2015-05-07T14:41:46-05:00 2014-06-30 750786316 WEAVER AND TIDWELL LLP 9311 SAN PEDRO AVE SUITE 1400 SAN ANTONIO TX 78216 990 2013-07-01 741224362 SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION SANT 2107042800 1 INTL CENTER 100 NE LOOP 410 NO 706 SAN ANTONIO TX 78216 JOHN E BEL PRESIDENT 2107042800 2015-04-28 1 SUZANNE MARKGRAF P00246198 2107371042 2013 2016-02-25 16:41:14Z CHILDREN'S HOSPITAL OF SAN ANTONIO FOUNDATION JOHN E BEL 1 INTL CENTER 100 NE LOOP 410 NO 706 SAN ANTONIO TX 78216 14175546 0 X WWW.CHRISTUSSANTAROSA.ORG X 1955 TX THE FOUNDATION WAS ORGANIZED TO RAISE CHARITABLE CONTRIBUTIONS TO SUPPORT THE SANTA ROSA CHILDREN'S HOSPITAL, NOW LICENSED AS CHILDREN'S HOSPITAL OF SAN ANTONIO, AND ITS VITAL CHILD HEALTH PROGRAMS. 77 77 0 132 0 0 28214865 14069729 0 0 235329 105817 0 0 28450194 14175546 0 0 0 0 0 0 0 0 508856 6715811 9795916 6715811 9795916 21734383 4379630 46187025 52858174 2630070 3289722 43556955 49568452 X THE FOUNDATION WAS ORGANIZED TO FOSTER AND SUPPORT THE ESTABLISHMENT, MAINTENANCE AND OPERATION OF THE SANTA ROSA CHILDREN'S HOSPITAL, NOW LICENSED AS CHILDREN'S HOSPITAL OF SAN ANTONIO, AND TO SUPPORT CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND MEDICAL UNDERTAKINGS IN GENERAL. 0 0 6993077 THE FOUNDATION SUPPORTS THE MISSION OF SANTA ROSA CHILDREN'S HOSPITAL. IT FUNDS A NUMBER OF DIFFERENT PROGRAMS/REQUESTS BASED ON HOSPITAL NEEDS AT ANY GIVEN TIME. EXAMPLES INCLUDE FAMILY ASSISTANCE, DENTAL CLINIC, WELL BABY NURSERY, CHILD SAFETY SEATS, CLINICAL LAB IMPROVEMENTS, AND CONTRUCTION OF FACILITIES. 60807 THE FOUNDATION PROVIDES FUNDS TO PURCHASE SUPPLIES FOR THE MUZQUIZ PROJECT, AN OUTREACH PROGRAM OF THE SANTA ROSA CHILDREN'S HOSPITAL SUPPORTING THE SPECIAL NEEDS OF DISABLED CHILDREN LIVING IN COAHUILA, MEXICO. THE PROJECT PROVIDES A MEANS BY WHICH THE DISABLED CHILDREN HAVE ACCESS TO ADEQUATE MEDICAL, SURGICAL AND REHABILITATIVE CARE IN THE UNITED STATES. 7053884 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 11 0 1 0 0 0 0 0 0 0 0 0 0 0 X 77 77 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN BEL 2107042800 1 INTL CENTER 100 NE LOOP 410 STE SAN ANTONIO TX 78216 X STEVE ATKINS BOARD MEMBER 1.00 X 0 0 0 STANTON P BELL BOARD MEMBER 1.00 X 0 0 0 R CLARK BODDY BOARD MEMBER 1.00 X 0 0 0 RICHARD T BRADY BOARD MEMBER 1.00 X 0 0 0 DIANNA M BURNS-BANKS MD BOARD MEMBER 1.00 X 0 0 0 RAYMOND R CARVAJAL RPH CHAIRMAN 2.00 X X 0 0 0 ROBERT M CAVENDER BOARD MEMBER 2.00 1.00 X 0 0 0 BOB COHEN BOARD MEMBER 1.00 X 0 0 0 HEATHER M COLLINS BOARD MEMBER 1.00 X 0 0 0 SISTER KATHLEEN COUGHLIN CCVI BOARD MEMBER 1.00 X 0 0 0 ELIZABETH F CRAWFORD TREASURER 2.00 1.00 X X 0 0 0 CHARLES A DEACON BOARD MEMBER 1.00 1.00 X 0 0 0 MARY K DENNY BOARD MEMBER 1.00 X 0 0 0 JOSEPH DUBROF BOARD MEMBER 2.00 1.00 X 0 0 0 STEVE EDLUND BOARD MEMBER 1.00 X 0 0 0 LEON EWING BOARD MEMBER 1.00 X 0 0 0 C MURRAY FICHTNER BOARD MEMBER 1.00 X 0 0 0 PAMELA K PARISH BOARD MEMBER 1.00 X 0 0 0 HAROLD J FOSTER SR BOARD MEMBER 1.00 X 0 0 0 PAT FROST VICE CHAIRMAN 2.00 X X 0 0 0 TIM F HAEGELIN SECRETARY 2.00 X X 0 0 0 NED HODGE BOARD MEMBER 1.00 X 0 0 0 JOHN R HURD BOARD MEMBER 1.00 1.00 X 0 0 0 CHARLES T HUTZLER BOARD MEMBER 1.00 X 0 0 0 MARY Q KELLY BOARD MEMBER 1.00 X 0 0 0 SYLVIA H MADDOX BOARD MEMBER 1.00 X 0 0 0 MORGAN M MATSON BOARD MEMBER 1.00 X 0 0 0 JOHN C MCCALEB JR BOARD MEMBER 1.00 X 0 0 0 BUZZ MILLER BOARD MEMBER 1.00 X 0 0 0 LARRY MILLS BOARD MEMBER 1.00 X 0 0 0 THOMAS J MURPHY BOARD MEMBER 1.00 X 0 0 0 WILLIAM A MYERS BOARD MEMBER 1.00 X 0 0 0 WILLIAM H PARRY MD BOARD MEMBER 2.00 X 0 0 0 LAWRENCE PAYNE BOARD MEMBER 1.00 X 0 0 0 PHILIP J PFEIFFER BOARD MEMBER 2.00 X 0 0 0 PEGGY REBOLLEDO BOARD MEMBER 1.00 X 0 0 0 DAVID E REYNOLDS BOARD MEMBER 1.00 X 0 0 0 ALBERT E SANDERS MD BOARD MEMBER 1.00 X 0 0 0 MICHAEL A SCHOTT BOARD MEMBER 2.00 1.00 X 0 0 0 JIM SCHWARTZ BOARD MEMBER 1.00 X 0 0 0 STACY SMOLKA BOARD MEMBER 1.00 X 0 0 0 DANIEL T STRAUS BOARD MEMBER 1.00 X 0 0 0 PATRICK SULLIVAN BOARD MEMBER 1.00 X 0 0 0 MONA THAXTON BOARD MEMBER 1.00 X 0 0 0 DR BUCKNER FANNING BOARD MEMBER 1.00 X 0 0 0 THOMAS C FROST JR BOARD MEMBER 1.00 X 0 0 0 ROWENA C GORMAN BOARD MEMBER 1.00 X 0 0 0 COLETTE KOHLER MD BOARD MEMBER 1.00 X 0 0 0 CHARLES E AMATO BOARD MEMBER 1.00 X 0 0 0 STEPHEN M DUFILHO BOARD MEMBER 1.00 X 0 0 0 GEORGE E FISCHER BOARD MEMBER 1.00 X 0 0 0 JAMES W GORMAN BOARD MEMBER 1.00 X 0 0 0 EDWARD D HODGE III BOARD MEMBER 1.00 X 0 0 0 MAJOR GEN DONALD R LASHER BOARD MEMBER 1.00 X 0 0 0 ROBERT R LENDE BOARD MEMBER 1.00 X 0 0 0 JOSUE ROBLES JR BOARD MEMBER 1.00 X 0 0 0 STANLEY D ROSENBERG BOARD MEMBER 1.00 X 0 0 0 WILLIAM SCANLAN JR BOARD MEMBER 1.00 X 0 0 0 STEPHEN B WILDE BOARD MEMBER 1.00 1.00 X 0 0 0 KENNETH L WILSON BOARD MEMBER 1.00 X 0 0 0 GEN AJ DREISESZUN BOARD MEMBER 1.00 X 0 0 0 ROSE DREISESZUN BOARD MEMBER 1.00 X 0 0 0 MARVIN BARENBLAT BOARD MEMBER 1.00 X 0 0 0 LIANA BARENBLAT BOARD MEMBER 1.00 X 0 0 0 TOM BOUNDS BOARD MEMBER 1.00 X 0 0 0 PETER J HENNESSEY IV BOARD MEMBER 1.00 X 0 0 0 LAUREN P MCLAUGHLIN BOARD MEMBER 1.00 X 0 0 0 SHAWN M ROSENZWEIG BOARD MEMBER 1.00 X 0 0 0 JESSICA L WORTH BOARD MEMBER 1.00 X 0 0 0 PHILLIP M PLANT JR BOARD MEMBER 1.00 X 0 0 0 CORINNA HOLT RICHTER BOARD MEMBER 1.00 X 0 0 0 SUZANNE MEAD FELDMANN BOARD MEMBER 1.00 1.00 X 0 0 0 ANGELA GOLDSBURY BOARD MEMBER 1.00 X 0 0 0 FERNANDO A GUERRA MD BOARD MEMBER 1.00 X 0 0 0 JANET HOLLIDAY BOARD MEMBER 1.00 X 0 0 0 BRANDON A LOGAN BOARD MEMBER 1.00 X 0 0 0 LUPITA MEDINA BOARD MEMBER 1.00 X 0 0 0 JAMES M RUBIN MD BOARD MEMBER 1.00 X 0 0 0 NICK J VALENTI BOARD MEMBER 1.00 X 0 0 0 JOHN E BEL PRESIDENT 1.00 X X 0 0 0 PATRICK B CARRIER BOARD MEMBER 1.00 X 0 0 0 SISTER GERMAINE CORBIN BOARD MEMBER 1.00 X 0 0 0 JOHN J DOSKI MD BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 14069729 14069729 105817 105817 14175546 0 0 105817 27901 27901 80501 80501 29069 29069 247008 3569 243439 247299 247299 111121 93003 18118 28399 28399 156962 156962 29104 29104 8207 8207 12049 12049 10999 10999 PROGRAM SERVICES 6993077 6993077 OVERHEAD EXPENSES 1719771 1719771 MUZQUIZ PROJECT 60807 60807 BOARD MEETING EXPENSES 27205 27205 6437 6437 9795916 7053884 2233176 508856 -1058425 -806155 10626349 11677585 20671606 22291132 138338 20591 44587 117747 6209651 8671034 9693257 10906831 46187025 52858174 22659 47661 2607411 3242061 2630070 3289722 X 13091113 15913804 28468579 29027315 1997263 4627333 43556955 49568452 46187025 52858174 X 4379630 1691867 -60000 X X 0 1 X 1 0 X 4203095 4107878 4194261 8214865 14069729 34789828 4203095 4107878 4194261 8214865 14069729 34789828 14916614 19873214 80391 44064 44046 235329 105817 509647 35299475 0.56300 0.57490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 49707632 2272388 9911530 351461 512727 61027362 44795849 5350004 248641 189580 49707632 44387948 934152 209361 316890 44795849 37126355 -245340 7570118 63185 44387948 34076003 -5743 3660186 604091 37126355 0.63080 0.08260 0.28660 0 1 1 138338 20591 117747 117747 INTEREST IN PERPETUAL TRUSTS 9944837 MINERAL INTEREST 944866 OTHER ACCOUNTS RECEIVABLE 17128 10906831 PAYABLE -CHRISTUS SR HEALTH CR 3242061 3242061 X PART V, LINE 4: THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO VARIOUS PROGRAMS SUPPORTED BY ITS ENDOWMENTS. PART X, LINE 2: THE FOUNDATION FOLLOWS THE ACCOUNTING GUIDANCE RELATED TO UNCERTAIN TAX POSITIONS. USING THAT GUIDANCE, TAX PROVISIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2014, THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION'S TAX YEARS 2010 TO 2013 REMAIN SUBJECT TO EXAMINATION FOR FEDERAL TAX PURPOSES. PAT B FROST VICE CHAIRMAN OF THE BOARD 6586593 PAT B. FROST IS THE PRESIDENT OF FROST BANK, WHICH SERVES AS THE BANK OF SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION. 0 DAVID REYNOLDS BOARD MEMBER 256228 DAVID REYNOLDS WAS THE CEO OF SECURITY SERVICE FEDERAL CREDIT UNION UNTIL HE RETIRED IN MARCH 2014. THE FOUNDATION HAS A CERTIFICATE OF DEPOSIT AT SECURITY SERVICE FEDERAL CREDIT UNION. 0 JOSUE ROBLES JR BOARD MEMBER 256531 JOSUE ROBLES, JR. IS THE PRESIDENT AND CEO OF USAA. THE FOUNDATION HAS A CERTIFICATE OF DEPOSIT AT USAA. 0 PAMELA PARRISH BOARD MEMBER 250000 PAMELA PARRISH IS THE PRESIDENT OF BROADWAY BANK. THE FOUNDATION HAS A CERTIFICATE OF DEPOSIT AT BROADWAY BANK. 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS ARE RELATED THROUGH MARRIAGE: GENERAL & MRS. A.J. DREISESZUN MARVIN AND LIANA BARENBLAT JAMES W. AND ROWENA C. GORMAN THE FOLLOWING BOARD MEMBERS ARE RELATED BY BIRTH: EDWARD D. HODGE III, FATHER NED HODGE, SON MARY DENNY, MOTHER PATRICK SULLIVAN, SON FORM 990, PART VI, SECTION B, LINE 11 THE CHAIRMAN OF THE AUDIT COMMITTEE, ALL MEMBERS OF THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE DRAFT OF THE FORM 990 AND PROVIDES APPROVAL FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS RECEIVE AND SIGN CONFLICT OF INTEREST FORMS ANNUALLY. THESE FORMS ARE REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC. THE REQUESTS FOR THEM CAN BE MADE BY E-MAIL, MAIL, OR PHONE. ONCE RECEIVED, THE FOUNDATION PROVIDES THE INFORMATION TO THE PERSON OR GROUP MAKING THE REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO SUPPORTING ORGANIZATION -60,000. PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART VI, SEC. B, LINE 15 A AND 15B THE ORGANIZATION'S BOARD DOES NOT RECEIVE COMPENSATION. THEREFORE, QUESTIONS 15A AND 15B DO NOT APPLY. SANTA ROSA CHILDRENS HOSP ENDOWMENT FD 1 INTERNATIONAL CENTER 100 NE LOOP SAN ANTONIO TX 78216 800530949 CHARITY TX 501(C)(3) 11, TYPE I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 SANTA ROSA CHILDRENS HOSPITAL ENDOWMENT FUND N BOARD ESTIMATE SANTA ROSA CHILDRENS HOSPITAL ENDOWMENT FUND R 160000 CASH SANTA ROSA CHILDRENS HOSPITAL ENDOWMENT FUND Q 6035 CASH SANTA ROSA CHILDRENS HOSPITAL ENDOWMENT FUND S 280000 CASH