BARROW NEUROLOGICAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BARROW NEUROLOGICAL FOUNDATION (EIN 86-0174371)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-07
IRS object ID
201221289349301772
Schema version
2010v3.7
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)
Timestamp2012-05-07T22:12:09-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860174371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Barrow Neurological FoundationBusinessNameLine1
FieldValueIRS element (for citing)
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)
NameKathryn X KramerName
TitleCEO/PresidentTitle
Date Signed2012-05-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159635100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts63629451GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHWHEALTH.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 CATHOLIC HEALTHCARE WEST.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11035975ContributionsGrantsPriorYear
Contributions Grants Current Year20293164ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1550692InvestmentIncomePriorYear
Investment Income Current Year6177662InvestmentIncomeCurrentYear
Other Revenue Prior Year948286OtherRevenuePriorYear
Other Revenue Current Year1568355OtherRevenueCurrentYear
Total Revenue Prior Year13534953TotalRevenuePriorYear
Total Revenue Current Year28039181TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12272877GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8513731GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year974342SalariesEtcPriorYear
Salaries Etc Current Year1541305SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1503882TotalFundrsngExpCurrentYear
Other Expense Prior Year867133OtherExpensePriorYear
Other Expenses Current Year1275039OtherExpensesCurrentYear
Total Expenses Prior Year14114352TotalExpensesPriorYear
Total Expenses Current Year11330075TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-579399RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16709106RevenuesLessExpensesCY
Total Assets BOY70181224TotalAssetsBOY
Total Assets EOY95752103TotalAssetsEOY
Total Liabilities BOY2984498TotalLiabilitiesBOY
Total Liabilities EOY3878143TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY67196726NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY91873960NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF CATHOLIC HEALTHCARE WEST.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8865286Expense
Grants8513731Grants
Revenue0Revenue
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 Expense8865286TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 ActivitiesfalseForeignActivities
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 ArtfalseDeductibleContributionsOfArt
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 With109632NumberFormsTransmittedWith1096
Number W2 G Included32NumberW2GIncluded
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 Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
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 Line13033 N THIRD AVENUEAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85013ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Jane D Alfano
Director1.0X000
Greg Anderson
Treasurer1.0X000X
Wayne S Doran
Director1.0X000
Gee Gee Entz
Secretary1.0X000X
Booker T Evans Jr
Director1.0X000
Patricia Boyd Gentry
Director1.0X000
Lisa Handley
Director1.0X000
Lee Hanley
Director1.0X000
Linda Hunt
DIRECTOR/SERVICE AREA LEADER1.0X084351189269X
Mike Ingram
Director1.0X000
Guy Inzalaco
Vice Chair1.0X000X
Stanley W Levine
Director1.0X000
Mac Magruder
Director1.0X000
Herman Orcutt
Director1.0X000
Tom Reahard
Past Chair1.0X000X
Anne Robbs
Director1.0X000
Dennis R Sage
Chair1.0X000X
Robert F Spetzler MD
Director1.0X000
E Jeffrey Walsh
Director1.0X000
Stephen Lenn
Director1.0X000
PATRICK R MCGRODER III
Director1.0X000
BARBARA BARONE
DIRECTOR1.0X000
SHELLEY DUANE
DIRECTOR1.0X000
IRA A FULTON
DIRECTOR1.0X000
Mary Jane Crist
Ex Officio/CEO30.0033242043262X
John Peters
CFO1.0032661540322X
Ronald MIRENDA
EX-OFFICIO/CEO30.00342242843X
Robert D Hopkins
Vice President Fundraising30.0018523333136X
Kathryn X Kramer
Vice President Fundraising30.0018375726748X
Catherine C Menor
Director Communications30.0012660419244X
Kathleen Norton
Vice President Fundraising30.0015456716926X
Kelli K Smith
Vice President Operations30.0018727735250X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2374208TotalReportableCompFrmRltdOrgs
Total Other Compensation307000TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
E B LANE MARKETING
733 W McDowell RdPHOENIXAZ85007Raffle Advertising3380787
CBIZ MHM LLC
3101 North Central Ave Suite 300PHOENIXAZ85012Raffle Accounting551620
ANSWER NOW
5665 WEST BEVERLY LANEGLENDALEAZ85306ANSWERING SERVICE548073
PHOENIX SUNS
201 EAST JEFFERSON STREETPHOENIXAZ85004ADVERTISING525648
KATHLEEN RICE
8390 EAST VIA DE VENTURA F-110PMB1SCOTTSDALEAZ85258GAMING MANAGER338346
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Federated Campaigns49796FederatedCampaigns
Fundraising Events1208768FundraisingEvents
Related Organizations2550035RelatedOrganizations
All Other Contributions16484565AllOtherContributions
Noncash Contributions10134629NoncashContributions
Total Contributions20293164TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1365844TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,365,844ExclusionAmount

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)
Securities29686355Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24874537Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4811818Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4811818TotalRevenueColumn
Exclusion$4,811,818ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events324294GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1208768CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses265166FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column59128TotalRevenueColumn
Exclusion$59,128ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming11959716GrossIncomeGaming
Gaming Direct Expenses10450567GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column1509149TotalRevenueColumn
Exclusion$1,509,149ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column78TotalRevenueColumn
Exclusion$78ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue78TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28039181TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,746,017ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8513731Total
Program Services8513731ProgramServices

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)
Total1241203Total
Program Services131417ProgramServices
Management And General302363ManagementAndGeneral
Fundraising807423Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total207012Total
Program Services21918ProgramServices
Management And General50429ManagementAndGeneral
Fundraising134665Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total93090Total
Program Services9856ProgramServices
Management And General22677ManagementAndGeneral
Fundraising60557Fundraising

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)
Total46141Total
Program Services0ProgramServices
Management And General46141ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total214625Total
Program Services0ProgramServices
Management And General214625ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total489215Total
Program Services174084ProgramServices
Management And General108356ManagementAndGeneral
Fundraising206775Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total49093Total
Program Services0ProgramServices
Management And General6027ManagementAndGeneral
Fundraising43066Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total165096Total
Program Services0ProgramServices
Management And General24326ManagementAndGeneral
Fundraising140770Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4426Total
Program Services0ProgramServices
Management And General4426ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total134960Total
Program Services14280ProgramServices
Management And General120680ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total62813Total
Program Services0ProgramServices
Management And General22291ManagementAndGeneral
Fundraising40522Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3120Total
Program Services0ProgramServices
Management And General1551ManagementAndGeneral
Fundraising1569Fundraising

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)
Total20104Total
Program Services0ProgramServices
Management And General20104ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
LICENSES AND TAXES490490
DUES AND SUBSCRIPTIONS154110517410237
RECRUITING1803018030
DONOR RECCOGNITION/CULTIVATION635000920654294
OTHER EXPENSES46836794004

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11330075Total
Program Services8865286ProgramServices
Management And General960907ManagementAndGeneral
Fundraising1503882Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5352091BOY
EOY4078101EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4672186BOY
EOY4293365EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY169898BOY
EOY198565EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY58152879BOY
EOY86797937EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1493144BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY341026BOY
EOY384135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY70181224BOY
EOY95752103EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY137411BOY
EOY238421EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY2151483BOY
EOY2918767EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3000BOY
EOY59170EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY692604BOY
EOY661785EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2984498BOY
EOY3878143EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18721565BOY
EOY25753287EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32212295BOY
EOY40005631EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16262866BOY
EOY26115042EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67196726BOY
EOY91873960EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70181224BOY
EOY95752103EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16709106ReconcilationRevenueExpenses
Reconcilation Other Changes7968128ReconcilationOtherChanges
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 Line1CATHOLIC HEALTHCARE WEST (DBA ST JOSEPH'S HOSPITALMED CTR)BusinessNameLine1
FieldValueIRS element (for citing)
EIN941196203EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$11,330,075Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts11330075SumOfAmounts
General ExplanationTHE FOUNDATION PROVIDED OR PURCHASED FOR THE BENEFIT OF CATHOLIC HEALTHCARE WEST DBA ST. JOSEPH'S HOSPITAL/MEDICAL CENTER, VARIOUS SERVICES, FACILITIES AND GOODS. SEE FORM 990, PART IX FOR FURTHER DETAILS.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 Balance30205906BeginningOfYearBalance
Contributions5992711Contributions
Investment Earnings Or Losses4919381InvestmentEarningsOrLosses
Other Expenditures481282OtherExpenditures
End Of Year Balance40636716EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
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$111,744
LIABILITY UNDER SPLIT INTEREST$550,041
FieldValueIRS element (for citing)
Total Of Amounts661785TotalOfAmounts
Total Revenue28039181TotalRevenue
Total Expenses11330075TotalExpenses
Excess Or Deficit For Year16709106ExcessOrDeficitForYear
Net Unrealized GL On Investments8503432NetUnrealizedGLOnInvestments
Other-$535,306OtherAmount
Total Adjustments7968126TotalAdjustments
Excess Or Deficit Per FS24677232ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt41876166TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments8503432NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities69625DonatedSrvcAndUseOfFacilities
Other Revenues6013859OtherRevenues
Revenue Not Rptd F99014586916RevenueNotRptdF990
Revenue Subtotal27289250RevenueSubtotal
Investment Expenses Not Included214625InvestmentExpensesNotIncluded
Other Revenues Not Included535306OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt749931RevenueNotRptdOnFinStmt
Total Revenue Per Form99028039181TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17198934TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities69625DonatedServicesUseOfFacilities
Other Expenses Included6013859OtherExpensesIncluded
Expenses Not Rptd F9906083484ExpensesNotRptdF990
Expenses Subtotal11115450ExpensesSubtotal
Investment Expenses Not Included2214625InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt214625ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011330075TotalExpensesPerForm990

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.
FIN 48 (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. ON JULY 1, 2009, THE FOUNDATION ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY FASB ASC 740, INCOME TAXES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. 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, 2011.
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO AFSSCHEDULE D, PART XI, LINE 8UNCOLLECTIBLE PLEDGES RECEIVABLE $ (570,982) CHANGE IN VALUE OF SPLIT INTEREST TRUSTS $ 35,676 -------------- TOTAL $ (535,306) RECONCILIATION OF REVENUE FROM AFS TO FORM 990 SCHEDULE D, PART XII, LINE 2D CONSULTING AND OTHER FUNDRAISING COSTS OF RAFFLE $ 6,013,859 SCHEDULE D, PART XII, LINE 4B uncollectible pledges receivable $ 570,982 change in value of split interest trusts $ (35,676) --------------- total $ 535,306 RECONCILIATION OF EXPENSES FROM AFS TO FORM 990 SCHEDULE D, PART XIII, LINE 2D CONSULTING AND OTHER FUNDRAISING COSTS OF RAFFLE $ 6,013,859

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LOU GRUBB GOLFNameOfEvent1
Gross Receipts Event1215830GrossReceiptsEvent1
Charitable Contributions Event1110285CharitableContributionsEvent1
Gross Revenue Event1105545GrossRevenueEvent1
Non Cash Prizes Event166082NonCashPrizesEvent1
Rent Facility Costs Event116429RentFacilityCostsEvent1
Food And Beverage Event145988FoodAndBeverageEvent1
Other Direct Expenses Event138234OtherDirectExpensesEvent1
Name Of Event2BARROW BALLNameOfEvent2
Gross Receipts Event21317232GrossReceiptsEvent2
Charitable Contributions Event21098483CharitableContributionsEvent2
Gross Revenue Event2218749GrossRevenueEvent2
Food And Beverage Event249217FoodAndBeverageEvent2
Entertainment Event29843EntertainmentEvent2
Other Direct Expenses Event239373OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total1533062GrossReceiptsTotal
Charitable Contributions Total1208768CharitableContributionsTotal
Gross Revenue Total Events324294GrossRevenueTotalEvents
Non Cash Prizes Total Events66082NonCashPrizesTotalEvents
Rent Facility Costs Total Events16429RentFacilityCostsTotalEvents
Food And Beverage Total Events95205FoodAndBeverageTotalEvents
Entertainment Total Events9843EntertainmentTotalEvents
Other Direct Expenses Total Events77607OtherDirectExpensesTotalEvents
Direct Expense Summary Events265166DirectExpenseSummaryEvents
Net Income Summary59128NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming11959716GrossRevenueOtherGaming
Cash Prizes Other Gaming2109270CashPrizesOtherGaming
Non Cash Prizes Other Gaming2327438NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming6013859OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming11959716GrossRevenueTotalGaming
Cash Prizes Total Gaming2109270CashPrizesTotalGaming
Non Cash Prizes Total Gaming2327438NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming6013859OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming10450567DirectExpenseSummaryGaming
Net Gaming Income Summary1509149NetGamingIncomeSummary
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 Own Facility0.00000PercentageOfGamingOwnFacility
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 ProvidedSupervise gaming activities and relatedGamingManagerServicesProvided
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
CHW DBA ST JOSEPHS HOSP & MED CENTER
350 W THOMAS ROADPHOENIXAZ85013941196203501(c)(3)80103223742n/aEquipmentTo Support hospital services
STJOSEPH FOUNDATION
350 W Thomas RoadPHOENIXAZ85012942941245501(C)(3)4996670n/an/aTo Support hospital services
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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 (CHW, dba St. Joseph's Hospital and Medical Center), which includes making DISTRIBUTIONS directly to the beneficiary organization, transferring and monitoring that restrictions are met before release of funds and expenditure of such funds.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (7 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
05498840274709018918053818035451093278000
Mary Jane Crist
0217738010964005042025760017502037568200
Robert D Hopkins
015111002920804915015766017370021836900
Kathryn X Kramer
015278802982601143015541011207021050500
Kathleen Norton
0127966024862017390865708269017149300
Kelli K Smith
015553503041201330016272018978022252700
John Peters
027501905053501061019676020646036693700

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 key employees. Schedule J, Part 1, Line 3 The Foundation relied on a related organization, Catholic Healthcare West, 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 4aThe organization's key employees and its highest compensated employees participate in a severance plan established by its supported organization. The plan 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.
SCHEDULE J, Part I, line 4bCertain listed persons hired prior to June 30, 2006 are eligible to participate in the CHW Executive Deferred Compensation Plan, a nonqualified 457(f) plan which is intended to provide a benefit approximating the difference, if any, between the benefit provided under the CHW Excess Benefit Plan and the benefit provided under the qualified benefit plan that substantially replaced the Excess Plan. No benefit will vest under the 457(f) plan before the later of the attainment of age 62 while employed or the completion of 15 years of service. Certain listed persons participate in the CHW Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the CHW 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 CHW Key Employee Share Option Plan (KeySOP), which was frozen in May 2002. The KeySOP program was established in 2001 with the purpose of providing additional compensation to eligible employees, commensurate with their contributions to the success of CHW, in a form that would provide incentives and rewards for meritorious performance and encourage the recipients' continuance as employees of CHW. Grants of options could be made to any employee who was eligible for the Company's Key Employee Retention Program. No payment were made to any listed persons during 2009 pursuant to this plan.
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 Compensation and Benefits 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. The Compensation and Benefits Committee targets the 75th percentile of the market in which the organization competes for executives, commensurate with the size of the organization.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions26NumberOfContributions
Noncash Contribs Rptd F99029290NoncashContribsRptdF990
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 F99016NoncashContribsRptdF990
Method Of Determining Revenuesresale valueMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9903147NoncashContribsRptdF990
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 Contributions7NumberOfContributions
Noncash Contribs Rptd F99010062905NoncashContribsRptdF990
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 Contributions8NumberOfContributions
Noncash Contribs Rptd F9906234NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990500NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990150NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XOther-Food and Wine1210183Comparable sale
XOther-Sporting Goods93915Comparable sale
XOTHER-ELECTRONICS23443COMPARABLE SALE
XOTHER-JEWELRY32982Comparable sale
XOTHER-TOYS163Comparable sale
XMISCELLANEOUS2311801COMPARABLE SALE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

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. SCHEDULE M, PART I, LINE 32A THE FOUNDATION uses A BROKERAGE FIRM TO SELL DONATED SECURITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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, Catholic Healthcare West, a 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 CHW'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 CHW'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 are 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 Catholic Healthcare West (CHW). CHW's Compensation and Benefits department conducts an annual review and analysis to provide benchmarking data for the total compensation and benefits package of the Service Area Leader. 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 ASSETSNET UNREALIZED GAINS (LOSSES) ON INVESTMENTS $ 8,503,432 uncollectible pledges receivable $ (570,982) change in value of split interest trusts $ 35,676 ROUNDING $ 2 --------------- TOTAL $ 7,968,128FORM 990, PART XI, LINE 5
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Linda Hunt TITLE:DIRECTOR/SERVICE AREA LEADER HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mary Jane Crist TITLE:Ex Officio/CEO HOURS:8FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John Peters TITLE:CFO HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Ronald MIRENDA TITLE:EX-OFFICIO/CEO HOURS:8FORM 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:Kathryn X Kramer 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/BusinessNameLine1
Catholic Healthcare West dba St Joseph's
350 West Thomas RoadPhoenixAZ85013941196203HospitalAZ501(C)(3)3na
St Joseph's Foundation
3110 N Central Avenue Suite 135PhoenixAZ85012942941245Support.orgAZ501(C)(3)11cCHW
Congenital Heart Foundation
350 West Thomas RoadPhoenixAZ85012942941245Support.orgAZ501(C)(3)11cCHW
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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