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
Jan. 28, 2012 - 9:00 - 10:00
Contact Jenny Sanislo at jsanislo@mnhospitals.org or 651-659-1440 to pre-register. - Feb. 1, 2013 - First and Second Quarter FYE hospitals' 2011 annual reports due to MHA.
- April 1, 2013 - Third Quarter FYE hospitals' 2011 annual reports due to MHA.
- July 1, 2013 - Fourth Quarter FYE hospitals' 2011 annual reports due to MHA.
- Freestanding Outpatient Surgical Centers (FOSC)
- March 1, 2013 - 2012 annual reports due to MDH.
- Diagnostic Imaging Facilities
- March 1, 2013 - 2012 annual reports due to MDH.
Acute Care Hospitals
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.
- Advanced Diagnostic Imaging Accreditation and Reporting Requirements (file size: 157 KB / 2 pages)
This fact sheet outlines accreditation and reporting requirments for hospitals, surgical centers and imaging providers as required by Minnesota Laws, Regular Session 2012, chapter 228.
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.
2010 Hospital Annual Report (HAR)
- Formset - Excel (file size: 896 KB)
- Instructions - PDF (file size: 242 KB / 48 pages)
- Affiliated Clinic: Please see the Provider Financial and Statistical Report (PFSR) page for more information.
2009 Hospital Annual Report (HAR)
- Formset - Excel (file size: 803 KB)
- Instructions - PDF (file size: 196 KB / 48 pages)
- Affiliated Clinic: Please see the Provider Financial and Statistical Report (PFSR) page for more information.
- 2009 HAR Education and Information PPT (file size: 713 KB) or PDF (file size: 531 KB / 28 pages)
- Clinic Services Decision Flowchart PDF (file size: 38KB / 1 page)
- Capital Expenditure Training Materials PPT (file size: 169KB) or PDF (file size 37KB, 11 pages)
2008 Hospital Annual Report (HAR)
- Formset - Excel (file size: 664 KB)
- Instructions - PDF (file size: 323 KB / 48 pages)
- Affiliated Clinic: Please see the Provider Financial and Statistical Report (PFSR) page for more information.
- 2008 HAR Education and Information - PPT (file size: 1087 KB) or PDF (file size: 890 KB / 17 pages)
- Capital Expenditure Newsletter - PDF (file size 63KB, 2 pages)
Psych/Specialty Hospitals
2012 Psych/SpecialtyThis 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/SpecialtyThis 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 2008 Psych/Specialty
Freestanding Outpatient Surgical Center (FOSC)
2012 FOSC Financial, Utilization and Services Report- Formset - Excel (file size: 576 KB)
- Instructions - PDF (file size: 71 KB / 17 pages)
- Notification Letter - PDF (file size: 39Kb / 1 page)
- Advanced Diagnostic Imaging Accreditation and Reporting Requirements
(file size: 157 KB / 2 pages)
This fact sheet outlines accreditation and reporting requirments for hospitals, surgical centers and imaging providers as required by Minnesota Laws, Regular Session 2012, chapter 228.
- Formset - Excel (file size: 576 KB)
- Instructions - PDF (file size: 244 KB / 17 pages)
- Notification Letter - PDF (file size: 96Kb / 1 page)
Diagnostic Imaging Facility
2012 Utilization Report
(see Minnesota Statutes, section 144.565)
- Formset -Excel (file size: 991 KB)
- Instructions - PDF (file size: 47 KB / 8 pages)
- Notification Letter - PDF (file size: 43Kb / 1 page)
- Advanced Diagnostic Imaging Accreditation and Reporting Requirements
(file size: 157 KB / 2 pages)
This fact sheet outlines accreditation and reporting requirments for hospitals, surgical centers and imaging providers as required by Minnesota Laws, Regular Session 2012, chapter 228.
(see Minnesota Statutes, section 144.565)
- Formset -Excel (file size: 864 KB)
- Instructions - PDF (file size: 192 KB / 8 pages)
- Notification Letter - PDF (file size: 93Kb / 1 page)
Capital Expenditure Committments
2012 Health Care System or Other Provider Capital Expenditure Report
- Formset - Excel (file size: 343KB)
- Formset - Excel (file size: 301KB)
- Formset - Excel (file size: 292KB)
- Formset - Excel (file size: 336KB)
