ALLINA HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ALLINA HEALTH SYSTEM (EIN 36-3261413)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-10
IRS object ID: 202113149349304741
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-10T13:58:39-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363261413	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD E MAGNUSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	6122620660	PhoneNum
Signature	2021-11-10	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RICHARD	PersonFirstNm
Person Last	MAGNUSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$5,738,810,024	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ALLINAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE NEEDS OF OUR PATIENTS THROUGH WHOLE PERSON CARE-PHYSICAL, MENTAL, SPIRITUAL AND COMMUNITY. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2020, ALLINA HEALTH PROVIDED $631,066,161 IN COMMUNITY CONTRIBUTIONS SUCH AS DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	32300	TotalEmployeeCnt
Total Volunteers	2817	TotalVolunteersCnt
Total Gross UBI	$32,996,282	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,774,570	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,617,733	PYContributionsGrantsAmt
CY Contributions Grants	$25,084,616	CYContributionsGrantsAmt
PY Program Service Revenue	$4,507,988,236	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,402,766,104	CYProgramServiceRevenueAmt
PY Investment Income	$57,218,610	PYInvestmentIncomeAmt
CY Investment Income	$159,574,900	CYInvestmentIncomeAmt
PY Other Revenue	$54,613,817	PYOtherRevenueAmt
CY Other Revenue	$44,414,432	CYOtherRevenueAmt
PY Total Revenue	$4,655,438,396	PYTotalRevenueAmt
CY Total Revenue	$4,631,840,052	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,517,022	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,008,356	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,782,019,594	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,771,677,701	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,480,018	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,749,379,068	PYOtherExpensesAmt
CY Other Expenses	$1,739,125,486	CYOtherExpensesAmt
PY Total Expenses	$4,538,915,684	PYTotalExpensesAmt
CY Total Expenses	$4,513,811,543	CYTotalExpensesAmt
PY Revenues Less Expenses	$116,522,712	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$118,028,509	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,338,690,925	TotalAssetsBOYAmt
Total Assets EOY	$5,900,652,811	TotalAssetsEOYAmt
Total Liabilities BOY	$2,280,235,406	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,731,421,914	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,058,455,519	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,169,230,897	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSIONWE SERVE OUR COMMUNITIES BY PROVIDING EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE.OUR VISIONWE WILL: PUT THE PATIENT FIRST; MAKE A DIFFERENCE IN PEOPLES LIVES BY PROVIDING EXCEPTIONAL CARE AND SERVICE; CREATE A HEALING ENVIRONMENT WHERE PASSIONATE PEOPLE THRIVE AND EXCEL; AND LEAD COLLABORATIVE EFFORTS THAT SOLVE OUR COMMUNITY'S HEALTH CARE CHALLENGES.OUR VALUESINTEGRITY, RESPECT, TRUST, COMPASSION AND STEWARDSHIP	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,383,598,788	ExpenseAmt
Grant	$3,008,356	GrantAmt
Revenue	$4,558,772,507	RevenueAmt
Desc	PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE; THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE. ABBOTT NORTHWESTERN HOSPITAL ALSO OFFERS SPECIALTY EYE CARE THROUGH THE PHILLIPS EYE INSTITUTE, WHICH DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY. BUFFALO HOSPITAL - BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY, AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY.DISTRICT ONE HOSPITAL - FARIBAULT, MNLOCATED JUST SOUTH OF THE TWIN CITIES IN FARIBAULT, DISTRICT ONE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES: BIRTH CENTER, COURAGE KENNY REHABILITATION INSTITUTE, CARDIOPULMONARY REHABILITATION, DIAGNOSTIC IMAGING, EMERGENCY, GENERAL SURGERY, LABORATORY, PHARMACY, SLEEP STUDY AND VIRGINIA PIPER CANCER INSTITUTE. THE DYNAMIC HEALTH CARE CAMPUS ALSO INCLUDES THE ALLINA HEALTH FARIBAULT CLINIC AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT. MERCY HOSPITAL - COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE THE HEART & VASCULAR CENTER, CANCER CARE, THE MOTHER BABY CENTER, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. THE UNITY CAMPUS OF MERCY, LOCATED IN FRIDLEY, ALSO PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL-BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL - OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.REGINA MEDICAL CENTER-HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, PEDIATRICS, EMERGENCY MEDICINE, INPATIENT GERIATRIC MENTAL HEALTH, UROLOGY AND OCCUPATIONAL MEDICINE. SINCE ITS FOUNDATION, REGINA HOSPITAL CONTINUES TO MAINTAIN ITS CATHOLIC HERITAGE FOCUSING ON SERVING THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HASTINGS CAMPUS INCLUDES SENIOR LIVING FACILITIES, TWO ALLINA HEALTH CLINICS AND A SURGERY CENTER.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR VIRGINIA PIPER CANCER CENTER BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT, CANCER AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL - ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS AMONG LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2020, ALLINA HEALTH EXPENDED OVER $3 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 7,400,000 CLINIC VISITS, 96,652 INPATIENT ADMISSIONS AND 1,100,000 HOSPITAL OUTPATIENT VISITS. THERE WERE 302,195 EMERGENCY CARE VISITS, 376,257 HOMECARE AND HOSPICE VISITS, AND 13,456 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, AND MENTAL HEALTH SERVICES. IN 2020, ALLINA HEALTH EXPENDED $23,027,801 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$388,613,132	ExpenseAmt
Desc	COST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA HEALTH IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE, OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE FOR ALL INDIVIDUALS, ALLINA HEALTH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS ALLINA HEALTH INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2020, ALLINA HEALTH PROVIDED $388,613,132 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 2020, ALLINA HEALTH EXPENDED $259,377,338 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $47,555,450 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 2020, ALLINA HEALTH PAID $27,539,736 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $49,719,397 FOR THE MINNESOTACARE TAX IN 2020. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $4,421,211 IN TAXES AND FEES IN 2020.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$62,343,065	ExpenseAmt
Revenue	-$120,620,775	RevenueAmt
Desc	UNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR PARTNERS CARE WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2020, ALLINA HEALTH PROVIDED $17,432,332 IN CHARITY CARE.UNINSURED DISCOUNT PROGRAMFOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR MEET THE FINANCIAL THRESHOLD FOR CHARITY CARE, BUT REQUIRE SOME FINANCIAL ASSISTANCE, ALLINA HEALTH PROVIDES A SLIDING SCALE DISCOUNT. ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A MINIMUM OF A 25 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 46 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2020, ALLINA HEALTH PROVIDED $44,910,733 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 2020 TOTALED $120,620,775.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$36,461,387	ExpenseAmt
Desc	COMMUNITY SERVICES:IN 2020, ALLINA HEALTH CONTRIBUTED $36,461,385 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 2020, MORE THAN 100,000 USERS VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. SINCE 2018, THE PROGRAM HAS ALSO INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. IN 2020, COVID-19 CAUSED FEAR, ANXIETY, UNCERTAINTY AND STRESS IN POPULATIONS ACROSS MINNESOTA AND SCHOOLS TRANSITIONED TO DISTANCE LEARNING. CTC MET THE CHANGING NEEDS OF THE COMMUNITY BY TRANSFORMING IN-PERSON TRAININGS AND CTCSP TO A VIRTUAL MODEL, OFFERING A VIRTUAL CARE PACKAGES TO FAMILIES, CREATING NEW ONLINE RESOURCES LIKE A VIRTUAL CHILL ZONE, AND ENHANCING EXISTING PROGRAM CONTENT RELATED TO COPING WITH GRIEF, LOSS AND CHANGE. IN 2020, MORE THAN 55,000 USERS VISITED THE CTC WEBSITE-A 81% INCREASE FROM THE PREVIOUS YEAR. AN ADDITIONAL 2,500 PARTICIPATED IN VIRTUAL TRAININGS AND WELL-BEING SESSIONS, AND 30 STUDENTS FROM 15 HIGH SCHOOLS AND MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP INTERNSHIP PROGRAM.HELLO4HEALTH IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH 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. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN 2021. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES AND SKILL-BUILDING TOOLS FOR CONNECTING WITH OTHERS. ADDITIONAL PROGRAM COMPONENTS WERE DELAYED DUE TO THE COVID-19 PANDEMIC AND ARE IN DEVELOPMENT.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. CENTER FOR MEDICARE AND MEDICAID SERVICES ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT - IN MAY 2017, ALLINA HEALTH WAS AWARDED AN ACCOUNTABLE HEALTH COMMUNITIES (AHC) COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THROUGH THE AHC MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREENED PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY, FOOD INSECURITY, ACCESS TO TRANSPORTATION, DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY. IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2020, MORE THAN 130,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS WITH MORE THAN 50,000 BEING COMPLETED. ADDITIONALLY, 363 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES. BEFORE THE COVID-19 PANDEMIC, SOCIAL NEEDS SCREENINGS WERE ONLY OFFERED TO PATIENTS AT IN-PERSON MEDICAL VISITS. WHEN THE PANDEMIC HIT, ALLINA HEALTH TRANSITIONED TO PROVIDING HEALTH CARE THROUGH VIRTUAL VISITS AND OFFERING THE SOCIAL NEEDS SCREENING ELECTRONICALLY. IN 2020, NEARLY 4,000 SCREENINGS WERE OFFERED TO PATIENTS ATTENDING A VIRTUAL HEALTH CARE VISIT. ALLINA HEALTH INVESTED MORE THAN $56,000 IN STAFF TIME IN 2020 TO IMPLEMENT THE AHC MODEL, BEYOND WHAT WAS PROVIDED FOR BY THE COOPERATIVE AGREEMENT. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2020, ALLINA HEALTH INVESTED OVER $15 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. IN 2020, THIS INCLUDED COVID-19 STUDIES. ALLINA HEALTH INVESTED $3,843,538 TOWARD RESEARCH IN 2020. 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 2020, 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 OPENING ALLINA HEALTH'S CORPORATE HEADQUARTERS, THE ALLINA COMMONS, TO THREE NON-PROFIT ORGANIZATIONS OVERSEEING EDUCATIONAL SUPPORT PROGRAMS TO SUPPORT DISTANCE LEARNING. STUDENTS IN GRADES 1-12 USED THE SPACE TO ACCESS THEIR VIRTUAL SCHOOL PROGRAMS UNDER THE SUPERVISION OF ADULT TUTORS. WHEN ATTENDING SCHOOL AT THE ALLINA COMMONS, STUDENTS RECEIVED TWO MEALS PER DAY, ONGOING SUPERVISION, ACCESS TO RELIABLE, HIGH-SPEED INTERNET CONNECTIVITY AND AN ENVIRONMENT CONDUCTIVE TO LEARNING. 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. IN 2020, THIS INCLUDED COVID-19 RESPONSE ACTIVITIES OVER AND ABOVE THOSE REQUIRED FOR THE HOSPITALS' OPERATIONS AS WELL AS STAFF TIME SPENT WORKING IN A STATE COMMAND CENTER AIMED AT RESPONDING TO THE CIVIL UNREST IN MINNEAPOLIS. EXAMPLES OF COVID-19 ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO COMMUNITY SUPPORT AND EDUCATION RELATED TO COVID-19, REPRESENTING ALLINA HEALTH AT COVID-19 COALITION MEETINGS WITH OTHER HEALTH AND HEALTHCARE LEADERS, AND COORDINATING ALLINA HEALTH COVID-19 RESPONSE WITH RELATED ACTIONS BY STATE AND OTHER PARTNERS. AWARDSIN 2020, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS, FOR ATTRIBUTES SUCH AS SAFETY, PATIENT EXPERIENCE AND QUALITY. FOR EXAMPLE, ABBOTT NORTHWESTERN HOSPITAL RETAINED FIRST PLACE FOR THE BEST HOSPITAL IN THE TWIN CITIES AND SECOND IN MINNESOTA IN THE U.S. NEWS & WORLD REPORT 2020-21 BEST HOSPITALS RANKINGS, NEW ULM MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL WERE RECOGNIZED AS 2020 TOP 100 CRITICAL ACCESS HOSPITALS AND BUFFALO HOSPITAL EARNED THE HIGHEST QUALITY RATING, FIVE STARS, FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES.COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. FOR MORE, PLEASE VISIT: HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$36,461,387	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$3,871,016,372	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1580	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	32300	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6122620660	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PENNY WHEELER MD
DIRECTOR/PRES/CEO	40.00	2.00	Yes (X)	Yes (X)	$2,700,630	$0	$540,537
JOHN ALLEN MD
DIRECTOR	2.00	0.00	Yes (X)		$28,000	$0	$0
DEBBRA SCHONEMAN
DIRECTOR/VICE CHAIR	2.00	0.00	Yes (X)		$18,000	$0	$0
LAURA GILLUND
DIRECTOR	2.00	0.00	Yes (X)		$14,000	$0	$0
DAVID KUPLIC
DIRECTOR	2.00	0.00	Yes (X)		$14,000	$0	$0
SALLY SMITH
DIRECTOR	2.00	0.00	Yes (X)		$14,000	$0	$0
LOUIS KING II
DIRECTOR	2.00	0.00	Yes (X)		$10,000	$0	$0
BRIAN ROSENBERG PHD
DIRECTOR	2.00	0.00	Yes (X)		$10,000	$0	$0
ABIR SEN
DIRECTOR	2.00	0.00	Yes (X)		$10,000	$0	$0
DARRELL TUKUA
DIRECTOR	2.00	0.00	Yes (X)		$10,000	$0	$0
RAYMOND CLAY AHRENS
DIRECTOR	2.00	0.00	Yes (X)		$9,000	$0	$0
STEVEN LACROIX
DIRECTOR	2.00	0.00	Yes (X)		$7,500	$0	$0
AMY RONNEBERG
DIRECTOR	2.00	0.00	Yes (X)		$7,500	$0	$0
BARBARA BUTTS WILLIAMS PHD
DIRECTOR	2.00	0.00	Yes (X)		$5,000	$0	$0
JENNIFER ALSTAD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
SHARI BALLARD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
GARY BHOJWANI
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
MAYKAO HANG DPA
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
GREGORY HEINEMANN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
ANDERS KNUTZEN MD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
THOMAS SCHREIER JR
DIRECTOR/CHAIR	2.00	0.00	Yes (X)		$0	$0	$0
TIMOTHY WELSH
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
VICKI YANISCH RASMUSEN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
JOHN CHURCH
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
JOSEPH GOSWITZ MD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
LISA SHANNON
PRESIDENT/COO	40.00	0.00		Yes (X)	$1,241,668	$0	$527,804
RICHARD MAGNUSON
EVP/CFO/TREASURER	40.00	2.00		Yes (X)	$1,041,052	$0	$376,450
SARA CRIGER
SVP-OPS/PRES. MERCY/UNITED	40.00	2.00		Yes (X)	$968,752	$0	$310,188
ANN MADDEN RICE
SVP-PRESIDENT ANW	40.00	2.00		Yes (X)	$920,921	$0	$323,318
TIMOTHY SIELAFF MD
SVP AHG-SPECIALTY CARE/CMO	40.00	0.00		Yes (X)	$886,439	$0	$172,090
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN COUN.	40.00	0.00		Yes (X)	$754,328	$0	$251,108
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPROV OFF.	40.00	0.00		Yes (X)	$733,543	$0	$226,682
CHRISTINE MOORE
SVP, CHIEF HUMAN RESOURCE OFF	40.00	0.00		Yes (X)	$680,592	$0	$232,431
DAVID SLOWINSKE
SVP AHG OPERATIONS	40.00	0.00		Yes (X)	$692,671	$0	$178,120
SARAH KLEAVELAND KUPCZAK
SVP CHIEF COMPLIANCE OFF	40.00	0.00		Yes (X)	$431,883	$0	$79,547
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFF	40.00	0.00		Yes (X)	$375,126	$0	$154,718
PETER HOFRENNING
SVP,INTERIM CHIEF COMP. OFF	40.00	0.00		Yes (X)	$258,906	$0	$43,394
JOHN MISA MD
VP INTERIM AHG MED OFF	40.00	0.00			$579,110	$0	$67,560	Yes (X)
RYAN ELSE MD
VP INTERIM ACUTE CARE MED OFF	40.00	0.00			$536,250	$0	$115,606	Yes (X)
SCOTT LEIGHTY
SVP OPS/REG HOSP & CLINICS	40.00	0.00			$436,290	$0	$91,812	Yes (X)
NICHOLAS MENDYKA
VP SYSTEM FINANCE OPS	40.00	0.00			$371,517	$0	$47,469	Yes (X)
MARK HELLER MD
PHYSICIAN	40.00	0.00			$1,458,408	$0	$114,683		Yes (X)
DANIEL BUSS MD
PHYSICIAN	40.00	0.00			$1,411,587	$0	$52,008		Yes (X)
DANA HARMS MD
PHYSICIAN	40.00	0.00			$1,360,991	$0	$41,584		Yes (X)
ANTHONY ANDERSON MD
PHYSICIAN	40.00	0.00			$1,277,233	$0	$114,133		Yes (X)
MICHAEL FREEHILL MD
PHYSICIAN	40.00	0.00			$1,201,832	$0	$113,313		Yes (X)
ROBERT WIELAND MD
FORMER SVP CHIEF STRATEGY OFFICER	0.00	0.00			$1,157,418	$0	$0			Yes (X)
CORRINE KROEHLER
FORMER VP FINANCE/SUPPLY CHAIN	40.00	0.00			$546,865	$0	$33,843			Yes (X)
HELEN STRIKE
FORMER PRESIDENT-UNITY HOSP	40.00	0.00			$315,132	$0	$39,875			Yes (X)
MARY BEAR DUKES
FORMER VP REVENUE CYCLE MGMT	40.00	0.00			$355,136	$0	$11,882			Yes (X)
ELIZABETH SMITH MD
FORMER INTERIM SVP AHG-PRIMARY CARE	0.00	0.00			$232,225	$0	$0			Yes (X)
THOMAS O'CONNOR
FORMER PRESIDENT-UNITED HOSP.	0.00	0.00			$194,678	$0	$0			Yes (X)
BEN BACHE-WIIG MD
FORMER EVP CHIEF POPLTN HLTH OFF	0.00	0.00			$117,438	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$23,395,621	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,260,155	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4404	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DELOITTE CONSULTING LLP
30 ROCKEFELLER PLAZA - 41ST FLOOR	NEW YORK	NY	101120015	PROFESSIONAL SERVICES - CONSULTING	$32,510,173
METROPOLITAN CARDIOLOGY CONSULTANTS PA
4040 COON RAPIDS BLVD NW SUITE 120	COON RAPIDS	MN	55433	PROFESSIONAL SERVICES - MEDICAL	$25,744,912
MA MORTENSON COMPANY
700 MEADOW LANE NORTH	MINNEAPOLIS	MN	55422	CONSTRUCTION	$19,233,628
JE DUNN CONSTRUCTION
800 WASHINGTON AVE N SUITE 600	MINNEAPOLIS	MN	55401	CONSTRUCTION	$16,099,894
METROPOLITAN CARDIAC SERVICES
4040 COON RAPIDS BLVD NW	COON RAPIDS	MN	55433	PROFESSIONAL SERVICES - MEDICAL	$16,089,198

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	275	CntrctRcvdGreaterThan100KCnt
Related Organizations	$16,149,179	RelatedOrganizationsAmt
Government Grants	$8,879,466	GovernmentGrantsAmt
All Other Contributions	$55,971	AllOtherContributionsAmt
Noncash Contributions	$67,036	NoncashContributionsAmt
Total Contributions	$25,084,616	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROG.SERV.REVENUE-RELATED-990	621990	$4,523,386,879	$4,523,386,879
PATIENT BAD DEBT	621990	-$120,620,775	-$120,620,775

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,402,766,104	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,213,787	TotalRevenueColumnAmt
Exclusion	$33,213,787	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,028,804	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,028,804	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,028,804	TotalRevenueColumnAmt
Exclusion	$9,028,804	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,223,763,142	SecuritiesAmt
Other	$9,567,943	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,101,953,898	SecuritiesAmt
Other	$5,016,074	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$121,809,244	SecuritiesAmt
Other	$4,551,869	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,361,113	TotalRevenueColumnAmt
Exclusion	$126,361,113	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETAIL PHARMACY	446110	$10,975,827	$10,975,827
REFERENCE LAB	621500	$10,186,866	$10,186,866
ST FRANCIS MEDICAL CENTER	621990	$4,840,873		$4,840,873

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,382,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$2,451,527	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,833,589	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$35,385,628	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,631,840,052	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,405,155,450	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$32,996,282	UnrelatedBusinessRevenueAmt
Exclusion	$168,603,704	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,808,727	TotalAmt
Program Services	$1,808,727	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,199,629	TotalAmt
Program Services	$1,199,629	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,766,676	TotalAmt
Management And General	$13,766,676	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,192,284,321	TotalAmt
Program Services	$1,937,857,429	ProgramServicesAmt
Management And General	$248,475,299	ManagementAndGeneralAmt
Fundraising	$5,951,593	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$112,665,594	TotalAmt
Program Services	$98,968,636	ProgramServicesAmt
Management And General	$13,393,003	ManagementAndGeneralAmt
Fundraising	$303,955	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$286,639,209	TotalAmt
Program Services	$251,791,968	ProgramServicesAmt
Management And General	$34,073,932	ManagementAndGeneralAmt
Fundraising	$773,309	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$166,321,901	TotalAmt
Program Services	$146,101,850	ProgramServicesAmt
Management And General	$19,771,340	ManagementAndGeneralAmt
Fundraising	$448,711	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$32,134,433	TotalAmt
Program Services	$17,284,402	ProgramServicesAmt
Management And General	$14,838,688	ManagementAndGeneralAmt
Fundraising	$11,343	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,866,598	TotalAmt
Management And General	$5,866,598	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,070,054	TotalAmt
Management And General	$1,070,054	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$413,056,469	TotalAmt
Program Services	$273,269,240	ProgramServicesAmt
Management And General	$139,274,710	ManagementAndGeneralAmt
Fundraising	$512,519	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,264,532	TotalAmt
Program Services	$826,080	ProgramServicesAmt
Management And General	$2,922,055	ManagementAndGeneralAmt
Fundraising	$516,397	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$691,699,690	TotalAmt
Program Services	$657,645,933	ProgramServicesAmt
Management And General	$33,764,616	ManagementAndGeneralAmt
Fundraising	$289,141	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$70,505,610	TotalAmt
Program Services	$49,809,734	ProgramServicesAmt
Management And General	$20,652,924	ManagementAndGeneralAmt
Fundraising	$42,952	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$145,641,519	TotalAmt
Program Services	$114,607,300	ProgramServicesAmt
Management And General	$30,920,448	ManagementAndGeneralAmt
Fundraising	$113,771	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,172,709	TotalAmt
Program Services	$3,737,507	ProgramServicesAmt
Management And General	$422,873	ManagementAndGeneralAmt
Fundraising	$12,329	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,397,230	TotalAmt
Program Services	$1,836,121	ProgramServicesAmt
Management And General	$554,601	ManagementAndGeneralAmt
Fundraising	$6,508	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,924,853	TotalAmt
Program Services	$39,924,853	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$223,680	TotalAmt
Program Services	$223,680	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$198,424,847	TotalAmt
Program Services	$156,771,930	ProgramServicesAmt
Management And General	$41,528,013	ManagementAndGeneralAmt
Fundraising	$124,904	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,791,451	TotalAmt
Program Services	$21,791,451	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MINNESOTA CARE TAX	$49,719,397	$49,719,397
MEDICAID SURCHARGE	$27,539,736	$27,539,736
INCOME TAX - UBI	$1,224,802		$1,224,802
COMMUNITY OUTREACH	$1,035,264	$935,323	$92,435	$7,506

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,432,612	TotalAmt
Program Services	$17,365,446	ProgramServicesAmt
Management And General	$10,702,086	ManagementAndGeneralAmt
Fundraising	$365,080	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,513,811,543	TotalAmt
Program Services	$3,871,016,372	ProgramServicesAmt
Management And General	$633,315,153	ManagementAndGeneralAmt
Fundraising	$9,480,018	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,726,361	BOYAmt
EOY	$39,040,625	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,958,443	BOYAmt
EOY	$8,272,813	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$820,113,226	BOYAmt
EOY	$806,291,818	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$75,170,778	BOYAmt
EOY	$89,608,901	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,645,959	BOYAmt
EOY	$23,712,392	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,937,621,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,452,126,457	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,492,480,973	BOYAmt
EOY	$1,485,495,343	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,783,531,408	BOYAmt
EOY	$3,352,396,943	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,301,835	BOYAmt
EOY	$39,691,388	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$86,761,942	BOYAmt
EOY	$56,142,588	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,338,690,925	BOYAmt
EOY	$5,900,652,811	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$518,456,208	BOYAmt
EOY	$653,455,137	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$27,609,480	BOYAmt
EOY	$43,271,882	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,225,573,462	BOYAmt
EOY	$1,182,124,378	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$508,596,256	BOYAmt
EOY	$852,570,517	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,280,235,406	BOYAmt
EOY	$2,731,421,914	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,048,834,715	BOYAmt
EOY	$3,159,943,108	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,620,804	BOYAmt
EOY	$9,287,789	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,058,455,519	BOYAmt
EOY	$3,169,230,897	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,338,690,925	BOYAmt
EOY	$5,900,652,811	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$118,028,509	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$35,889,051	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$28,635,920	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$4,367	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$535,599	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$539,966	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$105,468,342	BeginningYearBalanceAmt
Contributions	$1,373,045	ContributionsAmt
Investment Earnings Or Losses	$9,219,107	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$348,035	GrantsOrScholarshipsAmt
Other Expenditures	$3,431,646	OtherExpendituresAmt
End Year Balance	$112,280,813	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$104,787,300	OtherCostOrOtherBasisAmt
Book Value	$104,787,300	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,653,558,023	OtherCostOrOtherBasisAmt
Depreciation	$935,534,901	DepreciationAmt
Book Value	$718,023,122	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$447,254,413	OtherCostOrOtherBasisAmt
Depreciation	$178,001,294	DepreciationAmt
Book Value	$269,253,119	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,623,437,244	OtherCostOrOtherBasisAmt
Depreciation	$1,315,421,292	DepreciationAmt
Book Value	$308,015,952	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,584,820	OtherCostOrOtherBasisAmt
Depreciation	$23,168,970	DepreciationAmt
Book Value	$85,415,850	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,485,495,343	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH AND CASH EQUIVALENTS	$644,287,099	F
MONEY MARKET COLLECTIVE FUND	$143,490,201	F
FIXED INCOME	$230,249	F
SHORT-TERM FIXED INCOME	$1,123,914,687	F
EQUITY SECURITIES	$467,319,168	F
INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	$682,815,637	F
INVESTMENTS IN JOINT VENTURES	$127,453,523	F
REAL RETURN MUTUAL FUNDS	$162,886,379	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,352,396,943	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$489,218,092
NET PENSION LIABILITY	$15,459,822
DEFERRED COMPENSATION	$19,609,460
INSURANCE CLAIMS PAYABLE	$2,953,821
MN CARE TAX PAYABLE	$20,655,476
CAPITALIZED LEASE OBLIGATIONS	$216,320,446
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN	$79,340,100
SECURITIES LENDING PAYABLE	$9,013,300

Field	Value	IRS element (for citing)
Total Liability	$852,570,517	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EDUCATION AND RESEARCH CHARITY AND INDIGENT CARE PURCHASE OF PLANT ASSETS BUILDINGS AND EQUIPMENT PATIENT CARE OTHER
PART X, LINE 2:	ALLINA HEALTH SYSTEM CONSOLIDATED FIN 48 (ASC740) FOOTNOTE: (AMOUNTS IN THOUSANDS) (17) TAXES THE SYSTEM HAS BEEN DETERMINED TO QUALIFY AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM HAS ALSO BEEN DETERMINED TO BE EXEMPT FROM FEDERAL AND STATE INCOME TAX ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND MINNESOTA STATUTE SECTION 290.05, SUBDIVISION 2. CERTAIN OF THE SYSTEM'S SUBSIDIARIES AND AFFILIATES QUALIFY AS TAX EXEMPT ORGANIZATIONS, WHILE OTHERS ARE TAXABLE. THE SYSTEM AND ITS SUBSIDIARIES PAID TAXES OF $666 AND $2,320 IN 2020 AND 2019, RESPECTIVELY. AS OF DECEMBER 31,2020 AND 2019, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $56,367 AND $47,845, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $33,913 AND $34,302, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $354 AND $824, RESPECTIVELY, RESULTING FROM JOINT VENTURE INVESTMENTS AND EMPLOYEE COMPENSATION AND BENEFITS. AS OF DECEMBER 31, 2020 AND 2019, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $121,683 AND $95,780, RESPECTIVELY, FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2029 WITH $28,535 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, 2020 AND 2019, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2016 TO 2019 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
FORM 990, SCHEDULE D, PART V	THE 2020 ENDOWMENT FUND BALANCE FOR ALLINA HEALTH SYSTEM INCLUDES THE UNITED HOSPITAL FOUNDATION ENDOWMENTS. THE 2016 ENDOWMENT FUND BALANCES FOR UNITED HOSPITAL FOUNDATION CHANGED DUE TO ADDITIONAL FUNDS THAT MEET THE FINANCIAL STATEMENT REPORTING REQUIREMENT THUS AFFECTING THE ALLINA HEALTH SYSTEM 2016, 2017, 2018, 2019 AND 2020 BALANCES. IN ORDER TO BE CONSISTENT WITH THE PRESENTATION OF THE 2020 AUDITED FINANCIAL STATEMENTS, ENDOWMENTS ARE BEING INCLUDED IN SCHEDULE D, PART V OF THE FORM 990 FOR THE CURRENT YEAR. THIS AMOUNT IS EQUAL TO $ 1,123,915.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	$202,545,487
EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS	$37,820,121

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$240,365,608	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$240,365,608	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$17,432,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,432,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$75,095,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,095,186	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$49,719,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,719,397	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,246,915	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$142,246,915	NetCommunityBenefitExpnsAmt
Total Expense	0.03150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	97	ActivitiesOrProgramsCnt
Persons Served	1928951	PersonsServedCnt
Total Community Benefit Expns	$13,081,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,372,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,709,761	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	2360	PersonsServedCnt
Total Community Benefit Expns	$26,665,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,838,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,826,297	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	541	PersonsServedCnt
Total Community Benefit Expns	$23,039,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,027,801	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	17050	PersonsServedCnt
Total Community Benefit Expns	$3,843,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,843,538	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	58	ActivitiesOrProgramsCnt
Persons Served	49297	PersonsServedCnt
Total Community Benefit Expns	$3,870,638	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,870,638	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	195	ActivitiesOrProgramsCnt
Persons Served	1998199	PersonsServedCnt
Total Community Benefit Expns	$70,500,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,222,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,278,035	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	195	ActivitiesOrProgramsCnt
Persons Served	1998199	PersonsServedCnt
Total Community Benefit Expns	$212,747,269	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,222,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$200,524,950	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	400	PersonsServedCnt
Total Community Benefit Expns	$8,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$1,160,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,160,201	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	5580	PersonsServedCnt
Total Community Benefit Expns	$38,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,675	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	22	PersonsServedCnt
Total Community Benefit Expns	$108	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	6032	PersonsServedCnt
Total Community Benefit Expns	$1,211,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$145	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,211,154	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$75,915,037	BadDebtExpenseAmt
Reimbursed By Medicare	$611,201,202	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$657,809,583	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$46,608,381	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (13 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MOBILE IMAGING SERVICES LLC
DIAGNOSTIC IMAGING	0.50000	0.50000
2 MAGNETO LEASING LLC
EQUIPMENT LEASING	0.50000	0.50000
3 SUBURBAN IMAGING LLC
OUTPATIENT RADIOLOGY SERVICES	0.50000	0.50000
4 APPLE VALLEY BUILDING ASSOCIATES LLC
BUILDING	0.50000	0.50000
5 CROSBY CARDIOVASCULAR SERVICES LLC
CARDIOLOGY DIAGNOSTIC SERVICES	0.50000	0.50000
6 NORTHSTAR SLEEP CENTER LLC
SLEEP MEDICINE	0.49000	0.51000
7 GERIATRIC SERVICES OF MINNESOTA LLC
LONG TERM CARE FOR THE ELDERLY	0.50000	0.50000
8 HEALTHCARE CAMPUS IMAGING ONE LLC
DIAGNOSTIC IMAGING	0.50000	0.25000
9 REHAB ONE CENTER LLC
REHABILITATION SERVICES	0.34600	0.48700
10 PET EQUIPMENT LEASING LLC
EQUIPMENT LEASING	0.25000	0.25000
11 GREENWAY SURGICAL SUITES LLC
AMBULATORY SURGICAL CENTER	0.28300	0.44600
12 CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC
OUTPATIENT SURGICAL FACILITY	0.26500	0.48000
13 WOODBURY SURGERY CENTER LLC
OUTPATIENT SURGICAL FACILITY	0.26000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	10	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (64 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: MERCY HOSPITAL, - FACILITY 3: UNITED HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: REGINA HOSPITAL, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: DISTRICT ONE HOSPITAL, - FACILITY 10: RIVER FALLS AREA HOSPITAL
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): ABBOTT NORTHWESTERN HOSPITAL DEVELOPED ITS CHNA WITH THE MINNEAPOLIS, HENNEPIN COUNTY AND BLOOMINGTON PUBLIC HEALTH DEPARTMENTS, WHICH WERE SIMULTANEOUSLY DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN FOR HENNEPIN COUNTY. THESE ENTITIES AND 50 NONPROFIT AND GOVERNMENT REPRESENTATIVES REVIEWED HOSPITAL, STATE AND LOCAL DATA AND CONDUCTED 23 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING VARIOUS CULTURAL GROUPS, BUSINESS AND ORGANIZATIONS. ABBOTT NORTHWESTERN IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. STAFF THEN CONDUCTED 10 KEY INFORMANT INTERVIEWS WITH STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS SUCH AS AN ADVOCACY ORGANIZATION SERVING LOCAL BUSINESSES, A FEDERALLY-QUALIFIED HEALTH CENTER, A HOUSING PROVIDER FOR PEOPLE LIVING WITH HIV/AIDS AND THE LOCAL PARKS SYSTEM, AMONG OTHERS, TO UPDATE ITS UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM. IN ADDITION, A LOCAL PUBLIC AFFAIRS CONSULTANT INTERVIEWED 25 HEALTH AND CIVIC LEADERS TO EXPLORE THEIR PERCEPTIONS OF HEALTH, HEALTHCARE, PUBLIC HEALTH AND THE HOSPITAL.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: REDUCE OVERWEIGHT AND OBESITY BY IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS.IN 2020, THE DUAL CHALLENGES OF A COVID-19 PANDEMIC AND THE DESTRUCTION OF PROPERTY FOLLOWING A PERIOD OF CIVIL UNREST IN MINNEAPOLIS FORCED ABBOTT NORTHWESTERN HOSPITAL (ANW) TO EVOLVE THE WORK RELATED TO IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS. WITH THE LOSS OF JOBS FOR MANY MEMBERS OF THE COMMUNITY IN ADDITION TO THE DESTRUCTION OF TWO MAJOR GROCERY STORES DURING THE CIVIL UNREST, THE NEIGHBORHOODS SURROUNDING ANW WERE SUDDENLY FINDING THEMSELVES WITHOUT ACCESS TO FRESH, HEALTHY FOOD. ANW PARTNERED WITH A NUMBER OF NON-PROFITS AND NEARBY FAITH COMMUNITIES TO PROVIDE FARE FOR ALL FOOD DONATION OPPORTUNITIES. ANW AND ITS PARENT ORGANIZATION, ALLINA HEALTH, ALSO CREATED A DIAPER AND FORMULA DRIVE TO ENSURE THAT OUR YOUNGEST PATIENTS AND COMMUNITY MEMBERS HAD ACCESS TO THE NUTRITION THEY RELIED UPON. THE PANDEMIC ALSO FORCED ANW'S COMMUNITY HEALTH CONTRACTOR, THE BACKYARD COMMUNITY HEALTH HUB, TO ADJUST ITS ONGOING PROGRAMMING TO INCLUDE REGULAR, VIRTUAL PHYSICAL ACTIVITY CLASSES THAT WERE BROADCAST VIA ITS FACEBOOK AND OTHER SOCIAL MEDIA FEEDS. THESE ONLINE EXERCISE CLASSES WERE HUGELY SUCCESSFUL WITH THE CONTRACTOR DRAWING LARGER ONLINE AUDIENCES THAN THEY PREVIOUSLY REACHED WITH THEIR IN-PERSON EDUCATION SESSIONS. THESE CLASSES PROVIDED REGULAR, NECESSARY ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES THAT WERE AVAILABLE TO PEOPLE SAFELY IN THEIR OWN HOMES. GOAL 2: PROMOTE MENTAL HEALTH BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND PROVIDE OPPORTUNITIES FOR INCREASED SOCIAL CONNECTIONS.ANW CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). IN 2020, ANW RECEIVED FUNDING FROM HENNEPIN COUNTY TO BUILD OUT ADDITIONAL FEATURES OF THE CHANGE TO CHILL PROGRAM TO INCORPORATE THE VOICES OF MORE DIVERSE YOUTH AND INCLUDE MORE CULTURALLY-RESPONSIVE MESSAGING. THIS BUILD-OUT AND THE SUBSEQUENT PROGRAMMING OPENED UP THE PROGRAM TO HUNDREDS OF ADDITIONAL YOUTH FROM BLACK, INDIGENOUS, HISPANIC OR LATINX AND LGBTQIA+ YOUTH, AS WELL AS THEIR PARENTS, TEACHERS AND OTHER SCHOOL STAFF. CTC WORKED WITH TEENS TO SHARE THEIR EXPERIENCE WITH OTHERS THROUGH VIDEO INTERVIEWS AND TRANSLATED ALL AVAILABLE TOOLS AND RESOURCES INTO SPANISH TO EXPAND THE PROGRAM'S REACH AND IMPACT. ADDITIONALLY, CTC CONTRACTED WITH COMMUNITY CONSULTANTS AND MENTAL HEALTH PROVIDERS TO FACILITATE TEN FREE 60-MINUTE VIRTUAL MENTAL WELL-BEING SESSIONS FOR SCHOOL STAFF, PARENTS AND TEENS WITH A SPECIAL FOCUS ON THE COMMUNITIES LISTED ABOVE. NEARLY 300 INDIVIDUALS ATTENDED THESE SESSIONS. THE MAJORITY OF PARTICIPANTS REPORTED INCREASED KNOWLEDGE OF METHODS OF RECOGNIZING STRESS AND INCREASED COMFORT IN TALKING ABOUT MENTAL WELL-BEING IN THEIR COMMUNITY. ALL THE CHANGES THAT WERE MADE TO CHANGE TO CHILL HAVE BEEN PERMANENTLY INCORPORATED INTO THE PROGRAM FOR FUTURE USE BY PEOPLE FROM ALL BACKGROUNDS. GOAL 3: IMPROVE GENERAL POPULATION HEALTH BY INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES.IN 2020, ANW'S FOCUS ON INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES PIVOTED TO PROVIDING RESOURCES AND INFORMATION TO COMMUNITIES BEING MOST DRASTICALLY AFFECTED BY COVID-19. IN JUNE, THE HOSPITAL OPENED A COVID-19 DRIVE THROUGH TESTING LOCATION ON OUR CAMPUS, PROVIDING ACCESS TO THIS MUCH-NEEDED RESOURCE IN THE HEART OF A COMMUNITY THAT WAS SEEING A HIGH NUMBER OF CASES OF THE VIRUS. THE HOSPITAL ALSO IDENTIFIED A HEALTH DISPARITY THAT WAS EMERGING WITHIN THE SOMALI COMMUNITY AND WORKED WITH COMMUNITY PARTNERS AND ELECTED OFFICIALS TO ADDRESS THE HIGH RATE OF SERIOUS COVID-19 INFECTION AND DEATH BOTH WITHIN THE HOSPITAL AND WITHIN THE COMMUNITY. IN RESPONSE TO THIS SUDDEN, EMERGENT TREND, ANW CREATED A NEW MUSLIM CHAPLAINCY PROGRAM AND HIRED TWO SOMALI IMAMS FROM THE COMMUNITY TO PROVIDE SPIRITUAL SUPPORT AND COVID-19 EDUCATION TO OUR SOMALI PATIENTS AND COMMUNITY MEMBERS, WHILE ALSO ACTING AS A 'CULTURAL BROKER' WITH OUR STAFF. THE MUSLIM CHAPLAINCY PROGRAM HAS BEEN SO SUCCESSFUL THAT ANW WILL CONTINUE TO PROVIDE IT IN THE FUTURE, AS WELL AS ACT AS A TRAINING SITE FOR FUTURE IMAMS TO BECOME MEMBERS OF THE HOSPITAL CHAPLAINCY TEAM.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA AND RESPONSES FROM INTERVIEWS WITH 14 COMMUNITY LEADERS AND DATA FROM 857 RESIDENT-RESPONSES ON A 2018 ANOKA COUNTY COMMUNITY HEALTH SURVEY. MERCY HOSPITAL IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES, MERCY CONDUCTED COMMUNITY DIALOGUES WITH 64 PEOPLE REPRESENTING THE WEST AFRICAN COMMUNITY, THE ANOKA COUNTY HEAD START POLICY COUNCIL, ALEXANDRA HOUSE DOMESTIC AND SEXUAL ASSAULT CENTER AND THE NORTHWEST COMMUNITY HEALTH ADVISORY COUNCIL.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:MERCY HOSPITAL: GOAL 1: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG ANOKA COUNTY RESIDENTS OF ALL AGES.IN 2020, MERCY HOSPITAL PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, INCLUDING CEAP, ACBC, SACA, NACE, ALEXANDRA HOUSE, HOPE FOR YOUTH & STEPPING STONE HOMELESS SHELTER. THE HOSPITAL CONTINUED MAKING HEALTHY EATING AND ACTIVE LIVING RESOURCES AVAILABLE TO LOCAL COMMUNITIES THROUGH THE HEALTH POWERED KIDS WEBSITE, AND PROMOTING HEALTH POWERED KIDS PROGRAM RESOURCES IN LOCAL COMMUNITIES. GOAL 2: ADDRESS MENTAL HEALTH AND ADDICTION BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES, REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES AND DECREASING USE OF TOBACCO AND ELECTRONIC CIGARETTES BY YOUTH.IN 2020, MERCY HOSPITAL CONTINUED WORK IN THE COMMUNITY THROUGH CHANGE TO CHILL PROGRAM AND RESOURCES. COLLABORATED WITH BLAINE AND FRIDLEY HIGH SCHOOLS TO IMPLEMENT CHANGE TO CHILL PROGRAMMING DURING 2019-2020 SCHOOL YEAR, REACHING APPROXIMATELY 886 STUDENTS AT FRIDLEY HIGH SCHOOL. CONTINUED 2019-2020 SCHOOL YEAR PARTNERSHIP WITH COON RAPIDS HIGH SCHOOL, REACHING APPROXIMATELY 2,229 STUDENTS. PARTNERED WITH ST. FRANCIS HIGH SCHOOL IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,297 STUDENTS. MANY ACTIVITIES WERE OFFERED REMOTELY THROUGH 2020-21 SCHOOL YEAR. MERCY HOSPITAL PROMOTED MENTAL WELL-BEING SESSIONS FOR YOUTH AND THEIR PARENTS AND CAREGIVERS THROUGH CHANGE TO CHILL'S PARTNERSHIP WITH HENNEPIN COUNTY. SESSIONS WERE HELD IN NOVEMBER AND DECEMBER 2020 AND PRIORITIZED BLACK, INDIGENOUS, LATINX AND LGBTQIA+ YOUTH AND THEIR PARENTS/CAREGIVERS. PRESENTED CHANGE TO CHILL TO 15 STUDENT ACHIEVEMENT ADVISORS WHO WORK DIRECTLY WITH STUDENTS IN ANOKA-HENNEPIN SCHOOL DISTRICT. PARTNERED WITH INDIAN EDUCATION ADVISOR TO CREATE CULTURALLY SPECIFIC STRESS MANAGEMENT KITS FOR STUDENTS. MERCY HOSPITAL IS PART OF THE NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORKGROUP. THE GROUP JOINED WITH THE ANOKA COUNTY MENTAL WELLNESS CAMPAIGN AND THE MIO (MAKE IT OK CAMPAIGN) TO PROMOTE STIGMA REDUCTION EDUCATION IN THE COMMUNITY. THE WORKGROUP OFFERED OUR FIRST PUBLIC AWARENESS VIRTUAL EVENT THROUGH THE ANOKA COUNTY LIBRARY SYSTEM IN DECEMBER 2020. IN ADDITION, IN 2020 MERCY HOSPITAL WORKED AS A LEADER AND PARTNER WITH THE NORTHWEST MENTAL HEALTH ROUNDTABLE TO IDENTIFY STRATEGIES TO ASSURE ACCESS AND COORDINATION OF SERVICES BETWEEN COMMUNITY MENTAL HEALTH PROVIDERS, LAW ENFORCEMENT, COUNTY AND CITY REPRESENTATIVES.GOAL 3: REDUCE VIOLENCE, BULLYING AND ABUSE AMONG PEOPLE LIVING IN ANOKA COUNTY.IN 2020, MERCY HOSPITAL CONTINUED STAYING ACTIVE IN THE ANOKA COUNTY VIOLENCE ROUNDTABLE, AND PARTICIPATED IN STEERING AND LEADERSHIP COMMITTEE WITH MONTHLY MEETINGS. ORGANIZED TWO FOCUS GROUPS AND CONDUCTED COMMUNITY SURVEY ON INTERPERSONAL VIOLENCE. ACTIVITIES ARE PLANNED IN PARTNERSHIP WITH ANOKA COUNTY DEPARTMENT OF HEALTH TO ADVANCE THE WORK RELATED TO REDUCING VIOLENCE. IN ADDITION, MERCY HOSPITAL SPONSORED AND PARTICIPATED IN ALEXANDRA HOUSE'S ANNUAL HOPEFEST EVENT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: UNITED HOSPITAL WORKED WITH THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE ST. PAUL-RAMSEY COUNTY STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP) COMMUNITY LEADERSHIP TEAM TO COMPLETE ITS CHNA. MEMBERSHIP IN THESE GROUPS INCLUDED OTHER LOCAL HEALTH CARE SYSTEMS, LOCAL PUBLIC HEALTH, COMMUNITY RESIDENTS AND STAFF FROM LOCAL UNIVERSITIES AND SOCIAL SERVICE AGENCIES. THE CHNA WAS INFLUENCED BY OTHER ORGANIZATIONS' DATA REVIEW AND COMMUNITY ENGAGEMENT ACTIVITIES. AS PART OF THESE GROUPS, UNITED HOSPITAL'S STAFF REVIEWED HOSPITAL, STATE AND LOCAL DATA AND FEEDBACK FROM 2,100 RAMSEY, WASHINGTON OR DAKOTA COUNTY RESIDENTS WHO SHARED THEIR PERSPECTIVES VIA A SURVEY CONDUCTED BY THE CCH EAST METRO CHNA COLLABORATIVE. THE HOSPITAL'S 2020-2022 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED HOSPITAL STAFF ATTENDED COMMUNITY DIALOGUES FACILITATED BY LOCAL PARTNERS AND ATTENDED BY APPROXIMATELY 60 COMMUNITY RESIDENTS INCLUDING PUBLIC HOUSING RESIDENTS, HALF-WAY HOUSE RESIDENTS, INDIVIDUALS EXPERIENCING HOMELESSNESS, SENIORS, PEOPLE WITH CRIMINAL RECORDS AND COMMUNITY ACTIVISTS. STAFF ALSO PARTICIPATED IN RAMSEY COUNTY EAST METRO MENTAL HEALTH CRISIS ALLIANCE MEETINGS AND CONDUCTED INTERVIEWS WITH SIX REPRESENTATIVES FROM HEALTH, PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:UNITED HOSPITAL: GOAL 1: ADDRESS MENTAL HEALTH, INCLUDING STIGMA AND ACCESS TO SERVICES BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN RAMSEY COUNTY AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, UNITED HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. IN 2020, UNITED HOSPITAL CONTINUED ITS PARTNERSHIP WITH HARDING HIGH SCHOOL, REACHING APPROXIMATELY 1,877 STUDENTS; COLLABORATED WITH FOREST LAKE MIDDLE SCHOOL AND STILLWATER HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN THE 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 3,562 STUDENTS. UNITED HOSPITAL ALSO SHARED MENTAL WELLNESS TOOLS AND RESOURCES DURING CHILL WEEK IN OCTOBER 2020 WITH CTCSP SCHOOLS. IN ADDITION, UNITED HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO THE EAST METRO CRISIS ALLIANCE. EAST METRO CRISIS ALLIANCE IS A THREE-COUNTY CONSORTIUM INCLUDING REPRESENTATIVES FROM STATE AND LOCAL PUBLIC HEALTH AND HUMAN SERVICES DEPARTMENTS, HEALTH SYSTEMS, INSURANCE COMPANIES, MENTAL HEALTH SERVICE PROVIDERS, LAW ENFORCEMENT, ELECTED OFFICIALS, AND A VARIETY OF OTHER STAKEHOLDERS. THE ALLIANCE PARTNERS ACROSS THE CONTINUUM OF MENTAL HEALTH AND SUBSTANCE USE SERVICES IN THE EAST METRO AREA, ADDRESSING GAPS IN CRISIS CARE ISSUES AT THE SYSTEMS LEVEL. THE HOSPITAL ALSO PARTICIPATED IN A VARIETY OF PUBLIC POLICY AND PLANNING EFFORTS DESIGNED TO ADDRESS GAPS IN TRANSPORTATION SERVICES FOR UNDERSERVED POPULATIONS AND PROVIDED FINANCIAL ASSISTANCE IN SUPPORT OF COMMUNITY-BASED TRANSPORTATION PROJECTS SUCH AS THE DARTS COMMUNITY CIRCULATOR BUSES AND PILOT TRANSPORTATION INITIATIVES DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING HEALTH-CARE SERVICES. GOAL 2. DECREASE THE PERCENTAGE OF PEOPLE IN UNITED'S SERVICE AREA THAT ARE OBESE OR OVERWEIGHT.IN 2020, MANY PLANNED ACTIVITIES WERE ON HOLD DUE TO THE COVID-19 PANDEMIC. UNITED HOSPITAL ACTIVELY CONTRIBUTED TO AND PARTICIPATED IN COMMUNITY COALITIONS AND PARTNERSHIPS RELATED TO HEALTHY FOOD AND ACTIVE LIVING, SUCH AS EASTSIDE HEALTH AND WELLNESS COLLABORATIVE, AS WELL AS PROVIDED A CHARITABLE CONTRIBUTION IN SUPPORT OF AN AD HOC PUBLIC HEALTH COLLABORATIVE THAT PROVIDED CULTURALLY SPECIFIC FOOD-SHELF OFFERINGS TO THREE LOW-INCOME HOUSING DEVELOPMENTS. PROVIDED CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS. DEVELOPED AND PROMOTED NEW HEALTH POWERED KIDS CONTENT IN THE COMMUNITY. GOAL 3. INCREASE PERCENTAGE OF POPULATION WITH ACCESS TO HEALTHY FOOD.UNITED HOSPITAL PROMOTED VOLUNTEER OPPORTUNITIES IN SUPPORT OF FOOD SHELVES AND OTHER HEALTHY FOOD INITIATIVES AT NEIGHBORHOOD HOUSE, MODEL CITIES, KEYSTONE COMMUNITY SERVICES, AND OTHER COMMUNITY-BASED OPPORTUNITIES. PROVIDED CHARITABLE CONTRIBUTIONS TO KEYSTONE COMMUNITY SERVICES, OPEN ARMS, NEIGHBORHOOD HOUSE, CHRISTIAN CUPBOARD EMERGENCY SERVICES; INCREASED NUMBER OF FOOD SHELVES RECEIVING CHARITABLE CONTRIBUTIONS, INCLUDING SPECIAL JOINT PROJECT OF WASHINGTON COUNTY PUBLIC HEALTH AND LOCAL TRANSPORTATION AND FOOD-SHELF PROVIDERS. IN ADDITION, THE HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND HEALTHY FOOD INITIATIVES, INCLUDING FOREST LAKE HEALTH UP, ACTIVE LIVING RAMSEY COUNTY, AND AGE-FRIENDLY RAMSEY COUNTY INITIATIVES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH TO COMPLETE ITS CHNA TO ENGAGE REPRESENTATIVES FROM 15 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA, SUCH AS THE 2016 BROWN COUNTY COMMUNITY HEALTH SURVEY. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. TO GAIN COMMUNITY MEMBERS' PERSPECTIVES ON THESE PRIORITIES, THE MEDICAL CENTER HOSTED TWO COMMUNITY DIALOGUES IN OCTOBER 2018 THAT WERE ATTENDED BY 32 PEOPLE REPRESENTING 18 BROWN COUNTY ORGANIZATIONS SUCH AS EARLY CHILDHOOD FAMILY EDUCATION (ECFE), LOCAL FAITH COMMUNITIES, BROWN COUNTY UNITED WAY, NEW ULM PARK AND REC AND PUBLIC SCHOOLS, AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:NEW ULM MEDICAL CENTER:GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, NEW ULM MEDICAL CENTER (NUMC) CONTINUED WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. PARTNERED WITH SLEEPY EYE AND SPRINGFIELD HIGH SCHOOLS IN 2019-2020 SCHOOL YEAR TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 524 STUDENTS. CONTINUED 2018-2019 PARTNERSHIP WITH NEW ULM HIGH SCHOOL, REACHING APPROXIMATELY 623 STUDENTS. PARTNERED WITH RED ROCK CENTRAL HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 250 STUDENTS. BROWN COUNTY MENTAL HEALTH AND WELLNESS ACTION TEAM CONDUCTED A MEDIA CAMPAIGN AND SUBMITTED PRESS RELEASE FOR LOCAL NEWSPAPERS REGARDING REDUCING STIGMA. SHARED MENTAL WELLNESS MESSAGING TO CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER FOR CHILL WEEK.NUMC CONTINUED MAINTAINING A COMMUNITY MENTAL HEALTH AND WELLNESS ACTION TEAM COMPRISED OF NUMC AND COMMUNITY EXPERTS AND LEADERS. THE GROUP MEETS MONTHLY. IN ADDITION, IN 2020 NUMC CREATED AN ONLINE MENTAL HEALTH RESOURCE DIRECTORY AND IT IS CURRENTLY HOUSED ON HEART OF NEW ULM WEBSITE. GOAL 2. REDUCE BARRIERS TO ACTIVE LIVING AND HEALTHY EATING.NUMC IS ACTIVELY PARTICIPATING IN LOCAL COALITIONS. NUMC STAFF LEADS MONTHLY FOOD ENVIRONMENT ACTION TEAM MEETINGS AND ACTIVELY PARTICIPATES IN FOOD ENVIRONMENT ACTION TEAM. IN ADDITION, NUMC HELD QUARTERLY WORKSITE WELLNESS TRAINING EVENTS. ONE OF THE EVENTS WAS ON HEALTHY FOOD POLICIES FOR WORKSITES. STARTED A "WELLNESS THE NU WAY" CAMPAIGN. MESSAGING IS FOCUSED ON EATING MORE FRUITS AND VEGETABLES AND HEALTHY SNACKS. NUMC IS CONTINUING TO PROMOTE COMMUNITY GARDEN. PROVIDE FINANCIAL AND IN-KIND SUPPORT FOR FAMILY FITNESS NIGHTS AT NEW ULM PARK AND RECREATION; ONE EVENT WAS HELD IN JANUARY OF 2020. GOAL 3. DECREASE ADDICTION RATES AND USE OF LEGAL AND ILLEGAL SUBSTANCES.IN 2020, NUMC ASSISTED CITY WITH UPDATING THEIR TOBACCO POLICY. USED BEST PRACTICES FROM PUBLIC HEALTH LAW CENTER. IN JULY 2020, NUMC HELPED CREATE AND BECAME A PARTNER IN BROWN COUNTY CHEMICAL HEALTH ACTION TEAM. IN ADDITION, NUMC PARTNERED WITH NEW ULM HIGH SCHOOL HEALTH CLASS IN DECEMBER TO DISCUSS THE HARMS OF VAPING. IN PART DUE TO NUMC HEALTH ADVOCACY WORK IN THE COMMUNITY, AT THE OCTOBER 20TH, 2020 MEETING CITY COUNCIL ADOPTED A TOBACCO FREE PARKS, TRAILS AND RECREATION FACILITIES POLICY TO BECOME EFFECTIVE JANUARY 1, 2021.
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:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2018 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY TO WHICH 2,039 PEOPLE RESPONDED. ADDITIONALLY, MEMBERS TALKED TO COMMUNITY MEMBERS AT WRIGHT COUNTY FAIR IN JULY 2018. FINALLY, WCCHC CONDUCTED KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS WITH 150 RESIDENTS AND REPRESENTATIVES FROM 40 COMMUNITY ORGANIZATIONS, INCLUDING SENIORS, LOW-INCOME FAMILIES, REPRESENTATIVES FROM RACIAL/ETHNIC MINORITY POPULATIONS, AND ORGANIZATIONS SERVING PEOPLE LIVING ON LESS TO UNDERSTAND THE COMMUNITY'S PERSPECTIVE ON IDENTIFIED PRIORITIES.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:BUFFALO HOSPITAL: GOAL 1: REDUCE THE RATE OF MENTAL HEALTH CARE DELAY AND THE NUMBER OF NOT GOOD" MENTAL HEALTH DAYS IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED EXPANDING AND DEEPENING THEIR CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP WORK. AT THE START OF THIS ON-GOING PROGRAM, IN 2018-19, BUFFALO HOSPITAL PARTNERED WITH MAPLE LAKE HIGH SCHOOL, REACHING APPROXIMATELY 419 STUDENTS/YEAR. IN THE 2019-2020 SCHOOL YEAR, BUFFALO AND MONTICELLO HIGH SCHOOLS WERE ADDED TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 3,064 ADDITIONAL STUDENTS/YEAR. CONTINUED COLLABORATION WITH BUFFALO MIDDLE SCHOOL AND ROCKFORD HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,882 ADDITIONAL STUDENTS. PROMOTED MENTAL WELL-BEING MESSAGING FOR CHILL WEEK WITH CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER. AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC) WORK, BUFFALO HOSPITAL IMPLEMENTED A COORDINATED AWARENESS CAMPAIGN EDUCATING THE COMMUNITY ABOUT MENTAL ILLNESS AS A MEDICAL CONDITION. IN COLLABORATION WITH OTHER PARTNERS, IN 2020 BUFFALO HOSPITAL INTRODUCED MENTAL HEALTH MOMENTS. MENTAL HEALTH MOMENTS ARE SHORT RECORDINGS DISCUSSING MENTAL HEALTH STIGMA ISSUES AND WERE PLAYED ON THE LOCAL RADIO STATION. AN INTERVIEW WAS CONDUCTED WITH MONA VOLDEN OF ALLINA HEALTH BUFFALO AND MELISSA PRIBYL OF CENTRACARE MONTICELLO DISCUSSING THE TOPIC OF MENTAL HEALTH AND THE WORK LINKED TO COMMUNITY HEALTH NEEDS ASSESSMENT, THE PARTNERSHIP IN WRIGHT COUNTY AND THE LOCAL HEALTH PRIORITIES. THE INTERVIEW WAS PLAYED ON THE LOCAL RADIO STATION. IN ADDITION, WCCHC INTRODUCED SHORT VIDEOS RECORDED BY MENTAL HEALTH PROVIDERS. THE VIDEOS ADDRESSED STIGMA AROUND MENTAL HEALTH CONDITIONS AND PROVIDED INFORMATION ON MENTAL HEALTH CARE ACCESS. THE MEMBERS OF WCCHC SHARED AND PROMOTED THE VIDEOS THROUGH VARIOUS SOCIAL MEDIA CHANNELS. BUFFALO HOSPITAL CONTINUED PARTICIPATION IN CENTRAL MN SUICIDE PREVENTION PROGRAM, WITH A FOCUS ON THE LOCAL VETERAN POPULATION. GOAL 2. REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED ACTIVE INVOLVEMENT AND PARTICIPATION IN WRIGHT COUNTY DENTAL HEALTH WORKGROUP. A PORTION OF THE NEW WRIGHT COUNTY GOVERNMENT CENTER WAS IDENTIFIED AS A LOCATION FOR THE LOW-COST/NO-COST DENTAL CLINIC AND IS CURRENTLY UNDER CONSTRUCTION. TO ADVOCATE FOR FUNDING FOR AFFORDABLE DENTAL CARE IN WRIGHT COUNTY, BUFFALO HOSPITAL PARTICIPATED IN A BONDING BILL ASKING FOR MN STATE FUNDING FOR THIS DENTAL CLINIC WHICH WAS AWARDED. ALSO, PROVIDED LETTERS OF SUPPORT FROM ALLINA HEALTH AND EDUCATION TO ELECTED OFFICIALS REGARDING THE NEED. IN ADDITION, THE GROUP SECURED THE SUPPORT OF AN AREA DENTIST TO PROVIDE EDUCATIONAL OPPORTUNITIES REGARDING IMPORTANCE OF ORAL HYGIENE TO THE COMMUNITY. AS PART OF COMMUNITY EDUCATION, THE DENTAL WORKGROUP DEVELOPED AN INFOGRAPHIC AND POWERPOINT REGARDING THE SCOPE OF DENTAL CARE ACCESS AND RELATED NEEDS IN WRIGHT COUNTY TO EDUCATE COMMUNITY PARTNERS. GOAL 3. SUPPORT LOCAL PREVENTION EFFORTS AND ADVOCATE FOR POLICY CHANGES TO ADDRESS SUBSTANCE ABUSE IN WRIGHT COUNTY.IN 2020, BUFFALO HOSPITAL ACTIVELY ENGAGED IN POLICY, SYSTEM AND ENVIRONMENTAL CHANGES THAT REDUCE ACCESS TO E-CIGARETTES AMONG YOUTH AND ADULTS. THE HOSPITAL PARTICIPATED IN THE TOBACCO21 ADVOCACY WORK IN WRIGHT COUNTY AND CONTINUED MEMBERSHIP AND PARTNERSHIP WITH THE MEADA COMMUNITY PROGRAM THAT DEALS WITH SUBSTANCE USE/ABUSE ISSUES FOR RESIDENTS OF ALL AGES. THIS GROUP WROTE AND WAS AWARDED A DRUG FREE COMMUNITY GRANT. IN ADDITION, THE HOSPITAL ACTIVELY PROMOTED CHANGE TO CHILL ESCAPE THE VAPE CONTEST AMONG LOCAL AREA SCHOOLS AND PROGRAMS WORKING WITH YOUTH.
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:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE MEMBERS REVIEWED PATIENT, STATE AND LOCAL DATA AND RESULTS FROM THE EAST CENTRAL REGIONAL SURVEY TO SELECT THEIR 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, THE COMMITTEE CONDUCTED A ROOT CAUSE ANALYSIS AND DEVELOPED A CONVERSATION IN A BOX GUIDE THAT THE COMMUNITY GROUPS USED TO FACILITATE 13 DIALOGUES WITH A TOTAL OF 150 CLIENTS AND CONSTITUENTS FROM LOCAL SCHOOLS, SENIORS, THE LOCAL CHAMBER OF COMMERCE, EARLY CHILDHOOD PROGRAMS, SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMS AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS. AN ADDITIONAL 36 PEOPLE PROVIDED INPUT THROUGH AN ONLINE SURVEY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE SOCIAL CONNECTEDNESS ACROSS ALL STAGES AND AGES OF LIFE.IN 2020, CAMBRIDGE MEDICAL CENTER (CMC) STAFF PARTICIPATED IN DEVELOPMENT OF ALLINA-WIDE SOCIAL CONNECTEDNESS INITIATIVE AND CONTRIBUTED TO THE DEVELOPMENT OF HELLO4HEALTH WEBSITE. CMC STARTED PLANNING PROCESS ON HOW TO BEST SUPPORT GRASSROOTS, COMMUNITY-BASED EFFORTS TO INCREASE SOCIAL CONNECTIONS AMONG OLDER ADULTS OR CAREGIVERS OF OLDER ADULTS. CHAMPIONED DEVELOPMENT OF A CARE MODEL TO IDENTIFY AND ADDRESS SOCIAL ISOLATION WITH OUR PATIENTS. THROUGH THE WORK LINKED TO HELLO4HEALTH, CAMBRIDGE MEDICAL CENTER DEVELOPED, PROMOTED AND IMPLEMENTED COMMUNITY MAP CONNECTIONS - A SIMPLE TOOLKIT GEARED TOWARDS CREATING COMMUNITY CONNECTIONS AND EXPANDING SOCIAL NETWORKS. CMC STARTED PLANNING PROCESS TO DEVELOP MEASUREMENT TOOLS TO EVALUATE SOCIAL CONNECTEDNESS THROUGH THE NEXT COMMUNITY-WIDE SURVEY. GOAL 2. ADDRESS YOUTH SUBSTANCE USE, INCLUDING ALCOHOL AND TOBACCO BY REDUCING THE IMPACT OF SUBSTANCE USE AND ABUSE ON THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ISANTI COUNTY YOUTH AND INCREASING RESILIENCE AND HEALTHY COPING SKILLS AMONG COMMUNITY MEMBERS.CAMBRIDGE MEDICAL CENTER CONTINUED EXPANDING AND DEEPENING CHANGE TO CHILL SCHOOL PARTNERSHIP WORK. COLLABORATED WITH BRAHAM HIGH SCHOOL TO IMPLEMENT CHANGE TO CHILL PROGRAMMING IN 2019-2020 SCHOOL YEAR, REACHING 317 STUDENTS. CAMBRIDGE MEDICAL CENTER CONTINUED 2018-2019 PARTNERSHIP WITH CAMBRIDGE-ISANTI HIGH SCHOOL, REACHING APPROXIMATELY 1,552 STUDENTS. PARTNERED WITH CAMBRIDGE AND ISANTI MIDDLE SCHOOLS TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,141 STUDENTS. CAMBRIDGE MEDICAL CENTER PROMOTED VIRTUAL MENTAL WELLNESS SERIES FOR STUDENTS AND FAMILIES AND SHARED MENTAL WELLNESS MESSAGING DURING CHILL WEEK IN OCTOBER 2020 WITH CHANGE TO CHILL PARTNERSHIP SCHOOLS.IN THE SUMMER OF 2020, CAMBRIDGE MEDICAL CENTER SUPPORTED CAMBRIDGE POSITIVITY IN THE PARK PROJECT. CMC STAFF PROVIDED PRESENTATIONS AND INFORMATION ABOUT CHANGE TO CHILL AND STRESS MANAGEMENT RESOURCES TO LOCAL AREA SCHOOLS. IN ADDITION, CMC FACILITATED GROWING GRATITUDE - JOURNEY TO WELLNESS CLASS TRAINING AT MILL RIDGE COMMONS. CMC STAFF OFFERED PRESENTATION ABOUT AVOIDING BURNOUT AND STRESS MANAGEMENT TECHNIQUES TO EAST CENTRAL ENERGY STAFF. IN ADDITION, CMC STAFF PRESENTED TO STUDENTS AT BRAHAM MIDDLE VAPING FACTS/MYTH BUSTING, ALONG WITH LUNCH & LEARN ABOUT VAPING AND NEW TOBACCO LEGISLATION TO ISANTI COUNTY STAFF. PROVIDED WRITTEN MATERIAL ABOUT VAPING AND IN DEPTH VAPING DIVERSION PROGRAM INFORMATION TO LOCAL SCHOOLS. GOAL 3. REDUCE BARRIERS TO MENTAL HEALTH SERVICES FOR PEOPLE IN OUR COMMUNITIES.CAMBRIDGE MEDICAL CENTER SUPPORTED THE CREATION OF NEW CHANGE TO CHILL CONTENT RELATED TO STIGMA, HEALTHY COMMUNICATION, SUICIDE PREVENTION, GRIEF AND LOSS. PROMOTED VIRTUAL MENTAL WELLNESS SERIES FOR STUDENTS AND FAMILIES IN THE LOCAL COMMUNITY. PARTNERED WITH REGION 7E MENTAL HEALTH INITIATIVE TO PROVIDE ONE LOCAL MENTAL HEALTH RESOURCE GUIDE, IN EFFORT TO DEVELOP AND PROMOTE A "ONE-STOP" REFERENCE POINT TO THE COMMUNITY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:REGINA HOSPITAL: REGINA HOSPITAL DEVELOPED ITS CHNA AS PART OF THE DAKOTA COUNTY PUBLIC HEALTH'S HEALTHY DAKOTA INITIATIVE, THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE HASTINGS EQUITY AND INCLUSION COMMITTEE. MEMBERS OF THE HEALTHY DAKOTA INITIATIVE REVIEWED STATE AND LOCAL DATA RESOURCES AND SURVEY RESPONSES FROM 1,244 RESIDENTS AND 46 ORGANIZATIONAL ASSESSMENTS. ADDITIONALLY, THEY CONDUCTED LISTENING SESSIONS WITH COMMUNITY REPRESENTATIVES FROM SOCIAL SERVICE AGENCIES, HOUSING ORGANIZATIONS AND LEGAL AND MENTAL HEALTH SERVICES. BASED ON THE DATA REVIEW, THE HEALTHY DAKOTA INITIATIVE STEERING COMMITTEE SELECTED 19 HEALTH PRIORITIES. REGINA STAFF NARROWED THE LIST BY REVIEWING ALLINA HEALTH PATIENT DATA AND HOLDING THREE DIALOGUES WITH MEMBERS OF THE HASTINGS EQUITY AND INCLUSION COMMITTEE. THIS GROUP INCLUDES REGINA HOSPITAL AND 50 OTHER MEMBERS, INCLUDING COMMUNITY RESIDENTS, BUSINESS OWNERS AND REPRESENTATIVES FROM GOVERNMENT AND NONPROFIT ORGANIZATIONS. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES AND GATHER IDEAS FOR ADDRESSING THEM, REGINA STAFF INTERVIEWED REPRESENTATIVES FROM FIVE COMMUNITY ORGANIZATIONS SUCH AS LOCAL SOCIAL SERVICE AGENCIES AND THE LOCAL HIGH SCHOOL AND SENIOR CENTER.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:REGINA HOSPITAL: GOAL 1: IMPROVE MENTAL HEALTH AND WELLNESS BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, REGINA HOSPITAL CONTINUED PARTNERING WITH DAKOTA COUNTY. THIS COLLABORATION INCLUDED SERVING ON THE DAKOTA COUNTY MENTAL HEALTH ACTION TEAM, CHIP LEADERSHIP COMMITTEE, AND SAVE: SUICIDE AWARENESS / REDUCTION COMMITTEE. THE HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO THE HASTINGS HIGH SCHOOL PEER HELPER PROGRAM AND OTHER COMMUNITY PROGRAMS THAT FOCUS ON IMPROVING MENTAL HEALTH SERVICES. CONTINUED CHANGE TO CHILL SCHOOL PARTNERSHIP WITH HASTINGS HIGH SCHOOL AND ENGAGED IN NEW PARTNERSHIP WITH HASTINGS MIDDLE SCHOOL, OFFERING THE DEVELOPMENT AND FUNDING FOR CHILL ZONE, INTERN PROGRAM AND ONGOING SUPPORT TO STAFF AND PARENTS IN ADDRESSING TEENS' MENTAL HEALTH NEEDS. REGINA HOSPITAL PROMOTED CHILL WEEK WITHIN CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS. INTERNALLY, REGINA HOSPITAL PROVIDED INFORMATION AND RESOURCES FOR EMPLOYEES AND STAFF REGARDING RESILIENCY AND COPINGS STRATEGIES.GOAL 2. BROADEN THE ARRAY OF PROGRAMS AND SERVICES AVAILABLE TO SUPPORT THE AGING CONTINUUM.IN 2020, MANY PLANNED ACTIVITIES WERE ON HOLD DUE TO THE COVID-19 PANDEMIC. REGINA HOSPITAL CONTINUED TO SUPPORT THE MEALS ON WHEELS PROGRAM, PARTNERING WITH HASTINGS FAMILY SERVICES TO ADAPT TO THE PROGRAM TO SUPPORT THOSE IN NEED DURING THE PANDEMIC. THE HOSPITAL WORKED WITH DARTS TO MODIFY THE HASTINGS LOOP TRANSPORTATION VAN TO MEET COVID GUIDELINES. CONTINUED PLANNING WITH HASTINGS SENIOR CENTER, DARTS, AND DAKOTA COUNTY TO ADDRESS THE NEEDS OF THIS POPULATION AND INCREASED RISKS OF ISOLATION.GOAL 3. DECREASE THE PERCENTAGE OF POPULATION THAT IS OVERWEIGHT OR OBESE.REGINA HOSPITAL PROVIDES GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS A FOOD COLLECTION EVENT IN EARLY 2020. SUPPORTED HFS MARKET CART PROGRAM THROUGH PROMOTION AND FINANCIAL CONTRIBUTION. CONTINUED PARTNERSHIP WITH DAKOTA COUNTY SHIP LEADERSHIP TEAM.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: ADDRESS MENTAL HEALTH AND SUBSTANCE USE BY INCREASING RESILIENCY AND HEALTHY COPING SKILLS AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. IN 2020-2021 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES INCLUDED FARIBAULT HIGH SCHOOL AND FARIBAULT ALTERNATIVE LEARNING CENTER HIGH SCHOOL REACHING APPROXIMATELY 1,209 STUDENTS. 2018-2019 CONTINUED PARTNERSHIP SCHOOL INCLUDE ARCADIA CHARTER SCHOOL, REACHING APPROXIMATELY 109 STUDENTS. 2019-2020 SITES INCLUDED NORTHFIELD HIGH SCHOOL REACHING APPROXIMATELY 1,336 STUDENTS.IN ADDITION, THE HOSPITALS LED HEALTH & HAPPINESS PROJECT FOR RICE/STEELE COUNTIES INCLUDING DEVELOPMENT OF A NEW WEBSITE AND MULTI-CULTURAL TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG). IN 2020, THE HOSPITAL REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE. PARTICIPATED IN LEGISLATIVE BREAKFAST/VIRTUAL COFFEE CHATS HOSTED BY RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION AND RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY CAFE AND CONGREGATE MEAL PROGRAMS IN FARIBAULT AND OWATONNA DURING THE COVID-19 PANDEMIC RESPONSE. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2020. THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. BEGAN PLANNING UCARE HEALTH EQUITY "PAVING THE WAY" PRENATAL PROJECT TO HELP PRENATAL AND POSTPARTUM MOMS WITH DIABETES AND HYPERTENSION THROUGH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS AND COMMUNITY HEALTH WORKERS. IN ADDITION, THE HOSPITALS PARTICIPATED IN DEVELOPMENT OF NEW FOOD SHELF/DISTRIBUTION PLAN FOR FARIBAULT CULTURAL COMMUNITIES. FARIBAULT FOOD SHELF CLOSED DURING COVID-19 PANDEMIC; THE HOSPITALS PROVIDED CHARITABLE SUPPORT TO CONGREGATE MEAL PROGRAMS AT CHURCHES INCLUDING FUNDING NEW FREEZERS AND PURCHASING FOOD AND TO-GO CONTAINERS. DISTRICT ONE AND OWATONNA HOSPITALS PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS FARIBAULT SCHOOL DISTRICT AND GROWING UP HEALTHY NEIGHBORHOOD FOOD DISTRIBUTION, TRUCK TO TRUNK, COMMUNITY CAFE, STEELE COUNTY HEALTHY EATING COALITION, RICE COUNTY EMERGENCY FOOD NETWORK.GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2020, DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, COMMUNITY ACTION CENTER FOOD INITIATIVE, ALLINA HEALTH BUCKS PROGRAM TO SUPPORT FARMERS MARKETS. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY DURING THE COVID-19 PANDEMIC.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: ADDRESS MENTAL HEALTH AND SUBSTANCE USE BY INCREASING RESILIENCY AND HEALTHY COPING SKILLS AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. IN 2020-2021 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES INCLUDED FARIBAULT HIGH SCHOOL AND FARIBAULT ALTERNATIVE LEARNING CENTER HIGH SCHOOL REACHING APPROXIMATELY 1209 STUDENTS. 2018-2019 CONTINUED PARTNERSHIP SCHOOL INCLUDE ARCADIA CHARTER SCHOOL, REACHING APPROXIMATELY 109 STUDENTS. 2019-2020 SITES INCLUDED NORTHFIELD HIGH SCHOOL REACHING APPROXIMATELY 1336 STUDENTS.IN ADDITION, THE HOSPITALS LED HEALTH & HAPPINESS PROJECT FOR RICE/STEELE COUNTIES INCLUDING DEVELOPMENT OF A NEW WEBSITE AND MULTI-CULTURAL TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG). IN 2020, THE HOSPITAL REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE. PARTICIPATED IN LEGISLATIVE BREAKFAST/VIRTUAL COFFEE CHATS HOSTED BY RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION AND RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY CAF AND CONGREGATE MEAL PROGRAMS IN FARIBAULT AND OWATONNA DURING THE COVID-19 PANDEMIC RESPONSE.GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2020. THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. BEGAN PLANNING UCARE HEALTH EQUITY "PAVING THE WAY" PRENATAL PROJECT TO HELP PRENATAL AND POSTPARTUM MOMS WITH DIABETES AND HYPERTENSION THROUGH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS AND COMMUNITY HEALTH WORKERS. IN ADDITION, THE HOSPITALS PARTICIPATED IN DEVELOPMENT OF NEW FOOD SHELF/DISTRIBUTION PLAN FOR FARIBAULT CULTURAL COMMUNITIES. FARIBAULT FOOD SHELF CLOSED DURING THE COVID-19 PANDEMIC; THE HOSPITALS PROVIDED CHARITABLE SUPPORT TO CONGREGATE MEAL PROGRAMS AT CHURCHES INCLUDING FUNDING NEW FREEZERS AND PURCHASING FOOD AND TO-GO CONTAINERS. DISTRICT ONE AND OWATONNA HOSPITALS PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS FARIBAULT SCHOOL DISTRICT AND GROWING UP HEALTHY NEIGHBORHOOD FOOD DISTRIBUTION, TRUCK TO TRUNK, COMMUNITY CAF, STEELE COUNTY HEALTHY EATING COALITION, RICE COUNTY EMERGENCY FOOD NETWORK.DISTRICT ONE GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2020, DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY: STEEL COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, COMMUNITY ACTION CENTER FOOD INITIATIVE, ALLINA HEALTH BUCKS PROGRAM TO SUPPORT FARMERS MARKETS. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY DURING THE COVID-19 PANDEMIC.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED 39 ORGANIZATIONS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND 1,072 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. BASED ON THIS REVIEW, THE COALITION DEFINED ITS 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND RESIDENTS' PERSPECTIVES, HEALTHIER TOGETHER CONDUCTED SEVEN FOCUS GROUPS WITH 61 RESIDENTS INCLUDING FARMERS, SENIORS, YOUTH, PEOPLE IN MENTAL HEALTH OR SUBSTANCE USE RECOVERY, PROVIDERS AND PEOPLE WHO WORK WITH YOUTH.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL 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:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) IS A COMMUNITY COALITION WORKING TO CREATE AND MAINTAIN HEALTHY COMMUNITIES AND PROVIDE A STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. HUDSON HOSPITAL & CLINIC, RIVER FALLS AREA HOSPITAL, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH, AND THE UNITED WAY OF ST. CROIX VALLEY LEAD THE PLANNING AND IMPLEMENTATION OF A TWO-COUNTY, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. RIVER FALLS AREA HOSPITAL COMPLETED ITS MOST RECENT CHNA AND IMPLEMENTATION PLAN AS PART OF HEALTHIER TOGETHER AND IS AN ACTIVE PARTICIPANT IN THE COALITION.RIVER FALLS AREA HOSPITAL (HEALTHIER TOGETHER):GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES, SUPPORTING COORDINATION OF MENTAL HEALTH CARE SERVICES BETWEEN SCHOOLS, PROVIDERS, AND COUNTIES AND INCREASING SERVICES THAT PROMOTE FAMILY STABILITY.IN 2020, RIVER FALLS AREA HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL SCHOOL PARTNERSHIP PROGRAM. ELLSWORTH HIGH SCHOOL AND RIVER FALLS MIDDLE SCHOOL WERE SELECTED FOR THE PARTNERSHIP, WHICH INCLUDED THE DEVELOPMENT AND FUNDING FOR CHILL ZONE, INTERN PROGRAM AND ONGOING SUPPORT TO STAFF AND PARENTS IN ADDRESSING TEENS' MENTAL HEALTH NEEDS. RIVER FALLS AREA HOSPITAL PROMOTED CHILL WEEK WITHIN CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS. RIVER FALLS AREA HOSPITAL WAS ALSO AN ACTIVE PARTNER IN THE HEALTHIER TOGETHER SCHOOL PARTNERS SUB-COMMITTEE WHICH PROMOTED RESILIENCY, ISOLATION REDUCTION, AND COVID RELATED STRATEGIES TO SCHOOLS THROUGHOUT THE REGION DURING VIRTUAL, HYBRID, AND IN-PERSON LEARNING.IN ADDITION, RIVER FALLS AREA HOSPITAL SUPPORTED THE ROLL OUT AND STRATEGIC GROWTH OF UNITED WAY OF ST. CROIX VALLEY 211 (SCV211) THROUGH FINANCIAL CONTRIBUTIONS AND PARTICIPATION THE LEADERSHIP COMMITTEE. SCV211 BECAME AN INVALUABLE RESOURCE DURING COVID-19 PANDEMIC; ADDITIONAL VOLUNTEERS AND STAFF WERE TRAINED TO MAINTAIN THE PHONE LINES.GOAL 2. ADDRESS SUBSTANCE USE DISORDER BY ADVOCATING FOR POLICIES THAT INCREASE ACCESS TO SUBSTANCE USE TREATMENT, INCREASING EARLY INTERVENTION, EDUCATION AND PREVENTION SERVICES RELATED TO SUBSTANCE USE IN THE COMMUNITY AND INCREASING COORDINATED YOUTH PREVENTION WORK, PROVIDING EDUCATION, HEALTHY ACTIVITIES AND RESILIENCE TRAINING. RIVER FALLS AREA HOSPITAL PROMOTED DRUG DISPOSAL DAY AT WALMART AND BY LOCAL LAW ENFORCEMENT AGENCIES, WHO OFFERED COLLECTION EVENTS TWICE A YEAR. EDUCATION AND MARKETING FOR THE EVENTS WAS CONDUCTED THROUGH HEALTHIER TOGETHER WEBSITE. IN 2020, RIVER FALLS AREA HOSPITAL WAS ACTIVELY PLANNING THE IMPLEMENTATION OF "TALK. THEY HEAR YOU." CAMPAIGN. IN FEBRUARY OF 2020, RIVER FALLS AREA HOSPITAL OFFERED DRUG IMPAIRMENT TRAINING FOR EDUCATION PROFESSIONALS. THE HOSPITAL ACTIVELY ENGAGED IN ADVOCACY WORK TO ALLOW FIRST RESPONDERS AND APPROPRIATE COMMUNITY MEMBERS TO CARRY NARCAN. AS A RESULT, IN 2020 LOCAL PUBLIC HEALTH DEPARTMENTS RECEIVED FUNDING TO PROVIDE NARCAN TO EMERGENCY RESPONDERS.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
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 TEN 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. AT THE END OF 2019, ALLINA HEALTH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 ASSESSMENT IDENTIFIED HEALTHY EATING/ACTIVING LIVING, MENTAL HEALTH AND SUBSTANCE USE AND SOCIAL DETERMINANTS OF HEALTH AS PRIORITY NEEDS FOR 2020-2022 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2020 FOR THE ALLINA HEALTH SYSTEM AND INDIVIDUAL HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.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. SINCE 2018, THE PROGRAM HAS ALSO INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. IN 2020, COVID-19 CAUSED FEAR, ANXIETY, UNCERTAINTY AND STRESS IN POPULATIONS ACROSS MINNESOTA AND SCHOOLS TRANSITIONED TO DISTANCE LEARNING. CTC MET THE CHANGING NEEDS OF THE COMMUNITY BY TRANSFORMING IN-PERSON TRAININGS AND CTCSP TO A VIRTUAL MODEL, OFFERING A VIRTUAL CARE PACKAGES TO FAMILIES, CREATING NEW ONLINE RESOURCES LIKE A VIRTUAL CHILL ZONE, AND ENHANCING EXISTING PROGRAM CONTENT RELATED TO COPING WITH GRIEF, LOSS AND CHANGE. IN 2020, MORE THAN 55,000 USERS VISITED THE CTC WEBSITE-A 81% INCREASE FROM THE PREVIOUS YEAR. AN ADDITIONAL 2,500 PARTICIPATED IN VIRTUAL TRAININGS AND WELL-BEING SESSIONS, AND 30 STUDENTS FROM 15 HIGH SCHOOLS AND MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP INTERNSHIP PROGRAM. -BE THE CHANGE - ALLINA HEALTH HAS BEEN A LEADER IN ELIMINATING STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS WITHIN THE HEALTHCARE INDUSTRY. BE THE CHANGE, WAS A CAMPAIGN TO ELIMINATE STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS AT ALLINA HEALTH AND ENSURE ALL PATIENTS RECEIVE THE SAME CONSISTENT, EXCEPTIONAL CARE. AT THE CAMPAIGN'S LAUNCH, 500 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO LEAD THE EFFORT AS TRAINED BE THE CHANGE CHAMPIONS AND HELP EDUCATE AND GENERATE AWARENESS AMONG THEIR COLLEAGUES ABOUT MENTAL HEALTH AND ADDICTION CONDITIONS THROUGH PRESENTATIONS AND EDUCATION EVENTS. IN 2020, BE THE CHANGE TRANSITIONED FROM A CAMPAIGN TO AN EMPLOYEE RESOURCE GROUP. THE PURPOSE OF THIS GROUP IS TO CREATE AN INCLUSIVE, WELCOMING AND SUPPORTIVE ENVIRONMENT FOR PEOPLE LIVING WITH DISABILITIES, MENTAL HEALTH CONDITIONS AND/OR ADDICTION AND CONTINUE TO WORK TO ELIMINATE STIGMA AROUND MENTAL HEALTH, ADDICTION AND DISABILITY CONDITIONS.-HELLO4HEALTH - IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH 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. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN 2021. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES AND SKILL-BUILDING TOOLS FOR CONNECTING WITH OTHERS. ADDITIONAL PROGRAM COMPONENTS WERE DELAYED DUE TO THE COVID-19 PANDEMIC AND ARE IN DEVELOPMENT.-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 2020, MORE THAN 100,000 USERS VISITED THE HPK WEBSITE.-CHARITABLE CONTRIBUTIONS- CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. IN 2020, ALLINA HEALTH PRIORITIZED CONTRIBUTIONS TO ORGANIZATIONS RESPONDING TO CRITICAL NEEDS RELATED TO THE COVID-19 CRISIS AND THE CIVIL UNREST, INCLUDING RACIAL INEQUITY AND OTHER HEALTH DISPARITIES. IN 2020 ALLINA HEALTH SYSTEM OFFICE MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA: $70,000 (30%) FOR ACTIVE LIVING, $50,000 (22%) FOR HEALTHY EATING, $50,000 (22%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES, $19,000 (8%) FOR MENTAL HEALTH AND WELLNESS, $40,000 (17%) FOR OTHER HEALTH-RELATED PURPOSES AND $1,000 (<1%) FOR NON-HEALTH RELATED PURPOSES. EXAMPLES OF SPECIFIC CONTRIBUTIONS ARE DESCRIBED BELOW.TO SUPPORT ACTIVE LIVING, ALLINA HEALTH GAVE $65,000 TO FREE BIKES 4 KIDZ MN. THIS CONTRIBUTION WAS PART OF TEN-YEAR PARTNERSHIP BETWEEN ALLINA HEALTH AND FREE BIKES 4 KIDZ MN. IN ADDITION TO THE CONTRIBUTION, ALLINA HEALTH PARTNERS WITH FREE BIKES 4 KIDZ MN EACH YEAR TO COLLECT AND DISTRIBUTE BICYCLES TO CHILDREN WHOSE FAMILIES COULD NOT OTHERWISE AFFORD ONE. IN 2020, ALLINA HEALTH ALSO DISTRIBUTED BIKES TO ESSENTIAL WORKERS IN RESPONSE TO THE INCREASED DIFFICULTY ACCESSING TRANSPORTATION BROUGHT ON BY THE COVID-19 PANDEMIC. FOR THE FOCUS AREA OF HEALTHY EATING, A $20,000 CONTRIBUTION WAS PROVIDED TO METRO MEALS ON WHEELS TO SAFELY PROVIDE FOOD AND SOCIAL CONNECTIONS TO OLDER ADULTS AT RISK FOR HUNGER AND ISOLATION DUE TO THE DISPROPORTIONATE EFFECT OF THE COVID-19 PANDEMIC ON SENIORS. ADDITIONAL GIFTS AIMED AT INCREASING ACCESS TO HEALTHY FOODS INCLUDED $10,000 EACH TO THE FOOD GROUP, HUNGER SOLUTIONS AND THE SHERIDAN STORY (EVERY MEAL). THESE ORGANIZATIONS WERE ABLE TO QUICKLY ADJUST THEIR PROGRAM MODELS TO CONTINUE TO SAFELY FIGHT HUNGER AND INCREASE ACCESS TO HEALTHY FOOD DURING THE PANDEMIC. CONTRIBUTIONS TO MENTAL WELLNESS PRIORITIZED HEALTH EQUITY AND SUPPORTING COMMUNITIES DISPROPORTIONATELY AFFECTED BY THE PANDEMIC AND CIVIL UNREST. FOR EXAMPLE, A $5,000 CONTRIBUTION WAS MADE TO PEOPLE INCORPORATED'S PATHWAYS MENTAL HEALTH TRAINEE PROGRAM, WHICH PROVIDES A HIGH-INTENSITY, IMMERSIVE INTERNSHIP EXPERIENCE FOR EMERGING MENTAL HEALTH PRACTITIONERS, WITH A PARTICULAR FOCUS ON IMPROVING ACCESS TO MENTAL HEALTH PRACTITIONERS FROM DIVERSE BACKGROUNDS BY REMOVING BARRIERS TO EMPLOYMENT FOR DIVERSE PRACTITIONERS. ADDITIONALLY, BOTH THE BARBARA SCHNEIDER FOUNDATION'S CRISIS INTERVENTION TEAM (CIT) CONFERENCE AND PROGRESSIVE INDIVIDUAL RESOURCES INC.'S AFRICAN MENTAL HEALTH VIRTUAL SUMMIT WERE SUPPORTED AT THE $2,500 LEVEL. THE CIT CONFERENCE IS AIMED AT PROVIDING A FORUM FOR FIRST RESPONDERS, COMMUNITY MEMBERS AND OTHER LEADERS TO COME TOGETHER FOR EFFECTIVE PROBLEM SOLVING REGARDING THE INTERACTION BETWEEN CRIMINAL JUSTICE AND MENTAL HEALTHCARE SYSTEMS. THE THEME OF THE 2020 AFRICAN MENTAL HEALTH VIRTUAL SUMMIT WAS "THE NECESSITY OF RESILIENCE: LIVING WITH THE MENTAL HEALTH CONSEQUENCES OF COVID-19." THROUGH THE ACCOUNTABLE HEALTH COMMUNITIES MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREEN PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY (E.G. HOMELESSNESS, LOW HOUSING QUALITY), FOOD INSECURITY (E.G. LACK OF ACCESS TO FOOD), ACCESS TO TRANSPORTATION (E.G. LACK OF RELIABLE TRANSPORT OPTIONS), DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY (E.G. INTIMATE PARTNER VIOLENCE, CHILD ABUSE, ELDER ABUSE). IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2020, MORE THAN 130,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS WITH MORE THAN 50,000 BEING COMPLETED. TWENTY-TWO PERCENT OF SCREENINGS IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS FOLLOWED BY HOUSING INSTABILITY. ADDITIONALLY, 363 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES. ALSO IN 2020, ALLINA HEALTH BEGAN PLANNING FOR THE TRANSITION TO AN ALLINA HEALTH-SPECIFIC MODEL AFTER THE COOPERATIVE AGREEMENT ENDS IN 2022. BEFORE THE COVID-19 PANDEMIC, SOCIAL NEEDS SCREENINGS WERE ONLY OFFERED TO PATIENTS AT IN-PERSON MEDICAL VISITS. WHEN THE PANDEMIC HIT, ALLINA HEALTH QUICKLY TRANSITIONED TO PROVIDING HEALTH CARE THROUGH VIRTUAL VISITS AND OFFERING THE SOCIAL NEEDS SCREENING ELECTRONICALLY. IN 2020, NEARLY 4,000 SCREENINGS WERE OFFERED TO PATIENTS ATTENDING A VIRTUAL HEALTH CARE VISIT.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ALLINA HEALTH CLINICS-66 LOCATIONS
PO BOX 43 INTERNAL ZIP 10890	MINNEAPOLIS	MN	55440	INPATIENT AND OUTPATIENT SERVICES
2 - ALLINA HEALTH LABORATORIES
800 E 28TH STREET	MINNEAPOLIS	MN	55407	LABORATORY SERVICES
3 - ALLINA HEALTH PHARMACIES-15 LOCATIONS
800 E 28TH STREET	MINNEAPOLIS	MN	55407	PHARMACY SERVICES
4 - ALLINA HEALTH EMERGENCY MEDICAL SERVICE
167 GRAND AVENUE	ST PAUL	MN	55102	AMBULANCE AND MEDICAL TRANSPORTATION
5 - WESTHEALTH SURGERY CENTER LLC
PO BOX 43 INTERNAL ZIP 10890	MINNEAPOLIS	MN	55440	OUTPATIENT SURGERY CENTER
6 - SOUTHWEST SURGICAL CENTER LLC
920 EAST 28TH STREET SUITE 500	MINNEAPOLIS	MN	55407	OUTPATIENT SURGERY CENTER
7 - NORTHSTAR SLEEP CENTER LLC
3800 COON RAPIDS BOULEVARD SUITE	COON RAPIDS	MN	55433	OUTPATIENT SERVICES	3800
8 - ASPEN SLEEP CENTER
1010 BANDANA BOULEVARD WEST	ST PAUL	MN	55108	OUTPATIENT SERVICES
9 - MOBILE IMAGING SERVICES
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	MOBILE RADIOLOGY
10 - WOODBURY SURGERY CENTER LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	OUTPATIENT SURGERY CENTER
11 - GREENWAY SURGICAL SUITES LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	OUTPATIENT SURGERY CENTER
12 - CENTER FOR RESTORATIVE SURGERY AT MG LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	OUTPATIENT SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR.
PART I, LINE 6A:	ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/
PART I, LINE 7:	WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G:	THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2020:WORKFORCE DEVELOPMENTMANY OF ALLINA HEALTH HOSPITALS HAVE TRAIN-TO-WORK PROGRAMS AS A MEANS TO BUILD A FUTURE WORKFORCE WITHIN AND OUTSIDE OF OUR ORGANIZATION. BY FOCUSING ON BUILDING THE WORKFORCE, THE GOAL IS THAT THERE WILL BE AN INCREASE IN PERSONAL EMPLOYMENT AND ECONOMIC AND WORKFORCE STABILITY. MULTIPLE ALLINA HEALTH HOSPITALS HAVE DEVELOPED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. SEVERAL HOSPITALS AND THE CORPORATE OFFICE HOST CAREER DAYS FOR HIGH SCHOOL STUDENTS. RIVER FALLS AREA HOSPITAL ALSO HAS SIGNIFICANT INVESTMENTS IN TRAIN TO WORK PROGRAMS, IN PARTICULAR THROUGH AN INTERNATIONAL PROGRAM CALLED PROJECT SEARCH. THIS PROGRAM PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES. STUDENTS SPEND NINE MONTHS GAINING REAL-LIFE, TRANSFERRABLE SKILLS AT THE HOSPITAL.COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS AND CIVIC GROUPS, SUCH AS COMMUNITY HEALTH ADVISORY COUNCILS AND LOCAL CHAMBERS OF COMMERCE, AS A WAY TO RESPOND TO COMMUNITY NEEDS THROUGH COLLABORATION AND PARTNERSHIP. THESE COALITIONS PROVIDE THE HOSPITALS THE OPPORTUNITIES TO BUILD RELATIONSHIPS AND DETERMINE HOW BEST TO LEVERAGE LOCAL RESOURCES TO ADDRESS COMMUNITY NEEDS THAT EXIST OUTSIDE THE TRADITIONAL REALM OF HEALTH CARE. ALLINA HEALTH HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. ONE EXAMPLE OF THIS IS THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP), WHICH HAS LOCAL COALITIONS THROUGHOUT THE STATE VIA LOCAL PUBLIC HEALTH AGENCIES TO WORK ON NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE. IN ADDITION, MANY OF OUR LEADERS SERVE ON LOCAL COMMUNITY ORGANIZATION LEADERSHIP TEAMS, SUCH AS VOLUNTEER BOARDS, TO ADVANCE COMMUNITY WORK.DISASTER PREPAREDNESSIN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA HEALTH HOSPITALS ENGAGED IN AND LED DISASTER PREPAREDNESS PLANNING TO ENSURE SAFETY, EFFICIENCY AND EXCELLENT HEALTH CARE DURING TIMES OF TRAGEDY AND/OR UPSET. THIS INCLUDED PLANNING MEETINGS AND COMMUNITY MEETINGS/TRAININGS, AMONG OTHER THINGS.THESE PROGRAMS AND SERVICES, AMONG OTHERS, PROVIDE THE HOSPITALS WITHIN OUR SYSTEM THE OPPORTUNITY TO IMPACT COMMUNITY HEALTH BEFORE IT BECOMES PROBLEMATIC AND EXPENSIVE. IN ADDITION, THIS IMPORTANT WORK IS SUPPORTED BY THE MISSION OF OUR ORGANIZATION AND IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION. WE WILL CONTINUE TO CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROMOTION OF COMMUNITY HEALTH.
PART III, LINE 2:	SCH H, PART III, SECTION A, LINES 2 & 3THE ORGANIZATION HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION [HFMA] STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS OR IMPLICIT PRICE CONCESSIONS TO WHICH THE PATIENT MAY BE ELIGIBLE INCLUDING, BUT NOT LIMITED TO, THE UNINSURED DISCOUNT PROGRAM (DISCUSSED ABOVE) AND REFLECTS THE ESTIMATED AMOUNT REPORTED AS "NET PATIENT SERVICE REVENUE" DURING THE CURRENT PERIOD OR ANY PREVIOUS PERIOD. THIS DOES NOT NECESSARILY EQUAL THE "COST" TO PROVIDE THE MEDICAL SERVICES. ALSO, NOTE THAT AMOUNTS RELATED TO PATIENTS WHO HAVE QUALIFIED UNDER THE CHARITY CARE PROGRAM ARE NOT INCLUDED IN EITHER NET PATIENT REVENUE OR IN BAD DEBT EXPENSE. IN OTHER WORDS, THE BAD DEBT EXPENSE REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE IN THE REVENUE SECTION OF THE FINANCIAL STATEMENTS OF THE FORM 990 DOES NOT INCLUDE AMOUNTS RELATED TO QUALIFIED CHARITY CARE PATIENTS AND IS STATED AT THE "NET" EXPECTED OR ANTICIPATED COLLECTION AMOUNT WHICH MAY BE SIGNIFICANTLY DIFFERENT THAN PATIENT CHARGES DUE TO THE APPLICATION OF DISCOUNTS SUCH AS THOSE PROVIDED UNDER THE UNINSURED DISCOUNT PROGRAM. THIS AMOUNT ALSO CONSTITUTES A DIFFERENT AMOUNT THAN THE ORGANIZATION'S ACTUAL COST TO PROVIDE THE MEDICAL SERVICES. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 2 BAD DEBT "AT COST", THE ORGANIZATION HAS APPLIED A RATIO OF PATIENT CARE COST TO CHARGES (COST TO CHARGE RATIO) TO THE ESTIMATED PATIENT CHARGE AMOUNT INCLUDED IN BAD DEBT AFTER REMOVING THE ANTICIPATED DISCOUNTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH HOSPITAL OR OPERATING UNIT. THE RESULTING BAD DEBT (AT COST) AMOUNT FOR EACH HOSPITAL AND OPERATING UNIT IS THEN AGGREGATED TO ARRIVE AT THE BAD DEBT (AT COST) REPORTED ON LINE 2. THIS PROCESS PROVIDES A VERY CONSERVATIVE ESTIMATE OF THE ORGANIZATION'S BAD DEBT (AT COST). THE ORGANIZATION HAS A ROBUST PROCESS FOR ADMINISTERING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM DESCRIBED IN FURTHER DETAIL IN PART VI, LINE 3. EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO APPLY TO THE COMMUNITY CARE PROGRAM AND TO PARTICIPATE, IF QUALIFIED, TO RECEIVE FREE OR DISCOUNTED MEDICAL CARE OR BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM UNDER THE ORGANIZATIONS VARIOUS FINANCIAL ASSISTANCE PROGRAMS. THE ADMINISTRATIVE PROCESS INCLUDES IDENTIFYING ANY PATIENT WITH A FINANCIAL CONCERN, AS WELL AS INFORMING, COUNSELING, QUALIFYING AND ASSISTING PATIENTS TO APPLY FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. ALTHOUGH EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO RECEIVE FINANCIAL ASSISTANCE AND INFORMED MULTIPLE TIMES OF THE CHARITY CARE PROGRAM PRIOR TO OUR CLASSIFYING THE AMOUNTS AS BAD DEBT, IT IS POSSIBLE THAT PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE DO NOT COMPLETE THE APPLICATION. THIS AMOUNT IS NOT REASONABLY ESTIMABLE. AS A TAX-EXEMPT HOSPITAL ORGANIZATION WE ARE REQUIRED TO PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. DUE TO CIRCUMSTANCES BEYOND OUR CONTROL, A PERSON WHO WOULD OTHERWISE QUALIFY UNDER THE CHARITY CARE PROGRAM MAY NOT PROVIDE US THE NECESSARY INFORMATION, QUALIFY FOR THE PROGRAM, AND RECEIVE FREE CARE ALLOWING US TO CLASSIFY AND QUANTIFY IT ACCORDINGLY AND AS SUCH. ULTIMATELY, THOSE AMOUNTS ARE WRITTEN-OFF AND REPORTED AS BAD DEBT EXPENSE. ANY METHODOLOGY WE COULD USE TO QUANTIFY AND PROVIDE AN ESTIMATE OF HOW MUCH BAD DEBT (AT COST AND IF ANY) REPORTED ON LINE 2 REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND FOR US TO PROVIDE AN ESTIMATE OF WHAT PORTION OF BAD DEBT, IF ANY, THE ORGANIZATION BELIEVES SHOULD CONSTITUTE COMMUNITY BENEFIT WOULD BE PURELY SPECULATIVE, IMPRECISE AND SUBJECT TO INHERENT METHODOLOGY FLAWS. WHILE WE FIRMLY BELIEVE, FOR THE REASONS STATED ABOVE, THAT SOME COMPONENT OF OUR REPORTED BAD DEBT EXPENSE (AT COST) ON LINE 2 CONSTITUTES AMOUNTS RELATED TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM, WE CANNOT REASONABLY QUANTIFY THE AMOUNT AND RESPECTFULLY DECLINE THE OPPORTUNITY TO PROVIDE AN AMOUNT. THEREFORE, WE HAVE REPORTED ZERO OR NONE FOR FORM 990, SCHEDULE H, PART III, LINE 3.
PART III, LINE 4:	FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE:SEE ATTACHED AUDIT, FOOTNOTE 2(T) ON PAGE 13
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:	IN 2019, ALLINA HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE PURPOSE WAS TO IDENTIFY LOCAL PRIORITIES FOR EACH HOSPITAL AS WELL AS OVER-ARCHING THEMES FOR THE HEALTH SYSTEM TO ADDRESS FOR FY 2020-2022. TO RESPOND TO LOCAL NEEDS AND RESOURCES, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. THE HOSPITALS WORKED CLOSELY WITH LOCAL PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. SOME ALSO COLLABORATED WITH OTHER HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. THE CHNA PROCESS OCCURRED IN THREE STEPS: DATA REVIEW AND PRIORITIZATION, COMMUNITY INPUT AND THE DEVELOPMENT OF A THREE-YEAR IMPLEMENTATION PLAN. MOST HOSPITALS USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THE OFFICIAL CHNA PROCESS BEGAN IN JUNE 2018 AND WAS COMPLETED IN AUGUST 2019. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED, BUT INCLUDED THE MINNESOTA STUDENT SURVEY, HEALTH SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH DEPARTMENTS, LOCAL RESEARCH STUDIES ON TOPICS SUCH AS HOUSING AND SECONDARY PUBLIC HEALTH DATA AVAILABLE THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. ADDITIONALLY, TEAMS REVIEWED SELECT COUNTY-SPECIFIC ALLINA HEALTH PATIENT DATA. MANY HOSPITALS ALSO COLLECTED FEEDBACK ON PERCEIVED COMMUNITY HEALTH NEEDS FROM LOCAL STAKEHOLDERS THROUGH COMMUNITY DIALOGUES, INTERVIEWS AND SURVEYS. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES FOR THE 2020-2022 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WAS DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. HOSPITAL PRIORITIES INCLUDE:- MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE- OBESITY, PHYSICAL ACTIVITY AND NUTRITION- ACCESS TO CARE- SOCIAL DETERMINANTS OF HEALTH- SOCIAL ISOLATION- VIOLENCE- DENTAL CARE- AGING SERVICES TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES. IN FEBRUARY AND APRIL 2019, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. TOGETHER, THEY IDENTIFIED MENTAL HEALTH (INCLUDING SUBSTANCE USE) AND OBESITY CAUSED BY PHYSICAL INACTIVITY AND POOR NUTRITION AS PRIORITY NEEDS IN ALL ALLINA HEALTH GEOGRAPHIES. THEY ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ACCESS TO HEALTHY FOOD AND STABLE HOUSING, AS KEY FACTORS CONTRIBUTING TO HEALTH. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2019. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2020-2022-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSONCE IMPLEMENTATION PLANS ARE CREATED, MORE DETAILED PLANNING CONTINUES WITH STAKEHOLDER TO DEVELOP AND DELIVER SPECIFIC PROGRAMS, SERVICES AND ACTIVITIES EITHER LOCALLY OR SYSTEM-WIDE.
PART VI, LINE 3:	A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- ALLINA PARTNERS CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICES- PAYMENT PLANSOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - ALLINA PARTNERS CARE PROGRAM THE ALLINA PARTNERS CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE ALLINA PARTNERS CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTER. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS , ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. PAYMENT PLANS - IF A PATIENT INDICATES THEY ARE UNABLE OR UNWILLING TO PAY THE BALANCE IN FULL, ALLINA OFFERS A PAYMENT PLAN WHICH CANNOT EXCEED TWELVE MONTHS AND CANNOT BE LESS THAN THIRTY DOLLARS PER MONTH. IF THE PATIENT IS UNABLE TO MEET THESE PARAMETERS, MEDCREDIT IS OFFERED TO THEM. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS ALSO AVAILABLE IN SOMALI AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LEP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS.
PART VI, LINE 4:	ALLINA HEALTH SYSTEM (ALLINA HEALTH) IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 10 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITALS SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES REGINA HOSPITAL AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN.
PART VI, LINE 5:	GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. OPEN MEDICAL STAFF THE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.
PART VI, LINE 6:	ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE "TWIN CITIES") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 27,500 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 1,465 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES TEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 91,600 INPATIENT ADMISSIONS AND MORE THAN 1,097,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2020. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,778 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 66 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 760 PHYSICIANS AND 250 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 85 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 370 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 7,395,000 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2020. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 2,000 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. NEARLY 570 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,200 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $195,336,467 IN 2020.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 SIX (6) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN,WI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
MINNESOTA COMMUNITY HEALTHCARE NETWORK
2351 GRAYS LANDING ROAD	MINNETONKA	MN	55391	472590506	501C3	$244,557	GENERAL SUPPORT
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS
1200 2ND AVENUE SOUTH	MINNEAPOLIS	MN	55403	411302487	501C3	$117,166	SUPPORT FOR RESPITE PROGRAM
PROJECT FOR PRIDE IN LIVING INC
1035 EAST FRANKLIN AVENUE	MINNEAPOLIS	MN	55404	237232208	501C3	$86,100	GENERAL SUPPORT
FREE BIKES 4 KIDZ
PO BOX 007	LONG LAKE	MN	55356	271199089	501C3	$65,600	SPONSORSHIP FOR BIKE DISTRIBUTION
HEALTHFINDERS COLLABORATIVE INC
706 DIVISION STREET	NORTHFIELD	MN	55057	201805262	501C3	$63,643	GENERAL SUPPORT
CEDAR RIVERSIDE PEOPLES CENTER
425 20TH AVENUE SOUTH	MINNEAPOLIS	MN	55454	410982430	501C3	$57,000	GENERAL SUPPORT
WALK-IN COUNSELING CENTER INC
2421 CHICAGO AVENUE SOUTH	MINNEAPOLIS	MN	55404	410983461	501C3	$55,000	GENERAL SUPPORT
LAKE STREET COUNCIL
919 LAKE STREET	MINNEAPOLIS	MN	55407	410975738	501C3	$52,793	GENERAL SUPPORT
NEIGHBORHOOD DEVELOPMENT CENTER INC
663 UNIVERSITY AVENUE 200	ST PAUL	MN	55104	411738791	501C3	$52,793	GENERAL SUPPORT
MINNEAPOLIS HEART INSTITUTE FOUNDATION
920 EAST 28TH STREET SUITE 100	MINNEAPOLIS	MN	55407	411426406	501C3	$52,500	SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION
SOUTHSIDE COMMUNITY HEALTH SERVICES INC
4243 4TH AVENUE SOUTH	MINNEAPOLIS	MN	55409	237113799	501C3	$45,000	GENERAL SUPPORT
BEACON INTERFAITH HOUSING COLLABORATIVE
2610 UNIVERSITY AVENUE WEST SUITE	SAINT PAUL	MN	55114	411953599	501C3	$35,000	GENERAL SUPPORT	100
REACH OUT AND READ MINNESOTA
701 WASHINGTON AVENUE N SUITE	MINNEAPOLIS	MN	55401	811641189	501C3	$32,500	SUPPORT FOR BOOKS FOR REACH OUT AND READ	111-112
SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION
1884 RANDOLPH AVENUE	ST PAUL	MN	55105	411765361	501C3	$30,000	SPONSORSHIP FOR 2020 CARONDELETE GALA
CLARE HOUSING
929 CENTRAL AVENUE NE	MINNEAPOLIS	MN	55413	411794924	501C3	$28,000	GENERAL SUPPORT
NAMI MINNESOTA
1919 UNIVERSITY AVE W STE 400	ST PAUL	MN	55104	411317030	501C3	$25,200	SUPPORT FOR THE CRISIS ALLIANCE'S WORK IN IMPROVING THE EAST METRO MENTAL HEALTH AND SUBSTANCE USE CRISIS SYSTEM
REGIONS HOSPITAL FOUNDATION
640 JACKSON STREET MAIL STOP 11202C	ST PAUL	MN	55101	411888902	501C3	$25,000	GENERAL SUPPORT	11202C
METRO MEALS ON WHEELS INC
1200 WASHINGTON AVE SOUTH SUITE 380	MINNEAPOLIS	MN	55415	311501057	501C3	$20,100	GENERAL SUPPORT	380
COMMUNITY DENTAL CARE
1670 BEAM AVENUE SUITE 204	MAPLEWOOD	MN	55109	043692982	501C3	$20,000	GENERAL SUPPORT
ST PAUL & MINNESOTA FOUNDATION
101 FIFTH STREET EAST SUITE 2400	ST PAUL	MN	55101	416031510	501C3	$20,000	CONTRIBUTION TO THE 2020 ITATSCA PROJECT
FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC
PO BOX 745	RIVER FALLS	WI	54022	205892220	501C3	$15,700	GENERAL SUPPORT
RIDGEVIEW FOUNDATION
490 S MAPLE ST SUITE 110	WACONIA	MN	55387	411328097	501C3	$15,000	SPONSORSHIP FOR 2020 RIDGEVIEW GOLF AND TASTE CELEBRATION
SAINT PAUL DOWNTOWN ALLIANCE
401 NORTH ROBERT STREET SUITE 150	SAINT PAUL	MN	55101	824187263	501C3	$15,000	GENERAL SUPPORT
THE FOOD GROUP MINNESOTA INC
8501 54TH AVENUE NORTH	NEW HOPE	MN	55428	411246504	501C3	$11,258	GENERAL SUPPORT
UNITED WAY OF STEELE COUNTY
1850 AUSTIN ROAD 103	OWATONNA	MN	55060	237366680	501C3	$10,500	GENERAL SUPPORT
HASTINGS PUBLIC SCHOOLS
200 GENERAL SIEBEN DRIVE	HASTINGS	MN	55033	416000810	ISD 200	$10,400	IN SUPPORT OF THE PEER HELPER PROGRAM
OPEN ARMS OF MINNESOTA INC
2500 BLOOMINGTON AVENUE	MINNEAPOLIS	MN	55404	411681317	501C3	$10,300	GENERAL SUPPORT
SHERIDAN STORY
2723 PATTON RD	ROSEVILLE	MN	55113	800919680	501C3	$10,200	GENERAL SUPPORT
HOUSING LINK
1400 VAN BUREN STREET NE SUITE 215	MINNEAPOLIS	MN	55413	411873314	501C3	$10,000	GENERAL SUPPORT
HUNGER SOLUTIONS MINNESOTA
555 PARK STREET SUITE 400	ST PAUL	MN	55103	363567366	501C3	$10,000	GENERAL SUPPORT
METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS
3137 CHICAGO AVENUE	MINNEAPOLIS	MN	55407	411658654	501C3	$10,000	GENERAL SUPPORT
GUILD INCORPORATED
130 SOUTH WABASHA STREET SUITE 90	ST PAUL	MN	55017	411669233	501C3	$8,000	GENERAL SUPPORT
ALEXANDRA HOUSE INC
10065 3RD STREET NE	BLAINE	MN	55434	411309977	501C3	$7,800	GENERAL SUPPORT
WASHBURN CENTER FOR CHILDREN
1100 GLENWOOD AVE	MINNEAPOLIS	MN	55405	410711618	501C3	$7,500	SUPPORT FOR MENTAL WELLNESS PROGRAMS FOR YOUNG PEOPLE IN THE COMMUNITY
FEED MY STARVING CHILDREN
401 93RD AVENUE NW	COON RAPIDS	MN	55433	411601449	501C3	$7,300	GENERAL SUPPORT
SOLE CARE FOR SOULS
4190 VINEWOOD LANE NORTH	PLYMOUTH	MN	55442	263300002	501C3	$6,600	IN SUPPORT OF SUPPLIES NEEDED FOR HOMELESSNESS
PHILLIPS WEST NEIGHBORHOOD ORGANIZATION
2400 PARK AVENUE SOUTH SUITE 337	MINNEAPOLIS	MN	55404	900122796	501C3	$6,250	GENERAL SUPPORT
COMMUNITY EMERGENCY ASSISTANCE PROGRAM INC
7051 BROOKLYN BLVD	BROOKLYN CENTER	MN	55429	410990340	501C3	$5,400	GENERAL SUPPORT
GREATER MINNEAPOLIS CRISIS NURSERY
4544 FOURTH AVENUE SOUTH	MINNEAPOLIS	MN	55419	411379021	501C3	$5,400	IN SUPPORT OF THE EVENT FORMULA FOR HOPE
HOPE 4 YOUTH
2191 NORTHDALE BLVD NW	COON RAPIDS	MN	55303	461626500	501C3	$5,400	GENERAL SUPPORT
COMMUNITY ACTION CENTER OF NORTHFIELD INC
1651 JEFFERSON PARKWAY	NORTHFIELD	MN	55057	410970984	501C3	$5,350	GENERAL SUPPORT
MATTER
7005 OXFORD ST	ST LOUIS PARK	MN	55426	371441658	501C3	$5,344	GENERAL SUPPORT
FREE CLINIC OF STEELE COUNTY
2250 NW 26TH STREET	OWATONNA	MN	55060	461795200	501C3	$5,300	GENERAL SUPPORT
THREE RIVERS PARK DISTRICT FOUNDATION INC
3000 XENIUM LANE N	PLYMOUTH	MN	55441	411579104	501C3	$5,300	SUPPORT FOR THE TRAIL MIX RACE
ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC
7900 W 78TH ST STE 100	MINNEAPOLIS	MN	55439	133039601	501C3	$5,200	SPONSORSHIP FOR WALK TO END ALZHEIMER'S TWIN CITIES
CHRISTIAN CUPBOARD EMERGENCY FOOD SHELF
8264 4TH STREET NORTH	OAKDALE	MN	55128	363298764	501C3	$5,100	SUPPORT TO PURCHASE FOOD FOR DISTRIBUTION EVENTS TO LOW-INCOME HOUSEHOLDS
NORTHFIELD HEALTHY COMMUNITY INITIATIVE
1651 JEFFERSON PARKWAY	NORTHFIELD	MN	55057	262852506	501C3	$5,100	TO SUPPORT HEALTHY WAYS HEALTHY HARLEM PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	45	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES	15	$9,500
HOUSING AND LIVING ASSISTANCE	10	$10,297
BIKES AND HELMETS	5588		$49,627	FMV	BIKES AND HELMETS DISTRIBUTION AT VARIOUS BIKE EVENTS
MEDICAL ASSISTANCE	8908	$150,000
T-SHIRTS AND BAGS	6401		$19,790	FMV	T-SHIRT AND BAG DISTRIBUTION AT BIKE EVENTS
CARING FOR COLLEAGUES	595	$959,897

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PENNY WHEELER MD
DIRECTOR/PRES/CEO	$1,342,280	$0	$631,044	$0	$727,306	$0	$524,198	$0	$16,339	$0	$3,241,167	$0	$664,145	$0
LISA SHANNON
PRESIDENT/COO	$953,194	$0	$98,901	$0	$189,573	$0	$496,248	$0	$31,556	$0	$1,769,472	$0	$110,921	$0
MARK HELLER MD
PHYSICIAN	$1,354,126	$0	$0	$0	$104,282	$0	$85,827	$0	$28,856	$0	$1,573,091	$0	$69,353	$0
DANIEL BUSS MD
PHYSICIAN	$1,242,402	$0	$0	$0	$169,185	$0	$18,525	$0	$33,483	$0	$1,463,595	$0	$0	$0
RICHARD MAGNUSON
EVP/CFO/TREASURER	$707,435	$0	$217,689	$0	$115,928	$0	$358,765	$0	$17,685	$0	$1,417,502	$0	$219,483	$0
DANA HARMS MD
PHYSICIAN	$879,787	$0	$0	$0	$481,204	$0	$17,100	$0	$24,485	$0	$1,402,576	$0	$0	$0
ANTHONY ANDERSON MD
PHYSICIAN	$1,192,102	$0	$300	$0	$84,831	$0	$76,550	$0	$37,583	$0	$1,391,366	$0	$0	$0
MICHAEL FREEHILL MD
PHYSICIAN	$1,134,320	$0	$0	$0	$67,512	$0	$80,730	$0	$32,583	$0	$1,315,145	$0	$56,728	$0
SARA CRIGER
SVP-OPS/PRES. MERCY/UNITED	$677,498	$0	$179,228	$0	$112,026	$0	$287,043	$0	$23,145	$0	$1,278,940	$0	$179,341	$0
ANN MADDEN RICE
SVP-PRESIDENT ANW	$782,775	$0	$86,487	$0	$51,659	$0	$312,486	$0	$10,832	$0	$1,244,239	$0	$19,375	$0
ROBERT WIELAND MD
FORMER SVP CHIEF STRATEGY OFFICER	$0	$0	$0	$0	$1,157,418	$0	$0	$0	$0	$0	$1,157,418	$0	$633,276	$0
TIMOTHY SIELAFF MD
SVP AHG-SPECIALTY CARE/CMO	$552,219	$0	$166,662	$0	$167,558	$0	$150,328	$0	$21,762	$0	$1,058,529	$0	$177,243	$0
ELIZABETH TRUESDELL SMITH
SECRETARY/SVP GEN COUN.	$536,737	$0	$139,966	$0	$77,625	$0	$222,252	$0	$28,856	$0	$1,005,436	$0	$145,422	$0
JONATHAN SHOEMAKER
SVP CHIEF INFO & IMPROV OFF.	$520,199	$0	$126,227	$0	$87,117	$0	$217,121	$0	$9,561	$0	$960,225	$0	$126,318	$0
CHRISTINE MOORE
SVP, CHIEF HUMAN RESOURCE OFF	$473,571	$0	$121,763	$0	$85,258	$0	$199,948	$0	$32,483	$0	$913,023	$0	$124,955	$0
DAVID SLOWINSKE
SVP AHG OPERATIONS	$528,358	$0	$103,998	$0	$60,315	$0	$149,264	$0	$28,856	$0	$870,791	$0	$105,459	$0
RYAN ELSE MD
VP INTERIM ACUTE CARE MED OFF	$441,665	$0	$38,836	$0	$55,749	$0	$82,273	$0	$33,333	$0	$651,856	$0	$0	$0
JOHN MISA MD
VP INTERIM AHG MED OFF	$541,061	$0	$34,188	$0	$3,861	$0	$67,560	$0	$0	$0	$646,670	$0	$0	$0
CORRINE KROEHLER
FORMER VP FINANCE/SUPPLY CHAIN	$220,344	$0	$31,459	$0	$295,062	$0	$15,952	$0	$17,891	$0	$580,708	$0	$96,622	$0
JEFFREY SHOEMATE
SVP CHIEF MARKETING OFF	$289,357	$0	$34,446	$0	$51,323	$0	$124,035	$0	$30,683	$0	$529,844	$0	$29,055	$0
SCOTT LEIGHTY
SVP OPS/REG HOSP & CLINICS	$314,707	$0	$50,000	$0	$71,583	$0	$76,418	$0	$15,394	$0	$528,102	$0	$0	$0
SARAH KLEAVELAND KUPCZAK
SVP CHIEF COMPLIANCE OFF	$277,078	$0	$50,000	$0	$104,805	$0	$56,322	$0	$23,225	$0	$511,430	$0	$0	$0
NICHOLAS MENDYKA
VP SYSTEM FINANCE OPS	$356,683	$0	$10,513	$0	$4,321	$0	$20,786	$0	$26,683	$0	$418,986	$0	$0	$0
MARY BEAR DUKES
FORMER VP REVENUE CYCLE MGMT	$52,495	$0	$25,673	$0	$276,968	$0	$5,223	$0	$6,659	$0	$367,018	$0	$28,376	$0
HELEN STRIKE
FORMER PRESIDENT-UNITY HOSP	$274,160	$0	$14,399	$0	$26,573	$0	$29,814	$0	$10,061	$0	$355,007	$0	$0	$0
PETER HOFRENNING
SVP,INTERIM CHIEF COMP. OFF	$219,810	$0	$17,620	$0	$21,476	$0	$10,811	$0	$32,583	$0	$302,300	$0	$0	$0
ELIZABETH SMITH MD
FORMER INTERIM SVP AHG-PRIMARY CARE	$0	$0	$0	$0	$232,225	$0	$0	$0	$0	$0	$232,225	$0	$142,510	$0
THOMAS O'CONNOR
FORMER PRESIDENT-UNITED HOSP.	$0	$0	$0	$0	$194,678	$0	$0	$0	$0	$0	$194,678	$0	$0	$0
BEN BACHE-WIIG MD
FORMER EVP CHIEF POPLTN HLTH OFF	$0	$0	$0	$0	$117,438	$0	$0	$0	$0	$0	$117,438	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	EXPLANATION: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. SARAH KLEAVELAND KUPCZAK - $99,860; SCOTT LEIGHTY - $67,778.
PART I, LINES 4A-B	4(A): TIMOTHY SIELAFF, MD - $50,314; BEN BACHE WIIG, MD - $117,438; THOMAS O'CONNOR - $194,678; MARY BEAR-DUKES - $206,401; CORRINE KROEHLER - $80,021. 4(B): PENNY WHEELER, MD - $331,930; SARA CRIGER - $86,184; RICHARD MAGNUSON - $90,123; CHRISTINE MOORE - $61,684; ANN MADDEN RICE - $23,381; LISA SHANNON - $125,284; JONATHAN SCHOEMAKER - $59,947; JEFFREY SHOEMATE - $29,055; TIMOTHY SIELAFF, MD - $91,069; DAVID SLOWINSKE - $45,162; ELIZABETH TRUESDELL SMITH - $72,262; RYAN ELSE, MD - $50,793; ANTHONY ANDERSON, MD $59,161; DANIEL BUSS, MD - $70,072; MICHAEL FREEHILL, MD - $62,841; DANA HARMS - $398,327; MARK HELLER, MD - $77,070; MARY BEAR-DUKES - $31,516 - $CORRINE KROEHLER - $119,618; ROBERT WIELAND, MD - $1,094,950; ELIZABETH SMITH, MD - $232,225.
PART I, LINE 6	DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8	CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)	ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PRIORITY CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. THE MUTUAL FUND PLANS TERMINATED EFFECTIVE DECEMBER 31, 2018. ALL MUTUAL FUND ACCOUNTS SHALL BE DISTRIBUTED IN A LUMP SUM NO LATER THAN JANUARY 2021, OR IF ELECTED BY THE PARTICIPANT IN DECEMBER 2018, IN THREE ANNUAL INSTALLMENTS WITH THE FIRST HAVING BEEN MADE FEBRUARY 2019 (33.33 PERCENT OF ACCOUNT BALANCE), THE SECOND MADE FEBRUARY 2020 (50 PERCENT OF REMAINING BALANCE), AND THE THIRD MADE JANUARY 2021 (REMAINING BALANCE). ALLINA DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPAPTED IN A DEFINED CONTRIBUTION SERP. THIS PLAN WAS AMENDED AND FROZEN EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. THIS PLAN WAS REPLACED WITH THE EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN EFFECTIVE JANUARY 1, 2009, WHICH WAS ALSO FROZEN EFFECTIVE DECEMBER 31, 2018 EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR DC SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE. BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65, RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO 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. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND FROZEN EFFECTIVE DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% SVP \| EVP 15% CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
A	416005375	603695JN8	2019-10-23	$82,732,038	REFUND ISSUE DATED 11/10/2009	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
B	416005375	792909DV2	2017-04-13	$77,845,000	REFUND ISSUE DATED 10/19/2007	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
C	416005375	603695JC2	2017-04-13	$92,779,168	REFUND ISSUE DATED 11/15/2009	0	0	0
CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL
D	416005375	792909BJ1	2009-11-10	$348,409,221	REFUNDING OF 2007B & A PORTION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt
A	$1,705,000	$82,732,038	$925,179	$3,908	$81,802,951	2019	Yes (1)	0	Yes (1)	Yes (1)
B	$48,550,000	$77,845,000	$135,000		$77,710,000	2017	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	$2,335,000	$92,779,168	$830,328	$6,508	$91,942,332	2017	0	Yes (1)	Yes (1)	Yes (1)
D	$185,245,000	$348,795,795	$3,332,390		$295,092,023	2014	Yes (1)	0	Yes (1)	Yes (1)	$222,216	$49,893,780

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.00800	0.00800	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.01600	0.01600	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.00400	0.00400	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.00600	0.00600	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0	0	0	Yes (1)
JP MORGANWELLS
D	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	FARGO	25.800000000000	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN A, B, & F EXPLANATION	ENTITY 1: BOND A: (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 B: (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: REFUNDING OF 2007B DATED 10/09/2007 & A PORTION OF 1998A DATED 10/08/1998;CONSTRUCTION;REMODELING;RENOVATION. 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 THE SERIES 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: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION. ENTITY 2: BOND A: (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 - 41-6005521 (F) DESCRIPTION OF PURPOSE: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION
PART II, LINE 3	ENTITY 1: BOND D: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS. ENTITY 2: BOND A: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS.
PART II, LINE 11 EXPLANATION	ENTITY 1: BOND D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW.
PART IV, ARBITRAGE, LINE 2C	ENTITY 1: BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ENTITY 2: BOND A: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$357,995,000	RetiredAmt
Total Proceeds	$488,622,085	TotalProceedsAmt
Issuance Costs From Proceeds	$2,717,494	IssuanceCostsFromProceedsAmt
Credit Enhancement	$6,787,000	CreditEnhancementAmt
Capital Expenditures	$126,922,772	CapitalExpendituresAmt
Other Spent Proceeds	$352,194,819	OtherSpentProceedsAmt
Substantial Completion	2010	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.02200	PrivateBusUseByOthersPct
Total Private Business Use	0.02200	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Hedge Provider Name HedgeProviderName

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

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

GIC Provider Name GICProviderName

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

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAROLYN ALLEN
FAMILY MEMBER OF JOHN ALLEN, BOARD MEMBER	$20,122	EMPLOYMENT	0
CAROL ROSENBERG
FAMILY MEMBER OF BRIAN ROSENBERG, BOARD MEMBER	$80,282	EMPLOYMENT	0
SARAH CORNICK
FAMILY MEMBER OF BEN BACHE-WIIG, EVP CHIEF POPULATION HEALTH OFFICER	$117,874	EMPLOYMENT	0
ERIN CHURCH
FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER	$52,037	EMPLOYMENT	0
MARGARET HASBROUCK
FORMER EMPLOYEE/OFFICER AND OWNER OF MARGARET HASBROUCK, LLC.	$7,800	BUSINESS RELATIONSHIP	0
ALEXIS SHANNON
FAMILY MEMBER OF LISA SHANNON, PRESIDENT AND COO	$9,922	EMPLOYMENT	0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIPMENT	Desc
Contribution	49	ContributionCnt
Noncash Contributions Rpt F990	$67,036	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP - DIRECTORS SALLY SMITH AND GARY BHOJWANI. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, SALLY SMITH AND GARY BHOJWANI ALSO SERVE ON THE HORMEL FOODS CORPORATION [NYSE: HRL] BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - DIRECTORS DEBBRA SCHONEMAN AND THOMAS SCHREIER, 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, PENNY WHEELER, M.D., ABIR SEN AND BEN BACHE-WIIG, M.D. ARE DIRECTORS OF THE BOARD OF (1) ALLINA HEALTH AND AETNA INSURANCE COMPANY, A MINNESOTA CORPORATION; AND (2) ALLINA HEALTH AND AETNA INSURANCE HOLDING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BUSINESS RELATIONSHIP - CORRINE KROEHLER AND ELIZABETH TRUESDELL SMITH ARE BOARD MEMBERS AND RICHARD MAGNUSON IS A BOARD MEMBER AND BOARD OFFICER OF FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY, SPC, A WHOLLY OWNED SUBSIDIARY OF ALLINA. BUSINESS RELATIONSHIP - MAYKAO HANG, PH.D. IS EMPLOYED BY THE UNIVERSITY OF ST. THOMAS AND PENNY WHEELER, MD AND DEBBRA SCHONEMAN ARE DIRECTORS/TRUSTEES 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.
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 1, 2021 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. $5,000 DONATED TO MINNESOTATOGETHER.ORG AND $5,000 TO ALLINA CARING FOR THE COMMUNITY FUND FOR THE SERVICES OF JENNIFER ALSTAD $24,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF THOMAS SCHREIER, JR. $10,000 DONATED TO ABBOTT NORTHWESTERN HOSPITAL FOUNDATION FOR THE SERVICES OF TIMOTHY WELSH. $10,000 DONATED TO MENTAL HEALTH AND ADDITION AND CANCER PRIORITIES FUND FOR THE SERVICES OF GARY BHOJWANI. $3,000 DONATED TO ALLINA CARING FOR CARGIVERS; $2,000 TO HMONG NATIONALITIES ORGANIZATION; $3,000 TO MAYKAO YANGBLONGSUA & LAO LU HANG FUND; $1,000 TO COALITION OF ASIAN AMERICAN LEADERS AND $1,000 TO DEAN'S STRATEGIC FUND FOR THE SERVICES OF MAYKAO HANG. $5,000 DONATED TO THE ALLINA CARING FOR CAREGIVERS FUND; $5,000 TO ALLINA TELE-ADDICTION FUND; $5,000 TO ALLINA CARING FOR THE COMMUNITY FUND FOR THE SERVICES OF VICKI YANISCH. $2,500 DONATED TO THE ALLINA TELE-ADDICTION FUND FOR THE SERVICES OF STEPHEN LACROIX. $2,000 TO ALLINA TELE-ADDICTION FUND; $2,000 TO ALLINA CARING FOR THE COMMUNITY FUND; $1,000 TO ALLINA CARING FOR CAREGIVERS FUND FOR THE SERVICES OF BARBARA BUTTS WILLIAMS. $1,000 TO ALLINA'S GENERAL FUND FOR THE SERVICES OF RAYMOND (CLAY) AHRENS. $10,000 TO ALLINA CARING FOR CAREGIVERS FUND FOR THE SERVICES OF SHARI BALLARD. $14,000 PAID TO MIDWEST RADIOLOGY FOR THE SERVICES OF ANDERS KNUTZEN, MD.
FORM 990, PART XI, LINE 9:	DISTRIBUTION TO MEMBERS - MICC 23,134,678. DISTRICT ONE HARDSHIP FUND 94,893. FAS 106 MNA BENEFIT ACTUARIAL ADJUSTMENT -3,294,595. WESTHEALTH AMBULATORY SURGERY CENTER LLC JOINT VENTURE CONSOLIDATION 1,808,100. OWNERSHIP STRUCTURE CHANGE WITH SCA AND WESTHEALTH ASC 6,890,736. RIVERWOOD VILLAGE SECURITY DEPOSIT REFUND 2,108.
PART XII, LINE 2C	THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ACCOUNTS RECEIVABLE SERVICES LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	550811834	DEBT COLLECTION	MN	$13,518,563	$17,672,942	ALLINA HEALTH SYSTEM
AXIS HEALTHCARE LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411855603	HEALTHCARE SERVICES	MN	$307,374	$918,158	ALLINA HEALTH SYSTEM
SOUTHWEST SURGICAL CENTER LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	412013700	SURGICAL SERVICES	MN	$2,801,358	$20,905,526	ALLINA HEALTH SYSTEM
AH FRANCHISING LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043		FRANCHISING	DE	$0	$0	ALLINA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GERIATRIC SERVICES OF MINNESOTA LLC
3433 BROADWAY STREET NE SUITE 300	MINNEAPOLIS	MN	55413	453357936	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-$867,037	$1,199,417	0	Yes (1)	0.50000
NORTHSTAR SLEEP CENTER LLC
920 EAST 28TH STREET SUITE 700	MINNEAPOLIS	MN	55407	452532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$271,888	$111,912	0	Yes (1)	0.49000
ASPEN SLEEP CENTER LLC
1010 BANDANA BOULEVARD WEST	ST PAUL	MN	55108	261850227	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	$299,480	$316,441	0	0	0.65000
HEALTHCARE CAMPUS IMAGING ONE LLC
200 STATE AVENUE	FARIBAULT	MN	55021	522401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$189,707	$159,294	0	Yes (1)	0.50000
CROSBY CARDIOVASCULAR SERVICES LLC
920 E 28TH STREET SUITE 500	MINNEAPOLIS	MN	55407	412010368	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-$4,493	$993,434	0	Yes (1)	0.50000
MOBILE IMAGING SERVICES LLC
7505 METRO BOULEVARD SUITE 400	EDINA	MN	55439	411883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	$13,408	$319,330	0	Yes (1)	0.50000
MAGNETO LEASING LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	201582501	RENTAL EQUIPMENT	MN	ALLINA HEALTH SYSTEM	RELATED	$29,745	$12,745	0	Yes (1)	0.50000
GLOBAL MARKET RESERVE FUND LLC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	832659070	FINANCE	MN	ALLINA HEALTH SYSTEM	UNRELATED	$54,626	$1,501,097	0	Yes (1)	0.50000
METROPOLITAN INTEGRATED CANCER CENTER LLC
PO BOX 819067	DALLAS	TX	75381	205068485	RADIOLOGY	DE	ALLINA HEALTH SYSTEM	UNRELATED	$2,504,977	$1,371,871	0	Yes (1)	0.80000
BPA HEALTH LLC
2845 HAMLINE AVENUE NORTH	ROSEVILLE	MN	55113	352490984	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED		$3,145	0	Yes (1)	0.33330
SCA GREENWAY HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853472510	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-$20,549	$6,137,942	0	0	0.51000
SCA MAPLE GROVE HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853425387	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-$16,297	$599,360	0	0	0.51000
SCA WOODBURY HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853491574	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-$8,742	$742,494	0	0	0.51000
GREENWAY SURGICAL SUITES LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853346468	HEALTHCARE SERVICES	MN	SCA GREENWAY HOLDINGS LLC	RELATED	-$39,792	$12,035,180	0	0	0.28300
CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853324771	HEALTHCARE SERVICES	MN	SCA MAPLE GROVE HOLDINGS LLC	RELATED	-$31,454	$1,175,216	0	0	0.26500
WOODBURY SURGERY CENTER LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853366699	HEALTHCARE SERVICES	MN	SCA WOODBURY HOLDINGS LLC	RELATED	-$16,642	$1,455,871	0	0	0.26000
WESTHEALTH JV HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	853312235	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	$257,991	$2,355,346	0	0	0.70000
WESTHEALTH SURGERY CENTER LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	371763155	HEALTHCARE SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	$354,551	$3,233,271	0	0	0.49000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALLINA SPECIALTY ASSOCIATES INC
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411802815	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	-$26,954,350	$78,375,081	1.00000	0
ALLINA HEALTH SYSTEM TRUST
PO BOX 535007	PITTSBURGH	PA	15253	276712988	TRUST	PA	ALLINA HEALTH SYSTEM	T	$191,765,786		1.00000	0
ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST
500 GRANT STREET SUITE 625	PITTSBURGH	PA	15258	376520273	TRUST	PA	ALLINA HEALTH SYSTEM	T			1.00000	0
LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	411720860	TRUST	MN	ALLINA HEALTH SYSTEM	T	$76,137		1.00000	0
ALLINA INTEGRATED MEDICAL NETWORK
PO BOX 43 MAIL ROUTE 10890	MINNEAPOLIS	MN	554400043	275129095	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	$1,328,329	$11,263,684	1.00000	0
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
				981366132	CAPTIVE INSURANCE		ALLINA HEALTH SYSTEM	C	$759,234	$19,381,612	1.00000	0	PO BOX 1085	GRAND CAYMAN	CJ	KY1-1102	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
C	$5,037,775	CASH
ABBOTT NORTHWESTERN HOSPITAL FOUNDATION
B	$2,005,784	COST
COURAGE KENNY FOUNDATION
C	$4,912,864	CASH AND FMV
MERCY & UNITY HOSPITALS FOUNDATION
C	$1,146,690	CASH
MERCY & UNITY HOSPITALS FOUNDATION
B	$767,548	COST
UNITED HOSPITAL FOUNDATION
C	$3,547,721	CASH
UNITED HOSPITAL FOUNDATION
B	$1,296,438	COST
ALLINA ASSOCIATED FOUNDATION
C	$1,384,865	CASH
ALLINA ASSOCIATED FOUNDATION
B	$1,125,298	COST
ALLINA SPECIALTY ASSOCIATES INC
C	$2,182,764	COST
ASPEN SLEEP CENTER LLC
C	$200,850	CASH
METROPOLITAN INTEGRATED CANCER CARE LLC
C	$3,008,857	CASH
HEALTHCARE CAMPUS IMAGING ONE LLC
C	$155,000	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
Q	$25,942,841	CASH
ST FRANCIS REGIONAL MEDICAL CENTER
S	$261,500	CASH
REGINA FOUNDATION
B	$64,962	COST
REGINA FOUNDATION
C	$119,264	CASH
WESTHEALTH SURGERY CENTER LLC
B	$1,257,606	CASH
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
R	$1,716,600	CASH
FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC
B	$4,000,000	CASH
ALLINA INTEGRATED MEDICAL NETWORK
C	$1,418,327	CASH
SCA GREENWAY HOLDINGS LLC
B	$6,158,491	CASH
SCA MAPLE GROVE HOLDINGS LLC
B	$483,203	CASH
SCA WOODBURY HOLDINGS LLC
B	$395,958	CASH
WESTHEALTH JV HOLDINGS LLC
B	$916,256	CASH