2023-05-22T10:26:29-05:00 2022-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PARKWAY STE 300 LOUISVILLE KY 40223 990 2022-01-01 202148950 THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INCORPORATED KING 8129164390 310 WEST STREET MADISON IN 47250 DARLEEN CONNOLLY CHAIR 8129164390 2023-05-18 1 DARLEEN CONNOLLY 999009999 0 ANGELA N CRAWFORD CPA P00573197 5027241144 2023-05-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X DARLENE CONNOLLY 310 WEST STREET MADISON IN 47250 133533725 0 X X 2005 IN THE MISSION OF THE KING'S DAUGHTERS' HOSPITAL FOUNDATION IS TO RAISE AND STEWARD THE FUNDS TO SUPPORT AND STRENGTHEN THE MISSION OF KING'S DAUGHTERS' HEALTH. X 7 7 0 0 0 0 154897 132790552 0 0 95711 256254 -31400 0 219208 133046806 333519 133858490 0 0 0 0 0 0 0 27472 12695 360991 133871185 -141783 -824379 836565 0 5176 0 831389 0 X THE MISSION OF THE KING'S DAUGHTERS' HOSPITAL FOUNDATION IS TO RAISE AND STEWARD THE FUNDS TO SUPPORT AND STRENGTHEN THE MISSION OF KING'S DAUGHTERS' HEALTH. THE MISSION STATEMENT WAS APPROVED BY THE BOARD OF MANAGERS ON AUGUST 1, 2006 PER BOARD MEETING MINUTES. 0 0 133858490 133858490 THE KING'S DAUGHTERS' FOUNDATION IS ORGANIZED AND OPERATED TO -PROVIDE PHILANTHROPIC SUPPORT FOR PROJECTS, PROGRAMS, EQUIPMENT, SERVICES AND/OR INITIATIVES OF KING'S DAUGHTERS HEALTH THAT ENHANCE THE HEALTH AND WELLNESS OF INDIVIDUALS WITHIN THE COMMUNITIES AND REGION IT SERVICES.RAISE AND EXPEND FUNDS FOR THE BENEFIT OF KING'S DAUGHTERS' HEALTH FOR THE FOLLOWING PURPOSES, AMONG OTHERS - (1) CAPITAL IMPROVEMENTS (2) EDUCATIONAL AND TRAINING PROGRAMS INCLUDING SCHOLARSHIPS (3) MEDICAL OR HOSPITAL-RELATED RESEARCH BENEFITING THE CITIZENS OF JEFFERSON COUNTY AND OTHERS SERVED BY KING'S DAUGHTERS' HEALTH (4) OTHER SERVICES, PROGRAMS, OR INITIATIVES RELATED TO OR IN SUPPORT OF THE CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES OF KING'S DAUGHTERS' HEALTH 133858490 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X THE ORGANIZATION 8129164390 310 WEST STREET MADISON IN 47250 X DARLEEN CONNOLLY CHAIR 1.00 X X 0 0 0 JULIE BERRY VICE CHAIR 1.00 X X 0 0 0 SHARYN WHITMAN TREASURER 1.00 X X 0 0 0 MOLLY DODGE SECRETARY 1.00 X X 0 0 0 VALECIA CRISAFULLI MEMBER 1.00 X 0 0 0 JACKIE THURSTON MEMBER 1.00 X 0 0 0 KATHY ROHLFING MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 10388 132780164 132790552 329020 329020 414153 486919 -72766 -72766 -72766 133046806 -72766 0 329020 133858490 133858490 10859 10859 1179 1179 657 657 133871185 133858490 12695 0 384256 0 0 0 0 0 0 0 0 0 0 452309 0 0 0 0 0 836565 0 5176 0 5176 0 X 396995 0 434394 0 831389 0 836565 0 -824379 -7010 0 X X 0 0 0 X 153526 134763 213258 154897 132790552 133446996 153526 134763 213258 154897 132790552 133446996 133446996 21789 19348 15406 17759 329020 403322 133850318 380104 0.99700 0.90410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 434395 434395 677252 75139 299470 18526 434395 952177 266688 486255 55358 677252 1206486 167879 402421 19767 952177 1499931 278661 372748 199358 1206486 0 0 0 X PART V, LINE 4: PERMANENT ENDOWMENT - INTENT IS TO HOLD THE INVESTMENT IN PERPETUITY. THE PORTION OF PERPETUAL ENDOWMENT FUNDS THAT IS REQUIRED TO BE RETAINED PERMANENTLY EITHER BY EXPLICIT DONOR STIPULATION OR UPMIFA" IS $10,000 AT 12/31/21. BOARD DESIGNATED/QUASI ENDOWMENT - TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR SPECIFIC USES. PART X, LINE 2: 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 TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 NORTON KING'S DAUGHTERS' HEALTH 1373 EAST STATE ROAD 62 PO BOX 447 MADISON IN 47250 350895832 501(C)3 762067 0 HEALTHCARE PROGRAMMING BETHANY LEGACY FOUNDATION 310 WEST STREET MADISON IN 47250 862593306 501(C)3 133096423 0 DONATION 2 0 PART I, LINE 2: FUNDS ARE NOT GRANTED BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS. CASH 2022-12-31 862593306 BETHANY LEGACY FOUNDATION INC 310 WEST STREET MADISON IN 47250 501(C)(3) CASH 2022-12-31 350895832 NORTON KING'S DAUGHTERS' HEALTH 1373 EAST STATE ROAD 62 PO BOX 447 MADISON IN 47250 501(C)(3) 1 0 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: BOARD MEMBERS PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: BOARD MEMBERS OF THE FOUNDATION ARE ALSO BOARD MEMBERS OF BETHANY LEGACY FOUNDATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER, KING'S DAUGHTERS' HEALTH. FORM 990, PART VI, SECTION A, LINE 7A ALL VOTING DIRECTORS SHALL BE APPOINTED BY THE CORPORATE MEMBER (KING'S DAUGHTERS' HEALTH); PROVIDED, HOWEVER, THAT THE BOARD OF DIRECTORS MAY NOMINATE INDIVIDUALS TO SERVE AS VOTING DIRECTORS; AND PROVIDED, FURTHER, THAT THE BOARD OF DIRECTORS AT ALL TIMES SHALL INCLUDE AT LEAST THREE (3) VOTING DIRECTORS WHO ALSO ARE MEMBERS OF THE BETHANY CIRCLE OF KING'S DAUGHTERS OF MADISON, INC. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S MANAGEMENT. THE BOARD OF MANAGERS RECEIVES A DRAFT COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES PRIOR TO FILING WITH THE IRS. IF ANY MODIFICATIONS ARE REQUIRED, THEY ARE MADE AND THEN THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY EVERY BOARD MEMBER EACH YEAR. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD CONCERNING AN EXISTING OR CONTEMPLATED TRANSACTION OR RELATIONSHIP BETWEEN THE ORGANIZATION AND ANY PARTY IN WHICH A BOARD MEMBER OR THE SPOUSE OR MINOR CHILDREN OF SUCH BOARD MEMBER HAS AN INTEREST OR WHICH OTHERWISE MAY GIVE RISE TO A CONFLICT OF INTEREST BETWEEN THE BOARD MEMBER AND THE ORGANIZATION, THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY HIS OR HER WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED OF HIM OR HER SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED BOARD MEMBER SHALL NOT VOTE ON IT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, OR FINANCIAL STATEMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. THE 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS IS PERFORMED ANNUALLY ON A CONSOLIDATED BASIS WITH THOSE OF THE BETHANY CIRCLE OF KING'S DAUGHTERS' OF MADISON, INDIANA, INC. (D/B/A KING'S DAUGHTERS' HEALTH). KING'S DAUGHTERS' HEALTH ("THE HOSPITAL") ASSUMES THE RESPONSIBILITY OF SELECTING AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM TO PERFORM THE CONSOLIDATED AUDIT. THE HOSPITAL'S FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THAT AUDIT PROCESS. BETHANY LEGACY FOUNDATION INC 310 WEST STREET MADISON IN 47250 862593306 GRANTMAKING FOUNDATION IN 501(C)(3) PF 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0