Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
HENNEPIN FACULTY ASSOCIATES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
914 SOUTH 8TH STREET NO 600
 
Room/suite
City or town, state or country, and ZIP + 4
MINNEAPOLIS, MN554041228
D Employer identification number

41-1461900
E Telephone number

G Gross receipts $ 135,308,536
F Name and address of principal officer:
DR DONALD JACOBS
914 SOUTH 8TH STREET NO 600
MINNEAPOLIS,MN554041228
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HFAHEALTH.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1984
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HENNEPIN FACULTY ASSOCIATES (HFA) IS AN ACADEMIC MULTISPECIALTY PHYSICIAN GROUP PRACTICING PRIMARILY AT HENNEPIN HEALTHCARE SYSTEM, INC. D/B/A/ HENNEPIN COUNTY MEDICAL CENTER (HCMC). HFA IS A MINNESOTA NOT-FOR-PROFIT CORPORATION THAT OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 24
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 0
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 964
6 Total number of volunteers (estimate if necessary) .... 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 664,193
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 12,211
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 27,460,888 27,346,499
9 Program service revenue (Part VIII, line 2g) ......... 110,773,662 107,411,417
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -6,955 31,484
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 557,353 517,111
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 138,784,948 135,306,511
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 116,890,980 111,739,466
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 22,792,308 21,218,003
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 139,683,288 132,957,469
19 Revenue less expenses. Subtract line 18 from line 12...... -898,340 2,349,042
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 33,061,670 31,673,166
21 Total liabilities (Part X, line 26)............ 19,997,687 16,079,607
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 13,063,983 15,593,559
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: HFA IS DEDICATED TO (I) PROVIDING THE HIGHEST QUALITY OF PATIENT CARE POSSIBLE BY MEETING THE EXPECTATIONS OF THE COMMUNITY AND ALL PATIENTS COMING TO HENNEPIN COUNTY MEDICAL CENTER (HCMC) FOR DIGNIFIED, HUMANE AND SUPERIOR MEDICAL SERVICES; (II) CONTINUING THE PHYSICIAN EDUCATION AND RESEARCH PROGRAMS AT HCMC; AND (III) CONTINUING THE CLOSE AFFILIATION OF HCMC AND ITS PHYSICIAN FACULTY WITH A STRONG ACADEMIC BASE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 102,985,945 including grants of $   ) (Revenue $ 96,397,399 )
PATIENT CARE - HFA PHYSICIANS FORM THE MEDICAL STAFF AND FACULTY OF HENNEPIN COUNTY MEDICAL CENTER (HCMC), A NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER AND PUBLIC HOSPITAL SERVING MINNESOTA AND THE REGION. HCMC IS MINNESOTA'S PREMIER LEVEL 1 TRAUMA CENTER WITH MANY NATIONALLY RECOGNIZED SPECIALTIES. HFA PHYSICIANS ARE DEDICATED TO PROVIDING THE HIGHEST QUALITY OF PATIENT CARE TO ALL PATIENTS INCLUDING LOW-INCOME, THE UNINSURED AND VULNERABLE POPULATIONS. IN 2010 TOTAL GROSS CHARGES, NET OF SUBSEQUENT REIMBURSEMENT, FORGONE FOR SERVICES PROVIDED UNDER HFA'S UNCOMPENSATED CARE (CHARITY CARE) POLICY WERE APPROXIMATELY $8,776,000. OUR PHYSICIANS CARED FOR PATIENTS AT HCMC WITH APPROXIMATELY 117,000 PATIENT DAYS AND 96,070 EMERGENCY VISITS IN 2010. NEARLY 400 PHYSICIANS, DENTISTS AND OTHER HEALTH PROFESSIONALS CARED FOR PATIENTS IN PRIVATE, ACCREDITED CLINICS AND CENTERS IN MINNEAPOLIS, ITS SUBURBS, GREATER MINNESOTA AND WESTERN WISCONSIN. WE WELCOMED MORE THAN 20,000 CHILDREN AND ADULTS THIS YEAR TO OUR HFA CLINICS FOR GENERAL AND SPECIALIZED CARE WITH APPROXIMATELY 365,000 CLINIC VISITS. IN ADDITION TO PRIMARY CARE, WE HAVE PHYSICIANS IN EVERY MEDICAL SPECIALTY TO PROVIDE THE EXPERT CARE PATIENTS NEED.
4b (Code:   ) (Expenses $ 3,615,456 including grants of $   ) (Revenue $ 3,615,456 )
TEACHING - WE TRAINED NEW DOCTORS IN OUR CLINICS AND THE HOSPITAL PREPARING APPROXIMATELY 302 RESIDENT PHYSICIANS FOR CAREERS IN MANY FIELDS OF MEDICINE. HFA PHYSICIANS SERVE AS FACULTY AND MOST HOLD ACADEMIC APPOINTMENTS AT THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WHERE MANY HAVE ACHIEVED DISTINCTION AND HAVE BEEN RECOGNIZED BY STUDENTS AND PEERS ALIKE FOR THEIR OUTSTANDING SKILLS AS TEACHERS. HCMC CURRENTLY OFFERS EIGHT FREE-STANDING RESIDENCY PROGRAMS THAT PROVIDE RESIDENT PHYSICIANS WITH CLINICAL EXPERIENCE IN SERVING A BROAD MIX OF PATIENTS FROM DIVERSE CULTURAL AND SOCIO-ECONOMIC BACKGROUNDS. THE AMOUNTS REFLECTED REPRESENT THE EXPENSES AND CONTRACTED REVENUE RECEIVED FROM HCMC FOR PROGRAM AND ASSOCIATE PROGRAM DIRECTORS. THE REVENUES AND EXPENSES ASSOCIATED WITH THE DAY-TO-DAY TRAINING AND SUPERVISION OF RESIDENTS ARE DIFFICULT TO SEPARATE FROM PATIENT CARE SERVICES AND THUS INCLUDED IN 4A ABOVE.
4c (Code:   ) (Expenses $ 2,948,000 including grants of $   ) (Revenue $ 2,948,000 )
MEDICAL RESEARCH - RESEARCH ACTIVITIES ON OUR CAMPUS ARE CONDUCTED THROUGH THE MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF), A RELATED 501(C)(3) CORPORATION. HFA PHYSICIANS CONTRIBUTED APPROXIMATELY 30,400 RESEARCH HOURS TO MMRF IN 2010. THERE ARE ACTIVE RESEARCH PROGRAMS IN TRAUMA, ALTERNATIVE MEDICINE, CANCER, CLINICAL OUTCOMES, CHRONIC FATIGUE SYNDROME, CHILDREN'S ISSUES, DIABETES AND METABOLISM, FOODS FOR WELL-BEING, HEART DISEASE, HIV/AIDS, KIDNEY DISEASE, LIVER AND GASTROINTESTINAL DISEASE, ORGAN TRANSPLANTATION, SLEEP DISORDERS, SMOKING CESSATION AND WOMEN'S HEALTH.
(Code:   ) (Expenses $ 4,735,562 including grants of $   ) (Revenue $ 4,735,562 )
ADMINISTRATIVE SERVICES - IN CONNECTION WITH ITS PROVISION OF PROFESSIONAL MEDICAL SERVICES, TRAINING, AND RESEARCH TO HENNEPIN HEALTHCARE SYSTEM, INC. FOR HENNEPIN COUNTY MEDICAL CENTER, HFA ALSO PROVIDES HEALTH CARE ADMINISTRATIVE SERVICES.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 4,735,562 including grants of $   ) (Revenue $ 4,735,562 )
4e Total program service expensesMediumBullet$ 114,284,963
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
43
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
964
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
24
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MR RAY SAILER VPCONTROLLER
914 S 8TH ST S-600
MINNEAPOLIS,MN554041228
(612) 347-5110
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOSEPH E CLINTON MD
SECRETARY
 8.00 X   X       354,109 0 57,473
(2) MICHAEL K POPKIN MD
TREASURER
 10.00 X   X       300,791 0 58,068
(3) JOHN BOWAR MD
DIRECTOR
 1.00 X           217,738 0 52,344
(4) ALLAN J COLLINS MD
DIRECTOR
 1.00 X           311,387 0 55,684
(5) EDUARDO COLON MD
DIRECTOR
 1.00 X           245,994 0 56,307
(6) GRETCHEN S CRARY MD
DIRECTOR
 1.00 X           297,643 0 58,569
(7) SCOTT F DAVIES MD
DIRECTOR
 1.00 X           235,795 0 57,681
(8) KEVIN C ENGEL MD
DIRECTOR
 1.00 X           270,765 0 45,372
(9) WILLIAM G HEEGAARD MD
DIRECTOR
 1.00 X           398,344 0 60,283
(10) CONRAD IBER MD
DIRECTOR
 1.00 X           203,473 0 37,870
(11) JULIA JOSEPH-DICAPRIO MD
DIRECTOR
 1.00 X           219,176 0 39,348
(12) RICHARD F KYLE MD
DIRECTOR
 1.00 X           403,579 0 56,621
(13) FRED LANGENDORF MD
DIRECTOR
 1.00 X           192,063 0 43,984
(14) VIRGINIA LUPO MD
DIRECTOR
 1.00 X           333,343 0 56,403
(15) ARTHUR L NEY MD
DIRECTOR
 1.00 X           424,209 0 58,703
(16) MARK D ODLAND MD
DIRECTOR
 1.00 X           428,220 0 57,703
(17) JEROME F POTTS MD
DIRECTOR
 1.00 X           216,769 0 53,743
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT R QUICKEL MD
DIRECTOR
 1.00 X           416,815 0 56,374
(19) CHAD J RICHARDSON MD
DIRECTOR
 1.00 X           434,974 0 56,341
(20) CHRISTOPHER ROBERT MD
DIRECTOR
 1.00 X           462,699 0 56,621
(21) RONALD L SCHUT MD
DIRECTOR
 1.00 X           154,135 0 42,523
(22) GILBERT J SHIN MD
DIRECTOR
 1.00 X           501,914 0 58,404
(23) MARTIN J STILLMAN MD
DIRECTOR
 1.00 X           114,007 0 32,049
(24) CHARLES L TRUWIT MD
DIRECTOR
 1.00 X           611,280 0 61,621
(25) DAVID N WILLIAMS MD
DIRECTOR
 1.00 X           227,277 0 53,542
(26) DONALD M JACOBS MD
CEO
 40.00     X       483,342 0 61,175
(27) LAWRENCE R FOSBURY
PRESIDENT
 40.00     X       335,797 0 46,441
(28) STEVEN P STERNER MD
SENIOR VICE PRESIDENT
 40.00     X       291,867 0 56,046
(29) MICHAEL CUMMING MD
MEMBER PHYSICIAN
 40.00         X   545,273 0 56,621
(30) HERBERT JONES MD
MEMBER PHYSICIAN
 40.00         X   549,437 0 47,840
(31) BARBARA KNOLL MD
MEMBER PHYSICIAN
 40.00         X   547,722 0 46,643
(32) PRATEEK SAHGAL MD
MEMBER PHYSICIAN
 40.00         X   545,273 0 56,621
(33) CONSTANTIN N STARCHOOK MD
MEMBER PHYSICIAN
 40.00         X   615,844 0 55,766
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 11,891,054 0 1,750,784
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet284
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY OF MN PHYSICIANS
720 WASHINGTON AVE SE STE 200
MINNEAPOLIS,MN55414 		PHYSICIAN SERVICES 1,171,841
PROSOURCE BILLING INC
PO BOX 67
SAUK RAPIDS,MN56379 		COLLECTIONS 978,834
JC CHRISTENSEN AND ASSOC INC
PO BOX 519
SAUK RAPIDS,MN56379 		COLLECTIONS 527,148
AMPHION MEDICAL SOLUTIONS
8301 EXCELSIOR DR 101
MADISON,WI53717 		TRANSCRIPTION SERVICES 484,221
NEUROSURGICAL ASSOCIATES LTD
800 E 28TH ST
MPLS,MN55407 		PHYSICIAN SERVICES 355,617
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet11
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 27,346,499
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 27,346,499
Program Service Revenue Business Code
2a MEDICAL PROFESSIONAL S 621,500 80,384,221 79,891,324 492,897  
b CONTRACT REVENUE 621,500 17,643,523 17,535,109 108,414  
c FEES FROM GOV'T AGENCI 900,099 7,326,379 7,326,379    
d MMRF OCCUPANCY 900,099 1,166,615 1,166,615    
e PARKING RAMP 812,930 890,679 827,797 62,882  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 107,411,417
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 33,509     33,509
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 517,111  
b Less: rental expenses    
c Rental income or (loss) 517,111  
d Net rental income or (loss).......MediumBullet 517,111     517,111
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   2,025
c Gain or (loss)   -2,025
d Net gain or (loss)..........MediumBullet -2,025     -2,025
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 135,306,511 106,747,224 664,193 548,595
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 10,574,798 9,422,800 1,151,998  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 79,088,063 69,824,997 9,263,066  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 8,919,105 8,170,909 748,196  
9 Other employee benefits ....... 7,820,946 6,320,957 1,499,989  
10 Payroll taxes ........... 5,336,554 4,616,131 720,423  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 131,554 1,145 130,409  
c Accounting ........... 68,320   68,320  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 7,480,055 4,871,130 2,608,925  
12 Advertising and promotion .... 94,972 29,232 65,740  
13 Office expenses ....... 2,502,104 2,166,232 335,872  
14 Information technology ...... 611,216 219,129 392,087  
15 Royalties ..        
16 Occupancy ........... 2,924,423 2,496,144 428,279  
17 Travel ............ 459,688 429,290 30,398  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 229,136 223,413 5,723  
20 Interest ........... 11,530   11,530  
21 Payments to affiliates ....... 353,248 94,698 258,550  
22 Depreciation, depletion, and amortization ..... 1,608,301 1,092,172 516,129  
23 Insurance .............. 1,443,304 1,410,287 33,017  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MNCARE TAX 1,224,632 1,224,632    
b MAINTENANCE CONTRACTS 686,939 516,023 170,916  
c DUES & SUBSCRIPTIONS 605,456 549,005 56,451  
d PARKING 427,248 358,336 68,912  
e RECRUITMENT 80,516 73,623 6,893  
f All other expenses 275,361 174,678 100,683  
25 Total functional expenses. Add lines 1 through 24f 132,957,469 114,284,963 18,672,506 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 8,307,359 2 9,682,690
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 11,675,541 4 11,149,990
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 997,064 9 541,697
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,397,603
b Less: accumulated depreciation. ..... 10b 1,596,856 5,397,603 10c 3,800,747
11 Investments—publicly traded securities .......... 4,297,440 11 2,168,624
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 2,386,663 15 4,329,418
16 Total assets. Add lines 1 through 15 (must equal line 34)... 33,061,670 16 31,673,166
Liabilities 17 Accounts payable and accrued expenses . 15,875,127 17 15,205,866
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 4,122,560 25 873,741
26 Total liabilities. Add lines 17 through 25..... 19,997,687 26 16,079,607
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 10,945,779 27 13,424,935
28 Temporarily restricted net assets ..... 235,527 28 285,947
29 Permanently restricted net assets ..... 1,882,677 29 1,882,677
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 13,063,983 33 15,593,559
34 Total liabilities and net assets/fund balances ..... 33,061,670 34 31,673,166
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
135,306,511
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
132,957,469
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
2,349,042
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
13,063,983
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
180,534
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
15,593,559
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 21,679,079 21,878,278 24,499,741 27,460,888 27,346,499 122,864,485
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 97,512,374 99,521,524 108,265,476 110,365,031 106,786,616 522,451,021
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 119,191,453 121,399,802 132,765,217 137,825,919 134,133,115 645,315,506
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. 3,932,431 3,808,953 3,855,785 5,154,344 5,973,864 22,725,377
c Add lines 7a and 7b.. 3,932,431 3,808,953 3,855,785 5,154,344 5,973,864 22,725,377
8 Public Support (Subtract line 7c from line 6.)           622,590,129
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6... 119,191,453 121,399,802 132,765,217 137,825,919 134,133,115 645,315,506
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 1,603,354 1,818,719 571,320 550,398 517,111 5,060,902
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 1,603,354 1,818,719 571,320 550,398 517,111 5,060,902
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 513,994 438,069 454,855 408,631 664,193 2,479,742
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.). 121,308,801 123,656,590 133,791,392 138,784,948 135,314,419 652,856,150
14
Section C. Computation of Public Support Percentage
15
15
95.360 %
16
16
95.620 %
Section D. Computation of Investment Income Percentage
17
17
0.780 %
18
18
0.920 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
HENNEPIN FACULTY ASSOCIATES
  		Employer identification number

41-1461900
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
HENNEPIN FACULTY ASSOCIATES
  		Employer identification number

41-1461900
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
HENNEPIN FACULTY ASSOCIATES
  		Employer identification number

41-1461900
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 2,118,204 1,665,397 2,619,123
b Contributions ........      
c Investment earnings or losses ... 153,339 455,806 -815,972
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		102,914 2,999 137,754
f Administrative expenses ....      
g End of year balance ...... 2,168,629 2,118,204 1,665,397
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet13.190 %
b
Permanent endowment: SchDMd Bullet86.810 %
c
Term endowment: SchDMd Bullet0 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   326,552 326,552
b Buildings ................   2,001,641 414,281 1,587,360
c Leasehold improvements ............   106,123 38,741 67,382
d Equipment ................   2,963,287 1,143,834 1,819,453
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 3,800,747
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) GRANT REVENUE RECEIVABLE 1,111,631
(2) HCMC CONTRACT RECEIVABLE 2,015,601
(3) PARKING RAMP RECEIVABLE 170,013
(4) OTHER MISCELLANEOUS RECEIVABLES 197,636
(5) TRANSCRIPTION REVENUE RECEIVABLES 33,334
(6) MERC REVENUE RECEIVABLE 801,203



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 4,329,418
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ESTIMATED UNASSERTED MALPRACTICE LIABILITY 550,000
ASSET RETIREMENT OBLIGATION 34,900
CAPITAL LEASE 288,841






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 873,741
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 135,306,511
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 132,957,469
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 2,349,042
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 180,534
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 180,534
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 2,529,576
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 135,438,650
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 130,114
e Add lines 2a through 2d ..................... 2e 130,114
3 Subtract line 2e from line 1..................... 3 135,308,536
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -2,025
c Add lines 4a and 4b....................... 4c -2,025
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 135,306,511
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 132,959,494
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 2,025
e Add lines 2a through 2d...................... 2e 2,025
3 Subtract line 2e from line 1..................... 3 132,957,469
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 132,957,469
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE NON MEDICINE/SURGERY ENDOWMENT PROVIDES FUNDING FOR RESEARCH PROJECTS; THE FINK FUND WAS ESTABLISHED TO PROVIDE FINANCIAL SUPPORT TO MATTHEW FINK, THE SON OF A FORMER RESIDENT WHO BECAME SEVERELY DISABLED DUE TO AN ILLNESS; THE FAMILY ASSISTANCE FUND PROVIDES FINANCIAL SUPPORT TO ELIGIBLE EMPLOYEES, MEMBERS AND CERTAIN FAMILY MEMBERS OF HFA EMPLOYEES WHO ARE EXPERIENCING A FINANCIAL HARDSHIP DUE TO A DEATH OR SERIOUS HEALTH CONDITION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: "INCOME TAXES: HFA IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES. HFA FOLLOWS THE GUIDANCE IN FASB ASC 740, INCOME TAXES, ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE ASC AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 IS APPLICABLE FOR EACH TAX YEAR WHICH IS OPEN TO EXAMINATION AND ASSESSMENT BY TAXING AUTHORITIES, IN ACCORDANCE WITH STATUTES. HFA'S TAX YEARS OPEN TO EXAMINATION AND ASSESSMENT INCLUDE YEARS SUBSEQUENT TO DECEMBER 31, 2006. HFA HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND HAS CONCLUDED THAT NO LIABILITY EXISTS AS OF DECEMBER 31, 2010."
PART XI, LINE 8 - OTHER ADJUSTMENTS:   CHANGE IN TEMPORARILY RESTRICTED NET ASSETS: CONTRIBUTION 27,200. INVESTMENT INCOME 28,050. AND UNREALIZED GAIN ON INVESTMENTS 125,284.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   ASSETS RELEASED FROM RESTRICTION 130,114.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   LOSS ON DISPOSAL OF ASSETS -2,025.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   LOSS ON DISPOSAL OF ASSETS 2,025.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOSEPH E CLINTON MD (i)
(ii)		 354,109
0 		0
0 		0
0 		31,152
0 		26,321
0 		411,582
0 		0
0
(2) MICHAEL K POPKIN MD (i)
(ii)		 300,791
0 		0
0 		0
0 		31,152
0 		26,916
0 		358,859
0 		0
0
(3) JOHN BOWAR MD (i)
(ii)		 217,738
0 		0
0 		0
0 		27,935
0 		24,409
0 		270,082
0 		0
0
(4) ALLAN J COLLINS MD (i)
(ii)		 311,387
0 		0
0 		0
0 		31,152
0 		24,532
0 		367,071
0 		0
0
(5) EDUARDO COLON MD (i)
(ii)		 245,994
0 		0
0 		0
0 		31,152
0 		25,155
0 		302,301
0 		0
0
(6) GRETCHEN S CRARY MD (i)
(ii)		 297,643
0 		0
0 		0
0 		31,152
0 		27,417
0 		356,212
0 		0
0
(7) SCOTT F DAVIES MD (i)
(ii)		 235,795
0 		0
0 		0
0 		30,962
0 		26,719
0 		293,476
0 		0
0
(8) KEVIN C ENGEL MD (i)
(ii)		 270,765
0 		0
0 		0
0 		31,152
0 		14,220
0 		316,137
0 		0
0
(9) WILLIAM G HEEGAARD MD (i)
(ii)		 398,344
0 		0
0 		0
0 		31,152
0 		29,131
0 		458,627
0 		0
0
(10) CONRAD IBER MD (i)
(ii)		 203,473
0 		0
0 		0
0 		24,882
0 		12,988
0 		241,343
0 		0
0
(11) JULIA JOSEPH-DICAPRIO MD (i)
(ii)		 219,176
0 		0
0 		0
0 		27,209
0 		12,139
0 		258,524
0 		0
0
(12) RICHARD F KYLE MD (i)
(ii)		 403,579
0 		0
0 		0
0 		31,152
0 		25,469
0 		460,200
0 		0
0
(13) FRED LANGENDORF MD (i)
(ii)		 192,063
0 		0
0 		0
0 		24,088
0 		19,896
0 		236,047
0 		0
0
(14) VIRGINIA LUPO MD (i)
(ii)		 333,343
0 		0
0 		0
0 		31,152
0 		25,251
0 		389,746
0 		0
0
(15) ARTHUR L NEY MD (i)
(ii)		 424,209
0 		0
0 		0
0 		31,152
0 		27,551
0 		482,912
0 		0
0
(16) MARK D ODLAND MD (i)
(ii)		 428,220
0 		0
0 		0
0 		31,152
0 		26,551
0 		485,923
0 		0
0
(17) JEROME F POTTS MD (i)
(ii)		 216,769
0 		0
0 		0
0 		28,036
0 		25,707
0 		270,512
0 		0
0
(18) ROBERT R QUICKEL MD (i)
(ii)		 416,815
0 		0
0 		0
0 		31,152
0 		25,222
0 		473,189
0 		0
0
(19) CHAD J RICHARDSON MD (i)
(ii)		 434,974
0 		0
0 		0
0 		31,152
0 		25,189
0 		491,315
0 		0
0
(20) CHRISTOPHER ROBERT MD (i)
(ii)		 462,699
0 		0
0 		0
0 		31,152
0 		25,469
0 		519,320
0 		0
0
(21) RONALD L SCHUT MD (i)
(ii)		 154,135
0 		0
0 		0
0 		18,131
0 		24,392
0 		196,658
0 		0
0
(22) GILBERT J SHIN MD (i)
(ii)		 501,914
0 		0
0 		0
0 		31,152
0 		27,252
0 		560,318
0 		0
0
(23) CHARLES L TRUWIT MD (i)
(ii)		 611,280
0 		0
0 		0
0 		31,152
0 		30,469
0 		672,901
0 		0
0
(24) DAVID N WILLIAMS MD (i)
(ii)		 227,277
0 		0
0 		0
0 		29,252
0 		24,290
0 		280,819
0 		0
0
(25) DONALD M JACOBS MD (i)
(ii)		 483,342
0 		0
0 		0
0 		31,152
0 		30,023
0 		544,517
0 		0
0
(26) LAWRENCE R FOSBURY (i)
(ii)		 335,797
0 		0
0 		0
0 		31,152
0 		15,289
0 		382,238
0 		0
0
(27) STEVEN P STERNER MD (i)
(ii)		 291,867
0 		0
0 		0
0 		31,152
0 		24,894
0 		347,913
0 		0
0
(28) MICHAEL CUMMING MD (i)
(ii)		 545,273
0 		0
0 		0
0 		31,152
0 		25,469
0 		601,894
0 		0
0
(29) HERBERT JONES MD (i)
(ii)		 549,437
0 		0
0 		0
0 		31,152
0 		16,688
0 		597,277
0 		0
0
(30) BARBARA KNOLL MD (i)
(ii)		 547,722
0 		0
0 		0
0 		31,152
0 		15,491
0 		594,365
0 		0
0
(31) PRATEEK SAHGAL MD (i)
(ii)		 545,273
0 		0
0 		0
0 		31,152
0 		25,469
0 		601,894
0 		0
0
(32) CONSTANTIN N STARCHOOK MD (i)
(ii)		 615,844
0 		0
0 		0
0 		31,152
0 		24,614
0 		671,610
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 7 PLEASE SEE THE RESPONSE TO FORM 990, PART VI, SECTION B, LINE 15 FOR EXPLANATION.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   THE MEMBERSHIP OF HFA IS DEFINED IN THE BY-LAWS AS FOLLOWS. THE MEMBERS OF THIS CORPORATION WITH VOTING RIGHTS SHALL CONSIST OF THE PERSONS FROM TIME TO TIME DESIGNATED AS SUCH BY THE BOARD OF DIRECTORS. THERE SHALL BE NO LIMIT UPON THE NUMBER OF VOTING MEMBERS OF THIS CORPORATION, BUT EACH VOTING MEMBER SHALL BE LICENSED TO RENDER A KIND OF PROFESSIONAL SERVICE WHICH THIS CORPORATION IS AUTHORIZED TO RENDER PURSUANT TO ANY APPLICABLE LAW. ONLY THOSE MEMBERS OF THIS CORPORATION WHO DEVOTE FIFTY PERCENT OR MORE OF THEIR TIME ENGAGED IN PROFESSIONAL ACTIVITIES TO ACTING ON BEHALF OF THIS CORPORATION IN THE DISCHARGE OF THIS CORPORATION'S DUTIES, RESPONSIBILITIES AND FUNCTIONS SHALL BE ELIGIBLE TO VOTE IN THE SELECTION OF DIRECTORS. THOSE PROVIDING PROFESSIONAL SERVICES AS DESCRIBED ABOVE CONSTITUTE THE SOLE CLASS OF MEMBERS OF HFA. MEMBERS HAVE ONLY VOTING RIGHTS AND HAVE NO ECONOMIC INTERESTS AS MEMBERS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A   THOSE PROVIDING PROFESSIONAL SERVICES AS DESCRIBED IN LINE 6 CONSTITUTE THE SINGLE CLASS OF MEMBERS. MEMBERS OF THE ORGANIZATION HAVE THE RIGHT TO VOTE FOR EIGHT DIRECTORS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B   THOSE PROVIDING PROFESSIONAL SERVICES AS DESCRIBED IN LINE 6 CONSTITUTE THE SINGLE CLASS OF MEMBERS. MEMBERS OF THE ORGANIZATION HAVE THE RIGHT TO APPROVE ANY AMENDMENTS TO THE CORPORATE BY-LAWS. BY LAW, THE MEMBERS' APPROVAL IS ALSO REQUIRED FOR AMENDMENT OF THE ARTICLES OF INCORPORATION, MERGER OR DISSOLUTION OF THE CORPORATION, OR TRANSFER OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS.
FORM 990, PART VI, SECTION B, LINE 11   FORM 990 IS PREPARED AND INITIALLY EXAMINED BY THE FINANCE DEPARTMENT. THE FORM IS THEN REVIEWED BY THE HFA PRESIDENT FOLLOWED BY REVIEWS BY BOTH LEGAL COUNSEL AND OUTSIDE AUDITORS. THE FINAL FORM IS SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND FORWARDED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL.
  FORM 990, PART VI, SECTION B, LINE 12C THE BOARD'S CONFLICT OF INTEREST POLICY IS PART OF AN ONLINE DISCLOSURE PROCESS FOR ALL HFA MEMBERS EQUAL TO OR GREATER THAN 0.5 FTE. IN ACCORDANCE WITH TWO BOARD POLICIES APPROVED JULY 2008, EACH MEMBER PHYSICIAN MUST DISCLOSE: 1. CERTAIN FINANCIAL RELATIONSHIPS THAT COULD POTENTIALLY BE VIEWED AS CONFLICTS OF INTEREST (GENERALLY THOSE VALUED AT $10,000 OR MORE). 2. NON-HFA CLINICAL ACTIVITY. 3. FOR BOARD MEMBERS ONLY, ADDITIONAL DISCLOSURES AS NECESSARY RELATED TO THE BOARD'S CONFLICT OF INTEREST POLICY. BOARD MEMBERS GO TO AN INTRANET SITE TO ACCESS THE BOARD POLICY TO REVIEW IT, AND THEN THEY COMPLETE THE ACKNOWLEDGEMENT AND DISCLOSURE ONLINE. THE INTRANET DISCLOSURE SITE TRACKS EACH BOARD MEMBER'S RESPONSE AND DATE-STAMPS IT. THE DIRECTOR OF QUALITY REVIEWS SUBMISSIONS TO ENSURE ALL BOARD MEMBERS HAVE COMPLETED THE DISCLOSURE FORM. IF A BOARD MEMBER LISTS A POTENTIAL CONFLICT OF INTEREST, THAT INFORMATION IS FORWARDED TO THE CEO FOR HIS REVIEW AND POSSIBLE ACTION. IF THE EVALUATION OF AN INDIVIDUAL'S DISCLOSURE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, AN ACTION PLAN MUST BE DEVELOPED TO MANAGE THE CONFLICT AND MITIGATE HFA'S AND THE INDIVIDUAL'S RESPECTIVE RISKS. THE ACTION PLAN COULD INVOLVE A NUMBER OF MEASURES, INCLUDING BUT NOT LIMITED TO: 1. FULL DISCLOSURE OF SIGNIFICANT FINANCIAL CONFLICTS OF INTEREST TO THE APPROPRIATE DECISION-MAKING BODY(IES). 2. DEPARTMENTAL OR DIVISIONAL OVERSIGHT/MONITORING OF THE ACTIVITY. 3. DIVESTITURE OF THE EQUITY SHARE. 4. LIMITED (NON-PI) ROLE IN A CONFLICTED RESEARCH STUDY. 5. RECUSAL FROM THE AFFECTED ACTIVITY. RESTRICTIONS FOR THE MEMBER WITH A CONFLICT OF INTEREST WOULD BE ADDRESSED IN THE ACTION PLAN.
  FORM 990, PART VI, SECTION B, LINE 15 THE ELECTED OFFICERS ARE THE SECRETARY AND TREASURER. THE BYLAWS REQUIRE THAT THESE POSITIONS BE SELECTED FROM THE VOTING MEMBERSHIP OF THE BOARD OF DIRECTORS. THE INDIVIDUALS ARE PHYSICIANS, EMPLOYEES OF THE CORPORATION AND HOLD FULL TIME POSITIONS IN THEIR MEDICAL/SURGICAL DEPARTMENTS. COMPENSATION FOR THE ELECTED OFFICERS ALONG WITH THE REST OF THE PHYSICIAN STAFF IS DETERMINED BY THE RELEVANT DEPARTMENTAL COMPENSATION PLAN AND REVIWED BY THE COMPENSATION COMPLIANCE COMMITTEE (CCC). THE CHARTER FOR THE CCC IS AS FOLLOWS: - THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT HFA DOES NOT ENGAGE IN ANY EXCESS BENEFIT TRANSACTIONS WITH RESPECT TO PHYSICIAN COMPENSATION. "PHYSICAN COMPENSATION" MEANS BASE AND VARIABLE COMPENSATION. "PHYSICIANS" MEANS HFA MEMBERS AS DEFINED BY HFA BYLAWS AND INCLUDES DEPARTMENT CHIEFS AND DOES NOT INCLUDE APPOINTED OFFICERS. - IN EXECUTING ITS RESPONSIBILITIES, THE COMMITTEE WILL ESTABLISH POLICIES AND PROCEDURES TO ENSURE THAT PHYSICIAN COMPENSATION DOES NOT EXCEED WHAT IS REASONABLE COMPENSATION IN EACH CASE, IN LIGHT OF APPLICABLE IRS REGULATIONS. THE POLICIES AND PROCEDURES WILL BE DESIGNED TO TAKE ADVANTAGE OF THE "REBUTTABLE PRESUMPTION" PROVISION OF THE REGULATIONS WHENEVER REASONABLY POSSIBLE. - THE COMMITTEE IS ACCOUNTABLE TO THE HFA BOARD OF DIRECTORS AND WILL REPORT AT LEAST ANNUALLY ON THE ACTIVITIES AND FINDINGS OF THE COMMITTEE. - ALL PROCESSES, POLICIES, AND PROCEDURES ESTABLISHED BY THE COMMITTEE WILL REQUIRE APPROVAL OF THE BOARD OF DIRECTORS. - THE COMMITTEE WILL HAVE DIRECT ACCESS TO HFA LEGAL COUNSEL AND ANY OTHER RESOURCES IT DEEMS NECESSARY. THE CCC MAINTAINS POLICIES AND PROCEDURES WITH RESPECT TO: (I) DEFINITION OF MARKET FOR INITIAL SCREENS USING EXTERNAL SURVEY DATA; (II) REVIEW OF INDIVIDUALS EXCEEDING THE INITIAL SCREEN; (III) AND DETERMINATION OF REASONABLE COMPENSATION. THE CCC KEEPS MINUTES AND PREPARES AN ANNUAL REPORT TO THE BOARD OF DIRECTORS. COMPENSATION FOR THE SENIOR APPOINTED OFFICERS (CHAIR/CEO, PRESIDENT/COO/CFO, AND SENIOR VICE PRESIDENT) IS DETERMINED BY THE EXECUTIVE COMMITTEE (EC) OF THE BOARD OF DIRECTORS. THESE POSITIONS ARE FULL TIME ADMINISTRATIVE EMPLOYEES OF THE CORPORATION. THEY MAY OR MAY NOT BE PHYSICIANS. PHYSICIAN EMPLOYEES USUALLY CONTINUE TO PRACTICE MEDICINE IN ADDITION TO THEIR ADMINISTRATIVE RESPONSIBILITIES. THESE POSITIONS REPORT TO THE EC AND THEIR COMPENSATION IS DETERMINED AS PART OF THE PERFORMANCE REVIEW PROCESS. THE EC USES MARKET DATA AND CONSULTANTS AS NECESSARY. THE DELIBERATIONS AND ACTIONS OF THE EC ARE INCORPORATED INTO THE PERMANENT MINUTES.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT ROUTINELY PROVIDE THIS INFORMATION BUT WOULD ENTERTAIN REQUESTS FROM MEMBERS OF THE PUBLIC.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS: CONTRIBUTION 27,200. INVESTMENT INCOME 28,050. AND UNREALIZED GAIN ON INVESTMENTS 125,284. TOTAL TO FORM 990, PART XI, LINE 5: 180,534.
  FORM 990, PART VI, SECTION B, LINE 16A HFA IS CO-OWNER, AS TENANT IN COMMON, OF A PARKING RAMP FACILITY ADJACENT TO ITS PRIMARY OFFICES. HFA OWNS A 50% INTEREST AND THE TWO UNRELATED NON-EXEMPT PARTIES COLLECTIVELY OWN THE OTHER 50%. AN OWNERSHIP AGREEMENT AMONG THE CO-OWNERS SETS FORTH THE PARTIES' RIGHTS AND OBLIGATIONS AS TENANTS IN COMMON.
COMPENSATION NOTE: FORM 990, PART VII ALL OF THE COMPENSATED DIRECTORS ARE PHYSICIANS AND THEIR COMPENSATION IS RECEIVED IN THAT CAPACITY, NOT AS DIRECTORS.
INDEPENDENT VOTING MEMBERS FORM 990, PART I, LINE 4 & FORM 990, PART VI, SECTION A, LINE 1B HFA DOES NOT HAVE INDEPENDENT VOTING MEMBERS OF ITS GOVERNING BODY BECAUSE IT IS A PROFESSIONAL PHYSICIAN ORGANIZATION WHICH DERIVES ITS REVENUES FROM PROGRAM SERVICS AND DOES NOT SOLICIT OR RECEIVE CONTRIBUTIONS FROM INDIVIDUAL DONORS. THE BOARD IS MADE UP OF APPOINTED AND ELECTED MEMBERS OF THE ORGANIZATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HENNEPIN FACULTY ASSOCIATES
 
Employer identification number

41-1461900
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION

914 S 8TH ST STE 600

MINNEAPOLIS,MN55404
41-1677920 		MEDICAL RESEARCH MN 501(C)(3) 509(A)(1) HENNEPIN FACULTY ASSOCIATES
 
Yes
 












For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION

 A 1,167,000 ACTUAL COST
(2) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION

 B 580,000 ACTUAL COST
(3) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION

 K 3,522,000 ACTUAL COST
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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