2011-11-09T16:02:57-06:00 2011-06-30 DIXON HUGHES GOODMAN LLP 4510 COX ROAD SUITE 200 GLEN ALLEN VA 230603394 990 2010-07-01 510220692 CHILDREN'S HOSPITAL AND HEALTHCARE SERVICES FOUNDATION CHIL 8042285814 2924 BROOK ROAD RICHMOND VA 232201298 CHRIS BROUGHTON-SPRUILL 8042285814 2011-10-31 1 CHRISTOPHER T BENNETT CPA 8042827636 2010 2016-02-24 21:20:13Z CHILDREN'S HOSPITAL FOUNDATION CHRIS BROUGHTON-SPRUILL 2924 BROOK ROAD RICHMOND VA 232201298 17611028 0 X WWW.CHFRICHMOND.ORG X 1978 VA FUND AND ADVOCATE FOR PEDIATRIC INITIATIVES THAT IMPROVE THE STATUS OF HEALTH CARE AND THE QUALITY OF LIFE FOR CHILDREN IN OUR REGION. 5 5 8 280 0 0 4167735 9743717 0 0 2658141 3459700 338480 239739 7164356 13443156 969016 5255919 0 0 300437 619142 0 0 1087517 784097 1065542 2053550 6940603 5110806 6502553 112022308 139663641 381154 1396826 111641154 138266815 X CHILDREN'S HOSPITAL AND HEATLTHCARE SERVICES FOUNDATION PROVIDES FINANCIAL SUPPORT TO, AND ENGAGES IN FUNDRAISING ACTIVITIES TO SUPPORT THE HEALTH AND GENERAL WELFARE OF CHILDREN. THE FOUNDATION'S PRIMARY FOCUS WITH REGARD TO FINANCIAL SUPPORT WILL BE THE CHILDREN'S HOSPITAL AND PEDIATRIC SERVICES AT VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, COLLECTIVELY KNOWN AS CHILDREN'S HOSPITAL OF RICHMOND. 0 0 5255919 FUND AND ADVOCATE FOR PEDIATRIC INITIATIVES THAT IMPROVE THE STATUS OF HEALTH CARE AND THE QUALITY OF LIFE FOR CHILDREN IN OUR REGION. 5255919 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 5 0 1 8 1 0 0 0 0 0 1 1 0 0 0 0 X 5 5 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X CHRIS BROUGHTON-SPRUILL 8042285814 2924 BROOK ROAD RICHMOND VA 232201298 ELEANOR M GOODE 1.00 X 0 0 0 RODERICK B MATHEWS 1.00 X 0 0 0 J RICHARD TASHJIAN 1.00 X 0 0 0 COLEMAN WORTHAM III 1.00 X 0 0 0 GEORGE C FREEMAN III 1.00 X 0 0 0 MARY C BROUGHTON-SPRUILL 45.00 X 255225 0 13031 SAMUEL G WEIDMAN 3.00 X 0 0 0 255225 0 13031 1 0 1 0 DIRECT MAIL SOLUTIONS INC 2001 DABNEY ROAD RICHMOND VA 23230 PROVIDES MARKETING AND MAILING SERVICES 247406 1 36620 9707097 9743717 2615068 2615068 4869111 4024479 844632 844632 844632 383132 36620 143393 239739 239739 13443156 0 0 3699439 5255919 5255919 268256 32191 236065 258625 33604 225021 16202 2057 14145 76059 9541 66518 37605 37605 35123 35123 109657 109657 23545 23545 317679 317679 13514 13514 19269 19269 DONATION DAY EXPENSES 182324 182324 DONOR RESTRICTED GIFT - 168174 168174 MISCELLANEOUS EXPENSES 65122 65122 OUTSIDE EVENT EXPENSES 45765 45765 MAINTENANCE EXPENSE 28211 28211 19554 19554 6940603 5255919 597167 1087517 2908669 1986357 936556 412500 2150000 3121 11758 92631 43045 4763 49586 90523482 114594989 1002820 998320 17166953 18936075 112022308 139663641 165176 83806 1277250 215978 35770 381154 1396826 X 88290176 109196546 2219142 4151544 21131836 24918725 111641154 138266815 112022308 139663641 X 6502553 20123108 X X 0 1 1 X 0 X 4293457 5468767 7272322 4167735 9231079 30433360 4293457 5468767 7272322 4167735 9231079 30433360 894491 29538869 7575264 7963665 4492713 2195376 2615068 24842086 55275446 0.53440 0.47510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 91526302 3531962 21621506 1086461 115593309 79418176 3189540 9779438 860852 91526302 91796842 7656757 -15564716 4378223 92484 79418176 0.92000 0.08000 0.00000 1 0 92631 43045 49586 49586 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 17193868 ASSETS HELD IN CHARITABLE REMAINDER TRUSTS 138966 CONTRIBUTIONS RECEIVABLE FROM REMAINTER TRUSTS 1603241 18936075 LIABILITY UNDER UNITRUST AGRMT 20397 CHARITABLE GIFT ANNUITY LIABILITY 15373 35770 13443156 6940603 6502553 18276614 1846494 20123108 26625661 33566264 18276614 1846494 20123108 13443156 0 13443156 6940603 0 6940603 0 6940603 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO SUPPORT THE CHARITABLE PROGRAMS AND ACTIVITIES OF CHILDREN'S HOSPITAL OF RICHMOND. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2011. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE FOUNDATION HAS BEEN CLASSIFIED AS A PUBLIC CHARITY UNDER INTERNAL REVENUE CODE SECTION 509(A)(1) AND 170(B)(1)(A)(VI). PART XI LINE 8 AS WELL AS PART XII, LINE 2D REPRESENTS THE CHANGE IN THE VALUE OF SPLIT INTEREST AGREEMENTS. JUNIOR BOARD BALL 363286 35420 327866 138163 GOLF EVENT FOR YOUTH 42305 1200 41105 3613 2 14160 0 14160 1616 419751 36620 383131 143392 143392 239739 1 AMERICAN ACADEMY FOR CEREBRAL PALSY & DEVELOPMENTAL MEDICINE 555 EAST WELLS STREET MILWAUKEE WI 53202 620692749 501(C)(3) 20000 TO PROVIDE GENERAL EDUCATION SUPPORT CRIPPLED CHILDREN'S HOSPITAL 2924 BROOK ROAD RICHMOND VA 232201298 540506309 501(C)(3) 760000 TO SUPPORT CHARITABLE PURPOSE MCV ASSOCIATED PHYSICIANS PO BOX 980646 RICHMOND VA 23298 541581185 501(C)(3) 725000 TO SUPPORT CHARITABLE PURPOSE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY 1250 E MARSHALL STREET SUITE 2-300 RICHMOND VA 23219 541848065 2200000 TO SUPPORT CHARITABLE PURPOSE MCV FOUNDATION 1228 EAST BROAD STREET RICHMOND VA 232980234 546053660 501(C)(3) 256000 TO SUPPORT CHARITABLE PURPOSE 2 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CHILDREN'S HOSPITAL FOUNDATION TYPICALLY OBTAINS INVOICES FOR EXPENSES FROM THE DONEE FOR REIMBURSEMENT AND/OR CONFIRMATION FROM THE DONEE ORGANIZATION MANAGEMENT THAT THE FUNDS WERE EXPENDED FOR ITS INTENDED PURPOSE. X X 0 0 0 0 0 0 0 0 0 MARY C BROUGHTON-SPRUILL 189597 0 10000 0 55628 0 6170 0 6861 0 268256 0 0 0 SEE SUPPLEMENTAL INFORMATION BELOW 0 0 PART IV A DIRECTOR OF THE FOUNDATION IS ALSO AN OFFICER OF AN ENTITY THE FOUNDATION DOES BUSINESS WITH. THE DOLLAR AMOUNT PAID TO THE ENTITY DID NOT MEET THE REPORTING THRESHOLD FOR 2011. FORM 990, PART VI, SECTION A, LINE 4 DURING 2010 THE BYLAWS WERE AMENDED TO STATE THAT THE PRESIDENT OF THE SENIOR BOARD, JUNIOR BOARD, AND SUNSHINE CIRCLE ARE TO BE INVITED TO THE ANNUAL MEETING OF THE BOARD. IN ADDITION, IN NO EVENT SHALL A QU0RUM CONSIST OF FEWER THAN THREE VOTING DIRECTORS. SECTION 5 WAS ALSO ADDED TO THE ARTICLES, SEE ATTACHEMTN FOR DETAILS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS FURNISHED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. AFTER A COMMENT PERIOD EXPIRES, THE FOUNDATION PRESIDENT SIGNS AND FILES THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES SHALL DISCLOSE ANNUALLY A POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD OF DIRECTORS FOR INVESTIGATION AND RESOLUTION. UPON APPOINTMENT TO THE BOARD OR EMPLOYMENT AND ANNUALLY THEREAFTER, BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SHALL COMPLETE AN AFFIRMATION STATEMENT AND DISCLOSURE FORM FOR REVIEW BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 MARKET COMPARABLES ARE USED TO COMPLETE A REVIEW AND ESTABLISH A RANGE TO BE USED BY THE BOARD OF DIRECTORS TO EVALUATE ANNUALLY THE CURRENT COMPENSATION FOR THE PRESIDENT OF THE FOUNDATION. THE BASE WAS ESTABLISHED IN 2006. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 PUBLIC VIEWING DOCUMENT IS AVAILABLE FOR INSPECTION UPON REQUEST AT THE FOUNDATION'S HEADQUARTERS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 18,276,614. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 1,846,494. TOTAL TO FORM 990, PART XI, LINE 5: 20,123,108. PART XI, LINE 2B AND 2C THE BOARD OF DIRECTORS OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.