Form 990 for tax year 2022
Filed by ABBOTT NORTHWESTERN HOSPITAL FOUNDATION.
Totals
- Total revenue
- $1,364,520
- Total expenses
- $1,420,852
- Contributions and grants received
- $976,115
- Grants paid
- $1,066,430
- Program service revenue
- $0
- Investment income
- $388,405
- Other revenue
- $0
- Total assets, end of year
- $0
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- $1,066,430
- Management and general expenses
- $221,644
- Fundraising expenses
- $132,778
- Program service expenses (Part III)
- $1,066,430
Program services were 75.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$354,421
-
1f · All other contributions, gifts and grants
$621,694
-
3 · Investment income
total $306,937 · excluded $306,937
-
7a · Gross sales of assets other than inventory
securities $9,316,246
-
7b · Less cost or other basis and sales expenses
securities $9,234,778
-
7c · Gain or loss
securities $81,468
-
7d · Net gain or loss
total $81,468 · excluded $81,468
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $1,066,430 · program services $1,066,430
-
11c · Fees: accounting
total $3,569 · management and general $1,749 · fundraising $1,820
-
11g · Fees: other
total $27,957 · management and general $13,699 · fundraising $14,258
-
13 · Office expenses
total $147 · management and general $72 · fundraising $75
-
17 · Travel
total $49 · management and general $24 · fundraising $25
-
19 · Conferences, conventions and meetings
total $1,868 · management and general $915 · fundraising $953
-
24a · Other expenses: FOUNDATION STAFF SVCS
total $226,698 · management and general $111,082 · fundraising $115,616
-
24b · Other expenses: PURCH. SVCS -AFFILIATES
total $94,134 · management and general $94,103 · fundraising $31
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
end of year $0
-
2 · Savings and temporary cash investments
end of year $0
-
3 · Pledges and grants receivable
beginning of year $4,869,179 · end of year $0
-
4 · Accounts receivable
end of year $0
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10c · Land, buildings and equipment, net
end of year $0
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
beginning of year $107,093,027 · end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
beginning of year $1,894,053 · end of year $0
-
25 · Other liabilities
beginning of year $623,553 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $16,327,220 · end of year $0
-
28 · Net assets with donor restrictions
beginning of year $96,905,486 · end of year $0
Mission and programs · 2022
Mission
THE MISSION OF ABBOTT NORTHWESTERN HOSPITAL FOUNDATION IS TO RAISE, STEWARD AND DISBURSE FUNDS FOR THE BENEFIT OF ABBOTT NORTHWESTERN HOSPITAL AND THE COMMUNITIES IT SERVES. THE FOUNDATION IS A SEPARATE NOT-FOR-PROFIT ENTITY DEDICATED TO SUPPORTING THE HOSPITAL AND IS GOVERNED BY A SEPARATE BOARD. ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. EACH YEAR, THE HOSPITAL PROVIDES COMPREHENSIVE HEALTH CARE FOR MORE THAN 200,000 PATIENTS AND THEIR FAMILIES FROM THE TWIN CITIES AREA AND THROUGHOUT THE UPPER MIDWEST. THE HOSPITAL IS ROUTINELY NAMED IN NATIONAL RANKINGS OF THE NATION'S BEST HOSPITALS, INCLUDING BEING NAMED IN U.S. NEWS AND WORLD REPORT'S "AMERICA'S TOP 50 HOSPITALS" LIST FOR TEN CONSECUTIVE YEARS. ABBOTT NORTHWESTERN HOSPITAL IS A PART OF ALLINA HEALTH SYSTEM, A FAMILY OF HOSPITALS, CLINICS AND CARE SERVICES.
Activities or mission (Part I)
TO RAISE, STEWARD, AND DISBURSE FUNDS FOR THE BENEFIT OF ABBOTT NORTHWESTERN HOSPITAL.
-
OPERATIONS: - RESIDENTS, NURSES AND STAFF EDUCATION, TRAINING, AND CERTIFICATION TO ENHANCE THEIR PATIENT CARE SKILLS. - OPERATIONAL SUPPORT FOR THE VIRGINIA PIPER CANCER INSTITUTE. - EMERGENCY FINANCIAL ASSISTANCE FOR PATIENTS TO HELP WITH MEDICAL AND EVERYDAY EXPENSES. - EQUIPMENT FUNDING FOR PATIENT NAIL CARE, SAFETY RESTRAINTS AND ROOM MAINTENANCE - CARING FOR COLLEAGUES PROGRAM TO ASSIST STAFF IN FINANCIAL EMERGENCY SITUATIONS.
Expenses $748,026 · Grants $748,026
-
RESEARCH: - AN INTERN RESEARCH PROGRAM TO BUILD SKILLS AND GROWTH KNOWLEDGE IN CARDIOLOGY AND RESEARCH; SUPPORT INTERNS IN EVALUATING THEIR ACADEMIC AND CAREER GOALS; AND DEVELOP PROFESSIONAL SKILLS. - A REGISTRY STUDY TO EVALUATE THE SAFETY AND EFFICACY OF IMPLANTABLE LEADLESS PACEMAKERS AND DEFIBRILLATORS. CONSOLIDATE AND SHARE DATA TO ASSESS THE RELIABILITY, LONGEVITY, AND CLINICAL COMPLICATIONS ASSOCIATED WITH LEADLESS PACEMAKERS AND DEFIBRILLATORS FROM MULTIPLE MANUFACTURERS TO HELP DETERMINE THE MOST VIABLE OPTIONS FOR CARDIOVASCULAR PATIENTS.
Expenses $220,380 · Grants $220,380
-
ABBOTT NORTHWESTERN'S PHILLIPS EYE INSTITUTE: - FUNDING TO OFFSET THE COST OF PROVIDING TRANSPORTATION TO PATIENTS WHO HAVE LIMITED OR NO OTHER MEANS OF GETTING TO ANW-PEI FOR EYE SURGERY AND OTHER EYE RELATED APPOINTMENTS. - PROVIDING VISION SCREENING TO COMMUNITY SCHOOL CHILDREN. WORK WITH FAMILIES TO IDENTIFY AND REMOVE BARRIERS TO RECEIVE TREATMENT. - THE KIRBY PUCKETT EYE MOBILE IS A MOBILE EYE CLINIC THAT TRAVELS TO MINNEAPOLIS AND ST. PAUL PUBLIC SCHOOLS TO PROVIDE EYE EXAMS AS WELL AS COMMUNITY VISION SCREENING SERVICES FOR CHILDREN AND ADULTS AT COMMUNITY OR SCHOOL EVENTS.
Expenses $98,024 · Grants $98,024
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Ann Madden RiceANN MADDEN RICE
SVP-PRESIDENT ANW
- Total calculated
- $1,743,847
- From this org
- $0
- From related orgs
- $1,724,053
- Other
- $19,794
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $296,557 related
- Bonus
- $0 + $405,580 related
- Other
- $0 + $1,021,916 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $4,544 related
- Filer's total
- $0 + $1,743,847 related
-
Richard MeyerRICHARD MEYER
DIRECTOR/PRESIDENT
- Total calculated
- $488,533
- From this org
- $0
- From related orgs
- $438,418
- Other
- $50,115
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $269,867 related
- Bonus
- $0 + $74,118 related
- Other
- $0 + $94,433 related
- Deferred
- $0 + $20,177 related
- Nontaxable benefits
- $0 + $29,938 related
- Filer's total
- $0 + $488,533 related
-
Jean Watson MDJEAN WATSON MD
DIRECTOR
- Total calculated
- $505,015
- From this org
- $0
- From related orgs
- $446,912
- Other
- $58,103
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $421,907 related
- Bonus
- $0 + $10,814 related
- Other
- $0 + $14,191 related
- Deferred
- $0 + $19,825 related
- Nontaxable benefits
- $0 + $38,278 related
- Filer's total
- $0 + $505,015 related
-
Linda Ketover MDLINDA KETOVER MD
DIRECTOR/CHAIR/PAST CHAIR
- Total calculated
- $2,000
- From this org
- $0
- From related orgs
- $2,000
- Other
- $0
- Hours/week
- 2
-
Lee Arostegui MDLEE AROSTEGUI MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Conley BrooksCONLEY BROOKS
DIRECTOR/TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Barbara BurwellBARBARA BURWELL
DIRECTOR/VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Jeanne CookJEANNE COOK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Kristine Fortman PhDKRISTINE FORTMAN PHD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Berit FrancisBERIT FRANCIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Thomas GundersonTHOMAS GUNDERSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Martha HeadMARTHA HEAD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Benjamin JaffrayBENJAMIN JAFFRAY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Mumtaz Kazim MDMUMTAZ KAZIM MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Megan Givens LaatschMEGAN GIVENS LAATSCH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Todd LifsonTODD LIFSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Martha MacMillanMARTHA MACMILLAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Michelle MillerMICHELLE MILLER
DIRECTOR/SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Dan O'Laughlin MDDAN O'LAUGHLIN MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Jesse Overton IIJESSE OVERTON II
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Jason PaulnockJASON PAULNOCK
DIRECTOR/CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Rob SitROB SIT
DIRECTOR/VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Julie VanderboomJULIE VANDERBOOM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Raymond YuRAYMOND YU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Richard MagnusonRICHARD MAGNUSON
CFO
- Total calculated
- $1,474,410
- From this org
- $0
- From related orgs
- $1,371,096
- Other
- $103,314
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $817,342 related
- Bonus
- $0 + $427,877 related
- Other
- $0 + $125,877 related
- Deferred
- $0 + $99,028 related
- Nontaxable benefits
- $0 + $4,285 related
- Filer's total
- $0 + $1,474,409 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 7 · Other non-fixed payments
- 9 · Followed the rebuttable-presumption procedure
The filer's explanations (Part III)
- PART I, LINE 3
- SEE NARRATIVE ON SCHEDULE O - FOR FORM 990, PART VI, SECTION A, LINE 6.
- PART I, LINE 4B
- RICHARD MEYER - $85,431; ANN MADDEN RICE - $515,508; RICHARD MAGNUSON - $96,521; JEAN WATSON, MD - $10,583.
- PART I, LINE 6
- DEFERRED 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 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 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 OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PRIORITY 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 THE FIRST HAVING BEEN 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 SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY 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 PRIORITY CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND WAS FROZEN EFFECTIVE DECEMBER 31, 2018. 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. 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
EMPLOYEE, STAFF AND RESIDENT RESEARCH, EDUCATION AND TRAINING.
-
GENERAL OPERATION SUPPORT INCLUDING VIRGINIA PIPER CANCER INSTITUTE PATIENT CARE AND TRANSPORTATION SERVICES, RESIDENT, ADMINISTRATION, SOCIAL WORKER AND COMMUNITY SERVICES PROGRAMS.
-
FUNDING FOR CARDIOVASCULAR RESEARCH INTERN PROGRAM.
-
FUNDING TO SUPPORT ABBOTT'S PHILLIPS EYE INSTITUTE ACCESSIBILTY PROGRAMS.
-
FUNDING TO SUPPORT FREE CARE PROGRAMS FOR PATIENTS TO HELP WITH MEDICAL AND RECOVERY BILLS.
-
EQUIPMENT FUNDING FOR PATIENT NAIL CARE, SAFETY RESTRAINTS AND ROOM MAINTENANCE.
-
FUNDING FOR LEADLESS PACEMAKERS AND DEFIBRILATORS RESEARCH STUDY.
-
CARING FOR COLLEAGUES PROGRAM
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · FUNDRAISING AND GRANTMAKING FOUNDATION · MN
Directly controlled by ALLINA HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE SERVICES · MN
-
MERCY & UNITY HOSPITALS FOUNDATION
501(C)(3) · FUNDRAISING AND GRANTMAKING FOUNDATION · MN
Directly controlled by ALLINA HEALTH SYSTEM
-
501(C)(3) · FUNDRAISING AND GRANTMAKING FOUNDATION · MN
Directly controlled by ALLINA HEALTH SYSTEM
-
501(C)(3) · FUNDRAISING AND GRANTMAKING FOUNDATION · MN
Directly controlled by ALLINA HEALTH SYSTEM
-
501(C)(3) · SUPPORTING ORGANIZATION · MN
-
501(C)(3) · FUNDRAISING AND GRANTMAKING FOUNDATION · MN
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
ASPEN SLEEP CENTER LLC
HEALTHCARE SERVICES · MN
-
MAGNETO LEASING LLC
RENTAL EQUIPMENT · MN
-
METROPOLITAN INTEGRATED CANCER CENTERLLC
RADIOLOGY · DE
-
GERIATRIC SERVICES OF MINNESOTA LLC
HEALTHCARE SERVICES · MN
-
NORTHSTAR SLEEP CENTER LLC
HEALTHCARE SERVICES · MN
-
MOBILE IMAGING SERVICES LLC
RADIOLOGY · MN
-
CROSBY CARDIOVASCULAR SERVICESLLC
HEALTHCARE SERVICES · MN
-
BPA HEALTH LLC
HEALTHCARE SERVICES · MN
-
HEALTHCARE CAMPUS IMAGINING ONE LLC
RADIOLOGY · MN
-
GLOBAL MARKET RESERVE FUND LLC
FINANCE · MN
-
SCA GREENWAY HOLDINGS LLC
HOLDING COMPANY · DE
-
SCA MAPLE GROVE HOLDINGS LLC
HOLDING COMPANY · DE
-
SCA WOODBURY HOLDINGS LLC
HOLDING COMPANY · DE
-
GREENWAY SURGICAL SUITES LLC
HEALTHCARE SERVICES · MN
-
CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC
HEALTHCARE SERVICES · MN
-
WOODBURY SURGERY CENTER LLC
HEALTHCARE SERVICES · MN
-
WESTHEALTH JV HOLDINGS LLC
HOLDING COMPANY · DE
-
WESTHEALTH SURGERY CENTER LLC
HEALTHCARE SERVICES · MN
-
SOUTHWEST SURGERY CENTER LLC
SURGICAL SERVICES · MN
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
ALLINA HEALTH SYSTEM TRUST
T · TRUST · PA
-
ALLINA SPECIALTY ASSOCIATESINC
C · HEALTHCARE SERVICES · MN
-
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
T · TRUST · PA
-
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
T · TRUST · MN
-
ALLINA INTEGRATED MEDICAL NETWORK
C · HEALTHCARE SERVICES · MN
-
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
CAPTIVE INSURANCE · CJ
Assets distributed on this return
Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.
-
Liquidation · ALL ASSETS AND LIABILITIES OF THE ORGANIZATION VIA MERGER · Apr 1, 2022 · 501(C)(3)
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 March 2023
- IRS schema version
- 2022v4.1
- Source object
- 202300699349301500
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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