2021-09-15T17:10:25-05:00 2020-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Suite 1300 Minneapolis MN 554027033 990 2020-01-01 410682405 Hazelden Betty Ford Foundation HAZE 6512134006 PO Box 11 Center City MN 55012 James Blaha VP, CFO & CAO 6512134729 2021-09-14 1 James Blaha 999009999 Kim Hunwardsen CPA P00484560 6122536500 2021-09-07 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z Dr Joseph Lee PO Box 11 Center City MN 55012 220370282 0 X www.hazeldenbettyford.org X 1949 MN Hazelden Betty Ford Foundation is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs. 19 18 1787 278 337434 331159 10423098 13001552 186161030 170151373 2279855 3006184 2878150 1667131 201742133 187826240 1063695 488510 0 0 116503683 120428412 0 0 4601869 81613684 77759064 199181062 198675986 2561071 -10849746 519529650 539710719 176072424 198698408 343457226 341012311 X The mission of the Hazelden Betty Ford Foundation is: "We are a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs." Our vision is: "Together, we will overcome addiction." We fulfill our mission and pursue our vision through a commitment to treatment, publishing, education, research, public education, advocacy, and collaboration/shared learnings with other organizations. 0 1 124130816 139918364 Addiction Treatment for Adults, Youth and FamiliesThe goal of addiction treatment at the Hazelden Betty Ford Foundation is lifelong recovery and an improved quality of life for each patient. The Foundation serves both adults and youth and approaches treatment in a holistic, person-centered way-addressing our patients' addiction as well as co-occurring mental health and medical conditions. Our comprehensive treatment integrates the use of evidence-based clinical therapies, peer support and medicine, and is individualized to meet patients' unique needs as they progress from clinical management of their disease to community-supported self-management of their recovery. Our interdisciplinary care teams consist of addiction counselors and technicians, psychologists and other mental health professionals, psychiatrists and other physicians, nurses and nurse practitioners, certified medical assistants, children's and family counselors, spiritual care professionals, nutritionists and wellness specialists. In addition to addiction treatment, available at multiple levels of care, the Hazelden Betty Ford Foundation provides assessment and evaluation services, intervention services, clinically supervised sober living options, continuing care services and mental health services. The Hazelden Betty Ford Foundation also understands that recovery from addiction involves rebuilding relationships with family members and friends, who need help and support of their own as well. Through our family, parent, sibling and children's programs, loved ones receive education, guidance and support to achieve healthier relationships and lives.In 2020, Hazelden Betty Ford's physical sites were located in Center City, Chaska, Maple Grove, Plymouth and St. Paul, Minnesota; Chicago, Illinois; Naples, Florida; New York, New York (two facilities there - one each in the Tribeca and Chelsea neighborhoods); Bellevue, Washington; Newton, Massachusetts; Beaverton and Newberg, Oregon; Rancho Mirage, Los Angeles and San Diego, California; and Denver, Colorado. The organization also provided virtual care accessible to people living anywhere in Minnesota, California, New York, New Jersey, Oregon, Washington, Illinois, Florida, Missouri, Colorado and Wisconsin, as well as virtual family and children's programs and other telehealth services available nationwide.The following number of people directly benefited from Hazelden Betty Ford addiction treatment and recovery programs in 2020: Primary Treatment Adult 4,739Intensive Outpatient Adult 3,622 Mental Health Adult 3,282Family Program Adult 2,818Day Treatment Adult 2,655 Outpatient Treatment Adult 1,493Primary Treatment Youth 728 Family Program Youth 680Renewal Center/Lodge 594Mental Health Youth 583Day Treatment Youth 420Children's Program 398Intensive Outpatient Youth 228Outpatient Treatment Youth 113 Intermediate Care 27 TOTAL PATIENTS SERVED 22,380 Additionally, financial assistance is available and was provided to 4,474 qualifying patients and family members at an approximate cost of $4,336,000. 21646488 26208391 Publication of Educational MaterialsHazelden Publishing is the leading publisher of state-of-the-art resources for preventing, treating and managing addiction and closely related issues. Translating research into practice, we help organizations treat the whole client by offering information, guidance, tools and support to meet their unique needs. With 71 new offerings in 2020, our publications continue to provide inspiration, guidance and encouragement to millions around the world every day. In 2020, Hazelden Publishing generated 19 new products, 9 new distributed products, 10 new services and trainings, 8 new e-books, 8 new translation rights, 4 specialty products, and 13 new subscriptions. If not for our mission and commitment, much of this material would not be published and available to consumers because of its limited appeal to mainstream publishers. Hazelden Publishing's materials also reach underserved populations, including many customers in the community treatment, faith-based and corrections markets.Hazelden Publishing's Professional Education Continuum Solutions (PECS) team transforms organizational systems and culture, empowering educators and providers in health care, treatment and social services to deliver evidence-based, best-practice services throughout the continuum of care. Intensive training and coaching for Building Assets and Reducing Risks (BARR)-a strengths-based model that provides schools with a comprehensive approach to meeting the academic, social, and emotional needs of all students-has reached more than 180 schools in 18 states, impacting the lives of over 100,000 students in a diverse range of communities. In addition, consultants and trainers on the PECS team reached over 6,600 professionals in 33 states and Canada in 2020, addressing stigma associated with addiction and helping communities embrace recovery as the expectation. From Appalachia to the Pacific Ocean - and everywhere in between - the PECS team is empowering professionals to be agents of hope and healing.In a pandemic-inflicted 2020, through its BookAid program, the Hazelden Publishing also sent 304 packages that reached the lives of many thousands of people through libraries serving programs and institutions in need. BookAid resources were sent to individuals and organizations in the United States and around the world. The products cost $1,700 to ship. 5407005 488510 5664154 Higher Education and Medical & Professional TrainingHazelden Betty Ford Graduate School of Addiction StudiesThe Hazelden Betty Ford Graduate School of Addiction Studies prepares future leaders in addiction counseling through our two available degrees: Master of Arts in Addiction Counseling: Advanced Practice and Master of Arts in Addiction Studies: Integrated Recovery for Co-Occurring Disorders. The school emphasizes public engagement as a means of serving our constituent communities. In 2020, students provided approximately 25,626 hours of clinical services at agencies reaching underserved and economically disadvantaged populations.The school offers a full scholarship each year to a student who works at Chisago County (MN) Health and Human Services, and we provide continuing education to these Chisago County professionals at no cost. In 2020, 46 students graduated from the school with master's degrees. Overall, more than 92% of graduates who seek careers in the addiction treatment field find employment in their home communities or at regional or national treatment agencies. Faculty and graduate school leaders participate in public service events throughout the United States and make research, educational and scholarly contributions to the field of addiction treatment.Medical & Professional Education The Professionals in Residence (PIR) program and the Summer Institute for Medical Students (SIMS) give medical students, residents and health care and legal professionals an in-depth experience with the dynamics of the disease of addiction. Intensive one-week programs blend classes presented by Hazelden Betty Ford Foundation physicians and expert clinicians with time spent interacting with patients or family members and staff on treatment units or family programs. Participants learn about the latest research and evidence-based methods from our multidisciplinary faculty. A rotation on addiction for psychiatry, family medicine and internal medicine residents is available in Minnesota and California. A one-year accredited Addiction Medicine Fellowship is available at the Betty Ford Center in Rancho Mirage, California, and a Course on Addiction and Recovery Education (CARE) is available worldwide. The Minnesota and California sites offer customized programming for larger groups. In 2020, our Medical and Professional Education programs welcomed a total of 1,768 participants. Community Care and Community Benefit:To meet our commitment to the mission and underlying charitable purpose of the Hazelden Betty Ford Foundation, we invest time, financial resources and energy in helping people and communities understand and address addiction as a treatable disease, and we spread the word that recovery is possible. "Be of Service" is an integral core value that we demonstrate in a variety of ways.The Foundation provides treatment services to individuals and families who seek and qualify for care but are unable to pay the full cost. The Foundation's patient aid policy provides that the Foundation will annually establish a target amount of patient financial assistance. In addition to its annual provision for charity care, the Foundation provides a variety of other benefits for the public good including:Butler Center for ResearchThe Butler Center for Research (BCR) is dedicated to improving recovery from addiction by conducting clinical and institutional research, collaborating with other research centers and communicating scientific findings. BCR's vision is that sustained recovery for all who seek help will be achieved through advancements in knowledge and integration of research into practice.In 2020, the BCR participated in the following activities: As part of the Foundation's commitment to evidence-based practice, a variety of projects were conducted by the BCR to inform clinical care and academic programming, identify treatment needs, drive data-based decision making, guide strategic planning and contribute to the field's knowledge of addiction treatment. Projects included data analyses and industry trend reports, among others. In response to the global novel coronavirus pandemic, the Foundation had to pivot the majority of its in-person services to virtual in March 2020. Given that very little was currently known about the efficacy of virtual group services for addiction, the BCR undertook an evaluation of the intensive outpatient and partial hospitalization program virtual services rollouts in order to better understand what type of patients benefit from in-person or virtual addiction care. Preliminary findings from these projects have already helped inform the Foundation's approach to providing virtual care as a viable alternative to some in-person services. In 2020, the BCR continued to collaborate with researchers from the Mayo Clinic on a government grant to study the use of acamprosate, an FDA-approved medication targeting alcohol craving. Funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), this project will work to identify biomarkers that may predict patient response to the use of the medication, with the hope of finding new genes linked to alcoholism treatment response. The project continued recruitment throughout 2020, despite added COVID-19 restrictions, and will be ongoing in 2021. Findings from this study could have substantial impact and inform substance use treatment on a national scale. The BCR started an additional donor-funded project in collaboration with the Mayo Clinic in 2020 to study the use of naltrexone and buprenorphine, FDA-approved medications for the treatment of cravings related to opioid use disorder (OUD). In this innovative study, Mayo will use internally-developed breakthrough technology to "reprogram" the cell lines in patient blood samples over a 6-month period to differentiate into brain region specific organoids (so-called "mini brains" in a petri dish), which will then be exposed to the medications used to treat OUD to measure how each individual's brain cells respond. Results obtained from this pilot study will be used to generate new hypotheses to better understand the molecular underpinning of OUD and response to FDA-approved therapeutic agents used in the treatment of OUD. The BCR also continued to collaborate on another NIAAA grant-funded study with researchers from Virginia Commonwealth University. Titled "Genes, addiction, and personality," this study is part of a genome-wide association study to learn more about the relationships between personality, mental health, substance use and genes. Data collection continued in 2020, and will be ongoing in 2021. Research Updates were disseminated to professionals, educators, researchers, students and other stakeholders. These two-page summaries of scientific findings from the field of addiction treatment research are provided at no cost as a community benefit to policymakers, treatment professionals and the public at large. Research Updates are also available on the BCR web page at www.hazeldenbettyford.org/education/bcr/addiction-research. One Research Update that was updated in 2020 to incorporate new research was on Vaping and E-cigarettes.Community Education and RelationsDue to COVID-19 restrictions, in 2020, we converted our free, public Minnesota and Oregon Speaker Series and Second Sunday talks into webinars available to anyone in recovery and accessible at any time. During the year, the Foundation produced 10 recovery-themed webinars and reached more than 4,230 people. The Speakers Bureau helped place the organization's many spokespeople at events, with 100 different employees delivering 134 presentations in 19 states and 43 cities, as well as 61 virtual presentations available globally. We also provided education and support at free, open-to-the-public Caring Families groups, held online weekly for the Florida community, and weekly in-person in St. Paul prior to the pandemic.Educational scholarships from the Foundation totaling $5,200 were awarded to students at six high schools in the Twin Cities and Center City areas of Minnesota, as well as two western Wisconsin high schools. In Florida, the Foundation is an active member of the Collier Community Drug Response Team, an action-oriented work group that analyzes data and mobilizes support to overdose hotspots. And, for the 25th year, we co-sponsored and hosted our Women's Health Conference, a free, twice-annual community event that brings together medical providers and public health departments in Center City, Minnesota.In addition, we sponsored community events like the Minnesota Walk for Recovery presented by Minnesota Recovery Connection and the Ride for Justice community bike series presented by Twin Cities Recovery Project, among others.Children's ProgramsThe Foundation Children's Program provides prevention and education services to children and families with addiction. Programs are located in California, Minnesota and Colorado. Due to COVID-19 restrictions, the program shifted entirely online April through December. The program hosted 72 virtual programs and served 398 children from 22 states and three countries. Virtual programming includes a two-day initial virtual Children's Program, Stage II, caregiver workshops and virtual continuing care each Wednesday evening for alumni of the Children's Program. No child has ever been turned away because of lack of financial ability to pay: Nearly 91 percent of children who attended in-person from January to March received full financial assistance; and all of the virtual participants attended at no cost, due to the generous donations received through Philanthropy. Additionally, the Children's Program continued to provide its Holiday Hotline over the winter break. Usually, this line is used primarily by California alumni. In 2020, the Foundation provided multiple phone numbers and added additional Children's Program staff to continue the tradition and serve even more children across the nation. Web and Social NetworksThe corporate website, www.HazeldenBettyFord.org, continued to grow in 2020 with nearly 10 million sessions, an increase of 28 percent over 2019. "Thought for the Day" remained the most popular feature on the website, with an average of 15,000 visitors each day. "Thought for the Day" provides daily inspirational readings from one of six Hazelden Publishing meditation books.More than 4.5 million people from 227 countries visited the website seeking information on a variety of addiction-related topics, including treatment, recovery, education, public advocacy and products in our online bookstore. Sixty-six percent of all visits to the hazeldenbettyford.org website were from a mobile device. Thirty percent of sessions were from a desktop or laptop computer and only 4 percent were from a tablet.The Foundation produced 27 new episodes of the award-winning Let's Talk Addiction & Recovery educational podcast series, which generated 428,856 engagements with people in our communities. We also launched an inspiring new Recovery Road podcast series, with almost 75 brief episodes leading to 600,000 engagements with people in 68 countries. The Foundation's online social community-TheDailyPledge.org-features discussion boards, chatrooms, blogs and online meetings accessible at no cost to anyone anywhere in the world. The Daily Pledge continued to offer a supportive home on the web for people in or seeking recovery, as well as a growing number of family members of those in or seeking recovery. In the midst of the COVID-19 pandemic, traffic to The Daily Pledge increased by 70 percent in 2020 to 20,000. As those seeking recovery were forced to stay home and unable to attend meetings in person, the Foundation added 20 new meetings per week, bringing the total number of meetings for the year to well over 1,000, a 233 percent increase over 2019. Requests for confirmation of meeting attendance increased more than 1,100 percent to 1,800 in 2020. Total page views increased 40 percent to 176,000, and the number of pledges was up by about 7 percent to 9,100. The total number of registered members of the site is currently above 13,000. The Foundation's Facebook, Twitter, Instagram, YouTube, LinkedIn and other social media accounts, which have more than 146,643 followers, along with its award-winning mobile apps-including several available at no cost-offered additional access to recovery resources, providing daily inspiration, information and fellowship.Resource CenterIn 2020, our Resource Center received 84,373 calls from people seeking or referring to substance use disorder and mental health treatment, as well as many more seeking information, assistance and products related to substance use and addiction.Hazelden Betty Ford LibraryIn addition to its core mission of fulfilling the informational needs of the Foundation's staff and students, our Addiction Research Library-accessible at www.hazeldenbettyford.org/education/bcr/addiction-research-library serves the public by:Working daily with information sharing and advocacy efforts in the regional Minitex, national Docline and international SALIS (Substance Abuse Librarians and Information Specialists) networks.Facilitating on our website the preservation and access of archived versions of the ETOH and CORK addiction-related journal databases, free to all internet users and available nowhere else online.Providing scholarships, via the A.A. Heckman Endowed Fellowship Fund, to help individuals study the addiction-related archives housed on our campus in Center City, Minnesota. 151184309 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 870 0 1 1787 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 AK AL AR CA CO CT DC FL GA HI IL KS KY LA MA MD ME MI MN MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV X James Blaha VP Chief Financial & Administrative Officer 6512134006 15251 Pleasant Valley Road Center City MN 55012 Lester Munson Chair 5.00 0.00 X X 0 0 0 Susan Engeleiter Vice-Chair 2.00 0.00 X X 0 0 0 Ann Highet Member 1.00 0.00 X 0 0 0 Bill Parker Member 1.00 0.00 X 0 0 0 Cameron Strang Member 1.00 0.00 X 0 0 0 Cini Gannon Robb Member 1.00 0.00 X 0 0 0 Gloria Perez Member 1.00 0.00 X 0 0 0 James R Greenbaum Member 1.00 0.00 X 0 0 0 John Power Sr Member 1.00 0.00 X 0 0 0 Kathryn Helgaas Burgum Member 1.00 0.00 X 0 0 0 Mary Turner Pattiz Member 1.00 0.00 X 0 0 0 MaryPat Woodard Member 1.00 0.00 X 0 0 0 Quinton Studer Member 1.00 0.00 X 0 0 0 Robert Reifschneider Member 1.00 0.00 X 0 0 0 Ruth Barker Member 1.00 0.00 X 0 0 0 Susan Ford Bales Member 1.00 0.00 X 0 0 0 Thomas Bradley Member 1.00 0.00 X 0 0 0 William Cirone Member 1.00 0.00 X 0 0 0 Mark Mishek President and CEO 50.00 10.00 X X 823484 0 112388 James Blaha Treasurer, VP CFO and CAO 50.00 10.00 X 442389 0 71078 Jennifer Lohse Secretary, VP General Counsel 50.00 10.00 X 272272 0 53368 Dr Marvin Seppala Chief Medical Officer 50.00 0.00 X 596251 0 65585 Nicholas Motu VP & Chief External Affairs 50.00 0.00 X 365636 0 63447 Valerie Slaymaker VP Education and Research 50.00 0.00 X 262058 0 36692 Debra Bauman VP Tech Services & CIO 50.00 0.00 X 268289 0 31839 Melissa Fors VP Marketing Strategy 50.00 0.00 X 322008 0 31893 Dawne Carlson VP Human Resources 50.00 0.00 X 272407 0 35473 John Driscoll Sr. VP Recovery Services 50.00 0.00 X 386941 0 72557 Robert Poznanovich VP Business Development 50.00 0.00 X 352870 0 60671 Joseph Jaksha VP Publisher 50.00 0.00 X 268883 0 41601 Moira McGinley VP Development & CDO 50.00 0.00 X 261063 0 50161 Dr Joseph Lee Medical Director Youth Continuum 45.00 0.00 X 466533 0 40034 Victor Vines Medical Administrator 45.00 0.00 X 302770 0 22608 Kristen Schmidt Psychiatrist 45.00 0.00 X 326794 0 27317 Katarzyna Litak Psychiatrist 45.00 0.00 X 288601 0 43183 Jerry Moe Exec. Dir. Nat'l Children's Program 45.00 0.00 X 303553 0 45625 William Moyers former key employee VP Public Affairs & Comm Relations 40.00 0.00 X 260986 0 58126 Mark Sheets former key employee Exec. Dir. Youth Continuum 40.00 0.00 X 187302 0 40998 7031090 0 1004644 140 1 1 0 Sodexo Inc & Affiliates 4800 Paysphere Circle Chicago IL 60674 Food Service 2884191 Cerner 2800 Rockcreek Parkway Kansas City MO 64117 Technology Consultants 2211361 Nantmedia Holdings LLC PO Box 740860 Los Angeles CA 900740860 Advertising 1580786 Insight Direct USA Inc 6820 S Harl Ave Tempe AZ 85283 Computer Services 702916 Xerox Corporation 45 Glover Ave Norwalk CT 06856 Duplication Services 531873 34 462121 12539431 1474871 13001552 Addiction Treatment 623990 138583012 138583012 Publishing 511130 25958264 25958264 Higher Education 611600 5610097 5610097 170151373 1059544 309839 749705 34455682 35000 32544042 0 1911640 35000 1946640 1946640 Corporate support fee 561000 1639536 1639536 Personal property rental 900002 27595 27595 1667131 187826240 171790909 337434 2696345 488510 488510 5600764 1466008 3871993 262763 88984204 70921503 15778468 2284233 4238635 3473209 673769 91657 15106743 12568089 2077604 461050 6498066 5023005 1331454 143607 1270670 375760 894910 119359 650 118709 100350 100350 282216 272216 10000 11249138 9923574 1132302 193262 7430397 7119027 217927 93443 4442932 3018272 1366102 58558 8670248 440664 8171596 57988 2637959 2637959 6876085 5577075 1190543 108467 822328 589955 159342 73031 29892 37370 -8203 725 1646132 1290675 346308 9149 16610691 13664274 2827652 118765 Cost of materials 2954601 2954601 Patient food 2871799 2650586 221213 MNCare tax 1495948 1495948 UBIT 69543 69543 8178776 5467595 2076010 635171 198675986 151184309 42889808 4601869 16454513 15758825 4726588 6987748 27389337 23415020 2284539 2397843 886657 1821416 362092855 204308295 156154120 157784560 73539191 84602273 89977343 86396541 14065859 13807238 134051503 146739255 519529650 539710719 24587671 33220274 796867 569471 55121607 53009767 1443750 918750 94122529 110980146 176072424 198698408 X 302583984 296614495 40873242 44397816 343457226 341012311 519529650 539710719 X -10849746 8180407 -9052 233476 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 100350 1 433270 0 533620 0 Part II-B, Line 1: The Hazelden Betty Ford Foundation focused primarily on two advocacy issues in 2020: 1) expanding access to care, and 2) securing pandemic-related relief and support for behavioral health organizations. By informing public audiences and key stakeholders about important issues, Hazelden Betty Ford seeks to diminish public stigma related to addiction and improve the formulation of policy at its earliest stages. The Foundation also supports each Hazelden Betty Ford Foundation facility, its employees and other interested stakeholders by responding to requests and providing information on relevant federal, state and local legislation. At the federal level, Hazelden Betty Ford continued contributions to the Partnership to Amend 42 CFR Part 2, a coalition that advocates for aligning conflicting federal laws related to the sharing of medical records to allow appropriate access to patient information that is essential for providing whole-person care. Additionally, Hazelden Betty Ford advocated for pandemic-specific investments in behavioral health, as well as policy changes to improve access to quality prevention, treatment and recovery-related resources. At the state level, Hazelden Betty Ford met and communicated with policymakers in California, Minnesota, New York, Washington and elsewhere related to organizational priorities to expand services to people across the country. The firm Fredrikson & Byron, P.A., was retained to help with lobbying efforts in Minnesota. Hazelden Betty Ford's advocacy leaders sponsored or provided speakers for numerous events in 2020, distributed a monthly Advocacy Update email to a national list of subscribers, while also producing blogs and audio-video content, providing or securing media interviews to support its advocacy agenda, and generating thousands of social media impressions and unique website visitors. The Foundation regularly receives requests for information on addiction, treatment and recovery issues from policymakers, the media and the public. By serving as a reliable resource to many, the Foundation was able to influence policy and public attitudes in diverse ways. Hazelden Betty Ford's advocacy mission is to provide a leading and trusted voice on emerging topics and public policy issues that dominate the national dialogue on addiction, and to facilitate conversation among those in recovery, those still suffering and society-at-large. The Foundation is and will remain committed to smashing stigma, shaping public policy and educating people everywhere about the problems of addiction and the promise of recovery. 793414 X X 0 32962032 192546 1201747 1475108 32881217 28021818 2136509 4275729 1472024 32962032 31642133 107162 -2182857 1544620 28021818 30436060 108517 3052785 1488483 32108879 32305773 55134 2203419 4128266 30436060 0.00000 1.00000 0.00000 0 0 11049395 11049395 193342383 92382821 100959562 3218408 1662486 1555922 121652156 100124162 21527994 32830513 10138826 22691687 157784560 2811060 F PIMCO Stockplus Limited Partner 20359961 F AT MLP Fund, LLC 158875 F Rimrock High Income Value Fund 6792289 F Silchester International 17502846 F Fir Tree International Value Fund 9018 F Lighthouse Global 9894345 F Energy Capital 88872 F Wellington Trust Company 5669737 F Renaissance RIDGE 5469332 F IPM Systematic Macro Fund 2419457 F Hudson Bay International 5845613 F Emso Saguaro LTD 6370924 F Transtrend Diversified Fund 3004212 F 86396541 Intercompany receivables 138322960 Film and video costs, net 118251 CSV life insurance 264474 Collections 793414 Split interest agreements 1648319 Operating lease right to use 5140761 Curriculum costs, net 451076 146739255 Asset retirement obligation 263537 Intercompany payables 102249871 Capitalized finance costs -564681 Long term Cerner credit agreement 3723361 Operating lease liablity 5308058 110980146 X Part III, Line 4: Hazelden Betty Ford Foundation maintains a collection of historically significant books and archives on recovery and addiction which can be used for research as well as being on public display. Part V, Line 4: Earnings from the endowment funds are used for the purposes as specified by donor restrictions, including patient aid, operations, research, student aid, prevention programs and special projects. Part X, Line 2: In accounting for uncertain tax positions, the Foundation recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merit of the position. Examples of tax positions include the tax-exempt status of the Foundation and various tax positions related to potential sources of unrelated business taxable income. The Foundation had no uncertain tax positions as of December 31, 2020 and 2019. Part V, line 1a The 2018 beginning of year balance was updated to correct the endowment balance due to the merger with Betty Ford Center in 2014. Central America and the Caribbean 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 684 East Asia and the Pacific 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 3447 Europe 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 8336 Middle East and North Africa 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. North America 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. South America 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 4093 South Asia 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 4697 Sub-Saharan Africa 0 0 Program Services Hazelden Publishing sells and distributes books and related items. Russia & Neighboring States 0 0 Program Services Education and preventive instruction is provided to high school students, parents and educators. 2835 Central America and Caribbean 0 0 Investments 31322628 0 0 0 0 0 0 21257 31325463 31346720 1 0 1 1 0 0 Part III Accounting Method: Part IV, Line 1 Hazelden Betty Ford Foundation invests in foreign corporations. The Foundation reviews its direct and indirect investments during the tax period for determining required foreign filings. The Foundation did not have aggregate transfers to a foreign corporation of $100,000 or more therefore did not file Form 926. Part IV, Line 3 Hazelden Betty Ford Foundation reviews its direct and indirect investments during the tax period for determining required foreign filings. Hazelden Betty Ford Foundation's ownership interests in foreign corporations do not require a Form 5471 to be filed. Part IV, Line 4 Hazelden Betty Ford Foundation invests in partnerships that hold direct or indirect interests in passive foreign investment companies (PFIC) and also invests in PFIC's directly. The investment partnerships have properly filed Form 8621, or the underlying investments did not generate any unrelated business income. Under these facts, Hazelden Betty Ford Foundation is not required to file any additional Form 8621. 1 1 X 0 1 X 0 1 0 1 0 4335533 4335533 0.02180 4335533 4335533 0.02180 3062276 1124279 1937997 0.00980 483310 0 483310 0.00240 1112644 215893 896751 0.00450 4658230 1340172 3318058 0.01670 8993763 1340172 7653591 0.03850 1 5682597 0 0 1 1 1 1 Betty Ford Center 39000 Bob Hope Drive Rancho Mirage CA 92270 see supplemental info for website 106330120 X Betty Ford Center 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X See Part V, Page 8 X 1 18 1 See Part V, Page 8 0 1 X 400.000000000000 X X 1 1 X X X 1 X www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage X www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage X www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section A: www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage Betty Ford Center Part V, Section B, Line 5: In June of 2018, the organization consulted with over six stakeholders, staff, physicians and other members of management. Betty Ford Center Part V, Section B, Line 11: Since Betty Ford Center provides substance use treatment and provision of mental health services and is not a general hospital providing primary care or preventative care, the health needs identified through this CHNA are more focused on behavioral health than in most hospitals' CHNAs.This is not to suggest that other health needs in the community do not exist; especially prevalent issues include the following: disability, major disease, obesity, prevention of sexually transmitted diseases/infection and sleep deprivation.As a drug and alcohol rehabilitation facility, Betty Ford Center's mission and purpose is focused around substance abuse treatment, not general physical health. Thus, there is a relative lack of expertise to address needs like arthritis, obesity, and STDs. Other organizations in the region-such as the three hospitals in the community, the federally-qualified health centers (FQHCs), etc.-are much better suited to tackle these issues, and many have strong existing programs designed to address these needs.Instead, Betty Ford Center will focus considerable resources and expertise on the local needs relating to behavioral health; specifically:access to care for low-income and/or uninsured, mental health care and substance abuse treatment.The identified need of access to care will be met through three strategies:-Financial assistance for the uninsured, under-insured, and/or low-income community -In 2020, $1.6M in financial assistance was awarded to 857 patients. The identified need of mental health care will be met through four strategies:-Provide Betty Ford Center patients with a multi-disciplinary treatment team that is competent with both substance use and mental health treatment -In 2020, on-call coverage was provided for mental health services and consults with psychiatry was provided on the weekends when needed. One psychologist was on site and available on Sundays for mental health issues. Additional staff were on-boarded to work Saturday daytime to address mental health issues. -Hire new staff that will enhance Betty Ford Center's mental health competencies -In 2020, a mental health provider was hired to provide coverage to residential patients and offer additional support to outpatient services. A staff psychiatrist was hired on-call to provide coverage for full-time psychiatric providers for continuity of care and another psychiatrist was hired to provide telehealth services.-Contribute to local efforts to "grow our own" behavioral health workforce locally, thereby increasing the number of providers available -In 2020, a counselor at Hazelden Betty Ford attended the Hazelden Betty Ford Graduate School of Addiction Studies and shadowed mental health providers to increase competency in co-occurring disorders. A nurse at Hazelden Betty Ford attended a doctoral program to earn a psychiatric nurse practitioner degree and has also had shadowing opportunities. A review is currently taking place to determine if a formal pre- or post-doctoral psychology internship training program will be implemented to train the next generation of clinicians in integrated care.The identified need of substance use treatment will be met through two strategies:-Provide education and outreach regarding substance use -In 2020, The Betty Ford Center had a staff member representing the organization at the 2019-2020 Leadership Coachella Valley program. The program encourages community involvement by providing knowledge and perspective on valley-wide needs and concerns. Another staff member was a guest speaker at the College of the Desert's virtual class on prevention, treatment, and recovery. -A new Spanish language family program debuted in 2020. Our partners in the area were contacted to let them know of this new recovery resource along with giving them information about our virtual children's program. -The Children's Program piloted their first virtual school-based program with children from both the Desert Sands Unified School District and the Coachella Valley Unified School District. Children's Program staff continued to participate in a variety of community outreach meetings, including The Student Assistance Program, Hope Collaborative, and Meca FRC Service Provider Network meeting.-Use the expertise and specialized knowledge at the Betty Ford Center to train professionals in substance use treatment. -In 2020, the Awareness Hour was brought back with the Eisenhower Medical Center. The Awareness Hour is a Saturday morning speaker series. Betty Ford Center Part V, Section B, Line 13h: Factors other than the Federal Poverty Guidelines that are used by Hazelden Betty Ford Foundation for determining eligibility for financial assistance include proof of household income, evaluation of assets, number of dependents living in the household, debt associated with major assets to determine net worth, major monthly debt payments to calculate debt to income ratio, and trust documents, if any. Part V, Section B, Line 7a www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage Part V, Section B, Line 10a www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage Part V, Section B, Line 22b The maximum amount that can be charged for FAP-eligible individuals for medically necessary care was calculated using the look-back method with private health insurers only as Hazelden Betty Ford Foundation does not receive Medicare or Medicaid funding. 14 1 - Hazelden Betty Ford in Center City 15251 Pleasant Valley Road Center City MN 55012 Inpatient addiction treatment center for adults 2 - Hazelden Betty Ford in Plymouth 11505 36th Avenue North Plymouth MN 55441 Inpatient/outpatient addiction treatment center for adolescents/young adults 3 - Hazelden Betty Ford in Newberg 1901 Esther Street Newberg OR 97132 Inpatient addiction treatment center for adults 4 - Hazelden Betty Ford in St Paul 680 Stewart Avenue St Paul MN 55102 Outpatient addiction treatment center for adults & recovery housing 5 - Hazelden Betty Ford in Naples 950 6th Ave N Suite 101 Naples FL 34102 In/outpatient addiction treatment center for adults & recovery housing 6 - Hazelden Chicago 867 North Dearborn Street Chicago IL 60610 Outpatient addiction treatment center for adults, adolescents & young adults 7 - Hazelden Betty Ford in Maple Grove 7001 E Fish Lake Road Suite 120 Maple Grove MN 55311 Outpatient addiction treatment center for adults 8 - Hazelden New York in Chelsea 322 8th Ave Fl 1200 New York NY 10001 Outpatient addiction treatment center for adults 9 - Hazelden Betty Ford in Chaska 1107 Hazeltine Blvd Ste 300 Chaska MN 55318 Outpatient addiction treatment center for adults, adolescents & young adults 10 - Hazelden Betty Ford in Beaverton 6600 SW 105th Ave Suite 120 Beaverton OR 97008 Outpatient addiction treatment center for adults 11 - Betty Ford Center in Los Angeles 10700 Santa Monica Blvd Suite 310 Los Angeles CA 90025 Outpatient addiction treatment center for adults 12 - Hazelden Betty Ford in Bellevue 1231 116th Ave Ste 410 Bellevue WA 98004 Outpatient addiction treatment center for adults 13 - Betty Ford Center in San Diego 11720 El Camino Real Suite 200 San Diego CA 92130 Outpatient addiction treatment center for adults 14 - Hazelden New York at Tribeca Twelve 283 West Broadway New York NY 10013 Outpatient addiction treatment center for adults Part I, Line 3c: Factors other than the Federal Poverty Guidelines that are used by Hazelden Betty Ford Foundation for determining eligibility for financial assistance include proof of household income, evaluation of assets, number of dependents living in the household, debt associated with major assets to determine net worth, major monthly debt payments to calculate debt to income ratio, and trust documents, if any. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $5,682,597. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Foundation determines its estimate of implict price concessions based on its historical colletion experience with this class of patients. Part III, Line 4: The footnote to the Foundation's financial statements addressing implicit price concessions may be found on page 11 of the attached audited financial statements. Part III, Line 9b: The Betty Ford Center will not engage in extraordinary collection actions before it makes a reasonable effort to determine whether a patient is eligible for financial assistance under the financial aid policy which is up to a total of 240 days from the first post-discharge bill for the most recent episode of care. Actions that may be taken against a patient for nonpayment include utilizing a collection agency for debts older than 120 days. If a collection agency identifies a patient as meeting the Betty Ford Center's financial assistance eligibility criteria, the patient's account may be considered for patient aid. Collection activity will be suspended on these accounts and the Betty Ford Center will review the financial assistance application. If the entire account is adjusted, the account will be returned to the Betty Ford Center. If a partial adjustment occurs, the patient fails to cooperate with the financial assistance process, or if the patient is not eligible for patient aid, collection activity will resume. Part VI, Line 2: A community health needs assessment was completed for Betty Ford Center in 2018 which allows the organization to understand the needs of the community. Part VI, Line 3: Hazelden Betty Ford Foundation includes notices regarding the availability of patient aid on its website, and in marketing and program-related materials, and in locations where there is a high volume of admission and or registration related activity. Part VI, Line 4: From the 2018 Community Health Needs Assessment, Betty Ford Center's "community" is defined as the Coachella Valley, where the Betty Ford Center is located. The Coachella Valley is a unique community, geographically isolated by mountain ranges so that it almost functions as an island. Approximately 414,000 people live in this part of Eastern Riverside County in Inland Southern California.The Coachella Valley as the community was determined by the senior leadership of the Betty Ford Center. It includes all residents in a defined geographic area surrounding the hospital and does not exclude low-income or underserved populations. The decision was based on geography and patient origin; approximately 19% of patients in 2017 live in the Coachella Valley (more than 400 patients). Specifically, the three most common hometowns of patients include Rancho Mirage (122 patients), Palm Desert (78 patients), and Indio (60 patients), all of which are within the Coachella Valley.About a quarter of residents (24.4%) are minors and another third (31.4%) can be considered seniors (ages 55 and older). In fact, 5.3% of the Coachella Valley is age 80 and over (more than 21,500 people).The percent of adults that are seniors is significantly higher in the Coachella Valley than in California as a whole. Specifically, 32% of California adults are age 55 and older, while in the Coachella Valley, approximately 42% of adults are age 55 and older.Approximately 11.9% of Coachella Valley adults identify as lesbian, gay, bisexual, or other sexual orientation. This is significantly higher than the rate in the state of California as a whole, where only 6.7% identify as lesbian, gay, bisexual or other sexual orientation. Thus, Betty Ford Center must have strong competencies in LGBT-specific care and be able to provide culturally competent care to this population.The majority of the Coachella Valley speaks either English (54.4%) or Spanish (41.0%) at home, and thus, Betty Ford Center must provide culturally competent care in Spanish if they are to truly meet the needs of their population. Less than 5% of the population speaks a language other than English or Spanish, and thus, those languages are less necessary to meeting the needs of this community.Local children are more likely to be Hispanic than local adults. This illustrates the unique nature of the Coachella Valley, which includes many white retirees who relocated to the area as well as local Hispanic families with children.About 38.9% of local adults (ages 18+) have a high school degree or less. This indicates that more than 60,000 local adults lack a high school degree. Thus, Betty Ford Center must be sure to provide materials to individuals with low literacy levels in order to serve this segment of the population. About a quarter of locals live in a household with an annual income under $20,000.Poverty was calculated using the number of people living in the home and the household income level. More than a quarter of local adults live below the federal poverty level (FPL), as do more than a third of local children.Thus, Betty Ford Center must continue to offer significant financial aid if they are to meet the needs of this substantial low-income community.Financial aid is especially important for uninsured adults, who are unable to bill their insurance for services. Approximately 13.9% of working age adults in the Coachella Valley remain uninsured. Virtually all seniors have health insurance due to Medicare. 1 Scholarships for Graduate School of Addiction Studies 123 357682 Scholarships for Professionals in Residence Training (PIR) 40 83628 Scholarships for Summer Institute for Medical Students (SIMS) 15 42000 Educational assistance for local high school students 6 5200 Part I, Line 2: Hazelden Betty Ford Foundation provides the assistance as part of its program services activity. All scholarships are provided to individuals and monitored through the Graduate School of Addiction Studies, the Professionals in Residence and Medical Education training programs and the Community Relations department to ensure the monies are used for the purpose intended. The tuition paid for those programs and the funds given to assist with the tuition is tracked by each individual. X X X X 0 1 0 0 0 0 0 0 0 Mark Mishek President and CEO 616221 0 202432 0 4831 0 82322 0 30066 0 935872 0 0 0 Dr Marvin Seppala Chief Medical Officer 460475 0 132752 0 3024 0 36600 0 28985 0 661836 0 0 0 James Blaha Treasurer, VP CFO and CAO 337965 0 100362 0 4062 0 41534 0 29544 0 513467 0 0 0 Dr Joseph Lee Medical Director Youth Continuum 395242 0 70715 0 576 0 36600 0 3434 0 506567 0 0 0 John Driscoll Sr. VP Recovery Services 304632 0 81621 0 688 0 35931 0 36626 0 459498 0 0 0 Nicholas Motu VP & Chief External Affairs 282324 0 80254 0 3058 0 30057 0 33390 0 429083 0 0 0 Robert Poznanovich VP Business Development 269439 0 81715 0 1716 0 32007 0 28664 0 413541 0 0 0 Kristen Schmidt Psychiatrist 295319 0 31201 0 274 0 15530 0 11787 0 354111 0 0 0 Melissa Fors VP Marketing Strategy 247685 0 73774 0 549 0 17100 0 14793 0 353901 0 0 0 Jerry Moe Exec. Dir. Nat'l Children's Program 248521 0 52468 0 2564 0 17100 0 28525 0 349178 0 0 0 Katarzyna Litak Psychiatrist 287326 0 0 0 1275 0 17100 0 26083 0 331784 0 0 0 Jennifer Lohse Secretary, VP General Counsel 204767 0 67303 0 202 0 17100 0 36268 0 325640 0 0 0 Victor Vines Medical Administrator 277547 0 23401 0 1822 0 7611 0 14997 0 325378 0 0 0 William Moyers former key employee VP Public Affairs & Comm Relations 215381 0 44242 0 1363 0 22359 0 35767 0 319112 0 0 0 Moira McGinley VP Development & CDO 196245 0 64004 0 814 0 16290 0 33871 0 311224 0 0 0 Joseph Jaksha VP Publisher 204631 0 63968 0 284 0 12155 0 29446 0 310484 0 0 0 Dawne Carlson VP Human Resources 205815 0 65738 0 854 0 16857 0 18616 0 307880 0 0 0 Debra Bauman VP Tech Services & CIO 206719 0 60207 0 1363 0 16413 0 15426 0 300128 0 0 0 Valerie Slaymaker VP Education and Research 211462 0 50151 0 445 0 21837 0 14855 0 298750 0 0 0 Mark Sheets former key employee Exec. Dir. Youth Continuum 152931 0 33436 0 935 0 11804 0 29194 0 228300 0 0 0 Part I, Line 4b Mark Mishek, President and CEO, participated in a nonqualified retirement plan in the amount of $45,722. A City of Center City MN 416005039 151452BM0 2014-07-23 41439310 Expansion and improvements at St. Paul and Center City locations 0 0 0 B City of Center City MN 416005039 151452CD9 2019-08-05 18103654 Refund bonds issued 11/14/2011 0 0 0 A 5320000 41441547 434310 18702237 22305000 2015 1 0 1 1 B 545000 18103654 250561 17853093 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 Schedule K Supplental Information Bond A - Interest income of $2,237 is included in Part II, Line 3 Recovery Partners PC 100% owned by a key employee of Hazelden Betty Ford Foundation 4267000 Reimbursable professional fees 0 X 24 1474841 Gross selling price 0 0 1 0 Part I, Column (b): Column B is reported based on the number of contributions received. Form 990, Part III, line 3 Hazelden Betty Ford transitioned to virtual programming, not including residential programs, which was the predominant mode of care in 2020, due to the COVID-19 pandemic. Form 990, Part VI, Section A, line 1 The Executive Committee of the Board of Trustees has the authority to act on behalf of the Board between the Board's regular meetings, subject to the limitations of power listed below. The Executive Committee consists of the Chair of the Board, the immediate past Chair, if still a member of the Board, Vice Chairs of the Board, President (ex-officio non-voting), Secretary, Treasurer, and the Chair of each standing committee. Limitations of Powers: The Executive Committee does not have the power to elect a trustee, to alter fundamental policies approved by the Board, to make appropriations which are not in accordance with the general policies approved by the Board, to modify, revoke or renew any contract previously entered into by the Board or to change the person or persons specifically designated by the Board to enter into or execute on behalf of the organization a particular contract, obligation, agreement or writing authorized by action of the Board of Trustees. Form 990, Part VI, Section B, line 11b Hazelden Betty Ford Foundation sent its Form 990, with Schedule B suppressed, via email to Board members for review and questions prior to filing. It was also reviewed by the CFO prior to filing. Form 990, Part VI, Section B, line 12c Hazelden Betty Ford Foundation requires an annual disclosure of any potential conflict of interest by Board Members, officers and key employees. If a Board Member discloses a potential conflict, that person then excuses him or herself from voting on that particular issue. All new Board Members are provided conflict of interest education and periodic training throughout their term. All Board Members sign an annual conflict of interest disclosure form. Form 990, Part VI, Section B, line 15 Hazelden Betty Ford Foundation has an established process for determining the compensation of the President and CEO, other officers and key employees. The Hazelden Betty Ford Foundation by-laws delegate responsibility for determining compensation for the President and CEO, other officers and key employees to the Executive Committee of the Board of Trustees. The Executive Committee develops, reviews, and modifies, as necessary, the compensation philosophy for Hazelden Betty Ford Foundation. Hazelden Betty Ford Foundation has the following processes in place: 1. Each year the Board Members complete a conflict of interest disclosure. The documents are reviewed by Hazelden Betty Ford Foundation's General Counsel and if a Board Member has a conflict of interest they are not involved in any compensation decisions. 2. The Executive Committee engages the use of an outside independent compensation consultant to identify comparable market data for comparable positions for the President and CEO and other disqualified individuals consistent with the approved compensation philosophy. Generally, the market analysis includes competitive data from published survey sources, supplemented with compensation data from custom 990 analyses. Where possible, competitive data are pulled from similarly sized organizations. The compensation consultant analyzes the pay packages of the President and CEO and other disqualified individuals by reviewing base salary, total cash compensation (salary plus annual incentive at both target and actual levels) and total direct compensation (salary plus annual and long-term incentive). In addition, every two to three years the Executive Committee reviews the total compensation package of the President and CEO and other disqualified individuals. The total compensation package includes total direct compensation plus severance, employee benefits, perquisites and any other pay. 3. Comparable market data are reviewed and discussed by the Executive Committee and minutes record those discussions and any resulting compensation decisions. A compensation review for the President and CEO was most recently done in August 2019. The compensation review for other officers and key employees was completed in August 2019. Form 990, Part VI, Section C, line 19 Hazelden Betty Ford Foundation makes its annual report available to the public via its website at www.hazeldenbettyford.org. The governing documents and conflict of interest policy are not available for public inspection. Form 990, Part XI, line 9: Net assets released - intercompany transactions 231,690. Rounding 1,786. Hazelden Chicago PO Box 11 Center City MN 55012 364099403 Addiction recovery services, including outpatient, sober residence IL 501 (c)3 3 Hazelden Betty Ford Foundation 1 Hazelden New York PO Box 11 Center City MN 55012 133673215 Addiction recovery services, including outpatient services NY 501 (c)3 10 Hazelden Betty Ford Foundation 1 Charitable remainder trust Charitable remainder trust CA N/A T 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 Hazelden Chicago Q 830531 Fair market value Hazelden New York Q 809005 Fair market value