Civic Intelligence

Westhealth Inc

EIN 41-1768814 • 501(c)3 • Minneapolis, MN

Profile

For 19 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 minneapolis.

PO Box 43 Mr 10890Minneapolis, MN 55440-0043

www.westhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

37th percentile

-0.7%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

99th percentile

$1,110,990

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 48.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

2nd percentile

-81%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $32,164,742 (-100%) from 2014

Liabilities

Down

$0

Down $8,871,054 (-100%) from 2014

Net Assets

Down

$0

Down $23,293,688 (-100%) from 2014

Revenue

Down

$2,316,049

Down $9,641,129 (-81%) from 2014

Expenses

Down

$2,333,271

Down $10,288,782 (-82%) from 2014

Net Income

Up

-$17,222

Up $647,653 (+97%) from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0-$20MAssets 2010: $32,635,360Liabilities 2010: $34,500,254Net Assets 2010: -$1,864,8942010Assets 2011: $57,846,721Liabilities 2011: $33,996,377Net Assets 2011: $23,850,3442011Assets 2012: $60,208,528Liabilities 2012: $34,742,146Net Assets 2012: $25,466,3822012Assets 2013: $34,877,054Liabilities 2013: $10,000,379Net Assets 2013: $24,876,6752013Assets 2014: $32,164,742Liabilities 2014: $8,871,054Net Assets 2014: $23,293,6882014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $24,629,9122010Expenses 2011: $26,604,3522011Expenses 2012: $24,560,5782012Revenue 2013: $15,427,379Expenses 2013: $15,195,236Net Income 2013: $232,1432013Revenue 2014: $11,957,178Expenses 2014: $12,622,053Net Income 2014: -$664,8752014Revenue 2015: $2,316,049Expenses 2015: $2,333,271Net Income 2015: -$17,2222015

Highlighted filing

2015

Revenue$2,316,049
Expenses$2,333,271
Net Income-$17,222

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 9, 2016
Return Version
2015v2.1
Gross Receipts
$2,316,049
Mission and Program Overview

Mission

For 20 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 minneapolis.

Working together to provide quality, convenient and trusted care for our patients and the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$6,321,517$0▼ $6,321,517
Accounts Receivable$1,501,800$0▼ $1,501,800
Cash and Non-Interest-Bearing Accounts$42,227$0▼ $42,227
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$32,164,742$0▼ $32,164,742
Other Assets Total$24,299,198$0▼ $24,299,198
Liabilities
Other Liabilities$7,838,762$0▼ $7,838,762
Accounts Payable and Accrued Expenses$1,032,292$0▼ $1,032,292
Total Liabilities$8,871,054$0▼ $8,871,054
Net Assets / Fund Balance
Unrestricted Net Assets$23,293,688$0▼ $23,293,688
Total Net Assets Fund Balance$23,293,688$0▼ $23,293,688
Total Liabilities and Net Assets / Fund Balance$32,164,742$0▼ $32,164,742
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian WeinreisDirector/chair/treas
Ben Bache-wiig MdDirector/president
Jason GainesDirector/secretary
Robert Wieland MdFormer Director/sec.
Daryl SchroederVP Operations Facilities
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$175,081
Investment Income
$950,008
Other Revenue
$1,190,960
Change in Net Assets
$-17,222
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,788,831
Salaries, Compensation, and Employee Benefits$544,440
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$964,720$150,627-$1,115,347
Other Salaries and Wages$54,528$263,361-$317,889
Pension Plan Contributions$25,951$125,340-$151,291
Office Expenses$43,879$22,379-$66,258
Depreciation Depletion$65,853--$65,853
Other Employee Benefits$6,522$31,498-$38,020
Payroll Taxes$6,388$30,852-$37,240
Insurance-$18,100-$18,100
All Other Expenses$1,480$6,675-$8,155
Fees for Services Other$3,139$2,092-$5,231
Travel-$120-$120
Conferences and Meetings$100--$100
Other Expenses$-17,634$143-$-17,634
Total Functional Expenses$1,156,400$1,176,871$0$2,333,271
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

As more fully described in the attached articles of merger, westhealth, inc merged with and into allina health system [ein: 36-3261413], a minnesota 317a nonprofit corporation and 501(c)(3) tax exempt organization, on december 31, 2015. Articles of merger of westhealth, inc into allina health system were filed with the minnesota secretary of state. Allina health system is the surviving and successor organization. As a result and for tax reporting purposes, all assets and liabiltities of westhealth, inc have been transferred to allina health system as of december 31, 2015.

Form 990, Part VI, Section A, Line 6

Allina health system is the sole corporate member organization and parent organization of westhealth, inc. See schedule r for further details. As the sole corporate member organization, allina health system holds certain reserved powers over westhealth, inc. The reserved powers are fully described in westhealth's governing documents and include such powers as election and approval of directors, final approval of amendments to ariticles or incorporation or bylaws, approval of strategic plans and capital and operating budgets, approval of plans of merger or consolidation, approval of incurrence of debt or expenditures in excess of certain amounts, and various other reserved powers as described therein.

Form 990, Part VI, Section A, Line 7A

See the narrative explanation in schedule o related to form 990, part vi, section a, line 6.

Form 990, Part VI, Section A, Line 7B

Members of the organization 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

The tax services function of allina health system, westhealth's sole corporate member and parent organization, subjected the form 990 filing to a rigorous review process by the allina tax manager and tax director. Allina's senior vice president of finance and treasury also performed an executive review of the form 990. After the management review process described above was completed, the final form 990, as ultimately filed with the internal revenue service [irs], was provided to each voting member of allina health system's board of directors, as the successor in merger. Allina health system's board of directors voted on and approved a resolution approving the form 990 and the minnesota charitable trust annual report to be filed with the minnesota attorney general. The board of directors resolution also directed officers to file the form 990 with the irs and the charitable trust annual report with the charities division of the office of the minnesota attorney general. The above stated review and approval process occurred prior to filing the westhealth, inc form 990 with the irs and minnesota charitable trust annual report with the minnesota attorney general.

Form 990, Part VI, Section B, Line 12C

The organization has several methods of monitoring and enforcing compliance with its conflict of interest policy. First, the organization regularly distributes conflict of interest disclosure questionnaires to its officers, directors, trustees, and key employees. These individuals are required to disclose annually any interest that could give rise to conflicts, including any family or business relationship. Second, the general counsel's office annually delivers a report to allina's board of directors which includes, among other things, the results of the conflict of interest questionnaire, an analysis of potential conflicts, and guidance for satisfactorily resolving conflicts. Third, the organization undertakes mandatory compliance training of all its employees which includes training on conflicts of interest. Fourth, all employees receive, and are expected to conduct themselves in accordance with allina's code of conduct. The code of conduct contains educational materials and guidance to resolve potential conflicts of interest. Fifth, allina maintains a corporate integrity hotline, a confidential 24 hour external resource to help answer questions related to ethical business conduct. All calls to the integrity line are kept confidential.

Form 990, Part VI, Section B, Line 15

Westhealth, inc.'s compensation and benefits programs are vested in and administered in conjunction with allina health system, westhealth, inc.'s sole member parent organization. The compensation committee of the allina health system board of directors is responsible for all compensation and benefits program elements for non-collectively bargained allina health system executive employees. Allina health system uses a process for determining compensation for the ceo and certain other officers and key executive employees that included all of the following elements: review and approval by the compensation committee of the board of directors, the members of which are independent and without a conflict of interest as defined in regulation section 53.4958-6(c)(1)(iii). Engagement of an independent compensation consultant specializing in executive compensation use of data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations contemporaneous documentation, substantiation and recordkeeping with respect to deliberations and decisions regarding the compensation arrangement the above described process and an assessment is performed at least annually for the following positions: chief executive officer/president, chief financial officer, chief clinical officer, executive vice president - allina hospitals, president - abbott northwestern hospital, president - united hospital, president - mercy hospital, president - unity hospital, executive vice president - ambulatory care, president - allina clinics, senior vice president - general counsel, senior vice president - clinical service lines, senior vice president - chief compliance officer. In addition, the compensation committee reviews and recommends changes to the board of directors for the chief executive officer and reviews and approves all compensation changes of the other fore mentioned positions listed in advance of the change.

Form 990, Part VI, Section C, Line 19

Westhealth, inc. Makes its form 990, form 1023, governing documents, conflict of interest policy, and financial statements available to the public upon request. To arrange an inspection or receive a copy, please contact the following: westhealth, inc. Tax services mail route 10890 p.o. Box 43 minneapolis, mn 55440-0043 telephone: 612-262-0660 physical address: 2925 chicago avenue minneapolis, mn 55407-1321 the form 990 and form 1023 are also available directly from the internal revenue service. Publicly avaialble data on the form 990 will also be available through amazon web services (aws) at https://aws.amazon.com/public-data-sets/irs-990/. The form 990 and financial statements are also available from the charities division of the office of the minnesota attorney general.

Filing and Contact Details

Filer

Filer Name
Westhealth Inc
EIN
41-1768814
Phone
6122620660
Address
PO BOX 43 MR 10890, MINNEAPOLIS, MN 55440-0043

Signing Officer

Name
Richard E Magnuson
Title
Senior VP Finance & Treasury
Phone
6122620660
Signed
2016-11-09

Organization Details

Principal Officer
Brian Weinreis
Formed
1994
Legal Domicile
Mn
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

See schedule n, part i, line 3 for explanation of merger.

Form 990, Part V, Line 1A

Westhealth, inc does not issue payments to independent contractors but rather allina health system, the parent organization, provides payments to independent contractors. The number reported on form 990, part v, line 1a is the number reported on allina health system's form 1096 box 3 related to payments made on behalf of westhealth, inc.

FORM 990, PART XI, LINE 9:

Net assets and fund balance transferred to allina health system -23,276,466.

Form 990, Part XII, Line 2 C

As a result of the merger with and into allina health system on december 31, 2015, the allina health system audit and compliance committee assumed authority, responsibility and oversight, including the selection process of the independent accountant. Westhealth, inc was included on a consolidated basis in the audited financial statements of allina health system.

Financial Statement Notes

PART X, LINE 2:

Allina health system consolidated fin 48 (asc740) footnote: (amounts in thousands) (17) taxes the system has been determined to qualify as a tax exempt organization under section 501(c)(3) of the internal revenue code. The system has also been determined to be exempt from federal and state income tax on related income under section 501(a) of the internal revenue code and minnesota statute section 290.05, subdivision 2. Certain of the system's subsidiaries and affiliates qualify as tax exempt organizations, while others are taxable. The system and its subsidiaries paid taxes of $1,229, $1,717 in 2015 and 2014, respectively. As of december 31, 2015 and 2014, the taxable subsidiaries of the system's continuing operations had a gross deferred tax asset of $68,837 and $68,851, respectively, resulting from net operating loss carryforwards, employee compensation and benefits accruals, provision for bad debts, and limitation of charitable contributions, offset by valuation allowances of $65,513, and $68,569, respectively, and a gross deferred tax liability of $325 and $282, respectively, primarily attributable to depreciation and a change in accounting method of a taxable subsidiary. The valuation allowance decreased by $56 and $10,377 during 2015 and 2014, respectively. As of december 31, 2015, the continuing operations of the system and its subsidiaries had net operating loss carryforwards of $114,765 for income tax purposes, which expire in various years through 2035. The system has analyzed income tax positions taken for filing with the internal revenue service and all state jurisdictions where it operates. The system believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the system's consolidated financial statements. As of december 31, 2015 and 2014, the system does not have any significant liabilities for uncertain tax benefits. The filings for the years ended 2012 to 2015 are open to examination by federal and state authorities.

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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/ActivityOrMissionDesc0WORKING TOGETHER TO PROVIDE QUALITY, CONVENIENT AND TRUSTED CARE FOR OUR PATIENTS AND THE COMMUNITY.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ALLINA HEALTH SYSTEM CONSOLIDATED FIN 48 (ASC740) FOOTNOTE: (AMOUNTS IN THOUSANDS) (17) TAXES THE SYSTEM HAS BEEN DETERMINED TO QUALIFY AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM HAS ALSO BEEN DETERMINED TO BE EXEMPT FROM FEDERAL AND STATE INCOME TAX ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND MINNESOTA STATUTE SECTION 290.05, SUBDIVISION 2. CERTAIN OF THE SYSTEM'S SUBSIDIARIES AND AFFILIATES QUALIFY AS TAX EXEMPT ORGANIZATIONS, WHILE OTHERS ARE TAXABLE. THE SYSTEM AND ITS SUBSIDIARIES PAID TAXES OF $1,229, $1,717 IN 2015 AND 2014, RESPECTIVELY. AS OF DECEMBER 31, 2015 AND 2014, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $68,837 AND $68,851, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, PROVISION FOR BAD DEBTS, AND LIMITATION OF CHARITABLE CONTRIBUTIONS, OFFSET BY VALUATION ALLOWANCES OF $65,513, AND $68,569, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $325 AND $282, RESPECTIVELY, PRIMARILY ATTRIBUTABLE TO DEPRECIATION AND A CHANGE IN ACCOUNTING METHOD OF A TAXABLE SUBSIDIARY. THE VALUATION ALLOWANCE DECREASED BY $56 AND $10,377 DURING 2015 AND 2014, RESPECTIVELY. AS OF DECEMBER 31, 2015, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $114,765 FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2035. THE SYSTEM HAS ANALYZED INCOME TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE AND ALL STATE JURISDICTIONS WHERE IT OPERATES. THE SYSTEM BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2015 AND 2014, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2012 TO 2015 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0BEN BACHE-WIIG MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1BRIAN WEINREIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JASON GAINES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3DARYL SCHROEDER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4ROBERT WIELAND MD
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR/CHAIR/TREAS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2DIRECTOR/SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3VP OPERATIONS FACILITIES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4FORMER DIRECTOR/SEC.
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt04(B): BEN BACHE-WIIG - $59,367; BRIAN WEINREIS - $52,670; JASON GAINES - $3,558; DARYL SCHROEDER - $130,664.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL CONTRIBUTORS AND EXECUTIVES. 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 PERFORMANCE OVER THE CALENDAR YEAR. PERFORMANCE MEASURES INCLUDE FINANCIAL PERFORMANCE, HOSPITAL AND CLINIC CARE MEASURES AND HOSPITAL AND CLINIC PATIENT EXPERIENCE MEASURES. 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 (LTIP) 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 COMPENSATION COMMITTEE OF THE BOARD. 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. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE PERFORMANCE PERIOD.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2CERTAIN 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt3ADDITIONAL COMPENSATION DISCLOSURE: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS; ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THIS PLAN WAS AMENDED EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR 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 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 PREFERRED 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 PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009. 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 NO
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
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IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc3SCHEDULE J, LINE 4(A) & (B)
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
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IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0ALL ASSETS AND LIABILITIES OF THE ORGANIZATION VIA MERGER
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0ALLINA HEALTH SYSTEM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-12-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0363261413
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt029608505
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501 (C) (3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0NET BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02925 CHICAGO AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0MINNEAPOLIS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MN
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IRS990ScheduleN/ReceiveCompensationInd00
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0EXPLANATION OF INVOLVEMENT: EXPLANATION FOR PART I - LINE 2 B - WESTHEALTH OFFICERS, KEY EMPLOYEES AND OTHER EMPLOYEES WILL GENERALLY CONTINUE TO BE EMPLOYED BY ALLINA HEALTH SYSTEM, THE SURVIVING AND SUCCESSOR ORGANIZATION.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1DETAILS OF ALLINA HEALTH SYSTEM/WESTHEALTH,INC MERGER:AS MORE FULLY DESCRIBED IN THE ATTACHED ARTICLES OF MERGER, WESTHEALTH, INC MERGED WITH AND INTO ITS PARENT ORGANIZATION ALLINA HEALTH SYSTEM, A MINNESOTA 317A NONPROFIT CORPORATION AND 501(C)(3) TAX EXEMPT ORGANIZATION, ON DECEMBER 31, 2015. ALLINA HEALTH SYSTEM IS THE SURVIVING AND SUCCESSOR ORGANIZATION. AS A RESULT AND FOR TAX REPORTING PURPOSES, ALL ASSETS, LIABILITIES AND REMAINING FUND BALANCE OF WESTHEALTH, INC HAVE BEEN TRANSFERRED TO ALLINA HEALTH SYSTEM AS OF DECEMBER 31, 2015. FOLLOWING THE MERGER TRANSACTION, THE PROGRAM SERVICES AND ACTIVITIES CONDUCTED BY WESTHEALTH, INC SHALL BE CONDUCTED BY ALLINA HEALTH SYSTEM.
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