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Nonprofiteer
← CHILDRENS HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by CHILDRENS HOSPITAL FOUNDATION.

Totals

Total revenue
$1,237,318
Total expenses
$376,856
Contributions and grants received
$1,218,514
Grants paid
$160,894
Program service revenue
$0
Investment income
$18,804
Other revenue
$0
Total assets, end of year
$6,241,472
Total liabilities, end of year
$7,732
Net assets or fund balances, end of year
$6,233,740
Program services expenses (Part IX)
$160,894
Management and general expenses
$6,965
Fundraising expenses
$208,997
Program service expenses (Part III)
$160,894

Program services were 42.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $683,019

  • 1c · Fundraising events

    $0

  • 1f · All other contributions, gifts and grants

    $535,495

  • 1g · Noncash contributions included above

    $160,894

  • 3 · Investment income

    total $18,804 · excluded $18,804

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $160,894 · program services $160,894

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $45,146 · management and general -$1,484 · fundraising $46,630

  • 8 · Pension plan contributions

    total $2,827 · management and general $2,827

  • 9 · Other employee benefits

    total $8,980 · fundraising $8,980

  • 10 · Payroll taxes

    total $3,220 · fundraising $3,220

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $2,998 · management and general $2,998

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $15,693 · fundraising $15,693

  • 13 · Office expenses

    total $1,145 · management and general $1,145

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $3,734 · fundraising $3,734

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $1,394 · fundraising $1,394

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $1,479 · management and general $1,479

  • 24a · Other expenses: MEMBERSHIP DUES & LICENSES

    total $120,260 · fundraising $120,260

  • 24b · Other expenses: MEALS/CATERING

    total $9,086 · fundraising $9,086

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $5,107,074 · end of year $6,180,383

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $58,462

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $54,212 · end of year $2,627

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,461 · end of year $7,732

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $5,151,825 · end of year $6,233,740

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

The primary purpose of The Children's Hospital Foundation at Saint Francis is to provide service and funding in support of pediatric hospital and clinical services in Tulsa County

  • Gifts donated to Saint Francis Children's Hospital - Created to provide comfort items to the patients of Saint Francis Children's Hospital. Description/Purpose Saint Francis Hospital, Inc. Expenses Saint Francis Children's Hospital donated gifts $160,894 ------------------------------------------------------------------- Total Expenses $160,894

    Expenses $160,894 · Grants $160,894

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Cliff A Robertson MD

    PRES/CEO/DIRECTOR

    Total calculated
    $2,219,057
    From this org
    $0
    From related orgs
    $1,925,421
    Other
    $293,636
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,212,901 related
    Bonus
    $0 + $701,260 related
    Other
    $0 + $11,260 related
    Deferred
    $0 + $279,506 related
    Nontaxable benefits
    $0 + $14,130 related
    Filer's total
    $0 + $2,219,057 related
  • Barry L Steichen

    Vice President/COO

    Total calculated
    $1,679,157
    From this org
    $0
    From related orgs
    $1,488,152
    Other
    $191,005
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $940,504 related
    Bonus
    $0 + $539,867 related
    Other
    $0 + $7,781 related
    Deferred
    $0 + $163,863 related
    Nontaxable benefits
    $0 + $27,142 related
    Filer's total
    $0 + $1,679,157 related
  • Deborah Dage

    Treasurer/CFO

    Total calculated
    $943,312
    From this org
    $0
    From related orgs
    $821,905
    Other
    $121,407
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $611,574 related
    Bonus
    $0 + $203,660 related
    Other
    $0 + $6,671 related
    Deferred
    $0 + $107,906 related
    Nontaxable benefits
    $0 + $13,501 related
    Filer's total
    $0 + $943,312 related
  • Michael J Lissau

    Secretary

    Total calculated
    $698,166
    From this org
    $0
    From related orgs
    $584,117
    Other
    $114,049
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $427,784 related
    Bonus
    $0 + $151,605 related
    Other
    $0 + $4,728 related
    Deferred
    $0 + $90,423 related
    Nontaxable benefits
    $0 + $23,626 related
    Filer's total
    $0 + $698,166 related
  • Eric E Schick

    Treasurer/CFO (Term 9/21)

    Total calculated
    $608,375
    From this org
    $0
    From related orgs
    $608,375
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,375 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $608,375 related
  • M Brent Dennis MD

    Former Director

    Total calculated
    $247,488
    From this org
    $0
    From related orgs
    $221,492
    Other
    $25,996
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,264 related
    Bonus
    $0 + $8,228 related
    Other
    $0
    Deferred
    $0 + $17,401 related
    Nontaxable benefits
    $0 + $8,595 related
    Filer's total
    $0 + $247,488 related
  • William R Lissau

    Director (Non-Voting)

    Total calculated
    $0
    Hours/week
    1
  • John-Kelly C Warren

    Director/Trustee

    Total calculated
    $0
    Hours/week
    1
  • Tom Cooper

    Director

    Total calculated
    $0
    Hours/week
    1
  • Mike Case

    Director

    Total calculated
    $0
    Hours/week
    1
  • Mike Cooke JD

    Director

    Total calculated
    $0
    Hours/week
    1
  • Judy Kishner

    Director/Trustee

    Total calculated
    $0
    Hours/week
    1
  • Charles McEntee MD

    Director (Until 12/31/22)

    Total calculated
    $0
    Hours/week
    1
  • Father Gary Kastl

    Director

    Total calculated
    $0
    Hours/week
    1
  • Laura Stuemkey MD

    DIRECTOR (Beg 8/1/22)

    Total calculated
    $0
    Hours/week
    1
  • Sailatha Thomas MD

    Director (Beg 1/23)

    Total calculated
    $0
    Hours/week
    1
  • William K Warren Jr

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Bishop David A Konderla

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Jeffrey Smith

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Mike Barkley

    Chairman

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3
THE CHILDREN'S HOSPITAL FOUNDATION AT SAINT FRANCIS IS AN ENTITY OF THE SAINT FRANCIS HEALTH SYSTEM, INC. SAINT FRANCIS HEALTH SYSTEM, INC.'S COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE OFFICERS.
Schedule J, Part I, Line 4b
A select group of highly compensated employees of Saint Francis Health System, Inc., and its related entities, Saint Francis Hospital, Inc., Laureate Psychiatric Clinic and Hospital, Inc., Warren Clinic, Inc., Saint Francis Hospital South, LLC, The Children's Hospital Foundation at Saint Francis, Saint Francis Hospital Vinita, Inc., and Saint Francis Hospital Muskogee, Inc., are eligible to participate in a nonqualified deferred compensation plan under Section 457(b) and 457(f) of the Internal Revenue Code of 1986, as amended under the economic growth and tax relief reconciliation act of 2001. NOTE: None of the individuals listed on Schedule J are compensated as Board Members of the reporting entity or the related organization. The reported compensation is for services as employees of the related organization.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202411349349307686

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