2011-10-31T10:41:01-05:00 2010-12-31 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-01-01 411426406 MINNEAPOLIS HEART INSTITUTE FOUNDATION MINN 6128633833 920 E 28TH STREET NO 100 MINNEAPOLIS MN 554071191 DANIEL B STENNES-ROGNESS 6128633833 2011-10-19 1 XIAOYAN LUO 6123764500 2010 2016-03-07 17:11:31Z JAMES V TOSCANO 920 E 28TH STREET NO 100 MINNEAPOLIS MN 554071191 13531602 0 X WWW.MPLSHEART.ORG X 1981 MN TO PROMOTE AND IMPROVE CARDIOVASCULAR HEALTH, QUALITY OF LIFE AND LONGEVITY FOR ALL. 34 33 92 1400 10125 6251 7997715 6194845 2624269 2560056 -1697738 459845 704013 641978 9628259 9856724 29267 326835 0 0 4856781 5437478 22543 0 866610 4295428 4282039 9204019 10046352 424240 -189628 22145432 23657369 1747117 2075680 20398315 21581689 X THROUGH GROUND-BREAKING CLINICAL RESEARCH, EDUCATION INITIATIVES AND HEALTH BEHAVIOR CHANGE PROGRAMS, WE WILL MAKE A TANGIBLE IMPACT ON IMPROVING INDIVIDUAL'S HEALTH AND REDUCE THE MORTALITY AND MORBIDITY OF CARDIOVASCULAR DISEASE. 0 0 5969898 326835 2346456 RESEARCH: DR. TIMOTHY HENRY, DIRECTOR OF RESEARCH AT THE MINNEAPOLIS HEART INSTITUTE FOUNDATION (MHIF) LED THE RESEARCH INITIATIVES FOR THE FOUNDATION. AS PRINCIPAL INVESTIGATOR FOR THE MINNESOTA CARDIOVASCULAR CELL THERAPY RESEARCH NETWORK (MNCCTRN), ONE OF FIVE SUCH NETWORKS DESIGNATED BY THE NATIONAL HEART LUNG & BLOOD INSTITUTE OF THE NATIONAL INSTITUTES OF HEALTH (NIH) CONTRIBUTED MEANINGFULLY IN 2010. ST. PAUL HEART CLINIC, MERCY HOSPITAL AND THE UNIVERSITY OF MINNESOTA FACULTY PRACTICE WERE JOINED BY THE MAYO CLINIC. DR. TIMOTHY HENRY AND DR. JAY TRAVERSE ALONG WITH PHYSICIAN INVESTIGATORS OF THE NEWLY ACTIVATED SITES AND THEIR RESEARCH STAFF WERE CREDITED WITH SIGNIFICANTLY CONTRIBUTING TO THE ENROLLMENT ON ALL OF THE APPROVED CELL THERAPY PROTOCOLS ACCOUNTING FOR UP TO TWO-THIRDS OF ENROLLMENT. THE OTHER FOUR CENTERS INCLUDE CLEVELAND CLINIC, UNIVERSITY OF FLORIDA AT GAINESVILLE, TEXAS HEART INSTITUTE AT ST. LUKE'S HOSPITAL AND VANDERBILT UNIVERSITY. THERE ARE THREE CLINICAL RESEARCH PROTOCOLS THAT ARE INVESTIGATING THE SAFETY AND EFFICACY OF CELL THERAPY IN HEART ATTACKS AND HEART FAILURE. AS THIS GRANT APPROACHES ITS FINAL YEAR, WE ARE PREPARING TO APPLY FOR COMPETITIVE RENEWAL WITH THE NIH. WE ARE HOPEFUL THAT BASED ON OUR PERFORMANCE, WE WILL CONTINUE IN OUR PURSUIT TO ADDRESS HEART DISEASE THROUGH NOVEL TREATMENTS AFFORDED BY FURTHER UNDERSTANDING CARDIOVASCULAR CELL THERAPIES.DR. BARRY MARON, DIRECTOR OF THE HYPERTROPHIC CARDIOMYOPATHY (HCM) CENTER AT THE MINNEAPOLIS HEART INSTITUTE FOUNDATION, IS A CLINICAL RESEARCH PIONEER IN THE DIAGNOSIS, TREATMENT AND MANAGEMENT OF HCM. IN 2010, HE IS CONTINUING HIS MULTI-YEAR GRANT FUNDED STUDY ON THE LONG-TERM FOLLOW-UP OF THE LARGEST DATA SET OF HCM PATIENTS WHO RECEIVED IMPLANTABLE CARDIAC DEFIBRILLATORS. THE RESULT OF THIS STUDY WILL SIGNIFICANTLY CONTRIBUTE TO THE UNDERSTANDING OF THE EFFICACY OF ICD THERAPY IN THIS PATIENT POPULATION.THE FOUNDATION EXPERIENCED A BOOM IN HEART FAILURE, HEART TRANSPLANT AND MECHANICAL CIRCULATORY SUPPORT RESEARCH. UNDER THE LEADERSHIP OF DRS. DAVID FELDMAN, NADER MOAZAMI AND BENJAMIN SUN, WE PARTICIPATED IN SEVERAL RESEARCH STUDIES INCLUDING PROTOCOLS FROM THE NIH HEART FAILURE CONSORTIUM AND SEVERAL PHARMACEUTICAL AND BIOMEDICAL DEVICE COMPANIES. UNDER DR. WILLIAM KATSIYIANNIS, OUR GENETIC ARRHYTHMIA CLINIC BEGAN COLLECTING DATA ON FAMILIAL CONNECTIONS OF SEVERAL LIFE-THREATENING ARRHYTHMIAS. THIS UNIQUE CLINIC STARTED ANALYZING BASELINE DEMOGRAPHICS AND CO-MORBID CHARACTERISTICS OF ENTIRE FAMILIES AND WOULD START REPORTING OUTCOMES DATA IN THE FUTURE. ONE OF OUR PHYSICIAN-INITIATED STUDIES WAS PRESENTED BY DR. DANIEL MELBY AT THE HEART RHYTHM SOCIETY MEETING IN DENVER, COLORADO AS PART OF LATE-BREAKING CLINICAL TRIAL SESSION. HE REPORTED THAT PATIENTS HAD LESS EARLY ATRIAL FIBRILLATION WHEN THEY RECEIVED STEROIDAL THERAPY AFTER THEIR ABLATION PROCEDURES.HISTORICALLY, WOMEN HAVE COMPRISED ONLY 25% OF PARTICIPANTS IN ALL HEART-RELATED CLINICAL RESEARCH STUDIES INDICATING THAT MORE INVESTIGATION IS NECESSARY. WE HAVE SEVERAL CLINICAL RESEARCH PROTOCOLS DELIBERATELY INVESTIGATING THE DYNAMICS OF HEART DISEASE IN WOMEN. IN OUR COLLABORATION WITH THE UNIVERSITY OF MINNESOTA AND YALE UNIVERSITY, WE HOPE TO CONTRIBUTE TO THE UNDERSTANDING OF WHY WOMEN WITH HEART DISEASE PRESENT AND RESPOND TO TREATMENT DIFFERENTLY FROM MEN.MHIF OBTAINED INFORMED CONSENTS AND ENROLLED 1,400 PATIENTS IN 2010.MHIF RESEARCHERS PUBLISHED NEARLY 90 ARTICLES IN PEER-REVIEWED JOURNALS AND PRESENTED THEIR FINDINGS AT OVER 100 PEER-REVIEWED OR INVITED LECTURES AND POSTERS IN THE PAST YEAR.MHIF HAD OVER 130 IRB APPROVED PROTOCOLS IN 2010, FROM COMPLEX CELL THERAPY, NOVEL INVESTIGATIONAL DEVICES TO OUTCOMES STUDIES. ALL OF THESE CONTRIBUTED TO THE UNDERSTANDING AND TREATMENT OF CARDIOVASCULAR DISEASE AND IMPROVE THE QUALITY OF LIFE OF PATIENTS FROM OUR IMMEDIATE COMMUNITY TO THE GREATER PUBLIC AT LARGE. 2220541 0 213600 EDUCATION: AT THE MINNEAPOLIS HEART INSTITUTE FOUNDATION (MHIF), RESEARCH AND EDUCATION PRACTICES INFORM ONE ANOTHER AND IN CONCERT, IMPROVE THE HEALTH AND CARE OF INDIVIDUALS WITH CARDIOVASCULAR DISEASE. IN 2010, THE FOUNDATION CONTINUED TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR BOTH STUDENTS AND HEALTH PROFESSIONALS. THE FOUNDATION EDUCATED MORE THAN 800 HEALTH PROFESSIONALS ON THE LATEST CARDIOVASCULAR RESEARCH PROTOCOLS AND FINDINGS THROUGH A REGIONAL WOMEN'S HEART HEALTH SUMMIT IN MINNEAPOLIS CO-HOSTED WITH THE UNIVERSITY OF MINNESOTA AND MAYO CLINIC; A NATIONAL CONFERENCE ON THERAPEUTIC HYPOTHERMIA FOR SUDDEN CARDIAC ARREST HELD IN MINNEAPOLIS; A NATIONAL SATELLITE SYMPOSIUM ON ADVANCED IMAGING TECHNIQUES AT THE VIVA (VASCULAR INTERVENTIONAL ADVANCES) MEETING IN LAS VEGAS; A NATIONAL SATELLITE SYMPOSIUM ON SYSTEMS OF CARE FOR EMERGENT CARDIOVASCULAR CONDITIONS AT THE AMERICAN HEART ASSOCIATION SCIENTIFIC SESSIONS IN CHICAGO; AND THROUGH NUMEROUS LOCAL PROGRAMS (E.G., CARDIOLOGY GRAND ROUNDS AND THE MHI FALL CARDIOVASCULAR NURSING CONFERENCE). MHIF ALSO PROVIDED A SUMMER RESEARCH INTERN PROGRAM FOR 13 UNDERGRADUATE STUDENTS INTERESTED IN BOTH RESEARCH AND MEDICINE.BESIDES PROFESSIONAL EDUCATION, MHIF CONTINUED TO PROVIDE COMMUNITY EDUCATION. IN 2010, EDUCATION WAS DELIVERED TO A VARIETY OF AUDIENCES, REACHING NEARLY 7,000 INDIVIDUALS THROUGHOUT THE YEAR AT NEARLY 110 DIFFERENT EVENTS. THE PROGRAMS DELIVERED INCLUDED BLOOD PRESSURE SCREENINGS, PRESENTATIONS, AND COOKING DEMONSTRATIONS AT WORKSITES AND COMMUNITY EVENTS, WOMEN AND GIRLS HEART HEALTH PREVENTION PROGRAMS (E.G., WOMEN ON THE MOVE, AND GIRLS AND MOMS ON THE MOVE), AND DISPLAYS AT HEALTH FAIRS. PROGRAM DEVELOPMENT IS UNDERWAY FOR SEVERAL NEW PROJECTS INCLUDING: AN EXPANSION OF THE GIRLS AND MOMS ON THE MOVE PROGRAM, WHICH INCLUDES A WEB-BASED VERSION OF THE PROGRAM, DEVELOPMENT OF ONLINE CURRICULUM FOR WOMENHEARTS' SUPPORT NETWORK COORDINATOR PATIENT SERVICES PROGRAM, AND THE DEVELOPMENT OF A CHILDREN'S BOOK AND INTERACTIVE WEBSITE TARGETING THIRD AND FOURTH GRADERS, WHICH INCLUDES ACTIVITIES FOR TEACHERS AND PARENTS. WE CONTINUE TO REACH OUT TO PARTNER WITH OTHER ORGANIZATIONS AND GROUPS IN ORDER TO EXPAND THE REACH OF OUR PROGRAMS TO OTHER DIVERSE COMMUNITIES. MHIF IS CURRENTLY REACHING OUT TO ORGANIZATIONS TO REACH AFRICAN AMERICANS AND HISPANICS WITH THE GOAL OF EXPANDING TO OTHER COMMUNITIES ONCE THESE PARTNERSHIPS ARE ESTABLISHED.IN PARTNERSHIP WITH ALLINA HOSPITALS & CLINICS, NEW ULM MEDICAL CENTER AND THE RESIDENTS OF NEW ULM, MHIF DELIVERED THE SECOND YEAR OF A 10-YEAR RESEARCH AND DEMONSTRATION PROJECT CALLED THE HEARTS BEAT BACK: THE HEART OF NEW ULM PROJECT. THE PROJECT GOAL IS TO REDUCE, AND EVENTUALLY ELIMINATE, HEART ATTACKS IN NEW ULM, MINNESOTA THROUGH INTEGRATED HEALTH CARE DELIVERY AND SERVICE ENHANCEMENTS, LIFESTYLE AND SOCIAL BEHAVIOR CHANGE PROGRAMS AND ENVIRONMENTAL POLICY CHANGES. IN 2010, THE PROJECT PROMOTED COMMUNITY HEALTH CHALLENGES TO EVERY HOUSEHOLD (APPROXIMATELY 6,000) IN TOWN AROUND IMPROVING PHYSICAL ACTIVITY LEVELS AND INCREASING CONSUMPTION OF FRUITS AND VEGETABLES. IN ADDITION, ALMOST 1,000 PEOPLE ATTENDED OVER 41 EDUCATIONAL SESSIONS (PRESENTATIONS, COOKING CLASSES AND GROCERY STORE TOURS), AND MANY MORE ATTENDED SEVERAL COMMUNITY EVENTS, INCLUDING DISTRICT LEADER LED EVENTS - WHICH USES A NEW MODEL OF COMMUNITY LEADERS TO EXPAND THE REACH OF THE PROJECT THROUGHOUT THE COMMUNITY. THE MAIN EVENTS, WHICH INCLUDED A FALL SUMMIT AND A FOOD HEALTH FAIR WITH A CULINARY COMPETITION, ATTRACTED AROUND 700 ATTENDEES. A THOROUGH WORKSITE WELLNESS ASSESSMENT FROM WELCOA WAS COMPLETED AT 45 WORKSITES. WORKSITES ALSO HAD A FALL SUMMIT, HEALTH PRESENTATIONS, AND FOUR WORKSITE WELLNESS PROGRAMS WHICH ATTRACTED OVER 2,000 EMPLOYEES AS PARTICIPANTS. THREE HEART OF NEW ULM PROVIDER GRAND ROUNDS EVENTS WERE HELD TO PROVIDE AN OPPORTUNITY FOR CLINICIANS TO LEARN MORE ABOUT STATE-OF-THE-ART THERAPIES FOR RISK IDENTIFICATION AND HEART ATTACK PREVENTION. NINETY PERCENT OF ALL AREA DOCTORS ATTENDED AT LEAST ONE OF THESE SESSIONS. THE HEARTBEAT CONNECTIONS PROGRAM LAUNCHED TO PROVIDE TELEPHONE-BASED COACHING TO PEOPLE AT HIGH RISK FOR A HEART ATTACK. 8190439 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 87 0 1 92 1 1 1 0 0 0 0 1 1 0 0 0 0 X 34 33 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN IL AZ FL NY WI X X DANIEL B STENNES-ROGNESS 6128633789 920 E 28TH STREET SUITE 100 MINNEAPOLIS MN 554071191 JAMES V TOSCANO 40.00 X X 227929 0 28944 M NICHOLAS BURKE MD 1.00 X X 0 0 0 ANN BENTDAHL 1.00 X X 0 0 0 TAMARRA GIERTZ 1.00 X X 0 0 0 JERRY JOHNSON 1.00 X X 0 0 0 PHIL ANKENY 1.00 X 0 0 0 FORREST BURKE 1.00 X 0 0 0 BARBARA BURWELL 1.00 X 0 0 0 BRADLEY CHAPIN 1.00 X 0 0 0 DEBORAH DIXSON 1.00 X 0 0 0 BARBARA SPELL DOVOLIS 1.00 X 0 0 0 MARNA FULLERTON 1.00 X 0 0 0 MORRIS GOODWIN JR 1.00 X 0 0 0 KEVIN GRAHAM MD 1.00 X 0 0 0 ELIZABETH GREY MD 1.00 X 0 0 0 ROBERT HAUSER MD 1.00 X 0 0 0 ALAN HIRSCH MD 1.00 X 0 0 0 MORRISON HODGES MD 1.00 X 0 0 0 ELIZABETH HOWELL 1.00 X 0 0 0 DAVID HURRELL MD 1.00 X 0 0 0 BEN JAFFRAY 1.00 X 0 0 0 WILLIAM KATSIYIANNIS MD 1.00 X 0 0 0 WILLIAM KAUFMAN 1.00 X 0 0 0 THOMAS KELLER III 1.00 X 0 0 0 MAUREEN KUCERA-WALSH 1.00 X 0 0 0 CASEY LAWLER MD 1.00 X 0 0 0 RICK LEGGOTT 1.00 X 0 0 0 RICHARD MEYER 1.00 X 0 0 0 MICHAEL MOONEY MD 1.00 X 0 0 0 STUART NOLAN 1.00 X 0 0 0 CINDY PIPER 1.00 X 0 0 0 OCTAVIO PORTU 1.00 X 0 0 0 COLLEEN SARGENT 1.00 X 0 0 0 ROBERT SCOTT MD 1.00 X 0 0 0 JOHN SEABERG 1.00 X 0 0 0 STEVE SJOBLAD 1.00 X 0 0 0 ARCHIE SMITH 1.00 X 0 0 0 TIM SULLIVAN MD 1.00 X 0 0 0 EMILY ANN TUTTLE 1.00 X 0 0 0 ROBERT VAN TASSEL MD 1.00 X 0 0 0 SHELDON WERT 1.00 X 0 0 0 DANIEL B STENNES-ROGNESS 40.00 X 127479 0 17433 JOE COSICO 40.00 X 189155 0 38746 BARRY MARON MD 40.00 X 242198 0 24223 JACKIE BOUCHER 40.00 X 130087 0 17433 SUSAN FINK 40.00 X 102628 0 6728 JEFF VAN WORMER 40.00 X 102049 0 14785 1121525 0 148292 7 0 1 0 ALLINA HEALTH SYSTEM 920 EAST 28TH STREET MINNEAPOLIS MN 55407 PHYSICIANS/CARDIOLOGISTS 579792 NEW ULM MEDICAL CENTER 1324 FIFTH STREET NORTH NEW ULM MN 56073 PROFESSIONAL MEDICAL SERVICES 393790 UNIVERSITY OF MINNESOTA NW 5957 MINNEAPOLIS MN 55485 STATISTICAL ANALYSIS 133511 DANIEL J EDELMAN INC 21992 NETWORK PLACE CHICAGO IL 60673 MARKETING SERVICES 131577 4 34959 688462 1061882 4409542 16456 6194845 RESEARCH STUDY REVENUE 541900 2346456 2346456 MISC PROGRAM SVC REV 900099 115086 104961 10125 TUITION REVENUE 611600 67414 67414 EECP PROGRAM REVENUE 541900 16800 16800 TRAINING IN CT ANGIO 611600 14300 14300 2560056 434665 434665 3485080 3459900 25180 25180 25180 110676 688462 214978 -104302 -104302 LICENSING FEES 900099 746280 746280 746280 9856724 203475 10125 3448279 326835 326835 630573 227901 312766 89906 3961706 3235443 264205 462058 228664 184711 24457 19496 290424 226113 9833 54478 326111 252610 35879 37622 28204 6248 21956 35700 35700 58565 58565 2803493 2698089 42545 62859 34618 29603 4500 515 214014 160121 1302 52591 43895 26222 12328 5345 469278 377030 46013 46235 282277 251851 21565 8861 129777 59638 62808 7331 37061 29790 7271 MISCELLANEOUS 84155 56903 21569 5683 COMMUNITY RELATIONS 55748 36824 6041 12883 AUDIO VISUAL 4754 4507 0 247 PROVISION FOR BAD DEBTS 500 0 0 500 10046352 8190439 989303 866610 1607051 3719770 1885328 1365158 1667478 1370920 33369 23396 1804920 1403655 385450 401265 14782646 15510581 1784110 1266279 22145432 23657369 1429964 1773214 107552 102650 209601 199816 1747117 2075680 X 3850417 5147790 4093791 3938615 12454107 12495284 20398315 21581689 22145432 23657369 X -189628 1373002 X 0 1 1 X 1 1 X ABBOTT NORTHWESTERN HOSPITAL MINNEAPOLIS MN RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15869588 41177 1762831 0 545566 0 17128030 13594481 377857 2466911 0 569661 0 15869588 19367606 72884 -5126113 0 719896 0 13594481 0.20000 0.73000 0.07000 0 0 48786 32493 16293 1337250 1135718 201532 418884 235444 183440 401265 LIMITED PARTNERSHIP INVESTMENTS 265530 F HEDGE FUNDS 1000749 F 1266279 1006 DEFERRED RENT 198810 199816 9856724 10046352 -189628 1383984 -10982 1373002 1183374 11171161 1383984 -10982 1373002 9798159 58565 58565 9856724 9987787 0 9987787 58565 58565 10046352 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR EDUCATION, CARDIOLOGY RESEARCH, CARDIAC SURGERY RESEARCH AND TO SUPPORT RESEARCH CHAIRS AND PHYSICIAN RESEARCH. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE INDICATING IT IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) AND IS NOT A PRIVATE FOUNDATION UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE. THE FOUNDATION IS ALSO EXEMPT FROM MINNESOTA INCOME TAXES UNDER MINNESOTA STATUTE CHAPTER 290.05. THE FOUNDATION IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ONLY ON ANY UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE INTERNAL REVENUE CODE. THE FOUNDATION'S ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THE FOUNDATION RECORDED NO AMOUNTS IN 2010 AND 2009 FOR UNRECOGNIZED TAX BENEFITS. THE FOUNDATION'S 2007 THROUGH 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -12,932. CONTRIBUTION GAIN 1,950. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTION GAIN 1,950. CHANGE IN VALUE OF SPLIT INTEREST VALUE -12,932. GALA 632100 562350 69750 0 0 0 65871 35750 70975 GOLF TOURNAMENT 115415 86542 28873 0 0 0 8477 0 16139 1 51623 39570 12053 0 0 500 11199 0 6067 799138 688462 110676 500 85547 35750 93181 214978 -104302 1 UNIVERSITY OF MINNESOTA 308 HARVARD STREET SOUTHEAST MINNEAPOLIS MN 55455 416007513 501(C)(3) 83743 N/A N/A MEDICAL RESEARCH - FEDERAL SUB-AWARD ST PAUL HEART CLINIC 225 SMITH AVENUE NORTH SUITE 400 SAINT PAUL MN 551022568 N/A 105706 N/A N/A MEDICAL RESEARCH - FEDERAL SUB-AWARD METROPOLITAN CARDIOLOGY CONSULTANTS 4040 COON RAPIDS BOULEVARD SUITE 120 MINNEAPOLIS MN 554334568 N/A 119438 N/A N/A MEDICAL RESEARCH - FEDERAL SUB-AWARD 1 2 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FOUNDATION REQUIRES REPORTING BY THE GRANTEE AT THE BEGINNING OF THE GRANT PROJECT AND ALSO WITHIN THIRTY DAYS OF COMPLETION OF THE PROJECT. BOTH A STATEMENT OF ACTIVITIES AND A FINANCIAL SUMMARY ARE REQUIRED AT BOTH DATES. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 JAMES V TOSCANO 221439 0 0 0 6490 0 16940 0 12004 0 256873 0 0 0 JOE COSICO 169994 0 0 0 19161 0 15067 0 23679 0 227901 0 0 0 BARRY MARON MD 241436 0 0 0 762 0 18206 0 6017 0 266421 0 0 0 PART I, LINE 1A J. TOSCANO - HEALTH OR SOCIAL CLUB DUES - $4,971 - NOT INCLUDED IN TAXABLE INCOME, BUSINESS USE ONLY FORM 990, PART VI, SECTION A, LINE 1 THE FOUNDATION'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OFFICERS, CHAIRS OF EACH COMMITTEE OF THE BOARD AND ANY OTHER SUCH MEMBERS AS DIRECTED BY THE CHAIR. THE CHAIR OF THE BOARD SHALL BE THE CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD BETWEEN MEETINGS OF THE BOARD, EXCEPT THAT IS SHALL NOT HAVE THE POWER TO FILL VACANCIES OF ITS OWN MEMBERSHIP NOR VACANCIES IN THE MEMBERSHIP OF THE BOARD OF DIRECTORS, THE POWER TO FILL SUCH VACANCIES BEING VESTED IN THE BOARD. IN ADDITION, UNLESS OTHERWISE DIRECTED BY THE BOARD, THE EXECUTIVE COMMITTEE SHALL FUNCTION AS THE PERSONNEL, FINANCE AND AUDIT COMMITTEES. FORM 990, PART VI, SECTION A, LINE 2 M. NICHOLAS BURKE AND FORREST BURKE - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 THE FOUNDATION'S BYLAWS WERE AMENDED TO INCREASE THE NUMBER OF INDIVIDUALS ON THE BOARD OF DIRECTORS FROM THIRTY TO THIRTY-SIX. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS IN ADVANCE OF THE MEETING WHERE ACTION IS TAKEN TO APPROVE OR MODIFY THE FORM 990. UPON APPROVAL, THE FORM 990 IS FILED WITH GOVERNMENT AGENCIES. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, MANAGEMENT, PHYSICIANS AND EMPLOYEES CONDUCTING RESEARCH ARE COVERED BY THE CONFLICT OF INTEREST POLICY. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE RETURNED TO THE PRESIDENT ANNUALLY. THE PRESIDENT REVIEWS EACH DISCLOSURE STATEMENT AND CONFERS WITH THE BOARD CHAIR TO ADDRESS ANY CONFLICTS. THOSE INDIVIDUALS WITH CONFLICTS ARE EXCUSED FROM THE PORTION OF ANY MEETING WHERE A DECISION IS MADE REGARDING A TRANSACTION THAT GIVES RISE TO THE CONFLICT. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR THE PRESIDENT AND MANAGEMENT TEAM (VP RESEARCH OPERATIONS, VP EDUCATION, VP EXTERNAL AFFAIRS, AND CFO). THE EXECUTIVE COMMITTEE OBTAINS COMPARABLE COMPENSATION DATA FROM SURVEYS AND/OR CONSULTANTS TO ASSIST THEM IN THEIR DELIBERATIONS. ALL MEMBERS OF THE EXECUTIVE COMMITTEE ARE INDEPENDENT OF THE PRESIDENT AND MANAGEMENT TEAM. THE DELIBERATION AND DECISION PROCESS IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. COMPENSATION FOR THE PRESIDENT J. TOSCANO WAS REVIEWED IN 2009. COMPENSATION PACKAGES FOR THE VP RESEARCH OPERATIONS, J. COSICO; VP EDUCATION, J. BOUCHER; VP EXTERNAL AFFAIRS, S. FINK; AND CFO, D. STENNES-ROGNESS WERE REVIEWED IN MARCH, 2009. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE FOUNDATION'S OFFICES. IF REQUESTED, COPIES ARE AVAILABLE BY MAIL. THE AUDITED FINANCIAL STATEMENTS, ANNUAL REPORT, AND FORM 990 ARE AVAILABLE ON THE FOUNDATION'S WEBSITE. THE FORM 990 AND ALL ACCOMPANYING SCHEDULES ARE AVAILABLE ON-LINE THROUGH GUIDESTAR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,383,984. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -12,932. CONTRIBUTION GAIN 1,950. TOTAL TO FORM 990, PART XI, LINE 5: 1,373,002.