2012-05-07T22:12:09-04:00 2011-06-30 KPMG LLP 55 Second Street 1400 San Francisco CA 94105 990 2010-07-01 860174371 Barrow Neurological Foundation BARR 6024063992 350 West Thomas Road Phoenix AZ 85013 Kathryn X Kramer 2012-05-07 4159635100 2010 2016-02-24 21:20:13Z Kathy Kramer 3033 n third avenue phoenix AZ 85013 63629451 false X WWW.CHWHEALTH.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 CATHOLIC HEALTHCARE WEST. 24 23 0 50 0 0 11035975 20293164 0 0 1550692 6177662 948286 1568355 13534953 28039181 12272877 8513731 0 0 974342 1541305 0 0 1503882 867133 1275039 14114352 11330075 -579399 16709106 70181224 95752103 2984498 3878143 67196726 91873960 TO SUPPORT BARROW NEUROLOGICAL INSTITUTE, A DEPARTMENT OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, WHICH IS IN TURN A DIVISION OF CATHOLIC HEALTHCARE WEST. false false 8865286 8513731 0 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. 8865286 true true false false false false false false true false false false false true true true false false false false false false false true true false true false true false false false false false false false false true false false false false true false false false false true 32 32 true 0 false true CJ false false false true true false false false false X 24 23 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 3033 N THIRD AVENUE PHOENIX AZ 85013 X Jane D Alfano 1.0 X 0 0 0 Greg Anderson 1.0 X X 0 0 0 Wayne S Doran 1.0 X 0 0 0 Gee Gee Entz 1.0 X X 0 0 0 Booker T Evans Jr 1.0 X 0 0 0 Patricia Boyd Gentry 1.0 X 0 0 0 Lisa Handley 1.0 X 0 0 0 Lee Hanley 1.0 X 0 0 0 Linda Hunt 1.0 X X 0 843511 89269 Mike Ingram 1.0 X 0 0 0 Guy Inzalaco 1.0 X X 0 0 0 Stanley W Levine 1.0 X 0 0 0 Mac Magruder 1.0 X 0 0 0 Herman Orcutt 1.0 X 0 0 0 Tom Reahard 1.0 X X 0 0 0 Anne Robbs 1.0 X 0 0 0 Dennis R Sage 1.0 X X 0 0 0 Robert F Spetzler MD 1.0 X 0 0 0 E Jeffrey Walsh 1.0 X 0 0 0 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 Mary Jane Crist 30.0 X 0 332420 43262 John Peters 1.0 X 0 326615 40322 Ronald MIRENDA 30.0 X 0 34224 2843 Robert D Hopkins 30.0 X 0 185233 33136 Kathryn X Kramer 30.0 X 0 183757 26748 Catherine C Menor 30.0 X 0 126604 19244 Kathleen Norton 30.0 X 0 154567 16926 Kelli K Smith 30.0 X 0 187277 35250 0 2374208 307000 0 false true false E B LANE MARKETING 733 W McDowell Rd PHOENIX AZ 85007 Raffle Advertising 3380787 CBIZ MHM LLC 3101 North Central Ave Suite 300 PHOENIX AZ 85012 Raffle Accounting 551620 ANSWER NOW 5665 WEST BEVERLY LANE GLENDALE AZ 85306 ANSWERING SERVICE 548073 PHOENIX SUNS 201 EAST JEFFERSON STREET PHOENIX AZ 85004 ADVERTISING 525648 KATHLEEN RICE 8390 EAST VIA DE VENTURA F-110PMB1 SCOTTSDALE AZ 85258 GAMING MANAGER 338346 18 49796 1208768 2550035 16484565 10134629 20293164 0 1365844 0 0 1365844 0 0 29686355 24874537 4811818 4811818 4811818 324294 1208768 265166 59128 59128 11959716 10450567 1509149 1509149 0 OTHER REVENUE 900099 78 78 78 28039181 0 0 7746017 8513731 8513731 0 0 0 0 0 1241203 131417 302363 807423 0 207012 21918 50429 134665 93090 9856 22677 60557 0 0 46141 0 46141 0 0 0 214625 0 214625 0 489215 174084 108356 206775 49093 0 6027 43066 165096 0 24326 140770 4426 0 4426 0 0 134960 14280 120680 0 62813 0 22291 40522 0 3120 0 1551 1569 0 0 0 20104 0 20104 0 LICENSES AND TAXES 49 0 49 0 DUES AND SUBSCRIPTIONS 15411 0 5174 10237 RECRUITING 1803 0 1803 0 DONOR RECCOGNITION/CULTIVATION 63500 0 9206 54294 OTHER EXPENSES 4683 679 4004 11330075 8865286 960907 1503882 0 0 5352091 4078101 4672186 4293365 169898 198565 58152879 86797937 1493144 0 341026 384135 70181224 95752103 137411 238421 2151483 2918767 3000 59170 692604 661785 2984498 3878143 X 18721565 25753287 32212295 40005631 16262866 26115042 67196726 91873960 70181224 95752103 X 16709106 7968128 X false true true X false X X X false false false CATHOLIC HEALTHCARE WEST (DBA ST JOSEPH'S HOSPITALMED CTR) 941196203 03 true true true 11330075 1 11330075 THE 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30205906 5992711 4919381 481282 40636716 25003040 2863077 2585540 245751 30205906 30787227 620081 -4642367 1761901 25003040 0.14000 0.86000 0.00000 false false 0 DUE TO RELATED PARTIES 111744 LIABILITY UNDER SPLIT INTEREST 550041 661785 28039181 11330075 16709106 8503432 -535306 7968126 24677232 41876166 8503432 69625 6013859 14586916 27289250 214625 535306 749931 28039181 17198934 69625 6013859 6083484 11115450 214625 214625 11330075 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. FIN 48 (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. 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 AFS SCHEDULE D, PART XI, LINE 8 UNCOLLECTIBLE 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 LOU GRUBB GOLF 215830 110285 105545 66082 16429 45988 38234 BARROW BALL 1317232 1098483 218749 49217 9843 39373 0 1533062 1208768 324294 66082 16429 95205 9843 77607 265166 59128 11959716 2109270 2327438 6013859 false 11959716 2109270 2327438 6013859 10450567 1509149 AZ false THE HEALTH AND WEALTH RAFFLE OPERATES UNDER STATE STATUE, NO LICENSE REQUIRED. false false false 0.00000 1.00000 CBIZ MHM LLC 3101 N Central Ave Suite 300 Phoenix AZ 85012 false Kathleen Rice 225000 Supervise gaming activities and related X false true CHW DBA ST JOSEPHS HOSP & MED CENTER 350 W THOMAS ROAD PHOENIX AZ 85013 941196203 501(c)(3) 8010322 3742 n/a Equipment To Support hospital services STJOSEPH FOUNDATION 350 W Thomas Road PHOENIX AZ 85012 942941245 501(C)(3) 499667 0 n/a n/a To Support hospital services 2 0 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 (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. X true true false true false false false false false false false Linda Hunt 0 549884 0 274709 0 18918 0 53818 0 35451 0 932780 0 0 Mary Jane Crist 0 217738 0 109640 0 5042 0 25760 0 17502 0 375682 0 0 Robert D Hopkins 0 151110 0 29208 0 4915 0 15766 0 17370 0 218369 0 0 Kathryn X Kramer 0 152788 0 29826 0 1143 0 15541 0 11207 0 210505 0 0 Kathleen Norton 0 127966 0 24862 0 1739 0 8657 0 8269 0 171493 0 0 Kelli K Smith 0 155535 0 30412 0 1330 0 16272 0 18978 0 222527 0 0 John Peters 0 275019 0 50535 0 1061 0 19676 0 20646 0 366937 0 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 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 4a The 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 4b Certain 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 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 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. X 26 29290 comparable sale X 16 resale value X 3147 resale value X 7 10062905 Average Market Value X 8 6234 COMPARABLE SALE X 1 500 COMPARABLE SALE X 1 150 COMPARABLE SALE X Other-Food and Wine 12 10183 Comparable sale X Other-Sporting Goods 9 3915 Comparable sale X OTHER-ELECTRONICS 2 3443 COMPARABLE SALE X OTHER-JEWELRY 3 2982 Comparable sale X OTHER-TOYS 1 63 Comparable sale X MISCELLANEOUS 23 11801 COMPARABLE SALE 0 false true true Schedule M, Part I, column (b) The 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. 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, 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 ASSETS FORM 990, PART XI, LINE 5 NET 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 $ 7,968,128 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Linda Hunt TITLE:DIRECTOR/SERVICE AREA LEADER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary Jane Crist TITLE:Ex Officio/CEO HOURS:8 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:Ronald MIRENDA TITLE:EX-OFFICIO/CEO HOURS:8 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:Kathryn X Kramer 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 Catholic Healthcare West dba St Joseph's 350 West Thomas Road Phoenix AZ 85013 941196203 Hospital AZ 501(C)(3) 3 na St Joseph's Foundation 3110 N Central Avenue Suite 135 Phoenix AZ 85012 942941245 Support.org AZ 501(C)(3) 11c CHW Congenital Heart Foundation 350 West Thomas Road Phoenix AZ 85012 942941245 Support.org AZ 501(C)(3) 11c CHW false true true false false false false false false false true false true true false true false false