2023-11-15T09:22:39-06:00 2022-12-31 366055558 GRANT THORNTON LLP 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2022-01-01 742206098 ST DAVID'S COMMUNITY HEALTH FOUNDATION HOLDINGS STDA 5128796600 1303 SAN ANTONIO STREET 500 AUSTIN TX 78701 AMY VAUGHAN VICE PRESIDENT OF FINANCE 5128796600 2023-11-15 1 AMY VAUGHAN 999009999 1 SCOTT THOMPSETT P00741490 2125990100 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z EDWARD B BURGER 1303 SAN ANTONIO STREET 500 AUSTIN TX 78701 65 0 X WWW.STDAVIDSFOUNDATION.ORG X 1984 TX WE AIM TO IMPROVE THE HEALTH OF CENTRAL TEXANS THROUGH GRANTS/PROGRAMS THAT IMPACT COMMUNITY HEALTH. 3 3 0 3 0 0 1300 65 0 0 0 0 0 0 1300 65 18565 21334 0 0 0 0 0 0 0 17859 17378 36424 38712 -35124 -38647 512986 473740 1843 1244 511143 472496 HOLDINGS' PRIMARY EXEMPT MISSION IS TO PROVIDE GRANTS AND PROGRAMS THAT IMPACT COMMUNITY HEALTH. 0 0 21334 21334 0 HOLDINGS PROVIDED GRANTS AND ASSISTANCE TO THE NEEDY IN CENTRAL TEXAS. 21334 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X AMY VAUGHAN 5128796600 1303 SAN ANTONIO STREET SUITE 500 AUSTIN TX 78701 RAY BONILLA CHAIR 0.10 14.90 X 0 0 0 SHANNON RATLIFF SECRETARY 0.10 9.90 X 0 0 0 LINO MENDIOLA TRUSTEE 0.10 9.90 X 0 0 0 EDWARD B BURGER CEO/PRESIDENT 1.00 45.00 X 0 595526 30011 AMY VAUGHAN CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 343947 37900 0 939473 67911 0 0 1 0 0 65 65 65 0 0 0 21334 21334 271 271 3500 3500 7 7 13600 13600 38712 21334 17378 0 512986 473740 512986 473740 710 111 1133 1133 1843 1244 X 86686 69308 424457 403188 511143 472496 512986 473740 -38647 0 X X 0 1 X 0 0 X 2383 3108 1276 1300 65 8132 2383 3108 1276 1300 65 8132 8132 8132 1.00000 0.99900 X 150000 150000 150000 150000 150000 150000 160418 2838 13256 150000 150000 65418 55000 160418 0.00000 1.00000 0.00000 0 0 0 ANNUITY PAYABLE 1133 1133 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD TO PROVIDE INCOME FOR SCHOLARSHIPS. PART X, LINE 2: THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED AND PRESENTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE FOUNDATION'S TAX RETURN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED "WHEN CHALLENGED OR "WHEN EXAMINED" BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE LIKELY THAN NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE AND LIABILITY IN THE CURRENT YEAR. MANAGEMENT HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN INCOME TAX POSITIONS. 1 SUPPORT FOR HOSPITAL CHAPLAINS 5 7766 CHAPLAIN'S FUND - MEMORIAL CHARMS 335 13568 PART I, LINE 2: HOLDINGS PROVIDED ASSISTANCE TO HOSPITAL CHAPLAINS TO HELP COVER THE COSTS OF CONTINUING EDUCATION, RELATED TRAVEL REIMBURSEMENTS, AND DE MINIMUS GIFTS TO THE INDIGENT FOR ITEMS SUCH AS BUS FARES, MEALS, ETC. THE CHAPLAIN'S FUND PURCHASED MEMORIAL CHARMS FOR PARENTS OF INFANTS THAT PASSED AWAY IN NICU. THE OVERSIGHT OF THESE GIFTS IS MONITORED BY ORGANIZATION EMPLOYEES IN COLLABORATION WITH HOSPITAL PERSONNEL. 0 0 0 0 0 0 0 0 0 EDWARD B BURGER CEO/PRESIDENT 0 595526 0 0 0 0 0 18300 0 11711 0 625537 0 0 AMY VAUGHAN CHIEF FINANCIAL OFFICER 0 343947 0 0 0 0 0 18300 0 19600 0 381847 0 0 PART I, LINE 3: THE ST. DAVID'S FOUNDATION'S COMPENSATION COMMITTEE COMMISSIONS A REPORT FROM AN INDEPENDENT EXPERT, COVERING ALL EXECUTIVES AND HIGHLY COMPENSATED EMPLOYEES OF THE ST. DAVID'S FOUNDATION AND RELATED TAX EXEMPT ENTITIES. AS THE PRESIDENT/CEO OF BOTH THE ST. DAVID'S FOUNDATION AND THE REPORTING ORGANIZATION, EDWARD BURGER'S COMPENSATION WAS DETERMINED BY THE ST. DAVID'S FOUNDATION'S COMPENSATION COMMITTEE AND WAS PAID BY THE ST. DAVID'S FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A HOLDINGS' BOARD OF TRUSTEES IS COMPRISED OF THREE VOTING MEMBERS CONSISTING OF THE CHAIRMAN, VICE CHAIRMAN AND SECRETARY OF THE ST. DAVID'S FOUNDATION BOARD OF TRUSTEES. THE POWER TO APPOINT AND/OR REMOVE A BOARD MEMBER IS RESERVED TO THE ST. DAVID'S FOUNDATION BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE AUTHORITY OF BOARD OF TRUSTEES OF HOLDINGS IS LIMITED WITH RESPECT TO THE FOLLOWING ACTIONS, EACH OF WHICH MUST BE APPROVED BY THE BOARD OF TRUSTEES 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 11B HOLDINGS' FORM 990 IS PREPARED BY A NATIONALLY RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH ST. DAVID'S FOUNDATION'S FINANCE DEPARTMENT. THE ST. DAVID'S FOUNDATION'S TAX AND AUDIT COMMITTEE PERFORMS A COMPREHENSIVE REVIEW OF DRAFT OF THE FORM 990 PRIOR TO IT BEING FINALIZED AND APPROVED. A COPY OF THE FORM 990 IS THEN PRESENTED TO THE ST. DAVID'S FOUNDATION BOARD OF TRUSTEES, WHO APPROVE THE FORM 990 FOR SUBMISSION TO THE HOLDINGS' BOARD OF TRUSTEES. THE FORM 990 IS THEN SHARED WITH THE HOLDINGS' 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 HOLDINGS 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 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 C, LINE 19 HOLDINGS' GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: HOLDINGS RELIED UPON THE AUDIT COMMITTEE OF ST. DAVID'S FOUNDATION TO OVERSEE THE AUDIT PROCESS FOR THE CONSOLIDATED FINANCIAL STATEMENTS. ST DAVID'S FOUNDATION 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 741356589 FUNDS GRANTS & PROGRAMS THAT IMPACT COMMUNITY HEALTH IN CENTRAL TEXAS TX 501(C)(3) LINE 3 NONE 0 ST DAVID'S FOUNDATION COMMUNITY FUND 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 742898888 PROVIDES NEEDS-BASED SCHOLARSHIPS AND CONTROLS MEDICAL FACILITIES TX 501(C)(3) LINE 7 ST DAVID'S FOUNDATION 0 ST DAVID'S COMMUNITY HEALTH FOUNDATION INITIATIVES 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 270112979 SUPPORTS SERVICES TO RELATED ORGANIZATIONS TX 501(C)(3) LINE 12A, I ST DAVID'S FOUNDATION COMMUNITY FUND 0 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 742781812 OWNS & OPERATES 4 HOSPITALS IN CENTRAL TX TX N/A 0 0 BAILEY SQUARE AMBULATORY SURGICAL CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 752467365 AMBULATORY SURGERY CENTER TX N/A 0 0 SOUTH AUSTIN SURGERY CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 621775267 AMBULATORY SURGERY CENTER TX N/A 0 0 LEADERSHIP HEALTHCARE HOLDINGS II LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 341996283 OWNS AN INTEREST IN A RADIOLOGY CENTER TX N/A 0 0 LEADERSHIP HEALTHCARE HOLDINGS LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 203151012 OWNS MAJORITY INTERESTS IN AMBULATORY SURGERY CENTERS TX N/A 0 0 OAKWOOD SURGERY CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 621641024 AMBULATORY SURGERY CENTER TX N/A 0 0 NORTH AUSTIN SURGERY CENTER LP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 200648730 AMBULATORY SURGERY CENTER TX N/A 0 0 CP SURGERY CENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 800776412 AMBULATORY SURGERY CENTER TX N/A 0 0 MCA-CTMC HOLDINGS LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 800899140 AMBULATORY SURGERY CENTER TX N/A 0 0 SOUTH AUSTIN SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 300924492 AMBULATORY SURGERY CENTER TX N/A 0 0 ST DAVID'S AUSTIN AREA ASC LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 611760247 AMBULATORY SURGERY CENTER TX N/A 0 0 AUSTIN GI SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 301073754 AMBULATORY SURGERY CENTER TX N/A 0 0 CAREOS SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 844484446 AMBULATORY SURGERY CENTER TX N/A 0 0 HEALTH AT HOME HOLDINGS - AUSTIN LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 863865064 HOME HEALTH AND HOSPICE SERVICES TX N/A 0 0 ST DAVID'S FOUNDATION IMPACT FUND LP 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 341996279 OWNS INDIRECT INTEREST IN A RADIOLOGY CENTER TX N/A C 0 ST DAVID'S FOUNDATION IMPACT FUND GP LLC 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 341996272 OWNS INDIRECT INTEREST IN A RADIOLOGY CENTER TX N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0