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ST DAVIDS COMMUNITY HEALTH FOUNDATION HOLDINGS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST DAVIDS COMMUNITY HEALTH FOUNDATION HOLDINGS (EIN 74-2206098)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201113199349302171
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T09:08:13-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Flieller Kruger Skelton & Plyler PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1221 West Sixth Street Suite 1200AddressLine1
CityAustinCity
StateTXState
ZIP Code78701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742206098EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St David's Community Health Foundation HoldingsBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTDANameControl
Phone5128796600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd No 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim RiesName
TitleCFOTitle
Phone5128796603Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGreg D SkeltonName
Phone5124796000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEarl MaxwellNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs RdAddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode
FieldValueIRS element (for citing)
Gross Receipts131809GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stdavidsfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionEXISTS TO HOLD FUNDS THAT PROVIDE GRANTS AND PROGRAMS THAT IMPACT COMMUNITY HEALTH.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year269956ContributionsGrantsPriorYear
Contributions Grants Current Year126820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year8131InvestmentIncomePriorYear
Investment Income Current Year4989InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year278087TotalRevenuePriorYear
Total Revenue Current Year131809TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year91548GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21896GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7433OtherExpensePriorYear
Other Expenses Current Year17266OtherExpensesCurrentYear
Total Expenses Prior Year98981TotalExpensesPriorYear
Total Expenses Current Year39162TotalExpensesCurrentYear
Revenues Less Expenses Prior Year179106RevenuesLessExpensesPriorYear
Revenues Less Expenses CY92647RevenuesLessExpensesCY
Total Assets BOY1494938TotalAssetsBOY
Total Assets EOY1767050TotalAssetsEOY
Total Liabilities BOY54259TotalLiabilitiesBOY
Total Liabilities EOY47976TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1440679NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1719074NetAssetsOrFundBalancesEOY
Mission DescriptionExists to hold funds that provide grants and programs that impact community health.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21896Expense
Grants21896Grants
Revenue267418Revenue
DescriptionThe Foundation provided grants and assistance to the needy in Central Texas.Description
Total Program Service Expense21896TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jim RiesBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5128796603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd Suite 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
C W Hetherly
Chairman1.00X000
H David Hughes
Director1.00X000
Scott Thomas
Director1.00X000
Earl Maxwell
CEO1.00025891619378X
James Ries
CFO1.00018381013079X
Bobbie Barker
Secretary1.00020524918790X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs647975TotalReportableCompFrmRltdOrgs
Total Other Compensation51247TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations50000RelatedOrganizations
All Other Contributions76820AllOtherContributions
Total Contributions126820TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4989TotalRevenueColumn
Exclusion$4,989ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column131809TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,989ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total19000Total
Program Services19000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2896Total
Program Services2896ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117Total
Management And General117ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9693Total
Management And General9693ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total139Total
Management And General139ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7317Total
Management And General7317ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39162Total
Program Services21896ProgramServices
Management And General17266ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY97752BOY
EOY129388EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY105583BOY
EOY114029EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1291403BOY
EOY1523433EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1494938BOY
EOY1767050EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54259BOY
EOY47976EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54259BOY
EOY47976EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16380BOY
EOY42019EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1124214BOY
EOY1376970EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY300085BOY
EOY300085EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1440679BOY
EOY1719074EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1494938BOY
EOY1767050EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses92647ReconcilationRevenueExpenses
Reconcilation Other Changes185748ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4823682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years713267CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83169CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year269956CurrentTaxYearMinus1Year
Current Tax Year126820CurrentTaxYear
Total6016894Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4823682CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years713267CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83169CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year269956CurrentTaxYearMinus1Year
Current Tax Year126820CurrentTaxYear
Total6016894Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4856124AmountsSubstContributorsTotal
Public Support Total1701160770PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years131396CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118717CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11191CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8131CurrentTaxYearMinus1Year
Current Tax Year4989CurrentTaxYear
Total274424Total
FieldValueIRS element (for citing)
Total Support6291318TotalSupport
Gross Receipts From Admissions Etc81915GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.18450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.19500PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestFacts & Circumstances Test: INTRODUCTION. The reporting organization receives significant support from St. David's Foundation, an organization classified as an Internal Revenue Code ("Code") Section 170(b)(i)(A)(iii) hospital (the "Granting Organization"). While the Granting Organization almost certainly would meet the requirements of the public support test under Code Section 509(a)(2), the Granting Organization might not meet the requirements of the public support test under Code Section 170(b)(i)(A)(vi). The regulations under the Code are unclear regarding whether or not an organization that could meet the public support test of Code Section 509(a)(2) would qualify as "publicly supported" for purposes of classifying its grants as public support under Code Section 170(b)(i)(A)(vi). Because of this uncertainty, out of an abundance of caution, and without conceding the issue should the Internal Revenue Service challenge the public charity status of the reporting organization in the future, the reporting organization has excluded grants from the Granting Organization from public support for purposes of the reporting organization's Section 170(b)(i)(A)(vi) public support calculation in this Form 990. Although this conservative computational position causes the reporting organization to not meet the 33 1/3 percent-of-support test under regulations Section 170A-9(e), the reporting organization nonetheless remains a "publicly supported" organization under the "facts and circumstances" analysis provided for in regulations Section 1.170A-9(e). Under that analysis, the reporting organization is "publicly supported" because it normally receives a substantial part of its support from governmental units, from direct or indirect contributions from the general public, or from a combination of these sources, and meets the other requirements of the regulations to be considered a publicly supported organization. TEN PERCENT-OF-SUPPORT LIMITATION. As contemplated by regulations Section 1.170A-9(e), the percentage of support "normally" (as defined in regulations Section 1.170A-9(e)) received by the reporting organization from governmental units, from contributions made directly or indirectly by the general public, or from a combination of these sources, is substantial within the meaning of the regulations (i.e., such support equals at least 10 percent of the total support normally received by the reporting organization). ATTRACTION OF PUBLIC SUPPORT. Further, the reporting organization is so organized and operated that it attracts substantial public support. As contemplated by the regulations, the reporting organization carries on activities designed to attract (and which do attract) support from governmental units or other organizations described in Code Section 170 (b)(1)(A)(i) through (vi). As noted above, most of the reporting organization's support comes from a section 170 (b)(1)(A)(iii) hospital organization that would also qualify as a publicly supported organization under the objective tests set out in Code Section 509(a)(2). PERCENTAGE OF FINANCIAL SUPPORT. Under regulations Section 1.170A-9(e), the percentage of support received by an organization from public or governmental sources is taken into consideration in determining whether an organization is "publicly supported." The higher the percentage of support above the 10 percent minimum public support requirement, the lesser will be the burden of establishing the publicly supported nature of the organization. In this case, the reporting organization's public support percentage substantially exceeds the minimum 10 percent requirement. This lessens the burden of the reporting organization in establishing its publicly supported status. Further, investment income generated by the reporting organization arises primarily from investments contributed by the general public and the Granting Organization rather than a few individuals or members of their families. As set out in the regulations, this also serves to decrease the burden on the reporting organization in establishing its publicly supported nature. SOURCES OF SUPPORT. As noted above, the reporting organization receives most of its support from direct and indirect public sources. Under regulations Section 1.170A-9(e), this fact supports the publicly supported character of the organization because members of a single group or family do not provide most of its support. Further, under the regulations, consideration must be given to the type of organization involved, the length of time it has been in existence, and whether it limits its activities to a particular community or region or to a special field which can be expected to appeal to a limited number of persons. In the instant case, the reporting organization is an organization of long standing publicly supported status. It sphere of activity is Central Texas, a highly populated and growing region. The reporting organization's area of interest is healthcare, which is of broad interest to all citizens. The activities of the reporting organization and its related organizations appeal to and are relevant to all residents of Central Texas. These factors all support the conclusion that the reporting organization is publicly supported. REPRESENTATIVE GOVERNING BODY. The fact that an organization has a governing body which represents the broad interests of the public, rather than the personal or private interests of a limited number of donors (or persons standing in a relationship to such donors which is described in Code Section 4946(a)(1)(C) through (G) ) must be considered in determining whether an organization is publicly supported. An organization will be treated as meeting this requirement if it has a governing body which is comprised of public officials acting in their capacities as such; of individuals selected by public officials acting in their capacities as such; of persons having special knowledge or expertise in the particular field or discipline in which the organization is operating; of community leaders, such as elected or appointed officials, clergymen, educators, civic leaders, or other such persons representing a broad cross-section of the views and interests of the community. The reporting organization has a small board, but no member of the board is a past or present significant donor to the organization. More importantly, the board of the reporting organization is selected by (and subject to removal, with or without cause, at any time, by) the board of the Granting Organization. The board of the Granting Organization is large and comprised of community leaders representing a broad cross section of the population served by the reporting organization. This board also includes persons with special knowledge and expertise in healthcare issues in Central Texas. This community board effectively controls the reporting organization by controlling the composition of its board. This community board also has direct veto power over certain actions of the reporting organization's board as detailed in this Form 990. AVAILABILITY OF PUBLIC FACILITIES OR SERVICES; PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES. Under the regulations, the fact that an organization is of the type which generally provides facilities or services directly for the benefit of the general public on a continuing basis must be considered evidence that the organization is "publicly supported." In this instance, the services provided to the community are grants that positively impact public healthcare in the Central Texas area. As such, this broad purpose reflects the publicly supported nature of the reporting organization. OTHER FACTORS. Under the regulations, the participation in, or sponsorship of, the programs of an organization by members of the public having special knowledge or expertise, public officials, or civic or community leaders indicates the presence of public support. As noted above, the board of the reporting organization is comprised of individuals chosen by a community board that includes persons who have special knowledge and expertise in the healthcare field as well as civic and community leaders of the community supported by the work of the reporting organization. This participation supports classification of the reporting organization as a publicly supported organization. Further, under the regulations, maintenance of a definitive program by an organization to accomplish its charitable work in the community is considered a factor indicating public support. In this case, the reporting organization has a long and significant history of participation in and support of healthcare in Central Texas.FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number Funds Held1NumberFundsHeld
Contrib To Funds And Other Accounts66242ContribToFundsAndOtherAccounts
Aggregate Fund Value370505AggregateFundValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance300085BeginningOfYearBalance
End Of Year Balance300085EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance300085BeginningOfYearBalance
End Of Year Balance300085EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance300085BeginningOfYearBalance
End Of Year Balance300085EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from St. David's FoundationDescription
Book Value1523433BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1523433TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAnnuity PayableDescription
Amount$47,976Amount
FieldValueIRS element (for citing)
Total Of Amounts47976TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The endowment funds are held to provide income for scholarships.
Part X, Line 2: The Foundation is a public, nonprofit 501(c)(3) organization exempt from federal income taxes under Section 510(c)(3) of the Internal Revenue Code, except to the extent it has unrelated business activities. As such, no provision for federal income taxes has been made in the financial statements. The Foundation's policy is to record interest and penalty expense related to income taxes as interest and other expense, respectively. At December 31, 2010 and 2009, no interest or penalties have been or are required to be accrued. The Foundation, generally, is no longer subject to income tax examination by federal authorities for years prior to December 31, 2007.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1St David's FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd Ste 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient741356589EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Non Cash Assistance8382AmountOfNonCashAssistance
Purpose Of GrantPurchase of memorial fountain for hospitalPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: In accordance with endowment specifications, grants are provided to large, well-reputed public charities that serve the community in Central Texas.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Earl Maxwell
0258916000000019378027829400
James Ries
0183810000000013079019688900
Bobbie Barker
0205249000000018790022403900

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 7aEach year, the Board of Trustees of St. David's Foundation (the "Foundation Board") elects voting members of the Board of Trustees of the reporting organization. Voting members include the Chairman and Vice Chairman and one other member of the Foundation Board. The Foundation Board has the sole discretion to remove any Trustees from or to fill any vacancies on the reporting organization's Board.
Form 990, Part VI, Section A, line 7bThe authority of Board of Directors of the reporting organization is limited with respect to the following actions, each of which must be approved by the Board of Directors of St. David's Foundation: 1) amendment or restatement of the organization's articles of incorporation or bylaws; 2) merger, consolidation, or dissolution of the organization or establishment of any subsidiary of the organization; 3) sale, conveyance, lease, exchange, pledge or mortgage of all or substantially all of the organization's assets; 4) sale, conveyance, or mortgage of any real property of the organization; 5) acquisition or purchase of any unbudgeted real or personal property in excess of $100,000; 6) lease of any real or personal property for more than one year involving an unbudgeted obligation or expense exceeding $100,000; 7) execution and delivery of any contract which requires an unbudgeted expenditure, obligation or pledge of more than $100,000; 8) adoption of the annual budget of the organization; 9) establishment of or amendment to articles of incorporation or bylaws of any legal entity in which the organization is a partner, participant, joint venturer, controlling shareholder, or sole member, and subsidiary thereof; 10) guarantee of any debt of the organization; 11) selection of the independent accountant for the organization's annual audit.
Form 990, Part VI, Section B, line 11Each board member receives a copy of the final Form 990.
The reporting organization annually verifies compliance with the conflicts of interest policy. The individuals covered by this policy include the officers and directors. The persons covered by this policy are required to annually disclose or update on a form provided by the organization 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 Organization or, if the person refuses to resign, become subject to possible removal in accordance with the Organization's removal procedures.Form 990, Part VI, Section B, line 12c
To establish the compensation of the organization's top management official, an outside consultant conducts an intermediate sanction review. Without participation of the official under consideration, the Board reviews and approves the consultant's report. As no person described in this section received compensation from the organization during 2010, no such procedure was undertaken by the board during 2010.Form 990, Part VI, Section B, line 15
The Foundation's governing documents, conflicts of interest policy and financial statements are available upon request. Please contact Jim Ries at 512-879-6603.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 185,748.Form 990, Part XI, line 5:
The reporting organization's financial statements were audited by an independent accountant as part of consolidated financial statements. The consolidated financial statements included St. David's Foundation, St. David's Community Health Foundation Holdings, St. David's Foundation Community Fund, St. David's Community Health Foundation Initiatives, St. David's Foundation Impact Fund, LP, and St. David's Foundation Impact Fund GP, LLC.Form 990, Part XII, Line 2b:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
St David's Foundation
811 Barton Springs Rd Suite 600AustinTX78704741356589Funds grants & programs that impact community health in Central TexasTX501(c)(3)Sec 170 (b)(1)(A)iiiNone0
St David's Foundation Community Fund
811 Barton Springs Rd Suite 600AustinTX78704742898888Provides Scholarships to Needy Students in Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's Foundation0
St David's Community Health Foundation Initiatives
811 Barton Springs Rd Suite 600AustinTX78704270112979Supports St. David's Foundation Community FundTX501(c)(3)Sec 509(a)(3), ISt David's Foundation Community Fund1

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St David's Healthcare Partnership LP LLP
98 San Jacinto Ste 1800AustinTX78701742781812Owns & operates 5 acute care hospitals in Central TXTXN/A
Bailey Square Ambulatory Surgical Center Ltd
98 San Jacinto Ste 1800AustinTX78701752467365Ambulatory surgery centerTXN/A
South Austin Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621775267Ambulatory surgery centerTXN/A
Leadership Healthcare Holdings II LP LLP
98 San Jacinto Ste 1800AustinTX78701341996283Owns an interest in a radiology centerTXN/A
Leadership Healthcare Holdings LP LLP
98 San Jacinto Ste 1800AustinTX78701203151012Owns majority interests in ambulatory surgery centersTXN/A
Oakwood Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621641024Ambulatory surgery centerTXN/A
North Austin Surgery Center LP
98 San Jacinto Ste 1800AustinTX78701200648730Ambulatory surgery centerTXN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
St David's Foundation Impact Fund LP
811 Barton Springs Rd Ste 600AustinTX78704341996279Owns indirect interest in a radiology center; makes research grantsTXN/AC
St David's Foundation Impact Fund GP LLC
811 Barton Springs Rd Ste 600AustinTX78704341996272Owns indirect interest in a radiology center; makes research grantsTXN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg