GILLETTE CHILDRENS HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GILLETTE CHILDRENS HOSPITAL FOUNDATION (EIN 41-1200302)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349301512
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- 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) |
|---|---|---|
| Timestamp | 2013-11-14T10:01:39-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411200302 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GILL | NameControl |
| Phone | 6512912848 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | James Haddican | Name |
| Title | VP Finance | Title |
| Phone | 6512912848 | Phone |
| Date Signed | 2013-10-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kristina Rasmussen | Name |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James Haddican | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 16101652 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.gillettechildrens.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | The Foundation raises money for and otherwise supports Gillette Children's Specialty Healthcare. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 103 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7925252 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6577377 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 803004 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1014302 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -17235 | OtherRevenuePriorYear |
| Other Revenue Current Year | -247813 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8711021 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7343866 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6222699 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1497294 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2055205 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2072455 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 107540 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 335034 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2357751 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1695321 | OtherExpensePriorYear |
| Other Expenses Current Year | 1256847 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10080765 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5161630 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1369744 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2182236 | RevenuesLessExpensesCY |
| Total Assets BOY | 13425785 | TotalAssetsBOY |
| Total Assets EOY | 15469199 | TotalAssetsEOY |
| Total Liabilities BOY | 1405834 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 696684 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12019951 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14772515 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1067235 | Expense |
| Grants | 1067235 | Grants |
| Description | Patient care:The Foundation raises money to support Gillette's patient-care needs. This fundraising area in 2012 involved charitable support for Gillette's outpatient clinics. In 2012, Gillette had 137,626 outpatient visits-excluding casting, X-ray, advanced imaging, and neurodiagnostic services-from children and adults with many chronic and acquired conditions, including cerebral palsy, spinal cord injuries, spina bifida, brain injuries, complex orthopedic needs, neurological disorders, craniofacial anomalies and juvenile arthritis. Outpatient appointments for all services came to 147,984. See Statement O.In addition, Gillette offers financial assistance to patients who need it-whether or not they have health insurance. 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. No one who needs medically necessary care at Gillette has ever been turned away because of their inability to pay. In 2012, Gillette also increased the number of Mobile Outreach Clinic visits it conducts in 16 communities in greater Minnesota. The Mobile Outreach Clinic offers assistive technology and some specialty medical services from nurse practitioners, seating and adaptive equipment specialists, and rehabilitation engineering technologists. The outreach services provide patients with more convenient and timely health care appointments, helping them achieve more active, daily participation in the community. They also enhance the knowledge base of community providers and improve the quality of ongoing care available in greater Minnesota. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 372904 | Expense |
| Grants | 372904 | Grants |
| Description | Capital:The Foundation raises money to support Gillette in providing specialty health care for people who have disabilities. In 2012, the Foundation's largest capital fundraising expenditures involved supporting renovation of Gillette's facilities in St. Paul, including creating additional private inpatient rooms and adding a new playroom in the surgery waiting area. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 57155 | Expense |
| Grants | 57155 | Grants |
| Description | Research & Education:The Foundation also raises money to support Gillette's ongoing research projects and education programs.During 2012, Gillette researchers focused on studies related to neurosciences and motion analysis. For example, one looked at using a scale to prove reliable, reproducible quantitative assessments of lower-extremity spasticity in children, ages 4 to 17, who have cerebral palsy. See Schedule OOne 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1497294 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 0 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Ryberg | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6512912848 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Scott Ward | |||||||||
| Chairman | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| Dale Schoonover | |||||||||
| Vice Chair | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| James Hynes | |||||||||
| Secretary | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| Robert Folkes | |||||||||
| Treasurer | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| Margaret E Perryman | |||||||||
| President, CEO | 15.00 | 40.00 | X | X | 0 | 2252312 | 222973 | ||
| Chuck Amos | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Fay DeBellis | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Wendy Dumke | |||||||||
| Director (end 10/12) | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| John Ellenberger | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Jeff Evanson | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Todd Fisher | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| John Guider | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Diane Harper | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Braxton Haulcy | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Jerome Kahnke | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Brad Keil | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Mark Kimball | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Angie Lalor | |||||||||
| Director (end 4/12) | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Dan Monson | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Deborah S Quanbeck MD | |||||||||
| Chief of Staff | 1.00 | 40.00 | X | 0 | 513286 | 60552 | |||
| Kristin Rassmussen | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Julie Rechtiene | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Scott Robinson | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| David Saggau | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Robert Wagner MD | |||||||||
| Chief of Staff Elect | 1.00 | 40.00 | X | 0 | 234395 | 48510 | |||
| Warren Watson | |||||||||
| Director | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| Beverly Wical MD | |||||||||
| Director | 1.00 | 40.00 | X | 0 | 322106 | 45873 | |||
| Jon Galloway | |||||||||
| VP of Development | 40.00 | 0.00 | 271556 | 0 | 41451 | X | |||
| James Haddican | |||||||||
| VP of Finance | 5.00 | 40.00 | 0 | 368954 | 65520 | X | |||
| Darlis Clausen | |||||||||
| CMN Manager | 40.00 | 0.00 | 126230 | 0 | 16233 | X | |||
| Blaine Thrasher | |||||||||
| Supervisor Senior Gifts | 40.00 | 0.00 | 114802 | 0 | 32663 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 512588 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3691053 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 533775 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NNE Marketing | |||||
| 754 Massachusetts Avenue | Arlington | MA | 02476 | Direct Marketing | 195514 |
| Strategic Fundraising | |||||
| 7591 Ninth Street North | Oakdale | MN | 55128 | Professional Telemarketing | 141020 |
| Russ Reid | |||||
| 14384 Collections Center Drive | Chicago | IL | 60693 | Direct Mail | 105524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Fundraising Events | 864198 | FundraisingEvents |
| All Other Contributions | 5713179 | AllOtherContributions |
| Noncash Contributions | 48188 | NoncashContributions |
| Total Contributions | 6577377 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 267768 | TotalRevenueColumn |
| Exclusion | $267,768 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9081682 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8335148 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 746534 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 746534 | TotalRevenueColumn |
| Exclusion | $746,534 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 168886 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 864198 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 422376 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -253490 | TotalRevenueColumn |
| Exclusion | -$253,490 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 5939 | GrossIncomeGaming |
| Gaming Direct Expenses | 262 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5677 | TotalRevenueColumn |
| Exclusion | $5,677 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7343866 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $766,489 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1489950 | Total |
| Program Services | 1489950 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3344 | Total |
| Program Services | 3344 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4000 | Total |
| Program Services | 4000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313007 | Total |
| Management And General | 313007 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1759448 | Total |
| Management And General | 402181 | ManagementAndGeneral |
| Fundraising | 1357267 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13135 | Total |
| Management And General | 7881 | ManagementAndGeneral |
| Fundraising | 5254 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335034 | Total |
| Fundraising | 335034 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56194 | Total |
| Management And General | 17420 | ManagementAndGeneral |
| Fundraising | 38774 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650941 | Total |
| Management And General | 396201 | ManagementAndGeneral |
| Fundraising | 254740 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64494 | Total |
| Management And General | 10319 | ManagementAndGeneral |
| Fundraising | 54175 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50168 | Total |
| Management And General | 22508 | ManagementAndGeneral |
| Fundraising | 27660 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26733 | Total |
| Management And General | 14240 | ManagementAndGeneral |
| Fundraising | 12493 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47736 | Total |
| Management And General | 27903 | ManagementAndGeneral |
| Fundraising | 19833 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53034 | Total |
| Management And General | 15347 | ManagementAndGeneral |
| Fundraising | 37687 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2300 | Total |
| Management And General | 1380 | ManagementAndGeneral |
| Fundraising | 920 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Dues & Memberships | 225508 | 47611 | 177897 |
| Meals | 26330 | 12501 | 13829 |
| Misc. Expense | 12483 | 6229 | 6254 |
| Bad Debt | 7868 | 0 | 7868 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19923 | Total |
| Management And General | 11857 | ManagementAndGeneral |
| Fundraising | 8066 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5161630 | Total |
| Program Services | 1497294 | ProgramServices |
| Management And General | 1306585 | ManagementAndGeneral |
| Fundraising | 2357751 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79711 | BOY |
| EOY | 201151 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1253960 | BOY |
| EOY | 1467327 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1148415 | BOY |
| EOY | 1162570 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70253 | BOY |
| EOY | 47364 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195283 | BOY |
| EOY | 210331 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 98501 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 95961 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4840 | BOY |
| EOY | 2540 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10368688 | BOY |
| EOY | 12042316 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304635 | BOY |
| EOY | 335600 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13425785 | BOY |
| EOY | 15469199 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 29939 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1405834 | BOY |
| EOY | 666745 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1405834 | BOY |
| EOY | 696684 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6971327 | BOY |
| EOY | 8613712 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2814759 | BOY |
| EOY | 3924688 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2233865 | BOY |
| EOY | 2234115 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12019951 | BOY |
| EOY | 14772515 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13425785 | BOY |
| EOY | 15469199 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2182236 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 570328 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363379150 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $1,444,061 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1444061 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3365786 | BeginningOfYearBalance |
| Contributions | 79278 | Contributions |
| Investment Earnings Or Losses | 480113 | InvestmentEarningsOrLosses |
| Other Expenditures | 446878 | OtherExpenditures |
| Administrative Expenses | 112681 | AdministrativeExpenses |
| End Of Year Balance | 3365618 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3791838 | BeginningOfYearBalance |
| Contributions | 8432 | Contributions |
| Investment Earnings Or Losses | 56433 | InvestmentEarningsOrLosses |
| Other Expenditures | 369299 | OtherExpenditures |
| Administrative Expenses | 121618 | AdministrativeExpenses |
| End Of Year Balance | 3365786 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3708926 | BeginningOfYearBalance |
| Contributions | 7209 | Contributions |
| Investment Earnings Or Losses | 402507 | InvestmentEarningsOrLosses |
| Other Expenditures | 180146 | OtherExpenditures |
| Administrative Expenses | 146658 | AdministrativeExpenses |
| End Of Year Balance | 3791838 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3346189 | BeginningOfYearBalance |
| Contributions | 67528 | Contributions |
| Investment Earnings Or Losses | 445743 | InvestmentEarningsOrLosses |
| Other Expenditures | 48639 | OtherExpenditures |
| Administrative Expenses | 101895 | AdministrativeExpenses |
| End Of Year Balance | 3708926 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
| Contributions | 4179288 | Contributions |
| Investment Earnings Or Losses | -667021 | InvestmentEarningsOrLosses |
| Other Expenditures | 63695 | OtherExpenditures |
| Administrative Expenses | 102383 | AdministrativeExpenses |
| End Of Year Balance | 3346189 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.66000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.34000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 98501 | OtherCostOrOtherBasis |
| Depreciation | 95961 | Depreciation |
| Book Value | 2540 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2540 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Gift Annuity Liability - Wisc | $68,847 |
| Gift Annuity Liability | $66,773 |
| Due to Medical Center | $531,125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 666745 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 8367123 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 570328 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 30553 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 422376 | OtherRevenues |
| Revenue Not Rptd F990 | 1023257 | RevenueNotRptdF990 |
| Revenue Subtotal | 7343866 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7343866 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5614559 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 30553 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 422376 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 452929 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5161630 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5161630 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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. |
| Description of Uncertain Tax Positions Under FIN 48: | 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, 2012 and 2011. |
| Part XI, Line 2d - Other Adjustments: | Special events expense 422,376. | |
| Part XII, Line 2d - Other Adjustments: | Special events expense 422,376. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization |
|---|---|---|---|---|---|---|---|---|
| Strategic Fundraising | ||||||||
| 7591 Ninth St No | Oakdale | MN | 55128 | Telefundraising | 0 | 134734 | 141020 | -6286 |
| NNE Marketing | ||||||||
| 754 Massachusetts Avenue | Arlington | MA | 02476 | Direct Mail | 0 | 120537 | 195514 | -74977 |
| Russ Reid | ||||||||
| 14348 Collections Center Drive | Chicago | IL | 60693 | Direct Mail | 0 | 79763 | 105524 | -25761 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 335034 | TotalGrossReceipts |
| Total Retained By Contractors | 442058 | TotalRetainedByContractors |
| Total Net To Organization | -107024 | TotalNetToOrganization |
| Licensed States | MN | LicensedStates |
| Licensed States | WI | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Friends of Gillette Event | NameOfEvent1 |
| Gross Receipts Event1 | 291194 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 238394 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 52800 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 82266 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Laugh out Loud | NameOfEvent2 |
| Gross Receipts Event2 | 270120 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 224840 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 45280 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 136333 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 471770 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 400964 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 70806 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 203777 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1033084 | GrossReceiptsTotal |
| Charitable Contributions Total | 864198 | CharitableContributionsTotal |
| Gross Revenue Total Events | 168886 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 422376 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 422376 | DirectExpenseSummaryEvents |
| Net Income Summary | -253490 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Fundraising Payments | Identifier |
| Return Reference | Schedule G, Part I, Line 2b, Column (v) | ReturnReference |
| Explanation | Gillette pays its telemarketing vendor on a per-call basis, meaning every phone call completed is paid for regardless of the outcome of those calls. There are two ways in which Gillette uses telemarketing: 1) to solicit additional donations from current donors and 2) to ask people who have previously never given to Gillette to donate. While the first strategy is extremely effective and the revenues raised exceed the cost, the second strategy requires a high number of phone calls made in order to get a small percentage of people to donate for the first time. Therefore, the second strategy is an investment to add new donors. This is a strategic decision, as those new donors will become valuable in due time, and is less expensive than acquiring new donors through direct mail or other channels. Gillette has retained NNE Marketing, a direct response agency, to help with fundraising efforts. Gillette ended a relationship with Russ Reid in June 2012 and began work with NNE Marketing in July 2012. The strategy within Gillette's direct response program 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. In 2012 the revenue generated by people whose first gift came through the direct response program was $1.54 million. That number is not reflected here because subsequent giving from those people came through fundraising opportunities outside the direct response program. It is, however, an example of how investment in direct response fundraising leads to additional revenue for the Foundation in total. 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| Gillette Children's Specialty Healthcare | ||||||||
| 200 Universtity Avenue East | St Paul | MN | 55101 | 363379150 | 501(c)(3) | 1444061 | FMV | General Support |
| Technology for Education | ||||||||
| 4131 Old Sibley Mem Hwy Ste 200 | Eagan | MN | 55122 | 411814073 | 10969 | FMV | Grants for Adaptive Computers for Patients | |
| Starkey Hearing Foundation | ||||||||
| 6700 Washington Avenue South | Eden Prairie | MN | 55344 | 363297852 | 501(c)(3) | 5500 | FMV | Hearing |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, 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. 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Margaret E Perryman | ||||||||||||||
| President, CEO | 0 | 485857 | 0 | 168539 | 0 | 1597916 | 0 | 196782 | 0 | 26191 | 0 | 2475285 | 0 | 1521245 |
| Deborah S Quanbeck MD | ||||||||||||||
| Chief of Staff | 0 | 447820 | 0 | 625 | 0 | 64841 | 0 | 13225 | 0 | 47327 | 0 | 573838 | 0 | 15641 |
| Robert Wagner MD | ||||||||||||||
| Chief of Staff Elect | 0 | 209987 | 0 | 625 | 0 | 23783 | 0 | 11731 | 0 | 36779 | 0 | 282905 | 0 | 1917 |
| Beverly Wical MD | ||||||||||||||
| Director | 0 | 295749 | 0 | 625 | 0 | 25732 | 0 | 11712 | 0 | 34161 | 0 | 367979 | 0 | 9639 |
| Jon Galloway | ||||||||||||||
| VP of Development | 216512 | 0 | 23064 | 0 | 31980 | 0 | 36044 | 0 | 5407 | 0 | 313007 | 0 | 20661 | 0 |
| James Haddican | ||||||||||||||
| VP of Finance | 0 | 241498 | 0 | 68968 | 0 | 58488 | 0 | 34622 | 0 | 30898 | 0 | 434474 | 0 | 20095 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 amounts represent the amount deferred under the non-qualified deferred compensation plans in 2012: Margaret Perryman $183,557 James Haddican $13,214 Jon Galloway $21,406 The following employees received payments from the non-qualified deferred compensation plans in 2012, which have been previously reported as amounts deferred on a prior Form 990: Margaret Perryman $1,521,245 Deborah Quanbeck, MD $15,641 Robert Wagner, MD $1,917 Beverly Wical, MD $9,639 Jon Galloway $20,661 James Haddican $20,095 |
| 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 SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 48188 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Method for Determining Number of Contributors: | Part I, Column (b): | This is the number of contributors. |
| Third Party Use: | Part I, Line 32b: | The Foundation uses Wells Fargo to manage stock donations. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | The following individuals have a business relationship: Chuck Amos Fay DeBellis John Ellenberger Wendy Dumke Jeff Evanson Todd Fisher Robert Folkes John Guider Diane Harper Braxton Haulcy James Hynes Jerome Kahnke Brad Keil Mark Kimball Angie Lalor Dan Monson Margaret E. Perryman Deborah S. Quanbeck, MD Kristin Rassmussen Julie Rechtiene Scott Robinson David Saggau Dale Schoonover Robert Wagner, MD Scott Ward Warren Watson Beverly Wical, MD 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 A, line 7b | The decisions of the governing body are subject to the approval of the Foundation's sole member, Gillette Children's Specialty Healthcare. The hospital board reserved powers are the election of board members and the Foundation board; as long as it follows its bylaws, the board has autonomy in other decisions. | |
| Form 990, Part VI, Section B, line 11 | A copy of the form 990 was provided to every member of the governing body before it was filed. The form was completed by a committee that included representatives from finance, human resources, development 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 the vice president of finance, the vice president of strategic planning, and the vice president of development. 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 mails its annual report (which includes the audited financial statements) to Gillette employees, medical staff and board members; Gillette donors; selected state and city legislators; Minnesota pediatricians; media representatives; the Minnesota Hospital Association (MHA); and presidents and chief executive officers of members of the Children's Hospital Association and related institutions. 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 IX, line 11g | Outside Services: Program service expenses 0. Management and general expenses 213,609. Fundraising expenses 147,173. Total expenses 360,782. Outside Consultants: Program service expenses 0. Management and general expenses 182,592. Fundraising expenses 107,567. Total expenses 290,159. | Other Fees |
| 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
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gillette Children's Specialty Healthcare | BusinessNameLine1 |
Address US AddressUS
| 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 | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 3: 170(b)(1)(a) | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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