2020-11-16T07:20:40-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2019-01-01 411989509 NAEVE HEALTH CARE FOUNDATION NAEV 5074341595 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 DANIEL KOLKER PRESIDENT 5074341595 2020-11-03 1 BRAD SVENBY P00449887 5074467100 2020-11-03 67.137.57.251 2020-11-03 08:31:04 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6BCE17CF531EE5E889DFF9A1732B3E9930A5A1A9 2019 2021-01-29 14:40:06Z DANIEL KOLKER 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 1998179 0 X WWW.NAEVEFOUNDATION.COM X 2000 MN RAISING PHILANTHROPIC DOLLARS FOR HIGH QUALITY COST EFFECTIVE HEALTHCARE AT MCHS IN ALBERT LEA. 16 15 0 16 0 0 6174 42827 0 0 210321 197866 3 0 216498 240693 214695 0 0 0 0 0 0 0 0 42512 38097 257207 38097 -40709 202596 4502612 5345864 0 0 4502612 5345864 X SEE SCHEDULE O 0 0 NAEVE HEALTH CARE FOUNDATION'S GIFT WAS DIRECTED TOWARDS PROJECTS WITHIN MAYO CLINIC HEALTH SYSTEM IN ALBERT LEA. 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MARK CHRISTOPHERSON 5074341069 1000 FIRST DRIVE NW AUSTIN MN 55912 X DAN KOLKER DIRECTOR 12.00 X X 0 0 0 ALEX JOHNSTON VICE PRESIDENT 12.00 X X 0 0 0 SUE LOCH PRESIDENT 12.00 X X 0 0 0 RICH MURRAY TREASURER 12.00 X X 0 0 0 DIANE CLARK SECRETARY 12.00 X X 0 0 0 STEPHEN BROWNLOW DIRECTOR 8.00 X 0 0 0 DIANE DAMEROW DIRECTOR 8.00 X 0 0 0 KAREN CONN DIRECTOR 8.00 X 0 0 0 DR TED MYERS DIRECTOR 8.00 X 0 0 0 MOLLEE TSCHOLL DIRECTOR 8.00 X 0 0 0 KARI ULRICH DIRECTOR 8.00 X 0 0 0 CORRINE TIMS DIRECTOR 8.00 X 0 0 0 DR MARK CIOTA EX-OFFICIO OFFICER 0.00 X 0 0 0 VIRGINIA LARSON DIRECTOR 0.00 X 0 0 0 DIANNE WICHMAN DIRECTOR 0.00 X 0 0 0 GARY SCHINDLER DIRECTOR 0.00 X 0 0 0 0 0 0 0 0 0 0 0 42827 42827 119978 119978 1835374 1757486 77888 77888 77888 240693 0 0 197866 1400 1400 36404 36404 25 25 MISCELLANEOUS EXPENSE 268 268 38097 0 38097 0 14607 15778 4477722 5319969 10283 10117 4502612 5345864 0 0 X 4058700 4821968 443912 523896 4502612 5345864 4502612 5345864 202596 640656 0 X 0 0 0 X X X 1 MAYO CLINIC HEALTH SYSTEMS 411404075 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 109950 119978 109950 119978 0 0 37410 36404 0 0 72540 83574 4830852 4920353 33979 32908 0 0 4864831 4953261 0 0 0 4864831 4953261 72972 74299 4791859 4878962 167715 170764 0 0 167715 170764 72540 61659 167715 167715 0 167715 0 0 0 0 0 0 0 0 167715 0.000000000000 167715 0 0 0 0 0 42767 42767 0 42767 0 0 0 0 0 0 124948 0 0 0 0 0 0 PART IV, SECTION D, LINE 3 - ROLE OF SUPPORTED ORGANIZATIONS THE CEO OF THE FOUNDATION'S SUPPORTED ORGANIZATION, MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN (THE "MEDICAL CENTER"), SERVES AS AN EX OFFICIO VOTING MEMBER OF THE BOARD OF TRUSTEES OF THE FOUNDATION. THE MEDICAL CENTER'S CEO ALSO SERVES AS AN EX OFFICIO MEMBER OF THE BOARD OF DIRECTORS OF THE MEDICAL CENTER, THUS PROVIDING REPRESENTATION OF MEDICAL CENTER LEADERSHIP ON THE BOARD OF THE FOUNDATION AT BOTH THE OFFICER AND GOVERNING BODY LEVELS OF THE MEDICAL CENTER. THE MEDICAL CENTER CEO IS COMMITTED TO ENSURING THAT THE FOUNDATION'S FACILITIES ARE MANAGED AND OPERATED IN A MATTER THAT REFLECTS THE MEDICAL CENTER'S CHARITABLE PURPOSES AND MISSION. HE IS ACTIVELY ENGAGED AS A BOARD MEMBER IN THE FOUNDATION'S GOVERNANCE AND PARTICIPATES IN DECISIONS AND DISCUSSIONS AT THE BOARD LEVEL AND WITH THE FOUNDATION'S LEADERSHIP IN ALL ASPECTS OF THE FOUNDATION'S MANAGEMENT AND USE OF ITS INCOME AND ASSETS FOR THE BENEFIT OF THE MEDICAL CENTER. IN ADDITION, THE FOUNDATION'S BYLAWS PROVIDE THAT THE FOUNDATION MUST MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE MEDICAL CENTER'S OFFICERS AND DIRECTORS IN ORDER TO ENSURE THAT THE MEDICAL CENTER'S LEADERSHIP HAS A SIGNIFICANT VOICE IN THE FOUNDATION'S OPERATIONS AND ITS ACQUISITION, USE, AND MANAGEMENT OF ITS INCOME AND ASSETS. PART V, SECTION D, LINE 1 - DISTRIBUTIONS REASONABLE CAUSE EXCEPTION: THE ORGANIZATION MISSED PAYING THE 2019 DISTRIBUTABLE AMOUNT DURING 2019 DUE TO A CLERICAL ERROR AND NOT TO WILLFUL NEGLECT. ONCE THE ORGANIZATION WAS AWARE OF THE MISSED DISTRIBUTION, THE 2019 DISTRIBUTION WAS MADE IN JANUARY 2020. THE ORGANIZATION DISTRIBUTED $215,935 IN JANUARY 2020, FOR THE 2019 DISTRIBUTION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 281543 281543 281543 281543 281543 281543 281543 281543 281543 281543 1.00000 0 0 0 WELLS FARGO INVESTMENTS 5319969 F 5319969 PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION PART V, LINE 4: TO SUPPORT PATIENTS OF MAYO CLINIC HEALTH SYSTEM IN ALBERT LEA. FORM 990 - ORGANIZATION'S MISSION TO ENSURE THE FUTURE OF LOCAL, QUALITY HEALTH CARE THROUGH THE CONTINUED DEVELOPMENT OF A PERMANENT ENDOWMENT FUND AND OTHER PHILANTHROPIC RELATIONSHIPS AND ACTIVITIES AS MAY BE DEEMED APPROPRIATE FOR THE GROWTH AND DEVELOPMENT OF MCHS IN ALBERT LEA AND SURROUNDING COMMUNITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A NATIONAL CPA OFFICE AND THEN REVIEWED BY THE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, THE FOLLOWING INDIVIDUALS ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST ACKNOWLEDGEMENT: -BOARD OF TRUSTEE MEMBERS -MEMBERS OF THE MAJOR NAEVE HEALTH CARE FOUNDATION COMMITTEES ANY INDIVIDUAL FROM THE ABOVE GROUPS MAY BE ASKED TO ABSTAIN FROM VOTING OR PARTICIPATING IN THE DECISION MAKING ACTIVITIES AFFECTED BY THE CONFLICT OF INTEREST DISCLOSURE. AN INDIVIDUAL MAY BE ASKED TO LEAVE A MEETING WHERE THE DECISION MAKING ACTIVITIES WOULD BE AFFECTED BY THE CONFLICT OF INTEREST DISCLOSURE. IF AN INDIVIDUAL NEGLECTS TO DISCLOSE APPROPRIATELY, DISCIPLINARY ACTION WILL BE CONSIDERED UP TO AND INCLUDING TERMINATION OF EMPLOYMENT AND/OR POSITION ON THE FOUNDATION BOARD. THE COMPLIANCE OFFICER OF MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN ASSISTS THE BOARD IN DISTRIBUTION AND COLLECTION OF ANNUAL CONFLICT OF INTEREST DISCLOSURE FORMS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC.