COURAGE KENNY FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COURAGE KENNY FOUNDATION (EIN 41-1952989)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-05
IRS object ID
201413099349301696
Schema version
2013v3.0
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)
Return2014-11-05T15:20:03-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411952989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COURAGE KENNY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOURBusinessNameControlTxt
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 43 INTERNAL ZIP 10890AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554400043ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDUNCAN GALLAGHERPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6122620660PhoneNum
Signature2014-11-05SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAN MALCOLMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 43 INTERNAL ZIP 10890AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554400043ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$40,441,978GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ALLINAHEALTH.ORG/AHS/SKI.NSFWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS AND ENGAGE THE COMMUNITY TO SUPPORT HEALTH AND INDEPENDENCE FOR THOSE WITH FUNCTIONAL LIMITATIONS THROUGH COURAGE KENNY REHAB'S COMPREHENSIVE CONTINUUM OF TRANSFORMATIVE SERVICES, RESEARCH AND INNOVATION, AND PUBLIC ADVOCACY. WITH THE FOUNDATION'S SUPPORT, THE CONTINUUM ENRICHES LIVES AND PROVIDES A LEVEL OF CARE ABOVE AND BEYOND THE CORE MEDICAL SERVICES PROVIDED BY ALLINA HEALTH.ActivityOrMissionDesc
Voting Members Governing Body36VotingMembersGoverningBodyCnt
Voting Members Independent34VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers346TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$832,053PYContributionsGrantsAmt
CY Contributions Grants$7,292,629CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$133,960PYInvestmentIncomeAmt
CY Investment Income$2,841,851CYInvestmentIncomeAmt
PY Other Revenue$1,714PYOtherRevenueAmt
CY Other Revenue-$70,259CYOtherRevenueAmt
PY Total Revenue$967,727PYTotalRevenueAmt
CY Total Revenue$10,064,221CYTotalRevenueAmt
PY Grants And Similar Paid$548,431PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,976,240CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$5,952PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$168,810CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$821,557CYTotalFundraisingExpenseAmt
PY Other Expenses$353,019PYOtherExpensesAmt
CY Other Expenses$1,636,404CYOtherExpensesAmt
PY Total Expenses$907,402PYTotalExpensesAmt
CY Total Expenses$23,781,454CYTotalExpensesAmt
PY Revenues Less Expenses$60,325PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,717,233CYRevenuesLessExpensesAmt
Total Assets BOY$8,370,000TotalAssetsBOYAmt
Total Assets EOY$70,215,524TotalAssetsEOYAmt
Total Liabilities BOY$1,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,672,449TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,368,110NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$53,543,075NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RAISE FUNDS AND ENGAGE THE COMMUNITY TO SUPPORT HEALTH AND INDEPENDENCE FOR THOSE WITH FUNCTIONAL LIMITATIONS THROUGH COURAGE KENNY REHAB'S COMPREHENSIVE CONTINUUM OF TRANSFORMATIVE SERVICES, RESEARCH AND INNOVATION, AND PUBLIC ADVOCACY. WITH THE FOUNDATION'S SUPPORT, THE CONTINUUM ENRICHES LIVES AND PROVIDES A LEVEL OF CARE ABOVE AND BEYOND THE CORE MEDICAL SERVICES PROVIDED BY ALLINA HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,877,682ExpenseAmt
Grant$21,877,682GrantAmt
DescPROGRAMS AND SERVICES FUNDS WERE APPROVED TO ENHANCE THE COMPONENTS OF COURAGE KENNY REHABILITATION INSTITUTE'S REHABILITATIVE PROGRAM: OPTIMIZING PHYSICAL FUNCTION, MAXIMIZING ABILITIES OF DAILY LIVING AND LESSENING DISADVANTAGES PEOPLE MAY FACE IN SOCIAL ROLES. THE RESULTS LEAD TO STRONGER OUTCOMES FOR THE INSTITUTE'S PATIENTS WITH THE ABILITY TO FUNCTION AS INDEPENDENTLY AS POSSIBLE AND ACTIVELY PARTICIPATE IN THEIR OWN COMMUNITY. $21.5 MILLION IN SUPPORT OF THE PHYSICAL , OCCUPATIONAL AND SPEECH THERAPY SERVICES , INPATIENT REHABILITATIVE SERVICES ,COMMUNITY BASED SERVICES, INDEPENDENT LIVING SKILLS (ILS) PROGRAM AND SPORTS AND RECREATION PROGRAMS OF COURAGE KENNY REHABILITATION INSTITUTE, AN UNINCORPORATED DIVISION OF ALLINA HEALTH SYSTEM, WERE INCLUDED IN PROGRAMS AND SERVICES IN 2013.PROFESSIONAL EDUCATIONCOURAGE KENNY REHABILITATION INSTITUTE ENSURES THAT PATIENTS RECEIVE THE HIGHEST QUALITY CARE BY ADHERING TO THE PRINCIPLES OF PATIENT CARE SET FORTH BY THE INSTITUTE OF MEDICINE: SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT AND EQUITABLE. THE FOUNDATION SUPPORTS THIS QUEST BY INVESTING IN PROFESSIONAL EDUCATION OF ITS CLINICIANS TO ACHIEVE THE HIGHEST LEVEL OF CLINICAL COMPETENCE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$34,863ExpenseAmt
Grant$34,863GrantAmt
DescCOURAGE KENNY RESEARCH CENTER (CKRC)OF THE GRANTS AWARDED IN 2013, THE RESEARCH CENTER WAS APPROVED FOR $34,863 IN FUNDING. THE RESEARCH CENTER, ESTABLISHED IN 2007, SERVES AS A LABORATORY FOR CLINICAL RESEARCH, INNOVATION AND EDUCATION WITH THE GOAL OF OPTIMIZING THE CARE AND QUALITY OF LIFE FOR ALL PERSONS, BUT IN PARTICULAR THOSE LIVING WITH DISABILITIES. THE RESEARCH CENTER HAS ACHIEVED SIGNIFICANT MILESTONES INCLUDING THE DEVELOPMENT OF PATENTABLE TECHNOLOGIES, AS WELL AS ESTABLISHING EDUCATIONAL AND ENTREPRENEURIAL COLLABORATIVE RELATIONSHIPS. CKRC HAS AN ESTABLISHED FACULTY OF TWENTY FIVE ACTIVE RESEARCHERS & CLINICIANS INCLUDING THERAPISTS AND PHYSICIANS, WHO CONDUCT RESEARCH ON BRAIN INJURIES, SPINAL CORD INJURIES, STROKE REHABILITATION AND CANCER REHABILITATION, AS WELL AS INJURY AND FALL PREVENTION. THEIR RESEARCH HAS LED TO THE DEVELOPMENT OF COMMERCIALLY VIABLE TECHNOLOGIES AND FOUR PEER-REVIEWED PAPERS ACCEPTED OR IN PRINT IN 2013 AND FIVE PRESENTATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$32,115ExpenseAmt
Grant$32,115GrantAmt
DescDONATION OF ASSISTIVE DEVICES TO BE USED WITH THE PATIENTS OF COURAGE KENNY REHABILITATION INSTITUTE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$31,580ExpenseAmt
Grant$31,580GrantAmt
DescINCLUDING CONTRIBUTIONS UNDER AGREEMENT FOR THE DONOR ADVISED FUNDS PAID TO NINE 501(C) (3) ORGANIZATIONS- $26,500Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$31,580TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$31,580TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$21,976,240TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document526IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible 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
Form1098 C FiledYes (1)Form1098CFiledInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members36GoverningBodyVotingMembersCnt
Independent Voting Member34IndependentVotingMemberCnt
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAX SERVICES MAIL ROUTE 10890BusinessNameLine1
FieldValueIRS element (for citing)
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 CHICAGO AVENUEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554071321ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
AMANDA ABDO SHEAHAN
DIRECTOR2.000.00Yes (X)$0$0$0
GEORGE APPLEBY
DIRECTOR2.000.00Yes (X)$0$0$0
SCOTT APPLEWICK
DIRECTOR2.000.00Yes (X)$0$0$0
BRUCE BACKBERG
DIRECTOR2.000.00Yes (X)$0$0$0
LES BRUNKER
DIRECTOR2.000.00Yes (X)$0$0$0
MIKE CHAPPUIS
DIRECTOR2.000.00Yes (X)$0$0$0
VIRGINIA SCHOENBOHM CLYMER
DIRECTOR2.000.00Yes (X)$0$0$0
KARL DEDENBACH
DIRECTOR2.000.00Yes (X)$0$0$0
TIMOTHY DELAPP
DIRECTOR/VICE CHAIR2.000.00Yes (X)$0$0$0
KENT EKLUND
DIRECTOR2.000.00Yes (X)$0$0$0
ERIK EKSTROM MD
DIRECTOR2.000.00Yes (X)$0$0$0
TOM ERICKSON
DIRECTOR2.000.00Yes (X)$0$0$0
J MARIE FIEGER
DIRECTOR2.000.00Yes (X)$0$0$0
MARY FREY
DIRECTOR2.000.00Yes (X)$0$0$0
PETER GALLUS
DIRECTOR/TREASURER2.000.00Yes (X)$0$0$0
SHERRY GORMAN
DIRECTOR2.000.00Yes (X)$0$0$0
BRIAN GUSTAFSON
DIRECTOR2.000.00Yes (X)$0$1,000$0
SHERRY GYDESEN
DIRECTOR2.000.00Yes (X)$0$0$0
PETER HASSELQUIST
DIRECTOR2.000.00Yes (X)$0$0$0
DEAN HILDEBRANDT
DIRECTOR2.000.00Yes (X)$0$0$0
BARRY HIX
DIRECTOR2.000.00Yes (X)$0$0$0
SANDRA JACOBS
DIRECTOR2.000.00Yes (X)$0$0$0
NICK JELLUM
DIRECTOR2.000.00Yes (X)$0$0$0
JOLIE KLAPMEIER
DIRECTOR2.000.00Yes (X)$0$0$0
S KRISHNAN
DIRECTOR2.000.00Yes (X)$0$0$0
SANDRA LANDBERG
DIRECTOR/FNDTN EXEC DIR/ SR DEV OFF40.000.00Yes (X)$0$137,271$32,099Yes (X)
TODD LANGEVIN
DIRECTOR/SECRETARY2.000.00Yes (X)$0$0$0
PETER LILIENTHAL
DIRECTOR2.000.00Yes (X)$0$0$0
KAREN MADSON
DIRECTOR2.000.00Yes (X)$0$0$0
MICHAEL MCDONNELL
DIRECTOR2.000.00Yes (X)$0$0$0
JAN MALCOLM
DIRECTOR/VP PUB POL/COMM BNFT/FDN2.0040.00Yes (X)$0$304,536$36,816Yes (X)
ERIC NORBERG
DIRECTOR2.000.00Yes (X)$0$0$0
ERIC PETERSON
DIRECTOR/CHAIRMAN4.000.00Yes (X)$0$0$0
NEAL PETERSON
DIRECTOR2.000.00Yes (X)$0$0$0
BOB PELTIER
DIRECTOR2.000.00Yes (X)$0$0$0
TERESA PFISTER
DIRECTOR2.000.00Yes (X)$0$0$0
BRET PULS
DIRECTOR2.000.00Yes (X)$0$0$0
SUSAN RHODE
DIRECTOR2.000.00Yes (X)$0$0$0
JOHN RYAN
DIRECTOR2.000.00Yes (X)$0$0$0
JOELLEN SAYLOR
DIRECTOR2.000.00Yes (X)$0$0$0
BETHANY SJOBLAD
DIRECTOR2.000.00Yes (X)$0$0$0
JENNINE SPEIER MD
DIRECTOR2.000.00Yes (X)$0$115,765$18,187
WINIFRED SMITH
DIRECTOR/SECRETARY2.000.00Yes (X)$0$0$0
SARAH WALBERT
DIRECTOR2.000.00Yes (X)$0$0$0
TIM WALKER
DIRECTOR2.000.00Yes (X)$0$0$0
STEPHEN BARITEAU
VP FOUNDATION40.000.00$0$191,529$42,693Yes (X)
DUNCAN GALLAGHER
CFO2.0040.00$0$1,108,440$331,637Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,858,541TotReportableCompRltdOrgAmt
Total Other Compensation$461,432TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RUFFALCODY LLCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line165 KIRKWOOD NORTH ROAD SWAddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code524063018ZIPCode
FieldValueIRS element (for citing)
ServicesTELEFUNDRAISINGServicesDesc
Compensation$113,150CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$230,002FederatedCampaignsAmt
Fundraising$384,343FundraisingAmt
Related Organizations$221,295RelatedOrganizationsAmt
All Other Contributions$6,456,989AllOtherContributionsAmt
Noncash Contributions$1,296,640NoncashContributionsAmt
Total Contributions$7,292,629TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$381,495TotalRevenueColumnAmt
Exclusion$381,495ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,741TotalRevenueColumnAmt
Exclusion$40,741ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,273,787SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$28,813,431SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,460,356SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,460,356TotalRevenueColumnAmt
Exclusion$2,460,356ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,200,669FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$384,343ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,407,477FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$206,808TotalRevenueColumnAmt
Exclusion-$206,808ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$252,657GrossSalesOfInventoryAmt
Cost Of Goods Sold$156,849CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,808TotalRevenueColumnAmt
Related Or Exempt Func Income$95,808RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,064,221TotalRevenueColumnAmt
Related Or Exempt Func Income$95,808RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,675,784ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,971,200TotalAmt
Program Services$21,971,200ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,040TotalAmt
Program Services$5,040ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,508TotalAmt
Management And General$1,204ManagementAndGeneralAmt
Fundraising$1,304FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,871TotalAmt
Management And General$1,858ManagementAndGeneralAmt
Fundraising$2,013FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,590TotalAmt
Management And General$11,590ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$168,810TotalAmt
Fundraising$168,810FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$117,968TotalAmt
Management And General$70,018ManagementAndGeneralAmt
Fundraising$47,950FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$137,883TotalAmt
Management And General$66,184ManagementAndGeneralAmt
Fundraising$71,699FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$77,820TotalAmt
Management And General$61,984ManagementAndGeneralAmt
Fundraising$15,836FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,508TotalAmt
Management And General$4,084ManagementAndGeneralAmt
Fundraising$4,424FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,766TotalAmt
Management And General$35,173ManagementAndGeneralAmt
Fundraising$7,593FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOUNDATION STAFF SVCS$1,107,505$606,217$501,288
PURCH SVCS - AFFILIATES$78,357$78,357
OTHER PURCHASED SVCS$46,397$46,397

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,231TotalAmt
Management And General$591ManagementAndGeneralAmt
Fundraising$640FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,781,454TotalAmt
Program Services$21,976,240ProgramServicesAmt
Management And General$983,657ManagementAndGeneralAmt
Fundraising$821,557FundraisingAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,017BOYAmt
EOY$369,953EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$253,383EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,359,983BOYAmt
EOY$63,799,885EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,792,303EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,370,000BOYAmt
EOY$70,215,524EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,890BOYAmt
EOY$16,672,449EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,890BOYAmt
EOY$16,672,449EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,292,293BOYAmt
EOY$31,893,556EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,544,616BOYAmt
EOY$12,731,945EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$531,201BOYAmt
EOY$8,917,574EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,368,110BOYAmt
EOY$53,543,075EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,370,000BOYAmt
EOY$70,215,524EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$13,717,233ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,817,783NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$47,528PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$57,121,943OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ALLINA HEALTH SYSBusinessNameLine1
FieldValueIRS element (for citing)
EIN363261413EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Supported Org NotifiedYes (1)SupportedOrgNotifiedInd
US OrganizedYes (1)USOrganizedInd
Support$21,944,660SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$21,944,660SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held2DonorAdvisedFundsHeldCnt
Donor Advised Funds Contri$74,133DonorAdvisedFundsContriAmt
Donor Advised Funds Grants$26,500DonorAdvisedFundsGrantsAmt
Donor Advised Funds Vl EOY$614,784DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (1)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,199,425BeginningYearBalanceAmt
Contributions$12,584,524ContributionsAmt
Investment Earnings Or Losses$1,099,059InvestmentEarningsOrLossesAmt
Other Expenditures$48,891OtherExpendituresAmt
End Year Balance$14,834,117EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,131,315BeginningYearBalanceAmt
Contributions$1,750ContributionsAmt
Investment Earnings Or Losses$88,529InvestmentEarningsOrLossesAmt
Other Expenditures$22,169OtherExpendituresAmt
End Year Balance$1,199,425EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,145,366BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$1,872InvestmentEarningsOrLossesAmt
Other Expenditures$17,923OtherExpendituresAmt
End Year Balance$1,131,315EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,066,916BeginningYearBalanceAmt
Contributions$2,055ContributionsAmt
Investment Earnings Or Losses$92,646InvestmentEarningsOrLossesAmt
Other Expenditures$16,251OtherExpendituresAmt
End Year Balance$1,145,366EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$939,645BeginningYearBalanceAmt
Contributions$1,500ContributionsAmt
Investment Earnings Or Losses$149,330InvestmentEarningsOrLossesAmt
Other Expenditures$23,559OtherExpendituresAmt
End Year Balance$1,066,916EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.60120PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.39880TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CASH EQUIVALENTS$729,772F
EQUITY SECURITIES$10,538,722F
FIXED INCOME SECURITIES$13,148,367F
FUNDS OF HEDGE FUNDS$6,986,889F
COMMODITIES & OTHER$13,782,041F
MONEY MARKET$18,614,094F
FieldValueIRS element (for citing)
Total Book Value Securities$63,799,885TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS HELD IN REMAIDER TRUST$4,774,133
DUE FROM AFFILIATE$673,788
CASH SURRENDER VALUE$128,282
CKF LIFE ESTATE$116,100
VIOLIN$100,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,792,303TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFLIATE-ST$3,450,000
REMAINDER TRUST BENEFICIARIES PAYABLE$2,312,890
DUE TO AFFLIATE-LT$10,909,559
FieldValueIRS element (for citing)
Total Liability$16,672,449TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$69,159,394TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,817,783NetUnrealizedGainsInvstAmt
Other Revenue$57,121,943OtherRevenueAmt
Revenue Not Reported$58,939,726RevenueNotReportedAmt
Revenue Subtotal$10,219,668RevenueSubtotalAmt
Other Revenues Not Included-$155,447OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$155,447RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,064,221TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,984,429TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$277,663OtherExpensesIncludedAmt
Expenses Not Reported$277,663ExpensesNotReportedAmt
Expenses Subtotal$23,706,766ExpensesSubtotalAmt
Other Expenses Not Included$74,688OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$74,688ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$23,781,454TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:CHARITY AND INDIGENT CARE. EDUCATION AND RESEARCH. BUILDINGS AND EQUIPMENT. PATIENT CARE.
PART X, LINE 2:THE FOLLOWING IS A COPY OF NOTE 1 TO THE AUDITED FINANCIAL STATEMENTS: "SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - INCOME TAX" "COURAGE KENNY FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THEREFORE, CHARITABLE CONTRIBUTIONS ARE TAX DEDUCTIBLE. THE FOUNDATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION OF UNCERTAIN TAX POSITIONS. THE GUIDANCE PRESCRIBES RECOGNITION THRESHOLD PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX FILING THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THIS GUIDANCE HAD NO IMPACT ON THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION'S TAX FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINES INCOME, EXCISE OR OTHER TAXES. THE FILINGS FOR THE YEARS 2010 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES."
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -145,794. TRANSFER FUND BALANCE FROM COURAGE FOUNDATION , INC. 57,267,737.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GIFT IN KIND SPECIAL EVENTS -230,135. SALES OF INVENTORY -CARDS FOR COURAGE 74,688.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE /DIRECT EXPENSE FUNDRAISING 230,135. CHANGE IN VALUE COURAGE FOUNDATION, INC. ASSETS 47,528.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SALES OF INVENTORY -CARDS FOR COURAGE 74,688.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
APOGEE RETAILLLC
3080 CENTERVILLE RDLITTLE CANADAMN55117HANDLING OF CLOTHING AND HOUSEHOLD GOODSYes (1)$120,381$55,660$64,721
RUFFALOCODY LLC
65 KIRKWOOD NORTH ROAD SWCEDAR RAPIDSIA52404TELEFUNDRAISING0$113,652$113,150$502
FieldValueIRS element (for citing)
Total Gross Receipts$234,033TotalGrossReceiptsAmt
Total Retained By Contractors$168,810TotalRetainedByContractorsAmt
Total Net To Organization$65,223TotalNetToOrganizationAmt
Licensed StatesMNLicensedStatesCd
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1TOAST TO COURAGENameOfEvent1Amt
Gross Receipts Event1$169,647GrossReceiptsEvent1Amt
Charitable Contri Event1$129,597CharitableContriEvent1Amt
Gross Revenue Event1$40,050GrossRevenueEvent1Amt
Food And Beverage Event1$22,054FoodAndBeverageEvent1Amt
Entertainment Event1$1,000EntertainmentEvent1Amt
Other Direct Expenses Event1$2,700OtherDirectExpensesEvent1Amt
Name Of Event2GIFT IN KIND SALESNameOfEvent2Amt
Gross Receipts Event2$1,110,689GrossReceiptsEvent2Amt
Gross Revenue Event2$1,110,689GrossRevenueEvent2Amt
Other Direct Expenses Event2$1,340,824OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$304,676GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$254,746CharitableContriOtherEventsAmt
Gross Revenue Other Events$49,930GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$7,379NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$1,890RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$4,452FoodAndBeverageOtherEventsAmt
Entertainment Other Events$750EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$26,428OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,585,012GrossReceiptsTotalAmt
Charitable Contributions Tot$384,343CharitableContributionsTotAmt
Gross Revenue Total Events$1,200,669GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$7,379NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,890RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$26,506FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,369,952OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,407,477DirectExpenseSummaryEventsAmt
Net Income Summary-$206,808NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$34,863COURAGE KENNY RESEARCH CENTER OPERATIONS AND VARIOUS RESEARCH STUDIES.
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$21,877,682PROGRAM COSTS, PATIENT CARE EQUIPMENT AND EVENT EXPENSES.
ALLINA HEALTH SYSTEM DBA COURAGE KENNY REHABILITATION SERVICES
800 E 28TH STREETMINNEAPOLISMN55407363261413170(B)(1)(A)(III)DONATION OF ASSISTIVE DEVICES TO BE USED WITH PATIENTS OF COURAGE KENNY REHABILITATION INSTITUTE.$32,115FMVPOWER WHEELCHAIRS, ASSISTIVE DEVICES,LIFT TICKETS SUPPORT ALPINE SKI PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescNon Cash AssistanceNonCashAssistanceAmt
JUDD JACOBSON AWARD WINNER1$5,000BOOKADVANCE BUSINESS ENDEAVOR OF PERSON WITH PHYSICAL DISABILITY
PATIENT ALARM PULL STRING1BOOKPATIENT ALARM PULL STRING$40

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SANDRA LANDBERG
DIRECTOR/FNDTN EXEC DIR/ SR DEV OFF$0$118,036$0$16,367$0$2,868$0$8,208$0$23,891$0$169,370$0$0
JAN MALCOLM
DIRECTOR/VP PUB POL/COMM BNFT/FDN$0$235,173$0$63,459$0$5,904$0$30,039$0$6,777$0$341,352$0$0
STEPHEN BARITEAU
VP FOUNDATION$0$162,496$0$24,705$0$4,328$0$19,967$0$22,726$0$234,222$0$0
DUNCAN GALLAGHER
CFO$0$593,836$0$366,424$0$148,180$0$310,832$0$20,805$0$1,440,077$0$102,340

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BDUNCAN GALLAGHER - $90,658
PART I, LINE 6MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL EMPLOYEES AND EXECUTIVES. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE CALENDAR YEAR. PERFORMANCE MEASURES INCLUDE FINANCIAL PERFORMANCE, SERVICE QUALITY, PATIENT SATISFACTION, PATIENT SAFETY AND COMMUNITY SERVICE. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN (LTIP) ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE COMPENSATION COMMITTEE OF THE BOARD. THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 6(A) & (B)ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THIS PLAN WAS AMENDED EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65, RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009. EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD.

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1206ContributionCnt
Noncash Contributions Rpt F990$965,601NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE PRICE DONATED CARSMethodOfDeterminingRevenuesTxt

Boats And Planes BoatsAndPlanesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution43ContributionCnt
Noncash Contributions Rpt F990$38,475NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE PRICE DONATED BOATSMethodOfDeterminingRevenuesTxt

Securities Miscellaneous SecuritiesMiscellaneousGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$163,322NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)VIOLIN1$100,000APPRAISAL
Yes (X)EQUIPMENT14$32,115FAIR MARKET VALUE
Yes (X)VIOLIN BOW1$9,000SALE PRICE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationCOURAGE KENNY FOUNDATION MAY FROM TIME TO TIME AND IN THE ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NONCASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. COURAGE KENNY FOUNDATION USES THIRD PARTIES SUCH AS SECURITIES BROKERAGE FIRMS TO LIQUIDATE THE PUBLICLY TRADED SECURITIES TO CASH ON THE OPEN SECURITIES MARKET. THE SALE OF PUBLICLY TRADED SECURITIES ARE GENERALLY SUBJECT TO MARKET RATE BROKERAGE COMMISSIONS AND FEES OF THE THIRD PARTY SECURITIES BROKER. COURAGE KENNY FOUNDATION CASH AND INVESTMENTS ARE POOLED WITH ITS SOLE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM, AND ITS RELATED ORGANIZATIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4PURSUANT TO A PLAN OF MERGER, EFFECTIVE JUNE 1, 2013, COURAGE FOUNDATION, INC., A MINNESOTA NONPROFIT CORPORATION, MERGED WITH AND INTO SISTER KENNY FOUNDATION, A MINNESOTA NONPROFIT CORPORATION, WITH SISTER KENNY FOUNDATION BEING THE SURVIVING CORPORATION. ARTICLES OF MERGER WERE FILED WITH THE MINNESOTA SECRETARY OF STATE IN ACCORDANCE WITH MINNESOTA STATUTES SECTION 317A.615 ON JUNE 1, 2013. SISTER KENNY FOUNDATION'S BOARD OF DIRECTORS APPROVED THE AMENDED AND RESTATED ARTICLES OF INCORPORATION AND THE THIRD AMENDED AND RESTATED BYLAWS ON JUNE 5, 2013 FOR THE PURPOSE OF CHANGING ITS NAME TO COURAGE KENNY FOUNDATION. THE THIRD AMENDED AND RESTATED ARTICLES WERE FILED WITH THE MINNESOTA SECRETARY OF STATE ON JULY 15, 2013 STATING IN ARTICLE I THE NAME OF THE CORPORATION TO BE COURAGE KENNY FOUNDATION. THE SOLE MEMBER OF COURAGE KENNY FOUNDATION IS ALLINA HEALTH SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6ALLINA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER ORGANIZATION OF COURAGE KENNY FOUNDATION. COURAGE KENNY FOUNDATION IS THE SUPPORTING ORGANIZATION AND ALLINA HEALTH SYSTEM IS THE SUPPORTED ORGANIZATION. SEE SCHEDULE A AND SCHEDULE R FOR FURTHER DETAILS. ALLINA HEALTH SYSTEM PROVIDES COURAGE KENNY FOUNDATION WITH ADMINISTRATIVE AND STAFF SERVICES AT NO COST. THE VALUE OF THE SERVICES PROVIDED BY ALLINA HEALTH SYSTEM TO COURAGE KENNY FOUNDATION DURING 2013 WERE ESTIMATED AT $198,195 AND HAVE BEEN RECORDED AS CONTRIBUTION REVENUE FROM A RELATED ORGANIZATION IN THE STATEMENT OF REVENUE AND AS ADMINISTRATIVE AND FUNDRAISING EXPENSES IN THE STATEMENT OF FUNCTIONAL EXPENSES. COURAGE KENNY FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE CORPORATE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM HOLDS CERTAIN RESERVED POWERS OVER COURAGE KENNY FOUNDATION. THE RESERVED POWERS ARE FULLY DESCRIBED IN COURAGE KENNY FOUNDATION'S GOVERNING DOCUMENTS AND INCLUDE SUCH POWERS AS ELECTION AND APPROVAL OF DIRECTORS, FINAL APPROVAL OF AMENDMENTS TO ARTICLES OF INCORPORATION OR BYLAWS, APPROVAL OF STRATEGIC PLANS AND CAPITAL AND OPERATING BUDGETS, APPROVAL OF PLANS OF MERGER OR CONSOLIDATION, APPROVAL OF INCURRENCE OF DEBT OR EXPENDITURES IN EXCESS OF CERTAIN AMOUNTS, AND VARIOUS OTHER RESERVED POWERS AS DESCRIBED THEREIN.
FORM 990, PART VI, SECTION A, LINE 7BSEE FORM 990, PART VI, SECTION A, LINE 7A AND THE DESCRIPTION ABOVE RELATED TO IT IN SCHEDULE O.
FORM 990, PART VI, SECTION B, LINE 11COURAGE KENNY FOUNDATION'S FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM, COURAGE KENNY FOUNDATION'S SOLE CORPORATE MEMBER AND SUPPORTED ORGANIZATION. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S VICE PRESIDENT OF FINANCE & TREASURY ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. MEMBERS OF THE FINANCE COMMITTEE WERE ALSO PROVIDED WITH AN OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO FILING. AFTER THE MANAGEMENT AND FINANCE COMMITTEE REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE ["IRS"], WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS. A BOARD OF DIRECTORS MEETING WAS HELD ON SEPTEMBER 25, 2014 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY GENERAL, AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL, AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING COURAGE KENNY FOUNDATION'S FORM 990 WITH THE IRS, MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL, AND WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15COURAGE KENNY FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ANY COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION. THEREFORE, FORM 990, PART VI, SECTION B, LINES 15A AND 15B ARE NOT APPLICABLE TO COURAGE KENNY FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19COURAGE KENNY FOUNDATION MAKES ITS FORM 990, FORM 1023, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TO ARRANGE AN INSPECTION OR RECEIVE A COPY, PLEASE CONTACT THE FOLLOWING: COURAGE KENNY FOUNDATION TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 TELEPHONE: 612-262-0660 PHYSICAL ADDRESS: 2925 CHICAGO AVENUE MINNEAPOLIS, MN 55407-1321 THE FORM 990 AND FORM 1023 ARE ALSO AVAILABLE DIRECTLY FROM THE INTERNAL REVENUE SERVICE. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SPLIT INTEREST -145,794. TRANSFER OF FUND BALANCE FROM COURAGE FOUNDATION, INC. 57,267,737.
FORM 990, PART XII, LINE 2C:THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
PO BOX 43MINNEAPOLISMN55407043643816SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
ALLINA ASSOCIATED FOUNDATION
PO BOX 43MINNEAPOLISMN55407274116873SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
PO BOX 43MINNEAPOLISMN55407263553868SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
ALLINA HEALTH SYSTEM
PO BOX 43MINNEAPOLISMN55407363261413HEALTHCARE SERVICESMN501(C)(3)LINE 30N/A
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43MINNEAPOLISMN55407275129095SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
ASPEN MEDICAL GROUP
PO BOX 43MINNEAPOLISMN55407411452624HEALTHCARE SERVICESMN501(C)(4)ALLINA HEALTH SYSTEM0
MERCY & UNITY HOSPITALS FOUNDATION
PO BOX 43MINNEAPOLISMN55407300086426SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43MINNEAPOLISMN55407411613017SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
UNITED HOSPITAL FOUNDATION
PO BOX 43MINNEAPOLISMN55407237420998SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
UNITED AND CHILDRENS AMBULATORY SURGERY CENTER ASSOCIATION
310 NORTH SMITH AVENUEST PAULMN55102411694626SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, I0N/A
WESTHEALTHINC
PO BOX 43MINNEAPOLISMN55440411768814HEALTHCARE SERVICESMN501(C)(3)LINE 3ALLINA HEALTH SYSTEM0
MBP FACILITY LLC
PO BOX 43MINNEAPOLISMN55440454078371SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, I0N/A
REGINA MEDICAL CENTER
PO BOX 43MINNEAPOLISMN55440410740678HEALTHCARE SERVICESMN501(C)(3)LINE 3ALLINA HEALTH SYSTEM0
REGINA FOUNDATION
PO BOX 43MINNEAPOLISMN55440411987372SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
APPLE VALLEY BUILDING ASSOCIATES LLC
14655 GALAXIE AVENUE SAPPLE VALLEYMN55124411677072RENTAL REAL ESTATEMNN/A
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WESTST PAULMN55108261850227HEALTHCARE SERVICESMNN/A
MAGNETO LEASING LLC
PO BOX 43MINNEAPOLISMN55440201582501RENTAL EQUIPMENTMNN/A
METROPOLITAN INTEGRATED CANCER CARELLC
ONE POST STREET 35TH FLOORSAN FRANCISCOCA94104205068485RADIOLOGYDEN/A
SOUTHWEST SURGICAL CENTER LLC
PO BOX 43MINNEAPOLISMN55440412013700SURGICAL SERVICESMNN/A
GERIATRIC SERVICES OF MINNESOTA LLC
3366 OAKDALE AVE NORTH SUITE 551ROBBINSDALEMN55422453357936HEALTHCARE SERVICESMNN/A
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700MINNEAPOLISMN55407452532456HEALTHCARE SERVICESMNN/A
DISTRICT ONE CANCER CENTER LLC
200 STATE AVENUEFAIRBAULTMN55021451258847HEALTHCARE SERVICESMNN/A
MOBILE IMAGING SERVICES LLC
1221 NICOLLET MALL STE 600MINNEAPOLISMN554032444411883212RADIOLOGYMNN/A
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500MINNEAPOLISMN55407412010368HEALTHCARE SERVICESMNN/A
BPA HEALTH LLC
PO BOX 43MINNEAPOLISMN55440352490984HEALTHCARE SERVICESMNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ALLINA CLINIC HOLDINGS LTD
PO BOX 43MINNEAPOLISMN55440263954371HOLDING COMPANYMNN/AC0
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007PITTSBURGHPA15253276712988TRUSTPAN/AT0
ALLINA SPECIALTY ASSOCIATESINC
PO BOX 43MINNEAPOLISMN55440411802815HEALTHCARE SERVICESMNN/AC0
HEALTHSPAN SERVICES COMPANY
PO BOX 43MINNEAPOLISMN55440411249999DEBT COLLECTIONMNN/AC0
QUELLO CLINIC LTD
PO BOX 43MINNEAPOLISMN55440410874754HEALTHCARE SERVICESMNN/AC0
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET STE 625PITTSBURGHPA15258376520273TRUSTPAN/AT0
ALLINA HEALTH SYSTEM KEYSHARE PLAN
PO BOX 535007PITTSBURGHPA15253276678945TRUSTPAN/AT0
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43MINNEAPOLISMN55440411720860TRUSTMNN/AT0
CREATEHEALTH INC
PO BOX 43MINNEAPOLISMN55440260594364HEALTHCARE SERVICESMNN/AC0
QUELLO STK MERGER SUB INC
PO BOX 43MINNEAPOLISMN55440464290372MERGER FACILITATIONDEN/AC0
QUELLO NON STK MERGER SUB INC
PO BOX 43MINNEAPOLISMN55440464298122MERGER FACILITATIONDEN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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