BARROW NEUROLOGICAL FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BARROW NEUROLOGICAL FOUNDATION (EIN 86-0174371)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201121319349302967
Schema version
2009v1.7
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)
Timestamp2011-05-11T17:20:34-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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)
NameGREGORY ANDERSONName
TitleTREASURERTitle
Date Signed2011-05-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4159635100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMary Jane CristNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13033 n third avenueAddressLine1
CityphoenixCity
StateAZState
ZIP Code85013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42761631GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9395830ContributionsGrantsPriorYear
Contributions Grants Current Year11035975ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-4120702InvestmentIncomePriorYear
Investment Income Current Year1550692InvestmentIncomeCurrentYear
Other Revenue Prior Year2353376OtherRevenuePriorYear
Other Revenue Current Year948286OtherRevenueCurrentYear
Total Revenue Prior Year7628504TotalRevenuePriorYear
Total Revenue Current Year13534953TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year14664464GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12272877GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year929507SalariesEtcPriorYear
Salaries Etc Current Year974342SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year638683TotalFundrsngExpCurrentYear
Other Expense Prior Year1603285OtherExpensePriorYear
Other Expenses Current Year867133OtherExpensesCurrentYear
Total Expenses Prior Year17197256TotalExpensesPriorYear
Total Expenses Current Year14114352TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9568752RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-579399RevenuesLessExpensesCY
Total Assets BOY66117663TotalAssetsBOY
Total Assets EOY70181224TotalAssetsEOY
Total Liabilities BOY5478091TotalLiabilitiesBOY
Total Liabilities EOY2984498TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60639572NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67196726NetAssetsOrFundBalancesEOY
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
Expense12703654Expense
Grants12272877Grants
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 payments directly to the Hospital.Description
Total Program Service Expense12703654TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
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
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest 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
Cassandra Groh
Director1.0X000
Lisa Handley
Director1.0X000
Lee Hanley
Director1.0X000
Linda Hunt
Director1.0X077503878738X
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
E Jeffrey Walsh
Director1.0X000
Mary Jane Crist
Ex Officio/CEO20.0X027482441125X
Stephen Lenn
Director1.0X000
Robert FSpetzler MD
Director1.0X000
John Peters
CFO1.0033379738182X
Robert D Hopkins
Vice President Fundraising20.0016740728114X
Kathryn X Kramer
Vice President Fundraising20.0016918124112X
Catherine C Menor
Director Communications20.0011559317076X
Kathleen Norton
Vice President Fundraising20.0013757314503X
Kelli K Smith
Vice President Operations20.0017205431443X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2145467TotalReportableCompFrmRltdOrgs
Total Other Compensation273293TotalOtherCompensation
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 ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressForeign/AddressLine1CityAddressOfContractor/AddressForeign/CityProvince Or StateAddressOfContractor/AddressForeign/ProvinceOrStateCountryAddressOfContractor/AddressForeign/CountryPostal CodeAddressOfContractor/AddressForeign/PostalCode
E B LANE
733 W McDowell RdPHOENIXAZ85007Raffle Advertising3446155
Sharp Incentives
3253 E Maldonado DrivePHOENIXAZ85042Awards Engraving1152058
Suns
201 East Jefferson StreePHOENIXAZ85004Advertising1152058
Black Fund Development Inc US
RAFFLE CONSULTANT834998520 1110 CENTRE ST NECALGARYABCAT2E 2R2
CBIZ Accounting Tax Advisory
3101 North Central Ave Suite 300PHOENIXAZ85004Raffle Accounting750000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Federated Campaigns41286FederatedCampaigns
Fundraising Events2820001FundraisingEvents
Related Organizations1716658RelatedOrganizations
All Other Contributions6458030AllOtherContributions
Noncash Contributions1033463NoncashContributions
Total Contributions11035975TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1500705TotalRevenueColumn
Exclusion$1,500,705ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities16695279Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities16645292Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities49987Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column49987TotalRevenueColumn
Exclusion$49,987ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events139081GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2820001CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses201568FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-62487TotalRevenueColumn
Exclusion-$62,487ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming13386200GrossIncomeGaming
Gaming Direct Expenses12379818GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column1006382TotalRevenueColumn
Exclusion$1,006,382ExclusionAmount

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 Column4391TotalRevenueColumn
Exclusion$4,391ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4391TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13534953TotalRevenueColumn
Exclusion$2,498,978ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12272877Total
Program Services12272877ProgramServices

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)
Total794767Total
Program Services177750ProgramServices
Management And General271036ManagementAndGeneral
Fundraising345981Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total119967Total
Program Services36125ProgramServices
Management And General40912ManagementAndGeneral
Fundraising42930Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total59608Total
Program Services13331ProgramServices
Management And General20328ManagementAndGeneral
Fundraising25949Fundraising

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)
Total46696Total
Management And General46696ManagementAndGeneral

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)
Total189797Total
Program Services53151ProgramServices
Management And General136646ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total269393Total
Program Services136015ProgramServices
Management And General111988ManagementAndGeneral
Fundraising21390Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total27769Total
Management And General14218ManagementAndGeneral
Fundraising13551Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72889Total
Management And General12388ManagementAndGeneral
Fundraising60501Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4539Total
Management And General4539ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total87852Total
Program Services14280ProgramServices
Management And General73572ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24797Total
Management And General11656ManagementAndGeneral
Fundraising13141Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2916Total
Management And General1871ManagementAndGeneral
Fundraising1045Fundraising

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)
Total20231Total
Management And General20231ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraisingProgram ServicesProgramServices
DUES & SUBSCRIPTIONS707620954981
OTHER EXPENSES1131783839109214125

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14114352Total
Program Services12703654ProgramServices
Management And General772015ManagementAndGeneral
Fundraising638683Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2231217BOY
EOY5352091EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3551917BOY
EOY4672186EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY374198BOY
EOY169898EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY54326279BOY
EOY58152879EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5086559BOY
EOY1493144EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY547493BOY
EOY341026EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66117663BOY
EOY70181224EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY152675BOY
EOY137411EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY4530187BOY
EOY2151483EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12500BOY
EOY3000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY782729BOY
EOY692604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5478091BOY
EOY2984498EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14005898BOY
EOY18721565EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY30378449BOY
EOY32212295EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16255225BOY
EOY16262866EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60639572BOY
EOY67196726EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66117663BOY
EOY70181224EOY
FieldValueIRS element (for citing)
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$14,114,352Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts14114352SumOfAmounts
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 Balance25003040BeginningOfYearBalance
Contributions2863077Contributions
Investment Earnings Or Losses2585540InvestmentEarningsOrLosses
Other Expenditures245751OtherExpenditures
End Of Year Balance30205906EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Balance0.15000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.85000PermanentEndowmentEOYBalance
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$126,376
LIABILITY UNDER SPLIT INTEREST TRUST$566,228
FieldValueIRS element (for citing)
Total Of Amounts692604TotalOfAmounts
Total Revenue13534953TotalRevenue
Total Expenses14114352TotalExpenses
Excess Or Deficit For Year-579399ExcessOrDeficitForYear
Net Unrealized GL On Investments7136554NetUnrealizedGLOnInvestments
Total Adjustments7136554TotalAdjustments
Excess Or Deficit Per FS6557155ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27684871TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7136554NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities240052DonatedSrvcAndUseOfFacilities
Other Revenues6963107OtherRevenues
Revenue Not Rptd F99014339713RevenueNotRptdF990
Revenue Subtotal13345158RevenueSubtotal
Investment Expenses Not Included189795InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt189795RevenueNotRptdOnFinStmt
Total Revenue Per Form99013534953TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21127715TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities240052DonatedServicesUseOfFacilities
Other Expenses Included6963107OtherExpensesIncluded
Expenses Not Rptd F9907203159ExpensesNotRptdF990
Expenses Subtotal13924556ExpensesSubtotal
Investment Expenses Not Included2189796InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt189796ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014114352TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V Line 4intended use of the endowment fundsEndowment funds are used to support the Barrow Neurological Institute's research and medical education programs.
FIN 48The 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 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, 2010.
Part XII Line 2d and Part XIII Line 2dReclass expense to revenue section

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Lou Grubb GolfNameOfEvent1
Gross Receipts Event1309844GrossReceiptsEvent1
Charitable Contributions Event1203264CharitableContributionsEvent1
Gross Revenue Event1106580GrossRevenueEvent1
Non Cash Prizes Event116650NonCashPrizesEvent1
Rent Facility Costs Event15833RentFacilityCostsEvent1
Food And Beverage Event143323FoodAndBeverageEvent1
Entertainment Event116359EntertainmentEvent1
Other Direct Expenses Event123003OtherDirectExpensesEvent1
Name Of Event2Barrow BallNameOfEvent2
Gross Receipts Event22649238GrossReceiptsEvent2
Charitable Contributions Event22616738CharitableContributionsEvent2
Gross Revenue Event232500GrossRevenueEvent2
Food And Beverage Event250835FoodAndBeverageEvent2
Entertainment Event26713EntertainmentEvent2
Other Direct Expenses Event238852OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total2959082GrossReceiptsTotal
Charitable Contributions Total2820002CharitableContributionsTotal
Gross Revenue Total Events139080GrossRevenueTotalEvents
Non Cash Prizes Total Events16650NonCashPrizesTotalEvents
Rent Facility Costs Total Events5833RentFacilityCostsTotalEvents
Food And Beverage Total Events94158FoodAndBeverageTotalEvents
Entertainment Total Events23072EntertainmentTotalEvents
Other Direct Expenses Total Events61855OtherDirectExpensesTotalEvents
Direct Expense Summary Events201568DirectExpenseSummaryEvents
Net Income Summary-62488NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming13386200GrossRevenueOtherGaming
Cash Prizes Other Gaming2927000CashPrizesOtherGaming
Non Cash Prizes Other Gaming2489711NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming6963107OtherDirectExpensesOtherGaming
Gross Revenue Total Gaming13386200GrossRevenueTotalGaming
Cash Prizes Total Gaming2927000CashPrizesTotalGaming
Non Cash Prizes Total Gaming2489711NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming6963107OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming12379818DirectExpenseSummaryGaming
Net Gaming Income Summary1006382NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedAZStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoThe Health and Wealth Raffle operates under State Statue, no license required.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonCBIZ MHM LLCNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line13101 N Central Ave Suite 300AddressLine1
CityPhoenixCity
StateAZState
ZIP Code85012ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonKathleen RiceGamingManagerNamePerson
Gaming Manager Compensation335275GamingManagerCompensation
Gaming Manager Services ProvidedSupervise gaming activities and related recordkeepGamingManagerServicesProvided
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 ROADPHOENIXAZ85013941196203501c(3)1175402826606fmvEquipmentTo Support hospital services
STJOSEPH FOUNDATION
350 W Thomas RoadPHOENIXAZ85012942941245501C(3)4922430FMVn/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)
IdentifierSch I Part I, Line 2Identifier
ExplanationAs a Sec. 509(a)(3) supporting organization, the Foundation operates exclusively for the benefit of, to perform the function of, or to carry out the purposes of the grantees listed in Part II, item 1 (CHW, dba St. Joseph's Hospital and Medical Center), which include making payments 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
05202770237853016908046917031821085377600
Mary Jane Crist
020876006140104663021529019596031594900
Robert D Hopkins
015131901239903689013753014360019552000
Kathryn X Kramer
015538601266101134013819010293019329300
Kathleen Norton
012882907361013830719807305015207600
Kelli K Smith
015791001282601318014238017205020349700
John Peters
0283232049871069401956301861903719790

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanation
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. 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.
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.
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.
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

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9902030NoncashContribsRptdF990
Method Of Determining RevenuesComparable saleMethodOfDeterminingRevenues
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 Contributions11NumberOfContributions
Noncash Contribs Rptd F9901020000NoncashContribsRptdF990
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
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XOther-Food and Wine16438Comparable sale
XOther-Sporting Goods1800Comparable sale
XOther-Medical Equipment1805Comparable sale
XOther-Office Equipment13000Comparable sale
XMisc.1390Comparable sale
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSchedule M, Part IIdentifier
ExplanationThe amounts reported in Schedule M, Part I column (b) consist of the number of contributions received.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VI, Governance, management, disclosureFORM 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 is referred to the Governance Committee; and (6) the transaction or action must be approved by a majority of disinterested persons. All conflicts of interest, whether resolved or unresolved, are reported in the Foundation's Form 990. FORM 990, PART VI, SECTION B, LINE 15 Although the organization does not employ personnel, the Chief Executive Officer is compensated by 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.
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.
Part VII, Section AThe following individuals listed on Form 990 Part VII were compensated by Catholic Healthcare West, the supported organization. An estimate of their hours provided to the supported organization is provided: Linda Hunt; 40 hours Mary Jane Crist; 20 hours John Peters; 40 hours The following individuals listed on Form 990 Part VII also provided time to St. Joseph's Foundation and The Congenital Heart Foundation, a related organization. An estimate of their hours provided to the supported organization is provided, listed respectively: Robert Hopkins; 16 hours, 4 hours Kathryn Kramer; 16 hours, 4 hours Catherine Menor; 16 hours, 4 hours Kathleen Norton; 16 hours, 4 hours Kelli Smith; 16 hours, 4 hours

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)11cna
Congenital Heart Foundation
350 West Thomas RoadPhoenixAZ85012942941245Support.orgAZ501(c)(3)11cna
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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