2012-07-25T11:32:25-05:00 2011-12-31 ERNST & YOUNG US LLP 178 SOUTH RIO GRANDE ST SUITE 400 SALT LAKE CITY UT 84101 990 2011-01-01 870453633 PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION % JEREMIA RADANDT PRIM 8016626279 100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113 DOUGLAS E NIELSEN 2012-07-25 8013503300 2011 2016-02-24 21:20:13Z DOUGLAS E NIELSEN 100 NORTH MARIO CAPECCHI DRIVE SLC UT 84113 79785766 false X N/A X 1989 UT SOLICIT CHARITABLE SUPPORT FOR THE SUPPORT OF PRIMARY CHILDREN'S MEDICAL CENTER OF IHC HEALTH SERVICES, INC. IN THE AREAS OF CHARITY CARE, PEDIATRIC MEDICAL RESEARCH, CHILD ADVOCACY AND EDUCATION. 15 15 0 2735 0 0 17233287 9578074 0 0 3072889 4390073 486837 573211 20793013 14541358 6944186 8994381 0 0 0 0 0 0 233236 1245060 1097052 8189246 10091433 12603767 4449925 81478238 80213256 2314809 2512975 79163429 77700281 SOLICIT CHARITABLE SUPPORT FOR THE SUPPORT OF PRIMARY CHILDREN'S MEDICAL CENTER OF IHC HEALTH SERVICES, INC. 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23782856 2300057 -95286 3486372 22501255 20774751 7358870 981162 5331927 23782856 20596934 5516541 1667705 7006429 20774751 25639343 4405269 -2299311 7148367 20596934 0.40803 0.59197 false false 9240 9240 9240 0 ANNUITIES PAYABLE 276090 DUE TO AFFILIATE 818526 1094616 14541358 10091433 4449925 -5701616 -211457 -5913073 -1463148 9825069 -5701616 1032557 -211457 -4880516 14705585 -164227 -164227 14541358 11288217 1032557 164227 1196784 10091433 10091433 INTENDED USE OF ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS OF PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION INCLUDE BOTH TERM AND PERMANENT FUNDS. THE INTENDED USE OF THESE FUNDS INCLUDE RESEARCH, CHARITY CARE, PATIENT CARE AND OTHER PROJECTS TO BE DETERMINED BY THE BOARD OF TRUSTEES. FASB ASC TOPIC 740 (FIN 48) FORM 990, SCHEDULE D, PART X, LINE 2 EFFECTIVE JANUARY 1, 2009, THE FOUNDATION ADOPTED THE PROVISION OF FASB ASC TOPIC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION OF TAX BENEFITS OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX FILING. TOPIC 740 ALSO PROVIDES RELATED GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. THE ADOPTION OF TOPIC 740 DID NOT HAVE A SIGNIFICANT IMPACT ON THE FINANCIAL STATEMENTS OF THE FOUNDATION. OTHER CHANGES IN NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8 ($211,457) - NET CHANGE IN VALUATION OF CONTRIBUTIONS RECEIVABLE AND BENEFICIAL INTEREST IN PERPETUAL TRUSTS. RECONCILIATION OF AUDITED REVENUE TO FORM 990 FORM 990, SCHEDULE D, PART XII, LINE 2D ($211,457) - NET CHANGE IN VALUATION OF CONTRIBUTIONS RECEIVABLE AND BENEFICIAL INTEREST IN PERPETUAL TRUSTS REPORTED AS REVENUE IN AUDITED FINANCIAL STATEMENTS. RECONCILIATION OF AUDITED REVENUE TO FORM 990 FORM 990, SCHEDULE D, PART XII, LINE 4B $528,129 - SPECIAL EVENT REVENUE NETTED AGAINST EXPENSES ON AUDITED FINANCIAL STATEMENTS. $(692,356) - SPECIAL EVENT EXPENSES SHOWN AS EXPENSES ON AUDITED FINANCIAL STATEMENTS, AND SHOWN AS COMPONENT OF NET INCOME FROM FUNDRAISING EVENTS ON FORM 990. RECONCILIATION OF AUDITED EXPENSES TO FORM 990 FORM 990, SCHEDULE D PART XIII, LINE 2D ($528,129) - SPECIAL EVENT REVENUE NETTED AGAINST EXPENSES ON AUDITED FINANCIAL STATEMENTS. $692,356 - SPECIAL EVENT EXPENSES SHOWN AS EXPENSES ON AUDITED FINANCIAL STATEMENTS, AND SHOWN AS COMPONENT OF INCOME FROM FUNDRAISING EVENTS ON FORM 990. true North America HYDROCEPHALUS RESEARCH 75000 CHECK 1 false false false false false false MONITORING USE OF GRANT FUNDS FORM 990, SCHEDULE F, PART I, LINE 2 THE FOUNDATION MAKES GRANTS FOR RESEARCH AND OTHER PURPOSES. RESEARCH GRANTS ARE REVIEWED BY A RESEARCH COMMITTEE OF THE BOARD, WHICH MAKES A RECOMMENDATION TO THE FULL BOARD, WHO GIVES FINAL APPROVAL. FOLLOW-UP REPORTS ARE REQUIRED, INCLUDING REGULAR PROGRESS REPORTS CONCERNING THE RESEARCH ACTIVITY. FESTIVAL TREES 2230163 964595 1265568 141609 550748 0 0 0 0 0 0 2230163 964595 1265568 141609 550748 692357 573211 true UNIVERSITY OF UTAH - DEPT OF PEDIATRICS PO BOX 581374 SALT LAKE CITY UT 84158 876000525 GOV 2088454 MEDICAL RESEARCH IHC HEALTH SERVICES - DBA PCMC 100 N MARIO CAPECCHI DR SLC UT 84 SALT LAKE CITY UT 84113 942854057 501(C)(3) 6720927 CHARITY CARE, EQUIPMENT ALABAMA CHILDREN'S HOSPITAL 1600 7TH AVE S BIRMINGHAM AL 35233 630879471 501(c)(3) 110000 HYDROCEPHALUS RESEARCH 3 MONITORING USE OF GRANT FUNDS FORM 990, SCHEDULE I, PART I, LINE 2 THE FOUNDATION MAKES GRANTS FOR RESEARCH AND OTHER PURPOSES. RESEARCH GRANTS ARE REVIEWED BY A RESEARCH COMMITTEE OF THE BOARD, WHICH MAKES A RECOMMENDATION TO THE FULL BOARD, WHO GIVES FINAL APPROVAL. FOLLOW-UP REPORTS ARE REQUIRED, INCLUDING REGULAR PROGRESS REPORTS CONCERNING THE RESEARCH ACTIVITY. OTHER GRANT REQUESTS ARE REVIEWED BY FOUNDATION MANAGEMENT AND APPROVED BY EITHER THE EXECUTIVE DIRECTOR (UP TO $50,000) OR THE BOARD (GRANTS IN EXCESS OF $50,000). false false false false false false false false false DOUGLAS E NIELSEN 127384 0 32899 0 22841 0 65899 0 14217 0 263240 0 32899 COMPENSATION FROM AN UNRELATED ORGANIZATION FORM 990, SCHEDULE J, PART II THE FOLLOWING INDIVIDUAL RECEIVED COMPENSATION FOR HIS SERVICES TO PRIMARY CHILDREN'S MEDICAL CENTER FOUNDATION FROM IHC HEALTH SERVICES, INC., AN UNRELATED ORGANIZATION: - DOUGLAS E NIELSEN X 2 63646 FAIR MARKET VALUE X AUCTION ITEMS 1401 528129 FMV 0 false true true NUMBER OF NON-CASH CONTRIBUTIONS FORM 990, SCHEDULE M, PART I, COLUMN (b) and LINE 32a NON-CASH CONTRIBUTIONS RECORDED ON LINE 9 (SECURITIES) REPRESENTS THE NUMBER OF INDIVIDUAL CONTRIBUTORS. SECURITIES WERE HELD AND SOLD BY INVESTMENT MANAGEMENT COMPANIES FOR THE FOUNDATION. Family Relationship Form 990, Part VI, Section A, Line 2 E.J. "Jake" Garn / Kathleen Garn - Family Relationship FORM 990 REVIEW BY BOARD MEMBERS FORM 990, PART VI, SECTION A, LINE 11 THE COMPLETE FORM 990 WAS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE OF THE FOUNDATION'S GOVERNING BODY. THE COMPLETE FORM 990 WAS ALSO PROVIDED TO THE ENTIRE GOVERNING BODY FOR REVIEW IN THE REGULARLY SCHEDULED MEETING IN MAY PRIOR TO FILING WITH THE IRS. MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12 EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES AER COLLECTED AND REVIEWED BY THE FOUNDATION'S EXECUTIVE DIRECTOR. ANY POTENTIAL CONFLICTS ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE COMPLIANCE AND LEGAL PERSONNEL OF IHC HEALTH SERVICES, INC. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, THE PRESIDENT DETERMINES IF THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST OR REQUIRING A CHOICE BETWEEN THE INDIVIDUAL'S ROLE WITH THE FOUNDATION OR THE OUTSIDE ENTITY). PUBLIC INSPECTION OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STMTS FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION ALLOWS PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS, ONLY UPON REQUEST. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 ($5,701,616) - NET UNREALIZED LOSSES REPORTED ON FINANCIAL STATMENTS. ($211,457) - NET CHANGE IN THE VALUATION OF CONTRIBUTIONS RECEIVABLE AND BENEFICIAL INTEREST IN PERPETUAL TRUSTS.