2025-11-11T15:02:13-06:00 2024-12-31 990 2024-01-01 363261413 ALLINA HEALTH SYSTEM ALLI 6122620660 PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 DOUGLAS WATSON CHIEF FINANCIAL OFFICER 6122620660 2025-11-11 1 2024 2025-03-06 01:10:19Z LISA SHANNON PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 6787611505 0 X WWW.ALLINAHEALTH.ORG X 1983 MN ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE NEEDS OF OUR PATIENTS THROUGH WHOLE PERSON CARE-PHYSICAL, MENTAL, SPIRITUAL AND COMMUNITY. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2024, ALLINA HEALTH PROVIDED $1,316,232,969 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. 22 19 33231 3266 46678858 4935541 36066043 39714759 5126375007 5705588094 160411284 108097428 60475486 75860106 5383327820 5929260387 5890316 5558480 0 0 3452287205 3452093721 0 0 8266892 2120139785 2377657836 5578317306 5835310037 -194989486 93950350 5959780886 5973074070 2971390519 2809606660 2988390367 3163467410 X 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 0 0 3888704446 5558481 5820964694 PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN IS THE LARGEST NONPROFIT HOSPITAL IN THE TWIN CITIES. ABBOTT NORTHWESTERN SERVES MORE THAN 200,000 PATIENTS AND THEIR FAMILIES FROM ACROSS THE TWIN CITIES AND UPPER MIDWEST PER YEAR. THE HOSPITAL IS KNOWN ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: ALLINA HEALTH CANCER INSTITUTE, MINNEAPOLIS HEART INSTITUTE, THE SPINE INSTITUTE, NEUROSCIENCE INSTITUTE, ORTHOPEDIC INSTITUTE, THE MOTHER BABY CENTER, AND THE COURAGE KENNY REHABILITATION INSTITUTE.BUFFALO HOSPITAL - BUFFALO, MINNESOTABUFFALO HOSPITAL IS A NON-PROFIT REGIONAL MEDICAL CENTER COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE CARE TO PATIENTS IN AND AROUND WRIGHT COUNTY. BUFFALO HOSPITAL PROVIDES EXCEPTIONAL PATIENT-CENTERED CARE TO NEARLY 70,000 PATIENTS EVERY YEAR. BUFFALO HOSPITAL WAS ALSO THE FIRST HOSPITAL IN THE STATE OF MINNESOTA TO BE AWARDED THE PATHWAY TO EXCELLENCE AMERICAN NURSE CREDENTIALING DESIGNATION AND ALSO RECEIVED AN AWARD FROM THE MINNESOTA BUSINESS MAGAZINE FOR DEVELOPING WELLNESS PROGRAMS.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTACAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO MORE THAN 30,000 RESIDENTS IN ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND AN 86-BED HOSPITAL LOCATED ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY. THE LARGE DEDICATED TEAM OF PHYSICIANS AND PROVIDERS PROVIDE SPECIALTY CARE SUCH AS CARDIOLOGY, ONCOLOGY, EAR NOSE THROAT AND UROLOGY, AMONG OTHERS. THE MEDICAL CENTER HAS MORE THAN 850 EMPLOYEES AND IS THE LARGEST EMPLOYER IN THE CITY OF CAMBRIDGE.ALLINA HEALTH FARIBAULT MEDICAL CENTER (FKA DISTRICT ONE HOSPITAL) - FARIBAULT, MNFARIBAULT MEDICAL CENTER, LOCATED IN FARIBAULT, MINNESOTA, OPERATES 42 BEDS. THE MEDICAL CENTER PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES, INCLUDING ORTHOPEDIC SERVICES, PHYSICAL THERAPY, CARDIAC REHABILITATION, ADULT MENTAL HEALTH OUTPATIENT SERVICES, CANCER SERVICES AND A BIRTH CENTER.MERCY HOSPITAL - COON RAPIDS, MINNESOTAMERCY HOSPITAL HAS TWO CAMPUSES - THE MERCY CAMPUS IN COON RAPIDS AND UNITY CAMPUS IN FRIDLEY. MERCY OFFERS A WIDE RANGE OF SPECIALTY SERVICES, INCLUDING AWARD-WINNING VIRGINIA PIPER CANCER INSTITUTE, THE MOTHER BABY CENTER, MENTAL HEALTH CARE, EMERGENCY SERVICES, SURGICAL SERVICES AND TOP-RATED CARDIOVASCULAR CARE THROUGH THE HOSPITAL'S NATIONALLY KNOWN HEART & VASCULAR CENTER. ADDITIONALLY, THE HOSPITAL WAS NAMED ONE OF THE NATION'S 100 TOP HOSPITALS AND 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. 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, MINNESOTANEW ULM MEDICAL CENTER (NUMC) IS A NONPROFIT HOSPITAL WITH CLINICS IN NEW ULM, SPRINGFIELD, LAMBERTON AND WINTHROP. THE HOSPITAL OFFERS AN EXTENSIVE RANGE OF CARE OPTIONS WITH MORE THAN 70 AFFILIATED PHYSICIANS AND NURSE PRACTITIONER/PHYSICIAN ASSISTANT PROVIDERS AND A FULL COMPLEMENT OF VISITING SPECIALISTS. AMONG THE MANY IMPORTANT SERVICES ALLINA HEALTH OFFERS TO THIS RURAL REGION ARE OBSTETRICS, SURGERY, MENTAL HEALTH/ADDICTION, HOME CARE, HOSPICE AND EMERGENCY MEDICAL SERVICES. OWATONNA HOSPITAL - OWATONNA, MINNESOTAOWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. THE HOSPITAL HAS SPECIALTIES IN SURGERY AND TRAUMA CARE AND A COMPREHENSIVE ARRAY OF OUTPATIENT REHABILITATION SERVICES. THE HOSPITAL IS PHYSICALLY CONNECTED TO MAYO CLINIC HEALTH SYSTEM - OWATONNA CLINIC AND BENEDICTINE LIVING COMMUNITY - OWATONNA, AN 80-BED LONG- AND SHORT-TERM CARE FACILITY. THE OWATONNA HEALTH CARE CAMPUS BRIDGES INPATIENT AND OUTPATIENT SERVICES WITHIN THE SAME MEDICAL DISCIPLINES TO CREATE SEAMLESS PATIENT CARE.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINRIVER FALLS AREA HOSPITAL IS A NON-PROFIT HEALTH SYSTEM DEDICATED TO THE PREVENTION AND TREATMENT OF ILLNESS. THE RIVER FALLS HEALTHCARE CAMPUS INCLUDES THE RIVER FALLS AREA HOSPITAL, ALLINA HEALTH RIVER FALLS CLINIC, A NUMBER OF SPECIALTY PROVIDER PARTNERS AND THE KINNIC HEALTH & REHAB FACILITY. ITS FOCUS IS TO DELIVER EXCEPTIONAL HEALTH CARE, SUPPORT SERVICES, AND PREVENTIVE CARE - PUTTING THE PATIENT FIRST IN EVERYTHING. THE HOSPITAL ALSO HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITY IT SERVES THROUGH PROGRAMS AND SERVICES THAT RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY. UNITED HOSPITAL - ST. PAUL, MINNESOTAIN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS. TOGETHER, THE TWO CAMPUSES ANNUALLY SERVE MORE THAN 250,000 PATIENTS. UNITED HOSPITAL - ST. PAUL CAMPUS IS ONE OF THE LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED'S EMPLOYEES AND MEDICAL STAFF ARE COMMITTED TO PLACE PATIENT NEEDS FIRST AND TREATING ALL INDIVIDUALS WITH COMPASSION AND RESPECT. HIGHLY REGARDED FOR ITS CLINICAL CARE, UNITED HAS EARNED A REPUTATION FOR SUPPORTIVE, PATIENT-CENTERED CARE DESIGNED TO CREATE THE MOST COMFORTABLE, STRESS-FREE HEALTH CARE EXPERIENCE POSSIBLE. UNITED HOSPITAL - HASTINGS REGINA CAMPUS SERVES THE COMMUNITY BY PROVIDING EXCEPTIONAL CARE, PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT TO PATIENTS.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2024, ALLINA HEALTH EXPENDED ALMOST $4 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED $6.6 MILLION CLINIC VISITS, 98,439 INPATIENT ADMISSIONS AND 1,225,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 272,000 EMERGENCY CARE VISITS, 94,000 SURGERIES, AND OVER 102,000 AMBULANCE TRANSFERS 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, COMMUNITY SERVICES FOR PEOPLE WITH DISABILITIES AND MENTAL HEALTH SERVICES. IN 2024, ALLINA HEALTH EXPENDED $22,365,914 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE. 1004525144 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 2024, ALLINA HEALTH PROVIDED $1,004,525,144 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 2024, ALLINA HEALTH EXPENDED $662,503,231 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $248,752,037 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 2024, ALLINA HEALTH PAID $28,827,733 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXTHE SYSTEM ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 1.8% ON CERTAIN PATIENT SERVICE REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE. ALLINA HEALTH PAID OVER $61 MILLION IN MNCARE TAXES IN 2024.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 $3,422,313 IN PROPERTY TAXES IN 2024. ALLINA HEALTH PAYS OTHER FEDERAL, STATE, AND LOCAL TAXES THAT AREN'T REPORTED HERE. 137626701 -91786691 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 AS UNPAID AND UNCOLLECTIBLE). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2024, ALLINA HEALTH PROVIDED $14,617,779 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 14 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 77 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2024, ALLINA HEALTH PROVIDED $123,008,922 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 2024 TOTALED $91,786,691. 59928519 COMMUNITY SERVICES:IN 2024, ALLINA HEALTH CONTRIBUTED $59,928,520 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 2024, MORE THAN 150,000 PEOPLE VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2024, MORE THAN 750,000 PEOPLE VISITED THE CHANGE TO CHILL WEBSITE. ALSO IN 2024, ALLINA HEALTH HOSTED SEVEN COMMUNITY DIALOGUES, FACILITATED IN PARTNERSHIP WITH FOUR COMMUNITY PARTNERS, TO INFORM THE CREATION OF SUBSTANCE USE PREVENTION CONTENT FOR THE CTC WEBSITE. SINCE 2018, THE CTC PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, A MENTAL WELLNESS CURRICULUM, A "CHILL KIT" WITH PRINT MATERIALS AND ITEMS SUCH AS FIDGETS TO PROMOTE MENTAL WELLBEING, AND FUNDING FOR A "CHILL ZONE" - A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. DURING THE 2024-2025 SCHOOL YEAR, 34 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP, REACHING AN ESTIMATED 31,657 STUDENTS.HELLO4HEALTH - LAUNCHED IN 2021 TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED ARE ALSO REFERRED TO THE WEBSITE. IN 2024, MORE THAN 12,700 PEOPLE VISITED THE H4H WEBSITE.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. ALLINA HEALTH HEALTH-RELATED NEEDS PROGRAM - TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS SELECT PATIENT NEEDS AT POINT OF CARE AND CONNECT PATIENTS TO COMMUNITY PROGRAMS OR RESOURCES THAT SUPPORT ONGOING NEED, ALLINA HEALTH CONTINUED ITS HEALTH-RELATED SOCIAL NEEDS (HRSN) PROGRAM, AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. IN OCTOBER 2023, ALLINA HEALTH EXPANDED THE PROGRAM TO INCLUDE ALL HOSPITAL PATIENTS AS WELL AS THOSE ACCESSING CARE VIA OUR MOTHER-BABY SERVICE LINE, CARE MANAGEMENT, AND THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING. IN 2024, ALLINA HEALTH SCREENED MORE THAN 510,000 PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS SUCH AS HOUSING, FOOD INSECURITY, TRANSPORTATION AND HELP PAYING MEDICAL BILLS. OF THOSE, APPROXIMATELY 11% IDENTIFIED AT LEAST ONE NEED. NEARLY 13,400 PATIENTS ALSO RECEIVED SUPPORT ACCESSING COMMUNITY RESOURCES FROM AN ALLINA HEALTH COMMUNITY NAVIGATOR. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2024, ALLINA HEALTH INVESTED OVER $35 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 MORE THAN $4 MILLION TOWARD RESEARCH IN 2024. 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 2024, ALLINA HEALTH FUNDED MORE THAN $3.8 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, MEETING SPACE, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. THIS INCLUDED DONATING SPACE IN ALLINA HEALTH'S CORPORATE HEADQUARTERS, THE ALLINA COMMONS, TO COMMUNITY GROUPS SUCH AS THE LAKE STREET COUNCIL AND CULTURAL WELLNESS CENTER. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. AWARDSIN 2024, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS FOR ATTRIBUTES SUCH AS WORKPLACE EXCELLENCE, SAFETY, PATIENT EXPERIENCE AND QUALITY. PERTAINING TO COMMUNITY BENEFIT, ALLINA HEALTH AGAIN RECEIVED A SYSTEM FOR CHANGE AWARD FROM PRACTICE GREENHEALTH, AN ENVIRONMENTAL SUSTAINABILITY ORGANIZATION FOR HOSPITALS AND HEALTH SYSTEMS IN THE US AND CANADA. ALLINA HEALTH WAS ALSO RECOGNIZED AS A 2024 WELLBEING FIRST CHAMPION BY ALL IN: WELLBEING FIRST FOR HEALTHCARE. AS A WELLBEING FIRST CHAMPION, ALLINA HEALTH HAS VERIFIED THAT ALL INITIAL AND FOLLOW UP CREDENTIALING APPLICATIONS ARE FREE FROM INTRUSIVE AND STIGMATIZING LANGUAGE AROUND MENTAL HEALTH AND ADDICTION CARE AND TREATMENT. THIS MEANS THAT HEALTH CARE PROVIDERS AT ALLINA HEALTH CAN SEEK NEEDED CARE WITHOUT FEAR OF LOSING THEIR LICENSE OR JOB. MENTAL HEALTH AMERICA (MHA) AWARDED ALLINA HEALTH WITH ITS 2024 PLATINUM BELL SEAL FOR WORKPLACE MENTAL HEALTH. THE PLATINUM DISTINCTION IS THE HIGHEST LEVEL ASSOCIATED WITH MHA'S BELL SEAL FOR WORKPLACE MENTAL HEALTH, WHICH IS THE NATION'S LEADING CERTIFICATION RECOGNIZING EMPLOYERS WHO ARE COMMITTED TO CREATING MENTALLY HEALTHY WORKPLACES.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/. 59928519 5090784810 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1 0 1 2086 0 1 33231 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 22 19 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MN WI X X TAX SERVICES MAIL ROUTE 10890 6122620660 2925 CHICAGO AVENUE MINNEAPOLIS MN 554071321 X LISA SHANNON PRESIDENT/CEO 40.00 2.00 X X 2639245 0 1452848 DANIEL O'LAUGHLIN MD DIRECTOR 40.00 0.00 X 479171 0 117614 DARRELL TUKUA DIRECTOR 2.00 0.00 X 20500 0 0 CHALLIS LOWE DIRECTOR 2.00 0.00 X 17869 0 0 BARBARA BUTTS WILLIAMS PHD DIRECTOR 2.00 2.00 X 17500 0 0 LAURA GILLUND DIRECTOR 2.00 0.00 X 16500 0 0 DAVID KUPLIC DIRECTOR 2.00 0.00 X 16500 0 0 SHAWN ULREICH DIRECTOR 2.00 0.00 X 15360 0 0 CHANDA SMITH BAKER DIRECTOR 2.00 2.00 X 14250 0 0 RAYMOND CLAY AHRENS DIRECTOR 2.00 0.00 X 12500 0 0 MAYKAO HANG DPA DIRECTOR 2.00 0.00 X 12500 0 0 RUTH WILLIAMS-BRINKLEY DIRECTOR 2.00 0.00 X 7095 0 0 LOUIS KING II DIRECTOR 2.00 0.00 X 6250 0 0 AMY RONNEBERG DIRECTOR 2.00 0.00 X 6250 0 0 BRIAN MCGRANE DIRECTOR 2.00 0.00 X 1500 0 0 JENNIFER ALSTAD DIRECTOR 2.00 0.00 X 0 0 0 SHARI BALLARD DIRECTOR 2.00 0.00 X 0 0 0 JOHN CHURCH DIRECTOR 2.00 0.00 X 0 0 0 JAMES KOLAR DIRECTOR 2.00 0.00 X 0 0 0 LEE MITAU DIRECTOR 2.00 0.00 X 0 0 0 DEBBRA SCHONEMAN DIRECTOR/CHAIR 2.00 0.00 X 0 0 0 THOMAS SCHREIER JR DIRECTOR 2.00 0.00 X 0 0 0 TIMOTHY WELSH DIRECTOR/VICE CHAIR 2.00 0.00 X 0 0 0 VICKI YANISCH RASMUSEN DIRECTOR 2.00 0.00 X 0 0 0 DOMINICA TALLARICO EVP, CHIEF OPERATING OFFIC 40.00 0.00 X 1460917 0 638112 CHRISTINE MOORE EVP, CHIEF ADMINISTRATIVE 40.00 2.00 X 1582787 0 -23056 ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN. 40.00 2.00 X 1146269 0 233641 LAWRENCE CHO SVP, CHIEF STRATEGY & GROW 40.00 2.00 X 973925 0 395865 HSIENG SU MD SVP, CHIEF MEDICAL OFFICER 40.00 2.00 X 900784 0 422326 DOUGLAS WATSON EVP, CHIEF FINANCIAL OFFICER 40.00 2.00 X 871547 0 265356 DANDRE CARPENTER DNP SVP SYSTEM NURSING OFFICER 40.00 0.00 X 799890 0 241858 SARAH STUMME CARTER SVP, CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 729303 0 135293 RICHARD MAGNUSON TREASURER/EVP/CFO 40.00 2.00 X 595994 0 -67478 KIMBERLY JORDAN VP, CHIEF COMPLIANCE OFFICER 40.00 0.00 X 209299 0 32308 PATRICIA WESELA INTERIM CHIEF COMPLIANCE O 40.00 0.00 X 188734 0 23351 SANJAY SINGH MD VP CLINICAL SERVICE LINE N 40.00 0.00 X 1019457 0 299272 BADRINATH KONETY MD VP CANCER INSTITUTE/PRESID 40.00 2.00 X 1051221 0 259661 DAVID SLOWINSKE SVP OPERATIONS - NORTHEAST 40.00 0.00 X 865772 0 326473 DAVID JOOS VP OPERATIONS-SOUTHWEST RE 40.00 0.00 X 689288 0 241858 ROBERT QUICKEL MD VP CLINICAL SERVICE LINE, 40.00 2.00 X 814616 0 57057 DAVID INGHAM DO VP CHIEF INFORMATION OFFIC 40.00 0.00 X 676167 0 160117 NICHOLAS MENDYKA VP SYSTEM FINANCE OPERATIO 40.00 0.00 X 647120 0 23216 VENKAT IYER MD VP CLINICAL SERVICE LINE 40.00 0.00 X 634319 0 158157 WILLIAM EVANS SVP CHIEF MEDICAL GROUP OPERATIONS OFFICER 40.00 0.00 X 562906 0 112996 THOMAS LUBOTSKY VP SUPPLY CHAIN 40.00 0.00 X 596136 0 59109 MOTTI EDELSTEIN VP REVENUE CYCLE MANAGEMEN 40.00 0.00 X 402981 0 24383 CIRO VASQUEZ MD PHYSICIAN 40.00 0.00 X 1814347 0 138769 MAHMOUD NAGIB MD PHYSICIAN 40.00 0.00 X 1777987 0 45616 STEPHEN MCHALE MD PHYSICIAN 40.00 0.00 X 1547203 0 137137 DANA HARMS MD PHYSICIAN 40.00 0.00 X 1480468 0 48703 MARK HELLER MD PHYSICIAN 40.00 0.00 X 1460766 0 42002 SARA CRIGER FORMER SVP/OPS/PRES MERCY & UNITE 40.00 2.00 X 658260 0 0 RYAN ELSE MD FORMER VP MEDICAL AFFAIRS 40.00 0.00 X 479940 0 0 JONATHAN SHOEMAKER FORMER SVP OPERATIONS AND CHIEF I 40.00 0.00 X 309300 0 0 PETER HOFRENNING FORMER SVP,INTERIM CHIEF C 40.00 0.00 X 245772 0 41822 JOHN MISA MD FORMER VP INTERIM AHG MED OFF 40.00 0.00 X 224640 0 0 30701105 0 6044386 6412 1 1 0 OPTUMINSIGHT INC 3797 MOMENTUM PLACE CHICAGO IL 606895337 PROFESSIONAL SERVICES 153808147 MA MORTENSON COMPANY PO BOX 857126 MINNEAPOLIS MN 554857126 CONSTRUCTION 139627102 HURON CONSULTING SERVICES INC 3005 MOMENTUM PLACE CHICAGO IL 606895330 PROFESSIONAL SERVICES - CONSULTING 69276594 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE 3 SAN DIEGO CA 92121 PROFESSIONAL SERVICES - MEDICAL 51042999 METROPOLITAN CARDIOLOGY CONSULTANTS PA 4040 COON RAPIDS BLVD NW SUITE 120 COON RAPIDS MN 55433 PROFESSIONAL SERVICES - MEDICAL 35528355 361 23124222 16327244 263293 321904 39714759 PROG.SERV.REVENUE-RELATED-990 621990 5797374785 5797374785 PATIENT BAD DEBT 621990 -91786691 -91786691 5705588094 98478239 98478239 5591339 0 5591339 5591339 5591339 865326403 2643904 854025153 4325965 11301250 -1682061 9619189 9619189 RETAIL PHARMACY 456110 31430962 31430962 REFERENCE LAB 621500 13407943 13407943 ST FRANCIS MEDICAL CENTER 621990 12296479 12296479 13133383 11293430 1839953 70268767 5929260387 5729178003 46678858 113688767 5245692 5245692 312788 312788 20702421 20702421 2665611489 2420331707 240505024 4774758 210833495 189958065 20500686 374744 382585230 344704005 37201203 680022 172361086 155294957 16759768 306361 149127511 19169173 129934596 23742 11319384 11319384 1042367 1042367 500715753 415205956 84374485 1135312 6882579 596685 6251349 34545 1017144428 993191444 23847193 105791 107947291 35384236 72525146 37909 153355304 134413756 18936887 4661 5906156 5390167 495689 20300 10168278 9354216 813503 559 66612339 66612339 213794 213794 201055776 157100383 43947338 8055 32594293 32594293 MINNESOTA CARE TAX 61251361 61251361 MEDICAID SURCHARGE 28827733 28827733 COMMUNITY OUTREACH 1465444 1366004 98701 739 INCOME TAX - UBI -46301 -46301 22074346 14266056 7048896 759394 5835310037 5090784810 736258335 8266892 16965430 16750961 8775340 9494263 948215382 979421276 101725140 112847395 46742652 55225729 4094722666 2285112895 1669256048 1809609771 3114219009 2946975069 9259124 8129572 44622761 34620034 5959780886 5973074070 887287320 710892324 16136204 31076304 1721348781 1689497726 346618214 378140306 2971390519 2809606660 X 2979105375 3153383173 9284992 10084237 2988390367 3163467410 5959780886 5973074070 X 93950350 71756213 9370480 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 5072 0 0 1 708014 0 1 713086 0 PART II-B, LINE 1: 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. 120132701 1151963 18311091 5700701 0 133895054 109460861 403597 15356205 5087962 120132701 121860611 -9633047 2766703 109460861 112280813 106331 14274240 10811 4789962 121860611 105468342 1373045 9219107 348035 3431646 112280813 0 1 1 119563094 119563094 1923911332 1054538646 869372686 519732058 238767847 280964211 1240321735 963716900 276604835 291194447 28089502 263104945 1809609771 CASH AND CASH EQUIVALENTS 143726494 F MONEY MARKET COLLECTIVE FUND 610860003 F SHORT-TERM FIXED INCOME 1254022139 F EQUITY SECURITIES 370236060 F INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE 374552910 F INVESTMENTS IN JOINT VENTURES 174559411 F DIRECT AND IMPACT INVESTMENTS 18771619 F SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 246433 F 2946975069 NET PENSION LIABILITY 3433549 DEFERRED COMPENSATION 14898591 INSURANCE CLAIMS PAYABLE 45252135 MN CARE TAX PAYABLE 13906082 CAPITALIZED LEASE OBLIGATIONS 236246888 INCURRED BUT NOT REPORTED CLAIMS 34320320 THIRD PARTY LIABILITIES 20872748 DEFERRED LIABILITIES 9209993 378140306 X 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) (16) 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 $712 AND $2,590 IN 2024 AND 2023, RESPECTIVELY. AS OF DECEMBER 31, 2024 AND 2023, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $49,150 AND $48,485 RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $29,685 AND $29,685, RESPECTIVELY. AS OF DECEMBER 31, 2024 AND 2023, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $128,635 AND $127,705, RESPECTIVELY, FOR INCOME TAX PURPOSES, OF WHICH $93,148 WILL EXPIRE IN VARIOUS YEARS THROUGH 2030 WITH $35,486 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, 2024 AND 2023, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2020 TO 2023 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENTS 153020717 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM INVESTMENTS 37942339 0 0 0 0 0 0 190963056 0 190963056 1 0 1 0 1 0 1 1 X 1 X 275.000000000000 0 1 1 1 0 1 1 0 0 14617779 14617779 0.00250 0 0 817570118 539990347 277579771 0.04760 0 0 61019950 61019950 0.01050 893207847 539990347 353217500 0.06060 80 3002511 17396161 1749937 15646224 0.00270 42 6394 45500841 9971046 35529795 0.00610 11 646 149254111 126888197 22365914 0.00380 2 15000 9598965 5278010 4320955 0.00070 53 365045 3842208 200 3842008 0.00070 188 3389596 225592286 143887390 81704896 0.01400 188 3389596 1118800133 683877737 434922396 0.07460 0 0 0 0 2 200 732746 0 732746 0.00020 3 385 90720 0 90720 0.00000 2 0 8024 0 8024 0.00000 0 0 0 0 9 16363 50323 0 50323 0.00000 0 0 0 0 5 3656 65442 0 65442 0.00000 0 0 0 0 21 20604 947255 947255 0.00020 1 11252645 594554489 685649584 -91095095 X 1 1 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 NORTHSTAR SLEEP CENTER LLC SLEEP MEDICINE 0.49000 0.51000 5 PET EQUIPMENT LEASING LLC EQUIPMENT LEASING 0.25000 0.25000 6 GREENWAY SURGICAL SUITES LLC OUTPATIENT RADIOLOGY SERVICES 0.28130 0.44840 7 CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC OUTPATIENT SURGICAL FACILITY 0.37090 0.27280 8 WOODBURY SURGERY CENTER LLC OUTPATIENT SURGICAL FACILITY 0.34160 0.49000 9 ALLINA HEALTH SURGERY CENTER - BROOKLYN PARK LLC OUTPATIENT SURGICAL FACILITY 0.39200 0.49000 9 1 ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH STREET MINNEAPOLIS MN 55407 HTTP://WWW.ALLINAHEALTH.ORG/ABBOTT-NOR 385390 X X X X X A 2 UNITED HOSPITAL 333 NORTH SMITH AVENUE ST PAUL MN 55102 HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HOS 384993 X X X X X INCLUDING UNITED HOSPITAL - HASTINGS REGINA CAMPUS A 3 MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS MN 55433 HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOSP 385123 X X X X X INCLUDING MERCY HOSPITAL - UNITY CAMPUS A 4 NEW ULM MEDICAL CENTER 1324 FIFTH NORTH STREET NEW ULM MN 56073 HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-ME 384708 X X X X A 5 BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO MN 55313 HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-HO 385336 X X X A 6 CAMBRIDGE MEDICAL CENTER 701 S DELLWOOD STREET CAMBRIDGE MN 55008 HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE- 384707 X X X A 7 OWATONNA HOSPITAL 903 S OAK AVE OWATONNA MN 55060 HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA-H 384920 X X X A 8 FARIBAULT MEDICAL CENTER 200 STATE AVENUE FARIBAULT MN 54022 HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT-O 384658 X X X A 9 RIVER FALLS AREA HOSPITAL 1629 EAST DIVISION STREET RIVER FALLS WI 55404 HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FALL 1054 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENT X 1 22 1 HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSM 0 1 X 275.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 1 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: UNITED HOSPITAL, - FACILITY 3: MERCY HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: OWATONNA HOSPITAL, - FACILITY 8: FARIBAULT MEDICAL CENTER, - FACILITY 9: RIVER FALLS AREA HOSPITAL GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.THE PROCESS DESCRIBED ABOVE OCCURRED FOR EACH OF THE FACILITIES IN GROUP A. COMMUNITY INPUT DETAILS SPECIFIC TO ABBOTT NORTHWESTERN HOSPITAL: TO COMPLETE ITS CHNA, ABBOTT NORTHWESTERN HOSPITAL ESTABLISHED A CORE PLANNING TEAM WITH REPRESENTATIVES FROM THE HOSPITAL'S LEADERSHIP TEAM, COMMUNITY ENGAGEMENT, AND HEALTH EQUITY STAFF. THIS TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, LOCAL PUBLIC HEALTH SURVEY DATA, THE MINNESOTA STUDENT SURVEY, AND VITAL STATISTICS, AMONG OTHERS. ADDITIONALLY, TO ENSURE ALIGNMENT WITH LOCAL PUBLIC HEALTH, THE TEAM REVIEWED INITIAL FINDINGS FROM THE MINNEAPOLIS HEALTH DEPARTMENT'S 2020 COMMUNITY HEALTH ASSESSMENT. BASED ON THIS REVIEW, THE PLANNING TEAM IDENTIFIED 18 TOPICS TO CONSIDER FOR PRIORITIZATION. NEXT, THE TEAM SURVEYED ALLINA HEALTH LEADERS FROM PRIMARY CARE, PHARMACY, EMERGENCY MEDICAL SERVICES, HOSPITAL OPERATIONS, MENTAL HEALTH AND ADDICTION. RESPONDENTS CHOSE THE TOP FIVE ISSUES FACING HENNEPIN COUNTY. THEY THEN RANKED BROAD HEALTH CATEGORIES BASED ON THE SIZE AND SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS AND FEASIBILITY OF INTERVENTIONS AND OPPORTUNITY FOR IMPROVING HEALTH OUTCOMES. TO FURTHER REFINE ITS PRIORITIES, ABBOTT NORTHWESTERN STAFF CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH NONPROFIT, FAITH AND BUSINESS LEADERS IN SOUTH MINNEAPOLIS AND CONTRACTED WITH COMMUNITY PARTNERS TO HOST FOUR FOCUS GROUPS WITH COMMUNITY MEMBERS. HOSPITAL STAFF ALSO FACILITATED ONE FOCUS GROUP WITH SOUTH MINNEAPOLIS MENTAL HEALTH PROFESSIONALS. GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 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. ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES WHILE INCREASING RESILIENCE AND HEALTHY COPING.ABBOTT NORTHWESTERN (ANW) HOSTED COMMUNITY CELEBRATIONS AND EVENTS IN THE MACMILLAN COMMUNITY EDUCATION CENTER IN PARTNERSHIP WITH THE H.O.P.E. PROJECT AND THE KIMBERLY BROWN NETWORK. BOTH OF THESE ORGANIZATIONS WORK TO ENSURE THAT YOUTH AND YOUNG ADULTS FROM ALL COMMUNITIES ARE CELEBRATED AND HAVE ACCESS TO MENTAL HEALTH AND COMMUNITY SUPPORT RESOURCES. ANW ALSO PROVIDED CHARITABLE CONTRIBUTIONS TO THE H.O.P.E. PROJECT THE NORMANDALE CENTER FOR HEALING & WHOLENESS TO CREATE SOCIAL CONNECTION OPPORTUNITIES FOR PEOPLE EXPERIENCING ISOLATION.FOR THE 2024-2025 SCHOOL YEAR, ANW PROVIDED FUNDING AND SUPPORT TO BROOKLYN CENTER MIDDLE & HIGH SCHOOL, ORONO HIGH SCHOOL, AND ST. LOUIS PARK HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 3,231 STUDENTS. LEADERSHIP AT ANW ALSO CONTINUES TO BE HEAVILY INVOLVED IN COUNTY-WIDE ACTIVITIES RELATED TO MENTAL HEALTH AND WELLNESS; ANW'S COMMUNITY ENGAGEMENT LEAD CURRENTLY CO-CHAIRS THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP), WHICH IS WORKING ACROSS MINNESOTA'S LARGEST COUNTY TO ADDRESS COMMUNITY MENTAL WELLBEING AND HOUSING CHALLENGES.GOAL 2: DECREASE OVERALL SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE ALSO DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.ABBOTT NORTHWESTERN SUPPORTED THE FUNDRAISERS OF NEARBY NON-PROFITS SUCH AS THE TWIN CITIES RECOVERY PROJECT THAT FOCUS ON REDUCING SUBSTANCE MISUSE, AS WELL AS POTENTIAL HARM AND DEATH OF MEMBERS OF THIS COMMUNITY.GOAL 3: IMPROVE ACCESS TO COMMUNITY RESOURCES AND IMPROVE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS.ANW CONTINUES TO ACTIVELY PARTICIPATE IN THE HEALTHCARE ANCHOR NETWORK. THE INTENT OF THIS COALITION IS TO BUILD AND CARRY OUT ANW'S ANCHOR INSTITUTION STRATEGY, WHICH FOCUSES ON BUILDING PLACE-BASED SOLUTIONS AND INFRASTRUCTURE TO ADDRESS SYSTEMIC INEQUITIES AND CREATE MORE INCLUSIVE, SUSTAINABLE LOCAL ECONOMIES. IN 2024, ANW WORKED WITH VIZIENT TO BUILD-OUT THE MN COMMUNITY CONTRACTING PROGRAM, WHICH IS A GROUP PURCHASING ORGANIZATION (GPO), THAT ALLOWS SMALL, LOCAL BUSINESSES TO ACCESS CONTRACTS WITH THE LARGE PURCHASERS IN THE STATE. IN SEPTEMBER, ANW HOSTED THE BUY LOCAL FORUM TO INTRODUCE THE SUPPLY CHAIN LEADERS FROM THE TWIN CITIES' LARGEST COMPANIES TO THE MN COMMUNITY CONTRACTING GPO-MEMBER BUSINESSES. ANW ALSO COLLABORATED WITH LOCALLY OWNED COMPANY VENTURE BIKES TO CREATE A NEW BIKE SHOP DESIGNED TO PROVIDE A CULTURALLY RESPECTFUL PLACE ON THE MIDTOWN GREENWAY FOR BICYCLISTS FROM ALL CULTURES AND COMMUNITIES. THE MIDTOWN GREENWAY IS A 5.5-MILE LONG FORMER RAILROAD CORRIDOR IN SOUTH MINNEAPOLIS WITH BICYCLING AND WALKING TRAILS. A PORTION OF THE TRAIL IS NEXT TO THE ANW CAMPUS AND ALLINA HEALTH CORPORATE OFFICES.ANW KICKED OF ITS COMMUNITY WORKFORCE PROGRAM IN COLLABORATION WITH MORTENSON AS PART OF THE CONSTRUCTION EFFORTS HAPPENING ON THE MAIN CAMPUS. THE COMMUNITY WORKFORCE PROGRAM WILL ULTIMATELY TEACH AROUND 60 COMMUNITY RESIDENTS BASIC CONSTRUCTION SKILLS AND INTRODUCE THEM TO NUMEROUS SUBCONTRACTORS WHO COULD BECOME FUTURE EMPLOYERS ONCE THE ANW PROJECT IS COMPLETE. BY THE END OF 2024, 20 NEW CONSTRUCTION WORKERS HAD BEEN HIRED AND PLACED WITHIN THE PROGRAM. GOAL 4: INCREASE ACCESS TO PREVENTATIVE HEALTH EDUCATION IN COMMUNITIES FACING THE GREATEST HEALTH CHALLENGES.ANW CONTINUES TO SUPPORT THE WORK OF THE BACKYARD COMMUNITY HEALTH HUB WHICH WORKS TO PROVIDE REGULAR OPPORTUNITIES FOR ONGOING HEALTH EDUCATION AND RESOURCES. IN 2024, THE BACKYARD COMMUNITY HEALTH HUB CONDUCTED MORE THAN 30 EDUCATIONAL OPPORTUNITIES EVERY WEEK WITH COMMUNITY MEMBERS WHO ARE NOT TRADITIONALLY REACHED BY OTHER COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND ENCOURAGED ROUTINE CANCER SCREENINGS, VACCINATIONS AND REFERRALS TO SPECIALTY CARE FOR FOLLOW-UP APPOINTMENTS AND CARE. 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 -- UNITED HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAIL SPECIFIC TO UNITED HOSPITAL: IN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS.UNITED HOSPITAL DEVELOPED ITS CHNA WITH SUPPORT FROM THE CENTER FOR COMMUNITY HEALTH, WHICH INCLUDES ORGANIZATIONS REPRESENTING LOCAL PUBLIC HEALTH, OTHER HEALTH CARE SYSTEMS AND PAYERS. IN PARTICULAR, UNITED HOSPITAL, HEALTHPARTNERS AND MHEALTH FAIRVIEW COLLABORATED ON A COMMUNITY DIALOGUE THAT INCLUDED PARISH NURSES AND OTHER FAITH-BASED HEALTH SERVICE PROVIDERS AND COMMUNITY HEALTH WORKERS IN THE EAST METRO. UNITED HOSPITAL ALSO PARTICIPATED IN OR ANALYZED SEVERAL OTHER ORGANIZATIONS' DATA AND INFORMATION COLLECTED DURING COMMUNITY ENGAGEMENT SESSIONS AND PARTICIPATED IN THE ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH 2023-2026 STRATEGIC PLANNING PROCESS. AFTER REVIEWING THE ABOVE DATA SOURCES, UNITED HOSPITAL STAFF MET WITH REPRESENTATIVES FROM RAMSEY COUNTY, DAKOTA COUNTY AND WASHINGTON COUNTY LOCAL PUBLIC HEALTH TO REVIEW AND DISCUSS SELECT ALLINA HEALTH PATIENT DATA AND LOCAL PUBLIC HEALTH DATA. THE HOSPITAL'S 2023-2025 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED'S STAFF ATTENDED ADDITIONAL COMMUNITY DIALOGUES FACILITATED BY OTHER ORGANIZATIONS AND PARTICIPATED IN REGULAR COMMUNITY MEETINGS IN WHICH COMMUNITY STAKEHOLDERS DISCUSSED LOCAL MENTAL HEALTH SERVICES, FOOD INSECURITY, AND SOCIAL DETERMINANTS OF HEALTH. UNITED STAFF ALSO CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH COMMUNITY-BASED SERVICE PROVIDERS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A: THE 9 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, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 2 -- 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. IN 2024, UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM UNITED PROVIDED FUNDING AND SUPPORT TO CHIPPEWA MIDDLE SCHOOL, COMO PARK SENIOR HIGH SCHOOL, FOREST LAKE AREA MIDDLE SCHOOL, AND JOHNSON HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 4,119 STUDENTS. REGINA PROVIDED FUNDING TO HASTINGS MIDDLE SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 1,183 STUDENTS. ADDITIONALLY, HOSPITAL STAFF SERVED ON THE HASTINGS FAMILY SERVICES BOARD OF DIRECTORS WHICH WORKS TO DECREASE ISOLATION AND INCREASE SOCIAL CONNECTIONS AND THE WELLBEING COMMITTEE MEETINGS OF WASHINGTON COUNTY PUBLIC HEALTH AND THE ST. PAUL SCHOOL DISTRICT. STAFF ALSO PARTICIPATED IN COMMUNITY EVENTS PROMOTING MENTAL HEALTH.UNITED HOSPITAL: GOAL 1: DECREASE SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.IN 2024, UNITED HOSPITAL MENTAL HEALTH PROVIDERS CONTINUED TO ATTEND, SUPPORT AND ACTIVELY PROMOTE THE EAST METRO MENTAL HEALTH PROVIDERS CONNECT MONTHLY MEETING. LEADERSHIP FROM UNITED HOSPITAL AS WELL AS ALLINA HEALTH CONTINUE TO PARTICIPATE IN THE EAST METRO MENTAL HEALTH ROUNDTABLE, A COLLABORATIVE THAT BRINGS TOGETHER COMMITTED MENTAL HEALTH CARE PARTNERS AND LOCAL GOVERNMENT AND ELECTED OFFICIALS TO ADDRESS CHALLENGES AND OPPORTUNITIES THAT ARE BEING FELT BY ALL WHO INTERACT WITH THOSE EXPERIENCING MENTAL HEALTH CRISIS IN THE EAST METRO.IN ADDITION, AS A PARTNER OF THE RAMSEY COUNTY OPIOID RESPONSE TASK FORCE, UNITED HOSPITAL STAFF ATTENDED TASK FORCE PLANNING MEETINGS, PROMOTED COUNTY-WIDE NARCAN TRAININGS AND HAVE SUPPORTED THE PROMOTION OF OPIOID RESPONSE COMMUNITY RESPONSE GRANTS ACROSS THE COUNTY, AS WELL AS COMMUNITY DISPOSAL EVENTS.GOAL 2: IMPROVE ACCESS TO COMMUNITY RESOURCES WHILE IMPROVING THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS.UNITED HOSPITAL ACTIVELY PARTICIPATES IN COLLABORATIONS FOCUSED ON BUILDING SOCIAL CONNECTIONS, AS WELL AS IMPROVING MENTAL WELL-BEING AND RESILIENCE INITIATIVES WITH VARIOUS COMMUNITY PARTNERS. COMMUNITY PARTNERS INCLUDE HASTINGS FAMILY SERVICE, DARTS, RISEUP RECOVERY, CATHOLIC CHARITIES, FACE TO FACE, GOBBLE GAIT, HIGHLAND FRIENDSHIP GROUP, AND THE ST. PAUL SCHOOL DISTRICT AMONG OTHERS.AS PART OF ALLINA HEALTH'S IMPACT INVESTMENTS, COMMITMENTS WERE MADE IN 2024 FOR INVESTMENT IN TWO ST PAUL-BASED ORGANIZATIONS: TWIN CITIES HABITAT FOR HUMANITIES' HEIGHTS PROJECT IN EAST ST. PAUL AND WOMENVENTURE, A COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION (CDFI) THAT EMPOWERS WOMEN TO ACHIEVE THEIR ECONOMIC GOALS BY BUILDING THEIR OWN BUSINESSES.UNITED HOSPITAL ALSO MAINTAINS AN ACTIVE RELATIONSHIP WITH THE RAMSEY COUNTY FOOD SECURITY COMMUNITY ADVISORY GROUP AS WE WORK COLLABORATIVELY TO ADDRESS FOOD INSECURITY ACROSS THE ENTIRE COUNTY, WITH A FOCUS ON BUILDING THE FOOD SAFETY NET SYSTEM IN THE NEIGHBORHOODS EXPERIENCING THE HIGHEST RATES OF FOOD INSECURITY, EXPANDING OPPORTUNITIES FOR URBAN AGRICULTURE AND CREATING NEW FOOD WASTE REDUCTION PARTNERSHIPS.UNITED HOSPITAL IS COMMITTED TO SUPPORTING INITIATIVES THAT ADDRESS GAPS IN TRANSPORTATION SERVICES FOR PATIENTS. THIS COMMITMENT INCLUDES PROVIDING FINANCIAL ASSISTANCE TO COMMUNITY-BASED TRANSPORTATION PROJECTS SUCH AS THE DARTS COMMUNITY CIRCULATOR BUSES AND PILOT TRANSPORTATION PROJECTS THAT ARE DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING SOCIAL OPPORTUNITIES AND HEALTH-CARE SERVICES. UNITED HOSPITAL'S PATIENTS CONTINUE TO IDENTIFY TRANSPORTATION ACCESS AS A SIGNIFICANT HEALTH-RELATED SOCIAL NEED IN OUR ROUTINE SCREENING PROGRAM OF ALL PATIENTS AS PART OF THEIR HOSPITAL VISIT, SO INVESTMENTS OF FINANCIAL AND POLICY SUPPORT FOR PROGRAMS SUCH AS THE WASHINGTON COUNTY TRANSPORTATION CONSORTIUM, REMAIN A FOCUS FOR UNITED HOSPITAL AND ALLINA HEALTH OVERALL. GROUP A-FACILITY 2 -- 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 2 -- 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 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICES TO ENGAGE MORE THAN 50 COMMUNITY STAKEHOLDERS IN A COMMITTEE THAT COMPLETED ITS CHNA. COMMITTEE MEMBERS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND INCLUDED REPRESENTATIVES FROM HEALTH PLANS, HEALTHCARE SYSTEMS, LOCAL NON-PROFITS, THE LOCAL FAITH COMMUNITY, LOCAL GOVERNMENT, MENTAL HEALTH PROVIDERS, PUBLIC HEALTH AND COMMUNITY RESIDENTS FROM A VARIETY OF CULTURAL TRADITIONS. THE COMMITTEE REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA; THE MINNESOTA STUDENT SURVEY; ANOKA COUNTY ADULT HEALTH SURVEY; AND ANOKA COUNTY VIOLENCE PREVENTION COMMUNITY SURVEY AND MINNESOTA HOUSING PARTNERSHIP, AMONG OTHERS. ADDITIONALLY, MERCY HOSPITAL AND ANOKA COUNTY CONTRACTED WITH WILDER RESEARCH TO COLLECT FEEDBACK FROM THE COMMITTEE VIA A SURVEY AND FOCUS GROUPS. GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER, AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 3 -- 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. MERCY HOSPITAL: GOAL 1: IMPROVE ACCESS TO COMMUNITY RESOURCES WHILE IMPROVING THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS IN THE COMMUNITY. INCLUDING INCREASING ACCESS TO HEALTHY FOODS.AS THE CONVENER OF THE NORTHWEST METRO COMMUNITY HEALTH ADVISORY BOARD, MERCY HOSPITAL MAINTAINS STRONG PARTNERSHIPS WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS AND COLLECTIVELY, THESE PARTNERS WORK TO ADDRESS CHRONIC DISEASES AND RESOURCE ACCESS ISSUES IN COMMUNITY AND OVERSEE THE IMPLEMENTATION OF MERCY HOSPITAL'S CHNA PLAN. IN ADDITION, THE ANOKA COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE WORKS TO PROMOTE HEALTHY HABITS TO IMPROVE LONG-TERM HEALTH OUTCOMES AT THE COUNTY LEVEL.MERCY HOSPITAL AGAIN SUPPORTED PARTNERSHIPS WITH ANOKA TECHNICAL COLLEGE AND ANOKA RAMSEY COMMUNITY COLLEGE TO PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES THAT SERVE STUDENTS LIVING IN THE NORTHWEST METRO. MERCY HOSPITAL PAID FOR ANOKA TECHNICAL COLLEGE MEDICAL ASSISTANT STUDENT TRAINING WITH THE OPPORTUNITY AND EXPECTATION THAT ONCE STUDENTS GRADUATE FROM THE EDUCATION PROGRAM, THEY WILL BEGIN A JOB AT MERCY HOSPITAL. THESE PAID TRAINING PROGRAMS ARE PROVIDING EDUCATION AND LIVING-WAGE CAREER OPPORTUNITIES. MERCY HOSPITAL ALSO CONTINUES TO ENCOURAGE SOCIAL CONNECTIONS IN THE COMMUNITY BY PROVIDING GRANTS TO ORGANIZATIONS SUCH AS THE UNITED WAY AND BIG BROTHERS BIG SISTERS WHICH CONNECT INDIVIDUALS AND COMMUNITY VOLUNTEERS.IN 2024, CHARITABLE CONTRIBUTIONS WERE PROVIDED TO ORGANIZATIONS SUCH AS STEPPING STONE EMERGENCY HOUSING, MASSIE'S MOBILE MISSION AND MOM'S HAVEN OF HOPE TO ENSURE THAT RESIDENTS AND FAMILIES EXPERIENCING HOMELESSNESS IN ANOKA COUNTY HAD ACCESS TO RESOURCES AND SUPPORT.MERCY HOSPITAL HAS SUSTAINED ITS LONG-TERM COMMITMENT TO HEALTHY FOOD ACCESS FOR ALL COMMUNITY MEMBERS BY SUPPORTING AND COLLABORATING WITH THE MANY FOOD SHELVES AND EMERGENCY FOOD OFFERINGS IN THE NORTHWEST METRO. ORGANIZATIONS SUCH AS THE SOUTHERN ANOKA COUNTY ASSISTANCE (SACA), COMMUNITY EMERGENCY ASSISTANCE PROGRAM (CEAP), NORTH ANOKA EMERGENCY FOOD SHELF, HOPE FOR THE COMMUNITY, ACBC FOOD SHELF, IMPACT SERVICES, CAER FOOD SHELF AND THE ORGANIZATION OF LIBERIANS OF MINNESOTA ALL RECEIVED CHARITABLE CONTRIBUTIONS TO INCREASE ACCESS TO HEALTHY FOODS IN 2024.IN 2024, MERCY HOSPITAL CONTINUED TO CO-CREATE AND IMPLEMENT PROGRAMMING AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS NEIGHBORHOOD HEALTH SOURCE, THAT PROVIDE CULTURALLY RESPONSIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND RESOURCES. THROUGH A GRANT TO NEIGHBORHOOD HEALTH SOURCE, MERCY HOSPITAL CONTINUED TO SUPPORT THE ONGOING WORK SUPPORTING THE HEALTH NEEDS OF THE COMMUNITY SEEKING CARE AT THIS FEDERALLY QUALIFIED HEALTH CARE CENTER IN COON RAPIDS. GOAL 2: INCREASE ACCESS TO MENTAL HEALTH SERVICES WHILE REDUCING STIGMA AROUND MENTAL HEALTH AND INCREASE RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES. MERCY HOSPITAL LEADERSHIP PARTICIPATES AS A MEMBER AND FINANCIAL SUPPORTER OF THE NW MENTAL HEALTH ROUNDTABLE. THIS INITIATIVE COORDINATES SERVICES BETWEEN LOCAL COMMUNITY MENTAL HEALTH PROVIDERS, HEALTHCARE INSTITUTION PARTNERS, LOCAL LAW ENFORCEMENT AGENCIES, AS WELL AS COUNTY AND CITY RESOURCES. MERCY MEMBERS SIT ON THE SUICIDE PREVENTION WORKING GROUP OF THE ROUND TABLE. IN 2024, THIS GROUP WORKED TO HELP LAUNCH THE NORTH METRO MENTAL HEALTH WEBSITE. IN JUNE 2024, ALLINA HEALTH OPENED A NEW MENTAL HEALTH & ADDICTION SERVICES CENTER ON THE MERCY-UNITY CAMPUS. THIS INTEGRATED COMMUNITY RESOURCE CENTER SUPPORTS PATIENTS' PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND INCLUDES OFFICES FOR ANOKA COUNTY, CANVAS HEALTH AND THE SACA FOOD SHELF. MINNESOTA RECOVERY CONNECTION (MRC) HAS ALSO PLAYED A SIGNIFICANT ROLE IN THE COLLABORATION. IN 2024, MRC RECEIVED 173 REFERRALS FROM VARIOUS ALLINA LOCATIONS, PRIMARILY THE INTENSIVE OUTPATIENT PROGRAM AT THE CENTER FOR MENTAL HEALTH AND ADDICTION. THE CENTER PROVIDED CARE TO 7,434 PATIENTS IN 2024, OFFERING BOTH IN-PERSON AND VIRTUAL SERVICES. ALSO IN 2024, MERCY HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. FOR THE 2024-2025 SCHOOL YEAR, MERCY PROVIDED FUNDING AND SUPPORT TO COMPASS PROGRAMS, BLAINE HIGH SCHOOL, EDGEWOOD MIDDLE SCHOOL, AND JACKSON MIDDLE SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 5,891 STUDENTS. GOAL 3: DECREASE SUBSTANCE MISUSE AND HARM AND DEATHS RELATED TO SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS.TEAM MEMBERS SUPPORT THE ANOKA COUNTY OPIOID COUNCIL. THROUGH THIS WORK, MERCY PROMOTED NALOXONE ACCESS POINTS AND PROVIDED NALOXONE TRAINING. AS INDICATED ABOVE, ALLINA HEALTH ALSO OPENED THE MENTAL HEALTH AND ADDICTION SERVICES CENTER ON THE MERCY-UNITY CAMPUS IN 2024. THIS CENTER PROVIDES BOTH MENTAL HEALTH AND ADDICTION SERVICES.GOAL 4: DECREASE THE NUMBER OF PEOPLE EXPERIENCING RELATIONSHIP VIOLENCE IN ANOKA COUNTY. AS A MEMBER OF THE ANOKA COUNTY VIOLENCE ROUNDTABLE, MERCY HOSPITAL CONTINUES TO PARTICIPATE IN STEERING AND LEADERSHIP COMMITTEE MEETINGS, AND STAFF REMAIN ACTIVE IN THE COUNTY-WIDE ELDER ABUSE COMMITTEE. MERCY HOSPITAL HAS ALSO CONTINUED TO SPONSOR AND SUPPORT IN ALEXANDRA HOUSE, A RELATIONSHIP AND SEXUAL VIOLENCE SERVICE PROVIDER IN ANOKA COUNTY THAT SERVES MEN, WOMEN, CHILDREN AND FAMILIES. GROUP A-FACILITY 3 -- 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 3 -- 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 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH AND THE COMMUNITY GROUP HEART OF NEW ULM (HONU) TO ENGAGE MORE THAN 60 COMMUNITY MEMBERS, REPRESENTING MORE THAN 35 ORGANIZATIONS, TO COMPLETE ITS CHNA. PARTICIPANTS INCLUDED RESIDENTS AND REPRESENTATIVES FROM LOCAL SCHOOLS, GOVERNMENT, LAW ENFORCEMENT, SOCIAL SERVICE AGENCIES, PROFESSIONAL GROUPS AND BUSINESS OWNERS. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2023-2025 PRIORITIES BASED ON THIS REVIEW. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, STAFF FROM NUMC DEVELOPED A CONVERSATION IN A BOX GUIDE USED BY HONU LEADERSHIP AND NUMC STAFF TO FACILITATE COMMUNITY CONVERSATIONS WITH APPROXIMATELY 100 INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 4 -- 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. NEW ULM MEDICAL CENTER:GOAL 1: INCREASE ACCESS TO HEALTHY FOODS AND OPPORTUNITIES FOR PHYSICAL ACTIVITY.ALLINA HEALTH STAFF SUPPORTED NUMEROUS INITIATIVES IN THE NEW ULM COMMUNITY AND WITH LOCAL PARTNERS. THE TEAM HOSTED THREE WORKSITE WELLNESS NETWORKING AND TRAINING EVENTS REACHING A TOTAL OF 72 ATTENDEES. WORKSHOP TOPICS INCLUDED SUCCESSFUL STRATEGIES FOR EATING HEALTHIER AT WORK, MENTAL HEALTH AND NUTRITION, AND BUILDING A STRONG MICROBIOME. ADDITIONALLY, ALLINA ROLLED OUT ITS EMBRACE WELLNESS PROGRAM/CAMPAIGN TO FOUR WORKSITES: NEW ULM CHAMBER, MARTIN LUTHER COLLEGE, SOUTHPOINT FEDERAL CREDIT UNION AND BLETHEN BEHRENS.THE NEW ULM ALLINA TEAM SPONSORED THE ANNUAL POKER WALK IN JUNE IN PARTNERSHIP WITH THE CHAMBER AND AMERIPRISE FINANCIAL TO PROMOTE PHYSICAL WELLNESS. THIS YEAR THE WALK HAD 119 PARTICIPANTS. ADDITIONALLY, ALLINA IS AN ACTIVE MEMBER OF THE HEART OF NEW ULM AND NEW ULM'S SAFE ROUTES TO SCHOOL ACTION TEAM, WORKING TO MAKE IT SAFER FOR CHILDREN TO WALK AND BICYCLING TO SCHOOL. THE GROUP PROMOTED A WINTER "WALK TO SCHOOL" DAY BY PROVIDING A STORY STROLL FOR LOCAL SCHOOLS AND FINALIZED A STATE GRANT APPLICATION. ALSO TO MAKE ROADS SAFER FOR BIKE TRANSIT, NEW ULM RECEIVED A STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP) GRANT TO INSTALL "BIKES MAY USE FULL LANE" SIGNS INSTEAD OF PAINTED SHARROWS (SHARED ROAD ARROWS) WHICH ARE INEFFECTIVE AND DATA SHOWS MAY ACTUALLY INCREASE BIKE ACCIDENTS. WITH ALLINA'S SUPPORT, NEW ULM IS UPDATING ITS APPLICATION WITH THE LEAGUE OF AMERICAN BICYCLISTS FOR A BRONZE BICYCLE FRIENDLY COMMUNITY AWARD. THIS YEAR THE GROUP INSTALLED A DEMONSTRATION PROJECT WITH TEMPORARY CURB EXTENSIONS, WHICH WILL MORPH INTO PERMANENT, TRAFFIC CALMING BUMP OUTS WITH NEW CONSTRUCTION.THE HEART OF NEW ULM ALSO HAS THE FOOD ENVIRONMENT ACTION TEAM (FEAT) WHICH WORKS TO DEVELOP AND SUPPORT POLICIES AND PRACTICES THAT IMPROVE THE ACCESS, AVAILABILITY AND IDENTIFICATION OF HEALTHY FOODS IN VENUES THROUGHOUT THE COMMUNITY. IN SUPPORT OF HEALTHY EATING, THIS GROUP ESTABLISHED THE HEALTHY EATS AROUND THE WORLD PROGRAM IN PARTNERSHIP WITH GUTES ESSEN. THE PURPOSE OF THIS PROJECT IS TO CELEBRATE THE CULTURAL HERITAGE, TRADITIONS AND RECIPES FROM ALL PEOPLE ITS A TASTY WAY TO NOURISH OURSELVES, LEARN ABOUT ONE ANOTHER AND FIND APPRECIATION IN OUR DIVERSITY. IN LATE AUGUST 2024, THE FOOD ENVIRONMENT ACTION TEAM WORKED WITH THE NEW ULM AREA CHAMBER OF COMMERCE TO LAUNCH THE EBT (ELECTRONIC BENEFIT TRANSFER CARD) OPTION AT THE FARMERS MARKET, WHICH ALLOWS SNAP-ELIGIBLE COMMUNITY MEMBERS WITH LOW INCOMES TO SHOP AT THE MARKET AND ACCESS LOCALLY GROWN FRUITS AND VEGETABLES.GOAL 2: REDUCE BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES WHILE INCREASING RESILIENCE AND HEALTHY COPING SKILLS.NEW ULM MEDICAL CENTER STAFF CO-LEAD THE BROWN COUNTY MENTAL HEALTH AND WELLNESS ACTION TEAM, WHICH IS AIMED AT IMPROVING MENTAL WELLNESS IN THE AREA, INCLUDING SOCIAL CONNECTIONS, SOCIAL COHESION AND A SENSE OF BELONGING. A KEY EVENT THIS YEAR WAS THE INAUGURAL MENTAL HEALTH CONFERENCE, WHICH WAS FULL WITH THE MAXIMUM 200 PARTICIPANTS. OTHER ACTIVITIES INCLUDED THE MOVE THIS WAY ACTIVITY, S.A.V.E. TRAININGS AT THE VA, EMBRACE WELLNESS INITIATIVES AT LOCAL WORKPLACES, AND A NATIONAL COUNCIL FOR MENTAL WELLBEING ADULT MENTAL HEALTH FIRST AID (MHFA) TRAINING FOR COMMUNITY MEMBERS. ADDITIONALLY, NEW ULM MEDICAL CENTER CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. FOR THE 2024-2025 SCHOOL YEAR, NEW ULM PROVIDED FUNDING AND SUPPORT TO NEW ULM HIGH SCHOOL AND SLEEPY EYE PUBLIC SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 1,249 STUDENTS. ALSO IN SCHOOLS, ALLINA HELPED START THE BROWN COUNTY LUNCH TABLE INITIATIVE AT SPRINGFIELD HIGH SCHOOL AND NEW ULM AREA CATHOLIC SCHOOLS (220 STUDENTS REACHED), BRINGING STAFF INTO SCHOOLS TO TALK ABOUT VARIOUS HEALTH TOPICS, RANGING FROM PHYSICAL TO MENTAL HEALTH. GOAL 3: DECREASE SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS, IN THE BROWN COUNTY AREA WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.NEW ULM MEDICAL CENTER CO-LEADS THE BROWN COUNTY CHEMICAL HEALTH ACTION TEAM. IN 2024, AN OPIOID GRANT WAS AWARDED TO WORK ON PREVENTION EFFORTS IN BROWN COUNTY. ALLINA ALSO DISTRIBUTED RESOURCES ON CANNABIS AND SUBSTANCE USE TO COMMUNITY MEMBERS, INCLUDING PROMOTING A CAMPAIGN AGAINST DRUNK DRIVING AND FLYERS AND SOCIAL MEDIA ABOUT THE DANGERS OF VAPING. GROUP A-FACILITY 4 -- 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 4 -- 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 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2021 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, WCCHC CONDUCTED A CONVERSATION WITH MORE THAN 20 COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES FROM HEALTHCARE, SOCIAL SERVICES, GOVERNMENT, LOCAL SCHOOLS, AND COMMUNITY RESIDENTS. PARTICIPANTS REVIEWED DATA ON SPECIFIC TOPICS AND PRIORITY AREAS AND DISCUSSED POTENTIAL PRIORITY HEALTH ISSUE STRATEGIES IN SMALL GROUPS. IN ADDITION, WCCHC ALSO FACILITATED FOCUS GROUPS WITH PEOPLE LIVING WITH DISABILITIES AND THEIR CAREGIVERS. FURTHER FEEDBACK ON THE EXPERIENCES OF PEOPLE LIVING AT OR BELOW THE POVERTY LEVEL IN WRIGHT COUNTY WAS PROVIDED BY WCCHC MEMBER WRIGHT COUNTY COMMUNITY ACTION. GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES GROUP A-FACILITY 5 -- 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. BUFFALO HOSPITAL: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES IN WRIGHT COUNTY AND INCREASE RESILIENCE AND HEALTHY COPING SKILLS BY PROVIDING EDUCATION ON ACTIVITIES THAT PROTECT MENTAL WELLNESS.FOUR SCHOOLS IN BUFFALO HOSPITAL'S SERVICE AREA-BUFFALO HIGH SCHOOL, MAPLE LAKE HIGH SCHOOL, ROCKFORD HIGH SCHOOL, AND TERRA NOVA SCHOOL-PARTICIPATED IN ALLINA HEALTH'S CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM, REACHING APPROXIMATELY 2,584 STUDENTS IN THE 2024-25 SCHOOL YEAR. BUFFALO HOSPITAL STAFF ALSO PRESENTED TO SCHOOL DISTRICT NURSES ON PSYCHOSOMATIC RESPONSES IN TEENS AND HOW TO USE CTC RESOURCES IN SCHOOLS. BUFFALO HOSPITAL IS AN ACTIVE MEMBER OF THE WRIGHT COUNTY MENTAL HEALTH COALITION WHICH OFFERS SEVERAL PROGRAMS THROUGHOUT THE YEAR, INCLUDING A COMMUNITY-WIDE RESILIENCY DAY AND A BUFFALO STRONG WEEK AND CAMPAIGN. THE BUFFALO HOSPITAL MENTAL HEALTH COALITION INCLUDES HOSPITAL LEADERS, ALLINA HEALTH SERVICE LINE LEADERS AND COMMUNITY PARTNERS. GOAL 2: SUPPORT POLICY CHANGE FOR LOCAL PREVENTION, TREATMENT AND RECOVERY EFFORTS FOR DECREASING SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.A BUFFALO HOSPITAL PHARMACIST SUPPORTS EFFORTS TO REDUCE ACCESS TO OPIOIDS AS A MEMBER OF THE WRIGHT COUNTY OPIOID TASK FORCE PLANNING COMMITTEE. BUFFALO HOSPITAL STAFF ALSO CONTINUE TO PARTICIPATE AS A MEMBER OF THE MENTORSHIP, EDUCATION AND DRUG AWARENESS COALITION OF WRIGHT COUNTY (MEADA). IN 2024, MEADA HOSTED TWO DRUG TAKE BACK EVENTS TO REDUCE ACCESS TO PRESCRIPTION DRUGS. AS PART OF MEADA, WRIGHT COUNTY MENTAL HEALTH COALITION, AND BUFFALO STRONG COALITIONS, STAFF SUPPORTED SEVERAL COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT MENTAL HEALTH AND SUBSTANCE USE AND ASSOCIATED RESOURCES AND COMMUNITY SERVICES. THEY ALSO PRESENTED TO INTRODUCE ALLINA'S CTC AND HELLO4HEALTH CONTENT AND RESOURCES TO THESE PARTNERSHIP GROUPS.GOAL 3: IMPROVE ACCESS TO COMMUNITY RESOURCES THAT PROVIDE FOOD, HOUSING, TRANSPORTATION AND LONELINESS/SOCIAL ISOLATION SUPPORT TO ALLINA HEALTH PATIENTS AND COMMUNITIES. THIS WILL IMPROVE THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS IN THE COMMUNITY AND REDUCE THE PRESENCE OF HEALTH-RELATED SOCIAL NEEDS. IN ADDITION TO IMPLEMENTING THE ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS PROGRAM AND EVERY MEAL CARE MEAL PROGRAM (BOTH DESCRIBED ABOVE), BUFFALO HOSPITAL STAFF SOUGHT TO INCREASE KNOWLEDGE ABOUT THE IMPORTANCE OF SOCIAL CONNECTIONS AND THE HELLO4HEALTH PROGRAM VIA PRESENTATIONS ON HELLO4HEALTH AT LOCAL SENIOR CENTERS, COMMUNITY CENTERS, WORKSHOPS AND OTHER COMMUNITY VENUES. HELLO4HEALTH AT LOCAL SENIOR CENTERS, COMMUNITY CENTERS, WORKSHOPS AND OTHER COMMUNITY VENUES. ONLINE, STAFF UPDATED THE H4H RESOURCES PAGE TO BETTER SUPPORT PATIENTS EXPERIENCING SOCIAL ISOLATION AND LONELINESS. INFORMATION ON H4H WAS ALSO DISTRIBUTED VIA THE BUFFALO HOSPITAL GIFT SHOP AND WITH PATIENTS SCREENING POSITIVE FOR LONELINESS. GOAL 4: REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL REMAINS AN ACTIVE MEMBER OF THE WRIGHT COUNTY DENTAL HEALTH WORKGROUP AND IN CLOSE PARTNERSHIP WITH THE COMMUNITY DENTAL CARE (CDC) CLINIC. BUFFALO HOSPITAL REFERS PATIENTS TO THE CDC CLINIC VIA EMERGENCY DEPARTMENT AND URGENT CARE AND CLINIC AND HOSPITAL LEADERS SHARE INFORMATION, COMMUNICATIONS, AND CROSS PROMOTION. THE NONPROFIT CDC CLINIC IS A SAFETY-NET SERVICE FOR UNINSURED AND UNDERINSURED PEOPLE THROUGHOUT THE REGION. 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 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER (CMC) COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 35 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. TO SELECT THEIR 2023-2025 PRIORITIES, COMMITTEE MEMBERS REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, EAST CENTRAL REGIONAL SURVEY, AND ISANTI COUNTY SHERIFF'S DATA. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, CMC AND ISANTI COUNTY PUBLIC HEALTH CONDUCTED THREE COMMUNITY DIALOGUES WITH 33 REPRESENTATIVES FROM LOCAL ORGANIZATIONS REPRESENTING THE BROAD INTERESTS INCLUDING SOCIAL SERVICES, FAITH-BASED COMMUNITIES, LOCAL GOVERNMENT, SCHOOLS, LAW ENFORCEMENT, HEALTHCARE AND LOCAL PUBLIC HEALTH. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES ACROSS THE ALLINA HEALTH SERVICE AREA WHILE INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES.IN THE 2024-2025 SCHOOL YEAR, CAMBRIDGE MEDICAL CENTER OF ALLINA HEALTH PROVIDED FUNDING AND SUPPORT TO ISANTI MIDDLE SCHOOL, BRAHAM AREA HIGH SCHOOL, CAMBRIDGE MIDDLE SCHOOL, AND CAMBRIDGE-ISANTI HIGH SCHOOL AS PART OF THE CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM, REACHING APPROXIMATELY 2,992 STUDENTS. ISANTI MIDDLE SCHOOL WAS A CTC IN-DEPTH SCHOOL PARTNER, RECEIVING ADDITIONAL MONETARY AND STAFF SUPPORT FROM ALLINA HEALTH. THIS INCLUDED SUPPORTING THE SCHOOL'S CHANGE TO CHILL WEEK. ALLINA PROVIDERS RECORDED YOUTUBE VIDEOS PROMOTING CONNECTIONS BETWEEN MENTAL HEALTH AND SLEEP, NUTRITION, AND OTHER HEALTHY HABITS. CAMBRIDGE CARE TEAM MEMBERS LED MINDFULNESS ACTIVITIES WITH MIDDLE SCHOOL STUDENTS BEFORE SCHOOL. CAMBRIDGE CTC SCHOOL OUTREACH ALSO INCLUDED ACTIVITIES AT ANOKA-RAMSEY COMMUNITY COLLEGE AND CAMBRIDGE-ISANTI HIGH SCHOOL.ALLINA HEALTH STAFF IN CAMBRIDGE HELPED IMPLEMENT SUICIDE PREVENTION AND INTERVENTION TRAINING IN THE COMMUNITY BY FACILITATING PATHWAY TO CARE COHORT MEETINGS WITH COMMUNITY PARTNERS. THEY TRAINED 126 PEOPLE IN THE QUESTION PERSUADE REFER (QPR) APPROACH AND 94 PEOPLE IN MENTAL HEALTH FIRST AID. AT THESE AND OTHER EVENTS, STAFF CONTINUE TO PROMOTE THE PATHWAYS TO CARE FLYER FOR MENTAL HEALTH. THIS FLYER INCLUDES INFORMATION ON RESOURCES THAT CAN HELP BASED ON THE LEVEL OF CRISIS A PERSON IS EXPERIENCING AND INCLUDES CRISIS LINE NUMBERS. FINALLY, CAMBRIDGE MEDICAL CENTER STAFF SIT ON NUMEROUS COMMITTEES AND COALITIONS AT BOTH THE COUNTY AND REGIONAL LEVEL AIMED AT IMPROVING MENTAL HEALTH AND WELLNESS, SUCH AS THE LOCAL MENTAL HEALTH ADVISORY COUNCIL. GOAL 2: INCREASE SOCIAL CONNECTIONS ACROSS ALL AGES AND STAGES OF LIFE.CAMBRIDGE MEDICAL CENTER PROMOTED AND USED ALLINA HEALTH'S HELLO4HEALTH RESOURCE IN THE COMMUNITY. THESE SESSIONS PROVIDED AN OPPORTUNITY FOR ADULTS TO CONNECT WITH ONE ANOTHER WHILE LEARNING ABOUT TOPICS RELATED TO HEALTH, INCLUDING THE IMPACT OF SOCIAL CONNECTIONS FOR OLDER ADULTS. STAFF PRESENTED TO EAST TERRACE COOPERATIVE EDUCATION, THE POWERED BY CONNECTIONS CONFERENCE, WALKER METHODIST LEVANDE. STAFF ALSO PRESENTED IN PARTNERSHIP WITH THE MINNESOTA COUNCIL OF AGAIN AND LOCAL AARP CHAPTER. GOAL 3: DECREASE SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS, IN THE COMMUNITIES SERVED BY ALLINA HEALTH WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.CAMBRIDGE PROMOTES SAFE DRUG DROP OFF LOCATIONS AND SUPPORTED A LOCAL DROP OFF EVENT IN APRIL 2024. THESE RESOURCES HAVE THE GOAL OF DECREASING PHARMACEUTICAL MISUSE. AS PART OF ISANTI COUNTY SUBSTANCE USE AND RECOVER COALITION, HOSPITAL STAFF MET MONTHLY TO DISCUSS AND PLAN EFFORTS AIMED AT IMPROVING ACCESS TO ADDICTION SERVICES AND DECREASING OPIOID DEATHS IN THE COMMUNITY. IN 2024 THE GROUP HELD TWO 'ONE PILL CAN KILL' EVENTS IN ISANTI AND BRAHAM WITH 180 AND 75 ATTENDEES, RESPECTIVELY. CAMBRIDGE MEDICAL CENTER STAFF ALSO SIT ON THE ISANTI COUNTY OPIOID COMMITTEE. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 7 -- 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. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: REDUCE SUBSTANCE USE AND IMPROVE MENTAL WELLBEING WHILE DECREASING HARM AND DEATHS RELATED TO THE MISUSE OF OPIOIDS.IN 2024, FARIBAULT MEDICAL CENTER (FMC) AND OWATONNA HOPSITAL (OH) CONTINUED TO PROVIDE NARCAN TRAINING AND FREE FENTANYL TEST STRIPS TO COMMUNITY PARTNERS. FMC ALSO DEEPENED ITS RELATIONSHIP WITH THE RICE COUNTY MOBILE OPIOID SUPPORT TEAM (MOST) BY PROVIDING SPACE INSIDE THE FMC EMERGENCY DEPARTMENT FOR LONG-TIME PARTNER, HEALTH FINDERS COLLABORATIVE. FMC AND OH STAFF HEALTH FINDER'S OFFICE WITH A MENTAL HEALTH CLINICIAN ONCE A WEEK (8 HOURS) TO PROVIDE BETTER ACCESS TO MUCH-NEEDED MENTAL HEALTH SUPPORT IN COMMUNITY SETTINGS. ALLINA HEALTH ALSO PARTICIPATES IN THE STEELE COUNTY MENTAL HEALTH & SUBSTANCE USE COLLABORATIVE.GOAL 2: SUPPORT ORGANIZATIONS THAT WORK TO ESTABLISH AN ADEQUATE SUPPLY OF HOUSING THAT IS SAFE, HEALTHY AND AFFORDABLE FOR PEOPLE OF ALL INCOME LEVELS, RACES, AGES AND ABILITIES WHICH IS SUITABLE FOR THEIR NEEDS, INCREASE FOOD SECURITY, ACCESS TO QUALITY EDUCATION AND COMMUNITY-BASED PROGRAMS, AND INCREASE A SENSE OF BELONGING AND UNITY AMONG PRIORITY COMMUNITIES. IN 2024, FMC AND OH SUPPORTED KEY COMMUNITY PARTNERSHIPS IN ADDRESSING HEALTH-RELATED SOCIAL NEEDS WITH A FOCUS ON HOUSING AND FOOD ACCESS. HOUSING SUPPORT INCLUDED CONTRIBUTIONS TO RUTH'S HOUSE OF HOPE, RACHEL'S LIGHT, AND COMMUNITY ACTION CENTER, ALL NONPROFIT PARTNERS PROVIDING EMERGENCY AND TRANSITIONAL HOUSING IN THE COMMUNITY. CHARITABLE CONTRIBUTIONS WERE ALSO MADE TO 11 DIFFERENT NONPROFIT PARTNERS SUPPORTING FOOD NEEDS IN THE SOUTH REGION. 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 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 5: DISTRICT ONE HOSPITAL CHANGED ITS NAME TO ALLINA HEALTH FARIBAULT MEDICAL CENTER, EFFECTIVE 1/1/2022. COMMUNITY INPUT DETAILS SPECIFIC TO OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 8 -- FARIBAULT 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. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: REDUCE SUBSTANCE USE AND IMPROVE MENTAL WELLBEING WHILE DECREASING HARM AND DEATHS RELATED TO THE MISUSE OF OPIOIDS.IN 2024, FARIBAULT MEDICAL CENTER (FMC) AND OWATONNA HOPSITAL (OH) CONTINUED TO PROVIDE NARCAN TRAINING AND FREE FENTANYL TEST STRIPS TO COMMUNITY PARTNERS. FMC ALSO DEEPENED ITS RELATIONSHIP WITH THE RICE COUNTY MOBILE OPIOID SUPPORT TEAM (MOST) BY PROVIDING SPACE INSIDE THE FMC EMERGENCY DEPARTMENT FOR LONG-TIME PARTNER, HEALTH FINDERS COLLABORATIVE. FMC AND OH STAFF HEALTH FINDER'S OFFICE WITH A MENTAL HEALTH CLINICIAN ONCE A WEEK (8 HOURS) TO PROVIDE BETTER ACCESS TO MUCH-NEEDED MENTAL HEALTH SUPPORT IN COMMUNITY SETTINGS. ALLINA HEALTH ALSO PARTICIPATES IN THE STEELE COUNTY MENTAL HEALTH & SUBSTANCE USE COLLABORATIVE.GOAL 2: SUPPORT ORGANIZATIONS THAT WORK TO ESTABLISH AN ADEQUATE SUPPLY OF HOUSING THAT IS SAFE, HEALTHY AND AFFORDABLE FOR PEOPLE OF ALL INCOME LEVELS, RACES, AGES AND ABILITIES WHICH IS SUITABLE FOR THEIR NEEDS, INCREASE FOOD SECURITY, ACCESS TO QUALITY EDUCATION AND COMMUNITY-BASED PROGRAMS, AND INCREASE A SENSE OF BELONGING AND UNITY AMONG PRIORITY COMMUNITIES. IN 2024, FMC AND OH SUPPORTED KEY COMMUNITY PARTNERSHIPS IN ADDRESSING HEALTH-RELATED SOCIAL NEEDS WITH A FOCUS ON HOUSING AND FOOD ACCESS. HOUSING SUPPORT INCLUDED CONTRIBUTIONS TO RUTH'S HOUSE OF HOPE, RACHEL'S LIGHT, AND COMMUNITY ACTION CENTER, ALL NONPROFIT PARTNERS PROVIDING EMERGENCY AND TRANSITIONAL HOUSING IN THE COMMUNITY. CHARITABLE CONTRIBUTIONS WERE ALSO MADE TO 11 DIFFERENT NONPROFIT PARTNERS SUPPORTING FOOD NEEDS IN THE SOUTH REGION. GROUP A-FACILITY 8 -- FARIBAULT 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 8 -- FARIBAULT 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 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY INPUT DETAILS SPECIFIC TO RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER), A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED MORE THAN 50 STAKEHOLDERS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND MORE THAN 1,000 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. NEXT, THE GROUP CONDUCTED 12 FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS TO BETTER UNDERSTAND COMMUNITY HEALTH STRENGTHS AND CONCERNS. IN ADDITION TO REPRESENTATIVES FROM SOCIAL SERVICES, HEALTHCARE, LOCAL GOVERNMENT, LOCAL PUBLIC HEALTH, LOCAL LAW ENFORCEMENT, AND AREA SCHOOLS, FOCUS GROUP PARTICIPANTS INCLUDED FAMILIES RECEIVING SUPPORT FROM WIC (WOMEN, INFANTS & CHILDREN), RURAL RESIDENTS, COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS, HISPANIC COMMUNITY RESIDENTS AND AREA YOUTH. BASED ON THIS DATA REVIEW AND FEEDBACK, THE COALITION DEFINED ITS 2023-2025 PRIORITIES AND ACTION PLAN. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL 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:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 9 -- 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.GOAL 1: IMPROVE LOCAL ACCESS TO MEET THE NEEDS OF THOSE SEEKING MENTAL HEALTH CARE. ENHANCE WORKFORCE RESILIENCY AND WELL-BEING WHILE BUILDING HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES FOR YOUTH AND THEIR CAREGIVERS. RIVER FALLS AREA HOSPITAL CONTINUED THE CHANGE TO CHILL PROGRAM DURING THE 2023-2024 SCHOOL YEAR, PROVIDING FUNDING AND SUPPORT TO ELLSWORTH HIGH SCHOOL, MEYER MIDDLE SCHOOL, NEW RICHMOND HIGH SCHOOL, RENAISSANCE CHARTER ACADEMY, AND ST. CROIX PREPARATORY ACADEMY, REACHING APPROXIMATELY 3,695 STUDENTS. ELEVEN OUT OF TWELVE AREA SCHOOL DISTRICTS ALSO PARTICIPATE IN COORDINATED BI-MONTHLY MENTAL HEALTH CARE MEETINGS WITH NONPROFITS AND CARE PROVIDERS. ALLINA STAFF SERVE AS CO-CHAIR OF THE MENTAL, SOCIAL & EMOTIONAL WELL-BEING SUB-COMMITTEE OF HEALTHIER TOGETHER, A COMMUNITY COALITION MAINTAINING AND CREATING COMMUNITY HEALTH STRATEGY. RIVER FALLS AREA HOSPITAL HAS ACTIVE PARTNERSHIPS ADDRESSING SOCIAL CONNECTIONS WITH OUR NEIGHBOR'S PLACE, PIERCE COUNTY RELAY FOR LIFE, RIVER FALLS CHAMBER OF COMMERCE, RIVER FALLS SCHOOL DISTRICT, WILEY'S WARDROBE, PROJECT SEARCH, CVTC-RIVER FALLS. RIVER FALLS COMPLETED ITS PARTNERSHIP WITH PIERCE COUNTY HEALTH DEPARTMENT IMPLEMENTING ARTS-BASED PROGRAMS TO PROCESS THE EXPERIENCE AND AFTER EFFECT OF THE COVID-19 PANDEMIC. RESULTS INCLUDED A REPORT PHOTO BOOK WITH PAINTED IMAGES ALONG WITH THEIR DESCRIPTIONS AND SUMMARIES OF THE DATA COLLECTION PROCESS, QUALITATIVE DATA ANALYSIS, RESULTS, AND DISCUSSION (WHAT WE LEARNED/NEXT STEPS). STAFF PRESENTED THE PROJECT AND RESULTS AT THE 2024 ANNUAL WI PUBLIC HEALTH CONFERENCE, UW-RIVER FALLS EARTH DAY FEST, A CENTER FOR CREATIVITY AND PUBLIC HEALTH EVENT AT UW-RIVER FALLS, AND AT THREE PIERCE COUNTY LIBRARIES, RIVER FALLS, ELMWOOD, AND PLUM CITY. GOAL 2: IMPROVE SOCIAL, ENVIRONMENTAL AND ECONOMIC CONDITIONS THAT INFLUENCE HEALTH CARE AND INCREASE ACCESS TO HEALTH CARE.ALLINA, ALONG WITH LOCAL FIRE, EMS, AND THE AMERICAN RED CROSS, COMPLETED DOOR-TO-DOOR OUTREACH EVENTS IN SIX MANUFACTURED HOME COMMUNITIES. WE HAD FACE-TO-FACE CONTACT WITH 177 INDIVIDUALS/FAMILIES, DISTRIBUTED 612 SMOKE/CARBON MONOXIDE ALARMS, 139 WEATHER RADIOS, AND 13 FIRE EXTINGUISHERS.IN 2024, ALLINA HEALTH PROVIDED SUPPORT TO THE UW DIAPER BANK AND PIERCE COUNTY FOOD PANTRY WHICH PROVIDED DIAPERS TO 157 CHILDREN FROM 135 FAMILIES. FAMILIES VISITED THE FOOD/DIAPER PANTRY A TOTAL OF 657 TIMES, AN AVERAGE OF 4.8 TIMES PER FAMILY.ALLINA STAFF ALSO SERVED ON A REVIEW PANEL FOR BUILT ENVIRONMENT GRANTS WHICH COMPLETED IN 2024. SEVEN PROJECTS WERE FUNDED, INCLUDED: HEALING PLAY, INC., SCHOOL DISTRICT OF ELMWOOD, PLUM CITY MIDDLE AND HIGH SCHOOL, LIONS CLUB OF PRESCOTT, SCHOOL DISTRICT OF RF, VILLAGE OF ELLSWORTH, AND ELSIE'S BARNYARD, INC.ALLINA SUPPORTED NITRATE SCREENING FOR LOCAL WATER SOURCES, WITH FIVE CLINICS IN ST. CROIX COUNTY AND THREE TESTING EVENTS IN PIERCE COUNTY IN 2024. ALLINA ALSO CREATED A JOB AID FOR STAFF AND COMMUNITY TO ENCOURAGE ADVOCACY AND SHARE ADVOCACY RESOURCES. IN 2024, RIVER FALLS AREA WELCOMED STATE SENATOR ROB STAFHOLTS FOR A MEET AND GREET AND AS AN OPPORTUNITY TO INCREASE PROMOTION OF LOCAL ADVOCACY.GOAL 3: DECREASE SUBSTANCE MISUSE, HARM, AND DEATHS, WITH A FOCUS ON OPIOIDS, IN PIERCE AND ST. CROIX COUNTIES.IN 2024, 34 TOBACCO COMPLIANCE CHECKS WERE COMPLETED IN PIERCE COUNTY. NO TOBACCO SALES OCCURRED DURING THE CHECKS. FIVE PUBLIC EDUCATION ACTIVITIES WERE COMPLETED, INCLUDING NOTIFICATIONS OF UPCOMING COMPLIANCE CHECKS, POSITIVE REINFORCEMENT AND EDUCATION FOR RETAILERS AFTER COMPLIANCE CHECKS, FLYERS WITH PHOTO DEPICTIONS OF ILLEGAL TOBACCO PRODUCTS FOR RETAILERS, AND LETTERS INFORMING RETAILERS ON NEW LICENSING LAWS. FOUR MEDIA OUTREACH ACTIVITIES WERE COMPLETED, INCLUDING A FACEBOOK POST SHARING THE OUTCOME OF COMPLIANCE CHECKS, AN ARTICLE SHARING TOBACCO QUIT LINE RESOURCES, AN UPDATE FOR SCHOOL NURSES REGARDING SMOKELESS TOBACCO USAGE, AND AN AD IN THE LOCAL RIVER FALLS MOVIE THEATER. AS A HEALTHIER TOGETHER LEADERSHIP TEAM MEMBER, ALLINA HEALTH WAS INVOLVED IN THE PLANNING, LEADING UP TO IMPLEMENTATION OF THE TOBACCO CHECKS. ALLINA HEALTH STAFF ALSO ASSISTED IN THE DEVELOPMENT OF PROMOTIONAL ITEMS.RIVER FALLS AREA HOSPITAL CONTINUED WORK IN 2024 WITH PIERCE AND ST. CROIX COUNTY PUBLIC HEALTH DEPARTMENTS TO PLAN AND SUPPORT COMMUNITY EFFORTS TO DEPLOY OPIOID SETTLEMENT FUNDS. GROUP A-FACILITY 9 -- 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 9 -- RIVER FALLS AREA HOSPITAL 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 NINE 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. THE 2022 ASSESSMENT IDENTIFIED MENTAL WELLNESS, SUBSTANCE USE PREVENTION AND RECOVERY, SOCIAL DETERMINANTS OF HEALTH AND HEALTH-RELATED SOCIAL NEEDS AND ACCESS TO CULTURALLY RESPONSIVE CARE AS PRIORITY NEEDS FOR 2023-2025 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:-CHANGE TO CHILL (CTC) - IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2024, MORE THAN 80,000 PEOPLE VISITED THE CHANGE TO CHILL WEBSITE. IN-PERSON PRESENTATIONS IN 2024 WITH CTC CONTENT REACHED OVER 600 PEOPLE. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. DURING THE 2024-2025 SCHOOL YEAR, 34 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP. RESOURCES PROVIDED TO SCHOOLS UPON REQUEST WERE A NEWLY PACKAGED CURRICULUM FOR SCHOOL STAFF TO INCORPORATE CTC LESSONS AND/OR ACTIVITIES INTO THEIR INTERACTIONS WITH STUDENTS AND A KIT OF BRANDED FIDGETS, PRINT MATERIALS, AND OTHER FUN ITEMS TO HELP PROMOTE CTC IN THE SCHOOL ENVIRONMENT. -HELLO4HEALTH- WAS LAUNCHED IN 2021 TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED ARE ALSO REFERRED TO THE WEBSITE. IN 2024, HELLO4HEALTH MATERIALS WERE UPDATED AND 12,700 PEOPLE VISITED THE WEBSITE. ALLINA ALSO COMPLETED AN ACCESSIBILITY AUDIT OF THE SITE WITH ALL ISSUES RESOLVED TO RECEIVE ITS LETTER OF CONFORMANCE WITH LEVEL A AND LEVEL AA WEB CONTENT ACCESSIBILITY GUIDELINES. ADDITIONALLY, 110 INDIVIDUALS PARTICIPATED IN IN-PERSON CONVERSATIONS AROUND HELLO4HEALTH CONTENT. THE HELLO4HEALTH TEAM ALSO EXPLORED A PARTNERSHIP WITH THE NONPROFIT FRIENDS AND CO. TO SUPPORT THEIR COFFEE TALK HOTLINE WITH ALLINA HEALTH EMPLOYEE VOLUNTEERS. A 2024 PANEL PRESENTATION, FACILITATED BY HELLO4HEALTH STAFF, LED TO INCREASED VOLUNTEERISM AT THE ORGANIZATION. -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 2024, MORE THAN 150,000 PEOPLE VISITED THE HPK WEBSITE AND 600 PARTICPATED IN IN-PERSON EVENTS. THIS YEAR ALLINA BEGAN STEPS TO TRANSITION CONTENT FROM HEALTH POWERED KIDS TO CHANGE TO CHILL TO BETTER ALIGN AND STREAMLINE MESSAGE DELIVERY AND MAINTAIN RELEVANT CONTENT.-HEALTH-RELATED SOCIAL NEEDS PROGRAM- TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS PATIENT NEEDS AT POINT OF CARE AND CONNECT PATIENTS TO COMMUNITY PROGRAMS OR RESOURCES THAT SUPPORT ONGOING NEED, ALLINA HEALTH CONTINUED ITS HEALTH-RELATED SOCIAL NEEDS (HRSN) PROGRAM, AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. IN 2024, ALLINA HEALTH SCREENED MORE THAN 510,000 PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS SUCH AS HOUSING, FOOD INSECURITY, TRANSPORTATION AND HELP PAYING MEDICAL BILLS. OF THOSE, APPROXIMATELY 11% IDENTIFIED AT LEAST ONE NEED. NEARLY 13,400 PATIENTS ALSO RECEIVED SUPPORT ACCESSING COMMUNITY RESOURCES FROM AN ALLINA HEALTH COMMUNITY NAVIGATOR. THROUGH THE HRSN PROGRAM, ALLINA HEALTH HAS TRACKED REFERRAL PARTNERS - I.E., COMMUNITY SOCIAL SERVICE PROVIDERS WHO HAVE OPTED-IN TO PILOT A TWO-WAY REFERRAL PROCESS IN WHICH ALLINA HEALTH USERS TO SEND PATIENT INFORMATION DIRECTLY TO A COMMUNITY ORGANIZATION; THESE ORGANIZATIONS IN TURN UPDATE ALLINA HEALTH ON REFERRAL STATUS, CLOSING THE LOOP SO CLINICIANS CAN SEE THE RESULT OF THE REFERRAL. THIS PROCESS, CALLED A CLOSED LOOP REFERRAL, INCREASES TRUST AMONG PATIENTS AND IMPROVES COMMUNICATION, HANDOFF AND REFERRAL PROCESSES BETWEEN COMMUNITY ORGANIZATIONS AND ALLINA HEALTH. -FOOD ACCESS INITIATIVE- TO ADDRESS FOOD INSECURITY, ALLINA HEALTH CONTINUED ITS HEALTHY FOOD INITIATIVE, SUPPORTING ACCESS TO HEALTHY, FRESH, AND AFFORDABLE FOOD IN ITS COMMUNITY THROUGH CHARITABLE CONTRIBUTIONS, FOOD ACCESS INTERVENTIONS FOR PATIENTS, EMPLOYEE VOLUNTEERISM AND SUPPORTING INTERNAL AND EXTERNAL POLICIES. ALLINA HEALTH PRIMARY CARE CLINICS PROVIDED 3,156 MEALS TO ALLINA HEALTH PATIENTS EXPERIENCING URGENT FOOD NEEDS THROUGH A PARTNERSHIP WITH EVERY MEAL. THROUGH THIS PARTNERSHIP, PARTICIPATING ALLINA HEALTH PRIMARY CARE CLINICS PROVIDE 4-5 POUNDS OF NUTRITIOUS, NON-PERISHABLE FOOD TO PATIENTS IDENTIFYING A FOOD NEED. MEAL BAGS TAILORED TO DIETARY AND CULTURAL PREFERENCES ARE AVAILABLE, AS ARE BAGS WITH READY-TO-EAT FOOD. THROUGH A PARTNERSHIP WITH METRO MEALS ON WHEELS, ALLINA HEALTH PROVIDED 14 DAYS WORTH OF MEALS FREE OF CHARGE TO 13 PATIENTS WHO IDENTIFY AS FOOD INSECURE THROUGH SELECT AMBULATORY CARE MANAGEMENT PROGRAMS. FINALLY, ALLINA HEALTH CARE MANAGEMENT PROVIDED 57 GROCERY STORE GIFT CARDS TO PATIENTS AT ST. FRANCIS MEDICAL CENTER. THESE PROGRAMS ARE SUPPORTED BY THE ALLINA EMPLOYEE GIVING CAMPAIGN FOOD ACCESS FUND.-IMPACT INVESTMENT PORTFOLIO- IN 2020, THE ALLINA INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS AUTHORIZED AN ALLOCATION OF $30 MILLION TO CREATE AND FUND THE ALLINA HEALTH IMPACT PORTFOLIO. THE ALLINA HEALTH IMPACT FUND FOCUSES ON INVESTING IN INITIATIVES THAT IMPROVE THE ECONOMIC AND SOCIAL VITALITY OF OUR LOCAL COMMUNITIES. BY THE END OF 2024, A TOTAL OF $21.6 MILLION OF FUNDS HAD BEEN INVESTED IN NEARLY 20 DIFFERENT OPPORTUNITIES FOCUSED ON PRIORITIES SUCH AS HOUSING, WORKFORCE DEVELOPMENT AND SMALL BUSINESS SUPPORT. BY PROVIDING CAPITAL THROUGH INVESTMENTS TO LOCAL ORGANIZATIONS, WE ARE ABLE TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WHILE ENSURING OUR INVESTMENTS ARE EQUITABLE AND ALIGNED TO OUR GUIDING PRINCIPLES AND VALUES. 17 1 - ALLINA HEALTH CLINICS LLC-60 LOCATIONS PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS MN 55440 INPATIENT AND OUTPATIENT SERVICES 2 - ALLINA HEALTH PHARMACIES-13 LOCATIONS 800 E 28TH STREET MINNEAPOLIS MN 55407 PHARMACY SERVICES 3 - ALLINA HEALTH LABORATORIES 800 E 28TH STREET MINNEAPOLIS MN 55407 LABORATORY 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 - ALLINA HEALTH SURGERY CENTER-BP LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 7 - ALLINA HEALTH RESTORATIVE SUITES LLC 2845 N HAMLINE AVENUE ROSEVILLE MN 55113 TRANSITIONAL CARE 8 - ALLINA HEALTH SURGERY CENTER-VH LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 9 - SOUTHWEST SURGICAL CENTER LLC 920 EAST 28TH STREET SUITE 500 MINNEAPOLIS MN 55407 OUTPATIENT SURGERY CENTER 10 - GREENWAY SURGICAL SUITES LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 11 - ALLINA HEALTH HEART AND VASCULAR SURGERY 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 12 - WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 13 - CENTER FOR RESTORATIVE SURGERY AT MG LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 14 - ALLINA HEALTH SURGERY CENTER-LAKEVILLE 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 15 - ASPEN SLEEP CENTER 1010 BANDANA BOULEVARD WEST ST PAUL MN 55108 OUTPATIENT SERVICES 16 - NORTHSTAR SLEEP CENTER LLC 3800 COON RAPIDS BOULEVARD SUITE 3800 COON RAPIDS MN 55433 OUTPATIENT SERVICES 17 - MOBILE IMAGING SERVICES 7505 METRO BOULEVARD SUITE 400 EDINA MN 55439 MOBILE RADIOLOGY 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 I, LINE 7 COL(F):UNLIKE THE MAJORITY OF LARGE HEALTHCARE SYSTEMS, ALLINA IS ORGANIZED TO OPERATE ITS ELEVEN WHOLLY-OWNED HOSPITAL CAMPUSES IN THE SAME TAX ENTITY AS DOZENS OF PRIMARY CARE AND URGENT CARE CLINICS, REHABILITATION FACILITIES, PHARMACIES, AND OTHER NON-HOSPITAL SPECIALTY SERVICE LOCATIONS. THE REVENUE AND EXPENSES OF THIS COMBINATION OF HOSPITAL AND NON-HOSPITAL SERVICES IS INCLUDED ON THIS 990 FOR THE ENTITY, AND THE EXPENSES OF THE ENTIRE GROUP IS CARRIED TO PART 1 OF SCHEDULE H AS PART OF THE COMMUNITY BENEFIT CALCULATION. BECAUSE THE PERCENTAGES REFLECTED IN PART 1 OF SCHEDULE H ARE THE RATIO OF QUALIFYING COMMUNITY BENEFIT EXPENSES OVER THE TOTAL EXPENSES OF ALL LOCATIONS INCLUDED IN THE 990, THE DENOMINATOR IS DILUTED BY EXPENSES RELATING TO SERVICES LIKE PRIMARY CARE CLINICS AND PHARMACY OPERATIONS THAT ARE NOT HOSPITAL-BASED AND WOULD NOT BE INCLUDED IN THE SAME ENTITY AS HOSPITALS IN A MORE TRADITIONAL HEALTHCARE STRUCTURE. OPERATING EXPENSES FOR HEALTHCARE ENTITIES, INCLUDING LABOR, EQUIPMENT AND SUPPLIES CONTINUE TO RISE EXPONENTIALLY COMPARED TO REIMBURSEMENT STREAMS AND CONTRIBUTE TO THE LARGE NET OPERATING LOSS FOR THE SYSTEM REFLECTED IN THIS RETURN. DESPITE CHALLENGING OPERATING LOSSES, ALLINA HAS PRIORITIZED CONTINUED CONSISTENT INVESTMENT IN ITS LEVEL OF COMMUNITY BENEFIT SUPPORT OVER THE PAST FIVE YEARS EVEN WHERE, LIKE THE CURRENT REPORTING YEAR, SUCH INVESTMENTS CANNOT BE FUNDED FROM NET REVENUE. DUE TO THE STRUCTURE OF PART 1 OF SCHEDULE H WHICH LOOKS ONLY AT EXPENSES AND NOT AT NET OPERATING REVENUE, CONTINUED OPERATING EXPENSE INCREASES CREATE A DISTORTED PRESSURE ON THE REFLECTED COMMUNITY BENEFIT PERCENTAGE WHILE FINDING RESOURCES TO MAINTAIN SUCH CRITICAL EXPENDITURES IS INCREASINGLY CHALLENGING. 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 2024: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(M) ON PAGE 10 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 $213 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. MANY HOSPITALS ALSO CONDUCTED THEIR CHNA IN PARTNERSHIP OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES FOR THE 2023-2025 CYCLE. HOSPITAL PRIORITIES INCLUDE:-MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE-HEALTHY EATING AND ACTIVE LIVING-CHRONIC DISEASE AND HEALTH HABITS-ACCESS TO CARE-SOCIAL DETERMINANTS OF HEALTH-SOCIAL ISOLATION-RELATIONSHIP VIOLENCE-DENTAL CARE-AGING SERVICES-AFFORDABLE HOUSINGTO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES.IN MARCH, APRIL AND JULY 2022, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. THE PRIORITIZED COMMUNITIES IDENTIFIED BY EACH ALLINA HEALTH HOSPITAL WERE ALSO COMPARED AND THE MOST COMMON WERE IDENTIFIED FOR SYSTEM ACTION. 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/2023-2025-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSIN ADDITION TO THE FORMAL CHNA, ALLINA HEALTH HOSPITALS ASSESS COMMUNITY NEED ON AN ONGOING BASIS THROUGH PARTICIPATION IN COMMUNITY DIALOGUES AND COALITIONS, AND IN ONGOING DATA REVIEW IN PARTNERSHIP WITH PUBLIC HEALTH AND LOCAL NONPROFITS. 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 HOSPITAL CAMPUSES, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, TRANSITIONAL CARE, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND FARIBAULT MEDICAL CENTER SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES UNITED HOSPITAL - HASTINGS REGINA CAMPUS AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN. PART VI, LINE 5: GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. 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.SUSTAINABILITY EFFORTSAT ALLINA HEALTH TAKING CARE OF OUR ENVIRONMENT IS CRITICAL TO ENSURING GOOD HEALTH FOR OUR PATIENTS, EMPLOYEES AND OUR COMMUNITY. WE HAVE COMMITTED TO LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR MAJOR NEW CONSTRUCTION PROJECTS. IN 2024, ALLINA HEALTH CONTINUED ITS WASTE REDUCTION AND ENERGY EFFICIENCY PROJECTS, WHICH RESULTED IN NUMEROUS SUSTAINABILITY HONORS BEING AWARDED TO THE ALLINA HEALTH SYSTEM AND INDIVIDUAL SITES. 2024 PROGRESS ON OUR CLIMATE ACTION PLAN INCLUDES PURCHASING THREE ALTERNATIVE VEHICLES, REDUCING OUR ENERGY USE INTENSITY (EUI) BY 7 PERCENT, AND ACHIEVING 18 PERCENT OF OUR FOOD PURCHASES FROM LOCAL AND/OR SUSTAINABLE SOURCES. ADDITIONALLY, SINCE THE BEGINNING OF OUR SUSTAINABILITY PILOT PARTNERSHIP WITH RHEAPLY, AN ONLINE PLATFORM FOR SOURCE MATERIALS, ALLINA HEALTH HAS DONATED 187 ITEMS TO 31 LOCAL ORGANIZATION VALUED AT A TOTAL OF NEARLY $60,000. THESE DONATIONS EQUATE TO ALMOST 4,000 POUNDS OF DIVERTED WASTE. PART VI, LINE 6: ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE "TWIN CITIES") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 25,000 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 600 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 NINE HOSPITALS ON ELEVEN CAMPUSES AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 98,000 INPATIENT ADMISSIONS AND MORE THAN 1,225,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2024. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,796 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 60 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS PHYSICIANS AND HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), EMPLOYS PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 11,058,600 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2024. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 1,500 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, 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. OVER 700 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 2,700 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 $556,790,357 IN 2024.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 A FOUNDATION (ALLINA HEALTH FOUNDATION) THAT PROVIDES 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 1 MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 EAST 28TH STREET SUITE 100 MINNEAPOLIS MN 55407 411426406 501C3 1975000 0 SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION MINNESOTA COMMUNITY HEALTHCARE NETWORK 2351 GRAYS LANDING ROAD MINNETONKA MN 55391 472590506 501C3 917492 0 GENERAL SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS 1007 E 14TH STREET MINNEAPOLIS MN 55404 411302487 501C3 375183 0 GENERAL SUPPORT CULTURAL WELLNESS CENTER 2025 PORTLAND AVENUE SOUTH MINNEAPOLIS MN 55404 411850859 501C3 150000 0 GENERAL SUPPORT PROJECT FOR PRIDE IN LIVING 1035 EAST FRANKLIN AVENUE MINNEAPOLIS MN 55404 237232208 501C3 75000 0 GENERAL SUPPORT HEALTHFINDERS COLLABORATIVE 706 DIVISION STREET NORTHFIELD MN 55057 201805262 501C3 40000 0 PARTNERSHIP FOR POPULATION HEALTH INITIATIVES WALK-IN COUNSELING CENTER 2421 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 410983461 501C3 40000 0 GENERAL SUPPORT EVERY MEAL 2723 PATTON ROAD ROSEVILLE MN 55113 800919680 501C3 37263 0 GENERAL SUPPORT OPEN ARMS OF MINNESOTA INC 2500 BLOOMINGTON AVENUE MINNEAPOLIS MN 55404 411681317 501C3 33500 0 GENERAL SUPPORT FUHN COMMUNITY CARE NETWORK 2550 UNIVERSITY AVE W SUITE 340-S SAINT PAUL MN 55114 933686977 501C3 30000 0 GENERAL SUPPORT NEIGHBORHOOD HEALTHCARE NETWORK INC 2829 UNIVERSITY AVENUE SE 645 MINNEAPOLIS MN 55414 410990979 501C3 30000 0 GENERAL SUPPORT ST MARYS HEALTH CLINICS 1884 RANDOLPH AVENUE SAINT PAUL MN 55105 411760632 501C3 30000 0 GENERAL SUPPORT INDIGENOUS PEOPLE'S TASK FORCE 1335 EAST 23RD STREET MINNEAPOLIS MN 55404 363617906 501C3 25000 0 GENERAL SUPPORT REGIONS HOSPITAL FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 55440 411888902 501C3 25000 0 CONTRIBUTION TO THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM COMMUNITY ACTION CENTER OF NORTHFIELD 1651 JEFFERSON PARKWAY NORTHFIELD MN 55057 410970984 501C3 21000 0 GENERAL SUPPORT DIVISION OF INDIAN WORK 1001 E LAKE STREET MINNEAPOLIS MN 55407 815265328 501C3 21000 0 GENERAL SUPPORT CLARE HOUSING FACILITY 929 CENTRAL AVENUE NE MINNEAPOLIS MN 55413 411794924 501C3 20750 0 GENERAL SUPPORT BEACON INTERFAITH HOUSING COLLABORATIVE 2610 UNIVERSITY AVENUE WEST SUITE 100 SAINT PAUL MN 55114 411953599 501C3 20000 0 GENERAL SUPPORT KEYSTONE COMMUNITY SERVICES 2000 SAINT ANTHONY AVENUE SAINT PAUL MN 55104 410693924 501C3 15500 0 GENERAL SUPPORT THE FOOD GROUP MINNESOTA 8501 54TH AVENUE NORTH NEW HOPE MN 55428 411246504 501C3 15500 0 GENERAL SUPPORT METRO MEALS ON WHEELS INC 1200 WASHINGTON AVE SOUTH SUITE 380 MINNEAPOLIS MN 55415 311501057 501C3 15000 0 GENERAL SUPPORT SECOND HARVEST HEARTLAND 7101 WINNETKA AVENUE NORTH BROOKLYN PARK MN 55428 237417654 501C3 14000 0 2024 DISH GALA SPONSORSHIP HUMANITY ALLIANCE 779 OAK DRIVE VICTORIA MN 55386 832358013 501C3 13000 0 GENERAL SUPPORT NEIGHBORHOOD HOUSE 179 EAST ROBIE STREET SAINT PAUL MN 55407 410693916 501C3 12500 0 GENERAL SUPPORT ROCK FROM THE HEART 638 MONTROSE AVENUE DELANO MN 55328 842009806 501C3 12500 0 GENERAL SUPPORT RUTHS HOUSE OF HOPE P O BOX 593 FARIBAULT MN 55021 870709671 501C3 11100 0 GENERAL SUPPORT HASTINGS FAMILY SERVICE 301 EAST SECOND STREET HASTINGS MN 55033 237083534 501C3 11000 0 GENERAL SUPPORT MINNESOTA BRIDGE TO FREEDOM 18591 MUSHTOWN ROAD PRIOR LAKE MN 55372 832797380 501C3 11000 0 GENERAL SUPPORT THE HOPE PROJECT 1800 GRAHAM AVE STE 317 SAINT PAUL MN 55116 872740592 501C3 10500 0 GENERAL SUPPORT THE SANNEH FOUNDATION 2090 CONWAY STREET SAINT PAUL MN 55119 562332269 501C3 10500 0 GENERAL SUPPORT NATIVE AMERICAN COMMUNITY DEVELOPMENT INSTITUTE 1414 E FRANKLIN AVE 1 MINNEAPOLIS MN 55404 412117257 501C3 10000 0 GENERAL SUPPORT ALEXANDRA HOUSE INC 10065 3RD STREET NE BLAINE MN 55434 411309977 501C3 10000 0 HOPE GALA AND HOPE FEST SPONSORSHIP ANNEX TEEN CLINIC 5810 42ND AVENUE NORTH ROBBINSDALE MN 55422 237236943 501C3 10000 0 GENERAL SUPPORT BEYOND NEW BEGINNINGS 771 CASCADE DRIVE CHASKA MN 55318 851937150 501C3 10000 0 GENERAL SUPPORT CAMP FIRE MINNESOTA 3300 TANADOONA DRIVE EXCELSIOR MN 55331 410706116 501C3 10000 0 GENERAL SUPPORT COMMUNITY EMERGENCY SERVICE INC 1900 11TH AVENUE SOUTH MINNEAPOLIS MN 55404 411728341 501C3 10000 0 GENERAL SUPPORT COMUNIDADES LATINAS UNIDAS EN SERVICIO 797 EAST 7TH STREET ST PAUL MN 55106 411386986 501C3 10000 0 SPONSORSHIP FOR 2024 GALA LATINA CORNERSTONE ADVOCACY SERVICE 1000 E 80TH STREET BLOOMINGTON MN 55420 411476268 501C3 10000 0 GENERAL SUPPORT DARTS 1645 MARTHALER LANE WEST ST PAUL MN 55118 411326631 501C3 10000 0 GENERAL SUPPORT FACE TO FACE HEALTH & COUNSELING SERVICE INC 1165 ARCADE STREET SAINT PAUL MN 55103 410986780 501C3 10000 0 GENERAL SUPPORT FAMILYMEANS 1875 NORTHWESTERN AVENUE SOUTH STILLWATER MN 55082 416045574 501C3 10000 0 GENERAL SUPPORT FREE BIKES 4 KIDZ PO BOX 007 LONG LAKE MN 55356 271199089 501C3 10000 0 GENERAL SUPPORT HOUSING LINK 1400 VAN BUREN STREET NE SUITE 215 MINNEAPOLIS MN 55413 411873314 501C3 10000 0 GENERAL SUPPORT ST PAUL PUBLIC SCHOOLS 360 COLBORNE STREET SAINT PAUL MN 55102 410901311 ISD 625 10000 0 GENERAL SUPPORT LEE CARLSON CENTER FOR MENTAL HEALTH & WELL-BEING 7954 UNIVERSITY AVE NE FRIDLEY MN 55432 411354967 501C3 10000 0 GENERAL SUPPORT MYHEALTH FOR TEENS & YOUNG ADULTS 15 8TH AVENUE SOUTH HOPKINS MINNESOTA MN 55343 237152735 501C3 10000 0 GENERAL SUPPORT NEIGHBORHOOD HEALTHSOURCE 3300 FREMONT AVENUE N MINNEAPOLIS MN 55412 411235064 501C3 10000 0 GENERAL SUPPORT NORMANDALE MINISTRY FOR HEALING AND WHOLENESS 6100 NORMANDALE ROAD EDINA MN 55436 411959179 501C3 10000 0 GENERAL SUPPORT OUR SAVIOUR'S COMMUNITY SERVICES 2315 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 200810105 501C3 10000 0 GENERAL SUPPORT PILLSBURY UNITED COMMIUNITIES 3650 FREMONT AVENUE NORTH 130 MINNEAPOLIS MN 55412 410916478 501C3 10000 0 GENERAL SUPPORT ROOTS FOR THE HOME TEAM 12 YELLOW BIRCH ROAD SAINT PAUL MN 55110 462184817 501C3 10000 0 GENERAL SUPPORT SOUTHERN ANOKA COMMUNITY ASSISTANCE 627 38TH AVE NE COLUMBIA HEIGHTS MN 55421 411272131 501C3 10000 0 GENERAL SUPPORT SOUTHERN VALLEY ALLIANCE 551 E PARK ST BELLE PLAINE MN 56011 411483575 501C3 10000 0 GENERAL SUPPORT STEPPING STONE EMERGENCY HOUSING 3300 FOURTH AVENUE CRONIN BLDG 14 ANOKA MN 55303 203226868 501C3 10000 0 GENERAL SUPPORT RIDGEVIEW FOUNDATION 490 S MAPLE ST SUITE 110 WACONIA MN 55387 411328097 501C3 10000 0 SPONSORSHIP OF THE RIDGEVIEW FOUNDATION BIG 3 STAKEHOLDER WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVE MINNEAPOLIS MN 55405 410711618 501C3 10000 0 GENERAL SUPPORT WAY TO GROW 201 IRVING AVENUE NORTH STE 100 MINNEAPOLIS MN 55405 710956749 501C3 10000 0 GENERAL SUPPORT YWCA OF MINNEAPOLIS 1130 NICOLLET MALL MINNEAPOLIS MN 55403 410693891 501C3 10000 0 GENERAL SUPPORT COMMUNITY EMERGENCY ASSISTANCE PROGRAM INC 7051 BROOKLYN BOULEVARD BROOKLYN CENTER MN 55429 410990340 501C3 9500 0 GENERAL SUPPORT VALLEY FRIENDSHIP CLUB 5620 MEMORIAL AVENUE NORTH STE C STILLWATER MN 55082 272362329 501C3 8500 0 GENERAL SUPPORT HASTINGS HIGH SCHOOL PEER HELPERS 200 GENERAL SIEBEN DRIVE HASTINGS MN 55033 416000810 ISD 200 8225 0 GENERAL SUPPORT GREATER MINNEAPOLIS CRISIS NURSERY 4544 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55419 411379021 501C3 8000 0 SPONSORSHIP FOR THE FORMULA FOR HOPE EVENT SCOTT COUNTY PUBLIC SAFETY FOUNDATION 4824 ADRIAN CIRCLE SE PRIOR LAKE MN 55372 993277953 501C3 8000 0 SUPPORT FOR CHOOSE NOT TO USE FAMILY PATHWAYS 6413 OAK STREET NORTH BRANCH MN 55056 411332828 501C3 8000 0 GENERAL SUPPORT BASIC NEEDS INC OF SOUTH WASHINGTON CO 445 BROADWAY AVE ST PAUL PARK MN 55071 411878604 501C3 7500 0 GENERAL SUPPORT CANVAS HEALTH 7066 STILLWATER BLVD N OAKDALE MN 55128 410955577 501C3 7500 0 GENERAL SUPPORT CORNERHOUSE 2502 10TH AVE SOUTH MINNEAPOLIS MN 55404 411640731 501C3 7500 0 GENERAL SUPPORT HIGHLAND FRIENDSHIP CLUB 1795 HOLTON ST ROOM 105 SAINT PAUL MN 55113 411708179 501C3 7500 0 GENERAL SUPPORT INTERFAITH OUTREACH 1605 COUNTY ROAD 101 NORTH PLYMOUTH MN 55447 363482724 501C3 7500 0 GENERAL SUPPORT NEW PATHWAYS INC 310 S ASHLAND STREET CAMBRIDGE MN 55008 411945426 501C3 7500 0 GENERAL SUPPORT RISE UP RECOVERY 507 VERMILLION STREET HASTINGS MN 55033 863669082 501C3 7500 0 GENERAL SUPPORT THE FAMILY PARTNERSHIP 414 S 8TH STREET MINNEAPOLIS MN 55404 410693858 501C3 7500 0 SPONSORSHIP FOR THE 2024 BETTER TOGETHER LUNCHEON UNITED WAY OF HASTINGS 113 2ND ST E STE 102 HASTINGS MN 55033 411486488 501C3 7500 0 GENERAL SUPPORT SOUTHSIDE COMMUNITY HEALTH SERVICES INC 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 237113799 501C3 7000 0 GENERAL SUPPORT ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC 225 N MICHIGAN AVE 17TH FLOOR CHICAGO IL 60601 133039601 501C3 7000 0 GENERAL SUPPORT HOPE 4 YOUTH 2191 NORTHDALE BLVD NW COON RAPIDS MN 55303 461626500 501C3 6000 0 GENERAL SUPPORT OUR NEIGHBORS PLACE PO BOX 274 RIVER FALLS WI 54022 352383155 501C3 6000 0 GENERAL SUPPORT NAMI MINNESOTA (EAST METRO CRISIS ALLIANCE) 1919 UNIVERSITY AVE W STE 400 ST PAUL MN 55104 411317030 501C3 5750 0 GENERAL SUPPORT 76 2 SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES 26 40500 HOUSING AND LIVING ASSISTANCE 273 119526 MEDICAL ASSISTANCE 10800 150000 MISCELLANEOUS ITEMS 1010 2762 FMV BOOKS DISTRIBUTED AT EVENTS SCHEDULE I, PART I, LINE 2 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. 1 X X X X X 1 1 0 0 0 1 1 0 1 1 LISA SHANNON PRESIDENT/CEO 1758017 0 600000 0 281228 0 1416366 0 36482 0 4092093 0 217396 0 DOMINICA TALLARICO EVP, CHIEF OPERATING OFFIC 1202264 0 228462 0 30191 0 603006 0 35107 0 2099030 0 0 0 CIRO VASQUEZ MD PHYSICIAN 1810287 0 0 0 4060 0 108045 0 30724 0 1953116 0 0 0 MAHMOUD NAGIB MD PHYSICIAN 1669864 0 0 0 108123 0 22425 0 23191 0 1823603 0 0 0 STEPHEN MCHALE MD PHYSICIAN 1542388 0 1500 0 3315 0 95111 0 42025 0 1684339 0 0 0 CHRISTINE MOORE EVP, CHIEF ADMINISTRATIVE 575119 0 285040 0 722628 0 -54888 0 31833 0 1559732 0 382981 0 DANA HARMS MD PHYSICIAN 1350668 0 1500 0 128300 0 22425 0 26278 0 1529171 0 0 0 MARK HELLER MD PHYSICIAN 1427953 0 0 0 32813 0 18975 0 23027 0 1502768 0 0 0 ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN. 687067 0 100000 0 359202 0 201682 0 31959 0 1379910 0 214701 0 LAWRENCE CHO SVP, CHIEF STRATEGY & GROW 670910 0 250000 0 53015 0 395865 0 0 0 1369790 0 0 0 HSIENG SU MD SVP, CHIEF MEDICAL OFFICER 826115 0 0 0 74669 0 398982 0 23344 0 1323110 0 0 0 SANJAY SINGH MD VP CLINICAL SERVICE LINE N 968869 0 0 0 50588 0 264322 0 34950 0 1318729 0 0 0 BADRINATH KONETY MD VP CANCER INSTITUTE/PRESID 995246 0 0 0 55975 0 256134 0 3527 0 1310882 0 0 0 DAVID SLOWINSKE SVP OPERATIONS - NORTHEAST 614085 0 150000 0 101687 0 291835 0 34638 0 1192245 0 92915 0 DOUGLAS WATSON EVP, CHIEF FINANCIAL OFFICER 564390 0 210000 0 97157 0 251772 0 13584 0 1136903 0 0 0 DANDRE CARPENTER DNP SVP SYSTEM NURSING OFFICER 600671 0 100000 0 99219 0 231209 0 10649 0 1041748 0 0 0 DAVID JOOS VP OPERATIONS-SOUTHWEST RE 585932 0 0 0 103356 0 149349 0 34638 0 873275 0 0 0 ROBERT QUICKEL MD VP CLINICAL SERVICE LINE, 688709 0 0 0 125907 0 18975 0 38082 0 871673 0 0 0 SARAH STUMME CARTER SVP, CHIEF HUMAN RESOURCES OFFICER 553776 0 130000 0 45527 0 135293 0 0 0 864596 0 0 0 DAVID INGHAM DO VP CHIEF INFORMATION OFFIC 516491 0 100000 0 59676 0 124739 0 35378 0 836284 0 0 0 VENKAT IYER MD VP CLINICAL SERVICE LINE 575998 0 0 0 58321 0 118023 0 40134 0 792476 0 0 0 WILLIAM EVANS SVP CHIEF MEDICAL GROUP OPERATIONS O 420051 0 100000 0 42855 0 101519 0 11477 0 675902 0 0 0 NICHOLAS MENDYKA VP SYSTEM FINANCE OPERATIO 178400 0 0 0 468720 0 9094 0 14122 0 670336 0 129819 0 SARA CRIGER FORMER SVP/OPS/PRES MERCY & UNITE 0 0 0 0 658260 0 0 0 0 0 658260 0 0 0 THOMAS LUBOTSKY VP SUPPLY CHAIN 418652 0 110000 0 67484 0 18975 0 40134 0 655245 0 0 0 DANIEL O'LAUGHLIN MD DIRECTOR 474571 0 0 0 4600 0 79614 0 38000 0 596785 0 0 0 RICHARD MAGNUSON TREASURER/EVP/CFO 235997 0 100000 0 259997 0 -70978 0 3500 0 528516 0 0 0 RYAN ELSE MD FORMER VP MEDICAL AFFAIRS 0 0 0 0 479940 0 0 0 0 0 479940 0 159350 0 MOTTI EDELSTEIN VP REVENUE CYCLE MANAGEMEN 175466 0 0 0 227515 0 9008 0 15375 0 427364 0 128468 0 JONATHAN SHOEMAKER FORMER SVP OPERATIONS AND CHIEF I 0 0 0 0 309300 0 0 0 0 0 309300 0 0 0 PETER HOFRENNING FORMER SVP,INTERIM CHIEF C 243716 0 0 0 2056 0 0 0 41822 0 287594 0 0 0 KIMBERLY JORDAN VP, CHIEF COMPLIANCE OFFICER 182427 0 25000 0 1872 0 25846 0 6462 0 241607 0 0 0 JOHN MISA MD FORMER VP INTERIM AHG MED OFF 0 0 0 0 224640 0 0 0 0 0 224640 0 0 0 PATRICIA WESELA INTERIM CHIEF COMPLIANCE O 112074 0 50000 0 26660 0 8454 0 14896 0 212084 0 0 0 PART I, LINES 4A-B 4(A): CHRISTINE MOORE - $117,181; NICHOLAS MENDYKA - $239,123; SARA CRIGER - $658,260; JOHN MISA, MD - $224,640; JONATHAN SHOEMAKER - $309,300; RYAN ELSE, MD - $259,292 4(B): LISA SHANNON - $243,111; LAWRENCE CHO - $49,607; RICHARD MAGNUSON - $226,383, CHRISTINE MOORE - $567,848; ELIZABETH TRUESDELL SMITH - $351,789; SARAH STUMME CARTER - $40,632; HSIENG SU, MD - $38,842; MOTTI EDELSTEIN - $226,006; WILLIAM EVANS - $39,537; DAVID INGHAM, DO - $53,476; VENKAT IYER, MD - $30,049; DAVID JOOS - $72,629; BADRINATH KONETY, MD - $20,098; THOMAS LUBOTSKY - $59,323; NICHOLAS MENDYKA - $228,120; ROBERT QUICKEL, MD - $101,265; DAVID SLOWINSKE - $96,273; MAHMOUD NAGIB, MD - $82,349; DANA HARMS, MD - $71,483; PATRICIA WESELA - $24,464; RYAN ELSE, MD - $220,648 PART I, LINE 6 DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS. PART I, LINE 8 CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS. SCHEDULE J, LINE 4(A) & (B) ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: 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 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 SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. 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. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN. A CITY OF MINNEAPOLIS MINNESOTA 416005375 60374VEX7 2023-05-10 401407215 SEE PART VI 0 0 0 B CITY OF MINNEAPOLIS MINNESOTA 416005375 60374VEV1 2021-11-10 201215544 SEE PART VI 0 0 0 C CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 603695JN8 2019-10-23 82732038 REFUND ISSUE DATED 11/10/2009 0 0 0 D CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 603695JC2 2017-04-13 92779168 REFUND ISSUE DATED 11/15/2009 0 0 0 A 425355109 27477083 2709631 191754005 203414390 0 0 0 1 B 204755478 1213455 203542023 2024 0 0 1 1 C 28050000 82732038 925179 3908 81802951 2019 1 0 1 1 D 31195000 92779168 830328 6508 91942332 2017 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 0 0.00800 0.00000 0.00800 0 0 1 D 0 1 1 1 0 0.00600 0.00000 0.00600 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 1 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN A, B, & F EXPLANATION BOND A: (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF AN APPROXIMATELY 575,000 SQUARE FOOT, TEN-STORY SURGICAL AND CRITICAL CARE PAVILION, TOGETHER WITH RELATED INFRASTRUCTURE. BOND B: (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF PARKING PROJECT AND POWER STATION PROJECT. BOND C: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND A PORTION OF THE 2009A BONDS DATED 11/10/2009. BOND D: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND THE SERIES 2009A BONDS DATED 11/10/2009. PART II, LINE 3 EXPLANATION BOND A: THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS. BOND B: THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS. PART II, LINE 11 EXPLANATION BOND C: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE NO LONGER IN ESCROW. BOND D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE NO LONGER IN ESCROW. PART IV, ARBITRAGE, LINE 2C BOND C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/05/2023 BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/09/2022 ERIN CHURCH FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER 55360 EMPLOYMENT 0 MAKENZIE SHANNON FAMILY MEMBER OF LISA SHANNON, PRESIDENT AND CEO 93888 EMPLOYMENT 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: X EQUIPMENT 41 184780 FAIR MARKET VALUE X EYEGLASS FRAMES & GLASSES 1400 137124 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP - DIRECTORS DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. ALSO SERVE ON THE PIPER SANDLER COMPANIES BOARD OF DIRECTORS. DEBBRA SCHONEMAN IS ALSO AN EMPLOYEE/OFFICER OF PIPER SANDLER COMPANIES. BUSINESS RELATIONSHIP - RICHARD MAGNUSON (TERM ENDED 4/1/24), DOUG WATSON (TERM BEGAN 7/1/24), AND LAWRENCE CHO 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 - ELIZABETH TRUESDELL SMITH IS A BOARD MEMBER AND RICHARD MAGNUSON (TERM ENDED 4/1/24) AND DOUG WATSON (TERM BEGAN 7/1/24) ARE BOARD MEMBERS AND BOARD OFFICERS OF FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY, SPC, A WHOLLY OWNED SUBSIDIARY OF ALLINA. BUSINESS RELATIONSHIP - MAYKAO HANG, PH.D. IS EMPLOYED BY THE UNIVERSITY OF ST. THOMAS AND DEBBRA SCHONEMAN IS A DIRECTOR ON THAT BOARD. BUSINESS RELATIONSHIP - TIM WELSH AND THOMAS SCHREIER, JR. ARE CO-INVESTORS IN A PARTNERSHIP THAT INVESTS IN THE MN UNITED FOOTBALL CLUB; THE RIGHTS TO THE PHYSICAL STADIUM ARE OWNED DIRECTLY BY MUSC HOLDINGS, AND THE HOLDING COMPANY ALSO CONTROLS MNUFC. SHARI BALLARD IS AN EMPLOYEE OFFICER OF MNUFC. BUSINESS RELATIONSHIP - DIRECTORS AMY RONNEBERG AND LISA SHANNON. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, AMY RONNEBERG AND LISA SHANNON ALSO SERVE ON THE MEDICAL ALLEY BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - AMY RONNEBERG IS EMPLOYED BY THE NATIONAL MARROW DONOR PROGRAM BE THE MATCH, IN WHICH VICKI YANISCH (RASMUSSEN) IS A BOARD DIRECTOR. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, THOMAS SCHREIER AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE MINNEAPOLIS INSTITUTE OF ART. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DAVID KUPLIC AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE ORDWAY CENTER FOR THE PERFORMING ARTS. BUSINESS RELATIONSHIP - THOMAS SCHREIER AND TIMOTHY WELSH ARE OWNERS IN THE SAME ORGANIZATION - SYNERFUSE, INC. BUSINESS RELATIONSHIP - BADRINATH KONETY, MD, LISA SHANNON AND ROBERT QUICKEL, MD ARE ALL BOARD MEMBERS AND HSIENG SU, MD AND DOUGLAS WATSON ARE OFFICERS OF THE SAME RELATED ORGANIZATION - ALLINA INTEGRATED MEDICAL NETWORK. BUSINESS RELATIONSHIP - SARA CRIGER, CHRISTINE MOORE AND LISA SHANNON ARE ALL BOARD MEMBERS OF THE SAME RELATED ORGANIZATION - ALLINA SPECIALTY ASSOCIATES. BUSINESS RELATIONSHIP - CHANDA SMITH BAKER AND BARBARA BUTTS WILLIAMS ARE BOARD MEMBERS AND RICHARD MAGNUSON (TERM ENDED 4/1/24), DOUGLAS WATSON (TERM BEGAN 7/1/24) AND LISA SHANNON ARE OFFICERS OF THE SAME RELATED ORGANIZATION - ALLINA HEALTH FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE ALLINA HEALTH SYSTEM FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S CHIEF FINANCIAL OFFICER ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. AFTER THE MANAGEMENT REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE [IRS], WAS PROVIDED TO EACH VOTING MEMBER OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS. AN ALLINA HEALTH SYSTEM BOARD OF DIRECTORS MEETING WAS HELD ON NOVEMBER 4, 2025 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 AND CHIEF OPERATING OFFICER; EVP CHIEF FINANCIAL OFFICER, EVP CHIEF HUMAN RESOURCES AND ADMINISTRATIVE OFFICER; SVP OPERATIONS/PRESIDENT III; SVP CHIEF MARKETING OFFICER; SVP CHIEF COMPLIANCE OFFICER; SVP CHIEF STRATEGY AND GROWTH OFFICER; SVP CHIEF MEDICAL OFFICER; SVP GENERAL COUNSEL; SVP CHIEF INFORMATION AND IMPROVEMENT 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. $16,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF JENNIFER ALSTAD $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF SHARI BALLARD $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF JOHN CHURCH $17,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF VICKI RASMUSEN YANISCH $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF DEBBRA SCHONEMAN $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF THOMAS SCHREIER, JR. $22,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF TIMOTHY WELSH $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF BRIAN MCGRANE $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF RUTH WILLIAMS-BRINKLEY FORM 990, PART XI, LINE 9: FAS 106 MN BENEFIT RETIREMENT ADJUSTMENT 1,645,591. SCA BROOKLYN PARK AND EDINA AMBULATORY SURGERY CENTER CONTRIBUTIONS 6,897,959. COOKE SPIRIT FUND 786,316. RESTRICTED MEDICAL STAFF FUND ACTIVITY 89,037. UNRESTRICTED CONTRIBUTIONS TO DISTRICT ONE FOUNDATION -49,496. ALLINA HEALTH CANCER CLINIC CAPITAL CAMPAIGN CONTRIBUTIONS -58,992. NET ASSETS RELEASED FROM RESTRICTIONS - NONCAPITAL 60,065. PART XII, LINE 2C THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR. 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