2018-06-15T10:04:08-05:00 2017-12-31 450250958 EIDE BAILLY LLP 5 TRIAD CENTER STE 600 SALT LAKE CITY UT 841801106 990 2017-01-01 870387205 CHILDREN'S MIRACLE NETWORK CHIL 8012147400 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 TERI NESTEL CHIEF ADMINISTRATION OFFICER 8012147400 2018-06-13 1 CHETT J CAMPBELL CPA P01301037 8015322200 2017 2022-09-23 18:48:47Z CHILDREN'S MIRACLE NETWORK HOSPITALS TERI NESTEL 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 56717670 0 X WWW.CHILDRENSMIRACLENETWORKHOSPITALS.ORG X 1982 UT CHILDREN'S MIRACLE NETWORK (D/B/A) "CHILDREN'S MIRACLE NETWORK HOSPITALS") WORKS TO SAVE KIDS' LIVES BY RAISING FUNDS AND AWARENESS FOR CHILDREN'S HOSPITALS ACROSS NORTH AMERICA. 17 17 210 50 270667 12418 6642541 7670293 35656403 35691948 212136 1095497 2709153 971167 45220233 45428905 0 0 0 0 20744103 20562044 0 0 1313487 25879422 23492326 46623525 44054370 -1403292 1374535 100012044 115800036 77368816 90218809 22643228 25581227 X CHILDREN'S MIRACLE NETWORK (D/B/A) "CHILDREN'S MIRACLE NETWORK HOSPITALS") WORKS TO SAVE KIDS' LIVES BY RAISING FUNDS AND AWARENESS FOR CHILDREN'S HOSPITALS ACROSS NORTH AMERICA. 0 0 29836091 27059926 CHILDREN'S MIRACLE NETWORK HOSPITALS RAISES FUNDS AND AWARENESS FOR 170 MEMBER HOPSITALS THAT PROVIDE 32 MILLION TREATMENTS EACH YEAR TO KIDS ACROSS THE US AND CANADA. ABOUT THE NETWORKAS AN UMBRELLA ORGANIZATION FOR 170 CHILDREN'S HOSPITALS, CHILDREN'S MIRACLE NETWORK HOSPITALS PROVIDES COMPREHENSIVE EDUCATION, SUPPORT, INFORMATION AND RESOURCES TO ITS NETWORK FOR RAISING FUNDS, CREATING AWARENESS AND PUBLIC EDUCATION PROGRAMS FOR CHILDREN'S HEALTHCARE NEEDS AND THE IMPORTANT WORK OF THE HOSPITALS CARING FOR THEM. TO JOIN THE NETWORK, A HOSPITAL SIGNS A MEMBERSHIP AGREEMENT AND IS PROVIDED WITH AN ANNUAL EDUCATION CONFERENCE; REGIONAL CONFERENCES, MONTHLY NATIONAL CONFERENCE CALLS; ONLINE EDUCATION, INFORMATION AND NETWORKING TOOLS; PUBLICATIONS, TRAINING AND PROGRAM CONTENT FOR RADIO AND TELEVISION SPONSORS; AND TRAINING SUPPORT FOR AFFILIATES IN NATIONAL PROGRAMS AS APPROPRIATE AND NECESSARY TO ACHIEVE THE ORGANIZATION'S PURPOSES. MEMBER HOSPITALS PAY CHILDREN'S MIRACLE NETWORK HOSPITALS A FEE TO BE INCLUDED IN THE NETWORK.FUNDS RAISED THROUGH CHILDREN'S MIRACLE NETWORK HOSPITALS CAMPAIGNS AND PROGRAMS ARE UNUSUAL FOR TWO KEY REASONS:1. FUNDS STAY IN THE COMMUNITY WHERE THEY ARE DONATED; AND2. HOSPITALS RECEIVE THE FUNDS AS UNRESTRICTED, MEANING THEY CAN USE DONATIONS HOWEVER THEY SEE FIT, HOSPITALS ASSESS THEIR CURRENT AND FUTURE NEEDS TO DETERMINE WHERE HELP IS NEEDED MOST. FUNDS ARE MOST COMMONLY USED FOR EQUIPMENT PURCHASES, RESEARCH, CHARITABLE CARE AND EDUCATION.THE CHILDREN'S MIRACLE NETWORK HOSPITALS DONATION STRUCTURE PROVIDESCONTRIBUTORS WITH THE ASSURANCE THEIR DONATIONS HELP KIDS IN THE LOCALCOMMUNITY FOR THE MOST PRESSING NEEDS.IN 2017, THE COMBINED EFFORTS OF CHILDREN'S MIRACLE NETWORK HOSPITALSAND ITS PARTNERS RAISED MORE THAN $388 MILLION TO HELP KIDS AT MEMBERHOSPITALS. CHILDREN'S MIRACLE NETWORK HOSPITALS DONATIONS AREDISTRIBUTED AS DISCRETIONARY FUNDS TO EACH HOSPITAL, ALLOWING THEM TOADDRESS THE MOST CRITICAL CHILDREN'S HEALTHCARE NEEDS IN THEIRRESPECTIVE COMMUNITIES.EACH YEAR, THE 170 MEMBER HOSPITALS OF CHILDREN'S MIRACLE NETWORKHOSPITALS PROVIDE MEDICAL CARE TO MORE THAN 10 MILLION CHILDREN THROUGHMORE THAN 32 MILLION PATIENT VISITS FOR CANCER, HEART PROBLEMS, BIRTHDEFECTS, CYSTIC FIBROSIS, DIABETES, MUSCULAR DYSTROPHY AND MANY OTHERSERIOUS ILLNESSES AND INJURIES.FROM PREMATURE INFANTS TO GROWING TEENAGERS, CHILDREN'S HOSPITALSPROVIDE THE VAST MAJORITY OF HIGHLY SPECIALIZED CARE FOR CHILDREN WITHCOMPLEX AND RARE CONDITIONS, IN ADDITION TO ROUTINE AND EMERGENCYCASES. ALL EQUIPMENT MUST BE CUSTOMIZED TO KIDS OF EVERY AGE AND SIZE,GREATLY MULTIPLYING THE EXPENSES INCURRED AT CHILDREN'S HOSPITALS.THE LIST OF WHAT CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS HAVEPURCHASED IS EXHAUSTIVE, BUT THE FOLLOWING EXAMPLES ARE JUST A FEW WAYSDONATIONS HAVE MADE AN IMPACT IN COMMUNITIES THROUGHOUT NORTH AMERICA:FACILITIES AND EQUIPMENT THAT CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS HAVE PROVIDED INCLUDES:UNIVERSITY OF FLORIDA HEALTH JACKSONVILLE USED DONATIONS TO PURCHASE A STATE-OF-THE-ART MILK LAB FOR THE NEONATAL INTENSIVE CARE UNIT. WOLFSON CHILDREN'S HOSPITAL USED DONATIONS TO OFFSET THE COST OF A NEW AMBULANCE/KIDS KARE MOBILE INTENSIVE CARE UNIT AS PART OF THEIR TRAUMA FLEET.WVU MEDICINE CHILDREN'S USED DONATIONS TO PURCHASE AND INSTALL NICVIEW CAMERAS IN THE NEONATAL INTENSIVE CARE UNIT (NICU) SO PARENTS COULD VIEW THEIR BABIES IN THE NICU FROM ANYWHERE.CHILDREN'S HOSPITAL, NAVICENT HEALTH USED DONATIONS TO PURCHASE A THERAPEUTIC LISTENING PROGRAM, WHICH INCLUDED THE PURCHASE OF EQUIPMENT AND THE TUITION FOR TWO THERAPISTS TO ACQUIRE THE NECESSARY TRAINING TO IMPLEMENT THE PROGRAM IN THEIR AUTISM AND DEVELOPMENTAL CENTER. CHILDREN'S HOSPITAL - NEW ORLEANS AT VCU USED DONATIONS TO SUPPORT CLINICAL SERVICES INCLUDING DEPARTMENTS FROM EMERGENCY TO PHYSICAL THERAPY ENSURING KIDS GET THE CARE THEY NEED.CHILDREN HELPED IN 2017MORE THAN 10 MILLION KIDS ARE TREATED AT MEMBER HOSPITALS EVERY YEAR. A FEW EXAMPLES OF PATIENTS WHO HAVE BENEFITED FROM CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS:CARLY'S MANTRA IS "TINY BUT AWESOME, AND IT'S TRUE IN EVERYTHING SHE DOES. WHILE CARLY LEADS THE LIFE OF A TYPICAL SECOND-GRADER, PARTICIPATING IN GIRL SCOUTS, LEARNING TAP AND JAZZ, EXCELLING IN MATH, AND BECOMING FIERCELY INDEPENDENT, THAT'S WHERE CARLY'S "TYPICAL" ENDS. SHE IS JUST ONE OF 17 KIDS LIVING WITH PROGERIA IN THE U.S. PROGERIA IS AN EXTREMELY RARE GENETIC CONDITION THAT CAUSES HER TO AGE EIGHT TO 10 YEARS EACH YEAR. CHILDREN WITH PROGERIA HAVE SMALL STATURE, SHORTER LIFE SPANS AND EXPERIENCE HEART DISEASE AND STROKE, ALONG WITH OTHER CONDITIONS TYPICALLY ASSOCIATED WITH THE AVERAGE AGING PUBLIC, OCCURRING AS EARLY AS 6, VERSUS 70 OR 80 YEARS OF AGE. CARLY LOVES CRAFTING, YOUTUBE VIDEOS, MAKING SLIME, CURIOUS GEORGE, TRAVELING, DOLLS, PLAYING SCHOOL AND COOKING. HER LATEST OBSESSION IS LOL SURPRISE DOLLS - COLLECTING THEM, WATCHING YOUTUBERS UNWRAP THEM IN VIDEOS, PLAYING WITH THEM AND MAKING VIDEOS HERSELF. DONATIONS ALLOW CARLY'S CARETAKERS TO COLLABORATE WITH GLOBAL EXPERTS ON PROGERIA AND HELP PAY FOR DIAGNOSTIC EQUIPMENT. STARTING PRESCHOOL CAN BE OVERWHELMING FOR SOME 4-YEAR-OLDS. FOR JAKIAH, THE HARDEST PART WAS SAYING GOODBYE TO HER CLASSMATES WHEN SHE WAS DIAGNOSED WITH KIDNEY CANCER A MONTH INTO THE SCHOOL YEAR. DURING HER PRE-KINDERGARTEN CHECKUP, JAKIAH'S PRIMARY CARE PHYSICIAN NOTICED SWELLING IN HER ABDOMEN. THEY INITIALLY BELIEVED IT WAS A MINOR INFECTION, BUT SOON DISCOVERED IT WAS AN ADVANCED STAGE OF WILMS TUMOR. WHILE HER SCHOOL FRIENDS LEARNED THE ALPHABET, JAKIAH UNDERWENT MONTHS OF CHEMOTHERAPY, RADIATION THERAPY AND SURGERY. NOW JAKIAH IS ENTERING YEAR FIVE OF BEING CANCER FREE, A MAJOR MILESTONE. SHE IS FULL OF SASS AND LOVES TO BE AROUND HER FRIENDS. SHE WILL CONTINUE ENDURING NUMEROUS ULTRASOUNDS, CT SCANS, X-RAYS, BLOOD WORK AND CHECK-UPS UNTIL 2023 TO ENSURE SHE REMAINS CANCER FREE. CHILDREN'S MIRACLE NETWORK HOSPITALS FUNDS HELPED PAY FOR THE NEW 258,000-SQUARE-FOOT WING THAT HOUSES THE HEMATOLOGY/ONCOLOGY CLINIC WHERE JAKIAH WAS TREATED AND THE HEALING GARDEN WHERE SHE SPENT DAYS RECOVERING AT THE CHILDREN'S HOSPITAL. MATEO IS A HAPPY CHILD WITH A SENSE OF ADVENTURE. HIS FUN PERSONALITY HAS HELPED HIM ENDURE THROUGH THREE VERY SERIOUS ILLNESSES: HIRSCHSPRUNGS DISEASE, SHORT BOWEL SYNDROME AND EOSINOPHILIC ESOPHAGITIS. MATEO LEARNED TO BE A FIGHTER FROM DAY ONE. SOON AFTER BIRTH, HE UNDERWENT AN ILEOSTOMY, A SURGERY TO BYPASS PART OF HIS INTESTINES. SHORTLY AFTER, HEALTH COMPLICATIONS REQUIRED THE SAME PROCEDURE AGAIN. HE SPENT 71 DAYS IN THE NEONATAL INTENSIVE CARE UNIT AND HAS HAD 12 SURGERIES DURING HIS LIFETIME. MATEO'S SURVIVAL DEFIED ALL ODDS. WHEN HE WAS DIAGNOSED WITH THIS DISEASE, HE HAD A 30 PERCENT CHANCE TO LIVE. YET, HE HAS EXCEEDED EXPECTATIONS. TODAY, MATEO LOVES MARVEL SUPERHEROES, CAPTAIN UNDERPANTS BOOKS AND JAKE PAUL YOUTUBE VIDEOS. DONATIONS HELP PURCHASE EQUIPMENT AND PROVIDE BOOKS, DISTRACTION TOYS FOR PATIENTS AND SUPPORT FOR ART AND MUSIC THERAPY FOR KIDS LIKE MATEO. 9945364 9019975 CHILDREN'S MIRACLE NETWORK HOSPITALS HAS CULTIVATED RELATIONSHIPS WITHA WIDE RANGE OF NATIONAL CORPORATE AND MEDIA PARTNERS TO CREATEAWARENESS OF THE NEEDS OF CHILDREN'S HOSPITALS AND PUBLIC EDUCATIONPROGRAMS. NATIONAL PUBLIC AWARENESS IS GENERATED THROUGH RADIO ANDTELEVISION PROGRAMMING, OFTEN FOCUSING ON THE STORIES OF CHILDREN ANDTHEIR FAMILIES WHO HAVE EXPERIENCED SERIOUS ILLNESSES OR INJURIES ANDWERE CARED FOR AT A LOCAL CHILDREN'S HOSPITAL.KEY CHILDREN'S MIRACLE NETWORK HOSPITAL PUBLIC EDUCATION AND AWARENESSCAMPAIGNS IN 2017 INCLUDE:-CHILDREN'S MIRACLE NETWORK HOSPITALS TELETHONS;-CHILDREN'S MIRACLE NETWORK HOSPITALS RADIOTHONS;-CHILDREN'S MIRACLE NETWORK HOSPITALS CHAMPIONS PROGRAM, WHERE ONECHILD FROM EACH STATE IS SELECTED TO SERVE AS AN AMBASSADOR, MEETINGWITH MEDIA, CONGRESSIONAL REPRESENTATIVES AND OTHERS TO SHARE THEIMPORTANT WORK OF CHILDREN'S HOSPITALS;-CHILDREN'S HOSPITALS HEROES SEGMENTS PRODUCED BY FOX OWNED & OPERATEDSTATIONS;-COMMUNITY EVENT OUTREACH FROM THE HUNDREDS OF MISS AMERICAORGANIZATION TITLEHOLDERS WHO SERVE AS AMBASSADORS FOR CHILDREN'SMIRACLE NETWORK HOSPITALS, THE OFFICIAL CHARITY PLATFORM OF THEORGANIZATION; AND-OUT-OF-HOME ADVERTISEMENTS THROUGH THE OOH FOR GOOD PROGRAMTHAT CALL ATTENTION TO CHARITABLE NEEDS OF CHILDREN'S HOSPITALS.-LOCAL MEDIA CAMPAIGNS FEATURING JENNIFER LOPEZ, KRISTEN BELL, CHRIS PINE AND LOCAL CHILDREN'S HOSPITAL PATIENTS 39781455 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 85 0 1 210 1 1 1 1 CA 0 0 0 1 1 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AZ AR CA CO CT DC FL GA HI IL KS KY LA MD MA MI MN MS MO ME ND NC NY NM NJ NH OH OR OK TN UT VA WA WV WI NV RI PR PA SC X X SPENCER BROWN 8012147400 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 JOHN BOZARD CHAIRMAN OF THE BOARD 2.00 X 0 0 0 STEVE WEISZ PAST CHAIR 2.00 X 0 0 0 NANA MENSAH VICE CHAIR 2.00 X 0 0 0 RICK MERRILL TREASURER 2.00 X 0 0 0 BARBARA JOERS SECRETARY 2.00 X 0 0 0 MICHAEL MISCHLER BOARD MEMBER 2.00 X 0 0 0 JOHN BEL BOARD MEMBER 2.00 X 0 0 0 TONY KENNEY BOARD MEMBER 2.00 X 0 0 0 JULIE MURPHY BOARD MEMBER 2.00 X 0 0 0 BARBARA NICKLAUS BOARD MEMBER 2.00 X 0 0 0 STEVE RUM BOARD MEMBER 2.00 X 0 0 0 FRED SCARBOROUGH BOARD MEMBER 2.00 X 0 0 0 JOHN SCHNEIDER BOARD MEMBER 2.00 X 0 0 0 ANDREA THOMAS BOARD MEMBER 2.00 X 0 0 0 PEARL VEENEMA BOARD MEMBER 2.00 X 0 0 0 KIMBERLY CRIPE BOARD MEMBER 2.00 X 0 0 0 MARIE OSMOND BOARD MEMBER 2.00 X 0 0 0 JOHN LAUCK PRESIDENT & CEO 45.00 X 572089 0 277582 CRAIG SORENSEN CHIEF CONTENT OFFICER 45.00 X 297699 0 126943 TERI NESTEL CHIEF ADMINISTRATION OFFICER 45.00 X 259198 0 111886 CLARK SWEAT CHIEF REVENUE OFFICER 45.00 X 310177 0 126672 STEVE OSHIN CHIEF NEW BUSINESS OFFICER 45.00 X 259046 0 109029 ANTHONY REHMER SVP INFORMATION SERVICES 40.00 X 177374 0 80856 JENNI DEBARTOLO SVP HUMAN RESOURCES 40.00 X 179986 0 79320 WALLACE EDWARDS SVP FIELD OPERATIONS 40.00 X 183903 0 84200 ROBERT BANNER VP DIRECT MARKETING 40.00 X 155435 0 65718 MAUREEN CARLSON SVP STRATEGIC PARTNERSHIPS 40.00 X 239872 0 60573 2634779 0 1122779 33 0 1 0 EMERGE ENTERPRISES 2000 NW 150 AVENUE STE 2106 PEMBROKE PINES FL 33028 DIGITAL AGENCY 1000000 CORNERSTONE 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WE BUILD RELATIONSHIPS WITHIN THESE COMMUNITITES BY CONDUCTING AWARENESS ACTIVITIES AND PUBLIC EDUCATION PROGRAMS CONCERNING CHILDREN'S HOSPITALS. WE ALSO DEVELOP FUNDRAISING INITIATIVES THAT ARE INTRODUCED AT THE NATIONAL LEVEL OF THE COMPANY OR GROUP, AND THEN CARRIED OUT THROUGH THE LOCAL STORE OR CLUB LEVEL. MEMBER HOSPITAL REPRESENTATIVES CARRY OUT PUBLIC EDUCATION PROGRAMS AND SUPPORT THE FUNDRAISING AT A LOCAL LEVEL. FUNDS FROM THESE ACTIVITIES ARE SOMETIMES GIVEN DIRECTLY TO THE LOCAL MEMBER HOSPITAL, AND SOMETIMES THE FUNDS ARE GIVEN TO CHILDREN'S MIRACLE NETWORK HOSPITALS ON BEHALF OF THE MEMBER HOSPITALS. WHEN THE FUNDS ARE GIVEN TO THE CHILDREN'S MIRACLE NETWORK HOSPITALS, THEY ARE HELD IN A SEPARATE ACCOUNT UNTIL DISTRIBUTION. FUNDS ARE RECEIVED THROUGHOUT THE YEAR AND ARE REMITTED ON A QUARTERLY BASIS TO THE HOSPITALS, WHICH HAVE ALSO BEEN DETERMINED TO BE AN ORGANIZATION RECOGNIZED AS EXEMPT BY THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUND IS TO PROVIDE A PERMANENT SOURCE OF FUNDING FOR THE CREATION, DEVELOPMENT AND EXECUTION OF THE PROGRAMS, CAMPAIGNS, ACTIVITIES AND OPERATIONS OF CHILDREN'S MIRACLE NETWORK. PART X, LINE 2: THE ORGANIZATION IS ORGANIZED AS A UTAH NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), THAT QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 509(A)(2) AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. THE ORGANIZATION FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. CHILDREN'S MIRACLE NETWORK HOSPITALS BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. NORTH AMERICA 1 9 FUNDRAISING 50950 NORTH AMERICA 1 9 PROGRAM SERVICES COMMUNITY SERVICES 815195 NORTH AMERICA 1 9 MAINTAINING OFFICES 152849 3 27 0 0 3 27 1018994 0 1018994 0 0 0 0 0 0 PART I, LINE 3: ADDITIONAL RECORDS WERE KEPT TO SUPPORT THE EXPENDITURES FOR EACH ACTIVITY CONDUCTED WITHIN A FOREIGN COUNTRY. 1 X X X X X 0 1 0 0 0 0 0 1 0 JOHN LAUCK PRESIDENT & CEO 476316 0 92981 0 2792 0 256723 0 20859 0 849671 0 92981 0 CRAIG SORENSEN CHIEF CONTENT OFFICER 265780 0 31763 0 156 0 98525 0 28418 0 424642 0 31763 0 TERI NESTEL CHIEF ADMINISTRATION OFFICER 231605 0 27437 0 156 0 91784 0 20102 0 371084 0 27437 0 CLARK SWEAT CHIEF REVENUE OFFICER 278337 0 31684 0 156 0 100326 0 26346 0 436849 0 31684 0 STEVE OSHIN CHIEF NEW BUSINESS OFFICER 231220 0 27220 0 606 0 91082 0 17947 0 368075 0 27220 0 ANTHONY REHMER SVP INFORMATION SERVICES 161345 0 16029 0 0 0 54510 0 26346 0 258230 0 16029 0 JENNI DEBARTOLO SVP HUMAN RESOURCES 159563 0 20267 0 156 0 55104 0 24216 0 259306 0 20267 0 WALLACE EDWARDS SVP FIELD OPERATIONS 167868 0 16035 0 0 0 57390 0 26810 0 268103 0 16035 0 ROBERT BANNER VP DIRECT MARKETING 141508 0 13427 0 500 0 47766 0 17952 0 221153 0 13427 0 MAUREEN CARLSON SVP STRATEGIC PARTNERSHIPS 224583 0 14794 0 495 0 60156 0 417 0 300445 0 14794 0 PART I, LINE 4B A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN(THE SERP) IS MAINTAINED AND ANNUAL DISCRETIONARY EMPLOYER CONTRIBUTIONS, AS DEFINED BY THE AGREEMENT, ARE MADE. CONTRIBUTIONS AND THE RELATED EARNINGS VEST ACCORDING TO THE TERMS OF THE SERP PLAN DOCUMENT BASED ON CERTAIN EVENTS. BENEFIT EXPENSE RELATED TO THE SERP FOR THE YEARS ENDED DECEMBER 31, 2017 TOTALED $72,453 FOR JOHN LAUCK. PART I, LINE 7 THE ORGANIZATION PAYS NON-FIXED PAYMENTS BASED ON A FIXED PERCENTAGE BASED UPON THE POSITION OR TITLE OF THE EMPLOYEE. THE BOARD HAS DISCRETION TO ADJUST THE PAYMENT BASED UPON THE ACHIEVEMENT OF GOALS. KYTON SWEAT SON OF OFFICER 45587 COMPENSATION 0 KRISTEN WEISZ DAUGHTER OF BOARD MEMBER 115623 COMPENSATION 0 X MARRIOTT GIFT CARDS 1 450000 FMV X SKYMILES 319 37865 FMV 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B CHILDREN'S MIRACLE NETWORK'S IRS FORM 990 IS PREPARED BY A PROFESSIONAL TAX PREPARER. ONCE IT IS COMPLETE, THE DRAFT IS PRESENTED BY THE PROFESSIONAL TAX PREPARER TO THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. THE AUDIT & COMPLIANCE COMMITTEE CAREFULLY REVIEWS THE DOCUMENT. AN ELECTRONIC COPY OF THE IRS FORM 990 IS THEN SENT TO THE FULL BOARD. AT A MEETING OF THE FULL BOARD, THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE PROVIDES A REPORT AND RECOMMENDATION TO THE FULL BOARD TO APPROVE FILING WITH THE IRS. THE FULL BOARD OF TRUSTEES APPROVES THE FORM 990 IN ADVANCE OF ITS FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C AT THE BEGINNING OF EACH FISCAL YEAR, THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF CHILDREN'S MIRACLE NETWORK ASKS EACH BOARD MEMBER AND EMPLOYEE TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND THEN SIGN A STATEMENT CONFIMING THAT THEY ADHERE TO THE CHILDREN'S MIRACLE NETWORK POLICIES AND PROCEDURES INCLUDING AVOIDANCE OF ANY ACTS THAT ARE CONTRARY TO THE CHILDREN'S MIRACLE NETWORK EXEMPT PURPOSES OR ANY ACTS THAT CONFLICT WITH THEIR RESPONSIBILITIES AT CHILDREN'S MIRACLE NETWORK. THEY ARE ALSO ASKED TO DISCLOSE ANY CONFLICTS THAT THEY ARE AWARE OF OR ANY POTENTIAL CONFLICTS OF INTEREST. EACH STATEMENT DISCLOSING ANY CONFLICT OR POTENTIAL CONFLICT IS PRESENTED TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. EACH CONFLICT OR POTENTIAL CONFLICT IS THEN REVIEWED AND RESOLVED AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE. A REPORT IS ALSO GIVEN TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION - AN EXTENSIVE REVIEW AND ANALYSIS OF EXECUTIVE COMPENSATION WAS UNDERTAKEN BY AN OUTSIDE CONSULTING FIRM AND PRESENTED TO THE GOVERNANCE COMMITTEE OF THE CHILDREN'S MIRACLE NETWORK BOARD OF TRUSTEES IN 2016. THIS REVIEW IS PERFORMED EVERY TWO YEARS. THE NEXT REVIEW IS TO BE CONDUCTED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE ORGANIZATION INCLUDES ITS AUDITED FINANCIAL STATEMENTS AND FORM 990 ON ITS WEBSITE.