COURAGE KENNY FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COURAGE KENNY FOUNDATION (EIN 41-1952989)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-11
IRS object ID
201913159349302291
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-11T12:24:02-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411952989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COURAGE KENNY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOURBusinessNameControlTxt
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 43 INTERNAL ZIP 10890AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554400043ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD E MAGNUSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6122620660PhoneNum
Signature2019-11-11SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.177.39.9IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm08:26:26IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF8852DABB6779BB8558CD61C3ACDA2353D9550A9AtSubmissionCreationDeviceId
At Submission Filing Device Id0B59101D2A9F53A82A53094D08818AF2D3C99314AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN BARITEAUPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 43 INTERNAL ZIP 10890AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554400043ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,174,831GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSEE STATEMENT FOR WEBSITE ADDRESSWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS AND ENGAGE THE COMMUNITY TO SUPPORT HEALTH AND INDEPENDENCE FOR THOSE WITH FUNCTIONAL LIMITATIONS THROUGH COURAGE KENNY REHAB'S COMPREHENSIVE CONTINUUM OF TRANSFORMATIVE SERVICES, RESEARCH AND INNOVATION, AND PUBLIC ADVOCACY. WITH THE FOUNDATION'S SUPPORT, THE CONTINUUM ENRICHES LIVES AND PROVIDES A LEVEL OF CARE ABOVE AND BEYOND THE CORE MEDICAL SERVICES PROVIDED BY ALLINA HEALTH.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers215TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,807,643PYContributionsGrantsAmt
CY Contributions Grants$6,850,646CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,440,947PYInvestmentIncomeAmt
CY Investment Income$1,170,779CYInvestmentIncomeAmt
PY Other Revenue$16,226PYOtherRevenueAmt
CY Other Revenue$45,453CYOtherRevenueAmt
PY Total Revenue$9,264,816PYTotalRevenueAmt
CY Total Revenue$8,066,878CYTotalRevenueAmt
PY Grants And Similar Paid$11,786,317PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,229,400CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$66,230PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$79,089CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,227,403CYTotalFundraisingExpenseAmt
PY Other Expenses$2,325,115PYOtherExpensesAmt
CY Other Expenses$2,713,048CYOtherExpensesAmt
PY Total Expenses$14,177,662PYTotalExpensesAmt
CY Total Expenses$11,021,537CYTotalExpensesAmt
PY Revenues Less Expenses-$4,912,846PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,954,659CYRevenuesLessExpensesAmt
Total Assets BOY$42,238,430TotalAssetsBOYAmt
Total Assets EOY$37,280,655TotalAssetsEOYAmt
Total Liabilities BOY$1,174,311TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,219,422TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$41,064,119NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,061,233NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RAISE FUNDS AND ENGAGE THE COMMUNITY TO SUPPORT HEALTH AND INDEPENDENCE FOR THOSE WITH FUNCTIONAL LIMITATIONS THROUGH COURAGE KENNY REHAB'S COMPREHENSIVE CONTINUUM OF TRANSFORMATIVE SERVICES, RESEARCH AND INNOVATION, AND PUBLIC ADVOCACY. WITH THE FOUNDATION'S SUPPORT, THE CONTINUUM ENRICHES LIVES AND PROVIDES A LEVEL OF CARE ABOVE AND BEYOND THE CORE MEDICAL SERVICES PROVIDED BY ALLINA HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,922,940ExpenseAmt
Grant$7,922,940GrantAmt
DescPROGRAMS, SERVICES AND CAPITAL IMPROVEMENTS FUNDS WERE APPROVED TO ENHANCE THE COMPONENTS OF COURAGE KENNY REHABILITATION INSTITUTE'S REHABILITATIVE PROGRAM: OPTIMIZING PHYSICAL FUNCTION, MAXIMIZING ABILITIES OF DAILY LIVING AND LESSENING DISADVANTAGES PEOPLE MAY FACE IN SOCIAL ROLES. THE RESULTS LEAD TO STRONGER OUTCOMES FOR THE INSTITUTE'S PATIENTS WITH THE ABILITY TO FUNCTION AS INDEPENDENTLY AS POSSIBLE AND ACTIVELY PARTICIPATE IN THEIR OWN COMMUNITY. $7.9 MILLION IN SUPPORT OF THE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES, INPATIENT REHABILITATIVE SERVICES, COMMUNITY BASED SERVICES, INDEPENDENT LIVING SKILLS (ILS) PROGRAM AND SPORTS AND RECREATION PROGRAMS OF COURAGE KENNY REHABILITATION INSTITUTE, AN UNINCORPORATED DIVISION OF ALLINA HEALTH SYSTEM, WERE INCLUDED IN PROGRAMS AND SERVICES IN 2018.INCLUDED IN PROGRAMS, SERVICES AND CAPITAL IMPROVEMENTS IN 2018 IS $26 THOUSAND TO ENLARGE THE ADAPTED FITNESS AND ABLE CENTER AT CKRI-GOLDEN VALLEY. THIS PROJECT PROVIDES SPACE TO DOUBLE THE SIZE OF CKRI'S UNIQUE ABLE PROGRAM AND CREATES THE LARGEST ADAPTED FITNESS CENTER IN THE UPPER MIDWEST. PROFESSIONAL EDUCATIONCOURAGE KENNY REHABILITATION INSTITUTE ENSURES THAT PATIENTS RECEIVE THE HIGHEST QUALITY CARE BY ADHERING TO THE PRINCIPLES OF PATIENT CARE SET FORTH BY THE INSTITUTE OF MEDICINE: SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT AND EQUITABLE. THE FOUNDATION SUPPORTS THIS QUEST BY INVESTING IN PROFESSIONAL EDUCATION OF ITS CLINICIANS TO ACHIEVE THE HIGHEST LEVEL OF CLINICAL COMPETENCE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$180,316ExpenseAmt
Grant$180,316GrantAmt
DescGRANTS TO OTHERSGRANTS TO OTHERS IN THE AMOUNT OF $180,316 WAS PAID TO EIGHT 501(C)(3) ORGANIZATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$91,625ExpenseAmt
Grant$91,625GrantAmt
DescDONATION OF ASSISTIVE DEVICES TO BE USED WITH THE PATIENTS OF COURAGE KENNY REHABILITATION INSTITUTE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$34,519ExpenseAmt
Grant$34,519GrantAmt
DescCOURAGE KENNY RESEARCH CENTER (CKRC)OF THE GRANTS AWARDED IN 2018, THE RESEARCH CENTER WAS APPROVED FOR $34,519 IN FUNDING. THE RESEARCH CENTER, ESTABLISHED IN 2007, SERVES AS A LABORATORY FOR CLINICAL RESEARCH, INNOVATION AND EDUCATION WITH THE GOAL OF OPTIMIZING THE CARE AND QUALITY OF LIFE FOR ALL PERSONS, BUT IN PARTICULAR THOSE LIVING WITH DISABILITIES. THE RESEARCH CENTER HAS ACHIEVED SIGNIFICANT MILESTONES INCLUDING THE DEVELOPMENT OF PATENTABLE TECHNOLOGIES, AS WELL AS ESTABLISHING EDUCATIONAL AND ENTREPRENEURIAL COLLABORATIVE RELATIONSHIPS. CKRC HAS AN ESTABLISHED FACULTY OF SIXTY EIGHT ACTIVE RESEARCHERS & CLINICIANS INCLUDING THERAPISTS AND PHYSICIANS, WHO CONDUCT RESEARCH ON BRAIN INJURIES, SPINAL CORD INJURIES, STROKE REHABILITATION AND CANCER REHABILITATION. THEIR RESEARCH HAS LED TO THE DEVELOPMENT OF COMMERCIALLY VIABLE TECHNOLOGIES AND TWELVE PEER-REVIEWED PAPERS ACCEPTED OR IN PRINT IN 2018 AND SEVEN PRESENTATIONS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$34,519TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$34,519TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$8,229,400TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document481IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed OfYes (1)Form8282PropertyDisposedOfInd
Form8282 Filed5Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledYes (1)Form1098CFiledInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAX SERVICES MAIL ROUTE 10890BusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 CHICAGO AVENUEAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554071321ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRUCE BACKBERG
DIRECTOR2.000.00Yes (X)$0$0$0
STEPHEN BARITEAU
DIRECTOR/PRES. CK FNDTN.32.008.00Yes (X)$0$333,723$72,837Yes (X)
LES BRUNKER
DIRECTOR/TREASURER2.000.00Yes (X)$0$0$0
MIKE CHAPPUIS
DIRECTOR2.000.00Yes (X)$0$0$0
TIMOTHY DELAPP
DIRECTOR/PAST CHAIR2.000.00Yes (X)$0$0$0
ROSS D'EMANUELE
DIRECTOR2.000.00Yes (X)$0$0$0
ERIK EKSTROM MD
DIRECTOR2.000.00Yes (X)$0$0$0
TOM ERICKSON
DIRECTOR2.000.00Yes (X)$0$0$0
J MARIE FIEGER
DIRECTOR2.000.00Yes (X)$0$0$0
MARY FREY
DIRECTOR2.000.00Yes (X)$0$0$0
PETER GALLUS
DIRECTOR2.000.00Yes (X)$0$0$0
ROSS GUSTAFSON
DIRECTOR/VP OPERATIONS2.0040.00Yes (X)$0$330,411$73,687
SHERRY GYDESEN
DIRECTOR2.000.00Yes (X)$0$0$0
PETER HASSELQUIST
DIRECTOR2.000.00Yes (X)$0$0$0
KEVIN HYKES
DIRECTOR2.000.00Yes (X)$0$0$0
TOMMY JOHNS
DIRECTOR2.000.00Yes (X)$0$0$0
LINDA KRACH MD
DIRECTOR2.0040.00Yes (X)$0$401,932$66,546
ANDY KRANE
DIRECTOR2.000.00Yes (X)$0$0$0
MARK KRANZ
DIRECTOR2.000.00Yes (X)$0$0$0
RICHARD LAY
DIRECTOR2.000.00Yes (X)$0$0$0
JAN MALCOLM
DIRECTOR/FORMER CKF PRESIDENT2.000.00Yes (X)$0$49,316$0
ROBERT MALCOMSON
DIRECTOR2.000.00Yes (X)$0$0$0
ERIC NORBERG
DIRECTOR/CHAIRMAN4.000.00Yes (X)$0$0$0
ERIC PETERSON
DIRECTOR2.000.00Yes (X)$0$0$0
SUSAN PIVA
DIRECTOR2.000.00Yes (X)$0$0$0
BRET PULS
DIRECTOR2.000.00Yes (X)$0$0$0
SUSAN RHODE
DIRECTOR/VICE CHAIR/SECRET2.000.00Yes (X)$0$0$0
DAN SEEMAN
DIRECTOR2.000.00Yes (X)$0$0$0
BOB SPENCER
DIRECTOR2.000.00Yes (X)$0$0$0
DARCY SWENSON
DIRECTOR2.000.00Yes (X)$0$0$0
JIM VEDDER
DIRECTOR2.000.00Yes (X)$0$0$0
RICHARD MAGNUSON
CFO2.0040.00$0$834,474$234,998Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,949,856TotReportableCompRltdOrgAmt
Total Other Compensation$448,068TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STAR TRIBUNE MEDIA COMPANY LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1650 3RD AVENUE SOUTH SUITE 1300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55488ZIPCd
FieldValueIRS element (for citing)
ServicesADVERTISINGServicesDesc
Compensation$151,336CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$453,542FederatedCampaignsAmt
Fundraising$791,083FundraisingAmt
Related Organizations$35,400RelatedOrganizationsAmt
All Other Contributions$5,570,621AllOtherContributionsAmt
Noncash Contributions$1,245,854NoncashContributionsAmt
Total Contributions$6,850,646TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$772,277TotalRevenueColumnAmt
Exclusion$772,277ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,336TotalRevenueColumnAmt
Exclusion$25,336ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,311,900SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,913,398SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$398,502SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$398,502TotalRevenueColumnAmt
Exclusion$398,502ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$906,855FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$791,083ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,059,551FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$152,696TotalRevenueColumnAmt
Exclusion-$152,696ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$32,920GamingGrossIncomeAmt
Gaming Direct Expenses$10,099GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,821TotalRevenueColumnAmt
Exclusion$22,821ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$274,897GrossSalesOfInventoryAmt
Cost Of Goods Sold$124,905CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,992TotalRevenueColumnAmt
Related Or Exempt Func Income$149,992RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,066,878TotalRevenueColumnAmt
Related Or Exempt Func Income$149,992RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,066,240ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,229,400TotalAmt
Program Services$8,229,400ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,860TotalAmt
Management And General$16,860ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$79,089TotalAmt
Fundraising$79,089FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,584TotalAmt
Management And General$13,720ManagementAndGeneralAmt
Fundraising$14,864FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$314,470TotalAmt
Management And General$150,946ManagementAndGeneralAmt
Fundraising$163,524FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$613,628TotalAmt
Management And General$548,268ManagementAndGeneralAmt
Fundraising$65,360FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,823TotalAmt
Management And General$4,715ManagementAndGeneralAmt
Fundraising$5,108FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$245,335TotalAmt
Management And General$117,761ManagementAndGeneralAmt
Fundraising$127,574FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOUNDATION STAFF SVCS$1,533,733$736,192$797,541
MISCELLANEOUS$5,846$2,806$3,040
PURCH SVCS - AFFILIATES-$55,231-$26,534-$28,697

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,021,537TotalAmt
Program Services$8,229,400ProgramServicesAmt
Management And General$1,564,734ManagementAndGeneralAmt
Fundraising$1,227,403FundraisingAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$770,122BOYAmt
EOY$470,067EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$145,082BOYAmt
EOY$107,689EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$38,703,977BOYAmt
EOY$35,538,134EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,619,249BOYAmt
EOY$1,164,765EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,238,430BOYAmt
EOY$37,280,655EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,174,311BOYAmt
EOY$1,219,422EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,174,311BOYAmt
EOY$1,219,422EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,209,682BOYAmt
EOY$12,827,199EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,588,633BOYAmt
EOY$13,803,579EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,265,804BOYAmt
EOY$9,430,455EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,064,119BOYAmt
EOY$36,061,233EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,238,430BOYAmt
EOY$37,280,655EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,954,659ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,781,024NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$267,202OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,077,566CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,020,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,521,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,807,643CurrentTaxYearMinus1YearAmt
Current Tax Year$6,850,646CurrentTaxYearAmt
Total$36,277,729TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,077,566CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,020,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,521,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,807,643CurrentTaxYearMinus1YearAmt
Current Tax Year$6,850,646CurrentTaxYearAmt
Total$36,277,729TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,186,696SubstantialContributorsTotAmt
Public Support Total170$33,091,033PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$783,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$869,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$640,674CurrentTaxYearMinus1YearAmt
Current Tax Year$797,613CurrentTaxYearAmt
Total$3,847,554TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$225,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$121,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$114,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$116,305CurrentTaxYearMinus1YearAmt
Current Tax Year-$129,875CurrentTaxYearAmt
Total-$707,793TotalAmt
FieldValueIRS element (for citing)
Total Support$39,417,490TotalSupportAmt
Gross Receipts Rltd Activities$749,639GrossReceiptsRltdActivitiesAmt
Public Support CY1700.83950PublicSupportCY170Pct
Public Support PY1700.86080PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held2DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$0DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$43,611DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$378,530DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (1)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,767,748BeginningYearBalanceAmt
Contributions$54,124ContributionsAmt
Investment Earnings Or Losses-$448,928InvestmentEarningsOrLossesAmt
Other Expenditures-$456,415OtherExpendituresAmt
End Year Balance$16,916,529EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,911,054BeginningYearBalanceAmt
Contributions$23,249ContributionsAmt
Investment Earnings Or Losses$2,255,674InvestmentEarningsOrLossesAmt
Other Expenditures-$422,229OtherExpendituresAmt
End Year Balance$17,767,748EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,873,718BeginningYearBalanceAmt
Contributions$21,456ContributionsAmt
Investment Earnings Or Losses$1,588,432InvestmentEarningsOrLossesAmt
Other Expenditures$572,552OtherExpendituresAmt
End Year Balance$15,911,054EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,646,105BeginningYearBalanceAmt
Contributions$66,493ContributionsAmt
Investment Earnings Or Losses-$262,298InvestmentEarningsOrLossesAmt
Other Expenditures$576,582OtherExpendituresAmt
End Year Balance$14,873,718EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,834,117BeginningYearBalanceAmt
Contributions$9,934ContributionsAmt
Investment Earnings Or Losses$868,207InvestmentEarningsOrLossesAmt
Other Expenditures$66,153OtherExpendituresAmt
End Year Balance$15,646,105EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.55850PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.44150TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CASH EQUIVALENTS$36,311F
EQUITY SECURITIES$6,504,146F
FIXED INCOME SECURITIES$13,676,209F
FUNDS OF HEDGE FUNDS$3,412,975F
COMMODITIES & OTHER$9,240,556F
MONEY MARKET$2,667,937F
FieldValueIRS element (for citing)
Total Book Value Securities$35,538,134TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREMAINDER TRUST BENEFICIARIES PAYABLEDesc
Amt$1,219,422Amt
FieldValueIRS element (for citing)
Total Liability$1,219,422TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,902,917TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,781,024NetUnrealizedGainsInvstAmt
Other Revenue-$142,297OtherRevenueAmt
Revenue Not Reported-$1,923,321RevenueNotReportedAmt
Revenue Subtotal$7,826,238RevenueSubtotalAmt
Other Revenues Not Included$240,640OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$240,640RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,066,878TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,905,803TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$124,905OtherExpensesIncludedAmt
Expenses Not Reported$124,905ExpensesNotReportedAmt
Expenses Subtotal$10,780,898ExpensesSubtotalAmt
Other Expenses Not Included$240,640OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$240,640ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,021,538TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:CHARITY AND INDIGENT CARE. EDUCATION AND RESEARCH. BUILDINGS AND EQUIPMENT. PATIENT CARE.
PART X, LINE 2:THE FOLLOWING IS A COPY OF NOTE 1 TO THE AUDITED FINANCIAL STATEMENTS: "SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - INCOME TAX" "COURAGE KENNY FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THEREFORE, CHARITABLE CONTRIBUTIONS ARE TAX DEDUCTIBLE. THE FOUNDATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION OF UNCERTAIN TAX POSITIONS. THE GUIDANCE PRESCRIBES RECOGNITION THRESHOLD PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX FILING THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THIS GUIDANCE HAD NO IMPACT ON THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION'S TAX FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINES INCOME, EXCISE OR OTHER TAXES."
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -267,202. CARDS FOR COURAGE EXPENSES 124,905.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GIFT IN KIND, NET 240,640.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CARDS FOR COURAGE EXPENSES 124,905.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GIFT IN KIND, NET 240,640.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1RUFFALO NOEL LEVITZBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11025 KIRKWOOD PARKWAY SWAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52404ZIPCd
FieldValueIRS element (for citing)
ActivityTELEFUNDRAISING AND DIRECT MAILActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$28,085GrossReceiptsAmt
Retained By Contractor$79,089RetainedByContractorAmt
Net To Organization-$51,004NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$28,085TotalGrossReceiptsAmt
Total Retained By Contractors$79,089TotalRetainedByContractorsAmt
Total Net To Organization-$51,004TotalNetToOrganizationAmt
Licensed StatesMNLicensedStatesCd
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TOAST TO COURAGEEvent1Nm
Gross Receipts Event1$379,536GrossReceiptsEvent1Amt
Charitable Contri Event1$315,411CharitableContriEvent1Amt
Gross Revenue Event1$64,125GrossRevenueEvent1Amt
Food And Beverage Event1$34,291FoodAndBeverageEvent1Amt
Entertainment Event1$3,750EntertainmentEvent1Amt
Other Direct Expenses Event1$28,135OtherDirectExpensesEvent1Amt
Event2GIFT IN KIND SALESEvent2Nm
Gross Receipts Event2$849,144GrossReceiptsEvent2Amt
Gross Revenue Event2$849,144GrossRevenueEvent2Amt
Other Direct Expenses Event2$933,402OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$469,258GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$475,672CharitableContriOtherEventsAmt
Gross Revenue Other Events-$6,414GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$4,817RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$21,921FoodAndBeverageOtherEventsAmt
Entertainment Other Events$600EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$32,635OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,697,938GrossReceiptsTotalAmt
Charitable Contributions Tot$791,083CharitableContributionsTotAmt
Gross Revenue Total Events$906,855GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$4,817RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$56,212FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,350EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$994,172OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,059,551DirectExpenseSummaryEventsAmt
Net Income Summary-$152,696NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$32,920GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$9,999CashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$100RentFcltyCostsOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$32,920GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$9,999CashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$100RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming$10,099DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$22,821NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMNStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksSTEPHEN BARITEAUIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line13915 GOLDEN VALLEY RDAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonSTEPHEN BARITEAUGamingManagerPersonNm
Gaming Manager Services ProvCONTROLLING CASH AND KEEPING RECORDS OF INCOME AND EXPENSE ACCOUNTS RELATED TO THE RAFFLE AND MANAGING RESOURCES.GamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$34,519SUPPORT COURAGE KENNY RESEARCH CENTER OPERATIONS AND VARIOUS RESEARCH STUDIES.
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$7,922,940PROGRAM COSTS, PATIENT CARE EQUIPMENT.
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)DONATION OF ASSISTIVE DEVICES TO BE USED WITH PATIENTS OF COURAGE KENNY REHABILITATION INSTITUTE.$91,625FMVPOWER WHEELCHAIRS, ASSISTIVE DEVICES
TRUE FRIENDS
10509 108TH ST NWANNANDALEMN55302411543013501(C)(3)$167,524GENERAL SUPPORT FOR CAMP PROVIDING EXPERIENCES ENHANCING INDEPENDENCE AND SELF-ESTEEM FOR THOSE WITH DISABILITIES;THERAPEUTIC HORSEBACK RIDING PROGRAM;ENDOWMENT FUND
IMMANUEL LUTHERAN CHURCH
16515 LUTHER WAYEDEN PRAIRIEMN55346410968965501(C)(3)$6,500SUPPORTING OPENING DOORS CAMPAIGN AND GENERAL CHURCH OPERATIONS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCOURAGE KENNY FOUNDATION STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS: PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN BARITEAU
DIRECTOR/PRES. CK FNDTN.$0$245,537$0$53,833$0$34,353$0$44,797$0$28,040$0$406,560$0$25,325
ROSS GUSTAFSON
DIRECTOR/VP OPERATIONS$0$255,454$0$56,170$0$18,787$0$48,091$0$25,596$0$404,098$0$495
LINDA KRACH MD
DIRECTOR$0$319,493$0$69,307$0$13,132$0$55,275$0$11,271$0$468,478$0$5,492
RICHARD MAGNUSON
CFO$0$586,834$0$146,950$0$100,690$0$217,050$0$17,948$0$1,069,472$0$24,337

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SEE NARRATIVE ON SCHEDULE O - FOR FORM 990, PART VI, SECTION A, LINE 6.
PART I, LINES 4A-BLINE 4(A) JAN MALCOLM - $44,428 LINE 4(B): STEPHEN BARITEAU - $29,346; ROSS GUSTAFSON - $15,760; RICHARD MAGNUSON - $51.841.
PART I, LINE 6DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR EMPLOYEES. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS A RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGEMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. THE MUTUAL FUND PLANS TERMINATED EFFECTIVE DECEMBER 31, 2018. ALL MUTUAL FUND ACCOUNTS SHALL BE DISTRIBUTED IN A LUMP SUM NO LATER THAN JANUARY 2021, OR IF ELECTED BY THE PARTICIPANT IN DECEMBER 2018, IN THREE ANNUAL INSTALLMENTS WITH THE FIRST MADE FEBRUARY 2019 (33.33 PERCENT OF ACCOUNT BALANCE), THE SECOND MADE FEBRUARY 2020 (50 PERCENT OF REMAINING BALANCE), AND THE THIRD MADE JANUARY 2021 (REMAINING BALANCE). ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND FROZEN EFFECTIVE DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD.

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1401ContributionCnt
Noncash Contributions Rpt F990$929,054NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE PRICE DONATED CARSMethodOfDeterminingRevenuesTxt

Boats And Planes BoatsAndPlanesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution54ContributionCnt
Noncash Contributions Rpt F990$37,337NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE PRICE DONATED BOATSMethodOfDeterminingRevenuesTxt

Securities Miscellaneous SecuritiesMiscellaneousGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution27ContributionCnt
Noncash Contributions Rpt F990$187,838NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIPMENTDesc
Contribution69ContributionCnt
Noncash Contributions Rpt F990$91,625NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received5Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationCOURAGE KENNY FOUNDATION MAY FROM TIME TO TIME AND IN THE ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NONCASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. COURAGE KENNY FOUNDATION USES THIRD PARTIES SUCH AS SECURITIES BROKERAGE FIRMS TO LIQUIDATE THE PUBLICLY TRADED SECURITIES TO CASH ON THE OPEN SECURITIES MARKET. THE SALE OF PUBLICLY TRADED SECURITIES ARE GENERALLY SUBJECT TO MARKET RATE BROKERAGE COMMISSIONS AND FEES OF THE THIRD PARTY SECURITIES BROKER. COURAGE KENNY FOUNDATION CASH AND INVESTMENTS ARE POOLED WITH ITS SOLE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM, AND ITS RELATED ORGANIZATIONS. COURAGE KENNY FOUNDATION,IN THE COURSE OF ITS CHARITABLE ACTIVITIES, ACCEPTS NONCASH CONTRIBUTIONS OF AUTOMOBILES, BOATS , MOTORCYCLES, ATVS AND VARIOUS OTHER TRANSPORTATION VEHICLES THROUGH A PROGRAM CALLED "CARS FOR COURAGE KENNY". AFTER THE VEHICLE IS RECEIVED , COURAGE KENNY'S STAFF, DETERMINES WHERE TO SELL IT FOR THE HIGHEST POSSIBLE RETURN. COURAGE KENNY USES A VARIETY OF SELLING VENUES WHICH MAY INVOLVE THIRD PARTIES, INCLUDING RETAIL AUCTIONS, REPAIRABLE AUCTIONS, AND RECYCLE AND SALVAGE VENDORS, IN ORDER TO MAXIMIZE THE VALUE OF THE GIFT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIP - SUSAN RHODE AND JAMES VEDDER SHARE AN EMPLOYER. JAMES VEDDER ALSO SERVES AS AN OFFICER AND DIRECTOR OF SHARED EMPLOYER.
FORM 990, PART VI, SECTION A, LINE 4ON DECEMBER 26, 2018 COURAGE KENNY FOUNDATION (CKF) REQUESTED RECLASSIFICATION OF FOUNDATION STATUS AS A PUBLIC CHARITY. ON APRIL 24, 2019 THE INTERNAL REVENUE SERVICE DETERMINED CKF MEETS THE REQUIREMENTS FOR CLASSIFICATION AS A PUBLIC CHARITY DESCRIBED IN IRC SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). CKF'S ARTICLES OF INCORPORATION WERE UPDATED TO REFLECT THIS CHANGE.
FORM 990, PART VI, SECTION A, LINE 6PARENT ORGANIZATION ALLINA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER ORGANIZATION OF COURAGE KENNY FOUNDATION. SEE SCHEDULE R FOR FURTHER DETAILS. ALLINA HEALTH SYSTEM PROVIDES COURAGE KENNY FOUNDATION WITH ADMINISTRATIVE AND STAFF SERVICES. COURAGE KENNY FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE CORPORATE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM HOLDS CERTAIN RESERVED POWERS OVER COURAGE KENNY FOUNDATION. THE RESERVED POWERS ARE FULLY DESCRIBED IN COURAGE KENNY FOUNDATION'S GOVERNING DOCUMENTS AND INCLUDE SUCH POWERS AS ELECTION AND APPROVAL OF DIRECTORS, FINAL APPROVAL OF AMENDMENTS TO ARTICLES OF INCORPORATION OR BYLAWS, APPROVAL OF STRATEGIC PLANS AND CAPITAL AND OPERATING BUDGETS, APPROVAL OF PLANS OF MERGER OR CONSOLIDATION, APPROVAL OF INCURRENCE OF DEBT OR EXPENDITURES IN EXCESS OF CERTAIN AMOUNTS, AND VARIOUS OTHER RESERVED POWERS AS DESCRIBED THEREIN.
FORM 990, PART VI, SECTION A, LINE 7BSEE FORM 990, PART VI, SECTION A, LINE 7A AND THE DESCRIPTION ABOVE RELATED TO IT IN SCHEDULE O.
FORM 990, PART VI, SECTION B, LINE 11BCOURAGE KENNY FOUNDATION'S FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM, COURAGE KENNY FOUNDATION'S SOLE CORPORATE MEMBER. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S VICE PRESIDENT OF FINANCE AND ALLINA'S CHIEF FINANCIAL OFFICER ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. MEMBERS OF THE FINANCE COMMITTEE WERE ALSO PROVIDED WITH AN OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO FILING. AFTER THE MANAGEMENT AND FINANCE COMMITTEE REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE ["IRS"], WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY GENERAL, AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL, AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING COURAGE KENNY FOUNDATION'S FORM 990 WITH THE IRS, MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL, AND WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15COURAGE KENNY FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ANY COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION. THEREFORE, FORM 990, PART VI, SECTION B, LINES 15A AND 15B ARE NOT APPLICABLE TO COURAGE KENNY FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19COURAGE KENNY FOUNDATION MAKES ITS FORM 990, FORM 1023, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TO ARRANGE AN INSPECTION OR RECEIVE A COPY, PLEASE CONTACT THE FOLLOWING: COURAGE KENNY FOUNDATION TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 TELEPHONE: 612-262-0660 PHYSICAL ADDRESS: 2925 CHICAGO AVENUE MINNEAPOLIS, MN 55407-1321 THE FORM 990 AND FORM 1023 ARE ALSO AVAILABLE DIRECTLY FROM THE INTERNAL REVENUE SERVICE. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SPLIT INTEREST -267,202.
FORM 990, PART XII, LINE 2C:THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.
FORM 990 ITEM J PAGE 1COURAGE KENNY FOUNDATION'S WEBSITE ADDRESS IS: HTTPS://WWW.ALLINAHEALTH.ORG/COURAGE-KENNY-REHABILITATION-INSTITUTE/ COURAGE-KENNY-FOUNDATION

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440043643816FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
ALLINA ASSOCIATED FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440274116873FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
ALLINA HEALTH SYSTEM
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440363261413HEALTHCARE SERVICESMN501(C)(3)LINE 30N/A
MERCY & UNITY HOSPITALS FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440300086426FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411613017FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
UNITED HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440237420998FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
MBP FACILITY LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440454078371SUPPORTING ORGANIZATIONMN501(C)(3)LINE 12A, I0N/A
REGINA FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411987372FUNDRAISING AND GRANTMAKING FOUNDATIONMN501(C)(3)LINE 70N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
APPLE VALLEY BUILDING ASSOCIATES LLC
14655 GALAXIE AVENUE SAPPLE VALLEYMN55124411677072RENTAL REAL ESTATEMNN/A
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WESTST PAULMN55108261850227HEALTHCARE SERVICESMNN/A
MAGNETO LEASING LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440201582501RENTAL EQUIPMENTMNN/A
METROPOLITAN INTEGRATED CANCER CENTERLLC
PO BOX 819067DALLASTX75381205068485RADIOLOGYDEN/A
GERIATRIC SERVICES OF MINNESOTA LLC
3433 BROADWAY STREET NE SUITE 300MINNEAPOLISMN55413453357936HEALTHCARE SERVICESMNN/A
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700MINNEAPOLISMN55407452532456HEALTHCARE SERVICESMNN/A
MOBILE IMAGING SERVICES LLC
7505 METRO BOULEVARD SUITE 400EDINAMN55439411883212RADIOLOGYMNN/A
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500MINNEAPOLISMN55407412010368HEALTHCARE SERVICESMNN/A
BPA HEALTH LLC
2845 HAMLINE AVENUE NORTHROSEVILLEMN55113352490984HEALTHCARE SERVICESMNN/A
TWIN CITIES MEDICAL IMAGING LLC
7505 METRO BOULEVARD SUITE 400EDINAMN55439463959737RADIOLOGYMNN/A
WESTHEALTH SURGERY CENTER LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440371763155SURGICAL SERVICESMNN/A
CT ONE LLC
200 STATE AVENUEFARIBAULTMN55021261187480RADIOLOGYMNN/A
HEALTHCARE CAMPUS IMAGING ONE LLC
200 STATE AVENUEFARIBAULTMN55021522401657RADIOLOGYMNN/A
GLOBAL MARKET RESERVE FUND LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043832659070FINANCEMNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007PITTSBURGHPA15253276712988TRUSTPAN/AT0
ALLINA SPECIALTY ASSOCIATESINC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411802815HEALTHCARE SERVICESMNN/AC0
HEALTHSPAN SERVICES COMPANY
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411249999DEBT COLLECTIONMNN/AC0
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET STE 625PITTSBURGHPA15258376520273TRUSTPAN/AT0
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411720860TRUSTMNN/AT0
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440275129095HEALTHCARE SERVICESMNN/AC0
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
981366132CAPTIVE INSURANCEN/AC0PO BOX 1085GRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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