETARY THOROUGHLY REVIEWS ALL COMPLETED AND EXECUTED CONFLICT OF INTEREST QUESTIONNAIRE FORMS TO ENSURE ACCURACY AND THAT NO POTENTIAL OR IDENTIFIED CONFLICT IS DISCLOSED OR EXISTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY OF THE ORGANIZATION.
Compensation Determination ProcessForm 990, Part VI, Questions 15a & 15bTHE EXECUTIVE COMPENSATION COMMITTEE OF CHRISTUS HEALTH DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR/TOP MANAGEMENT OFFICIAL, OFFICERS AND KEY EMPLOYEES OF CHRISTUS HEALTH AND THE FILING ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPOSED OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AT HAND. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHRISTUS HEALTH BOARD SELECTS AN INDEPENDENT EXTERNAL FIRM TO PERFORM AN INDEPENDENT COMPENSATION REVIEW, TO ENSURE THAT ALL COMPENSATION IS REASONABLE AND COMPARABLE TO OTHER SIMILARLY SITUATED ORGANIZATIONS, FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS, AND TO PROVIDE SUPPORTING INFORMATION OF COMPENSATION DECISIONS. ON AN ANNUAL BASIS THE EXTERNAL CONSULTANT: 1. DEVELOPS THE MERIT INCREASE RECOMMENDATIONS FOR ALL DESIGNATED SYSTEM EXECUTIVES BASED ON MARKET COMPARABILITY. 2. RECOMMENDS THE CHANGES IN THE COMPENSATION STRUCTURE (GRADES) BASED ON THE MARKET CHANGES. 3. COMPLETES A REVIEW AND EVALUATION OF NEWLY CREATED POSITIONS TO RECOMMEND A GRADE PLACEMENT TO THE COMMITTEE FOR ITS DISCUSSION AND APPROVAL. ON A BI-ANNUAL BASIS, THE EXTERNAL CONSULTANT COMPLETES A DETAILED REVIEW OF ALL OTHER DESIGNATED SYSTEM EXECUTIVES' COMPENSATION AND BENEFITS. THIS GROUP INCLUDES ALL TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY LEADERS OF THE ORGANIZATION. THE REVIEW INCLUDES RECOMMENDATIONS TO THE COMMITTEE ON ANY CHANGES NECESSARY IN EITHER SPECIFIC COMPENSATION OR COMPENSATION STRUCTURE TO ENSURE MARKET COMPETITIVENESS, REASONABLENESS AND INTERNAL EQUITY. UPON RECOMMENDATIONS FROM THE INDEPENDENT EXTERNAL FIRM, THE EXECUTIVE COMPENSATION COMMITTEE MAKES FINAL COMPENSATION DECISIONS. ADDITIONALLY, THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION PAYMENTS FOR EXCESS BENEFIT TRANSACTIONS. THE DISCUSSION AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED AND FORMALIZED IN THE COMMITTEE MINUTES AND MAINTAINED ON RECORD.
Public disclosure of 1023 and Forms 990 & 990-TForm 990, Part VI, Question 18CHRISTUS HEALTH AND MOST OF ITS AFFILIATED ENTITIES DO NOT HAVE FORMS 1023 BECAUSE OF THEIR INCLUSION IN THE IRS GROUP RULING WITH THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, WHICH COVERS THE ORGANIZATIONS LISTED IN THE ANNUAL OFFICIAL CATHOLIC DIRECTORY. CHRISTUS HEALTH'S WEBSITE DISPLAYS THE IRS GROUP RULING AND RELEVANT ANNUAL OFFICIAL CATHOLIC DIRECTORY PAGES FOR THE ORGANIZATIONS RELATED TO CHRISTUS HEALTH. FORMS 990 AND 990-T ARE MADE AVAILABLE UPON REQUEST.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHRISTUS HEALTH ARE MADE AVAILABLE TO THE PUBLIC VIA THE CHRISTUS HEALTH WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
HOURS WORKED FOR RELATED ORGANIZATIONForm 990, Part VII, Section AAVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. THROUGH 2/1/12, LINDA O'BRIEN DEVOTED AN AVERAGE OF 32 HOURS PER WEEK TO SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE FILING ENTITY. LINDA WAS THE VP OF FOUNDATION OF SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION.
Statement of Functional ExpensesForm 990, Part IX, Line 8, Pension Plan contributionsTHE FOUNDATION REIMBURSES CHRISTUS SANTA ROSA HEALTHCARE CORPORATION FOR SERVICES RENDERED BY LINDA O'BRIEN AS THE FOUNDATION'S VICE PRESIDENT. THE FOUNDATION'S PAYMENT IS ACCOUNTED FOR AS A REIMBURSEMENT FOR PENSION CONTRIBUTIONS; THEREFORE, LINE 5 COMPENSATION OF CURRENT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IS BLANK.
Other Changes in Net Assets or Fund BalancesForm 990, Part XI, Line 5PENSION LIABILITY/EXPENSE = $23,977 PENSION FUNDING = ($22,323) BENEFICIAL INTEREST IN FOUNDATION = $196 UNREALIZED LOSS = ($218,732) CAPITAL CONTRIBUTION EXPENSE BOOKED TO BALANCE SHEET = $1,000,000 CONTRIBUTION TRANSFER = $1,557,756 TOTAL = $2,340,874

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHRISTUS HEALTH
919 HIDDEN RIDGE DRIVEHOUSTONTX75038760590551SUPT HLTH SVCTX501(c)(3)11-TYPE INAfalse
CHRISTUS SANTA ROSA HLTH CARE CORP
333 N SANTA ROSA STREETSAN ANTONIOTX78207741109665HLTHCARE SVCTX501(c)(3)3CHfalse
SANTA ROSA FAMILY HLTH CENTER
333 N SANTA ROSA STREETSAN ANTONIOTX78207742806531HLTHCARE SVCTX501(c)(3)9CSRHCCtrue
Christus Santa Rosa Medical Center Aux
2827 Babcock RoadSan AntonioTX78229731655493Supt Hlth SvcTX501(c)(3)9CSRHCCtrue
Santa Rosa General Hospital Auxiliary
333 N Santa Rosa StreetSan AntonioTX78207741278312Supt Hlth SvcTX501(c)(3)3CSRHCCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
MCKENNA LEASING GP LLC
600 NORTH UNION AVENEW BRAUNFELSTX78130741191729InvestmentTXCSRHCCN/Afalsefalse
MCKENNA Equipment LEASING LP
600 NORTH UNION AVENEW BRAUNFELSTX78130204177842Med Equip LeaseTXCSRHCCN/Afalsefalse
NEW BRAUNFELS SURGICAL CENTER LLC
333 N SANTA ROSA STSAN ANTONIOTX78207810571408HLTHCARE SVCTXCSRHCCN/Afalsefalse0.00000
CHRISTUS SANTA ROSA OUTPATIENT SURGERY
333 N SANTA ROSA STSAN ANTONIOTX78207810571409HLTHCARE SVCTXCSRHCCN/Afalsefalse0.00000
CSR SURGERY CENTER LLP
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001200424958HLTHCARE SVCTXCSRHCCN/Afalsefalse
CHRISTUS SR AMBULATORY SURGERY CTRS - SA
333 SANTA ROSASAN ANTONIOTX78207412092141HLTHCARE SVCTXCSRHCCN/Afalsefalse0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
MCKENNA PROFESSIONAL BLD OWNER'S ASSOC
598 N UNION ST SUITE 210NEW BRAUNFELSTX78130742742934Building AssocTXCSRHCCC Corp
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480SAN ANTONIOTX78201742782184Healthcare SvcsTXCSRHCCC Corp
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
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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