GILLETTE CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GILLETTE CHILDRENS HOSPITAL FOUNDATION (EIN 41-1200302)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-10
- IRS object ID
- 202113149349300611
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-10T04:55:38-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Ste 2800 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411200302 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Hospital Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GILL | BusinessNameControlTxt |
| Phone | 6512912848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1Txt |
| City | St Paul | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Patrick Nolan | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 6512912848 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Patrick | PersonFirstNm |
| Person Last | Nolan | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Chris Meskimen | PreparerPersonNm |
| PTIN | P01314196 | PTIN |
| Phone | 6123974000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Barbara Joers | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1Txt |
| City | St Paul | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,765,569 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.gillettechildrens.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | The mission of Gillette Children's Hospital Foundation is to support the mission and vision of Gillette Children's Specialty Healthcare. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,731,642 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,524,890 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $936,398 | PYInvestmentIncomeAmt |
| CY Investment Income | $941,438 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$82,680 | PYOtherRevenueAmt |
| CY Other Revenue | -$10,018 | CYOtherRevenueAmt |
| PY Total Revenue | $6,585,360 | PYTotalRevenueAmt |
| CY Total Revenue | $9,456,310 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,004,537 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,681,615 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,374,262 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,486,364 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $36,010 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,905,919 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,262,509 | PYOtherExpensesAmt |
| CY Other Expenses | $1,470,862 | CYOtherExpensesAmt |
| PY Total Expenses | $7,677,318 | PYTotalExpensesAmt |
| CY Total Expenses | $9,638,841 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,091,958 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$182,531 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,727,868 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,831,792 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,237,105 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,888,208 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,490,763 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,943,584 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Gillette Children's Hospital Foundation (Foundation) is to raise money, build awareness, and develop relationships in support of the patient care, education and research activities of Gillette Children's Specialty Healthcare. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,877,832 | ExpenseAmt |
| Grant | $3,877,832 | GrantAmt |
| Desc | RESEARCH:Gillette research activities concentrate on clinical applications devoted to finding effective medical interventions for disabling conditions and their related effects. Research at Gillette consists of fourteen emphasis areas, all of which seek to improve the lives of children who have disabilities and complex conditions. These areas include bone health, cerebral palsy, craniofacial, epilepsy, gait and motion analysis, Legg-Calve-Perthes Disease, musculoskeletal, neuromuscular disease, pain and comfort, Rett syndrome, spina bifida, spine, upper extremities and nursing research.During 2020, there were 115 active studies underway and 88 studies were published in peer-reviewed journals and manuscripts. Following are several examples of research studies and advancements:Gillette is working to understand how the social determinants of health impact the health of medically complex children. Research is underway to evaluate the prevalence of the social determinants of health in our patient population, to identify potential relationships between the social determinants of health and health outcomes, and to improve comprehensive care management to address disparities created by the social determinates of health. Gillette is a leader in pediatric rehab medicine. Work is underway to better measure motor control following a pediatric traumatic brain injury (TBI), as current outcome measures of recovery of walking ability after a TBI are indirect and subjective. The goal of this study is to test the usefulness of an objective measure of dynamic motor control to assess recovery from a TBI. Gillette is a leader in the research and treatment a rare orthopedic condition called Legg-Calve-Perthes (LCP) disease. Investigators are currently working to develop a minimally invasive animal model of LCP to better understand the etiology of this disease which will lead to work on prevention of the sequelae and impact on individuals who present with LCP. Ongoing clinical and pre-clinical studies have prognostic, diagnostic, and therapeutic implications for treatment of LCP. Gillette research teams are working to understand the impact of virtual reality as an adjunct to pediatric cast removal. Virtual reality has the potential to distract children during cast removal through suppression of both auditory and visual aspects of the procedure. The primary objective of this work is to decrease the pain experience during what can feel like an invasive procedure for children. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,498,387 | ExpenseAmt |
| Grant | $1,498,387 | GrantAmt |
| Desc | PATIENT CARE: The Foundation raises money to support activities related to the Gillette mission. This includes offering financial aid to patients based on need, whether or not they have health insurance, and offering charity care to patients who are financially unable to pay all or part of their medical bills. Gillette evaluates each situation based on a patient's income, assets and other resources, and the hospital assists with establishing manageable payment plans (including co-pays and co-insurance). For people without insurance, Gillette charges for care in accordance with the 501(r) guidelines.If patients inform Gillette that they will have a difficult time meeting their financial obligations, Gillette helps patients in their efforts to qualify for public assistance or the Gillette charity care program. Income eligibility for the program is based on national poverty guidelines. Gillette will never turn away a family due to an inability to pay for treatment. The Foundation also provides grants to support startup and expansion for new and/or strategic patient care initiatives. This includes areas such as the Gillette Pediatric Spine Institute, which advances the care of children with spine conditions, including scoliosis. This initiative centers around three pillars: (1) excellence in clinical care and outcomes, (2) research that investigates long-term outcomes, care innovation, and knowledge translation, and (3) education of future experts in spine care.Additionally, funds raised by the Foundation support areas of Gillette operations that are unreimbursed or under-reimbursed. For example, Gillette operates outreach clinics in communities in greater (largely rural) Minnesota. However, in providing these services, Gillette incurs losses. Gillette outreach clinics offer appointments with doctors, nurse practitioners, and seating and adaptive equipment specialists. Outreach clinics also help with care coordination and education for community providers in the specialized needs of Gillette patients living in their communities. Similarly, Gillette provides a variety of services to patients through our Child and Family Services area that are unreimbursed or under-reimbursed. Child life specialists, for example, help children and families prepare for and cope with hospital stays and medical procedures. Social workers provide emotional support and help with practical concerns for families of children who have disabilities, such as ordering medical equipment and finding transportation or other resources.The Foundation grants also supported Gillette's efforts to respond to the COVID-19 pandemic in 2020. Funds were used to ensure a safe and effective response for our patients, families and employees. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,305,396 | ExpenseAmt |
| Grant | $1,305,396 | GrantAmt |
| Desc | CAPITAL:The Foundation raises funds to support Gillette Children's Specialty Healthcare's mission of providing specialized health care for children and adults who have complex and rare medical conditions. The Foundation's support allows Gillette to further its vision of helping patients realize their full potential. This includes raising contributions for improvements to capital assets of Gillette Children's Specialty Healthcare, which ensures modern, efficient and effective technology and resources are available to serve our patients.During 2020, Gillette transferred funds for capital projects related to various projects such as EOS advanced imaging, continuing support for Gillette's Pediatric Spine Institute, and further investments in 3D robot carver and related equipment. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $173,736 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $173,736 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $6,855,351 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kyle Eidem | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6512912848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1Txt |
| City | St Paul | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| John Ellenberger | ||||||||||
| Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| John Foster | ||||||||||
| Former Chair (End 1/20) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Rulon Stacey | ||||||||||
| Vice Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| David Fettig | ||||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dan Monson | ||||||||||
| Treasurer | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Barbara Joers | ||||||||||
| President & CEO | 5.00 | 50.00 | Yes (X) | Yes (X) | $39,650 | $753,342 | $73,742 | |||
| Phil Becker | ||||||||||
| Director (End 1/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Bestler | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Marlon Cush | ||||||||||
| Director (Start 1/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jeffrey Freyer | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tenner Guillaume MD | ||||||||||
| Chief of Staff | 1.00 | 49.00 | Yes (X) | $0 | $936,486 | $48,636 | ||||
| Dianne Harper | ||||||||||
| Director (End 1/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Linda Ireland | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Kimball | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| William McDonald | ||||||||||
| Director (Start 1/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Julie Neville | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Scott Robinson | ||||||||||
| Director (End 1/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kathy Tune | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Phillip Trier | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kathleen Abbott | ||||||||||
| Executive Director | 50.00 | 0.00 | $198,691 | $0 | $12,045 | Yes (X) | ||||
| Rachel Wobschall | ||||||||||
| Development Officer | 50.00 | 0.00 | $105,288 | $0 | $19,872 | Yes (X) | ||||
| Thomas Novacheck MD | ||||||||||
| Orthopedic Surgeon | 0.00 | 50.00 | $0 | $675,322 | $64,256 | Yes (X) | ||||
| Dennis Jolley | ||||||||||
| Former President | 0.00 | 50.00 | $0 | $336,210 | $36,043 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $343,629 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,701,360 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $254,594 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $118,306 | FundraisingAmt |
| All Other Contributions | $8,406,584 | AllOtherContributionsAmt |
| Noncash Contributions | $232,086 | NoncashContributionsAmt |
| Total Contributions | $8,524,890 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $800,370 | TotalRevenueColumnAmt |
| Exclusion | $800,370 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,440,309 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,299,241 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $141,068 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,068 | TotalRevenueColumnAmt |
| Exclusion | $141,068 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $118,306 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $10,018 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,018 | TotalRevenueColumnAmt |
| Exclusion | -$10,018 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,456,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $931,420 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,497,788 | TotalAmt |
| Program Services | $6,497,788 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,827 | TotalAmt |
| Program Services | $183,827 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,073 | TotalAmt |
| Management And General | $254,073 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,819 | TotalAmt |
| Management And General | $94,985 | ManagementAndGeneralAmt |
| Fundraising | $895,834 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,713 | TotalAmt |
| Management And General | $946 | ManagementAndGeneralAmt |
| Fundraising | $40,767 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,970 | TotalAmt |
| Management And General | $23,092 | ManagementAndGeneralAmt |
| Fundraising | $94,878 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,789 | TotalAmt |
| Management And General | $21,134 | ManagementAndGeneralAmt |
| Fundraising | $60,655 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,331 | TotalAmt |
| Management And General | $82,331 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,616 | TotalAmt |
| Management And General | $6,408 | ManagementAndGeneralAmt |
| Fundraising | $28,208 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,850 | TotalAmt |
| Management And General | $76,053 | ManagementAndGeneralAmt |
| Fundraising | $104,797 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185 | TotalAmt |
| Management And General | $286 | ManagementAndGeneralAmt |
| Fundraising | $899 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,620 | TotalAmt |
| Management And General | $33,129 | ManagementAndGeneralAmt |
| Fundraising | $40,491 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,443 | TotalAmt |
| Management And General | $398 | ManagementAndGeneralAmt |
| Fundraising | $2,045 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,077 | TotalAmt |
| Management And General | $540 | ManagementAndGeneralAmt |
| Fundraising | $1,537 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|---|
| Intercompany Expenses | $540,996 | $243,448 | $297,548 | |
| Dues & Memberships | $325,351 | $40,449 | $284,902 | |
| In-Kind COVID-19 Suppl. | $173,736 | $173,736 | ||
| Bad Debt | $52,378 | $52,378 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,279 | TotalAmt |
| Management And General | $299 | ManagementAndGeneralAmt |
| Fundraising | $980 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,638,841 | TotalAmt |
| Program Services | $6,855,351 | ProgramServicesAmt |
| Management And General | $877,571 | ManagementAndGeneralAmt |
| Fundraising | $1,905,919 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,707,191 | BOYAmt |
| EOY | $17,756,757 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,366 | BOYAmt |
| EOY | $461,175 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,247 | BOYAmt |
| EOY | $155,643 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,739 | BOYAmt |
| EOY | $313,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $184,975 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $184,975 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,587,325 | BOYAmt |
| EOY | $21,144,628 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,727,868 | BOYAmt |
| EOY | $39,831,792 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,320 | BOYAmt |
| EOY | $26,221 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,000 | BOYAmt |
| EOY | $106,849 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,183,785 | BOYAmt |
| EOY | $8,755,138 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,237,105 | BOYAmt |
| EOY | $8,888,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,491,937 | BOYAmt |
| EOY | $18,470,628 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,998,826 | BOYAmt |
| EOY | $12,472,956 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,490,763 | BOYAmt |
| EOY | $30,943,584 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,727,868 | BOYAmt |
| EOY | $39,831,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$182,531 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,635,352 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,244,908 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,895,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,989,114 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,731,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,524,890 | CurrentTaxYearAmt |
| Total | $40,386,286 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,244,908 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,895,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,989,114 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,731,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,524,890 | CurrentTaxYearAmt |
| Total | $40,386,286 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $19,186,719 | SubstantialContributorsTotAmt |
| Public Support Total170 | $21,199,567 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $243,654 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $515,537 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $789,970 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $909,046 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $800,370 | CurrentTaxYearAmt |
| Total | $3,258,577 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157,898 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $209,689 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $171,797 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,863 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $118,306 | CurrentTaxYearAmt |
| Total | $754,553 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $44,399,416 | TotalSupportAmt |
| Public Support CY170 | 0.47750 | PublicSupportCY170Pct |
| Public Support PY170 | 0.51640 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Gross fundraising events - 2016 Amount: $ 130,248. 2017 Amount: $ 151,360. 2018 Amount: $ 130,266. 2019 Amount: $ 80,800. 2020 Amount: $ 118,306. Gross gaming activities - 2016 Amount: $ 27,650. 2017 Amount: $ 58,329. 2018 Amount: $ 41,531. 2019 Amount: $ 16,063. 2020 Amount: $ 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,481,048 | BeginningYearBalanceAmt |
| Contributions | $893,622 | ContributionsAmt |
| Investment Earnings Or Losses | $409,366 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $225,766 | OtherExpendituresAmt |
| End Year Balance | $4,558,270 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,521,471 | BeginningYearBalanceAmt |
| Contributions | $100,992 | ContributionsAmt |
| Investment Earnings Or Losses | $242,032 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $383,447 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,481,048 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,379,948 | BeginningYearBalanceAmt |
| Contributions | $305,455 | ContributionsAmt |
| Investment Earnings Or Losses | -$44,439 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,083 | OtherExpendituresAmt |
| Administrative Expenses | $97,420 | AdministrativeExpensesAmt |
| End Year Balance | $3,521,461 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,508,732 | BeginningYearBalanceAmt |
| Contributions | $225,153 | ContributionsAmt |
| Investment Earnings Or Losses | $63,058 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $328,980 | OtherExpendituresAmt |
| Administrative Expenses | $88,015 | AdministrativeExpensesAmt |
| End Year Balance | $3,379,948 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,799,706 | BeginningYearBalanceAmt |
| Contributions | $183,272 | ContributionsAmt |
| Investment Earnings Or Losses | $27,865 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $406,953 | OtherExpendituresAmt |
| Administrative Expenses | $95,158 | AdministrativeExpensesAmt |
| End Year Balance | $3,508,732 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.61000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.39000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $184,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,975 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Gift Annuity Liability | $63,673 |
| Due to Gillette's Children Specialty Healthcare | $8,691,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,755,138 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Foundation has endowment funds for capital, charity care, patient care, research and education, and unrestricted needs. These funds are used to improve and provide health care and related services to patients of Gillette. |
| Part X, Line 2: | As a result of the implementation of authoritative guidance on the accounting for uncertainty in income taxes, the organization was not required to recognize a liability. There were no unrecognized tax liabilities for the years ended December 31, 2020 and 2019. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Walk & Roll | Event1Nm |
| Gross Receipts Event1 | $118,306 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $118,306 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $10,018 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $118,306 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $118,306 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $10,018 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,018 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$10,018 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue E | AddressLine1Txt |
| City | St Paul | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 363379150 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $6,497,788 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Adaptive Sports Grant | GrantTypeTxt |
| Recipient | 79 | RecipientCnt |
| Cash Grant | $183,826 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Members of Gillette Children's Specialty Healthcare board are also members of the Foundation board, resulting in common control of both entities and the sharing of community oversight, strategic planning, financial oversight, and fundraising responsibilities equally among all board members. As a public charity as described in IRC section 509(a)(1) and 170(b)(1)(A)(vi) , the Foundation grants monies to Gillette and maintains endowment funds, restricted and unrestricted assets, and contributions received to benefit Gillette. These funds held by the Foundation are granted to Gillette and other organizations pursuant to the restrictions of the particular fund. Periodically, the Foundation receives financial reports from Gillette documenting the use of monies, including endowment funds, restricted funds, and unrestricted funds, received by Gillette. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara Joers | ||||||||||||||
| President & CEO | $29,228 | $555,323 | $5,608 | $106,551 | $4,814 | $91,468 | $1,961 | $37,252 | $1,726 | $32,803 | $43,337 | $823,397 | $0 | $0 |
| Tenner Guillaume MD | ||||||||||||||
| Chief of Staff | $0 | $905,695 | $0 | $600 | $0 | $30,191 | $0 | $15,105 | $0 | $33,531 | $0 | $985,122 | $0 | $0 |
| Kathleen Abbott | ||||||||||||||
| Executive Director | $185,195 | $0 | $12,722 | $0 | $774 | $0 | $10,126 | $0 | $1,919 | $0 | $210,736 | $0 | $0 | $0 |
| Thomas Novacheck MD | ||||||||||||||
| Orthopedic Surgeon | $0 | $437,881 | $0 | $207,962 | $0 | $29,479 | $0 | $15,370 | $0 | $48,886 | $0 | $739,578 | $0 | $206,712 |
| Dennis Jolley | ||||||||||||||
| Former President | $0 | $254,825 | $0 | $34,374 | $0 | $47,011 | $0 | $17,255 | $0 | $18,788 | $0 | $372,253 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3: | The Executive Committee and Board of Directors is empowered to evaluate the reasonableness of compensation and other financial transactions. The executive requests information from the external compensation consultant. In all cases, it does so in accordance with the compensation policy set by the Board of Directors, by referencing recognized objective resources on the reasonableness of and market value for the types of personnel and services being considered. That data is prepared for and distributed to Executive Committee members. Compensation policy is approved by the Board of Directors. Actions related to President & CEO and other executive compensation are discussed and voted upon at Committee meetings. Meeting minutes are recorded. |
| Part I, Line 4B: | Certain Gillette employees (executives and physicians) are eligible to participate in non-qualified deferred compensation plans. These plans comply with Section 457(f) of the Internal Revenue Code. These plans require employees to be executives or physicians to participate. Payments from the Plan occur annually by July 1 of the year following the end of the Plan year. The Plan is a "gap" plan, which provides participants with a deposit that closes the gap between the limits of IRC 403(b) and the actual cash compensation of the participant. The following individuals received a payout from the Plan during the year: Thomas Novacheck $206,712 |
| Part I, Line 7: | Certain employees are eligible for an annual one-time award to recognize employees. The amount and payment of the award is made at the discretion of the Board of Directors. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $58,350 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost or Selling Price | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 8 | ContributionCnt |
| Noncash Contributions Rpt F990 | $173,736 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost or Selling Price | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | The organization used the number of contributions received. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Members of the Gillette Children's Specialty Healthcare (Hospital) board are also members of the Gillette Children's Hospital Foundation (Foundation) board, resulting in common control of both entities and the sharing of community oversight, strategic planning, financial oversight, and fundraising responsibilities equally among all board members. The following individuals have a business relationship: Phil Becker, David Bestler, Marlon Cush, John Ellenberger, David Fettig, John Foster, Jeffrey Freyer, Tenner Guillaume, Diane Harper, Linda Ireland, Barbara Joers, Mark Kimball, William McDonald, Dan Monson, Julie Neville, Scott Robinson, Rulon Stacey, Phillip Trier, Kathy Tune. |
| Form 990, Part VI, Section A, line 6 | The Foundation has a sole member, Gillette Children's Specialty Healthcare, a Minnesota nonprofit corporation. |
| Form 990, Part VI, Section A, line 7a | The Foundation has a sole member, Gillette Children's Specialty Healthcare, a Minnesota nonprofit corporation, which elects all members of the Foundation board. |
| Form 990, Part VI, Section B, line 11b | Gillette staff, including representatives from finance, legal, communications and administration departments, completed the return and related documentation. Gillette's accounting firm compiled the return. The Foundation President and Gillette Chief Financial Officer reviewed the draft documents. A copy of Form 990 was provided to each member of the governing body before filing. After all reviews were complete, the final return was presented to and approved by the Finance Committee and the Board of Directors prior to filing. |
| Form 990, Part VI, Section B, line 12c | Gillette enforces policies on external professional activities. Gillette employees, officers, volunteers, board members, and medical staff members are expected to disclose outside activities that involve potential conflicts of interests. Directors must sign a conflict of interest statement acknowledging any potential conflicts related to Gillette. Gillette requires staff members to discuss potential conflicts with their immediate manager and with the compliance officer. The disclosure includes a written description of the activity, the extent of the staff member's participation, and the possible duration of the relationship. If a conflict exists, the employee must not engage in the activity. |
| Form 990, Part VI, Section B, line 15 | Foundation staff members are employed by Gillette. Gillette is the organization that actually pays the compensation and has the process for determining compensation as stated below. As directed by the Executive Committee of the Gillette Board of Directors, an independent consultant provides the committee with survey data containing recommendations for the CEO and other executive salary ranges. The ranges are developed by the external consultant based on Gillette's compensation philosophy, which was developed by the Committee and adopted by the Board of Directors. The compensation philosophy is reviewed regularly. The members of the Committee determine the CEO salary and the salary ranges for other executives. The committee oversees the executive incentive plan, approves incentive plan payouts, and regularly evaluates the benefits provided to executives. The external consultant has provided total compensation data for all executives, and the committee has diligently followed the process for establishing a presumption of reasonableness. In addition to the oversight function of executive total compensation, the committee oversees payments under any incentive compensation plans, and evaluates all transactions with "disqualified persons." |
| Form 990, Part VI, Section C, line 19 | Audited financial statements are available upon request and via www.gillettechildrens.org. Gillette's 990 form is available from the states of Minnesota and Wisconsin and at Guidestar.org. Gillette discloses consolidated financial statements to bondholders, the Minnesota Hospital Association, and the Minnesota Attorney General office. The governing documents and conflict of interest policy are made available to the public upon request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue E | AddressLine1Txt |
| City | St Paul | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363379150 | EIN |
| Primary Activities | Hospital | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 3 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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