BARROW NEUROLOGICAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BARROW NEUROLOGICAL FOUNDATION (EIN 86-0174371)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201321309349303502
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)
Timestamp2013-05-10T18:44:18-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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
CityPhoenixCity
StateAZState
ZIP Code85013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namediane abrahamName
Titlevice presidentTitle
Date Signed2013-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159635100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKathy KramerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13033 n third avenueAddressLine1
CityphoenixCity
StateAZState
ZIP Code85013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts44469139GrossReceipts
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 Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20293164ContributionsGrantsPriorYear
Contributions Grants Current Year12182920ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year6177662InvestmentIncomePriorYear
Investment Income Current Year5475984InvestmentIncomeCurrentYear
Other Revenue Prior Year1568355OtherRevenuePriorYear
Other Revenue Current Year581691OtherRevenueCurrentYear
Total Revenue Prior Year28039181TotalRevenuePriorYear
Total Revenue Current Year18240595TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8513731GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11744055GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY9879TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year830028TotalFundrsngExpCurrentYear
Other Expense Prior Year2816344OtherExpensePriorYear
Other Expenses Current Year2635765OtherExpensesCurrentYear
Total Expenses Prior Year11330075TotalExpensesPriorYear
Total Expenses Current Year14389699TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16709106RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3850896RevenuesLessExpensesCY
Total Assets BOY95752103TotalAssetsBOY
Total Assets EOY93933843TotalAssetsEOY
Total Liabilities BOY3878143TotalLiabilitiesBOY
Total Liabilities EOY4727909TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY91873960NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY89205934NetAssetsOrFundBalancesEOY
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
Expense12505921Expense
Grants11744055Grants
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 function of, or to carry out the purposes of the Hospital which include making distributions directly to the Hospital.Description
Total Program Service Expense12505921TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included39NumberW2GIncluded
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 Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
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 (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Patricia Gentry
CHAIR1.0XX000
Michael Haenel
DIRECTOR1.0X000
Mike King
Director1.0X000
Gee Gee Entz
DIRECTOR1.0X000
Booker T Evans Jr
Director1.0X000
Larry Mayhew
Director1.0X000
Lisa Handley
VICE CHAIR1.0XX000
Lee Hanley
Director1.0X000
Linda Hunt
DIRECTOR1.0X091252896637
Greg Anderson
Treasurer1.0XX000
Guy Inzalaco
DIRECTOR1.0X000
Dan Peirce
Director1.0X000
Angela Cesal
Director1.0X000
Herman Orcutt
SECRETARY1.0XX000
Barbara Greiner Glass
Director1.0X000
Robert F Spetzler MD
Director1.0X000
EJeffrey Walsh
Director1.0X000
Robert Ramsey
director1.0X000
Kathryn X Kramer
CEO30.0XX017521626361
Stephen Lenn
Director1.0X000
PATRICK R MCGRODER III
Director1.0X000
BARBARA BARONE
DIRECTOR1.0X000
SHELLEY DUANE
DIRECTOR1.0X000
IRA A FULTON
DIRECTOR1.0X000
Patty White
Director1.0X061920870417
John Peters
CFO1.0X035649245485
Robert D Hopkins
Vice President Fundraising30.0017224434946X
Catherine C Menor
Director Communications30.0011828119041X
Kathleen Norton
Vice President Fundraising30.0014431321296X
Kelli K Smith
Vice President Operations30.0017468435244X
Ron Mirenda
Former Officer0.0014708310093X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2820049TotalReportableCompFrmRltdOrgs
Total Other Compensation359520TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EB LANE MARKETING
733 W McDowell RdPHOENIXAZ85007Raffle Advertising3297822
Sharp Incentives
3253 E Maldonado DrivePHOENIXAZ85042Awards Engraving794103
CBIZ MHM LLC
3101 North Central Ave Suite 300PHOENIXAZ85012Raffle Accounting529077
PHOENIX SUNS
201 EAST JEFFERSON STREETPHOENIXAZ85004ADVERTISING451765
ANSWER NOW
5665 WEST BEVERLY LANEGLENDALEAZ85306ANSWERING SERVICE360272
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Federated Campaigns46236FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events1854991FundraisingEvents
Related Organizations2488178RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions7793515AllOtherContributions
Noncash Contributions121833NoncashContributions
Total Contributions12182920TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1854814TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,854,814ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19546667Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15925497Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3621170Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3621170TotalRevenueColumn
Exclusion$3,621,170ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events414488GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1854991CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses288254FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column126234TotalRevenueColumn
Exclusion$126,234ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming10470250GrossIncomeGaming
Gaming Direct Expenses10014793GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column455457TotalRevenueColumn
Exclusion$455,457ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18240595TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,057,675ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11744055Total
Program Services11744055ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total52866Total
Management And General52866ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total9879Total
Fundraising9879Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total205166Total
Program Services0ProgramServices
Management And General205166ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1846411Total
Program Services747310ProgramServices
Management And General482081ManagementAndGeneral
Fundraising617020Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total20221Total
Program Services0ProgramServices
Management And General9619ManagementAndGeneral
Fundraising10602Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total113889Total
Program Services0ProgramServices
Management And General29218ManagementAndGeneral
Fundraising84671Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33253Total
Program Services2217ProgramServices
Management And General31036ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total180635Total
Program Services12339ProgramServices
Management And General168296ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total73530Total
Program Services0ProgramServices
Management And General28127ManagementAndGeneral
Fundraising45403Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5158Total
Program Services0ProgramServices
Management And General1210ManagementAndGeneral
Fundraising3948Fundraising

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

FieldValueIRS element (for citing)
Total18890Total
Program Services0ProgramServices
Management And General18890ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES AND SUBSCRIPTIONS17741095308211
DONOR RECOGNITION191960019196
DONOR CULTIVATION168480016848
OTHER EXPENSES319611771114250

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14389699Total
Program Services12505921ProgramServices
Management And General1053750ManagementAndGeneral
Fundraising830028Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4078101BOY
EOY7958224EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4293365BOY
EOY3315595EOY

Accounts Receivable AccountsReceivable

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BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY198565BOY
EOY152423EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY86797937BOY
EOY77965238EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY4073492EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY384135BOY
EOY468871EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY95752103BOY
EOY93933843EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY238421BOY
EOY186010EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY2918767BOY
EOY3612238EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY59170BOY
EOY50000EOY

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

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY661785BOY
EOY879661EOY

Total Liabilities TotalLiabilities

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BOY3878143BOY
EOY4727909EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25753287BOY
EOY21432467EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40005631BOY
EOY41536958EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26115042BOY
EOY26236509EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY91873960BOY
EOY89205934EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY95752103BOY
EOY93933843EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3850896ReconcilationRevenueExpenses
Reconcilation Other Changes-6518922ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
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$14,389,699Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts14389699SumOfAmounts
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

Contributor Info ContributorInfo

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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 Balance40636716BeginningOfYearBalance
Contributions112651Contributions
Investment Earnings Or Losses-557135InvestmentEarningsOrLosses
Other Expenditures581318OtherExpenditures
End Of Year Balance39610914EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance30205906BeginningOfYearBalance
Contributions5992711Contributions
Investment Earnings Or Losses4919381InvestmentEarningsOrLosses
Other Expenditures481282OtherExpenditures
End Of Year Balance40636716EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.86000PermanentEndowmentEOYBalance
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 (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$318,850
SPLIT INTEREST AGREEMENTS$560,811
FieldValueIRS element (for citing)
Total Of Amounts879661TotalOfAmounts
Total Revenue18240595TotalRevenue
Total Expenses14389699TotalExpenses
Excess Or Deficit For Year3850896ExcessOrDeficitForYear
Net Unrealized GL On Investments-6366344NetUnrealizedGLOnInvestments
Other-$152,578OtherAmount
Total Adjustments-6518922TotalAdjustments
Excess Or Deficit Per FS-2668026ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17215575TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6366344NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities46923DonatedSrvcAndUseOfFacilities
Other Revenues5652145OtherRevenues
Revenue Not Rptd F990-667276RevenueNotRptdF990
Revenue Subtotal17882851RevenueSubtotal
Investment Expenses Not Included205166InvestmentExpensesNotIncluded
Other Revenues Not Included152578OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt357744RevenueNotRptdOnFinStmt
Total Revenue Per Form99018240595TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19883601TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities46923DonatedServicesUseOfFacilities
Other Expenses Included5652145OtherExpensesIncluded
Expenses Not Rptd F9905699068ExpensesNotRptdF990
Expenses Subtotal14184533ExpensesSubtotal
Investment Expenses Not Included2205166InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt205166ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014389699TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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, 2012.
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO AFSSCHEDULE D, PART XI, LINE 8K-1 INVESTMENT INCOME (92,821) CHANGE IN VALUE OF SPLIT INTEREST TRUSTS $ (59,757) -------------- TOTAL $ (152,578) RECONCILIATION OF REVENUE FROM AFS TO FORM 990 SCHEDULE D, PART XII, XIII LINE 2D CONSULTING AND OTHER FUNDRAISING COSTS OF RAFFLE $ 5,652,145 SCHEDULE D, PART XII, LINE 4B K-1 INVESTMENT INCOME $ 92,821 CHANGE IN VALUE OF SPLIT INTEREST TRUSTS $ 59,757 -------------- TOTAL $ 152,578

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures4073492TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent4073492SubtotalAmountSpent
Total Amount Spent4073492TotalAmountSpent
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)
Licensed StatesAZLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LOU GRUBB GOLFNameOfEvent1
Gross Receipts Event1367879GrossReceiptsEvent1
Charitable Contributions Event1270266CharitableContributionsEvent1
Gross Revenue Event197613GrossRevenueEvent1
Non Cash Prizes Event160993NonCashPrizesEvent1
Rent Facility Costs Event115864RentFacilityCostsEvent1
Food And Beverage Event127172FoodAndBeverageEvent1
Entertainment Event12400EntertainmentEvent1
Other Direct Expenses Event153017OtherDirectExpensesEvent1
Name Of Event2BARROW BALLNameOfEvent2
Gross Receipts Event21901600GrossReceiptsEvent2
Charitable Contributions Event21584725CharitableContributionsEvent2
Gross Revenue Event2316875GrossRevenueEvent2
Food And Beverage Event264404FoodAndBeverageEvent2
Entertainment Event212881EntertainmentEvent2
Other Direct Expenses Event251523OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total2269479GrossReceiptsTotal
Charitable Contributions Total1854991CharitableContributionsTotal
Gross Revenue Total Events414488GrossRevenueTotalEvents
Non Cash Prizes Total Events60993NonCashPrizesTotalEvents
Rent Facility Costs Total Events15864RentFacilityCostsTotalEvents
Food And Beverage Total Events91576FoodAndBeverageTotalEvents
Entertainment Total Events15281EntertainmentTotalEvents
Other Direct Expenses Total Events104540OtherDirectExpensesTotalEvents
Direct Expense Summary Events288254DirectExpenseSummaryEvents
Net Income Summary126234NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming10470250GrossRevenueOtherGaming
Cash Prizes Other Gaming2544500CashPrizesOtherGaming
Non Cash Prizes Other Gaming1818148NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming5652145OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming10470250GrossRevenueTotalGaming
Cash Prizes Total Gaming2544500CashPrizesTotalGaming
Non Cash Prizes Total Gaming1818148NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming5652145OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming10014793DirectExpenseSummaryGaming
Net Gaming Income Summary455457NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedAZStatesWhereGamingConducted
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 PersonKathleen RiceGamingManagerNamePerson
Gaming Manager Compensation225000GamingManagerCompensation
Gaming Manager Services ProvidedSupervision and RecordkeepingGamingManagerServicesProvided
Gaming Manager Is Ind ContractorXGamingManagerIsIndContractor
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)1155285741734FMVEquipmentSupport hospital
STJOSEPH FOUNDATION
350 W Thomas RoadPHOENIXAZ85012942941245501(C)(3)149464n/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 PaymenttrueSeverancePayment
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 (8 entries)

Base 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
Linda Hunt
05619720330012020544058451038186010091650
Robert D Hopkins
015565401158805002014815020131020719000
Kathryn X Kramer
016207801199501143014851011510020157700
Kathleen Norton
0131780098640266901257708719016560900
Kelli K Smith
016057301207102040015391019853020992800
John Peters
02995440559970951024244021241040197700
Ron Mirenda
08343000636530482305270015717600
Patty White
0364603023865901594604190102851606896250

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. Payments were made to one former officer during 2011 pursuant to the plan; R. Mirenda, $33,846.
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 payment were made under this plan during 2011.
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 Contributions3NumberOfContributions
Noncash Contribs Rptd F9901013NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990859NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9906316NoncashContribsRptdF990
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 Contributions5NumberOfContributions
Noncash Contribs Rptd F99021549NoncashContribsRptdF990
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 Contributions17NumberOfContributions
Noncash Contribs Rptd F99015641NoncashContribsRptdF990
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 (7 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XOther-Food and Wine1429601Comparable sale
XOther-Sporting Goods4312Comparable sale
XOTHER-ELECTRONICS23761COMPARABLE SALE
XOTHER-JEWELRY74045Comparable sale
XOTHER-MEDICAL EQUIPMENT115299Comparable sale
XOTHER - OFFICE EQUIPMENT15000Comparable sale
XOTHER - GIFT CERTIFICATES & TICKETS5118437Comparable 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 (10 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 Although the organization does not employ personnel, 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.
RECONCILIATION OF NET ASSETSUNREALIZED GAINS (LOSSES) ON INVESTMENTS $ (6,366,344) Split interest agreement decrease $ (59,757) K-1 INVESTMENT INCOME $ (92,821) --------------- TOTAL $ (6,518,922)FORM 990, PART XI, LINE 5
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Linda Hunt TITLE:DIRECTOR HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kathryn X Kramer TITLE:CEO HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Patty White TITLE:Director HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John Peters TITLE:CFO HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Robert D Hopkins TITLE:Vice President Fundraising HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Catherine C Menor TITLE:Director Communications HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kathleen Norton TITLE:Vice President Fundraising HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Kelli K Smith TITLE:Vice President Operations HOURS:8FORM 990 PART VII

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
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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