2021-11-10T04:55:38-06:00 2020-12-31 861065772 Deloitte Tax LLP 50 South Sixth Street Ste 2800 Minneapolis MN 55402 990 2020-01-01 411200302 Gillette Children's Hospital Foundation GILL 6512912848 200 University Avenue East St Paul MN 55101 Patrick Nolan Chief Financial Officer 6512912848 2021-11-10 1 Patrick Nolan 999009999 Chris Meskimen P01314196 6123974000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Barbara Joers 200 University Avenue East St Paul MN 55101 10765569 0 X www.gillettechildrens.org X 1985 MN The mission of Gillette Children's Hospital Foundation is to support the mission and vision of Gillette Children's Specialty Healthcare. 15 13 0 28 0 0 5731642 8524890 0 0 936398 941438 -82680 -10018 6585360 9456310 5004537 6681615 0 0 1374262 1486364 36010 0 1905919 1262509 1470862 7677318 9638841 -1091958 -182531 30727868 39831792 1237105 8888208 29490763 30943584 X 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. 0 0 3877832 3877832 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. 1498387 1498387 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. 1305396 1305396 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. 173736 0 0 173736 6855351 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 1 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MN WI X Kyle Eidem 6512912848 200 University Avenue East St Paul MN 55101 John Ellenberger Chair 1.00 1.00 X X 0 0 0 John Foster Former Chair (End 1/20) 1.00 1.00 X X 0 0 0 Rulon Stacey Vice Chair 1.00 1.00 X X 0 0 0 David Fettig Secretary 1.00 1.00 X X 0 0 0 Dan Monson Treasurer 1.00 1.00 X X 0 0 0 Barbara Joers President & CEO 5.00 50.00 X X 39650 753342 73742 Phil Becker Director (End 1/20) 1.00 1.00 X 0 0 0 David Bestler Director 1.00 1.00 X 0 0 0 Marlon Cush Director (Start 1/20) 1.00 1.00 X 0 0 0 Jeffrey Freyer Director 1.00 1.00 X 0 0 0 Tenner Guillaume MD Chief of Staff 1.00 49.00 X 0 936486 48636 Dianne Harper Director (End 1/20) 1.00 1.00 X 0 0 0 Linda Ireland Director 1.00 1.00 X 0 0 0 Mark Kimball Director 1.00 1.00 X 0 0 0 William McDonald Director (Start 1/20) 1.00 1.00 X 0 0 0 Julie Neville Director 1.00 1.00 X 0 0 0 Scott Robinson Director (End 1/20) 1.00 1.00 X 0 0 0 Kathy Tune Director 1.00 1.00 X 0 0 0 Phillip Trier Director 1.00 1.00 X 0 0 0 Kathleen Abbott Executive Director 50.00 0.00 X 198691 0 12045 Rachel Wobschall Development Officer 50.00 0.00 X 105288 0 19872 Thomas Novacheck MD Orthopedic Surgeon 0.00 50.00 X 0 675322 64256 Dennis Jolley Former President 0.00 50.00 X 0 336210 36043 343629 2701360 254594 2 1 1 0 0 118306 8406584 232086 8524890 800370 800370 1440309 1299241 141068 141068 141068 0 118306 10018 -10018 -10018 9456310 0 0 931420 6497788 6497788 183827 183827 254073 254073 990819 94985 895834 41713 946 40767 117970 23092 94878 81789 21134 60655 82331 82331 34616 6408 28208 180850 76053 104797 1185 286 899 73620 33129 40491 2443 398 2045 2077 540 1537 Intercompany Expenses 540996 243448 297548 Dues & Memberships 325351 40449 284902 In-Kind COVID-19 Suppl. 173736 173736 Bad Debt 52378 52378 1279 299 980 9638841 6855351 877571 1905919 10707191 17756757 0 0 79366 461175 46247 155643 307739 313589 184975 184975 0 0 19587325 21144628 30727868 39831792 21320 26221 32000 106849 1183785 8755138 1237105 8888208 X 17491937 18470628 11998826 12472956 29490763 30943584 30727868 39831792 -182531 1635352 0 X 0 1 X 1 0 X 7244908 6895732 11989114 5731642 8524890 40386286 7244908 6895732 11989114 5731642 8524890 40386286 19186719 21199567 243654 515537 789970 909046 800370 3258577 157898 209689 171797 96863 118306 754553 44399416 0.47750 0.51640 X Schedule A, Part II, Line 10, Explanation of Other Income: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3481048 893622 409366 225766 4558270 3521471 100992 242032 383447 0 3481048 3379948 305455 -44439 22083 97420 3521461 3508732 225153 63058 328980 88015 3379948 3799706 183272 27865 406953 95158 3508732 0.61000 0.39000 0 0 184975 184975 0 0 Gift Annuity Liability 63673 Due to Gillette's Children Specialty Healthcare 8691465 8755138 X 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. Walk & Roll 118306 118306 10018 118306 118306 10018 10018 -10018 1 Gillette Children's Specialty Healthcare 200 University Avenue E St Paul MN 55101 363379150 501(c)(3) 6497788 General Support 1 0 Adaptive Sports Grant 79 183826 Part I, Line 2: 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. X X X X 0 1 0 0 0 0 0 1 0 Barbara Joers President & CEO 29228 555323 5608 106551 4814 91468 1961 37252 1726 32803 43337 823397 0 0 Tenner Guillaume MD Chief of Staff 0 905695 0 600 0 30191 0 15105 0 33531 0 985122 0 0 Kathleen Abbott Executive Director 185195 0 12722 0 774 0 10126 0 1919 0 210736 0 0 0 Thomas Novacheck MD Orthopedic Surgeon 0 437881 0 207962 0 29479 0 15370 0 48886 0 739578 0 206712 Dennis Jolley Former President 0 254825 0 34374 0 47011 0 17255 0 18788 0 372253 0 0 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. X 7 58350 Cost or Selling Price X 8 173736 Cost or Selling Price 0 0 1 0 Part I, Column (b): The organization used the number of contributions received. 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. Gillette Children's Specialty Healthcare 200 University Avenue E St Paul MN 55101 363379150 Hospital MN 501(c)(3) 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0