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Nonprofiteer
← ABBOTT NORTHWESTERN HOSPITAL FOUNDATION

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 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 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 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 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 MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Conley Brooks

    DIRECTOR/TREASURER

    Total calculated
    $0
    Hours/week
    2
  • Barbara Burwell

    DIRECTOR/VICE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Jeanne Cook

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Kristine Fortman PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Berit Francis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Thomas Gunderson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Martha Head

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Benjamin Jaffray

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Mumtaz Kazim MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Megan Givens Laatsch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Todd Lifson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Martha MacMillan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Michelle Miller

    DIRECTOR/SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Dan O'Laughlin MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Jesse Overton II

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Jason Paulnock

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Rob Sit

    DIRECTOR/VICE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Julie Vanderboom

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Raymond Yu

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Richard 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

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.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
9 March 2023
IRS schema version
2022v4.1
Source object
202300699349301500

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