2024-11-14T16:46:02-06:00 2023-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2023-01-01 752106637 TSRHC SCHOLARSHIP FUND DBA LEGACY SCHOLARSHIP FUND TSRH 2145597816 2222 WELBORN STREET DALLAS TX 75219 KRIS KEEVER-SMITH TREASURER 2145597816 2024-10-18 1 1 KEVIN WARNEKE P01294950 2148717500 2023 2024-10-15 13:58:12Z LEGACY SCHOLARSHIP PROGRAM ASHLEY GIVENS 2222 WELBORN STREET DALLAS TX 75219 2249111 0 X N/A X 1985 TX GRANTS EDUCATIONAL SCHOLARSHIPS TO FORMER PATIENTS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN ("TSRHC") 12 12 0 60 0 0 150578 176907 0 0 445801 233505 -8463 -15239 587916 395173 397000 402500 0 0 0 0 0 0 0 42555 44650 439555 447150 148361 -51977 14406852 16300626 157067 22237 14249785 16278389 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 405660 402500 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 110 STUDENTS DURING THE YEAR ENDED DECEMBER 31, 2023. 405660 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 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 1.00 X X 0 0 0 P OSWIN CHRISMAN VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 W VERNON BURKE JR DIRECTOR 1.00 1.00 X 0 0 0 W EUGENE BROOKSHIRE DIRECTOR 1.00 1.00 X 0 0 0 RUSSELL C BROWN DIRECTOR 1.00 1.00 X 0 0 0 RONALD L CARTER DIRECTOR 1.00 1.00 X 0 0 0 STEPHEN F CROSS DIRECTOR 1.00 1.00 X 0 0 0 PATSY WOODS MARTIN DIRECTOR 1.00 1.00 X 0 0 0 JAMES C PENN DIRECTOR 1.00 1.00 X 0 0 0 JOE H TYLASKA DIRECTOR 1.00 1.00 X 0 0 0 JAMES L WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 LORI L DALTON SECRETARY (SEE SCH J) 1.00 39.00 X 0 666381 59081 KRISTINA KEEVER-SMITH TREASURER/VP INVEST (SEE SCH J) 1.00 39.00 X 0 377249 138097 ASHLEY C GIVENS PRESIDENT (SEE SCH J) 1.00 39.00 X 0 175514 64286 0 1219144 261464 0 0 1 0 0 61345 115562 240 176907 349962 349962 1703762 1820219 -116457 -116457 -116457 14480 61345 33719 -19239 -19239 4000 0 4000 4000 395173 0 0 218266 402500 402500 22469 22469 18148 18148 3930 3057 873 103 103 447150 405660 41490 0 103529 187496 171761 40622 14131558 16072504 4 4 14406852 16300626 157067 22237 157067 22237 X 7120453 8092758 7129332 8185631 14249785 16278389 14406852 16300626 -51977 2080581 0 X X 0 1 X 1 0 X 400651 127443 81302 150578 176907 936881 400651 127443 81302 150578 176907 936881 121139 815742 295110 249937 282717 439807 349962 1617533 2120 4000 4000 10120 2564534 0.31810 0.33890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7088713 53450 1223428 207363 8158228 8700501 58565 -1442280 228073 7088713 7936504 58752 960286 255041 8700501 7106001 94075 970990 234562 7936504 6016374 184033 1108681 203087 7106001 0.00000 0.66040 0.33960 0 0 0 PSA - EQUITY 12267568 F PSA - FIXED INCOME 3652933 F PSA - SHORT TERM 152003 F 16072504 X 2472845 2080581 2080581 392264 18148 -15239 2909 395173 444241 0 444241 18148 -15239 2909 447150 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, 2023 AND 2022, 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 -15,239. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES, NET WITH REVENUE -15,239. GOLF TOURNAMENT 75825 61345 14480 4876 12196 2571 12443 1633 75825 61345 14480 4876 12196 2571 12443 1633 33719 -19239 1 EDUCATIONAL SCHOLARSHIPS 110 402500 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 608719 0 0 0 57662 0 19800 0 39281 0 725462 0 0 KRISTINA KEEVER-SMITH TREASURER/VP INVEST (SEE SCH J) 0 328000 0 0 0 49249 0 136485 0 1612 0 515346 0 0 ASHLEY C GIVENS PRESIDENT (SEE SCH J) 0 159932 0 0 0 15582 0 26762 0 37524 0 239800 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 $ 14,625 LORI DALTON $ 27,540 ASHLEY GIVENS $ 7,290 THE RESTORATION OF RETIREMENT INCOME PLAN (RRIP) IS A NON QUALIFIED PLAN SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES OF TEXAS RITE HOSPITAL FOR CHILDREN (TSRHC) AND A RELATED ENTITY, WHOSE BENEFITS UNDER THE TAX-QUALIFIED RETIREMENT PLAN HAVE BEEN LIMITED BY THE MAXIMUM BENEFIT AND MAXIMUM COMPENSATION LIMITATIONS IMPOSED UNDER THE TAX QUALIFIED RETIREMENT PLAN IN ORDER TO COMPLY WITH THE INTERNAL REVENUE CODE. THE TOTAL ACCUMULATED BENEFIT THAT HAS ACCRUED FOR A PARTICIPANT UNDER THE RRIP NORMALLY BECOMES VESTED AND TAXABLE TO A PARTICIPANT WHEN PROVIDING HE OR SHE EITHER HAS ATTAINED AGE 55 AND COMPLETED 15 YEARS OF SERVICE OR ATTAINS AGE 65. THE BENEFIT ACCRUALS FOR A PARTICIPANT AFTER THE DATE OF INITIAL VESTING ARE TAXABLE TO THE PARTICIPANT WHEN AND AS ACCRUED. RRIP BENEFITS BECOME PAYABLE AFTER TERMINATION OF EMPLOYMENT. UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2023, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL C AND W-2, BOX 5) KRIS KEEVER-SMITH $1,603 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2023, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) KRIS KEEVER-SMITH - $23,735 THE DEFINED BENEFIT RETIREMENT PLAN FOR THE EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (DB PLAN) IS A QUALIFIED PLAN OF A RELATED ENTITY. THE DB PLAN WAS CLOSED TO NEW ENTRANTS BEGINNING OCTOBER 2005. THE RETIREMENT BENEFITS ARE BASED UPON THE PARTICIPANT'S YEARS OF SERVICE AND AVERAGE MONTHLY COMPENSATION. THE VALUE OF THE ANNUAL BENEFIT THAT HAS ACCRUED FOR A PARTICIPANT IS REPORTED AS THE ANNUAL RETIREMENT BENEFIT. THE VALUE OF THE ANNUAL ACCRUED BENEFIT OF THE DB PLAN, INCLUDED ON SCHEDULE J, PART II COLUMN C: KRISTINA KEEVER-SMITH $134,882 ASHLEY GIVENS $26,762 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 (2) 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)