FRIENDS OF CHILDRENS HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FRIENDS OF CHILDRENS HOSPITAL INC (EIN 58-1921769)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349307802
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T15:32:55-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN640414329EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HADDOX REID BURKES & CALHOUN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1188 EAST CAPITOL STREET SUITE 500AddressLine1
CityJACKSONCity
StateMSState
ZIP Code39201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581921769EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone6019845212Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 NORTH STATE STREETAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39216ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROB ARMOURName
TitleTREASURERTitle
Phone6012082420Phone
Date Signed2013-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHERYL J LEE CPAName
PTINP00929152PTIN
Phone6019482924Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROB ARMOURNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12500 NORTH STATE STREETAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39216ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1515954GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://FOCH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionSUPPORT OF FACILITIES AND PROGRAMS OF THE UNIVERSITY OF MISSISSIPPI CHILDREN'S HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year673480ContributionsGrantsPriorYear
Contributions Grants Current Year697651ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2546InvestmentIncomePriorYear
Investment Income Current Year1869InvestmentIncomeCurrentYear
Other Revenue Prior Year79283OtherRevenuePriorYear
Other Revenue Current Year149435OtherRevenueCurrentYear
Total Revenue Prior Year755309TotalRevenuePriorYear
Total Revenue Current Year848955TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year989734GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY991160GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1849TotalFundrsngExpCurrentYear
Other Expense Prior Year238585OtherExpensePriorYear
Other Expenses Current Year135423OtherExpensesCurrentYear
Total Expenses Prior Year1228319TotalExpensesPriorYear
Total Expenses Current Year1126583TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-473010RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-277628RevenuesLessExpensesCY
Total Assets BOY1350452TotalAssetsBOY
Total Assets EOY827170TotalAssetsEOY
Total Liabilities BOY275362TotalLiabilitiesBOY
Total Liabilities EOY7189TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1075090NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY819981NetAssetsOrFundBalancesEOY
Mission DescriptionSUPPORT OF FACILITIES AND PROGRAMS OF THE UNIVERSITY OF MISSISSIPPI CHILDREN'S HOSPITALMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1103213Expense
Grants991160Grants
DescriptionFUNDS WERE CONTRIBUTED TO THE CHILDREN'S HOSPITAL.Description
Total Program Service Expense1103213TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included2NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA WINDSORNamePerson
Telephone Number6019845212TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 NORTH STATE STREETAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39216ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SARA RAY
CHAIRMAN1.00XX000
JACKIE PETRUS
PRESIDENT1.00XX000
LEIGH REEVES
PRESIDENT ELECT1.00XX000
ROB ARMOUR
TREASURER1.00XX000
BOB ABNEY MD
DIRECTOR0.00X000
KRISTIN ALLEN
DIRECTOR0.00X000
SIDNEY P ALLEN
DIRECTOR0.00X000
KATY CREATH
DIRECTOR0.00X000
PAT DECKER
DIRECTOR0.00X000
CATHY HAVENS
DIRECTOR0.00X000
ROXANNE HILSMAN
DIRECTOR0.00X000
ALYSON JONES
DIRECTOR0.00X000
BRYAN JONES
DIRECTOR0.00X000
BRUCE LEACH
DIRECTOR0.00X000
GWEN RAKESTRAW
DIRECTOR0.00X000
JOHN SCARBROUGH
DIRECTOR0.00X000
ELLEN SKRMETTI
DIRECTOR0.00X000
SUZAN THAMES
DIRECTOR0.00X000
JORDAN WILLETT
DIRECTOR0.00X000
BRENDA HAYES-WILLIAMS
DIRECTOR0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues7980MembershipDues
Fundraising Events424993FundraisingEvents
All Other Contributions264678AllOtherContributions
Noncash Contributions54190NoncashContributions
Total Contributions697651TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1869TotalRevenueColumn
Exclusion$1,869ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events801778GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events424993CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses656178FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column145600TotalRevenueColumn
Exclusion$145,600ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory12766GrossSalesOfInventory
Cost Of Goods Sold10821CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1945TotalRevenueColumn
Related Or Exempt Function Income1945RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column1890TotalRevenueColumn
Related Or Exempt Function Income1890RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1890TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column848955TotalRevenueColumn
Related Or Exempt Function Income3835RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$147,469ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total991160Total
Program Services991160ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total16184Total
Program Services16184ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95869Total
Program Services95869ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total197Total
Management And General197ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4595Total
Management And General4595ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
BUSINESS EXPENSE1638216382
MEMBERSHIP EXPENSE10781078
MEMORIALS86392771
BANK CHARGES255255

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1126583Total
Program Services1103213ProgramServices
Management And General21521ManagementAndGeneral
Fundraising1849Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY524677BOY
EOY643914EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY351795BOY
EOY173512EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY50280BOY
EOY9744EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY423700BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1350452BOY
EOY827170EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29934BOY
EOY7189EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY245428BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY275362BOY
EOY7189EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY977383BOY
EOY699755EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY97707BOY
EOY120226EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1075090BOY
EOY819981EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1350452BOY
EOY827170EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-277628ReconcilationRevenueExpenses
Reconcilation Other Changes22519ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MISSISSIPPI CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN646008520EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$991,160Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts991160SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue848955TotalRevenue
Total Expenses1126583TotalExpenses
Excess Or Deficit For Year-277628ExcessOrDeficitForYear
Other$22,519OtherAmount
Total Adjustments22519TotalAdjustments
Excess Or Deficit Per FS-255109ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt848955TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal848955RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990848955TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1126583TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1126583ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901126583TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION RECOGNIZES THE EFFECT OF THE INCOME TAX PROVISIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. MANAGEMENT OF THE ORGANIZATION BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT WILL NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TEMPORARILY RESTRICTED NET ASSETS - BENEFIT PARTY 22,519.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MIRACLE HOUSENameOfEvent1
Gross Receipts Event1590028GrossReceiptsEvent1
Charitable Contributions Event155000CharitableContributionsEvent1
Gross Revenue Event1535028GrossRevenueEvent1
Other Direct Expenses Event1524385OtherDirectExpensesEvent1
Name Of Event2ENCHANTED EVENINGNameOfEvent2
Gross Receipts Event2185477GrossReceiptsEvent2
Charitable Contributions Event2165680CharitableContributionsEvent2
Gross Revenue Event219797GrossRevenueEvent2
Other Direct Expenses Event247787OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events451266GrossReceiptsOtherEvents
Charitable Contrib Other Events204313CharitableContribOtherEvents
Gross Revenue Other Events246953GrossRevenueOtherEvents
Other Direct Expenses Other Events84006OtherDirectExpensesOtherEvents
Gross Receipts Total1226771GrossReceiptsTotal
Charitable Contributions Total424993CharitableContributionsTotal
Gross Revenue Total Events801778GrossRevenueTotalEvents
Other Direct Expenses Total Events656178OtherDirectExpensesTotalEvents
Direct Expense Summary Events656178DirectExpenseSummaryEvents
Net Income Summary145600NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UMC CHILDREN'S HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 N STATE STREETAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39216ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient646008520EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant991160AmountOfCashGrant
Purpose Of GrantUMC PROGRAMSPurposeOfGrant

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XSILENT AUCTION ITEMS320500FMV
XGOLF TOURNAMENT GIFTS320000FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE COMMITTEE FOR FRIENDS OF CHILDREN'S HOSPITAL WILL REVIEW THE COMPLETED FORM 990 AND CHECK THE DOCUMENT FOR ACCURACY AND COMPLETENESS. ONCE ALL ISSUES ARE RESOLVED AND THE EXECUTIVE COMMITTEE IS SATISFIED THAT THE RETURN IS CORRECT, THE FORM WILL BE FILED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 5:TEMPORARILY RESTRICTED NET ASSETS - BENEFIT PARTY 22,519. TOTAL TO FORM 990, PART XI, LINE 5: 22,519.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITEE THAT ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS USED FOR THIS OVERSIGHT HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MISSISSIPPI MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 NORTH STATE STREETAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39216ZIPCode
FieldValueIRS element (for citing)
EIN646008520EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateMSLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(III)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved991160AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

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