2013-11-12T10:27:06-06:00 2012-12-31 990 2012-01-01 411952989 SISTER KENNY FOUNDATION SIST 6122620660 P O BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS MN 554400043 LAURIE LAFONTAINE 6122620660 2013-11-06 2012 2016-03-07 17:11:31Z JAN MALCOLM 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 2891295 0 X WWW.ALLINAHEALTH.COM/AHS/SKI.NSF X 1999 MN TO RAISE, STEWARD AND DISTRIBUTE PHILANTHROPIC FUNDS TO SUPPORT THE SISTER KENNY REHAB. INSTITUTE. 19 17 0 22 0 0 664584 832053 0 0 576249 133960 1149 1714 1241982 967727 581083 548431 0 0 0 0 10551 5952 126033 317695 353019 909329 907402 332653 60325 7897506 8370000 114791 1890 7782715 8368110 X THE SISTER KENNY FOUNDATION RAISES, STEWARDS AND DISTRIBUTES PHILANTHROPIC FUNDS TO SUPPORT THE QUALITY AND INNOVATIVE REHABILITATION SERVICES OF THE SISTER KENNY REHABILITATION INSTITUTE (SKRI). THE FOUNDATION SEEKS TO ENHANCE SKRI'S CAPACITY TO BUILD ON ITS TRADITION AS A LEADER AND INNOVATOR IN REHABILITATION MEDICINE RESEARCH.SKRI PROVIDED INPATIENT AND OUTPATIENT SERVICES TO MORE THAN 65,000 ADULTS AND CHILDREN IN 2012. SERVICES WERE PROVIDED AT 9 HOSPITALS IN THE GREATER MINNEAPOLIS AND ST. PAUL METROPOLITAN AREA (ABBOTT NORTHWESTERN,RIVER FALLS, BUFFALO, CAMBRIDGE, NEW ULM, OWATONNA, UNITED, MERCY AND UNITY HOSPITALS), AT 24 SISTER KENNY SPORTS AND PHYSICAL THERAPY CENTERS,AND AT 3 SISTER KENNY SPINE CENTERS LOCATED THROUGHOUT THE GREATER METRO AREA. THE INSTITUTE IS DEDICATED TO RESTORING AND ENHANCING QUALITY OF LIFE FOR INDIVIDUALS WHO HAVE EXPERIENCED STROKE, SPINAL CORD OR BRAIN INJURY, OR FOR THOSE EXPERIENCING A RANGE OF NEUROLOGICAL OR MUSCULOSKELETAL DISORDERS. 0 0 412222 412222 SISTER KENNY RESEARCH CENTER (SKRC)OF THE GRANTS AWARDED IN 2012, THE RESEARCH CENTER WAS APPROVED FOR $412,222 IN FUNDING. THE RESEARCH CENTER, ESTABLISHED IN 2007, SERVES AS A LABORATORY FOR CLINICAL RESEARCH, INNOVATION AND EDUCATION WITH THE GOAL OF OPTIMIZING THE CARE AND QUALITY OF LIFE FOR ALL PERSONS, BUT IN PARTICULAR THOSE LIVING WITH DISABILITIES. THE RESEARCH CENTER HAS ACHIEVED SIGNIFICANT MILESTONES INCLUDING THE DEVELOPMENT OF PATENTABLE TECHNOLOGIES, AS WELL AS ESTABLISHING EDUCATIONAL AND ENTREPRENEURIAL COLLABORATIVE RELATIONSHIPS. SKRC HAS AN ESTABLISHED FACULTY OF THIRTY THREE ACTIVE RESEARCHERS & CLINICIANS INCLUDING THERAPISTS AND PHYSICIANS, WHO CONDUCT RESEARCH ON BRAIN INJURIES, SPINAL CORD INJURIES, STROKE REHABILITATION AND CANCER REHABILITATION, AS WELL AS INJURY AND FALL PREVENTION. THEIR RESEARCH HAS LED TO THE DEVELOPMENT OF COMMERCIALLY VIABLE TECHNOLOGIES AND ELEVEN PEER-REVIEWED PAPERS ACCEPTED OR IN PRINT IN 2012 AND ELEVEN PRESENTATIONS. 106372 106372 PROGRAMS AND SERVICES FUNDS WERE APPROVED TO ENHANCE THE COMPONENTS OF THE INSTITUTE'S REHABILITATIVE PROGRAM: OPTIMIZING PHYSICAL FUNCTION, MAXIMIZING ABILITIES OF DAILY LIVING AND LESSENING DISADVANTAGES PEOPLE MAY FACE IN SOCIAL ROLES. THE RESULTS LEAD TO STRONGER OUTCOMES FOR THE INSTITUTE'S PATIENTS WITH THE ABILITY TO FUNCTION AS INDEPENDENTLY AS POSSIBLE AND ACTIVELY PARTICIPATE IN THEIR OWN COMMUNITY. PROFESSIONAL EDUCATIONSISTER KENNY REHABILITATION INSTITUTE ENSURES THAT PATIENTS RECEIVE THE HIGHEST QUALITY CARE BY ADHERING TO THE PRINCIPLES OF PATIENT CARE SET FORTH BY THE INSTITUTE OF MEDICINE: SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT AND EQUITABLE. THE FOUNDATION SUPPORTS THIS QUEST BY INVESTING IN PROFESSIONAL EDUCATION OF ITS CLINICIANS TO ACHIEVE THE HIGHEST LEVEL OF CLINICAL COMPETENCE. 29837 29837 DONATION OF ASSISTIVE DEVICES TO BE USED WITH THE PATIENTS OF SISTER KENNY REHABILITATION INSTITUTE. 548431 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 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 19 17 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 MAIL ROUTE 10890 6122620660 2925 CHICAGO AVENUE MINNEAPOLIS MN 554071321 AMANADA ABDO SHEAHAN 2.00 0.00 X 0 0 0 GEORGE APPLEBY 2.00 0.00 X 0 0 0 SCOTT APPELWICK 2.00 0.00 X 0 0 0 MIKE CHAPPUIS 2.00 0.00 X 0 0 0 KARL DEDENBACH 2.00 0.00 X 0 0 0 TIMOTHY DELAPP 2.00 0.00 X 0 0 0 BRIAN DOUGHTY 2.00 0.00 X 0 0 0 ERIK EKSTROM MD 2.00 0.00 X 0 0 0 PETER GALLUS 2.00 0.00 X 0 0 0 SHERRY GORMAN 2.00 0.00 X 0 0 0 BARRY HIX 2.00 0.00 X 0 0 0 SANDRA JACOBS 2.00 0.00 X 0 0 0 SANDRA LANDBERG 40.00 0.00 X X 0 164451 28199 TODD LANGEVIN 2.00 0.00 X 0 0 0 MICHAEL MCDONNELL 2.00 0.00 X 0 0 0 NEAL PETERSON 2.00 0.00 X 0 0 0 ED PLUIMER 2.00 0.00 X 0 0 0 JOHN RYAN 2.00 0.00 X 0 0 0 JENNINE SPEIER MD 2.00 40.00 X 0 79496 29268 WINIFRED SMITH 2.00 0.00 X 0 0 0 SARAH WALBERT 2.00 0.00 X 0 0 0 DUNCAN GALLAGHER 2.00 40.00 X 0 1019396 359254 0 1263343 416721 0 0 1 0 0 4763 17092 369971 440227 79755 832053 92473 92473 1965055 1923568 41487 41487 41487 1714 17092 0 1714 1714 967727 0 0 135674 548197 548197 234 234 11250 11250 5952 5952 28938 10884 18054 1366 683 683 7339 5061 2278 FOUNDATION STAFF SVCS 216097 132764 83333 OTHER PURCHASED SVCS 80971 71380 9591 PURCH SVCS - AFFILIATES 7032 890 6142 MISCELLANEOUS EXPENSES 26 26 907402 548431 232938 126033 10185 10017 7887321 8359983 7897506 8370000 114791 1890 114791 1890 X 6012675 6292293 1252387 1544616 517653 531201 7782715 8368110 7897506 8370000 60325 525070 0 X X 0 1 X 1 0 X X X 0 0 0 ALLINA HEALTH SYS 363261413 3 1 1 1 548197 1 548197 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1131315 1750 88529 22169 1199425 1145366 2000 1872 17923 1131315 1066916 2055 92646 16251 1145366 939645 1500 149330 23559 1066916 1254928 1250 -316033 500 939645 0.44290 0.55710 0 0 0 CASH EQUIVALENTS 954589 F EQUITY SECURITIES 1289928 F FIXED INCOME SECURITIES 2276634 F FUNDS OF HEDGE FUNDS 2611235 F COMMODITIES & OTHER 1227597 F 8359983 DUE TO AFFLIATE 1890 1890 X 1492797 525070 525070 967727 0 967727 907402 0 907402 0 907402 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: CHARITY AND INDIGENT CARE. EDUCATION AND RESEARCH. BUILDINGS AND EQUIPMENT. PATIENT CARE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOLLOWING IS A COPY OF NOTE 1 TO THE AUDITED FINANCIAL STATEMENTS: "SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - INCOME TAX" "SISTER KENNY 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 BUSINES INCOME, EXCISE OR OTHER TAXES. THE FILINGS FOR THE YEARS 2009 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES." X X X X X X X 1 RUFFALOCODY LLC 65 KIRKWOOD NORTH ROAD SW CEDAR RAPIDS IA 52404 TELEFUNDRAISING 0 8452 5952 2500 8452 5952 2500 MN WI 2012 SISTER KENNY ANNUAL ART SHOW 12326 11422 904 SKF ARTALIVE 2013 6480 5670 810 18806 17092 1714 1714 1 ALLINA HEALTH SYSTEM DBA SISTER KENNY REHABILITATION SERVICES 800 E 28TH STREET MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 412223 SISTER KENNY RESEARCH CENTER OPERATIONS AND VARIOUS RESEARCH STUDIES. ALLINA HEALTH SYSTEM DBA SISTER KENNY REHABILITATION SERVICES 800 E 28TH STREET MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 106137 PROGRAM COSTS, PATIENT CARE EQUIPMENT AND EVENT EXPENSES. ALLINA HEALTH SYSTEM DBA SISTER KENNY REHABILITATION SERVICES 800 E 28TH STREET MINNEAPOLIS MN 55407 363261413 170(B)(1)(A)(III) 29837 FMV POWER WHEELCHAIRS AND ASSISTIVE DEVICES DONATION OF ASSISTIVE DEVICES TO BE USED WITH PATIENTS OF SISTER KENNY REHABILITATION INSTITUTE. 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SISTER KENNY 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 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. 0 1 0 0 0 1 1 0 1 1 SANDRA LANDBERG 0 124857 0 23326 0 16268 0 6506 0 21693 0 192650 0 0 DUNCAN GALLAGHER 0 569104 0 261876 0 188416 0 329168 0 30086 0 1378650 0 0 PART I, LINE 4B JENNINE SPEIER, MD - $17,141; DUNCAN GALLAGHER - $81,896 PART I, LINE 6 MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL EMPLOYEES 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. 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. SUPPLEMENTAL INFORMATION PART III ADDITIONAL COMPENSATION DISCLOSURE: PAID TIME-OFF ["PTO"] PLAN CHANGE & ACCRUED BALANCE PAYOUT IN DECEMBER 2012, ALLINA HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS CHANGED THE PAID TIME-OFF PLAN FOR CERTAIN MANAGEMENT AND EXECUTIVE LEVEL EMPLOYEES. THE PTO PLAN CHANGED FROM AN ACCRUAL OF PTO HOURS SUBJECT TO A MAXIMUM YEAR TO YEAR ACCRUED BALANCE CARRYOVER TO A DISCRETIONARY TIME AWAY FROM WORK POLICY WITH NO ACCRUAL, CARRYOVER OR PAYOUT PROVISIONS. IN CONJUNCTION WITH THE PTO PLAN CHANGE, ALLINA PAID A LUMP SUM DISTRIBUTION TO EACH AFFECTED EMPLOYEE EQUAL TO THE VALUE OF THE EMPLOYEE'S ACCRUED PTO BALANCE. THE PAYOUT OF ACCRUED PTO IS REFLECTED IN SCHEDULE J, PART II, COLUMN B (III) AS OTHER REPORTABLE COMPENSATION. 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. X 6 49919 FAIR MARKET VALUE X EQUIPMENT 22 29837 FAIR MARKET VALUE 0 1 1 THIRD PARTY USE: PART I, LINE 32B: SISTER KENNY FOUNDATION MAY FROM TIME TO TIME AND IN THE ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NONCASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. SISTER KENNY 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. SISTER KENNY 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 SISTER KENNY FOUNDATION. SISTER KENNY 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 SISTER KENNY FOUNDATION WITH ADMINISTRATIVE AND STAFF SERVICES AT NO COST. THE VALUE OF THE SERVICES PROVIDED BY ALLINA HEALTH SYSTEM TO SISTER KENNY FOUNDATION DURING 2012 WERE ESTIMATED AT $358,971 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. SISTER KENNY 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 SISTER KENNY FOUNDATION. THE RESERVED POWERS ARE FULLY DESCRIBED IN SISTER KENNY 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 FORM 990, PART VI, SECTION A, LINE 7A AND THE DESCRIPTION ABOVE RELATED TO IT IN SCHEDULE O. FORM 990, PART VI, SECTION B, LINE 11 SISTER KENNY FOUNDATION'S FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM, SISTER KENNY 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. ALLINA'S VICE PRESIDENT OF FINANCE & TREASURY ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. THE FINANCE COMMITTEE REVIEWED THE FORM 990 AT THE MEETING HELD ON AUGUST 29,2013. AFTER THE MANAGEMENT AND FINANCE COMMITTEE 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 BOARD OF DIRECTORS. A BOARD OF DIRECTORS MEETING WAS HELD ON SEPTEMBER 19, 2013 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE 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 SAFETY AND PROFESSIONAL SERVICES. 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 SAFETY AND PROFESSIONAL SERVICES. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING SISTER KENNY 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 OF SAFETY AND PROFESSIONAL SERVICES. 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 SISTER KENNY 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, FORM 990, PART VI, SECTION B, LINES 15A AND 15B ARE NOT APPLICABLE TO SISTER KENNY FOUNDATION. FORM 990, PART VI, SECTION C, LINE 19 SISTER KENNY 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: SISTER KENNY 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 55407 043643816 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 ALLINA ASSOCIATED FOUNDATION PO BOX 43 MINNEAPOLIS MN 55407 274116873 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 CENTER FOR HEALTHCARE INNOVATION FOUNDATION PO BOX 43 MINNEAPOLIS MN 55407 263553868 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 ALLINA HEALTH SYSTEM PO BOX 43 MINNEAPOLIS MN 55407 363261413 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 N/A 0 ALLINA INTEGRATED MEDICAL NETWORK PO BOX 43 MINNEAPOLIS MN 55407 275129095 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 ASPEN ASSET CORPORATION PO BOX 43 MINNEAPOLIS MN 55407 411788674 HOLDING TITLE TO PROPERTY MN 501(C)(2) ALLINA HEALTH SYSTEM 0 ASPEN MEDICAL GROUP PO BOX 43 MINNEAPOLIS MN 55407 411452624 HEALTHCARE SERVICES MN 501(C)(4) ALLINA HEALTH SYSTEM 0 MERCY & UNITY HOSPITALS FOUNDATION PO BOX 43 MINNEAPOLIS MN 55407 300086426 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 PHILLIPS EYE INSTITUTE FOUNDATION PO BOX 43 MINNEAPOLIS MN 55407 411613017 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 11A, I ALLINA HEALTH SYSTEM 0 UNITED HOSPITAL FOUNDATION PO BOX 43 MINNEAPOLIS MN 55407 237420998 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 WESTHEALTHINC PO BOX 43 MINNEAPOLIS MN 55440 411768814 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 ALLINA HEALTH SYSTEM 0 MBP FACILITY LLC PO BOX 43 MINNEAPOLIS MN 55440 454078371 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 ASPEN SLEEP CENTER LLC 1010 BANDANA BOULEVARD WEST ST PAUL MN 55108 261850227 HEALTHCARE SERVICES MN N/A MAGNETO LEASING LLC PO BOX 43 MINNEAPOLIS MN 55440 201582501 RENTAL EQUIPMENT MN N/A METROPOLITAN INTEGRATED CANCER CARELLC ONE POST STREET 35TH FLOOR SAN FRANCISCO CA 94104 205068485 RADIOLOGY DE N/A SOUTHWEST SURGICAL CENTER LLC PO BOX 43 MINNEAPOLIS MN 55440 412013700 SURGICAL SERVICES MN N/A WEST SUBURBAN HEALTH CAMPUS PO BOX 43 MINNEAPOLIS MN 55440 411730888 RENTAL REAL ESTATE 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 FAIRBAULT 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 SERVICES LLC 920 E 28TH STREET SUITE 500 MINNEAPOLIS MN 55407 412010368 HEALTHCARE SERVICES MN N/A ALLINA CLINIC HOLDINGS LTD PO BOX 43 MINNEAPOLIS MN 55440 263954371 HOLDING COMPANY MN N/A C 0 ALLINA HEALTH SYSTEM TRUST PO BOX 535007 PITTSBURGH PA 15253 276712988 TRUST PA N/A T 0 ALLINA SPECIALTY ASSOCIATESINC PO BOX 43 MINNEAPOLIS MN 55440 411802815 HEALTHCARE SERVICES MN N/A C 0 HEALTHSPAN SERVICES COMPANY PO BOX 43 MINNEAPOLIS MN 55440 411249999 DEBT COLLECTION MN N/A C 0 QUELLO CLINIC LTD PO BOX 43 MINNEAPOLIS MN 55440 410874754 HEALTHCARE SERVICES MN N/A C 0 ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST 500 GRANT STREET STE 625 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 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1