2023-11-10T14:33:23-06:00 2022-12-31 990 2022-01-01 363261413 ALLINA HEALTH SYSTEM ALLI 6122620660 PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 RICHARD E MAGNUSON CHIEF FINANCIAL OFFICER 6122620660 2023-11-10 RICHARD MAGNUSON 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LISA SHANNON PO BOX 43 MR 10890 MINNEAPOLIS MN 554400043 6499175273 0 X WWW.ALLINAHEALTH.ORG X 1983 MN ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE NEEDS OF OUR PATIENTS THROUGH WHOLE PERSON CARE-PHYSICAL, MENTAL, SPIRITUAL AND COMMUNITY. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2022, ALLINA HEALTH PROVIDED $608,739,292 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. 20 17 34184 3180 27840675 4568780 33507794 23541864 4870536929 4907873035 123510473 190843426 48827725 39807620 5076382921 5162065945 5370952 5478142 0 0 2978628795 3231914520 0 0 7273976 1858121750 1953363069 4842121497 5190755731 234261424 -28689786 6521342252 5837797261 2958776434 2683249294 3562565818 3154547967 X OUR MISSIONWE SERVE OUR COMMUNITIES BY PROVIDING EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE.OUR VISIONWE WILL: PUT THE PATIENT FIRST; MAKE A DIFFERENCE IN PEOPLES LIVES BY PROVIDING EXCEPTIONAL CARE AND SERVICE; CREATE A HEALING ENVIRONMENT WHERE PASSIONATE PEOPLE THRIVE AND EXCEL; AND LEAD COLLABORATIVE EFFORTS THAT SOLVE OUR COMMUNITY'S HEALTH CARE CHALLENGES.OUR VALUESINTEGRITY, RESPECT, TRUST, COMPASSION AND STEWARDSHIP 0 0 4091491825 5478142 5019668050 PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN IS THE LARGEST NONPROFIT HOSPITAL IN THE TWIN CITIES. ABBOTT NORTHWESTERN SERVES MORE THAN 200,000 PATIENTS AND THEIR FAMILIES FROM ACROSS THE TWIN CITIES AND UPPER MIDWEST PER YEAR. THE HOSPITAL IS KNOWN ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: ALLINA HEALTH CANCER INSTITUTE, MINNEAPOLIS HEART INSTITUTE, THE SPINE INSTITUTE, NEUROSCIENCE INSTITUTE, ORTHOPEDIC INSTITUTE, THE MOTHER BABY CENTER, AND THE COURAGE KENNY REHABILITATION INSTITUTE. THE HOSPITAL HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITY IT SERVES THROUGH BOTH CHARITABLE GIVING BY THE ALLINA HEALTH FOUNDATION - ABBOTT NORTHWESTERN HOSPITAL PHILANTHROPIC ADVISORY BOARD AND PROGRAMMING EFFORTS THAT ADDRESS HEALTH NEEDS IN THE COMMUNITY.BUFFALO HOSPITAL - BUFFALO, MINNESOTABUFFALO HOSPITAL IS A NON-PROFIT REGIONAL MEDICAL CENTER COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE CARE TO PATIENTS IN AND AROUND WRIGHT COUNTY. BUFFALO HOSPITAL PROVIDES EXCEPTIONAL PATIENT-CENTERED CARE TO NEARLY 70,000 PATIENTS EVERY YEAR. BUFFALO HOSPITAL WAS ALSO THE FIRST HOSPITAL IN THE STATE OF MINNESOTA TO BE AWARDED THE PATHWAY TO EXCELLENCE AMERICAN NURSE CREDENTIALING DESIGNATION AND ALSO RECEIVED AN AWARD FROM THE MINNESOTA BUSINESS MAGAZINE FOR DEVELOPING WELLNESS PROGRAMS. THE HOSPITAL ALSO HAS A LONG HISTORY OF WORKING TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CHARITABLE GIVING BY THE BUFFALO HOSPITAL FOUNDATION AND DIRECT COMMUNITY HEALTH-IMPROVEMENT PROGRAMMING. CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTACAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO MORE THAN 30,000 RESIDENTS IN ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND AN 86-BED HOSPITAL LOCATED ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY. THERE ARE MORE THAN 65 PHYSICIANS AND PROVIDERS ON STAFF AND 27 CONSULTING PHYSICIANS PROVIDING SPECIALTY CARE SUCH AS CARDIOLOGY, ONCOLOGY, EAR NOSE THROAT AND UROLOGY, AMONG OTHERS. THE MEDICAL CENTER HAS MORE THAN 850 EMPLOYEES AND IS THE LARGEST EMPLOYER IN THE CITY OF CAMBRIDGE.ALLINA HEALTH FARIBAULT MEDICAL CENTER (FKA DISTRICT ONE HOSPITAL) - FARIBAULT, MNFARIBAULT MEDICAL CENTER, LOCATED IN FARIBAULT, MINNESOTA, OPERATES 42 BEDS. THE MEDICAL CENTER PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES, INCLUDING ORTHOPEDIC SERVICES, PHYSICAL THERAPY, CARDIAC REHABILITATION, ADULT MENTAL HEALTH OUTPATIENT SERVICES, CANCER SERVICES AND A BIRTH CENTER.MERCY HOSPITAL - COON RAPIDS, MINNESOTAMERCY HOSPITAL HAS TWO CAMPUSES - THE MERCY CAMPUS IN COON RAPIDS AND UNITY CAMPUS IN FRIDLEY. MERCY OFFERS A WIDE RANGE OF SPECIALTY SERVICES, INCLUDING AWARD-WINNING VIRGINIA PIPER CANCER INSTITUTE, THE MOTHER BABY CENTER, MENTAL HEALTH CARE, EMERGENCY SERVICES, SURGICAL SERVICES AND TOP-RATED CARDIOVASCULAR CARE THROUGH THE HOSPITAL'S NATIONALLY KNOWN HEART & VASCULAR CENTER. ADDITIONALLY, THE HOSPITAL WAS NAMED ONE OF THE NATION'S 100 TOP HOSPITALS AND 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. MERCY HOSPITAL HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITIES IT SERVES THROUGH CHARITABLE GIVING BY ALLINA HEALTH AND THE MERCY HOSPITAL FOUNDATION AND PROGRAMMING THAT ADDRESSES HEALTH NEEDS IN THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTANEW ULM MEDICAL CENTER (NUMC) IS A NONPROFIT HOSPITAL WITH CLINICS IN NEW ULM, SPRINGFIELD, LAMBERTON AND WINTHROP. THE HOSPITAL OFFERS AN EXTENSIVE RANGE OF CARE OPTIONS WITH MORE THAN 70 AFFILIATED PHYSICIANS AND NURSE PRACTITIONER/PHYSICIAN ASSISTANT PROVIDERS AND A FULL COMPLEMENT OF VISITING SPECIALISTS. AMONG THE MANY IMPORTANT SERVICES ALLINA HEALTH OFFERS TO THIS RURAL REGION ARE OBSTETRICS, SURGERY, MENTAL HEALTH/ADDICTION, HOME CARE, HOSPICE AND EMERGENCY MEDICAL SERVICES. IN 2021, NUMC WAS NAMED ONE OF THE TOP 100 CRITICAL ACCESS HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH FOR THE 10TH TIME. OWATONNA HOSPITAL - OWATONNA, MINNESOTAOWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. THE HOSPITAL HAS SPECIALTIES IN SURGERY AND TRAUMA CARE AND A COMPREHENSIVE ARRAY OF OUTPATIENT REHABILITATION SERVICES. THE HOSPITAL IS PHYSICALLY CONNECTED TO MAYO CLINIC HEALTH SYSTEM - OWATONNA CLINIC AND BENEDICTINE LIVING COMMUNITY - OWATONNA, AN 80-BED LONG- AND SHORT-TERM CARE FACILITY. ALSO LOCATED ADJACENT TO THE HEALTHCARE CAMPUS IS HOMESTEAD HOSPICE HOUSE, A RESIDENTIAL HOSPICE OPERATED BY ALLINA HEALTH THAT PROVIDES PERSONALIZED CARE IN A WELCOMING, HOME ENVIRONMENT 24 HOURS A DAY, SEVEN DAYS A WEEK. THE OWATONNA HEALTH CARE CAMPUS BRIDGES INPATIENT AND OUTPATIENT SERVICES WITHIN THE SAME MEDICAL DISCIPLINES TO CREATE SEAMLESS PATIENT CARE.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINRIVER FALLS AREA HOSPITAL IS A NON-PROFIT HEALTH SYSTEM DEDICATED TO THE PREVENTION AND TREATMENT OF ILLNESS. THE RIVER FALLS HEALTHCARE CAMPUS INCLUDES THE RIVER FALLS AREA HOSPITAL, ALLINA HEALTH RIVER FALLS CLINIC, A NUMBER OF SPECIALTY PROVIDER PARTNERS AND THE KINNIC HEALTH & REHAB FACILITY. ITS FOCUS IS TO DELIVER EXCEPTIONAL HEALTH CARE, SUPPORT SERVICES, AND PREVENTIVE CARE - PUTTING THE PATIENT FIRST IN EVERYTHING. THE HOSPITAL ALSO HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITY IT SERVES THROUGH PROGRAMS AND SERVICES THAT RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY. UNITED HOSPITAL - ST. PAUL, MINNESOTAIN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS. TOGETHER, THE TWO CAMPUSES ANNUALLY SERVE MORE THAN 250,000 PATIENTS. UNITED HOSPITAL - ST. PAUL CAMPUS IS ONE OF THE LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED'S EMPLOYEES AND MEDICAL STAFF ARE COMMITTED TO PLACE PATIENT NEEDS FIRST AND TREATING ALL INDIVIDUALS WITH COMPASSION AND RESPECT. HIGHLY REGARDED FOR ITS CLINICAL CARE, UNITED HAS EARNED A REPUTATION FOR SUPPORTIVE, PATIENT-CENTERED CARE DESIGNED TO CREATE THE MOST COMFORTABLE, STRESS-FREE HEALTH CARE EXPERIENCE POSSIBLE. UNITED HOSPITAL - HASTINGS REGINA CAMPUS SERVES THE COMMUNITY BY PROVIDING EXCEPTIONAL CARE, PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT TO PATIENTS.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2022, ALLINA HEALTH EXPENDED OVER $4 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 9,900,000 CLINIC VISITS, 89,671 INPATIENT ADMISSIONS AND 1,400,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 327,000 EMERGENCY CARE VISITS, 86,950 SURGERIES, AND OVER 97,000 AMBULANCE TRANSFERS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, COMMUNITY SERVICES FOR PEOPLE WITH DISABILITIES AND MENTAL HEALTH SERVICES. IN 2022, ALLINA HEALTH EXPENDED $28,893,059 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE. 366432277 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 2022, ALLINA HEALTH PROVIDED $366,432,277 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 2022, ALLINA HEALTH EXPENDED $248,853,077 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $33,211,105 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 2022, ALLINA HEALTH PAID $26,090,746 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 1.8% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $54,430,480 FOR THE MINNESOTACARE TAX IN 2022. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $3,846,869 IN TAXES AND FEES IN 2022. 62052234 -104480483 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 2022, ALLINA HEALTH PROVIDED $13,678,528 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 40 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 47 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2022, ALLINA HEALTH PROVIDED $48,373,706 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 2022 TOTALED $104,480,483. 46881414 COMMUNITY SERVICES:IN 2022, ALLINA HEALTH CONTRIBUTED $46,881,414 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 2022, MORE THAN 4,600 USERS VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2022, MORE THAN 25,000 PEOPLE FROM MINNESOTA AND WISCONSIN VISITED THE CHANGE TO CHILL WEBSITE. NEARLY 4,000 PEOPLE ACCESSED THE "STRESS AND IDENTITY" CONTENT IN 2022-NEW CONTENT IMPLEMENTED THE YEAR PRIOR TO INCREASE HEALTH EQUITY BY SUPPORTING TEENS IN FORMING A BETTER UNDERSTANDING OF THEIR SENSE OF IDENTITY AND REDUCING STRESS IN A WAY THAT IS SUPPORTIVE OF THEIR PERSONAL IDENTITY. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, 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. DURING THE 2022-2023 SCHOOL YEAR, 43 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP.HELLO4HEALTH - LAUNCHED IN 2021, IS AN 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. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. IN 2022, NEARLY 9,500 PEOPLE VISITED THE WEBSITE, 5,216 OF WHOM WERE MINNESOTA OR WISCONSIN USERS. ADDITIONALLY IN 2022, ALLINA HEALTH BEGAN TO REFER PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED TO THE WEBSITE.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. CENTER FOR MEDICARE AND MEDICAID SERVICES ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT AND ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS - 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 APRIL 2022, THE ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT ENDED AND ALLINA HEALTH TRANSITIONED TO THE ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS PROGRAM. IN 2022, ALLINA HEALTH SCREENED MORE THAN 190,000 PATIENTS FOR NEEDS SUCH AS ACCESS TO FOOD, STABLE HOUSING, TRANSPORTATION AND SOCIAL SUPPORT. OF THOSE, 13 PERCENT IDENTIFIED AT LEAST ONE NEED. MORE THAN 8,000 PATIENTS ALSO RECEIVED SUPPORT ACCESSING COMMUNITY RESOURCES FROM AN ALLINA HEALTH COMMUNITY NAVIGATORS. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2022, ALLINA HEALTH INVESTED NEARLY $24 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. ALLINA HEALTH INVESTED OVER $3 MILLION TOWARD RESEARCH IN 2022. 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 2022, ALLINA HEALTH FUNDED NEARLY $6 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, MEETING SPACE, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. THIS INCLUDED DONATING SPACE IN ALLINA HEALTH'S CORPORATE HEADQUARTERS, THE ALLINA COMMONS, TO COMMUNITY GROUPS SUCH AS THE LAKE STREET COUNCIL AND CULTURAL WELLNESS CENTER. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. AWARDSIN 2022, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS, FOR ATTRIBUTES SUCH AS SAFETY, PATIENT EXPERIENCE AND QUALITY. ALLINA HEALTH WAS NAMED TO THE FORTUNE/MERATIVE 15 TOP HEALTH SYSTEMS LIST. THIS IS THE SECOND YEAR IN A ROW ALLINA HEALTH HAS BEEN RECOGNIZED AS ONE OF THE TOP PERFORMING HEALTH SYSTEMS IN THE U.S. AND THE THIRD TIME ITS RECEIVED THE HONOR. ALLINA HEALTH'S BUFFALO HOSPITAL MADE THE 100 TOP HOSPITALS LIST FOR THE EIGHTH TIME. THE ANNUAL LIST RECOGNIZES EXCELLENCE IN CLINICAL OUTCOMES, OPERATIONAL EFFICIENCY AND PATIENT EXPERIENCE. THE TOP HOSPITALS LIST ALSO CONSIDERS AN ORGANIZATION'S CONTRIBUTIONS TO ITS COMMUNITY AND EQUITY OF CARE. ADDITIONALLY, ALLINA HEALTH'S UNITED HOSPITAL, REGINA HOSPITAL, RIVER FALLS AREA HOSPITAL AND ABBOTT NORTHWESTERN HOSPITAL HAVE ALL BEEN NAMED RECIPIENTS OF THIS YEAR'S GREENHEALTH PARTNER FOR CHANGE AWARD BY PRACTICE GREENHEALTH. PRACTICE GREENHEALTH ALSO ANNOUNCED ALLINA HEALTH'S ST FRANCIS REGIONAL MEDICAL CENTER, OWATONNA HOSPITAL, MERCY HOSPITAL, BUFFALO HOSPITAL, CAMBRIDGE MEDICAL CENTER AND FARIBAULT MEDICAL CENTER AS RECIPIENTS OF THE PARTNER RECOGNITION AWARD. THE 2022 PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARDS RECOGNIZES HEALTH CARE FACILITIES ACROSS THE COUNTRY WHO HAVE ACCOMPLISHED GROUNDBREAKING SUSTAINABILITY INITIATIVES AND PLACE A STRONG FOCUS ON ENVIRONMENTAL STEWARDSHIP. ALLINA HEALTH'S AWARD-WINNING SUSTAINABILITY INITIATIVES SPAN ACROSS MANY DIFFERENT AREAS, INCLUDING WASTE REDUCTION AND RECYCLING, ENERGY EFFICIENCY, PURCHASING AND SUSTAINABLE LANDSCAPING. FINALLY, RELATED TO WORKFORCE DIVERSITY, ALLINA HEALTH RECEIVED TWO AWARDS: FIRST, ALLINA HEALTH WAS RECOGNIZED AS ONE OF THE "BEST PLACES TO WORK FOR DISABILITY INCLUSION" BY SCORING HIGH ON THE AMERICAN ASSOCIATION OF PEOPLE WITH DISABILITIES (AAPD) 2022 DIVERSITY EQUALITY INDEX. SECOND, AFTER PARTICIPATING IN THE FIRST RACIAL EQUITY DIVIDENDS INDEX REPORT, ALLINA HEALTH RECEIVED HIGH MARKS IN FIVE CATEGORIES: CULTURE, RETENTION AND ADVANCEMENT, PROCUREMENT, PRODUCTS AND SERVICES, PHILANTHROPY AND INVESTMENT, AND PUBLIC POLICY. THE REPORT MEASURED ALLINA HEALTH'S PROGRESS IN BECOMING A MORE INCLUSIVE WORKPLACE AND FOUND THAT THE ORGANIZATION CURRENTLY "IMPLEMENTS AT LEAST TWO-THIRDS (67%) OF RACIAL EQUITY STANDARDS" RELATED TO EACH OF ITS FIVE CATEGORIES.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/. 46881414 4566857750 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1 0 1 2038 0 1 34184 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 20 17 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MN WI X X TAX SERVICES MAIL ROUTE 10890 6122620660 2925 CHICAGO AVENUE MINNEAPOLIS MN 554071321 X LISA SHANNON PRESIDENT/CEO 40.00 0.00 X X 2102287 0 627939 PENNY WHEELER MD DIRECTOR/PRES/CEO 40.00 2.00 X X 1933214 0 4018 DARRELL TUKUA DIRECTOR 2.00 0.00 X 20500 0 0 LAURA GILLUND DIRECTOR 2.00 0.00 X 16500 0 0 DAVID KUPLIC DIRECTOR 2.00 0.00 X 16500 0 0 CHALLIS LOWE DIRECTOR 2.00 0.00 X 14092 0 0 BRIAN ROSENBERG PHD DIRECTOR 2.00 0.00 X 13637 0 0 AMY RONNEBERG DIRECTOR 2.00 0.00 X 12500 0 0 STEVEN LACROIX DIRECTOR 2.00 0.00 X 12500 0 0 RAYMOND CLAY AHRENS DIRECTOR 2.00 0.00 X 12500 0 0 LOUIS KING II DIRECTOR 2.00 0.00 X 12500 0 0 ABIR SEN DIRECTOR 2.00 0.00 X 0 0 0 BARBARA BUTTS WILLIAMS DIRECTOR 2.00 0.00 X 10000 0 0 JENNIFER ALSTAD DIRECTOR 2.00 0.00 X 0 0 0 SHARI BALLARD DIRECTOR 2.00 0.00 X 0 0 0 GARY BHOJWANI DIRECTOR 2.00 0.00 X 0 0 0 JOHN CHURCH DIRECTOR 2.00 0.00 X 121063 0 0 MAYKAO HANG DPA DIRECTOR 2.00 0.00 X 0 0 0 DANIEL O'LAUGHLIN MD DIRECTOR 2.00 0.00 X 0 0 0 DEBBRA SCHONEMAN DIRECTOR/CHAIR 2.00 0.00 X 0 0 0 THOMAS SCHREIER JR DIRECTOR 2.00 0.00 X 0 0 0 SALLY SMITH WOLD DIRECTOR 2.00 0.00 X 0 0 0 TIMOTHY WELSH DIRECTOR/VICE CHAIR 2.00 0.00 X 0 0 0 VICKI YANISCH RASMUSEN DIRECTOR 2.00 0.00 X 0 0 0 SARA CRIGER SVP/OPS/PRES MERCY & UNITED 40.00 2.00 X 1581404 0 100923 ANN MADDEN RICE SVP-PRESIDENT ANW 40.00 2.00 X 1724052 0 20082 RICHARD MAGNUSON TREASURER/EVP/CFO 40.00 2.00 X 1371096 0 118831 CHRISTINE MOORE SVP, CHIEF HUMAN RESOURCE 40.00 0.00 X 1006902 0 250020 JONATHAN SHOEMAKER SVP CHIEF INFO & IMPRV OFFICER 40.00 0.00 X 968439 0 197462 ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN. 40.00 0.00 X 900521 0 199193 HSIENG SU MD SVP, CHIEF MEDICAL OFFICER 40.00 0.00 X 902790 0 247429 SCOTT LEIGHTY SVP OPS/REG HOSP & CLINICS 40.00 2.00 X 1072126 0 26081 DAVID SLOWINSKE SVP AHG OPERATIONS 40.00 0.00 X 838078 0 196214 JOHN MISA MD VP INTERIM AHG MED OFF 40.00 0.00 X 828755 0 122034 RYAN ELSE MD VP MEDICAL AFFAIRS/SYSTEM CLIN. OFF. 40.00 0.00 X 720051 0 143696 LAWRENCE CHO SVP, CHIEF STRATEGY & GROWTH OFFICER 40.00 0.00 X 692843 0 161391 SARAH KLEAVELAND KUPCZAK SVP CHIEF COMPLIANCE OFFICER 40.00 0.00 X 480442 0 120046 ROBERT QUICKEL VP CLINICAL SERVICE LINE 40.00 0.00 X 858072 0 150542 DAVID JOOS VP OPERATIONS-PRES. ANW 40.00 2.00 X 683480 0 131013 VENKAT IYER VP CLINICAL SERVICE LINE 40.00 0.00 X 630055 0 130680 DAVID INGHAM VP CHIEF INFORMATION OFFICER 40.00 0.00 X 561578 0 112882 NICHOLAS MENDYKA VP SYSTEM FINANCE OPERATIONS 40.00 0.00 X 540803 0 108308 MOTTI EDELSTEIN VP REVENUE CYCLE MANAGEMENT 40.00 0.00 X 531577 0 112237 THOMAS LUBOTSKY VP SUPPLY CHAIN 40.00 0.00 X 518924 0 51477 TODD HESS MD PHYSICIAN 40.00 0.00 X 1725132 0 25903 MARK HELLER MD PHYSICIAN 40.00 0.00 X 1309022 0 48340 ANTHONY ANDERSON MD PHYSICIAN 40.00 0.00 X 1280834 0 49929 JAYSON DOCK MD PHYSICIAN 40.00 0.00 X 1251258 0 54241 DANIAL BUSS MD PHYSICIAN 40.00 0.00 X 1226108 0 55466 HELEN STRIKE FORMER PRESIDENT-UNITY HOS 40.00 2.00 X 509205 0 27246 JEFFREY SHOEMATE FORMER SVP CHIEF MARKETING/COMM OFF. 0.00 0.00 X 376535 0 0 PETER HOFRENNING FORMER SVP,INTERIM CHIEF COMP. OF 40.00 0.00 X 279014 0 51739 29666889 0 3645362 5088 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 PROFESSIONAL SERVICES - MEDICAL 176749782 JE DUNN CONSTRUCTION 800 WASHINGTON AVE N SUITE 600 MINNEAPOLIS MN 55401 CONSTRUCTION 73063971 MA MORTENSON COMPANY 700 MEADOW LANE NORTH MINNEAPOLIS MN 55422 CONSTRUCTION 44806144 METROPOLITAN CARDIOLOGY CONSULTANTS PA 4040 COON RAPIDS BLVD NW SUITE 120 COON RAPIDS MN 55433 PROFESSIONAL SERVICES - MEDICAL 30603389 TWIN CITIES SPINE CENTER 913 EAST 26TH STREET SUITE 600 MINNEAPOLIS MN 55404 PROFESSIONAL SERVICES - MEDICAL 26293858 353 12566117 10175961 799786 304167 23541864 PROG.SERV.REVENUE-RELATED-990 621990 5012353518 5012353518 PATIENT BAD DEBT 621990 -104480483 -104480483 4907873035 56121295 56121295 4652413 0 4652413 4652413 4652413 1467582009 4249450 1335722554 1386774 131859455 2862676 134722131 134722131 RETAIL PHARMACY 456110 13924673 13924673 REFERENCE LAB 621500 12212768 12212768 METROPOLITAN HEART - RIDGEVIEW 621990 2873476 2873476 6144290 4441056 1703234 35155207 5162065945 4915187567 27840675 195495839 5137190 5137190 340952 340952 21709783 21709783 2577188405 2320182750 252512176 4493479 169544836 151362222 17889472 293142 317004336 283007620 33448617 548099 146467160 130759481 15454438 253241 30259125 15057625 15189763 11737 4256483 4256483 1084583 1084583 440635662 344631996 94869959 1133707 4810575 925551 3824262 60762 850054506 824353224 25484185 217097 93880054 47480083 46349628 50343 151239711 130648363 20583033 8315 5725405 4910703 800243 14459 4686739 4090087 595146 1506 45545310 45545310 158676 158676 202343485 149761494 52566487 15504 5594999 5594999 MINNESOTA CARE TAX 54430480 54430480 MEDICAID SURCHARGE 26090747 26090747 COMMUNITY OUTREACH 1590675 1112929 475562 2184 INCOME TAX - UBI 1183739 1183739 29792115 21275268 8346446 170401 5190755731 4566857750 616624005 7273976 38796325 30387245 10085722 8628969 882244885 888123545 92774880 105192246 43241242 43434750 4117832552 2561898030 1440336110 1555934522 3959423849 3135398856 32335188 31232352 22104051 39464776 6521342252 5837797261 664249447 679202892 25292904 15302574 1657524997 1627957952 611709086 360785876 2958776434 2683249294 X 3552919471 3145110468 9646347 9437499 3562565818 3154547967 6521342252 5837797261 X -28689786 -364642379 -14685686 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 4633 0 0 1 690862 0 1 695495 0 PART II-B, LINE 1: ALLINA HEALTH EMPLOYS VARIOUS INDIVIDUALS, AS WELL AS CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL OF ALLINA ON BOTH A NATIONAL AND STATE LEVEL. 121860611 -9633047 2766703 109460861 112280813 106331 14274240 10811 4789962 121860611 105468342 1373045 9219107 348035 3431646 112280813 93936959 149082 15316040 12549 3921190 105468342 102594063 131724 -4679140 -41015 4068672 93936959 0 1 1 108638770 108638770 1696798814 1053545678 643253136 477539286 229610854 247928432 1562497405 1252759283 309738122 272358277 25982215 246376062 1555934522 CASH AND CASH EQUIVALENTS 212140642 F MONEY MARKET COLLECTIVE FUND 129792641 F FIXED INCOME 230249 F SHORT-TERM FIXED INCOME 1385832296 F EQUITY SECURITIES 557869241 F INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE 638776704 F INVESTMENTS IN JOINT VENTURES 146759292 F REAL RETURN MUTUAL FUNDS 63997791 F 3135398856 NET PENSION LIABILITY 6448019 DEFERRED COMPENSATION 14483659 INSURANCE CLAIMS PAYABLE 46937841 MN CARE TAX PAYABLE 13845598 CAPITALIZED LEASE OBLIGATIONS 205404403 INCURRED BUT NOT REPORTED CLAIMS 29564681 THIRD PARTY LIABILITIES 14625549 DEFERRED LIABILITIES 29476126 360785876 X PART V, LINE 4: EDUCATION AND RESEARCH CHARITY AND INDIGENT CARE PURCHASE OF PLANT ASSETS BUILDINGS AND EQUIPMENT PATIENT CARE OTHER PART X, LINE 2: ALLINA HEALTH SYSTEM CONSOLIDATED FIN 48 (ASC740) FOOTNOTE: (AMOUNTS IN THOUSANDS) (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 $1,921 AND $2,359 IN 2022 AND 2021, RESPECTIVELY. AS OF DECEMBER 31, 2022 AND 2021, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $45,916 AND $55,996, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $28,815 AND $33,726, RESPECTIVELY. AS OF DECEMBER 31, 2022 AND 2021, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $128,287 AND $119,473, RESPECTIVELY, FOR INCOME TAX PURPOSES, OF WHICH $93,148 WILL EXPIRE IN VARIOUS YEARS THROUGH 2029 WITH $35,139 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, 2022 AND 2021, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2018 TO 2021 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENTS 214628658 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM INVESTMENTS 26234139 0 0 0 0 0 0 240862797 0 240862797 1 0 1 0 1 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 275.000000000000 0 1 1 0 1 1 0 0 13678528 13678528 0.00260 0 0 59301851 59301851 0.01140 0 0 54430480 54430480 0.01050 127410859 127410859 0.02450 86 7031013 14664021 1399277 13264744 0.00260 41 6881 34020228 10173207 23847021 0.00460 13 2104 28893059 28893059 0.00560 2 15000 3675391 3675391 0.00070 56 367004 5987140 17196 5969944 0.00120 198 7422002 87239839 11589680 75650159 0.01470 198 7422002 214650698 11589680 203061018 0.03920 0 0 0 0 2 2000 14105 0 14105 0.00000 5 210 142218 0 142218 0.00000 1 0 26051 0 26051 0.00000 1 35 1514 0 1514 0.00000 9 600 52328 0 52328 0.00000 2 60 4142 0 4142 0.00000 3 1104 55194 0 55194 0.00000 0 0 0 0 23 4009 295552 295552 0.00010 1 64324114 574997363 663170871 -88173508 X 1 1 1 MOBILE IMAGING SERVICES LLC DIAGNOSTIC IMAGING 0.50000 0.50000 2 MAGNETO LEASING LLC EQUIPMENT LEASING 0.50000 0.50000 3 SUBURBAN IMAGING LLC OUTPATIENT RADIOLOGY SERVICES 0.50000 0.50000 4 NORTHSTAR SLEEP CENTER LLC SLEEP MEDICINE 0.49000 0.51000 5 HEALTHCARE CAMPUS IMAGING ONE LLC DIAGNOSTIC IMAGING 0.50000 0.25000 6 PET EQUIPMENT LEASING LLC EQUIPMENT LEASING 0.25000 0.25000 7 GREENWAY SURGICAL SUITES LLC OUTPATIENT RADIOLOGY SERVICES 0.28950 0.44600 8 CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC OUTPATIENT SURGICAL FACILITY 0.28240 0.48000 9 WOODBURY SURGERY CENTER LLC OUTPATIENT SURGICAL FACILITY 0.31640 0.49000 10 ALLINA HEALTH SURGERY CENTER - BROOKLYN PARK LLC OUTPATIENT SURGICAL FACILITY 0.35700 0.49000 9 1 ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH STREET MINNEAPOLIS MN 55407 HTTP://WWW.ALLINAHEALTH.ORG/ABBOTT-NOR 385390 X X X X X A 2 MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS MN 55433 HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOSP 385123 X X X X X INCLUDING MERCY HOSPITAL - UNITY CAMPUS A 3 UNITED HOSPITAL 333 NORTH SMITH AVENUE ST PAUL MN 55102 HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HOS 384993 X X X X X INCLUDING UNITED HOSPITAL - HASTINGS REGINA CAMPUS A 4 NEW ULM MEDICAL CENTER 1324 FIFTH NORTH STREET NEW ULM MN 56073 HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-ME 384708 X X X X A 5 BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO MN 55313 HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-HO 385336 X X X A 6 CAMBRIDGE MEDICAL CENTER 701 S DELLWOOD STREET CAMBRIDGE MN 55008 HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE- 384707 X X X A 7 OWATONNA HOSPITAL 903 S OAK AVE OWATONNA MN 55060 HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA-H 384920 X X X A 8 FARIBAULT MEDICAL CENTER 200 STATE AVENUE FARIBAULT MN 54022 HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT-O 384658 X X X A 9 RIVER FALLS AREA HOSPITAL 1629 EAST DIVISION STREET RIVER FALLS WI 55404 HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FALL 1054 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENT X 1 22 1 HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSM 0 1 X 275.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 1 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: MERCY HOSPITAL, - FACILITY 3: UNITED HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: OWATONNA HOSPITAL, - FACILITY 8: FARIBAULT MEDICAL CENTER, - FACILITY 9: RIVER FALLS AREA HOSPITAL GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): TO COMPLETE ITS CHNA, ABBOTT NORTHWESTERN HOSPITAL ESTABLISHED A CORE PLANNING TEAM WITH REPRESENTATIVES FROM THE HOSPITAL'S LEADERSHIP TEAM, COMMUNITY ENGAGEMENT, AND HEALTH EQUITY STAFF. THIS TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, LOCAL PUBLIC HEALTH SURVEY DATA, THE MINNESOTA STUDENT SURVEY, AND VITAL STATISTICS, AMONG OTHERS. ADDITIONALLY, TO ENSURE ALIGNMENT WITH LOCAL PUBLIC HEALTH, THE TEAM REVIEWED INITIAL FINDINGS FROM THE MINNEAPOLIS HEALTH DEPARTMENT'S 2020 COMMUNITY HEALTH ASSESSMENT. BASED ON THIS REVIEW, THE PLANNING TEAM IDENTIFIED 18 TOPICS TO CONSIDER FOR PRIORITIZATION. NEXT, THE TEAM SURVEYED ALLINA HEALTH LEADERS FROM PRIMARY CARE, PHARMACY, EMERGENCY MEDICAL SERVICES, HOSPITAL OPERATIONS, MENTAL HEALTH AND ADDICTION. RESPONDENTS CHOSE THE TOP FIVE ISSUES FACING HENNEPIN COUNTY. THEY THEN RANKED BROAD HEALTH CATEGORIES BASED ON THE SIZE AND SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS AND FEASIBILITY OF INTERVENTIONS AND OPPORTUNITY FOR IMPROVING HEALTH EQUITY. TO FURTHER REFINE ITS PRIORITIES, ABBOTT NORTHWESTERN STAFF CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH NONPROFIT, FAITH AND BUSINESS LEADERS IN SOUTH MINNEAPOLIS AND CONTRACTED WITH COMMUNITY PARTNERS TO HOST FOUR FOCUS GROUPS WITH COMMUNITY MEMBERS FROM SPECIFIC CULTURAL COMMUNITIES. HOSPITAL STAFF ALSO FACILITATED ONE FOCUS GROUP WITH SOUTH MINNEAPOLIS MENTAL HEALTH PROFESSIONALS. DIVERSITY OF EXPERIENCE WAS SOUGHT WITH A PARTICULAR FOCUS ON THE EXPERIENCES OF PEOPLE WHO IDENTIFY AS BLACK OR AFRICAN AMERICAN, HISPANIC/LATINE, INDIGENOUS AND/OR SOMALI. GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B: GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING.IN ADDITION TO SUPPORTING THE SYSTEMWIDE FOOD ACCESS INITIATIVES DESCRIBED ABOVE, IN 2022, ABBOTT NORTHWESTERN SUPPORTED NUMEROUS ORGANIZATIONS FOCUSED ON IMPROVING ACCESS TO HEALTHY FOOD, INCLUDING A TOTAL OF $88,000 TO CULTURALLY SPECIFIC FOOD SHELVES (DIVISION OF INDIAN WORK'S HORIZONS UNLIMITED FOOD SHELF AND CULTURAL WELLNESS CENTER'S ANCIENT GRAINS PROJECT) AND AN ADDITIONAL $17,500 IN CHARITABLE CONTRIBUTIONS TO VEAP FOOD SHELF, URBAN VENTURES FARM AND NUTRITION PROGRAM, AND DU NORD FOUNDATION FOOD SHELF. MANY OF THESE ORGANIZATIONS ALSO RECEIVE REFERRALS FROM ALLINA HEALTH'S HEALTH-RELATED SOCIAL NEEDS PROGRAM, SO ABBOTT NORTHWESTERN STAFF ALSO BEGAN DISCUSSIONS TO ESTABLISH A TWO-WAY TRACKED REFERRAL PARTNERSHIP WITH PILLSBURY UNITED (BRIAN COYLE CENTER).IN 2022, THE BACKYARD COMMUNITY HEALTH HUB CONTINUED TO PROVIDE EXERCISE AND CHRONIC DISEASE MANAGEMENT PROGRAMS, AS WELL AS COVID-19 VACCINATION, TESTING SUPPLIES AND EDUCATION. THIS WORK HAPPENED BOTH ON VIRTUAL PLATFORMS AND IN PERSON AND HAS INCREASED PARTICIPATION SIGNIFICANTLY AS A RESULT.ABBOTT NORTHWESTERN STAFF ALSO CONTINUED TO PROMOTE ALLINA HEALTH'S HEALTH POWERED KIDS PROGRAM, WHICH INCLUDES LESSONS ON HEALTHY EATING AND ACTIVE LIVING.GOAL 2: INCREASE RESILIENCE AND HEALTHY COPING SKILLS AND REDUCE BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.ABBOTT NORTHWESTERN HOSPITAL CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). IN 2022, THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO MINNESOTA VIRTUAL SCHOOLS, ORONO HIGH SCHOOL, ST. LOUIS PARK HIGH SCHOOL, AND HOPKINS HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN 2022-23 SCHOOL YEAR. THESE EFFORTS REACHED APPROXIMATELY 5,083 STUDENTS. ADDITIONALLY, STAFF FACILITATED THREE WORKSHOPS FOR SCHOOL STAFF IN HENNEPIN COUNTY. TWO WERE FOCUSED ON CHANGE TO CHILL RESOURCES FOR TEENS AND ONE WAS FOCUSED ON HEALTH POWERED KIDS RESOURCES FOR YOUNGER YOUTH.ABBOTT NORTHWESTERN CONTINUED TO SUPPORT AND ADVOCATE FOR LOCAL AND STATE POLICIES AIMED AT INCREASING ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES. IN 2022, THE HOSPITAL CONTINUED ITS LEADERSHIP OF THE LAKE STREET GREENWAY PARTNERSHIP. ADDITIONALLY, THE HOSPITAL INVESTED IN THE GREENLIGHT FUND, INC.'S LEAD PUBLIC SAFETY PROGRAM CONNECTING INDIVIDUALS WITH EXPERIENCES WITH THE JUSTICE SYSTEM TO THE RESOURCES THEY NEED.IN 2022, ABBOTT NORTHWESTERN PROVIDED A CHARITABLE CONTRIBUTION TO THE H.O.P.E. PROJECT. THESE FUNDS WERE USED TO CONTINUE THE WORK OF PROVIDING CULTURALLY SPECIFIC MENTAL HEALTH RESOURCES AND TEACHING SELF-CARE STRATEGIES TO BLACK TEENS AND MEN. THE PROGRAM WAS ATTENDED BY MORE THAN 85 PEOPLE AND THE FUNDS HAVE ALLOWED FOR AT LEAST THREE ADDITIONAL SESSIONS TO BE PROVIDED IN 2023 AS WELL. FINALLY, HOSPITAL STAFF CONTINUED TO WORK WITH COMMUNITY AGENCIES TO SUPPORT STIGMA-ELIMINATION ACTIVITIES. STAFF ESTABLISHED CONVERSATIONS WITH DIVISION OF INDIAN WORK ON CO-LOCATION OF SERVICES, AND BEGAN CONVERSATIONS WITH LAKE STREET GREENWAY PARTNERSHIP AND THE LAKE STREET COUNCIL ABOUT THE CREATION OF A REPLACEMENT MIDTOWN SAFETY CENTER. STAFF ALSO BEGAN EXPLORING SUB-LEASING SPACE ON THE GREENWAY LEVEL OF THE ALLINA COMMONS TO COMMUNITY PARTNERS, INCLUDING THE MIDTOWN SAFETY CENTER.GOAL 3: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.ALLINA HEALTH CONTINUED ITS IMPACT INVESTMENT INITIATIVE IN 2022. THE ALLINA HEALTH IMPACT INVESTMENT FUND FOCUSES ON INVESTING IN INITIATIVES THAT IMPROVE THE ECONOMIC AND SOCIAL VITALITY OF OUR LOCAL COMMUNITIES. THE FUND FOCUSES SPECIFICALLY ON SUPPORTING SOUTH MINNEAPOLIS. SEVEN ADDITIONAL IMPACT INVESTMENT COMMITMENTS WERE MADE IN 2022 BRINGING THE TOTAL INVESTED TO $15.5M TO DATE. CURRENT INVESTEES INCLUDE MINNESOTA INCLUSIVE GROWTH FUND, NEIGHBORWORKS HOME PARTNERS, LISC TWIN CITIES, COMMUNITY ASSET, TRANSITION FUND II, MSP EQUITY FUND, AND LITTLE EARTH.HOSPITAL STAFF ALSO CONTINUED TO SUPPORT THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP) IN THIS AREA VIA CONTINUED PARTICIPATION IN AND CO-CHAIRING OF THE PARTNERSHIP. FINALLY, TO ADDRESS HISTORICAL TRAUMA, SIX BIAS AND CULTURAL COMPETENCY TRAININGS ON MUSLIM FAITH AND CULTURE WERE PILOTED AT ABBOTT NORTHWESTERN, LED BY THE DIVERSITY, EQUITY & INCLUSION DEPARTMENT.GOAL 4: COMMUNITY MEMBERS ACCESS HEALTH CARE AT THE APPROPRIATE LEVEL IN WELCOMING AND CULTURALLY DIVERSE FACILITIES AND SETTINGS.IN 2022, THE KIRBY PUCKETT EYE MOBILE RESUMED VISION SCREENINGS AT ST. PAUL AND MINNEAPOLIS PUBLIC SCHOOLS, ADMINISTERED BY PHILLIPS EYE INSTITUTE (PEI), PART OF ABBOTT NORTHWESTERN HOSPITAL. ADDITIONALLY, PHILLIPS EYE INSTITUTE PARTICIPATED IN MINNESOTA SIGHT DAY. MORE THAN 15 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO SUPPORT THE EVENT. CHILDREN RECEIVED A VISION SCREENING AND THOSE IDENTIFIED AS NEEDING A MORE THOROUGH EXAM RECEIVED A COMPREHENSIVE VISION EVALUATION BY ALLINA HEALTH OPTOMETRISTS AT THE KIRBY PUCKETT EYE MOBILE. WITH HELP FROM VOLUNTEERS, STUDENTS REQUIRING GLASSES SELECTED FRAMES FOR THEIR PRESCRIPTION IN THE VISION SERVICE PLAN (VSP) VISION VAN. THE CHILDREN WERE ABLE TO LEAVE THE EVENT WEARING THEIR NEW GLASSES DISPENSED BY ALLINA HEALTH OPTICIANS.TO ADDRESS INFRASTRUCTURE CHALLENGES TO ACCESSING THE ABBOTT NORTHWESTERN CAMPUS, HOSPITAL STAFF HAVE CONTINUED ADVOCATING FOR IMPROVED TRANSIT AND TRANSPORTATION INVESTMENT. IN 2022, THE D-LINE CONSTRUCTION WAS UNDERWAY, B-LINE FUNDING WAS APPROVED AND STATIONARY FUNDING WAS UNDERWAY.IN ADDITION TO SUPPORTING THE DEBUT OF THE LGBTQIA+ CHANGE TO CHILL CONTENT DETAILED ABOVE, ABBOTT NORTHWESTERN PROVIDED $12,500 IN FUNDING LGBTQIA+ INCLUSIVE ORGANIZATIONS SUCH AS AVENUES FOR YOUTH, ANNEX TEEN CLINIC, MYHEALTH, CLARE HOUSING AND THE FAMILY PARTNERSHIP. ADDITIONALLY, 20 HOSPITAL STAFF PARTICIPATED IN ALLINA HEALTH'S PRIDE EMPLOYEE RESOURCE GROUP, AIMED AT CULTIVATING EMPATHY AND COMMUNITY WITH LGBTQIA+ FOLKS. 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICES TO ENGAGE MORE THAN 50 COMMUNITY STAKEHOLDERS IN A COMMITTEE THAT COMPLETED ITS CHNA. COMMITTEE MEMBERS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND INCLUDED REPRESENTATIVES FROM HEALTH PLANS, HEALTHCARE SYSTEMS, LOCAL NON-PROFITS, THE LOCAL FAITH COMMUNITY, LOCAL GOVERNMENT, MENTAL HEALTH PROVIDERS, PUBLIC HEALTH AND COMMUNITY RESIDENTS FROM A VARIETY OF CULTURAL TRADITIONS. THE COMMITTEE REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA; THE MINNESOTA STUDENT SURVEY; ANOKA COUNTY ADULT HEALTH SURVEY; AND ANOKA COUNTY VIOLENCE PREVENTION COMMUNITY SURVEY AND MINNESOTA HOUSING PARTNERSHIP, AMONG OTHERS. ADDITIONALLY, MERCY HOSPITAL AND ANOKA COUNTY CONTRACTED WITH WILDER RESEARCH TO COLLECT FEEDBACK FROM THE COMMITTEE VIA A SURVEY AND FOCUS GROUPS. GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER, AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B: 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. MERCY HOSPITAL: GOAL 1: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG ANOKA COUNTY RESIDENTS OF ALL AGES.IN 2022, MERCY HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO STEPPING STONE EMERGENCY HOUSING AND NEIGHBORHOOD HEALTH SOURCE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO PROMOTE AVAILABILITY OF HEALTHCARE TO PEOPLE EXPERIENCING HOMELESSNESS. HOSPITAL STAFF ALSO PROMOTED EMPLOYEE VOLUNTEER OPPORTUNITIES AND PROVIDED $25,000 IN CHARITABLE CONTRIBUTIONS TO THE FOLLOWING FOOD-RELATED ORGANIZATIONS: COMMUNITY EMERGENCY ASSISTANCE PROGRAM (CEAP), ACBC FOOD SHELF, SOUTHERN ANOKA COMMUNITY ASSISTANCE (SACA), NORTH ANOKA COUNTY EMERGENCY (NACE), AND MEALS ON WHEELS. HOSPITAL STAFF WERE ALSO INVOLVED IN CEAP, SACA, NACE, AND ACBC FOOD SHELVES. 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. FINALLY, TO PROMOTE ACCESS TO OUTDOOR SPACES AND PHYSICAL ACTIVITY OPPORTUNITIES, MERCY HOSPITAL ENTERED INTO PARTNERSHIP WITH CITY OF COON RAPIDS TO EXPAND MERCY PARK TO INCLUDE ACCESSIBLE PLAYGROUND EQUIPMENT. MERCY FOUNDATION MADE A DONATION TO SUPPORT THIS PROJECT. THE PARK IS EXPECTED TO BE COMPLETED IN 2023. MERCY STAFF SUPPORTED THE SUCCESSFUL IMPLEMENTATION OF THE ACCOUNTABLE HEALTH COMMUNITIES MODEL AND ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS PROGRAM VIA REGULAR COMMUNICATION TO ALL PARTICIPATING SITES, AND QUARTERLY CHECK-INS WITH EXISTING TRACKED REFERRAL PARTNERS CEAP AND ACBC FOODSHELF. TRACKED REFERRAL PARTNERSHIPS IN THE REGION INCREASED TO INCLUDE NACE AND SACA FOOD SHELVES. FINALLY, TO CONTINUE TO SUPPORT SUSTAINABILITY OF COMMUNITY RESOURCES, THE PARTNERSHIP WITH SACA EXPANDED TO INCLUDE ACTING AS A SATELLITE SITE FOR FOOD DISTRIBUTION AT OUR NEWLY PLANNED INTEGRATED MENTAL HEALTH AND ADDICTION CENTER ON THE UNITY CAMPUS. 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.MERCY HOSPITAL CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). THE HOSPITAL PROVIDED CONTINUED FUNDING TO SUPPORT COLUMBIA HEIGHTS HIGH SCHOOL, COMPASS PROGRAMS, ST. FRANCIS HIGH SCHOOL, BLAINE HIGH SCHOOL, AND COON RAPIDS HIGH SCHOOL, REACHING APPROXIMATELY 7,486 STUDENTS. ADDITIONALLY, MERCY STAFF PARTNERED WITH ANOKA-HENNEPIN SCHOOLS ON A VARIETY OF MENTAL WELLNESS ACTIVITIES, USING CHANGE TO CHILL RESOURCES. IN JANUARY AND MARCH 2022, FORUMS ON TOPICS SUCH AS MINDFULNESS, GRATITUDE AND LIFE-BALANCE WERE FACILITATED WITH MIDDLE AND HIGH SCHOOL STUDENTS IN THE AREA. MERCY FOUNDATION AND THE ANOKA COUNTY CHILDREN AND FAMILY COUNCIL PROVIDED GRANTS TO SUPPORT A PARTNERSHIP BETWEEN ALLINA HEALTH MENTAL HEALTH AND ADDICTION SERVICE LINE, CHANGE TO CHILL AND THE ANOKA-HENNEPIN SCHOOL DISTRICT TO PRODUCE 40 PODCASTS AIMED AT PROVIDING WELL-BEING SUPPORT AND EDUCATION TO SCHOOL STAFF. THE PODCASTS PROVIDE INFORMATION ON TOPICS SUCH AS SELF-CARE, ADVERSE CHILDHOOD EXPERIENCES, AND PROMOTING INCLUSIVITY IN THE SCHOOL ENVIRONMENT. THOUGH DEVELOPED WITH ANOKA-HENNEPIN SCHOOL DISTRICT, THE PODCASTS ARE NOW AVAILABLE FOR ANY SCHOOL DISTRICT, ORGANIZATION, OR PARENTS WORKING WITH YOUTH THROUGH THE CHANGE TO CHILL WEBSITE AND MOST MAJOR PODCAST PROVIDERS. ADDITIONALLY IN 2022, MERCY HOSPITAL PROVIDED A $5,000 CHARITABLE CONTRIBUTION TO SUPPORT CHANGE TO CHILL THROUGH SOUND AND MUSIC. THIS WORK WAS LED BY THE FORMER DIVERSITY DIRECTOR OF ANOKA-HENNEPIN SCHOOL DISTRICT, WHO WORKED WITH STUDENTS IN 5 HIGH SCHOOLS TO CREATE A VIDEO PROMOTING MENTAL WELLNESS. FINALLY, MERCY STAFF CONTINUED TO CHAIR THE COMMUNITY RESILIENCY COMMITTEE, A SUBCOMMITTEE OF ANOKA COUNTY CHILDREN AND FAMILY COUNCIL FOCUSED ON ADDRESSING ACES AFFECTING YOUTH, FAMILIES & THE COMMUNITY. IN 2022, THIS COMMITTEE HELD A EDUCATIONAL SESSION ON MENTAL WELLNESS, USING RESOURCES FROM THE CHANGE TO CHILL PROGRAM, FOR OROMO MUSLIM YOUTH. ALL PARTICIPATING OROMO YOUTH FILLED OUT A SESSION EVALUATION FORM AND 100% FELT THE EDUCATIONAL SESSION ON MENTAL WELLNESS AND CTC WAS BENEFICIAL.MERCY HOSPITAL STAFF CONTINUE TO BE ACTIVE IN LOCAL WORK RELATIVE TO STIGMA REDUCTION, INCLUDING CHAIRING NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORK GROUP WORKING, TRAINING ADDITIONAL MAKE IT OK (MIO) AMBASSADORS AND PROMOTING MIO EDUCATION TO REDUCE STIGMA AROUND MENTAL HEALTH. IN ADDITION, THE HOSPITAL WAS COLLABORATING WITH MENTAL WELLNESS CAMPAIGN FOR ANOKA COUNTY, ANOKA COUNTY LIBRARY SYSTEM, AND STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP) STAFF TO PROMOTE MIO AND STIGMA REDUCTION. STAFF ALSO CONTINUED TO PARTICIPATE AS A MEMBER AND FINANCIAL SUPPORTER OF 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 2022, MERCY HOSPITAL CONTINUED STAYING ACTIVE IN THE ANOKA COUNTY VIOLENCE ROUNDTABLE, AND PARTICIPATED IN STEERING AND LEADERSHIP COMMITTEE WITH MONTHLY MEETINGS. STAFF ALSO REMAINED ACTIVE IN THE COUNTY-WIDE ELDER ABUSE COMMITTEE. IN ADDITION, MERCY HOSPITAL SPONSORED AND PARTICIPATED IN ALEXANDRA HOUSE'S WALK EVENT AND VIRTUAL 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: IN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS.UNITED HOSPITAL DEVELOPED ITS CHNA WITH SUPPORT FROM THE CENTER FOR COMMUNITY HEALTH, WHICH INCLUDES ORGANIZATIONS REPRESENTING LOCAL PUBLIC HEALTH, OTHER HEALTH CARE SYSTEMS AND PAYERS. IN PARTICULAR, UNITED HOSPITAL, HEALTHPARTNERS AND MHEALTH FAIRVIEW COLLABORATED ON A COMMUNITY DIALOGUE THAT INCLUDED PARISH NURSES AND OTHER FAITH-BASED HEALTH SERVICE PROVIDERS AND COMMUNITY HEALTH WORKERS IN THE EAST METRO. UNITED HOSPITAL ALSO PARTICIPATED IN OR ANALYZED SEVERAL OTHER ORGANIZATIONS' DATA AND INFORMATION COLLECTED DURING COMMUNITY ENGAGEMENT SESSIONS AND PARTICIPATED IN THE ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH 2023-2026 STRATEGIC PLANNING PROCESS. AFTER REVIEWING THE ABOVE DATA SOURCES, UNITED HOSPITAL STAFF MET WITH REPRESENTATIVES FROM RAMSEY COUNTY, DAKOTA COUNTY AND WASHINGTON COUNTY LOCAL PUBLIC HEALTH TO REVIEW AND DISCUSS SELECT ALLINA HEALTH PATIENT DATA AND LOCAL PUBLIC HEALTH DATA. THE HOSPITAL'S 2023-2025 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED'S STAFF ATTENDED ADDITIONAL COMMUNITY DIALOGUES FACILITATED BY OTHER ORGANIZATIONS AND PARTICIPATED IN REGULAR COMMUNITY MEETINGS IN WHICH COMMUNITY STAKEHOLDERS DISCUSSED LOCAL MENTAL HEALTH SERVICES, FOOD INSECURITY, AND SOCIAL DETERMINANTS OF HEALTH. UNITED STAFF ALSO CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH COMMUNITY-BASED SERVICE PROVIDERS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. GROUP A-FACILITY 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, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B: 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. IN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS.UNITED HOSPITAL: 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 2022, UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. UNITED HOSPITAL CONTINUED ITS PARTNERSHIP WITH MURRAY MIDDLE SCHOOL, TWO RIVERS HIGH SCHOOL, FOREST LAKE MIDDLE SCHOOL, STILLWATER HIGH SCHOOL, COMO PARK SENIOR HIGH SCHOOL, AND JOHNSON HIGH SCHOOL, REACHING APPROXIMATELY 8,738 STUDENTS. PRIORITIZED EXISTING PARTNER SCHOOLS FOR CONTINUED SUPPORT THROUGH CTCSP IN 2022-23 SCHOOL YEAR. UNITED HOSPITAL - HASTINGS REGINA CAMPUS CONTINUED CHANGE TO CHILL PARTNERSHIPS WITH DAKOTA COUNTY AREA LEARNING SCHOOL, HASTINGS MIDDLE SCHOOL, AND HASTINGS HIGH SCHOOL, REACHING APPROXIMATELY 2,700 STUDENTS (MINNESOTA DEPARTMENT OF EDUCATION (MDE) REPORT CARD DATA). A NEW PARTNERSHIP WITH HASTINGS ALTERNATIVE CENTER AND CONTINUED SUPPORT FOR HASTINGS MIDDLE SCHOOL/HIGH SCHOOL, REACHING APPROXIMATELY 2,721 STUDENTS (MDE REPORT CARD DATA). IN 2022, BOTH HOSPITALS ACTIVELY PARTICIPATED IN DEVELOPING COLLABORATIONS AROUND SOCIAL CONNECTIONS/MENTAL WELL-BEING/RESILIENCE INITIATIVES WITH VARIOUS COMMUNITY PARTNERS. THE COMMUNITY PARTNERS INCLUDE THE AGE-FRIENDLY RAMSEY COUNTY INITIATIVE, WASHINGTON COUNTY TRANSPORTATION CONSORTIUM MEETINGS AND FOCUS GROUPS, NEWTRAX TRANSPORTATION ADVISORY BOARD, AND UNITED WAY HASTINGS. THE HOSPITALS ALSO PARTICIPATED IN A VARIETY OF PUBLIC POLICY AND PLANNING EFFORTS DESIGNED TO ADDRESS SOCIAL ISOLATION, INCLUDING THE CENTER FOR COMMUNITY HEALTH. BOTH HOSPITALS ALSO PARTICIPATED IN INITIATIVES 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 PROJECTS DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING SOCIAL OPPORTUNITIES AND HEALTH-CARE SERVICES. UNITED HOSPITAL ALSO SUPPORTED UNITED FAMILY PHYSICIANS CLINIC, A COMMUNITY CLINIC, IN CONNECTING WITH THE EAST METRO CRISIS ALLIANCE, EAST METRO MENTAL HEALTH PROVIDERS NETWORK, AND OTHER SIMILAR GROUPS; AS WELL AS FACILITATED GETTING MARY MCCRACKEN, DIRECTOR OF MOTHER/BABY SERVICES, ON AN ADVISORY COMMITTEE FOR CITY OF ST. PAUL INITIATIVE REGARDING HEALTHY BABIES/HEALTHY FAMILIES, MATERNAL CARE, ETC. IN ADDITION, BOTH HOSPITALS PROVIDED CHARITABLE CONTRIBUTIONS TO DARTS, WILDER FOUNDATION, JEWISH FAMILY SERVICES, STILLWATER COMMUNITY THREAD, KIDS 'N KINSHIP, KEYSTONE COMMUNITY SERVICES AND OTHER COMMUNITY ORGANIZATIONS IN SUPPORT OF PROGRAMS AND SERVICES FOCUSED ON FOSTERING SOCIAL CONNECTIONS AMONG IMMIGRANTS AND REFUGEES, OLDER ADULTS, YOUTH, AND FAMILIES. UNITED HOSPITAL ALSO PROVIDED CHARITABLE CONTRIBUTIONS TO THE EAST METRO MENTAL HEALTH CRISIS ALLIANCE TO DEVELOP A WEBSITE TO HELP COMMUNITY MEMBERS AND MENTAL HEALTH PROVIDERS' UNDERSTANDING OF WHAT MENTAL HEALTH SERVICES ARE AVAILABLE, AND WHEN TO ACCESS WHICH SERVICES APPROPRIATELY.GOAL 2. INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING.BOTH HOSPITALS PROMOTED VOLUNTEER OPPORTUNITIES IN SUPPORT OF FOOD SHELVES AND OTHER HEALTHY FOOD INITIATIVES WITH COMMUNITY-BASED ORGANIZATIONS. BOTH HOSPITALS PROVIDED CHARITABLE CONTRIBUTIONS IN SUPPORT OF ACCESS TO HEALTHY FOOD. THESE ORGANIZATIONS INCLUDE HASTINGS FAMILY SERVICES, NEIGHBORHOOD HOUSE, KEYSTONE COMMUNITY SERVICES, MERRICK COMMUNITY SERVICES, INTERFAITH ACTION COUNCIL AMERICAN INDIAN NETWORK, URBAN ROOTS, AND OTHER SIMILAR COMMUNITY-BASED INITIATIVES. IN ADDITION, THE HOSPITALS PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND HEALTHY FOOD INITIATIVES, INCLUDING WASHINGTON, RAMSEY AND DAKOTA COUNTY PUBLIC HEALTH COMMUNITY LEADERSHIP TEAMS, FOREST LAKE HEALTH UP, ACTIVE LIVING RAMSEY COUNTY, AGE-FRIENDLY RAMSEY COUNTY INITIATIVES, RAMSEY COUNTY FOOD SECURITY ADVISORY COMMITTEE, AND HASTINGS YMCA. GOAL 3. TO BROADEN THE ARRAY OF PROGRAMS AND SERVICES AVAILABLE TO SUPPORT THE AGING CONTINUUM.IN 2022, UNITED HOSPITAL - HASTINGS REGINA CAMPUS CONTINUED TO SUPPORT THE MEALS ON WHEELS PROGRAM, WORK WITH HASTINGS SENIOR CENTER ON DEVELOPING AN EDUCATIONAL SERIES ADDRESSING AGE-RELATED TOPICS, AND PROVIDE CHARITABLE CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT SPECIALIZE IN PROVIDING SERVICES TO OLDER ADULTS AND THEIR CAREGIVERS. 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH AND THE COMMUNITY GROUP HEART OF NEW ULM (HONU) TO ENGAGE MORE THAN 60 COMMUNITY MEMBERS, REPRESENTING MORE THAN 35 ORGANIZATIONS, TO COMPLETE ITS CHNA. PARTICIPANTS INCLUDED RESIDENTS AND REPRESENTATIVES FROM LOCAL SCHOOLS, GOVERNMENT, LAW ENFORCEMENT, SOCIAL SERVICE AGENCIES, PROFESSIONAL GROUPS AND BUSINESS OWNERS. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2023-2025 PRIORITIES BASED ON THIS REVIEW. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, STAFF FROM NUMC DEVELOPED A CONVERSATION IN A BOX GUIDE USED BY HONU LEADERSHIP AND NUMC STAFF TO FACILITATE COMMUNITY CONVERSATIONS WITH APPROXIMATELY 100 INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B: GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. NEW ULM MEDICAL CENTER:GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2022, NEW ULM MEDICAL CENTER (NUMC) CONTINUED WORK AND PARTNERSHIP WITH THE CHANGE TO CHILL (CTC) PROGRAM. THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO NEW ULM MIDDLE SCHOOL/HIGH SCHOOL AND RED ROCK CENTRAL HIGH SCHOOLS TO IMPLEMENT CTC PROGRAMMING IN 2022-23 SCHOOL YEAR. THESE EFFORTS REACHED APPROXIMATELY 1,538 STUDENTS. ADDITIONALLY, STAFF HOSTED THREE MENTAL HEALTH-FOCUSED EDUCATION ACTIVITIES THROUGHOUT THE YEAR, INCLUDING: QUESTION, PERSUADE, REFER (QPR) (30 ATTENDEES), NEUROBIOLOGY, EPIGENETICS, ACES STUDY AND RESILIENCE (NEAR) (45 ATTENDEES), AND SURVIVING AND THRIVING: TRAUMA AND RESILIENCE BASICS (80 ATTENDEES). NUMC ALSO CONTINUED MAINTAINING A COMMUNITY MENTAL HEALTH AND WELLNESS ACTION TEAM COMPRISED OF NUMC AND COMMUNITY EXPERTS AND LEADERS. IN 2022, THE GROUP DEVELOPED A FLOW CHART/ RESOURCE GUIDE TO HELP COMMUNITY MEMBERS STRUGGLING WITH MENTAL HEALTH ISSUES NAVIGATE THE MENTAL HEALTH SYSTEM. THIS TEAM ALSO PROMOTED STIGMA ELIMINATION EDUCATION AND MESSAGING VIA PROMOTION OF CHANGE TO CHILL, HEALTH POWERED KIDS AND HELLO4HEALTH STIGMA-ELIMINATION MATERIALS AND THE CREATION OF A BILLBOARD PROMOTING THE 988 HOTLINE IN PARTNERSHIP WITH LOCAL YELLOW RIBBON GROUP. GOAL 2. INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING BY REDUCING BARRIERS.THE HEART OF NEW ULM WORKSITE WELLNESS ACTION TEAM, OF WHICH NUMC IS A MEMBER, CONTINUED TO PROVIDE WORKPLACE WELLNESS TRAINING TO LOCAL BUSINESS. IN TOTAL, 89 PEOPLE PARTICIPATED IN THE FOLLOWING TRAININGS: GOOD MENTAL HEALTH IN THE WORKPLACE (APRIL), ALL ABOUT HERBS (JUNE) AND QUESTION, PERSUADE, REFER FOR WORKSITES (OCTOBER). ADDITIONALLY, THE TEAM HOSTED POKER WALK, IN WHICH 20 PARTICIPATING BUSINESSES WITH 60 WALKERS PARTICIPATED IN A 5-WEEK WALKING CHALLENGE, AND THE HOLIDAY TRIMMINGS PROGRAM - A VIRTUAL WELLNESS PROGRAM IN WHICH 225 PEOPLE REGISTERED. HOLIDAY TRIMMINGS PROGRAM PARTICIPANTS GAVE POSITIVE FEEDBACK IN A SURVEY EVALUATING SATISFACTION WITH THE PROGRAM. TO SUPPORT WALKABLE COMMUNITIES, NUMC STAFF CONTINUED TO LEAD COALITION FOR ACTIVE SAFE AND HEALTHY STREETS (CASH) AND PARTICIPATE AS A MEMBER IN THE SAFE ROUTES TO SCHOOL (SRTS) COALITIONS. IN 2022, THESE GROUPS SUCCESSFULLY APPLIED FOR AN ACTIVE TRANSPORTATION PROGRAM DEMONSTRATION PROJECT GRANT THAT WILL BE USED TO INSTALL TEMPORARY CURB EXTENSIONS AT A MAJOR INTERSECTION TO SHORTEN THE CROSSING DISTANCE IN THE CROSSWALK FOR WALKERS AND BIKERS AND TO HELP SLOW TRAFFIC. TECHNICAL ASSISTANCE AND MATERIALS ASSOCIATED WITH THE GRANT ARE VALUED AT UP TO $25,000.ADDITIONAL ACTIVITIES FOCUSED ON FOOD ACCESS INCLUDE THE PROVISION OF CHARITABLE CONTRIBUTIONS TO LOCAL FOOD SHELVES AND LEADING A POWER OF PRODUCE DAY AT THE LOCAL FARMER'S MARKET.GOAL 3. DECREASE ADDICTION RATES AND USE OF LEGAL AND ILLEGAL SUBSTANCES.IN ADDITION TO THE MENTAL HEALTH AND WELLNESS ACTIVITIES DESCRIBED ABOVE, NUMC STAFF CREATED AND DISTRIBUTED EDUCATION ON THE HEALTH RISKS OF VAPING AIMED AT PARENTS OF ADOLESCENTS. 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.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 2021 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, WCCHC CONDUCTED A CONVERSATION WITH MORE THAN 20 COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES FROM HEALTHCARE, SOCIAL SERVICES, GOVERNMENT, LOCAL SCHOOLS, AND COMMUNITY RESIDENTS. PARTICIPANTS REVIEWED DATA ON SPECIFIC TOPICS AND PRIORITY AREAS AND DISCUSSED POTENTIAL PRIORITY HEALTH ISSUE STRATEGIES IN SMALL GROUPS. IN ADDITION, WCCHC ALSO FACILITATED FOCUS GROUPS WITH PEOPLE LIVING WITH DISABILITIES AND THEIR CAREGIVERS. FURTHER FEEDBACK ON THE EXPERIENCES OF PEOPLE LIVING AT OR BELOW THE POVERTY LEVEL IN WRIGHT COUNTY WAS PROVIDED BY WCCHC MEMBER WRIGHT COUNTY COMMUNITY ACTION. GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B: GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. BUFFALO HOSPITAL: GOAL 1: REDUCE THE RATE OF MENTAL HEALTH CARE DELAY AND THE NUMBER OF NOT GOOD" MENTAL HEALTH DAYS IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). IN 2022, THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO BUFFALO MIDDLE SCHOOL, ROCKFORD HIGH SCHOOL, MONTICELLO HIGH SCHOOL, AND MAPLE LAKE HIGH SCHOOL TO IMPLEMENT CTC DURING THE 2022-23 SCHOOL YEAR. THESE EFFORTS REACHED APPROXIMATELY 3,322 STUDENTS. STAFF ALSO LED A CHANGE TO CHILL TRAINING AT ALLELUIA LUTHERAN CHURCH CONGREGATION, AIMED AT IMPLEMENTING CHANGE TO CHILL CURRICULUM AT THEIR TEEN-FOCUSED EVENTS AND BIBLE STUDY.HOSPITAL STAFF ALSO PROMOTED HEALTH POWERED KIDS VIA A VIDEO AT THE WRIGHT COUNTY COMMUNITY ACTION (WCCA) WELLNESS FAIR AND THE HELLO4HEALTH PROGRAM BY PROVIDING INFORMATION WITH PURCHASES FROM THE BUFFALO HOSPITAL GIFTSHOP AND OFFERING 12 PRESENTATIONS/LESSONS AND ACTIVITIES IN SMALL GROUP SETTINGS TO LOCAL ASSISTED LIVING AND NURSING HOMES. ADDITIONALLY, HOSPITAL STAFF PROVIDED LET'S TALK WELLNESS SESSIONS TO THE COMMUNITY, INCLUDING SIX SESSIONS AT HAVENWOOD, A SENIOR HOUSING/ASSISTED LIVING APARTMENT IN BUFFALO AND TWO 6-WEEK SERIES TO FUNCTIONAL INDUSTRIES CLIENTS. FUNCTIONAL INDUSTRIES PROVIDES VOCATIONAL SERVICES AND OTHER SUPPORT TO PEOPLE LIVING WITH DISABILITIES. TOPICS INCLUDED HEALTHY LIVING, SOCIAL CONNECTION, STRESS MANAGEMENT AND RESILIENCY, AMONG OTHERS. IN TOTAL, SIXTY HAVENWOOD RESIDENTS AND 96 PEOPLE FROM FUNCTIONAL INDUSTRIES PARTICIPATED IN THE SESSIONS. TO PROMOTE OVERALL WELLNESS AS AN ASPECT OF MENTAL WELLBEING, STAFF TAUGHT THRIVING WITH CHRONIC PAIN WORKSHOPS AND HEALTH EATING FOR BETTER HEALTH WORKSHOPS TO COMMUNITY MEMBERS. GOAL 2: REDUCE BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES BY SUPPORTING LOCAL PREVENTION EFFORTS AND ADVOCATE FOR POLICY CHANGES TO ADDRESS SUBSTANCE ABUSE IN WRIGHT COUNTY.TO REDUCE STIGMA RELATED TO SEEKING MENTAL HEALTH AND/OR SUBSTANCE USE SUPPORT, BUFFALO STAFF SUPPORTED NUMEROUS SUBSTANCE USE AND MENTAL HEALTH-FOCUSED ACTIVITIES AS PART THE COMMUNITY GROUPS MENTORSHIP, EDUCATION AND DRUG AWARENESS (MEADA) AND THE DRUGFREE COMMUNITY GRANT, RECOVERY COMMUNITY NETWORK, CENTRAL MN SUICIDE PREVENTION PROGRAM, AND WRIGHT COUNTY MENTAL HEALTH COALITION. AS PART OF THESE GROUPS, STAFF SUPPORTED SEVERAL COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT MENTAL HEALTH AND SUBSTANCE USE AND ASSOCIATED RESOURCES. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO PROVIDING RESOURCES TO AND SUPPORTING BUFFALO STRONG DAY AND THE ANNANDALE MENTAL HEALTH SYMPOSIUM, HOSTING STREET PARTY OF HOPE, PROMOTING THE SUICIDE PREVENTION PROGRAM QUESTION PERSUADE REFER (QPR) TRAINING AND SPONSORING THE SAVE 5K. ADDITIONALLY, STAFF CONTINUE TO BE INVOLVED WITH SAFE SCHOOLS WHICH IS MADE UP OF SCHOOL STAFF, ELECTED OFFICIALS, AND VARIOUS COMMUNITY MEMBERS. THE GOAL IS TO WORK TOGETHER ON PROJECTS AND RESOURCES NEEDED TO DEAL WITH SUBSTANCE USE AND MENTAL HEALTH ISSUES.GOAL 3: REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED ACTIVE INVOLVEMENT AND PARTICIPATION IN WRIGHT COUNTY DENTAL HEALTH WORKGROUP. THROUGH THIS GROUP'S EFFORTS, COMMUNITY DENTAL CARE CLINIC OPENED A NOT-FOR-PROFIT DENTAL CLINIC IN WRIGHT COUNTY IN THE FALL OF 2022. THE CLINIC'S APPOINTMENTS WERE BOOKED OUT THROUGH THE END OF 2022 AND THE EXISTENCE OF THE CLINIC WAS PROMOTED TO DENTISTS IN THE REGION. AFTER THIS SUCCESS, THE GROUP CONTINUED ITS EFFORTS TO INCREASE ACCESS TO AND USE OF DENTAL CARE BY PROVIDING TOOTHBRUSH/TOOTHPASTE PACKETS IN LOCAL EMERGENCY DEPARTMENTS AND CONTINUING TO DISTRIBUTE COMMUNITY EDUCATION ON THE IMPORTANCE OF DENTAL CARE AND ASSOCIATED RESOURCES. 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: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER (CMC) COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 35 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. TO SELECT THEIR 2023-2025 PRIORITIES, COMMITTEE MEMBERS REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, EAST CENTRAL REGIONAL SURVEY, AND ISANTI COUNTY SHERIFF'S DATA. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, CMC AND ISANTI COUNTY PUBLIC HEALTH CONDUCTED THREE COMMUNITY DIALOGUES WITH 33 REPRESENTATIVES FROM LOCAL ORGANIZATIONS REPRESENTING THE BROAD INTERESTS INCLUDING SOCIAL SERVICES, FAITH-BASED COMMUNITIES, LOCAL GOVERNMENT, SCHOOLS, LAW ENFORCEMENT, HEALTHCARE AND LOCAL PUBLIC HEALTH. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B: GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE SOCIAL CONNECTEDNESS ACROSS ALL STAGES AND AGES OF LIFE.IN 2022, CAMBRIDGE MEDICAL CENTER (CMC) STAFF PROMOTED HELLO4HEALTH AMONG OLDER ADULTS OR CAREGIVERS OF OLDER ADULTS. FOR EXAMPLE, STAFF PRESENTED HELLO4HEALTH RESOURCES AT THE CENTRAL MN AGING AND WELLNESS ADVOCATES SIX DIMENSIONS OF WELLNESS MEETING. CMC HAS PARTNERED WITH FAMILY PATHWAYS ON CREATING AND CONDUCTING THE CONNECT FOR WELLBEING PROGRAM. THIS PROGRAM IS A 6-WEEK SERIES OF CLASSES OFFERED TO OLDER ADULTS AND CAREGIVERS TO PROMOTE BUILDING CONNECTIONS AS WELL AS WELL-BEING. TOPICS INCLUDED IN THIS PROGRAM ARE HEALTHY EATING, INCREASED PHYSICAL ACTIVITY, SLEEP, GRATITUDE, KINDNESS AND HAPPINESS. THIS WAS OFFERED ON TWO OCCASIONS, THE FIRST VIRTUALLY AND THE SECOND IN PERSON AT CMC.ADDITIONALLY, HOSPITAL STAFF CONTINUED THEIR PARTNERSHIP WITH ISANTI COUNTY ON THE HAPPINESS ADVANTAGE PROJECT AND ORANGE FROG INITIATIVE. STAFF ALSO PROMOTED VOLUNTEER OPPORTUNITIES TO HOSPITAL EMPLOYEES TO PROMOTE SOCIAL CONNECTIONS AMONG STAFF. FOR EXAMPLE, IN 2022 CAMBRIDGE MEDICAL CENTER WAS ABLE TO DONATE 90 POUNDS OF PRODUCE THROUGH THE EMPLOYEE-RUN GIVING GARDEN. OVER THE PAST SEVEN YEARS THERE HAS BEEN A TOTAL OF 575 POUNDS DONATED. 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 CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). IN 2022, THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO MOUNDS VIEW, CAMBRIDGE-ISANTI, AND BRAHAM AREA HIGH SCHOOLS, AS WELL AS CAMBRIDGE AND ISANTI MIDDLE SCHOOLS TO IMPLEMENT CTC PROGRAMMING IN 2022-2023 SCHOOL YEAR. THEY ALSO DEVELOPED A NEW PARTNERSHIP WITH THE ART & SCIENCE ACADEMY. THESE EFFORTS REACHED APPROXIMATELY 5,221 STUDENTS.CAMBRIDGE MEDICAL CENTER ALSO PROVIDED A TOBACCO AND VAPE MYTH BUSTING WORKSHOP TO OVER 365 STUDENTS AT CAMBRIDGE MIDDLE SCHOOL AND BRAHAM HIGHSCHOOL IN 2022. GOAL 3: REDUCE BARRIERS TO MENTAL HEALTH SERVICES FOR PEOPLE IN OUR COMMUNITIES.IN ADDITION TO CONTINUED PROMOTION OF CHANGE TO CHILL (DESCRIBED ABOVE), STAFF PROVIDED COMMUNITY EDUCATION AIMED AT INCREASING RESILIENCE THROUGH A VARIETY OF EVENTS AND EDUCATION SESSIONS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO: PRESENTING "GROWING WITH GRATITUDE" TO ANOKA RAMSEY COMMUNITY COLLEGE STAFF, PROMOTING ALLINA HEALTH'S CHANGE TO CHILL, HEALTH POWERED KIDS AND HELLO4HEALTH RESILIENCE RESOURCES AS PART OF MAY IS MENTAL HEALTH MONTH, AND PROVIDING EDUCATION ON SUBSTANCE USE TO CAMBRIDGE MIDDLE SCHOOL STUDENTS.IN 2022, ALLINA HEALTH REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE ISANTI COUNTY SUBSTANCE USE PREVENTION AND RECOVERY COALITION AND THE REGION 7E MENTAL HEALTH COALITION FOCUSED ON REDUCING SUBSTANCE USE AND IMPROVING MENTAL WELLNESS IN THE COMMUNITIES THEY SERVE. A CMC STAFF MEMBER ALSO ASSISTED THE CAMBRIDGE ISANTI SCHOOL DISTRICT IN DEVELOPING THEIR MENTAL HEALTH PILLAR FOR THE DISTRICT'S STRATEGIC PLAN. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA. GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B: GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: INCREASE RESILIENCE AND HEALTHY COPING SKILLSFARIBAULT MEDICAL CENTER AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH ITS CHANGE TO CHILL PROGRAM. IN THE 2022-2023 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES IN THE REGION INCLUDED FARMINGTON HIGH SCHOOL, MEDFORD HIGH SCHOOL, NORTHFIELD MIDDLE SCHOOL, OWATONNA MIDDLE SCHOOL, AND IMPLEMENTED CTC PROGRAMMING AT FARIBAULT ALTERNATIVE LEARNING CENTER AND ARCADIA CHARTER SCHOOL IN NORTHFIELD. THESE EFFORTS REACHED APPROXIMATELY 4,308 STUDENTS.IN 2022, ALLINA HEALTH REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE AND MENTAL WELLNESS. STAFF PARTICIPATED IN LEGISLATIVE EVENTS HOSTED BY THE RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY ORGANIZATIONS IN FARIBAULT AND OWATONNA WHO WORK DIRECTLY IN MENTAL HEALTH AND SUBSTANCE USE AND WHO EXPERIENCED INCREASED NEED POST-COVID.FARIBAULT MEDICAL CENTER CONTINUES TO BE A HOST SITE FOR THE MOBILE OPIOID SUPPORT TEAM (MOST) COORDINATOR, A COMMUNITY-BASED LICENSED ALCOHOL AND DRUG COUNSELOR/SOCIAL WORKER. THE MOST COORDINATOR RECEIVES REFERRALS FROM NUMEROUS COMMUNITY AGENCIES INCLUDING HEALTHFINDERS COLLABORATIVE, RICE COUNTY SOCIAL SERVICES, MAYO HEALTH SYSTEM AND MORE. THE PROGRAM HELPS TO QUICKLY ASSESS AND CONNECT RICE COUNTY RESIDENTS WHO ARE EXPERIENCING OPIOID AND SUBSTANCE USE DISORDERS WITH COMMUNITY RESOURCES AND DRUG TREATMENT. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2022, THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS COLLABORATIVE IN SUPPORTING ALLINA HEALTH'S HEALTH-RELATED SOCIAL NEEDS PROGRAM REFERRALS FOR NAVIGATION SUPPORT. AS PART OF THE PROGRAM, HEALTHFINDERS CREATED A CULTURALLY COMPETENT CARE TRAINING VIDEO SPECIFIC TO SOMALI AND LATINO PATIENTS. ADDITIONALLY, A UCARE HEALTH EQUITY GRANT HELPED FUND THE "PAVING THE WAY" MATERNAL CARE PROJECT IN RICE COUNTY. THROUGH THIS PROJECT TWENTY MOMS WERE IDENTIFIED BY PROVIDERS AND RECEIVED ADDITIONAL MEDICAL AND SOCIAL SUPPORT WITH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS, PUBLIC HEALTH NURSES AND BILINGUAL COMMUNITY HEALTH WORKERS. GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2022, FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY INCLUDING: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, RICE COUNTY FOOD COUNCIL, AND THE COMMUNITY ACTION CENTER. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF THE HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY THOSE EXPERIENCING INCREASED NEED DUE TO THE COVID-19 PANDEMIC.TO INCREASE ACCESS TO HEALTHY FOOD, FARIBAULT MEDICAL CENTER PROVIDED A CHARITABLE CONTRIBUTION TO THE CANNON VALLEY FARMERS MARKET IN SUPPORT OF THEIR EFFORTS TO HELP EXPAND DIVERSITY OF MARKET VENDORS, CONSUMERS AND IMPLEMENT USE OF WIC MARKET BUCKS AND SNAP/EBT. FARIBAULT MEDICAL CENTER PARTNERED WITH FARIBAULT PARKS AND RECREATION IN THE DEVELOPMENT OF A FRIDAY YOUTH NIGHTS PROGRAM RESULTING IN MORE THAN 40 SOMALI YOUTH ACCESSING THE OPEN GYM HOSTED AT THE FARIBAULT COMMUNITY CENTER. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA. GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 5: DISTRICT ONE HOSPITAL CHANGED ITS NAME TO ALLINA HEALTH FARIBAULT MEDICAL CENTER, EFFECTIVE 1/1/2022. AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 6B: GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: INCREASE RESILIENCE AND HEALTHY COPING SKILLSFARIBAULT MEDICAL CENTER AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH ITS CHANGE TO CHILL PROGRAM. IN THE 2022-2023 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES IN THE REGION INCLUDED FARMINGTON HIGH SCHOOL, MEDFORD HIGH SCHOOL, NORTHFIELD MIDDLE SCHOOL, OWATONNA MIDDLE SCHOOL, AND IMPLEMENTED CTC PROGRAMMING AT FARIBAULT ALTERNATIVE LEARNING CENTER AND ARCADIA CHARTER SCHOOL IN NORTHFIELD. THESE EFFORTS REACHED APPROXIMATELY 4,308 STUDENTS.IN 2022, ALLINA HEALTH REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE AND MENTAL WELLNESS. STAFF PARTICIPATED IN LEGISLATIVE EVENTS HOSTED BY THE RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY ORGANIZATIONS IN FARIBAULT AND OWATONNA WHO WORK DIRECTLY IN MENTAL HEALTH AND SUBSTANCE USE AND WHO EXPERIENCED INCREASED NEED POST-COVID.FARIBAULT MEDICAL CENTER CONTINUES TO BE A HOST SITE FOR THE MOBILE OPIOID SUPPORT TEAM (MOST) COORDINATOR, A COMMUNITY-BASED LICENSED ALCOHOL AND DRUG COUNSELOR/SOCIAL WORKER. THE MOST COORDINATOR RECEIVES REFERRALS FROM NUMEROUS COMMUNITY AGENCIES INCLUDING HEALTHFINDERS COLLABORATIVE, RICE COUNTY SOCIAL SERVICES, MAYO HEALTH SYSTEM AND MORE. THE PROGRAM HELPS TO QUICKLY ASSESS AND CONNECT RICE COUNTY RESIDENTS WHO ARE EXPERIENCING OPIOID AND SUBSTANCE USE DISORDERS WITH COMMUNITY RESOURCES AND DRUG TREATMENT. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2022, THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS COLLABORATIVE IN SUPPORTING ALLINA HEALTH'S HEALTH-RELATED SOCIAL NEEDS PROGRAM REFERRALS FOR NAVIGATION SUPPORT. AS PART OF THE PROGRAM, HEALTHFINDERS CREATED A CULTURALLY COMPETENT CARE TRAINING VIDEO SPECIFIC TO SOMALI AND LATINO PATIENTS. ADDITIONALLY, A UCARE HEALTH EQUITY GRANT HELPED FUND THE "PAVING THE WAY" MATERNAL CARE PROJECT IN RICE COUNTY. THROUGH THIS PROJECT TWENTY MOMS WERE IDENTIFIED BY PROVIDERS AND RECEIVED ADDITIONAL MEDICAL AND SOCIAL SUPPORT WITH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS, PUBLIC HEALTH NURSES AND BILINGUAL COMMUNITY HEALTH WORKERS. GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2022, FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY INCLUDING: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, RICE COUNTY FOOD COUNCIL, AND THE COMMUNITY ACTION CENTER. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF THE HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY THOSE EXPERIENCING INCREASED NEED DUE TO THE COVID-19 PANDEMIC.TO INCREASE ACCESS TO HEALTHY FOOD, FARIBAULT MEDICAL CENTER PROVIDED A CHARITABLE CONTRIBUTION TO THE CANNON VALLEY FARMERS MARKET IN SUPPORT OF THEIR EFFORTS TO HELP EXPAND DIVERSITY OF MARKET VENDORS, CONSUMERS AND IMPLEMENT USE OF WIC MARKET BUCKS AND SNAP/EBT. FARIBAULT MEDICAL CENTER PARTNERED WITH FARIBAULT PARKS AND RECREATION IN THE DEVELOPMENT OF A FRIDAY YOUTH NIGHTS PROGRAM RESULTING IN MORE THAN 40 SOMALI YOUTH ACCESSING THE OPEN GYM HOSTED AT THE FARIBAULT COMMUNITY CENTER. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA. GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. 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 MORE THAN 50 STAKEHOLDERS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND MORE THAN 1,000 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. NEXT, THE GROUP CONDUCTED 12 FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS TO BETTER UNDERSTAND COMMUNITY HEALTH STRENGTHS AND CONCERNS. IN ADDITION TO REPRESENTATIVES FROM SOCIAL SERVICES, HEALTHCARE, LOCAL GOVERNMENT, LOCAL PUBLIC HEALTH, LOCAL LAW ENFORCEMENT, AND AREA SCHOOLS, FOCUS GROUP PARTICIPANTS INCLUDED FAMILIES RECEIVING SUPPORT FROM WIC (WOMEN, INFANTS & CHILDREN), RURAL RESIDENTS, COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS, HISPANIC COMMUNITY RESIDENTS AND AREA YOUTH. BASED ON THIS DATA REVIEW AND FEEDBACK, THE COALITION DEFINED ITS 2023-2025 PRIORITIES AND ACTION PLAN. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A: THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B: GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA.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 IS AN ACTIVE PARTICIPANT IN THE COALITION AND COLLABORATES WITH THE MEMBERS OF HEALTHIER TOGETHER TO ADVANCE THE WORK AROUND COMMUNITY HEALTH NEEDS. GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING HEALTHY COPING SKILLS AND RESILIENCE.IN 2022, RIVER FALLS AREA HOSPITAL CONTINUED WORK AND PARTNERSHIP WITH THE CHANGE TO CHILL PROGRAM. THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO MEYER MIDDLE SCHOOL, ELLSWORTH HIGH SCHOOL, AND HUDSON HIGH SCHOOL, REACHING APPROXIMATELY 3,104 STUDENTS. STAFF ALSO PROVIDED MENTAL WELLNESS-RELATED EDUCATION INCLUDING TRAINING MORE THAN 100 FAITH FORMATION STUDENTS AND PEER ADVISORS IN MAKE IT OK. STAFF ALSO CONTINUE TO PARTICIPATE IN THE YOUTH MENTAL HEALTH COLLABORATION AND SERVE ON THE HEALTHIER TOGETHER LEADERSHIP SCHOOL MENTAL HEALTH SUB-COMMITTEE. THE HOSPITAL ALSO PROVIDED DATA FROM ITS ELECTRONIC HEALTH RECORD TO SUPPORT THIS WORK.IN ADDITION, RIVER FALLS AREA HOSPITAL CONTINUED TO PROMOTE COMMUNITY RESOURCES TO PATIENTS, COMMUNITY, AND EMPLOYEES INCLUDING WISCONSIN ADDICTION RECOVERY HELPLINE, HOPELINE AND UNITED WAY OF ST. CROIX VALLEY 211. 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 THE HEALTHIER TOGETHER WEBSITE. HOSPITAL STAFF ALSO CONTINUED TO INCREASE COMMUNITY CAPACITY TO ADDRESS OPIOID OVERDOSES BY TRAINING 33 HEALTHIER TOGETHER LARGE GROUP MEMBERS IN WHEN AND HOW TO DELIVER NARCAN.GOAL 3: INCREASE PHYSICAL ACTIVITY AND HEALTHY EATING.RIVER FALLS MADE CHARITABLE CONTRIBUTIONS TO LOCAL SOCIAL SERVICE ORGANIZATIONS PROVIDING HEALTHY FOOD, INCLUDING FOODWISE-PIERCE & ST. CROIX COUNTIES AND RIVER FALLS GROW TO SHARE. THE HOSPITAL ALSO PROMOTED NUMEROUS VOLUNTEER OPPORTUNITIES TO STAFF AIMED AT INCREASING PHYSICAL ACTIVITY, INCLUDING THE FREE BIKES 4 KIDZ COLLECTION EVENTS, FREE BIKES 4 KIDZ BIKE DISTRIBUTION FOR EARTH DAY, RIVER VALLEY TRAILS BIKE EVENT, AND BIKE HELMET FITTINGS AT RIVER VALLEY TRAILS AND COMMUNITY SAFETY DAY. FINALLY, THE HOSPITAL HELD CAMPUS-WIDE FOOD DRIVES FOR OUR NEIGHBORS PLACE "BACKPACK PROGRAM AND THE RIVER FALLS FOOD PANTRY FOOD COLLECTION. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA. GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT. PART V, SECTION B, LINE 7 A HOSPITAL FACILITY WEBSITE URL -HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/ PART V, SECTION B, LINE 11 THE FOLLOWING ARE SYSTEM WIDE INITIATIVES THAT APPLY TO NINE ALLINA HEALTH HOSPITALS. PLEASE REFER TO PART V SECTION B LINE 11 EXPLANATION FOR EACH HOSPITAL FACILITY FOR ADDITIONAL NEEDS ADDRESSED AT THE HOSPITAL LEVEL. THE 2022 ASSESSMENT IDENTIFIED MENTAL WELLNESS, SUBSTANCE USE PREVENTION AND RECOVERY, SOCIAL DETERMINANTS OF HEALTH AND HEALTH-RELATED SOCIAL NEEDS AND ACCESS TO CULTURALLY RESPONSIVE CARE AS PRIORITY NEEDS FOR 2023-2025 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:-CHANGE TO CHILL (CTC) - IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2022, MORE THAN 25,000 PEOPLE FROM MINNESOTA AND WISCONSIN VISITED THE CHANGE TO CHILL WEBSITE. NEARLY 4,000 PEOPLE ACCESSED THE "STRESS AND IDENTITY" CONTENT IN 2022. THIS WAS NEW CONTENT IMPLEMENTED THE YEAR PRIOR TO INCREASE HEALTH EQUITY BY SUPPORTING TEENS IN FORMING A BETTER UNDERSTANDING OF THEIR SENSE OF IDENTITY AND REDUCING STRESS IN A WAY THAT IS SUPPORTIVE OF THEIR PERSONAL IDENTITY. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT CALLED THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, 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. DURING THE 2022-2023 SCHOOL YEAR, 43 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP. -HELLO4HEALTH- WAS LAUNCHED IN 2021 TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. KEY 2022 ACTIVITIES INCLUDED: WEBSITE PROMOTION TO INCREASE AWARENESS AND ENGAGEMENT OF HELLO4HEALTH AND BEGINNING DEVELOPMENT OF HELLO4HEALTH QUIZ TO INCREASE TRAFFIC TO WEBSITE AND PROVIDE PERSONALIZED HELLO4HEALTH RESOURCES TO MEET EACH USERS' UNIQUE NEEDS. IN 2022, NEARLY 9,500 PEOPLE VISITED THE WEBSITE, 5,216 OF WHOM WERE MINNESOTA OR WISCONSIN USERS. THE WEBSITE FOCUSES PARTICULARLY ON SUPPORTING OLDER ADULTS AND THEIR CAREGIVERS. EIGHT PERCENT OF THE TOTAL NUMBER OF PEOPLE WHO VISITED IN 2022 WERE AGES 65 OR OLDER. ADDITIONALLY IN 2022, ALLINA HEALTH BEGAN TO REFER PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED TO THE WEBSITE. -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 2022, MORE THAN 4,600 PEOPLE FROM MINNESOTA OR WISCONSIN VISITED THE HPK WEBSITE. IN NOVEMBER 2022, HEALTH POWERED KIDS FACILITATED A VIRTUAL WORKSHOP FOR 65 SCHOOL STAFF ACROSS HENNEPIN COUNTY, WHICH MORE THAN 200 ADDITIONAL HAVE SINCE VIEWED VIA RECORDING.-HEALTHY FOOD INITIATIVE- TO ADDRESS FOOD INSECURITY, ALLINA HEALTH LAUNCHED A HEALTHY FOOD INITIATIVE IN 2017 TO ENSURE ALL PEOPLE IN ITS COMMUNITIES HAVE ACCESS TO HEALTHY, FRESH AND AFFORDABLE FOOD. IN ADDITION TO THE CHARITABLE CONTRIBUTIONS, DETAILED BELOW, IN 2022 ALLINA HEALTH PARTICIPATED IN ADVOCACY FOR THE HEALTHY, HUNGER FREE SCHOOLS THROUGH VIRTUAL HUNGER DAY ON THE HILL. ADDITIONALLY, THREE STAFF MET WITH THEIR LEGISLATORS TO SUPPORT BILLS FOR UNIVERSAL SCHOOL MEALS (FREE MEALS FOR ALL STUDENTS) AND COMMUNITY ELIGIBILITY PROVISIONS (CEP) - (FREE MEALS FOR STUDENTS IN HIGH NEED SCHOOLS ONLY). ADDITIONALLY IN 2022, ALLINA HEALTH LAUNCHED THREE PARTNERSHIPS WITH COMMUNITY NONPROFITS TO PROVIDE CRISIS FOOD SUPPORT TO PATIENTS EXPERIENCING FOOD INSECURITY. FIRST, ALLINA HEALTH PRIMARY CARE CLINICS PROVIDED 2,636 MEALS TO ALLINA HEALTH PATIENTS EXPERIENCING URGENT FOOD NEEDS THROUGH A PARTNERSHIP WITH EVERY MEAL. THROUGH THIS PARTNERSHIP, PARTICIPATING ALLINA HEALTH PRIMARY CARE CLINICS PROVIDE 4-5 POUNDS OF NUTRITIOUS, NON-PERISHABLE FOOD TO PATIENTS IDENTIFYING A FOOD NEED. MEAL BAGS TAILORED TO DIETARY AND CULTURAL PREFERENCES ARE AVAILABLE. ADDITIONALLY, IN OCT. 2022 ALLINA LAUNCHED A PARTNERSHIP WITH METRO MEALS ON WHEELS TO PROVIDE 14 DAYS WORTH OF MEALS FREE OF CHARGE TO PATIENTS WHO IDENTIFY AS FOOD INSECURE THROUGH SELECT AMBULATORY CARE MANAGEMENT PROGRAMS. FINALLY, ALLINA HEALTH CARE MANAGEMENT BEGAN A PILOT TO PROVIDE GROCERY STORE GIFT CARDS TO PATIENTS AT ST. FRANCIS MEDICAL CENTER. THESE PROGRAMS ARE SUPPORTED BY THE ALLINA EMPLOYEE GIVING CAMPAIGN FOOD ACCESS FUND. -CHARITABLE CONTRIBUTIONS- CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS, WITH A PARTICULAR FOCUS ON IMPROVING HEALTH EQUITY, AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. IN 2022 ALLINA HEALTH SYSTEM OFFICE MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA: $60,700 (20%) FOR ACTIVE LIVING, $70,000 (22%) FOR HEALTHY EATING, $35,000 (11%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES, $40,500 (13%) FOR MENTAL HEALTH AND WELLNESS, $22,500 (7%) FOR SUBSTANCE USE, $85,000 (27%) FOR OTHER HEALTH-RELATED PURPOSES. EXAMPLES OF SPECIFIC CONTRIBUTIONS ARE DESCRIBED BELOW.TO SUPPORT ACTIVE LIVING, ALLINA GAVE MORE THAN $50,000 TO FREE BIKES 4 KIDZ MN. THIS CONTRIBUTION WAS PART OF TWELVE-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 2022, MORE THAN 400 ALLINA HEALTH EMPLOYEES COLLECTED OVER 5,800 BIKES FOR FB4K MN. THE BIKES WERE REFURBISHED BY FB4K MN BEFORE THEY WERE DISTRIBUTED WITH HELMETS AND BIKE SAFETY INFORMATION TO CHILDREN AND ADULTS IN MN AND WI. ALSO IN SUPPORT OF ACTIVE LIVING, ALLINA HEALTH GAVE $5,000 EACH TO THE SANNEH FOUNDATION AND YMCA OF THE NORTH FOR THEIR Y ADVENTURE LAB. FOR THE FOCUS AREA OF HEALTHY EATING, OVER $20,000 WAS GIVEN TO BOTH EVERY MEAL AND METRO MEALS ON WHEELS; OVER $10,000 EACH WAS PROVIDED TO THE FOOD GROUP, HUNGER SOLUTIONS AND SECOND HARVEST HEARTLAND. ALL FIVE ORGANIZATIONS PROVIDE HEALTHY FOOD TO FAMILIES EXPERIENCING FOOD INSECURITY THROUGHOUT THE ALLINA HEALTH SERVICE AREA. CONTRIBUTIONS TO MENTAL WELLNESS FOCUSED ON HEALTH EQUITY, INCREASING ACCESS TO CARE AND COMMUNITIES DISPROPORTIONATELY IMPACTED BY COVID-19. FOR EXAMPLE, $10,000 WAS PROVIDED TO CANVAS HEALTH AND OVER $5,000 TO GUILD, INC. TO SUPPORT THE PROVISION OF DIRECT SERVICES ACROSS ALLINA HEALTH'S SERVICE AREA. MORE THAN $5,000 WAS GIVEN TO PEOPLE INC. TO SUPPORT THE 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. A CONTRIBUTION OF $5,000 WAS GIVEN TO RAINBOW HEALTH TO SUPPORT LGBTQ+ OLDER ADULTS AND THOSE WHO SUPPORT THEM WITH ACCESSIBLE, CULTURALLY RELEVANT, PERSON-CENTERED TOOLS AND RESOURCES TO REDUCE SOCIAL ISOLATION AND INCREASE KNOWLEDGE. TO SUPPORT ACCESS TO SUBSTANCE USE SERVICES AND REDUCE STIGMA SURROUNDING SUBSTANCE USE DISORDERS, ALLINA HEALTH PROVIDED MORE THAN A $20,000 DONATION TO THE MINNESOTA RECOVERY CONNECTION AND SPONSORED THE CENTER OF ADDICTION AND FAITH CONFERENCE AT $2,500. WELLSHARE INTERNATIONAL ALSO RECEIVED $5,000 TO SUPPORT A MENTAL HEALTH AWARENESS EDUCATIONAL CAMPAIGN IN CULTURALLY DIVERSE COMMUNITIES. PROGRESSIVE INDIVIDUAL RESOURCES INC.'S AFRICAN MENTAL HEALTH VIRTUAL SUMMIT WAS SUPPORTED AT THE $2,500 LEVEL. THE THEME OF THE SUMMIT WAS "TRANSFORMATION. RESTORATION. RECOVERY: NECESSITY OF ALL OF HUMANITY WORKING TOGETHER." OTHER CONTRIBUTIONS FOCUSED ON IMPROVING MENTAL WELLNESS INCLUDED A $3,000 SPONSORSHIP OF THE CENTER FOR VICTIMS OF TORTURE RESTORING HOPE BREAKFAST AND A $4,000 CONTRIBUTION TO CORNERSTONE TO SUPPORT VICTIMS OF INTERPERSONAL VIOLENCE.TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ALLINA HEALTH SPONSORED THE CARONDELET GALA AT THE $30,000 LEVEL, WHICH RAISED FUNDS FOR ST. MARY'S HEALTH CLINICS (SMHC). SMHC SERVES LOW-INCOME, UNINSURED INDIVIDUALS, FAMILIES AND CHILDREN, BY PROVIDING FREE CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH CARE SERVICES. ALLINA HEALTH ALSO PROVIDED $5,000 TO CHILDREN'S DENTAL SERVICES TO IMPROVE THE ORAL HEALTH OF CHILDREN BY PROVIDING ACCESSIBLE TREATMENT AND EDUCATION. 15 1 - ALLINA HEALTH CLINICS LLC-60 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-14 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 - GREENWAY SURGICAL SUITES LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 7 - PHS WESTHEALTH INC 2845 N HAMLINE AVENUE ROSEVILLE MN 55113 TRANSITIONAL CARE 8 - SOUTHWEST SURGICAL CENTER LLC 920 EAST 28TH STREET SUITE 500 MINNEAPOLIS MN 55407 OUTPATIENT SURGERY CENTER 9 - WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 10 - CENTER FOR RESTORATIVE SURGERY AT MG LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 11 - ALLINA HEALTH SURGERY CENTER-BP LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER 12 - NORTHSTAR SLEEP CENTER LLC 3800 COON RAPIDS BOULEVARD SUITE 3800 COON RAPIDS MN 55433 OUTPATIENT SERVICES 13 - ASPEN SLEEP CENTER 1010 BANDANA BOULEVARD WEST ST PAUL MN 55108 OUTPATIENT SERVICES 14 - MOBILE IMAGING SERVICES 7505 METRO BOULEVARD SUITE 400 EDINA MN 55439 MOBILE RADIOLOGY 15 - ALLINA HEALTH HEART AND VASCULAR SURGERY 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 OUTPATIENT SURGERY CENTER PART I, LINE 3C: CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR. PART I, LINE 6A: ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/ PART I, LINE 7: WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE). PART I, LINE 7G: THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LN 7 COL(F): BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.PART I, LINE 7 COL(F):UNLIKE THE MAJORITY OF LARGE HEALTHCARE SYSTEMS, ALLINA IS ORGANIZED TO OPERATE ITS ELEVEN WHOLLY-OWNED HOSPITAL CAMPUSES IN THE SAME TAX ENTITY AS DOZENS OF PRIMARY CARE AND URGENT CARE CLINICS, REHABILITATION FACILITIES, PHARMACIES, AND OTHER NON-HOSPITAL SPECIALTY SERVICE LOCATIONS. THE REVENUE AND EXPENSES OF THIS COMBINATION OF HOSPITAL AND NON-HOSPITAL SERVICES IS INCLUDED ON THIS 990 FOR THE ENTITY, AND THE EXPENSES OF THE ENTIRE GROUP IS CARRIED TO PART 1 OF SCHEDULE H AS PART OF THE COMMUNITY BENEFIT CALCULATION. BECAUSE THE PERCENTAGES REFLECTED IN PART 1 OF SCHEDULE H ARE THE RATIO OF QUALIFYING COMMUNITY BENEFIT EXPENSES OVER THE TOTAL EXPENSES OF ALL LOCATIONS INCLUDED IN THE 990, THE DENOMINATOR IS DILUTED BY EXPENSES RELATING TO SERVICES LIKE PRIMARY CARE CLINICS AND PHARMACY OPERATIONS THAT ARE NOT HOSPITAL-BASED AND WOULD NOT BE INCLUDED IN THE SAME ENTITY AS HOSPITALS IN A MORE TRADITIONAL HEALTHCARE STRUCTURE. IF THE EXPENSES OF THESE PRIMARY CARE CLINICS AND PHARMACY LOCATIONS WERE EXCLUDED FROM THE CALCULATION TO REMOVE THIS DISTORTION, THE 3.9% HOSPITAL COMMUNITY BENEFIT REFLECTED ON THIS SCHEDULE H WOULD RISE TO OVER 5% WITHOUT A CHANGE TO THE UNDERLYING INVESTMENTS BY ALLINA INTO OUR COMMUNITY. OPERATING EXPENSES FOR HEALTHCARE ENTITIES, INCLUDING LABOR, EQUIPMENT AND SUPPLIES CONTINUE TO RISE EXPONENTIALLY COMPARED TO REIMBURSEMENT STREAMS AND CONTRIBUTE TO THE LARGE NET OPERATING LOSS FOR THE SYSTEM REFLECTED IN THIS RETURN. DESPITE CHALLENGING OPERATING LOSSES, ALLINA HAS PRIORITIZED CONTINUED CONSISTENT INVESTMENT IN ITS LEVEL OF COMMUNITY BENEFIT SUPPORT OVER THE PAST FIVE YEARS EVEN WHERE, LIKE THE CURRENT REPORTING YEAR, SUCH INVESTMENTS CANNOT BE FUNDED FROM NET REVENUE. DUE TO THE STRUCTURE OF PART 1 OF SCHEDULE H WHICH LOOKS ONLY AT EXPENSES AND NOT AT NET OPERATING REVENUE, CONTINUED OPERATING EXPENSE INCREASES CREATE A DISTORTED PRESSURE ON THE REFLECTED COMMUNITY BENEFIT PERCENTAGE WHILE FINDING RESOURCES TO MAINTAIN SUCH CRITICAL EXPENDITURES IS INCREASINGLY CHALLENGING. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2022: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(N) ON PAGE 11 PART III, LINE 8: THE ORGANIZATION HAS MORE THAN ONE MEDICARE PROVIDER NUMBER AND THEREFORE AGGREGATED THE AMOUNTS REPORTED IN THE MEDICARE COST REPORTS AS THE SOURCE FOR THE AMOUNTS REPORTED ON PART III, LINES 5 & 6 AS OUTLINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. FOR MEDICARE COST REPORTS, ALLINA USES A RATIO OF PATIENT CARE COSTS TO CHARGES (COST TO CHARGE RATIO) TO DETERMINE MEDICARE ALLOWABLE COSTS. GENERALLY, THE RATIO IS CALCULATED AS THE TOTAL MEDICARE ALLOWABLE PATIENT COSTS OVER THE TOTAL PATIENT CHARGES. MEDICARE CHARGES MULTIPLIED BY THIS RATIO EQUALS THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH MEDICARE COST REPORT/PROVIDER NUMBER. ALLINA BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. ALLINA'S PROVIDING OF THESE SERVICES CLEARLY LESSENS THE BURDENS OF GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINE 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. THE TRUE COMMUNITY BENEFIT FOR OUR PARTICIPATION IN THE CURRENT MEDICARE PROGRAM IS DEPENDENT ON HOW EFFICIENTLY AND COST EFFECTIVELY THE FEDERAL GOVERNMENT COULD OPERATE A DIRECT MEDICAL CARE MEDICARE PROGRAM OR ALTERNATIVELY THE COST TO THE GOVERNMENT TO CONTRACT OUT SUCH SERVICES THROUGH A COMPETITIVE BIDDING PROCESS IN THE OPEN MARKETS FOR THE SAME OR SIMILAR SERVICES FACTORING IN ITEMS SUCH AS QUALITY OF CARE, OUTCOMES AND SIMILAR IMPORTANT FACTORS AS COMPARED TO ALLINA'S ACTUAL COSTS OF PROVIDING THE MEDICAL CARE. THE MEDICARE SHORTFALL CALCULATION ON THE FORM 990, SCHEDULE H, PART III, LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL FOR TWO REASONS. FIRST, ALLINA INCURS SIGNIFICANT COSTS IN EXCESS OF PAYMENTS UNDER THE MEDICARE PROGRAM FOR PROVIDING CERTAIN SERVICES THAT ARE NOT SUBJECT TO MEDICARE COST REPORTING AND THEREFORE NOT REFLECTED IN OUR COST AMOUNTS ON LINE 6. SECOND, THE LINE 6 LIMITS OUR REPORTED COSTS TO ONLY MEDICARE "ALLOWABLE COSTS" AS SOLELY DETERMINED BY THE FEDERAL GOVERNMENT MEDICARE PROGRAM. FOR THESE TWO REASONS, THE MEDICARE SHORTFALL REPORTED ON LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL AND THE ACTUAL COST OF PROVIDING MEDICAL CARE TO MEDICARE PROGRAM PARTICIPANTS. WE ESTIMATE THESE TWO ITEMS UNDERSTATE ALLINA'S REPORTED MEDICARE SHORTFALL BY OVER $161 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM. PART III, LINE 9B: THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS. PART VI, LINE 2: AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. MANY HOSPITALS ALSO CONDUCTED THEIR CHNA IN PARTNERSHIP OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. HOSPITAL PRIORITIES INCLUDE:-MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE-HEALTHY EATING AND ACTIVE LIVING-CHRONIC DISEASE AND HEALTH HABITS-ACCESS TO CARE-SOCIAL DETERMINANTS OF HEALTH-SOCIAL ISOLATION-RELATIONSHIP VIOLENCE-DENTAL CARE-AGING SERVICES-AFFORDABLE HOUSINGHOSPITAL PRIORITY COMMUNITIES INCLUDE:-PEOPLE WITH DISABILITIES-PEOPLE WHO IDENTIFY AS BLACK, INDIGENOUS AND/OR PEOPLE OF COLOR(BIPOC)-PEOPLE LIVING AT OR NEAR POVERTY-PEOPLE WHO IDENTIFY AS LESBIAN, GAY, BI-SEXUAL, TRANS, QUEER AND/OR QUESTIONING, AND OTHER HISTORICALLY UNDERSERVED SEXUAL AND GENDER IDENTITIES (LGBTQ+)-OLDER ADULTS-YOUTH AND ADOLESCENTS-IMMIGRANTS AND REFUGEES-PEOPLE FROM SPECIFIC CULRUAL COMMUNITIES (SOMALI, HISPANIC/LATINO)-FAMILIES IMPACTED BY INCARCERATION-FARMERSTO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIESIN MARCH, APRIL AND JULY 2022, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. THE PRIORITIZED COMMUNITIES IDENTIFIED BY EACH ALLINA HEALTH HOSPITAL WERE ALSO COMPARED AND THE MOST COMMON WERE IDENTIFIED FOR SYSTEM ACTION. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2023-2025-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSIN ADDITION TO THE FORMAL CHNA, ALLINA HEALTH HOSPITALS ASSESS COMMUNITY NEED ON AN ONGOING BASIS THROUGH PARTICIPATION IN COMMUNITY DIALOGUES AND COALITIONS, AND IN ONGOING DATA REVIEW IN PARTNERSHIP WITH PUBLIC HEALTH AND LOCAL NONPROFITS. PART VI, LINE 3: A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- ALLINA PARTNERS CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICES- PAYMENT PLANSOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - ALLINA PARTNERS CARE PROGRAM THE ALLINA PARTNERS CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE ALLINA PARTNERS CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTER. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS , ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. PAYMENT PLANS - IF A PATIENT INDICATES THEY ARE UNABLE OR UNWILLING TO PAY THE BALANCE IN FULL, ALLINA OFFERS A PAYMENT PLAN WHICH CANNOT EXCEED TWELVE MONTHS AND CANNOT BE LESS THAN THIRTY DOLLARS PER MONTH. IF THE PATIENT IS UNABLE TO MEET THESE PARAMETERS, MEDCREDIT IS OFFERED TO THEM. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS ALSO AVAILABLE IN SOMALI AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LEP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS. PART VI, LINE 4: ALLINA HEALTH SYSTEM (ALLINA HEALTH) IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 9 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, TRANSITIONAL CARE, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND 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 (FARIBAULT MEDICAL CENTER AS OF 1/1/2022) SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES UNITED HOSPITAL - HASTINGS REGINA CAMPUS AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN. PART VI, LINE 5: GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. 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.SUSTAINABILITY EFFORTSAT ALLINA HEALTH TAKING CARE OF OUR ENVIRONMENT IS CRITICAL TO ENSURE GOOD HEALTH FOR OUR PATIENTS, EMPLOYEES AND OUR COMMUNITY. IN 2022, ALLINA HEALTH DONATED 87 TONS OF MEDICAL SUPPLIES, EQUIPMENT, AND FURNITURE TO MATTER. MATTER REPURPOSES MEDICAL EQUIPMENT AND SUPPLIES TO AID PEOPLE THROUGH DISTRIBUTIONS TO INTERNATIONAL HOSPITAL AND CLINIC PARTNERS. WE DONATED 60 PALLETS OF USED COMPUTER GEAR TO A LOCAL NON-PROFIT FOR COMMUNITY ORGANIZATION THAT REBUILDS AND PROVIDES COMPUTERS TO THOSE IN NEED AROUND THE AREA. IN ADDITION, 3 TONS OF NON-STANDARD FURNITURE WITH A VALUE OF $17,980 WAS DONATED TO 16 LOCAL NON-PROFITS. ALLINA HEALTH'S ENERGY EFFICIENCY PROJECTS ALSO REDUCED AIR POLLUTION AND GREENHOUSE GAS EMISSIONS. ENERGY EFFICIENCY PROJECTS UNDERTAKEN IN 2022 ARE EXPECTED TO SAVE 3,565,000 KWH OF ELECTRICITY AND 147,000 THERMS OF GAS ANNUALLY. THIS ENERGY REDUCTION IS ESTIMATED TO SAVE $5,110,000 IN POLLUTION-RELATED HEALTH IMPACTS.IMPACT INVESTMENT PORTFOLIOWE VIEW AND EVALUATE OUR DIVERSITY, EQUITY, INCLUSION & BELONGING (DEI&B) COMMITMENTS THROUGH FOUR ROLES: AS A PROVIDER, EMPLOYER, PURCHASER OF GOODS AND SERVICES AND COMMUNITY PARTNER. FOR EACH OF OUR COMMITMENT AREAS, WE SET CLEAR GOALS AND OBJECTIVES TO DRIVE ACCOUNTABILITY. USING THESE COMMITMENTS, THE DEI&B FOCUS ON PURCHASING ALLOCATED $30 MILLION TO CREATE AND FUND THE ALLINA HEALTH IMPACT PORTFOLIO. THE ALLINA HEALTH IMPACT FUND FOCUSES ON INVESTING IN INITIATIVES THAT IMPROVE THE ECONOMIC AND SOCIAL VITALITY OF OUR LOCAL COMMUNITIES. MORE THAN HALF ($15.46 MILLION) OF FUNDS WERE INVESTED BY THE END OF 2022. BY PROVIDING CAPITAL THROUGH INVESTMENTS TO LOCAL ORGANIZATIONS, WE ARE ABLE TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WHILE ENSURING OUR INVESTMENTS ARE EQUITABLE AND ALIGNED TO OUR GUIDING PRINCIPLES AND VALUES. 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 28,500 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 1,400 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES NINE HOSPITALS ON ELEVEN CAMPUSES AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED APPROXIMATELY 90,000 INPATIENT ADMISSIONS AND MORE THAN 1,419,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2022. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,800 OF WHICH WERE STAFFED FOR INPATIENT SERVICES. ALLINA HEALTH PROVIDES CLINICAL SERVICES THROUGH ITS ALLINA HEALTH GROUP AND HOSPITAL-BASED PHYSICIANS. ALLINA HEALTH GROUP CONTROLS AND OPERATES 60 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS PHYSICIANS AND HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 9,938,500 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2022. 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, 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 700 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 2,700 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ORGANIZATIONS INCURRED COSTS FOR PARTICIPATION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $146,001,041 IN 2022.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 1 MINNEAPOLIS HEART INSTITUTE 920 EAST 28TH STREET SUITE 100 MINNEAPOLIS MN 55407 411426406 501C3 1975000 0 SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION MINNESOTA COMMUNITY HEALTHCARE NETWORK 2351 GRAYS LANDING ROAD MINNETONKA MN 55391 472590506 501C3 596155 0 GENERAL SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS 1007 E 14TH STREET MINNEAPOLIS MN 55404 411302487 501C3 191314 0 GENERAL SUPPORT DIVISION OF INDIAN WORK 1001 E LAKE STREET MINNEAPOLIS MN 55407 815265328 501C3 153065 0 TO SUPPORT DIVISION OF INDIAN WORK'S FOOD SHELF PROJECT FOR PRIDE IN LIVING 1035 EAST FRANKLIN AVENUE MINNEAPOLIS MN 55404 237232208 501C3 100100 0 GENERAL SUPPORT WALK-IN COUNSELING CENTER 2421 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 410983461 501C3 60716 0 GENERAL SUPPORT FREE BIKES 4 KIDZ PO BOX 007 LONG LAKE MN 55356 271199089 501C3 56851 0 SPONSORSHIP FOR BIKE DISTRIBUTION INDIGENOUS PEOPLE'S TASK FORCE 1335 EAST 23RD STREET MINNEAPOLIS MN 55404 363617906 501C3 50000 0 GENERAL SUPPORT REGIONS HOSPITAL FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 55440 411888902 501C3 50000 0 TO SUPPORT LITTLE MOMENTS COUNT CAMPAIGN TO ADVANCE EARLY BRAIN DEVELOPMENT BEACON INTERFAITH HOUSING COLLABORATIVE 2610 UNIVERSITY AVENUE WEST SUITE 100 SAINT PAUL MN 55114 411953599 501C3 45000 0 GENERAL SUPPORT HEALTHFINDERS COLLABORATIVE 706 DIVISION STREET NORTHFIELD MN 55057 201805262 501C3 42050 0 GENERAL SUPPORT FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC PO BOX 745 RIVER FALLS WI 54022 205892220 501C3 39555 0 GENERAL SUPPORT CLARE HOUSING FACILITY 929 CENTRAL AVENUE NE MINNEAPOLIS MN 55413 411794924 501C3 35000 0 GENERAL SUPPORT EVERY MEAL 2723 PATTON ROAD ROSEVILLE MN 55113 800919680 501C3 31569 0 GENERAL SUPPORT NAMI MINNESOTA (EAST METRO CRISIS ALLIANCE) 1919 UNIVERSITY AVE W STE 400 ST PAUL MN 55104 411317030 501C3 31250 0 TO SUPPORT THE CRISIS ALLIANCE'S WORK, INCLUDING THE MENTAL HEALTH CRISIS SYSTEM EDUCATION CAMPAIGN SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION 1884 RANDOLPH AVENUE ST PAUL MN 55105 411765361 501C3 30000 0 SPONSORSHIP FOR CARONDELET GALA ST PAUL PUBLIC SCHOOLS 360 COLBORNE STREET ST PAUL MN 55102 410901311 ISD 625 30000 0 SUPPORT OF THE DISTRICT'S WELLNESS CHAMPIONS PROGRAM FOR SCHOOLS REACH OUT & READ INC 701 WASHINGTON AVENUE N SUITE 111-112 MINNEAPOLIS MN 55401 811641189 501C3 27619 0 SUPPORT FOR BOOKS FOR REACH OUT AND READ MINNESOTA RECOVERY CONNECTION 800 TRANSFER ROAD NO 31 ST PAUL MN 55114 411948764 501C3 25250 0 GENERAL SUPPORT AMGA FOUNDATION INC ONE PRINCE STREET ALEXANDRIA VA 22314 546059304 501C3 25000 0 CAMPAIGN FOR A HEALTHIER AMERICA CONTRIBUTION METRO MEALS ON WHEELS INC 1200 WASHINGTON AVE SOUTH SUITE 380 MINNEAPOLIS MN 55415 311501057 501C3 21950 0 GENERAL SUPPORT SCOTT CARVER DAKOTA CAP AGENCY INC 738 1ST AVENUE EAST SHAKOPEE MN 55379 410903890 501C3 21600 0 GENERAL SUPPORT THE ITASCA PROJECT FUND CO THE ST PAUL FOUNDATION 101 FIFTH STREET EAST SUITE 2400 ST PAUL MN 55101 416031510 501C3 20000 0 SUPPORT PROGRAMS TO BUILD A THRIVING ECONOMY AND IMPROVED QUALITY OF LIFE FOR ALL IN THE REGION NORTHFIELD HEALTHY COMMUNITY INITIATIVE 1651 JEFFERSON PARKWAY ST HS 128 NORTHFIELD MN 55057 262852506 501C3 16307 0 GENERAL SUPPORT CLUES 797 7TH STREET EAST ST PAUL MN 55106 411386986 501C3 15000 0 GENERAL SUPPORT CULTURAL WELLNESS CENTER 2025 PORTLAND AVENUE SOUTH MINNEAPOLIS MN 55404 411850859 501C3 15000 0 GENERAL SUPPORT HOPE ACADEMY 2300 CHICAGO AVE S MINNEAPOLIS MN 55404 411962874 501C3 15000 0 GENERAL SUPPORT RIDGEVIEW FOUNDATION 490 S MAPLE ST SUITE 110 WACONIA MN 55387 411328097 501C3 15000 0 SPONSORSHIP FOR RIDGEVIEW GOLF AND TASTE CELEBRATION DARTS 1645 MARTHALER LANE WEST ST PAUL MN 55118 411326631 501C3 12500 0 IN SUPPORT OF EXPANDING RESPITE CARE AND HOME SERVICES PROGRAMS AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA GA 30303 131788491 501C3 12400 0 GENERAL SUPPORT LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 COMO AVE ST PAUL MN 55108 410872993 501C3 12100 0 GENERAL SUPPORT SOUTHERN VALLEY ALLIANCE 551 E PARK ST BELLE PLAINE MN 56011 411483575 501C3 12000 0 GENERAL SUPPORT UNITED WAY OF HASTINGS 113 2ND ST E STE 102 HASTONGS MN 55033 411486488 501C3 12000 0 GENERAL SUPPORT OPEN ARMS OF MINNESOTA INC 2500 BLOOMINGTON AVENUE MINNEAPOLIS MN 55404 411681317 501C3 11100 0 SUPPORT THIS ORGANIZATION'S CORE PROGRAM TO PROVIDE MEAL PREP & DELIVERY SECOND HARVEST HEARTLAND 1140 GERVAIS AVENUE MAPLEWOOD MN 55109 237417654 501C3 10800 0 GENERAL SUPPORT MATTER 7005 OXFORD ST ST LOUIS PARK MN 55426 371441658 501C3 10675 0 GENERAL SUPPORT UNITED WAY OF STEELE COUNTY 1850 AUSTIN ROAD SUITE 103 OWATONNA MN 55060 237366680 501C3 10500 0 GENERAL SUPPORT THE FOOD GROUP MINNESOTA 8501 54TH AVENUE NORTH NEW HOPE MN 55428 411246504 501C3 10352 0 GENERAL SUPPORT AVENUES FOR YOUTH 1708 OAK PARK AVENUE NORTH MINNEAPOLIS MN 55411 411765140 501C3 10350 0 GENERAL SUPPORT COMMUNITY ACTION CENTER OF NORTHFIELD INC 1651 JEFFERSON PARKWAY NORTHFIELD MN 55057 410970984 501C3 10300 0 GENERAL SUPPORT HASTINGS FAMILY SERVICE 301 EAST SECOND STREET HASTINGS MN 55033 237083534 501C3 10200 0 GENERAL SUPPORT AVIVO 1900 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 410828779 501C3 10100 0 GENERAL SUPPORT KEYSTONE COMMUNITY SERVICES 2000 SAINT ANTHONY AVENUE ST PAUL MN 55104 410693924 501C3 10100 0 IN SUPPORT OF BASIC NEEDS PROGRAMS AND SENIOR SERVICES STEPPING STONE EMERGENCY HOUSING 3300 FOURTH AVENUE CRONIN BLDG 14 ANOKA MN 55303 203226868 501C3 10100 0 GENERAL SUPPORT YWCA OF MINNEAPOLIS 1130 NICOLLET MALL MINNEAPOLIS MN 55403 410693891 501C3 10100 0 GENERAL SUPPORT AMHEARST H WILDER FOUNDATION 451 LEXINGTON PARKWAY NORTH ST PAUL MN 55104 410693889 501C3 10000 0 IN SUPPORT OF WILDER'S CENTER FOR SOCIAL HEALING, SERVING OLDER SOUTHEAST ASIAN IMMIGRANT AND REFUGEE COMMUNITIES ANOKA HENNEPIN EDUCATIONAL FOUNDATION INC 2727 FERRY STREET NORTH ANOKA MN 55303 411691433 501C3 10000 0 GENERAL SUPPORT BEYOND NEW BEGINNINGS 771 CASCADE DRIVE CHASKA MN 55318 851937150 501C3 10000 0 GENERAL SUPPORT CANVAS HEALTH 7066 STILLWATER BLVD N OAKDALE MN 55128 410955577 501C3 10000 0 GENERAL SUPPORT CORNERHOUSE 2502 10TH AVE SOUTH MINNEAPOLIS MN 55404 411640731 501C3 10000 0 IN SUPPORT OF THIS ORGANIZATION'S MENTAL HEALTH PROGRAMS AND PROJECTS. HASTINGS HIGH SCHOOL PEER HELPERS 200 GENERAL SIEBEN DRIVE HASTINGS MN 55033 416000810 ISD 200 10000 0 GENERAL SUPPORT HOUSING LINK 1400 VAN BUREN STREET NE SUITE 215 MINNEAPOLIS MN 55413 411873314 501C3 10000 0 GENERAL SUPPORT HUNGER SOLUTIONS MINNESOTA 555 PARK STREET SUITE 400 ST PAUL MN 55103 363567366 501C3 10000 0 GENERAL SUPPORT THE LOPPET FOUNDATION INC 1301 THEODORE WIRTH PARKWAY MINNEAPOLIS MN 55422 411753882 501C3 10000 0 GENERAL SUPPORT METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS 3137 CHICAGO AVENUE MINNEAPOLIS MN 55407 411658654 501C3 10000 0 GENERAL SUPPORT MYHEALTH FOR TEENS & YOUNG ADULTS 15 8TH AVENUE SOUTH HOPKINS MN 55343 237152735 501C3 10000 0 GENERAL SUPPORT NEIGHBORHOOD HOUSE 179 EAST ROBIE STREET ST PAUL MN 55407 410693916 501C3 10000 0 TO SUPPORT PROGRAMS AND SERVICES INCLUDING INITIATIVES TO INCREASE ACCESS TO FRESH PRODUCE AND TWO FREE FOOD MARKETS PEOPLE INC 2060 CENTRE POINT BLVD NO 3 ST PAUL MN 55120 410962296 501C3 10000 0 GENERAL SUPPORT PEOPLE SERVING PEOPLE INC 614 SOUTH THIRD STREET MINNEAPOLIS MN 55415 411443148 501C3 10000 0 TO SPONSOR THE 2022 FUNDRAISING GALA "40 YEARS OF STAYING SHELTERED" RACHELS LIGHT INC P O BOX 118 OWATONNA MN 55060 822481115 501C3 10000 0 TO SUPPORT THIS ORGANIZATION'S PROGRAMS TO ASSIST WOMEN WHO ARE EXPERIENCING HOMELESSNESS RUTHS HOUSE OF HOPE P O BOX 593 FARIBAULT MN 55021 870709671 501C3 10000 0 TO SUPPORT THIS ORGANIZATION'S PROGRAMS TO ASSIST RESIDENTS WITH TRANSITIONAL HOUSING & OTHER SUPPORT THE HOPE PROJECT 1800 GRAHAM AVE STE 317 ST PAUL MN 55116 872740592 501C3 10000 0 GENERAL SUPPORT PRESIDENTS COUNCIL OF ST PAUL 555 WABASHA ST N STE 400 ST PAUL MN 55102 411885810 501C3 10000 0 IN SUPPORT OF MENTAL WELL-BEING AND ACTIVE LIVING PROJECTS AT PUBLIC HOUSING RESIDENCES WAY TO GROW 201 IRVING AVENUE NORTH STE 100 MINNEAPOLIS MN 55405 710956749 501C3 10000 0 TO SPONSOR WAY TO GROW'S SHINE CELEBRATION FUNDRAISING EVENT WELLSPRING SECOND CHANCE CENTER 2134 44TH AVENUE NORTH MINNEAPOLIS MN 55412 263277422 501C3 10000 0 TO SPONSOR WELLSPRING'S QUICK CONNECT & GUN BUY BACK EVENT GUILD INCORPORATED 130 SOUTH WABASHA STREET SUITE 90 ST PAUL MN 55017 411669233 501C3 9500 0 GENERAL SUPPORT CAMP FIRE MINNESOTA 3300 TANADOONA DRIVE EXCELSIOR MN 55331 410706116 501C3 8500 0 TO SUPPORT THIS ORGANIZATION'S PROGRAMS TO PROMOTE ACTIVE LIVING ANNEX TEEN CLINIC 5810 42ND AVENUE NORTH ROBBINSDALE MN 55422 237236943 501C3 7500 0 GENERAL SUPPORT FACE TO FACE HEALTH & COUNSELING SERVICE INC 1165 ARCADE STREET ST PAUL MN 55103 410986780 501C3 7700 0 IN SUPPORT OF MEDICAL AND MENTAL HEALTH PROGRAMS AND SERVICES FOR LOW INCOME AND HOMELESS YOUTH CHILDRENS HEARTLINK 4075 ARCADIA AVENUE EDINA MN 55436 411307457 501C3 7500 0 GENERAL SUPPORT DU NORD FOUNDATION 2610 E 32ND ST MINNEAPOLIS MN 55406 851566485 501C3 7500 0 GENERAL SUPPORT PAY IT FORWARD 9007 WINDSOR TER MINNEAPOLIS MN 55443 383819907 501C3 7500 0 GENERAL SUPPORT THE FAMILY PARTNERSHIP 414 S 8TH STREET MINNEAPOLIS MN 55404 410693858 501C3 7500 0 SUPPORT THE ANNUAL "BETTER TOGETHER" FUNDRAISING EVENT FOR MENTAL HEALTH PROGRAMS TREEHOUSE 5755 WAYZATA BLVD MINNEAPOLIS MN 55416 363287099 501C3 7500 0 GENERAL SUPPORT WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVE MINNEAPOLIS MN 55405 410711618 501C3 7500 0 GENERAL SUPPORT ZACAH AID AND CHARITY ASSISTING HUMANITY P O BOS 21231 EAGAN MN 55121 462680963 501C3 7500 0 GENERAL SUPPORT ASSISTANCE RESOURCE CENTER P O BOX 223 RIVER FALLS WI 54022 264035369 501C3 7000 0 GENERAL SUPPORT DAKOTA COUNTY TECHNICAL COLLEGE FONDATION 1300 145TH STREET EAST ROSEMOUNT MN 55068 411488605 501C3 6500 0 GENERAL SUPPORT GOOD IN THE HOOD 2101 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 010768296 501C3 6500 0 SUPPORT FOR THIS ORGANIZATION'S PROGRAM "SOLECARE FOR SOULS" NEW ULM MINISTRIAL ASSOCIATION SHELTER HAUS P O BOX 291 NEW ULM MN 56073 472686724 501C3 6500 0 GENERAL SUPPORT INTERFAITH ACTION OF GREATER SAINT PAUL 1041 GRAND AVENUE 312 ST PAUL MN 55105 410694741 501C3 6100 0 GENERAL SUPPORT LEE CARLSON CENTER FOR MENTAL HEALTH & WELL-BEING 7954 UNIVERSITY AVE NE FRIDLEY MN 55432 411354967 501C3 6000 0 GENERAL SUPPORT URBAN VENTURES 2924 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55408 363558710 501C3 5625 0 SUPPORT FOR THIS ORGANIZATION'S FARM & NUTRITION PROGRAM INITIATIVE FOUNDATION 405 FIRST STREET SE LITTLE FALLS MN 56345 363451562 501C3 5500 0 GENERAL SUPPORT FAMILY PATHWAYS 6413 OAK STREET NORTH BRANCH MN 55056 411332828 501C3 5350 0 GENERAL SUPPORT TWIN CITIES PRIDE 2021 EAST HENNEPIN AVE STE 402-7 MINNEAPOLIS MN 55413 411808096 501C3 5350 0 GENERAL SUPPORT COMMUNITY THREAD 2300 ORLEANS STREET W STILLWATER MN 55082 410967271 501C3 5250 0 GENERAL SUPPORT MILE IN MY SHOES P O BOX 583177 MINNEAPOLIS MN 55458 472702026 501C3 5200 0 GENERAL SUPPORT VALLEY FRIENDSHIP CLUB 5620 MEMORIAL AVENUE NORTH STE C STILLWATER MN 55082 272362329 501C3 5200 0 IN SUPPORT OF HEALTH AND WELLNESS PROGRAMS AND ACTIVITIES FOR PEOPLE LIVING WITH DISABILITIES HOPE 4 YOUTH 2191 NORTHDALE BLVD NW COON RAPIDS MN 55303 461626500 501C3 5100 0 GENERAL SUPPORT MOM'S HAVEN OF HOPE P O BOX 490482 BLAINE MN 55449 271340544 501C3 5100 0 GENERAL SUPPORT VOLUNTEERS ENLISTED TO ASSIST PEOPLE 9600 ALDRICH AVENUE SOUTH BLOOMINGTON MN 55420 416175999 501C3 5100 0 GENERAL SUPPORT 90 2 SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES 17 23000 HOUSING AND LIVING ASSISTANCE 92 96561 BIKES AND HELMETS 4098 38110 FMV BIKES AND HELMETS DISTRIBUTION AT VARIOUS BIKE EVENTS MEDICAL ASSISTANCE 5818 150000 T-SHIRTS AND BAGS 8156 33281 FMV T-SHIRT AND BAG DISTRIBUTION AT BIKE EVENTS SCHEDULE I, PART I, LINE 2 EXPLANATION ALLINA HEALTH SYSTEM STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS A PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS; PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED. 1 X X X X X 1 1 0 0 0 1 1 0 1 1 LISA SHANNON PRESIDENT/CEO 1347284 0 590848 0 164155 0 593644 0 34295 0 2730226 0 98133 0 PENNY WHEELER MD DIRECTOR/PRES/CEO 51107 0 1268408 0 613699 0 3301 0 717 0 1937232 0 0 0 TODD HESS MD PHYSICIAN 1619308 0 0 0 105824 0 18300 0 7603 0 1751035 0 50645 0 ANN MADDEN RICE SVP-PRESIDENT ANW 296556 0 405580 0 1021916 0 15250 0 4832 0 1744134 0 131495 0 SARA CRIGER SVP/OPS/PRES MERCY & UNITED 783849 0 356045 0 441510 0 75649 0 25274 0 1682327 0 220402 0 RICHARD MAGNUSON TREASURER/EVP/CFO 817342 0 427877 0 125877 0 99021 0 19810 0 1489927 0 73910 0 MARK HELLER MD PHYSICIAN 1236368 0 0 0 72654 0 16775 0 31565 0 1357362 0 35076 0 ANTHONY ANDERSON MD PHYSICIAN 1212958 0 0 0 67876 0 16775 0 33154 0 1330763 0 31150 0 JAYSON DOCK MD PHYSICIAN 1190185 0 0 0 61073 0 18300 0 35941 0 1305499 0 0 0 DANIAL BUSS MD PHYSICIAN 1164494 0 0 0 61614 0 19825 0 35641 0 1281574 0 0 0 CHRISTINE MOORE SVP, CHIEF HUMAN RESOURCE 632695 0 290930 0 83277 0 215179 0 34841 0 1256922 0 44770 0 JONATHAN SHOEMAKER SVP CHIEF INFO & IMPRV OFFICER 595532 0 282008 0 90899 0 186991 0 10471 0 1165901 0 46753 0 HSIENG SU MD SVP, CHIEF MEDICAL OFFICER 769199 0 99974 0 33617 0 227960 0 19469 0 1150219 0 0 0 ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN. 555351 0 274181 0 70989 0 167628 0 31565 0 1099714 0 52686 0 SCOTT LEIGHTY SVP OPS/REG HOSP & CLINICS 140328 0 241943 0 689855 0 15250 0 10831 0 1098207 0 50971 0 DAVID SLOWINSKE SVP AHG OPERATIONS 520781 0 233214 0 84083 0 164015 0 32199 0 1034292 0 35438 0 ROBERT QUICKEL VP CLINICAL SERVICE LINE 621384 0 161644 0 75044 0 116151 0 34391 0 1008614 0 0 0 JOHN MISA MD VP INTERIM AHG MED OFF 620505 0 166633 0 41617 0 121400 0 634 0 950789 0 26933 0 RYAN ELSE MD VP MEDICAL AFFAIRS/SYSTEM CLIN. OFF. 525308 0 144464 0 50279 0 107755 0 35941 0 863747 0 32498 0 LAWRENCE CHO SVP, CHIEF STRATEGY & GROWTH OFFICER 569266 0 119175 0 4402 0 160757 0 634 0 854234 0 0 0 DAVID JOOS VP OPERATIONS-PRES. ANW 509268 0 123665 0 50547 0 98814 0 32199 0 814493 0 0 0 VENKAT IYER VP CLINICAL SERVICE LINE 469967 0 135243 0 24845 0 94739 0 35941 0 760735 0 0 0 DAVID INGHAM VP CHIEF INFORMATION OFFICER 444647 0 102920 0 14011 0 83057 0 29825 0 674460 0 0 0 NICHOLAS MENDYKA VP SYSTEM FINANCE OPERATIONS 413527 0 113967 0 13309 0 77467 0 30841 0 649111 0 6865 0 MOTTI EDELSTEIN VP REVENUE CYCLE MANAGEMENT 416347 0 112900 0 2330 0 78672 0 33565 0 643814 0 0 0 SARAH KLEAVELAND KUPCZAK SVP CHIEF COMPLIANCE OFFICER 312213 0 140229 0 28000 0 95056 0 24990 0 600488 0 0 0 THOMAS LUBOTSKY VP SUPPLY CHAIN 388702 0 105621 0 24601 0 15250 0 36227 0 570401 0 0 0 HELEN STRIKE FORMER PRESIDENT-UNITY HOS 304562 0 84725 0 119918 0 16775 0 10471 0 536451 0 45862 0 JEFFREY SHOEMATE FORMER SVP CHIEF MARKETING/COMM OFF. 0 0 85123 0 291412 0 0 0 0 0 376535 0 0 0 PETER HOFRENNING FORMER SVP,INTERIM CHIEF COMP. OF 202673 0 52974 0 23367 0 15898 0 35841 0 330753 0 0 0 PART I, LINES 4A-B 4(A): JEFFREY SHOEMATE - $291,412; ANN MADDEN RICE - $480,867; SCOTT LEIGHTY - $485,000 4(B): PENNY WHEELER, MD - $409,103; SARA CRIGER - $409,906; RYAN ELSE - $47,174; RICHARD MAGNUSON - $96,521; JOHN MISA, MD - $37,742; CHRISTINE MOORE - $58,465; ANN MADDEN RICE - $515,508; LISA SHANNON - $126,537; JONATHAN SCHOEMAKER - $61,680; SCOTT LEIGHTY - $182,595; DAVID INGHAM - $10,307; DAVID JOOS - $43,336; DAVID SLOWINSKE - $58,282; ELIZABETH TRUESDELL SMITH - $66,154; THOMAS LUBOTSKY - $17,675; ROBERT QUICKEL - $62,499; HELEN STRIKE - $88,345; NICHOLAS MENDYKA - $9,777; ANTHONY ANDERSON, MD - $41,578; MARK HELLER, MD - $44,684; TODD HESS, MD - $99,545; JAYSON DOCK - $36,146 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. 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% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT SVP | EVP 15% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT 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. A CITY OF MINNEAPOLIS MINNESOTA 416005375 60374VEV1 2021-11-10 201215544 SEE PART VI 0 0 0 B CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 603695JN8 2019-10-23 82732038 REFUND ISSUE DATED 11/10/2009 0 0 0 C CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 603695JC2 2017-04-13 92779168 REFUND ISSUE DATED 11/15/2009 0 0 0 D CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 792909BJ1 2009-11-10 348409221 REFUNDING OF 2007B & A PORTION 0 0 0 A 201215544 1213450 132045372 67956722 0 0 0 1 B 4335000 82732038 925179 3908 81802951 2019 1 0 1 1 C 9280000 92779168 830328 6508 91942332 2017 0 1 1 1 D 185245000 348795795 3332390 222216 49893780 295092023 2014 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00800 0.00000 0.00800 0 0 1 C 0 1 1 1 0 0.00400 0.00000 0.00400 0 0 1 D 0 1 1 1 0 0.00600 0.00000 0.00600 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 1 JP MORGANWELLS FARGO 26.800000000000 1 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN A, B, & F EXPLANATION ENTITY 1: BOND A: (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF PARKING PROJECT AND POWER STATION PROJECT. 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: REFUND A PORTION OF THE 2009A BONDS DATED 11/10/2009. 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 2007B BONDS DATED 10/09/2007; REFUNDING OF 1998A BONDS DATED 10/08/1998 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 EXPLANATION 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 C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/09/2022 BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ENTITY 2: BOND A: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 A CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL 416005375 792909BH5 2007-10-17 482877203 REFUNDING OF 1993A AND ADVANCE 0 0 0 A 360020000 488622085 2717494 6787000 126922772 352194819 2010 1 1 1 1 A 0 1 1 1 0 0.01500 0.00100 0.01600 0 0 1 A 0 0 0 1 1 1 US BANK 24.800000000000 1 0 1 MBIA 0.800000000000 1 0 1 A 1 ERIN CHURCH FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER 56889 EMPLOYMENT 0 MAKENZIE SHANNON FAMILY MEMBER OF LISA SHANNON, PRESIDENT AND COO 84178 EMPLOYMENT 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: X EQUIPMENT 106 240287 FAIR MARKET VALUE X EYEGLASS FRAMES (725) & GLASSES (22) 747 63880 FAIR MARKET VALUE 0 1 0 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., AND LAWRENCE CHO ARE DIRECTORS OF THE BOARD OF (1) ALLINA HEALTH AND AETNA INSURANCE COMPANY, A MINNESOTA CORPORATION; AND (2) ALLINA HEALTH AND AETNA INSURANCE HOLDING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BUSINESS RELATIONSHIP - ELIZABETH TRUESDELL SMITH IS A BOARD MEMBER AND RICHARD MAGNUSON 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. BUSINESS RELATIONSHIP - DIRECTORS AMY RONNEBERG AND LISA SHANNON. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, AMY RONNEBERG AND LISA SHANNON ALSO SERVE ON THE MEDICAL ALLEY BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - DIRECTORS SHARI BALLARD AND PENNY WHEELER. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BORD OF DIRECTORS, SHARI BALLARD IS A TRUSTEE AND PENNY WHEELER IS A BOARD MEMBER OF THE UNIVERSITY OF MN FOUNDATION. BUSINESS RELATIONSHIP - AMY RONNEBERG IS EMPLOYED BY THE NATIONAL MARROW DONOR PROGRAM BE THE MATCH, IN WHICH VICKI YANISCH (RASMUSSEN) IS A BOARD DIRECTOR. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, THOMAS SCHREIER AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE MINNEAPOLIS INSTITUTE OF ART. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DAVID KUPLIC AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE ORDWAY CENTER FOR THE PERFORMING ARTS. BUSINESS RELATIONSHIP - THOMAS SCHREIER AND TIMOTHY WELSH ARE OWNERS IN THE SAME ORGANIZATION - SYNERFUSE, INC. 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 8, 2023 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. $8,250 DONATED TO ALLINA HEALTH CANCER INSTITUTE AND $8,250 TO ALLINA HEALTH COURAGE CENTER FOR THE SERVICES OF JENNIFER ALSTAD $11,750 DONATED TO CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION CARE AND $11,750 DONATED TO ALLINA HEALTH CANCER INSTITUTE FOR THE SERVICES OF DEBBRA SCHONEMAN $4,000 DONATED TO ALLINA - CARING FOR CAREGIVERS; $2,000 DONATED TO HMONG NATIONALITIES ORGANIZATION; $1,000 DONATED TO HNUB TSHIAB: HMONG WOMEN ACHIEVING TOGETHER; $2,000 DONATED TO MAYKAO YANGBLONGSUA AND LAO LU HANG FUND; $1,000 DONATED TO COALITION OF ASIAN AMERICAN LEADERS; $2,500 TO DONATED TO DEAN'S STRATEGIC FUND FOR THE SERVICES OF MAYKAO HANG. $13,500 DONATED TO ABBOTT NORTHWESTERN HOSPITAL FOUNDATION FOR THE SERVICES OF TIM WELSH $12,500 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION CARE FOR THE SERVICES OF THOMAS SCHREIER $17,500 DONATED TO ALLINA HEALTH CANCER INSTITUTE FOR THE SERVICES OF VICKI RASMUSEN YANISCH $4,000 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION CARE FOR THE SERVICES OF STEPHEN LACROIX $12,500 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION CARE FOR THE SERVICES OF JOHN CHURCH $2,500 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION CARE; $2,000 TO ALLINA - CARING FOR THE COMMUNITY FUND; $2,000 TO ALLINA HEALTH CANCER INSTITUTE FOR THE SERVICES OF BARBARA BUTTS WILLIAMS $12,500 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION FOR THE SERVICES OF PENNY WHEELER $12,500 DONATED TO ALLINA - CENTER FOR INTEGRATED MENTAL HEALTH AND ADDICTION FOR THE SERVICES OF SHARI BALLARD FORM 990, PART XI, LINE 9: ALLINA HEALTH RESTORATIVE SUITES TRANSITIONAL CARE UNIT EQUITY INVESTMENT -15,478,229. COOKE SPIRIT FUND -227,103. FAS 106 MN BENEFIT RETIREMENT ADJUSTMENT 1,837,750. FINAL DISSOLUTION OF METROPOLITAN INTEGRATED CANCER CENTER JOINT VENTURE -167,982. SCA BROOKLYN PARK AND EDINA AMBULATORY SURGERY CENTER DISTRIBUTION 1,638,850. RESTRICTED MEDICAL STAFF FUND ACTIVITY 22,376. UNRESTRICTED CONTRIBUTIONS TO DISTRICT ONE FOUNDATION -172,447. ALLINA HEALTH CANCER CLINIC CAPITAL CAMPAIGN CONTRIBUTIONS 521,214. AMBULATORY SURGERY CENTER (ASC) JOINT VENTURE EQUITY PURCHASE -2,660,115. PART XII, LINE 2C THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR. 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