Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | THE FOUNDATION IS ONE OF THE LARGEST HEALTH FOUNDATIONS IN THE UNITED STATES, FUNDING OVER $80 MILLION ANNUALLY IN A FIVE-COUNTY AREA SURROUNDING AUSTIN, TEXAS INCLUDING BASTROP, CALDWELL, HAYS, TRAVIS, AND WILLIAMSON COUNTIES. THROUGH A UNIQUE PARTNERSHIP WITH THE PARTNERSHIP, THE FOUNDATION STRATEGICALLY REINVESTS PROCEEDS FROM THE HOSPITAL SYSTEM BACK INTO THE COMMUNITY, WITH THE GOAL OF ADVANCING HEALTH EQUITY AND IMPROVING THE HEALTH AND WELL-BEING OF THE FOUNDATION'S MOST UNDERSERVED CENTRAL TEXAS NEIGHBORS. THROUGH INVESTMENTS AND ACTION, THE FOUNDATION IS COMMITTED TO CENTERING HEALTH EQUITY SO THAT ALL CENTRAL TEXANS HAVE A FAIR CHANCE TO ACHIEVE OPTIMAL HEALTH WITH NO AVOIDABLE, UNJUST, OR SYSTEMATICALLY CAUSED DIFFERENCES IN HEALTH STATUS DUE TO ETHNICITY, RACE, AGE, ABILITY, OR GEOGRAPHY. FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: EACH OF THE FOUNDATION'S NINE DENTAL VANS IS EQUIPPED WITH TWO DENTAL EXAM ROOMS, DIGITAL X-RAYS, AND COMPUTER WORKSTATIONS. BOARD-CERTIFIED DENTISTS, HYGIENISTS, AND ASSISTANTS GIVE FREE HIGH-QUALITY CARE TO CHILDREN AT THEIR SCHOOLS, SO STUDENTS DON'T HAVE TO MISS CLASS, AND PARENTS DON'T HAVE TO MISS WORK. BEYOND ADDRESSING URGENT NEEDS, THIS PROGRAM ALSO EDUCATES STUDENTS ABOUT DENTAL HYGIENE HABITS THAT WILL LAST A LIFETIME. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD OF TRUSTEES ESTABLISHED AN EXECUTIVE COMMITTEE (THE "COMMITTEE") TO ASSIST THE BOARD IN FULFILLING ITS OVERSIGHT RESPONSIBILITY FOR THE OPERATIONS OF THE FOUNDATION AND ITS RELATED ENTITIES. THE COMMITTEE HAS THE POWER TO CONDUCT THE BUSINESS OF THE FOUNDATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, IN ACCORDANCE WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD AND ESTABLISHED PROTOCOL. THE COMMITTEE IS AUTHORIZED TO SECURE SUCH RESOURCES AS IT REASONABLY NEEDS TO FULFILL ITS RESPONSIBILITIES, INCLUDING OUTSIDE CONSULTANTS, AS APPROPRIATE. THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION, OR AN APPOINTED REPRESENTATIVE, SERVES AS THE COMMITTEE'S STAFF LIAISON. THE COMMITTEE ALSO CONSISTS OF THREE ELECTED GOVERNING BOARD OFFICERS: CHAIR, VICE CHAIR AND SECRETARY, THE PAST CHAIR OF THE FOUNDATION, THE CHAIR OF THE BOARD OF GOVERNORS OF THE PARTNERSHIP, AND ONE TO THREE AT LARGE MEMBERS FROM THE BOARD OF THE FOUNDATION. ALL COMMITTEE MEMBERS ARE GOVERNING BOARD MEMBERS, MUST BE INDEPENDENT OF MANAGEMENT, AND RECEIVE NO COMPENSATION FROM THE FOUNDATION. THE BOARD OF TRUSTEES HAS ADOPTED A SET OF CENTRAL GOVERNANCE PRINCIPLES TO PROVIDE A SPECIFIC FRAMEWORK FOR THE DECISION-MAKING AND GOVERNANCE ACTIVITIES OF THE COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 7B | BOARD DECISION MATTERS ARE DELEGATED BY THE FOUNDATION'S BOARD AS FOLLOWS: DECISIONS ON BUDGET TRANSFERS OF AMOUNTS OF LESS THAN $1M OF BUDGETED EXPENDITURES IS DELEGATED TO THE CHIEF EXECUTIVE OFFICER, WITH A RECOMMENDATION PROVIDED BY THE APPROPRIATE VICE PRESIDENT OVERSEEING SUCH EXPENDITURE. PRIOR TO APPROVAL (BY THE CEO) OF ANY DIRECT COMMUNITY BENEFIT EXPENSES UNDER $1M, THE BOARD WILL BE PROVIDED WITH A SUMMARY OF THE PROPOSED EXPENDITURE. DECISIONS ON CONTRACTS AND EXPENDITURES OF AMOUNTS OF $250,000 OR LESS ARE DELEGATED TO THE CHIEF EXECUTIVE OFFICER, WITH BOARD CHAIR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FOUNDATION'S FORM 990 IS PREPARED BY A NATIONALLY-RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH ITS FINANCE DEPARTMENT. THE FOUNDATION'S TAX AND AUDIT COMMITTEE PERFORMS A COMPREHENSIVE REVIEW OF DRAFT OF THE FORM 990 PRIOR TO IT BEING FINALIZED AND APPROVED FOR SUBMISSION TO THE FULL BOARD. THE FORM 990 IS THEN SHARED WITH THE BOARD OF TRUSTEES FOR THEIR REVIEW AND COMMENT, AFTER WHICH TIME THE FORM 990 IS ELECTRONICALLY FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION ANNUALLY VERIFIES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY. THE INDIVIDUALS COVERED BY THIS POLICY INCLUDE THE OFFICERS AND TRUSTEES. THE PERSONS COVERED BY THIS POLICY ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE ON A FORM PROVIDED BY THE FOUNDATION THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED DETERMINATION WILL BE MADE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE; (C) ASK THE PERSON TO RECUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE ORGANIZATION; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FOUNDATION OR, IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FOUNDATION'S REMOVAL PROCEDURES. |
| FORM 990, PART VI, SECTION B, LINE 15 | TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES, THE FOUNDATION USED THE REPORT OF AN INDEPENDENT COMPENSATION CONSULTANT. THE LATEST COMPENSATION REPORT WAS COMPLETED IN 2022 WITHOUT PARTICIPATION OF THE OFFICER, DIRECTOR OR OTHER TOP MANAGEMENT OFFICIAL UNDER CONSIDERATION. THIS PROCESS WAS UNDERTAKEN FOR THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES FOR 2022 COMPENSATION ON DECEMBER 6, 2021: EDWARD BURGER, CEO FERNANDO X. PENA, EVP AND GENERAL COUNSEL AMY VAUGHAN, VP OF FINANCE CATHY IBERG, VP OF INVESTMENTS SHAILEE GUPTA, CHIEF DENTAL OFFICER THIS PROCESS WAS REPEATED FOR THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES FOR ADDITIONAL 2022 COMPENSATION ON MAY 5, 2022: REGAN GRUBER MOFFITT, VP OF COMMUNITY INVESTMENTS FERNANDO X. PENA, EVP AND GENERAL COUNSEL AMY VAUGHAN, VP OF FINANCE SHAILEE GUPTA, CHIEF DENTAL OFFICER |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | GRANT AMENDMENTS 970,000. |
| OFFICER COMPENSATION OF RELATED ORGANIZATIONS: | THE FOUNDATION OWNS A GENERAL PARTNER INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP ("PARTNERSHIP"). IN THE INTERESTS OF FULL TRANSPARENCY, THE FOUNDATION NOTES THAT IT PAYS A PORTION OF THE PARTNERSHIP'S CEO AND CFO COMPENSATION AS FOLLOWS: SHARI COLLIER, CFO SALARY $179,149 EMPLOYEE BENEFITS $18,896 DAVID HUFFSTUTLER, CEO SALARY $359,496 EMPLOYEE BENEFITS $33,449 |
| Software ID: | |
| Software Version: |