2011-08-12T11:41:57-05:00 2010-12-31 Eide Bailly LLP 5601 Green Valley Drive 700 Bloomington MN 55437 990 2010-01-01 410682405 Hazelden Foundation HAZE 6512134006 PO Box 11 Center City MN 55012 James Blaha 6512134006 2011-08-08 1 Kim Hunwardsen CPA 9529446166 2011-08-08 2010 2016-02-24 21:20:13Z Mark Mishek PO Box 11 Center City MN 55012 213406251 0 X www.hazelden.org X 1949 MN To help more people sustain lifelong recovery from addiction to alcohol and other drugs. 23 23 1171 201 17280 16280 5669275 3840818 87658854 109130085 833007 5130909 2791360 1483280 96952496 119585092 497498 610797 0 0 54289869 63487836 0 0 2167339 39396579 46137785 94183946 110236418 2768550 9348674 223262688 254450576 39365146 49525473 183897542 204925103 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 69633422 85919526 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. Primary care addiction treatment is offered at Hazelden facilities in Center City, St. Paul, and Plymouth, Minnesota, Chicago, Illinois, Naples, Florida, New York, New York, and Newberg, Oregon. In addition to primary care addiction treatment, Hazelden provides assessment and evaluation services, residential extended and intermediate care programs, 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, patients and family members receive education, guidance, and support to achieve a healthier way of life. In 2010, the following number of people directly benefited from Hazelden addiction treatment and recovery programs: Primary Treatment-Adult 2,743 Family Program-Adult 1,951 Renewal Center and Lodge 1,259 Family Program-Youth 956 Primary Treatment-Youth 629 Extended Treatment-Adult 463 Intensive Outpatient 379 Mental Health Services-Adults 369 Continuing Care Services 285 Intermediate Care Services 186 Outpatient Treatment-Adult 131 Mental Health Services-Youth 131 Room & Board 122 Day Treatment-Adult 117 Extended Treatment-Youth 103 Teen Intervene 50 Day Treatment-Youth 24 Your Next Step 6 TOTAL PATIENTS SERVED 9,904 Additionally, patient aid is available as measured as a discount to standard program rates, and in 2010, $5,424,000 was provided to 2,207 qualifying patients and family members. 15402597 21124705 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 $479,000 were distributed through Hazelden's BookAid program in 2010 to individuals as well as schools, prisons, treatment centers, and other nonprofit organizations. 2763946 610797 3551854 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 1960s, 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 2010, the school awarded 66 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 2010, 253 professionals participated in Hazelden's PIR program. 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. Our patient aid awards totaled $5,424,000 and $4,314,000 in 2010 and 2009, respectively. 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 offers a full scholarship each year to a student from Chisago County Health and Human Services. The school also provided over 19,000 hours of clinical services by student interns at agencies reaching underserved and economically disadvantaged populations. -Sixty-six students graduated with master degrees from the school in 2010. Ninety-one percent of the class of 2009 who sought careers in the addiction treatment field found employment in their home communities or at regional or national treatment agencies. Faculty and graduate school leaders speak to local and national audiences on a broad range of addiction, treatment and addiction counseling topics. 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. To this end, the staff of the Butler Center for Research conduct research with sound scientific integrity, work to advance innovation and research inquiry, and promote objectivity and data-driven decision-making. Among the department's many activities in 2010: -As part of Hazelden's commitment to evidence-based practice, over 20 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 genotype. Over 140 adults were recruited into the study during 2010. -Additional clinical research projects continued in 2010. Follow-up data collection was completed for a study on the neurobiology of stimulant addiction and recovery among young adults conducted in partnership with the University of Minnesota's Department of Psychiatry and Center for Magnetic Resonance Research. A pilot study examining the effects of recovery-related text messaging on continuing care compliance among young adults in treatment was launched in early 2010 with over 60 participants recruited by year end. In addition, recruitment for a spirituality and recovery study was completed in early 2010 and follow-up assessments are underway. This project examines how changes in gratitude, resentment and self-centeredness are related to spiritual development and set the stage for ongoing recovery. -Over 32,000 issues of "Research Update" were disseminated to professionals, educators, students and others. These two-page summaries of scientific findings from the field of addiction treatment research are provided at no cost as a community benefit to policymakers, treatment professionals and the public at large. The issues are now available online for convenient access. -As part of the Center's dissemination efforts, three research manuscripts were submitted to peer reviewed journals in the latter half of 2010. -Helen Pettinati, Ph.D., Director of the Addiction Treatment Research and Medication Development Division at the University of Pennsylvania, was named the 2010 recipient of the Dan Anderson Research Award. Dr. Pettinati is recognized for her study titled, "A double blind, placebo-controlled trial combining sertraline and naltrexone for treating co-occurring depression and alcohol dependence," published in the American Journal of Psychiatry.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 teaches the latest information and research 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 2010, Hazelden welcomed 253 professionals to our programs which are held in Minnesota, New York and Oregon.Center for Public Advocacy: In 2010, 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. -The Center produced a brochure to educate consumers about the impact of the law on their health care coverage and distributed it widely to all Hazelden facilities, incoming patients and prospective clients. In conjunction with the Parity Implementation Coalition, the Center produced an online "toolkit" to help people understand and access their rights under the new law.-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, advising Marvin D. Seppala, MD, chief medical officer of Hazelden, who serves on a key SAMHSA advisory panel on residential treatment. 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 although a permanent solution remains elusive. And Hazelden has played a leading role with state lawmakers in making the case for the efficacy and cost-effective of substance abuse treatment in these tight budgetary times. -Throughout 2010, 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 2010, 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.-Under the direction of the Hazelden Speakers Bureau, 39 employees presented to more than 8,677 attendees at 101 events in 16 states on a broad range of subjects, including drug trends, prevention, treatment advances and co-occurring disorders. This includes more than 1,200 people who attended Hazelden's Women Healing conferences in four cities. Another 402 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 92 tours for 613 individuals. Volunteers at facilities in Minnesota, Illinois, New York, Oregon and Florida donated 12,724 hours valued at $265,295. -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. Hazelden also donated training and implementation of the Olweus Bullying Prevention Program to the Chisago Lakes Area schools. 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 46 new releases in 2010, Hazelden publications continued to provide inspiration, guidance and encouragement in the lives of millions around the world every day. Hazelden also produced 186 electronic books, five daily meditation applications for iPhone and five for Android in 2010. 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 2010, through its BookAid program, Publishing sent 4,997 packages of products reaching the lives of over 200,000 people through 87 libraries serving programs and institutions in need. BookAid resources were sent to individuals and organizations around the world, including Saudi Arabia, Amsterdam, Costa Rica, Columbia, Mexico, Uganda, Canada, Mongolia and South Africa. The retail cost of the BookAid items totaled $479,128. Hazelden Web site: -Hazelden's main website, hazelden.org, launched a redesign in 2010 and recorded nearly 3.5 million visits in 2010. In addition to its main site, Hazelden offered targeted websites that provide in-depth information on the Olweus Bullying Prevention Program and co-occurring disorders. Two sites were also built to support awareness campaigns intended to build recognition of Hazelden as a thought leader. Hazelden's presence in social media on the web began in earnest in 2010 with the launch of a social networking site for people in recovery and another site for families struggling with a loved one's addiction. In 2010, Hazelden also began reaching out via Facebook, Twitter, YouTube and Linked In.Resource Center: -In 2010, a total of 174,000 calls and 9,475 online inquiries were received by Hazelden's Resource Center 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. 87799965 1 1 0 1 0 0 1 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 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 1 788 0 1 1171 1 1 1 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 1 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 Fr Michael O'Connell 5.00 X X 0 0 0 Norb Conzemius 2.00 X X 0 0 0 Paul Gossling 2.00 X X 0 0 0 Terry Rubenstein 2.00 X X 0 0 0 William Cirone 1.00 X 0 0 0 Harve Ferrill 1.00 X 0 0 0 Hon Susan Fox Gillis 1.00 X 0 0 0 Elizabeth Glaser 1.00 X 0 0 0 Thomas Holmberg 1.00 X 0 0 0 Dr Andrew Jeon 1.00 X 0 0 0 Paul Karon 1.00 X 0 0 0 Donald C MacMillan 1.00 X 0 0 0 Cheryl McKinley 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 Dr Frank Wilderson 1.00 X 0 0 0 William Lammers 1.00 X 0 0 0 Mary Brown 1.00 X 0 0 0 John Butler 1.00 X 0 0 0 Kelly Clark 1.00 X 0 0 0 John Huss 1.00 X 0 0 0 James Kowalski 1.00 X 0 0 0 Catherine Morley 1.00 X 0 0 0 Mary Whitney 1.00 X 0 0 0 Mark Mishek 50.00 X 593368 0 80235 James Blaha 50.00 X 180875 0 6558 Steven Laible 40.00 X 184116 0 2116 Nick Motu 50.00 X 246627 0 48842 Ann Bray 50.00 X 228302 0 21409 Marvin Seppala 50.00 X 370490 0 56370 William Moyers 50.00 X 217796 0 43450 Valerie Slaymaker 50.00 X 171415 0 26993 Mark Sheets 50.00 X 188329 0 40643 James Steinhagen 50.00 X 179560 0 29484 John Driscoll 50.00 X 181705 0 35536 Jan Vondrachek 50.00 X 170706 0 24538 Sharon Birnbaum 50.00 X 177304 0 40047 Kevin Clark MD 40.00 X 353755 0 6080 Joseph Lee 40.00 X 214845 0 38217 Stephen Delisi 40.00 X 194144 0 42207 Omar Manejwala 40.00 X 271328 0 16610 Robert Poznanovich 40.00 X 177267 0 6086 Dr Timothy Sheehan 40.00 X 154181 0 22412 4456113 0 587833 36 1 1 0 Sodexho Inc & Affilliates PO Box 70060 Chicago IL 60673 Food services 1425624 RR Donnelley PO Box 809284 Chicago IL 60680 Warehouse management services 673718 Xerox Corporation 3500 West 80th Street Bloomington MN 55431 Duplication services 537317 MacCabee Group Inc 211 N First St Ste 425 Minneapolis MN 55401 Marketing services 288144 Oracle America Inc PO Box 71028 Chicago IL 60694 Computer services 261071 17 3840818 112176 3840818 Addiction Treatment 623990 84785781 84785781 Publishing 511130 20842882 20842882 Higher Education 611600 3501422 3501422 109130085 979443 979443 97960428 12197 93767449 53710 4192979 -41513 4151466 4151466 Corporate support fees 561000 1466000 1466000 Personal property rent 900002 17280 17280 1483280 119585092 110596085 17280 5130909 607662 607662 3135 3135 3544700 1505553 1947711 91436 45339160 36689812 7505260 1144088 2520369 2116102 358562 45705 8628262 6807617 1556001 264644 3455345 2774642 615051 65652 306825 58506 248319 87168 87168 137222 137222 37500 37500 4681804 3518927 1004374 158503 3193621 2809228 282859 101534 4830933 3562499 1188073 80361 3179946 1177502 1998738 3706 2096277 2096277 2165808 1809566 321837 34405 1326769 937121 337736 51912 590565 446611 141989 1965 863733 579792 273926 10015 9223701 7424829 1735534 63338 Cost of Materials Sold 3597391 3597391 Medicine, Drugs and Lab 2347643 2347643 Food 1915455 1894499 20956 Provision for Bad Debt 1290878 1290878 Taxes 1181592 1176947 4645 3082954 2567226 465653 50075 110236418 87799965 20269114 2167339 967617 4346651 2042782 1400881 7521853 9232375 49842 88877 3642089 2967445 1259655 1044865 174702009 86327644 57354683 88374365 95492833 88941336 23737517 31998682 31193817 26055099 223262688 254450576 12100886 12244914 291667 345 24690000 28515000 5000000 2282593 3765214 39365146 49525473 X 159754353 181219286 2912552 2411077 21230637 21294740 183897542 204925103 223262688 254450576 X 9348674 11678887 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 9188 0 0 1 137222 1 380995 0 527405 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: In 2010, the push for 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 by the U.S. Departments of Labor, Treasury, and Health and Human Services. The Interim final regulations (IFR) implementing the new law were issued in 2010, but because many plans start their plan year in January, the full effect of parity did not begin to be experienced in many markets until the start of 2011. 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, 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 2010, and Hazelden receives requests for information on addiction, treatment and recovery issues from the Minnesota legislature. 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 20187298 117515 2160784 905048 21560549 15281356 2986682 2887634 968374 20187298 22684940 435000 -6895539 943045 15281356 0.13760 0.86240 0 0 5392139 5392139 101395795 45429918 55965877 178545 23806 154739 43212492 36859772 6352720 24523038 4014148 20508890 88374365 1484190 F Q-Blk Strategic Partner 2008 Series 1 11879905 F PIMCO Stockplus Limited Partner 13513162 F ABS Offshore SPC Global 5121425 F 31998682 Intercompany Receivables 21372749 Film and Video Costs, net 453250 CSV Life Insurance 192728 Capitalized Finance costs, net 410135 Curriculum costs, net 325256 Collections 570881 Goodwill-Springbrook 2187766 610 Development Florida Loan 542334 26055099 Interest Rate Exchange Agreement Liability 2346477 Asset Retirement Obligation 518737 615 Drake Street, LLC - Asset retirement obligation 900000 3765214 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 Organization addresses the determination of whether tax benefits claimed on a tax return should be recorded in the financial statements. Under this guidance, the Organization 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 Organization 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 2010. Open tax years subject to examination by the U.S and the state taxing authorities are for the years 2008 to 2010, which statutes expire in 2011 to 2013, respectively. Central America and the Caribbean 0 0 Program services Publishing sells and distributes books and related items 0 East Asia and the Pacific 0 0 Program services Publishing sells and distributes books and related items 0 Europe 0 0 Program services Publishing sells and distributes books and related items 0 Middle East and North Africa 0 0 Program services Publishing sells and distributes books and related items 0 North America 0 0 Program services Publishing sells and distributes books and related items 0 South America 0 0 Program services Publishing sells and distributes books and related items 0 South Asia 0 0 Program services Publishing sells and distributes books and related items 0 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 1 Scholarships for Graduate School of Addiction Studies 99 400824 0 Book Scholarships for Professionals in Residence Training 164 201638 0 Book Educational assistance for local high school students 6 5200 0 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 and the Professionals in Residence training program 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 454125 0 136921 0 2322 0 65067 0 18125 0 676560 0 0 0 James Blaha 179645 0 0 0 1230 0 0 0 7683 0 188558 0 0 0 Steven Laible 182000 0 0 0 2116 0 0 0 0 0 184116 0 0 0 Nick Motu 216613 0 28543 0 1471 0 24096 0 26215 0 296938 0 0 0 Ann Bray 201706 0 25908 0 688 0 21409 0 1339 0 251050 0 0 0 Marvin Seppala 347767 0 21501 0 1222 0 37020 0 21507 0 429017 0 0 0 William Moyers 188507 0 28645 0 644 0 20636 0 24047 0 262479 0 0 0 Valerie Slaymaker 149668 0 21539 0 208 0 15043 0 12922 0 199380 0 0 0 Mark Sheets 164131 0 23181 0 1017 0 17831 0 23923 0 230083 0 0 0 James Steinhagen 162455 0 16583 0 522 0 16316 0 14245 0 210121 0 0 0 John Driscoll 165904 0 15566 0 235 0 16422 0 20223 0 218350 0 0 0 Jan Vondrachek 155439 0 14765 0 502 0 15403 0 10178 0 196287 0 0 0 Sharon Birnbaum 157246 0 19055 0 1003 0 16083 0 25059 0 218446 0 0 0 Kevin Clark MD 83491 0 255000 0 15264 0 0 0 6080 0 359835 0 0 0 Joseph Lee 214542 0 0 0 303 0 21117 0 18578 0 254540 0 0 0 Stephen Delisi 193843 0 0 0 301 0 18743 0 24794 0 237681 0 0 0 Omar Manejwala 221004 0 50000 0 324 0 3775 0 14330 0 289433 0 0 0 Robert Poznanovich 176675 0 0 0 592 0 0 0 7238 0 184505 0 0 0 Dr Timothy Sheehan 153439 0 0 0 742 0 13476 0 9614 0 177271 0 0 0 Part I, Line 4b The following employees participated in a supplemental nonqualified retirement plan: Mark Mishek - President and CEO - $41,007 Dr. Marvin Seppala - Chief Medical Officer - $12,960 Nick Motu - Publisher and VP Marketing - $36 City of Center City MN 416005039 151452AC3 2005-10-13 13190000 Women's Recovery Center construction and other capital improvements. 0 0 0 275000 13190000 290432 12899568 2007 0 0 1 1 0 0 0 0 0 0 0 1 1 Piper Jaffray 36.000000000000 0 0 0 0 0 X 27 112176 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 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 President/CEO and CFO 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, 2010. 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. Contact Addresses for Officers, Directors, Etc Form 990, Part VII Steven Laible - 3146 Brookshire Lane, New Brighton, MN 55112. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 9,291,170. Temp. Rest. Contribution Receivable write-off's -371,169. (Loss) on Interest Rate Swap Agreements -653,191. Other (Losses) -37,859. Prior period adjustment for Springbrook merger 3,449,936. Total to Form 990, Part XI, Line 5: 11,678,887. 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 Steve Laible 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 0 3143596 Hazelden Foundation Hazelden Chicago PO Box 11 Center City MN 55012 364099403 Addiction recovery services, including outpatient, sober residence IL 501 (c) 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) 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 883000 Fair market value Hazelden New York P 567000 Fair market value