GILLETTE CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GILLETTE CHILDRENS HOSPITAL FOUNDATION (EIN 41-1200302)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201413219349311731
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T18:09:22-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Ste 2800 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411200302 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GILL | BusinessNameControlTxt |
| Phone | 6512912848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1 |
| City | St Paul | City |
| State | MN | State |
| ZIP Code | 55101 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Haddican | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 6512912848 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kristina Rasmussen | PreparerPersonNm |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James Haddican | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1 |
| City | St Paul | City |
| State | MN | State |
| ZIP Code | 55101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,799,668 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.gillettechildrens.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | The Foundation raises money for and otherwise supports Gillette Children's Specialty Healthcare. | ActivityOrMissionDesc |
| Voting Members Governing Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 104 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,577,377 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,214,296 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,014,302 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,293,934 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$247,813 | PYOtherRevenueAmt |
| CY Other Revenue | -$397,813 | CYOtherRevenueAmt |
| PY Total Revenue | $7,343,866 | PYTotalRevenueAmt |
| CY Total Revenue | $9,110,417 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,497,294 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,639,111 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,072,455 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,140,881 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $335,034 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $343,090 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,347,657 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,256,847 | PYOtherExpensesAmt |
| CY Other Expenses | $1,014,771 | CYOtherExpensesAmt |
| PY Total Expenses | $5,161,630 | PYTotalExpensesAmt |
| CY Total Expenses | $5,137,853 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,182,236 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,972,564 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,469,199 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,648,647 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $696,684 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $725,827 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,772,515 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,922,820 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Gillette Children's Hospital Foundation (Foundation) is to raise money, build awareness, and develop relationships so the mission of Gillette Children's Specialty Healthcare (Gillette) can be fulfilled. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,441,648 | ExpenseAmt |
| Grant | $1,441,648 | GrantAmt |
| Desc | Patient Care:The Foundation raises money to support Gillette's patient-care needs. In 2013, the largest amount of money raised for patient care went toward financial assistance and charity care to patients. Gillette offers financial aid to those who need it, whether or not they have health insurance and charity care for patients who are financially unable to pay all or part of their medical bills. See Schedule O.Gillette evaluates each situation based on a patient's income, assets and other resources, and the hospital helps patients set up manageable payment plans (including co-pays and co-insurance). For people who don't have insurance, Gillette charges for care in accordance with the 501(r) guidelines. If patients inform Gillette that they will have a difficult time meeting their financial obligations, Gillette will try to qualify patients for public assistance or Gillette's charity care program. Income eligibility for Gillette's program is based on national poverty guidelines.In addition, this fundraising area provides charitable support to the many areas of Gillette's operations that are unreimbursed or under-reimbursed by third-party payers. For example, Gillette holds Outreach Clinics in 16 communities in greater Minnesota. The Outreach Clinics offer services from doctors, nurse practitioners, seating and adaptive equipment specialists, and rehabilitation engineering technologists, providing patients with more convenient and timely health care appointments. They also enhance the knowledge base of community providers and improve the quality of ongoing care available in greater Minnesota. Gillette increased its number of Outreach Clinics visits by 30% over 2012.Gillette also provides a variety of services to patients through our Child and Family Services area. Child life specialists help children and families prepare for and cope with hospital stays and medical procedures. We offer play therapy, music therapy and positive distractions to help patients understand their health-care experiences and overcome fear and anxiety. Social workers provide emotional support and help with practical concerns for families of children who have disabilities, such as ordering medical equipment and finding transportation or other resources. Therapeutic recreation specialists help Gillette patients develop healthy lifestyles and Gillette Lifetime Specialty Healthcare offers services for patients 16 and older who have conditions that began during childhood and require lifelong specialty care. We treat the age-related effects of cerebral palsy, epilepsy, spina bifida and neuromuscular conditions. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $119,455 | ExpenseAmt |
| Grant | $119,455 | GrantAmt |
| Desc | Capital:The Foundation raises money to support Gillette in providing specialty health care for people who have disabilities. In 2013, the Foundation completed fundraising (through outright gifts and pledges) to help pay off our capital expansion projects, which were finished in 2013. That expansion included a new outpatient services building on our St. Paul campus, expanded space for Rehabilitation Therapies and the James R. Gage Center for Gait and Motion Analysis, expanded surgery suites and a surgery waiting area, a surgery simulation center for training, and renovated inpatient facilities in St. Paul. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $78,008 | ExpenseAmt |
| Grant | $78,008 | GrantAmt |
| Desc | Research/Other:The Foundation also raises money to support Gillette's ongoing research projects and education programs.During 2013, Gillette researchers focused on studies related to neurosciences, orthopedics, pain and motion analysis. For example, one study looked at long term follow-up of people who have cerebral palsy and who have undergone selective dorsal rhizotomy surgery. The study compared the differences in outcomes between those patients and patient who had alternative treatments.See Schedule O. One of the primary Foundation grants in the area of education involved funding an academically affiliated spasticity management fellowship. The fellowship helps prepare physicians who are highly qualified in spasticity management to incorporate spasticity management therapies (including, but not limited to, intrathecal baclofen therapy) into their clinical practices. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,639,111 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 8 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Ryberg | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6512912848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1 |
| City | St Paul | City |
| State | MN | State |
| ZIP Code | 55101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Scott Ward | |||||||||
| Chairman | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Brad Keil | |||||||||
| Vice Chairman | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Fay DeBellis | |||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Scott Robinson | |||||||||
| Treasurer | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Barbara Joers | |||||||||
| President, CEO (Start 10/13) | 15.00 | 40.00 | Yes (X) | Yes (X) | $0 | $194,021 | $9,204 | ||
| Margaret E Perryman | |||||||||
| President, CEO (End 10/13) | 15.00 | 40.00 | Yes (X) | Yes (X) | $0 | $847,200 | $143,115 | ||
| Chuck Amos | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Barnes | |||||||||
| Director (End 12/13) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Yvonne Cheek | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John Ellenberger | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeff Evanson | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David Fettig | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Todd Fisher | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Folkes | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John Foster | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John Guider | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Diane Harper | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Braxton Haulcy | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Healy MD | |||||||||
| Chief of Staff Elect | 1.00 | 40.00 | Yes (X) | $0 | $544,992 | $64,964 | |||
| James Hynes | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Kimball | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Dan Monson | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Deborah S Quanbeck MD | |||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $513,064 | $61,980 | |||
| Kristin Rassmussen | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Debra Rowland | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David Saggau | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Dale Schoonover | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Wagner MD | |||||||||
| Chief of Staff | 1.00 | 40.00 | Yes (X) | $0 | $238,076 | $46,179 | |||
| Warren Watson | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Jon Galloway | |||||||||
| VP of Development | 40.00 | 0.00 | $291,340 | $0 | $42,979 | Yes (X) | |||
| James Haddican | |||||||||
| VP of Finance | 5.00 | 40.00 | $0 | $374,112 | $58,302 | Yes (X) | |||
| Darlis Clausen | |||||||||
| CMN Manager | 40.00 | 0.00 | $130,514 | $0 | $15,698 | Yes (X) | |||
| Blaine Thrasher | |||||||||
| Supervisor Senior Gifts | 40.00 | 0.00 | $125,428 | $0 | $32,202 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $547,282 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,711,465 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $474,623 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NNE Marketing | |||||
| 754 Massachusetts Avenue | Arlington | MA | 02476 | Direct Marketing | $251,256 |
| Bob Lind Group Corporation | |||||
| 5204 Rio Grande Drive | Raleigh | NC | 27616 | Consulting | $157,743 |
| Production Solutions | |||||
| 1953 Gallows Road Suite 600 | Vienna | VA | 22182 | Mail Shop | $101,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $799,523 | FundraisingAmt |
| All Other Contributions | $6,414,773 | AllOtherContributionsAmt |
| Noncash Contributions | $1,167,472 | NoncashContributionsAmt |
| Total Contributions | $7,214,296 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,021 | TotalRevenueColumnAmt |
| Exclusion | $188,021 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,211,945 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,106,032 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,105,913 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,105,913 | TotalRevenueColumnAmt |
| Exclusion | $2,105,913 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $157,238 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $799,523 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $579,315 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$422,077 | TotalRevenueColumnAmt |
| Exclusion | -$422,077 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $28,168 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,904 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,264 | TotalRevenueColumnAmt |
| Exclusion | $24,264 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,110,417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,896,121 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,628,216 | TotalAmt |
| Program Services | $1,628,216 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,895 | TotalAmt |
| Program Services | $10,895 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,319 | TotalAmt |
| Management And General | $334,319 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,806,562 | TotalAmt |
| Management And General | $366,725 | ManagementAndGeneralAmt |
| Fundraising | $1,439,837 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,144 | TotalAmt |
| Management And General | $4,478 | ManagementAndGeneralAmt |
| Fundraising | $3,666 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,090 | TotalAmt |
| Fundraising | $343,090 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,774 | TotalAmt |
| Management And General | $26,520 | ManagementAndGeneralAmt |
| Fundraising | $16,254 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,286 | TotalAmt |
| Management And General | $269,833 | ManagementAndGeneralAmt |
| Fundraising | $226,453 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,819 | TotalAmt |
| Management And General | $13,928 | ManagementAndGeneralAmt |
| Fundraising | $59,891 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,637 | TotalAmt |
| Management And General | $34,359 | ManagementAndGeneralAmt |
| Fundraising | $62,278 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,710 | TotalAmt |
| Management And General | $11,985 | ManagementAndGeneralAmt |
| Fundraising | $11,725 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,578 | TotalAmt |
| Management And General | $18,563 | ManagementAndGeneralAmt |
| Fundraising | $45,015 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,849 | TotalAmt |
| Management And General | $4,866 | ManagementAndGeneralAmt |
| Fundraising | $2,983 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| Dues & Memberships | $227,731 | $46,602 | $181,129 |
| Meals | $20,090 | $8,258 | $11,832 |
| Minor Equipment | $8,980 | $2,560 | $6,420 |
| Bad Debt | -$70,201 | -$70,201 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,374 | TotalAmt |
| Management And General | $8,089 | ManagementAndGeneralAmt |
| Fundraising | $7,285 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,137,853 | TotalAmt |
| Program Services | $1,639,111 | ProgramServicesAmt |
| Management And General | $1,151,085 | ManagementAndGeneralAmt |
| Fundraising | $2,347,657 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | Yes (X) | JointCostsInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,151 | BOYAmt |
| EOY | $1,107,061 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,327 | BOYAmt |
| EOY | $8,651,260 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,162,570 | BOYAmt |
| EOY | $764,771 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,364 | BOYAmt |
| EOY | $103,347 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,331 | BOYAmt |
| EOY | $287,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $255,132 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $75,466 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540 | BOYAmt |
| EOY | $179,666 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,042,316 | BOYAmt |
| EOY | $7,200,541 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,600 | BOYAmt |
| EOY | $354,669 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,469,199 | BOYAmt |
| EOY | $18,648,647 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,939 | BOYAmt |
| EOY | $14,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,745 | BOYAmt |
| EOY | $710,868 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $696,684 | BOYAmt |
| EOY | $725,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,613,712 | BOYAmt |
| EOY | $10,749,779 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,924,688 | BOYAmt |
| EOY | $4,934,020 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,234,115 | BOYAmt |
| EOY | $2,239,021 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,772,515 | BOYAmt |
| EOY | $17,922,820 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,469,199 | BOYAmt |
| EOY | $18,648,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,972,564 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$822,259 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363379150 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (1) | SupportedOrgNotifiedInd |
| US Organized | Yes (1) | USOrganizedInd |
| Support | $1,573,251 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,573,251 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,365,618 | BeginningYearBalanceAmt |
| Contributions | $105,570 | ContributionsAmt |
| Investment Earnings Or Losses | $303,267 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $362,928 | OtherExpendituresAmt |
| Administrative Expenses | $128,836 | AdministrativeExpensesAmt |
| End Year Balance | $3,282,691 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,365,786 | BeginningYearBalanceAmt |
| Contributions | $79,278 | ContributionsAmt |
| Investment Earnings Or Losses | $480,113 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $446,878 | OtherExpendituresAmt |
| Administrative Expenses | $112,681 | AdministrativeExpensesAmt |
| End Year Balance | $3,365,618 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,791,838 | BeginningYearBalanceAmt |
| Contributions | $8,432 | ContributionsAmt |
| Investment Earnings Or Losses | $56,433 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $369,299 | OtherExpendituresAmt |
| Administrative Expenses | $121,618 | AdministrativeExpensesAmt |
| End Year Balance | $3,365,786 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,708,926 | BeginningYearBalanceAmt |
| Contributions | $7,209 | ContributionsAmt |
| Investment Earnings Or Losses | $402,507 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $180,146 | OtherExpendituresAmt |
| Administrative Expenses | $146,658 | AdministrativeExpensesAmt |
| End Year Balance | $3,791,838 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,346,189 | BeginningYearBalanceAmt |
| Contributions | $67,528 | ContributionsAmt |
| Investment Earnings Or Losses | $445,743 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $48,639 | OtherExpendituresAmt |
| Administrative Expenses | $101,895 | AdministrativeExpensesAmt |
| End Year Balance | $3,708,926 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.68000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.32000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,132 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,466 | DepreciationAmt |
| Book Value | $179,666 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $179,666 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Gift Annuity Liability - Wisc | $65,578 |
| Gift Annuity Liability | $63,740 |
| Due to Medical Center | $581,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $710,868 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,876,169 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$822,263 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $4,796 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $583,219 | OtherRevenueAmt |
| Revenue Not Reported | -$234,248 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,110,417 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,110,417 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,725,868 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $4,796 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $583,219 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $588,015 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,137,853 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,137,853 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Foundation has endowment funds for capital, charity care, patient care, research and education, and unrestricted needs. These funds are used to improve and provide health care and related services to patients of Gillette. |
| Part X, Line 2: | As a result of the implementation of the authoritative guidance on the accounting for uncertainty in income taxes, the organization was not required to recognize a liability. There were no unrecognized tax liabilities for the years ended December 31, 2013 and 2012. |
| Part XI, Line 2d - Other Adjustments: | Special events expense 583,219. |
| Part XII, Line 2d - Other Adjustments: | Special events expense 583,219. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| NNE Marketing | ||||||||
| 754 Massachusetts Avenue | Arlington | MA | 02476 | Direct Mail | 0 | $215,270 | $251,255 | -$35,985 |
| Strategic Fundraising | ||||||||
| 7591 Ninth Street N | Oakdale | MN | 55128 | Telefundraising | 0 | $123,331 | $91,833 | $31,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $338,601 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $343,088 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$4,487 | TotalNetToOrganizationAmt |
| Licensed States | MN | LicensedStatesCd |
| Licensed States | WI | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Friends of Gillette Event | NameOfEvent1Amt |
| Gross Receipts Event1 | $291,618 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $244,418 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $47,200 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $85,086 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Laugh Out Loud | NameOfEvent2Amt |
| Gross Receipts Event2 | $259,535 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $213,891 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $45,644 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $242,294 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 6 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $405,608 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $341,214 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $64,394 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $251,935 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $956,761 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $799,523 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $157,238 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $579,315 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $579,315 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$422,077 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $28,168 | GrossRevenueOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $3,904 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $28,168 | GrossRevenueTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $3,904 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $3,904 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $24,264 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MN | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| Explanation If No | A license is not required in the State of Minnesota for 5 or fewer raffles. The Foundation held 5 raffles this year. A State exempt permit was obtained on each of them. | ExplanationIfNoTxt |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.00000 | GamingOwnFacilityPct |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | Scott Ryberg | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1 |
| City | St Paul | City |
| State | MN | State |
| ZIP Code | 55101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Jon Galloway | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | Mr. Galloway oversees gaming activities conducted during the year. | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule G, Part I, Line 2b, Column (v) | FormAndLineReferenceDesc |
| Explanation | Gillette retains NNE Marketing, a direct response agency, to help with fundraising efforts. The amount paid to NNE in 2013 was $251,255, which includes payment for printing and production costs that NNE in turn paid out to printers and database contractors. Gillette's direct response program strategy is twofold: 1) to acquire new donors at an acceptable new donor investment level and 2) to increase the number of donors who support the Foundation year over year and create positive giving relationships with those donors. Gillette is measuring and seeing improvement in both of these strategic initiatives. SFI Nonprofit is a telefundraising firm that Gillette retains to execute a telefundraising program. We use telefundraising to gain additional gifts from current donors at a net profit. We also use telefundraising to acquire new donors, an investment we intentionally make in order to increase the number of people donating to Gillette. This is a necessary investment to raise even more money in future years. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|---|
| Handi Medical | ||||||||
| 2505 University Avenue West | St Paul | MN | 55114 | 411668164 | $5,246 | FMV | Adaptive Equipment | |
| Technology for Education | ||||||||
| 4131 Old Sibley Mem Hwy Ste 200 | Eagan | MN | 55122 | 411814073 | $8,620 | FMV | Adaptive Equipment | |
| Gillette Children's Specialty Healthcare | ||||||||
| 200 University Avenue East | St Paul | MN | 55101 | 363379150 | $1,573,251 | FMV | General Support | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Patient Care Grants | GrantTypeTxt |
| Recipient | 17 | RecipientCnt |
| Cash Grant | $10,895 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Members of Gillette's hospital board are also members of the Foundation board, resulting in common control of both entities and the sharing of community oversight, strategic planning, financial oversight, and fundraising responsibilities equally among all board members. As a Type II support organization pursuant to IRC section 509(a)(3), Reg. 1.509(a)-4(f)(2)(ii), the Foundation grants monies to Gillette and maintains endowment funds, restricted and unrestricted assets, and contributions received to benefit Gillette. These funds held by the Foundation are granted to Gillette pursuant to the restrictions of the particular fund. Periodically, the Foundation receives financial reports from Gillette documenting the use of monies, including endowment funds, restricted funds, and unrestricted funds, received by Gillette. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara Joers | ||||||||||||||
| President, CEO (Start 10/13) | $0 | $86,490 | $0 | $90,000 | $0 | $17,531 | $0 | $0 | $0 | $9,204 | $0 | $203,225 | $0 | $0 |
| Margaret E Perryman | ||||||||||||||
| President, CEO (End 10/13) | $0 | $514,010 | $0 | $191,386 | $0 | $141,804 | $0 | $117,658 | $0 | $25,457 | $0 | $990,315 | $0 | $52,288 |
| Michael Healy MD | ||||||||||||||
| Chief of Staff Elect | $0 | $496,948 | $0 | $10,643 | $0 | $37,401 | $0 | $27,064 | $0 | $37,900 | $0 | $609,956 | $0 | $0 |
| Deborah S Quanbeck MD | ||||||||||||||
| Director | $0 | $461,105 | $0 | $625 | $0 | $51,334 | $0 | $13,490 | $0 | $48,490 | $0 | $575,044 | $0 | $0 |
| Robert Wagner MD | ||||||||||||||
| Chief of Staff | $0 | $215,585 | $0 | $625 | $0 | $21,866 | $0 | $11,910 | $0 | $34,269 | $0 | $284,255 | $0 | $0 |
| Jon Galloway | ||||||||||||||
| VP of Development | $218,553 | $0 | $54,662 | $0 | $18,125 | $0 | $37,115 | $0 | $5,864 | $0 | $334,319 | $0 | $0 | $0 |
| James Haddican | ||||||||||||||
| VP of Finance | $0 | $253,047 | $0 | $79,491 | $0 | $41,574 | $0 | $26,975 | $0 | $31,327 | $0 | $432,414 | $0 | $0 |
| Blaine Thrasher | ||||||||||||||
| Supervisor Senior Gifts | $124,702 | $0 | $625 | $0 | $101 | $0 | $7,016 | $0 | $25,186 | $0 | $157,630 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The chair of Gillette's personnel committee requests information from the external consultant. The personnel committee is empowered to evaluate the reasonableness of compensation and other financial transactions in which the Foundation is engaged. It does so in all cases by referencing recognized, objective resources on the reasonableness of and market value for the types of personnel and services being considered. That data is prepared for and distributed to the personnel committee members. Compensation policy is approved by the board of directors. Actions related to CEO/president and other executive compensation are discussed and voted upon at personnel committee meetings. Meeting minutes are recorded. |
| Part I, Line 4b | Certain employees of Gillette are provided the opportunity to participate in various non-qualifed compensation plans organized under code section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, supplemental retirement benefits and capital accumulation. All plans are administered by Gillette. The following employees received payments from the non-qualified deferred compensation plans in 2013, which have been previously reported as amounts deferred on a prior Form 990: Margaret Perryman - $52,288 |
| Part I, Line 7 | Certain employees are eligible for an annual one-time award to recognize employees. The amount and payment of the award is made at the discretion of the Personnel Committee of the Board of Directors. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 20 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,162,676 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | In-Kind Donat | Desc |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,796 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost or selling pric | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Column (b): | This is the number of contributions. |
| Part I, Line 32b: | The Foundation used Wells Fargo to manage stock donations until June 2013. The Foundation used Charles Schwab and Twele Capital Management, Inc. to manage stock donations June through December. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Members of Gillette's hospital board are also members of the Foundation board, resulting in common control of both entities and the sharing of community oversight, strategic planning, financial oversight, and fundraising responsibilities equally among all board members. The following individuals have a business relationship: Chuck Amos Nancy Barnes Yvonne Cheek Fay DeBellis John Ellenberger Jeff Evanson David Fettig Todd Fisher Robert Folkes John Foster John Guider Diane Harper Braxton Haulcy Michael Healy, MD James Hynes Barbara Joers Brad Keil Mark Kimball Dan Monson Margaret E. Perryman Deborah S. Quanbeck, MD Kristin Rassmussen Scott Robinson Debra Rowland David Saggau Dale Schoonover Robert Wagner, MD Scott Ward Warren Watson James Haddican |
| Form 990, Part VI, Section A, line 6 | The Foundation has a sole member, Gillette Children's Speciality Healthcare, a Minnesota nonprofit corporation. |
| Form 990, Part VI, Section A, line 7a | The Foundation has a sole member, Gillette Children's Specialty Healthcare, a Minnesota nonprofit corporation which elects all members of the Foundation board. |
| Form 990, Part VI, Section B, line 11 | A copy of the form 990, including all supplemental schedules except schedule B, was provided to every member of the governing body before it was filed. Schedule B was redacted in order protect donor confidentiality. The form was completed by a committee that included representatives from finance, human resources and communications. This committee prepared all the documentation necessary; the forms were compiled by Gillette's accounting firm. The draft documents were then reviewed by representatives from our Administrative Council. After all internal reviews were complete, the final version was presented to the finance committee and the board of directors for approval. |
| Form 990, Part VI, Section B, line 12c | Gillette enforces policies on external professional activities. Gillette employees, officers, volunteers, board members, and medical staff members are expected to disclose outside activities that involve potential conflicts of interests. In fact, directors must sign a conflict of interest statement acknowledging any potential conflicts related to Gillette. Gillette requires staff members to discuss potential conflicts with their immediate manager and with the compliance officer. The disclosure includes a written description of the activity, the extent of the staff member's participation, and the possible duration of the relationship. If a conflict exists, the employee must not engage in the activity. |
| Form 990, Part VI, Section B, line 15 | Foundation staff members are employed by Gillette. Gillette is the organization that actually pays the compensation and has the process for determining compensation as stated below. At the request of the personnel committee of the Gillette board, an independent consultant provides the committee with survey data along with its needs and expenses for patient care, under- and uncompensated care, and recommendations for chief executive officer (CEO)/president and other executive salary ranges. The ranges are developed by the external consultant based on Gillette's compensation philosophy, which was developed by the personnel committee and is reviewed regularly. The members of this committee determine the CEO/president's salary and the salary ranges for other executives. The committee oversees the executive incentive plan, approves any incentive plan payouts, and regularly evaluates the benefits provided to executives. The external consultant has provided an opinion that the CEO/president's total compensation is well within the standards of reasonableness and fair market value. In addition to the oversight function of executive total compensation, the personnel committee oversees any payments under any incentive compensation plans and evaluates all transactions with "disqualified persons." |
| Form 990, Part VI, Section C, line 19 | Gillette posts an abbreviated audited financial statement to its website, www.gillettechildrens.org. Gillette's 990 form is available from the states of Minnesota and Wisconsin and at Guidestar.org. Gillette discloses financial statements to bondholders, the MHA and the Minnesota attorney general's office. The governing documents and conflict of interest policy are made available to the public upon request. |
| Form 990, Part VI, Section B, Line 14: | Foundation employees are expected to follow all hospital policies. The code-of-conduct, document-retention, and document-destruction policies authorized by the hospital hence are followed by the Foundation staff. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 University Avenue East | AddressLine1 |
| City | St Paul | City |
| State | MN | State |
| ZIP Code | 55101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363379150 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 3: 170(b)(1)(a) | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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