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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Doing Business As
HENNEPIN COUNTY MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
701 PARK AVENUE
ROOM/SUITE P-1
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MINNEAPOLIS, MN55415
D Employer identification number

42-1707837
E Telephone number

G Gross receipts $ 790,022,953
F Name and address of principal officer:
LARRY A KRYZANIAK
701 PARK AVENUE
MINNEAPOLIS,MN55415
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HCMED.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2007
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PART III LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC. (HHS); D/B/A HENNEPIN COUNTY MEDICAL CENTER CONTINUES TO TRANSFORM THE HEALTH OF THE COMMUNITY WITH EXCEPTIONAL CARE WITHOUT EXCEPTION. HHS IS COMMITTED TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE FOR LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY. HHS OPERATES COMMUNITY CARE CLINICS AND CONVENIENCE CARE CLINICS IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. AS OF DECEMBER 31, 2013, HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, OF WHICH 441 BEDS AND 62 BASSINETS WERE AVAILABLE, AS WELL AS 11 PRIMARY CARE CLINICS AND 35 SPECIALTY CARE CLINICS, 6 PHARMACY LOCATIONS, AND EMPLOYED APPROXIMATELY 841 PROVIDERS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 7,012
6 Total number of volunteers (estimate if necessary) ............. 6 635
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 765,403
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 29,945,075 27,642,939
9 Program service revenue (Part VIII, line 2g) ......... 715,674,570 761,060,378
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,587,594 343,476
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 581,916 155,437
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 747,789,155 789,202,230
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 563,617 621,330
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 501,509,164 551,682,571
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 248,079,372 261,146,931
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 750,152,153 813,450,832
19 Revenue less expenses. Subtract line 18 from line 12....... -2,362,998 -24,248,602
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 488,785,676 480,179,554
21 Total liabilities (Part X, line 26)............. 169,156,046 184,284,588
22 Net assets or fund balances. Subtract line 21 from line 20..... 319,629,630 295,894,966
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: PART III LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC. (HHS); D/B/A HENNEPIN COUNTY MEDICAL CENTER CONTINUES TO TRANSFORM THE HEALTH OF THE COMMUNITY WITH EXCEPTIONAL CARE WITHOUT EXCEPTION. HHS IS COMMITTED TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE FOR LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY. HHS OPERATES COMMUNITY CARE CLINICS AND CONVENIENCE CARE CLINICS IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. AS OF DECEMBER 31, 2013, HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, OF WHICH 441 BEDS AND 62 BASSINETS WERE AVAILABLE, AS WELL AS 11 PRIMARY CARE CLINICS AND 35 SPECIALTY CARE CLINICS, 6 PHARMACY LOCATIONS, AND EMPLOYED APPROXIMATELY 841 PROVIDERS.
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 673,425,238 including grants of $ 621,330 ) (Revenue $ 780,743,814 )
HENNEPIN HEALTHCARE SYSTEM, INC. (HHS), D/B/A HENNEPIN COUNTY MEDICAL CENTER, A COMPONENT UNIT OF HENNEPIN COUNTY, MINNESOTA (THE COUNTY) IS A PUBLIC CORPORATION OPERATING AS A SUBSIDIARY OF HENNEPIN COUNTY OF MINNESOTA. HHS, INC. ORGANIZES AND DELIVERS HEALTH CARE AND RELATED SERVICES TO THE GENERAL PUBLIC, INCLUDING THE INDIGENT AS DEFINED BY STATE AND FEDERAL LAW AS DETERMINED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS, AND TO CONDUCT RELATED PROGRAMS AND RESEARCH. HHS, INC. IS AN INTEGRATED NETWORK OF PHYSICIANS, HOSPITAL AND AMBULATORY CARE SERVICES. THE MAIN CAMPUS IN MINNEAPOLIS, MINNESOTA, INCLUDES LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER THAT IS ALSO AN ACADEMIC MEDICAL CENTER AND A PUBLIC HOSPITAL AS WELL AS PRIMARY AND SPECIALTY CARE CLINICS. ACUTE DIALYSIS (DAVITA): ACUTE DIALYSIS SERVICES' MAIN PURPOSE AND GOAL IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS. WE ARE RESPONSIBLE FOR HEMODIALYSIS TREATMENTS AND OTHER NEPHROLOGY NURSING NEEDS OF THE ACUTE AND CHRONIC PATIENTS ADMITTED TO THE HOSPITALS. WE PROVIDE THE PATIENT WITH THE SERVICES OF AN EXPERIENCED TEAMMATE AND WORK IN CONJUNCTION WITH THE HOSPITAL TO ENSURE THAT EACH PATIENT REACHES THE HIGHEST LEVEL OF HEALTH, SECURITY AND INDEPENDENCE 24 HOURS A DAY, 7 DAYS A WEEK. OUR TEAMMATES WORK WITH THE PATIENTS ON AN INDIVIDUAL BASIS TO PROVIDE QUALITY CARE AND SERVICE EXCELLENCE WITH CONFIDENCE AND TRUST. ACUTE PSYCHIATRIC SERVICES (APS): APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HOURS A DAY, 7 DAYS A WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION AND REFERRAL. AUDIOLOGY CLINIC: THE AUDIOLOGY CLINIC PROVIDES HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS OF ALL AGES, FROM INFANCY TO GERIATRICS. WE ARE DEDICATED TO PROVIDING THE MOST UP-TO-DATE TECHNOLOGY AND HEARING HEALTH CARE AVAILABLE TO THE COMMUNITY. HENNEPIN BURN CENTER: THE HENNEPIN BURN CENTER HAS PROVIDED INPATIENT, ACUTE, AND REHABILITATIVE CARE FOR PATIENTS WITH BURNS, FROSTBITE, AND OTHER COMPLEX WOUNDS FOR MORE THAN 32 YEARS. UNIQUE IN ITS ON-SITE ACCESS TO BURN CARE SPECIALISTS 7 DAYS A WEEK, THE BURN CENTER CONTAINS A 17 BED INPATIENT UNIT AND AN AMBULATORY BURN AND WOUND CLINIC FOR OUTPATIENT TREATMENTS. THE BURN CENTER HAS RECEIVED VERIFICATION AS A BURN CENTER FROM THE AMERICAN BURN ASSOCIATION AND AMERICAN COLLEGE OF SURGERIES. HENNEPIN HEART CENTER: THE HENNEPIN HEART CENTER PROVIDES HIGH QUALITY CARDIAC CARE TO PATIENTS BEING EVALUATED AND TREATED FOR CARDIOVASCULAR PROBLEMS. THE CARDIOLOGY DIVISION PROVIDES CARE TO PATIENTS IN THE FOLLOWING AREAS: CARE UNIT (37 TELEMETRY BEDS), OBSERVATION UNIT (15 BEDS), CARDIAC MEDICAL INTERMEDIATE CARE UNIT (14 BEDS), CARDIAC CLINIC, CARDIAC REHABILITATION, CARDIAC CATHETERIZATION LAB & ELECTROPHYSIOLOGY (EP) LAB, ECHOCARDIOGRAPHY AND NON-INVASIVE LAB, ELECTROCARDIOGRAM (EKG) AND CARDIAC RESEARCH. CENTER FOR WOUND HEALING: THE CENTER FOR WOUND HEALING IS AN ADVANCED CARE CENTER FOR THE TREATMENT OF DIFFICULT-TO-HEAL WOUNDS OF THE LOWER EXTREMITIES. PATIENTS WHO HAVE CHRONIC, NON-HEALING WOUNDS CAUSED BY DIABETES, HYPERTENSION AND OTHER CONDITIONS OFTEN EXPERIENCE A MARKED REDUCTION IN THEIR QUALITY OF LIFE. OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY CLINIC SERVICES TO MEET THE INDIVIDUAL NEEDS OF EACH PATIENT. CHILD / ADOLESCENT PSYCHIATRY CLINIC: THE CHILD / ADOLESCENT PSYCHIATRY CLINIC OFFER A VARIETY OF OUTPATIENT SERVICES TO HELP CHILDREN AND ADOLESCENTS WHO ARE HAVING BEHAVIORAL AND EMOTIONAL PROBLEMS. SERVICES INCLUDE PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS, THERAPY, PARENTING SKILLS, COUNSELING AND MEDICAL MANAGEMENT. HENNEPIN COMPREHENSIVE CANCER CENTER: THE HENNEPIN COMPREHENSIVE CANCER CENTER IS COMMITTED TO PROVIDING THE FINEST IN CANCER RELATED SERVICES THROUGH AN INTEGRATED SYSTEM OF HEALTH AND SOCIAL SERVICES. THE CONTINUUM OF CARE EXTENDS FROM PREVENTION, DIAGNOSIS, TREATMENT, SYMPTOM CONTROL, AND CURE, THROUGH ALL RELATED ASPECTS OF ADJUSTMENT TO RELAPSE, SURVIVORSHIP, AND BEREAVEMENT COUNSELING. THE CANCER CLINIC STAFF INCLUDES MEDICAL, SURGICAL AND RADIATION ONCOLOGISTS, RADIOLOGISTS AND PATHOLOGISTS TRAINED IN CANCER DIAGNOSIS, SPECIALLY TRAINED ONCOLOGY RNS, NURSE PRACTITIONERS, AND CLINICAL NURSE SPECIALIST IN BONE MARROW TRANSPLANT AND COMPLEMENTARY THERAPY. THIS TEAM COLLABORATES WITH PHYSICAL THERAPISTS TO PROVIDE CARE TO PATIENTS WITH LYMPHEDEMA AND WITH A GENETICIST WHO PROVIDES GENETIC COUNSELING TO PATIENTS AND FAMILIES. THE HENNEPIN COMPREHENSIVE CANCER CENTER ALSO INCLUDES THE NANCY GELTMAN SHILLER CANCER RESOURCE LIBRARY. THE COMPREHENSIVE CANCER CENTER IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. DENTISTRY: THE DENTAL & ORAL SURGERY CLINIC CARE RANGES FROM PREVENTIVE AND CHRONIC TO ACUTE, SIMPLE TO COMPLEX. SERVICES INCLUDE GENERAL DENTAL CARE, SPECIALTY CARE, ADULT AND PEDIATRIC CARE UNDER GENERAL ANESTHESIA, ORAL AND MAXILLOFACIAL SURGERY, AND SPECIALTY CARE TO PATIENTS WITH COMPROMISING MEDICAL, PHYSICAL, MENTAL AND EMOTIONAL CONDITIONS. RECONSTRUCTIVE SERVICES WITH MAXILLOFACIAL PROSTHESES, MANAGEMENT OF TMJ DYSFUNCTION AND CARE OF EMERGENCY AND TRAUMA CASES ARE PROVIDED. EEG LAB: ROUTINE EEG TESTING (RECORDING OF ELECTRICAL IMPULSES FROM THE BRAIN) IS PERFORMED IN BOTH AN INPATIENT AND OUTPATIENT SETTING. PROLONGED MONITORING (1-5 DAYS) AND VIDEO MONITORING CAN ALSO BE PERFORMED TO ASSIST IN DIAGNOSING UNUSUAL SPELLS OR SEIZURES. TRAUMATIC BRAIN INJURY CENTER: THE TRAUMATIC BRAIN INJURY CENTER AT HENNEPIN COUNTY MEDICAL CENTER OFFERS COMPREHENSIVE, MULTIDISCIPLINARY PATIENT CARE, EDUCATION AND RESEARCH TO SERVE PEOPLE WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY. WE PROVIDE A FULL RANGE OF STATE-OF-THE-ART MEDICAL AND REHABILITATIVE SERVICES. OUR EXPERTISE SPANS THE ENTIRE CONTINUUM OF CARE FOR ADULT AND PEDIATRIC TBI PATIENTS. WE ARE A REGIONAL EXPERT IN PROVIDING CARE TO PATIENTS WITH TBI. OUR NEUROSURGEONS ARE RENOWNED FOR THEIR NATIONALLY FUNDED RESEARCH IN TBI & HYPERBARIC OXYGEN, AND WE ARE STAFFED 24/7 IN ORDER TO CARE FOR PATIENTS AS QUICKLY AS POSSIBLE. "STATE-OF-THE-ART MONITORING IN OUR SURGICAL/TRAUMA/NEUROSCIENCE INTENSIVE UNIT CARE, INCLUDING EQUIPMENT TO MONITOR BRAIN OXYGEN AND TEMPERATURE, IS AVAILABLE AT ALL TIMES. NEUROSURGERY SERVICE PHYSICIANS STAY AT THE HOSPITAL 24/7 TO BE ABLE TO RESPOND QUICKLY TO CHANGES IN A PATIENT'S CONDITION. "THE PEDIATRIC BRAIN INJURY PROGRAM IS DESIGNED TO MEET THE NEEDS OF CHILDREN AND ADOLESCENTS WITH TRAUMATIC AND OTHER ACQUIRED BRAIN INJURIES, MANY OF WHOM HAVE BEEN TREATED AT OUR LEVEL 1 TRAUMA CENTER. "THE MILAND E. KNAPP REHABILITATION CENTER, AN ON-SITE, ACUTE REHABILITATION PROGRAM, HAS THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITATION TO BE AN INPATIENT BRAIN INJURY REHABILITATION PROGRAM FOR ADULTS AND ADOLESCENTS. "THE MILD TO MODERATE TRAUMATIC BRAIN INJURY CLINIC AT HENNEPIN COUNTY MEDICAL CENTER OFFERS A UNIQUE SYSTEM OF DIAGNOSING, TREATING AND CARING FOR PATIENTS WHO ARE EXPERIENCING POST-TRAUMATIC EFFECTS OF AN INJURY TO THE BRAIN. LEVEL 1 TRAUMA CENTER: HCMC WAS THE FIRST HOSPITAL IN MINNESOTA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL I TRAUMA CENTER, THE HIGHEST LEVEL OF TRAUMA CARE. IT NOW OPERATES BOTH A LEVEL 1 ADULT TRAUMA CENTER AND LEVEL 1 PEDIATRIC TRAUMA CENTER AND RECEIVES PATIENTS BY AMBULANCE AND HELICOPTER FROM ACROSS MINNESOTA AND SURROUNDING STATES. EMERGENCY DEPARTMENT AND URGENT CARE: HCMC PROVIDES THE ENTIRE SPECTRUM OF CARE TO ADDRESS THE NEEDS OF INJURED PATIENTS FROM THE PRE-HOSPITAL CARE AND TRANSPORT THROUGH REHABILITATION. THE EMERGENCY DEPARTMENT IS THE BUSIEST IN THE STATE WITH OVER 95,000 VISITS IN 2013. BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS PROVIDE 24-HOUR COVERAGE AND OUTSTATE EMERGENCY CONSULTATION. NURSES RECEIVE AND PARTICIPATE IN TEACHING SPECIALIZED TRAINING (ACLS, TNCC, APLS) IN HANDLING TRAUMA AND MEDICAL EMERGENCIES. HENNEPIN COUNTY MEDICAL CENTER'S EMERGENCY URGENT CARE IS A FAST TRACK UNIT OF THE EMERGENCY DEPARTMENT. EMERGENCY URGENT CARE STAFF TREATS PATIENTS WITH MINOR ACUTE ILLNESSES, SIMPLE INJURIES, AND OTHER NON-EMERGENCY CONDITIONS. EMERGENCY URGENT CARE IS STAFFED WITH REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICIANS WHO HAVE EXPERIENCE IN EMERGENCY MEDICINE. EMERGENCY MEDICAL SERVICES (EMS): EMS FIELD OPERATIONS: HCMC EMS IS LICENSED TO PROVIDE EMERGENCY MEDICAL SERVICES TO ALL OR PART OF THE 14 COMMUNITIES IN HENNEPIN COUNTY. IN 2013, EMS PROVIDED OVER 60,000 AMBULANCE RUNS. EMS EMERGENCY COMMUNICATION CENTER: EMERGENCY MEDICAL DISPATCHERS ARE ALSO WEST METRO MEDICAL RESOURCE CONTROL CENTER (WMRCC) OPERATORS. WMRCC ACTS AS THE COORDINATOR AND INFORMATION RESOURCE FOR FIELD PERSONNEL OPERATING IN THE HENNEPIN COUNTY AREA. EMS EDUCATION: THE EMS EDUCATION DEPARTMENT MISSION IS TO ENHANCE THE QUALITY OF EMERGENCY MEDICAL CARE PROVIDED TO THE COMMUNITY THROUGH TRAINING, EDUCATION AND RESEARCH. EMG LAB: THE E
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet673,425,238
Form 990 (2013)
Form 990 (2013)
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 (see instructions)? ...
2
 
No
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 IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
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 IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick 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 XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII 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 and XII is optional Click to see attachment
12b
Yes
 
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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,195
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
7,012
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” to line 3b, 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, securities account, or other financial 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 as charitable contributions?...
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
 
No
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
8
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCHARLES ESLER CONTROLLER701 PARK AVENUE P-1MINNEAPOLISMN55415 (612) 873-6518
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JON L PRYOR MD MBA........................................................................
CEO
 40.00
.......................   		X   X       532,261 0 36,070
(2) DOUGLAS B BRUNETTE MD........................................................................
DIRECTOR
 40.00
.......................   		X           445,618 0 44,673
(3) DAVID B JONES MD........................................................................
FORMER CEO/B
 40.00
.......................   		X   X       252,871 0 0
(4) ANNE PEREIRA MD........................................................................
DIRECTOR
 40.00
.......................   		X           149,305 0 21,979
(5) MICHAEL OPAT........................................................................
DIRECTOR
 2.00
.......................   		X           0 102,645 28,353
(6) JANIS CALLISON........................................................................
DIRECTOR
 2.00
.......................   		X           0 97,330 14,498
(7) CHRISTOPHER PUTO PHD........................................................................
CHAIR, FIN &
 2.00
.......................   		X   X       0 0 0
(8) SHARON SAYLES BELTON........................................................................
BOARD CHAIR
 2.00
.......................   		X           0 0 0
(9) ATUM AZZAHIR........................................................................
CHAIR, GOVER
 2.00
.......................   		X           0 0 0
(10) SAMUEL E CARLSON MD FACP........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(11) SUZANNA DE BACA MBA........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(12) DAVID EBEL........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(13) SHEILA RIGGSDDSDMSC........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(14) RAY WALDRON........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(15) LARRY A KRYZANIAKMS........................................................................
CFO
 40.00
.......................   		    X       415,262 0 32,613
(16) DONALD M JACOBS MD........................................................................
CHIEF CLINIC
 40.00
.......................   		      X     500,712 0 18,524
(17) MICHAEL B BELZER MD........................................................................
CHIEF MEDICA
 40.00
.......................   		      X     390,343 0 29,393
Form 990 (2013)
Form 990 (2013)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) STEVE P STERNER MD FACEP........................................................................
VP
 40.00
.......................   		      X     358,677 0 29,393
(19) SCOTT WORDELMAN FACHE........................................................................
VP
 40.00
.......................   		      X     285,747 0 23,124
(20) KATHY WILDE RN MA........................................................................
CHIEF NURSIN
 40.00
.......................   		      X     269,130 0 32,580
(21) NANCY GARRETT PHD........................................................................
CHIEF ANALYT
 40.00
.......................   		      X     246,344 0 33,427
(22) JEANETTE T JONES RN JD........................................................................
VP
 40.00
.......................   		      X     226,950 0 28,702
(23) CONSTANTIN N STARCHOOK MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   677,725 0 44,673
(24) CHARLES L TRUWIT MD........................................................................
PHYSICIAN CH
 40.00
.......................   		        X   648,761 0 44,673
(25) MARK D ODLAND MD........................................................................
PHYSICIAN CH
 40.00
.......................   		        X   604,731 0 40,172
(26) ASAD IRFANULLAHMD........................................................................
PHYSICIAN
 40.00
.......................   		        X   594,786 0 44,673
(27) PRATEEK SAHGAL MD........................................................................
PHYSICIAN
 40.00
.......................   		        X   594,786 0 44,673






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,194,009 199,975 592,193
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet749
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
STANDARD CONSTRUCTION LLC2812 ANTHONY LANE SOUTH SUITE 200ST ANTHONYMN55418 CONSTRUCTION 7,477,065
UNIVERSITY OF MINNESOTA1425 UNIVERSITY AVENUE SEMINNEAPOLISMN55455 MEDICAL 7,138,339
MEDICAPO BOX 1450MINNEAPOLISMN55485 HLTH PLAN ADMIN 6,131,821
PHILLIPS MEDICAL SYSTEMS NA3300 MINUTEMAN ROADANDOVERMA01810 RADIOLOGY 4,237,306
MCGOUGH CONSTRUCTION INC2737 FAIRVIEW AVENUE NORTHST PAULMN55113 CONSTRUCTION 3,977,920
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet303
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 27,109,033
f All other contributions, gifts, grants, and
similar amounts not included above1f 		533,906
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 27,642,939
Program Service RevenueAmt Business Code
2a MEDICARE/ MEDICAID REVENUE 900099 413,443,633 413,443,633    
b OTHER PATIENT REVENUE 900099 222,623,495 222,623,495    
c OTHER STATE PROGRAM REVENUE 900099 64,235,731 64,235,731    
d PHARMACY REVENUE 446110 43,157,954 43,157,954    
e CONTRACTED SERVICES 900099 9,108,921     9,108,921
f All other program service revenue . 8,490,644 2,795,312 765,403 4,929,929
g Total. Add lines 2a–2f........MediumBullet 761,060,378
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,130,254     1,130,254
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   33,945
b Less: cost or other basis and sales expenses   820,723
c Gain or (loss)   -786,778
d Net gain or (loss)..........MediumBullet -786,778     -786,778
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 MISCELLANEOUS REVENUE 900099 155,437 155,437    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 155,437
12 Total revenue. See Instructions......MediumBullet 789,202,230 746,411,562 765,403 14,382,326
Form 990 (2013)
Form 990 (2013)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 621,330 621,330
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,403,695 1,160,129 3,243,566  
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 428,869,090 344,322,689 84,546,401  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 30,324,863 24,180,423 6,144,440  
9 Other employee benefits ....... 60,672,363 48,378,896 12,293,467  
10 Payroll taxes ........... 27,412,560 21,858,212 5,554,348  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,304,233 1,039,969 264,264  
c Accounting ........... 185,456   185,456  
d Lobbying ........... 206,597   206,597  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 113,115 90,196 22,919  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 11,557,730 9,221,157 2,336,573  
12 Advertising and promotion .... 1,036,263 826,295 209,968  
13 Office expenses ....... 6,035,606 4,812,668 1,222,938  
14 Information technology ...... 12,023,514 9,587,303 2,436,211  
15 Royalties ..        
16 Occupancy ........... 12,769,166 10,181,871 2,587,295  
17 Travel ............ 607,738 484,598 123,140  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 907,696 723,778 183,918  
20 Interest ........... 414,539 330,545 83,994  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 36,045,589 28,742,012 7,303,577  
23 Insurance .............. 2,722,072 2,170,524 551,548  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 77,713,905 77,713,905    
b BAD DEBTS 30,145,378 30,145,378    
c CONSULTING FEES 26,941,030 21,575,532 5,365,498  
d MISCELLANEOUS 25,463,732 20,304,256 5,159,476  
e All other expenses 14,953,572 14,953,572    
25 Total functional expenses. Add lines 1 through 24e 813,450,832 673,425,238 140,025,594 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 69,083,861 1 41,047,821
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 176,289,865 4 189,815,847
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,680,911 8 4,003,324
9 Prepaid expenses and deferred charges .......... 4,467,465 9 3,625,536
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 651,034,326
b Less: accumulated depreciation ..... 10b 414,607,988 231,164,387 10c 236,426,338
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 4,092,549 12 5,254,050
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 6,638 15 6,638
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 488,785,676 16 480,179,554
Liabilities 17 Accounts payable and accrued expenses ......... 140,718,896 17 150,986,878
18 Grants payable .................   18  
19 Deferred revenue ................ 1,109,882 19 2,422,805
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 27,327,268 25 30,874,905
26 Total liabilities. Add lines 17 through 25......... 169,156,046 26 184,284,588
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ..... 247,268,243 31 235,240,618
32 Retained earnings, endowment, accumulated income, or other funds 72,361,387 32 60,654,348
33 Total net assets or fund balances ........... 319,629,630 33 295,894,966
34 Total liabilities and net assets/fund balances ........ 488,785,676 34 480,179,554
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
789,202,230
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
813,450,832
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-24,248,602
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
319,629,630
5
Net unrealized gains (losses) on investments ...............
5
513,938
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
295,894,966
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990: ENTERPRISE
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
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......            
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.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
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.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


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

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 206,597  
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ................... 206,597  
d Other exempt purpose expenditures ........................ 813,244,235  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 813,450,832  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 170,655 138,751 134,460 206,597 650,463
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures 114,523 138,751 134,460 206,597 594,331
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SCHEDULE C, PART IV SCHEDULE C, PART 1-A, LINE 1 THE MAJORITY OF HENNEPIN HEALTHCARE SYSTEM INC.'S (HHS INC.) LOBBYING EXPENDITURES RELATE TO A SERVICE AGREEMENT THAT HHS INC. AND HENNEPIN COUNTY MN ENTERED INTO WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASS ROOT LOBBYING SERVICES RELATED TO HHS INC.'S MISSION AND PURPOSE. IN ADDITION, HHS INC. SUBSCRIBES TO ASSOCIATIONS PRIMARILY MINNESOTA HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBER ENTITIES. THE LOBBYING EXPENSES ARE MADE UP AS BELOW: HENNEPIN COUNTY IGR PAYMENTS 200,000 MINNESOTA HOSPITAL ASSOCIATION 6,423 SAFETY NET HOSPITALS PHARMACEUTICAL ACCESS 174 TOTAL GRASSROOTS LOBBYING EXPENDITURE 206,597
Schedule C (Form 990 or 990EZ) 2013

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 2,187,882        
b Contributions ........          
c Net investment earnings, gains, and losses 566,450        
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ...... 2,754,332        
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet68.350 %
c
Temporarily restricted endowment SchDMd Bullet31.650 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,320,377 19,320,377
b Buildings ................   353,989,810 214,049,006 139,940,804
c Leasehold improvements ............   11,706,940 8,055,881 3,651,059
d Equipment ................   193,196,826 130,129,089 63,067,737
e Other .................   72,820,373 62,374,012 10,446,361
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 236,426,338
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
RELATED PARTY PAYABLES 16,139,717
TAXES 8,671,603
LEASE REVENUE REFUNDING CERTIFICATES 6,063,585






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 30,874,905
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 751,096,313
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 513,938
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 513,938
3 Subtract line 2e from line 1..................... 3 750,582,375
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 XIII.) ........... 4b 38,619,855
c Add lines 4a and 4b....................... 4c 38,619,855
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 789,202,230
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 774,830,977
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 XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 774,830,977
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 XIII.) ............ 4b 38,619,855
c Add lines 4a and 4b....................... 4c 38,619,855
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 813,450,832
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PAGE 2, PART V, LINE 4 THE BEGINNING BALANCE OF ENDOWMENT FUNDS WAS TRANSFERRED OVER FROM HENNEPIN FACULTY ASSOCIATES FOLLOWING THE INTEGRATION OF HENNEPIN FACULTY ASSOCIATES WITH HENNEPIN HEALTHCARE SYSTEM, INC. IN DECEMBER 2012. THE ENDOWMENT CONSISTS OF A FUND ESTABLISHED TO SUPPORT RESEARCH ACTIVITIES AND THE NON-SURGERY ENDOWMENT. THE ENDOWMENT CONSISTS ENTIRELY OF DONOR- RESTRICTED FUNDS. HHS, INC. POLICY PROVIDES FOR THE ABILITY TO APPROPRIATE FOR DISTRIBUTION EACH YEAR AN AGREED PROPORTION PLUS RELATED ACCUMULATED EARNINGS BASED UPON BALANCES OF THE PRECEDING YEAR AND MAINTAINING A RECOMMENDED PURCHASING POWER OF THE ENDOWMENT. DISTRIBUTIONS ARE NOT MADE IN PERIODS SUBSEQUENT TO A DETERMINATION THAT THE FAIR MARKET VALUE OF THE PERMANENTLY RESTRICTED NET ASSETS FALLS BELOW CORPUS.
SCHEDULE D, PAGE 4, PART XI, LINE 4B BAD DEBT RECLASS 30,297,713 LOSS ON SALE/DISPOSAL OF ASSETS -786,779 SALARY OFFSET 9,108,921
SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT RECLASS 30,297,713 LOSS ON SALE/DISPOSAL OF ASSETS -786,779 SALARY OFFSET 9,108,921
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    26,651,095   26,651,095 3.280 %
b Medicaid (from Worksheet 3,
column a) .... 		    291,680,352 253,405,720 38,274,632 4.710 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    318,331,447 253,405,720 64,925,727 7.980 %
Other Benefits
   84,412 2,932,531 2,447,500 485,031 0.060 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    64,808,142 33,204,027 31,604,115 3.890 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    53,136   53,136 0.010 %
j Total. Other Benefits ..   84,412 67,793,809 35,651,527 32,142,282 3.950 %
k Total. Add lines 7d and 7j .   84,412 386,125,256 289,057,247 97,068,009 11.930 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 3 2,600,074 1,663,875 1,339,293 324,582 0.040 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 2 40 19,484   19,484  
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 5 2,600,114 1,683,359 1,339,293 344,066 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
12,718,474
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
148,227,898
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
201,889,014
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-53,661,116
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 HENNEPIN HEALTHCARE SYSTEM INC
HENNEPIN COUNTY MEDICAL CENTER
701 PARK AVENUE
MINNEAPOLIS,MN55415
WWW.HCMED.ORG
STATE LIC. 361945 		X X X X   X X   LEVEL 1 TRAUMA HOSPITAL  
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 300.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17 Yes  
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 1J PART V SECTION B LINE 3; PART VI LINE 2 AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HCMC IS REQUIRED TO PREPARE "A HEALTH SERVICES PLAN THAT DRAWS FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS." THE HEALTH SERVICES PLAN IS APPROVED ANNUALLY BY THE HHS, INC. BOARD AND THE HENNEPIN COUNTY BOARD OF COMMISSIONERS. 2013 WAS THE FIRST YEAR IN WHICH A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN THE FORMAT REQUIRED BY THE IRS, WITH A THREE YEAR IMPLEMENTATION PLAN AND MEASUREABLE OUTCOMES TO PLAN.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 3 QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED IN ORDER TO IDENTIFY COMMUNITY HEALTH NEEDS. THE PRIMARY QUANTITATIVE DATA SOURCE WAS THE 2010 SURVEY OF THE HEALTH OF ALL THE POPULATION AND THE ENVIRONMENT (SHAPE), CONDUCTED BY THE HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT. THE ADULT SURVEY COLLECTED RESPONSES FROM MORE THAN 7000 HENNEPIN COUNTY RESIDENTS, AND THE CHILD SURVEY COLLECTED RESPONSES FROM NEARLY 2200 HENNEPIN COUNTY RESIDENTS. THE RESULTS WERE REPORTED FOR HENNEPIN COUNTY AS A WHOLE AND FOR LOCAL GEOGRAPHIC AREAS WITHIN THE COUNTY. THE DATA WAS EPORTED BY DEMOGRAPHIC VARIABLES INCLUDING GENDER, AGE, GRADE LEVEL (WHERE APPLICABLE), AND HOUSEHOLD INCOME. HCMC STAFF REVIEWED HENNEPIN COUNTY'S PUBLIC HEALTH ASSESSMENT ON-LINE COMMUNITY HEALTH ASSESSMENT INDICATORS, WHICH INCLUDE DATA FROM SHAPE, THE MINNESOTA STUDENT SURVEY, AND VITAL RECORDS INFORMATION. ADDITIONAL DATA SOURCES INCLUDED STATE- AND COUNTY-LEVEL MORBIDITY AND MORTALITY DATA FROM THE CENTER FOR DISEASE CONTROL AND MINNESOTA DEPARTMENT OF HEALTH, AS WELL AS 2012 MINNESOTA LGBT SURVEY DATA COLLECTED FROM 1867 RESPONDENTS BY THE RAINBOW HEALTH INITIATIVE. KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING SUMMER 2013 TO GATHER QUALITATIVE DATA AND CONSULT WITH COMMUNITY MEMBERS AND EXPERTS. HCMC STAFF MET WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: -ANDREW RESIDENCE -CITY OF MINNEAPOLIS HEALTH DEPARTMENT -ELLIOT PARK NEIGHBORHOOD, INC. -HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT -MINNESOTA DEPARTMENT OF HEALTH, OFFICE OF MINORITY AND MULTICULTURAL HEALTH -MINNESOTA VISITING NURSE AGENCY / HOSPICE OF THE TWIN CITIES -NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE -PORTICO HEALTHNET -RAINBOW HEALTH INITIATIVE -UNIVERSITY OF MINNESOTA, DEPARTMENT OF PRIMARY DENTAL CARE INFORMATION WAS ALSO OBTAINED FROM THE 2012 COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) COLLABORATION CONVENED BY HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH. THE CHIP PROJECT ENGAGED COMMUNITY STAKEHOLDER ORGANIZATIONS TO IDENTIFY HEALTH NEEDS, OPPORTUNITIES AND PARTNERS FOR CHANGE, AND THE TOP FIVE STRATEGIC HEALTH ISSUES FOR HENNEPIN COUNTY. THE PROCESS INVOLVED A SURVEY COMPLETED BY 239 COMMUNITY ORGANIZATIONS DOING HEALTH-RELATED WORK AND THREE CHIP FORUM SESSIONS ATTENDED BY 110 INDIVIDUALS FROM MULTIPLE SECTORS SERVING HENNEPIN COUNTY. FINALLY, HCMC STAFF PRESENTED THE DRAFT HEALTH SERVICES PLAN DOCUMENT TO PATIENTS AND THE COMMUNITY DURING TWO COMMUNITY HEALTH OPEN HOUSE EVENTS IN FALL 2013. FEEDBACK FROM PARTICIPANTS WAS INCORPORATED INTO THE FINAL DOCUMENT.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 14G PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS CAN REQUEST TO SEE FINANCIAL COUNSELORS WHO CAN HELP DETERMINE ELIGIBILITY FOR MANY FINANCIAL ASSISTANCE PROGRAMS. UPON REGISTRATION, PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY HCMC AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HCMC HAS ISSUED A NEW BROCHURE "WHAT'S YOUR PLAN" THAT ASSISTS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. THESE BROCHURES ARE AVAILABLE THROUGHOUT THE CAMPUS. ANOTHER TOOL FOR PATIENTS IS ON THE HCMC WEBSITE - "PATIENT BILLING PORTAL" FUNCTIONS AS AN ONLINE "WHAT'S YOUR PLAN" BROCHURE.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 20D PART III SECTION C LINE 9B HCMC USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, HENNEPIN HEALTH, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HCMC AS A GOVERNMENT ENTITY IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HCMC TO SUBMIT CLAIMS AGAINST PATIENT INCOME TAX REFUNDS, PROPERTY TAX REFUNDS, AND LOTTERY WINNINGS TO RECOVER PAST DUE BALANCES AFTER OTHER COLLECTION EFFORTS ARE EXHAUSTED. HCMC USES THE FEDERAL POVERTY GUIDELINES TO CALCULATE BOTH FREE AND DISCOUNTED CARE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address Type of Facility (describe)
1 HCMC CLINICS - 43 CLINICS
OUTPATIENT SPECIALTY CARE SERVICE
701 PARK AVENUE
MINNEAPOLIS,MN55415 		HOSPITAL-BASED UNDER NPI 1407897309
2 HCMC PHARMACIES - 6 LOCATIONS
701 PARK AVENUE
MINNEAPOLIS,MN55415 		PHARMACY SERVICES
3 HCMC-BE WELL CLINIC
300 SOUTH SIXTH STREET
GOVERNMENT CENTER - A120
MINNEAPOLIS,MN55487 		FREE STANDING CLINIC
4 HCMC-CONVENIENCE CARE AT WALMART
715 EAST 78TH STREET
BLOOMINGTON,MN55420 		FREE STANDING CLINIC
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 1J PART V SECTION B LINE 3; PART VI LINE 2 AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HCMC IS REQUIRED TO PREPARE "A HEALTH SERVICES PLAN THAT DRAWS FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS." THE HEALTH SERVICES PLAN IS APPROVED ANNUALLY BY THE HHS, INC. BOARD AND THE HENNEPIN COUNTY BOARD OF COMMISSIONERS. 2013 WAS THE FIRST YEAR IN WHICH A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN THE FORMAT REQUIRED BY THE IRS, WITH A THREE YEAR IMPLEMENTATION PLAN AND MEASUREABLE OUTCOMES TO PLAN.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 3 QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED IN ORDER TO IDENTIFY COMMUNITY HEALTH NEEDS. THE PRIMARY QUANTITATIVE DATA SOURCE WAS THE 2010 SURVEY OF THE HEALTH OF ALL THE POPULATION AND THE ENVIRONMENT (SHAPE), CONDUCTED BY THE HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT. THE ADULT SURVEY COLLECTED RESPONSES FROM MORE THAN 7000 HENNEPIN COUNTY RESIDENTS, AND THE CHILD SURVEY COLLECTED RESPONSES FROM NEARLY 2200 HENNEPIN COUNTY RESIDENTS. THE RESULTS WERE REPORTED FOR HENNEPIN COUNTY AS A WHOLE AND FOR LOCAL GEOGRAPHIC AREAS WITHIN THE COUNTY. THE DATA WAS EPORTED BY DEMOGRAPHIC VARIABLES INCLUDING GENDER, AGE, GRADE LEVEL (WHERE APPLICABLE), AND HOUSEHOLD INCOME. HCMC STAFF REVIEWED HENNEPIN COUNTY'S PUBLIC HEALTH ASSESSMENT ON-LINE COMMUNITY HEALTH ASSESSMENT INDICATORS, WHICH INCLUDE DATA FROM SHAPE, THE MINNESOTA STUDENT SURVEY, AND VITAL RECORDS INFORMATION. ADDITIONAL DATA SOURCES INCLUDED STATE- AND COUNTY-LEVEL MORBIDITY AND MORTALITY DATA FROM THE CENTER FOR DISEASE CONTROL AND MINNESOTA DEPARTMENT OF HEALTH, AS WELL AS 2012 MINNESOTA LGBT SURVEY DATA COLLECTED FROM 1867 RESPONDENTS BY THE RAINBOW HEALTH INITIATIVE. KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING SUMMER 2013 TO GATHER QUALITATIVE DATA AND CONSULT WITH COMMUNITY MEMBERS AND EXPERTS. HCMC STAFF MET WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: -ANDREW RESIDENCE -CITY OF MINNEAPOLIS HEALTH DEPARTMENT -ELLIOT PARK NEIGHBORHOOD, INC. -HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT -MINNESOTA DEPARTMENT OF HEALTH, OFFICE OF MINORITY AND MULTICULTURAL HEALTH -MINNESOTA VISITING NURSE AGENCY / HOSPICE OF THE TWIN CITIES -NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE -PORTICO HEALTHNET -RAINBOW HEALTH INITIATIVE -UNIVERSITY OF MINNESOTA, DEPARTMENT OF PRIMARY DENTAL CARE INFORMATION WAS ALSO OBTAINED FROM THE 2012 COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) COLLABORATION CONVENED BY HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH. THE CHIP PROJECT ENGAGED COMMUNITY STAKEHOLDER ORGANIZATIONS TO IDENTIFY HEALTH NEEDS, OPPORTUNITIES AND PARTNERS FOR CHANGE, AND THE TOP FIVE STRATEGIC HEALTH ISSUES FOR HENNEPIN COUNTY. THE PROCESS INVOLVED A SURVEY COMPLETED BY 239 COMMUNITY ORGANIZATIONS DOING HEALTH-RELATED WORK AND THREE CHIP FORUM SESSIONS ATTENDED BY 110 INDIVIDUALS FROM MULTIPLE SECTORS SERVING HENNEPIN COUNTY. FINALLY, HCMC STAFF PRESENTED THE DRAFT HEALTH SERVICES PLAN DOCUMENT TO PATIENTS AND THE COMMUNITY DURING TWO COMMUNITY HEALTH OPEN HOUSE EVENTS IN FALL 2013. FEEDBACK FROM PARTICIPANTS WAS INCORPORATED INTO THE FINAL DOCUMENT.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 14G PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS CAN REQUEST TO SEE FINANCIAL COUNSELORS WHO CAN HELP DETERMINE ELIGIBILITY FOR MANY FINANCIAL ASSISTANCE PROGRAMS. UPON REGISTRATION, PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY HCMC AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HCMC HAS ISSUED A NEW BROCHURE "WHAT'S YOUR PLAN" THAT ASSISTS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. THESE BROCHURES ARE AVAILABLE THROUGHOUT THE CAMPUS. ANOTHER TOOL FOR PATIENTS IS ON THE HCMC WEBSITE - "PATIENT BILLING PORTAL" FUNCTIONS AS AN ONLINE "WHAT'S YOUR PLAN" BROCHURE.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 20D PART III SECTION C LINE 9B HCMC USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, HENNEPIN HEALTH, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HCMC AS A GOVERNMENT ENTITY IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HCMC TO SUBMIT CLAIMS AGAINST PATIENT INCOME TAX REFUNDS, PROPERTY TAX REFUNDS, AND LOTTERY WINNINGS TO RECOVER PAST DUE BALANCES AFTER OTHER COLLECTION EFFORTS ARE EXHAUSTED. HCMC USES THE FEDERAL POVERTY GUIDELINES TO CALCULATE BOTH FREE AND DISCOUNTED CARE.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number
42-1707837
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) PHILLIPS EYE INSTITUTE
2215 PARK AVENUE
MINNEAPOLIS,MN55404 		36-3261413 501C3 5,930       EMERGENCY PREP
(2) CENTRO INC
1915 CHICAGO AVENUE SOUTH
MINNEAPOLIS,MN55404 		41-1290349 501C3 6,375       EMERGENCY PREP
(3) RIDGEVIEW MEDICAL CENTER
500 SOUTH MAPLE STREET
WACONIA,MN55387 		31-1667875 501C3 7,746       EMERGENCY PREP
(4) MINNEAPOLIS COMMUNITY & TECHNICAL
1501 HENNEPIN AVENUE
MINNEAPOLIS,MN55403 		41-1288502   8,289       EDUCATION & RESEARCH
(5) HEALTHEAST CARE SYSTEM
559 CAPITAL BOULEVARD
ST PAUL,MN55103 		36-3517697 501C3 13,835       EMERGENCY PREP
(6) MAYO CLINIC HEALTH SYSTEM NEW PRAGU
301 SECOND STREET NE
NEW PRAGUE,MN56071 		41-0723639 501C3 16,588       EMERGENCY PREP
(7) ST FRANCIS REGIONAL MEDICAL CENTER
1455 ST FRANCIS AVENUE
SHAKOPEE,MN55379 		41-0907986 501C3 16,959       EMERGENCY PREP
(8) FAIRVIEW HEALTH SERVICES
6401 FRANCE AVENUE SOUTH
EDINA,MN55435 		41-0991680 501C3 17,359       EMERGENCY PREP
(9) LAKEVIEW MEMORIAL HOSPITAL ASSOCIAT
927 CHURCHILL STREET WEST
STILLWATER,MN55082 		41-0811697 501C3 18,673       EMERGENCY PREP
(10) HEALTHEAST WOODWINDS HOSPITAL
1925 WOODWINDS DRIVE
WOODBURY,MN55125 		41-1592761 501C3 18,751       EMERGENCY PREP
(11) NORTHFIELD HOSPITAL & CLINICS
2000 NORTH AVENUE
NORTHFIELD,MN55057 		41-6038368 501C3 18,751       EMERGENCY PREP
(12) UNITY HOSPITAL
550 OSBORNE ROAD
FRIDLEY,MN55432 		36-3261413 501C3 19,991       EMERGENCY PREP
(13) FORWARD HEALTH GROUP INC
44 EAST MIFFLIN STREET SUITE 601
MADISON,WI53703 		  20,000       POPULATION MGMT
(14) REGINA MEDICAL CENTER
1175 NININGER ROAD
HASTINGS,MN55033 		41-0740678 501C3 20,027       EMERGENCY PREP
(15) REGIONS HOSPITAL
640 JACKSON STREET
ST PAUL,MN55101 		41-0956618 501C3 20,267       EMERGENCY PREP
(16) HEALTHEAST ST JOHN'S HOSPITAL
1575 BEAM AVENUE
MAPLEWOOD,MN55109 		41-1456897 501C3 20,717       EMERGENCY PREP
(17) HEALTHEAST ST JOSEPH'S HOSPITAL
45 WEST 10TH STREET
ST PAUL,MN55102 		41-0693880 501C3 20,717       EMERGENCY PREP
(18) MAPLE GROVE HOSPITAL CORPORATION
9875 HOSPITAL DR
MAPLE GROVE,MN55369 		20-8316475 501C3 20,717       EMERGENCY PREP
(19) MERCY HOSPITAL
4050 COON RAPIDS BLVD
COON RAPIDS,MN55433 		36-3261413 501C3 20,717       EMERGENCY PREP
(20) PARK NICOLLET METHODIST HOSPITAL
6500 EXCELSIOR BLVD
ST LOUIS PARK,MN55426 		45-5023260 501C3 23,470       EMERGENCY PREP
(21) UNITED HOSPITAL
333 NORTH SMITH AVENUE
SAINT PAUL,MN55102 		36-3261413 501C3 23,470       EMERGENCY PREP
(22) NORTH MEMORIAL HEALTH CARE
3500 FRANCE AVENUE NORTH SUITE 106
ROBBINSDALE,MN55422 		41-0729979 501C3 24,158       EMERGENCY PREP
(23) CHILDREN'S HOSPITALS & CLINICS OF M
2525 CHICAGO AVENUE
MINNEAPOLIS,MN55404 		41-1754276 501C3 25,733       EMERGENCY PREP
(24) STATE OF SOUTH DAKOTA
SAD 133 BOX 2201
BROOKINGS,SD57007 		46-6000364   46,581       EDUCATION & RESEARCH
(25) ABBOTT NORTHWESTERN HOSPITAL
800 E 29TH STREET
MINNEAPOLIS,MN55407 		36-3261413 501C3 48,518       EMERGENCY PREP
(26) MINNEAPOLIS MEDICAL RESEARCH FOUNDA
914 SOUTH 8TH STREET
MINNEAPOLIS,MN55404 		41-1677920 501C3 58,051       EDUCATION & RESEARCH
(27) UNIVERSITY OF MINNESOTA MEDICAL CEN
2450 RIVERSIDE AVENUE
MINNEAPOLIS,MN55454 		41-0991680 501C3 58,940       EDUCATION & RESEARCH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
25
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PAGE 1, PART I, LINE 2 HENNEPIN HEALTHCARE SYSTEM, INC HAS A GRANT MANAGEMENT DEPARTMENT TASKED WITH MONITORING GRANT RECEIPTS AND GRANT DISBURSEMENTS FROM FEDERAL, STATE, LOCAL OR INDIVIDUAL TO BENEFICIARIES. THE GRANT MANAGEMENT DEPARTMENT WORKS CLOSELY WITH FINANCE TO ENSURE PROPER CONTROLS ARE IN PLACE BY USE OF RECONCILIATIONS AND COMPLIANCE MONITORING AND REPORTING.
Schedule I (Form 990) 2013


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
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
 
No
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JON L PRYOR MD MBACEO (i)
(ii)		 532,261
  		 
  		 
  		25,500
  		10,570
  		568,331
  		 
 
(2)DOUGLAS B BRUNETTE MDDIRECTOR (i)
(ii)		 445,618
  		 
  		 
  		22,440
  		22,233
  		490,291
  		 
 
(3)DAVID B JONES MDFORMER CEO/BOARD (i)
(ii)		 252,871
  		 
  		 
  		 
  		 
  		252,871
  		 
 
(4)ANNE PEREIRA MDDIRECTOR (i)
(ii)		 149,305
  		 
  		 
  		13,128
  		8,851
  		171,284
  		 
 
(5)LARRY A KRYZANIAKMSCFO (i)
(ii)		 414,582
  		680
  		 
  		18,520
  		14,093
  		447,875
  		 
 
(6)DONALD M JACOBS MDCHIEF CLINICAL (i)
(ii)		 500,032
  		680
  		 
  		 
  		18,524
  		519,236
  		 
 
(7)MICHAEL B BELZER MDCHIEF MEDICAL (i)
(ii)		 389,663
  		680
  		 
  		15,300
  		14,093
  		419,736
  		 
 
(8)STEVE P STERNER MD FACEPVP (i)
(ii)		 357,997
  		680
  		 
  		15,300
  		14,093
  		388,070
  		 
 
(9)SCOTT WORDELMAN FACHEVP (i)
(ii)		 285,577
  		170
  		 
  		15,300
  		7,824
  		308,871
  		 
 
(10)KATHY WILDE RN MACHIEF NURSING (i)
(ii)		 268,450
  		680
  		 
  		18,487
  		14,093
  		301,710
  		 
 
(11)NANCY GARRETT PHDCHIEF ANALYTICS (i)
(ii)		 246,344
  		 
  		 
  		14,781
  		18,646
  		279,771
  		 
 
(12)JEANETTE T JONES RN JDVP (i)
(ii)		 226,270
  		680
  		 
  		14,646
  		14,056
  		255,652
  		 
 
(13)CONSTANTIN N STARCHOOK MDPHYSICIAN (i)
(ii)		 677,725
  		 
  		 
  		22,440
  		22,233
  		722,398
  		 
 
(14)CHARLES L TRUWIT MDPHYSICIAN CHIEF (i)
(ii)		 648,761
  		 
  		 
  		22,440
  		22,233
  		693,434
  		 
 
(15)MARK D ODLAND MDPHYSICIAN CHIEF (i)
(ii)		 604,731
  		 
  		 
  		22,440
  		17,732
  		644,903
  		 
 
(16)ASAD IRFANULLAHMDPHYSICIAN (i)
(ii)		 594,786
  		 
  		 
  		22,440
  		22,233
  		639,459
  		 
 
(17)PRATEEK SAHGAL MDPHYSICIAN (i)
(ii)		 594,786
  		 
  		 
  		22,440
  		22,233
  		639,459
  		 
 
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PAGE 1, PART I, LINE 6A HHS, INC. HAS INCENTIVE PROGRAMS (NAMELY SHARING SUCCESS, LONGEVITY AND STABILITY) DESIGNED TO REWARD ELIGIBLE EMPLOYEES WITH A FINANCIAL PAYOUT IF ESTABLISHED ORGANIZATIONAL GOALS ARE MET. ELIGIBLE AND QUALIFYING EMPLOYEES ARE COMPENSATED BASED ON PERFORMANCE AND ACHIEVEMENT OF THE CUSTOMER SERVICE AND PATIENT CARE CENTERED GOALS. THE CONTINGENT COMPENSATION TO ELIGIBLE EMPLOYEES MAY BE PEGGED ON FINANCIAL MEASURES. EMPLOYEES ARE LIMITED TO PARTICIPATION IN ONE OF THE TWO INCENTIVE PLANS. THE BOARD OF DIRECTORS RETAINS THE RIGHT TO DETERMINE AND AWARD ANY INCENTIVE PAYOUTS.
Schedule J (Form 990) 2013

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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION PART III LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC. (HHS); D/B/A HENNEPIN COUNTY MEDICAL CENTER CONTINUES TO TRANSFORM THE HEALTH OF THE COMMUNITY WITH EXCEPTIONAL CARE WITHOUT EXCEPTION. HHS IS COMMITTED TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE FOR LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY. HHS OPERATES COMMUNITY CARE CLINICS AND CONVENIENCE CARE CLINICS IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. AS OF DECEMBER 31, 2013, HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, OF WHICH 441 BEDS AND 62 BASSINETS WERE AVAILABLE, AS WELL AS 11 PRIMARY CARE CLINICS AND 35 SPECIALTY CARE CLINICS, 6 PHARMACY LOCATIONS, AND EMPLOYED APPROXIMATELY 841 PROVIDERS. AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL) FOR INPATIENT, OUTPATIENT AND PHYSICIAN SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. THESE UPL REVENUES ARE REPORTED IN THE STATEMENT OF REVENUES AND EXPENSES AND CHANGES IN NET POSITION. ESTIMATED UPL RECEIPTS DUE TO HHS A DECEMBER 31, 2013 AND 2012 WERE APPROXIMATELY 71.2 MILLION AND 49.4 MILLION, RESPECTIVELY. THESE ARE REPORTED AS ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS IN THE BALANCE SHEET.
FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERING AT HHS, INC GIVES THE VOLUNTEERS THE OPPORTUNITY TO WORK WITHIN OUR COMMUNITY OF DIVERSE VOLUNTEERS, STAFF, VISITORS AND PATIENTS. VOLUNTEERS HELP SUPPLEMENT AND ENHANCE HOSPITAL SERVICES AND PROGRAMS. MOST VOLUNTEERS SCHEDULE A 3-4 HOUR SHIFT ONCE PER WEEK FOR 3-6 MONTHS. A COORDINATOR WILL WORK WITH A VOLUNTEER TO FIND A POSITION THAT FITS THEIR SCHEDULE AND INTERESTS FROM AMONG VARIOUS OPENINGS. DAYTIME, EVENING AND WEEKEND HOURS ARE AVAILABLE.
FORM 990, PAGE 2, PART III, LINE 4A ACUTE DIALYSIS (DAVITA): ACUTE DIALYSIS SERVICES' MAIN PURPOSE AND GOAL IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS. WE ARE RESPONSIBLE FOR HEMODIALYSIS TREATMENTS AND OTHER NEPHROLOGY NURSING NEEDS OF THE ACUTE AND CHRONIC PATIENTS ADMITTED TO THE HOSPITALS. WE PROVIDE THE PATIENT WITH THE SERVICES OF AN EXPERIENCED TEAMMATE AND WORK IN CONJUNCTION WITH THE HOSPITAL TO ENSURE THAT EACH PATIENT REACHES THE HIGHEST LEVEL OF HEALTH, SECURITY AND INDEPENDENCE 24 HOURS A DAY, 7 DAYS A WEEK. OUR TEAMMATES WORK WITH THE PATIENTS ON AN INDIVIDUAL BASIS TO PROVIDE QUALITY CARE AND SERVICE EXCELLENCE WITH CONFIDENCE AND TRUST. ACUTE PSYCHIATRIC SERVICES (APS): APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HOURS A DAY, 7 DAYS A WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION AND REFERRAL. AUDIOLOGY CLINIC: THE AUDIOLOGY CLINIC PROVIDES HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS OF ALL AGES, FROM INFANCY TO GERIATRICS. WE ARE DEDICATED TO PROVIDING THE MOST UP-TO-DATE TECHNOLOGY AND HEARING HEALTH CARE AVAILABLE TO THE COMMUNITY. HENNEPIN BURN CENTER: THE HENNEPIN BURN CENTER HAS PROVIDED INPATIENT, ACUTE, AND REHABILITATIVE CARE FOR PATIENTS WITH BURNS, FROSTBITE, AND OTHER COMPLEX WOUNDS FOR MORE THAN 32 YEARS. UNIQUE IN ITS ON-SITE ACCESS TO BURN CARE SPECIALISTS 7 DAYS A WEEK, THE BURN CENTER CONTAINS A 17 BED INPATIENT UNIT AND AN AMBULATORY BURN AND WOUND CLINIC FOR OUTPATIENT TREATMENTS. THE BURN CENTER HAS RECEIVED VERIFICATION AS A BURN CENTER FROM THE AMERICAN BURN ASSOCIATION AND AMERICAN COLLEGE OF SURGERIES. HENNEPIN HEART CENTER: THE HENNEPIN HEART CENTER PROVIDES HIGH QUALITY CARDIAC CARE TO PATIENTS BEING EVALUATED AND TREATED FOR CARDIOVASCULAR PROBLEMS. THE CARDIOLOGY DIVISION PROVIDES CARE TO PATIENTS IN THE FOLLOWING AREAS: CARE UNIT (37 TELEMETRY BEDS), OBSERVATION UNIT (15 BEDS), CARDIAC MEDICAL INTERMEDIATE CARE UNIT (14 BEDS), CARDIAC CLINIC, CARDIAC REHABILITATION, CARDIAC CATHETERIZATION LAB & ELECTROPHYSIOLOGY (EP) LAB, ECHOCARDIOGRAPHY AND NON-INVASIVE LAB, ELECTROCARDIOGRAM (EKG) AND CARDIAC RESEARCH. CENTER FOR WOUND HEALING: THE CENTER FOR WOUND HEALING IS AN ADVANCED CARE CENTER FOR THE TREATMENT OF DIFFICULT-TO-HEAL WOUNDS OF THE LOWER EXTREMITIES. PATIENTS WHO HAVE CHRONIC, NON-HEALING WOUNDS CAUSED BY DIABETES, HYPERTENSION AND OTHER CONDITIONS OFTEN EXPERIENCE A MARKED REDUCTION IN THEIR QUALITY OF LIFE. OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY CLINIC SERVICES TO MEET THE INDIVIDUAL NEEDS OF EACH PATIENT. CHILD / ADOLESCENT PSYCHIATRY CLINIC: THE CHILD / ADOLESCENT PSYCHIATRY CLINIC OFFER A VARIETY OF OUTPATIENT SERVICES TO HELP CHILDREN AND ADOLESCENTS WHO ARE HAVING BEHAVIORAL AND EMOTIONAL PROBLEMS. SERVICES INCLUDE PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS, THERAPY, PARENTING SKILLS, COUNSELING AND MEDICAL MANAGEMENT. HENNEPIN COMPREHENSIVE CANCER CENTER: THE HENNEPIN COMPREHENSIVE CANCER CENTER IS COMMITTED TO PROVIDING THE FINEST IN CANCER RELATED SERVICES THROUGH AN INTEGRATED SYSTEM OF HEALTH AND SOCIAL SERVICES. THE CONTINUUM OF CARE EXTENDS FROM PREVENTION, DIAGNOSIS, TREATMENT, SYMPTOM CONTROL, AND CURE, THROUGH ALL RELATED ASPECTS OF ADJUSTMENT TO RELAPSE, SURVIVORSHIP, AND BEREAVEMENT COUNSELING. THE CANCER CLINIC STAFF INCLUDES MEDICAL, SURGICAL AND RADIATION ONCOLOGISTS, RADIOLOGISTS AND PATHOLOGISTS TRAINED IN CANCER DIAGNOSIS, SPECIALLY TRAINED ONCOLOGY RNS, NURSE PRACTITIONERS, AND CLINICAL NURSE SPECIALIST IN BONE MARROW TRANSPLANT AND COMPLEMENTARY THERAPY. THIS TEAM COLLABORATES WITH PHYSICAL THERAPISTS TO PROVIDE CARE TO PATIENTS WITH LYMPHEDEMA AND WITH A GENETICIST WHO PROVIDES GENETIC COUNSELING TO PATIENTS AND FAMILIES. THE HENNEPIN COMPREHENSIVE CANCER CENTER ALSO INCLUDES THE NANCY GELTMAN SHILLER CANCER RESOURCE LIBRARY. THE COMPREHENSIVE CANCER CENTER IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. DENTISTRY: THE DENTAL & ORAL SURGERY CLINIC CARE RANGES FROM PREVENTIVE AND CHRONIC TO ACUTE, SIMPLE TO COMPLEX. SERVICES INCLUDE GENERAL DENTAL CARE, SPECIALTY CARE, ADULT AND PEDIATRIC CARE UNDER GENERAL ANESTHESIA, ORAL AND MAXILLOFACIAL SURGERY, AND SPECIALTY CARE TO PATIENTS WITH COMPROMISING MEDICAL, PHYSICAL, MENTAL AND EMOTIONAL CONDITIONS. RECONSTRUCTIVE SERVICES WITH MAXILLOFACIAL PROSTHESES, MANAGEMENT OF TMJ DYSFUNCTION AND CARE OF EMERGENCY AND TRAUMA CASES ARE PROVIDED. EEG LAB: ROUTINE EEG TESTING (RECORDING OF ELECTRICAL IMPULSES FROM THE BRAIN) IS PERFORMED IN BOTH AN INPATIENT AND OUTPATIENT SETTING. PROLONGED MONITORING (1-5 DAYS) AND VIDEO MONITORING CAN ALSO BE PERFORMED TO ASSIST IN DIAGNOSING UNUSUAL SPELLS OR SEIZURES. TRAUMATIC BRAIN INJURY CENTER: THE TRAUMATIC BRAIN INJURY CENTER AT HENNEPIN COUNTY MEDICAL CENTER OFFERS COMPREHENSIVE, MULTIDISCIPLINARY PATIENT CARE, EDUCATION AND RESEARCH TO SERVE PEOPLE WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY. WE PROVIDE A FULL RANGE OF STATE-OF-THE-ART MEDICAL AND REHABILITATIVE SERVICES. OUR EXPERTISE SPANS THE ENTIRE CONTINUUM OF CARE FOR ADULT AND PEDIATRIC TBI PATIENTS. WE ARE A REGIONAL EXPERT IN PROVIDING CARE TO PATIENTS WITH TBI. OUR NEUROSURGEONS ARE RENOWNED FOR THEIR NATIONALLY FUNDED RESEARCH IN TBI & HYPERBARIC OXYGEN, AND WE ARE STAFFED 24/7 IN ORDER TO CARE FOR PATIENTS AS QUICKLY AS POSSIBLE. "STATE-OF-THE-ART MONITORING IN OUR SURGICAL/TRAUMA/NEUROSCIENCE INTENSIVE UNIT CARE, INCLUDING EQUIPMENT TO MONITOR BRAIN OXYGEN AND TEMPERATURE, IS AVAILABLE AT ALL TIMES. NEUROSURGERY SERVICE PHYSICIANS STAY AT THE HOSPITAL 24/7 TO BE ABLE TO RESPOND QUICKLY TO CHANGES IN A PATIENT'S CONDITION. "THE PEDIATRIC BRAIN INJURY PROGRAM IS DESIGNED TO MEET THE NEEDS OF CHILDREN AND ADOLESCENTS WITH TRAUMATIC AND OTHER ACQUIRED BRAIN INJURIES, MANY OF WHOM HAVE BEEN TREATED AT OUR LEVEL 1 TRAUMA CENTER. "THE MILAND E. KNAPP REHABILITATION CENTER, AN ON-SITE, ACUTE REHABILITATION PROGRAM, HAS THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITATION TO BE AN INPATIENT BRAIN INJURY REHABILITATION PROGRAM FOR ADULTS AND ADOLESCENTS. "THE MILD TO MODERATE TRAUMATIC BRAIN INJURY CLINIC AT HENNEPIN COUNTY MEDICAL CENTER OFFERS A UNIQUE SYSTEM OF DIAGNOSING, TREATING AND CARING FOR PATIENTS WHO ARE EXPERIENCING POST-TRAUMATIC EFFECTS OF AN INJURY TO THE BRAIN. LEVEL 1 TRAUMA CENTER: HCMC WAS THE FIRST HOSPITAL IN MINNESOTA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL I TRAUMA CENTER, THE HIGHEST LEVEL OF TRAUMA CARE. IT NOW OPERATES BOTH A LEVEL 1 ADULT TRAUMA CENTER AND LEVEL 1 PEDIATRIC TRAUMA CENTER AND RECEIVES PATIENTS BY AMBULANCE AND HELICOPTER FROM ACROSS MINNESOTA AND SURROUNDING STATES. EMERGENCY DEPARTMENT AND URGENT CARE: HCMC PROVIDES THE ENTIRE SPECTRUM OF CARE TO ADDRESS THE NEEDS OF INJURED PATIENTS FROM THE PRE-HOSPITAL CARE AND TRANSPORT THROUGH REHABILITATION. THE EMERGENCY DEPARTMENT IS THE BUSIEST IN THE STATE WITH OVER 95,000 VISITS IN 2013. BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS PROVIDE 24-HOUR COVERAGE AND OUTSTATE EMERGENCY CONSULTATION. NURSES RECEIVE AND PARTICIPATE IN TEACHING SPECIALIZED TRAINING (ACLS, TNCC, APLS) IN HANDLING TRAUMA AND MEDICAL EMERGENCIES. HENNEPIN COUNTY MEDICAL CENTER'S EMERGENCY URGENT CARE IS A FAST TRACK UNIT OF THE EMERGENCY DEPARTMENT. EMERGENCY URGENT CARE STAFF TREATS PATIENTS WITH MINOR ACUTE ILLNESSES, SIMPLE INJURIES, AND OTHER NON-EMERGENCY CONDITIONS. EMERGENCY URGENT CARE IS STAFFED WITH REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICIANS WHO HAVE EXPERIENCE IN EMERGENCY MEDICINE. EMERGENCY MEDICAL SERVICES (EMS): EMS FIELD OPERATIONS: HCMC EMS IS LICENSED TO PROVIDE EMERGENCY MEDICAL SERVICES TO ALL OR PART OF THE 14 COMMUNITIES IN HENNEPIN COUNTY. IN 2013, EMS PROVIDED OVER 60,000 AMBULANCE RUNS. EMS EMERGENCY COMMUNICATION CENTER: EMERGENCY MEDICAL DISPATCHERS ARE ALSO WEST METRO MEDICAL RESOURCE CONTROL CENTER (WMRCC) OPERATORS. WMRCC ACTS AS THE COORDINATOR AND INFORMATION RESOURCE FOR FIELD PERSONNEL OPERATING IN THE HENNEPIN COUNTY AREA. EMS EDUCATION: THE EMS EDUCATION DEPARTMENT MISSION IS TO ENHANCE THE QUALITY OF EMERGENCY MEDICAL CARE PROVIDED TO THE COMMUNITY THROUGH TRAINING, EDUCATION AND RESEARCH. EMG LAB: THE EMG LABORATORY PROVIDES PATIENTS WITH NERVE CONDUCTION STUDIES (NCS), NEEDLE ELECTROMYOGRAPHY, AUTONOMIC NERVOUS SYSTEM TESTING, BOTULINIUM TOXIN AND PHENOL INJECTIONS ON ADULT AND PEDIATRIC INPATIENTS (AMBULATORY OR PORTABLE) AND OUTPATIENTS FROM ALL ETHNIC AND SOCIO-ECONOMIC GROUPS. THE EMG LABORATORY IS FULLY ACCREDITED WITH EXEMPLARY STATUS THROUGH THE AMERICAN ASSOCIATION OF NEUROMUSCULAR AND ELECTRODIAGNOSTIC MEDICINE (AANEM). HCMC EMG LABORATORY IS ONE OF ONLY TWO ACCREDITED LABORATORIES IN MINNESOTA AND THE FIRST IN THE STATE TO ACHIEVE ACCREDITATION WITH EXEMPLARY STATUS. ENT CLINIC: THE ENT CLINIC IS A SPECIALTY CLINIC THAT PROVIDES A WIDE RANGE OF SURGICAL, DIAGNOSTIC AND POSTOPERATIVE MANAGEMENT OF PATIENTS WITH EAR, NOSE AND THROAT CONDITIONS. FA
FORM 990, PAGE 6, PART VI, LINE 6 AS PER THE CORPORATE BYLAWS, THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS; A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE CORPORATION IS THE COUNTY OF HENNEPIN MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS.
FORM 990, PAGE 6, PART VI, LINE 7A THE GOVERNING MEMBER, HENNEPIN COUNTY OF MN HAS RETAINED ALL THE RIGHTS, DUTIES AND PRIVILEGES AS TO ALL MATTERS SPECIFIED UNDER THE BYLAWS OF HHS, INC. HENNEPIN COUNTY OF MN RETAINS ITS AUTHORITY TO APPOINT THE DIRECTORS OF HHS, INC. THE HHS, INC. BOARD OF DIRECTORS IS EMPOWERED TO EXECUTE THE RIGHTS, DUTIES AND PRIVILEGES OF THE CORPORATION TO THE EXTENT AS SPECIFIED IN HHS, INC. BYLAWS.
FORM 990, PAGE 6, PART VI, LINE 7B AS EXPLAINED IN PART VI LINE 7A, THE GOVERNING MEMBER, HENNEPIN COUNTY OF MN RETAINS THE APPROVAL RIGHTS TO APPOINTING THE HHS, INC. BOARD OF DIRECTORS, THE HHS INC. BUDGET, ANY ADDITIONAL INDEBTEDNESS, FINANCE COMMITTEE RECOMMENDATIONS AND EXECUTIVE COMMITTEE AS WELL AS APPROVING THE ANNUAL HHS INC. HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW.
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS COMPLETED AND REVIEWED INTERNALLY FOR ACCURACY, COMPLETENESS AND VALIDITY. THE FORM 990 IS THEN REVIEWED BY THE HHS, INC. BOARD OF DIRECTORS AND THE FINANCE COMMITTEE. ANY QUESTIONS THAT THE BOARD HAS ARE ANSWERED BY THE NEXT MEETING BEFORE APPROVAL. AT THE OCTOBER MONTHLY BOARD MEETING, THE FORM 990 IS FORMALLY APPROVED VIA A LINE ITEM MOTION. IT IS THE SIGNED AND FILED ELECTRONICALLY AS REQUIRED BY THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C HHS, INC. HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES THAT AN INTERESTED PERSON WHO IS A DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST DISCLOSE IN WRITING WHEN POSSIBLE, OR ORALLY WHEN TIME DOES NOT ALLOW FOR WRITTEN DISCLOSURE. THE EXISTENCE AND NATURE OF HIS/HER RELATIONSHIP OR MATERIAL FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AT OR PRIOR TO THE MEETING OF THE BOARD OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE THE MEETING. COPIES OF DISCLOSURES ARE MAINTAINED BY CORPORATE LEGAL COUNSEL WHO ALSO DOES MONITORING. EVERY YEAR THE ORGANIZATION IS AUDITED SEPARATELY FROM HENNEPIN COUNTY, MN AND A SEPARATE AUDIT REPORT IS PREPARED AND PRESENTED TO THE BOARD OF DIRECTORS AND TO THE HENNEPIN COUNTY, MN BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15A HHS, INC. BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT, SULLIVAN COTTER TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER TOP OFFICIALS. THE COMPARABLE DATA COLLECTED BY SULLIVAN COTTER RELEVANTLY APPLIES REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC LOCATION IN DELINEATING THE COMPARISON GROUP. THE DATA IS REVIEWED BY THE COMPENSATION SUBCOMMITTEE AND FURTHER SUBMITTED FOR DISCUSSION AND APPROVAL BY THE HHS, INC. BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15B SEE EPLANATION IN PART VI LINE 15A
FORM 990, PAGE 6, PART VI, LINE 19 FORM 990 DISCLOSING THAT THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE TAX YEAR ARE AVAILABLE ON THE OFFICE OF ATTORNEY GENERAL WEBSITE AT WWW.AG.STATE.MN.US/CHARITIES. AUDITED FINANCIAL STATEMENTS AND FORMS 1023, 990/990-T INCLUDING THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. THE TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION AT WWW.GUIDESTAR.ORG WEBSITE.
FORM 990, PAGE 12, PART XII, LINE 1 THERE WAS NO CHANGE IN ACCOUNTING METHOD IN THE YEAR. HOWEVER, PER THE GOVERNMENT ACCOUNTING STANDARD BOARD (GASB), HHS USES ENTERPRISE FUND ACCOUNTING. REVENUES AND EXPENSES ARE RECOGNIZED ON THE ACCRUAL BASIS, USING THE ECONOMIC RESOURCES MEASUREMENT FOCUS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
 
Employer identification number

42-1707837
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) HENNEPIN COUNTY

300 SOUTH 6TH STREET

MINNEAPOLIS,MN55487
41-6005801 		GOV'T UNIT MN   6 NA
 
 
No
(2) METROPOLITAN HEALTH PLAN

400 SOUTH FOURTH STREET SUITE 201

MINNEAPOLIS,MN55415
 GOV'T UNIT MN   5 NA
 
 
No
(3) HENNEPIN HEALTH FOUNDATION

701 PARK AVENUE

MINNEAPOLIS,MN55415
41-0845733 		PUB SUPPT MN 501C3 11A HHS INC
 
Yes
 
(4) MINNEAPOLIS MED RESEARCH FOUNDATION

701 PARK AVENUE PP7700

MINNEAPOLIS,MN55415
41-1677920 		RESEARCH MN 501C3 4 HHS INC
 
Yes
 






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HENNEPIN COUNTY

 C 33,003,679 CASH
(2) METROPOLITAN HEALTH PLAN

 Q 46,367,841 CASH
(3) HENNEPIN HEALTH FOUNDATION

 Q 493,599 CASH
(4) MINNEAPOLIS MED RESEARCH FOUNDATION

 B 3,216,593 CASH


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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