TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ARTHUR A GONZALEZ CEO/SECRETAR	55.00	X	X		519,392	0	37,410
(2) JANIS CALLISON DIRECTOR	2.00	X			0	96,301	14,535
(3) MICHAEL OPAT DIRECTOR	2.00	X			0	90,702	26,596
(4) DONALD JACOBSMD DIRECTOR	2.00	X			0	0	0
(5) ANITA PAMPUSCHPHD DIRECTOR	2.00	X			0	0	0
(6) DAVID JONES DIRECTOR/CHA	2.00	X	X		0	0	0
(7) RAY WALDRON DIRECTOR	2.00	X			0	0	0
(8) ATUM AZZAHIR DIRECTOR	2.00	X			0	0	0
(9) JAN MALCOLM DIRECTOR	2.00	X			0	0	0
(10) CHRISTOPHER PUTOPHD DIRECTOR/TRE	2.00	X	X		0	0	0
(11) SAMUEL CARLSONMD DIRECTOR	2.00	X			0	0	0
(12) SHARON SAYLES BELTON DIRECTOR/VIC	2.00	X	X		0	0	0
(13) DAVID EBEL DIRECTOR	2.00	X			0	0	0
(14) LARRY KRYZANIAK CFO	55.00		X		334,952	0	30,673
(15) TIMOTHY HARLIN COO	55.00			X	314,051	0	36,033
(16) JOANNE SUNQUIST CIO	55.00			X	245,815	0	34,815
(17) KATHY WILDE CNO	55.00			X	242,500	0	30,673

(A) Name and business address	(B) Description of services	(C) Compensation
HENNEPIN FACULTY ASSOCIATES 600 HFA BLDG MINNEAPOLIS,MN55404	HEALTH SERVICES	46,688,814
MCKESSON DRUG 12748 COLLECTIONS CTR DR CHICAGO,IL60693	HEALTH SERVICES	29,898,397
UNITED HEALTHCARE INSURANCE GROUP 9900 BREN ROAD EAST MINNETONKA,MN55343	HEALTH SERVICES	29,359,592
MCGOUGH CONSTRUCTION INC 2737 FAIRVIEW AVE N ST PAUL,MN55113	CONSTRUCTION	7,603,333
MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE,IL60055	HEALTH SERVICES	7,334,390
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 261

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	440,977	440,977
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 ....	2,426,471	400,403	2,026,068
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	259,904,193	217,016,196	42,887,997
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	19,175,496	16,011,258	3,164,238
9	Other employee benefits .......	45,998,210	38,407,832	7,590,378
10	Payroll taxes ...........	18,450,612	15,405,991	3,044,621
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	712,898	595,259	117,639
c	Accounting ...........	184,734	154,250	30,484
d	Lobbying ...........	138,751		138,751
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	308,216	257,356	50,860
g	Other ..........	5,247,042	4,381,203	865,839
12	Advertising and promotion ....	819,440	684,220	135,220
13	Office expenses .......	4,637,575	3,872,307	765,268
14	Information technology ......	3,704,365	3,093,091	611,274
15	Royalties ..
16	Occupancy ...........	19,186,407	16,205,610	2,980,797
17	Travel ............	484,004	404,136	79,868
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	629,510	525,632	103,878
20	Interest ...........	535,723	447,321	88,402
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	33,556,162	33,556,162
23	Insurance ..............	123,012	102,713	20,299
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL SUPPLIES	66,254,760	66,254,760
b	PURCH SRV - HFA	35,232,832	35,232,832
c	BAD DEBTS	20,039,527	20,039,527
d	MN CARE AND OTHER TAX	12,674,167	12,674,167
e
f	All other expenses	50,117,169	39,755,578	10,361,591
25	Total functional expenses. Add lines 1 through 24f	600,982,253	525,918,781	75,063,472	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	88,716,597	1	94,724,210
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	118,822,733	4	131,558,934
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	3,278,587	8	3,671,901
9	Prepaid expenses and deferred charges ............	3,937,867	9	3,697,869
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	557,020,830
b	Less: accumulated depreciation. .....	10b	333,080,656	211,417,940	10c	223,940,174
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	858,986	12	1,165,091
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	2,362,713	15	5,025
16	Total assets. Add lines 1 through 15 (must equal line 34)...	429,395,423	16	458,763,204
	17	Accounts payable and accrued expenses .	144,000,283	17	141,288,851
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	10,539,079	25	8,014,219
26	Total liabilities. Add lines 17 through 25.....	154,539,362	26	149,303,070
		Organizations that follow SFAS 117, check here 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, check here 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 .....	203,416,365	31	238,022,801
32	Retained earnings, endowment, accumulated income, or other funds	71,439,696	32	71,437,333
33	Total net assets or fund balances .....	274,856,061	33	309,460,134
34	Total liabilities and net assets/fund balances .....	429,395,423	34	458,763,204

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

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

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

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) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization HENNEPIN HEALTHCARE SYSTEM INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization HENNEPIN HEALTHCARE SYSTEM INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

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.

OMB No. 1545-0047

2011

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, 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

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 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

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) ......	138,751
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................	138,751
d	Other exempt purpose expenditures ........................	646,323,000
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	646,461,751
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? ......................................		Yes No

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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount		1,000,000	1,000,000	1,000,000	3,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					4,500,000

c	Total lobbying expenditures		213,175	170,655	138,751	522,581

d	Grassroots nontaxable amount		250,000	250,000	250,000	750,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,125,000

f	Grassroots lobbying expenditures		160,810	114,523	138,751	414,084

Schedule C (Form 990 or 990-EZ) 2011

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
	SCHEDULE C, PART I-A, LINE 1	HENNEPIN HEALTHCARE SYSTEM, INC AND HENNEPIN COUNTY MN ENTERED INTO A SERVICE AGREEMENT WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGR) TO FURNISH STATE AND FEDERAL LOBBYING SERVICES RELATED TO HHS INC'S MISSION AND PURPOSE. TOTAL LOBBYING EXPENSES 130,000 HHS INC PAYS ASSOCIATION DUES TO THE FOLLOWING ORGANIZATIONS OF WHICH A PORTION OF THE DUES ARE FOR LOBBYING EFFORTS. THE FOLLOWING AMOUNTS ARE THE PORTION THAT REPRESENT LOBBYING. MINNESOTA HOSPITAL ASSOCIATION 4,086 NATIONAL ASSOCIATION FOR PUBLIC HOSPITALS 4,500 SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS 165 TOTAL 8,751 TOTAL GRASS ROOTS LOBBYING FOR 2011 138,751

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.

OMB No. 1545-0047

2011

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 .......

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

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 XIV, the text of the footnote to its financial statements that describes these items.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	18,993,826		18,993,826
b	Buildings ................	309,807,185	183,357,978	126,449,207
c	Leasehold improvements ............	6,382,779	3,772,755	2,610,024
d	Equipment ................	147,646,077	97,990,291	49,655,786
e	Other .................	74,190,963	47,959,632	26,231,331
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				223,940,174

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. 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.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
LEASE REFUNDING CERTIFICATES		8,014,219








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		8,014,219
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	635,586,326
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	600,982,253
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	34,604,073
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	34,604,073

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	607,334,861
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................			2e
3	Subtract line 2e from line 1.....................			3	607,334,861
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b	28,251,465
c	Add lines 4a and 4b.......................			4c	28,251,465
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	635,586,326

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	572,730,788
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................			2e
3	Subtract line 2e from line 1.....................			3	572,730,788
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b	28,251,465
c	Add lines 4a and 4b.......................			4c	28,251,465
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	600,982,253

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	BAD DEBT RECLASS -20,039,527 IGT2 RECLASS -6,792,000 RESIDENT OFFSET -1,419,938 BAD DEBT 20,039,527 IGT2 RECLASS 6,792,000 RESIDENT OFFSET 1,419,938
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT RECLASS 20,039,527 IGT2 RECLASS 6,792,000 RESIDENT OFFSET 1,419,938
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	BAD DEBT 20,039,527 IGT2 RECLASS 6,792,000 RESIDENT OFFSET 1,419,938

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine 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, to determine eligibility for free or discounted care.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

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?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(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) ..			21,654,000		21,654,000	3.600 %
b Medicaid (from Worksheet 3, column a) .....			240,831,000	214,869,000	25,962,000	4.320 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....			262,485,000	214,869,000	47,616,000	7.920 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	20	118,058	2,441,378	8,076	2,433,302	0.400 %
f Health professions education (from Worksheet 5) ..	9	4,406	60,763,448	33,003,533	27,759,915	4.620 %
g Subsidized health services (from Worksheet 6) ..	2	13,556	374,609		374,609	0.060 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	11	55,308	378,748	1,293	377,455	0.060 %
jTotal Other Benefits ...	42	191,328	63,958,183	33,012,902	30,945,281	5.150 %
kTotal. Add lines 7d and 7j. ..	42	191,328	326,443,183	247,881,902	78,561,281	13.070 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

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	2,600,000	1,468,294		1,468,294	0.240 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	7	20,130	17,005	3,120	13,885
7	Community health improvement advocacy	1		11,066		11,066
8	Workforce development
9	Other
10	Total	11	2,620,130	1,496,365	3,120	1,493,245	0.250 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

9,466,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

121,323,000

Enter Medicare allowable costs of care relating to payments on line 5.....

161,556,000

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-40,233,000

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

Yes

Part IV

Management Companies and Joint Ventures

(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) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVENUE MINNEAPOLIS,MN55415	X	X	X	X	X	X	X	LEVEL 1 TRAUMA HOSPITAL

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

HENNEPIN HEALTHCARE SYSTEM INC

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1	Yes
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 11
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? 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 Needs Assessment 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 Needs Assessment widely available to the public? ...........		5	Yes
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7	Yes
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	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?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	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 patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	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?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	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	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and 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?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. 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?10
Name and address		Type of Facility (describe)
1	HCMC-BROOKLYN CENTER CLINIC 6601 SHINGLE CREEK PARKWAY SUITE 400 MINNEAPOLIS,MN55430	HOSPITAL BASED CLINIC
2	HCMC-BROOKLYN PARK CLINIC 7650 ZANE AVE N MINNEAPOLIS,MN55443	HOSPITAL BASED CLINIC
3	HCMC-CONVENIENCE CARE AT WAL MART 12195 SINGLE TREE LANE EDEN PRAIRIE,MN55344	FREE STANDING CLINIC
4	HCMC-CONVENIENCE CARE AT WAL MART 715 EAST 78TH STREET BLOOMINGTON,MN55420	FREE STANDING CLINIC
5	HCMC-EAST LAKE CLINIC 2700 EAST LAKE STREET MINNEAPOLIS,MN55406	HOSPITAL BASED CLINIC
6	HCMC RICHFIELD CLINIC 44 WEST 66TH STREET RICHFIELD,MN55423	HOSPITAL BASED CLINIC
7	HCMC-WHITTIER CLINIC 2810 NICOLLET MINNEAPOLIS,MN55408	HOSPITAL BASED CLINIC
8	NEUROLOGY & SPECIALTY CLINIC TWO TWELVE MEDICAL CENTER 111 HUNDERTMARK ROAD STE 480 CHASKA,MN55318	HOSPITAL BASED CLINIC
9	ST ANTHONY VILLAGE CLINIC 2714 HIGHWAY 88 ST ANTHONY,MN55418	HOSPITAL BASED CLINIC
10	HCMC-BE WELL CLINIC 300 SOUTH SIXTH ST GOVERNMENT CENTER - A120 MINNEAPOLIS,MN55487	FREE STANDING CLINIC

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments 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.

Identifier	ReturnReference	Explanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	ONE OF THE MAJOR SUBSIDIZED HEALTH SERVICES HCMC PARTICIPATES IN IS THE HENNEPIN EMS EMERGENCY COMMUNICATION CENTER HENNEPIN EMS IS AN URBANSUBURBAN 911 EMERGENCY MEDICAL SERVICES AGENCY THAT HANDLES APPROXIMATELY 60000 CALLS FOR SERVICE EACH YEAR FROM THE CITIZENS AND VISITORS OF HENNEPIN COUNTY MINNESOTA WE ARE BASED AT HENNEPIN COUNTY MEDICAL CENTER AND SERVE 14 MUNICIPALITIES COVERING 266 SQUARE MILES AND A POPULATION OF OVER 700000 HENNEPIN EMS DEPLOYS AMBULANCES THROUGHOUT THE COMMUNITIES WE SERVE UTILIZING AN INTEGRATED COMPUTER AIDED DISPATCH SYSTEM THAT INCORPORATES AUTOMATIC VEHICLE LOCATION AND GLOBAL POSITIONING SATELLITES TO ENSURE THE CLOSEST AVAILABLE AMBULANCE IS SENT TO ALL EMERGENCIES HENNEPIN EMS ALSO ATTENDS MANY COMMUNITY EVENTS AS AN EMERGENCY MEDICAL SERVICE PROVIDER SUCH AS THE AQUATENNIAL AND THE MARATHON PART 1 LINE 6A 6B THE COMMUNITY BENEFIT REPORT IS A FOOTNOTE DISCLOSURE AS PART OF HCMCS ANNUAL AUDITED FINANCIAL STATEMENT HCMC AS AN ENTERPRISE FUND OF HENNEPIN COUNTY ALSO APPEARS ON HENNEPIN COUNTYS FINANCIAL STATEMENTS THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AND ARE ALSO FILED WITH THE MINNESOTA SECRETARY OF STATE
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	HCMC AS A PUBLIC SAFETY NET HOSPITAL HAS A TREAT FIRST POLICY TO MEET THE HEALTHCARE NEEDS OF ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY CONSISTENT WITH A COMMITMENT TO CHARITABLE PURPOSES AND A DEDICATION TO SERVING THE HEALTHCARE NEEDS OF THE COMMUNITY NO INDIVIDUAL IS TURNED AWAY OR DENIED TREATMENT FOR COSTING PURPOSES HCMC USES A COMBINATION OF STANDARD COSTING WHERE APPLICABLE AND THE FEDERAL POVERTY GUIDELINES PART 1 LINE 7A NOT INCLUDED IN THE 990 PRESENTATION BUT CALLED OUT IN HCMCS FINANCIAL STATEMENTS HCMC PAYS MN CARE TAX 8120787 AND MN CARE SURCHARGES TAXES 4526600 THESE TAXES WERE IMPOSED BY MINNESOTA STATUTE TO COVER THE COST OF PROVIDING HEALTHCARE FOR THOSE WHO CANNOT AFFORD INSURANCE PAGE 1 LINE 7 COLUMN F EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE COMMUNITY BENEFIT AMOUNTS DO NOT INCLUDE BAD DEBTS IN THE AMOUNT OF 19720000 THIS IS COMPUTED FROM HHS INC EPIC AR SYSTEM AND FROM WRITEOFFS CHARGES FORGONE AND BAD DEBTS POSTED OR RESERVED IN THE GENERAL LEDGER FOR COMMUNITY BENEFIT REPORTING IN THE NOTES TO THE FINANCIAL STATEMENTS THE MINNESOTA HOSPITAL ASSOCIATION INCLUDES BAD DEBTS AS COMMUNITY BENEFIT AS ALL OTHER HSOPITAL REPORT THIS AMOUNT WHICH IS SEPARATELY LISTED ALONG WITH OTHER COMMUNITY BENEFITS WHICH ARE REPORTED TO THE MINNESOTE STATE LEGISLATURE
COMMUNITY BUILDING ACTIVITIES	PART II	HCMC PROVIDES MANY COMMUNITY HEALTH IMPROVEMENT SERVICES ONE OF ITS MAJOR CONTRIBUTIONS TO COMMUNITY HEALTH IS THE HENNEPIN REGIONAL POISON CENTER THE HENNEPIN REGIONAL POISON CENTER PROVIDES POISON INFORMATION AND MEDICAL TREATMENT RECOMMENDATIONS TO PUBLIC AND PROFESSIONAL CALLERS BY TELEPHONE THROUGHOUT MINNESOTA NORTH DAKOTA AND SOUTH DAKOTA PHARMACISTS CERTIFIED AS SPECIALISTS IN POISON INFORMATION MANAGED 71138 CALLS IN 2011 OF THOSE 61604 87 CALLS INVOLVED HUMAN EXPOSURE TO A POTENTIALLY HARMFUL SUBSTANCE THERE WERE 9534 13 CALLS FOR INFORMATION PERTAINING TO MEDICATIONS CHEMICALS POISON PREVENTION MEDICAL AND ENVIRONMENTAL CONCERNS OTHER COMMUNITY HEALTH PROGRAMS AT HCMC INCLUDE EMS TRAINING PROGRAMS HISPANIC YOUTH COUNSELING PROGRAMS SUCH AS AQUI PARA TI AND TODOS JUNTOS TEEN OBESITY PREVENTION PROGRAMS SUCH AS TAKING STEPS TOGETHER INJURY FREE COALITION FOR KIDS SAFETY CAMPS TRAUMA PREVENTION EDUCATION AND THE ADDICTION MEDICINE CLINIC HCMC PARTICIPATES IN MANY COMMUNITY BUILDING ACTIVITIES HCMC COORDINATED THE DEVELOPMENT OF THE METROPOLITAN HOSPITAL COMPACT BRINGING COMMUNITY HOSPITALS TOGETHER TO COORDINATE DISASTER PREPAREDNESS AND RESPONSE AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE 7 COUNTY METRO REGION 26 MILLION PEOPLE HCMC COORDINATES 30 HOSPITALS AND THEIR AFFILIATED CLINICS LONG TERM CARE FACILITIES AND THE UNAFFILIATED CLINICS HCMC IS A PARTICIPANT IN THE SUSPECTED CHILD ABUSE AND NEGLECT TEAM SCANT SCANT IS A MULTIDISCIPLINARY INTERDEPARTMENTAL TEAM OF PROFESSIONALS FROM HCMC INCLUDING PEDIATRICIANS SOCIAL WORKERS NURSES CHAPLAINS AND PSYCHOLOGISTS AS WELL AS INDIVIDUALS FROM COLLABORATING AGENCIES INCLUDING THE MINNEAPOLIS POLICE DEPARTMENT HENNEPIN COUNTY CHILD PROTECTION THE HENNEPIN COUNTY ATTORNEYS OFFICE AND THE HENNEPIN COUNTY MEDICAL EXAMINERS OFFICE OTHER COMMUNITY BUILDING ACTIVITIES HCMC IS INVOLVED IN INCLUDE DOMESTIC AND FAMILY VIOLENCE PROGRAMS FOR THE SURROUNDING COMMUNITIES AND NATIVE AMERICAN ADVOCACY AND HEALTH IMPROVEMENT PROGRAMS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	THE COST OF CHARGES WRITTEN OFF AS BAD DEBT EXPENSE TOTALED 9466000 FOR 2011 THIS WAS CALCULATED AS THE PERCENTAGE OF ADJUSTED PATIENT CHARGES DIVIDED BY OPERATING EXPENSE TO ACHIEVE A COST TO CHARGE RATIO THE BAD DEBT AMOUNT IS THE PRODUCT OF THE RATIO OF THE COST TO CHARGES MULTIPLIED BY THE CHARGES WRITTEN OFF BAD DEBT EXPENSE IN THE AMOUNT OF 19720000 WHICH IS NOT INCLUDED IN THE COMMUNITY BENEFITS IS THE AMOUNT RECORDED DURING 2011 WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ONGOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE
MEDICARE EXPLANATION	PART III LINE 8	THE SHORTFALL IN MEDICARE IS DETERMINED BY THE COST TO CHARGE RATIO THAT IS COMPUTED EVERY YEAR AND COMPARED FOR REASONABLENESS TO THE SHORTFALL IN MEDICARE PAYMENTS TO COMPUTED COSTS THIS REPRESENTS THE NET COSTS THAT THE HOSPITAL INCURS FOR NONCOMMUNITY BENEFIT MEDICARE EXPENSES ABSORBED BY THE HOSPITAL
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	HCMC USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITALS BOARD AND APPROVED BY THE COUNTY BOARD AND WHENEVER POSSIBLE THE PATIENT OR PATIENTS FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE 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
NEEDS ASSESSMENT	PART VI	AS REQUIRED BY MINNESOTA LAW HCMC IS REQUIRED TO PERFORM AN ANNUAL NEEDS ASSESSMENT FOR THE SURROUNDING METRO TWIN CITIES AREA ENTITLED HEALTH SERVICES PLAN THE REPORT IS ANNUALLY APPROVED BY THE HHS INC BOARD AND THE HENNEPIN COUNTY HEALTH AND HUMAN SERVICES COMMITTEE THE REPORT IS ALSO SUBMITTED TO THE MINNESOTA DEPARTMENT OF HEALTH HCMC USES A VARIETY OF COMMUNITY NEEDS ASSESSMENTS EG SHAPE AND HEALTH SERVICE PLANNING DOCUMENTS TO DEVELOP A PROFILE OF THE HEALTH STATUS OF THE COMMUNITY CURRENTLY THERE ARE NO COMPREHENSIVE AND WIDELY ACCESSIBLE ACCEPTED DOCUMENTS THAT PROVIDE A DEFENSIBLE BASELINE AS A MEANS FOR LONGITUDINAL ESTIMATES FOR IMPROVEMENT HCMC USES STUDIES OR INITIATIVES BEING CONDUCTED BY PUBLIC HEALTH DEPARTMENTS HEALTHCARE SYSTEMS AND OTHER AGENCIES AND ENTITIES FOCUSED ON SPECIFIC CONDITIONS OR SPECIFIC GEOGRAPHICAL REGIONS IMPROVEMENTS INCLUDE THE IDENTIFICATION OF DATASETS TO CREATE AND SYNDICATE BASELINE DATA AND ENGAGE IN COLLABORATIVE DISCUSSIONS AMONG AND BETWEEN PUBLIC HEALTH DEPARTMENTS AND HEALTHCARE SYSTEMS HCMC CONDUCTED EXPLORATORY DISCUSSION SESSIONS THAT INCLUDE ALL OF THE HENNEPIN COUNTY HEALTHCARE SYSTEMS OPEN COMMUNITY FORUM AND THE THREE LARGEST PUBLIC HEALTH DEPARTMENTS HCMC DATA SHOW THAT PROFOUND HEALTH DISPARITIES EXIST IN MINNESOTA AT HCMC 6065 OF SERVICES ARE PROVIDED TO PERSONS BELONGING TO RACIAL AND ETHNIC MINORITIES HCMC ADMINISTERS PRESS GANEY PATIENT SATISFACTION SURVEYS IN FIVE LANGUAGES AND HAS BEGUN TO STRATIFY RESULTS BY RACE AND ETHNICITY THUS ALLOWING FOR GREATER AWARENESS AND THE OPPORTUNITY FOR FOCUSED INTERVENTION
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	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 PATIENTS FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE ANDOR 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 WHATS 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 WHATS YOUR PLAN BROCHURE PATIENTS WHO HAVE A PAST DUE BALANCE AND BASED ON A FINANCIAL ASSISTANCE SCREENING ARE CONSIDERED ABLE TO PAY MAY BE TURNED OVER TO COLLECTIONS IF HCMC DEEMS THAT THE PATIENT HAS THE ABILITY TO PAY FOR SERVICES
COMMUNITY INFORMATION	PART VI	HCMC IS A PUBLIC CORPORATION SAFETY NET HOSPITAL ENGAGED IN THE DELIVERY OF HEALTHCARE AND RELATED SERVICES TO THE GENERAL PUBLIC IN THE STATE OF MINNESOTA INCLUDING THE INDIGENT AS DEFINED BY THE STATE AND FEDERAL LAW AS DETERMINED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS IT HAS A TREAT FIRST POLICY REGARDLESS OF A PATIENTS ABILITY TO PAY
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	HCMC PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM MHCP RECIPIENTS AND THE UNINSURED THAN DO OUR NONTEACHING COUNTERPARTS NEARLY 50 OF HCMCS VOLUME IS PROVIDED TO LOW INCOME POPULATIONS HCMC IS THE STATES LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN HCMC TREATS THE COUNTYS AND THE REGIONS MORE SEVERELY ILL PATIENTS SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES HCMC PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGIONS EMERGENCY PREPAREDNESS AND STANDBY CAPABILITIES HCMC PROVIDES MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS ORGAN TRANSPLANTATION INTENSIVE NEONATAL CARE ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGIONS POPULATION HCMC FACILITATES THE TRANSITIONS OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM AND HELPS TO RAISE THE REGIONAL STANDARDS
ADDITIONAL INFORMATION	PART VI	LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED MINNESOTA PART 1 LINE 7F HEALTH PROFESSIONAL EDUCATION PUBLIC HOSPITALS ARE SPECIAL PLACES THAT HELP THE UNDERSERVED AND PROVIDE COMPREHENSIVE AND UNIQUE SERVICES FOR THE GENERAL POPULATION HCMC IS A PREMIER TEACHING HOSPITAL AND CLINIC SYSTEM FROM THE TRAINING OF TOMORROWS DOCTORS TO ENSURING PHYSICIANS THROUGHOUT MINNESOTA REMAIN CURRENT ON THE LATEST MEDICAL ADVANCES HCMC HAS LONG BEEN AND CONTINUES TO BE A NATIONALLY RECOGNIZED PUBLIC HEALTH SYSTEM AND MEDICAL EDUCATION RESOURCE
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 1J	PART V LINE 1J	HCMC HAS BEEN DEVELOPING A HEALTH SERVICES PLAN EACH YEAR SINCE THE CHANGE IN GOVERNANCE STRUCTURE IN 2007 THAT CREATED THE HENNEPIN HEALTHCARE SYSTEM THE FOUNDATION FOR THE HEALTH SERVICES PLAN IS AN ASSESSMENT OF THE COMMUNITYREGIONAL NEED FOR HEALTH SERVICES MINNESOTA LAW REQUIRES HENNEPIN COUNTY MEDICAL CENTERHENNEPIN HEALTHCARE SYSTEM INC HCMCHHS TO PRODUCE AN ANNUAL HEALTH SERVICES PLAN FOR THE REVIEW AND APPROVAL BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS1 THE PURPOSE OF THIS HEALTH SERVICES PLAN IS TO BOTH ASSESS AND RESPOND TO THE CHANGING HEALTH CARE NEEDS OF THE COMMUNITY ACCORDING TO STATE LAW THE HEALTH SERVICES PLAN WILL DRAW FROM A POPULATION NEEDS ASSESSMENT AND WILL DELINEATE THE CORPORATIONS ROLE IN THE COMMUNITY INCLUDING EDUCATION RESEARCH AND SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS AS STATED IN THE HCMCHHS BYLAWS THE HEALTH SERVICES PLAN MUST ALSO DESCRIBE CONTINUED COORDINATION WITH THE COUNTY THE PRINCIPAL HEALTH SERVICES TO BE PROVIDED SIGNIFICANT CHANGES IN THE PATTERNS OF COMMUNITY HEALTH NEEDS SIGNIFICANT PLANS FOR CHANGES IN DEPLOYMENT OF RESOURCES OR SITES THE PRIMARY THRUST OF WORKFORCE PLANS AND THE OPERATION AND EFFECT OF THE INDIGENT CARE FORMULA THE OBJECTIVE OF THE DEVELOPMENT PROCESS OF THE HEALTH SERVICES PLAN IS TO FOCUS ON ACTIVITIES THAT ARE CONTINUOUS MEASURABLE AND OCCUR IN AREAS WHERE HCMCHHS CAN INFLUENCE HEALTH STATUS OF THE COMMUNITY IN A MEANINGFUL WAY PART OF THIS OBJECTIVE IS ACHIEVED SIMPLY BY ENUMERATING THE UNIQUE SERVICES HCMCHHS PROVIDES MANY OF WHICH WOULD NOT BE AVAILABLE IN THE COMMUNITY IF NOT FOR HCMCHHS HCMCHHS HISTORIC MISSION COMMITS IT TO ENSURING ACCESS TO HEALTHCARE FOR ALL REGARDLESS OF ABILITY TO PAY THE PRIORITY AREAS AND ACTIVITIES HIGHLIGHTED IN THE HEALTH SERVICES PLAN REAFFIRM THAT MISSION AND ENSURE THAT THE HEALTH CARE NEEDS OF INDIGENT POPULATIONS REMAIN CENTRAL IN ANY INITIATIVE UNDERTAKEN HOWEVER HCMCHHS RECOGNIZES THAT MORE AND BETTER MEDICAL CARE ALONE WILL NOT IMPROVE THE COMMUNITYS HEALTH STATUS OR SLOW THE RISING COSTS OF HEALTH CARE THEREFORE HCMCHHS IS COMMITTED TO BUILDING AND STRENGTHENING RELATIONSHIPS WITH COMMUNITY PARTNERS SUCH AS PUBLIC HEALTH COMMUNITY PROVIDERS AND COMMUNITY NONPROFITS IN ORDER TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY IN A MORE IMPACTFUL WAY FINDINGS FROM THE HEALTH SERVICES PLAN ARE USED TO INFORM STRATEGIC PLANNING PROCESSES AND ESTABLISH PRIORITIES FOR DEVELOPING PROGRAMMING THAT ALIGNS WITH COMMUNITY HEALTH NEEDS THIS YEAR THE FUNDAMENTAL COMMUNITY NEEDS ASSESSMENT IN HENNEPIN COUNTY IS BEING CONDUCTED UNDER THE AUSPICES OF THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP THIS PROCESS IS AN INITIATIVE THAT WILL NOT ONLY DEFINE COMMUNITY HEALTH NEEDS BUT ALSO FOSTERS AND STRENGTHENS SUCCESSFUL PARTNERSHIPS TO IMPROVE THE HEALTH OF OUR RESIDENTS THIS INITIATIVE WILL FORGE ALLIANCES ACROSS A BROAD SPECTRUM OF HENNEPIN COUNTY ENTITIES TO WORK TOGETHER TO IMPROVE THE HEALTH OF INDIVIDUALS AND THE BROADER COMMUNITY THE CHIP LEADERSHIP GROUP INCLUDES COMMUNITY LEADERS FROM ORGANIZATIONS INVOLVED IN HEALTHRELATED ACTIVITIES THIS GROUP WILL PROVIDE GUIDANCE TO THE CHIP PROCESS HELP ENGAGE PARTICIPANTS FROM THE COMMUNITY AND CHAMPION THE EFFORT AND THE PLAN THAT IS DEVELOPED WITH THE CONTEXT OF THE CHIP PLANNING PROCESS IN HAND HCMC WILL CONTINUE TO DEFINE ITS ROLE AND PROGRAMS AND DELIVER SERVICES IN ACCORD WITH ADDRESSING THE DEFINED COMMUNITY NEEDS GIVEN OUR CAPABILITIES AND CAPACITY TO DO SO
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 3	PART V LINE 3	THE HEALTH SERVICES PLAN DRAWS FROM A POPULATION NEEDS ASSESSMENT WHICH WILL DELINEATE HCMCS ROLE IN THE COMMUNITY
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	HCMC CREATED A WEB PAGE CALLED INFORMATION FOR PATIENTS FAMILY VISITORS THE SITE ALLOWS INDIVIDUALS ACCESS TO PATIENT RESOURCES AND A PORTAL TO THE PATIENT BILLING SITE THAT ASSISTS WITH PAYING FOR YOUR HEALTH SERVICES IN WHICH THE PATIENT IS GUIDED THROUGH THE FINANCIAL REQUIREMENTS FOR VARIOUS FINANCIAL ASSISTANCE PROGRAMS
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 15E	PART V LINE 15E	SEE PART III SECTION C LINE 9B
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 16E	PART V LINE 16E	SEE PART III SECTION C LINE 9B
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 17E	PART V LINE 17E	SEE PART III SECTION C LINE 9B
HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	HCMC COLLECTIONSCUSTOMER SERVICE AREAS PROCESS DISCOUNT ADJUSTMENTS TO PATIENT ACCOUNTS SUBJECT TO PROPER ADJUSTMENT APPROVALS AND GUIDELINES PATIENTS ARE ELIGIBLE FOR DISCOUNTS BASED ON PATIENT HOUSEHOLD SIZE AND INCOME IN RELATION TO FEDERAL POVERTY GUIDELINES PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT PROGRAMS ARE REQUIRED TO APPLY FOR THOSE PROGRAMS IF BENEFITS ARE DENIED THE APPLICABLE DISCOUNT SHALL APPLY FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS NET AND GROSS INCOME AND FAMILY SIZE TO DETERMINE THE APPROPRIATE DISCOUNT HCMC USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND CHARITY CARE

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

OMB No. 1545-0047

2011

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

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? ....................................

Yes No

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. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ALLINA - PHILLIPS EYE INSTITUTE2215 PARK AVE MINNEAPOLIS,MN55404	36-3261413	501	5,250	EMERGENCY & PREPARD
(2) CHILDREN'S HOSPITAL - ST PAUL345 N SMITH AVENUE ST PAUL,MN55102	41-1754276	501	23,398	EMERGENCY & PREPARD
(3) CHILDREN'S HOSPITAL - MINNEAPOLIS2525 CHICAGO AVENUE MINNEAPOLIS,MN55404	41-1754276	501	25,284	EMERGENCY & PREPARD
(4) FAIRVIEW UNIVERSITY OF MINNESOTA AM2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454	41-0991680	501	92,695	EMERGENCY & PREPARD
(5) GILLETTE CHILDREN'S SPECIALITY HEAL200 UNIVERSITY AVE E ST PAUL,MN55101	36-3379150	501	5,250	EMERGENCY & PREPARD
(6) HEALTHEAST CARE SYSTEM-BETHESDA HOS559 CAPITOL BOULEVARD ST PAUL,MN55103	36-3517697	501	7,550	EMERGENCY & PREPARD
(7) HEALTHEAST CARE SYSTEM-ST JOSEPH'S45 WEST 10TH STREET ST PAUL,MN55102	41-0693880	501	27,250	EMERGENCY & PREPARD
(8) LAKEVIEW MEMORIAL HOSPITAL927 CHURCHILL STREET WEST STILLWATER,MN55082	41-0811697	501	19,897	EMERGENCY & PREPARD
(9) MAPLE GROVE HOSPITAL ASSOCIATION9875 HOSPITAL DR MAPLE GROVE,MN55369	20-8316475	501	30,563	EMERGENCY & PREPARD
(10) NORTH MEMORIAL MEDICAL CENTER3300 OAKDALE AVE N ROBBINSDALE,MN55422	41-0729979	501	39,450	EMERGENCY & PREPARD
(11) MAYO CLINIC-QUEEN OF PEACE HOSPITAL301 SECOND STREET NE NEW PRAGUE,MN56071	41-0723639	501	18,925	EMERGENCY & PREPARD
(12) REGIONS HOSPITAL640 JACKSON STREET ST PAUL,MN55101	41-0956618	501	80,700	EMERGENCY & PREPARD
(13) RIDGEVIEW HOSPITAL500 SOUTH MAPLE STREET WACONIA,MN55387	31-1667875	501	44,193	EMERGENCY & PREPARD
(14) ST FRANCIS REGIONAL MEDICAL CENTER1455 ST FRANCIS AVE SHAKOPEE,MN55379	41-0907986	501	20,572	EMERGENCY & PREPARD

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

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.
Use Schedule I-1 (Form 990) 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. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE I, PAGE 4, PART IV	HENNEPIN HEALTHCARE SYSTEMS, INC HAS A GRANT MANAGEMENT DEPARTMENT THAT WORKS IN COOPERATION WITH FINANCE, PROGRAM DIRECTORS AND HENNEPIN COUNTY, MN TO MONITOR GRANT RECEIPTS AND GRANT DISBURSEMENTS, (WHETHER FEDERAL, STATE, LOCAL OR INDIVIDUAL) THAT THE ORGANIZATION HAS RECEIVED AND EXPENDED AND MONITORS COMPLIANCE, IF ANY, WITH SUCH GRANT REQUIREMENTS.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. 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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

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 column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1) ARTHUR A GONZALEZ	(i) (ii)	519,392			24,500	12,910	556,802
(2) LARRY KRYZANIAK	(i) (ii)	334,952			17,763	12,910	365,625
(3) TIMOTHY HARLIN	(i) (ii)	314,051			18,843	17,190	350,084
(4) JOANNE SUNQUIST	(i) (ii)	245,815			17,625	17,190	280,630
(5) KATHY WILDE	(i) (ii)	242,500			17,763	12,910	273,173
(6) WILLIAM TERRY HOWELL	(i) (ii)	219,944			13,197	11,244	244,385
(7) JEANETTE TAYLOR JONES	(i) (ii)	211,552			15,252	12,907	239,711
(8) MICHAEL HARRISTHAL	(i) (ii)	198,911			14,411	16,616	229,938
(9) EMILY FUERSTE	(i) (ii)	189,998			10,742	6,880	207,620
(10) ATHITTHARN ATCHAWONG	(i) (ii)	187,153			13,569	6,469	207,191
(11) DAVID ALBRIGHT	(i) (ii)	175,972			12,758	6,341	195,071
(12) WARREN SIMPSON	(i) (ii)	167,618			10,045	6,925	184,588
(13) EMILY ANN GERBER	(i) (ii)	166,101			9,966	6,799	182,866

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 3	AS PART OF ITS ANNUAL BOARD APPROVAL ITEMS, A LINE ITEM MOTION IS DONE.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	HENNEPIN HEALTHCARE SYSTEM, INC HAS TWO INCENTIVE PROGRAMS DESIGNED TO REWARD ELIGIBLE EMPLOYEES WITH A FINANCIAL PAYOUT IF ESTABLISHED ORGANIZATIONAL GOALS (FOCUSED ON CUSTOMER SERVICE AND PATIENT SAFETY) ARE MET. THE OBJECTIVES OF THE PLANS ARE TO ALIGN COMPENSATION PRACTICES WITH ORGANIZATIONAL GOALS AND OBJECTIVES AND REWARD INDIVIDUALS BASED ON PERFORMANCE-BASED CRITERIA. INDIVIDUALS ARE NOT ALLOWED TO PARTICIPATE IN BOTH PLANS AND BOTH ARE SUBJECT TO MODIFICATION BY THE BOARD OF DIRECTORS INCLUDING THE RIGHT TO NOT PAY ANY AMOUNT. FOR EXAMPLE, UNFORESEEN OR CATASTROPHIC CIRCUMSTANCES THAT WOULD MAKE IT DIFFICULT TO JUSTIFY PAYING IN A GIVEN YEAR. EACH PLAN HAS QUALIFICATIONS THAT MUST BE MET IN ORDER FOR THE DISCRETIONARY PAYMENT TO BE CONSIDERED.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	PART II KEY EMPLOYEES - ADDITIONS INCLUDED AS HHS, INC KEY EMPLOYEES ARE THE FOLLOWING HENNEPIN FACULTY ASSOCIATES (HFA) EMPLOYEES. THEY ARE NOT COMPENSATED BY HHS, INC OR ANY RELATED ORGANIZATION, BUT ARE PAID THROUGH A SHARED SERVICES AGREEMENT WITH HFA. THIS AGREEMENT IS INCLUDED AS PART OF FORM 990, PART VII, SECTION B, INDEPENDENT CONTRACTORS. DEFERRED NON-TAXABLE NAME / TITLE COMPENSATION COMPENSATION BENEFITS MICHAEL BELZER, MD 346,315 31,152 18,838 CHIEF MEDICAL OFFICER GREGORY LUTZ 21,206 619 0.00 VP AMBULATORY CARE STEVEN STERNER, MD 285,223 31,152 24,894 CHIEF OF AMBULATORY CARE

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC IS COMMITTED: -TO PROVIDE THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE TODAY, -SEARCH FOR NEW WAYS TO IMPROVE THE CARE WE WILL PROVIDE TOMORROW, -EDUCATE HEALTH CARE PROVIDERS FOR THE FUTURE AND -ENSURE ACCESS TO HEALTHCARE FOR ALL.
FIRST ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4A	AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL) FOR INPATIENT AND OUTPATIENT SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. DURING 2009, MINNESOTA STATE LEGISLATION CREATED SEVERAL NEW SUPPLEMENTAL MEDICAID PAYMENT STATUTES. UPON FEDERAL APPROVAL IN 2010, THE MEDICAL CENTER RECEIVED NONRECURRING PAYMENTS OF APPROXIMATELY 17 MILLION UNDER THESE STATUTES RELATED TO THE 2009 FEDERAL FISCAL YEAR. HCMC ALSO RECEIVES AMOUNTS FROM HENNEPIN COUNTY FOR CAPITAL ASSET ADDITIONS. THESE CAPITAL CONTRIBUTIONS TOTALED APPROXIMATELY 14 MILLION AND 22 MILLION IN 2011 AND 2010, RESPECTIVELY. NET OF THESE AMOUNTS, PART 1, LINE "REVENUE LESS EXPENSES" WOULD BE 20.4 MILLION AND 28.5 MILLION FOR 2011 AND 2010, RESPECTIVELY. HHS INC, DOING BUSINESS AS, HENNEPIN COUNTY MEDICAL CENTER (HCMC) OPERATES APPROXIMATELY 462 BEDS AS A LEVEL ONE TRAUMA CENTER, ACUTE & TERTIARY CARE, PUBLIC TEACHING HOSPITAL SYSTEM. THE DOWNTOWN MINNEAPOLIS CAMPUS INCLUDES A 462 BED HOSPITAL AND PRIMARY AND SPECIALTY CARE CLINICS. HCMC ALSO OPERATES COMMUNITY CARE CLINICS AND CONVENIENCE CARE CLINICS IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. WE ARE AN ESSENTIAL TEACHING HOSPITAL FOR DOCTORS WHO GO ON TO PRACTICE THROUGHOUT THE STATE. WE ARE A SAFETY NET HOSPITAL PROVIDING CARE FOR LOW-INCOME, THE UNINSURED AND VULNERABLE POPULATIONS AND A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY. FORM 990, 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 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 HRS. 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. FORM 990, PART III, LINE 4A ACUTE PSYCHIATRIC SERVICES (APS) APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HRS. A DAY, 7 DAYS A WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION AND REFERRAL. FORM 990, PART III, LINE 4A 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 FOR THE COMMUNITY. FORM 990, PART III, LINE 4A 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 30 YEARS. UNIQUE IN ITS ON-SITE ACCESS TO BURN CARE SPECIALISTS 7 DAYS A WEEK, THE BURN CENTER CONTAINS A NEW 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. FORM 990, PART III, LINE 4A CARDIAC SERVICES (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), R5 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. FORM 990, PART III, LINE 4A 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. OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY CLINIC SERVICES TO MEET THE INDIVIDUAL NEEDS OF EACH PATIENT. PATIENTS WHO HAVE CHRONIC, NON-HEALING WOUNDS CAUSED BY DIABETES, HYPERTENSION AND OTHER CONDITIONS OFTEN EXPERIENCE A MARKED REDUCTION IN THEIR QUALITY OF LIFE. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A EMERGENCY DEPARTMENT AND EXPRESS CARE IN 1989, HCMC WAS THE FIRST HOSPITAL IN MINNESOTA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL I TRAUMA CENTER. 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. 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 97,000 VISITS IN 2011. 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 EXPRESS CARE IS A FAST TRACK UNIT OF THE EMERGENCY DEPARTMENT. EMERGENCY EXPRESS CARE STAFF TREATS PATIENTS WITH MINOR ACUTE ILLNESSES, SIMPLE INJURIES, AND OTHER NON-EMERGENCY CONDITIONS. EMERGENCY EXPRESS CARE IS STAFFED WITH REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICIANS WHO HAVE EXPERIENCE IN EMERGENCY MEDICINE. FORM 990, PART III, LINE 4A EMERGENCY MEDICAL SERVICES (EMS) EMS INCLUDES THE FOLLOWING SERVICE AREAS: EMS FIELD OPERATIONS, EMS EMERGENCY COMMUNICATION CENTER, AND EMS EDUCATION. EMS FIELD OPERATIONS: HCMC EMS IS LICENSED TO PROVIDE EMERGENCY MEDICAL SERVICES TO ALL OR PART OF THE 14 COMMUNITIES IN HENNEPIN COUNTY. IN 2011, EMS PROVIDED OVER 58,000 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. FORM 990, PART III, LINE 4A EMG LAB THE EMG LABORATORY PROVIDES 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 ELECTR
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	FORM 990, PART III, LINE 4A 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 INCLUDING: LEVEL 1 TRAUMA CENTER HENNEPIN COUNTY MEDICAL CENTER IS MINNESOTA'S FIRST VERIFIED LEVEL 1 TRAUMA CENTER, THE HIGHEST LEVEL OF TRAUMA CARE. 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. FORM 990, PART III, LINE 4A HENNEPIN KIDNEY TRANSPLANT PROGRAM HCMC WAS THE FIRST KIDNEY TRANSPLANT CENTER IN THE UPPER MIDWEST. ESTABLISHED IN 1963, OUR TRANSPLANT PROGRAM HAS PLAYED A VITAL ROLE IN THE TREATMENT OF CHRONIC KIDNEY DISEASE WITH KIDNEY TRANSPLANTATION. WE CURRENTLY PERFORM APPROXIMATELY 80 KIDNEY TRANSPLANTS PER YEAR. AT HCMC, WE HAVE PERFORMED MORE THAN 2,500 KIDNEY TRANSPLANTS, WITH AN INCREASING PERCENTAGE INVOLVING LIVING DONORS. OUR EXPERIENCE, ALONG WITH OUR USE OF NEW THERAPIES, DIAGNOSTIC TOOLS, AND SURGICAL PROCEDURES, ALLOW US TO GIVE OUR TRANSPLANT PATIENTS AND LIVING DONORS THE BEST POSSIBLE CARE. OUR TRANSPLANT PROGRAM IS A COLLABORATIVE EFFORT AMONG PROFESSIONALS WHO SPECIALIZE IN THE RE-TRANSPLANT, OPERATIVE, AND LONG-TERM FOLLOW-UP CARE OF ESRD PATIENTS, IN PARTNERSHIP WITH THEIR PRIMARY PHYSICIAN OR NEPHROLOGIST. HCMC'S RENAL TRANSPLANT PROGRAM WAS SELECTED AS ONE OF THREE "TOP PERFORMERS" IN THE MOST RECENT TRANSPLANT SERVICES BENCHMARKING PROJECT CONDUCTED BY UNIVERSITY HEALTHSYSTEM CONSORTIUM (UHC). IT IS A DESIGNATED ADULT RENAL TRANSPLANT CENTER, CMS-CERTIFIED AND ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK/UNITED NETWORK OF ORGAN SHARING MEMBER IN GOOD STANDING. FORM 990, PART III, LINE 4A VEIN CARE CLINIC VEIN CARE IS A SPECIALTY MEDICAL PRACTICE DEVOTED TO TREATING PATIENTS WITH COSMETIC AND MEDICAL VENOUS PROGRAMS. THE MISSION IS TO PROVIDE THE MOST COMPREHENSIVE, HIGH QUALITY AND EFFECTIVE CARE FOR OUR PATIENTS WITH SUPERIOR SERVICE AND EXPERIENCE. FORM 990, PART III, LINE 4A WILLIAM W JEPSON DAY TREATMENT PROGRAM THE WILLIAM W JEPSON DAY TREATMENT PROGRAM AT HCMC IS AN INTENSIVE OUTPATIENT PROGRAM SERVING THE NEEDS OF ADULTS LIVING WITH SERIOUS MENTAL ILLNESS.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	AS PER THE CORPORATE BYLAWS, THE ORGANIZATION SHALL HAVE ONE CLASS OF MEMBERS: A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE ORGANIZATION IS THE COUNTY OF HENNEPIN MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	HENNEPIN COUNTY, MN HAS RETAINED ALL THE RIGHTS , DUTIES AND PRIVILEGES AS TO ALL MATTERS SPECIFIED UNDER THE BYLAWS OF HHS, INC. HHS, INC. BOARD OF DIRECTORS IS EMPOWERED TO CARRY OUT RIGHTS, DUTIES AND PRIVILEGES OF THE ORGANIZATION TO THE EXTENT AS SPECIFIED IN HHS, INC. BYLAWS. HENNEPIN COUNTY, MN RETAINS ITS AUTHORITY TO APPOINT HHS, INC BOARD MEMBERS, APPROVE HHS, INC ANNUAL BUDGETS, APPROVE ANY ADDITIONAL INDEBTEDNESS, AND APPROVE THE ANNUAL HHS, INC HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	HENNEPIN COUNTY, MN AUTHORITY IS SET IN THE BYLAWS OF THE ORGANIZATION. THIS INCLUDES APPOINT HHS, INC BOARD MEMBERS, APPROVE HHS, INC ANNUAL BUDGETS, APPROVE ANY ADDITIONAL INDEBTEDNESS, APPROVAL OF THE FINANCE COMMITTEE RECOMMENDATIONS AND EXECUTIVE COMMITTEE AND APPROVE THE ANNUAL HHS, INC HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE 990 IS COMPLETED AND REVIEWED INTERNALLY FOR FINALIZATION AND IS THEN MAILED TO THE HHS, INC BOARD OF DIRECTORS FOR REVIEW. ANY QUESTIONS THAT THE BOARD HAS ARE ANSWERED BY THE NEXT MEETING BEFORE APPROVAL. AT THE OCTOBER MONTHLY BOARD MEETING IT IS FORMALLY APPROVED VIA A LINE ITEM MOTION. IT IS THEN SIGNED AND MAILED BY THE DUE DATE.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	HHS, INC HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES 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 INTEREST 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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	HHS, INC BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT, RSM MCGLADREY TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER QUALIFIED EXECUTIVES. MCGLADREY GATHERED COMPARABILITY DATA ACCORDING TO THE ASSUMPTIONS OUTLINED IN HHS' COMPENSATION PHILOSOPHY, INCLUDING DATA RELEVANT TO OTHER ACADEMIC AND PUBLIC HOSPITALS. THE DATA TAKES INTO CONSIDERATION THE SCOPE OF THE COMPARISON GROUP, INCLUDING FACTORS SUCH AS REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC REGION. MCGLADREY COMPILED THIS DATA FIRST FOR CONSIDERATION BY THE COMPENSATION SUBCOMMITTEE OF THE BOARD WHO THEN DISCUSSES AND SUBMITS FOR APPROVAL BY THE HHS, INC BOARD OF DIRECTORS. ARTHUR A. GONZALEZ, CHIEF EXECUTIVE OFFICER HAS AN EMPLOYMENT CONTRACT WITH THE HOSPITAL WHICH WAS APPROVED BY THE HHS, INC BOARD.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SEE ABOVE EXPLANATION IN LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS DISCLOSURE EXPLANATION INFORMATION FROM THE ORGANIZATION ANNUAL FORM 990 TAX RETURN IS AVAILABLE ON THE OFFICE OF ATTORNEY GENERAL WEBSITE AT WWW.AG.STATE.MN.US/CHARITIES. AUDITED FINANCIAL STATEMENTS AND FORM 1023, FORM 990 & FORM 990-T TAX RETURN ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. ITEMS DESCRIBED WITHIN ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. HENNEPIN HEALTHCARE SYSTEM IS A COMPONENT UNIT OF HENNEPIN COUNTY, MINNESOTA A POLITICAL SUBDIVISION OF THE STATE OF MINNESOTA AND AS SUCH THE ABOVE LISTED DOCUMENTS ARE AVAILABLE TO PUBLIC INSPECTION. THE TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION AT WWW.GUIDESTAR.ORG WEBSITE.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

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 of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(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	Yes	No
(1) HENNEPIN HEALTH FOUNDATION 701 PARK AVENUE MINNEAPOLIS,MN55415 41-0845733	PUB SUPPT	MN	501C3	11A	HHS INC		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) HENNEPIN COUNTY	C	33,849,989	CASH
(2) HENNEPIN HEALTH FOUNDATION	P	263,371	CASH
(3) METROPOLITAN HEALTH PLAN	K	29,425,000	CASH
(4)
(5)
(6)

Schedule R (Form 990) 2011

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)	(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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE R	SCHEDULE R ADDITIONAL INFORMATION HHS INC IS RELATED TO THE FOLLOWING ORGANIZATIONS THROUGH COMMON BOARD MEMBER RELATIONSHIP AND ARE DISCLOSED IN THE HHS INC ANNUAL AUDIT FINANCIAL REPORT 1 HENNEPIN COUNTY MN 2 HENNEPIN HEALTH FOUNDATION 3 METROPOLITAN HEALTH PLAN

Additional Data

Software ID:
Software Version:

- TIN:

TY 2011 AveragingAttachment

Name:

HENNEPIN HEALTHCARE SYSTEM INC

EIN: 42-1707837

Explanation:

FORM 5768 ELECTION EFFECTIVE FOR 2009 RETURN FILING.

1	Briefly describe the organization’s mission or most significant activities: FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC IS COMMITTED: -TO PROVIDE THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE TODAY, -SEARCH FOR NEW WAYS TO IMPROVE THE CARE WE WILL PROVIDE TOMORROW, -EDUCATE HEALTH CARE PROVIDERS FOR THE FUTURE AND -ENSURE ACCESS TO HEALTHCARE FOR ALL.
2	Check this box
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	10
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	5,404
6	Total number of volunteers (estimate if necessary) ....	6	521
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,071,281
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-45,382

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	55,618,122	34,429,221
9	Program service revenue (Part VIII, line 2g) .........	597,152,250	599,343,024
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	593,837	1,487,948
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,385,210	326,133
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	657,749,419	635,586,326
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,008,754	440,977
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)	323,356,779	345,954,982
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	265,464,183	254,586,294
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	589,829,716	600,982,253
19	Revenue less expenses. Subtract line 18 from line 12.......	67,919,703	34,604,073
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	429,395,423	458,763,204
21	Total liabilities (Part X, line 26).............	154,539,362	149,303,070
22	Net assets or fund balances. Subtract line 21 from line 20.....	274,856,061	309,460,134

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 525,918,781 including grants of $ 440,977 ) (Revenue $ 599,343,024 )
	HCMC INC OPERATES HENNEPIN COUNTY MEDICAL CENTER IN DOWNTOWN MINNEAPOLIS AND PRIMARY CARE CLINICS IN MINNEAPOLIS AND IN THE WHITTIER NEIGHBORHOOD AND IN THE SUBURBAN COMMUNITIES OF BROOKLYN CENTER, BROOKLYN PARK, RICHFIELD AND ST. ANTHONY, AS WELL AS RETAIL CLINICS IN THE WALMART STORES IN BLOOMINGTON AND EDEN PRAIRIE. AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL) FOR INPATIENT AND OUTPATIENT SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. DURING 2009, MINNESOTA STATE LEGISLATION CREATED SEVERAL NEW SUPPLEMENTAL MEDICAID PAYMENT STATUTES. UPON FEDERAL APPROVAL IN 2010, THE MEDICAL CENTER RECEIVED NONRECURRING PAYMENTS OF APPROXIMATELY 17 MILLION UNDER THESE STATUTES RELATED TO THE 2009 FEDERAL FISCAL YEAR. HCMC ALSO RECEIVES AMOUNTS FROM HENNEPIN COUNTY FOR CAPITAL ASSET ADDITIONS. THESE CAPITAL CONTRIBUTIONS TOTALED APPROXIMATELY 14 MILLION AND 22 MILLION IN 2011 AND 2010, RESPECTIVELY. NET OF THESE AMOUNTS, PART 1, LINE "REVENUE LESS EXPENSES" WOULD BE 20.4 MILLION AND 28.5 MILLION FOR 2011 AND 2010, RESPECTIVELY. HHS INC, DOING BUSINESS AS, HENNEPIN COUNTY MEDICAL CENTER (HCMC) OPERATES APPROXIMATELY 462 BEDS AS A LEVEL ONE TRAUMA CENTER, ACUTE & TERTIARY CARE, PUBLIC TEACHING HOSPITAL SYSTEM. THE DOWNTOWN MINNEAPOLIS CAMPUS INCLUDES A 462 BED HOSPITAL AND PRIMARY AND SPECIALTY CARE CLINICS. HCMC ALSO OPERATES COMMUNITY CARE CLINICS AND CONVENIENCE CARE CLINICS IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. WE ARE AN ESSENTIAL TEACHING HOSPITAL FOR DOCTORS WHO GO ON TO PRACTICE THROUGHOUT THE STATE. WE ARE A SAFETY NET HOSPITAL PROVIDING CARE FOR LOW-INCOME, THE UNINSURED AND VULNERABLE POPULATIONS AND A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY. FORM 990, 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 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 HRS. 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. FORM 990, PART III, LINE 4A ACUTE PSYCHIATRIC SERVICES (APS) APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HRS. A DAY, 7 DAYS A WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION AND REFERRAL. FORM 990, PART III, LINE 4A 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 FOR THE COMMUNITY. FORM 990, PART III, LINE 4A 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 30 YEARS. UNIQUE IN ITS ON-SITE ACCESS TO BURN CARE SPECIALISTS 7 DAYS A WEEK, THE BURN CENTER CONTAINS A NEW 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. FORM 990, PART III, LINE 4A CARDIAC SERVICES (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), R5 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. FORM 990, PART III, LINE 4A 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. OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY CLINIC SERVICES TO MEET THE INDIVIDUAL NEEDS OF EACH PATIENT. PATIENTS WHO HAVE CHRONIC, NON-HEALING WOUNDS CAUSED BY DIABETES, HYPERTENSION AND OTHER CONDITIONS OFTEN EXPERIENCE A MARKED REDUCTION IN THEIR QUALITY OF LIFE. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A 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. FORM 990, PART III, LINE 4A EMERGENCY DEPARTMENT AND EXPRESS CARE IN 1989, HCMC WAS THE FIRST HOSPITAL IN MINNESOTA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL I TRAUMA CENTER. 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. 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 97,000 VISITS IN 2011. 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 EXPRESS CARE IS A FAST TRACK UNIT OF THE EMERGENCY DEPARTMENT. EMERGENCY EXPRESS CARE STAFF TREATS PATIENTS WITH MINOR ACUTE ILLNESSES, SIMPLE INJURIES, AND OTHER NON-EMERGENCY CONDITIONS. EMERGENCY EXPRESS CARE IS STAFFED WITH REGISTERED NURSES, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PHYSICIANS WHO HAVE EXPERIENCE IN EMERGENCY MEDICINE. FORM 990, PART III, LINE 4A EMERGENCY MEDICAL SERVICES (EMS) EMS INCLUDES THE FOLLOWING SERVICE AREAS: EMS FIELD OPERATIONS, EMS EMERGENCY COMMUNICATION CENTER, AND EMS EDUCATION. EMS FIELD OPERATIONS: HCMC EMS IS LICENSED TO PROVIDE EMERGENCY MEDICAL SERVICES TO ALL OR PART OF THE 14 COMMUNITIES IN HENNEPIN COUNTY. IN 2011, EMS PROVIDED OVER 58,000 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. FORM 990, PART III, LINE 4A EMG LAB THE EMG LABORATORY PROVIDES NERVE CONDUCTION STUDIES (NCS), NEEDLE ELECTROMY

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	FORM 990, PART III, LINE 4A 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 INCLUDING: LEVEL 1 TRAUMA CENTER HENNEPIN COUNTY MEDICAL CENTER IS MINNESOTA'S FIRST VERIFIED LEVEL 1 TRAUMA CENTER, THE HIGHEST LEVEL OF TRAUMA CARE. 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. FORM 990, PART III, LINE 4A HENNEPIN KIDNEY TRANSPLANT PROGRAM HCMC WAS THE FIRST KIDNEY TRANSPLANT CENTER IN THE UPPER MIDWEST. ESTABLISHED IN 1963, OUR TRANSPLANT PROGRAM HAS PLAYED A VITAL ROLE IN THE TREATMENT OF CHRONIC KIDNEY DISEASE WITH KIDNEY TRANSPLANTATION. WE CURRENTLY PERFORM APPROXIMATELY 80 KIDNEY TRANSPLANTS PER YEAR. AT HCMC, WE HAVE PERFORMED MORE THAN 2,500 KIDNEY TRANSPLANTS, WITH AN INCREASING PERCENTAGE INVOLVING LIVING DONORS. OUR EXPERIENCE, ALONG WITH OUR USE OF NEW THERAPIES, DIAGNOSTIC TOOLS, AND SURGICAL PROCEDURES, ALLOW US TO GIVE OUR TRANSPLANT PATIENTS AND LIVING DONORS THE BEST POSSIBLE CARE. OUR TRANSPLANT PROGRAM IS A COLLABORATIVE EFFORT AMONG PROFESSIONALS WHO SPECIALIZE IN THE RE-TRANSPLANT, OPERATIVE, AND LONG-TERM FOLLOW-UP CARE OF ESRD PATIENTS, IN PARTNERSHIP WITH THEIR PRIMARY PHYSICIAN OR NEPHROLOGIST. HCMC'S RENAL TRANSPLANT PROGRAM WAS SELECTED AS ONE OF THREE "TOP PERFORMERS" IN THE MOST RECENT TRANSPLANT SERVICES BENCHMARKING PROJECT CONDUCTED BY UNIVERSITY HEALTHSYSTEM CONSORTIUM (UHC). IT IS A DESIGNATED ADULT RENAL TRANSPLANT CENTER, CMS-CERTIFIED AND ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK/UNITED NETWORK OF ORGAN SHARING MEMBER IN GOOD STANDING. FORM 990, PART III, LINE 4A VEIN CARE CLINIC VEIN CARE IS A SPECIALTY MEDICAL PRACTICE DEVOTED TO TREATING PATIENTS WITH COSMETIC AND MEDICAL VENOUS PROGRAMS. THE MISSION IS TO PROVIDE THE MOST COMPREHENSIVE, HIGH QUALITY AND EFFECTIVE CARE FOR OUR PATIENTS WITH SUPERIOR SERVICE AND EXPERIENCE. FORM 990, PART III, LINE 4A WILLIAM W JEPSON DAY TREATMENT PROGRAM THE WILLIAM W JEPSON DAY TREATMENT PROGRAM AT HCMC IS AN INTENSIVE OUTPATIENT PROGRAM SERVING THE NEEDS OF ADULTS LIVING WITH SERIOUS MENTAL ILLNESS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 525,918,781

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,173,959	187,003	384,856

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(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
(A) Name and Title
(18) WILLIAM TERRY HOWELL CQO	55.00	X		219,944	0	24,441
(19) JEANETTE TAYLOR JONES VP SUPPORT S	55.00	X		211,552	0	28,159
(20) MICHAEL HARRISTHAL VP PUBLIC PO	55.00	X		198,911	0	31,027
(21) EMILY FUERSTE VP PHILANTHR	55.00		X	189,998	0	17,622
(22) ATHITTHARN ATCHAWONG NURSE ANESTH	55.00		X	187,153	0	20,038
(23) DAVID ALBRIGHT DIRECTOR FIN	55.00		X	175,972	0	19,099
(24) WARREN SIMPSON SR DIRECTOR	55.00		X	167,618	0	16,970
(25) EMILY ANN GERBER NURSE ANESTH	55.00		X	166,101	0	16,765

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		34,245,989

f	All other contributions, gifts, grants, and similar amounts not included above1f		183,232
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			34,429,221
			Business Code
2a	MEDICARE / MEDICAID REVENUE		900,099	237,145,684	237,145,684
b	INPATIENT REVENUE		900,099	170,584,922	170,584,922
c	OUTPATIENT REVENUE		900,099	95,814,485	95,814,485
d	OTHER STATE PROGRAM REVENUE		900,099	55,495,584	55,495,584
e	PHARMACY REVENUE		446,110	31,744,080	31,744,080
f	All other program service revenue .			8,558,269	1,122,572	1,071,281	6,364,416
g	Total. Add lines 2a–2f........			599,343,024
3	Investment income (including dividends, interest
	and other similar amounts).....			1,708,400			1,708,400
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		220,452
c	Gain or (loss)		-220,452
d	Net gain or (loss)..........			-220,452			-220,452
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	MISCELLANEOUS REVENUE			326,133	326,133
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			326,133
12	Total revenue. See Instructions....			635,586,326	592,233,460	1,071,281	7,852,364


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			88,716,597	1	94,724,210
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			118,822,733	4	131,558,934
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			3,278,587	8	3,671,901
9	Prepaid expenses and deferred charges ............			3,937,867	9	3,697,869
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	557,020,830
b	Less: accumulated depreciation. .....	10b	333,080,656	211,417,940	10c	223,940,174
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			858,986	12	1,165,091
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			2,362,713	15	5,025
16	Total assets. Add lines 1 through 15 (must equal line 34)...			429,395,423	16	458,763,204
17	Accounts payable and accrued expenses .			144,000,283	17	141,288,851
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			10,539,079	25	8,014,219
26	Total liabilities. Add lines 17 through 25.....			154,539,362	26	149,303,070
	Organizations that follow SFAS 117, check here 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, check here 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 .....			203,416,365	31	238,022,801
32	Retained earnings, endowment, accumulated income, or other funds			71,439,696	32	71,437,333
33	Total net assets or fund balances .....			274,856,061	33	309,460,134
34	Total liabilities and net assets/fund balances .....			429,395,423	34	458,763,204