ALLINA HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ALLINA HEALTH SYSTEM (EIN 36-3261413)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202013189349303636
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T10:26:18-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363261413	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALLINA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALLI	BusinessNameControlTxt
Phone	6122620660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 43 MR 10890	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554400043	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD E MAGNUSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	6122620660	PhoneNum
Signature	2020-11-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.177.39.8	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	09:59:48	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3AACAC710F10DC1314A89397ECD4A80315AD3E4C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3AACAC710F10DC1314A89397ECD4A80315AD3E4C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PENNY WHEELER MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 43 MR 10890	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554400043	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,879,485,284	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ALLINAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE NEEDS OF OUR PATIENTS THROUGH WHOLE PERSON CARE-PHYSICAL, MENTAL, SPIRITUAL AND COMMUNITY. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA HEALTH PROVIDES 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 HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2019, ALLINA HEALTH PROVIDED $651,579,489 IN COMMUNITY CONTRIBUTIONS SUCH AS DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	32461	TotalEmployeeCnt
Total Volunteers	2182	TotalVolunteersCnt
Total Gross UBI	$36,567,867	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,994,697	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,131,861	PYContributionsGrantsAmt
CY Contributions Grants	$35,617,733	CYContributionsGrantsAmt
PY Program Service Revenue	$4,395,295,115	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,507,988,236	CYProgramServiceRevenueAmt
PY Investment Income	$70,194,558	PYInvestmentIncomeAmt
CY Investment Income	$57,218,610	CYInvestmentIncomeAmt
PY Other Revenue	$56,698,650	PYOtherRevenueAmt
CY Other Revenue	$54,613,817	CYOtherRevenueAmt
PY Total Revenue	$4,563,320,184	PYTotalRevenueAmt
CY Total Revenue	$4,655,438,396	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,438,207	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,517,022	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,676,255,402	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,782,019,594	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$10,084,795	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,711,702,778	PYOtherExpensesAmt
CY Other Expenses	$1,749,379,068	CYOtherExpensesAmt
PY Total Expenses	$4,395,396,387	PYTotalExpensesAmt
CY Total Expenses	$4,538,915,684	CYTotalExpensesAmt
PY Revenues Less Expenses	$167,923,797	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$116,522,712	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,545,342,711	TotalAssetsBOYAmt
Total Assets EOY	$5,338,690,925	TotalAssetsEOYAmt
Total Liabilities BOY	$1,799,681,715	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,280,235,406	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,745,660,996	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,058,455,519	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSIONWE SERVE OUR COMMUNITIES BY PROVIDING EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE.OUR VISIONWE WILL: PUT THE PATIENT FIRST; MAKE A DIFFERENCE IN PEOPLES LIVES BY PROVIDING EXCEPTIONAL CARE AND SERVICE; CREATE A HEALING ENVIRONMENT WHERE PASSIONATE PEOPLE THRIVE AND EXCEL; AND LEAD COLLABORATIVE EFFORTS THAT SOLVE OUR COMMUNITY'S HEALTH CARE CHALLENGES.OUR VALUESINTEGRITY, RESPECT, TRUST, COMPASSION AND STEWARDSHIP	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,396,199,192	ExpenseAmt
Grant	$7,517,022	GrantAmt
Revenue	$4,681,072,546	RevenueAmt
Desc	PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE; THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE.BUFFALO HOSPITAL - BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY, AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY.DISTRICT ONE HOSPITAL - FARIBAULT, MNLOCATED JUST SOUTH OF THE TWIN CITIES IN FARIBAULT, DISTRICT ONE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES: BIRTH CENTER, COURAGE KENNY REHABILITATION INSTITUTE, CARDIOPULMONARY REHABILITATION, DIAGNOSTIC IMAGING, EMERGENCY, GENERAL SURGERY, LABORATORY, PHARMACY, SLEEP STUDY AND VIRGINIA PIPER CANCER INSTITUTE. THE DYNAMIC HEALTH CARE CAMPUS ALSO INCLUDES THE ALLINA HEALTH FARIBAULT CLINIC AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT. MERCY HOSPITAL - COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE THE HEART & VASCULAR CENTER, CANCER CARE, THE MOTHER BABY CENTER, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. THE UNITY CAMPUS OF MERCY, LOCATED IN FRIDLEY, ALSO PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL-BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL - OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.PHILLIPS EYE INSTITUTE - MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, PHILLIPS EYE INSTITUTE IS THE THIRD LARGEST SPECIALTY EYE HOSPITAL IN THE U.S., SPECIALIZING IN THE DIAGNOSIS, TREATMENT AND CARE OF EYE DISORDERS AND DISEASES. PHILLIPS EYE INSTITUTE DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY. IN AUGUST, 2019, PHILLIPS EYE INSTITUTE BECAME A CAMPUS AND CLINICAL PROGRAM OF ABBOTT NORTHWESTERN HOSPITAL.REGINA MEDICAL CENTER-HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, PEDIATRICS, EMERGENCY MEDICINE, INPATIENT GERIATRIC MENTAL HEALTH, UROLOGY AND OCCUPATIONAL MEDICINE. SINCE ITS FOUNDATION, REGINA HOSPITAL CONTINUES TO MAINTAIN ITS CATHOLIC HERITAGE FOCUSING ON SERVING THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HASTINGS CAMPUS INCLUDES SENIOR LIVING FACILITIES, TWO ALLINA HEALTH CLINICS AND A SURGERY CENTER.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR VIRGINIA PIPER CANCER CENTER BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT, CANCER AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL - ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS AMONG LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. 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. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2019, ALLINA HEALTH EXPENDED OVER $3 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 5,000,000 CLINIC VISITS, 111,101 INPATIENT ADMISSIONS AND 1,500,000 HOSPITAL OUTPATIENT VISITS. THERE WERE 344,843 EMERGENCY CARE VISITS, 413,983 HOMECARE AND HOSPICE VISITS, AND 14,637 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, AND MENTAL HEALTH SERVICES. IN 2019, ALLINA HEALTH EXPENDED $11,982,781 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$397,121,972	ExpenseAmt
Desc	COST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA HEALTH 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, ALLINA HEALTH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS ALLINA HEALTH INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2019, ALLINA HEALTH PROVIDED $397,121,972 IN HEALTH CARE SERVICES IN EXCESS OF THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS AND SURCHARGES, TAXES AND FEES RELATED TO THESE PROGRAMS. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THESE PROGRAMS, SERVICES AND ADDITIONAL TAXES AND FEES.COSTS IN EXCESS OF MEDICARE AND MEDICAID PAYMENTSALLINA HEALTH PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE HISTORICALLY BEEN REIMBURSED AT AMOUNTS LESS THAN COST. IN 2019, ALLINA HEALTH EXPENDED $269,064,924 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $41,752,818 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA HEALTH IS A PARTICIPANT IN THE MEDICAID SURCHARGE PROGRAM. THE CURRENT PROGRAM INCLUDES A 1.56% SURCHARGE ON A HOSPITAL'S NET PATIENT SERVICE REVENUE (EXCLUDING MEDICARE REVENUE). REPORTED AMOUNTS ARE NET OF ANY DISPROPORTIONATE SHARE ADJUSTMENTS. IN 2019, ALLINA HEALTH PAID $26,557,071 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH 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 IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $54,943,542 FOR THE MINNESOTACARE TAX IN 2019. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $4,803,617 IN TAXES AND FEES IN 2019.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$71,221,913	ExpenseAmt
Revenue	-$127,677,457	RevenueAmt
Desc	UNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR PARTNERS CARE WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2019, ALLINA HEALTH PROVIDED $23,442,084 IN CHARITY CARE.UNINSURED DISCOUNT PROGRAMFOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR MEET THE FINANCIAL THRESHOLD FOR CHARITY CARE, BUT REQUIRE SOME FINANCIAL ASSISTANCE, ALLINA HEALTH PROVIDES A SLIDING SCALE DISCOUNT. ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A MINIMUM OF A 25 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 44 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2019, ALLINA HEALTH PROVIDED $47,779,829 IN SUCH DISCOUNTS TO LOW-INCOME, UNINSURED INDIVIDUALS. BAD DEBT - BAD DEBT WILL BE REPORTED AS A REDUCTION TO REVENUE.ALLINA HEALTH 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 2019 TOTALED $127,677,457.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$43,575,365	ExpenseAmt
Desc	COMMUNITY SERVICES:IN 2019, ALLINA HEALTH CONTRIBUTED $43,575,365 TO COMMUNITY PROGRAMS AND SERVICES TO ADVANCE THE HEALTH OF THE BROADER COMMUNITY. BELOW ARE EXAMPLES OF PROGRAMS AND SERVICES ALLINA HEALTH PROVIDES WITHIN THE COMMUNITIES WE SERVE THAT OFFER COMMUNITY BENEFIT.COMMUNITY HEALTH IMPROVEMENT SERVICESACCORDING TO IRS REPORTING CATEGORIES AND THE CATHOLIC HEALTH ASSOCIATION (CHA/VHA) GUIDELINES, COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES TO IMPROVE COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION AND DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS. ALLINA HEALTH PROVIDES MANY PROGRAMS AND SERVICES THAT FALL UNDER THIS CATEGORY. A FEW EXAMPLES INCLUDE: HEALTH POWERED KIDS (HPK), LAUNCHED IN 2012, IS A FREE COMMUNITY EDUCATION PROGRAM DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 YEARS TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. IN 2019, MORE THAN 70,000 USERS VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN ADDITION TO THE EXISTING RESOURCES, CHANGE TO CHILL ADDED A MENTAL HEALTH AND VAPING SECTION TO THE WEBSITE IN 2019 IN RESPONSE TO THE RISING VAPING EPIDEMIC. FROM MINNESOTA ALONE, MORE THAN 30,000 USERS VISITED THE CHANGE TO CHILL WEBSITE IN 2019. SOME OF THE USERS ARE TEACHERS WHO USE IT IN THEIR CLASSROOMS, TEENS WHO USE IT IN SOCIAL GROUPS AND PARENTS LOOKING FOR WAYS TO HELP THEIR CHILD STRESS LESS. ALSO IN 2019, CTC CONTINUED ITS CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) THAT WAS LAUNCHED IN 2018. THE GOAL OF CTCSP IS TO PROMOTE AND SUPPORT A CULTURE OF MENTAL WELL-BEING IN LOCAL HIGH SCHOOLS. DURING THE 2019-2020 SCHOOL YEAR, ALLINA HEALTH PARTNERED WITH SIXTEEN HIGH SCHOOLS THROUGH CTCSP. COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE" - A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. MORE THAN 1,100 HEALTH AND EDUCATION PROFESSIONALS WERE TRAINED ON HOW TO USE THE CHANGE TO CHILL RESOURCES AND CURRICULUMS AS PART OF CTCSP. THIRTY-FOUR CHILL CHAMPION INTERNS LED STRESS REDUCTION ACTIVITIES WITHIN THEIR SCHOOL PARTNERSHIP SCHOOL. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS.NEIGHBORHOOD HEALTH CONNECTION (NHC) IS A COMMUNITY GRANTS PROGRAM THAT AIMS TO IMPROVE THE HEALTH OF COMMUNITIES BY BUILDING SOCIAL CONNECTIONS THROUGH HEALTHY EATING AND PHYSICAL ACTIVITY. EACH YEAR, ALLINA HEALTH AWARDS OVER 50 NEIGHBORHOOD HEALTH CONNECTION GRANTS, RANGING IN SIZE FROM $500-$10,000, TO LOCAL NONPROFITS AND GOVERNMENT AGENCIES IN MINNESOTA AND WESTERN WISCONSIN. IN 2019, NEIGHBORHOOD HEALTH CONNECTION GAVE $270,000 TO 68 ORGANIZATIONS. THESE ORGANIZATIONS REACHED MORE THAN 3,600 PEOPLE. EVALUATIONS OF THE NHC PROGRAM FIND THAT THE MAJORITY OF PEOPLE WHO PARTICIPATE IN NHC-FUNDED PROGRAMS INCREASE THEIR SOCIAL CONNECTIONS AND MAKE POSITIVE CHANGES IN THEIR PHYSICAL ACTIVITY AND HEALTHY EATING BEHAVIOR. FURTHER, FOLLOW-UP DATA HAS REVEALED THAT THESE POSITIVE CHANGES ARE MAINTAINED SIX MONTHS LATER AND THE MAJORITY OF PARTICIPANTS CONTINUE TO PARTICIPATE IN THE NHC ACTIVITY AFTER THE GRANT PERIOD ENDS.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. CENTER FOR MEDICARE AND MEDICAID SERVICES ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT - IN MAY 2017, ALLINA HEALTH WAS AWARDED AN ACCOUNTABLE HEALTH COMMUNITIES (AHC) COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THROUGH THE AHC MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREENED PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY, FOOD INSECURITY, ACCESS TO TRANSPORTATION, DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY. IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2019, NEARLY 180,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS; MORE THAN 76,000 ALLINA HEALTH PATIENTS COMPLETED AN AHC SCREENING. TWENTY-FOUR PERCENT OF PATIENTS SCREENED IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS FOLLOWED BY HOUSING INSTABILITY. ADDITIONALLY, MORE THAN 580 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES. ALLINA HEALTH INVESTED MORE THAN $65,000 IN STAFF TIME IN 2019 TO IMPLEMENT THE AHC MODEL, BEYOND WHAT WAS PROVIDED FOR BY THE COOPERATIVE AGREEMENT. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2019, ALLINA HEALTH INVESTED OVER $21 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. ALLINA HEALTH INVESTED $4,163,331 TOWARD THIS RESEARCH IN 2019. FINANCIAL AND IN-KIND CONTRIBUTIONSALLINA HEALTH PROVIDES NUMEROUS IN-KIND AND MONETARY CONTRIBUTIONS TO INDIVIDUALS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS TO SUPPORT COMMUNITY NEEDS. IN 2019, ALLINA HEALTH FUNDED MORE THAN $5.2 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, FREE MEALS, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. AWARDSIN 2019, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS, FOR ATTRIBUTES SUCH AS SAFETY, PATIENT EXPERIENCE AND QUALITY. A LOCAL EXAMPLE THAT PERTAINS TO COMMUNITY BENEFIT WAS THE HEART OF NEW ULM PROJECT (IN WHICH NEW ULM MEDICAL CENTER IS A LEADER) BEING AWARDED THE 2019 BROWN COUNTY PUBLIC HEALTH PARTNERSHIP AWARD RECIPIENT. THE ANNUAL AWARD RECOGNIZES AND HONORS THE CONTRIBUTIONS OF CITIZENS OR ORGANIZATIONS IN BROWN COUNTY WHO DEVOTE THEIR TIME, ENERGY AND TALENTS TO HELP ACCOMPLISH THE PUBLIC HEALTH MISSION OF BRINGING PEOPLE TOGETHER TO CREATE A HEALTHY FUTURE FOR ALL COUNTY CITIZENS.COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. FOR MORE, PLEASE VISIT: HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$43,575,365	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$3,908,118,442	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1809	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	32461	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TAX SERVICES MAIL ROUTE 10890	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6122620660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2925 CHICAGO AVENUE	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554071321	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAYMOND CLAY AHRENS
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
JOHN ALLEN MD
DIRECTOR	2.00	0.00	Yes (X)	$1,448	$0	$0
JENNIFER ALSTAD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
GARY BHOJWANI
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
BARBARA BUTTS WILLIAMS
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
JOHN CHURCHCHAIRMAN
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
LAURA GILLUND
DIRECTOR	2.00	0.00	Yes (X)	$14,000	$0	$0
JOSEPH GOSWITZ MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
MARYKAO HANG PHD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
GREGORY HEINEMANN
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
LOUIS KING II
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
ANDERS KNUTZEN MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
DAVID KUPLIC
DIRECTOR	2.00	0.00	Yes (X)	$14,000	$0	$0
STEVEN LACROIX
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
HUGH NIERENGARTEN
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
BRIAN ROSENBERG
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
DEBBRA SCHONEMAN
DIRECTOR/VICE CHAIR	2.00	0.00	Yes (X)	$18,000	$0	$0
THOMAS SCHREIER
DIRECTOR/CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
ABIR SEN
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
SALLY SMITH
DIRECTOR	2.00	0.00	Yes (X)	$14,000	$0	$0
DARRELL TUKUA
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
TIMOTHY WELSH
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
VICKI YANISCH RASMUSEN
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$0	$0
PENNY WHEELER MD
DIRECTOR/PRESIDENT/CEO	40.00	2.00	Yes (X)	$2,202,831	$0	$463,169	Yes (X)
BEN BACHE-WIIG MD
EVP CHIEF POPULATION HEALT	40.00	0.00		$1,139,114	$0	$13,712	Yes (X)
CHRISTINE BENT
EVP-ALLINA HEALTH GROUP	40.00	0.00		$1,008,411	$0	$45,860	Yes (X)
SARA CRIGER
SVP, PRES. MERCY HOSP.	40.00	2.00		$1,011,157	$0	$147,959	Yes (X)
PETER HOFRENNING
SVP INTERIM CHIEF COMP. OFFICER	40.00	0.00		$254,589	$0	$46,172	Yes (X)
RICHARD MAGNUSON
EVP/CFO/TREASURER	40.00	2.00		$922,036	$0	$179,926	Yes (X)
CHRISTINE MOORE
SVP, CHIEF HR OFFICER	40.00	0.00		$678,058	$0	$121,942	Yes (X)
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSP	40.00	2.00		$1,086,047	$0	$13,132	Yes (X)
ANN MADDEN RICE
SVP/PRESIDENT ANW	40.00	2.00		$897,865	$0	$92,011	Yes (X)
LISA SHANNON
EVP, CHIEF OPERATING OFF.	40.00	0.00		$1,116,771	$0	$169,371	Yes (X)
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPRV OFF	40.00	0.00		$615,424	$0	$112,621	Yes (X)
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFFICE	40.00	0.00		$347,755	$0	$73,995	Yes (X)
TIMOTHY SIELAFF
SVP-AHG-SPEC. CARE/CMO	40.00	0.00		$978,983	$0	$148,881	Yes (X)
DAVID SLOWINSKE
SVP, AHG OPERATIONS	40.00	0.00		$566,949	$0	$113,453	Yes (X)
KATHERINE TARVESTAD
SVP, CHIEF COMPLIANCE OFF	40.00	0.00		$241,337	$0	$21,251	Yes (X)
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN. COUN.	40.00	0.00		$814,059	$0	$131,044	Yes (X)
NICHOLAS MENDYKA
VP SYSTEM FINANCE OP.	40.00	0.00		$222,161	$0	$17,794		Yes (X)
DANIEL BUSS MD
PHYSICIAN	40.00	0.00		$1,441,176	$0	$51,345			Yes (X)
MICHAEL FREEHILL MD
PHYSICIAN	40.00	0.00		$1,302,603	$0	$49,901			Yes (X)
TILOK GHOSE MD
PHYSICIAN	40.00	0.00		$1,272,417	$0	$35,497			Yes (X)
MARK HELLER MD
PHYSICIAN	40.00	0.00		$1,470,632	$0	$42,183			Yes (X)
TODD HESS MD
PHYSICIAN	40.00	0.00		$1,520,696	$0	$48,148			Yes (X)
MARY BEAR-DUKES
FORMER VP-REV CYCLE	40.00	0.00		$342,898	$0	$45,128				Yes (X)
CORRINE KROEHLER
FORMER/VP FINANCE/SUPPLY CHAIN	40.00	0.00		$394,985	$0	$43,795				Yes (X)
DUNCAN GALLAGHER
FORMER EVP/CFO/TREASURER	40.00	0.00		$130,958	$0	$0				Yes (X)
HELEN STRIKE
FORMER PRESIDENT-UNITY HOSP.	40.00	2.00		$220,192	$0	$14,016				Yes (X)
RODNEY CHRISTENSEN
FORMER VP MEDICAL OPERATIONS	40.00	0.00		$309,422	$0	$29,992				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$22,670,974	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,272,298	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4091	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MA MORTENSON COMPANY
700 MEADOW LANE NORTH	MINNEAPOLIS	MN	55422	CONSTRUCTION	$33,794,040
METROPOLITAN CARDIOLOGY CONSULTANTS PA
4040 COON RAPIDS BLVD NW SUITE 120	COON RAPIDS	CA	55433	PROFESSIONAL SERVICES - MEDICAL	$23,138,924
DELOITTE CONSULTING LLP
30 ROCKEFELLER PLAZA - 41ST FLOOR	NEW YORK	NY	101120015	PROFESSIONAL SERVICES - CONSULTING	$16,447,539
JE DUNN CONSTRUCTION
800 WASHINGTON AVE N SUITE 600	MINNEAPOLIS	MN	55401	CONSTRUCTION	$14,557,128
PHYSICIANS GROUP OF NEW ULM LTD
1324 5TH NORTH STREET	NEW ULM	MN	56073	PROFESSIONAL SERVICES - MEDICAL	$14,461,520

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	237	CntrctRcvdGreaterThan100KCnt
Related Organizations	$26,322,557	RelatedOrganizationsAmt
Government Grants	$9,084,668	GovernmentGrantsAmt
All Other Contributions	$210,508	AllOtherContributionsAmt
Noncash Contributions	$245,149	NoncashContributionsAmt
Total Contributions	$35,617,733	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROG.SERV.REVENUE-RELATED-990	621990	$4,635,665,693	$4,635,665,693
PATIENT BAD DEBT	621990	-$127,677,457	-$127,677,457

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,507,988,236	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,903,915	TotalRevenueColumnAmt
Exclusion	$47,903,915	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,206,964	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,206,964	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,206,964	TotalRevenueColumnAmt
Exclusion	$9,206,964	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,218,443,356	SecuritiesAmt
Other	$14,918,227	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,212,097,004	SecuritiesAmt
Other	$11,949,884	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,346,352	SecuritiesAmt
Other	$2,968,343	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,314,695	TotalRevenueColumnAmt
Exclusion	$9,314,695	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REFERENCE LAB	621500	$12,514,979	$12,514,979
RETAIL PHARMACY	446110	$9,875,246	$9,875,246
ST FRANCIS MEDICAL CENTER	621990	$9,040,233		$9,040,233

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,976,395	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$201,247	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,177,642	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$45,406,853	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,655,438,396	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,516,827,222	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,567,867	UnrelatedBusinessRevenueAmt
Exclusion	$66,425,574	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,846,521	TotalAmt
Program Services	$6,846,521	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$670,501	TotalAmt
Program Services	$670,501	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,264,994	TotalAmt
Management And General	$14,264,994	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,196,348,156	TotalAmt
Program Services	$1,939,894,035	ProgramServicesAmt
Management And General	$250,186,272	ManagementAndGeneralAmt
Fundraising	$6,267,849	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$120,504,495	TotalAmt
Program Services	$105,747,109	ProgramServicesAmt
Management And General	$14,415,714	ManagementAndGeneralAmt
Fundraising	$341,672	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$308,217,404	TotalAmt
Program Services	$270,472,065	ProgramServicesAmt
Management And General	$36,871,437	ManagementAndGeneralAmt
Fundraising	$873,902	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$142,684,545	TotalAmt
Program Services	$125,210,916	ProgramServicesAmt
Management And General	$17,069,069	ManagementAndGeneralAmt
Fundraising	$404,560	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$30,527,959	TotalAmt
Program Services	$23,459,139	ProgramServicesAmt
Management And General	$7,051,047	ManagementAndGeneralAmt
Fundraising	$17,773	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,945,358	TotalAmt
Management And General	$8,945,358	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$913,547	TotalAmt
Management And General	$913,547	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$420,157,740	TotalAmt
Program Services	$279,897,259	ProgramServicesAmt
Management And General	$139,472,505	ManagementAndGeneralAmt
Fundraising	$787,976	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,596,477	TotalAmt
Program Services	$1,663,124	ProgramServicesAmt
Management And General	$2,668,696	ManagementAndGeneralAmt
Fundraising	$264,657	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$716,625,233	TotalAmt
Program Services	$687,693,174	ProgramServicesAmt
Management And General	$28,556,276	ManagementAndGeneralAmt
Fundraising	$375,783	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$67,623,009	TotalAmt
Program Services	$47,640,381	ProgramServicesAmt
Management And General	$19,927,551	ManagementAndGeneralAmt
Fundraising	$55,077	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$140,541,634	TotalAmt
Program Services	$112,462,469	ProgramServicesAmt
Management And General	$27,941,447	ManagementAndGeneralAmt
Fundraising	$137,718	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,982,149	TotalAmt
Program Services	$5,916,901	ProgramServicesAmt
Management And General	$1,029,110	ManagementAndGeneralAmt
Fundraising	$36,138	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,880,862	TotalAmt
Program Services	$5,122,874	ProgramServicesAmt
Management And General	$750,143	ManagementAndGeneralAmt
Fundraising	$7,845	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,080,322	TotalAmt
Program Services	$36,080,322	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$227,858	TotalAmt
Program Services	$227,858	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$190,879,874	TotalAmt
Program Services	$151,905,337	ProgramServicesAmt
Management And General	$38,853,398	ManagementAndGeneralAmt
Fundraising	$121,139	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,913,760	TotalAmt
Program Services	$9,755,923	ProgramServicesAmt
Management And General	$157,837	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MINNESOTA CARE TAX	$54,943,542	$54,943,542
MEDICAID SURCHARGE	$26,557,071	$26,557,071
COMMUNITY OUTREACH	$1,228,087	$157,507	$1,064,949	$5,631
INCOME TAX - UBI	-$379,606		-$379,606

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,134,192	TotalAmt
Program Services	$15,794,414	ProgramServicesAmt
Management And General	$10,952,703	ManagementAndGeneralAmt
Fundraising	$387,075	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,538,915,684	TotalAmt
Program Services	$3,908,118,442	ProgramServicesAmt
Management And General	$620,712,447	ManagementAndGeneralAmt
Fundraising	$10,084,795	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,237,314	BOYAmt
EOY	$21,726,361	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,162,618	BOYAmt
EOY	$7,958,443	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$795,349,446	BOYAmt
EOY	$820,113,226	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,001	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$72,444,308	BOYAmt
EOY	$75,170,778	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,699,926	BOYAmt
EOY	$19,645,959	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,764,468,536	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,271,987,563	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,223,778,740	BOYAmt
EOY	$1,492,480,973	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,270,930,572	BOYAmt
EOY	$2,783,531,408	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,094,803	BOYAmt
EOY	$31,301,835	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$102,642,983	BOYAmt
EOY	$86,761,942	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,545,342,711	BOYAmt
EOY	$5,338,690,925	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$488,883,939	BOYAmt
EOY	$518,456,208	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$30,315,871	BOYAmt
EOY	$27,609,480	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$948,490,944	BOYAmt
EOY	$1,225,573,462	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$331,990,961	BOYAmt
EOY	$508,596,256	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,799,681,715	BOYAmt
EOY	$2,280,235,406	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,737,463,132	BOYAmt
EOY	$3,048,834,715	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,197,864	BOYAmt
EOY	$9,620,804	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,745,660,996	BOYAmt
EOY	$3,058,455,519	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,545,342,711	BOYAmt
EOY	$5,338,690,925	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$116,522,712	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$194,559,644	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,712,167	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$5,098	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$435,135	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$440,233	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ALLINA HEALTH EMPLOYS VARIOUS INDIVIDUALS, AS WELL AS CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL OF ALLINA ON BOTH A NATIONAL AND STATE LEVEL.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,936,959	BeginningYearBalanceAmt
Contributions	$149,082	ContributionsAmt
Investment Earnings Or Losses	$15,316,040	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,549	GrantsOrScholarshipsAmt
Other Expenditures	$3,921,190	OtherExpendituresAmt
End Year Balance	$105,468,342	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$102,594,063	BeginningYearBalanceAmt
Contributions	$131,724	ContributionsAmt
Investment Earnings Or Losses	-$4,679,140	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	-$41,015	GrantsOrScholarshipsAmt
Other Expenditures	$4,068,672	OtherExpendituresAmt
End Year Balance	$93,936,959	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,600,833	BeginningYearBalanceAmt
Contributions	$113,190	ContributionsAmt
Investment Earnings Or Losses	$10,942,048	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Other Expenditures	$3,057,008	OtherExpendituresAmt
End Year Balance	$102,594,063	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$90,703,126	BeginningYearBalanceAmt
Contributions	$262,589	ContributionsAmt
Investment Earnings Or Losses	$6,502,830	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$7,615	GrantsOrScholarshipsAmt
Other Expenditures	$2,860,097	OtherExpendituresAmt
End Year Balance	$94,600,833	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,260,855	BeginningYearBalanceAmt
Contributions	$344,252	ContributionsAmt
Investment Earnings Or Losses	-$1,885,276	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,000	GrantsOrScholarshipsAmt
Other Expenditures	$2,747,357	OtherExpendituresAmt
End Year Balance	$89,966,474	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,950,842	OtherCostOrOtherBasisAmt
Book Value	$100,950,842	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,584,648,607	OtherCostOrOtherBasisAmt
Depreciation	$866,697,082	DepreciationAmt
Book Value	$717,951,525	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$417,104,623	OtherCostOrOtherBasisAmt
Depreciation	$134,047,348	DepreciationAmt
Book Value	$283,057,275	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,558,124,859	OtherCostOrOtherBasisAmt
Depreciation	$1,249,587,966	DepreciationAmt
Book Value	$308,536,893	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,639,605	OtherCostOrOtherBasisAmt
Depreciation	$21,655,167	DepreciationAmt
Book Value	$81,984,438	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,492,480,973	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH AND CASH EQUIVALENTS	$140,523,336	F
MONEY MARKET COLLECTIVE FUND	$87,592,273	F
FIXED INCOME	$1,158,546,279	F
SHORT-TERM FIXED INCOME	$550,663	F
EQUITY SECURITIES	$415,752,965	F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	$731,378,173	F
INVESTMENTS IN JOINT VENTURES	$95,172,083	F
REAL RETURN MUTUAL FUNDS	$154,015,636	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,783,531,408	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$151,699,875
NET PENSION LIABILITY	$11,600,540
DEFERRED COMPENSATION	$20,456,366
INSURANCE CLAIMS PAYABLE	$3,621,123
MN CARE TAX PAYABLE	$18,407,092
CAPITALIZED LEASE OBLIGATIONS	$236,820,880
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN	$65,990,380

Field	Value	IRS element (for citing)
Total Liability	$508,596,256	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EDUCATION AND RESEARCH CHARITY AND INDIGENT CARE PURCHASE OF PLANT ASSETS BUILDINGS AND EQUIPMENT PATIENT CARE OTHER
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 $2,320 AND $2,696 IN 2019 AND 2018, RESPECTIVELY. AS OF DECEMBER 31,2019 AND 2018, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $ 47,845 AND $48,966, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $34,302 AND $34,509, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $824 AND $897, RESPECTIVELY, RESULTING FROM JOINT VENTURE INVESTMENTS AND EMPLOYEE COMPENSATION AND BENEFITS. AS OF DECEMBER 31, 2019 AND 2018, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $95,780 AND $102,589, RESPECTIVELY, FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2029 WITH $1,389 HAVING AN INDEFINITE CARRYOVER PERIOD. 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, 2019 AND 2018, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2015 TO 2018 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
FORM 990, SCHEDULE D, PART V	THE 2019 ENDOWMENT FUND BALANCE FOR ALLINA HEALTH SYSTEM INCLUDES THE UNITED HOSPITAL FOUNDATION ENDOWMENTS. THE 2016 ENDOWMENT FUND BALANCES FOR UNITED HOSPITAL FOUNDATION CHANGED DUE TO ADDITIONAL FUNDS THAT MEET THE FINANCIAL STATEMENT REPORTING REQUIREMENT THUS AFFECTING THE ALLINA HEALTH SYSTEM 2016, 2017, 2018 AND 2019 BALANCES. IN ORDER TO BE CONSISTENT WITH THE PRESENTATION OF THE 2019 AUDITED FINANCIAL STATEMENTS, ENDOWMENTS ARE BEING INCLUDED IN SCHEDULE D, PART V OF THE FORM 990 FOR THE CURRENT YEAR. THIS AMOUNT IS EQUAL TO $ 1,123,915.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	$296,137,063
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS	$30,707,953

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$326,845,016	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$326,845,016	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,442,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,442,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$68,309,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,309,888	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$54,943,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,943,813	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,695,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$146,695,787	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	136	ActivitiesOrProgramsCnt
Persons Served	2900848	PersonsServedCnt
Total Community Benefit Expns	$14,496,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,674,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,821,552	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	7326	PersonsServedCnt
Total Community Benefit Expns	$30,509,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,431,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,077,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	105	PersonsServedCnt
Total Community Benefit Expns	$11,991,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,982,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	17050	PersonsServedCnt
Total Community Benefit Expns	$4,163,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,163,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	68	ActivitiesOrProgramsCnt
Persons Served	423673	PersonsServedCnt
Total Community Benefit Expns	$5,431,358	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$177,608	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,253,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	257	ActivitiesOrProgramsCnt
Persons Served	3349002	PersonsServedCnt
Total Community Benefit Expns	$66,592,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,293,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,299,287	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	257	ActivitiesOrProgramsCnt
Persons Served	3349002	PersonsServedCnt
Total Community Benefit Expns	$213,288,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,293,070	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$201,995,074	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1230	PersonsServedCnt
Total Community Benefit Expns	$6,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,588	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	890	PersonsServedCnt
Total Community Benefit Expns	$72,556	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,556	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	60	PersonsServedCnt
Total Community Benefit Expns	$1,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,888	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1700	PersonsServedCnt
Total Community Benefit Expns	$62,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	661	PersonsServedCnt
Total Community Benefit Expns	$115,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,457	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	4541	PersonsServedCnt
Total Community Benefit Expns	$258,860	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$258,860	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$58,363,836	BadDebtExpenseAmt
Reimbursed By Medicare	$686,268,315	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$713,226,155	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,957,840	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (10 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MOBILE IMAGING SERVICES LLC
DIAGNOSTIC IMAGING	0.50000	0.50000
2 MAGNETO LEASING LLC
EQUIPMENT LEASING	0.50000	0.50000
3 SUBURBAN IMAGING LLC
OUTPATIENT RADIOLOGY SERVICES	0.50000	0.50000
4 APPLE VALLEY BUILDING ASSOCIATES LLC
BUILDING	0.50000	0.50000
5 CROSBY CARDIOVASCULAR SERVICES LLC
CARDIOLOGY DIAGNOSTIC SERVICES	0.50000	0.50000
6 NORTHSTAR SLEEP CENTER LLC
SLEEP MEDICINE	0.49000	0.51000
7 GERIATRIC SERVICES OF MINNESOTA LLC
LONG TERM CARE FOR THE ELDERLY	0.50000	0.50000
9 HEALTHCARE CAMPUS IMAGING ONE LLC
DIAGNOSTIC IMAGING	0.50000	0.25000
10 REHAB ONE CENTER LLC
REHABILITATION SERVICES	0.34600	0.48700
11 PET EQUIPMENT LEASING LLC
EQUIPMENT LEASING	0.25000	0.25000

Field	Value	IRS element (for citing)
Hospital Facilities	11	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (11 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
ABBOTT NORTHWESTERN HOSPITAL
1	800 E 28TH STREET	MINNEAPOLIS	MN	55407	HTTP://WWW.ALLINAHEALTH.ORG/ABBOTT-NO	385390	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MERCY HOSPITAL
2	4050 COON RAPIDS BLVD	COON RAPIDS	MN	55433	HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOS	385123	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	INCLUDING MERCY HOSPITAL - UNITY CAMPUS
UNITED HOSPITAL
3	333 NORTH SMITH AVENUE	ST PAUL	MN	55102	HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HO	384993	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BUFFALO HOSPITAL
4	303 CATLIN STREET	BUFFALO	MN	55313	HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-H	385336	Yes (X)	Yes (X)			Yes (X)	A
NEW ULM MEDICAL CENTER
5	1324 FIFTH NORTH STREET	NEW ULM	MN	56073	HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-M	384708	Yes (X)	Yes (X)			Yes (X)	A		Yes (X)
CAMBRIDGE MEDICAL CENTER
6	701 S DELLWOOD STREET	CAMBRIDGE	MN	55008	HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE	384707	Yes (X)	Yes (X)			Yes (X)	A
REGINA HOSPITAL
7	1175 NININGER ROAD	HASTINGS	MN	55033	HTTP://WWW.ALLINAHEALTH.ORG/REGINA-HO	384506	Yes (X)	Yes (X)			Yes (X)	A
OWATONNA HOSPITAL
8	903 S OAK AVE	OWATONNA	MN	55060	HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA-	384920	Yes (X)	Yes (X)			Yes (X)	A
DISTRICT ONE HOSPITAL
9	200 STATE AVENUE	FARIBAULT	MN	54022	HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT-	384658	Yes (X)	Yes (X)			Yes (X)	A
RIVER FALLS AREA HOSPITAL
10	1629 EAST DIVISION STREET	RIVER FALLS	WI	55404	HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FAL	1054	Yes (X)	Yes (X)			Yes (X)	A		Yes (X)
PHILLIPS EYE INSTITUTE
11	2215 PARK AVENUE	MINNEAPOLIS	MN	55021	HTTP://WWW.ALLINAHEALTH.ORG/PHILLIPS-	384214	Yes (X)			Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (70 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: MERCY HOSPITAL, - FACILITY 3: UNITED HOSPITAL, - FACILITY 4: BUFFALO HOSPITAL, - FACILITY 5: NEW ULM MEDICAL CENTER, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: REGINA HOSPITAL, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: DISTRICT ONE HOSPITAL, - FACILITY 10: RIVER FALLS AREA HOSPITAL, - FACILITY 11: PHILLIPS EYE INSTITUTE
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): PHILLIPS EYE INSTITUTE LEGALLY MERGED INTO ABBOTT NORTHWESTERN HOSPITAL ON 10/1/2019. ABBOTT NORTHWESTERN HOSPITAL DEVELOPED ITS CHNA WITH THE MINNEAPOLIS, HENNEPIN COUNTY AND BLOOMINGTON PUBLIC HEALTH DEPARTMENTS, WHICH WERE SIMULTANEOUSLY DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN FOR HENNEPIN COUNTY. THESE ENTITIES AND 50 NONPROFIT AND GOVERNMENT REPRESENTATIVES REVIEWED HOSPITAL, STATE AND LOCAL DATA AND CONDUCTED 23 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING VARIOUS CULTURAL GROUPS, BUSINESS AND ORGANIZATIONS. ABBOTT NORTHWESTERN IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. STAFF THEN CONDUCTED 10 KEY INFORMANT INTERVIEWS WITH STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS SUCH AS AN ADVOCACY ORGANIZATION SERVING LOCAL BUSINESSES, A FEDERALLY-QUALIFIED HEALTH CENTER, A HOUSING PROVIDER FOR PEOPLE LIVING WITH HIV/AIDS AND THE LOCAL PARKS SYSTEM, AMONG OTHERS, TO UPDATE ITS UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM. IN ADDITION, A LOCAL PUBLIC AFFAIRS CONSULTANT INTERVIEWED 25 HEALTH AND CIVIC LEADERS TO EXPLORE THEIR PERCEPTIONS OF HEALTH, HEALTHCARE, PUBLIC HEALTH AND THE HOSPITAL.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: REDUCE OVERWEIGHT AND OBESITY BY IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS.IN 2019, ABBOTT NORTHWESTERN HOSPITAL (ANW) WORKED TO IMPROVE THE NUTRITION AND PHYSICAL ACTIVITY OPPORTUNITIES FOR THE RESIDENTS LIVING IN HENNEPIN COUNTY BY FOCUSING EFFORTS ON POPULATIONS THAT ARE FACING DISPARITIES. THE HOSPITAL WORKED WITH A LOCAL NON-PROFIT, THE SHERIDAN STORY, TO ENSURE THAT 175 CHILDREN AT A NEARBY ELEMENTARY SCHOOL HAD ONGOING ACCESS TO HEALTHY FOOD THROUGH THE WEEKEND FOOD BACKPACK PROGRAM. WE ALSO FUNDED AND WORKED CLOSELY WITH THE BACKYARD COMMUNITY HEALTH HUB AS THEY IMPLEMENTED WEEKLY DIABETES EDUCATION, YOGA AND HEALTHY EATING EDUCATION TO RESIDENTS LIVING IN THE PHILLIPS NEIGHBORHOOD. WE ALSO SENT OUR PHYSICIANS AND STAFF OUT INTO COMMUNITY TO PROVIDE HEALTH EDUCATION, INCLUDING AT THE MILL CITY FARMERS MARKET AND AT THE EBENEZER SENIOR LIVING COMPLEX. TO ENCOURAGE PHYSICAL ACTIVITY IN THE COMMUNITY, WE CONTINUED TO FUND AND IMPLEMENT PROGRAMS AIMED AT GETTING KIDS ON BIKES, ONTO CROSS-COUNTRY SKIIS, ACTIVE IN THEIR LOCAL PARK PROGRAMS AND USING ADAPTIVE EQUIPMENT. GOAL 2: PROMOTE MENTAL HEALTH BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND PROVIDE OPPORTUNITIES FOR INCREASED SOCIAL CONNECTIONS.ANW CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR CHANGE TO CHILL PROGRAM BEING IMPLEMENTED IN AT LEAST 8 HIGH SCHOOLS IN HENNEPIN COUNTY. ANW'S SCHOOL DISTRICT PARTNERS ARE USING THE ONLINE CURRICULUM WITH STUDENTS, TEACHERS, COACHES, CLUBS, SCHOOL-BASED MENTAL HEALTH CARE PROVIDERS AND OTHER COMMUNITY GROUPS.ANW STAFF ALSO CONTINUE TO CO-CHAIR THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP). CHIP IS A COLLECTIVE OF COMMUNITY PARTNERS, NON-PROFITS, HEALTHCARE PROVIDERS AND PUBLIC HEALTH WORKING TOGETHER TO ADDRESS WAYS TO IMPROVE THE MENTAL WELLBEING OF COMMUNITY, AND DETERMINE HOW TO RESPOND TO THE GROWING HOUSING CRISIS TAKING PART IN OUR COUNTY. THE FOCUS OF HENNEPIN COUNTY CHIP'S MENTAL WELLBEING WORK HAS MOVED TOWARDS THE PROMOTION OF SOCIAL CONNECTIONS AMONGST HENNEPIN COUNTY RESIDENTS BY FOCUSING ON CREATING AWARENESS ABOUT THE IMPORTANCE OF BEING TRAUMA-INFORMED WHEN INTERACTING WITH THE MOST VULNERABLE MEMBERS OF THE COMMUNITY. GOAL 3: IMPROVE GENERAL POPULATION HEALTH BY INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES.DURING THE CREATION OF THE 2017-2019 CHNA, ONE THING ANW STAFF HEARD LOUD AND CLEAR WAS THAT PEOPLE WERE NOT ACCESSING THE HOSPITAL AS MUCH AS THEY WOULD LIKE BECAUSE THE FACILITY WAS TOO CONFUSING TO NAVIGATE. IN 2019, ANW ADDED AN INTERNAL WAYFINDING APP WHICH PROVIDES VISITORS AND THE PUBLIC WITH STEP-BY-STEP DIRECTIONS TO HELP THEM ACCESS THE SERVICES THEY NEED. ANW STAFF HAS ALSO BEEN WORKING WITH COMMUNITY-BASED HEALTHCARE PARTNERS AND NEARBY FEDERALLY-QUALIFIED HEALTHCARE CENTERS TO IDENTIFY OPPORTUNITIES FOR COLLABORATION TO PROVIDE HEALTH SERVICES IN COMMUNITY. ONGOING PARTNERSHIPS AND COLLABORATIONS WITH OUR NEARBY FEDERALLY-QUALIFIED HEALTHCARE CLINICS HAS BEEN ESSENTIAL TO ENSURING THAT THESE CLINICS HAVE THE ABILITY TO PROVIDE COMMUNITY-BASED SERVICES TO RESIDENTS WHO MIGHT OTHERWISE NOT BE SEEKING NON-EMERGENT HEALTHCARE. ANW STAFF HAVE ALSO CONTINUED TO PARTNER WITH LOCAL GOVERNMENTS TO REDUCE BARRIERS TO TRANSPORTATION BY ACTIVELY ADVOCATING FOR THE METRO BLUE LINE EXTENSION LIGHT RAIL PROJECT IN THE NORTHWEST METRO, PARTNERING WITH METRO TRANSIT TO EXPAND TRANSIT ACCESS IN THE PHILLIPS NEIGHBORHOOD AND IMPROVING THE CHICAGO-LAKE TRANSIT STATION.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA AND RESPONSES FROM INTERVIEWS WITH 14 COMMUNITY LEADERS AND DATA FROM 857 RESIDENT-RESPONSES ON A 2018 ANOKA COUNTY COMMUNITY HEALTH SURVEY. MERCY HOSPITAL IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES, MERCY CONDUCTED COMMUNITY DIALOGUES WITH 64 PEOPLE REPRESENTING THE WEST AFRICAN COMMUNITY, THE ANOKA COUNTY HEAD START POLICY COUNCIL, ALEXANDRA HOUSE DOMESTIC AND SEXUAL ASSAULT CENTER AND THE NORTHWEST COMMUNITY HEALTH ADVISORY COUNCIL.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:MERCY HOSPITAL: GOAL 1: PROMOTE MENTAL HEALTH AND WELLNESS SERVICES FOR INDIVIDUALS, YOUTH AND FAMILIES IN OUR COMMUNITIES.TO ADVOCATE AND PARTNER WITH COMMUNITIES TO DEVELOP A COMPREHENSIVE AND RELIABLE CONTINUUM OF MENTAL HEALTH AND ADDICTION CARE, MERCY HOSPITAL PRIORITIZED CHARITABLE GIVING TO ORGANIZATIONS THAT PROMOTE MENTAL HEALTH SERVICES OR AWARENESS. 2019 CONTRIBUTIONS WERE MADE TO THE ANOKA MENTAL HEALTH WELLNESS CAMPAIGN, LEE CARLSON CENTER, TOUCHSTONE MENTAL HEALTH, & MN MILITARY FAMILIES. ALLINA HEALTH'S MENTAL HEALTH CLINICAL SERVICE LINE STAFF PARTNERED WITH ANOKA COUNTY PUBLIC HEALTH AND COMMUNITY MENTAL HEALTH PROVIDERS TO IDENTIFY GAPS IN THE COMMUNITY'S INFRASTRUCTURE. A COMMON PROVIDER NETWORK WAS ESTABLISHED TO TIMELY ACCESS NEEDED CARE APPOINTMENTS. ADDITIONALLY, THE NW MENTAL HEALTH ROUNDTABLE WAS ESTABLISHED AND CO-CHAIRED BY SARA CRIGER (MERCY PRESIDENT), RHONDA SIVARAJAH (ANOKA CO BOARD CHAIR) AND DONNA ZIMMERMAN (HEALTH PARTNERS). WORK GROUPS HAVE BEEN FORMED TO ADDRESS: 1) EFFECTIVE COMMUNICATION AND CONNECTIONS ACROSS SERVICES/STAKEHOLDERS, 2) BETTER PUBLIC INFORMATION AND COMMUNICATION ABOUT RESOURCES, 3) IMPROVED RESOURCING AND FUNDING, AND 4) ASSURING A CONTINUUM OF SERVICES - INCLUDING CRISIS SERVICES - FOR THOSE IN NEED. FINALLY, WORKING GROUP THAT INCLUDES VARIOUS COMMUNITY STAKEHOLDERS AND PARTNERS WAS ESTABLISHED IN 2019 TO ADVANCE COMMUNITY EDUCATION AROUND EDUCATION ON MENTAL HEALTH AND ADDICTION AND STIGMA REDUCTION. THE HOSPITAL ALSO PARTNERED WITH THE ANOKA HENNEPIN SCHOOL DISTRICT TO DEVELOP, PROMOTE AND IMPROVE ACCESS TO COMMUNITY AND SCHOOL-BASED ACTIVITIES THAT ADDRESS ADOLESCENT MENTAL HEALTH AND RESILIENCY. KEY 2019 INITIATIVES INCLUDE BRINGING THE CHANGE TO CHILL INITIATIVES AND TOOLS TO COON RAPIDS, FRIDLEY AND BLAINE HIGH SCHOOLS. ADDITIONALLY, ANOKA COUNTY AND MERCY HOSPITAL CREATED A PARTNERSHIP TO COMPLETE A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AND EXAMINE TEEN MENTAL HEALTH NEEDS/ISSUES. ALSO, COMMUNITY VERSION OF MAKE IT OK CAMPAIGN WAS SUCCESSFULLY OFFERED TO 10 FAITH COMMUNITY NURSES.GOAL 2: PROMOTE EVIDENCE-BASED STRATEGIES FOR PREVENTION, DETECTION, TREATMENT AND MANAGEMENT OF CHRONIC DISEASE32 COMMUNITY HEALTH SCREENINGS (20 FOR ADULTS, 12 FOR ADOLESCENTS) WERE HELD IN THE COMMUNITY. THESE PROVIDED OPPORTUNITIES TO PRESENT HEALTH EDUCATION TO COMMUNITY MEMBERS THAT ARE MORE DIFFICULT TO REACH, IN ADDITION TO PROVIDING SCREENINGS. IN TOTAL, 1,610 PEOPLE WERE SERVED AT THE HEALTH SCREENINGS. MERCY'S FAITH COMMUNITY NURSE (FCN) PROGRAM PARTNERED WITH 35 FAITH COMMUNITIES TO OFFER ASSISTANCE IN HEALTHY PROGRAMMING THAT INCLUDES DISEASE PREVENTION AND EMPOWERING INDIVIDUALS AND CONGREGATIONS TO TAKE CHARGE OF THEIR OWN HEALTH. FCNS FOLLOW PEOPLE AFTER A HOSPITALIZATION AND ASSIST IN MONITORING THEIR CARE PLAN IN ORDER TO PREVENT READMISSIONS. TO PROVIDE EDUCATIONAL OPPORTUNITIES ON THE HEALTH IMPACTS OF VIOLENCE, MERCY CONTINUED ITS ONGOING PARTNERSHIP WITH THE ALEXANDRA HOUSE TO ASSIST SURVIVORS OF DOMESTIC VIOLENCE. ADDITIONALLY, OVER 1,000 COMMUNITY MEMBERS AND ALLINA HEALTH EMPLOYEES WERE REACHED BY EDUCATIONAL PROGRAMS ON THE IMPACT OF VIOLENCE ON HEALTH AND ITS PREVENTION, INCLUDING PROVIDING A DOMESTIC VIOLENCE ADVOCATE TRAINING TO TWO HOSPITALS, AND PARTNERING WITH ANOKA ELDER ABUSE INITIATIVE TO PROVIDE ELDER ABUSE EDUCATION TO THE PUBLIC AND STAFF. AN ADDITIONAL 300 COMMUNITY MEMBERS AND ALLINA HEALTH EMPLOYEES RECEIVED ADVERSE CHILDHOOD EVENT EDUCATION OFFERED THROUGH THE FAITH COMMUNITY NURSES PROGRAM. MERCY HOSPITAL WORKED WITH THE WEST AFRICAN POPULATION AND THE LIBERIAN HEALTH INITIATIVE TO OFFER HEALTH EDUCATION AND HEALTH SCREENINGS IN THEIR COMMUNITIES. ADDITIONALLY, HEALTH SCREENINGS & EDUCATION FOR THE UNDERSERVED WERE OFFERED THROUGH OUR STEPPING STONE FREE CLINIC (MONTHLY) AND THE COMMUNITY FAMILY TABLE (WEEKLY AND INCLUDES FOOD OFFERINGS).IN 2019, CHARITABLE GIVING RELATED TO THIS GOAL INCLUDED CHARITABLE CONTRIBUTIONS TO STEPPING STONE HOMELESS SHELTER, NORTH METRO PEDIATRICS, THE YMCA AND COMMUNITY EMERGENCY ASSISTANCE PROGRAM. GOAL 3: IMPROVE AND/OR MAINTAIN THE HEALTH OF SENIORS IN OUR COMMUNITIES (IN TERMS OF FUNCTIONAL, PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL HEALTH).THROUGH WORK WITH OUR 35 FAITH COMMUNITY PARTNER NURSES, MAAA, THE YMCA AND MERCY TRAUMA DEPARTMENT OFFERED FALLS-PREVENTION EDUCATION AND TRAINING. CLASSES OFFERED INCLUDED "STEPPING ON", "MATTER OF BALANCE AND "TAI JI QUAN: MOVING FOR BETTER BALANCE AND WERE ATTENDED BY 160 MEMBERS IN THE COMMUNITY. ADDITIONAL WORK IN THIS AREA INCLUDED THE PROVISION OF THE "GATHERING", A FAITH-BASED VOLUNTEER RESPITE PROGRAM PROVIDED IN COLLABORATION WITH ANOKA COUNTY FAMILY CAREGIVER CONNECTION, TO 200 PARTICIPANTS. THERE ARE SIX GATHERING SITES WHICH PROVIDE EDUCATION, SUPPORT AND REFERRAL TO 24/7 CAREGIVERS. CARE RECIPIENTS RECEIVE COMPANION CARE AND SOCIALIZATION PROVIDED BY TRAINED VOLUNTEERS FROM FAITH COMMUNITIES. ADDITIONALLY, MERCY HOSPITAL PROMOTED FOOD SECURITY PROGRAMS THROUGH THE "FAMILY TABLE" WHICH PROVIDES MEALS THROUGHOUT ANOKA COUNTY. OUR FCNP RN PROVIDES PERSONAL HEALTH COUNSELING & EDUCATION TO 250 MEMBERS OF THE COMMUNITY THAT ARE THE WORKING POOR, OR UNEMPLOYED, MANY HAVE MENTAL HEALTH ISSUES AND DO NOT HAVE MUCH SOCIAL SUPPORT. FREE SCREENINGS ARE PROVIDED THROUGHOUT THE YEAR, APPROPRIATE REFERRALS ARE MADE TO OTHER AGENCIES, ACCESS TO HEALTH CARE IS PROVIDED. ADVANCE CARE PLANNING AND "HONORING CHOICES" WAS OFFERED IN 2019 THROUGH SPECIFICALLY TRAINED PARISH NURSES TO 50 COMMUNITY MEMBERS.FINALLY, TO INCREASE AWARENESS OF, AND ACCESS TO, MENTAL HEALTH AND ADDICTION SERVICES FOR SENIORS THE NW MERCY HOSPITAL CONTINUED PARTICIPATING IN MENTAL HEALTH ROUNDTABLE; OBJECTIVES INCLUDE DEVELOPMENT OF STRATEGIES TO ADDRESS SENIOR MENTAL HEALTH.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: UNITED HOSPITAL WORKED WITH THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE ST. PAUL-RAMSEY COUNTY STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP) COMMUNITY LEADERSHIP TEAM TO COMPLETE ITS CHNA. MEMBERSHIP IN THESE GROUPS INCLUDED OTHER LOCAL HEALTH CARE SYSTEMS, LOCAL PUBLIC HEALTH, COMMUNITY RESIDENTS AND STAFF FROM LOCAL UNIVERSITIES AND SOCIAL SERVICE AGENCIES. THE CHNA WAS INFLUENCED BY OTHER ORGANIZATIONS' DATA REVIEW AND COMMUNITY ENGAGEMENT ACTIVITIES. AS PART OF THESE GROUPS, UNITED HOSPITAL'S STAFF REVIEWED HOSPITAL, STATE AND LOCAL DATA AND FEEDBACK FROM 2,100 RAMSEY, WASHINGTON OR DAKOTA COUNTY RESIDENTS WHO SHARED THEIR PERSPECTIVES VIA A SURVEY CONDUCTED BY THE CCH EAST METRO CHNA COLLABORATIVE. THE HOSPITAL'S 2020-2022 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED HOSPITAL STAFF ATTENDED COMMUNITY DIALOGUES FACILITATED BY LOCAL PARTNERS AND ATTENDED BY APPROXIMATELY 60 COMMUNITY RESIDENTS INCLUDING PUBLIC HOUSING RESIDENTS, HALF-WAY HOUSE RESIDENTS, INDIVIDUALS EXPERIENCING HOMELESSNESS, SENIORS, PEOPLE WITH CRIMINAL RECORDS AND COMMUNITY ACTIVISTS. STAFF ALSO PARTICIPATED IN RAMSEY COUNTY EAST METRO MENTAL HEALTH CRISIS ALLIANCE MEETINGS AND CONDUCTED INTERVIEWS WITH SIX REPRESENTATIVES FROM HEALTH, PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:UNITED HOSPITAL: GOAL 1: IMPROVE MENTAL HEALTH AND WELL-BEING OF TEENS, ADULTS AND SENIORS IN RAMSEY COUNTY.UNITED CONTINUED SUPPORTING THE EAST METRO MENTAL HEALTH CRISIS ALLIANCE WITH REGULAR PARTICIPATION IN AND CHARITABLE CONTRIBUTIONS IN SUPPORT OF THE EAST METRO MENTAL HEALTH CRISES ALLIANCE AND THE EAST METRO MENTAL HEALTH ROUNDTABLE. CHARITABLE CONTRIBUTIONS WERE MADE TO MINNESOTA COMMUNITY CARE (FOR SCHOOL-BASED, MENTAL-HEALTH PROGRAMS), YMCA (DOWNTOWN ST. PAUL, FOR MENTAL HEALTH SERVICES, YOGA, MINDFULNESS EDUCATION AND OTHER SIMILAR WORK), KIDS N KINSHIP, AND SEVERAL OTHER SIMILAR MENTAL HEALTH SERVICE PROVIDERS.IN 2019, UNITED HOSPITAL DEVELOPED NEW AND/OR DEEPENED PARTNERSHIPS WITH CATHOLIC CHARITIES, YOUTH SERVICES BUREAU, FAMILYMEANS, WOODBURY THRIVES (INCLUDING ANNUAL CHARITABLE SUPPORT OF FAMILY MEALTIME PROGRAM IN WOODBURY SCHOOLS), STILLWATER WASHINGTON COUNTY CONNECT, FOREST LAKE AREA PARTNERSHIP FOR FAMILIES, AND OTHER SIMILAR COMMUNITY-BASED MENTAL-HEALTH SERVICE PROVIDERS.UNITED COLLABORATED WITH THE ST. PAUL PUBLIC HOUSING AGENCY ON MENTAL WELLNESS IN SEVERAL WAYS, INCLUDING TRAINING AND SUPPORT IN PILOTING A SIX-WEEK BOUNCE BACK PROJECT FOR YOUTH. THE HOSPITAL ALSO PROVIDED CHANGE TO CHILL TRAININGS AND TOOLS TO NUMEROUS COMMUNITY PARTNERS, INCLUDING PUBLIC SCHOOL SYSTEMS AND COUNTY PUBLIC HEALTH DEPARTMENTS IN WASHINGTON, RAMSEY AND DAKOTA COUNTIES; PROVIDED CHANGE TO CHILL TRAININGS, MATERIALS AND TOOLS TO NUMEROUS COMMUNITY-BASED HEALTH INITIATIVES, INCLUDING WOODBURY THRIVES, FOREST LAKE HEALTH UP!, AND OTHER SIMILAR COMMUNITY PARTNERS AND COMMUNITY-BASED, MENTAL HEALTH WELL-BEING INITIATIVES.TO INCREASE AWARENESS OF MENTAL HEALTH CONDITIONS AND ELIMINATE STIGMA AROUND MENTAL HEALTH CONDITIONS, UNITED CONTINUED TO PARTICIPATE IN CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION WORK GROUP AND RELATED METRO-WIDE MENTAL HEALTH STIGMA ELIMINATION INITIATIVES INCLUDING:- WORKING TO DEVELOP NEW "COLLECTIVE ACTION FOR COMMUNITY IMPACT" INITIATIVE RELATED TO SOCIAL CONNECTEDNESS.- PROMOTION OF THE MAKE IT OKAY PROGRAM (REDUCING STIGMA RELATED TO MENTAL HEALTH ISSUES);- PROMOTION OF, SUPPORT OF TRAININGS, AND DIRECT PROGRAM OFFERINGS OF MENTAL HEALTH FIRST AID KIT;- PROMOTION OF COMMUNITY TRAININGS FOR PSYCHOLOGICAL FIRST AID AND QPR (QUESTION, PERSUADE, REFER) PROGRAMS. ADDITIONALLY, IN 2019 THE HOSPITAL PROVIDED FINANCIAL AND VOLUNTEER SUPPORT FOR DEPRESSION SCREENING FOR ALL FOREST LAKE AREA SCHOOL'S NINTH AND TENTH GRADERS. GOAL 2. DECREASE THE PERCENTAGE OF THE POPULATION WHO IS OVERWEIGHT OR OBESE.UNITED HOSPITAL PROMOTED EMPLOYEE-LED VOLUNTEER OPPORTUNITIES RELATED TO PROMOTING HEALTHY EATING, INCLUDING OPPORTUNITIES TO DELIVER HEALTH POWERED KIDS MATERIALS IN THE COMMUNITY. ADDITIONALLY, THE HOSPITAL COLLABORATED WITH HIGHLAND PARK CLINIC AND HIGHLAND CATHOLIC SCHOOL TO HOST A WALK TO SCHOOL EVENT ON OCTOBER 2. HEALTH POWERED KIDS MATERIALS WERE DISTRIBUTED AT THE EVENT.GOAL 3. INCREASE PERCENTAGE OF POPULATION WITH ACCESS TO HEALTHY FOOD.IN 2019, UNITED HOSPITAL HOSTED A HEALTHY FOOD DRIVE IN SUPPORT OF THE FOOD GROUP. CHARITABLE CONTRIBUTIONS WERE MADE TO FROGTOWN FARMS, ST. PAUL PUBLIC SCHOOLS FOR SCHOOL GARDENS, HEALTHY EATING EDUCATION, AND HEALTHY MEALS. UNITED HOSPITAL ALSO PARTNERED WITH RAMSEY COUNTY PUBLIC HEALTH TO DEVELOP THEIR NEW "SCREEN AND REFER" INITIATIVE HELPING LOW-INCOME FAMILIES ADDRESS FOOD INSECURITY. CHARITABLE CONTRIBUTIONS WERE MADE TO URBAN ROOTS, INTERFAITH ACTION OF GREATER ST. PAUL, OPEN ARMS; ASSISTING RAMSEY COUNTY IN DEVELOPING PROPOSAL FOR CHARITABLE CONTRIBUTION REQUEST IN SUPPORT OF THEIR NEW SCREENING/REFERRAL INITIATIVE. THE HOSPITAL CONTINUED TO SUPPORT TWIN CITIES MOBILE MARKET AND KEYSTONE SERVICES FOOD BANKS WITH ONGOING CHARITABLE CONTRIBUTIONS AND PROMOTING VOLUNTEER OPPORTUNITIES AT THESE PARTNER ORGANIZATIONS.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2018 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY TO WHICH 2,039 PEOPLE RESPONDED. ADDITIONALLY, MEMBERS TALKED TO COMMUNITY MEMBERS AT WRIGHT COUNTY FAIR IN JULY 2018. FINALLY, WCCHC CONDUCTED KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS WITH 150 RESIDENTS AND REPRESENTATIVES FROM 40 COMMUNITY ORGANIZATIONS, INCLUDING SENIORS, LOW-INCOME FAMILIES, REPRESENTATIVES FROM RACIAL/ETHNIC MINORITY POPULATIONS, AND ORGANIZATIONS SERVING PEOPLE LIVING ON LESS TO UNDERSTAND THE COMMUNITY'S PERSPECTIVE ON IDENTIFIED PRIORITIES.
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:BUFFALO HOSPITAL: GOAL 1: SUPPORT MENTAL WELLNESS IN WRIGHT COUNTY BY IDENTIFYING AND EXPANDING THE OFFERING OF COMMUNITY MENTAL AND BEHAVIORAL HEALTH AND WELLNESS RESOURCES AND STRENGTHENING SOCIAL CONNECTIONS AND RELATIONSHIPS.TO ACTIVELY ENGAGE PROVIDERS IN PUBLIC DISCUSSIONS AROUND MENTAL HEALTH TOPICS TO DECREASE STIGMA, BUFFALO HOSPITAL CONTINUED TO HOST MONTHLY MDH MENTAL WELL-BEING AND RESILIENCE LEARNING COMMUNITY WEBINAR SERIES-FACILITATED ON-SITE AND VIA WEBINAR. COMMUNITY MEMBERS AND LEADERS WERE INVITED TO PARTICIPATE AND DISCUSS MENTAL HEALTH AND WELLNESS RESOURCES AND ISSUES IN OUR COMMUNITY. IN 2019, BUFFALO HOSPITAL ALSO BECAME AN ACTIVE MEMBER OF MENTAL HEALTH ADVISORY COUNCIL. BUFFALO HOSPITAL WAS THE HOST SITE FOR MONTHLY MENTAL HEALTH MEETINGS, WHICH INCLUDED REPRESENTATIVES FROM ALLINA MENTAL HEALTH SERVICE LINE, EMERGENCY DEPARTMENT, COMMUNITY ENGAGEMENT, CARE MANAGEMENT, WRIGHT COUNTY HEALTH AND HUMAN SERVICES, LOCAL AND COUNTY LAW ENFORCEMENT, CENTRAL MN MENTAL HEALTH AND OTHERS AS APPROPRIATE.TO STRENGTHEN COLLABORATION AND LINK THE POPULATION TO AVAILABLE RESOURCES IN THE COMMUNITY, BUFFALO PROVIDED CHARITABLE CONTRIBUTION SUPPORT TO LOCAL INITIATIVES ADDRESSING MENTAL HEALTH ISSUES AND PARTNERED WITH LOCAL AND NATIONAL SUICIDE PREVENTION AND MENTAL HEALTH ORGANIZATIONS. THESE INCLUDED ATOZ AND SAVE. BUFFALO ALSO HOSTED THE "MENTAL WELLNESS AND ADDICTION: BEYOND STIGMA" EVENT IN PARTNERSHIP WITH SAVE. ADDITIONALLY, BUFFALO HOSPITAL CONTINUED TO WORK CLOSELY WITH COMMUNITY PARTNERS TO EXPAND ITS BOUNCE BACK PROGRAM INITIATIVE THROUGHOUT THE COMMUNITY. BOUNCE BACK IS A COMMUNITY-WIDE PROGRAM IN THE WRIGHT COUNTY AREA THAT PROMOTES HEALTH THROUGH HAPPINESS WITH A VARIETY OF TOOLS AND EVENTS INCLUDING RANDOM ACTS OF KINDNESS, SOCIAL CONNECTIONS, AND GRATITUDE LETTERS. BOUNCE BACK PROGRAM EXPANDED IN 2019 AND WAS PILOTED USING THREE GRASS ROOTS COMMUNITY TEAMS IN BUFFALO, ANNANDALE AND COKATO. IN 2019, 4,713 PARTICIPANTS WERE REACHED LOCALLY THROUGH IN-SCHOOL BOUNCE BACK PROGRAM OFFERINGS, ONE TIME PRESENTATIONS AND TRAIN-THE-TRAINER SESSIONS. THE CHANGE TO CHILL INITIATIVE WAS ROLLED OUT IN BUFFALO AND MONTICELLO HIGH SCHOOLS AND CONTINUED PARTNERSHIP WITH MAPLE LAKE HIGH SCHOOL. THE ROLL-OUT INCLUDED FINANCIAL AND OTHER RESOURCES TO HELP STUDENTS DEAL WITH STRESS AND ANXIETY ISSUES. FINALLY, BUFFALO CONTINUED TO PARTNER WITH AND SUPPORTED THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING IN PROVIDING ALTERNATIVE INTEGRATIVE CARE AT BUFFALO HOSPITAL TO PROMOTE A VARIETY OF MENTAL WELLNESS OPTIONS SUCH AS MINDFULNESS CLASSES. PGIHH PROGRAMS HAVE BEEN INCLUDED IN THE COMMUNITY WELLNESS OFFERINGS BROCHURE THAT IS SENT OUT TO HOUSEHOLDS, VARIOUS COMMUNITY GROUPS AND ORGANIZATIONS AS WELL AS PCPS IN AND AROUND THE WRIGHT COUNTY AREA. THEIR OFFERINGS ARE INCLUDED IN LOCAL COMMUNITY EDUCATION PUBLICATIONS. GOAL 2. REDUCE OR MAINTAIN THE LEVEL OF OBESITY AND INCREASE PHYSICAL ACTIVITY AMONG THE POPULATION OF WRIGHT COUNTY THROUGH EDUCATIONAL PROGRAMMING, ACTIVITIES AND POLICIES THAT PROMOTE AND SUPPORT HEALTHY LIFESTYLE.BUFFALO CONTINUED IMPLEMENTATION OF EVIDENCE-BASED AND ALLINA-DEVELOPED WELLNESS PROGRAMMING, AND WELLNESS COACHING ON-SITE, AT THE HOSPITAL AND VIA TELEPHONE. EVIDENCE-BASED CLASSES OFFERED IN 2019 INCLUDE HEALTHY EATING FOR BETTER HEALTH CLASSES FOR THE COMMUNITY (TWO 4 WEEK CLASSES IN 2019), DIABETES PREVENTION PROGRAM (THREE GROUPS OFFERED IN 2019 - ONE YEAR LONG COURSE), LET'S TALK WELLNESS CLASSES, AND GROCERY STORE TOURS. COOKING DEMOS WERE PART OF THE HEALTHY EATING FOR BETTER HEALTH AND LET'S TALK WELLNESS CURRICULUM. THE HOSPITAL REACHED ALMOST 2,000 PEOPLE WITH THESE OFFERINGS IN JUST 2019. ADDITIONALLY, THE HOSPITAL IMPLEMENTED THEIR FIRST PHYSICIAN REFERRAL PILOT FOR TWO OFFERINGS - DIABETES PREVENTION PROGRAM AND LIVING WELL WITH CHRONIC PAIN PROGRAM. A DIRECT MAIL COMMUNICATION PROCESS WAS DEVELOPED WITH THE QUALIFYING PATIENT POPULATION. IN 2019, THE HOSPITAL HAD SUCCESSFUL ENROLLMENT AND ADDED ONE ADDITIONAL CLASS FOR EACH OFFERING.THE HOSPITAL WORKED WITH SCHOOLS AND COMMUNITY ORGANIZATIONS (E.G. ECFE AND TIMBERBAY) TO PROVIDE SUPPORT AND EDUCATION TO MINORS AND PARENTS GROUPS AROUND HEALTHY CHOICES AND PHYSICAL ACTIVITY. IN COLLABORATION WITH TEACHERS AND LOCAL CHEFS, HANDS-ON COOKING CLASSES WERE TAUGHT VIA FAMILY DINNER NIGHTS HELD AT THE PHOENIX LEARNING CENTER. A 16-WEEK YOGA AND MINDFULNESS COURSE WAS ALSO OFFERED AT THE PHOENIX LEARNING CENTER. BUFFALO PARTNERED WITH FARE FOR ALL, LOCAL FARMERS MARKETS, GROCERY STORES, LOCAL FOOD SELVES AND WRIGHT COUNTY CROW RIVER FOOD COUNCIL AROUND ACCESSIBILITY TO HEALTHY FOOD AT AFFORDABLE COST AND ADDRESSING FOOD INSECURITIES. IN 2019, 2,386 FAMILIES WERE SERVED AT THE BUFFALO FARE FOR ALL EVENTS. THE ALLINA HEALTH BUCKS PROGRAM SERVED 232 FAMILIES WITH $2,320 WORTH OF PRODUCE PURCHASED. THE 'BUCKS' ARE USED JUST LIKE CASH, AND ARE GIVEN BY ALLINA HEALTH DOCTORS, CARE MANAGERS AND PUBLIC HEALTH NURSES TO PATIENTS WHO ARE FOOD INSECURE. $8,410 IN CHARITABLE CONTRIBUTIONS WAS PROVIDED TO ALL AREA FOOD SHELVES AND FARMERS MARKET POP PROGRAMS. GOAL 3. SUPPORT COMMUNITY ACCESS TO CLINICAL AND NON-CLINICAL SERVICES IN WRIGHT COUNTY BY ENGAGING PROVIDERS AND COMMUNITY PARTNERS IN COLLABORATIVE NETWORK AND RESOURCE SHARING.TO CREATE OPTIONS FOR PATIENTS UNABLE TO ACCESS SERVICES DUE TO TRANSPORTATION CONCERNS, BUFFALO HAS WORKED CLOSELY WITH COMMUNITY PARTNERS, LOVEINC AND WRIGHT COUNTY COMMUNITY ACTION, WHO PROVIDE VOLUNTEER DRIVERS FOR MEMBER OF THE COMMUNITY WHO ARE UNABLE TO ACCESS CARE DUE TO TRANSPORTATION CONCERNS. THE ALLINA HEALTH CLINIC ON WHEELS BEGAN THIS YEAR TO PROVIDE CLINIC VISITS IN AREAS OF THE COUNTY WHERE COMMUNITY MEMBERS HAVE LIMITED ACCESS TO A CLINIC IN THEIR COMMUNITY. ADDITIONALLY, TO SUPPORT ORGANIZATIONS WHOSE PRIMARY FOCUS IS IMPROVING ACCESS TO HEALTHCARE, BUFFALO MADE CHARITABLE CONTRIBUTIONS TO WCCA FOR EMERGENCY FOOD BOXES AND BEGAN STOCKING THOSE FOOD BOXES IN ALLINA HEALTH CLINICS IN THE WRIGHT COUNTY AREA AND THE BUFFALO HOSPITAL EMERGENCY DEPARTMENT. FINALLY, BUFFALO IS WORKING WITH COMMUNITY PARTNERS TO INCREASE THE AVAILABILITY OF RESOURCES THAT PROMOTE WELLNESS OUTSIDE OF THE HOSPITAL CLINICAL SETTING. EXAMPLE PROJECTS INCLUDE GIRL'S SUPPORT GROUP TO SUPPORT MENTAL WELLNESS AMONG AT RISK TEENS AT PHOENIX LEARNING CENTER AND BUFFALO HIGH SCHOOL PARTNERING WITH VARIOUS LOCAL EXPERTS TO LEAD A TOPIC AND LOCAL CHEFS TO HELP GIRLS PREP A MEAL. THE BOUNCE BACK PROJECT AND CHANGE TO CHILL PROGRAMS HAVE BEEN PROVIDED IN NUMEROUS LOCAL SCHOOLS AND THROUGHOUT THE BUFFALO HOSPITAL SERVICE AREA.
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 4 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH TO COMPLETE ITS CHNA TO ENGAGE REPRESENTATIVES FROM 15 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA, SUCH AS THE 2016 BROWN COUNTY COMMUNITY HEALTH SURVEY. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. TO GAIN COMMUNITY MEMBERS' PERSPECTIVES ON THESE PRIORITIES, THE MEDICAL CENTER HOSTED TWO COMMUNITY DIALOGUES IN OCTOBER 2018 THAT WERE ATTENDED BY 32 PEOPLE REPRESENTING 18 BROWN COUNTY ORGANIZATIONS SUCH AS EARLY CHILDHOOD FAMILY EDUCATION (ECFE), LOCAL FAITH COMMUNITIES, BROWN COUNTY UNITED WAY, NEW ULM PARK AND REC AND PUBLIC SCHOOLS, AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:NEW ULM MEDICAL CENTER:GOAL 1: SUPPORT EDUCATIONAL PROGRAMS, ACTIVITIES AND POLICIES THAT HELP INDIVIDUALS INCREASE ACCESS TO PHYSICAL ACTIVITY AND HEALTHFUL FOODS, ASWELL AS SUPPORT EATING WELL AND ACTIVE LIVING.IN 2019, NEW ULM MEDICAL CENTER PROVIDED QUARTERLY WORKPLACE WELLNESSTRAININGS, AS FOLLOWS:- JANUARY: SMART GOAL SETTING- APRIL: COURAGEOUS CONVERSATIONS- JULY: WELLNESS CULTURENEW ULM MEDICAL CENTER CONTINUED TO MAINTAIN AND SUPPORT THE COALITION FOR ACTIVE, SAFE AND HEALTHY STREETS AND THE SAFE ROUTES TO SCHOOL ACTION TEAMS TO MAKE IMPROVEMENTS TO THE BUILT ENVIRONMENT IN NEW ULM BY DECEMBER2019. NUMC HELPED TO PROMOTE SAFETY STUDY IN LOCAL NEIGHBORHOODS TO IMPROVE FUNCTIONALITY OF THE ROADS FOR SAFE WALKING AND BIKING PRACTICES(FOR EXAMPLE, NEW ROUNDABOUT WAS INSTALLED BECAUSE OF THE STUDY). HEART OF NEW ULM (HONU) LEADERSHIP TEAM CONTINUED TO EXPAND THE RESTAURANT RECOGNITION PROGRAM AND MAKE IT SUSTAINABLE BY THE ACTION TEAM. IN 2019, THE GROUP ASSESSED 15 RESTAURANTS IN THE NEW RECOGNITION PROGRAM. EIGHT RESTAURANTS PASSED THE ASSESSMENT WITH THE GOLD AND SILVER STATUS.ADDITIONALLY, HONU CONTINUED TO PROMOTE COMMUNITY GARDENING. COMMUNITY GARDEN WAS NEARLY FULL IN 2019 WITH 74 PLOTS RENTED. LARGE COMPOST BIN, A NEW SHED, RAISED BEDS, BIKE FIX-IT STATION WERE ADDED AND ABOUT 450 POUNDS OF FOOD WERE DONATED TO THE FOOD SHELF.ADDITIONALLY, IN PARTNERSHIP WITH THE COMMUNITY CENTER, NEW ULM OFFERED TEN STEPPING ON FALLS-PREVENTION CLASSES TO 124 PARTICIPANTS AND NEW ULM MEDICAL CENTER OFFERED COOKING CLASSES AT BRIDGE ON CENTER, NUMAS HOUSE, SUNSET APARTMENTS AND MRCI. GOAL 2. REDUCE THE BURDEN OF MENTAL HEALTH BY REDUCING STIGMA, IMPROVING EARLY IDENTIFICATION AND OFFERING RESILIENCY PROGRAMMING FOCUSED ON MENTAL HEALTH CONDITIONS.-CONTINUED COLLABORATING WITH LOCAL SHIP AND PUBLIC HEALTH DEPARTMENT ON MAKE IT OK CAMPAIGN. BILLBOARD IN OCTOBER, DOCUMENTARY SHARED INFORMATION WITH PARTNERS, LETTER TO THE EDITOR FROM THE ACTION TEAM.-BROWN COUNTY LOCAL ADVISORY COUNCIL ON MENTAL HEALTH OFFERS MONTHLY BROWN BAG LUNCHEONS ON MENTAL HEALTH TOPICS.-NUMC OFFERS MONTHLY SUPPORT GROUPS (PARKINSON'S SUPPORT, LOSS OF LOVEDONE, CANCER SUPPORT)-NUMC CONTINUED OFFERING AND PROMOTING CHANGE TO CHILL PROGRAM. IN 2019,NEW ULM HIGH SCHOOL, SPRINGFIELD HIGH SCHOOL AND SLEEPY EYE HIGH SCHOOL PARTICIPATED IN THE CHANGE TO CHILL SCHOOL PARTNERSHIP. GOAL 3. SUPPORT EDUCATIONAL PROGRAMS, ACTIVITIES AND POLICIES THAT INCREASES AWARENESS REGARDING ADDICTION AND USE OF LEGAL AND ILLEGAL SUBSTANCE USE.-THE FOLLOWING INDUSTRIES REQUESTED AND RECEIVED THE AMERICAN LUNG TOBACCO FREE WORKSITE TOOLKIT BOOKS FROM SHIP: UVERA, FIRMENICH, WINDINGS, MLC, CHRISTENSEN FARMS, CITY OF NEW ULM, UNITED FARMERS CO-OP.-NEW ULM MEDICAL CENTER CURRENTLY SUPPORTS THE UNDERAGE SUBSTANCE ABUSE COALITION (USAC) TO INCREASE AWARENESS OF ALCOHOL AND TOBACCO USE AMONG YOUTH.-TOBACCO 21 ORDINANCE WAS PASSED IN DECEMBER 2019.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 5 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE MEMBERS REVIEWED PATIENT, STATE AND LOCAL DATA AND RESULTS FROM THE EAST CENTRAL REGIONAL SURVEY TO SELECT THEIR 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, THE MAPP COMMITTEE CONDUCTED A ROOT CAUSE ANALYSIS AND DEVELOPED A CONVERSATION IN A BOX GUIDE THAT THE COMMUNITY GROUPS USED TO FACILITATE 13 DIALOGUES WITH A TOTAL OF 150 CLIENTS AND CONSTITUENTS FROM LOCAL SCHOOLS, SENIORS, THE LOCAL CHAMBER OF COMMERCE, EARLY CHILDHOOD PROGRAMS, SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMS AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS. AN ADDITIONAL 36 PEOPLE PROVIDED INPUT THROUGH AN ONLINE SURVEY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE MEMBERS REVIEWED PATIENT, STATE AND LOCAL DATA AND RESULTS FROM THE EAST CENTRAL REGIONAL SURVEY TO SELECT THEIR 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, THE MAPP COMMITTEE CONDUCTED A ROOT CAUSE ANALYSIS AND DEVELOPED A CONVERSATION IN A BOX GUIDE THAT THE COMMUNITY GROUPS USED TO FACILITATE 13 DIALOGUES WITH A TOTAL OF 150 CLIENTS AND CONSTITUENTS FROM LOCAL SCHOOLS, SENIORS, THE LOCAL CHAMBER OF COMMERCE, EARLY CHILDHOOD PROGRAMS, SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMS AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS. AN ADDITIONAL 36 PEOPLE PROVIDED INPUT THROUGH AN ONLINE SURVEY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:CAMBRIDGE MEDICAL CENTER: GOAL 1: IMPROVE MENTAL HEALTH AND WELLNESS FOR COMMUNITY THROUGH INCREASED ACCESS TO CARE, PROGRAMS AND SERVICESIN ADDITION TO IMPLEMENTING THE CHANGE TO CHILL SCHOOL PARTNERSHIP IN BRAHAM AREA HIGH SCHOOL, CAMBRIDGE MEDICAL CENTER CONTINUED WORKING WITH MIDDLE AND HIGH-SCHOOL STUDENTS IN THE COMMUNITY THROUGH THE IN-PERSON CHANGE TO CHILL LEAD A SERIES-CURRICULUM. ADDITIONALLY, THE MEDICAL CENTER PROMOTED HEALTHY COPING SKILL-BUILDING AMONG ADULTS AND YOUTH BY PROVIDING PRESENTATIONS AND TRAINING TO SCHOOL DISTRICT NURSES, STUDENTS, CAREGIVER GROUPS, LOCAL COMMUNITY GROUPS AND BUSINESSES. 1,160 ADULTS AND YOUTH WERE REACHED THROUGH THESE INITIATIVES. ADDITIONAL WELLNESS CLASSES AND EVENTS OFFERED TO THE COMMUNITY INCLUDE STRESS 101 SERIES AND ANTI-STIGMA EVENTS OFFERED THROUGHOUT THE YEAR. GOAL 2. INCREASE AWARENESS AMONG COMMUNITY MEMBERS OF ALL AGES ABOUT THE NEGATIVE HEALTH IMPACTS OF USE OF TOBACCO/E-CIGARETTES, ALCOHOL AND OTHER DRUGS.THROUGH A PARTNERSHIP BETWEEN CAMBRIDGE INTERMEDIATE SCHOOL AND CAMBRIDGE MEDICAL CENTER, FIFTH-GRADE STUDENTS CONTINUED TO TAKE PART IN AN INTERACTIVE CURRICULUM, TAR WARS, FOCUSED ON THE DANGERS OF SMOKING. THROUGH THE TAR WARS CURRICULUM, STUDENTS ARE TAUGHT ABOUT THE POWER OF ADVERTISING AND THE NEED FOR TOBACCO COMPANIES TO DESIGN ADS THAT ATTRACT A WIDE VARIETY OF PEOPLE. A SIMILAR CURRICULUM, TOBACCO 101, WAS PROVIDED TO LOCAL MIDDLE- AND HIGH-SCHOOL STUDENTS THROUGHOUT THE YEAR. ALLINA PATIENT EDUCATION MATERIALS ON TOBACCO CESSATION/PREVENTION WERE PROVIDED TO LOCAL EMPLOYEE GROUPS. CAMBRIDGE MEDICAL CENTER ALSO SUPPORTED DRUG TAKE BACK DAY IN APRIL THAT COLLECTED OVER 70 POUNDS OF UNUSED PRESCRIPTION DRUGS THROUGHOUT ISANTI COUNTY. CMC PROVIDED CAMBRIDGE-ISANTI AND BRAHAM PUBLIC SCHOOLS, CAMBRIDGE CHRISTIAN SCHOOL AND THE ARTS AND SCIENCE ACADEMY WITH UP TO DATE INFORMATION ABOUT THE DANGERS OF ELECTRONIC CIGARETTES AND VAPING. ADDITIONALLY, INFORMATION ON DANGERS OF VAPING WAS PROVIDED THROUGH COFFEE CHATS AND LUNCH-N-LEARNS.TO DECREASE YOUTH ACCESS TO TOBACCO, IN 2019 CMC SUCCESSFULLY COLLABORATED WITH THE ISANTI COUNTY SUBSTANCE ABUSE PREVENTION AND RECOVER COALITION TO PASS TOBACCO 21 ORDINANCE IN ISANTI COUNTY. GOAL 3. IMPROVE HEALTHY EATING AND ACTIVE LIVING IN COMMUNITIES SERVED BY CAMBRIDGE MEDICAL CENTER.CAMBRIDGE MEDICAL CENTER CONTINUED TO OFFER ITS 16-WEEK PREVENT TYPE 2 (T2) DIABETES PROGRAM. FROM FEBRUARY THROUGH JUNE, SEVEN COMMUNITY MEMBERS PARTICIPATED IN THIS PROGRAM AND LOST A TOTAL OF 51 POUNDS. EXAMPLES OF ADDITIONAL HEALTHY EATING AND ACTIVE LIVING CLASSES OFFERED TO CAMBRIDGE MEDICAL CENTER COMMUNITY MEMBERS IN 2019 INCLUDE:- CHARITABLE CONTRIBUTION AND FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS AND INITIATIVES PROMOTING HEALTHY EATING AND PHYSICAL ACTIVITY (TOTAL OF $13,950)- LET'S TALK WELLNESS HEALTHY EATING SESSION OFFERED TO 100 GRACEPOINT CROSSING EMPLOYEES;- VARIOUS HEALTHY EATING PRESENTATIONS TO LOCAL EMPLOYEE GROUPS;- MEMORY CAF AND NORTH BRANCH COMMUNITY GARDEN PRESENTATIONS ON NUTRITION.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:REGINA HOSPITAL: REGINA HOSPITAL DEVELOPED ITS CHNA AS PART OF THE DAKOTA COUNTY PUBLIC HEALTH'S HEALTHY DAKOTA INITIATIVE, THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE HASTINGS EQUITY AND INCLUSION COMMITTEE. MEMBERS OF THE HEALTHY DAKOTA INITIATIVE REVIEWED STATE AND LOCAL DATA RESOURCES AND SURVEY RESPONSES FROM 1,244 RESIDENTS AND 46 ORGANIZATIONAL ASSESSMENTS. ADDITIONALLY, THEY CONDUCTED LISTENING SESSIONS WITH COMMUNITY REPRESENTATIVES FROM SOCIAL SERVICE AGENCIES, HOUSING ORGANIZATIONS AND LEGAL AND MENTAL HEALTH SERVICES. BASED ON THE DATA REVIEW, THE HEALTHY DAKOTA INITIATIVE STEERING COMMITTEE SELECTED 19 HEALTH PRIORITIES. REGINA STAFF NARROWED THE LIST BY REVIEWING ALLINA HEALTH PATIENT DATA AND HOLDING THREE DIALOGUES WITH MEMBERS OF THE HASTINGS EQUITY AND INCLUSION COMMITTEE. THIS GROUP INCLUDES REGINA HOSPITAL AND 50 OTHER MEMBERS, INCLUDING COMMUNITY RESIDENTS, BUSINESS OWNERS AND REPRESENTATIVES FROM GOVERNMENT AND NONPROFIT ORGANIZATIONS. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES AND GATHER IDEAS FOR ADDRESSING THEM, REGINA STAFF INTERVIEWED REPRESENTATIVES FROM FIVE COMMUNITY ORGANIZATIONS SUCH AS LOCAL SOCIAL SERVICE AGENCIES AND THE LOCAL HIGH SCHOOL AND SENIOR CENTER.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:REGINA HOSPITAL: GOAL 1: IMPROVE MENTAL WELL-BEING OF TEENS, ADULTS AND SENIORS IN DAKOTA COUNTY.REGINA CONTINUED SUPPORTING HASTINGS HIGH SCHOOL WITH ANNUAL CHARITABLE CONTRIBUTIONS TO ITS HASTINGS HIGH SCHOOL PEER HELPERS PROGRAM, CHANGE TO CHILL MATERIALS, CHANGE TO CHILL SCHOOL PARTNERSHIP AND SIMILAR OPPORTUNITIES. CHANGE TO CHILL TRAININGS AND TOOLS WERE ALSO OFFERED TO NUMEROUS COMMUNITY PARTNERS, INCLUDING PUBLIC SCHOOL SYSTEMS AND COUNTY PUBLIC HEALTH DEPARTMENTS. REGINA HOSPITAL CONTINUED ITS' PARTNERSHIP WITH DAKOTA COUNTY PUBLIC HEALTH RELATED TO THEIR WORK ON MENTAL HEALTH AND ELIMINATING STIGMA IN THE COMMUNITY. REGINA PROMOTED MENTAL HEALTH FIRST AID OFFERINGS AND MAKE IT OK CAMPAIGN TRAININGS AND WORKSHOPS IN THE COMMUNITY. IN EARLY 2019, IN PARTNERSHIP WITH REGINA'S GRACE UNIT CODE GREEN FACILITATOR AND/OR ALLINA SECURITY TEAM, PROVIDED DE-ESCALATION TRAINING TO HASTINGS FAMILY SERVICES. REGINA HOSPITAL ALSO CONTINUED TO PARTICIPATE IN AND MAKE CHARITABLE CONTRIBUTIONS TO THE EAST METRO MENTAL HEALTH CRISES ALLIANCE AND THE EAST METRO MENTAL HEALTH ROUNDTABLE.GOAL 2. DECREASE THE PERCENTAGE OF THE POPULATION WHO IS OVERWEIGHT OR OBESE.ONE PRIMARY OBJECTIVE UNDER THIS GOAL IS TO IMPROVE ACCESS TO HEALTHY FOOD THROUGH CHARITABLE CONTRIBUTIONS, EMPLOYEE VOLUNTEER OPPORTUNITIES AND INNOVATIVE COMMUNITY PARTNERSHIPS. IN 2019, THIS WORK WAS ADVANCED BY:- PROMOTING AND MANAGING COMMUNITY GARDENS ON REGINA HOSPITAL CAMPUS, INCLUDING DISTRIBUTION OF HEALTHY RECIPES AND OPPORTUNITIES TO EXCHANGE HEALTHY COOKING IDEAS.- CHARITABLE CONTRIBUTIONS TO PRESCOTT FOOD PANTRY.- PROMOTING VOLUNTEER OPPORTUNITIES IN SUPPORT OF LOCAL FOOD SHELVES AND COMMUNITY NUTRITION INITIATIVES, INCLUDING OPPORTUNITIES WITH MARKETCART WHO DISTRIBUTES FOOD TO AREA SENIOR-LIVING APARTMENTS.GOAL 3. BROADEN THE ARRAY OF PROGRAMS AND SERVICES AVAILABLE TO SUPPORT THE AGING CONTINUUM.THE OBJECTIVE FOR THIS GOAL IS TO IMPROVE AVAILABILITY AND COMMUNITY AWARENESS OF PROGRAMS AVAILABLE TO THE AGING POPULATION AND CARE PROVIDERS. ACTIVITIES IN 2019 INCLUDED:- PROVIDED CHARITABLE CONTRIBUTION IN SUPPORT OF ORGANIZATIONS SERVING AGING POPULATION.- CONTINUED PARTICIPATION IN THE HASTINGS TRANSPORTATION OPTION ADVISORY BOARD. - PARTNERED WITH HASTINGS COMMUNITY CENTER IN SUPPORT OF FURTHER DEVELOPING PROGRAMS FOR AGING INDIVIDUALS, NAMELY HONORING CHOICES.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2019 CHNA ACTIVITIES.MENTAL HEALTH- OWATONNA GOAL 1: INCREASE KNOWLEDGE OF SYMPTOMS, TREATMENTS AND RESOURCES FOR MENTAL HEALTH AND ADDICTION CONDITIONS AND REDUCE SOCIAL STIGMA OF MENTAL HEALTH AND ADDICTION ISSUES.OWATONNA AND DISTRICT ONE HOSPITALS SUPPORTED YOUTH-LED MENTAL HEALTH ACTIVITIES THAT FOCUS ON BUILDING ASSETS, INCLUDING PARTICIPATING IN THE FARIBAULT YOUTH INVESTMENT (FYI) ADVISORY COUNCIL AND PROVIDING CHANGE TO CHILL SCHOOL PARTNERSHIP RESILIENCY PROGRAMMING, STAFF TRAINING AND FUNDING TO NORTHFIELD HIGH SCHOOL IN NORTHFIELD, MN. BOTH HOSPITALS ALSO CONTINUED TO ACTIVELY PARTICIPATE IN LOCAL MENTAL AND CHEMICAL HEALTH COALITIONS INCLUDING THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION ADVISORY COMMITTEE AND THE STEELE COUNTY SAFE AND DRUG FREE COMMUNITY BOARD. ADDITIONALLY, STAFF PARTNERED WITH STEELE COUNTY PUBLIC HEALTH, RICE COUNTY PUBLIC HEALTH AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION TO CREATE THE HEALTH AND HAPPINESS PROJECT. THIS PROJECT IS A FREE MENTAL WELLNESS AND RESILIENCY INITIATIVE THAT WILL PROVIDE A MULTICULTURAL TOOLKIT WITH WELL-BEING ACTIVITIES SUCH AS GRATITUDE, MINDFULNESS AND SELF-CARE. IN PARTNERSHIP WITH HYVEE PHARMACY, THE HOSPITALS SUPPORTED SEVERAL COMMUNITY PRESENTATIONS ON NARCAN USE AND OPIATE OVERDOSE PREVENTION AND PARTNERED WITH SEVERAL AREA NON-PROFITS, LOCAL PUBLIC HEALTH AND LAW ENFORCEMENT, IN THE DEVELOPMENT OF THE RICE COUNTY MOBILE OPIATE SUPPORT TEAM (MOST) PROGRAM.FINALLY, TO INCREASE ACCESS TO HEALTHCARE, HOSPITAL STAFF ADVOCATED FOR POLICIES AIMED AT INCREASING MENTAL HEALTH AND SUBSTANCE USE SERVICES AND ACCESS TO CARE, AND CONTINUED TO PROVIDE SIGNIFICANT CHARITABLE CONTRIBUTIONS, GRANTS AND IN-KIND SUPPORT TO SAFETY NET PROVIDERS (HEALTHFINDERS, CLINIC OF STEELE COUNTY AND CENTER CLINIC).GOAL 2 (SHARED): IMPROVE THE HEALTH, FUNCTION AND QUALITY OF LIFE FOR OLDER ADULTS AGES 50 AND OLDER.DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL CONTINUED THEIR COMPREHENSIVE ADVANCED CARE PLANNING INITIATIVE, HONORING CHOICES OF FARIBAULT AND OWATONNA. THIS INITIATIVE INCLUDES A FULL-TIME COORDINATOR AND ADVISORY COUNCIL OF 12 COMMUNITY LEADERS AND IS FOCUSED ON ENGAGING OLDER ADULTS IN COMPLETING THEIR HEALTH CARE DIRECTIVES. IN 2019, MORE THAN 20 VOLUNTEER FACILITATORS WERE TRAINED IN ADVANCED CARE PLANNING, INCLUDING BILINGUAL/MULTI-CULTURAL STAFF. MORE THAN 50 COMMUNITY OUTREACH EVENTS WERE OFFERED. THROUGH THE HONORING CHOICES INITIATIVE, MORE THAN 100 HEALTH CARE DIRECTIVES ARE COMPLETED ANNUALLY. THE HOSPITALS ALSO PROVIDED FINANCIAL SUPPORT TO HEALTHFINDERS AND GROWING UP HEALTHY WHO REGULARLY HOST COMMUNITY CONNECTIONS/LEARNING GROUPS WITH DIVERSE GROUPS, INCLUDING ELDERLY COMMUNITIES OF COLOR. FINALLY, THE HOSPITALS ARE ACTIVE PARTICIPANTS AND/OR LEADERS IN NORTHFIELD ELDER CARE ADVISORY, THE RECENTLY DEVELOPED COMMUNITY CARE COORDINATION ADVISORY COUNCIL (OWATONNA/STEELE COUNTY) AND THE HEALTH CARE SUMMIT (FARIBAULT/RICE COUNTY), BOTH OF WHICH WORK ON ADDRESSING HEALTHY AGING AND CHRONIC DISEASE MANAGEMENT, INCLUDING SUPPORTING THE GROWING AGING POPULATION AND ASSESSING/SUPPORTING CARE COORDINATION AND SOCIAL DETERMINANTS OF HEALTH TO ADDRESS ACCESS ISSUES, TRANSPORTATION AND LIMITED FINANCIAL RESOURCES.OWATONNA GOAL 3: INCREASE KNOWLEDGE OF AND ADHERENCE TO EVIDENCE-BASED COMMUNITY RESOURCES RELATED TO THE PREVENTION AND SELF-MANAGEMENT OF CHRONIC DISEASES; SUPPORT POLICY, SYSTEM AND ENVIRONMENTAL CHANGES AIMED AT THE PREVENTION OF CHRONIC DISEASES.HOSPITAL STAFF CONTINUE TO WORK TO PREVENT CHRONIC DISEASE BY ACTIVELY CONTRIBUTING TO AND PARTICIPATING IN COMMUNITY COALITIONS AND PARTNERSHIPS RELATED TO HEALTHY EATING AND ACTIVE LIVING SUCH AS THE STEELE COUNTY HEALTHY EATING WORKGROUP AND BOTH THE RICE COUNTY & STEELE COUNTY STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAMS AND WORKSITE WELLNESS COALITIONS. HOSPITAL STAFF WERE ALSO INVOLVED WITH AREA CHAMBERS OF COMMERCE AT VARIOUS LEVELS FROM ATTENDING PUBLIC EVENTS TO BOARD OF DIRECTORS MEMBERSHIP.THE HOSPITALS CONTINUED THEIR WORK AROUND FOOD INSECURITY INCLUDING: PROVIDING SUPPLEMENTAL SNACKS FOR PATIENTS, VISITORS AND COMMUNITY MEMBERS EXPERIENCING HUNGER; OFFERING $10,000 ANNUALLY IN ALLINA HEALTH BUCKS, WHICH MAKE HEALTHY, LOCALLY-GROWN FOODS MORE ACCESSIBLE AND AFFORDABLE; OFFERING DISCOUNT COUPONS FOR FOOD PROGRAMS SUCH AS FARE FOR ALL AND LOCAL CSAS TO COMMUNITY MEMBERS; CONDUCTING A HEALTHY FOODS DRIVE AND CHARITABLE GIVING TO LOCAL FOOD SHELVES. THE HOSPITALS ALSO WORKED TO IMPROVE INFANT HEALTH BY SUPPORTING LOCAL BREASTFEEDING-FRIENDLY POLICIES, NETWORKS AND PROGRAMS SUCH AS THE OWATONNA HOSPITAL BABY CAF, WHICH OPENED IN 2018.TO INCREASE ACCESS TO CARE AND REDUCE COMMUNITY HEALTH-RELATED SOCIAL NEEDS, FARIBAULT AND NORTHFIELD CLINICS PILOTED A TWO-WAY REFERRAL PROCESS IN 2019 WITH HEALTHFINDERS COLLABORATIVE, A LOCAL COMMUNITY-BASED ORGANIZATION. THIS WORK WAS FUNDED BY A 2018 GRANT FROM THE UCARE FOUNDATION OF MINNESOTA. CLINIC STAFF REFERRED HIGH-RISK ACCOUNTABLE HEALTH COMMUNITIES PATIENTS TO HEALTHFINDERS COLLABORATIVE, WHOSE CULTURALLY-CONNECTED COMMUNITY HEALTH WORKERS HELP PATIENTS NAVIGATE COMMUNITY SERVICES. FROM JUNE 1, 2019 THROUGH JANUARY 1, 2020, 58 PATIENTS WERE REFERRED TO HEALTHFINDERS COLLABORATIVE THROUGH THIS PROJECT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2019 CHNA ACTIVITIES.MENTAL HEALTHDISTRICT ONE GOAL 1: IMPROVE ACCESS TO QUALITY, COMPREHENSIVE MENTAL HEALTH AND ADDICTION CARE AND SERVICES; REDUCE SOCIAL STIGMA OF MENTAL HEALTH AND ADDICTION.OWATONNA AND DISTRICT ONE HOSPITALS SUPPORTED YOUTH-LED MENTAL HEALTH ACTIVITIES THAT FOCUS ON BUILDING ASSETS, INCLUDING PARTICIPATING IN THE FARIBAULT YOUTH INVESTMENT (FYI) ADVISORY COUNCIL AND PROVIDING CHANGE TO CHILL SCHOOL PARTNERSHIP RESILIENCY PROGRAMMING, STAFF TRAINING AND FUNDING TO NORTHFIELD HIGH SCHOOL IN NORTHFIELD, MN. BOTH HOSPITALS ALSO CONTINUED TO ACTIVELY PARTICIPATE IN LOCAL MENTAL AND CHEMICAL HEALTH COALITIONS INCLUDING THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION ADVISORY COMMITTEE AND THE STEELE COUNTY SAFE AND DRUG FREE COMMUNITY BOARD. ADDITIONALLY, STAFF PARTNERED WITH STEELE COUNTY PUBLIC HEALTH, RICE COUNTY PUBLIC HEALTH AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION TO CREATE THE HEALTH AND HAPPINESS PROJECT. THIS PROJECT IS A FREE MENTAL WELLNESS AND RESILIENCY INITIATIVE THAT WILL PROVIDE A MULTICULTURAL TOOLKIT WITH WELL-BEING ACTIVITIES SUCH AS GRATITUDE, MINDFULNESS AND SELF-CARE. IN PARTNERSHIP WITH HYVEE PHARMACY, THE HOSPITALS SUPPORTED SEVERAL COMMUNITY PRESENTATIONS ON NARCAN USE AND OPIATE OVERDOSE PREVENTION AND PARTNERED WITH SEVERAL AREA NON-PROFITS, LOCAL PUBLIC HEALTH AND LAW ENFORCEMENT, IN THE DEVELOPMENT OF THE RICE COUNTY MOBILE OPIATE SUPPORT TEAM (MOST) PROGRAM.FINALLY, TO INCREASE ACCESS TO HEALTHCARE, HOSPITAL STAFF ADVOCATED FOR POLICIES AIMED AT INCREASING MENTAL HEALTH AND SUBSTANCE USE SERVICES AND ACCESS TO CARE, AND CONTINUED TO PROVIDE SIGNIFICANT CHARITABLE CONTRIBUTIONS, GRANTS AND IN-KIND SUPPORT TO SAFETY NET PROVIDERS (HEALTHFINDERS, CLINIC OF STEELE COUNTY AND CENTER CLINIC).GOAL 2 (SHARED): IMPROVE THE HEALTH, FUNCTION AND QUALITY OF LIFE FOR OLDER ADULTS AGES 50 AND OLDER.DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL CONTINUED THEIR COMPREHENSIVE ADVANCED CARE PLANNING INITIATIVE, HONORING CHOICES OF FARIBAULT AND OWATONNA. THIS INITIATIVE INCLUDES A FULL-TIME COORDINATOR AND ADVISORY COUNCIL OF 12 COMMUNITY LEADERS AND IS FOCUSED ON ENGAGING OLDER ADULTS IN COMPLETING THEIR HEALTH CARE DIRECTIVES. IN 2019, MORE THAN 20 VOLUNTEER FACILITATORS WERE TRAINED IN ADVANCED CARE PLANNING, INCLUDING BILINGUAL/MULTI-CULTURAL STAFF. MORE THAN 50 COMMUNITY OUTREACH EVENTS WERE OFFERED. THROUGH THE HONORING CHOICES INITIATIVE, MORE THAN 100 HEALTH CARE DIRECTIVES ARE COMPLETED ANNUALLY. THE HOSPITALS ALSO PROVIDED FINANCIAL SUPPORT TO HEALTHFINDERS AND GROWING UP HEALTHY WHO REGULARLY HOST COMMUNITY CONNECTIONS/LEARNING GROUPS WITH DIVERSE GROUPS, INCLUDING ELDERLY COMMUNITIES OF COLOR. FINALLY, THE HOSPITALS ARE ACTIVE PARTICIPANTS AND/OR LEADERS IN NORTHFIELD ELDER CARE ADVISORY, THE RECENTLY DEVELOPED COMMUNITY CARE COORDINATION ADVISORY COUNCIL (OWATONNA/STEELE COUNTY) AND THE HEALTH CARE SUMMIT (FARIBAULT/RICE COUNTY), BOTH OF WHICH WORK ON ADDRESSING HEALTHY AGING AND CHRONIC DISEASE MANAGEMENT, INCLUDING SUPPORTING THE GROWING AGING POPULATION AND ASSESSING/SUPPORTING CARE COORDINATION AND SOCIAL DETERMINANTS OF HEALTH TO ADDRESS ACCESS ISSUES, TRANSPORTATION AND LIMITED FINANCIAL RESOURCES.DISTRICT ONE GOAL 3: IMPROVE HEALTH CARE ACCESS AND POPULATION HEALTH BY LINKING CLINICAL CARE WITH COMMUNITY PREVENTION AND SUPPORTING POLICY, SYSTEM AND ENVIRONMENTAL CHANGES AIMED AT THE PREVENTION OF CHRONIC DISEASE.HOSPITAL STAFF CONTINUE TO WORK TO PREVENT CHRONIC DISEASE BY ACTIVELY CONTRIBUTING TO AND PARTICIPATING IN COMMUNITY COALITIONS AND PARTNERSHIPS RELATED TO HEALTHY EATING AND ACTIVE LIVING SUCH AS THE STEELE COUNTY HEALTHY EATING WORKGROUP AND BOTH THE RICE COUNTY & STEELE COUNTY STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAMS AND WORKSITE WELLNESS COALITIONS. HOSPITAL STAFF WERE ALSO INVOLVED WITH AREA CHAMBERS OF COMMERCE AT VARIOUS LEVELS FROM ATTENDING PUBLIC EVENTS TO BOARD OF DIRECTORS MEMBERSHIP.THE HOSPITALS CONTINUED THEIR WORK AROUND FOOD INSECURITY INCLUDING: PROVIDING SUPPLEMENTAL SNACKS FOR PATIENTS, VISITORS AND COMMUNITY MEMBERS EXPERIENCING HUNGER; OFFERING $10,000 ANNUALLY IN ALLINA HEALTH BUCKS, WHICH MAKE HEALTHY, LOCALLY-GROWN FOODS MORE ACCESSIBLE AND AFFORDABLE; OFFERING DISCOUNT COUPONS FOR FOOD PROGRAMS SUCH AS FARE FOR ALL AND LOCAL CSAS TO COMMUNITY MEMBERS; CONDUCTING A HEALTHY FOODS DRIVE AND CHARITABLE GIVING TO LOCAL FOOD SHELVES. THE HOSPITALS ALSO WORKED TO IMPROVE INFANT HEALTH BY SUPPORTING LOCAL BREASTFEEDING-FRIENDLY POLICIES, NETWORKS AND PROGRAMS SUCH AS THE OWATONNA HOSPITAL BABY CAF, WHICH OPENED IN 2018.TO INCREASE ACCESS TO CARE AND REDUCE COMMUNITY HEALTH-RELATED SOCIAL NEEDS, FARIBAULT AND NORTHFIELD CLINICS PILOTED A TWO-WAY REFERRAL PROCESS IN 2019 WITH HEALTHFINDERS COLLABORATIVE, A LOCAL COMMUNITY-BASED ORGANIZATION. THIS WORK WAS FUNDED BY A 2018 GRANT FROM THE UCARE FOUNDATION OF MINNESOTA. CLINIC STAFF REFERRED HIGH-RISK ACCOUNTABLE HEALTH COMMUNITIES PATIENTS TO HEALTHFINDERS COLLABORATIVE, WHOSE CULTURALLY-CONNECTED COMMUNITY HEALTH WORKERS HELP PATIENTS NAVIGATE COMMUNITY SERVICES. FROM JUNE 1, 2019 THROUGH JANUARY 1, 2020, 58 PATIENTS WERE REFERRED TO HEALTHFINDERS COLLABORATIVE THROUGH THIS PROJECT.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED 39 ORGANIZATIONS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND 1,072 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. BASED ON THIS REVIEW, THE COALITION DEFINED ITS 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND RESIDENTS' PERSPECTIVES, HEALTHIER TOGETHER CONDUCTED SEVEN FOCUS GROUPS WITH 61 RESIDENTS INCLUDING FARMERS, SENIORS, YOUTH, PEOPLE IN MENTAL HEALTH OR SUBSTANCE USE RECOVERY, PROVIDERS AND PEOPLE WHO WORK WITH YOUTH.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:RIVER FALLS AREA HOSPITAL (HEALTHIER TOGETHER):GOAL 1: REDUCE ALCOHOL ABUSE OF RESIDENTS OF PIERCE AND ST. CROIX COUNTIES.TO DECREASE ADULT ALCOHOL ABUSE THROUGH CHANGES TO POLICY, SYSTEMS, ENVIRONMENT AND COMMUNITY SUPPORT, 2019 WORK FOCUSED ON THE COMMUNITY OF RIVER FALLS. THE POLICE CHIEF IS VERY SUPPORTIVE OF POLICY AND ENVIRONMENTAL STRATEGIES TO HELP REDUCE ALCOHOL USE AND ABUSE. HUDSON, BALDWIN, AND NEW RICHMOND ARE PLANNING TO INITIATE THIS WORK (AND LEARN FROM RIVER FALLS) IN 2020 AND BEYOND.GOAL 2. IMPROVE MENTAL HEALTH STATUS OF RESIDENTS OF PIERCE AND ST. CROIX COUNTIES.THIRTY INDIVIDUALS COMPLETED THE MENTAL HEALTH FIRST AID TRAIN THE TRAINER CERTIFICATION. THE INSTRUCTORS HAVE HAD A HUGE SUCCESS IN ADMINISTERING 73 MENTAL HEALTH FIRST AIDE TRAININGS THROUGHOUT PIERCE AND ST CROIX COUNTY, TRAINING 462 ADULTS. SUBSTANCE IMPAIRMENT TRAINING FOR SCHOOL DISTRICT STAFF AND COMMUNITY OFFERED BY HUDSON POLICE DEPARTMENT. ADDITIONALLY, HUDSON HIGH SCHOOL AND ELLSWORTH WERE CHOSEN AS A CHANGE TO CHILL PARTNERS FOR THE 2019-2020 SCHOOL YEAR. THIS PARTNERSHIP INCLUDES ACTIVITIES FOR STUDENTS AROUND MENTAL HEALTH, HOW TO REDUCE AND COPE WITH STRESS, ACCEPTANCE OF OTHERS. PARENT COMMUNICATIONS, PRESENCE AT SCHOOL EVENTS (COLLEGE NIGHT/OPEN HOUSE) AND STAFF TRAININGS. SCHOOL ADMINISTRATORS, COUNTY LEADERS AND HEALTHIER TOGETHER LEADERSHIP CONDUCTED A MENTAL HEALTH COLLABORATION SESSION TO BETTER UNDERSTAND THE NEEDS OF SCHOOL AND CHALLENGES, NEXT STEPS ARE BEING REVIEWED.GOAL 3. DECREASE THE PERCENTAGE OF THE POPULATION THAT'S OVERWEIGHT OR OBESE IN PIERCE AND ST. CROIX COUNTIESMUCH OF THIS WORK FOCUSED ON INCREASING ACCESS TO HEALTHY FOODS IN THE COMMUNITY. FARE FOR ALL CONTINUED IN RIVER FALLS PROVIDING OVER 105 FAMILIES WITH FRESH FRUITS, VEGETABLES AND MEAT. CSA SHARES DISTRIBUTED 2.5 TONS OF FOOD EVERY OTHER WEEK TO LOCAL FOOD PANTRIES. UTILIZING THE CSA PRODUCE AND FOOD READILY AVAILABLE AT THE PANTRY, IN CONJUNCTION WITH THE UW EXTENSION OFFICE MEAL KITS WITH RECIPES WERE CREATED. UW EXTENSION AND HT ARE WORKING ON EDUCATIONAL TRAINING AND TOOLS FOR STAFF AND VOLUNTEERS AT FOOD PANTRIES. THROUGH AN ALLINA HEALTH GRANT TO ALIGN WITH THE SAFE AND HEALTHY FOOD PANTRIES PROJECT THE SPRING VALLEY FOOD PANTRY WAS AWARDED A GRANT TO REDESIGN THEIR PANTRY. ADDITIONALLY, TO INCREASE PHYSICAL ACTIVITY, CORE 4+ POWER POINT WAS CREATED AND DISTRIBUTED TO SCHOOLS AND ADDED TO HEALTHIER TOGETHER WEBPAGE ALONG WITH OTHER SERVICES AVAILABLE SUCH AS WELLNESS POLICY ASSISTANCE. WALK TO SCHOOL DAY WAS A HUGE SUCCESS WITH OVER 1,700 STUDENTS PARTICIPATING. FINALLY, THE PIERCE AND ST CROIX COUNTY FOOD RESOURCE DIRECTORIES WERE UPDATED TO REFLECT ANY CHANGES IN RESOURCES. HEALTHIER TOGETHER FACEBOOK PAGE TO SHARE INFORMATION ABOUT THE THREE HEALTH PRIORITIES, INCLUDING LOCAL EVENTS AND RESOURCES. 2-1-1 PROVIDES LOCAL RESOURCE INFORMATION.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 5:	PHILLIPS EYE INSTITUTE LEGALLY MERGED INTO ABBOTT NORTHWESTERN HOSPITAL ON 10/1/2019.IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): ABBOTT NORTHWESTERN HOSPITAL DEVELOPED ITS CHNA WITH THE MINNEAPOLIS, HENNEPIN COUNTY AND BLOOMINGTON PUBLIC HEALTH DEPARTMENTS, WHICH WERE SIMULTANEOUSLY DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN FOR HENNEPIN COUNTY. THESE ENTITIES AND 50 NONPROFIT AND GOVERNMENT REPRESENTATIVES REVIEWED HOSPITAL, STATE AND LOCAL DATA AND CONDUCTED 23 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING VARIOUS CULTURAL GROUPS, BUSINESS AND ORGANIZATIONS. ABBOTT NORTHWESTERN IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. STAFF THEN CONDUCTED 10 KEY INFORMANT INTERVIEWS WITH STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS SUCH AS AN ADVOCACY ORGANIZATION SERVING LOCAL BUSINESSES, A FEDERALLY-QUALIFIED HEALTH CENTER, A HOUSING PROVIDER FOR PEOPLE LIVING WITH HIV/AIDS AND THE LOCAL PARKS SYSTEM, AMONG OTHERS, TO UPDATE ITS UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM. IN ADDITION, A LOCAL PUBLIC AFFAIRS CONSULTANT INTERVIEWED 25 HEALTH AND CIVIC LEADERS TO EXPLORE THEIR PERCEPTIONS OF HEALTH, HEALTHCARE, PUBLIC HEALTH AND THE HOSPITAL.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 6A:	THE 11 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, PHILLIPS EYE INSTITUTE, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:PHILLIPS EYE INSTITUTE (PEI)GOAL 1: INCREASE CHILDHOOD READINESS FOR SCHOOL.PEI PROVIDES THE EARLY YOUTH EYE CARE (E.Y.E.) VISION SCREENING PROGRAM FOR ALL CHILDREN IN THE MINNEAPOLIS AND ST. PAUL PUBLIC SCHOOLS. THE GOAL IS TO ENSURE THAT ALL CHILDREN IN GRADES K, 2, 4, 6 AND 8TH RECEIVE A SCHOOL-BASED VISION SCREENING. LAST YEAR, 25,375 ELEMENTARY-AGED CHILDREN RECEIVED A VISION SCREENING THROUGH THIS PROGRAM, 779 OF THESE CHILDREN RECEIVED A PAIR OF GLASSES AND 392 WERE REFERRED FOR FURTHER VISION ASSESSMENT AND TREATMENT. THESE CHILDREN ARE TREATED THROUGH THE KIRBY PUCKETT EYE MOBILE, WHERE THEY RECEIVED EYE EXAMS, GLASSES, FOLLOW-UP CARE AND SURGERY (IF NEEDED) AT NO COST TO THE CHILD OR THEIR FAMILY. GOAL 2. INCREASE ACCESS TO HEALTHCARE SERVICES.PEI PROVIDES FREE TRANSPORTATION FOR PHILLIPS EYE INSTITUTE PATIENTS TO ACCESS THEIR VISION CARE SERVICES. ABOUT 2,600 PATIENTS RECEIVED FREE TRANSPORTATION IN 2019. PROVIDING TRANSPORTATION AS A WAY TO INCREASE ACCESS TO HEALTHCARE SERVICES HAS BECOME A CORE COMPONENT OF PEI'S WORK AS 25% OF THEIR PATIENTS REQUIRE THIS SERVICE, MOST OF WHOM ARE ELDERLY AND LOW-INCOME.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B, LINE 7 A	HOSPITAL FACILITY WEBSITE URL -HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
PART V, SECTION B, LINE 11	THE FOLLOWING ARE SYSTEM WIDE INITIATIVES THAT APPLY TO ELEVEN ALLINA HEALTH HOSPITALS. PLEASE REFER TO PART V SECTION B LINE 11 EXPLANATION FOR EACH HOSPITAL FACILITY FOR ADDITIONAL NEEDS ADDRESSED AT THE HOSPITAL LEVEL. ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS, IDENTIFIED VIA THE 2016 CHNA, WERE ADDRESSED IN 2017-2019: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. AT THE END OF 2019, ALLINA HEALTH COMPLETED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 ASSESSMENT IDENTIFIED HEALTHY EATING/ACTIVING LIVING, MENTAL HEALTH AND SUBSTANCE USE AND SOCIAL DETERMINANTS OF HEALTH AS PRIORITY NEEDS FOR 2020-2022 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE: CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN ADDITION TO THE EXISTING RESOURCES, CHANGE TO CHILL ADDED A MENTAL HEALTH AND VAPING SECTION TO THE WEBSITE IN 2019 IN RESPONSE TO THE RISING VAPING EPIDEMIC. FROM MINNESOTA ALONE, MORE THAN 30,000 USERS VISITED THE CHANGE TO CHILL WEBSITE IN 2019. SOME OF THE USERS ARE TEACHERS WHO USE IT IN THEIR CLASSROOMS, TEENS WHO USE IT IN SOCIAL GROUPS AND PARENTS LOOKING FOR WAYS TO HELP THEIR CHILD STRESS LESS. ALSO IN 2019, CTC CONTINUED ITS CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) THAT WAS LAUNCHED IN 2018. THE GOAL OF CTCSP IS TO PROMOTE AND SUPPORT A CULTURE OF MENTAL WELL-BEING IN LOCAL HIGH SCHOOLS. DURING THE 2019-2020 SCHOOL YEAR, ALLINA HEALTH PARTNERED WITH SIXTEEN HIGH SCHOOLS THROUGH CTCSP. COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE" - A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. MORE THAN 1,100 HEALTH AND EDUCATION PROFESSIONALS WERE TRAINED ON HOW TO USE THE CHANGE TO CHILL RESOURCES AND CURRICULUMS AS PART OF CTCSP. THIRTY-FOUR CHILL CHAMPION INTERNS LED STRESS REDUCTION ACTIVITIES WITHIN THEIR SCHOOL PARTNERSHIP SCHOOL. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS.BE THE CHANGE - ALLINA HEALTH HAS BEEN A LEADER IN ELIMINATING STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS WITHIN THE HEALTHCARE INDUSTRY. BE THE CHANGE, IS AN EFFORT TO ELIMINATE STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS AT ALLINA HEALTH AND ENSURE ALL PATIENTS RECEIVE THE SAME CONSISTENT, EXCEPTIONAL CARE. AT THE CAMPAIGN'S LAUNCH, 500 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO LEAD THE EFFORT AS TRAINED BE THE CHANGE CHAMPIONS AND HELP EDUCATE AND GENERATE AWARENESS AMONG THEIR COLLEAGUES ABOUT MENTAL HEALTH AND ADDICTION CONDITIONS. IN 2019, BE THE CHANGE CONTINUED TO SUPPORTED ANTI-STIGMA WORK IN THE COMMUNITY BY SPONSORING AND PROMOTING THE NAMI WALK AND WALK FOR RECOVERY. ADDITIONALLY, CHAMPIONS RECEIVED ANTI-STIGMA EDUCATION AND MATERIALS TO SHARE WITH THEIR COLLEAGUES THROUGH QUARTERLY COMMUNICATIONS, WITH ADDITIONAL RESOURCES SHARED IN MAY FOR MENTAL HEALTH AWARENESS MONTH AND IN SEPTEMBER FOR RECOVERY MONTH. THROUGH PRESENTATIONS AND EDUCATION EVENTS, BE THE CHANGE CHAMPIONS HAVE REACHED MORE THAN 18,140 EMPLOYEES SINCE THE INITIATIVE'S LAUNCH, OR APPROXIMATELY TWO-THIRDS OF EMPLOYEES. THE EFFORT IS ONGOING AND THE CAMPAIGN'S GOAL IS TO REACH ALL ALLINA HEALTH EMPLOYEES. AN INITIAL AND FOLLOW-UP EMPLOYEE SURVEY IN 2017 REVEALED THAT THE CAMPAIGN IMPROVED EMPLOYEE'S PERCEPTION OF ALLINA HEALTH'S SUPPORT OF PEOPLE WITH MENTAL HEALTH OR ADDICTION CONDITIONS, COMFORT WORKING WITH OR INTERACTING WITH PEOPLE WITH MENTAL HEALTH OR ADDICTION CONDITIONS, AND KNOWLEDGE OF MENTAL HEALTH RESOURCES.NEIGHBORHOOD HEALTH CONNECTION (NHC) IS A COMMUNITY GRANTS PROGRAM THAT AIMS TO IMPROVE THE HEALTH OF COMMUNITIES BY BUILDING SOCIAL CONNECTIONS THROUGH HEALTHY EATING AND PHYSICAL ACTIVITY. EACH YEAR, ALLINA HEALTH AWARDS OVER 50 NEIGHBORHOOD HEALTH CONNECTION GRANTS, RANGING IN SIZE FROM $500-$10,000, TO LOCAL NONPROFITS AND GOVERNMENT AGENCIES IN MINNESOTA AND WESTERN WISCONSIN. IN 2019, NEIGHBORHOOD HEALTH CONNECTION GAVE $270,000 TO 68 ORGANIZATIONS. THESE ORGANIZATIONS REACHED MORE THAN 3,600 PEOPLE. EVALUATIONS OF THE NHC PROGRAM FIND THAT THE MAJORITY OF PEOPLE WHO PARTICIPATE IN NHC-FUNDED PROGRAMS INCREASE THEIR SOCIAL CONNECTIONS AND MAKE POSITIVE CHANGES IN THEIR PHYSICAL ACTIVITY AND HEALTHY EATING BEHAVIOR. FURTHER, FOLLOW-UP DATA HAS REVEALED THAT THESE POSITIVE CHANGES ARE MAINTAINED SIX MONTHS LATER AND THE MAJORITY OF PARTICIPANTS CONTINUE TO PARTICIPATE IN THE NHC ACTIVITY AFTER THE GRANT PERIOD ENDS.HEALTH POWERED KIDS (HPK), LAUNCHED IN 2012, IS A FREE COMMUNITY EDUCATION PROGRAM DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 YEARS TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. IN 2019, MORE THAN 70,000 USERS VISITED THE HPK WEBSITE.CHARITABLE CONTRIBUTIONS- CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. IN 2019 ALLINA HEALTH SYSTEM OFFICE MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA: $86,000 (37%) FOR ACTIVE LIVING, $35,250 (15%) FOR HEALTHY EATING, $51,000 (22%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES, $18,000 (8%) FOR MENTAL HEALTH AND WELLNESS, $35,100 (15%) FOR OTHER HEALTH-RELATED PURPOSES AND $6,500 (3%) FOR NON-HEALTH RELATED PURPOSES. EXAMPLES OF SPECIFIC CONTRIBUTIONS ARE DESCRIBED BELOW.TO SUPPORT ACTIVE LIVING, ALLINA HEALTH GAVE $75,000 TO FREE BIKES 4 KIDZ. THIS CONTRIBUTION WAS PART OF NINE-YEAR PARTNERSHIP BETWEEN ALLINA HEALTH AND FREE BIKES 4 KIDZ. IN ADDITION TO THE CONTRIBUTION, ALLINA HEALTH PARTNERS WITH FREE BIKES 4 KIDZ EACH YEAR TO COLLECT AND DISTRIBUTE BICYCLES TO CHILDREN WHOSE FAMILIES COULD NOT OTHERWISE AFFORD ONE. FOR THE FOCUS AREA HEALTHY EATING, ALLINA HEALTH GAVE THE FOOD GROUP A CONTRIBUTION OF $10,000. THE FOOD GROUP FIGHTS HUNGER AND INCREASES ACCESS TO HEALTHY FOOD THROUGH A VARIETY OF PROGRAMS. A $10,000 CONTRIBUTION WAS ALSO PROVIDED TO METRO MEALS ON WHEELS TO PROVIDE FOOD AND SOCIAL CONNECTIONS TO OLDER ADULTS AT RISK FOR HUNGER AND ISOLATION. TO IMPROVE MENTAL WELLNESS, ALLINA HEALTH SPONSORED THE CENTER FOR VICTIMS OF TORTURE RESTORING HOPE BREAKFAST AT THE $3,000 LEVEL. THE CENTER FOR VICTIMS OF TORTURE IS AN INTERNATIONAL NONPROFIT DEDICATED TO HEALING SURVIVORS OF TORTURE AND VIOLENT CONFLICT THROUGH DIRECT CARE FOR THOSE WHO HAVE BEEN TORTURED, TRAINING PARTNERS WHO CAN PREVENT AND TREAT TORTURE AND ADVOCATING FOR HUMAN RIGHTS. TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ALLINA HEALTH SPONSORED THE CARONDELET GALA AT THE $30,000 LEVEL, WHICH RAISED FUNDS FOR ST. MARY'S HEALTH CLINICS (SMHC). SMHC SERVES LOW-INCOME, UNINSURED INDIVIDUALS, FAMILIES AND CHILDREN, BY PROVIDING FREE CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH CARE SERVICES. FOR OTHER HEALTH-RELATED PURPOSES ALLINA HEALTH SUPPORTED THE METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS (MCCD) WITH A CONTRIBUTION OF $10,000. MCCD IS AN ASSOCIATION OF 47 NONPROFIT COMMUNITY DEVELOPMENT ORGANIZATIONS ENGAGED IN AFFORDABLE HOUSING, COMMERCIAL CORRIDOR REVITALIZATION AND SMALL BUSINESS DEVELOPMENT IN THE TWIN CITIES METRO AREA. ALLINA HEALTH SPONSORED THE GENESYS WORKS TWIN CITIES CIO LUNCHEON AT $5,000 AND THE UNITED NEGRO COLLEGE FUND MARTIN LUTHER KING JR. HOLIDAY BREAKFAST AT $1,000 FOR NON-HEALTH RELATED PURPOSES.THROUGH THE AHC MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREEN PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY (E.G. HOMELESSNESS, LOW HOUSING QUALITY), FOOD INSECURITY (E.G. LACK OF ACCESS TO FOOD), ACCESS TO TRANSPORTATION (E.G. LACK OF RELIABLE TRANSPORT OPTIONS), DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY (E.G. INTIMATE PARTNER VIOLENCE, CHILD ABUSE, ELDER ABUSE). IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2019, NEARLY 180,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS; MORE THAN 76,000 ALLINA HEALTH PATIENTS COMPLETED AN AHC SCREENING. TWENTY-FOUR PERCENT OF PATIENTS SCREENED IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS FOLLOWED BY HOUSING INSTABILITY. ADDITIONALLY, MORE THAN 580 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ALLINA HEALTH CLINICS-69 LOCATIONS
PO BOX 43 INTERNAL ZIP 10890	MINNEAPOLIS	MN	55440	INPATIENT AND OUTPATIENT SERVICES
2 - ALLINA HEALTH LABORATORIES
800 E 28TH STREET	MINNEAPOLIS	MN	55407	LABORATORY SERVICES
3 - ALLINA HEALTH PHARMACIES-15 LOCATIONS
800 E 28TH STREET	MINNEAPOLIS	MN	55407	PHARMACY SERVICES
4 - ALLINA HEALTH EMERGENCY MEDICAL SERVICE
167 GRAND AVENUE	ST PAUL	MN	55102	AMBULANCE AND MEDICAL TRANSPORTATION
5 - WESTHEALTH SURGERY CENTER LLC
PO BOX 43 INTERNAL ZIP 10890	MINNEAPOLIS	MN	55440	OUTPATIENT SURGERY CENTER
6 - SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500	MINNEAPOLIS	MN	55407	OUTPATIENT SURGERY CENTER
7 - NORTHSTAR SLEEP CENTER LLC
3800 COON RAPIDS BOULEVARD SUITE	COON RAPIDS	MN	55433	OUTPATIENT SERVICES	3800
8 - ASPEN SLEEP CENTER
1010 BANDANA BOULEVARD WEST	ST PAUL	MN	55108	OUTPATIENT SERVICES
9 - MOBILE IMAGING SERVICES
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	MOBILE RADIOLOGY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR.
PART I, LINE 6A:	ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/
PART I, LINE 7:	WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G:	THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2019:WORKFORCE DEVELOPMENTMANY OF ALLINA HEALTH HOSPITALS HAVE TRAIN-TO-WORK PROGRAMS AS A MEANS TO BUILD A FUTURE WORKFORCE WITHIN AND OUTSIDE OF OUR ORGANIZATION. BY FOCUSING ON BUILDING THE WORKFORCE, THE GOAL IS THAT THERE WILL BE AN INCREASE IN PERSONAL EMPLOYMENT AND ECONOMIC AND WORKFORCE STABILITY. MULTIPLE ALLINA HEALTH HOSPITALS HAVE DEVELOPED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. SEVERAL HOSPITALS AND THE CORPORATE OFFICE HOST CAREER DAYS FOR HIGH SCHOOL STUDENTS. RIVER FALLS AREA HOSPITAL ALSO HAS SIGNIFICANT INVESTMENTS IN TRAIN TO WORK PROGRAMS, IN PARTICULAR THROUGH AN INTERNATIONAL PROGRAM CALLED PROJECT SEARCH. THIS PROGRAM PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES. STUDENTS SPEND NINE MONTHS GAINING REAL-LIFE, TRANSFERRABLE SKILLS AT THE HOSPITAL.COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS AND CIVIC GROUPS, SUCH AS COMMUNITY HEALTH ADVISORY COUNCILS AND LOCAL CHAMBERS OF COMMERCE, AS A WAY TO RESPOND TO COMMUNITY NEEDS THROUGH COLLABORATION AND PARTNERSHIP. THESE COALITIONS PROVIDE THE HOSPITALS THE OPPORTUNITIES TO BUILD RELATIONSHIPS AND DETERMINE HOW BEST TO LEVERAGE LOCAL RESOURCES TO ADDRESS COMMUNITY NEEDS THAT EXIST OUTSIDE THE TRADITIONAL REALM OF HEALTH CARE. ALLINA HEALTH HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. ONE EXAMPLE OF THIS IS THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP), WHICH HAS LOCAL COALITIONS THROUGHOUT THE STATE VIA LOCAL PUBLIC HEALTH AGENCIES TO WORK ON NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE. IN ADDITION, MANY OF OUR LEADERS SERVE ON LOCAL COMMUNITY ORGANIZATION LEADERSHIP TEAMS, SUCH AS VOLUNTEER BOARDS, TO ADVANCE COMMUNITY WORK.DISASTER PREPAREDNESSIN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA HEALTH HOSPITALS ENGAGED IN AND LED DISASTER PREPAREDNESS PLANNING TO ENSURE SAFETY, EFFICIENCY AND EXCELLENT HEALTH CARE DURING TIMES OF TRAGEDY AND/OR UPSET. THIS INCLUDED PLANNING MEETINGS AND COMMUNITY MEETINGS/TRAININGS, AMONG OTHER THINGS.THESE PROGRAMS AND SERVICES, AMONG OTHERS, PROVIDE THE HOSPITALS WITHIN OUR SYSTEM THE OPPORTUNITY TO IMPACT COMMUNITY HEALTH BEFORE IT BECOMES PROBLEMATIC AND EXPENSIVE. IN ADDITION, THIS IMPORTANT WORK IS SUPPORTED BY THE MISSION OF OUR ORGANIZATION AND IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION. WE WILL CONTINUE TO CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROMOTION OF COMMUNITY HEALTH.
PART III, LINE 2:	SCH H, PART III, SECTION A, LINES 2 & 3THE ORGANIZATION HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION [HFMA] STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS OR IMPLICIT PRICE CONCESSIONS TO WHICH THE PATIENT MAY BE ELIGIBLE INCLUDING, BUT NOT LIMITED TO, THE UNINSURED DISCOUNT PROGRAM (DISCUSSED ABOVE) AND REFLECTS THE ESTIMATED AMOUNT REPORTED AS "NET PATIENT SERVICE REVENUE" DURING THE CURRENT PERIOD OR ANY PREVIOUS PERIOD. THIS DOES NOT NECESSARILY EQUAL THE "COST" TO PROVIDE THE MEDICAL SERVICES. ALSO, NOTE THAT AMOUNTS RELATED TO PATIENTS WHO HAVE QUALIFIED UNDER THE CHARITY CARE PROGRAM ARE NOT INCLUDED IN EITHER NET PATIENT REVENUE OR IN BAD DEBT EXPENSE. IN OTHER WORDS, THE BAD DEBT EXPENSE REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE IN THE REVENUE SECTION OF THE FINANCIAL STATEMENTS OF THE FORM 990 DOES NOT INCLUDE AMOUNTS RELATED TO QUALIFIED CHARITY CARE PATIENTS AND IS STATED AT THE "NET" EXPECTED OR ANTICIPATED COLLECTION AMOUNT WHICH MAY BE SIGNIFICANTLY DIFFERENT THAN PATIENT CHARGES DUE TO THE APPLICATION OF DISCOUNTS SUCH AS THOSE PROVIDED UNDER THE UNINSURED DISCOUNT PROGRAM. THIS AMOUNT ALSO CONSTITUTES A DIFFERENT AMOUNT THAN THE ORGANIZATION'S ACTUAL COST TO PROVIDE THE MEDICAL SERVICES. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 2 BAD DEBT "AT COST", THE ORGANIZATION HAS APPLIED A RATIO OF PATIENT CARE COST TO CHARGES (COST TO CHARGE RATIO) TO THE ESTIMATED PATIENT CHARGE AMOUNT INCLUDED IN BAD DEBT AFTER REMOVING THE ANTICIPATED DISCOUNTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH HOSPITAL OR OPERATING UNIT. THE RESULTING BAD DEBT (AT COST) AMOUNT FOR EACH HOSPITAL AND OPERATING UNIT IS THEN AGGREGATED TO ARRIVE AT THE BAD DEBT (AT COST) REPORTED ON LINE 2. THIS PROCESS PROVIDES A VERY CONSERVATIVE ESTIMATE OF THE ORGANIZATION'S BAD DEBT (AT COST). THE ORGANIZATION HAS A ROBUST PROCESS FOR ADMINISTERING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM DESCRIBED IN FURTHER DETAIL IN PART VI, LINE 3. EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO APPLY TO THE COMMUNITY CARE PROGRAM AND TO PARTICIPATE, IF QUALIFIED, TO RECEIVE FREE OR DISCOUNTED MEDICAL CARE OR BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM UNDER THE ORGANIZATIONS VARIOUS FINANCIAL ASSISTANCE PROGRAMS. THE ADMINISTRATIVE PROCESS INCLUDES IDENTIFYING ANY PATIENT WITH A FINANCIAL CONCERN, AS WELL AS INFORMING, COUNSELING, QUALIFYING AND ASSISTING PATIENTS TO APPLY FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. ALTHOUGH EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO RECEIVE FINANCIAL ASSISTANCE AND INFORMED MULTIPLE TIMES OF THE CHARITY CARE PROGRAM PRIOR TO OUR CLASSIFYING THE AMOUNTS AS BAD DEBT, IT IS POSSIBLE THAT PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE DO NOT COMPLETE THE APPLICATION. THIS AMOUNT IS NOT REASONABLY ESTIMABLE. AS A TAX-EXEMPT HOSPITAL ORGANIZATION WE ARE REQUIRED TO PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. DUE TO CIRCUMSTANCES BEYOND OUR CONTROL, A PERSON WHO WOULD OTHERWISE QUALIFY UNDER THE CHARITY CARE PROGRAM MAY NOT PROVIDE US THE NECESSARY INFORMATION, QUALIFY FOR THE PROGRAM, AND RECEIVE FREE CARE ALLOWING US TO CLASSIFY AND QUANTIFY IT ACCORDINGLY AND AS SUCH. ULTIMATELY, THOSE AMOUNTS ARE WRITTEN-OFF AND REPORTED AS BAD DEBT EXPENSE. ANY METHODOLOGY WE COULD USE TO QUANTIFY AND PROVIDE AN ESTIMATE OF HOW MUCH BAD DEBT (AT COST AND IF ANY) REPORTED ON LINE 2 REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND FOR US TO PROVIDE AN ESTIMATE OF WHAT PORTION OF BAD DEBT, IF ANY, THE ORGANIZATION BELIEVES SHOULD CONSTITUTE COMMUNITY BENEFIT WOULD BE PURELY SPECULATIVE, IMPRECISE AND SUBJECT TO INHERENT METHODOLOGY FLAWS. WHILE WE FIRMLY BELIEVE, FOR THE REASONS STATED ABOVE, THAT SOME COMPONENT OF OUR REPORTED BAD DEBT EXPENSE (AT COST) ON LINE 2 CONSTITUTES AMOUNTS RELATED TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM, WE CANNOT REASONABLY QUANTIFY THE AMOUNT AND RESPECTFULLY DECLINE THE OPPORTUNITY TO PROVIDE AN AMOUNT. THEREFORE, WE HAVE REPORTED ZERO OR NONE FOR FORM 990, SCHEDULE H, PART III, LINE 3.
PART III, LINE 4:	FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE:SEE ATTACHED AUDIT, FOOTNOTE 2(T) ON PAGE 12
PART III, LINE 8:	THE ORGANIZATION HAS MORE THAN ONE MEDICARE PROVIDER NUMBER AND THEREFORE AGGREGATED THE AMOUNTS REPORTED IN THE MEDICARE COST REPORTS AS THE SOURCE FOR THE AMOUNTS REPORTED ON PART III, LINES 5 & 6 AS OUTLINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. FOR MEDICARE COST REPORTS, ALLINA USES A RATIO OF PATIENT CARE COSTS TO CHARGES (COST TO CHARGE RATIO) TO DETERMINE MEDICARE ALLOWABLE COSTS. GENERALLY, THE RATIO IS CALCULATED AS THE TOTAL MEDICARE ALLOWABLE PATIENT COSTS OVER THE TOTAL PATIENT CHARGES. MEDICARE CHARGES MULTIPLIED BY THIS RATIO EQUALS THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH MEDICARE COST REPORT/PROVIDER NUMBER. ALLINA BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. ALLINA'S PROVIDING OF THESE SERVICES CLEARLY LESSENS THE BURDENS OF GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINE 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. THE TRUE COMMUNITY BENEFIT FOR OUR PARTICIPATION IN THE CURRENT MEDICARE PROGRAM IS DEPENDENT ON HOW EFFICIENTLY AND COST EFFECTIVELY THE FEDERAL GOVERNMENT COULD OPERATE A DIRECT MEDICAL CARE MEDICARE PROGRAM OR ALTERNATIVELY THE COST TO THE GOVERNMENT TO CONTRACT OUT SUCH SERVICES THROUGH A COMPETITIVE BIDDING PROCESS IN THE OPEN MARKETS FOR THE SAME OR SIMILAR SERVICES FACTORING IN ITEMS SUCH AS QUALITY OF CARE, OUTCOMES AND SIMILAR IMPORTANT FACTORS AS COMPARED TO ALLINA'S ACTUAL COSTS OF PROVIDING THE MEDICAL CARE. THE MEDICARE SHORTFALL CALCULATION ON THE FORM 990, SCHEDULE H, PART III, LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL FOR TWO REASONS. FIRST, ALLINA INCURS SIGNIFICANT COSTS IN EXCESS OF PAYMENTS UNDER THE MEDICARE PROGRAM FOR PROVIDING CERTAIN SERVICES THAT ARE NOT SUBJECT TO MEDICARE COST REPORTING AND THEREFORE NOT REFLECTED IN OUR COST AMOUNTS ON LINE 6. SECOND, THE LINE 6 LIMITS OUR REPORTED COSTS TO ONLY MEDICARE "ALLOWABLE COSTS" AS SOLELY DETERMINED BY THE FEDERAL GOVERNMENT MEDICARE PROGRAM. FOR THESE TWO REASONS, THE MEDICARE SHORTFALL REPORTED ON LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL AND THE ACTUAL COST OF PROVIDING MEDICAL CARE TO MEDICARE PROGRAM PARTICIPANTS. WE ESTIMATE THESE TWO ITEMS UNDERSTATE ALLINA'S REPORTED MEDICARE SHORTFALL BY OVER $242 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM.
PART III, LINE 9B:	THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS.
PART VI, LINE 2:	IN 2019, ALLINA HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE PURPOSE WAS TO IDENTIFY LOCAL PRIORITIES FOR EACH HOSPITAL AS WELL AS OVER-ARCHING THEMES FOR THE HEALTH SYSTEM TO ADDRESS FOR FY 2020-2022. TO RESPOND TO LOCAL NEEDS AND RESOURCES, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. THE HOSPITALS WORKED CLOSELY WITH LOCAL PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. SOME ALSO COLLABORATED WITH OTHER HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. THE CHNA PROCESS OCCURRED IN THREE STEPS: DATA REVIEW AND PRIORITIZATION, COMMUNITY INPUT AND THE DEVELOPMENT OF A THREE-YEAR IMPLEMENTATION PLAN. MOST HOSPITALS USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THE OFFICIAL CHNA PROCESS BEGAN IN JUNE 2018 AND WAS COMPLETED IN AUGUST 2019. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED, BUT INCLUDED THE MINNESOTA STUDENT SURVEY, HEALTH SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH DEPARTMENTS, LOCAL RESEARCH STUDIES ON TOPICS SUCH AS HOUSING AND SECONDARY PUBLIC HEALTH DATA AVAILABLE THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. ADDITIONALLY, TEAMS REVIEWED SELECT COUNTY-SPECIFIC ALLINA HEALTH PATIENT DATA. MANY HOSPITALS ALSO COLLECTED FEEDBACK ON PERCEIVED COMMUNITY HEALTH NEEDS FROM LOCAL STAKEHOLDERS THROUGH COMMUNITY DIALOGUES, INTERVIEWS AND SURVEYS. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES FOR THE 2020-2022 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WAS DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. HOSPITAL PRIORITIES INCLUDE:- MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE- OBESITY, PHYSICAL ACTIVITY AND NUTRITION- ACCESS TO CARE- SOCIAL DETERMINANTS OF HEALTH- SOCIAL ISOLATION- VIOLENCE- DENTAL CARE- AGING SERVICES TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES. IN FEBRUARY AND APRIL 2019, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. TOGETHER, THEY IDENTIFIED MENTAL HEALTH (INCLUDING SUBSTANCE USE) AND OBESITY CAUSED BY PHYSICAL INACTIVITY AND POOR NUTRITION AS PRIORITY NEEDS IN ALL ALLINA HEALTH GEOGRAPHIES. THEY ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ACCESS TO HEALTHY FOOD AND STABLE HOUSING, AS KEY FACTORS CONTRIBUTING TO HEALTH. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2019. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2020-2022-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSONCE IMPLEMENTATION PLANS ARE CREATED, MORE DETAILED PLANNING CONTINUES WITH STAKEHOLDER TO DEVELOP AND DELIVER SPECIFIC PROGRAMS, SERVICES AND ACTIVITIES EITHER LOCALLY OR SYSTEM-WIDE.
PART VI, LINE 3:	A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- ALLINA PARTNERS CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICES- PAYMENT PLANSOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - ALLINA PARTNERS CARE PROGRAM THE ALLINA PARTNERS CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE ALLINA PARTNERS CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTER. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS , ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. PAYMENT PLANS - IF A PATIENT INDICATES THEY ARE UNABLE OR UNWILLING TO PAY THE BALANCE IN FULL, ALLINA OFFERS A PAYMENT PLAN WHICH CANNOT EXCEED TWELVE MONTHS AND CANNOT BE LESS THAN THIRTY DOLLARS PER MONTH. IF THE PATIENT IS UNABLE TO MEET THESE PARAMETERS, MEDCREDIT IS OFFERED TO THEM. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS ALSO AVAILABLE IN SOMALI AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LEP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS.
PART VI, LINE 4:	ALLINA HEALTH SYSTEM (ALLINA HEALTH) IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 11 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITALS SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES REGINA HOSPITAL AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN.
PART VI, LINE 5:	GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. OPEN MEDICAL STAFF THE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.
PART VI, LINE 6:	ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE "TWIN CITIES") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 27,500 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 1,450 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES TEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 105,000 INPATIENT ADMISSIONS AND MORE THAN 1,414,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2019. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,783 OF WHICH WERE STAFFED FOR INPATIENT SERVICES. ALLINA HEALTH PROVIDES CLINICAL SERVICES THROUGH ITS ALLINA HEALTH GROUP AND HOSPITAL-BASED PHYSICIANS. ALLINA HEALTH GROUP CONTROLS AND OPERATES 69 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 780 PHYSICIANS AND 250 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 80 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 340 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 8,398,000 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2019. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 2,000 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. NEARLY 570 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,200 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $218,664,999 IN 2019.ALLINA PARTNERS WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL TO PROVIDE PHYSICIAN RESIDENCY PROGRAMS FOR FAMILY PRACTICE AND INTERNAL MEDICINE RESIDENT PHYSICIANS.ALLINA CONTROLS AND OPERATES SEVEN (7) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND.PHILLIPS EYE INSTITUTE LEGALLY MERGED INTO ABBOTT NORTHWESTERN HOSPITAL ON 10/1/2019.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN,WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (84 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100	MINNEAPOLIS	MN	55407	411426406	501C3	$2,044,000	SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION
MINNESOTA COMMUNITY HEALTHCARE NETWORK
2351 GRAYS LANDING ROAD	MINNETONKA	MN	55391	472590506	501C3	$84,724	GENERAL SUPPORT
FREE BIKES 4 KIDZ
PO BOX 007	LONG LAKE	MN	55356	271199089	501C3	$77,282	SPONSORSHIP FOR BIKE DISTRIBUTION
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS
1200 2ND AVENUE SOUTH	MINNEAPOLIS	MN	55403	411302487	501C3	$75,093	SUPPORT FOR RESPITE PROGRAM
HEALTHFINDERS COLLABORATIVE INC
706 DIVISION STREET	NORTHFIELD	MN	55057	201805262	501C3	$62,357	GENERAL SUPPORT
END IN MIND PROJECT
370 WABASHA ST N	SAINT PAUL	MN	55102	831091458	501C3	$35,000	GENERAL SUPPORT
ST PAUL PUBLIC SCHOOL
360 COLBORNE STREET	ST PAUL	MN	55102	410901311	ISD 625	$35,000	SUPPORT OF WELLNESS INITIATIVES AND PROGRAMS FOR THE 2019-2020 SCHOOL YEAR
RIVER FALLS BASEBALL COUNCIL INC
W10607 566 AVENUE	PRESCOTT	WI	54021	453536047	501C3	$30,000	GENERAL SUPPORT
ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION
1884 RANDOLPH AVENUE	ST PAUL	MN	55105	411765361	501C3	$30,000	SPONSORSHIP FOR 2020 CARONDELETE GALA
NAMI MINNESOTA
1919 UNIVERSITY AVE W STE 400	ST PAUL	MN	55104	411317030	501C3	$25,900	SUPPORT FOR THE CRISIS ALLIANCE'S WORK IN IMPROVING THE EAST METRO MENTAL HEALTH AND SUBSTANCE USE CRISIS SYSTEM
YOUNG MENS CHRISTIAN ASSOCIATION OF THE GREATER TWIN CITIES
2125 E HENNEPIN AVENUE	MINNEAPOLIS	MN	55413	452563299	501C3	$25,880	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
MG CHARITIES
434 HALE AVE N SUITE 160	OAKDALE	MN	55128	464057749	501C3	$25,000	SPONSORSHIP OF MIND OVER MATTER FUNDRAISER
REACH OUT AND READ INC
701 WASHINGTON AVENUE N SUITE	MINNEAPOLIS	MN	55401	811641189	501C3	$25,000	SUPPORT FOR BOOKS FOR REACH OUT AND READ	111-112
REGIONS HOSPITAL FOUNDATION
640 JACKSON STREET MAIL STOP 11202C	ST PAUL	MN	55101	411888902	501C3	$25,000	DONATION TO LITTLE MOMENTS COUNT FUND	11202C
AMHERST H WILDER FOUNDATION
451 LEXINGTON PARKWAY N	ST PAUL	MN	55104	410693889	501C3	$22,500	SUPPORT FOR PROVIDING CARE TO INCREASE ACCESS TO HEALTHY, AFFORDABLE FOOD FOR LOW-INCOME COMMUNITIES
AMERICAN CANCER SOCIETY
950 BLUE GENTIAN RD SUITE 100	EAGAN	MN	55417	522340031	501C3	$22,450	SUPPORT OF ACS CAN 2019 RESEARCH AND COACHES VS CANCER
VITAL AGING NETWORK
2365 N MCKNIGHT ROAD	NORTH ST PAUL	MN	55109	272884329	501C3	$22,000	SUPPORT OF VAN'S WASHINGTON COUNTY WELLNESS PROGRAM
THE ST PAUL FOUNDATION
101 FIFTH STREET EAST SUITE 2400	ST PAUL	MN	55101	416031510	501C3	$20,000	CONTRIBUTION TO THE 2019 ITATSCA PROJECT
CULTURAL WELLNESS CENTER
2025 PORTLAND AVENUE SOUTH	MINNEAPOLIS	MN	55404	411850859	501C3	$16,667	GENERAL SUPPORT
RIDGEVIEW FOUNDATION
490 S MAPLE ST SUITE 110	WACONIA	MN	55387	411328097	501C3	$15,000	SPONSORSHIP FOR RIDGEVIEW FOUNDATION'S BIG 3 CORPORATE SPONSORSHIP PROGRAM
ROCK FROM THE HEART
638 MONTROSE AVENUE	DELANO	MN	55328	842009806	501C3	$15,000	SPONSORSHIP FOR ROCK FROM THE HEART
BUFFALO-HANOVER-MONTROSE PUBLIC SCHOOL
214 1ST AVENUE NE	BUFFALO	MN	55313	416004776	ISD 877	$14,030	SUPPORT FOR BOUNCE BACK PROJECT PARTNERSHIP AND WAYFINDER CONFERENCE
VITREORETINAL SURGERY FOUNDATION
7760 FRANCE AVE S STE 310	MINNEAPOLIS	MN	55435	412122813	501C3	$13,850	SUPPORT FOR SERVICES AND EXPENSES RELATED TO RETINAL DETACHMENT RESEARCH STUDY
THE FOOD GROUP MINNESOTA INC
8501 54TH AVENUE NORTH	NEW HOPE	MN	55428	411246504	501C3	$13,504	GENERAL SUPPORT
HASTINGS FAMILY SERVICE
301 2ND STREET EAST	HASTINGS	MN	55033	237083534	501C3	$13,250	IN SUPPORT OF PROGRAMS AND SERVICES INCLUDING THE MARKET FOOD SHELF, EMERGENCY CLOTHING, EMERGENCY ASSISSTANCE GRANTS AND TRANSPORTATION SCHOOL ASSISSTANCE
FEED MY STARVING CHILDREN
401 93RD AVENUE NW	COON RAPIDS	MN	55433	411601449	501C3	$13,100	GENERAL SUPPORT
ST ANDREW'S EVANGELICAL LUTHERAN CHURCH
900 STILLWATER ROAD	MAHTOMEDI	MN	55115	410880458	501C3	$13,000	SUPPORT FOR MISSION JAMAICA PROGRAM PARTICIPANTS
COMMON HOPE INC
1400 ENERGY PARK DRIVE SUITE 23	ST PAUL	MN	55108	411560297	501C3	$12,300	GENERAL SUPPORT
HASTINGS PUBLIC SCHOOLS
200 GENERAL SIEBEN DRIVE	HASTINGS	MN	55033	416000810	ISD 200	$12,100	IN SUPPORT OF THE PEER HELPER PROGRAM
ANOKA RAMSEY COMMUNITY COLLEGE FOUNDATION
11200 MISSISSIPPI BLVD NW	COON RAPIDS	MN	55433	411574797	501C3	$11,600	SPONSORSHIP FOR ANOKA RAMSEY NURSING PROGRAM
SOUTH WASHINGTON COUNTY SCHOOLS
8400 EAST POINT DOUGLAS ROAD SOUTH	COTTAGE GROVE	MN	55016	416007788	ISD 833	$11,500	IN SUPPORT OF THE FAMILY MEALTIME CHALLENGE FOR THE 2019-2020 SCHOOL YEAR
COMMUNITY EMERGENCY ASSISTANCE PROGRAMS
7051 BROOKLYN BLVD	BROOKLYN CENTER	MN	55429	410990340	501C3	$10,700	GENERAL SUPPORT
MILE IN MY SHOES
PO BOX 583177	MINNEAPOLIS	MN	55458	472702026	501C3	$10,400	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
KEYSTONE COMMUNITY SERVICES
2000 SAINT ANTHONY AVENUE	ST PAUL	MN	55104	410693924	501C3	$10,200	IN SUPPORT OF PROGRAMS AND SERVICES INCLUDING SENIOR EXERCISE PROGRAMS, WELLNESS SEMINARS AND DEPRESSIONS SCREENING
THE SHERIDAN STORY
2723 PATTON RD	ROSEVILLE	MN	55113	800919680	501C3	$10,200	SUPPORT TO COVER COSTS OF THE WEEKEND FOOD PROGRAM
METRO MEALS ON WHEELS INC
1200 WASHINGTON AVE SOUTH SUITE 380	MINNEAPOLIS	MN	55415	311501057	501C3	$10,100	GENERAL SUPPORT	380
MILL CITY FARMER'S MARKET CHARITABLE FUND
704 SOUTH 2ND STREET	MINNEAPOLIS	MN	55401	814420781	501C3	$10,100	GENERAL SUPPORT
SOUTHSIDE COMMUNITY HEALTH SERVICES INC
4243 4TH AVENUE SOUTH	MINNEAPOLIS	MN	55409	237113799	501C3	$10,100	SUPPORT FOR A NEW GRANT FOR AFFORDABLE HOUSING IN SOUTH MINNEAPOLIS
ANGEL FOUNDATION
1155 CENTRE POINT DRIVE SUITE 7	MENDOTA HEIGHTS	MN	55120	411990883	501C3	$10,000	GENERAL SUPPORT
HUNGER SOLUTIONS MINNESOTA
555 PARK STREET SUITE 400	ST PAUL	MN	55103	363567366	501C3	$10,000	GENERAL SUPPORT
MENTAL HEALTH COLLECTIVE
3548 BRYANT AVE S	MINNEAPOLIS	MN	55408	411946275	501C3	$10,000	SUPPORT FOR SCHOOL BASED MENTAL HEALTH PROGRAM
METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS
3137 CHICAGO AVENUE	MINNEAPOLIS	MN	55407	411658654	501C3	$10,000	GENERAL SUPPORT
OPEN ARMS OF MINNESOTA
2500 BLOOMINGTON AVENUE	MINNEAPOLIS	MN	55404	237366680	501C3	$11,500	SUPPORT FOR MEAL PREP AND DELIVERY PROGRAM
PEOPLE SERVING PEOPLE INC CHARITIES
614 3RD STREET SOUTH	MINNEAPOLIS	MN	55415	411965067	501C3	$10,000	SPONSORSHIP OF 2020 GALA
UNITED WAY OF STEELE COUNTY
110 NORTH CEDAR AVE	OWATONNA	MN	55060	237366680	501C3	$10,000	GENERAL SUPPORT
FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC
PO BOX 745	RIVER FALLS	WI	54022	205892220	501C3	$9,800	GENERAL SUPPORT
JUSTUS VENTURING
1895 BUSH AVENUE E	ST PAUL	MN	55119	260371709	501C3	$9,475	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
STEPPING STONE EMERGENCY HOUSING
3300 4TH AVE N CRONIN BLDG 14	ANOKA	MN	55303	203226868	501C3	$8,800	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
CHRIST THE KING ASSEMBLY 4TH DEGREE KNIGHTS OF COLUMBUS ORGANIZATION
621 FIRST AVENUE SOUTH	BUFFALO	MN	55323	411974622	501C3	$8,440	GENERAL SUPPORT
THREE RIVERS PARK DISTRICT FOUNDATION INC
3000 XENIUM LANE N	PLYMOUTH	MN	55441	411579104	501C3	$7,800	SUPPORT FOR ALLINA AUTUMN WOODS CLASSIC
INTERCONGREGATION COMMUNITIES ASSOCIATION INC
12990 SAINT DAVIDS ROAD	MINNETONKA	MN	55305	410979010	501C3	$7,600	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
ACTIVE KIDS ASSOCIATION OF SPORT
1850 105TH AVENUE NE	BLAINE	MN	55449	030545137	501C3	$7,500	GENERAL SUPPORT
HOPE COMMUNITY INC
611 EAST FRANKLIN AVENUE	MINNEAPOLIS	MN	55404	411292817	501C3	$7,500	SUPPORT OF THE HEALTHY FOODS, STRONG COMMUNITY PROGRAM
NORTHERN STAR COUNCIL BOY SCOUTS OF AMERICA
393 MARSHALL AVENUE	ST PAUL	MN	55102	203000282	501C3	$7,500	GENERAL SUPPORT
PANCREATIC CANCER ACTION NETWORK INC
1500 ROSECRANS AVENUE STE 200	MANHATTAN BEACH	CA	90266	330841281	501C3	$7,500	SPONSORSHIP FOR PURPLE RIDE STRIDE MINNESOTA 2019
WASHBURN CENTER FOR CHILDREN
1100 GLENWOOD AVE	MINNEAPOLIS	MN	55405	410711618	501C3	$7,500	SPONSORSHIP FOR THE 10TH ANNIVERSARY WASHBURN GAMES
WESTERN COMMUNITIES ACTION NETWORK INC
5213 SHORELINE DRIVE	MINNEAPOLIS	MN	55364	411466409	501C3	$7,500	GENERAL SUPPORT
ALL SQUARE
4047 MINNEHAHA AVENUE	MINNEAPOLIS	MN	55007	813572476	501C3	$7,300	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
BROOKLYN CENTER SCHOOL DISTRICT
6300 SHINGLE CREEK PARKWAY SUITE	BROOKLYN CENTER	MN	55430	416009038	ISD286	$7,100	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR	286
SOLE CARE FOR SOULS
4190 VINEWOOD LANE NORTH	PLYMOUTH	MN	55442	263300002	501C3	$7,000	GENERAL SUPPORT
THE LOPPET FOUNDATION
1301 THEODORE WIRTH PKWY	MINNEAPOLIS	MN	55422	411753882	501C3	$7,000	SPONSORSHIP FOR MINNE-LOPPET PROGRAM
LINC MINISTRIES INTERNATIONAL INC
670 W WHEELOCK PARKWAY	ST PAUL	MN	55117	760683235	501C3	$6,625	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
MINNEAPOLIS POLICE ACTIVITIES LEAGUE
4119 DUPONT AVENUE NORTH	MINNEAPOLIS	MN	55412	411719527	501C3	$6,500	GENERAL SUPPORT
NORTH METRO PEDIATRICS PA
10081 DOGWOOD ST NW SUITE 100	COON RAPIDS	MN	55448	201773869	501C3	$6,500	GENERAL SUPPORT
CAPI USA
5930 BROOKLYN BLVD	BROOKLYN CENTER	MN	55429	411417198	501C3	$6,372	SUPPORT FOR MACC HEALTHCARE PILOT COLLABORATIVE
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION INC
7900 W 78TH ST STE 100	MINNEAPOLIS	MN	55439	133039601	501C3	$6,300	SUPPORT FOR WALK TO END ALZHEIMER'S
PHILLIPS WEST NEIGHBORHOOD ORGANIZATION
2400 PARK AVENUE SOUTH SUITE 337	MINNEAPOLIS	MN	55404	900122796	501C3	$6,250	GENERAL SUPPORT
GATEWAY ARTS CENTER
W1422 WESTVIEW COURT	SPRING VALLEY	WI	54767	474860760	501C3	$6,235	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
CENTRO TYRONE GUZMAN
1915 CHICAGO AVENUE	MINNEAPOLIS	MN	55404	411290349	501C3	$6,150	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
DAR-US-SALAM CULTURAL CENTER
190 S RIVER RIDGE CIRCLE	BURNSVILLE	MN	55337	522410033	501C3	$6,100	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
SCOTT COUNTY HUMAN SERVICES ADULT MENTAL HEALTH
752 CANTERBURY RD S	SHAKOPEE	MN	55379	416005892	SCOTT COUNTY GOV.	$6,100	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
CENTER CLINIC INCORPORATED
PO BOX 67	DODGE CENTER	MN	55927	200756495	501C3	$6,000	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
CHASKA ROTARY FOUNDATION INC
729 CANTERBURY ROAD SUITE 211	SHAKOPEE	MN	55379	205272327	501C3	$6,000	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
ISANTI COUNTY FAMILY SERVICES
1700 EAST RUM RIVER DRIVE SOUTH	CAMBRIDGE	MN	55008	416005808	ISANTI COUNTY	$6,000	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
NEW ULM PARK AND RECREATION
122 S GARDEN STREET	NEW ULM	MN	56073	416005412	CITY OF NEW ULM	$6,000	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
VOLUNTEERS OF AMERICA CARE FACILITIES
1314 8TH STREET NORTH	NEW ULM	MN	56073	410965829	501C3	$6,000	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS
400 ROBERT STREET SOUTH	ST PAUL	MN	55107	410693910	501C3	$5,800	GENERAL SUPPORT
SPIRIT RIVER FOUNDATION
1321 HERITAGE BLVD PO BOX 158	ISANTI	MN	55040	811497245	501C3	$5,786	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
NORTHFIELD HEALTHY COMMUNITY INITIATIVE
1651 JEFFERSON PARKWAY	NORTHFIELD	MN	55057	262852506	501C3	$5,786	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
HASTINGS AREA CHAMBER OF COMMERCE AND TOURISM BUREAU
312 VERMILLION STREET SUITE 100	HASTINGS	MN	55033	410940039	501C6	$5,540	GENERAL SUPPORT
NORTH EAST NEIGHBORHOODS LIVING AT HOME - BLOCK NURSE PROGRAM
1961 SHERWOOD AVENUE	ST PAUL	MN	55119	141999180	501C3	$5,430	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
SPRING VALLEY SENIORS STAYING PUT INC
5312 MCKAY AVENUE PO BOX 193	SPRING VALLEY	WI	54767	473511773	501C3	$5,425	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
FRIENDS OF THE PRESCOTT PUBLIC LIBRARY
800 BORNER STREET NORTH	PRESCOTT	WI	54021	237088943	501C3	$5,350	2019 NEIGHBORHOOD HEALTH CONNECTION GRANT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
MATTER
7005 OXFORD ST	ST LOUIS PARK	MN	55426	371441658	501C3	$5,330	SPONSORSHIP OF NIGHT TO MATTER GALA

Field	Value	IRS element (for citing)
Total501c3 Org	77	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (9 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES	50	$77,250
HOUSING AND LIVING ASSISTANCE	30	$18,873
BIKES AND HELMETS	5612		$60,095	FMV	BIKES AND HELMETS DISTRIBUTION AT VARIOUS BIKE EVENTS
MEDICAL ASSISTANCE	7296	$150,000
T-SHIRTS AND BAGS	9849		$39,738	FMV	T-SHIRT AND BAG DISTRIBUTION AT BIKE EVENTS
DECALS	4001		$1,241	FMV	DECALS DISTRIBUTED IN TEEN MENTAL HEALTH PROGRAM
TATTOOS	15000		$1,587	FMV	TEMPORARY TATTOOS DISTRIBUTED IN TEEN MENTAL HEALTH PROGRAM
PINS	3000		$3,450	FMV	PINS DISTRIBUTED IN TEEN MENTAL HEALTH PROGRAM
CARING FOR COLLEAGUES	188	$318,267

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 EXPLANATION	FormAndLineReferenceDesc
Explanation	ALLINA HEALTH SYSTEM STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS A PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS; PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PENNY WHEELER MD
DIRECTOR/PRESIDENT/CEO	$1,281,812	$0	$784,552	$0	$136,467	$0	$440,624	$0	$22,545	$0	$2,666,000	$0	$527,271	$0
BEN BACHE-WIIG MD
EVP CHIEF POPULATION HEALT	$43,791	$0	$219,503	$0	$875,820	$0	$12,274	$0	$1,438	$0	$1,152,826	$0	$439,739	$0
CHRISTINE BENT
EVP-ALLINA HEALTH GROUP	$510,186	$0	$237,868	$0	$260,357	$0	$17,407	$0	$28,453	$0	$1,054,271	$0	$311,134	$0
SARA CRIGER
SVP, PRES. MERCY HOSP.	$653,787	$0	$224,927	$0	$132,443	$0	$122,243	$0	$25,716	$0	$1,159,116	$0	$218,767	$0
PETER HOFRENNING
SVP INTERIM CHIEF COMP. OFFICER	$207,040	$0	$25,184	$0	$22,365	$0	$13,245	$0	$32,927	$0	$300,761	$0	$0	$0
RICHARD MAGNUSON
EVP/CFO/TREASURER	$678,786	$0	$112,700	$0	$130,550	$0	$162,525	$0	$17,401	$0	$1,101,962	$0	$103,910	$0
CHRISTINE MOORE
SVP, CHIEF HR OFFICER	$438,332	$0	$153,212	$0	$86,514	$0	$89,891	$0	$32,051	$0	$800,000	$0	$138,024	$0
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSP	$1,157	$0	$336,879	$0	$748,011	$0	$13,132	$0	$0	$0	$1,099,179	$0	$326,870	$0
ANN MADDEN RICE
SVP/PRESIDENT ANW	$761,609	$0	$100,000	$0	$36,256	$0	$81,667	$0	$10,344	$0	$989,876	$0	$0	$0
LISA SHANNON
EVP, CHIEF OPERATING OFF.	$865,525	$0	$157,577	$0	$93,669	$0	$137,332	$0	$32,039	$0	$1,286,142	$0	$41,751	$0
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPRV OFF	$478,356	$0	$76,254	$0	$60,814	$0	$98,475	$0	$14,146	$0	$728,045	$0	$51,753	$0
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFFICE	$282,410	$0	$43,684	$0	$21,661	$0	$43,744	$0	$30,251	$0	$421,750	$0	$0	$0
TIMOTHY SIELAFF
SVP-AHG-SPEC. CARE/CMO	$605,518	$0	$224,840	$0	$148,625	$0	$115,430	$0	$33,451	$0	$1,127,864	$0	$226,030	$0
DAVID SLOWINSKE
SVP, AHG OPERATIONS	$375,248	$0	$125,063	$0	$66,638	$0	$84,295	$0	$29,158	$0	$680,402	$0	$113,381	$0
KATHERINE TARVESTAD
SVP, CHIEF COMPLIANCE OFF	$84,236	$0	$87,270	$0	$69,831	$0	$9,773	$0	$11,478	$0	$262,588	$0	$47,639	$0
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN. COUN.	$532,183	$0	$182,154	$0	$99,722	$0	$102,861	$0	$28,183	$0	$945,103	$0	$182,167	$0
NICHOLAS MENDYKA
VP SYSTEM FINANCE OP.	$112,053	$0	$50,000	$0	$60,108	$0	$8,750	$0	$9,044	$0	$239,955	$0	$0	$0
DANIEL BUSS MD
PHYSICIAN	$1,350,858	$0	$0	$0	$90,318	$0	$18,200	$0	$33,145	$0	$1,492,521	$0	$60,334	$0
MICHAEL FREEHILL MD
PHYSICIAN	$1,227,150	$0	$0	$0	$75,453	$0	$18,200	$0	$31,701	$0	$1,352,504	$0	$63,398	$0
TILOK GHOSE MD
PHYSICIAN	$1,064,124	$0	$0	$0	$208,293	$0	$16,800	$0	$18,697	$0	$1,307,914	$0	$0	$0
MARK HELLER MD
PHYSICIAN	$1,375,352	$0	$0	$0	$95,280	$0	$14,000	$0	$28,183	$0	$1,512,815	$0	$67,185	$0
TODD HESS MD
PHYSICIAN	$1,445,600	$0	$0	$0	$75,096	$0	$18,200	$0	$29,948	$0	$1,568,844	$0	$58,394	$0
MARY BEAR-DUKES
FORMER VP-REV CYCLE	$270,800	$0	$39,701	$0	$32,397	$0	$18,200	$0	$26,928	$0	$388,026	$0	$29,108	$0
CORRINE KROEHLER
FORMER/VP FINANCE/SUPPLY CHAIN	$310,465	$0	$49,571	$0	$34,949	$0	$18,200	$0	$25,595	$0	$438,780	$0	$7,203	$0
DUNCAN GALLAGHER
FORMER EVP/CFO/TREASURER	$0	$0	$0	$0	$130,958	$0	$0	$0	$0	$0	$130,958	$0	$104,400	$0
HELEN STRIKE
FORMER PRESIDENT-UNITY HOSP.	$141,147	$0	$30,000	$0	$49,045	$0	$7,673	$0	$6,343	$0	$234,208	$0	$0	$0
RODNEY CHRISTENSEN
FORMER VP MEDICAL OPERATIONS	$157,327	$0	$65,150	$0	$86,945	$0	$17,380	$0	$12,612	$0	$339,414	$0	$18,719	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	EXPLANATION: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. LISA SHANNON - $22,310; HELEN STRIKE - $35,101; NICHOLAS MENDYKA - $58,538.98.
PART I, LINES 4A-B	4(A): BEN BACHE WIIG, MD - $453,238; THOMAS O'CONNOR - $369,076. 4(B): BEN BACHE WIIG, MD - $341,686; CHRISTINE BENT - $202,301; SARA CRIGER - $72,222; RICHARD MAGNUSON - $73,805; CHRISTINE MOORE - $50,708; THOMAS O'CONNOR - $332,021; LISA SHANNON - $44,499; JONATHAN SHOEMAKER - $38,852; TIMOTHY SIELAFF, MD - $79,635; DAVID SLOWINSKE - $43,765; KATHERINE TARVESTAD - $41,736; ELIZABETH TRUESDELL SMITH - $64,637; DANIEL BUSS, MD - $60,334; MICHAEL FREEHILL, MD - $64,128; TILOK GHOSE, MD $180,009; MARK HELLER, MD - $68,218; TODD HESS, MD - $59,521; MARY BEAR DUKES - $27,098; MARGARET HASBROUCK - $33,500; DUNCAN GALLAGHER - $130,958 - RODNEY CHRISTENSEN - $24,267.
PART I, LINE 6	DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. 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 FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. 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 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 HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). 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. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8	CERTAIN 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.
SCHEDULE J, LINE 4(A) & (B)	ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: 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 NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. THE MUTUAL FUND PLANS TERMINATED EFFECTIVE DECEMBER 31, 2018. ALL MUTUAL FUND ACCOUNTS SHALL BE DISTRIBUTED IN A LUMP SUM NO LATER THAN JANUARY 2021, OR IF ELECTED BY THE PARTICIPANT IN DECEMBER 2018, IN THREE ANNUAL INSTALLMENTS WITH THE FIRST HAVING BEEN MADE FEBRUARY 2019 (33.33 PERCENT OF ACCOUNT BALANCE), THE SECOND MADE FEBRUARY 2020 (50 PERCENT OF REMAINING BALANCE), AND THE THIRD MADE JANUARY 2021 (REMAINING BALANCE). ALLINA DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPAPTED IN A DEFINED CONTRIBUTION SERP. THIS PLAN WAS AMENDED AND FROZEN EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. THIS PLAN WAS REPLACED WITH THE EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN EFFECTIVE JANUARY 1, 2009, WHICH WAS ALSO FROZEN EFFECTIVE DECEMBER 31, 2018 EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR DC 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 POSITION 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 AND FROZEN EFFECTIVE DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHO'S EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% SVP \| EVP 15% CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN. ALLINA HEALTH PHYSICIAN DEFERRED AWARD PLAN ALLINA HEALTH ESTABLISHED THIS EMPLOYEE BENEFIT PLAN TO PROVIDE DESIGNATED PHYSICIANS WITH ADDITIONAL DEFERRED COMPENSATION TO PROVIDE LONG TERM INCENTIVES TO REMAIN WITH THE COMPANY AND CONTRIBUTE TO ITS' SUCCESSFUL PERFORMANCE. SELECT PHYSICIANS ARE ELIGIBLE TO PARTICIPATE AFTER ONE FULL CALENDAR YEAR OF EMPLOYMENT AND BE WORKING A .5 FTE OR GREATER AS OF THE DECEMBER 31ST OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS PROVIDED. THE PLAN ANNUAL FUNDING AWARD POOL IS DISCRETIONARY AND WILL BE DETERMINED AT THE END OF THE PLAN YEAR AND MUST BE APPROVED BY THE ALLINA HEALTH BOARD COMPENSATION COMMITTEE. ONCE THE AWARD POOL IS DETERMINED, THE AMOUNTS WILL BE ALLOCATED EQUALLY WITH ADJUSTMENTS MADE BASED ON THE PARTICIPANT'S FTE STATUS. A PARTICIPANT'S ACCOUNT SHALL BECOME VESTED AND NON-FORFEITABLE UPON THE EARLIEST OF THE FOLLOWING: THE DATE THE PARTICIPANT HAS ATTAINED AGE 65 THE DATE A TERMINATED PARTICIPANT HAS REACHED AGE 55, COMPLETED TEN YEARS OF VESTING SERVICE AND SATISFIED A TWO-YEAR NON-COMPETE RESTRICTION THE DATE OF THE PARTICIPANT'S DEATH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
A	416005375	603695JN8	2019-10-23	$82,732,038	REFUND ISSUE DATED 11/10/2009	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
B	416005375	792909DV2	2017-04-13	$77,845,000	REFUNDING OF 2007B & A PORTION	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
C	416005375	603695JC2	2017-04-13	$92,779,168	REFUND ISSUE DATED 11/15/2009	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
D	416005375	NONEAVAIL	2014-12-04	$20,165,000	REFUND ISSUE DATED 12/22/2010	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Substantial CompletionSubstantialCompletionYr
A	$82,732,038	$925,179	$3,908	$81,802,951	Yes (1)	0	Yes (1)	Yes (1)
B	$77,845,000	$135,000		$77,710,000	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$34,345,000
C	$92,779,168	$830,328	$6,508	$91,942,332	0	Yes (1)	0	Yes (1)
D	$20,165,000	$200,000		$19,965,000	Yes (1)	0	Yes (1)	Yes (1)	$3,375,000	2010

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	Yes (1)	Yes (1)	Yes (1)	0.00800	0.00800	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.01600	0.01600	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.00400	0.00400	Yes (1)
D	0	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	0	0	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN B EXPLANATION	ENTITY 1, BONDS A, B, & C ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375 HRA CITY OF ST. PAUL - 52-1440935 ENTITY 2, BOND A & B ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375 HRA CITY OF ST. PAUL - 41-6005521
SCHEDULE K, PART I, COLUMN F DESCRIPTION OF PURPOSE:	ENTITY 1 (A) CUSIP NUMBER - 603695JN8; REFUND ISSUE DATED 11/10/2009 REFUND A PORTION ON THE 2009A BONDS (B) CUSIP NUMBER - 792909DV2; REFUND ISSUE DATED 10/09/2007 REFUNDING OF 2007B & A PORTION OF 1998A; CONSTRUCTION;REMODELING;RENOVATION (C) CUSIP NUMBER - 603695JC2; REFUND ISSUE DATED 11/15/2009 (D) CUSIP NUMBER - NONE AVAILABLE; REFUND ISSUE DATED 12/22/2010 ENTITY 2 (A) CUSIP NUMBER - 792909BJ1; REFUNDING OF 2007B & A PORTION (B) CUSIP NUMBER - 792909BH5; REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATION
PART II, LINE 3 EXPLANATION	ENTITY 2 BOND A AND B - THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS.
PART II, LINE 11 EXPLANATION	ENTITY 1 BONDS A, B, C & D - THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW.
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C	ENTITY 2 (A) ISSUER NAME: CITY OF MINNEAPOLIS & HRA CITY OF ST. PAUL; CUSIP NUMBER - 792909BJ1; DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 (B) ISSUER NAME: CITY OF MINNEAPOLIS & HRA CITY OF ST. PAUL; CUSIP NUMBER - 792909BH5; DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
A	416005375	792909BJ1	2009-11-10	$348,409,221	REFUNDING OF 2007B & A PORTION	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
B	416005375	792909BH5	2007-10-17	$482,877,203	REFUNDING OF 1993A AND ADVANCE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$185,245,000	$348,795,795	$3,332,390	$222,216	$49,893,780	$295,092,023	2014	Yes (1)	0	Yes (1)	Yes (1)
B	$357,045,000	$488,622,085	$2,717,494	$6,787,000	$126,922,772	$352,194,819	2010	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	0	0.00600	0.00600	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)	0	0.02200	0.02200	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
JP MORGANWELLS
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	FARGO	25.800000000000	Yes (1)	0	0	0	Yes (1)
US BANK
B	0	0	0	Yes (1)	Yes (1)	Yes (1)		24.800000000000	Yes (1)	0	Yes (1)	0	Yes (1)	MBIA	0.800000000000	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAROLYN ALLEN
FAMILY MEMBER OF JOHN ALLEN, BOARD MEMBER	$21,706	EMPLOYMENT	0
CAROL ROSENBERG
FAMILY MEMBER OF BRIAN ROSENBERG, BOARD MEMBER	$136,067	EMPLOYMENT	0
SARAH CORNICK
FAMILY MEMBER OF BEN BACHE-WIIG, EVP CHIEF POPULATION HEALTH OFFICER	$95,644	EMPLOYMENT	0
ERIN CHURCH
FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER	$53,870	EMPLOYMENT	0
MARGARET HASBROUCK
FORMER EMPLOYEE/OFFICER AND OWNER OF MARGARET HASBROUCK, LLC.	$112,679	BUSINESS RELATIONSHIP	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	1404 FRAMES & 1300 CASES	1	$118,120	FAIR MARKET VALUE
Yes (X)	EQUIPMENT	70	$87,045	FAIR MARKET VALUE
Yes (X)	784 LENSES	1	$39,984	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP - DIRECTORS SALLY SMITH AND GARY BHOJWANI. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, SALLY SMITH AND GARY BHOJWANI ALSO SERVE ON THE HORMEL FOODS CORPORATION [NYSE: HRL] BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - DIRECTORS DEBBRA SCHONEMAN AND THOMAS SCHREIER. IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DEBBRA SCHONEMAN AND THOMAS SCHREIER ALSO SERVE ON THE PIPER JAFFRAY COMPANIES BOARD OF DIRECTORS. DEBBRA SCHONEMAN IS ALSO AN OFFICER OF PIPER JAFFRAY COMPANIES. BUSINESS RELATIONSHIP - RICHARD MAGNUSON, PENNY WHEELER, M.D., ABIR SEN AND BEN BACHE-WIIG, M.D. ARE DIRECTORS OF THE BOARD OF (1) ALLINA HEALTH AND AETNA INSURANCE COMPANY, A MINNESOTA CORPORATION; AND (2) ALLINA HEALTH AND AETNA INSURANCE HOLDING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BUSINESS RELATIONSHIP - CORRINE KROEHLER AND ELIZABETH TRUESDELL SMITH ARE BOARD MEMBERS AND RICHARD MAGNUSON IS A BOARD MEMBER AND BOARD OFFICER OF FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY, SPC. BUSINESS RELATIONSHIP - MAYKAO HANG, PH.D. IS EMPLOYED BY THE UNIVERSITY OF ST. THOMAS AND PENNY WHEELER IS A DIRECTOR ON THAT BOARD. BUSINESS RELATIONSHIP - TIM WELSH AND THOMOAS SCHREIER ARE CO-INVESTORS IN A PARTNERSHIP THAT INVESTS IN THE MN UNITED FOOTBALL CLUB.
FORM 990, PART VI, SECTION B, LINE 11B	THE ALLINA HEALTH SYSTEM FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S CHIEF FINANCIAL OFFICER 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 THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS. AN ALLINA HEALTH SYSTEM BOARD OF DIRECTORS MEETING WAS HELD ON NOVEMBER 2, 2020 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING THE ALLINA HEALTH SYSTEM FORM 990 WITH THE IRS, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
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	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 MEDICAL OFFICER, PRESIDENT - ABBOTT NORTHWESTERN HOSPITAL, PRESIDENT - UNITED HOSPITAL, PRESIDENT - MERCY HOSPITAL, EXECUTIVE VICE PRESIDENT - NETWORK INTEGRATION, SENIOR VICE PRESIDENT - GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT ALLINA HEALTH GROUP, SENIOR VICE PRESIDENT - CHIEF COMPLIANCE OFFICER, SENIOR VICE PRESIDENT - ALLINA HEALTH GROUP OPERATIONS; SENIOR VICE PRESIDENT - CHIEF HUMAN RESOURCE OFFICER, SENIOR VICE PRESIDENT - CHIEF INFORMATION 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	ALLINA HEALTH SYSTEM 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: ALLINA HEALTH SYSTEM TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 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. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM DIGITAL ASSURANCE CERTIFICATION (DAC) AND ON THEIR WEBSITE AT DACBOND.COM, AND FROM ELECTRONIC MUNICIPAL MARKET ACCESS AND ON THEIR WEBSITE AT HTTP://EMMA.MSRB.ORG. DAC CLIENTS MEET THE IRS SECTION 6104(D) REQUIREMENTS ON ALLOWING "PUBLIC INSPECTION OF CERTAIN ANNUAL RETURNS, REPORTS, AND APPLICATIONS FOR EXEMPTION AND NOTICES OF STATUS" VIA THE DAC WEBSITE. DAC ENSURES THE RELIABILITY AND ACCURACY OF THE POSTED DOCUMENTS AND TAKES REASONABLE PRECAUTIONS TO PRECENT ALTERATION, DESTRUCTION OR ACCIDENTAL LOSS OF THE POSTED DOCUMENTS. WHERE REQUESTD, A USER MAY DOWNLOAD A DOCUMENT, PRINT A DOCUMENT, EMAIL A DOCUMENT OR, GIVEN REASONABLE WRITTEN NOTICE, DAC WILL MAIL A NOTIFICATION INDICATING WHERE SUCH DOCUMENTS ARE AVAILABLE WITHIN 7 DAYS OF THE WRITTEN REQUEST, PER IRS TREA. REG. SECTION 301.6104(D)-2(D).
FORM 990, PART VII, SECTION A EXPLANATION	FORM 990, PART VII, SECTION A ALLINA HEALTH SYSTEM PROVIDES COMPENSATION TO THE BOARD OF DIRECTORS FOR SERVING ON THE BOARD AND FOR SERVING ON CERTAIN COMMITTEES. THE FOLLOWING COMPENSATION WAS PAID BY ALLINA HEALTH SYSTEM FOR SERVICES PROVIDED TO US AND NOT DISCLOSED ON PART VII OR SCHEDULE J. $10,000 PAID TO HOSPITAL PATHOLOGY ASSOCIATES FOR THE SERVICES OF JOSEPH GOSWITZ. $10,000 PAID TO BSWING FOR THE SERVICES OF JENNIFER ALSTAD $20,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF THOMAS SCHREIER. $14,000 DONATED TO ABBOTT NORTHWESTERN HOSPITAL FOUNDATION FOR THE SERVICES OF TIM WELSH. $10,000 DONATED TO MENTAL HEALTH AND ADDITION AND CANCER PRIORITIES FUND FOR THE SERVICES OF GARY BHOJWANI. $10,000 DONATED TO AMHERST H. WILDER FOUNDATION FOR THE SERVICES OF MAYKAO HANG. $5,000 DONATED TO THE ALLINA FOUNDATION FOR THE SERVICES OF VICKI YANISCH.
FORM 990, PART XI, LINE 9:	DISTRIBUTION TO MEMBERS - MICC -1,951,199. TWIN CITIES MEDICAL IMAGING LLC JOINT VENTURE CONSOLIDATION 8,404,125. DISTRICT ONE HARDSHIP FUND 26,869. PENSION LIABILITY ADJUSTMENTS 170,090. LEASE IMPLEMENTATION -289,845. FAS 106 MNA BENEFIT ACTUARIAL ADJUSTMENT -2,024,950. WESTHEALTH AMBULATORY SURGERY CENTER LLC JOINT VENTURE CONSOLIDATION -2,622,923.
PART XII, LINE 2C	THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ACCOUNTS RECEIVABLE SERVICES LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	550811834	DEBT COLLECTION	MN	$13,920,113	$24,253,067	ALLINA HEALTH SYSTEM
AXIS HEALTHCARE LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411855603	HEALTHCARE SERVICES	MN	$33,385	$667,592	ALLINA HEALTH SYSTEM
SOUTHWEST SURGICAL CENTER LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	412013700	SURGICAL SERVICES	MN	$3,978,477	$21,434,907	ALLINA HEALTH SYSTEM
AH FRANCHISING LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043		FRANCHISING	DE	$0	$0	ALLINA HEALTH SYSTEM
WESTHEALTH SURGERY CENTER LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	371763155	SURGICAL SERVICES	MN	$14,118,481	$5,532,725	ALLINA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	043643816	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
MERCY & UNITY HOSPITALS FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	300086426	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
ST FRANCIS REGIONAL MEDICAL CENTER
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	410907986	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3		0	N/A
REGINA FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411987372	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7		0	N/A
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411613017	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
COURAGE KENNY FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411952989	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
UNITED HOSPITAL FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	237420998	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
ALLINA ASSOCIATED FOUNDATION
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	274116873	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM	0
MBP FACILITY LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	454078371	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 12A, I		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GERIATRIC SERVICES OF MINNESOTA LLC
3433 BROADWAY STREET NE SUITE 300	MINNEAPOLIS	MN	55413	453357936	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$9,684	$858,011	0	Yes (1)	0.50000
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700	MINNEAPOLIS	MN	55407	452532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$586,094	$237,933	0	Yes (1)	0.49000
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WEST	ST PAUL	MN	55108	261850227	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$334,722	$430,504	0	0	0.65000
HEALTHCARE CAMPUS IMAGING ONE LLC
200 STATE AVENUE	FARIBAULT	MN	55021	522401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$239,318	$70,993	0	Yes (1)	0.50000
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500	MINNEAPOLIS	MN	55407	412010368	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$42,336	$997,927	0	Yes (1)	0.50000
MOBILE IMAGING SERVICES LLC
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	411883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	-$18,915	$305,922	0	Yes (1)	0.50000
CT ONE LLC
200 STATE AVENUE	FARIBAULT	MN	55021	261187480	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$439,471	$154,727	0	Yes (1)	0.75190
MAGNETO LEASING LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	201582501	RENTAL EQUIPMENT	MN	ALLINA HEALTH SYSTEM	RELATED	$29,572	$12,598	0	Yes (1)	0.50000
GLOBAL MARKET RESERVE FUND LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	832659070	FINANCE	MN	ALLINA HEALTH SYSTEM	UNRELATED	$151,588	$1,527,916	0	Yes (1)	0.50000
METROPOLITAN INTEGRATED CANCER CENTER LLC
PO BOX 819067	DALLAS	TX	75381	205068485	RADIOLOGY	DE	ALLINA HEALTH SYSTEM	UNRELATED	$2,587,559	$2,972,107	0	Yes (1)	0.80000
BPA HEALTH LLC
2845 HAMLINE AVENUE NORTH	ROSEVILLE	MN	55113	352490984	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED		$3,145	0	Yes (1)	0.33330
APPLE VALLEY BUILDING ASSOCIATES LLC
14655 GALAXIE AVENUE	APPLE VALLEY	MN	55124	411677072	RENTAL REAL ESTATE	MN	ALLINA HEALTH SYSTEM	RELATED	$69,893	$146,882	0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALLINA SPECIALTY ASSOCIATES INC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411802815	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	$6,350,041	$94,623,461	1.00000	0
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007	PITTSBURGH	PA	15253	276712988	TRUST	PA	ALLINA HEALTH SYSTEM	T	$78,253,845		1.00000	0
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET SUITE 625	PITTSBURGH	PA	15258	376520273	TRUST	PA	ALLINA HEALTH SYSTEM	T			1.00000	0
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411720860	TRUST	MN	ALLINA HEALTH SYSTEM	T	$50,107		1.00000	0
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	275129095	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	$1,975,182	$11,241,691	1.00000	0
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
				981366132	CAPTIVE INSURANCE		ALLINA HEALTH SYSTEM	C	$123,069	$14,143,727	1.00000	0	PO BOX 1085	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
C	$10,863,804	CASH
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
B	$1,990,263	COST
COURAGE KENNY FOUNDATION
C	$7,128,992	CASH AND FMV
MERCY & UNITY HOSPITALS FOUNDATION
C	$1,506,676	CASH
MERCY & UNITY HOSPITALS FOUNDATION
B	$744,164	COST
PHILLIPS EYE INSTITUTE FOUNDATION
C	$784,720	CASH AND FMV
PHILLIPS EYE INSTITUTE FOUNDATION
B	$87,666	COST
UNITED HOSPITAL FOUNDATION
C	$4,441,426	CASH
UNITED HOSPITAL FOUNDATION
B	$1,399,474	COST
ALLINA ASSOCIATED FOUNDATION
C	$1,428,114	CASH
ALLINA ASSOCIATED FOUNDATION
B	$1,318,473	COST
ALLINA SPECIALTY ASSOCIATES INC
C	$419,024	COST
ASPEN SLEEP CENTER LLC
C	$389,521	CASH
NORTHSTAR SLEEP CENTER LLC
C	$171,500	CASH
METROPOLITAN INTEGRATED CANCER CARE LLC
C	$3,449,458	CASH
CT ONE LLC
C	$451,128	CASH
HEALTHCARE CAMPUS IMAGING ONE LLC
C	$270,000	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
Q	$25,786,351	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
S	$2,375,000	CASH
REGINA FOUNDATION
B	$124,893	COST
REGINA FOUNDATION
C	$168,825	CASH
WESTHEALTH SURGERY CENTER LLC
C	$137,700	CASH
WESTHEALTH SURGERY CENTER LLC
S	$1,412,096	NET BOOK VALUE
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
R	$1,286,000	CASH
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
B	$4,564,660	CASH
ALLINA INTEGRATED MEDICAL NETWORK
C	$1,806,353	CASH