ALLINA HEALTH FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ALLINA HEALTH FOUNDATION (EIN 27-4116873)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202003189349306850
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T12:22:02-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274116873EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALLINA ASSOCIATED FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALLIBusinessNameControlTxt
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 43 MR 10890AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554400043ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD E MAGNUSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6122620660PhoneNum
Signature2020-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN GRIESPreparerPersonNm
PTINP00078514PTIN
Phone6123764500PhoneNum
Preparation2020-11-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.128.163.222IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-03IPDt
IP Tm11:13:02IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAA1DCBC5EA6CA51D55B9304D21ACC821D9D41489AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN BARITEAUPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 43 MR 10890AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554400043ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,408,480GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSEE STATEMENTWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO RAISE, STEWARD AND DISTRIBUTE PHILANTHROPIC FUNDS IN SUPPORT OF BUFFALO HOSPITAL, CAMBRIDGE MEDICAL CENTER, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL, ALLINA HEALTH HOME CARE SERVICES AND PENNY GEORGE INSTITUTE OF HEALTH & HEALING.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers510TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,613,479PYContributionsGrantsAmt
CY Contributions Grants$3,389,858CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$114,453PYInvestmentIncomeAmt
CY Investment Income$260,655CYInvestmentIncomeAmt
PY Other Revenue$35,316PYOtherRevenueAmt
CY Other Revenue$44,694CYOtherRevenueAmt
PY Total Revenue$3,763,248PYTotalRevenueAmt
CY Total Revenue$3,695,207CYTotalRevenueAmt
PY Grants And Similar Paid$1,768,465PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,522,519CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$31,742PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$323,277CYTotalFundraisingExpenseAmt
PY Other Expenses$1,533,108PYOtherExpensesAmt
CY Other Expenses$1,293,515CYOtherExpensesAmt
PY Total Expenses$3,333,315PYTotalExpensesAmt
CY Total Expenses$2,816,034CYTotalExpensesAmt
PY Revenues Less Expenses$429,933PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$879,173CYRevenuesLessExpensesAmt
Total Assets BOY$7,970,752TotalAssetsBOYAmt
Total Assets EOY$9,037,464TotalAssetsEOYAmt
Total Liabilities BOY$194,169TotalLiabilitiesBOYAmt
Total Liabilities EOY$194,640TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,776,583NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,842,824NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ALLINA ASSOCIATED FOUNDATION IS TO RAISE, STEWARD AND DISTRIBUTE PHILANTHROPIC FUNDS IN SUPPORT OF BUFFALO HOSPITAL, CAMBRIDGE MEDICAL CENTER, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL, ALLINA HEALTH HOME CARE SERVICES AND PENNY GEORGE INSTITUTE FOR HEALTH & HEALING. THE FOUNDATION IS A SEPARATE NOT-FOR-PROFIT ENTITY DEDICATED TO SUPPORTING THE HOSPITALS, ALLINA HEALTH HOME CARE SERVICES PROGRAM AND PENNY GEORGE INSTITUTE FOR HEALTH & HEALING AND IS GOVERNED BY A SEPARATE BOARD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,227,784ExpenseAmt
Grant$1,227,784GrantAmt
Revenue$0RevenueAmt
DescHOSPITAL AND MEDICAL CENTER GENERAL OPERATIONS:OPERATIONAL GRANTS ARE USED TO SUPPORT A MULTITUDE OF PROGRAMS INCLUDING RESEARCH, BIRTH, HEART, LITERACY AND INTEGRATIVE THERAPY PROGRAMS. THESE PROGRAMS WERE ESTABLISHED TO SUPPORT THE PATIENTS AND COMMUNITIES OF BUFFALO HOSPITAL, CAMBRIDGE MEDICAL CENTER, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL, ALLINA HEALTH HOME CARE SERVICES AND PENNY GEORGE INSTITUTE FOR HEALTH & HEALING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$246,680ExpenseAmt
Grant$246,680GrantAmt
Revenue$0RevenueAmt
DescTHE FOLLOWING ARE SOME EXAMPLES OF EXTERNAL PROGRAMS SUPPORTED IN 2019: $101,845 WAS PROVIDED FOR A BUFFALO HOSPITAL CAPITAL GRANT TO UPDATE AND IMPROVE PATIENT EXPERIENCE THROUGH THE ADDITION OF BARIATRIC BEDS AND RECLINERS FOR THE BIRTHING ROOMS, THE ADDITION OF 6 ELEGARD ELEVATED CPR DEVICES, AND CAPITAL EXPANSION OF LIVING WELL PROGRAM THROUGH THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING-BUFFALO HOSPITAL. $123,351 WAS PROVIDED TO CAMBRIDGE HOSPITAL FOR UPGRADES TO THE ER DEPARTMENT, LANDSCAPING, AND FURNITURE FOR MOTHER BABY TO IMPROVE SAFETY AND INFECTION CONTROL ISSUES WHILE UPDATING FUNCTIONALITY AESTHETICS. $9,439 WAS PROVIDED TO RIVER FALLS HOSPITAL FOR A PEDIATRIC MANIKIN. $12,045 IN ADDITIONAL CAPITAL GRANTS WERE PROVIDED TO SUPPORT VARIOUS INDIVIDUAL PROJECTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$48,055ExpenseAmt
Grant$48,055GrantAmt
Revenue$0RevenueAmt
DescTHE FOLLOWING ARE SOME EXAMPLES OF 2019 HOSPITAL AND MEDICAL CENTER PROGRAMS SUPPORTING INDIVIDUAL PATIENTS AND EMPLOYEES: BUFFALO HOSPITAL'S $10,428 "CARING FOR CO-WORKERS AND OWATONNA HOSPITALS $1,446 "EMPLOYEE EMERGENCY FUND" PROVIDES CONFIDENTIAL EMERGENCY ASSISTANCE TO HOSPITAL EMPLOYEES WHO SUFFER SUDDEN ECONOMIC HARDSHIP AND ARE STRUGGLING TO PAY MEDICAL BILLS, RENT AND OTHER EVERYDAY EXPENSES; BUFFALO, NEW ULM AND RIVER FALLS PROVIDED $10,000, $17,000 AND $7,000 RESPECTIVELY IN EDUCATIONAL SCHOLARSHIPS. RIVER FALLS PROVIDED $2,000 TO SUPPORT CANCER PATIENT ASSISTANCE. $181 IN ADDITIONAL GRANTS WERE PROVIDED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,522,519TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAX SERVICES MR 10890BusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6122620660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 CHICAGO AVENUEAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554071321ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PENNY WHEELER
DIRECTOR2.0040.00Yes (X)$0$2,202,831$463,169
RICHARD MAGNUSON
CFO2.0040.00$0$922,036$179,926Yes (X)
DAVID MILLER
DIRECTOR2.0040.00Yes (X)$0$719,886$18,853
TOBY FREIER
DIRECTOR2.0040.00Yes (X)$0$434,421$50,450
GARY SHAW
DIRECTOR2.0040.00Yes (X)$0$405,417$2,841
DAVID ALBRECHT
DIRECTOR2.0040.00Yes (X)$0$337,572$42,001
STEPHEN BARITEAU
DIRECTOR/PRESIDENT2.0040.00Yes (X)$0$321,649$44,783Yes (X)
KELLY SPRATT
DIRECTOR2.0040.00Yes (X)$0$271,481$28,978
JULIA CRIST
DIRECTOR2.0040.00Yes (X)$0$252,810$42,858
HELEN STRIKE
DIRECTOR2.0040.00Yes (X)$0$220,192$14,016
JOSH SHEPHERD
DIRECTOR2.0040.00Yes (X)$0$192,884$35,191
SARAH SMUDE
DIRECTOR2.0040.00Yes (X)$0$175,699$35,110
DUNCAN GALLAGHER
FORMER CFO0.0040.00$0$130,958$0Yes (X)
HEATHER JOHNSON
DIRECTOR2.0040.00Yes (X)$0$118,598$7,202
STEVE LACROIX
DIRECTOR2.000.00Yes (X)$0$10,000$0
KATHLEEN BACKER
DIRECTOR/SECRETARY2.000.00Yes (X)$0$0$0
DENISE BLIZIL
DIRECTOR2.000.00Yes (X)$0$0$0
PAM DEAL
DIRECTOR2.000.00Yes (X)$0$0$0
JEFF DITTRICH
DIRECTOR2.000.00Yes (X)$0$0$0
ANGELA FAHMY
DIRECTOR/VICE CHAIR/TREASU2.000.00Yes (X)$0$0$0
CHRIS HASLING
DIRECTOR2.000.00Yes (X)$0$0$0
ANDY KRANE
DIRECTOR2.000.00Yes (X)$0$0$0
VENETIA KUDRLE
DIRECTOR2.000.00Yes (X)$0$0$0
CYNDI LESHER
DIRECTOR2.000.00Yes (X)$0$0$0
CHARLIE MONTREUIL
DIRECTOR2.000.00Yes (X)$0$0$0
CHRIS MORRISON
DIRECTOR2.000.00Yes (X)$0$0$0
GAYLE OBER
DIRECTOR2.000.00Yes (X)$0$0$0
JENNIFER O'NEILL
DIRECTOR/CHAIR2.000.00Yes (X)$0$0$0
RON POOLE
DIRECTOR2.000.00Yes (X)$0$0$0
PAUL SMITH
DIRECTOR2.000.00Yes (X)$0$0$0
SKIP STANDBERG
DIRECTOR2.000.00Yes (X)$0$0$0
DAVID STURGES
DIRECTOR2.000.00Yes (X)$0$0$0
BART ZIBROWSKI
DIRECTOR2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,716,434TotReportableCompRltdOrgAmt
Total Other Compensation$965,378TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$13,110FederatedCampaignsAmt
Fundraising$551,724FundraisingAmt
Related Organizations$1,318,473RelatedOrganizationsAmt
All Other Contributions$1,506,551AllOtherContributionsAmt
Noncash Contributions$2,967NoncashContributionsAmt
Total Contributions$3,389,858TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,874TotalRevenueColumnAmt
Exclusion$215,874ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,604,870SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,560,089SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$44,781SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,781TotalRevenueColumnAmt
Exclusion$44,781ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$197,878FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$551,724ContriRptFundraisingEventAmt
Fundraising Direct Expenses$153,184FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,694TotalRevenueColumnAmt
Exclusion$44,694ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,695,207TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$305,349ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,428,114TotalAmt
Program Services$1,428,114ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$94,405TotalAmt
Program Services$94,405ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,800TotalAmt
Management And General$9,800ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,605TotalAmt
Management And General$37,507ManagementAndGeneralAmt
Fundraising$21,098FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$699TotalAmt
Management And General$447ManagementAndGeneralAmt
Fundraising$252FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,688TotalAmt
Management And General$44,848ManagementAndGeneralAmt
Fundraising$17,840FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,411TotalAmt
Management And General$3,463ManagementAndGeneralAmt
Fundraising$1,948FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,042TotalAmt
Management And General$35,227ManagementAndGeneralAmt
Fundraising$19,815FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,358TotalAmt
Management And General$869ManagementAndGeneralAmt
Fundraising$489FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
STAFF SERVICES$725,491$464,314$261,177
PURCH SVCS-AFFILIATES$374,421$373,763$658

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,816,034TotalAmt
Program Services$1,522,519ProgramServicesAmt
Management And General$970,238ManagementAndGeneralAmt
Fundraising$323,277FundraisingAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$122,189BOYAmt
EOY$108,130EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,756,571BOYAmt
EOY$8,837,342EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$91,992BOYAmt
EOY$91,992EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,970,752BOYAmt
EOY$9,037,464EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$194,169BOYAmt
EOY$194,640EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$194,169BOYAmt
EOY$194,640EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,768,931BOYAmt
EOY$5,287,174EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,007,652BOYAmt
EOY$3,555,650EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,776,583BOYAmt
EOY$8,842,824EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,970,752BOYAmt
EOY$9,037,464EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$879,173ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$187,068NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,804,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,983,430CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,000,686CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,613,479CurrentTaxYearMinus1YearAmt
Current Tax Year$3,389,858CurrentTaxYearAmt
Total$19,791,837TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,804,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,983,430CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,000,686CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,613,479CurrentTaxYearMinus1YearAmt
Current Tax Year$3,389,858CurrentTaxYearAmt
Total$19,791,837TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,039,246SubstantialContributorsTotAmt
Public Support Total170$18,752,591PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$75,675CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$111,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,026CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$176,761CurrentTaxYearMinus1YearAmt
Current Tax Year$215,874CurrentTaxYearAmt
Total$714,213TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,323CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$116,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,316CurrentTaxYearMinus1YearAmt
Current Tax Year$44,694CurrentTaxYearAmt
Total$278,415TotalAmt
FieldValueIRS element (for citing)
Total Support$20,784,465TotalSupportAmt
Public Support CY1700.90220PublicSupportCY170Pct
Public Support PY1700.87210PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
EQUITY$202,304F
FIXED INCOME$7,610,640F
OTHER INVESTMENTS REAL RETURN MUTUAL FUNDS$112,375F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE$381,311F
MONEY MARKET FUND$530,712F
FieldValueIRS element (for citing)
Total Book Value Securities$8,837,342TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CHARITABLE REMAINDER TRUSTS BENEFICIARIES PAYABLE$82,356
DUE TO ALLINA HEALTH SYSTEM$112,284
FieldValueIRS element (for citing)
Total Liability$194,640TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,882,275TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$187,068NetUnrealizedGainsInvstAmt
Revenue Not Reported$187,068RevenueNotReportedAmt
Revenue Subtotal$3,695,207RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,695,207TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,816,034TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,816,034ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,816,034TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationALLINA ASSOCIATED FOUNDATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THEREFORE, CHARITABLE CONTRIBUTIONS ARE TAX DEDUCTIBLE. THE FOUNDATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION OF UNCERTAIN TAX POSITIONS. THE GUIDANCE PRESCRIBES RECOGNITION THRESHOLD PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX FILING THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THIS GUIDANCE HAD NO IMPACT ON THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION'S TAX FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DRAGONFLY GALAEvent1Nm
Gross Receipts Event1$360,895GrossReceiptsEvent1Amt
Charitable Contri Event1$298,618CharitableContriEvent1Amt
Gross Revenue Event1$62,277GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,500RentFacilityCostsEvent1Amt
Food And Beverage Event1$26,671FoodAndBeverageEvent1Amt
Entertainment Event1$500EntertainmentEvent1Amt
Other Direct Expenses Event1$19,791OtherDirectExpensesEvent1Amt
Event2SPRING TONIC BUFFALO GALAEvent2Nm
Gross Receipts Event2$81,166GrossReceiptsEvent2Amt
Charitable Contri Event2$62,368CharitableContriEvent2Amt
Gross Revenue Event2$18,798GrossRevenueEvent2Amt
Cash Prizes Event2$1,700CashPrizesEvent2Amt
Non Cash Prizes Event2$3,513NonCashPrizesEvent2Amt
Rent Facility Costs Event2$2,481RentFacilityCostsEvent2Amt
Food And Beverage Event2$12,238FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$11,698OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$307,541GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$190,738CharitableContriOtherEventsAmt
Gross Revenue Other Events$116,803GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$5,784NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$2,049RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$17,884FoodAndBeverageOtherEventsAmt
Entertainment Other Events$10,254EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$35,121OthDirectExpnssOtherEventsAmt
Gross Receipts Total$749,602GrossReceiptsTotalAmt
Charitable Contributions Tot$551,724CharitableContributionsTotAmt
Gross Revenue Total Events$197,878GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,700CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$9,297NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,030RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$56,793FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,754EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$66,610OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$153,184DirectExpenseSummaryEventsAmt
Net Income Summary$44,694NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
ALLINA HEALTH SYSTEM DBA BUFFALO HOSPITAL
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$320,325$0N/AN/ASUPPORT GENERAL OPERATIONS BUFFALO HOSPITAL AND AED PROGRAM
ALLINA HEALTH SYSTEM DBA CAMBRIDGE MEDICAL CENTER
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$67,887$0N/AN/ASUPPORT GENERAL OPERATIONS CAMBRIDGE MEDICAL CENTER
ALLINA HEALTH SYSTEM DBA NEW ULM MEDICAL CENTER
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$236,864$0N/AN/ASUPPORT GENERAL OPERATIONS NEW ULM MEDICAL CENTER, COURAGE KENNY INSTITUTE RENOVATION AND LARYNGOSCOPY EQUIPMENT.
ALLINA HEALTH SYSTEM DBA OWATONNA HOSPITAL
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$56,416$0N/AN/ASUPPORT GENERAL OPERATIONS OWATONNA HOSPITAL
ALLINA HEALTH SYSTEM DBA RIVER FALLS AREA HOSPITAL
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$34,844$0N/AN/ASUPPORT GENERAL OPERATIONS RIVER FALLS AREA HOSPITAL AND PURCHASE OF LOCAL ART
ALLINA HEALTH SYSTEM DBA ALLINA HOME CARE HOPSICE AND PALLIATIVE CARE
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$577,493$0N/AN/AINTEGRATIVE THERAPIES, OPERATIONS AND REIMBURSEMENT OF PATIENT BILLS
ALLINA HEALTH SYSTEM DBA PENNY GEORGE INSTITUTE HEALTH & HEALING
2925 CHICAGO AVENUEMINNEAPOLISMN55407363261413170(B)(1)(A)(III)$134,285$0N/AN/ASUPPORT OF PGIHH OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
HOUSING AND LIVING ASSISTANCE102$59,405$0N/AN/A
RESEARCH AND EDUCATION23$35,000$0N/AN/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALLINA ASSOCIATED FOUNDATION 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 THAT INCLUDES A WRITTEN APPLICATION REQUIRING 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PENNY WHEELER
DIRECTOR$0$1,281,812$0$784,552$0$136,467$0$440,624$0$22,545$0$2,666,000$0$0
RICHARD MAGNUSON
CFO$0$678,786$0$112,700$0$130,550$0$162,525$0$17,401$0$1,101,962$0$103,910
DAVID MILLER
DIRECTOR$0$113,925$0$40,474$0$565,487$0$12,071$0$6,782$0$738,739$0$142,259
TOBY FREIER
DIRECTOR$0$290,516$0$48,151$0$95,754$0$16,800$0$33,650$0$484,871$0$62,496
GARY SHAW
DIRECTOR$0$32,497$0$0$0$372,920$0$2,142$0$699$0$408,258$0$114,879
DAVID ALBRECHT
DIRECTOR$0$265,374$0$43,857$0$28,341$0$16,800$0$25,201$0$379,573$0$3,687
STEPHEN BARITEAU
DIRECTOR/PRESIDENT$0$251,789$0$39,268$0$30,592$0$15,400$0$29,383$0$366,432$0$26,663
KELLY SPRATT
DIRECTOR$0$236,699$0$25,000$0$9,782$0$4,967$0$24,011$0$300,459$0$0
JULIA CRIST
DIRECTOR$0$183,010$0$30,736$0$39,064$0$13,649$0$29,209$0$295,668$0$14,956
HELEN STRIKE
DIRECTOR$0$141,147$0$30,000$0$49,045$0$7,673$0$6,343$0$234,208$0$0
JOSH SHEPHERD
DIRECTOR$0$159,597$0$29,574$0$3,713$0$5,590$0$29,601$0$228,075$0$0
SARAH SMUDE
DIRECTOR$0$162,158$0$12,627$0$914$0$9,460$0$25,650$0$210,809$0$0
DUNCAN GALLAGHER
FORMER CFO$0$0$0$0$0$130,958$0$0$0$0$0$130,958$0$104,400

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SEE NARRATIVE ON SCHEDULE O - FOR FORM 990, PART VI, SECTION A, LINE 6.
PART I, LINES 4A-BLINE 4(A): DAVID MILLER - $114,761; GARY SHAW - $233,698. LINE 4(B): STEPHEN BARITEAU - $24,812; JULIA CRIST - $15,942; TOBY FREIER - $65,658; DAVID MILLER - $416,519; GARY SHAW - $124,511; RICHARD MAGNUSON - $73,805; DUNCAN GALLAGHER - $130,958.
PART I, LINE 6DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. 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 FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. 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 HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)ADDITIONAL COMPENSATION DISCLOSURE: DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: 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 OF 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. THE MUTUAL FUND PLANS TERMINATED EFFECTIVE DECEMBER 31, 2018. ALL MUTUAL FUND ACCOUNTS SHALL BE DISTRIBUTED IN A LUMP SUM NO LATER THAN JANUARY 2021, OR IF ELECTED BY THE PARTICIPANT IN DECEMBER 2018, IN THREE ANNUAL INSTALLMENTS WITH FIRST MADE FEBRUARY 2019 (33.33 PERCENT OF ACCOUNT BALANCE), THE SECOND MADE FEBRUARY 2020 (50 PERCENT OF REMAINING BALANCE), AND THE THIRD MADE JANUARY 2021 (REMAINING BALANCE). ALLINA DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THIS PLAN WAS AMENDED AND FROZEN EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. THIS PLAN WAS REPLACED WITH THE EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN (ERBRP) EFFECTIVE JANUARY 1, 2009, AND IS NOW FROZEN AS OF DECEMBER 31, 2018. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR DC 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 DC 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 AND IS NOW FROZEN AS OF DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHO'S EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% SVP | EVP 15% CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, ITEM JALLINA ASSOCIATED FOUNDATION ITSELF DOES NOT HAVE A WEBSITE. EACH OF THE ORGANIZATIONS SUPPORTED BY ALLINA ASSOCIATED FOUNDATION HAVE A PHILANTHROPIC WEBSITE. THE FOLLOWING ARE THE WEBSITES: BUFFALO HOSPITAL-HTTPS://WWW.ALLINAHEALTH.ORG/BUFFALO-HOSPITAL/FOUNDATION/ CAMBRIDGE MEDICAL CENTER-HTTPS://WWW.ALLINAHEALTH.ORG/CAMBRIDGE-MEDICAL-CENTER/FOUNDATION NEW ULM MEDICAL CENTER-HTTPS://WWW.ALLINAHEALTH.ORG/NEW-ULM-MEDICAL-CENTER/FOUNDATION/ OWATONNA HOSPITAL-HTTPS://WWW.ALLINAHEALTH.ORG/OWATONNA-HOSPITAL/FOUNDATION/ RIVER FALLS AREA HOSPITAL-HTTPS://WWW.ALLINAHEALTH.ORG/RIVER-FALLS-AREA-HOSPITAL/FOUNDAT ION/ ALLINA HEALTH HOME CARE-HTTPS://WWW.ALLINAHEALTH.ORG/MEDICAL-SERVICES/CHRONIC-AND-ADVANCED -ILLNESS/HOSPICE/ALLINA-HEALTH-HOSPICE-FOUNDATION/ PENNY GEORGE INSTITUTE OF HEALTH & HEALING-HTTPS://WWW.ALLINAHEALTH.ORG/PENNY-GEORGE-INSTITUTE-FOR-HEALTH -AND-HEALING/PENNY-GEORGE-INSTITUTE-FOUNDATION/
FORM 990, PART VI, SECTION A, LINE 1THE BOARD OF DIRECTORS CAN ESTABLISH COMMITTEES WITH THE AUTHORITY OF THE BOARD OF DIRECTORS. THE MEMBERS AND CHAIR OF EACH COMMITTEE SHALL BE NOMINATED AND ELECTED BY THE BOARD OF DIRECTORS. EXCEPT AS OTHERWISE SPECIFIED, (A) THE CHAIR OF EACH COMMITTEE MUST BE A MEMBER OF THE BOARD OF DIRECTORS; AND (B) OTHER COMMITTEE MEMBERS SHALL NOT BE REQUIRED TO BE DIRECTORS OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 6PARENT ORGANIZATION ALLINA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER ORGANIZATION OF ALLINA ASSOCIATED FOUNDATION. SEE SCHEDULE R FOR FURTHER DETAILS. ALLINA HEALTH SYSTEM PROVIDES ALLINA ASSOCIATED FOUNDATION WITH ADMINISTRATIVE AND STAFF SERVICES AT NO COST. THE VALUE OF THE SERVICES PROVIDED BY ALLINA HEALTH SYSTEM TO ALLINA ASSOCIATED FOUNDATION DURING 2019 WERE ESTIMATED AT $1,280,385 AND HAVE BEEN RECORDED AS CONTRIBUTION REVENUE FROM A RELATED ORGANIZATION IN THE STATEMENT OF REVENUE AND AS ADMINISTRATIVE AND FUNDRAISING EXPENSES IN THE STATEMENT OF FUNCTIONAL EXPENSES. ALLINA ASSOCIATED FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AAS THE SOLE CORPORATE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM HOLDS CERTAIN RESERVED POWERS OVER ALLINA ASSOCIATED FOUNDATION. THE RESERVED POWERS ARE FULLY DESCRIBED IN ALLINA ASSOCIATED FOUNDATION'S GOVERNING DOCUMENTS AND INCLUDE SUCH POWERS AS ELECTION AND APPROVAL OF DIRECTORS, FINAL APPROVAL OF AMENDMENTS TO ARTICLES OF INCORPORATION OR BYLAWS, APPROVAL OF STRATEGIC PLANS AND CAPITAL AND OPERATING BUDGETS, APPROVAL OF PLANS OF MERGER OR CONSOLIDATION, APPROVAL OF INCURRENCE OF DEBT OR EXPENDITURES IN EXCESS OF CERTAIN AMOUNTS, AND VARIOUS OTHER RESERVED POWERS AS DESCRIBED THEREIN.
FORM 990, PART VI, SECTION A, LINE 7BSEE THE EXPLANATION IN SCHEDULE O FOR FORM 990, PART VI, SECTION A, LINE 7A
FORM 990, PART VI, SECTION B, LINE 11BALLINA ASSOCIATED FOUNDATION'S FORM 990 WAS PREPARED EXTERNALLY BY THE PUBLIC ACCOUNTING FIRM CLIFTON LARSON ALLEN. THE FORM 990 WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA HEALTH SYSTEM, ALLINA ASSOCIATED FOUNDATION'S SOLE CORPORATE MEMBER 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 ALLINA ASSOCIATED FOUNDATION'S BOARD OF DIRECTORS. ALLINA ASSOCIATED FOUNDATION'S BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY 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 ALLINA ASSOCIATED FOUNDATION'S FORM 990 WITH THE IRS, MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL, AND WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15ALLINA ASSOCIATED FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ANY COMPENSATION DISCLOSED AS PAID BY A RELATED ORGANIZATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATION. THEREFORE, PART VI, SECTION B, LINE 15A AND LINE 15B ARE NOT APPLICABLE TO ALLINA ASSOCIATED FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19ALLINA ASSOCIATED FOUNDATION 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 ASSOCIATED FOUNDATION 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.
FORM 990, PART XII, LINE 2C:THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043043643816FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
MERCY & UNITY HOSPITALS FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043300086426FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043411613017FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
COURAGE KENNY FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043411952989FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
UNITED HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043237420998FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 7ALLINA HEALTH SYSTEM0
ALLINA HEALTH SYSTEM
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043363261413HEALTHCARE SERVICESMN501(C)(3)LINE 30
MBP FACILITY LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043454078371SUPPORTING ORGANIZATIONMN501(C)(3)LINE 12B, II0N/A
REGINA FOUNDATION
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043411987372FUNDRAISING AND GRANTMAKING ORGANIZATIONMN501(C)(3)LINE 70N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
APPLE VALLEY BUILDING ASSOCIATES LLC
14655 GALAXIE AVENUE SAPPLE VALLEYMN55124411677072RENTAL REAL ESTATEMNN/A
METROPOLITAN INTEGRATED CANCER CENTER LLC
PO BOX 819067DALLASTX75381205068485RADIOLOGYDEN/A
MAGNETO LEASING LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043201582501RENTAL EQUIPMENTMNN/A
ASPEN SLEEP CENTERLLC
1010 BANDANA BOULEVARD WESTST PAULMN55108261850227HEALTHCARE SERVICESMNN/A
GERIATRIC SERVICES OF MINNESOTA LLC
3433 BROADWAY ST NE SUITE 300MINNEAPOLISMN55413453357936HEALTHCARE SERVICESMNN/A
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700MINNEAPOLISMN55407452532456HEALTHCARE SERVICESMNN/A
MOBILE IMAGING SERVICES LLC
7505 METRO BOULEVARD SUITE 400EDINAMN55439411883212RADIOLOGYMNN/A
CROSBY CARDIOVASCULAR SERVICESLLC
920 E 28TH STREET SUITE 500MINNEAPOLISMN55407412010368HEALTHCARE SERVICESMNN/A
BPA HEALTH LLC
2845 HAMLINE AVENUE NORTHROSEVILLEMN55113352490984HEALTHCARE SERVICESMNN/A
CT ONE LLC
200 STATE AVENUEFARIBAULTMN55021261187480RADIOLOGYMNN/A
HEALTHCARE CAMPUS IMAGING ONE LLC
200 STATE AVENUEFARIBAULTMN55021522401657RADIOLOGYMNN/A
GLOBAL MARKET RESERVE FUND LLC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN554400043832659070FINANCEMNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALLINA SPECIALTY ASSOCIATES INC
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411802815HEALTHCARE SERVICESMNN/AC0
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007PITTSBURGHPA15253276712988TRUSTPAN/AT0
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET SUITE 0625PITTSBURGHPA15258376520273TRUSTPAN/AT0
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440411720860TRUSTMNN/AT0
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43 MAIL ROUTE 10890MINNEAPOLISMN55440275129095HEALTHCARE SERVICESMNN/AC0
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
981366132CAPTIVE INSURANCEN/AC0PO BOX 1085GRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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