Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| LINE 3, OTHER PROGRAM SERVICES CONTINUED | THE UT LE BONEHUR PEDIATRIC SPECIALISTS, INC. (ULPS) CONTINUED TO GROW IN 2015 RECRUITING 23 ADDITIONAL PHYSICIANS IN MULTIPLE SPECIALTIES. ULPS MANAGED 93,929 PATIENT VISITS IN 2015. IN ADDITION TO THE PROGRAMS PREVIOUSLY LISTED AND THE PROGRAMS THAT FOLLOW, ULPS ALSO STARTED A DIVISION OF DERMATOLOGY IN 2015 WITH ONE PROVIDER. NEPHROLOGY: UNDER THE DIRECTION OF ULPS PHYSICIANS, THE PEDIATRIC NEPHROLOGY PROGRAM AT LE BONHEUR HAS BECOME ONE OF BEST PEDIATRIC NEPHROLOGY PROGRAMS IN THE COUNTRY. OUR PHYSICIANS TREAT CHILDREN WITH ALL KIDNEY PROBLEMS, KIDNEY STONES, HIGH BLOOD PRESSURE AND ABNORMALITIES IN BODY FLUIDS, SALT AND/OR ACID BALANCE. OUR PHYSICIANS ARE ALL BOARD-CERTIFIED PEDIATRIC NEPHROLOGISTS. WE PROVIDE EXPERT CARE AND CONTINUALLY IMPROVED TREATMENTS THROUGH RESEARCH EFFORTS AND TRAINING OF FUTURE PEDIATRIC NEPHROLOGISTS. CONDITIONS WE TREAT: -ACUTE KIDNEY INJURY -CHRONIC KIDNEY DISEASE -DIALYSIS -KIDNEY TRANSPLANT -KIDNEY STONES (NEPHROLITHIASIS) -NEPHROTIC SYNDROME -HYPERTENSION -URINARY-TRACT ABNORMALITIES AND INFECTIONS -ELECTROLYTE DISORDERS -CONGENITAL GENITOURINARY ANOMALIES -GLOMERULONEPHRITIS AND AUTOIMMUNE GLOMERULAR DISEASES -PROTEINURIA AND HEMATURIA -LUPUS NEPHRITIS -FANCONI SYNDROME -COLLAGEN-VASCULAR DISEASE -NEPHROTIC SYNDROME -HEREDITARY GLOMERULAR DISEASES AND OTHER HEREDITARY KIDNEY DISEASES ENDOCRINOLOGY: ULPS ENDOCRINOLOGISTS LEAD THE REGION IN DIAGNOSIS AND TREATMENT OF INFANTS, CHILDREN AND ADOLESCENTS WITH SUSPECTED ENDOCRINE (HORMONE) DISORDERS. THESE PROBLEMS ARE OFTEN ASSOCIATED WITH ABNORMAL GROWTH, CONGENITAL DISORDERS OR BRAIN INJURIES. THE DIABETES PROGRAM AT LE BONHEUR IS UNDER THE DIRECTION OF ULPS PHYSICIANS. ALL OUR PHYSICIANS HOLD FULL-TIME FACULTY APPOINTMENTS IN THE DIVISION OF PEDIATRIC ENDOCRINOLOGY AND METABOLISM OF THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER AT MEMPHIS. OUR PHYSICIANS LEAD MULTIPLE RESEARCH STUDIES IN HORMONAL DISORDERS, INCLUDING DIABETES MELLITUS. CONDITIONS WE TREAT: -ADRENAL INSUFFICIENCY -CUSHING'S SYNDROME -DIABETES INSIPIDUS -DIABETES MELLITUS -GIGANTISM -GROWTH DISORDERS -GROWTH HORMONE DEFICIENCY -INHERITED DISORDERS -TURNER SYNDROME -HYPOGLYCEMIA -HYPERINSULINISM -HYPERTHYROIDISM -GRAVES'S DISEASE -HYPOTHYROIDISM -PRECOCIOUS PUBERTY -DELAYED PUBERTY -RICKETS -VITAMIN D DEFICIENCY GENERAL PEDIATRICS: ULPS PEDIATRICIANS PROVIDE PREVENTIVE CARE AND TREATMENTS OF ACUTE ILLNESSES TO ON-GOING TREATMENT OF CHRONIC CONDITIONS. THEY HAVE EXTENSIVE CLINICAL KNOWLEDGE OF CHILDREN AND THEIR DISEASES AND DISORDERS TO DELIVER THE BEST CHILD FRIENDLY AND FAMILY-CENTERED MEDICAL CARE. ULPS GENERAL PEDIATRICIANS WORK CLOSELY WITH OUR OTHER PEDIATRIC SPECIALISTS FOR THE BEST MEDICAL TREATMENT OF YOUR CHILD. OTOLARYNGOLOGY (ENT): ULPS OTOLARYNGOLOGISTS PROVIDE MEDICAL AND SURGICAL TREATMENT FOR CHILDREN WITH DISEASE OF THE EAR, NOSE AND THROAT. THIS TEAM INCLUDES BOARD-CERTIFIED, FELLOWSHIP-TRAINED PEDIATRIC OTOLARYNGOLOGISTS, WHO WORK WITH LE BONHEUR'S AUDIOLOGISTS AND SPEECH-LANGUAGE PATHOLOGISTS. OUR PHYSICIANS ARE ALSO FINDING NEW WAYS TO TREAT THEIR PATIENTS. THEY HAVE PUBLISHED IN MORE THAN 300 PUBLICATIONS AND MADE MORE THAN 500 CLINICAL PRESENTATIONS. OUR OTOLARYNGOLOGISTS OFTEN WORK WITH A TEAM OF PEDIATRIC SPECIALISTS. FOR EXAMPLE, AIRWAY PROBLEMS ARE TREATED BY A TEAM OF PEDIATRIC OTOLARYNGOLOGISTS, PULMONOLOGISTS, GASTROENTEROLOGISTS AND GENERAL SURGEONS. SERVICES INCLUDE: -CORRECTING AIRWAY PROBLEMS -ADENOID REMOVAL -CLEFT LIP/CLEFT PALATE -COCHLEAR IMPLANTS, INCLUDING BILATERAL -EAR ANOMALIES, INCLUDING DEAFNESS -NECK MASSES -PAPILLOMA VIRUS LASER REMOVAL -TONSILLECTOMY HOSPITALISTS: ULPS HAS A TEAM OF HOSPITALIST PROVIDERS WHO WORK WITH A PATIENT'S PRIMARY CARE PHYSICIAN TO PROVIDE COMPREHENSIVE MEDICAL CARE WHILE THE PATIENT IS HOSPITALIZED. THEY ARE AVAILABLE EVERY DAY THROUGHOUT THE HOSPITAL STAY AND ARE EASILY ACCESSIBLE TO ANSWER QUESTIONS AND DISCUSS THE PATIENT'S CARE. THE PROGRAM ALLOWS FOR: -ACCESS TO EXPERTS IN INPATIENT CARE -IMPROVED COORDINATION OF INPATIENT CARE -CONSISTENT COMMUNICATION WITH PEDIATRICIANS GENERAL SURGERY: WE HAVE THE ONLY TEAM IN THE MEMPHIS AREA TO OFFER A COMPREHENSIVE PEDIATRIC GENERAL SURGERY PROGRAM DEDICATED TO THE CARE OF INFANTS AND CHILDREN. ULPS SURGEONS COORDINATE WITH LE BONHEUR ANESTHESIOLOGISTS, SPECIALIZED NURSES, DIETITIANS, CHILD LIFE SPECIALISTS, AND THERAPISTS TO SUPPORT YOU AND YOUR CHILD. WE DO MORE MINIMALLY INVASIVE SURGERIES ON CHILDREN FOR A BROADER RANGE OF CONDITIONS THAN ANY INSTITUTION IN OUR REGION. OUR SURGEONS USE MINIMALLY INVASIVE TECHNIQUES WHEN APPROPRIATE, WHICH MEAN LESS PAIN AND QUICKER RECOVERIES FOR YOUR CHILD. AS AN ACCREDITED ACS LEVEL 1 PEDIATRIC TRAUMA CENTER, OUR SPECIALISTS ARE AVAILABLE 24-HOURS A DAY TO DIAGNOSE, CONSULT AND TREAT CHILDHOOD ILLNESSES AND INJURIES. THIS ALSO MEANS THAT WE ARE ALWAYS PREPARED TO TREAT EVEN THE MOST CRITICALLY ILL CHILDREN. |
| FORM 990, PART VI LINE 1B: | BOARD MEMBER INDEPENDENCE: THE ORGANIZATION IS A COLLABORATIVE ARRANGEMENT BETWEEN GOVERNMENTAL ORGANIZATION, THE UNIVERSITY OF TENNESSEE (UT), AND 501(C)(3) ORGANIZATION, METHODIST HEALTHCARE-MEMPHIS HOSPITALS (MHMH). BOTH UT AND MHMH ARE CONTROLLING ORGANIZATIONS OF THE FILING ORGANIZATION DUE TO THEIR POWER TO APPOINT A MAJORITY OF THE BOARD DIRECTORS. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. THE PLEASE NOTE, HOWEVER, THAT A MAJORITY OF THE BOARD OF DIRECTORS OF THE CONTROLLING ORGANIZATIONS ARE INDEPENDENT, AND PROVIDE GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VII, FOR AN EXPLANATION OF INDEPENDENCE IMPAIRMENT DUE TO BOARD MEMBER COMPENSATION. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS COMPOSED OF THE FOLLOWING TWO (2) VOTING MEMBERS AND THREE (3) NON-VOTING MEMBERS, AS FOLLOWS: (I) UTCOM EXECUTIVE DEAN (VOTING); (II) LE BONHEUR CEO (VOTING); (III) PHYSICIAN-IN-CHIEF, LE BONHEUR CHILDREN'S HOSPITAL (NON-VOTING); (IV) PEDIATRIC-SURGEON-IN-CHIEF, LE BONHEUR CHILDREN'S HOSPITAL (NON-VOTING); AND (V) RADIOLOGIST-IN-CHIEF, LE BONHEUR CHILDREN'S HOSPITAL (NON-VOTING). THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO ACT AS THE BOARD OF DIRECTORS BETWEEN ITS REGULARLY SCHEDULED MEETINGS, AND SHALL HAVE THE FINAL AUTHORITY TO (I) OVERSEE AND IMPLEMENT THE POLICY DECISIONS OF THE BOARD OF DIRECTORS; (II) DETERMINE ALL POSITION TITLES WITHIN ULPS; (III) APPROVE THE ANNUAL GENERAL BUDGET OF ULPS NOT ALREADY SET FORTH HEREIN; (IV) APPROVE ANY EXPENDITURES OVER $300,000 NOT OTHERWISE COVERED IN THE GENERAL BUDGET; (V) APPROVE CLINICAL COMPENSATION; AND (VI) APPROVE AMENDMENTS TO CONTRACTS BETWEEN ULPS AND THIRD PARTIES. THE EXECUTIVE COMMITTEE SHALL ALSO HAVE SUCH OTHER POWERS AND AUTHORITY AS OF THE BOARD OF DIRECTORS MAY DELEGATE TO IT. THE EXECUTIVE COMMITTEE SHALL CONDUCT ITS MEETINGS AND PROCEEDINGS IN THE SAME OFFICIAL MANNER AS REQUIRED BY LAW FOR THE BOARD OF DIRECTORS OF ULPS, AND WHEN AUTHORIZED TO ACT AS THE BOARD OF DIRECTORS HEREUNDER, THE REQUIREMENTS FOR ALL MEMBERS OF THE EXECUTIVE COMMITTEE AND FOR ACTIONS SHALL BE DETERMINED WITH REFERENCE TO THE MEMBERS OF THE EXECUTIVE COMMITTEE AND NOT TO THE BOARD OF DIRECTORS AS A WHOLE. EACH VOTING MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE ENTITLED TO ONE VOTE ON ALL MATTERS OF BUSINESS COMING BEFORE ANY MEETING, WHICH VOTE SHALL BE EXERCISED IN PERSON. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER THE BYLAWS, THERE IS A NOMINATING COMMITTEE FOR THE PURPOSES OF IDENTIFYING AND RECOMMENDING POTENTIAL DIVISION DIRECTORS AND AT-LARGE DIRECTORS. THOSE POSITIONS ARE ELECTED IN ACCORDANCE WITH THE BYLAWS AND THE CHARTER. A BOARD ACTION, OR AN ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD WOULD BE CONSIDERED EQUIVALENT. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE LE BONHEUR CEO AND THE UTCOM EXECUTIVE DEAN. THEY HAVE THE AUTHORITY TO ACT AS THE BOARD IN BETWEEN REGULARLY SCHEDULED MEETINGS. |
| FORM 990, PART VI, SECTION A, LINE 7B | PER THE CHARTER, AND IN ACCORDANCE WITH TENNESSEE CODE, ONLY THE INDIVIDUAL SERVING IN THE CAPACITY OF CHIEF EXECUTIVE OFFICER OF LE BONHEUR CHILDREN'S HOSPITAL AND THE INDIVIDUAL SERVING IN THE CAPACITY OF THE CHANCELLOR OF THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER SHALL HAVE THE POWER, THAT WOULD OTHERWISE BE EXERCISED BY THE BOARD OF DIRECTORS, TO APPOINT, ELECT, FILL VACANCIES, AND REMOVE TWO (2) INDIVIDUALS TO SERVE ON THE CONTEMPLATED ELEVEN (11) MEMBER BOARD OF DIRECTORS WHICH INDIVIDUALS SHALL BE EMPLOYED BY THE CORPORATION AND SHALL SERVE RESPECTIVELY AS THE PEDIATRICIAN-IN-CHIEF AND THE PEDIATRIC SURGEON-IN-CHIEF AT LE BONHEUR CHILDREN'S HOSPITAL; AND APPOINT, ELECT, FILL VACANCIES, AND REMOVE THREE (3) INDIVIDUALS TO SERVE ON THE CONTEMPLATED ELEVEN (11) MEMBER BOARD OF DIRECTORS, WHICH INDIVIDUALS SHALL BE EMPLOYED BY THE CORPORATION AND SHALL SERVE AS DIVISION CHIEFS AND/OR DEPARTMENT CHAIRS OF THE CORPORATIONS PEDIATRIC PROGRAMS. |
| FORM 990, PART VI, SECTION B, LINE 11 | DRAFT VERSIONS OF FORM 990 CIRCULATED ELECTRONICALLY AMONG THE GOVERNING BODY FOR REVIEW AND COMMENTS PRIOR TO FILING. FEEDBACK WAS INCORPORATED AS NECESSARY, AND RE-CIRCULATED TO EACH MEMBER PRIOR TO FILING. UPON APPROVAL, THE DOCUMENT WAS SIGNED AND FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | DUE TO THE DUAL EMPLOYMENT ARRANGEMENT, THE ORGANIZATION RELIES ON THE MONITORING OF THE UNIVERSITY OF TENNESSEE FOR DISCLOSURES OF CONFLICTS OF INTEREST. MEMBERS OF THE BOARD THAT ARE EMPLOYED BY METHODIST ARE SUBJECT TO THE POLICIES OF METHODIST, WHICH INCLUDES CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S COMPENSATION OF THE EXECUTIVE DIRECTOR, OTHER OFFICERS AND KEY INDIVIDUALS, IS DETERMINED USING MULTIPLE INPUTS INCLUDING, BUT NOT LIMITED TO, THE HR GUIDLINES OF METHODIST HEALTHCARE AND THE UNIVERSITY OF TENNESSEE, BENCHMARK DATA FROM CREDIBLE SURVEYS (E.G. AAMC, MGMA, ECG), AND THIRD PARTY DETERMINATION OF FMV, IF NECESSARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 1023, FORM 990 AND RELATED DOCUMENTS WILL BE AVAILABLE UPON REQUEST, AS WELL AS THROUGH THE METHODIST LE BONHEUR WEBSITE. ITEMS ON FILE WITH THE STATE, OR FEDERAL GOVERNMENTS ARE AVAILABLE VIA THOSE WEBSITES (E.G. IRS.GOV, AND TN.GOV). |
| FORM 990, PART VII, LINE 1: | BOARD MEMBER COMPENSATION: ALL BOARD MEMBERS ARE COMPENSATED BY THE FILING ORGANIZATION AND/OR RELATED ORGANIZATIONS LISTED ON SCHEDULE R FOR MEDICAL OR MANAGERIAL SERVICES SERVICES RENDERED TO THESE ORGANIZATIONS. ALL PAYMENTS TO THESE INDIVIDUALS ON PART VII OF THE FORM 990 ARE FOR THEIR MEDICAL OR MANAGERIAL SERVICES RENDERED TO THE FILING ORGANIZATION AND/OR RELATED ORGANIZATIONS AND NOT FOR THIER POSITION AS BOARD MEMBERS. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM AFFILIATES 24,694,273. |
| PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
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