2024-11-14T11:30:34-06:00 2023-12-31 991856619 GRANT THORNTON ADVISORS LLC 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2023-01-01 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 2024-11-14 1 1 SCOTT THOMPSETT P00741490 2125990100 2023 2024-10-15 13:58:12Z EDWARD B BURGER 1303 SAN ANTONIO STREET 500 AUSTIN TX 78701 500 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 65 500 0 0 0 0 0 0 65 500 21334 23653 0 0 0 0 0 0 0 17378 20019 38712 43672 -38647 -43172 473740 437803 1244 8479 472496 429324 ST. DAVID'S COMMUNITY HEALTH FOUNDATION HOLDINGS ("HOLDINGS") AIMS TO IMPROVE THE HEALTH OF CENTRAL TEXANS THROUGH GRANTS/PROGRAMS THAT IMPACT COMMUNITY HEALTH. 0 0 23653 23653 0 HOLDINGS PROVIDED GRANTS AND ASSISTANCE TO THE NEEDY IN CENTRAL TEXAS. FOR MORE INFORMATION, PLEASE REFER TO SCHEDULE I. 23653 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 (THRU 12/31/2023) 0.10 14.90 X 0 4006 0 SHANNON RATLIFF VICE CHAIR (THRU 12/2023)/CHAIR 0.10 9.90 X 0 4314 0 LINO MENDIOLA SECRETARY (THRU 12/2023)/VICE CHAIR 0.10 9.90 X 0 0 0 EDWARD B BURGER CEO/PRESIDENT 1.00 45.00 X 0 602188 33584 AMY VAUGHAN VICE PRESIDENT OF FINANCE 1.00 40.00 X 0 365528 40614 0 976036 74198 0 0 1 0 0 500 500 500 0 0 0 23653 23653 592 592 6630 6630 350 350 12447 12447 43672 23653 20019 0 473740 437803 473740 437803 111 717 1133 7762 1244 8479 X 69308 49288 403188 380036 472496 429324 473740 437803 -43172 0 X X 0 1 X 0 0 X 3108 1276 1300 65 500 6249 3108 1276 1300 65 500 6249 6249 6249 1.00000 1.00000 X 150000 150000 150000 150000 150000 150000 150000 150000 160418 2838 13256 150000 0.00000 1.00000 0.00000 0 0 0 DUE TO AFFILIATES 6629 ANNUITY PAYABLE 1133 7762 X PART V, LINE 4: THE ORGANIZATION HOLDS A PERMANENT ENDOWMENT FUND FOR THE PURPOSE OF PROVIDING SCHOLARSHIPS TO STUDENTS IN NEED. 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 HOLDINGS' 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 8646 0 CHAPLAIN'S FUND - MEMORIAL CHARMS 345 15007 0 PART I, LINE 2: HOLDINGS PROVIDED ASSISTANCE TO HOSPITAL CHAPLAINS TO HELP COVER THE COSTS OF CONTINUING EDUCATION, RELATED TRAVEL REIMBURSEMENTS, AND DE MINIMIS 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 487163 0 109833 0 5192 0 19800 0 13784 0 635772 0 0 AMY VAUGHAN VICE PRESIDENT OF FINANCE 0 362883 0 1500 0 1145 0 19800 0 20814 0 406142 0 0 PART I, LINE 3: THE ST. DAVID'S FOUNDATION'S COMPENSATION COMMITTEE COMMISSIONS A REPORT FROM AN INDEPENDENT COMPENSATION 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 HOLDINGS, 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 VII-A, COLUMN (E) SEVERAL OF THE HOLDINGS' BOARD MEMBERS HAD SPOUSES WHO TRAVELED WITH THEM TO ATTEND BOARD MEETINGS. THE HOLDINGS' TREATED THIS BENEFIT AS TAXABLE COMPENSATION AND THIS AMOUNT IS REPORTED IN FORM 990, PART VII, COLUMN (E). THESE SPOUSAL TRAVEL PAYMENTS WERE NOT MADE BY HOLDINGS ITSELF, BUT BY A RELATED ORGANIZATION. THE IMPACTED INDIVIDUALS ARE IDENTIFIABLE IN FORM 990, PART VII. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO ITS BYLAWS, 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 HOLDINGS' 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, LEASE, EXCHANGE, PLEDGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS IN EXCESS OF $100,000; 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 NOT 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 SOLIS MAMMOGRAPHY SERIVCES LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 873583090 MAMMOGRAPHY 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