2012-07-30T13:27:19-05:00 2011-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Suite 1300 Minneapolis MN 554027033 990 2011-01-01 410682405 Hazelden Foundation HAZE 6512134006 PO Box 11 Center City MN 55012 James Blaha 6512134006 2012-07-26 1 Kim Hunwardsen CPA P00484560 6122536500 2011 2016-02-24 21:20:13Z Mark Mishek PO Box 11 Center City MN 55012 222672462 0 X www.hazelden.org X 1949 MN Hazelden helps restore hope, healing and health to people affected by addiction to alcohol and other drugs. 24 24 1221 229 21235 20235 3840818 4802358 109130085 120106815 5130909 4209194 1483280 1740208 119585092 130858575 610797 540867 0 0 63487836 66680809 0 0 2036640 46137785 49675787 110236418 116897463 9348674 13961112 254450576 277579634 49525473 66560273 204925103 211019361 X Hazelden Foundation's mission is to help restore hope, healing and health to people affected by addiction to alcohol and other drugs. This is accomplished through a commitment to treatment, publishing, higher education, research, public education and advocacy, and shared learning with other organizations. 0 0 71140197 95853675 Addiction Treatment for Adults, Youth, and Families The goal of addiction treatment at Hazelden is lifelong recovery for each patient. Hazelden approaches treatment for addiction and co-occurring mental health disorders in a holistic way. Treatment incorporates integrated clinical disciplines with individualized planning and care. Interdisciplinary care teams consist of addiction counselors, psychologists and psychiatrists, physicians and nurses, family specialists, spiritual care professionals, nutritionists, and wellness specialists. Addiction treatment is offered at Hazelden facilities in Center City, Chaska (opened in March 2012), Maple Grove, Plymouth, and St. Paul, Minnesota; Chicago, Illinois; Naples, Florida; New York, New York (in the Tribeca and Chelsea neighborhoods), and Springbrook, Oregon. In addition to addiction treatment, Hazelden provides assessment and evaluation services, intervention services, structured sober living, continuing care services, and mental health services. Hazelden also understands that recovery from addiction involves rebuilding relationships with family members and friends. Through Hazelden's family, parent, and sibling programs, loved ones receive education, guidance, and support to achieve a healthier way of life. In 2011, the following number of people directly benefited from Hazelden addiction treatment and recovery programs: Primary Treatment-Adult 2,805 Family Program-Adult 1,978 Renewal Center and Lodge 1,405Family Program-Youth 1,053 Primary Treatment-Youth 711 Intensive Outpatient 572Extended Treatment-Adult 543 Mental Health Services-Adult 515Room and Board 305 Continuing Care Services-Adult 256 Outpatient Treatment-Adult 243Day Treatment-Adult 240 Intermediate Care Services 125 Mental Health Services-Youth 113 Extended Treatment-Youth 94 Teen Intervene 31 Day Treatment-Youth 28 Assessment Services 10 TOTAL PATIENTS SERVED 11,027 Additionally, patient aid is available as measured as gross charges foregone, and in 2011, $6,323,000 was provided to 2,638 qualifying patients and family members on a consolidated basis. 17128491 22605027 Publication of Educational Materials Hazelden's publishing division develops and distributes resources to help people recognize, understand, and overcome addiction and co-occurring mental health disorders and other closely related problems. As the leading publisher of evidence-based curricula and other materials for professionals who work to prevent and treat addiction, Hazelden's proven-effective resources are implemented in a variety of settings, including schools, other addiction treatment programs, correctional programs, government and military agencies, and mental health and counseling agencies. Hazelden publications, particularly its signature daily meditation books, are also known the world over for helping people learn to apply recovery principles and practices to daily life. Daily meditation books and other Hazelden materials provide much-needed inspiration, encouragement, guidance, and support for lifelong recovery from the disease of addiction. Recovery resources including books, pamphlets, and DVDs valued at more than $291,973 were distributed through Hazelden's BookAid program in 2011 to individuals as well as schools, prisons, treatment centers, and other nonprofit organizations 2808785 535873 3517113 Higher Education and Professional Training Integral to Hazelden's mission is the education of addiction counselors and the training of other professionals who address addiction-related issues. Beginning in the 1960's, Hazelden's educational programs have consistently graduated professionals who provide extraordinary, expert care to people suffering with alcohol and other drug addiction. The Hazelden Graduate School of Addiction Studies, accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools, graduates highly educated counselors well prepared to treat the complexities of addiction and co-occurring mental health disorders. The graduate school's innovative and comprehensive programs integrate direct clinical practice with academic training to build professional competency in the field of addiction counseling. In 2011, the school awarded 92 Masters of Arts degrees in Addiction Counseling. Hazelden has a longstanding reputation for sharing knowledge about addiction treatment and recovery. Hazelden's Professionals in Residence (PIR) program is a case in point. The program brings physicians, psychiatrists, judges, social workers, clergy, school chemical health specialists, and other professionals to Hazelden for an intensive opportunity to learn about the challenges of addiction, the effectiveness of treatment, and how to recognize and respond appropriately to addiction-related issues. In 2011, 177 professionals participated in Hazelden's PIR program. Scholarship grants are provided to qualified participants of both the Graduate School (122 scholarships given) and professional education programs (105 scholarships given). Community Care and Community Benefit: In meeting Hazelden's commitment to our mission and the underlying charitable purpose of our organization, we invest our time, financial resources and energy helping people and communities understand and address addiction as a treatable disease, and spread the word that recovery is possible. "Be of service" is an integral Hazelden value which we demonstrate in a variety of ways. Perhaps the most obvious way Hazelden meets our commitment to the community is by providing treatment services to individuals and families who seek and qualify for care but are unable to pay the full cost. Patient aid is available as measured as gross charges foregone, and in 2011, $6,323,000 was provided to 2,638 qualifying patients and family members on a consolidated basis. Our patient aid policy provides that Hazelden will annually establish a target amount of aid based on our actual net adjusted patient service revenue. In addition, the Foundation provides a variety of other benefits for the public good including:Graduate School of Addiction Studies: -The Hazelden Graduate School of Addiction Studies is dedicated to preparing future leaders in addiction counseling through the Master of Arts in Addiction Counseling and the Certificate in Addiction Counseling program. The school emphasized public engagement as a means of serving its constituent communities. In 2011 alone, students provided almost 18,000 hours of clinical services at agencies reaching underserved and economically disadvantaged populations. The school offers a full scholarship each year to a student from Chisago County Health and Human Services as well as continuing education to these Chisago County professionals at no cost. -Ninety-two students graduated with master's degrees from the school in 2011. More than 90 percent of graduates who seek careers in the addiction treatment field find employment in their home communities or at regional or national treatment agencies. Faculty and graduate school leaders participate in public service events throughout the United States and make research, educational and scholary contributions to the field of addiction treatment.Butler Center for Research: The Butler Center for Research is dedicated to improving recovery from addiction by conducting clinical and institutional research, collaborating with other research centers, and communicating scientific findings. It is the center's vision that sustained recovery for all who seek help will be achieved through advancements in knowledge and integration of research into practice. Among the department's many activities in 2011: -More than 25 projects were conducted to inform clinical care and academic programming, identify treatment needs, drive data-based decision-making, contribute to outcomes initiatives, and add to the field's knowledge of addiction treatment. -The Huss Research Chair on Older Adults is a collaborative initiative that allows Hazelden researchers to partner with leading national experts on projects related to older adults with addiction. The current Huss Research study is examining the effects of naltrexone, an anti-craving agent for alcohol, on treatment outcomes among alcohol dependent adult residential patients. In addition, the study is assessing the degree to which a favorable response to naltrexone is associated with a particular opioid receptor genotype. More than 80 new participants were recruited in 2011, for a total of 260 participants so far. -Clinical research projects continued in 2011. Recruitment for a pilot study examining the effects of text messaging on continuing care compliance among youths attending Plymouth was completed and follow up data collection is well underway. A new attentional bias study was launched and more than 150 participants were recruited and tested in 2011. This study initiated a new program of cognitive/experimental research aimed at educating the extent of information processing biases among alcohol-dependent patients attending residential treatment. This research is also examining the relationship between cognitive bias and relapse after treatment.-Seven research manuscripts were accepted for publication in peer-reviewed addiction journals. One of these papers examined usage of the web-based MORE (My Ongoing Recovery Experience) program among adult primary patients and the extent to which use of MORE was related to substance use outcomes. Another paper examined the relationship between post-treatment Twelve Step involvement and substance use outcomes among young women treated at Hazelden's youth facility in Plymouth. Remaining papers focused on results obtained from a large-scale Youth and AA project conducted in collaboration with Dr. John Kelly of Harvard/Massachusetts General Hospital.-Michael L. Dennis, Ph.D., Senior Research Psychologist at the Lighthouse Institute, Chestnut Health Systems, and Christy K. Scott, Ph.D., Research Psychologist at the Lighthouse Institute received the Dan Anderson Research Award for their long-term outcomes study entitled "Four-year outcomes from the Early Re-Intervention (ERI) experiment using Recovery Mangement Checkups (RMC's)." The study examined the effectiveness of Recovery Management Checkups on treatment outcomes among adults attending alcohol/drug treatment and was published in Drug and Alcohol Dependence. Professionals in Residence: The Professionals in Residence (PIR) program educates professionals from around the world on the diagnosis and treatment of the disease of addiction. Participants complete an intense one-week program that provides a broad foundation for understanding treatment and recovery. It teaches the latest research-based treatment methods in the field of addiction treatment and recovery. Participating professionals represent a wide variety of disciplines including medicine, nursing, psychiatry, mental health, professional counseling, family therapy, employee assistance, corrections, clergy and others. In 2011, Hazelden welcomed 177 professionals to our programs which are held in Minnesota, New York and Oregon.Center for Public Advocacy: In 2011, Hazelden's Center for Public Advocacy focused on building greater public understanding of addiction and shaping public policy that supports treatment and recovery.-Key efforts included advocating for robust regulatory implementation of the new federal "parity" law, which expands access to treatment through private health care insurance, and preparing for full realization of the new law. The "Paul Wellstone and Pete Domenici Mental Health and Addiction Equity Act" ends discrimination by insurance companies against people who need addiction treatment. The Center for Public Advocacy participated in drafting guidelines for the new law and continues to monitor implementation and advocate for favorable interpretations of these regulations. -Federal health care reform was also a key focus of the Center's efforts. Working with other treatment providers, Hazelden ensured that addiction to alcohol and other drugs was included as a covered illness in the "essential benefits package" under the new health care reform law. The Center has been very active in helping to define the benefit. Promoting awareness of the benefits for addiction consumers and providers in the new health care law is an ongoing priority.-In Minnesota, Hazelden launched a project to improve highway safety at a dangerous intersection leading to the main campus in Center City. Over the years, people have been killed or injured in several accidents at this intersection. The Center brought the issue to key state and federal policy leaders, and steps were taken to address the problem. Hazelden has also played a leading role with state lawmakers in making the case for the efficacy and cost-effectiveness of substance abuse treatment in these tight budgetary times. -Throughout 2011, the Center's William C. Moyers spoke to national conventions, state trade associations, local civic and education groups and gatherings of people in recovery about the importance of standing up and speaking out for treatment and recovery. In 2011, Moyers and the Center also engaged the news media in this effort, serving as a key media contact on a wide variety of policy issues and being featured in newspapers and magazines nationwide. In addition, Moyers authors a weekly syndicated column, "Beyond Addiction," that is distributed nationally. Dean Peterson, former chief of staff to retired Congressman Jim Ramstad, joined the Center in 2010 and has been an energetic presence on behalf of Hazelden and the wider treatment community in both Washington and Minnesota. He spoke to various groups in 2011 about treatment and recovery.-The 2011 Minnesota State Fair recorded the third highest attendance on record. The Center was there to welcome and educate the hundreds of visitors with knowledgeable Hazelden employees, family members, and friends serving as booth volunteers.-Under the direction of the Hazelden Speakers Bureau, 38 employees presented to more than 50,000 attendees at 96 events in 19 states and Saudi Arabia on a broad range of subjects, including drug trends, prevention, treatment advances and co-occurring disorders. This includes more than 46,000 people who attended a Minnesota Twins baseball game during National Recovery Month in September. Another 378 people attended Youth Forums in the Twin Cities.Community Relations Services: -Through its community relations services, the Hazelden Visitors Program in Center City scheduled and conducted 63 tours for 589 individuals. Volunteers at facilities in Minnesota, Illinois, New York, Oregon and Florida donated 13,123 hours valued at $280,307.-Educational scholarships from Hazelden were awarded totaling $5,200 to students at six high schools in the Twin Cities and the surrounding Center City area. -Hazelden continues its involvement with the efforts of the Partnership for a Drug-Free Chisago County, providing expertise from staff, hosting meetings and allowing staff to serve on the organization's board. Through generous funding from our donors, Hazelden also has a strong partnership with Washington County, providing educational materials, professional training, student leadership development, and patient aid. We also work with the Minneapolis Public Schools to implement prevention programs to reduce alcohol and other drug use. We continue to support local schools in implementing the Olweus Bullying Prevention Program and Lifelines, a comprehensive suicide prevention program. Publishing: -Hazelden publishes curricula, resources, and professional development tools for preventing, treating and managing addiction and related disorders. Translating research into practice, Hazelden Publishing is the leading publisher of evidence-based alcohol and other drug addiction prevention and treatment curricula. With 69 new releases in 2011, Hazelden publications continued to provide inspiration, guidance and encouragement in the lives of millions around the world every day. Hazelden also produced 224 electronic books and ten daily meditation applications for iPhone and five for Android in 2011. Much of this material would not be published and available to consumers if it were not produced and distributed by Hazelden as part of its mission because of its limited appeal to mainstream publishers. Publishing materials also go to underserved populations, including many customers in the community treatment, faith-based and corrections markets.-In 2011, through its BookAid program, Publishing sent 3,450 packages of products reaching the lives of over 200,000 people through 85 libraries serving programs and institutions in need. BookAid resources were sent to individuals and organizations around the world, including Africa, China, New Zealand, Israel, Nepal, Mexico, Columbia, Canada, and the Philippines. The retail cost of the BookAid items totaled $291,973. Hazelden Web site: -Hazelden's main website, hazelden.org, recorded more than 3.8 million visits in 2011, where people seek information about addiction prevention, intervention, treatment and recovery. Today's Gift emails - a free subscription of motivational and thought-provoking excerpts from some of Hazelden's publications - was sent to nearly 120,000 people daily. A community website for people in recovery, called Sober24.com, continued to build momentum and now has more than 20,000 members. Hazelden also supports two other community sites, one is a private site for past patients of Hazelden and the other is a public site for family members dealing with the addiction of a loved one called familiesfacingaddiction.org. The public can also view selected Hazelden videos on YouTube and receive short inspirational quotes from Hazelden through Twitter.-Hazelden also helps professionals on the web who are seeking information about co-occuring disorders and bullying prevention. For detailed information on these topics, visit bhevolution.org and violencepreventionworks.org.Resource Center: -In 2011, Hazelden's Resource Center received a total of more than 185,000 calls and 9,697 online inquiries from people seeking information, assistance and products related to addiction issues. Part of the Resource Center's work is connecting people to the help they need, including products, services and free informational publications. For those in need of resources beyond what Hazelden provides, the Resource Center searches its database of more than 30,000 agencies to locate other possible assistance. 91077473 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 808 0 1 1221 1 1 1 0 0 0 0 1 1 0 0 0 0 X 24 24 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 AL AK AZ AR CT FL IL KS KY LA MD MA MI MN NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X James Blaha Chief Financial & Administrative Officer 6512134006 15251 Pleasant Valley Road Center City MN 55012 Paul Gossling 5.00 X X 0 0 0 Fr Michael O'Connell 2.00 X X 0 0 0 Terry Rubenstein 2.00 X X 0 0 0 Mary Brown 1.00 X 0 0 0 John Butler 1.00 X 0 0 0 William Cirone 1.00 X 0 0 0 Kelly WG Clark 1.00 X 0 0 0 Susan Engeleiter 1.00 X 0 0 0 Harve Ferrill 1.00 X 0 0 0 Hon Susan Fox Gillis 1.00 X 0 0 0 A John Huss Jr 1.00 X 0 0 0 Dr Andrew Jeon 1.00 X 0 0 0 Paul Karon 1.00 X 0 0 0 James Kowalski 1.00 X 0 0 0 William Lammers 1.00 X 0 0 0 Donald MacMillan 1.00 X 0 0 0 Cheryl McKinley 1.00 X 0 0 0 Catherine Morley 1.00 X 0 0 0 Lester Munson 1.00 X 0 0 0 Cynthia Piper 1.00 X 0 0 0 Michael Sime 1.00 X 0 0 0 W Christopher White 1.00 X 0 0 0 Mary Whitney 1.00 X 0 0 0 Dr Frank Wilderson 1.00 X 0 0 0 Elizabeth Glaser 1.00 X 0 0 0 Mark Mishek 50.00 X 598982 0 83630 James Blaha 50.00 X 253952 0 34829 Dr Marv Seppala 50.00 X 397175 0 68856 Nick Motu 50.00 X 275410 0 53825 Ann Bray 50.00 X 244124 0 19089 Mark Sheets 50.00 X 202425 0 45433 James Steinhagen 50.00 X 191606 0 33929 Janice Vondrachek 50.00 X 198403 0 27857 John Driscoll 50.00 X 205657 0 41873 Valerie Slaymaker 50.00 X 192879 0 30475 Sharon Birnbaum 50.00 X 188790 0 44166 Dr Omar Manejwala 45.00 X 254957 0 39056 Dr Dana Castro 45.00 X 244663 0 26723 Dr Joseph Lee 45.00 X 227383 0 42474 Dr Stephen Delisi 45.00 X 201563 0 45358 Dr Laura Ferguson 40.00 X 197271 0 13781 William Moyers 45.00 X 219074 0 38561 Dr Timothy Sheehan 40.00 X 108247 0 18661 4402561 0 708576 52 1 1 0 Sodexho Inc & Affilliates PO Box 70060 Chicago IL 60673 Food services 1480449 RR Donnelley PO Box 809284 Chicago IL 60680 Warehouse management services 766158 Xerox Corporation 3500 West 80th Street Bloomington MN 55431 Duplication services 534823 HealthMedia Inc 15875 Collections Center Drive Chicago IL 60693 Software licenses 350000 Oracle America Inc PO Box 71028 Chicago IL 60694 Computer services 302760 18 257501 4544857 149839 4802358 Addiction Treatment 623990 94385015 94385015 Publishing 511130 22258702 22258702 Higher Education 611600 3463098 3463098 120106815 707333 707333 95115154 1949 91603821 11421 3511333 -9472 3501861 3501861 48618 257501 198645 -150027 -150027 Corporate support fee 561000 1869000 1869000 Personal property rent 900002 21235 21235 1890235 130858575 121975815 21235 4059167 535873 535873 4994 4994 3446218 1677224 1768994 48691811 38705444 8786544 1199823 2629947 2159336 421187 49424 8258763 6459353 1559160 240250 3654070 2883061 708890 62119 259039 51186 207817 36 83105 83105 43090 43090 58000 58000 4795874 3685404 1049599 60871 3624381 2401852 1153384 69145 4436911 3142974 1219072 74865 3472125 851369 2591397 29359 2512658 2512658 3085930 2255839 758903 71188 1512871 1072014 339510 101347 362828 320973 41810 45 686846 438523 241585 6738 10098249 8010688 2030672 56889 Cost of Materials Sold 3774739 3774739 Provision for Bad Debt 2247500 2247500 Food 2226464 2038945 187519 Medicine, Drugs and Lab 2138750 2138750 4256427 3708774 533112 14541 116897463 91077473 23783350 2036640 4346651 3481027 1400881 1797881 9232375 13475928 88877 144638 2967445 2953254 1044865 1690194 191097074 99091258 88374365 92005816 88941336 81791035 31998682 32385584 26055099 47854277 254450576 277579634 12244914 12604281 345 652240 28515000 48110000 5000000 3765214 5193752 49525473 66560273 X 181219286 186819522 2411077 2912963 21294740 21286876 204925103 211019361 254450576 277579634 X 13961112 -7866854 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 3000 0 0 1 43090 1 338667 0 384757 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: In 2011, the push for implementation of insurance "parity" and health care reform remained the cornerstone of Hazelden's focus on influencing public perception and awareness through education about addiction, treatment and recovery. By informing audiences and key stakeholders about these issues, Hazelden's goal is to improve the formulation of policy at its earliest stage, thereby improving access to treatment for people in need and supporting their continued recovery after treatment. These efforts are coordinated through the organization's Center for Public Advocacy. The Center also supports each Hazelden facility, its employees and other interested stakeholders by responding to requests and providing them with information on relevant federal, state and local legislation. Hazelden focused much of its advocacy and policy efforts on the roll-out of historic federal legislation to expand access to addiction and mental illness treatment through private health insurance. Hazelden worked as a member of the Parity Implementation Coalition (PIC) to provide input on how the new parity regulations were written and enforced by the U.S. Departments of Labor, Treasury, and Health and Human Services. Ahead of implementation, Hazelden's Center for Public Advocacy produced an 8-page consumer brochure to inform patients, their families, businesses large and small and civic organizations about the changes in coverage. Hazelden also provided input to the PIC on the writing of a comprehensive parity "toolkit", which is now available on Hazelden's webpage, to help patients understand their rights under the new law. The Center for Public Advocacy will continue to monitor compliance with the law and any changes to the rules, as federal agencies may issue further regulatory guidance at some point. Hazelden was also active in the debate over health care reform. The new law, which ultimately passed in early 2010 and is in the process of being implemented, contains a number of benefits for addiction consumers and providers. Hazelden was part of the Coalition for Whole Health, a group of addiction and mental health organizations that raised awareness of substance abuse treatment and recovery issues in the debate. Hazelden also provided a representative to serve on SAMHSA's Adult Residential Addiction Treatment Expert Panel, which is defining the "essential benefits package" under the new law. Members of Congress toured Hazelden's facilities in 2011, and Hazelden receives requests for information on addiction, treatment and recovery issues from state and local legislatures and government. Membership in associations related to the addiction field and the preservation of the services we provide allows Hazelden to join forces with others sharing similar concerns and interests. Hazelden tapped its resources to influence policy and public attitudes by engaging the news media and collaborating with grassroots community-based organizations across the country on local, state and federal policy issues. 570881 X X 0 21560549 71978 -548143 842932 20241452 20187298 117515 2160784 905048 21560549 15281356 2986682 2887634 968374 20187298 22684940 435000 -6895539 943045 15281356 0.14730 0.85270 0 0 6377134 6377134 114670231 52644907 62025324 362390 85870 276520 50256244 41768943 8487301 19431075 4591538 14839537 92005816 1756740 F Q-Blk Strategic Partner 2008 Series 1 12068380 F PIMCO Stockplus Limited Partner 13598859 F ABS Offshore SPC Global 4961605 F 32385584 Intercompany Receivables 24923495 Film and Video Costs, net 236242 CSV Life Insurance 186228 Capitalized Finance Costs, net 779655 Curriculum Costs, net 179502 Collections 570881 Goodwill-Springbrook 2187766 610 Development Florida Loan 542334 Bond Trust Fund-Plymouth Expansion 18248174 47854277 Interest Rate Exchange Agreement Liability 4560829 Asset Retirement Obligation 514443 Intercompany Payables 118480 5193752 Part III, Line 4: Hazelden maintains a collection of historically significant books and archives on recovery and addiction which can be used for research as well as being on public display. Description of Intended Use of Endowment Funds: Part V, Line 4: Earnings from the endowment funds are used for the purposes as specified by donor restrictions, including patient aid, operations, research, student aid, prevention programs and special projects. Description of Uncertain Tax Positions Under FIN 48: Part X: In accordance with the accounting standard on Accounting for Uncertainty in Income Taxes, the Foundation addresses the determination of whether tax benefits claimed on a tax return should be recorded in the financial statements. Under this guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merit of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business taxable income. There were no unrecognized tax benefits identified or recorded as liabilities during fiscal year 2011. Open tax years subject to examination by the U.S and the state taxing authorities are for the years 2009 to 2011, which statutes expire in 2012 to 2014, respectively. Central America and the Caribbean 0 0 Program services Publishing sells and distributes books and related items East Asia and the Pacific 0 0 Program services Publishing sells and distributes books and related items Europe 0 0 Program services Publishing sells and distributes books and related items Middle East and North Africa 0 0 Program services Publishing sells and distributes books and related items North America 0 0 Program services Publishing sells and distributes books and related items South America 0 0 Program services Publishing sells and distributes books and related items South Asia 0 0 Program services Publishing sells and distributes books and related items Sub-Saharan Africa 0 0 Program services Publishing sells and distributes books and related items 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dinner and Auction 205809 181461 24348 30463 8200 96189 Golf Tournment 84840 64755 20085 1000 17968 7020 8729 1 15470 11285 4185 5716 12038 11322 306119 257501 48618 1000 17968 43199 20238 116240 198645 -150027 1 Scholarships for Graduate School of Addiction Studies 119 396357 Book Scholarships for Professionals in Residence Training 105 134316 Book Educational assistance for local high school students 6 5200 Book Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Hazelden Foundation provides the assistance as part of its program services activity. All scholarships are provided to individuals and monitored through the Graduate School of Addiction Studies, the Professionals in Residence training program and the Community Relations department to ensure the monies are used for the purpose intended. The tuition paid for those programs and the funds given to assist with the tuition is tracked by each individual. X X X X X 0 1 0 0 0 0 0 0 0 Mark Mishek 480865 0 114553 0 3564 0 63004 0 22966 0 684952 0 0 0 James Blaha 234278 0 18135 0 1539 0 20062 0 15955 0 289969 0 0 0 Dr Marv Seppala 340355 0 41438 0 15382 0 41424 0 29130 0 467729 0 0 0 Nick Motu 248628 0 25183 0 1599 0 26593 0 28428 0 330431 0 0 0 Ann Bray 220765 0 22640 0 719 0 19089 0 1059 0 264272 0 0 0 Mark Sheets 180032 0 21239 0 1154 0 19201 0 27178 0 248804 0 0 0 James Steinhagen 174151 0 16371 0 1084 0 17284 0 17540 0 226430 0 0 0 Janice Vondrachek 176089 0 21738 0 576 0 17944 0 10808 0 227155 0 0 0 John Driscoll 183729 0 21668 0 260 0 18791 0 23976 0 248424 0 0 0 Valerie Slaymaker 175002 0 17636 0 241 0 16999 0 14351 0 224229 0 0 0 Sharon Birnbaum 171287 0 16448 0 1055 0 16934 0 28099 0 233823 0 0 0 Dr Omar Manejwala 238287 0 0 0 16670 0 14956 0 25392 0 295305 0 0 0 Dr Dana Castro 221367 0 0 0 23296 0 5048 0 22832 0 272543 0 0 0 Dr Joseph Lee 227061 0 0 0 322 0 22081 0 21609 0 271073 0 0 0 Dr Stephen Delisi 201252 0 0 0 311 0 19626 0 26795 0 247984 0 0 0 Dr Laura Ferguson 196587 0 0 0 684 0 3868 0 11151 0 212290 0 0 0 William Moyers 199031 0 19393 0 650 0 13478 0 26056 0 258608 0 0 0 Dr Timothy Sheehan 107814 0 0 0 433 0 7747 0 11436 0 127430 0 0 0 Part I, Line 4b Part I, Line 4b: The following individuals participated in a nonqualified retirement plan: Mark Mishek, President and CEO in the amount of $36,967 Dr. Marv Seppala, Chief Medical Officer, in the amount of $18,486 Nick Motu, Publisher and VP of Mkt and Comm. in the amount of $8,599 City of Center City MN 416005039 151452AC3 2005-10-13 13190000 Women's Recovery Center construction and other capital improvements. 0 0 0 City of Center City MN 416005039 151452AT6 2011-11-14 20095000 Expanasion and renovation of Plymouth facility 0 0 0 275000 13190000 290432 12899568 2007 0 0 1 1 20095000 18248174 370566 1476315 18248119 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 Piper Jaffray 3.000000000000 0 0 0 0 0 0 0 0 1 Credit Agricole Corp and Investment 1.500000000000 0 0 0 X 19 149839 Gross selling price 0 1 1 Third Party Use: Part I, Line 32b: Hazelden Foundation maintains a cash securities account with a brokerage firm for the sale of stocks and/or other securities received as charitable contributions by Hazelden. The stocks/securities are sent to the brokerage firm and are sold at fair market value with the gross proceeds deposited into Hazelden's cash account. Form 990, Part VI, Section A, line 4 The statement "The President shall count for purposes of a quorum" was added to the organizational documents. Form 990, Part VI, Section B, line 11 Hazelden Foundation sent its Form 990 via email to Board members for review and questions prior to filing. It was also reviewed by the CFO and General Counsel prior to filing. Form 990, Part VI, Section B, line 12c Hazelden Foundation requires an annual disclosure of any potential conflict of interest by Board members, officers and key employees. If a Board member discloses a potential conflict, that person then excuses himself from voting on that particular issue. All new board members are provided conflict of interest education and periodic training throughout their term. All board members sign an annual conflict of interest disclosure form. Form 990, Part VI, Section B, line 15 Hazelden has an established process for determining the compensation of the CEO, other officers and key employees that starts with the Board of Trustees. The Hazelden Foundation by-laws delegate responsibility for determining compensation for the CEO, other officers and key employees to the Executive Committee of the Board of Trustees. The Executive Committee develops, reviews, and modifies, as necessary, the compensation philosophy for Hazelden Foundation. Hazelden has the following processes in place: 1. Each year the Board members complete a conflict of interest disclosure. The documents are reviewed by Hazelden's general counsel and if a Board member has a conflict of interest they are not involved in any compensation decisions. 2. The Executive Committee engages the use of an outside independent compensation consultant to identify comparable market data for comparable positions for the CEO and other disqualified individuals consistent with the approved compensation philosophy. Generally the market analysis includes competitive data from published survey sources, supplemented with compensation data from custom 990 analyses. Where possible, competitive data are pulled from similarly sized organizations. The compensation consultant analyzes the pay packages of the CEO and other disqualified individuals by reviewing base salary, total cash compensation (salary plus annual incentive at both target and actual levels) and total direct compensation (salary plus annual and long-term incentive). In addition, every two to three years the Executive Committee reviews the total compensation package of the CEO and other disqualified individuals. The total compensation package includes total direct compensation plus severance, employee benefits, perquisites and any other pay. Comparable market data are reviewed and discussed by the Executive Committee and minutes record those discussions and any resulting compensation decisions. This process was last updated in February, 2011 for the CEO compensation and February, 2010 for other officers and key employees. Form 990, Part VI, Section C, line 19 Hazelden Foundation makes its annual report available to the public via its website at www.hazelden.org. The governing documents and conflict of interest policy are not available for public inspection. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -5,469,554. Temp. Rest. Contribution Receivable write-off's -171,200. (Loss) on Interest Rate Swap Agreements -2,214,352. Other (Losses) -11,748. Total to Form 990, Part XI, Line 5: -7,866,854. Governing body Executive committee Part VI, Section A: The Executive committee of the Board of Trustees has the authority to act on behalf of the Board between the Board's regular meetings, subject to the limitations of power listed below. The Executive committee consists of the Chair of the Board, the immediate past Chair, if a member of the Board, Vice Chairs of the Board, President (ex-officio non-voting), Secretary, Treasurer, and the Chair of each standing committee. Limitations of Powers: The Executive committee does not have the power to elect a trustee, to alter fundamental policies approved by the Board, to make appropriations which are not in accordance with the general policies approved by the Board, to modify, revoke or renew any contract previously entered into by the Board or to change the person or persons specifically designated by the Board to enter into or execute on behalf of the organization a particular contract, obligation, agreement or writing authorized by action of the Board of Trustees. Average Hours per Week: FORM 990, PART VII, SECTION A: The following officers also spent time at these related organizations - Hazelden New York and Hazelden Chicago. The hours below represent the average number of hours per week at each organization: Mark Mishek 5 hours per organization James Blaha 3 hours per organization 615 Drake Street LLC PO Box 11 Center City MN 55012 272969681 Land purchased for future expansion of the Foundation's St. Paul, MN site MN 3120531 Hazelden Foundation Hazelden Chicago PO Box 11 Center City MN 55012 364099403 Addiction recovery services, including outpatient, sober residence IL 501 (c)3 3 Hazelden Foundation 1 Hazelden New York PO Box 11 Center City MN 55012 133673215 Addiction recovery services, including outpatient, continuing care NY 501 (c)3 7 Hazelden Foundation 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 Hazelden Chicago P 956000 Fair Market Value Hazelden New York P 898000 Fair Market Value