HENNEPIN HEALTH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HENNEPIN HEALTH FOUNDATION (EIN 41-0845733)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-03
- IRS object ID
- 201222779349300012
- Schema version
- 2011v1.2
- 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 | 2012-10-03T10:08:26-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410845733 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENNEPIN HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HENN | NameControl |
| Phone | 6128736090 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK AVENUE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55415 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUZANNE BEGIN | Name |
| Title | PRESIDENT | Title |
| Phone | 6128736090 | Phone |
| Date Signed | 2012-09-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | XIAOYAN LUO | Name |
| PTIN | P01305207 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SUZANNE BEGIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK AVE LSB-3 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2718383 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HCMC.ORG/HHF/INDEX.HTM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO RAISE AND ADMINISTER PHILANTHROPIC SUPPORT FOR HENNEPIN COUNTY MEDICAL CENTER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 42 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1861881 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1362560 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143509 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 129731 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7172 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6914 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 186413 | OtherRevenuePriorYear |
| Other Revenue Current Year | 409014 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2198975 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1908219 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 211047 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 473059 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 872325 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1043911 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 436057 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 548611 | OtherExpensePriorYear |
| Other Expenses Current Year | 431532 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1631983 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1948502 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 566992 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -40283 | RevenuesLessExpensesCY |
| Total Assets BOY | 2189760 | TotalAssetsBOY |
| Total Assets EOY | 2058638 | TotalAssetsEOY |
| Total Liabilities BOY | 284257 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 195932 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1905503 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1862706 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 672068 | Expense |
| Grants | 358569 | Grants |
| Revenue | 129731 | Revenue |
| Description | INNOVATIONS IN PATIENT CAREOUR MISSION, CLINICAL SERVICES, LOCATION AND DIVERSE PATIENT POPULATION MAKE HCMC UNIQUE FROM OTHER HOSPITAL SYSTEMS IN THE TWIN CITIES. HCMC PROVIDES A SIGNIFICANT LEVEL OF CARE TO LOW-INCOME, UNINSURED, AND VULNERABLE POPULATIONS. IN 2010, HCMC PROVIDED A COMMUNITY BENEFIT OF MORE THAN $166 MILLION DOLLARS, AS TRACKED BY THE MINNESOTA HOSPITAL ASSOCIATION. WE TAKE PRIDE IN OUR COMMITMENT TO PROVIDE ACCESS TO CARE FOR PEOPLE WITH LIMITED OR NO ACCESS TO HEALTH CARE DUE TO THEIR FINANCIAL OR INSURANCE STATUS OR HEALTH CONDITION. TO ANSWER THE NUMEROUS NEEDS OF OUR PATIENT POPULATION, THE HENNEPIN HEALTH FOUNDATION WORKS WITH SOCIAL SERVICES AND PATIENT REPRESENTATIVES TO PROVIDE SUPPORT FOR: INTERPRETERS IN 21 DIFFERENT LANGUAGES, PATIENT AND FAMILY TRANSPORTATION, FOOD, AND CLOTHING, RESOURCES FOR PRESCRIPTIONS AND HEALTHCARE EQUIPMENT, AND CONNECTIONS TO COMMUNITY RESOURCES. OUR AIM IS ALSO TO SPUR INNOVATION WITHIN OUR STAFF TO REMOVE BARRIERS TO HEALTHCARE USING TECHNOLOGY, NEW DELIVERY MODELS OF PRIMARY CARE AND DENTAL HEALTH, AND COMMUNITY HEALTH INITIATIVES WITH DIVERSE COMMUNITY PARTNERS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 296686 | Expense |
| Grants | 505 | Grants |
| Revenue | 0 | Revenue |
| Description | RETAIL VENTURESTHE FOUNDATION OPERATES TWO GIFT SHOPS, THREE COFFEE KIOSKS AND ALL VENDING MACHINES AT HCMC. PROCEEDS FROM THESE ENDEAVORS BENEFIT THE FOUNDATION AND FORM AN UNRESTRICTED POOL OF FUNDS. THESE FUNDS ARE DISBURSED BACK INTO HCMC AS GRANTS ONCE A YEAR THROUGH AN INTERNAL REQUEST FOR PROPOSAL PROCESS. DEPARTMENTS AND PROGRAMS OFFERING INNOVATIVE SOLUTIONS TO PATIENT CARE, AID AND COMFORT ARE ELIGIBLE TO APPLY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 133837 | Expense |
| Grants | 80450 | Grants |
| Revenue | 0 | Revenue |
| Description | EDUCATING THE WORKFORCE OF TOMORROWHCMC TRAINS THE DOCTORS AND NURSES WHO MAKE YOU HEALTHY, EDUCATES THE THERAPISTS WHO GUIDE YOUR RECOVERY, INSTRUCTS THE PHARMACISTS WHO DISPENSE YOUR MEDICINE, AND TEACHES THE FIRST RESPONDERS WHO SAVE YOUR LIFE. OVER HALF OF ALL PHYSICIANS IN MINNESOTA RECEIVED TRAINING AT HCMC. AT ANY GIVEN TIME, 90 UNIVERSITY OF MINNESOTA MEDICAL STUDENTS AND MORE THAN 270 RESIDENTS ARE TRAINING IN OUR HOSPITAL AND CLINICS. IN ALL, STUDENTS FROM OVER 140 HOSPITALS, COLLEGES AND UNIVERSITIES ACROSS THE WORLD COME TO HCMC FOR CLINICAL TRAINING. IN ADDITION, 20,000 OTHER PROFESSIONALS ACCESS OUR HEALTHCARE AND DISASTER PREPAREDNESS COURSES EACH YEAR, INCLUDING LOCAL FIRE AND POLICE DEPARTMENTS. THROUGH HENNEPIN HEALTH FOUNDATION'S INNOVATION IN MEDICAL EDUCATION FUND YOU CAN ENSURE THERE WILL BE A COMPETENT AND DIVERSE WORKFORCE TO TAKE CARE OF YOU AND THOSE YOU LOVE. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 36339 | 5523 | 0 | TRAUMA AND CRITICAL CAREHCMC IS HOME TO THE LARGEST AND BUSIEST LEVEL 1 TRAUMA CENTER IN THE STATE, INCLUDING A PEDIATRIC LEVEL 1 TRAUMA CENTER. GENEROSITY PROVIDES FUNDING TO PATIENT CARE SERVICES RELATED TO HCMC'S LEVEL 1 TRAUMA DESIGNATION SUCH AS PATIENT COMFORT IN TRAUMATIC BRAIN INJURY, THE BURN UNIT, STROKE CARE, AND HEART CLINIC, POISON CONTROL AND TOXICOLOGY CARE, CARE DURING AND AFTER TRANSPLANT, AND CARE IN DEALING WITH THE EFFECTS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD ABUSE AND NEGLECT. |
| 35954 | 28012 | 0 | MEDICAL RESEARCHSINCE 1952, THE MINNEAPOLIS MEDICAL RESEARCH FOUNDATION HAS PROVIDED A HOME WHERE PHYSICIANS AT HCMC CAN STUDY DISEASES THEY SEE IN THEIR PATIENTS AND DEVELOP NEW TREATMENTS TO IMPROVE THEIR CARE. TODAY, OVER 200 PRACTICING PHYSICIANS AND MEDICAL PROFESSIONALS ACTIVELY INVESTIGATE THE CAUSES AND TREATMENTS OF DISEASE. INSIGHTS PROVIDED BY THEIR RESEARCH LOOK TO LESSEN THE IMPACT OF TODAY'S HEALTH PROBLEMS INCLUDING DIABETES, ADDICTION, HEART DISEASE, HIV/AIDS, TRAUMATIC BRAIN INJURY, AND ALZHEIMER'S. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 72293 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 33535 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 1174884 | 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 | 1 | 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | 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 | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 42 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ZUZANNE FENNER | NamePerson |
| Telephone Number | 6128733959 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK AVENUE P1 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| GAYLAN ROCKSWOLD MD | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| DAVID JONES | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| KATHLEEN FINNEGAN LAMEY | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| SCOTT ANDERSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL BELZER MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 346315 | 53498 | |
| MARY BERGAAS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TIMOTHY CRIMMONS MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN CROSSON MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ANNA LUISA FAJER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAM FLENNIKEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ART GONZALEZ PHD | ||||||
| DIRECTOR | 1.00 | X | 0 | 513530 | 48104 | |
| JOEL GREENWALD MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM HEEGAARD MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TWANYA HOOD HILL | ||||||
| DIRECTOR | 1.00 | X | 0 | 52555 | 3129 | |
| TERRI HUML | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DON JACOBS MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAN MILLER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DAVID ORBUCH | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BRUCE PAULSON JD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAUL PENTAL MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROBERT QUICKEL MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOSHUA RIFF MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| AHMED SAMATAR PHD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JUDY SHANK MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| CHIP TRUWIT MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARCIA ZIMMERMAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| EMILY FUERSTE | ||||||
| FORMER PRESIDENT | 40.00 | X | 0 | 187335 | 19394 | |
| CHERYL KRAFT | ||||||
| INTERIM PRESIDENT | 40.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1099735 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 124125 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 29167 | FederatedCampaigns |
| Fundraising Events | 43475 | FundraisingEvents |
| Related Organizations | 112312 | RelatedOrganizations |
| Government Grants | 18052 | GovernmentGrants |
| All Other Contributions | 1159554 | AllOtherContributions |
| Noncash Contributions | 39793 | NoncashContributions |
| Total Contributions | 1362560 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMISSIONS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 129731 | TotalRevenueColumn |
| Related Or Exempt Function Income | 129731 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 129731 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6953 | TotalRevenueColumn |
| Exclusion | $6,953 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 100000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 100039 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -39 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -39 | TotalRevenueColumn |
| Exclusion | -$39 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 261544 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 43475 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 96544 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165000 | TotalRevenueColumn |
| Exclusion | $165,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 851308 | GrossSalesOfInventory |
| Cost Of Goods Sold | 613581 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 237727 | TotalRevenueColumn |
| Exclusion | $237,727 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 6287 | TotalRevenueColumn |
| Exclusion | $6,287 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6287 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1908219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 129731 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $415,928 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472913 | Total |
| Program Services | 472913 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146 | Total |
| Program Services | 146 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 990043 | Total |
| Program Services | 277221 | ProgramServices |
| Management And General | 282061 | ManagementAndGeneral |
| Fundraising | 430761 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9392 | Total |
| Program Services | 8657 | ProgramServices |
| Management And General | 735 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18686 | Total |
| Program Services | 16421 | ProgramServices |
| Management And General | 2265 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25790 | Total |
| Program Services | 25031 | ProgramServices |
| Management And General | 759 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134449 | Total |
| Program Services | 134449 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183793 | Total |
| Program Services | 142289 | ProgramServices |
| Management And General | 37589 | ManagementAndGeneral |
| Fundraising | 3915 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 859 | Total |
| Program Services | 859 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17354 | Total |
| Program Services | 17354 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9389 | Total |
| Program Services | 9006 | ProgramServices |
| Management And General | 383 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16232 | Total |
| Program Services | 13099 | ProgramServices |
| Management And General | 1752 | ManagementAndGeneral |
| Fundraising | 1381 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52454 | Total |
| Program Services | 52454 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1070 | Total |
| Program Services | 1070 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 11591 | 24 | 11567 |
| DUES & SUBSCRIPTIONS | 2487 | 2062 | 425 |
| MISCELLANEOUS | 1338 | 1338 | |
| TAXES & LICENSES | 516 | 491 | 25 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1948502 | Total |
| Program Services | 1174884 | ProgramServices |
| Management And General | 337561 | ManagementAndGeneral |
| Fundraising | 436057 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 811485 | BOY |
| EOY | 1051816 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315535 | BOY |
| EOY | 212982 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 309009 | BOY |
| EOY | 81117 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45933 | BOY |
| EOY | 22326 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83520 | BOY |
| EOY | 96694 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2325 | BOY |
| EOY | 2514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 306358 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 185681 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173131 | BOY |
| EOY | 120677 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 448822 | BOY |
| EOY | 470512 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2189760 | BOY |
| EOY | 2058638 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221540 | BOY |
| EOY | 180042 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62717 | BOY |
| EOY | 15890 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 284257 | BOY |
| EOY | 195932 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1274816 | BOY |
| EOY | 912208 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 620687 | BOY |
| EOY | 940498 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10000 | BOY |
| EOY | 10000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1905503 | BOY |
| EOY | 1862706 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2189760 | BOY |
| EOY | 2058638 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -40283 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2514 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 1 | ContribByControllingIndividual |
| Contribution By Related Party | 1 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| HENNEPIN HEALTH SYS | |||||
| 421707837 | 3 | 1 | 1 | 1 | $472,913 |
| MPLS MED RESRCH FDTN | |||||
| 411677920 | 7 | 1 | 1 | $0 | |
| HENNEPIN FACULTY ASSC | |||||
| 411461900 | 9 | 1 | 1 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 472913 | 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
Art Public Exhibition Amts ArtPublicExhibitionAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | 6694 | RevenuesIncluded |
| Assets In Part X | 470512 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Collect Used For Preservation | X | CollectUsedForPreservation |
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12278 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 225 | InvestmentEarningsOrLosses |
| Administrative Expenses | 140 | AdministrativeExpenses |
| End Of Year Balance | 12363 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11841 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 535 | InvestmentEarningsOrLosses |
| Administrative Expenses | 98 | AdministrativeExpenses |
| End Of Year Balance | 12278 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.80890 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.19110 | 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 | 306358 | OtherCostOrOtherBasis |
| Depreciation | 185681 | Depreciation |
| Book Value | 120677 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 120677 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ART COLLECTION | Description |
| Book Value | 470512 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 470512 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO FISCAL AGENT | Description |
| Amount | $15,890 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15890 | TotalOfAmounts |
| Total Revenue | 1908219 | TotalRevenue |
| Total Expenses | 1948502 | TotalExpenses |
| Excess Or Deficit For Year | -40283 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -2514 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -2514 | TotalAdjustments |
| Excess Or Deficit Per FS | -42797 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2904675 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2514 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 385389 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 613581 | OtherRevenues |
| Revenue Not Rptd F990 | 996456 | RevenueNotRptdF990 |
| Revenue Subtotal | 1908219 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1908219 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2947472 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 385389 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 613581 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 998970 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1948502 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1948502 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART III, LINE 4: | THE FOUNDATION'S ART COLLECTION IS DISPLAYED ACROSS THE CAMPUS OF HENNEPIN COUNTY MEDICAL CENTER FOR THE ENJOYMENT OF PATIENTS, VISITORS, AND STAFF TO FACILITATE A HEALING ENVIRONMENT. | |
| PART V, LINE 4: | THE FOUNDATION MAINTAINS THE ENDOWMENT FUNDS TO SUPPORT OR PROMOTE PROGRAMS THROUGHOUT HENNEPIN COUNTY MEDICAL CENTER. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| PART X: | THE FOUNDATION HAS A TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND MINNESOTA STATUTE AND CORRESPONDING TAX CODES, AND THEREFORE THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE INTERNAL REVENUE CODE AND CHARITABLE CONTRIBUTIONS BY DONORS ARE TAX DEDUCTIBLE. THE FOUNDATION'S 2008 - 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE FOUNDATION FILES AS A TAX EXEMPT ORGANIZATION, SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION WOULD BE SUBJECT TO REVIEW BY THE IRS. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| COST OF GOODS SOLD 613,581. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| COST OF GOODS SOLD 613,581. | PART XIII, LINE 2D - OTHER ADJUSTMENTS: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LIGHT UP THE NIGHT | NameOfEvent1 |
| Gross Receipts Event1 | 272419 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 21600 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 250819 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 10000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 45497 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 2500 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 18886 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CLUBS & SCRUBS GOLF EVENT | NameOfEvent2 |
| Gross Receipts Event2 | 32600 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 21875 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 10725 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 3000 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 11458 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 5203 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 305019 | GrossReceiptsTotal |
| Charitable Contributions Total | 43475 | CharitableContributionsTotal |
| Gross Revenue Total Events | 261544 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 13000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 56955 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 24089 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 96544 | DirectExpenseSummaryEvents |
| Net Income Summary | 165000 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENNEPIN HEALTHCARE SYSTEM INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK AVENUE NORTH | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 421707837 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 472913 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | TO SUPPORT UNFUNDED PROGRAMS. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | 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: IN MOST CASES, THE FOUNDATION MAINTAINS CONTROL OF THE FUNDS GRANTED AND HENNEPIN HEALTH SYSTEM SUBMITS EXPENSE REPORTS TO THE FOUNDATION. THE FOUNDATION ONLY MAKES GRANTS TO RELATED SUPPORTED ORGANIZATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BELZER MD | |||||||||||||
| 0 | 346315 | 0 | 0 | 0 | 0 | 0 | 31125 | 0 | 22373 | 0 | 399813 | 0 | 0 |
| ART GONZALEZ PHD | |||||||||||||
| 0 | 513530 | 0 | 0 | 0 | 0 | 0 | 24500 | 0 | 23604 | 0 | 561634 | 0 | 0 |
| EMILY FUERSTE | |||||||||||||
| 0 | 173608 | 0 | 0 | 0 | 13727 | 0 | 10742 | 0 | 8652 | 0 | 206729 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4A | EMILY FUERSTE - SEVERANCE PAYMENT - $13,727 | |
| PART III | THE COMPENSATION OF THE PRESIDENT, AS WELL AS OTHER OFFICERS AND BOARD MEMBERS OF THE FOUNDATION, IS DETERMINED BY HENNEPIN HEALTHCARE SYSTEM ("HHS"), THE FOUNDATION'S SOLE MEMBER. THE HHS BOARD OF DIRECTORS ENGAGED AN INDEPENDENT CONSULTING FIRM TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER QUALIFIED EXECUTIVES. MCGLADREY GATHERED COMPARABILITY DATA ACCORDING TO THE ASSUMPTIONS OUTLINED IN HHS' COMPENSATION PHILOSOPHY, INCLUDING DATA RELEVANT TO OTHER ACADEMIC AND PUBLIC HOSPITALS. THE DATA TOOK INTO CONSIDERATION THE SCOPE OF THE COMPARISON GROUP, INCLUDING FACTORS SUCH AS REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC REGION. MCGLADREY COMPILED THIS DATA FIRST FOR CONSIDERATION BY THE COMPENSATION SUBCOMMITTEE OF THE BOARD, AND THEN APPROVAL BY THE FULL BOARD. THE PRESIDENT OF HENNEPIN HEALTH FOUNDATION IS ALSO THE VICE PRESIDENT OF PHILANTHROPY FOR HHS; THEREFORE HER COMPENSATION WAS DETERMINED USING THIS METHOD. THE FOUNDATION HAS NO OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES. THE FOLLOWING WERE USED BY HENNEPIN HEALTHCARE SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | SUPPLEMENTAL INFORMATION |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 24 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 6694 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SUPPLIES | Description |
| Number Of Contributions | 300 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 33099 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | 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 | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION STATEMENT | FORM 990, PART III, LINE 1 | HENNEPIN HEALTH FOUNDATION (HHF) WAS CREATED TO ENGAGE THE COMMUNITY TO BECOME PART OF THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER (HCMC). HCMC'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TO EVERY PATIENT, SEARCH FOR NEW WAYS TO IMPROVE CARE, EDUCATE HEALTHCARE PROVIDERS FOR THE FUTURE AND ENSURE ACCESS TO HEALTHCARE FOR ALL. HCMC IS MINNESOTA'S LARGEST PUBLIC SAFETY NET AND ACADEMIC MEDICAL CENTER. HCMC IS HOME TO THE LARGEST AND BUSIEST TRAUMA CENTER IN THE STATE, AND TRAINS THE MAJORITY OF PHYSICIANS, NURSES AND OTHER CLINICIANS WHO CARE FOR THE CITIZENS OF THE STATE. HCMC'S HOSPITAL AND CLINICS SERVE MORE THAN 140,000 PEOPLE FROM ACROSS THE STATE MAKING MORE THAN 460,000 VISITS EACH YEAR. GENEROSITY MAKES AN IMPACT ON THE AID AND COMFORT OF PATIENTS, REMOVES BARRIERS TO HEALTHCARE ACCESS, SPONSORS EDUCATION INITIATIVES, AND SUPPORTS RESEARCH TACKLING SOME OF TODAY'S MAJOR HEALTH ISSUES. HHF RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT IN FOUR MAIN AREAS: INNOVATIONS IN PATIENT CARE, TRAUMA AND CRITICAL CARE, EDUCATING THE WORKFORCE OF TOMORROW, AND RESEARCH. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE FOUNDATION IS HENNEPIN HEALTHCARE SYSTEM, INC., A MINNESOTA NONPROFIT ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS ARE APPOINTED BY THE SOLE MEMBER, HENNEPIN HEALTHCARE SYSTEM. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOUNDATION MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT RECEIVING APPROVAL BY THE SOLE MEMBER, HENNEPIN HEALTHCARE SYSTEM: 1. INCUR LONG-TERM DEBT; 2. MORTGAGE OR ENCUMBER ANY ASSETS OF THE FOUNDATION; 3. SELL, LEASE, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF ITS PROPERTY AND ASSETS; 4. ADD OR DELETE MAJOR SERVICES; 5. VOLUNTARILY DISSOLVE; 6. PURCHASE OR ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER ENTITY; 7. MERGE, CONSOLIDATE WITH ANY DOMESTIC OR FOREIGN ORGANIZATION, OR LEASE OR SELL MORE THAN FIFTY PERCENT OF THE FOUNDATION'S PROPERTY AND ASSETS TO ANY ENTITY IN ANY ONE TRANSACTION OR SERIES OF RELATED TRANSACTIONS; 8. PREPAY ANY INDEBTEDNESS PRIOR TO THE TIME FOR PAYMENT THEREOF AS PROVIDED IN THE CONTRACT EVIDENCING OR CREATING SUCH INDEBTEDNESS; 9. LOAN MONEY OR OTHER ASSETS TO OR GUARANTEE THE OBLIGATIONS OF ANY PERSON OR ENTITY; 10. APPROVE ANNUAL OPERATING BUDGETS, ANNUAL OR LONG-RANGE CAPITAL BUDGETS, AND NON-BUDGETED CONTRACTS ENTERED INTO OVER $50,000; 11. SUBSTANTIALLY CHANGE THE PRESENT OR NOW INTENDED NATURE OF THE FOUNDATION'S OPERATIONS; 12. APPROVE ANY EXTRAORDINARY COMPENSATION OR BONUS TO ANY EMPLOYEE; 13. ELIMINATE, CHANGE OR ADD TO THE BENEFICIARY ORGANIZATIONS OF THE FOUNDATION; 14. APPOINTMENT OF A CERTIFIED PUBLIC ACCOUNTANT TO AUDIT THE BOOKS AND RECORDS OF ACCOUNT OF THE CORPORATION; AND 15. AMEND THE ARTICLES OF INCORPORATION OR BYLAWS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETE FORM 990 WILL BE REVIEWED BY THE FOUNDATION'S FINANCE COMMITTEE AND THEN REVIEWED BY THE WHOLE BOARD. IN ADDITION, THE COMPLETE FORM 990 WILL BE PROVIDED TO THE SUPPORTED ORGANIZATION'S FINANCE COMMITTEE AND AVAILABLE TO THE SUPPORTED ORGANIZATION'S FULL BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS, BOARD MEMBERS, AND COMMITTEE MEMBERS. DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY CONFLICTS. INDIVIDUALS WITH ACTUAL OR POTENTIAL CONFLICTS ARE REQUIRED TO DISCLOSE THE RELEVANT FACTS TO THE BOARD OR COMMITTEE CONSIDERING THE TRANSACTION. AFTER PRESENTING THE RELEVANT FACTS TO THE BOARD OR COMMITTEE, THE INTERESTED PERSON LEAVES THE ROOM FOR THE SUBSEQUENT DISCUSSION AND VOTE ON THE TRANSACTION. THE BOARD OR COMMITTEE MAY SEEK ALTERNATIVE TRANSACTIONS THAT DO NOT INVOLVE A CONFLICT. ALL SUCH SITUATIONS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. EACH REQUEST IS EVALUATED AND FULFILLED AS APPROPRIATE. | |
| EXPLANATION FOR CHANGE IN LEADERSHIP | FORM 990, PART VII, SECTION A | DURING THE YEAR ENDING DECEMBER 31, 2011 THE FOUNDATION EXPERIENCED A CHANGE IN LEADERSHIP. EMILY FUERSTE RESIGNED IN JULY OF 2011 AND CHERYL KRAFT CAME ONBOARD AS INTERIM PRESIDENT IN AUGUST OF 2011 WHILE HCMC CONDUCTED A SEARCH FOR A PERMANENT REPLACEMENT. SUZANNE BEGIN WAS SELECTED AS PRESIDENT OF HENNEPIN HEALTH FOUNDATION AND VICE PRESIDENT, PHILANTHROPY HCMC AND BEGAN WORK IN MARCH OF 2012. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,514. |
| EXPLANATION FOR GRANTS AND ASSISTANCE TO ORGANIZATIONS IN THE UNITED STATES | FORM 990, PART IX, LINE 1 | THE FOUNDATION RECEIVED DONATED SERVICES IN THE AMOUNT OF $110,000 FROM HENNEPIN HEALTHCARE SYSTEM, A RELATED ORGANIZATION THAT ARE NOT RECOGNIZED IN THE FORM 990 REVENUES AND EXPENSES PER IRS GUIDANCE. THE FOUNDATION MADE THESE DONATED SERVICES AVAIALBLE TO MINNESOTA MEDICAL RESEARCH FOUNDATION IN SUPPORT OF RESEARCH EFFORTS THAT WOULD HAVE BEEN REPORTED IN PART IX, LINE 1 AND SCHEDULE I, PART II. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HENNEPIN HEALTHCARE SYSTEM INC | |||||||||||
| 701 PARK AVENUE NORTH | MINNEAPOLIS | MN | 55415 | 421707837 | HOSPITAL | MN | 501(C)(3) | LINE 3 | N/A | 0 | |
| MINNEAPOLIS MEDICAL RESEARCH FOUNDATION | |||||||||||
| 914 S 8TH ST STE 600 | MINNEAPOLIS | MN | 55404 | 411677920 | MEDICAL RESEARCH | MN | 501(C)(3) | LINE 7 | 0 | HENNEPIN FACULTY ASSOCIATES | |
| HENNEPIN FACULTY ASSOCIATES | |||||||||||
| 914 S 8TH ST STE 600 | MINNEAPOLIS | MN | 55404 | 411461900 | HEALTHCARE PROVIDER | MN | 501(C)(3) | LINE 9 | N/A | 0 | |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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