2016-11-14T08:49:58-06:00 2015-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-01-01 203169071 CHILDREN'S SPINE FOUNDATION CHIL 4844106413 PO BOX 1072 LAYTON UT 84041 JOHN T SMITH CHAIR 4844106413 2016-11-04 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2017-02-10 21:41:12Z JOHN T SMITH 100 N MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113 786489 0 X WWW.CHILDRENSSPINEFOUNDATION.ORG X 2005 UT TO HELP CHILDREN WITH SPINE PROBLEMS LIVE LONGER, BETTER LIVES. 6 6 0 10 0 0 1044880 677476 0 0 7493 51118 -17622 21022 1034751 749616 97243 61897 0 0 114674 120125 0 0 30571 275803 260222 487720 442244 547031 307372 1838186 2061611 25155 22945 1813031 2038666 PROVIDE STRUCTURE AND FUNDING TO SUPPORT EDUCATION, PROVIDE FAMILY SUPPORT, AND CONDUCT PROSPECTIVE AND RETROSPECTIVE STUDIES BY SURGEONS AND RESEARCHERS STUDYING COMPLEX CHEST WALL AND SPINE DEFORMITIES IN THE GROWING CHILD. 0 0 380855 61897 0 THE CHILDREN'S SPINE FOUNDATION LEADS A COMMUNITY OF INDIVIDUALS DEDICATED TO IMPROVING THE QUALITY OF CARE AND THE OUTCOME OF TREATMENT FOR YOUNG PATIENTS AND FAMILIES DEALING WITH COMPLEX SPINE DEFORMITIES. THE GROUP HAS HAD OVER 100 ARTICLES PUBLISHED IN MAJOR MEDICAL JOURNALS AND HAS PRESENTED OVER 300 STUDIES AT EXPERT MEETINGS. DURING 2015, THE FOUNDATION FOCUSED IT'S EFFORTS IN THREE AREAS. RESEARCH: THE FOUNDATION SUPPORTED MULTIPLE STUDIES ON QUALITY OF LIFE, TREATMENT, AND COMPLICATIONS IN EARLY ONSET SCOLIOSIS. EDUCATION: THE FOUNDATION HOSTED FORUMS FOR CLINICIANS TO DISCUSS BEST PRACTICES AND LATEST TREATMENTS IN COMPLEX SCOLIOSIS. FAMILY SUPPORT: THE FOUNDATION ASSISTED 7 FAMILIES WITHIN THE U.S. OBTAIN ACCESS TO QUALITY MEDICAL CARE. 380855 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 UT X SARAH MUMFORD 8017266512 1438 E GILMER DR SALT LAKE CITY UT 84105 JOHN SMITH MD DIRECTOR 3.00 X X 0 0 0 JACK FLYNN MD PRESIDENT 3.00 X X 0 0 0 RANDAL BETZ MD DIRECTOR 3.00 X X 0 0 0 MICHAEL VITALE MD MPH VICE PRESIDENT 3.00 X X 0 0 0 RON EL-HAWARY MD SECRETARY 3.00 X 0 0 0 STEVE SCHWARTZ TREASURER 3.00 X 0 0 0 TRICIA ST HILAIRE EXECUTIVE DIRECTOR 40.00 X 120125 0 0 120125 0 0 1 0 0 0 0 19250 658226 17130 677476 18026 18026 33092 0 33092 33092 33092 57895 19250 36873 21022 21022 749616 0 0 72140 X 54245 54245 7652 7652 120125 120125 4202 4202 2863 2863 112562 61324 20667 30571 2336 2336 435 435 48274 48274 750 750 REGISTRY EXPENSES 88800 88800 442244 380855 30818 30571 447087 693648 390679 390876 7500 1000420 969587 1838186 2061611 25155 22945 25155 22945 X 1813031 2038666 1813031 2038666 1838186 2061611 307372 -81688 -49 0 X 0 0 0 X UNIVERSITY OF UTAH HEALTH SCIENCES CENTER SALT LAKE CITY UT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED CSF MASQUERADE 77145 19250 57895 1050 5659 1500 28664 77145 19250 57895 1050 5659 1500 28664 36873 21022 1 THE UNIVERSITY OF UTAH 540 ARAPEEN DRIVE SUITE 240 SALT LAKE CITY UT 84108 876000525 501(C)(3) 16859 RESEARCH PROJECT SUPPORT SEATTLE CHILDREN'S HOSPITAL FOUNDATION PO BOX 5371 MS RC-507 SEATTLE WA 98115 911156519 501(C)(3) 5100 RESEARCH PROJECT SUPPORT BETH ISRAEL DEACONNESS MEDICAL CENTER 330 BROOKLINE AVE BOSTON MA 02215 042103881 501(C)(3) 23050 RESEARCH PROJECT SUPPORT 3 0 TRAVEL FOR MEDICAL CARE 5 7652 PART I, LINE 2: GRANT RECIPIENTS ARE REQUIRED TO PROVIDE QUARTERLY PROGRESS REPORTS TO ENSURE FUNDS ARE BEING USED FOR THEIR INTENDED PURPOSE. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN SENT TO ALL BOARD MEMBERS PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS OF THE FOUNDATION ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST VIA COMPLETION OF A CONFLICTS FORM. THOSE INDIVIDUALS ARE ALSO REQUIRED TO DISCLOSE ANY AND ALL ONGOING ISSUES THAT ARISE DURING THE COURSE OF THE YEAR. CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED BY THE EXECUTIVE DIRECTOR. ANY INDIVIDUAL WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS APPROVED ANNUALLY BY THE BOARD BASED UPON REVIEW OF COMPARATIVE FINANCIAL INDICATORS AND MARKET TRENDS TO ENSURE COMPENSATION IS WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. BOARD LEVEL DISCUSSIONS REGARDING COMPENSATION ARE RECORDED IN THE MINUTES OF THE BOARD MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNALLY-PREPARED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINES 13 AND 14 THE FOUNDATION DOES NOT HAVE A WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, THE FOUNDATION IS CONSIDERING ADOPTING THESE POLICIES IN THE FUTURE. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 39,274. MANAGEMENT AND GENERAL EXPENSES 20,667. FUNDRAISING EXPENSES 30,571. TOTAL EXPENSES 90,512. MEASURER: PROGRAM SERVICE EXPENSES 21,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,625. STATISTICIAN: PROGRAM SERVICE EXPENSES 425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425.