2011-11-14T11:22:23-06:00 2010-12-31 RSM MCGLADREY INC 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2010-01-01 411768814 WESTHEALTH INC WEST 6122620660 2855 CAMPUS DRIVE PLYMOUTH MN 55441 BRIAN WEINREIS 6122620660 2011-11-10 1 COLLIN F BUZZELL 6125738750 2010 2016-03-07 17:11:31Z BRIAN WEINREIS 2855 CAMPUS DRIVE PLYMOUTH MN 55441 26606177 0 X WWW.WESTHEALTH.COM X 1994 MN WORKING TOGETHER TO PROVIDE QUALITY, CONVENIENT AND TRUSTED CARE FOR OUR PATIENTS AND THE COMMUNITY. 4 4 236 1 57604 51552 0 0 22506059 22283889 134280 89371 851726 4182816 23492065 26556076 0 0 0 0 9498300 9295951 0 0 0 12245356 15333961 21743656 24629912 1748409 1926164 31262449 32635360 35544016 34500254 -4281567 -1864894 FOR 16 YEARS, WESTHEALTH HAS WELCOMED AND CARED FOR THE COMMUNITY WITH EXCEPTIONAL OUTPATIENT SERVICES DESIGNED TO FIT OUR GUESTS' BUSY LIFESTYLES, PRIMARILY PATIENTS IN THE WESTERN SUBURBS OF MINNEAPOLS. 0 0 12349716 12262716 SAME DAY SURGERY - AT WESTHEALTH, WE PRIDE OURSELVES ON ATTENTIVE AND PERSONALIZED PATIENT CARE. OUR SURGERY DEPARTMENT PROVIDES STATE OF THE ART ANESTHESIA TECHNIQUES AND SURGICAL EQUIPMENT. IN 2010, WESTHEALTH PERFORMED 6,839 SURGERIES. 4617578 6538275 IMAGING AND WOMEN'S IMAGING - OUR REGISTERED TECHNOLOGISTS AND BOARD CERTIFIED RADIOLOGISTS ALL HAVE ADDITIONAL SPECIALTY CERTIFICATION. WESTHEALTH PERFORMS ROUTINE MAMMOGRAMS TO GENERAL X-RAY AS WELL AS HIGH TECH IMAGING TESTS INCLUDING MRI AND CT SCANS, FLOUROSCOPY AND BONE DENSITY TESTS. IN 2010, WESTHEALTH PERFORMED 37,333 IMAGING EXAMS. 3198047 3482898 WESTHEALTH'S URGENT CARE AND EXPRESS CARE OFFER A CONVENIENT ALTERNATIVE WHEN A PATIENT IN NEED FINDS HIS OR HER MEDICAL CLINIC CLOSED OR PHYISICAN UNAVAILABLE. WESTHEALTH TREATS PATIENTS OF ALL AGES AND A PHYSICIAN IS ALWAYS ON SITE. OUR PHYSICIANS HAVE ACCESS TO A FULL RANGE OF DIAGNOSTIC SERVICES INCLDUING LAB, X-RAY, MRI AND CT SCANS AS WELL AS AN ON-SITE PHARMACY. IN 2010, WESTHEALTH'S URGENT CARE/EXPRESS CARE HAD 29,269 VISITS. 20165341 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 32 0 1 236 1 1 1 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X TAX SERVICES MAIL ROUTE 10890 6122620660 2925 CHICAGO AVENUE MINNEAPOLIS MN 554071321 ROBERT A WIELAND MD 1.00 X X 0 0 0 BRIAN WEINREIS 1.00 X 0 0 0 JOHN ALLEN 1.00 X 0 0 0 ANDREW COCHRANE 1.00 X 0 0 0 KURT NEIL 40.00 X 205514 0 18017 KATE DASS 40.00 X 94742 0 10970 JAYNE EBERHARDT 40.00 X 139637 0 5049 DARLENE FLINT 40.00 X 137469 0 4713 NANCY SCHMIDT 40.00 X 135744 0 4737 LINDA DAHLIN 40.00 X 134012 0 4713 MICHAEL STADTHER 40.00 X 141447 0 4927 988565 0 53126 6 0 1 0 ANESTHESIA PA 14100 28TH AVE N PLYMOUTH MN 55447 ANESTHESIA SERVICES 1075000 NORTH MEMORIAL HEALTH CARE 3300 OAKDALE AVE N ROBBINSDALE MN 55422 PHYSICIAN SERVICES 838909 NORTH MEMORIAL REFERENCE LAB 3300 OAKDALE AVE N ROBBINSDALE MN 55422 PATHOLOGY SERVICES 407185 ESCOM PROPERTIES 10200 73RD AVE N 100 MAPLE GROVE MN 55369 PROPERTY MANAGEMENT 346100 IMMACULATE CLEANING 3601 85TH AVENUE N SUITE H MINNEAPOLIS MN 55443 JANITORIAL SERVICES 246502 10 NET PATIENT SERVICES 621400 22250247 22250247 OTHER OPERATING REVENU 621400 33642 33642 22283889 139472 139472 4125212 4125212 4125212 4125212 50101 -50101 -50101 -50101 OTHER INCOME 533110 57604 57604 57604 26556076 22283889 57604 4214583 329244 279857 49387 7510457 6383888 1126569 234080 209005 25075 660307 651799 8508 561863 494439 67424 1271774 489976 781798 69546 69546 71818 71818 195387 7815 187572 96542 96542 147565 147565 253960 253960 2508468 1624136 884332 22681 22681 1208726 1208726 2153999 2024759 129240 345708 345708 MEDICAL SUPPLIES/SERVIC 3122904 3122904 PROFESSIONAL SERVICES ( 2072506 2072506 SERVICE CONTRACT/EQUIP 813349 813349 BAD DEBT 565235 565235 MN CARE TAX 413793 413793 24629912 20165341 4464571 0 2669788 4348082 3354274 3331782 396515 338620 197515 160977 45121848 28164129 17763277 16957719 1689676 1744273 4608973 5223833 582431 530074 31262449 32635360 3320841 3581835 11459509 10980168 19457666 18555251 1306000 1383000 35544016 34500254 X -4281567 -1864894 -4281567 -1864894 31262449 32635360 X 1926164 490509 X 0 1 1 X 0 X 1892696 1892696 26943921 14995492 11948429 5786619 5219164 567455 9449486 7007228 2442258 1049126 942245 106881 16957719 MUTUAL FUNDS 5223833 F 5223833 CURRENT PORTION OF LTD 1383000 1383000 26556076 24629912 1926164 490509 490509 2416673 27096686 490509 490509 26606177 -50101 -50101 26556076 24680013 50101 50101 24629912 0 24629912 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: WESTHEALTH HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE ADOPTION OF FIN 48 DID NOT AFFECT ITS FINANCIAL STATEMENT PRESENTATION. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSALS -50,101. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSALS 50,101. X X X X 0 0 0 0 0 1 0 0 1 1 KURT NEIL 175413 0 30101 0 0 0 11361 0 6656 0 223531 0 0 0 PART I, LINE 6 MANAGEMENT INCENTIVE PLAN - WESTHEALTH PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MANAGERS, DIRECTORS AND THE EXECUTIVE DIRECTOR. UNDER THIS PLAN, THE TARGET AWARD IS A PERCENTAGE OF A BOARD APPROVED INCENTIVE POOL AND REQUIRES SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 100% OF THE TARGET AWARD, BASED ON WESTHEALTH'S PERFORMANCE OVER THE CALENDAR YEAR. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS A 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. FORM 990, PART VI, SECTION A, LINE 3 WESTHEALTH HAS A MANAGEMENT SERVICES AGREEMENT AND SERVICE LEVEL AGREEMENT WITH NORTH MEMORIAL. UNDER THESE AGREEMENTS, NORTH MEMORIAL PROVIDES PROFESSIONAL AND MANAGEMENT SERVICES TO WESTHEALTH. WESTHEALTH PAYS TO NORTH MEMORIAL A BASE FEE PLUS CONTINGENT AND INCENTIVE FEES BASED ON WESTHEALTH'S TOTAL REVENUE AND OPERATING INCOME. THE AGREEMENTS ARE RENEWED ANNUALLY. THE MANAGEMENT FEES INCURRED BY WESTHEALTH UNDER THESE AGREEMENTS WERE APPROXIMATELY $782,000 FOR THE YEAR ENDED DECEMBER 31, 2010. IN 2010, WEST HEALTH ENTERED INTO AN INFORMATION TECHNOLOGY(IT) AGREEMENT WITH NORTH MEMORIAL TO USE ONE OF NORTH MEMORIAL'S SOFTWARE SYSTEMS. UNDER THE AGREEMENT, WESTHEALTH PAID APPROXIMATELY $538,000 IN EQUIPMENT ADDITIONS AND COMMITTED TO FEES OF APPROXIMATELY $40,000 PER MONTH, STARTING IN OCTOBER 2010, FOR HOSTING AND SOFTWARE SUPPORT TO BE PROVIDED BY NORTH MEMORIAL. THE TERM OF THE AGREEMENT IS FOR FIVE YEARS ENDING JANUARY 2015, WITH AN OPTIONAL FIVE-YEAR RENEWAL TERM. FORM 990, PART VI, SECTION A, LINE 6 NORTH MEMORIAL HEALTH CARE AND ALLINA HOSPITALS AND CLINICS ARE THE SOLE CORPORATE MEMBERS OF WESTHEALTH. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANZATION HAVE THE RIGHT TO ELECT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OF THE ORGANZATION HAVE THE RIGHT TO APPROVE THE GOVERNING BODY'S ELECTION AND REMOVAL OF MEMBERS OF THE GOVERNING BODY, AS WELL AS OTHER MATTERS THAT ARE SUBJECT TO THE APPROVAL OF MEMBERS OF THE ORGANIZATION AS THEY OCCUR. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED WITH MANAGEMENT AND COMPARED TO THE PRIOR YEAR FORM 990 TO ENSURE COMPLETE REPORTING. A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES MUST NOTIFY WESTHEALTH IF OUTSIDE ACTIVITIES OR PERSONAL INTERESTS INFLUENCE THE ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF EMPLOYEMENT RESPONSIBILITIES. EMPLOYEES MUST OBTAIN APPROVAL BEFORE PURSUING ANY ACTIVITIES THAT MAY RAISE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 FOR 2010 SALARIES, WESTHEALTH UTILIZED THE MOST RECENT HHRAM SALARY SURVEY. COMPARISONS WERE BASED UPON JOB TITLE, (JOB DUTIES IF THERE WAS NO MATCH IN HHRAM). HOURLY WAGES WERE INCREASED 1.5% FROM 2009 TO ACCOUNT FOR INFLATION. PERFOMANCE INCREASES ARE BASED UPON THE "PAY FOR PERFORMANCE" SYSTEM ADOPTED IN 2008. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 490,509.