2011-08-02T11:41:44-05:00 2010-12-31 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-01-01 410845733 HENNEPIN HEALTH FOUNDATION HENN 6128733959 701 PARK AVENUE MINNEAPOLIS MN 55415 EMILY FUERSTE 6128733959 2011-07-11 1 6123764500 2010 2016-03-07 17:11:31Z EMILY FUERSTE 701 PARK AVENUE MINNEAPOLIS MN 55415 3399614 0 X WWW.HCMC.ORG/HHF/INDEX.HTM X 1958 MN TO RAISE AND ADMINISTER PHILANTHROPIC SUPPORT FOR HENNEPIN COUNTY MEDICAL CENTER. 24 15 6 20 0 0 429161 1861881 45826 143509 3919 7172 83973 186413 562879 2198975 33099 211047 0 0 350513 872325 0 0 463848 125543 548611 509155 1631983 53724 566992 1649870 2189760 312225 284257 1337645 1905503 X HENNEPIN HEALTH FOUNDATION (HHF) SUPPORTS THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER (HCMC), MINNESOTA'S LARGEST PUBLIC SAFETY NET AND ACADEMIC MEDICAL CENTER. NO ONE IS TURNED AWAY DUE TO LACK OF INSURANCE OR ABILITY TO PAY. 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 350,000 VISITS EACH YEAR. HENNEPIN HEALTH FOUNDATION WAS FORMERLY KNOWN AS THE SERVICES LEAGUE OF HENNEPIN COUNTY MEDICAL CENTER, INC. THE ORGANIZATION CHANGED ITS NAME, REPURPOSED ITS BYLAWS AND CHANGED ITS FISCAL YEAR TO CALENDAR, AS OF OCTOBER 1, 2009. HHF RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT FOR HCMC IN MANY AREAS. 0 0 485218 72267 143509 INNOVATIONS IN PATIENT CAREPROGRAMS FUNDED IN THIS AREA HELP TO MEET THE URGENT, UNMET OR UNAFFORDABLE NEEDS FOR HCMC PATIENTS, AND TO CONTINUOUSLY IMPROVE THE QUALITY OF PATIENT CARE AND SATISFACTION. EXAMPLES OF FUNDED PROGRAMS INCLUDE: VOLUNTEER SERVICES, THE INSPIRE ARTS PROGRAM, THE CHILDREN'S LITERACY PROGRAM, THE WOMEN'S MENTAL HEALTH PROGRAM, THE CHAPLAINCY PROGRAM AND A VARIETY OF HOSPITAL AND CLINIC DEPARTMENT FUNDS FOR PATIENT COMFORT AND SUPPORT. 109600 109600 0 MEDICAL RESEARCHSEARCHING FOR NEW WAYS TO IMPROVE CARE IS A COMMITMENT VOICED IN THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER WHERE MEDICAL RESEARCH DIRECTED BY THE MINNESOTA MEDICAL RESEARCH FOUNDATION (MMRF) LEADS TO BREAKTHROUGHS IN MEDICAL TREATMENT AND DISEASE PREVENTION. MMRF IS THE THIRD-LARGEST NONPROFIT MEDICAL RESEARCH ORGANIZATION IN MINNESOTA AND IT RANKS IN THE TOP SEVEN PERCENT OF ALL INSTITUTIONS RECEIVING RESEARCH FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH. ITS PHILANTHROPIC PARTNER, THE FOUNDATION RAISE FUNDS TO SUPPORT ITS RESEARCH ENDEAVORS RANGING FROM ADDICTION, KIDNEY DISEASE TO TRAUMATIC BRAIN INJURY. 112829 580 0 RETAIL VENTURESTHE FOUNDATION OPERATES THE GIFT SHOP AND THREE COFFEE KIOSKS AT HCMC. ALL VENDING MACHINES ON THE HCMC CAMPUS BENEFIT THE FOUNDATION. THE PROFITS ARE DISBURSED AS GRANTS, TWICE A YEAR, TO VARIOUS HCMC INITIATIVES THROUGH THE HHF DISBURSEMENT COMMITTEE RFP PROCESS. 87626 EDUCATING THE WORKFORCE OF TOMORROWHCMC IS THE STATE'S PRIMARY TRAINING CENTER FOR PHYSICIANS, NURSES, ANCILLARY CARE, PRE-HOSPITAL EMERGENCY PERSONNEL, AND OTHER HEALTH PROFESSIONS. FUNDED PROGRAMS INCLUDE: THE DEVELOPMENT OF A HEALTH SCIENCES EDUCATION CENTER, A SIMULATION CENTER, A SCHOLARSHIP PROGRAM, VARIOUS ONGOING TRAINING FUNDS FOR HOSPITAL DEPARTMENTS AND CLINICS, THE HENNEPIN MEDICAL HISTORY CENTER WHICH COLLECTS, PRESERVES, AND INTERPRETS THE HISTORY OF HCMC, METROPOLITAN MEDICAL CENTER, AND ITS ORGANIZATIONAL PREDECESSORS. 17016 TRAUMA AND CRITICAL CARETHIS PROGRAM PROVIDES FUNDING TO PATIENT CARE SERVICES RELATED TO HCMC'S LEVEL 1 TRAUMA DESIGNATION. FUNDED PROGRAMS INCLUDE PATIENT COMFORT IN TRAUMATIC BRAIN INJURY, THE BURN UNIT, STROKE, HEART, POISON CONTROL AND TOXICOLOGY CARE, CARE DURING AND AFTER TRANSPLANT, AND CARE IN DEALING WITH THE EFFECTS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, AND CHILD ABUSE AND NEGLECT. 104642 812289 1 1 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 15 0 1 6 1 0 0 0 0 0 1 1 0 0 0 0 X 24 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X X X ZUZANNE FENNER 6128733959 701 PARK AVENUE MINNEAPOLIS MN 55415 EMILY FUERSTE 40.00 X X 0 142516 16517 JUDY SHANK MD 5.00 X X 0 0 0 KATHLEEN FINNEGAN LAMEY 3.00 X X 0 0 0 DON JACOBS MD 1.00 X 0 0 0 MICK BELZER MD 1.00 X 0 323796 57946 MARY BERGAAS 1.00 X 0 0 0 TIM CRIMMINS MD 1.00 X 0 0 0 JOHN CROSSON MD 1.00 X 0 0 0 PAM FLENNIKEN 1.00 X 0 0 0 ANNA LUISA FAJER 1.00 X 0 0 0 ARTHUR GONZALEZ DR PH 1.00 X 0 525403 37058 JOEL GREENWALD MD CFP 1.00 X 0 0 0 WILLIAM HEEGAARD MD 1.00 X 0 0 0 ARTHUR HIMMELMAN 1.00 X 0 0 0 TWANYA HOOD HILL 1.00 X 0 136280 9732 TERRI HUML 1.00 X 0 0 0 DAVID JONES 1.00 X X 0 0 0 DAN MILLER 1.00 X 0 0 0 DAVID ORBUCH JD 1.00 X 0 0 0 BRUCE PAULSON CPA JD 1.00 X 0 0 0 PAUL PENTEL MD 1.00 X 0 0 0 ROBERT QUICKEL MD 1.00 X 0 0 0 JOSHUA RIFF MD 1.00 X 0 0 0 GAYLAN ROCKSWOLD MD 1.00 X 0 0 0 AHMED I SAMATAR 1.00 X 0 0 0 CHIP TRUWIT MD 1.00 X 0 0 0 MARCIA A ZIMMERMAN 1.00 X 0 0 0 0 1127995 121253 0 0 1 0 0 12219 435153 100000 12762 1301747 25290 1861881 COMMISSIONS 900099 143509 143509 143509 11991 11991 420000 424819 -4819 -4819 -4819 188873 435153 183878 4995 4995 769109 591942 177167 177167 OTHER INCOME 900099 4251 4251 4251 2198975 143509 0 193585 210908 210908 139 139 811688 213047 227656 370985 42547 42547 18090 18090 13872 13872 161987 148596 3391 10000 250004 133335 35156 81513 1964 1964 31326 19305 11960 61 23216 20494 1433 1289 2063 2063 54740 54740 2655 2655 BAD DEBTS 3541 817 2724 DUES & SUBSCRIPTIONS 1576 1430 146 STAFF DEVELOPMENT 1500 1500 TAXES & LICENSES 167 117 50 1631983 812289 355846 463848 411086 811485 369489 315535 95419 309009 19150 45933 94310 83520 375 2325 306358 133227 227871 173131 432170 448822 1649870 2189760 185188 221540 69425 57612 62717 312225 284257 X 1030992 1274816 296653 620687 10000 10000 1337645 1905503 1649870 2189760 X 566992 866 X 0 1 1 X 0 X X X X 1 1 0 HENNEPIN HEALTH SYS 421707837 3 1 182308 MPLS MED RESRCH FDTN 411677920 7 1 28600 HENNEPIN FACULTY ASSC 411461900 9 1 0 3 210908 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2595 448822 X X 0 11841 535 98 12278 0.81550 0.18450 0 0 306358 133227 173131 173131 ART COLLECTION 448822 448822 DUE TO FISCAL AGENT 62717 62717 2198975 1631983 566992 866 866 567858 3128926 866 337143 591942 929951 2198975 0 2198975 2561068 337143 591942 929085 1631983 0 1631983 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. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT OR PROMOTE PROGRAMS THROUGHOUT HCMC. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2007 - 2009 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. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 591,942. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 591,942. LE BAL MASQUE 574689 405525 169164 13851 170010 CLUBS & SCRUBS GOLF EVENT 46750 29628 17122 3560 14934 2373 621439 435153 186286 3560 28785 172383 204728 -18442 1 HENNEPIN HEALTHCARE SYSTEM INC 701 PARK AVENUE NORTH MINNEAPOLIS MN 55415 421707837 501(C)(3) 182308 N/A N/A TO SUPPORT UNFUNDED PROGRAMS. MINNEAPOLS MEDICAL RESEARCH FOUNDATION 914 SOUTH 8TH STREET MINNEAPOLIS MN 55415 411677920 501(C)(3) 28600 N/A N/A TO SUPPORT UNFUNDED PROGRAMS. 2 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: IN MOST CASES, THE FOUNDATION MAINTAINS CONTROL OF THE FUNDS AND HENNEPIN HEALTH SYSTEM SUBMITS EXPENSE REPORTS TO THE FOUNDATION. 0 0 0 0 0 0 0 0 0 EMILY FUERSTE 0 142516 0 0 0 0 0 9799 0 6718 0 159033 0 0 MICK BELZER MD 0 323796 0 0 0 0 0 31152 0 26794 0 381742 0 0 ARTHUR GONZALEZ DR PH 0 525403 0 0 0 0 0 24500 0 12558 0 562461 0 0 SUPPLEMENTAL INFORMATION 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 X 1 2595 FMV X 2 8861 QUOTED PRICE X SUPPLIES 1 13834 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, ALL VICE CHAIRS, THE SECRETARY AND THE TREASURER OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MAY ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND IS AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DURING SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE HAS AND EXERCISES ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE FOUNDATION, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS. 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 PRIOR TO BEING FILED, THE FORM 990 WAS COMPLETED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM, REVIEWED BY THE FOUNDATION'S FINANCE MANAGER, HCMC'S DIRECTOR OF FINANCE, AND THE FOUNDATION'S PRESIDENT. AFTER THESE REVIEWS, THE FORM 990 WAS REVIEWED BY THE HHF BOARD TREASURER, AND THE HHF FINANCE COMMITTEE, AND FINALLY SUBMITTED TO THE FULL HHF BOARD FOR REVIEW. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 866. 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 N/A 0 HENNEPIN FACULTY ASSOCIATES 914 S 8TH ST STE 600 MINNEAPOLIS MN 55404 411461900 HEALTHCARE PROVIDER MN 501(C)(3) LINE 9 N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0