Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
REGIONS HOSPITAL FOUNDATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
8170 33RD AVENUE SOUTH PO BOX 1309
 
Room/suite
City or town, state or country, and ZIP + 4
MINNEAPOLIS, MN554401309
D Employer identification number

41-1888902
E Telephone number

G Gross receipts $ 7,220,312
F Name and address of principal officer:
BROCK D NELSON
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.REGIONSHOSPITAL.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1997
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCH. O - MISSION STATEMENT & SCH. O - EXEMPT PURPOSE AND ACHIEVEMENTS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 13
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 0
6 Total number of volunteers (estimate if necessary) .... 6 354
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,526,913 4,648,679
9 Program service revenue (Part VIII, line 2g) ......... 70,227 104,012
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,281,464 1,559,516
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -64,887 -74,276
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 6,813,717 6,237,931
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,080,124 2,050,866
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,859,501 1,540,719
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet363,624    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,519,876 1,703,258
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,459,501 5,294,843
19 Revenue less expenses. Subtract line 18 from line 12...... 354,216 943,088
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 16,002,070 16,660,901
21 Total liabilities (Part X, line 26)............ 479,055 354,068
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 15,523,015 16,306,833
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O - "MISSION STATEMENT"
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,486,859 including grants of $ 2,091,395 ) (Revenue $ 104,012 )
SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 4,486,859
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
2
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
2
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
Yes
 
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
Yes
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
Yes
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
16
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
HEIDI G CONRAD CHIEF FINANCIAL OFFICER
640 JACKSON ST
ST PAUL,MN55101
(651) 254-0900
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) THOR BECKEN
DIRECTOR
 1.00 X           0 0 0
(2) CHARLES R HAYNOR
DIRECTOR
 1.00 X           0 0 0
(3) JIM HUMPHREY
DIRECTOR
 1.00 X           0 0 0
(4) JUDITH A KISHEL
DIRECTOR
 1.00 X           0 0 0
(5) ANDRE LEWIS PHD
DIRECTOR
 1.00 X           0 0 0
(6) DON MAIETTA
DIRECTOR & VICE CHAIR
 1.00 X           0 0 0
(7) ALLEN J MCNEE
DIRECTOR & TREASURER
 1.00 X           0 0 0
(8) JERRY PAQUIN
DIRECTOR
 1.00 X           0 0 0
(9) DEBRA RECTENWALD
DIRECTOR
 1.00 X           0 0 0
(10) CHRISTINE SAND
DIRECTOR
 1.00 X           0 0 0
(11) WILLIAM SANDS
DIRECTOR
 1.00 X           0 0 0
(12) JOHN SOLBERG
CHAIR & DIRECTOR
 1.00 X           0 0 0
(13) JOHN SULLIVAN
DIRECTOR & SECRETARY
 1.00 X           0 0 0
(14) KENNETH HOLMEN MD
DIRECTOR
 60.00 X           0 479,276 127,354
(15) BROCK D NELSON
PRESIDENT & DIRECTOR
 55.00 X   X       0 548,780 161,919
(16) PAULA K SKARDA MD
DIRECTOR
 50.00 X           0 373,187 72,194
(17) KEEVAN KOSIDOWSKI
EXEC. DIR. & VP
 52.00     X       0 142,292 33,551
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 1,543,535 395,018
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet0
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 693,343
d Related organizations...1d 1,030,665
e Government grants (contributions)1e 737,547
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,187,124
g Noncash contributions included in lines 1a-1f:$ 159,270
h Total. Add lines 1a-1f.......MediumBullet 4,648,679
Program Service Revenue Business Code
2a MEDICAL EDUCATION 611,710 104,012 104,012    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 104,012
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 404,021     404,021
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,950,750  
b Less: cost or other basis and sales expenses 795,255  
c Gain or (loss) 1,155,495  
d Net gain or (loss)..........MediumBullet 1,155,495     1,155,495
8a Gross income from fundraising events (not including
$ 693,343
of contributions reported on line 1c). See Part IV, line 18 ...
a 112,850
b Less: direct expenses ...b 187,126
c Net income or (loss) from fundraising events..MediumBullet -74,276   -74,276
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 6,237,931 104,012 0 1,485,240
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 2,039,866 2,039,866
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 11,000 11,000
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 175,843   175,843  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 1,364,876 879,435 181,249 304,192
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 293,407 239,996 31,738 21,673
12 Advertising and promotion .... 243,277 222,903 12,107 8,267
13 Office expenses ....... 326,925 298,558 16,856 11,511
14 Information technology ...... 19,077 14,963 2,445 1,669
15 Royalties ..        
16 Occupancy ........... 744 744    
17 Travel ............ 184,472 178,698 3,431 2,343
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 122,845 120,750 1,245 850
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 56   56  
23 Insurance ..............        
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a SUPPLIES & EQUIPMENT 208,692 208,497 116 79
b MISCELLANEOUS 130,438 126,590 2,359 1,489
c TRAINING/EDUCATION 67,636 63,235 2,615 1,786
d EMPLOYEE RELATIONS 58,987 34,922 14,300 9,765
e CHARITY CARE 46,702 46,702    
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 5,294,843 4,486,859 444,360 363,624
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 130,365 1 114,664
2 Savings and temporary cash investments ....... 2,374,938 2 2,121,421
3 Pledges and grants receivable, net ......... 2,094,194 3 1,457,215
4 Accounts receivable, net ......... 38,059 4 35,065
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 104,407
b Less: accumulated depreciation. ..... 10b 104,175 288 10c 232
11 Investments—publicly traded securities .......... 11,364,226 11 12,932,304
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 16,002,070 16 16,660,901
Liabilities 17 Accounts payable and accrued expenses . 289,368 17 331,624
18 Grants payable ..........   18  
19 Deferred revenue .......... 189,687 19 22,444
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D.....   25  
26 Total liabilities. Add lines 17 through 25..... 479,055 26 354,068
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,812,274 27 3,246,413
28 Temporarily restricted net assets ..... 13,125,718 28 12,467,940
29 Permanently restricted net assets ..... 585,023 29 592,480
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 15,523,015 33 16,306,833
34 Total liabilities and net assets/fund balances ..... 16,002,070 34 16,660,901
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
6,237,931
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
5,294,843
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
943,088
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
15,523,015
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-159,270
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
16,306,833
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 3,983,083 11,085,913 6,891,127 4,526,913 4,648,679 31,135,715
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3.. 3,983,083 11,085,913 6,891,127 4,526,913 4,648,679 31,135,715
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..           1,328,746
6 Public Support. Subtract line 5 from line 4.           29,806,969
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 3,983,083 11,085,913 6,891,127 4,526,913 4,648,679 31,135,715
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 199,595 243,349 321,696 64,045 104,012 932,697
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).           32,068,412
12
12
633,079
13
Section C. Computation of Public Support Percentage
14
14
92.950 %
15
15
92.540 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
0
j
Total. lines 1c through 1i ...................................
0
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: REGIONS HOSPITAL FOUNDATION PAYS FOR CERTAIN CORPORATE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....... 17  
2 Aggregate contributions to (during year) ... 7,457  
3 Aggregate grants from (during year) ... 4,389  
4 Aggregate value at end of year ....... 750,986  
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 723,320 705,731 725,321
b Contributions ........ 7,457 18,174 10,400
c Investment earnings or losses ... 24,598 1,417 -12,504
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		7,389 2,002 17,486
f Administrative expenses ....      
g End of year balance ...... 750,986 723,320 705,731
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet0 %
b
Permanent endowment: SchDMd Bullet78.890 %
c
Term endowment: SchDMd Bullet21.110 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................   104,407 104,175 232
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 232
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 6,237,931
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 5,294,843
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 943,088
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -159,270
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -159,270
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 783,818
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 6,265,787
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 6,265,787
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -27,856
c Add lines 4a and 4b....................... 4c -27,856
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 6,237,931
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 5,481,969
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 187,126
e Add lines 2a through 2d...................... 2e 187,126
3 Subtract line 2e from line 1..................... 3 5,294,843
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 5,294,843
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED FOR CAPITAL, PATIENT CARE, MEDICAL RESEARCH, AND MEDICAL EDUCATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   NON-CASH GIFTS IN KIND -159,270.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   NON-CASH GIFTS IN KIND 159,270. SPECIAL EVENT EXPENSE -187,126.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   SPECIAL EVENTS EXPENSE 187,126.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WINE AUCTION
(event type) 		(b) Event #2

BURNAID GOLF CLASSIC
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 762,914 43,279   806,193
2 Less: Charitable
contributions . . . 		664,914 28,429   693,343
3 Gross income (line 1
minus line 2) . . . 		98,000 14,850   112,850
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . . 36,927     36,927
6 Rent/facility costs . . 12,166 4,000   16,166
7 Food and beverages . . 65,873 15,742   81,615
8 Entertainment . . . 3,825     3,825
9 Other direct expenses . 45,863 2,730   48,593
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 187,126
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -74,276
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number
41-1888902
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HEALTHPARTNERS RESEARCH FOUNDATION8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309 		41-1670163 501(C)(3) 2,039,866       ALZHEIMERS RESEARCH PROGRAM SUPPORT






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
 
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS PROVIDED TO EMPLOYEES OF REGIONS HOSPITAL, SISTER CORPORATION OF REGIONS HOSPITAL FOUNDATION 13 11,000      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) KENNETH HOLMEN MD (i)
(ii)		 0
386,690 		0
92,586 		0
0 		0
50,600 		0
76,754 		0
606,630 		0
0
(2) BROCK D NELSON (i)
(ii)		 0
416,402 		0
131,527 		0
851 		0
83,323 		0
78,596 		0
710,699 		0
0
(3) PAULA K SKARDA MD (i)
(ii)		 0
356,907 		0
16,280 		0
0 		0
0 		0
72,194 		0
445,381 		0
0
(4) KEEVAN KOSIDOWSKI (i)
(ii)		 0
122,951 		0
19,341 		0
0 		0
0 		0
33,551 		0
175,843 		0
0












Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 4B DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTOR AND OFFICER: BROCK D. NELSON $ 34,855
  PART I, LINE 6 REGIONS HOSPITAL FOUNDATION (RHF) DOES NOT HAVE ANY EMPLOYEES; HOWEVER, RHF'S EXECUTIVE DIRECTOR'S COMPENSATION IS PAID BY REGIONS HOSPITAL (REGIONS) AND REIMBURSED BY RHF. REGIONS MANAGEMENT INCENTIVE PROGRAM INCENTS AND REWARDS REGIONS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S REGIONS TOTAL COMPENSATION PACKAGE. THE REGIONS MANAGEMENT INCENTIVE PROGRAM REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (NET MARGIN), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A NET MARGIN THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MEDICAL EQUIPMENT ) X 5 3,100 RETAIL VALUE
26 Other Right pointing arrow large image ( PROFESSIONAL SVCS. ) X 2 12,550 BILL REDUCTION AMT.
27 Other Right pointing arrow large image ( ACCOMODATIONS ) X 11 7,663 RETAIL VALUE
28 Other Right pointing arrow large image ( MISC. AUCTION ITEMS ) X 77 28,247 RETAIL VALUE
Other Right pointing arrow large image ( SUPPLIES ) X 2 1,049 RETAIL VALUE
Other Right pointing arrow large image ( GIFT CARDS ) X 30 2,576 RETAIL VALUE
Other Right pointing arrow large image ( TRAVEL ) X 3 2,720 RETAIL VALUE
Other Right pointing arrow large image ( WINE FOR AUCTION ) X 82 18,276 RETAIL VALUE
Other Right pointing arrow large image ( DINE OR ENTERTAIN PASS ) X 22 4,312 RETAIL VALUE
Other Right pointing arrow large image ( JEWELRY FOR WINE AUCTION ) X 3 59,875 RETAIL VALUE
Other Right pointing arrow large image ( SPORT OR RECREATION PASSES ) X 43 18,902 RETAIL VALUE
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Identifier Return Reference Explanation
MISSION STATEMENT FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1 THE MISSION OF REGIONS HOSPITAL FOUNDATION (RHF) IS TO ADVOCATE AND DEVELOP AWARENESS, BUILD COMMUNITY PARTNERSHIPS, AND RAISE CHARITABLE CONTRIBUTIONS FOR PATIENT CARE, RESEARCH AND HEALTH PROFESSIONAL EDUCATION. ESTABLISHED IN 1997, RHF RAISES FUNDS TO FINANCIALLY SUPPORT THE PROGRAMS AND CAPITAL NEEDS OF REGIONS HOSPITAL AND ITS RELATED CLINICS IN ORDER TO PROVIDE THE BEST CARE AND BEST EXPERIENCE FOR OUR PATIENTS. RHF ALSO RAISES FUNDS FOR THE RESEARCH ACTIVITIES OF HEALTHPARTNERS RESEARCH FOUNDATION AND THE PROFESSIONAL TRAINING ACTIVITIES OF HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION. IN 2010, RHF RECEIVED FUNDING FROM A VARIETY OF SOURCES INCLUDING: INDIVIDUALS AND ESTATES, FOUNDATIONS, CORPORATIONS AND ORGANIZATIONS, AND GOVERNMENT GRANTS.
PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS FORM 990, PART III, LINE 4A I. ORGANIZATION AND GOVERNANCE RHF IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). RHF IS PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. HEALTHPARTNERS, INC., A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION WHICH IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(4), IS THE PARENT OF THE HEALTH SYSTEM AND IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF RHF, AND ITS SISTER ORGANIZATIONS, REGIONS HOSPITAL, CAPITAL VIEW TRANSITIONAL CARE CENTER (FORMERLY KNOWN AS NORTH ST. PAUL TRANSITIONAL CARE CENTER), RH-WISCONSIN, INC. AND RAMSEY INTEGRATED HEALTH SERVICES (A HOME CARE AGENCY), ALL OF WHICH ARE ALSO NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HEALTHPARTNERS, INC. ALSO IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3): GROUP HEALTH PLAN, INC. (A STAFF MODEL HMO) WHICH IS ITSELF THE SOLE CORPORATE MEMBER OF HEALTHPARTNERS RESEARCH FOUNDATION, HEALTHPARTNERS CENTRAL MINNESOTA CLINICS (FORMERLY KNOWN AS CENTRAL MINNESOTA GROUP HEALTH, INC.), AND PHYSICIANS NECK & BACK CLINICS WHICH ARE EXEMPT UNDER SECTION 501(C)(3); HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION; AND RHSC, INC. RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. ARE CORPORATE MEMBERS OF HUDSON HOSPITAL, INC. AND WESTFIELDS HOSPITAL, INC., BOTH OF WHICH ARE WISCONSIN NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS ALSO THE SOLE CORPORATE MEMBER OF WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY, AN AMBULANCE SERVICE WHICH IS A WISCONSIN NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TOGETHER, ALL OF THESE RELATED ORGANIZATIONS COMPRISE THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS), WHICH IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT COMBINES THE DELIVERY AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. HEALTHPARTNERS SEEKS TO BE THE BEST AND MOST TRUSTED PROVIDER OF HEALTH CARE, HEALTH PROMOTION, HEALTH CARE FINANCING AND HEALTH CARE ADMINISTRATION IN THE UNITED STATES. ACTING IN CONCERT, HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "TRIPLE AIM" INITIATIVE. THE "TRIPLE AIM" SEEKS TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION, THE EXPERIENCE OF EACH INDIVIDUAL AND REDUCE PER CAPITA HEALTH CARE COSTS. RHF IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 16 MEMBERS: 13 OF WHOM ARE COMMUNITY REPRESENTATIVES AND 3 OF WHOM ARE PROFESSIONALS EMPLOYED WITHIN THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. II. ACTIVITIES PROGRAM SUPPORT RHF PROVIDED FUNDING FOR 74 PROGRAMS AT REGIONS HOSPITAL IN 2010. RHF ALSO PROVIDED PATIENT CARE GRANT SUPPORT FOR 23 PROGRAMS WHICH WAS FUNDED THROUGH THE SHARING AT WORK CAMPAIGN. THESE GRANTS FUNDED PROJECTS AT REGIONS HOSPITAL, GROUP HEALTH PLAN, INC., HEALTHPARTNERS MEDICAL GROUP AND CLINICS, AND OTHER HEALTH-RELATED ORGANIZATIONS CONSISTENT WITH RHF'S MISSION. RHF, THROUGH ITS DONORS, HAS GIVEN SIGNIFICANT SUPPORT TO INTERPRETER SERVICES, THE BURN CENTER, INFECTIOUS DISEASES - HIV CLINIC, THE ALZHEIMER'S RESEARCH CENTER, EMERGENCY PROGRAMS, CANCER CARE CENTER, BREAST HEALTH CENTER, HOSPICE, TRAUMA DEPARTMENT, ORTHOPAEDICS, NEUROSURGERY AND THE EMERGENCY MEDICINE DEPARTMENT. SOME SPECIFIC PROGRAM HIGHLIGHTS ARE LISTED BELOW: - BURN CENTER PATIENTS. THE BURN CENTER AT REGIONS HOSPITAL SERVES PATIENTS FROM ACROSS THE MIDWEST, PROVIDING CARE AND SPECIALIZED TREATMENT FOR THERMAL, ELECTRICAL, CHEMICAL AND OTHER BURNS. THE BURN CENTER, THE MOST COMPLETE AND EXTENSIVE FACILITY OF ITS KIND IN THE UPPER MIDWEST IS VERIFIED BY THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN BURN ASSOCIATION. THE BURN CENTER IS EQUIPPED WITH THE LATEST EQUIPMENT, TEMPERATURE CONTROLLED PRIVATE ROOMS, SPECIALLY DESIGNED BATHTUBS, AND A LARGE REHABILITATION DEPARTMENT. ANNUALLY, RHF RAISES $50,000-$200,000 TO SUPPORT OPERATING COSTS OF THE BURN CENTER. IN 2010, THIS INCLUDED A $125,000 GRANT FROM THE MINNESOTA FAIR PLAN AND $45,819 FROM THE BURNAID GOLF CLASSIC, WHICH IS CO-HOSTED BY THE NATIONAL FIRE SPRINKLER ASSOCIATION - MINNESOTA CHAPTER AND RHF IN COOPERATION WITH THE STATE FIRE MARSHAL DIVISION. PROCEEDS FROM INDIVIDUALS AND ORGANIZATIONS, AS WELL AS OTHER CHARITABLE DONATIONS, PROVIDE PROGRAMS FOR CHILDREN AND ADULTS WHO RECEIVE CARE AT REGIONS HOSPITAL'S BURN CENTER. ONE PROGRAM IS THE BURN CAMP, WHERE SCHOLARSHIPS ALLOW YOUNG PEOPLE WHO HAVE SUFFERED A BURN TO SPEND EXTENDED TIME WITH OTHER BURN VICTIMS IN AN OUTDOOR AND INFORMAL SETTING WITH COUNSELORS SPECIFICALLY TRAINED FOR DEALING WITH BURN PATIENTS. ANOTHER PROGRAM IS A BURN INJURY SUPPORT GROUP LED BY BURN CENTER STAFF, SOCIAL WORKERS AND A CHAPLAIN. APPROXIMATELY 70 PEOPLE ARE INVOLVED EACH YEAR. - THE CENTER FOR SPINE AND SPINAL CORD INJURY. IN ORDER TO IMPROVE THE OUTCOMES OF ADULTS AND CHILDREN WHO SUSTAIN SPINAL CORD INJURIES AS WELL AS SPINE FRACTURES, SPINE DISLOCATIONS OR SPINE TUMORS, RHF'S 2010 WINE AUCTION PROCEEDS ARE HELPING REGIONS HOSPITAL ESTABLISH A NEW CENTER FOR SPINE AND SPINAL CORD INJURY. THE NEW CENTER WILL IMPROVE THE COLLABORATION BETWEEN THE MEDICAL, SURGICAL AND REHABILITATION TEAMS THAT PROVIDE CARE TO SUCH PATIENTS; ENCOURAGE THE DEVELOPMENT OF NEW MODELS OF CARE THROUGH ADVANCED RESEARCH AND DATA TRACKING; AND CREATE EXTENSIVE EDUCATIONAL PROGRAMS FOR PATIENTS AND THEIR FAMILIES. THE 2010 WINE AUCTION RAISED $620,000 FOR THE CENTER FOR SPINE AND SPINAL CORD INJURY. - LEVEL 1 PEDIATRIC TRAUMA CENTER. IN MAY 2009, REGIONS HOSPITAL BECAME THE FIRST HOSPITAL IN MINNESOTA AND THE UPPER MIDWEST TO RECEIVE A LEVEL 1 PEDIATRIC TRAUMA CENTER DESIGNATION BY THE COLLEGE OF SURGEONS, WHICH CONFIRMS REGIONS HOSPITAL'S ABILITY TO OFFER THE VERY BEST CARE TO CRITICALLY-INJURED CHILDREN. RHF RECEIVED $28,391 IN CHARITABLE COMMITMENTS TO THE PROGRAM IN 2010. - HEALTHPARTNERS HOSPICE & PALLIATIVE CARE. HEALTHPARTNERS HOSPICE & PALLIATIVE CARE SUPPORTS PATIENTS AND THEIR LOVED ONES WHO ARE DEALING WITH A SERIOUS OR LIFE-LIMITING ILLNESS. IT ALSO HELPS FAMILY MEMBERS THROUGH THE GRIEVING PROCESS AFTER THEIR LOVED ONE HAS DIED. IN 2010, RHF SECURED $39,263 TO FUND SERVICES NOT COVERED BY EVERYDAY REVENUE, INCLUDING COMPLEMENTARY THERAPIES, A VOLUNTEER PROGRAM AND BEREAVEMENT COUNSELING. - BEHAVIORAL HEALTH SERVICES. REGIONS HOSPITAL AND GROUP HEALTH PLAN, INC.'S HEALTHPARTNERS MEDICAL GROUP BEHAVIORAL HEALTH SERVICES IS THE LEADING PROVIDER OF COMPREHENSIVE MENTAL AND CHEMICAL HEALTH SERVICES IN THE TWIN CITIES EAST METRO AREA AND WESTERN WISCONSIN. ADDITIONALLY, RHF RAISED $5,400 TO SUPPORT THE ACTIVITIES OF RHSC, INC.'S SAFE HOUSE AND SAFE ALTERNATIVES PROGRAMS. THESE PROGRAMS PROVIDE TRANSITIONAL HOUSING TO PATIENTS DISCHARGED FROM THE BEHAVIORAL HEALTH/PSYCHIATRIC UNITS AT REGIONS HOSPITAL. SAFE HOUSE PROVIDES SERVICES TO APPROXIMATELY 60 ADULTS PER YEAR, WHILE SAFE ALTERNATIVES PROVIDES HOUSING AND SUPPORT SERVICES TO OVER 200 ADULTS WITH MENTAL AND CHEMICAL HEALTH PROBLEMS EACH YEAR.
    RHF RAISES FUNDS FOR AND ACTS AS FISCAL AGENT FOR THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP). MHDAP ALLEVIATES OR AVERTS MANY PSYCHIATRIC CRISES IN THE EAST METRO AREA BY COVERING THE FULL COST OR CO-PAYS OF MEDICATIONS FOR UN-INSURED AND UNDER-INSURED PATIENTS WHO CANNOT AFFORD THEIR OWN MEDICATIONS. KEY SOCIAL WORKERS AND CARE PROVIDERS OF THE EAST METRO'S THREE LARGEST EMERGENCY ROOMS AND SELECT MENTAL HEALTH CLINICS ARE GIVEN THE ABILITY TO DISTRIBUTE PRESCRIPTIONS TO PATIENTS WITH SEVERE MENTAL ILLNESS WHO LACK IMMEDIATE ACCESS TO AFFORDABLE MEDICATIONS. IN 2010, RHF RECEIVED $192,000 IN DONATIONS FOR MHDAP. - BEHAVIORAL HEALTH CRISIS UNIT IN THE EMERGENCY CENTER. AS PART OF ITS EXPANSION, THE EMERGENCY CENTER OPENED A CRISIS UNIT IN JANUARY 2010 TO BEST SERVE THE NEEDS OF ITS PATIENTS EXPERIENCING A BEHAVIORAL HEALTH EMERGENCY. THE SECURE UNIT CONTAINS 11 PRIVATE ROOMS, PATIENT SHOWERS, A COMMON ROOM, AN INTERVIEW ROOM FOR SOCIAL WORKERS TO MEET WITH PATIENTS AND FAMILY MEMBERS, AND A SECURE WORK AREA TO CENTRALIZE THE CARE AND MONITORING OF PATIENTS. THE NUMBER OF BEHAVIORAL HEALTH PATIENTS CARED FOR IN THE ER ROSE SIGNIFICANTLY IN 2010, SO THE NEW CRISIS UNIT WAS ESSENTIAL TO ITS ABILITY TO CARE FOR THESE PATIENTS. THE NEW UNIT WAS PAID FOR USING FUNDS RHF RAISED FOR THE ER EXPANSION. THE CAMPAIGN RAISED MORE THAN $7.6 MILLION, INCLUDING $177,510 RAISED SPECIFICALLY FOR THE CRISIS UNIT. - CHARITY CARE. REGIONS HOSPITAL IS THE PRIMARY "SAFETY NET" HOSPITAL THE EAST METRO, PROVIDING CHARITY CARE FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE. IN 2010, RHF RECEIVED A $10,000 CONTRIBUTION FROM THE J. ELMER AND ESTHER HANSMAN CHARITABLE TRUST TO SUPPORT THE CHARITY CARE REGIONS HOSPITAL OFFERS TO CHILDREN. - EMERGENCY CENTER. REGIONS HOSPITAL HAS THE LARGEST EMERGENCY CENTER SERVING THE EAST METRO AREA AND WESTERN WISCONSIN, AND IS A RECOGNIZED LEADER IN CRITICAL AND EMERGENCY CARE. RHF REGULARLY RAISES FUNDS FOR THE EMERGENCY CENTER. IN 2010 THIS INCLUDED $55,466 IN GRANT FUNDS FROM THE FRED C. AND KATHERINE B. ANDERSEN FOUNDATION, WHICH FUNDED THE PURCHASE OF EIGHT MONITORS AND AN ESOPHAGEAL SCOPE. RHF ALSO RECEIVED $31,300 FOR THE EDWARDS INDIGENT FUND, WHICH PROVIDES ASSISTANCE TO HOMELESS AND INDIGENT PATIENTS WHO CANNOT AFFORD CRITICAL MEDICINES; TRANSPORTATION FROM REGIONS HOSPITAL; A WARM, SAFE PLACE TO STAY WHILE THEY RECOVER FROM AN ILLNESS OR INJURY; AND BASIC NEEDS SUCH AS FOOD AND CLOTHING. - ALZHEIMER'S AND DEMENTIA RESEARCH AND CARE. REGIONS HOSPITAL HOUSES THE ALZHEIMER'S RESEARCH CENTER (ARC), ONE OF THE LARGEST ALZHEIMER'S RESEARCH CENTERS IN THE COUNTRY. IN 2010, RHF SECURED $984,095 FOR ARC. THE FUNDS SUPPORTED STUDIES OF INTRANASALLY-ADMINISTERED DRUGS FOR THE TREATMENT OF ALZHEIMER'S DISEASE AND OTHER NEURODEGENERATIVE DISORDERS. DONATIONS ALSO HELPED FUND THE MINNESOTA MEMORY PROJECT, A LONG-TERM STUDY THAT FOLLOWS ADULTS WITH AND WITHOUT DIAGNOSED MEMORY LOSS IN ORDER TO COLLECT INFORMATION ON MEMORY CHANGES. ARC IS A PART OF REGIONS HOSPITAL'S DEPARTMENT OF NEUROSCIENCES ALONG WITH THE CENTER FOR DEMENTIA AND ALZHEIMER'S CARE (CDAC), WHICH OFFERS A FULL CONTINUUM OF PROGRAMS AND SERVICES TO PATIENTS AND FAMILIES DEALING WITH THESE ILLNESSES. COMBINING CUTTING EDGE RESEARCH AND CARE ALLOWS US TO QUICKLY BRING BASIC SCIENCE RESEARCH TO CLINICAL TRIALS, TRANSLATE THAT RESEARCH INTO CLINICAL PRACTICE AND, THROUGH A COORDINATED CARE DELIVERY SYSTEM, IMPROVE THE CARE AND OUTCOMES FOR ALL PATIENTS. RHF ALSO RAISES FUNDS FOR CDAC. - HEALTH AND WELLNESS FOR DEAF AND HARD OF HEARING. HEALTH AND WELLNESS IS ONE OF THE PROGRAMS THAT GETS STATE FUNDING FOR PROVIDING OUTPATIENT MENTAL HEALTH SERVICES TO DEAF AND HARD OF HEARING PEOPLE. RHF IS RESPONSIBLE FOR SECURING THOSE GOVERNMENT GRANTS AND PROVIDING APPROPRIATE STEWARDSHIP. THE HEALTH AND WELLNESS PROGRAM IS OPERATED BY REGIONS HOSPITAL, AND RECEIVED GOVERNMENT GRANTS WORTH $104,248 IN 2010. THESE GRANTS FUNDED SERVICES LIKE INDIVIDUAL, COUPLE, GROUP AND FAMILY THERAPY, CONSULTATION TO OTHER PROVIDERS, AND FUNDING FOR A COMMUNITY WORKSHOP. - EMERGENCY MEDICINE RESIDENCY PROGRAM. DONORS CONTRIBUTED $22,450 TO RHF TO SUPPORT THE EMERGENCY MEDICINE RESIDENCY PROGRAM IN 2010. THE FUNDS ARE USED TO HELP EDUCATE THE NEXT GENERATION OF EMERGENCY MEDICINE PHYSICIANS BY FUNDING PROGRAMS SUCH AS THE PROCEDURAL SKILLS LAB AND INTERNATIONAL ROTATIONS. - EMERGENCY MEDICAL SERVICES. THE REGIONS HOSPITAL EMERGENCY MEDICAL SERVICES (EMS) PROGRAM PROVIDES MEDICAL DIRECTION, CONSULTATION, AND TRAINING PROGRAMS FOR THE MAJORITY OF FIRST-RESPONDER AGENCIES IN THE EAST METRO AND WESTERN WISCONSIN. IN THIS WAY, REGIONS HOSPITAL ENSURES THAT PATIENTS EXPERIENCE THE VERY BEST CARE EVEN BEFORE THEY REACH AN EMERGENCY ROOM. LAST YEAR, $100,000 IN GRANT FUNDS FROM THE FRED C. AND KATHERINE B. ANDERSEN FOUNDATION HELPED THE EMS PROGRAM HIRE AN ADDITIONAL PHYSICIAN. BESIDES PROVIDING OVERSIGHT ON ALL PATIENT CARE MATTERS FOR 33 DIFFERENT FIRST-RESPONDER AGENCIES, EMS PROGRAM PHYSICIANS PROVIDE OVERSIGHT TO THE EAST METRO MEDICAL RESOURCE CONTROL CENTER (WHICH ACTS AS THE EMERGENCY "FLIGHT CONTROL CENTER" FOR THE EAST METRO AREA AND WESTERN WISCONSIN) AND 911 DISPATCH CENTERS IN RAMSEY AND WASHINGTON COUNTIES. SCHOLARSHIPS RHF RAISES MONEY AND DISTRIBUTES SCHOLARSHIP FUNDS TO EMPLOYEES. SOME SPECIFIC SCHOLARSHIP PROGRAMS INCLUDE: - THE ANCKER NURSES SCHOLARSHIP FUND. GRADUATES FROM THE ANCKER HOSPITAL SCHOOL OF NURSING ESTABLISHED THIS FUND FOR REGIONS HOSPITAL EMPLOYEES WHO ARE PURSUING A NURSING EDUCATION. RHF RAISED $12,667 FOR THE FUND IN 2010. - THE GLORIA FOX NURSING SCHOLARSHIP FUND. THE FUND ANNUALLY AWARDS SCHOLARSHIPS TO REGIONS HOSPITAL EMPLOYEES PURSUING NURSING CAREERS. IN 2010, RHF RAISED OVER $4,739 FOR THE FUND. GRANTWRITING IN 2010, GRANTS WERE AWARDED BY THE SAINT PAUL FOUNDATION, FRED C. AND KATHERINE B. ANDERSEN FOUNDATION, HARDENBERGH FOUNDATION, EDWARDS MEMORIAL TRUST, ANNA M. HEILMAIER CHARITABLE FOUNDATION, J. ELMER AND ESTHER HANSMAN CHARITABLE TRUST, MINNEAPOLIS FOUNDATION AND MANY OTHERS. EXAMPLES OF PROGRAMS FUNDED THROUGH CORPORATE AND FOUNDATION GRANTS ARE LISTED BELOW. - TRAUMAROO PROGRAM AND THINK FIRST PROGRAM. TRAUMAROO IS A CHILDREN'S SAFETY PROGRAM THAT EMPLOYS THE SERVICES OF THE ANIMATED CHARACTER, TROO, TO TEACH IMPORTANT SAFETY HABITS. TRAUMAROO SEGMENTS INCLUDE BICYCLE SAFETY, PLAYGROUND SAFETY, STAYING FRIENDS, HOME SAFETY AND PLAYING IT SAFE. THE PROGRAM HELPS CHILDREN DEVELOP SAFE BEHAVIOR PATTERNS IN AN EFFORT TO HELP REDUCE PREVENTABLE INJURIES AMONG CHILDREN. RHF RAISED $2,000 FOR THE TRAUMAROO PROGRAM IN 2010. EMPLOYEE DONATIONS OF $3,500 FUNDED THE THINK FIRST PROGRAM, WHICH PROVIDES EDUCATION TO TEENAGERS. THE PROGRAM INCREASES AWARENESS OF POTENTIALLY DANGEROUS SITUATIONS AND HELPS TEENS AVOID LIFE-ALTERING HEAD AND SPINAL CORD INJURIES. - HEALING EDUCATION AND TRAINING (HEAT) PROGRAM. IN 2010, RHF RECEIVED A $125,000 GRANT FROM THE MINNESOTA FAIR PLAN TO FUND REGIONS HOSPITAL'S BURN CENTER HEAT PROGRAM. HEAT PROVIDES POSITIVE SOLUTIONS TO REDUCE THE INJURY, DEATH AND PROPERTY LOSS DUE TO JUVENILE SET FIRES AS WELL AS UNSAFE ENVIRONMENTS AND PRACTICES. - PROJECT READ. PROJECT READ IS A VOLUNTEER-DRIVEN CHILDHOOD AND FAMILY LITERACY INITIATIVE BASED IN COMMUNITY CLINICS. AS PART OF PROJECT READ, PROGRAM VOLUNTEERS READ STORIES TO CHILDREN WHO VISIT THE PEDIATRICS DEPARTMENTS IN SEVEN HEALTHPARTNERS CLINICS. THESE SERVICES ACT AS AN INCENTIVE FOR CHILDREN TO READ. TO ENCOURAGE PARENTS TO READ TO THEIR CHILDREN AT HOME, CHILDREN ARE GIVEN AGE-APPROPRIATE BOOKS TO KEEP. RHF RAISED $4,500 FOR THE PROGRAM IN 2010. - HIV/AIDS CLINIC. IN 1985, GROUP HEALTH PLAN, INC.'S HEALTHPARTNERS MEDICAL GROUP'S INFECTIOUS DISEASE (ID) CLINIC LOCATED AT REGIONS HOSPITAL BECAME THE FIRST DESIGNATED HIV/AIDS CLINIC PROGRAM IN MINNESOTA. USING A MULTI-DISCIPLINARY APPROACH THAT INCLUDES PHYSICIANS SPECIALIZING IN HIV, NURSES, CASE MANAGERS, AND PSYCHIATRISTS, THE ID CLINIC PROVIDES A HOLISTIC APPROACH TO CARE. THE CLINIC RECEIVES GRANTS FOR CASE MANAGEMENT SERVICES, COMPREHENSIVE PRIMARY CARE SERVICES REGARDLESS OF INCOME OR INSURANCE STATUS, TRANSPORTATION TO AND FROM MEDICAL AND SOCIAL SERVICE APPOINTMENTS, HIV-RELATED LABORATORY SERVICES AND MEDICAL ADHERENCE SERVICES. IN 2010, RHF SECURED $519,415 IN GOVERNMENT GRANT FUNDING FOR THIS PROGRAM. THE CLINIC ALSO RECEIVED $7,500 IN FUNDING FROM THE HUGH J. ANDERSEN FOUNDATION AND $40,000 FROM THE SHARING AT WORK EMPLOYEE GIVING CAMPAIGN OF REGIONS HOSPITAL AND HEALTHPARTNERS FOR HIV/AIDS MEDICATIONS.
    IN JULY 2009, REGIONS HOSPITAL BECAME ONE OF ONLY EIGHT HOSPITALS IN THE NATION TO PARTICIPATE IN A PROJECT BY THE ROBERT WOOD JOHNSON FOUNDATION (RWJF) TO REDUCE HEALTH DISPARITIES IN HEART CARE AMONG MINORITIES. RHF RECEIVED $10,000 IN PLEDGE PAYMENTS IN 2010 TO FUND REGIONS HOSPITAL'S EFFORTS. - CANCER CARE. RHF RECEIVED $43,000 FROM THE HOPE CHEST FOR BREAST CANCER FOUNDATION AND LYNNDA LAUBACH BREAST CANCER AWARENESS RIDE TO HELP LOW-INCOME BREAST CANCER PATIENTS MEET THEIR BASIC NEEDS. THE ANNA M. HEILMAIER CHARITABLE FOUNDATION DONATED $10,000 TO FUND A MASSAGE THERAPIST IN THE CANCER CARE CENTER, AND THE CARL AND VERNA SCHMIDT FOUNDATION CONTRIBUTED $10,000 TO HELP FUND THE CANCER CARE CENTER'S EDUCATION AND SUPPORT GROUPS. COMMUNITY GIVING. IN 2010, REGIONS HOSPITAL AND GROUP HEALTH PLAN, INC. EMPLOYEES DONATED $491,914 TO RHF'S ANNUAL SHARING AT WORK CAMPAIGN, WHICH RAISES FUNDS FOR PATIENT CARE, RESEARCH AND MEDICAL EDUCATION. WITH A HEALTHPARTNERS MATCH, THE CAMPAIGN RAISED OVER $1 MILLION. PATIENT CARE FUNDS FROM THE CAMPAIGN WERE SPLIT BETWEEN THE WISHING WELL (WHICH PROVIDES BASIC NECESSITIES AND MEDICATIONS TO NEEDY PATIENTS), COMPLEMENTARY CARE THERAPIES, DRUG ASSISTANCE PROGRAMS, THE VOLUNTEER SERVICES COFFEE CART, AND CARE IMPROVEMENT GRANTS. LAST YEAR, 23 PROGRAMS RECEIVED PATIENT CARE GRANT SUPPORT.
FORM 990, PART VI, SECTION A, LINE 4   RHF APPROVED AMENDMENTS TO ITS BYLAWS ON DECEMBER 6, 2010. AMENDMENTS WERE MADE TO SIMPLIFY, REORGANIZE AND MODERNIZE THE LANGUAGE OF THE BYLAWS, AND TO ENSURE THAT THEY MEET STATE LAW AND IRS REQUIREMENTS, AND TO CONFORM TO ORGANIZATIONAL STANDARDS. KEY SUBSTANTIVE CHANGES TO THE BYLAWS ARE: - ELIMINATING THE ELECTION OF BOARD OFFICERS AS A RESERVED POWER OF THE MEMBER. - PROVIDING TERM LIMITS FOR DIRECTORS. UNDER THE RESTATED BYLAWS, UNLESS OTHERWISE APPROVED BY THE CORPORATE MEMBER, BOARD MEMBERS MAY NOT SERVE MORE THAN THREE CONSECUTIVE THREE YEAR TERMS. - DIVIDING THE OFFICER PROVISIONS BETWEEN BOARD OFFICERS AND STAFF OFFICERS. AS TO STAFF OFFICERS: - THE BYLAWS DESIGNATE THE CEO OF REGIONS HOSPITAL AS THE PRESIDENT OF RHF. THE PRESIDENT IS OBLIGATED TO NOMINATE AN EXECUTIVE DIRECTOR WHO WILL ACT AS THE CHIEF EXECUTIVE OF RHF. IN THE ABSENCE OF AN EXECUTIVE DIRECTOR, THE PRESIDENT WILL ACT AS CHIEF EXECUTIVE DIRECTOR. - THE BYLAWS DESIGNATE THE CFO OF REGIONS HOSPITAL AS THE CFO OF RHF.
FORM 990, PART VI, SECTION A, LINE 6   HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), IS THE SOLE CORPORATE MEMBER OF RHF.
FORM 990, PART VI, SECTION A, LINE 7A   HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER, APPOINTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B   HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS - ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG-RANGE PLANS - UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $10,000 - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $10,000 - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS - DISSOLUTION - ELECTION OF THE OFFICERS
FORM 990, PART VI, SECTION B, LINE 11   RHF'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF RHF. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF RHF, GHI'S INTERNAL LEGAL DEPARTMENT AND RHF'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF RHF. ONCE THAT REVIEW PROCESS HAS BEEN COMPLETED, IT IS THE POLICY OF RHF TO MAKE AVAILABLE TO THE BOARD OF DIRECTORS OF RHF A COPY OF THE 990 PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY WILL BE PROVIDED IN THE BOARD PACKET OF A BOARD MEETING PRIOR TO THE FILING OF THE 990 AND WILL BE AN AGENDA ITEM AT A BOARD MEETING. THIS PROCESS WILL BE NOTED AND DOCUMENTED IN THE WRITTEN BOARD MINUTES OF THE MEETING.
  FORM 990, PART VI, SECTION B, LINE 12C RHF IS GOVERNED BY A BOARD OF DIRECTORS. AS REQUIRED BY THE BYLAWS OF RHF, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND SUBMIT A REPORT TO THE CHAIR, PRESIDENT AND THE EXECUTIVE DIRECTOR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.
  FORM 990, PART VI, SECTION B, LINE 15 RHF HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. (GHI) AND REGIONS HOSPITAL, RELATED ORGANIZATIONS WHICH HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF RHF'S EXECUTIVE DIRECTOR AND ITS OTHER OFFICERS. EACH YEAR, UNDER THE DIRECTION OF THE GHI BOARD OF DIRECTORS' COMPENSATION COMMITTEE (COMPENSATION COMMITTEE), AN ANNUAL TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE'S MARKET REVIEW PROCESS AND SUBSEQUENT DECISIONS INCLUDE THE FOLLOWING ELEMENTS: - INDEPENDENT BODY - COMPENSATION COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE - STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS - AUTHORIZED BODY - GHI'S BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY AND AUTHORITY TO REVIEW AND APPROVE THE COMPARABILITY DATA OF ALL OFFICERS - THE GHI BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER OFFICERS BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA. - COMPARABILITY DATA - EVERY THREE YEARS, THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY SURVEY FOR ALL OFFICERS OF THE ORGANIZATION. WITH THE INPUT OF THE CONSULTANT, THE COMPENSATION COMMITTEE DETERMINED APPROPRIATE PEER GROUPS INCLUDING BOTH LOCAL AND NATIONAL PEER GROUPS. THE SURVEY CONSIDERS EACH ELEMENT OF TOTAL COMPENSATION AND AGGREGATE TOTAL COMPENSATION. BASED ON THIS DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, THE GHI'S HUMAN RESOURCE DEPARTMENT, UNDER THE COMPENSATION COMMITTEE'S DIRECTION USES THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES AND AVERAGE SALARY INCREASES. BASED ON THIS UPDATED DATA, THE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION RANGES FOR EACH OFFICER. - THE ELEMENTS OF TOTAL COMPENSATION ARE SALARY, INCENTIVES, BENEFITS AND PERQUISITES. - PROPER CONTEMPORANEOUS DOCUMENTATION - MINUTES OF THE COMPENSATION COMMITTEE ARE PREPARED AFTER EACH MEETING AND APPROVED AT THE NEXT MEETING. - TOTAL COMPENSATION IS APPROPRIATELY REPORTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2.
  FORM 990, PART VI, SECTION C, LINE 19 RHF'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM RHF OR HEALTHPARTNERS, INC. RHF'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. RHF'S CONFLICT OF INTEREST POLICY THROUGH IT'S RELATED ORGANIZATIONS, HEALTHPARTNERS, INC. AND GROUP HEALTH PLAN, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.
AVERAGE HOURS - RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) DIRECTORS AND OFFICERS OF RHF ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH PLAN, INC. OR REGIONS HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NON-CASH GIFTS IN KIND -159,270. TOTAL TO FORM 990, PART XI, LINE 5: -159,270.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) HEALTHPARTNERS INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1693838 		HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4)   N/A
 
No
(2) HPI-RAMSEY

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1793333 		CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC
 
 
No
(3) GROUP HEALTH PLAN INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-0797853 		STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC
 
 
No
(4) HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1236798 		PRIMARY AND SPECIALTY PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) GROUP HEALTH PLAN INC
 
 
No
(5) HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1835843 		MEDICAL EDUCATION MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC
 
 
No
(6) HEALTHPARTNERS RESEARCH FOUNDATION

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1670163 		HEALTHCARE RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC
 
 
No
(7) CAPITAL VIEW TRANSITIONAL CARE CENTER

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-2011453 		POST HOSPITALIZATION PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY
 
 
No
(8) RAMSEY INTEGRATED HEALTH SERVICES

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1503090 		IN-HOME PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY
 
 
No
(9) REGIONS HOSPITAL

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-0956618 		HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY
 
 
No
(10) RHSC INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
41-1891928 		HEALTHCARE STAFFING MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC
 
 
No
(11) WESTFIELDS HOSPITAL INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
39-0808442 		HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN
 
 
No
(12) WESTFIELDS HOSPITAL FOUNDATION INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
39-1770913 		PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 509(A)(3) TYPE I WESTFIELDS HOSPITAL INC
 
 
No
(13) RH-WISCONSIN

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
20-2287016 		CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY
 
 
No
(14) PHYSICIANS NECK AND BACK CLINICS

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
27-0684883 		SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC
 
 
No
(15) HUDSON HOSPITAL INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
39-0804125 		HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN
 
 
No
(16) HUDSON HOSPITAL FOUNDATION INC

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
39-1279567 		PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC
 
 
No
(17) WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY

8170 33RD AVENUE SOUTH PO BOX 1309

MINNEAPOLIS,MN554401309
26-3616590 		PROVIDE MEDICAL TRANSPORT SERVICES WI 501(C)(3) 509(A)(3) TYPE II RH-WISCONSIN
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) HEALTHPARTNERS ADMINISTRATORS INC
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
41-1629390 		THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC
  		C      
(2) HEALTHPARTNERS ASSOCIATES INC
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
52-2365151 		MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC
  		C      
(3) HEALTHPARTNERS SERVICES INC
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
41-1683568 		MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC
  		C      
(4) HEALTHPARTNERS VENTURES INC
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
41-1838197 		DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES MN HEALTHPARTNERS INC
  		C      
(5) HEALTHPARTNERS INSURANCE COMPANY
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
41-1683523 		MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC
  		C      




Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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