2025-11-13T11:29:20-06:00 2024-12-31 420714325 RSM US LLP 227 West First Street Suite 700 Duluth MN 55802 990 2024-01-01 363379150 Gillette Children's Specialty Healthcare GILL 6512912848 200 University Ave East Saint Paul MN 55101 Patrick Nolan Chief Financial Officer 6512912848 2025-11-11 1 1 Julie Boyer P01278549 2187275025 2025-11-11 2024 2025-03-06 01:10:19Z Barbara Joers 200 University Ave East Saint Paul MN 55101 443635075 0 X www.gillettechildrens.org X 1897 MN Redefine what is possible for children with brain, bone and movement conditions through clinical leadership, research, and global advocacy. 14 12 1762 106 25351 0 12551595 13012112 281162880 366419215 12034604 17086226 42372 77230 305791451 396594783 101950 89249 0 0 173229819 182099538 0 0 0 132768645 189003441 306100414 371192228 -308963 25402555 473293330 514175159 138967475 152415314 334325855 361759845 X In collaboration with patients, families and partners, Gillette Children's Specialty Healthcare (Gillette) redefines what is possible for children with brain, bone and movement conditions through clinical leadership, research and global advocacy. 0 0 309429691 89249 364804979 Patient Services: Founded in 1897, Gillette's vision is a world in which every child is able to create their own story. In collaboration with patients, families and partners, we redefine what is possible for children with brain, bone and movement conditions through clinical leadership, research and global advocacy. Gillette is dedicated to providing high quality subspecialty care to children with complex and/or disabling conditions. During 2024, Gillette served 28,749 unique patients from all 87 Minnesota counties, 41 U.S. states and territories, and 11 countries around the world.Gillette operates a 60 licensed-bed specialty hospital in St. Paul, Minnesota; clinics in Alexandria, Baxter, Bemidji, Burnsville, Duluth, Mankato, Maple Grove, St. Cloud, Willmar, and St. Paul, Minnesota, outreach collaborations across Minnesota and the Upper Midwest, and virtual telemedicine services.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 integrated care model has differentiated us from traditional health systems. For over 127 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's care helps ensure every child can create their own story and realize their full potential.Gillette is a regional referral center healthcare destination for people who have complex, rare and traumatic conditions that began in childhood. 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 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 and rehabilitation needs of individuals with medical complexity and lifelong conditions that affect the musculoskeletal and neurological systems.Gillette clinics across 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 continues work to implement virtual care (telemedicine) services into its clinics and other care settings. Virtual care enables providers to hold consultations with patients via video conference, with 9,457 virtual appointments performed during 2024, primarily within medical clinic services and rehabilitation therapies.During 2024, Gillette served 28,749 unique patients from all 87 Minnesota counties, 41 U.S. states and territories, and 11 countries internationally. A large and geographically diverse network of referring physicians has driven growth. There were 2,126 inpatient admissions, with an average length of stay of 4.6 days, and 148,521 outpatient visits during 2024. Gillette physicians performed 3,741 inpatient and outpatient surgeries in 2024. The top conditions seen at Gillette include cerebral palsy, limb-length discrepancy, developmental dysplasia of the hip, epilepsy, and idiopathic scoliosis. Over 70% of Gillette patients see providers in more than one specialty.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. Through our Cerebral Palsy Institute, Gillette treats more than 4,000 cerebral palsy patients every year. Gillette is an innovative clinical leader in treating cerebral palsy- from developing new devices to assist in patient care, to the assessments done at the at the James R Gage Center for Gait and Motion Analysis, Gillette is sought out for its care around the world.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. Through our Spine Institute, over 4,200 unique patients were treated for spine related conditions during 2024. 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 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. 10005354 0 1014813 ResearchGillette research activities concentrate on clinical applications devoted to finding effective medical interventions for disabling conditions and their related effects. Research at Gillette consists of seven major emphasis areas (gait and motion analysis, health services, neurosciences, orthopedics, pain and comfort, rehabilitation, and spine), all of which seek to improve the lives of children who have disabilities and complex conditions. During 2024, Gillette researchers were engaged in 90 active studies to unlock new discoveries, and 80 studies were published in peer-reviewed journals to share knowledge with the world. Additionally, a growing number of active research clinical patient care, Gillette's research activities advance our mission to help children create their own stories. 1745525 12351 EducationGillette 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. 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 Health 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. During 2024, Gillette provided over 100 hours of clinical medical education to more than 450 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. 321180570 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 181 1 1 1762 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN WI X Kyle Eidem 6512912848 200 University Ave East Saint Paul MN 55101 Barbara Joers President & CEO 50.00 5.00 X X 997606 0 88581 Madeleine Gagnon Chief of Staff 19.00 1.00 X 94695 0 0 Kathy Tune Chair 1.00 1.00 X X 0 0 0 Marlon Cush Vice Chair 1.00 1.00 X X 0 0 0 Linda Ireland Secretary 1.00 1.00 X X 0 0 0 Julie Neville Treasurer 1.00 1.00 X X 0 0 0 Mitch Bleske Director (Start 1/24) 1.00 1.00 X 0 0 0 Jodi Capistrant Director 1.00 1.00 X 0 0 0 LaMetrice Dopson Director (Start 1/24) 1.00 1.00 X 0 0 0 Jeffery Freyer Director 1.00 1.00 X 0 0 0 John Liddicoat Director (End 4/24) 1.00 1.00 X 0 0 0 Mary Maertens Director 1.00 1.00 X 0 0 0 Patrick Maillet Director 1.00 1.00 X 0 0 0 Anne Meyer Director 1.00 1.00 X 0 0 0 Andrew Thelander Director (Start 1/24) 1.00 1.00 X 0 0 0 Micah Niermann EVP Medical Affairs 50.00 0.00 X 569339 0 68872 Patrick Nolan EVP Finance 50.00 0.00 X 536186 0 67802 Thomas Harris EVP Operations 50.00 0.00 X 465888 0 68631 Paula Montgomery EVP Admin Affairs 50.00 0.00 X 463663 0 63614 Timothy Getsay EVP Performance 50.00 0.00 X 435386 0 61743 Stephen Bariteau EVP Philanthropy 1.00 49.00 X 0 313504 54172 Tenner Guillaume Orthopedic Surgeon 50.00 0.00 X 1471507 0 63113 Patrick Graupman Neurosurgeon 50.00 0.00 X 1114727 0 61435 Debbie Song Neurosurgeon 50.00 0.00 X 1085833 0 64908 Ruth Barta Cranofacial Surgeon 50.00 0.00 X 1001218 0 35544 Peter Kim Neurosurgeon 50.00 0.00 X 913748 0 63436 Karen Brill Former VP Quality (End 2/24) 50.00 0.00 X 526080 0 7706 Karen Brady VP People 50.00 0.00 X 330321 0 48948 10006197 313504 818505 360 1 1 0 Regions Hospital 640 Jackson St St Paul MN 55101 Direct Patient Services 9186615 Knutson Construction Services 7515 Wayzata Blvd Minneapolis MN 55426 Construction Services 5118138 Childrens Respiratory & Critical Care Sp 2530 Chicago Ave Ste 400 Minneapolis MN 55404 Physician Services 4285176 Quality Nurse Anesthesia 5600 Edgewater Blvd Minneapolis MN 55417 Anesthesia Services 3977780 Oracle America 500 Oracle Parkway Redwood City CA 94065 Software Services 3172916 87 8712954 4299158 13012112 Patient Service Revenu 621400 240930496 240930496 Medicare/Medicaid 621400 118295730 118295730 Contracy Pharmacy 621400 5855014 5855014 Intercompany Services 621400 750903 750903 Parking Revenue 812930 587072 587072 366419215 17470679 17470679 81879 4649 77230 77230 25351 51879 46651190 47035643 -384453 -384453 -384453 396594783 365832143 25351 17725177 89249 89249 4895064 66287 4828777 138998345 117375340 21623005 7974601 5287729 2686872 21085445 18351483 2733962 9146083 7565928 1580155 231758 231758 112578 112578 79519 79519 519751 519751 36771104 31704737 5066367 809372 20867 788505 2207125 1438426 768699 11431972 8036866 3395106 10654472 8249287 2405185 755945 508261 247684 551902 299066 252836 1685274 1604163 81111 12368692 11010700 1357992 981091 157068 824023 Medical Supplies 97906495 97888600 17895 MA Surcharge 4753695 4753695 MNCare Taxes 3718165 3718165 Repairs & Maintenance 2685973 2418978 266995 778558 635675 142883 371192228 321180570 50011658 0 22044116 15608905 96568251 53191028 56047749 99586344 4800837 10595334 4174375 5406950 260784018 167588600 93757485 93195418 130495277 144590259 0 0 65405240 92000921 473293330 514175159 53784420 50005622 0 311876 25156103 21200318 29119901 28809195 30907051 52088303 138967475 152415314 X 323486981 350167004 10838874 11592841 334325855 361759845 473293330 514175159 X 25402555 2800340 -768905 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 0 1 48000 0 1 338235 386235 0 Part II-B, Line 1: Gillette employs a director of public policy, director of external affairs, and public policy coordinator who devote time to federal and state policy initiatives. Gillette also periodically contracts with consultants 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 Minnesota Hospital Association; Minnesota Consortium for Citizens With Disabilities; Minnesota Business Partnership; Medical Alley, St Paul Area Chamber of Commerce; and the Minneapolis Chamber of Commerce. A portion of membership dues for these organizations relate to lobbying activities. 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, Minnesota Department of Health, and other state agencies to discuss governmental payment arrangements, 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 and initiatives. Through 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 the Gillette 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. 7100048 440750 740653 0 1283600 0 6997851 5247289 2000891 626021 0 774153 0 7100048 5555957 958901 -585805 0 681764 0 5247289 4558270 955282 446126 0 403721 0 5555957 3481048 893622 409366 0 225766 0 4558270 0.17306 0.82694 0.00000 0 1 1 1115000 1115000 75026699 24716689 50310010 75581364 54499188 21082176 107369340 88372232 18997108 1691615 491 1691124 93195418 Beneficial Interest in Net Assets of Subsidiaries 32962492 Life Insurance Cash Value 200000 Investment in Subsidiaries 460382 Operating Lease Right of Use Assets 37009715 Due from Subsidiaries 7135005 Deferred Compensation Assets 14233327 92000921 Lease Liabilities 37854976 Deferred Compensation Liabilities 14233327 52088303 X Part V, Line 4: Gillette Children's Hospital Foundation maintains 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 Gillette patients and families. Part X, Line 2: The Internal Revenue Service has determined that the Medical Center and Foundation are tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code (IRC) and are not private institutions as defined by Section 509(a) of the IRC. Generally, the Organization is no longer subject to income tax examinations by federal, state and local tax authorities for years prior to 2021. There were no unrecognized tax liabilities or uncertain tax positions as of December 31, 2024 and 2023. North America 0 0 Program Services Education and Training 39934 Europe (Including Iceland & Greenland) 0 0 Program Services Education and Training 22672 Central America and the Caribbean 0 0 Program Services Education and Training 13264 South America 0 0 Program Services Education and Training 7594 0 0 0 0 0 0 83464 0 83464 0 0 0 0 0 0 Part I, line 3: Expenditures are accounted for on the accrual basis of accounting and denominated in US dollars. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 1289269 1289269 0.00350 147988193 110611916 37376277 0.10070 149277462 110611916 38665546 0.10420 3740424 9690 3730734 0.01010 1745525 214809 1530716 0.00410 15484140 4416236 11067904 0.02980 10005354 2856312 7149042 0.01930 93582 93582 0.00030 31069025 7497047 23571978 0.06360 180346487 118108963 62237524 0.16780 15000 15000 0.00000 15000 15000 0.00000 1 1261143 126114 4218828 11904464 -7685636 X 1 1 1 1 Gillette Children's Specialty Healthcare 200 University Ave E St Paul MN 55101 www.gillettechildrens.org 419821 X X X X N/A Gillette Children's Specialty Healthcare 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X See Part V, Section C X 1 22 1 See Part V, Section C 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 0 Gillette Children's Specialty Healthcare Part V, Section B, Line 5: Gillette's 2022 CHNA survey builds upon the 2019 process, since many issues that Gillette patients and families face are the result of how systems operate (including health insurance, service delivery for complex conditions, community service providers). This process included creating a survey team, defining the community, gathering input from the broad community and stakeholders, performing analysis, and identifying and prioritizing needs. Questions were designed to identify emerging priorities, add nuance to existing priorities, and elicit thoughts on addressing those priorities. Feedback was gathered from parents, caregivers, and adult patients via online survey to all stakeholders, plus focus groups on a subset of survey respondents. Interviews were also conducted with community stakeholders and Gillette staff. A multi-method evaluation approach was developed to gather feedback from individuals who are familiar with the needs of children and adults with complex medical conditions, including caregivers, community partners, patients, and Gillette staff. The data collection strategies used throughout the assessment included: web surveys with caregivers of children receiving services or adult patients; focus groups with caregivers of children receiving services at Gillette; key informant interviews with community partner organizations; key interviews with Gillette staff. Gillette's full CHNA report is available on the following website: https://www.gillettechildrens.org/assets/uploads/documents/2022-CHNA-Gillette-Children_s-Report-and-implementation-plan.pdf Gillette Children's Specialty Healthcare Part V, Section B, Line 11: The primary health topic identified during the current CHNA was care delivery and coordination. Within that area, four specific initiatives were identified: (1) access to virtual care; (2) care coordination; (3) support for resource navigation; (4) transition planning. The following implementation strategies (among others) are being implemented and refined by Gillette to address these topics. Access to Virtual Care: providing medical virtual care for regional and select states, including virtual clinics, including in partnership with external organizations; increased access to virtual services across greater Minnesota; creation of a virtual second opinion program by Gillette providers; expansion of virtual pediatric expert consultations across specialties and ancillary services; expanding virtual rehabilitation therapies regionally, nationally and internationally; development of digital applications to deliver synchronous and asynchronous rehabilitation care; implementation of joint seating evaluations across greater Minnesota. Care Coordination and Transition Planning: increased availability and focused care management support (including providers, nurses, social workers, and others) to coordinate care between Gillette providers, primary care providers, and community services, develop and understand personal care priorities and care plans, assist care transitions (such as returning home after hospitalization), coordinate referrals, plan for adulthood transition, and generally improve navigation and scheduling for multi-provider visit schedules; expansion of patient navigation teams (nurse care manager, patient navigator, social work) to proactively co-manage complex care plans with patients and families, specifically within complex care clinics and cerebral palsy populations; expanded partnership and coordination with external organizations for closed loop referral system to provide peer-to-peer support, proactively engaging with patients age 16 and above in the complex care program to fully utilize services available, and partnering with adult primary care clinics in the Twin Cities metro and greater Minnesota to establish standard handoff processes for adult patients transitioning to their clinical practices.Support for Resource Navigation: redesign of website resources to make information more easily found and readily available to patients, caregivers and providers; implementation of new registration and patient access digital tools, messaging, and notifications to simplify and streamline access to Gillette services; continue work with local and national organizations to provide education and resources, including individuals seeking mental health treatment; increased educational library resources and publications via online websites and written collateral.Other health issues not prioritized include access to mental health supports (outside the scope of core services), home health care shortages (outside the scope of core services), and access challenges for patients located in rural areas (condensed appointment coordination where possible). Gillette recognizes these are critical services to our patients and families, and works to connect them with existing external providers who specialize in these services. Gillette Children's Specialty Healthcare Part V, Section B, Line 13h: If a patient or guarantor appears eligible for the Gillette assistance program, but there is no application to make afinancial assistance decision, Gillette may make a presumptive eligibility determination, using third-party information to provide a full or partial discount on outstanding self-pay balances. Gillette Children's Specialty Healthcare Part V, Section B, Line 16j: Part V, Line 16a, FAP Website:https://www.gillettechildrens.org/your-visit/patient-services-and-resources/understand-costs-insurance-and-the-gillette-assistance-program/get-help-paying-your-gillette-billsPart V, Line 16b, FAP Application Website:https://www.gillettechildrens.org/your-visit/patient-services-and-resources/understand-costs-insurance-and-the-gillette-assistance-program/get-help-paying-your-gillette-billsPart V, Line 16c, FAP Plain Language Summary Website:https://www.gillettechildrens.org/your-visit/patient-services-and-resources/understand-costs-insurance-and-the-gillette-assistance-program/get-help-paying-your-gillette-bills Part V, Section B, Line 7a, Hospital Facility's Website: The full CHNA report is available on the following website:https://www.gillettechildrens.org/assets/uploads/documents/2022-CHNA-Gillette-Children_s-Report-and-implementation-plan.pdf Part V, Section B, Line 10a, Link for Implementation Strategy: The full CHNA report and implementation strategy are available on the following website:https://www.gillettechildrens.org/assets/uploads/documents/2022-CHNA-Gillette-Children_s-Report-and-implementation-plan.pdf Part V, Section D Gillette operated four pediatric clinics in the Twin Cities metro area (two in St. Paul, Maple Grove and Burnsville); one adult clinic in St. Paul; seven clinics in greater Minnesota (Alexandria, Baxter, Bemidji, Duluth, Mankato, Plymouth, St Cloud and Willmar); and various collaborations across Minnesota and the Upper Midwest. All clinics are licensed under Gillette Children's Specialty Healthcare. 11 1 - Gillette Phalen Clinic 435 Phalen Blvd St Paul MN 55130 Outpatient Clinic 2 - Gillette Maple Grove Clinic 9550 Upland Ln North Maple Grove MN 55369 Outpatient Clinic 3 - Gillette Burnsville Clinic 305 East Nicollet Blvd Burnsville MN 55337 Outpatient Clinic 4 - Gillette Mankato Clinic 1421 Premier Drive Mankato MN 56001 Outpatient Clinic 5 - Gillette Willmar Clinic 1303 1st Street South Willmar MN 56201 Outpatient Clinic 6 - Gillette Baxter Clinic 15860 Audubon Way Baxter MN 56401 Outpatient Clinic 7 - Gillette Duluth Clinic 1420 London Road Duluth MN 55805 Outpatient Clinic 8 - Gillette Bemidji Clinic 505 Bunyan Drive NW Bemidji MN 56601 Outpatient Clinic 9 - Gillette St Cloud Clinic 1900 Centracare Circle St Cloud MN 56303 Outpatient Clinic 10 - Gillette Alexandria Clinic 1500 Irving Street Alexandria MN 56308 Outpatient Clinic 11 - Minnetonka Pediatric Therapy Center 15600 36th Avenue Suite 120 Plymouth MN 55446 Outpatient Therapy Part I, Line 3c: The Gillette Assistance Program (GAP) provides discounts on eligible costs 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. If patients or guarantors appear eligible for GAP but there is no application on file, Gillette may make presumptive eligible decisions, based on third-party information. Insurance coverage, government benefits and health savings account funds must be used prior to receiving a GAP discount. Part I, Line 7: Finance assistance at cost is calculated using a cost-to-charge ratio. Other community benefits are calculated using a combination of internal costing methodologies, less direct offsetting revenues, and cost-to-charge ratios. The cost accounting methodologies record revenues and direct expenses for all inpatient and outpatient services for eachrevenue-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. Part II, Community Building Activities: Gillette participates in various community building activities, including participation in community health fairs, creation of newsletters and other collateral related to complex pediatric conditions and treatments, providing information via news releases and interviews with media, and involvement in other programs and activities related to promotion of the public health, such as providing vaccines. 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 associated with patient eligible for financial assistance is calculated after discounts have been applied, using the same methodology. In accordance with generally accepted accounting principles, bad debt is reported net against patient service revenue. Related expense is calculated using the ratio of cost to charges. 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, or for which presumption eligibility cannot be determined, is estimated based on review of accounts classified as bad debt, industry trends, and management judgement. Part III, Line 4: Gillette's consolidated audited financial statements include footnote disclosures in the Patient Service Revenue and Patient Accounts Receivable sections on pages 11 through 14 Part III, Line 8: Gillette's mission is to redefine possibilities for children with brain, bone and movement conditions, including provision of services to children and adults with disabilities. In providing these mission-driven services, Gillette incurs losses from the Medicare program. Gillette accepts such losses as part of providing an important public service. Gillette's internal ratio of cost-to-charge was used to calculate the Medicare allowable costs. The entire shortfall amount is considered community benefit, but only a portion 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) financial assistance policy. For patients who have difficulty meeting their financialobligations, 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 at all locations, including self-pay and uninsured patients. 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, 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 VI, Line 2: Gillette contracted with Wilder Research to complete the most recent 2022 Community Health Needs Assessment (CHNA). Wilder also conducted the 2016 and 2019 CHNA surveys, providing continuity in the assessment approach, review of prior identified needs, and current implementation strategies. The current CHNA built on the 2019 process, as many of the issues Gillette patients and families face are the result of how healthcare systems operate (health insurance, service delivery for complex conditions, community service providers) and meaningful change is iterative and takes time and ongoing coordination. Gillette further expanded its understanding of community needs by asking questions to identify emerging priorities, adding nuance to existing priorities and initiatives, and eliciting thoughts on addressing the priorities. Most Gillette patients are children with special, complex health care needs, as they are at risk for chronic physical, developmental, behavioral, and emotional conditions, and require additional health care related services. The primary community is broadly identified as children, teens, and a limited number of adults living throughout Minnesota and surrounding states, who required specialized care. Gillette serves a medically underserved population, such as those impacted by health disparities and at risk of receiving inadequate care due to geographic, language, financial, or other barriers. Data collection processes were designed to ensure perspectives of these populations were adequately represented in the CHNA and ongoing evaluations of Gillette's services to its communities. The following core questions guided the assessment process: What are the experiences of caregivers accessing services and supports?; What is the journey to diagnose and care for patients and caregivers?; What would caregivers and families like to get out of care coordination?; How is telehealth working?; What are the family's needs?; How do Gillette community partners perceive the partnership?; How well does Gillette implement policies and practices related to health equity?Gillette uses various tools to gather information on an ongoing basis, such as online surveys, focus groups with families, phone calls, and one-on-one interviews. Gillette also conducts specific assessments when considering new programs or services. Such new programs and services usually arise from suggestions by patients and families, referring physicians, Gillette's own staff, and new or evolving industry trends and changes. More generally, Gillette staff members assess community health care needs by the number of patients they see. During 2024, 28,749 unique children and adults came to Gillette due to the specialized skills, expertise, and advanced technology Gillette provides for patient needs. Gillette treated patients from all 87 Minnesota counties, 41 U.S. states and territories, and 11 countries during 2024.Gillette's mission and care model inform our approach to serving its community health needs. 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 specialties 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 125 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 patients thrive and live happy, healthy, and productive lives.Over time, Gillette anticipates a proportionate increase in children with needs for specialized health care requiring Gillette's unique services. There is a shortage of pediatric specialists in many areas of our primary service areas, and beyond, which will continue to bring patients to Gillette. By establishing suburban and greater Minnesota clinic locations, developing collaborative relationships with other health systems, increasing availability to virtual care clinic and therapy services, and international leadership, education and outreach, Gillette has made concerted efforts to meet the needs of patients outside the Twin Cities metro region and ensure our services are available to all patients needing Gillette's expertise. Gillette's continuing focus on meeting the needs of underserved and rural populations who require specialized pediatric services will also contribute to sustainable organizational growth for the community.Gillette is also a 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 2024, residents and fellows from the University of Minnesota, Henry Ford Health, Mayo Clinic, and other institutions 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. 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 team 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 areas of expertise. Participants travel from around the region and world 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 that qualify for full charity care; providing uninsured patients who do not qualify for charity care approximately the same discount as our third-party payors; 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 socio-economic factors; coordinating care with a patient's primary care physician, school, and community agencies.During 2024, a majority of Gillette encounters 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 intake process. Families complete a financial assistance application that Gillette provides. Proof of participation in Medicaid or any other public assistance programs indicates that the patient has been deemed financially indigent and, therefore, the patient is not required to provider their income on Gillette's assistance application. Gillette may also make presumptive eligibility decisions if application information is not available. In addition to doing so during the intake process, Gillette makes patients and caregivers aware of financial assistance programs by listing them on patient statements and the external Gillette website. Part VI, Line 4: Gillette provides specialized health care for people who have complex and rare diagnoses or traumatic injuries. Gillette staff members see patients who come to Gillette from across the State of Minnesota, upper Midwest region, across the United States, and from international countries. During 2024, Gillette served 28,749 patients from all 87 Minnesota counties, 41 states and territories, and 11 countries. Many patients travel to Gillette's Twin Cities facilities for their care; while others receive care through our greater Minnesota locations and virtual care options. Part VI, Line 5: Gillette provides a wide variety of benefits to the community. In addition to the care provided to patients, Gillette provides community benefit by serving as an advocate for children who have complex medical conditions, including efforts related to increasing access, resources, and awareness for those the organization serves. Gillette leadership also participates in Minnesota Rare Disease Advisory Council and various industry associations, to increase research, education and awareness related to rare conditions.Gillette serves as a gathering place for interested citizens (including the board of directors, volunteers, skilled professionals, patients, families, caregivers, and advocates) to address the challenges and needs of children who have conditions affecting 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 sponsors support sessions for caregivers of children with disabilities. Gillette is part of the United Cerebral Palsy organization, which is devoted to educating, advocating for and providing support services to people who have a spectrum of disabilities. Gillette is also a designed Muscular Dystrophy Association (MDA) Care Center to help people receive the services they need throughout all stages of the condition. MDA is a world leading nonprofit health agency dedicated to finding treatments and cures for muscular dystrophy and other neuromuscular diseases. Gillette also partners with Family Voices for Minnesota to support Parent to Parent, a network connecting experienced families with families of children with disabilities, cognitive issues, and other health needs and who need emotional support.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 chaplains. 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 these multi-disciplinary care team. They partner with the whole family, including siblings, to foster a positive and supportive care experience. Gillette provides these services as a critical benefit to our patients and families, as many CFS services are not reimbursed or under-reimbursed by insurance programs.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 condition, brain injury prevention, nutrition for children, seasonal safety, and strategies for helping children overcome bullying. Gillette also uses its website and social channels, along with in person presentations at various conferences, events, and associations, to advocate on behalf of children who have complex conditions and rare diseases.Gillette offers in-hospital schooling to patients who will be hospitalized for extended lengths of time during the traditional school year. A partnership between Gillette and Saint Paul Public Schools enables children and teens who are recovering from major surgery or traumatic injury to continue their academic lessons at Gillette. Gillette's classroom areas are outfitted with the latest technology-including webcams, laptops, touch-screen computers, and a state-of-the-art Smart Board. Teachers work one-on-one with students on lesson plans designed for their unique needs and in collaboration with the students' home districts.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. Gillette also hosts and partners in other events, such as Day of Play and various adaptive sports events (such as skiing and golf) to support children with disabilities in these types of activities.Additionally, 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 over 90 active studies during 2024, including peer-reviewed publications, Most research projects are supported by either extramural funding, or donor supported through Foundation philanthropy. Clinical and nonclinical research staff members routinely present at medical conferences, including 32 abstracts presented at the American Academy of Cerebral Palsy during 2024. Research at Gillette consists of core emphasis areas, all of which seek to improve the lives of children who have disabilities and complex conditions. Gillette operates an aggressive knowledge translation initiative that aims to advance patient outcomes and experience by better incorporating current medical research into ongoing clinical practice.As a leader in medical treatment, technology, education, and research for people with disabilities and complex conditions, Gillette maintains accreditations, certifications and verifications to provide the highest standards of care for our patients and promote community health, including: American Academy of Sleep Medicine; American Board for Certification in Orthotics, Prosthetics & Pedorthics; American Board of Physical Therapy Residency & Fellowship Education; American Board of Registration of Electroencephalographic and Evoked Potential Technologists; American Cleft Palate Craniofacial Association; American College of Surgeons Children's Surgery Verification; American College of Surgeons Pediatric Trauma Program; Commission on Accreditation of Rehabilitation Facilities; Commission for Motional Laboratory Accreditation; Commission on Office Laboratory Accreditation; DNV Advanced Spine Certification; International Rett Syndrome Foundation's "Center for Excellence; Minnesota Department of Health Health Care Home Certification; National Committee for Quality Assurance "Patient Centered Specialty Practice Recognition; National Association of Epilepsy Center Center for Pediatric Neurosciences "Level 3 Epilepsy Center; The Joint Commission. Further information on these can be found on the gillettechildrens.org website.Gillette Children's also works to advance sustainability for the organizations and our patients by engaging cross-functional teams focused on resource conservation, environmentally preferable purchasing, improving health and environmental equity and meeting the requirements of the Health and Human Services Health Care Sector Climate Pledge. Recent sustainability projects included transitioning to recycled paper and utensils, adding reprocessed collection for certain medical equipment, biohazard waste improvement, and new environmental standards for system design and construction policies. In 2024, in recognition for achievement and innovation in health care sustainability, Gillette received the Greenhealth Partner for Change Award and Greening the OR Recognition Award from Practice Greenhealth, the nations leading organization dedicated to health care environmental sustainability.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 125 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 VI, Line 7, Reports Filed With States MN 1 American Academy for Cerebral Palsy and Development Medicine 555 East Wells St Milwuakee WI 532023823 620692749 501(c)(3) 13100 0 N/A N/A Program Support and Sponsorship Ronald McDonald House Charities Upper Midwest 818 Fulton St SE Minneapolis MN 55414 411313107 501(c)(3) 11000 0 N/A N/A Program Support and Sponsorship St Paul Area Chamber of Commerce 401 North Robert St Ste 150 St Paul MN 55101 410518490 501(c)(6) 9750 0 N/A N/A Program Support and Sponsorship 2 1 Part I, Line 2: Gillette periodically grants monies to other exempt organizations that conduct programs that benefit to the patients that Gillette serves, as authorized by the Gillette executive leadership team. During calendar year 2024, Gillette made grants to the American Academy for Cerebral Palsy and Developmental Medicine, Ronald McDonald Charities, St Paul Area Chamber of Commerce, Wilson's Image College Scholarship, Black Business Enterprises Fund, Pacer Center, Down Syndrome Association of Minnesota, American Academy of Pediatrics, Jack's Basket, March of Dimes, University of Minnesota Foundation, Special Olympics USA, Pediatric Spine Foundation, Shriners Hospital for Children, Epilepsy Foundation of Minnesota, Muscular Dystrophy Association, Minnesota Consortium for Citizens with Disabilities, Mankato Area Children in Need, the Bakken, Hydrocephalus Association, and other organizations. The grants support the missions and key initiatives of the organizations. X X X X 1 1 0 0 0 0 0 1 0 Tenner Guillaume Orthopedic Surgeon 1149391 0 251425 0 70691 0 18285 0 44828 0 1534620 0 0 0 Patrick Graupman Neurosurgeon 1045322 0 1425 0 67980 0 18285 0 43150 0 1176162 0 0 0 Debbie Song Neurosurgeon 1017429 0 1425 0 66979 0 18285 0 46623 0 1150741 0 0 0 Barbara Joers President & CEO 764350 0 115700 0 117556 0 46735 0 41846 0 1086187 0 0 0 Ruth Barta Cranofacial Surgeon 764084 0 186425 0 50709 0 18285 0 17259 0 1036762 0 0 0 Peter Kim Neurosurgeon 817840 0 25700 0 70208 0 18285 0 45151 0 977184 0 0 0 Micah Niermann EVP Medical Affairs 468885 0 29751 0 70703 0 27415 0 41457 0 638211 0 0 0 Patrick Nolan EVP Finance 441483 0 28256 0 66447 0 26005 0 41797 0 603988 0 0 0 Thomas Harris EVP Operations 378855 0 24776 0 62257 0 22721 0 45910 0 534519 0 0 0 Karen Brill Former VP Quality (End 2/24) 41050 0 0 0 485030 0 2421 0 5285 0 533786 0 165427 0 Paula Montgomery EVP Admin Affairs 380035 0 24610 0 59018 0 22565 0 41049 0 527277 0 0 0 Timothy Getsay EVP Performance 351621 0 22842 0 60923 0 20895 0 40848 0 497129 0 0 0 Karen Brady VP People 286669 0 18330 0 25322 0 16476 0 32472 0 379269 0 0 0 Stephen Bariteau EVP Philanthropy 0 265238 0 13914 0 34352 0 15241 0 38931 0 367676 0 0 Part I, Line 3 As directed by the Executive Committee of the Board of Directors, an independent consultant periodically provides the Committee with survey data containing recommendations for the President & CEO and other executives. The recommendations are developed by the external consultant based on Gillette's compensation philosophy, which was developed by the Committee and adopted by the Board of Directors. The compensation philosophy is reviewed regularly. Members of the Committee determine the President & CEO salary. The Committee oversees the executive incentive plan, approves incentive plan payouts, and regularly evaluates 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 Committee oversees payments under any incentive compensation plans, and evaluates all transactions with "disqualified persons." Actions related to the President & CEO and other executive compensation are discussed and voted upon at Committee meetings, and recorded in meeting minutes. Part I, Lines 4a-b During the 2024 calendar year Karen Brill received a severance payment of $314,687. This payment is reported as taxable compensation on Part II, Column (B)(iii). Certain employees are eligible to participate in non-qualified deferred compensation plans. These plans comply with Section 457(f) of the Internal Revenue Code and require employees to be executives or physicians to participate. The plans are "gap" plans, which provides participants with a deposit that closes the gap between the limits of IRC 403(b) and actual cash compensation of the participant. Barbara Joers $28,451, Micah Niermann $9,130, Patrick Nolan $7,720, Thomas Harris $4,436, Paula Montgomery $4,280, Tim Getsay $2,610. Karen Brill received a 457(f) distribution in calendar year 2024 of $165,427. This amount is included in taxable compensation in Part II, Column (B)(iii). Part I, Line 7 Certain employees are eligible for annual one-time awards to recognize employees. The amount and payment of the award is made at the discretion of the Executive Committee of the Board of Directors. A Housing & Redevelopment Authority of the City of St Paul Minnesota 521440935 000000000 2016-05-11 20000000 Capital projects at the hospital location 0 0 0 B Housing & Redevelopment Authority of the City of St Paul Minnesota 521440935 000000000 2017-09-01 27880000 Refund bonds issued 11/12/2009 0 0 0 A 9775000 20000000 285535 19714465 2017 0 0 1 1 B 16675000 27880000 362774 27517226 0 1 1 1 A 0 0 1 1 1 1 0 0 1 B 0 0 1 1 1 1 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 Schedule K, Part III, Line 3a and 3c Gillette's current management, service, and research contracts with respected to the financed property are regularly reviewed and do not result in private business use. Schedule K, Part IV, Line 5, Column (b) The questions is being answered without regard to a yield-restricted advance refunding escrow financed with the proceeds of the bonds. Form 990, Part VI, Section A, line 2 Members of the Gillette Children's Specialty Healthcare (Hospital) Board are also members of the Gillette Children's Hospital Foundation (Foundation) Board resulting in common control of both entities and the sharing of community oversight, strategic planning, financial oversight, and fundraising responsibilities equally among all board members. The following individuals had a business relationship during the year: Kathy Tune, Marlon Cush, Linda Ireland, Julie Neville, Mitch Bleske, Jodi Capistrant, LaMetrice Dopson, Jeffrey Freyer, Mary Maertens, Patrick Maillet, Anne Meyer, Andrew Thelander, John Liddicoat, Madeleine Gagnon, Barbara Joers Form 990, Part VI, Section B, line 11b Gillette staff, including representatives from finance, legal, communications, and administration departments, completed the return and related documentation. Gillette's accounting firm compiled the return. Gillette's chief executive officer and chief financial officer reviewed the draft documents before filing. Gillette provided a copy of Form 990 to each member of the governing body before filing. After all reviews were complete, the final return was presented to and approved by the Finance and Investment Committee and the Board of Directors prior to filing. 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 all 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 supervisor 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 As directed by the Executive Committee of the Board of Directors, an independent consultant periodically 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 Committee and adopted by the Board of Directors. The compensation philosophy is reviewed regularly. The members of the Committee determine the President & CEO salary and the salary ranges for other executives. The Committee oversees the executive incentive plan, approves incentive plan payouts, and regularly evaluates 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 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 annual report, including summarized financial statements, to its public website. The annual report was also provided to certain outside entities, including the Minnesota Hospital Association; Children's Hospital Association; Children's Miracle Network Hospitals and partner organizations; donors; and prospective donors. Email directing to the online annual report are sent to Gillette employees, volunteers, patients, and families. Form 990s are available from the states of Minnesota and Wisconsin, Internal Revenue Service, and by request. Gillette discloses financial statements to bondholders, Minnesota Hospital Association, and the Minnesota Attorney General office. The governing documents and conflict of interest policy are made available to the public upon request. Form 990, Part XI, line 9: Change in Beneficial Interest in Foundation -676,597. Change in investment in Subsidiaries -92,308. Gillette Community Care LLC 200 University Ave E St Paul MN 55101 861381227 Health Care and Social Assistance MN 0 705308 Gillette Children's Specialty Healthcare Minneonka Pediatric Therapy Center LLC 200 University Ave E St Paul MN 55101 260254627 Pediatric Therapy Services MN 1634583 689871 Gillette Children's Specialty Healthcare Kidsights LLC 680 Jackson Street St Paul MN 55101 933609236 Clinical Data Collaboration MN 0 187500 Gillette Children's Specialty Healthcare Gillette Children's Hospital Foundation 200 University Ave E St Paul MN 55101 411200302 Health Care MN 501(c)(3) 7 Gillette Children's Specialty 1 Capernaum Pediatric Therapy Inc 200 University Ave E St Paul MN 55101 411618385 Pediatric Therapy Services MN Gillette Children's Specialty Healthcare S -99367 347153 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 Gillette Children's Hospital Foundation C 8712954 Fair Market Value Gillette Children's Hospital Foundation Q 631375 Fair Market Value Capernaum Pediatric Therapy Inc Q 119528 Fair Market Value