ALLINA HEALTH SYSTEM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ALLINA HEALTH SYSTEM (EIN 36-3261413)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-11
IRS object ID: 201903159349302910
Schema version: 2018v3.1
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 G
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	2019-11-11T12:24:02-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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	2019-11-11	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.177.39.9	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-11	IPDt
IP Tm	11:55:53	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	788BC522D4345668D49A1EEDB87926F0020C407D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	0B59101D2A9F53A82A53094D08818AF2D3C99314	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$5,479,990,599	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 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. 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 2018, ALLINA HEALTH PROVIDED $600,815,710 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	21	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	32321	TotalEmployeeCnt
Total Volunteers	2355	TotalVolunteersCnt
Total Gross UBI	$39,505,398	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,740,681	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$40,928,678	PYContributionsGrantsAmt
CY Contributions Grants	$41,131,861	CYContributionsGrantsAmt
PY Program Service Revenue	$4,150,531,848	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,395,295,115	CYProgramServiceRevenueAmt
PY Investment Income	$25,628,337	PYInvestmentIncomeAmt
CY Investment Income	$70,194,558	CYInvestmentIncomeAmt
PY Other Revenue	$62,015,448	PYOtherRevenueAmt
CY Other Revenue	$56,698,650	CYOtherRevenueAmt
PY Total Revenue	$4,279,104,311	PYTotalRevenueAmt
CY Total Revenue	$4,563,320,184	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,839,076	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,438,207	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,551,437,008	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,676,255,402	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$7,943,337	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,550,712,002	PYOtherExpensesAmt
CY Other Expenses	$1,711,702,778	CYOtherExpensesAmt
PY Total Expenses	$4,105,988,086	PYTotalExpensesAmt
CY Total Expenses	$4,395,396,387	CYTotalExpensesAmt
PY Revenues Less Expenses	$173,116,225	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$167,923,797	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,533,308,720	TotalAssetsBOYAmt
Total Assets EOY	$4,545,342,711	TotalAssetsEOYAmt
Total Liabilities BOY	$1,831,314,663	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,799,681,715	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,701,994,057	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,745,660,996	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	$3,325,388,139	ExpenseAmt
Grant	$7,438,207	GrantAmt
Revenue	$4,512,353,288	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 WHICH 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, 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. DEDICATED TO MEETING THE NEEDS OF ITS PATIENTS, CAMBRIDGE MEDICAL CENTER PROVIDES AN ATMOSPHERE THAT PROMOTES HEALING AND COMFORT.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 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.REGINA MEDICAL CENTER - HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, 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 RIVERS CANCER CENTER, BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS THE LARGEST HOSPITAL 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 OVER 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 PRACTITIONERS 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 2018, ALLINA HEALTH EXPENDED OVER $3 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 4,900,000 CLINIC VISITS, 111,735 INPATIENT ADMISSIONS AND 1,500,000 HOSPITAL OUTPATIENT VISITS. THERE WERE 339,744 EMERGENCY CARE VISITS, 396,924 HOMECARE AND HOSPICE VISITS, AND OVER 15,222 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 2018, ALLINA HEALTH EXPENDED $4,898,042 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	$390,929,275	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 2018, ALLINA HEALTH PROVIDED $390,929,275 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 2018, ALLINA HEALTH EXPENDED $261,076,486 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $45,426,834 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 2018, ALLINA HEALTH PAID $25,957,224 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 $53,735,926 FOR THE MINNESOTACARE TAX IN 2018. 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 $4,732,805 IN TAXES AND FEES IN 2018.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$59,740,538	ExpenseAmt
Revenue	-$108,316,218	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 2018, ALLINA HEALTH PROVIDED $20,651,844 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 19 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 46 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2018, ALLINA HEALTH PROVIDED $39,088,694 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 2018 TOTALED $108,316,218.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$36,931,637	ExpenseAmt
Desc	COMMUNITY SERVICES:IN 2018, ALLINA HEALTH CONTRIBUTED $36,931,637 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 2018, 70,000 USERS VISITED THE HPK WEBSITE. ADDITIONALLY, PROGRAM STAFF ADDED 7 LESSONS TO THE PROGRAM, ALL WITH A FOCUS ON MENTAL WELL-BEING, INCLUDING THE POWER OF MEDITATION, LEARNING MINDFULNESS THROUGH MOVEMENT AND GRATITUDE: OVERLOOKED BLESSINGS.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2018, MORE THAN 50,000 USERS VISITED THE CTC WEBSITE. 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. ALLINA HEALTH CONTINUED TO OFFER THE TRAIN-THE-TRAINER SESSIONS PILOTED IN 2017 TO EDUCATE SCHOOL AND COMMUNITY STAFF ON THE RESOURCES AND CURRICULUM OFFERED BY CTC. IN 2018, APPROXIMATELY 111 TEACHERS, SOCIAL WORKERS AND OTHER PROFESSIONALS ATTENDED THE TRAIN-THE-TRAINER SESSIONS. OVERALL, THE TRAINING WAS WELL-RECEIVED BY PARTICIPANTS AND MANY REPORTED THEY INTENDED TO USE WHAT THEY LEARNING IN THE CLASSROOM OR IN THE CAPACITY THAT THEY WORK WITH TEENS. ALSO IN 2018, CTC LAUNCHED THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) WITH THE GOAL OF PROMOTING AND SUPPORTING A CULTURE OF MENTAL WELL-BEING IN LOCAL HIGH SCHOOLS. DURING THE 2018-2019 SCHOOL YEAR, ALLINA HEALTH PARTNERED WITH NINE HIGH SCHOOLS THROUGH CTCSP, REACHING MORE THAN 10,000 STUDENTS. COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, FOCUS GROUPS WITH STUDENTS, PEER MENTORING, 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. FINALLY, THE CTC LEAD A SERIES CONTINUED TO BE OFFERED BY ALLINA HEALTH STAFF IN MIDDLE AND HIGH SCHOOLS IN SELECT ALLINA HEALTH COMMUNITIES. THE LEAD A SERIES CURRICULUM IS AN IN-PERSON SERIES OF WORKSHOPS DESIGNED TO INCREASE PARTICIPATING STUDENTS': 1) AWARENESS OR KNOWLEDGE OF MENTAL WELLNESS AND STRESS REDUCTION CONCEPTS, 2) SELF-CONFIDENCE IN THEIR ABILITY TO COPE WITH STRESS, AND (3) INTENT TO USE HEALTHY COPING SKILLS LEARNED IN THE CHEANGE TO CHILL CURRICULUM. EVALUATIONS OF THIS CURRICULUM HAVE SHOWN THAT, OVERALL, SUTDENTS RESPOND WELL TO THE SERIES AND MOST PARTICIPANTS BELIEVE IT IS AT LEAST POSSIBLE THEY WILL USE THE SKILLS LEARNED IN THE PROGRAM. ADDITIONALLY, PRE/POST TESTS HAVE SHOWN SIGNIFICANT INCREASES IN STUDENTS' OVERALL CONFIDENCE IN THEIR ABILITY TO DEPLOY SOME HEALTHY COPING TECHIQUES.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. THE 71 ACTIVITIES OFFERED IN 2018 REACHED ALMOST 3,600 PARTICIPANTS. 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 COMMUNITY COOPERATIVE AGREEMENTIN 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 78 ALLINA HEALTH SITES SCREEN 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 CONCERS 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 2018, MORE THAN 76,000 ALLINA HEALTH PATIENTS COMPLETED IN AHC SCREEING. TWENTY-FIVE PERCENT OF PATIENTS SCREEN IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS (57%) FOLLOWED BY HOUSING INSTABILITY (44%). MORE THAN $230,000 WAS INVESTED IN ACCOUNTABLE HEALTH COMMUNITIES WAS REPORTED AS COMMUNITY BENEFIT.HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2018, ALLINA HEALTH INVESTED OVER $15 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 $2,807,988 TOWARD THIS RESEARCH IN 2018. 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 2018, ALLINA HEALTH FUNDED OVER $5.6 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. 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/.FOR MORE, PLEASE VISIT: HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$36,931,637	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$3,812,989,589	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	1501	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	32321	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	21	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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 (47 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	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)	$14,000	$0	$0
JENNIFER ALSTAD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
GARY BHOJWANI
DIRECTOR	2.00	0.00	Yes (X)	$10,000	$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
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
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)	$15,000	$0	$0
SAHRA NOOR
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)	$15,000	$0	$0
THOMAS SCHREIER
DIRECTOR/VICE CHAIR/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
PENNY WHEELER MD
DIRECTOR/PRESIDENT/CEO	40.00	2.00	Yes (X)	$2,262,858	$0	$806,785	Yes (X)
BEN BACHE-WIIG MD
EVP CHIEF POPULATION HEALTH OFF.	40.00	2.00		$905,650	$0	$158,612	Yes (X)
MARY BEAR-DUKES
VP-REVENUE CYCLE MGMT.	40.00	0.00		$338,207	$0	$74,207	Yes (X)
CHRISTINE BENT
EVP-ALLINA HEALTH GROUP	40.00	0.00		$866,404	$0	$293,449	Yes (X)
SARA CRIGER
SVP, PRES. MERCY HOSP.	40.00	2.00		$944,810	$0	$275,074	Yes (X)
MARGARET HASBROUCK
VP, PAYOR RELATIONS/CONTRACTING	40.00	0.00		$352,660	$0	$45,377	Yes (X)
CORRINE KROEHLER
VP FINANCE/SUPPLY CHAIN	40.00	0.00		$384,050	$0	$86,334	Yes (X)
RICHARD MAGNUSON
EVP/CFO/TREASURER	40.00	2.00		$834,474	$0	$234,998	Yes (X)
CHRISTINE MOORE
SVP, CHIEF HR OFFICER	40.00	0.00		$585,113	$0	$192,408	Yes (X)
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSP	40.00	4.00		$1,050,494	$0	$162,601	Yes (X)
ANN MADDEN RICE
SVP/PRESIDENT ANW	40.00	0.00		$344,852	$0	$51,919	Yes (X)
LISA SHANNON
EVP, CHIEF OPERATING OFF.	40.00	0.00		$1,034,622	$0	$250,238	Yes (X)
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPRV OFFICER.	40.00	0.00		$508,640	$0	$145,717	Yes (X)
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFFICER	40.00	0.00		$230,564	$0	$73,359	Yes (X)
TIMOTHY SIELAFF
SVP-AHG-SPEC. CARE/CMO	40.00	0.00		$1,021,139	$0	$276,544	Yes (X)
DAVID SLOWINSKE
SVP, AHG OPERATIONS	40.00	0.00		$492,566	$0	$194,226	Yes (X)
KATHERINE TARVESTAD
SVP, CHIEF COMPLIANCE OFF	40.00	0.00		$457,443	$0	$90,986	Yes (X)
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN. COUN.	40.00	0.00		$823,005	$0	$228,657	Yes (X)
ROBERT WIELAND MD
SVP CHIEF STRATEGY OFFICER	40.00	0.00		$564,597	$0	$62,876	Yes (X)
DANIEL BUSS MD
PHYSICIAN	40.00	0.00		$1,381,411	$0	$115,884		Yes (X)
MICHAEL FREEHILL MD
PHYSICIAN	40.00	0.00		$1,200,503	$0	$106,509		Yes (X)
MARK HELLER MD
PHYSICIAN	40.00	0.00		$1,454,481	$0	$109,943		Yes (X)
TODD HESS MD
PHYSICIAN	40.00	0.00		$1,513,691	$0	$119,614		Yes (X)
LEROY MCCARTY III MD
PHYSICIAN	40.00	0.00		$1,335,947	$0	$112,103		Yes (X)
ELIZABETH SMITH MD
FORMER INTERIM SVP AHG-PRI	40.00	0.00		$263,520	$0	$43,549			Yes (X)
RODNEY CHRISTENSEN MD
FORMER SVP/PRESIDENT AHC	40.00	0.00		$592,169	$0	$114,226			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,929,870	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,426,195	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3661	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
METROPOLITAN CARDIOLOGY CONSULTANTS PA
4040 COON RAPIDS BLVD NW SUITE 120	COON RAPIDS	CA	55433	PROFESSIONAL SERVICES - MEDICAL	$23,293,525
METROPOLITAN CARDIAC SERVICES
4040 COON RAPIDS BLVD NW	COON RAPIDS	MN	55433	PROFESSIONAL SERVICES - MEDICAL	$16,336,393
PHYSICIANS GROUP OF NEW ULM LTD
1324 5TH NORTH STREET	NEW ULM	MN	56073	PROFESSIONAL SERVICES - MEDICAL	$14,021,682
MA MORTENSON COMPANY
700 MEADOW LANE NORTH	MINNEAPOLIS	MN	55422	CONSTRUCTION	$11,522,633
AYA HEALTHCARE
5930 CORNERSTONE CT WEST STE 300	SAN DIEGO	CA	92121	PROFESSIONAL SERVICES - TEMP HELP	$10,179,027

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	207	CntrctRcvdGreaterThan100KCnt
Related Organizations	$31,633,757	RelatedOrganizationsAmt
Government Grants	$8,886,742	GovernmentGrantsAmt
All Other Contributions	$611,362	AllOtherContributionsAmt
Noncash Contributions	$253,199	NoncashContributionsAmt
Total Contributions	$41,131,861	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROG.SERV.REVENUE-RELATED-990	621990	$4,503,611,333	$4,503,611,333
PATIENT BAD DEBT	621990	-$108,316,218	-$108,316,218

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,395,295,115	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,229,676	TotalRevenueColumnAmt
Exclusion	$46,229,676	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,429,570	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	$9,429,570	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,429,570	TotalRevenueColumnAmt
Exclusion	$9,429,570	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$918,489,319	SecuritiesAmt
Other	$15,121,624	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$897,047,263	SecuritiesAmt
Other	$12,598,798	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$21,442,056	SecuritiesAmt
Other	$2,522,826	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,964,882	TotalRevenueColumnAmt
Exclusion	$23,964,882	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$6,046,081	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$7,024,354	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$978,273	TotalRevenueColumnAmt
Exclusion	-$978,273	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETAIL PHARMACY	446110	$13,670,022	$13,670,022
REFERENCE LAB	621500	$12,771,369	$12,771,369
ST FRANCIS MEDICAL CENTER	621990	$7,076,071		$7,076,071

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,729,891	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,665,884	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,064,007	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$48,247,353	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,563,320,184	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,404,037,070	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$39,505,398	UnrelatedBusinessRevenueAmt
Exclusion	$78,645,855	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,818,108	TotalAmt
Program Services	$6,818,108	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$620,099	TotalAmt
Program Services	$620,099	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,188,148	TotalAmt
Management And General	$14,188,148	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,105,987,068	TotalAmt
Program Services	$1,861,378,663	ProgramServicesAmt
Management And General	$240,027,439	ManagementAndGeneralAmt
Fundraising	$4,580,966	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$117,139,168	TotalAmt
Program Services	$102,840,721	ProgramServicesAmt
Management And General	$14,045,350	ManagementAndGeneralAmt
Fundraising	$253,097	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$303,192,086	TotalAmt
Program Services	$266,183,321	ProgramServicesAmt
Management And General	$36,353,672	ManagementAndGeneralAmt
Fundraising	$655,093	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$135,748,932	TotalAmt
Program Services	$119,178,907	ProgramServicesAmt
Management And General	$16,276,718	ManagementAndGeneralAmt
Fundraising	$293,307	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,640,298	TotalAmt
Program Services	$22,827,312	ProgramServicesAmt
Management And General	$6,785,869	ManagementAndGeneralAmt
Fundraising	$27,117	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,022,718	TotalAmt
Management And General	$6,022,718	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,076,739	TotalAmt
Management And General	$1,076,739	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$420,087,385	TotalAmt
Program Services	$311,524,972	ProgramServicesAmt
Management And General	$108,026,592	ManagementAndGeneralAmt
Fundraising	$535,821	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,348,448	TotalAmt
Program Services	$1,039,597	ProgramServicesAmt
Management And General	$4,307,275	ManagementAndGeneralAmt
Fundraising	$1,576	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$672,476,983	TotalAmt
Program Services	$645,670,852	ProgramServicesAmt
Management And General	$26,572,636	ManagementAndGeneralAmt
Fundraising	$233,495	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,773,598	TotalAmt
Program Services	$38,743,696	ProgramServicesAmt
Management And General	$18,009,441	ManagementAndGeneralAmt
Fundraising	$20,461	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$129,875,142	TotalAmt
Program Services	$104,679,090	ProgramServicesAmt
Management And General	$25,047,237	ManagementAndGeneralAmt
Fundraising	$148,815	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,252,925	TotalAmt
Program Services	$5,970,062	ProgramServicesAmt
Management And General	$1,252,531	ManagementAndGeneralAmt
Fundraising	$30,332	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,534,599	TotalAmt
Program Services	$4,615,248	ProgramServicesAmt
Management And General	$902,320	ManagementAndGeneralAmt
Fundraising	$17,031	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,348,593	TotalAmt
Program Services	$32,348,593	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$312,729	TotalAmt
Program Services	$312,729	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$185,803,819	TotalAmt
Program Services	$145,631,164	ProgramServicesAmt
Management And General	$40,098,902	ManagementAndGeneralAmt
Fundraising	$73,753	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$48,452,259	TotalAmt
Program Services	$48,452,259	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MINNESOTA CARE TAX	$53,735,926	$53,735,926
MEDICAID SURCHARGE	$25,957,224	$25,957,224
INCOME TAX - UBI	$3,138,606		$3,138,606
COMMUNITY OUTREACH	$1,230,995	$587,800	$640,913	$2,282

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,633,792	TotalAmt
Program Services	$13,873,246	ProgramServicesAmt
Management And General	$11,690,355	ManagementAndGeneralAmt
Fundraising	$1,070,191	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,395,396,387	TotalAmt
Program Services	$3,812,989,589	ProgramServicesAmt
Management And General	$574,463,461	ManagementAndGeneralAmt
Fundraising	$7,943,337	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,088,481	BOYAmt
EOY	$19,237,314	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,776,073	BOYAmt
EOY	$7,162,618	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$759,366,829	BOYAmt
EOY	$795,349,446	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,129,813	BOYAmt
EOY	$2,001	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$65,605,879	BOYAmt
EOY	$72,444,308	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,361,450	BOYAmt
EOY	$20,699,926	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,496,686,398	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,272,907,658	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,219,507,118	BOYAmt
EOY	$1,223,778,740	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,302,152,806	BOYAmt
EOY	$2,270,930,572	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,604,016	BOYAmt
EOY	$33,094,803	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$111,716,255	BOYAmt
EOY	$102,642,983	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,533,308,720	BOYAmt
EOY	$4,545,342,711	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$481,344,656	BOYAmt
EOY	$488,883,939	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$19,761,293	BOYAmt
EOY	$30,315,871	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$973,911,676	BOYAmt
EOY	$948,490,944	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$43,200	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$356,253,838	BOYAmt
EOY	$331,990,961	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,831,314,663	BOYAmt
EOY	$1,799,681,715	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,693,676,728	BOYAmt
EOY	$2,737,463,132	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,873,186	BOYAmt
EOY	$5,826,652	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,444,143	BOYAmt
EOY	$2,371,212	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,701,994,057	BOYAmt
EOY	$2,745,660,996	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,533,308,720	BOYAmt
EOY	$4,545,342,711	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$167,923,797	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$121,989,876	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,266,982	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	$5,622	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$506,185	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$511,807	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$92,547,888	BeginningYearBalanceAmt
Contributions	$377,018	ContributionsAmt
Investment Earnings Or Losses	$3,371,089	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,500	GrantsOrScholarshipsAmt
Other Expenditures	$2,030,640	OtherExpendituresAmt
End Year Balance	$94,260,855	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	$96,797,809	OtherCostOrOtherBasisAmt
Book Value	$96,797,809	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,530,199,467	OtherCostOrOtherBasisAmt
Depreciation	$815,623,560	DepreciationAmt
Book Value	$714,575,907	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$173,585,128	OtherCostOrOtherBasisAmt
Depreciation	$106,729,778	DepreciationAmt
Book Value	$66,855,350	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,642,281,189	OtherCostOrOtherBasisAmt
Depreciation	$1,330,301,869	DepreciationAmt
Book Value	$311,979,320	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,822,805	OtherCostOrOtherBasisAmt
Depreciation	$20,252,451	DepreciationAmt
Book Value	$33,570,354	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,223,778,740	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH AND CASH EQUIVALENTS	$105,312,481	F
MONEY MARKET COLLECTIVE FUND	$21,114,717	F
FIXED INCOME	$988,528,255	F
SHORT-TERM FIXED INCOME	$2,869,557	F
EQUITY SECURITIES	$308,698,408	F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	$605,239,000	F
INVESTMENTS IN JOINT VENTURES	$105,590,021	F
REAL RETURN MUTUAL FUNDS	$133,578,133	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,270,930,572	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$198,118,423
NET PENSION LIABILITY	$7,657,672
DEFERRED COMPENSATION	$20,744,968
INSURANCE CLAIMS PAYABLE	-$1,336,336
MN CARE TAX PAYABLE	$17,851,378
CAPITALIZED LEASE OBLIGATIONS	$5,527,307
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN	$83,427,549

Field	Value	IRS element (for citing)
Total Liability	$331,990,961	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 $2,696 AND $2,868 IN 2018 AND 2017, RESPECTIVELY. AS OF DECEMBER 31,2018 AND 2017, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $ 48,966 AND $48,863, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $34,509 AND $47,968, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $897 AND $896, RESPECTIVELY, RESULTING FROM JOINT VENTURE INVESTMENTS AND EMPLOYEE COMPENSATION AND BENEFITS. DURING 2018, THE SYSTEM DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT APPROXIMATELY $15,000 OF THE DEFERRED TAX ASSETS WILL BE RECOVERED AND AS SUCH HAVE REDUCED THE CARRIED VALUATION ALLOWANCE. THE RECOVERY IS RECORDED AS A REDUCTION OF STATE ASSESSMENTS AND TAXES EXPENSE IN THE 2018 CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. AS OF DECEMBER 31, 2018 AND 2017, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $102,589 AND $112,217, RESPECTIVELY, FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2029 WITH $3,376 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, 2018 AND 2017, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2014 TO 2017 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. H.R. 1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT (THE ACT), WAS SIGNED INTO LAW ON DECEMBER 22, 2017. THE ACT IS EFFECTIVE FOR THE SYSTEM AS OF JANUARY 1, 2018. THE ACT CONTAINS VARIOUS PROVISIONS AFFECTING BOTH TAXABLE AND TAX-EXEMPT ENTITIES. TAX-EXEMPT ENTITIES ARE IMPACTED IN PART BY THE INCLUSION OF A NEW EXCISE TAX ON EXCESS COMPENSATION FOR COVERED EMPLOYEES, CHANGES TO UNRELATED BUSINESS INCOME, CHANGES TO TAX RATES, AS WELL AS THEIR ABILITY TO ADVANCE REFUND BONDS. IN ADDITION, TAX-EXEMPT ENTITIES MAY BE IMPACTED THROUGH CERTAIN FOR-PROFIT SUBSIDIARIES AND/OR JOINT VENTURES BASED ON THE ACT'S PROVISIONS FOR TAX RATES, ELIMINATION OF THE CORPORATE ALTERNATIVE MINIMUM TAX, CHANGES TO NET OPERATING LOSS UTILIZATION AND CARRYOVER/CARRYBACK PERIOD, AND MEASUREMENT OF DEFERRED TAXES AS WELL AS OTHER LIMITATIONS ON DEDUCTIONS. THE ACT'S PROVISIONS MAY ALSO IMPACT DONOR TAX INCENTIVES FOR CHARITABLE GIVING.
FORM 990, SCHEDULE D, PART V	THE 2018 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 AND 2018 BALANCES. IN ORDER TO BE CONSISTENT WITH THE PRESENTATION OF THE 2018 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	$310,716,968
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS	$25,559,325

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	$336,276,293	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$336,276,293	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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	3M CHAMPIONSHIP GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$6,046,081	GrossReceiptsEvent1Amt
Gross Revenue Event1	$6,046,081	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,891,512	CashPrizesEvent1Amt
Rent Facility Costs Event1	$144,000	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$4,988,842	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$6,046,081	GrossReceiptsTotalAmt
Gross Revenue Total Events	$6,046,081	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,891,512	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$144,000	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$4,988,842	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$7,024,354	DirectExpenseSummaryEventsAmt
Net Income Summary	-$978,273	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE G, PART II EXPLANATION	FormAndLineReferenceDesc
Explanation	THE 3M CHAMPIONSHIP IS A U.S. SENIOR PROFESSIONAL GOLF ASSOCIATION SPONSORED TOURNAMENT WHOSE NET PROCEEDS ARE DISTRIBUTED TO FURTHER THE CHARITABLE PURPOSE OF THE ORGANIZATION. IN CONJUNCTION WITH THE TOURNAMENT, THE 3M FOUNDATION AGREED TO PROVIDE A GUARANTEED CONTRIBUTION TOTALING $1,300,000 WHICH WAS PROVIDED DIRECTLY TO SUPPORTING ORGANIZATIONS OF ALLINA HEALTH [UNITED HOSPITAL FOUNDATION, ABBOTT NORTHWESTERN HOSPITAL FOUNDATION, AND MERCY AND UNITY HOSPITALS FOUNDATION] AND THEREFORE IS NOT REFLECTED IN THE AMOUNTS REPORTED ON SCHEDULE G.	ExplanationTxt

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	0	ExpensesExceedBudgetInd
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)
Total Community Benefit Expns	$20,651,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,651,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,989,511	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,989,511	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,735,926	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,735,926	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,377,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$145,377,286	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	147	ActivitiesOrProgramsCnt
Persons Served	9872923	PersonsServedCnt
Total Community Benefit Expns	$14,514,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,981,554	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,533,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	3631	PersonsServedCnt
Total Community Benefit Expns	$26,683,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,983,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,699,599	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	134	PersonsServedCnt
Total Community Benefit Expns	$4,910,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,898,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	15050	PersonsServedCnt
Total Community Benefit Expns	$2,807,988	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,807,988	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	73	ActivitiesOrProgramsCnt
Persons Served	287941	PersonsServedCnt
Total Community Benefit Expns	$5,768,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,697	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,674,391	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	265	ActivitiesOrProgramsCnt
Persons Served	10179679	PersonsServedCnt
Total Community Benefit Expns	$54,684,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,071,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,613,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	265	ActivitiesOrProgramsCnt
Persons Served	10179679	PersonsServedCnt
Total Community Benefit Expns	$200,061,952	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,071,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$186,990,322	NetCommunityBenefitExpnsAmt
Total Expense	0.04290	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	3	ActivitiesOrProgramsCnt
Persons Served	1299	PersonsServedCnt
Total Community Benefit Expns	$7,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,069	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	6459	PersonsServedCnt
Total Community Benefit Expns	$72,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,340	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	1	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$1,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,262	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	5370	PersonsServedCnt
Total Community Benefit Expns	$84,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$2,781	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1100	PersonsServedCnt
Total Community Benefit Expns	$99,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,142	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	41	ActivitiesOrProgramsCnt
Persons Served	14768	PersonsServedCnt
Total Community Benefit Expns	$266,643	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$266,643	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$50,524,451	BadDebtExpenseAmt
Reimbursed By Medicare	$860,822,095	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$882,799,545	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,977,450	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 (13 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
8 WOODBURY AMBULATORY SURGERY CENTER LLC
OUTPATIENT SERVICES	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
12 TWIN CITIES MEDICAL IMAGING LLC
DIAGNOSTIC IMAGING	0.58000	0.42000
13 WESTHEALTH SURGERY CENTER LLC
OUTPATIENT SERVICES	0.51000	0.49000

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
CAMBRIDGE MEDICAL CENTER
4	701 S DELLWOOD STREET	CAMBRIDGE	MN	55008	HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE	384707	Yes (X)	Yes (X)			Yes (X)	A
BUFFALO HOSPITAL
5	303 CATLIN STREET	BUFFALO	MN	55313	HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-H	385336	Yes (X)	Yes (X)			Yes (X)	A
NEW ULM MEDICAL CENTER
6	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)
OWATONNA HOSPITAL
7	903 S OAK AVE	OWATONNA	MN	55060	HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA-	384920	Yes (X)	Yes (X)			Yes (X)	A
REGINA HOSPITAL
8	1175 NININGER ROAD	HASTINGS	MN	55033	HTTP://WWW.ALLINAHEALTH.ORG/REGINA-HO	384506	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	16	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	16	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	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ALLINAHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ALLINAHEALTH.ORG	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: CAMBRIDGE MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: NEW ULM MEDICAL CENTER, - FACILITY 7: OWATONNA HOSPITAL, - FACILITY 8: REGINA 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 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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.ABBOTT NORTHWESTERN HOSPITAL (ANW) ACTIVELY 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 UTILIZED CHARITABLE CONTRIBUTION AND OTHER GRANT FUNDING TO SUPPORT ORGANIZATIONS THAT INCREASED HEALTHY FOOD ACCESS TO PEOPLE LIVING IN FOOD DESERTS, TAUGHT COMMUNITY MEMBERS HOW TO GROW AND PREPARE FRESH FRUITS AND VEGETABLES, AND SUPPORTED ORGANIZATIONS THAT PROVIDED MEALS TO HOME-BOUND RESIDENTS. TO IMPROVE PHYSICAL ACTIVITY LEVELS, ABBOTT NORTHWESTERN DISTRIBUTED MORE THAN 500 BICYCLES AND HELMETS TO CHILDREN LIVING IN MINNEAPOLIS AS PART OF OUR FREE BIKES 4 KIDZ PROGRAM, PARTNERED WITH LOCAL NON-PROFITS TO GET MORE KIDS ENGAGED IN WINTER SPORTS SUCH AS CROSS COUNTRY SKIING AND SNOWSHOEING, AND SPONSORED THE THREE RIVERS PARK DISTRICT'S TRAIL MIX RACE WHICH PROVIDED A PHYSICAL ACTIVITY OPPORTUNITY WHILE ALSO RAISING FUNDS FOR THE PARK DISTRICT TO ACQUIRE ADDITIONAL ADAPTIVE ATHLETIC EQUIPMENT FOR USE IN PARK FACILITIES.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 5 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 THE COMMUNITY, AND DETERMINE HOW TO RESPOND TO THE GROWING HOUSING CRISIS TAKING PART IN OUR COUNTRY. UNDER HENNEPIN COUNTY AND ANW'S LEADERSHIP, THE CHIP PARTNERS ARE LOOKING INTO HOW TO BECOME TRAUMA-INFORMED ORGANIZATIONS, PARTNERING WITH LOCAL FAITH AND SPIRITUAL COMMUNITIES TO ADDRESS MENTAL HEALTH CHALLENGES, WORKING TO IMPLEMENT A 'ONE APPLICATION' SYSTEM FOR ENTRANCE INTO PUBLIC HOUSING AND IDENTIFYING WAYS TO INCREASE SOCIAL CONNECTIONS AND REDUCE ISOLATION FOR FORMERLY HOMELESS/RECENTLY HOUSED COMMUNITY MEMBERS.GOAL 3: IMPROVE GENERAL POPULATION HEALTH BY INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES.ANW STAFF HAVE BEEN WORKING WITH COMMUNITY-BASED HEALTHCARE PARTNERS AND NEARBY FEDERALLY-QUALIFIED HEALTHCARE CENTERS TO IDENTIFY OPPORTUNITIES FOR COLLABORATION TO PROVIDE HEALTH SERVICES IN COMMUNITY. DENTAL CARE, ESPECIALLY PRIOR TO SURGERY, HAS BEEN IDENTIFIED AS A NEED FOR MANY OF OUR COMMUNITY MEMBERS, SO ANW STAFF HAVE PARTNERED WITH CLINICS SUCH AS SOUTHSIDE COMMUNITY HEALTH SERVICES TO INCREASE ACCESS TO DENTAL SERVICES. ANW STAFF HAVE ALSO CONTINUED TO PARTNER WITH LOCAL GOVERNMENTS IN HENNEPIN COUNTY TO REDUCE BARRIERS TO TRANSPORTATION BY ACTIVELY ADVOCATING FOR THE METRO BLUE LINE EXTENSION LIGHT RAIL PROJECT IN THE NORTHWEST METRO.
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 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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 (INCLUDES UNITY CAMPUS): 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. 2018 CONTRIBUTIONS WERE MADE TO THE ANOKA MENTAL HEALTH WELLNESS CAMPAIGN, LEE CARLSON CENTER, TOUCHSTONE MENTAL HEALTH, AND MINNESOTA 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 AND TO ESTABLISH A COMMON PROVIDER NETWORK TO INCREASE TIMELY ACCESS TO 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, THE TOUCHSTONE IRTS PARTNERSHIP WAS FINALIZED AND A FACILITY WAS CONSTRUCTED ON THE UNITY CAMPUS WHICH BEGAN SERVICING RESIDENTS IN 2018. THE HOSPITAL ALSO PARTNERED WITH ANOKA HENNEPIN SCHOOL DISTRICT TO DEVELOP, PROMOTE AND IMPROVE ACCESS TO COMMUNITY AND SCHOOL-BASED ACTIVITIES THAT ADDRESS ADOLESCENT MENTAL HEALTH AND RESILIENCY. KEY 2018 INTITIATIVES INCLUDE BRINGING THE CHANGE TO CHILL SCHOOL PARTNERSHIP TO COON RAPIDS HIGH SCHOOL AND STRATEGIZING WITH SCHOOL DISTRICT LEADERS TO IMPLEMENT JOINT MERCY-ANOKA HENNEPIN SCHOOL DISTRICT OFFERINGS, WHICH WILL BEGIN IN 2019. GOAL 2. PROMOTE EVIDENCE-BASED STRATEGIES FOR PREVENTION, DETECTION, TREATMENT AND MANAGEMENT OF CHRONIC DISEASE.A TOTAL OF 55 COMMUNITY HEALTH SCREENINGS (31 FOR ADULTS, 24 FOR ADOLESCENTS) AND 21 FREE FLU VACCINATION CLINICS 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 AND VACCINATIONS. IN TOTAL, 3,236 PEOPLE WERE SERVED AT THE HEALTH SCREENINGS, AND 609 AT THE VACCINATION CLINICS. 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 EDUCATION OPPORTUNITIES ON THE HEALTH IMPACTS OF VIOLENCE, MERCY CONTINUED ITS ONGOING PARTNERSHIP WITH ALEXANDRA HOUSE TO ASSIST SURVIVORS OF DOMESTIC VIOLENCE. ADDITIONALLY, OVER 1000 COMMUNITY MEMBERS AND ALLINA HEALTH EMPLOYEES WERE REACHED BY EDUCATIONAL PROGRAMS ON THE IMPACT OF VIOLENCE ON HEALTH AND ITS PREVENTION, INCLUDING PROVIDING 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.ADDITIONALLY, CHARITABLE GIVING RELATED TO THIS GOAL INCLUDED CHARITABLE CONTRIBUTIONS TO STEPPING STONE HOMELESS SHELTER, NORTH METRO PEDIATRICS, THE YMCA AND COMMUNITY EMERGENCY ASSISTANCE PROGRAM, ALEXANDRA HOUSE, NUCLEUS CLINIC AND ORGANIZATION OF LIBERIANS.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 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. FINALLY, TO INCREASE AWARENESS OF, AND ACCESS TO, MENTAL HEALTH AND ADDICTION SERVICES FOR SENIORS THE NW MENTAL HEALTH ROUNDTABLE WAS ESTABLISHED IN 2018; 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 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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 EAST METRO MENTAL HEALTH CRISIS ALLIANCE WITH REGULAR PARTICIPATION AND CHARITABLE CONTRIBUTIONS IN SUPPORT OF THE EAST METRO MENTAL HEALTH CRISES ALLIANCE AND THE EAST METRO MENTAL HEALTH ROUNDTABLE. ADDITIONAL CHARITABLE CONTRIBUTIONS WERE MADE TO MENTAL HEALTH DRUG ASSISTANCE PROGRAM, THE GUILD, CLUES, KIDS N KINSHIP AND OTHER SIMILAR MENTAL HEALTH PROVIDERS.UNITED COLLABORATED WITH THE ST. PAUL PUBLIC HOUSING AGENCY ON MENTAL WELLNESS IN SEVERAL WAYS, INCLUDING: PROVIDING STRESS-RELIEVING MATERIALS (STRESS BALLS, ADULT COLORING BOOKS, ETC.) TO ST. PAUL PUBLIC HOUSING AGENCY'S WELLNESS DAY, PROMOTING RESILIENCY AT OCTOBER'S WALK WITH A DOC, AND DEVELOPING OPPORTUNITIES TO OFFER CHANGE TO CHILL MATERIALS AND FACILITATED SESSIONS TO RESIDENTS OF SPPH. THE HOSPITAL ALSO PROVIDED ALLINA HEALTH 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 AND 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-BASED, MENTAL HEALTH WELL-BEING INITIATIES.TO INCREASE AWARENESS OF MENTAL HEALTH CONDITIONS AND ELIMINATE STIGMA AROUND MENTAL HEALTH CONDITIONS, UNITED CONTINUED TO PARTICIPATE IN THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION WORK GROUP AND RELATED METRO-WIDE MENTAL HEALTH STIGMA ELIMINATION INITIATIVES INCLUDING:1) PROMOTION OF MAKE IT OKAY PROGRAM (REDUCTING STIGMA RELATED TO MENTAL HEALTH ISSUES);2)PROMOTION OF, SUPPORT OF TRAININGS, AND DIRECT PROGRAM OFFERINGS OF MENTAL HEALTH FIRST AID KIT;3) PROMOTION OF COMMUNITY TRAININGS FOR PSYCHOLOGLICAL FIRST AID AND QPR (QUESTION, PERSUADE, REFER) PROGRAMSADDITIONALLY, IN DECEMBER THE HOSPITAL PROVIDED DEPRESSION SCREENING FOR ALL FOREST LAKE AREA SCHOOL'S NINTH AND TENTH GRADERS. FINALLY, UNITED CONTINUED TO SUPPORT THE BE THE CHANGE CHAMPIONS TO PROMOTE MENTAL HEALTH AWARENESS AND REDUCE STIGMA AMONG UNITED EMPLOYEES.GOAL 2. DECREASE THE PERCENTAGE OF THE POPULATION WHO IS OVERWEIGHT AND OBESE.UNITED PROMOTED EMPLOYEE-LED VOLUNTEER OPPORTUNITIES RELATED TO PROMOTING HEALTHY EATING, INCLUDING OPPORTUNITIES TO DELIVER HEALTH POWERED KIDS (HPK) MATERIALS IN THE COMMUNITY. ADDITIONALLY, THE HOSPITAL PROVIDED HPK MATERIALS FOR WASHINGTON COUNTY'S FAMILY MEAL TIME AND ST. PAUL PUBLIC SCHOOL SPRING FAMILY FUN EVENTS, ST. PAUL PUBLIC HOUSING AGENCY'S JULY WALK WITH A DOC TOPIC WAS HYGIENE, WHICH INCLUDED HPK GIVEAWAYS, AND GAVE AWAY HPK BOOKMARKS AND STICKERS AS PART OF HIGHLANK PARK ELEMENTARY WALK TO SCHOOL EVENT. FIVE HUNDRED FAMILIES WERE TOUCHED BY THIS WORK. FINALLY, UNITED PARTNERED WITH HIGHLAND PARK CLINIC, ST. PAUL POLICE DEPARTMENT, AND HIGHLAND CATHOLIC'S TO HOST A WALK TO SCHOOL EVENT ON OCT. 10. HEALTH POWERED KIDS MATERIALS WERE DISTRIBUTED AT THE EVENT. GOAL 3. INCREASE PERCENTAGE OF POPULATION WITH ACCESS TO HEALTHY FOOD.UNITED PARTNERED WITH COMMUNITY ORGANIZATIONS TO IMPROVE ACCESS TO HEALTHY FOOD. MORE THAN 800 POUNDS OF FOOD WAS COLLECTED BY HOSTING A HEALTHY FOOD DRIVE IN SUPPORT OF THE FOOD GROUP. HOSPITAL STAFF CONTINUE TO PARTICIPATE IN THE DEVELOPMENT OF CITY COMPREHENSIVE PLANS, INCLUDING COMPONENTS RELATED TO SOCIAL DETERMINANTS OF HEALTH SUCH AS LAND AS IT RELATES TO COMMUNITY GARDENS, IMPROVED ACCESS TO HEALTHY FOOD, AND THE DEVELOPMENT OF PHYSICAL INFRASTRUCTURE IN SUPPORT OF PHYSICAL ACTIVITIES. ADDITIONALLY, NUMEROUS CHARITABLE CONTRIBUTIONS WERE MADE TOWARDS MOBILE MARKETS, FOOD SHELVES, AND SIMILAR OPPORTUNITIES TO IMPROVE FOOD ACCESS INCLUDING THOSE MADE TO GROWING WEST SIDE, URBAN ROOTS, INTERFAITH ACTION OF GREATER ST. PAUL, AND OUR COMMUNITY KITCHEN. ADDITIONALLY, THE HOSPITAL CONTINUED TO SUPPORT TWIN CITIES MOBILE MARKET WITH A $5,000 CHARITABLE CONTRIBUTION AND KEYSTONE SERVICE FOOD BANKS WITH VOLUNTEER SUPPORT AND A $10,000 CHARITABLE CONTRIBUTION.
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 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
GROUP A-FACILITY 4 -- CAMBRIDGE 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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 4 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
GROUP A-FACILITY 4 -- 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 CAMBRIDGE-ISANTI HIGH SCHOOL, MORE THAN 500 LOCAL MIDDLE AND HIGH SCHOOL STUDENTS IN CAMBRIDGE MEDICAL CENTER'S COMMUNITY WERE REACHED 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 HOSTING THE PROMOTING HEALTH AND HAPPINESS SERIES THROUGHOUT THE COMMUNITY. APPROXIMATELY 400 ADULTS AND YOUTH WERE REACHED THROUGH THIS SERIES. ADDITIONAL WELLNESS CLASSES AND EVENTS OFFERED TO THE COMMUNITY INCLUDE LET'S TALK WELLNESS CLASSES IN MARCH, MAY, OCTOBER AND NOVEMBER (REACHING MORE THAN 150 COMMUNITY MEMBERS) 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, 87 FIFTH GRADE STUDENTS TOOK 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. OTHER AWARENESS ACTIVITIES INCLUDED HOSTING "LET'S SMOKE OUT THE TRUTH ABOUT E-CIGS" FORUMS DESIGNED TO EDUCATE ABOUT THE DANGERS OF E-CIGARETTS, ATTENDED BY MORE THAN 100 PARENTS AND COMMUNITY MEMBERS, AND SUPPORTING DRUG TAKE BACK DAY IN APRIL THAT COLLECTED OVER 100 POUNDS OF DRUGS. ADDITIONALLY, TO DECREASE YOUTH ACCESS TO TOBACCO, CMC SUCCESSFULLY PARTNERED WITH THE ISANTI COUNTY SUBSTANCE ABUSE PREVENTION AND RECOVER COALITION TO PROMOTE, SUPPORT AND RAISE AWARENESS ABOUT INCREASING THE AGE TO 21 FOR PURCHASE OF TOBACCO. 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, 15 COMMUNITY MEMBERS PARTICIPATED IN THIS PROGRAM AND LOST A TOTAL OF 137 POUNDS. AN ADDITIONAL 12 COMMUNITY MEMBERS PARTICIPATED FROM JANUARY-JUNE IN THE PREVENT TYPE 2 DIABETES CORE POST-CORE PROGRAM. TWO OF THESE ATTENDEES REPORTED GOING OFF/LOWERING OF BLOOD PRESSURE MEDICATION AND LOWER A1C'S. EXAMPLES OF ADDITIONAL HEALTHY EATING AND ACTIVE LIVING CLASSES OFFERED TO CAMBRIDGE MEDICAL CENTER COMMUNITY MEMBERS IN 2018 INCLUDE:1) A HEALTHY EATING CLASS FOR ECFE PARENTS, ATTENDED BY 15 PEOPLE, IN APRIL 2018 FOCUSING ON USING COACHING TECHNIQUES TO EDUCATE PARENTS ON THE IMPORTANCE OF THEIR CHILDREN HAVING A HEALTHY RELATIONSHIP WITH FOOD.2) LET'S TALK WELLNESS CLASSES OFFERED TO EAST CENTRAL ELECTRIC IN APRIL, SEPTEMBER, NOVEMBER AND DECEMBER 2018, REACHING 45 INDIVIDUALS.
GROUP A-FACILITY 4 -- 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 4 -- 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 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
GROUP A-FACILITY 5 -- 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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
GROUP A-FACILITY 5 -- 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. ADDITIONALLY, BUFFALO HOSPITAL CONTINUED TO BE ACTIVE IN THE BE THE CHANGE CAMPAIGN AND TO HOST LOCAL BE THE CHANGE CONVERSATIONS WITH ALLINA HEALTH PROVIDERS. TO STRENGTHEN COLLABORATION AND LINK THE POPULATION TO THE AVAILABLE RESOURCE 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 "LET'S TALK ABOUT IT", A COMMUNITY EVENT AIMED AT RAISING AWARENESS ABOUT SUICIDE PREVENTION AND LOCAL RESOURCES.ADDITIONALLY, BUFFALO HOSPITAL CONTINUED TO WORK CLOSELY WITH COMMUNITY PARTNERS TO EXPAND ITS BOUNCE BACK 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. IN 2018, MORE THAN 17,000 COMMUNITY MEMBERS WERE REACHED THROUGH THE BOUNCE BACK INITIATIVE. CHANGE TO CHILL WAS ALSO ROLLED OUT IN MAPLE LAKE HIGH SCHOOL WITH 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. THEIR OFFERINGS ARE INCLUDED IN THE BUFFALO HANOVER MONTROSE COMMUNITY EDUCATION PUBLICATION.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 CLASSED OFFERED IN 2018 INCLUDE HEALTH EATING FOR BETTER HEALTH CLASSES FOR COMMUNITY (THREE 4 WEEK CLASSES IN 2018), DIABETES PREVENTION PROGRAM (TWO GROUPS OFFERED IN 2018 - ONE YEAR LONG COURSE), AND LET'S TALK WELLNESS CLASSES AT THE HOSPITAL AND IN THE COMMUNITY. COOKING DEMOS WERE PART OF THE HEALTHY EATING FOR BETTER HEALTH AND LET'S TALK WELLNESS CURRICULUM. THE HOSPITAL WORKED WITH SCHOOLS AND COMMUNITY ORGANIZATIONS (E.G. ECFE AND TIMBER BAY) TO PROVIDE SUPPORT AND EDUCATION TO MINORS AND PARENT 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.BUFFALO PARTNERED WITH FARE FOR ALL, LOCAL FARMERS MARKETS, GROCERY STORES, LOCAL FOOD SHELVES AND WRIGHT COUNTY CROW RIVER FOOD COUNCIL AROUND ACCESSIBILITY OF HEALTHY FOOD AT AFFORDABLE COST AND ADDRESSING FOOD INSECURITIES. IN 2018, THE ALLINA HEALTH BUCKS PROGRAM SERVED 294 FAMILIES WITH $2,940 WORTH OF PRODUCE PURCHASED. THE 'BUCKS' ARE USED LIKE CASH, AND ARE GIVEN BY ALLINA HEALTH PHYSICIANS, MANAGERS AND PUBLIC HEALTH NURSES TO FOOD INSECURE PATIENTS, $4950 IN CHARITABLE CONTRIBUTIONS WERE 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 MEMBERS 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 COUNTRY 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.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 VARIED 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 5 -- 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 5 -- 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 6 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
GROUP A-FACILITY 6 -- 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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 6 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
GROUP A-FACILITY 6 -- 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, AS WELL AS SUPPORT EATING WELL AND ACTIVE LIVING.NEW ULM MEDICAL CENTER PROVIDED QUARTERLY WORKPLACE TRAININGS, REACHING 130 PEOPLE, AS FOLLOWS:1) JANUARY: HOW EMPLOYEE WELLNESS CAN IMPACT YOUR BOTTOM LINE2) APRIL: HEALTH INSURANCE 1013) JULY: HEALTHY FOOD AT THE WORKSITE4) OCTOBER: COMMUNITY RESOURCES: WELLNESS GOLD ADDITIONALLY, THE HEART OF NEW ULM (HONU) LEADERSHIP TEAM SUPPORTED HEALTHY EATING POLICIES AND PRACTICES THROUGHOUT THE COMMUNITY SUCH AS WORKING WITH PARK AND REC COMMISSION TO PASS A 100% HEALTHY VENDING POLICY AND PROMOTING THE COMMUNITY GARDEN AND SCHOOL GARDEN THROUGH HONU PUBLICATIONS AND COMMUNICATIONS.IN PARTNERSHIP WITH THE COMMUNITY CENTER, NEW ULM OFFERED TWO STEPPING ON FALLS PREVENTION CLASSES TO 30 PARTICIPANTS AND NEW ULM MEDICAL CENTER CONTINUED ITS PARTICIPATION IN THE REGIONAL TRANSIT COORDINATION COUNCIL TO ADDRESS THE TRANSPORTATION AND ISOLATION NEEDS OF INDIVIDUALS AND SENIORS IN THE COMMUNITY.GOAL 2: REDUCE THE BURDEN OF MENTAL HEALTH BY REDUCING STIGMA, IMPROVING EARLY IDENTIFICATION AND OFFERING RESILIENCY PROGRAMMING FOCUSED ON MENTAL HEALTH CONDITIONS.1) MAKE IT OK INFO WAS PUT INTO THE MAY OCCUPATIONAL HEALTH NEWSLETTER SENT TO INDUSTRIES. HONU CONDUCTED A SOCIAL MEDIA CAMPAIGN AIMED AT RAISING AWARENESS ABOUT MENTAL HEALTH.2) BROWN COUNTY LOCAL ADVISORY COUNCIL ON MENTAL HEALTH OFFERED MONTHLY BROWN BAG LUNCHEONS ON MENTAL HEALTH TOPICS. 3) NUMC OFFERED MONTHLY MENTAL HEALTH SUPPORT GROUPS.4) STARTING IN 2018, NUMC AND HONU ROLLED OUT A HEALTH THROUGH HAPPINESS PROGRAM COUNTY-WIDE WITH A FOCUS ON THREE GOOD THINGS, GRATITUDE AND RANDOM ACTS OF KINDNESS ACTIVITIES AT WORKSITES, CIVIC GROUPS AND SCHOOLS.GOAL 3: SUPPORT EDUCATIONAL PROGRAMS, ACTIVITIES AND POLICIES THAT INCREASES AWARENESS REGARDING ADDICTION AND USE OF LEGAL AND ILLEGAL SUBSTANCE USE.1) THE FOLLOWING INDUSTRIES REQUESTED AND RECEIVED THE AMERICAN LUNG TOBACCO FREE WORKSITE TOOLKIT BOOKS FROM SHIP: NU TELECOM, FIRMENICH, WINDINGS, MLC, CHRISTENSEN FARMS, CITY OF NEW ULM, HARVEST LAND, UNITED FARMERS CO-OP, AND KEMSKE.2) NEW ULM MEDICAL CENTER CURRENTLY SUPPORTS THE UNDERAGE SUBSTANCE ABUSE COALITION (USAC) TO INCREASE AWARENESS OF ALCOHOL AND TOBACCO USE AMONG YOUTH.3) HONU LEADERSHIP TEAM AND THE SHIP PROGRAM ARE FOLLOWING THE TOBACCO 21 DISCUSSIONS IN NORTH MANKATO AND MANKATO TO HELP DETERMINE NEXT STEPS. USAC AND SHIP MET WITH BROWN CO. FAIR BOARD TO DISCUSS EXPANDING THEIR SMOKE FREE ZONES DURING THE FAIR, WHICH WILL OCCUR DURING THE 2018 COUNTY FAIR.
GROUP A-FACILITY 6 -- 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 6 -- 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 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
GROUP A-FACILITY 7 -- 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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
GROUP A-FACILITY 7 -- 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:OWATONNA HOSPITAL:GOAL 1: INCREASE KNOWLEDGE OF THE SYMPTOMS, TREATMENTS, AND RESOURCES FOR MENTAL HEALTH AND ADDICTION ISSUES.THE HOSPITAL SUPPORTED EVIDENCE-BASED MENTAL WELLNESS PROGRAMMING THROUGH PARTICIPATING IN AND SUPPORTING THE SAFE AND DRUG FREE COMMUNITIES COALITION THROUGH THE ADVISORY COUNCIL AND PROVIDING LIVING WILL WITH CHRONIC CONDITIONS PROGRAMMING THROUGH COURAGE KENNY. ADDITIONALLY, TO SUPPORT RESILIENCE, THE HOSPITAL BEGAN WORK TO INTIATE A REGIONAL BOUNCE BACK-LIKE COLLABORATIVE RESILIENCY INITIATIVE. ADDITIONAL WORK ON THIS COLLABORATION WILL CONTINUE IN 2019. THE HOSPITAL AGAIN HOSTED A TRAINING FOR STAFF AND COMMUNITY PARTNERS ON ADDRESSING THE UNIQUE MENTAL HEALTH NEEDS OF LGBTQ COMMUNITY MEMBERS. CHANGE TO CHILL PROGRAMMING WAS PROVIDED AT THE LOCAL MIDDLE SCHOOL AND BE THE CHANGE CHAMPIONS PROVIDED OUTREACH TO HOSPITAL STAFF THROUGH PRESENTATIONS AT STAFF MEETINGS AND SPECIAL EVENTS ON CAMPUS. TO HELP ADDRESS GAPS IN SERVICE AND MINIMIZE ED MENTAL HEALTH HOLDS, THE HOSPITAL WORKED TO RAISE AWARENESS OF A REGIONAL CRISIS RESPONSE TEAM BY BRINGING INFORMATION ON THESE RESOURCES TO COMMUNITY RESOURCE FAIRS AND GROUPS SUCH AS THE HOMELESS PREVENTION TEAM. THE HOSPITAL CONTINUED ITS WORK IN THE ALLINA HEALTH "MENTAL HEALTH HUB" IN NORTHFIELD BY CONNECTING OWATONNA HOSPITAL SOCIAL WORKIERS WITH MENTAL HEALTH HUB PROVIDERS AT NORTHFIELD CLINIC TO DISCUSS USE OF E-VISITS FOR NEW CLINIC PATIENTS TO REDUCE WAIT TIMES FOR VISITS. FINALLY, OWATONNA HOSPITAL CONTINUES TO BE AN ACTIVE MEMBER IN MANY MENTAL HEALTH AN ADDICTION COALITIONS AND COMMUNITIES.GOAL 2: IMPROVE HEALTH, FUNCTION AND QUALITY OF LIFE FOR ADULTS AGES 50 AND OLDER.DISTRICT ONE AND OWATONNA HOSPITALS COLLABORATED ON THIS GOAL. TO SUPPORT A PROGRAM AIMED AT SUPPORTING CAREGIVERS OF ADULTS WITH DEMENTIA, DISTRICT ONE AND OWATONNA PROVIDED FINANCIAL SUPPORT TO THE MEMORY CAFE AT THE NORTHFIELD SENIOR CENTER AND PARTICIPATED IN THE ELDER CARE COLLEGIUM AND IN EFFORTS TO MAKE NORTHFIELD A DEMENTIA FRIENDLY COMMUNITY. 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. ADDITIONALLY, THE HOSPITALS CONTINUED THEIR COMPREHENSIVE ADVANCED CARE PLANNING INITIATIVE, HONORING CHOICES OF FAIRBAULT AND OWATONNA, WHICH IS FOCUSED ON ENGAGING OLDER ADULTS IN COMPLETING THEIR HEALTH CARE DIRECTIVES BY OFFERING OVER 75 EVENTS, INCLUDING: GROUP AND INDIVIDUAL ADVANCED CARE PLANNING FACILITATIONS, BOOK GROUPS, FILM VIEWINGS, DEATH CAFES, AND HEALTH FAIR BOOTHS, AMONG OTHERS. FINALLY, THE HOSPITALS ARE ACTIVE PARTICIPANTS AND/OR LEADERS IN 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 NEEDS TO ADDRESS ACCESS ISSUES, TRANSPORTATION AND LIMITED FINANCIAL RESOURCES.GOAL 3. INCREASE KNOWLEDGE OF AND ADHERENCE TO EVIDENCE-BASED COMMUNITY RESOURCES RELATED TO PREVENTION AND SELF-MANAGEMENT OF CHRONIC DISEASES; SUPPORT POLICY, SYSTEM AND ENVIRONMENTAL CHANGES AIMED AT THE PREVENTION OF CHRONIC DISEASES.OWATONNA HOSPITAL STAFF PARTICIPATED IN OVER 35 INTERNAL AND EXTERNAL GROUPS TO SERVE AS A RESOURCE AND EDUCATE THE COMMUNITY ABOUT MAINTAINING GOOD HEALTH AND HAVING REGULAR CHECK-UPS. OWATONNA ENGAGED IN THE STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM AND WORKSITE WELLNESS COALITIONS TO ADDRESS POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE INITITIAVES IN COMMUNITIES, SCHOOLS AND WORKSITES. SIMILARLY, OWATONNA PARTICIPATED IN STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP WORKSITE WELLNESS COALITIONS WHICH HAD REPRESENTATIVES FROM OVER 15 LOCAL EMPLOYERS OF VARIOUS SIZES AND INDUSTRIES. HOSPITAL STAFF WERE ALSO INVOLVED WITH AREA CHAMBERS OF COMMERCE AT VARIOUS LEVELS FROM ATTENDING PUBLIC EVENTS TO BOARD OF DIRECTORS MEMBERSHIP.THROUGH COURAGE KENNY REHAB INSTITUTE OF OWATONNA HOSPITAL, THE HOSPITAL CONTINUED TO OFFER WELL ATTENDED CLASSES FOR THE COMMUNITY, INCLUDING LIVING WELL WITH CHRONIC CONDITIONS AND MATTER OF BALANCE. HEALING TOUCH, MASSAGE AND AROMATHERAPY CONTINUED TO BE OFFERED AT OWATONNA HOSPITAL FOR INPATIENTS AT NO CHARGE. IN ORDER TO SUPPORT EXTERNAL AGENCIES PERFORMING GRASSROOTS ACTIVITY AIMED AT IMPROVING HEALTH AND HEALTHCARE ACCESS, STAFF WERE ACTIVELY ENGAGED IN OVER 20 COMMUNITY-BASED COALITIONS AND COMMITTEESS AND SUPPORTED/PARTNERED IN THAT WORK IN A VARIETY OF WAYS, FROM FINANCIAL INVESTMENT TO COLLABORATIVE DECISION-MAKING AND POLICY DEVELOPMENT.
GROUP A-FACILITY 7 -- 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 7 -- 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 8 -- REGINA HOSPITAL PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
GROUP A-FACILITY 8 -- 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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 8 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
GROUP A-FACILITY 8 -- 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 (REACHING 1,400 STUDENTS), CHANGE TO CHILL MATERIALS AND OTHER SIMILAR OPPORTUNITIES. CHANGE TO CHILL TRAININGS AND TOOLS WERE ALSO OFFERED TO NUMEROUS COMMUNITY PARTNERS, INCLUDING PUBLIC SCHOOL SYSTEMS AND COUNTY PUBLIC HEALTH DEPARTMENTS IN WASHINGTON, RAMSEY AND DAKOTA COUNTIES.REGINA ALSO CONTINUED TO PARTICIPATE IN AND MAKE CHARITABLE CONTRIBUTIONS TO THE EAST METRO MENTAL HEALTH CRISES AND THE EAST METRO MENTAL HEALTH ROUNDTABLE, COMPRISED OF LEADERS REPRESENTING CATHOLIC CHARITIES; GUILD INC; PEOPLE INC; NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), MN CHAPTER; MN DEPARTMENT OF HEALTH; MN DEPARTMENT OF HUMAN SERVICES; LOCAL HEALTH SYSTEMS (ALLINA, HEALTHPARTNERS, FAIRVIEW/HEALTHEAST); CITY AND COUNTY GOVERNMENT ELECTED OFFICIALS, COUNTY PUBLIC HEALTH REPRESENTATIVES, AND COUNTY CASE MANAGERS REPRESENTING WASHINGTON, RAMSEY AND DAKOTA COUNTIES; CANVAS HEALTH; WILDER FOUNDATION; METRO FQHC CLINICS; AND OTHER SIMILAR NGOS RELATED TO MENTAL HEALTH, HUMAN SERVICES, AFFORDABLE HOUSING AND PUBLIC POLICY.FINALLY, REGINA CONTINUED TO DEVELOP ITS PARTNERSHIP WITH DAKOTA COUNTY PUBLIC HEALTH RELATED TO THEIR WORK ON MENTAL HEALTH AND ELIMINATING STIGMA. ALLINA HEALTH STAFF SERVE ON THE COUNTY MENTAL HEALTH ACTION TEAM AND OFFERED EDUCATIONAL OPPORTUNITIES SUCH AS CHANGE TO CHILL TRAIN THE TRAINER SESSIONS AND PROMOTION OF MAKE IT OKAY, MENTAL HEALTH FIRST AID AND OTHER SIMILAR MENTAL HEALTH PROGRAMS.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 2018, THIS WORK WAS ADVANCED BY:1) MONTHLY MEETINGS (MAY THROUGH OCTOBER) WITH 29 COMMUNITY GARDNERS TO RESOLVE ISSUES AND DISCUSS REDESIGN FOR THE 2019 GROWING SEASON.2) PARTICIPATING IN HASTINGS YMCA CHILI PROCESS TO IDENTIFY GAPS IN SERVICES THAT ADDRESS HEALTHY EATING AND ACTIVE LIVING AND ATTENDING YMCA BOARD MEETINGS AND OTHER STRATEGIC PLANNING MEETINGS WITH YMCA STAFF.3) PROMOTING VOLUNTEER OPPORTUNITIES IN SUPPORT OF LOCAL FOOD SHELVES AND COMMUNITY NUTRITION INITIATIVES INCLUDING THREE FOOD DRIVES FOR HASTINGS FAMILY SERVICES AND PRESCOTT FOOD PANTRY (MARCH, JUNE AND NOVEMBER), A NOVEMBER FOOD4KIDS DONATION AND PACKING EVENT, AND ONGOING VOLUNTEER 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 AGING POPULATION AND CARE PROVIDERS. ACTIVITIES IN 2018 INCLUDED:1) PROVIDED CHARITABLE CONTRIBUTIONS IN SUPPORT OF HONORING CHOICES PARTNERSHIP WITH SENIOR CENTER AND WISE FAMILY FUNERAL HOME, INCLUDING SUPPORT OF A "BEING MORTAL" VIEWING AND CONVERSATION EVENT ATTENDED BY 80 HASTINGS COMMUNITY MEMBERS.2) CONTINUED PARTICIPATION IN THE HASTINGS TRANSPORTATION OPTION ADVISORY BOARD3) PARTNERED HASTINGS COMMUNITY CENTER IN SUPPORT OF FURTHER DEVELOPING PROGRAMS FOR AGING INDIVIDUALS, NAMELY HONORING CHOICES. 4) OFFERED MATTER OF BALANCE CLASS IN THE SPRING OF 2018, WHICH WAS ATTENDED BY 12 HASTINGS COMMUNITY MEMBERS.
GROUP A-FACILITY 8 -- 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 8 -- 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 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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: GOAL 1: IMPROVE ACCESS TO QUALITY, COMPREHENSIVE MENTAL HEALTH AND ADDICTION CARE SERVICES; REDUCE SOCIAL STIGMA OF MENTAL HEALTH AND ADDICTION.DISTRICT ONE HOSPITAL CONTINUED TO BE AND ACTIVE MEMBER OF THE FARIBAULT YOUTH INVESTMENT (FYI) ADVISORY COUNCIL, WHOSE MISSION IS TO BUILD COMMUNITY CONNECTIONS FOR HEALTHY YOUTH DEVELOPMENT. THIS INCLUDED EXPANDING THE FYI ADVISORY TO BE YOUTH-LED WITH THE ADDITION OF SEVERAL AREA HIGH SCHOOL STUDENTS AND PARTICIPATING IN THE FYI ACTIVITIES FAIR. ADDITIONALLY, THE HOSPITAL PARTICIPATED IN THE FARIBAULT COMMUNITY SCHOOL AND COMMUNITY EDUCATION ADVISORY COUNCILS, DEVELOPING PROGRAMING FOR THESE OUTLETS, INCLUDING CHANGE TO CHILL.THE HOSPITAL ALSO CONTINUED TO ACTIVELY PARTICIPATE IN THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION ADVISORY COUNCIL, INCLUDING THE PROVIDER TEAM AND PREVENTION/PROMOTION AND ACCESS/DIVERSITY TEAMS. THIS GROUP SPONSORED YOUTH MENTAL HEALTH FIRST AID PROGRAMMING.FINALLY, TO INCREASE COMMUNITY KNOWLEDGE OF THE SYMPTOMS, TREATMENTS AND RESOURCES FOR MENTAL HEALTH CONDITIONS AND ADDICTION, DISTRICT ONE HELD A MENTAL HEALTH AND ADDICTION RESOURCE FAIR ON THE CAMPUS OF DISTRICT ONE HOSPITAL. OVER 15 RESOURCE PROVIDERS ATTENDED AS VENDORS AND OVER 100 PARTICIPANTS CAME THROUGH THE FAIR INCLUDING COMMUNITY MEMBERS, PROVIDERS, AND CARE STAFF. CHANGE TO CHILL ACTIVITIES WERE ALSO OFFERED TO LOCAL SCHOOLS. TO SUPPORT EXTERNAL ORGANIZATIONS IN INCREASING ACCESS TO HEALTHCARE, THE HOSPITAL CONTINUED TO PROVIDE SIGNIFICANT CHARITABLE CONTRIBUTIONS, GRANTS AND IN-KIND SUPPORT TO SAFETY NET PROVIDERS (HEALTHFINDERS AND FREE CLINIC OF STEELE COUNTY) AND ASSISTED HEALTHFINDERS IN CREATING AN ON-SITE PHLEBOTOMY DRAW STATION FOR LAB SERVICES.
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 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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 COUNTIESWORK IN 2018 FOCUSED ON THE CREATING, ADMINISTERING AND SCORING A COMMUNITY READINESS INVENTORY IN HUDSON. TEN SURVEYS WERE ADMINISTERED TO LOCAL BUSINESS OWNERS, GOVERNMENT OFFICIALS, PHYSICIANS, A HIGH SCHOOL STUDENT, NURSE AND ST. CROIX COUNTY LAW ENFORCEMENT. THE ASSESSMENT RESULTS ARE BEING REVIEWED AND NEXT STEPS WILL BE DISCUSSED FOR 2019.TO DECREASE ADULT ALCOHOL ABUSE THROUGH CHANGES TO POLICY, SYSTEMS, ENVIRONMENT AND COMMUNITY SUPPORT, 2018 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. MEETINGS WERE HELD WITH RIVER FALLS CITY ADMINISTRATORS REGARDING POLICY PRIORITIES. THE CHAMBER OF COMMERCE IS ALSO ASSISSTING WITH RESEARCH REGARDING THE BEST APPROACH TO A PUBLIC INTOXICATION ORDINANCE. THE CITY COUNCIL IS OPEN FOR A REPORT ON PROPOSED CHANGES IN THE POLICY AND ENFORCEMENT IN THE COMMUNITY.GOAL 2: IMPROVE MENTAL HEALTH STATUS OF RESIDENTS OF PIERCE AND ST. CROIX COUNTIES.TO REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS, APPROXIMATELY 5,256 PEOPLE HAVE BEEN TOUCHED THROUGH MAKE IT OKAY TRAININGS, PRESENTATIONS AND DISPLAYS. THERE ARE CURRENTLY 365 TRAINED MAKE IT OKAY AMBASSADORS. TO INCREASE ACCESS TO MENTAL HEALTH SERVICES, 30 INDIVIDUALS COMPLETED THE MENTAL HEALTH FIRST AID TRAIN THE TRAINER CERTIFICATION. THE INSTRUCTORS HAVE HAD HUGE SUCCESS IN ADMINISTERING 37 MENTAL HEALTH FIRST AID TRAININGS THROUGHOUT PIERCE AND ST. CROIX COUNTIES, TRAINING A TOTAL OF 261 ADULTS. ADDITIONALLY, THE RIVER FALLS AREA HIGH SCHOOL WAS CHOSEN AS A CHANGE TO CHILL PARTNER FOR THE 2018-2019 SCHOOL YEAR. 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. FINALLY, THE HUDSON HOSPITAL & CLINICS PROGRAMS FOR CHANGE UPDATED THE MENTAL HEALTH SERVICES RESOURCE GUIDE FOR PIERCE AND ST. CROIX COUNTIES, WHICH INCLUDES PROVIDERS PHYSICALLY LOCATED IN THE TWO-COUNTY REGION.GOAL 3: DECREASE THE PERCENTAGE OF THE POPULATION THAT IS OVERWEIGHT OR OBESE IN PIERCE AND ST. CROIX COUNTIES.MUCH OF THIS WORK FOCUSED ON INCREASING ACCESS TO HEALTHY FOODS IN THE COMMUNITY. TO THIS END, 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 UNIVERSITY OF WISCONSIN EXTENSION OFFICE, MEAL KITS WITH RECIPES WERE CREATED. UW EXTENSION AND HEALTHIER TOGETHER 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. FARE FOR ALL LAUNCHED IN RIVER FALLS IN NOVEMBER, PROVIDING OVER 120 FAMILIES WITH FRESH FRUITS, VEGETABLES AND MEAT.TO INCREASE PHYSICAL ACTIVITY, THE ACTIVE SCHOOL CORE 4+ POWERPOINT WAS CREATED AND DISTRIBUTED TO SCHOOLS AND ON THE 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 COUNTIES FOOD RESOURCE DIRECTORIES HAVE BEEN UPDATED. WE CONTINUE TO USE THE HEALTHIER TOGETHER FACEBOOK PAGE TO SHARE INFORMATION ABOUT THE THREE HEALTH PRIORITIES, INCLUDING LOCAL EVENTS AND RESOURCES.
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:	IN 2016, WE FIRST PUBLICIZED AN ONLINE SURVEY ON OUR INTERNAL AND EXTERNAL WEBSITE AND SOCIAL MEDIA AS WELL AS THROUGH DIRECT EMAILS IN ORDER TO GATHER GENERAL INPUT ABOUT COMMUNITY HEALTH PRIORITIES. WE RECEIVED MORE THAN 1,000 RESPONSES TO THIS SURVEY-APPROXIMATELY 900 EMPLOYEES AND 100 COMMUNITY MEMBERS.NEXT, WE HELD TWENTY-TWO COMMUNITY DIALOGUES OR FOCUS GROUPS ACROSS THE GEOGRAPHY SERVED BY THE HEALTH SYSTEM FROM FEBRUARY-APRIL 2016. THE DIALOGUES WERE FACILITATED AND ORGANIZED BY A THIRD-PARTY VENDOR (THE IMPROVE GROUP) WITH EXPERTISE IN COMMUNITY-BASED RESEARCH TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. MORE THAN 400 COMMUNITY MEMBERS ATTENDED THE DIALOGUES/FOCUS GROUPS, PLANNING TEAMS THAT REVIEWED DATA AND COMMUNITY INPUT, OR BOTH. THE ATTENDEES WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS AND SPECIAL EFFORT WAS MADE TO REACH UNDERREPRESENTED COMMUNITIES THROUGH OUTREACH TO COMMUNITY-BASED ORGANIZATIONS. WE HELD ONE FOCUS GROUP FOR THE SOMALI COMMUNITY, WITH INTERPRETATION, NEAR OUR DISTRICT ONE HOSPITAL AND ANOTHER FOCUS GROUP SPECIFIC TO THE LIBERIAN COMMUNITY NEAR MERCY HOSPITAL. IN ADDITION, INFORMAL AND FORMAL INTERPRETERS WERE USED AS NEEDED IN OUR EAST METRO AND SOUTH METRO DIALOGUES. DIALOGUES WERE ALSO HELD AT LOCATIONS CONVENIENT TO THE COMMUNITY, INCLUDING ONE HELD AT A PUBLIC HOUSING SITE IN ITS COMMUNITY ROOM.SOME COMMUNITY DIALOGUES WERE WELL-ATTENDED BY REPRESENTATIVES OF ORGANIZATIONS IN THE COMMUNITY THAT SERVE DIVERSE INTERESTS AND PERSPECTIVES, WHILE OTHERS WERE WELL- ATTENDED BY RESIDENTS THEMSELVES, WITHOUT ANY SPECIFIC COMMUNITY ORGANIZATION TIES. INVITATIONS WERE BROADLY SHARED TO GATHER AS MUCH DIVERSE INPUT AS POSSIBLE. SOME DIALOGUES WERE REPEATED OR RESCHEDULED IN ORDER TO ENSURE THAT SUFFICIENT AND APPROPRIATE REPRESENTATIVES WERE INCLUDED, IF WEATHER OR OTHER FACTORS CONTRIBUTED TO LOW ATTENDANCE/RSVPS. THERE WERE NO INSTANCES OF SPECIFIC INPUT THAT WAS SOUGHT BUT NOT SUCCESSFULLY RECEIVED.
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.- MERCY HOSPITAL AND MERCY HOSPITAL - UNITY CAMPUS 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.- REGINA HOSPITAL AND UNITED HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 11 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.IN SOME CASES, THE CHNA IS CONSIDERED A JOINT PRODUCT THROUGH FORMAL COLLABORATIVE EFFORTS SUCH AS THE HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES IN WESTERN WISCONSIN.
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:PHILIPS EYE INSTITUTE: 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, 26,200 ELEMENTARY-AGED CHILDREN RECEIVED A VISION SCREENING THROUGH THIS PROGRAM, AND 505 CHILDREN 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 3,270 PATIENTS RECEIVE FREE TRANSPORTATION EVERY YEAR. 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. ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2016. ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE NOW BEING ADDRESSED 2017-2019: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. 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 2018, MORE THAN 50,000 USERS VISITED THE CTC WEBSITE. 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. ALLINA HEALTH CONTINUED TO OFFER THE TRAIN-THE-TRAINER SESSIONS PILOTED IN 2017 TO EDUCATE SCHOOL AND COMMUNITY STAFF ON THE RESOURCES AND CURRICULUM OFFERED BY CTC. IN 2018, APPROXIMATELY 111 TEACHERS, SOCIAL WORKERS AND OTHER PROFESSIONALS ATTENDED THE TRAIN-THE-TRAINER SESSIONS. OVERALL, THE TRAINING WAS WELL-RECEIVED BY PARTICIPANTS AND MANY PARTICIPANTS REPORTED THEY INTENDED TO USE WHAT THEY LEARNED IN THE CLASSROOM OR IN THE CAPACITY THAT THEY WORK WITH TEENS. ALSO IN 2018, CTC LAUNCHED THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) WITH THE GOAL OF PROMOTING AND SUPPORTING A CULTURE OF MENTAL WELL-BEING IN LOCAL HIGH SCHOOLS. DURING THE 2018-2019 SCHOOL YEAR ALLINA HEALTH PARTNERED WITH NINE HIGH SCHOOLS THROUGH CTCSP, REACHING MORE THAN 10,000 STUDENTS. COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, FOCUS GROUPS WITH STUDENTS, PEER MENTORING, 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. FINALLY, THE CTC LEAD A SERIES CONTINUED TO BE OFFERED BY ALLINA HEALTH STAFF IN MIDDLE- AND HIGH-SCHOOLS IN SELECT ALLINA HEALTH COMMUNITIES. THE LEAD A SERIES CURRICULUM IS AN IN-PERSON SERIES OF WORKSHOPS DESIGNED TO INCREASE PARTICIPATING STUDENTS': (1) AWARENESS OR KNOWLEDGE OF MENTAL WELLNESS AND STRESS REDUCTION CONCEPTS, (2) SELF-CONFIDENCE IN THEIR ABILITY TO COPE WITH STRESS, AND (3) INTENT TO USE HEALTHY COPING SKILLS LEARNED IN THE CHANGE TO CHILL CURRICULUM. EVALUATIONS OF THIS CURRICULUM HAVE SHOWN THAT, OVERALL, STUDENTS RESPOND WELL TO THE SERIES AND MOST PARTICIPANTS BELIEVE IT IS AT LEAST POSSIBLE THEY WILL USE THE SKILLS LEARNED IN THE PROGRAM. ADDITIONALLY, PRE/POST TESTS HAVE SHOWN SIGNIFICANT INCREASES IN STUDENTS' OVERALL CONFIDENCE IN THEIR ABILITY TO DEPLOY SOME HEALTHY COPING TECHNIQUES. BE THE CHANGE-AS THE LARGEST PROVIDER OF MENTAL HEALTH AND ADDICTION CARE IN THE STATE, ALLINA HEALTH BELIEVES IT SHOULD LEAD THE WAY IN ELIMINATING STIGMA WITHIN THE INDUSTRY. TO THIS END, BE THE CHANGE, IS AN EFFORT TO ELIMINATE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION AT ALLINA HEALTH AND ENSURE THAT ALL PATIENTS RECEIVE THE SAME CONSISTENT, EXCEPTIONAL CARE. MORE THAN 500 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO LEAD THIS EFFORT AS TRAINED BE THE CHANGE CHAMPIONS AND HELP EDUCATE AND GENERATE AWARENESS AMONG THEIR COLLEAGUES ABOUT MENTAL HEALTH CONDITIONS AND ADDICTIONS. IN 2018, BE THE CHANGE SUPPORTED ANTI-STIGMA WORK IN THE COMMUNITY BY SPONSORING AND PROMOTING THE NAMI WALK AND WALK FOR RECOVERY. CHAMPIONS RECEIVED ADDITIONAL ANTI-STIGMA EDUCATION THROUGH BI-MONTHLY COMMUNICATIONS, TWO WEBINARS, AND THE OPPORTUNITY TO VISIT THE MINNESOTA SCIENCE MUSEUM'S "MIND MATTERS"-EXHIBIT. THROUGH PRESENTATIONS AND EDUCATION EVENTS, BE THE CHANGE CHAMPIONS HAVE REACHED MORE 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 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. THE 71 ACTIVITIES OFFERED IN 2018 REACHED MORE THAN 3,600 PARTICIPANTS. 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 2018, MORE THAN 70,000 USERS VISITED THE HPK WEBSITE. ADDITIONALLY, PROGRAM STAFF ADDED 7 LESSONS TO THE PROGRAM, ALL WITH A FOCUS ON MENTAL WELL-BEING, INCLUDING THE POWER OF MEDITATION, LEARNING MINDFULNESS THROUGH MOVEMENT AND GRATITUDE: OVERLOOKED BLESSINGS.CHARITABLE CONTRIBUTIONS-IN 2018 ALLINA HEALTH SYSTEM MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA; $26,000 (12%) FOR ACTIVE LIVING, $42,500 (20%) FOR HEALTHY EATING, $76,900 (37%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES; $26,000 (12%) TO MENTAL WELLNESS, $37,500 (18%) FOR OTHER HEALTH-RELATED PURPOSES AND $1,000 FOR NON-HEALTH RELATED PURPOSES. TO SUPPORT ACTIVE LIVING, ALLINA HEALTH SPONSORED THE SANNEH FOUNDATION'S FREE COMMUNITY CAMPS AT THE $5,000 LEVEL. THIS FUNDING SUPPORTED A CULTURALLY-RELEVANT SPORT-BASED YOUTH DEVELOPMENT AND HEALTH INITIATIVE CREATED TO PROVIDE OUT-OF-SCHOOL TIME PHYSICAL ACTIVITY OPPORTUNITIES FREE OF ANY CHARGES TO UNDERSERVED TWIN CITIES METRO AND GREATER MINNESOTA AREA YOUTH. FOR THE FOCUS AREA, HEALTHY EATING, ALLINA HEALTH GAVE THE FOOD GROUP A CONTRIBUTION OF $10,000 TO SUPPORT ITS CULTURAL EQUITY PROGRAM WHICH SEEKS TO INCREASE ACCESS TO NUTRITIOUS AND SPECIFIC FOODS FOR DIVERSE MEMBERS OF OUR COMMUNITY THAT ARE EXPERIENCING HUNGER. 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 MINNESOTA PUBLIC HEALTH ASSOCIATION WITH A $5,000 CONTRIBUTION TO INCREASE ITS CAPACITY TO ACT AS AN INDEPENDENT VOICE OF PUBLIC HEALTH IN MINNESOTA. OUT OF THE 2017 BUDGET ALLINA HEALTH SPONSORED THE 2018 MARTIN LUTHER KING JR. BREAKFAST AT THE $1,000 LEVEL, BENEFITING UNCF FOR A NON-HEALTH RELATED PURPOSE.ACCOUNTABLE HEALTH COMMUNITIES CENTERS FOR MEDICARE AND MEDICAID SERVICESCOOPERATIVE AGREEMENTIN 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 78 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 2018, MORE THAN 76,000 ALLINA HEALTH PATIENTS COMPLETED AN AHC SCREENING. TWENTY-FIVE PERCENT OF PATIENTS SCREENED IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS (57 PERCENT) FOLLOWED BY HOUSING INSTABILITY (44 PERCENT).

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-65 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 2018: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 11
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 $239 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 2016, ALLINA HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE NEEDS ASSESSMENT PURPOSE WAS TO IDENTIFY THREE LOCAL PRIORITIES FOR EACH HOSPITAL AS WELL AS OVER-ARCHING THEMES FOR THE HEALTH SYSTEM TO ADDRESS FOR FY 2017-2019. THIS IMPLEMENTATION PLAN IS CURRENTLY IN PROGRESS. THE NEXT PHASE OF PLANNING BEGAN IN LATE 2018 AND WILL CONTINUE THROUGH LATE 2019.THE PROCESS RELIED PRIMARILY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGED COMMUNITY STAKEHOLDERS AND COLLABORATED WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH PROVIDERS. THERE WERE THREE STAGES INVOLVED DURING THE NEEDS ASSESSMENT: DATA REVIEW AND SETTING PRIORITIES, COMMUNITY HEALTH DIALOGUES, AND ACTION PLANNING. IN THE FIRST PHASE, IN FALL 2015, COMMITTEES WERE FORMED AT EACH HOSPITAL TO REVIEW EXISTING HEALTH-RELATED DATA. DIVERSE STAKEHOLDERS REVIEWED EXISTING DATASETS AND THEN DEVELOPED AN INITIAL LIST OF COMMUNITY HEALTH ISSUES. ASSESSMENT STAKEHOLDERS USED THE HANLON METHOD, A SYSTEMATIC PRIORITIZATION PROCESS, TO RANK THE HEALTH-RELATED ISSUES BASED ON THREE CRITERIA: SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, AND ESTIMATED EFFECTIVENESS OF THE SOLUTION AND WERE THEN ASKED TO CONSIDER THE NUMERICAL RANKINGS GIVEN TO EACH ISSUE ALONG WITH A SET OF DISCUSSION QUESTIONS TO CHOOSE THE FINAL PRIORITY ISSUES. IN THE SECOND PHASE DURING EARLY 2016, SEVERAL HUNDRED LOCAL RESIDENTS AND STAKEHOLDERS FROM EIGHT ALLINA HEALTH REGIONS PARTICIPATED IN COMMUNITY HEALTH DIALOGUES FACILITATED BY AN EXTERNAL AGENCY. STAKEHOLDERS WERE DIVERSE IN AGE, RACE/ETHNICITY, AND EMPLOYMENT AND REPRESENTED SECTORS SUCH AS SCHOOLS, BUSINESS, FAITH-BASED ORGANIZATIONS, GOVERNMENT AGENCIES, AND ADVOCACY ORGANIZATIONS. A NUMBER OF STAKEHOLDERS IDENTIFIED THEMSELVES AS HAVING EXPERTISE IN HEALTH-RELATED AREAS. THE DIALOGUES USED A WORLD CAFE MODEL OF DISCUSSION, WHICH ALLOWED PARTICIPANTS TO DISCUSS UP TO THREE TOPICS IDENTIFIED AS IMPORTANT HEALTH CONCERNS IN THEIR REGION. KEY THEMES FROM THE DIALOGUES WERE IDENTIFIED THROUGH ANALYSIS OF INDIVIDUAL DISCUSSION GUIDES AND SMALL GROUP NOTES. EACH REGION RECEIVED A SUMMARY AND ACTION IDEAS.IN THE FINAL PHASE DURING SUMMER 2016, EACH FACILITY ENGAGED IN ACTION PLANNING SPECIFIC TO THE ISSUES AND PRIORITIES IDENTIFIED IN THEIR CHNA PROCESS. IN TOTAL, MORE THAN 400 DIVERSE STAKEHOLDERS WERE ENGAGED IN DATA REVIEW, PRIORITIZATION OR COMMUNITY DIALOGUES.AS A HEALTH SYSTEM, TWO COMMON THEMES WERE IDENTIFIED ACROSS THE SYSTEM FOR COLLECTIVE ACTION DURING 2017-2019, THE SAME AS IN 2014-2016: HEALTHY EATING/ ACTIVE LIVING AND MENTAL HEALTH/WELLNESS. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2016.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/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/ONCE 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, APPROXIMATELY 100 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 COUNTIES IN AND SURROUNDING THE METROPOLITAN AREAS OF MINNEAPOLIS AND ST. PAUL. 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 REGINA HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF MINNESOTA INTO THE METRO AREA SURROUNDING THE CITY OF ST. PAUL, 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 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, BUT 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 SERVES SMALL AND RURAL COMMUNITIES IN AND AROUND DAKOTA, RICE, STEELE, WASECA, DODGE, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITALS SERVE THESE AREAS.WESTERN WISCONSINLOCATED IN WESTERN WISCONSIN, THIS REGION INCLUDES SMALL AND RURAL COMMUNITIES WITHIN PIERCE AND ST. CROIX COUNTIES. RIVER FALLS AREA HOSPITAL (RFAH) IS LOCATED IN THIS REGION.
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"), DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION THAT DELIVERS HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. WITH APPROXIMATELY 27,600 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 1,400 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 ELEVEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 105,500 INPATIENT ADMISSIONS AND NEARLY 1,421,200 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2018. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,775 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 65 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 770 PHYSICIANS AND 230 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 90 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 310 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED NEARLY 8,154,400 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2018. 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. MORE THAN 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 ORGANIZATIONS INCURRED COSTS FOR PARTICIPATION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $218,841,736 IN 2018.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.
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 (110 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Address Line2USAddress/AddressLine2Txt
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100	MINNEAPOLIS	MN	55407	411426406	501C3	$2,000,000	SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION
TWIN CITIES MEDICAL SOCIETY FOUNDATION
1300 GODWARD ST NE	MINNEAPOLIS	MN	55413	510178010	501C3	$251,500	ADVANCED CARE PLANNING PROGRAM
PHILLIPS EYE INSTITUTE FOUNDATION
PO BOX 43	MINNEAPOLIS	MN	55440	411613017	501C3		EYE COMMUNITY INITIATIVE	$161,574	FMV	EYE GLASS FRAMES AND LENS
COURAGE KENNY FOUNDATION
PO BOX 43	MINNEAPOLIS	MN	55440	411952989	501C3		GENERAL SUPPORT	$91,625	FMV	MEDICAL AND SPORTS EQUIPMENT
FREE BIKES 4 KIDS
PO BOX 007	LONG LAKE	MN	55356	271199089	501C3	$75,800	SPONSORSHIP FOR BIKE DISTRIBUTION
VITREORETINAL SURGERY FOUNDATION
7760 FRANCE AVE S STE 310	MINNEAPOLIS	MN	55435	412122813	501C3	$45,910	SUPPORT FOR RETINA RESEARCH STUDY
HEALTHFINDERS COLLABORATIVE INC
706 DIVISION STREET	NORTHFIELD	MN	55057	201805262	501C3	$42,000	GENERAL SUPPORT
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS
1200 2ND AVENUE SOUTH	MINNEAPOLIS	MN	55403	411302487	501C3	$37,924	SUPPORT FOR RESPITE PROGRAM
ST PAUL PUBLIC SCHOOLS
360 COLBORNE STREET	ST PAUL	MN	55102	410901311	ISD 625	$30,000	SUPPORT FOR WELLNESS INITIATIVES
SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION
1884 RANDOLPH AVENUE	ST PAUL	MN	55105	411765361	501C3	$30,000	SPONSORSHIP OF 2019 CARONDELET GALA
ST MARY'S HEALTH CLINICS
1884 RANDOLPH AVENUE	ST PAUL	MN	55105	411760632	501C3	$29,250	GENERAL SUPPORT
MG CHARITIES
434 HALE AVE N SUITE 160	OAKDALE	MN	55128	464057749	501C3	$25,000	SPONSORSHIP OF MIND OVER MATTER FUNDRAISER
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501C3	$21,400	GENERAL SUPPORT
NATIVE AMERICAN COMMUNITY CLINIC
1213 E FRANKLIN AVE	MINNEAPOLIS	MN	55404	030445789	501C3	$21,000	CARE COORDINATOR AND GENERAL SUPPORT
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE GREATER TWIN CITIES
2125 E HENNEPIN AVENUE	MINNEAPOLIS	MN	55413	452563299	501C3	$20,800	GENERAL SUPPORT
COMMON HOPE INC
1400 ENERGY PARK DRIVE SUITE 23	ST PAUL	MN	55108	411560297	501C3	$20,700	GENERAL SUPPORT
THE ST PAUL FOUNDATION
101 FIFTH STREET EAST SUITE 2400	ST PAUL	MN	55101	416031510	501C3	$18,000	SUPPORT FOR THE ITASCA PROJECT
THREE RIVERS PARK DISTRICT FOUNDATION INC
3000 XENIUM LANE N	PLYMOUTH	MN	55441	411579104	501C3	$18,000	SUPPORT FOR RECREATIONAL ACTIVITIES
SCOTT CARVER DAKOTA CAP AGENCY INC
712 CANTERBURY ROAD S	SHAKOPEE	MN	55379	410903890	501C3	$16,850	GENERAL SUPPORT
MILL CITY FARMER'S MARKET CHARITABLE FUND
704 SOUTH 2ND STREET	MINNEAPOLIS	MN	55401	814420781	501C3	$15,100	SUPPORT FOR MEET YOUR VEGETABLES PROGRAM AND SPONSORSHIP
MINNESOTA NETWORK OF HOSPICE & PALLIATIVE CARE
2365 MCKNIGHT ROAD	NORTH ST PAUL	MN	55102	411414694	501C3	$15,000	SPONSORSHIP OF IRA BYOCK PUBLIC EVENT
COMUNIDADES LATINAS UNIDAS EN SERVICIO INC
797 EAST 7TH STREET	ST PAUL	MN	55106	411386986	501C3	$15,000	SUPPORT FOR HEALTH WELLNESS DIVISION
VITAL AGING NETWORK
2365 N MCKNIGHT ROAD	NORTH ST PAUL	MN	55109	272884329	501C3	$14,250	SUPPORT FOR WELLNESS 50+ AND GENERAL SUPPORT
THE FOOD GROUP MINNESOTA INC
8501 54TH AVENUE NORTH	NEW HOPE	MN	55428	411246504	501C3	$13,883	GENERAL SUPPORT
ANGEL FOUNDATION
1155 CENTRE POINT DRIVE SUITE 7	MENDOTA HEIGHTS	MN	55120	411990883	501C3	$18,750	GENERAL SUPPORT
SOUTH WASHINGTON COUNTY SCHOOLS
8400 EAST POINT DOUGLAS ROAD SOUTH	COTTAGE GROVE	MN	55016	416007788	ISD 833	$13,133	SUPPORT FOR THE FAMILY MEALTIME CHALLENGE
NURSES PEER SUPPORT NETWORK
3540 IRVING AVENUE SOUTH	MINNEAPOLIS	MN	55408	471278347	501C3	$13,100	GENERAL SUPPORT
HASTINGS FAMILY SERVICE
301 2ND STREET EAST	HASTINGS	MN	55033	237083534	501C3	$12,750	SUPPORT FOR MARKET CART PROGRAM
COMMUNITY EMERGENCY ASSISTANCE PROGRAM INC
7051 BROOKLYN BLVD	BROOKLYN CENTER	MN	55429	410990340	501C3	$12,700	GENERAL SUPPORT
CITY OF NEW ULM
122 S GARDEN STREET	NEW ULM	MN	56073	416005412	CITY OF NEW ULM	$12,000	GENERAL SUPPORT
OPEN ARMS OF MINNESOTA
2500 BLOOMINGTON AVENUE	MINNEAPOLIS	MN	55404	237366680	501C3	$12,000	SUPPORT FOR MEAL PREP AND DELIVERY PROGRAM
YOUTH INVESTMENT FOUNDATION
1364 HAMEL ROAD	MEDINA	MN	55340	237058853	501C3	$10,250	GENERAL SUPPORT
KEYSTONE COMMUNITY SERVICES
2000 SAINT ANTHONY AVENUE	ST PAUL	MN	55104	410693924	501C3	$11,600	GENERAL SUPPORT
HUNGER SOLUTIONS MINNESOTA
555 PARK STREET SUITE 400	ST PAUL	MN	55103	363567366	501C3	$11,000	GENERAL SUPPORT
MATTER
7005 OXFORD ST	ST LOUIS PARK	MN	55426	371441658	501C3	$10,475	SPONSORSHIP OF NIGHT TO MATTER GALA
MINNEAPOLIS PATHWAYS
3115 HENNEPIN AVE	MINNEAPOLIS	MN	55408	411628884	501C3	$10,400	GENERAL SUPPORT
PEOPLE SERVING PEOPLE INC CHARITIES
614 3RD STREET SOUTH	MINNEAPOLIS	MN	55415	411965067	501C3	$10,400	SUPPORT FOR 2019 GATSBY GALA
HASTINGS PUBLIC SCHOOLS
200 GENERAL SIEBEN DRIVE	HASTINGS	MN	55033	416000810	ISD 200	$10,400	SUPPORT FOR PEER HELPERS PROGRAM
COMMUNITY DENTAL CARE
1670 BEAM AVENUE SUITE 204	MAPLEWOOD	MN	55109	043692982	501C3	$10,300	GENERAL SUPPORT
APPLE TREE DENTAL
2442 MOUNDS VIEW BLVD	MOUNDS VIEW	MN	55112	363411437	501C3	$10,300	GENERAL SUPPORT
CHILDREN'S DENTAL SERVICES INC
636 BROADWAY STREET NE	MINNEAPOLIS	MN	55413	410857929	501C3	$10,300	GENERAL SUPPORT
STEPPING STONE EMERGENCY HOUSING
3300 4TH AVE N CRONIN BLDG 14	ANOKA	MN	55303	203226868	501C3	$10,300	GENERAL SUPPORT
UNITED WAY OF STEELE COUNTY
110 NORTH CEDAR AVE	OWATONNA	MN	55060	237366680	501C3	$10,250	GENERAL SUPPORT
DARTS
1645 MARTHALER AVENUE	WEST ST PAUL	MN	55118	411326631	501C3	$10,200	SUPPORT FOR HASTINGS LOOP PROJECT AND GENERAL SUPPORT
THE OPEN DOOR
3910 RAHN ROAD	EAGAN	MN	55122	270415900	501C3	$10,200	GENERAL SUPPORT
METRO MEALS ON WHEELS INC
1200 WASHINGTON AVE SOUTH SUITE 380	MINNEAPOLIS	MN	55415	311501057	501C3	$10,100	GENERAL SUPPORT				380
RIDGEVIEW FOUNDATION
490 S MAPLE ST SUITE 110	WACONIA	MN	55387	411328097	501C3	$10,000	SPONSORSHIP OF GOLF AND TASTE CELEBRATION
AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC
950 BLUE GENTIAN RD SUITE 100	EAGAN	MN	55417	522340031		$15,000	SUPPORT OF ACS CAN 2018 RESEARCH AND INNOVATION BREAKFAST
METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS
3137 CHICAGO AVENUE	MINNEAPOLIS	MN	55407	411658654	501C3	$10,000	GENERAL SUPPORT
COMMONBOND COMMUNITIES
1080 MONTREAL AVENUE	ST PAUL	MN	55116	411260469	501C3	$10,000	GRANDE GALA SPONSORSHIP
MINNESOTA PUBLIC HEALTH ASSOCIATION
PO BOX 14415	MINNEAPOLIS	MN	55414	411270698	501C3	$10,000	GENERAL SUPPORT
ROBERT & WILMA BURBACH BIKE FOUNDATION OF MN INC
1207 CONSTANCE BLVD NE	HAM LAKE	MN	55304	460547813	501C3	$10,000	SUPPORT OF ACTIVE LIVING INITIATIVES
AMHERST H WILDER FOUNDATION
451 LEXINGTON PARKWAY N	ST PAUL	MN	55104	410693889	501C3	$10,000	SUPPORT FOR TWIN CITIES MOBILE MARKET
CENTURY COLLEGE FOUNDATION
3300 CENTURY AVENUE NORTH	WHITE BEAR LAKE	MN	55110	237401534	501C3	$10,000	SUPPORT FOR DIVERSE STUDENT SUPPORT FUND
NEIGHBORHOOD DEVELOPMENT CENTER INC
663 UNIVERSITY AVENUE SUITE 200	ST PAUL	MN	55104	411738791	501C3	$10,000	SUPPRT FOR MIDTOWN GLOBAL MARKET EVENTS
MILE IN MY SHOES
PO BOX 583177	MINNEAPOLIS	MN	55458	472702026	501C3	$9,600	GENERAL SUPPORT
GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS INC
400 ROBERT STREET SOUTH	ST PAUL	MN	55107	410693910	501C3	$8,300	SUPPORT OF HEALTHY LIVING PROGRAM
ST ANDREW'S EVANGELICAL LUTHERAN CHURCH
900 STILLWATER ROAD	MAHTOMEDI	MN	55115	410880458	501C3	$9,250	SUPPORT FOR MISSION JAMAICA PROGRAM PARTICIPANTS
ANOKA RAMSEY COMMUNITY COLLEGE FOUNDATION
11200 MISSISSIPPI BLVD NW	COON RAPIDS	MN	55433	411574797	501C3	$9,000	CONTRIBUTION TO GENERAL SCHOLARSHIP FUND AND FUNDRAISER SUPPORT
VEAP INC
9600 ALDRICH AVENUE SOUTH	BLOOMINGTON	MN	55420	416175999	501C3	$8,300	SUPPORT FOR FOOD ACCESS FUND
NEW CREATION LUTHERAN CHURCH
1053 JEFFERSON ST S	SHAKOPEE	MN	55379	410954977	501C3	$8,132	SUPPORT FOR ESPERANZA IS HOPE
DIVISION OF INDIAN WORK
1001 EAST LAKE STREET	MINNEAPOLIS	MN	55407	815265328	501C3	$8,100	SUPPORT FOR KWESTRONG AND GENERAL PROGRAMS
ANOKA-HENNEPIN TECHNICAL COLLEGE FOUNDATION
1355 WEST HIGHWAY 10	ANOKA	MN	55303	363494697	501C3	$8,000	SPONSORSHIP FOR CONNECT THE DOTS AND GENERAL SCHOLARSHIP FUND
NORTHFIELD HEALTHY COMMUNITY INITIATIVE
1651 JEFFERSON PARKWAY	NORTHFIELD	MN	55057	262852506	501C3	$8,000	SPONSORSHIP FOR NORTHFIELD READS, RECOVERYFEST, AND GENERAL SUPPORT
TURNINGPOINT FOR VICTIMS OF DOMESTIC AND SEXUAL VIOLENCE INC
117 NORTH MAIN STREET	RIVER FALLS	WI	54022	391322995	501C3	$8,000	FUNDING FOR CRISIS CENTER IMPROVEMENTS AND GENERAL SUPPORT
ANOKA COUNTY BROTHERHOOD COUNCIL INC
2615 9TH AVE	ANOKA	MN	55303	510155191	501C3	$7,600	SUPPORT FOR ACBC OUTREACH PROGRAM AND FOOD ACCESS FUND
ALEXANDRA HOUSE
10065 3RD ST NE	BLAINE	MN	55434	411309977	501C3	$7,500	WALK A MILE SPONSORSHIP, HOPE FEST, AND SUPPORT FOR INTERVENTION/PREVENTION SERVICES.
WASHBURN CENTER FOR CHILDREN
1100 GLENWOOD AVE	MINNEAPOLIS	MN	55405	410711618	501C3	$7,500	WASHBURN GAMES SPONSORSHIP
MERRICK COMMUNITY SERVICES
1669 ARCADE ST N SUITE 4	ST PAUL	MN	55106	410693851	501C3	$7,500	GENERAL SUPPORT
HOPE COMMUNITY INC
611 EAST FRANKLIN AVENUE	MINNEAPOLIS	MN	55404	411292817	501C3	$7,500	SUPPORT FOR HEALTHY FOODS, STRONG COMMUNITY PROGRAM
INTERCONGREGATION COMMUNITIES ASSOCIATION INC
12990 SAINT DAVIDS ROAD	MINNETONKA	MN	55305	410979010	501C3	$7,500	SUPPORT FOR THE BLAKE ROAD CORRIDOR COLLABORATIVE
SECOND HARVEST HEARTLAND
1140 GERVAIS AVE	ST PAUL	MN	55109	237417654	501C3	$7,100	CUISINE FOR CHANGE SPONSORSHIP AND GENERAL SUPPORT
YOUNG WOMEN'S CHRISTIAN ASSOCIATION
375 SELBY AVENUE	ST PAUL	MN	55102	410693892	501C3	$7,000	SUPPORT FOR DRIVEN TO SUCCEED PROJECT AND GENERAL PROGRAMS
THE LOPPET FOUNDATION
1301 THEODORE WIRTH PKWY	MINNEAPOLIS	MN	55422	411753882	501C3	$7,000	SUPPORT FOR THE MINNE-LOPPET PROGRAM
SOLE CARE FOR SOULS
4190 VINEWOOD LANE NORTH	PLYMOUTH	MN	55442	263300002	501C3	$7,000	GENERAL SUPPORT
FAMILY PATHWAYS
6413 OAK ST	NORTH BRANCH	MN	55056	411332828	501C3	$6,800	SUPPORT FOR AGING SERVICES, FOOD ACCESS FUND, FOREST LAKE FRESH PRODUCE, AND GENERAL PROGRAMS
FEED MY STARVING CHILDREN
401 93RD AVE NW	COON RAPIDS	MN	55433	411601449	501C3	$6,550	GENERAL SUPPORT
MINNEAPOLIS POLICE ACTIVITIES LEAGUE
4119 DUPONT AVENUE NORTH	MINNEAPOLIS	MN	55412	411719527	501C3	$6,500	SUPPORT FOR GIRLS & BOYS MENTORSHIP PROGRAM
ARTHRITIS FOUNDATION
1876 MINNEHAHA AVE W	ST PAUL	MN	55104	581341679	501C3	$6,500	SPONSORSHIP FOR JINGLE BELL RUN
GUILD INCORPORATED
130 S WABASHA STREET SUITE 90	ST PAUL	MN	55107	411669233	501C3	$6,500	SUPPORT FOR MENTAL HEALTH PROGRAMS
NAMI MINNESOTA
1919 UNIVERSITY AVE W STE 400	ST PAUL	MN	55104	411317030	501C3	$6,500	NAMI WALK SPONSORSHIP
COMMUNITY ACTION CENTER OF NORTHFIELD INC
1651 JEFFERSON PARKWAY	NORTHFIELD	MN	55057	410970984	501C3	$6,000	GENERAL SUPPORT
PHILLIPS WEST NEIGHBORHOOD ORGANIZATION
2400 PARK AVENUE SOUTH SUITE 337	MINNEAPOLIS	MN	55404	900122796	501C3	$6,000	SUPPORT FOR MIDTOWN SAFETY CENTER
MINNEAPOLIS PUBLIC SCHOOLS
1250 W BROADWAY AVENUE	MINNEAPOLIS	MN	55411	410851980	SSD 1	$6,200	SUPPORT FOR ANDERSON UNITED AUDOBON ENVIRONMENTAL PROGRAM
DOORSTEP HEALTHCARE SERVICES
5861 CEDAR LAKE ROAD	MS	MN	55416	680620960	501C3	$6,000	GENERAL SUPPORT
NORTH METRO PEDIATRICS PA
10081 DOGWOOD ST NW SUITE 100	COON RAPIDS	MN	55448	201773869	501C3	$6,000	GENERAL SUPPORT
SCOTT COUNTY HUMAN SERVICES ADULT MENTAL HEALTH
752 CANTERBURY RD S	SHAKOPEE	MN	55379	416005892	SCOTT COUNTY GOV.	$6,000	GENERAL SUPPORT
NORTHERN STAR COUNCIL BOY SCOUTS OF AMERICA
393 MARSHALL AVENUE	ST PAUL	MN	55102	203000282	501C3	$5,500	GENERAL SUPPORT
CAMBRIDGE ISANTI PUBLIC SCHOOLS
430 NW 8TH AVENUE	CAMBRIDGE	MN	55008	416008812	ISD 911	$5,958	CHANGE TO CHILL PARTNERSHIP AND GENERAL SUPPORT
HOPE 4 YOUTH
2191 NORTHDALE BLVD NW	COON RAPIDS	MN	55433	461626500	501C3	$5,800	SUPPORT FOR MENTAL WELLNESS PROGRAMS
THE SHERIDAN STORY
2723 PATTON RD	ROSEVILLE	MN	55113	800919680	501C3	$5,700	GENERAL SUPPORT
GREATER MINNEAPOLIS CRISIS NURSERY
4544 4TH AVE S	MINNEAPOLIS	MN	55419	411379021	501C3	$5,600	FORMULA FOR HOPE EVENT SPONSORSHIP
NUCLEUS CLINIC
1323 COON RAPIDS BLVD	COON RAPIDS	MN	55433	743219541	501C3	$5,600	SUPPORT FOR REPRODUCTIVE HEALTHCARE SERVICES
ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC
7900 W 78TH ST STE 100	MINNEAPOLIS	MN	55439	133039601	501C3	$5,550	SUPPORT FOR WALK TO END ALZHEIMER'S
MINNESOTA RECOVERY CONNECTION
822 S 3RD ST SUITE 101	MINNEAPOLIS	MN	55415	411948764	501C3	$5,500	WALK FOR RECOVERY SPONSORSHIP
SHAKOPEE DIVERSITY ALLIANCE
776 REGENT DRIVE	SHAKOPEE	MN	55379	472761643	501C3	$5,400	GENERAL SUPPORT
PINE HABILITATION AND SUPPORTED EMPLOYMENT INC
601 S CLEVELAND STREET	CAMBRIDGE	MN	55008	410963283	501C3	$5,325	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION INC
8000 W 78TH STREET SUITE 175	EDINA	MN	55439	131623888	501C3	$5,300	2018 TOUR DE CURE SPONSORSHIP
LET'S GO FISHING
699 240TH ST E	JORDAN	MN	55352	481259413	501C3	$5,300	GENERAL SUPPORT
NEIGHBOR'S INC
222 GRAND AVE W	SOUTH ST PAUL	MN	55075	411360294	501C3	$5,300	SUPPORT FOR FOOD ACCESS FUND
MENTAL HEALTH COLLECTIVE
3548 BRYANT AVE S	MINNEAPOLIS	MN	55408	411946275	501C3	$5,300	SUPPORT FOR SCHOOL BASED MENTAL HEALTH PROGRAM
SOMALI COMMUNITY RESETTLEMENT OF OLMSTEAD COUNTY
201 SOUTH LYNDALE AVE	FARIBAULT	MN	55021	311668255	501C3	$5,250	GENERAL SUPPORT TO INCREASE SOCIAL CONNECTIONS AND HEALTHY BEHAVIOR
BRIDGE FOR COMMUNITY LIFE
651 BRAKKE DR	HUDSON	WI	54016	900178808	501C3	$5,231	GENERAL SUPPORT
FRIENDS IN NEED FOOD SHELF
PO BOX 6	COTTAGE GROVE	MN	55016	411794212	501C3	$5,200	SUPPORT FOR PUCHASE OF FOOD PRESERVATION EQUIPMENT
AVIVO
1900 CHICAGO AVE	MINNEAPOLIS	MN	55404	410828779	501C3	$5,100	SUPPORT FOR TOBACCO FREE ENVIRONMENT TRANSITION
INTERFAITH OUTREACH & COMMUNITY PARTNERS
1605 COUNTY ROAD 101 N	PLYMOUTH	MN	55447	363482724	501C3	$5,100	CARING FOR KIDS BREAKFAST SPONSORSHIP
LEE CARLSON CENTER FOR MENTAL HEALTH & WELL BEING
7954 UNIVERSITY AVE NE	MINNEAPOLIS	MN	55432	411354967	501C3	$5,100	SUPPORT FOR LEE CARLSON BRIDGEVIEW
TASKS UNLIMITED
2419 NICOLLET AVE	MINNEAPOLIS	MN	55404	237087205	501C3	$5,100	GENERAL SUPPORT
ST FRANCIS REGIONAL MEDICAL CENTER
1455 ST FRANCIS AVENUE	SHAKOPEE	MN	55379	410907986	501C3	$10,000	GENERAL SUPPORT
CITY OF PLYMOUTH
3400 PLYMOUTH BLVD	PLYMOUTH	MN	55447	416008936	CITY OF PLYMOUTH	$6,250	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	107	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES	37	$45,634
HOUSING AND LIVING ASSISTANCE	212	$136,084
BIKE HELMETS	9248		$85,544	FMV	HELMETS DISTRIBUTION AT VARIOUS BIKE EVENTS
MEDICAL ASSISTANCE	2648	$300,000
T-SHIRTS	4873		$46,142	FMV	T-SHIRT DISTRIBUTION AT BIKE EVENTS
FUNERAL	4	$2,230
STRESS BALLS	2000		$2,620	FMV	STRESS BALL DISTRIBUTED IN TEEN MENTAL HEALTH PROGRAM
WATER BOTTLES	250		$1,845	FMV	WATER BOTTLES DISTRIBUTED IN TEEN MENTAL HEALTH PROGRAM

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	0	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 (26 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	$1,153,647	$0	$871,919	$0	$237,292	$0	$783,784	$0	$23,001	$0	$3,069,643	$0	$548,686	$0
BEN BACHE-WIIG MD
EVP CHIEF POPULATION HEALTH OFF.	$581,997	$0	$266,647	$0	$57,006	$0	$138,804	$0	$19,808	$0	$1,064,262	$0	$144,029	$0
MARY BEAR-DUKES
VP-REVENUE CYCLE MGMT.	$249,734	$0	$53,345	$0	$35,128	$0	$48,611	$0	$25,596	$0	$412,414	$0	$27,242	$0
CHRISTINE BENT
EVP-ALLINA HEALTH GROUP	$532,027	$0	$283,468	$0	$50,909	$0	$259,009	$0	$34,440	$0	$1,159,853	$0	$166,889	$0
SARA CRIGER
SVP, PRES. MERCY HOSP.	$555,793	$0	$247,741	$0	$141,276	$0	$255,043	$0	$20,031	$0	$1,219,884	$0	$200,660	$0
MARGARET HASBROUCK
VP, PAYOR RELATIONS/CONTRACTING	$133,099	$0	$66,002	$0	$153,559	$0	$32,834	$0	$12,543	$0	$398,037	$0	$88,972	$0
CORRINE KROEHLER
VP FINANCE/SUPPLY CHAIN	$291,066	$0	$63,721	$0	$29,263	$0	$60,509	$0	$25,825	$0	$470,384	$0	$4,915	$0
RICHARD MAGNUSON
EVP/CFO/TREASURER	$586,834	$0	$146,950	$0	$100,690	$0	$217,050	$0	$17,948	$0	$1,069,472	$0	$69,337	$0
CHRISTINE MOORE
SVP, CHIEF HR OFFICER	$392,462	$0	$102,185	$0	$90,466	$0	$160,402	$0	$32,006	$0	$777,521	$0	$57,996	$0
THOMAS O'CONNOR
SVP, PRESIDENT UNITED HOSP	$626,923	$0	$273,678	$0	$149,893	$0	$133,261	$0	$29,340	$0	$1,213,095	$0	$214,755	$0
ANN MADDEN RICE
SVP/PRESIDENT ANW	$148,540	$0	$150,000	$0	$46,312	$0	$50,208	$0	$1,711	$0	$396,771	$0	$0	$0
LISA SHANNON
EVP, CHIEF OPERATING OFF.	$821,272	$0	$184,545	$0	$28,805	$0	$218,344	$0	$31,894	$0	$1,284,860	$0	$0	$0
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPRV OFFICER.	$406,130	$0	$78,506	$0	$24,004	$0	$132,723	$0	$12,994	$0	$654,357	$0	$13,569	$0
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFFICER	$220,593	$0	$0	$0	$9,971	$0	$49,703	$0	$23,656	$0	$303,923	$0	$0	$0
TIMOTHY SIELAFF
SVP-AHG-SPEC. CARE/CMO	$590,882	$0	$275,184	$0	$155,073	$0	$244,633	$0	$31,911	$0	$1,297,683	$0	$219,867	$0
DAVID SLOWINSKE
SVP, AHG OPERATIONS	$332,325	$0	$88,182	$0	$72,059	$0	$166,508	$0	$27,718	$0	$686,792	$0	$49,639	$0
KATHERINE TARVESTAD
SVP, CHIEF COMPLIANCE OFF	$294,364	$0	$83,128	$0	$79,951	$0	$62,411	$0	$28,575	$0	$548,429	$0	$46,184	$0
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN. COUN.	$496,163	$0	$222,995	$0	$103,847	$0	$201,817	$0	$26,840	$0	$1,051,662	$0	$181,391	$0
ROBERT WIELAND MD
SVP CHIEF STRATEGY OFFICER	$183,728	$0	$272,786	$0	$108,083	$0	$47,784	$0	$15,092	$0	$627,473	$0	$167,015	$0
DANIEL BUSS MD
PHYSICIAN	$1,264,847	$0	$0	$0	$116,564	$0	$82,687	$0	$33,197	$0	$1,497,295	$0	$72,330	$0
MICHAEL FREEHILL MD
PHYSICIAN	$1,104,461	$0	$0	$0	$96,042	$0	$74,603	$0	$31,906	$0	$1,307,012	$0	$64,412	$0
MARK HELLER MD
PHYSICIAN	$1,360,144	$0	$0	$0	$94,337	$0	$83,103	$0	$26,840	$0	$1,564,424	$0	$58,742	$0
TODD HESS MD
PHYSICIAN	$1,437,674	$0	$0	$0	$76,017	$0	$89,277	$0	$30,337	$0	$1,633,305	$0	$0	$0
LEROY MCCARTY III MD
PHYSICIAN	$1,239,638	$0	$0	$0	$96,309	$0	$79,997	$0	$32,106	$0	$1,448,050	$0	$62,781	$0
ELIZABETH SMITH MD
FORMER INTERIM SVP AHG-PRI	$161,770	$0	$88,499	$0	$13,251	$0	$31,094	$0	$12,455	$0	$307,069	$0	$10,718	$0
RODNEY CHRISTENSEN MD
FORMER SVP/PRESIDENT AHC	$386,429	$0	$139,660	$0	$66,080	$0	$83,160	$0	$31,066	$0	$706,395	$0	$62,322	$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 TAXABLE MOVING EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. ANN MADDEN RICE - $44,465.
PART I, LINE 4B	4(B):PENNY WHEELER - $120,823; MARY BEAR DUKES - $30,721; ,SARA CRIGER - $84,862; MARGARET HASBROUCK - $125,897; RICHARD MAGNUSON - $51,841; CHRISTINE MOORE - $57,698; THOMAS O'CONNOR - $85,944; JONATHAN SHOEMAKER - $11,740; TIMOTHY SIELAFF, MD - $94,183; DAVID SLOWINSKE - $55,917; KATHERINE TARVESTAD - $47,849; ELIZABETH TRUESDELL SMITH - $70,869; DANIEL BUSS, MD - $87,080; MICHAEL FREEHILL, MD - $71,460; MARK HELLER MD - $70,055; TODD HESS, MD - $61,928; LEROY MCCARTY, MD - $72,639; RODNEY CHRISTENSEN - $14,309.
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 EMPLOYEES. 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 A 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 JUDGEMENT 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 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. DC SERP GOES IN ONLY WHEN THERE IS SERP (INTEREST) ON MAIN SPREADSHEET) 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 WHOSE 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. 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 LUMP SUM DISTRIBUTIONS WILL OCCUR UPON VESTING AND ALL APPLICABLE TAXES WILL BE TAKEN. FOR ACTIVE PARTICIPANTS AGE 65 OR OLDER, NO FURTHER CONTRIBUTIONS WILL BE APPLIED TO THEIR ACCOUNT. INSTEAD, PARTICIPANTS OVER AGE 65 WILL RECEIVE A LUMP SUM PAYMENT OF THE PARTICIPANT'S PORTION OF THE AWARD POOL EACH PLAN YEAR. THIS WILL BE PAID DIRECTLY TO THE PARTICIPANT AS OF THE DATE THE AMOUNT WOULD OTHERWISE BE CREDITED TO THEIR ACCOUNT AND ALL APPLICABLE TAXES WILL BE TAKEN.

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	792909DV2	2017-04-13	$77,845,000	REFUND ISSUE DATED 10/09/2007	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
B	416005375	603695JC2	2017-04-13	$92,779,168	REFUND ISSUE DATED 11/15/2009	0	0	0
CITY OF MINNEAPOLIS
C	416005375	NONEAVAIL	2014-12-04	$20,165,000	REFUND ISSUE DATED 12/22/2010	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
D	416005375	792909BJ1	2009-11-10	$348,409,221	REFUNDING OF 2007B & A PORTION OF 1998A;CONSTRUCTION;REMODELING;RENOVATION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt
A	$20,255,000	$77,845,000	$135,000	$77,710,000	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B		$92,779,168	$830,328	$7,186,934	0	Yes (1)	0	Yes (1)	$84,755,388	$6,508
C	$2,865,000	$20,165,000	$200,000	$19,965,000	Yes (1)	0	Yes (1)	Yes (1)			2010
D	$100,770,000	$348,795,795	$3,332,390	$295,092,023	Yes (1)	0	Yes (1)	Yes (1)			2014	$222,216	$49,893,780

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)	0.01600	0.01600	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.00800	0.00800	Yes (1)
C	0	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)	0.00000
D	Yes (1)	Yes (1)	Yes (1)	0.00600	0.00600	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)
(no name)
C	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)
JP MORGANWELLS
D	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	FARGO	25.800000000000	Yes (1)	0

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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF MINNEAPOLIS & HRA CITY OF ST. PAUL DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ISSUER NAME: CITY OF MINNEAPOLIS & HRA CITY OF ST. PAUL DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012
PART I, COLUMN B EXPLANATION	ENTITY 1, BONDS A, B, & D ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375 HRA CITY OF ST. PAUL - 52-1440935 ENTITY 2, BOND A ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375 HRA CITY OF ST. PAUL - 41-6005521
PART II, LINE 3 EXPLANATION	ENTITY 1 BOND D - THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND. ENTITY 2 BOND A - 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 IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	416005375	BondIssuerEIN
CUSIP	792909BH5	CUSIPNum
Bond Issued	2007-10-17	BondIssuedDt
Issue Price	$482,877,203	IssuePriceAmt
Purpose	REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATE	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$355,370,000	RetiredAmt
Total Proceeds	$488,622,085	TotalProceedsAmt
Issuance Costs From Proceeds	$2,717,494	IssuanceCostsFromProceedsAmt
Credit Enhancement	$6,787,000	CreditEnhancementAmt
Capital Expenditures	$126,922,772	CapitalExpendituresAmt
Other Spent Proceeds	$352,194,819	OtherSpentProceedsAmt
Substantial Completion	2010	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.02100	PrivateBusUseByOthersPct
Total Private Business Use	0.02100	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	US BANK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	24.800000000000	TermOfHedgePct
Superintegrated Hedge	Yes (1)	SuperintegratedHedgeInd
Hedge Terminated	0	HedgeTerminatedInd
Gross Proceeds Invested In GIC	Yes (1)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	MBIA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	0.800000000000	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (1)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAROLYN ALLEN
FAMILY MEMBER OF JOHN ALLEN, BOARD MEMBER	$32,477	EMPLOYMENT	0
CAROL ROSENBERG
FAMILY MEMBER OF BRIAN ROSENBERG, BOARD MEMBER	$156,492	EMPLOYMENT	0
ADA SMITH
FAMILY MEMBER OF ELIZABETH TRUESDELL SMITH, SECRETARY/SVP GEN. COUN	$25,177	EMPLOYMENT	0
SARAH CORNICK
FAMILY MEMBER OF BEN BACHE-WIIG, EVP CHIEF POPULATION HEALTH OFFICER	$113,730	EMPLOYMENT	0
NAJMA OMAR
FAMILY MEMBER OF SAHRA NOOR, BOARD MEMBER	$23,902	EMPLOYMENT	0
GREG HEINEMANN
BOARD MEMBER AND GREATER THAN 35% MEMBER OWNER OF ADRENALINE HEALTH LLC	$110,000	BUSINESS RELATIONSHIP	0
ERIN CHURCH
FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER	$24,796	EMPLOYMENT	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)	1500 FRAMES	1	$129,750	FAIR MARKET VALUE
Yes (X)	EQUIPMENT	70	$91,625	FAIR MARKET VALUE
Yes (X)	624 LENSES	1	$31,824	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, ROBERT WIELAND, M.D., 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.
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 VICE PRESIDENT OF FINANCE, AND 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 4, 2019 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. $14,000 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. $20,000 DONATED TO ABBOTT NORTHWESTERN HOSPITAL FOUNDATION FOR THE SERVICES OF TIM WELSH.
FORM 990, PART XI, LINE 9:	WESTHEALTH SURGERY CENTER LLC JOINT VENTURE CONSOLIDATION -989,093. PENSION LIABILITY ADJUSTMENTS 1,947,726. DISTRICT ONE HOSPITAL EMPLOYEE DONATIONS TO EMPLOYEE HARDSHIP FUND 20,324. DISTRIBUTION TO MEMBERS-MICC -2,014,661. TWIN CITIES MEDICAL IMAGING LLC JOINT VENTURE CONSOLIDATION -1,231,278.
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	$11,522,944	$21,304,337	ALLINA HEALTH SYSTEM
AXIS HEALTHCARE LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411855603	HEALTHCARE SERVICES	MN	$322,134	$1,213,654	ALLINA HEALTH SYSTEM
ALLINA HEALTH PIONEER ACO LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	611726509	HEALTHCARE SERVICES	MN	$0	$0	ALLINA HEALTH SYSTEM
SOUTHWEST SURGICAL CENTER LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	412013700	SURGICAL SERVICES	MN	$5,397,108	$21,258,734	ALLINA HEALTH SYSTEM
AH FRANCHISING LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043		FRANCHISING	DE	$0	$0	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 (14 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	$1,545,577	$719,898	0	Yes (1)	0.50000
WESTHEALTH SURGERY CENTER LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	371763155	SURGICAL SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$1,009,939	$3,573,850	0	Yes (1)	0.51000
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700	MINNEAPOLIS	MN	55407	452532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$632,975	$278,692	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	$402,102	$359,613	0	0	0.65000
HEALTHCARE CAMPUS IMAGING ONE LLC
200 STATE AVENUE	FARIBAULT	MN	55021	522401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$241,488	$112,294	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	$105,714	$955,591	0	Yes (1)	0.50000
MOBILE IMAGING SERVICES LLC
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	411883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$74,135	$324,837	0	Yes (1)	0.50000
CT ONE LLC
200 STATE AVENUE	FARIBAULT	MN	55021	261187480	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$58,882	$314,908	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	$29,351	$12,713	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	$22,495	$1,346,946	0	Yes (1)	0.50000
METROPOLITAN INTEGRATED CANCER CENTER LLC
PO BOX 819067	DALLAS	TX	75381	205068485	RADIOLOGY	DE	ALLINA HEALTH SYSTEM	UNRELATED	$1,802,709	$3,183,057	0	Yes (1)	0.80000
TWIN CITIES MEDICAL IMAGING LLC
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	463959737	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED			0	Yes (1)	0.58000
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	-$130,354	$102,441	0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HEALTHSPAN SERVICES COMPANY
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411249999	DEBT COLLECTION	MN	ALLINA HEALTH SYSTEM	C	1.00000	0
ALLINA SPECIALTY ASSOCIATES INC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411802815	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	1.00000	0	-$13,608,833	$79,768,859
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007	PITTSBURGH	PA	15253	276712988	TRUST	PA	ALLINA HEALTH SYSTEM	T	1.00000	0	$56,401,516
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	1.00000	0	$46,277
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	275129095	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	1.00000	0	-$3,376,419	$11,061,048
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
				981366132	CAPTIVE INSURANCE		ALLINA HEALTH SYSTEM	C	1.00000	0	-$1,228,733	$8,554,433	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	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	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 (30 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
C	$7,606,857	CASH
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
B	$2,181,746	COST
COURAGE KENNY FOUNDATION
C	$8,049,084	CASH AND FMV
MERCY & UNITY HOSPITALS FOUNDATION
C	$3,446,230	CASH
MERCY & UNITY HOSPITALS FOUNDATION
B	$1,129,236	COST
PHILLIPS EYE INSTITUTE FOUNDATION
C	$824,731	CASH AND FMV
PHILLIPS EYE INSTITUTE FOUNDATION
B	$136,514	COST
UNITED HOSPITAL FOUNDATION
C	$10,069,456	CASH
UNITED HOSPITAL FOUNDATION
B	$1,391,101	COST
ALLINA ASSOCIATED FOUNDATION
C	$1,626,591	CASH
ALLINA ASSOCIATED FOUNDATION
B	$1,420,676	COST
ALLINA SPECIALTY ASSOCIATES INC
B	$20,819,540	COST
ASPEN SLEEP CENTER LLC
C	$460,850	CASH
NORTHSTAR SLEEP CENTER LLC
C	$171,500	CASH
METROPOLITAN INTEGRATED CANCER CARE LLC
C	$2,694,426	CASH
GERIATRIC SERVICES OF MINNESOTA LLC
C	$1,369,314	CASH
CT ONE LLC
C	$131,579	CASH
HEALTHCARE CAMPUS IMAGING ONE LLC
C	$250,000	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
Q	$23,276,252	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
S	$372,500	CASH
REGINA FOUNDATION
B	$129,704	COST
WESTHEALTH SURGERY CENTER LLC
C	$566,100	CASH
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
R	$1,192,723	CASH
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
B	$4,324,770	CASH
ALLINA INTEGRATED MEDICAL NETWORK
B	$3,771,330	CASH
ALLINA INTEGRATED MEDICAL NETWORK
L	$2,780,059	CASH
ALLINA INTEGRATED MEDICAL NETWORK
M	$450,413	CASH
ALLINA INTEGRATED MEDICAL NETWORK
R	$5,000,000	CASH
TWIN CITIES MEDICAL IMAGING
S	$989,225	CASH AND ASSET BOOK VALUE
GLOBAL MARKET RESERVE FUND LLC
B	$1,532,064	CASH