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ALLINA HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALLINA HEALTH SYSTEM (EIN 36-3261413)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349305010
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T15:17:01-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363261413EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALLINA HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALLINameControl
Phone6122620660Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 43 MR 10890AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554400043ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURIE M LAFONTAINEName
TitleVP, FINANCE AND TREASURYTitle
Phone6122620660Phone
Date Signed2013-11-06DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENNETH PAULUSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 43 MR 10890AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554400043ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3578879724GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALLINAHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE LIFELONG HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2012, ALLINA PROVIDED $465,455,941 IN DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees26251TotalNbrEmployees
Total Nbr Volunteers3525TotalNbrVolunteers
Total Gross UBI11641634TotalGrossUBI
Net Unrelated Business Txbl Income3065401NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26265201ContributionsGrantsPriorYear
Contributions Grants Current Year19482701ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2699856034ProgramServiceRevenuePriorYear
Program Service Revenue CY3193168506ProgramServiceRevenueCY
Investment Income Prior Year-5930673InvestmentIncomePriorYear
Investment Income Current Year5067584InvestmentIncomeCurrentYear
Other Revenue Prior Year22981530OtherRevenuePriorYear
Other Revenue Current Year28649072OtherRevenueCurrentYear
Total Revenue Prior Year2743172092TotalRevenuePriorYear
Total Revenue Current Year3246367863TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6128653GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2087930GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1430550903SalariesEtcPriorYear
Salaries Etc Current Year1925853762SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year6340875TotalFundrsngExpCurrentYear
Other Expense Prior Year1080519399OtherExpensePriorYear
Other Expenses Current Year1164099393OtherExpensesCurrentYear
Total Expenses Prior Year2517198955TotalExpensesPriorYear
Total Expenses Current Year3092041085TotalExpensesCurrentYear
Revenues Less Expenses Prior Year225973137RevenuesLessExpensesPriorYear
Revenues Less Expenses CY154326778RevenuesLessExpensesCY
Total Assets BOY3440714766TotalAssetsBOY
Total Assets EOY3287433761TotalAssetsEOY
Total Liabilities BOY1760009146TotalLiabilitiesBOY
Total Liabilities EOY1464804520TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1680705620NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1822629241NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSIONWE SERVE OUR COMMUNITIES BY PROVIDING EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE.OUR VISIONWE WILL: PUT THE PATIENT FIRST; MAKE A DIFFERENCE IN PEOPLES LIVES BY PROVIDING EXCEPTIONAL CARE AND SERVICE; CREATE A HEALING ENVIORNMENT WHERE PASSIONATE PEOPLE THRIVE AND EXCEL; AND LEAD COLLABORATIVE EFFORTS THAT SOLVE OUR COMMUNITY'S HEALTH CARE CHALLENGES.OUR VALUESINTEGRITY, RESPECT, TRUST, COMPASSION AND STEWARDSHIPMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2223869948Expense
Grants2087930Grants
Revenue3277195904Revenue
DescriptionPROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS WHICH INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE;THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH SISTER KENNY REHABILITATION INSTITUTE.UNITED HOSPITAL ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS THE LARGEST HOSPITAL IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.MERCY HOSPITAL COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE HEART & VASCULAR CENTER, CANCER CENTER, WOMEN'S & CHILDREN'S SERVICES, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. MERCY ALSO SERVES THE COMMUNITY THROUGH ELK RIDGE HEALTH, A SURGERY CENTER AND CLINIC IN ELK RIVER.UNITY HOSPITAL FRIDLEY, MINNESOTALOCATED IN FRIDLEY, UNITY HOSPITAL PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE THE HEART & VASCULAR CENTER, WOMEN'S & CHILDREN'S SERVICES, EMERGENCY SERVICES AND MENTAL HEALTH SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY.BUFFALO HOSPITAL BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PHILLIPS EYE INSTITUTE, SISTER KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. DEDICATED TO MEETING THE NEEDS OF ITS PATIENTS, CAMBRIDGE MEDICAL CENTER PROVIDES AN ATMOSPHERE THAT PROMOTES HEALING AND COMFORT.NEW ULM MEDICAL CENTER NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE NEW 38-BED REPLACEMENT HOSPITAL OPENED IN OCTOBER 2009, WHICH FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.PHILLIPS EYE INSTITUTE MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, PHILLIPS EYE INSTITUTE IS THE THIRD LARGEST SPECIALTY EYE HOSPITAL IN THE U.S., SPECIALIZING IN THE DIAGNOSIS, TREATMENT AND CARE OF EYE DISORDERS AND DISEASES. PHILLIPS EYE INSTITUTE DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY.RIVER FALLS AREA HOSPITAL RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR RIVERS CANCER CENTER, BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.ALLINA HEALTH ALSO PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 80 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN OVER 41 COMMUNITIES. MORE THAN 750 HEALTH CARE PRACTITIONERS HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2012, ALLINA HEALTH EXPENDED OVER $2.2 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 3,800,000 CLINIC VISITS, NEARLY 108,000 INPATIENT ADMISSIONS AND 1,200,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 273,000 EMERGENCY CARE VISITS, 116,000 HOMECARE AND HOSPICE VISITS, AND OVER 13,000 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, PERINATAL PROGRAMS, FREE CARE OR SLIDING FEE SCALE CLINICS, MEDICAL EDUCATION, AND SERVICES TO SPECIAL-NEEDS POPULATIONS. OTHER SUBSIDIZED SERVICES INCLUDE HOSPICE, HOME CARE AND PALLIATIVE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND MENTAL HEALTH SERVICES. IN 2012, ALLINA HEALTH EXPENDED $2,478,117 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense270131147Expense
DescriptionCOST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA HEALTH IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE, OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE FOR ALL INDIVIDUALS, ALLINA HEALTH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS ALLINA HEALTH INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2012, ALLINA HEALTH PROVIDED $270,131,147 IN HEALTH CARE SERVICES IN EXCESS OF THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS AND SURCHARGES, TAXES AND FEES RELATED TO THESE PROGRAMS. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THESE PROGRAMS, SERVICES AND ADDITIONAL TAXES AND FEES.COSTS IN EXCESS OF MEDICARE AND MEDICAID PAYMENTSALLINA HEALTH PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE REIMBURSED AT AMOUNTS LESS THAN COST. IN 2012, ALLINA HEALTH EXPENDED $152,363,517 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $51,987,036 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA HEALTH IS A PARTICIPANT IN THE MEDICAID SURCHARGE PROGRAM. THE CURRENT PROGRAM INCLUDES A 1.56% SURCHARGE ON A HOSPITAL'S NET PATIENT SERVICE REVENUE (EXCLUDING MEDICARE REVENUE). REPORTED AMOUNTS ARE NET OF ANY DISPROPORTIONATE SHARE ADJUSTMENTS. IN 2012, ALLINA HEALTH PAID $21,639,410 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE. ALLINA HEALTH PAID $39,036,736 FOR THE MINNESOTACARE TAX IN 2012. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $5,104,448 IN TAXES AND FEES IN 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense68517355Expense
Revenue-72700496Revenue
DescriptionUNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR COMMUNITY CARE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. NOTABLY, OUR DEFINITION OF CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2012, ALLINA HEALTH PROVIDED $29,348,221 IN CHARITY CARE.UNINSURED DISCOUNT PROGRAMFOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR MEET THE FINANCIAL THRESHOLD FOR CHARITY CARE, BUT REQUIRE SOME FINANCIAL ASSISTANCE, ALLINA HEALTH PROVIDES A SLIDING SCALE DISCOUNT. ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A MINIMUM OF A 20 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 57 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2012, ALLINA HEALTH PROVIDED $39,169,134 IN SUCH DISCOUNTS TO LOW-INCOME, UNINSURED INDIVIDUALS. BAD DEBT BAD DEBT WILL BE REPORTED AS A REDUCTION TO REVENUE. ALLINA HEALTH PROVIDES MEDICAL CARE TO ALL IN NEED. THERE ARE TIMES WHEN PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT. THESE BAD DEBT AMOUNTS IN 2012 TOTALED $(72,700,496).FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE ARE AS FOLLOWS:2Q. ADOPTION OF NEW ACCOUNTING STANDARDSON JANUARY 1, 2012, THE SYSTEM ADOPTED GUIDANCE UNDER ACCOUNTING STANDARDS UPDATE 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH AMENDED ASC TOPIC 954, HEALTH CARE ENTITIES. THE GUIDANCE PROVIDES GREATER TRANSPARENCY REGARDING A HEALTHCARE ENTITY'S NET PATIENT SERVICE REVENUE AND THE RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS REQUIRE HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE BY RECLASSIFYING THE PROVISION FROM OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE, RETROSPECTIVELY, AND REQUIRE ENHANCED DISCLOSURES ABOUT NET PATIENT REVENUE AND THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS. THE ADOPTION OF THE AUTHORITATIVE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseDescriptionDescription
51256478COMMUNITY SERVICES:ALLINA HEALTH IS COMMITTED TO SUPPORTING PROGRAMS AND SERVICES THAT ADDRESS COMMUNITY NEEDS. IN 2012, ALLINA HEALTH CONTRIBUTED $51,256,478 TO COMMUNITY PROGRAMS AND SERVICES TO ADVANCE THE HEALTH OF THE BROADER COMMUNITY. BELOW ARE EXAMPLES OF PROGRAMS AND SERVICES ALLINA HEALTH PROVIDES WITHIN THE COMMUNITIES WE SERVE UNDER CATEGORIES PROVIDED BY THE CATHOLIC HEALTHCARE ASSOCIATION (CHA) AND VHA, INC. COMMUNITY HEALTH IMPROVEMENT SERVICESACCORDING TO THE CHA/VHA GUIDELINES, COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES TO IMPROVE COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION AND DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS. ALLINA HEALTH PROVIDES MANY PROGRAMS AND SERVICES THAT FALL UNDER THIS CATEGORY. A FEW EXAMPLES INCLUDE: SCHOOL HEALTH CONNECTION - IN AUGUST 2012, ALLINA HEALTH LAUNCHED SCHOOL HEALTH CONNECTION, A NEW PROGRAM DESIGNED TO ENCOURAGE HEALTHY LIFESTYLES IN STUDENTS, TEACHERS AND FAMILIES. IT SUPPORTS SCHOOLS FOR A FULL ACADEMIC YEAR BY PROVIDING HEALTH-EDUCATION TOOLS, RESOURCES, GRANT FUNDS, CONSULTING PHYSICIANS, ONLINE LEARNING RESOURCES, TEACHER TRAININGS, AND COMMUNITY EVENTS SUCH AS FREE HEALTH SCREENINGS FOR TEACHERS AND PARENTS. TEN ELEMENTARY SCHOOLS WERE SELECTED AS SCHOOL HEALTH CONNECTION SITES FOR THE 2012-2013 SCHOOL YEAR. HEALTH POWERED KIDS DEVELOPED BY EXPERTS AT ALLINA HEALTH, HEALTH POWERED KIDS IS AN ONLINE EDUCATIONAL RESOURCE DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. THE LESSONS SUPPORT NATIONAL HEALTH AND PHYSICAL EDUCATION TEACHING STANDARDS, SO TEACHERS ARE ABLE TO CROSS-REFERENCE HEALTH POWERED KIDS LESSONS WITHIN EXISTING LESSON PLANS. ALLINA HEALTH PILOTED HEALTH POWERED KIDS WITH THE 10 SCHOOLS CHOSEN AS THE SCHOOL HEALTH CONNECTION SITES IN 2012. MORE THAN 600 INDIVIDUALS, HOME SCHOOL FAMILIES, CHILD CARE PROFESSIONALS, ELEMENTARY SCHOOL EDUCATORS AND OTHER COMMUNITY ORGANIZATIONS SUCH AS 22 YMCA BRANCHES AND GIRL SCOUT CHAPTERS ACROSS THE ALLINA HEALTH SERVICE AREA HAVE STARTED USING THE HEALTH POWERED KIDS LESSONS AND ACTIVITIES.NEIGHBORHOOD HEALTH CONNECTION (NHC) THE GOAL OF NEIGHBORHOOD HEALTH CONNECTION IS TO HELP NEIGHBORS MAKE NEW PERSONAL CONNECTIONS AND STRENGTHEN EXISTING ONES THROUGH HEALTHY ACTIVITIES. THE NEIGHBORHOOD HEALTH CONNECTION GRANT PROGRAM PROVIDED 180 NEIGHBORHOOD GROUPS AND COMMUNITY ORGANIZATIONS WITH MONEY TO SUPPORT HEALTH AND WELLNESS ACTIVITIES IN 2012. THE NHC WEBSITE WAS LAUNCHED ALSO, WHICH OFFERS NEIGHBORHOOD GROUPS A TOOLKIT TO GET STARTED, INCLUDING TIPS FOR RECRUITING NEIGHBORS AND PLANNING ACTIVITIES. MORE THAN 25,000 PEOPLE WERE SERVED IN 2012. HEART SAFE COMMUNITIES THE HEART SAFE COMMUNITIES PROGRAM OF ALLINA HEALTH INCREASES SURVIVAL FROM SUDDEN CARDIAC ARREST, A LEADING CAUSE OF DEATH, BY PLACING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) WHERE PEOPLE LIVE, LEARN, WORK AND PLAY AND TRAINING INDIVIDUALS IN THE COMMUNITY ON CPR AND AED USE. IN 2012, HEART SAFE COMMUNITIES PLACED 114 AEDS THROUGHOUT COMMUNITIES IN MINNESOTA AND TRAINED 5171 COMMUNITY MEMBERS ON CPR AND THE USE OF AEDS. THOSE NUMBERS INCLUDED 14 AED'S GRANTED COMMUNITIES IN THE ALLINA HEALTH SERVICE AREA. WE WERE ALSO ABLE TO DESIGNATE 3 NEW COMMUNITIES AS HEART SAFE COMMUNITIES FOLLOWING THEIR WORK IN STRENGTHENING THE CHAIN OF SURVIVAL FOR THEIR CITIZENS.MEDELIGIBLE MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. MEDFORMATION MEDFORMATION IS A COMMUNITY SERVICE THAT PROVIDES FREE ACCESS TO HEALTH INFORMATION AND RESOURCES. A TELEPHONE CONTACT CENTER IS OPERATED SEVEN DAYS A WEEK, OFFERING PHYSICIAN REFERRAL SERVICES TO THE GENERAL PUBLIC AS WELL AS LOW COST HEALTH CARE CLASSES, SCREENINGS AND EVENTS, AND NURSE ADVICE FOR THOSE CALLING METROPOLITAN EMERGENCY DEPARTMENTS. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2012, ALLINA HEALTH INVESTED OVER $23 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. IN 2012, ALLINA HEALTH SUPPORTED THREE COMMUNITY HEALTH IMPROVEMENT RESEARCH PROJECTS: THE HEART OF NEW ULM, THE BACKYARD INITIATIVE AND HEALTHY COMMUNITIES PARTNERSHIP AS A MEANS TO UNDERSTAND HOW TO IMPACT BROADER COMMUNITY HEALTH THROUGH COMMUNITY-LEVEL INTERVENTIONS. IN ADDITION TO COMMUNITY HEALTH RESEARCH PROJECTS, ALLINA HEALTH WAS ALSO INVOLVED WITH NUMEROUS CLINICAL RESEARCH AND CARE MODEL REDESIGN PROJECTS. IN ADDITION, ALLINA HEALTH OPERATED INSTITUTIONAL REVIEW BOARDS TO PROTECT COMMUNITY MEMBERS WHO PARTICIPATE IN CLINICAL AND COMMUNITY HEALTH RESEARCH. IN TOTAL, ALLINA HEALTH INVESTED OVER $10.5 MILLION TOWARD THIS RESEARCH IN 2012. FINANCIAL AND IN-KIND CONTRIBUTIONSALLINA HEALTH PROVIDES NUMEROUS IN-KIND AND MONETARY CONTRIBUTIONS TO INDIVIDUALS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS TO SUPPORT COMMUNITY NEEDS. IN 2012, ALLINA HEALTH FUNDED OVER $3.5 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, FREE MEALS, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS.COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. A FULL REPORT OF ALLINA HEALTH IN THE COMMUNITY IS AVAILABLE ON OUR WEBSITE HTTP://WWW.ALLINAHEALTH.ORG/AHS/ABOUTALLINA.NSF/PAGE/ANNUAL_REPORT AWARDSIN 2012, ALLINA HEALTH RECEIVED THREE MAJOR MINNESOTA HOSPITAL ASSOCIATION (MHA) HEALTH CARE AWARDS. BUFFALO HOSPITAL WAS RECOGNIZED WITH THE PATIENT SAFETY IMPROVEMENT AWARD (SMALL HOSPITAL CATEGORY); NEW ULM MEDICAL CENTER RECEIVED THE INNOVATION OF THE YEAR IN PATIENT CARE AWARD (SMALL HOSPITAL CATEGORY); AND ALLINA HEALTH RECEIVED THE COMMUNITY BENEFIT AWARD (LARGE HOSPITAL CATEGORY).PATIENT SAFETY IMPROVEMENT AWARD: BUFFALO HOSPITALTHE PATIENT SAFETY IMPROVEMENT AWARD RECOGNIZES HOSPITALS THAT HAVE TAKEN EXTRAORDINARY AND INNOVATIVE STEPS TO MAKE PATIENT SAFETY A TOP PRIORITY THROUGHOUT THE HOSPITAL. BUFFALO HOSPITAL DEMONSTRATED THEIR COMMITMENT TO CREATING SUSTAINABLE SAFETY IMPROVEMENTS AND ESTABLISHING A FOUNDATION FOR PATIENT SAFETY AT ALL LEVELS OF THE HOSPITAL. THE HOSPITAL MADE IT A PRIORITY TO EMBRACE A SAFETY PHILOSOPHY THAT EMPOWERS, MOTIVATES AND REWARDS LEADERS AND STAFF FOR SPEAKING UP AND STOPPING THE LINE WHEN SOMETHING DOESN'T FEEL RIGHT. AS A RESULT, THERE HAS BEEN A SIGNIFICANT INCREASE IN NEAR MISS REPORTING AND STAFF INVOLVEMENT IN PROCESS IMPROVEMENT, A DECREASE IN HARMFUL EVENTS AND AN IMPROVEMENT IN PATIENT OUTCOMES.INNOVATION OF THE YEAR IN PATIENT CARE AWARD: NEW ULM MEDICAL CENTERTHE INNOVATION OF THE YEAR AWARD HONORS NEW ULM MEDICAL CENTER FOR ITS NEW SOCIAL WORKER PROGRAM TO PROVIDER BETTER CARE COORDINATION SERVICES TO EMERGENCY DEPARTMENT AND CLINIC PATIENTS. THE SOCIAL WORKER PROVIDES CARE COORDINATION FOR PATIENTS WITH EXCESSIVE EMERGENCY DEPARTMENT USE, WITH THE GOAL OF REFERRING THEM TO APPROPRIATE COMMUNITY-BASED SERVICES AND PRIMARY CARE TO REDUCE THE LIKELIHOOD OF READMISSION. IN ADDITION, PATIENTS WHO ARE IDENTIFIED BY PRIMARY CARE AS POTENTIALLY BENEFITTING FROM MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, OR HAVING SOCIAL SERVICE NEEDS THAT IMPACT THE HEALTH STATUS OF THE PATIENT AND/OR FAMILY, ARE REFERRED TO THE SOCIAL WORKER WHO CONNECTS THE PATIENT WITH THE APPROPRIATE RESOURCES.
COMMUNITY BENEFIT AWARD: ALLINA HEALTHTHIS AWARD RECOGNIZES ALLINA HEALTH FOR ITS INVESTMENT IN THE FREE BIKES 4 KIDZ PROGRAM BY ENCOURAGING PHYSICAL ACTIVITY, SUPPORTING HEALTHFUL EATING, AND MAINTAINING A BALANCED LIFE. LAST YEAR, ALLINA HEALTH PARTNERED WITH THE NON-PROFIT ORGANIZATION FREE BIKES 4 KIDZ TO GIVE 5,000 FREE BIKES, HELMETS AND CONCUSSION PREVENTION INFORMATION TO UNDERSERVED CHILDREN THROUGHOUT OUR SERVICE AREA. MORE THAN 800 EMPLOYEE VOLUNTEERS COLLECTED, REFURBISHED AND DISTRIBUTED BIKES AND HELMETS TO KIDS IN NEED A TESTAMENT TO THE GENEROUS SPIRIT OF OUR EMPLOYEES.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp51256478TotalOfOtherProgramServiceExp
Total Program Service Expense2613774928TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961276NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees26251NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryBENameOfForeignCountry
Name Of Foreign CountryBRNameOfForeignCountry
Name Of Foreign CountryMXNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TAX SERVICES MAIL ROUTE 10890BusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6122620660TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12925 CHICAGO AVENUEAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554071321ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN ALLEN MD
DIRECTOR2.000.00X45000
WILLIAM BEER
DIRECTOR2.000.00X000
GARY BHOJWANI
DIRECTOR2.000.00X000
DAVID DURENBERGER
DIRECTOR2.002.00X1000000
NATE GARVIS
DIRECTOR2.002.00X1400000
JOSEPH GOSWITZ MD
DIRECTOR2.000.00X000
SUBBARAO INAMPUDI MD
DIRECTOR2.000.00X135000
MARK JORDAHL
DIRECTOR/VICE CHAIR2.000.00X000
REATHA CLARK KING PHD
DIRECTOR2.002.00X1000000
CHRISTINE MORRISON
DIRECTOR/CHAIRMAN4.002.00X000
HUGH NIERENGARTEN
DIRECTOR2.000.00X1429000
KENNETH PAULUS
DIRECTOR/PRESIDENT/CEO40.002.00X20467150757187X
GLORIA PEREZ
DIRECTOR2.002.00X1000000
REBECCA ROLOFF
DIRECTOR2.000.00X1400000
MARK SHEFFERT
DIRECTOR2.000.00X1000000
SALLY SMITH
DIRECTOR2.000.00X1000000
MICHAEL TATTERSFIELD
DIRECTOR2.002.00X1000000
JOAN THOMPSON
DIRECTOR2.002.00X1400000
RODNEY YOUNG
DIRECTOR2.000.00X1025000
BEN BACHE-WIIG MD
SVP, PRESIDENT ANW HOSPITAL40.002.005891120137413X
MARGARET BUTLER
SVP, HUMAN RESOURCES40.000.006165310203752X
SARA CRIGER
SVP, PRESIDENT MERCY HOSPITAL40.002.00282101028493X
DUNCAN GALLAGHER
TREASURER/EVP/CFO40.002.0010193960359254X
MARGARET HASBROUCK
VP, PAYOR CONTRACT/REIMB.40.000.00378865082048X
SUSAN HEICHERT
SVP, CHIEF INFORMATION OFFICER40.000.005170810147695X
CHRISTOPHER HUGHES
VP, REVENUE CYCLE MANAGEMENT40.000.00275813066970X
DEREK KANG
SVP, CHIEF COMPLIANCE OFFICER40.000.003840930106339X
LAURIE LAFONTAINE
VP, FINANCE & TREASURY40.000.00435632099825X
MICHAEL MARSHALL MD
SVP, PRESIDENT ALLINA CLINICS40.002.00421839087413X
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSPITAL40.002.008182660265364X
JEFFREY PETERSON
EVP, HOSPITAL SERVICES40.002.0011140890377139X
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP, GENERAL COUNSEL40.002.006522850197439X
PENNY WHEELER MD
EVP, CHIEF CLINICAL OFFICER40.002.009075550294326X
ROBERT WIELAND MD
EVP, CLINIC & COMM DIV./PRES. AIMN40.002.008454120300949X
LORI WIGHTMAN
SVP, PRESIDENT UNITY HOSPITAL40.002.004702970139605X
CHRISTINE BENT
SVP, CLINICAL SERVICES LINE40.000.004473720126155X
DANIEL BUSS MD
PHYSICIAN40.000.0013661130107458X
MICHAEL FREEHILL MD
PHYSICIAN40.000.0013661170102042X
DANA HARMS MD
PHYSICIAN40.000.001110773090664X
LEROY MCCARTY MD
PHYSICIAN40.000.001212611097822X
STEVEN SWANSON MD
PRESIDENT-NEUROSCIENCE40.000.0012556300183585X
RICKIE RESSLER
FORMER PRES. UNITY HOSP.0.000.0060772700X
SANDRA SCHMITT
FORMER EVP,STRATEGY & OPS.0.000.0010195200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org19371717TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation4358937TotalOtherCompensation
Number Individuals GT100 K2543NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
METROPOLITAN CARDIOLOGY CONSULTANTS
4040 COON RAPIDS BLVD STE 120COON RAPIDSMN55443PROFESSIONAL SERVICES - MEDICAL16664069
MA MORTENSON COMPANY
700 MEADOW LANE NORTHMINNEAPOLISMN55422CONSTRUCTION SERVICES15803054
KNUTSON CONSTRUCTION SERVICES
5500 WAYZATA BOULEVARD SUITE 300MINNEAPOLISMN55416CONSTRUCTION SERVICES14569523
METROPOLITAN CARDIAC SERVICES
4040 COON RAPIDS BLVD STE 120MINNEAPOLISMN55433PROFESSIONAL SERVICES - MEDICAL11437042
PHYSICIANS GROUP OF NEW ULM LTD
1324 5TH NORTH STREETNEW ULMMN56073PROFESSIONAL SERVICES - MEDICAL9819859
FieldValueIRS element (for citing)
Number Of Contractors GT100 K299NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations13584578RelatedOrganizations
Government Grants5527489GovernmentGrants
All Other Contributions370634AllOtherContributions
Noncash Contributions42634NoncashContributions
Total Contributions19482701TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROG.SERV.REVENUE-RELA62199032658690023265869002
BAD DEBT-CHANGE IN ACCT-SEE SCH O621990-72700496-72700496
FieldValueIRS element (for citing)
Total Program Service Revenue3193168506TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16974167TotalRevenueColumn
Exclusion$16,974,167ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6390255Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real6390255Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6390255TotalRevenueColumn
Exclusion$6,390,255ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities312329550Securities
Other1579789Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities322968731Securities
Other2847191Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-10639181Securities
Other-1267402Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11906583TotalRevenueColumn
Exclusion-$11,906,583ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5986220GrossIncomeFundraisingEvents
Fundraising Direct Expenses6695939FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-709719TotalRevenueColumn
Exclusion-$709,719ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH CARE SERVICES62161066001906600190
ST FRANCIS MEDICAL CENTER62199042749134274913
OUTPATIENT CARE CENTER62140041601404160140

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7933293TotalRevenueColumn
Related Or Exempt Function Income7051989RelatedOrExemptFunctionIncome
Unrelated Business Revenue881304UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue22968536TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3246367863TotalRevenueColumn
Related Or Exempt Function Income3204495408RelatedOrExemptFunctionIncome
Unrelated Business Revenue11641634UnrelatedBusinessRevenue
Exclusion$10,748,120ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2087930Total
Program Services2087930ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total14786269Total
Management And General14786269ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1447876719Total
Program Services1260747836ProgramServices
Management And General183848018ManagementAndGeneral
Fundraising3280865Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total155316568Total
Program Services133875698ProgramServices
Management And General21092483ManagementAndGeneral
Fundraising348387Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total212517125Total
Program Services183179933ProgramServices
Management And General28860500ManagementAndGeneral
Fundraising476692Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total95357081Total
Program Services82193394ProgramServices
Management And General12949794ManagementAndGeneral
Fundraising213893Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15702817Total
Program Services8185325ProgramServices
Management And General7505852ManagementAndGeneral
Fundraising11640Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4388116Total
Management And General4388116ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total835360Total
Management And General835360ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total290843710Total
Program Services195837442ProgramServices
Management And General94149145ManagementAndGeneral
Fundraising857123Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6439940Total
Program Services589802ProgramServices
Management And General5843144ManagementAndGeneral
Fundraising6994Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total480747111Total
Program Services460666752ProgramServices
Management And General19689154ManagementAndGeneral
Fundraising391205Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33928375Total
Program Services23009350ProgramServices
Management And General10911481ManagementAndGeneral
Fundraising7544Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total86858677Total
Program Services65301662ProgramServices
Management And General21460053ManagementAndGeneral
Fundraising96962Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7082405Total
Program Services5881517ProgramServices
Management And General1169780ManagementAndGeneral
Fundraising31108Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2349122Total
Program Services1815853ProgramServices
Management And General519347ManagementAndGeneral
Fundraising13922Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13662382Total
Program Services13662382ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total378642Total
Program Services378642ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total128662296Total
Program Services94597458ProgramServices
Management And General33954554ManagementAndGeneral
Fundraising110284Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9670348Total
Program Services9644175ProgramServices
Management And General26173ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MINNESOTA CARE TAX3903673639036736
MEDICAID SURCHARGE2163941021639410
DUES AND SUBSCRIPTIONS4917501264662222658864993
INCOME TAX - UBI11118901111890

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15844555Total
Program Services8797009ProgramServices
Management And General6558283ManagementAndGeneral
Fundraising489263Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3092041085Total
Program Services2613774928ProgramServices
Management And General471925282ManagementAndGeneral
Fundraising6340875Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12534350BOY
EOY10000056EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4160222BOY
EOY4530931EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1313736459BOY
EOY787835971EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1499585BOY
EOY10601811EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45274029BOY
EOY52945365EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7658648BOY
EOY9169840EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2480889726LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1618256984LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY704327805BOY
EOY862632742EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1329581477BOY
EOY1474638233EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2334480BOY
EOY5887099EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19607711BOY
EOY69191713EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3440714766BOY
EOY3287433761EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY798759834BOY
EOY430690428EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY631600BOY
EOY413700EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14933120BOY
EOY15607715EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY665623516BOY
EOY647972590EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY888900BOY
EOY221100EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY279172176BOY
EOY369898987EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1760009146BOY
EOY1464804520EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1675988118BOY
EOY1817540079EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2964730BOY
EOY3233626EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1752772BOY
EOY1855536EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1680705620BOY
EOY1822629241EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3440714766BOY
EOY3287433761EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses154326778ReconcilationRevenueExpenses
Reconciliation Unrealized Invest68395561ReconciliationUnrealizedInvest
Reconcilation Other Changes-80798718ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$10,769MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$294,412DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB305181TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationALLINA HEALTH EMPLOYS VARIOUS INDIVIDUALS, AS WELL AS CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL OF ALLINA ON BOTH A NATIONAL AND STATE LEVEL.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance70022035BeginningOfYearBalance
Contributions-494688Contributions
Investment Earnings Or Losses5713818InvestmentEarningsOrLosses
Grants Or Scholarships3052GrantsOrScholarships
Other Expenditures1772701OtherExpenditures
End Of Year Balance77016918EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance71588094BeginningOfYearBalance
Contributions435734Contributions
Investment Earnings Or Losses-150245InvestmentEarningsOrLosses
Grants Or Scholarships-54786GrantsOrScholarships
Other Expenditures1796762OtherExpenditures
End Of Year Balance70022035EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance67783914BeginningOfYearBalance
Contributions693723Contributions
Investment Earnings Or Losses4980609InvestmentEarningsOrLosses
Grants Or Scholarships39033GrantsOrScholarships
Other Expenditures1831119OtherExpenditures
End Of Year Balance71588094EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance50485767BeginningOfYearBalance
Contributions9065901Contributions
Investment Earnings Or Losses10653658InvestmentEarningsOrLosses
Grants Or Scholarships62576GrantsOrScholarships
Other Expenditures2358836OtherExpenditures
End Of Year Balance67783914EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance69726546BeginningOfYearBalance
Contributions4082055Contributions
Investment Earnings Or Losses-17914005InvestmentEarningsOrLosses
Grants Or Scholarships4000GrantsOrScholarships
Other Expenditures5404829OtherExpenditures
End Of Year Balance50485767EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.02680BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.59830PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.37490TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis60990523OtherCostOrOtherBasis
Book Value60990523BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1011398996OtherCostOrOtherBasis
Depreciation524591989Depreciation
Book Value486807007BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis78522039OtherCostOrOtherBasis
Depreciation41411449Depreciation
Book Value37110590BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1264376609OtherCostOrOtherBasis
Depreciation1042151898Depreciation
Book Value222224711BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65601559OtherCostOrOtherBasis
Depreciation10101648Depreciation
Book Value55499911BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings862632742TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH AND CASH EQUIVALENTS136383836F
MONEY MARKET COLLECTIVE FUND2744713F
FIXED INCOME512601367F
SHORT-TERM FIXED INCOME56079084F
EQUITY SECURITIES185177289F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE535155874F
INVESTMENTS IN JOINT VENTURES46496070C
FieldValueIRS element (for citing)
Total Of Book Value Securities1474638233TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$197,975,211
NET PENSION LIABILITY$37,895,488
DEFERRED COMPENSATION$28,305,177
INSURANCE CLAIMS PAYABLE$3,814,010
MN CARE TAX PAYABLE$9,772,746
CAPITALIZED LEASE OBLIGATIONS$5,207,774
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN$86,928,581
FieldValueIRS element (for citing)
Total Of Amounts369898987TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:EDUCATION AND RESEARCH CHARITY AND INDIGENT CARE PURCHASE OF PLANT ASSETS BUILDINGS AND EQUIPMENT PATIENT CARE OTHER
ALLINA HEALTH SYSTEM FIN 48 (ASC 740) FOOTNOTE (AMOUNTS IN THOUSANDS): (17) TAXES - THE SYSTEM HAS BEEN DETERMINED TO QUALIFY AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM HAS ALSO BEEN DETERMINED TO BE EXEMPT FROM FEDERAL AND STATE INCOME TAX ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND MINNESOTA STATUTE SECTION 290.05, SUBDIVISION 2. CERTAIN OF THE SYSTEM'S SUBSIDIARIES AND AFFILIATES QUALIFY AS TAX EXEMPT ORGANIZATIONS, WHILE OTHERS ARE TAXABLE. THE SYSTEM AND ITS SUBSIDIARIES PAID TAXES OF $942 AND $1,270 IN 2012 AND 2011, RESPECTIVELY. AS OF DECEMBER 31, 2012 AND 2011, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $78,049 AND $76,553, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, PROVISION FOR BAD DEBTS, AND LIMITATION OF CHARITABLE CONTRIBUTIONS, OFFSET BY VALUATION ALLOWANCES OF $77,137 AND $75,746, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $912 AND $806, RESPECTIVELY, PRIMARILY ATTRIBUTABLE TO DEPRECIATION AND A CHANGE IN ACCOUNTING METHOD OF A TAXABLE SUBSIDIARY. THE VALUATION ALLOWANCE INCREASED BY $1,391 AND $1,980 DURING 2012 AND 2011, RESPECTIVELY. AS OF DECEMBER 31, 2012, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $155,600 FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2032. INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT AND TAX RETURN METHODS OF ACCOUNTING. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE SYSTEM HAS ANALYZED INCOME TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE AND ALL STATE JURISDICTIONS WHERE IT OPERATES. THE SYSTEM BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2012 AND 2011, THE SYSTEM DOES NOT HAVE A LIABILITY FOR UNCERTAIN TAX BENEFITS. ACCORDINGLY, THE SYSTEM HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
SOUTH AMERICA00INVESTMENTS30147
EUROPE00INVESTMENTS371389
NORTH AMERICA00INVESTMENTS449324
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,00INVESTMENTS393784000
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent394634860SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent394634860TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event13M CHAMPIONSHIP GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event15926091GrossReceiptsEvent1
Gross Revenue Event15926091GrossRevenueEvent1
Cash Prizes Event11832929CashPrizesEvent1
Rent Facility Costs Event1138000RentFacilityCostsEvent1
Other Direct Expenses Event14709194OtherDirectExpensesEvent1
Name Of Event2PARK HOUSE BINGONameOfEvent2
Gross Receipts Event260129GrossReceiptsEvent2
Gross Revenue Event260129GrossRevenueEvent2
Cash Prizes Event21400CashPrizesEvent2
Rent Facility Costs Event21012RentFacilityCostsEvent2
Food And Beverage Event21058FoodAndBeverageEvent2
Other Direct Expenses Event212346OtherDirectExpensesEvent2
Gross Receipts Total5986220GrossReceiptsTotal
Gross Revenue Total Events5986220GrossRevenueTotalEvents
Cash Prizes Total Events1834329CashPrizesTotalEvents
Rent Facility Costs Total Events139012RentFacilityCostsTotalEvents
Food And Beverage Total Events1058FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4721540OtherDirectExpensesTotalEvents
Direct Expense Summary Events6695939DirectExpenseSummaryEvents
Net Income Summary-709719NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage275.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense29348219TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense29348219NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense73626446TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense73626446NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense39036736TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense39036736NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense142011401TotalCommunityBenefitExpense
Net Community Benefit Expense142011401NetCommunityBenefitExpense
Percent Of Total Expense0.04590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs181NumberOfActivitiesOrPrograms
Persons Served3789723PersonsServed
Total Community Benefit Expense14332314TotalCommunityBenefitExpense
Direct Offsetting Revenue966098DirectOffsettingRevenue
Net Community Benefit Expense13366216NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs59NumberOfActivitiesOrPrograms
Persons Served6831PersonsServed
Total Community Benefit Expense23323096TotalCommunityBenefitExpense
Direct Offsetting Revenue192433DirectOffsettingRevenue
Net Community Benefit Expense23130663NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served838PersonsServed
Total Community Benefit Expense2495017TotalCommunityBenefitExpense
Direct Offsetting Revenue16900DirectOffsettingRevenue
Net Community Benefit Expense2478117NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served6867PersonsServed
Total Community Benefit Expense11012168TotalCommunityBenefitExpense
Direct Offsetting Revenue471738DirectOffsettingRevenue
Net Community Benefit Expense10540430NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs76NumberOfActivitiesOrPrograms
Persons Served439729PersonsServed
Total Community Benefit Expense4013189TotalCommunityBenefitExpense
Direct Offsetting Revenue483448DirectOffsettingRevenue
Net Community Benefit Expense3529741NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs343NumberOfActivitiesOrPrograms
Persons Served4243988PersonsServed
Total Community Benefit Expense55175784TotalCommunityBenefitExpense
Direct Offsetting Revenue2130617DirectOffsettingRevenue
Net Community Benefit Expense53045167NetCommunityBenefitExpense
Percent Of Total Expense0.01710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs343NumberOfActivitiesOrPrograms
Persons Served4243988PersonsServed
Total Community Benefit Expense197187185TotalCommunityBenefitExpense
Direct Offsetting Revenue2130617DirectOffsettingRevenue
Net Community Benefit Expense195056568NetCommunityBenefitExpense
Percent Of Total Expense0.06300PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served170PersonsServed
Total Community Building Expense23571TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense23571NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served166655PersonsServed
Total Community Building Expense163421TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense163421NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense124TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense124NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served53PersonsServed
Total Community Building Expense4306TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4306NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served7718PersonsServed
Total Community Building Expense183676TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense183676NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served525PersonsServed
Total Community Building Expense5749TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5749NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served1168PersonsServed
Total Community Building Expense295604TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense295604NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs65NumberOfActivitiesOrPrograms
Persons Served176289PersonsServed
Total Community Building Expense676451TotalCommunityBuildingExpense
Net Community Building Expense676451NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$47,331,323BadDebtExpenseAmount
Amount Reimbursed By Medicare563548727AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare579599365CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16050638MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (14 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 METROPOLITAN INTEGRATED CANCER CENTER LLC
RADIATION THERAPY0.800000.20000
2 MOBILE IMAGING SERVICES LLC
DIAGNOSTIC IMAGING0.500000.50000
3 MAGNETO LEASING LLC
EQUIPMENT LEASING0.500000.50000
4 SUBURBAN IMAGING LLC
OUTPATIENT RADIOLOGY SERVICES0.500000.50000
5 SOUTHWEST SURGICAL CENTER LLC
AMBULATORY SURGERY PROCEDURES0.833300.16670
6 APPLE VALLEY BUILDING ASSOCIATES LLC
BUILDING0.500000.50000
7 CROSBY CARDIOVASCULAR SERVICES LLC
CARDIOLOGY DIAGNOSTIC SERVICES0.500000.50000
8 PREMIER FMC LLC
REAL ESTATE0.050000.52500
9 NORTHSTAR SLEEP CENTER LLC
SLEEP MEDICINE0.500000.50000
10 GERIATRIC SERVICES OF MINNESOTA LLC
LONG TERM CARE FOR THE ELDERLY0.450000.45000
11 WOODBURY AMBULATORY SURGERY CENTER LLC
OUTPATIENT SERVICES0.500000.50000
12 HEALTHCARE CAMPUS IMAGING ONE LLC
DIAGNOSTIC IMAGING0.250000.25000
13 REHAB ONE CENTER LLC
REHABILITATION SERVICES0.083000.48700
14 PET EQUIPMENT LEASING LLC
EQUIPMENT LEASING0.250000.25000
FieldValueIRS element (for citing)
Number Of Hospital Facilities10NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (10 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroupCritical Access HospitalCriticalAccessHospital
ABBOTT NORTHWESTERN HOSPITAL
1800 E 28TH STREETMINNEAPOLISMN55407XXXXA
UNITED HOSPITAL
2333 NORTH SMITH AVENUEST PAULMN55102XXXXA
MERCY HOSPITAL
34050 COON RAPIDS BLVDCOON RAPIDSMN55433XXXXA
UNITY HOSPITAL
4550 OSBORNE ROADFRIDLEYMN55432XXXA
CAMBRIDGE MEDICAL CENTER
5701 S DELLWOOD STREETCAMBRIDGEMN55008XXA
BUFFALO HOSPITAL
6303 CATLIN STREETBUFFALOMN55313XXA
NEW ULM MEDICAL CENTER
71324 FIFTH NORTH STREETNEW ULMMN56073XXAX
OWATONNA HOSPITAL
8903 S OAK AVEOWATONNAMN55060XXA
RIVER FALLS AREA HOSPITAL
91629 EAST DIVISION STREETRIVER FALLSWI54022XXAX
PHILLIPS EYE INSTITUTE
102215 PARK AVENUEMINNEAPOLISMN55404XXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent275.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
ALLINA HEALTH CLINICS-42 LOCATIONS
PO BOX 43 INTERNAL ZIP 10890MINNEAPOLISMN55407INPATIENT AND OUTPATIENT SERVICES
SISTER KENNY REHABILITATION INSTITUTE
800 E 28TH STREETMINNEAPOLISMN55407REHABILITATION CLINIC
ALLINA HEALTH LABORATORIES
800 E 28TH STREETMINNEAPOLISMN55407LABORATORY SERVICES
ALLINA HEALTH PHARMACIES-14 LOCATIONS
800 E 28TH STREETMINNEAPOLISMN55407PHARMACY SERVICES
WESTHEALTH INC
2805 2855 CAMPUS DRIVEPLYMOUTHMN55441OUTPATIENT SERVICES
SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500MINNEAPOLISMN55407OUTPATIENT SURGERY CENTER
WOODBURY AMBULATORY SURGERY CENTER LLC
8675 VALLEY CREEK RDST PAULMN55125OUTPATIENT SURGERY CENTER
ALLINA HEALTH EMERGENCY MEDICAL SERVICE
167 GRAND AVENUEST PAULMN55102AMBULANCE AND MEDICAL TRANSPORTATION
NORTHSTAR SLEEP CENTER LLC
3800 COON RAPIDS BOULEVARD SUITECOON RAPIDSMN55433OUTPATIENT SERVICES3800

Form990 Schedule H Part VI Form990ScheduleHPartVI (47 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 3C: CHARITY CARE PROGRAM- THE COMMUNITY (PARTNERS) CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE COMMUNITY (PARTNERS) CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE TWO DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS AND THEIR HOSPITAL BASED CLINICS AND ONE FOR REGIONAL HOSPITALS AND THEIR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA'S UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS BASED ON ALLINA'S MOST FAVORED INSURER WHICH PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES.
PART I, LINE 6A: ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST. SEE CONTACT INFORMATION CONTAINED IN SCHEDULE O TO OBTAIN A COPY.
PART I, LINE 7: WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G: THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, L7 COL(F): BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II: COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA HAS PURPOSEFULLY SET OUT TO ENGAGE IN COMMUNITY ACTIVITIES THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. RESEARCH SHOWS THAT MANY OF THESE ROOT CAUSES ARE DIRECTLY TIED TO POOR HEALTH IF GONE IGNORED, PARTICULARLY AMONG LOW-INCOME, MINORITY POPULATIONS. BELOW ARE A FEW EXAMPLES OF WAYS THAT OUR ELEVEN HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2012:TRAIN-TO-WORKMANY OF ALLINA HEALTH HOSPITALS HAVE TRAIN-TO-WORK PROGRAMS AS A MEANS TO BUILD A FUTURE WORKFORCE WITHIN AND OUTSIDE OF OUR ORGANIZATION. BY FOCUSING ON BUILDING THE WORKFORCE, THE GOAL IS THAT THERE WILL BE AN INCREASE IN PERSONAL EMPLOYMENT AND ECONOMIC AND WORKFORCE STABILITY. ABBOTT NORTHWESTERN HOSPITAL, BUFFALO HOSPITAL, UNITED HOSPITAL, AND UNITY HOSPITAL ALL PROVIDE TRAIN-TO-WORK PROGRAMS WITHIN THEIR FACILITIES AND HAVE DEVELOPED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS AS A WAY TO RESPOND TO COMMUNITY NEEDS THROUGH COLLABORATION AND PARTNERSHIP. THESE COALITIONS PROVIDE THE HOSPITALS THE OPPORTUNITIES TO BUILD RELATIONSHIPS AND DETERMINE HOW BEST TO LEVERAGE LOCAL RESOURCES TO ADDRESS COMMUNITY NEEDS, NEEDS THAT EXIST OUTSIDE THE TRADITIONAL REALM OF HEALTH CARE. ALLINA HEALTH HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. IN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA HEALTH WAS ALSO ENGAGED IN ACTIVITIES THAT WERE RELATED TO DISASTER PREPAREDNESS.DISASTER PREPAREDNESSALLINA HEALTH HOSPITALS ENGAGED IN AND LED DISASTER PREPAREDNESS PLANNING TO ENSURE SAFETY, EFFICIENCY AND EXCELLENT HEALTH CARE DURING TIMES OF TRAGEDY AND/OR UPSET. THIS INCLUDED PLANNING MEETINGS AND COMMUNITY MEETINGS/TRAININGS, AMONG OTHER THINGS. THESE PROGRAMS AND SERVICES, AMONG OTHERS, PROVIDE THE HOSPITALS WITHIN OUR SYSTEM THE OPPORTUNITY TO IMPACT COMMUNITY HEALTH BEFORE IT BECOMES PROBLEMATIC AND EXPENSIVE. IN ADDITION, THIS IMPORTANT WORK IS SUPPORTED BY THE MISSION OF OUR ORGANIZATION AND IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION. WE WILL CONTINUE TO CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROMOTION OF COMMUNITY HEALTH.
PART III, LINE 4: FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE ARE AS FOLLOWS:2N. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES/NET PATIENT SERVICE REVENUENET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD PARTY PAYERS FOR SERVICES PROVIDED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS SUCH REVENUE IS NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.THE PROVISIONS FOR BAD DEBTS AND CHARITY CARE ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.2Q. ADOPTION OF NEW ACCOUNTING STANDARDSON JANUARY 1, 2012, THE SYSTEM ADOPTED GUIDANCE UNDER ACCOUNTING STANDARDS UPDATE 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH AMENDED ASC TOPIC 954, HEALTH CARE ENTITIES. THE GUIDANCE PROVIDES GREATER TRANSPARENCY REGARDING A HEALTHCARE ENTITY'S NET PATIENT SERVICE REVENUE AND THE RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS REQUIRE HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE BY RECLASSIFYING THE PROVISION FROM OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE, RETROSPECTIVELY, AND REQUIRE ENHANCED DISCLOSURES ABOUT NET PATIENT REVENUE AND THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS. THE ADOPTION OF THE AUTHORITATIVE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8: THE ORGANIZATION HAS MORE THAN ONE MEDICARE PROVIDER NUMBER AND THEREFORE AGGREGATED THE AMOUNTS REPORTED IN THE MEDICARE COST REPORTS AS THE SOURCE FOR THE AMOUNTS REPORTED ON PART III, LINES 5 & 6 AS OUTLINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. FOR MEDICARE COST REPORTS, ALLINA USES A RATIO OF PATIENT CARE COSTS TO CHARGES (COST TO CHARGE RATIO) TO DETERMINE MEDICARE ALLOWABLE COSTS. GENERALLY, THE RATIO IS CALCULATED AS THE TOTAL MEDICARE ALLOWABLE PATIENT COSTS OVER THE TOTAL PATIENT CHARGES. MEDICARE CHARGES MULTIPLIED BY THIS RATIO EQUALS THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH MEDICARE COST REPORT/PROVIDER NUMBER. ALLINA BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. ALLINA'S PROVIDING OF THESE SERVICES CLEARLY LESSENS THE BURDENS OF GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINE 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. THE TRUE COMMUNITY BENEFIT FOR OUR PARTICIPATION IN THE CURRENT MEDICARE PROGRAM IS DEPENDENT ON HOW EFFICIENTLY AND COST EFFECTIVELY THE FEDERAL GOVERNMENT COULD OPERATE A DIRECT MEDICAL CARE MEDICARE PROGRAM OR ALTERNATIVELY THE COST TO THE GOVERNMENT TO CONTRACT OUT SUCH SERVICES THROUGH A COMPETITIVE BIDDING PROCESS IN THE OPEN MARKETS FOR THE SAME OR SIMILAR SERVICES FACTORING IN ITEMS SUCH AS QUALITY OF CARE, OUTCOMES AND SIMILAR IMPORTANT FACTORS AS COMPARED TO ALLINA'S ACTUAL COSTS OF PROVIDING THE MEDICAL CARE. THE MEDICARE SHORTFALL CALCULATION ON THE FORM 990, SCHEDULE H, PART III, LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL FOR TWO REASONS. FIRST, ALLINA INCURS SIGNIFICANT COSTS IN EXCESS OF PAYMENTS UNDER THE MEDICARE PROGRAM FOR PROVIDING CERTAIN SERVICES THAT ARE NOT SUBJECT TO MEDICARE COST REPORTING AND THEREFORE NOT REFLECTED IN OUR COST AMOUNTS ON LINE 6. SECOND, THE LINE 6 LIMITS OUR REPORTED COSTS TO ONLY MEDICARE "ALLOWABLE COSTS" AS SOLELY DETERMINED BY THE FEDERAL GOVERNMENT MEDICARE PROGRAM. FOR THESE TWO REASONS, THE MEDICARE SHORTFALL REPORTED ON LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL AND THE ACTUAL COST OF PROVIDING MEDICAL CARE TO MEDICARE PROGRAM PARTICIPANTS. WE ESTIMATE THESE TWO ITEMS UNDERSTATE ALLINA'S REPORTED MEDICARE SHORTFALL BY OVER $136 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM.
PART III, LINE 9B: THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS.
THE ORGANIZATION HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION [HFMA] STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). AS DISCLOSED IN THE FOOTNOTES TO THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS IN RESPONSE TO PART III, LINE 4, THE PROVISIONS FOR BAD DEBT AND CHARITY CARE ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THEREFORE, THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS TO WHICH THE PATIENT MAY BE ELIGIBLE INCLUDING, BUT NOT LIMITED TO, THE UNINSURED DISCOUNT PROGRAM (DISCUSSED ABOVE) AND REFLECTS THE ESTIMATED AMOUNT REPORTED AS "NET PATIENT SERVICE REVENUE" DURING THE CURRENT PERIOD OR ANY PREVIOUS PERIOD. THIS DOES NOT NECESSARILY EQUAL THE "COST" TO PROVIDE THE MEDICAL SERVICES. ALSO, NOTE THAT AMOUNTS RELATED TO PATIENTS WHO HAVE QUALIFIED UNDER THE CHARITY CARE PROGRAM ARE NOT INCLUDED IN EITHER NET PATIENT REVENUE OR IN BAD DEBT EXPENSE. IN OTHER WORDS, THE BAD DEBT EXPENSE REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE IN THE REVENUE SECTION OF THE FINANCIAL STATEMENTS OF THE FORM 990 DOES NOT INCLUDE AMOUNTS RELATED TO QUALIFIED CHARITY CARE PATIENTS AND IS STATED AT THE "NET" EXPECTED OR ANTICIPATED COLLECTION AMOUNT WHICH MAY BE SIGNIFICANTLY DIFFERENT THAN PATIENT CHARGES DUE TO THE APPLICATION OF DISCOUNTS SUCH AS THOSE PROVIDED UNDER THE UNINSURED DISCOUNT PROGRAM. THIS AMOUNT ALSO CONSTITUTES A DIFFERENT AMOUNT THAN THE ORGANIZATION'S ACTUAL COST TO PROVIDE THE MEDICAL SERVICES. TO ARRIVE AT THE FORM 990, PART III, LINE 2 BAD DEBT "AT COST", THE ORGANIZATION HAS APPLIED A RATIO OF PATIENT CARE COST TO CHARGES (COST TO CHARGE RATIO) TO THE ESTIMATED PATIENT CHARGE AMOUNT INCLUDED IN BAD DEBT AFTER REMOVING THE ANTICIPATED DISCOUNTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH HOSPITAL OR OPERATING UNIT. THE RESULTING BAD DEBT (AT COST) AMOUNT FOR EACH HOSPITAL AND OPERATING UNIT IS THEN AGGREGATED TO ARRIVE AT THE BAD DEBT (AT COST) REPORTED ON LINE 2. THIS PROCESS PROVIDES A VERY CONSERVATIVE ESTIMATE OF THE ORGANIZATION'S BAD DEBT (AT COST). THE ORGANIZATION HAS A ROBUST PROCESS FOR ADMINISTERING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM DESCRIBED IN FURTHER DETAIL IN PART VI, LINE 3. EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO APPLY TO THE COMMUNITY CARE PROGRAM AND TO PARTICIPATE, IF QUALIFIED, TO RECEIVE FREE OR DISCOUNTED MEDICAL CARE OR BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM UNDER THE ORGANIZATIONS VARIOUS FINANCIAL ASSISTANCE PROGRAMS. THE ADMINISTRATIVE PROCESS INCLUDES IDENTIFYING ANY PATIENT WITH A FINANCIAL CONCERN, AS WELL AS INFORMING, COUNSELING, QUALIFYING AND ASSISTING PATIENTS TO APPLY FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. ALTHOUGH EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO RECEIVE FINANCIAL ASSISTANCE AND INFORMED MULTIPLE TIMES OF THE CHARITY CARE PROGRAM PRIOR TO OUR CLASSIFYING THE AMOUNTS AS BAD DEBT, IT IS POSSIBLE THAT PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE DO NOT COMPLETE THE APPLICATION. THIS AMOUNT IS NOT REASONABLY ESTIMABLE. AS A TAX-EXEMPT HOSPITAL ORGANIZATION WE ARE REQUIRED TO PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. DUE TO CIRCUMSTANCES BEYOND OUR CONTROL, A PERSON WHO WOULD OTHERWISE QUALIFY UNDER THE CHARITY CARE PROGRAM MAY NOT PROVIDE US THE NECESSARY INFORMATION, QUALIFY FOR THE PROGRAM, AND RECEIVE FREE CARE ALLOWING US TO CLASSIFY AND QUANTIFY IT ACCORDINGLY AND AS SUCH. ULTIMATELY, THOSE AMOUNTS ARE WRITTEN-OFF AND REPORTED AS BAD DEBT EXPENSE. ANY METHODOLOGY WE COULD USE TO QUANTIFY AND PROVIDE AN ESTIMATE OF HOW MUCH BAD DEBT (AT COST AND IF ANY) REPORTED ON LINE 2 REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND FOR US TO PROVIDE AN ESTIMATE OF WHAT PORTION OF BAD DEBT, IF ANY, THE ORGANIZATION BELIEVES SHOULD CONSTITUTE COMMUNITY BENEFIT WOULD BE PURELY SPECULATIVE, IMPRECISE AND SUBJECT TO INHERENT METHODOLOGY FLAWS. WHILE WE FIRMLY BELIEVE, FOR THE REASONS STATED ABOVE, THAT SOME COMPONENT OF OUR REPORTED BAD DEBT EXPENSE (AT COST) ON LINE 2 CONSTITUTES AMOUNTS RELATED TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM, WE CANNOT REASONABLY QUANTIFY THE AMOUNT AND RESPECTFULLY DECLINE THE OPPORTUNITY TO PROVIDE AN AMOUNT. THEREFORE, WE HAVE REPORTED ZERO OR NONE FOR FORM 990, SCHEDULE H, PART III, LINE 3.SCH H, PART III, SECTION A, LINE 3
PART VI, LINE 2: ALLINA HEALTH SYSTEM (ALLINA HEALTH) TOGETHER WITH ITS SUBSIDIARIES AND AFFILIATES AS DESCRIBED IN PART VI, LINE 6 DEVELOPED AND IMPLEMENTED A PROCESS TO ASSESS COMMUNITY NEEDS AND BUILD PLANS TO RESPOND TO THOSE NEEDS FOR FISCAL YEARS 2010-2012. BELOW IS THE PROCESS AND FINDINGS FOR THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT; A FULL REPORT IS AVAILABLE ON OUR WEBSITE AT WWW.ALLINAHEALTH.ORG.THE ASSESSMENT BEGAN WITH A REVIEW OF EXISTING NATIONAL, STATE AND LOCAL DATA TO IDENTIFY ISSUES AFFECTING ALL ALLINA HEALTH SERVICE AREAS. ONCE A LIST OF HEALTH ISSUES WAS DEVELOPED, COMMUNITY ENGAGEMENT STAFF AND ALLINA HEALTH LEADERS FROM THROUGHOUT THE SYSTEM IDENTIFIED BROAD SYSTEM-LEVEL PRIORITY AREAS THROUGH THE USE OF A PRIORITY-SETTING PROCESS AND HEALTH ISSUES SCORING TOOL. FROM THIS PROCESS, THREE PRIORITY ISSUES WERE IDENTIFIED:-HEALTHFUL EATING-ACTIVE LIVING-STRESS REDUCTION/LIFE BALANCE THESE INTERRELATED ISSUES WERE IDENTIFIED AS PRIORITIES BECAUSE THEY AFFECT MULTIPLE HEALTH OUTCOMES AND GREATLY IMPACT COMMUNITY HEALTH. COMMUNITY HEALTH DIALOGUESWITH PRIORITY ISSUES IDENTIFIED, THE NEXT STEP IN THE ASSESSMENT WAS HOSTING COMMUNITY HEALTH DIALOGUES IN EACH OF THE NINE REGIONS SERVED BY ALLINA HEALTH. THESE DIALOGUES WERE FACILITATED BY AN OUTSIDE FACILITATOR AND ENGAGED 260 COMMUNITY MEMBERS IN CONVERSATION ABOUT ASSETS AND BARRIERS TO HEALTHFUL EATING, ACTIVE LIVING AND LIFE BALANCE IN THEIR COMMUNITIES. COMMUNITY MEMBERS WERE ALSO ASKED WHAT THEY THINK ALLINA HEALTH SHOULD DO TO IMPROVE HEALTH IN THEIR COMMUNITIES RELATED TO THESE ISSUES. THE TOP SIX RECOMMENDATIONS FOR ALLINA WERE AS FOLLOWS:1. OFFER HEALTH EDUCATION IN COMMUNITY SETTINGS2. INCREASE COLLABORATION AND PARTNERSHIP WITH AND COMMUNICATION ABOUT EXISTING RESOURCES3. SHIFT MEDICAL PRACTICES TOWARD ILLNESS PREVENTION AND PATIENT WELLNESS4. MODEL HEALTH AND WELLNESS PROMOTION WITHIN ALLINA FACILITIES5. FOSTER BEHAVIOR CHANGE THROUGH SPONSORSHIP OF COMMUNITY ACTIVITIES THAT PROMOTE HEALTH6. ADVOCATE FOR PUBLIC POLICY CHANGESALLINA HEALTH EMPLOYEE SURVEYFOLLOWING THE DIALOGUES, A SURVEY WAS CONDUCTED WITH ALLINA HEALTH EMPLOYEES TO GAIN PERSPECTIVES AND IDEAS RELATED TO THE INFORMATION RECEIVED THROUGH THE COMMUNITY HEALTH DIALOGUES. THE SURVEY ASKED RESPONDENTS TO 1) PROVIDE INFORMATION ABOUT EFFORTS ALREADY UNDERWAY THROUGHOUT THE ALLINA HEALTH SYSTEM THAT RELATED TO THE COMMUNITY INPUT RECEIVED AT THE DIALOGUES AND 2) SELECT THEIR TOP CHOICES FROM AND PROVIDE SPECIFIC IDEAS ABOUT THE SIX COMMUNITY SUGGESTIONS. THERE WERE 136 TOTAL RESPONDENTS TO THE SURVEY THAT SPANNED ALLINA'S SERVICES AND SERVICE AREAS. SURVEY RESULTS SHOWED THAT OF THE SIX COMMUNITY SUGGESTIONS, THE TOP THREE THAT EMPLOYEES THOUGHT ALLINA SHOULD WORK ON INCLUDED:1. SHIFT MEDICAL PRACTICES TOWARD ILLNESS PREVENTION AND PATIENT WELLNESS (28.7%)2. MODEL HEALTH AND WELLNESS PROMOTION WITHIN ALLINA FACILITIES (21.3%)3. INCREASE COLLABORATION, PARTNERSHIP AND COMMUNICATION ABOUT EXISTING RESOURCES (21.3%)THE NEXT STEP IN THE PROCESS WAS TO USE THE ASSESSMENT INFORMATION TO DEVELOP A SYSTEM-WIDE STRATEGY RELATED TO THE THREE PRIORITY AREAS. TO DO SO, ALLINA HEALTH CONVENED KEY STAKEHOLDERS FROM ACROSS THE SYSTEM TO REVIEW ASSESSMENT INFORMATION, DETERMINE THE INTERSECTION BETWEEN COMMUNITY INTERESTS AND SUGGESTIONS AND ALLINA STRENGTHS AND INTERESTS, AND BEGIN DEVELOPING THE STRATEGY TO IMPROVE HEALTHFUL EATING, ACTIVE LIVING AND STRESS REDUCTION/LIFE BALANCE. IN ADDITION, REGIONAL COMMUNITY ENGAGEMENT LEADS WORKED WITH COMMUNITY MEMBERS AND INTERNAL STAKEHOLDERS IN THEIR REGIONS TO REVIEW ASSESSMENT INFORMATION AND DEVELOP REGIONAL WORK PLANS TO MEET THE NEEDS OF THE LOCAL COMMUNITIES AS IT RELATES TO THE THREE SYSTEM-LEVEL PRIORITIES FOR 2010-2012. IN 2012, PER NEW IRS REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, ALLINA HEALTH BEGAN TO PLAN AND IMPLEMENT THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS DEVELOPED BY THE CATHOLIC HEALTH ASSOCIATION WITH THE PURPOSE OF IDENTIFYING TWO TO THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 20142016. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGE COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH PROVIDERS. THERE WERE THREE STAGES INVOLVED DURING THE NEEDS ASSESSMENT: DATA REVIEW AND SETTING PRIORITIES, COMMUNITY HEALTH DIALOGUES AND COMMUNITY ASSETS INVENTORY, AND ACTION PLANNING. IN THE FALL OF 2012, THE DATA REVIEW AND PRIORITY-SETTING PHASE TOOK PLACE. THIS PHASE BEGAN WITH THE COMPILATION OF EXISTING HEALTH-RELATED DATA. STAKEHOLDERS REVIEWED THREE EXISTING DATASETS AND THEN DEVELOPED AN INITIAL LIST OF COMMUNITY HEALTH ISSUES. ASSESSMENT STAKEHOLDERS USED THE HANLON METHOD, A SYSTEMATIC PRIORITIZATION PROCESS, TO RANK THE HEALTH-RELATED ISSUES BASED ON THREE CRITERIA: SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, AND ESTIMATED EFFECTIVENESS OF THE SOLUTION AND WERE THEN ASKED TO CONSIDER THE NUMERICAL RANKINGS GIVEN TO EACH ISSUE ALONG WITH A SET OF DISCUSSION QUESTIONS TO CHOOSE THE FINAL PRIORITY ISSUES. THE REMAINING TWO PHASES OF THE ASSESSMENT PROCESS WERE COMPLETED IN 2013.
PART VI, LINE 3: A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- COMMUNITY (PARTNERS) CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICESOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - THE COMMUNITY (PARTNERS) CARE PROGRAM THE COMMUNITY (PARTNERS) CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE COMMUNITY (PARTNERS) CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE TWO DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS AND THEIR HOSPITAL BASED CLINICS AND ONE FOR REGIONAL HOSPITALS AND THEIR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS AVAILABLE IN VARIOUS LANGUAGES SUCH AS HMONG, SOMALI, AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LDP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS.
PART VI, LINE 4: ALLINA HEALTH SYSTEM (ALLINA HEALTH) TOGETHER WITH ITS SUBSIDIARIES AND AFFILIATES AS DESCRIBED IN PART VI, LINE 6 COORDINATE COMMUNITY BENEFIT ACTIVITIES AND IDENTIFIES COMMUNITY NEEDS AS A SYSTEM TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE ORGANIZATION.ALLINA HEALTH IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 11 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. OVER 98 PERCENT OF ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM COUNTIES IN AND SURROUNDING THE METROPOLITAN AREAS OF MINNEAPOLIS AND ST. PAUL. IN 2010, ALLINA HEALTH DEVELOPED A NEW COMMUNITY ENGAGEMENT STRATEGY TO WORK MORE EFFECTIVELY WITH COMMUNITIES SERVED BY ALLINA. THIS ENGAGEMENT STRATEGY INCLUDED THE DEVELOPMENT OF NINE REGIONS MADE UP OF THE COMMUNITIES SERVED BY ALLINA HEALTH. EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SURBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF MINNESOTA INTO THE METRO AREA SURROUNDING THE CITY OF ST. PAUL, THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES BOTH MERCY AND UNITY HOSPITALS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCES MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES, BUT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION SERVES SMALL AND RURAL COMMUNITIES IN AND AROUND STEELE, RICE, WASECA, DODGE, AND GOODHUE COUNTIES. OWATONNA HOSPITAL SERVES THESE AREAS FROM THE COUNTY SEAT OF OWATONNA, MINNESOTA. WESTERN WISCONSINLOCATED IN WESTERN WISCONSIN, THIS REGION INCLUDES SMALL AND RURAL COMMUNITIES WITHIN PIERCE AND ST. CROIX COUNTIES. RIVER FALLS AREA HOSPITAL (RFAH) IS LOCATED WITHIN AND SERVES THIS REGION.
PART VI, LINE 5: GOVERNING BODYTO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE:(1)ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND(2)ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE CORPORATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE CORPORATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE CORPORATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE CORPORATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. THE WORK OF THE BOARD'S OTHER COMMITTEES HAS ALSO FOCUSED ON ENHANCING THE GOVERNING BODY'S COMMUNITY BENEFIT INITIATIVES. FOR EXAMPLE, THE BOARD'S QUALITY COMMITTEE HAS DEVELOPED AND IMPLEMENTED A ROBUST INFRASTRUCTURE OF PATIENT ADVISORY COMMITTEES THAT PROVIDE THE "VOICE OF THE PATIENT" FOR STRATEGIC DECISIONMAKING AT THE BOARD LEVEL. THE BOARD'S CENTER FOR HEALTHCARE INNOVATION, RESEARCH & COMMUNITY ENGAGEMENT COMMITTEE OVERSEES AND SUPPORTS THE CORPORATION'S EFFORTS TO: (1) FOSTER A CULTURE OF COMMUNITY ENGAGEMENT AND A REPUTATION AS A COMPASSIONATE, TRUSTED COMMUNITY PARTNER KNOWN FOR HEALTH, WELLNESS, AND EXCELLENT HEALTH CARE; AND (2) IDENTIFY AND RESPOND TO THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY ALLINA HEALTH.FUNDING FOR IMPROVEMENTS IN PATIENT CARE AND RESEARCH AS DESCRIBED IN THE COMMUNITY HEALTH IMPROVEMENT SECTION OF THE STATEMENT FOR PROGRAM SERVICES, ALLINA HEALTH IS ENGAGED IN A TREMENDOUS AMOUNT OF WORK RELATED TO PROMOTING COMMUNITY HEALTH. ONE AREA WITHIN ALLINA HEALTH THAT IS INVOLVED IN RESEARCHING COMMUNITY HEALTH IS THE DEPARTMENT OF APPLIED RESEARCH (DAR). THE DARRESEARCHES NEW CARE MODELS AND TREATMENTS TO TRANSFORM HEALTH AND HEALTH CARE AND ADVANCE THE STRATEGIC VISION OF ALLINA HEALTH TO IMPROVE PATIENT CARE WHILE ALSO SERVING AS A CATALYST FOR CHANGE IN HEALTH CARE LOCALLY AND NATIONALLY. THERE ARE THREE KEY COMMUNITY HEALTH RESEARCH PROJECTS WITHIN THE DAR:ROBINA CARE GUIDE PROJECT A PROJECT USING CARE GUIDES TO HELP PATIENTS WITH CHRONIC DISEASES LIKE DIABETES, HIGH BLOOD PRESSURE AND HEART FAILURE MANAGE THEIR HEALTH.BACKYARD INITIATIVE THIS INITIATIVE IS WORKING TO IMPROVE HEALTH AND HEALTH CARE THROUGH ACTIVE ENGAGEMENT WITH COMMUNITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND FACILITATING PARTNERSHIPS BETWEEN COMMUNITY CARE SYSTEMS. HEART OF NEW ULM PROJECT (HONU)- HONU IS A 10-YEAR INITIATIVE DESIGNED TO REDUCE, AND EVENTUALLY ELIMINATE, HEART ATTACKS IN NEW ULM, MINNESOTA BY HELPING RESIDENTS IMPROVE THEIR HEALTH RISKS, SUCH AS PHYSICAL ACTIVITY, NUTRITION, OBESITY, OR TOBACCO USE, AMONG OTHERS. THE DAR IS ALSO INVOLVED IN:-OVERSEEING THE ALLINA HEALTH IRB OFFICE -PARTNERING WITH THE CLINICS TO DO CUTTING EDGE WORK ON PHYSICIAN JOB SATISFACTION AND BURNOUT -DEVELOPING A FIRST-EVER SOCIAL NETWORK ANALYSIS PROJECT BY A CARE DELIVERY ORGANIZATION-RESEARCHING CARE DELIVERY RE-DESIGN IN EMERGENCY SERVICES AND PRIMARY CARE
PART VI, LINE 6: ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION WHICH, TOGETHER WITH ITS SUBSIDIARIES, DELIVERS HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. WITH APPROXIMATELY 24,000 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 1,200 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH CONTROLS AND OPERATES TEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 107,700 INPATIENT ADMISSIONS AND NEARLY 1,154,800 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2012. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,379 ACUTE CARE BEDS, 1,716 OF WHICH WERE STAFFED FOR INPATIENT SERVICES. ALLINA HEALTH PROVIDES CLINICAL SERVICES THROUGH ITS CLINIC AND COMMUNITY DIVISION AND HOSPITAL-BASED PHYSICIANS. THE CLINIC AND COMMUNITY DIVISION CONTAINS THREE CLINIC GROUPS, ALLINA MEDICAL CLINIC ("AMC"), ASPEN MEDICAL GROUP ("ASPEN"), AND QUELLO CLINIC ("QUELLO"); CONTROLS AND OPERATES 55 PHYSICIAN CLINICS AND THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND UNITY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 800 PHYSICIANS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 70 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 330 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS/HOSPITALISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED NEARLY 6,128,500 WORKS RVU'S DURING THE YEAR ENDED DECEMBER 31, 2012. ALLINA HEALTH HAS THE LARGEST PHYSICIAN NETWORK IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 75 MINNESOTA COMMUNITIES. MORE THAN 370 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS AND DISPATCHERS WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,000 SQUARE MILES, REACHING MORE THAN 750,000 PEOPLE.IN ADDITION TO THE CHARITY CARE DISCLOSED ON THIS SCHEDULE H, ALLINA AFFILIATED ORGANIZATIONS PROVIDED $997,780 OF CHARITY CARE (AT COST) IN 2012 WHICH IS NOT DISCLOSED ON A SCHEDULE H ELSEWHERE AS MANY OF THE AFFILIATED ORGANIZATIONS ARE NOT REQUIRED AND DO NOT FILE A FORM 990, SCHEDULE H.IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ORGANIZATIONS INCURRED COSTS FOR PARTICIPATION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $112,912,468 IN 2012.ALLINA PARTNERS WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL TO PROVIDE PHYSICIAN RESIDENCY PROGRAMS FOR FAMILY PRACTICE AND INTERNAL MEDICINE RESIDENT PHYSICIANS.ALLINA CONTROLS AND OPERATES SEVEN (7) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND.
MN,WIPART VI, LINE 7REPORTS FILED WITH STATES
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 6 -- BUFFALO HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 6 -- BUFFALO HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 6 -- BUFFALO HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 7 -- NEW ULM MEDICAL CENTER
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 7 -- NEW ULM MEDICAL CENTER
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 7 -- NEW ULM MEDICAL CENTER
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 8 -- OWATONNA HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 8 -- OWATONNA HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 8 -- OWATONNA HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 10 -- PHILLIPS EYE INSTITUTE
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 10 -- PHILLIPS EYE INSTITUTE
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 10 -- PHILLIPS EYE INSTITUTE
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 2 -- UNITED HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 2 -- UNITED HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 2 -- UNITED HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 3 -- MERCY HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 3 -- MERCY HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 3 -- MERCY HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 4 -- UNITY HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 4 -- UNITY HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 4 -- UNITY HOSPITAL
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 5 -- CAMBRIDGE MEDICAL CENTER
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 5 -- CAMBRIDGE MEDICAL CENTER
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 5 -- CAMBRIDGE MEDICAL CENTER
SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PART V, SECTION B, LINE 11:FACILITY 9 -- RIVER FALLS AREA HOSPITAL
DISCOUNT LEVELS WILL BE ESTABLISHED AT THE BEGINNING OF EACH YEAR BY THE VICE PRESIDENT OF REVENUE STRATEGY. THE DISCOUNT WILL RECOGNIZE THE DIFFERENCES IN THE FEE SCHEDULES BETWEEN THE METRO AND REGIONAL HOSPITALS. THE DISCOUNT WILL BE BASED ON THE AVERAGE REIMBURSEMENT RATE AMONG EACH GROUP OF HOSPITALS PROVIDED TO ALLINA'S MOST FAVORED INSURER.PART V, SECTION B, LINE 20D:FACILITY 9 -- RIVER FALLS AREA HOSPITAL
NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PART V, SECTION B, LINE 22:FACILITY 9 -- RIVER FALLS AREA HOSPITAL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (69 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
STANFORD UNIVERSITY
326 GALVEZ STREETSTANFORDCA94305941156365501C3600000FUNDING FOR ALLINA HEALTH CLINIC EXCELLENCE RESEARCH CENTER
FREE BIKES FOR KIDZ
3181 FERNBROOK LANE NORTHMINNEAPOLISMN55447271199089501C377700SPONSORSHIP, LIFETIME FITNESS TORCHLIGHT 5K, BIKE DONATIONS
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100MINNEAPOLISMN55407411426406501C350000SPONSORSHIP FOR 2012 MHIF GALA
THE MENTAL HEALTH CRISIS ALLIANCE
402 UNIVERSITY AVE EST PAULMN55138416005875501C325000IMPROVE ADULT MENTAL HEALTH CRISIS SERVICES IN EAST METRO
REGIONS HOSPITAL FOUNDATION
640 JACKSON STREETST PAULMN55101411888902501C325000CONTRIBUTION TO MENTAL HEALTH DRUG ASSISTANCE PROGRAM
NEIGHBORHOOD INVOLVEMENT PROGRAM INC
2341 HENNEPIN AVENUE SOUTHMINNEAPOLISMN55405410956858501C325500FINANCIAL SUPPORT TO UNINSURED AND UNDERINSURED
GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS
400 ROBERT STREET SST PAULMN55107410693910501C332700SPONSOR HEALTH LIVING BADGE, CENTENNIAL AWARDS GALA, GENERAL SUPPORT
NAMI - NATIONAL ALLIANCE ON MENTAL ILLNESS
800 TRANSFER ROADST PAULMN55114411317030501C320000SPONSOR NAMI WALKS EVENT
ST MARY'S HEALTH CLINICS
1884 RANDOLPH AVENUEST PAULMN55305411765361501C320100SUPPORT HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED IN SCOTT COUNTY, GENERAL SUPPORT
MINNESOTA STROKE ASSOCIATION
34 13TH AVENUE NORTHEAST SUITE B001MINNEAPOLISMN55413271261232501C320350SPONSOR 2012 STRIDES FOR STROKE, GENERAL SUPPORTB001
FAMILY RESOURCE CENTER - MINNEAPOLIS PUBLIC SCHOOLS
1100 ANDERSEN LANEMINNEAPOLISMN55407410851980501C315000GENERAL SUPPORT
PEOPLE INC
317 YORK AVENUEST PAULMN55130410962296501C315000SPONSOR PEOPLE INC LUNCHEON, GENERAL SUPPORT
BETH EL SYNAGOGUE
5224 W 16TH STST LOUIS PARKMN55416410711587501C315000SPONSOR INSPRIRING MINDS SPEAKER SERIES
AMERICAN HEART ASSOCIATION
PO BOX 4002902DES MOINESIA50340135613797501C333300SPONSOR GALA, GENERAL SUPPORT
FACE TO FACE HEALTH AND COUNSELING SERVICES
1165 ARCADE STREETST PAULMN55106410986780501C315000GENERAL SUPPORT
MILL CITY FARMER'S MARKET
704 2ND STREET SOUTHMINNEAPOLISMN55401562647640501C420000SPONSOR MEET YOUR VEGETABLES AND ONE EDUCATIONAL DAY FOR DIABETES PREVENTION
AMERICAN CANCER SOCIETY
2520 PILOT KNOB RDMENDOTA HEIGHTSMN55120410724036501C322550SPONSOR RELAY FOR LIFE EVENTS, GENERAL SUPPORT
MARCH OF DIMES
5233 EDINA INDUSTRIAL BOULEVARDEDINAMN55439131846366501C327200SPONSOR 2013 MARCH FOR BABIES AND NURSE OF THE YEAR, GENERAL SUPPORT
MINNEAPOLIS COLLEGE OF ART AND DESIGN
2501 STEVENS AVENUEMINNEAPOLISMN55404411607453501C312000GENERAL SUPPORT
ANDERSEN COMMUNITY EDUCATION - MINNEAPOLIS PUBLIC SCHOOLS
2727 10TH AVENUE SOUTHMINNEAPOLISMN55407410851980501C311800COMMUNITY EDUCATION FITNESS CENTER
ASSOCIATION OF UNIVERSITY PROGRAMS IN HEALTH ADMINISTRATION
2000 14TH STREET N SUITE 780ARLINGTONVA22201366110249501C310000TRANFORMATION PANEL SPONSORSHIP
ANGEL FOUNDATION
708 SOUTH THIRD STREET SUITE 105EMINNEAPOLISMN55415411990883501C310550SPONSOR 2013 ANGEL AWARDS AND 2012 GOLF CLASSIC, GENERAL SUPPORT
NATIVE AMERICAN COMMUNITY CLINIC FOR RUNNING WOLF FITNESS CENTER
1213 EAST FRANKLIN AVEMINNEAPOLISMN55404030445789501C310000FUNDING FOR RUNNING WOLF FITNESS CENTER
AMERICAN DIABETES ASSOCIATION
5100 GAMBLE DRIVE SUITE 394ST LOUIS PARKMN55416131623888501C310350SPONSOR TOUR DE CURE, GENERAL SUPPORT
COMMONBOND COMMUNITIES
328 KELLOGG BOULEVARD WESTST PAULMN55102411260469501C310000SPONSOR 2012 GRANDE GALA
METRO MEALS ON WHEELS INC
1200 WASHINGTON AVE S SUITE 380MINNEAPOLISMN55415311501057501C310000GENERAL SUPPORT
OPEN ARMS OF MINNESOTA
2500 BLOOMINGTON AVE SMINNEAPOLISMN55404411681317501C310700GENERAL SUPPORT
ST PAUL FIRE FOUNDATION
PO BOX 10593ST PAULMN55110264710527501C310000GENERAL SUPPORT
NICE RIDE MINNESOTA
2834 10TH AVENUE S SUITE 3MINNEAPOLISMN55407264372592501C310100GENERAL SUPPORT
COMMUNITY DESIGN CENTER OF MINNESOTA
731 E 7TH STREET SUITE 100ST PAULMN55106410975429501C310000GENERAL SUPPORT
HOPE FOR THE CITY
4350 BAKER RD SUITE 400MINNETONKAMN55343371441658501C310350SPONSOR 2012 CELEBRATION OF HOPE GALA, GENERAL SUPPORT
PILLSBURY UNITED COMMUNITIES
3501 CHICAGO AVE SMINNEAPOLISMN55407410916478501C310000GENERAL SUPPORT
ACTION FOR HEALTHY KIDS
1300 NURSERY HILL LANEARDEN HILLSMN55112470902020501C310000SPONSOR ACTION FOR HEALTHY KIDS 2012 HEALTHY SCHOOL CONFERENCE
RIVER FALLS BASEBALL COUNCIL INC
W10607 566TH AVEPRESCOTTWI54021453536047501C310000CO-SPONSOR A PLAYGROUND FEAUTURE AT THE COMMUNITY BALLPARK, SPONSOR RIVER FALLS MEDICAL CLINIC
CAMP FIRE MINNESOTA
4829 MINNETONKA BLVD SUITE 202ST LOUIS PARKMN55416410706116501C310000CAMP FIRE MINNESOTA HEALTH AND WELLNESS PROGRAM
SISU FOUNDATION
PO BOX 485WILLERNIEMN55090264254231501C39600SUPPORT BATTLE CREEK FITNESS COOPERATIVE
HEALTHFINDERS COLLABORATIVE
PO BOX 731NORTHFIELDMN55057201805262501C315000GENERAL SUPPORT
PROJECT MEDISHARE FOR HAITI
PO BOX 381208MIAMIFL33238650965848501C311200GLOBAL FUND TO SPONSOR MEDICAL MISSION TO HAITI
EDINA MORNINGSIDE ROTARY FOUNDATION
4024 GRIME AVENUEEDINAMN55416411739293501C37500SUPPORT TOUR DE EDINA BIKE RIDE
MINNEAPOLIS PATHWAYS
3115 HENNEPIN AVE SMINNEAPOLISMN55408411628884501C37500GENERAL SUPPORT
SOLE CARE FOR SOULS
4190 VINEWOOD LN N SUITE 111-301PLYMOUTHMN55442263300002501C37100FUNDING TO HELP PURCHASE MEDICAL SUPPLIES, GENERAL SUPPORT
CITY OF FRIDLEY
6431 UNIVERSITY AVE NEFRIDLEYMN55432416007700501C19400FRIDLEY SAFETY CAMP, GENERAL SUPPORT
BOLDER OPTIONS
2100 STEVENS AVE SMINNEAPOLISMN55404411909408501C37300BOLDER DASH 5K/10K RACE, GENERAL SUPPORT
CHILDREN'S HEALTH CARE FOUNDATION
2545 CHICAGO AVE S SUITE 617MINNEAPOLISMN55404411814223501C36100SPONSOR CHILDREN'S STAR GALA, GENERAL SUPPORT
SAINTS HEALTHCARE FOUNDATION
1455 ST FRANCIS AVENUESHAKOPEEMN55379411513014501C36800SPONSOR GALA,TEE ONE FOR HOPE GOLF TOURNAMENT AND BEVERAGE CART
AMERICAN LUNG ASSOCIATION OF MINNESOTA
490 CONCORDIA AVEST PAULMN55306410693873501C310994SPONSOR THORACIC ONOCLOGY NURSING CONFERENCE, FIGHT FOR AIR WALK, FACEBOOK PROMO, GENERAL SUPPORT
THE NEIGHBORHOOD DEVELOPMENT CENTER
663 UNIVERSITY AVE 200ST PAULMN55103411738791501C310000SPONSOR 2012 SELBY JAZZ FEST AND MIDTOWN GLOBAL MUSIC FESTIVAL
COMMUNITY HEALTH FOUNDATION OF WRIGHT COUNTY
PO BOX 482BUFFALOMN55313363546789501C310100SPONSOR 2012 HOSPICE HOUSE, FALL GALA AND FORE YOUR HEALTH GOLD FUND RAISER
SECOND HARVEST HEARTLAND
1140 GERVAIS AVENUEST PAULMN55109237417654501C35550SPONSOR DISH CUISINE FOR CHANGE, GENERAL SUPPORT
SISTERS OF ST JOSEPH MINISTRIES FOUNDATION
1884 RANDOLPH AVENUEST PAULMN55105411765361501C36200SUPPORT FOR ST MARY'S HEALTH CLINICS OF THE CARONDELET MINISTRIES FOUNDATION AND CARONDELET GALA
MINNESOTA NETWORK FOR HOSPICE AND PALLIATIVE CARE
2365 MCKNIGHT RD N SUITE 2NORTH ST PAULMN55109411414694501C310000SPONSOR 2012 SPRING CONFERENCE, GENERAL SUPPORT
MINNESOTA MILITARY FAMILY FOUNDATION
4979 OLSON MEMORIAL HIGHWAY SUITEGOLDEN VALLEYMN55422411815585501C35500SPONSOR YELLOW RIBBON EVENT, GENERAL SUPPORT101
LISTENING HOUSE
215 9TH STREET WST PAULMN55102363291367501C35100GENERAL SUPPORT
SCOTT-CARVER-DAKOTA CAP AGENCY
712 CANTERBURY ROADSHAKOPEEMN55379410903890501C35200SUPPORT PRESCRIPTION ASSISTANCE PROGRAM, GENERAL SUPPORT
ARTHRITIS FOUNDATION UPPER MIDWEST REGION
1876 MINNEHAHA AVE NST PAULMN55104390860526501C35250GENERAL SUPPORT
MINNESOTA RECOVERY CONNECTION
253 STATE STREETST PAULMN55107411948764501C35250BEHAVIORAL HEALTH SERVICE, GENERAL SUPPORT
NEIGHBORHOOD HOUSE
179 ROBIE STREET EST PAULMN55107410693916501C35100GENERAL SUPPORT
MINNESOTA AIDS PROJECT
1400 PARK AVENUEMINNEAPOLISMN55404411524746501C35200SUPPORT BLACK HIV EVENT/BILL LARSON, GENERAL SUPPORT
KEYSTONE COMMUNITY SERVICES
2000 ST ANTHONY AVENUEST PAULMN55104410693924501C35100GENERAL SUPPORT
CORCORAN NEIGHBORHOOD ORGANIZATION
3451 CEDAR AVE SMINNEAPOLISMN55407411535894501C36000GENERAL SUPPORT
TWIN CITIES HABITAT FOR HUMANITY
3001 4TH ST SEMINNEAPOLISMN55414363363171501C36700GENERAL SUPPORT
FEED MY STARVING CHILDREN
401 93RD AVE NWCOON RAPIDSMN55433411601449501C37087SUPPORT PACKAGING OF MEALS,GENERAL SUPPORT
UNITED WAY WORLDWIDE
701 N FAIRFAX STREETALEXANDRIAVA22314131635294501C357454GENERAL SUPPORT
HUTCHINSON HEALTHCARE FOUNDATION
1095 HWY 15 SOUTHHUTCHINSONMN55350363317820501C310000SPONSOR ANNUAL EVENT
CITY OF OWATONNA
540 WEST HILLS CIRCLEOWATONNAMN55060416005444501C110000REPURPOSING AND DEVELOPMENT OF FORMER OWATONNA HOSPITAL SITE
ALEXANDRA HOUSE
PO BOX 490039BLAINEMN55449411309977501C35100GENERAL SUPPORT
FRIDLEY PUBLIC SCHOOLS
6000 WEST MOORE LAKE DRIVEFRIDLEYMN55432411943227501C36500SPONSOR FRIDLEY KIDS IN ACTION AND GENERAL SUPPORT
ST PAUL AREA COUNCIL OF CHURCHES
1671 SUMMIT AVENUEST PAULMN55401410694741501C35100GENERAL SUPPORT
WOMEN'S ADVOCATES INC
588 GRAND AVENUEST PAULMN55102237310701501C35300GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants66TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationALLINA HEALTH SYSTEM STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS A PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS; PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception1InitialContractException
Rebuttable Presumption Procedure1RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH PAULUS
DIRECTOR/PRESIDENT/CEO86103401015040017064107310640261230280390203823590
BEN BACHE-WIIG MD
SVP, PRESIDENT ANW HOSPITAL379899012712608208701110990263140726525000
MARGARET BUTLER
SVP, HUMAN RESOURCES307988020340101051420175115028637082028301043570
SARA CRIGER
SVP, PRESIDENT MERCY HOSPITAL16666207500004043902753809550310594000
DUNCAN GALLAGHER
TREASURER/EVP/CFO569104026187601884160329168030086013786500711660
MARGARET HASBROUCK
VP, PAYOR CONTRACT/REIMB.23527808702305656405826902377904609130224000
SUSAN HEICHERT
SVP, CHIEF INFORMATION OFFICER3115930133443072045012917101852406647760143770
CHRISTOPHER HUGHES
VP, REVENUE CYCLE MANAGEMENT198968069020078250432470237230342783000
DEREK KANG
SVP, CHIEF COMPLIANCE OFFICER23231801065250452500919450143940490432049830
LAURIE LAFONTAINE
VP, FINANCE & TREASURY256171010401407544707357602624905354570315670
MICHAEL MARSHALL MD
SVP, PRESIDENT ALLINA CLINICS35793900063900085656017570509252000
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSPITAL4235490263458013125902422410231230108363001356940
JEFFREY PETERSON
EVP, HOSPITAL SERVICES5376250389815018664903439110332280149122801947120
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP, GENERAL COUNSEL34567002148660917490176316021123084972401088290
PENNY WHEELER MD
EVP, CHIEF CLINICAL OFFICER4525230348191010684102766720176540120188101398070
ROBERT WIELAND MD
EVP, CLINIC & COMM DIV./PRES. AIMN423367032785709418802752000257490114636101316420
LORI WIGHTMAN
SVP, PRESIDENT UNITY HOSPITAL294784012199605351701229110166940609902000
CHRISTINE BENT
SVP, CLINICAL SERVICES LINE29508801194990327850950320311230573527000
DANIEL BUSS MD
PHYSICIAN1245988028927091198080209027249014735710627230
MICHAEL FREEHILL MD
PHYSICIAN1232711064201069205080919021123014681590445560
DANA HARMS MD
PHYSICIAN10878500002292306804102262301201437000
LEROY MCCARTY MD
PHYSICIAN111610903308906341307257302524901310433000
STEVEN SWANSON MD
PRESIDENT-NEUROSCIENCE87287602270040155750015754002604501439215000
RICKIE RESSLER
FORMER PRES. UNITY HOSP.00006077270000060772705063670
SANDRA SCHMITT
FORMER EVP,STRATEGY & OPS.000010195200000101952000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATAX INDEMNIFICIATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO TAXABLE MOVING EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO TEMPORARY HOUSING FOR CERTAIN EXECUTIVES WHO ARE RELOCATING DUE TO EMPLOYMENT WITH ALLINA AND DO NOT INITIALLY HAVE A PERMANENT RESIDENCE. SARA CRIGER - $3,404; MICHAEL MARSHALL - $26,545; STEVEN SWANSON, MD - $56,864
PART I, LINES 4A-BPART I, LINES 4A-B: 4(A):SANDRA SCHMITT - $90,223 4(B):BEN BACHE-WIIG, MD - $34,891; MARGARET BUTLER - $39,191; DUNCAN GALLAGHER - $81,896; MARGARET HASBROUCK - $24,425; SUSAN HEICHERT - $14,377; DEREK KANG - $5,557; LAURIE LAFONTAINE - $33,715; THOMAS O'CONNOR - $51,144; JEFFREY PETERSON - $73,323; ELIZABETH TRUESDELL SMITH - $41,505; LORI WIGHTMAN - $25,716; DANIEL BUSS, MD - $64,188; MICHAEL FREEHILL, MD - $46,363; LEROY MCCARTY, MD - $39,819; RICKIE RESSLER - $607,727.
PART I, LINE 6DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL CONTRIBUTORS AND EXECUTIVES. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE CALENDAR YEAR. PERFORMANCE MEASURES INCLUDE FINANCIAL PERFORMANCE, SERVICE QUALITY, PATIENT SATISFACTION, PATIENT SAFETY AND COMMUNITY SERVICE. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN (LTIP) ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE COMPENSATION COMMITTEE OF THE BOARD. THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
PART IIIADDITIONAL DISCLOSURES: THE COMPENSATION DISCLOSED FOR RICKIE RESSLER INCLUDES PAYOUT OF DEFERRED COMPENSATION AND THE ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP)FOLLOWING RETIREMENT. PAID TIME-OFF ["PTO"] PLAN CHANGE & ACCRUED BALANCE PAYOUT IN DECEMBER 2012, ALLINA HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS CHANGED THE PAID TIME-OFF PLAN FOR CERTAIN MANAGEMENT AND EXECUTIVE LEVEL EMPLOYEES. THE PTO PLAN CHANGED FROM AN ACCRUAL OF PTO HOURS SUBJECT TO A MAXIMUM YEAR TO YEAR ACCRUED BALANCE CARRYOVER TO A DISCRETIONARY TIME AWAY FROM WORK POLICY WITH NO ACCRUAL, CARRYOVER OR PAYOUT PROVISIONS. IN CONJUNCTION WITH THE PTO PLAN CHANGE, ALLINA PAID A LUMP SUM DISTRIBUTION TO EACH AFFECTED EMPLOYEE EQUAL TO THE VALUE OF THE EMPLOYEE'S ACCRUED PTO BALANCE. THE PAYOUT OF ACCRUED PTO IS REFLECTED IN SCHEDULE J, PART II, COLUMN B (III) AS OTHER REPORTABLE COMPENSATION. DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THIS PLAN WAS AMENDED EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65 RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009. EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MINNEAPOLIS
A416005375792909BJ12009-11-10348409221REFUNDING OF 2007B & A PORTION OF 1998A;CONSTRUCTION;REMODELLING;RENOVATION000
CITY OF MINNEAPOLIS
B416005375792909BH52007-10-17482877203REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancement
A430000034879549533323904989378029509202320131011
B2343200004871270032717494126922772138047162201011116787000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTaken
A011100.006200.000100.00630000
B011100.022100.000000.022100100.000501

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
JP MORGANWELLS
A000111FARGO25.80000000000010001
UBS
B00011124.80000000000010101MBIA0.8000000000001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART IV, ARBITRAGE, LINE 2CIdentifier
Return ReferenceDATE REBATE COMPUTATION PERFORMEDReturnReference
ExplanationISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/29/2012 ISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2012Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MEGAN BEER
FAMILY MEMBER OF WILLIAM BEER, BOARD MEMBER51929EMPLOYMENT0
JANA LARSON
FAMILY MEMBER OF SALLY SMITH, BOARD MEMBER25720EMPLOYMENT0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XPSYCHOLOGICAL TEST USAGES94912797FAIR MARKET VALUE
XMEDICAL EQUIPMENT2229837FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationALLINA HEALTH MAY FROM TIME TO TIME AND IN ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NON CASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. ALLINA HEALTH USES THIRD PARTIES SUCH AS SECURITIES BROKERAGE FIRMS TO LIQUIDATE THE PUBLICLY TRADED SECURITIES TO CASH ON THE OPEN SECURITIES MARKET. THE SALE OF PUBLICLY TRADED SECURITIES ARE GENERALLY SUBJECT TO MARKET RATE BROKERAGE COMMISSIONS AND FEES OF THE THIRD PARTY SECURITIES BROKER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ALLINA HEALTH SYSTEM FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S VICE PRESIDENT OF FINANCE & TREASURY ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. AFTER THE MANAGEMENT REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE [IRS], WAS PROVIDED TO EACH VOTING MEMBER OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS. AN ALLINA HEALTH SYSTEM BOARD OF DIRECTORS MEETING WAS HELD ON OCTOBER 31, 2013 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNEOSOTA ATTORNY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING THE ALLINA HEALTH SYSTEM FORM 990 WITH THE IRS, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFITS PROGRAM ELEMENTS FOR NON-COLLECTIVELY BARGAINED ALLINA HEALTH SYSTEM EMPLOYEES. ALLINA HEALTH SYSTEM USES A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES THAT INCLUDED ALL OF THE FOLLOWING ELEMENTS: REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, THE MEMBERS OF WHICH ARE INDEPENDENT AND WITHOUT A CONFLICT OF INTEREST AS DEFINED IN REGULATION SECTION 53.4958-6(C)(1)(III). ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT SPECIALIZING IN EXECUTIVE COMPENSATION USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS CONTEMPORANEOUS DOCUMENTATION, SUBSTANTIATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT THE ABOVE DESCRIBED PROCESS AND AN ASSESSMENT IS PERFORMED AT LEAST ANNUALLY FOR THE FOLLOWING POSITIONS: CHIEF EXECUTIVE OFFICER/PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF CLINICAL OFFICER, EXECUTIVE VICE PRESIDENT - ALLINA HOSPITALS, PRESIDENT - ABBOTT NORTHWESTERN HOSPITAL, PRESIDENT - UNITED HOSPITAL, PRESIDENT - MERCY HOSPITAL, PRESIDENT - UNITY HOSPITAL, EXECUTIVE VICE PRESIDENT - AMBULATORY CARE, PRESIDENT - ALLINA CLINICS, SENIOR VICE PRESIDENT - GENERAL COUNSEL, SENIOR VICE PRESIDENT - CLINICAL SERVICE LINES, SENIOR VICE PRESIDENT - CHIEF COMPLIANCE OFFICER. IN ADDITION, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL COMPENSATION CHANGES OF THE CHIEF EXECUTIVE OFFICER AND THE OTHER FORE MENTIONED POSITIONS LISTED IN ADVANCE OF THE CHANGE.
FORM 990, PART VI, SECTION C, LINE 19ALLINA HEALTH SYSTEM MAKES ITS FORM 990, FORM 1023, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TO ARRANGE AN INSPECTION OR RECEIVE A COPY, PLEASE CONTACT THE FOLLOWING: ALLINA HEALTH SYSTEM TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 TELEPHONE: 612-262-0660 PHYSICAL ADDRESS: 2925 CHICAGO AVENUE MINNEAPOLIS, MN 55407-1321 THE FORM 990 AND FORM 1023 ARE ALSO AVAILABLE DIRECTLY FROM THE INTERNAL REVENUE SERVICE. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM DIGITAL ASSURANCE CERTIFICATION (DAC) AND ON THEIR WEBSITE AT DACBOND.COM DAC CLIENTS MEET THE IRS SECTION 6104(D) REQUIREMENTS ON ALLOWING "PUBLIC INSPECTION OF CERTAIN ANNUAL RETURNS, REPORTS, AND APPLICATIONS FOR EXEMPTION AND NOTICES OF STATUS" VIA THE DAC WEBSITE. DAC ENSURES THE RELIABILITY AND ACCURACY OF THE POSTED DOCUMENTS AND TAKES REASONABLE PRECAUTIONS TO PRECENT ALTERATION, DESTRUCTION OR ACCIDENTAL LOSS OF THE POSTED DOCUMENTS. WHERE REQUESTD, A USER MAY DOWNLOAD A DOCUMENT, PRINT A DOCUMENT, EMAIL A DOCUMENT OR, GIVEN REASONABLE WRITTEN NOTICE, DAC WILL MAIL A NOTIFICATION INDICATING WHERE SUCH DOCUMENTS ARE AVAILABLE WITHIN 7 DAYS OF THE WRITTEN REQUEST, PER IRS TREA. REG. SECTION 301.6104(D)-2(D).
FORM 990, PART VII, SECTION AALLINA HEALTH SYSTEM PROVIDES COMPENSATION TO THE BOARD OF DIRECTORS FOR SERVING ON THE BOARD AND FOR SERVING ON CERTAIN COMMITTEES. THE FOLLOWING COMPENSATION WAS PAID BY ALLINA HEALTH SYSTEM FOR SERVICES PROVIDED TO US AND NOT DISCLOSED ON PART VII OR SCHEDULE J. $14,000 PAID TO MINNESOTA GASTROENTEROLOGY, PA FOR THE SERVICES OF JOHN ALLEN, MD. $13,600 PAID TO HOSPITAL PATHOLOGY ASSOCIATES FOR THE SERVICES OF JOSEPH GOSWITZ, MD.
FORM 990, PART VIII, LINE 2BBAD DEBT WILL BE REPORTED AS A REDUCTION TO REVENUE. FOOTNOTE TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE IS AS FOLLOWS: 2Q. ADOPTION OF NEW ACCOUNTING STANDARDS ON JANUARY 1, 2012, THE SYSTEM ADOPTED GUIDANCE UNDER ACCOUNTING STANDARDS UPDATE 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH AMENDED ASC TOPIC 954, HEALTH CARE ENTITIES. THE GUIDANCE PROVIDES GREATER TRANSPARENCY REGARDING A HEALTHCARE ENTITY'S NET PATIENT SERVICE REVENUE AND THE RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS REQUIRE HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE BY RECLASSIFYING THE PROVISION FROM OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE, RETROSPECTIVELY, AND REQUIRE ENHANCED DISCLOSURES ABOUT NET PATIENT REVENUE AND THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS. THE ADOPTION OF THE AUTHORITATIVE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.DETAILS OF BAD DEBT ACCOUNTING CHANGE
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENTS -190,007. OTHER RESTRICTED 571,573. ALLINA MEDICAL CLINIC NET ASSETS TRANSFERRED TO ALLINA HEALTH SYSTEM -81,180,284.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CTHIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.
FORM 990, PART XI, LINE 9 EXPLANATIONPLEASE NOTE THAT COMPARABILITY OF FINANCIAL INFORMATION BETWEEN THIS 2012 FILING AND THE 2011 FILING WILL BE SIGNIFICANTLY IMPACTED BY THE MERGER OF ALLINA MEDICAL CLINIC INTO ALLINA HEALTH SYSTEM. ALLINA MEDICAL CLINIC MERGED WITH AND INTO ITS PARENT ORGANIZATION ALLINA HEALTH SYSTEM, A MINNESOTA 317A NONPROFIT CORPORATION AND 501(C)(3) TAX EXEMPT ORGANIZATION. ALLINA HEALTH SYSTEM IS THE SURVIVING AND SUCCESSOR ORGANIZATION. AS A RESULT AND FOR TAX REPORTING PURPOSES, ALL ASSETS AND LIABILITIES OF ALLINA MEDICAL CLINIC HAVE BEEN TRANSFERRED TO ALLINA HEALTH SYSTEM. THE FUND BALANCE TRANSFERRED WAS $80,798,718.DETAILS OF ALLINA HEALTH SYSTEM/ALLINA MEDICAL CLINIC MERGER:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ACCOUNTS RECEIVABLE SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 43AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55440ZIPCode
FieldValueIRS element (for citing)
EIN550811834EIN
Primary ActivitiesDEBT COLLECTIONPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income5555973TotalIncome
EOY Assets15375096EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ALLINA HEALTH SYSTEMBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
PO BOX 43MINNEAPOLISMN554400043043643816SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
MERCY & UNITY HOSPITALS FOUNDATION
PO BOX 43MINNEAPOLISMN554400043300086426SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43MINNEAPOLISMN554400043411613017SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
SISTER KENNY FOUNDATION
PO BOX 43MINNEAPOLISMN554400043411952989SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
UNITED HOSPITAL FOUNDATION
PO BOX 43MINNEAPOLISMN554400043237420998SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
PO BOX 43MINNEAPOLISMN554400043263553868SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
ALLINA ASSOCIATED FOUNDATION
PO BOX 43MINNEAPOLISMN554400043274116873SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
ASPEN ASSET CORPORATION
PO BOX 43MINNEAPOLISMN554400043411788674HOLDING TITLE TO PROPERTYMN501(C)(2)ALLINA HEALTH SYSTEM0
ASPEN MEDICAL GROUP
PO BOX 43MINNEAPOLISMN554400043411452624HEALTHCARE SERVICESMN501(C)(4)ALLINA HEALTH SYSTEM0
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43MINNEAPOLISMN554400043275129095SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
UNITED AND CHILDRENS AMBULATORY SURGERY CENTER ASSOCIATION
310 NORTH SMITH AVENUEST PAULMN55102411694626SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, I0N/A
MBP FACILITY LLC
PO BOX 43MINNEAPOLISMN554400043454078371SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, I0N/A
WESTHEALTH INC
PO BOX 43MINNEAPOLISMN554400043411768814HEALTHCARE SERVICESMN501(C)(3)LINE 3ALLINA HEALTH SYSTEM0

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
APPLE VALLEY BUILDING ASSOCIATES LLC
14655 GALAXIE AVENUE SAPPLE VALLEYMN55124411677072RENTAL REAL ESTATEMNALLINA HEALTH SYSTEMRELATED1248693980496010.50000
METROPOLITAN INTEGRATED CANCER CARE LLC
ONE POST ST35TH FLSAN FRANCISCOCA94104205068485RADIOLOGYDEALLINA HEALTH SYSTEMUNRELATED22407393662221010.80000
SOUTHWEST SURGICAL CENTER LLC
PO BOX 43MINNEAPOLISMN55440412013700SURGICAL SERVICESMNALLINA HEALTH SYSTEMRELATED34017241245858010.83330
MAGNETO LEASING LLC
PO BOX 43MINNEAPOLISMN55440201582501RENTAL EQUIPMENTMNALLINA HEALTH SYSTEMRELATED4828912677010.50000
WEST SUBURBAN HEALTH CAMPUS
PO BOX 43MINNEAPOLISMN55440411730888RENTAL REAL ESTATEMNALLINA HEALTH SYSTEMRELATED-136373010.99000
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WESTST PAULMN55108261850227HEALTHCARE SERVICESMNASPEN MEDICAL GROUPRELATED596723322810000.65000
GERIATRIC SERVICES OF MINNESOTA LLC
3366 OAKDALE AVE NORTH SUITE 551ROBBINSDALEMN55422453357936HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED384944102728010.45000
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700MINNEAPOLISMN55407452532456HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED133771340043010.50000
DISTRICT ONE CANCER CENTER LLC
200 STATE AVENUEFAIRBAULTMN55021451258847HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED80843523974010.50000
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500MINNEAPOLISMN55407412010368HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED6238195348701
MOBILE IMAGING SERVICES LLC
1221 NICOLLET MALL SUITE 600MINNEAPOLISMN55403411883212RADIOLOGYMNALLINA HEALTH SYSTEMRELATED6041130858010.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of EOY AssetsShareOfEOYAssetsShare Of Total IncomeShareOfTotalIncome
HEALTHSPAN SERVICES COMPANY
PO BOX 43MINNEAPOLISMN55440411249999DEBT COLLECTIONMNALLINA HEALTH SYSTEMC1.000000
ALLINA SPECIALTY ASSOCIATES INC
PO BOX 43MINNEAPOLISMN55440411802815HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMC1.00000038099508
ALLINA CLINIC HOLDINGS LTD
PO BOX 43MINNEAPOLISMN55440263954371HOLDING COMPANYMNALLINA HEALTH SYSTEMC1.0000004988723-6696
QUELLO CLINIC LIMITED
PO BOX 43MINNEAPOLISMN55440410874754HEALTHCARE SERVICESMNALLINA CLINIC HOLDINGS LTDC1.0000003959250-3190201
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007PITTSBURGHPA15253276712988TRUSTPAALLINA HEALTH SYSTEMT1.000000
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET SUITE 0625PITTSBURGHPA15258376520273TRUSTPAALLINA HEALTH SYSTEMT1.000000
ALLINA HEALTH SYSTEM KEYSHARE PLAN
PO BOX 535007PITTSBURGHPA15253276678945TRUSTPAALLINA HEALTH SYSTEMT1.000000
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43MINNEAPOLISMN55440411720860TRUSTMNALLINA HEALTH SYSTEMT1.00000044038
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (33 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
C9331994CASH
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
B2091906COST
MERCY & UNITY HOSPITALS FOUNDATION
C469544CASH
MERCY & UNITY HOSPITALS FOUNDATION
B1207007COST
PHILLIPS EYE INSTITUTE FOUNDATION
C430687CASH
PHILLIPS EYE INSTITUTE FOUNDATION
B153581COST
SISTER KENNY FOUNDATION
C548197CASH
SISTER KENNY FOUNDATION
B369971COST
UNITED HOSPITAL FOUNDATION
C736270CASH
UNITED HOSPITAL FOUNDATION
B1175588COST
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
C56672CASH
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
B38744COST
ALLINA ASSOCIATED FOUNDATION
C1987384CASH
ALLINA ASSOCIATED FOUNDATION
B1716812COST
ASPEN MEDICAL GROUP
P95912935COST
ALLINA SPECIALTY ASSOCIATES INC
C311354COST
METROPOLITAN INTEGRATED CANCER CARE LLC
C3042010CASH
APPLE VALLEY BUILDING ASSOCIATES LLC
C200000CASH
APPLE VALLEY BUILDING ASSOCIATES LLC
B3637COST
SOUTHWEST SURGICAL CENTER LLC
C3480000CASH
MAGNETO LEASING LLC
C89081CASH
ASPEN SLEEP CENTER LLC
C734500CASH
ALLINA CLINIC HOLDINGS LTD
B473304COST
QUELLO CLINIC LTD
B3265387COST
WESTHEALTH INC
P10917254COST
NORTHSTAR SLEEP CENTER LLC
B97628COST
NORTHSTAR SLEEP CENTER LLC
C100000CASH
GERIATRIC SERVICES OF MINNESOTA LLC
B225000COST
GERIATRIC SERVICES OF MINNESOTA LLC
C135000CASH
DISTRICT ONE CANCER CENTER LLC
C100000CASH
CROSBY CARDIOVASCULAR SERVICES LLC
B776785COST
WEST SUBURBAN HEALTH CAMPUS
C1710878COST
ALLINA INTEGRATED MEDICAL NETWORK
B1789768COST