Civic Intelligence

Aspen Medical Group

990 • Fiscal year 2012 • EIN 41-1452624

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 06, 2013

PO Box 43 Mail Route 1089055440-0043
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

2.90x

Higher debt load relative to assets than 100% of similar nonprofits.

2012 filings • $50M-$100M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

98th percentile

80%

Faster asset growth than 98% of similar nonprofits.

2012 filings • $50M-$100M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$35,935,082

Up $15,956,973 (+80%) from 2011

Net Assets

Down

-$68,283,168

Down $13,067,508 (-24%) from 2011

Liabilities

Up

$104,218,250

Up $29,024,481 (+39%) from 2011

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$100,349,758

Up $1,277,360 (+1.3%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0-$50M-$100MAssets 2010: $18,004,122Liabilities 2010: $61,958,030Net Assets 2010: -$43,953,9082010Assets 2011: $19,978,109Liabilities 2011: $75,193,769Net Assets 2011: -$55,215,6602011Assets 2012: $35,935,082Liabilities 2012: $104,218,250Net Assets 2012: -$68,283,1682012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2012

Assets$35,935,082
Liabilities$104,218,250
Net Assets-$68,283,168

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $105,151,9712010Revenue 2011: $87,810,646Expenses 2011: $99,072,398Net Income 2011: -$11,261,7522011Expenses 2012: $100,349,7582012Revenue 2013: $85,345,503Expenses 2013: $100,687,455Net Income 2013: -$15,341,9522013

Highlighted filing

2012

Revenue-
Expenses$100,349,758
Net Income-
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 6, 2013
Return Version
2012v2.1
Gross Receipts
$85,747,273
Mission and Program Overview

Mission

Mission - we serve our communities by providing exceptional care, as we prevent illness, restore health and provide comfort to all who entrust us with their care.vision - we will:1. Put the patient first;2. Make a difference in people's lives by providing exceptional care and service;3. Create a healing environment where passionate people thrive and excel; and4. Lead collaborative efforts that solve our community's health care challenges.values - integrity, respect, trust, compassion, stewardship

Major Activities

Activity 2
Cost of participating in government programs:the amg is committed to serving all persons in need, regardless of race, creed, sex, nationality, religion, disability, age, or ability to pay. To promote access to care for all individuals, amg participates in the following public health care programs: medicare, medicaid, minnesotacare, and general assistance. Payments from these programs frequently do not cover the costs amg incurs to serve program beneficiaries. In 2012, amg provided $6,874,841 in health care services in excess of the reimbursement received by public programs, and taxes and fees related to these programs. The following is a breakdown of costs related to these programs, services and additional taxes and fees.costs in excess of medicare and medicaid paymentsamg provides services to public program enrollees. Such public programs have reimbursed at amounts less than amg's cost. In 2012, amg expended $3,913,126 beyond reimbursements to provide care for medicare patients and an additional $1,163,524 beyond reimbursements for medicaid patients.minnesotacare taxamg also participates in the funding of medical care for the uninsured through a minnesotacare tax of 2% on certain net revenue. Patients who are unable to get insurance through their employer are eligible to participate in minnesotacare. Amg paid $1,352,849 for the minnesotacare tax in 2012.taxes and feesamg pays property taxes to local and state governments used in funding civil and education services to the community. In total, amg paid $445,342 in taxes and fees in 2012.
Activity 3
Uncompensated care:charity careamg defines charity care as care which is provided to persons willing, but unable, to pay. This includes patients whose charges are reduced because of inability to pay, patients who are unable to pay the balance left by any payor (private insurance or public programs), and patients for whom unusual circumstances, or special financial hardship warrant special consideration. The amg's definition of charity care does not include bad debt (charges written off for providing services to persons able, but unwilling, to pay for these services). Providing charity care ensures that all members of the community receive quality primary medical care when they need it regardless of their ability to pay. In 2012 amg provided $844,023 in charity care. Bad debtamg provides medical care to all in need. There are times when patient account balances go unpaid, known as bad debt. These bad debt amounts in 2012 totaled $2,128,452.footnotes to audited financial statement that describe bad debt expense are as follows:2q. Adoption of new accounting standardson january 1, 2012, the system adopted guidance under accounting standards update 2011-07, presentation and disclosure of patient service revenue, provision for bad debts, and the allowance for doubtful accounts for certain health care entities, which amended asc topic 954, health care entities. The guidance provides greater transparency regarding a healthcare entity's net patient service revenue and the related allowance for doubtful accounts. The amendments require health care entities to change the presentation of the provision for bad debts related to patient service revenue by reclassifying the provision from operating expense to a deduction from patient service revenue, retrospectively, and require enhanced disclosures about net patient revenue and the policies for recognizing revenue and assessing bad debts. The adoption of the authoritative guidance did not have a material effect on the system's consolidated financial statements.
Filing and Contact Details

Filer

EIN
41-1452624
Raw XML AppendixShowing 400 of 1,189 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Activity2/Description0COST OF PARTICIPATING IN GOVERNMENT PROGRAMS:THE AMG IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE, OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE FOR ALL INDIVIDUALS, AMG PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS AMG INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2012, AMG PROVIDED $6,874,841 IN HEALTH CARE SERVICES IN EXCESS OF THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS, AND TAXES AND FEES RELATED TO THESE PROGRAMS. THE FOLLOWING IS A BREAKDOWN OF COSTS RELATED TO THESE PROGRAMS, SERVICES AND ADDITIONAL TAXES AND FEES.COSTS IN EXCESS OF MEDICARE AND MEDICAID PAYMENTSAMG PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE REIMBURSED AT AMOUNTS LESS THAN AMG'S COST. IN 2012, AMG EXPENDED $3,913,126 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $1,163,524 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS.MINNESOTACARE TAXAMG ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE. AMG PAID $1,352,849 FOR THE MINNESOTACARE TAX IN 2012.TAXES AND FEESAMG PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENTS USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, AMG PAID $445,342 IN TAXES AND FEES IN 2012.
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IRS990/Activity3/Description0UNCOMPENSATED CARE:CHARITY CAREAMG DEFINES CHARITY CARE AS CARE WHICH IS PROVIDED TO PERSONS WILLING, BUT UNABLE, TO PAY. THIS INCLUDES PATIENTS WHOSE CHARGES ARE REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYOR (PRIVATE INSURANCE OR PUBLIC PROGRAMS), AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES, OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. THE AMG'S DEFINITION OF CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). PROVIDING CHARITY CARE ENSURES THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY PRIMARY MEDICAL CARE WHEN THEY NEED IT REGARDLESS OF THEIR ABILITY TO PAY. IN 2012 AMG PROVIDED $844,023 IN CHARITY CARE. BAD DEBTAMG PROVIDES MEDICAL CARE TO ALL IN NEED. THERE ARE TIMES WHEN PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT. THESE BAD DEBT AMOUNTS IN 2012 TOTALED $2,128,452.FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE ARE AS FOLLOWS:2Q. ADOPTION OF NEW ACCOUNTING STANDARDSON JANUARY 1, 2012, THE SYSTEM ADOPTED GUIDANCE UNDER ACCOUNTING STANDARDS UPDATE 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH AMENDED ASC TOPIC 954, HEALTH CARE ENTITIES. THE GUIDANCE PROVIDES GREATER TRANSPARENCY REGARDING A HEALTHCARE ENTITY'S NET PATIENT SERVICE REVENUE AND THE RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS REQUIRE HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE BY RECLASSIFYING THE PROVISION FROM OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE, RETROSPECTIVELY, AND REQUIRE ENHANCED DISCLOSURES ABOUT NET PATIENT REVENUE AND THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS. THE ADOPTION OF THE AUTHORITATIVE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS.
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IRS990/ActivityOrMissionDescription0THE ASPEN MEDICAL GROUP (AMG) IS A WHOLLY OWNED SUBSIDIARY OF ALLINA HEALTH SYSTEM. ALLINA HEALTH SYSTEM (ALLINA) TOGETHER WITH ITS SUBSIDIARIES IS DEDICATED TO MEETING THE LIFELONG HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. AMG IS A MULTI-SPECIALTY GROUP PRACTICE THAT OWNS AND OPERATES OVER 10 PHYSICIAN CLINICS EMPLOYING OVER 160 PROVIDERS WITH OVER 100,000 PATIENT VISITS ANNUALLY. AMG ALSO PROVIDES GERIATRIC SUPPORT TO OVER 35 NURSING HOMES.ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA AND ITS SUBSIDIARIES PROVIDE THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.
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IRS990/Description0COST OF PROVIDING MEDICAL SERVICES:ASPEN MEDICAL GROUP (AMG) IS COMMITTED TO THE COMMUNITIES IT SERVES AND REFLECTS ITS COMMITMENT BY SERVING AS A CHARITABLE HEALTH RESOURCE. TO THIS END, ALLINA HEALTH SYSTEM AND THE AMG PROVIDE AND ADVOCATE FOR HIGH-QUALITY, EFFICIENT, AFFORDABLE HEALTH CARE SERVICES AND RELATED EDUCATIONAL AND RESEARCH PROGRAMS TO IMPROVE THE HEALTH STATUS OF PATIENTS AND COMMUNITIES IT SERVES.THE AMG PROVIDES PRIMARY HEALTH CARE SERVICES, WHICH ARE NEEDED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT IT SERVES, WITHOUT FULL REIMBURSEMENT FOR THESE SERVICES.
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