Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
CATHOLIC HEALTH INITIATIVES |
470617373 | 9 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 13000248 |
| Software Version: | 2013v3.1 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE DESCRIPTION | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION WAS INCORPORATED AS A 501(C)(3), TAX-EXEMPT CHARITABLE FOUNDATION IN 2009 TO SERVE AS A SUPPORT STRUCTURE FOR CHI'S MARKET-BASED ORGANIZATION (MBO) FOUNDATIONS. CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION IS A NATIONAL OPERATIONS OFFICE PROVIDING ADMINISTRATIVE SUPPORT COUPLED WITH A SMALL GROUP OF STRATEGICALLY-PLACED OUTREACH STAFF THAT PROVIDES TRAINING AND MENTORING FOR INDIVIDUAL DEVELOPMENT OFFICES ACROSS COMMUNITIES SERVED BY CHI FACILITIES. CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION COLLABORATES LOCALLY WITH MARKET-BASED FOUNDATIONS TO SHARE LEADING PRACTICES AND MATERIALS, AND CULTIVATE FUNDRAISING EFFORTS WITH STRATEGIES FOCUSED ON PLANNED GIVING AND MAJOR GIFTS. THE GRANT SERVICES TEAM PROVIDES OPPORTUNITIES TO SEEK NATIONAL FOUNDATION AND GOVERNMENT GRANTS, WHILE THE SUPPORT SERVICES TEAM OFFERS STREAMLINED BACK OFFICE FUNCTIONS. CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION RAISES FUNDS AND SOLICITS GRANTS TO PROVIDE FINANCIAL AND OTHER AID, ASSISTANCE, CONSULTATION, GUIDANCE AND ADMINISTRATIVE SUPPORT TO THE LOCAL CHI MBO FOUNDATIONS AND THE FACILITIES THEY SERVICE. THE CHI FOUNDATION WORKS WITH LOCAL FOUNDATIONS TO IMPROVE RESULTS TO BENEFIT THE LOCAL COMMUNITIES AND TO INCREASE AND ENCOURAGE PHILANTHROPY ACROSS CHI. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION HAS A CURRENT STAFF OF 51 AND 7-MEMBER BOARD OF DIRECTORS THAT SERVE 49 CHI COMMUNITIES REPRESENTING OVER 70 FOUNDATIONS. THE LOCAL FOUNDATION BOARD AND MBO CEO ARE ACCOUNTABLE FOR ACHIEVING FUNDRAISING RESULTS IN THE LOCAL COMMUNITY AND THE LOCAL FOUNDATION BOARD DETERMINES HOW THE LOCALLY-RAISED FUNDS ARE TO BE USED. THE LOCAL FOUNDATION LEADER REPORTS TO THE CHI REGIONAL FOUNDATION VICE PRESIDENT AND TO THE LOCAL MBO CEO. THE REGIONAL FOUNDATION VICE PRESIDENT IDENTIFIES AND SHARES LEADING PHILANTHROPY PRACTICES WITHIN CHI AND THROUGHOUT THE COUNTRY. HE OR SHE PARTNERS WITH LOCAL FOUNDATIONS TO SEEK NEW FUNDING OPPORTUNITIES, EXPLORE REDUCTIONS OF EXPENSES THROUGH ECONOMIES OF SCALE, SHARED RESOURCES AND ASSISTANCE WITH DEVELOPING A SPIRIT OF GIVING WITHIN THE COMMUNITIES THAT CHI SERVES. |
| Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee | PURSUANT TO SECTION 8.5 OF THE BYLAWS OF CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF TWO YEARS OR UNTIL THE EXPIRATION OF HIS OR HER TERM AS A DIRECTOR OR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.5 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. |
| Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE CHINF * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE CHINF * APPROVE MEMBERS OF THE CHINF BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE CHINF * APPROVAL OF ISSUANCE OF DEBT BY CHINF * APPROVAL OF PARTICIPATION OF CHINF IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY CHINF * APPROVAL OF A MERGER INVOLVING CHINF * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHINF * TO REQUIRE THE TRANSFER OF ASSETS BY THE CHINF TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHINF IN ADDITION, PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | THE DIRECTOR OF FINANCE IS RESPONSIBLE FOR REVIEWING THE FINAL TAX RETURN PREPARED BY THE CHI TAX DEPARTMENT. ANY QUESTIONS OR DISCREPANCIES ARE RESOLVED PRIOR TO FILING THE RETURN. SUBSEQUENT TO PROVIDING THE RETURN TO THE DIRECTOR OF FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE DIRECTOR OF FINANCE. |
| Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy | THE BOARD OF DIRECTORS OF CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION HAS AUTHORIZED THE USE OF THE CATHOLIC HEALTH INITIATIVES CONFLICT OF INTEREST POLICY FOR ALL OF THE BOARD OF DIRECTORS, CHI FOUNDATION STAFF, AND ANY OTHER PARTIES AS NECESSARY TO DO BUSINESS FOR THE CHI FOUNDATION. THE CONFLICT OF INTEREST POLICY OF CATHOLIC HEALTH INITIATIVES IS AS FOLLOWS: * EACH OF CHI'S EMPLOYEES ACTS AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CHI'S MISSION AND VALUES-BASED SERVICE TO THE COMMUNITY AND UNDERSTANDS THAT HE OR SHE CANNOT ACT IN A MANNER THAT PLACES THE EMPLOYEE'S PRIVATE INTERESTS OVER THE INTERESTS OF CHI'S SERVICE TO THE COMMUNITY. * EACH OF CHI'S EMPLOYEES AVOIDS ANY CONFLICT OF INTEREST AND REPORTS TO CHI LEADERS ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST. IF A CONFLICT CANNOT BE AVOIDED, THE CONFLICT WILL BE MANAGED IN THE BEST INTERESTS OF CHI. THIS POLICY COVERS ALL EMPLOYEES, INCLUDING EMPLOYED OFFICERS AND HEALTH PRACTITIONERS. THIS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST THAT APPLY TO NONPROFIT CORPORATIONS. GOVERNANCE POLICY NO. I PREVIOUSLY COVERED OFFICERS' CONDUCT WITH RESPECT TO ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. BECAUSE THIS POLICY NOW COVERS SUCH CONDUCT, GOVERNANCE POLICY NO. 1 APPLIES ONLY TO STEWARDSHIP TRUSTEES' CONDUCT WITH RESPECT TO ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. IF AN INDIVIDUAL IS A CHI EMPLOYEE AND A STEWARDSHIP TRUSTEE, THE INDIVIDUAL IS EXPECTED TO COMPLY WITH THIS POLICY AND GOVERNANCE POLICY NO.1, AS APPROPRIATE TO THE INDIVIDUAL'S RESPECTIVE ROLES. SIMILARLY, IF AN INDIVIDUAL IS A CHI EMPLOYEE AND A BOARD MEMBER OF A CHI AFFILIATE AND THE CHI AFFILIATE HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO THE AFFILIATE'S BOARD MEMBERS, THE INDIVIDUAL IS EXPECTED TO COMPLY WITH THIS POLICY AND THE AFFILIATE'S CONFLICT OF INTEREST POLICY APPLICABLE TO BOARD MEMBERS, AS APPROPRIATE TO THE INDIVIDUAL'S RESPECTIVE ROLES. PURPOSE: THE PURPOSE OF THIS POLICY IS TO PROTECT THE INTERESTS OF CHI IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN THE PERSONAL INTERESTS OF AN EMPLOYEE AND THOSE OF CHI. IN GENERAL, A CONFLICT OF INTEREST EXISTS WHEN THE PERSONAL INTERESTS OF AN EMPLOYEE MAY AFFECT THE ABILITY OF THE EMPLOYEE TO ACT IN THE BEST INTEREST OF, AND IN GOOD FAITH WITH LOYALTY TO CHI. A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE EMPLOYEE'S DECISIONS, ACTIONS OR ACTIVITIES ON BEHALF OF CHI ALSO INVOLVE: * OBTAINING A DIRECT OR INDIRECT PERSONAL GAIN OR ADVANTAGE WHETHER IN THE FORM OF COMPENSATION, CASH GIFTS OR OTHER ITEMS OF VALUE, WHICH ARE DESCRIBED BELOW; OR * CREATING AN ADVERSE OR POTENTIALLY ADVERSE EFFECT ON CHI'S INTERESTS. ALTHOUGH IT IS IMPOSSIBLE TO LIST EVERY CIRCUMSTANCE GIVING RISE TO A CONFLICT OF INTEREST, THE FOLLOWING SITUATIONS ARE TO SERVE AS A GUIDE TO THE POSSIBLE TYPES OF ACTIVITIES THAT MIGHT PRESENT POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. THESE SHOULD BE FULLY AND PROMPTLY REPORTED AS PROVIDED BELOW: RELATIONSHIPS WITH VENDORS, COMPETITORS OR OTHER OUTSIDE INTEREST HOLDERS: THE PERSONAL INTERESTS OF A CHI EMPLOYEE MAY CONFLICT WITH THE INTERESTS OF CHI IF THE EMPLOYEE OR AN IMMEDIATE FAMILY MEMBER, BY BLOOD OR MARRIAGE, IS A PERSON WHO DOES BUSINESS WITH, SEEKS TO DO BUSINESS WITH OR IS IN COMPETITION WITH CHI OR ANY OF ITS AFFILIATES. CONFLICTS MAY RESULT WHEN THE EMPLOYEE (OR AN IMMEDIATE FAMILY MEMBER): * IS A PARTY TO AN ARRANGEMENT WITH CHI OR ANY OF ITS AFFILIATES FOR THE PURCHASE OR SUPPLY OF GOODS OR SERVICES (INCLUDING CONSULTING AND PROFESSIONAL SERVICES), THE LEASE OF PROPERTY OR EQUIPMENT, OR THE PURCHASE OR SALE OF REAL PROPERTY, INVESTMENT SECURITIES OR OTHER PROPERTY; * SERVES AS AN OFFICER, DIRECTOR, MANAGER, EMPLOYEE OR CONSULTANT OF OR RECEIVES COMPENSATION OR REMUNERATION FROM AN INDIVIDUAL OR ENTITY THAT COMPETES WITH OR IS ENGAGED IN A TRANSACTION WITH CHI OR ANY OF ITS AFFILIATES; OR * HOLDS A MATERIAL FINANCIAL INTEREST WITH AN INDIVIDUAL OR ENTITY OR A CREDITOR OF AN INDIVIDUAL OR ENTITY THAT COMPETES WITH OR IS ENGAGED IN A TRANSACTION (OF THE TYPES NOTED ABOVE) WITH CHI OR ANY OF ITS AFFILIATES. DIVERSION OF CORPORATE OPPORTUNITY: IT MAY BE A CONFLICT OF INTEREST WHEN A CHI EMPLOYEE FAILS TO INFORM CHI OF A CORPORATE OPPORTUNITY AND INSTEAD DIVERTS IT TO HIMSELF OR HERSELF (OR AN IMMEDIATE FAMILY MEMBER) TO THE DETRIMENT OF CHI. SEE CONTINUATION #1 |
| FORM 990, PART VI, LINE 12C, CONFLICT OF INTEREST POLICY | CONTINUATION #1 DISCLOSURE OF CONFIDENTIAL OR INSIDE INFORMATION: IT IS A CONFLICT OF INTEREST FOR A CHI EMPLOYEE TO DISCLOSE NONPUBLIC, PRIVILEGED OR CONFIDENTIAL INFORMATION RELATING TO THE BUSINESS OF CHI OR ANY OF ITS AFFILIATES OR TO USE SUCH INFORMATION FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE EMPLOYEE, THE EMPLOYEE'S IMMEDIATE FAMILY MEMBERS OR ANY OTHER INDIVIDUAL OR ENTITY OF WHICH THE CHI EMPLOYEE IS AN OFFICER, DIRECTOR, MANAGER OR EMPLOYEE OR WITH WHICH THE CHI EMPLOYEE HAS A COMPENSATION ARRANGEMENT. ACCEPTANCE OF GIFTS, GRATUITIES AND ENTERTAINMENT: IT MAY BE A CONFLICT OF INTEREST FOR A CHI EMPLOYEE (OR AN IMMEDIATE FAMILY MEMBER) TO ACCEPT GIFTS (INCLUDING CASH OR CASH EQUIVALENTS), EXCESSIVE ENTERTAINMENT, UNSECURED LOANS, OR OTHER FAVORS FROM ANY OUTSIDE INDIVIDUAL OR ENTITY. THIS IS ESPECIALLY SO WHEN THE OUTSIDE INDIVIDUAL OR ENTITY DOES, OR IS SEEKING TO DO, BUSINESS WITH, OR IS A COMPETITOR OF, CHI OR ANY OF ITS AFFILIATES AND IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY INFLUENCE THE EMPLOYEE'S DECISIONS, ACTIONS OR ACTIVITIES. ITEMS OF NOMINAL OR MINOR VALUE THAT ARE CLEARLY TOKENS OF RESPECT OR FRIENDSHIP AND NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF CHI OR ANY OF ITS AFFILIATES ARE PERMISSIBLE. EACH CHI EMPLOYEE MUST PROMPTLY AND FULLY REPORT TO THE EMPLOYEE'S DIRECT MANAGER OR SUPERVISOR ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST. THE EMPLOYEE MUST REPORT THE ACTUAL OR POTENTIAL CONFLICT AS SOON AS THE EMPLOYEE BECOMES AWARE OF IT. IN ANY SITUATION WHERE THE EMPLOYEE MAY BE IN DOUBT, THE EMPLOYEE IS TO MAKE A FULL DISCLOSURE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION TO BE MADE. DISCLOSURE UPON INITIAL HIRING: AT THE TIME OF INITIAL HIRING, A CHI HUMAN RESOURCES ("HR") REPRESENTATIVE SHALL REVIEW THIS POLICY WITH THE EMPLOYEE AND HAVE THE EMPLOYEE COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COMPLETED AND SIGNED DISCLOSURE STATEMENT SHALL BE MAINTAINED IN THE EMPLOYEE'S HR FILE. ANNUAL DISCLOSURE: THE FOLLOWING PROVISION APPLIES TO AN EMPLOYEE WHO IS A DIRECTOR AND ABOVE OR A KEY EMPLOYEE. AT THE TIME OF THE EMPLOYEE'S ANNUAL EVALUATION, THE EMPLOYEE'S DIRECT MANAGER OR SUPERVISOR SHALL REVIEW THIS POLICY WITH THE EMPLOYEE. IF THERE ARE CHANGES TO THE EMPLOYEE'S PREVIOUSLY SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT, A NEW DISCLOSURE STATEMENT SHALL BE COMPLETED, SIGNED AND MAINTAINED IN THE EMPLOYEE'S HR FILE. IF THERE ARE NO CHANGES TO THE EMPLOYEE'S PREVIOUSLY SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT, THE MANAGER AND EMPLOYEE WILL NOTE THAT THERE IS NO CHANGE ON THE SPACE PROVIDED ON THE EMPLOYEE'S EVALUATION FORM. EMPLOYEES WHO ARE NOT DIRECTORS AND ABOVE OR KEY EMPLOYEES ARE SUBJECT TO THE GENERAL OBLIGATION ABOVE. REVIEW, EVALUATION AND DETERMINATION: ANY QUESTION ABOUT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHOULD FIRST BE PRESENTED BY THE EMPLOYEE TO THE EMPLOYEE'S DIRECT MANAGER OR SUPERVISOR FOR REVIEW AND DETERMINATION. IF THE EMPLOYEE DOES NOT IDENTIFY OR RECOGNIZE THE CONFLICT OR THE NEED TO REQUEST A REVIEW, THE MANAGER, WHO BECOMES AWARE OF A SITUATION THAT INVOLVES THE EMPLOYEE AND PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SHOULD MAKE A DETERMINATION AND ADVISE THE EMPLOYEE OF SAME. IF THE EMPLOYEE AND THE MANAGER DO NOT AGREE ABOUT THE APPLICABILITY OF THIS POLICY, OR IF THE EMPLOYEE SEEKS AN EXCEPTION OR EXEMPTION FROM THIS POLICY, THE MANAGER SHALL CONSULT WITH THE MANAGER'S VICE PRESIDENT (OR HIGHER IF THE MANAGER IS A VICE PRESIDENT) TO REACH A DETERMINATION. IF THE MATTER REMAINS UNRESOLVED, IT SHALL BE REFERRED TO THE CHI VICE PRESIDENT OF HUMAN RESOURCES AND THE CORPORATE RESPONSIBILITY OFFICER FOR DETERMINATION. IF THE CHI VICE PRESIDENT OF HUMAN RESOURCES AND THE CHI CORPORATE RESPONSIBILITY OFFICER ARE UNABLE TO REACH AGREEMENT, THE MATTER SHALL BE REFERRED TO THE CHI GENERAL COUNSEL, WHOSE DECISION SHALL BE FINAL. EACH DECISION MAKER MAY INVESTIGATE AND CONSIDER THE CIRCUMSTANCES SURROUNDING THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST, INCLUDING INTERVIEWING THE EMPLOYEE, AS THE DECISION MAKER DEEMS NECESSARY OR APPROPRIATE TO MAKE AN INFORMED DECISION. CONSIDERATIONS: AMONG THE FACTORS THAT SHOULD BE CONSIDERED IN DETERMINING WHETHER A CONFLICT EXISTS ARE THE NATURE AND MAGNITUDE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE DEGREE TO WHICH IT IS RELATED TO CHI'S BUSINESS, WHETHER THE INDIVIDUAL WITH THE CONFLICT IS THE ULTIMATE DECISION MAKER OR HOLDS SIGNIFICANT INFLUENCE OVER THE ULTIMATE DECISION MAKER (I.E., INDEPENDENCE OF THE DECISION MAKING PROCESS), THE UNIQUE NATURE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF OTHER VIABLE ALTERNATIVES AND THE QUALITY OF THOSE ALTERNATIVES, AND WHAT IS CUSTOMARY AND REASONABLE IN THE HEALTHCARE INDUSTRY. WRITING REQUIRED: ANY EMPLOYEE REQUEST FOR AN EXCEPTION OR EXEMPTION FROM THIS POLICY, AS WELL AS THE FINAL DECISION THEREON, SHALL BE IN WRITING. COPIES OF ALL SUCH DOCUMENTS SHALL HE MAINTAINED IN THE EMPLOYEE'S HR FILE. POLICY VIOLATIONS: IF AN EMPLOYEE FAILS TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POTENTIAL CONFLICT, OR FAILS TO ABIDE BY THE FINAL DECISION REGARDING THE CONFLICT AS REQUIRED BY THIS POLICY, THE EMPLOYEE MAY BE SUBJECT TO DISCIPLINARY ACTION, INCLUDING TERMINATION. |
| Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official | THE FOUNDATION USES PROCESSES ESTABLISHED BY CATHOLIC HEALTH INITIATIVES (CHI), ITS CORPORATE MEMBER. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. IN ADDITION, VARIOUS BOARD MEMBERS RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS. ANY COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. |
| Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees | SEE NARRATIVE FOR FORM 990, PART VI LINE 15A |
| Form 990, Part VI, Sec C, Line 19, Required documents available to the public | THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. |
| Software ID: | 13000248 |
| Software Version: | 2013v3.1 |