Civic Intelligence

Good Samaritan Community Foundation

990 • Fiscal year 2014 • EIN 86-6306490

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 02, 2015

2901 N Central Ave Suite 160Phoenix, AZ 85012

(602) 747-4000

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

1st percentile

-5822%

Higher net margin than 1% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

100th percentile

$546,602

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 3237.2% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2013 to 2014

Assets

Down

$0

Down $1 (-100%) from 2013

Net Assets

$0

No earlier filing loaded for comparison.

Liabilities

Flat

$0

Flat from 2013

Revenue

Up

$16,885

Up $77,601 (+128%) from 2013

Expenses

Up

$1,000,000

Up $1,000,000 from 2013

Net Income

Down

-$983,115

Down $922,399 (-1519%) from 2013

Historical Trend

Balance Sheet Trend

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

$1$0Assets 2010: $0Liabilities 2010: $02010Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $1Liabilities 2012: $02012Assets 2013: $1Liabilities 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.0M$500K$0-$500K-$1.0MRevenue 2010: -$27,432Expenses 2010: $0Net Income 2010: -$27,4322010Revenue 2011: -$119,223Expenses 2011: $250,000Net Income 2011: -$369,2232011Revenue 2012: $3,028Expenses 2012: $0Net Income 2012: $3,0282012Revenue 2013: -$60,716Expenses 2013: $0Net Income 2013: -$60,7162013Revenue 2014: $16,885Expenses 2014: $1,000,000Net Income 2014: -$983,1152014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015

Highlighted filing

2014

Revenue$16,885
Expenses$1,000,000
Net Income-$983,115
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 2, 2015
Return Version
2014v5.0
Gross Receipts
$16,885
Mission and Program Overview

Mission

Support the charitable beneficiary, banner health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Other Assets Total$0$0→ $0
Total Assets$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Andrea Kramer PetersenTrustee
David KaubischTrustee
Patricia BlockTrustee (thru 3/7/14)

Highest Paid Contractors

ContractorServicesLocationCompensation
NoneNone--
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$16,885
Other Revenue
$0
Change in Net Assets
$-983,115
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,000,000
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,000,000--$1,000,000
Total Functional Expenses$1,000,000$0$0$1,000,000
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Banner Health FoundationPhoenix, AZ501(c)(3)General Support$1,000,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 and 7A

Line 6 - banner health is considered a member due to its ability as charitable beneficiary to receive a distribution of net assets upon dissolution. Line 7a - banner health, by official act of its president, may remove a banner health trustee and appoint a successor.

Form 990, Part VI, Line 11B

The 990 is reviewed by banner health's legal department, tax department, internal audit department and certain banner health officers. A meeting is held with the tax preparer and a line-by-line review is done prior to the filing of the return. The form 990 will be made available to the governing body at the next regularly scheduled board meeting after filing.

Form 990, Part VI, Line 12C

The organization follows the conflict of interest policy of its supported organization, banner health. The banner health internal audit department provides each party with a disclosure questionnaire. The internal audit department prepares a summary for the tax department. This summary is also presented to the audit committee. The tax department prepares the form 990 disclosure. This disclosure is presented to the legal department for review. Pursuant to banner's conflict of interest policy, all board members, officers and the director of audit services must disclose the existence of any financial interest that may give rise to a conflict of interest. Form 990, part vi, line 15a and 15b this organization does not compensate any officers or key employees. The compensation of the trustees is determined by a related tax-exempt organization. Form 990, part vi, lines 12a, 13, 14, and 16b this entity does not itself issue policies. All policies are adopted and enforced through banner health as charitable beneficiary.

Form 990, Part VI, Line 19

The organization's governing documents, audited financial statements, the governing documents, conflict of interest policy, and financial statements are not required to be made available to the public and therefore they are not.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Community Foundation
EIN
86-6306490
In Care Of
% DAVID BIXBY
Phone
6027474000
Address
2901 N CENTRAL AVE SUITE 160, PHOENIX, AZ 85012

Signing Officer

Name
Andrea Kramer Petersen
Title
Trustee
Signed
2015-11-02

Organization Details

Principal Officer
Andrea Kramer Petersen
Formed
2000
Legal Domicile
Az
Voting Board Members
2
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
TWO NORTH CENTRAL AVENUE STE 2300, PHOENIX, AZ 85004
Preparer
Brenda D Griesemer
Phone
6023223000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Increase in fund balance: return of capital from partnership $1,000,000 book/tax difference from partnership $ (16,885) ---------- increase in fund balance $ 983,115

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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0BANNER HEALTH FOUNDATION
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1BANNER HEALTH
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt01000000
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt01000000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0BANNER HEALTH FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0942545356
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02901 N CENTRAL AVE SUITE 160
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PHOENIX
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd085012
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THIS ENTITY DOES NOT PROVIDE GRANT FUNDING.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PART I, LINE 2
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt052390
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt186095
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2132235
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0315207
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt152262
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2328063
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt026063
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt12761
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt239326
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt027321
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt12500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt217970
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt019097
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt139935
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt229008
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ANDREA KRAMER PETERSEN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1PATRICIA BLOCK
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DAVID KAUBISCH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TRUSTEE (THRU 3/7/14)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0440078
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1183553
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2546602
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE COMPENSATION OF THE TRUSTEES IS DETERMINED BY A RELATED TAX-EXEMPT ORGANIZATION (BANNER HEALTH, THE TAX-EXEMPT SUPPORTED ORGANIZATION).
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1EXEC 457(F) - COVERED EXECUTIVES COMPENSATED BY BANNER HEALTH THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS. VESTING OCCURS UPON MEETING VESTING REQUIREMENTS (SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE) - EARLIER OF AGE 62, 5 YEARS FROM DATE OF DEPOSIT, OR RULE OF 80. TAXATION OCCURS UPON DISTRIBUTION (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUT AMOUNTS ARE TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COL B(III). DEPOSIT AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COL (C). NAME 457(F) PAYOUT EMPLOYER 457(F) DEPOSIT ANDREA KRAMER PETERSEN $ 665 $15,663 PATRICIA BLOCK $ 5,958 $ 0 DAVID KAUBISCH $11,127 $28,926
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2CASHOUT OF PAID TIME OFF PATRICIA BLOCK RECEIVED A ONE-TIME CASHOUT OF EARNED AND UNUSED PAID TIME OFF. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): PATRICIA BLOCK $16,111
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, PART II
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0true
IRS990ScheduleN/DirectorOfSuccessor2Ind0false
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc197% PARTNERSHIP INTEREST IN MSPR LLC
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02014-10-31
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt12014-09-30
IRS990ScheduleN/DispositionOfAssetsDetail/EIN0942545356
IRS990ScheduleN/DispositionOfAssetsDetail/EIN1330939328
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt01000000
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt11000000
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt1LP
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL COST
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt1LEGAL SETTLEMENT
IRS990ScheduleN/DispositionOfAssetsDetail/PersonNm0BANNER HEALTH FOUNDATION
IRS990ScheduleN/DispositionOfAssetsDetail/PersonNm1MSPR PARTNERSHIP LLLP
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt01442 N 12TH STREET
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt13105 E VERMONT AVENUE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm0PHOENIX
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm1PHOENIX
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd1AZ
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd0850062837
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd185016
IRS990ScheduleN/EmployeeOfSuccessor2Ind0false
IRS990ScheduleN/OwnerOfSuccessor2Ind0false
IRS990ScheduleN/ReceiveCompensation2Ind0false
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0IN 2001, GOOD SAMARITAN COMMUNITY FOUNDATION ("THE ORGANIZATION") RECEIVED A LIMITED PARTNERSHIP INTEREST IN MSPR PARTNERSHIP, LLLP AS A GIFT ("MSPR"). IN 2014, GSCF RECEIVED A $1,000,000 DISTRIBUTION IN EXCHANGE FOR REDEMPTION OF ITS ENTIRE 97% PARTNERSHIP INTEREST IN MSPR. UPON RECEIPT OF THE SETTLEMENT PAYMENT, THE ORGANIZATION MADE A CONTRIBUTION OF $1,000,000 TO BANNER HEALTH FOUNDATION AND IS IN THE PROCESS OF WINDING DOWN.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1THE TWO REMAINING TRUSTEES ARE BOTH EMPLOYEES OF BHF OR BH AND CONTINUED TO BE AFTER DISPOSITION OF ASSETS.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PART II, LINE 1
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE N, PART II, LINE 2
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0LINE 6 - BANNER HEALTH IS CONSIDERED A MEMBER DUE TO ITS ABILITY AS CHARITABLE BENEFICIARY TO RECEIVE A DISTRIBUTION OF NET ASSETS UPON DISSOLUTION. LINE 7A - BANNER HEALTH, BY OFFICIAL ACT OF ITS PRESIDENT, MAY REMOVE A BANNER HEALTH TRUSTEE AND APPOINT A SUCCESSOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS REVIEWED BY BANNER HEALTH'S LEGAL DEPARTMENT, TAX DEPARTMENT, INTERNAL AUDIT DEPARTMENT AND CERTAIN BANNER HEALTH OFFICERS. A MEETING IS HELD WITH THE TAX PREPARER AND A LINE-BY-LINE REVIEW IS DONE PRIOR TO THE FILING OF THE RETURN. THE FORM 990 WILL BE MADE AVAILABLE TO THE GOVERNING BODY AT THE NEXT REGULARLY SCHEDULED BOARD MEETING AFTER FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST POLICY OF ITS SUPPORTED ORGANIZATION, BANNER HEALTH. THE BANNER HEALTH INTERNAL AUDIT DEPARTMENT PROVIDES EACH PARTY WITH A DISCLOSURE QUESTIONNAIRE. THE INTERNAL AUDIT DEPARTMENT PREPARES A SUMMARY FOR THE TAX DEPARTMENT. THIS SUMMARY IS ALSO PRESENTED TO THE AUDIT COMMITTEE. THE TAX DEPARTMENT PREPARES THE FORM 990 DISCLOSURE. THIS DISCLOSURE IS PRESENTED TO THE LEGAL DEPARTMENT FOR REVIEW. PURSUANT TO BANNER'S CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, LINE 15A AND 15B THIS ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES. THE COMPENSATION OF THE TRUSTEES IS DETERMINED BY A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, LINES 12A, 13, 14, AND 16B THIS ENTITY DOES NOT ITSELF ISSUE POLICIES. ALL POLICIES ARE ADOPTED AND ENFORCED THROUGH BANNER HEALTH AS CHARITABLE BENEFICIARY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT.

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