TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) LIEKWEG RICH...................................................................... DIRECTOR	1.00 ................. 39.00	X		3,334,874	400,094
(2) LOLLO TRISHA...................................................................... PRESIDENT, DIRECTOR	1.00 ................. 39.00	X	X	822,952	94,003
(3) BAUR RICHARD D...................................................................... DIRECTOR	1.00 .................	X		0	0
(4) BAXTER CINDY...................................................................... DIRECTOR	1.00 .................	X		0	0
(5) BUCK JOSEPH F...................................................................... DIRECTOR	1.00 .................	X		0	0
(6) BUTTON BELL KATHERINE...................................................................... DIRECTOR	1.00 .................	X		0	0
(7) CAMMON DALE L...................................................................... DIRECTOR	1.00 .................	X		0	0
(8) DESILVA MICHELLE...................................................................... DIRECTOR	1.00 .................	X		0	0
(9) HARBISON KEITH S...................................................................... DIRECTOR	1.00 .................	X		0	0
(10) HERMANN ROBERT JR...................................................................... DIRECTOR	1.00 .................	X		0	0
(11) HOGAN BRIAN J...................................................................... DIRECTOR	1.00 .................	X		0	0
(12) HOPKINS KATIE...................................................................... DIRECTOR	1.00 .................	X		0	0
(13) JOHNSON III JAMES L...................................................................... DIRECTOR	1.00 .................	X		0	0
(14) KREIENKAMP RAY...................................................................... DIRECTOR	1.00 .................	X		0	0
(15) LEDBETTER RICH...................................................................... DIRECTOR	1.00 .................	X		0	0
(16) LEWIS CHRISTOPHER N...................................................................... DIRECTOR	1.00 .................	X		0	0
(17) LILLY JULIE J...................................................................... DIRECTOR	1.00 .................	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) MACARI MICHAEL........................................................................ DIRECTOR	1.00 .......................	X			0	0
(19) MAHER KEVIN A........................................................................ DIRECTOR	1.00 .......................	X			0	0
(20) MCCLURE RICHARD........................................................................ DIRECTOR	1.00 .......................	X			0	0
(21) MILLER ROGER........................................................................ DIRECTOR	1.00 .......................	X			0	0
(22) MYERS KAREN D........................................................................ DIRECTOR	1.00 .......................	X			0	0
(23) O'CONNELL JOHN T........................................................................ DIRECTOR	1.00 .......................	X			0	0
(24) OLIVER KIMBERLY........................................................................ DIRECTOR	1.00 .......................	X			0	0
(25) OLIVER TIMOTHY C........................................................................ DIRECTOR	1.00 .......................	X			0	0
(26) PACKNETT GWENDOLYN........................................................................ DIRECTOR	1.00 .......................	X			0	0
(27) PARKER CRAIG M........................................................................ DIRECTOR	1.00 .......................	X			0	0
(28) SCHLAFLY TED........................................................................ DIRECTOR	1.00 .......................	X			0	0
(29) SHARON BARRY........................................................................ DIRECTOR	1.00 .......................	X			0	0
(30) SILVERMAN GARY........................................................................ DIRECTOR	1.00 .......................	X			0	0
(31) SIVEWRIGHT JOSEPH R........................................................................ DIRECTOR	1.00 .......................	X			0	0
(32) STAPLETON JOHN L........................................................................ DIRECTOR	1.00 .......................	X			0	0
(33) STEWARD MARY........................................................................ DIRECTOR	1.00 .......................	X			0	0
(34) THEISS JAMES M........................................................................ DIRECTOR	1.00 .......................	X			0	0
(35) VAN DE RIET JR RAYMOND R........................................................................ DIRECTOR	1.00 .......................	X			0	0
(36) LINTZ KATHERINE........................................................................ TREASURER/DIRECTOR	1.00 .......................	X	X		0	0
(37) MCDONNELL III JAMES S........................................................................ VICE CHAIR, DIRECTOR	1.00 .......................	X	X		0	0
(38) POPE KATHY........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X		0	0
(39) WINDSOR JRCHARLES E........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X		0	0
(40) WASKIEWICS TANYA........................................................................ VP, CHIEF DEVELOPMENT OFFICER	1.00 .......................39.00		X		112,986	17,885
(41) GORDIN MARGARET........................................................................ FORMER PRESIDENT, TERM 9/19	0.00 .......................40.00			X	436,560	75,973

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	43,777,342	20,935,787	22,207,187	13,682,412	55,107,890	155,710,618
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	43,777,342	20,935,787	22,207,187	13,682,412	55,107,890	155,710,618
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) ..						57,489,754
6	Public support. Subtract line 5 from line 4.						98,220,864

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	43,777,342	20,935,787	22,207,187	13,682,412	55,107,890	155,710,618
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	8,406,748	8,996,680	7,955,197	6,633,661	5,540,930	37,533,216
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.)..	2,776,302	1,169,483	1,603,162	2,045,103	2,488,423	10,082,473
11	Total support. Add lines 7 through 10						203,326,307

Gross receipts from related activities, etc. (see instructions) ..................

2,390,894

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

48.310 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

52.600 %

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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 0.015 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 0.035	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	RECOVERY OF PRIOR YEAR GRANTS - 2017 AMOUNT: $ 2,776,302. 2018 AMOUNT: $ 1,169,483. 2019 AMOUNT: $ 1,603,162. 2020 AMOUNT: $ 2,045,103. 2021 AMOUNT: $ 2,488,423.

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization ST LOUIS CHILDREN'S HOSPITAL FOUNDATION		Employer identification number 43-1626863

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization ST LOUIS CHILDREN'S HOSPITAL FOUNDATION			Employer identification number 43-1626863
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	110,893,343	103,516,641	92,291,079	93,487,808	81,509,506
b	Contributions ...	2,216,201	3,039,667	1,149,647	3,375,065	3,177,296
c	Net investment earnings, gains, and losses	18,802,086	8,674,508	14,008,120	-563,185	11,979,337
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,957,651	4,337,473	3,932,205	4,008,609	3,178,331
f	Administrative expenses ....
g	End of year balance ......	127,953,979	110,893,343	103,516,641	92,291,079	93,487,808

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

60.940 %

Permanent endowment SchDMd Bullet

39.060 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	540,522	294,908	245,614
d	Equipment ....	52,524	31,677	20,847
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				266,461

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) HEDGE FUNDS	82,665,732	F
(B) PRIVATE EQUITY	111,448,341	F
(C) REAL ASSETS	65,086,763	F
(D) OTHER	90,395,053	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	349,595,889

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)BENEFICIAL INTEREST IN PERPETUAL TRUSTS				37,579,211
(2)CASH SURRENDER VALUE-LIFE INSURANCE				30,529
(3)ASSETS HELD UNDER CHARITABLE REMAINDER TRUST				1,179,086
(4)OTHER RECEIVABLE				66,145
(5)OPERATING LEASE - BUILDING				871,624
(6)MINERAL RIGHTS				63,159
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				39,789,754

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	75,818,522
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	THE FOUNDATION'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A PERMANENT AND ONGOING SOURCE OF FUNDING TO SUPPORT VARIOUS PROGRAMS AND SERVICES AT ST. LOUIS CHILDREN'S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE INCLUDING (AS EXAMPLES): CHARITY CARE, ART AND MUSIC THERAPY, THE PEDIATRIC HOSPICE PROGRAM, ENDOWED CHAIRS, SUPPORT FOR VARIOUS CLINICAL AREAS, AND PEDIATRIC RESEARCH EFFORTS.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	THUMBS UP TELEMARKETING INC 11861 WESTLINE INDUSTRIAL DRIVE SU ST LOUIS, MO63146	TELEMARKETING		No	9,360	33,942	-24,582









Total . . . . . . . . . . . . . . . . . . . .					9,360	33,942	-24,582

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF (event type)	(b) Event #2 SIX FLAGS (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	624,660	506,431	319,352	1,450,443
2	Less: Contributions . . . .	124,870	294,661	262,837	682,368
3	Gross income (line 1 minus line 2) . . . . . .	499,790	211,770	56,515	768,075

4	Cash prizes . . . . .	0	0	0
5	Noncash prizes . . . .	26,541	12,325	15,092	53,958
6	Rent/facility costs . . . .	54,187	19,961	5,232	79,380
7	Food and beverages . . .	29,467	32,246	39,859	101,572
8	Entertainment . . . .	0	0	6,200	6,200
9	Other direct expenses . . .	30,510	0	193	30,703
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				271,813
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				496,262

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number
43-1626863

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 660 S EUCLID AVE ST LOUIS,MO63110	43-0653611	501(C)(3)	8,090,996	PEDIATRIC RESEARCH EFFORTS AND SUPPORT FOR OTHER CLINICAL EFFORTS AND PROGRAM SERVICES
(2) ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS,MO63110	43-0654870	501(C)(3)	15,235,070	PROGRAM SERVICES, FACILITIES, EQUIPMENT & CLINICAL EFFORTS
(3) BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS,MO63114	43-1450457	501(C)(3)	629,554	PROGRAM SERVICES FOR PEDIATRIC HOSPICE AND HOME CARE
(4) PEDAL THE CAUSE 900 SPRUCE STREET ST LOUIS,MO63102	27-2233336	501(C)(3)	100,000	ANNUAL FUNDRAISING BIKE CHALLENGE FOR CANCER RESEARCH
(5) CASA DE SALUD 3200 CHOUTEAU ST LOUIS,MO63103	27-0732049	501(C)(3)	10,000	ZOCALOCO 2021 GALA CELEBRATION
(6) RONALD MCDONALD HOUSE 3450 PARK AVENUE ST LOUIS,MO63104	43-1160478	501(C)(3)	25,000	FAMILY ROOM PROGRAM SUPPORT
(7) THE CLARK-FOX FAMILY FOUNDATION 130 S BEMISTON AVENUE ST LOUIS,MO63105	81-1608523	501(C)(3)	10,000	2021 SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	SEMI-ANNUAL AND ANNUAL WRITTEN REPORTS ON USES OF FUNDS ARE REQUIRED BY THE FOUNDATION.

Schedule I (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LIEKWEG RICH DIRECTOR	(i) (ii)	0 ------------- 1,464,260	0 ------------- 1,574,163	0 ------------- 296,451	0 ------------- 48,029	0 ------------- 352,065	0 ------------- 3,734,968	0 ------------- 240,802
2LOLLO TRISHA PRESIDENT, DIRECTOR	(i) (ii)	0 ------------- 526,848	0 ------------- 272,762	0 ------------- 23,342	0 ------------- 16,830	0 ------------- 77,173	0 ------------- 916,955	0 ------------- 20,668
3GORDIN MARGARET FORMER PRESIDENT, TERM 9/19	(i) (ii)	0 ------------- 306,710	0 ------------- 98,679	0 ------------- 31,171	0 ------------- 27,647	0 ------------- 48,326	0 ------------- 512,533	0 ------------- 23,439

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION. THE COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES INDEPENDENT COMPENSATION STUDIES AND BENCHMARKING DATA TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ALL AMOUNTS ARE APPROVED BY THE COMPENSATION COMMITTEE. THE ORGANIZATION RECONCILES THE AGGREGATE AMOUNTS PAID TO THE APPROVAL AMOUNTS SHORTLY AFTER THE CLOSE OF EACH CALENDAR YEAR.

PART I, LINE 4B

DURING 2021, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM RELATED ORGANIZATIONS AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): LIEKWEG,RICHARD $551,702 LOLLO,TRISHA $68,769 GORDIN,MARGARET $46,837 WASKIEWICS, TANYA $10,667

Schedule J (Form 990) 2021

Additional Data

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	54	8,897,841	AVG HIGH/LOW
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( AUCTION ITEMS )	X	18	40,705	FMV
26 Other ( CONSUMABLES )	X	101	7,132	FMV
27 Other ( RAFFLE ITEMS )	X	6	2,244	FMV
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	CONSUMABLES ARE COMPRISED OF NON-ALCOHOLIC AND ALCOHOLIC BEVERAGES DONATED FOR CONSUMPTION DURING THE PLAY DATE EVENT. THE AUCTION AND RAFFLE ITEMS INCLUDED A NEW COOLER AND MIXED LIQUORS AND GIFT CARDS. COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED.
PART I, LINE 32B:	ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION HAS AN AUTOMATIC SELL POLICY WHEN SECURITIES ARE GIFTED, UNLESS OTHERWISE DIRECTED BY THE VICE PRESIDENT OR EXECUTIVE DIRECTOR OF OPERATIONS. THE MAJORITY OF SECURITIES ARE SOLD IMMEDIATELY UPON RECEIPT INTO A BROKERAGE ACCOUNT.

Schedule M (Form 990) (2021)

Additional Data

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Software Version:

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Return Reference	Explanation
FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES:	CAPITAL, CHAIRHOLDERS, FACULTY EDUCATION AND DEVELOPMENT, GENERAL OPERATIONS, EXTERNAL COMMUNITY, WORKFORCE EDUCATION, SCHOLARSHIPS AND PATIENT EDUCATION: ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTS EDUCATION FOR PHYSICIANS, R.N.S, TECHNICIANS, AND HEALTHCARE ADMINISTRATORS THROUGH FELLOWSHIPS, AWARDS, LECTURES, AND CONFERENCES. BY PROVIDING CONTINUING EDUCATION, THE FOUNDATION ASSISTS ST. LOUIS CHILDREN'S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE WITH MAINTAINING IT'S PROFESSIONAL AND QUALITY STANDARDS. THE FOUNDATION ALSO PROVIDES FOR CAPITAL EQUIPMENT AND GENERAL OPERATIONS AT ST. LOUIS CHILDREN'S HOPSITAL, SUPPORTS MULTIPLE ENDOWED CHAIRS AT WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. EXPENSES: $5,516,726 INCLUDING GRANTS OF: $5,516,726 REVENUE: $0
FORM 990, PART V, LINE 1	NUMBER REPORTED IN BOX 3 FORM 1096 THE ORGANIZATION IS AN AFFILIATE OF BJC HEALTH SYSTEM (BJC), A SUPPORTING ORGANIZATION DESCRIBED IN CODE SECTION 509(A)(3). BJC ASSUMES RESPONSIBILITY FOR REMITTING ALL PAYMENTS TO VENDORS THROUGH A CENTRALIZED ACCOUNTS PAYABLE SYSTEM. BJC ALSO ASSUMES RESPONSIBILITY FOR REPORTING THESE PAYMENTS TO THE IRS USING ITS EIN AS THE COMMON PAYER ON FORM(S) 1099, 1098, 5498, AND W-2G. THE AMOUNT REPORTED ON LINE 1, IF ANY, REFLECTS THE NUMBER OF FORMS FILED BY BJC HEALTH SYSTEM (EIN 43-1617558) ON BEHALF OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN OFFICERS, DIRECTORS OR KEY EMPLOYEES OF THE FOUNDATION AND BJC HEALTH SYSTEM (BJC) MAY ALSO SERVE ON THE BOARDS OF OTHER RELATED OR UNRELATED ORGANIZATIONS. ADDITIONALLY, CERTAIN FAMILY MEMBERS OF OFFICERS, DIRECTORS OR KEY EMPLOYEES MAY, DURING THE NORMAL COURSE OF BUSINESS YET CONSISTENT WITH THE STATED EXEMPT PURPOSE OF THE FOUNDATION, ENGAGE IN TRANSACTIONS IN WHICH POTENTIAL CONFLICTS OF INTEREST COULD EXIST. THESE OFFICERS, DIRECTORS, KEY EMPLOYEES AND RELATED PERSONS DISCLOSE THESE POTENTIAL CONFLICTS TO THE FOUNDATION AND BJC ANNUALLY AND DO NOT PARTICIPATE IN DECISIONS IN WHICH THEY HAVE SUCH CONFLICTS. SUCH CONFLICTS AND RELATIONSHIPS ARE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DO NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 6	ST LOUIS CHILDREN'S HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	ST LOUIS CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES HAS A NOMINATING COMMITTEE THAT RECOMMENDS NEW MEMBERS TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	CHANGES TO BYLAWS OR GOVERNING DOCUMENTS ARE SUBJECT TO APPROVAL BY THE ST. LOUIS CHILDREN'S HOSPITAL BOARD OF TRUSTEES AND THE BJC BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF FINANCE, LEGAL AND TAX DEPARTMENTS. THE FINAL DRAFT RETURNS ARE REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND A COMPLETE COPY IS SENT VIA EMAIL FOR THE FOUNDATION BOARD OF DIRECTORS TO REVIEW. QUESTIONS AND COMMENTS THAT ARISE DURING THE INDIVIDUAL BOARD MEMBER REVIEWS OF THE FORMS ARE ADDRESSED IN ADVANCE OF SUBMISSION TO THE APPROPRIATE TAXING AUTHORITIES.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE POLICY BY ISSUING ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE REMINDING COVERED INDIVIDUALS OF THEIR OBLIGATIONS TO DISCLOSE POTENTIAL CONFLICTS AND REQUESTING THAT THEY COMPLETE A CONFLICTS QUESTIONNAIRE. THE QUESTIONNAIRE REQUIRES THE DISCLOSURE OF CONFLICTS AND AN ATTESTATION TO THEIR CONTINUING OBLIGATION TO DISCLOSE SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICTS QUESTIONNAIRE ARE REVIEWED AND APPROPRIATE ACTION TAKEN AS NECESSARY. ADDITIONALLY, SHOULD THE ORGANIZATION BECOME AWARE OF CONFLICTS NOT PREVIOUSLY REPORTED, THE GENERAL COUNSEL WOULD INVESTIGATE AND RESPOND IN ACCORDANCE WITH THE POLICY.
FORM 990, PART VI, SECTION C, LINE 19	ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION'S GOVERNING DOCUMENTS AND FORM 990 ARE MADE AVAILABLE UPON REQUEST IN ACCORDANCE WITH IRS REGULATIONS. ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION ABIDES BY THE CONFLICT OF INTEREST POLICY FOR BJC HEALTH SYSTEM WHERE REPORTED CONFLICTS ARE IDENTIFIED, RESOLVED AND DISCLOSED AS NECESSARY.
FORM 990, PART XI, LINE 9:	TRANSFER FROM BJC HEALTHCARE 12,500. TRANSFER FROM ST. LOUIS CHILDREN'S HOSPITAL 1,500. CHANGE IN BENEFICIAL INTEREST IN TRUST 5,659,724. CHANGE IN SPLIT INTEREST AGREEMENTS -52,158. ADJUSTMENT TO BAD DEBT ALLOWANCE 3,810.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

Employer identification number

43-1626863

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ALTON MEMORIAL HEALTH SERVICES FOUNDATION 1109 N OXFORDSHIRE LANE EDWARDSVILLE,IL62025 37-1177053	SUPPORT TO AMH	IL	501(C)(3)	LINE 12C, III-FI	ALTON MEMORIAL HOSPITAL	Yes
(2)ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON,IL62002 37-0661172	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	CH ALLIED SERVICES INC	Yes
(3)ALTON MEMORIAL HOSPITAL CHARITABLE TRUST PO BOX 0634 MILWAUKEE,WI53201 37-6039185	SUPPORT TO AMH	IL	501(C)(3)	LINE 12D, III-O	ALTON MEMORIAL HOSPITAL	Yes
(4)BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER ONE BARNES-JEWISH HOSPITAL PLAZA ST LOUIS,MO63110 23-7000410	SUPPORT TO BJH	MO	501(C)(3)	LINE 12C, III-FI	BARNES-JEWISH HOSPITAL	Yes
(5)BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION 10 HOSPITAL DRIVE ST PETERS,MO63376 45-4471497	SUPPORT TO BJSPH & PWHC	MO	501(C)(3)	LINE 7	BJSP HOSPITAL & PROGRESS WEST	Yes
(6)BARNES-JEWISH HOSPITAL ONE BARNES-JEWISH HOSPITAL PLAZA ST LOUIS,MO63110 23-7309937	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(7)BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY 10 HOSPITAL DRIVE ST PETERS,MO63376 43-1232811	SUPPORT TO BJSP HOSPITAL	MO	501(C)(3)	LINE 3	BARNES-JEWISH ST PETERS HOSPITAL	Yes
(8)BARNES-JEWISH ST PETERS HOSPITAL INC 10 HOSPITAL DRIVE ST PETERS,MO63376 43-1452426	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BARNES-JEWISH HOSPITAL		No
(9)BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD CREVE COEUR,MO63141 43-1527130	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BARNES-JEWISH HOSPITAL	Yes
(10)BJC BEHAVIORAL HEALTH 1430 OLIVE STREET SUITE 400 ST LOUIS,MO63103 43-1610561	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(11)BJC CORPORATE HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS,MO63110 43-1324103	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BARNES-JEWISH HOSPITAL	Yes
(12)BJC HEALTH SYSTEM 4901 FOREST PARK AVE STE 1200 ST LOUIS,MO63108 43-1617558	SUPPORTING ORG	MO	501(C)(3)	LINE 12C, III-FI	N/A		No
(13)BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS,MO63114 43-1450457	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 10	BARNES-JEWISH HOSPITAL	Yes
(14)CHILDREN'S ILLINOIS INC ONE CHILDRENS PLACE ST LOUIS,MO63110 87-2346178	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	ST LOUIS CHILDREN'S HOSPITAL	Yes
(15)CHRISTIAN HEALTH SERVICES DEV CORP 11133 DUNN ROAD ST LOUIS,MO63136 43-1230583	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 12C, III-FI	ST LOUIS CHILDREN'S HOSPITAL	Yes
(16)CHRISTIAN HOSP ILLINOIS SVCS 8 SUNSET HILLS EDWARDSVILLE,IL62025 26-0131339	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	CH ALLIED SERVICES INC	Yes
(17)CHRISTIAN HOSPITAL FOUNDATION 11155 DUNN ROAD SUITE 300 N ST LOUIS,MO63136 43-1947644	SUPPORT TO CHNE	MO	501(C)(3)	LINE 7	CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST	Yes
(18)CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 11133 DUNN ROAD ST LOUIS,MO63136 43-6057893	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	CH HEALTH SERVICES DEV CORP	Yes
(19)COMMUNITY HEALTH CONNECTION 4353 CLAYTON AVE ROOM 164 ST LOUIS,MO63110 46-0819384	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 10	BJC HEALTH SYSTEM	Yes
(20)FAIRVIEW HEIGHTS MEDICAL GROUP SC 670 MASON RIDGE CENTER DR SUITE 300 ST LOUIS,MO63141 36-4147189	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(21)FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS,MO63110 43-1648435	SUPPORT TO BJH	MO	501(C)(3)	LINE 7	BARNES-JEWISH HOSPITAL	Yes
(22)MEMORIAL FOUNDATION INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1186034	SUPPORT TO PMMCI	IL	501(C)(3)	LINE 7	PROTESTANT MEMORIAL MEDICAL CENTER INC	Yes
(23)MEMORIAL GROUP INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1186035	SUPPORT TO MFI & MRHSI	IL	501(C)(3)	LINE 12C, III-FI	N/A		No
(24)MEMORIAL REGIONAL HEALTH SERVICES INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 81-0850178	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(25)MISSOURI BAPTIST HEALTHCARE FOUNDATION 3015 N BALLAS ROAD ST LOUIS,MO63131 43-1472026	SUPPORT TO MBMC	MO	501(C)(3)	LINE 7	MISSOURI BAPTIST MEDICAL CENTER	Yes
(26)MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE SULLIVAN,MO63080 43-1459495	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	MISSOURI BAPTIST MEDICAL CENTER	Yes
(27)MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY 751 SAPPINGTON BRIDGE SULLIVAN,MO63080 43-1349641	SUPPORT TO MBHS	MO	501(C)(3)	LINE 3	MISSOURI BAPTIST HOSPITAL OF SULLIVAN	Yes
(28)MISSOURI BAPTIST MEDICAL CENTER 3015 N BALLAS ROAD ST LOUIS,MO63131 43-0652656	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(29)PARKLAND HEALTH CENTER 1101 WEST LIBERTY ST FARMINGTON,MO63640 43-1332368	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	MISSOURI BAPTIST MEDICAL CENTER	Yes
(30)PARKLAND HEALTH CENTER FOUNDATION 1101 WEST LIBERTY ST FARMINGTON,MO63640 90-0424964	SUPPORT TO PHC	MO	501(C)(3)	LINE 12A, I	PARKLAND HEALTH CENTER	Yes
(31)PROGRESS EAST HEALTHCARE CENTER 11155 DUNN ROAD SUITE 300 N ST LOUIS,MO63136 26-1343214	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	CH ALLIED SERVICES INC	Yes
(32)PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PARKWAY OFALLON,MO63368 41-2140764	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes
(33)PROTESTANT MEMORIAL MEDICAL CENTER INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-0635502	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	PROTESTANT MEMORIAL MEDICAL CENTER INC	Yes
(34)PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1064809	PROVIDE MED MAL INSURANCE	IL	501(C)(3)	LINE 12C, III-FI	MEMORIAL REGIONAL HEALTH SVCS INC	Yes
(35)SOUTHWEST ILLINOIS HEALTH VENTURES INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1413286	SUPPORT TO PMMCI	IL	501(C)(3)	LINE 12A, I	PROTESTANT MEMORIAL MEDICAL CENTER INC		No
(36)ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS,MO63110 43-0654870	HEALTHCARE SERVICES	MO	501(C)(3)	LINE 3	BJC HEALTH SYSTEM	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS,MO63141 43-1870517	MEDICAL SERVICES	MO	N/A				No			No
(2) GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC ONE BARNES-JEWISH HOSP PLAZA ST LOUIS,MO63110 43-1846941	OUTPATIENT CARE SERVICES	MO	N/A				No			No
(3) THE REHABILITATION INSTITUE OF ST LOUIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM,AL35242 63-1254288	MEDICAL SERVICES	AL	N/A				No			No
(4) THE REHABILITATION INSTITUE OF SOUTHERN ILLINOIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM,AL35242 83-4553991	MEDICAL SERVICES	AL	N/A				No			No
(5) CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS,MO63108	SEARCH FOR CURES OF PEDIATRIC DISEASES	MO	N/A				No			No
(6) Y-SIHVI LLC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1385862	PHYSICAL THERAPY & FITNESS	IL	N/A				No			No
(7) SOUTHWEST ILLINOIS HEALTH SERVICES LLP 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 37-1312961	MEDICAL SERVICES	IL	N/A				No			No
(8) SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 82-3633320	COMMERCIAL REAL ESTATE	IL	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ATG ASSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN GEORGETOWN,GR CAYMANKY1-1002 CJ 98-0599167	INSURANCE	CJ	N/A	C					No
(2) MB MEDICAL SERVICES INC 3015 N BALLAS ROAD ST LOUIS,MO63131 43-1437404	HEALTHCARE SERVICES	MO	N/A	C					No
(3) PF SERVICES INC 11155 DUNN ROAD ST LOUIS,MO63136 43-1237767	MANAGEMENT SERVICES	MO	N/A	C					No
(4) WLA INVESTMENT LTD PO BOX 178 OKOTOKS,ALBERTAT1S A15 CA	INVESTMENT HOLDINGS	CA	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BJC HOME CARE SERVICES	B	629,554	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	13,682,412	55,107,890
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	16,027,628	51,824,803
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,059,865	2,996,160
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	31,769,905	109,928,853
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	25,524,424	24,105,820
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	32,169	33,942
b	Total fundraising expenses (Part IX, column (D), line 25) 4,947,314
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	6,937,102	7,314,311
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	32,493,695	31,454,073
19	Revenue less expenses. Subtract line 18 from line 12.......	-723,790	78,474,780
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	434,215,733	519,869,527
21	Total liabilities (Part X, line 26).............	102,380,213	107,591,592
22	Net assets or fund balances. Subtract line 21 from line 20.....	331,835,520	412,277,935

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 7,068,652 including grants of $ 7,068,652 ) (Revenue $ )
	COMMUNITY SERVICE/OUTREACH: INCLUDES COMMUNITY PROGRAMS SUCH AS CHILD ADVOCACY AND OUTREACH PROGRAM (CHAO) AND THE HEALTHY KIDS EXPRESS PROGRAMS (ASTHMA, DENTAL, HEALTH SCREENINGS). THE CHAO PROGRAM ENCOMPASSES VARIOUS INJURY PREVENTION, HEALTH, WELLNESS, AND FITNESS PROGRAMS INCLUDING THE TEEN OUTREACH PROGRAM, HEAD TO TOE, CAR SEAT SAFETY CHECKS, BIKE HELMET SAFETY CHECKS, BURN PREVENTION, SAFETY AT HOME AND CHILDPROOFING PROGRAMS. THE HEALTHY KIDS EXPRESS MOBILE VAN PROGRAM INCLUDES THE ONLY PEDIATRIC MOBILE HEALTH VAN PROGRAM IN THE ST. LOUIS METROPOLITAN AREA THAT OFFERS ACCESS TO HEALTH CARE FOR THOUSANDS OF CHILDREN IN OUR COMMUNITY BY PROVIDING HEARING, VISION, ASTHMA, DENTAL, LEAD EXPOSURE AND DEVELOPMENT SCREENS FOR ELEMENTARY AND PRE-SCHOOL AGED CHILDREN.

4b	(Code: ) (Expenses $ 6,250,452 including grants of $ 6,250,452 ) (Revenue $ )
	RESEARCH: ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTS WASHINGTON UNIVERSITY PHYSICIANS AND CHILDREN'S DISCOVERY INSTITUTE RESEARCH THROUGH VARIOUS FUNDRAISING INITIATIVES.

4c	(Code: ) (Expenses $ 5,269,990 including grants of $ 5,269,990 ) (Revenue $ )
	PATIENT SUPPORT: ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTS PATIENTS AND THEIR FAMILIES WHO ARE IN FINANCIAL NEED WITH MEALS FOR PARENTS OF PATIENTS, BABY FORMULA, LODGING, TRANSPORTATION, UTILITY BILLS, BURIAL AND FUNERAL EXPENSES, HOME MEDICIAL EQUIPMENT AND PRESCRIPTION MEDICINES. THE FOUNDATION ALSO SUPPORTS ST. LOUIS CHILDREN'S HOSPITAL'S CHILD LIFE SERVICES DEPARTMENT WHICH WORKS WITH PATIENTS AND FAMILIES TO DEVELOP WAYS TO COPE WITH FEAR, ANXIETY AND SEPARATION FROM FRIENDS AND FAMILY BY USING PLAY, MUSIC, ART, RECREATION AND EDUCATION TECHNIQUES.

	(Code: ) (Expenses $ 5,516,726 including grants of $ 5,516,726 ) (Revenue $ )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 5,516,726 including grants of $ 5,516,726 ) (Revenue $ )
4e	Total program service expenses24,105,820

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	4,707,372	587,955

(A) Name and business address	(B) Description of services	(C) Compensation
BLUEPRINT 314 10016 OFFICE CENTER AVENUE SUITE 1 ST LOUIS,MO63128	ADVERTISING	580,901
ALTUS HIGHLANDS LLC 231 S BEMISTON AVE SUITE 650 ST LOUIS,MO63105	LEASE	362,101



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

1	Briefly describe the organization’s mission or most significant activities: TO SUPPORT AND ENCOURAGE CHILDREN'S HEALTH CARE AND RELATED SERVICESTHROUGH PROVIDING FINANCIAL AND FUND-RAISING ASSISTANCE FOR ST. LOUISCHILDREN'S HOSPITAL AND PEDIATRIC RELATED RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	37
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	35
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	140
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a	6,831
b	Membership dues..		1b
c	Fundraising events..		1c	682,368
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	54,418,691

g	Noncash contributions included in lines 1a - 1f:$		1g	8,947,922

h Total. Add lines 1a-1f.......		55,107,890

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,528,840			5,528,840
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			12,090			12,090
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		312,162,538	7a
b	Less: cost or other basis and sales expenses		265,866,575	7b
c	Gain or (loss)		46,295,963	7c
d	Net gain or (loss).........			46,295,963			46,295,963
8a	Gross income from fundraising events (not including $ 682,368of contributions reported on line 1c). See Part IV, line 18 ....
			8a	768,075
b	Less: direct expenses ...		8b	271,813
c	Net income or (loss) from fundraising events..			496,262			496,262
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	3,050
b	Less: direct expenses ...		9b	3,665
c	Net income or (loss) from gaming activities..			-615			-615
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	REC PRIOR YEAR GRANTS		900001	2,488,423			2,488,423
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,488,423
12	Total revenue. See instructions.....			109,928,853	0	0	54,820,963

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	24,105,820	24,105,820
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	57,500		57,500
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17	33,942			33,942
f	Investment management fees ......	695,138		681,749	13,389
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	407,351		123,738	283,613
12	Advertising and promotion ....	581,071			581,071
13	Office expenses .......	118,045		17,960	100,085
14	Information technology ......	118,679		74,501	44,178
15	Royalties ..
16	Occupancy ...........	350,335		350,335
17	Travel ............	6,883		2,168	4,715
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,253		512	1,741
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	93,812		93,812
23	Insurance ...	2,115			2,115
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCH. SVCS - SAL-BENEF	4,430,811		753,238	3,677,573
b	ADMINISTRATIVE/OVERHEAD	120,000		120,000
c	PRINTING AND POSTAGE	89,162		11,474	77,688
d	DONOR CULTIVATION	81,930		5,228	76,702
e	All other expenses	159,226		108,724	50,502
25	Total functional expenses. Add lines 1 through 24e	31,454,073	24,105,820	2,400,939	4,947,314
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			149,916	2	214,559
3	Pledges and grants receivable, net ......			17,253,573	3	19,910,483
4	Accounts receivable, net .............				4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			78,070	9	45,279
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	593,046
b	Less: accumulated depreciation	10b	326,585	199,894	10c	266,461
11	Investments—publicly traded securities .			117,402,549	11	110,047,102
12	Investments—other securities. See Part IV, line 11 .....			262,381,812	12	349,595,889
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			36,749,919	15	39,789,754
16	Total assets. Add lines 1 through 15 (must equal line 33)...			434,215,733	16	519,869,527

17	Accounts payable and accrued expenses .....	274,116	17	355,718
18	Grants payable ...	36,633,191	18	31,417,177
19	Deferred revenue .........	95,000	19	175
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	65,377,906	25	75,818,522
26	Total liabilities. Add lines 17 through 25..	102,380,213	26	107,591,592

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	100,212,578	27	118,093,939
28	Net assets with donor restrictions ...........	231,622,942	28	294,183,996
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	331,835,520	32	412,277,935
33	Total liabilities and net assets/fund balances ........	434,215,733	33	519,869,527