Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
REGIONS HOSPITAL FOUNDATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
8170 33RD AVENUE SOUTH PO BOX 1309
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MINNEAPOLIS, MN554401309
D Employer identification number

41-1888902
E Telephone number

G Gross receipts $ 18,831,886
F Name and address of principal officer:
BROCK D NELSON
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.REGIONSHOSPITAL.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1997
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCH. O - MISSION STATEMENT & SCH. O - EXEMPT PURPOSE AND ACHIEVEMENTS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 143
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 17,818,433 13,344,851
9 Program service revenue (Part VIII, line 2g) ......... 57,831 80,593
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,449,418 2,083,962
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -35,615 -42,546
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 19,290,067 15,466,860
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 12,016,159 9,899,629
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,452,760 1,866,312
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet545,560    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,907,957 2,615,008
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 15,376,876 14,380,949
19 Revenue less expenses. Subtract line 18 from line 12....... 3,913,191 1,085,911
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 21,162,328 22,068,745
21 Total liabilities (Part X, line 26)............. 1,191,955 1,129,583
22 Net assets or fund balances. Subtract line 21 from line 20..... 19,970,373 20,939,162
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O - "MISSION STATEMENT"
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 13,494,782 including grants of $ 9,899,629 ) (Revenue $ 80,593 )
SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS
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 expensesMediumBullet13,494,782
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
1
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
Yes
 
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
Yes
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
Yes
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
No
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
18
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletHEIDI G CONRAD CHIEF FINANCIAL OFFICER640 JACKSON STST PAULMN55101 (651) 254-0900
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) THOR BECKEN........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(2) JIM BRADSHAW........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(3) CHARLES HAYNOR........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(4) TIM KEENAN........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(5) JUDITH A KISHEL........................................................................
DIRECTOR & TREASURER
 1.30
.......................   		X           0 0 0
(6) DON MAIETTA........................................................................
DIRECTOR & CHAIR
 .30
.......................   		X           0 0 0
(7) GUY MINGO........................................................................
DIRECTOR
 .10
.......................   		X           0 0 0
(8) JOHN O'SHEA........................................................................
DIRECTOR
 .50
.......................   		X           0 0 0
(9) KEVIN POWERS........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(10) DEBRA RECTENWALD........................................................................
DIRECTOR
 .20
.......................   		X           0 0 0
(11) CHRISTINE SAND........................................................................
DIRECTOR
 .20
.......................   		X           0 0 0
(12) WILLIAM SANDS........................................................................
DIRECTOR & VICE CHAIR
 .30
.......................   		X           0 0 0
(13) JOHN SOLBERG........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(14) MARK SOLHEIM........................................................................
DIRECTOR
 .30
.......................   		X           0 0 0
(15) JOHN SULLIVAN........................................................................
DIRECTOR & SECRETARY
 .80
.......................   		X           0 0 0
(16) KENNETH HOLMEN MD........................................................................
DIRECTOR
 .50
.......................49.50 		X           0 623,413 168,261
(17) KEEVAN KOSIDOWSKI........................................................................
DIRECTOR, EXEC. DIR. & VP
 55.00
.......................   		X   X       0 154,567 36,867
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) BROCK D NELSON........................................................................
PRESIDENT & DIRECTOR
 .50
.......................54.50 		X   X       0 586,029 181,857
(19) PAULA K SKARDA MD........................................................................
DIRECTOR
 .50
.......................49.50 		X           0 437,893 82,424
(20) HEIDI G CONRAD........................................................................
FOUNDATION FINANCIAL OFFICER
 .50
.......................49.50 		    X       0 335,007 122,701




















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 2,136,909 592,110
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MARKETING MIDWEST4969 OLSON MEMORIAL HWYGOLDEN VALLEYMN55422 MARKETING/ADVERTISING 446,010
PRESTON KELLY222 FIRST AVENUE NEMINNEAPOLISMN55413 CORPORATE IMAGE/ADVERTISING 213,741
TWIN CITIES PUBLIC TV172 E 4TH STREETST PAULMN55101 MARKETING/ADVERTISING 132,903
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet3
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 785,424
d Related organizations...1d 1,074,784
e Government grants (contributions)1e 104,361
f All other contributions, gifts, grants, and
similar amounts not included above1f 		11,380,282
g Noncash contributions included in lines
1a-1f:$ 		117,122
h Total. Add lines 1a-1f.......MediumBullet 13,344,851
Program Service RevenueAmt Business Code
2a MEDICAL EDUCATION 611710 80,593 80,593    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 80,593
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 294,105     294,105
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 4,861,340  
b Less: cost or other basis and sales expenses 3,071,483  
c Gain or (loss) 1,789,857  
d Net gain or (loss)..........MediumBullet 1,789,857     1,789,857
8a Gross income from fundraising events (not including
$ 785,424
of contributions reported on line 1c). See Part IV, line 18 ..
a 250,997
b Less: direct expenses ...b 293,543
c Net income or (loss) from fundraising events..MediumBullet -42,546   -42,546
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 15,466,860 80,593 0 2,041,416
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 9,865,229 9,865,229
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 34,400 34,400
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 191,434   191,434  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 1,674,878 1,141,390 118,122 415,366
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 467,120 428,412 7,430 31,278
12 Advertising and promotion .... 1,007,081 968,608 7,385 31,088
13 Office expenses ....... 219,184 199,833 3,715 15,636
14 Information technology ...... 48,536 34,426 2,709 11,401
15 Royalties ..        
16 Occupancy ........... 218 218    
17 Travel ............ 108,979 100,988 1,534 6,457
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 364,328 358,645 1,091 4,592
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance ..............        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SUPPLIES & EQUIPMENT 259,760 255,813 758 3,189
b MISCELLANEOUS 81,897 51,233 5,984 24,680
c TRAINING/EDUCATION 26,920 24,642 437 1,841
d EMPLOYEE RELATIONS 15,934 15,894 8 32
e All other expenses 15,051 15,051    
25 Total functional expenses. Add lines 1 through 24e 14,380,949 13,494,782 340,607 545,560
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 895,290 1 236,341
2 Savings and temporary cash investments ......... 3,816,629 2 3,546,108
3 Pledges and grants receivable, net ........... 2,521,805 3 2,111,999
4 Accounts receivable, net ............. 31,980 4 32,242
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 469 9 4,095
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation ..... 10b   120 10c  
11 Investments—publicly traded securities .......... 13,896,035 11 16,137,960
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 21,162,328 16 22,068,745
Liabilities 17 Accounts payable and accrued expenses ......... 1,191,955 17 1,129,583
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 1,191,955 26 1,129,583
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 4,121,537 27 6,038,787
28 Temporarily restricted net assets ........... 15,233,866 28 14,257,702
29 Permanently restricted net assets ........... 614,970 29 642,673
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 19,970,373 33 20,939,162
34 Total liabilities and net assets/fund balances ........ 21,162,328 34 22,068,745
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
15,466,860
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
14,380,949
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,085,911
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
19,970,373
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-117,122
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
20,939,162
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 4,526,913 4,648,679 5,814,868 7,818,433 5,844,851 28,653,744
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 4,526,913 4,648,679 5,814,868 7,818,433 5,844,851 28,653,744
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).. 981,807
6 Public support. Subtract line 5 from line 4. 27,671,937
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4.. 4,526,913 4,648,679 5,814,868 7,818,433 5,844,851 28,653,744
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 64,045 404,021 574,772 653,832 294,105 1,990,775
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10). 30,644,519
12
12
894,509
13
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
14
14
90.300 %
15
15
92.950 %
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

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





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
REGIONS HOSPITAL FOUNDATION
  		Employer identification number

41-1888902
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


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

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
 
j
Total. Add lines 1c through 1i ...............................
0
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: REGIONS HOSPITAL FOUNDATION PAYS FOR CERTAIN CORPORATE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ......... 18  
2 Aggregate contributions to (during year) ... 27,703  
3 Aggregate grants from (during year) ..... 33,146  
4 Aggregate value at end of year ........ 831,311  
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 780,308 790,854 750,986 723,320 705,731
b Contributions ........ 27,703 4,665 17,825 7,457 18,174
c Net investment earnings, gains, and losses 56,446 38,504 33,517 24,598 1,417
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		33,146 53,715 11,474 7,389 2,002
f Administrative expenses ....          
g End of year balance ...... 831,311 780,308 790,854 750,986 723,320
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet77.300 %
c
Temporarily restricted endowment SchDMd Bullet22.700 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 0
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 15,845,677
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 XIII.) ............ 2d 202,396
e Add lines 2a through 2d ..................... 2e 202,396
3 Subtract line 2e from line 1..................... 3 15,643,281
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 XIII.) ........... 4b -176,421
c Add lines 4a and 4b....................... 4c -176,421
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 15,466,860
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 14,709,672
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 XIII.) ............ 2d 328,723
e Add lines 2a through 2d...................... 2e 328,723
3 Subtract line 2e from line 1..................... 3 14,380,949
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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 14,380,949
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED FOR CAPITAL, PATIENT CARE, MEDICAL RESEARCH, AND MEDICAL EDUCATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSET TRANSFERS TO HEALTHPARTNERS RESEARCH AND EDUCATION 167,216. NET ASSET TRANSFERS TO RESTRICTED FUNDS 35,180.
PART XI, LINE 4B - OTHER ADJUSTMENTS: NON-CASH GIFTS IN KIND 117,122. SPECIAL EVENT EXPENSE -293,543.
PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 293,543. NET ASSET TRANSFERS TO RESTRICTED FUNDS 35,180.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

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

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

1
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 884,567 59,809 92,045 1,036,421
2 Less: Contributions . . 661,597 31,782 92,045 785,424
3 Gross income (line 1
minus line 2) . . . 		222,970 28,027   250,997
VerticalDirectExpenses 4 Cash prizes . . . 21,520     21,520
5 Noncash prizes . .        
6 Rent/facility costs . . 5,000   2,521 7,521
7 Food and beverages . 97,133 20,928 5,949 124,010
8 Entertainment . . . 1,500   2,600 4,100
9 Other direct expenses . 124,870 2,714 8,808 136,392
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 293,543
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -42,546
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number
41-1888902
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HEALTHPARTNERS RESEARCH & EDUCATION
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309 		41-1670163 501(C)(3) 167,216       ALZHEIMERS RESEARCH PROGRAM SUPPORT
(2) REGIONS HOSPITAL
8170 33RD AVENUE SOUTH PO BOX 1309
MINNEAPOLIS,MN554401309 		41-0956618 501(C)(3) 9,176,715       CAPITAL EXPENDITURES




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS PROVIDED TO EMPLOYEES OF REGIONS HOSPITAL, SISTER CORPORATION OF REGIONS HOSPITAL FOUNDATION 24 34,400      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: REGIONS HOSPITAL FOUNDATION(RHF) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH RHF'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE FOUNDATION'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)KENNETH HOLMEN MDDIRECTOR (i)
(ii)		 0
454,471 		0
129,504 		0
39,438 		0
119,598 		0
48,663 		0
791,674 		0
24,122
(2)KEEVAN KOSIDOWSKIDIRECTOR, EXEC. DIR. & VP (i)
(ii)		 0
135,597 		0
18,970 		0
0 		0
11,181 		0
25,686 		0
191,434 		0
0
(3)BROCK D NELSONPRESIDENT & DIRECTOR (i)
(ii)		 0
457,118 		0
128,911 		0
0 		0
140,570 		0
41,287 		0
767,886 		0
0
(4)PAULA K SKARDA MDDIRECTOR (i)
(ii)		 0
419,393 		0
18,500 		0
0 		0
43,931 		0
38,493 		0
520,317 		0
0
(5)HEIDI G CONRADFOUNDATION FINANCIAL OFFICER (i)
(ii)		 0
270,864 		0
57,897 		0
6,246 		0
84,763 		0
37,938 		0
457,708 		0
6,246
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
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: HEIDI G. CONRAD $ 23,491 KENNETH HOLMEN, M.D. 23,378 BROCK D. NELSON 41,192 -------- TOTAL $ 88,061
PART I, LINE 6 REGIONS HOSPITAL FOUNDATION (RHF) OFFICERS AND DIRECTORS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS) OR BY GROUP HEALTH PLAN, INC. (GHI), BOTH OF WHICH ARE RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS OR GHI MANAGEMENT INCENTIVE PROGRAMS, 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.
FORM 990,SCH J, PART II - PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS AND OFFICERS: HEIDI G. CONRAD $ 6,246 KENNETH D. HOLMEN, MD $ 24,122 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.
Schedule J (Form 990) 2013

Additional Data


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

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 3,000 RETAIL VALUE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( JEWELRY FOR W ) X 108 54,744 RETAIL VALUE
26 Other Right pointing arrow large image ( MISC. AUCTION ) X 35 25,315 RETAIL VALUE
27 Other Right pointing arrow large image ( SPORT, RECREA ) X 113 17,159 RETAIL VALUE
28 Other Right pointing arrow large image ( GIFT & SERVIC ) X 77 7,925 RETAIL VALUE
Other Right pointing arrow large image ( WINE FOR AUCT ) X 83 6,454 RETAIL VALUE
Other Right pointing arrow large image ( PROFESSIONAL ) X 1 2,000 BILL REDUCTION AMT.
Other Right pointing arrow large image ( MEDICAL EQUIP ) X 4 525 RETAIL VALUE
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2013)
Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Return Reference Explanation
FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1 - MISSION STATEMENT THE MISSION OF REGIONS HOSPITAL FOUNDATION (RHF) IS TO ADVOCATE AND DEVELOP AWARENESS, BUILD COMMUNITY PARTNERSHIPS, AND RAISE CHARITABLE CONTRIBUTIONS FOR PATIENT CARE, RESEARCH AND HEALTH PROFESSIONAL EDUCATION. ESTABLISHED IN 1997, RHF RAISES FUNDS TO FINANCIALLY SUPPORT THE PROGRAMS AND CAPITAL NEEDS OF REGIONS HOSPITAL AND ITS RELATED SITES IN ORDER TO PROVIDE THE BEST CARE AND BEST EXPERIENCE FOR OUR PATIENTS. RHF ALSO RAISES FUNDS FOR THE PROFESSIONAL TRAINING AND RESEARCH ACTIVITIES OF HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH. IN 2012, RHF RECEIVED FUNDING FROM A VARIETY OF SOURCES INCLUDING: INDIVIDUALS AND ESTATES, FOUNDATIONS, CORPORATIONS AND ORGANIZATIONS, AND GOVERNMENT GRANTS.
FORM 990, PART III, LINE 4A - PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS I. ORGANIZATION AND GOVERNANCE RHF IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS (HEALTHPARTNERS), AN INTEGRATED SYSTEM OF HEALTH FINANCING, CARE DELIVERY, AND SUPPORT SERVICES PROVIDING HEALTH PLAN SERVICES TO OVER 1,165,000 MEMBERS AND DELIVERING CARE TO OVER 4,500,000 PATIENT ENCOUNTERS, PRIMARILY IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND IMPROVING AFFORDABILITY - ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ENTITIES - INCLUDING FIVE HOSPITALS AND THEIR RELATED FOUNDATIONS, TWO HEALTH MAINTENANCE ORGANIZATIONS, FOUR NON-PROFIT PHYSICIAN GROUPS, HOME CARE, TRANSITIONAL CARE, MEDICAL EQUIPMENT, A THIRD PARTY ADMINISTRATOR THAT SERVES SELF INSURED EMPLOYERS, AND MANY MORE. A COMPLETE LISTING OF ALL HEALTHPARTNERS ORGANIZATIONS, FOR WHICH HPI IS THE PARENT ORGANIZATION AND THE REPORTING RELATIONSHIP BETWEEN EACH OF THOSE ORGANIZATIONS, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF RHF AND ITS SISTER ORGANIZATIONS, REGIONS HOSPITAL, CAPITOL VIEW TRANSITIONAL CARE CENTER, STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH), RAMSEY INTEGRATED HEALTH SERVICES AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). II. ACTIVITIES PROGRAM SUPPORT RHF RECEIVED CONTRIBUTIONS FOR 59 DIFFERENT PROGRAM FUNDS AT REGIONS HOSPITAL AND THE HEALTHPARTNERS MEDICAL GROUP AND CLINICS (HPMG) IN 2013. RHF ALSO PROVIDED PATIENT CARE GRANT SUPPORT TO 41 PROGRAMS THROUGH THE SHARING AT WORK EMPLOYEE GIVING CAMPAIGN OF REGIONS HOSPITAL AND OTHER HEALTHPARTNERS ORGANIZATIONS. THESE GRANTS FUNDED PROJECTS AT REGIONS HOSPITAL, HPMG, AND OTHER HEALTH-RELATED ORGANIZATIONS WITHIN HEALTHPARTNERS THAT IS CONSISTENT WITH RHF'S MISSION. BECAUSE MOST OF RHF'S ADMINISTRATIVE COSTS ARE PAID FOR USING REGIONS HOSPITAL SUPPORT AND INCOME ON INVESTMENTS, UNRESTRICTED CONTRIBUTIONS ARE USED TO FUND SPECIAL PROGRAMS, EQUIPMENT AND FACILITY EXPENSES. IN 2013, RHF GAVE SIGNIFICANT SUPPORT TO MENTAL HEALTH, THE BURN CENTER, THE NEUROSCIENCES, THE EMERGENCY CENTER, EMERGENCY MEDICAL SERVICES, CANCER CARE CENTERS AND HEALTHPARTNERS HOSPICE, AMONG OTHER PROGRAMS WITHIN THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS. SOME SPECIFIC PROGRAM HIGHLIGHTS ARE LISTED BELOW. MENTAL HEALTH SERVICES REGIONS HOSPITAL AND HPMG'S MENTAL HEALTH SERVICES IS THE LEADING PROVIDER OF COMPREHENSIVE MENTAL AND CHEMICAL HEALTH SERVICES IN THE TWIN CITIES EAST METRO AREA AND WESTERN WISCONSIN. IN 2013, RHF CONTINUED RAISING MONEY FOR THE CAMPAIGN TO TRANSFORM MENTAL HEALTH CARE. THIS INCLUDED MONEY TO SUPPORT REGIONS HOSPITAL'S NEW MENTAL HEALTH FACILITY, WHICH OPENED IN DECEMBER 2012, AS WELL AS FOR GROUNDBREAKING NEW PROGRAMS AND "MAKE IT OK," A CAMPAIGN TO FIGHT THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. THE NEW FACILITY AND PROGRAMS ALLOW REGIONS HOSPITAL TO PROVIDE CARE IN A NURTURING, HEALING ENVIRONMENT THAT HELPS PATIENTS RETAIN THEIR PRIVACY AND DIGNITY. IN 2013, RHF RAISED $8,955,988 TO SUPPORT THESE MENTAL HEALTH INITIATIVES. THIS AMOUNT INCLUDES $842,504 RAISED SPECIFICALLY FOR THE MAKE IT OK CAMPAIGN. REGIONS HOSPITAL IS WORKING WITH LOCAL COMMUNITY ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) MINNESOTA, TWIN CITIES PUBLIC TELEVISION (TPT) AND THE ADVERTISING FIRM PRESTON KELLY TO CREATE MAKE IT OK. THE CAMPAIGN HARD LAUNCHED IN MAY 2013 WITH AN ADVERTISING "FLIGHT" THAT INCLUDED TELEVISION, RADIO, PRINT, SOCIAL MEDIA, ONLINE VIDEO, INTERNET PURCHASES AND TRANSIT SHELTERS. A SECOND FLIGHT BEGAN IN THE FALL. RHF COLLABORATED WITH TPT TO PRODUCE A FOUR-PART DOCUMENTARY SERIES THAT PROFILED PEOPLE'S STORIES AND EXPERIENCES WITH STIGMA. RHF ALSO TARGETED BUSINESSES, HEALTH CARE ORGANIZATIONS, POLICE DEPARTMENTS, COLLEGES AND UNIVERSITIES, COMMUNITIES OF FAITH AND OTHER SECTORS OF OUR SOCIETY FOR A DEEPER DIVE INTO THE TOPICS OF MENTAL ILLNESS AND STIGMA. FINALLY, OVER THE NEXT TWO YEARS RHF WOULD LIKE TO BRING OUR MESSAGE TO INDIVIDUAL COMMUNITIES STATEWIDE. THE MAKE IT OK CAMPAIGN IS COMMUNITY BASED AND NOT BRANDED BY HEALTHPARTNERS, SO OTHER ORGANIZATIONS HAVE ACCESS TO THE SAME MATERIALS. AS PART OF THE LARGER MENTAL HEALTH CAMPAIGN, RHF ALSO RAISED $350,000 SPECIFICALLY FOR THE HERO CARE PROGRAM FOR VETERANS AND THEIR FAMILIES. SOLDIERS EXPERIENCE SITUATIONS IN COMBAT THAT CIVILIANS COULD NOT IMAGINE, AND MANY SUFFER MENTAL WOUNDS YEARS AFTER THEIR MILITARY SERVICE HAS ENDED. YET OUR HEALTH CARE SYSTEM IS NOT SET UP TO BEST CARE FOR THEM. RHF'S HERO CARE PROGRAM WILL HELP VETERANS RECOVER FROM THE PSYCHOLOGICAL EFFECTS OF COMBAT, ADJUST TO THEIR CIVILIAN LIVES AND THRIVE. IN ORDER TO OFFER THE VERY BEST, MILITARY-INFORMED CARE, DONATIONS WILL ALLOW REGIONS HOSPITAL TO ADD EXPERTISE AND CAPACITY IN REGIONS HOSPITAL MENTAL HEALTH DEPARTMENT. THIS WILL ALSO HELP VETERANS BETTER NAVIGATE THE MANY COMMUNITY SERVICES AVAILABLE TO THEM ONCE THEY LEAVE OUR FACILITY. OUTSIDE THE MENTAL HEALTH CAMPAIGN, RHF RAISES FUNDS FOR THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP). MHDAP ALLEVIATES OR AVERTS MANY MENTAL HEALTH CRISES IN THE EAST METRO AREA BY COVERING THE FULL COST OR CO-PAYS OF MEDICATIONS FOR UN-INSURED AND UNDER-INSURED PATIENTS WHO CANNOT AFFORD MEDICATIONS. KEY SOCIAL WORKERS AND CARE PROVIDERS OF THE EAST METRO'S THREE LARGEST EMERGENCY DEPARTMENTS AND SELECT MENTAL HEALTH CLINICS ARE GIVEN THE ABILITY TO DISTRIBUTE PRESCRIPTIONS TO PATIENTS WITH SEVERE MENTAL ILLNESS WHO LACK IMMEDIATE ACCESS TO AFFORDABLE MEDICATIONS. IN 2013, RHF RECEIVED $120,100 IN DONATIONS FOR MHDAP. RHF RAISED $20,100 TO SUPPORT THE ACTIVITIES OF RHSC, INC.'S SAFE HOUSE AND SAFE ALTERNATIVES PROGRAMS. THESE PROGRAMS PROVIDE TRANSITIONAL HOUSING TO PATIENTS DISCHARGED FROM THE MENTAL HEALTH UNITS AT REGIONS HOSPITAL. SAFE HOUSE PROVIDES SERVICES TO APPROXIMATELY 60 ADULTS PER YEAR, WHILE SAFE ALTERNATIVES PROVIDES HOUSING AND SUPPORT SERVICES TO OVER 200 ADULTS WITH MENTAL AND CHEMICAL HEALTH PROBLEMS EACH YEAR. EMERGENCY CENTER IN THE TWIN CITIES EAST METRO AND WESTERN WISCONSIN, REGIONS HOSPITAL'S EMERGENCY CENTER IS THE RECOGNIZED LEADER IN CRITICAL AND EMERGENCY CARE. IN 2013, RHF RECEIVED A $1 MILLION GRANT FROM THE FRED C. AND KATHERINE B. ANDERSEN FOUNDATION TO HELP EXPAND THE ER. THIS WILL BE THE THIRD AND FINAL PHASE OF THE ER'S DECADE-LONG EXPANSION EFFORT. THE EXPANSION WILL INCREASE THE NUMBER OF BEDS AVAILABLE TO TREAT PEOPLE WHILE STRENGTHENING OUR ABILITY TO CARE FOR THE GROWING NUMBER OF PATIENTS WITH SERIOUS INJURIES. THE ER PROVIDES OBSERVATION SERVICES FOR PATIENTS WITH CHEST PAIN AND OTHER SYMPTOMS THAT MAY SIGNAL MORE DANGEROUS CONDITIONS. THE EXPANSION WILL IMPROVE REGIONS ABILITY TO PROVIDE OBSERVATION SERVICES WHILE FREEING UP SPACE TO CARE FOR PATIENTS WITH MORE ACUTE CONDITIONS. THE EXPANSION WILL BEGIN IN 2014, AND IT SHOULD BE COMPLETED BY EARLY 2016. IN 2013, DONORS CONTRIBUTED $20,800 TO RHF TO SUPPORT REGIONS HOSPITALS' EMERGENCY MEDICINE RESIDENCY PROGRAM. THE FUNDS ARE USED TO HELP EDUCATE THE NEXT GENERATION OF EMERGENCY MEDICINE PHYSICIANS BY FUNDING A PROCEDURAL SKILLS LAB, INTERNATIONAL ROTATIONS AND OTHER PROGRAMS.
FORM 990, PART III, LINE 4A EMERGENCY MEDICAL SERVICES IN SEPTEMBER 2013 MORE THAN 1,000 COMMUNITY LEADERS PARTICIPATED IN RHF'S 24TH ANNUAL WINE AUCTION, WHICH RAISED $768,843 FOR REGIONS HOSPITAL EMS AS IT EXPANDS SERVICES AVAILABLE TO MEDICAL FIRST RESPONDERS SUCH AS AMBULANCE SERVICES AND POLICE AND FIRE DEPARTMENTS. REGIONS HOSPITAL EMS DEPARTMENT IS A RESOURCE TO MANY COMMUNITY AMBULANCE SERVICES WHO PLAY A CRITICAL ROLE IN MANAGING PATIENTS PRIOR TO THEIR ARRIVAL AT A HOSPITAL. REGIONS HOSPITAL EMS PROVIDES FIRST RESPONDER SERVICES WITH MEDICAL DIRECTION, EDUCATION AND QUALITY ASSURANCE SERVICES THEY NEED TO PROVIDE THE BEST CARE AT THE POINT OF INJURY OR ILLNESS. REGIONS HOSPITAL EMS IS ALSO A NATIONAL LEADER IN RESEARCH, RESULTING IN ADVANCES IN PRE-HOSPITAL CARE. IN ADDITION, REGIONS HOSPITAL EMS WORKS WITH RESIDENTS OF ALL AGES, FROM NEWBORNS TO THE ELDERLY, TO HELP THEM AVOID INJURIES. ITS PROVIDERS STAFF THE MINNESOTA STATE FAIR AND OTHER COMMUNITY EVENTS TO CARE FOR THE SICK AND INJURED. WITH HELP FROM WINE AUCTION PROCEEDS, COMMUNITY PARAMEDICS WILL VISIT PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL IN ORDER TO PREVENT UNNECESSARY READMISSIONS IN THE PERIOD BETWEEN DISCHARGE AND THE ESTABLISHMENT OF HOME CARE SERVICES. THIS NEW COMMUNITY PARAMEDIC PROGRAM IS A PARTNERSHIP BETWEEN REGIONS HOSPTIAL EMS AND THE ST. PAUL FIRE DEPARTMENT AND WILL BE ONE OF THE FIRST OF ITS KIND IN THE TWIN CITIES EAST METRO. NEUROSCIENCES REGIONS HOSPITAL AND HPMG ARE ABLE TO OFFER COMPREHENSIVE AND SEAMLESS NEUROLOGICAL CARE, FROM THE FIRST VISIT WITH A PRIMARY CARE PHYSICIAN THROUGH SURGERY AND BEYOND. AS A RESULT, REGIONS HOSPTIAL AND HEALTHPARTNERS HAVE RECEIVED SEVERAL NATIONAL AWARDS FOR THE QUALITY OF ITS NEUROSCIENCES PROGRAMS. OVER THE YEARS, CHARITABLE DONATIONS HAVE PLAYED A KEY ROLE IN THESE EFFORTS. THIS INCLUDES ALZHEIMER'S AND DEMENTIA CARE AND RESEARCH PROGRAMS. IT IS RARE OUTSIDE OF ACADEMIA TO SEE THE INTEGRATION OF GROUNDBREAKING ALZHEIMER'S RESEARCH AND OPTIMAL CARE IN ONE ORGANIZATION AS YOU SEE WITHIN THE HEALTHPARTNERS CENTER FOR MEMORY AND AGING. THE CENTER ALLOWS US TO BRING EXCITING NEW THERAPIES TO HUMAN TRIALS IN A TIMELY FASHION, WHICH ACCELERATES THE PROCESS OF BRINGING SUCH TREATMENTS TO THE GENERAL PUBLIC. IT ALSO ALLOWS US TO STUDY NEW WAYS TO IDENTIFY, TREAT AND EVENTUALLY PREVENT ALZHEIMER'S. IN 2013, RHF RAISED $692,364 TO SUPPORT THE CENTER FOR MEMORY AND AGING. THE CENTER CONDUCTS INTERNATIONALLY-RECOGNIZED RESEARCH THAT HAS LED TO THE DEVELOPMENT OF PROMISING NEW TREATMENTS FOR ALZHEIMER'S, PARKINSON'S, STROKE AND OTHER BRAIN DISORDERS. THIS INCLUDES THE INTRANASAL DELIVERY OF INSULIN, A METHOD OF DELIVERY THAT WAS DEVELOPED BY HEALTHPARTNERS RESEARCHERS AND NAMED BY THE FEDERAL GOVERNMENT AS ONE OF THE MOST PROMISING POTENTIAL TREATMENTS FOR ALZHEIMER'S DISEASE. WITH CHARITABLE CONTRIBUTIONS, WE HAVE TESTED A POTENTIALLY SAFER AND MORE EFFECTIVE FORMULATION OF INTRANASAL INSULIN WITH A SMALL GROUP OF PATIENTS IN PREPARATION FOR A LARGER TRIAL IN 2014. IN 2013, RHF ALSO RAISED $100,000 FOR A CLINICAL TRIAL USING INTRANASAL DEFEROXAMINE. OUR RESEARCH WITH MODELS OF ALZHEIMER'S HAS SHOWN THAT THE DRUG CAN BE EFFECTIVELY DELIVERED INTRANASALLY WITH SUBSEQUENT IMPROVEMENT TO MEMORY. WE HAVE ALSO FOUND THAT INTRANASAL DEFEROXAMINE CAN IMPROVE MOTOR DYSFUNCTION IN MODELS OF PARKINSON'S DISEASE, AND THIS SAME TREATMENT SHOWS PROMISE IN TREATING STROKE, HEAD INJURY AND OTHER DISORDERS. TO IMPROVE THE DETECTION OF DEMENTIA, THE CENTER FOR MEMORY AND AGING IS USING DONATIONS TO TEST THE USE OF A THREE-MINUTE COGNITIVE SCREENING TOOL AT REGULARLY SCHEDULED PRIMARY CARE OFFICE VISITS. BESIDES ALLOWING CARE PROVIDERS TO TREAT DEMENTIA EARLIER, WE ARE STUDYING HOW EARLIER IDENTIFICATION OF COGNITIVE DISORDERS MAY HELP PATIENTS BETTER MANAGE CHRONIC DISEASES SUCH AS DIABETES, HIGH CHOLESTEROL, HEART DISEASE, AND HIGH BLOOD PRESSURE. CONTRIBUTIONS ALSO HELP FUND THE MINNESOTA MEMORY PROJECT, AN ONGOING REGISTRY THAT FOLLOWS ADULTS WITH AND WITHOUT DIAGNOSED MEMORY LOSS IN ORDER TO COLLECT INFORMATION ON AGE-RELATED MEMORY CHANGES. THIS INFORMATION WILL HELP PHYSICIANS DISCRIMINATE BETWEEN MEMORY LOSS THAT IS COMMON WITH AGING AND SYMPTOMS THAT MAY INDICATE THE PRESENCE OF DEMENTIA. IT COULD ALSO HELP US IDENTIFY INTERVENTIONS TO SLOW AGE-RELATED MEMORY LOSS. IN MAY 2013, RHF HOSTED THE 3RD ANNUAL ALZHEIMER'S FUNDRAISING BREAKFAST, WHICH RAISES MONEY TO BENEFIT ALZHEIMER'S RESEARCH AND CARE. NEARLY 500 COMMUNITY MEMBERS ATTENDED THE EVENT, WHICH RAISED $92,810. THE HEALTHPARTNERS RESEARCH AND EDUCATION (INSTITUTE) THE INSTITUTE IS A 501(C) (3) ORGANIZATION WITHIN THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS AND IS DEDICATED TO IMPROVING THE HEALTH OF HEALTHPARTNERS MEMBERS, PATIENTS AND THE COMMUNITY. ITS VISION IS TO DELIVER OUTSTANDING HEALTH, EXPERIENCE AND AFFORDABILITY OUTCOMES FOR THE PEOPLE THEY SERVE THROUGH DISCOVERY AND CONTINUOUS LEARNING. IN 2013, RHF RAISED $470,834 FOR THE INSTITUTE'S PROGRAMS AS PART OF THE SHARING AT WORK EMPLOYEE GIVING CAMPAIGN OF REGIONS HOSPITAL AND OTHER HEALTHPARTNERS ORGANIZATIONS. EMPLOYEES GAVE $135,625 TO THE INSTITUTE'S RESEARCH PROGRAMS ($271,251 WITH A HEALTHPARTNERS MATCH) AND $99,792 TO ITS MEDICAL EDUCATION PROGRAMS ($199,584 WITH THE HEALTHPARTNERS MATCH). RHF ALSO RECEIVED A $25,000 CONTRIBUTION FROM 3M TO HELP THE HEALTHPARTNERS CLINICAL SIMULATION AND LEARNING CENTER PURCHASE THE TRAUMACHILD SYSTEM. THE TRAUMACHILD SYSTEM IS A LIFELIKE SIMULATOR THE SIZE OF AN EIGHT-YEAR-OLD THAT WILL ALLOW PROVIDERS TO PRACTICE INVASIVE PROCEDURES LIKE CENTRAL LINE INSERTIONS, CHEST TUBES AND EMERGENT SURGICAL AIRWAYS. A PART OF THE INSTITUTE, THE SIMULATION CENTER DESIGNS AND DELIVERS HANDS-ON EDUCATIONAL PROGRAMS FOR HEALTH CARE PROFESSIONALS AND STUDENTS, BOTH WITHIN HEALTHPARTNERS AND THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. BURN CENTER THE BURN CENTER AT REGIONS HOSPITAL SERVES PATIENTS FROM ACROSS THE MIDWEST, PROVIDING CARE AND SPECIALIZED TREATMENT FOR THERMAL, ELECTRICAL, CHEMICAL AND OTHER BURNS. THE BURN CENTER IS THE MOST COMPLETE AND EXTENSIVE FACILITY OF ITS KIND IN THE UPPER MIDWEST AND IS VERIFIED BY THE COMMITTEE ON TRAUMA OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN BURN ASSOCIATION. THE BURN CENTER IS EQUIPPED WITH THE LATEST EQUIPMENT, TEMPERATURE CONTROLLED PRIVATE ROOMS, SPECIALLY DESIGNED BATHTUBS, AND A LARGE REHABILITATION DEPARTMENT. IN 2013, RHF RAISED $238,481 TO SUPPORT BURN CENTER PROGRAMS. THIS INCLUDED $60,109 FROM THE BURNAID GOLF CLASSIC, WHICH IS CO-HOSTED BY THE NATIONAL FIRE SPRINKLER ASSOCIATION - MINNESOTA CHAPTER AND RHF IN COOPERATION WITH THE STATE FIRE MARSHAL DIVISION. THE BURN CENTER IS USING A PORTION OF THESE FUNDS TO PROVIDE PATIENTS AND VISITORS WITH A MORE WELCOMING, HEALING AND POSITIVE ENVIRONMENT. THE PROJECT INCLUDES IMPROVEMENTS TO CHILDREN'S PLAY AREAS, WAITING ROOMS AND A FAMILY CONSULTATION ROOM AND THE ADDITION OF ARTWORK AND HALLWAY MURALS. RHF FUNDS ALSO PAY FOR ADDITIONAL MEDICAL EQUIPMENT AND HELP THE BURN CENTER MEET THE EDUCATIONAL AND EMOTIONAL NEEDS OF PATIENTS. THIS INCLUDES SENDING CHILD PATIENTS AND THEIR FAMILIES TO BURN CAMPS, HELPING CHILDREN RE-ENTER SCHOOL, BRINGING SURVIVORS IN TO TALK TO PATIENTS AND MORE. IN 2013, RHF RECEIVED A $150,000 GRANT FROM THE MINNESOTA FAIR PLAN TO FUND THE HEALING EDUCATION AND TRAINING (HEAT) PROGRAM, WHICH IS OVERSEEN BY THE BURN CENTER. HEAT WORKS ON MANY FRONTS IN ORDER TO REDUCE THE INJURY, DEATH AND PROPERTY LOSS THAT IS A RESULT OF JUVENILES SETTING FIRES AS WELL AS UNSAFE ENVIRONMENTS AND PRACTICES. AMONG THE PROGRAM'S EFFORTS, A TEAM OF TRAINED PROFESSIONALS PROVIDE PERSONAL FIRE SAFETY EDUCATION, MENTAL HEALTH SCREENINGS, CHILD PROTECTION REFERRALS AND REINTEGRATION ASSISTANCE TO YOUTH FIRE SETTERS AND THEIR FAMILIES. THE HEAT TEAM HAS ALSO CREATED A COMPREHENSIVE WEBSITE WITH FIRE SAFETY RESOURCES, PARTNERED WITH THE U.S. FOREST SERVICE AND THE MINNESOTA DEPARTMENT OF NATURAL RESOURCES IN AN EFFORT TO PREVENT CAMPFIRE INJURIES, AND WORKED WITH LOCAL AND REGIONAL ORGANIZATIONS TO PROVIDE EDUCATIONAL RESOURCES TO FAMILIES.
FORM 990, PART III, LINE 4A HEALTH AND WELLNESS FOR DEAF AND HARD OF HEARING HEALTH AND WELLNESS IS ONE OF THE PROGRAMS THAT GETS STATE FUNDING TO PROVIDE OUTPATIENT MENTAL HEALTH SERVICES TO DEAF AND HARD OF HEARING PEOPLE. RHF IS RESPONSIBLE FOR SECURING THOSE GOVERNMENT GRANTS AND PROVIDING APPROPRIATE STEWARDSHIP. THE HEALTH AND WELLNESS PROGRAM IS OPERATED BY REGIONS HOSPITAL AND RECEIVED GOVERNMENT GRANTS WORTH $103,111 IN 2013. THESE GRANTS FUNDED SERVICES LIKE INDIVIDUAL, COUPLE, GROUP AND FAMILY THERAPY; CONSULTATION TO OTHER PROVIDERS; AND A COMMUNITY WORKSHOP. HEALTHPARTNERS HOSPICE HEALTHPARTNERS HOSPICE SUPPORTS PATIENTS AND THEIR LOVED ONES WHO ARE DEALING WITH A SERIOUS OR LIFE-LIMITING ILLNESS. IT ALSO HELPS FAMILY MEMBERS THROUGH THE GRIEVING PROCESS AFTER THEIR LOVED ONE HAS DIED. IN 2013, RHF SECURED $87,348 TO FUND SERVICES NOT COVERED BY REIMBURSEMENT, INCLUDING COMPLEMENTARY THERAPIES, A VOLUNTEER PROGRAM, BEREAVEMENT COUNSELING AND THE SPECIAL NEEDS OF PATIENTS. CANCER CARE WITH THE HELP OF CHARITABLE CONTRIBUTIONS, THE HEALTHPARTNERS AND REGIONS HOSPITAL CANCER CARE CENTERS PROVIDE A COMPREHENSIVE RANGE OF SERVICES TO PREVENT, DIAGNOSE AND TREAT CANCER AND BLOOD DISORDERS. THE CENTERS ALSO HELP PATIENTS AND THEIR FAMILIES NAVIGATE CANCER, FROM BEFORE A DIAGNOSIS IS MADE TO AFTER TREATMENT HAS BEEN SUCCESSFULLY COMPLETED. AND THEY DO EVERYTHING THEY CAN TO COMFORT PATIENTS AND VISITORS AND MAKE THEIR CARE CONVENIENT. THE FINANCIAL REIMBURSEMENT FOR SUCH HOLISTIC CARE ONLY GOES SO FAR. OUR CANCER CARE CENTERS ALSO SEE A HIGHER PERCENTAGE OF UNINSURED PATIENTS AND PATIENTS INSURED VIA GOVERNMENT ASSISTANCE PROGRAMS THAN OTHER LOCAL PROVIDERS, AND THIS LEADS TO HIGHER LEVELS OF CHARITY CARE. THIS MAKES THE CANCER CARE CENTERS MORE DEPENDENT ON CHARITABLE CONTRIBUTIONS TO FUND SPECIAL PROGRAMMING. IN 2013, RHF RAISED $54,088 TO SUPPORT THE CANCER CARE CENTERS. THIS INCLUDED $15,000 FROM THE HOPE CHEST FOR BREAST CANCER FOUNDATION AND SUSAN G. KOMEN MINNESOTA TO HELP LOW-INCOME BREAST CANCER PATIENTS MEET THEIR BASIC NEEDS. THE ANNA M. HEILMAIER CHARITABLE FOUNDATION DONATED $12,000 TO FUND PROGRAMS NOT COVERED BY EVERYDAY REVENUE. REACH OUT AND READ REACH OUT AND READ IS A NATIONAL PROGRAM IN LOCAL HMPG CLINICS THAT ENCOURAGES PARENTS TO READ TO THEIR CHILDREN AND HELPS CARE PROVIDERS SPOT CHILDREN WITH DEVELOPMENT DISABILITIES. AS PART OF THE PROGRAM, CHILDREN BETWEEN THE AGES OF SIX MONTHS AND FIVE YEARS ARE GIVEN NEW BOOKS WHEN THEY COME IN FOR REGULAR CHECKUPS. TRAINED CARE PROVIDERS WATCH HOW CHILDREN INTERACT WITH THE BOOKS TO SEE IF THEY ENGAGE IN AGE-APPROPRIATE BEHAVIORS. IF CHILDREN HAVE DEVELOPMENT DISABILITIES THE CARE PROVIDERS CAN SET THEM UP WITH EARLY INTERVENTION AT LOCAL SCHOOLS. STUDIES SHOW THAT REACH OUT AND READ FAMILIES READ TOGETHER MORE OFTEN, AND PRESCHOOL AGE CHILDREN SERVED BY THE PROGRAM SCORE THREE TO SIX MONTHS AHEAD OF THEIR PEERS ON VOCABULARY TESTS. IN 2013, WITH THE HELP OF $25,000 IN DONATIONS FROM THE SHARING AT WORK EMPLOYEE GIVING CAMPAIGN OF REGIONS HOSPITAL AND HEALTHPARTNERS, APPROXIMATELY 7,000 REACH OUT AND READ BOOKS WERE HANDED OUT TO CHILDREN AT THE FIVE HPMG CLINICS SERVED. RHF ALSO RAISED MONEY FOR PROJECT READ, A SIMILAR, VOLUNTEER-DRIVEN LITERACY INITIATIVE. AS PART OF PROJECT READ, VOLUNTEERS READ STORIES TO CHILDREN WHO VISIT THE PEDIATRICS DEPARTMENTS IN FIVE HPMG CLINICS. THESE SERVICES ACT AS AN INCENTIVE FOR CHILDREN TO READ. TO ENCOURAGE PARENTS TO READ TO THEIR CHILDREN AT HOME, CHILDREN ARE GIVEN AGE-APPROPRIATE BOOKS TO KEEP. RHF RECEIVED A $2,000 GRANT FROM TARGET FOR THE PROGRAM IN 2013. WISHING WELL FUNDED BY THE SHARING AT WORK EMPLOYEE GIVING CAMPAIGN, WISHING WELL ASSISTS PATIENTS WHO HAVE IMMEDIATE HARDSHIP NEEDS. ABOUT 70 PERCENT OF PROGRAM ASSISTANCE IS GIVEN IN THE FORM OF BUS TOKENS AND CAB VOUCHERS TO HELP PATIENTS GET TO AND FROM THE HOSPITAL. WISHING WELL ALSO OFFERS PATIENTS GIFT CARDS FOR FOOD AND MORE. THE PROGRAM SERVES PATIENTS OF REGIONS HOSPITAL AND HPMG CLINICS. HIV/AIDS CLINIC IN 1985, HPMG'S INFECTIOUS DISEASE (ID) CLINIC BECAME THE FIRST DESIGNATED HIV/AIDS CLINIC PROGRAM IN MINNESOTA. THE ID CLINIC USES A HOLISTIC, MULTI-DISCIPLINARY APPROACH TO CARE THAT INCLUDES PHYSICIANS SPECIALIZING IN HIV, NURSES, CASE MANAGERS, AND PSYCHIATRISTS. IN 2013, RHF RECEIVED $8,000 FROM THE HUGH J. ANDERSEN FOUNDATION TO HELP FUND AN HIV/AIDS MEDICATIONS ASSISTANCE PROGRAM. CHARITY CARE REGIONS HOSPITAL IS THE PRIMARY "SAFETY-NET" HOSPITAL IN THE EAST METRO, PROVIDING CHARITY CARE FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE. IN 2013, RHF RECEIVED A $7,500 CONTRIBUTION FROM THE J. ELMER AND ESTHER HANSMAN CHARITABLE TRUST TO SUPPORT THE CHARITY CARE REGIONS HOSPITAL OFFERS TO CHILDREN. LEVEL 1 PEDIATRIC TRAUMA CENTER IN MAY 2009, REGIONS HOSPITAL, IN PARTNERSHIP WITH GILLETTE CHILDREN'S SPECIALTY HEALTHCARE WHICH IS LOCATED ON THE REGIONS HOSPITAL CAMPUS, BECAME THE FIRST HOSPITAL IN MINNESOTA AND THE UPPER MIDWEST TO RECEIVE A LEVEL I PEDIATRIC TRAUMA CENTER DESIGNATION BY THE COLLEGE OF SURGEONS, WHICH CONFIRMS REGIONS HOSPITAL'S ABILITY TO OFFER THE VERY BEST CARE TO CRITICALLY-INJURED CHILDREN. RHF RECEIVED $6,450 IN CHARITABLE COMMITMENTS TO THE PROGRAM IN 2013. SCHOLARSHIPS RHF RAISES MONEY AND DISTRIBUTES SCHOLARSHIP FUNDS TO EMPLOYEES. SOME SPECIFIC SCHOLARSHIP PROGRAMS INCLUDE THE FOLLOWING: - THE GLORIA FOX NURSING SCHOLARSHIP FUND THE FUND ANNUALLY AWARDS SCHOLARSHIPS TO REGIONS HOSPITAL EMPLOYEES PURSUING NURSING CAREERS. IN 2013, $15,000 IN SHARING AT WORK EMPLOYEE GIVING CAMPAIGN DONATIONS EARMARKED FOR EDUCATION WERE USED TO SUPPORT THIS SCHOLARSHIP, AND RHF RAISED AN ADDITIONAL $680 FOR THE FUND. - THE ANCKER NURSES SCHOLARSHIP FUND GRADUATES FROM THE ANCKER HOSPITAL SCHOOL OF NURSING ESTABLISHED A FUND TO ASSIST REGIONS HOSPITAL EMPLOYEES WHO ARE PURSUING A NURSING EDUCATION. RHF RAISED $7,355 FOR THIS FUND IN 2013. EMPLOYEE GIVING IN 2013, REGIONS HOSPITAL AND OTHER HEALTHPARTNERS ORGANIZATION EMPLOYEES DONATED $471,268 TO RHF'S ANNUAL SHARING AT WORK CAMPAIGN, WHICH RAISES FUNDS FOR PATIENT CARE, RESEARCH AND MEDICAL EDUCATION. WITH A HEALTHPARTNERS MATCH, THE CAMPAIGN RAISED $942,537. PATIENT CARE FUNDS FROM THE CAMPAIGN WERE SPLIT BETWEEN THE WISHING WELL (WHICH PROVIDES BASIC NECESSITIES AND MEDICATIONS TO NEEDY PATIENTS), REACH OUT AND READ, DRUG ASSISTANCE PROGRAMS, PATIENT EDUCATION MATERIALS, FREE NEWSPAPERS FOR PATIENTS, COMPLEMENTARY THERAPIES SUCH AS MASSAGE AND MUSIC THERAPY AND CARE IMPROVEMENT GRANTS. LAST YEAR, 41 PROGRAMS RECEIVED PATIENT CARE GRANT SUPPORT.
FORM 990, PART VI, SECTION A, LINE 6 HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), IS THE SOLE CORPORATE MEMBER OF RHF.
FORM 990, PART VI, SECTION A, LINE 7A HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER, APPOINTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS - ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG-RANGE PLANS - UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $10,000 - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $10,000 - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS - DISSOLUTION - ELECTION OF THE OFFICERS
FORM 990, PART VI, SECTION B, LINE 11 RHF'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF RHF. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF RHF, GHI'S INTERNAL LEGAL DEPARTMENT AND RHF'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF RHF. RHF MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12C RHF IS GOVERNED BY A BOARD OF DIRECTORS. AS REQUIRED BY THE BYLAWS OF RHF, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND SUBMIT A REPORT TO THE CHAIR, PRESIDENT AND THE EXECUTIVE DIRECTOR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15 RHF HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GHI AND REGIONS HOSPITAL, RELATED ORGANIZATIONS WHICH HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF RHF'S EXECUTIVE DIRECTOR AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE GHI BOARD OF DIRECTORS' COMPENSATION COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE, STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS. THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAD DELEGATED TO THE CEO (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS NEED TO BE APPROVED BY THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19 RHF'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM RHF OR HEALTHPARTNERS, INC. RHF'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. RHF'S CONFLICT OF INTEREST POLICY THROUGH IT'S RELATED ORGANIZATIONS, HEALTHPARTNERS, INC. AND GROUP HEALTH PLAN, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.
FORM 990, PART XI, LINE 9: NON-CASH GIFTS IN KIND -117,122.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
REGIONS HOSPITAL FOUNDATION
 
Employer identification number

41-1888902
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1) HEALTHPARTNERS INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1693838 		HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4)   N/A
Yes
 
(2) HPI-RAMSEY

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1793333 		CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC
 
Yes
 
(3) GROUP HEALTH PLAN INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-0797853 		STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC
 
Yes
 
(4) HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1670163 		HEALTHCARE EDUCATION & RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC
 
Yes
 
(5) CAPITOL VIEW TRANSITIONAL CARE CENTER

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-2011453 		POST HOSPITALIZATION PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY
 
Yes
 
(6) REGIONS HOSPITAL

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-0956618 		HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY
 
Yes
 
(7) RHSC INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1891928 		HEALTHCARE STAFFING MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC
 
Yes
 
(8) RH-WISCONSIN

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
20-2287016 		CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY
 
Yes
 
(9) PHYSICIANS NECK AND BACK CLINICS

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
27-0684883 		SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC
 
Yes
 
(10) HUDSON HOSPITAL INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
39-0804125 		HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN & GROUP HEALTH PLAN INC
 
Yes
 
(11) HUDSON HOSPITAL FOUNDATION INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
39-1279567 		PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC
 
Yes
 
(12) WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
26-3616590 		PROVIDE MEDICAL TRANSPORT SERVICES WI 501(C)(3) 509(A)(3) TYPE II RH-WISCONSIN
 
Yes
 
(13) LAKEVIEW MEMORIAL HOSPITAL FOUNDATION

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1386635 		PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 509(A)(3) TYPE II STILLWATER HEALTH SYSTEM
 
Yes
 
(14) LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-0811697 		HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) STILLWATER HEALTH SYSTEM
 
Yes
 
(15) STILLWATER MEDICAL GROUP

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
83-0379473 		PHYSICIANS GROUP MN 501(C)(3) 509(A)(2) STILLWATER HEALTH SYSTEM
 
Yes
 
(16) STILLWATER HEALTH SYSTEM

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
30-0221189 		CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY
 
Yes
 
(17) WESTFIELDS HOSPITAL INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
39-0808442 		HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN & GROUP HEALTH PLAN INC
 
Yes
 
(18) WESTFIELDS HOSPITAL FOUNDATION INC

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
39-1770913 		PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 509(A)(3) TYPE I WESTFIELDS HOSPITAL INC
 
Yes
 
(19) RAMSEY INTEGRATED HEALTH SERVICES

8170 33RD AVE S PO BOX 1309

MPLS,MN554401309
41-1503090 		IN-HOME PATIENT CARE MN 501(C)(3) 509(A)(2) HPI - RAMSEY
 
Yes
 
(20) PARK NICOLLET HEALTH SERVICES

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
36-3465840 		CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) TYPE III HEALTHPARTNERS INC
 
Yes
 
(21) PARK NICOLLET FOUNDATION

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
23-7346465 		GRANTS TO SERVE THE COMMUNITY MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES
 
Yes
 
(22) PARK NICOLLET METHODIST HOSPITAL

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
41-0132080 		HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES
 
Yes
 
(23) PARK NICOLLET INSTITUTE

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
41-0961862 		HEALTHCARE RESEARCH MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES
 
Yes
 
(24) PARK NICOLLET HEALTH CARE PRODUCTS

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
01-0638901 		HEALTHCARE PRODUCTS MN 501(C)(3) 509(A)(3) TYPE II PARK NICOLLET HEALTH SERVICES
 
Yes
 
(25) PARK NICOLLET CLINIC

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
41-0834920 		HEALTHCARE MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES
 
Yes
 
(26) PNMC HOLDINGS

6500 EXCELSIOR BLVD

ST LOUIS PARK,MN55426
41-1741792 		HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET CLINIC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTHPARTNERS ADMINISTRATORS INC

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
41-1629390 		THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC
  		C       Yes  
(2) HEALTHPARTNERS ASSOCIATES INC

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
52-2365151 		MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC
  		C       Yes  
(3) HEALTHPARTNERS SERVICES INC

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
41-1683568 		MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC
  		C       Yes  
(4) HEALTHPARTNERS VENTURES INC

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
41-1838197 		DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES MN HEALTHPARTNERS INC
  		C       Yes  
(5) HEALTHPARTNERS INSURANCE COMPANY

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
41-1683523 		MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC
  		C       Yes  
(6) DENTAL SPECIALTIES INC

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
45-1297583 		DENTAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC
  		C       Yes  
(7) HEALTHPARTNERS CENTRAL MINNESOTA CLINICS

8170 33RD AVE S PO BOX 1309
MPLS,MN554401309
41-1236798 		MEDICAL CLINIC STAFFING AND MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC
  		C       Yes  
(8) PARK NICOLLET ENTERPRISES

6500 EXCELSIOR BLVD
ST LOUIS PARK,MN55426
41-1656735 		REAL ESTATE FOR RELATED ORGANIZATIONS MN PARK NICOLLET HEALTH SERVICES
  		C       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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