2017-07-17T10:25:59-05:00 2016-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DRIVE 400 CLEARWATER FL 33762 990 2016-01-01 042121377 THE SHRINERS' HOSPITAL FOR CHILDREN SHRI 8132810300 POST OFFICE BOX 31356 TAMPA FL 336313356 DALE STAUSS PRESIDENT 8132810300 2017-07-17 1 ALICIA BROWN P01337755 7275721400 71.41.95.34 2017-07-17 08:38:46 ED P 09D3B13B256C4B0D5A579EC8DD229819AF24D13A ABAE7DDDC08806B7040B95C5F656287F048C4ED5 2016 2021-01-29 14:40:06Z DALE STAUSS 2900 ROCKY POINT DRIVE TAMPA FL 33607 407785134 0 X WWW.SHRINERSHOSPITALSFORCHILDREN.ORG X 1925 MA WE PROVIDE PEDIATRIC SPECIALTY CARE WITHOUT FINANCIAL OBLIGATION TO PATIENTS OR THEIR FAMILIES. 21 18 517 1000 0 0 28204633 66943554 7969769 9098429 50368804 22896959 1208131 1481264 87751337 100420206 0 0 0 0 30392256 31561925 0 0 0 29842002 30890732 60234258 62452657 27517079 37967549 1082212882 1067274187 95333032 9287179 986879850 1057987008 X SEE SCHEDULE OSHRINERS HOSPITALS FOR CHILDREN IN BOSTON AND SPRINGFIELD OFFER "CHARITY CARE" AS PART OF AN INTERNATIONAL NETWORK OF PEDIATRIC HOSPITALS DEDICATED TO PROVIDING EXCELLENT PATIENT CARE, RESEARCH, AND EDUCATION FOR ORTHOPAEDIC CONDITIONS AND BURNS REGARDLESS OF THE FAMILY'S ABILITY TO PAY.SHRINERS HOSPITALS FOR CHILDREN-BOSTON SPECIALIZES IN PROVIDING COMPREHENSIVE ACUTE CARE AND RECONSTRUCTIVE AND REHABILITATIVE CARE TO CHILDREN WHO HAVE BEEN BURNED, INCLUDING ACUTE BURNS, SMOKE INHALATION INJURY, RECONSTRUCTIVE SURGERY FOR HEALED BURNS, AND OTHER RELATED CONDITIONS.SHRINERS HOSPITALS FOR CHILDREN-SPRINGFIELD SPECIALIZES IN CARING FOR CHILDREN WITH ORTHOPAEDIC CONDITIONS AND INJURIES SUCH AS SCOLIOSIS, CLUBFOOT, AND ORTHOPAEDIC CONDITIONS RELATED TO CEREBRAL PALSY AND SPINA BIFIDA. FOR MORE INFORMATION, VISIT HTTP://WWW.SHRINERSHOSPITALSFORCHILDREN.ORG/ OR CALL 1-800-241-GIFT. 0 0 55671009 9098429 STATE-OF-THE-ART MEDICAL CARE:SHRINERS HOSPITALS FOR CHILDREN SERVES 179 COUNTRIES, TREATING MORE THAN 100,000 UNIQUE CHILDREN EACH YEAR. OUR ORGANIZATIONAL MISSION IS TO PROVIDE THE HIGHEST QUALITY OF CARE TO CHILDREN WITHIN A COMPASSIONATE, FAMILY-CENTERED AND COLLABORATIVE CARE ENVIRONMENT. OUR TEAM OF HIGHLY-SKILLED MEDICAL PROFESSIONALS ARE AMONG SOME OF THE MOST RECOGNIZED INDIVIDUALS IN THE FIELDS OF PEDIATRIC BURN CARE AND PEDIATRIC ORTHOPEDIC CARE. CONTINUED ON SCHEDULE O OUR SPECIALIZED CARE EXTENDS BEYOND THE CONVENTIONAL WALLS OF THE HOSPITAL. SHRINERS HOSPITALS FOR CHILDREN ALSO SEEKS TO DELIVER CARE TO THOSE INTERNATIONALLY THROUGH OUR TELEHEALTH PROGRAM, WHICH ALLOWS PATIENTS TO RECEIVE OUR WRAP-AROUND CARE VIA VIDEO CONFERENCING. WE ALSO STRIVE TO HELP THOSE IN NEED - ESPECIALLY WHEN DISASTER STRIKES. MOST RECENTLY, SHC SENT GO-TEAMS TO BOTH MEXICO CITY AND GUATEMALA IN THE WAKE OF DISASTER TO HELP THOSE AFFECTED BY THE TRAGEDIES. 3882916 RESEARCH:SHRINERS HOSPITALS FOR CHILDREN PRIDES ITSELF ON THE WRAP-AROUND CARE THAT IT PROVIDES TO PATIENTS AND FAMILIES. AS A HEALTH CARE SYSTEM WITH 22 LOCATION IN THE U.S., CANADA AND MEXICO, OUR STAFF IS DEDICATED TO IMPROVING THE LIVES OF CHILDREN BY PROVIDING PEDIATRIC SPECIALTY CARE, CONDUCTING INNOVATIVE RESEARCH, AND OFFERING OUTSTANDING TEACHING PROGRAMS FOR MEDICAL PROFESSIONALS. OUR RESEARCH TEAM IS AMONG THE MOST HIGHLY RENOWNED, GAINING NATIONAL RECOGNITION FOR CLINICAL RESEARCH. SIX SHC LOCATIONS ARE MAJOR RESEARCH HOSPITALS, WORKING TO DEVELOP NEW TREATMENTS AND TECHNOLOGICAL ADVANCES WITHIN THE MEDICAL COMMUNITY. 59553925 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 93 0 1 517 1 0 0 0 0 0 1 1 0 0 0 0 X 21 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X SHARON RUSSELL 8132810300 2900 ROCKY POINT DR TAMPA FL 336071435 DALE W STAUSS PRESIDENT, TRUSTEE 5.00 0.00 X X 0 19000 0 JERRY G GANTT CHAIRMAN 2.00 40.00 X X 0 66500 0 CHRIS L SMITH VICE PRESIDENT 2.00 37.00 X X 0 47500 0 JAMES L MCCONNELL TREASURER 2.00 22.00 X X 0 0 0 TIMOTHY J LUTTRELL ASSISTANT TREASURER, TRUSTEE 2.00 0.00 X X 0 0 0 JACK H JONES ASSISTANT SECRETARY 2.00 10.00 X X 0 0 0 BRADFORD LACHUT TRUSTEE 2.00 0.00 X 0 0 0 DOUGLAS E MAXWELL TRUSTEE 2.00 0.00 X 0 0 0 SKIP DF STANAWAY TRUSTEE 2.00 5.00 X 0 0 0 PETER P DIAZ MD TRUSTEE 2.00 5.00 X 0 0 0 STEVEN E BEHE TRUSTEE 2.00 0.00 X 0 0 0 ROBERT SUMNER TRUSTEE 2.00 0.00 X 0 0 0 ROBERT L BAKER CPA TRUSTEE 2.00 0.00 X 0 0 0 BARRY J GATES TRUSTEE 2.00 0.00 X 0 0 0 ANTHONY M WEST TRUSTEE 2.00 5.00 X 0 0 0 JAMES A DOEL TRUSTEE 2.00 5.00 X 0 0 0 RICK WILLIAMS TRUSTEE 2.00 5.00 X 0 0 0 BRANDT BEDE TRUSTEE 2.00 5.00 X 0 0 0 GARY BERGENSKE TRUSTEE 2.00 12.00 X 0 0 0 ROBERT L TURNER TRUSTEE 2.00 0.00 X 0 0 0 ROBERT BENNETT TRUSTEE 2.00 0.00 X 0 0 0 DAVID M DRVARIC MD CHIEF OF STAFF 40.00 0.00 X 539805 0 98212 PRERANA PATEL ORTHOPEDIC SURGEON, ASST PROF 40.00 0.00 X 462156 0 2900 H LEE KIRK ADMINISTRATOR 40.00 0.00 X 229351 0 6662 JOHN O'NEILL ADMINISTRATOR 40.00 0.00 X 227863 0 7308 JOHN DEWEESE ORTHOPEDIC SURGEON, ASST PROF 32.00 0.00 X 189173 0 3523 1648348 133000 118605 64 0 1 0 THE GENERAL HOSPITAL CORPORATION 55 FRUIT ST BOSTON MA 02114 OUTSIDE PATIENT SERVICES 8295534 SPRINGFIELD ANESTHESIA SERVICES 908 ALLEN ST SPRINGFIELD MA 01101 ANESTHESIOLOGY SERVICES 506175 CRITICAL CARE MEDFLIGHT INC PO BOX 245 LAWRENCEVILLE GA 300460245 MEDICAL TRANSPORTATION SERVICES 419703 DR EDWARD BITTNER 36 GARDEN ST BOSTON MA 02114 MEDICAL SERVICES 381131 UNIVERSITY HOSPITAL 88 E NEWTON ST BOSTON MA 02118 MEDICAL SERVICES 217773 10 63403578 3539976 66943554 PATIENT SERVICE 621110 9098429 9098429 9098429 26729449 26729449 1243320 0 1243320 1243320 1243320 303531311 1127 307364928 0 -3833617 1127 -3832490 -3832490 237944 237944 237944 100420206 9098429 0 24378223 X 25148729 25148729 1841053 1841053 2784530 2784530 1787613 1787613 2295660 2295660 12723980 12723980 454352 454352 1485494 1485494 46262 46262 2852017 2852017 258952 258952 130939 130939 4230374 4230374 603072 603072 MEDICAL SUPPLIES 4802404 4802404 PATIENT TRAVEL COSTS 795114 795114 DUES AND REGISTRATIONS 167759 167759 44353 44353 62452657 59553925 2898732 0 411936 197479 1864174 3974809 933374 745623 548402 462208 152611277 84924552 67924334 67686725 918437177 980876881 92093485 13330462 1082212882 1067274187 5902733 6508406 1716114 2778773 87714185 0 95333032 9287179 X 986879850 1057987008 986879850 1057987008 1082212882 1067274187 X 37967549 54983365 -21843756 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 916304098 75583538 13080834 978806802 970144874 -15047821 38792955 916304098 963141651 30540448 23537225 970144874 858306892 126977206 22142447 963141651 774831322 106867079 23391509 858306892 1.00000 0.00000 0.00000 0 1 1 303990 303990 107699459 50601508 57097951 414179 410915 3264 40983562 33912129 7071433 3210087 3210087 67686725 89508911 54983365 54983365 34525546 2295660 63599000 65894660 100420206 59961575 0 59961575 2295660 195422 2491082 62452657 PART V, LINE 4: THE ENDOWMENT FUNDS (INCLUDING UNRESTRICTED FUND BALANCES) ARE A SIGNIFICANT SOURCE OF SUPPORT FROM WHICH SHRINERS HOSPITALS FOR CHILDREN PERFORMS ITS PROGRAM SERVICES TO ACHIEVE ITS PRIMARY EXEMPT PURPOSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDING REVENUES RECLASSIFIED FROM OTHER CHANGES IN FUND BALANCE 63,403,578. MISCELLANEOUS REVENUE RECLASSIFIED TO EXPENSE 195,422. PART XII, LINE 4B - OTHER ADJUSTMENTS: MISCELLANEOUS REVENUE RECLASSIFIED TO EXPENSE 195,422. 1 1 X 1 X 400.000000000000 0 1 1 0 1 1 20008269 1922817 18085452 0.28960 35662740 7175612 28487128 0.45610 55671009 9098429 46572580 0.74570 3882916 3882916 0.06220 3882916 3882916 0.06220 59553925 9098429 50455496 0.80790 0 0 2 1 SHRINERS HOSPITAL FOR CHILDREN-BOSTON 51 BLOSSOM STREET BOSTON MA 021142699 WWW.SHRINERSHOSPITALSFORCHILDREN.ORG 2316 X X X X A 2 SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIELD 516 CAREW STREET SPRINGFIELD MA 01104 WWW.SHRINERSHOSPITALSFORCHILDREN.ORG 2152 X X X A SHRINERS HOSPITAL FOR CHILDREN-GROUP A 0 0 1 X X X X X X 15 1 1 1 1 X WWW.SHRINERSHOSPITALSFORCHILDREN.ORG 1 12 1 WWW.SHRINERSHOSPITALSFORCHILDREN.ORG 0 1 X 400.000000000000 0.000000000000 X X 1 1 X 1 X HTTP://WWW.SHRINERSHOSPITALSFORCHILDREN.ORG/EN/FINANCIAL-ASSISTANCE X HTTP://WWW.SHRINERSHOSPITALSFORCHILDREN.ORG/EN/FINANCIAL-ASSISTANCE X HTTP://WWW.SHRINERSHOSPITALSFORCHILDREN.ORG/EN/FINANCIAL-ASSISTANCE X X X X 0 0 0 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SHRINERS HOSPITAL FOR CHILDREN-BOSTON, - FACILITY 2: SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIELD GROUP A-FACILITY 1 -- SHRINERS HOSPITAL FOR CHILDREN-BOSTON PART V, SECTION B, LINE 5: THE SHRINERS HOSPITALS FOR CHILDREN TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY FOR ITS MOST RECENT CHNA THROUGH SURVEYS AND FOCUS GROUPS. GROUP A-FACILITY 1 -- SHRINERS HOSPITAL FOR CHILDREN-BOSTON PART V, SECTION B, LINE 11: AFTER CONDUCTING THE 2015 CHNA, SHRINERS HOSPITALS FOR CHILDREN WILL CONTINUE ON A MULTIFACETED APPROACH THAT INCLUDES AFFILIATE AND COMMUNITY PROVIDERS IN COMMUNITY OUTREACH, COMMUNITY INVOLVEMENT, AND COMMUNITY EDUCATION TO ADDRESS IDENTIFIED HEALTH CARE NEEDS WITHIN EACH MARKET. HEALTH CARE NEEDS THAT ARE IDENTIFIED BUT NOT ADDRESSED WITHIN ANY ACTION PLAN FALL OUTSIDE OF THE SERVICE OFFERINGS PROVIDED AT SHRINERS HOSPITALS FOR CHILDREN. SOME OF THE NEEDS IDENTIFIED BUT NOT ADDRESSED ARE MENTAL HEALTH, DIABETES, ASTHMA, AND DRUG & ALCOHOL ABUSE. THEREFORE, PATIENTS/FAMILIES PRESENTING WITH HEALTH CARE NEEDS WHICH ARE OUTSIDE OF THE HOSPITAL SERVICE OFFERINGS RECEIVE CARE COORDINATION AND ARE REFERRED TO THE APPROPRIATE PROFESSIONALS WITHIN THE COMMUNITY FOR PROVISION OF THIS SERVICE. GROUP A-FACILITY 1 -- SHRINERS HOSPITAL FOR CHILDREN-BOSTON PART V, SECTION B, LINE 15E: PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON THEIR INCOME LEVEL COMPARED TO THE FEDERAL POVERTY GUIDELINES AND INTERNAL POLICY. GROUP A-FACILITY 2 -- SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIE PART V, SECTION B, LINE 5: THE SHRINERS HOSPITALS FOR CHILDREN TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY FOR ITS MOST RECENT CHNA THROUGH SURVEYS AND FOCUS GROUPS. GROUP A-FACILITY 2 -- SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIE PART V, SECTION B, LINE 6B: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE MARY LANE HOSPITAL, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, HOLYOKE MEDICAL CENTER, MERCY MEDICAL CENTER, HEALTH NEW ENGLAND GROUP A-FACILITY 2 -- SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIE PART V, SECTION B, LINE 11: AFTER CONDUCTING THE 2015 CHNA, SHRINERS HOSPITALS FOR CHILDREN WILL CONTINUE ON A MULTIFACETED APPROACH THAT INCLUDES AFFILIATE AND COMMUNITY PROVIDERS IN COMMUNITY OUTREACH, COMMUNITY INVOLVEMENT, AND COMMUNITY EDUCATION TO ADDRESS IDENTIFIED HEALTH CARE NEEDS WITHIN EACH MARKET. HEALTH CARE NEEDS THAT ARE IDENTIFIED BUT NOT ADDRESSED WITHIN ANY ACTION PLAN FALL OUTSIDE OF THE SERVICE OFFERINGS PROVIDED AT SHRINERS HOSPITALS FOR CHILDREN. SOME OF THE NEEDS IDENTIFIED BUT NOT ADDRESSED ARE MENTAL HEALTH, DIABETES, ASTHMA, AND DRUG & ALCOHOL ABUSE. THEREFORE, PATIENTS/FAMILIES PRESENTING WITH HEALTH CARE NEEDS WHICH ARE OUTSIDE OF THE HOSPITAL SERVICE OFFERINGS RECEIVE CARE COORDINATION AND ARE REFERRED TO THE APPROPRIATE PROFESSIONALS WITHIN THE COMMUNITY FOR PROVISION OF THIS SERVICE. GROUP A-FACILITY 2 -- SHRINERS HOSPITAL FOR CHILDREN-SPRINGFIE PART V, SECTION B, LINE 15E: PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE BASED UPON THEIR INCOME LEVEL COMPARED TO THE FEDERAL POVERTY GUIDELINES AND INTERNAL POLICY. PART I, LINE 3C: SHRINERS HOSPITALS FOR CHILDREN OFFERS SPECIALIZED MEDICAL SERVICES PERTAINING TO ORTHOPAEDIC CONDITIONS, BURNS, SPINAL CORD INJURIES AND CLEFT LIP AND PALATE. UPON PATIENT ADMITTANCE FOR ONE OF THESE CONDITIONS, SHRINERS HOSPITALS FOR CHILDREN REVIEWS THE PATIENT'S "ABILITY TO PAY" USING FEDERAL POVERTY GUIDELINES SPECIFIED IN SCHEDULE H, PART I, LINE 3A, AND PROVIDES FREE OR DISCOUNTED CARE PURSUANT TO THESE GUIDELINES. NEVERTHELESS, SHRINERS HOSPITALS FOR CHILDREN WILL ALWAYS SERVE THESE SPECIALIZED NEEDS FOR ALL OF ITS PATIENTS, REGARDLESS OF THEIR "ABILITY TO PAY." AS SUCH, SHRINERS HOSPITALS FOR CHILDREN DID NOT APPLY ANY INCOME-BASED CRITERIA, ASSET TEST, OR OTHER MEANS TEST OR THRESHOLD FOR PROVIDING FREE CARE TO PATIENTS IN 2016. PART I, LINE 7: A GENERAL LEDGER ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7. THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT AND OUTPATIENT). A COST-TO-CHARGE RATIO IS NOT PART OF THE SYSTEM AND IS NOT APPLICABLE TO SHRINERS HOSPITALS FOR CHILDREN. PART III, LINE 4: BAD DEBT EXPENSE IS NOT APPLICABLE TO SHRINERS HOSPITALS FOR CHILDREN, AND AS SUCH, IS NOT PART OF THE FOOTNOTES IN ITS FINANCIAL STATEMENTS. SHRINERS HOSPITALS FOR CHILDREN PROVIDES PATIENT CARE REGARDLESS OF THEIR ABILITY TO PAY. AS SUCH, THERE ARE NO REVENUES AGAINST WHICH A BAD DEBT COULD ARISE. PART III, LINE 9B: SHRINERS HOSPITALS FOR CHILDREN PROVIDES PATIENT CARE REGARDLESS OF THEIR ABILITY TO PAY. AS SUCH, THERE IS NO DEBT COLLECTION POLICY. PART VI, LINE 2: SHRINERS HOSPITALS FOR CHILDREN PROVIDES PEDIATRIC, ORTHOPAEDIC, AND BURN CARE REGARDLESS OF THEIR ABILITY TO PAY. PART VI, LINE 3: SHRINERS HOSPITALS FOR CHILDREN POSTS ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT, AND PROVIDES A COPY OF ITS POLICY TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. PART VI, LINE 4: SHRINERS HOSPITALS FOR CHILDREN (THROUGH THIS ENTITY AND ITS RELATED ENTITY) SERVE CHILDREN IN NEED OF SPECIALIZED ORTHOPAEDIC AND BURN CARE ACROSS THE UNITED STATES AND WORLD-WIDE. X X 1 1 X X X 0 1 0 0 0 0 0 0 0 DAVID M DRVARIC MD CHIEF OF STAFF 521805 0 0 0 18000 0 98212 0 0 0 638017 0 0 0 PRERANA PATEL ORTHOPEDIC SURGEON, ASST PROF 444156 0 0 0 18000 0 2900 0 0 0 465056 0 0 0 H LEE KIRK ADMINISTRATOR 229351 0 0 0 0 0 6662 0 0 0 236013 0 0 0 JOHN O'NEILL ADMINISTRATOR 209867 0 0 0 17996 0 7308 0 0 0 235171 0 0 0 JOHN DEWEESE ORTHOPEDIC SURGEON, ASST PROF 189173 0 0 0 0 0 3523 0 0 0 192696 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL IS AVAILABLE ONLY TO BOARD MEMBERS AND EXECUTIVE STAFF AND ONLY IF THE FLIGHT IS LONGER THAN TWO AND A HALF HOURS. A COMPANION ONLY QUALIFIES FOR TRAVEL IF HE OR SHE IS A COMPANION OF A BOARD MEMBER AND IS ACTIVIELY PARTICIPATING IN SHRINE BUSINESS DURING THE TRIP. PART I, LINE 4B EMPLOYEES PARTICIPATING IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERP): DAVID M. DRVARIC, MD: $93,980 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NONPROFIT CORPORATION WITH MEMBERS. MEMBERS HAVE THE RIGHT TO ELECT PERSONS BELONGING TO THE GOVERNING BODY, AND TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. COMPENSATION IS NOT PROVIDED FOR BEING A MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS APPROXIMATELY 1,400 MEMBERS WHOM ARE APPOINTED FROM THE TOTAL MEMBERSHIP OF SHRINERS INTERNATIONAL (A RELATED ORGANIZATION). MEMBERS MAY ELECT PERSONS ON THE ORGANIZATION'S GOVERNING BODY, AND MAY APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B UNDER THE BYLAWS OF THE ORGANIZATION, SIGNIFICANT DECISIONS OF THE GOVERNING BODY REQUIRE APPROVAL BY THE ORGANIZATION'S 1,400 MEMBERS (SUCH AS CHANGES TO THE BYLAWS, OR SIGNIFICANT RESTRUCTURING OR EXTRAORDINARY EVENTS). THE ORGANIZATION'S MEMBERS ALSO MAY ELECT PERSONS TO SERVE ON THE ORGANIZATION'S GOVERNING BODY. THE ORGANIZATION'S MEMBERS DO NOT HAVE CONTROL OVER THE GENERAL OPERATIONS OR FINANCIAL MATTERS OF THE ORGANIZATION. ELECTIONS ARE HELD ANNUALLY BY THE MEMBERS AT VARYING LOCATIONS IN THE U.S. VOTING IS DECIDED WITH SIMPLE MAJORITY, WHERE EACH MEMBER'S VOTE IS EQUAL WEIGHTED. ELECTED PERSONS SERVE A THREE-YEAR TERM ON THE BOARD OF TRUSTEES, A ONE-YEAR TERM ON THE BOARD OF DIRECTORS, A ONE-YEAR TERM FOR THE ORGANIZATION'S PRESIDENT, AND A ONE-YEAR TERM FOR THE ORGANIZATION'S TREASURER. THE ORGANIZATION'S OFFICERS ARE NOT ELECTED, AND INSTEAD ARE HIRED BY COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B A FULL VERSION OF FORM 990 AS FILED WITH THE IRS IS MADE AVAILABLE TO EACH VOTING MEMBER OF THE GOVERNING BODY AND/OR DESIGNATED COMMITTEE RESPONSIBLE FOR PERFORMING A REVIEW PROCESS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND ALL MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTING INTERESTS OR STATE "NONE" ON THE ANNUAL CONFLICT OF INTEREST FORM. POTENTIAL CONFLICTS ARE DETERMINED BY THE BOARD OF DIRECTORS. THE PERSON(S) HAVING A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS/DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 A SALARY & PERSONNEL COMMITTEE IS INVOLVED WITH ALL COMPENSATION AND APPROVES WAGES FOR MANAGEMENT AND COMPARES THESE SALARIES TO VARIOUS MARKET INDICATORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS (INCLUDING ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS) ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,723,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,723,980. FORM 990, PART XI, LINE 9: INTERCOMPANY EQUITY -21,843,756. FORM 990, PART XII, LINE 2C EXPLANATION: THE ORGANIZATION HAS NOT CHANGED (DURING THE CURRENT YEAR) ITS OVERSIGHT PROCESS OR ITS SELECTION PROCESS REGARDING THE COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THE COMMITTEE MEETS THREE TIMES A YEAR AND MEETS WITH THE ORGANIZATION'S INDEPENDENT AUDITORS. ANY FINANCIAL CONCERN ENCOUNTERED IN THE SYSTEM IS ROUTED TO THIS COMITTEE. ALL MEMBERS OF THE COMMITTEE HOLD A CPA LICENSE. SHRINERS HOSPITALS FOR CHILDREN EMPLOYEE DISASTER RELIEF FUND 2900 ROCKY POINT DRIVE TAMPA FL 33607 263733381 DISASTER RELIEF DC 501(C)(3) LINE 7 SHRINERS HOSPITALS FOR CHILDREN 0 SHRINERS HOSPITALS FOR CHILDREN POST OFFICE BOX 31356 TAMPA FL 336313356 362193608 HOSPITAL SYSTEM CO 501(C)(3) LINE 3 SHRINERS INTERNATIONAL 0 SHRINERS INTERNATIONAL POST OFFICE BOX 31356 TAMPA FL 336313356 362158164 FOUNDED SHRINERS HOSPITALS FOR CHILDREN IA 501(C)(10) N/A N/A 0 SHRINERS HOSPITALS FOR CHILDREN A CANADIAN CORPORATION 1529 CEDAR AVE MONTREAL QUEBEC CA H36 1A6 HOSPITAL SYSTEM CA 501(C)(3) EQUIVALENT LINE 3 SHRINERS HOSPITALS FOR CHILDREN 0 SHRINERS HOSPITALS FOR CHILDREN (QUEBEC) INC 1529 CEDAR AVE MONTREAL QUEBEC CA H36 1A6 HOSPITAL SYSTEM CA 501(C)(3) EQUIVALENT LINE 3 SHRINERS HOSPITALS FOR CHILDREN 0 SHRINERS HOSPITALS FOR CHILDREN A MEXICAN ASSOCIATION MX AV DEL IMAN NO 257 MEXICO CITY MX 04600 HOSPITAL SYSTEM MX 501(C)(3) EQUIVALENT LINE 3 SHRINERS HOSPITALS FOR CHILDREN 0 SHRINERS INTERNATIONAL EDUCATION FOUNDATION POST OFFICE BOX 25251 TAMPA FL 33622 813788196 EDUCATION AND LEADERSHIP TRAINING TX 501(C)(3) LINE 7 SHRINERS INTERNATIONAL 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0