2015-11-10T12:13:51-06:00 2014-12-31 990 2014-01-01 274116873 ALLINA ASSOCIATED FOUNDATION ALLI 6122620660 PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 DUNCAN GALLAGHER CHIEF FINANCIAL OFFICER 6122620660 2015-11-10 2014 2016-02-25 16:41:14Z JAN MALCOLM PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 7417276 0 X N/A X 2010 MN 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 OF HEALTH & HEALING. 15 6 0 231 0 0 4875092 4680028 0 0 27209 26765 46370 29702 4948671 4736495 1868171 2722747 0 0 0 0 55812 48140 851820 1536930 1529229 3460913 4300116 1487758 436379 4821718 5343114 4115 84838 4817603 5258276 X THE 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. 0 0 1642599 1642599 HOSPITAL AND MEDICAL CENTER CAPITAL EXPANSION : $1,642,599:IN 2014, ALLINA ASSOCIATED FOUNDATION PROVIDED $1,642,599 FOR CAPITAL EXPANSION PROJECTS FOR AREA HOSPITALS AND MEDICAL CENTERS AND FOR A TWELVE-BED RESIDENTIAL HOSPICE IN BROOKLYN PARK. THE FOLLOWING ARE EXAMPLES OF SOME OF THE 2014 CAPITAL GRANTS. PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING OUTPATIENT CLINIC WEST HEALTH CAMPUS BUILDOUT - 2014 GRANT $1,200,000THE OUTPATIENT CLINIC INCLUDES A WAITING/RECEPTION ROOM, 7 TREATMENT ROOMS, STUDIO AND PRACTITIONER WORK SPACE. THE BUILD OUT INCLUDED AN ENERGY ASSESSMENT AS WELL AS OTHER HEALING ENVIRONMENTS. SERVICES PROVIDED AT THE CLINIC INCLUDE INTEGRATIVE HEALTH CONSULTATIONS, NUTRITION, ACUPUNCTURE, MASSAGE, INTEGRATIVE PSYCHOLOGY CONSULTS AND HEALTH COACHING. NEW ULM MEDICAL CENTER BIRTH CENTER- 2014 GRANT $ 207,372THE BIRTH CENTER CAPITAL EXPANSION AT NEW ULM MEDICAL CENTER INCLUDED INCREASING THE NUMBER OF PATIENT ROOMS FROM FOUR TO SIX TO ACCOMODATE 25% OF OB PATIENTS THAT WERE STAYING OUTSIDE OF THE BIRTH CENTER UNIT DUE TO LACK OF SPACE,IMPROVING INFANT SAFETY BY RELOCATING THE NURSERY AND INSTALLING AN INFANT SECURITY SYSTEM, INCREASING THE SPACE OF THE NURSES' STATION TO IMPROVE PATIENT PRIVACY AND EMPLOYEE ENGAGEMENT, ADDING A BIRTH CENTER WAITING AREA DESIGNATED FOR FAMILIES AND CHILDREN, ADDING A LACTATION CONSULTATION ROOM, AND ADDING ADDITIONAL STORAGE. J.A.WEDUM RESIDENTIAL HOSPICE - 2014 GRANT $125,566THE J.A. WEDUM RESIDENTIAL HOSPICE IS DESIGNED FOR PATIENTS WITH A LIFE-LIMITING ILLNESS WHO NEED PROFESSIONAL ROUND-THE-CLOCK CARE. THE WEDUM HOSPICE PROVIDES PATIENTS WITH A HOME TO LIVE EACH DAY IN COMFORT, WITH DIGNITY AND SURROUNDED BY LOVE. WEDUM IS A MEDICARE CERTIFIED FACILITY.CAMBRIDGE MEDICAL CENTER'S EMERGENCY DEPARTMENT- 2014 GRANT $57,374 THE EMERGENCY ROOM NOW INCLUDES 21 PRIVATE ROOMS, INCLUDING FOUR TRAUMA/CARDIAC ROOMS SPECIALLY DESIGNED FOR CRITICALLY ILL PATIENTS, A DECONTAMINATION ROOM, AND FOUR ROOMS FOR PATIENTS NEEDING A SAFE ENVIRONMENT. SPECIAL SPACES FOR FAMILIES ARE AVAILABLE AND THE ENTIRE FACILITY IS DESIGNED TO PROVIDE CARE IN A QUIET AND CALMING ENVIRONMENT. 690813 690813 HOSPITAL AND MEDICAL CENTER GENERAL OPERATIONS: $690,813. 350876 350876 HOUSING/LIVING, MEDICAL, AND EDUCATIONAL ASSISTANCE TO CO-WORKERS AND PATIENTS - $350,876:THE FOLLOWING ARE SOME EXAMPLES OF HOSPITAL AND MEDICAL CENTER PROGRAMS SUPPORTING INDIVIDUAL PATIENTS AND EMPLOYEES. BUFFALO HOSPITAL'S "HOPE FUND" AND "CANCER CARE FUND" OFFER EMERGENCY FINANCIAL ASSISTANCE TO HELP WITH EXPENSES DURING BREAST CANCER CARE AND TREATMENT. $42,969 IN ASSISTANCE WAS PROVIDED IN 2014.BUFFALO HOSPITAL'S "CARING FOR CO-WORKERS" PROVIDES CONFIDENTIAL EMERGENCY ASSISTANCE TO HOSPITAL EMPLOYEES WHO SUFFER SUDDEN ECONOMIC HARDSHIP AND ARE STRUGGLING TO PAY MEDICAL BILLS, RENT AND OTHER EVERYDAY EXPENSES. $14,353 IN ASSISTANCE WAS PROVIDED IN 2014.$216,063 IN ASSISTANCE WAS PROVIDED IN 2014 TO PAY MEDICAL BILLS FOR OWATONNA HOSPITAL HOSPICE PATIENTS AND WEDUM PATIENT BILLS.HOSPICE'S "TENDER LOVING CARE" PROGRAM PROVIDES ASSISTANCE TO HOSPICE PATIENTS WHO ARE EXPERIENCING FINANCIAL HARDSHIPS. $25,293 IN ASSISTANCE WAS PROVIDED IN 2014 TO ASSIST WITH HOUSING AND LIVING COSTS, MEDICAL AND FUNERAL COSTS. 38459 38459 $38,459 IN EXTERNAL GRANTS WERE PROVIDED IN 2014. THE FOLLOWING ARE SOME EXAMPLES OF EXTERNAL PROGRAMS SUPPORTED IN 2014: $14,955 WAS PROVIDED TO THE "FREE CLINIC OF PIERCE AND ST. CROIX COUNTIES." GRANTS WERE GIVEN TO SUPPORT GENERAL CLINIC OPERATIONS. SINCE 2007, THE CLINIC HAS BEEN PROVIDING FREE PRIMARY HEALTH CARE TO LOW-INCOME, UNINSURED RESIDENTS OF PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.$6,400 WAS PROVIDED TO "BROWN COUNTY SHERIFF DEPARTMENT". GRANTS PROVIDED TO SUPPORT THE PURCHASE OF AUTOMATED CHEST COMPRESSION DEVICES.$9,104 WAS PROVIDED TO THE "CITY OF NEW ULM PARK AND RECREATION DEPARTMENT". GRANTS PROVIDED TO SUPPORT PURCHASE OF NEW EQUIPMENT FOR THE LOSE IT TO WIN IT PROJECT. 38459 38459 2722747 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 15 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN WI X TAX SERVICES MR 10890 6122620660 2925 CHICAGO AVENUE MINNEAPOLIS MN 554071321 DUKE ADAMSKI DIR/PRES 2.00 40.00 X X 0 372734 62295 DAVID ALBRECHT DIRECTOR 2.00 40.00 X 0 237993 58976 MICHAEL BARTZ DIRECTOR 2.00 40.00 X 0 85839 7935 COURTNEY BAECHLER MD DIRECTOR 2.00 40.00 X 0 499529 85480 MATT DRAWZ DIRECOR/VICE CHAIR 2.00 0.00 X 0 0 0 TOBY FREIER DIRECTOR 2.00 40.00 X 0 276132 61081 PENNY GEORGE DIRECTOR 2.00 0.00 X 0 0 0 PATRICIA HACKMAN DIRECTOR/TREASURER 2.00 40.00 X 0 39670 25516 DAVID MILLER DIRECTOR 2.00 40.00 X 0 286982 55771 JENNIFER MYSTER DIRECTOR 2.00 40.00 X 0 309882 56870 LOIS NELSON DIRECTOR 2.00 0.00 X 0 0 0 JENNIFER O'NEILL DIRECTOR/CHAIR 2.00 0.00 X 0 0 0 DOUG RUTH DIRECTOR 2.00 0.00 X 0 0 0 GARY SHAW DIRECTOR 2.00 40.00 X 0 362646 56170 JOHN SCHLAGEL DIRECTOR 2.00 0.00 X 0 0 0 DAVID STURGES DIRECTOR 2.00 0.00 X 0 0 0 ROBERT WALTERS DIRECTOR 2.00 40.00 X 0 80621 8484 DUNCAN GALLAGHER CFO 2.00 40.00 X 0 1328758 367505 RICHARD MEYER FORMER DIR./VICE CHAIR/TREAS 0.00 40.00 X 0 306595 67361 0 4187381 913444 0 1 1 0 0 19077 173467 1405729 3081755 1020538 4680028 69512 69512 2581028 2623775 -42747 -42747 -42747 85973 173467 57006 28967 28967 SALE OF BRACELETS 900099 735 735 735 4736495 0 0 56467 2371871 2371871 350876 350876 8990 8990 48140 48140 32388 7497 24891 77380 23519 53861 11123 2972 8151 84898 33341 51557 2272 1181 1091 STAFF SERVICES 923483 269784 653699 PURCH SVCS-AFFILIATES 375679 374304 1375 MISCELLANEOUS 13016 3961 9055 4300116 2722747 725549 851820 374549 258743 3368507 5073057 1078662 11314 4821718 5343114 4115 84838 4115 84838 X 1468216 2612112 3349387 2646164 4817603 5258276 4821718 5343114 436379 4294 0 X X 0 1 X 1 0 X X 1 ALLINA HEALTH SYS 363261413 3 1 2333412 0 1 2333412 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 PART IV SECTION A LINE 6 FROM TIME TO TIME ALLINA ASSOCIATED FOUNDATION SUPPORTS OTHER NON-PROFIT 501(C)(3) ORGANIZATIONS OR NON-PROFIT GOVERNMENTAL ORGANIZATIONS THAT SUPPORT AND OR CARRY OUT THE THE MISSION, VISION AND VALUES OF ALLINA HEALTH SYSTEM AND THEIR COMMITMENT TO PATIENTS AND THE COMMUNITIES SERVED. ALLINA HEALTH SYSTEM IS THE SUPPORTED ORGANIZATION OF ALLINA ASSOCIATED FOUNDATION. PLEASE SEE SCHEDULE I PART II, GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS, FOR ORGANIZATIONS SUPPORTED BY ALLINA ASSOCIATED FOUNDATION THAT ARE ORGANIZED TO CARRY OUT OR SUPPORT THE PURPOSES, VALUES AND VISION OF ALLINA HEALTH SYSTEM . PART IV SECTION B LINE 2 FROM TIME TO TIME ALLINA ASSOCIATED FOUNDATION SUPPORTS OR PROVIDES BENEFIT TO OTHER NON-PROFIT 501(C)(3) ORGANIZATIONS OR NON-PROFIT GOVERNMENTAL ORGANIZATIONS THAT SUPPORT AND OR CARRY OUT THE THE MISSION, VISION AND VALUES OF ALLINA HEALTH SYSTEM, THE SUPPORTED ORGANIZATION , AND THEIR COMMITMENT TO PATIENTS AND THE COMMUNITIES SERVED. PLEASE SEE SCHEDULE I PART II, GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS, FOR ORGANIZATIONS BENEFITED BY ALLINA ASSOCIATED FOUNDATION THAT ARE OPERATED TO CARRY OUT OR SUPPORT THE PURPOSES, VALUES AND VISION OF ALLINA HEALTH SYSTEM AND SUPPORT ALLINA'S CARE CONTINUUM OF SERVICES , INCLUDING MEDICAL REHABILITATION, COMMUNITY BASED HEALTH AND WELLNESS SERVICES, ADVOCACY , RESEARCH AND INNOVATION AND ACT IN THE BEST INTEREST OF THE PATIENTS AND COMMUNITIES ALLINA HEALTH SYSTEM IS COMMITTED TO SERVE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 CASH EQUIVALENTS 758577 F FIXED INCOME SECURITIES 4140193 F EQUITY SECURITIES 25360 F FUNDS OF HEDGE FUNDS 14316 F MONEY MARKET 112456 F COMMODITIES AND OTHER 22155 F 5073057 CHAR GIFT ANNUITY OBLIG 3967 DUE TO ALLINA HEALTH SYSTEM 80871 84838 X 4740789 4294 4294 4736495 0 4736495 4300116 0 4300116 0 4300116 PART X, LINE 2: "ALLINA 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. THE FILINGS FOR THE YEARS ENDING 2011 TO 2014 WILL BE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES." X X X X X X X 1 RUFFALO NOEL LEVITZ 1025 KIRKWOOD PARKWAY SW CEDAR RAPIDS IA 52404 TELEFUNDRAISING 0 69446 48140 21306 69446 48140 21306 MN WI 2014 HOSPICE GALA 180302 126900 53402 636 4404 26629 2563 2014 NEW ULM GALA 49515 25606 23909 3223 6124 5545 50 1 29623 20961 8662 800 1725 2748 2559 259440 173467 85973 1436 9352 35501 5545 5172 57006 28967 1 ALLINA HEALTH SYSTEM (DBA BUFFALO HOSPITAL) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 99844 GENERAL OPERATIONS BUFFALO HOSPITAL ALLINA HEALTH SYSTEM (DBA CAMBRIDGE MEDICAL CENTER) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 148281 CAMBRIDGE EMERGENCY DEPARTMENT AND GENERAL OPERATIONS CAMBRIDGE MEDICAL CENTER ALLINA HEALTH SYSTEM ( DBA NEW ULM MEDICAL CENTER ) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 267897 NEW ULM BIRTH CENTER AND GENERAL OPERATIONS NEW ULM MEDICAL CENTER ALLINA HEALTH SYSTEM (DBA OWATONNA HOSPITAL) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 23814 GENERAL OPERATIONS OWATONNA HOSPITAL ALLINA HEALTH SYSTEM (DBA RIVER FALLS AREA HOSPITAL) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 103756 RIVER FALLS INFUSION THERAPY, CEILING LIFTS, BIRTH CENTER MONITORS, AND GENERAL OPERATIONS RIVER FALLS AREA HOSPITAL ALLINA HEALTH SYSTEM (DBA ALLINA HOSPICE) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 436136 RESIDENTIAL HOSPICE BLDG, INTEGRATIVE THERAPIES AND GENERAL OPERATIONS ALLINA HEALTH SYSTEM (DBA PENNY GEORGE INSTITUTE HEALTH & HEALING) 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 1253685 WEST HEALTH CAMPUS PENNY GEORGE INSTITUTE HEALTH AND HEALING BUILDOUT CITY OF NEW ULM 100 N BROADWAY NEW ULM MN 56073 416005412 CITY OF NEW ULM 9104 PURCHASE NEW PLAYGROUND EQUIPMENT RELATED TO LOSE TO WIN IT PROJECT COUNTY OF BROWN PO BOX 115 NEW ULM MN 56073 416005765 COUNTY OF BROWN 6400 PURCHASE AEDS FOR SHERIFF'S DEPARTMENT FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC PO BOX 745 RIVER FALLS WI 54022 205892220 501(C)(3) 14955 SUPPORT GENERAL CLINIC OPERATIONS 4 HOUSING AND LIVING ASSISTANCE 198 96861 MEDICAL / PATIENT CARE 119 219621 RESEARCH AND EDUCATION 63 32138 FUNERAL 5 2255 PART I, LINE 2: ALLINA 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. 0 1 0 0 0 0 1 0 1 1 DUKE ADAMSKI DIR/PRES 0 266962 0 60170 0 45602 0 54997 0 7298 0 435029 0 4824 DAVID ALBRECHT DIRECTOR 0 186717 0 39413 0 11863 0 34487 0 24489 0 296969 0 0 COURTNEY BAECHLER MD DIRECTOR 0 372802 0 63610 0 63117 0 61641 0 23839 0 585009 0 10268 TOBY FREIER DIRECTOR 0 206026 0 41611 0 28495 0 37623 0 23458 0 337213 0 19274 DAVID MILLER DIRECTOR 0 211947 0 52532 0 22503 0 47973 0 7798 0 342753 0 923 JENNIFER MYSTER DIRECTOR 0 221052 0 51281 0 37549 0 40709 0 16161 0 366752 0 25153 GARY SHAW DIRECTOR 0 283600 0 43791 0 35255 0 49015 0 7155 0 418816 0 0 DUNCAN GALLAGHER CFO 0 611853 0 546534 0 170371 0 346364 0 21141 0 1696263 0 248841 RICHARD MEYER FORMER DIR./VICE CHAIR/TREAS 0 218714 0 50058 0 37823 0 40222 0 27139 0 373956 0 24475 PART I, LINE 4B LINE 4(B): DUKE ADAMSKI - $36,705; DAVID ALBRECHT - $8,423; COURTNEY BAECHLER, MD - $45,929; TOBY FREIER - $23,792; JENNIFER MYSTER - $30,408; DUNCAN GALLAHER - $108,578; RICHARD MEYER - $23,355. 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, HOSPITAL AND CLINIC CARE MEASURES AND HOSPITAL AND CLINIC PATIENT EXPERIENCE MEASURES. 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. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE PERFORMANCE PERIOD. 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 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 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. 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 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 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. X 9 1020538 FAIR MARKET VALUE 0 0 1 1 PART I, LINE 32B: ALLINA ASSOCIATED FOUNDATION MAY, FROM TIME TO TIME AND IN THE ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES, ACCEPT NONCASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. ALLINA ASSOCIATED FOUNDATION 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. ALLINA ASSOCIATED FOUNDATION CASH AND INVESTMENTS ARE POOLED WITH ITS SOLE MEMBER ORGANIZATION, ALLINA HEALTH SYSTEM, AND ITS RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 ALLINA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER ORGANIZATION OF ALLINA ASSOCIATED FOUNDATION. ALLINA ASSOCIATED FOUNDATION IS THE SUPPORTING ORGANIZATION AND ALLINA HEALTH SYSTEM IS THE SUPPORTED ORGANIZATION. SEE SCHEDULE A AND 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 2014 WERE ESTIMATED AT $1,347,198 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 7A AS 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 7B SEE THE EXPLANATION IN SCHEDULE O FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11 ALLINA ASSOCIATED FOUNDATION'S FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM, ALLINA ASSOCIATED FOUNDATION'S SOLE CORPORATE MEMBER AND SUPPORTED ORGANIZATION. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR AND AN EXECUTIVE REVIEW BY ALLINA'S CHIEF FINANCIAL OFFICER. 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. AN ALLINA ASSOCIATED FOUNDATION BOARD OF DIRECTORS MEETING WAS HELD ON OCTOBER 23,2015 TO REVIEW AND DISCUSS THE FORM 990 FILING. 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 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 ALLINA 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 19 ALLINA 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. ABBOTT NORTHWESTERN HOSPITAL FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 043643816 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 MERCY & UNITY HOSPITALS FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 300086426 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 PHILLIPS EYE INSTITUTE FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 411613017 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 COURAGE KENNY FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 411952989 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 UNITED HOSPITAL FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 237420998 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 CENTER FOR HEALTHCARE INNOVATION FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 263553868 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 ALLINA HEALTH SYSTEM PO BOX 43 MINNEAPOLIS MN 554400043 363261413 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 0 ALLINA INTEGRATED MEDICAL NETWORK PO BOX 43 MINNEAPOLIS MN 554400043 275129095 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 UNITED AND CHILDRENS AMBULATORY SURGERY CENTER ASSOCIATION 310 NORTH SMITH AVENUE ST PAUL MN 55102 411694626 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I N/A 0 MBP FACILITY LLC PO BOX 43 MINNEAPOLIS MN 554400043 454078371 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I N/A 0 WESTHEALTH INC PO BOX 43 MINNEAPOLIS MN 554400043 411768814 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 ALLINA HEALTH SYSTEM 0 REGINA FOUNDATION PO BOX 43 MINNEAPOLIS MN 554400043 411987372 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I N/A 0 APPLE VALLEY BUILDING ASSOCIATES LLC 14655 GALAXIE AVENUE S APPLE VALLEY MN 55124 411677072 RENTAL REAL ESTATE MN N/A METROPOLITAN INTEGRATED CANCER CARE LLC PO BOX 819066 DALLAS TX 75381 205068485 RADIOLOGY DE N/A SOUTHWEST SURGICAL CENTER LLC PO BOX 43 MINNEAPOLIS MN 554400043 412013700 SURGICAL SERVICES MN N/A MAGNETO LEASING LLC PO BOX 43 MINNEAPOLIS MN 554400043 201582501 RENTAL EQUIPMENT MN N/A ASPEN SLEEP CENTERLLC 1010 BANDANA BOULEVARD WEST ST PAUL MN 55108 261850227 HEALTHCARE SERVICES MN N/A GERIATRIC SERVICES OF MINNESOTA LLC 3366 OAKDALE AVE NORTH SUITE 551 ROBBINSDALE MN 55422 453357936 HEALTHCARE SERVICES MN N/A NORTHSTAR SLEEP CENTER LLC 920 EAST 28TH STREET SUITE 700 MINNEAPOLIS MN 55407 452532456 HEALTHCARE SERVICES MN N/A DISTRICT ONE CANCER CENTER LLC 200 STATE AVENUE FARIBAULT MN 55021 451258847 HEALTHCARE SERVICES MN N/A MOBILE IMAGING SERVICES LLC 1221 NICOLLET MALL STE 600 MINNEAPOLIS MN 554032444 411883212 RADIOLOGY MN N/A CROSBY CARDIOVASCULAR SERVICESLLC 920 E 28TH STREET SUITE 500 MINNEAPOLIS MN 55407 412010368 HEALTHCARE SERVICES MN N/A BPA HEALTH LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS MN 554400043 352490984 HEALTHCARE SERVICES MN N/A TWIN CITIES MEDICAL IMAGING LLC 1221 NICOLLET MALL STE 600 MINNEAPOLIS MN 554032444 463959737 RADIOLOGY MN N/A HEALTHSPAN SERVICES COMPANY PO BOX 43 MINNEAPOLIS MN 55440 411249999 DEBT COLLECTION MN C 0 ALLINA SPECIALTY ASSOCIATES INC PO BOX 43 MINNEAPOLIS MN 55440 411802815 HEALTHCARE SERVICES MN C 0 ALLINA HEALTH SYSTEM TRUST PO BOX 535007 PITTSBURGH PA 15253 276712988 TRUST PA T 0 ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST 500 GRANT STREET SUITE 0625 PITTSBURGH PA 15258 376520273 TRUST PA N/A T 0 ALLINA HEALTH SYSTEM KEYSHARE PLAN PO BOX 535007 PITTSBURGH PA 15253 276678945 TRUST PA N/A T 0 LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN PO BOX 43 MINNEAPOLIS MN 55440 411720860 TRUST MN N/A T 0 CREATEHEALTH INC PO BOX 43 MINNEAPOLIS MN 55440 260594364 HEALTHCARE SERVICES MN N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1