TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)
(1) MARVIN ANDERSON SECRETARY & DIRECTOR	.70	X	1,600	0	0
(2) JAMES CLIFFORD CHAIR & DIRECTOR	.50	X	900	0	0
(3) CRAIG FRISVOLD TREASURER & DIRECTOR	.50	X	1,400	0	0
(4) ROBERT GIFFORD DIRECTOR	.10	X	100	0	0
(5) KAYING HANG DIRECTOR	.20	X	1,400	0	0
(6) CHUCK HAYNOR DIRECTOR	.40	X	1,100	0	0
(7) SUSAN KIMBERLY VICE CHAIR & DIRECTOR	.70	X	1,800	0	0
(8) TOM KINGSTON DIRECTOR	.30	X	900	0	0
(9) NNEKA MORGAN DIRECTOR	.50	X	1,100	0	0
(10) RAFAEL ORTEGA DIRECTOR	.30	X	900	0	0
(11) RUSS NELSON DIRECTOR	.20	X	500	0	0
(12) STEVE WELLINGTON DIRECTOR	.50	X	1,100	0	0
(13) BILLIE YOUNG DIRECTOR	.60	X	1,000	0	0
(14) MARY K BRAINERD DIRECTOR	50.00	X	0	1,195,124	369,423
(15) KATHLEEN M COONEY DIRECTOR	55.00	X	0	793,555	217,592
(16) BRET C HAAKE MD DIRECTOR	57.00	X	0	488,228	71,485
(17) LOREE K KALLIAINEN MD DIRECTOR	53.00	X	0	381,670	51,985

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) BROCK D NELSON PRESIDENT & CEO	55.00	X	X			0	548,780	161,919
(19) KAREN A QUADAY MD DIRECTOR	35.00	X				0	272,183	74,753
(20) BRIAN H RANK MD DIRECTOR	65.00	X				0	652,711	169,568
(21) CHRISTINE M BOESE VP, PATIENT CARE SERVICE	50.00		X			252,323	0	39,642
(22) HEIDI G CONRAD CHIEF FINANCIAL OFFICER	51.00		X			0	317,513	97,201
(23) MARIAN M FURLONG VP, HUDSON HOSPITAL PRESIDENT	50.00		X			276,342	0	51,337
(24) THOMAS G GESKERMAN VP, BEHAVIORAL HEALTH	50.00		X			231,379	0	51,172
(25) BETH L HEINZ VP - OPERATIONS	50.00		X			231,335	0	42,933
(26) KENNETH D HOLMEN MD VP, BUS DEV/PHYS STRATEGY	60.00		X			0	479,276	126,754
(27) KIM R LAREAU VP & CIO	50.00		X			0	260,158	70,621
(28) GRETCHEN M LEITERMAN VP, HEART CENTER & SR DIR	55.00		X			0	257,982	60,115
(29) JEAN NEEDHAM PRESIDENT & CEO - WESTFIEL	50.00		X			262,028	0	33,865
(30) MEGAN M REMARK VP - SPECIALTY CARE	55.00		X			0	306,818	81,984
(31) BARBARA E TRETHEWAY SR VP, GENERAL COUNSEL	55.00		X			0	508,959	227,204
(32) ALISON G BRISBIN NURSE ANESTHETIST	44.00			X		218,213	0	47,499
(33) TROY HOFF PHARMACIST	50.00			X		187,203	0	32,794
(34) DANA M LANGNESS SENIOR QUALITY COORDINATOR	50.00			X		186,652	0	41,125
(35) DANIAL N LEVI NURSE ANESTHETIST	40.00			X		185,399	0	40,900
(36) GREG S MELLESMOEN DIRECTOR - SURGICAL SERVICES	53.00			X		192,451	0	32,269
(37) DAVID J GRAEBNER FORMER VP, OPERATIONS	0.00				X	285,710	0	44,256

(A) Name and business address	(B) Description of services	(C) Compensation
KRAUS-ANDERSON CONST CO 525 S EIGHTH MINNEAPOLIS,MN55404	CONSTRUCTION	8,512,785
UNIVERSITY OF MINNESOTA 1300 S 2ND ST MINNEAPOLIS,MN55454	PHYSICIAN SERVICES	5,571,499
CROTHALL LAUNDRY SERVICES 13028 COLLECTION CTR DRV CHICAGO,IL60693	CLEANING & LAUNDRY	1,521,639
TWIN CITIES ANESTHESIA ASSOCIATES 940 WESTPORT PLAZA D ST LOUIS,MO63146	MEDICAL SERVICES	1,303,302
TOTAL RENAL CARE INC BANK OF AMERICA LOCKBOX 403008 COLLEGE PARK,GA30349	MEDICAL SERVICES	1,156,910
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 44

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	71,451	71,451
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
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 ....	1,815,022		1,815,022
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	250,989,211	231,804,478	19,184,733
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	971,677	918,951	52,726
9	Other employee benefits .......	45,253,598	42,798,031	2,455,567
10	Payroll taxes ...........	18,389,319	17,391,471	997,848
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	418,246	162,076	256,170
c	Accounting ...........	11,565		11,565
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	15,696,784	12,464,239	3,232,545
12	Advertising and promotion ....	1,191,196	424,220	766,976
13	Office expenses .......	8,975,233	8,452,246	522,987
14	Information technology ......	6,556,126	4,021,872	2,534,254
15	Royalties ..
16	Occupancy ...........	27,557,478	27,202,398	355,080
17	Travel ............	416,018	318,916	97,102
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	84,805	82,419	2,386
20	Interest ...........	12,964,015	12,964,015
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	38,274,113	35,758,885	2,515,228
23	Insurance ..............	6,090,923	6,090,270	653
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	MEDICAL SUPPLIES	82,141,351	82,131,559	9,792
b	TAXES & ASSESSMENTS	11,319,624	11,319,624
c	MISCELLANEOUS EXPENSE	5,938,424	4,936,916	1,001,508
d	PURCHASED & CONTRACTED	4,051,664	3,611,688	439,976
e	BAD DEBT	1,980,198	1,974,722	5,476
f	All other expenses	759,084		759,084
25	Total functional expenses. Add lines 1 through 24f	541,917,125	504,900,447	37,016,678	0
26	Joint costs. Check here 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

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	19,362,729	1	23,418,387
2	Savings and temporary cash investments .......	1,709,219	2	1,745,506
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	52,511,305	4	50,967,254
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 .............	3,620,253	7	3,091,455
8	Inventories for sale or use ..............	6,201,751	8	5,736,822
9	Prepaid expenses and deferred charges ............	4,145,777	9	4,182,809
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	580,352,031
b	Less: accumulated depreciation. .....	10b	279,860,232	319,195,970	10c	300,491,799
11	Investments—publicly traded securities ..........	113,731,000	11	145,498,000
12	Investments—other securities. See Part IV, line 11 ......	25,908,967	12	31,105,531
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	13,150,455	15	14,898,002
16	Total assets. Add lines 1 through 15 (must equal line 34)...	559,537,426	16	581,135,565
	17	Accounts payable and accrued expenses .	83,214,170	17	69,598,020
18	Grants payable ..........		18
19	Deferred revenue ..........	6,775,838	19	6,351,964
20	Tax-exempt bond liabilities ..........	220,538,652	20	217,537,578
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 ..	2,410,884	23	2,182,341
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	42,872,038	25	51,610,995
26	Total liabilities. Add lines 17 through 25.....	355,811,582	26	347,280,898
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	190,801,844	27	219,127,667
28	Temporarily restricted net assets .....	12,339,000	28	14,135,000
29	Permanently restricted net assets .....	585,000	29	592,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	203,725,844	33	233,854,667
34	Total liabilities and net assets/fund balances .....	559,537,426	34	581,135,565

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

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

Employer identification number

41-0956618

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

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

Cat. No. 11285F

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.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

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

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 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:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

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

Employer identification number

41-0956618

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

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

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 if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the 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

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

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

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

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

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

Yes

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

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

Yes

89,397

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

Yes

Other activities? If "Yes," describe in Part IV ..........................

Yes

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

89,397

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

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).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

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 PAYS FOR CERTAIN CORPORATE AND EMPLOYEE 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:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Employer identification number

41-0956618

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 .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

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.

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.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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 ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

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

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,559,670		4,559,670
b	Buildings ................	385,651,250	151,236,461	234,414,789
c	Leasehold improvements ............	4,177,407	2,572,745	1,604,662
d	Equipment ................	161,517,567	108,986,361	52,531,206
e	Other .................	24,446,137	17,064,665	7,381,472
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				300,491,799

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther 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
(3)Other (A) BOND AND DEBT SERVICE RESERVE FUNDS	31,105,531	F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	31,105,531

Part VIII

InvestmentsProgram 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.)

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

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
LONG TERM DEBT CURRENT PORTION		3,229,618
DEFERRED COMPENSATION PAYABLE		21,199,142
POST RETIREMENT BENEFITS		7,358,213
PROFESSIONAL LIABILITY RESERVE		19,824,022





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		51,610,995
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

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	567,992,723
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	541,917,125
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	26,075,598
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	4,053,225
9	Total adjustments (net). Add lines 4 - 8 .............................	9	4,053,225
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	30,128,823

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	567,988,506
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	567,988,506
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	4,217
c	Add lines 4a and 4b.......................			4c	4,217
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	567,992,723

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	541,912,908
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	-4,217
e	Add lines 2a through 2d......................			2e	-4,217
3	Subtract line 2e from line 1.....................			3	541,917,125
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	541,917,125

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
PART XI, LINE 8 - OTHER ADJUSTMENTS:		FASB 124 FAIR MARKET VALUE ADJUSTMENT -128,424. FASB 158 - POST RETIREMENT ADJUSTMENT -925,576. TRANSFER FROM AFFILIATES - REGIONS HOSPITAL FOUNDATION FOR CAPITAL ASSETS 3,304,866. BENEFICIAL INTEREST IN THE NET ASSETS OF REGIONS HOSPITAL FOUNDATION 1,802,359.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		GAIN ON FIXED ASSET SALES 4,217.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		GAIN ON FIXED ASSET SALES -4,217.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	35,224,000	10,400,000	24,824,000	4.600 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	35,224,000	10,400,000	24,824,000	4.600 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	7,374,012	1,678,391	5,695,621	1.010 %
f Health professions education (from Worksheet 5) ..	19,328,366	10,076,851	9,251,515	1.720 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	71,381		71,381	0.010 %
jTotal Other Benefits ...	26,773,759	11,755,242	15,018,517	2.740 %
kTotal. Add lines 7d and 7j. ..	61,997,759	22,155,242	39,842,517	7.340 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

1,616,187

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

167,795,390

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

169,461,072

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

-1,665,682

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	REGIONS HOSPITAL 640 JACKSON STREET ST PAUL,MN55101	X	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:REGIONS HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1		No
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for free care: 150.000000000000%

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14	Yes
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16	Yes
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART II: PROMOTION OF COMMUNITY HEALTHREGIONS HOSPITAL (REGIONS) CONTINUALLY "INVESTS" - THROUGH EXPENDITURES AND IN-KIND CONTRIBUTIONS OR OTHER SUPPORT - IN ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITY AND THE REGION. REGIONS IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS AND THE MEDICAL STAFF IS ORGANIZED IN THE PUBLIC'S INTEREST. SUPPORT MAY INCLUDE DIRECT EXPENDITURES, RAISING FUNDS THROUGH EMPLOYEE OR COMMUNITY INITIATIVES, DONATING STAFF TIME, PARTICIPATING IN COMMUNITY PARTNERSHIPS AND INITIATIVES AND /OR PROVIDING FREE SERVICES OR EQUIPMENT. EXAMPLES IN 2010 INCLUDE: - HEALTH RESOURCE CENTER. IN 2010, REGIONS OPERATED THE HEALTH RESOURCE CENTER AT A COST OF $103,000. THE HEALTH RESOURCE CENTER IS A UNIQUE LENDING LIBRARY WHERE PATIENTS, THEIR FAMILY AND FRIENDS, STAFF AND COMMUNITY MEMBERS CAN LEARN MORE ABOUT HEALTH AND WELLNESS ISSUES THROUGH PRINT RESOURCES, INTERNET SITES, ORGANIZED EVENTS, AND STAFF ASSISTANCE. THE MISSION OF THE HEALTH RESOURCE CENTER AT REGIONS IS TO ACQUIRE, ORGANIZE AND PROVIDE A DYNAMIC COLLECTION OF INFORMATION THAT WILL PROMOTE THE KNOWLEDGE OF HEALTH AND INSPIRE CONTINUOUS GROWTH IN PERSONAL WELLNESS. ITS VISION IS TO BE A PRIMARY CENTER FOR CONSUMER HEALTH AND WELLNESS INFORMATION AND A GUIDE TO ACCESSIBLE RESOURCES FOR THE COMMUNITY. - SUPPORT GROUPS. IN 2010, REGIONS PROVIDED OVER $5,000 OF IN-KIND SUPPORT FOR SUPPORT GROUPS INCLUDING:- LUNG CANCER- LEUKEMIA, LYMPHOMA, HODGKIN'S OR MYELOMA- BURN SURVIVOR- ELECTRICAL INJURY- SLEEP DISORDERS- TRAUMA AND BURN COMMUNITY GRAND ROUNDS. REGIONS' STAFF BRINGS EDUCATION AND TRAINING TO HOSPITALS, CLINICS AND OTHER PLACES OF BUSINESS AT NO COST. PRESENTATIONS INCLUDE TRAUMA AND BURN CASE REVIEWS.- EDUCATORS FROM REGIONS PROVIDE STRUCTURED EDUCATIONAL CLASSES FOR RURAL COMMUNITY HOSPITALS IN GREATER MINNESOTA AND WESTERN WISCONSIN. FOR INSTANCE, REGIONS' EDUCATORS USED SIMULATION MANIKINS TO TEACH TECHNIQUES TO LOCAL NURSES WORKING IN INTENSIVE CARE UNITS AND EMERGENCY DEPARTMENTS. - REGIONS EMERGENCY MEDICAL SERVICES PROVIDES SERVICES TO EAST METRO COMMUNITY EVENTS INCLUDING THE TWIN CITIES MARATHON, MINNESOTA WILD GAMES, THE TWIN CITIES FESTIVAL AND THE MINNESOTA STATE FAIR.
		PART III, LINE 4: "BAD DEBT" EXPENSE REPRESENTS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO DO SO. BAD DEBT INCLUDES ANY UNPAID PATIENT RESPONSIBILITY THAT MAY INCLUDE, BUT IS NOT LIMITED TO, DEDUCTIBLES, CO-INSURANCE, CO-PAYMENTS AND NON-COVERED SERVICES.
		PART III, LINE 8: REGIONS BASES ITS MEDICARE COSTING METHODOLOGY ON THE CMS MEDICARE COST REPORT METHODOLOGY; COST TO CHARGE RATIO.
		PART III, LINE 9B: REGIONS DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE. REGIONS WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. REGIONS WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A CHARITY CARE (FINANCIAL ASSISTANCE) APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR CHARITY CARE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED.- THE LEVEL OF AUTHORITY REQUIRED TO MAKE DECISIONS REGARDING AUTHORIZING LITIGATION, PAYMENT PLANS, AND CHARITY CARE IS:O BALANCES OVER $50,000 - DIRECTOR OF PATIENT FINANCIAL SERVICESO BALANCES BETWEEN $5,000 AND $50,000 - MANAGER OF COLLECTIONSO BALANCES BETWEEN $100 AND $5000 - SUPERVISOR OF COLLECTIONSO BALANCES UNDER $100 MAY BE HANDLED BY PATIENT ACCOUNTING STAFF
		REGIONS FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF MINNESOTA. REGIONS' SISTER HOSPITALS, WESTFIELDS HOSPITAL, LOCATED IN NEW RICHMOND WISCONSIN, AND HUDSON HOSPITAL, LOCATED IN HUDSON, WISCONSIN, FILE COMMUNITY BENEFIT REPORTS TO THE STATE OF WISCONSIN. THE THREE HOSPITALS WORK COLLABORATIVELY ACROSS MULTIPLE HEALTH INITIATIVES, ALONG WITH OTHER MEMBERS OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS TO IMPROVE THE HEALTH OF MEMBERS, PATIENTS AND THE COMMUNITY.
		PART VI, LINE 2: NEEDS ASSESSMENTTHE MISSION OF REGIONS IS TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE WHICH MEETS THE NEEDS OF ALL PEOPLE. FULFILLING THIS MISSION IS BOTH AN INTERNAL AND EXTERNAL GOAL. THROUGH SUPPORT FROM THE MEDTRONIC FOUNDATION, REGIONS IS WORKING TO REDUCING HEALTH DISPARITIES. REGIONS AND HEALTHPARTNERS WERE ONE OF THE FIRST IN THE NATION TO GATHER SELF-REPORTED DATA FROM PATIENTS ON RACE, COUNTRY OF ORIGIN AND LANGUAGE PREFERENCE. THE COLLECTION OF THIS DATA HAS LED TO CULTURALLY COMPETENT BEST PRACTICES EMBEDDED IN REGIONS HEALTH CARE INFRASTRUCTURE AND WORKFORCE TRAINING. IN ADDITION, THE LEARNINGS ARE BEING DISSEMINATED IN LOCAL, STATEWIDE AND NATIONAL FORUMS.IN JULY 2009, REGIONS BECAME ONE OF 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. IN 2010, REGIONS HOSPITAL FOUNDATION RECEIVED $25,000 FROM THE RWJF TO FUND THIS INITIATIVE. REGIONS HOSTS AN EQUITABLE CARE TEAM WHICH CONSISTS OF STAFF WHO VOLUNTEER TO RECEIVE ONGOING EXPERT TRAINING TO HELP DISSEMINATE BEST PRACTICES IN CLINICAL CARE FOR PATIENTS OF DIVERSE CULTURES AND PATIENTS WITH LIMITED ENGLISH PROFICIENCY. IN 2010, THE EQUITABLE CARE TEAM SPONSORED MONTHLY SEMINARS ON DIVERSITY ON TOPICS LIKE CROSS-CULTURAL DIABETES CARE AND REDUCING DISPARITIES IN CANCER SCREENINGS. THE TEAM ALSO PRODUCED BIMONTHLY NEWSLETTERS AND EMAIL CONTENT TO BUILD KNOWLEDGE OF CROSS-CULTURAL RESOURCES AND BEST PRACTICES. REGIONS SUPPORTS THE EBAN EXPERIENCE, A TEAM-BASED COLLABORATIVE THAT FOCUSES ON IMPROVEMENT OF HEALTH DISPARITIES THROUGH COMMUNITY DIALOGUE, EXPERIENTIAL EDUCATION AND QUALITY IMPROVEMENT PROJECTS. THE GOAL OF THE PROJECT IS TO TRANSFORM CARE DELIVERY AND REDUCE DISPARITIES IN CARE. IN 2010 THE PFIZER MEDICAL EDUCATION GROUP AWARDED THE HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION AN INDEPENDENT PROFESSIONAL EDUCATION GRANT OF $240,000 FOR THE INITIATIVE. PLANNING FOR THIS PROJECT WAS UNDERWAY DURING 2010 FOR IMPLEMENTATION IN 2011. IN ADDITION TO THE WORK THAT REGIONS PERFORMS INTERNALLY TO ACCESS THE NEEDS OF ITS PATIENTS, REGIONS PARTNERS WITH MULTIPLE GOVERNMENT, COMMUNITY AND BUSINESS ORGANIZATIONS IN THE TWIN CITIES EAST METRO AND WESTERN WISCONSIN. GOVERNMENT ENTITIES INCLUDING THE MINNESOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES, RAMSEY COUNTY PUBLIC HEALTH AND HUMAN SERVICES AND THE CITY OF ST. PAUL TEAM UP WITH REGIONS TO EXAMINE AND MEET THE HEALTH NEEDS OF THE COMMUNITY. REGIONS ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS OF THE COMMUNITY. COLLABORATIONS AND AFFILIATIONS WITH THE WILDER FOUNDATION, COMMUNITY CLINICS, THE MINNESOTA HOSPITAL ASSOCIATION AND THE MULTILINGUAL HEALTH RESOURCES EXCHANGE PROVIDE REGIONS WITH AN EXPANSIVE COMMUNITY PERSPECTIVE ON THE NEEDS OF THE COMMUNITY. THROUGH THESE PARTNERSHIPS, REGIONS RECEIVES INFORMATION ON THE SOCIO-ECONOMIC AND DEMOGRAPHIC FACTORS THAT AFFECT THE OVERALL HEALTH OF THE POPULATION IT SERVES. BASED ON THIS DATA, REGIONS HAS COMMITTED RESOURCES TO REDUCING CULTURAL GAPS IN HEALTH CARE AND ADDRESSING SOCIAL DETERMINANTS THAT AFFECT HEALTH.
		PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEREGIONS IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. REGIONS SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2010 ALONE, REGIONS PROVIDED APPROXIMATELY $24.8 MILLION IN CHARITY CARE COSTS. REGIONS DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. TO INFORM AND EDUCATE PATIENTS ON ITS CHARITY CARE PROGRAM AND GOVERNMENT PROGRAMS, REGIONS HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. THE PROGRAM WAS STARTED IN THE EMERGENCY DEPARTMENT IN 1995 BUT SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT REGIONS. THE PROGRAM, WHICH IS ADMINISTERED WITHIN REGIONS ADMITTING AND REGISTRATION DEPARTMENT, WAS FUNDED BY REGIONS AT THE COST OF OVER $1.1 MILLION IN 2010. TWENTY-TWO COUNSELORS (2.5 COUNSELORS ARE RAMSEY AND DAKOTA COUNTY EMPLOYEES) HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF PAYMENT. THE COUNSELORS ARE ABLE TO ASSIST PATIENTS WITH ENROLLING IN GOVERNMENT PROGRAMS, LOOKING FOR OTHER SOURCES OF PAYMENT, APPLYING FOR CHARITY CARE AND ASSISTING SELF-PAY PATIENTS IN SETTING UP PAYMENT PLANS S. TO HELP PATIENTS ACCESS SERVICES BEYOND MEDICAL CARE, REGIONS HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. IN 2010, FINANCIAL COUNSELORS ENROLLED NEARLY 3,000 INDIVIDUALS IN GOVERNMENT HEALTH CARE PROGRAMS. THIS PROVIDED APPROXIMATELY $8.5 MILLION TO REGIONS FOR CARE THAT OTHERWISE WOULD HAVE BEEN CHARITY CARE. REGIONS BELIEVES THAT ACCESS TO HEALTHCARE COVERAGE IS A MAJOR FACTOR IN AVERTING MORE EXPENSIVE EMERGENCY ROOM VISITS. TO IMPROVE ACCESS TO PEOPLE WITHOUT HEALTH INSURANCE, REGIONS AND HEALTHPARTNERS MEDICAL GROUP (HPMG) PROVIDED APPROXIMATELY $165,000 TO PORTICO HEALTHNET (PORTICO) IN 2010 IN ORDER TO PROVIDE BENEFIT COVERAGE TO PARTICIPANTS AND COVER ADMINISTRATIVE COSTS. PORTICO IS A NONPROFIT ORGANIZATION THAT HELPS ABOUT 350 PEOPLE PER MONTH ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS. SINCE 1995, PORTICO OUTREACH WORKERS HAVE PROVIDED ASSISTANCE IN COMPLETING APPLICATIONS FOR PROGRAMS SUCH AS MINNESOTA CARE OR MEDICAL ASSISTANCE, AND FOR PEOPLE WHO DO NOT QUALIFY FOR THESE PROGRAMS TO MEET PROGRAM ELIGIBILITY CRITERIA. IN ADDITION, PORTICO OFFERS ITS OWN COVERAGE PROGRAM AND COVERS PRIMARY AND SPECIALTY CARE CLINIC VISITS, URGENT CARE SERVICES, AND PRESCRIPTION DRUGS ALONG WITH INTERPRETER AND TRANSPORTATION SERVICES.
		PART VI, LINE 4: COMMUNITY INFORMATIONREGIONS IS LOCATED IN RAMSEY COUNTY IN THE CORE OF DOWNTOWN ST. PAUL. REGIONS IS IN CLOSE PROXIMITY TO THE STATE CAPITOL, POPULAR ENTERTAINMENT ATTRACTIONS AND NUMEROUS LARGE CORPORATE HEADQUARTERS. REGIONS IS THE SECOND LARGEST PROVIDER OF CHARITY CARE IN THE STATE OF MINNESOTA AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE EAST METRO. THIS CERTIFICATION REQUIRES REGIONS TO HAVE MEDICAL SPECIALISTS AVAILABLE TWENTY-FOUR HOURS A DAY. REGIONS ADULT AND PEDIATRIC TRAUMA SERVICES ARE PROVIDED TO PATIENTS FROM 85 OF THE 87 COUNTIES IN THE STATE, PATIENTS FROM WESTERN WISCONSIN REGION AND PATIENTS FROM OTHER SURROUNDING STATES.ACCORDING TO THE U.S. CENSUS BUREAU, RAMSEY COUNTY HAD A POPULATION OF 508,640 IN 2010. MNCOMPASS REPORTED THAT APPROXIMATELY 8.8 PERCENT OF FAMILIES IN RAMSEY COUNTY WERE LIVING IN POVERTY, AND 12 PERCENT OF ADULTS UNDER AGE 65 WERE UNINSURED. AS THE STATE'S SECOND-LARGEST SAFETY-NET HOSPITAL, REGIONS PROVIDES CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. REGIONS SERVES A DIVERSE PATIENT POPULATION. REGIONS AND HEALTHPARTNERS ARE ONE OF THE FIRST IN THE NATION TO GATHER SELF-REPORTED DATA FROM PATIENTS ON RACE, COUNTRY OF ORIGIN AND LANGUAGE PREFERENCE. BASED ON THIS DATA IN 2010, REGIONS PATIENT BASE CONSISTED OF 57.2 PERCENT WHITE, 15.3 PERCENT BLACK, 5.2 PERCENT HISPANIC, 4.6 PERCENT ASIAN OR PACIFIC ISLANDER AND 1.1 PERCENT NATIVE AMERICAN. 16.0 PERCENT DID NOT PROVIDE RACIAL INFORMATION. IN 2010, THE RACIAL BREAKDOWN OF RAMSEY COUNTY CONSISTED OF 70.1 PERCENT WHITE, 11 PERCENT BLACK, 0.8 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, 11.7 PERCENT ASIAN, 7.2 PERCENT HISPANIC OR LATINO AND 3.5 PERCENT REPORTING TWO OR MORE RACES.
		PART VI, LINE 6: REGIONS FURTHERS ITS CHARITABLE CAUSE THROUGH COMMUNITY PROGRAMS INCLUDING:- MENTAL HEALTH CRISIS ALLIANCE (MHCA) IS A CRISIS RESPONSE SYSTEM THAT AUGMENTS INPATIENT SERVICES IN THE EAST METRO. HEALTHPARTNERS AND REGIONS ARE MAJOR SPONSORS OF MHCA, WHICH INCLUDES FOURTEEN ORGANIZATIONS THAT REPRESENT COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, AND CONSUMERS AND ADVOCATES. FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS, MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. IN 2010, REGIONS PROVIDED $20,000 TO THE COLLABORATIVE.- LACK OF TIMELY ACCESS TO MEDICATIONS CAN LEAD TO EMERGENCY HOSPITALIZATION FOR BEHAVIORAL HEALTH CRISIS. TO INCREASE ACCESS TO NEEDED DRUGS, REGIONS AND HEALTHPARTNERS HELPED FOUND THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP). MHDAP ADDRESSES BARRIERS THAT MENTAL HEALTH PATIENTS HAVE IN OBTAINING HEALTHCARE COVERAGE TO PAY FOR MEDICATIONS AND THE LACK OF SUPPORTIVE SERVICES TO HELP THEM STAY ON MEDICATIONS. GAPS IN ADEQUATE HEALTHCARE AND MEDICATION COVERAGE ARE ASSOCIATED WITH INCREASED RISK OF PSYCHIATRIC HOSPITALIZATIONS, WHICH CAN COST THE COMMUNITY AN AVERAGE OF $12,000-15,000 PER VISIT. MHDAP PROVIDES 30 TO 90 DAYS OF STOP-GAP PSYCHIATRIC DRUG COVERAGE FUNDING FOR LOW-INCOME PATIENTS. IN 2010, MHDAP RECEIVED $192,000 IN DONATIONS. REGIONS AND HEALTHPARTNERS CONTRIBUTED A $10,000 IN-KIND DONATION OF PROGRAM ADMINISTRATION IN 2010.- REGIONS AND THE HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION (IME) HAVE ENJOYED A LONG HISTORY OF PARTNERSHIP WITH THE MEDICAL SCHOOL OF THE UNIVERSITY OF MINNESOTA (U OF M) TO PROVIDE MEDICAL STUDENT EDUCATION AT REGIONS. AREAS OF RESIDENT TRAINING INCLUDE: EMERGENCY MEDICINE, FOOT & ANKLE SURGERY, HOSPITAL MEDICINE, MEDICAL TOXICOLOGY, OCCUPATIONAL MEDICINE, PSYCHIATRY (JOINT PROGRAM WITH ANOTHER AREA HOSPITAL), PHYSICIAN ASSISTANT/NURSE PRACTITIONER FELLOWSHIP IN BEHAVIORAL HEALTH, AND MANAGED CARE PHARMACY. IME ALSO PROVIDES EDUCATION IN ELEVEN ADDITIONAL RESIDENCY PROGRAMS FROM THE U OF M. REGIONS HEALTH PROFESSIONALS ARE ALSO INVOLVED IN MEDICAL RESEARCH FOCUSED ON IMPROVING HEALTH AND MEDICAL CARE.
		PART VI, LINE 7: AFFILIATED HEALTH CARE SYSTEMREGIONS IS PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS), AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT COMBINES THE PROVISION AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. HEALTHPARTNERS IS THE CONNECTION POINT FOR THE VARIOUS COMPONENTS OF THIS INTEGRATED SYSTEM OF HEALTH FINANCING, CARE DELIVERY, AND SUPPORT SERVICES. HEALTHPARTNERS' MEMBERS RECEIVE HEALTH CARE SERVICES THROUGH HEALTHPARTNERS' EXTENSIVE NETWORK OF CONTRACTED MEDICAL AND DENTAL PROVIDERS, INCLUDING OVER 30 MULTI-SPECIALTY CLINICS OWNED AND OPERATED BY GROUP HEALTH PLAN, INC. (GHI), KNOWN AS HEALTHPARTNERS MEDICAL GROUP (HPMG).HEALTHPARTNERS DENTAL GROUP (HPDG) DENTISTS PRACTICE IN 16 DENTAL CLINICS OWNED AND OPERATED BY GHI. THE HEALTHPARTNERS MIDWAY DENTAL CLINIC BEGAN OPERATING IN 2005 AND FOCUSES ON SERVING RECENTLY IMMIGRATED AMERICANS AND HEALTHPARTNERS MEMBERS ENROLLED IN MINNESOTA PUBLIC PROGRAMS. HEALTHPARTNERS OPERATES 3 COMMUNITY-BASED CLINICS OR WELL AT WORK CLINICS THROUGHOUT MINNESOTA. ALL CLINICS OFFER EVALUATION, DIAGNOSIS AND TREATMENT FOR ACUTE CONDITIONS SUCH AS COLDS, FLU, GASTRO-INTESTINAL DISORDERS, HEADACHE, AS WELL AS PRIMARY CARE SERVICES SUCH AS SCREENINGS, VACCINES AND MANAGEMENT OF SIMPLE CHRONIC CONDITIONS.IN 2010, HEALTHPARTNERS PROVIDED COVERAGE TO MEMBERS AND SERVICES TO PATIENTS THROUGH A BROAD NETWORK OF PHYSICIANS AND HOSPITALS, INCLUDING CLINICS STAFFED BY GHI. EMPLOYED PHYSICIANS AND 3 HEALTHPARTNERS HOSPITALS: REGIONS; WESTFIELDS HOSPITAL, A CRITICAL ACCESS HOSPITAL IN NEW RICHMOND, WISCONSIN; AND HUDSON HOSPITAL, A CRITICAL ACCESS HOSPITAL IN HUDSON, WISCONSIN.HEALTHPARTNERS ALSO OPERATES A PATIENT COUNCIL THAT GIVES PLAN MEMBERS AND PATIENTS A FORUM TO PROVIDE INPUT TO IMPROVE HEALTHPARTNERS PROGRAMS AND SERVICES. THE PATIENT COUNCIL IS A GROUP OF 16 HEALTHPARTNERS CLINICS PATIENTS WHO MEET ON A MONTHLY BASIS AND PROVIDE PATIENT FEEDBACK ON A VARIETY OF HEALTH CARE TOPICS. THIS FEEDBACK HELPS IN THE DESIGN AND PLANNING OF PROGRAMS AND SERVICES. THE PATIENT COUNCIL IS FOR PATIENTS THAT SEEK CARE AT THE HEALTHPARTNERS CLINICS.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. BEING PART OF AN INTEGRATED ORGANIZATION ALLOWS ENTITIES TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM. HEALTHPARTNERS ALSO PARTNERS WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION; TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS.
REPORTS FILED WITH STATES	PART VI, LINE 7	MN,WI

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

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

Employer identification number
41-0956618

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to 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	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) GILLETTE CHILDRENS HEALTHCARE200 E UNIVERSITY AVE ST PAUL,MN55101	10,000	PROGRAM SUPPORT
(2) AMERICAN HEART ASSOCIATION460 N LINDBERGH BLVD ST LOUIS,MO63141	42,500	PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

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

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

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:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" 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

Employer identification number

41-0956618

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

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

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

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

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

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

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
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MARY K BRAINERD	(i) (ii)	0 855,879	0 326,771	0 12,474	0 256,464	0 112,959	0 1,564,547	0 0
(2) KATHLEEN M COONEY	(i) (ii)	0 510,975	0 187,038	0 95,542	0 118,803	0 98,789	0 1,011,147	0 73,982
(3) BRET C HAAKE MD	(i) (ii)	0 446,948	0 41,280	0 0	0 0	0 71,485	0 559,713	0 0
(4) LOREE K KALLIAINEN MD	(i) (ii)	0 365,609	0 0	0 16,061	0 0	0 51,985	0 433,655	0 0
(5) BROCK D NELSON	(i) (ii)	0 416,402	0 131,527	0 851	0 83,323	0 78,596	0 710,699	0 0
(6) KAREN A QUADAY MD	(i) (ii)	0 259,960	0 0	0 12,223	0 0	0 74,753	0 346,936	0 0
(7) BRIAN H RANK MD	(i) (ii)	0 455,465	0 136,797	0 60,449	0 80,933	0 88,635	0 822,279	0 37,996
(8) CHRISTINE M BOESE	(i) (ii)	204,033 0	48,290 0	0 0	0 0	39,642 0	291,965 0	0 0
(9) HEIDI G CONRAD	(i) (ii)	0 247,431	0 62,208	0 7,874	0 15,517	0 81,684	0 414,714	0 0
(10) MARIAN M FURLONG	(i) (ii)	225,586 0	50,756 0	0 0	0 0	51,337 0	327,679 0	0 0
(11) THOMAS G GESKERMAN	(i) (ii)	186,137 0	45,242 0	0 0	0 0	51,172 0	282,551 0	0 0
(12) BETH L HEINZ	(i) (ii)	185,975 0	45,360 0	0 0	0 0	42,933 0	274,268 0	0 0
(13) KENNETH D HOLMEN MD	(i) (ii)	0 386,690	0 92,586	0 0	0 50,000	0 76,754	0 606,030	0 0
(14) KIM R LAREAU	(i) (ii)	0 208,885	0 51,273	0 0	0 0	0 70,621	0 330,779	0 0
(15) GRETCHEN M LEITERMAN	(i) (ii)	0 207,141	0 50,841	0 0	0 0	0 60,115	0 318,097	0 0
(16) JEAN NEEDHAM	(i) (ii)	211,214 0	50,814 0	0 0	0 0	33,865 0	295,893 0	0 0
(17) MEGAN M REMARK	(i) (ii)	0 246,125	0 47,169	0 13,524	0 10,793	0 71,191	0 388,802	0 0
(18) BARBARA E TRETHEWAY	(i) (ii)	0 364,927	0 106,610	0 37,422	0 154,654	0 72,550	0 736,163	0 22,923
(19) ALISON G BRISBIN	(i) (ii)	214,006 0	0 0	4,207 0	0 0	47,499 0	265,712 0	0 0
(20) TROY HOFF	(i) (ii)	187,203 0	0 0	0 0	0 0	32,794 0	219,997 0	0 0
(21) DANA M LANGNESS	(i) (ii)	161,284 0	25,368 0	0 0	0 0	41,125 0	227,777 0	0 0
(22) DANIAL N LEVI	(i) (ii)	185,399 0	0 0	0 0	0 0	40,900 0	226,299 0	0 0
(23) GREG S MELLESMOEN	(i) (ii)	171,217 0	21,234 0	0 0	0 0	32,269 0	224,720 0	0 0
(24) DAVID J GRAEBNER	(i) (ii)	200,701 0	85,009 0	0 0	0 0	44,256 0	329,966 0	0 0

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 DIRECTORS AND OFFICERS: MARY K. BRAINERD $106,439 HEIDI G. CONRAD 5,175 KATHLEEN M. COONEY 46,321 KENNETH D. HOLMEN 17,300 BROCK D. NELSON 34,855 BRIAN H. RANK 25,084 MEGAN M. REMARK 4,031 BARBARA E. TRETHEWAY 16,541 -------- TOTAL $255,713
	PART I, LINE 6	REGIONS HOSPITAL (REGIONS) OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY REGIONS OR BY GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM EITHER REGIONS' OR GHI'S MANAGEMENT INCENTIVE PROGRAM, WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAMS' 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:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
REGIONS HOSPITAL

Employer identification number
41-0956618

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS-SERIES 2006	41-6005521	792905CH2	11-30-2006	185,729,229	REFUND SERIES 1993 BONDS & EXPANSION OF HOSPITAL FACILITY	X			X		X
B	CITY OF MAPLEWOOD MN HEALTH CARE FACILITY REVENUE NOTE SERIES 2006	41-6008920	NONE99999	08-18-2006	2,651,612	CONSTRUCTION - SLEEP DISORDER CLINIC		X		X		X
C	HRA OF THE CITY OF ST PAUL MN 10000000 TAX EXEMPT LOAN-SERIES 2003	41-6005521	NONE99999	12-26-2003	10,000,000	FINANCE HOSPITAL EQUIPMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	3,940,000		325,021		9,864,095
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	185,729,229		2,651,612		10,000,000
4 Gross proceeds in reserve funds . .	16,744,500
5 Capitalized interest from proceeds.	13,398,548
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	1,988,857		51,612
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	146,632,112		2,600,000		10,000,000
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2009		2006		2003
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X			X	X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X
16 Has the final allocation of proceeds been made? . .		X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?	X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	1.450 %				1.450 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .
6 Total of lines 4 and 5 . . .. . . . . .	1.450 %				1.450 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?	X			X		X
b Name of provider .	PIPER JAFFRAY
c Term of hedge . .	1.300000000000
d Was the hedge superintegrated? .		X
e Was a hedge terminated? .		X
4a Were gross proceeds invested in a GIC? .	X			X		X
b Name of provider .	TRINITY PLUS
c Term of GIC . .	2.300000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K SUPPLENTAL INFORMATION		SCHEDULE K, PART IV, LINE 4 -GROSS PROCEEDS INVESTED IN A GIC BOND ISSUE A -HRA - CITY OF ST. PAUL SERIES 2006 SECOND GIC: NAME OF PROVIDER - MORGAN STANLEY & COMPANY TERM OF HEDGE - 28.3 YEARS

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

Employer identification number

41-0956618

Identifier	Return Reference	Explanation
EXEMPT PURPOSE AND ACHIEVEMENTS	FORM 990, PART III, LINE 4A	I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE REGIONS HOSPITAL (REGIONS) IS A MINNESOTA NON-PROFIT CORPORATION AND IS PART OF THE HEALTHPARTNERS FAMILY OF CARE. REGIONS, A PREMIER, FULL-SERVICE HOSPITAL PROVIDING OUTSTANDING MEDICAL AND SURGICAL CARE, HAS SERVED THE TWIN CITIES AND SURROUNDING REGION FOR NEARLY 140 YEARS. THE MISSION OF REGIONS IS TO IMPROVE THE HEALTH OF ITS PATIENTS AND THE COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE, WHICH MEETS THE NEEDS OF ALL PEOPLE. REGIONS IS THE SECOND LARGEST PROVIDER OF CHARITY CARE IN MINNESOTA AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. REGIONS IS PART OF THE HEALTHPARTNERS FAMILY OF CARE. HEALTHPARTNERS, INC., A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4), 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). HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS AND REGIONS' SISTER ORGANIZATIONS, REGIONS HOSPITAL FOUNDATION, CAPITAL VIEW TRANSITIONAL CARE CENTER (FORMERLY NORTH ST. PAUL TRANSITIONAL CARE CENTER), AND RAMSEY INTEGRATED HEALTH SERVICES, ALL OF WHICH ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HPI-RAMSEY IS ALSO THE SOLE CORPORATE MEMBER OF RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HEALTHPARTNERS, INC. IS ALSO 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. (GHI) (A STAFF MODEL HMO) WHICH IS ITSELF THE SOLE CORPORATE MEMBER OF HEALTHPARTNERS RESEARCH FOUNDATION, PHYSICIANS NECK & BACK CLINICS AND HEALTHPARTNERS CENTRAL MINNESOTA CLINICS, INC. (FORMERLY CENTRAL MINNESOTA GROUP HEALTH, INC.), ALL OF WHICH ARE EXEMPT UNDER SECTION 501(C) (3), HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION, AND RHSC, INC. RH-WISCONSIN, INC. AND GHI 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 PROVISION AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. REGIONS ESTABLISHED THE FIRST PALLIATIVE CARE PROGRAM IN THE EAST METRO AREA, AND OFFERS SPECIAL PROGRAMS IN CARDIOLOGY, WOMEN'S CARE, SURGERY, SENIORS' SERVICES, DIGESTIVE CARE, CANCER, BEHAVIORAL HEALTH, EMERGENCY, STROKE AND BURN CARE. REGIONS IS ACCREDITED BY THE JOINT COMMISSION, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES, THE AMERICAN BURN ASSOCIATION, THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA AND HAS BEEN REPEATEDLY RECOGNIZED BY THE MINNESOTA HOSPITAL ASSOCIATION FOR PATIENT SAFETY; AMONG OTHERS. REGIONS AND THE HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION (IME) HAVE ENJOYED A LONG HISTORY OF PARTNERSHIP WITH THE MEDICAL SCHOOL OF THE UNIVERSITY OF MINNESOTA (U OF M) TO PROVIDE MEDICAL STUDENT EDUCATION AT REGIONS. AREAS OF RESIDENT TRAINING INCLUDE: EMERGENCY MEDICINE, FOOT & ANKLE SURGERY, HOSPITAL MEDICINE, MEDICAL TOXICOLOGY, OCCUPATIONAL MEDICINE, PSYCHIATRY (JOINT PROGRAM WITH ANOTHER AREA HOSPITAL), PHYSICIAN ASSISTANT/NURSE PRACTITIONER FELLOWSHIP IN BEHAVIORAL HEALTH, AND MANAGED CARE PHARMACY. IME ALSO PROVIDES EDUCATION IN ELEVEN ADDITIONAL RESIDENCY PROGRAMS FROM THE U OF M. REGIONS HEALTH PROFESSIONALS ARE ALSO INVOLVED IN MEDICAL RESEARCH FOCUSED ON IMPROVING HEALTH AND MEDICAL CARE. REGIONS IS ONE OF ONLY SIX MAJOR TEACHING HOSPITALS IN THE STATE OF MINNESOTA. REGIONS TRAINS ALMOST 500 RESIDENT PHYSICIANS IN 19 MEDICAL SPECIALTIES EACH YEAR AS WELL AS OVER 300 MEDICAL STUDENTS. REGIONS' TEACHING AFFILIATIONS INCLUDE COLLEGES AND UNIVERSITIES THROUGHOUT THE COUNTRY. REGIONS SUPPORTS IME TRAINING PROGRAMS, SUCH AS THE CENTER FOR UNDERGRADUATE AND GRADUATE CLINICAL EDUCATION, THE CENTER FOR CONTINUING PROFESSIONAL EDUCATION, AND THE SIMULATION CENTER FOR PATIENT SAFETY. IME PROVIDES EDUCATION FOR RESIDENT PHYSICIANS AT REGIONS IN THE FOLLOWING SPECIALTIES: - ANESTHESIA - EMERGENCY MEDICINE - FAMILY MEDICINE - INTERNAL MEDICINE - NEUROLOGY - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL MEDICINE - OPHTHALMOLOGY - ORTHOPEDIC SURGERY - OTOLARYNGOLOGY - PHYSICAL MEDICINE & REHABILITATION - PLASTIC SURGERY - PSYCHIATRY - RADIOLOGY - SURGERY - TOXICOLOGY PLEASE SEE IME'S FORM 990 FOR MORE INFORMATION ON MEDICAL EDUCATION ACTIVITIES. II. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2010 CHARITY CARE REGIONS IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. IN 2010 ALONE, REGIONS PROVIDED $82.5 MILLION IN CHARITY CARE CHARGES ($24.8 MILLION IN CHARITY CARE COSTS) TO CARE FOR 44,853 PATIENTS WHO DID NOT HAVE INSURANCE OR COULD NOT AFFORD CARE. CHARITY CARE REPRESENTS 4.6 PERCENT OF REGIONS' TOTAL OPERATING EXPENSES. 23,973 PATIENTS RECEIVED FREE OR DISCOUNTED CARE IN 2010. OF THE 63,097 PATIENT ACCOUNTS WRITTEN OFF IN 2010, 33,264 WERE PURE "SELF PAY" PATIENTS WITH NO COVERAGE AND NO ABILITY TO PAY. APPROXIMATELY 47 PERCENT OF THESE SELF-PAY PATIENTS ARE BETWEEN THE AGES OF 18 AND 34. THE REMAINING 29,833 PATIENTS HAD SOME COVERAGE BUT WERE UNABLE TO PAY THE "PATIENT RESPONSIBILITY" PORTION OF THEIR BILL. REGIONS DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY A THIRD-PARTY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. REGIONS IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. FOR EXAMPLE, IN 2010, REGIONS PROVIDED INPATIENT AND OUTPATIENT EMERGENCY SERVICES TO SELF-PAY PATIENTS TOTALING $30.6 MILLION IN CHARGES. APPROXIMATELY $9.1 MILLION OF THESE CHARGES WERE WRITTEN-OFF BY REGIONS AS A NET LOSS. IN 2010, REGIONS EXPANDED ITS EMERGENCY CENTER TO 54,000 SQUARE FEET AND 53 BEDS, THE LARGEST IN THE EAST METRO. IN 2010, 15 PERCENT OF OUTPATIENT VISITS SEEN IN REGIONS EMERGENCY DEPARTMENT WERE SELF PAY PATIENTS. COORDINATED CARE DELIVERY SYSTEM COMMITTED TO SERVING PATIENTS FORMERLY ON GENERAL ASSISTANCE MEDICAL CARE, REGIONS HOSPITAL MADE SIGNIFICANT INVESTMENTS TO PROVIDE CARE AND ACCESS THROUGH PARTICIPATION IN THE COORDINATED CARE DELIVERY SYSTEM (CCDS). THE PROGRAM WAS SET UP IN LESS THAN SIX WEEKS AND LASTED FROM JUNE 2010 THROUGH FEBRUARY 2011. ALTHOUGH BECOMING THE ONLY CCDS IN EAST METRO MEANT MAKING SIGNIFICANT FINANCIAL SACRIFICES, IT WAS THE RIGHT THING TO DO FOR OUR PATIENTS WHO HAD NO OTHER GOVERNMENT PROGRAM THEY COULD RELY ON FOR HEALTH CARE. BEING A CCDS BROUGHT ABOUT VERY USEFUL CARE MODEL LEARNINGS BUT AT A COST SIGNIFICANTLY HIGHER THAN WAS FUNDED. REGIONS CCDS INCLUDED PHONE SUPPORT, EDUCATION, INCREASED ACCESS TO CARE, EXPANDED USE OF ADVANCED PRACTICE PROFESSIONALS AND INTEGRATION OF MEDICAL AND MENTAL HEALTH CARE. REGIONS ALSO HAD A WALK-IN CLINIC ON ITS CAMPUS. REGIONS RECEIVED AN AVERAGE OF $3,700 IN REIMBURSEMENT PER CCDS PATIENT PER YEAR.
		CARE FOR MEDICARE AND MEDICAID PATIENTS REGIONS PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES, TO A LARGE NUMBER OF MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. IN FACT, REIMBURSEMENT FROM GOVERNMENT PROGRAMS CONSTITUTED 55.6 PERCENT OF REGIONS' REIMBURSEMENT IN 2010, WHILE COMMERCIAL BUSINESS COMPRISED 40.5 PERCENT OF REIMBURSEMENT. THE REMAINDER, 3.9 PERCENT, WAS MADE UP OF SELF-PAY AND CHARITY CARE PAYMENTS. MEDICARE PROVIDED 29.5 PERCENT OF TOTAL REIMBURSEMENT, MEDICAID PROVIDED 14.3 PERCENT AND GENERAL ASSISTANCE MEDICAL CARE (GAMC) PROVIDED 5.6 PERCENT. ALTHOUGH MOST OF REGION'S REIMBURSEMENT COMES FROM GOVERNMENT PROGRAMS, IT SHOULD ALSO BE NOTED THAT THESE PROGRAMS OFTEN DO NOT COMPENSATE HOSPITALS FOR THE FULL COST OF PROVIDING CARE. REGIONS PAID OVER $10 MILLION IN 2010 IN A MINNESOTA HEALTH CARE PROVIDER TAX EQUAL TO TWO PERCENT OF ITS NET REVENUE FROM PATIENT CARE SERVICES. THE FUNDS RAISED BY THIS TAX ARE EARMARKED BY THE STATE TO INCREASE HEALTH CARE ACCESS FOR MINNESOTANS WHO ARE OTHERWISE UNABLE TO PURCHASE HEALTH CARE SERVICES. PORTICO HEALTHNET REGIONS BELIEVES THAT ACCESS TO HEALTH CARE COVERAGE IS A MAJOR FACTOR IN AVERTING MORE EXPENSIVE EMERGENCY ROOM VISITS. TO IMPROVE ACCESS TO PEOPLE WITHOUT HEALTH INSURANCE, IN 2010, REGIONS AND PROVIDED APPROXIMATELY $249,939 TO PORTICO HEALTHNET (PORTICO) IN ORDER TO PROVIDE BENEFIT COVERAGE AND ADMINISTRATIVE COSTS PARTICIPANTS. PORTICO IS A NONPROFIT ORGANIZATION THAT HELPS ABOUT 350 PEOPLE PER MONTH ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS. SINCE 1995, PORTICO OUTREACH WORKERS HAVE PROVIDED ASSISTANCE IN COMPLETING APPLICATIONS FOR PROGRAMS SUCH AS MNCARE OR MEDICAL ASSISTANCE, AND FOR PEOPLE WHO DO NOT QUALIFY FOR THESE PROGRAMS TO MEET PROGRAM ELIGIBILITY CRITERIA. IN ADDITION, PORTICO OFFERS ITS OWN COVERAGE PROGRAM AND COVERS PRIMARY AND SPECIALTY CARE CLINIC VISITS, URGENT CARE SERVICES, AND PRESCRIPTION DRUGS ALONG WITH INTERPRETER AND TRANSPORTATION SERVICES. COMMUNITY SERVICES IN ADDITION TO THE CHARITY CARE DESCRIBED ABOVE, REGIONS PROVIDED $5.6 MILLION IN COMMUNITY SERVICES IN THE CATEGORIES LISTED BELOW. INTERPRETER SERVICES LANGUAGE INTERPRETATION SERVICES. REGIONS HAS 77 PERMANENT AND ON-CALL STAFF INTERPRETERS WHO PROVIDE INTERPRETATION SERVICES AT REGIONS AND FOUR HEALTHPARTNERS CLINICS IN 12 LANGUAGES INCLUDING CAMBODIAN, KAREN, BURMESE, OROMO, AMHARIC, SPANISH, SOMALI, HMONG, LAO, THAI, VIETNAMESE, AND AMERICAN SIGN LANGUAGE. STAFF AND PHYSICIANS ALSO HAVE ACCESS TO AN EXTENSIVE NETWORK OF AGENCY INTERPRETERS AND HAVE TELEPHONE OR VIDEO REMOTE ACCESS TO SERVICES FOR MORE THAN 150 LANGUAGES. IN 2010, HEALTHPARTNERS INVESTED OVER $6.6 MILLION ENTERPRISE-WIDE ON LANGUAGE INTERPRETATION SERVICES. REGIONS' 2010 CONTRIBUTION TOWARDS THESE EXPENSES WAS $1,180,400. MULTILINGUAL HEALTH RESOURCES EXCHANGE. THE EXCHANGE IS A COLLABORATION AMONG MANY MINNESOTA ORGANIZATIONS (INCLUDING HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS, PUBLIC HEALTH AGENCIES, AND COMMUNITY GROUPS) TO SHARE TRANSLATED HEALTH MATERIALS AND INFORMATION TO MEET THE HEALTH EDUCATION AND INFORMATION NEEDS OF PEOPLE WITH LIMITED ENGLISH PROFICIENCY. HEALTHPARTNERS AND REGIONS WERE INSTRUMENTAL IN STARTING THE EXCHANGE IN 2001. EACH MEMBER OF THE EXCHANGE CONTRIBUTES MATERIALS TRANSLATED BY THEIR ORGANIZATION TO THE EXCHANGE WEBSITE WHERE ALL PARTNER ORGANIZATIONS CAN DOWNLOAD IT FOR USE WITH THEIR CLIENTS AND PATIENTS. THIS GREATLY INCREASES THE AMOUNT OF HEALTH EDUCATION AVAILABLE IN LANGUAGES OTHER THAN ENGLISH FOR ALL PARTICIPATING ORGANIZATIONS. ANNUALLY, HEALTHPARTNERS AND REGIONS TOGETHER CONTRIBUTE $2,500 TO THE EXCHANGE. FINANCIAL COUNSELING TO SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDERINSURED PATIENTS, REGIONS ESTABLISHED A FINANCIAL COUNSELING PROGRAM. THE PROGRAM WAS STARTED IN THE EMERGENCY DEPARTMENT IN 1995 BUT SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT REGIONS. THE PROGRAM, WHICH IS ADMINISTERED WITHIN REGIONS ADMITTING AND REGISTRATION DEPARTMENT, WAS FUNDED BY REGIONS AT THE COST OF OVER $1.1 MILLION IN 2010. TWENTY-TWO COUNSELORS (2.5 OF WHOM ARE RAMSEY AND DAKOTA COUNTY EMPLOYEES) HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF COVERAGE. SPECIFICALLY, THE COUNSELORS ARE ABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS, SETTING UP PAYMENT PLANS OR APPLYING FOR CHARITY CARE. TO HELP PATIENTS ACCESS SERVICES BEYOND MEDICAL CARE, REGIONS HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. IN 2010, FINANCIAL COUNSELORS ENROLLED NEARLY 3,000 INDIVIDUALS IN GOVERNMENT HEALTH CARE PROGRAMS. THIS PROVIDED APPROXIMATELY $8.5 MILLION TO REGIONS FOR CARE THAT OTHERWISE WOULD HAVE BEEN CONSIDERED CHARITY CARE. FOR 2010, THE APPLICATION BREAKDOWN WAS AS FOLLOWS: IN THE EMERGENCY DEPARTMENT, THERE WERE 1,102 APPLICATIONS TAKEN AND 607 WERE SUCCESSFULLY OPENED (55% SUCCESS RATE); FOR INPATIENTS, THERE WERE 1,611 APPLICATIONS TAKEN AND 984 WERE SUCCESSFULLY OPENED (61% SUCCESS RATE); AND FOR OUTPATIENTS/WALK-INS, THERE WERE 262 APPLICATIONS TAKEN AND 186 WERE SUCCESSFULLY OPENED (70% SUCCESS RATE). EMERGENCY MEDICAL SERVICES TERRORISM PREPAREDNESS. REGIONS IS A LEADER IN EMERGENCY MANAGEMENT FOR THE EAST METRO. REGIONS STAFF STAYS PREPARED FOR ANY SITUATION THAT MAY ARISE AND COLLABORATES WITH OTHER HOSPITALS AND PUBLIC SAFETY OFFICIALS TO ENSURE THAT PLANNING AND RESPONSE PLANS ARE INTEGRATED. REGIONS PARTICIPATED IN AN INSPECTION CONDUCTED BY CENTERS FOR MEDICARE AND MEDICAID SERVICES AND RECEIVED HIGH MARKS FOR EMERGENCY MANAGEMENT AND OVERALL PLAN OF SUSTAINABILITY. REGIONS ALSO HAS THE ONLY MASS (NON-MILITARY) DECONTAMINATION SITE IN RAMSEY COUNTY THAT STANDS READY TO HANDLE ANY MAJOR EVENT. REGIONS CAN TREAT UP TO 150 PEOPLE PER HOUR IN THE EVENT OF BIOLOGICAL, CHEMICAL, OR NUCLEAR INCIDENTS AND IS COMPLETELY COMPLIANT WITH THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION. REGIONS IS A MEMBER OF THE METROPOLITAN HOSPITAL COMPACT, ALONG WITH 29 TWIN CITIES HOSPITALS. REGIONS HAS PLAYED A VITAL ROLE IN THE DEVELOPMENT OF COMMUNITY WIDE PLANNING TO IMPROVE EMERGENCY MANAGEMENT THROUGHOUT HEALTHCARE AND ESTABLISH INTERFACING WITH PUBLIC SAFETY INCLUDING CITY AND COUNTY EMERGENCY MANAGERS. ADDITIONALLY, REGIONS COLLABORATES WITH CITY, COUNTY AND STATE PUBLIC HEALTH OFFICIALS TO PLAN APPROPRIATELY FOR PANDEMIC EVENTS. REGIONS HAS BEEN SELECTED AS A SITE FOR MUCH OF THE STOCKPILE PROVIDED BY BOTH THE STATE OF MINNESOTA AND THE FEDERAL GOVERNMENT. MENTAL HEALTH CRISIS ALLIANCE. MHCA IS A CRISIS RESPONSE SYSTEM THAT AUGMENTS INPATIENT SERVICES IN THE EAST METRO. HEALTHPARTNERS AND REGIONS ARE MAJOR SPONSORS OF MHCA WHICH INCLUDES FOURTEEN ORGANIZATIONS THAT REPRESENT COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, CONSUMERS AND ADVOCATES. FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS, MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. IN 2010, REGIONS PROVIDED $20,000 TO THE COLLABORATIVE. EMERGENCY MEDICAL SERVICES EDUCATION. REGIONS EMS HAS BEEN THE PRINCIPAL PROVIDER OF PRE-HOSPITAL EDUCATION IN EASTERN MINNESOTA AND WESTERN WISCONSIN FOR OVER 30 YEARS. THE EMS EDUCATION DIVISION HAS EVOLVED RAPIDLY IN THE AREAS OF RESEARCH AND PHYSICIAN INVOLVEMENT IN PRE-HOSPITAL MEDICINE. EMS EDUCATION PROVIDES BASIC AND ADVANCED COURSES FOR NURSES, PHYSICIANS AND OTHER HEALTH PROFESSIONALS. OVER 400 CLASSES WERE OFFERED IN 2010. THE NET COST INVESTED IN THE COMMUNITY WAS $891,207. REGIONS EMERGENCY MEDICAL SERVICES IS A NATIONAL LEADER IN PRE-HOSPITAL RESUSCITATION RESEARCH. THE EMS DEPARTMENT CONTINUED ITS PARTICIPATION IN A 3-ARM, NIH-FUNDED, MULTI-CENTER, RANDOMIZED, OUT-OF-HOSPITAL CLINICAL TRIAL EXAMINING THE SAFETY AND EFFICACY OF 2 INVESTIGATIONAL DEVICES USED DURING CARDIOPULMONARY RESUSCITATION (CPR). REGIONS EMS DELIVERS 24-HOUR MEDICAL DIRECTION AND CONSULTATION TO A DIVERSE GROUP OF PRE-HOSPITAL PROVIDERS IN MINNESOTA AND WESTERN WISCONSIN. ONE UNIQUE WAY WE DO THIS IS BY PROVIDING CUSTOMIZED RESOURCE DIRECTORY. THIS DIRECTORY INCLUDES BEST PRACTICE GUIDELINES AND STATE REGULATIONS, ALONG WITH A CUSTOMIZED MEDICAL DIRECTION PLAN FOR EACH ORGANIZATION BASED ON THEIR LOCAL RESOURCES AND ENVIRONMENT. THE DEPARTMENT CURRENTLY REPRESENTS 38 SERVICES WITH 1,500 PROVIDERS INCLUDING RURAL VOLUNTEER FIREFIGHTERS AND EMERGENCY MEDICAL TECHNICIANS, URBAN PARAMEDICS AND SUBURBAN PUBLIC SAFETY PERSONNEL.
		LIFE LINK III. REGIONS IS A CORPORATE MEMBER (ALONG WITH SEVERAL OTHER AREA HOSPITALS) OF LIFE LINK III, A MOBILE CRITICAL CARE TRANSPORT SERVICE THAT PROVIDES AMBULANCE, HELICOPTER AND AIRPLANE OPTIONS TO THE MOST SEVERELY INJURED TRAUMA PATIENTS. MEDICAL RESOURCE CONTROL CENTER. THE MRCC SERVES AS THE ONLINE RADIO LIAISON BETWEEN EMS AMBULANCE CREWS AND DESTINATION HOSPITALS. MRCC PROVIDES MEDICAL CONTROL COMMUNICATIONS TO AMBULANCE SERVICES AND PRE-HOSPITAL EMERGENCY CARE PROVIDERS IN THE EAST METRO COUNTIES OF DAKOTA, RAMSEY AND WASHINGTON IN MINNESOTA AND AREAS OF WESTERN WISCONSIN. THE MRCC IS IN CONTACT WITH METRO AREA EMERGENCY DEPARTMENTS. THE COMMUNICATIONS CENTER ITSELF IS LOCATED IN THE REGIONS EMERGENCY CENTER. MRCC STAFF PROVIDES AMBULANCE PERSONNEL WITH A SINGLE CONTACT POINT FOR RELAYING PATIENT INFORMATION, AN EMS GUIDELINE RESOURCE, HOSPITAL DIVERSION INFORMATION, MEDICAL RESOURCE ACCESS, COORDINATION OF MASS CASUALTIES, EMS COMMUNICATION EDUCATION AND CQI AND EMS CALL DATA COLLECTION. REGIONS FUNDS 48 PERCENT OF THE TOTAL COST OF MRCC, WHICH TOTALED $277,890 IN 2010. TRAUMA SERVICES TRAUMA CENTER ADMINISTRATION. IN 2010, REGIONS CONTRIBUTED APPROXIMATELY $194,688 FOR TRACKING TRAUMA AND BURN INJURIES. REGIONS TRAUMA DEPARTMENT TRACKS TRAUMA-RELATED INJURIES FOR A REGISTRY USED FOR PUBLIC HEALTH REPORTING. THE TRAUMA DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, AS A LEVEL I ADULT TRAUMA CENTER AND A LEVEL I PEDIATRIC TRAUMA CENTER. AS THE ONLY LEVEL I TRAUMA CENTER SERVING THE EAST METRO AND WESTERN WISCONSIN, REGIONS HAS LONG BEEN A LEADER IN PROVIDING EMERGENCY AND CRITICAL CARE SERVICES TO THE COMMUNITY. REGIONS' EXPANSION PROJECT THAT WAS LARGELY COMPLETED IN 2009 HAS ALLOWED MORE PATIENTS TO RECEIVE CARE AND FOR REGIONS TO BETTER TO SERVE THE EAST METRO AND WESTERN WISCONSIN. THE 54,000 SQUARE FOOT EMERGENCY CENTER SAW PATIENT VOLUME INCREASE BY MORE THAN 5,000 OVER 2009 NUMBERS. REGIONS IS AN ACTIVE MEMBER OF THE WEST CENTRAL REGIONAL TRAUMA ADVISORY COMMITTEE, WHICH WAS CREATED BY THE STATE OF WISCONSIN TO SERVE AS THE REGIONAL TRAUMA SYSTEM FOR THE WESTERN WISCONSIN REGION. THE SYSTEM COORDINATES WITH REGIONS AS THE AREA'S ONLY LEVEL I ADULT AND LEVEL I PEDIATRIC TRAUMA CENTERS TO TREAT SEVERE TRAUMA PATIENTS FROM PIERCE, POLK AND ST. CROIX COUNTIES IN WISCONSIN. AS PART OF THE VERIFICATIONS OF OUR LEVEL I TRAUMA CENTER STATUS AND OF THE BURN CENTER, REGIONS IS REQUIRED TO PROVIDE INJURY PREVENTION PROGRAMMING TO THE COMMUNITY'S SERVED BY REGIONS. IT IS ALSO REQUIRED TO RESPOND TO THE TRENDS IT SEES IN ITS OWN PATIENT POPULATION IN THE CREATION OF THE PROGRAMMING. TO HELP FULFILL THIS ROLE, REGIONS' EMS PROGRAM ACTIVELY PARTICIPATES IN INJURY PREVENTION AND OUTREACH EFFORTS THROUGHOUT THE EAST METRO AND WESTERN WISCONSIN. THE PURPOSE OF EMS'S INJURY PREVENTION PROGRAMMING IS TO REDUCE THE RATES OF INJURIES AT HOME, AT SCHOOL, ON THE ROAD, AND AT PLAY. ITS INJURY PREVENTION EFFORTS INCLUDE THE FOLLOWING: - PROVIDING TRAINING AND HEALTH SAFETY EDUCATION - COLLECTING AND ANALYZING DATA REGARDING INJURIES WITHIN THE COMMUNITY - LEADING COALITIONS OF ORGANIZATIONS THAT ARE TIED TO THE SAFETY OF THE COMMUNITY - HELPING ITS PARTNERS DEVELOP THEIR OWN PROGRAMS TO PROTECT PUBLIC SAFETY - CREATE INFORMATIONAL MATERIAL ON PUBLIC SAFETY REGIONS IS A LEADER IN PROVIDING INJURY PREVENTION EDUCATION. REGIONS' PROGRAMS CURRENTLY INCLUDE THE FOLLOWING: - SAFE KIDS CAR SEAT SAFETY CLINICS TEACH PARENTS HOW TO BEST SECURE THEIR NEW BABIES IN CAR SEATS - TRAUMAROO PROVIDES INJURY PREVENTION EDUCATION TO FIRST GRADERS - THINK FIRST TEACHES YOUNG ADULTS TO MAKE RESPONSIBLE DECISIONS IN ORDER TO AVOID HEAD AND SPINAL CORD INJURIES - ENCARE EDUCATES STUDENTS ABOUT UNDERAGE ALCOHOL USE AND THE TRAGIC CONSEQUENCES OF DRINKING AND DRIVING - GERIATRIC FALLS PREVENTION PROGRAM OFFERS FALLS PREVENTION PROGRAMMING TO HOSPITALS IN WESTERN WISCONSIN CANCER AND PALLIATIVE CARE IN ADDITION TO THE CANCER CARE LISTED BELOW, REGIONS INVESTED $346,788 IN PALLIATIVE CARE IN 2010. PATRICIA D. LUNDBORG CANCER LIBRARY. THE LUNDBORG CANCER LIBRARY PROVIDES CANCER-RELATED CONSUMER HEALTH INFORMATION TO PATIENTS AND THEIR FAMILIES AND FRIENDS, STAFF, AND MEMBERS OF THE COMMUNITY. THE LIBRARY COLLECTION CONSISTS OF OVER 1,000 CANCER-RELATED BOOKS AND VIDEOS AVAILABLE FOR CHECK OUT. ALSO, THE LIBRARY PROVIDES ACCESS TO MORE THAN 280 DIFFERENT TITLES FROM THE AMERICAN CANCER SOCIETY, THE NATIONAL CANCER INSTITUTE, THE LEUKEMIA AND LYMPHOMA SOCIETY, CANCERCARE, LIVESTRONG AND MANY OTHER ORGANIZATIONS IN PRINTED FORMAT OR ONLINE. THE LIBRARY PROVIDES INFORMATION IN DIFFERENT FOREIGN LANGUAGES INCLUDING SPANISH, CHINESE, RUSSIAN, VIETNAMESE, HMONG AND TAI. IN ADDITION, A WEBSITE WHICH IS ACCESSIBLE FROM THE LIBRARY'S TWO PUBLIC COMPUTERS, OFFERS LINKS TO OVER 300 WEB PAGES. THE ENTIRE COLLECTION, INCLUDING BROCHURES AND ONLINE RESOURCES, IS ORGANIZED BY A SIMPLIFIED SET OF CATEGORIES THAT ALLOW PEOPLE TO QUICKLY LOCATE MATERIAL, REGARDLESS OF THE FORMAT. DETAILED STATISTICS FOR 2010: - OVER 1,860 PEOPLE HAVE USED THE LIBRARY - TOTAL MATERIAL USAGE WAS 1,788 ITEMS - OVER 821 BROCHURES WERE UTILIZED - 728 USED THE LIBRARY COMPUTERS - 705 BOOKS WERE CHECKED OUT - 263 ENTERTAINMENT MOVIES WERE CHECKED OUT FOR THE INFUSION ROOM PATIENTS - LIBRARY COLLECTION OF OVER 1,000 CANCER-RELATED BOOKS AND VIDEOS AVAILABLE FOR CHECKOUT - IN 2010 OVER 45 NEW BOOKS WERE ACQUIRED FOR THE LIBRARY 2010 NURSING SYMPOSIUM. IN APRIL OF 2010, THE HEALTHPARTNERS CANCER CARE CENTERS CONDUCTED A NURSING SYMPOSIUM. THE SESSION WAS AVAILABLE TO THE COMMUNITY AND ENHANCED THE SKILLS OF ONCOLOGY NURSES RELATED TO CANCER CARE. OVER 50 NURSES FROM THE COMMUNITY ATTENDED THIS HALF DAY EVENT. THE REGIONS CANCER SURVIVORSHIP PROGRAM. THE REGIONS CANCER SURVIVORSHIP PROGRAM WAS ESTABLISHED IN 2008. IN THE SURVIVORSHIP CLINIC AN INTERDISCIPLINARY TEAM REVIEWS THE PATIENT'S TREATMENT EXPERIENCE AND THE PATIENT'S CURRENT PHYSICAL AND EMOTIONAL WELL BEING. BASED ON THIS REVIEW, THE PATIENT RECEIVES A COMPREHENSIVE AND INDIVIDUALIZED SURVIVORSHIP CARE PLAN. PATIENTS RECEIVE INFORMATION THAT IDENTIFIES SPECIALISTS AND RESOURCES WITHIN HEALTHPARTNERS AND THE COMMUNITY TO MANAGE SPECIFIC SURVIVORSHIP ISSUES INCLUDING NUTRITIONAL EDUCATION, PHYSICAL ACTIVITY RECOMMENDATIONS AND OTHER TOPICS OF INTEREST. CANCER SURVIVORS ADVISORY COUNCIL. IN ADDITION TO THE COMMUNITY BENEFIT PROGRAMS ABOVE, REGIONS OFFERED THE CANCER SURVIVORS ADVISORY COUNCIL. THIS IS A FORUM FOR PATIENTS WHO HAVE COMPLETED THEIR ACUTE CANCER TREATMENT AT REGIONS AND HEALTHPARTNERS RIVERSIDE CLINIC CANCER CARE CENTERS AND WHO ARE NOW TRANSITIONING INTO LONG-TERM CANCER MANAGEMENT. THE MISSION OF THE COUNCIL IS TO ADVISE US ON ISSUES THAT CANCER PATIENTS FACE DURING AND AFTER TREATMENT AND TO PROVIDE FEEDBACK AND RECOMMENDATIONS TO IMPROVE THE PROGRAM. THE 12-MEMBER COUNCIL MET SIX TIMES IN 2010 AND WAS ASKED TO MAKE RECOMMENDATIONS ON SERVICES ALREADY OFFERED AS WELL AS TO ASSIST WITH THE DESIGN OF NEW SERVICES. FEEDBACK FROM THE COUNCIL HAS GUIDED CHANGES WE HAVE MADE TO PATIENT EDUCATION MATERIALS AND THE SERVICES AVAILABLE IN OUR CLINICS. WE ARE ALSO IN THE PROCESS OF PARTNERING WITH COMMUNITY PROGRAMS, SCHOOLS AND LOCAL ARTISTS TO DISPLAY THEIR ART IN OUR CANCER CARE CENTERS FOR OUR PATIENTS TO ENJOY. SEXUAL ASSAULT NURSE EXAMINER THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM HAS PARTNERED WITH SEXUAL OFFENSE SERVICES OF RAMSEY COUNTY TO PROVIDE COMPREHENSIVE, COMPASSIONATE CARE TO SEXUAL ASSAULT VICTIMS, AGE 13 AND OLDER, SINCE 2002. THE REGISTERED NURSES WITHIN THE SANE PROGRAM ARE SPECIALLY TRAINED TO PROVIDE FOR THE UNIQUE NEEDS OF SEXUAL ASSAULT VICTIMS FROM BOTH A MEDICAL AND A FORENSIC PERSPECTIVE. REGIONS SANE PROGRAM CARED FOR 201 PATIENTS IN 2010. REGIONS INVESTED $201,308 IN THIS IMPORTANT EFFORT.
		SUPPORT GROUPS IN 2010, REGIONS PROVIDED OVER $10,000 OF IN-KIND SUPPORT GROUPS OPEN TO PATIENTS AND COMMUNITY MEMBERS. GROUPS INCLUDED: - TAKING CHARGE. TAKING CHARGE IS A SUPPORT GROUP FOR WOMEN WHO HAVE RECENTLY BEEN DIAGNOSED WITH BREAST CANCER AND THEIR FAMILY AND FRIENDS. THE GROUP PROVIDES EDUCATION, SUPPORT AND A CONNECTION WITH OTHERS UNDERGOING ACTIVE TREATMENT. MEETS TWICE A MONTH AND SERVES120-180 EACH YEAR. - LUNG CANCER SUPPORT. DISCUSSION, SPEAKERS AND SUPPORT ON HOW TO HAVE A GOOD LIFE WHEN FACING A SERIOUS LUNG ILLNESS. THE SESSIONS ARE OPEN TO THOSE WITH LUNG CANCER AND THEIR FAMILIES (PARTICIPANTS DO NEED NOT BE SEEKING TREATMENT AT REGIONS TO PARTICIPATE IN THE GROUP). MEETINGS ARE HELD MONTHLY IN THE EVENINGS. OVER 220 VISITS TOOK PLACE IN 2010 WITH 17 NEW PATIENTS ATTENDING. - WELLNESS WITHIN. WELLNESS WITHIN IS A MONTHLY SUPPORT GROUP FOR INDIVIDUALS SEEKING GUIDANCE FOR LIVING WITH LEUKEMIA, LYMPHOMA, HODGKIN'S DISEASE OR MYELOMA. GROUP FACILITATORS INCLUDE A SURVIVOR AND A SOCIAL WORKER. GUEST SPEAKERS ARE INVITED TO INTRODUCE VARIOUS PERSPECTIVES ON HEALTH AND HEALING. MEMBERS NEED NOT BE SEEKING TREATMENT AT REGIONS TO PARTICIPATE IN THE GROUP. - BURN SURVIVOR. SUPPORT GROUP FOR PATIENTS AND FAMILY MEMBERS WITH BURN INJURIES, ELECTRICAL INJURIES AND SOFT TISSUE DISORDERS SUCH AS NECROTIZING FASCIITIS. GROUP FACILITATORS INCLUDE A BURN CENTER SOCIAL WORKER AND BURN SUPPORT REPRESENTATIVE. MEETS MONTHLY WITH FIVE OR SIX PARTICIPANTS PER SESSION, SERVING 70 PEOPLE ANNUALLY. - ELECTRICAL INJURY. SUPPORT GROUP FOR PATIENTS WITH LOW OR HIGH VOLT ELECTRICAL INJURIES. GROUP FACILITATORS INCLUDE A BURN SUPPORT REPRESENTATIVE AND THE BURN CENTER CHAPLAIN. MEETS QUARTERLY WITH FIVE TO EIGHT ATTENDEES PER MEETING, INCLUDING PATIENTS AND SIGNIFICANT OTHERS. - STROKE SURVIVOR. SUPPORT GROUP FOR PATIENTS WHO HAVE EXPERIENCED STOKES. FACILITATED BY OCCUPATIONAL THERAPIST, PHYSICAL THERAPIST OR SPEECH PATHOLOGIST. MET FOR A TOTAL OF 25 HOURS IN 2010. - SLEEP DISORDER. SUPPORT GROUP FOR PEOPLE WITH SLEEP APNEA AND OTHER SLEEP DISORDERS. OPEN TO THE PUBLIC AND PATIENTS USING HEALTHPARTNERS HOME MEDICAL FOR THEIR CPAP EQUIPMENT. MEETS QUARTERLY WITH A TOTAL OF 85 HOURS IN 2010. MENTAL HEALTH SERVICES REGIONS' BEHAVIORAL HEALTH DEPARTMENT IS THE LEADING PROVIDER OF COMPREHENSIVE MENTAL AND CHEMICAL HEALTH SERVICES IN THE TWIN CITIES EAST METRO AREA AND WESTERN WISCONSIN. FOR EXAMPLE, REGIONS CONTRIBUTED $258,215 IN 2010 TO HOVANDER HOUSE, A SHORT-TERM RESIDENTIAL LIVING FACILITY AND PROGRAM FOR BEHAVIORAL HEALTH PATIENTS WHO ARE CLINICALLY AND PHYSICALLY STABLE BUT WHO REQUIRE FURTHER SUPPORT AND ASSISTANCE BEFORE RETURNING TO A COMMUNITY SETTING. HOVANDER HOUSE IS STAFFED BY MENTAL HEALTH PROFESSIONALS FROM REGIONS AND CAN ACCOMMODATE UP TO NINE ADULTS AT A TIME. IN ADDITION TO HELPING PATIENTS TRANSITION INTO THE COMMUNITY, THE FACILITY HAS SAVED OVER 500 NON-ACUTE HOSPITAL DAYS. CRISIS SERVICES. IN 2010, REGIONS PROVIDED $1,414,199 FOR BEHAVIORAL HEALTH CRISIS SERVICES TWENTY-FOUR HOURS, SEVEN DAYS A WEEK IN THE REGIONS EMERGENCY DEPARTMENT. CONTRIBUTIONS TO REGIONS HOSPITAL FOUNDATION IN 2010, REGIONS CONTRIBUTED $71,381 TO REGIONS HOSPITAL FOUNDATION. REGIONS HOSPITAL FOUNDATION FUNDS PROGRAMS FOR PATIENT CARE, RESEARCH AND MEDICAL EDUCATION. PLEASE SEE THE REGIONS HOSPITAL FOUNDATION FORM 990 FOR MORE INFORMATION ON FOUNDATION ACTIVITIES. THE REGIONS NEUROSCIENCES DEPARTMENT AND THE ALZHEIMER'S RESEARCH CENTER COLLABORATE ON RESEARCH. THE ALZHEIMER'S RESEARCH CENTER OF THE HEALTHPARTNERS RESEARCH FOUNDATION IS RECOGNIZED FOR WORLD-CLASS RESEARCH AND HAS ONE OF THE LARGEST BRAIN BANKS IN THE UNITED STATES. REGIONS NEUROSCIENCES DEPARTMENT WAS FORMED IN 2005 AND IS COMPRISED OF NEUROLOGY, NEUROSURGERY AND PHYSICAL MEDICINE AND REHABILITATION. HEALTH RESOURCE CENTER IN 2010, REGIONS OPERATED THE HEALTH RESOURCE CENTER AT A COST OF $103,000. THE MISSION OF THE HEALTH RESOURCE CENTER AT REGIONS IS TO ACQUIRE, ORGANIZE AND PROVIDE A DYNAMIC COLLECTION OF INFORMATION THAT WILL PROMOTE THE KNOWLEDGE OF HEALTH AND INSPIRE CONTINUOUS GROWTH IN PERSONAL WELLNESS. ITS VISION IS TO BE A PRIMARY CENTER FOR CONSUMER HEALTH AND WELLNESS INFORMATION AND A GUIDE TO ACCESSIBLE RESOURCES FOR THE COMMUNITY. THE HEALTH RESOURCE CENTER IS A UNIQUE LENDING LIBRARY WHERE PATIENTS, THEIR FAMILY AND FRIENDS, STAFF AND COMMUNITY MEMBERS CAN LEARN MORE ABOUT HEALTH AND WELLNESS ISSUES THROUGH PRINT RESOURCES, INTERNET SITES, ORGANIZED EVENTS, AND STAFF ASSISTANCE. IN 2010: - APPROXIMATELY 5,000 PEOPLE VISITED THE LIBRARY - MORE THAN 700 PEOPLE LEFT WITH PRINTED MATERIAL (BROCHURES AND INTERNET RESOURCES PRINTED FREE OF CHARGE) - OVER 200 PEOPLE SOUGHT ASSISTANCE ANSWERING THEIR HEALTH QUESTIONS FROM A HEALTH RESOURCE PROFESSIONAL - 250 PEOPLE CHECKED OUT BOOKS OR MULTIMEDIA RESOURCES - 1,300 PARTICIPATED IN HEALTH AND WELLNESS ACTIVITIES AND/OR CLASSES ADDITIONAL COMMUNITY BENEFIT ACTIVITIES REGIONS SUPPORTS ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITY AND THE REGION. SUPPORT MAY INCLUDE DIRECT EXPENDITURES OR RAISING FUNDS THROUGH EMPLOYEE OR COMMUNITY INITIATIVES, DONATING STAFF TIME, PARTICIPATING IN COMMUNITY PARTNERSHIPS AND INITIATIVES, OR PROVIDING FREE SERVICES OR EQUIPMENT. EXAMPLES IN 2010 INCLUDE: EMPLOYEE GIVING. HEALTHPARTNERS' COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY EXTENDS BEYOND ITS DOORS. FOR HEALTHPARTNERS AND REGIONS EMPLOYEES, HEALTHPARTNERS HOSTS AN ANNUAL HEALTHPARTNERS COMMUNITY GIVING CAMPAIGN THAT SUPPORTS SIX LOCAL FEDERATIONS: GREATER TWIN CITIES UNITED WAY, UNITED WAY OF WASHINGTON COUNTY-EAST, UNITED WAY ST. CROIX VALLEY, COMMUNITY SHARES MINNESOTA, COMMUNITY HEALTH CHARITIES-MINNESOTA AND THE MINNESOTA ENVIRONMENTAL FUND. IN 2010, EMPLOYEES AT REGIONS PLEDGED $42,247 TO THE COMMUNITY GIVING CAMPAIGN. COMMUNITY PARTNERSHIPS. THE STATEWIDE CANCER REGISTRY AND WEST SIDE COMMUNITY CLINIC ARE SUPPORTED BY REGIONS. IN 2010, REGIONS CONTINUED TO SUPPORT THE ONGOING OPERATIONS OF A STATE-WIDE SYSTEM THAT RECEIVES AND CATALOGUES REPORTS OF CANCER INCIDENTS. THROUGH IN-KIND STAFF COSTS AND CONTRIBUTIONS TO THE COALITIONS, REGIONS PROVIDED $140,000 IN SUPPORT TO THE CANCER REGISTRY. THE REGISTRY MANAGED OVER 1,200 NEW DIAGNOSES IN 2010 AND ACTIVELY FOLLOWED 6,220 PATIENTS WHO WERE DIAGNOSED IN PREVIOUS YEARS. ADDITIONALLY, REGIONS CONTRIBUTED $50,000 IN DIRECT FINANCIAL SUPPORT TO THE WEST SIDE COMMUNITY CLINIC IN 2010. THE WEST SIDE COMMUNITY CLINIC IS A FEDERALLY SUPPORTED COMMUNITY HEALTH CENTER, WHICH PROVIDES SERVICES TO LOW-INCOME, UNINSURED AND UNDERSERVED PATIENTS. WEST SIDE PATIENTS ALSO HAVE AFTER-HOURS ACCESS TO HEALTHPARTNERS CARELINE, A PHONE SERVICE STAFFED WITH REGISTERED NURSES TO ANSWER HEALTH QUESTIONS AND DISCUSS TREATMENT OPTIONS. COMMUNITY OUTREACH. REGIONS CONTRIBUTED TO THE FOLLOWING COMMUNITY OUTREACH PROGRAMS IN 2010: - TRAUMA AND BURN COMMUNITY GRAND ROUNDS BROUGHT EDUCATION AND TRAINING TO HOSPITALS, CLINICS AND OTHER PLACES OF BUSINESS AT NO COST. PRESENTATIONS INCLUDE TRAUMA AND BURN CASE REVIEWS. - EDUCATORS FROM REGIONS PROVIDED STRUCTURED EDUCATIONAL CLASSES FOR RURAL COMMUNITY HOSPITALS IN GREATER MINNESOTA AND WESTERN WISCONSIN. FOR INSTANCE, REGIONS' EDUCATORS USED SIMULATION MANNEQUINS TO TEACH TECHNIQUES TO LOCAL NURSES WORKING IN INTENSIVE CARE UNITS AND EMERGENCY DEPARTMENTS. - REGIONS EMERGENCY MEDICAL SERVICES PROVIDED SERVICES AT EAST METRO COMMUNITY EVENTS INCLUDING THE TWIN CITIES MARATHON, STILLWATER MARATHON, MINNESOTA WILD GAMES, THE TWIN CITIES FESTIVAL, FARM TECH DAYS AND THE MINNESOTA STATE FAIR. - CAR SAFETY CLASSES WERE OFFERED TO SEVERAL POPULATIONS. REGIONS HOSTED CARFIT, AN EDUCATIONAL PROGRAM EDUCATING SENIOR DRIVERS ON VEHICLE SAFETY. REGIONS ALSO HOSTED 22 CAR SEAT SAFETY CLINICS IN WHITE BEAR LAKE, OAKDALE, MAHTOMEDI, COTTAGE GROVE, MAPLEWOOD, WOODBURY, HASTINGS AND STILLWATER. SPACE WAS RESERVED IN THESE SESSIONS FOR LOW INCOME FAMILIES. - REGIONS EMPLOYEES MENTORED NINTH GRADE STUDENTS AS PART OF THE ST. PAUL PUBLIC SCHOOLS MULTICULTURAL EXCELLENCE PROGRAM.
		TWIN CITIES HEALTH PROFESSIONALS EDUCATION CONSORTIUM. THE TWIN CITIES HEALTH PROFESSIONALS (TCHP) EDUCATION CONSORTIUM IS A COLLABORATIVE GROUP THAT HELPS TO FINANCE VARIOUS EDUCATIONAL ENDEAVORS FOR HEALTH PROFESSIONALS. SEVERAL ONE TO TWO-DAY CLASSROOM PROGRAMS FOR NURSING STAFF ARE OFFERED. ADDITIONALLY, SELF-LEARNING PROGRAMS ARE AVAILABLE ON THE WEBSITE AT NO COST TO EMPLOYEES. IN 2010, 368 NURSES FROM REGIONS PARTICIPATED IN TCHP PROGRAMS. AN ADDITIONAL 442 HOME STUDIES WERE COMPLETED BY REGIONS STAFF. EQUITABLE CARE AND SERVICE. HEALTHPARTNERS AND REGIONS WERE AMONG THE FIRST HEALTH CARE ORGANIZATIONS IN THE NATION TO GATHER SELF-REPORTED DATA FROM PATIENTS ON RACE, ETHNICITY AND LANGUAGE PREFERENCE. WE SYSTEMATICALLY COLLECT DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCE DIRECTLY FROM PATIENTS AND MEMBERS AT REGIONS, HEALTHPARTNERS MEDICAL GROUP CLINICS AND IN HEALTHPARTNERS HEALTH PLAN IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. WE'VE FOUND THAT COLLECTING THIS INFORMATION FACE-TO-FACE FROM PATIENTS AT THE POINT OF CARE IS THE MOST EFFECTIVE WAY TO COLLECT IT. SPECIFIC SCRIPTING, TRAINING AND CONSISTENT MEASUREMENT CRITERIA ARE USED IN DATA COLLECTION. WE SHARE WHAT WE'VE LEARNED ABOUT HOW BEST TO COLLECT RACE, ETHNICITY AND LANGUAGE DATA WITH OTHER HEALTH ORGANIZATIONS AND PUBLIC ENTITIES. WE USE THE DATA TO MONITOR HEALTH CARE QUALITY AND PATIENT SATISFACTION, IDENTIFY HEALTH DISPARITIES, MEASURE PROGRAM EFFECTIVENESS AND LANGUAGE ASSISTANCE APPROPRIATENESS, AND TARGET QUALITY IMPROVEMENT EFFORTS. COMMUNITY INITIATIVES. REGIONS PARTICIPATED IN COLLABORATIVES AND COMMUNITY INITIATIVES TO LEARN ABOUT BEST PRACTICES AND SHARE OUR EXPERIENCE RELATED TO EQUITABLE CARE. IN 2010 SOME OF THESE INCLUDED: - ROBERT WOOD JOHNSON'S EQUITY QUALITY IMPROVEMENT COLLABORATIVE. THIS IS AN EIGHT-HOSPITAL COLLABORATIVE TO REDUCE DISPARITY IN HEART CARE. THE COLLABORATIVE FOCUSED ON PERFECT HEART ATTACK AND HEART FAILURE CARE, CARDIAC REHAB REFERRALS, HEART FAILURE READMISSIONS AND AVERAGE LENGTH OF STAY. IN 2010, THE REGIONS HOSPITAL FOUNDATION RECEIVED $25,000 FROM THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT THIS INITIATIVE. - THE EXCHANGE. A COMMUNITY COLLABORATIVE TO SHARE TRANSLATED HEALTH INFORMATION AMONG MEMBER ORGANIZATIONS. IN 2010, REGIONS AND HEALTHPARTNERS CONTRIBUTED $2,500 TO THE EXCHANGE. - MINNESOTA HEALTH LITERACY PARTNERSHIP. A STATE-WIDE COLLABORATIVE TO IMPROVE THE HEALTH OF MINNESOTANS THROUGH CLEAR HEALTH COMMUNICATIONS. HEALTH LITERACY LIMITATIONS CONTRIBUTE TO HEALTH DISPARITIES. EQUITABLE CARE FELLOWS PROGRAM. OUR EQUITABLE CARE FELLOWS PROGRAM IS AN IMPORTANT COMPONENT OF OUR WORK TO REDUCE DISPARITIES IN PATIENT CARE AND SERVICE AND BUILD UNDERSTANDING OF THE INCREASINGLY DIVERSE COMMUNITY OF WHICH WE ARE A PART. FELLOWS ARE STAFF MEMBERS AND PROVIDERS AT REGIONS AND HEALTHPARTNERS CLINICS WHO VOLUNTEER TO RECEIVE EXPERT TRAINING TO BECOME ADVOCATES AND SERVE AS LOCAL RESOURCES FOR THEIR COLLEAGUES REGARDING EQUITABLE CARE. THE 120 FELLOWS DISSEMINATE BEST PRACTICES IN CLINICAL CARE AND SERVICES FOR PATIENTS AND MEMBERS FROM DIVERSE CULTURES AND THOSE WITH LIMITED ENGLISH PROFICIENCY. FELLOWS ARE EXPECTED TO BE ROLE MODELS, SHARING IDEAS WITH COWORKERS AND ACTIVELY PARTICIPATING IN RAISING OVERALL CULTURE AWARENESS. THEY CONTRIBUTE ARTICLES, REPRESENT HEALTHPARTNERS AND REGIONS IN COMMUNITY CULTURAL EVENTS AND PARTICIPATE IN OR PLAN SEMINARS ON EQUITABLE CARE. THE FOLLOWING ACTIVITIES OCCURRED IN 2010: - NOON-HOUR SEMINARS WERE OFFERED AT REGIONS ON TOPICS SUCH AS CROSS-CULTURAL DIABETES CARE, COLORECTAL CANCER SCREENING AND EFFORTS TO REDUCE DISPARITIES IN MAMMOGRAPHY. - BIMONTHLY NEWSLETTERS WERE CREATED ON TOPICS INCLUDING "CARING FOR REFUGEES," "WHAT IS HEALTH LITERACY," AND "INFLUENZA VACCINE." - FELLOWS CREATED A BIMONTHLY EMAIL SERIES CALLED "CULTURE ROOTS," WHICH IS DESIGNED TO DELIVER A CONTINUOUS STREAM OF INFORMATION TO SUBSCRIBERS TO INCREMENTALLY BUILD KNOWLEDGE OF CROSS-CULTURAL RESOURCES AND BEST PRACTICES. TOPICS INCLUDED MANY COMMUNITY AND PUBLIC HEALTH ISSUES SUCH AS INCARCERATION AND HEALTH DISPARITIES, ADVANCE CARE PLANNING AND DIVERSITY, NUTRITION AND ISLAMIC TRADITIONS, AND FOOD INSECURITY AND OBESITY. EBAN EXPERIENCE. THE EBAN EXPERIENCE IS A TEAM-BASED COLLABORATIVE THAT FOCUSES ON IMPROVEMENT OF HEALTH DISPARITIES THROUGH: COMMUNITY DIALOGUE, EXPERIENTIAL EDUCATION AND QUALITY IMPROVEMENT PROJECTS. THE GOAL OF THE PROJECT IS TO TRANSFORM CARE DELIVERY AND REDUCE DISPARITIES IN CARE. IN 2010 THE PFIZER MEDICAL EDUCATION GROUP AWARDED IME AN INDEPENDENT PROFESSIONAL EDUCATION GRANT OF $240,000 FOR THE INITIATIVE. PLANNING FOR THIS PROJECT WAS UNDERWAY DURING 2010 FOR IMPLEMENTATION IN 2011. A SERIES OF FIVE ONE-DAY MEETINGS WILL BE HELD, EACH FOCUSING ON THE FOLLOWING CULTURAL COMMUNITIES: LATINO, SOMALI, HMONG AND AFRICAN-AMERICAN. PATIENT STORIES, IN THE FORM OF FILMED SCREENPLAYS, WILL SERVE AS SPRINGBOARDS FOR DISCUSSION. THE SCREENPLAYS ARE COMMISSIONED WORKS, EACH CREATED BY A CULTURALLY APPROPRIATE PLAYWRIGHT AND INFORMED THROUGH INTERVIEWS WITH COMMUNITY MEMBERS AND HEALTH PROFESSIONALS. NINE TEAMS COMPOSED OF HEALTH PROFESSIONALS AND COMMUNITY MEMBERS ARE PARTICIPATING. CLINICAL CARE TOPICS VARY WIDELY, INCLUDING IMMUNIZATIONS, DIABETES, AND COLON CANCER SCREENING. EACH TEAM WILL USE QUALITY IMPROVEMENT METHODS TO COMPLETE A PROJECT FOCUSED ON REDUCING A SPECIFIC DISPARITY. AT THE END OF THE INITIATIVE, EACH TEAM WILL HAVE COMPLETED A SYSTEM IMPROVEMENT PROJECT AND WILL PRESENT THEIR DATA AND RESULTS TO SPONSORS AND THE COLLABORATIVE. ENVIRONMENTAL CONSERVATION. REGIONS HAS BEEN A LEADER IN REDUCING WASTE, RECYCLING AND CONSERVATION. REGIONS HAS IMPLEMENTED MANY PROGRAMS AROUND WATER CONSERVATION, REDUCTION OF HAZARDOUS WASTE THROUGH RECYCLING AND PURCHASING ONLY THOSE ITEMS THAT ARE SAFE FOR THE ENVIRONMENT. ADDITIONALLY, REGIONS TAKES ADVANTAGE OF OPPORTUNITIES TO BECOME "GREEN" WITH RESPECT TO NEW BUILDING PROJECTS, REMODELS AND ENERGY MANAGEMENT. IN 2010, REGIONS BEGAN RECYCLING "BLUE WRAP" THAT IS USED IN SURGICAL SERVICES TO SECURE AND PROTECT MEDICAL INSTRUMENTS. THIS PREVENTED AN ESTIMATED 20 TONS OF MATERIAL FROM FILLING LOCAL LANDFILLS. ALCOHOL AND DRUG ABUSE PROGRAM. REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP), ESTABLISHED IN 1972, HAS THE EXPERIENCE AND TOOLS TO HELP PATIENTS SUCCEED. THE STAFFS OF LICENSED DRUG AND ALCOHOL COUNSELORS ARE SUPPORTED BY A TEAM OF MENTAL HEALTH CARE PROFESSIONALS. THE PROGRAM MATCHES CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO BUILD THE FOUNDATION FOR VIABLE, SUSTAINABLE RECOVERY. THROUGH LONG-ESTABLISHED COMMUNITY RELATIONSHIPS WITH SOCIAL SERVICE, COUNTY AGENCIES, AND FINANCIAL AND HOUSING ORGANIZATIONS, CLIENTS ARE CONNECTED WITH APPROPRIATE COMMUNITY RESOURCES TO SUPPORT THEIR LONG-TERM RECOVERY. CHAPLAINCY SERVICES. REGIONS CHAPLAINCY SERVICES AIMS TO IMPROVE PATIENT CARE BY PROVIDING EMOTIONAL AND SPIRITUAL SUPPORT TO REGIONS PATIENTS, THEIR FAMILY MEMBERS, AND STAFF. ITS GOAL IS TO PROMOTE A SENSE OF PURPOSE, MEANING, AND HOPE FOR THOSE WE SERVE. THE DEPARTMENT AVERAGES BETWEEN 500 AND 550 PATIENT CONTACTS PER MONTH. CHAPLAINS SUPPORT REGIONS STAFF THROUGH PROVIDING EDUCATION AS WELL AS CRITICAL INCIDENT DEBRIEFING SESSIONS. CHAPLAINCY SERVICES ALSO PROVIDES BEREAVEMENT SUPPORT FOR THE FAMILIES OF PATIENTS WHO EXPIRE AT REGIONS. THIS INVOLVES SENDING CONDOLENCE CARDS, AS WELL AS FOLLOW-UP LETTERS ONE MONTH AND A YEAR FOLLOWING THE DEATH. FAMILIES ARE INVITED TO ATTEND A QUARTERLY MEMORIAL SERVICE DURING WHICH THEIR LOVED ONE IS NAMED AND REMEMBERED. APPROXIMATELY 510 FAMILIES ARE SERVED BY THIS PROGRAM EACH YEAR. WATER THERAPY. REGIONS OFFERS REDUCED CLASS RATES FOR A "GET FIT" POOL CLASS. THE SESSIONS, HELD TWICE A WEEK FOR ONE-HOUR, TAKE PLACE AT REGIONS IN THE WARM WATER THERAPY POOL AND ARE DESIGNED FOR PEOPLE WHO WISH TO PARTICIPATE IN WARM WATER EXERCISE. REGIONS DRIVING ABILITY PROGRAM. REGIONS REHABILITATION INSTITUTE'S DRIVING ABILITY PROGRAM IS THE FIRST HOSPITAL-BASED DRIVING PROGRAM IN THE TWIN CITIES. THE PROGRAM, LICENSED BY THE MINNESOTA DEPARTMENT OF PUBLIC SAFETY, PROVIDES COMPREHENSIVE CLINICAL PRE-DRIVING ASSESSMENTS AND BEHIND-THE-WHEEL EVALUATION AND TRAINING TO HELP PATIENTS RETURN TO DRIVING AFTER EXPERIENCING A MAJOR HEALTH COMPLICATION.
		NATIONAL RECOGNITION. REGIONS HAS BEEN REGULARLY RECOGNIZED FOR ITS CARE. HEALTHGRADES RECENTLY NAMED REGIONS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE, AN AWARD THAT GOES TO ONLY ABOUT 5 PERCENT OF HOSPITALS IN THE NATION. U.S. NEWS AND WORLD REPORT ALSO RANKED REGIONS AS ONE OF THE NATION'S TOP HOSPITALS. LESS THAN 13 PERCENT OF 5,000 HOSPITALS NATIONALLY RECEIVED THAT HONOR. IN 2010, REGIONS BECAME THE FIRST ACADEMIC MEDICAL CENTER AND ONLY THE FIRST HOSPITAL NATIONALLY TO QUALIFY AS AN EMERGENCY CENTER OF EXCELLENCE OTHER RECOGNITION INCLUDES: - REGIONS WAS THE ONLY HOSPITAL IN MINNESOTA TO RECEIVE POSITIVE MARKS IN ALL FOUR CATEGORIES FROM THE JOINT COMMISSION QUALITY CHECK. - REGIONS RECEIVED ALL FIVE PATIENT SAFETY EXCELLENCE AWARDS FROM THE MINNESOTA HOSPITAL ASSOCIATION. - REGIONS WAS NAMED ONE OF HEALTH CARE'S "MOST WIRED" BY HOSPITALS & HEALTH NETWORKS MAGAZINE. THE MAGAZINE GAUGES THE USE OF TECHNOLOGY BY ORGANIZATIONS IN AREAS RANGING FROM INFRASTRUCTURE AND IMPLEMENTATION TO SAFETY AND COMMUNICATION. - THE REGIONS STROKE CENTER WAS AWARDED THE SILVER PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN STROKE ASSOCIATION. THE INPATIENT CARE UNIT RECEIVED A 2010 BEACON AWARD FOR CRITICAL CARE EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES.
FORM 990, PART VI, SECTION A, LINE 6		HPI RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS.
FORM 990, PART VI, SECTION A, LINE 7A		HPI RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS, APPOINTS UP TO FIFTEEN DIRECTORS OF THE UP TO TWENTY-TWO MEMBER BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B		HPI RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS, APPROVES ACTIONS AS FOLLOWS: AMENDMENT OF ARTICLES OR BYLAWS, ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG-RANGE PLANS, UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $1,000,000, GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY IN EXCESS OF $1,000,000, A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $1,000,000, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, DISPOSITION OF SUBSTANTIALLY ALL ASSETS, DISSOLUTION, APPOINTMENT OF THE CHAIR OF THE BOARD AND PRESIDENT, AND OVERSIGHT OF THE MEDICAL STAFF.
FORM 990, PART VI, SECTION B, LINE 11		REGIONS' 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF REGIONS. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF REGIONS, THE ORGANIZATION'S INTERNAL LEGAL DEPARTMENT AND REGIONS' 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 REGIONS. REGIONS MAKES AVAILABLE, TO THE FINANCE AND AUDIT COMMITTEE OF REGIONS' BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS.
	FORM 990, PART VI, SECTION B, LINE 12C	REGIONS' BOARD OF DIRECTORS MONITORS POTENTIAL CONFLICTS OF INTEREST OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES, BY MAINTAINING A CONFLICT OF INTEREST POLICY. ANNUALLY, UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. A REPORT OF THESE POTENTIAL CONFLICTS IS SHARED WITH THE GOVERNANCE COMMITTEE, THE CHAIR AND THE CEO. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE DOCUMENTED IN RELATION TO THIS POLICY.
	FORM 990, PART VI, SECTION B, LINE 15	REGIONS' CEO AND OTHER OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION, OR BY REGIONS. GHI AND REGIONS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S CEO AND OTHER OFFICERS. EACH YEAR, UNDER THE DIRECTION OF AN INDEPENDENT COMPENSATION COMMITTEE, THE ENTITY COMPLETES AN ANNUAL TOTAL COMPENSATION MARKET REVIEW. 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: - DURING FINAL DELIBERATIONS AND VOTE STAFF IS NOT IN ROOM AND DECISIONS ARE RECORDED IN THE MINUTES OF THE ORGANIZATION. - 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 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 COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, REGIONS' HR DEPARTMENT, UNDER THE 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 POSITION SURVEYED. - TOTAL COMPENSATION IS APPROPRIATELY REPORTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2.
	FORM 990, PART VI, SECTION C, LINE 19	REGIONS FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM REGIONS OR HEALTHPARTNERS, INC. REGIONS' ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	FASB 124 FAIR MARKET VALUE ADJUSTMENT -128,424. FASB 158 - POST RETIREMENT ADJUSTMENT -925,576. TRANSFER FROM AFFILIATES - REGIONS HOSPITAL FOUNDATION FOR CAPITAL ASSETS 3,304,866. BENEFICIAL INTEREST IN THE NET ASSETS OF REGIONS HOSPITAL FOUNDATION 1,802,359. TOTAL TO FORM 990, PART XI, LINE 5: 4,053,225.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) 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)	509(A)(3) TYPE I	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 FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS,MN554401309 41-1888902	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	MN	501(C)(3)	170(B)(1) (A)(VI)	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

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(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

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

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

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

(a) Name of 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

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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	20
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	4,686
6	Total number of volunteers (estimate if necessary) ....	6	763
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,095,917	14,110,995
9	Program service revenue (Part VIII, line 2g) .........	510,534,698	549,318,308
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-1,123,995	4,563,420
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	515,506,620	567,992,723
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	71,451
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)	310,982,477	317,418,827
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	186,747,181	224,426,847
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	497,729,658	541,917,125
19	Revenue less expenses. Subtract line 18 from line 12......	17,776,962	26,075,598
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	559,537,426	581,135,565
21	Total liabilities (Part X, line 26)............	355,811,582	347,280,898
22	Net assets or fund balances. Subtract line 21 from line 20 .....	203,725,844	233,854,667

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 504,900,447 including grants of $ 830,535 ) (Revenue $ 521,250,006 )
	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 expenses$ 504,900,447

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,522,835	6,462,957	2,238,396

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		14,110,995

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			14,110,995
			Business Code
2a	PATIENT SERVICES		623,990	521,250,006	521,250,006
b	OTHER REVENUE		900,099	11,826,558			11,826,558
c	CONTRACT REVENUE		900,099	11,345,678			11,345,678
d	CAFETERIA		722,210	3,025,325			3,025,325
e	PARKING		812,930	1,330,858			1,330,858
f	All other program service revenue .			539,883			539,883
g	Total. Add lines 2a–2f........			549,318,308
3	Investment income (including dividends, interest
	and other similar amounts).....			3,953,161			3,953,161
4	Income from investment of tax-exempt bond proceeds..			194,042			194,042
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	21,832,000	4,217
b	Less: cost or other basis and sales expenses	21,420,000
c	Gain or (loss)	412,000	4,217
d	Net gain or (loss)..........			416,217			416,217
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions....			567,992,723	521,250,006	0	32,631,722


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			19,362,729	1	23,418,387
2	Savings and temporary cash investments .......			1,709,219	2	1,745,506
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			52,511,305	4	50,967,254
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 .............			3,620,253	7	3,091,455
8	Inventories for sale or use ..............			6,201,751	8	5,736,822
9	Prepaid expenses and deferred charges ............			4,145,777	9	4,182,809
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	580,352,031
b	Less: accumulated depreciation. .....	10b	279,860,232	319,195,970	10c	300,491,799
11	Investments—publicly traded securities ..........			113,731,000	11	145,498,000
12	Investments—other securities. See Part IV, line 11 ......			25,908,967	12	31,105,531
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			13,150,455	15	14,898,002
16	Total assets. Add lines 1 through 15 (must equal line 34)...			559,537,426	16	581,135,565
17	Accounts payable and accrued expenses .			83,214,170	17	69,598,020
18	Grants payable ..........				18
19	Deferred revenue ..........			6,775,838	19	6,351,964
20	Tax-exempt bond liabilities ..........			220,538,652	20	217,537,578
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 ..			2,410,884	23	2,182,341
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			42,872,038	25	51,610,995
26	Total liabilities. Add lines 17 through 25.....			355,811,582	26	347,280,898
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			190,801,844	27	219,127,667
28	Temporarily restricted net assets .....			12,339,000	28	14,135,000
29	Permanently restricted net assets .....			585,000	29	592,000
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			203,725,844	33	233,854,667
34	Total liabilities and net assets/fund balances .....			559,537,426	34	581,135,565