2011-11-03T08:09:51-05:00 2010-12-31 990 2010-01-01 411989509 NAEVE HEALTH CARE FOUNDATION NAEV 5073776380 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 TP MYERS 5073776380 2011-11-03 2010 2016-03-07 17:11:31Z TP MYERS 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 2727720 0 X WWW.NAEVEHEALTHCAREFOUNDATION.ORG X 2000 MN RAISING PHILANTHROPIC DOLLARS FOR HIGH QUALITY COST-EFFECTIVE HEALTHCARE AT THE ALMC 15 15 0 16 0 0 61465 201110 0 0 -127882 219862 0 -16348 -66417 404624 423268 515421 0 0 0 0 0 0 0 24878 22401 448146 537822 -514563 -133198 5368412 5538986 604721 707054 4763691 4831932 X TO ENSURE THE FUTURE OF LOCAL, QUALITY HEALTH CARE THROUGH THE CONTINUED DEVELOPMENT OF A PERMANENT ENDOWMENT FUND & OTHER PHILANTHROPIC RELATIONSHIPS & ACTIVITIES AS MAY BE DEEMED APPROPRIATE FOR THE GROWTH & DEVELOPMENT OF ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM 0 0 301469 301469 NAEVE HEALTH CARE FOUNDATION'S 2010 GIFT OF $196,469 WAS DIRECTED TOWARD "PROJECT PINK" TO PURCHASE NEW STATE-OF-THE-ART, FULL-FIELD, DIGITAL MAMMOGRAPHY EQUIPMENT FOR THE MEDICAL CENTER. NHCF WANTS TO ENSURE PATIENTS CONTINUE TO HAVE LOCAL ACCESS TO THE LATEST TECHNOLOGY IN BREAST CANCER PREVENTION AND TREATMENT. THE NHCF CHALLENGED THE COMMUNITY TO MATCH THE FOUNDATION'S GIFT AND IN 2010 AN ADDITIONAL $105,000 WAS CONTRIBUTED TO ALBERT LEA MEDICAL CENTER, FOR A TOTAL 2010 GIFT OF $301,469 DIRECTED TOWARDS "PROJECT PINK". 213952 213952 THE FOUNDATION ALSO CONTINUED TO COLLECT LONG-TERM CAPITAL CAMPAIGN PLEDGE PAYMENTS RELATED TO THE 2008 ALBERT LEA MEDICAL CENTER'S PATIENT SERVICES EXPANSION AND CONTRIBUTED $204,677 TO THE ALBERT LEA MEDICAL CENTER. ADDITIONALLY, THE FOUNDATION CONTRIBUTED A TOTAL OF $9,275 TO ALBERT LEA MEDICAL CENTER IN 2010, OF WHICH $8,090 WAS DONATED THROUGH THE KASAL FUND TO SUPPORT PATIENTS OF THE ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM, $1,000 TO APPLY TOWARDS THE PURCHASE OF A SLIT LAMP, AND $185 TOWARDS THE JUNE WELLS SCHOLARSHIP. 515421 1 1 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 0 0 0 1 1 1 1 1 1 0 0 0 MN X DAVE 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 STEPHEN 1.00 X X 0 0 0 CLARK DIANE 1.00 X X 0 0 0 ECKSTROM DR MICHAEL 1.00 X 0 0 0 ERLANDSON KENT 1.00 X 0 0 0 HABBEN MARCIA 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 DR TED 1.00 X X 0 0 0 PULLEY BARB 1.00 X 0 0 0 RASK 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 BONNERUP DAVID 40.00 X 0 0 0 0 0 0 0 0 0 0 0 36138 164972 201110 117587 117587 2389605 2287330 102275 102275 102275 19418 36138 35766 -16348 -16348 404624 0 0 203514 515421 515421 22401 22401 537822 515421 22401 0 194127 426911 209173 133793 4938144 4955340 26968 22942 5368412 5538986 604721 707054 604721 707054 X 4128318 4312337 333830 218052 301543 301543 4763691 4831932 5368412 5538986 X -133198 201439 X 0 0 0 X 174583 1581314 310716 61465 201110 2329188 174583 1581314 310716 61465 201110 2329188 67274 2261914 163625 181073 224173 144279 117588 830738 3159926 0.71580 0.69940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 301543 301543 281543 20000 301543 281543 281543 0.00000 1.00000 0 0 0 WELLS FARGO INVESTMENTS 4955340 F 4955340 Part IV, Line 2b: THE FOUNDATION HOLDS FUNDS ON BEHALF OF THE ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM. THE FOUNDATION HAS SIGNATURE AUTHORITY OVER THESE FUNDS AND INVESTS THEM ON BEHALF OF ALMC. 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 THE ALBERT LEA MEDICAL CENTER-MAYO HEALTH SYSTEM AND PROVIDE SCHOLARSHIPS FOR STUDENTS FOR FOUNTAIN CENTERS. Project Pink Gala 55556 36138 19418 344 17297 4700 13426 55556 36138 19418 344 17297 4700 13426 35767 -16349 1 ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM 404 FOUNTAIN ST ALBERT LEA MN 56007 411404075 501(C)(3) 515421 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 ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM. SINCE THE GRANTS ARE USED TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER, AND SINCE THE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL SUPPORT TO ALMC, THE GRANTS CAN ONLY BE USED FOR THE INTENDED PURPOSE. Form 990, Part VI, Section A, line 2 MICHAEL ECKSTROM, MD HAD A BUSINESS RELATIONSHIP WITH HEATHER BENDA AND NANCY SKOPHAMMER. Form 990, Part VI, Section A, line 3 DEVELOPMENT OFFICER IS AN EMPLOYEE OF ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM Form 990, Part VI, Section A, line 8b THERE ARE NO COMMITTEES OF THE BOARD. THEREFORE NO MINUTES OF COMMITTEES. 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 ALBERT LEA MEDICAL CENTER 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 201,439.