Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 10,266,662 | 14,664,816 | 15,583,616 | 21,748,416 | 12,026,285 | 74,289,795 |
| 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 | 10,266,662 | 14,664,816 | 15,583,616 | 21,748,416 | 12,026,285 | 74,289,795 |
| 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) .. | 7,850,626 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 66,439,169 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 10,266,662 | 14,664,816 | 15,583,616 | 21,748,416 | 12,026,285 | 74,289,795 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 9,495,475 | 10,597,305 | 2,815,736 | 1,142,572 | 571,975 | 24,623,063 |
| 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.).. | 257,101 | 352,633 | 462,848 | 671,296 | 705,143 | 2,449,021 |
| 11 | Total support. Add lines 7 through 10 | 101,361,879 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 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 | ||||
| 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 2024 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-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME | INVENTORY SALES 2020 AMOUNT: $ 257,101. 2021 AMOUNT: $ 352,633. 2022 AMOUNT: $ 462,848. 2023 AMOUNT: $ 671,296. 2024 AMOUNT: $ 705,143. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, ITEM J | HTTPS://WWW.CHILDRENSNEBRASKA.ORG/GIVE |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CHILDREN'S HOSPITAL & MEDICAL CENTER BOARD REVIEWS DECISIONS MADE BY THE FOUNDATION BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF THE FORM 990, EXCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE CHILDREN'S HOSPITAL & MEDICAL CENTER BOARD OF DIRECTORS VIA THE BOARDVANTAGE BOARD PORTAL PRIOR TO FILING WITH THE IRS. A COPY OF THE FORM 990, INCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS REVIEWED WITH THE COMPENSATION & HUMAN RESOURCES COMMITTEE OF THE CHILDREN'S HOSPITAL & MEDICAL CENTER BOARD OF DIRECTORS AT ITS NOVEMBER MEETING. A COMPLETE COPY OF THE FORM 990, INCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, ALSO IS PROVIDED TO THE SVP & EXECUTIVE DIRECTOR OF THE FOUNDATION AND THE CHAIR OF THE BOARD FOR THE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO REQUIRE THAT ANY POTENTIAL CONFLICT OF INTEREST BE PROMPTLY AND FULLY DISCLOSED IN ORDER TO ASSURE THAT CHILDREN'S NOT ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST. CHILDREN'S IS NOT PROHIBITED FROM DOING BUSINESS WITH AN ENTITY IN WHICH A MEMBER HAS A POTENTIAL CONFLICT OF INTEREST PROVIDED THE INTEREST HAS BEEN DISCLOSED AND THE INTERESTED PERSON IS NOT INVOLVED IN ANY DECISION MAKING REGARDING THE TRANSACTION. DEFINITIONS 1. CHILDREN'S. FOR PURPOSES OF THIS POLICY, CHILDREN'S REFERS TO CHILDREN'S HOSPITAL & MEDICAL CENTER AND CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION. 2. CONFLICT OF INTEREST. FOR PURPOSES OF THIS POLICY, A CONFLICT OF INTEREST EXISTS WHEN THE GOVERNANCE COMMITTEE, THE BOARD, OR THE COMMITTEE TO WHOM A POTENTIAL CONFLICT OF INTEREST IS REPORTED, HAS REVIEWED THE POTENTIAL CONFLICT OF INTEREST AND HAS DETERMINED THAT A CONFLICT OF INTEREST EXISTS. 3. FAMILY OR FAMILY MEMBER. FOR PURPOSES OF THIS POLICY AND THE ANNUAL CONFLICTS OF INTEREST QUESTIONNAIRE, FAMILY OR FAMILY MEMBER SHALL INCLUDE THE INTERESTED PERSON'S: SPOUSE, PARENTS, IN-LAWS, BROTHERS OR SISTERS (BY WHOLE OR HALF-BLOOD), SPOUSES OF BROTHERS OR SISTERS, CHILDREN, GRANDCHILDREN, AND SPOUSES OF CHILDREN AND GRANDCHILDREN. 4. INTERESTED PERSON. AN INTERESTED PERSON SHALL MEAN ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR APPROVAL. "INTERESTED PERSON" INCLUDES (BUT IS NOT LIMITED TO) ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS. 5. POTENTIAL CONFLICT OF INTEREST. AN INTERESTED PERSON HAS A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING CHILDREN'S IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH A BUSINESS, INVESTMENT, FAMILY OR OTHER RELATIONSHIP: I. AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY INVOLVED IN SUCH CONTRACT, TRANSACTION OR ARRANGEMENT; II. A COMPENSATION ARRANGEMENT WITH AN INDIVIDUAL OR ENTITY INVOLVED IN SUCH CONTRACT, TRANSACTION OR ARRANGEMENT; III. A FIDUCIARY POSITION (E.G., MEMBER, OFFICER, DIRECTOR, COMMITTEE MEMBER) WITH RESPECT TO AN ENTITY INVOLVED IN SUCH CONTRACT, TRANSACTION OR ARRANGEMENT; IV. ANY RELATIONSHIP WITH AN INDIVIDUAL OR ENTITY THAT COULD RENDER THE DIRECTOR INCAPABLE OF MAKING A DECISION WITH ONLY THE BEST INTEREST OF CHILDREN'S IN MIND; OR V. ANY COMPENSATION ARRANGEMENT BETWEEN AN INTERESTED PERSON OR ANY FAMILY MEMBER AND CHILDREN'S. FOR PURPOSES OF THIS SECTION, COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. DUTY TO DISCLOSE I. AN INTERESTED PERSON HAS THE OBLIGATION TO ANNUALLY SUBMIT A COMPLETED CONFLICTS OF INTEREST QUESTIONNAIRE IN THE FORMAT APPROVED BY THE BOARD. II. AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. III. DISCLOSURE REQUIRES 1) COMPLETING THE ANNUAL QUESTIONNAIRE AND 2) PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE COMPLIANCE OFFICER (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. I. REVIEW OF QUESTIONNAIRES. THE GOVERNANCE COMMITTEE SHALL REVIEW EACH COMPLETED CONFLICTS OF INTEREST QUESTIONNAIRE. THE COMMITTEE MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. ALL KNOWLEDGE AND INFORMATION ACQUIRED BY THE GOVERNANCE COMMITTEE SHALL BE PRIVATE AND CONFIDENTIAL. THE GOVERNANCE COMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY CONFLICTS OF INTEREST. II. RESIGNATION FROM BOARD. THE GOVERNANCE COMMITTEE CAN RECOMMEND A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD NOT BE IN CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON ITS BOARD/COMMITTEE. III. ONGOING DETERMINATIONS. WHENEVER A POTENTIAL CONFLICT IS VOLUNTARILY IDENTIFIED BY AN INTERESTED PERSON (OR THROUGH DISCLOSURE BY A PERSON OTHER THAN THE INTERESTED PERSON), THE REMAINING BOARD/COMMITTEE MEMBERS SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE INTERESTED PERSON MAY MAKE A PRESENTATION AND ANSWER ANY QUESTIONS BUT SHALL NOT BE PRESENT WHEN THE BOARD/COMMITTEE CONDUCTS ITS EVALUATION. THE BOARD/COMMITTEE MAY REQUEST ADDITIONAL INFORMATION FROM ALL REASONABLE SOURCES. ONCE THE BOARD/COMMITTEE HAS ALL NECESSARY INFORMATION, IT SHALL DETERMINE WHETHER A CONFLICT OF INTEREST INDEED EXISTS. ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER A CONFLICT EXISTS AND THE SUBJECT INTERESTED PERSON CANNOT BE PRESENT DURING THE VOTE. IV. IN THE EVENT THE BOARD OR A COMMITTEE HAS DETERMINED THAT A CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: A. THE DISINTERESTED BOARD/COMMITTEE MEMBERS SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IF APPROPRIATE, THE BOARD/COMMITTEE SHALL APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. B. IN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT, THE BOARD/COMMITTEE MAY APPROVE SUCH A CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED MEMBERS DETERMINE BY A MAJORITY VOTE THAT THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S BEST INTERESTS AND FOR CHILDREN'S OWN BENEFIT. C. THE DISINTERESTED MEMBERS OF THE BOARD/COMMITTEE MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS DISCUSSED. THE INTERESTED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON; ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. V. IN DETERMINING WHETHER AND WHEN TO REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM DURING DISCUSSION OF THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT, THE DISINTERESTED DIRECTORS SHALL BALANCE THE NEED TO FACILITATE THE DISCUSSION BY HAVING SUCH PERSON ON HAND TO PROVIDE ADDITIONAL INFORMATION WITH THE NEED TO PRESERVE THE INDEPENDENCE OF THE DETERMINATION PROCESS. VIOLATIONS OF POLICY IF THE BOARD/COMMITTEE HAS REASON TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND PROVIDE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE. AFTER HEARING THE RESPONSE OF SUCH PERSON AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THIS POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WHICH MAY INCLUDE REMOVAL FROM THE BOARD. RECORD OF PROCEEDINGS AT ANY BOARD/COMMITTEE MEETING AT WHICH A CONFLICT OF INTEREST ISSUE WAS ADDRESSED, THE MINUTES OF THE BOARD /COMMITTEE MEETING SHALL INCLUDE A CONFLICT OF INTEREST PROCESSING RECORD IN THE FORM APPROVED BY THE BOARD. THE CONFLICT OF INTEREST PROCESSING RECORD SHOULD REFLECT THE ACTIONS TAKEN BY THE BOARD/ COMMITTEE. ANNUAL STATEMENTS EACH INTERESTED PERSON SHALL SIGN AN ANNUAL ACKNOWLEDGEMENT, IN THE FORMAT APPROVED BY THE BOARD, THAT THE INTERESTED PERSON (A) HAS RECEIVED A COPY OF THIS POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO REPORT TO COMPLIANCE OFFICER ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICTS OF INTEREST QUESTIONNAIRE; (G) STATES THAT THE INFORMATION PROVIDED IN THE CONFLICTS OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF EXECUTIVE PAY LEVELS. THE COMPENSATION COMMITTEE APPROVES BASE PAY CHANGES FOR THE FOUNDATION'S EXECUTIVE DIRECTOR. THE HOSPITAL BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED THROUGH PUBLICLY AVAILABLE SOURCES SUCH AS EMMA.MSRB.ORG. |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFERS TO HOSPITAL -12,158,066. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 59,759. RESTRICTED INVESTMENT INCOME 885,252. |
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