Civic Intelligence

St Clare'S Foundation

990 • Fiscal year 2016 • EIN 22-2502997

Jul 01, 2015 to Jun 30, 2016 • Filed on May 03, 2017

198 Inverness Drive WestEnglewood, CO 80112

(303) 298-9100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

68th percentile

0.28x

Higher debt load relative to assets than 68% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

100th percentile

36.36x

Higher debt load relative to revenue than 100% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

1st percentile

-5510%

Higher net margin than 1% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

100th percentile

$1,512,919

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 5092.5% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

3rd percentile

-34%

Faster asset growth than 3% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

2nd percentile

-80%

Faster revenue growth than 2% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Flat

$3,809,849

Flat from 2016

Net Assets

Flat

$2,729,563

Flat from 2016

Liabilities

Flat

$1,080,286

Flat from 2016

Revenue

Flat

$29,709

Flat from 2016

Expenses

Flat

$1,666,589

Flat from 2016

Net Income

Flat

-$1,636,880

Flat from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$15M$10M$5.0M$0Assets 2011: $16,655,226Liabilities 2011: $1,817,402Net Assets 2011: $14,837,8242011Assets 2012: $13,715,611Liabilities 2012: $1,812,976Net Assets 2012: $11,902,6352012Assets 2013: $6,665,031Liabilities 2013: $798,188Net Assets 2013: $5,866,8432013Assets 2014: $6,621,291Liabilities 2014: $1,077,965Net Assets 2014: $5,543,3262014Assets 2015: $5,745,968Liabilities 2015: $1,204,080Net Assets 2015: $4,541,8882015Assets 2016: $3,809,849Liabilities 2016: $1,080,286Net Assets 2016: $2,729,5632016Assets 2016: $3,809,849Liabilities 2016: $1,080,286Net Assets 2016: $2,729,5632016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $1Liabilities 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2016

Assets$3,809,849
Liabilities$1,080,286
Net Assets$2,729,563

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2011: $2,287,1132011Expenses 2012: $1,897,0582012Expenses 2013: $7,676,8722013Revenue 2014: $672,783Expenses 2014: $997,182Net Income 2014: -$324,3992014Revenue 2015: $146,647Expenses 2015: $1,146,932Net Income 2015: -$1,000,2852015Revenue 2016: $29,709Expenses 2016: $1,666,589Net Income 2016: -$1,636,8802016Revenue 2016: $29,709Expenses 2016: $1,666,589Net Income 2016: -$1,636,8802016Revenue 2017: $25,082Expenses 2017: $3,232,805Net Income 2017: -$3,207,7232017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2016

Revenue$29,709
Expenses$1,666,589
Net Income-$1,636,880
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 3, 2017
Return Version
2015v3.0
Gross Receipts
$29,709
Mission and Program Overview

Mission

The mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.

ST. CLARE'S FOUNDATION raises funds FOR AND ISSUES GRANTS TO SAINT CLARE'S HOSPITAL AND ITS AFFILIATES FOR CAPITAL ACQUISITIONS AND HEALTH CARE PROGRAMS.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$4,763,402$2,828,372▼ $1,935,030
Land, Buildings, and Equipment, Net$940,000$940,000→ $0
Pledges and Grants Receivable$24,011$0▼ $24,011
Prepaid Expenses and Deferred Charges$626$5,620▲ $4,994
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Total Assets$5,745,968$3,809,849▼ $1,936,119
Other Assets Total$17,929$35,857▲ $17,928
Liabilities
Other Liabilities$1,183,907$1,070,750▼ $113,157
Accounts Payable and Accrued Expenses$20,173$9,536▼ $10,637
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,204,080$1,080,286▼ $123,794
Net Assets / Fund Balance
Temporarily Rstr Net Assets$2,105,647$1,635,518▼ $470,129
Permanently Rstr Net Assets$1,982,489$971,974▼ $1,010,515
Unrestricted Net Assets$453,752$122,071▼ $331,681
Total Net Assets Fund Balance$4,541,888$2,729,563▼ $1,812,325
Total Liabilities and Net Assets / Fund Balance$5,745,968$3,809,849▼ $1,936,119

Asset Categories

AssetBook ValueDepreciationBasis
Land$940,000-$940,000
Equipment$0$27,029$27,029
Buildings$0$0$0
Other Land Buildings$0$0$0
Leasehold Improvements$0$0$0

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$1,982,489--$10,515$971,974
2014$1,982,489$0→ $0$0$1,982,489
2013$1,982,489$0→ $0$0$1,982,489
2012$1,982,489$0→ $0$0$1,982,489
2011$1,538,726$443,763▲ $20,000$20,000$1,982,489
Compensation and Service Providers

Employees

NameTitleOtherTotal
-TRUSTEE (Partial Year)$343$343

Board Members and Trustees

NameTitle
-Chair
-President
-PRESIDENT / CEO SCH (Partial Year)
-VICE CHAIR (Partial Year)
-Executive Director
-Trustee
-CFO, Sch
-SECRETARY (Partial Year)
-TREASURER (Partial Year)
Revenue and Support

Revenue Composition

Contributions and Grants
$11,871
Program Service Revenue
$0
Investment Income
$17,838
Other Revenue
$0
All Other Contributions
$11,871
Change in Net Assets
$-1,636,880
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,299,527
Other Expenses$367,062
Total Fundraising Expense$181,440
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,261,082--$1,261,082
Fees for Services Other$0$76,449$175,543$251,992
Occupancy-$47,027-$47,027
Grants to Domestic Individuals$38,445--$38,445
Office Expenses-$8,754$5,897$14,651
Other Expenses$8,080--$8,080
Payments to Affiliates-$6,235-$6,235
Information Technology-$6,105-$6,105
Fees for Services Legal-$3,867-$3,867
Insurance-$2,400-$2,400
Travel-$1,892-$1,892
Conferences and Meetings-$899-$899
Advertising-$457-$457
Total Functional Expenses$1,331,064$154,085$181,440$1,666,589
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Robert & Joan Dircks FoundationMountain Lakes, NJ501(c)(3)Program Support$1,000,000
St Clares HospitalDenville, NJ501(c)(3)Program Support$261,082
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$879,913
Charitable Gift Annuity$190,837
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A Delegate broad authority to A committee

Pursuant to Section 8.6 of the Bylaws of St. Clare's Foundation, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee, and two voting members appointed by the Board of Directors. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. The Executive Committee shall consist of only directors of the Corporation. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

TRUSTEES BRUCE BOTT AND GALE BOTT - Family relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

According to the bylaws of st. Clare's foundation, the entity's sole member is st. Clare's health services, inc., a new jersey nonprofit corporation.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

St. Clare's foundation's corporate member is saint clare's health services, inc. Pursuant to section 5.4 of the organization's bylaws, both saint clare's health services, inc. And catholic health initiatives (chi) (saint clare's health services, inc.'s sole corporate member) have reserved powers as outlined in the chi governance matrix. Pursuant to the governance matrix the following rights are held by the saint clare's health services, inc. Board: * approve members of st clare's foundation's board * amendment of the corporate documents of st. Clare's foundation * adoption of long range and strategic plans for st clare's foundation the following rights are reserved to the chi board directly or through powers delegated to the chi chief executive officer: * substantial change in the mission or philosophy of st. Clare's foundation * removal of a member of the governing body of st. Clare's foundation * approval of issuance of debt by st. Clare's foundation * approval of participation of st. Clare's foundation in a joint venture * approval of formation of a new corporation by st. Clare's foundation * approval of a merger involving st. Clare's foundation * approval of the sale of all or substantially all of the assets of st. Clare's foundation * to require the transfer of assets by st. Clare's foundation to chi to accomplish chi's goals and objectives, and to satisfy chi debts. Pursuant to section 5.5.2 of the organization's bylaws, saint clare's health services, inc. Or chi may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and its president and the chief executive officer of the organization, recommend such other or different actions as it deems appropriate.

Form 990, Part VI, Line 11B Review of form 990 by governing body

No review was or will be conducted.

Form 990, Part VI, Line 12C Conflict of interest policy

Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents and conflict of interest policy are available upon request. In addition, the governing documents are available from the new jersey secretary of state. The organization's financial statements are included in catholic health initiatives' consolidated audited financial statements that are available at www.catholichealthinit.org or at www.dacbond.org.

Form 990, Part VII, Section A COMPENSATION OF INTERIM CFO

Dianne halford was an interim cfo for saint clare's hospital and was paid by fti consulting. Catholic health initiatives (chi), the parent company to saint clare's health services, inc., paid fti consulting for dianne halford's services and for several other interim positions throughout the organization's health care system. Therefore, dianne halford shows $0 reportable compensation from the filing organization and from any related organization as she was paid directly by fti consulting.

Form 990, Part VI, Line 15A Process Used to Establish Compensation of Top Management Official

The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable.

Form 990, Part VI, Line 15B Process Used to Establish Compensation of Other Officers/key Employees

During the tax year ended 6/30/2016, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as N/A.

Filing and Contact Details

Filer

Filer Name
St Clare's Foundation
EIN
22-2502997
Phone
3032989100
Address
198 Inverness Drive West, Englewood, CO 80112

Signing Officer

Name
Jon Timmis
Title
President
Signed
2017-05-03
Discuss with paid preparer
Yes

Organization Details

Formed
1983
Legal Domicile
Nj
Voting Board Members
13
Independent Board Members
11
Employees
0
Volunteers
86

Preparer

Firm
Catholic Health Initiatives
Address
198 Inverness Drive West, Englewood, CO 80112
Preparer
Pamela Krohn
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Other Fees for Services - Total Expense: 251992, Program Service Expense: 0, Management and General Expenses: 76449, Fundraising Expenses: 175543;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Unrealized losses - -39309; Transfer to Affiliate - -136136;

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

The organization's permanent endowment fund is used for hospital needs, religious purposes, and scholarships for students in the health care field.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

St. Clare's Foundation financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2016, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2MICHAEL COHEN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3LESLIE HIRSCH
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4BASIL O'CONNOR
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5SUSAN BANKS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6GALE BOTT
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7PATRICIA DREYFUSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8DAVID FELDMAN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9DONITA JUDGE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10ANN MCMANUS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11GEOFFREY MILLINGTON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12MARK PARRINGTON
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13OWEN RANKIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14SR FRANCES RENN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15NORMAN SANAGUSTIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16JOHN SULLIVAN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17KATE TIEDEMANN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18JEFFREY LAMIE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19JONATHAN TIMMIS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20Dianne Halford
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IRS990/MissionDesc0The mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.
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