2013-05-10T18:44:18-05:00 2012-06-30 KPMG LLP 55 Second Street 1400 San Francisco CA 94105 990 2011-07-01 860174371 Barrow Neurological Foundation % RANDY BRADLEY BARR 6024063992 350 West Thomas Road Phoenix AZ 85013 diane abraham 2013-05-09 true 4159635100 2011 2016-02-24 21:20:13Z Kathy Kramer 3033 n third avenue phoenix AZ 85013 44469139 false X WWW.SUPPORTBARROW.ORG X 1961 AZ TO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH. 25 22 0 50 0 0 20293164 12182920 0 0 6177662 5475984 1568355 581691 28039181 18240595 8513731 11744055 0 0 0 0 0 9879 830028 2816344 2635765 11330075 14389699 16709106 3850896 95752103 93933843 3878143 4727909 91873960 89205934 TO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF DIGNITY HEALTH. false false 12505921 11744055 The 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. 12505921 true true false false false false false false false true false false false false true true true false false false true false false false true true false true false true false false false false false false false false true true false false false true false false false false true 41 39 true 0 false true CJ false false false true true false false false false X 25 22 false false false false false false true true true false false false true true true true true false false false AZ X RANDY BRADLEY 6023072546 350 W THOMAS ROAD PHOENIX AZ 85013 X Patricia Gentry 1.0 X X 0 0 0 Michael Haenel 1.0 X 0 0 0 Mike King 1.0 X 0 0 0 Gee Gee Entz 1.0 X 0 0 0 Booker T Evans Jr 1.0 X 0 0 0 Larry Mayhew 1.0 X 0 0 0 Lisa Handley 1.0 X X 0 0 0 Lee Hanley 1.0 X 0 0 0 Linda Hunt 1.0 X 0 912528 96637 Greg Anderson 1.0 X X 0 0 0 Guy Inzalaco 1.0 X 0 0 0 Dan Peirce 1.0 X 0 0 0 Angela Cesal 1.0 X 0 0 0 Herman Orcutt 1.0 X X 0 0 0 Barbara Greiner Glass 1.0 X 0 0 0 Robert F Spetzler MD 1.0 X 0 0 0 EJeffrey Walsh 1.0 X 0 0 0 Robert Ramsey 1.0 X 0 0 0 Kathryn X Kramer 30.0 X X 0 175216 26361 Stephen Lenn 1.0 X 0 0 0 PATRICK R MCGRODER III 1.0 X 0 0 0 BARBARA BARONE 1.0 X 0 0 0 SHELLEY DUANE 1.0 X 0 0 0 IRA A FULTON 1.0 X 0 0 0 Patty White 1.0 X 0 619208 70417 John Peters 1.0 X 0 356492 45485 Robert D Hopkins 30.0 X 0 172244 34946 Catherine C Menor 30.0 X 0 118281 19041 Kathleen Norton 30.0 X 0 144313 21296 Kelli K Smith 30.0 X 0 174684 35244 Ron Mirenda 0.0 X 0 147083 10093 0 2820049 359520 0 true true false EB LANE MARKETING 733 W McDowell Rd PHOENIX AZ 85007 Raffle Advertising 3297822 Sharp Incentives 3253 E Maldonado Drive PHOENIX AZ 85042 Awards Engraving 794103 CBIZ MHM LLC 3101 North Central Ave Suite 300 PHOENIX AZ 85012 Raffle Accounting 529077 PHOENIX SUNS 201 EAST JEFFERSON STREET PHOENIX AZ 85004 ADVERTISING 451765 ANSWER NOW 5665 WEST BEVERLY LANE GLENDALE AZ 85306 ANSWERING SERVICE 360272 12 46236 0 1854991 2488178 0 7793515 121833 12182920 0 1854814 0 0 1854814 0 0 19546667 15925497 3621170 3621170 3621170 414488 1854991 288254 126234 126234 10470250 10014793 455457 455457 0 0 18240595 0 0 6057675 11744055 11744055 0 0 0 0 0 0 0 0 0 0 0 52866 52866 0 9879 9879 205166 0 205166 0 1846411 747310 482081 617020 20221 0 9619 10602 113889 0 29218 84671 33253 2217 31036 0 0 180635 12339 168296 0 73530 0 28127 45403 0 5158 0 1210 3948 0 0 0 18890 0 18890 0 DUES AND SUBSCRIPTIONS 17741 0 9530 8211 DONOR RECOGNITION 19196 0 0 19196 DONOR CULTIVATION 16848 0 0 16848 OTHER EXPENSES 31961 17711 14250 14389699 12505921 1053750 830028 0 0 4078101 7958224 4293365 3315595 0 0 0 0 0 0 0 0 0 0 198565 152423 0 86797937 77965238 0 4073492 0 0 0 0 384135 468871 95752103 93933843 238421 186010 2918767 3612238 59170 50000 0 0 0 0 0 0 0 0 0 0 661785 879661 3878143 4727909 X 25753287 21432467 40005631 41536958 26115042 26236509 91873960 89205934 95752103 93933843 X 3850896 -6518922 X false true true X false X X X false false false DIGNITY HEALTH DBA ST JOSEPH'S HOSPITAL AND MEDICAL CENTER 941196203 03 true true true 14389699 1 14389699 THE 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 DETAILS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40636716 112651 -557135 581318 39610914 30205906 5992711 4919381 481282 40636716 25003040 2863077 2585540 245751 30205906 30787227 620081 -4642367 1761901 25003040 0.14000 0.86000 false false 0 DUE TO RELATED PARTIES 318850 SPLIT INTEREST AGREEMENTS 560811 879661 18240595 14389699 3850896 -6366344 -152578 -6518922 -2668026 17215575 -6366344 46923 5652145 -667276 17882851 205166 152578 357744 18240595 19883601 46923 5652145 5699068 14184533 205166 205166 14389699 INTENDED USE OF THE ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 Endowment funds are used to support the Barrow Neurological Institute's research and medical education programs. ASC 740 FOOTNOTE SCHEDULE D, PART X, LINE 2 THE FOUNDATION HAS BEEN CLASSIFIED AS AN OTHER-THAN PRIVATE FOUNDATION AND IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012. RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO AFS SCHEDULE D, PART XI, LINE 8 K-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 Central America and the Caribbean Investments 4073492 4073492 4073492 false false false false false false PART I, LINE 3, COLUMN F THE EXPENDITURES ARE REPORTED ON AN ACCRUAL BASIS. AZ LOU GRUBB GOLF 367879 270266 97613 60993 15864 27172 2400 53017 BARROW BALL 1901600 1584725 316875 64404 12881 51523 0 2269479 1854991 414488 60993 15864 91576 15281 104540 288254 126234 10470250 2544500 1818148 5652145 false 10470250 2544500 1818148 5652145 10014793 455457 AZ false The Health and Wealth Raffle operates under State Statue, no license required. false false false 1.00000 CBIZ MHM LLC 3101 N Central Ave Suite 300 Phoenix AZ 85012 false Kathleen Rice 225000 Supervision and Recordkeeping X false true DIGNITY HEALTH DBA ST JOSEPHS HOSP & MED CENTER 350 W THOMAS ROAD PHOENIX AZ 85013 941196203 501(c)(3) 11552857 41734 FMV Equipment Support hospital STJOSEPH FOUNDATION 350 W Thomas Road PHOENIX AZ 85012 942941245 501(C)(3) 149464 n/a n/a Support Foundation 2 SCHEDULE I, PART I, LINE 2 As 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. X true true true true false false false false false false false Linda Hunt 0 561972 0 330012 0 20544 0 58451 0 38186 0 1009165 0 Robert D Hopkins 0 155654 0 11588 0 5002 0 14815 0 20131 0 207190 0 0 Kathryn X Kramer 0 162078 0 11995 0 1143 0 14851 0 11510 0 201577 0 0 Kathleen Norton 0 131780 0 9864 0 2669 0 12577 0 8719 0 165609 0 0 Kelli K Smith 0 160573 0 12071 0 2040 0 15391 0 19853 0 209928 0 0 John Peters 0 299544 0 55997 0 951 0 24244 0 21241 0 401977 0 0 Ron Mirenda 0 83430 0 0 63653 0 4823 0 5270 0 157176 0 0 Patty White 0 364603 0 238659 0 15946 0 41901 0 28516 0 689625 0 SCHEDULE J, part 1, line 1a Club 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 4a Certain officers and highly compensated employees participate in a severance plan that provides fair compensation, ranging from payments of 2 weeks to 36 weeks of base compensation, depending on the executive's position, in the event of a position elimination or other involuntary termination, in accordance with the guidelines of the plan. Payments were made to one former officer during 2011 pursuant to the plan; R. Mirenda, $33,846. SCHEDULE J, Part I, line 4b Certain listed persons hired prior to June 30, 2006 are eligible to participate in the 2007 Dignity Health Executive Deferred Compensation Plan, a nonqualified 457(f) plan, that is subject to substanial risk of forfeiture, as required by the IRS. The benefit is intended to bridge the difference, if any, between the benefit provided under the Dignity Health Excess Benefit Plan had benefit services not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. No benefit under the 457(f) plan before the attainment of age 62 or the completion of 15 years of service. Certain listed persons participate in the dignity health Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the dignity health Retirement Plan whose benefits are affected by the limitations imposed by sections 401(a)(17) and 415 of the Internal Revenue Code. Benefit service under this plan was frozen as of January 1, 2008. 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 disclosures Although the organization does not directly employ any personnel, the supported organization's executive compensation philosophy is designed to assist in attracting and retaining the caliber of executives required to fulfill the organization's mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities the organization serves, promoting employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Human Resources and Compensation Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and the organization's commitment to serving the poor and disenfranchised in the communities it serves. Total compensation, which includes base salary, annual and long-term incentive compensation, targets the 75th percentile of the market in which the organization competes for executives, commensurate with the size of the organization and complexity of the organization. X 3 1013 COMPARABLE SALE X 859 COMPARABLE SALE X 6316 RESALE VALUE X 5 21549 Average Market Value X 17 15641 COMPARABLE SALE X Other-Food and Wine 14 29601 Comparable sale X Other-Sporting Goods 4 312 Comparable sale X OTHER-ELECTRONICS 2 3761 COMPARABLE SALE X OTHER-JEWELRY 7 4045 Comparable sale X OTHER-MEDICAL EQUIPMENT 1 15299 Comparable sale X OTHER - OFFICE EQUIPMENT 1 5000 Comparable sale X OTHER - GIFT CERTIFICATES & TICKETS 51 18437 Comparable sale 0 false true false Schedule M, Part I, column (b) The amounts reported in Schedule M, Part I column (b) consist of the number of contributions received. FORM 990, PART I, LINE 5 AND PART V, LINE 2A The organization does not have employees. 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 ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAINS (LOSSES) ON INVESTMENTS $ (6,366,344) Split interest agreement decrease $ (59,757) K-1 INVESTMENT INCOME $ (92,821) --------------- TOTAL $ (6,518,922) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Linda Hunt TITLE:DIRECTOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kathryn X Kramer TITLE:CEO HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patty White TITLE:Director HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Peters TITLE:CFO HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert D Hopkins TITLE:Vice President Fundraising HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Catherine C Menor TITLE:Director Communications HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kathleen Norton TITLE:Vice President Fundraising HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kelli K Smith TITLE:Vice President Operations HOURS:8 DIGNITY HEALTH dba St Joseph's hospital 350 West Thomas Road Phoenix AZ 85013 941196203 Hospital AZ 501(C)(3) 3 na false St Joseph's Foundation 350 West Thomas Road Phoenix AZ 85012 942941245 Support.org AZ 501(C)(3) 11c Dignity false Congenital Heart Foundation 350 West Thomas Road Phoenix AZ 85012 942941245 Support.org AZ 501(C)(3) 11c Dignity false false true true false false false false false false false true false true true false true false false