TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JON L PRYOR MD MBA...................................................................... CEO	40.00 .................	X	X	833,995	0	56,185
(2) DOUGLAS B BRUNETTE MD...................................................................... DIRECTOR - P	40.00 .................	X		473,987	0	44,031
(3) TARA GUSTILO MD...................................................................... DIRECTOR - P	32.00 .................	X		281,863	0	41,329
(4) CHRISTOPHER PUTO PHD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(5) SHARON SAYLES BELTON...................................................................... BOARD CHAIR	2.00 .................	X		0	0	0
(6) JANIS CALLISON MA JD...................................................................... DIRECTOR	2.00 ................. 40.00	X		0	105,606	16,519
(7) RANDY JOHNSON JD...................................................................... DIRECTOR	2.00 ................. 40.00	X		0	106,163	22,956
(8) SAMUEL E CARLSON MD FACP...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(9) DAVID EBEL MA...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(10) BRIAN RANALLO...................................................................... CHAIR- FINA	2.00 .................	X		0	0	0
(11) SHEILA RIGGS DDS DMSC...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(12) KRIS PETERSEN MBA...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(13) DIANA VANCE-BRYAN JD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(14) JACOB GAYLE PHD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(15) DAVID YBARRA II...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(16) KATHY TUNHEIM...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(17) LARRY A KRYZANIAK MS...................................................................... CFO	40.00 .................		X	471,979	0	36,310

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) NANCY GARRETT PHD........................................................................ CHIEF ANALYT	40.00 .......................	X		307,166	0	46,501
(19) SCOTT WORDELMAN FACHE........................................................................ VP AMBULATOR	40.00 .......................	X		393,491	0	36,961
(20) STEVEN P STERNER MD FACEP........................................................................ CHIEF PROVID	40.00 .......................	X		435,025	0	42,923
(21) WILLIAM G HEEGAARD MD........................................................................ CHIEF CLINIC	40.00 .......................	X		457,497	0	47,338
(22) KATHY WILDE RN MA........................................................................ CHIEF NURSIN	40.00 .......................	X		380,825	0	35,954
(23) MICHAEL B BELZER MD........................................................................ CHIEF MEDICA	40.00 .......................	X		459,454	0	42,935
(24) WALTER T CHESLEY JD........................................................................ VP HUMAN RES	40.00 .......................	X		310,833	0	42,092
(25) CONSTANTIN N STARCHOOK MD........................................................................ PHYSICIAN	40.00 .......................		X	714,167	0	44,031
(26) CHARLES L TRUWIT MD........................................................................ PHYSICIAN CH	40.00 .......................		X	695,445	0	44,031
(27) BARBARA KNOLL MD........................................................................ PHYSICIAN	40.00 .......................		X	639,728	0	26,900
(28) ANTHONY L SEVERT MD........................................................................ PHYSICIAN -	40.00 .......................		X	636,550	0	44,031
(29) CHRISTOPHER S PALMER MD........................................................................ PHYSICIAN -	40.00 .......................		X	635,934	0	44,031

(A) Name and business address	(B) Description of services	(C) Compensation
BWBR ARCHITECTS INC 380 ST PETER STREET SUITE 600 ST PAUL,MN55102	ARCHITECTURE	8,687,040
UNIVERSITY OF MINNESOTA 1425 UNIVERSITY AVENUE SE MINNEAPOLIS,MN55455	PHYSICIAN SVCS	6,760,350
M A MORTENSON COMPANY 700 MEADOW LANE NORTH MINNEAPOLIS,MN55422	CONSTRUCTION	4,870,492
EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE,WI53288	INFO TECHNOLOGY	4,160,474
DATALINK CORPORATION 10050 CROSSTOWN CIRCLE SUITE 500 EDEN PRAIRIE,MN55344	IT MAINTENANCE	3,771,568
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 186

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
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 described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. If the organization did not check a 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN HEALTHCARE SYSTEM INC

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN HEALTHCARE SYSTEM INC		Employer identification number 42-1707837

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN HEALTHCARE SYSTEM INC			Employer identification number 42-1707837
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

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 SchCMd Bullet

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) ...............................................	144,041
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	144,041
d	Other exempt purpose expenditures .........................................................................................	888,070,588
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	888,214,629
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	134,460	206,597	187,527	144,041	672,625

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	134,460	206,597	187,527	144,041	672,625

Schedule C (Form 990 or 990-EZ) 2015

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 on 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART IV	SCHEDULE C, PART 1-A, LINE 1 HENNEPIN HEALTHCARE SYSTEM INC.'S (HHS INC.) HAS A SERVICE AGREEMENT IN FORCE WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASSROOT LOBBYING SERVICES RELATED TO HHS INC.'S MISSION AND PURPOSE. IN ADDITION, HHS INC. IS ASSOCIATED WITH ORGANIZATIONS SUCH AS MINNESOTA HOSPITAL ASSOCIATION, AMERICA'S ESSENTIAL HOSPITALS, AND THE NATIONAL ASSOCIATION OF CHILDREN HOSPITALS WHICH ENGAGE IN LOBBYING ACTIVITIES AT THE STATE AND NATIONAL LEVEL ON BEHALF OF ITS MEMBER ENTITIES. THE GRASSROOTS LOBBYING EXPENSES ARE MADE UP AS BELOW: HENNEPIN COUNTY IGR PAYMENTS 130,000 MINNESOTA HOSPITAL ASSOCIATION 6,450 AMERICA'S ESSENTIAL HOSPITALS 3,900 NATIONAL ASSOCIATION OF CHILDREN HOSPITALS 3,691 TOTAL GRASSROOTS LOBBYING EXPENDITURE 144,041

Return Reference

Explanation

SCHEDULE C, PART IV

SCHEDULE C, PART 1-A, LINE 1 HENNEPIN HEALTHCARE SYSTEM INC.'S (HHS INC.) HAS A SERVICE AGREEMENT IN FORCE WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASSROOT LOBBYING SERVICES RELATED TO HHS INC.'S MISSION AND PURPOSE. IN ADDITION, HHS INC. IS ASSOCIATED WITH ORGANIZATIONS SUCH AS MINNESOTA HOSPITAL ASSOCIATION, AMERICA'S ESSENTIAL HOSPITALS, AND THE NATIONAL ASSOCIATION OF CHILDREN HOSPITALS WHICH ENGAGE IN LOBBYING ACTIVITIES AT THE STATE AND NATIONAL LEVEL ON BEHALF OF ITS MEMBER ENTITIES. THE GRASSROOTS LOBBYING EXPENSES ARE MADE UP AS BELOW: HENNEPIN COUNTY IGR PAYMENTS 130,000 MINNESOTA HOSPITAL ASSOCIATION 6,450 AMERICA'S ESSENTIAL HOSPITALS 3,900 NATIONAL ASSOCIATION OF CHILDREN HOSPITALS 3,691 TOTAL GRASSROOTS LOBBYING EXPENDITURE 144,041

Schedule C (Form 990 or 990EZ) 2015

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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

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

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on 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 XIII, 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)

Revenue included on 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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	2,956,178	2,754,332	2,187,882
b	Contributions ...
c	Net investment earnings, gains, and losses	196,839	183,917	566,450
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	3,153,016	2,956,178	2,754,332

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

59.710 %

Temporarily restricted endowment SchDMd Bullet

40.290 %

The percentages on 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" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	19,320,377		19,320,377
b	Buildings	369,426,195	235,801,104	133,625,091
c	Leasehold improvements	16,771,389	9,319,184	7,452,205
d	Equipment ...	211,123,233	151,354,104	59,769,129
e	Other ...	29,121,203	2,515,980	26,605,223
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				246,772,025

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
NET PENSION LIABILITY GASB 68	295,169,209
TAXES	5,993,461
RELATED PARTY PAYABLES	3,677,220
LEASE REVENUE REFUNDING CERTIFICATES	159,826
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	304,999,716
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	886,534,629
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	61,312
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	61,312
3	Subtract line 2e from line 1..................			3	886,473,317
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	30,376,250
c	Add lines 4a and 4b....................			4c	30,376,250
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	916,849,567

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	857,838,379
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e
3	Subtract line 2e from line 1...................			3	857,838,379
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	30,376,250
c	Add lines 4a and 4b.....................			4c	30,376,250
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	888,214,629

Part XIII

Supplemental Information

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

Return Reference	Explanation
SCHEDULE D, PAGE 2, PART V, LINE 4	THE ENDOWMENT CONSISTS ENTIRELY OF DONOR-RESTRICTED FUNDS ESTABLISHED TO SUPPORT RESEARCH ACTIVITIES AND THE NON-SURGERY ENDOWMENT. HHS, INC. POLICY PROVIDES FOR THE ABILITY TO APPROPRIATE FOR DISTRIBUTION EACH YEAR AN AGREED PROPORTION PLUS RELATED ACCUMULATED EARNINGS BASED UPON BALANCES OF THE PRECEDING YEAR AND MAINTAINING A RECOMMENDED PURCHASING POWER OF THE ENDOWMENT. DISTRIBUTIONS ARE NOT MADE IN PERIODS SUBSEQUENT TO A DETERMINATION THAT THE FAIR MARKET VALUE OF THE PERMANENTLY RESTRICTED NET ASSETS FALLS BELOW CORPUS.
SCHEDULE D, PAGE 4, PART XI, LINE 4B	BAD DEBT RECLASS 29,867,912 LOSS ON SALE/DISPOSAL OF ASSETS 242,449 RELATED PARTY REIMBURSEMENTS 265,889
SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT RECLASS 29,867,912 LOSS ON SALE/DISPOSAL OF ASSETS 242,449 RELATED PARTY REIMBURSEMENTS 265,889

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Part I

Financial Assistance 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) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

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

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

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

Financial Assistance and Means-Tested Government Programs		(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) . . .		14,473,358		14,473,358	1.630 %
b	Medicaid (from Worksheet 3, column a) . . . . .		375,682,912	337,404,183	38,278,729	4.310 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		390,156,270	337,404,183	52,752,087	5.940 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	20,962	3,513,496	2,450,257	1,063,239	0.120 %
f	Health professions education (from Worksheet 5) . . .	892	69,118,716	46,444,344	22,674,372	2.550 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		3,907		3,907
j	Total. Other Benefits . .	21,854	72,636,119	48,894,601	23,741,518	2.670 %
k	Total. Add lines 7d and 7j .	21,854	462,792,389	386,298,784	76,493,605	8.610 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(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	1,049,203	885,823	163,380	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1,049,203	885,823	163,380	0.020 %

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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

29,867,912

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

396,481

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

172,222,194

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

243,159,934

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

-70,937,740

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(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Other (Describe)
1	HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVENUE MINNEAPOLIS,MN55415 WWW.HCMC.ORG STATE LIC. 371559	X	X	X	X	X	X	LEVEL 1 TRAUMA HOSPITAL

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or letter of facility reporting group	HENNEPIN COUNTY MEDICAL CENTER

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.HCMC.ORG

Other website (list url): WWW.MNHOSPITALS.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.HCMC.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or letter of facility reporting group	HENNEPIN COUNTY MEDICAL CENTER

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWHCMCORG

The FAP application form was widely available on a website (list url):

WWWHCMCORG

A plain language summary of the FAP was widely available on a website (list url):
WWWHCMCORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or letter of facility reporting group	HENNEPIN COUNTY MEDICAL CENTER

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 3J	AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HHS IS REQUIRED TO PREPARE "A HEALTH SERVICES PLAN THAT DRAWS INPUT FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS." THE HEALTH SERVICES PLAN IS APPROVED ANNUALLY BY THE HHS, INC. BOARD AND THE HENNEPIN COUNTY BOARD OF COMMISSIONERS.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 5	QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED IN ORDER TO IDENTIFY COMMUNITY HEALTH NEEDS. THE PRIMARY QUANTITATIVE DATA SOURCE WAS THE 2010 SURVEY OF THE HEALTH OF ALL THE POPULATION AND THE ENVIRONMENT (SHAPE), CONDUCTED BY THE HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT. THE ADULT SURVEY COLLECTED RESPONSES FROM MORE THAN 7000 HENNEPIN COUNTY RESIDENTS, AND THE CHILD SURVEY COLLECTED RESPONSES FROM NEARLY 2200 HENNEPIN COUNTY RESIDENTS. THE RESULTS WERE REPORTED FOR HENNEPIN COUNTY AS A WHOLE AND FOR LOCAL GEOGRAPHIC AREAS WITHIN THE COUNTY. THE DATA WAS REPORTED BY DEMOGRAPHIC VARIABLES INCLUDING GENDER, AGE, GRADE LEVEL (WHERE APPLICABLE), AND HOUSEHOLD INCOME. HHS STAFF REVIEWED HENNEPIN COUNTY'S PUBLIC HEALTH ASSESSMENT ON-LINE COMMUNITY HEALTH ASSESSMENT INDICATORS, WHICH INCLUDE DATA FROM SHAPE, THE MINNESOTA STUDENT SURVEY, AND VITAL RECORDS INFORMATION. ADDITIONAL DATA SOURCES INCLUDED STATE- AND COUNTY-LEVEL MORBIDITY AND MORTALITY DATA FROM THE CENTER FOR DISEASE CONTROL AND MINNESOTA DEPARTMENT OF HEALTH, AS WELL AS 2012 MINNESOTA LGBT SURVEY DATA COLLECTED FROM 1867 RESPONDENTS BY THE RAINBOW HEALTH INITIATIVE. KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING SUMMER 2013 TO GATHER QUALITATIVE DATA AND CONSULT WITH COMMUNITY MEMBERS AND EXPERTS. HHS STAFF MET WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: -ANDREW RESIDENCE -CITY OF MINNEAPOLIS HEALTH DEPARTMENT -ELLIOT PARK NEIGHBORHOOD, INC. -HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT -MINNESOTA DEPARTMENT OF HEALTH, OFFICE OF MINORITY AND MULTICULTURAL HEALTH -MINNESOTA VISITING NURSE AGENCY / HOSPICE OF THE TWIN CITIES -NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE -PORTICO HEALTHNET -RAINBOW HEALTH INITIATIVE -UNIVERSITY OF MINNESOTA, DEPARTMENT OF PRIMARY DENTAL CARE INFORMATION WAS ALSO OBTAINED FROM THE 2012 COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) COLLABORATION CONVENED BY HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH. THE CHIP PROJECT ENGAGED COMMUNITY STAKEHOLDER ORGANIZATIONS TO IDENTIFY HEALTH NEEDS, OPPORTUNITIES AND PARTNERS FOR CHANGE, AND THE TOP FIVE STRATEGIC HEALTH ISSUES FOR HENNEPIN COUNTY. THE PROCESS INVOLVED A SURVEY COMPLETED BY 239 COMMUNITY ORGANIZATIONS DOING HEALTH-RELATED WORK AND THREE CHIP FORUM SESSIONS ATTENDED BY 110 INDIVIDUALS FROM MULTIPLE SECTORS SERVING HENNEPIN COUNTY. FINALLY, HHS STAFF PRESENTED THE DRAFT HEALTH SERVICES PLAN DOCUMENT TO PATIENTS AND THE COMMUNITY DURING TWO COMMUNITY HEALTH OPEN HOUSE EVENTS IN FALL 2013. FEEDBACK FROM PARTICIPANTS WAS INCORPORATED INTO THE FINAL DOCUMENT.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 11	HHS' 2014 HEALTH SERVICES PLAN LOCATED AT HTTP://WWW.HCMC.ORG/CS/GROUPS/PUBLIC/DOCUMENTS/WEBCONTENT/HCMC_P_050360.PDF DESCRIBES STRATEGIES TO ADDRESS THE SIGNIFICANT AREAS OF HEALTH NEED IDENTIFIED IN HHS' 2013 CHNA. THE FOLLOWING NARRATIVE DESCRIBES HOW NEEDS WERE ADDRESSED: ADDRESSING MATERNAL AND CHILD HEALTH AQU PARA T (APT) / HERE FOR YOU: STARTED IN 2002, THIS BICULTURAL, CLINIC-BASED, YOUTH DEVELOPMENT PROGRAM PROVIDES MEDICAL CARE, BEHAVIORAL HEALTH CONSULTATIONS, COACHING, HEALTH EDUCATION, AND REFERRALS TO LATINO YOUTH AND THEIR PARENTS. A MULTIDISCIPLINARY TEAM OF BILINGUAL, BICULTURAL PROVIDERS HELPS YOUTH AND THEIR PARENTS ACCESS CULTURALLY APPROPRIATE RESOURCES AND COACHES YOUTH TO AVERT PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS, REMAIN IN SCHOOL, AND IMPROVE FAMILY RELATIONSHIPS. HENNE-TEEN: BASED ON THE SUCCESSFUL MODEL OF AQU PARA T, THE GOAL OF THIS INITIATIVE IS TO ENSURE CONFIDENTIAL, TEEN-FRIENDLY HEALTH CARE THROUGHOUT HHS SYSTEM. 2015 EFFORTS INCLUDE IMPLEMENTING MODIFICATIONS TO THE ELECTRONIC HEALTH RECORD SYSTEM, MAKING IT POSSIBLE TO DOCUMENT, ORDER LABS, ORDER TREATMENTS, PROCESS BILLING AND PRINT OUT VISIT SUMMARIES WHILE PROTECTING TEEN CONFIDENTIALITY. SAFER SEX INITIATIVE: HHS PARTNERS WITH BETTER TOGETHER HENNEPIN AND THE FEDERAL OFFICE OF ADOLESCENT HEALTH TO PROVIDE THIS SEXUALLY TRANSMITTED INFECTION AND PREGNANCY PREVENTION PROGRAM AT THE DOWNTOWN PEDIATRIC CLINIC, OB/GYN CLINIC, AND THE RICHFIELD CLINIC. THE SAFER SEX INITIATIVE OFFERS YOUNG WOMEN A CHANCE TO MEET ONE-ON-ONE WITH A FEMALE HEALTH EDUCATOR WHO CAN HELP THEM WORK OUT WAYS TO STAY SAFE AND HEALTHY. IN 2014 -2015 THE PROGRAM WILL EXPAND ITS FOCUS TO INCLUDE GIRLS WHO ARE CURRENTLY PREGNANT AS WELL AS THOSE NOT YET SEXUALLY ACTIVE. BABY-FRIENDLY HOSPITAL DESIGNATION: HHS IS IN THE PROCESS OF BECOMING A BABY-FRIENDLY HOSPITAL, WHICH MEANS HHS WILL PROMOTE AND SUPPORT BREASTFEEDING BY IMPLEMENTING THE TEN STEPS TO SUCCESSFUL BREASTFEEDING AND FOLLOWING THE WORLD HEALTH ORGANIZATION'S INTERNATIONAL CODE FOR THE MARKETING OF BREAST MILK SUBSTITUTES. THIS INITIATIVE WILL ALLOW HHS TO BETTER SUPPORT NEW MOMS' BREASTFEEDING GOALS. CENTERINGPREGNANCY IS PRENATAL CARE IN A GROUP WITH OTHER WOMEN WHO ARE ALSO PREGNANT. GROUPS OF 8-12 WOMEN ARE SEEN TOGETHER THROUGHOUT THEIR ENTIRE PREGNANCIES. GROUP SESSIONS, AVAILABLE IN BOTH ENGLISH AND SPANISH, ARE LED BY A DOCTOR OR MIDWIFE AND A PRENATAL EDUCATOR. GROUP PARTICIPANTS SPEND MORE TIME WITH THEIR PROVIDER AND WITH OTHERS WITH SIMILAR HEALTH CONCERNS, GIVING THEM AN OPPORTUNITY TO LEARN TOGETHER AND FROM EACH OTHER. RESEARCH SHOWS THAT OUTCOMES FOR PEOPLE GETTING CARE IN GROUP ARE UNIFORMLY BETTER THAN FOR THOSE IN TRADITIONAL CARE. MOTHER-BABY PROGRAM: THIS PROGRAM OPENED IN 2013 AND INCLUDES THE MOTHER- BABY HOPE LINE, A TRIAGE AND RESOURCE TELEPHONE "WARM" LINE WHICH PROVIDES MENTAL HEALTH ASSESSMENT FOR PREGNANT AND POSTPARTUM WOMEN; ASSESSMENT OF CONCERNS RELATED TO INFANT MENTAL HEALTH, MOTHER-BABY ATTACHMENT AND CAREGIVING CONCERNS; REFERRAL TO APPROPRIATE RESOURCES; AND BRIEF THERAPEUTIC INTERVENTIONS. IT ALSO INCLUDES THE MOTHER-BABY DAY HOSPITAL, AN INTENSIVE OUTPATIENT MENTAL HEALTH TREATMENT PROGRAM FOR PREGNANT WOMEN OR MOTHERS OF VERY YOUNG CHILDREN WHO ARE EXPERIENCING MODERATE OR SEVERE MENTAL HEALTH SYMPTOMS. PRIMARY CARE EARLY CHILDHOOD SOCIAL-EMOTIONAL SCREENING AND REFERRAL PARTNERSHIPS PROJECT: HHS' PEDIATRIC CLINIC IS PARTICIPATING AS A PILOT SITE IN THIS HENNEPIN COUNTY CHILDREN'S MENTAL HEALTH COLLABORATIVE PROJECT. CHILDREN'S LITERACY PROGRAM: HHS' CHILDREN'S LITERACY PROGRAM IS RESPONSIBLE FOR DISTRIBUTING MORE THAN 30,000 BOOKS EVERY YEAR ACROSS THE DOWNTOWN CAMPUS. CHILDREN'S SUMMER MEAL PROGRAM: THIS IS A FEDERALLY-FUNDED PROGRAM OPERATED NATIONALLY BY THE US DEPARTMENT OF AGRICULTURE AND ADMINISTERED LOCALLY BY THE MINNESOTA DEPARTMENT OF EDUCATION. THE PROGRAM PROVIDES NUTRITIOUS MEALS TO CHILDREN DURING SUMMER VACATION WHEN FREE OR REDUCED PRICE SCHOOL MEALS ARE NOT AVAILABLE. ADDRESSING SOCIAL CONNECTEDNESS THE AMERICAN INDIAN PATIENT ADVOCATE PROGRAM AT HHS STARTED IN 2010 AND CONTINUES TO PROVIDE SUPPORT FOR AMERICAN INDIAN PATIENTS AND THEIR FAMILIES. HHS COMMUNITY HEALTH WORKERS WORK TO REMOVE BARRIERS TO HEALTH CARE AND DEVELOP RELATIONSHIPS AND TRUST WITH THE COMMUNITIES THEY SERVE. THE PRIMARY ROLE OF COMMUNITY HEALTH WORKERS IS TO WORK AS A PART OF AN INTERDISCIPLINARY CARE TEAM TO PROVIDE CULTURAL- AND LANGUAGE-SPECIFIC NAVIGATION OF THE HEALTHCARE SYSTEM, CONNECT PATIENTS TO HHS AND COMMUNITY RESOURCES, SUPPORT PATIENTS IN SETTING AND ACHIEVING GOALS TO IMPROVE THEIR HEALTH, AND HELP ELIMINATE BARRIERS TO CARE. WORKING IN 14 CLINIC-BASED HEALTH CARE HOMES AND ELSEWHERE ACROSS THE ORGANIZATION, THEY PROVIDE CARE COORDINATION TO PATIENTS WITH VARIED PSYCHOSOCIAL ISSUES AND DIVERSE BACKGROUNDS. FULL SPECTRUM OF MENTAL HEALTH SERVICES: HHS WILL CONTINUE TO OPERATE SERVICES AT FULL CAPACITY, INCLUDING INPATIENT PSYCHIATRY, ACUTE PSYCHIATRIC SERVICES, PARTIAL HOSPITAL PROGRAM, CHILD/ADOLESCENT CLINIC, DAY TREATMENT PROGRAM, WOMEN'S MENTAL HEALTH PROGRAM, PSYCHOLOGY, MOTHER- BABY PROGRAM, OCCUPATIONAL THERAPY, RECREATIONAL THERAPY AND SOCIAL SERVICES. HENNEPIN HEALTH IS AN INNOVATIVE, INTEGRATED, HEALTH CARE DELIVERY PROGRAM FOR ADULTS ELIGIBLE FOR MEDICAL ASSISTANCE AND WITHOUT DEPENDENT CHILDREN IN HENNEPIN COUNTY. THE PROGRAM TAKES A HOLISTIC VIEW, FOCUSING ON EACH MEMBER'S MEDICAL, MENTAL HEALTH, AND SOCIAL NEEDS. ADDRESSING NUTRITION, OBESITY, AND PHYSICAL ACTIVITY TAKING STEPS TOGETHER (TST): HHS' PEDIATRIC AND NUTRITION DEPARTMENTS CONTINUE THEIR SIX YEAR COMMITMENT TO PATIENT AND FAMILY CENTERED CARE THROUGH TST'S NUTRITION AND HEALTHY LIFESTYLE PROGRAM. OVER THE PAST SIX YEARS TST HAS SERVED OVER 500 HHS PATIENTS AND FAMILY MEMBERS. TST OFFERS COMMUNITY-BASED, CULTURALLY APPROPRIATE, SPANISH-ENGLISH BILINGUAL PROGRAMMING. THERAPEUTIC FOOD PHARMACY: CONTINUING IN 2015, THE HHS THERAPEUTIC FOOD PHARMACY ADDRESSES HUNGER AND FOOD INSECURITY AMONG PATIENTS AND FAMILIES, WITH A LONG TERM VISION OF A HUNGER-FREE HOSPITAL AND COMMUNITY WHERE ALL FAMILIES HAVE THE HEALTHFUL FOOD THEY NEED EVERY DAY. ONE OF ONLY TWO FOOD SHELVES IN THE NATION LOCATED IN A HOSPITAL SETTING, HHS' THERAPEUTIC FOOD PHARMACY PROVIDES SERVICES IN TWENTY HOSPITAL-BASED CLINICS AND SIX COMMUNITY CLINICS. WE CAN PREVENT DIABETES: THIS PROGRAM IS A JOINT PARTNERSHIP WITH THE MINNESOTA DEPARTMENT OF HEALTH AND MINNESOTA DEPARTMENT OF HUMAN SERVICES IN IDENTIFYING MN MEDICAID PATIENTS WHO HAVE A DIAGNOSIS OF PRE-DIABETES OR HAVE A SIGNIFICANT RISK FOR DEVELOPING TYPE 2 DIABETES. THE PROGRAM AIMS TO TEACH INDIVIDUALS HOW TO MAKE BETTER FOOD CHOICES AS WELL AS HOW TO INCREASE PHYSICAL ACTIVITY, WITH THE GOAL OF HELPING INDIVIDUALS AVOID DEVELOPING DIABETES.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 16I	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 HHS AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HHS HAS ISSUED A NEW BROCHURE "WHAT'S YOUR PLAN" THAT ASSISTS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. THESE BROCHURES ARE AVAILABLE THROUGHOUT THE CAMPUS. ANOTHER TOOL FOR PATIENTS IS ON THE HHS WEBSITE WWW.HCMC.ORG - "PATIENT BILLING PORTAL" FUNCTIONS AS AN ONLINE "WHAT'S YOUR PLAN" BROCHURE.
FACILITY 1, HENNEPIN HEALTHCARE SYSTEM, INC. - PART V, LINE 22D	PART III SECTION C LINE 9B HHS USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, HENNEPIN HEALTH, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HHS, AS A GOVERNMENT ENTITY, IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HHS 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. HHS USES THE FEDERAL POVERTY GUIDELINES TO CALCULATE BOTH FREE AND DISCOUNTED CARE.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address		Type of Facility (describe)
1	HCMC CLINICS - 43 CLINICS OUTPATIENT SPECIALTY CARE SERVICE 701 PARK AVENUE MINNEAPOLIS,MN55415	HOSPITAL-BASED UNDER NPI 1407897309
2	HCMC PHARMACIES - 6 LOCATIONS 701 PARK AVENUE MINNEAPOLIS,MN55415	PHARMACY SERVICES
3	HCMC-BE WELL CLINIC 300 SOUTH SIXTH STREET GOVERNMENT CENTER - A120 MINNEAPOLIS,MN55487	FREE STANDING CLINIC
4	HCMC-CONVENIENCE CARE AT WALMART 715 EAST 78TH STREET BLOOMINGTON,MN55420	FREE STANDING CLINIC
5	HCMC - GOLDEN VALLEY CLINIC 5653 DULUTH STREET GOLDEN VALLEY,MN55422	FREE STANDING CLINIC
6	PARKSIDE PATCH CLINIC 825 SOUTH 8TH STREET SUITE 1122 MINNEAPOLIS,MN55404	FREE STANDING CLINIC
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART II - COMMUNITY BUILDING ACTIVITIES	HHS PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. HHS 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 REGIONS (2.6 MN PEOPLE) HHS COORDINATES 30 HOSPITALS AND THEIR AFFILIATED CLINICS, LONG TERM CARE FACILITIES AND THE UNAFFILIATED CLINICS. HHS IS A PARTICIPANT IN THE SUSPECTED CHILD ABUSE AND NEGLECT TEAM (SCANT). SCANT IS A MULTI-DISCIPLINARY, INTERDEPARTMENTAL TEAM OF PROFESSIONALS FROM HHS, 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 ATTORNEY'S OFFICE, AND THE HENNEPIN COUNTY MEDICAL EXAMINER'S OFFICE. HHS IS A SITE FOR THE SUMMER MEALS PROGRAMS THROUGH THE US DEPARTMENT OF AGRICULTURE. APPROXIMATELY 42 CHILDREN RECEIVE FREE BREAKFAST OR LUNCH EVERY DAY DURING THE SUMMER.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	BAD DEBT EXPENSE IN THE AMOUNT OF 29,867,912 IS THE AMOUNT RECORDED DURING 2015 WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ON-GOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	THE COST OF CHARGES WRITTEN OFF AS BAD DEBT EXPENSE TOTALED 12,072,719 FOR 2015. 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 BAD DEBT EXPENSE. HHS, INC. COLLECTIONS/CUSTOMER 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 APPROPRIATE APPLICABLE DISCOUNT SHALL APPLY. FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS' NET AND GROSS INCOME AND FAMILY SIZE TO DETERMINE THE APPROPRIATE DISCOUNT. HHS, INC. USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	HHS INCLUDES DISCUSSION OF ACCOUNTS RECEIVABLE AND BAD DEBT EXPENSE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGE 9, 10 AND 15.
PART VI, LINE 4 - COMMUNITY INFORMATION	HHS IS A PUBLIC CORPORATION SAFETY NET HOSPITAL AND CLINIC SYSTEM 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 PATIENT'S ABILITY TO PAY FOR MEDICAL NECESSITY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	HHS PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM (MHCP) RECIPIENTS AND THE UNINSURED THAN DO OUR NON-TEACHING PEERS, NEARLY 50% OF HHS' VOLUME IS PROVIDED TO LOW INCOME POPULATIONS. HHS IS MINNESOTA'S LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN. HHS TREATS HENNEPIN COUNTY'S AND THE REGION'S MORE SEVERELY ILL PATIENTS, SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES. HHS' PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGION'S EMERGENCY PREPAREDNESS AND STAND-BY CAPABILITIES. HHS PROVIDES MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS INTENSIVE NEONATAL CARE, ORGAN TRANSPLANTATION, ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGION'S POPULATION. HHS FACILITATES THE TRANSITIONS OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM HEALTH CARE PROVISION SYSTEM AND HELPS TO RAISE THE REGIONAL HEALTH PROVISION STANDARDS.
ADDITIONAL INFORMATION	PART III LINE 8 MEDICARE IN THE COMMUNITY BENEFIT FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS, MEDICARE SHORTFALL IS CONSIDERED AN ADDITIONAL COMMUNITY CONTRIBUTION, NOT INCLUDED IN COMMUNITY BENEFIT. THE SHORTFALL IS CALCULATED BY SUBTRACTING MEDICARE REVENUE FROM MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DETERMINED BY MULTIPLYING ALL MEDICARE CHARGES BY THE 2015 COST TO CHARGE RATIO. PART III SECTION C LINE 9B HHS USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, HENNEPIN HEALTH, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HHS, AS A GOVERNMENT ENTITY, IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HHS 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.

Schedule H (Form 990) 2015

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) PHILLIPS EYE INSTITUTE 2215 PARK AVENUE MINNEAPOLIS,MN55404	36-3261413	501C3	12,510	EMERGENCY PREP
(2) RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA,MN55387	31-1667875	501C3	12,110	EMERGENCY PREP
(3) MAYO CLINIC HLTH SYSTEM NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE,MN56071	41-0723639	501C3	12,610	EMERGENCY PREP
(4) ST FRANCIS REGIONAL MEDICAL CENTER 1455 ST FRANCIS AVENUE SHAKOPEE,MN55379	41-0907986	501C3	12,510	EMERGENCY PREP
(5) FAIRVIEW HEALTH SERVICES 6401 FRANCE AVENUE SOUTH EDINA,MN55435	41-0991680	501C3	24,220	EMERGENCY PREP
(6) LAKEVIEW MEMORIAL HOSP ASSOCIATION 927 CHURCHILL STREET WEST STILLWATER,MN55082	41-0811697	501C3	10,740	EMERGENCY PREP
(7) NORTHFIELD HOSPITAL & CLINICS 2000 NORTH AVENUE NORTHFIELD,MN55057	41-6038368	501C3	13,818	EMERGENCY PREP
(8) UNITY HOSPITAL 550 OSBORNE ROAD FRIDLEY,MN55432	36-3261413	501C3	32,193	EMERGENCY PREP
(9) REGINA MEDICAL CENTER 1175 NININGER ROAD HASTINGS,MN55033	41-0740678	501C3	12,110	EMERGENCY PREP
(10) REGIONS HOSPITAL 640 JACKSON STREET ST PAUL,MN55101	41-0956618	501C3	12,110	EMERGENCY PREP
(11) MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DR MAPLE GROVE,MN55369	20-8316475	501C3	12,374	EMERGENCY PREP
(12) MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS,MN55433	36-3261413	501C3	33,473	EMERGENCY PREP
(13) GOOD SAMARITAN SOCIETY 8100 MEDICINE LAKE ROAD NEW HOPE,MN55427	41-1826602	501C3	5,089	EMERGENCY PREP
(14) UNITED HOSPITAL 333 NORTH SMITH AVENUE SAINT PAUL,MN55102	36-3261413	501C3	12,110	EMERGENCY PREP
(15) NORTH MEMORIAL HEALTH CARE 3500 FRANCE AVENUE NORTH SUITE 106 ROBBINSDALE,MN55422	41-0729979	501C3	13,110	EMERGENCY PREP
(16) CHILDREN'S HOSPS & CLINICS OF MN 2525 CHICAGO AVENUE MINNEAPOLIS,MN55404	41-1754276	501C3	26,220	EMERGENCY PREP
(17) STATE OF SOUTH DAKOTA SAD 133 BOX 2201 BROOKINGS,SD57007	46-6000364		40,637	EDUCATION & RESEARCH
(18) ABBOTT NORTHWESTERN HOSPITAL 800 E 29TH STREET MINNEAPOLIS,MN55407	36-3261413	501C3	12,110	EMERGENCY PREP
(19) HEALTHEAST CARE SYSTEM NW 7205 PO BOX 1450 MINNEAPOLIS,MN55485	36-3517697	501C3	12,110	EMERGENCY PREP
(20) UNIVERSITY OF MN MEDICAL CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454	41-0991680	501C3	24,220	EDUCATION & RESEARCH
(21) FRIDLEY CHILDREN'S & TEENAGE 500 OSBORNE ROAD NE STE 215 FRIDLEY,MN55432	41-1460025	501C3	8,385	EMERGENCY PREP
(22) GILLETTE CHILDREN' SPECIALTY 200 UNIVERSITY AVENUE EAST SAINT PAUL,MN55101	41-1200302	501C3	13,110	EMERGENCY PREP
(23) HEALTHEAST WOODWINDS HOSPITAL 1925 WOODWINDS DRIVE WOODBURY,MN55125	41-1592761	501C3	12,110	EMERGENCY PREP
(24) ST JOHN'S HOSPITAL 1575 BEAM AVENUE MAPLEWOOD,MN55379	41-1456897	501C3	12,110	EMERGENCY PREP
(25) ST JOSEPH'S HOSPITAL 45 W 10TH STREET ST PAUL,MN55102	41-0693880	501C3	12,110	EMERGENCY PREP
(26) BOIS FORTE RESERVATION TRIBAL GOVT 5344 LAKESHORE DRIVE NETT LAKE,MN55772	41-0954784	501C3	9,336	TRIBAL OUTREACH SVCS

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

SCHEDULE I, PAGE 1, PART I, LINE 2

THE HENNEPIN HEALTH FOUNDATION RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT FOR HENNEPIN HEALTHCARE SYSTEM, INC. THE SUPPORT INCLUDES A GRANT MANAGEMENT DEPARTMENT WHICH COORDINATES THE TASK OF MONITORING GRANT RECEIPTS AND GRANT DISBURSEMENTS FROM FEDERAL, STATE, LOCAL OR INDIVIDUAL TO BENEFICIARIES. THE HENNEPIN HEALTH FOUNDATION WORKS CLOSELY WITH HHS TO ENSURE PROPER CONTROLS ARE IN PLACE BY USE OF RECONCILIATIONS AND COMPLIANCE MONITORING AND REPORTING.

Schedule I (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
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 on 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 of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

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

Yes

Any related organization?

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

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

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

For persons listed on 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 on 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" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1JON L PRYOR MD MBACEO	(i) (ii)	764,675 -------------	68,804 -------------	516 -------------	39,750 -------------	16,435 -------------	890,180 -------------	-------------
2DOUGLAS B BRUNETTE MDDIRECTOR - PHYSICIAN	(i) (ii)	462,173 -------------	11,022 -------------	792 -------------	23,320 -------------	20,711 -------------	518,018 -------------	-------------
3TARA GUSTILO MDDIRECTOR - PHYSICIAN	(i) (ii)	275,121 -------------	6,562 -------------	180 -------------	23,320 -------------	18,009 -------------	323,192 -------------	-------------
4LARRY A KRYZANIAK MSCFO	(i) (ii)	444,620 -------------	26,567 -------------	792 -------------	19,875 -------------	16,435 -------------	508,289 -------------	-------------
5NANCY GARRETT PHDCHIEF ANALYTICS OFF	(i) (ii)	289,969 -------------	17,017 -------------	180 -------------	26,500 -------------	20,001 -------------	353,667 -------------	-------------
6SCOTT WORDELMAN FACHEVP AMBULATORY ADMIN	(i) (ii)	371,834 -------------	21,141 -------------	516 -------------	26,500 -------------	10,461 -------------	430,452 -------------	-------------
7STEVEN P STERNER MD FACEPCHIEF PROVIDER SERV	(i) (ii)	413,684 -------------	19,817 -------------	1,524 -------------	26,500 -------------	16,423 -------------	477,948 -------------	-------------
8WILLIAM G HEEGAARD MDCHIEF CLINICAL OFF	(i) (ii)	446,053 -------------	11,191 -------------	253 -------------	26,500 -------------	20,838 -------------	504,835 -------------	-------------
9KATHY WILDE RN MACHIEF NURSING OFF	(i) (ii)	360,257 -------------	19,776 -------------	792 -------------	19,875 -------------	16,079 -------------	416,779 -------------	-------------
10MICHAEL B BELZER MDCHIEF MEDICAL OFF	(i) (ii)	431,976 -------------	25,954 -------------	1,524 -------------	26,500 -------------	16,435 -------------	502,389 -------------	-------------
11WALTER T CHESLEY JDVP HUMAN RESOURCES	(i) (ii)	292,995 -------------	17,046 -------------	792 -------------	26,500 -------------	15,592 -------------	352,925 -------------	-------------
12CONSTANTIN N STARCHOOK MDPHYSICIAN	(i) (ii)	697,115 -------------	16,932 -------------	120 -------------	23,320 -------------	20,711 -------------	758,198 -------------	-------------
13CHARLES L TRUWIT MDPHYSICIAN CHIEF	(i) (ii)	677,710 -------------	16,943 -------------	792 -------------	23,320 -------------	20,711 -------------	739,476 -------------	-------------
14BARBARA KNOLL MDPHYSICIAN	(i) (ii)	624,435 -------------	15,017 -------------	276 -------------	23,320 -------------	3,580 -------------	666,628 -------------	-------------
15ANTHONY L SEVERT MDPHYSICIAN - MANAGING	(i) (ii)	621,362 -------------	15,008 -------------	180 -------------	23,320 -------------	20,711 -------------	680,581 -------------	-------------
16CHRISTOPHER S PALMER MDPHYSICIAN - MANAGING	(i) (ii)	620,800 -------------	15,014 -------------	120 -------------	23,320 -------------	20,711 -------------	679,965 -------------	-------------

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
SCHEDULE J, PAGE 1, PART I, LINE 5A	ELIGIBLE AND QUALIFYING EMPLOYEES ARE COMPENSATED BASED UPON ACHIEVEMENT OF PRE-ESTABLISHED CRITERIA AROUND ITEMS SUCH AS QUALITY OF CARE, PATIENT VOLUMES, AND FINANCIAL SUCCESS. THE CONTINGENT COMPENSATION MAY BE TIED TO FINANCIAL MEASURES. THE BOARD OF DIRECTORS RETAINS THE RIGHT TO DETERMINE AND AWARD ANY AND ALL INCENTIVE PAYMENTS.

Schedule J (Form 990) 2015

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	HENNEPIN HEALTHCARE SYSTEM, INC. (HEREAFTER HHS) IS GOVERNED BY A 14-MEMBER BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR OVERSIGHT OF POLICY AND OPERATING ACTIVITIES. THE HENNEPIN COUNTY OF MINNESOTA RETAINS OWNERSHIP OF THE HHS FACILITIES. THE HENNEPIN COUNTY BOARD OF COMMISSIONERS OVERSEES CERTAIN GOVERNING RIGHTS AND OBLIGATIONS, INCLUDING OVERSIGHT OF THE SAFETY NET MISSION AND REVIEW AND APPROVAL OF HHS' BOARD MEMBERS, ANNUAL OPERATING BUDGET, HEALTH SERVICES PLAN AND CAPITAL BUDGET. DURING THE YEAR 2015, HHS COMMISSIONED THE CONSTRUCTION OF A NEW 220.8 CLINIC AND SPECIALTY BUILDING, WHICH WILL CONSOLIDATE HCMC'S EXISTING DOWNTOWN CLINICS IN ONE STATE OF THE ART, SIX-STORY FACILITY AIMED AT IMPROVING CARE, EFFICIENCIES, AND THE PATIENT EXPERIENCE WITHIN THE MAIN CAMPUS COMMUNITY. HHS IS AN ESSENTIAL COMMUNITY PROVIDER AS DESIGNATED BY THE MINNESOTA DEPARTMENT OF HEALTH. HHS IS COMMITTED TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE FOR LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY OF MINNESOTA. AS A LEADER IN EMERGENCY AND TRAUMA CARE, HHS PROVIDES STATE- OF-THE-ART TRAUMA CARE SERVICES TO ALL ITS PATIENTS. HHS PRIDES ITSELF IN BEING A CENTER FOR INNOVATIVE AND TECHNICALLY- SOPHISTICATED SERVICES. THIS IS ESSENTIAL NOT ONLY BECAUSE OF THE TRAINING PROVIDED TO PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS, BUT ALSO BECAUSE IT IS OFTEN THE SITE FROM WHICH NEW THERAPIES, SURGERIES, AND TECHNOLOGIES TO TREAT AND CURE PATIENTS EMERGE. HHS TRAINS HEALTHCARE WORKERS FROM ACROSS THE STATE OF MINNESOTA. IN 2015, HHS OFFERED OVER 54,000 CME'S TO PHYSICIANS. THE NEW CENTER FOR LEARNING INTEGRATION (CLI) CREATED IN 2015 IS MEANT TO COORDINATE, DESIGN AND INTEGRATE EXCELLENT LEARNING THROUGHOUT THE ORGANIZATION WITH THE PRIORITY GOAL TO ACHIEVE IMPROVED QUALITY, SAFETY AND EXPERIENCE OUTCOMES. HHS OPERATES THE INTERDISCIPLINARY SIMULATION AND EDUCATION CENTER (ISEC), A MULTIDISCIPLINARY TRAINING CENTER THAT HOSTS EDUCATIONAL PROGRAMS FOR NURSES, PHYSICIANS, PRE-HOSPITAL PROVIDERS, AND OTHER ALLIED HEALTH PROFESSIONALS FROM HHS AND ACROSS THE REGION. IT IS A GUIDED, SAFE ENVIRONMENT FOR HEALTHCARE PROFESSIONALS TO PRACTICE REAL-LIFE MEDICAL SITUATIONS AND PROCEDURES VIA STATE-OF-THE-ART SIMULATION EQUIPMENT. HHS EMPHASIZES TRAINING THE FUTURE HEALTHCARE WORKFORCE IN LIGHT OF COMMUNITY HEALTH NEEDS. THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER, ESTABLISHED IN 2013, CONTINUES TO PROVIDE ORGANIZATIONAL STRUCTURE IN LIGHT OF THE INCREASING ROLE OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT HHS. HHS CONTINUES TO COOPERATE WITH METROPOLITAN STATE UNIVERSITY IN PROVIDING THE DENTAL THERAPIST PROGRAM WHICH FOCUSES ON ADVANCED DENTAL THERAPY TRAINING OPPORTUNITIES IN GENERAL AND PEDIATRIC DENTISTRY AS WELL AS ORAL SURGERY. ADDITIONALLY, HHS' EMERGENCY MEDICAL SERVICES PARTNERS WITH HENNEPIN TECHNICAL COLLEGE'S COMMUNITY PARAMEDIC CERTIFICATION TRAINING PROGRAM TO PROVIDE STUDENTS WITH RELEVANT CLINICAL EXPERIENCE. COMMUNITY PARAMEDICS IS A NEW HEALTHCARE ROLE THAT APPLIES AND EXPANDS PARAMEDIC SKILLS TO PREVENTATIVE AND PRIMARY CARE MEDICINE, CLOSING THE GAP BETWEEN EMERGENCY CARE AND PRIMARY CARE NEEDS BY PROVIDING COMMUNITY-BASED HEALTH SERVICES TO UNDERSERVED POPULATIONS. COMMUNITY PHYSICIANS AND OTHER PRACTITIONERS FROM ACROSS MINNESOTA COME TO HHS FOR CONTINUING MEDICAL EDUCATION TRAINING COURSES AND TO KEEP THEIR SKILLS AND KNOWLEDGE SHARP. HHS IS THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROVIDER ACCREDITED BY THE MINNESOTA MEDICAL ASSOCIATION. HHS' EMERGENCY MEDICINE EDUCATION STAFF WORKS WITH 4200 STUDENTS AND CONDUCT OVER 59,000 STUDENT HOURS OF INSTRUCTION ANNUALLY, INCLUDING A FULL-TIME PARAMEDIC EDUCATION PARTNERSHIP WITH RIDGEWATER COLLEGE CAMPUSES IN WILLMAR AND HUTCHINSON. HHS ALSO CONDUCTS ON-SITE TRAINING AT THE REQUEST OF RURAL HOSPITALS AND CLINICS AND HAS ESTABLISHED RELATIONSHIPS WITH OTHER DESIGNATED TRAUMA CENTERS AND EMERGENCY DEPARTMENTS IN GREATER MINNESOTA. THE HHS EMERGENCY DEPARTMENT MAINTAINS A FREE ONLINE DATABASE OF DIVERSE TEACHING MATERIALS INCLUDING INSTRUCTIONAL VIDEOS, LECTURES, CRITICAL CARE CONFERENCE PRESENTATIONS AND VIDEOS, MEDICAL BLOGS, AND EDUCATIONAL LINKS, ALL UTILIZED BY PRACTITIONERS AROUND THE WORLD. RESEARCH AT MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS ALWAYS HAD A VERY DELIBERATE EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. THIS FOCUS DISTINGUISHES MMRF/HHS FROM OTHER RESEARCH INSTITUTIONS IN THE STATE, DIRECTLY BENEFITS PATIENTS, AND CREATES STRONG LINKS WITHIN THE COMMUNITY. MMRF-COORDINATED RESEARCH FOCUS INCLUDES ADDICTION MEDICINE AND TOBACCO DEPENDENCE TREATMENT, BONE INFECTIONS AND HEALING, CANCER BIOLOGY, CHRONIC KIDNEY DISEASES, COGNITIVE ISSUES IN AGING, DIABETES AND OBESITY, DISPARITIES IN HEALTH CARE DELIVERY AND OUTCOMES, EMERGENCY MEDICINE, HEART FAILURE, HIV/AIDS, LIVER DISEASE, PEDIATRIC DISEASE PREVENTION, FOOD SECURITY, TRANSPLANT AVAILABILITY AND OUTCOMES AND TRAUMATIC BRAIN INJURY. DURING 2015, RESEARCHERS AT HHS AND THE UNIVERSITY OF MINNESOTA LAUNCHED AN INNOVATIVE, COMPREHENSIVE STUDY IN COLLABORATION WITH ABBOTT TO BETTER IDENTIFY THE RANGE OF BRAIN INJURIES AMONG PATIENTS. LED BY DR. UZMA SAMADANI, AN INTERNATIONALLY RECOGNIZED NEUROSURGEON AND TRAUMATIC BRAIN INJURY RESEARCHER, IT IS HOPED THAT BY USING MULTIPLE EVALUATION TOOLS, INCLUDING EYE TRACKING, BLOOD-BASED BIOMARKERS, IMAGING AND COGNITIVE MEASURES, SCIENTISTS WILL DEVELOP A NEW STANDARD APPROACH TO HELP CLASSIFY BRAIN INJURIES, INCLUDING CONCUSSIONS, AND PROVIDE THE INFORMATION NEEDED TO GUIDE DOCTORS' TREATMENT DECISIONS. HHS' RESOURCES FOR MEDICAL RESEARCH ARE COORDINATED AND SUPPORTED THROUGH THE HENNEPIN HEALTH FOUNDATION. THE HENNEPIN HEALTH FOUNDATION CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS WHICH IS TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HENNEPIN HEALTH FOUNDATION-COORDINATED RESEARCH FOCUSES INCLUDE CLINICAL INNOVATIONS IN CHRONIC DISEASE MANAGEMENT AND CLINICAL-COMMUNITY PARTNERSHIPS TO IMPROVE PUBLIC HEALTH.
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERING AT HHS, INC GIVES PEOPLE THE OPPORTUNITY TO WORK WITHIN OUR COMMUNITY OF DIVERSE VOLUNTEERS, STAFF, VISITORS AND PATIENTS. VOLUNTEERS HELP SUPPLEMENT AND ENHANCE HOSPITAL SERVICES AND PROGRAMS. A VOLUNTEER SERVICES COORDINATOR WILL WORK WITH A VOLUNTEER TO FIND A POSITION THAT FITS THEIR SCHEDULE AND INTERESTS FROM AMONG VARIOUS OPENINGS. THE REPORTED VOLUNTEERS INCLUDE NINE (9)UNCOMPENSATED, INDEPENDENT BOARD MEMBERS WHO SERVED DURING THE YEAR 2015.
FORM 990, PAGE 6, PART VI, LINE 6	AS PER THE CORPORATE BYLAWS, THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS; A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE CORPORATION IS THE COUNTY OF HENNEPIN OF MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS.
FORM 990, PAGE 6, PART VI, LINE 7A	THE GOVERNING MEMBER, COUNTY OF HENNEPIN, MINNESOTA HAS RETAINED THE RIGHTS, DUTIES AND PRIVILEGES SPECIFIED UNDER THE BYLAWS OF HHS UPTO AND INCLUDING THE AUTHORITY TO APPOINT THE DIRECTORS OF HHS. THE HHS BOARD OF DIRECTORS IS EMPOWERED TO EXECUTE THE RIGHTS, DUTIES AND PRIVILEGES OF THE CORPORATION TO THE EXTENT AS SPECIFIED IN HHS BYLAWS.
FORM 990, PAGE 6, PART VI, LINE 7B	AS EXPLAINED IN PART VI LINE 7A, THE GOVERNING MEMBER, HENNEPIN COUNTY OF MN RETAINS THE APPROVAL RIGHTS TO APPOINTING THE HHS BOARD OF DIRECTORS, THE HHS BUDGET, ANY ADDITIONAL INDEBTEDNESS, FINANCE COMMITTEE RECOMMENDATIONS AND EXECUTIVE COMMITTEE AS WELL AS APPROVING THE ANNUAL HHS HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW.
FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 IS COMPLETED AND REVIEWED INTERNALLY FOR ACCURACY, COMPLETENESS AND VALIDITY. THE FORM 990 IS THEN REVIEWED BY THE HHS BOARD OF DIRECTORS AND THE FINANCE COMMITTEE. ANY QUESTIONS THAT THE BOARD HAS ARE ANSWERED BY THE NEXT MEETING BEFORE APPROVAL. AT THE MONTHLY BOARD MEETING, THE FORM 990 IS FORMALLY APPROVED VIA A LINE ITEM MOTION. IT IS THEN SIGNED AND FILED ELECTRONICALLY AS REQUIRED BY THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C	HHS HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES THAT AN INTERESTED PERSON WHO IS A DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST DISCLOSE IN WRITING WHEN POSSIBLE, OR ORALLY WHEN TIME DOES NOT ALLOW FOR WRITTEN DISCLOSURE. THE EXISTENCE AND NATURE OF HIS/HER RELATIONSHIP OR MATERIAL FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AT OR PRIOR TO THE MEETING OF THE BOARD OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE THE MEETING. COPIES OF DISCLOSURES ARE MAINTAINED BY CORPORATE LEGAL COUNSEL WHO ALSO DOES MONITORING. EVERY YEAR THE ORGANIZATION IS AUDITED SEPARATELY FROM HENNEPIN COUNTY OF MINNESOTA AND A SEPARATE AUDIT REPORT IS PREPARED AND PRESENTED TO THE BOARD OF DIRECTORS AND TO THE HENNEPIN COUNTY, MN BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15A	HHS BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER TOP OFFICIALS. THE COMPARABLE DATA COLLECTED BY THE INDEPENDENT CONSULTING FIRM EXPERT RELEVANTLY APPLIES REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC LOCATION IN DELINEATING THE COMPARISON GROUP. THE DATA IS REVIEWED BY THE COMPENSATION SUBCOMMITTEE AND FURTHER SUBMITTED FOR DISCUSSION AND APPROVAL BY THE HHS, INC. BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE EPLANATION IN PART VI LINE 15A
FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	MVNA NET ASSETS TRANSFERRED 11,371,141 HOTC NET ASSETS TRANSFERRED 4,752,353 NET PENSION LIABILITY GASB 68 -296,122,553 TOTAL -279,999,059 PENSION GASB68 NET LIABILITY AS A RESULT OF HHS' ADOPTION OF GASB STATEMENT NO. 68 (GASB 68), BEGINNING NET ASSETS WERE RESTATED TO REFLECT A DECREASE OF 296,122,553. GASB 68 REQUIRES THAT HHS REPORT A NET PENSION LIABILITY, AS WELL AS RELATED DEFERRED OUTFLOWS AND INFLOWS OF RESOURCES, IN ITS FINANCIAL STATEMENTS. THE RESTATEMENT INCORPORATED THE CUMULATIVE EFFECT OF PENSION ACTIVITY IN PERIODS PRIOR TO 2015. THE REPORTED PENSION OBLIGATIONS RELATE TO HHS PARTICIPATION IN MULTI-EMPLOYER DEFINED BENEFIT PENSION PLANS ADMINISTERED BY THE PUBLIC EMPLOYEES RETIREMENT ASSOCIATION OF MINNESOTA (PERA). ALTHOUGH GASB68 REQUIRES HHS TO REPORT THE NET PENSION LIABILITY AND RELATED AMOUNTS, HHS IS NOT LEGALLY LIABLE FOR THESE AMOUNTS AND ITS ACTUAL CONTRIBUTIONS TO THE PERA PLANS ARE NOT IMPACTED BY THIS CHANGE IN RECOGNITION AND REPORTING. INTEGRATION OF MVNA & HOTC EFFECTIVE JANUARY 1, 2015, HHS ACQUIRED MINNESOTA VISITING NURSES ASSOCIATION (MVNA) AND ITS AFFILIATE HOSPICE OF THE TWIN CITIES (HOTC). FULL INTEGRATION IS EFFECTIVE JANUARY 1, 2016. MVNA WAS ORGANIZED TO IMPROVE LIVES AT EVERY AGE THROUGH HOME AND COMMUNITY HEALTH SERVICES PRIMARILY IN HENNEPIN COUNTY OF MINNESOTA. HOTC WAS ORGANIZED TO ENHANCE THE QUALITY OF LIFE FOR PATIENTS, FAMILIES, AND CAREGIVERS BY PROVIDING RESPECTFUL CARE BASED ON MAINTAINING DIGNITY AND ALLEVIATING PHYSICAL, PSYCHOSOCIAL, AND SPIRITUAL SUFFERING. SUCCESSFUL INTEGRATION OF MVNA AND HOTC WILL ENHANCE CRITICAL INNOVATIVE COMMUNITY HEALTH SERVICES COMMUNITY AND END-OF-LIFE SERVICES TO OUR PATIENTS. FOLLOWING THE FULL INTEGRATION, THE FOLLOWING TRANSFERS OF NET ASSETS IS RECORDED IN DECEMBER 31, 2015. MVNA NET ASSETS ADJUSTMENT DUE TO MERGER WITH HHS 11,371,141 HOTC NET ASSETS ADJUSTMENT DUE TO MERGER WITH HHS 4,752,353
FORM 990, PAGE 12, PART XII, LINE 3B	AS A RESULT OF HHS'S RELATIONSHIP WITH THE HENNEPIN COUNTY OF MINNESOTA, SINGLE AUDIT ACT REQUIREMENTS ARE SATISFIED VIA INCLUSION WITHIN HENNEPIN COUNTY'S SINGLE AUDIT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC
HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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	GRANTS MGT	MN	501C3	11A	HHS INC	Yes
(2)MINNEAPOLIS MED RESEARCH FOUNDATION 701 PARK AVENUE PP7700 MINNEAPOLIS,MN55415 41-1677920	RESEARCH	MN	501C3	4	HHS INC	Yes
(3)MN VISITING NURSES ASSOCIATION 2000 SUMMER ST NE SUITE 100 MINNEAPOLIS,MN55413 41-0693895	HEALTHCARE	MN	501C3	7	HHS INC	Yes
(4)HOSPICE OF THE TWIN CITIES INC 2000 SUMMER ST NE SUITE 100 MINNEAPOLIS,MN55413 03-0464240	HEALTHCARE	MN	501C3	9	MVNA	Yes
(5)METROPOLITAN HEALTH PLAN 400 SOUTH FOURTH STREET SUITE 201 MINNEAPOLIS,MN55415	GOV'T UNIT	MN		6	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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 V-UBI 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 V-UBI 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

Yes

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 Dividends from related organization(s) ............................

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MINNEAPOLIS MED RESEARCH FOUNDATION	B	500,000	CASH
(2) MINNEAPOLIS MED RESEARCH FOUNDATION	P	458,757	CASH
(3) MINNEAPOLIS MED RESEARCH FOUNDATION	O	3,091,934	CASH
(4) MINNEAPOLIS MED RESEARCH FOUNDATION	A	738,921	CASH
(5) MINNEAPOLIS MED RESEARCH FOUNDATION	R	79,055	CASH
(6) MN VISITING NURSES ASSOCIATION	S	4,791,853	FAIR VALUE
(7) MN VISITING NURSES ASSOCIATION	O	3,806,638	CASH
(8) HOSPICE OF THE TWIN CITIES INC	S	1,396,600	FAIR VALUE
(9) HOSPICE OF THE TWIN CITIES INC	O	513,507	CASH
(10) HENNEPIN HEALTH FOUNDATION	C	1,063,308	CASH
(11) METROPOLITAN HEALTH PLAN	Q	39,189,298	CASH

Schedule R (Form 990) 2015

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R

HHS, INC (HEREAFTER REFERRED TO AS HHS) SUPPORTS THE HENNEPIN HEALTH FOUNDATION BY PROVIDING SPACE FOR OFFICES, GIFT SHOPS, COFFEE SHOPS, AND FOR DISPLAY AND STORAGE OF COLLECTIONS OF THE HENNEPIN HISTORICAL CENTER AND THE INSPIRE ARTS PROGRAM. HHS INCURS EXPENSES FOR ALL ADMINISTRATION COSTS, STAFF, INFORMATION TECHNOLOGY SYSTEMS, OFFICE SUPPLIES AND PROFESSIONAL SERVICES ON BEHALF OF HENNEPIN HEALTH FOUNDATION. CERTAIN PERSONNEL OF HENNEPIN HEALTH FOUNDATION ARE EMPLOYEES OF HHS. THE HENNEPIN HEALTH FOUNDATION (HHF) CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS WHICH IS TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHF-COORDINATED RESEARCH FOCUSES INCLUDE CLINICAL INNOVATIONS IN CHRONIC DISEASE MANAGEMENT AND CLINICAL-COMMUNITY PARTNERSHIPS TO IMPROVE PUBLIC HEALTH. MINNEAPOLIS MEDICAL RESEARCH FOUNDATION IS THE RESEARCH ARM OF HHS, INC. HHS IS A MAJOR PROVIDER OF HEALTH CARE SERVICES FOR METROPOLITAN HEALTH PLAN (MHP D/B/A HENNEPIN HEALTH), AN ENTERPRISE FUND OF THE HENNEPIN COUNTY OF MINNESOTA. HHS HAS AN AGREEMENT WITH MHP TO PROVIDE SERVICES TO ENROLLEES OF THE HENNEPIN HEALTH PROGRAM WHEREBY MHP REIMBURSES HHS BASED ON SERVICES PERFORMED AND PROGRAM OUTCOMES.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE PARTNER WITH OUR COMMUNITY, OUR PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,755
6	Total number of volunteers (estimate if necessary) .............	6	510
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,043,626
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	154,579

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	44,977,475	63,005,974
9	Program service revenue (Part VIII, line 2g) .........	788,017,563	852,308,591
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,383,881	1,535,002
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)		0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	834,378,919	916,849,567
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	431,987	413,545
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)	566,855,876	597,454,212
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–24e)....	255,621,808	290,346,872
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	822,909,671	888,214,629
19	Revenue less expenses. Subtract line 18 from line 12.......	11,469,248	28,634,938
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	537,723,414	517,851,291
21	Total liabilities (Part X, line 26).............	230,282,259	461,712,945
22	Net assets or fund balances. Subtract line 21 from line 20.....	307,441,155	56,138,346

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 739,600,388 including grants of $ 379,989 ) (Revenue $ 806,106,696 )
	HHS INC. (D/B/A HCMC) (HEREAFTER HHS) IS AN INTEGRATED NETWORK OF PHYSICIANS, HOSPITAL, AMBULATORY CARE SERVICES, PHARMACIES AND AMBULANCE SERVICE. HHS PROVIDES ACCESS TO A RANGE OF HEALTH CARE SERVICES IN MINNEAPOLIS AND THE SURROUNDING METROPOLITAN AREA. THE CAPACITY AND WILLINGNESS TO PROVIDE COMPREHENSIVE SERVICES TO ANYONE IN NEED SETS HHS APART FROM OTHER PROVIDERS. AS OF DECEMBER 31, 2015, HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, OF WHICH 484 BEDS AND 62 BASSINETS WERE AVAILABLE, AS WELL AS 12 PRIMARY CARE CLINICS AND 34 SPECIALTY CARE CLINICS, 6 PHARMACY LOCATIONS, AND EMPLOYED APPROXIMATELY 685 PROVIDERS,231 RESIDENTS AND 132 PHARMACISTS.

4b	(Code: ) (Expenses $ 19,042,964 including grants of $ 24,220 ) (Revenue $ 46,444,344 )
	HHS STAFF AND TRAINEES RECEIVE TRAINING ON QUALITY AND SAFETY, PATIENT- AND FAMILY-CENTERED CARE, CULTURALLY-COMPETENT CARE, AND OTHER HEALTH ISSUES AFFECTING HIGH-RISK AND SPECIAL NEEDS PATIENTS. HHS OFFERS TRAINING TO THOUSANDS OF PHYSICIANS, NURSES, PARAMEDICS, EMT'S, TECHNICIANS, SOCIAL WORKERS, PHARMACISTS, PHYSICIAN ASSISTANTS, SPEECH PATHOLOGISTS, POLICE, SHERIFF, AND FIRE DEPARTMENT "FIRST RESPONDERS", AMBULANCE AND AIR-LINK CREWS, AND STATEWIDE EMERGENCY DEPARTMENT HEALTH PERSONNEL AND OTHER HEALTH CARE PROVIDERS EACH YEAR IN MORE THAN 50 PROGRAMS INCLUDING IN EMERGENCY AND TRAUMA CARE. STUDENTS FROM MORE THAN 140 HOSPITALS, COLLEGES, UNIVERSITIES, AND OTHER FACILITIES ACROSS THE WORLD COME TO HHS FOR CLINICAL TRAINING.

4c	(Code: ) (Expenses $ 157,059 including grants of $ 9,336 ) (Revenue $ )
	HHS CONDUCTS ITS RESEARCH ACTIVITIES THROUGH THE MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF). THE CRITICAL RESEARCH MISSION FOSTERS HHS' EFFORTS TOWARDS IMPROVING THE HEALTH OF OUR COMMUNITY. THE RESEARCH MISSION CONTRIBUTES TO ATTRACTING EXCELLENT CLINICIANS WHO CAN BETTER SERVE THE CURRENT AND FUTURE HEALTH NEEDS OF HHS' PATIENTS AND THE BROADER COMMUNITY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses758,800,411

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,127,939	211,769	715,058

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	20,195,601
e	Government grants (contributions)		1e	29,768,543

f	All other contributions, gifts, grants, and similar amounts not included above		1f	13,041,830

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		63,005,974

		Business Code
2a	MEDICARE/ MEDICAID REVENUE	624100	510,976,124	510,976,124
b	MANAGED CARE - COMMERCIAL	621990	240,459,353	240,459,353
c	RETAIL PHARMACY REVENUE	621990	64,246,823	64,246,823
d	UPPER PAYMENT LIMIT REVENUE	446110	26,593,979	26,593,979
e	OTHER OPERATING REVENUE	900099	7,594,548		7,594,548
f	All other program service revenue.			2,437,764	2,043,626	394,138
g Total.Add lines 2a–2f.....			852,308,591

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,292,554			1,292,554
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		738,921
b	Less: rental expenses		738,921
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	12,381,294
b	Less: cost or other basis and sales expenses	12,138,846
c	Gain or (loss)	242,448
d	Net gain or (loss).....			242,448			242,448
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			916,849,567	842,276,279	2,043,626	9,523,688

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	413,545	413,545
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 ....	5,278,672	1,423,057	3,855,615
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	460,962,734	383,710,067	77,252,667
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	33,433,488	27,617,332	5,816,156
9	Other employee benefits .......	68,154,562	56,298,259	11,856,303
10	Payroll taxes ...........	29,624,756	24,471,175	5,153,581
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,269,713	1,048,831	220,882
c	Accounting ...........	464,324		464,324
d	Lobbying ...........	144,041	144,041
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	119,181	98,448	20,733
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	21,144,281	16,605,009	4,539,272
12	Advertising and promotion ....	842,254	695,734	146,520
13	Office expenses .......	8,830,737	7,294,525	1,536,212
14	Information technology ......	14,816,201	12,238,745	2,577,456
15	Royalties ..
16	Occupancy ...........	13,819,318	11,439,524	2,379,794
17	Travel ............	786,673	649,822	136,851
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,218,738	1,006,724	212,014
20	Interest ...........	170,020	140,443	29,577
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,522,549	26,864,862	5,657,687
23	Insurance ...	711,282	587,546	123,736
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL DRUGS & SUPPLIES	99,382,557	99,382,557
b	PURCHASED SERVICES	43,285,881	36,532,155	6,753,726
c	BAD DEBTS	29,867,912	29,867,912
d	TAXES	17,035,917	17,035,917
e	All other expenses	3,915,293	3,234,181	681,112
25	Total functional expenses. Add lines 1 through 24e	888,214,629	758,800,411	129,414,218	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).

1	Cash–non-interest-bearing ........			49,344,464	1	48,791,956
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			232,311,641	4	185,794,598
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			4,712,581	8	5,001,870
9	Prepaid expenses and deferred charges ......			6,992,648	9	8,956,556
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	645,762,397
b	Less: accumulated depreciation	10b	398,990,372	238,687,028	10c	246,772,025
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			5,668,414	12	6,404,154
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			6,638	15	16,130,132
16	Total assets. Add lines 1 through 15 (must equal line 34)...			537,723,414	16	517,851,291

17	Accounts payable and accrued expenses .....	156,762,070	17	155,061,905
18	Grants payable ...		18
19	Deferred revenue .........	1,898,395	19	1,651,324
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	71,621,794	25	304,999,716
26	Total liabilities. Add lines 17 through 25..	230,282,259	26	461,712,945

	Organizations that follow SFAS 117 (ASC 958), 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 (ASC 958), 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 ...	238,991,882	31	250,152,464
32	Retained earnings, endowment, accumulated income, or other funds	68,449,273	32	-194,014,118
33	Total net assets or fund balances ...........	307,441,155	33	56,138,346
34	Total liabilities and net assets/fund balances ........	537,723,414	34	517,851,291