STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PEDIATRIC SPINE FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC SPINE FOUNDATION (EIN 20-3169071)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-08
IRS object ID
201121599349301052
Schema version
2010v3.2
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)
Timestamp2011-06-08T17:35:40-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEREK E EVANS CPA PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13098 HIGHLAND DR STE 325AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code841066018ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN203169071EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHEST WALL AND SPINE DEFORMITY RESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHESNameControl
Phone8016625637Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1072AddressLine1
CityLAYTONCity
StateUTState
ZIP Code84041ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN T SMITH MDName
TitlePRESIDENTTitle
Phone8016625637Phone
Date Signed2011-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEREK E EVANS CPAName
Phone8015327433Phone
Date Prepared2011-06-04DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN T SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 N MARIO CAPECCHI DRAddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84113ZIPCode
FieldValueIRS element (for citing)
Gross Receipts880963GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHESTANDSPINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionPROVIDE STRUCTURE AND FUNDING TO CONDUCT PROSPECTIVE AND RETROSPECTIVE STUDIES BY SURGEONS AND RESEARCHERS STUDYING COMPLEX CHEST WALL AND SPINE DEFORMITIES IN THE GROWING CHILD.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year880401ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year562InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Current Year880963TotalRevenueCurrentYear
Grants And Similar Amnts CY248517GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year374486OtherExpensesCurrentYear
Total Expenses Current Year623003TotalExpensesCurrentYear
Revenues Less Expenses CY257960RevenuesLessExpensesCY
Total Assets BOY114774TotalAssetsBOY
Total Assets EOY399388TotalAssetsEOY
Total Liabilities BOY26TotalLiabilitiesBOY
Total Liabilities EOY26680TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY372708NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE STRUCTURE AND FUNDING TO CONDUCT PROSPECTIVE AND RETROSPECTIVE STUDIES BY SURGEONS AND RESEARCHERS STUDYING COMPLEX CHEST WALL AND SPINE DEFORMITIES IN THE GROWING CHILD.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionDURING 2010, THE CHEST WALL AND SPINE DEFORMITY RESEARCH FOUNDATION (CWSDRF) HAD 11 ARTICLES PUBLISHED IN MAJOR MEDICAL JOURNALS. ADDITIONALLY, CWSDRF HAD 27 PRESENTATIONS AND POSTERS PRESENTED AT SOCIETY MEETINGS. THE FOUNDATION SPONSORED SEVERAL MAJOR STUDIES, INCLUDING: THORACIC INSUFFICIENCY IN NON-AMBULATORY MYELODYSPLASTIC CHILDREN, VEPTR IMPLANTATION TO TREAT EARLY ONSET SCOLIOSIS WITHOUT FUSED RIBS, AND EVALUATING THE EXTENT OF EQUIPOISE AMONG TREATMENT OPTIONS FOR PATIENTS WITH EARLY ONSET SCOLIOSIS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense620505Expense
Grants248517Grants
DescriptionDURING 2010, THE CHEST WALL AND SPINE DEFORMITY RESEARCH FOUNDATION (CWSDRF) HAD 11 ARTICLES PUBLISHED IN MAJOR MEDICAL JOURNALS. ADDITIONALLY, CWSDRF HAD 27 PRESENTATIONS AND POSTERS PRESENTED AT SOCIETY MEETINGS. THE FOUNDATION SPONSORED SEVERAL MAJOR STUDIES, INCLUDING: THORACIC INSUFFICIENCY IN NON-AMBULATORY MYELODYSPLASTIC CHILDREN, VEPTR IMPLANTATION TO TREAT EARLY ONSET SCOLIOSIS WITHOUT FUSED RIBS, AND EVALUATING THE EXTENT OF EQUIPOISE AMONG TREATMENT OPTIONS FOR PATIENTS WITH EARLY ONSET SCOLIOSIS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp620505TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt248517TotalOfOtherProgramServiceGrnt
Total Program Service Expense620505TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSARAH MUMFORDNamePerson
Telephone Number8016625637TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MARIO CAPECCI DRIVEAddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RANDAL BETZ MD
VP1.00XX3115100
JOHN T SMITH MD
PRESIDENT1.00XX3000000
MICHAAEL G VITALE MD MPH
VP1.00XX2000000
FieldValueIRS element (for citing)
Total Reportable Comp From Org81151TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions880401AllOtherContributions
Total Contributions880401TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column562TotalRevenueColumn
Related Or Exempt Function Income562RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column880963TotalRevenueColumn
Related Or Exempt Function Income562RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total248517Total
Program Services248517ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total226076Total
Program Services226076ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REGISTRY EXPENSES9671896718
MEETING EXPENSES2953729537
STUDY RELATED EXPENSES1338613386
TRAVEL46754675
PROFESSIONAL FEES22911596695

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1803Total
Management And General1803ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total623003Total
Program Services620505ProgramServices
Management And General2498ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY114774BOY
EOY201382EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY197107EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis899LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY899EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY114774BOY
EOY399388EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26BOY
EOY26680EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26BOY
EOY26680EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY114748BOY
EOY372708EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114748BOY
EOY372708EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114774BOY
EOY399388EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses257960ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years183792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218019CurrentTaxYearMinus1Year
Current Tax Year877811CurrentTaxYear
Total1292435Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years183792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218019CurrentTaxYearMinus1Year
Current Tax Year877811CurrentTaxYear
Total1292435Total
FieldValueIRS element (for citing)
Public Support Total5091292435PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1219CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year277CurrentTaxYearMinus1Year
Current Tax Year563CurrentTaxYear
Total2750Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1219CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year277CurrentTaxYearMinus1Year
Current Tax Year563CurrentTaxYear
Total2750Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years14032CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184483CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218296CurrentTaxYearMinus1Year
Current Tax Year878374CurrentTaxYear
Total1295185Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99790PublicSupportPercentage509
Prior Year Support Percentage0.99480PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis899InvestmentCostOrOtherBasis
Book Value899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings899TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (8 entries)

Amount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BETH ISRAEL DEACONESS MEDICAL CENTE
43578SNYDER-RABBIT MODEL
SEATTLE CHILDRENS HOSPITAL FOUNDATI
19405REDDING-CHEST RES.
TEXAS SCOTTISH RITE HOSPITAL
24981ANTERIOR NEUROCENTER
THE TRUSTEES OF COLUMBIA UNIVERSITY
29870EQUIPOISE
UNIVERSITY OF UTAH
16030CLINICAL ASSESSMENT
UNIVERSITY OF ROCHESTER
120743D CLASSIFICATION
SHRINERS HOSPITAL FOR CHILDREN
50209RESEARCH COORDINATOR
UNIVERSITY OF UTAH
52370RESEARCH COORDINATOR

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONPROVIDE STRUCTURE AND FUNDING TO CONDUCT PROSPECTIVE AND RETROSPECTIVE STUDIES BY SURGEONS AND RESEARCHERS STUDYING COMPLEX CHEST WALL AND SPINE DEFORMITIES IN THE GROWING CHILD.
ALL OTHER ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DDURING 2010, THE CHEST WALL AND SPINE DEFORMITY RESEARCH FOUNDATION (CWSDRF) HAD 11 ARTICLES PUBLISHED IN MAJOR MEDICAL JOURNALS. ADDITIONALLY, CWSDRF HAD 27 PRESENTATIONS AND POSTERS PRESENTED AT SOCIETY MEETINGS. THE FOUNDATION SPONSORED SEVERAL MAJOR STUDIES, INCLUDING: THORACIC INSUFFICIENCY IN NON-AMBULATORY MYELODYSPLASTIC CHILDREN, VEPTR IMPLANTATION TO TREAT EARLY ONSET SCOLIOSIS WITHOUT FUSED RIBS, AND EVALUATING THE EXTENT OF EQUIPOISE AMONG TREATMENT OPTIONS FOR PATIENTS WITH EARLY ONSET SCOLIOSIS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC