Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE GREATER FAIRBANKS COMMUNITY HOSPITAL FOUNDATION INCORPORATED
Employer identification number
92-0035784
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
178,512
1,332,300
1,290,012
1,355,146
682,760
4,838,730
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
16,368,585
15,719,700
18,823,253
30,568,228
36,688,048
118,167,814
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
16,547,097
17,052,000
20,113,265
31,923,374
37,370,808
123,006,544
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
132,254
132,254
c
Add lines 7a and 7b..
132,254
132,254
8
Public Support (Subtract line 7c from line 6.)
122,874,290
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
16,547,097
17,052,000
20,113,265
31,923,374
37,370,808
123,006,544
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
6,166,051
5,348,689
5,245,443
4,849,947
4,518,075
26,128,205
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
6,166,051
5,348,689
5,245,443
4,849,947
4,518,075
26,128,205
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
877
52,396
20,422
1,244
2,038
76,977
13
Total support (Add lines 9, 10c, 11 and 12.).
22,714,025
22,453,085
25,379,130
36,774,565
41,890,921
149,211,726
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
82.350 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
77.010 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18.000 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
23.000 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE GREATER FAIRBANKS COMMUNITY HOSPITAL FOUNDATION INCORPORATED
Employer identification number
92-0035784
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
TO PROMOTE, FOSTER, PLAN, BUILD AND MAINTAIN A REGIONAL AND COMMUNITY HOSPITAL AND RELATED MEDICAL FACILITIES FOR THE BENEFIT AND WELFARE OF THE PEOPLE OF THE GREATER FAIRBANKS AREA AND OF DEPENDENT RURAL COMMUNITIES ON A NON-PROFIT BASIS.
CLASSES OF MEMBERS OR STOCKHOLDERS
FORM 990, PAGE 6, PART VI, LINE 6
THE FOUNDATION HAS FOUR CLASSES OF MEMBERS, AND MEMBERSHIP IS ON AN ANNUAL BASIS. THE DESIGNATION OF SUCH CLASSES AND THE QUALIFICATIONS OF THE MEMBERS OF SUCH CLASSES ARE AS FOLLOWS: A) GENERAL MEMBERSHIP. ANY INDIVIDUAL WHO IS A RESIDENT OF ALASKA AND WHO IS NOT A MEMBER OF THE CLASSES SET FORTH IN (B)-(C) IS ELIGIBLE FOR A GENERAL MEMBERSHIPS IN THE FOUNDATION. (B) FACILITY MEMBERSHIP. ANY INDIVIDUAL, WHO IS AN EMPLOYEE OF BANNER HEALTH, AND OR ITS SUBSIDIARIES OR AFFILIATED COMPANIES, IS ELIGIBLE FOR A FACILITY MEMBERSHIP IN THE FOUNDATION. (C) MEDICAL STAFF MEMBERSHIP. ANY INDIVIDUAL WHO IS A CREDENTIALED MEMBER OR AFFILIATE OF THE MEDICAL STAFF OF THE FACILITIES OWNED BY THE FOUNDATION AND WHO IS NOT ELIGIBLE FOR A FACILITY MEMBERSHIP SHALL BE ELIGIBLE FOR A MEDICAL STAFF MEMBERSHIP IN THE FOUNDATION. (D) ASSOCIATED MEMBERSHIP. ANY PERSON NOT ELIGIBLE FOR MEMBERSHIP IN THE FOUNDATION UNDER (A)-(C) ABOVE IS ELIGIBLE FOR AN ASSOCIATE MEMBERSHIP IN THE FOUNDATION. ASSOCIATE MEMBERSHIP MEMBERS MAY INCLUDE CORPORATIONS, UNINCORPORATED ASSOCIATIONS, OR OTHER ENTITIES. ASSOCIATE MEMBERS DO NOT HAVE ANY RIGHTS OF GENERAL MEMBERSHIP.
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
EACH CLASS MEMBER IN GOOD STANDING SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE FOR THE CLASS, EXCEPT THAT ASSOCIATE MEMBERS HAVE NO VOTING RIGHTS OF ANY KIND WITH RESPECT TO THE FOUNDATION. AN ANNUAL MEETING OF THE MEMBERS SHALL BE HELD IN MAY OF EACH YEAR FOR THE PURPOSE OF THE ELECTION OF TRUSTEES OF THE FOUNDATION, THE REVIEW OF ANNUAL REPORTS, AND A DISCUSSION OF FOUNDATION BUSINESS AND ACTIVITES. THE AFFAIRS OF THE FOUNDATION SHALL BE MANAGED SOLELY BY ITS BOARD OF TRUSTEES. TRUSTEES MUST BE RESIDENTS OF THE STATE OF ALASKA. THE GENERAL MEMBERSHIP SHALL ELECT TWENTY TRUSTEES FROM THE CLASS OF GENERAL MEMBERS TO SERVE FOR THREE YEAR TERMS. ONE TRUSTEE SHALL BE ELECTED ON BEHALF OF THE FACILITY MEMBERSHIP. THE MEDICAL STAFF SHALL ELECT TWO TRUSTEES FROM THE MEDICAL STAFF. THE PRESIDENT SHALL APPOINT TWO INDIVIDUALS TO SERVE AS TRUSTEES FOR ONE YEAR TERMS. A GENERAL MEMBERSHIP TRUSTEE WHO HAS SERVED AS A TRUSTEE FOR AT LEAST TWENTY-FIVE YEARS SHALL BECOME AN EMERITUS TRUSTEE. AN EMERITUS TRUSTEE SHALL BE A LIFELONG TRUSTEE WITH ALL RIGHTS AND PRIVELEGES OF A GENERAL MEMBERSHIP TRUSTEE, INCLUDING BUT NOT LIMITED TO VOTING RIGHTS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 IS SENT VIA EMAIL TO THE FINANCE COMMITTEE.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EACH TRUSTEE, MEMBER OF A COMMITTE WITH BOARD-DELEGATED POWERS, AND EACH KEY EMPLOYEE IS REQUIRED ON AN ANNUAL BASIS TO SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; B) HAS READ AND UNDERSTANDS THE POLICY; C) HAS AGREED TO COMPLY WITH THE POLICY; D) HAS DISCLOSED ALL KNOWN ACTUAL AND POSSIBLE CONFLICTS OF INTEREST INVOLVING SUCH PERSON AND HIS/HER FAMILY; AND E) UNDERSTANDS THAT THE FOUNDATION IS A TAX-EXEMPT CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, AGREES TO BE AN ACTIVE AND INFORMED MEMBER OF THE BOARD AND/OR ASSIGNED COMMITTEES, AND AGREES TO CONDUCT HIS OR HER ACTIVITIES IN THE BEST INTEREST OF THE FOUNDATION. TO ENSURE THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS ARE REQUIRED TO BE CONDUCTED.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE COMMITTEE VOTED TO RETAIN THE EXECUTIVE DIRECTOR/GENERAL COUNSEL ON THE TERMS OF THE EMPLOYMENT AGREEMENT PROPOSED BY THE HIRING COMMITTEE IN 2007. THE HIRING COMMITTEE IS REQUIRED TO OBTAIN AND RELY UPON APPROPRIATE DATA AS TO COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO SUCH THINGS AS: (I) COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, (II) THE LOCATION OF THE FOUNDATION, INCLUDING THE AVAILABILITY OF SIMILAR SPECIALTIES IN THE GEOGRAPHIC AREA, (III) INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS, AND (IV) ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
N/A - NO OTHER KEY EMPLOYEES
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE FINANCIAL STATEMENTS ARE AVAILABLE AT THE FOUNDATION'S ANNUAL MEETING AND IT AND ALL OTHER DOCUMENTS CAN BE OBTAINED BY REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 5
NET UNREALIZED GAIN ON INVESTMENTS 3,460,161 LOSS FROM CHANGE IN FAIR VALUE (2,619,378) CHANGE IN VALUE OF BENTLEY BENEFICIARIES TRUST ASSETS 3,000 ___________ TOTAL OTHER CHANGES IN NET ASSETS 843,783
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.