TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) JOHN ALLEN MD...................................................................... DIRECTOR	2.00 ................. 0.00	X	17,234
(2) WILLIAM BEER...................................................................... DIRECTOR	2.00 ................. 0.00	X	23,000
(3) JOHN CHURCHCHAIRMAN...................................................................... DIRECTOR	2.00 ................. 0.00	X	20,000
(4) NATE GARVIS...................................................................... DIRECTOR	2.00 ................. 0.00	X	10,000
(5) LAURA GILLUND...................................................................... DIRECTOR	2.00 ................. 0.00	X	10,000
(6) JOSEPH GOSWITZ MD...................................................................... DIRECTOR	2.00 ................. 0.00	X	0
(7) GREG HEINEMANN...................................................................... DIRECTOR	2.00 ................. 0.00	X	10,000
(8) MARK JORDAHL...................................................................... DIRECTOR/CHAIRMAN	2.00 ................. 0.00	X	5,000
(9) DAVID KUPLIC...................................................................... DIRECTOR	2.00 ................. 0.00	X	11,500
(10) HUGH NIERENGARTEN...................................................................... DIRECTOR	2.00 ................. 0.00	X	20,242
(11) GLORIA PEREZ...................................................................... DIRECTOR	2.00 ................. 2.00	X	19,000
(12) BRIAN ROSENBERG...................................................................... DIRECTOR	2.00 ................. 2.00	X	10,000
(13) DEBBRA SCHONEMAN...................................................................... DIRECTOR	2.00 ................. 0.00	X	15,000
(14) THOMAS SCHREIER...................................................................... DIRECTOR/VICE CHAIR	2.00 ................. 0.00	X	0
(15) ABIR SEN...................................................................... DIRECTOR	2.00 ................. 0.00	X	10,000
(16) MARK SHEFFERT...................................................................... DIRECTOR	2.00 ................. 0.00	X	19,000
(17) SALLY SMITH...................................................................... DIRECTOR	2.00 ................. 0.00	X	10,000

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) MICHAEL TATTERSFIELD........................................................................ DIRECTOR/VICE CHAIR	2.00 .......................0.00	X				10,000	0
(19) DARRELL TUKUA........................................................................ DIRECTOR	2.00 .......................0.00	X				10,000	0
(20) PENNY WHEELER MD........................................................................ DIRECTOR/PRESIDENT/CEO	40.00 .......................0.00	X	X			1,416,090	432,224
(21) BARBARA BUTTS WILLIAMS........................................................................ DIRECTOR	2.00 .......................0.00	X				10,000	0
(22) RODNEY YOUNG........................................................................ DIRECTOR	2.00 .......................0.00	X				0	0
(23) BEN BACHE-WIIG MD........................................................................ SVP, PRES. ANW HOSPITAL	40.00 .......................2.00		X			861,654	249,336
(24) MARY BEAR-DUKES........................................................................ VP-REVENUE CYCLE MGMT.	40.00 .......................0.00		X			231,223	56,568
(25) CHRISTINE BENT........................................................................ EVP-ALLINA HEALTH GROUP	40.00 .......................0.00		X			675,907	230,946
(26) MARGARET BUTLER........................................................................ SVP, HUMAN RESOURCES	40.00 .......................0.00		X			845,253	25,403
(27) RODNEY CHRISTENSEN........................................................................ SVP/PRES. ALLINA CLINI	40.00 .......................0.00		X			520,117	100,570
(28) SARA CRIGER........................................................................ SVP, PRES. MERCY HOSP.	40.00 .......................2.00		X			720,506	193,863
(29) DUNCAN GALLAGHER........................................................................ TREASURER/EVP/CFO	40.00 .......................2.00		X			1,267,061	347,662
(30) MARGARET HASBROUCK........................................................................ VP, PAYOR CONTRACT/REIMB.	40.00 .......................0.00		X			327,325	81,653
(31) SUSAN HEICHERT........................................................................ SVP, CHIEF INFORMATION OFF	40.00 .......................0.00		X			673,784	181,818
(32) CHRISTOPHER HUGHES........................................................................ VP, REVENUE CYCLE MANAGEME	40.00 .......................0.00		X			213,358	22,901
(33) DEREK KANG........................................................................ SVP, CHIEF COMPLIANCE OFF	40.00 .......................0.00		X			450,625	11,959
(34) CORRINE KROEHLER........................................................................ VP FINANCE	40.00 .......................0.00		X			256,900	64,723
(35) DANIEL MCGINTY........................................................................ EVP HOSPITAL/SPECIALTY SVC	40.00 .......................2.00		X			720,096	35,835
(36) CHRISTINE MOORE........................................................................ SVP, CHIEF HR OFFICER	40.00 .......................0.00		X			227,526	23,766
(37) THOMAS O'CONNOR........................................................................ SVP, PRESIDENT UNITED HOSP	40.00 .......................2.00		X			859,032	237,533
(38) TIMOTHY SIELAFF........................................................................ SVP-AHG-SPEC. CARE/CMO	40.00 .......................0.00		X			802,185	175,524
(39) ELIZABETH SMITH MD........................................................................ INTERIM SVP AHG-PRIMARY CARE	40.00 .......................0.00		X			444,921	84,286
(40) HELEN STRIKE........................................................................ PRESIDENT-UNITY HOSPITAL	40.00 .......................0.00		X			380,726	61,258
(41) KATHERINE TARVESTAD........................................................................ SVP, CHIEF COMPLIANCE OFF	40.00 .......................0.00		X			131,351	20,413
(42) ELIZABETH TRUESDELL SMITH........................................................................ SECRETARY/SVP GEN. COUN.	40.00 .......................0.00		X			739,683	201,606
(43) ROBERT WIELAND MD........................................................................ EVP, NETWORK INTEGRATION	40.00 .......................0.00		X			822,801	274,162
(44) DUKE ADAMSKI........................................................................ VP PHILANTHROPY	40.00 .......................0.00			X		1,286,258	18,034
(45) DANIEL BUSS MD........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,650,465	123,645
(46) MICHAEL FREEHILL MD........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,431,204	114,941
(47) LEROY MCCARTY MD........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,291,513	104,747
(48) L MURRY THOMAS........................................................................ VP FINANCE	40.00 .......................0.00			X		1,659,599	4,446
(49) KENNETH PAULUS........................................................................ FORMER PRESIDENT/CEO	0.00 .......................0.00				X	3,317,972	9,586
(50) LAURIE LAFONTAINE........................................................................ FORMER VP FINANCE & TREASURY	0.00 .......................0.00				X	874,440	5,886
(51) MICHAEL MARSHALL MD........................................................................ FORMER SVP, PRESIDENT ALLINA CLINICS	0.00 .......................0.00				X	115,720	0

(A) Name and business address	(B) Description of services	(C) Compensation
METROPOLITAN CARDIOLOGY CONSULTANTS PA 4040 COON RAPIDS BLVD NW SUITE 120 COON RAPIDS,MN55443	PROFESSIONAL SERVICES - MEDICAL	18,271,193
METROPOLITAN CARDIAC SERVICES 4040 COON RAPIDS BLVD NW COON RAPIDS,MN55433	PROFESSIONAL SERVICES - MEDICAL	12,048,126
PHYSICIANS GROUP OF NEW ULM LTD 1324 5TH NORTH STREET NEW ULM,MN56073	PROFESSIONAL SERVICES - MEDICAL	11,943,529
NURSEFINDERS INC PO BOX 910738 DALLAS,TX75391	PROFESSIONAL SERVICES - TEMP HELP	10,856,238
CONSULTING RADIOLOGISTS LTD 1221 NICOLLET MALL SUITE 600 MINNEAPOLIS,MN55403	PROFESSIONAL SERVICES - MEDICAL	8,434,473
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 194

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization ALLINA HEALTH SYSTEM

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization ALLINA HEALTH SYSTEM		Employer identification number 36-3261413

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization ALLINA HEALTH SYSTEM			Employer identification number 36-3261413
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

18,634

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

446,433

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

Total. Add lines 1c through 1i ....................................................................................................

465,067

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	94,260,855	92,547,888	77,016,918	70,022,035	71,588,094
b	Contributions ...	344,252	377,018	12,716,764	-494,688	435,734
c	Net investment earnings, gains, and losses	-1,885,276	3,371,089	7,060,767	5,713,818	-150,245
d	Grants or scholarships ...	6,000	4,500	26,704	3,052	-54,786
e	Other expenditures for facilities and programs ...	2,747,357	2,030,640	5,773,999	1,772,701	1,796,762
f	Administrative expenses ....
g	End of year balance ......	89,966,474	94,260,855	90,993,746	77,016,918	70,022,035

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

2.080 %

Permanent endowment SchDMd Bullet

60.430 %

Temporarily restricted endowment SchDMd Bullet

37.490 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	94,124,079		94,124,079
b	Buildings	1,302,236,262	665,225,213	637,011,049
c	Leasehold improvements	144,460,391	72,171,466	72,288,925
d	Equipment ...	1,471,479,515	1,188,963,731	282,515,784
e	Other ...	68,708,437	15,058,067	53,650,370
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,139,590,207

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) CASH AND CASH EQUIVALENTS	271,296,021	F
(B) MONEY MARKET COLLECTIVE FUND	13,551,144	F
(C) FIXED INCOME	776,408,010	F
(D) SHORT-TERM FIXED INCOME	44,866,326	F
(E) EQUITY SECURITIES	311,438,006	F
(F) INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	405,101,405	F
(G) INVESTMENTS IN JOINT VENTURES	77,691,541	F
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,900,352,453

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LIABILITIES	224,945,808
NET PENSION LIABILITY	7,970,774
DEFERRED COMPENSATION	23,104,649
INSURANCE CLAIMS PAYABLE	5,452,196
MN CARE TAX PAYABLE	14,048,181
CAPITALIZED LEASE OBLIGATIONS	13,744,930
INCURRED BUT NOT REPORTED CLAIMS FOR EMPLOYEE BENEFIT PLAN	71,410,923
WESTHEALTH INC, OTHER LIABILITIES	27,727,208
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	388,404,669
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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 $1,229, $1,717 IN 2015 AND 2014, RESPECTIVELY. AS OF DECEMBER 31,2015 AND 2014, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $68,837 AND $68,851, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, PROVISION FOR BAD DEBTS, AND LIMITATION OF CHARITABLE CONTRIBUTIONS, OFFSET BY VALUATION ALLOWANCES OF $65,513, AND $68,569, RESPECTIVELY, AND A GROSS DEFERRED TAX LIABILITY OF $325 AND $282, RESPECTIVELY, PRIMARILY ATTRIBUTABLE TO DEPRECIATION AND A CHANGE IN ACCOUNTING METHOD OF A TAXABLE SUBSIDIARY. THE VALUATION ALLOWANCE DECREASED BY $56 AND $10,377 DURING 2015 AND 2014, RESPECTIVELY. AS OF DECEMBER 31, 2015, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $114,765 FOR INCOME TAX PURPOSES, WHICH EXPIRE IN VARIOUS YEARS THROUGH 2035. 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, 2015 AND 2014, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2012 TO 2015 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	EUROPE	0	0	INVESTMENTS	878,416
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	179,568,000















3a	Sub-total .....	0	0		180,446,416
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		180,446,416

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 3M CHAMPIONSHIP GOLF TOURNAMENT (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	5,766,087	5,766,087
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .	5,766,087	5,766,087

4	Cash prizes . . . . .	1,882,916	1,882,916
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	144,000	144,000
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	4,710,016	4,710,016
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		6,736,932
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-970,845

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	4,710,016	4,710,016

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference

Explanation

FORM 990, SCHEDULE G, PART II EXPLANATION

THE 3M CHAMPIONSHIP IS A U.S. SENIOR PROFESSIONAL GOLF ASSOCIATION SPONSORED TOURNAMENT WHOSE NET PROCEEDS ARE DISTRIBUTED TO FURTHER THE CHARITABLE PURPOSE OF THE ORGANIZATION. IN CONJUNCTION WITH THE TOURNAMENT, THE 3M FOUNDATION AGREED TO PROVIDE A GUARANTEED CONTRIBUTION TOTALING $1,300,000 WHICH WAS DIRECTLY PROVIDED TO THE UNITED HOSPITAL FOUNDATION, ABBOTT NORTHWESTERN HOSPITAL FOUNDATION, AND MERCY AND UNITY HOSPITALS FOUNDATION, AND IS NOT REFLECTED IN THE AMOUNTS ON SCHEDULE G.

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 27500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	0	0	14,760,812	0	14,760,812	0.400 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0	73,791,094	0	73,791,094	1.970 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	47,043,175	0	47,043,175	1.260 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			135,595,081		135,595,081	3.630 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	176	873,917	16,163,206	1,219,207	14,943,999	0.410 %
f	Health professions education (from Worksheet 5) . . .	59	4,074	26,811,706	9,580,240	17,231,466	0.460 %
g	Subsidized health services (from Worksheet 6) . . . .	10	2,424	3,524,716	22,800	3,501,916	0.090 %
h	Research (from Worksheet 7) .	7	1,025,050	4,808,301	968,558	3,839,743	0.100 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	77	537,195	3,300,596	133,076	3,167,520	0.080 %
j	Total. Other Benefits . .	329	2,442,660	54,608,525	11,923,881	42,684,644	1.140 %
k	Total. Add lines 7d and 7j .	329	2,442,660	190,203,606	11,923,881	178,279,725	4.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0	0
2	Economic development	5	450	10,988	0	10,988	0 %
3	Community support	13	456	121,843	0	121,843	0 %
4	Environmental improvements	1	0	182	0	182	0 %
5	Leadership development and training for community members	2	40	5,633	0	5,633	0 %
6	Coalition building	21	2,031	123,409	0	123,409	0 %
7	Community health improvement advocacy	8	60	92,877	43,200	49,677	0 %
8	Workforce development	10	592	184,897	0	184,897	0.010 %
9	Other	0	0	0	0
10	Total	60	3,629	539,829	43,200	496,629	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

59,846,201

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

719,435,720

Enter Medicare allowable costs of care relating to payments on line 5.....

725,289,683

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,853,963

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 METROPOLITAN INTEGRATED CANCER CENTER LLC	RADIATION THERAPY	80.000 %	20.000 %
22 MOBILE IMAGING SERVICES LLC	DIAGNOSTIC IMAGING	50.000 %	50.000 %
33 MAGNETO LEASING LLC	EQUIPMENT LEASING	50.000 %	50.000 %
44 SUBURBAN IMAGING LLC	OUTPATIENT RADIOLOGY SERVICES	50.000 %	50.000 %
55 SOUTHWEST SURGICAL CENTER LLC	AMBULATORY SURGERY PROCEDURES	83.330 %	16.670 %
66 APPLE VALLEY BUILDING ASSOCIATES LLC	BUILDING	50.000 %	50.000 %
77 CROSBY CARDIOVASCULAR SERVICES LLC	CARDIOLOGY DIAGNOSTIC SERVICES	50.000 %	50.000 %
88 NORTHSTAR SLEEP CENTER LLC	SLEEP MEDICINE	49.000 %	51.000 %
99 GERIATRIC SERVICES OF MINNESOTA LLC	LONG TERM CARE FOR THE ELDERLY	45.000 %	55.000 %
1010 WOODBURY AMBULATORY SURGERY CENTER LLC	OUTPATIENT SERVICES	50.000 %	50.000 %
1111 HEALTHCARE CAMPUS IMAGING ONE LLC	DIAGNOSTIC IMAGING	46.670 %	26.670 %
1212 REHAB ONE CENTER LLC	REHABILITATION SERVICES	34.600 %	48.700 %
1313 PET EQUIPMENT LEASING LLC	EQUIPMENT LEASING	25.000 %	25.000 %
1414 TWIN CITIES MEDICAL IMAGING LLC	DIAGNOSTIC IMAGING	58.000 %	42.000 %
1515 WESTHEALTH SURGERY CENTER LLC	OUTPATIENT SERVICES	51.000 %	49.000 %

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?12 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH STREET MINNEAPOLIS,MN55407 HTTP://WWW.ALLINAHEALTH.ORG/ABBOTT-NO 376190	X		X		X	X	A
2	UNITED HOSPITAL 333 NORTH SMITH AVENUE ST PAUL,MN55102 HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HO 376317	X		X		X	X	A
3	MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS,MN55433 HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOS 375454	X		X		X	X	A
4	UNITY HOSPITAL 550 OSBORNE ROAD FRIDLEY,MN55432 HTTP://WWW.ALLINAHEALTH.ORG/UNITY-HOS 376063	X				X	X	A
5	CAMBRIDGE MEDICAL CENTER 701 S DELLWOOD STREET CAMBRIDGE,MN55008 HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE 375452	X					X	A
6	BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO,MN55313 HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-H 375870	X					X	A
7	NEW ULM MEDICAL CENTER 1324 FIFTH NORTH STREET NEW ULM,MN56073 HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-M 376136	X			X		X	A
8	OWATONNA HOSPITAL 903 S OAK AVE OWATONNA,MN55060 HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA- 375396	X					X	A
9	REGINA HOSPITAL 1175 NININGER ROAD HASTINGS,MN55033 HTTP://WWW.ALLINAHEALTH.ORG/REGINA-HO 376116	X	X				X	B
10	DISTRICT ONE HOSPITAL 200 STATE AVENUE FARIBAULT,MN55021 HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT- 375874	X	X				X	C
11	RIVER FALLS AREA HOSPITAL 1629 EAST DIVISION STREET RIVER FALLS,WI54022 HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FAL 1054	X			X		X	A
12	PHILLIPS EYE INSTITUTE 2215 PARK AVENUE MINNEAPOLIS,MN55404 HTTP://WWW.ALLINAHEALTH.ORG/PHILLIPS- 375414	X				X		A

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSME

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSME

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 0.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

The FAP application form was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.ALLINAHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSME

Other website (list url): HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSME

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSME

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 0.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

The FAP application form was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.ALLINAHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - C
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url): HTTP://WWW.CO.RICE.MN.US/SITES/DEFAULT/FILES/PDFS/HEALTH/DOCUMENTS/2014%20R

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - C
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 0.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

The FAP application form was widely available on a website (list url):

WWW.ALLINAHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.ALLINAHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - C
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: UNITED HOSPITAL, - FACILITY 3: MERCY HOSPITAL, - FACILITY 4: UNITY HOSPITAL, - FACILITY 5: CAMBRIDGE MEDICAL CENTER, - FACILITY 6: BUFFALO HOSPITAL, - FACILITY 7: NEW ULM MEDICAL CENTER, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 11: RIVER FALLS AREA HOSPITAL, - FACILITY 12: PHILLIPS EYE INSTITUTE
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:ABBOTT NORTHWESTERN HOSPITAL - TO ADDRESS OBESITY PREVENTION, ABBOTT NORTHWESTERN FOCUSED ON ADDRESSING FOOD INSECURITY IN THE NEIGHBORHOODS OF SOUTH MINNEAPOLIS BY CLEANING PRODUCE FROM HOSPITAL'S WEEKLY FARMER'S MARKET AND DONATING IT TO A NEARBY FOOD SHELF. A COLLABORATION WITH VEAP, THE AREA'S LARGEST FOOD SHELF, WAS ALSO EXPLORED AND A NEW EDUCATION PROGRAM IS SET TO BE IMPLEMENTED IN 2016. THIS PROGRAM WILL INCLUDE CLASSROOM EDUCATION SESSION AND INFORMATION ON HEALTHY CHOICES AT THE FOOD SHELF. THE HOSPITAL ALSO PARTNERED WITH HENNEPIN COUNTY, THE MIDTOWN PHILLIPS NEIGHBORHOOD ASSOCATION AND THE GREENWAY COALITION TO REACTIVATE THE CEPRO SITE, A PARK NEAR THE ALLINA HEALTH HEADQUARTERS WHICH HAD BEEN UNDERUTILIZED BECAUSE OF ITS CONDITION. ABBOTT NORTHWESTERN ADDRESSED ITS HEALTHCARE ACCESS GOALS BY WORKING WITH NEARBY FREE CLINICS AND FEDERALLY-QUALIFIED HEALTHCARE CENTERS TO DETERMINE HOW BEST TO PARTNER TO CONTINUE TO PROVIDE HEALTHCARE ACCESS AS THE FREE CLINIC PATIENT POPULATION CHANGED WITH THE ROLLOUT OF THE AFFORDABLE CARE ACT. ONE OF THESE PARTNERSHIPS WAS WITH OUR LADY OF PEACE CATHOLIC CHURCH IN MINNEAPOLIS TO SUPPORT THE WORK OF THEIR PARISH NURSE PROGRAM IN CREATING A HEART SAFE COMMUNITY WITHIN THE CHURCH. LAST, WORK ON MENTAL HEALTH IN THE COMMUNITY INCLUDED A PARTNERSHIP WITH THE MINNEAPOLIS HEALTH DEPARTMENT, CHILDREN'S HOSPITAL AND MEMBERS OF THE LOCAL NATIVE AMERICAN COMMUNITY TO CREATE A NEW COALITION FOCUSED ON IDENTIFYING THE CAUSES OF MATERNAL OPIOID ABUSE BY NATIVE AMERICAN WOMEN AND POSSIBILITIES FOR INTERVENTION.
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 22D:	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-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:UNITED HOSPITAL - TO WORK ON REDUCING OBESITY, THE HOSPITAL PROMOTED ALLINA HEALTH'S "HEALTH POWERED KIDS" CAMPAIGN AT A NUMBER OF COMMUNITY EVENTS THROUGHOUT THE YEAR, REACHING APPROXIMATELY 150 PEOPLE IN TOTAL. ADDITIONALLY, WEEKLY BABY CAFE SESSIONS WERE HELD TO PROVIDE SUPPORT AND EDUCATION ABOUT BREASTFEEDING TO EXPECTING AND NEW MOTHERS.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:MERCY HOSPITAL - ONE OF MERCY HOSPITAL'S GOALS DETERMINED BY THE 2013 CHNA WAS TO REDUCE THE FACTORS FOR CHILDHOOD OBESITY. TO WORK TOWARDS THIS GOAL, MERCY CONTINUED TO WORK AND PROMOTE THE FAMILYPOWER YOUTH OBESITY PROGRAM, PARTNERED WITH PARK BROOK ELEMENTARY TO ADVANCE HEALTHY EATING AND HEALTHY STUDENT ACTIVITIES AT THE ELEMENTARY AGE LEVEL AND CONDUCTED EDUCATIONAL FOCUSED HEALTH SCREENINGS WHICH INCLUDED BMI AND WEIGHT EDUCATION WITHIN THE HIGH SCHOOL STUDENT PARTNERSHIP PROGRAM. THIS PROGRAM HAS BEEN RECENTLY EXPANDED TO INCLUDE ALL OF THE ANOKA-HENNEPIN SCHOOL DISTRICT. ADDITIONALLY, TO PROMOTE BETTER MANAGEMENT OF CHRONIC CONDITIONS IN THE COMMUNITY, HEALTH CLINICS FOR THE HOMELESS WERE STARTED IN COLLABORATION WITH STEPPING STONE HOMELESS SHELTER. THESE INCLUDED RESOURCE AND LIFESTYLE INFO FROM PHYSICIANS, NURSES, PHARMACISTS, AND CHEMICAL DEPENDENCY/MENTAL HEALTH COUNSELORS.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:UNITY HOSPITAL - A TOTAL OF 46 COMMUNITY HEALTH SCREENINGS AND 12 FREE FLU VACCINATION CLINICS WERE HELD IN THE COMMUNITY. THESE PROVIDED OPPORTUNITIES TO PRESENT HEALTH EDUCATION TO COMMUNITY MEMBERS THAT ARE MORE DIFFICULT TO REACH, IN ADDITION TO PROVIDING SCREENINGS AND VACCINATIONS. IN TOTAL, 1456 PEOPLE WERE SERVED AT THE HEALTH SCREENINGS, AND 193 AT THE VACCINATION CLINICS. A PARTNERSHIP WITH THE YMCA WAS ALSO DEVELOPED, WHICH AIMS AT INCREASING HEALTH AND HEALTH KNOWLEDGE FOR OLDER ADULTS.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 4 -- UNITY HOSPITAL PART V, SECTION B, LINE 22D:	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 -- UNITY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:CAMBRIDGE MEDICAL CENTER - TO ADDRESS OBESITY PREVENTION IN CAMBRIDGE, THE MEDICAL CENTER CREATED AND SUPPORTED A NUMBER OF PROGRAMS THAT COMBINED EDUCATIONAL, ENVIRONMENTAL AND BEHAVIORAL ACTIVITIES AT WORKSITES AND COMMUNITY CENTERS. THESE ACTIVITIES REACHED HUNDREDS OF COMMUNITY MEMBERS AND INCLUDED LUNCH AND LEARN MEETINGS, WORKSITE SCREENINGS, GROCERY STORE TOURS AND WORKSHOPS. ANOTHER FOCUS AREA FOR CAMBRIDGE IS DRUG AND ALCOHOL USE. TO ADDRESS THIS NEED, THE MEDICAL CENTER PARTNERED WITH THE ISANTI COUNTY SHERRIFF TO INSTALL AND MAINTAIN A PRESCRIPTION DRUG DROP BOX FOR UNUSED MEDICATIONS. LAST, A FOCUS GROUP WAS ALSO CONVENED AT THE HOPE IN ACTION EVENT, WHICH ENGAGED HEALTH CARE PROVIDERS IN A DISCUSSION AROUND MENTAL HEALTH, WORKING TOWARDS ONE OF THE REGIONS GOALS, DECREASING STIGMA RELATED TO MENTAL HEALTH.
GROUP A-FACILITY 5 -- 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 5 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 22D:	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 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:BUFFALO HOSPITAL - ONE OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA WAS TO REDUCE OBESITY AND INCREASE PHYSICAL ACTIVITY. BUFFALO HOSPITAL HELPED WITH PLANNING ALBERTVILLE-ST. MICHAEL FAMILY HEALTH CHALLENGE, A COMMUNITY WIDE CAMPAIGN FOCUSING ON HEALTHY BEHAVIORS AND WORKING AS A FAMILY TOWARD MAKING POSITIVE LIFESTYLE MODIFICATIONS. HEALTHY EATING FOR SUCCESSFUL LIVING WORKSHOPS FOR PEOPLE 55 AND OLDER WERE HELD IN VARIOUS COMMUNITY AND HOSPITAL SETTINGS. THESE HAD 32 PARTICIPANTS IN 2015. TO WORK TOWARDS ANOTHER GOAL, ENCOURAGING BETTER MANAGEMENT OF CHRONIC CONDITIONS, A PHYSICIAN TO COACH REFERRAL PROCESS WAS IMPLEMENTED TO CONNECT MORE PATIENTS WITH HEALTH COACHING RESOURCES. THIS PROGRAM WAS EXPANDED IN 2015, AND WAS UP TO OVER 1,000 PARTICIPANTS COMPARED TO 800 IN 2014.
GROUP A-FACILITY 6 -- 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 6 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 22D:	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 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:NEW ULM MEDICAL CENTER - OBESITY IS A COMMUNITY HEALTH NEED FOR THE AREA SERVED BY NEW ULM MEDICAL CENTER. NUMC CONTINUED PARTNERSHIPS THROUGH THE HEART OF NEW ULM ON PROGRAMS DESIGNED TO REDUCE OBESITY, SUCH AS EXPANDING ACCESS TO HEALTHY FOODS, HEALTH SCREENINGS, HEALTHY COOKING CLASSES AND POLICY IMPROVEMENTS THAT SUPPORT HEALTHY LIVING. THE HEART OF NEW ULM CONTINUED SCREENING TOWARDS A GOAL OF 3,000 COMMUNITY MEMBERS. ANOTHER NEED IDENTIFIED WAS TO INCREASE EDUCATION ABOUT SUBSTANCE ABUSE AND PROVIDE COMMUNITY RESOURCES RELATED TO THIS. ONE WAY NUMC WORKED TOWARDS THIS GOAL WAS TO ADD RESOURCES ABOUT SUBSTANCE ABUSE AND RECOVERY TO THE AFTER SCREENING GUIDE GIVEN TO HEART OF NEW ULM PARTICIPANTS.
GROUP A-FACILITY 7 -- 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 7 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 22D:	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 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:OWATONNA HOSPITAL - ONE OF OWATONNA HOSPITAL'S GOALS WAS TO REDUCE STIGMA, INCREASE AWARENESS, AND PROVIDE MORE EVIDENCE BASED TREATMENT RELATED TO DEPRESSION. AS A PART OF THIS GOAL, THE HOSPITAL HAS BEEN INCREASING EFFORTS TO PROVIDE BETTER MENTAL HEALTH CARE AND TO SUPPORT FAMILIES AND MOTHERS. A GRANT THROUGH THE SOUTH COUNTRY HEALTH ALLIANCE HAS ALLOWED FOR EXPANSION OF THE IN REACH AND CARE TRANSITIONS INTEGRATION PROGRAMS. THESE EXPANSIONS WERE SPECIFICALLY TARGETED AT PROVIDING REFERRALS AND CARE MANAGEMENT FOR PATIENTS WITH A MENTAL HEALTH DIAGNOSIS.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE.BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:RIVER FALLS AREA HOSPITAL - RIVER FALLS AREA HOSPITAL WORKED ON MANY INITIATIVES TO SUPPORT HEALTHY EATING IN 2015. THE HOSPITAL DEVELOPED THE WORKSITE WELLNESS WORKSHOP SERIES WHICH FOCUSED ON WORKPLACE-RELATED HEALTH ISSUES SUCH AS HEALTHY VENDING AND THE BENEFITS OF BREASTFEEDING. THE HOSPITAL ALSO SUPPORTS A FREE BABY CAFE PROGRAM TO SUPPORT BREASTFEEDING MOMS. ADDITIONALLY, MONTHLY COOKING CLASSES WERE HOSTED AT THE HOSPITAL. MOST OF THE CLASSES FOR 2015 WERE FULL AND HAD A WAITING LIST.
GROUP A-FACILITY 11 -- 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 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 11 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 5:	COMMUNITY DIALOGUES WERE FACILITATED BY WILDER CENTER FOR COMMUNITIES TO ENGAGE STAKEHOLDERS IN DISCUSSIONS OF KEY HEALTH ISSUES. REPRESENTATION INCLUDED MORE THAN 500 COMMUNITY MEMBERS WHO WERE DIVERSE IN TERMS OF AGE, RACE/ETHNICITY, AND EMPLOYMENT SECTORS. SECTORS REPRESENTED INCLUDED GOVERNMENT AGENCIES, SPECIFICALLY LOCAL PUBLIC HEALTH DEPARTMENTS, AS WELL AS TOPICAL EXPERTS SUCH AS NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. PUBLIC HEALTH DATA FORMED THE FOUNDATION OF THE ASSESSMENT WITH BASELINE DATA ABOUT HEALTH ISSUES IN THE COMMUNITY AND PUBLIC HEALTH EXPERTS PARTICIPATED THROUGHOUT THE PROCESS OF DATA ANALYSIS, PRIORITIZATION, AND IMPLEMENTATION PLANNING.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL, MERCY HOSPITAL, UNITY HOSPITAL, CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, RIVER FALLS AREA HOSPITAL AND PHILLIPS EYE INSTITUTE USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING TWO EXCEPTIONS:- ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.- MERCY HOSPITAL AND UNITY HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 6B:	ST. FRANCIS REGIONAL MEDICAL CENTER (SFRMC), A RELATED ORGANIZATION OF ALLINA HEALTH SYSTEM (AHS) WAS INCLUDED IN THE AHS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE SOUTH METRO REGION AND ALSO THE PUBLIC HEALTH DEPARTMENTS MENTIONED BELOW.MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE.BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:PHILLIPS EYE INSTITUTE - THE PHILLIPS EYE INSTITUTE ADDRESSED ITS SCHOOL READINESS AND HEALTHCARE ACCESS GOALS BY CONTINUING ITS EXPANSION OF THE EARLY YOUTH EYECARE (EYE) PROGRAM TO INCLUDE THE ENTIRE ST. PAUL PUBLIC SCHOOLS SYSTEM. IN 2015, 28,000 ELEMENTARY-AGE STUDENTS WERE SCREENED AND PROVIDED FREE GLASSES AND FOLLOW-UP VISION CARE, IF NEEDED. ADDITIONALLY, FREE TRANSPORTATION SERVICES WERE CONTINUED FOR PHILLIPS EYE INSTITUTE PATIENTS IF NEEDED TO INCREASE ACCESS TO CARE.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 22D:	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 12 -- PHILLIPS EYE INSTITUTE PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 9: REGINA HOSPITAL
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 5:	REGINA HOSPITAL CONDUCTED EXTENSIVE RESEARCH AND MET WITH KEY HEALTHCARE LEADERS AND OTHER COMMUNITY STAKEHOLDERS IN THE HASTINGS AREA TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS IN HASTINGS. INPUT FROM COMMUNITY MEMBER GROUPS INFORMED THE DEVELOPMENT OF REGINA HOSPITAL'S COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT. THE COMMUNITY MEETINGS INCLUDED REVIEW AND PRIORITIZATION OF COMMUNITY HEALTH ISSUES HIGHLIGHTED IN DATA SETS AND HEALTH INDICATORS FOUND IN PEOPLE QUICKFACTS (DEMOGRAPHICS FROM THE 2010 U.S. CENSUS) FOR THE HASTINGS AREA, DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT'S 2013 COMMUNITY HEALTH OPINION SURVEY RESULTS, COUNTY HEALTH RANKINGS & ROADMAPS - ROBERT WOOD JOHNSON FOUNDATION, AND THE MINNESOTA DEPARTMENT OF HEALTH'S LEADING HEALTH INDICATORS.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B:	MINNESOTA:DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE.BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:REGINA HOSPITAL - TO INCREASE ACCESS TO HEALTH CARE, REGINA HOSTED MNSURE (THE STATE HEALTH EXCHANGE) OUTREACH AT FARM TRUCK EVENT. WE HAVE BEEN PLAYING AN ACTIVE ROLE IN HELPING OUR PATIENTS NAVIGATE THE EXCHANGE TO FIND PUBLIC INSURANCE PLANS OR SUBSIDIZED PLANS THAT WILL HELP PATIENTS AND THEIR FAMILIES MAINTAIN HEALTH CARE COVERAGE. ADDITIONALLY, RESPONDING TO A RECENT SURVEY CONDUCTED BY THE DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT, WHICH SHOWED AN INCREASING CONCERN IN THE ABUSE OF PRESCRIPTION DRUGS, REGINA MEDICAL CENTER CONDUCTED A PRESENTATION WITH A QUESTION AND ANSWER SESSION ABOUT THE PROPER USE OF PRESCRIPTION DRUGS.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP B-FACILITY 9 -- REGINA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 10: DISTRICT ONE HOSPITAL
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 2:	DISTRICT ONE HOSPITAL MERGED WITH AND INTO ALLINA HEALTH SYSTEM ON JANUARY 1, 2015. 2015 IS THE FIRST YEAR DISTRICT ONE HOSPITAL'S SCHEDULE H IS INCLUDED WITH ALLINA HEALTH SYSTEM. DISTRICT ONE HOSPITAL HAS NEVER FILED A FORM 990 SCHEDULE H PRIOR TO ITS MERGER INTO ALLINA HEALTH SYSTEM.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5:	AN EFFORT BEGAN IN THE SPRING OF 2013 WHEREBY COLLABORATORS CREATED A PROJECT WORK PLAN TO GATHER INFORMATION ON THE HEALTH STATUS OF RICE COUNTY RESIDENTS. THE GOAL OF THE DATA GATHERING PROCESS WAS TO CREATE A REPORT THAT WOULD HELP INFORM INDIVIDUALS, ORGANIZATIONS, AND COLLABORATIONS ACROSS THE COUNTY THAT WORK TO IMPROVE HEALTH. A TEAM WAS ESTABLISHED TO CREATE A HEALTH SURVEY THAT WAS MAILED TO OVER 1,800 RANDOMLY SELECTED RICE COUNTY HOUSEHOLDS. CONVENIENCE SAMPLING OF SOMALI AND LATINO COMMUNITY MEMBERS RESULTED IN 50 AND 70 SURVEYS BEING COMPLETED RESPECTIVELY. IN ADDITION, THE TEAM ACCESSED A VARIETY OF PUBLIC DATA SOURCES TO COMPLETE THE COMMUNITY HEALTH ASSESSMENT. A COMMUNITY HEALTH IMPROVEMENT PLANNING AND PRIORITIZATION MEETING WAS HELD JULY 28, 2014 WITH COMMUNITY HEALTH PARTNERS TO GATHER FEEDBACK ON THIS REPORT AND THE DATA PRESENTED, TO PRIORITIZE THE MOST IMPORTANT HEALTH ISSUES THE COUNTY IS FACING, AND TO GATHER INITIAL THOUGHTS ABOUT DEVELOPMENT OF A RICE COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. A COMMUNITY HEALTH IMPROVEMENT PLAN TARGETING PRIORITIZED HEALTH AREAS WILL BE DEVELOPED BY RICE COUNTY PUBLIC HEALTH, IN COLLABORATION WITH COMMUNITY PARTNERS, AND SUBMITTED TO THE MINNESOTA DEPARTMENT OF HEALTH BY MARCH 31, 2015.HEALTHY COMMUNITIES PARTNERSHIP WAS A COLLABORATIVE INITIATIVE BETWEEN THE GEORGE FAMILY FOUNDATION AND THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING. THE COLLABORATION AWARDED ONE OF 13 GRANTS IN MINNESOTA AND WESTERN WISCONSIN TO DISTRICT ONE HOSPITAL TO PROMOTE COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES FOCUSING ON PHYSICAL ACTIVITY, NUTRITION, MINDFULNESS AND MIND-BODY SKILLS, SMOKING CESSATION, AND HAZARDOUS DRINKING. HCP AIMED TO SUPPORT THE GROWTH OF COMMUNITY HEALTH INFRASTRUCTURE AND GENERATE LESSONS TO INFORM THE FIELD BY PILOTING INNOVATIVE HEALTH AND WELLNESS PROGRAMS. EVALUATION CONDUCTED BY RAINBOW RESEARCH OF THE 13 HCP PROGRAMS FOUND THE PROGRAM WAS SUCCESSFUL AT:BUILDING CONNECTIONS - BY PROVIDING RESOURCES WHICH ALLOWED DISTRICT ONE HOSPITAL TO ENGAGE MORE DEEPLY WITH THE COMMUNITY, CREATING STRONGER COMMUNITY HEALTH NETWORKS, AND SUPPORTING EXISTING COMMUNITY EFFORTS AND PARTNERSHIPS.CREATING INNOVATIVE OPPORTUNITIES - BY PROVIDING FREE HEALTH SCREENINGS AS AN ENTRY POINT FOR ONGOING ENGAGEMENT, CREATING INDIVIDUALIZED PROGRAMMING FOCUSED ON THE NEEDS OF THE COMMUNITY, AND REACHING NEW AUDIENCES BY OFFERING PROGRAMS AND RESOURCES OUTSIDE OF THE HOSPITAL SETTING.INITIATING SUSTAINABLE CHANGE - BY PARTNERING TO LEVERAGE RESOURCES, CREATING POLICY, SYSTEMS AND ENVIRONMENT (PSE) CHANGES FOCUSED ON HEALTHY CHANGES, AND SERVING AS A STARTING POINT TO BEGIN SHIFTING TO A NEW MODEL OF CARE.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6A:	DISTRICT ONE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT WITH NORTHFIELD HOSPITAL.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B:	RICE COUNTY PUBLIC HEALTH, HEALTHFINDERS COLLABORATIVE, CARLETON COLLEGE AND MINNESOTA DEPARTMENT OF HEALTH.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 7D:	THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR EACH HOSPITAL FACILITY IS AVAILABLE UPON REQUEST.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 11:	ALLINA HEALTH LAST ASSESSED COMMUNITY HEALTH THROUGH THIS FORMAL PROCESS IN 2013. IN 2014-2016, ACROSS THE ALLINA HEALTH SYSTEM, TWO PRIMARY NEEDS ARE BEING ADDRESSED: HEALTHY WEIGHT (NUTRITION AND PHYSICAL ACTIVITY) AND MENTAL HEALTH/WELLNESS. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:- CHANGE TO CHILL - A RESOURCE FOR TEENS ON STRESS & MENTAL WELLNESS. IMPLEMENTATION EFFORTS INCLUDE A CHILLER CHALLENGE TO HELP SCHOOLS AND TEENS BECOME FAMILIAR WITH THE TOPIC AND MATERIALS OFFERED ON THE SITE;- HEALTH POWERED KIDS - FREE, ONLINE LESSONS AND OTHER ACTIVITIES FOR PHYSICAL ACTIVITY, NUTRITION AND OTHER TOPICS RELEVANT TO CHILDREN AND THEIR CAREGIVERS AGES 3-14. THE WEBSITE INCLUDES TRANSLATION OF SOME MATERIALS INTO SPANISH TO REACH A WIDER AUDIENCE;- NEIGHBORHOOD HEALTH CONNECTION - HEALTH ACTIVITY GRANTS AWARDED TO COMMUNITY GROUPS TO IMPLEMENT PROGRAMS THAT PROMOTE SOCIAL CONNECTIONS AND HEALTHY ACTIVITIES THAT IMPROVE NUTRITION/HEALTHY EATING AND ACTIVE LIVING/PHYSICAL ACTIVITY; AND- NEW SHOES HEALTHY KIDS ATHLETIC SHOE DISTRIBUTION AND FREE BIKES 4 KIDZ BIKE DISTRIBUTION EVENTS THAT SUPPORT THE COMMUNITY, SPECIFICALLY CHILDREN IN NEED, TO BE PHYSICALLY ACTIVE.- BE THE CHANGE - AN INTERNAL EFFORT AT ALLINA HEALTH TO RAISE AWARENESS AND REDUCE STIGMA AROUND MENTAL HEALTH CONDITIONS AND ADDICTION. IN 2015, 500 EMPLOYEE CHAMPIONS VOLUNTEERED AND BEGAN TRAINING IN ORDER TO FACILITATE CONVERSATIONS ABOUT THE STIGMA SURROUNDING THEM AND GENERATE AWARENESS TO HELP CHANGE ATTITUDE WITHIN ALLINA HEALTH.- CHARITABLE CONTRIBUTIONS - CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE.BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THEIR PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL - SUPPORTED BY A HEALTHY COMMUNITIES PARTNERSHIP GRANT, DISTRICT ONE HOSPITAL'S HEALTH AND WELLNESS STAFF WORKED WITH LOCAL EMPLOYERS TO HOST LUNCH 'N LEARN PRESENTATIONS AND OFFER PERSONALIZED HEALTH COACHING SESSIONS, WELLNESS CHALLENGES AND BIOMETRICS SCREENING EVENTS. DISTRICT ONE ALSO COORDINATED THE COMMUNITY SLIM DOWN CHALLENGE AND HERITAGE HUSTLE 5K EVENT AS WELL AS HEALTHY COOKING CLASSES, DIABETES AND ALZHEIMER'S SUPPORT GROUPS, THE LIVING WELL WITH CHRONIC CONDITIONS PROGRAM AND CHILDBIRTH EDUCATION CLASSES IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. SPECIAL EVENTS WHICH SUPPORTED THE CANCER CENTER AT DISTRICT ONE WERE ALSO A FOCUS IN 2015 INCLUDING THE RELAY FOR LIFE, WALK FOR ONE, AND HOSPICE RIDE. DISTRICT ONE CONTINUED TO BUILD UPON ITS PARTNERSHIP WITH HEALTHFINDERS COLLABORATIVE, A COMMUNITY-BASED CLINIC TO PROVIDE HEALTHCARE ACCESS FOR THE UNINSURED AND UNDERINSURED IN RICE COUNTY.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 22D:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP C-FACILITY 10 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICAL NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B, LINE 7 A	HOSPITAL FACILITY WEBSITE URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2014-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
PART V, SECTION B, LINE 10 A	SEE RESPONSE FOR PART V, SECTION B, LINE 7 A ABOVE

Schedule H (Form 990) 2015

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address		Type of Facility (describe)
1	1 - ALLINA HEALTH CLINICS-61 LOCATIONS PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS,MN55440	INPATIENT AND OUTPATIENT SERVICES
2	2 - COURAGE KENNY REHABILITATION INSTITUTE 800 E 28TH STREET MINNEAPOLIS,MN55407	REHABILITATION CLINIC
3	3 - ALLINA HEALTH LABORATORIES 800 E 28TH STREET MINNEAPOLIS,MN55407	LABORATORY SERVICES
4	4 - ALLINA HEALTH PHARMACIES-16 LOCATIONS 800 E 28TH STREET MINNEAPOLIS,MN55407	PHARMACY SERVICES
5	5 - ALLINA HEALTH EMERGENCY MEDICAL SERVICE 167 GRAND AVENUE ST PAUL,MN55102	AMBULANCE AND MEDICAL TRANSPORTATION
6	6 - WESTHEALTH SURGERY CENTER LLC PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS,MN55440	OUTPATIENT SURGERY CENTER
7	7 - SOUTHWEST SURGICAL CENTER LLC 920 EAST 28TH STREET SUITE 500 MINNEAPOLIS,MN55407	OUTPATIENT SURGERY CENTER
8	8 - WOODBURY AMBULATORY SURGERY CENTER LLC 8675 VALLEY CREEK RD ST PAUL,MN55125	OUTPATIENT SURGERY CENTER
9	9 - NORTHSTAR SLEEP CENTER LLC 3800 COON RAPIDS BOULEVARD SUITE 3800 COON RAPIDS,MN55433	OUTPATIENT SERVICES
10	10 - WESTHEALTH INC 2805 2855 CAMPUS DRIVE PLYMOUTH,MN55441	OUTPATIENT SERVICES

Schedule H (Form 990) 2015

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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/COMMUNITY-BENEFIT-AND-ENGAGEMENT-ANNUAL-REPORT/
PART I, LINE 7:	WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G:	THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2015: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. FOR EXAMPLE, IN 2015, RIVER FALLS AREA HOSPITAL BECAME PART OF 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. THEY COMPLETE THREE INTERNSHIPS THROUGHOUT HOSPITAL DEPARTMENTS, COMBINING INSTRUCTION AND IMMERSION IN THE WORKPLACE SETTING THAT PREPARES THEM TO MEET FUTURE EMPLOYER EXPECTATIONS. INTERNSHIPS ARE OFFERED IN AREAS RANGING FROM THE EMERGENCY DEPARTMENT AND NUTRITION SERVICES TO HUMAN RESOURCES AND ENVIRONMENTAL SERVICES. THE PROGRAM IS A PARTNERSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY PARTNERS SUPPORTING THE STUDENT INTERNS: BRIDGE FOR COMMUNITY LIFE, RIVER FALLS AND ELLSWORTH SCHOOL DISTRICTS, THE MANAGEMENT GROUP, WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT AND CONTINUUS. COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS, SUCH AS COMMUNITY HEALTH ADVISORY COUNCILS, 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. 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 AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). AS DISCLOSED IN THE FOOTNOTES TO THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS IN RESPONSE TO PART III, LINE 4, THE PROVISIONS FOR BAD DEBT AND CHARITY CARE ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THEREFORE, THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS 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 ARE AS FOLLOWS:FOOTNOTE 2O. NET PATIENT SERVICE REVENUETHE PROVISIONS FOR BAD DEBTS AND CHARITY CARE ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM.
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 $207 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM.
PART III, LINE 9B:	THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS.
PART VI, LINE 2:	IN 2012, PER NEW IRS REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, ALLINA HEALTH BEGAN TO PLAN AND IMPLEMENT THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE NEEDS ASSESSMENT PLAN WAS BASED ON A SET OF BEST PRACTICES FOR COMMUNITY HEALTH ASSESSMENTS DEVELOPED BY THE CATHOLIC HEALTH ASSOCIATION WITH THE PURPOSE OF IDENTIFYING TWO TO THREE REGIONAL PRIORITY AREAS TO FOCUS ON FOR FY 20142016. THE PROCESS WAS DESIGNED TO RELY ON EXISTING PUBLIC DATA, DIRECTLY ENGAGE COMMUNITY STAKEHOLDERS AND COLLABORATE WITH LOCAL PUBLIC HEALTH AND OTHER HEALTH PROVIDERS. THERE WERE THREE STAGES INVOLVED DURING THE NEEDS ASSESSMENT: DATA REVIEW AND SETTING PRIORITIES, COMMUNITY HEALTH DIALOGUES AND COMMUNITY ASSETS INVENTORY, AND ACTION PLANNING. THE FIRST PHASE, IN FALL 2012,COMMITTEES WERE FORMED AT EACH HOSPITAL TO REVIEW EXISTING HEALTH-RELATED DATA. DIVERSE STAKEHOLDERS REVIEWED THREE EXISTING DATASETS AND THEN DEVELOPED AN INITIAL LIST OF COMMUNITY HEALTH ISSUES. ASSESSMENT STAKEHOLDERS USED THE HANLON METHOD, A SYSTEMATIC PRIORITIZATION PROCESS, TO RANK THE HEALTH-RELATED ISSUES BASED ON THREE CRITERIA: SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, AND ESTIMATED EFFECTIVENESS OF THE SOLUTION AND WERE THEN ASKED TO CONSIDER THE NUMERICAL RANKINGS GIVEN TO EACH ISSUE ALONG WITH A SET OF DISCUSSION QUESTIONS TO CHOOSE THE FINAL PRIORITY ISSUES. IN THE SECOND PHASE DURING EARLY 2013, 277 LOCAL RESIDENTS AND STAKEHOLDERS FROM EIGHT ALLINA HEALTH REGIONS PARTICIPATED IN COMMUNITY HEALTH DIALOGUES FACILITATED BY AN EXTERNAL AGENCY, WILDER CENTER FOR COMMUNITIES. STAKEHOLDERS WERE DIVERSE IN AGE, RACE/ETHNICITY, AND EMPLOYMENT AND REPRESENTED SECTORS SUCH AS SCHOOLS, BUSINESS, FAITH-BASED ORGANIZATIONS, GOVERNMENT AGENCIES, AND ADVOCACY ORGANIZATIONS. A NUMBER OF STAKEHOLDERS IDENTIFIED THEMSELVES AS HAVING EXPERTISE IN HEALTH-RELATED AREAS. THE DIALOGUES USED A WORLD CAFE MODEL OF DISCUSSION, WHICH ALLOWED PARTICIPANTS TO DISCUSS UP TO THREE TOPICS IDENTIFIED AS IMPORTANT HEALTH CONCERNS IN THEIR REGION. KEY THEMES FROM THE DIALOGUES WERE IDENTIFIED THROUGH ANALYSIS OF INDIVIDUAL DISCUSSION GUIDES AND SMALL GROUP NOTES. EACH REGION RECEIVED A SUMMARY AND ACTION IDEAS.IN THE FINAL PHASE DURING SUMMER 2013, EACH FACILITY ENGAGED IN ACTION PLANNING SPECIFIC TO THE ISSUES AND PRIORITIES IDENTIFIED IN THEIR CHNA PROCESS. IN TOTAL, MORE THAN 500 DIVERSE STAKEHOLDERS WERE ENGAGED IN DATA REVIEW, PRIORITIZATION OR COMMUNITY DIALOGUES. AS A HEALTH SYSTEM, THREE COMMON THEMES WERE IDENTIFIED ACROSS THE SYSTEM FOR COLLECTIVE ACTION DURING 2014-2016: HEALTHY EATING, ACTIVE LIVING, AND MENTAL WELLNESS. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2013.COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2014-2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
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 CENTERS. 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 12 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM COUNTIES IN AND SURROUNDING THE METROPOLITAN AREAS OF MINNEAPOLIS AND ST. PAUL. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND REGINA HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF MINNESOTA INTO THE METRO AREA SURROUNDING THE CITY OF ST. PAUL, THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES BOTH MERCY AND UNITY HOSPITALS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES, BUT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIES.SOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION SERVES SMALL AND RURAL COMMUNITIES IN AND AROUND DAKOTA, RICE, STEELE, WASECA, DODGE, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL SERVE THESE AREAS.WESTERN WISCONSINLOCATED IN WESTERN WISCONSIN, THIS REGION INCLUDES SMALL AND RURAL COMMUNITIES WITHIN PIERCE AND ST. CROIX COUNTIES. RIVER FALLS AREA HOSPITAL (RFAH) IS LOCATED WITHIN AND SERVES THIS REGION.
PART VI, LINE 5:	GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. IN 2014, THE BOARD'S QUALITY COMMITTEE AND CENTER FOR HEALTHCARE INNOVATION, RESEARCH & COMMUNITY ENGAGEMENT COMMITTEE MERGED TO BECOME THE QUALITY AND POPULATION HEALTH COMMITTEE. AMONG ITS RESPONSIBILITIES, IT OVERSEES AND SUPPORTS THE CORPORATION'S EFFORTS TO: (1) FOSTER A CULTURE OF COMMUNITY ENGAGEMENT AND A REPUTATION AS A COMPASSIONATE, TRUSTED COMMUNITY PARTNER KNOWN FOR HEALTH, WELLNESS, AND EXCELLENT HEALTH CARE; AND (2) IDENTIFY AND RESPOND TO THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY ALLINA HEALTH.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 STAFFTHE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.
PART VI, LINE 6:	ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION THAT DELIVERS HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. WITH APPROXIMATELY 25,750 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 1,330 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 TWELVE HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 103,500 INPATIENT ADMISSIONS AND NEARLY 1,334,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2015. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,736 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 61 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND UNITY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 735 PHYSICIANS AND 175 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 75 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 345 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED NEARLY 7,095,000 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2015. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 1,730 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. MORE THAN 570 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,200 SQUARE MILES, REACHING ABOUT 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 $193,214,178 IN 2015.ALLINA PARTNERS WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL TO PROVIDE PHYSICIAN RESIDENCY PROGRAMS FOR FAMILY PRACTICE AND INTERNAL MEDICINE RESIDENT PHYSICIANS.ALLINA CONTROLS AND OPERATES SEVEN (7) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN,WI

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ALLINA HEALTH SYSTEM

Employer identification number
36-3261413

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) STANFORD UNIVERSITY 326 GALVEZ STREET STANFORD,CA94305	94-1156365	501C3	200,000				FUNDING FOR ALLINA HEALTH CLINIC EXCELLENCE RESEARCH CENTER
(2) FREE BIKES 4 KIDZ 755 DICKEY LAKE DRIVE LONG LAKE,MN55356	27-1199089	501C3	75,900				SPONSORSHIP FOR BIKE DISTRIBUTION
(3) ST FRANCIS REGIONAL MEDICAL CENTER 1455 ST FRANCIS AVENUE SHAKOPEE,MN55379	41-0907986	501C3	30,500				SPONSOR SPIRIT OF THE SAINTS GALA AND TEE ONE FOR CARE GOLF TOURNAMENT
(4) MINNESOTA NETWORK OF HOSPICE AND PALLIATIVE CARE 2365 MCKNIGHT ROAD NORTH SUITE 2 NORTH ST PAUL,MN55109	41-1414694	501C3	30,000				SPONSOR SPEAKING EVENT AND CONFERENCE
(5) TWO TEN FOOTWEAR FOUNDATION INC 1466 MAIN STREET WALTHAM,MA02451	22-2579809	501C3	25,000				SPONSOR FOOTWEAR CARES
(6) SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION 1884 RANDOLPH AVENUE ST PAUL,MN55105	41-1765361	501C3	25,000				SPONSOR 2015 CARONDELET GALA
(7) REGIONS HOSPITAL FOUNDATION 640 JACKSON STREET ST PAUL,MN55101	41-1888902	501C3	25,000				SUPPORT COST OF MEDICATIONS FOR UNINSURED AND UNDERINSURED
(8) THE MENTAL HEALTH CRISIS ALLIANCE 402 UNIVERSITY AVE E ST PAUL,MN55130	41-6005875		25,000				IMPROVE ADULT MENTAL HEALTH CRISIS SERVICES IN VARIOUS COUNTIES
(9) MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 EAST 28TH STREET SUITE 100 MINNEAPOLIS,MN55407	41-1426406	501C3	40,900				SPONSOR CONFERENCE AND EVENTS, GLOBAL FUND
(10) ST PAUL PUBLIC SCHOOLS 360 COLBORNE ST ST PAUL,MN55102	41-0901311		32,313				SUPPORT SCHOOL WELLNESS CHAMPION PROJECTS
(11) NAMI MINNESOTA 800 TRANSFER ROAD 31 ST PAUL,MN55114	41-1317030	501C3	17,200				GENERAL SUPPORT
(12) MARCH OF DIMES FOUNDATION 5233 EDINA INDUSTRIAL BOULEVARD EDINA,MN55439	13-1846366	501C3	40,350				SPONSOR MARCH FOR BABIES, NURSE OF THE YEAR, GENERAL SUPPORT
(13) SECOND HARVEST HEARTLAND 1140 GERVAIS AVENUE ST PAUL,MN55109	23-7417654	501C3	11,050				SPONSOR DISH CUISINE FOR CHANGE, GENERAL SUPPORT
(14) GIRL SCOUTS OF MINNESOTA AND WISCONSIN RIVER VALLEYS INC 400 ROBERT STREET SOUTH ST PAUL,MN55107	41-0693910	501C3	12,400				GENERAL SUPPORT
(15) PEOPLE INCORPORATED 2060 CENTRE POINTE BLVD SUITE 3 MENDOTA HEIGHTS,MN55120	41-0962296	501C3	10,000				SPONSOR CHANGING MINDS LUNCHEON
(16) AMERICAN HEART ASSOCIATION INC 4701 W 77TH ST EDINA,MN55435	13-5613797	501C3	26,300				SPONSOR GALA, GENERAL SUPPORT
(17) MATTER 7005 OXFORD STREET ST LOUIS PARK,MN55426	37-1441658	501C3	10,500				SPONSOR 2015 NIGHT TO MATTER GALA
(18) OPEN ARMS OF MINNESOTA INC 2500 BLOOMINGTON AVE S MINNEAPOLIS,MN55404	41-1681317	501C3	10,600				GENERAL SUPPORT
(19) NICE RIDE MINNESOTA 2701 36TH AVE SOUTH MINNEAPOLIS,MN55406	26-4372592	501C3	15,000				HIDDEN WONDERS SPONSORSHIP, BIKE SHARING PROGRAM
(20) PATHWAYS 3115 HENNEPIN AVE SOUTH MINNEAPOLIS,MN55408	41-1628884	501C3	9,100				GENERAL SUPPORT
(21) WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVENUE MINNEAPOLIS,MN55405	41-0711618	501C3	7,500				SPONSOR WASHBURN GAMES
(22) AMHERST H WILDER FOUNDATION 451 LEXINGTON PARKWAY N ST PAUL,MN55104	41-0693889	501C3	7,500				SUPPORT TWIN CITIES MOBILE MARKET PROGRAM
(23) SHERIDAN STORY 740 HARDING ST NE STE B MINNEAPOLIS,MN55413	80-0919680	501C3	7,800				GENERAL SUPPORT
(24) COMMON HOPE INC PO BOX 8228 ST PAUL,MN55108	41-1560297	501C3	10,620				GLOBAL FUND, GENERAL SUPPORT
(25) HOPE COMMUNITY INC 611 EAST FRANKLIN AVENUE MINNEAPOLIS,MN55404	41-1292817	501C3	6,500				HEALTHY FOODS, STRONG COMMUNITY PROGRAM
(26) PHILLIPS WEST NEIGHBORHOOD ORGANIZATION 2400 PARK AVENUE SOUTH SUITE 337 MINNEAPOLIS,MN55404	90-0122796	501C3	6,000				SUPPORT OF MIDTOWN SAFETY CENTER, AND OTHER NEIGHBORHOOD EVENTS
(27) ANDERSEN UNITED COMMUNITY SCHOOL 1098 ANDERSEN LANE MINNEAPOLIS,MN55407	13-0851980		6,000				SUPPORT WOLF RIDGE ELC TRIP
(28) PEOPLE SERVING PEOPLE INC CHARITIES 614 3RD STREET SOUTH MINNEAPOLIS,MN55415	41-1965067	501C3	15,700				SPONSOR ANNUAL GALA
(29) TWIN CITIES HABITAT FOR HUMANITY COMMUNITY HOUSING DEVELOPMENT ORG 1954 UNIVERSITY AVE W ST PAUL,MN55104	36-3363171	501C3	6,200				SPONSOR WOMEN OF HABITAT LUNCHEON, BUILD SPONSORSHIP
(30) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS 1200 SECOND AVENUE SOUTH MINNEAPOLIS,MN55403	41-1302487	501C3	5,700				SUPPORT BASIC NEEDS PROGRAM, HEALTH PROGRAM, FOOD SHELVES
(31) NEIGHBORHOOD HOUSE 179 ROBIE STREET EAST ST PAUL,MN55107	41-0693916	501C3	5,500				SUPPORT BASIC NEEDS PROGRAM, HEALTH PROGRAM, FOOD SHELVES
(32) LEE CARLSON CENTER FOR MENTAL HEALTH AND WELL-BEING 7954 UNIVERSITY AVE FRIDLEY,MN55432	41-1354967	501C3	10,200				SUPPORT BRIDGEVIEW MEALS/NUTRITION PROGRAM
(33) NORTHERN STAR COUNCIL BOY SCOUTS OF AMERICA 393 MARSHALL AVE ST PAUL,MN55102	20-3000282	501C3	5,900				SPONSOR DISTINGUISHED CITIZEN AWARD DINNER
(34) THREE RIVERS PARK DISTRICT FOUNDATION INC 3000 XENIUM LANE N PLYMOUTH,MN55441	41-1579104	501C3	15,300				SPONSOR TRAIL MIX RACE, GENERAL SUPPORT
(35) HASTINGS INDEPENDENT SCHOOL DISTRICT 200 200 GENERAL SIEBEN DRIVE HASTINGS,MN55033	41-6000810		5,200				SUPPORT PEER HELPER PROGRAM, GENERAL SUPPORT
(36) HASTINGS FAMILY SERVICE 301 2ND STREET EAST HASTINGS,MN55033	23-7083534	501C3	7,976				GENERAL SUPPORT
(37) AMERICAN DIABETES ASSOCIATION INC 8000 W 78TH ST SUITE 175 EDINA,MN55439	13-1623888	501C3	5,450				SPONSOR TOUR DE CURE
(38) ANOKA TECHNICAL COLLEGE FOUNDATION 1355 WEST HIGHWAY 10 ANOKA,MN55303	36-3494697	501C3	6,000				SPONSOR ANOKA TECH 2015
(39) GREATER MINNEAPOLIS CRISIS NURSERY 4544 4TH AVENUE SOUTH MINNEAPOLIS,MN55419	41-1379021	501C3	5,100				SPONSOR FORMULA FOR HOPE LUNCHEON
(40) URBAN VENTURES LEADERSHIP FOUNDATION 2924 FOURTH AVENUE SOUTH MINNEAPOLIS,MN55408	36-3558710	501C3	7,500				SPONSOR URBAN GOLF CLASSIC AND DARE TO DREAM EVENT
(41) BEACON INTERFAITH HOUSING COLLABORATIVE 2610 UNIVERSITY AVE W 100 ST PAUL,MN55114	41-1953599	501C3	5,100				SUPPORT FAMILIES MOVING FORWARD SOUTHWEST PROGRAM
(42) THE FOOD GROUP 8501 54TH AVENUE NORTH NEW HOPE,MN55428	41-1246504	501C3	5,200				GENERAL SUPPORT
(43) UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION INC (OPERATING AS LIFESOURCE) 2225 WEST RIVER ROAD MINNEAPOLIS,MN55411	36-3584029	501C3	6,500				SPONSOR GOLF CLASSIC, GENERAL SUPPORT
(44) ARTHRITIS FOUNDATION INC 1876 MINNEHAHA AVE W ST PAUL,MN55104	58-1341679	501C3	6,100				SPONSOR JINGLE BELL RUN/WALK, GENERAL SUPPORT
(45) FOUNDATION FIGHTING BLINDNESS INC 977 LAKEVIEW PARKWAY SUITE 140 VERNON HILLS,IL60061	23-7135845	501C3	5,250				SPONSOR VISION WALK, GENERAL SUPPORT
(46) ALEXANDRA HOUSE INC PO BOX 490039 BLAINE,MN55449	41-1309977	501C3	5,700				GENERAL SUPPORT
(47) STEPPING STONE EMERGENCY HOUSING 3300 4TH AVE N CRONIN BLDG 14 ANOKA,MN55303	20-3226868	501C3	5,800				GENERAL SUPPORT
(48) SPRINGBROOK NATURE CENTER FOUNDATION PO BOX 32722 FRIDLEY,MN55432	23-7401835	501C3	10,100				GENERAL SUPPORT
(49) CAMP FIRE MINNESOTA 4829 MINNETONKA BLVD SUITE 202 ST LOUIS PARK,MN55416	41-0706116	501C3	8,200				GENERAL SUPPORT
(50) KEYSTONE COMMUNITY SERVICES 2000 ST ANTHONY AVENUE ST PAUL,MN55104	41-0693924	501C3	5,200				SUPPORT ADVOCACY PROGRAM AND EXERCISE PROGRAM WITH SENIORS
(51) FRIENDS IN NEED FOOD SHELF PO BOX 6 COTTAGE GROVE,MN55016	41-1794212	501C3	5,300				SUPPORT PURCHASE OF A WALK-IN COOLER, GENERAL SUPPORT
(52) COMMUNIDADES LATINAS UNIDAS EN SERVICIO 797 EAST 7TH STREET ST PAUL,MN55106	41-1386986	501C3	10,000				SUPPORT COMMUNITY HEALTH PROGRAM
(53) CYCLEHEALTH 6545 FLYING CLOUD DRIVE SUITE 202 EDEN PRAIRIE,MN55344	46-3077108	501C3	5,300				GENERAL SUPPORT
(54) THE BANYAN FOUNDATION 2647 BLOOMINGTON AVENUE SOUTH MINNEAPOLIS,MN55407	41-1922813	501C3	5,200				GENERAL SUPPORT
(55) IMAM HUSAIN ISLAMIC CENTER 6120 BROOKLYN BLVD BROOKLYN CENTER,MN55429	27-0074561	501C3	5,500				GENERAL SUPPORT
(56) LOVE IN THE NAME OF CHRIST - BIG WOODS PO BOX 368 BUFFALO,MN55313	27-0993247	501C3	5,200				GENERAL SUPPORT
(57) CYCLES FOR CHANGE 712 UNIVERSITY AVENUE WEST ST PAUL,MN55104	41-1816453	501C3	8,500				YOUTH APPRENTICE PROGRAM, GENERAL SUPPORT
(58) NUCLEUS CLINIC 1323 COON RAPIDS BLVD COON RAPIDS,MN55433	74-3219541	501C3	5,300				GENERAL SUPPORT
(59) WATERCOURSE COUNSELING CENTER 3548 BRYANT AVE SOUTH MINNEAPOLIS,MN55408	41-1946275	501C3	5,100				GENERAL SUPPORT
(60) AMERICAN CANCER SOCIETY 950 BLUE GENTIAN RD SUITE 100 EAGAN,MN55121	13-1788491	501C3	19,775				GENERAL SUPPORT
(61) LET'S GO FISHING 705 CHALUPSKY AVE SE NEW PRAGUE,MN56071	48-1259413	501C3	5,600				GENERAL SUPPORT
(62) ANGEL FOUNDATION 700 SOUTH THIRD STREET MINNEAPOLIS,MN55415	41-1990883	501C3	17,700				SPONSOR HOPE IN MOTION, GENERAL SUPPORT
(63) AMERICAN BRAIN TUMOR ASSOCIATION 8550 W BRYN MAWR AVENUE SUITE 550 CHICAGO,IL60631	23-7286648	501C3	5,250				GENERAL SUPPORT
(64) SINAPI FOUNDATION INC PO BOX 2531 DAVIDSON,NC28036	46-0653354	501C3	5,400				GLOBAL FUND
(65) MINNESOTA BRAIN INJURY ALLIANCE 2277 HIGHWAY 36 WEST SUITE 200 ROSEVILLE,MN55113	36-3418174	501C3	6,000				SPONSOR ANNUAL CONFERENCE, CONSUMER GUIDE AD AND WALK FOR THOUGHT EVENT
(66) FEED MY STARVING CHILDREN 401 93RD AVE NW COON RAPIDS,MN55433	41-1601449	501C3	8,700				GENERAL SUPPORT
(67) PROJECT MEDISHARE FOR HAITI INC PO BOX 381208 MIAMI,FL33238	65-0965848	501C3	6,300				GLOBAL FUND, GENERAL SUPPORT
(68) RIDGEVIEW FOUNDATION 490 SOUTH MAPLE STREET SUITE 110 WACONIA,MN55387	41-1328097	501C3	20,000				SPONSOR ANNUAL GOLF AND TASTE CELEBRATION
(69) HASTINGS AREA CHAMBER OF COMMERCE AND TOURISM BUREAU 111 THIRD STREET EAST HASTINGS,MN55033	41-0940039		10,315				SPONSOR VARIOUS DINNER EVENTS
(70) COURAGE KENNY FOUNDATION PO BOX 43 MINNEAPOLIS,MN55440	41-1952989	501C3	13,450	92,959	FMV	MEDICAL AND SPORTS EQUIPMENT	GENERAL SUPPORT
(71) PHILLIPS EYE INSTITUTE FOUNDATION PO BOX 43 MINNEAPOLIS,MN55440	41-1613017	501C3		108,833	FMV	EYEGLASS FRAMES, LENSES AND MOBILE EYE EQUIPMENT	EYE COMMUNITY INITIATIVE
(72) HEALTHEAST FOUNDATION 1690 UNIVERSITY AVENUE ST PAUL,MN55104	41-1602044	501C3	25,000				GENERAL SUPPORT
(73) INDEPENDENT SCHOOL DISTRICT 877 214 1ST AVE NE BUFFALO,MN55313	41-6004776		26,145				2015 HEALTHY ACTIVITY GRANT
(74) OUR SAVIOUR'S COMMUNITY SERVICES 2315 CHICAGO AVE S MINNEAPOLIS,MN55404	20-0810105	501C3	9,590				2015 HEALTHY ACTIVITY GRANT
(75) INTERCONGREGATION COMMUNITIES ASSOCIATION INC 12990 ST DAVIDS ROAD MINNETONKA,MN55305	41-0979010	501C3	9,430				2015 HEALTHY ACTIVITY GRANT
(76) ANNANDALE YOUTH FIRST INC PO BOX 190 ANNANDALE,MN55302	41-1895999	501C3	8,250				2015 HEALTHY ACTIVITY GRANT
(77) YMCA OF THE GREATER TWIN CITIES 2125 E HENNEPIN AVENUE MINNEAPOLIS,MN55413	45-2563299	501C3	28,200				2015 HEALTHY ACTIVITY GRANT
(78) OPPORTUNITY NEIGHBORHOOD 1417 10TH STREET NW 104 NEW BRIGHTON,MN55112	41-1923622	501C3	7,985				2015 HEALTHY ACTIVITY GRANT
(79) SHAKOPEE DIVERSITY ALLIANCE 8053 STRATFORD CIR S SHAKOPEE,MN55379	47-2761643	501C3	7,500				2015 HEALTHY ACTIVITY GRANT
(80) CITY OF SOUTH ST PAUL 125 3RD AVENUE NORTH SOUTH ST PAUL,MN55075	41-6005520		7,500				2015 HEALTHY ACTIVITY GRANT
(81) PRO-KINSHIP FOR KIDS PO BOX 666 NEW ULM,MN56073	41-1247116	501C3	7,500				2015 HEALTHY ACTIVITY GRANT
(82) VALLEY FRIENDSHIP CLUB 2300 ORLEANS STREET WEST STILLWATER,MN55082	27-2362329	501C3	7,265				2015 HEALTHY ACTIVITY GRANT
(83) HEALTHFINDERS COLLABORATIVE INC PO BOX 731 NORTHFIELD,MN55057	20-1805262	501C3	8,700				2015 HEALTHY ACTIVITY GRANT
(84) CITY OF PLYMOUTH 3400 PLYMOUTH BLVD PLYMOUTH,MN55447	41-6008936		6,250				SPONSOR PLATINUM EVENT
(85) EPISCOPAL CHURCH WOMEN 15601 MAPLE ISLAND ROAD BURNSVILLE,MN55306	41-0694727	501C3	6,136				2015 HEALTHY ACTIVITY GRANT
(86) AUGUSTANA CARE 1015 4TH AVENUE NORTH MINNEAPOLIS,MN55405	41-1728753	501C3	5,465				2015 HEALTHY ACTIVITY GRANT
(87) PRESIDENTS COUNCIL OF PHA HIGHRISES OF ST PAUL 555 WABASHA STREET N SUITE 400 ST PAUL,MN55102	41-1885810	501C3	5,300				2015 HEALTHY ACTIVITY GRANT
(88) FARIBAULT YOUTH SERVICES CENTER 528 1ST AVENUE NW FARIBAULT,MN55021	35-2161725	501C3	5,045				2015 HEALTHY ACTIVITY GRANT
(89) NEIGHBORHOOD DEVELOPMENT CENTER INC 663 UNIVERSITY AVE 200 ST PAUL,MN55104	41-1738791	501C3	10,000				2015 HEALTHY ACTIVITY GRANT
(90) PANCREATIC CANCER ACTION NETWORK INC 1500 ROSECRANS AVE SUITE 200 MANHATTAN BEACH,CA90266	33-0841281	501C3	5,300				SPONSOR PURPLERIDE STRIDE, GENERAL SUPPORT
(91) CITY OF NEW ULM PARK AND RECREATION 122 SOUTH GARDEN STREET NEW ULM,MN56073	41-6005412		6,826				2015 HEALTHY ACTIVITY GRANT, SPONSOR FAMILY FITNESS NIGHTS, PARK X PROGRAM
(92) CITY OF HASTINGS PARK AND RECREATION 920 W 10TH ST HASTINGS,MN55033	41-6005220		40,000				GENERAL SUPPORT
(93) UNITED WAY OF STEELE COUNTY 110 N CEDAR AVENUE OWATONNA,MN55060	23-7366680	501C3	6,958				GENERAL SUPPORT
(94) COMMONBOND COMMUNITIES 1080 MONTREAL AVENUE ST PAUL,MN55116	41-1260469	501C3	7,413				SPONSOR GALA, 2015 HEALTHY ACTIVITY GRANT
(95) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION PO BOX 43 MINNEAPOLIS,MN55440	04-3643816	501C3	13,500				GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) MEDICAL ASSISTANCE	2683	700,522
(2) FOOTWEAR	10000		75,000	FMV	KID'S SHOES DONATION
(3) SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES	32	43,192
(4) BIKE HELMETS	4686		43,156	FMV	HELMETS DISTRIBUTION AT VARIOUS BIKE HELMETS
(5) HOUSING AND LIVING ASSISTANCE	175	30,026
(6) FUNERAL	7	1,500
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Yes

Any related organization? .........................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1PENNY WHEELER MDDIRECTOR/PRESIDENT/CEO	(i) (ii)	893,591 ------------- 0	373,473 ------------- 0	149,026 ------------- 0	410,987 ------------- 0	21,237 ------------- 0	1,848,314 ------------- 0	271,741 ------------- 0
2BEN BACHE-WIIG MDSVP, PRES. ANW HOSPITAL	(i) (ii)	504,497 ------------- 0	256,211 ------------- 0	100,946 ------------- 0	224,751 ------------- 0	24,585 ------------- 0	1,110,990 ------------- 0	176,183 ------------- 0
3MARY BEAR-DUKESVP-REVENUE CYCLE MGMT.	(i) (ii)	189,592 ------------- 0	36,890 ------------- 0	4,741 ------------- 0	32,200 ------------- 0	24,368 ------------- 0	287,791 ------------- 0	0 ------------- 0
4CHRISTINE BENTEVP-ALLINA HEALTH GROUP	(i) (ii)	416,738 ------------- 0	180,523 ------------- 0	78,646 ------------- 0	200,811 ------------- 0	30,135 ------------- 0	906,853 ------------- 0	123,712 ------------- 0
5MARGARET BUTLERSVP, HUMAN RESOURCES	(i) (ii)	77,183 ------------- 0	198,479 ------------- 0	569,591 ------------- 0	17,225 ------------- 0	8,178 ------------- 0	870,656 ------------- 0	223,500 ------------- 0
6RODNEY CHRISTENSENSVP/PRES. ALLINA CLINI	(i) (ii)	348,849 ------------- 0	125,705 ------------- 0	45,563 ------------- 0	79,526 ------------- 0	21,044 ------------- 0	620,687 ------------- 0	13,907 ------------- 0
7SARA CRIGERSVP, PRES. MERCY HOSP.	(i) (ii)	474,906 ------------- 0	144,272 ------------- 0	101,328 ------------- 0	190,630 ------------- 0	3,233 ------------- 0	914,369 ------------- 0	69,022 ------------- 0
8DUNCAN GALLAGHERTREASURER/EVP/CFO	(i) (ii)	693,692 ------------- 0	399,138 ------------- 0	174,231 ------------- 0	331,447 ------------- 0	16,215 ------------- 0	1,614,723 ------------- 0	318,025 ------------- 0
9MARGARET HASBROUCKVP, PAYOR CONTRACT/REIMB.	(i) (ii)	229,599 ------------- 0	69,027 ------------- 0	28,699 ------------- 0	52,677 ------------- 0	28,976 ------------- 0	408,978 ------------- 0	3,273 ------------- 0
10SUSAN HEICHERTSVP, CHIEF INFORMATION OFF	(i) (ii)	370,803 ------------- 0	221,106 ------------- 0	81,875 ------------- 0	159,153 ------------- 0	22,665 ------------- 0	855,602 ------------- 0	139,704 ------------- 0
11CHRISTOPHER HUGHESVP, REVENUE CYCLE MANAGEME	(i) (ii)	132,532 ------------- 0	63,377 ------------- 0	17,449 ------------- 0	22,901 ------------- 0	0 ------------- 0	236,259 ------------- 0	9,703 ------------- 0
12DEREK KANGSVP, CHIEF COMPLIANCE OFF	(i) (ii)	67,932 ------------- 0	57,378 ------------- 0	325,315 ------------- 0	6,792 ------------- 0	5,167 ------------- 0	462,584 ------------- 0	128,897 ------------- 0
13CORRINE KROEHLERVP FINANCE	(i) (ii)	170,213 ------------- 0	52,405 ------------- 0	34,282 ------------- 0	38,276 ------------- 0	26,447 ------------- 0	321,623 ------------- 0	9,375 ------------- 0
14DANIEL MCGINTYEVP HOSPITAL/SPECIALTY SVC	(i) (ii)	525,383 ------------- 0	158,399 ------------- 0	36,314 ------------- 0	13,250 ------------- 0	22,585 ------------- 0	755,931 ------------- 0	30,833 ------------- 0
15CHRISTINE MOORESVP, CHIEF HR OFFICER	(i) (ii)	125,863 ------------- 0	100,000 ------------- 0	1,663 ------------- 0	16,625 ------------- 0	7,141 ------------- 0	251,292 ------------- 0	0 ------------- 0
16THOMAS O'CONNORSVP, PRESIDENT UNITED HOSP	(i) (ii)	478,805 ------------- 0	261,340 ------------- 0	118,887 ------------- 0	212,448 ------------- 0	25,085 ------------- 0	1,096,565 ------------- 0	195,730 ------------- 0
17TIMOTHY SIELAFFSVP-AHG-SPEC. CARE/CMO	(i) (ii)	576,835 ------------- 0	124,985 ------------- 0	100,365 ------------- 0	149,776 ------------- 0	25,748 ------------- 0	977,709 ------------- 0	0 ------------- 0
18ELIZABETH SMITH MDINTERIM SVP AHG-PRIMARY CARE	(i) (ii)	329,564 ------------- 0	88,359 ------------- 0	26,998 ------------- 0	59,201 ------------- 0	25,085 ------------- 0	529,207 ------------- 0	0 ------------- 0
19HELEN STRIKEPRESIDENT-UNITY HOSPITAL	(i) (ii)	274,103 ------------- 0	74,127 ------------- 0	32,496 ------------- 0	48,953 ------------- 0	12,305 ------------- 0	441,984 ------------- 0	7,204 ------------- 0
20KATHERINE TARVESTADSVP, CHIEF COMPLIANCE OFF	(i) (ii)	80,814 ------------- 0	40,000 ------------- 0	10,537 ------------- 0	12,955 ------------- 0	7,458 ------------- 0	151,764 ------------- 0	0 ------------- 0
21ELIZABETH TRUESDELL SMITHSECRETARY/SVP GEN. COUN.	(i) (ii)	452,702 ------------- 0	212,628 ------------- 0	74,353 ------------- 0	179,021 ------------- 0	22,585 ------------- 0	941,289 ------------- 0	151,554 ------------- 0
22ROBERT WIELAND MDEVP, NETWORK INTEGRATION	(i) (ii)	466,348 ------------- 0	299,757 ------------- 0	56,696 ------------- 0	243,667 ------------- 0	30,495 ------------- 0	1,096,963 ------------- 0	175,415 ------------- 0
23DUKE ADAMSKIVP PHILANTHROPY	(i) (ii)	62,036 ------------- 0	73,227 ------------- 0	1,150,995 ------------- 0	15,805 ------------- 0	2,229 ------------- 0	1,304,292 ------------- 0	0 ------------- 0
24DANIEL BUSS MDPHYSICIAN	(i) (ii)	1,530,486 ------------- 0	300 ------------- 0	119,679 ------------- 0	93,256 ------------- 0	30,389 ------------- 0	1,774,110 ------------- 0	78,341 ------------- 0
25MICHAEL FREEHILL MDPHYSICIAN	(i) (ii)	1,338,013 ------------- 0	0 ------------- 0	93,191 ------------- 0	85,646 ------------- 0	29,295 ------------- 0	1,546,145 ------------- 0	68,518 ------------- 0
26LEROY MCCARTY MDPHYSICIAN	(i) (ii)	1,186,574 ------------- 0	10,000 ------------- 0	94,939 ------------- 0	75,902 ------------- 0	28,845 ------------- 0	1,396,260 ------------- 0	65,126 ------------- 0
27L MURRY THOMASVP FINANCE	(i) (ii)	19,134 ------------- 0	45,816 ------------- 0	1,594,649 ------------- 0	4,237 ------------- 0	209 ------------- 0	1,664,045 ------------- 0	0 ------------- 0
28KENNETH PAULUSFORMER PRESIDENT/CEO	(i) (ii)	30,089 ------------- 0	1,004,074 ------------- 0	2,283,809 ------------- 0	9,586 ------------- 0	0 ------------- 0	3,327,558 ------------- 0	1,650,812 ------------- 0
29LAURIE LAFONTAINEFORMER VP FINANCE & TREASURY	(i) (ii)	9,231 ------------- 0	81,340 ------------- 0	783,869 ------------- 0	5,886 ------------- 0	0 ------------- 0	880,326 ------------- 0	368,537 ------------- 0
30MICHAEL MARSHALL MDFORMER SVP, PRESIDENT ALLINA CLINICS	(i) (ii)	0 ------------- 0	0 ------------- 0	115,720 ------------- 0	0 ------------- 0	0 ------------- 0	115,720 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	EXPLANATION: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO TAXABLE MOVING EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. HELEN STRIKE - $13,092.
PART I, LINES 4A-B	4(A):MARGARET BUTLER - $321,997; DEREK KANG - $127,506; DUKE ADAMSKI - $181,662; KENNETH PAULUS - $754,305; LAURIE LAFONTAINE - $242,316; MICHAEL MARSHALL - $102,407. 4(B):PENNY WHEELER - $85,746: BEN BACHE-WIIG, MD - $59,367; CHRISTINE BENT - $47,075; MARGARET BUTLER - $208,710; SARA CRIGER - $59,310; DUNCAN GALLAGHER - $102,971; SUSAN HEICHERT - $40,967; CHRISTOPHER HUGHES - $13,957; DEREK KANG - $82,231; CORRINE KROEHLER - $10,561; DANIEL MCGINTY - $18,255; TOM O'CONNOR - $66,475; TIMOTHY SIELAFF - $70,543; HELEN STRIKE - $6,580; ELIZABETH TRUESDELL SMITH - $51,631; DUKE ADAMSKI - $943,946; DANIEL BUSS, MD - $91,549; MICHAEL FREEHILL, MD - $68,929; LEROY MCCARTY, MD - $67,929; L. MURRAY THOMAS - $1,594,431; KENNETH PAULUS - $1,356,389; LAURIE LAFONTAINE - $514,897.
PART I, LINE 6	DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: MANAGEMENT INCENTIVE PLAN (MIP) ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY TO MOST MANAGERS, SOME HIGH-LEVEL INDIVIDUAL CONTRIBUTORS AND EXECUTIVES. 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 PERFORMANCE OVER THE CALENDAR YEAR. PERFORMANCE MEASURES INCLUDE FINANCIAL PERFORMANCE, HOSPITAL AND CLINIC CARE MEASURES AND HOSPITAL AND CLINIC PATIENT EXPERIENCE MEASURES. 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 (LTIP) 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 COMPENSATION COMMITTEE OF THE BOARD. 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. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARD, BASED ON ALLINA'S PERFORMANCE OVER THE PERFORMANCE PERIOD.
PART I, LINE 8	CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)	ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: ALLINA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THIS PLAN WAS AMENDED EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. ELIGIBLE ALLINA EXECUTIVES PARTICIPATED IN A DEFINED CONTRIBUTION SERP. EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR 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 ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009. EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PREFERRED CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. ALLINA HEALTH PHYSICIAN DEFERRED AWARD PLAN (PDAP) ALLINA HEALTH ESTABLISHED THIS EMPLOYEE BENEFIT PLAN TO PROVIDE DESIGNATED PHYSICIANS WITH ADDITIONAL DEFERRED COMPENSATION TO PROVIDE LONG TERM INCENTIVES TO REMAIN WITH THE COMPANY AND CONTRIBUTE TO ITS' SUCCESSFUL PERFORMANCE. SELECT PHYSICIANS ARE ELIGIBLE TO PARTICIPATE AFTER ONE FULL CALENDAR YEAR OF EMPLOYMENT AND BE WORKING A .5 FTE OR GREATER AS OF THE DECEMBER 31ST OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS PROVIDED. THE PLAN ANNUAL FUNDING AWARD POOL IS DISCRETIONARY AND WILL BE DETERMINED AT THE END OF THE PLAN YEAR AND MUST BE APPROVED BY THE ALLINA HEALTH BOARD COMPENSATION COMMITTEE. ONCE THE AWARD POOL IS DETERMINED, THE AMOUNTS WILL BE ALLOCATED EQUALLY WITH ADJUSTMENTS MADE BASED ON THE PARTICIPANT'S FTE STATUS. A PARTICIPANT'S ACCOUNT SHALL BECOME VESTED AND NON-FORFEITABLE UPON THE EARLIEST OF THE FOLLOWING: THE DATE THE PARTICIPANT HAS ATTAINED AGE 65 THE DATE A TERMINATED PARTICIPANT HAS REACHED AGE 55, COMPLETED TEN YEARS OF VESTING SERVICE AND SATISFIED A TWO-YEAR NON-COMPETE RESTRICTION THE DATE OF THE PARTICIPANT'S DEATH LUMP SUM DISTRIBUTIONS WILL OCCUR UPON VESTING AND ALL APPLICABLE TAXES WILL BE TAKEN. FOR ACTIVE PARTICIPANTS AGE 65 OR OLDER, NO FURTHER CONTRIBUTIONS WILL BE APPLIED TO THEIR ACCOUNT. INSTEAD, PARTICIPANTS OVER AGE 65 WILL RECEIVE A LUMP SUM PAYMENT OF THE PARTICIPANT'S PORTION OF THE AWARD POOL EACH PLAN YEAR. THIS WILL BE PAID DIRECTLY TO THE PARTICIPANT AS OF THE DATE THE AMOUNT WOULD OTHERWISE BE CREDITED TO THEIR ACCOUNT AND ALL APPLICABLE TAXES WILL BE TAKEN.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
ALLINA HEALTH SYSTEM

Employer identification number
36-3261413

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MINNEAPOLIS	41-6005375	NONEAVAIL	12-04-2014	20,165,000	REFUND ISSUE DATED 12/22/2010		X		X		X
B	CITY OF MINNEAPOLIS	41-6005375	792909BJ1	11-10-2009	348,409,221	REFUNDING OF 2007B & A PORTION OF 1998A;CONSTRUCTION;REMODELING;RENOVATION		X		X		X
C	CITY OF MINNEAPOLIS	41-6005375	792909BH5	10-17-2007	482,877,203	REFUNDING OF 1993A AND ADVANCED REFUNDING OF 2002A BONDS;REMODELING&RENOVATE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	955,000		11,830,000		256,965,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,165,000		348,795,795		487,127,003
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	200,000		3,332,390		2,717,494
8 Credit enhancement from proceeds .............					6,787,000
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			49,893,780		126,922,772
11 Other spent proceeds .............	19,965,000		295,092,023		352,194,819
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2014		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.600 %		2.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0.600 %		2.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........	X			X		X
c No rebate due? .........		X	X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X
b Name of provider ..........			JP MORGANWELLS FARGO		US BANK
c Term of hedge .........			2580.0000000000 %		2480.0000000000 %
d Was the hedge superintegrated? ......			X		X
e Was the hedge terminated? ........				X		X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X	X
b Name of provider ..........					MBIA
c Term of GIC .........					80.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........					X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ISSUER NAME: CITY OF MINNEAPOLIS DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012
PART II, LINE 3 COLUMN B & C	THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND.
PART II, LINE 11 COLUMN A, B & C	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MEGAN BEER	FAMILY MEMBER OF WILLIAM BEER, BOARD MEMBER	32,479	EMPLOYMENT		No
(2) CAROLYN ALLEN	FAMILY MEMBER OF JOHN ALLEN, BOARD MEMBER	45,756	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	3	8,790	FAIR MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EQUIPMENT )	X	68	92,959	FAIR MARKET VALUE
26 Other ( 804 EYEGLASS LENSES )	X	3	75,944	FAIR MARKET VALUE
27 Other ( 564 EYEGLASS FRAMES )	X	4	31,909	FAIR MARKET VALUE
28 Other ( EQUIPMENT EYE MOBILE )	X	1	980	FAIR MARKET VALUE

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 32B:

ALLINA HEALTH MAY FROM TIME TO TIME AND IN ORDINARY COURSE OF ITS CHARITABLE ACTIVITIES ACCEPT NON CASH CONTRIBUTIONS OF PUBLICLY TRADED SECURITIES. ALLINA HEALTH USES THIRD PARTIES SUCH AS SECURITIES BROKERAGE FIRMS TO LIQUIDATE THE PUBLICLY TRADED SECURITIES TO CASH ON THE OPEN SECURITIES MARKET. THE SALE OF PUBLICLY TRADED SECURITIES ARE GENERALLY SUBJECT TO MARKET RATE BROKERAGE COMMISSIONS AND FEES OF THE THIRD PARTY SECURITIES BROKER.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	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 SENIOR VICE PRESIDENT OF FINANCE AND TREASURY 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 OCTOBER 27, 2016 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING THE ALLINA HEALTH SYSTEM FORM 990 WITH THE IRS, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFITS PROGRAM ELEMENTS FOR NON-COLLECTIVELY BARGAINED ALLINA HEALTH SYSTEM EXECUTIVE EMPLOYEES. ALLINA HEALTH SYSTEM USES A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CERTAIN OTHER OFFICERS AND KEY EXECUTIVE EMPLOYEES THAT INCLUDED ALL OF THE FOLLOWING ELEMENTS: REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, THE MEMBERS OF WHICH ARE INDEPENDENT AND WITHOUT A CONFLICT OF INTEREST AS DEFINED IN REGULATION SECTION 53.4958-6(C)(1)(III). ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT SPECIALIZING IN EXECUTIVE COMPENSATION USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS CONTEMPORANEOUS DOCUMENTATION, SUBSTANTIATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT THE ABOVE DESCRIBED PROCESS AND AN ASSESSMENT IS PERFORMED AT LEAST ANNUALLY FOR THE FOLLOWING POSITIONS: CHIEF EXECUTIVE OFFICER/PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF CLINICAL OFFICER, EXECUTIVE VICE PRESIDENT - ALLINA HOSPITALS, PRESIDENT - ABBOTT NORTHWESTERN HOSPITAL, PRESIDENT - UNITED HOSPITAL, PRESIDENT - MERCY HOSPITAL, PRESIDENT - UNITY HOSPITAL, EXECUTIVE VICE PRESIDENT - AMBULATORY CARE, PRESIDENT - ALLINA CLINICS, SENIOR VICE PRESIDENT - GENERAL COUNSEL, SENIOR VICE PRESIDENT - CLINICAL SERVICE LINES, SENIOR VICE PRESIDENT - CHIEF COMPLIANCE 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). PUBLICLY AVAILABLE DATA ON THE FORM 990 WILL ALSO BE AVAILABLE THROUGH AMAZON WEB SERVICES (AWS) AT HTTPS://AWS.AMAZON.COM/PUBLIC-DATA-SETS/IRS-990/.
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 IN THE BOARD AND FOR SERVING ON CERTAIN COMMITTEES. THE FOLLOWING COMPENSATION WAS PAID BY ALLINA HEALTH SYSTEM FOR SERVICES PROVIDED TO US AND NOT DISCLOSED ON PART VII OR SCHEDULE J. $14,000 PAID TO HOSPITAL PATHOLOGY ASSOCIATED FOR THE SERVICES OF JOSEPH GOSWITZ. $10,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF MARK JORDAHL. $14,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF THOMAS SCHREIER. $1,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF LAURA GILLUND.
FORM 990, PART XI, LINE 9:	WESTHEALTH SURGERY CENTER LLC JOINT VENTURE CONSOLIDATION 4,618,669. PENSION LIABILITY ADJUSTMENTS 953,220. TWIN CITIES MEDICAL IMAGING LLC CAPITAL CONTRIBUTION 255,990. WESTHEALTH, INC FUND BALANCE TRANSFERRED TO ALLINA -23,416,552. DISTRIBUTION TO MEMBERS-MICC -2,579,739. TEMP RESTRICTED NET ASSETS - MAC GRANT 500,000.
PART XII, LINE 2C	THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.
FORM 990, PART XI EXPLANATION	DETAILS OF ALLINA HEALTH SYSTEM'S ACQUISITION OF DISTRICT ONE HOSPITAL LOCATED IN FARIBAULT, MINNESOTA ("DOH"): ON JANUARY 1, 2015 ALLINA HEALTH SYSTEM, A MINNESOTA 317A NONPROFIT CORPORATION AND 501(C)(3) TAX EXEMPT ORGANIZATION ACQUIRED SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF RICE COUNTY DISTRICT ONE HOSPITAL, A MINNESOTA HOSPITAL DISTRICT ORGANIZATION UNDER CHAPTER 11, MINNESOTA LAWS OF 1963.
FORM 990, PART XI, LINE 9 EXPLANATION	DETAILS OF ALLINA HEALTH SYSTEM/WESTHEALTH, INC MERGER: WESTHEALTH, INC MERGED WITH AND INTO ITS PARENT ORGANIZATION ALLINA HEALTH SYSTEM, A MINNESOTA 317A NONPROFIT CORPORATION AND 501(C)(3) TAX EXEMPT ORGANIZATION ON DECEMBER 31, 2015. ALLINA HEALTH SYSTEM IS THE SURVIVING AND SUCCESSOR ORGANIZATION. AS A RESULT AND FOR TAX REPORTING PURPOSES, ALL ASSETS AND LIABILITIES OF WESTHEALTH, INC HAVE BEEN TRANSFERRED TO ALLINA HEALTH SYSTEM. THE FUND BALANCE TRANSFERRED WAS $23,416,552.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ACCOUNTS RECEIVABLE SERVICES LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 55-0811834	DEBT COLLECTION	MN	8,982,154	22,840,702	ALLINA HEALTH SYSTEM
(2) AXIS HEALTHCARE LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1855603	HEALTHCARE SERVICES	MN	2,378,072	1,299,531	ALLINA HEALTH SYSTEM
(3) ALLINA HEALTH PIONEER ACO LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 61-1726509	HEALTHCARE SERVICES	MN	0	0	ALLINA HEALTH SYSTEM
(4) DISTRICT ONE CANCER CENTER LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1258847	HEALTHCARE SERVICES	MN	0	1,012,330	ALLINA HEALTH SYSTEM

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ABBOTT NORTHWESTERN HOSPITAL FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 04-3643816	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(2)MERCY & UNITY HOSPITALS FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 30-0086426	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(3)PHILLIPS EYE INSTITUTE FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1613017	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(4)COURAGE KENNY FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1952989	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(5)UNITED HOSPITAL FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 23-7420998	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(6)ALLINA ASSOCIATED FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 27-4116873	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	ALLINA HEALTH SYSTEM		No
(7)MBP FACILITY LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 45-4078371	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	N/A		No
(8)WESTHEALTH INC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1768814	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3	ALLINA HEALTH SYSTEM		No
(9)REGINA FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1987372	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 11A, I	N/A		No
(10)ST FRANCIS REGIONAL MEDICAL CENTER PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-0907986	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) APPLE VALLEY BUILDING ASSOCIATES LLC 14655 GALAXIE AVENUE APPLE VALLEY,MN55124 41-1677072	RENTAL REAL ESTATE	MN	ALLINA HEALTH SYSTEM	RELATED	194,493	3,584,825		No		Yes		50.000 %
(2) METROPOLITAN INTEGRATED CANCER CENTER LLC PO BOX 819066 DALLAS,TX75381 20-5068485	RADIOLOGY	DE	ALLINA HEALTH SYSTEM	UNRELATED	1,799,258	6,730,466		No		Yes		80.000 %
(3) SOUTHWEST SURGICAL CENTER LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-2013700	SURGICAL SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	3,515,271	1,332,883		No		Yes		83.330 %
(4) MAGNETO LEASING LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 20-1582501	RENTAL EQUIPMENT	MN	ALLINA HEALTH SYSTEM	RELATED	25,860	15,921		No		Yes		50.000 %
(5) ASPEN SLEEP CENTER LLC 1010 BANDANA BOULEVARD WEST ST PAUL,MN55108 26-1850227	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	589,653	481,129		No			No	65.000 %
(6) GERIATRIC SERVICES OF MINNESOTA LLC 3366 OAKDALE AVE NORTH SUITE 551 ROBBINSDALE,MN55422 45-3357936	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	2,410,496	401,823		No		Yes		45.000 %
(7) NORTHSTAR SLEEP CENTER LLC 920 EAST 28TH STREET SUITE 700 MINNEAPOLIS,MN55407 45-2532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	533,463	374,962		No		Yes		49.000 %
(8) CROSBY CARDIOVASCULAR SERVICES LLC 920 E 28TH STREET SUITE 500 MINNEAPOLIS,MN55407 41-2010368	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-32,681	1,025,347		No		Yes		50.000 %
(9) MOBILE IMAGING SERVICES LLC 1221 NICOLLET MALL SUITE 600 MINNEAPOLIS,MN55403 41-1883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	5,948	123,735		No			No	50.000 %
(10) BPA HEALTH LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 35-2490984	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-25,725	3,724		No		Yes		33.330 %
(11) TWIN CITIES MEDICAL IMAGING LLC 1221 NICOLLET MALL SUITE 600 MINNEAPOLIS,MN55403 46-3959737	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	-155,028	1,247,541		No		Yes		58.000 %
(12) WESTHEALTH SURGERY CENTER LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 37-1763155	SURGICAL SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	182,218	3,916,645		No		Yes		51.000 %
(13) CT ONE LLC 200 STATE AVENUE FARIBAULT,MN55021 26-1187480	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	148,769	86,976		No		Yes		75.000 %
(14) HEALTHCARE CAMPUS IMAGING ONE LLC 200 STATE AVENUE FARIBAULT,MN55021 52-2401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	226,206	132,447		No		Yes		50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) HEALTHSPAN SERVICES COMPANY PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1249999	DEBT COLLECTION	MN	ALLINA HEALTH SYSTEM	C			100.000 %		No
(2) ALLINA SPECIALTY ASSOCIATES INC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1802815	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	4,357,971	51,157,919	100.000 %		No
(3) ALLINA HEALTH SYSTEM TRUST PO BOX 535007 PITTSBURGH,PA15253 27-6712988	TRUST	PA	ALLINA HEALTH SYSTEM	T			100.000 %		No
(4) ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST 500 GRANT STREET SUITE 625 PITTSBURGH,PA15258 37-6520273	TRUST	PA	ALLINA HEALTH SYSTEM	T			100.000 %		No
(5) ALLINA HEALTH SYSTEM KEYSHARE PLAN PO BOX 535007 PITTSBURGH,PA15253 27-6678945	TRUST	PA	ALLINA HEALTH SYSTEM	T			100.000 %		No
(6) LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1720860	TRUST	MN	ALLINA HEALTH SYSTEM	T	43,769		100.000 %		No
(7) ALLINA INTEGRATED MEDICAL NETWORK PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 27-5129095	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	-3,684,939	4,002,972	100.000 %		No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION	C	9,429,493	CASH
(2) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION	B	1,873,414	COST
(3) COURAGE KENNY FOUNDATION	P	1,300,000	CASH
(4) MERCY & UNITY HOSPITALS FOUNDATION	C	1,769,604	CASH
(5) MERCY & UNITY HOSPITALS FOUNDATION	B	1,041,360	COST
(6) PHILLIPS EYE INSTITUTE FOUNDATION	C	720,318	CASH AND FMV
(7) PHILLIPS EYE INSTITUTE FOUNDATION	B	164,839	COST
(8) COURAGE KENNY FOUNDATION	C	10,733,266	CASH AND FMV
(9) UNITED HOSPITAL FOUNDATION	C	6,400,761	CASH
(10) UNITED HOSPITAL FOUNDATION	B	1,076,191	COST
(11) ALLINA ASSOCIATED FOUNDATION	C	1,501,875	CASH
(12) ALLINA ASSOCIATED FOUNDATION	B	1,244,579	COST
(13) ALLINA SPECIALTY ASSOCIATES INC	B	1,044,575	COST
(14) APPLE VALLEY BUILDING ASSOCIATES LLC	C	180,000	CASH
(15) SOUTHWEST SURGICAL CENTER LLC	C	3,500,000	CASH
(16) ASPEN SLEEP CENTER LLC	C	353,730	CASH
(17) NORTHSTAR SLEEP CENTER LLC	C	245,000	CASH
(18) METROPOLITAN INTEGRATED CANCER CARE LLC	C	2,925,011	CASH
(19) GERIATRIC SERVICES OF MINNESOTA LLC	C	2,222,747	CASH
(20) ALLINA INTEGRATED MEDICAL NETWORK	C	2,491,367	COST
(21) ALLINA INTEGRATED MEDICAL NETWORK	M	2,073,356	CASH
(22) MOBILE IMAGING SERVICES LLC	C	150,000	CASH
(23) CENTER FOR HEALTHCARE INNOVATION FOUNDATION	S	736,967	CASH
(24) TWIN CITIES MEDICAL IMAGING LLC	B	716,010	COST
(25) DISTRICT ONE CANCER CENTER LLC	B	506,165	COST
(26) CT ONE LLC	C	150,376	CASH
(27) HEALTHCARE CAMPUS IMAGING ONE LLC	C	228,000	CASH
(28) ST FRANCIS REGIONAL MEDICAL CENTER	Q	16,892,536	CASH
(29) ST FRANCIS REGIONAL MEDICAL CENTER	S	2,985,200	CASH
(30) REGINA FOUNDATION	B	168,581	COST
(31) REGINA FOUNDATION	C	168,312	CASH
(32) BPA HEALTH LLC	B	55,000	COST
(33) WESTHEALTH SURGERY CENTER LLC	C	474,300	CASH
(34) WESTHEALTH SURGERY CENTER LLC	B	2,050,200	COST
(35) WESTHEALTH INC	S	23,416,552	CASH

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

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Schedule R (Form 990) 2015

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1	Briefly describe the organization’s mission or most significant activities: ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE LIFELONG HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. 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 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 2015, ALLINA PROVIDED $522,965,517 IN DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	29,739
6	Total number of volunteers (estimate if necessary) .............	6	3,285
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	21,456,181
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	3,370,092

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	34,962,864	40,637,260
9	Program service revenue (Part VIII, line 2g) .........	3,627,459,523	3,799,400,850
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-7,885,778	57,119,065
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	30,417,683	40,265,638
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,684,954,292	3,937,422,813
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,238,733	3,185,189
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,220,512,931	2,307,659,168
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 7,870,753
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,320,625,324	1,427,166,967
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,543,376,988	3,738,011,324
19	Revenue less expenses. Subtract line 18 from line 12.......	141,577,304	199,411,489
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,657,001,299	4,061,560,904
21	Total liabilities (Part X, line 26).............	1,454,879,025	1,731,331,191
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,202,122,274	2,330,229,713

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4a	(Code: ) (Expenses $ 2,760,168,497 including grants of $ 3,185,189 ) (Revenue $ 3,910,178,312 )
	PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS WHICH INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE; THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE.BUFFALO HOSPITAL - BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. DEDICATED TO MEETING THE NEEDS OF ITS PATIENTS, CAMBRIDGE MEDICAL CENTER PROVIDES AN ATMOSPHERE THAT PROMOTES HEALING AND COMFORT.DISTRICT ONE HOSPITAL - FARIBAULT, MNLOCATED JUST SOUTH OF THE TWIN CITIES IN FARIBAULT, DISTRICT ONE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES: BIRTH CENTER, COURAGE KENNY REHABILITATION INSTITUTE, CARDIOPULMONARY REHABILITATION, DIAGNOSTIC IMAGING, EMERGENCY, GENERAL SURGERY, LABORATORY, PHARMACY, SLEEP STUDY AND VIRGINIA PIPER CANCER INSTITUTE . THE DYNAMIC HEALTH CARE CAMPUS ALSO INCLUDES THE ALLINA HEALTH FARIBAULT CLINIC AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT. MERCY HOSPITAL - COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE HEART & VASCULAR CENTER, CANCER CARE, THE MOTHER BABY CENTER, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL - OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.PHILLIPS EYE INSTITUTE - MINNEAPOLIS, MINNESOTALOCATED IN MINNEAPOLIS, PHILLIPS EYE INSTITUTE IS THE THIRD LARGEST SPECIALTY EYE HOSPITAL IN THE U.S., SPECIALIZING IN THE DIAGNOSIS, TREATMENT AND CARE OF EYE DISORDERS AND DISEASES. PHILLIPS EYE INSTITUTE DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY.REGINA MEDICAL CENTER - HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, EMERGENCY MEDICINE, INPATIENT GERIATRIC MENTAL HEALTH, UROLOGY AND OCCUPATIONAL MEDICINE. SINCE ITS FOUNDATION, REGINA HOSPITAL CONTINUES TO MAINTAIN ITS CATHOLIC HERITAGE FOCUSING ON SERVING THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HASTINGS CAMPUS INCLUDES SENIOR LIVING FACILITIES, TWO ALLINA HEALTH CLINICS AND A SURGERY CENTER.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR RIVERS CANCER CENTER, BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS THE LARGEST HOSPITAL IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.UNITY HOSPITAL FRIDLEY, MINNESOTALOCATED IN FRIDLEY, UNITY HOSPITAL PROVIDES A FULL RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN OVER 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONERS HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2015, ALLINA HEALTH EXPENDED OVER $2.7 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 7,000,000 CLINIC VISITS, NEARLY 109,265 INPATIENT ADMISSIONS AND 1,450,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 359,000 EMERGENCY CARE VISITS, 371,000 HOMECARE AND HOSPICE VISITS, AND OVER 15,000 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, AND MENTAL HEALTH SERVICES. IN 2015, ALLINA HEALTH EXPENDED $3,501,916 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.

4b	(Code: ) (Expenses $ 339,735,667 including grants of $ ) (Revenue $ )
	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 2015, ALLINA HEALTH PROVIDED $339,735,667 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 2015, ALLINA HEALTH EXPENDED $213,828,948 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $49,787,080 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 2015, ALLINA HEALTH PAID $24,004,010 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $47,043,175 FOR THE MINNESOTACARE TAX IN 2015. 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 $5,072,454 IN TAXES AND FEES IN 2015.

4c	(Code: ) (Expenses $ 41,580,889 including grants of $ ) (Revenue $ -98,467,688 )
	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 2015, ALLINA HEALTH PROVIDED $14,760,807 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 26 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 45 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2015, ALLINA HEALTH PROVIDED $26,820,082 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 2015 TOTALED $(98,467,688).

	(Code: ) (Expenses $ 39,679,357 including grants of $ ) (Revenue $ )
	COMMUNITY SERVICES:IN 2015, ALLINA HEALTH CONTRIBUTED $39,679,357 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 DEVELOPED BY EXPERTS AT ALLINA HEALTH, HEALTH POWERED KIDS IS AN ONLINE EDUCATIONAL RESOURCE DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. THE LESSONS SUPPORT NATIONAL HEALTH AND PHYSICAL EDUCATION TEACHING STANDARDS, SO TEACHERS ARE ABLE TO CROSS-REFERENCE HEALTH POWERED KIDS LESSONS WITHIN EXISTING LESSON PLANS. OFFERED AS A FREE, ONLINE RESOURCE, HOME SCHOOL FAMILIES, CHILD CARE PROFESSIONALS, ELEMENTARY SCHOOL EDUCATORS AND OTHER COMMUNITY ORGANIZATIONS USE HEALTH POWERED KIDS LESSONS AND ACTIVITIES. HEALTH POWERED KIDS INCLUDES: -MORE THAN 60 ONLINE LESSONS AND ACTIVITIES ON NUTRITION, PHYSICAL FITNESS AND MIND-BODY BALANCE FOR CHILDREN AGES 3 TO 14-INTERACTIVE LESSONS COMPATIBLE WITH SMART BOARD AND PROMETHEAN SOFTWARE FOR EDUCATIONAL/CLASSROOM SETTINGS-ENGLISH AND SPANISH PARENT TAKE-HOME NEWSLETTERS-A BLOG, RECIPES AND A FAMILY PAGECHANGE TO CHILL.ORG - CHANGE TO CHILL WAS CREATED BY ALLINA HEALTH AS A FREE ONLINE RESOURCE TO HELP TEENS GET PERSPECTIVE ON WHAT MATTERS. THE WEBSITE, CHANGETOCHILL.ORG, LAUNCHED IN NOVEMBER OF 2014 PROVIDES FREE, EASY-TO-USE INFORMATION ABOUT STRESS-WHAT IT IS, WHAT CAN TRIGGER IT AND HOW TO BEST MANAGE IT. TEENS CAN WATCH, LISTEN AND LEARN ABOUT SIMPLE BREATHING TECHNIQUES, MEDITATION, WAYS TO FOCUS AND VALUES. NEIGHBORHOOD HEALTH CONNECTION (NHC) - IN 2015, ALLINA HEALTH AWARDED HEALTHY ACTIVITY GRANTS TO 59 ORGANIZATIONS AND GROUPS OF NEIGHBORS IN MINNESOTA AND WESTERN WISCONSIN. GRANTS WERE USED TO HELP PEOPLE MAKE NEW PERSONAL CONNECTIONS AND STRENGHTHEN EXISTING ONES THROUGH HEALTHY ACTIVITIES. MORE THAN 2,800 PEOPLE PARTICIPATED IN ACTIVITIES THAT WERE SUPPORTED BY HEALTHY ACTIVITY GRANTS. IN ADDITION TO GRANTS, NHC OFFERS NEIGHBORHOOD GROUPS A TOOLKIT TO GET STARTED, INCLUDING TIPS FOR RECRUITING NEIGHBORS AND PLANNING ACTIVITIES. HEART SAFE COMMUNITIES THE HEART SAFE COMMUNITIES PROGRAM OF ALLINA HEALTH INCREASES SURVIVAL FROM SUDDEN CARDIAC ARREST, A LEADING CAUSE OF DEATH, BY PLACING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) WHERE PEOPLE LIVE, LEARN, WORK AND PLAY AND TRAINING INDIVIDUALS IN THE COMMUNITY ON CPR AND AED USE. MORE THAN 100 COMMUNITIES HAVE EARNED OR ARE WORKING ON THE DESIGNATION OF HEART SAFE COMMUNITY. THE DESIGNATION ACKNOWLEDGES A CITY, COUNTY OR ORGANIZATION'S EFFORTS TO PREPARE ITS STAFF AND CITIZENS TO RECOGNIZE WHEN SOMEONE SUFFERS A SUDDEN CARDIAC ARREST AND KNOW HOW TO RESPOND. MEDELIGIBLE MEDELIGIBLE SERVICES SUPPORT 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. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2015, ALLINA HEALTH INVESTED OVER $17 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. ALLINA HEALTH INVESTED MORE THAN $3.8 MILLION TOWARDS THIS RESEARCH IN 2015. IN 2015, ALLINA HEALTH WAS INVOLVED WITH A NUMBER OF CLINICAL AND CARE DELIVERY RESEARCH PROJECTS. AS FOSTERED BY THE DIVISION OF APPLIED RESEARCH, ONE OF ALLINA'S MAJOR RESEARCH TEAMS FOCUSED ON CARE DELIVERY AND POPULATION HEALTH RESEARCH, THE FOLLOWING MEASURES WERE ACHIEVED:- 51 ACTIVE RESEARCH STUDIES- 13 ACTIVE COMMUNITY PARTNERSHIP- 6 PUBLISHED MANUSCRIPTS- 19 SUBMITTED MANUSCRIPTS- 63 PRESENTATIONS (NATIONALLY AND LOCALLY) ABOUT THE RESEARCH WORK- 27 GRANT APPLICATIONS SUBMITTED- 47 PRESS RELEASES OR NEWS MENTIONS ABOUT THE WORK- 2,401 LIVES TOUCHED BY RESEARCH STUDIES- 5,313 SURVEY RESPONDENTS TO RESEARCH SURVEYS- OVER 100 ALLINA PROVIDERS AND CLINICIANS ENGAGED IN OUR RESEARCH PROJECTS- ALMOST 20 NON-ALLINA PROVIDERS ENGAGED IN OUR RESEARCH PROJECTS- 17 INITIATIVES TRANSLATED INTO PRACTICE AT ALLINA HEALTH- 4 INITIATIVES TRANSLATED INTO PRACTICE OUTSIDE OF ALLINA HEALTH- INVOLVEMENT IN 12 EXTERNAL COMMITTEES AND ADVISORY BOARDS RELATED TO OUR RESEARCH EXPERTISE- OFFERED 10 RESEARCH ROUNDS AND 29 RESEARCH ACADEMY COURSES- TAUGHT 153 INDIVIDUALS IN RESEARCH ROUNDS AND 167 IN RESEARCH ACADEMYFINANCIAL 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 2015, ALLINA HEALTH FUNDED OVER $3.1 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, FREE MEALS, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. FOR MORE, PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/AWARDSIN 2015, ALLINA HEALTH WAS RECOGNIZED FOR ITS WORK RELATED TO COMMUNITY BENEFITS, TO INCLUDE:- BUFFALO HOSPITAL WAS AWARDED $ 5,000 FROM THE GEORGE FAMILY FOUNDATION FOR BUILDING ROBUST AND SUCCESSFUL COMMUNITY CONNECTIONS OVER THE LAST THREE YEARS, BASED ON STAR MAP ANALYSIS THAT WAS DONE IN THE HEALTHTY COMMUNITIES PARTNERSHIP PROJECT. - BUFFALO HOSPITAL ALSO RECEIVED FUNDS FROM THE WRIGHT COUNTY AREA UNITED WAY TO SUPPORY MINDFULNESS, BIKE HELMETS, LET'S TALK WELLNESS AND OTHER EVIDENCE-BASED CLASSES ($ 6,500) AND HEART SAFE RECEIVED FUNDS FOR AEDS AND SUPPLIES TOTALLING MORE THAN $ 5,000.ABBOTT NORTHWESTERN HOSPITAL, BUFFALO HOSPITAL AND MERCY HOSPITAL HAVE BEEN NAMED AMONG THE NATION'S 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS, A LEADING PROVIDER OF DATA-DRIVEN ANALYTICS AND SOLUTIONS TO IMPROVE THE COST AND QUALITY OF HEALTHCARE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 39,679,357 including grants of $ ) (Revenue $ )
4e	Total program service expenses3,181,164,410

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	25,455,271	0	3,495,294

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	30,723,629
e	Government grants (contributions)		1e	9,293,708

f	All other contributions, gifts, grants, and similar amounts not included above		1f	619,923

g	Noncash contributions included in lines 1a-1f:$ 210,582
h Total.Add lines 1a-1f.......		40,637,260

			Business Code
2a	PROG.SERV.REVENUE-RELATED-990	621990	3,897,868,538	3,897,868,538
b	BAD DEBT	621990	-98,467,688	-98,467,688
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			3,799,400,850

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			77,359,559			77,359,559
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		7,470,528
b	Less: rental expenses		0
c	Rental income or (loss)		7,470,528
d	Net rental income or (loss)......			7,470,528			7,470,528
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	11,413,532	503,250,467
b	Less: cost or other basis and sales expenses	11,578,701	523,325,792
c	Gain or (loss)	-165,169	-20,075,325
d	Net gain or (loss).....			-20,240,494			-20,240,494
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		5,766,087
b	Less: direct expenses ...b		6,736,932
c	Net income or (loss) from fundraising events..			-970,845			-970,845
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	REFERENCE LAB		621500	9,654,693		9,654,693
b	ST FRANCIS MEDICAL CENTER		621990	6,006,891	6,006,891
c	HOME HEALTH CARE SERVICES		621610	4,827,089		4,827,089
d	All other revenue ....			13,277,282	6,302,883	6,974,399
e	Total. Add lines 11a–11d ......			33,765,955
12	Total revenue. See Instructions......			3,937,422,813	3,811,710,624	21,456,181	63,618,748

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,291,793	2,291,793
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	893,396	893,396
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	13,828,100		13,828,100
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	1,810,567,605	1,588,111,670	218,215,880	4,240,055
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	104,391,705	90,871,561	13,277,529	242,615
9	Other employee benefits .......	260,424,788	225,946,081	33,875,951	602,756
10	Payroll taxes ...........	118,446,970	103,106,478	15,065,211	275,281
11	Fees for services (non-employees):
a	Management ......	35,414,786	22,956,816	12,434,068	23,902
b	Legal .........	6,848,800		6,848,800
c	Accounting ...........	889,835		889,835
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	340,311,874	230,763,909	108,748,708	799,257
12	Advertising and promotion ....	3,273,545	830,776	2,441,531	1,238
13	Office expenses .......	574,633,520	547,489,126	26,765,324	379,070
14	Information technology ......	47,802,180	35,428,222	12,342,468	31,490
15	Royalties ..
16	Occupancy ...........	118,264,781	92,074,141	26,056,275	134,365
17	Travel ............	8,821,837	7,313,708	1,474,495	33,634
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,307,303	2,299,370	1,003,936	3,997
20	Interest ...........	17,104,203	17,104,203
21	Payments to affiliates .......	384,870	384,870
22	Depreciation, depletion, and amortization ..	159,437,214	119,865,816	39,450,286	121,112
23	Insurance ...	10,832,446	9,761,770	1,070,676
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MINNESOTA CARE TAX	47,043,175	47,043,175
b	MEDICAID SURCHARGE	24,004,010	24,004,010
c	INCOME TAX - UBI	1,164,643		1,164,643
d	COMMUNITY OUTREACH	470,290	340,931	126,580	2,779
e	All other expenses	27,157,655	12,282,588	13,895,865	979,202
25	Total functional expenses. Add lines 1 through 24e	3,738,011,324	3,181,164,410	548,976,161	7,870,753
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			9,870,916	1	71,390,397
2	Savings and temporary cash investments .........			6,587,707	2	6,177,408
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			701,901,971	4	743,516,656
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			9,714,336	7	7,431,066
8	Inventories for sale or use ........			55,168,135	8	61,163,338
9	Prepaid expenses and deferred charges ......			20,184,456	9	15,874,695
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,081,008,684
b	Less: accumulated depreciation	10b	1,941,418,477	1,028,425,872	10c	1,139,590,207
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			1,706,870,076	12	1,900,352,453
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			23,058,939	14	20,354,580
15	Other assets. See Part IV, line 11 ...........			95,218,891	15	95,710,104
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,657,001,299	16	4,061,560,904

17	Accounts payable and accrued expenses .....	448,690,002	17	461,085,262
18	Grants payable ...	137,901	18	0
19	Deferred revenue .........	19,598,900	19	21,130,779
20	Tax-exempt bond liabilities .........	629,425,713	20	860,579,981
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	162,900	23	130,500
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	356,863,609	25	388,404,669
26	Total liabilities. Add lines 17 through 25..	1,454,879,025	26	1,731,331,191

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,194,634,210	27	2,323,012,874
28	Temporarily restricted net assets ...........	5,392,991	28	5,118,671
29	Permanently restricted net assets	2,095,073	29	2,098,168
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,202,122,274	33	2,330,229,713
34	Total liabilities and net assets/fund balances ........	3,657,001,299	34	4,061,560,904

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No