2012-11-05T15:59:27-06:00 2011-12-31 990 2011-01-01 411989509 NAEVE HEALTH CARE FOUNDATION NAEV 5073776380 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 TP MYERS 5073776380 2012-11-05 2011 2016-02-24 21:20:13Z TP MYERS 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 1541311 0 X HTTP://NAEVEFOUNDATION.COM X 2000 MN RAISING PHILANTHROPIC DOLLARS FOR HIGH QUALITY COST-EFFECTIVE HEALTHCARE AT MCHS-ALBERT LEA. 15 15 0 26 0 0 201110 147203 0 0 219862 216023 -16348 15470 404624 378696 515421 392122 0 0 0 0 0 0 0 22401 24808 537822 416930 -133198 -38234 5538986 4897080 707054 475845 4831932 4421235 X TO ENSURE THE FUTURE OF LOCAL, QUALITY HEALTH CARE THROUGH THE CONTINUED DEVELOPMENT OF A PERMANENT ENDOWMENT FUND AND OTHER PHILANTHROPIC RELATIONSHIPS AND ACTIVITIES AS MAY BE DEEMED APPROPRIATE FOR THE GROWTH AND DEVELOPMENT OF MAYO CLINIC HEALTH SYSTEMS IN ALBERT LEA AND SURROUNDING COMMUNITIES. 0 0 269192 269192 NAEVE HEALTH CARE FOUNDATION'S 2011 GIFT OF $183,192 WAS DIRECTED TOWARDS "THE BEAT GOES ON" TO PURCHASE CARDIAC CARE EQUIPMENT FOR AREA FIRST RESPONDERS AND MCHS-ALBERT LEA'S AMBULANCE SERVICES, CARDIOLOGY, AND CARDIAC REHAB DEPARTMENTS. THE NCHF CHALLENGED THE COMMUNITY TO CONTRIBUTE TO "THE BEAT GOES ON" AND IN 2011 AN ADDITIONAL $86,000 WAS CONTRIBUTED TO MAYO CLINIC HEALTH SYSTEM-ALBERT LEA, FOR A TOTAL GIFT OF $269,192 DIRECTED TOWARDS "THE BEAT GOES ON". 123060 122930 THE FOUNDATION ALSO CONTINUED TO COLLECT GIFTS RELATED TO THE 2010 PROJECT PINK CAMPAIGN AND LONG-TERM CAPITAL CAMPAIGN. CONTRIBUTIONS FROM THESE EFFORTS AMOUNTED TO $41,000 AND $77,000 RESPECTIVELY WHICH WERE GIVEN TO MCHS-ALBERT LEA DURING 2011.ADDITIONALLY, THE FOUNDATION CONTRIBUTED A TOTAL OF $4,930 TO MCHS-ALBERT LEA IN 2011, OF WHICH $1,730 WAS DONATED THROUGH THE KASAL FUND TO SUPPORT PATIENTS OF MCHS-ALBERT LEA AND $3,200 WAS APPLIED TOWARDS PROGRAMS SUCH AS DIABETES EDUCATION, THE BABY PLACE, THE STROKE GROUP, AND FOUNTAIN CENTERS RECREATIONAL EQUIPMENT. 392252 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 15 15 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X DAVID BONNERUP 5073776380 404 FOUNTAIN ST ALBERT LEA MN 56007 X ANDERSON JAMES 1.00 X 0 0 0 BENDA HEATHER 1.00 X 0 0 0 BROWNLOW STEVE 1.00 X X 0 0 0 CLARK DIANE 1.00 X X 0 0 0 ECKSTROM MD MICHAEL 1.00 X 0 0 0 ERLANDSON KENT 1.00 X 0 0 0 HABBEN MARCIA 1.00 X 0 0 0 JOHNSTON ALEX 1.00 X 0 0 0 KALIS HENRY 1.00 X 0 0 0 LADLIE PENNIE 1.00 X 0 0 0 MURRAY RICHARD 1.00 X 0 0 0 MYERS MD THEODORE P 1.00 X X 0 0 0 PULLEY BARB 1.00 X 0 0 0 RASK MD CLIFFORD 1.00 X 0 0 0 SKOPHAMMER NANCY 1.00 X 0 0 0 VERMEDAHL CLAIRE 1.00 X X 0 0 0 CIOTA MD MARK 1.00 X 0 0 0 0 0 0 0 0 0 0 0 40910 106293 147203 128359 128359 1250279 1162615 87664 87664 87664 15470 40910 0 15470 15470 378696 0 0 231493 392122 392122 24678 24678 MISC. EXPENSE 130 130 416930 392252 24678 0 426911 174756 133793 45966 4955340 4658552 22942 17806 5538986 4897080 707054 475845 707054 475845 X 4312337 4000976 218052 118716 301543 301543 4831932 4421235 5538986 4897080 X -38234 -372463 X 0 0 0 X 1581314 310716 61465 201110 147203 2301808 1581314 310716 61465 201110 147203 2301808 48090 2253718 181073 224173 144279 117588 128359 795472 15470 15470 3112750 0.72400 0.71580 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: GROSS RECEIPTS FROM FUNDRAISING EVENT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 301543 301543 301543 301543 281543 20000 301543 281543 281543 0.00000 1.00000 0 0 0 WELLS FARGO INVESTMENTS 4658552 F 4658552 PART IV, LINE 2B: THE FOUNDATION HOLDS FUNDS ON BEHALF OF MAYO CLINIC HEALTH SYSTEM-ALBERT LEA. THE FOUNDATION HAS SIGNATURE AUTHORITY OVER THESE FUNDS AND INVESTS THEM ON BEHALF OF MCHS-ALBERT LEA. THESE FUNDS ARE SEGREGATED ON THE BOOKS AND RECORDS OF THE FOUNDATION. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT PATIENTS OF MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND PROVIDE SCHOLARSHIPS FOR STUDENTS FOR FOUNTAIN CENTERS. THE BEAT GOES ON 56380 40910 15470 56380 40910 15470 15470 1 MAYO CLINIC HEALTH SYSTEM-ALBERT LEA 404 FOUNTAIN ST ALBERT LEA MN 56007 411404075 501(C)(3) 392122 SUPPORT PROGRAMS OF ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CHECKS ARE ISSUED TO THE MCHS-ALBERT LEA. SINCE THE GRANTS ARE USED TO SUPPORT THE OPERATIONS OF MCHS-ALBERT LEA, AND SINCE THE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL SUPPORT TO MCHS-ALBERT LEA, THE GRANTS CAN ONLY BE USED FOR THE INTENDED PURPOSE. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL ECKSTROM, M.D. HAD A BUSINESS RELATIONSHIP WITH NANCY SKOPHAMMER. FORM 990, PART VI, SECTION A, LINE 3 DEVELOPMENT OFFICER IS AN EMPLOYEE OF MAYO CLINIC HEALTH SYSTEM-ALBERT LEA. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW BY TAX UNIT PRIOR TO SUBMISSION TO SITE PERSONNEL. THE TAX RETURN IS THEN REVIEWED BY SITE FINANCE STAFF AND THE DEVELOPMENT OFFICER. THE TAX RETURN IS FORWARDED TO THE ORGANIZATION'S GOVERNING BODY. QUESTIONS ARE ADDRESSED AND RETURN IS APPROVED BY THE GOVERNING BODY. APPROVAL IS DOCUMENTED AS A PART OF THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH CONFLICT OF INTEREST POLICY -- ANNUALLY THE FOLLOWING WILL BE REQUIRED TO SIGN A CONFLICT OF INTEREST ACKNOWLEDGEMENT: A.BOARD OF TRUSTEE MEMBERS B.COMMITTEE MEMBERS OF THE MAJOR NHCF COMMITTEES C.EMPLOYEES OF NHCF AND/OR THE DEVELOPMENT OFFICER 2.AN INDIVIDUAL FROM THE ABOVE GROUPS MAY BE ASKED TO ABSTAIN FROM VOTING OR PARTICIPATING IN THE DECISION MAKING ACTIVITIES AFFECTED BY THE DISCLOSURE. 3.AN INDIVIDUAL MAY BE ASKED TO LEAVE A MEETING WHERE THE DECISION MAKING ACTIVITIES WOULD BE AFFECTED BY THE DISCLOSURE. 4.IF AN INDIVIDUAL NEGLECTS TO DISCLOSE APPROPRIATELY, DISCIPLINARY ACTION WILL BE CONSIDERED UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR POSITION ON THE BOARD. THE COMPLIANCE OFFICER OF MCHS-ALBERT LEA ASSISTS THE BOARD IN DISTRIBUTION AND COLLECTION OF ANNUAL DISCLOSURE FORMS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -341,757. PLEDGE WRITE-OFFS -30,706. TOTAL TO FORM 990, PART XI, LINE 5: -372,463.