2011-11-14T07:44:32-06:00 2010-12-31 WIPFLI LLP 7601 FRANCE AVENUE SOUTH SUITE 400 MINNEAPOLIS MN 55435 990 2010-01-01 411518013 CRITICAL CARE SERVICES INC DBA LIFELINK III CRIT 6126384900 3010 BROADWAY STREET NE MINNEAPOLIS MN 554131768 ROBERT SANNERUD 6126384900 2011-11-07 1 RICHARD RUVELSON 9525483400 2011-11-07 2010 2016-03-07 17:11:31Z ROBERT SANNERUD 3010 BROADWAY STREET NE MINNEAPOLIS MN 554131768 31868275 0 X WWW.LIFELINKIII.COM X 1985 MN TO PROVIDE EXCELLENT MEDICAL CARE AND TRANSPORTATION SERVICES FOR PATIENTS 17 0 246 18 -14408 -14408 0 0 28544066 31794384 7832 244 17565 -20816 28569463 31773812 0 0 0 0 11415367 11245068 0 0 0 16447964 18788860 27863331 30033928 706132 1739884 11234786 13461490 5357864 4844684 5876922 8616806 X THE MISSION OF LIFE LINK III IS TO PROVIDE COMFORT AND THE HIGHEST QUALITY OF LIFE-SAVING CARE TO THE ILL AND INJURED THROUGH SAFE, APPROPRIATE AND RAPID TRANSPORTATION. LIFE LINK III WILL BE THE AREA'S PREFERRED PROVIDER OF AIR AND GROUND MEDICAL TRANSPORTATION, AND WILL ACCOMPLISH THIS BY SETTING, HOLDING AND ENHANCING THE STANDARD FOR EXCELLENCE IN PATIENT CARE, TRANSPORTATION AND INDUSTRY LEADERSHIP. 1 0 6935928 10237583 .GROUND SERVICES - PROVIDES GROUND TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN VEHICLES CONFIGURED AS AMBULANCE 15,366 TRANSPORTS AND PROVIDES GROUND TRANSPORTATION FOR WHEELCHAIR BOUND PATIENTS - 5,756 TRANSPORTS. SEE SCHEDULE O. 1428703 1848509 FIXED WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN AIRPLANES CONFIGURED FOR MOBILE INTENSIVE CARE - 182 TRANSPORTS. SEE SCHEDULE O. 16919517 19708292 ROTOR WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN HELICOPTERS CONFIGURED FOR MOBILE INTENSIVE CARE - 2,049 TRANSPORTS. SEE SCHEDULE O. 18974 OUTREACH AND OTHER PROGRAMS. SEE SCHEDULE O. 18974 25284148 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 36 0 246 1 1 1 0 0 0 0 0 0 0 0 0 X 17 0 0 1 1 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X ROBERT SANNERUD CFO 6126384900 3010 BROADWAY STREET NE MINNEAPOLIS MN 554131768 X MICHAEL HARRISTHAL 2.00 X X 0 155696 27674 JOHN DOHERTY 2.00 X 0 440771 53784 CHRIS KAPSNER MD 1.00 X 0 36454 0 DAN KRATZ 1.00 X 0 190897 15395 DAVID DRIES MD 1.00 X 0 0 0 DAVID MILLER 2.00 X 0 301695 64424 DREW OZOLINS MD 1.00 X 0 0 0 GREG PIPPERT MD 1.00 X 0 0 0 GRETCHEN LEITERMAN 1.00 X 0 0 0 JAMES WUELLNER 1.00 X 0 285338 78859 JIM DAVIS 1.00 X 0 488017 34249 JO ANN HOAG 1.00 X 0 222232 54343 ROCKLON CHAPIN 1.00 X 0 0 0 SHAWN DRYDEN 1.00 X 0 170467 32080 STEVEN EYER MD 1.00 X 0 0 0 WILLIAM HEEGAARD MD 1.00 X 0 0 0 JAMES D THOMPSON MD 1.00 X 0 388831 40830 JOHN FOLSTAD 2.00 X X 0 162033 31475 R CARTER MCCOMB 40.00 X 281229 0 0 ROBERT SANNERUD 40.00 X 144172 0 23747 JESSE SIMKINS 40.00 X 100491 0 12152 JOSEPH NEWTON 40.00 X 102869 0 853 MICHAEL REID 36.00 X 100410 0 18893 STACY BREWERS 36.00 X 138477 0 9027 JOHN JANU 36.00 X 102688 0 4568 970336 2842431 502353 7 0 1 0 AIR METHODS CORPORATION 7211 SOUTH PEORIA ENGLEWOOD CO 80112 AIRCRAFT, PILOTS AND MECHANICS 8806937 CLUB JET 17957 BEARPATH TRAIL EDEN PRAIRIE MN 55347 AIRCRAFT, PILOTS AND MECHANICS 1047413 EMERGENCY APPARATUS MAINTENANCE 7512 4TH AVENUE LINO LAKES MN 55014 AMBULANCE REPAIR 375406 ADVANCES IN MEDICINE INC PO BOX 581186 MINNEAPOLIS MN 55458 CONTRACTED CEO 281229 EARL MILLER 5124 W 104TH ST BLOOMINGTON MN 55437 CONTRACTED IT MANAGER/CIO 217498 6 ROTOR WING SERVICE 621910 19708292 19708292 GROUND SERVICE 621910 10237583 10237583 FIXED WING SERVICE 621910 1848509 1848509 31794384 2996 2996 50321 90111 -39790 -39790 -14408 -25382 1600 4352 -2752 -2752 -2752 OUTREACH AND OTHER 900099 18974 18974 18974 31773812 31813358 -14408 -25138 167919 167919 8849659 7227147 1622512 122491 106631 15860 674007 639037 34970 1430992 1165706 265286 281229 281229 134535 134535 55527 55527 1028529 108362 920167 146690 378 146312 261560 51788 209772 12311 12311 10196881 10116703 80178 1067003 970786 96217 17497 11130 6367 74460 4763 69697 792481 352820 439661 301816 190887 110929 BAD DEBT EXPENSE 3660674 3660674 0 MINNESOTA CARE TAX 374920 374920 0 MEDICAL SUPPLIES 332769 298524 34245 MISCELLANEOUS 49978 3892 46086 30033928 25284148 4749780 0 -147183 3149680 1935287 87777 5536458 4709855 45497 121681 138601 419547 408641 9006757 5809463 3319802 3197294 49194 1724145 11234786 13461490 2443202 2180873 13521 7487 574665 155024 490358 1981452 2120966 190000 45000 5357864 4844684 X 5876922 8616806 5876922 8616806 11234786 13461490 X 1739884 1000000 X X 0 1 1 X 0 X X 0 0 0 ALLINA HEALTH SYSTEM 363261413 3 1 0 1 0 CHILDREN'S HEALTH CARE 411754276 3 1 0 1 0 HENNEPIN HEALTHCARE SYSTEM INC 421707837 3 1 0 1 0 REGIONS HOSPITAL 410956618 3 1 0 1 0 FAIRVIEW HEALTH SERVICES 410991680 3 1 0 1 0 CENTRA CARE HEALTH SYSTEM 411813221 3 1 0 1 0 SACRED HEART HOSP OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRANCIS 390807060 3 1 0 1 0 ST LUKE'S HOSPITAL OF DULUTH 410714079 3 1 0 1 0 ST MARY'S MEDICAL CENTER 410695604 3 1 0 1 0 9 0 0 0 0 0 0 0 0 0 1 3833 3833 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: LOBBYING EXPENSES IDENTIFIED AS A PERCENTAGE OF MEMBERSHIP DUES FOR AMERICAN AMBULANCE ASSOCIATION, MINNESOTA AMBULANCE ASSOCIATION, MINNESOTA SAFETY COUNCIL AND WISCONSIN EMS ASSOCIATION. 300000 300000 2694048 889744 1804304 5942194 4849204 1092990 70515 70515 0 3197294 GOODWILL 1687651 INTANGIBLE ASSETS 36494 1724145 REFUNDS PAYABLE 45000 45000 31773812 30033928 1739884 0 1739884 31866675 90111 90111 31776564 -2752 -2752 31773812 30126791 92863 92863 30033928 0 30033928 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S FEDERAL RETURNS FOR TAX YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NET AGAINST RENTAL REVENUE 90,111. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET LOSS ON SALE OF ASSETS -2,752. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NET AGAINST RENTAL REVENUE 90,111. NET LOSS ON SALE OF ASSETS 2,752. NORTH AMERICA 0 1 PROGRAM SERVICES MEDICAL AIR TRANSPORT. 15031 1 0 1 15031 0 15031 0 0 0 0 0 0 X X 0 0 0 0 0 0 0 0 0 MICHAEL HARRISTHAL 0 155696 0 0 0 0 0 10733 0 16941 0 183370 0 0 JOHN DOHERTY 0 327180 0 113591 0 0 0 24508 0 29276 0 494555 0 0 DAN KRATZ 0 190897 0 0 0 0 0 5060 0 10335 0 206292 0 0 DAVID MILLER 0 222532 0 54189 0 24974 0 55551 0 8873 0 366119 0 0 JAMES WUELLNER 0 283576 0 0 0 1762 0 0 0 78859 0 364197 0 0 JIM DAVIS 0 271356 0 45939 0 170722 0 13396 0 20853 0 522266 0 0 JO ANN HOAG 0 210248 0 0 0 11984 0 0 0 54343 0 276575 0 0 SHAWN DRYDEN 0 170467 0 0 0 0 0 11753 0 20327 0 202547 0 0 JAMES D THOMPSON MD 0 379006 0 9825 0 0 0 17150 0 23680 0 429661 0 0 JOHN FOLSTAD 0 162033 0 0 0 0 0 11172 0 20303 0 193508 0 0 R CARTER MCCOMB 0 0 0 0 281229 0 0 0 0 0 281229 0 0 0 ROBERT SANNERUD 119692 0 24480 0 0 0 4563 0 19184 0 167919 0 0 0 R CARTER MCCOMB CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION 281229 THEN INTERIM CEO R CARTER MCCOMB HAD AN OWNERSHIP INTEREST IN ADVANCES IN MEDICINE WHICH PROVIDED CONTRACTED MANAGEMENT SERVICES. 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 ON JANUARY 4, 2010 CRITICAL CARE SERVICES, INC. PURCHASED THE ASSETS OF THE LIFE FLIGHT AIR MEDICAL PROGRAM OF ESSENTIA - ST. MARY'S MEDICAL CENTER, DULUTH, MN. ADDITIONAL INFORMATION: FORM 990, PART III HELICOPTER TRANSPORTATION SERVICES LIFE LINK III PROVIDES HELICOPTER AIR MEDICAL TRANSPORTATION INCLUDING ON-SCENE EMERGENCY RESPONSE AND INTER-FACILITY TRANSPORT, 24 HOURS A DAY, 365 DAYS A YEAR. WITH HELICOPTER BASES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, LIFE LINK III TRANSPORTS ALL TYPES OF CRITICALLY ILL OR INJURED PATIENTS. AIRPLANE TRANSPORTATION SERVICES LIFE LINK III PROVIDES AIRPLANE AMBULANCE TRANSPORTATION THROUGHOUT THE UNITED STATES, AND INTERNATIONALLY, 24 HOURS A DAY, 365 DAYS A YEAR. LIFE LINK III HAS A DEDICATED, MEDICALLY-CONFIGURED AIRPLANE READY AT ALL TIMES AND HAS ACCESS TO A FLEET OF OTHER AIRCRAFT FOR ADDITIONAL SUPPORT TO TRANSPORT ALL TYPES OF ILL OR INJURED PATIENTS. GROUND AMBULANCE TRANSPORTATION SERVICES LIFE LINK III PROVIDES BASIC LIFE SUPPORT (BLS), ADVANCED LIFE SUPPORT (ALS) AND CRITICAL CARE TRANSPORTATION SERVICES VIA GROUND AMBULANCE, 24 HOURS A DAY, 365 DAYS A YEAR. LIFE LINK III WORKS WITH TWIN CITIES AND OUTSTATE HOSPITALS TO PROVIDE CARE AND TRANSPORT FOR ALL TYPES OF ILL AND INJURED PATIENTS. EDUCATION AND SAFETY LIFE LINK III'S GROUND AMBULANCE, AIRPLANE AND HELICOPTER TRANSPORTATION SERVICES ARE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS (CAMTS), WHICH REFLECTS THE ORGANIZATION'S COMMITMENT TO MEETING OR EXCEEDING THE HIGHEST STANDARDS IN PATIENT CARE, QUALITY AND SAFETY. THERE ARE 141 CAMTS ACCREDITED SERVICES NATIONALLY. LIFE LINK III IS ONE (1) OF 30 MEDICAL TRANSPORTATION SERVICES NATIONALLY THAT ARE CAMTS ACCREDITED FOR ALL THREE MODES OF TRANSPORTATION. LIFE LINK III PROVIDES OUTREACH EDUCATION AND TRAINING TO PRE-HOSPITAL AND HOSPITAL HEALTHCARE PROVIDERS COVERING SUCH TOPICS AS HELICOPTER LANDING ZONE SET UP, SCENE SAFETY, PATIENT TRANSPORT PREPARATION AND OTHER PATIENT CARE TOPICS. LIFE LINK III ACTIVELY PARTICIPATES WITH THE COMMUNITIES IT SERVES, INCLUDING PUBLIC, INFORMATIONAL, SCHOOL, INJURY PREVENTION AND COMMUNITY EVENTS. IN 2010 THE ORGANIZATION DONATED APPROXIMATELY 480 HOURS OF CLINICIAN TIME, 240 HOURS OF PILOT TIME AND 75 HOURS OF AIRCRAFT TIME FOR 119 SEPARATE COMMUNITY AND HEALTHCARE-RELATED EVENTS AND TRAININGS. IN ADDITION TO THE COMMUNITY AND HEALTHCARE-RELATED EVENTS, FOR 23 YEARS LIFE LINK III HAS PRESENTED THE TRAUMA TACTICSSM CONFERENCE. ANNUALLY, THIS CONFERENCE PROVIDES HIGH QUALITY CONTINUING EDUCATION WITH EXCEPTIONAL SPEAKERS AND SPECIAL GUESTS FOR 200+ EMERGENCY SERVICE AND FIRST RESPONDER PERSONNEL FROM MINNESOTA, WISCONSIN AND SURROUNDING STATES. TRAUMA TACTICSSM IS DESIGNED TO ENHANCE THE SKILLS OF PROVIDERS OF ALL LEVELS, FROM RESCUE AND PRE-HOSPITAL SITUATIONS TO TRANSPORT AND IN-HOSPITAL TREATMENT. FINANCIAL ASSISTANCE LIFE LINK III MAINTAINS A PROGRAM THAT WE CALL COMMUNITY CARE. THAT PROGRAM PROVIDES CARE FOR THOSE WHO ARE UNINSURED OR UNABLE TO AFFORD THE COST OF SERVICES. WE MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE WE PROVIDE UNDER THIS PROGRAM. APPLICANTS FOR OUR CHARITY CARE PROGRAM ARE REQUESTED TO PROVIDE CURRENT AND PRIOR YEAR INCOME INFORMATION. WE USE INCOME-BASED CRITERIA IN OUR DETERMINATION OF CHARITY CARE AND USE THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN DETERMINATION OF ELIGIBILITY. IN 2010 THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS PROGRAM TOTALED $1,315,000, OR 4.1% OF NET PATIENT SERVICE REVENUE. PATIENT RECEIVABLES AND CREDIT POLICY PATIENT ACCOUNTS RECEIVABLE ARE UNCOLLATERALIZED PATIENT OBLIGATIONS THAT ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. THESE OBLIGATIONS ARE PRIMARILY FROM LOCAL RESIDENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYER AGREEMENTS. THE ORGANIZATION BILLS THIRD-PARTY PAYERS ON THE PATIENTS' BEHALF, OR IF A PATIENT IS UNINSURED, THE PATIENT IS BILLED DIRECTLY. ONCE CLAIMS ARE SETTLED WITH THE PRIMARY PAYER, ANY SECONDARY INSURANCE IS BILLED, AND PATIENTS ARE BILLED FOR COPAY AND DEDUCTIBLE AMOUNTS THAT ARE THE PATIENTS' RESPONSIBILITY. PAYMENTS ON PATIENT ACCOUNTS RECEIVABLE ARE APPLIED TO THE SPECIFIC CLAIM IDENTIFIED ON THE REMITTANCE ADVICE OR STATEMENT. LIFE LINK III DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. THE CARRYING AMOUNTS OF PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNT RECEIVABLES. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS - AS BAD DEBT EXPENSE- AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IT IS UNKNOWN HOW MUCH BAD DEBT EXPENSE, IF ANY, REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR COMMUNITY CARE PROGRAM. FORM 990, PART VI, SECTION A, LINE 3 THE CEO AND CIO POSITIONS ARE CONTRACTED OUT TO OUTSIDE SERVICE FIRMS. FORM 990, PART VI, SECTION A, LINE 4 THE EIGHTH AMENDED AND RESTATED BYLAWS WERE APPROVED, ADDING TO SECTION 1.1, "ST. MARY'S MEDICAL CENTER", AND SUCH OTHER ENTITIES AS THE BOARD OF DIRECTORS MAY ADMIT FORM TIME TO TIME. FORM 990, PART VI, SECTION A, LINE 6 THERE IS ONE CLASS OF MEMBER. ALL MEMBERS ARE ENTITLED TO TO APPOINT TWO PERSONS TO THE BOARD OF DIRECTORS AND UPON DISSOLUTION OF THE ORGANIZATION, SHARE EQUALLY IN ANY SURPLUS PROPERTY. LIFE LINK III OPERATES AS A NON-PROFIT CONSORTIUM WITH NINE MEMBERS, INCLUDING: ALLINA HEALTH SYSTEM, CHILDREN'S HEALTH CARE, HENNEPIN HEALTHCARE SYSTEM INC, REGIONS HOSPITAL, FAIRVIEW HEALTH SERVICES, CENTRA CARE HEALTH SYSTEM, SACRED HEART HOSP. OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS, ST. LUKE'S HOSPITAL OF DULUTH, ST. MARY'S MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED IN DETAIL BY THE CHIEF FINANCIAL OFFICER (CFO). THE CFO PROVIDES A DRAFT OF THE FORM TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD OF DIRECTORS THE RECEIVES A DRAFT AND APPROVES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS REMAIN ON FILE WITH THE ORGANIZATION'S CEO FOR THE FISCAL (CALENDAR) YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS ESTABLISHED IN NEGOTIATION WITH AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHO CONSIDER AS PART OF THEIR DELIBERATIONS AND NEGOTIATIONS COMPARABLE ORGANIZATION DATA, OUTSIDE DATA SOURCES, AND THE NEEDS OF THE ORGANIZATION CONSISTENT WITH DIRECTION OF THE BOARD. FOR ALL OTHER OFFICERS AND KEY EMPLOYEES, THE DIRECTOR OF HUMAN RESOURCES IDENTIFIES AND OBTAINS COMPENSATION SURVEYS, INDUSTRY AND MARKET DATA, AND OTHER EXTERNAL COMPETITIVE INFORMATION SOURCES FOR EVALUATION. THIS INFORMATION IS EVALUATED AND CONSIDERED IN THE CONTEXT OF THE JOB DESCRIPTION AND POSITION SKILLS AND EXPERIENCE REQUIREMENTS BY THE DIRECTOR OF HUMAN RESOURCES AND THE CEO TO DEVELOP A COMPENSATION RANGE TO BE USED IN THE HIRING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE IN THE CARE OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART VII, SECTION A: R. CARTER MCCOMB WAS HIRED AS A CONTRACTED INTERIM CEO THRU HIS RELATED ENTITY, ADVANCES IN MEDICINE. R. CARTER MCCOMB NO LONGER SERVES AS THE CEO. FORM 990, PART VII, SECTION A, COLUMN B: BOARD MEMBERS RECEIVING COMPENSATION FROM RELATED SUPPORTED ORGANIZATIONS ARE EMPLOYEES OF THOSE ENTITIES AND/OR THEIR AFFILIATES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: MEMBERSHIP FEE 1,000,000. TOTAL TO FORM 990, PART XI, LINE 5: 1,000,000. FORM 990, PART XI, LINE 2C: THE FINANCE COMMITTEE AND BOARD OF DIRECTORS HAVE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. CENTRA CARE HEALTH SYSTEM 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 411813221 HOSPITAL MN 501(C)(3) LINE 3 0 ALLINA HEALTH SYSTEM PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 363261413 HOSPITAL MN 501(C)(3) LINE 3 0 CHILDREN'S HEALTH CARE 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 554041844 411754276 HOSPITAL MN 501(C)(3) LINE 3 0 HENNEPIN HEALTHCARE SYSTEM INC 701 PARK AVENUE MINNEAPOLIS MN 55415 421707837 HOSPITAL MN 501(C)(3) LINE 3 0 REGIONS HOSPITAL 640 JACKSON STREET ST PAUL MN 55101 410956618 HOSPITAL MN 501(C)(3) LINE 3 0 FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 HOSPITAL MN 501(C)(3) LINE 3 0 SACRED HEART HOSP OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRANCIS 1110 OAK RIDGE DRIVE EAU CLAIRE WI 547016133 390807060 HOSPITAL MN 501(C)(3) LINE 3 0 ST LUKE'S HOSPITAL OF DULUTH 915 EAST FIRST STREET DULUTH MN 55805 410714079 HOSPITAL MN 501(C)(3) LINE 3 0 ST MARY'S MEDICAL CENTER 407 EAST THIRD STREET DULUTH MN 55805 410695604 HOSPITAL MN 501(C)(3) LINE 3 0 0 0 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 ST MARY'S MEDICAL CENTER C 1000000 COST ST MARY'S MEDICAL CENTER D 1000000 COST ST MARY'S MEDICAL CENTER G 2000000 COST ALLINA HEALTH SYSTEM K 305226 COST CHILDREN'S HEALTH CARE K 15930 COST FAIRVIEW HEALTH SERVICES K 1062948 COST HENNEPIN HEALTHCARE SYSTEM INC K 3545 COST REGIONS HOSPITAL K 41383 COST ST MARY'S MEDICAL CENTER K 8342 COST ALLINA HEALTH SYSTEM L 130840 COST CHILDREN'S HEALTH CARE L 110931 COST FAIRVIEW HEALTH SERVICES L 260132 COST HENNEPIN HEALTHCARE SYSTEM INC L 110081 COST REGIONS HOSPITAL L 211959 COST CENTRA CARE HEALTH SYSTEM L 110708 COST ST LUKE'S HOSPITAL OF DULUTH L 81 COST ST MARY'S MEDICAL CENTER L 200000 COST