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ALLINA HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ALLINA HEALTH SYSTEM (EIN 36-3261413)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201243179349301449
Schema version
2011v1.2
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)
Timestamp2012-11-12T11:34:58-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts3286230762GrossReceipts
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") 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 2011, ALLINA PROVIDED $463,168,739 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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees25440TotalNbrEmployees
Total Nbr Volunteers3565TotalNbrVolunteers
Total Gross UBI10995833TotalGrossUBI
Net Unrelated Business Txbl Income2286852NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26220605ContributionsGrantsPriorYear
Contributions Grants Current Year26265201ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2512995565ProgramServiceRevenuePriorYear
Program Service Revenue CY2699856034ProgramServiceRevenueCY
Investment Income Prior Year-1372592InvestmentIncomePriorYear
Investment Income Current Year-5930673InvestmentIncomeCurrentYear
Other Revenue Prior Year42159946OtherRevenuePriorYear
Other Revenue Current Year22981530OtherRevenueCurrentYear
Total Revenue Prior Year2580003524TotalRevenuePriorYear
Total Revenue Current Year2743172092TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year849986GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6128653GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1309093478SalariesEtcPriorYear
Salaries Etc Current Year1430550903SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year41287TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4799867TotalFundrsngExpCurrentYear
Other Expense Prior Year1049920522OtherExpensePriorYear
Other Expenses Current Year1080519399OtherExpensesCurrentYear
Total Expenses Prior Year2359905273TotalExpensesPriorYear
Total Expenses Current Year2517198955TotalExpensesCurrentYear
Revenues Less Expenses Prior Year220098251RevenuesLessExpensesPriorYear
Revenues Less Expenses CY225973137RevenuesLessExpensesCY
Total Assets BOY3237509549TotalAssetsBOY
Total Assets EOY3440714766TotalAssetsEOY
Total Liabilities BOY1702238653TotalLiabilitiesBOY
Total Liabilities EOY1760009146TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1535270896NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1680705620NetAssetsOrFundBalancesEOY
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
Expense1637890800Expense
Grants6128653Grants
Revenue2692541500Revenue
DescriptionPROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA IS COMMITTED TO IMPROVING THE LIFELONG HEALTHCARE OF THE COMMUNITIES IT SERVES. ALLINA PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS WHICH INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, ABBOTT NORTHWESTERN IS A NATIONALLY RECOGNIZED HOSPITAL PROVIDING COMPREHENSIVE HEALTH CARE FOR MORE PATIENTS AND THEIR FAMILIES THAN ANY OTHER NOT-FOR-PROFIT HOSPITAL IN MINNESOTA. AMONG THE DISTINGUISHED SERVICES PROVIDED BY ABBOTT NORTHWESTERN ARE CARDIOVASCULAR CARE IN CONJUNCTION WITH THE MINNEAPOLIS HEART INSTITUTE; VIRGINIA PIPER CANCER INSTITUTE AND PIPER BREAST CENTER; MINNEAPOLIS NEUROSCIENCE INSTITUTE; ORTHOPEDIC INSTITUTE; SPINE INSTITUTE; AND WOMENCARE. ABBOTT NORTHWESTERN CONSISTENTLY PLACES IN SOLUCIENT'S TOP 100 CARDIOVASCULAR HOSPITALS AND U.S. NEWS & WORLD REPORT BEST HOSPITALS.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 PROVIDES COMPREHENSIVE AND COMPASSIONATE HEALTH CARE SERVICES TO THE NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE HEART & VASCULAR CENTER, WOMEN'S HEART 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 AN EVER-EVOLVING REGIONAL MEDICAL CENTER THAT OFFERS STATE OF-THE-ART FACILITIES, PERSONALIZED CARE IN PRIVATE ROOMS AND SERVICES THAT ARE CONTINUOUSLY BEING ADDED AND ENHANCED. IT PROVIDES SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY AND URGENT CARE SERVICES, SLEEP CENTER, PHILLIPS EYE INSTITUTE AND SISTER KENNY REHABILITATION INSTITUTE WITH PATIENT-CENTERED CARE THAT DRIVES ALL DECISIONS TO SUPPORT THE BEST INTERESTS OF ITS PATIENTS.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER (CMC) 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, CMC 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, ORAL AND MAXILLOFACIAL SURGERY, 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. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, AS WELL AS HOME AND PALLIATIVE CARE AND HOSPICE. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 100 YEARS.PHILLIPS EYE INSTITUTE - MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, PHILLIPS EYE INSTITUTE (PEI) IS THE THIRD LARGEST SPECIALTY HOSPITAL IN THE U.S., SPECIALIZING IN THE DIAGNOSIS, TREATMENT AND CARE OF EYE DISORDERS AND DISEASES. PEI 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 OFFERS CARDIOVASCULAR CARE, EMERGENCY AND SURGICAL SERVICES, BIRTH CENTER, HOME CARE AND HOSPICE SERVICES.ALLINA ALSO OPERATES SERVICE LINES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2011, ALLINA EXPENDED ALMOST $1.8 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED OVER 105,000 INPATIENT ADMISSIONS AND OVER 1,200,000 HOSPITAL OUTPATIENT VISITS. THERE WERE NEARLY 285,000 EMERGENCY CARE VISITS, 213,000 HOME CARE AND HOSPICE VISITS, AND OVER 14,000 BIRTHS AT ALLINA HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA 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 2011, ALLINA EXPENDED $1,990,906 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense272847125Expense
DescriptionCOST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA 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 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 INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2011, ALLINA PROVIDED $272,847,125 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 PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE REIMBURSED AT AMOUNTS LESS THAN COST. IN 2011, ALLINA EXPENDED $166,205,849 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $53,198,979 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA 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 2011, ALLINA PAID $21,559,970 FOR THE MEDICAID SURCHARGE. TAXESALLINA 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 PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. ALLINA PAID $31,881,827 FOR THE MINNESOTACARE TAX AND OTHER TAXES IN 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense140512028Expense
DescriptionUNCOMPENSATED CARE:CHARITY CAREALLINA PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. ALLINA'S 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, ALLINA'S 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 STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2011, ALLINA PROVIDED $25,670,874 (AT COST) 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 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 2011, ALLINA PROVIDED $52,540,841 IN SUCH DISCOUNTS TO LOW-INCOME, UNINSURED INDIVIDUALS. BAD DEBTALLINA PROVIDES MEDICAL CARE TO ALL IN NEED. THERE ARE TIMES WHEN PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT. THESE BAD DEBT CHARGES IN 2011 TOTALED $62,300,314.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense47818679Expense
DescriptionCOMMUNITY SERVICES:ALLINA IS COMMITTED TO SUPPORTING PROGRAMS AND SERVICES THAT ADDRESS COMMUNITY NEEDS. IN 2011, ALLINA CONTRIBUTED $47,818,679 TO COMMUNITY PROGRAMS AND SERVICES TO ADVANCE THE HEALTH OF THE BROADER COMMUNITY. BELOW ARE EXAMPLES OF PROGRAMS AND SERVICES ALLINA PROVIDES WITHIN THE COMMUNITIES WE SERVE UNDER CATEGORIES PROVIDED BY THE CATHOLIC HEALTHCARE ASSOCIATION (CHA) AND VHA, INC. COMMUNITY HEALTH IMPROVEMENT SERVICES ACCORDING 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 SERVICES THAT FALL UNDER THIS CATEGORY. A FEW EXAMPLES INCLUDE: WELLNESS VAN - WITH THE HELP OF COMMUNITY PARTNERS, ALLINA HEALTH PURCHASED A NEW MOBILE WELLNESS CENTER TO OFFER NO-COST HEALTH SCREENINGS WHEREVER PEOPLE GATHER, SUCH AS PICNICS AND COMMUNITY EVENTS. IN 2011, APPROXIMATELY 30,000 PEOPLE WERE SCREENED IN 36 COMMUNITIES. A HIGH PROPORTION OF THESE PEOPLE WERE WITHOUT HEALTH INSURANCE. APPROXIMATELY TEN PERCENT WERE FOUND TO BE AT-RISK FOR DANGEROUS HEALTH COMPLICATIONS. POWER BY THE HOUR - POWER BY THE HOUR IS AN AWARD-WINNING NUTRITION EDUCATION AND PHYSICAL FITNESS PROGRAM DESIGNED TO INCREASE AWARENESS AND IMPROVE BEHAVIORS AROUND HEALTHY EATING AND EXERCISE IN ELEMENTARY-AGED CHILDREN. ALLINA HEALTH STAFF PROVIDES POWER BY THE HOUR CURRICULUM TRAINING AND ONGOING TECHNICAL ASSISTANCE TO AREA SCHOOL DISTRICTS AND LOCAL YMCAS. TO DATE, MORE THAN 10,000 YOUTH HAVE PARTICIPATED IN POWER BY THE HOUR. IN 2011, POWER BY THE HOUR EXPANDED TO 40 ADDITIONAL SCHOOLS AND COMMUNITY ORGANIZATIONS. THE PROGRAM WAS FEATURED IN A TELEVISION COMMERCIAL DURING THE PRIME-TIME HEALTH SPECIAL, "CUTTING EDGE: FIGHTING FAT." IN ADDITION, AN ONLINE FAMILY-FRIENDLY VERSION OF POWER BY THE HOUR WAS CREATED TO ENCOURAGE COMMUNITY MEMBERS TO USE AT-HOME LESSONS TO BEGIN FAMILY CONVERSATIONS ABOUT MAKING HEALTHFUL CHOICES. ALSO IN 2011, POWER BY THE HOUR PARTNERED WITH BIG BROTHERS BIG SISTERS AND OTHER COMMUNITY ORGANIZATIONS TO CREATE A NEW SERIES OF EVENING EVENTS, FEATURING INTERACTIVE STATIONS. YOUTH AND ADULTS LEARNED ABOUT SUGAR-SWEETENED BEVERAGES, PORTION CONTROL, THE IMPORTANCE OF DAILY PHYSICAL FITNESS AND MUCH MORE.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 2011, HEART SAFE COMMUNITIES PLACED 197 AEDS THROUGHOUT COMMUNITIES IN MINNESOTA AND TRAINED 1748 COMMUNITY MEMBERS ON CPR AND THE USE OF AEDS. THOSE NUMBERS INCLUDED 28 AED'S GIVEN TO ALLINA'S COMMUNITY ENGAGEMENT GROUPS, WHO THEN DONATED TO THOSE COMMUNITIES IN THEIR AREA. WE WERE ALSO ABLE TO DESIGNATE 4 NEW COMMUNITIES AS HEART SAFE COMMUNITIES FOLLOWING THEIR WORK IN STRENGTHENING THE CHAIN OF SURVIVAL FOR THEIR CITIZENS AND ATTENDED OVER 40 COMMUNITY EVENTS EDUCATING PEOPLE ON THE IMPORTANCE OF EARLY CPR AND AED USE.FREE CLINIC OF PIERCE AND ST. CROIX COUNTIES OF WISCONSIN - RIVER FALLS, WI. RIVER FALLS AREA HOSPITAL IS INVOLVED IN THE DEVELOPMENT AND MAINTENANCE OF A FREE CLINIC SERVING SURROUNDING COUNTIES. ALL SERVICES PROVIDED BY THE CLINIC ARE PROVIDED FREE OF CHARGE AND INCLUDE PREVENTABLE HEALTH CARE AND ACCESS TO PRESCRIPTION DRUGS FOR UNINSURED INDIVIDUALS AND FAMILIES. IN 2011, THE FREE CLINIC OF PIERCE AND ST. CROIX COUNTIES PROVIDED CARE TO 364 NEW PATIENTS.GEORGE FAMILY FOUNDATION - THE GEORGE FAMILY FOUNDATION WAS GRANTED $ 5 MILLION TO CREATE THE HEALTH PROMOTION AND PREVENTION PARTNERSHIP. THE PROGRAM WAS DEVELOPED IN RESPONSE TO RECOGNITION THAT AT LEAST 40 PERCENT OF DEATHS IN THE UNITED STATES ARE ATTRIBUTABLE TO FOUR BEHAVIORS: POOR NUTRITION, INADEQUATE EXERCISE, SMOKING AND HAZARDOUS DRINKING. ONLY ABOUT 5 PERCENT OF THE UNITED STATES POPULATION LIVES WITHOUT AN IDENTIFIABLE RISK FACTOR. THE PROGRAM SEEKS TO IMPROVE POPULATION HEALTH, DEFINE THE ROLE OF INTEGRATED HEALTH CARE SYSTEMS IN PREVENTION AND WELLNESS, AND CONDUCT RESEARCH TO SUPPORT FURTHER COMMUNITY HEALTH IMPROVEMENT. 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. ALLINAHEALTH.ORG - OTHER COMMUNITY PROGRAMS AND HEALTH INFORMATION IS AVAILABLE ON OUR ALLINA HEALTH WEBSITE. THIS WEBSITE OFFERS ACCESS TO THE LATEST HEALTH INFORMATION REGARDING NUMEROUS DISEASES AND CONDITIONS AND LINKS TO ALLINA HEALTH FINANCIAL ASSISTANCE SERVICES AND MEDFORMATION INFORMATION. THE WEBSITE ADDRESS IS HTTP://WWW.ALLINAHEALTH.ORG. HEALTH PROFESSIONS EDUCATION ALLINA ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2011, ALLINA INVESTED OVER $19 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA'S COMMITMENT TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. IN 2011, ALLINA CONTINUED TO SUPPORT TWO COMMUNITY HEALTH IMPROVEMENT RESEARCH PROJECTS: THE HEART OF NEW ULM AND THE BACKYARD INITIATIVE AS A MEANS TO UNDERSTAND HOW TO IMPACT BROADER COMMUNITY HEALTH THROUGH COMMUNITY-LEVEL INTERVENTIONS. IN ADDITION TO RESEARCH PROJECTS, ALLINA OPERATES INSTITUTIONAL REVIEW BOARDS TO PROTECT COMMUNITY MEMBERS WHO PARTICIPATE IN CLINICAL AND COMMUNITY HEALTH RESEARCH. IN TOTAL, ALLINA INVESTED OVER $7.5 MILLION TOWARD THIS RESEARCH IN 2011. FINANCIAL AND IN-KIND CONTRIBUTIONSALLINA PROVIDES NUMEROUS IN-KIND AND MONETARY CONTRIBUTIONS TO INDIVIDUALS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS TO SUPPORT COMMUNITY NEEDS. IN 2011, ALLINA 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 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 TAKING A LEADERSHIP ROLE IN PLANNING A LARGE-SCALE NATIONAL NIGHT OUT CELEBRATION IN A HIGHLY DIVERSE AND LOW-INCOME NEIGHBORHOOD IN MINNEAPOLIS, IMPLEMENTING HOSPITAL TRAIN-TO-WORK PROGRAMS, DISASTER PREPAREDNESS PLANNING, AND PARTICIPATING IN VARIOUS COMMUNITY COALITIONS. COMMUNITY BENEFIT OPERATIONSALLINA USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS.A FULL REPORT IS ALSO AVAILABLE ON OUR WEBSITE. WWW.ALLINAHEALTH.ORGDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp47818679TotalOfOtherProgramServiceExp
Total Program Service Expense2099068632TotalProgramServiceExpense
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
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 With10961149NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25440NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryBENameOfForeignCountry
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WILLIAM BEER
DIRECTOR2.00X000
GARY BHOJWANI
DIRECTOR2.00X250000
DAVID DURENBERGER
DIRECTOR2.00X1250000
NATE GARVIS
DIRECTOR2.00X2170000
JOSEPH GOSWITZ MD
DIRECTOR2.00X000
SUBBARAO INAMPUDI MD
DIRECTOR2.00X2317500
MARK JORDAHL
DIRECTOR2.00X000
REATHA CLARK KING PHD
DIRECTOR2.00X000
CHRISTINE MORRISON
DIRECTOR/VICE CHAIR/CHAIR4.00X000
JEAN DELANEY NELSON
DIRECTOR2.00X700000
HUGH NIERENGARTEN
DIRECTOR2.00X1447900
KENNETH PAULUS
PRESIDENT & CEO40.00X15229630628189X
GLORIA PEREZ
DIRECTOR2.00X1500000
DEAN PHILLIPS
DIRECTOR/CHAIR4.00X000
REBECCA ROLOFF
DIRECTOR2.00X2100000
MARK SHEFFERT
DIRECTOR2.00X1500000
MICHAEL TATTERSFIELD
DIRECTOR2.00X1500000
JOAN THOMPSON
DIRECTOR2.00X2200000
RODNEY YOUNG
DIRECTOR2.00X2200000
BEN BACHE-WIIG MD
PRES-ANW HOSP.40.00431597082284X
MARGARET BUTLER
SVP, HUMAN RESOURCES40.005080450174289X
DUNCAN GALLAGHER
TREASURER/EVP/CFO40.008193730245331X
MARGARET HASBROUCK
VP PAYOR CONTRACT/REIMB.40.00320650076449X
SUSAN HEICHERT
SVP, CHIEF INFO. OFFICER40.00384977093701X
CHRISTOPHER HUGHES
VP, REVENUE CYCLE MGMT.40.00214977053706X
DEREK KANG
SVP, CHIEF COMPLIANCE OFF40.00310236065107X
LAURIE LAFONTAINE
VP, FINANCE & TREASURY40.00415523096778X
MICHAEL MARSHALL MD
SVP/PRES ALLINA CLINICS40.00324680600X
TOM O'CONNOR
PRESIDENT MERCY HOSPITAL40.006716660205647X
JEFFEREY PETERSON
PRES ABBOTT NW HOSP/EVP HOSP SVCS.40.009817520283012X
TOMI RYBA
PRESIDENT-UNITED HOSPITAL40.00648124074770X
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN COUN.40.004715040158143X
PENNY WHEELER MD
EVP, CHIEF CLINICAL OFFICE40.007584660251326X
ROBERT WIELAND MD
EVP, AMBULATORY CARE40.005965280255577X
LORI WIGHTMAN
PRES-UNITY HOSPITAL40.00381183088863X
CHRISTINE BENT
SVP-CLINICAL SVC. LINE40.00374206084423X
DANIEL BUSS MD
PHYSICIAN40.0014098460110842X
DANIEL FOLEY MD
VP/MED. AFFAIRS40.0022389910117823X
MICHAEL FREEHILL MD
PHYSICIAN40.001192839094745X
JERONE KENNEDY MD
PHYSICIAN40.00972423083339X
LEROY MCCARTY MD
PHYSICIAN40.001242799098126X
SHANE SEYMOUR
FORMER VP PHILANTHROPY0.0018287400X
JOHN STOLTENBERG MD
FORMER INTERIM PRES/UNITY HOS.0.00384660033158X
ANDREW PUGH
FORMER SECRETARY/VP LEGAL0.00249196029497X
SANDRA SCHMITT
FORMER EVP,STRATEGY & OPS.0.0046180104826X
FieldValueIRS element (for citing)
Total Reportable Comp From Org18371021TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation3490551TotalOtherCompensation
Number Individuals GT100 K1557NumberIndividualsGT100K
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 - MEDICAL15513915
MA MORTENSON COMPANY
8170 33RD AVENUE SOUTHBLOOMINGTONMN55425CONSTRUCTION SERVICES15329465
METROPOLITAN CARDIAC SERVICES
4040 COON RAPIDS BLVD STE 120COON RAPIDSMN55443PROFESSIONAL SERVICES - MEDICAL10653912
PHYSICIANS GROUP OF NEW ULM
1324 5TH N ST PO BOX 577NEW ULMMN56073PROFESSIONAL SERVICES - MEDICAL8740289
MCGOUGH CONSTRUCTION INC
2737 FAIRVIEW AVE NST PAULMN55113CONSTRUCTION SERVICES7106246
FieldValueIRS element (for citing)
Number Of Contractors GT100 K248NumberOfContractorsGT100K
Related Organizations20760293RelatedOrganizations
Government Grants5026969GovernmentGrants
All Other Contributions477939AllOtherContributions
Total Contributions26265201TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELADescription
Business Code621990BusinessCode
Total Revenue Column2699856034TotalRevenueColumn
Related Or Exempt Function Income2699856034RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2699856034TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15605111TotalRevenueColumn
Exclusion$15,605,111ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5944791Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5944791Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5944791TotalRevenueColumn
Exclusion$5,944,791ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities511319695Securities
Other3760439Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities535151537Securities
Other1464381Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-23831842Securities
Other2296058Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21535784TotalRevenueColumn
Exclusion-$21,535,784ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5778854GrossIncomeFundraisingEvents
Fundraising Direct Expenses6442752FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-663898TotalRevenueColumn
Exclusion-$663,898ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME HEALTH CARE SERVI62161075063817506381
SOUTHWEST SURGICAL CEN62199038304103830410
ST FRANCIS MEDICAL CEN62199031700683170068

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3193778TotalRevenueColumn
Related Or Exempt Function Income-295674RelatedOrExemptFunctionIncome
Unrelated Business Revenue3489452UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue17700637TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2743172092TotalRevenueColumn
Related Or Exempt Function Income2706560838RelatedOrExemptFunctionIncome
Unrelated Business Revenue10995833UnrelatedBusinessRevenue
Exclusion-$649,780ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6128653Total
Program Services6128653ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11658248Total
Management And General11658248ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1101907426Total
Program Services951601457ProgramServices
Management And General147854188ManagementAndGeneral
Fundraising2451781Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total71532345Total
Program Services61128217ProgramServices
Management And General10246633ManagementAndGeneral
Fundraising157495Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total168270221Total
Program Services143795908ProgramServices
Management And General24103826ManagementAndGeneral
Fundraising370487Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total77182663Total
Program Services65956716ProgramServices
Management And General11056011ManagementAndGeneral
Fundraising169936Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total14475316Total
Program Services5473531ProgramServices
Management And General9001235ManagementAndGeneral
Fundraising550Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14218237Total
Management And General14218237ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total736836Total
Management And General736836ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total250819518Total
Program Services163808369ProgramServices
Management And General86146202ManagementAndGeneral
Fundraising864947Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1552451Total
Management And General1533730ManagementAndGeneral
Fundraising18721Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total423711159Total
Program Services406131376ProgramServices
Management And General17301162ManagementAndGeneral
Fundraising278621Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total28374027Total
Program Services18316150ProgramServices
Management And General10057877ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total70354232Total
Program Services44147117ProgramServices
Management And General26176336ManagementAndGeneral
Fundraising30779Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total5098954Total
Program Services4062826ProgramServices
Management And General1001047ManagementAndGeneral
Fundraising35081Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2027429Total
Program Services1414034ProgramServices
Management And General603157ManagementAndGeneral
Fundraising10238Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total10205727Total
Program Services10205727ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total438165Total
Program Services438165ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total119016577Total
Program Services91591484ProgramServices
Management And General27409208ManagementAndGeneral
Fundraising15885Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5786628Total
Program Services2998574ProgramServices
Management And General2786828ManagementAndGeneral
Fundraising1226Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT6213698862136988
MINNESOTA CARE TAX2961399829613998
MEDICAID SURCHARGE2155997021559970
INCOME TAX - UBI11633961163396

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19229791Total
Program Services8559372ProgramServices
Management And General10276299ManagementAndGeneral
Fundraising394120Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2517198955Total
Program Services2099068632ProgramServices
Management And General413330456ManagementAndGeneral
Fundraising4799867Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5635850BOY
EOY12534350EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4394891BOY
EOY4160222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1204054352BOY
EOY1313736459EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3109819BOY
EOY1499585EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY42720744BOY
EOY45274029EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7330471BOY
EOY7658648EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2150948991LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1446621186LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY681010929BOY
EOY704327805EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1265643784BOY
EOY1329581477EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2679846BOY
EOY2334480EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20928863BOY
EOY19607711EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3237509549BOY
EOY3440714766EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY749178376BOY
EOY798759834EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY771194BOY
EOY631600EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18175565BOY
EOY14933120EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY682759462BOY
EOY665623516EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY894000BOY
EOY888900EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY250460056BOY
EOY279172176EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1702238653BOY
EOY1760009146EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1526911863BOY
EOY1675988118EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6568008BOY
EOY2964730EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1791025BOY
EOY1752772EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1535270896BOY
EOY1680705620EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3237509549BOY
EOY3440714766EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses225973137ReconcilationRevenueExpenses
Reconcilation Other Changes-80538413ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$10,450MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$266,479DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB276929TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationALLINA HEALTH SYSTEM 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 Balance71588094BeginningOfYearBalance
Contributions435734Contributions
Investment Earnings Or Losses-150245InvestmentEarningsOrLosses
Grants Or Scholarships-54786GrantsOrScholarships
Other Expenditures1796762OtherExpenditures
End Of Year Balance70022035EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.02650BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.63410PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.33940TermEndowmentEOYBalance
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 Basis45985012OtherCostOrOtherBasis
Book Value45985012BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis831400981OtherCostOrOtherBasis
Depreciation438340435Depreciation
Book Value393060546BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis54104359OtherCostOrOtherBasis
Depreciation25399211Depreciation
Book Value28705148BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1164472377OtherCostOrOtherBasis
Depreciation974219495Depreciation
Book Value190252882BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54986262OtherCostOrOtherBasis
Depreciation8662045Depreciation
Book Value46324217BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings704327805TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH AND CASH EQUIVALENTS109982336F
MONEY MARKET COLLECTIVE FUND87651000F
FIXED INCOME422821000F
SHORT-TERM FIXED INCOME42020000F
EQUITY SECURITIES151432000F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE475926000F
INVESTMENTS IN JOINT VENTURES39749141C
FieldValueIRS element (for citing)
Total Of Book Value Securities1329581477TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$135,011,627
NET PENSION LIABILITY$14,601,437
DEFERRED COMPENSATION$28,535,426
INSURANCE CLAIMS PAYABLE$3,523,087
MN CARE TAX PAYABLE$6,911,756
CAPITALIZED LEASE OBLIGATIONS$6,248,841
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN$84,340,001
FieldValueIRS element (for citing)
Total Of Amounts279172176TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 $1,270 AND $1,279 IN 2011 AND 2010, RESPECTIVELY. AS OF DECEMBER 31, 2011 AND 2010, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $76,553 AND $74,064, 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 $75,746 AND $73,766, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $806 AND $298, RESPECTIVELY, PRIMARILY ATTRIBUTABLE TO DEPRECIATION AND A CHANGE IN ACCOUNTING METHOD OF A TAXABLE SUBSIDIARY. THE VALUATION ALLOWANCE INCREASED BY $1,980 AND $2,577 DURING 2011 AND 2010, RESPECTIVELY. AS OF DECEMBER 31, 2011, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $156,593 FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2031. 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 AFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2011 AND 2010, 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 (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
NORTH AMERICA00INVESTMENTS199734
EUROPE00INVESTMENTS115914
CENTRAL AMERICA00INVESTMENTS361125000
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 Spent361440648SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent361440648TotalAmountSpent
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 Event15734486GrossReceiptsEvent1
Gross Revenue Event15734486GrossRevenueEvent1
Cash Prizes Event11809554CashPrizesEvent1
Rent Facility Costs Event1133500RentFacilityCostsEvent1
Other Direct Expenses Event14488102OtherDirectExpensesEvent1
Name Of Event2PARK HOUSE BINGONameOfEvent2
Gross Receipts Event244368GrossReceiptsEvent2
Gross Revenue Event244368GrossRevenueEvent2
Rent Facility Costs Event2975RentFacilityCostsEvent2
Food And Beverage Event2406FoodAndBeverageEvent2
Other Direct Expenses Event210215OtherDirectExpensesEvent2
Gross Receipts Total5778854GrossReceiptsTotal
Gross Revenue Total Events5778854GrossRevenueTotalEvents
Cash Prizes Total Events1809554CashPrizesTotalEvents
Rent Facility Costs Total Events134475RentFacilityCostsTotalEvents
Food And Beverage Total Events406FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4498317OtherDirectExpensesTotalEvents
Direct Expense Summary Events6442752DirectExpenseSummaryEvents
Net Income Summary-663898NetIncomeSummary

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 Expense25670873TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense25670873NetCommunityBenefitExpense
Percent Of Total Expense0.01050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense53198978TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense53198978NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense78869851TotalCommunityBenefitExpense
Net Community Benefit Expense78869851NetCommunityBenefitExpense
Percent Of Total Expense0.03220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs156NumberOfActivitiesOrPrograms
Persons Served9985171PersonsServed
Total Community Benefit Expense16789226TotalCommunityBenefitExpense
Direct Offsetting Revenue832508DirectOffsettingRevenue
Net Community Benefit Expense15956718NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served5963PersonsServed
Total Community Benefit Expense20080627TotalCommunityBenefitExpense
Direct Offsetting Revenue176111DirectOffsettingRevenue
Net Community Benefit Expense19904516NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served5258PersonsServed
Total Community Benefit Expense2629314TotalCommunityBenefitExpense
Direct Offsetting Revenue638408DirectOffsettingRevenue
Net Community Benefit Expense1990906NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served25353PersonsServed
Total Community Benefit Expense8078975TotalCommunityBenefitExpense
Direct Offsetting Revenue539840DirectOffsettingRevenue
Net Community Benefit Expense7539135NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs84NumberOfActivitiesOrPrograms
Persons Served1208606PersonsServed
Total Community Benefit Expense4205436TotalCommunityBenefitExpense
Direct Offsetting Revenue539570DirectOffsettingRevenue
Net Community Benefit Expense3665866NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs317NumberOfActivitiesOrPrograms
Persons Served11230351PersonsServed
Total Community Benefit Expense51783578TotalCommunityBenefitExpense
Direct Offsetting Revenue2726437DirectOffsettingRevenue
Net Community Benefit Expense49057141NetCommunityBenefitExpense
Percent Of Total Expense0.02000PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs317NumberOfActivitiesOrPrograms
Persons Served11230351PersonsServed
Total Community Benefit Expense130653429TotalCommunityBenefitExpense
Direct Offsetting Revenue2726437DirectOffsettingRevenue
Net Community Benefit Expense127926992NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served185PersonsServed
Total Community Building Expense25347TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense25347NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served126218PersonsServed
Total Community Building Expense286318TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense286318NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served500PersonsServed
Total Community Building Expense350TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense350NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served70PersonsServed
Total Community Building Expense1873TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1873NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served74575PersonsServed
Total Community Building Expense143988TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense143988NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served313PersonsServed
Total Community Building Expense27300TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense27300NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served2873PersonsServed
Total Community Building Expense267268TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense267268NetCommunityBuildingExpense
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
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs72NumberOfActivitiesOrPrograms
Persons Served204734PersonsServed
Total Community Building Expense752444TotalCommunityBuildingExpense
Net Community Building Expense752444NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$44,750,141BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare537835445AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare542880239CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5044794MedicareSurplusOrShortfall

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 (13 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
BUILDING0.500000.45000
7 CROSBY CARDIOVASCULAR SERVICES LLC
CARDIOLOGY DIAGNOSTIC SERVICES0.333300.33330
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
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 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
ABBOTT NORTHWESTERN HOSPITAL
1800 E 28TH STREETMINNEAPOLISMN55407XXXX
UNITED HOSPITAL
2333 NORTH SMITH AVENUEST PAULMN55102XXXX
MERCY HOSPITAL
34050 COON RAPIDS BLVDCOON RAPIDSMN55433XXXX
UNITY HOSPITAL
4550 OSBORNE ROADFRIDLEYMN55432XXX
CAMBRIDGE MEDICAL CENTER
5701 S DELLWOOD STREETCAMBRIDGEMN55008XX
BUFFALO HOSPITAL
6303 CATLIN STREETBUFFALOMN55313XX
NEW ULM MEDICAL CENTER
71324 FIFTH NORTH STREETNEW ULMMN56073XXX
OWATONNA HOSPITAL
8903 S OAK AVEOWATONNAMN55060XX
RIVER FALLS AREA HOSPITAL
91629 EAST DIVISION STREETRIVER FALLSWI54022XXX
PHILLIPS EYE INSTITUTE
102215 PARK AVENUEMINNEAPOLISMN55404XX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (10 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
ABBOTT NORTHWESTERN HOSPITAL
111275.00000000000001XXXXXXX11XXXXX101X01
UNITED HOSPITAL
211275.00000000000001XXXXXXX11XXXXX101X01
MERCY HOSPITAL
311275.00000000000001XXXXXXX11XXXXX101X01
UNITY HOSPITAL
411275.00000000000001XXXXXXX11XXXXX101X01
CAMBRIDGE MEDICAL CENTER
511275.00000000000001XXXXXXX11XXXXX101X01
BUFFALO HOSPITAL
611275.00000000000001XXXXXXX11XXXXX101X01
NEW ULM MEDICAL CENTER
711275.00000000000001XXXXXXX11XXXXX101X01
OWATONNA HOSPITAL
811275.00000000000001XXXXXXX11XXXXX101X01
RIVER FALLS AREA HOSPITAL
911275.00000000000001XXXXXXX11XXXXX101X01
PHILLIPS EYE INSTITUTE
1011275.00000000000001XXXXXXX11XXXXX101X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SISTER KENNY REHABILITATION INSTITUTE
800 E 28TH STREETMINNEAPOLISMN55407REHABILITATION CLINIC
ALLINA MEDICAL LABORATORIES
800 E 28TH STREETMINNEAPOLISMN55407LABORATORY SERVICES
ALLINA COMMUNITY PHARMACIES-15 LOCATIONS
800 E 28TH STREETMINNEAPOLISMN55407PHARMACY SERVICES
ALLINA MEDICAL TRANSPORTATION
167 GRAND AVENUEST PAULMN55102AMBULANCE AND MEDICAL TRANSPORTATION
SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500MINNEAPOLISMN55407OUTPATIENT SURGERY CENTER
ALLINA MEDICAL CLINIC-40 LOCATIONS
PO BOX 43 INTERNAL ZIP 10890MINNEAPOLISMN55407INPATIENT AND OUTPATIENT SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (45 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 INCLUDED IN FORM 990, PART IX, LINE 25 HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F.
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 HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2011:- COMMUNITY HEALTH IMPROVEMENT ADVOCACYOUR PUBLIC POLICY DEPARTMENT WORKS THROUGHOUT THE HOSPITALS TO CONNECT KEY LEADERS WITH POLICYMAKERS AS A MEANS TO ADVOCATE FOR HEALTH ISSUES TO AFFECT THE BROADER COMMUNITY. THESE ISSUES INCLUDE, BUT ARE NOT LIMITED TO, ACCESS TO AND COVERAGE OF HEALTH CARE SERVICES, PHYSICAL ACTIVITY IN SCHOOLS, ACCESS TO HEALTHY FOODS, AND TOBACCO TAX POLICY. - WORKFORCE DEVELOPMENTMANY OF ALLINA HOSPITALS HAVE WORKFORCE DEVELOPMENT 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. BUFFALO HOSPITAL, RIVER FALLS AREA HOSPITAL, NEW ULM MEDICAL CENTER, AND OWATONNA HOSPITAL ALL PROVIDED CAREER DAYS, MENTORING PROGRAMS, AND TRAIN-TO-WORK PROGRAMS WITHIN THEIR FACILITIES AND DEVELOPED OR MAINTAINED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. - COMMUNITY COALITIONSALL ALLINA 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 HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. AN EXAMPLE OF THIS IS ALLINA HOSPITALS' PARTICIPATION ON THE STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP) COALITIONS THAT EXIST IN EACH COUNTY IN THE ALLINA SERVICE AREA. IN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA WAS ALSO ENGAGED IN ACTIVITIES THAT WERE RELATED TO DISASTER PREPAREDNESS.-DISASTER PREPAREDNESSALLINA 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: 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 (AS PROVIDED BELOW VERBATIM), 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 AS REPORTED IN THE EXPENSE SECTION OF THE FINANCIAL STATEMENTS AND FUNCTIONAL EXPENSE STATEMENT 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. 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.
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 THOUGH 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 $161 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.
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.ABBOTT NORTHWESTERN HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.UNITED HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.MERCY HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.UNITY HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.CAMBRIDGE MEDICAL CENTER
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.BUFFALO HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.NEW ULM MEDICAL CENTER
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.OWATONNA HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.RIVER FALLS AREA HOSPITAL
PART V, SECTION B, LINE 10: SEE FORM 990, SCHEDULE H, PART I, LINE 3C FOR EXPLANATION OF CRITERIA.PHILLIPS EYE INSTITUTE
PART V, SECTION B, LINE 19D: 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.ABBOTT NORTHWESTERN HOSPITAL
PART V, SECTION B, LINE 19D: 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.UNITED HOSPITAL
PART V, SECTION B, LINE 19D: 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.MERCY HOSPITAL
PART V, SECTION B, LINE 19D: 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.UNITY HOSPITAL
PART V, SECTION B, LINE 19D: 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.CAMBRIDGE MEDICAL CENTER
PART V, SECTION B, LINE 19D: 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.BUFFALO HOSPITAL
PART V, SECTION B, LINE 19D: 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.NEW ULM MEDICAL CENTER
PART V, SECTION B, LINE 19D: 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.OWATONNA HOSPITAL
PART V, SECTION B, LINE 19D: 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.RIVER FALLS AREA HOSPITAL
PART V, SECTION B, LINE 19D: 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.PHILLIPS EYE INSTITUTE
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.ABBOTT NORTHWESTERN HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.UNITED HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.MERCY HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.UNITY HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.CAMBRIDGE MEDICAL CENTER
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.BUFFALO HOSPITAL
PART V, SECTION B, LINE 21: .NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.NEW ULM MEDICAL CENTER
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.OWATONNA HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.RIVER FALLS AREA HOSPITAL
PART V, SECTION B, LINE 21: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR AN UNINSURED DISCOUNT.PHILLIPS EYE INSTITUTE
PART VI, LINE 2: ALLINA HEALTH SYSTEM (ALLINA) TOGETHER WITH ITS SUBSIDIARIES AND AFFILIATES AS DESCRIBED IN PART VI, LINE 6 DEVELOPED AND IMPLEMENTED A NEW PROCESS AS A MEANS TO ASSESS COMMUNITY NEEDS AND BUILD PLANS TO CONTINUE 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 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 2011 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 2011 REGIONAL WORKPLANS TO MEET THE NEEDS OF THE LOCAL COMMUNITIES AS IT RELATES TO THE THREE SYSTEM-LEVEL PRIORITIES.
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. FOR MORE INFORMATION ON ANY OF THE ALLINA FINANCIAL ASSISTANCE PROGRAMS CALL 612-262-9000 OR 1-800-859-5077. YOU MAY ALSO VISIT WWW.ALLINA.COM 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.ALLINA.COM 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) 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 HOSPITALS, CLINICS AND OTHER HEALTH CARE SERVICES. ALLINA OWNS AND OPERATES 10 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. IN 2011, OVER 98 PERCENT OF ALLINA HOSPITAL PATIENTS CAME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH CAME FROM COUNTIES IN AND SURROUNDING THE METROPOLITAN AREAS OF MINNEAPOLIS AND ST. PAUL. IN 2010 AND CONTINUING IN 2011, ALLINA DEVELOPED A NEW COMMUNITY ENGAGEMENT STRATEGY TO WORK MORE EFFECTIVELY WITH COMMUNITIES SERVED BY ALLINA HOSPITALS & CLINICS. THIS ENGAGEMENT STRATEGY INCLUDED THE DEVELOPMENT OF NINE REGIONS MADE UP OF THE COMMUNITIES SERVED BY ALLINA HOSPITALS & CLINICS. 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 SUBURBAN 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. FRANCIS MEDICAL CENTER, A JOINTLY-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 COUNTIES.SOUTH 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 REQUIRE A MAJORITY OF THE BOARD'S VOTING MEMBERS AT ALL TIMES TO BE INDEPENDENT CIVIC LEADERS. FURTHER, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE "INTERESTED DIRECTORS," DEFINED AS: (1) MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) 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 IS ENGAGED IN A TREMENDOUS AMOUNT OF WORK RELATED TO PROMOTING COMMUNITY HEALTH. ONE LARGE INVESTMENT ALLINA MAINTAINED IN 2011 WAS TO THE CENTER FOR HEALTHCARE INNOVATION AT ALLINA. THE CENTER RESEARCHES NEW CARE MODELS TO TRANSFORM HEALTH AND HEALTH CARE AND SERVE AS A CATALYST FOR CHANGE IN HEALTH CARE LOCALLY AND NATIONALLY. THREE MAIN INITIATIVES OF THE CENTER IN 2011 WERE:ROBINA CARE GUIDE PROJECT - A RANDOMIZED CONTROLLED TRIAL USING LAY NON-CLINICAL TEAM MEMBERS 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 CENTER IS ALSO INVOLVED IN:- OVERSEEING THE ALLINA INSTITUTIONAL REVIEW BOARD AND ALLINA SPONSORED PROJECTS - PARTNERING WITH CLINICS TO DO CUTTING EDGE WORK ON PHYSICIAN JOB SATISFACTION AND BURNOUT - RESEARCHING CARE DELIVERY RE-DESIGN IN EMERGENCY SERVICES AND PRIMARY CARE - UNDERSTANDING THE UTILIZATION AND EFFECT OF ALLINA'S ELECTRONIC HEALTH RECORD- SEEKING DEEPER KNOWLEDGE ABOUT ALLINA'S IMPACT ON HEALTH DISPARITIES AND DEVELOPING WAYS TO MITIGATE THOSE INEQUITIES
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 23,500 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 109,000 INPATIENT AND NEARLY 1,123,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2011. AS OF DECEMBER 31, 2011, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,379 ACUTE CARE BEDS, 1,715 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 57 PHYSICIAN CLINICS AND THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND UNITY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 775 PHYSICIANS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 70 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY MORE THAN 360 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS/HOSPITALISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED NEARLY 6,089,000 WORKS RVUS DURING THE YEAR ENDED DECEMBER 31, 2011. ALLINA HEALTH HAS THE LARGEST PHYSICIAN NETWORK IN MINNESOTA.ALLINA'S HOME & COMMUNITY SERVICES DIVISION PROVIDES CARE NAVIGATION AND MANAGEMENT SERVICES, HOME CARE, HOSPICE, PALLIATIVE CARE, HOME OXYGEN & MEDICAL EQUIPMENT, ADVANCE CARE PLANNING AND SENIORCARE TRANSITIONS, A GERIATRIC CARE PRACTICE PROVIDING CARE AT MORE THAN 40 NURSING HOMES. 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 $8,920,796 OF CHARITY CARE (AT COST) 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 $163,491,775.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,WIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

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Records Maintained1RecordsMaintained

Recipient Table RecipientTable (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100MINNEAPOLISMN55407411426406501C3320002011 SPONSORSHIP FOR SPIRIT OF HEART GALA
PROJECT FOR PRIDE IN LIVING INC
1035 EAST FRANKLIN AVENUEMINNEAPOLISMN55406237232208501C352000PHILLIPS PARTNERSHIP HOUSING INITIATIVE AND TABLE PURCHASE FOR PPL FUNDRAISING EVENT
MARCH OF DIMES MINNESOTA CHAPTER
5233 EDINA INDUSTRIAL BOULEVARDEDINAMN55439131846366501C331950MARCH FOR BABIES AND NURSE OF THE YEAR SPONSORSHIP
WEST METRO MEDICAL FOUNDATION
1300 GODWARD STREET NE SUITE 2000MINNEAPOLISMN55413410308140501C325000CONTRIBUTION TO HONORING CHOICES MN
REGIONS HOSPITAL FOUNDATION
640 JACKSON STREETST PAULMN55101411888902501C325000MENTAL HEALTH DRUG ASSISTANCE PROGRAM
NEIGHBORHOOD INVOLVEMENT PROGRAM INC
2431 HENNEPIN AVE SOMINNEAPOLISMN55405410956858501C325200FUNDING FOR THE NEIGHBORHOOD INVOLVEMENT PROGRAM
EAST METRO MEDICAL SOCIETY FOUNDATION
1300 GODWARD STREET NE SUITE 2000MINNEAPOLISMN55413510178010501C325000CONTRIBUTION TO HONORING CHOICES MN
TEACH FOR AMERICA - TWIN CITIES
119 NORTH FOURTH STREET SUITE 200MINNEAPOLISMN55401133541913501C327500SPONSORSHIP FOR TEACHERS
NAMI MN
800 TRANSFER RD 31ST PAULMN55114411317030501C316000NAMI MN WALK SPONSORSHIP
FACE TO FACE HEALTH AND COUNSELING SERVICE INC
1165 ARCADE STREETST PAULMN55106410986780501C315000CONTRIBUTION TO PROVIDE HEALTH SERVICES TO DISADVANTAGE YOUTH
UNITED WAY OF STEELE COUNTY
144 W MAIN STREET BOX 32OWATONNAMN55060237366680501C323000GENERAL SUPPORT
YWCA OF MINNEAPOLIS
1130 NICOLLET MALLMINNEAPOLISMN55403410693891501C313500FUND YWCA EARLY CHILDHOOD EDUCATION CENTER
OPENS ARMS OF MINNESOTA
2500 BLOOMINGTON AVENUE SOUTHMINNEAPOLISMN55404411681317501C310350GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 4002902DES MOINESIA50340135613797501C337000SPONSORSHIP OF 2011 HEART GALA, GO RED FOR WOMEN LUNCHEON, 2012 TWIN CITIES HEART WALK, BRAINERD LAKES START WALKING DAY AND BRAINERD LAKES GO RED FOR WOMEN TABLE SPONSORSHIP
HOPE FOR THE CITY
4350 BAKER RD SUITE 400MINNETONKAMN55343371441658501C310000SPONSORSHIP FOR 2011 CELEBRATION OF HOPE GALA
CAMP FIRE USA MN COUNCIL
3100 WEST LAKE STREET SUITE 100MINNEAPOLISMN55416410706116501C310000GENERAL SUPPORT
FEED MY STARVING CHILDREN
403 93RD AVENUE NWCOON RAPIDSMN55433411601449501C311675SPONSORSHIP FOR FEED MY STARVING CHILDREN GALA
PILLSBURY UNITED COMMUNITIES
3501 CHICAGO AVENUE SOUTHMINNEAPOLISMN55407410916478501C310000CONTRIBUTION FOR THE FULL CYCLE PROGRAM
ST JOHN'S LUTHERAN CHURCH
331 HARRISON STREET WESTANNANDALEMN55302411459295501C310000FUNDING TO TRANSPORT MEDICAL EQUIPMENT TO EAST AFRICA
AFRICAN COMMUNITY HEALTH INITIATIVE
2318 KINGS CIRCLEWOODBURYMN55125562633276501C38600GENERAL SUPPORT
PROJECT MEDISHARE FOR HAITI
PO BOX 381208MIAMIFL33238650965848501C35760DR SAM ABELSON'S ABBOTT NORTHWESTERN HOSPITAL MEDICAL MISSION
TWIN CITIES ORTHOPEDIC FOUNDATION
PO BOX 9188MINNEAPOLISMN55480830435069501C310000GENERAL SUPPORT
PHILLIPS EYE INSTITUTE FOUNDATION
2215 PARK AVENUE SOUTHMINNEAPOLISMN55404411613017501C3EYE COMMUNITY INITIATIVE AND PEI DIAGNOSTIC CENTER42000FAIR MARKET VALUEEYE WEAR AND EYE PROCEDURES
MINNEAPOLIS SCHOOL OF ANESTHESIA
6715 MINNETONKA BOULEVARDST LOUIS PARKMN55426416059072501C315435GENERAL SUPPORT
GEORGE FAMILY FOUNDATION
1818 OLIVER STREET SOMINNEAPOLISMN55405411730855501C35000000TO IMPROVE POPULATION HEALTH AND CONDUCT RESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants25TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantMEDICAL EQUIPMENTTypeOfGrant
Number Of Recipients11NumberOfRecipients
Amount Of Non Cash Assistance17896AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistancePOWER WHEELCHAIRS AND ASSISTIVE DEVICESDescriptionOfNonCashAssistance

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 (26 entries)

Base 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
833744063101005820906016660265230215115202638270
BEN BACHE-WIIG MD
3152320886060277590581830241020513882000
MARGARET BUTLER
2895720156326062147014712602716306823340995330
DUNCAN GALLAGHER
57156201935090543020219532025799010647040407460
MARGARET HASBROUCK
22461106185503418405287102357803970990215370
SUSAN HEICHERT
293868087390037190809850127160478678000
CHRISTOPHER HUGHES
178184034973018200356190180880268684000
DEREK KANG
232930000773060521600129460375342000
LAURIE LAFONTAINE
26545808605706400806970302707505123010557860
TOM O'CONNOR
38213902062520832750181541024106087731301373270
JEFFEREY PETERSON
5634980286599013165502489950340170126476401949660
TOMI RYBA
379662017587409258805949001528007228940695380
ELIZABETH TRUESDELL SMITH
3145390106512050453013680602133706296470363490
PENNY WHEELER MD
454377027400803008102328740184510100979101414630
ROBERT WIELAND MD
4239440147702024882022820202737508521050187000
LORI WIGHTMAN
26708506427604982207764501121804700460244140
CHRISTINE BENT
288231078524074510534050310180458629000
DANIEL BUSS MD
13720220003782408550202534001520688000
DANIEL FOLEY MD
3127890956390183056308946102836202356814000
MICHAEL FREEHILL MD
11355560005728307441102033401287584000
JERONE KENNEDY MD
966691000573206311402022601055763000
LEROY MCCARTY MD
11984340004436507585302227301340925000
SHANE SEYMOUR
000018287400000182874000
JOHN STOLTENBERG MD
17418901482610622100270310612704178180121900
ANDREW PUGH
15395506745202778901333301616502786940246740
SANDRA SCHMITT
283560108879032456604826000466627000

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. DEREK KANG - $73,530; MICHAEL MARSHALL - $2,853; TOMI RYBA - $4,884; LORI WIGHTMAN - $10,419
PART I, LINES 4A-BSANDRA SCHMITT - $261,819; SHANE SEYMOUR - $165,395 BEN BACHE-WIIG, MD - $18,967; MARGARET BUTLER - $48,196; DUNCAN GALLAGHER - $26,984; MARGARET HASBROUCK - $29,813; SUSAN HEICHERT - $28,265; LAURIE LAFONTAINE - $47,328; TOM O'CONNOR - $59,635 - JEFFREY PETERSON - $87,843; TOMI RYBA - $65,623; ELIZABETH SMITH - $39,604; LORI WIGHTMAN - $31,888; DANIEL FOLEY, MD - $1,795,347; JOHN STOLTENBERG, MD - $47,008; ANDREW PUGH - $24,208.
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 COMPENSATION DISCLOSURES: THE COMPENSATION DISCLOSED FOR DANIEL FOLEY INCLUDES PAYOUTS OF COMPENSATION, BENEFITS AND DEFERRED COMPENSATION AND INCENTIVE PLANS, INCLUDING THE MANAGEMENT INCENTIVE PLAN (MIP) AND THE ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). SANDRA SCHMITT AND SHANE SEYMOUR - OTHER REPORTABLE COMPENSATION INCLUDED PAYMENT OF SEVERANCE (IF APPLICABLE) AND OTHER DEFERRED COMPENSATION FOLLOWING SEPARATION FROM EMPLOYMENT. 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. ALLINA HOSPITALS AND CLINICS EXECUTIVE BENEFIT PLAN ALLINA HOSPITALS AND CLINICS PHYSICIAN BENEFIT PLAN EXECUTIVE 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)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MINNEAPOLIS
416005375792909BJ12009-11-10348409221REFUNDING OF 2007B & A PORTION OF 1998A;CONSTRUCTION;REMODELLING;RENOVATION000
CITY OF MINNEAPOLIS
416005375792909BH52007-10-17482877203REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowCredit EnhancementCreditEnhancement
2720000348795340333239049893780295092023369677220121011
227990004871270032717494126922772138047162201011112027885826787000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011100.007000.007001
011100.023000.023001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
JP MORGANWELLS
011FARGO25.80000000000010000
UBS
01124.80000000000010100MBIA0.8000000000001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2MARK SHEFFERT AND RODNEY YOUNG - "BUSINESS RELATIONSHIP"
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 NOVEMBER 1, 2012 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 REGULATION AND LICENSING. 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 REGULATION AND LICENSING. 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 REGULATION AND LICENSING.
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 ACOMPENSATION OF $13,000 FOR SERVICES JOSEPH GOSWITZ, MD PROVIDED AS A MEMBER OF THE BOARD OF DIRECTORS AND AS CHAIRMAN OF THE ALLINA PHYSICIAN GOVERNANCE COMMITTEE WAS PAID TO HOSPITAL PATHOLOGY ASSOCIATES, A PHYSICIAN PRACTICE FOR WHICH DR. GOSWITZ IS A MEMBER.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -49,457,900. PENSION LIABILITY ADJUSTMENTS -12,314,522. CUR YR CONTRIB TO TAX EXEMPT SUB -14,471,138. NET FUND TRANSFERS TO WHOLLY OWNED -4,295,420. OTHER RESTRICTED 567. TOTAL TO FORM 990, PART XI, LINE 5: -80,538,413.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CTHIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.
AS MORE FULLY DESCRIBED IN THE ATTACHED ARTICLES OF MERGER, 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, ON DECEMBER 31, 2011. 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 AS OF DECEMBER 31, 2011. THE FUND BALANCE TRANSFERRED WAS $47,603,941. FOLLOWING THE MERGER TRANSACTION, THE PROGRAM SERVICES AND ACTIVITIES CONDUCTED BY ALLINA MEDICAL CLINIC SHALL BE CONDUCTED BY ALLINA HEALTH SYSTEM.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 Income4547634TotalIncome
EOY Assets15733908EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALLINA MEDICAL CLINIC
PO BOX 43MINNEAPOLISMN554400043411781624HEALTHCARE SERVICESMN501(C)(3)LINE 3ALLINA HEALTH SYSTEM0
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, IALLINA HEALTH SYSTEM0
MBP FACILITY LLC
PO BOX 43MINNEAPOLISMN554400043454078371SUPPORTING ORGANIZATIONMN501(C)(3)LINE 11A, IALLINA HEALTH SYSTEM0
WESTHEALTH INC
2855 CAMPUS DRIVEPLYMOUTHMN55441411768814HEALTHCARE 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 SYSTEMRELATED32354137662010.50000
METROPOLITAN INTEGRATED CANCER CARE LLC
16825 NORTHCHASE DRIVE SUITE 1300HOUSTONTX77060205068485RADIOLOGYTXALLINA HEALTH SYSTEMUNRELATED14417763293857010.80000
SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500MINNEAPOLISMN55407412013700SURGICAL SERVICESMNALLINA HEALTH SYSTEMRELATED35721331474712010.83330
MAGNETO LEASING LLC
225 SMITH AVE N SUITE 201ST PAULMN55102201582501RENTAL EQUIPMENTMNALLINA HEALTH SYSTEMRELATED12957753469010.50000
WEST SUBURBAN HEALTH CAMPUS
2855 CAMPUS DRIVEPLYMOUTHMN55441411730888RENTAL REAL ESTATEMNALLINA HEALTH SYSTEMRELATED-877451848751010.99000
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WESTST PAULMN55108261850227HEALTHCARE SERVICESMNASPEN MEDICAL GROUPRELATED402893320689000.65000
GERIATRIC SERVICES OF MINNESOTA LLC
3366 OAKDALE AVE NORTH SUITE 551ROBBINSDALEMN55422453357936HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED-338046-358114010.45000
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700MINNEAPOLISMN55407452532456HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED-264129354433010.50000
DISTRICT ONE CANCER CENTER LLC
200 STATE AVENUEFAIRBAULTMN55021451258847HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED-9381507565010.50000
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500MINNEAPOLISMN55407412010368HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMRELATED-43596175033010.50000
MOBILE IMAGING SERVICES LLC
1221 NICOLLET MALL SUITE 600MINNEAPOLISMN55403411883212RADIOLOGYMNALLINA HEALTH SYSTEMRELATED-28502137363010.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssetsShare Of Total IncomeShareOfTotalIncome
HEALTHSPAN SERVICES CORPORATION
PO BOX 43MINNEAPOLISMN55440411716415DEBT COLLECTIONMNALLINA HEALTH SYSTEMC1.00000
ALLINA SPECIALTY ASSOCIATES
PO BOX 43MINNEAPOLISMN55440411802815HEALTHCARE SERVICESMNALLINA HEALTH SYSTEMC1.0000030357839
ALLINA CLINIC HOLDINGS LTD
PO BOX 43MINNEAPOLISMN55440263954371HOLDING COMPANYMNALLINA HEALTH SYSTEMC1.000004755419-13205
QUELLO CLINIC LIMITED
PO BOX 43MINNEAPOLISMN55440410874754HEALTHCARE SERVICESMNALLINA CLINIC HOLDINGS LTDC1.000004106232-5059280
ALLINA HEALTH SYSTEM TRUST
500 GRANT STREET SUITE 0625PITTSBURGHPA15258276712988TRUSTPAALLINA HEALTH SYSTEMT1.00000
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET SUITE 0625PITTSBURGHPA15258376520273TRUSTPAALLINA HEALTH SYSTEMT1.00000
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
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 Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (36 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
C6073811CASH
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
B2022635COST
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
Q1099695COST
MERCY & UNITY HOSPITALS FOUNDATION
C978823CASH
MERCY & UNITY HOSPITALS FOUNDATION
B1104981COST
PHILLIPS EYE INSTITUTE FOUNDATION
C517682CASH
PHILLIPS EYE INSTITUTE FOUNDATION
B162332COST
SISTER KENNY FOUNDATION
C579904CASH
SISTER KENNY FOUNDATION
B329846COST
UNITED HOSPITAL FOUNDATION
C8797206CASH
UNITED HOSPITAL FOUNDATION
B1406530COST
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
C60214CASH
CENTER FOR HEALTHCARE INNOVATION FOUNDATION
B128851COST
ALLINA ASSOCIATED FOUNDATION
C3704388CASH
ALLINA ASSOCIATED FOUNDATION
B1474666COST
ALLINA ASSOCIATED FOUNDATION
R4316955CASH
ASPEN MEDICAL GROUP
O65936138COST
ASPEN ASSET CORPORATION
O7781813COST
ALLINA SPECIALTY ASSOCIATES INC
B475380COST
ALLINA MEDICAL CLINIC
B14471138COST
METROPOLITAN INTEGRATED CANCER CARE LLC
C1851120CASH
APPLE VALLEY BUILDING ASSOCIATES LLC
C200000CASH
APPLE VALLEY BUILDING ASSOCIATES LLC
B50796CASH
SOUTHWEST SURGICAL CENTER LLC
C3550833CASH
MAGNETO LEASING LLC
C117590CASH
ASPEN SLEEP CENTER LLC
C385450CASH
ALLINA CLINIC HOLDINGS LTD
B466705COST
QUELLO CLINIC LTD
B3338088COST
ALLINA INTEGRATED MEDICAL NETWORK
O924871COST
CROSBY CARDIOVASCULAR SERVICES LLC
C72305CASH
WESTHEALTH INC
O1848004COST
METROPOLITAN INTEGRATED CANCER CARE LLC
B2197800COST
DISTRICT ONE CANCER CENTER LLC
B347828COST
MOBILE IMAGING SERVICES LLC
B100000COST
NORTHSTAR SLEEP CENTER LLC
B382985COST
ALLINA MEDICAL CLINIC
R47603941CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierDETAILS OF ALLINA HEALTH SYSTEM/ALLINA MEDICAL CLINIC MERGER:Identifier
ExplanationAS MORE FULLY DESCRIBED IN THE ATTACHED ARTICLES OF MERGER, 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, ON DECEMBER 31, 2011. 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 AS OF DECEMBER 31, 2011. THE FUND BALANCE TRANSFERRED WAS $47,603,941. FOLLOWING THE MERGER TRANSACTION, THE PROGRAM SERVICES AND ACTIVITIES CONDUCTED BY ALLINA MEDICAL CLINIC SHALL BE CONDUCTED BY ALLINA HEALTH SYSTEM.Explanation