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
PITTSBURGH REGIONAL HEALTHCARE INITIATIVE
Employer identification number
01-0752319
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)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(1)
THE JEWISH HEALTHCARE FOUNDATION OF PITTSBURGH
251624347
7
Yes
Yes
Yes
3,327,447
Total
3,327,447
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.") .
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......
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.
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.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
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...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
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.)
13
Total support (Add lines 9, 10c, 11 and 12.).
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
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
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
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
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
PITTSBURGH REGIONAL HEALTHCARE INITIATIVE
Employer identification number
01-0752319
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE FINANCE AND AUDIT CHAIR, THE BOARD CHAIR, AND THE TREASURER OF PITTSBURGH REGIONAL HEALTHCARE INITIATIVE'S SUPPORTED ORGANIZATION, THE JEWISH HEALTHCARE FOUNDATION OF PITTSBURGH, REVIEWS THE 990 PRIOR TO FILING. AN ANNOUNCEMENT WAS MADE AT YEAR END BOARD MEETING THAT THE 990 IS AVAILABLE TO ANY DIRECTOR OR TRUSTEE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY, EACH COVERED INDIVIDUAL MUST COMPLETE A DISCLOSURE STATEMENT REFLECTING HIS OR HER INTERESTS. THE CHAIR OF THE GOVERNANCE COMMITTEE (IN CONSULTATION WITH ITS COMMITTEE MEMBERS, AS REASONABLY APPROPRIATE) IS RESPONSIBLE FOR REVIEWING THE DISCLOSURE STATEMENTS SO THAT HE OR SHE IS FAMILIAR WITH AND CAN REPORT POTENTIAL CONFLICTS. IN ADDITION, EACH COVERED INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR DISCLOSING HIS/HER ACTUAL OR POTENTIAL CONFLICT (AND FOR BRINGING ATTENTION TO ACTUAL OR POTENTIAL CONFLICTS OF OTHER COVERED INDIVIDUALS) AT THE TIME THE CORPORATION IS CONSIDERNG A TRANSACTION THAT MAY INVOLVE A CONFLICT OR APPEARANCE OF A CONFLICT. AFTER DISCLOSURE OF A POTENTIAL CONFLICT AND ALL MATERIAL FACTS, THE AFFECTED COVERED INDIVIDUAL SHALL LEAVE THE ROOM WHILE THE CHAIR OF THE BOARD OR COMMITTEE DETERMINES WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS IN THE PARTICULAR CIRCUMSTANCE. (IF THE POSSIBLE CONFLICT INVOLVES THE BOARD CHAIR OR COMMITTEE CHAIR, THE DISINTERESTED MEMBERS PRESENT SHALL APPOINT AN ACTING CHAIR.) IN THE EVENT THE BOARD CHAIR OR COMMITTEE CHAIR CONCLUDES THAT A CONFLICT OF INTEREST EXISTS, THE FOLLOWING PROCEDURES SHALL BE FOLLOWED: THE AFFECTED COVERED INDIVIDUAL MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION OR ARRANGEMENT, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. THE MAJORITY OF DISINTERESTED TRUSTEES PRESENT SHALL THEN DETERMINE WHETHER THEY CURRENTLY POSSESS SUFFICIENT INFORMATION, BASED UPON THEIR PERSONAL KNOWLEDGE AND DATE PROVIDED TO THEM, AS TO WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT SATISFIES THE REQUIREMENTS SET FORTH IN SUBSECTION 4 OF THE CONFLICT OF INTEREST POLICY. IF THEY DO NOT BELIEVE THAT THEY POSSESS SUCH SUFFICIENT INFORMATION, REASONABLE STEPS SHALL BE TAKEN BY THE CHAIR OF DISINTERESTED TRUSTEES APPOINTED BY THE CHAIR TO OBTAIN COMPARABLE INFORMATION WITH RESPSECT TO THE TRANSACTION OR ARRANGEMENT SUCH AS APPRAISALS, VALUATIONS, COMPETING OFFERS OR BIDS, COMPENSATION SURVEYS, REPORTS OF EXPERTS AND SIMILAR DATA. WHEN SETTING COMPENSATION FOR A DISQUALIFIED PERSON, INCLUDING WITHOUT LIMITATION A TRUSTEE OR OFFICER, THE CORPORATION SHALL OBTAIN COMPARABLE INFORMATION AND EXCLUDE FROM THE DECISION MAKING BODY THE APPLICABLE DISQUALIFIED PERSON AND ANY PERSONS HE/SHE SUPERVISES. THE BOARD OR COMMITTEE CONSIDERING A TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST MAY APPROVE SUCH TRANSACTION OR ARRANGEMENT ONLY AFTER DETERMINING BY MAJORITY VOTE OF THE DISINTERESTED MEMBERS OF THE BOARD OR COMMITTEE (A) THAT THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, (B) THAT IT IS FAIR AND REASONABLE TO THE CORPORATION, AND (C) AFTER EXERCISING DUE DILIGENCE, THE CORPORATION WOULD NOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES.
FORM 990, PART VI, SECTION B, LINE 15
POLICY FOR DETERMINING COMPENSATION: CEO/PRESIDENT: THE BOARD OF TRUSTEES FOR THE JEWISH HEALTHCARE FOUNDATION PERIODICALLY ENGAGES A COMPENSATION CONSULTANT TO REVIEW THE PRESIDENT'S OVERALL COMPENSATION STRUCTURE. SUGGESTIONS FROM THIS REVIEW ARE AGGREGATED WITH BENCHMARKING RESEARCH CONDUCTED BY THE FOUNDATION'S COMPENSATION COMMITTEE. FINANCIAL CONSIDERATIONS ARE MATCHED AGAINST PERFORMANCE RELATED TO PRIORITY GOALS AGREED UPON ANNUALLY BY THE PRESIDENT AND THE EXECUTIVE COMMITTEE OF THE BOARD. FINAL COMPENSATION IS RECOMMENDED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD AS A PART OF THE ANNUAL BUDGET. OTHER EMPLOYEES: THE ORGANIZATION HAS A FORMAL SALARY RANGE FOR EACH SET OF POSITIONS WHICH IS UPDATED EACH YEAR TO ACCOUNT FOR COST OF LIVING INCREASES. TO DETERMINE ANNUAL COMPENSATION, THE PRESIDENT/CEO AND THE CFO REVIEW INFORMATION FROM THE ORGANIZATION'S FORMAL PERFORMANCE EVALUATION PROCESS ALONG WITH COMPARABILITY DATA, SUCH AS WRITTEN JOB DESCRIPTIONS FOR SIMILAR POSITIONS AND IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS. RECOMMENDATIONS FOR ANNUAL COMPENSATION ARE BROUGHT TO THE COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD AS PART OF THE ANNUAL BUDGET. COMPARABILITY DATA. WHEN THE APPROVAL BODY IS CONSIDERING COMPENSATION TO BE PAID TO COVERED INDIVIDUALS, IT MUST RELY ON COMPARABILITY DATA THAT DEMONSTRATE THE FAIR MARKET VALUE OF THE COMPENSATION IN QUESTION. FOR EXAMPLE, WHEN CRAFTING COMPENSATION PACKAGES, THE APPROVAL BODY MUST SECURE DATA DOCUMENTING COMPENSATION LEVELS FOR SIMILARLY QUALIFIED INDIVIDUALS IN LIKE POSITIONS AT LIKE ORGANIZATIONS. THIS DATA MAY INCLUDE THE FOLLOWING: A) EXPERT COMPENSATION STUDIES BY INDEPENDENT FIRMS; B) WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATIONS; C) DOCUMENTED TELEPHONE CALLS ABOUT SIMILAR POSITIONS AT BOTH NONPROFIT AND FORPROFIT ORGANIZATIONS; AND D) INFORMATION OBTAINED FROM THE IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.