PEDIATRIC SPINE FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: PEDIATRIC SPINE FOUNDATION (EIN 20-3169071)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-09-22
IRS object ID: 201712659349300021
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-09-22T11:04:51-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Tilly Virchow Krause LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 Market Street Suite 4500	AddressLine1Txt
City	Philadelphia	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	191037341	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	203169071	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Spine Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	4844106413	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1072	AddressLine1Txt
City	Layton	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84041	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John M Flynn	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	4844106413	PhoneNum
Signature	2017-09-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Julius C Green CPA	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	2159720701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.89.178.154	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-09-14	IPDt
IP Tm	09:01:57	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7E5DA92259E52EE03175BD1BBF8330D8873B16D3	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John M Flynn	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N MARIO CAPECCHI DRIVE	AddressLine1Txt
City	SALT LAKE CITY	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84113	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$636,374	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSSPINEFOUNDATION.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2005	FormationYr
Legal Domicile State	UT	LegalDomicileStateCd
Activity Or Mission	To help children with spine problems live longer, better lives.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$677,476	PYContributionsGrantsAmt
CY Contributions Grants	$599,248	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$51,118	PYInvestmentIncomeAmt
CY Investment Income	$37,126	CYInvestmentIncomeAmt
PY Other Revenue	$21,022	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$749,616	PYTotalRevenueAmt
CY Total Revenue	$636,374	CYTotalRevenueAmt
PY Grants And Similar Paid	$61,897	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,714	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$120,125	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$120,125	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$250	CYTotalFundraisingExpenseAmt
PY Other Expenses	$260,222	PYOtherExpensesAmt
CY Other Expenses	$293,916	CYOtherExpensesAmt
PY Total Expenses	$442,244	PYTotalExpensesAmt
CY Total Expenses	$495,755	CYTotalExpensesAmt
PY Revenues Less Expenses	$307,372	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$140,619	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,061,611	TotalAssetsBOYAmt
Total Assets EOY	$2,251,149	TotalAssetsEOYAmt
Total Liabilities BOY	$22,945	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,326	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,038,666	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,244,823	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Provide structure and funding to support education, provide family support, and conduct prospective and retrospective studies by surgeons and researchers studying complex chest wall and spine deformities in the growing child.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$456,955	ExpenseAmt
Grant	$81,714	GrantAmt
Revenue	$0	RevenueAmt
Desc	THE CHILDREN'S SPINE FOUNDATION LEADS A COMMUNITY OF INDIVIDUALS DEDICATED TO IMPROVING THE QUALITY OF CARE AND THE OUTCOME OF TREATMENT FOR YOUNG PATIENTS AND FAMILIES DEALING WITH COMPLEX SPINE DEFORMITIES. THE GROUP HAS HAD OVER 100 ARTICLES PUBLISHED IN MAJOR MEDICAL JOURNALS AND HAS PRESENTED OVER 300 STUDIES AT EXPERT MEETINGS. DURING 2016, THE FOUNDATION FOCUSED IT'S EFFORTS IN THREE AREAS. RESEARCH: THE FOUNDATION SUPPORTED MULTIPLE STUDIES ON QUALITY OF LIFE, TREATMENT, AND COMPLICATIONS IN EARLY ONSET SCOLIOSIS. EDUCATION: THE FOUNDATION HOSTED FORUMS FOR CLINICIANS TO DISCUSS BEST PRACTICES AND LATEST TREATMENTS IN COMPLEX SCOLIOSIS. THE FOUNDATION ALSO INITIATED A PROGRAM TO BRING INTERNATIONAL SURGEONS TO THE U.S. TO LEARN FROM LEADING CLINICIANS WITH THE GOAL OF IMPROVING TREATMENT ABROAD. FAMILY SUPPORT: THE FOUNDATION ASSISTED 13 FAMILIES WITHIN THE U.S. OBTAIN ACCESS TO QUALITY MEDICAL CARE.	Desc
Total Program Service Expenses	$456,955	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARAH MUMFORD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8017266512	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1438 E Gilmer Dr	AddressLine1Txt
City	Salt Lake City	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84105	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JOHN SMITH MD
DIRECTOR	3.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN M FLYNN MD
PRESIDENT	3.00	Yes (X)	Yes (X)	$0	$0	$0
RANDAL BETZ MD
DIRECTOR	3.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL VITALE MD MPH
VICE PRESIDENT	3.00	Yes (X)	Yes (X)	$0	$0	$0
RON EL-HAWARY MD
SECRETARY	3.00	Yes (X)		$0	$0	$0
STEVE SCHWARTZ
TREASURER	3.00	Yes (X)		$0	$0	$0
TRICIA ST HILAIRE
EXECUTIVE DIRECTOR	40.00		Yes (X)	$120,125	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$120,125	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$26	FederatedCampaignsAmt
All Other Contributions	$599,222	AllOtherContributionsAmt
Noncash Contributions	$4,737	NoncashContributionsAmt
Total Contributions	$599,248	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,611	TotalRevenueColumnAmt
Exclusion	$25,611	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,515	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,515	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,515	TotalRevenueColumnAmt
Exclusion	$11,515	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$636,374	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$37,126	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$69,750	TotalAmt
Program Services	$69,750	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$11,964	TotalAmt
Program Services	$11,964	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$120,125	TotalAmt
Program Services	$120,125	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$462	TotalAmt
Management And General	$462	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,790	TotalAmt
Management And General	$8,790	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$98,207	TotalAmt
Program Services	$75,040	ProgramServicesAmt
Management And General	$22,917	ManagementAndGeneralAmt
Fundraising	$250	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,275	TotalAmt
Program Services	$1,275	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,979	TotalAmt
Management And General	$4,979	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,258	TotalAmt
Program Services	$6,258	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$53,943	TotalAmt
Program Services	$53,943	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,402	TotalAmt
Management And General	$1,402	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	REGISTRY EXPENSES	Desc
Total	$118,600	TotalAmt
Program Services	$118,600	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$495,755	TotalAmt
Program Services	$456,955	ProgramServicesAmt
Management And General	$38,550	ManagementAndGeneralAmt
Fundraising	$250	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$693,648	BOYAmt
EOY	$691,094	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$390,876	BOYAmt
EOY	$190,926	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,500	BOYAmt
EOY	$97,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$969,587	BOYAmt
EOY	$1,272,129	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,061,611	BOYAmt
EOY	$2,251,149	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,945	BOYAmt
EOY	$6,326	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,945	BOYAmt
EOY	$6,326	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,038,666	BOYAmt
EOY	$2,244,823	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,038,666	BOYAmt
EOY	$2,244,823	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,061,611	BOYAmt
EOY	$2,251,149	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$140,619	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$65,538	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Medical Research Organization	Yes (X)	MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	University of Utah Health Sciences Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
City	Salt Lake City	CityNm
State Abbreviation	UT	StateAbbreviationCd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Seattle Children's Hospital Foundation
PO Box 5371 MS RC-507	Seattle	WA	98115	911156519	501(C)(3)	$5,100	research project support
Beth Israel Deaconness Medical Center
330 Brookline Ave	Boston	MA	02215	042103881	501(C)(3)	$46,561	research project support
The Trustees of Columbia University
615 WEST 131ST STREET MC 8741	NEW YORK	NY	10027	135598093	501(C)(3)	$13,925	research project support

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TRAVEL FOR MEDICal CARE	GrantTypeTxt
Recipient	7	RecipientCnt
Cash Grant	$11,964	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	GRANT RECIPIENTS ARE REQUIRED TO PROVIDE QUARTERLY PROGRESS REPORTS TO ENSURE FUNDS ARE BEING USED FOR THEIR INTENDED PURPOSE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	The Executive Director reviews the Form 990 prepared by an independent accounting firm. The Form 990 is then sent to all board members prior to filing the tax return.
Form 990, Part VI, Section B, line 12c	All Board members and officers of the Foundation are required to annually disclose any conflicts of interest via completion of a conflicts form. Those individuals are also required to disclose any and all ongoing issues that arise during the course of the year. Conflict of interest disclosures are reviewed by the Executive Director. Any individual with a conflict of interest must abstain from voting on the matter.
Form 990, Part VI, Section B, line 15a	The compensation for the Executive Director is approved annually by the board based upon review of comparative financial indicators and market trends to ensure compensation is within fair market range for the industry. Board level discussions regarding compensation are recorded in the minutes of the board meetings.
Form 990, Part VI, Section C, line 19	The Foundation will make its governing documents, conflict of interest policy and internally-prepared financial statements available to the public upon request.
Form 990, Part VI, lines 13 and 14	The Foundation does not have a whistleblower or document retention and destruction policy. However, the Foundation is considering adopting these policies in the future.
Form 990, Part IX, line 11g	Other Contracted Services: Program service expenses 57,884. Management and general expenses 22,917. Fundraising expenses 250. Total expenses 81,051. Measurer: Program service expenses 15,156. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,156. statistician: Program service expenses 2,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,000.