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.) .... | 3,839,067 | 4,366,032 | 4,844,202 | 4,502,467 | 7,224,217 | 24,775,985 |
| 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.. | 803,830 | 776,408 | 765,818 | 761,504 | 763,655 | 3,871,215 |
| 4 | Total. Add lines 1 through 3 | 4,642,897 | 5,142,440 | 5,610,020 | 5,263,971 | 7,987,872 | 28,647,200 |
| 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. | 28,647,200 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,642,897 | 5,142,440 | 5,610,020 | 5,263,971 | 7,987,872 | 28,647,200 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 572,645 | 665,595 | 1,083,695 | 1,149,509 | 945,636 | 4,417,080 |
| 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. | 33,064,280 | |||||
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) |
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| 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): |
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| 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) |
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| 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) |
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| 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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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 PART I, LINE 1 | HUNTSVILLE HOSPITAL FOUNDATION WAS ESTABLISHED IN 1978 AS THE 501 (C)(3) NON-PROFIT FUNDRAISING ARM OF HUNTSVILLE HOSPITAL, ALSO A NOT-FOR-PROFIT ENTITY. HUNTSVILLE HOSPITAL, ESTABLISHED IN 1895, HAS GROWN TO BE THE REGIONAL TERTIARY CARE CENTER FOR NORTH ALABAMA AND SOUTH CENTRAL TENNESSEE, AND IS THE THIRD LARGEST PUBLICLY-OWNED HOSPITAL IN THE COUNTRY WITH 941 LICENSED ACUTE CARE BEDS, AND MORE THAN 750 PHYSICIANS WHO ARE SUPPORTED BY 7,000 HOSPITAL EMPLOYEES. IN FISCAL YEAR 2016, HUNTSVILLE HOSPITAL ADMITTED 43,005 INPATIENTS; TREATED 543,628 OUTPATIENTS; DELIVERED 5,197 INFANTS; TREATED 127,017 PATIENTS IN THE EMERGENCY DEPARTMENT; AND PROVIDED MORE THAN $55.1 MILLION IN UNCOMPENSATED MEDICAL CARE. THE HOSPITAL PROVIDES QUALITY, LEADING-EDGE HEALTH CARE TO A SERVICE AREA OF MORE THAN 1 MILLION PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE THE AREA'S ONLY REGIONAL TRAUMA PROGRAM AND THE BUSIEST EMERGENCY DEPARTMENT IN THE STATE OF ALABAMA, CARDIOVASCULAR SERVICES (LARGEST CATH LAB IN THE STATE OF ALABAMA AND CARDIOVASCULAR SURGERY PROGRAM WHICH IS RANKED IN THE TOP 10% IN THE NATION), PRIMARY STROKE CENTER DESIGNATION, JOINT CAMP (NATIONALLY RECOGNIZED JOINT REPLACEMENT PROGRAM), AN ONCOLOGY PROGRAM APPROVED WITH COMMENDATION, AND THE NATION'S 13TH LARGEST LAB WHICH CONSISTENTLY RECEIVES EXCEPTIONAL ACCREDITATION. THE HOSPITAL SYSTEM'S FACILITIES INCLUDE HUNTSVILLE HOSPITAL MAIN, HUNTSVILLE HOSPITAL FOR WOMEN & CHILDREN, MADISON HOSPITAL, AN OUTPATIENT MEDICAL MALL, AND A 70-BED REHABILITATION HOSPITAL LOCATED ON THE MAIN CAMPUS. HUNTSVILLE HOSPITAL FOR WOMEN AND CHILDREN IS HOME TO MADISON COUNTY'S ONLY FULL-SERVICE PEDIATRIC UNIT, PEDIATRIC EMERGENCY DEPARTMENT AND PEDIATRIC ICU; AND THE ONLY LEVEL III NEONATAL ICU BETWEEN BIRMINGHAM AND NASHVILLE. THE HOSPITAL ALSO HOUSES ONE OF ONLY EIGHT ST. JUDE AFFILIATE CLINICS IN THE COUNTRY. MADISON HOSPITAL PROVIDES COMPREHENSIVE HEALTH CARE SERVICES TO MORE THAN 122,000 RESIDENTS OF THE CITY OF MADISON AND COMMUNITIES IN WESTERN MADISON COUNTY. SERVICES PROVIDED BY THE 60-BED HOSPITAL INCLUDE OBSTETRICAL, MEDICAL-SURGICAL, INPATIENT AND OUTPATIENT SURGERY, DIAGNOSTIC IMAGING, AND 24/7 EMERGENCY CARE. THE HOSPITAL WILL SOON ADD ANOTHER 30 INPATIENT BEDS. AS A NOT-FOR-PROFIT HOSPITAL THAT RECEIVES NO TAX SUPPORT FROM CITY, STATE OR FEDERAL GOVERNMENTS, HUNTSVILLE HOSPITAL SYSTEM RELIES ON PHILANTHROPY TO FUND ITS CAPITAL AND OPERATIONAL NEEDS. THE HUNTSVILLE HOSPITAL FOUNDATION ACCEPTS CHARITABLE CONTRIBUTIONS ON THE HOSPITAL'S BEHALF AND WORKS TO FUND BOTH PRESENT AND FUTURE EQUIPMENT AND PROGRAM NEEDS. CONTRIBUTIONS OF ANY AMOUNT ARE GRATEFULLY ACCEPTED AND MAY BE UNRESTRICTED GIFTS OR DESIGNATED FOR A SPECIFIC HOSPITAL UNIT OR PROGRAM. CONTRIBUTIONS TO THE FOUNDATION ARE TAX DEDUCTIBLE, WITH 100% OF GIFTS BENEFITING THE HOSPITAL PROGRAM OR DEPARTMENT DESIGNATED BY ITS DONORS. |
| FORM 990 PART III, LINE 1 | HUNTSVILLE HOSPITAL FOUNDATION'S MISSION IS TO DEVELOP RELATIONSHIPS AND FINANCIAL RESOURCES TO SUPPORT THE HEALTH CARE PROGRAMS, PROJECTS AND SERVICES OF HUNTSVILLE HOSPITAL SYSTEM. THE HOSPITAL'S MISSION IS TO PROVIDE QUALITY CARE THAT WILL IMPROVE THE HEALTH OF THOSE WE SERVE. OUR VISION IS TO BE ONE OF THE BEST HOSPITALS IN THE UNITED STATES AND TO BE CONSISTENTLY RECOGNIZED FOR CLINICAL AND SERVICE EXCELLENCE. THE HOSPITAL AND FOUNDATION EXTEND THE MISSION BEYOND THE FOUR WALLS OF THE HOSPITAL THROUGH EXTENSIVE OUTREACH PROGRAMS. DURING THE YEAR, THE HOSPITAL OFFERS FREE SCREENING EVENTS, SEMINARS, HEALTH FAIRS AND DIRECT CARE PROGRAMS FOR THE COMMUNITY'S BENEFIT. ALTHOUGH HUNTSVILLE HOSPITAL IS A LARGE REGIONAL HEALTH CARE FACILITY, IT IS VERY MUCH A COMMUNITY HOSPITAL. THE FOUNDATION STAFF STRIVES TO INVOLVE ANYONE WHO WISHES TO SUPPORT THE HOSPITAL WITH GIFTS OF TIME, TALENT AND RESOURCES: FROM THE 5-YEAR OLD CHILD WHO SWIMS LAPS AND RAISES FUNDS FOR THE NEONATAL ICU, TO THE CORPORATE TEAM THAT RUNS IN OUR ANNUAL 5K BREAST CANCER RUN, TO THE VOLUNTEER WHO CHAIRS AN EVENT COMMITTEE, TO THE DONOR WHO MAKES A SIGNIFICANT CHARITABLE CONTRIBUTION THAT PROVIDES A PIECE OF LIFESAVING TECHNOLOGY. EACH GIFT IS INVALUABLE AND APPRECIATED; AND OUR STAFF, VOLUNTEERS AND DONORS JOIN HANDS TO SUPPORT THIS CROWN JEWEL IN OUR COMMUNITY. STEWARDSHIP, ACCOUNTABILITY AND TRANSPARENCY ARE OUR WATCHWORDS, FOR WE KNOW THAT WE SERVE THE COMMUNITY THROUGH OUR WORK AT THE FOUNDATION. DONATIONS MAY BE RESTRICTED TO A PARTICULAR HOSPITAL DEPARTMENT OR PROGRAM, OR THEY MAY BE GIVEN TO THE AREA OF GREATEST NEED. REGARDLESS, 100% OF EACH GIFT (WITH THE EXCEPTION OF SPECIAL EVENT DONATIONS) BENEFITS THE AREA DESIGNATED BY THE DONOR BECAUSE HUNTSVILLE HOSPITAL COVERS THE OVERHEAD EXPENSES OF THE FOUNDATION. |
| FORM 990 PART III, LINE 4A | HUNTSVILLE HOSPITAL SYSTEM IS A PARTNERSHIP OF PEOPLE WHO CARE. ORIGINALLY BUILT THROUGH GENEROUS COMMUNITY VOLUNTEERISM AND CONTRIBUTIONS, THIS CARE HAS EXTENDED TO GENERATIONS OF FAMILIES IN THE TENNESSEE VALLEY SINCE 1895. NOW MORE THAN EVER, HUNTSVILLE HOSPITAL SYSTEM RELIES ON PHILANTHROPY TO MEET THE HEALTH CARE NEEDS OF THE REGION. THOUSANDS OF INDIVIDUALS, CLUBS, SCHOOLS, LOCAL BUSINESSES AND NATIONAL CORPORATIONS HAVE JOINED TOGETHER TO SUPPORT EXCELLENCE IN HEALTH CARE FOR NORTH ALABAMA. THE FOUNDATION MANAGES MORE THAN 250 DESIGNATED FUNDS REPRESENTING VIRTUALLY EVERY DEPARTMENT AND NURSING UNIT AT THE HOSPITAL, AND DISTRIBUTES FUNDS AS NEEDED TO PROVIDE CUTTING-EDGE TECHNOLOGY AND LIFESAVING PROGRAMS THAT OTHERWISE WOULD NOT BE POSSIBLE. IN FISCAL YEAR 2016, PHILANTHROPY PROVIDED $2,814,766 TO FUND EQUIPMENT AND PROGRAM NEEDS FOR THE HOSPITAL'S THREE CAMPUSES. THE BALANCE OF THE FUNDS RAISED WAS HELD FOR FUTURE NEEDS, AS WELL AS UTILIZED FOR THE FOUNDATION'S CAPITAL CAMPAIGN TO FUND A NEW INPATIENT HOSPICE FACILITY. A SUMMARY OF THE FUNDING PROVIDED BY HUNTSVILLE HOSPITAL FOUNDATION AND PHILANTHROPY IN FY2016 INCLUDES: 1. WOMEN & CHILDREN'S SERVICES: $860,929 TO HUNTSVILLE HOSPITAL FOR WOMEN & CHILDREN. EXAMPLES OF EQUIPMENT PURCHASED, THANKS TO PHILANTHROPY INCLUDE: A. 3D MAMMO MACHINE FOR THE BREAST CENTER B. RECLINERS, A HERO MONITORING SYSTEM, BILISOFT PHOTOTHERAPY SYSTEM, GIRAFFE INCUBATORS AND WARMERS, SYRINGE PUMPS, PREEMIE INFANT MANIKIN, AND PRIVACY SCREENS FOR THE NEONATAL ICU C. 5,000+ HALO SLEEP SACKS FOR MOTHER/BABY AND NEONATAL ICU D. TOYS, ACTIVITIES, CRAFT SUPPLIES, AND TOUCH2PLAY SYSTEM FOR THE CHILD LIFE PROGRAM E. MUSIC THERAPY FOR PEDIATRIC ONCOLOGY AND PEDIATRIC THERAPY F. HEARING TESTING UNIT FOR PEDIATRIC THERAPY/AUDIOLOGY G. FETAL MONITOR, AND MONITORS FOR MADISON HOSPITAL LABOR & DELIVERY |
| FORM 990 PART III, LINE 4B | 2. SURGERY: $343,275 FOR THE SURGERY DEPARTMENT (ALL THREE CAMPUSES), THAT INCLUDES: A. MONITORS B. ULTRASOUND SYSTEM C. XENON LIGHT SOURCE D. GLIDESCOPE INTUBATION SYSTEMS AND MONITORS FOR ANESTHESIA E. HANA TABLE FOR ORTHOPEDIC SURGERY F. MICROSCOPE VIEWING SYSTEM FOR OPHTHALMIC SURGERY G. MICROSCOPE, AND RADIOLUCENT IMAGING TOP FOR WOMEN & CHILDREN'S SURGERY |
| FORM 990 PART III, LINE 4C | 3. TECHNOLOGY: IN FISCAL YEAR 2016, THE FOUNDATION PROVIDED $165,000 FOR A HEALTH INFORMATION EXCHANGE SYSTEM. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 WAS REVIEWED IN DETAIL BY THE PRESIDENT AND DIRECTOR OF ACCOUNTING. THE RETURN WAS ALSO MADE AVAILABLE TO THE BOARD FOR REVIEW AT ITS MONTHLY BOARD MEETING PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS BOARD MEMBERS ARE SUPPLIED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND REQUIRED TO COMPLETE AND SIGN THE ACKNOWLEDGEMENT AND DISCLOSURE FORM. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES ARE REVIEWED BY INDEPENDENT PERSONS AND ARE BASED ON COMPENSATION LEVELS OF SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990 PART XII, LINE 2C | NO CHANGES WERE MADE TO THE PROCESSES RELATED TO THE SELECTION OF THE INDEPENDENT ACCOUNTANT OR THE OVERSIGHT OF THE AUDIT. |
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