2019-09-05T08:14:04-05:00 2018-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Suite 1300 Minneapolis MN 554027033 990 2018-01-01 410682405 Hazelden Betty Ford Foundation HAZE 6512134006 PO Box 11 Center City MN 55012 James Blaha VP CFO & CAO 6512134006 2019-09-03 1 Kim Hunwardsen CPA P00484560 6122536500 2019-09-03 8.39.233.26 2019-09-03 11:09:05 CD P 7C38465C21B462EFC398EE6416A8BA5336D54C3F F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96 2018 2019-02-21 02:37:17Z Mark Mishek PO Box 11 Center City MN 55012 215406928 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. 23 22 1767 706 519950 0 9793921 7894764 168572556 181550849 3222357 1851326 2358490 2369433 183947324 193666372 914366 1030436 0 0 110997995 108163018 0 0 2731774 79715791 75979345 191628152 185172799 -7680828 8493573 487490830 479494232 160037720 157338609 327453110 322155623 X Hazelden Betty Ford Foundation is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs. Its vision is: Together, we will overcome addiction. This is accomplished through a commitment to treatment, publishing, education, research, public education, advocacy, and collaboration/shared learning with other organizations. 0 0 121771939 156575193 Addiction Treatment for Adults, Youth and FamiliesThe goal of addiction treatment at 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. Our interdisciplinary care teams consist of addiction counselors and technicians, psychologists and other mental health professionals, psychiatrists and other physicians, nurses and nurse practitioners, family specialists, spiritual care professionals, nutritionists and wellness specialists. In addition to addiction treatment, available at multiple levels of care, Hazelden Betty Ford Foundation provides assessment and evaluation services, intervention services, clinically supervised sober living options, continuing care services and mental health services. 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 2018, its 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); Newton, Massachusetts; Beaverton and Newberg, Oregon; Rancho Mirage, Los Angeles and San Diego, California; and Denver, Colorado. The Children's Program in Texas was moved to our Center City location in the fall of 2018, and plans were launched to open a new facility in Bellevue, Washington, in the spring of 2019.In 2018, the following number of people directly benefited from Hazelden Betty Ford addiction treatment and recovery programs: Primary Treatment Adult 4,793 Mental Health Adult 3,138 Intensive Outpatient Adult 2,841Day Treatment Adult 2,766Family Program Adult 2,299 Outpatient Treament Adult 1,136Children's Program 895 Family Program Youth 848Primary Treatment Youth 719Renewal Center and Lodge 632 Recovery Housing 515Mental Health Youth 449 Day Treatment Youth 292Intensive Outpatient Youth 113 Outpatient Treament Youth 61 Intermediate Care 59 DUII Diversion Program Oregon 36 TOTAL PATIENTS SERVED 21,592 Additionally, financial assistance is available and was provided to 4,166 qualifying patients and family members at a cost of $4,750,000. 17327109 20991140 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 137 new offerings in 2018, our publications continue to provide inspiration, guidance and encouragement to millions around the world every day. In 2018, Hazelden Publishing generated 59 new products, 17 new distributed products, 14 new services and trainings, four new e-books, six new translation rights, 28 specialty products, one new mobile app, and eight 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.In 2018, through its BookAid program, the Hazelden Betty Ford Foundation sent 1,853 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 value of these products is in excess of $91,000, and they cost roughly $6,985 to ship. 6693938 1030436 6391621 Higher Education and Medical & Professional TrainingHazelden Betty Ford Graduate School of Addiction Studies The Hazelden Betty Ford Graduate School of Addiction Studies educates future leaders in addiction counseling to provide evidence-based, integrated care for substance use and co-occurring disorders. Accredited by the Higher Learning Commission, it offers three degrees: Master of Arts in Addiction Counseling, Master of Arts in Addiction Counseling: Advanced Practice, and Master of Arts in Addiction Studies: Integrated Recovery for Co-Occurring Disorders. The graduate school emphasizes public engagement as a means of serving our constituent communities. In 2018, students provided more than 58,580 hours of clinical services at agencies reaching underserved and economically disadvantaged populations. The school also offers a full scholarship each year to a student who works at Chisago County Health and Human Services, and we provide continuing education to these Chisago County professionals at no cost. Eighty-four students graduated with master's degrees from the school in 2018. Overall, more than 92 percent 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 EducationThe 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 2018, our Medical and Professional Education programs welcomed a total of 1,702 participants. Community Care and Community Benefit: In meeting the Foundation's mission and underlying charitable purpose, the Foundation invests time, financial resources and energy to help people and communities understand and address addiction as a treatable chronic disease, and spread the word that recovery is possible. "Be of service" is an integral core value which the Foundation demonstrates 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 Research: -The 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 that sustained recovery for all who seek help will be achieved through advancements in knowledge and integration of research into practice. -In 2018, 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 needs, drive data-based decision making, guide strategic planning and contribute to the field's knowledge of addiction treatment. Projects included data analyses, white papers, webinars, podcasts and industry trend reports, among others. -In 2018, the BCR collaborated with researchers from the Mayo Clinic who obtained 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. Detailed planning was conducted in 2018 in preparation for a 2019 launch. -The BCR also collaborated 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 began in 2018 and will continue through 2019. -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. Five new Research Updates were created in 2018, including: Using Telehealth for Addiction Treatment, Grandparents Raising Grandchildren, Substance Use Disorders Among Military Population, Co-occuring Mental Health and Substance Use Disorders and Trauma-Informed Care for Substance Use Counseling.-In addition to the new Research Updates, the BRC published a series of informational summaries to help get consumers and clinicians on the same page. The BCR released two such summaries in 2018: "Motivational Interviewing and "Cognitive Behavioral Therapy." Both papers are available online at www.hazeldenbettyford.org/education/bcr/addiction-research.Community Education and Relations: -The Foundation presented free public talks at our Minnesota Speaker Series held in St. Paul on select Tuesdays; at our Oregon Speaker Series held twice a month in the Portland metro area; at our monthly Second Sunday speaker series held in Center City, Minnesota; and at our Awareness Hour series held on select Saturdays in Rancho Mirage, California.-The Speakers Bureau helped place the organization's many spokespeople at events throughout the country, with 31 different employees delivering 217 presentations in 20 states and 42 cities. -The Foundation also provided education and support at free, open-to-the-public Caring Families groups, facilitated once a month in St. Paul, Minnesota; once a month in Plymouth, Minnesota; and; once a week in Fort Myers, Florida-as well as weekly in an online format at www.TheDailyPledge.org.-The Visitors Program in Center City, Minnesota, scheduled and conducted 75 tours for 399 individuals. At the Betty Ford Center in Rancho Mirage, California, staff scheduled and conducted 60 tours.-Volunteers at facilities in California, Illinois, Florida, Minnesota, New York, and Orgeon donated 13,884 hours, valued at more than $340,000.-In addition, 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 24th 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.Children's Programs:-The Foundation's Children's Program provides prevention and education services to children and families with addiction. Programs are located in California, Minnesota and Colorado. No child has ever been turned away because of lack of financial ability to pay, and over 90 percent attend on scholarships. In 2018, 1,188 children and family members participated in the program.-Staff of the Children's Program also participated in the Red Ribbon Campaign at numerous schools in California and Colorado. Early prevention education and recovery awareness events were held in communities and schools, along with training sessions for school administrators, principals, counselors and teachers to provide information, resources and tools regarding the family disease of addiction. The training session, called Tools for the Journey, is also open to therapists, counselors, non-profits and other organizations that work with children. Web and Social Networks-The corporate website, www.HazeldenBettyFord.org, continued to grow in 2018. "Thought for the Day" remained the most popular feature on the website, with an average of 24,000 visitors each day. "Thought for the Day' provides daily inspirational readings from one of six Hazelden Publishing meditation books.-Over 2 million individuals from across the world visited the website seeking information on a variety of addiction-related topics, including treatment, recovery, education, public advocacy and products in our online bookstore. -The Foundation's social community - an online network at www.TheDailyPledge.org-features discussion boards, chatrooms, blogs and online meetings accessible at no cost to anyone anywhere in the world. TheDailyPledge.org continued to offer a home on the web for people in or seeking recovery-and for family members, as well. More than 1,000 times every month, members took the time to post a personal pledge to remain committed to recovery for another day. In 2018, the community-with 9,200 total registered members-welcomed nearly 20,000 visitors who viewed almost 200,000 pages.-The Foundation's Facebook, Twitter, Instagram, YouTube, LinkedIn and other social media accounts, which have more than 84,000 followers, along with its award-winning mobile apps, offered additional access to recovery resources, providing daily inspiration, information and fellowship.Resource Center:-In 2018, the Foundation's Resource Center received 85,167 calls and more than 5,000 online inquiries from people seeking information, assistance, and products related to substance use and addiction.Hazelden Betty Ford Library-In 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, and 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. 145792986 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 1 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 1 930 0 1 1767 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 AL AK AZ AR CT FL IL KS KY LA MD MA MI MS MN NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X James Blaha VP Chief Financial & Administrative Officer 6512134006 15251 Pleasant Valley Road Center City MN 55012 Susan Engeleiter Chair 5.00 0.00 X X 0 0 0 William Cirone Vice Chair 2.00 0.00 X X 0 0 0 A John Huss Jr Member 1.00 0.00 X 0 0 0 Bill Parker Member 1.00 0.00 X 0 0 0 Catherine Lane Weyerhaeuser Member 1.00 0.00 X 0 0 0 Cini Gannon Robb Member 1.00 0.00 X 0 0 0 Eric Lund Member 1.00 0.00 X 0 0 0 G Aubrey Serfling 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 K Butler Member 1.00 0.00 X 0 0 0 John Power Sr Member 1.00 0.00 X 0 0 0 Kathryn Helgass Burgum Member 1.00 0.00 X 0 0 0 Lester Munson Member 1.00 0.00 X 0 0 0 Mary Farnham Whitney 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 Michael Sime Member - served part year 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 J Lammers Member - served part year 1.00 0.00 X 0 0 0 Mark Mishek President and CEO 50.00 10.00 X X 755000 0 99089 James Blaha Treasurer, VP CFO and CAO 50.00 10.00 X 389470 0 61369 Jennifer Lohse Secretary, VP General Counsel 50.00 10.00 X 240505 0 52066 Dr Marvin Seppala Chief Medical Officer 50.00 0.00 X 565135 0 60586 Nicholas Motu VP & Chief External Affairs 50.00 0.00 X 329195 0 55886 Valerie Slaymaker VP Education and Research 50.00 0.00 X 249485 0 45202 Debra Bauman VP Tech Services & CIO 50.00 0.00 X 248285 0 31137 Melissa Fors VP Marketing Strategy 50.00 0.00 X 286918 0 29601 Dawne Carlson VP Human Resources 50.00 0.00 X 244728 0 39286 John Driscoll Sr. VP Recovery Services 50.00 0.00 X 366315 0 65844 Robert Poznanovich VP Business Development 50.00 0.00 X 319972 0 42392 Joseph Jaksha VP Publisher 50.00 0.00 X 238705 0 44398 Moira McGinley VP Development and CDO 50.00 0.00 X 156245 0 6400 Dr Joseph Lee Medical Director Youth Continuum 45.00 0.00 X 351589 0 40132 Dr Marc Myer Medical Director 45.00 0.00 X 274232 0 34751 Dr Lisa Vollmer Staff Physician 45.00 0.00 X 270512 0 33602 Dr Katarzyna Litak Psychiatrist 45.00 0.00 X 276072 0 39607 Jerry Moe Exec. Dir. Nat'l Children's Program 45.00 0.00 X 292700 0 38097 William Moyers former key employee VP Public Affairs & Comm Relations 45.00 0.00 X 245426 0 50222 Mark Sheets Former key employee, Exec. Dir. Youth Continuum 45.00 0.00 X 224006 0 51106 James Steinhagen Former key employee 0.00 0.00 X 129756 0 0 6454251 0 920773 124 1 1 0 Sodexo Inc & Affiliates 4800 Paysphere Circle Chicago IL 60674 Food Service 2846997 Cerner 2800 Rockcreek Parkway Kansas City MO 64117 Technology Consultants 1609233 RR Donnelley 111 South Wacker Drive Chicago IL 60606 Warehouse Management 623875 Insight Direct USA 6820 S Harl Ave Tempe AZ 85283 Computer Services 573111 Xerox Corporation 45 Glover Avenue Norwalk CT 06856 Duplication Services 506777 27 183388 7711376 94779 7894764 Addiction Treatment 623990 154526394 154526394 Publishing 511130 20716469 20716469 Higher Education 611600 6307986 6307986 181550849 1373774 496031 877743 22125860 21634201 14107 491659 -14107 477552 477552 30657 183388 92248 -61591 -61591 Corporate Support Fee 561000 2407105 2407105 Personal Property Rental 900002 23919 23919 2431024 193666372 183957954 519950 1293704 1030436 1030436 5005147 1384910 3482534 137703 80065044 65555240 13307194 1202610 3907744 3259799 584881 63064 13322604 10937074 2098027 287503 5862479 4637221 1137321 87937 419385 12229 407156 115578 2875 112703 83555 83555 224686 224686 11925026 10167244 1386296 371486 3821743 3430281 270176 121286 4028652 2905630 1049702 73320 6655797 148149 6444497 63151 2243183 2243183 5786510 4858652 882295 45563 1820802 1412067 282707 126028 347262 337022 9440 800 2635005 2018112 604504 12389 18343607 14781193 3455339 107075 Provision for bad debt 5472082 5472082 Cost of materials 2847527 2842120 5407 Patient food 2771082 2566891 204191 MnCare tax 1792138 1792138 4645725 3998438 615428 31859 185172799 145792986 36648039 2731774 6455264 15195526 8618806 5415503 25240369 23159015 1964353 2273124 870059 923237 339001700 175838059 179345758 163163641 80918607 61014038 70303896 80945493 14254934 14215091 99518784 113189564 487490830 479494232 24089669 24455715 690901 709954 57735750 56555440 15993750 1968750 61527650 73648750 160037720 157338609 X 282409320 285329877 13190910 4836377 31852880 31989369 327453110 322155623 487490830 479494232 X 8493573 -11152973 -37961 -2600126 X 0 1 X 1 1 1 X 0 1 0 0 0 0 1 83555 1 152712 0 236267 0 Part II-B, Line 1: The Hazelden Betty Ford Institute for Recovery Advocacy had two main areas of focus in 2018: the need to reform business practices and quality standards in the addiction treatment field; and the ongoing effort to confront the nation's opioid crisis. By informing public audiences and key stakeholders about important issues, the Institute's goal is to improve the formulation of policy at its earliest stage. The Institute 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. The Institute discussed its policy ideas and recommendations with Members of Congress, the Administration and their staff on July 12, when a group of 11 Hazelden Betty Ford Foundation board and staff members fanned out across the nation's capital and visited almost 30 offices. The Institute also visited 10 Congressional offices on April 23-24, and corresponded with public officials in Washington on several other occasions as well, via phone, email, letters and face-to-face meetings. Two Hazelden Betty Ford Foundation leaders testified before Congressional committees in 2018: - President & CEO Mark Mishek on July 24, before the House Energy & Commerce Committee Subcommittee on Oversight and Investigations, regarding advertising and marketing practices within the addiction treatment industry; and, - Director of Communications & Public Affairs Jeremiah Gardner on May 8, before the House Energy and Commerce Committee Subcommittee on Health, regarding H.R. 3545. The Institute retained the lobbying firm Peck, Madigan & Jones to assist with federal lobbying efforts during the second half of the year and spoke to a number of bills targeting the opioid crisis and several enabling more integrated, comprehensive addiction care-including H.R. 3545, legislation to modernize the law governing the use of addiction treatment medical records. Many of the bills we supported were eventually folded into H.R. 6, the SUPPORT for Patients and Communities Act. In other policy activity, the Institute continued to contribute to the Parity Implementation Coalition, which advocates for robust implementation of the federal "parity" law that expands access to addiction treatment through private health care insurance. It also continued contributions to the Partnership to Amend 42 CFR Part 2, which 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. Membership in coalitions such as those and in associations related to the addiction field and the preservation of the services the organization provides-such as the National Association of Addiction Treatment Providers-allows the Institute to join forces with others sharing similar concerns and interests. In 2018, the Institute also supported several public forums that highlighted solutions to the opioid crisis and the underlying, longstanding problem of addiction, as well as the need for robust access to care. At events in Oregon, Minnesota and Florida, it joined forces with Hazelden Betty Ford Foundation colleagues as well as local, state and national experts and policymakers to frame up action plans to address the addiction crisis. These one-day HOPE 2018 events focused on emerging solutions, best practices, innovative thinking and lessons learned in other cities and states, with participants working together to chart a course forward for their communities. In addition, the Institute hosted, sponsored or provided speakers for numerous other events focused on opioids, access to care, other policy areas and/or stigma, including school and community forums as well as national and state conventions. The Institute also distributed its weekly 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 Institute regularly receives requests for information on addiction, treatment and recovery issues from federal, state and local legislatures and governments, as well as from the media and the public. By serving as a reliable resource to many, the Institute was able to influence policy and public attitudes in diverse ways. The Hazelden Betty Ford Institute for Recovery Advocacy's 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. It 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 31642133 107162 -2182857 1544620 28021818 30436060 108517 3052785 1488483 32108879 32305773 55134 2203419 4128266 30436060 23924016 10859094 -1049450 1427887 32305773 23609984 433839 789217 909024 23924016 0.00000 1.00000 0.00000 0 0 11049395 11049395 196159040 81616449 114542591 2069880 1109277 960603 116740890 85107358 31633532 12982495 8004975 4977520 163163641 3184695 F PIMCO Stockplus Limited Partner 13647512 F AT MLP Fund, LLC 7721226 F Rimrock High Income Plus Fund LTD 7135252 F Silchester International 15148259 F Fir Tree International Value Fund 630894 F Lighthouse Global 7222911 F Discovery Global Macro LTD Series 1 268653 F Energy Capital 206312 F Wellington Trust Company 2861650 F Renaissance RIDGE 7457320 F IPM Systematic Macro Fund 2531905 F Hudson Bay International 4652862 F Emso Saguaro LTD 5634518 F Transtrend Diversified Fund 2641524 F 80945493 Intercompany Receivables 110564238 Film and Video Costs, net 201445 CSV Life Insurance 256599 Collections 793414 Split Interest Agreements 1373868 113189564 Asset Retirement Obligation 323569 Intercompany Payables 73025269 Capitalized Finance Costs -681050 Long Term-Cerner Credit Agreement 980962 73648750 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, 2018 and 2017. Part V, line 1a The current year 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. 11598 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. 19607 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. 18687 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. 1328 North America 0 1 Program Services Hazelden Publishing sells and distributes books and related items. Education and preventive instruction is provided to high school students, parents and educators. 3253 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. 11808 South Asia 0 0 Program Services Education and preventive instruction is provided to high school students, parents and educators. 6116 Sub-Saharan 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. 5004 Russia and Neighboring States 0 0 Program Services Hazelden Publishing sells and distributes books and related items. 22 Central America and Caribbean 0 0 Investments 22442478 0 1 0 0 0 1 77401 22442500 22519901 1 0 0 0 0 0 Recovery Cup - Golf & Tennis Event 129498 102523 26975 13158 14233 29916 Kelly Clark Spirit Awards 84547 80865 3682 8734 10000 16207 214045 183388 30657 21892 24233 46123 92248 -61591 1 1 X 0 1 X 0 1 0 1 1 4749869 4749869 0.02570 4749869 4749869 0.02570 4476122 1591316 2884806 0.01560 1025236 1025236 0.00550 703030 154478 548552 0.00300 6204388 1745794 4458594 0.02410 10954257 1745794 9208463 0.04980 1 5472082 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 - Section C X X 1 18 1 See Part V - Section C 0 1 X 400.000000000000 X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section A: https://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 7d: http://www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage 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-Contribute to local efforts to "grow our own" behavioral health workforce locally, thereby increasing the number of providers available -Make Betty Ford Center more physically accessible to people with mobility issues.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-Hire new staff that will enhance Betty Ford Center's mental health competencies-Contribute to local efforts to "grow our own" behavioral health workforce locally, thereby increasing the number of providers available-Provide education and outreach efforts to the community about the relationship between substance use and mental health.The identified need of substance use treatment will be met through two strategies:-Provide education and outreach regarding substance use-Use the expertise and specialized knowledge at the Betty Ford Center to train professionals in substance use treatment.Dut to the timing of the completion of the current process, the organization has not conducted any current year activites to address these needs. However, during the current year they undertook the following activities with respect to the prior CHNA:-Betty Ford Center opened an outpatient clinic in San Diego in 2016 in order to serve more patients. In 2018, nearly 70% more patients received service compared to 2017.-Collaborated with schools and school districts in the service area to reach more students. Staff of the Children's Program participated in the Red Ribbon Campaign at numerous schools in California.-Early prevention education and recovery awareness events were held in communities and schools, along with training sessions for school administrators, principlas, counselors andteachers to provide information, resources and tools regarding the family disease of addiction. The training session, called Tools for the Journey, is also open to therapists, counselors, non-profits and other organizations that work with children. 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 eligibilty 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. Betty Ford Center Part V, Section B, Line 16j: 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. 13 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 New York at Tribeca Twelve 283 West Broadway New York NY 10013 Outpatient addiction treatment center for adults & recovery housing 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 Beaverton 6600 SW 105th Ave Suite 120 Beaverton OR 97008 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 Part I, Line 3c: Factors other than the Federal Poverty Guidelines that are used by Hazelden Betty Ford Foundation for determining eligibilty 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 10a www.hazeldenbettyford.org/locations/betty-ford-center-rancho-mirage Part III, Line 2: The bad debt expense is calculated as 75% of the accounts receivable over 90 days. Part III, Line 4: The Foundation determines the transaction price based on standard charges for goods and services provided, reduced by contractual adjustments provided to third party payers and discounts and/or implicit price concessions provided to patients in accordance with the Foundation's policy. Generally, patients who are covered by third-party payers are responsible for related deductibles and co-insurance, which vary in amount. The Foundation also provides services to uninsured patients, and generally offers those uninsured patients a discount from standard charges. The Foundation estimates the transaction price for patients with deductibles and co-insurance and from those who are uninsured based on historical experience and current market conditions. The Foundation determines its estimated contractual adjustments and discounts based on contractual agreements. Subsequent changes to the Foundation's estimate of the transaction price are recorded as adjustments to patient service revenue in the period of change. Subsequent changes that are determined to be the result of credit and collection issues not assessed at the date of service are recognized as bad debt expense. 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. 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 availablity 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: 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 139 380956 Scholarships for Professionals in Residence Training (PIR) 81 101320 Scholarships for Summer Institute for Medical Students (SIMS) 183 542960 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 1 1 0 0 0 0 0 0 0 Mark Mishek President and CEO 648427 0 101631 0 4942 0 73487 0 25602 0 854089 0 0 0 James Blaha Treasurer, VP CFO and CAO 341386 0 45825 0 2259 0 35000 0 26369 0 450839 0 0 0 Jennifer Lohse Secretary, VP General Counsel 210801 0 29515 0 189 0 15354 0 36712 0 292571 0 0 0 Dr Marvin Seppala Chief Medical Officer 480621 0 63316 0 21198 0 35000 0 25586 0 625721 0 0 0 Nicholas Motu VP & Chief External Affairs 285857 0 41470 0 1868 0 21845 0 34041 0 385081 0 0 0 Valerie Slaymaker VP Education and Research 217426 0 31582 0 477 0 20356 0 24846 0 294687 0 0 0 Debra Bauman VP Tech Services & CIO 219228 0 27609 0 1448 0 14984 0 16153 0 279422 0 0 0 Melissa Fors VP Marketing Strategy 259175 0 27364 0 379 0 16500 0 13101 0 316519 0 0 0 Dawne Carlson VP Human Resources 213726 0 30101 0 901 0 15245 0 24041 0 284014 0 0 0 John Driscoll Sr. VP Recovery Services 320545 0 45294 0 476 0 33977 0 31867 0 432159 0 0 0 Robert Poznanovich VP Business Development 285920 0 32233 0 1819 0 28217 0 14175 0 362364 0 0 0 Joseph Jaksha VP Publisher 208372 0 29869 0 464 0 14880 0 29518 0 283103 0 0 0 Moira McGinley VP Development and CDO 115886 0 15000 0 25359 0 508 0 5892 0 162645 0 0 0 Dr Joseph Lee Medical Director Youth Continuum 351244 0 0 0 345 0 31673 0 8459 0 391721 0 0 0 Dr Marc Myer Medical Director 260295 0 0 0 13937 0 15247 0 19504 0 308983 0 0 0 Dr Lisa Vollmer Staff Physician 255140 0 15000 0 372 0 8481 0 25121 0 304114 0 0 0 Dr Katarzyna Litak Psychiatrist 275424 0 0 0 648 0 16500 0 23107 0 315679 0 0 0 Jerry Moe Exec. Dir. Nat'l Children's Program 269992 0 20975 0 1733 0 16500 0 21597 0 330797 0 0 0 William Moyers former key employee VP Public Affairs & Comm Relations 225952 0 18540 0 934 0 19252 0 30970 0 295648 0 0 0 Mark Sheets Former key employee, Exec. Dir. Youth Continuum 197826 0 24943 0 1237 0 18876 0 32230 0 275112 0 0 0 James Steinhagen Former key employee 0 0 0 0 129756 0 0 0 0 0 129756 0 0 0 Part I, Lines 4a-b James Steinhagen, former VP Recovery Services West Coast, received a severance payment in the amount of $129,756. Mark Mishek, President and CEO, participated in a nonqualified retirement plan in the amount of $38,487. A City of Center City MN 416005039 151452AT6 2011-11-14 20095000 Expansion and renovation of Plymouth facility 0 0 0 B City of Center City MN 416005039 151452BM0 2014-07-23 41439310 Expansion and improvements at St. Paul and Center City locations 0 0 0 A 2120000 20210373 370556 19839817 2013 0 0 1 1 B 2460000 41441547 434310 18702237 22305000 2015 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 0 0 0 0 1 Credit Agricole Corp and Investment 1 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 $115,373 is included in Part II, Line 3 Bond B - Interest income of $2,237 is included in Part II, Line 3 Schedule K, Part IV, Line 5C, Column A The guaranteed investment contract (GIC) expired in 2012 after the proceeds were spent. Recovery Partners PC 100% owned by a key employee of Hazelden Betty Ford Foundation 2764350 Reimbursable professional fees 0 X 13 94779 Gross selling price 0 0 1 1 Part I, Column (b): Column B is reported based on the number of contributions received. Part I, Line 32b: Hazelden Betty Ford Foundation maintains a cash securities account with a brokerage firm for the sale of stocks and/or other securities received as charitable contributions. The stocks/securities are sent to the brokerage firm and are sold at fair market value with the gross proceeds deposited into Hazelden Betty Ford Foundation's cash account. 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 March 2018. The compensation review for other officers and key employees was completed in August 2017. 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 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 XI, line 9: Net assets released - intercompany transactions -34,886. Rounding 760. Present valuation adjustment of pledge write-off -2,566,000. 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, continuing care 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 1041357 Fair market value Hazelden New York Q 1365748 Fair market value