2025-11-17T10:06:24-06:00 2024-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2024-01-01 752106637 TSRHC SCHOLARSHIP FUND DBA LEGACY SCHOLARSHIP FUND TSRH 2145597816 2222 WELBORN STREET DALLAS TX 75219 KRIS KEEVER-SMITH TREASURER 2145597816 2025-11-17 1 1 KEVIN WARNEKE P01294950 2148717500 2024 2025-03-06 01:10:19Z LEGACY SCHOLARSHIP PROGRAM ASHLEY GIVENS 2222 WELBORN STREET DALLAS TX 75219 1753762 0 X N/A X 1985 TX GRANTS EDUCATIONAL SCHOLARSHIPS TO FORMER PATIENTS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN ("TSRHC") 11 11 0 60 0 0 176907 180468 0 0 233505 727551 -15239 -16330 395173 891689 402500 417000 0 0 0 0 0 0 0 44650 93660 447150 510660 -51977 381029 16300626 17687561 22237 17991 16278389 17669570 PROVIDES EDUCATIONAL SCHOLARSHIPS TO FORMER TSRHC PATIENTS TO FURTHER THEIR EDUCATION BEYOND HIGH SCHOOL. THE PROGRAM ASSISTS WITH TUITION, FEES, BOOKS, ROOM AND BOARD. SCHOLARSHIPS ARE BASED PRIMARILY ON FINANCIAL NEED, ACADEMIC RECORD AND CHALLENGES MET. 0 0 472748 417000 SCHOLARSHIP PROGRAM IS AVAILABLE TO FORMER PATIENTS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN. SCHOLARSHIP AWARDS ARE AVAILABLE FOR APPLICANTS ENROLLED IN A UNIVERSITY, JUNIOR COLLEGE, OR APPROVED TECHNICAL TRAINING PROGRAM. SEE SCHEDULE I, PART IV FOR A DESCRIPTION OF THE PROGRAM AND QUALIFICATIONS. SCHOLARSHIP ASSISTANCE WAS PROVIDED TO 102 STUDENTS DURING THE YEAR ENDED DECEMBER 31, 2024. 472748 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X KRISTINA KEEVER-SMITH 2145597624 2222 WELBORN STREET DALLAS TX 75219 ROBERT AYERS VICE PRESIDENT 1.00 0.00 X X 0 0 0 MICHAEL L WIGGINS CHAIRMAN 1.00 0.00 X X 0 0 0 P OSWIN CHRISMAN VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 W EUGENE BROOKSHIRE DIRECTOR (DECEASED 05/20/2025) 1.00 3.00 X 0 0 0 RUSSELL C BROWN DIRECTOR 1.00 3.00 X 0 0 0 W VERNON BURKE JR DIRECTOR (DECEASED 12/04/2024) 1.00 3.00 X 0 0 0 RONALD L CARTER DIRECTOR 1.00 4.00 X 0 0 0 STEPHEN F CROSS DIRECTOR 1.00 3.00 X 0 0 0 PATSY WOODS MARTIN DIRECTOR 1.00 3.00 X 0 0 0 JAMES C PENN DIRECTOR 1.00 4.00 X 0 0 0 JAMES L WILLIAMS DIRECTOR 1.00 3.00 X 0 0 0 LORI L DALTON SECRETARY (SEE SCH J) 1.00 40.00 X 0 705572 58858 KRISTINA KEEVER-SMITH TREASURER/VP INVEST (SEE S 2.00 40.00 X 0 367455 121433 ASHLEY C GIVENS PRESIDENT (SEE SCH J) 3.00 40.00 X 0 183772 67059 0 1256799 247350 0 0 1 0 0 63780 116688 180468 380559 380559 1173155 826163 346992 346992 346992 15720 63780 35910 -20190 -20190 3860 0 3860 3860 891689 0 0 711221 417000 417000 24565 24565 9577 9577 59518 55748 3770 510660 472748 37912 0 187496 107889 40622 41648 16072504 17538020 4 4 16300626 17687561 22237 17991 22237 17991 X 8092758 8738936 8185631 8930634 16278389 17669570 16300626 17687561 381029 1010152 0 X X 0 1 X 1 0 X 127443 81302 150578 176907 180468 716698 127443 81302 150578 176907 180468 716698 27738 688960 249937 282717 439807 349962 380559 1702982 4000 4000 3860 11860 2431540 0.28330 0.31810 X THIS STATEMENT IS ATTACHED IN ACCORDANCE WITH THE INSTRUCTIONS FOR SCHEDULE A (FORM 990) REGARDING AN ORGANIZATION THAT BELIEVES IT IS PUBLICLY SUPPORTED ACCORDING TO APPLICABLE REGULATIONS.TREASURY REGULATION SECTION 1.170A-9(E)(3) PROVIDES THAT AN ORGANIZATION WILL BE TREATED AS "PUBLICLY SUPPORTED" UNDER THE FACTS AND CIRCUMSTANCES TEST EVEN IF IT FAILS TO MEET THE 33 1/3 PERCENT MECHANICAL TEST. UNDER THE FACTS AND CIRCUMSTANCES TEST, AN ORGANIZATION WILL BE TREATED AS PUBLICLY SUPPORTED IF IT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM GOVERNMENTAL UNITS, FROM DIRECT OR INDIRECT CONTRIBUTIONS FROM THE GENERAL PUBLIC, OR FROM A COMBINATION OF THESE SOURCES, AND MEETS CERTAIN OTHER REQUIREMENTS. THE PERTINENT FACTORS SET FORTH IN THE REGULATIONS ARE DISCUSSED BELOW:1) THE PERCENT-OF-SUPPORT LIMITATION:THE PUBLIC SUPPORT RECEIVED BY THE ORGANIZATION EQUALS AT LEAST 10% OF THE TOTAL SUPPORT RECEIVED BY THE ORGANIZATION.2) ATTRACTION OF PUBLIC SUPPORT:THE ORGANIZATION IS ORGANIZED AND OPERATED TO APPEAL TO A VARIETY OF PUBLIC SUPPORTERS, BOTH NEW AND EXISTING ON AN ON-GOING BASIS. THE ORGANIZATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC.3) PERCENT OF FINANCIAL SUPPORT:UNDER THE REGULATIONS, THE HIGHER THE PERCENTAGE OF SUPPORT ABOVE THE 10% REQUIREMENT FROM PUBLIC SOURCES, THE LESSER WILL BE THE BURDEN OF ESTABLISHING THE PUBLICLY SUPPORTED NATURE OF THE ORGANIZATION THROUGH OTHER FACTORS. THE PUBLIC SUPPORT PERCENTAGE FOR 2024 IS 28.33%.4) SOURCES OF SUPPORT:THE ORGANIZATION'S PURPOSE IS TO PROVIDE EDUCATIONAL SCHOLARSHIPS TO FORMER PATIENTS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, WHICH APPEALS TO A BROAD SECTION OF THE POPULATION AND THE ORGANIZATION RECEIVES SUPPORT FROM A NUMBER OF UNRELATED DONORS.5) REPRESENTATIVE GOVERNING BODY:THE ORGANIZATION'S GOVERNING BODY REPRESENTS THE BROAD INTERESTS OF THE PUBLIC, RATHER THAN THE PERSONAL OR PRIVATE INTERESTS OF A LIMITED NUMBER OF DONORS.6) AVAILABILITY OF PUBLIC FACILITIES OR SERVICES; PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES:THIS FACTOR IS NOT APPLICABLE TO THE ORGANIZATION BECAUSE IT DOES NOT HAVE ITS OWN FACILITIES NOR DOES IT RUN ANY PROGRAMS.7) ADDITIONAL FACTORS PERTINENT TO MEMBERSHIP ORGANIZATIONS:THIS FACTOR IS NOT APPLICABLE TO THE ORGANIZATION BECAUSE IT IS NOT A MEMBERSHIP ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8158228 85608 866875 209285 8901426 7088713 53450 1223428 207363 8158228 8700501 58565 -1442280 228073 7088713 7936504 58752 960286 255041 8700501 7106001 94075 970990 234562 7936504 0.00000 0.66150 0.33850 0 0 0 PSA - EQUITY 13517209 F PSA - FIXED INCOME 3922112 F PSA - SHORT TERM 98699 F 17538020 X 1908594 1010152 1010152 898442 9577 -16330 -6753 891689 517413 0 517413 9577 -16330 -6753 510660 PART V, LINE 4: ENDOWMENT FUNDS THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO GENERATE INCOME FOR EDUCATIONAL SCHOLARSHIPS. PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE FOLLOWING IS THE TEXT FROM THE FOOTNOTES OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE, EXCEPT TO THE EXTENT IT HAS UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B) (1) (A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) (2). THE ORGANIZATION RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED MARCH 29, 1995 STATING THAT THE ORGANIZATION CONTINUED TO RETAIN ITS TAX-EXEMPT STATUS. SHOULD THE ORGANIZATION ENGAGE IN ACTIVITIES UNRELATED TO THE PURPOSE FOR WHICH IT WAS CREATED, TAXABLE INCOME COULD RESULT. FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, THE ORGANIZATION HAD NO MATERIAL UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL INCOME TAX IN THE ACCOMPANYING FINANCIAL STATEMENTS. GAAP REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ORGANIZATION'S TAX RETURN TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE LIKELY THAN NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. A RECONCILIATION IS NOT PROVIDED HEREIN, AS THE BEGINNING AND ENDING AMOUNTS OF UNRECOGNIZED BENEFITS ARE ZERO, WITH NO INTERIM ADDITIONS, REDUCTIONS, OR SETTLEMENTS. THE ORGANIZATION IS RELYING ON ITS TAX-EXEMPT STATUS AND ITS ADHERENCE TO ALL APPLICABLE LAWS AND REGULATIONS TO PRESERVE THAT STATUS. HOWEVER, THE CONCLUSIONS REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WILL BE SUBJECT TO REVIEW AND MAY BE ADJUSTED AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, ONGOING ANALYSIS OF TAX LAWS, REGULATIONS, AND INTERPRETATIONS THEREOF. THE ORGANIZATION'S INFORMATION RETURNS FILED IN THE U.S. FEDERAL JURISDICTION ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THE LATER OF THE DUE DATE OR FILING DATE. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NET WITH REVENUE -16,330. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES, NET WITH REVENUE -16,330. GOLF TOURNAMENT 79500 63780 15720 3520 16325 9881 6184 79500 63780 15720 3520 16325 9881 6184 35910 -20190 1 EDUCATIONAL SCHOLARSHIPS 102 417000 N/A N/A PART I, LINE 2: MONITORING OF GRANTS AN APPLICANT MUST BE A FORMER TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN PATIENT TO BE CONSIDERED FOR A SCHOLARSHIP. HIGH SCHOOL GRADUATION OR EQUIVALENT IS REQUIRED. APPLICANTS MUST HAVE APPLIED AND BEEN ACCEPTED TO AN UNDERGRADUATE PROGRAM IN A UNIVERSITY, JUNIOR COLLEGE OR APPROVED TECHNICAL TRAINING PROGRAM. SCHOLARSHIP AWARDS ARE BASED PRIMARILY ON FINANCIAL NEED, ACADEMIC RECORD AND CHALLENGES MET. AS PART OF THE APPLICATION, STUDENTS MUST INCLUDE A PERSONALLY WRITTEN STATEMENT OUTLINING THEIR EDUCATION AND CAREER GOALS. SCHOLARSHIP FUNDS ARE PAID DIRECTLY TO THE OFFICE OF FINANCIAL AID OF THE STUDENT'S CHOSEN SCHOOL. PROVISION IS MADE FIRST FOR TUITION, FEES AND BOOKS, AND THEN, FOR MORE SPECIALIZED NEEDS. FUNDS NOT USED ARE RETURNED TO THE PROGRAM. A RELATIONSHIP IS MAINTAINED WITH ALL RECIPIENTS ON AN ONGOING BASIS. THOSE WITH ACADEMIC DIFFICULTIES PROVIDE INTERIM DOCUMENTATION OF IMPROVEMENT. STUDENTS MAY APPLY TO RENEW A SCHOLARSHIP. A RENEWAL APPLICATION MUST REFLECT APPROPRIATE ACADEMIC ACHIEVEMENT, EFFORT AND PROGRESS. 0 1 0 0 0 0 0 0 0 LORI L DALTON SECRETARY (SEE SCH J) 0 645584 0 0 0 59988 0 20700 0 38158 0 764430 0 0 KRISTINA KEEVER-SMITH TREASURER/VP INVEST (SEE S 0 341120 0 0 0 26335 0 119704 0 1729 0 488888 0 0 ASHLEY C GIVENS PRESIDENT (SEE SCH J) 0 167775 0 0 0 15997 0 28201 0 38858 0 250831 0 0 PART I, LINE 4B: *PARTICIPATION IN NON-QUALIFIED RETIREMENT PLANS CERTAIN EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, A RELATED ENTITY, PARTICIPATE IN A SUPPLEMENTAL BENEFIT PLAN WITH THE RIGHTS TO CHOOSE BETWEEN LIFE INSURANCE, DISABILITY INSURANCE, LONG-TERM CARE INSURANCE AND RETIREMENT BENEFITS. THE VALUE OF THE BENEFIT IS REPORTED AS COMPENSATION. ALL RETIREMENT BENEFITS ARE IMMEDIATELY VESTED AT THE TIME EARNED. INCLUDED IN SCHEDULE J, PART II, COLUMN B (III): KRISTINA KEEVER-SMITH $ 15,210 LORI DALTON $ 28,917 ASHLEY GIVENS $ 7,582 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS LORI DALTON, KRIS KEEVER-SMITH, AND ASHLEY GIVENS HAVE A BUSINESS RELATIONSHIP WITH LEGACY SCHOLARSHIP PROGRAM DIRECTORS IN THAT DIRECTORS ARE ALSO DIRECTORS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, AND THE THREE INDIVIDUALS LISTED ABOVE ARE EMPLOYED BY TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 7A APPOINTMENT OF BOARD OF DIRECTORS THE SOVEREIGN GRAND INSPECTOR GENERAL OF THE SCOTTISH RITE BODIES OF TEXAS SERVES AS DIRECTOR AND AS CHAIRMAN OF THE ORGANIZATION'S BOARD. THE CHAIRMAN APPOINTS THE REMAINING DIRECTORS, EACH OF WHOM MUST BE A TRUSTEE OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, A TEXAS NONPROFIT CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS THE FORM 990 IS PREPARED INTERNALLY IN CONJUNCTION WITH OUTSIDE ACCOUNTANTS. A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. THE FORM 990 IS PROVIDED TO THE BOARD THROUGH ACCESS TO A SECURE PORTAL FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST MONITORING THE ORGANIZATION ANNUALLY REQUIRES OFFICERS AND DIRECTORS TO COMPLETE A CONFLICTS OF INTEREST FORM DISCLOSING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY. THESE INDIVIDUALS ALSO ARE TO REPORT ANY NEW MATTERS THAT ARISE DURING THE YEAR IF THEY BECOME AWARE OF A TRANSACTION THAT IS UNDER CONSIDERATION THAT PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. A SUMMARY OF THE POTENTIAL CONFLICTS OF INTEREST IS REPORTED TO THE AUDIT COMMITTEE ON AN ANNUAL BASIS. ALL MATERIAL FACTS SURROUNDING CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS INVOLVING A CONFLICT OF INTEREST ARE TO BE DISCLOSED TO ENSURE THAT THE CONTRACT, TRANSACTION, OR ARRANGEMENT IS FAIR TO THE ORGANIZATION AT THE TIME IT IS AUTHORIZED, APPROVED, OR RATIFIED. IF A RELATIONSHIP EXISTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST, THE INDIVIDUAL HAS A DUTY TO DISCLOSE PERTINENT FACTS AND ABSTAIN FROM VOTING OR DECISION MAKING. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION VARIOUS STAFF MEMBERS AND OFFICERS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN, A RELATED ENTITY, PROVIDE EXECUTIVE AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION AS NEEDED. THE PRESIDENT AND OTHER OFFICERS ARE NOT COMPENSATED BY THE ORGANIZATION FOR THESE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: AUDIT OVERSIGHT PROCESS THE AUDIT COMMITTEE IS RESPONSIBLE FOR REVIEWING THE AUDIT AND FORM 990 PREPARED BY OUTSIDE ACCOUNTANTS. THE COMMITTEE PROVIDES OVERSIGHT OF THE ANNUAL AUDIT, INCLUDING THE REVIEW AND APPOINTMENT OF THE OUTSIDE AUDITOR AND THE REVIEW AND APPROVAL OF THE SCOPE OF THE AUDIT. THE AUDIT COMMITTEE PROVIDES OVERSIGHT FOR FINANCIAL GOVERNANCE AND TRANSPARENT REPORTING. TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN 2222 WELBORN STREET DALLAS TX 75219 750818178 HOSPITAL TX 501(C)(3) LINE 3 N/A 0 PEDI-ORTHO HEALTH CORP 2222 WELBORN STREET DALLAS TX 75219 752665759 PHYSICIANS TX 501(C)(3) LINE 10 TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN 1 TSRH FOR CHILDREN FOUNDATION 2222 WELBORN STREET DALLAS TX 75219 460683787 SUPPORT ORG FOR HOSPITAL TX 501(C)(3) LINE 7 TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN 1 PEG WELBORN PRIVATE EQUITY FUND LP 277 PARK AVENUE 21ST FLOOR NEW YORK NY 10172 812431328 INVESTMENTS NY N/A N/A 0 0 ALGERT INTERNATIONAL SMALL CAP FUND LP 101 CALIFORNIA STREET SUITE 4225 SAN FRANCISCO CA 94111 815047625 INVESTMENTS CA N/A N/A 0 0 CHARITABLE REMAINDER TRUST (1) CHARITABLE REMAINDER TRUST TX N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 SCHEDULE R, PART IV, COLUMN (C) - LEGAL DOMICILE THE LEGAL DOMICILE FOR THE CHARITABLE REMAINDER TRUSTS ARE AS FOLLOWS: TEXAS (2)