HENNEPIN HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HENNEPIN HEALTH FOUNDATION (EIN 41-0845733)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-12
IRS object ID
201701939349301100
Schema version
2016v3.0
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)
Return2017-07-12T11:50:38-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410845733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENNEPIN HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHENNBusinessNameControlTxt
Phone6128736090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 PARK AVENUE NO LSB-3AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55415ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFORD W BELL DVMPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6128736090PhoneNum
Signature2017-07-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN GRIESPreparerPersonNm
PTINP00078514PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-10IPDt
IP Tm09:04:51IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD843057E411E2F8A0C95144B413FDF80F48E010BAtSubmissionCreationDeviceId
At Submission Filing Device Id91CEC10FCE41CD9386A3334136B5DACB34123101AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFORD W BELL DVMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 PARK AVENUE NO LSB-3AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55415ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,821,658GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HCMC.ORG/HHF/INDEX.HTMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO RAISE AND ADMINISTER PHILANTHROPIC SUPPORT FOR HENNEPIN HEALTHCARE SYSTEMS INC D/B/A HENNEPIN COUNTY MEDICAL CENTERActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,896,454PYContributionsGrantsAmt
CY Contributions Grants$6,892,649CYContributionsGrantsAmt
PY Program Service Revenue$157,762PYProgramServiceRevenueAmt
CY Program Service Revenue$153,825CYProgramServiceRevenueAmt
PY Investment Income$76,839PYInvestmentIncomeAmt
CY Investment Income$273,507CYInvestmentIncomeAmt
PY Other Revenue$167,025PYOtherRevenueAmt
CY Other Revenue$12,968CYOtherRevenueAmt
PY Total Revenue$16,298,080PYTotalRevenueAmt
CY Total Revenue$7,332,949CYTotalRevenueAmt
PY Grants And Similar Paid$1,093,308PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$395,687CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,476,231PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,696,642CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$828,638CYTotalFundraisingExpenseAmt
PY Other Expenses$774,884PYOtherExpensesAmt
CY Other Expenses$4,074,219CYOtherExpensesAmt
PY Total Expenses$3,344,423PYTotalExpensesAmt
CY Total Expenses$6,166,548CYTotalExpensesAmt
PY Revenues Less Expenses$12,953,657PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,166,401CYRevenuesLessExpensesAmt
Total Assets BOY$20,262,611TotalAssetsBOYAmt
Total Assets EOY$22,192,594TotalAssetsEOYAmt
Total Liabilities BOY$197,238TotalLiabilitiesBOYAmt
Total Liabilities EOY$465,404TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,065,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,727,190NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,933,054ExpenseAmt
Grant$268,187GrantAmt
Revenue$153,825RevenueAmt
DescINNOVATIONS IN PATIENT CAREOUR MISSION, CLINICAL SERVICES, LOCATION AND DIVERSE PATIENT POPULATION MAKE HCMC UNIQUE FROM OTHER HOSPITAL SYSTEMS IN THE TWIN CITIES. HCMC PROVIDES A SIGNIFICANT LEVEL OF CARE TO LOW-INCOME, UNINSURED, AND VULNERABLE POPULATIONS. IN 2016, HCMC PROVIDED A COMMUNITY BENEFIT OF MORE THAN $218 MILLION DOLLARS, AS TRACKED BY THE MINNESOTA HOSPITAL ASSOCIATION. WE TAKE PRIDE IN OUR COMMITMENT TO PROVIDE ACCESS TO CARE FOR PEOPLE WITH LIMITED OR NO ACCESS TO HEALTH CARE DUE TO THEIR FINANCIAL OR INSURANCE STATUS OR HEALTH CONDITION. TO ANSWER THE NUMEROUS NEEDS OF OUR PATIENT POPULATION, THE HENNEPIN HEALTH FOUNDATION WORKS WITH SOCIAL SERVICES AND PATIENT REPRESENTATIVES TO PROVIDE SUPPORT FOR: INTERPRETERS IN 21 DIFFERENT LANGUAGES, PATIENT AND FAMILY TRANSPORTATION, FOOD, AND CLOTHING, RESOURCES FOR PRESCRIPTIONS AND HEALTHCARE EQUIPMENT, AND CONNECTIONS TO COMMUNITY RESOURCES. OUR AIM IS ALSO TO SPUR INNOVATION WITHIN OUR STAFF TO REMOVE BARRIERS TO HEALTHCARE USING TECHNOLOGY, NEW DELIVERY MODELS OF PRIMARY CARE AND DENTAL HEALTH, AND COMMUNITY HEALTH INITIATIVES WITH DIVERSE COMMUNITY PARTNERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$372,387ExpenseAmt
Grant$50,000GrantAmt
Revenue$0RevenueAmt
DescTRAUMA AND CRITICAL CAREHCMC IS HOME TO THE LARGEST AND BUSIEST LEVEL 1 TRAUMA CENTER IN THE STATE, INCLUDING A PEDIATRIC LEVEL 1 TRAUMA CENTER. GENEROSITY PROVIDES FUNDING TO PATIENT CARE SERVICES RELATED TO HCMC'S LEVEL 1 TRAUMA DESIGNATION SUCH AS PATIENT COMFORT IN TRAUMATIC BRAIN INJURY, THE BURN UNIT, STROKE CARE, AND HEART CLINIC, POISON CONTROL AND TOXICOLOGY CARE, CARE DURING AND AFTER TRANSPLANT, AND CARE IN DEALING WITH THE EFFECTS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD ABUSE AND NEGLECT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$338,131ExpenseAmt
Grant$77,500GrantAmt
Revenue$0RevenueAmt
DescEDUCATING THE WORKFORCE OF TOMORROWHCMC TRAINS THE DOCTORS AND NURSES WHO MAKE YOU HEALTHY, EDUCATES THE THERAPISTS WHO GUIDE YOUR RECOVERY, INSTRUCTS THE PHARMACISTS WHO DISPENSE YOUR MEDICINE, AND TEACHES THE FIRST RESPONDERS WHO SAVE YOUR LIFE. OVER HALF OF ALL PHYSICIANS IN MINNESOTA RECEIVED TRAINING AT HCMC. AT ANY GIVEN TIME, 90 UNIVERSITY OF MINNESOTA MEDICAL STUDENTS AND MORE THAN 270 RESIDENTS ARE TRAINING IN OUR HOSPITAL AND CLINICS. IN ALL, STUDENTS FROM OVER 140 HOSPITALS, COLLEGES AND UNIVERSITIES ACROSS THE WORLD COME TO HCMC FOR CLINICAL TRAINING. IN ADDITION, 20,000 OTHER PROFESSIONALS ACCESS OUR HEALTHCARE AND DISASTER PREPAREDNESS COURSES EACH YEAR, INCLUDING LOCAL FIRE AND POLICE DEPARTMENTS. THROUGH HENNEPIN HEALTH FOUNDATION'S VARIOUS EDUCATION FUNDS YOU CAN ENSURE THERE WILL BE A COMPETENT AND DIVERSE WORKFORCE TO TAKE CARE OF YOU AND YOUR FAMILY. EACH YEAR, HCMC TRAINS MORE THAN 20,000 HEALTH CARE PROVIDERS, AT HCMC, ONLINE, AND THROUGH OUTREACH TRAINING PROGRAMS ACROSS THE STATE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$13,175ExpenseAmt
Revenue$0RevenueAmt
DescMEDICAL RESEARCHSINCE 1952, THE MINNEAPOLIS MEDICAL RESEARCH FOUNDATION HAS PROVIDED A HOME WHERE PHYSICIANS AT HCMC CAN STUDY DISEASES THEY SEE IN THEIR PATIENTS AND DEVELOP NEW TREATMENTS TO IMPROVE THEIR CARE. TODAY, OVER 200 PRACTICING PHYSICIANS AND MEDICAL PROFESSIONALS ACTIVELY INVESTIGATE THE CAUSES AND TREATMENTS OF DISEASE. INSIGHTS PROVIDED BY THEIR RESEARCH LOOK TO LESSEN THE IMPACT OF TODAY'S HEALTH PROBLEMS INCLUDING DIABETES, ADDICTION, HEART DISEASE, HIV/AIDS, TRAUMATIC BRAIN INJURY, AND ALZHEIMER'S.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$13,175TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$4,656,747TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
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 ContributionYes (1)DeductibleArtContributionInd
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 Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonZUZANNE FENNERPersonNm
Phone6128733959PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 PARK AVENUE P1AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55415ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
FORD BELL
PRESIDENT40.000.00Yes (X)Yes (X)$0$245,037$34,471
DAN MILLER
CHAIRMAN2.000.00Yes (X)Yes (X)$0$0$0
KATHLEEN FINNEGAN LAMEY
VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
BRUCE PAULSON JD CPA
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
MICHAEL BELZER
DIRECTOR2.000.00Yes (X)$0$161,139$30,032
MOLLY BURKE
DIRECTOR2.000.00Yes (X)$0$0$0
JENNELL BILEK
DIRECTOR2.000.00Yes (X)$0$0$0
DOMINIC CERESI
DIRECTOR2.000.00Yes (X)$0$0$0
LAURA CHIN
DIRECTOR2.000.00Yes (X)$0$0$0
JOHN CROSSON MD
DIRECTOR2.000.00Yes (X)$0$0$0
RICHARD DADDI
DIRECTOR2.000.00Yes (X)$0$0$0
BRETT EDELSON
DIRECTOR2.000.00Yes (X)$0$0$0
TENBIT EMIRU MD
DIRECTOR2.0040.00Yes (X)$0$358,940$39,004
JANTZE HALEY
DIRECTOR2.000.00Yes (X)$0$0$0
DONALD HAAS
DIRECTOR2.000.00Yes (X)$0$0$0
SHIRA HAUSCHEN
DIRECTOR2.000.00Yes (X)$0$0$0
CAROLE HITT
DIRECTOR2.000.00Yes (X)$0$0$0
JULIA JOSPEH-DICAPRIO MD
DIRECTOR2.000.00Yes (X)$0$0$0
ELLIOT KAPLAN JD
DIRECTOR2.000.00Yes (X)$0$0$0
COURTNEY KIERNAT
DIRECTOR2.000.00Yes (X)$0$0$0
RICHARD KYLE
DIRECTOR2.000.00Yes (X)$0$0$0
REBECCA ODLAND
DIRECTOR2.000.00Yes (X)$0$0$0
JON PRYOR MD MBA
CEO, HHS/DIRECTOR2.0040.00Yes (X)$0$821,026$56,703
SCOTT RUSERT
DIRECTOR2.000.00Yes (X)$0$0$0
SERAFIN SAMSON
DIRECTOR2.000.00Yes (X)$0$0$0
CHIP TRUWIT MD
DIRECTOR2.000.00Yes (X)$0$671,067$44,031
ZUZANNE FENNER MBA
DIRECTOR OF FINANCE40.000.00Yes (X)$0$116,299$24,747
AMY CARLSON
DIRECTOR OF DEVELOPMENT40.000.00$0$110,105$13,938Yes (X)
KARIN MEIER
DIRECTOR OF DEVELOPMENT40.000.00$0$103,729$14,156Yes (X)
JESSE HICKS
SR DIRECTOR OF DEVELOPMENT40.000.00$0$124,574$26,783Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,711,916TotReportableCompRltdOrgAmt
Total Other Compensation$283,865TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,273,060FederatedCampaignsAmt
Fundraising$491,902FundraisingAmt
Related Organizations$115,690RelatedOrganizationsAmt
Government Grants$6,636GovernmentGrantsAmt
All Other Contributions$5,005,361AllOtherContributionsAmt
Noncash Contributions$1,853,639NoncashContributionsAmt
Total Contributions$6,892,649TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCOMMISSIONSDesc
Business900099BusinessCd
Total Revenue Column$153,825TotalRevenueColumnAmt
Related Or Exempt Func Income$153,825RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$153,825TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$273,507TotalRevenueColumnAmt
Exclusion$273,507ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$337,972FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$491,902ContriRptFundraisingEventAmt
Fundraising Direct Expenses$488,709FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$150,737TotalRevenueColumnAmt
Exclusion-$150,737ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$163,705TotalRevenueColumnAmt
Exclusion$163,705ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$163,705OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,332,949TotalRevenueColumnAmt
Related Or Exempt Func Income$153,825RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$286,475ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$395,687TotalAmt
Program Services$395,687ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$191,991TotalAmt
Program Services$44,306ProgramServicesAmt
Management And General$59,074ManagementAndGeneralAmt
Fundraising$88,611FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,180,200TotalAmt
Program Services$179,776ProgramServicesAmt
Management And General$427,222ManagementAndGeneralAmt
Fundraising$573,202FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$72,537TotalAmt
Program Services$12,727ProgramServicesAmt
Management And General$28,436ManagementAndGeneralAmt
Fundraising$31,374FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$164,968TotalAmt
Program Services$21,567ProgramServicesAmt
Management And General$56,016ManagementAndGeneralAmt
Fundraising$87,385FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$86,946TotalAmt
Program Services$13,374ProgramServicesAmt
Management And General$31,962ManagementAndGeneralAmt
Fundraising$41,610FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,985TotalAmt
Management And General$52,985ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$321,002TotalAmt
Program Services$313,927ProgramServicesAmt
Management And General$7,075ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$155,635TotalAmt
Program Services$137,770ProgramServicesAmt
Management And General$17,865ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,346TotalAmt
Program Services$71,346ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,921TotalAmt
Program Services$35,937ProgramServicesAmt
Management And General$528ManagementAndGeneralAmt
Fundraising$6,456FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,112,299TotalAmt
Program Services$3,112,299ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,075TotalAmt
Program Services$2,075ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM SUPPLIES$270,204$270,204
PATIENT SUPPORTS$45,752$45,752

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,166,548TotalAmt
Program Services$4,656,747ProgramServicesAmt
Management And General$681,163ManagementAndGeneralAmt
Fundraising$828,638FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$563,935BOYAmt
EOY-$453,380EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,533,522BOYAmt
EOY$5,564,335EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$140,439BOYAmt
EOY$126,990EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$83,248BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$1,393EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,257LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,257LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,541,055BOYAmt
EOY$10,522,911EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,009,633BOYAmt
EOY$6,035,452EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$390,779BOYAmt
EOY$394,893EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,262,611BOYAmt
EOY$22,192,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$106,421BOYAmt
EOY$202,991EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$34,575BOYAmt
EOY$216,611EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$18,340BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,902BOYAmt
EOY$45,802EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,238BOYAmt
EOY$465,404EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,066,307BOYAmt
EOY$837,554EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,100,122BOYAmt
EOY$18,767,524EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$898,944BOYAmt
EOY$2,122,112EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,065,373BOYAmt
EOY$21,727,190EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,262,611BOYAmt
EOY$22,192,594EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,166,401ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$495,416NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$2,326,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,871,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,126,522CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,915,440CurrentTaxYearMinus1YearAmt
Current Tax Year$6,892,649CurrentTaxYearAmt
Total$34,132,098TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,326,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,871,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,126,522CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,915,440CurrentTaxYearMinus1YearAmt
Current Tax Year$6,892,649CurrentTaxYearAmt
Total$34,132,098TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$13,996,400SubstantialContributorsTotAmt
Public Support Total170$20,135,698PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,352CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,839CurrentTaxYearMinus1YearAmt
Current Tax Year$273,507CurrentTaxYearAmt
Total$382,172TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,882CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,231CurrentTaxYearMinus1YearAmt
Current Tax Year$163,705CurrentTaxYearAmt
Total$313,383TotalAmt
FieldValueIRS element (for citing)
Total Support$34,827,653TotalSupportAmt
Gross Receipts Rltd Activities$3,570,629GrossReceiptsRltdActivitiesAmt
Public Support CY1700.57820PublicSupportCY170Pct
Public Support PY1700.91330PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2012 AMOUNT: $ 15,235. 2013 AMOUNT: $ 51,330. 2014 AMOUNT: $ 27,882. 2015 AMOUNT: $ 55,231. 2016 AMOUNT: $ 163,705.ExplanationTxt

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

Held Works Art HeldWorksArtGrp

FieldValueIRS element (for citing)
Revenues Included$4,886RevenuesIncludedAmt
Assets Included$394,893AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$899,107BeginningYearBalanceAmt
Contributions$926,695ContributionsAmt
Investment Earnings Or Losses$33,172InvestmentEarningsOrLossesAmt
Administrative Expenses$328AdministrativeExpensesAmt
End Year Balance$1,858,646EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$819,848BeginningYearBalanceAmt
Contributions$77,454ContributionsAmt
Investment Earnings Or Losses$1,805InvestmentEarningsOrLossesAmt
End Year Balance$899,107EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,483BeginningYearBalanceAmt
Contributions$809,754ContributionsAmt
Investment Earnings Or Losses$181InvestmentEarningsOrLossesAmt
Other Expenditures$2,570OtherExpendituresAmt
End Year Balance$819,848EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,456BeginningYearBalanceAmt
Investment Earnings Or Losses$27InvestmentEarningsOrLossesAmt
End Year Balance$12,483EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,363BeginningYearBalanceAmt
Investment Earnings Or Losses$722InvestmentEarningsOrLossesAmt
Administrative Expenses$629AdministrativeExpensesAmt
End Year Balance$12,456EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.99980PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00020TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,257OtherCostOrOtherBasisAmt
Depreciation$19,257DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FUNDS HELD AT HENNEPIN COUNTY$5,771,701F
US BANK TRUST MVNA$263,751F
FieldValueIRS element (for citing)
Total Book Value Securities$6,035,452TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO FISCAL AGENTDesc
Amt$45,802Amt
FieldValueIRS element (for citing)
Total Liability$45,802TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,726,677TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$495,416NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$409,602DonatedServicesAndUseFcltsAmt
Other Revenue$488,709OtherRevenueAmt
Revenue Not Reported$1,393,727RevenueNotReportedAmt
Revenue Subtotal$7,332,950RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,332,950TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,064,859TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$409,602DonatedServicesUseFcltsAmt
Other Expenses Included$488,709OtherExpensesIncludedAmt
Expenses Not Reported$898,311ExpensesNotReportedAmt
Expenses Subtotal$6,166,548ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,166,548TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:THE FOUNDATION'S ART COLLECTION IS DISPLAYED ACROSS THE HEALTH SYSTEM IN ORDER TO PROVIDE A HEALING ENVIRONMENT.
PART V, LINE 4:THE FOUNDATION MAINTAINS THE ENDOWMENT FUNDS TO SUPPORT OR PROMOTE PROGRAMS THROUGHOUT HENNEPIN COUNTY MEDICAL CENTER.
PART X, LINE 2:HHF HAS A TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC)AND MINNESOTA STATUTE AND CORRESPONDING TAX CODES AND, THEREFORE, THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE IRC AND CHARITABLE CONTRIBUTIONS BY DONORS ARE TAX DEDUCTIBLE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES 488,709.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES 488,709.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LIGHT UP THE NIGHTEvent1Nm
Gross Receipts Event1$829,874GrossReceiptsEvent1Amt
Charitable Contri Event1$491,902CharitableContriEvent1Amt
Gross Revenue Event1$337,972GrossRevenueEvent1Amt
Non Cash Prizes Event1$85,368NonCashPrizesEvent1Amt
Rent Facility Costs Event1$200,011RentFacilityCostsEvent1Amt
Food And Beverage Event1$88,649FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$114,681OtherDirectExpensesEvent1Amt
Gross Receipts Total$829,874GrossReceiptsTotalAmt
Charitable Contributions Tot$491,902CharitableContributionsTotAmt
Gross Revenue Total Events$337,972GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$85,368NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$200,011RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$88,649FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$114,681OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$488,709DirectExpenseSummaryEventsAmt
Net Income Summary-$150,737NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVENUE NORTHMINNEAPOLISMN55415421707837501(C)(3)$390,687$0N/AN/APROGRAMMATIC ACTIVITIES INCLUDE SUPPLIES, GIFT SHOP INVENTORY, TRAINING, SIM CENTER, PATHOLOGY FELLOW
MINNESOTA NETWORK HOSPICE
2365 MCKNIGHT RD NORTHST PAULMN55108411414694501(C)(3)$5,000$0N/AN/ANARRATIVE MEDICINE CONSULTANT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationIN MOST CASES, THE FOUNDATION MAINTAINS CONTROL OF THE FUNDS GRANTED AND HENNEPIN HEALTH SYSTEM, INC. OR OTHER GRANT RECIPIENT SUBMITS EXPENSE REPORTS TO THE FOUNDATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
FORD BELL
PRESIDENT$0$243,894$0$0$0$1,143$0$19,231$0$15,240$0$279,508$0$0
MICHAEL BELZER
DIRECTOR$0$134,807$0$25,113$0$1,219$0$14,881$0$15,151$0$191,171$0$0
TENBIT EMIRU MD
DIRECTOR$0$358,841$0$0$0$99$0$23,320$0$15,684$0$397,944$0$0
JON PRYOR MD MBA
CEO, HHS/DIRECTOR$0$757,546$0$62,688$0$792$0$39,750$0$16,953$0$877,729$0$0
CHIP TRUWIT MD
DIRECTOR$0$661,135$0$9,140$0$792$0$23,320$0$20,711$0$715,098$0$0
JESSE HICKS
SR DIRECTOR OF DEVELOPMENT$0$120,275$0$4,299$0$0$0$8,028$0$18,755$0$151,357$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 5INCENTIVE COMPENSATION WAS AVAILABLE TO MANAGERS AND ABOVE PARTIALLY BASED ON THE GROSS RESULTS OF HHF AND HCMC.
FORM 990, SCHEDULE J, COMPENSATION DETERMINATIONTHE COMPENSATION OF THE PRESIDENT, OTHER OFFICERS AND BOARD MEMBERS OF THE FOUNDATION, AND ALL HHF EMPLOYEES, IS DETERMINED BY HENNEPIN HEALTHCARE SYSTEM ("HHS"), THE FOUNDATION'S SOLE MEMBER. THE HHS BOARD OF DIRECTORS ENGAGED AN INDEPENDENT CONSULTING FIRM TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER QUALIFIED EXECUTIVES. THE FIRM GATHERED COMPARABILITY DATA ACCORDING TO THE ASSUMPTIONS OUTLINED IN HHS' COMPENSATION PHILOSOPHY, INCLUDING DATA RELEVANT TO OTHER ACADEMIC AND PUBLIC HOSPITALS. THE DATA TOOK INTO CONSIDERATION THE SCOPE OF THE COMPARISON GROUP, INCLUDING FACTORS SUCH AS REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC REGION. MCGLADREY COMPILED THIS DATA FIRST FOR CONSIDERATION BY THE COMPENSATION SUBCOMMITTEE OF THE BOARD, AND THEN APPROVAL BY THE FULL BOARD. THE PRESIDENT OF HENNEPIN HEALTH FOUNDATION IS ALSO THE VICE PRESIDENT OF PHILANTHROPY FOR HHS; THEREFORE HER COMPENSATION WAS DETERMINED USING THIS METHOD. THE FOUNDATION HAS NO OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES. THE FOLLOWING WERE USED BY HENNEPIN HEALTHCARE SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 4. INDEPENDENT COMPENSATION CONSULTANT 5. FORM 990 OF OTHER ORGANIZATIONS

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$9,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)AUCTION ITEMS59$66,193FMV
Yes (X)WINE1$15,000RETAIL
Yes (X)PRINTING SERVICES1$10,000RETAIL
Yes (X)QUILTS FOR PATIENTS1$7,150FMV
Yes (X)STAGING FOR DONOR EVENT1$5,760FMV
Yes (X)MISC1$4,971FMV
FieldValueIRS element (for citing)
Form8283 Received2Form8283ReceivedCnt
Any Property That Must Be HeldYes (1)AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1HENNEPIN HEALTH FOUNDATION (HHF) SUPPORTS THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER (HCMC), MINNESOTA'S LARGEST PUBLIC SAFETY NET AND ACADEMIC MEDICAL CENTER. HCMC IS HOME TO THE LARGEST AND BUSIEST TRAUMA CENTER IN THE STATE, AND TRAINS THE MAJORITY OF THE PHYSICIANS, NURSES AND CLINICIANS WHO CARE FOR THE CITIZENS OF THIS STATE. HCMC'S HOSPITAL AND CLINICS DELIVER MORE THAN 112,000 EMERGENCY AND URGENT CARE VISITS AND APPROXIMATELY 620,000 CLINIC VISITS EACH YEAR. HENNEPIN HEALTH FOUNDATION RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT FOR HCMC AND ITS RESEARCH ARM, MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF).
FORM 990, PART VI, SECTION A, LINE 1THE FOUNDATION'S EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIR, VICE CHAIRS, SECRETARY, TREASURER, AND SUCH OTHER PERSONS, IF ANY, ELECTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 4THERE WERE CHANGES TO THE ARTICLES AND BYLAWS. CHANGES TO THE ARTICLES INCLUDE THE FOLLOWING: (1) REMOVED THE CONVEYANCE FROM SERVICE LEAGUE TO HENNEPIN HEALTH FOUNDATION, (2) ARTICLE II PURPOSES AND ACTIVITIES CHANGED TO SPECIFY THE MISSION OF HHS AND ALL SUBSIDIARIES WITH THE BROADENED MISSION TO INCLUDE ANY NEW SUBSIDIARIES WITHOUT RENAMING, (3) RESTRICTIONS ARE ALL THE SAME JUST LISTED UNDER ARTICLE IV INSTEAD OF UNDER ARTICLE III, AND (4) ARTICLE VI INCLUDES THE REGISTERED OFFICE. CHANGES TO THE BYLAWS INCLUDE THE FOLLOWING: (1) ARTICLE I IS NEW AND REPLACES THE FORMER ARTICLE III BENEFICIARY ORGANIZATIONS; (2) ARTICLE II IS THE SAME AS THE PREVIOUS ARTICLE IV WITH SLIGHT WORDING CHANGES AND CONFIDENTIALITY WAS ADDED; (3) ARTICLE III WAS PREVIOUSLY ARTICLE V WITH THE REMOTE COMMUNICATION ADDED TO PLACE OF MEETING; (4) ARTICLE IV INCLUDES SLIGHT WORDING CHANGES AND PROVIDES THAT THE BOARD AND HHS CEO MUST AGREE TO HIRE AND MUST AGREE TO FIRE WHEREAS PREVIOUSLY ONLY THE HHF BOARD HIRED AND FIRED; (5) ARTICLE V, WHICH WAS PREVIOUSLY ARTICLE VII, INCLUDES CHANGES TO WORDING AS WELL AS A TERM OF OFFICE WAS ADDED; (6) ARTICLES VI, VII, AND VIII INCLUDES WORDING CHANGES; (7) ARTICLE IX INDEMNICATION DOLLAR AMOUNT ADDED; AND (8) AMENDMENTS WORDING CHANGE TO REFLECT "SOLE MEMBER."
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE FOUNDATION IS HENNEPIN HEALTHCARE SYSTEM, INC., A MINNESOTA NONPROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AALL MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS ARE APPOINTED BY THE SOLE MEMBER, HENNEPIN HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOUNDATION MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT RECEIVING APPROVAL BY THE SOLE MEMBER, HENNEPIN HEALTHCARE SYSTEM: 1. INCUR LONG-TERM DEBT; 2. MORTGAGE OR ENCUMBER ANY ASSETS OF THE FOUNDATION; 3. SELL, LEASE, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF ITS PROPERTY AND ASSETS; 4. ADD OR DELETE MAJOR SERVICES; 5. VOLUNTARILY DISSOLVE; 6. PURCHASE OR ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER ENTITY; 7. MERGE, CONSOLIDATE WITH ANY DOMESTIC OR FOREIGN ORGANIZATION, OR LEASE OR SELL MORE THAN FIFTY PERCENT OF THE FOUNDATION'S PROPERTY AND ASSETS TO ANY ENTITY IN ANY ONE TRANSACTION OR SERIES OF RELATED TRANSACTIONS; 8. PREPAY ANY INDEBTEDNESS PRIOR TO THE TIME FOR PAYMENT THEREOF AS PROVIDED IN THE CONTRACT EVIDENCING OR CREATING SUCH INDEBTEDNESS; 9. LOAN MONEY OR OTHER ASSETS TO OR GUARANTEE THE OBLIGATIONS OF ANY PERSON OR ENTITY; 10. APPROVE ANNUAL OPERATING BUDGETS, ANNUAL OR LONG-RANGE CAPITAL BUDGETS, AND NON-BUDGETED CONTRACTS ENTERED INTO OVER $50,000; 11. SUBSTANTIALLY CHANGE THE PRESENT OR NOW INTENDED NATURE OF THE FOUNDATION'S OPERATIONS; 12. APPROVE ANY EXTRAORDINARY COMPENSATION OR BONUS TO ANY EMPLOYEE; AND 13. AMEND THE ARTICLES OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FULL BOARD WILL REVIEW THE 990 AT ITS 06/15/2017 MEETING. THEY WILL RECEIVE A COPY ONE WEEK PRIOR. DIRECTOR OF FINANCE WILL DISCUSS ANY QUESTIONS/COMMENTS AT THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE FOUNDATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS, BOARD MEMBERS, AND COMMITTEE MEMBERS. DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY CONFLICTS. INDIVIDUALS WITH ACTUAL OR POTENTIAL CONFLICTS ARE REQUIRED TO DISCLOSE THE RELEVANT FACTS TO THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION. AFTER PRESENTING THE RELEVANT FACTS TO THE BOARD OR COMMITTEE, THE INTERESTED PERSON LEAVES THE ROOM FOR THE SUBSEQUENT DISCUSSION AND VOTE ON THE TRANSACTION. THE BOARD OR COMMITTEE MAY SEEK ALTERNATIVE TRANSACTIONS THAT DO NOT INVOLVE A CONFLICT. ALL SUCH SITUATIONS ARE DOCUMENTED IN THE MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE FOUNDATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND ARE AVAILABLE ON HHF'S WEBSITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVENUE NORTHMINNEAPOLISMN55415421707837HOSPITALMN501(C)(3)LINE 3N/A0
MINNEAPOLIS MEDICAL RESEARCH FOUNDATION
701 PARK AVENUE NORTHMINNEAPOLISMN55415411677920MEDICAL RESEARCHMN501(C)(3)LINE 70HENNEPIN HEALTHCARE SYSTEMS INC
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 Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
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 Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.