TY 2018 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) John Foster...................................................................... Chair	1.00 ................. 1.00	X	X	0	0
(2) John Ellenberger...................................................................... Vice Chair	1.00 ................. 1.00	X	X	0	0
(3) Dan Monson...................................................................... Secretary	1.00 ................. 1.00	X	X	0	0
(4) David Bestler...................................................................... Treasurer	1.00 ................. 1.00	X	X	0	0
(5) Warren Watson...................................................................... Past Chair	1.00 ................. 1.00	X	X	0	0
(6) Barbara Joers...................................................................... President & CEO	50.00 ................. 5.00	X	X	780,630	75,990
(7) Phil Becker...................................................................... Director	1.00 ................. 1.00	X		0	0
(8) Fay DeBellis...................................................................... Director (End 1/23/18)	1.00 ................. 1.00	X		0	0
(9) David Fettig...................................................................... Director	1.00 ................. 1.00	X		0	0
(10) Jeffrey Freyer...................................................................... Director	1.00 ................. 1.00	X		0	0
(11) Diane Harper...................................................................... Director	1.00 ................. 1.00	X		0	0
(12) Linda Ireland...................................................................... Director	1.00 ................. 1.00	X		0	0
(13) Mark Kimball...................................................................... Director	1.00 ................. 1.00	X		0	0
(14) Kevin Klemz...................................................................... Director	1.00 ................. 1.00	X		0	0
(15) Thomas Novacheck MD...................................................................... Chief of Staff	50.00 ................. 0.00	X		774,294	76,173
(16) Scott Robinson...................................................................... Director	1.00 ................. 1.00	X		0	0
(17) Rulon Stacey...................................................................... Director (Start 1/18)	1.00 ................. 1.00	X		0	0

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Marshall Stanton MD........................................................................ Director	1.00 .......................1.00	X			0	0	0
(19) Phillip Trier........................................................................ Director	1.00 .......................1.00	X			0	0	0
(20) Martin Brad Winges........................................................................ Director	1.00 .......................1.00	X			0	0	0
(21) Karen Brady........................................................................ VP-HR & EOC	50.00 .......................0.00		X		299,597	0	48,500
(22) Karen Brill........................................................................ VP-Patient Care	50.00 .......................0.00		X		344,451	0	47,796
(23) Tim Getsay........................................................................ VP-Performance Mgmt	50.00 .......................0.00		X		549,070	0	52,326
(24) Dennis Jolley........................................................................ VP-Inst Advancement	45.00 .......................5.00		X		283,764	31,529	32,415
(25) Steven Koop MD........................................................................ Medical Director	50.00 .......................0.00		X		1,140,834	0	153,697
(26) Paula Montgomery........................................................................ VP-Legal Affairs	50.00 .......................0.00		X		334,545	0	54,491
(27) Patrick Nolan........................................................................ VP-Finance	50.00 .......................0.00		X		212,453	0	27,898
(28) Debbie Song MD........................................................................ Pediatric Neurosurgeon	50.00 .......................0.00			X	942,443	0	55,278
(29) Stephen Sundberg MD........................................................................ Orthopedic Surgeon	50.00 .......................0.00			X	811,567	0	50,788
(30) Robert Wood MD........................................................................ Craniofacial Surgeon	50.00 .......................0.00			X	831,151	0	53,642
(31) Patrick Graupman MD........................................................................ Pediatric Neurosurgeon	50.00 .......................0.00			X	1,207,185	0	50,083
(32) Peter Kim MD........................................................................ Pediatric Neurosurgeon	50.00 .......................0.00			X	1,065,289	0	50,353
(33) James Haddican........................................................................ Former VP-Finance (End 1/1/18)	0.01 .......................0.00		X		517,295	0	6,938

(A) Name and business address	(B) Description of services	(C) Compensation
Regions Hospital 640 Jackson Street St Paul,MN55101	Direct Patient Services	10,023,768
Childrens Resp & Critical Care 2545 Chicago Ave Ste 517 Minneapolis,MN55404	Physician Services	5,034,738
Quality Nurse Anesthesia 5600 Edgewood Blvd Minneapolis,MN55417	Anesthesia Services	3,293,934
Cerner Corporation 2800 Rockcreek Parkway Kansas City,MO64117	Software Services	2,858,560
Westminster Junct Venture PO Box 733535 Dallas,TX75373	Facility Rent	1,678,361
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 90

- 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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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Gillette Children's Specialty Healthcare

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization Gillette Children's Specialty Healthcare		Employer identification number 36-3379150

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization Gillette Children's Specialty Healthcare			Employer identification number 36-3379150
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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2018

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.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	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) .................................................
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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)? ........

Yes

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

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

Yes

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

Yes

500

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

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

Yes

112,994

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

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

Yes

158,825

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

272,369

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
Part II-B, Line 1:	Gillette employs a Government Relations and Advocacy Specialist at 0.75 FTE and an Executive Initiatives Specialist who devote time to federal and state policy initiatives. Gillette contracted with McDermott+Consulting as lobbyists to act as advocates on its behalf at the federal level. Gillette contracted with Fredrikson & Byron PA to assist with state level lobbying. Gillette is a member of the Children's Hospital Association (CHA); American Hospital Association (AHA); Minnesota Hospital Association (MHA); Minnesota Consortium for Citizens with Disabilities (MNCCD); Minnesota Business Partnership (MBP); and Saint Paul Area Chamber of Commerce (SPACC). A portion of membership dues for the CHA, AHA, MHA, MNCCD, MBP, and SPACC relate to lobbying activties. Gillette reimburses certain professional memberships for employees. A portion of such membership dues are used by the professional associations for lobbying activities. Certain Gillette executives engage in lobbying activities including, but not limited to, meeting with government officials and staff at the local, state and federal levels; and meeting with staff from the Minnesota Department of Human Services and Minnesota Department of Health to discuss Medicaid payment rates, policies and other legislative issues affecting Gillette. These activities may include providing public testimony on legislation affecting Gillette and provide letters of support for specific legislation. Gillette also provides education to employees on policy issues. Through the voluntary Gillette Advocacy Internal Network (GAIN), Gillette encourages interested employees to contact government officials about specific legislation on behalf of Gillette. Gillette volunteers, including patients, patient families, and members of Gillette's Board of Directors also contact government officials about specific legislation on behalf of Gillette. Other activities indirectly related to lobbying include providing lobbyists with patient statistics and demographic information and developing collateral used for lobbying efforts that define Gillette's programs and services.

Return Reference

Explanation

Part II-B, Line 1:

Gillette employs a Government Relations and Advocacy Specialist at 0.75 FTE and an Executive Initiatives Specialist who devote time to federal and state policy initiatives. Gillette contracted with McDermott+Consulting as lobbyists to act as advocates on its behalf at the federal level. Gillette contracted with Fredrikson & Byron PA to assist with state level lobbying. Gillette is a member of the Children's Hospital Association (CHA); American Hospital Association (AHA); Minnesota Hospital Association (MHA); Minnesota Consortium for Citizens with Disabilities (MNCCD); Minnesota Business Partnership (MBP); and Saint Paul Area Chamber of Commerce (SPACC). A portion of membership dues for the CHA, AHA, MHA, MNCCD, MBP, and SPACC relate to lobbying activties. Gillette reimburses certain professional memberships for employees. A portion of such membership dues are used by the professional associations for lobbying activities. Certain Gillette executives engage in lobbying activities including, but not limited to, meeting with government officials and staff at the local, state and federal levels; and meeting with staff from the Minnesota Department of Human Services and Minnesota Department of Health to discuss Medicaid payment rates, policies and other legislative issues affecting Gillette. These activities may include providing public testimony on legislation affecting Gillette and provide letters of support for specific legislation. Gillette also provides education to employees on policy issues. Through the voluntary Gillette Advocacy Internal Network (GAIN), Gillette encourages interested employees to contact government officials about specific legislation on behalf of Gillette. Gillette volunteers, including patients, patient families, and members of Gillette's Board of Directors also contact government officials about specific legislation on behalf of Gillette. Other activities indirectly related to lobbying include providing lobbyists with patient statistics and demographic information and developing collateral used for lobbying efforts that define Gillette's programs and services.

Schedule C (Form 990 or 990EZ) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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 7/25/06, 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) 2018

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 ....	3,379,948	3,508,734	3,799,705	3,880,733	3,282,690
b	Contributions ...	305,455	225,153	183,272	145,615	839,883
c	Net investment earnings, gains, and losses	-44,439	63,058	27,865	-15,453	28,254
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	23,083	328,980	406,953	99,924	170,053
f	Administrative expenses ....	97,420	88,017	95,155	111,266	100,041
g	End of year balance ......	3,520,461	3,379,948	3,508,734	3,799,705	3,880,733

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

67.000 %

Temporarily restricted endowment SchDMd Bullet

33.000 %

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)

Yes

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

Yes

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 .....	55,000		55,000
b	Buildings ....	41,704,327	22,833,550	18,870,777
c	Leasehold improvements	70,650,741	30,831,580	39,819,161
d	Equipment ....	103,619,255	72,767,792	30,851,463
e	Other .....	755,418		755,418
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				90,351,819

Schedule D (Form 990) 2018

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) Beneficial Interest in Net Assets of Foundation				28,799,655
(2) Life Insurance Cash Value				274,853
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				29,074,508

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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
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) 2018

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
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
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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
Part V, Line 4:	The Gillette Children's Hospital Foundation has endowment funds for capital, charity care, patient care, research and education, and unrestricted needs. These funds are used to provide and improve health care and related services to patients of Gillete.
Part X, Line 2:	As a result of the implementation of authoritative guidance on the accounting for uncertainty in income taxes, the organization was not required to recognize a liability. There were no unrecognized tax liabilities for the years ended December 31, 2018 and 2017.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Europe (including Iceland and Greenland)	0	0	Program services	Attend Seminars	26,295
	Middle East and North Africa	0	0	Program services	Attend Seminars	4,106
	North America	0	0	Program services	Attend Seminars	5,511














3a	Sub-total .....	0	0			35,912
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	0	0			35,912

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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 25000.0000000000 %

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? . . . . . .

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

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		(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) . . .	187,576	0	187,576	0.080 %
b	Medicaid (from Worksheet 3, column a) . . . . .	103,070,170	61,120,681	41,949,489	17.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	103,257,746	61,120,681	42,137,065	17.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,971,651	0	3,971,651	1.650 %
f	Health professions education (from Worksheet 5) . . .	1,721,766	229,428	1,492,338	0.620 %
g	Subsidized health services (from Worksheet 6) . . . .	37,300,970	22,034,132	15,266,838	6.340 %
h	Research (from Worksheet 7) .	3,218,873	635,959	2,582,914	1.070 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	56,407	0	56,407	0.020 %
j	Total. Other Benefits . .	46,269,667	22,899,519	23,370,148	9.700 %
k	Total. Add lines 7d and 7j .	149,527,413	84,020,200	65,507,213	27.190 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
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

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. ......

1,264,577

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. ......

467,894

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).....

3,536,846

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

8,483,680

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

-4,946,834

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) 2018

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?1Name, 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)
1	Gillette Children's Specialty Healthcare 200 University Avenue East Saint Paul,MN55101 www.gillettechildrens.org 2025454	X	X	X	X

Schedule H (Form 990) 2018

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)

	Gillette Children's Specialty Healthcare
Name of hospital facility or letter of facility reporting group

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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): See Part V, Section C

Other website (list url):

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 16

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

Yes

If "Yes" (list url): See Part V, Section C

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Gillette Children's Specialty Healthcare
Name of hospital facility or letter of facility reporting group

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 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

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)

Was widely publicized 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):

See Part V, Section C

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

See Part V, Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Section C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	Gillette Children's Specialty Healthcare
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	Gillette Children's Specialty Healthcare
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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
Gillette Children's Specialty Healthcare	Part V, Section B, Line 5: The 2016 CHNA focused on understanding the needs of children and families who live in Minnesota and who comprise over 90 percent of Gillette patients. While the first CHNA in 2013 had a very broad focus to help Gillette better understand a range of issues including regional gaps in various medical specialists and system-level barriers to accessing care, the 2016 CHNA built on those results by gathering more in-depth information on a smaller set of key topics: access to specialty medical services, care coordination, and availability of or access to community resources. These topics were selected based on staff's understanding of patients' needs, past and current efforts at Gillette, and reviews of the literature. A multi-method evaluation approach was developed to gather feedback from a variety of individuals who are familiar with the needs of children and adults with complex medical conditions, including caregivers, patients, and Gillette staff. The data collection strategies used throughout the assessment included: - Literature review.- Telephone interviews with parents of children or adult patients who receive services at Gillette.- Focus groups with caregivers of children who receive services at Gillette.- Key informant interviews with Gillette staff. The full CHNA report is available on the following website: https://www.gillettechildrens.org/get-involved/advocating-for-our-families
Gillette Children's Specialty Healthcare	Part V, Section B, Line 11: Three priority health topics were identified in the 2016 CHNA: (1) more centralized, consistent, and personal care coordination; (2) greater access to appropriate care and treatment in Greater Minnesota; and (3) more caregiver support services. The following implementation strategies (among others) are currently being assessed and implemented by Gillette to address these topics: - Implement the Care Management program (including Complex Care Pediatrics Program) to focus on consistent and individualized plans of care. - Implement and further develop the patient portal. - Reorganize and improve scheduling protocols and processes.- Continue to schedule longer group appointments where all specialists meet together with the family to develop the treatment plan.- Continue to implement cross-disciplinary care teams to improve care coordination across providers.- Reorganize care teams and locations (sites of service) to improve consistent access for patients in greater Minnesota.- Increase use of telemedicine to expand breadth of services provided.- Increase use of webinars to provide training and build relationships with providers in greater Minnesota.- Actively promote existing caregiver support services at Gillette to families and identify ways to better connect families to these services.- Provide training to advanced practice nurses to enhance the consultation process about condition-specific resources and supports.
Part V, Line 7a, Hospital Facility's Website:	The full CHNA report and implementation strategy are available on the following website: https://www.gillettechildrens.org/get-involved/advocating-for-our-families
Part V, Line 10a, Link for Implementation Strategy:	The full CHNA report and implementation strategy are available on the following website: https://www.gillettechildrens.org/get-involved/advocating-for-our-families
Part V, Line 16a, FAP Website:	https://www.gillettechildrens.org/assets/uploads/general/Legal_Documents/GAP_Policy-F33_website_format-English_CURRENTSEPT18FINAL.pdf
Part V, Line 16b, FAP Application Website:	https://www.gillettechildrens.org/assets/uploads/general/Legal_Documents/9.7_Gap_App..pdf
Part V, Line 16c, FAP Plain Language Summary Website:	https://www.gillettechildrens.org/assets/uploads/general/Legal_Documents/GAP_2018_Trifold.pdf

Schedule H (Form 990) 2018

Page 9

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

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 I, Line 3c:	The Gillette Assistance Program provides discounts to eligible patients up to 100% of total charges and amounts owed. Federal poverty guidelines are used to determine eligibility and discount amounts. Patient applications are reviewed on a case-by-case basis, and policy exceptions may be granted under other specific circumstances where patients and families have difficulty meeting their financial obligations.
Part I, Line 7:	Gillette's internal cost accounting system was used to calculate amounts reported in table of Part I. The cost accounting system records revenues and direct expenses for all inpatient and outpatient services for each revenue-producing cost center. All non-revenue-producing cost centers are allocated back to revenue-producing cost centers using applicable statistics to arrive at fully allocated cost for each cost center. A cost-to-charge ratio was not used in the table.
Part I, Line 7g:	Subsidized health services attributable to physician clinic are $7,096,125
Part I, Ln 7 Col(f):	Bad debt is not included in Form 990, Part IX as an expense. The provision for bad debts is presented as a reduction of patient service revenue on Form 990, Part VIII in accordance with generally accepted accounting principles.
Part III, Line 2:	The provision for bad debts is determined using actual experience and management estimates, including historical and expected collections, trends in the healthcare industry, and other factors. Bad debt is reported at estimated cost, using a cost-to-charge ratio. Bad debt based on amounts owed to Gillette was $2,729,500.
Part III, Line 3:	Bad debt attributable to patients that may qualify for financial assistance, but were unable or unwilling to provide necessary eligibility information, is estimated based review of accounts classified as bad debt, industry trends, and management judgement.
Part III, Line 4:	Gillette's audited financial statements include footnote disclosures in the Net Patient Service Revenue and Patient Accounts Receivable sections on pages 10 through 12.
Part III, Line 8:	Gillette's mission is to provide services to children and adults with disabilities. In providing these mission-driven services, Gillette incurs losses from the Medicare program. However, Gillette accepts such losses as part of providing an important public service. Gillette's internal cost-accounting system was used to calculate the Medicare allowable costs. The entire shortfall amount is considered community benefit, but only part is included on Schedule H, Part I, Line 7.
Part III, Line 9b:	Gillette is committed to providing medically necessary care to all patients, regardless of their ability to pay. Eligibility for financial assistance and charity care is evaluated on a case-by-case basis in accordance with the Gillette Assistance Plan (GAP) policy. For patients who have difficulty meeting their financial obligations, Gillette attempts to qualify patients for public assistance programs or GAP, as appropriate. Requirements for GAP eligibility are detailed in the policy, including completion of an application and verification of income. Gillette attempts to identify patients qualifying for GAP prior to services being performed, though applications are accepted and reviewed at any time during the billing process. The GAP policy and plain language summaries are available to all patients and families at registration, including self-pay and uninsured. Financial counselors and social workers are also available to assist with financial questions related to patient visits. Gillette billing statements contain language referencing the available forms of financial assistance. In situations where debt collection efforts are necessary, executive leadership approval is required and related correspondence is done in accordance with required extraordinary collection effort language and other legal requirements. All billing and collection is done in accordance with the criteria established for all Minnesota hospitals by the Minnesota attorney general's office.Part V, Section D:Gillette operates five pediatric clinics in the Twin Cities metro area (two in St. Paul, Minnetonka, Maple Grove and Burnsville); one adult clinic in St. Paul; eight clinics in greater Minnesota (Alexandria, Baxter, Bemidji, Duluth, Mankato, Marshall, St Cloud and Willmar); and outreach collaborations across Minnesota and the Upper Midwest. All clinics are licensed under Gillette Children's Specialty Healthcare.
Part VI, Line 2:	Gillette completes a community needs assessment every three years in accordance with law. In 2016, Gillette contracted with Wilder Research to conduct a regional community health needs assessment to identify opportunities to improve and expand its services to children with complex medical needs. This assessment focused on understanding the needs of children and families who live in Minnesota and who comprise over 90 percent of Gillette patients, rather than gathering feedback from families in the 5-state Midwest region. This assessment built on results of a 2013 survey by gathering more in-depth information on a smaller set of key topics: access to specialty medical services, care coordination, and availability of or access to community resources. Gillette conducts surveys on health services using various tools to gather information, such as online surveys, focus groups with families, phone calls, and one-on-one interviews. In addition, Gillette conducts specific assessments when considering new programs or services. Such new programs and services usually arise from suggestions by patients and families, referring physicians, or Gillette's own staff. More generally, Gillette staff members assess community health care needs by the number of patients they see. During 2018, 25,010 children and adults came to Gillette due to the specialized skills and advanced technology the Gillette provides for patient needs. Gillette treated patients from all 87 Minnesota counties, 43 U.S. states, and 13 countries during 2018.Gillette cares for patients who have some of the most complex, rare and traumatic conditions in pediatric medicine, including cerebral palsy, epilepsy, spina bifida, hydrocephalus, complex orthopedic conditions, craniofacial anomalies, genetic disorders, neurological conditions and brain and spinal cord injuries. Care at Gillette is clinically integrated, bringing experts together from multiple areas to coordinate and care for patients from initial diagnosis through the lifetime of their condition, with individualized care planning at the center of our work. This emphasis on the longitudinal aspects of care have differentiated us from traditional health systems. For more than 120 years Gillette has led in the diagnosis and management of complex medical conditions through the development of innovative medical and surgical interventions, proven rehabilitative therapies and the novel application of customized services from compassionate health care professionals, Gillette helps children thrive and live happy, healthy, and productive lives.Over time, the organization anticipates a proportionate increase in children with needs for specialized health care requiring Gillette's unique services. In addition, there are shortages of pediatric specialists in many areas of the five-state Midwest region, which will continue to bring patients to Gillette. By establishing suburban and greater Minnesota clinics, and developing collaborative relationships with other health systems, Gillette has made a concerted effort to meet the needs of patients outside the Twin Cities metro region. Gillette's continuing focus on meeting the needs of underserved and rural populations who require specialized pediatric services will also contribute to steady organizational growth.Gillette is also teaching hospital committed to training the physicians of the future. Because Gillette focuses primarily on specialty care for children who have disabilities and complex medical conditions, it is a regional resource of specialists, technology, facilities and comprehensive services. In 2018, residents and fellows from the University of Minnesota and Henry Ford Hospital in Detroit spent one to three months under the mentorship of Gillette's medical staff. In many cases, Gillette offers trainees their only exposure during residency to patients who have complex conditions like cerebral palsy or spina bifida, and rare disorders like osteogenesis imperfect or Rett syndrome. Gillette's physician training programs include the specialties of orthopedics, pediatrics, neurodevelopmental pediatrics, and rehabilitation medicine. Gillette has a surgery simulation center that allows teams to practice performing complex procedures and using new technologies. New staff members, medical residents and multidisciplinary teams learn and practice in a true-to-life environment. The result is hands-on education for staff and enhanced safety for patients. Gillette also provides extensive continuing medical education services to physicians and other health care providers in our area of expertise. Participants travel from around the region and globe to learn from Gillette experts each year. These programs also support the ongoing development of referral and partnership arrangements and relationships that direct patients to Gillette for their care. Gillette is fully accredited by the Minnesota Medical Association to provide continuing medical education. Gillette covers the unreimbursed costs of medical education.
Part VI, Line 3:	Gillette provides free or reduced-cost medical care to community residents, primarily by:- Providing services at no charge to uninsured patients.- Providing uninsured patients who do not qualify for charity care approximately the same discount as our third party payers.- Covering the difference between public-program payments (primarily Medicare and Medicaid) and the related costs of providing such services.- Providing services to patients who express a willingness to pay but who are unable to do so because of socioeconomic factors.- Coordinating care with a patient's primary-care physician, school, and community agencies.In 2018, a majority of Gillette inpatient stays were patients eligible for or covered under Medical Assistance (Minnesota's Medicaid program). Gillette has a documented policy for providing financial assistance in the form of charity care to patients who are financially without the means to pay for medically necessary care and who satisfy certain requirements. Each patient's situation is evaluated according to relevant circumstances, such as income, assets and other resources. Gillette staff will identify a family's charity-care needs before services are performed, whenever possible, as part of the admission process. Families complete a financial assistance application that Gillette provides. Proof of participation in Medicaid or any other public assistance program indicates that the patient has been deemed financially indigent and, therefore, the patient is not required to provide his/her income on Gillette's assistance application. In addition to doing so during the admission process, Gillette makes patients aware of financial assistance programs by listing them on patient statements and the Gillette website.
Part VI, Line 4:	Gillette treated patients from all 87 Minnesota counties in 2018. Some patients come to the Twin Cities for care; others receive care through our greater Minnesota locations. Gillette staff members also see patients who come to Gillette for care from throughout the U.S. and other countries. Gillette served patients from 43 states and 13 countries during 2018. Gillette provides specialized health care for people who have complex and often rare diagnoses or traumatic injuries.
Part VI, Line 5:	Gillette provides a wide variety of benefits to the community. Patients rely on the organization to address the physical, mental and emotional effects of their disabilities from birth through adulthood. Gillette's Child and Family Services ("CFS") is a team of social workers, psychologists and neuropsychologists, child life specialists, therapeutic recreation specialists and a chaplain. CFS team members work closely with children and families to help them understand their medical care and minimize stress through play, relaxation, and special events and activities. Child life professionals are trained in child development and are part of the multi-disciplinary care team. They partner with the whole family, including siblings, to foster a positive and supportive care experience. Gillette also provides community benefit by serving as an advocate for children who have complex medical conditions. Gillette serves as a gathering place for interested citizens (including the board of directors, other volunteers, skilled professionals, patients and families) to address the problems and needs of children who have disabilities affecting the musculoskeletal or neurological systems, to define the needs of the families of those children, and to advocate for support of those families in meeting their needs. Gillette has sponsored support sessions for caregivers of children who have disabilities. Gillette is part of the United Cerebral Palsy (UCP) organization; UCP is devoted to educating, advocating for and providing support services to people who have a spectrum of disabilities. In addition, Gillette is a designated Muscular Dystrophy Association (MDA) Care Center to help people receive the services they need throughout all stages of the condition. MDA is the world's leading nonprofit health agency dedicated to finding treatments and cures for muscular dystrophy and other neuromuscular diseases. Gillette also teams with Family Voices of Minnesota to support Parent to Parent, a network connecting experienced families with families of children who have disabilities, cognitive issues and other health needs and who need emotional support. Gillette provides educational materials, programs and videos about specific conditions, information services available by telephone (which is free to families and for which Gillette is not reimbursed by insurance programs), and programs to improve the general standards of health in the community. Gillette uses its website and social media channels to share information from its medical experts with the community; topics include working through childhood diagnoses, talking with a child's peers about his or her disability, brain injury prevention, nutrition for children, seasonal safety, and strategies for helping children overcome bullying. Gillette also uses its website and social channels to advocate on behalf of children who have complex conditions.Gillette offers in-hospital schooling to patients who will be hospitalized two weeks or longer during the traditional school year. A partnership between Gillette and St. Paul Public Schools means that children and teens who are recovering from a major surgery or traumatic injury can continue their academic lessons at Gillette. Gillette's classroom is outfitted with the latest technology-including webcams, laptops, a touch-screen computer, and a state-of-the-art SmartBoard. Our teacher works one-on-one with students on lesson plans designed for their unique needs and in collaboration with the student's home district.Gillette funds a program called the Adapted Sports Equipment Fund to help children with disabilities obtain the equipment needed to participate in adapted sports and recreational activities in their communities. Gillette also hosts an annual Adaptive Bike & Sports Expo to help children who have disabilities find customized bicycles and other equipment that meets their unique needs and helps promote independence. The annual Pedal-In-Place fundraiser supports the program. In addition, Gillette performs clinical and translational research devoted to finding effective medical interventions for complex conditions and their related effects and to improving outcomes in patients who have disabilities. Gillette researchers were engaged in 105 active studies during 2018. Gillette published over 50 peer-reviewed manuscripts in 2018 and staff members presented at numerous medical conferences. Research at Gillette consists of fourteen emphasis areas, all of which seek to improve the lives of children who have disabilities and complex conditions. Gillette has launched an aggressive knowledge translation initiative that aims to advance patient outcomes and experience by better incorporating current medical research into ongoing clinical practice. Through community support and generous contributions to Gillette Children's Foundation, Gillette continues to expand, create new services, and research treatments for children with disabilities. The organization's goal remains, as it has for more than 120 years, that of helping children and adults who have disabilities, and their families, to improve their health, achieve greater well-being and enjoy life.
Part V, Section B, Line 3:	The final 2016 Community Health Needs Assessment (CHNA) and implementation strategies were published on the Gillette public website (https://www.gillettechildrens.org/get-involved/advocating-for-our- families) in early April 2017. The timing of the CHNA publication was delayed for completion of critical focus groups, interviews, and data analysis to ensure meaningful community feedback was incorporated. The CHNA was conducted in collaboration with the Wilder Foundation.
Schedule H, Part VI, Line 7	Gillette files a Community Benefit report with the State of Minnesota.

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Gillette Children's Specialty Healthcare

Employer identification number
36-3379150

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	(h) Purpose of grant or assistance
(1) Epilepsy Foundation of Minnesota 1600 University Avenue Ste 300 St Paul,MN55104	41-0874541	501(c)(3)	7,500	Education Services Expo Sponsor
(2) Regions Hospital Foundation 640 Jackson Street St Paul,MN55101	41-0956618	501(c)(3)	10,000	Pain Treatment Care Outreach
(3) March of Dimes Foundation Minnesota Chapter 8000 W 78th St Ste 330 Edina,MN55439	13-1846366	501(c)(3)	10,000	Nurse of the Year Sponsor
(4) Saint Paul Area Chamber of Commerce 401 N Robert St Suite 150 St Paul,MN55101	41-0518490	501(c)(6)	5,025	Equity Summit and Conference

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) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash 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

Part I, Line 2:

Gillette periodically grants monies to other tax-exempt organizations which conduct programs that benefit the patients that Gillette serves, as authorized by the Gillette executive leadership team. During calendar year 2018, Gillette made grants to the Regions Hospital Foundation, Muscular Dystrophy Association (MDA), Epilepsy Foundation of Minnesota, March of Dimes Foundation, Ronald McDonald House Charities of the Upper Midwest, St Paul Area Chamber of Commerce, Minnesota Community Measurement, Minnesota Academy of Pediatrics (MNAPP) and other organizations. The Regions Hospital Foundation grant supported pain management outcomes. The MDA, March of Dimes, Epilepsy Foundation and MNAAP grants supported patient education programs. Ronald McDonald House Charities provide housing for families while their child is in the hospital related to a trauma or unplanned admission and who live greater than 60 miles from the hospital.

Schedule I (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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? ..

Yes

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

Yes

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

Yes

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

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 nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

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) 2018

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)
1Barbara Joers President & CEO	(i) (ii)	569,284 ------------- 0	120,577 ------------- 0	90,769 ------------- 0	37,450 ------------- 0	38,540 ------------- 0	856,620 ------------- 0	0 ------------- 0
2Thomas Novacheck MD Chief of Staff	(i) (ii)	645,576 ------------- 0	60,245 ------------- 0	68,473 ------------- 0	14,575 ------------- 0	61,598 ------------- 0	850,467 ------------- 0	0 ------------- 0
3Karen Brady VP-HR & EOC	(i) (ii)	224,336 ------------- 0	32,382 ------------- 0	42,879 ------------- 0	14,630 ------------- 0	33,870 ------------- 0	348,097 ------------- 0	0 ------------- 0
4Karen Brill VP-Patient Care	(i) (ii)	261,065 ------------- 0	38,834 ------------- 0	44,552 ------------- 0	17,125 ------------- 0	30,671 ------------- 0	392,247 ------------- 0	0 ------------- 0
5Tim Getsay VP-Performance Mgmt	(i) (ii)	313,457 ------------- 0	203,731 ------------- 0	31,882 ------------- 0	19,287 ------------- 0	33,039 ------------- 0	601,396 ------------- 0	0 ------------- 0
6Dennis Jolley VP-Inst Advancement	(i) (ii)	213,917 ------------- 23,768	30,789 ------------- 3,421	39,058 ------------- 4,340	14,050 ------------- 1,561	15,124 ------------- 1,680	312,938 ------------- 34,770	0 ------------- 0
7Steven Koop MD Medical Director	(i) (ii)	680,830 ------------- 0	117,820 ------------- 0	342,184 ------------- 0	114,885 ------------- 0	38,812 ------------- 0	1,294,531 ------------- 0	321,398 ------------- 0
8Paula Montgomery VP-Legal Affairs	(i) (ii)	272,106 ------------- 0	37,278 ------------- 0	25,161 ------------- 0	16,565 ------------- 0	37,926 ------------- 0	389,036 ------------- 0	0 ------------- 0
9Patrick Nolan VP-Finance	(i) (ii)	152,953 ------------- 0	10,000 ------------- 0	49,500 ------------- 0	8,562 ------------- 0	19,336 ------------- 0	240,351 ------------- 0	0 ------------- 0
10Debbie Song MD Pediatric Neurosurgeon	(i) (ii)	879,334 ------------- 0	630 ------------- 0	62,479 ------------- 0	14,575 ------------- 0	40,703 ------------- 0	997,721 ------------- 0	0 ------------- 0
11Stephen Sundberg MD Orthopedic Surgeon	(i) (ii)	720,437 ------------- 0	72,630 ------------- 0	18,500 ------------- 0	14,575 ------------- 0	36,213 ------------- 0	862,355 ------------- 0	0 ------------- 0
12Robert Wood MD Craniofacial Surgeon	(i) (ii)	714,724 ------------- 0	50,630 ------------- 0	65,797 ------------- 0	14,575 ------------- 0	39,067 ------------- 0	884,793 ------------- 0	0 ------------- 0
13Patrick Graupman MD Pediatric Neurosurgeon	(i) (ii)	1,093,075 ------------- 0	50,630 ------------- 0	63,480 ------------- 0	14,575 ------------- 0	35,508 ------------- 0	1,257,268 ------------- 0	0 ------------- 0
14Peter Kim MD Pediatric Neurosurgeon	(i) (ii)	998,951 ------------- 0	630 ------------- 0	65,708 ------------- 0	14,575 ------------- 0	35,778 ------------- 0	1,115,642 ------------- 0	0 ------------- 0
15James Haddican Former VP-Finance (End 1/1/18)	(i) (ii)	68,610 ------------- 0	49,088 ------------- 0	399,597 ------------- 0	4,016 ------------- 0	2,922 ------------- 0	524,233 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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
Part I, Line 3:	The chair of the compensation committee of the Board of Directors requests information from the external consultant. The compensation committee is empowered to evaluate the reasonableness of compensation and other financial transactions in which Gillette is engaged. In all cases, it does so in accordance with the compensation policy set by the board of directors, by referencing recognized objective resources on the reasonableness of and market value for the types of personnel and services being considered. That data is prepared for and distributed to the compensation committee members. Compensation policy is approved by the Board of Directors. Actions related to the President and CEO and other executive compensation are discussed and voted upon at compensation committee meetings. Meeting minutes are recorded.
Part I, Line 4b:	Certain Gillette employees (executives and physicians) are eligible to participate in non-qualified deferred compensation plans. These plans comply with Section 457(f) of the Internal Revenue Code. These plans require employees to be executives or physicians to participate. Payments from the Plan occur annually by July 1 of the year following the end of the Plan year. The Plan is a "gap" plan, which provides participants with a deposit that closes the gap between the limits of IRC 403(b) and the actual cash compensation of the participant. The following individual received a payout from the Plan: Steven Koop: $355,632
Part I, Line 7:	Certain employees are eligible for an annual one-time award to recognize employees. The amount and payment of the award is made at the discretion of the Compensation Committee of the Board of Directors.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
Gillette Children's Specialty Healthcare

Employer identification number
36-3379150

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Housing & Redevelopment Authority of the City of St Paul Minnesota	52-1440935	792909DU4	02-04-2015	9,160,000	Refinance of bonds issued 11/17/2010		X		X		X
B	Housing & Redevelopment Authority of the City of St Paul Minnesota	52-1440935	000000000	05-11-2016	20,000,000	Capital projects at the hospital location		X		X		X
C	Housing & Redevelopment Authority of the City of St Paul Minnesota	52-1440935	000000000	09-01-2017	27,880,000	Refund bonds issued 11/12/2009		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,295,000		2,275,000		1,235,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	9,160,000		20,000,000		27,880,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............					25,907,121
7 Issuance costs from proceeds ...............	179,097		285,535		362,774
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			19,714,465
11 Other spent proceeds .............	8,980,903				1,806,695
12 Other unspent proceeds .............
13 Year of substantial completion .............			2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Schedule K, Part III, Line 3a:	Gillette's current management or service contracts with respect to the financed property do result in private business use.
Schedule K, Part IV, Line 6, Column (c):	This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

Return Reference	Explanation
Form 990, Part III, Line 4a, Program Service Accomplishments:	Gillette operates a 60 licensed-bed specialty hospital in St. Paul, Minnesota; clinics in Alexandria, Baxter, Bemidji, Burnsville, Duluth, Mankato, Maple Grove, Marshall, Minnetonka, St. Cloud, Willmar, and St. Paul, Minnesota, and outreach collaborations across Minnesota and the Upper Midwest. Gillette cares for patients who have some of the most complex, rare and traumatic conditions in pediatric medicine, including cerebral palsy, epilepsy, spina bifida, hydrocephalus, complex orthopedic conditions, craniofacial anomalies, genetic disorders, neurological conditions and brain and spinal cord injuries. Care at Gillette is clinically integrated, bringing experts together from multiple areas to coordinate and care for patients from initial diagnosis through the lifetime of their condition, with individualized care planning at the center of our work. This emphasis on the longitudinal aspects of care have differentiated us from traditional health systems. For more than 120 years Gillette has led in the diagnosis and management of complex medical conditions through the development of innovative medical and surgical interventions, proven rehabilitative therapies and the novel application of customized services from compassionate health care professionals, Gillette helps children thrive and live happy, healthy, and productive lives. Gillette is a regional referral center healthcare destination for children and adults who have complex, rare and traumatic conditions. The diagnosis and management of these conditions requires significant clinical expertise and an integrated and proactive care planning system that support the delivery of a comprehensive, longitudinal treatment plan. The majority of conditions Gillette specializes in treating have courses of care that run for months, years, or an entire lifetime. Although a number of hospitals can and do provide certain pediatric specialty services, Gillette is unique in the region for specializing exclusively in the care of individuals with medical complexity, disability and lifelong conditions that affect the musculoskeletal and neurological systems. Gillette clinics in greater Minnesota improve access to care for families who live outside the Twin Cities metro area, and support local providers by facilitating collaboration with Gillette specialists. Gillette continues to enhance its presence around the state, aiming for a more consistent presence in key communities and providing more consistent scheduling and give families greater access to care. Gillette continued work to implement virtual care (telemedicine) services into its greater Minnesota clinics. Virtual care enables providers to hold consultations with patients via video conference. During 2018, Gillette treated 25,010 patients from all 87 Minnesota counties, 43 U.S. states, and 13 countries. A large and geographically diverse network of referring physicians has driven growth, with approximately 2,800 physicians referring patients to Gillette during 2018. There were 2,393 inpatient admissions, with an average length of stay of 5.0 days, and 138,397 outpatient visits during 2018. Gillette physicians performed 3,594 inpatient and outpatient surgeries in 2018. Gillette's areas of expertise, key conditions and services include the following: Cerebral Palsy: Gillette is an internationally recognized leader in the diagnosis and management of spasticity resulting from cerebral palsy and other causes. Gillette offers comprehensive, coordinated care designed to manage the symptoms of cerebral palsy. Services range from infant evaluations to diagnose the condition, to medical and surgical interventions to manage spasticity and related comorbidities as children grow into adulthood. Individualized treatment plans might include developmental assessments, rehabilitation therapies, orthoses, specialized seating, mobility and communicative supports, spasticity management techniques (including surgery), gait and motion analysis, and orthopedic care. Individuals with cerebral palsy often have complex and wide-ranging health care needs. Gillette's unique expertise in the field provides families with healthcare professionals who are aware of the variety of comorbidities commonly associated with cerebral palsy and who are able to identify them early and employ appropriately coordinated management of these conditions. Gillette treats more than 4,000 cerebral palsy patients every year. Gillette developed and patented a device, called the Gillette Prone Cart, for children recovering from selective dorsal rhizotomy surgery. The device makes it easier for children to lie on their stomach, also called a "prone" position, which contributes to optimal surgical outcomes. Orthopedics: Gillette is home to nationally and internationally recognized leaders in pediatric orthopedics. Gillette's staff treats patients who have complex orthopedic problems resulting from cerebral palsy, traumatic brain injuries, neuromuscular conditions, trauma-related fractures, and strokes. Gillette staff members see patients who have permanent joint contractures, extra or missing fingers or toes, brittle-bone disease, and clubfoot. The staff also creates prostheses and treats patients with complex leg- and arm-length discrepancies. Orthopedic surgeons treat children with scoliosis and other spine disorders. Gillette doctors also see patients who have joint disease, joint-overuse symptoms, and other musculoskeletal conditions. Neurosciences: Gillette's neurology and neurosurgery providers provide expert clinical care for children with neurologic conditions and offer a breadth and depth of subspecialty care to provide the most accurate diagnoses and advanced treatments available for patients with conditions including Chiari malformations, hydrocephalus, spina bifida, epilepsy, neuromuscular conditions such as muscular dystrophy and spinal muscular atrophy, rare conditions such as Rett Syndrome, and neurological complications resulting from other complex conditions. Craniofacial Services: Gillette's experts diagnose and treat children with congenital or acquired conditions involving the head and neck. These conditions, often resulting from a genetic anomaly and occurring frequently with other comorbid conditions, require an integrated care team including surgeons, physical, speech and occupational therapists, dental and orthodontics, as well as specialized orthoses. Unique service offerings include the Gillette CranioCap orthosis, a custom-made brace for the skull that corrects deformational plagiocephaly. For many children with cleft lips and palates, orthodontists custom-make Gillette's OrthoCleft retainer, a presurgical appliance that brings gum segments together, reducing the gap in the mouth, and improves sucking and eating abilities for some children awaiting surgery. Both the CranioCap orthosis and OrthoCleft retainer are registered trademarks of Gillette and are used nationally. Gillette's staff also treats children who have hemangiomas and vascular malformations. Rehabilitation: Gillette provides comprehensive inpatient rehabilitation care, as well as outpatient rehabilitation services. As a major referral destination, our pediatric rehabilitation program is one of the largest in the upper Midwest. We also offer the nation's highest concentration of board-certified pediatric rehabilitation medicine specialists, all in a family-centered environment. Our inpatient unit offers comprehensive medical rehabilitation services to children and teens who sustain brain and spinal cord injuries, require post-surgical rehabilitation needs, or have other complex medical conditions requiring rehabilitation services. We also provide outpatient services for such patients after discharge. Gillette provides specialized physical therapy, occupational therapy, speech and language pathology and audiology services to patients who have a wide variety of conditions, including cerebral palsy, spinal bifida, orthopedic conditions and other complex medical issues. Gillette also provides aquatic therapy for patients who have neurological and musculoskeletal problems. Complex Pediatric and Subspecialty Services: Gillette's pediatric staff offers the region's most comprehensive program for the diagnosis and management of infants and children who have a wide variety of complex medical conditions. Complex Care physicians coordinate care across multiple services and serve as a single point of contact for families and primary care providers, managing the overall health of a child with medical complexity. Pediatricians are supported by medical specialists in areas such as rheumatology, endocrinology, integrative and palliative medicine, genetics, and infectious diseases.
Form 990, Part III, Line 4a	Level I Pediatric Trauma Center: In 2009, a collaborative effort between Gillette and Regions Hospital resulted in recognition by the American College of Surgeons as the State of Minnesota's first Level I Pediatric Trauma Center. To be certified as a Level I Pediatric Trauma Center, Regions in collaboration with Gillette had to meet the requirements of adult trauma centers while fulfilling pediatric guidelines, including additional specialists and critical care patient volumes. While Regions cares for critically injured adult patients, injured children are transferred to Gillette's Pediatric Intensive Care Unit, where a team of Gillette and Regions specialists provide critical care and medical intervention. Specialized Ancillary Services: Gillette also provides an array of highly specialized ancillary services that are interwoven into our delivery of a complete system of care for those we serve, including: Gait and Motion Analysis Gillette operates one of the world's busiest and most respected pediatric clinical gain and motion analysis centers. The James R. Gage Center for Gait and Motion Analysis is known worldwide for expertise in diagnosing and planning treatments for people who have disorders affecting their gait and ability to control movement. Using innovative computer technology, motion analysis captures movements, muscle activity and forces that help physicians understand and recognize how orthopedic, neurological and muscular conditions can hinder motions that are critical to daily living. Information from gait analysis-together with imaging scans, medical history and the results of other evaluations-helps physicians recommend the best treatments for a wide variety of conditions that disrupt movement. Orthotics, Prosthetics and Seating Gillette is one of the Twin Cities' largest providers of custom-made orthotics, prosthetics and seating (wheelchair and related mobility support) services. Gillette employs certified prosthetists and orthotists, who identify, design and manufacture customized equipment for correcting skeletal disorders, providing skeletal support, managing muscle tone, and fostering independence. Gillette's staff provides customized braces, artificial limbs, assistive communication devices, protective headgear, specialized seating, and customized wheelchair construction and modifications. Rehabilitation Therapies Gillette employs physical, occupational and speech/language therapists with extensive training in the therapeutic treatment and rehabilitation of children and adults with compels neurological and musculoskeletal conditions. Specializations include intensive brain and spinal cord injury rehabilitation, Schroth therapy for scoliosis (spinal curvature), augmentative and alternative communication for individuals without the ability to speak, food and swallowing therapy for individuals post- tracheotomy, and speech and language therapy for children after the repair of cleft lip, palate or major facial reconstruction. Care Management Services The complexity of the conditions managed by Gillette medical providers require a high level of scheduling, insurance, and coordination with other services including schools, social service providers, and transportation providers. Gillette's care management team, in collaboration with other areas of the hospital, provide a range of supports and services to families to help them proactively manage their child's care. Dental Care: Because few traditional dentists have the facilities, equipment or trained staff to serve people who have disabilities, Gillette offers outpatient care from dentists and orthodontists who understand the unique needs of people who have complex conditions. Dental services designed specifically for this patient population are important, as many disabilities make it difficult for patients to be seen by a traditional dentist, and there is a strong link between physical health and oral health. People who have cerebral palsy, for example, might have muscles that involuntarily move and tighten, impeding the ability to brush and floss daily. Gillette also offers orthodontia and dental services for children born with cleft lip and/or palate or other craniofacial anomalies. Gillette has custom exam chairs designed to meet the needs of people who have disabilities, a station suited for patients who use wheelchairs, and sedation for patients who are unable to tolerate dental procedures without it. Child and Family Services Gillette's Child and Family Services (CFS) is a team of social workers, psychologists and neuropsychologists, child life specialists, therapeutic recreation specialists and a chaplain. CFS team members work closely with children and families to help them understand their medical care and minimize stress through play, relaxation, and special events and activities. Child life professionals are trained in child development and are part of the multi-disciplinary care team. They partner with the whole family, including siblings, to foster a positive and supportive care experience. Gillette maintains numerous accreditation and memberships, including the following: Joint Commission: Gillette has earned and maintained the Joint Commission's Gold Seal of Approval since 2008. To be eligible, organizations must undergo an on-site survey at least once every three years. Accreditation by the Joint Commission is recognized nationwide as a symbol of quality. Rehabilitation: Gillette's inpatient rehabilitation program has maintained accreditation by the Commission on Accreditation of Rehabilitation Facilities ("CARF") since 1992. Gillette's pediatric brain injury specialty program is also accredited by CARF. In 2016, CARF issued a three-year accreditation to Gillette, which will remain in effect until the next survey in October 2019. Gillette is the region's largest pediatric rehabilitation program and is one of only three pediatric programs in Minnesota accredited by CARF. In addition, Gillette is one of six health care providers in the country with designations in pediatric inpatient rehabilitation and brain injury. Quality: In 2019, the National Committee for Quality Assurance awarded Gillette the Patient Centered Specialty Practice Recognition for orthopedic practices at their St. Paul campus, Minnetonka Clinic, Maple Grove Clinic and Burnsville Clinic. Gillette is the first pediatric health care organization in Minnesota receive this distinction. Patient Safety: The Children's Hospitals' Solutions for Patient Safety National Children's Network recognized Gillette with "Navigator" status in 2018. Gillette is one of only thirteen to be recognized with this status out of over 130 hospitals in the network. Orthotics and Prosthetics: The American Board for Certification in Orthotics, Prosthetics and Pedorthics, the national accrediting body for the orthotic and prosthetic professions, has certified each of Gillette's prosthetists and orthotists. Gait and Motion: In 2009, the Commission for Motion Laboratory Accreditation named Gillette's Center for Gait and Motion Analysis the nation's first accredited motion analysis laboratory. Health Care Home: In 2019, Gillette's Complex Care Specialty Clinic was certified as a Health Care Home for medically complex patients. Patient Safety: Committed to continuous improvement, Gillette participates in the Solutions for Patient Safety (SPS), a national collaborative of hospitals throughout the U.S. focused on eliminating adverse health events and patient harm. Gillette's 2017 seven-day unplanned readmission rate, for instance, was 1.7 percent, compared to the SPS benchmark of 3.2 percent. As part of the SPS collaboration, Gillette developed and implements best practices for preventing 13 patient safety issues, called healthcare-acquired conditions. In 2017, Gillette performed better than or equal to SPS benchmarks in 12 of 13 areas of harm that we report to SPS. In 2017, Gillette added two new areas of patient harm to their focus, Antimicrobial Stewardship and Peripheral Intravenous Infiltration and Extravasation. In 2017, the Surgical Site Infection rate for Spinal Fusion surgeries decreased by half, dropping from 4.73 infections per 100 procedures to 2.38 infections per 100 discharges. Gillette's catheter associated blood stream infection rate also decreased by half. Through its presurgical preparation program, discharge planning program, and telehealth nursing services, Gillette identifies patients at risk of complications and develops plans to reduce those risks. These efforts have paid off in reducing the incidence of healthcare-acquired conditions. For example, as of December 2017, Gillette had gone 922 days without a central line-associated bloodstream infection, 1,196 days without a reportable pressure ulcer, and 745 days without a fall causing harm.
Form 990, Part III, Line 4c, Program Service Accomplishments:	Education: Through fellowships, seminars and other educational programs, Gillette strives to share expertise that benefits all children who have complex conditions. Gillette facilities are made available for training of health care students through arrangements with area educational institutions. Gillette offers residencies and fellowships in such specialties as pediatrics, orthopedics, and pediatric rehabilitation medicine. A teaching hospital, Gillette trains residents from the University of Minnesota and Henry Ford Hospital in Detroit, who spend one to three months under the mentorship of Gillette's medical staff. In many cases, Gillette offers physicians their only exposure during residency to patients with certain disabilities. Gillette also offers shadowing and mentorship programs for students, along with professional education opportunities in such areas as physical therapy, radiology, nursing, respiratory care and assistive technology. Some of the students who make use of these training programs ultimately join the staff of Gillette. Gillette also provides extensive Continuing Medical Education services to physicians and other health care providers in our area of expertise. Participants travel from around the region and globe to learn from Gillette experts each year. These programs also support the ongoing development of referral and partnership arrangements and relationships that direct patients to Gillette for their care. Gillette covers the unreimbursed costs of medical education and is fully accredited by the Minnesota Medical Association to provide continuing medical education (CME). Gillette sponsors conferences on topics such as cerebral palsy, orthopedics, Duchenne muscular dystrophy, Rett syndrome, and motion analysis. In 2017, Gillette provided 150 hours of clinical medical education to more than 400 physicians and 1,500 other health care providers. Typical audiences include pediatricians, family practitioners, nurse practitioners, physician assistants, nurses, physical therapists, occupational therapists, and orthotists.
Form 990, Part VI, Section B, line 11b	Gillette provided a copy of the Form 990 to every member of the governing body before filing the form. A committee including representatives of our executive leadership team completed the form. This committee prepared all the documents necessary; Gillete's accounting firm compiled the forms. Gillete's Vice President of Finance and Vice President of Institutional Advancement then reviewed the draft documents. After all internal reviews were complete, the final version was presented to the finance committee and the board of directors for approval.
Form 990, Part VI, Section B, line 12c	Gillette enforces policies on external professional activities. Gillette employees, officers, volunteers, board members, and medical staff members are expected to disclose outside activities that involve potential conflicts of interest. Directors must sign a conflict of interest statement acknowledging any potential conflicts related to Gillette. Gillette requires staff members to discuss potential conflicts with their immediate manager and with the compliance officer. The disclosure includes a written description of the activity, the extent of the staff member's participation, and the possible duration of the relationship. If a conflict exists, the employee must not engage in the activity.
Form 990, Part VI, Section B, line 15	At the request of the Compensation Committee of the Board of Directors, an independent consultant provides the committee with survey data containing recommendations for the President & CEO and other executive salary ranges. The ranges are developed by the external consultant based on Gillette's compensation philosophy, which was developed by the Compensation Committee and adopted by the Board of Directors. The compensation philosophy is reviewed regularly. The members of the Compensation Committee determine the CEO/President's salary and the salary ranges for other executives. The committee oversees the executive incentive plan, approves incentive plan payouts, and regularly evaluates the benefits provided to executives. The external consultant has provided total compensation data for all executives, and the committee has diligently followed the process for establishing a presumption of reasonableness. In addition to the oversight function of executive total compensation, the compensation committee reviews and approves the salary offers for contract and employed physicians, oversees payments under any incentive compensation plans, and evaluates all transactions with "disqualified persons."
Form 990, Part VI, Section C, line 19	Gillette posted its 2018 annual report and audited financial statements to its public website at gillettechildrens.org/annualreport2018. The annual report was also mailed to major business partners, including the Minnesota Hospital Association and Children's Hospital Association; Children's Miracle Network Hospitals partner organizations; donors; and prospective donors. An email directing to the online annual report was sent to Gillette employees and volunteers; Minnesota pediatricians and advance practice providers; members of the Minnesota Senate and Minnesota House of Representatives; the Mayor and City Council for all Minnesota communities with a Gillette Outreach Clinic location; and Gillette patients and families. The Gillette Form 990s are available from the states of Minnesota and Wisconsin and at Guidestar.org. Gillette discloses financial statements to bondholders, the Minnesota Hospital Association and the Minnesota attorney general's office. The governing documents and conflict of interest policy are made available to the public upon request.
Form 990, Part IX, line 11g	Personnel Contracts: Program service expenses 15,304,683. Management and general expenses 124,048. Fundraising expenses 0. Total expenses 15,428,731. Regions Services: Program service expenses 5,647,211. Management and general expenses 375,589. Fundraising expenses 0. Total expenses 6,022,800. Temp Staffing: Program service expenses 2,339,823. Management and general expenses 331,065. Fundraising expenses 0. Total expenses 2,670,888. Interpreter Services: Program service expenses 859,410. Management and general expenses 0. Fundraising expenses 0. Total expenses 859,410. Other Services: Program service expenses 4,706,196. Management and general expenses 3,097,322. Fundraising expenses 0. Total expenses 7,803,518.
Form 990, Part XI, line 9:	Change in Beneficial Interest in Net Assets of Foundation 6,877,760. In accordance with FAS No. 136, "Transfers of assets to a not-for-profit or charitable trust that raises or holds contributions for others"

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Gillette Children's Specialty Healthcare

Employer identification number

36-3379150

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)Gillette Children's Hospital Foundation 200 University Avenue East Saint Paul,MN55101 41-1200302	Healthcare	MN	501(c)(3)	Line 11, Type II: 50	N/A	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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) 2018

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

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) .......................

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

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

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

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

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

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

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Gillette Children's Hospital Foundation	C	1,345,440	FMV
(2) Gillette Children's Hospital Foundation	Q	510,000	FMV

Schedule R (Form 990) 2018

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) 2018

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provides specialized healthcare for people who have disabilities that began during childhood.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,756
6	Total number of volunteers (estimate if necessary) .............	6	270
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	21,735
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	245,856

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,744,472	3,305,908
9	Program service revenue (Part VIII, line 2g) .........	232,003,952	248,701,401
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,979,341	5,797,308
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,598	27,644
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	244,748,363	257,832,261
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	65,000	33,275
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	137,165,677	136,249,751
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	99,549,318	104,687,085
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	236,779,995	240,970,111
19	Revenue less expenses. Subtract line 18 from line 12.......	7,968,368	16,862,150
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	331,367,848	343,452,581
21	Total liabilities (Part X, line 26).............	85,983,861	87,011,696
22	Net assets or fund balances. Subtract line 21 from line 20.....	245,383,987	256,440,885

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 205,191,086 including grants of $ 33,275 ) (Revenue $ 247,836,014 )
	Patient Services:Founded in 1897, Gillette is dedicated to providing high quality subspecialty care to children who have complex and/or disabling conditions primarily affecting the musculoskeletal and/or neurological systems. During 2018, the organization saw 25,010 patients from all 87 Minnesota counties, 43 U.S. states, and 13 countries. See Schedule O.

4b	(Code: ) (Expenses $ 3,218,873 including grants of $ 0 ) (Revenue $ 635,959 )
	Research:Gillette research activities concentrate on clinical applications devoted to finding effective medical interventions for disabling conditions and their related effects. Research at Gillette consists of fourteen emphasis areas, all of which seek to improve the lives of children who have disabilities and complex conditions. During 2018, 105 active studies were underway and over 50 studies were published in peer-reviewed journals.

4c	(Code: ) (Expenses $ 1,721,766 including grants of $ 0 ) (Revenue $ 229,428 )
	Education:Gillette provides graduate medical education in collaboration with the University of Minnesota and provides seminars and other educational programs with the goal to share expertise that benefits all children who have complex conditions. Gillette offers residencies and fellowships in orthopedics, and pediatric rehabilitation medicine.See Schedule O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses210,131,725

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,094,568	31,529	836,368

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,345,440
e	Government grants (contributions)		1e	1,960,468

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

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		3,305,908

		Business Code
2a	Patient Services	621400	182,704,277	182,704,277
b	Medicare/Medicaid	612400	64,862,558	64,862,558
c	Parking Revenue	812930	602,831			602,831
d	Foundation Services	621400	510,000	510,000
e	Prone Cart/Books	621400	21,735		21,735
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		248,701,401

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,757,375			5,757,375
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		27,644
b	Less: rental expenses		0
c	Rental income or (loss)		27,644
d	Net rental income or (loss)......			27,644			27,644
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		2,412,311
b	Less: cost or other basis and sales expenses		2,372,378
c	Gain or (loss)		39,933
d	Net gain or (loss).....			39,933			39,933
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......			257,832,261	248,076,835	21,735	6,427,783

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	33,275	33,275
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	5,285,683	279,946	5,005,737
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	524,233	27,765	496,468
7	Other salaries and wages	103,089,245	94,101,359	8,987,886
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,109,033	3,978,996	130,037
9	Other employee benefits .......	16,329,831	13,890,888	2,438,943
10	Payroll taxes ...........	6,911,726	5,986,535	925,191
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	82,090		82,090
c	Accounting ...........	180,191		180,191
d	Lobbying ...........	164,447		164,447
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	340,343		340,343
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	32,785,347	28,857,323	3,928,024
12	Advertising and promotion ....	1,366,045	63,833	1,302,212
13	Office expenses .......	2,326,827	1,644,402	682,425
14	Information technology ......	6,702,070	4,693,712	2,008,358
15	Royalties ..
16	Occupancy ...........	8,486,598	7,966,619	519,979
17	Travel ............	778,354	631,284	147,070
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	722,061	490,558	231,503
20	Interest ...........	1,234,260	1,224,149	10,111
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	14,380,940	12,123,475	2,257,465
23	Insurance ...	698,020	278,730	419,290
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	23,480,551	23,379,355	101,196
b	MN Care Taxes	4,677,506	4,677,506
c	MA Surcharge	2,988,592	2,988,592
d	Repairs & Maintenance	2,344,146	2,208,664	135,482
e	All other expenses	948,697	604,759	343,938
25	Total functional expenses. Add lines 1 through 24e	240,970,111	210,131,725	30,838,386	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 ........			36,294,771	1	58,286,062
2	Savings and temporary cash investments .........			12,081,170	2	12,221,135
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			47,903,680	4	45,205,530
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 ....			22,935	7	193
8	Inventories for sale or use ........			4,133,988	8	3,916,038
9	Prepaid expenses and deferred charges ......			8,586,873	9	8,849,022
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	216,784,741
b	Less: accumulated depreciation	10b	126,432,922	97,615,335	10c	90,351,819
11	Investments—publicly traded securities .			102,278,588	11	95,548,274
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			22,450,508	15	29,074,508
16	Total assets. Add lines 1 through 15 (must equal line 34)...			331,367,848	16	343,452,581

17	Accounts payable and accrued expenses .....	34,205,703	17	39,336,880
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	51,700,281	20	47,612,100
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 ..	77,877	23	62,716
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		25
26	Total liabilities. Add lines 17 through 25..	85,983,861	26	87,011,696

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	238,114,489	27	242,626,560
28	Temporarily restricted net assets ...........	5,030,477	28	11,470,982
29	Permanently restricted net assets	2,239,021	29	2,343,343
	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 ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	245,383,987	33	256,440,885
34	Total liabilities and net assets/fund balances ........	331,367,848	34	343,452,581

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No