2014-11-13T06:48:54-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2013-01-01 320087353 CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION CHIL 3139646994 3901 BEAUBIEN CARLS BLDG 1ST FLOOR NO 257 DETROIT MI 48201 ANTHONY WERNER PRESIDENT & CEO 3139646994 2014-11-06 1 LYNNE HUISMANN P00053811 2483522500 2013 2015-11-30 17:44:51Z FRED MINTURN 3901 BEAUBIEN CARLS BLDG 1ST FLOOR NO 25 DETROIT MI 48201 22929634 0 X WWW.CHMFOUNDATION.ORG X 2003 MI THE MISSION OF CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION IS TO SUPPORT PEDIATRIC RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 23 22 20 54 0 0 5928408 5151207 0 0 5015860 3148447 -119360 -229491 10824908 8070163 5246617 6727126 0 0 1216506 1464535 0 0 867679 1160560 1191870 7623683 9383531 3201225 -1313368 105195612 111693789 411094 617428 104784518 111076361 CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION SUPPORTS PEDIATRIC RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 0 0 6968039 6727126 TO SUPPORT PEDIATRIC RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 6968039 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 16 1 1 20 1 0 0 0 0 0 1 1 0 0 0 0 X 23 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI FL NJ NY X KURT MILLER RDM ASSOCIATES 2486207100 7457 M E CAD BLVD SUITE 200 CLARKSTON MI 48348 DAVID K PAGE CHAIR 1.00 0.00 X X 0 0 0 CYNTHIA FORD VICE-CHAIR 1.00 0.00 X X 0 0 0 FRED MINTURN TREASURER 1.00 0.00 X X 0 0 0 RITA MARGHERIO SECRETARY 1.00 0.00 X X 0 0 0 LARRY E FLEISCHMANN MD TRUSTEE/INTERIM PRESIDENT 1.00 0.00 X X 40836 0 0 JONATHAN S AARON TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 JOHN D BAKER MD TRUSTEE 1.00 0.00 X 0 0 0 JAMES F CARR JR TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS M ETKIN TRUSTEE 1.00 0.00 X 0 0 0 PETER GINOPOLIS TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW A FRIEDMAN TRUSTEE 1.00 0.00 X 0 0 0 JOHNNY GINOPOLIS TRUSTEE 1.00 0.00 X 0 0 0 BRIAN HERMELIN TRUSTEE 1.00 0.00 X 0 0 0 JACK KRASULA TRUSTEE 1.00 0.00 X 0 0 0 STEVEN R LEFKOFSKY TRUSTEE 1.00 0.00 X 0 0 0 EDWARD C LEVY JR TRUSTEE 1.00 0.00 X 0 0 0 JEANNE M LUSHER MD TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 MICHAEL J MADISON CFA TRUSTEE 1.00 0.00 X 0 0 0 LEWIS J NEDELCOFF TRUSTEE 1.00 0.00 X 0 0 0 ANITA PENTA TRUSTEE 1.00 0.00 X 0 0 0 DICK PURTAN TRUSTEE 1.00 0.00 X 0 0 0 DEREK J SARAFA TRUSTEE 1.00 0.00 X 0 0 0 LYLE M WOLBERG CFP TRUSTEE 1.00 0.00 X 0 0 0 MABLE V JONES PHD TRUSTEE 1.00 0.00 X 0 0 0 GLEN DONOVAN TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY A WERNER PRESIDENT AND CEO 40.00 0.00 X 168976 0 21986 JODI L WONG VICE PRESIDENT OF OPERATIONS 40.00 0.00 X 105858 0 11918 315670 0 33904 2 0 1 0 THE BERLINE GROUP INC 70 E LONG LAKE ROAD BLOOMFIELD HILLS MI 48304 PUBLISHING SERVICES 248184 RDM ASSOCIATES INC 7457 M E CAD BLVD SUITE 200 CLARKSTON MI 48348 ACCOUNTING SERVICES 152019 2 532045 4619162 913417 5151207 1221597 1221597 16489334 14562484 1926850 1926850 1926850 67496 532045 296987 -229491 -229491 8070163 0 0 2918956 6380084 6380084 317042 317042 30000 30000 234383 87893 117192 29298 984318 104239 493001 387078 26465 5574 11380 9511 127501 15539 63534 48428 91868 13990 44364 33514 49290 49290 171851 170042 1809 434658 434658 132828 1361 87393 44074 101549 2966 98583 238710 2967 52632 183111 5638 1100 3578 960 4407 4407 13935 9757 4178 DUES & MEMBERSHIP 13395 8250 759 4386 DONOR RELATIONS 11982 349 11633 MAJOR CAMPAIGN EXPENSES 5004 5004 E-PHILANTHROPY 3971 3971 4652 2511 2141 9383531 6968039 1547813 867679 10934355 2116642 1101223 10046350 12600 32789 37237 33466 30846 6610 28643 24236 48139611 47152221 44122159 51679285 819784 608800 105195612 111693789 193902 211040 217192 406388 411094 617428 X 14614427 22129228 42460302 41047910 47709789 47899223 104784518 111076361 105195612 111693789 X -1313368 7701980 -96769 X X 0 1 X 1 0 X 928207 2195572 95712063 5928408 4652844 109417094 928207 2195572 95712063 5928408 4652844 109417094 109417094 9851 25056 765663 1356300 1221597 3378467 71423 87219 127555 538656 824853 113620414 0.96300 0.97660 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SPECIAL EVENTS REVENUE MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2 0 85788 1327431 1 1 67789770 387437 6283076 1860503 372826 72226954 63347448 92660 6095870 1692041 54167 67789770 1203856 61971656 -116726 63058786 1171338 27898 4690 1203926 1171338 1171338 0.00620 0.66320 0.33060 0 0 30846 6610 24236 24236 GLOBAL ASSET ALLOCATION FUNDS 39006693 F HEDGE FUNDS 10218425 F PRIVATE EQUITY FUND 2454167 F 51679285 X 15594117 7701980 190939 65693 7958612 7635505 434658 434658 8070163 9302274 190939 304003 494942 8807332 434658 141541 576199 9383531 PART V, LINE 4: TO SUPPORT CHILDREN'S PROGRAMS PER THE STIPULATIONS OF THE DONOR. PART X, LINE 2: FIN 48 DISCLOSURE: THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE FOUNDATION TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. THE FOUNDATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013 AND 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FOUNDATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 65,693. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES 238,310. FUNDRAISING EXPENSES 65,693. PART XII, LINE 4B - OTHER ADJUSTMENTS: REFUNDED GRANT PAYMENTS 141,541. 1 NORTH AMERICA 0 0 PROGRAM SERVICES GRANTS AWARDED TO CANADIAN NON-PROFIT ORGANIZATION IN ACCORDANCE WITH MISSION 30000 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 35071372 0 0 0 0 0 0 35101372 0 35101372 NORTH AMERICA TO SUPPORT A WORKING MEETING REGARDING THE CREATION OF AN INTERNATIONALLY ACCEPTED NOMENCLATURE FOR PEDIATRIC AND CONGENITAL HEART DISEASE. 30000 GRANT PAID BY CHECK 1 1 0 1 1 0 0 PART I, LINE 2: AT THE END OF THE GRANT PERIOD, THE ORGANIZATION REQUIRES A FINAL REPORT OF GRANT ACTIVITIES AND A FINAL FINANCIAL ACCOUNTING REPORT. ADDITIONALLY, ANY GRANTS THAT ARE AWARDED ON A REIMBURSEMENT BASIS MUST BE ACCOMPANIED BY A DETAILED INVOICE FOR REIMBURSEMENT. WINE WOMEN AND SHOES 141478 111268 30210 19637 7258 13638 67774 39612 CHEERS FOR CHILDREN 97271 95655 1616 1500 9605 1893 17896 8345 26 360792 325122 35670 66066 375 6163 37225 599541 532045 67496 21137 82929 15906 91833 85182 296987 -229491 FORM 990, SCHEDULE G, PART II THE NET ECONOMIC PROFIT EARNED FROM SPECIAL EVENTS IS $302,554, AS FOLLOWS: SCH. G, PART II, LINE 1 TOTAL GROSS RECEIPTS: $599,541 SCH. G, PART II, LINE 10 - LESS DIRECT EXPENSES ($296,987) NET ECONOMIC PROFIT EARNED FROM SPECIAL EVENTS $302,554 SCH. G, PART II LINE 11 RESULTS IN A NET LOSS DUE TO THE REQUIREMENT TO SEPARATELY STATE THE AMOUNT OF CONTRIBUTIONS, $532,045, REQUIRED BY THE IRS TO BE ACKNOWLEDGED TO DONORS AS CHARITABLE CONTRIBUTIONS. 1 VANGUARD HEALTH SYSTEMS INC 20 BURTON HILLS BLVD SUITE 100 NASHVILLE TN 37215 621698183 2496236 TO SUPPORT MEDICAL EDUCATION, RESEARCH AND OTHER CHARITABLE PROGRAMS. WAYNE STATE UNIVERSITY 5401 CASS AVE DETROIT MI 48202 386028429 115 3411193 TO SUPPORT PEDIATRIC RESEARCH. DETROIT INSTITUTE OF ARTS 5200 WOODWARD AVE DETROIT MI 48202 381359510 501(C)(3) 8750 TO TEACH CHILDREN ABOUT ART. HAMTRAMCK PUBLIC SCHOOLS 11410 CHAREST HAMTRAMCK MI 48221 386004194 115 25000 TO SUPPORT A SCHOOL-BASED HEALTH CLINIC. SICKLE CELL DISEASE ASSOC OF AMERICA MICHIGAN CHAPTER 18516 JAMES COUZENS FWY DETROIT MI 48235 381963640 501(C)(3) 45700 TO SUPPORT EDUCATIONAL ENRICHMENT OF KIDS WITH SICKLE CELL. KIDS KICKING CANCER 645 GRISWOLD SUITE 444 DETROIT MI 48226 383500655 501(C)(3) 56600 TO TEACH MARTIAL ARTS AS A WAY TO EMPOWER SERIOUSLY ILL CHILDREN. CARING ATHLETES TEAM FOR CHILDREN'S AND HENRY FORD HOSPITALS 223 FISHER BUILDING 3011 W GRAND BLVD DETROIT MI 48202 382746810 501(C)(3) 9000 EVENT SPONSORSHIP FESTIVAL OF TREES 2734 WEST ELEVEN MILE BERKLEY MI 48072 382785495 501(C)(3) 10300 EVENT SPONSORSHIP UNIVERSITY PEDIATRICIANS 3901 BEAUBIEN ROOM 1K40 DETROIT MI 48201 383336414 501(C)(3) 108611 TO SUPPORT THE BETTERMENT OF CHILDREN'S HEALTH KARMANOS CANCER INSTITUTE 4100 JOHN R DETROIT MI 48201 381613280 501(C)(3) 130000 TO SUPPORT THE BETTERMENT OF CHILDREN'S HEALTH NORTH STAR REACH 1050 HIGHLAND DR SUITE F ANN ARBOR MI 48108 260347065 501(C)(3) 20000 TO SUPPORT CAMP ATTENDANCE FOR SICK KIDS SPHINX ORGANIZATION 400 RENAISSANCE CTR STE 255 DETROIT MI 48243 383283759 501(C)(3) 6000 TO PROVIDE ENTERTAINMENT FOR SICK CHILDREN CONKERR CANCER 47612 MALBURG WAY DR MACOMB MI 48044 861173750 501(C)(3) 10000 TO SUPPORT THE MAKING OF FUN PILLOWCASES FOR ILL CHILDREN THE CHILDREN'S CENTER OF WAYNE COUNTY 79 W ALEXANDRINE DETROIT MI 48201 381359505 501(C)(3) 15000 TO PROVIDE MATTRESSES FOR CHILDREN. GLEANERS COMMUNITY FOOD BANK 2131 BEAUFAIT DETROIT MI 48207 382156255 501(C)(3) 6000 TO PROVIDE CEREAL FOR CHILDREN TO EAT DURING THE SUMMER. 12 3 GIFTS TO PEDIATRIC PATIENTS 288765 317042 DONOR VALUES BOOKS, GAMES, TOYS, ETC. PART I, LINE 2: AT THE END OF THE GRANT PERIOD, THE ORGANIZATION REQUIRES A FINAL REPORT OF GRANT ACTIVITIES AND A FINAL FINANCIAL ACCOUNTING REPORT. ADDITIONALLY, ANY GRANTS THAT ARE ON A REIMBURSEMENT BASIS MUST BE ACCOMPANIED BY A DETAILED INVOICE FOR REIMBURSEMENT. SCHEDULE I, PART III, COLUMN B: THE NUMBER OF RECIPIENTS IS AN ESTIMATE, WHICH IS BASED ON THE NUMBER OF INPATIENT AND OUTPATIENT PEDIATRIC PATIENTS SEEN DURING THE YEAR AT CHILDREN'S HOSPITAL OF MICHIGAN. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 ANTHONY A WERNER PRESIDENT AND CEO 168976 0 0 0 0 0 5069 0 16917 0 190962 0 0 0 PART I, LINE 1A DURING THE TAX YEAR, HEALTH AND SOCIAL CLUB DUES WERE PROVIDED TO ANTHONY WERNER. THE CLUB DUES WERE TREATED AS TAXABLE COMPENSATION. X 1 500 COMPARABLE SALES X 6134 COST X 56683 THRIFT SHOP VALUE X 2 5105 FAIR MARKET VALUE X INSURANCE POL 13 528078 MARKET RATE X TOYS & CRAFTS 342 235564 COST X ENTERTAINMENT 72 41163 MARKET RATE X GIFT CARDS 1 38130 COST X ELECTRONICS 5 2060 COST 0 1 0 PART I, COLUMN (B): SCHEDULE M, PART I, COL. B - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES JOHNNY GINOPOLIS AND PETER GINOPOLIS HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 AFTER THE FOUNDATION'S MANAGEMENT HAS REVIEWED THE FORM 990, THE RETURN IS PROVIDED TO THE BOARD CHAIR, TREASURER, AND PRESIDENT AND CEO. THESE INDIVIDUALS REVIEW THE FORM 990 WITH THE AUDIT COMMITTEE. ANY NECESSARY CHANGES WILL THEN BE UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE AND THE CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION BOARD CHAIR IS IN AGREEMENT WITH THE AUDIT COMMITTEE ABOUT THE FINISHED FORM 990, IT WILL BE SIGNED BY THE CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION PRESIDENT AND CEO, DATED AND SUBMITTED BY THE FILING DEADLINE. PRIOR TO FILING, A COPY OF THE APPROVED FORM 990 WILL BE MADE AVAILABLE TO ALL OF THE CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE ORGANIZATION'S BOARD TRUSTEES, OFFICERS, KEY EMPLOYEES AND STAFF MEMBERS. THE COVERED PARTIES DISCLOSE INTERESTS THROUGH A QUESTIONNAIRE. EACH COVERED PERSON IS REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THE POLICY AND MUST RE-ATTEST IN WRITING THAT THERE ARE NO CONFLICTS OR DISCLOSE ANY CONFLICTS THAT DO EXIST. AN ANNUAL REVIEW IS DONE BY THE EXECUTIVE COMMITTEE. IF A CONFLICT ARISES, THE INVOLVED PERSON(S) RECUSE THEMSELVES FROM VOTING ON THE MATTER. COVERED MEMBERS ALSO MUST DECLARE ANY CONFLICT(S) OF INTEREST THAT ARISE BETWEEN ANNUAL DECLARATIONS AS THEY EMERGE. FAILURE TO DISCLOSE, DEPENDING ON GRAVITY, CAN LEAD TO BEING REMOVED FROM THEIR POSITION. FORM 990, PART VI, SECTION B, LINE 15A DURING THE YEAR, THE ORGANIZATION'S COMPENSATION COMMITTEE MET TO DETERMINE COMPENSATION FOR A NEW PRESIDENT & CEO. THE COMMITTEE WAS COMPRISED OF INDEPENDENT PERSONS CURRENTLY SERVING ON THE ORGANIZATION'S BOARD OF TRUSTEES. PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENT WERE NOT INVOLVED IN THIS PROCESS. COMPARABILITY DATA SHOWING COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS WAS REVIEWED. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION WAS MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGES -238,310. REFUND OF GRANT PAYMENTS 141,541. FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTION AND OVERSIGHT HAS NOT CHANGED FROM THE PROCESS USED IN PRIOR YEARS. LEGACY CHM 3901 BEAUBIEN CARLS BLDG 1ST FLOOR DETROIT MI 48201 381357994 PEDIATRIC HEALTH CARE - IMPROVING HEALTH WELL/BEING OF CHILDREN MI 501(C)(3) LINE 11A, I CHILDREN'S HOSPITAL OF MI FOUNDATION 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0