Allina Health Integrity and Irony (Page 50)

By Mathew Keller

Mathew Keller, RN JD Regulatory and Policy Nursing Specialist
Mathew Keller, RN JD
Regulatory and Policy Nursing Specialist

Integrity. Respect. Trust. Compassion. Stewardship. These are the core values of Allina Health. The Oxford dictionary defines integrity as “the quality of being honest and having strong moral principles; moral uprightness.” So why, then, does Allina continue to tell its nurses that it needs to shift $10 million in healthcare costs to them? In 1,664 pages of financial disclosures to the IRS and its bond investors from 20012014, Allina never once represents that it is anything but highly profitable, making a reported $1.3 billion dollars in net revenue over the past 6 years alone.

Allina, in fact, pulled in $130 million in “net revenue” (fancy word for profit) after expenses in 2015, according to its “audited” consolidated financials (prepared by KPMG, a business represented on Allina’s Board). That’s $130 million after writing off $33 million in losses on investments, after writing off $17.6 million on “interest rate swaps” it has with certain businesses represented on its Board of Directors, after paying its top 25 executives $23.9 million dollars in salary alone.

Besides that spending spree on salaries, Allina has taken out $880 million in loans, mostly underwritten by businesses on Allina’s Board; lost $60 million on bad deals made to many of those same businesses; spent another $108-million-dollar investment in a for-profit company called Health Catalyst where Allina CEO Penny Wheeler is also a Board member; and now wants to cut $10 million in healthcare expenses to nurses.

Allina is making money and spending money, but it’s also saving money too. There’s plenty of money stashed away, including $1.2 billion invested in the stock market, hedge funds, private equity, etc.; and $350 million in cash. All told, Allina is sitting on $2.3 billion dollars in net assets after liabilities, including its investments, cash, and infrastructure after accounting for all of the various debts it owes. Let’s call that 2.3 billion reasons for the state’s Attorney-General to take a long and hard look at the way this community resource is conducting itself in business.

Despite its big debt and questionable business deals, providing healthcare remains extremely lucrative for Allina. But the core value of stewardship, or “the job of… taking care of something,” demands that Allina stop throwing money away on bad business deals and debt on which businesses on its Board of Directors profit, or on short-sighted attempts to diminish the healthcare benefits of its nurses, and instead start investing more in the healthcare of its employees. All of them.

By Mathew Keller

Integrity. Respect. Trust. Compassion. Stewardship. These are the core values of Allina Health. The Oxford dictionary defines integrity as “the quality of being honest and having strong moral principles; moral uprightness.” So why, then, does Allina continue to tell its nurses that it needs to shift $10 million in healthcare costs to them? In 1,664 pages of financial disclosures to the IRS and its bond investors from 20012014, Allina never once represents that it is anything but highly profitable, making a reported $1.3 billion dollars in net revenue over the past 6 years alone.
… Read more about: Allina Health Integrity and Irony  »

By Mathew Keller

and Jordan Ash

We’ve seen that Allina is taking on more and more debt, $880 million in all. We’ve seen who benefits from that debt (hint: look to the Board). Today, we look into a particularly bad deal Allina made with UBS Securities and another big bank; a deal that led to losses in the tens of millions, a lawsuit; and the intervention of Minneapolis and Saint Paul.

Auction rate securities (ARS). They were popular back before the financial crisis, and the big banks loved them. Like most of the financial instruments that tanked in the recent recession, though, they’re completely made up.
… Read more about: Allina’s Bad Deals and Big Debts  »

By Laura Sayles

MNA Governmental Affairs Specialist
Congratulations MNA Endorsed Candidates!

In Tuesday’s Minnesota Primaries, many MNA endorsed candidates who had primary opponents won their races and will move on to November’s General Election.

MNA was proud to be one of only two unions to endorse Ilhan Omar in her race for the DFL endorsement in House District 60B.  MNA nurses were impressed by the work she has done on winning paid parental leave for Minneapolis city employees, banning environmentally harmful containers, restricting the use of pollinator-harming pesticides, and expanding the use of restorative justice in Minneapolis.  Her story of her entry into politics through interpreting for her grandfather at local DFL caucuses leading to her to work for change at the grassroots level inspired MNA nurses to support her bid for the DFL endorsement. 
… Read more about: MNA Endorsed Candidates Move On to General Election  »

board of directors

By Mathew Keller

and

Jordan Ash

Allina is quickly racking up the amount of debt it carries, increasing its total obligation over the past ten years by 60 percent to $880 million. The magic question, however, is why Allina needs $880 million of debt. Why, if it is willing to spend such amounts on expansion and executive pay, is it so unwilling to invest in the healthcare of its nurses?­ As with all things big business, just follow the money.

Money which, in this case, leads directly to Piper Jaffray.  As you recall, Piper

Jaffray has had a huge hand in increasing Allina’s debt obligations, underwriting in conjunction with other banks $1.6 billion dollars in loans to the healthcare company since 1993.
… Read more about: Who is telling Allina to Mortgage the Future of Patient Care?  »

By Mathew Keller RN, JD

Mathew Keller, RN JD Regulatory and Policy Nursing SpecialistMathew Keller, RN JD
Regulatory and Policy Nursing Specialist

Regulatory and Policy Nursing Specialist

Limousine service, upgraded television setsnurse/patient “scripts,” gourmet food service, nurse uniform requirements – hospitals all over the U.S. are offering more “customer-centric” patient care in order to increase patient satisfaction scores, which are becoming more and more important for Medicare reimbursements.

These efforts often have unintended consequences.

In the first place, customer-centric interventions rarely (if ever) improve the quality of care patients receive: rather, they merely improve patients’ perceptions of care.
… Read more about: Essentia Health: Listen to your nurses  »

Allina big debt

By

Mathew Keller and Jordan Ash

Allina Health claims it needs to take $10 million out of the pockets and healthcare of its nurses. The question is why, which begs a look at Allina’s finances. A check of Allina’s books, however, makes one question whether the company really is in good hands.

For starters, the amount Allina pays annually to big banks has grown to $60 million dollars a year. Allina’s current debt of $880 million dollars, in fact, represents a whopping 60 percent increase from just 10 years ago when Allina had $550 million in debt.
… Read more about: Allina’s Debt to Big Banks Increases by 60 Percent  »

By Megan Gavin

MNA Education Specialist

I opened a card last week that read, “Thank you so much for granting me hardship funds…without your generosity and assistance I don’t know how I’d get through. It is with heart-felt gratitude that I write to thank you all, for all you’ve continued to do throughout our difficult contract negotiations. Please know how grateful I truly am.” The sender continues with an anecdote about her personal experience and how these funds helped her, and I was in tears before finishing.

As MNA’s education specialist, I’ve been putting together workshops on the community resources for union members during a strike.
… Read more about: What can you get for $1.67 a month?  »

By Shannon Cunningham

Director of Governmental and Community Relations

It’d be great if we all could elect our own boss. And the boss’ boss. And the boss’ boss’ boss. A vote against is a vote to fire them. A yes vote is a vote to hire them. Most importantly, no vote at all signals that you just don’t care. Sound familiar? Maybe because we actually can do that now.

It’s why elections matter. Take Attorney General Laurie Swanson, for example. The Minnesota Nurses Association has had a longstanding great relationship with AG Swanson. We have worked with her extensively on issues, such as fair billing practices at hospitals and preventing a merger of Sanford Health and the University of Minnesota..
… Read more about: Politics & Contracts Go Together Like Peanut Butter and Jelly  »

For Immediate Release

Contact: Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

Barbara Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org

(St. Paul) – August 1, 2016 – Contract negotiations ended today when nurses received another offer from Allina Health that eliminates all four of their contract health insurance plans. The nurses’ negotiations team will take the offer to the membership to vote to accept or reject later this month.

At the opening of today’s negotiations session, the nurse negotiating team re-submitted the proposal from July 22 that met the hospital company half-way by ending two of the four contract health insurance plans.
… Read more about: Press Release: Negotiations End as Allina Health Widens the Gap in Talks with Nurses  »

Allina Strike

By Mathew Keller RN, JD

Regulatory and Policy Nursing Specialist
“Magnet” status, a prestigious accreditation awarded by the American Nurses Credentialing Center (an arm of the American Nurses Association), is desired and sought after by hospitals across the country.  Only 6 percent of hospitals ever achieve it, however.  Magnet hospitals demonstrate excellence in patient care and nursing services and are expected to attain and retain top talent, improve care, ensure safety, develop nurse satisfaction, foster a collaborative culture, advance nursing standards and practice, and grow business and financial success.

At Magnet hospitals there is low nurse turnover and appropriate grievance resolution.
… Read more about: Does Abbott-Northwestern Stand to Lose its Magnet Status?  »