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CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL FOUNDATION (EIN 61-6027530)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201633199349312168
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T21:00:49-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1Txt
Address Line2Suite 400AddressLine2Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP402411122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN616027530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone5026293409PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Accounting 224 E BROADWAY 5TH FLOORAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL W GOUGHPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN A WILLIAMSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Accounting 224 E BROADWAYAddressLine1Txt
Address Line25TH FLOORAddressLine2Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,671,826GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTONHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionCHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS AND AWARDS GRANTS TO KOSAIR CHILDREN'S HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body31VotingMembersGoverningBodyCnt
Voting Members Independent29VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers1849TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,056,985PYContributionsGrantsAmt
CY Contributions Grants$10,840,016CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,772,925PYInvestmentIncomeAmt
CY Investment Income$4,370,759CYInvestmentIncomeAmt
PY Other Revenue$352,142PYOtherRevenueAmt
CY Other Revenue$284,442CYOtherRevenueAmt
PY Total Revenue$15,182,052PYTotalRevenueAmt
CY Total Revenue$15,495,217CYTotalRevenueAmt
PY Grants And Similar Paid$11,295,067PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,489,482CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,447,940PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,744,133CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$50,089PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$47,419CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,277,004CYTotalFundraisingExpenseAmt
PY Other Expenses$1,414,289PYOtherExpensesAmt
CY Other Expenses$1,464,732CYOtherExpensesAmt
PY Total Expenses$14,207,385PYTotalExpensesAmt
CY Total Expenses$13,745,766CYTotalExpensesAmt
PY Revenues Less Expenses$974,667PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,749,451CYRevenuesLessExpensesAmt
Total Assets BOY$89,797,985TotalAssetsBOYAmt
Total Assets EOY$85,616,603TotalAssetsEOYAmt
Total Liabilities BOY$3,050,036TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,517,578TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,747,949NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$83,099,025NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE CHILDREN'S HOSPITAL FOUNDATION IS TO ENHANCE PATIENT CARE BY GENERATING FUNDS AND FRIENDS FOR KOSAIR CHILDREN'S HOSPITAL, SUPPORTING PATIENT NEEDS THROUGH ITS PROGRAMS AND SERVICES OF EXCELLENCE IN HEALTH CARE IN THE AREAS OF: CAPITAL EQUIPMENT; CLINICAL RESEARCH; CHILD ADVOCACY; AND HEALTH EDUCATION OF PATIENTS, PARENTS, PHYSICIANS, STAFF AND THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,584,253ExpenseAmt
Grant$6,584,253GrantAmt
DescTHE CHILDREN'S HOSPITAL FOUNDATION PROVIDES FUNDING FOR CAPITAL PROJECTS, IN ADDITION TO PROGRAMS, ADVOCACY, EDUCATION AND RESEARCH. IN 2015, THE FOUNDATION FUNDED THE FOLLOWING PROJECTS: *PHASE II CONSTRUCTION OF THE NEW PEDIATRIC INPATIENT UNIT AND PEDIATRIC EMERGENCY ROOM TO INCREASE THE CAPACITY TO SERVE CHILDREN IN THE REGION AT NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST. MATTHEWS. * CONSTRUCTION OF THE BABY BISTRO AT NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST MATTHEWS, WHERE MOMS AND THEIR FAMILIES CAN FIND EVERYTHING THEY NEED FROM SUPPLIES TO SUPPORT FOR BREAST FEEDING ONCE THEY ARE HEADING HOME FROM THE HOSPITAL. * RENOVATIONS OF "SAFETY CITY," A MODEL CITY SERVING AS AN EDUCATIONAL PROGRAM AIMED AT HELPING SECOND GRADE STUDENTS LEARN AND PRACTICE THE SKILLS AND KNOWLEDGE NECESSARY TO AVOID PREVENTABLE ACCIDENTS. FOR MORE THAN TWO DECADES, MORE THAN 121,000 STUDENTS HAVE EXPERIENCED A FULL DAY OF LESSONS IN BICYCLE, PEDESTRIAN, SCHOOL BUS, STRANGER-DANGER AND TRAFFIC SAFETY WHILE VISITING SAFETY CITY. * EXPANSION OF KOSAIR CHILDREN'S HOSPITAL MEDICAL ASSOCIATES IN SHELBYVILLE, KENTUCKY *CARDIORESPIRATORY MONITORS TO SUPPORT CRITICALLY ILL PEDIATRIC PATIENTS. * REPLACEMENT OF A "JUST FOR KIDS" AMBULANCE FOR THE TRANSPORT TEAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,905,229ExpenseAmt
Grant$3,905,229GrantAmt
DescTHE CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROGRAMS, EQUIPMENT AND FACILITIES, RESEARCH, ADVOCACY AND EDUCATION FOR KOSAIR CHILDREN'S HOSPITAL, NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST. MATTHEWS AND KOSAIR CHILDREN'S MEDICAL CENTER. THE CHILDREN'S HOSPITAL FOUNDATION IS PLEASED TO BE ABLE TO PLAY SUCH A LARGE ROLE IN ENSURING THAT CHILDREN IN THE LOUISVILLE AREA HAVE THE MEDICAL CARE THEY NEED WHEN THEY NEED IT, WHILE KEEPING KIDS AS CLOSE TO HOME AS POSSIBLE. THANKS TO SUPPORT FROM THE COMMUNITY, KOSAIR CHILDREN'S HOSPITAL HAS SOME OF THE MOST TALENTED AND DEDICATED PEDIATRIC SPECIALISTS AND CLINICAL AND CAREGIVING TEAMS IN THE COUNTRY READY TO CARE FOR CHILDREN. THIS 265-BED HOSPITAL IS THE ONLY FULL-SERVICE, FREE-STANDING PEDIATRIC HOSPITAL IN KENTUCKY AND THE PRIMARY TEACHING FACILITY FOR THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE DEPARTMENT OF PEDIATRICS. IN ORDER TO CONTINUE TO EXCEED THE COMMUNITY'S NEED FOR SPECIALIZED PEDIATRIC CARE AND MEET THE EVER-GROWING NEEDS AT KOSAIR CHILDREN'S HOSPITAL, 2015 BROUGHT SEVERAL SPECIFIC FUNDRAISING INITIATIVES FORWARD TO DONORS AND THE COMMUNITY AT LARGE. THESE EFFORTS FOCUSED ON RAISING FUNDS FOR PEDIATRIC CANCER, NEUROLOGY AND NEUROSURGERY, NEONATAL INTENSIVE CARE, TYPE I DIABETES, TRAUMA AND EMERGENCY CARE TO NAME A FEW. WHILE THE FOUNDATION'S "JUST FOR KIDS" CAMPAIGN CONCLUDED IN 2011, THE THREE GENERAL AREAS OF DEVELOPMENT FROM THE CAMPAIGN - WORKFORCE, RESEARCH AND FACILITIES - CONTINUE TO GUIDE FUNDRAISING GROWTH IN EACH OF THE AFOREMENTIONED PEDIATRIC SERVICES. ADDITIONALLY, ONGOING AREAS OF NEED, SUCH AS CHILD ADVOCACY; PEDIATRIC PASTORAL CARE AND BEREAVEMENT PROGRAMS; ENDOWED RESEARCH CHAIRS; AND SPECIALTY THERAPIES, INCLUDING CHILD LIFE, EXPRESSIVE AND MUSIC THERAPIES, CONTINUE TO BE AREAS OF FUNDING AND PRIORITY FOR THE CHILDREN'S HOSPITAL FOUNDATION TO ENSURE A TRULY "JUST FOR KIDS" EXPERIENCE FOR PATIENTS AND FAMILIES. THE FOUNDATION CONTINUES TO EXPAND PARTNERSHIPS WITHIN THE COMMUNITY AND ENHANCE THE HOSPITAL'S ABILITY TO SERVE ALL CHILDREN REGARDLESS OF THEIR FAMILIES' ABILITY TO PAY. THE STRENGTH AND VALUE OF THE COMMUNITY'S SUPPORT FOR THE HOSPITAL ARE VISIBLE THROUGH FUNDING AND SUPPORT OF MANY PROGRAMS IN 2015, INCLUDING: *THE CHILDREN'S HOSPITAL FOUNDATION OFFICE OF CHILD ADVOCACY OF KOSAIR CHILDREN'S HOSPITAL, WHICH HELPS PROVIDE SAFETY AND OUTREACH INFORMATION AIMED AT KEEPING KIDS OUT OF THE HOSPITAL. *FUNDING FOR THE WENDY L. NOVAK DIABETES CARE CENTER AT KOSAIR CHILDREN'S HOSPITAL FOR EXPANSION OF TECHNOLOGY AND ACCREDITATION. *ENDOWED RESEARCH CHAIRS IN PEDIATRIC HEMATOLOGY/ONCOLOGY, SLEEP MEDICINE AND ENDOCRINOLOGY. *STAFF EDUCATIONAL OPPORTUNITIES AND ADVANCED CERTIFICATIONS THAT CAN LEAD TO IMPROVED PATIENT TREATMENT. SUPPORT FROM THE CHILDREN'S HOSPITAL FOUNDATION ALLOWS THE PEDIATRIC SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL TO CONTINUE TO RESPOND TO THE UNIQUE MEDICAL NEEDS OF CHILDREN FROM BIRTH TO AGE 18. IT ALSO HELPS THE HOSPITAL WORK TO KEEP CHILDREN OUT OF THE HOSPITAL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,489,482TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee25EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members31GoverningBodyVotingMembersCnt
Independent Voting Member29IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Helena SchulzBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5026298263PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Accounting 224 E BROADWAY 5TH FLAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402022025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Cindi Shrader
Board Chair1.00Yes (X)Yes (X)$0$0$0
Peter Tevebaugh
Board Vice Chair1.00Yes (X)Yes (X)$0$0$0
Marita Willis
Board Vice Chair1.00Yes (X)Yes (X)$0$0$0
Paul Oberst
Board Treasurer1.00Yes (X)Yes (X)$0$0$0
Tonii Rizzo
Secretary1.00Yes (X)Yes (X)$0$0$0
Hoyt Almond
Trustee1.00Yes (X)$0$0$0
Terrian Barnes
Trustee1.00Yes (X)$0$0$0
Ryan Bridgeman
Trustee1.00Yes (X)$0$0$0
Mitchel Denham
Trustee1.00Yes (X)$0$0$0
Jose Neil Donis
Trustee1.00Yes (X)$0$0$0
Jonathan E Dubins
Trustee (partial year)1.00Yes (X)$0$0$0
Bruce Dudley
Trustee1.00Yes (X)$0$0$0
William J Ehrig
Trustee1.00Yes (X)$0$0$0
Robert D Evans
Trustee1.00Yes (X)$0$0$0
Connie Hayes-Badon
Trustee (partial year)1.00Yes (X)$0$0$0
Mimi Hwang
Trustee1.00Yes (X)$0$0$0
Christina Graven
Trustee1.00Yes (X)$0$0$0
Dana Johnson
Trustee1.00Yes (X)$0$0$0
Shawna Jones
Trustee1.00Yes (X)$0$0$0
Karen Keith
Trustee1.00Yes (X)$0$0$0
Thomas Kmetz
Division President Women and Children Services/Trustee Ex-Officio1.050.0Yes (X)$0$743,818$165,028
Rachel Miles
Trustee1.00Yes (X)$0$0$0
Elaine Morgan
Trustee Ex-Officio1.00Yes (X)$0$0$0
Wayne Mortenson DMD
Trustee (partial year)1.00Yes (X)$0$0$0
Ashley Novak Butler
Trustee1.00Yes (X)$0$0$0
Ronald C Oliver PhD
Sys VP Mission & Outreach/Trustee1.041.0Yes (X)$0$194,834$107,065
Senator Dennis Parrett
Trustee1.00Yes (X)$0$0$0
Becky Petrino
Trustee1.00Yes (X)$0$0$0
G Hunt Rounsavall Jr
Trustee1.05.5Yes (X)$0$1,600$0
Dale Schaefer
Trustee1.00Yes (X)$0$0$0
Eddie Smith
Trustee1.00Yes (X)$0$0$0
Debbie Waiz
Trustee1.00Yes (X)$0$0$0
John Wieland
Trustee (partial year)1.00Yes (X)$0$0$0
Richard S Wolf MD
Trustee1.03.5Yes (X)$0$1,600$0
Amy Garlove MD
Physician/Trustee1.040.0Yes (X)$0$77,937$21,340
Stephen A Williams
CEO1.049.0Yes (X)$0$2,599,308$135,934
Russell F Cox
President1.049.0Yes (X)$0$1,371,692$763,935
Michael W Gough
Sys Sr VP CFO1.049.0Yes (X)$0$1,141,474$560,808
Robert B Azar
Sys VP Chief Legal Officer1.049.0Yes (X)$0$653,501$117,515
Mary Lynn Meyer
Sys VP and CDO17.532.5$313,418$219,481$108,325Yes (X)
Philip Bloyd
Exec Dir Regional Outreach10.030.0$37,800$143,989$28,644Yes (X)
Leslie Smart
Exec Dir CHF & Philathropy33.07.0$126,573$17,638$15,760Yes (X)
Margaret McClamroch
Director Grants32.08.0$92,833$19,917$27,845Yes (X)
Anne Monell
Dir, Major Gifts40.00$109,434$0$22,313Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$680,058TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,186,789TotReportableCompRltdOrgAmt
Total Other Compensation$2,074,512TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
CHILDREN'S MIRACLE NETWORK
205 WEST 700 SOUTHSALT LAKE CITYUT84101DIRECT MARKETING MAILING$232,523
BLACKBAUD INC
P O BOX 930256ATLANTAGA311930256SOFTWARE AND SERVICES$122,661
GRENZEBACH GLIER & ASSOC INC
P O BOX 88277CHICAGOIL606801277PROFESSIONAL SERVICES$101,747DEPT A
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$1,099,215FundraisingAmt
Government Grants$1,108,122GovernmentGrantsAmt
All Other Contributions$8,632,679AllOtherContributionsAmt
Noncash Contributions$266,330NoncashContributionsAmt
Total Contributions$10,840,016TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,534,474TotalRevenueColumnAmt
Exclusion$1,534,474ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,350,894SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,514,608SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,836,286SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,836,285TotalRevenueColumnAmt
Exclusion$2,836,285ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$875,549FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,099,215ContriRptFundraisingEventAmt
Fundraising Direct Expenses$873,914FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,635TotalRevenueColumnAmt
Exclusion$1,635ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$753,676GamingGrossIncomeAmt
Gaming Direct Expenses$610,499GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,177TotalRevenueColumnAmt
Exclusion$143,177ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$317,218GrossSalesOfInventoryAmt
Cost Of Goods Sold$177,588CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,630TotalRevenueColumnAmt
Exclusion$139,630ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,495,217TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,655,201ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,267,445TotalAmt
Program Services$10,267,445ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$222,037TotalAmt
Program Services$222,037ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$168,104TotalAmt
Management And General$67,242ManagementAndGeneralAmt
Fundraising$100,862FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,246,727TotalAmt
Management And General$498,691ManagementAndGeneralAmt
Fundraising$748,036FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$87,872TotalAmt
Management And General$35,149ManagementAndGeneralAmt
Fundraising$52,723FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$154,468TotalAmt
Management And General$61,787ManagementAndGeneralAmt
Fundraising$92,681FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$86,962TotalAmt
Management And General$34,785ManagementAndGeneralAmt
Fundraising$52,177FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$47,419TotalAmt
Fundraising$47,419FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$146,422TotalAmt
Management And General$146,422ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$454,832TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$454,832FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$525,466TotalAmt
Fundraising$525,466FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,808TotalAmt
Management And General$20,323ManagementAndGeneralAmt
Fundraising$30,485FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$68,543TotalAmt
Management And General$27,417ManagementAndGeneralAmt
Fundraising$41,126FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,960TotalAmt
Management And General$13,984ManagementAndGeneralAmt
Fundraising$20,976FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,615TotalAmt
Management And General$11,446ManagementAndGeneralAmt
Fundraising$17,169FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,402TotalAmt
Management And General$561ManagementAndGeneralAmt
Fundraising$841FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,646TotalAmt
Management And General$3,858ManagementAndGeneralAmt
Fundraising$5,788FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$132,315TotalAmt
Management And General$52,926ManagementAndGeneralAmt
Fundraising$79,389FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Dues and subscriptions$7,518$3,007$4,511
Donor and employee recognition$4,205$1,682$2,523

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,745,766TotalAmt
Program Services$10,489,482ProgramServicesAmt
Management And General$979,280ManagementAndGeneralAmt
Fundraising$2,277,004FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$180,179BOYAmt
EOY$208,277EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$974,711BOYAmt
EOY$976,908EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,569,297BOYAmt
EOY$17,008,640EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,155BOYAmt
EOY$55,387EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$84,999BOYAmt
EOY$133,091EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$575,042LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$497,982LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,024BOYAmt
EOY$77,060EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,953,950BOYAmt
EOY$33,657,474EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,965,384BOYAmt
EOY$18,544,926EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,981,286BOYAmt
EOY$14,954,840EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$89,797,985BOYAmt
EOY$85,616,603EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$481,134BOYAmt
EOY$390,976EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,568,902BOYAmt
EOY$2,126,602EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,050,036BOYAmt
EOY$2,517,578EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,942,155BOYAmt
EOY$26,230,873EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,788,087BOYAmt
EOY$35,674,963EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,017,707BOYAmt
EOY$21,193,189EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,747,949BOYAmt
EOY$83,099,025EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,797,985BOYAmt
EOY$85,616,603EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,749,451ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,854,799NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$543,576OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,989,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,716,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,155,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,056,985CurrentTaxYearMinus1YearAmt
Current Tax Year$10,840,016CurrentTaxYearAmt
Total$54,758,412TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,989,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,716,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,155,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,056,985CurrentTaxYearMinus1YearAmt
Current Tax Year$10,840,016CurrentTaxYearAmt
Total$54,758,412TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,441,366SubstantialContributorsTotAmt
Public Support Total170$51,317,046PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,520,286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,665,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,462,595CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,648,623CurrentTaxYearMinus1YearAmt
Current Tax Year$1,534,474CurrentTaxYearAmt
Total$7,831,271TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,495,654CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,458,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,699,523CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,677,078CurrentTaxYearMinus1YearAmt
Current Tax Year$1,946,443CurrentTaxYearAmt
Total$8,276,731TotalAmt
FieldValueIRS element (for citing)
Total Support$70,866,414TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.7241PublicSupportCY170Pct
Public Support PY1700.7280PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 720968.0, COLUMN B - 767912.0, COLUMN C - 879648.0, COLUMN D - 712674.0, COLUMN E - 875549.0, COLUMN F - 3956751.0; DESCRIPTION - GROSS INCOME FROM GAMING, COLUMN A - 551503.0, COLUMN B - 405727.0, COLUMN C - 509090.0, COLUMN D - 654466.0, COLUMN E - 753676.0, COLUMN F - 2874462.0; DESCRIPTION - GROSS INCOME FROM SALE OF INVENTORY, COLUMN A - 223183.0, COLUMN B - 284394.0, COLUMN C - 310785.0, COLUMN D - 309938.0, COLUMN E - 317218.0, COLUMN F - 1445518.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,842,592BeginningYearBalanceAmt
Contributions-$88,974ContributionsAmt
Investment Earnings Or Losses-$249,551InvestmentEarningsOrLossesAmt
Other Expenditures$266,374OtherExpendituresAmt
End Year Balance$7,237,693EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,956,099BeginningYearBalanceAmt
Contributions-$92,259ContributionsAmt
Investment Earnings Or Losses$179,529InvestmentEarningsOrLossesAmt
Other Expenditures$200,777OtherExpendituresAmt
End Year Balance$7,842,592EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,654,016BeginningYearBalanceAmt
Contributions$1,921,182ContributionsAmt
Investment Earnings Or Losses$469,142InvestmentEarningsOrLossesAmt
Other Expenditures$88,241OtherExpendituresAmt
End Year Balance$7,956,099EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,455,638BeginningYearBalanceAmt
Contributions-$81,927ContributionsAmt
Investment Earnings Or Losses$366,316InvestmentEarningsOrLossesAmt
Other Expenditures$86,011OtherExpendituresAmt
End Year Balance$5,654,016EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,732,854BeginningYearBalanceAmt
Contributions-$93,967ContributionsAmt
Investment Earnings Or Losses-$96,603InvestmentEarningsOrLossesAmt
Other Expenditures$86,646OtherExpendituresAmt
End Year Balance$5,455,638EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.985PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.015TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,162OtherCostOrOtherBasisAmt
Depreciation$42,849DepreciationAmt
Book Value$9,313BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$522,880OtherCostOrOtherBasisAmt
Depreciation$455,133DepreciationAmt
Book Value$67,747BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,060TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmt
ALTERNATIVE INVESTMENT MASTER TRUST UNITS$14,884,933
REAL ESTATE MASTER TRUST UNITS$3,659,993
FieldValueIRS element (for citing)
Total Book Value Securities$18,544,926TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTERESTS IN OUTSIDE TRUSTS$14,136,913
PROPERTY HELD FOR LIFE ESTATE$132,775
INTERCOMPANY RECEIVABLE$685,152
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,954,840TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCES$2,126,602
INTERCOMPANY PAYABLE TO NORTON HEALTHCARE, INC.
FieldValueIRS element (for citing)
Total Liability$2,126,602TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,002,372TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,854,799NetUnrealizedGainsInvstAmt
Other Revenue$1,694,309OtherRevenueAmt
Revenue Not Reported-$3,160,490RevenueNotReportedAmt
Revenue Subtotal$14,162,862RevenueSubtotalAmt
Investment Expenses Not Incld$146,422InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,185,933OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,332,355RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,495,217TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,651,296TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,051,952OtherExpensesIncludedAmt
Expenses Not Reported$1,051,952ExpensesNotReportedAmt
Expenses Subtotal$13,599,344ExpensesSubtotalAmt
Investment Expenses Not Incld2$146,422InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$146,422ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,745,766TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 REFUNDABLE ADVANCESREFUNDABLE ADVANCES OF $2,126,602 REPRESENT ASSETS TRANSFERRED FROM THE NORTON HEALTHCARE PETERSDORF FUND TO THE FOUNDATION DURING 2004 TO BENEFIT THE FOLLOWING PROGRAMS AT THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE: RESEARCH FOR PEDIATRIC SLEEP DISORDERS - $1,000,000 PEDIATRIC ONCOLOGY ENDOWED CHAIR - 1,000,000 PEDIATRIC SUBSPECIALTY FELLOWSHIP PROGRAM - 126,602 TOTAL REFUNDABLE ADVANCES - $2,126,602 THE PRINCIPAL OF EACH FUND IS RESTRICTED FOR THE PEDIATRIC SLEEP DISORDER AND ONCOLOGY ENDOWED CHAIR FUNDS, IF EVER THE RESTRICTED PURPOSE CAN NO LONGER BE ACCOMPLISHED, DISTRIBUTIONS MAY BE USED FOR OTHER PURPOSES SO LONG AS THE PURPOSE FULFILLS THE REQUIREMENTS OF THE RESEARCH CHALLENGE TRUST FUND. OTHERWISE, THE PRINCIPAL SHALL IMMEDIATELY REVERT TO THE NORTON HEALTHCARE PETERSDORF FUND. FOR THE SUBSPECIALTY FELLOWSHIP PROGRAM, THE FUNDS WILL BE RETURNED TO THE PETERSDORF FUND FROM THE CHILDREN'S HOSPITAL FOUNDATION CAPITAL CAMPAIGN FOR KOSAIR CHILDREN'S HOSPITAL WHEN FUNDS ARE AVAILABLE.
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE FOUNDATION UTILIZES INCOME GENERATED FROM ITS ENDOWMENT FUNDS TO SUPPORT VARIOUS PROGRAMS AND SERVICES AND CAPITAL PROJECTS FOR THE BENEFIT OF KOSAIR CHILDREN'S HOSPITAL PATIENTS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990SPECIAL EVENT COSTS - 873914 SPECIAL EVENT REFUNDS - 450 COST OF GOODS SOLD - 177588 AFFILIATE TRANSFERS - 642357
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsWRITE-OFF OF PLEDGES DEEMED UNCOLLECTIBLE - 474335 CHANGE IN BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS - 711598
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990COST OF GOOD SOLD - 177588 SPECIAL EVENT COSTS - 873914 SPECIAL EVENT REFUNDS - 450

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEWMAKER CONSULTING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12632 BYRON AVEAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40205ZIPCd
FieldValueIRS element (for citing)
ActivityCHILDREN'S MIRACLE NETWORK FUNDRAISINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$651,027GrossReceiptsAmt
Retained By Contractor$47,419RetainedByContractorAmt
Net To Organization$603,608NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$651,027TotalGrossReceiptsAmt
Total Retained By Contractors$47,419TotalRetainedByContractorsAmt
Total Net To Organization$603,608TotalNetToOrganizationAmt
Licensed StatesINLicensedStatesCd
Licensed StatesKYLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FESTIVAL OF TREES AND LIGHTSEvent1Nm
Gross Receipts Event1$574,064GrossReceiptsEvent1Amt
Charitable Contri Event1$163,566CharitableContriEvent1Amt
Gross Revenue Event1$410,498GrossRevenueEvent1Amt
Rent Facility Costs Event1$11,855RentFacilityCostsEvent1Amt
Food And Beverage Event1$191,571FoodAndBeverageEvent1Amt
Entertainment Event1$7,315EntertainmentEvent1Amt
Other Direct Expenses Event1$164,967OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$439,375GrossReceiptsEvent2Amt
Charitable Contri Event2$292,847CharitableContriEvent2Amt
Gross Revenue Event2$146,528GrossRevenueEvent2Amt
Food And Beverage Event2$8,431FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$136,257OtherDirectExpensesEvent2Amt
Other Events Total9OtherEventsTotalCnt
Gross Receipts Other Events$961,325GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$642,802CharitableContriOtherEventsAmt
Gross Revenue Other Events$318,523GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$21,502RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$98,782FoodAndBeverageOtherEventsAmt
Entertainment Other Events$3,300EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$229,934OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,974,764GrossReceiptsTotalAmt
Charitable Contributions Tot$1,099,215CharitableContributionsTotAmt
Gross Revenue Total Events$875,549GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$33,357RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$298,784FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,615EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$531,158OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$873,914DirectExpenseSummaryEventsAmt
Net Income Summary$1,635NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$753,676GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$11,810CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$598,689NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.0VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$753,676GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$11,810CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$598,689NonCashPrizesTotalGamingAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedKYStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.0GamingOtherFacilityPct
Individual With BooksDEBORAH L HELDIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1224 E BROADWAYAddressLine1Txt
Address Line2FIFTH FLOIORAddressLine2Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40202ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1Heather SingletonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvSERVICES PERFORMED BY THE FOUNDATION STAFF INCLUDE ANNUAL LICENSE RENEWALS AND REPORTING TO THE GAMING COMMISSION, MANAGING THE SALE OF RAFFLE TICKETS, PRIZES AWARDED AND MARKETING OF RAFFLES CONDUCTED. SERVICES PROVIDED BY THE ACCOUNTING DEPARTMENT INCLUDE MAINTAINING BOOKS AND RECORDS, MAKING DEPOSITS INTO THE CHARITABLE GAMING BANK ACCOUNT, PROCESSING DISBURSEMENT FOR GAMING EXPENSES AND PREPARING QUARTERLY FINANCIAL REPORTING TO THE GAMING COMMISSION.GamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd
Distributed$0DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part I, Line 2b(v) Agreement with Professional FundraiserFormAndLineReferenceDesc
ExplanationTHE FOUNDATION HAS ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT WITH SHEWMAKER CONSULTING. THE FOUNDATION MAKES A MONTHLY PAYMENT TO THE CONSULTING FIRM AS COMPENSATION FOR SERVICES PROVIDED FOR CHILDREN'S MIRACLE NETWORK (CMN) FUNDRAISING. THE CONSULTANT MAINTAINS THE RELATIONSHIP WITH CMN, BUILDS AND MAINTAINS RELATIONSHIPS WITH SPONSORS AND MEDIA REPRESENTATIVES, COORDINATES RECOGNITION FOR SPONSORS AND DONORS, DEVELOPS STRATEGIC PLANNING FOR OUTREACH EFFORTS AND COORDINATES THE CMN RADIOTHON EVENT.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
NORTON HOSPITALS INC
224 E BROADWAYFIFTH FLOORLOUISVILLEKY40202610703799501 (C) (3)$8,966,175$0N/AN/AFUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES
NORTON HEALTHCARE INC
224 E B ROADWAYFIFTH FLOORLOUISVILLEKY40202616027530501 (C) (3)$304,502$0N/AN/AFUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES
COMMUNITY MEDICAL ASSOCIATES INC
224 EBROADWAYFIFTH FLOORLOUISVILLEKY40202611276316501 (C) (3)$411,495$0N/AN/AFUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES
UNIVERSITY OF LOUISVILLE FOUNDATION
215 CENTRAL AVENUEUNIVERSITY OF LOUISVILLELOUISVILLEKY40208237078461501 (C) (3)$363,948$0N/APEDIATRIC ENDOWED CHAIRS
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
CONTROLLERS OFFICEUNIVERSITY OF LOUISVILLELOUISVILLEKY40292611029626501(c)(3)$211,325$0N/AN/AEDUCATION AND RESEARCH
HARRISON COUNTY COMMUNITY FOUNDATION
PO BOX 279CORYDONIN47112351986569501(C)(3)$10,000$0N/AN/APROGRAMS AND SERVICES
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
FINANCIAL SUPPORT TO PATIENTS WHO CANNOT AFFORD MEDICAL CARE117$219,537$0N/AN/A
TUITION ASSISTANCE FOR SPAVA AWARD RECIPIENT1$2,500$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part III, Column (c) Amount of grants providedTHE PATIENT FINANCIAL SUPPORT PROVIDED BY THE CHILDREN'S HOSPITAL FOUNDATION IS JUST PART OF THE TOTAL CHARITY CARE PROVIDED TO PATIENTS BY KOSAIR CHILDREN'S HOSPITAL. NO CHILD IS DENIED NECESSARY TREATMENT BECAUSE OF AN INABILITY TO PAY. UNDER ITS CHARITY CARE PROGRAM, KOSAIR CHILDREN'S HOSPITAL PROVIDED FREE CARE TO 1,041 PATIENTS AT A COST OF $2.1 MILLION. ALSO, THE HOSPITAL GRANTS PATIENTS A DISCOUNT FROM BILLED CHARGES TO ANY INDIVIDUALS THAT HAVE NO ACCESS TO PRIVATE HEALTH INSURANCE OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE OR CHARITY CARE.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE FOUNDATION MANAGER OF FUNDS AND ESTATES. THE GRANT IS REVIEWED BY FOUNDATION MANAGEMENT AND THEN SENT TO THE FINANCE AND GRANTS COMMITTEE FOR REVIEW AND APPROVAL. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE FOUNDATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE FOUNDATION OFFICE REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas Kmetz
Division President Women and Children Services/Trustee Ex-Officio$0$468,815$0$155,643$0$119,359$0$133,230$0$31,799$0$908,846$0$65,800
Ronald C Oliver PhD
Sys VP Mission & Outreach/Trustee$0$168,082$0$0$0$26,752$0$51,378$0$55,686$0$301,899$0$18,100
Stephen A Williams
CEO$0$1,108,698$0$670,607$0$820,002$0$108,581$0$27,353$0$2,735,241$0$35,455
Russell F Cox
President$0$782,057$0$323,406$0$266,228$0$733,119$0$30,817$0$2,135,627$0$102,524
Michael W Gough
Sys Sr VP CFO$0$642,297$0$273,025$0$226,152$0$531,021$0$29,787$0$1,702,282$0$83,860
Robert B Azar
Sys VP Chief Legal Officer$0$414,691$0$137,280$0$101,531$0$105,560$0$11,955$0$771,016$0$54,508
Mary Lynn Meyer
Sys VP and CDO$118,924$219,481$128,170$0$66,324$0$91,352$0$16,973$0$421,743$219,481$44,412$0
Philip Bloyd
Exec Dir Regional Outreach$37,800$108,960$0$32,194$0$2,834$0$11,296$0$17,348$37,800$172,633$0$0
Leslie Smart
Exec Dir CHF & Philathropy$79,159$17,638$42,994$0$4,420$0$93$0$15,667$0$142,333$17,638$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending accountDISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2015: Mary Lynn Meyer - 17,500
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationNORTON HEALTHCARE INC (NHI) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR THE CHILDREN'S HOSPITAL FOUNDATION (CHF) AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF NHI; AN INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT AGREEMENTS; THIRD PARTY COMPENSATION SURVEYS AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. SEE NARRATIVE IN SCHEDULE O, REFERENCING PART VI, LINE 15 WHICH FURTHER DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-FLEX BENEFIT PLAN, THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Stephen A. Williams - $ 36,519 Russell F. Cox - 525,793 Michael W. Gough - 352,351 Robert Azar - 85,695 Mary Lynn Meyer - 67,681 Ronald Oliver - 23,972 Thomas Kmetz- 106,240 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2015 AND CAN BE COMPRISED OF CURRENT AND OR PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Stephen A. Williams - $ 145,012 Russell F. Cox - 120,308 Michael W. Gough - 93,801 Robert Azar - 62,719 Mary Lynn Meyer - 44,412 Ronald Oliver - 19,968 Thomas Kmetz - 75,229
Schedule J, Part I, Line 7 Non-fixed paymentsIn 2015, NHI had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHI's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$38,083NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution19ContributionCnt
Noncash Contributions Rpt F990$228,247NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded: NUMBER OF CONTRIBUTIONS Real estate - Residential: NUMBER OF CONTRIBUTIONSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE COMMON PAYING AGENT FOR THE CHILDREN'S HOSPITAL FOUNDATION. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION. THE CHILDREN'S HOSPITAL FOUNDATION HAS APPROXIMATELY 25 EMPLOYEES.
Form 990, Part V, Line 1a VENDORS REPORTED ON FORM 1096NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2015 BY THE CHILDREN'S HOSPITAL FOUNDATION, INC. WAS APPROXIMATELY 73. THE CHILDREN'S HOSPITAL FOUNDATION HAD 3 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2015.
Form 990, Part VI, Line 6 Classes of members or stockholdersNORTON HEALTHCARE, INC. EIN 61-1028725 IS THE SOLE MEMBER OF THE CHILDREN'S HOSPITAL FOUNDATION, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAccording to Section 6.7(B) of the Bylaws of the organization, the Nominating Committee submits a slate of candidates to the Board of Trustees, which, once approved by the Board, is submitted to Norton Healthcare, Inc. for approval. Norton Healthcare, Inc. is not required to elect members to the Board of Trustees from the slate; however, if Norton Healthcare, Inc. does not, the Nominating Committee shall reconvene and, after going through the same process, submit a new slate to Norton Healthcare, Inc. for those candidates not elected.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAccording to Article 3 of the Bylaws of the organization, Norton Healthcare, Inc. is the sole member of the organization. Norton Healthcare, Inc. has the power to approve the election of members to the Board of Trustees, and, as sole member of the organization, possesses all other rights conferred upon members pursuant to the Kentucky Nonprofit Corporation Acts.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyAN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY ON OCTOBER 20, 2016, PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHI) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), to provide comparability data for NHI's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. IHS consultants presented and discussed this comparability data in 2014 for the 2015 compensation review and met in 2015 for the 2016 compensation review with the committee of board leadership (now Executive Committee) of the Board of Trustees (Board) The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHI's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation. Employment contracts for the CEO, COO, and CFO and key employees are signed, and reviewed as necessary.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee Narrative above for Line 15A
Form 990, Part VI, Line 19 Required documents available to the publicFINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesAFFILIATE TRANSFERS - 642358; CHANGE IN BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS - -711598; WRITE-OFF OF PLEDGES DEEMED UNCOLLECTIBLE - -474336;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTON HEALTHCARE INC
224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611028725PROVIDE ADMINISTRATIVE AND SUPPORT SERVICESKY501(c)(3Type IINAfalse
NORTON HOSPITALS INC
224 E BROADWAY 5TH FLOORLOUISVILLEKY40202610703799PROVIDE HOSPITAL SERVICESKY501(c)(33NHIfalse
COMMUNITY MEDICAL ASSOCIATES INC
224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611276316OPERATES A NETWORK OF PHYSICIAN PRACTICESKY501(c)(39NHIfalse
NORTON PROPERTIES INC
224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611028724MAINTAINS OFFICE AND PARKING FACILITIESKY501(c)(3Type INHIfalse
NORTON HEALTHCARE FOUNDATION INC
224 E BROADWAY 5TH FLOORLOUISVILLEKY40202310914919GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICESKY501(c)(37NHIfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
CHARITABLE REMAINDER TRUST (6)
224 E Broadway 5th floorLouisvilleKY40202INVESTMENTSKYNATrust
CHARITABLE LEAD TRUST (1)
224 E Broadway 5th FloorLouisvilleKY40202INVESTMENTSKYNATrust
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd