FRIENDS OF SANTA ROSA FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FRIENDS OF SANTA ROSA FOUNDATION (EIN 74-2723391)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201221329349300142
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)
Timestamp2012-05-11T08:42:06-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 MCKINNEY SUITE 1200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742723391EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Friends of Santa Rosa FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone2107042022Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 N Santa RosaAddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78207ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCynthia AtmarName
TitleInterim VP/CDOTitle
Date Signed2012-05-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7137501500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCINDY ATMARNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1343 West Houston StreetAddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1671541GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.santarosafoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionFriends of Santa Rosa Fdn serves the philanthropic needs of Santa Rosa Health Care Corp (SRHCC) by soliciting & distributing contributions in support of adult healthcare services at SRHCC.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year556050ContributionsGrantsPriorYear
Contributions Grants Current Year560181ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year188730InvestmentIncomePriorYear
Investment Income Current Year1085900InvestmentIncomeCurrentYear
Other Revenue Prior Year4400OtherRevenuePriorYear
Other Revenue Current Year-53261OtherRevenueCurrentYear
Total Revenue Prior Year749180TotalRevenuePriorYear
Total Revenue Current Year1592820TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year322210GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY569965GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33050SalariesEtcPriorYear
Salaries Etc Current Year21769SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year18666TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY2346TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2846TotalFundrsngExpCurrentYear
Other Expense Prior Year220113OtherExpensePriorYear
Other Expenses Current Year242882OtherExpensesCurrentYear
Total Expenses Prior Year594039TotalExpensesPriorYear
Total Expenses Current Year836962TotalExpensesCurrentYear
Revenues Less Expenses Prior Year155141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY755858RevenuesLessExpensesCY
Total Assets BOY7667959TotalAssetsBOY
Total Assets EOY8443436TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY1049386TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7667959NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7394050NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE OBJECTIVES OF FRIENDS OF SANTA ROSA FOUNDATION ARE TO ASSIST, BENEFIT, AND SUPPORT SANTA ROSA HEALTH CARE CORPORATION IN PROVIDING HEALTH CARE SERVICES FOR RESIDENTS OF SAN ANTONIO AND SOUTH TEXAS BY RAISING MONEY TO SUPPORT THE ESTABLISHMENT, MAINTENANCE AND OPERATIONS OF HOSPITALS AND RELATED HEALTH AND MEDICAL CARE FACILITIES, PROGRAMS AND SERVICES. THE FOUNDATION SERVES AS A LIAISON BETWEEN SANTA ROSA HEALTH CARE CORPORATION, THE COMMUNITY AND SOUTH TEXAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense750480Expense
Grants569965Grants
Revenue0Revenue
DescriptionFriends of Santa Rosa Foundation (The "Foundation") is a Texas non-profit organization serving the philanthropic needs of Christus Santa Rosa Health Care Corporation (The "Health System"). It is the Foundation's responsibility to encourage and receive contributions from individuals, corporations, associations, and foundations. These contributions are distributed to the Health System and its non-profit hospitals, in accordance with the intentions of the donors and within the confines of the Foundation's goals and objectives. All contributions assist the Health System in providing continuing high quality health care in areas such as modernization and construction of hospital facilities, acquisition of hospital equipment, and other special health care needs of the Health System. The Foundation's sole corporate member is the Health System. The Health's System's sole corporate member is Christus Health. Christus Santa Rosa Health Care corporation responds to health care needs through services provided at Christus Santa Rosa Hospital, a 601-bed integrated health system, Christus Santa Rosa Children's Hospital, a 276-bed specialized pediatric facility serving children from a 90-county area, and a 112-bed Christus Santa Rosa Hospital-New Braunfels. Each of the facilities of Christus Santa Rosa shares one objective - which is to lead the way to a healthier community. Christus Santa Rosa Health Care Corporation is part of Christus Health, which was formed in 1999 to strengthen the 146-year-old, faith-based health care ministries of the congregations of the Sisters of Charity of the Incarnate Word of Houston and San Antonio. Founded on the mission "to extend the healing ministry of Jesus Christ," Christus is challenged to reach out to, and beyond, more than 60 communities we serve to help those in need. Christus Health responds to health care needs through services provided at more than 50 hospitals and long-term care facilities, as well as dozens of health care clinics, physicians' offices, outpatient services, and community-based programs in Texas, Louisiana, Arkansas, Utah, Oklahoma, and Mexico. Although programs may differ from facility to facility, each of our health care entities has the same objective - which is to lead the way to a healthier community.Description
Total Program Service Expense750480TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTONY LOBASSONamePerson
Telephone Number2107044624TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Frank B Arnold
Director (Effective 8/3/10)1.0X000
Mario A Barrera
Secretary1.0X000X
Sister Germaine Corbin CCVI
Director1.0X000
Laurie H Griffith
Chairperson1.0X000X
James K Lowry MD
Director1.0X000
Nancy Maurer
Director1.0X000
Harriett Raney
Vice Chairperson1.0X000X
Virginia Shannon
Director1.0X000
S Van Stewart
Treasurer1.0X000X
Sister Yolanda Tarango CCVI
Director1.0X000
Madelon Yanta Leone
Director (Effective 8/3/10)1.0X000
Jerald E Yost
Director1.0X000
Susan Granzin
Director (Effective 6/7/11)1.0X000
Linda B O'Brien
VP Foundation8.0017021020216X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs170210TotalReportableCompFrmRltdOrgs
Total Other Compensation20216TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonnaNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events94300FundraisingEvents
Related Organizations13603RelatedOrganizations
All Other Contributions452278AllOtherContributions
Total Contributions560181TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1085900TotalRevenueColumn
Exclusion$1,085,900ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events25060GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events94300CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses78721FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-53661TotalRevenueColumn
Exclusion-$53,661ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionVENDINGDescription
Business Code900099BusinessCode
Total Revenue Column400TotalRevenueColumn
Exclusion$400ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue400TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1592820TotalRevenueColumn
Exclusion$1,032,639ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total568139Total
Program Services568139ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1826Total
Program Services1826ProgramServices

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)
Total21769Total
Program Services21769ProgramServices

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)
Total4470Total
Management And General4470ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total2346Total
Fundraising2346Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total71350Total
Management And General71350ManagementAndGeneral

Fees For Services Other FeesForServicesOther

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Total1300Total
Management And General1300ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1810Total
Management And General1810ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total500Total
Fundraising500Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1170Total
Program Services1000ProgramServices
Management And General170ManagementAndGeneral

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)
Total2737Total
Management And General2737ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Foreign Medical Mission Trip1000010000
RETURN OF UNUSED FUNDS EXP10981098
Operational Reimbursement134844134844
MISC. EXPENSE REIMBURSEMENT701701
CHRISTUS SR REIMBURSEMENT1290212902

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total836962Total
Program Services750480ProgramServices
Management And General83636ManagementAndGeneral
Fundraising2846Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2414162BOY
EOY2578169EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3294243BOY
EOY3892329EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY113162BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1846392BOY
EOY1846392EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY126546EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7667959BOY
EOY8443436EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY1049386EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY1049386EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7667959BOY
EOY7394050EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7667959BOY
EOY7394050EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7667959BOY
EOY8443436EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses755858ReconcilationRevenueExpenses
Reconcilation Other Changes-1029767ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHRISTUS SANTA ROSA HEALTH CARE CORPBusinessNameLine1
FieldValueIRS element (for citing)
EIN741109665EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$750,480Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts750480SumOfAmounts
General ExplanationFriends of Santa Rosa Foundation is included in the Group Ruling issued to the United States Conference of Catholic Bishops by the IRS, which exempts the following from income tax under IRC Section 501(c)(3): The agencies and instrumentalities and educational, charitable, and religious institutions operated, supervised or controlled by or in connection with the Roman Catholic Church in the United States, its territories or possessions appearing in the Official Catholic Directory. Friends of Santa Rosa Foundation is listed in the Official Catholic Directory and is thereby exempt from federal income tax under IRC 501(c)(3) and therefore does not have a determination letter from the IRS.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3294243BeginningOfYearBalance
Investment Earnings Or Losses598086InvestmentEarningsOrLosses
End Of Year Balance3892329EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2916209BeginningOfYearBalance
Investment Earnings Or Losses378034InvestmentEarningsOrLosses
End Of Year Balance3294243EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus2 YearsCurrentYearMinus2Years
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INT - FREEDMAN TRSTDescription
Book Value1846392BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1846392TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONForm 990, Part X, Line 1 - Cash - Non-Interest BearingChristus Health System maintains a centralized cash management system. This cash management system (CMS) includes a concentration account wherein deposits and disbursements for related Christus exempt organizations flow through this account and over to the managed investment accounts. Each participating organization reports a balance in the CMS reflective of its cumulative cash activity. Cash Balances for each Christus organization are reported on Form 990 in accordance with financial statement reporting. CMS ownership is maintained by Christus Health (EIN 76-0590551) and all associated investment income is properly reported on the Christus Health Form 990. ENDOWMENT FUNDS- ORGANIZATION'S INTENDED USES OF ENDOWMENT FUNDS FORM 990, SCH D, PART V, LINE 4 THE ENDOWMENT FUND IS SUPPORTING CHRISTUS SANTA ROSA HOSPITAL'S CONTINUING PROFESSIONAL EDUCATION, PHYSICIAN FELLOWSHIP IN THE NEUROLOGICAL DEPARTMENT, ADULT CANCER CARE SERVICES, AND GENERAL HOSPITAL PROJECTS.
UNCERTAIN TAX POSITIONS UNDER ASC 740FORM 990, SCHEDULE D, PART XPer footnote 3 in the Consolidated Financial Statements, there are no material unrecorded tax liabilities as of June 30, 2011 and 2010.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LuncheonNameOfEvent1
Gross Receipts Event1119360GrossReceiptsEvent1
Charitable Contributions Event194300CharitableContributionsEvent1
Gross Revenue Event125060GrossRevenueEvent1
Rent Facility Costs Event11273RentFacilityCostsEvent1
Food And Beverage Event111787FoodAndBeverageEvent1
Entertainment Event152500EntertainmentEvent1
Other Direct Expenses Event113161OtherDirectExpensesEvent1
Gross Receipts Total119360GrossReceiptsTotal
Charitable Contributions Total94300CharitableContributionsTotal
Gross Revenue Total Events25060GrossRevenueTotalEvents
Rent Facility Costs Total Events1273RentFacilityCostsTotalEvents
Food And Beverage Total Events11787FoodAndBeverageTotalEvents
Entertainment Total Events52500EntertainmentTotalEvents
Other Direct Expenses Total Events13161OtherDirectExpensesTotalEvents
Direct Expense Summary Events78721DirectExpenseSummaryEvents
Net Income Summary-53661NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRISTUS Santa Rosa Health Care CorpBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 N Santa Rosa StAddressLine1
CitySan AntonioCity
StateTXState
ZIP Code78207ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient741109665EINOfRecipient
IRC Section501c(3)IRCSection
Amount Of Non Cash Assistance568139AmountOfNonCashAssistance
Method Of ValuationCostMethodOfValuation
Description Of Non Cash AssistanceEquip,Other SupportDescriptionOfNonCashAssistance
Purpose Of GrantEquipment, Supplies, Support for new physician positionPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceForm 990, Schedule I, Part I, Line 2ReturnReference
ExplanationThe Organization follows CHRISTUS Health Management Directive No. 0006, "Contributions/Donations to Other Organizations". Before any donation is made, two criteria are addressed: (1) Organization Test and (2) IRS Tests. The organization test ensures that donations are exclusively for charitable, scientific, educational, and religious purposes, and in furtherance of our purpose of supporting the healing ministry of Jesus Christ and advancing, promoting, and supporting the healthcare ministries of the Sponsoring Congregations. Contributions can be made to support CHRISTUS System members and to other qualifying tax-exempt organizations, particularly those designed to support and benefit the poor and underserved. The organization considered for donations must be an IRS Section 501(c)(3) organization and documentation to that effect obtained. To satisfy the IRS test contributions given must be dedicated to achieving charitable purposes not for personal benefit but for public benefit. Contributions are prohibited to organizations that contribute to political campaigns, candidates for office, or conduct more than incidental lobbying. Documentation must support how the donation meets organizational purposes and furtherance of mission. Donations should be modest in scope.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLinda B O'BrienNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs167553CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs2423BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs234OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs14180DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs6036NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs190426TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSchedule J, Part I, Question 3The filing organization's top management official is an employee of CHRISTUS Health, a related organization. The filing organization's top management official also serves CHRISTUS Santa Rosa Health Care Corporation. All compensation is established at the CHRISTUS Health level and the filing organization does not have a role in implementing the methods used to establish compensation or in determining top management official compensation. CHRISTUS Health uses an Executive Compensation Committee to establish and approve the compensation of the filing organization's TOP MANAGEMENT OFFICIAL. This committee uses an independent compensation consultant who performs bi-annual compensation survey.
Supplemental Compensation InformationForm 990, Part VII, 1A and Schedule J, Part IIDirectors and Ex-Officio Directors provide their services as members of the Board without compensation or benefits. Any compensation and benefits disclosed for such persons is earned in the respective individual's role as an officer or employee of the organization, not for the individual's role as a board member or director. Board members spend time as needed for board meetings and functions.
SUPPLEMENTAL COMPENSATION INFORMATIONForm 990, Schedule J, Part II, Column CDeferred compensation includes Employer contribution to 403(b) Matched Savings Plan and Estimated Pension Benefits under CHRISTUS Health Cash Balance Plan. Estimated pension benefits were calculated based on the provisions of the current Cash Balance Plan at 6% of pensionable earnings. Some associates are grandfathered under an earlier pension plan. These grandfathered participants, based on computation at the time of their retirement, will receive the larger of the retirement benefit computed under the Cash Balance Plan compared to the previous pension plan. Due to the complexity of calculating an accurate benefit cost for grandfathered participants, the Form 990 reports as pension benefits their annual estimated Cash Balance Plan accrual.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONFORM 990, PAGE 1, ITEM CDOING BUSINESS AS FRIENDS OF SANTA ROSA FOUNDATION OPERATES UNDER THE FOLLOWING NAMES: CHRISTUS Santa Rosa Foundation CHRISTUS Santa Rosa Friends Foundation Friends of CHRISTUS Santa Rosa Foundation Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 Santa Rosa Health Care Corporation is the sole corporate member of Friends of Santa Rosa Foundation.
Description of Classes of Persons and the Nature of Their RightsForm 990, Part VI, Question 7aSanta Rosa Health Care Corporation must approve the directors of Friends of Santa Rosa Foundation, with the exception of the Life Directors and the Santa Rosa Representatives (President of Santa Rosa Hospital Auxiliary, President of Santa Rosa Auxiliary Northwest, and President/CEO of Santa Rosa Health Care Corporation).
Process used to review Form 990Form 990, Part VI, Question 11bThe Form 990 is prepared and reviewed by the organization's external independent accountants. The CHRISTUS Health Accounting department works with an external accounting firm in preparation and review of the Form 990. The filing organization's CFO, or other designee, reviews the Form 990. The final Form 990 that will be filed with the IRS is posted to a secure internet portal for all members of the Board of Directors to view. Review of the final Form 990 occurs prior to filing with the IRS in the Spring of 2012 via either meeting, conference call or web portal polling tool by the respective CHRISTUS Organization's board, based on a set of suggested review processes developed by CHRISTUS Health. Description of Process to monitor transactions for conflict of interest Form 990, Part VI, Question 12 At the end of each calendar year, the CHRISTUS Health Corporate Secretary distributes a conflict of interest questionnaire to all of the organization's Board and Committee members for completion prior to the 1st of January in the next year. The Corporate Secretary thoroughly reviews all completed and executed conflict of interest questionnaire forms to ensure accuracy and that no potential or identified conflict is disclosed or exists. The organization's Board of Directors is responsible for enforcement of the conflict of interest policy of the organization.
Compensation Determination ProcessForm 990, Part VI, Questions 15a & 15bThe Executive Compensation Committee of CHRISTUS Health determines the compensation of the CEO/Executive Director/Top Management Official, officers and key employees of Christus Health and THE FILING ORGANIZATION. The Executive Compensation Committee is composed of individuals who have no conflict of interest with the compensation arrangements at hand. The Executive Compensation Committee of the CHRISTUS Health Board selects an independent external firm to perform an independent compensation review, to ensure that all compensation is reasonable and comparable to other similarly situated organizations, for similarly qualified persons in functionally comparable positions, and to provide supporting information of compensation decisions. On an annual basis the external consultant: 1. develops the merit increase recommendations for all Designated System Executives based on market comparability. 2. recommends the changes in the Compensation Structure (grades) based on the market changes. 3. completes a review and evaluation of newly created positions to recommend a grade placement to the Committee for its discussion and approval. On a bi-annual basis, the external consultant completes a detailed review of all other Designated System Executives' compensation and benefits. This group includes all top management officials, other officers and key leaders of the organization. The review includes recommendations to the Committee on any changes necessary in either specific compensation or compensation structure to ensure market competitiveness, reasonableness and internal equity. Upon recommendations from the independent external firm, the Executive Compensation Committee makes final compensation decisions. Additionally, the Executive Compensation Committee reviews all compensation payments for excess benefit transactions. The discussion and decisions of the Committee are documented and formalized in the Committee minutes and maintained on record.
Public disclosure of 1023 and Forms 990 & 990-TForm 990, Part VI, Question 18CHRISTUS Health and most of its affiliated entities do not have Forms 1023 because of their inclusion in the IRS Group Ruling with the United States Conference of Catholic Bishops, which covers the organizationS listed in the Annual Official Catholic Directory. CHRISTUS Health's website displays the IRS Group Ruling and relevant Annual Official Catholic Directory pages for the organizations related to CHRISTUS Health. Forms 990 and 990-T are made available upon request.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Question 19The Consolidated Audited Financial Statements of CHRISTUS Health are made available to the public via the Christus Health website. The organization's governing documents and conflict of interest policy are not made available to the public.
HOURS WORKED FOR RELATED ORGANIZATIONForm 990, Part VII, Section AAVERAGE HOURS PER WEEK LISTED ON FORM 990, PART VII, SECTION A ARE THE AVERAGE HOURS DEVOTED TO THE RESPECTIVE PERSON'S POSITION WHILE SERVING THE ORGANIZATION. LINDA O'BRIEN DEVOTES AN AVERAGE OF 32 HOURS PER WEEK TO SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE FILING ENTITY. LINDA IS THE VP OF FOUNDATION OF SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION.
Statement of Functional ExpensesForm 990, Part IX, Line 8, Pension Plan contributionsThe foundation reimburses CHRISTUS Santa Rosa Healthcare Corporation for services rendered by Linda O'Brien as the foundation's vice president. The Foundation's payment is accounted for as a reimbursement for pension contributions; therefore, Line 5 Compensation of current officers, directors, trustees, and key employees is blank.
Other Changes in Net Assets or Fund BalancesForm 990, Part XI, Line 5Pension Liability/Expense = $21,769 Pension Funding = ($33,551) Unrestricted Contributions = ($1,417,618) Reversal of Accrual = $23,819 Capitalize Santa Rosa Fixed Assets = $375,815 Rounding = ($1) Total = ($1,029,767)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHRISTUS HEALTH
2707 NORTH LOOP WESTHOUSTONTX77008760590551SUPT HLTH SVCTX501(c)(3)11-TYPE INA
CHRISTUS SANTA ROSA HLTH CARE CORP
333 N SANTA ROSA STREETSAN ANTONIOTX78207741109665HLTHCARE SVCTX501(c)(3)3CH
SANTA ROSA FAMILY HLTH CENTER
333 N SANTA ROSA STREETSAN ANTONIOTX78207742806531HLTHCARE SVCTX501(c)(3)9CSRHCC
SANTA ROSA CHILDREN'S HOSP FND
343 W HOUSTON ST SUITE 505SAN ANTONIOTX78205741224362SUPT HLTH SVCTX501(c)(3)7CSRHCC
Christus Santa Rosa Medical Center Aux
2827 Babcock RoadSan AntonioTX78229731655493Supt Hlth SvcTX501(c)(3)9CSRHCC
Santa Rosa General Hospital Auxiliary
333 N Santa Rosa StreetSan AntonioTX78207741278312Supt Hlth SvcTX501(c)(3)3CSRHCC
Santa Rosa Children's Hosp Endowment Fd
343 West Houston St Ste 505San AntonioTX78205741902391Supt Hlth SvcTX501(c)(3)11-type ICSRHCC

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
MCKENNA LEASING GP LLC
600 NORTH UNION AVENEW BRAUNFELSTX78130741191729InvestmentTXCSRHCCN/Afalsefalse
MCKENNA Equipment LEASING LP
600 NORTH UNION AVENEW BRAUNFELSTX78130204177842Med Equip LeaseTXCSRHCCN/Afalsefalse
NEW BRAUNFELS SURGICAL CENTER LLC
600 NORTH UNION AVENEW BRAUNFELSTX78130810571408HLTHCARE SVCTXCSRHCCN/Afalsefalse
CHRISTUS SANTA ROSA OUTPATIENT SURGERY
600 NORTH UNION AVENEW BRAUNFELSTX78130810571409HLTHCARE SVCTXCSRHCCN/Afalsefalse
CSR SURGERY CENTER LLP
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001200424958HLTHCARE SVCTXCSRHCCN/Afalsefalse
CHRISTUS SR AMBULATORY SURGERY CTRS - SA
333 SANTA ROSASAN ANTONIOTX78207412092141HLTHCARE SVCTXCSRHCCN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
MCKENNA PROFESSIONAL BLD OWNER'S ASSOC
6363 N HIGHWAY 161 SUITE 450IRVINGTX75038742742934Building AssocTXCSRHCCC Corp
CSR MEDICAL GROUP
6243 IH 10 West Ste 480San AntonioTX78201742727562Healthcare SrvcsTXCSRHCCC Corp
SOUTH TEXAS HEALTH ALLIANCE
6243 IH 10 WEST SUITE 480SAN ANTONIOTX78201742782184Healthcare SrvcsTXCSRHCCC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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