STRATEGY STUDIO / PUBLIC DATA EXPLORER

LIFESCAPE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFESCAPE FOUNDATION (EIN 46-0353254)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-12
IRS object ID
201330439349301473
Schema version
2011v1.5
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)
Timestamp2013-02-12T14:40:20-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 EAST 10TH STREET PO BOX 5125AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175125ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460353254EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S CARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone6054449500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12501 WEST 26TH STREEETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571052498ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJESSICA WELLSName
TitlePRESIDENTTitle
Phone6054449500Phone
Date Signed2013-02-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURIE HANSONName
PTINP00851848PTIN
Phone6053391999Phone
Date Prepared2013-02-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJESSICA WELLSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12501 WEST 26TH STREEETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571052498ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4087867GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CCHS.ORG/GIVINGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SUPPORT FOR THE MISSION, GOALS AND OPERATIONS OF CHILDREN'S CARE HOSPITAL AND SCHOOL.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1717760ContributionsGrantsPriorYear
Contributions Grants Current Year1371799ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3378999InvestmentIncomePriorYear
Investment Income Current Year1021737InvestmentIncomeCurrentYear
Other Revenue Prior Year49836OtherRevenuePriorYear
Other Revenue Current Year-42024OtherRevenueCurrentYear
Total Revenue Prior Year5146595TotalRevenuePriorYear
Total Revenue Current Year2351512TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year368893SalariesEtcPriorYear
Salaries Etc Current Year326192SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year467656TotalFundrsngExpCurrentYear
Other Expense Prior Year1414366OtherExpensePriorYear
Other Expenses Current Year1410126OtherExpensesCurrentYear
Total Expenses Prior Year1783259TotalExpensesPriorYear
Total Expenses Current Year1736318TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3363336RevenuesLessExpensesPriorYear
Revenues Less Expenses CY615194RevenuesLessExpensesCY
Total Assets BOY37040563TotalAssetsBOY
Total Assets EOY37341352TotalAssetsEOY
Total Liabilities BOY221912TotalLiabilitiesBOY
Total Liabilities EOY218699TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36818651NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37122653NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE CHILDREN'S CARE FOUNDATION IS TO DEVELOP AND MANAGE RESOURCES TO SUPPORT THE MISSION, GOALS, AND OPERATION OF CHILDREN'S CARE HOSPITAL AND SCHOOL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1122504Expense
DescriptionTHE CHILDREN'S CARE FOUNDATION DEVELOPED AND MANAGED RESOURCES THAT SUPPORTED THE MISSION, GOALS AND OPERATIONS OF THE CHILDREN'S CARE HOSPITAL AND SCHOOL. ACCOMPLISHMENTS THAT CONTRIBUTED TO THIS MISSION INCLUDED NEW PLANNED GIVING MEMBERS, INCREASED CONTACT WITH CONSTITUENTS THROUGH PERSONAL VISITS, CONTINUED A STRONG EMPLOYEE-GIVING CAMPAIGN, AND HELD MAJOR FUNDRAISING EVENTS THROUGHOUT THE YEAR. THE CHILDREN'S CARE FOUNDATION ENDOWMENT WAS ABLE TO MAKE A 4.0% CONTRIBUTION TO ASSIST WITH THE OPERATION COSTS OF THE CHILDREN'S CARE HOSPITAL AND SCHOOL LAST YEAR.Description
Total Program Service Expense1122504TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN CLARKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6054449519TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12501 W 26TH STREETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571052498ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES HAUGLAND
CHAIR0.50XX000
WILLIAM PETERSON
VICE CHAIR0.50XX000
DR JOHN BILLION
SECRETARY0.50XX000
JOHN FIKSDAL
TREASURER0.50XX000
JAYNA VOSS
PAST CHAIR0.50X000
KITTY KINSMAN
DIRECTOR0.50X0549380
JEAN KOEHLER
DIRECTOR0.50X000
AL KOISTINEN
DIRECTOR0.50X000
CAROL PITTS
DIRECTOR0.50X000
DR JAMES ROBL
DIRECTOR0.50X000
DR GEOFFREY T TUFTY
DIRECTOR0.50X000
GREG WICK
DIRECTOR0.50X000
DR DENNIS C CLARKE
DIRECTOR0.50X000
PATRICK GOETZINGER
DIRECTOR0.50X000
LARRY PAGE
DIRECTOR0.50X000
HARLAN SCHILLINGER
DIRECTOR0.50X000
SHARRON SWANSON
DIRECTOR0.50X000
TYSON THEELER
DIRECTOR0.50X000
NAN BAKER
DIRECTOR0.50X000
DONALD BENNETT
DIRECTOR0.50X000
RANDY CUNDY
DIRECTOR0.50X000
DANA DYKHOUSE
DIRECTOR0.50X000
SUSAN GEYERMAN
DIRECTOR0.50X000
JOE HENKIN
DIRECTOR0.50X000
JEFF NELSON
DIRECTOR0.50X000
GRADY PFEIFFER
DIRECTOR0.50X000
DAVE TIMPE
DIRECTOR/CCHS INTERIM CEO40.00X000
DIANNA RAJSKI
DIRECTOR/CCHS CEO THRU 4/30/1240.00X018530015246
JOHN CLARK
CFO40.00X012300520113
JESSICA WELLS
PRESIDENT40.00X0754101501
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs438653TotalReportableCompFrmRltdOrgs
Total Other Compensation36860TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S CARE HOSPITAL AND SCHOOLBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12501 WEST 26TH STREETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571052498ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPAYROLL & OTHER EXPENSESDescriptionOfServices
Compensation737178Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events72120FundraisingEvents
All Other Contributions1299679AllOtherContributions
Noncash Contributions16699NoncashContributions
Total Contributions1371799TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column891570TotalRevenueColumn
Exclusion$891,570ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1802769Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1672602Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities130167Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column130167TotalRevenueColumn
Exclusion$130,167ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events21729GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events72120CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses63753FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-42024TotalRevenueColumn
Exclusion-$42,024ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2351512TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$979,713ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total93846Total
Management And General46923ManagementAndGeneral
Fundraising46923Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total187355Total
Management And General18230ManagementAndGeneral
Fundraising169125Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1980Total
Fundraising1980Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19564Total
Management And General98ManagementAndGeneral
Fundraising19466Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23447Total
Management And General1395ManagementAndGeneral
Fundraising22052Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9863Total
Management And General9863ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total46089Total
Management And General17347ManagementAndGeneral
Fundraising28742Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1406Total
Fundraising1406Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total102445Total
Fundraising102445Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14088Total
Management And General3522ManagementAndGeneral
Fundraising10566Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total36354Total
Management And General9088ManagementAndGeneral
Fundraising27266Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total9093Total
Fundraising9093Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8869Total
Management And General2618ManagementAndGeneral
Fundraising6251Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total103Total
Fundraising103Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1122504Total
Program Services1122504ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13157Total
Management And General3289ManagementAndGeneral
Fundraising9868Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
EMPLOYEE RELATIONS2939629184212
REPAIRS1192740817846
DUES AND SUBSCRIPTIONS27522752

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2080Total
Management And General520ManagementAndGeneral
Fundraising1560Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1736318Total
Program Services1122504ProgramServices
Management And General146158ManagementAndGeneral
Fundraising467656Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY443740BOY
EOY253771EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY67500BOY
EOY10309EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5405BOY
EOY1468EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis83277LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12082BOY
EOY34513EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY34758769BOY
EOY35119315EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1753067BOY
EOY1921976EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37040563BOY
EOY37341352EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY162297BOY
EOY157112EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59615BOY
EOY61587EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY221912BOY
EOY218699EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29579141BOY
EOY29598833EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1408557BOY
EOY1559565EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5830953BOY
EOY5964255EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36818651BOY
EOY37122653EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37040563BOY
EOY37341352EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses615194ReconcilationRevenueExpenses
Reconcilation Other Changes-311192ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S CARE HOSPITAL AND SCHOOLBusinessNameLine1
FieldValueIRS element (for citing)
EIN460233030EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,122,504Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1122504SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5486443BeginningOfYearBalance
Contributions115400Contributions
Investment Earnings Or Losses114514InvestmentEarningsOrLosses
Other Expenditures114514OtherExpenditures
End Of Year Balance5601843EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4798992BeginningOfYearBalance
Contributions687451Contributions
Investment Earnings Or Losses1117204InvestmentEarningsOrLosses
Other Expenditures1117204OtherExpenditures
End Of Year Balance5486443EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1853773BeginningOfYearBalance
Contributions2797797Contributions
Investment Earnings Or Losses249274InvestmentEarningsOrLosses
Other Expenditures101852OtherExpenditures
End Of Year Balance4798992EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2145458BeginningOfYearBalance
Contributions155480Contributions
Investment Earnings Or Losses-371932InvestmentEarningsOrLosses
Other Expenditures75233OtherExpenditures
End Of Year Balance1853773EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18026OtherCostOrOtherBasis
Depreciation18026Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65251OtherCostOrOtherBasis
Depreciation30738Depreciation
Book Value34513BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34513TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUSTS362411
BENEFICIAL INTEREST IN REMAINDER TRUSTS1559565
FieldValueIRS element (for citing)
Total Book Value Other Assets1921976TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCOUNTS PAYABLE CHILDREN'S CARE HOSPITAL & SCHOOLDescription
Amount$61,587Amount
FieldValueIRS element (for citing)
Total Of Amounts61587TotalOfAmounts
Total Revenue2351512TotalRevenue
Total Expenses1736318TotalExpenses
Excess Or Deficit For Year615194ExcessOrDeficitForYear
Net Unrealized GL On Investments-311192NetUnrealizedGLOnInvestments
Total Adjustments-311192TotalAdjustments
Excess Or Deficit Per FS304002ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2397706TotRevenueEtcAuditedFinclStmt
Other Revenues46194OtherRevenues
Revenue Not Rptd F99046194RevenueNotRptdF990
Revenue Subtotal2351512RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902351512TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1782512TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1782512ExpensesSubtotal
Other Expenses Not Included-46194OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-46194ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901736318TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE DONOR-RESTRICTED ENDOWMENT FUNDS ARE USED AS REQUESTED BY THE ORIGINAL DONOR. THE LARGEST OF THESE FUNDS ARE ALLOCATED FOR STAFF EDUCATION AND MAINTAINING THE CHILDREN'S PLAYGROUND. SINCE INCEPTION, THE BOARD OF DIRECTORS' POLICY IS THAT ALL GIFTS UNRESTRICTED BY THE DONOR ARE ADDED TO THE CORPUS OF "FUNDS FUNCTIONING AS ENDOWMENT" ALSO KNOWN AS THE QUASI-ENDOWMENT. THE QUASI-ENDOWMENT PRINCIPAL IS PRUDENTLY INVESTED, AND 4.0% OF A ROLLING 16 QUARTER AVERAGE IS MADE AVAILABLE FOR THE USE OF CHILDREN'S CARE HOSPITAL AND SCHOOL OR OTHER QUALIFIED ORGANIZATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE FOUNDATION 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. THE FOUNDATION IS SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE 46,194.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE -46,194.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HOLIDAY JAM 2011NameOfEvent1
Gross Receipts Event126876GrossReceiptsEvent1
Charitable Contributions Event122876CharitableContributionsEvent1
Gross Revenue Event14000GrossRevenueEvent1
Rent Facility Costs Event1650RentFacilityCostsEvent1
Food And Beverage Event148FoodAndBeverageEvent1
Entertainment Event14000EntertainmentEvent1
Other Direct Expenses Event1981OtherDirectExpensesEvent1
Name Of Event260TH CELEBRATIONNameOfEvent2
Gross Receipts Event256351GrossReceiptsEvent2
Charitable Contributions Event239419CharitableContributionsEvent2
Gross Revenue Event216932GrossRevenueEvent2
Non Cash Prizes Event216699NonCashPrizesEvent2
Rent Facility Costs Event23500RentFacilityCostsEvent2
Food And Beverage Event210721FoodAndBeverageEvent2
Entertainment Event225000EntertainmentEvent2
Other Direct Expenses Event2278OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events10622GrossReceiptsOtherEvents
Charitable Contrib Other Events9825CharitableContribOtherEvents
Gross Revenue Other Events797GrossRevenueOtherEvents
Rent Facility Costs Other Events500RentFacilityCostsOtherEvents
Food And Beverage Other Events417FoodAndBeverageOtherEvents
Entertainment Other Events380EntertainmentOtherEvents
Other Direct Expenses Other Events579OtherDirectExpensesOtherEvents
Gross Receipts Total93849GrossReceiptsTotal
Charitable Contributions Total72120CharitableContributionsTotal
Gross Revenue Total Events21729GrossRevenueTotalEvents
Non Cash Prizes Total Events16699NonCashPrizesTotalEvents
Rent Facility Costs Total Events4650RentFacilityCostsTotalEvents
Food And Beverage Total Events11186FoodAndBeverageTotalEvents
Entertainment Total Events29380EntertainmentTotalEvents
Other Direct Expenses Total Events1838OtherDirectExpensesTotalEvents
Direct Expense Summary Events63753DirectExpenseSummaryEvents
Net Income Summary-42024NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDIANNA RAJSKINamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs180779CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs4521OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs4739DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs11174NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs201213TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART II: JESSICA WELLS' COMPENSATION IS FOR SERVICES PROVIDED TO CHILDREN'S CARE FOUNDATION. DIANNA RAJSKI'S SALARY IS FOR SERVICES PROVIDED TO CHILDREN'S CARE HOSPITAL AND SCHOOL, NOT FOR BOARD RELATED RESPONSIBILITIES FOR CHILDREN'S CARE FOUNDATION. PART I LINE 3 ALL EMPLOYEES OF THE FOUNDATION ARE COMPENSATED BY CHILDREN'S CARE HOSPITAL AND SCHOOL. ALSO SEE SCHEDULE O STATEMENT FOR FORM 990 PART VII.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD OF DIRECTORS (WHO SHALL ACT AS CHAIR), THE VICE CHAIR, THE IMMEDIATE PAST CHAIR, THE SECRETARY, THE TREASURER, AND TWO OTHER DIRECTORS APPOINTED BY THE CHAIR. THE CHAIR OF THE BOARD OF DIRECTORS OF CHILDREN'S CARE HOSPITAL AND SCHOOL AND ITS IMMEDIATE PAST CHAIR, UPON THEIR ELECTION TO THE BOARD OF DIRECTORS OF CHILDREN'S CARE FOUNDATION, ARE APPOINTED TO SERVE AS MEMBERS OF THIS EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL REVIEW AND MONITOR THE FINANCIAL AFFAIRS OF THE CORPORATION AND SHALL REVIEW FINANCIAL REPORTS AND MAKE APPROPRIATE RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE COMMITTEE SHALL PRESENT AN ANNUAL OPERATING BUDGET FOR APPROVAL BY THE BOARD OF DIRECTORS. IT SHALL, ON AN ANNUAL BASIS, RECOMMEND TO THE BOARD OF DIRECTORS THE ENGAGEMENT OF THE SERVICES OF A QUALIFIED PUBLIC ACCOUNTING FIRM TO AUDIT THE FINANCIAL AFFAIRS OF THE CORPORATION AND MAKE A REPORT CONCERNING THE FINANCIAL POSITION OF THE CORPORATION TO THE BOARD OF DIRECTORS. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL INCLUDE THE DEVELOPMENT AND PERIODIC REVISION OF A STRATEGIC PLAN FOR THE ACHIEVEMENT OF THE CORPORATION'S MISSION.
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT AND CFO WILL REVIEW THE RETURN. A COPY WILL BE PROVIDED TO THE EXECUTIVE COMMITTEE MEMBERS PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED BY THE DIRECTOR WHO IS INVOLVED; PROVIDED, HOWEVER, THAT ANY DIRECTOR MAY PROVIDE NOTICE OF A POTENTIAL CONFLICT OF INTEREST TO THE CHAIR WHEN SUCH DIRECTOR BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST, WHETHER SUCH POTENTIAL CONFLICT OF INTEREST INVOLVES THAT DIRECTOR OR NOT. THE BOARD OF DIRECTORS WILL DETERMINE WHETHER OR NOT A CONFLICT OF INTEREST EXISTS AND THE DIRECTOR WITH THE POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN THIS DETERMINATION. IF THE BOARD OF DIRECTORS DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE DIRECTOR WITH THE CONFLICT SHALL ABSTAIN FROM VOTING ON ANY RESOLUTION OF THE BOARD OF DIRECTORS INVOLVING THE ISSUE OR SUBJECT MATTER FROM WHICH THE CONFLICT HAS ARISEN AND, IF APPROPRIATE, SUCH DIRECTOR WILL RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSION OF THAT ISSUE OR SUBJECT MATTER.
FORM 990, PART VI, SECTION B, LINE 15ATHE FOUNDATION BOARD IS MADE UP OF COMMUNITY MEMBERS AND HAS DESIGNATED A COMMITTEE TO REVIEW AND APPROVE THE COMPENSATION OF THE PRESIDENT OF THE FOUNDATION. THIS COMMITTEE CONSISTS OF THE PAST CHAIR, CURRENT CHAIR, AND INCOMING CHAIR OF THE VOLUNTEER BOARD OF DIRECTORS AS WELL AS THE PRESIDENT/CEO OF THE CHILDREN'S CARE HOSPITAL AND SCHOOL. THE COMMITTEE MEETS AT LEAST ONCE A YEAR TO REVIEW AND EVALUATE THE PERFORMANCE OF THE PRESIDENT AND TO SET THE SALARY AND PERFORMANCE STANDARDS FOR THE UPCOMING YEAR USING COMPARABILITY DATA FROM SEVERAL SOURCES AS WELL AS EMPIRICAL MEASURES OF RESULTS OF THE PREVIOUS YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT AVAILABLE FOR PUBLIC ACCESS.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -311,192.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII:ALL EMPLOYEES OF THE FOUNDATION ARE COMPENSATED BY CHILDREN'S HOSPITAL AND SCHOOL. JESSICA WELLS' COMPENSATION IS FOR SERVICES PROVIDED TO CHILDREN'S CARE FOUNDATION. NO TIME WAS DEVOTED TO CHILDREN'S CARE HOSPITAL AND SCHOOL FOR WHICH COMPENSATION WAS REPORTED IN COLUMNS (E) OR (F). KITTY KINSMAN AND DIANNA RAJSKI'S COMPENSATION IS FOR SERVICES PROVIDED TO CHILDREN'S CARE HOSPITAL AND SCHOOL, NOT FOR BOARD RELATED RESPONSIBILITIES FOR CHILDREN'S CARE FOUNDATION. JOHN CLARK'S COMPENSATION IS FOR SERVICES PROVIDED TO CHILDREN'S CARE HOSPITAL AND SCHOOL AND CHILDREN'S CARE FOUNDATION. APPROXIMATELY 34 HOURS PER WEEK ARE DEVOTED TO THE HOSPITAL AND SCHOOL AND APPROXIMATELY 6 HOURS A WEEK ARE DEVOTED TO THE FOUNDATION.COMPENSATION PAID BY RELATED ORGANIZATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S CARE HOSPITAL AND SCHOOLBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12501 WEST 26TH STREEETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571052498ZIPCode
FieldValueIRS element (for citing)
EIN460233030EIN
Primary ActivitiesHOSPITAL & SCHOOL FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIESPrimaryActivities
Legal Domicile StateSDLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S CARE HOSPITAL AND SCHOOLBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg