Forms and Instructions

Acute Care Hospitals
Psych/Specialty Hospitals
Freestanding Outpatient Surgical Centers (FOSC)
Diagnostic Imaging Facilities
Health Care System Capital Expenditure Report

Process for Amending Hospital Data

Events and Deadlines

  • Acute and Psych/Specialty Hospitals
    • Hospital Formset Training
         HAR Webinar Training
            Wednesday January 22, 2014 - 9:00 - 11:00 am
            Wednesday March 5, 2014 - 9:00 - 11:00 am
            Contact Jenny Sanislo at jsanislo@mnhospitals.org or 651-659-1440 to pre-register.
    • Feb. 3, 2014 - First and Second Quarter FYE hospitals' 2013 annual reports due to MHA.
    • April 1, 2014 - Third Quarter FYE hospitals' 2013 annual reports due to MHA.
    • July 1, 2014 - Fourth Quarter FYE hospitals' 2013 annual reports due to MHA.
  • Freestanding Outpatient Surgical Centers (FOSC)
    • March 1, 2014 - 2013 annual reports due to MDH.
  • Diagnostic Imaging Facilities
    • March 1, 2014 - 2013 annual reports due to MDH.

 

Acute Care Hospitals

2013 Hospital Annual Report (HAR)

  • Formset - Excel (file size: 909 KB)
  • Instructions - PDF (file size: 321 KB / 46 pages)
  • Tip Sheet - included in the formset
  • Note:Web transmission site available: https://har.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 or Lucas Hovila at (651) 603-3536 for your login and password. This Web site is secured and encrypted.
  • Affiliated Clinic: Please note that the Provider Financial and Statistical Report (PFSR) is no longer required. Please review other reporting requirements for Clinics and Clinic Systems for more information.
2013 HAR Training Materials

2012 Hospital Annual Report (HAR)

  • Formset - Excel (file size: 789 KB)
  • Instructions - PDF (file size: 321 KB / 46 pages)
  • Tip Sheet - included in the formset
  • Note:Web transmission site available: https://har.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 or Lucas Hovila at (651) 603-3536 for your login and password. This Web site is secured and encrypted.
  • Affiliated Clinic: Please note that the Provider Financial and Statistical Report (PFSR) is no longer required. Please review other reporting requirements for Clinics and Clinic Systems for more information.
2012 HAR Training Materials

2011 Hospital Annual Report (HAR)

  • Formset - Excel (file size: 781 KB)
  • Instructions - PDF (file size: 321 KB / 46 pages)
  • Tip Sheet - included in the formset
  • Note:Web transmission site available: https://har.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 or Lucas Hovila at (651) 603-3536 for your login and password. This Web site is secured and encrypted.
  • Affiliated Clinic: Please note that the Provider Financial and Statistical Report (PFSR) is no longer required. Please review other reporting requirements for Clinics and Clinic Systems for more information.
2011 HAR Training Materials

2010 Hospital Annual Report (HAR)

2010 HAR Training Materials

2009 Hospital Annual Report (HAR)

2009 HAR Training Materials

[back to top]

 

Psych/Specialty Hospitals

2013 Psych/Specialty

This is included with the Hospital formset. There are specific instructions and coding built into the formset that will guide the Psychiatric and Specialty hospitals through the completion of the report.

2012 Psych/Specialty

This is included with the Hospital formset. There are specific instructions and coding built into the formset that will guide the Psychiatric and Specialty hospitals through the completion of the report.

2011 Psych/Specialty

This is included with the Hospital formset. There are specific instructions and coding built into the formset that will guide the Psychiatric and Specialty hospitals through the completion of the report.

2010 Psych/Specialty 2009 Psych/Specialty

[back to top]

 

Freestanding Outpatient Surgical Center (FOSC)

2013 FOSC Financial, Utilization and Services Report 2012 FOSC Financial, Utilization and Services Report 2011 FOSC Financial, Utilization and Services Report 2010 FOSC Financial, Utilization and Services Report 2009 FOSC Financial, Utilization and Services Report

[back to top]

 

Diagnostic Imaging Facility

2013 Utilization Report
(see Minnesota Statutes, section 144.565)

2012 Utilization Report

2011 Utilization Report
2010 Utilization Report 2009 Utilization Report

[back to top]

Capital Expenditure Committments

2013 Health Care System or Other Provider Capital Expenditure Report

2012 Health Care System or Other Provider Capital Expenditure Report 2011 Health Care System or Other Provider Capital Expenditure Report 2010 Health Care System or Other Provider Capital Expenditure Report

More information about Capital Expenditure Reporting

[back to top]

Updated Wednesday, 22-Jan-2014 12:52:55 CST