CHILDRENS HEALTH CARE: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HEALTH CARE (EIN 41-1754276)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201143149349303164
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T15:30:46-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411754276 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HEALTH CARE | 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 | 554041844 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY MASSMANN | Name |
| Title | CFO | Title |
| Phone | 6128136000 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kristina Rasmussen | Name |
| Phone | 6123974000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospitals And Clinics Of | BusinessNameLine1 |
| 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 | 554041844 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 603447337 | 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 | Children's Hospitals and Clinics of Minnesota champions the special health needs of children. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4749 | TotalNbrEmployees |
| Total Nbr Volunteers | 1731 | TotalNbrVolunteers |
| Total Gross UBI | 86378 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 21338 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 29889469 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 34049233 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 545511514 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 533758861 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -11440103 | InvestmentIncomePriorYear |
| Investment Income Current Year | 32667649 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1456864 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2322913 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 565417744 | TotalRevenuePriorYear |
| Total Revenue Current Year | 602798656 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 341745 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 345688 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 328709457 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 332518318 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 214770180 | OtherExpensePriorYear |
| Other Expenses Current Year | 226806362 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 543821382 | TotalExpensesPriorYear |
| Total Expenses Current Year | 559670368 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 21596362 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 43128288 | RevenuesLessExpensesCY |
| Total Assets BOY | 835818044 | TotalAssetsBOY |
| Total Assets EOY | 916808405 | TotalAssetsEOY |
| Total Liabilities BOY | 369497389 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 416355035 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 466320655 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 500453370 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Children's Hospitals and Clinics of Minnesota champions the special health needs of children and their families. We are committed to improving children's health by providing family centered pediatric services. We advance these efforts through research and education. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 471885938 | Expense |
| Grants | 345688 | Grants |
| Revenue | 533758861 | Revenue |
| Description | Hospital program services: Families look to Children's Hospitals and Clinics of Minnesota for the finest in pediatric care. With two pediatric hospital facilities and 339 staffed beds, we champion the special health needs of children and their families and are committed to providing high-quality, family centered pediatric services.The Leapfrog Group's annual list of top hospitals named Children's Hospitals and Clinics of Minnesota's Minneapolis and St. Paul hospitals as two of the top seven pediatric hospitals in the country for quality and efficiency. This is the second year in a row Children's has been recognized by the Leapfrog Group. Children's was the only pediatric hospital in the five-state-region to receive a 2010 Leapfrog award. See Schedule O.For the fifth year in a row, Children's Hospitals and Clinics of Minnesota has been named one of the top pediatric hospitals in the nation according to the 2011-2012 U.S. News Media Group's Best Children's Hospitals rankings. This year Children's ranked in four categories - cancer, cardiology and heart surgery, neonatology and pulmonology. The U.S. News rankings give Children's high marks for patient volumes, safety, and overall outcomes in each of the clinical areas. Children's also received high marks for nurse-to-patient staffing levels that continue to be among the nation's highest, and for its designation as a Magnet hospital for excellence in nursing, bestowed by the American Nurses Credentialing Center.We are Minnesota's largest provider of care to children with complex surgical conditions, heart disease, cancer, diabetes, and extreme pre-maturity. In 2010, Children's cared for 12,484 inpatient admissions representing 79,769 patient days, performed 20,276 surgical cases, treated 80,094 emergency room visits and cared for 129,932 outpatient clinic visits, many of which provided to inner city Minneapolis and St. Paul residents. Children's continues to serve a diverse population with 57,702 family encounters for language interpretation utilizing 45 different languages interpreted.Children's designates certain major programs as a "Cornerstone program." These programs meet rigorous criteria for excellence, including outstanding use of evidence-based practices, clinical research, and advanced technologies. These Cornerstone programs include:Cardiovascular - Children's pediatric cardiovascular program is one of the largest in the region with some of the most impressive outcomes in the U.S. Team members care for thousands of the region's sickest children with heart conditions, including fetuses, newborns, infants, children, adolescents, and adult, long-term patients with pediatric cardiovascular conditions. Neonatal Intensive Care - Children's specializes in caring for multiples, babies with congenital anomalies, very premature and very low birth weight babies, and infants born with other complex diagnoses. We offer exceptional tertiary and quaternary care for babies, with survival outcomes among the best in the world. Children's neonatal program is the fourth-largest in the U.S., with more than 1,900 neonatal admissions per year. Our neonatal team includes highly-trained and experienced professionals from a full spectrum of medical specialties. Hematology/Oncology - The hematology/oncology program at Children's is the largest in the upper Midwest with treatment outcomes that consistently rank Children's as one of the top ten programs in the U.S. In our nationally unique model, your child's or teen's care is spearheaded and coordinated by a board-certified hematologist/oncologist, who leads a highly experienced team of multidisciplinary professionals.Cystic Fibrosis - The Cystic Fibrosis (CF) Center at Children's of Minnesota diagnoses and treats children in all stages of CF. Our dedication to family-centered care and education helps children and their families learn to live with CF. Care at Children's for patients with CF ranks among the top 10 programs nationally in key outcomes measured by the National Cystic Fibrosis Registry. Children's provides a continuum of care through coordinated inpatient and outpatient services, from diagnosis through long-term follow-up. The Cystic Fibrosis Center of Children's provides state-of-the art comprehensive care for children with CF.Diabetes/Endocrinology - The McNeely Pediatric Diabetes Center is the only diabetes center in the region to specialize in working solely with children and teens. The staff provide expert health care to help maintain a child's targeted blood sugar ranges. Most children seen in the diabetes center have Type 1 diabetes. A small but growing number have Type 2. In addition to diabetes, the clinic provides diagnostic services and treatment for children with disorders of growth, advanced or delayed sexual development, pituitary disorders, thyroid abnormalities, disorders of calcium balance, adrenal disorders, and hypoglycemia. The McNeely Pediatric Diabetes Center has received recognition for its diabetes education program from the American Diabetes Association, by meeting the association's high educational standards.In addition to the Cornerstone programs, Children's provides other high quality programs such as Surgery. Children's surgery teams deliver next-generation care in an award-winning environment that is exclusively dedicated to pediatrics. Health professionals of many disciplines work together to provide children with the best possible surgery experience. Children's bodies are different than adult's. For example, they often require specially-sized surgical equipment. They react differently to anesthesia and to pain. Their bodies respond differently to illness and treatment, in part because they are still growing. That's why children benefit from our highly accomplished, pediatric-specific surgery teams. At Children's, over 20,000 surgeries are performed each year on fetuses, newborns, children, adolescents, and young adults from throughout the Upper Midwest. Surgical treatment results rank Children's among the top hospitals in the U.S. in pediatric surgical care. Children's has some of the lowest rates in the U.S. of post-surgery complications and some of the highest rates of patient and family satisfaction. As a charitable organization, Children's Hospitals & Clinics of Minnesota also provides a broad spectrum of benefits to the communities we serve. These services and donations account for a measureable portion of the hospitals' costs and help to promote healthy lifestyles, community development, health education, and affordable access to care. Please see IRS Form 990, Schedule H for a summary of these community benefits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3801192 | Expense |
| Revenue | 2395766 | Revenue |
| Description | Research: In 2010 Children's conducted 457 research projects, 186 of which were clinical trials to examine the effectiveness of diagnostic, therapeutic, and preventive services. In addition 70 peer-reviewed manuscripts were published. Children's was awarded more than $10 million in funding from government, industry, foundation, and academic sub-awards for its research initiatives. See Schedule O. In the past year we have seen a 38 percent increase in research funding at Children's. We continue to participate in multiple prestigious national collaborations and clinical trials. We are also generating landmark investigator-initiated research, aimed at novel ways to deliver life-saving treatments, manage pain and symptoms and develop new methods for preventing or treating childhood diseases. Every day, Children's researchers express their commitment to building better outcomes for our children. These outcomes will have both immediate and lasting impact for children receiving state of the science care at our specialty centers. Children with cardiac disease, cancer, genetic and blood disorders, diabetes, cystic fibrosis, and other life-impacting conditions all have benefited from research at Children's. The vision and strategic innovation of our research leaders have brought us to impressive milestones in the past year. We continue to take steps toward advancing our research and committed to thriving into the future with our children and families. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4722623 | Expense |
| Revenue | 1442044 | Revenue |
| Description | Education: Many efforts to improve the health and well being of children and youth require long-term investment in their future. Children's provides education and training programs for providers, health care students, and other health professionals in the following areas:i. Community medical education for community physicians: During the 2010 calendar year, Children's provided training and education to 44.6 full time equivalent (FTE) residents, and 6.1 FTE fellows. These FTE numbers result from 380 individual residents and 35 individual fellows who performed one or more rotations at Children's - Minneapolis, Children's St. Paul, or both locations. See Schedule O. The rotations were performed in Children's Emergency Departments, inpatient medical/surgical, PICU and neonatal inpatient care units, surgery and anesthesia, ENT surgery, urology, and subspecialty clinics. The residents and fellows came from 36 different medical educational programs: 27 from the University of Minnesota, 3 from Mayo Clinic, 2 from Regions Hospital, 1 from United Hospital, 1 from HCMC, 1 from Rapid City Regional Hospital, and 1 from UW Eau Claire. Additionally, 380 medical students rotated to Children's - Minneapolis, Children's - St Paul, or both locations.ii. Education and training of health care and other providers of services to children:1. The Midwest Regional Children's Advocacy Center at Children's is a leader in improving the care of abused and neglected children whose goal is to improve services for abused children in local communities throughout the region. The Center offers information, consultation, technical assistance, and training to physicians, nurses, and non-medical members of community child abuse teams, including law enforcement personnel, attorneys and child protection workers.2. Recognized, as the nation's leader in palliative care education, Children's Institute for Palliative Care (CIPC) developed a model for a regional training and consultation center. CIPC develops and leads training seminars using recognized curriculum for pediatric palliative care, provides hospital-based consultation to children who are in need of hospice or palliative care while they are hospitalized, offers a regional 24/7 telephone consultation program providing education, support, and guidance to families and professional providers, and serves as a resource center for pediatric palliative care. 3. The Minnesota Sudden Infant Death Syndrome (SID) Center is a statewide program that provides information, counseling, and support to anyone experiencing a sudden and unexpected infant death from any cause. The SID Center is the state's resource for information on Sudden Infant Death Syndrome (SIDS) and SIDS risk reduction. The Center conducts training and educational programs for health care providers, child-care workers, and other professional and community groups. The Center also tracks and reports infant mortality trends in Minnesota and participates in local, state, and national initiatives to reduce the risk of sudden, unexpected infant death. The Minnesota SID Center collaborates with the Minnesota Department of Health, county public health nurses, and medical examiners in every county throughout Minnesota.4. The Emergency Medical Services for Children (EMSC) Resource Center housed at Children's creates awareness regarding the special needs of children in emergency medical situations. EMSC educational programs are designed to train pre-hospital personnel, first responders, physicians, nurses, and school nurses in the unique needs of infants and children in emergency situations. The EMSC Resource Center also provides technical assistance, participates in statewide pediatric emergency/disaster preparedness planning, develops and disseminates pediatric emergency are guidelines, and conducts mortality reviews and research.ii. Education and employment - Because disparities in child health are so closely associated with low educational attainment and poor job skills, Children's is engaged in several key community partnerships to improve educational success and earning potential among youth and adults. Examples include the Roosevelt High School Health Careers Program that provides students interested in health care careers the opportunity to receive health care specific education and obtain internships with health care organizations, the Achieve Minneapolis/Step-up Summer Jobs Program that places youth in supervised summer internships at participating companies and organizations, and a partnership with Project for Pride in Living that recognizes that a healthy, sustainable community requires residents with well-paying jobs. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 480409753 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | 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 | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | 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 | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 440 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 4749 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| 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 | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 CFO | 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 S | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55404 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Alan Goldbloom | ||||||||
| President & CEO | 50.00 | X | X | 1030029 | 0 | 220409 | ||
| Raymond L Barton | ||||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Russell Becker | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Pamela Gigi Chawla MD | ||||||||
| Board Member | 50.00 | X | 246397 | 0 | 24344 | |||
| Michael V Ciresi | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Molly Culligan | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Kelly Delahunty MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Michael B Fiterman | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Andrea Kmetz-Sheehy | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Cynthia L Lesher | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Chad M Lindbloom | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Matt Majka | ||||||||
| Board Member | 1.00 | 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 J Miller | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Michael J Ott | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Timothy J Pabst | ||||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Octavio Portu Jr | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Ryan D Robinson | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Patrick G Ryan | ||||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Sandra Sackett MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| James D Sidman MD | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Colin Smith | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Maria Christu | ||||||||
| General Counsel | 50.00 | X | 384425 | 0 | 42624 | |||
| Phil Kibort | ||||||||
| CMO, VP Medical Affairs | 50.00 | X | 630941 | 0 | 51345 | |||
| Jerry Massmann | ||||||||
| CFO, VP Finance | 50.00 | X | 585809 | 0 | 50301 | |||
| David Brumbaugh | ||||||||
| VP Human Resources | 50.00 | X | 327556 | 0 | 42222 | |||
| Theresa Pesch | ||||||||
| VP Dev & Exec Dir Fndtn | 25.00 | X | 188226 | 188227 | 34199 | |||
| Virginia Malone | ||||||||
| Chief Nursing Officer | 50.00 | X | 403384 | 0 | 30649 | |||
| David Overman | ||||||||
| Chief Operating Officer | 50.00 | X | 520163 | 0 | 36295 | |||
| Gloria Drake | ||||||||
| Sr Dir Clinical Svc Peri | 50.00 | 180348 | 27786 | 44450 | X | |||
| Pamala VanHazinga | ||||||||
| Sr Dir Clinical Critical | 50.00 | 168264 | 0 | 36166 | X | |||
| Becky Bedore | ||||||||
| Sr Dir Clinical Svc Peds | 50.00 | 162804 | 0 | 32369 | X | |||
| Richard Rittenhouse MD | ||||||||
| Staff Physician | 50.00 | 441999 | 0 | 39120 | X | |||
| John Nicotra MD | ||||||||
| Staff Physician | 50.00 | 513298 | 0 | 21624 | X | |||
| Karen Blumberg | ||||||||
| Medical Director | 50.00 | 598140 | 0 | 27965 | X | |||
| Richard Patterson MD | ||||||||
| Staff Physician | 50.00 | 551992 | 0 | 39120 | X | |||
| William Mize MD | ||||||||
| Staff Physician | 50.00 | 546718 | 0 | 39120 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7480493 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 216013 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 812322 | TotalOtherCompensation |
| Number Individuals GT100 K | 456 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cerner Corp | |||||
| PO Box 412702 | Kansas City | MO | 64141 | Hardware & Software Maintenance | 6010921 |
| Childrens Respiratory & Critical Care | |||||
| 2530 Chicago Avenue South Suite 400 | Minneapolis | MN | 55404 | Physician Services | 3493411 |
| Perot Systems Corp | |||||
| 12020 Collections Center Drive | Chicago | IL | 60693 | Patient Billing | 2939339 |
| Weber Shandwick Worldwide | |||||
| PO Box 7247-6593 | Philadelphia | PA | 191706593 | Public Relations | 1847539 |
| Children's Heart Clinic | |||||
| 2530 Chicago Avenue South Suite 500 | Minneapolis | MN | 55404 | Physician Services | 1502117 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 60 | NumberOfContractorsGT100K |
| Related Organizations | 20544746 | RelatedOrganizations |
| Government Grants | 13504487 | GovernmentGrants |
| Noncash Contributions | 1437458 | NoncashContributions |
| Total Contributions | 34049233 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Service Revenu | 621400 | 368289666 | 368289666 | ||
| Medicare/Medicaid paym | 621400 | 161854164 | 161854164 | ||
| Parking | 812930 | 2174520 | -19501 | $2,194,021 | |
| Pharmacy Revenue | 621400 | 610588 | $610,588 | ||
| Lab Revenue | 621500 | 263886 | 105879 | $158,007 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 566037 | TotalRevenueColumn |
| Related Or Exempt Function Income | 566037 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 533758861 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15480913 | TotalRevenueColumn |
| Exclusion | $15,480,913 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1194118 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 606756 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 587362 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 587362 | TotalRevenueColumn |
| Exclusion | $587,362 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16968125 | Securities |
| Other | 260536 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 41925 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16968125 | Securities |
| Other | 218611 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17186736 | TotalRevenueColumn |
| Exclusion | $17,186,736 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria | 722210 | 1509053 | $1,509,053 |
| Marketplace | 453220 | 177910 | $177,910 |
| Vending Machines | 722210 | 24865 | $24,865 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23723 | TotalRevenueColumn |
| Exclusion | $23,723 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1735551 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 602798656 | TotalRevenueColumn |
| Related Or Exempt Function Income | 530709867 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 86378 | UnrelatedBusinessRevenue |
| Exclusion | $37,953,178 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345688 | Total |
| Program Services | 345688 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5827764 | Total |
| Program Services | 1619758 | ProgramServices |
| Management And General | 4208006 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251452589 | Total |
| Program Services | 230055944 | ProgramServices |
| Management And General | 21396645 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23470249 | Total |
| Program Services | 21029343 | ProgramServices |
| Management And General | 2440906 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33730592 | Total |
| Program Services | 27606958 | ProgramServices |
| Management And General | 6123634 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18037124 | Total |
| Program Services | 16151700 | ProgramServices |
| Management And General | 1885424 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6021077 | Total |
| Program Services | 5364060 | ProgramServices |
| Management And General | 657017 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 619053 | Total |
| Program Services | 61785 | ProgramServices |
| Management And General | 557268 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323501 | Total |
| Management And General | 323501 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104775 | Total |
| Management And General | 104775 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1407455 | Total |
| Management And General | 1407455 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52506466 | Total |
| Program Services | 45169216 | ProgramServices |
| Management And General | 7337250 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2595608 | Total |
| Program Services | 285493 | ProgramServices |
| Management And General | 2310115 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7598306 | Total |
| Program Services | 4972426 | ProgramServices |
| Management And General | 2625880 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10615580 | Total |
| Management And General | 10615580 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13116017 | Total |
| Program Services | 12045204 | ProgramServices |
| Management And General | 1070813 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1347460 | Total |
| Program Services | 1084328 | ProgramServices |
| Management And General | 263132 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1332446 | Total |
| Program Services | 1063210 | ProgramServices |
| Management And General | 269236 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9902673 | Total |
| Program Services | 9902673 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35064107 | Total |
| Program Services | 22970197 | ProgramServices |
| Management And General | 12093910 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2974065 | Total |
| Program Services | 2842670 | ProgramServices |
| Management And General | 131395 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 47473004 | 47473004 | 0 | 0 |
| MNCare Tax | 9833563 | 9833563 | 0 | 0 |
| Bad Debt | 9022620 | 9022620 | 0 | 0 |
| Medicaid Surcharge | 7327919 | 7327919 | 0 | 0 |
| Temp Labor | 2288842 | 1798598 | 490244 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5331825 | Total |
| Program Services | 2383396 | ProgramServices |
| Management And General | 2948429 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 559670368 | Total |
| Program Services | 480409753 | ProgramServices |
| Management And General | 79260615 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9652108 | BOY |
| EOY | 5521505 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13964040 | BOY |
| EOY | 12719564 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1459130 | BOY |
| EOY | 1311922 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62233034 | BOY |
| EOY | 63818408 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 834256 | BOY |
| EOY | 215411 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4237559 | BOY |
| EOY | 4378644 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4126881 | BOY |
| EOY | 3489161 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 602093696 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 233196618 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302441404 | BOY |
| EOY | 368897078 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302460247 | BOY |
| EOY | 291468734 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6415742 | BOY |
| EOY | 47929926 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18008977 | BOY |
| EOY | 18138521 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109984666 | BOY |
| EOY | 98919531 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 835818044 | BOY |
| EOY | 916808405 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83204508 | BOY |
| EOY | 81273100 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3133679 | BOY |
| EOY | 1296309 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233570347 | BOY |
| EOY | 284510281 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2648719 | BOY |
| EOY | 397672 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46940136 | BOY |
| EOY | 48877673 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369497389 | BOY |
| EOY | 416355035 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394811150 | BOY |
| EOY | 432934479 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45045312 | BOY |
| EOY | 40704791 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26464193 | BOY |
| EOY | 26814100 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466320655 | BOY |
| EOY | 500453370 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 835818044 | BOY |
| EOY | 916808405 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 43128288 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8995573 | 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $194,734 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,395 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 198129 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Children's retains a lobbyist to assist directly with lobbying efforts at the state level. Children's Director of Child Health Policy also occasionally will meet with state legislators, provide testimony on child health issues, or otherwise provide information to state lawmakers and their staffs. With respect to federal lobbying efforts, Children's Director of Child Health Policy and CEO will occasionally travel to Washington to meet with federal lawmakers. This is generally done in collaboration with industry organizations, such as NACHRI, who indirectly provide federal lobbying support on behalf of Children's. Children's is a member of the National Association of Children's Hospitals (NACH). $3,395 of membership dues paid to NACH relate to lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 0.13000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.87000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10968672 | OtherCostOrOtherBasis |
| Book Value | 10968672 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 377316451 | OtherCostOrOtherBasis |
| Depreciation | 87767563 | Depreciation |
| Book Value | 289548888 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1923396 | OtherCostOrOtherBasis |
| Depreciation | 1176048 | Depreciation |
| Book Value | 747348 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 206462539 | OtherCostOrOtherBasis |
| Depreciation | 140959714 | Depreciation |
| Book Value | 65502825 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5422638 | OtherCostOrOtherBasis |
| Depreciation | 3293293 | Depreciation |
| Book Value | 2129345 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 368897078 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Brandywine | 42280198 | F |
| Artio Global Investors | 5649728 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 47929926 | TotalOfBookValueSecurities |
Other Assets OtherAssets (12 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets of executive benefit plans | 11293341 |
| Unamortized bond insurance and deferred finance costs | 5583093 |
| Investment in land for possible expansion | 3240298 |
| Intercompany receivable | 2041311 |
| Nursing education loans receivable | 176493 |
| Pharmaceutical services deposit | 1319219 |
| Physician relocation loans receivable | 257540 |
| Facility deposit | 134000 |
| United shared service arrangement | 4919992 |
| Beneficial interest in net assets of foundation | 69333483 |
| Other | 2830 |
| Investment in laundry cooperative | 617931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 98919531 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MN Care tax payable | $1,986,774 |
| Self-insurance reserve | $881,796 |
| RSVP retirement plan | $31,268,238 |
| Executive benefits liability | $7,288,387 |
| Post retirement benefits | $4,105,890 |
| Workers comp liability | $1,977,709 |
| Self-insurance equipment reserve | $138,100 |
| Accrual VERP | $1,230,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48877673 | TotalOfAmounts |
| Total Revenue | 602798656 | TotalRevenue |
| Total Expenses | 559670368 | TotalExpenses |
| Excess Or Deficit For Year | 43128288 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 4746436 | NetUnrealizedGLOnInvestments |
| Other | -$13,742,009 | OtherAmount |
| Total Adjustments | -8995573 | TotalAdjustments |
| Excess Or Deficit Per FS | 34132715 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 597008171 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 4746436 | NetUnrealizedGainsInvestments |
| Other Revenues | -10925066 | OtherRevenues |
| Revenue Not Rptd F990 | -6178630 | RevenueNotRptdF990 |
| Revenue Subtotal | 603186801 | RevenueSubtotal |
| Other Revenues Not Included | -388145 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -388145 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 602798656 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 557791054 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 388145 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 388145 | ExpensesNotRptdF990 |
| Expenses Subtotal | 557402909 | ExpensesSubtotal |
| Other Expenses Not Included | 2267459 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2267459 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 559670368 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The majority of endowment funds are held by Children's Health Care Foundation, a related organization. The intended use of the funds 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. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Internal Revenue Service has determined that Children's and its subsidiaries are exempt organizations as described in Section 501(C)(3) of the Internal Revenue Code ("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 in the consolidated statements of operations and no unrecognized tax benefits for the years ended December 31, 2010 and 2009. |
| Part XI, Line 8 - Other Adjustments: | Change in beneficial interest in net assets of Foundation(5,357,191) RSVP Retirement plan-related changes (2,179,183) Change in value of interest rate swap valuation (6,478,424) Unrealized Swap earnings 272,789 | |
| Part XII, Line 2d - Other Adjustments: | Investment expense (1,407,455) Amortization expense (860,004) RSVP retirement plan-related changes (2,179,183) Change in unrealized interest rate swap valuation (6,478,424) | |
| Part XII, Line 4b - Other Adjustments: | Gain on sale of assets 218,611 Rental expense (606,756) | |
| Part XIII, Line 2d - Other Adjustments: | Gain on sale of assets (218,611) Rental expense 606,756 | |
| Part XIII, Line 4b - Other Adjustments: | Investment expense 1,407,455 Amortization expense 860,004 |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures |
|---|---|---|
| Central America & the Caribbean | Self-Insurance for medical claims | 88079 |
| Central America & the Caribbean | Investments | 5765805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 5853884 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 5853884 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7837024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51948 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7785076 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 204475625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 159639106 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 44836519 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 212312649 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 159691054 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 52621595 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9292915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 304225 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8988690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6338830 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1442044 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4896786 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48748559 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33882451 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14866108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02700 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4908271 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2871 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4905400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 312385 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 312385 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69600960 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35631591 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33969369 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06170 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 281913609 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 195322645 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 86590964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15720 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1751513 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 123067 | DirectOffsettingRevenue |
| Net Community Building Expense | 1628446 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 21800 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 21800 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1858313 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 123067 | DirectOffsettingRevenue |
| Net Community Building Expense | 1735246 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,109,419 | BadDebtExpenseAmount |
| Amount Attributable To | 1027355 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 167191 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 372038 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -204847 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|---|
| Children's - Minneapolis | ||||||||||
| 1 | 2525 Chicago Avenue South | Minneapolis | MN | 55404 | X | X | X | X | X | X |
| Children's - St Paul | ||||||||||
| 2 | 345 North Smith Avenue | St Paul | MN | 55102 | X | X | X | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| Part I, Line 3c: FPG is the primary measurement used to determine eligibility for charity care. However, policy exceptions may be granted for families who either have income exceeding the guidelines established or who with the sliding scale discount continue to have insufficient means to pay. Asset tests and other thresholds can be used.Part I line 6a: Children's Hospitals and Clinics of Minnesota prepares an annual community benefits report. The community benefits report is available to the public. | ||
| Part I, Line 7: Subsidized health services benefits include the subsidized costs of two physician clinics. A clinic is located on both the Minneapolis and St. Paul campuses. These clinics serve the local communities that include a high percentage of minorities and low-income families. Net community benefit expenses related to these clinics were $1,119,000 for the twelve months of 2010.Part I, line 7, column (f): Bad debt expense of $9,022,620 was subtracted for purposes of calculating the percentage in Schedule H, Part I, line 7, column (f).Part I, line 7: : A ratio of patient care cost to charges, as calculated using Form 990, Schedule H, Worksheet 2 - Ratio of Patient Care Cost to Charges, was used to calculate community benefit costs for Schedule H, Part I, Line 7, rows (a)(c). Community benefit costs for rows (b)(e)(f)(g)(h)(i)(j) were calculated using a full-absorption costing model that combines direct costing and the allocation of indirect costs through an activity-based costing methodology. | ||
| Part III, Line 4: Bad debt is defined as the unpaid obligation for care provided to patients who have been determined to be able to pay, but have not demonstrated a willingness to pay. The amounts attributable to patients eligible under the organizations charity care policy are determined by a patient's willingness to pay with a documented inability to pay per measures established by our policy. Both amounts are estimated by applying the ratio of patient care cost to charges, as calculated on Form 990, Schedule H, Worksheet 2, to the actual patient charges. The organization estimates that twenty-five percent of bad debt expenses are attributable to patients who likely would qualify for financial assistance under the organization's charity care policy if sufficient information had been available to make a determination of their eligibility. The estimate of twenty-five percent is based on historical trends and the experience of area supervisors. Footnote from 2010 audited financials:Patient Accounts Receivable - Patient accounts receivable represent amounts due from federal and state agencies, managed health care plans, commercial insurance companies, employers, and patients. Children's grants credit to patients, most of whom are insured under third-party payer agreements, without collateral or any other security to support amounts due. Children's determines an allowance for doubtful accounts by considering a number of factors, including, but not limited to, the length of time accounts receivable are past due, its previous loss history, the existence of a third-party payer, reimbursement trends, and other collection indicators. Accounts are written off when all reasonable internal and external collection efforts have been performed and payments subsequently received on such receivables are credited to the allowance. Children's recognizes that revenues and receivables from government agencies are significant to its operations, but do not believe there are significant credit risks associated with these government agencies. In 2010, net revenue from the top four third-party payers accounted for 42%, 25%, 14%, and 8% of net patient service revenue. In 2009, net revenue from the top four third-party payers accounted for 39%, 24%, 14%, and 9% of net patient service revenue. | ||
| Part III, Line 8: The organization primarily serves pediatric patients and does not generate significant Medicare revenues. As a result, a low utilization Medicare cost report is filed. Form 990, Schedule H, Worksheet 3 - Unreimbursed Medicaid and Other Means-Tested Government Programs was used to calculate the costs associated with Medicare charges reported in Part III, Line 6. The organization does not report any amounts from Part III, Line 7 as community benefit. | ||
| Part III, Line 9b: When collecting medical debt, Children's Hospitals and Clinics of Minnesota treats its patient families with honor, dignity, and courtesy; demonstrate compassion; and be good stewards of health care resources. There is a zero tolerance for abusive, harassing, oppressive, false, deceptive, or misleading language or collections conduct by Children's employees who collect medical debt from patient families. This policy applies broadly to all patient families we serve. Components of Children's collection policy include:During the pre-registration, registration, or admission process, Children's attempts to identify and inform patient families who may be eligible for charity care or discounted care through the uninsured discount or charity care policy.All Children's employees and contracted staff who have direct contact with patients will be educated on an annual basis of Children's financial assistance policies. The education informs staff of programs available and how a patient family may obtain more information and submit an application for financial assistance.A financial assistance application is sent with the initial letter explaining the process for obtaining financial assistance to all self pay patient families or patient families who indicate at registration an inability to pay.All correspondence seeking collection of medical debts contains a reference to the availability of financial assistance.Minnesota hospital providers have jointly developed consistent collection guidelines set out in formal agreements with the Minnesota Attorney General's Office. This agreement is consistent with Children's collection policy. The Audit Committee of our Board of Directors annually reviews this policy and all policies concerning collection of medical debt, uninsured discount, and charity care. The Audit Committee also reviews the results of an annual audit related to these areas in accordance with the Minnesota Attorney General's Agreement. | ||
| Part V, Section A: Children's also operates specialty and rehabilitation clinics in the following locations: Woodbury,MN; Maple Grove, MN; Minnetonka, MN and Roseville, MN and operates pediatric clinics in Eagan, MN, West St. Paul, MN and Vadnais Heights, MN. These clinics are operated under the Children's hospital license. | ||
| Children's provided the following community building activities in 2010:- STEP-UP and Health Careers at Roosevelt High School: the mission of this program is to provide educational opportunities to a diverse body of students from the local community who are interested in preparing for a career in health care.- Project for Pride in Living: this is a nonprofit agency working with lower-income individuals and families throughout the Twin Cities metro area to achieve greater self-sufficiency through housing, employment training, education, and support services.- Midwest Regional Outreach: The Midwest Children's Resource Center (MCRC) is a regional center providing specialty services for children who are possibly abused, their families, and the professionals who work with them. MCRC brings together a multi-disciplinary team of child abuse specialists who provide a broad range of services, including medical and psychological consultation. The center works as an advocate for the children who have been abused, seeking to significantly advance protection, treatment, and healing of these children. | Part VI, Line 1: Community building activities: | |
| Part VI, Line 2: Needs Assessment: The health care needs of the community served by Children's Hospitals & Clinics of Minnesota are determined as follows: a. Board of Directors: the organization's governing body, comprised of community members who reside locally, provides governance that includes the health care services provided to the local community.b. Children's employed physicians, independent physicians who provide care at Children's, and numerous clinical care providers assess community needs daily through the pediatric care provided throughout the community.c. The Family Advisory Council: a diverse group of families whose children are present or past patients of Children's provide input as to Children's services. Council members represent a wide range of inpatient and outpatient experiences to help enhance the quality of child and family care experiences at Children's. Council responsibilities include:- Develop, implement, and evaluate service and facility standards.- Communicate to management the recommendations and concerns expressed by parents, family members, parent associations, and others.- Advise on policy review, promote family-centered care, and support program development.d. Community partnerships: partnerships with groups such as the Minnesota Hospital Association Policy and Advocacy Committee and the Hennepin County Health Department Community Advisory Group helps the organization identify community needs. Children's also partners with Raise it for Health, a tobacco cessation coalition, as well as with the Minnesota Prematurity Coalition, a group devoted to increasing awareness of the unique health and development issues premature infants face through advocating for access to quality health care, and identification, consolidation, and dissemination of resources for parents and families.e. Youth Advisory Council (YAC): is a dedicated group of patients, ages 10 to 18, who help hospital staff, leaders, doctors, and parents understand what is important to children, teens, and siblings during hospital stays, clinic visits, and emergency care. YAC brings a valuable perspective and voice to Children's by participating in activities that promote discussion and thought about health care services for pediatric and young adult patients. The council also brings great perspective to let other children know how to make their stay at Children's a more comfortable and positive experience.f. Children's maintains an advocacy department that is responsible for identifying community health needs and leading efforts that advocate for pediatric health needs. Children's advocacy department maintains an advocacy database of over 400 members, all of whom can share advocacy input with the Children's Advocacy team. The advocacy department is also currently partnering with Minneapolis/St. Paul metro public health departments and statewide health care providers to potentially create a strategically-aligned community health needs assessment. The assessment is in its planning stages, and will be complete by the IRS deadline.g. Other methods include and are not limited to: partnerships and projects with third party-payers and other community physicians and hospitals, monitoring and reporting of infectious disease data, disaster readiness efforts, research and education, support groups, and others. | ||
| Part VI, Line 3: Patient Education of Eligibility for Assistance: Components of Children's collection policy include:During the pre-registration, registration, or admission process, Children's will attempt to identify and inform patient families who may be eligible for charity care or discounted care through the uninsured discount or charity care policy.All Children's employees and contracted staff who have direct contact with patients will be educated on an annual basis of Children's financial assistance policies. The education will inform staff of programs available and how a patient family may obtain more information and submit an application for financial assistance.A financial assistance application will be sent with the initial letter explaining the process for obtaining financial assistance to all self pay patient families or patient families who indicate at registration an inability to pay.All correspondence seeking collection of medical debts will contain a reference to the availability of financial assistance.Minnesota hospital providers have jointly developed consistent collection guidelines set out in formal agreements with the Minnesota Attorney General's Office. This agreement is consistent with Children's collection policy. The Board of Directors (Audit Committee) performs an annual review of this policy and all policies concerning collection of medical debt, uninsured discount, and charity care. The Audit Committee shall also review the results of an annual audit related to these areas in accordance with the Minnesota Attorney General's Agreement. | ||
| Part VI, Line 4: Community information (communities we serve):Children's Hospitals & Clinics of Minnesota serves the five state area of the upper Midwest (Minnesota, North Dakota, South Dakota, Iowa, and Wisconsin). Approximately eighty percent of inpatient admissions are from the three-million individuals residing in the eleven county metropolitan areas of the Twin Cities. The remaining twenty percent of inpatient admissions are from outstate Minnesota and the surrounding states. These patients represented one-hundred percent of Minnesota counties and fifty-nine percent of total counties in the five state area. The age of patients reflects the pediatric health services provided with seventy-five percent of patients under the age of ten and ninety percent under the age of fifteen. Patient diversity at Children's significantly exceeds the diversity of the local population with non-white patients representing over fifty percent of patients served as compared to less than twenty percent for the local community. Children's provides interpreter services for forty-five languages with the most frequent languages being Spanish, Somali, and Hmong. Children's also serves a disproportionate share of economically disadvantaged patients with forty-two percent of patient revenues from government programs. The Minneapolis campus is located within the Phillips-Powderhorn neighborhood (MUA), home to one of the most ethnically diverse communities in Minnesota. | ||
| Part VI, Line 6: Other Information:As a charitable organization, Children's provides a broad spectrum of benefits to the communities it serves that would otherwise be unavailable or insufficient to meet patient demand for the express purpose of improving the health status of children in the community. These include programs such as free clinics, health screenings, support counseling for patients and families, crisis intervention, disaster readiness and the cost of providing community health partnerships and educations. These services and donations account for a measurable portion of the hospital's costs and help to promote healthy lifestyles, community development, health education, and affordable access to care. Example programs include:- Children's is one of the local hospitals and health plans in the Twin Cities that advises Portico Healthnet on issues related to program services and provides funding for medical services to participants. Portico Healthnet, a nonprofit health and human services organization, serves the community by assisting children, parents, and individuals who are uninsured with applications to health care programs and by offering a primary and preventive health care access program for people ineligible for public programs. Since 1995, 9,000 uninsured children and adults have enrolled in Portico's safety-net coverage program, and another 14,000 have been enrolled in public coverage programs with assistance from Portico Healthnet.- Women, Infants & Children (WIC) Program. WIC is a nutrition program provided by Children's that helps eligible pregnant women, new mothers, babies and young children eat well, learn about nutrition, and stay healthy. An important component of this funding is that it will provide health care to underserved populations in Minneapolis, particularly those in the Latino and Somali communities.- The EMSC Resource Center provides technical assistance to agencies to improve pediatric emergency care. The EMSC works to reduce child morbidity and mortality due to trauma and critical illness and is the only statewide program that focuses on improving pediatric components of medical care.- The Sudden Infant Death Center provides support to families and promotes awareness within both the medical and lay communities of SIDS and other causes of sudden infant death. The center works to identify causes of sudden, unexpected infant death throughout Minnesota; reaches out with information and support to families; educates professionals and the public; and participates in research.- The Simulation Center is a motor coach outfitted with simulation equipment and staffed with Children's trainers, travels throughout the Midwest to train staff from hospitals in the best practices when responding to pediatric or neonatal medical emergencies. | ||
| Part VI, Line 7: | ||
| MN | Part VI, Line 7 | Reports Filed With States |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Camp Odayin | |||||||
| PO Box 2068 | Stillwater | MN | 55082 | 412014358 | 501(c)(3) | 6300 | Sponsorship of Have A Heart benefit & Whole Heart benefit. |
| Children's Hospital Association | |||||||
| 2525 Chicago Ave S | Minneapolis | MN | 55404 | 410711605 | 501(c)(3) | 16200 | Storybook Ball fundraiser tickets. |
| Make-A-Wish Foundation | |||||||
| 615 First Ave NE | Minneapolis | MN | 55413 | 411422893 | 501(c)(3) | 6000 | Sponsorship of Wish Ball fundraiser tickets. |
| March of Dimes | |||||||
| 5233 Edina Industrial Blvd | Edina | MN | 55439 | 131846366 | 501(c)(3) | 18000 | Sponsorship of various fundraisers. |
| Peoples Center Health Services | |||||||
| 425 20th Ave S | Minneapolis | MN | 55454 | 410982430 | 501(c)(3) | 35000 | Teenage medical center |
| Portico Healthnet | |||||||
| 2610 University Ave WSuite 550 | St Paul | MN | 551142007 | 411814659 | 501(c)(3) | 108333 | Help familes to get Medical Assistance coverage. |
| Project for Pride in Living | |||||||
| 1035 E Franklin Ave | Minneapolis | MN | 55406 | 237232208 | 501(c)(3) | 75000 | Support Project for Pride in Livings health careers job training program. |
| Ronald McDonald House | |||||||
| 818 Fulton St SE | Minneapolis | MN | 55414 | 411313107 | 501(c)(3) | 6200 | Sponsorship of Fam Glam benefit & golf benefit. |
| Roosevelt HS Health Careers Program | |||||||
| 4029 28th Ave S | Minneapolis | MN | 55406 | 410851980 | 501(c)(3) | 10000 | Support Roosevelt HS Health Careers Program. |
| Smith Partners | |||||||
| 400 Second Ave S | Minneapolis | MN | 55401 | 203663831 | 21800 | Support Phillips Partnership. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 9 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | 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: From time to time, Children's grants monies to other organizations conducting programs and/or research that will benefit the children that Children's serves. Children's also occasionally provides monetary support to organizations that promote careers in the health care field and community organizations that support the economic development of the area surrounding the Children's Minneapolis campus. Childrens receives periodic updates regarding the use of the funds. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (17 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 | |||||||||||||
| 635004 | 0 | 379378 | 0 | 15647 | 0 | 204508 | 0 | 15901 | 0 | 1250438 | 0 | 83276 | 0 |
| Pamela Gigi Chawla MD | |||||||||||||
| 222800 | 0 | 23565 | 0 | 32 | 0 | 21906 | 0 | 2438 | 0 | 270741 | 0 | 0 | 0 |
| Maria Christu | |||||||||||||
| 256101 | 0 | 87546 | 0 | 40778 | 0 | 22125 | 0 | 20499 | 0 | 427049 | 0 | 18240 | 0 |
| Phil Kibort | |||||||||||||
| 424222 | 0 | 196171 | 0 | 10548 | 0 | 30600 | 0 | 20745 | 0 | 682286 | 0 | 81369 | 0 |
| Jerry Massmann | |||||||||||||
| 377196 | 0 | 194701 | 0 | 13912 | 0 | 34400 | 0 | 15901 | 0 | 636110 | 0 | 80578 | 0 |
| David Brumbaugh | |||||||||||||
| 236504 | 0 | 88638 | 0 | 2414 | 0 | 22028 | 0 | 20194 | 0 | 369778 | 0 | 24394 | 0 |
| Theresa Pesch | |||||||||||||
| 135665 | 135666 | 43354 | 43353 | 9207 | 9208 | 9244 | 9244 | 7856 | 7855 | 205326 | 205326 | 0 | 0 |
| Virginia Malone | |||||||||||||
| 173057 | 0 | 130314 | 0 | 100013 | 0 | 21744 | 0 | 8905 | 0 | 434033 | 0 | 72476 | 0 |
| David Overman | |||||||||||||
| 381394 | 0 | 137829 | 0 | 940 | 0 | 18375 | 0 | 17920 | 0 | 556458 | 0 | 0 | 0 |
| Gloria Drake | |||||||||||||
| 150515 | 23189 | 27323 | 4210 | 2510 | 387 | 24628 | 3794 | 13888 | 2140 | 218864 | 33720 | 0 | 0 |
| Pamala VanHazinga | |||||||||||||
| 142161 | 0 | 26103 | 0 | 0 | 0 | 17807 | 0 | 18359 | 0 | 204430 | 0 | 0 | 0 |
| Becky Bedore | |||||||||||||
| 137330 | 0 | 25474 | 0 | 0 | 0 | 24695 | 0 | 7674 | 0 | 195173 | 0 | 0 | 0 |
| Richard Rittenhouse MD | |||||||||||||
| 397599 | 0 | 44400 | 0 | 0 | 0 | 18375 | 0 | 20745 | 0 | 481119 | 0 | 0 | 0 |
| John Nicotra MD | |||||||||||||
| 437435 | 0 | 75121 | 0 | 742 | 0 | 18375 | 0 | 3249 | 0 | 534922 | 0 | 0 | 0 |
| Karen Blumberg | |||||||||||||
| 467544 | 0 | 126566 | 0 | 4030 | 0 | 18375 | 0 | 9590 | 0 | 626105 | 0 | 39016 | 0 |
| Richard Patterson MD | |||||||||||||
| 433491 | 0 | 118501 | 0 | 0 | 0 | 18375 | 0 | 20745 | 0 | 591112 | 0 | 34880 | 0 |
| William Mize MD | |||||||||||||
| 424756 | 0 | 121962 | 0 | 0 | 0 | 18375 | 0 | 20745 | 0 | 585838 | 0 | 38342 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Alan Goldbloom is reimbursed for his membership fees for the Minneapolis Club, which is used solely for business purposes. |
| Part I, Line 4b | Certain employees of Children's Health Care 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 2010. Alan Goldbloom $181,998 Certain employees of Children's Health Care 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 amount represents the amount paid under the Capital Plan in 2010. Alan Goldbloom $83,276 Jerry Massmann $62,603 Phil Kibort $81,369 David Brumbaugh $24,394 Virginia Malone $72,476 Maria Christu $18,240 Certain employees of Children's Health Care 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 amount represents the amount paid under the Deferral Plan in 2010. Jerry Massmann $17,975. |
| Part I, Line 5 | |
| 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| 1995B2004A - See Part V | |||||||
| 416005375 | 603695FG7 | 2004-08-24 | 77550000 | Health Care Equipment & Buildings & Refunding of Bonds Issued on 10/2/95 | 0 | 0 | 0 |
| 2004B - See Part V | |||||||
| 416005375 | 603695FH5 | 2005-05-25 | 51550000 | Refunding of Taxable Bond Issued 8/24/04 | 0 | 0 | 0 |
| 2007A - See Part V | |||||||
| 416005375 | 603695FP7 | 2007-11-15 | 103000000 | Facility Expansion and Upgrade | 0 | 0 | 0 |
| 1995B2004A-12010A - See Part V | |||||||
| 416005375 | 603695GQ4 | 2010-03-25 | 97051274 | Facility Expansion and Upgrade and Refunding of Bond Issued 8/24/04 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 54525000 | 77550000 | 330 | 810064 | 1239936 | 50000000 | 25500000 | 2004 | 1 | 0 | 1 | 1 | |
| 10850000 | 51550000 | 583 | 51550000 | 1 | 0 | 1 | 1 | |||||
| 106148383 | 465 | 862000 | 1582951 | 103703432 | 2009 | 0 | 0 | 1 | 1 | |||
| 97071507 | 1243 | 51120684 | 45950468 | 1 | 0 | 0 | 1 | 355 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 1 | 1 | 1 | 0.00000 | 0.00010 | 0.00010 | 1 |
| 0 | 0 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| PIPER JAFFREY | ||||||||
| 0 | 1 | 1 | 30.200000000000 | 0 | 0 | 0 | 0 | 1 |
| PIPER JAFFREY | ||||||||
| 0 | 1 | 1 | 20.200000000000 | 0 | 0 | 0 | 0 | 1 |
| PIPER JAFFREY | ||||||||
| 0 | 1 | 1 | 29.800000000000 | 0 | 0 | 0 | 0 | 1 |
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 1 | |||
Form990 Schedule K Part V Form990ScheduleKPartV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule K Supplental Information | The report periods selected for all four bond issues recorded on Schedule K are not the same as the fiscal year end for the rest of Form 990. Schedule K uses the bond year ending August 15, 2011. Schedule K, Part II, Line 5 Issuance Costs: A. Credit Enhancement $1,239,936 Other Issuance Costs $810,064 C. Credit Enhancement $1,582,951 Other Issuance Costs $862,000 Schedule K, Part II, Line 8 Year of Substantial Completion: B. As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue. Schedule K, Part III, Column B: B. Part III is not required for these bonds, but information is entered anyway, due to software limitations. Schedule K, Part III, Line 4 Private Use: The project financed by the 2004A bond issue shows a one-year private use percentage that is an aberration which is supported by bond counsel opinion that the percentage will reduce to acceptable ranges over the lives of the bonds as calculated under the regulations. Schedule K, Part III, Line 5 Private Use: C. A small portion of Children's laboratory department is financed with bond proceeds. A portion of some laboratory services are provided to outside organizations, not for direct patient care, of which Children's is reporting as UBI. |
| Schedule K, Supplemental Information | The report periods selected for all four bond issues recorded on Schedule K are not the same as the fiscal year end for the rest of the Form 990. Schedule K uses the bond year ending of August 15, 2011. Part I, Column (g) A. Though these bonds are not defeased, a portion of the bonds was currently refunded by a reissuance on 3/25/2010. Part II, Line 3 Differences between Part I, ,column (e) and Part II, line 3 are due to investment earnings. |
| Schedule K, Part II, Line 13 Year of Substantial Completion | B. As this bond issue consists entirely of refunding bonds, it is Children's understanding that the concept of "year of substantial completion" does not apply to this issue. Schedule K, Part III, Column B: Part III is not required for these bonds, but information is entered anyway, due to software limitations. |
| Schedule K, Part III, Line 5: | C. A small portion of Children's laboratory department is financed with bond proceeds. A portion of some laboratory services are provided to outside organizations, not for direct patient care, of which Children's is reporting as UBI. |
| Schedule K, Part I, Line 1 Column A | Health Care Facilities Revenue Bonds 1995B/2004A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 2 Column A Health Care Facilities Revenue Bonds 2004B - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 3 Column A Health Care Facilities Revenue Bonds 2007A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). Schedule K, Part I, Line 4 Column A Health Care Facilities Revenue Bonds 1995B/2004A-1/2010A - Issuer of the bond is City of Minneapolis, MN (41-6005375) and Housing and Redevelopment Authority of the City of St. Paul, MN (41-6005521). |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jerry Massmann | NamePerson |
| Purpose Of Loan | Split Dollar Life Insurance | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $215,411 | OriginalPrincipalAmount |
| Balance Due | 215411 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 215411 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pediatric ENT Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | James Sidman, President of Pediatric ENT Association | Relationship |
| Amount Of Transaction | 109437 | AmountOfTransaction |
| Description Of Transaction | Medical Payment to Pediatric ENT Association for Medical Director services. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 7000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 17358 | 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 | 343284 | 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 | 52 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 133978 | 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: | 5 | 662343 | Cost or selling price |
| X | Entertainment | 33 | 182794 | Cost or selling price |
| X | Building Materials | 6 | 90700 | Cost or selling price |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | Children's senior management reviews the draft Form 990 with the Audit and Compliance Committee of the governing body prior to filing of the Form. This review includes an overview of the Form and discussion related to key sections. Copies of the final Form 990 are made available to members of the Committee and all 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 board, and the Committee reports the results of its review and approval to the full board at a regularly scheduled board meeting. | |
| Management of Children's ensure 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, along with senior management (CEO and General Counsel) 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 12c | |
| Children's follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of Children's. This function is performed by the Compensation Committee of the governing board, 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 B, line 15 | |
| Children's makes financial statement information public through a summary of financial performance in its annual report. In addition, financial statements are provided to Children's bond trustee, who therefore make this information publicly available. Children's governing documents and conflict of interest policy are not available to the public. | Form 990, Part VI, Section C, line 19 | |
| The following individuals held positions at both Children's Health Care and Children's - Minnetonka. The hours listed on Part VII are the average hours per week these individuals devoted to Children's Health Care during the year. In addition, these individuals also devoted the following average hours per week to Children's - Minnetonka. Phil Kibort 1.5 hours Jerry Massmann 1.5 hours Gloria Drake 6.0 hours The following individuals held positions at both Children's Health Care and 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 during the year. In addition, these individuals also devoted the following average hours per week to Children's Health Care Foundation. Alan Goldbloom 1.0 hour Maria Christu 1.0 hour Jerry Massmann 1.0 hour Pamela Gigi Chawla, MD 1.0 hour 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 Kelly Delahunty 1.0 hour Michael Fiterman 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 Timothy Pabst 1.0 hour Octavio Portu, Jr. 1.0 hour Ryan Robinson 1.0 hour Patrick Ryan 1.0 hour Sandra Sackett 1.0 hour James Sidman 1.0 hour Colin Smith 1.0 hour | Form 990, Part VII | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 4,746,436. Change in beneficial interest in net assets of Foundation(5,357,191) RSVP Retirement plan-related changes (2,179,183) Change in value of interest rate swap valuation (6,478,424) Unrealized Swap earnings 272,789 | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Health Insurance Network LTD | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 30600 | AddressLine1 |
| City | Grand Cayman, Catman Islands | City |
| Country | CJ | Country |
| Postal Code | KY1-1203 | PostalCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Insurance | PrimaryActivities |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
| Total Income | 363616 | TotalIncome |
| EOY Assets | 5765805 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Health Care | BusinessNameLine1 |
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 Ave S | Minneapolis | MN | 55404 | 411756478 | Healthcare | MN | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A | 1 |
| Children's Health Care Foundation | ||||||||||
| 2525 Chicago Ave S | Minneapolis | MN | 554021844 | 411814223 | Healthcare | MN | 501(c)(3) | Line 7: 170(b)(1)(a) | N/A | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Children's Health Care Foundation | ||
| C | 20544746 | COST |
| Children's Health Care Foundation | ||
| L | 4264095 | COST |
| Children's Health Care Foundation | ||
| O | 3967823 | COST |
| Children's Health Care Foundation | ||
| R | 20230748 | COST |
| Children's Health Care Services Inc d b a Children's - Minnetonka | ||
| I | 41860 | COST |
| Children's Health Care Services Inc d b a Children's - Minnetonka | ||
| L | 274814 | COST |
| Children's Health Care Services Inc d b a Children's - Minnetonka | ||
| N | 287278 | COST |
| Children's Health Care Services Inc d b a Children's - Minnetonka | ||
| O | 9306196 | COST |
| Children's Health Care Services Inc d b a Children's - Minnetonka | ||
| P | 7202041 | COST |