CHILDRENS HEALTH CARE FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HEALTH CARE FOUNDATION (EIN 41-1814223)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-02
- IRS object ID
- 201223079349301207
- 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 | 2012-11-02T15:31:39-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET | 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 | 411814223 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Health Care Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 6128136000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 Chicago Avenue South | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55404 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY MASSMANN | Name |
| Title | CFO | Title |
| Phone | 6128136000 | Phone |
| Date Signed | 2012-10-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kristina Rasmussen | Name |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | 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 | Jerry Massmann | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 Chicago Avenue South | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28848999 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.childrensmn.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | The Foundation champions raising funds in support of special health needs of children. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 43 | TotalNbrEmployees |
| Total Nbr Volunteers | 372 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 16552339 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 26288634 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1949282 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2229678 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -37989 | OtherRevenuePriorYear |
| Other Revenue Current Year | -197436 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18463632 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28320876 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 20573944 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 22580284 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3033764 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3263369 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3338313 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1806959 | OtherExpensePriorYear |
| Other Expenses Current Year | 1949858 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25414667 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27793511 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6951035 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 527365 | RevenuesLessExpensesCY |
| Total Assets BOY | 69452205 | TotalAssetsBOY |
| Total Assets EOY | 69773823 | TotalAssetsEOY |
| Total Liabilities BOY | 118722 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2092665 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 69333483 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 67681158 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Children's Health Care Foundation supports the mission of Children's Health Care by raising financial resources from the community that are leveraged to provide high-quality, family centered pediatric healthcare. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 10771859 | Expense |
| Grants | 10771859 | Grants |
| Description | Children's Health Care Foundation ("The Foundation") supports the mission of Children's Health Care d.b.a. Children's Hospitals and Clinics ("Children's"), by obtaining financial resources that are leveraged to champion the special needs of children and their families and to improve children's health by providing high-quality, family centered pediatric services.The Foundation is the fundraising arm for Children's, which formed in 1924, and is one of the largest children's health care organization in the U.S., with 332 staffed beds at our two hospital campuses in St. Paul and Minneapolis. See Schedule O.An independent, not-for-profit health care system, Children's provides care through over 13,500 inpatient visits and more than 228,000 emergency room and other outpatient visits each year.The three largest services that the Foundation provides are to fund capital expenses, research and annual expenses for programs. These funds are transferred to Children's throughout the year and provide needed support to champion the special health needs of children.Programs:Annual operations support for programs support expert interdisciplinary teams of physicians, nurses, and health care professionals able to address the most complex and difficult pediatric medical problems. A majority of program support is provided to non-reimbursable services that are essential in the healing process for children and families. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1046426 | Expense |
| Grants | 1046426 | Grants |
| Description | Research - The purpose of funding research at Children's Health Care is to support a systematic investigation, including research development, testing, and evaluation, designed to develop or contribute to generalized knowledge. Currently, Children's has more than 300 ongoing research studies and programs. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10761999 | Expense |
| Grants | 10761999 | Grants |
| Description | Capital - Capital support provides funds to purchase equipment and related supplies and services, or to make capital improvements. Such activities must 1) advance the mission of Children's and 2) have the potential for significant or long-term impact. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 22580284 | 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 | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 43 | 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 |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jerry Massmann | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6128136113 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 Chicago Avenue South | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554041844 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Alan Goldbloom | |||||||
| President & CEO | 1.00 | X | X | 0 | 873504 | 524472 | |
| Raymond L Barton | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Russell Becker | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Michael V Ciresi | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Molly Culligan | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Michael B Fiterman | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Greg Goven | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Sharon Jaeger | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Bill Jeatran | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Mary L Jeffries | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Andrea Kmetz-Sheehy | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Cynthia L Lesher | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Chad Lindbloom | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Matt Majka | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Gaye Adams Massey | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Richard J Migliori MD | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| David Miller | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Michael J Ott | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Timothy J Pabst | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Ryan D Robinson | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Patrick G Ryan | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Susan Sencer | |||||||
| Board Member | 1.00 | X | 0 | 312584 | 54125 | ||
| Robert Segal | |||||||
| Board Member | 1.00 | X | 0 | 275323 | 48923 | ||
| Sandra Sackett | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| James D Sidman MD | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Jerry Massmann | |||||||
| CFO, VP Finance | 1.00 | X | 0 | 567380 | 49379 | ||
| Theresa Pesch | |||||||
| VP Dev & Exec Dir Fndtn | 25.00 | X | 181223 | 181224 | 34584 | ||
| Maria Christu | |||||||
| Gen Couns Brd Scy | 1.00 | X | 0 | 300892 | 43012 | ||
| Carley Stuber | |||||||
| Lead Development Officer | 50.00 | 100852 | 0 | 20860 | X | ||
| Jennifer Peterson | |||||||
| Corporate Dev Officer | 50.00 | 105158 | 0 | 11593 | X | ||
| Jeffrey Weness | |||||||
| Sr Director Corp Dev | 50.00 | 168276 | 0 | 31843 | X | ||
| Heather Riddle | |||||||
| Director of Development | 50.00 | 113096 | 0 | 23011 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 668605 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2510907 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 841802 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Bentz Whaley Flessner | |||||
| 7251 Ohms Lane | Minneapolis | MN | 55439 | Consulting Services | 175881 |
| Blackbaud Inc | |||||
| PO Box 930256 | Atlanta | GA | 31193 | Data Base Maintenance | 133271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 1874180 | FundraisingEvents |
| All Other Contributions | 24414454 | AllOtherContributions |
| Noncash Contributions | 158346 | NoncashContributions |
| Total Contributions | 26288634 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1001011 | TotalRevenueColumn |
| Exclusion | $1,001,011 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1228667 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1228667 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1228667 | TotalRevenueColumn |
| Exclusion | $1,228,667 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 327927 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 1874180 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 525101 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -197174 | TotalRevenueColumn |
| Exclusion | -$197,174 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 2760 | GrossIncomeGaming |
| Gaming Direct Expenses | 3022 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -262 | TotalRevenueColumn |
| Exclusion | -$262 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28320876 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,032,242 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22580284 | Total |
| Program Services | 22580284 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198516 | Total |
| Management And General | 99258 | ManagementAndGeneral |
| Fundraising | 99258 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2433871 | Total |
| Management And General | 508948 | ManagementAndGeneral |
| Fundraising | 1924923 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450141 | Total |
| Management And General | 119676 | ManagementAndGeneral |
| Fundraising | 330465 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180841 | Total |
| Management And General | 36517 | ManagementAndGeneral |
| Fundraising | 144324 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34445 | Total |
| Management And General | 34445 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 604720 | Total |
| Management And General | 290166 | ManagementAndGeneral |
| Fundraising | 314554 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3511 | Total |
| Management And General | 3511 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304127 | Total |
| Management And General | 76654 | ManagementAndGeneral |
| Fundraising | 227473 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83416 | Total |
| Management And General | 83416 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126902 | Total |
| Management And General | 66047 | ManagementAndGeneral |
| Fundraising | 60855 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71309 | Total |
| Management And General | 43035 | ManagementAndGeneral |
| Fundraising | 28274 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106702 | Total |
| Management And General | 72172 | ManagementAndGeneral |
| Fundraising | 34530 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Purch Svcs to/Frm Affil | 205368 | 0 | 205368 | 0 |
| Dues & Licenses | 67203 | 0 | 33310 | 33893 |
| Bank Charges | 63385 | 0 | 63385 | 0 |
| Other Fees | 56468 | 0 | 41143 | 15325 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222302 | Total |
| Management And General | 97863 | ManagementAndGeneral |
| Fundraising | 124439 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27793511 | Total |
| Program Services | 22580284 | ProgramServices |
| Management And General | 1874914 | ManagementAndGeneral |
| Fundraising | 3338313 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 570064 | BOY |
| EOY | 774258 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 977919 | BOY |
| EOY | 304 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22001365 | BOY |
| EOY | 21470063 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 828160 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 331029 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399583 | BOY |
| EOY | 497131 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39246193 | BOY |
| EOY | 41229870 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6218700 | BOY |
| EOY | 5777744 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38381 | BOY |
| EOY | 24453 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69452205 | BOY |
| EOY | 69773823 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118722 | BOY |
| EOY | 2092665 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118722 | BOY |
| EOY | 2092665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1814592 | BOY |
| EOY | 85283 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40704791 | BOY |
| EOY | 40477466 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26814100 | BOY |
| EOY | 27118409 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69333483 | BOY |
| EOY | 67681158 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69452205 | BOY |
| EOY | 69773823 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 527365 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2179690 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24505420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25475961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24826975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16552339 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26288634 | CurrentTaxYear |
| Total | 117649329 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24505420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25475961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24826975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16552339 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26288634 | CurrentTaxYear |
| Total | 117649329 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 18737449 | AmountsSubstContributorsTotal |
| Public Support Total170 | 98911880 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1493469 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1446451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1124070 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 789462 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1001011 | CurrentTaxYear |
| Total | 5854463 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 225340 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 377913 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 300485 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 490185 | CurrentTaxYearMinus1Year |
| Current Tax Year | 330687 | CurrentTaxYear |
| Total | 1724610 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 125228402 | TotalSupport |
| Gross Receipts From Admissions Etc | 1721850 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.78990 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.76270 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | Schedule A, Part IV, Supplemental Information: Part II, Section B: Gross Income form fundraising activities: $327,927 Gross income from gaming activities : $ 2,760 | GeneralExplanation |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 30881650 | BeginningOfYearBalance |
| Contributions | 883411 | Contributions |
| Investment Earnings Or Losses | -267697 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1211560 | GrantsOrScholarships |
| End Of Year Balance | 30285804 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 28645602 | BeginningOfYearBalance |
| Contributions | 371730 | Contributions |
| Investment Earnings Or Losses | 2991850 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1127532 | GrantsOrScholarships |
| End Of Year Balance | 30881650 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 23511131 | BeginningOfYearBalance |
| Contributions | 1160044 | Contributions |
| Investment Earnings Or Losses | 4333957 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 359530 | GrantsOrScholarships |
| End Of Year Balance | 28645602 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 35160520 | BeginningOfYearBalance |
| Contributions | 819502 | Contributions |
| Investment Earnings Or Losses | -10484516 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1984375 | GrantsOrScholarships |
| End Of Year Balance | 23511131 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.10000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.79000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.11000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 408401 | OtherCostOrOtherBasis |
| Depreciation | 46825 | Depreciation |
| Book Value | 361576 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103991 | OtherCostOrOtherBasis |
| Depreciation | 61950 | Depreciation |
| Book Value | 42041 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 315768 | OtherCostOrOtherBasis |
| Depreciation | 222254 | Depreciation |
| Book Value | 93514 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 497131 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Small Capital | 60000 | F |
| Remainder Trust | 546282 | F |
| Perpetual Trust | 4037558 | F |
| Irrevocable Planned Giving | 703845 | F |
| Life Insurance Planned Giving | 430059 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5777744 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Payable to Children's Health Care | Description |
| Amount | $2,092,665 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2092665 | TotalOfAmounts |
| Total Revenue | 28320876 | TotalRevenue |
| Total Expenses | 27793511 | TotalExpenses |
| Excess Or Deficit For Year | 527365 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1822690 | NetUnrealizedGLOnInvestments |
| Other | -$357,000 | OtherAmount |
| Total Adjustments | -2179690 | TotalAdjustments |
| Excess Or Deficit Per FS | -1652325 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 26669309 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1822690 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | -357000 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 528123 | OtherRevenues |
| Revenue Not Rptd F990 | -1651567 | RevenueNotRptdF990 |
| Revenue Subtotal | 28320876 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 28320876 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 28321634 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 528123 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 528123 | ExpensesNotRptdF990 |
| Expenses Subtotal | 27793511 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 27793511 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The intended use of the Foundation's endowments is to support the programs at Children's Health Care. There are also two endowment funds that are held and administered by US Bank, an unrelated organization, which are also used to support the programs at Children's Health Care. Refer to Part III, Line 4 for a description of the programs of Children's Health Care which are supported by the Foundation. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Internal Revenue Service (IRS) has determined that Children's and its subsidiaries are exempt organizations as described in Section 501(C)(3) of the IRC. Children's believes that it continues to meet the requirements of the IRC to sustain its tax-exempt status. There are no federal income tax expenses, penalties, or interest recognized in the consolidated statements of operations and no unrecognized tax benefits for the years ended December 31, 2011 and 2010. |
| Part XI, Line 8 - Other Adjustments: | Change in Perpetual Trust -357,000. | |
| Part XII, Line 2d - Other Adjustments: | Special Events Expense $525,101 Gaming Activity Expense $3,022 | |
| Part XIII, Line 2d - Other Adjustments: | Special Events Expense $525,101 Gaming Activity Expense $3,022 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | MN | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Thank God For Kids | NameOfEvent1 |
| Gross Receipts Event1 | 1250612 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 1064412 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 186200 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 257674 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Pine Tree Apple Tennis Classic | NameOfEvent2 |
| Gross Receipts Event2 | 319708 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 277264 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 42444 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 87780 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 631787 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 532504 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 99283 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 179647 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 2202107 | GrossReceiptsTotal |
| Charitable Contributions Total | 1874180 | CharitableContributionsTotal |
| Gross Revenue Total Events | 327927 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 525101 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 525101 | DirectExpenseSummaryEvents |
| Net Income Summary | -197174 | 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 | Children's Health Care | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 Chicago Ave S | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 411754276 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 21175351 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 1392872 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | Toys and Other Items for Children | DescriptionOfNonCashAssistance |
| Purpose Of Grant | Healthcare | 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: During calendar year 2011, grants were made to Children's Health Care ("Children's") for support of programs, research and capital. Since these grants were made to Children's, a related organization of the Foundation, employees of the Foundation were able to verify the use of the monies contributed. Also, occasionally the Foundation grants monies to other tax-exempt organizations conducting programs and/or research that will ultimately benefit those served by Children's and affiliates. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alan Goldbloom | |||||||||||||
| 0 | 733610 | 0 | 0 | 0 | 139894 | 0 | 508256 | 0 | 16216 | 0 | 1397976 | 0 | 122034 |
| Susan Sencer | |||||||||||||
| 0 | 281776 | 0 | 0 | 0 | 30808 | 0 | 33580 | 0 | 20545 | 0 | 366709 | 0 | 18783 |
| Robert Segal | |||||||||||||
| 0 | 225595 | 0 | 0 | 0 | 49728 | 0 | 28801 | 0 | 20122 | 0 | 324246 | 0 | 28972 |
| Jerry Massmann | |||||||||||||
| 0 | 402239 | 0 | 0 | 0 | 165141 | 0 | 33180 | 0 | 16199 | 0 | 616759 | 0 | 44459 |
| Theresa Pesch | |||||||||||||
| 145755 | 145756 | 0 | 0 | 35468 | 35468 | 9216 | 9216 | 8076 | 8076 | 198515 | 198516 | 10924 | 10924 |
| Maria Christu | |||||||||||||
| 0 | 277006 | 0 | 0 | 0 | 23886 | 0 | 22115 | 0 | 20897 | 0 | 343904 | 0 | 20110 |
| Jeffrey Weness | |||||||||||||
| 150826 | 0 | 0 | 0 | 17450 | 0 | 13141 | 0 | 18702 | 0 | 200119 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | Certain employees of Children's Health Care, parent of the Foundation, are provided the opportunity to participate in the Supplemental Executive Retirement Plan ("the SERP"). The SERP requires that the employee have an agreement in order to be eligible to participate in the SERP. Payments from the SERP occur at retirement and are based on years of service and percentage of salary. The following amount represents the amount deferred under the SERP in 2011. Alan Goldbloom $485,866 Certain employees of Children's Health Care, parent of the Foundation, are provided the opportunity to participate in the Capital Accumulation Plan ("the Capital Plan"). The Capital Plan requires that the employee is a physician or executive and is a .5 FTE or more in order to be eligible to participate in the Capital Plan. Payments from the Capital Plan occur at vesting and are based on percentage of salary. The following amounts represent the amount paid under the Capital Plan in 2011. Alan Goldbloom $122,034 Jerry Massmann $44,459 Maria Christu $20,110 Theresa Pesch $21,848 Susan Sencer $18,783 Robert Segal $18,319 Certain employees of Children's Health Care, parent of the Foundation, are provided the opportunity to participate in the Deferral Account Pay Plan ("the Deferral Plan"). The Deferral Plan requires that the employee is a physician or executive and is a .5 FTE or more in order to be eligible to participate in the Deferral Plan. Payments from the Deferral Plan occur at vesting and are based on percentage of salary. The following represent the amount paid under the Deferral plan in 2011: Robert Segal $10,653 | |
| Part III | Part I, Line 3: The Foundation relies on Children's Health Care, the parent of the Foundation, to establish the compensation of the organization's CEO. Children's Health Care uses the following methods to establish the compensation of the CEO: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Part I, Line 7: Certain executives and physicians are eligible for participation in the Executive Incentive Plan (EIP) or Physician Incentive Plan (PIP). The EIP and PIP provide eligible participants with the opportunity to receive an incentive payment based on attainment of established organization and individual goals. | Supplemental Information |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 10000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 34852 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 11 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 11755 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Other: | 1 | 13000 | Cost or selling price |
| X | Entertainment | 6 | 3700 | Cost or selling price |
| X | Media | 7 | 85040 | Cost or selling price |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | The Foundation uses a third party vendor to facilitate the sale of auction items at fundraising events and to process payments. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | The following people have a business relationship : Raymond L. Barton Russell Becker Michael V. Ciresi Molly Culligan Michael B. Fiterman Greg Goven Sharon Jaeger Bill Jeatran Mary L. Jeffries Andrea Kmetz-Sheehy Cynthia L. Lesher Chad Lindbloom Matt Majka Gaye Adams Massey Richard J. Migliori, MD David Miller Michael J. Ott Timothy J. Pabst Ryan D. Robinson Patrick G. Ryan Susan Sencer Robert Segal Sandra Sackett James D. Sidman, MD Alan Goldbloom Jerry Massmann Theresa Pesch Maria Christu | |
| Form 990, Part VI, Section A, line 4 | The Foundation's bylaws were amended in 2011 for the following significant changes: 1. Election of directors beyond the six-year term limit. The bylaws currently provide for election of directors for an additional year or two beyond the six-year term limit in certain circumstances. Specifically, this is allowed in situations where the director is serving as chair or vice chair of the board during his or her sixth year and so needs to serve an additional term to complete the appointment as chair or vice chair, and also in situations where the board desires to elect an immediate past chair for an additional term. The amendment clarifies the language in the Foundation bylaws so that a director serving as chair or vice-chair of either the Foundation or Hospital are eligible to be elected for and additional term. 2. Removal of Conflict of Interest Policy. A number of years ago the conflict of interest policy was included as part of both the Hospital and Foundation bylaws. Children's is not required by any regulatory agency to maintain the policy as part of the bylaws and has determined, based on consultation with outside counsel, that common law practice today among tax-exempt healthcare entities is to maintain the policy as a stand along policy, not part of the bylaws. This allows, among other things, the ability to modify the policy without the requirement of a bylaw amendment. The resolutions delete the conflict of interest policy from the bylaws of the Foundation, and require the corporations to maintain the policy a separate organizational policy. | |
| Form 990, Part VI, Section A, line 6 | The Foundation has a sole member, Children's Health Care, a Minnesota nonprofit corporation. | |
| Form 990, Part VI, Section A, line 7a | The Foundation's sole member, Children's Health Care, is authorized under the Foundation's bylaws to elect directors of the Foundation, after approval by the board of directors of the Foundation. | |
| Form 990, Part VI, Section A, line 7b | The Foundation's sole member, Children's Health Care, Inc., maintains a number of "reserved powers" including but not limited to election of directors, approval of annual budgets, approval of amendments to the Articles of Incorporation and Bylaws. | |
| Form 990, Part VI, Section B, line 11 | The senior management of Children's Health Care, the parent of the Foundation, reviews the draft Form 990 with the Audit and Compliance Committee of the governing body of the Foundation and Children's Health Care, the parent of the Foundation, prior to the filing of the Form. This review includes an overview of the Form and discussions related to key sections. Copies of the final Form 990 are made available to members of the committee and all the Foundation's directors prior to the Form being filed. The Audit and Compliance Committee has been delegated the authority to oversee the completion and filing of the Form 990 by the full Foundation Board, and the committee reports the results of its review and approval to the full board at a regularly scheduled board meeting. | |
| Form 990, Part VI, Section B, line 12c | Management of Children's Health Care, the parent of the Foundation, ensures that conflict of interest disclosure forms are completed by all members of the governing body and board committees at least annually. Forms are completed at the beginning of the year, and directors and committee members are instructed to provide additional disclosures if necessary during the course of the year. The Governance Committee of the governing body of Children's Health Care, along with senior management (CEO and General Counsel) of Children's Health Care, review all disclosures provided by governing board members. The results of this review and any concerns, limitations, etc. are reported by the Governance Committee to the full board. If conflicts are identified, the Governance Committee and management work to ensure that directors do not participate in discussion or voting on the affected matter. | |
| Form 990, Part VI, Section B, line 15 | Children's Health Care, the parent of the Foundation, follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the President and other officers and executive leaders of the Foundation. This function is performed by the Compensation Committee of the governing board of Children's Health Care, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee and full board meetings where executive compensation is considered. | |
| Form 990, Part VI, Section C, line 19 | Children's Health Care, the parent of the Foundation, makes financial statement information public through a summary of financial performance in its annual report. In addition, financial statements are provided to Children's Health Care's bond trustees, who thereafter make this information publicly available. The Foundation relies on the Conflict of Interest Policy of Children's Health Care, the parent of the Foundation. Children's Health Care does not make the Conflict of Interest Policy available to the public. The governing documents of the Foundation are not available to the public. | |
| Form 990, Part VII: | The following individuals held positions at both Children's Health Care Foundation and Children's Health Care, the parent of Children's Health Care Foundation. The hours listed on Part VII are the average hours per week these individuals devoted to Children's Health Care Foundation during the year. In addition, these individuals also devoted the following average hours per week to Children's Health Care. Alan Goldbloom 50.0 hours Maria Christu 50.0 hours Jerry Massmann 50.0 hours Theresa Pesch 25.0 hours Raymond Barton 1.0 hour Russell Becker 1.0 hour Michael Ciresi 1.0 hour Molly Culligan 1.0 hour Michael Fiterman 1.0 hour Greg Goven 1.0 hour Sharon Jaeger 1.0 hour Bill Jeatran 1.0 hour Mary Jeffries 1.0 hour Andrea Kmetz-Sheehy 1.0 hour Cynthia Lesher 1.0 hour Chad Lindbloom 1.0 hour Matt Majka 1.0 hour Gaye Adams Massey 1.0 hour Richard Migliori 1.0 hour David Miller 1.0 hour Michael Ott 1.0 hour Timothy Pabst 1.0 hour Ryan Robinson 1.0 hour Patrick Ryan 1.0 hour Sandra Sackett 1.0 hour James Sidman 1.0 hour Susan Sencer 1.0 hour Robert Segal 1.0 hour The following individual held positions at both Children's Health Care Foundation and Children's - Minnetonka. The hours listed on part VII are the average hours per week this individual devoted to Children's Health Care Foundatin during the year. In addition, this individual also devoted the following average hours per week to Childrens' - Minnetonka. Jerry Massmann 1.5 hours | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -1,822,690. Change in Perpetual Trust -357,000. Total to Form 990, Part XI, Line 5: -2,179,690. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Children's Health Care Services Inc DBA Minnetonka | ||||||||||
| 2525 Chicago Avenue South | Minneapolis | MN | 55404 | 411756478 | Healthcare | MN | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A | 1 |
| Children's Health Care | ||||||||||
| 2525 Chicago Avenue South | Minneapolis | MN | 55404 | 411754276 | Healthcare | MN | 501(c)(3) | Line 3: 170(b)(1)(a) | 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 | 0 | 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 | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |