2021-10-12T16:44:32-05:00 2020-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2020-01-01 870387205 CHILDREN'S MIRACLE NETWORK CHIL 8012147400 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 FRANCES FU CHIEF FINANCIAL OFFICER 8012147400 2021-07-27 1 FRANCES FU 999009999 KIM HUNWARDSEN CPA P00484560 6122536500 2021-07-27 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHILDREN'S MIRACLE NETWORK HOSPITALS TERI NESTEL 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 52072065 0 X WWW.CHILDRENSMIRACLENETWORKHOSPITALS.ORG X 1982 UT CHILDREN'S MIRACLE NETWORK (D/B/A "CHILDREN'S MIRACLE NETWORK HOSPITALS") WORKS TO SAVE KIDS' LIVES BY RAISING FUNDS AND AWARENESS FOR CHILDREN'S HOSPITALS ACROSS NORTH AMERICA. 26 26 207 50 0 0 10691584 9273874 35492455 34182467 2061914 667704 1213684 873861 49459637 44997906 0 0 0 0 21192108 20241920 0 0 1765903 22634310 15838297 43826418 36080217 5633219 8917689 133724400 131851810 95568952 82111859 38155448 49739951 X CHILDREN'S MIRACLE NETWORK (D/B/A "CHILDREN'S MIRACLE NETWORK HOSPITALS") WORKS TO SAVE KIDS' LIVES BY RAISING FUNDS AND AWARENESS FOR CHILDREN'S HOSPITALS ACROSS NORTH AMERICA. 0 0 24639980 29196223 FUNDS RAISED THROUGH CHILDREN'S MIRACLE NETWORK HOSPITALS CAMPAIGNS AND PROGRAMS ARE UNUSUAL FOR TWO KEY REASONS:1. FUNDS STAY IN THE COMMUNITY WHERE THEY ARE DONATED; AND2. HOSPITALS ASSESS THEIR CURRENT AND FUTURE NEEDS TO DETERMINE THE BEST ALLOCATION OF FUNDS. FUNDS ARE MOST COMMONLY USED FOR EQUIPMENT PURCHASES, RESEARCH, CHARITABLE CARE, EDUCATION, AND PATIENT CARE.CHILDREN'S MIRACLE NETWORK HOSPITALS' DONATION STRUCTURE PROVIDES CONTRIBUTORS WITH THE ASSURANCE THEIR DONATIONS HELP KIDS IN THE LOCAL COMMUNITY FOR THE MOST PRESSING NEEDS.IN 2020, THE COMBINED EFFORTS OF CHILDREN'S MIRACLE NETWORK HOSPITALS AND ITS PARTNERS RAISED MORE THAN $370 MILLION TO HELP KIDS WHO RECEIVE CARE AT MEMBER HOSPITALS. CHILDREN'S MIRACLE NETWORK HOSPITALS DONATIONS ARE DISTRIBUTED AS DISCRETIONARY FUNDS TO EACH HOSPITAL, ALLOWING THEM TO ADDRESS THE MOST CRITICAL CHILDREN'S HEALTHCARE NEEDS IN THEIR RESPECTIVE COMMUNITIES.EACH YEAR, THE 170 MEMBER HOSPITALS OF CHILDREN'S MIRACLE NETWORK HOSPITALS PROVIDE MEDICAL CARE TO MORE THAN 10 MILLION CHILDREN THROUGH MORE THAN 32 MILLION PATIENT VISITS FOR CANCER, HEART PROBLEMS, BIRTH DEFECTS, CYSTIC FIBROSIS, DIABETES, MUSCULAR DYSTROPHY AND MANY OTHERSERIOUS ILLNESSES AND INJURIES.THE LIST OF WHAT CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS HAVE PURCHASED IS EXHAUSTIVE; THE FOLLOWING EXAMPLES ARE JUST A FEW WAYS DONATIONS HAVE MADE AN IMPACT IN COMMUNITIES ACROSS NORTH AMERICA:FROM PREMATURE INFANTS TO GROWING TEENAGERS, CHILDREN'S HOSPITALS PROVIDE THE VAST MAJORITY OF HIGHLY SPECIALIZED CARE FOR CHILDREN WITH COMPLEX AND RARE CONDITIONS, IN ADDITION TO ROUTINE AND EMERGENCY CASES. IN 2020, CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS HELPED PROVIDE THE FOLLOWING FOR CHILDREN'S HOSPITALS ACROSS NORTH AMERICA:ADVANCEMENT SERVICES: CHILDREN'S MIRACLE NETWORK HOSPTIALS RAISED $92,517,245 TO SUPPORT THINGS LIKE CONSTRUCTION AND CAPTIAL EXPENDITURES TO ENSURE CHILDREN'S HOSPITALS HAVE WHAT THEY NEED TO ENSURE CHILDREN HAVE THE BEST CARE IN THE FUTURE.CHARITABLE CARE: $62,911,726 WAS RAISED TO SUPPORT CHARITY CARE FOR CHILDREN AND FAMILIES WHEN THEY NEED IT MOST. EDUCATION: CHILDREN'S MIRACLE NETWORK HOSPITALS RAISED $22,204,139 TO SUPPORT CHILDREN'S HOSPITALS' EDUCATION INITIATIVES RANGING FROM CAR SEAT SAFETY CLASSES TO CHILDREN'S HOSPITALS' HEALTH AND WELLNESS INITIATIVES.EQUIPMENT: EQUIPMENT AT CHILDREN'S HOSPITALS MUST BE CUSTOMIZED TO EVERY CHILD'S SIZE AND AGE, GREATLY MULTIPLYING THE EXPENSES INCURRED AT CHILDREN'S HOSPITALS. IN 2020, CHILDREN'S MIRACLE NETWORK HOSPITALS RAISED $55,510,347 TO SUPPORT AND FUND EQUIPMENT NEEDS AT CHILDREN'S HOSPITALS ACROSS NORTH AMERICA.PATIENT SERVICES: THE QUALITY CARE THAT PATIENT'S RECEIVE AT CHILDREN'S HOSPITALS IS KEY TO SUCCESSFUL OUTCOMES. SERVICES LIKE CHILD LIFE ARE COMPLETELY DEPENDENT ON PHILANTHROPY AND ARE CRITICAL TO A CHILDREN'S HOSPITAL. IN 2020, CHILDREN'S MIRACLE NETWORK HOSPITALS RAISED $92,517,245 TO SUPPORT PATIENT CARE.RESEARCH: CHILDREN'S HOSPITALS ARE CHANGING THE FUTURE OF PEDIATRIC HEALTHCARE. WITH RESEARCH THEY ARE IMPROVING OUTCOMES AND TREATMENTS FOR PATIENTS REGULARLY. LAST YEAR, CHILDREN'S MIRACLE NETWORK HOSPITALS RAISED $44,408,277 TO SUPPORT RESEARCH EFFORTS AT CHILDREN'S HOSPITALS ACROSS NORTH AMERICA. 5233067 5289960 CHILDREN'S MIRACLE NETWORK HOSPITALS HAS CULTIVATED RELATIONSHIPS AND PARTNERED WITH A WIDE RANGE OF NATIONAL CORPORATE AND MEDIA PARTNERS TO CREATE AWARENESS OF THE NEEDS OF CHILDREN'S HOSPITALS AND PUBLIC EDUCATION PROGRAMS. NATIONAL PUBLIC AWARENESS IS GENERATED THROUGH RADIO, ONLINE, SOCIAL MEDIA AND TELEVISION PROGRAMMING, OFTEN FOCUSING ON THE STORIES OF CHILDREN AND THEIR FAMILIES WHO HAVE EXPERIENCED SERIOUS ILLNESSES OR INJURIES AND WERE CARED FOR AT A LOCAL CHILDREN'S HOSPITAL.KEY CHILDREN'S MIRACLE NETWORK HOSPITAL PUBLIC EDUCATION AND AWARENESS CAMPAIGNS IN 2020 INCLUDE:-CHILDREN'S MIRACLE NETWORK HOSPITALS TELETHONS;-CHILDREN'S MIRACLE NETWORK HOSPITALS RADIOTHONS;-CHILDREN'S MIRACLE NETWORK HOSPITALS CHAMPIONS PROGRAM, WHERE ONE CHILD FROM EACH HOSPITAL IS SELECTED TO SERVE AS AN AMBASSADOR, REPRESENTING THEIR HOSPITAL AND SHARING THE IMPORTANT WORK OF CHILDREN'S HOSPITALS; AND-LOCAL MEDIA PUBLIC SERVICE ANNOUNCEMENTS FEATURING PATIENTS TREATED AT CHILDREN'S HOSPTIALS CHILDREN HELPED IN 2020MORE THAN 10 MILLION KIDS ARE TREATED AT MEMBER HOSPITALS EVERY YEAR. A FEW EXAMPLES OF PATIENTS WHO HAVE BENEFITED FROM CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS:ALEXISALEXIS WAS JUST 10 YEARS OLD WHEN SHE WAS HIT BY A CAR RIDING HER BIKE NEAR HER HOME. AFTER BEING RUSHED TO AN ACUTE CARE HOSPITAL, ALEXIS UNDERWENT SEVEN HOURS OF SURGERY. SHE SUFFERED A TRAUMATIC BRAIN INJURY, A FRACTURE OF HER C7 VERTEBRATE, A BROKEN LEG, A RUPTURED SPLEEN AND SHE NEEDED MULTIPLE SKIN GRAFTS. WHEN ALEXIS FIRST ARRIVED AT HER CHILDREN'S HOSPITAL, SHE WAS IN SO MUCH PAIN THAT SHE COULDN'T STAND TO BE TOUCHED. SHE ALSO HAD TO LEARN TO WALK AGAIN. ALEXIS BEGAN INTENSIVE THERAPIES INCLUDING COGNITIVE, OCCUPATIONAL AND PHYSICAL THERAPY. NOW A TEENAGER, ALEXIS IS AN ACCOMPLISHED PERFORMER, HAVING PERFORMED OFF-BROADWAY. SHE IS PROUD OF HER SCARS AND USES HER VOICE AND STORY TO ADVOCATE FOR OTHER KIDS. EVANEVAN IS NO STRANGER TO HIS CHILDREN'S HOSPITAL. WHEN HIS MOTHER WAS 20 WEEKS INTO HER PREGNANCY, PHYSICIANS DIAGNOSED HIM WITH SPINA BIFIDA, A DEFECT EFFECTING THE SPINAL COLUMN, WHICH OCCURS WHEN THE SPINE AND THE SPINAL CORD DON'T FORM PROPERLY. ONCE EVAN WAS BORN, HE WAS RUSHED TO HIS LOCAL CHILDREN'S HOSPITAL FOR A LIFE-SAVING SURGERY CLOSING A HOLE IN HIS BACK. FOR THE FIRST FEW YEARS OF HIS LIFE, EVAN WOULD HAVE MULTIPLE SURGERIES INCLUDING A SURGERY TO PROVIDE HIM WITH A TRACH AND A FEEDING TUBE AFTER HE HAD TROUBLE SWALLOWING. THANKS TO DONATIONS, EVAN LOVES EXPLORING THE WORLD AROUND HIM. HE'S AN ACTIVE BOY WHO WALKS, SWIMS, LOVES TO FISH, CANOE AND HE PLAYS BASEBALL FOR THE MIRACLE LEAGUE, AN INCLUSIVE SPORTS LEAGUE IN ARKANSAS. WITH NEARLY A DECADE WORTH OF VISITS TO HIS CHILDREN'S HOSPITAL, EVAN AND HIS FAMILY ARE THANKFUL TO RECEIVE CARE CLOSE TO HOME NOW THAT DONATIONS HAVE HELPED SUPPORT A NEW, ADDITIONAL CHILDREN'S HOSPITAL LOCATION EVEN CLOSER TO HOME. NOAHSIX-YEAR-OLD NOAH FINISHED BIBLE STUDY AT HIS NASHVILLE CHURCH AND ASKED TO PLAY SOCCER OUTSIDE WITH HIS FRIENDS BEFORE HEADING HOME. AS NOAH'S MOM,RUFTA, SAID GOODBYE TO FRIENDS, NOAH REACHED INSIDE A BUSH TO RETRIEVE THE SOCCER BALL AND TOUCHED A LIVE ELECTRICAL WIRE. ONE SECOND, ONE TOUCH, AND LIVES FOREVER CHANGED. NOAH RECEIVED LIFE-THREATENING ELECTRICAL BURNS OVER MUCH OF HIS BODY. NOAH'S FRIENDS ALL STARTED SCREAMING,"FIRE, FIRE,"BUT THERE WAS NO FIRE. NOAH'S MOM BEGAN CPR, DURING WHICH SHE PULLED MELTED WIRE OUT OF HIS MOUTH. NOAH'S MOM, HER FRIEND, AND ANOTHER CHURCH MEMBER TOOK TURNS PERFORMING CPR, AND FINALLY GOT A FAINT PULSE. THE PARAMEDICS ARRIVED QUICKLY AND TRIED TO STABILIZE NOAH BEFORE TRANSPORTING HIM TO HIS LOCAL CHILDREN'S HOSPITAL. NOAH'S MOM HAD HIS SHOES. THEY HAD MELTED. EVERYTHING SMELLED LIKE BURNED WIRE. THE PEDIATRIC EMERGENCY DEPARTMENT TEAM QUICKLY DETERMINED THAT NOAH WAS BURNED OVER 40% OF HIS BODY, PARTICULARLY HIS RIGHT ARM AND HAND, THE BACK OF HIS HEAD AND THE ENTIRE BACK OF HIS BODY. IT WAS THE WORST ELECTRICAL BURN THEY HAD SEEN. NOAH'S BURNS WERE SEVERE ENOUGH TO REQUIRE AMPUTATION OF HIS RIGHT ARM WHILE HE WAS IN THE PEDIATRIC INTENSIVE CARE UNIT (PICU). THE BURNS TO HIS HEAD REQUIRED THE REMOVAL OF DEAD TISSUE INCLUDING HIS SCALP AND SKULL BONE. IT WAS ABOUT A WEEK BEFORE NOAH WAS STABILIZED IN THE PICU. AFTER ONE MONTH IN THE PICU, HE WAS TRANSFERRED TO THE BURN STEPDOWN UNIT WHERE HE STAYED FOR MORE THAN THREE MONTHS. NOAH'S TOTAL HOSPITAL STAY WAS 145 DAYS, JUST SHY OF FIVE MONTHS. PEOPLE WITH SEVERE BURNS MAY REQUIRE A LIFETIME OF PROCEDURES AND PHYSICAL THERAPY. NOAH REQUIRED ABOUT 15 SKIN GRAFTS. TODAY, NOAH HAS A PROSTHETIC ARM, LOVES HIS DOGS, MUSIC, SUPERHEROES AND PLAYING GAMES. HE ALSO HAS ECLECTIC TASTE IN FOOD, AND HE LOVES SUSHI AND ETHIOPIAN FOOD.ABOUT THE NETWORKAS AN UMBRELLA ORGANIZATION FOR 170 CHILDREN'S HOSPITALS, CHILDREN'S MIRACLE NETWORK HOSPITALS PROVIDES COMPREHENSIVE EDUCATION, SUPPORT, INFORMATION AND RESOURCES TO ITS NETWORK FOR RAISING FUNDS, CREATING AWARENESS AND PUBLIC EDUCATION PROGRAMS FOR CHILDREN'S HEALTHCARE NEEDS AND THE IMPORTANT WORK OF THE HOSPITALS CARING FOR THEM. TO JOIN THE NETWORK, A HOSPITAL SIGNS A MEMBERSHIP AGREEMENT AND IS PROVIDED WITH AN ANNUAL EDUCATION CONFERENCE; REGIONAL CONFERENCES, MONTHLY NATIONAL CONFERENCE CALLS; ONLINE EDUCATION, INFORMATION AND NETWORKING TOOLS; PUBLICATIONS, TRAINING AND PROGRAM CONTENT FOR RADIO AND TELEVISION SPONSORS; AND TRAINING SUPPORT FOR AFFILIATES IN NATIONAL PROGRAMS AS APPROPRIATE AND NECESSARY TO ACHIEVE THE ORGANIZATION'S PURPOSES. 29873047 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 74 0 1 207 1 1 1 1 CA 0 0 0 1 1 0 0 0 0 1 0 X 26 26 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AZ AR CA CO CT DC FL GA HI IL KS KY LA MD MA MI MN MS MO ME ND NC NY NM NJ NH OH OR OK TN UT VA WA WV WI NV RI PR PA SC X X BURKE BESS 8012147400 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 NANA MENSAH CHAIRMAN OF THE BOARD 2.00 X 0 0 0 JOHN BOZARD PAST CHAIR 2.00 X 0 0 0 RICK MERRILL VICE CHAIR 2.00 X 0 0 0 BARBARA JOERS TREASURER 2.00 X 0 0 0 KIMBERLY CRIPE SECRETARY 2.00 X 0 0 0 MICHAEL MISCHLER BOARD MEMBER 2.00 X 0 0 0 JOHN BEL BOARD MEMBER 2.00 X 0 0 0 JENNY MEYER BOARD MEMBER 2.00 X 0 0 0 BARBARA NICKLAUS BOARD MEMBER 2.00 X 0 0 0 STEVE RUM CHAIR 2.00 X 0 0 0 KARISA SPRAGUE BOARD MEMBER 2.00 X 0 0 0 STEVE WEISZ BOARD MEMBER 2.00 X 0 0 0 ANDREA THOMAS BOARD MEMBER 2.00 X 0 0 0 PEARL VEENEMA BOARD MEMBER 2.00 X 0 0 0 MARIE OSMOND BOARD MEMBER 2.00 X 0 0 0 SUSAN DOLINER BOARD MEMBER 2.00 X 0 0 0 BRETT HUTCHENS BOARD MEMBER 2.00 X 0 0 0 GREG KENNEDY BOARD MEMBER 2.00 X 0 0 0 GLENN PLUMBY BOARD MEMBER 2.00 X 0 0 0 RON FRIESON BOARD MEMBER 2.00 X 0 0 0 PHILIP SALERNO III BOARD MEMBER 2.00 X 0 0 0 GRANT STIRLING BOARD MEMBER 2.00 X 0 0 0 GLENDA FLEMING WILLIS BOARD MEMBER 2.00 X 0 0 0 BILL CHENEY BOARD MEMBER 2.00 X 0 0 0 KANE CALAMARI BOARD MEMBER 2.00 X 0 0 0 ELIAS NEUJAHR BOARD MEMBER 2.00 X 0 0 0 JOHN LAUCK PRESIDENT & CEO (THROUGH FEBRUARY 7) 45.00 X 1002011 0 56245 CRAIG SORENSEN CHIEF CONTENT OFFICER 45.00 X 500127 0 51174 TERI NESTEL PRESIDENT & CEO (AS OF SEPTEMBER 11) 45.00 X 508869 0 76138 CLARK SWEAT CHIEF OPERATIONS OFFICER 45.00 X 399765 0 81788 STEVE OSHIN CHIEF NEW BUSINESS OFFICER 45.00 X 402317 0 42557 MAUREEN CARLSON CHIEF PROGRAM OFFICER 45.00 X 198378 0 37643 ANTHONY REHMER SVP INFORMATION SERVICES 40.00 X 200494 0 68557 JENNI DEBARTOLO SVP HUMAN RESOURCES 40.00 X 197227 0 65793 WALLACE EDWARDS SVP FIELD OPERATIONS 40.00 X 191923 0 24552 SHIRLEY ROGERS SVP DIVERSITY & INCLUSION 40.00 X 204705 0 49696 PETER REIS SENIOR DIRECTOR NEW BUSINESS DEVELOPMENT 40.00 X 187116 0 50184 CHAD PHILLIPS VICE PRESIDENT, PROGRAMS II 40.00 X 183794 0 40947 4176726 0 645274 43 0 1 0 GLOBAL CLOUD LTD 30 WEST 3RD STREET CINCINNATI OH 452023559 PEER-TO-PEER FUNDRAISING SOFTWARE 1410366 CALMARK INC PO BOX 87618 CHICAGO IL 606800618 MAILING SERVICES 941732 CALMARK GROUP LLC PO BOX 767 BEDFORD PARK IL 80499 MAILING SERVICES 459938 NICASOURCE LLC 2 C OESTE 25 VRS SUR MANAGUA NU 14236 BUILD AND MAINTAIN SOFTWARE APPLICATIONS 362589 DELL MARKETING LP PO BOX 534118 ATLANTA GA 30353 SYSTEM SERVICE TAGS AND TRAINING 349703 12 9273874 57263 9273874 HOSPITAL FEES 813219 29196223 29196223 DIRECT MAIL FEES 541860 4715657 4715657 REGISTRATION FEES 900099 270587 270587 34182467 983343 983343 570145 570145 6754975 3545 7074159 0 -319184 3545 -315639 -315639 ANCILLARY REVENUE 900099 262795 262795 FOREIGN CURRENCY EXCHANGE GAIN 900099 40921 40921 303716 44997906 34486183 0 1237849 3626064 3054189 310408 261467 382960 323001 32752 27207 11175178 8860954 1762166 552058 1956508 1563211 291396 101901 2103148 1688049 301513 113586 998062 803340 139942 54780 103675 87643 9440 6592 99065 83746 9020 6299 95202 80481 8668 6053 1163624 983684 105952 73988 1574244 1350234 161970 62040 530184 428582 72251 29351 234881 197043 24772 13066 282722 107226 170055 5441 948864 843715 68062 37087 17392 14647 1497 1248 423228 361953 36083 25192 100393 85953 8553 5887 CONTRACT SERVICES 4612117 3610993 743393 257731 PROGRAM SUPPORT 2407839 2407839 BANK AND DONATION PROCE 1811103 1531041 164906 115156 CORPORATE CAMPAIGN 1246247 1246247 187517 159276 18468 9773 36080217 29873047 4441267 1765903 30415091 37144903 66290604 54944310 2336590 1582153 3706330 4185468 202394 1029438 12113016 5227954 6958585 6885062 23814806 26080476 133724400 131851810 6255092 2157364 23023256 22568485 66290604 54944310 2441700 95568952 82111859 X 31495416 42777224 6660032 6962727 38155448 49739951 133724400 131851810 8917689 2666814 0 X 0 1 X 1 0 X 6642541 7670293 9767446 10691584 9273874 44045738 38365540 36336150 35939675 36123287 34445262 181209914 45008081 44006443 45707121 46814871 43719136 225255652 3063565 1921148 4622538 4591457 4341240 18539948 1866522 2375214 2353894 2015099 2504026 11114755 4930087 4296362 6976432 6606556 6845266 29654703 195600949 586470 991624 1799525 2576409 1553488 7507516 586470 991624 1799525 2576409 1553488 7507516 18679 14418 35932 3749 72778 45613230 45012485 47542578 49395029 45272624 232835946 0.84010 0.86330 0.03220 0.02760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6032106 940613 6972719 5008411 1023695 6032106 5408969 -400558 5008411 4705485 703484 5408969 4442600 262885 4705485 0.27287 0.33663 0.39050 0 0 1912889 1912889 7333966 2756831 4577135 2866161 2471123 395038 6885062 X 47569518 2666814 2666814 44902704 95202 95202 44997906 35985015 0 35985015 95202 95202 36080217 PART IV, LINE 2B: CHILDREN'S MIRACLE NETWORK HOSPITALS DEVELOPS RELATIONSHIPS AT THE NATIONAL OR HEADQUARTERS LEVEL OF BUSINESS AND ORGANIZATIONS INTERESTED IN SUPPORTING HOSPITALS FOR CHILDREN. WE BUILD RELATIONSHIPS WITHIN THESE COMMUNITITES BY CONDUCTING AWARENESS ACTIVITIES AND PUBLIC EDUCATION PROGRAMS CONCERNING CHILDREN'S HOSPITALS. WE ALSO DEVELOP FUNDRAISING INITIATIVES THAT ARE INTRODUCED AT THE NATIONAL LEVEL OF THE COMPANY OR GROUP, AND THEN CARRIED OUT THROUGH THE LOCAL STORE OR CLUB LEVEL. MEMBER HOSPITAL REPRESENTATIVES CARRY OUT PUBLIC EDUCATION PROGRAMS AND SUPPORT THE FUNDRAISING AT A LOCAL LEVEL. FUNDS FROM THESE ACTIVITIES ARE SOMETIMES GIVEN DIRECTLY TO THE LOCAL MEMBER HOSPITAL, AND SOMETIMES THE FUNDS ARE GIVEN TO CHILDREN'S MIRACLE NETWORK HOSPITALS ON BEHALF OF THE MEMBER HOSPITALS. WHEN THE FUNDS ARE GIVEN TO THE CHILDREN'S MIRACLE NETWORK HOSPITALS, THEY ARE HELD IN A SEPARATE ACCOUNT UNTIL DISTRIBUTION AND ARE NOT REPORTED AS REVENUE. FUNDS ARE RECEIVED THROUGHOUT THE YEAR AND ARE REMITTED ON A QUARTERLY BASIS TO THE HOSPITALS, WHICH HAVE ALSO BEEN DETERMINED TO BE AN ORGANIZATION RECOGNIZED AS EXEMPT BY THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUND IS TO PROVIDE A PERMANENT SOURCE OF FUNDING FOR THE CREATION, DEVELOPMENT AND EXECUTION OF THE PROGRAMS, CAMPAIGNS, ACTIVITIES AND OPERATIONS OF CHILDREN'S MIRACLE NETWORK. PART X, LINE 2: THE ORGANIZATION IS ORGANIZED AS A UTAH NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3), THAT QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION. THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. CHILDREN'S MIRACLE NETWORK HOSPITALS BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 X X X X X X 1 1 0 0 0 0 0 1 0 JOHN LAUCK PRESIDENT & CEO (THROUGH FEBRUARY 7) 104374 0 168556 0 729081 0 50653 0 5592 0 1058256 0 0 0 TERI NESTEL PRESIDENT & CEO (AS OF SEPTEMBER 11) 436191 0 72588 0 90 0 52725 0 23413 0 585007 0 0 0 CRAIG SORENSEN CHIEF CONTENT OFFICER 426832 0 73295 0 0 0 35729 0 15444 0 551300 0 0 0 CLARK SWEAT CHIEF OPERATIONS OFFICER 315944 0 78437 0 5384 0 52725 0 29063 0 481553 0 0 0 STEVE OSHIN CHIEF NEW BUSINESS OFFICER 344753 0 55402 0 2162 0 27178 0 15379 0 444874 0 0 0 ANTHONY REHMER SVP INFORMATION SERVICES 175196 0 25298 0 0 0 38621 0 29936 0 269051 0 0 0 JENNI DEBARTOLO SVP HUMAN RESOURCES 172141 0 25086 0 0 0 38595 0 27198 0 263020 0 0 0 SHIRLEY ROGERS SVP DIVERSITY & INCLUSION 181319 0 23386 0 0 0 38221 0 11475 0 254401 0 0 0 PETER REIS SENIOR DIRECTOR NEW BUSINESS DEVELOP 166075 0 21041 0 0 0 27448 0 22736 0 237300 0 0 0 MAUREEN CARLSON CHIEF PROGRAM OFFICER 198378 0 0 0 0 0 36738 0 905 0 236021 0 0 0 CHAD PHILLIPS VICE PRESIDENT, PROGRAMS II 161674 0 22120 0 0 0 13847 0 27100 0 224741 0 0 0 WALLACE EDWARDS SVP FIELD OPERATIONS 191423 0 500 0 0 0 13447 0 11105 0 216475 0 0 0 PART I, LINES 4A-B A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN(THE SERP) IS MAINTAINED AND ANNUAL DISCRETIONARY EMPLOYER CONTRIBUTIONS, AS DEFINED BY THE AGREEMENT, ARE MADE. CONTRIBUTIONS AND THE RELATED EARNINGS VEST ACCORDING TO THE TERMS OF THE SERP PLAN DOCUMENT BASED ON CERTAIN EVENTS. BENEFIT EXPENSE RELATED TO THE SERP FOR THE YEARS ENDED DECEMBER 31, 2020 TOTALED $15,786 FOR JOHN LAUCK. PART I, LINE 7 THE ORGANIZATION PAYS NON-FIXED PAYMENTS BASED ON A FIXED PERCENTAGE BASED UPON THE POSITION OR TITLE OF THE EMPLOYEE. THE BOARD HAS DISCRETION TO ADJUST THE PAYMENT BASED UPON THE ACHIEVEMENT OF GOALS. PART II OF THE $1,058,257 PAID TO JOHN LAUCK IN 2020, $729,081 WAS PAID TO JOHN'S BENEFICIARY FOR THE DISBURSEMENT OF HIS 457(F) PLAN, WHICH VESTED UPON HIS PASSING. KYTON SWEAT SON OF OFFICER 88906 COMPENSATION 0 KRISTEN WEISZ DAUGHTER OF BOARD MEMBER 215536 COMPENSATION 0 HOLDEN GREENE SON OF KEY EMPLOYEE 78518 COMPENSATION 0 X SKYMILES 4726242 47263 FMV X DAIRY QUEEN GIFT CARDS 2000 10000 FMV 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF GIFT CARDS AND THE NUMBER OF SKYMILES DONATED. FORM 990, PART VI, SECTION B, LINE 11B CHILDREN'S MIRACLE NETWORK'S IRS FORM 990 IS PREPARED BY A PROFESSIONAL TAX PREPARER. ONCE IT IS COMPLETE, THE DRAFT IS PRESENTED BY THE PROFESSIONAL TAX PREPARER TO THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE AUDIT & COMPLIANCE COMMITTEE CAREFULLY REVIEWS THE DOCUMENT. AN ELECTRONIC COPY OF THE IRS FORM 990 IS THEN SENT TO THE FULL BOARD. AT A MEETING OF THE FULL BOARD, THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE PROVIDES A REPORT AND RECOMMENDATION TO THE FULL BOARD TO APPROVE FILING WITH THE IRS. THE FULL BOARD OF TRUSTEES APPROVES THE FORM 990 IN ADVANCE OF ITS FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C AT THE BEGINNING OF EACH FISCAL YEAR, THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF CHILDREN'S MIRACLE NETWORK ASKS EACH BOARD MEMBER AND EMPLOYEE TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND THEN SIGN A STATEMENT CONFIMING THAT THEY ADHERE TO THE CHILDREN'S MIRACLE NETWORK POLICIES AND PROCEDURES INCLUDING AVOIDANCE OF ANY ACTS THAT ARE CONTRARY TO THE CHILDREN'S MIRACLE NETWORK EXEMPT PURPOSES OR ANY ACTS THAT CONFLICT WITH THEIR RESPONSIBILITIES AT CHILDREN'S MIRACLE NETWORK. THEY ARE ALSO ASKED TO DISCLOSE ANY CONFLICTS THAT THEY ARE AWARE OF OR ANY POTENTIAL CONFLICTS OF INTEREST. EACH STATEMENT DISCLOSING ANY CONFLICT OR POTENTIAL CONFLICT IS PRESENTED TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. EACH CONFLICT OR POTENTIAL CONFLICT IS THEN REVIEWED AND RESOLVED AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE. A REPORT IS ALSO GIVEN TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION - AN EXTENSIVE REVIEW AND ANALYSIS OF EXECUTIVE COMPENSATION WAS UNDERTAKEN BY AN OUTSIDE CONSULTING FIRM AND PRESENTED TO THE GOVERNANCE COMMITTEE OF THE CHILDREN'S MIRACLE NETWORK BOARD OF TRUSTEES IN 2020. THE NEXT REVIEW WILL BE CONDUCTED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ORGANIZATION INCLUDES ITS AUDITED FINANCIAL STATEMENTS AND FORM 990 ON ITS WEBSITE.