2012-10-02T15:17:26-05:00 2011-12-31 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2011-01-01 320087353 CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION CHIL 3137450143 3911 BEAUBIEN DETROIT MI 48201 DAVID PAGE 3137450143 2012-09-20 1 SUSAN MIENCIER P00842339 2483522500 2011 2016-02-24 21:20:13Z DAVID K PAGE 3911 BEAUBIEN DETROIT MI 48201 96564955 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. 22 22 15 24 0 0 2195572 95712063 0 0 18230 765673 19546 -10924 2233348 96466812 500835 4671503 0 0 0 753786 0 0 865048 1428198 1623482 1929033 7048771 304315 89418041 8267636 97754052 42488 1240807 8225148 96513245 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 4671503 4671503 TO SUPPORT PEDIATRIC RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 4671503 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 11 0 1 15 1 0 0 0 0 0 1 1 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 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 1.00 X X 0 0 0 CYNTHIA FORD 1.00 X X 0 0 0 FRED MINTURN 1.00 X X 0 0 0 RITA MARGHERIO 1.00 X X 0 0 0 JONATHAN S AARON 1.00 X 0 0 0 JOHN D BAKER MD 1.00 X 0 0 0 JAMES F CARR JR 1.00 X 0 0 0 DOUGLAS M ETKIN 1.00 X 0 0 0 LARRY E FLEISCHMANN MD 1.00 X 0 0 0 MATTHEW A FRIEDMAN 1.00 X 0 0 0 JOHNNY GINOPOLIS 1.00 X 0 0 0 BRIAN HERMELIN 1.00 X 0 0 0 JACK KRASULA 1.00 X 0 0 0 STEVEN R LEFKOFSKY 1.00 X 0 0 0 EDWARD C LEVY JR 1.00 X 0 0 0 JEANNE M LUSHER MD 1.00 X 0 0 0 MICHAEL J MADISON CFA 1.00 X 0 0 0 LEWIS J NEDELCOFF 1.00 X 0 0 0 ANITA PENTA 1.00 X 0 0 0 DICK PURTAN 1.00 X 0 0 0 DEREK J SARAFA 1.00 X 0 0 0 LYLE M WOLBERG CFP 1.00 X 0 0 0 BILL WETSMAN 1.00 X 0 0 0 MAURICE BEZNOS 1.00 X 0 0 0 CAMERON D HOSNER 40.00 X 107692 0 17011 107692 0 17011 1 0 0 0 CLARK HILL PLLC 500 WOODWARD AVE SUITE 3500 DETROIT MI 482263435 LEGAL SERVICES 225269 RDM ASSOCIATES INC 7457 M E CAD BLVD SUITE 200 CLARKSTON MI 48348 ACCOUNTING SERVICES 107166 2 108016 95604047 82793525 95712063 765663 765663 10 0 10 10 10 83919 108016 98143 -14224 -14224 MISCELLANEOUS 900099 3300 3300 3300 96466812 0 0 754749 4407486 4407486 264017 264017 124704 124704 497615 189392 308223 1476 1015 461 80670 38329 42341 49321 24651 24670 226169 228282 -2113 118971 118971 232099 232099 847421 442413 405008 11183 303 10880 83130 27332 55798 3538 3160 378 10905 7415 3490 DONOR RELATIONS 75951 69287 6664 DUES & SUBSCRIPTIONS 7655 1731 5924 STAFF MEETINGS & RELATI 6460 3136 3324 7048771 4671503 1512220 865048 6374579 12387881 1873657 1880170 267994 51407 49997498 31150035 19400 2019067 8267636 97754052 42488 217387 1023420 42488 1240807 X 2236349 7068921 5988799 41817020 47627304 8225148 96513245 8267636 97754052 X 89418041 -1129944 X X 0 1 1 X 0 X 2698795 2125857 928207 2195572 95712063 103660494 2698795 2125857 928207 2195572 95712063 103660494 103660494 187274 116744 9851 25056 765663 1104588 71423 87219 158642 104923724 0.98800 0.59000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1203856 61971656 -116726 63058786 1171338 27898 4690 1203926 1171338 1171338 1171338 1171338 0.00200 0.75500 0.24300 1 0 0 GLOBAL ASSET ALLOCATION FUNDS 20887862 F HEDGE FUNDS 8323197 F PRIVATE EQUITY FUND 1938976 F 31150035 96466812 7048771 89418041 -959277 -170667 -1129944 88288097 3631997 -959277 207182 -752095 4384092 92082720 92082720 96466812 7365267 207182 170667 377849 6987418 61353 61353 7048771 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT CHILDREN'S PROGRAMS PER THE STIPULATIONS OF THE DONOR. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 MANAGEMENT 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. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, 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. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES -170,667. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE ASSETS TRANSFERRED FROM LEGACY DMC, NET ASSET TRANSFER ON F/S 92,021,367. SPECIAL EVENT EXPENSES 61,353. PART XIII, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES 170,667. PART XIII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 61,353. PART V, LINE 1B - ENDOWMENT FUNDS CONTRIBUTIONS: INCLUDED IN THE CONTRIBUTION AMOUNT FOR THE CURRENT YEAR IS $62,321,485 OF ENDOWMENT FUNDS TRANSFERED TO THE ORGANIZATION FROM LEGACY DMC; -$546,569 IS THE APPROPRIATION OF ENDOWMENT ASSETS FOR EXPENDITURE; AND $196,740 IS CONTRIBUTIONS TO THE ENDOWMENT FUNDS. VISTEON GOLF EVENT 155581 91836 63745 12509 55821 6946 2361 BASEBALL TICKET SALE 36354 16180 20174 20506 191935 108016 83919 12509 55821 6946 22867 98143 -14224 1 VANGUARD HEALTH SYSTEMS 20 BURTON HILLS BLVD SUITE 100 NASHVILLE TN 37215 621698183 1005275 TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. WAYNE STATE UNIVERSITY 5401 CASS AVE DETROIT MI 48202 386028429 501(C)(3) 799661 TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. SOCIETY FOR ARTS IN HEALTHCARE 2437 15H STREET NORTHWEST WASHINGTON DC 20009 020479949 501(C)(3) 20000 TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. CATCH SPARKY ANDERSONS'S CHARITY FOR CHILDREN 223 FISHER BUILDING DETROIT MI 482023096 382746810 501(C)(3) 11300 TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. FESTIVAL OF TREES INC 2734 W 11 MILE ROAD BERKLEY MI 480723051 382785495 501(C)(3) 6000 TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. LEGACY DMC 36630 WOODWARD AVE DETROIT MI 48201 382571767 501(C)(3) 2500000 TO SUPPORT OPERATIONS OF THE ORGANIZATION OPERATION GIVE 27801 HARPER AVE ST CLAIR SHORES MI 48081 264833562 501(C)(3) 34795 FMV GIFT CARDS, COLLECTIBLES, HOTEL STAYS, GIFT BASKETS, PARTY PACKAGES, ETC. TO SUPPORT HEALTHCARE NEEDS OF CHILDREN. 6 1 GIFTS TO PEDIATRIC PATIENTS 287000 264017 DONOR VALUES BOOKS, GAMES, TOYS, ETC. PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 PEDIATRIC PATIENTS SEEN DURING THE YEAR FOR INPATIENT, OUTPATIENT, SURGICAL AND EMERGENCY ROOM SERVICES. X 7 18227 COMPARABLE SALES X 6868 COST X 40382 THRIFT SHOP VALUE X 4 14670 MARKET RATE X 6 2080 COMPARABLE SALES X TOYS & CRAFTS 315 171771 COST X ELECTRONICS 6 6432 COST X ENTERTAINMENT 40 42008 MARKET RATE X FLOWERS 2 700 COST X GIFT CARDS 25 6170 COST X JEWELRY 4 2185 COMPARABLE SALES X MISCELLANEOUS 10 12625 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER REVIEW BY THE FOUNDATION'S MANAGEMENT AND AUDIT COMMITTEE, THE FORM 990 IS SENT TO THE EXECUTIVE COMMITTEE OR BOARD OF DIRECTORS FOR APPROVAL, AND THE ENTIRE BOARD IS PROVIDED A COPY OF THE RETURN BEFORE FILING. 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 C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -959,277. UNCOLLECTIBLE PLEDGES -170,667. TOTAL TO FORM 990, PART XI, LINE 5: -1,129,944. FORM 990, PART XII, LINE 2C: DURING THE TAX YEAR, THE ORGANIZATION ESTABLISHED A FINANCE COMMITTEE TO OVERSEE ITS FINANCES AND FINANCIAL REPORTING.