Form990
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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
ALLINA HEALTH SYSTEM
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 43 MR 10890
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MINNEAPOLIS, MN554400043
D Employer identification number

36-3261413
E Telephone number

G Gross receipts $ 4,400,704,296
F Name and address of principal officer:
KENNETH PAULUS
PO BOX 43 MR 10890
MINNEAPOLIS,MN554400043
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ALLINAHEALTH.ORG
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: 1983
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE LIFELONG HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2013, ALLINA PROVIDED $525,281,934 IN DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.
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 13
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 27,564
6 Total number of volunteers (estimate if necessary) ............. 6 4,052
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 12,326,431
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 4,208,752
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 19,482,701 57,655,191
9 Program service revenue (Part VIII, line 2g) ......... 3,193,168,506 3,313,068,017
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,067,584 139,882,313
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 28,649,072 31,011,428
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,246,367,863 3,541,616,949
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,087,930 2,619,474
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) 1,925,853,762 1,974,115,732
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet6,682,168    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,164,099,393 1,241,424,396
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,092,041,085 3,218,159,602
19 Revenue less expenses. Subtract line 18 from line 12....... 154,326,778 323,457,347
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,287,433,761 3,620,338,086
21 Total liabilities (Part X, line 26)............. 1,464,804,520 1,567,842,333
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,822,629,241 2,052,495,753
Part II
Signature Block
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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: OUR MISSIONWE SERVE OUR COMMUNITIES BY PROVIDING EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE.OUR VISIONWE WILL: PUT THE PATIENT FIRST; MAKE A DIFFERENCE IN PEOPLES LIVES BY PROVIDING EXCEPTIONAL CARE AND SERVICE; CREATE A HEALING ENVIORNMENT WHERE PASSIONATE PEOPLE THRIVE AND EXCEL; AND LEAD COLLABORATIVE EFFORTS THAT SOLVE OUR COMMUNITY'S HEALTH CARE CHALLENGES.OUR VALUESINTEGRITY, RESPECT, TRUST, COMPASSION AND STEWARDSHIP
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 $ 2,268,250,646 including grants of $ 2,619,474 ) (Revenue $ 3,411,842,150 )
PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS WHICH INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE;THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE.UNITED HOSPITAL ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS THE LARGEST HOSPITAL IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.MERCY HOSPITAL COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE HEART & VASCULAR CENTER, CANCER CENTER, WOMEN'S & CHILDREN'S SERVICES, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. MERCY ALSO SERVES THE COMMUNITY THROUGH ELK RIDGE HEALTH, A SURGERY CENTER AND CLINIC IN ELK RIVER.UNITY HOSPITAL FRIDLEY, MINNESOTALOCATED IN FRIDLEY, UNITY HOSPITAL PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE THE HEART & VASCULAR CENTER, WOMEN'S & CHILDREN'S SERVICES, EMERGENCY SERVICES AND MENTAL HEALTH SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY.BUFFALO HOSPITAL BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. DEDICATED TO MEETING THE NEEDS OF ITS PATIENTS, CAMBRIDGE MEDICAL CENTER PROVIDES AN ATMOSPHERE THAT PROMOTES HEALING AND COMFORT.NEW ULM MEDICAL CENTER NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.PHILLIPS EYE INSTITUTE MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, PHILLIPS EYE INSTITUTE IS THE THIRD LARGEST SPECIALTY EYE HOSPITAL IN THE U.S., SPECIALIZING IN THE DIAGNOSIS, TREATMENT AND CARE OF EYE DISORDERS AND DISEASES. PHILLIPS EYE INSTITUTE DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY.RIVER FALLS AREA HOSPITAL RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR RIVERS CANCER CENTER, BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.ALLINA HEALTH ALSO PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN OVER 40 COMMUNITIES. MORE THAN 750 HEALTH CARE PRACTITIONERS HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2013, ALLINA HEALTH EXPENDED OVER $2.2 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 3,300,000 CLINIC VISITS, NEARLY 113,000 INPATIENT ADMISSIONS AND 1,200,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 320,000 EMERGENCY CARE VISITS, 280,000 HOMECARE AND HOSPICE VISITS, AND OVER 15,000 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, PERINATAL PROGRAMS, FREE CARE OR SLIDING FEE SCALE CLINICS, MEDICAL EDUCATION, AND SERVICES TO SPECIAL-NEEDS POPULATIONS. OTHER SUBSIDIZED SERVICES INCLUDE HOSPICE, HOME CARE AND PALLIATIVE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND MENTAL HEALTH SERVICES. IN 2013, ALLINA HEALTH EXPENDED $2,553,309 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.
4b (Code:   ) (Expenses $ 305,830,809 including grants of $   ) (Revenue $   )
COST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA HEALTH IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE, OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE FOR ALL INDIVIDUALS, ALLINA HEALTH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS ALLINA HEALTH INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2013, ALLINA HEALTH PROVIDED $305,830,809 IN HEALTH CARE SERVICES IN EXCESS OF THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS AND SURCHARGES, TAXES AND FEES RELATED TO THESE PROGRAMS. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THESE PROGRAMS, SERVICES AND ADDITIONAL TAXES AND FEES.COSTS IN EXCESS OF MEDICARE AND MEDICAID PAYMENTSALLINA HEALTH PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE REIMBURSED AT AMOUNTS LESS THAN COST. IN 2013, ALLINA HEALTH EXPENDED $184,313,290 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $52,204,791 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA HEALTH IS A PARTICIPANT IN THE MEDICAID SURCHARGE PROGRAM. THE CURRENT PROGRAM INCLUDES A 1.56% SURCHARGE ON A HOSPITAL'S NET PATIENT SERVICE REVENUE (EXCLUDING MEDICARE REVENUE). REPORTED AMOUNTS ARE NET OF ANY DISPROPORTIONATE SHARE ADJUSTMENTS. IN 2013, ALLINA HEALTH PAID $22,871,542 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE. ALLINA HEALTH PAID $40,660,300 FOR THE MINNESOTACARE TAX IN 2013. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $5,780,886 IN TAXES AND FEES IN 2013.
4c (Code:   ) (Expenses $ 74,196,210 including grants of $   ) (Revenue $   )
UNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR COMMUNITY CARE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2013, ALLINA HEALTH PROVIDED $28,377,543 IN CHARITY CARE.UNINSURED DISCOUNT PROGRAMFOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR MEET THE FINANCIAL THRESHOLD FOR CHARITY CARE, BUT REQUIRE SOME FINANCIAL ASSISTANCE, ALLINA HEALTH PROVIDES A SLIDING SCALE DISCOUNT. ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A MINIMUM OF A 20 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 57 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2013, ALLINA HEALTH PROVIDED $45,818,667 IN SUCH DISCOUNTS TO LOW-INCOME, UNINSURED INDIVIDUALS. BAD DEBT BAD DEBT WILL BE REPORTED AS A REDUCTION TO REVENUE. ALLINA HEALTH PROVIDES MEDICAL CARE TO ALL IN NEED. THERE ARE TIMES WHEN PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT. THESE BAD DEBT AMOUNTS IN 2013 TOTALED $(86,024,203).
(Code:   ) (Expenses $ 56,680,771 including grants of $   ) (Revenue $   )
COMMUNITY SERVICES:ALLINA HEALTH IS COMMITTED TO SUPPORTING PROGRAMS AND SERVICES THAT ADDRESS COMMUNITY NEEDS. IN 2013, ALLINA HEALTH CONTRIBUTED $56,680,772 TO COMMUNITY PROGRAMS AND SERVICES TO ADVANCE THE HEALTH OF THE BROADER COMMUNITY. BELOW ARE EXAMPLES OF PROGRAMS AND SERVICES ALLINA HEALTH PROVIDES WITHIN THE COMMUNITIES WE SERVE THAT OFFER COMMUNITY BENEFIT. COMMUNITY HEALTH IMPROVEMENT SERVICESACCORDING TO THE CATHOLIC HEALTH ASSOCIATION (CHA/VHA) GUIDELINES, COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES TO IMPROVE COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION AND DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS. ALLINA HEALTH PROVIDES MANY PROGRAMS AND SERVICES THAT FALL UNDER THIS CATEGORY. A FEW EXAMPLES INCLUDE: SCHOOL HEALTH CONNECTION - LAUNCHED IN 2012, SCHOOL HEALTH CONNECTION IS DESIGNED TO ENCOURAGE HEALTHY LIFESTYLES IN STUDENTS, TEACHERS AND FAMILIES. IT SUPPORTS SCHOOLS FOR A FULL ACADEMIC YEAR BY PROVIDING HEALTH-EDUCATION TOOLS, RESOURCES, GRANT FUNDS, CONSULTING PHYSICIANS, ONLINE LEARNING RESOURCES, TEACHER TRAININGS, AND COMMUNITY EVENTS SUCH AS FREE HEALTH SCREENINGS FOR TEACHERS AND PARENTS. TEN ELEMENTARY SCHOOLS WERE AWARDED GRANTS OF $10,000 EACH THROUGH A COMPETITIVE APPLICATION PROCESS FOR THE 2012-2013 SCHOOL YEAR. IN THE END-OF-YEAR SCHOOL SURVEY, COMPLETED BY PRINCIPALS, TEACHERS, PARENTS AND OTHER SCHOOL STAFF 100 PERCENT OF RESPONDENTS REPORTED THAT THEY BELIEVE THEIR SCHOOL IS HEALTHIER AS A RESULT OF THE SCHOOL HEALTH CONNECTION. FAMILY FITNESS FAIRS HELD AT THE SCHOOLS WERE ALSO HIGHLY RATED WITH 100 PERCENT OF RESPONDENTS SAYING THE FAMILY FITNESS FAIR WAS "VERY EFFECTIVE" OR "EFFECTIVE" IN ENGAGING FAMILIES AND SCHOOL STAFF IN HEALTHY ACTIVITIES. HEALTH POWERED KIDS ALLINA HEALTH PILOTED HEALTH POWERED KIDS WITH THE 10 SCHOOLS CHOSEN AS THE SCHOOL HEALTH CONNECTION SITES IN 2012. DEVELOPED BY EXPERTS AT ALLINA HEALTH, HEALTH POWERED KIDS IS AN ONLINE EDUCATIONAL RESOURCE DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. THE LESSONS SUPPORT NATIONAL HEALTH AND PHYSICAL EDUCATION TEACHING STANDARDS, SO TEACHERS ARE ABLE TO CROSS-REFERENCE HEALTH POWERED KIDS LESSONS WITHIN EXISTING LESSON PLANS. OFFERED AS A FREE, ONLINE RESOURCE IN 2013, MORE THAN 1,000 INDIVIDUALS, HOME SCHOOL FAMILIES, CHILD CARE PROFESSIONALS, ELEMENTARY SCHOOL EDUCATORS AND OTHER COMMUNITY ORGANIZATIONS HAVE REGISTERED TO USE HEALTH POWERED KIDS LESSONS AND ACTIVITIES. HEALTH POWERED KIDS INCLUDES: -MORE THAN 50 ONLINE LESSONS AND ACTIVITIES ON NUTRITION, PHYSICAL FITNESS AND MIND-BODY BALANCE FOR CHILDREN AGES 3 TO 14-TAKE-HOME NEWSLETTERS FOR PARENTS TO GET INVOLVED FROM HOME-POWER CHARGERSTWO, FIVE OR TEN MINUTE EXERCISES AS ACTIVITY BREAKS.NEIGHBORHOOD HEALTH CONNECTION (NHC) IN 2013, ALLINA HEALTH AWARDED HEALTHY ACTIVITY GRANTS TO 73 ORGANIZATIONS AND GROUPS OF NEIGHBORS IN MINNESOTA AND WESTERN WISCONSIN. GRANTS WERE USED TO HELP PEOPLE MAKE NEW PERSONAL CONNECTIONS AND STRENGTHEN EXISTING ONES THROUGH HEALTHY ACTIVITIES. MORE THAN 6,300 PEOPLE PARTICIPATED IN ACTIVITIES THAT WERE SUPPORTED BY HEALTHY ACTIVITY GRANTS. IN ADDITION TO GRANTS, NHC OFFERS NEIGHBORHOOD GROUPS A TOOLKIT TO GET STARTED, INCLUDING TIPS FOR RECRUITING NEIGHBORS AND PLANNING ACTIVITIES. HEART SAFE COMMUNITIES THE HEART SAFE COMMUNITIES PROGRAM OF ALLINA HEALTH INCREASES SURVIVAL FROM SUDDEN CARDIAC ARREST, A LEADING CAUSE OF DEATH, BY PLACING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) WHERE PEOPLE LIVE, LEARN, WORK AND PLAY AND TRAINING INDIVIDUALS IN THE COMMUNITY ON CPR AND AED USE. TO DATE, MORE THAN 2,500 AEDS HAVE BEEN PLACED AND MAINTAINED IN MINNESOTA AND WESTERN WISCONSIN, AND CLOSE TO 50,000 INDIVIDUALS HAVE BEEN TRAINED IN THEIR USE AS WELL AS IN CPR. BY 2013 MORE THAN 25 COMMUNITIES HAVE EARNED THE DESIGNATION OF HEART SAFE COMMUNITY. THE DESIGNATION ACKNOWLEDGES A CITY, COUNTY OR ORGANIZATION'S EFFORTS TO PREPARE ITS STAFF AND CITIZENS TO RECOGNIZE WHEN SOMEONE SUFFERS A SUDDEN CARDIAC ARREST AND KNOW HOW TO RESPOND. MEDELIGIBLE MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. MEDFORMATION MEDFORMATION IS A COMMUNITY SERVICE THAT PROVIDES FREE ACCESS TO HEALTH INFORMATION AND RESOURCES. A TELEPHONE CONTACT CENTER IS OPERATED SEVEN DAYS A WEEK, OFFERING PHYSICIAN REFERRAL SERVICES TO THE GENERAL PUBLIC AS WELL AS LOW COST HEALTH CARE CLASSES, SCREENINGS AND EVENTS, AND NURSE ADVICE FOR THOSE CALLING METROPOLITAN EMERGENCY DEPARTMENTS. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2013, ALLINA HEALTH INVESTED OVER $23 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. IN 2013, ALLINA HEALTH SUPPORTED THREE COMMUNITY HEALTH IMPROVEMENT RESEARCH PROJECTS: THE HEART OF NEW ULM, THE BACKYARD INITIATIVE AND HEALTHY COMMUNITIES PARTNERSHIP AS A MEANS TO UNDERSTAND HOW TO IMPACT BROADER COMMUNITY HEALTH THROUGH COMMUNITY-LEVEL INTERVENTIONS. IN ADDITION TO COMMUNITY HEALTH RESEARCH PROJECTS, ALLINA HEALTH WAS ALSO INVOLVED WITH NUMEROUS CLINICAL RESEARCH AND CARE MODEL REDESIGN PROJECTS, SUCH AS:-150 PATIENTS ENROLLED IN LIFECOURSE, A LATE LIFE SUPPORTIVE CARE INTERVENTION-232 PATIENTS ENROLLED IN CONGESTIVE HEART FAILURE AND PALLIATIVE CARE STUDY-206 COMMUNITY MEMBERS COMPLETED THE BACKYARD INITIATIVE COMMUNITY HEALTH SURVEY-MORE THAN 20 CLINICS INVOLVED IN SURVEILLANCE OF HEALTHCARE WORKER BURNOUTIN TOTAL, ALLINA HEALTH INVESTED MORE THAN $15.8 MILLION TOWARD THIS RESEARCH IN 2013. FINANCIAL AND IN-KIND CONTRIBUTIONSALLINA HEALTH PROVIDES NUMEROUS IN-KIND AND MONETARY CONTRIBUTIONS TO INDIVIDUALS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS TO SUPPORT COMMUNITY NEEDS. IN 2013, ALLINA HEALTH FUNDED OVER $2.9 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, FREE MEALS, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. A FULL REPORT OF ALLINA HEALTH IN THE COMMUNITY IS AVAILABLE ON OUR WEBSITE HTTP://WWW.ALLINAHEALTH.ORG/AHS/ABOUTALLINA.NSF/PAGE/ANNUAL_REPORTAWARDSIN 2013, ALLINA HEALTH RECEIVED THE INTERNATIONAL CORPORATE AWARD FROM THE INTERNATIONAL LEADERSHIP INSTITUTE, HONORING WORK THAT HELPS FOSTER INTERNATIONAL UNDERSTANDING, COOPERATION AND MUTUALLY BENEFICIAL RELATIONSHIPS. ALLINA HEALTH RECEIVED THE AWARD PARTIALLY IN RECOGNITION OF MISSION MATTERS PROGRAMS SUCH AS THE GLOBAL FUND, WHICH PROVIDES FINANCIAL SUPPORT TO EMPLOYEES WHO VOLUNTEER OUTSIDE ALLINA HEALTH'S SERVICE AREA. IN 2013, ALLINA HEALTH RECEIVED THREE MAJOR MINNESOTA HOSPITAL ASSOCIATION (MHA) HEALTH CARE AWARDS:PATIENT SAFETY IMPROVEMENT AWARD: BUFFALO HOSPITALTHE PATIENT SAFETY IMPROVEMENT AWARD RECOGNIZES HOSPITALS THAT HAVE TAKEN EXTRAORDINARY AND INNOVATIVE STEPS TO MAKE PATIENT SAFETY A TOP PRIORITY THROUGHOUT THE HOSPITAL. INNOVATION OF THE YEAR IN PATIENT CARE AWARD: NEW ULM MEDICAL CENTERTHE INNOVATION OF THE YEAR AWARD HONORS NEW ULM MEDICAL CENTER FOR ITS SOCIAL WORKER PROGRAM TO PROVIDE BETTER CARE COORDINATION SERVICES TO EMERGENCY DEPARTMENTS AND CLINIC PATIENTS.COMMUNITY BENEFIT AWARD: ALLINA HEALTHTHIS AWARD RECOGNIZES ALLINA HEALTH FOR ITS INVESTMENT IN THE FREE BIKES 4 KIDZ PROGRAM, WHICH ENCOURAGES PHYSICAL ACTIVITY, SUPPORTING HEALTHFUL EATING, AND MAINTAINING A BALANCED LIFE.
4d Other program services (Describe in Schedule O.)
(Expenses $ 56,680,771 including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,704,958,436
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
 
No
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
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
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
Yes
 
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
Yes
 
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
 
No
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......... Click to see attachment
14b
Yes
 
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 IVClick to see attachment
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... Click to see attachment
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.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
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
 
No
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................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
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........ Click to see attachment
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................... Click to see attachment
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.................... Click to see attachment
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......... Click to see attachment
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 .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
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... Click to see attachment
28c
Yes
 
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
 
No
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
Yes
 
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
Yes
 
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... Click to see attachment
35b
 
No
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
Yes
 
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
1,431
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
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
27,564
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
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
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
Yes
 
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
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCA , BE , MX
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
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
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
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
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
 
 
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
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
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
 
No
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
 
No
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
 
No
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN , WI
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:
MediumBulletTAX SERVICES MAIL ROUTE 108902925 CHICAGO AVENUEMINNEAPOLISMN554071321 (612) 262-0660
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) JOHN ALLEN MD........................................................................
DIRECTOR
 2.00
.......................0.00 		X           17,050 0 0
(2) WILLIAM BEER........................................................................
DIRECTOR
 2.00
.......................0.00 		X           18,000 0 0
(3) GARY BHOJWANI........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(4) JOHN CHURCH........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(5) DAVID DURENBERGER........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(6) NATE GARVIS........................................................................
DIRECTOR
 2.00
.......................2.00 		X           14,000 0 0
(7) JOSEPH GOSWITZ MD........................................................................
DIRECTOR
 2.00
.......................0.00 		X           0 0 0
(8) MARK JORDAHL........................................................................
DIRECTOR/VICE CHAIR
 2.00
.......................0.00 		X           0 0 0
(9) REATHA CLARK KING PHD........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(10) CHRISTINE MORRISON........................................................................
DIRECTOR/CHAIRMAN
 4.00
.......................2.00 		X           0 0 0
(11) HUGH NIERENGARTEN........................................................................
DIRECTOR
 2.00
.......................0.00 		X           19,128 0 0
(12) KENNETH PAULUS........................................................................
DIRECTOR/PRESIDENT/CEO
 40.00
.......................2.00 		X   X       1,948,945 0 791,667
(13) GLORIA PEREZ........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(14) REBECCA ROLOFF........................................................................
DIRECTOR
 2.00
.......................0.00 		X           14,000 0 0
(15) BRIAN ROSENBERG........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(16) DEBBRA SCHONEMAN........................................................................
DIRECTOR
 2.00
.......................0.00 		X           10,000 0 0
(17) MARK SHEFFERT........................................................................
DIRECTOR
 2.00
.......................0.00 		X           14,000 0 0
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) SALLY SMITH........................................................................
DIRECTOR
 2.00
.......................0.00 		X           14,000 0 0
(19) MICHAEL TATTERSFIELD........................................................................
DIRECTOR
 2.00
.......................2.00 		X           10,000 0 0
(20) JOAN THOMPSON........................................................................
DIRECTOR
 2.00
.......................2.00 		X           0 0 0
(21) RODNEY YOUNG........................................................................
DIRECTOR
 2.00
.......................0.00 		X           10,000 0 0
(22) BEN BACHE-WIIG MD........................................................................
SVP, PRES. ANW HOSPITAL
 40.00
.......................2.00 		    X       593,192 0 164,524
(23) MARGARET BUTLER........................................................................
SVP, HUMAN RESOURCES
 40.00
.......................0.00 		    X       625,730 0 186,557
(24) RODNEY CHRISTENSEN........................................................................
INTERIM PRES. ALLINA CLINICS
 40.00
.......................2.00 		    X       428,168 0 91,134
(25) SARA CRIGER........................................................................
SVP, PRES. MERCY HOSP.
 40.00
.......................2.00 		    X       469,694 0 105,064
(26) DUNCAN GALLAGHER........................................................................
TREASURER/EVP/CFO
 40.00
.......................2.00 		    X       1,108,440 0 331,637
(27) MARGARET HASBROUCK........................................................................
VP, PAYOR CONTRACT/REIMB.
 40.00
.......................0.00 		    X       308,901 0 83,535
(28) SUSAN HEICHERT........................................................................
SVP, CHIEF INFORMATION OFF
 40.00
.......................0.00 		    X       446,285 0 163,016
(29) CHRISTOPHER HUGHES........................................................................
VP, REVENUE CYCLE MANAGEME
 40.00
.......................0.00 		    X       266,111 0 65,801
(30) DEREK KANG........................................................................
SVP, CHIEF COMPLIANCE OFF
 40.00
.......................0.00 		    X       366,766 0 118,228
(31) LAURIE LAFONTAINE........................................................................
VP, FINANCE & TREASURY
 40.00
.......................0.00 		    X       403,589 0 98,397
(32) MICHAEL MARSHALL MD........................................................................
SVP, PRES. ALLINA CLINIC
 40.00
.......................2.00 		    X       571,322 0 96,829
(33) DANIEL MCGINTY........................................................................
EVP HOSPITAL/SPECIALTY SVCS.
 40.00
.......................2.00 		    X       191,784 0 24,335
(34) THOMAS O'CONNOR........................................................................
SVP, PRESIDENT UNITED HOSP
 40.00
.......................2.00 		    X       785,326 0 242,130
(35) JEFFREY PETERSON........................................................................
EVP, HOSPITAL SERVICES
 40.00
.......................2.00 		    X       510,132 0 33,376
(36) ELIZABETH TRUESDELL SMITH........................................................................
SECRETARY/SVP, GEN. COUCIL
 40.00
.......................2.00 		    X       607,972 0 180,868
(37) PENNY WHEELER MD........................................................................
EVP, CHIEF CLINICAL OFF
 40.00
.......................2.00 		    X       840,817 0 328,285
(38) ROBERT WIELAND MD........................................................................
EVP, CLINIC & COMM DIV/PRES
 40.00
.......................2.00 		    X       769,994 0 280,692
(39) LORI WIGHTMAN........................................................................
SVP, PRESIDENT UNITY HOSPI
 40.00
.......................2.00 		    X       596,386 0 58,345
(40) CHRISTINE BENT........................................................................
SVP, CLINICAL SERVICES LIN
 40.00
.......................0.00 		      X     416,419 0 133,360
(41) DANIEL BUSS MD........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,686,733 0 120,896
(42) RANDALL CHADWICK JR........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,079,915 0 94,987
(43) MICHAEL FREEHILL MD........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,435,716 0 105,819
(44) LEROY MCCARTY MD........................................................................
PHYSICIAN
 40.00
.......................0.00 		        X   1,368,098 0 104,956
(45) STEVEN SWANSON MD........................................................................
PRESIDENT-NEUROSCIENCE
 40.00
.......................0.00 		        X   1,243,773 0 140,706
(46) JOHN STOLTENBERG MD........................................................................
FORMER INTERIM PRES.-UNITY HOSP.
 0.00
.......................0.00 		          X 114,439 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 19,374,825 0 4,145,144
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet2,325
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
Yes
 
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
METROPOLITAN CARDIOLOGY CONSULTANTS4040 COON RAPIDS BLVD NWCOON RAPIDSMN55443 PROFESSIONAL SERVICES - MEDICAL 15,575,241
METROPOLITAN CARDIAC SERVICES4040 COON RAPIDS BLVD NWCOON RAPIDSMN55433 PROFESSIONAL SERVICES - MEDICAL 10,160,483
PHYSICIANS GROUP OF NEW ULM LTD1324 5TH NORTH STREETNEW ULMMN56073 PROFESSIONAL SERVICES - MEDICAL 9,742,491
EMERGENCY CARE CONSULTANTS PA800 EAST 28TH STREETMINNEAPOLISMN55407 PROFESSIONAL SERVICES - MEDICAL 8,141,570
NURSEFINDERSPO BOX 910738DALLASTX75391 PROFESSIONAL SERVICES - TEMP HELP 5,464,383
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet187
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 50,862,608
e Government grants (contributions)1e 5,836,330
f All other contributions, gifts, grants, and
similar amounts not included above1f 		956,253
g Noncash contributions included in lines
1a-1f:$ 		91,355
h Total. Add lines 1a-1f.......MediumBullet 57,655,191
Program Service RevenueAmt Business Code
2a PROG.SERV.REVENUE-RELATED-990 621990 3,399,092,220 3,399,092,220    
b BAD DEBT 621990 -86,024,203 -86,024,203    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 3,313,068,017
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 29,686,983     29,686,983
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 6,674,853  
b Less: rental expenses 0  
c Rental income or (loss) 6,674,853  
d Net rental income or (loss).......MediumBullet 6,674,853     6,674,853
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 961,226,851 1,327,649
b Less: cost or other basis and sales expenses 850,726,292 1,632,878
c Gain or (loss) 110,500,559 -305,229
d Net gain or (loss)..........MediumBullet 110,195,330     110,195,330
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a 5,988,391
b Less: direct expenses ...b 6,728,177
c Net income or (loss) from fundraising events..MediumBullet -739,786   -739,786
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 HOME HEALTH CARE SERVICES 621610 6,143,928   6,143,928  
b OUTPATIENT CARE CENTER 621400 5,542,383   5,542,383  
c ST FRANCIS MEDICAL CENTER 621990 4,352,992 4,352,992    
d All other revenue .... 9,037,058 8,396,938 640,120  
e Total. Add lines 11a–11d ...... MediumBullet 25,076,361
12 Total revenue. See Instructions......MediumBullet 3,541,616,949 3,325,817,947 12,326,431 145,817,380
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 2,619,474 2,619,474
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
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 .... 12,446,151   12,446,151  
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 1,526,901,006 1,335,136,019 188,252,745 3,512,242
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 102,224,785 88,663,555 13,327,989 233,241
9 Other employee benefits ....... 230,998,327 200,379,860 30,093,224 525,243
10 Payroll taxes ........... 101,545,463 88,074,353 13,239,419 231,691
11 Fees for services (non-employees):        
a Management ...... 22,184,779 11,825,435 10,337,246 22,098
b Legal ......... 6,821,324   6,821,324  
c Accounting ........... 813,838   813,838  
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) ........ 312,235,340 203,253,073 108,035,948 946,319
12 Advertising and promotion .... 4,946,279 730,893 4,198,134 17,252
13 Office expenses ....... 488,153,171 467,593,309 20,153,373 406,489
14 Information technology ...... 36,812,678 25,539,080 11,264,792 8,806
15 Royalties ..        
16 Occupancy ........... 98,758,477 74,189,186 24,425,283 144,008
17 Travel ............ 7,606,281 6,318,008 1,260,853 27,420
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,139,298 2,248,360 886,797 4,141
20 Interest ........... 13,491,126 13,491,126    
21 Payments to affiliates ....... 462,053 462,053    
22 Depreciation, depletion, and amortization ..... 133,738,049 93,155,245 40,458,278 124,526
23 Insurance .............. 15,162,379 14,085,384 1,076,995  
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 MINNESOTA CARE TAX 40,660,300 40,660,300    
b MEDICAID SURCHARGE 22,871,541 22,871,541    
c INCOME TAX - UBI 1,680,892   1,680,892  
d
e All other expenses 31,886,591 13,662,182 17,745,717 478,692
25 Total functional expenses. Add lines 1 through 24e 3,218,159,602 2,704,958,436 506,518,998 6,682,168
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 ............. 10,000,056 1 9,803,861
2 Savings and temporary cash investments ......... 4,530,931 2 6,348,035
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 787,835,971 4 824,664,316
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 ............. 10,601,811 7 11,546,118
8 Inventories for sale or use .............. 52,945,365 8 52,892,580
9 Prepaid expenses and deferred charges .......... 9,169,840 9 10,475,150
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,763,307,208
b Less: accumulated depreciation ..... 10b 1,726,019,757 862,632,742 10c 1,037,287,451
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 1,474,638,233 12 1,561,422,443
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ............... 5,887,099 14 24,628,297
15 Other assets. See Part IV, line 11 ........... 69,191,713 15 81,269,835
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 3,287,433,761 16 3,620,338,086
Liabilities 17 Accounts payable and accrued expenses ......... 430,690,428 17 474,741,291
18 Grants payable ................. 413,700 18 275,801
19 Deferred revenue ................ 15,607,715 19 20,812,341
20 Tax-exempt bond liabilities ............. 647,972,590 20 649,351,652
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 .. 221,100 23 967,898
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.................... 369,898,987 25 421,693,350
26 Total liabilities. Add lines 17 through 25......... 1,464,804,520 26 1,567,842,333
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 .............. 1,817,540,079 27 2,047,016,446
28 Temporarily restricted net assets ........... 3,233,626 28 3,523,643
29 Permanently restricted net assets ........... 1,855,536 29 1,955,664
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 ........... 1,822,629,241 33 2,052,495,753
34 Total liabilities and net assets/fund balances ........ 3,287,433,761 34 3,620,338,086
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
3,541,616,949
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,218,159,602
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
323,457,347
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,822,629,241
5
Net unrealized gains (losses) on investments ...............
5
-13,949,850
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
-79,640,985
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,052,495,753
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
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
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
 
15
15
 
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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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
ALLINA HEALTH SYSTEM
  		Employer identification number

36-3261413
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
ALLINA HEALTH SYSTEM
  		Employer identification number

36-3261413
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
ALLINA HEALTH SYSTEM
  		Employer identification number

36-3261413
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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
8,425
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? ........
Yes
 
329,862
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
 
j
Total. Add lines 1c through 1i ...............................
338,287
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: ALLINA HEALTH EMPLOYS VARIOUS INDIVIDUALS, AS WELL AS CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL OF ALLINA ON BOTH A NATIONAL AND STATE LEVEL.
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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
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 .... 77,016,918 70,022,035 71,588,094 67,783,914 50,485,767
b Contributions ........ 12,716,764 -494,688 435,734 693,723 9,065,901
c Net investment earnings, gains, and losses 7,060,767 5,713,818 -150,245 4,980,609 10,653,658
d Grants or scholarships ..... 26,704 3,052 -54,786 39,033 62,576
e Other expenditures for facilities
and programs ........ 		5,773,999 1,772,701 1,796,762 1,831,119 2,358,836
f Administrative expenses ....          
g End of year balance ...... 90,993,746 77,016,918 70,022,035 71,588,094 67,783,914
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet2.280 %
b
Permanent endowment SchDMd Bullet57.640 %
c
Temporarily restricted endowment SchDMd Bullet40.080 %
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)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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 .................   81,768,066 81,768,066
b Buildings ................   1,170,964,233 569,719,625 601,244,608
c Leasehold improvements ............   100,845,048 52,331,088 48,513,960
d Equipment ................   1,352,876,679 1,092,413,666 260,463,013
e Other .................   56,853,182 11,555,378 45,297,804
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,037,287,451
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    
(3)Other
(A) CASH AND CASH EQUIVALENTS 		120,014,564 F

(B) MONEY MARKET COLLECTIVE FUND 		4,519,501 F

(C) FIXED INCOME 		593,284,392 F

(D) SHORT-TERM FIXED INCOME 		122,557,278 F

(E) EQUITY SECURITIES 		324,621,582 F

(F) INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE 		344,045,106 F

(G) INVESTMENTS IN JOINT VENTURES 		52,380,020 F


Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,561,422,443
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  
OTHER LIABILITIES 287,753,092
NET PENSION LIABILITY 3,137,681
DEFERRED COMPENSATION 28,786,934
INSURANCE CLAIMS PAYABLE 3,175,792
THIRD PARTY PAYER SETTLEMENT 681,700
MN CARE TAX PAYABLE 11,041,791
CAPITALIZED LEASE OBLIGATIONS 4,621,677
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN 82,494,683

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 421,693,350
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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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: EDUCATION AND RESEARCH CHARITY AND INDIGENT CARE PURCHASE OF PLANT ASSETS BUILDINGS AND EQUIPMENT PATIENT CARE OTHER
PART X, LINE 2: EXPLANATION: ALLINA HEALTH SYSTEM FIN 48 (ASC 740) FOOTNOTE (AMOUNTS IN THOUSANDS): (17) TAXES - THE SYSTEM HAS BEEN DETERMINED TO QUALIFY AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM HAS ALSO BEEN DETERMINED TO BE EXEMPT FROM FEDERAL AND STATE INCOME TAX ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND MINNESOTA STATUTE SECTION 290.05, SUBDIVISION 2. CERTAIN OF THE SYSTEM'S SUBSIDIARIES AND AFFILIATES QUALIFY AS TAX EXEMPT ORGANIZATIONS, WHILE OTHERS ARE TAXABLE. THE SYSTEM AND ITS SUBSIDIARIES PAID TAXES OF $1,944 AND $942 IN 2013 AND 2012, RESPECTIVELY. AS OF DECEMBER 31, 2013 AND 2012, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $79,644 AND $78,049, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, PROVISION FOR BAD DEBTS, AND LIMITATION OF CHARITABLE CONTRIBUTIONS, OFFSET BY VALUATION ALLOWANCES OF $78,946 AND $77,137, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $697 AND $912, RESPECTIVELY, PRIMARILY ATTRIBUTABLE TO DEPRECIATION AND A CHANGE IN ACCOUNTING METHOD OF A TAXABLE SUBSIDIARY. THE VALUATION ALLOWANCE INCREASED BY $1,809 AND $1,391 DURING 2013 AND 2012, RESPECTIVELY. AS OF DECEMBER 31, 2013, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $151,002 FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2033. INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT AND TAX RETURN METHODS OF ACCOUNTING. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE SYSTEM HAS ANALYZED INCOME TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE AND ALL STATE JURISDICTIONS WHERE IT OPERATES. THE SYSTEM BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
EUROPE 0 0 INVESTMENTS   226,114
NORTH AMERICA 0 0 INVESTMENTS   230,737
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS   138,477,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 138,933,851
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 138,933,851
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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

3M CHAMPIONSHIP GOLF TOURNAMENT
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

 
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 5,988,291     5,988,291
2 Less: Contributions . .        
3 Gross income (line 1
minus line 2) . . . 		5,988,291     5,988,291
VerticalDirectExpenses 4 Cash prizes . . . 1,889,629     1,889,629
5 Noncash prizes . .        
6 Rent/facility costs . . 138,000     138,000
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 4,700,548     4,700,548
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 6,728,177
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -739,886
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
FORM 990, SCHEDULE G, PART II EXPLANATION THE 3M CHAMPIONSHIP IS A U.S. SENIOR PROFESSIONAL GOLF ASSOCIATION SPONSORED TOURNAMENT WHOSE NET PROCEEDS ARE DISTRIBUTED TO FURTHER THE CHARITABLE PURPOSE OF THE ORGANIZATION. IN CONJUNCTION WITH THE TOURNAMENT, THE 3M FOUNDATION AGREED TO PROVIDE A GUARANTEED CONTRIBUTION TOTALING $1,300,000 WHICH WAS DIRECTLY PROVIDED TO THE UNITED HOSPITAL FOUNDATION, ABBOTT NORTHWESTERN HOSPITAL FOUNDATION, AND MERCY AND UNITY HOSPITAL FOUNDATION, AND IS NOT REFLECTED IN THE AMOUNTS ON SCHEDULE G.
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		0 0 28,377,543 0 28,377,543 0.880 %
b Medicaid (from Worksheet 3,
column a) .... 		0 0 75,076,333 0 75,076,333 2.330 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		0 0 40,660,300 0 40,660,300 1.260 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		    144,114,176   144,114,176 4.470 %
Other Benefits
 184 3,059,764 15,271,756 1,517,807 13,753,949 0.430 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		58 8,997 23,869,106 156,611 23,712,495 0.740 %
g Subsidized health services
(from Worksheet 6) .. 		10 2,677 2,569,959 16,650 2,553,309 0.080 %
h Research (from Worksheet 7) 15 19,363 16,601,820 751,985 15,849,835 0.490 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		78 252,375 3,364,974 418,475 2,946,499 0.090 %
j Total. Other Benefits .. 345 3,343,176 61,677,615 2,861,528 58,816,087 1.830 %
k Total. Add lines 7d and 7j . 345 3,343,176 205,791,791 2,861,528 202,930,263 6.300 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0 0 0   0 %
2 Economic development 4 12,120 731 0 731 0 %
3 Community support 11 164,485 120,971 0 120,971 0 %
4 Environmental improvements 1 0 143 0 143 0 %
5 Leadership development and training for community members 2 30 8,860 0 8,860 0 %
6 Coalition building 20 82,277 147,172 0 147,172 0.010 %
7 Community health improvement advocacy 7 362 22,201 0 22,201 0 %
8 Workforce development 7 1,037 117,916 0 117,916 0 %
9 Other 0 0 0 0   0 %
10 Total 52 260,311 417,994   417,994 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
55,226,060
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
592,405,620
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
616,896,036
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-24,490,416
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 METROPOLITAN INTEGRATED CANCER CENTER LLC
  		RADIATION THERAPY 80.000 %   20.000 %
22 MOBILE IMAGING SERVICES LLC
  		DIAGNOSTIC IMAGING 50.000 %   50.000 %
33 MAGNETO LEASING LLC
  		EQUIPMENT LEASING 50.000 %   50.000 %
44 SUBURBAN IMAGING LLC
  		OUTPATIENT RADIOLOGY SERVICES 50.000 %   50.000 %
55 SOUTHWEST SURGICAL CENTER LLC
  		AMBULATORY SURGERY PROCEDURES 83.330 %   16.670 %
66 APPLE VALLEY BUILDING ASSOCIATES LLC
  		BUILDING 50.000 %   50.000 %
77 CROSBY CARDIOVASCULAR SERVICES LLC
  		CARDIOLOGY DIAGNOSTIC SERVICES 50.000 %   50.000 %
88 PREMIER FMC LLC
  		REAL ESTATE 5.000 %   52.500 %
99 NORTHSTAR SLEEP CENTER LLC
  		SLEEP MEDICINE 50.000 %   50.000 %
1010 GERIATRIC SERVICES OF MINNESOTA LLC
  		LONG TERM CARE FOR THE ELDERLY 45.000 %   45.000 %
1111 WOODBURY AMBULATORY SURGERY CENTER LLC
  		OUTPATIENT SERVICES 50.000 %   50.000 %
1212 HEALTHCARE CAMPUS IMAGING ONE LLC
  		DIAGNOSTIC IMAGING 25.000 %   25.000 %
1313 REHAB ONE CENTER LLC
  		REHABILITATION SERVICES 8.300 %   48.700 %
1414 PET EQUIPMENT LEASING LLC
  		EQUIPMENT LEASING 25.000 %   25.000 %
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?10
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ABBOTT NORTHWESTERN HOSPITAL
800 E 28TH STREET
MINNEAPOLIS,MN55407 		X     X   X X     A
2 UNITED HOSPITAL
333 NORTH SMITH AVENUE
ST PAUL,MN55102 		X     X   X X     A
3 MERCY HOSPITAL
4050 COON RAPIDS BLVD
COON RAPIDS,MN55433 		X     X   X X     A
4 UNITY HOSPITAL
550 OSBORNE ROAD
FRIDLEY,MN55432 		X         X X     A
5 CAMBRIDGE MEDICAL CENTER
701 S DELLWOOD STREET
CAMBRIDGE,MN55008 		X           X     A
6 BUFFALO HOSPITAL
303 CATLIN STREET
BUFFALO,MN55313 		X           X     A
7 NEW ULM MEDICAL CENTER
1324 FIFTH NORTH STREET
NEW ULM,MN56073 		X       X   X     A
8 OWATONNA HOSPITAL
903 S OAK AVE
OWATONNA,MN55060 		X           X     A
9 RIVER FALLS AREA HOSPITAL
1629 EAST DIVISION STREET
RIVER FALLS,WI54022 		X       X   X     A
10 PHILLIPS EYE INSTITUTE
2215 PARK AVENUE
MINNEAPOLIS,MN55404 		X         X       A
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		 
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: UNITED HOSPITAL, - FACILITY 3: MERCY HOSPITAL, - FACILITY 4: UNITY HOSPITAL, - FACILITY 5: CAMBRIDGE MEDICAL CENTER, - FACILITY 6: BUFFALO HOSPITAL, - FACILITY 7: NEW ULM MEDICAL CENTER, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: RIVER FALLS AREA HOSPITAL, - FACILITY 10: PHILLIPS EYE INSTITUTE
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 ALLINA HEALTH CLINICS-57 LOCATIONS
PO BOX 43 INTERNAL ZIP 10890
MINNEAPOLIS,MN55440 		INPATIENT AND OUTPATIENT SERVICES
2 COURAGE KENNY REHABILITATION INSTITUTE
800 E 28TH STREET
MINNEAPOLIS,MN55407 		REHABILITATION CLINIC
3 ALLINA HEALTH LABORATORIES
800 E 28TH STREET
MINNEAPOLIS,MN55407 		LABORATORY SERVICES
4 ALLINA HEALTH PHARMACIES-15 LOCATIONS
800 E 28TH STREET
MINNEAPOLIS,MN55407 		PHARMACY SERVICES
5 WESTHEALTH INC
2805 2855 CAMPUS DRIVE
PLYMOUTH,MN55441 		OUTPATIENT SERVICES
6 SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500
MINNEAPOLIS,MN55407 		OUTPATIENT SURGERY CENTER
7 WOODBURY AMBULATORY SURGERY CENTER LLC
8675 VALLEY CREEK RD
ST PAUL,MN55125 		OUTPATIENT SURGERY CENTER
8 ALLINA HEALTH EMERGENCY MEDICAL SERVICE
167 GRAND AVENUE
ST PAUL,MN55102 		AMBULANCE AND MEDICAL TRANSPORTATION
9 NORTHSTAR SLEEP CENTER LLC
3800 COON RAPIDS BOULEVARD SUITE
3800
COON RAPIDS,MN55433 		OUTPATIENT SERVICES
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: UNITED HOSPITAL, - FACILITY 3: MERCY HOSPITAL, - FACILITY 4: UNITY HOSPITAL, - FACILITY 5: CAMBRIDGE MEDICAL CENTER, - FACILITY 6: BUFFALO HOSPITAL, - FACILITY 7: NEW ULM MEDICAL CENTER, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: RIVER FALLS AREA HOSPITAL, - FACILITY 10: PHILLIPS EYE INSTITUTE
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 7: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS JUST COMPLETED AT THE END OF DECEMBER, SO THERE HAS NOT BEEN SUFFICIENT TIME DURING THE TAX YEAR BEING REPORTED TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA. HOWEVER, WORK HAD BEGUN TO IDENTIFY APPROPRIATE RESPONSES, SUCH AS THROUGH CHARITABLE CONTRIBUTIONS, PARTNERSHIPS, RESEARCH, AND PROGRAMS AND SERVICE DELIVERY.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 11: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 20D: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
FACILITY 10 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 22: CERTAIN NON-MEDICALLY NECESSARY PROCEDURES DO NOT QUALIFY FOR THE UNINSURED DISCOUNT.
Schedule H (Form 990) 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
ALLINA HEALTH SYSTEM
 
Employer identification number
36-3261413
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) FREE BIKES 4 KIDZ
3181 FERNBROOK LANE N
PLYMOUTH,MN55447 		27-1199089 501C3 74,144       SPONSORSHIP FOR BIKE DONATION
(2) MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100
MINNEAPOLIS,MN55407 		41-1426406 501C3 34,800       SPONSOR ANNUAL GALA, GENERAL SUPPORT
(3) SISTERS OF ST JOSEPH MINISTRIES
1884 RANDOLPH AVENUE
ST PAUL,MN55105 		41-1765361 501C3 25,000       SPONSORSHIP OF 2013 CARONDELET GALA
(4) THE MENTAL HEALTH CRISIS ALLIANCE
402 UNIVERSITY AVE E
ST PAUL,MN55138 		41-6005875 501C3 25,000       IMPROVE ADULT MENTAL HEALTH CRISIS SERVICES IN EAST METRO COUNTIES
(5) NEIGHBORHOOD INVOLVEMENT PROGRAM INC
2431 HENNEPIN AVENUE SOUTH
MINNEAPOLIS,MN55405 		41-0956858 501C3 25,300       SPONSORSHIP FOR PROGRAM OPERATIONS, GENERAL SUPPORT
(6) REGIONS HOSPITAL FOUNDATION
640 JACKSON STREET
ST PAUL,MN55101 		41-1888902 501C3 25,000       CONTRIBUTION TO MENTAL HEALTH DRUG ASSISTANCE PROGRAM
(7) ST PAUL PUBLIC SCHOOLS
360 COLBORNE ST 425
ST PAUL,MN55102 		41-0901311 501C3 20,000       SUPPORT OF 20 HEALTH AND WELLNESS TOOLKITS
(8) THE MINNEAPOLIS FOUNDATION
80 SOUTH EIGHTH STREET
MINNEAPOLIS,MN55402 		41-6029402 501C3 20,000       ROOTS FOR HOME TEAM SPONSORSHIP
(9) NAMI - NATIONAL ALLIANCE ON MENTAL ILLNESS
800 TRANSFER ROAD 31
ST PAUL,MN55114 		41-1317030 501C3 21,150       MENTAL HEALTH SERVICE LINE CONTRIBUTION, CONFERENCE SPONSORSHIP, GENERAL SUPPORT
(10) AMERICAN HEART ASSOCIATION
4701 W 77TH ST
EDINA,MN55435 		13-5613797 501C3 35,356       SPONSOR GALA, GENERAL SUPPORT
(11) MARCH OF DIMES
5233 EDINA INDUSTRIAL BOULEVARD
EDINA,MN55439 		13-1846366 501C3 55,727       SPONSOR 2013 MARCH FOR BABIES AND NURSE OF THE YEAR, GENERAL SUPPORT
(12) SECOND HARVEST HEARTLAND
1140 GERVAIS AVENUE
ST PAUL,MN55109 		23-7417654 501C3 26,750       SPONSOR DISH CUISINE FOR CHANGE, GENERAL SUPPORT
(13) UNITED WAY OF STEELE COUNTY
110 N CEDAR AVE PO BOX 32
OWATONNA,MN55060 		23-7366680 501C3 12,000       GENERAL SUPPORT
(14) RIDGEVIEW FOUNDATION
490 SOUTH MAPLE STREET SUITE 110
WACONIA,MN55387 		41-1328097 501C3 10,000       SPONSOR ANNUAL GOLF AND TASTE CELEBRATION
(15) ST FRANCIS REGIONAL MEDICAL CENTER
1455 ST FRANCIS AVENUE
SHAKOPEE,MN55379 		41-0907986 501C3 16,600       SPONSOR SPIRIT OF THE SAINTS GALA AND TEE ONE FOR HOPE GOLF TOURNAMENT
(16) AMERICAN DIABETES ASSOCIATION
5100 GAMBLE DRIVE SUITE 394
ST LOUIS PARK,MN55416 		13-1623888 501C3 10,950       SPONSOR TOUR DE CURE, GENERAL SUPPORT
(17) ANGEL FOUNDATION
708 SOUTH THIRD STREET SUITE 105E
MINNEAPOLIS,MN55415 		41-1990883 501C3 13,000       SPONSOR 2013 ANGEL AWARDS, GENERAL SUPPORT
(18) COMMUNITY DESIGN CENTER OF MINNESOTA
731 E 7TH STREET SUITE 100
ST PAUL,MN55106 		41-0975429 501C3 10,480       SUPPORT FOR COOKING/NUTRITION & GARDEN PROGRAM, GENERAL SUPPORT
(19) HOPE FOR THE CITY
4350 BAKER RD SUITE 400
MINNETONKA,MN55343 		37-1441658 501C3 10,200       SPONSOR CELEBRATION OF HOPE EVENT, GENERAL SUPORT
(20) PEOPLE INCORPORATED
2060 CENTRE POINTE BLVD SUITE 3
MENDOTA HEIGHTS,MN55120 		41-0962296 501C3 10,000       SPONSORSHIP OF PEOPLE INC LUNCHEON, GENERAL SUPPORT
(21) TWIN CITIES ORTHOPEDIC FOUNDATION
4010 WEST 65TH STREET
EDINA,MN55435 		83-0435069 501C3 10,000       SPONSOR JOINT JAUNT 5K/10K AND WALK USA PROGRAM
(22) NICE RIDE MINNESOTA
2701 36TH AVE SOUTH
MINNEAPOLIS,MN55406 		26-4372592 501C3 20,100       GENERAL SUPPORT
(23) PORTICO HEALTHNET
2610 UNIVERSITY AVE W SUITE 550
ST PAUL,MN55114 		41-1814659 501C3 10,000       GENERAL SUPPORT
(24) FACE TO FACE HEALTH AND COUNSELING SERVICE INC
1165 ARCADE STREET
ST PAUL,MN55106 		41-0986780 501C3 10,100       SUPPORT MENTAL HEALTH SERVICES AT SAFEZONE DROP IN CENTER FOR HOMELESS YOUTH
(25) MINNEAPOLIS AMERICAN INDIAN CENTER
1530 EAST FRANKLIN AVENUE
MINNEAPOLIS,MN55404 		41-0966005 501C3 10,000       SUPPORT OF RUNNING WOLF FITNESS CENTER
(26) ECHO MINNESOTA
125 CHARLES AVE
ST PAUL,MN55103 		26-1475578 501C3 10,000       GENERAL SUPPORT
(27) HEALTHFINDERS COLLABORATIVE
PO BOX 731
NORTHFIELD,MN55057 		20-1805262 501C3 9,000       GENERAL SUPPORT
(28) WASHBURN CENTER FOR CHILDREN
2430 NICOLLET AVENUE SOUTH
MINNEAPOLIS,MN55404 		41-0711618 501C3 7,500       SPONSORSHIP FOR WASHBURN GAMES
(29) MINNEAPOLIS PATHWAYS
3115 HENNEPIN AVE S
MINNEAPOLIS,MN55408 		41-1628884 501C3 7,850       GENERAL SUPPORT
(30) COMMON HOPE
5039 BRYANT AVE S
MINNEAPOLIS,MN55419 		41-1560297 501C3 9,320       GLOBAL FUND, GENERAL SUPPORT
(31) SOLE CARE FOR SOULS
4190 VINEWOOD LN N SUITE 111-301
PLYMOUTH,MN55442 		26-3300002 501C3 6,700       HEALTH CARE SUPPLIES, GENERAL SUPPORT
(32) EPLILEPSY FOUNDATION OF MINNESOTA
1600 UNIVERSITY AVENUE WEST SUITE
300
ST PAUL,MN55104 		41-0874541 501C3 5,950       SPONSOR LIGHT UP THE NIGHT GALA, GENERAL SUPPORT
(33) PHLLLIPS WEST NEIGHBORHOOD ORGANIZATION
2400 PARK AVENUE SOUTH SUITE 240
MINNEAPOLIS,MN55404 		90-0122796 501C3 6,000       SUPPORT OF MIDTOWN SAFETY CENTER AND ANNUAL WINTER SOCIAL
(34) ALEXANDRA HOUSE
PO BOX 490039
BLAINE,MN55449 		41-1309977 501C3 11,200       ANOKA ELDER ABUSE PROJECT, GENERAL SUPPORT
(35) NEIGHBORHOOD DEVELOPMENT CENTER INC
663 UNIVERSITY AVE 200
ST PAUL,MN55104 		41-1738791 501C3 10,000       SPONSOR 2013 SELBY JAZZ FEST AND MIDTOWN GLOBAL MUSIC FESTIVAL
(36) OPEN ARMS OF MINNESOTA
2500 BLOOMINGTON AVE S
MINNEAPOLIS,MN55404 		41-1681317 501C3 10,300       SPONSOR MOVEABLE FEAST, GENERAL SUPPORT
(37) AMERICAN LUNG ASSOCIATION OF MINNESOTA
490 CONCORDIA AVE
ST PAUL,MN55306 		20-4392201 501C3 5,100       SPONSOR 2013 THORACIC ONCOLOGY NURSES CONFERENCE, GENERAL SUPPORT
(38) UNIVERSITY OF MINNESOTA FOUNDATION
420 DELAWARE STREET SE C 615
MINNEAPOLIS,MN55455 		41-6042488 501C3 10,500       GENERAL SUPPORT
(39) GREATER MINNEAPOLIS CRISIS NURSERY
5400 GLENWOOD AVENUE SOUTH
GOLDEN VALLEY,MN55442 		41-1379021 501C3 5,100       SPONSOR FORMULA FOR HOPE EVENT, GENERAL SUPPORT
(40) ARTHRITIS FOUNDATION UPPER MIDWEST REGION INC
1876 MINNEHAHA AVE W
ST PAUL,MN55104 		39-0860526 501C3 5,350       GENERAL SUPPORT
(41) LEE CARLSON CENTER FOR MENTAL HEALTH AND WELL BEING
7954 UNIVERSITY AVE
FRIDLEY,MN55432 		41-1354967 501C3 6,800       GENERAL SUPPORT
(42) MINNESOTA RECOVERY CONNECTION
253 STATE STREET
ST PAUL,MN55107 		41-1948764 501C3 5,250       SPONSOR WALK FOR RECOVERY, GENERAL SUPPORT
(43) NUCLEUS CLINIC
1323 COON RAPIDS BLVD
COON RAPIDS,MN55433 		74-3219541 501C3 5,100       GENERAL SUPPORT
(44) PANTHER FOUNDATION
1415 81ST AVE NE
SPRING LAKE PARK,MN55432 		43-2003471 501C3 5,500       GENERAL SUPPORT
(45) PILLSBURY UNITED COMMUNITIES
3515 CHICAGO AVE S
MINNEAPOLIS,MN55407 		41-0916478 501C3 6,950       SUPPORT FULL CYCLE PROGRAM
(46) CAMP FIRE MINNESOTA
4829 MINNETONKA BLVD SUITE 202
ST LOUIS PARK,MN55416 		41-0706116 501C3 10,000       GENERAL SUPPORT
(47) KEYSTONE COMMUNITY SERVICES
2000 ST ANTHONY AVENUE
ST PAUL,MN55104 		41-0693924 501C3 5,100       GENERAL SUPPORT
(48) AMERICAN CANCER SOCIETY
2520 PILOT KNOB RD
MENDOTA HEIGHTS,MN55120 		41-0724036 501C3 18,672       SPONSOR LEGACY BALL, RELAY FOR LIFE EVENT, GENERAL SUPPORT
(49) FRIDLEY PUBLIC SCHOOLS
6000 WEST MOORE LAKE DRIVE
FRIDLEY,MN55432 		41-6000056 501C3 5,750       SUPPORT WALK FOR LITERAY, GENERAL SUPPORT
(50) STEPPING STONE EMERGENCY HOUSING
PO BOX 996
ANOKA,MN55303 		20-3226868 501C3 5,100       GENERAL SUPPORT
(51) AMHERST H WILDER FOUNDATION
451 LEXINGTON PARKWAY NORTH
ST PAUL,MN55104 		41-0693889 501C3 5,100       SUPPORT FOR SERVICES FOR OLDER ADULTS AND CAREGIVERS
(52) HOPE 4 YOUTH
2665 4TH AVE NORTH 40
ANOKA,MN55303 		46-1626500 501C3 6,800       GENERAL SUPPORT
(53) MINNESOTA STROKE ASSOCIATION
34 13TH AVENUE NORTHEAST SUITE B001
B001
MINNEAPOLIS,MN55413 		27-1261232 501C3 6,289       GENERAL SUPPORT
(54) FEED MY STARVING CHILDREN
401 93RD AVE NW
COON RAPIDS,MN55433 		41-1601449 501C3 7,900       SUPPORT PACKAGING OF MEALS,GENERAL SUPPORT
(55) PROJECT MEDISHARE FOR HAITI
PO BOX 381208
MIAMI,FL33238 		65-0965848 501C3 14,700       GLOBAL FUND TO SPONSOR MEDICAL MISSION TO HAITI
(56) GEORGE FAMILY FOUNDATION
1818 OLIVER STREET SO
MINNEAPOLIS,MN55405 		41-1730855 501C3 1,000,000       GENERAL SUPPORT
(57) COURAGE KENNY FOUNDATION
PO BOX 43
MINNEAPOLIS,MN55440 		41-1952989 501C3   32,115 FAIR MARKET VALUE SPORTS AND MEDICAL EQUIPMENT GENERAL SUPPORT
(58) PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43
MINNEAPOLIS,MN55440 		41-1613017 501C3   59,240 FAIR MARKET VALUE CONTACT LENS AND FRAMES EYE COMMUNITY INITIATIVE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
58
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
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












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
SCHEDULE I, PART I, LINE 2 EXPLANATION ALLINA HEALTH SYSTEM STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS A PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS; PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED.
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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
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
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
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 PAULUSDIRECTOR/PRESIDENT/CEO (i)
(ii)		 970,555
0 		858,637
0 		119,753
0 		767,166
0 		24,501
0 		2,740,612
0 		487,863
0
(2)BEN BACHE-WIIG MDSVP, PRES. ANW HOSPITAL (i)
(ii)		 385,553
0 		128,425
0 		79,214
0 		140,023
0 		24,501
0 		757,716
0 		52,397
0
(3)MARGARET BUTLERSVP, HUMAN RESOURCES (i)
(ii)		 302,183
0 		172,515
0 		151,032
0 		160,489
0 		26,068
0 		812,287
0 		130,947
0
(4)RODNEY CHRISTENSENINTERIM PRES. ALLINA CLINICS (i)
(ii)		 299,957
0 		83,381
0 		44,830
0 		71,683
0 		19,451
0 		519,302
0 		0
0
(5)SARA CRIGERSVP, PRES. MERCY HOSP. (i)
(ii)		 383,301
0 		60,655
0 		25,738
0 		102,163
0 		2,901
0 		574,758
0 		0
0
(6)DUNCAN GALLAGHERTREASURER/EVP/CFO (i)
(ii)		 593,836
0 		366,424
0 		148,180
0 		310,832
0 		20,805
0 		1,440,077
0 		285,913
0
(7)MARGARET HASBROUCKVP, PAYOR CONTRACT/REIMB. (i)
(ii)		 230,970
0 		63,749
0 		14,182
0 		55,230
0 		28,305
0 		392,436
0 		6,822
0
(8)SUSAN HEICHERTSVP, CHIEF INFORMATION OFF (i)
(ii)		 303,219
0 		104,775
0 		38,291
0 		141,011
0 		22,005
0 		609,301
0 		14,796
0
(9)CHRISTOPHER HUGHESVP, REVENUE CYCLE MANAGEME (i)
(ii)		 206,565
0 		54,085
0 		5,461
0 		42,986
0 		22,815
0 		331,912
0 		2,013
0
(10)DEREK KANGSVP, CHIEF COMPLIANCE OFF (i)
(ii)		 236,395
0 		77,102
0 		53,269
0 		102,961
0 		15,267
0 		484,994
0 		36,923
0
(11)LAURIE LAFONTAINEVP, FINANCE & TREASURY (i)
(ii)		 261,602
0 		74,786
0 		67,201
0 		71,142
0 		27,255
0 		501,986
0 		40,307
0
(12)MICHAEL MARSHALL MDSVP, PRES. ALLINA CLINIC (i)
(ii)		 384,664
0 		118,732
0 		67,926
0 		79,537
0 		17,292
0 		668,151
0 		0
0
(13)DANIEL MCGINTYEVP HOSPITAL/SPECIALTY SVCS. (i)
(ii)		 135,148
0 		55,000
0 		1,636
0 		17,813
0 		6,522
0 		216,119
0 		0
0
(14)THOMAS O'CONNORSVP, PRESIDENT UNITED HOSP (i)
(ii)		 433,749
0 		240,052
0 		111,525
0 		217,629
0 		24,501
0 		1,027,456
0 		181,994
0
(15)JEFFREY PETERSONEVP, HOSPITAL SERVICES (i)
(ii)		 103,922
0 		269,785
0 		136,425
0 		25,452
0 		7,924
0 		543,508
0 		242,262
0
(16)ELIZABETH TRUESDELL SMITHSECRETARY/SVP, GEN. COUCIL (i)
(ii)		 347,966
0 		186,832
0 		73,174
0 		158,867
0 		22,001
0 		788,840
0 		138,197
0
(17)PENNY WHEELER MDEVP, CHIEF CLINICAL OFF (i)
(ii)		 489,122
0 		291,547
0 		60,148
0 		309,957
0 		18,328
0 		1,169,102
0 		175,806
0
(18)ROBERT WIELAND MDEVP, CLINIC & COMM DIV/PRES (i)
(ii)		 431,692
0 		275,153
0 		63,149
0 		251,937
0 		28,755
0 		1,050,686
0 		170,533
0
(19)LORI WIGHTMANSVP, PRESIDENT UNITY HOSPI (i)
(ii)		 206,711
0 		94,713
0 		294,962
0 		45,155
0 		13,190
0 		654,731
0 		85,470
0
(20)CHRISTINE BENTSVP, CLINICAL SERVICES LIN (i)
(ii)		 303,801
0 		97,650
0 		14,968
0 		103,859
0 		29,501
0 		549,779
0 		10,115
0
(21)DANIEL BUSS MDPHYSICIAN (i)
(ii)		 1,578,153
0 		0
0 		108,580
0 		93,641
0 		27,255
0 		1,807,629
0 		70,802
0
(22)RANDALL CHADWICK JRPHYSICIAN (i)
(ii)		 964,590
0 		0
0 		115,325
0 		70,486
0 		24,501
0 		1,174,902
0 		0
0
(23)MICHAEL FREEHILL MDPHYSICIAN (i)
(ii)		 1,346,510
0 		0
0 		89,206
0 		83,818
0 		22,001
0 		1,541,535
0 		59,711
0
(24)LEROY MCCARTY MDPHYSICIAN (i)
(ii)		 1,273,614
0 		0
0 		94,484
0 		79,151
0 		25,805
0 		1,473,054
0 		62,378
0
(25)STEVEN SWANSON MDPRESIDENT-NEUROSCIENCE (i)
(ii)		 888,604
0 		172,409
0 		182,760
0 		113,734
0 		26,972
0 		1,384,479
0 		46,070
0
(26)JOHN STOLTENBERG MDFORMER INTERIM PRES.-UNITY HOSP. (i)
(ii)		 0
0 		0
0 		114,439
0 		0
0 		0
0 		114,439
0 		61,220
0
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 1A TAX INDEMNIFICIATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO TAXABLE MOVING EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO TEMPORARY HOUSING FOR CERTAIN EXECUTIVES WHO ARE RELOCATING DUE TO EMPLOYMENT WITH ALLINA AND DO NOT INITIALLY HAVE A PERMANENT RESIDENCE. MICHAEL MARSHALL - $42,577
PART I, LINES 4A-B 4(A):LORI WIGHTMAN - $71,284 4(B):BEN BACHE-WIIG, MD - $42,191; MARGARET BUTLER - $102,181; DUNCAN GALLAGHER - $90,658; DEREK KANG - $34,403; LAURIE LAFONTAINE - $33,788; THOMAS O'CONNOR - $55,773; JEFFREY PETERSON - $85,009; ELIZABETH TRUESDELL SMITH - $45,936; LORI WIGHTMAN - $122,741; DANIEL BUSS, MD - $78,104; RANDALL CHADWICK, JR. - $88,439; MICHAEL FREEHILL, MD - $63,186; LEROY MCCARTY, MD - $67,029; STEVEN SWANSON - $103,656; JOHN STOLTENBERG - $114,439.
PART I, LINE 6 DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL CONTRIBUTORS AND EXECUTIVES. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE CALENDAR YEAR. PERFORMANCE MEASURES INCLUDE FINANCIAL PERFORMANCE, SERVICE QUALITY, PATIENT SATISFACTION, PATIENT SAFETY AND COMMUNITY SERVICE. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN (LTIP) ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE COMPENSATION COMMITTEE OF THE BOARD. THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8 CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 6(A) & (B) ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THIS PLAN WAS AMENDED EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65 RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009. EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ALLINA HEALTH SYSTEM
 
Employer identification number
36-3261413
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CITY OF MINNEAPOLIS
  		41-6005375 792909BJ1 11-10-2009 348,409,221 REFUNDING OF 2007B & A PORTION OF 1998A;CONSTRUCTION;REMODELLING;RENOVATION   X   X   X
B CITY OF MINNEAPOLIS
  		41-6005375 792909BH5 10-17-2007 482,877,203 REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATE   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 6,085,000 240,980,000    
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 348,795,495 487,127,003    
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 3,332,390 2,717,494    
8 Credit enhancement from proceeds . . . . . . . . . . . 6,787,000 6,787,000    
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 49,893,780 126,922,772    
11 Other spent proceeds . . . . . . . . . . . . . . 295,092,023 352,194,819    
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2014 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X          
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X X          
16 Has the final allocation of proceeds been made? . . . . . . . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X          
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X          
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X        
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.620 % 2.220 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.010 %      
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.630 % 2.220 %    
7 Does the bond issue meet the private security or payment test? . . . . .   X   X        
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X X          
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.050 % 0.050 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X        
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X        
b Exception to rebate? . . . . . . . .   X   X        
c No rebate due? . . . . . . . . X   X          
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X          
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X          
b Name of provider . . . . . . . . . JP MORGANWELLS
FARGO 		UBS
  		 
  		 
 
c Term of hedge . . . . . . . . . . 25.800000000000 24.800000000000    
d Was the hedge superintegrated? . . . . X   X          
e Was the hedge terminated? . . . . . .   X   X        
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X          
b Name of provider . . . . . . . . . MBIA
  		MBIA
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.800000000000 0.800000000000    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X          
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X          
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/29/2012 ISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2012
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MEGAN BEER FAMILY MEMBER OF WILLIAM BEER, BOARD MEMBER 52,750 EMPLOYMENT   No
(2) JANA LARSON FAMILY MEMBER OF SALLY SMITH, BOARD MEMBER 61,373 EMPLOYMENT   No
(3) MARK SHEFFERT ALLINA DIRECTOR AND MEDICAL GRAPHICS DIAGNOSTICS CORPORATION DIRECTOR 248,605 MARK SHEFFERT SERVES ON THE ALLINA HEALTH BOARD OF DIRECTORS AND SERVES AS THE BOARD CHAIR AND DIRECTOR OF MEDICAL GRAPHICS DIAGNOSTICS CORPORATION IN WHICH ALLINA HEALTH PURCHASED SUPPLIES AND EQUIPMENT.   No
(4) JOSEPH GOSWITZ MD ALLINA DIRECTOR AND HOSPITAL PATHOLOGY ASSOCIATES DIRECTOR AND OFFICER 3,106,137 JOSEPH GOSWITZ, MD SERVES ON THE ALLINA HEALTH BOARD OF DIRECTORS AND SERVES ON THE BOARD OF DIRECTORS AND AS TREASURER OF HOSPITAL PATHOLOGY ASSOCIATES, P.A. WHICH PROVIDES PATHOLOGY SERVICES TO ALLINA HEALTH.   No
(5) KELLY MORRISON FAMILY MEMBER OF CHRISTINE MORRISON, BOARD MEMBER 1,094,835 KELLY MORRISON IS A GREATER THAN 5% OWNER OF WOMEN'S HEALTH CONSULTANTS, PA (WHC). ALLINA HEALTH PURCHASED CERTAIN ASSETS OF WHC ($1,067,435). ALLINA HEALTH ALSO PAID WHC FOR A MEDICAL DIRECTOR ($27,400).   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:  
Schedule L (Form 990 or 990-EZ) 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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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 ....        
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 ( CONTACT LENS ) X 2 59,240 FAIR MARKET VALUE
26 Other Right pointing arrow large image ( SPORTS EQUIPM ) X 1 20,305 FAIR MARKET VALUE
27 Other Right pointing arrow large image ( MEDICAL EQUIP ) X 13 11,810 FAIR MARKET VALUE
28 Other Right pointing arrow large image ( )
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
Yes
 
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
PART I, LINE 32B: ALLINA HEALTH MAY FROM TIME TO TIME AND IN ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NON CASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. ALLINA HEALTH USES THIRD PARTIES SUCH AS SECURITIES BROKERAGE FIRMS TO LIQUIDATE THE PUBLICLY TRADED SECURITIES TO CASH ON THE OPEN SECURITIES MARKET. THE SALE OF PUBLICLY TRADED SECURITIES ARE GENERALLY SUBJECT TO MARKET RATE BROKERAGE COMMISSIONS AND FEES OF THE THIRD PARTY SECURITIES BROKER.
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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11 THE ALLINA HEALTH SYSTEM FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S CHIEF FINANCIAL OFFICER ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. AFTER THE MANAGEMENT REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE [IRS], WAS PROVIDED TO EACH VOTING MEMBER OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS. AN ALLINA HEALTH SYSTEM BOARD OF DIRECTORS MEETING WAS HELD ON OCTOBER 30, 2014 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNEOSOTA ATTORNY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING THE ALLINA HEALTH SYSTEM FORM 990 WITH THE IRS, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFITS PROGRAM ELEMENTS FOR NON-COLLECTIVELY BARGAINED ALLINA HEALTH SYSTEM EMPLOYEES. ALLINA HEALTH SYSTEM USES A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES THAT INCLUDED ALL OF THE FOLLOWING ELEMENTS: REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, THE MEMBERS OF WHICH ARE INDEPENDENT AND WITHOUT A CONFLICT OF INTEREST AS DEFINED IN REGULATION SECTION 53.4958-6(C)(1)(III). ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT SPECIALIZING IN EXECUTIVE COMPENSATION USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS CONTEMPORANEOUS DOCUMENTATION, SUBSTANTIATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT THE ABOVE DESCRIBED PROCESS AND AN ASSESSMENT IS PERFORMED AT LEAST ANNUALLY FOR THE FOLLOWING POSITIONS: CHIEF EXECUTIVE OFFICER/PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF CLINICAL OFFICER, EXECUTIVE VICE PRESIDENT - ALLINA HOSPITALS, PRESIDENT - ABBOTT NORTHWESTERN HOSPITAL, PRESIDENT - UNITED HOSPITAL, PRESIDENT - MERCY HOSPITAL, PRESIDENT - UNITY HOSPITAL, EXECUTIVE VICE PRESIDENT - AMBULATORY CARE, PRESIDENT - ALLINA CLINICS, SENIOR VICE PRESIDENT - GENERAL COUNSEL, SENIOR VICE PRESIDENT - CLINICAL SERVICE LINES, SENIOR VICE PRESIDENT - CHIEF COMPLIANCE OFFICER. IN ADDITION, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL COMPENSATION CHANGES OF THE CHIEF EXECUTIVE OFFICER AND THE OTHER FORE MENTIONED POSITIONS LISTED IN ADVANCE OF THE CHANGE.
FORM 990, PART VI, SECTION C, LINE 19 ALLINA HEALTH SYSTEM MAKES ITS FORM 990, FORM 1023, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TO ARRANGE AN INSPECTION OR RECEIVE A COPY, PLEASE CONTACT THE FOLLOWING: ALLINA HEALTH SYSTEM TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 TELEPHONE: 612-262-0660 PHYSICAL ADDRESS: 2925 CHICAGO AVENUE MINNEAPOLIS, MN 55407-1321 THE FORM 990 AND FORM 1023 ARE ALSO AVAILABLE DIRECTLY FROM THE INTERNAL REVENUE SERVICE. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM DIGITAL ASSURANCE CERTIFICATION (DAC) AND ON THEIR WEBSITE AT DACBOND.COM DAC CLIENTS MEET THE IRS SECTION 6104(D) REQUIREMENTS ON ALLOWING "PUBLIC INSPECTION OF CERTAIN ANNUAL RETURNS, REPORTS, AND APPLICATIONS FOR EXEMPTION AND NOTICES OF STATUS" VIA THE DAC WEBSITE. DAC ENSURES THE RELIABILITY AND ACCURACY OF THE POSTED DOCUMENTS AND TAKES REASONABLE PRECAUTIONS TO PRECENT ALTERATION, DESTRUCTION OR ACCIDENTAL LOSS OF THE POSTED DOCUMENTS. WHERE REQUESTD, A USER MAY DOWNLOAD A DOCUMENT, PRINT A DOCUMENT, EMAIL A DOCUMENT OR, GIVEN REASONABLE WRITTEN NOTICE, DAC WILL MAIL A NOTIFICATION INDICATING WHERE SUCH DOCUMENTS ARE AVAILABLE WITHIN 7 DAYS OF THE WRITTEN REQUEST, PER IRS TREA. REG. SECTION 301.6104(D)-2(D).
FORM 990, PART VII, SECTION A EXPLANATION FORM 990, PART VII, SECTION A ALLINA HEALTH SYSTEM PROVIDES COMPENSATION TO THE BOARD OF DIRECTORS FOR SERVING IN THE BOARD AND FOR SERVING ON CERTAIN COMMITTEES. THE FOLLOWING COMPENSATION WAS PAID BY ALLINA HEALTH SYSTEM FOR SERVICES PROVIDED TO US AND NOT DISCLOSED ON PART VII OR SCHEDULE J. $14,000 PAID TO HOSPITAL PATHOLOGY ASSOCIATED FOR THE SERVICES OF JOSEPH GOSWITZ. $25,000 DONATED TO COMMITTEE FOR HEALTHCARE INNOVATION, RESEARCH AND COMMUNITY ENGAGEMENT FOR THE SERVICES OF MARK JORDAHL.
FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENTS 13,661,269. DISTRIBUTION TO MEMBERS - MICC -3,528,924. ASPEN MEDICAL GROUP NET ASSETS TRANSFERRED TO ALLINA HEALTH SYSTEM -83,625,121. QUELLO CLINIC LTD NET ASSETS TRANSFERRED TO ALLINA HEALTH SYSTEM -3,854,500. ALLINA CLINIC HOLDINGS LTD NET ASSETS TRANSFERRED TO ALLINA HEALTH SYSTEM -27,378,719. REGINA MEDICAL CENTER NET ASSETS TRANSFERRED TO ALLINA HEALTH SYSTEM 26,766,670. ALLINA INTEGRATED MEDICAL NETWORK PRIOR YEAR FUND BALANCE -1,681,660.
PART XII, LINE 2C THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.
FORM 990, PART XI, LINE 9 EXPLANATION DETAILS OF ALLINA HEALTH SYSTEM/ASPEN MEDICAL GROUP, QUELLO CLINIC LTD, ALLINA CLINIG HOLDINGS LTD AND REGINA MEDICAL CENTER MERGER: ASPEN MEDICAL GROUP, QUELLO CLINIC LTD, ALLINA CLINIC HOLDINGS LTD AND REGINA MEDICAL CENTER MERGED WITH AND INTO ITS PARENT ORGANIZATION ALLINA HEALTH SYSTEM, A MINNESOTA 317A NONPROFIT CORPORATION AND 501(C)(3) TAX EXEMPT ORGANIZATION. ALLINA HEALTH SYSTEM IS THE SURVIVING AND SUCCESSOR ORGANIZATION. AS A RESULT AND FOR TAX REPORTING PURPOSES, ALL ASSETS AND LIABILITIES OF ASPEN MEDICAL GROUP, QUELLO CLINIC LTD, ALLINA CLINIC HOLDINGS LTD AND REGINA MEDICAL CENTER HAVE BEEN TRANSFERRED TO ALLINA HEALTH SYSTEM. THE FUND BALANCE TRANSFERRED WAS $88,091,670.
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


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" 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
ALLINA HEALTH SYSTEM
 
Employer identification number

36-3261413
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
(1) ACCOUNTS RECEIVABLE SERVICES LLC
PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN554400043
55-0811834 		DEBT COLLECTION MN 6,119,050 25,149,899 ALLINA HEALTH SYSTEM
 
(2) AXIS HEALTHCARE LLC
PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN554400043
41-1855603 		HEALTHCARE SERVICES MN 1,198,773 6,175,540 ALLINA HEALTH SYSTEM
 
(3) ALLINA HEALTH PIONEER ACO LLC
PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN554400043
61-1726509 		HEALTHCARE SERVICES MN 0 0 ALLINA HEALTH SYSTEM
 






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) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
04-3643816 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(2) MERCY & UNITY HOSPITALS FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
30-0086426 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(3) PHILLIPS EYE INSTITUTE FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-1613017 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(4) COURAGE KENNY FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-1952989 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(5) UNITED HOSPITAL FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
23-7420998 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(6) CENTER FOR HEALTHCARE INNOVATION FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
26-3553868 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(7) ALLINA ASSOCIATED FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
27-4116873 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(8) ASPEN MEDICAL GROUP

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-1452624 		HEALTHCARE SERVICES MN 501(C)(4)   ALLINA HEALTH SYSTEM
 
 
No
(9) ALLINA INTEGRATED MEDICAL NETWORK

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
27-5129095 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
(10) UNITED AND CHILDRENS AMBULATORY SURGERY CENTER ASSOCIATION

310 NORTH SMITH AVENUE

ST PAUL,MN55102
41-1694626 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I N/A
 
No
(11) MBP FACILITY LLC

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
45-4078371 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I N/A
 
No
(12) WESTHEALTH INC

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-1768814 		HEALTHCARE SERVICES MN 501(C)(3) LINE 3 ALLINA HEALTH SYSTEM
 
 
No
(13) REGINA MEDICAL CENTER

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-0740678 		HEALTHCARE SERVICES MN 501(C)(3) LINE 3 ALLINA HEALTH SYSTEM
 
 
No
(14) REGINA FOUNDATION

PO BOX 43 MAIL ROUTE 10890

MINNEAPOLIS,MN554400043
41-1987372 		SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM
 
 
No
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
(1) APPLE VALLEY BUILDING ASSOCIATES LLC

14655 GALAXIE AVENUE
APPLE VALLEY,MN55124
41-1677072 		RENTAL REAL ESTATE MN ALLINA HEALTH SYSTEM
  		RELATED 207,170 3,865,052   No   Yes   50.000 %
(2) METROPOLITAN INTEGRATED CANCER CARE LLC

ONE POST ST35TH FL
SAN FRANCISCO,CA94104
20-5068485 		RADIOLOGY DE ALLINA HEALTH SYSTEM
  		UNRELATED 3,976,846 4,198,034   No   Yes   80.000 %
(3) SOUTHWEST SURGICAL CENTER LLC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
41-2013700 		SURGICAL SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED 3,465,870 1,577,217   No   Yes   83.330 %
(4) MAGNETO LEASING LLC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
20-1582501 		RENTAL EQUIPMENT MN ALLINA HEALTH SYSTEM
  		RELATED 29,354 12,565   No   Yes   50.000 %
(5) ASPEN SLEEP CENTER LLC

1010 BANDANA BOULEVARD WEST
ST PAUL,MN55108
26-1850227 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED 549,664 381,775   No     No 65.000 %
(6) GERIATRIC SERVICES OF MINNESOTA LLC

3366 OAKDALE AVE NORTH SUITE 551
ROBBINSDALE,MN55422
45-3357936 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED 180,789 243,599   No   Yes   45.000 %
(7) NORTHSTAR SLEEP CENTER LLC

920 EAST 28TH STREET SUITE 700
MINNEAPOLIS,MN55407
45-2532456 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED 217,451 344,039   No   Yes   50.000 %
(8) DISTRICT ONE CANCER CENTER LLC

200 STATE AVENUE
FAIRBAULT,MN55021
45-1258847 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED -14,648 554,090   No   Yes   50.000 %
(9) CROSBY CARDIOVASCULAR SERVICES LLC

920 E 28TH STREET SUITE 500
MINNEAPOLIS,MN55407
41-2010368 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED 19,258 984,971   No   Yes   50.000 %
(10) MOBILE IMAGING SERVICES LLC

1221 NICOLLET MALL SUITE 600
MINNEAPOLIS,MN55403
41-1883212 		RADIOLOGY MN ALLINA HEALTH SYSTEM
  		RELATED 97,570 228,821   No   Yes   50.000 %
(11) BPA HEALTH LLC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
35-2490984 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		RELATED       No   Yes   33.330 %
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) HEALTHSPAN SERVICES COMPANY

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
41-1249999 		DEBT COLLECTION MN ALLINA HEALTH SYSTEM
  		C     100.000 %   No
(2) ALLINA SPECIALTY ASSOCIATES INC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
41-1802815 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		C 5,518,735 48,416,917 100.000 %   No
(3) ALLINA CLINIC HOLDINGS LTD

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
26-3954371 		HOLDING COMPANY MN ALLINA HEALTH SYSTEM
  		C     100.000 %   No
(4) QUELLO CLINIC LIMITED

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
41-0874754 		HEALTHCARE SERVICES MN ALLINA CLINIC HOLDINGS LTD
  		C 5,180,584   100.000 %   No
(5) ALLINA HEALTH SYSTEM TRUST

PO BOX 535007
PITTSBURGH,PA15253
27-6712988 		TRUST PA ALLINA HEALTH SYSTEM
  		T     100.000 %   No
(6) ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST

500 GRANT STREET SUITE 0625
PITTSBURGH,PA15258
37-6520273 		TRUST PA ALLINA HEALTH SYSTEM
  		T     100.000 %   No
(7) ALLINA HEALTH SYSTEM KEYSHARE PLAN

PO BOX 535007
PITTSBURGH,PA15253
27-6678945 		TRUST PA ALLINA HEALTH SYSTEM
  		T     100.000 %   No
(8) LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
41-1720860 		TRUST MN ALLINA HEALTH SYSTEM
  		T 57,989   100.000 %   No
(9) CREATEHEALTH INC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
26-0594364 		HEALTHCARE SERVICES MN ALLINA HEALTH SYSTEM
  		C 1,988,611   100.000 %   No
(10) QUELLO STK MERGER SUB INC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
46-4290372 		MERGER FACILITATION DE ALLINA HEALTH SYSTEM
  		C     100.000 %   No
(11) QUELLO NON STK MERGER SUB INC

PO BOX 43 MAIL ROUTE 10890
MINNEAPOLIS,MN55440
46-4298122 		MERGER FACILITATION DE ALLINA HEALTH SYSTEM
  		C     100.000 %   No
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
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
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
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
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
Yes
 
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
(1) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION

 C 10,839,592 CASH
(2) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION

 B 2,077,931 COST
(3) AXIS HEALTHCARE LLC

 B 1,841,197 COST
(4) COURAGE KENNY FOUNDATION

 P 3,450,000 CASH
(5) MERCY & UNITY HOSPITALS FOUNDATION

 C 688,124 CASH
(6) MERCY & UNITY HOSPITALS FOUNDATION

 B 1,106,899 COST
(7) PHILLIPS EYE INSTITUTE FOUNDATION

 C 495,023 CASH
(8) PHILLIPS EYE INSTITUTE FOUNDATION

 B 200,552 COST
(9) COURAGE KENNY FOUNDATION

 C 21,944,660 CASH
(10) COURAGE KENNY FOUNDATION

 B 221,295 COST
(11) UNITED HOSPITAL FOUNDATION

 C 14,672,740 CASH
(12) UNITED HOSPITAL FOUNDATION

 B 1,236,183 COST
(13) CENTER FOR HEALTHCARE INNOVATION FOUNDATION

 C 593,411 CASH
(14) CENTER FOR HEALTHCARE INNOVATION FOUNDATION

 B 98,766 COST
(15) ALLINA ASSOCIATED FOUNDATION

 C 1,584,252 CASH
(16) ALLINA ASSOCIATED FOUNDATION

 B 1,839,547 COST
(17) ALLINA SPECIALTY ASSOCIATES INC

 C 1,152,517 COST
(18) APPLE VALLEY BUILDING ASSOCIATES LLC

 C 200,000 CASH
(19) SOUTHWEST SURGICAL CENTER LLC

 C 3,400,000 CASH
(20) MAGNETO LEASING LLC

 C 29,466 CASH
(21) ASPEN SLEEP CENTER LLC

 C 403,000 CASH
(22) ALLINA CLINIC HOLDINGS LTD

 C 3,294,884 COST
(23) QUELLO CLINIC LTD

 C 1,096,430 COST
(24) WESTHEALTH INC

 P 13,708,279 COST
(25) NORTHSTAR SLEEP CENTER LLC

 C 25,000 CASH
(26) METROPOLITAN INTEGRATED CANCER CARE LLC

 C 4,418,524 CASH
(27) GERIATRIC SERVICES OF MINNESOTA LLC

 C 135,000 CASH
(28) ALLINA INTEGRATED MEDICAL NETWORK

 B 1,804,854 COST
(29) ASPEN MEDICAL GROUP

 S 83,625,120 CASH
(30) QUELLO CLINIC LTD

 S 27,378,719 CASH
(31) ALLINA CLINIC HOLDINGS LTD

 S 3,854,500 CASH
(32) REGINA MEDICAL CENTER

 R 26,766,670 CASH
(33) CREATEHEALTH INC

 S 3,024,028 CASH
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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