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
PHOENIX CHILDREN'S HOSPITAL FOUNDATION
Employer identification number
74-2421549
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.") ....
21,232,815
16,008,357
17,484,191
16,821,148
17,654,732
89,201,243
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..
21,232,815
16,008,357
17,484,191
16,821,148
17,654,732
89,201,243
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)..
6,803,571
6
Public Support. Subtract line 5 from line 4.
82,397,672
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..
21,232,815
16,008,357
17,484,191
16,821,148
17,654,732
89,201,243
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
2,787,850
4,007,398
1,890,455
1,135,177
981,973
10,802,853
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).
100,004,096
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
6,228,935
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
82.394 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
83.672 %
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
PHOENIX CHILDREN'S HOSPITAL FOUNDATION
Employer identification number
74-2421549
Identifier
Return Reference
Explanation
VOLUNTEERS
FORM 990, PART I, LINE 6
VOLUNTEERS MAKE A DIFFERENCE FOR PATIENTS AND FAMILIES AT PHOENIX CHILDREN'S HOSPITAL (PCH) EVERY DAY BY GIVING THE GIFT OF TIME. THE VOLUNTEERS EACH HAVE SOMETHING UNIQUE TO OFFER AND COME FROM ALL BACKGROUNDS AND WALKS OF LIFE. VOLUNTEERS ARE AN IMPORTANT PART OF PCH'S TEAM THAT PROVIDES THE BEST HOPE, HEALING AND CARE TO CHILDREN AND FAMILIES. EACH WEEK, OVER 400 VOLUNTEERS DONATE THREE TO FOUR HOURS OF SERVICE IN OVER 30 AREAS OF THE HOSPITAL. ADDITIONALLY, PHOENIX CHILDREN'S HOSPITAL FOUNDATION HOLDS SPECIAL FUNDRAISING EVENTS WHERE VOLUNTEERS ARE HEAVILY RELIED UPON TO PROVIDE ENJOYABLE ACTIVITIES FOR THE EVENT PARTICIPANTS. PCH VOLUNTEERS PLEDGE A MINIMUM OF 100 HOURS AND MUST BE AT LEAST 16 YEARS OF AGE. VOLUNTEERS GO THROUGH THE SAME SCREENING AND ORIENTATION PROCESS AS EMPLOYEES IN TERMS OF APPLICATION, BACKGROUND CHECK, GENERAL HOSPITAL ORIENTATION, HIPAA, CONFIDENTIALITY TRAINING, EXTENSIVE HANDS-ON TRAINING AND ADDITIONAL TRAINING AS NECESSARY FOR DIFFERENT POSITIONS.
ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES
FORM 990, PART III, LINE 1
PHOENIX CHILDREN'S HOSPITAL FOUNDATION SUPPORTS PHOENIX CHILDREN'S HOSPITAL THROUGH FUNDRAISING ENSURING THAT THE HOSPITAL CONTINUES TO STAY ON THE LEADING EDGE OF PEDIATRIC MEDICINE AND IS EQUIPPED TO FULFILL ITS MISSION OF DELIVERING HOPE, HEALING AND THE BEST CARE FOR CHILDREN AND FAMILIES.
PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990 PART III, LINE 4
PHOENIX CHILDREN'S HOSPITAL FOUNDATION (THE FOUNDATION) WAS ESTABLISHED TO SOLICIT GIFTS AND GRANTS, MANAGE FUNDRAISING, AND PROVIDE OTHER PHILANTHROPIC SUPPORT FOR PHOENIX CHILDREN'S HOSPITAL (PCH), WHICH IS THE SOLE STATUTORY MEMBER OF THE FOUNDATION. PCH IS ARIZONA'S ONLY LICENSED CHILDREN'S HOSPITAL PROVIDING CARE IN MORE THAN 35 PEDIATRIC SPECIALTIES TO THE STATE'S PEDIATRIC PATIENTS. SIX CENTERS OF EXCELLENCE OFFER INTERDISCIPLINARY CARE INCLUDING THE CENTER FOR CANCER AND BLOOD DISORDERS, THE CHILDREN'S HEART CENTER, THE CHILDREN'S NEUROSCIENCES INSTITUTE, THE CENTER FOR PEDIATRIC ORTHOPEDICS, TRAUMA AND THE NEWBORN INTENSIVE CARE UNIT (NICU). THE HOSPITAL EMPLOYS OVER 190 PHYSICIANS, HAS A PROVIDER STAFF OF 862 AND IS ONE OF THE TEN LARGEST FREESTANDING CHILDREN'S HOSPITALS IN THE UNITED STATES BASED ON THE NUMBER OF BEDS. AS OF DECEMBER 31, 2010, PCH IS CURRENTLY LICENSED FOR 345 BEDS; 235 OF THESE BEDS ARE ON ITS MAIN CAMPUS (THOMAS STREET), LOCATED ON 23 ACRES NEAR DOWNTOWN PHOENIX, ARIZONA. IN ADDITION, PCH OPERATES A SECOND, 110-LICENSED-BED NICU IN PHOENIX ON THE CAMPUS OF BANNER GOOD SAMARITAN REGIONAL MEDICAL CENTER IN CLOSE COLLABORATION WITH A HIGH-RISK OBSTETRICS PROGRAM, CARING FOR BABIES OF HIGH-RISK PREGNANCIES, INCLUDING THOSE BORN PREMATURELY, THOSE BORN WITH CONGENITAL ANOMALIES, AND MULTIPLE BIRTHS. IN JULY 2009, PCH OPENED A FREESTANDING SPECIALTY AND URGENT CARE CENTER IN GLENDALE, ARIZONA. THIS 6,100 SQUARE-FOOT CLINIC OFFERS COMPREHENSIVE SPECIALTY AND ADVANCED PEDIATRIC URGENT CARE. TWO ADDITIONAL SATELLITE OFFICES ARE LOCATED IN THE SUBURBAN COMMUNITIES OF SCOTTSDALE, ARIZONA, AND MESA, ARIZONA, ON MEDICAL CAMPUSES IN THOSE CITIES. IN MARCH 2010, PCH ANNOUNCED ITS PURSUIT OF A LANDMARK ALLIANCE WITH CHW/ST. JOSEPH'SHOSPITAL AND MEDICAL CENTER TO TRANSFER A SUBSTANTIAL PORTION OF ST. JOSEPH'S PEDIATRIC SERVICES TO PHOENIX CHILDREN'S HOSPITAL AND TO UNITE THE TWO INSTITUTIONS' PEDIATRIC MEDICAL STAFFS, NURSES AND ALLIED HEALTH STAFFS ON THE PHOENIX CHILDREN'S CAMPUS. YET ANOTHER TANGIBLE EXAMPLE OF THE HOSPITAL'S 100% COMMITMENT TO CHILDREN, THE INTEGRATION OF THESE TWO PROGRAMS ELEVATES THE QUALITY OF PEDIATRIC CARE IN THE STATE OF ARIZONA BY CENTRALIZING THE GREATEST DEPTH AND BREADTH OF PEDIATRIC SERVICES IN THE SOUTHWEST AND UNDERSCORES THE HOSPITAL'S COMMITMENT TO CHILDREN. PCH IS UNDERGOING A $588 MILLION MULTI-YEAR EXPANSION OF ITS MAIN CAMPUS THAT BROKE GROUND IN 2008. THE EXPANSION PLAN INCLUDES MAJOR FACILITY UPGRADES, A NEW 11-STORY PATIENT BED TOWER INCLUDING EXPANSION OF OUTPATIENT CLINIC SPACE, STAFF ADDITIONS AND DEVELOPMENT OF FREESTANDING SATELLITE CENTERS LOCATED IN HIGH-GROWTH AREAS OF METROPOLITAN PHOENIX. CAPACITY IS EXPECTED TO INCREASE TO 632 LICENSED BEDS. THE EXPANSION PLAN IS EXPECTED TO BE COMPLETED IN 2011, WITH THE NEW PATIENT BED TOWER EXPECTED TO BE COMPLETED IN MID-2011. EXECUTIVE SUMMARY PHOENIX CHILDREN'S HOSPITAL DELIVERS ON ITS MISSION TO PROVIDE HOPE, HEALING, AND THE BEST CARE FOR CHILDREN AND FAMILIES BY PROVIDING ACCESS TO THE MOST ADVANCED SPECIALTY AND SUBSPECIALTY PEDIATRIC CARE IN ARIZONA. PHOENIX CHILDREN'S EXTENDS THIS MISSION BEYOND OUR PATIENT POPULATION BY DELIVERING DIRECT FUNDING, PROGRAM SUPPORT, HEALTHCARE EXPERTISE, AND OTHER RESOURCES TO THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY AND TO THE COMMUNITY AT LARGE. PHOENIX CHILDREN'S IS ARIZONA'S ONLY LICENSED, FREE-STANDING CHILDREN'S HOSPITAL AND THUS SERVES THE ENTIRE STATE AND BEYOND. AS SUCH, PHOENIX CHILDREN'S IS THE SINGLE LARGEST PROVIDER OF PEDIATRIC SERVICES TO LOW-INCOME CHILDREN IN ARIZONA. COMMUNITY NEEDS ARE DETERMINED VIA AN ASSESSMENT OF MULTIPLE STAKEHOLDERS, STATE AND FEDERAL GOVERNMENT REPORTS, AND PATIENT DATA. PRIORITIES AND PROGRAMS ARE DEVELOPED TO SERVE THESE DEMONSTRATED NEEDS, WITH A SPECIAL FOCUS ON POPULATIONS THAT ARE KNOWN TO HAVE DIFFICULTY ACCESSING CARE AND PROGRAMS THAT IMPROVE OVERALL PEDIATRIC HEALTH AND SAFETY. THROUGH SEVERAL COMMUNITY-BASED INITIATIVES, PHOENIX CHILDREN'S HOSPITAL CONTINUES TO SERVE CHILDREN AND FAMILIES IN ARIZONA BY OFFERING CREATIVE SOLUTIONS TO SOME OF THE STATE'S MOST SIGNIFICANT HEALTH PROBLEMS INCLUDING: CHARITY CARE BECAUSE NO CHILD IS DENIED NEEDED CARE DUE TO AN INABILITY TO PAY, FREE OR DISCOUNTED CARE WAS ADMINISTERED TO UNINSURED OR UNDERINSURED PATIENTS. GOVERNMENT SPONSORED HEALTHCARE THE HOSPITAL ALSO DELIVERS HEALTHCARE TO INDIGENT PATIENTS. GOVERNMENT SPONSORED HEALTHCARE COVERAGE REIMBURSES ONLY A PORTION OF THE COSTS OF THIS CARE. THE UNREIMBURSED PORTION IS A COMMUNITY BENEFIT DELIVERED BY THE HOSPITAL. COMMUNITY OUTREACH PROGRAMS PHOENIX CHILDREN'S HOSPITAL HAS DEVELOPED SIGNATURE COMMUNITY OUTREACH PROGRAMS THAT SERVE SPECIFIC POPULATIONS WITH SERIOUS HEALTHCARE NEEDS AND LIMITED ACCESS TO CARE. ONE EXAMPLE IS THE CREWS'N HEALTHMOBILE MOBILE MEDICAL VAN THAT SERVES HOMELESS YOUTH. IN ADDITION, THE HOSPITAL HAS IDENTIFIED THREE MAJOR AREAS OF FOCUS FOR COMMUNITY OUTREACH AND EDUCATION: INJURY PREVENTION, HEALTHY CHILDREN AND FAMILIES, AND CHILD ABUSE PREVENTION. THE HOSPITAL SPONSORS AND ADMINISTERS MULTIPLE PROGRAMS IN THESE THREE CATEGORIES. SUBSIDIZED PROGRAMS PHOENIX CHILDREN'S SUBSIDIZES CERTAIN MEDICAL PROGRAMS WHERE WE ARE UNIQUELY QUALIFIED TO PROVIDE THE CARE OR WHERE PATIENTS HAVE LIMITED ACCESS TO CARE. EXAMPLES INCLUDE THE BILL HOLT HIV/AIDS CLINIC AND THE EARLY CHILDHOOD DEVELOPMENT PROGRAM. EDUCATION CONTINUING EDUCATION FOR TODAY'S PHYSICIANS AND NURSES, AS WELL AS EDUCATING THE NEXT GENERATION OF HEALTHCARE PROVIDERS, IS A PRIME FOCUS FOR PHOENIX CHILDREN'S. CONTINUING MEDICAL EDUCATION PROGRAMS INCLUDE RESIDENCY AND FELLOWSHIP TRAINING, A SERIES OF CLINICAL EDUCATION PROGRAMS, AND THE HOSPITAL'S PREMIER PROGRAM -- GAPP, WHICH PROVIDES SPECIALIZED TRAINING TO NURSES WHO ARE NEW TO PEDIATRICS. RESEARCH PHOENIX CHILDREN'S CLINICIANS ACTIVELY CONDUCT RESEARCH STUDIES TO ADVANCE MEDICAL KNOWLEDGE. THE INSTITUTIONAL REVIEW BOARD PROVIDES INSTITUTIONAL INFRASTRUCTURE TO SUPPORT RESEARCH EFFORTS AT PHOENIX CHILDREN'S, AS WELL AS IN COLLABORATION WITH OTHER INSTITUTIONS SUCH AS MAYO CLINIC, UNIVERSITY OF ARIZONA SCHOOL OF MEDICINE, AND TRANSLATIONAL GENOMICS RESEARCH INSTITUTE. ADVOCACY PHOENIX CHILDREN'S IS A POWERFUL ADVOCATE FOR CHILDREN ON THE NATIONAL, STATE, AND LOCAL STAGES. HOSPITAL LEADERSHIP AND MANY PHYSICIANS SERVE ON BOARDS, COMMISSIONS, AND COMMITTEES AND USE THEIR EXPERTISE TO THE BENEFIT OF OUR COMMUNITY AT LARGE. COMMUNITY BENEFIT OPERATIONS PHOENIX CHILDREN'S UNDERWRITES THE ADMINISTRATIVE COSTS OF MANAGING COMMUNITY BENEFIT PROGRAMS AND CONTRIBUTES TIME, MEETING SPACE, AND OTHER RESOURCES THAT ENHANCE THE ABILITY OF OUR COMMUNITY'S MOST EFFECTIVE COMMUNITY SERVICE PROGRAMS TO MEET HUMAN NEEDS. CHARITY CARE POLICY THE HOSPITAL'S CHARITY CARE POLICY WAS ESTABLISHED IN ORDER TO IDENTIFY AND ASSIST PATIENTS WHO LACK THE FINANCIAL RESOURCES TO MEET ALL OR PART OF THEIR FINANCIAL LIABILITY FOR SERVICES RENDERED AND TO DETERMINE THEIR ELIGIBILITY FOR PHOENIX CHILDREN'S HOSPITAL-BASED FINANCIAL ASSISTANCE.
DESCRIPTION OF MANAGEMENT ARRANGEMENT
FORM 990, PART VI, LINE 3
PHOENIX CHILDREN'S HOSPITAL FOUNDATION DELEGATES MANY OF THE ADMINISTRATIVE FUNCTIONS REQUIRED TO MANAGE THE ORGANIZATION TO ITS RELATED ORGANIZATION, PHOENIX CHILDREN'S HOSPITAL. THESE FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO, ACCOUNTING AND PAYROLL SERVICES, PURCHASING, INFORMATION TECHNOLOGY AND STRATEGIC PLANNING. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE STATUTORY MEMBER OF PHOENIX CHILDREN'S HOSPITAL FOUNDATION IS PHOENIX CHILDREN'S HOSPITAL (PCH). CLASSES OF MEMBERS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINES 7A AND 7B PCH, AS THE STATUTORY MEMBER OF THE FOUNDATION, HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE FOUNDATION. PCH ALSO HAS THE FOLLOWING RESERVE POWERS: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE FOUNDATION, (B) ADOPTION OF THE OPERATING AND CAPITAL BUDGETS OF THE FOUNDATION, (C) UNBUDGETED EXPENDITURES IN AN AMOUNT IN EXCESS OF $10,000, (D) UNDERTAKING A LOAN OR OTHER OBLIGATION IN AN AMOUNT IN EXCESS OF $10,000, (E) SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, GRANT OR OTHER DISPOSITION OF ASSETS OF THE FOUNDATION, OTHER THAN IN THE NORMAL COURSE OF THE FOUNDATION'S INVESTMENT ACTIVITIES, (F) ADOPTION OF A PLAN OF MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER CORPORATION, (G) ELECTION TO DISSOLVE AND WIND UP THE AFFAIRS OF THE FOUNDATION OR REVOCATION OF ANY SUCH ACTION, (H) ADOPTION OF A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE FOUNDATION.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990
FORM 990, PART VI, LINE 11
THE 990 WAS REVIEWED BY KEY FINANCIAL STAFF OF PHOENIX CHILDRENS HOSPITAL, THE SOLE MEMBER. THE RETURN, IN ITS FINAL FORM, WAS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW.
PROCESS USED TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST
FORM 990, PART VI, LINE 12C
PCH AND ITS AFFILIATE ORGANIZATIONS REQUIRES EACH OF ITS DIRECTORS, OFFICERS AND VICE PRESIDENTS TO COMPLETE AN ANNUAL DISCLOSURE FORM, IDENTIFYING REAL OR POTENTIAL CONFLICTS, SUCH AS FINANCIAL RELATIONSHIPS OR INTERESTS, FAMILY OR BUSINESS ASSOCIATIONS OR EMPLOYEE RELATIONSHIPS WITH PCH AND/OR ITS DIRECTORS AND KEY EMPLOYEES. THE CEO REPORTS A SUMMARY OF THE QUESTIONNAIRES TO THE BOARD OF DIRECTORS AT A REGULAR BOARD MEETING. IF SITUATIONS ARE DISCLOSED THAT PRESENT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST, THE CEO DISCLOSES IT TO THE BOARD AS A WHOLE AND CONFERS WITH THE INDIVIDUAL CREATING THE RESPONSE TO IDENTIFY WHAT, IF ANY, STEPS ARE NECESSARY TO ELIMINATE OR AVOID A CONFLICT, INCLUDING RECLUSION ON A VOTE OR OTHER APPROPRIATE ACTION. THE CHAIR OF THE BOARD AND THE CEO THEN RETAIN ONGOING RESPONSIBILITY TO MONITOR FUTURE ACTIONS OF THE COMPANY AND SPECIFICALLY THE BOARD TO AVOID OR ELIMINATE FUTURE CONFLICTS AS CIRCUMSTANCES ARISE.
PROCESS USED TO DETERMINE COMPENSATION OF CEO AND OTHER OFFICERS
FORM 990, PART VI, LINES 15A AND 15B
THIS ENTITY DOES NOT HAVE ANY DIRECT EMPLOYEES. ALL PAYROLL IS CENTRALIZED THROUGH A RELATED EXEMPT ORGANIZATION, PHOENIX CHILDREN'S HOSPITAL (PCH) (EIN: 86-0422559). SALARY EXPENSE REPORTED ON FORM 990, PART IX, LINES 5 AND 7 REPRESENTS AN ALLOCATION OF SALARIES AND WAGES PAID BY PCH. FORM 941 REPORTING THESE SALARIES AND WAGES IS FILED UNDER THE PCH EIN. TOP MANAGEMENT COMPENSATION IS SUBJECT TO REVIEW AND DETERMINATION BY THE COMPENSATION COMMITTEE OF THE RELATED EXEMPT ORGANIZATION, PHOENIX CHILDREN'S HOSPITAL (PCH). PCH USES THE FOLLOWING PROCEDURES TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S TOP MANAGEMENT OFFICIAL: PHOENIX CHILDREN'S HOSPITAL USES THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTING FIRM TO MAKE MARKET COMPARISONS OF COMPENSATION, INCLUDING BOTH BASE SALARY AND INCENTIVE PROGRAMS. THESE PLANS ARE REVIEWED WITH AND ULTIMATELY APPROVED BY THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE. AFTER COMPLETION OF THE YEAR END AUDIT, THE COMPENSATION COMMITTEE MEETS TO EVALUATE PERFORMANCE OF THE CEO AND KEY EXECUTIVES AND TO APPROVE THE RECOMMENDATION OF THE VP OF HUMAN RESOURCES AND THE CEO, BASED ON THE CRITERIA IN THE PREVIOUSLY APPROVED PLAN. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE BOARD MINUTES. THIS PROCESS WAS LAST COMPLETED IN 2011. OTHER EMPLOYEES ARE SUBJECT TO THE HUMAN RESOURCE POLICIES, INCLUDING COMPENSATION ARRANGEMENTS, OF PCH.
AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND
FINANCIAL STATEMENTS TO THE GENERAL PUBLIC
FORM 990, PART VI, LINE 19 DISCLOSURE OF SUCH DOCUMENTS AND POLICIES ARE NOT REQUIRED, BUT WILL BE MADE AVAILABLE UPON REASONABLE REQUEST.
HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART VII
ROBERT MEYER IS COMPENSATED BY AND DEVOTES 40 HOURS PER WEEK TO PHOENIX CHILDREN'S HOSPITAL (PCH), A RELATED TAX-EXEMPT ORGANIZATION. STEVEN SCHNALL IS COMPENSATED BY A RELATED ORGANIZATION BUT DEVOTED 40 HOURS PER WEEK TO PHOENIX CHILDREN'S HOSPITAL FOUNDATION, AND NONE TO PCH. RICHARD KUHLE IS DEVOTES 1 HOUR PER WEEK TO PHOENIX CHILDREN'S HOSPITAL (PCH), A RELATED TAX-EXEMPT ORGANIZATION. THE HIGHEST COMPENSATED EMPLOYEES OF THE FOUNDATION ARE COMPENSATED BY PCH. THEY DEVOTE NO HOURS PER WEEK TO PCH.
RECONCILIATION OF NET ASSETS
FORM 990, PART XI, LINE 5
UNREALIZED GAINS $ 4,611,815 CHANGE IN VALUE - CHARITABLE REMAINDER TRUST $ 268,555 ----------- TOTAL OTHER CHANGES IN NET ASSETS $ 4,880,370 ===========
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.