TY 2020 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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) JENNIFER DECUBELLIS MA...................................................................... CEO/SEC/TREAS (EFFECTIVE 2/17/20)	40.00 .................	X	X	540,630	0	45,807
(2) JOHN CUMMING MD MBA...................................................................... CEO/SEC/TREAS (1/1/20-2/17/20)	40.00 .................	X	X	532,594	0	53,159
(3) ARTI PRASAD MD...................................................................... DIRECTOR/PHYSICIAN	40.00 .................	X		507,003	0	45,064
(4) THOMAS WYATT MD...................................................................... DIRECTOR/PHYSICIAN	40.00 .................	X		464,272	0	53,417
(5) IRENE FERNANADO...................................................................... DIRECTOR	2.00 ................. 40.00	X		0	116,084	22,046
(6) MARION GREENE MBA...................................................................... DIRECTOR	2.00 ................. 40.00	X		0	111,569	15,644
(7) STEVEN THOMPSON...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(8) CRAIG WARREN...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(9) DIANA VANCE-BRYAN BSN JD...................................................................... CHAIR	2.00 .................	X	X	0	0	0
(10) BRIAN RANALLO...................................................................... DIRECTOR/CHAIR - FINANCE & AUDIT CMTES	2.00 .................	X		0	0	0
(11) KRIS PETERSEN MBA...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(12) JACOB GAYLE PHD...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(13) DAVID YBARRA II...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(14) KATHRYN TUNHEIM...................................................................... DIRECTOR/CHAIR-MISSION EFFECTIVENESS CMTE	2.00 .................	X		0	0	0
(15) MELISSA IRVING...................................................................... DIRECTOR	2.00 .................	X		0	0	0
(16) BROCK NELSON...................................................................... VICE CHAIR	2.00 .................	X	X	0	0	0
(17) DERRICK HOLLINGS CPA INACTIVE...................................................................... CHIEF FINANCIAL OFFICER	40.00 .................		X	613,786	0	54,132

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) EMILY BLOMBERG MHA........................................................................ CHIEF OPERATING OFFICER	40.00 .......................	X			466,965	0	56,710
(19) THERESA PESCH RN........................................................................ VP PHILANTHROPY - HHF PRESIDENT	40.00 .......................	X			316,276	0	53,203
(20) WALTER CHESLEY JD........................................................................ CHIEF HUMAN RESOURCES OFFICER (1/1/20-8/26/20)	40.00 .......................	X			293,181	0	41,406
(21) LORI BROWN DHA RN MSN CENP........................................................................ CHIEF NURSING OFFICER (1/1/20-8/19/20)	40.00 .......................	X			282,091	0	41,401
(22) KELSEY LAWSON........................................................................ CHIEF COMPLIANCE OFFICER	40.00 .......................	X			259,809	0	48,010
(23) DANIEL HOODY MD MSC........................................................................ INTERIM CHIEF MEDICAL OFFICER	40.00 .......................	X			485,859	0	40,948
(24) THOMAS BERGMAN MD........................................................................ PHYSICIAN	40.00 .......................		X		1,059,536	0	45,064
(25) WALTER GALICICH MD........................................................................ PHYSICIAN - MANAGING	40.00 .......................		X		853,264	0	50,712
(26) CONSTANTIN STARCHOOK MD........................................................................ PHYSICIAN - MANAGING	40.00 .......................		X		709,333	0	50,712
(27) CHAD RICHARDSON MD........................................................................ PHYSICIAN CHIEF	40.00 .......................		X		693,928	0	50,712
(28) GOPAL PUNJABI MD........................................................................ PHYSICIAN	40.00 .......................		X		687,812	0	50,712
(29) WILLIAM HEEGAARD MD........................................................................ FORMER KEY EMPLOYEE	40.00 .......................			X	259,339	0	20,669

(A) Name and business address	(B) Description of services	(C) Compensation
AGILITI HEALTH INC 2020 E 28TH STREET SUITE 108 MINNEAPOLIS,MN55407	BIOELECTRONICS	8,662,530
UNIVERISTY OF MINNESOTA 2221 UNIVERSITY AVE SE STE 100 MINNEAPOLIS,MN55414	EDUCATION AND TRAINING	7,696,015
M A MORTENSON COMPANY 700 MEADOW LN N GOLDEN VALLEY,MN55422	CONTRUCTION	6,414,914
INSIGHT PUBLIC SECTOR 6820 S HARL AVE TEMPE,AZ85283	INFO TECHNOLOGY	4,617,124
EPIC SYSTEMS CORP BOX 88314 MILWAUKEE,WI532880314	INFO TECHNOLOGY	4,094,775
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 284

- 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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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2020

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 (explain in Part VI). 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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization HENNEPIN HEALTHCARE SYSTEM INC

Part I Contributors	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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization HENNEPIN HEALTHCARE SYSTEM INC		Employer identification number 42-1707837

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization HENNEPIN HEALTHCARE SYSTEM INC			Employer identification number 42-1707837
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) (2020)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

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

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2020

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.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................	185,862	0
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	0	0
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	185,862	0
d	Other exempt purpose expenditures ...............................................................................	117,738,934
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	117,924,796	0
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	0
	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) .................................................	250,000	0
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	193,815	159,948	181,132	185,862	720,757

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	193,815	159,948	181,132	185,862	720,757

Schedule C (Form 990 or 990-EZ) 2020

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|No

(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? ...........................................................................................................

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

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

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

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? .......................

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

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

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

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 I-A, LINE 1:	HENNEPIN HEALTHCARE SYSTEM INC. HAS A SERVICE AGREEMENT IN FORCE WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASSROOT LOBBYING SERVICES RELATED TO THE MISSION AND PURPOSE OF HHS. IN ADDITION, HHS IS ASSOCIATED WITH ORGANIZATIONS SUCH AS MINNESOTA HOSPITAL ASSOCIATION, AMERICA'S ESENTIAL HOSPITALS, AND THE NATIONAL ASSOCIATION OF CHILDREN HOSPITALS WHICH ENGAGE IN LOBBYING ACTIVITIES AT THE STATE AND NATIONAL LEVEL ON BEHALF OF ITS MEMBER ENTITIES. THE GRASSROOTS LOBBYING EXPENSES ARE MADE UP AS BELOW: AMERICAS ESSENTIAL HOSPITALS - $6,210 HENNEPIN COUNTY IGR SHARED AGREEMENT - $140,000 TARA ERICKSON - $25,000 NATIONAL ASSOCIATION OF CHILDREN HOSPITALS (NACH) - $3,703 SAFETY NET HOSPITALS PHARM ACCESS - $862 MINNEAPOLIS DOWNTOWN COUNCIL - $41 MN HOSPITAL ASSOCIATION - $6,046 MISC. OTHER FROM GL - $4,000 TOTAL GRASSROOTS LOBBYING EXPENTITURES - $185,862

Return Reference

Explanation

PART I-A, LINE 1:

HENNEPIN HEALTHCARE SYSTEM INC. HAS A SERVICE AGREEMENT IN FORCE WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASSROOT LOBBYING SERVICES RELATED TO THE MISSION AND PURPOSE OF HHS. IN ADDITION, HHS IS ASSOCIATED WITH ORGANIZATIONS SUCH AS MINNESOTA HOSPITAL ASSOCIATION, AMERICA'S ESENTIAL HOSPITALS, AND THE NATIONAL ASSOCIATION OF CHILDREN HOSPITALS WHICH ENGAGE IN LOBBYING ACTIVITIES AT THE STATE AND NATIONAL LEVEL ON BEHALF OF ITS MEMBER ENTITIES. THE GRASSROOTS LOBBYING EXPENSES ARE MADE UP AS BELOW: AMERICAS ESSENTIAL HOSPITALS - $6,210 HENNEPIN COUNTY IGR SHARED AGREEMENT - $140,000 TARA ERICKSON - $25,000 NATIONAL ASSOCIATION OF CHILDREN HOSPITALS (NACH) - $3,703 SAFETY NET HOSPITALS PHARM ACCESS - $862 MINNEAPOLIS DOWNTOWN COUNCIL - $41 MN HOSPITAL ASSOCIATION - $6,046 MISC. OTHER FROM GL - $4,000 TOTAL GRASSROOTS LOBBYING EXPENTITURES - $185,862

Schedule C (Form 990 or 990EZ) 2020

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2020

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 ....	4,499,444	3,831,680	3,900,760	3,199,505	3,153,016
b	Contributions ...
c	Net investment earnings, gains, and losses	734,985	667,764	-69,080	701,255	46,489
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	5,234,429	4,499,444	3,831,680	3,900,760	3,199,505

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

35.970 %

Term endowment SchDMd Bullet

64.030 %

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)

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

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 .....	36,903,616		36,903,616
b	Buildings ....	618,316,938	313,162,755	305,154,183
c	Leasehold improvements	19,484,078	9,755,141	9,728,937
d	Equipment ....	293,799,028	226,884,141	66,914,887
e	Other .....	7,340,265	4,310,460	3,029,805
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				421,731,428

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)LONG-TERM INVESTMENT SAVINGS				106,254,542
(2)OTHER ASSETS				9,966,207
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				116,220,749

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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	556,407,404
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) 2020

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	1,139,801,477
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-2,131,460
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-72,093,587
e	Add lines 2a through 2d .....................			2e	-74,225,047
3	Subtract line 2e from line 1..................			3	1,214,026,524
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	701,230
c	Add lines 4a and 4b....................			4c	701,230
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,214,727,754

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	1,100,129,983
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	889,871
e	Add lines 2a through 2d....................			2e	889,871
3	Subtract line 2e from line 1...................			3	1,099,240,112
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	73,684,684
c	Add lines 4a and 4b.....................			4c	73,684,684
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,172,924,796

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:	THE ENDOWMENT CONSISTS ENTIRELY OF DONOR-RESTRICTED FUNDS ESTABLISHED TO SUPPORT RESEARCH ACTIVITIES AND THE NON-SURGERY ENDOWMENT. HHS POLICY PROVIDES FOR THE ABILITY TO APPROPRIATE FOR DISTRIBUTION EACH YEAR AN AGREED PROPORTION PLUS RELATED ACCUMULATED EARNINGS BASED UPON BALANCES OF THE PRECEDING YEAR AND MAINTAINING A RECOMMENDED PURCHASING POWER OF THE ENDOWMENT. DISTRIBUTIONS ARE NOT MADE IN PERIODS SUBSEQUENT TO A DETERMINATION THAT THE FAIR MARKET VALUE OF THE PERMANENTLY RESTRICTED NET ASSETS FALLS BELOW CORPUS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT RECLASS -72,093,587.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	HHF REIMBURSEMENTS - RECLASSED FROM EXPENSE 1,591,101. RENTAL EXPENSE RECLASSED TO REVENUE -821,666. ASSET DISPOSAL - RECLASSED FROM EXPENSE -68,205.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE RECLASSED TO REVENUE 821,666. ASSET DISPOSAL RECLASSED TO REVENUE 68,205.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT RECLASS 72,093,587. RELATED PARTY REIMBURSEMENTS 1,591,101. ROUNDING -4.

Schedule D (Form 990) 2020

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 30000.0000000000 %

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: . . . . . . . .

Yes

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? . . . . . .

Yes

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		(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) . . .	14,938,302		14,938,302	1.360 %
b	Medicaid (from Worksheet 3, column a) . . . . .	410,605,837	382,084,968	28,520,869	2.590 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	425,544,139	382,084,968	43,459,171	3.950 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,654,350	5,310,627	343,723	0.030 %
f	Health professions education (from Worksheet 5) . . .	67,422,752	46,268,068	21,154,684	1.920 %
g	Subsidized health services (from Worksheet 6) . . . .	7,808,765	7,030,891	777,874	0.070 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	80,885,867	58,609,586	22,276,281	2.020 %
k	Total. Add lines 7d and 7j .	506,430,006	440,694,554	65,735,452	5.970 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1	1,204,000	1,150,000	54,000	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1	1,204,000	1,150,000	54,000	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

72,093,587

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. ......

732,986

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).....

187,597,264

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

273,638,191

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

-86,040,927

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

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?1Name, 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)								Other (describe)
1	HENNEPIN HEALTHCARE SYSTEM INC 701 PARK AVENUE MINNEAPOLIS,MN55415 HTTPS://WWW.HENNEPINHEALTHCARE.ORG 376138	X	X	X	X	X	X	LEVEL 1 TRAUMA HOSPITAL

Schedule H (Form 990) 2020

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)

	HENNEPIN HEALTHCARE SYSTEM INC
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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..................................

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. ............................

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): WWW.HENNEPINHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/

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 19

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

Yes

If "Yes" (list url): WWW.HENNEPINHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HENNEPIN HEALTHCARE SYSTEM INC
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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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)

Was widely publicized 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.HENNEPINHEALTHCARE.ORG/BILLING/FINANCIAL-HELP/

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

WWW.HENNEPINHEALTHCARE.ORG/BILLING/HENNEPIN-CARE/

A plain language summary of the FAP was widely available on a website (list url):
WWW.HENNEPINHEALTHCARE.ORG/BILLING/FINANCIAL-HELP/

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

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

	HENNEPIN HEALTHCARE SYSTEM INC
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
HENNEPIN HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 3J: AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HHS IS REQUIRED TO PREPARE "A HEALTH SERVICES PLAN THAT DRAWS INPUT FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS." THE HEALTH SERVICES PLAN IS ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, AND IS APPROVED EVERY THREE YEARS.
HENNEPIN HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 5: STARTING IN TAX YEARS BEGINNING AFTER MARCH 23, 2012, THE AFFORDABLE CARE ACT REQUIRED 501(C)(3) NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY AT LEAST ONCE EVERY THREE YEARS. WITH CONSIDERABLE ENGAGEMENT AND INPUT FROM A BROAD GROUP OF INTERNAL AND COMMUNITY STAKEHOLDERS, THE 2019 CHNA IDENTIFIED ONE OVERARCHING PRIORITY HEALTH NEED; IMPROVING ACCESS TO CULTURALLY RESPONSIVE CARE AND SERVICES. FOLLOWING THE COMPLETION OF THE CHNA, HHS CONTINUED TO ENGAGE WITH A BROAD RANGE OF COMMUNITY STAKEHOLDERS TO GAIN ADDITIONAL INSIGHT INTO THE DIMENSIONS OF CULTURALLY RESPONSIVE CARE AND TO DETERMINE SPECIFIC FOCUS AREAS FOR THE 2020 - 2022 CHNA IMPLEMENTATION PLAN. HHS HELD COMMUNITY LISTENING SESSIONS IN FIVE LOCATIONS IN OUR PRIMARY SERVICE AREA. ALL INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE INVITED TO ATTEND. IN ADDITION, INFORMATION AND AN OPEN INVITATION TO EACH MEETING WAS POSTED ON THE HHS SOCIAL MEDIA SITES AND POSTERS WERE DISPLAYED IN PUBLIC SITES NEAR EACH OF THE COMMUNITY LISTENTING SITES. BASED ON THE INPUT FROM THE LISTENING SESSIONS, OUR 2020 - 2022 CHNA IMPLEMENTATION PLAN FOCUSES ON FOUR AREAS: INCREASING KNOWLEDGE RELATED TO CULTURALLY RESPSONSIVE CARE; DEVELOPING A WORKFORCE, AT ALL LEVELS, THAT IS MORE REFLECTIVE OF THE COMMUNITIES WE SERVE; IMPLEMENTING CULTURALLY RESPONSE CLINICAL PRACTICES, CARE MODELS, AND POLICIES; AND IMPROVING OUR ENVIRONMENT AND NAVIGATION TO CULTURALLY RESPONSIVE SERVICES. ACROSS ALL FOUR FOCUS AREAS, WE WILL INCREASE COMMUNITY PARTNERHIPS AND VOICE IN ALL ASPECTS OF THE WORK.FOLLOWING THE COMPLETION OF THE CHNA AND IMPLEMENTATION PLAN, HHS BUILT CULTURALLY RESPONSIVE CARE INTO THE THE ORGANIZATION STRATEGIC PLAN. AS A FIRST STEP, WE CONDUCTED AN INTITAL ASSESSMENT OF CURRENT PRACTICES AND POLICES RELATED TO PROVIDING CULTURALLY RESPONSIVE CARE. USING THE CULTURALLY COMPETENT ASSESSMENT TOOL FOR HOSPITALS (CCATH), HHS ESTABLISHED A BASELINE SCORE AND SET 2020 IMPROVEMENT GOALS.SPECIFIC COMMUNITY ENGAGEMENT APPROACHES THROUGHOUT THE ASSESSEMENT, PRIORITIZATION, AND IMPLEMENTATION PLANNING PROCESS INCLUDED:CHNA: KEY INFORMANT INTERVIEWS:A TOTAL OF 138 KEY INFORMATION INTERVIEWS INFORMED THE CHNA. INTERVIEWEES INCLUDED INTERNAL AND COMMUNITY INDIVIDUALS IN LEADERSHIP POSITIONS IN THEIR ORGANIZATIONS, INDIVIDUALS WORKING IN DIRECT SERVICE AND FRONT LINE POSITIONS WITH ONE OR MORE OF THE COMMUNITIES WE SERVE, AND INDIVIDUAL COMMUNITY MEMBERS. REPRESENTATIVES FROM THE FOLLOWING INTERNAL DEPARTMENT AND COMMUNITY ORGANIZATIONS PROVIDED INPUT AND INSIGHT INTO CURRENT AND EMERGING HEALTH NEEDS WITHIN THE COMMUNITIES WE SERVE: ABDI ALI, LLC AFRICAN COMMUNITY SERVICESAFRICAN-AMERICAN LEADERSHIP FORUMAHAVAH BIRTHWORKS (CULTURALLY CONGRUENT DOULA AGENCY)AMHERST H WILDER FOUNDATIONAQUI PARA TI (FOCUS ON LATINO YOUTH AND FAMILY)CITY OF BLOOMINGTON-PUBLIC HEALTHCENTER FOR INTERNATIONAL HEALTH CLUES (COMUNIDADES LATINAS UNIDAS EN SERVICIO)COMMUNITY MEMBERSFIRST COVENANT CHURCH, MINNEAPOLISGREAT LAKES INTER-TRIBAL COUNCIL (NATIVE AMERICAN FOCUS)HEAD START, MINNEAPOLISHENNEPIN COUNTY- ADMINISTRATIONHENNEPIN COUNTY- OFFICE OF MULTI-CULTURAL AFFAIRSHENNEPIN COUNTY- OPIOID STRATEGYHENNEPIN HEALTH COMMUNITY OUTREACH HENNEPIN COUNTY-PUBLIC HEALTH HENNEPIN HEALTHCARE-ADDICTION MEDICINEHENNEPIN HEALTHCARE-CLINICSHENNEPIN HEALTHCARE-COMMUNITY HEALTH WORKERSHENNEPIN HEALTHCARE-SOCIAL WORKERSHENNEPIN HEALTHCARE-INTERPRETER SERVICES HENNEPIN HEALTHCARE-NEXT STEP PROGRAM (HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM)HENNEPIN HEALTHCARE-HEALTH SERVICES RESEARCHHENNEPIN HEALTHCARE-PATIENT ADVOCATE HENNEPIN HEALTHCARE-COMMUNITY ADVISORY BOARDHENNEPIN HEALTHCARE-PSYCHIATRY HOLY ROSARY CHURCH HOUSE OF CHARITYCITY OF RICHFIELDMERIDIAN BEHAVIORAL HEALTHMID MINNESOTA LEGAL AIDMINNEAPOLIS DEPARTMENT OF HEALTH-INFANT MORTALITYMINNESOTA DEPARTMENT OF HEALTH-AMERICAN INDIAN HEALTH MINNESOTA DEPARTMENT OF HUMAN SERVICESMINNESOTA INDIAN WOMEN'S RESOURCE CENTERMINNEAPOLIS PUBLIC HEALTH MINNEAPOLIS POLICE DEPARTMENT COMMUNITY LIAISON PROGRAM MINNEAPOLIS PUBLIC SCHOOLSMVNA FAMILY HEALTHNAMI MN-COMMUNITY OUTREACH AND ENGAGEMENTNAMI MN-MULTICULTURAL OUTREACHNORTHPOINT HEALTH AND WELLNESS CENTER NORTHSIDE ACHIEVEMENT ZONE (NORTH MINNEAPOLIS FOCUS) PEOPLE SERVING PEOPLE (SERVING HOMELESS FAMILIES WITH CHILDREN)PFUND FOUNDATION (LGBTQ FOCUS)RAMSEY COUNTY PUBLIC HEALTH SECOND HARVEST HEARTLAND (FOOD ACCESS)STAIRSTEP FOUNDATION (AFRICAN AMERICAN FOCUS)STREET VOICES OF CHANGE (HOMELESSNESS ADVOCACY)THE CULTURAL WELLNESS CENTERTHE FOOD GROUP TURNING POINT (ADDICTION TREATMENT FOR AFRICAN AMERICAN MEN)UNIVERSITY OF MN DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH UPSTREAM HEALTH INNOVATIONS WAY TO GROW (EARLY CHILDHOOD)STRUCTURED PRIORITIZATION PROCESS TO SELECT THE TOP PRIORITY NEED:A TOTAL OF 25 INDIVIDUALS FROM THE ORGANIZATIONS LISTED ABOVE PARTICIPATED IN THE PROCESS OF DETERMINING THE TOP PRIORITY NEED. DETERMINATION OF FOCUS AREAS FOR THE 2020 - 2022 CHNA IMPLEMENTATION PLAN:50 COMMUNITY MEMBERS PARTICIPATED IN ONE OF 5 LISTENING SESSIONS FOCUSED ON CULTURALLY RESPONSIVE CARE. THE SESSIONS WERE HELD IN COMMUNITY SPACES IN DIFFERENT LOCATIONS ACROSS MINNEAPOLIS. FOUR SESSIONS WERE HELD IN ENGLISH, ONE IN SPANISH. TO LEARN MORE ABOUT THE CHNA AND IMPLEMENTATION PLANNING PROCESSES AND FINDINGS, VISIT THE THE HHS WEBSITE: WWW.HENNEPINHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT TO READ THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2020 - 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN HEALTH-SERVICES PLAN
HENNEPIN HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 11: HHS HAS A LONG-STANDING COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. HHS HAS CREATED A MULTI-YEAR IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. DURING THE CHNA PROCESS A STRUCTURED COMMUNITY PRIORITIZATION PROCESS WAS USED TO LOOK AT THE RANGE OF HEALTH NEEDS IDENTIFIED THROUGH DATA REVIEW AND COMMUNITY ENGAGEMENT THROUGH KEY INFORMANT INTERVIEWS. DURING THE PRIORITIZATION PROCESS, PARTICIPANTS WERE ABLE TO REVIEW, DISCUSS, AND PRIORITIZE A RANGE OF COMMUNITY IDENTIFIED HEALTH NEEDS THROUGH A VOTING PROCESS, THE PARTICIPANTS INDICATED PRIORITY LEVELS FOR EACH NEED. THE VOTES FOR IMPROVING ACCESS TO CULTURALLY RESPONSIVE CARE FAR EXCEEDED ANY OTHER NEED. AS A RESULT OF THE PRIORITIZATION PROCESS AND VOTE, HHS DECIDED TO FOCUS ON ONE OVERARCHING NEED. OTHER POTENTIAL FOCUS AREAS WERE NOT INCLUDED IN THE IMPLEMENTATION PLAN AS A RESULT. WHILE THESE OTHER AREAS WERE DEEMED IMPORTANT, THEY DID NOT RISE TO THE SAME LEVEL OF PRIORITY AS THE AREAS SELECTED.IN DEVELOPING THE IMPLEMENTATION PLAN, HHS HAS IDENTIFIED KEY COLLABORATIVE PARTNERS IN THE COMMUNITY. WHENEVER POSSIBLE, HHS SEEKS TO WORK WITH COMMUNITY PARTNERS TO DEVELOP AND DESIGN COLLABORATIVE ACTIONS AS A WAY OF ADDRESSING PRIORITY NEEDS. RECOGNIZING THAT COLLABORATIVE EFFORTS INVOLVING HHS STAKEHOLDERS AND COMMUNITY PARTNERS ARE THE MOST LIKELY TO YIELD POSITIVE IMPACTS, HHS' CHNA IMPLEMENTATION PLANNING AND ACTION WILL CONTINUE TO BE DIRECTED FROM THE POPULATION HEALTH DEPARTMENT.DUE TO COVID 19, MUCH OF THE IMPLEMENTATION WORK PLANNED FOR 2020 WAS PUT ON HOLD. INSTEAD, HHS BROUGHT A CULTURALLY RESPONSIVE LENS TO EFFORTS TO KEEP OUR COMMUNITIES INFORMED ABOUT PANDEMIC GUIDELINES AS THEY EVOLVED IN WAYS THAT WERE ACCESSIBLE AND MEANINGFUL AND THAT ADDRESSED SPECIFIC COMMUNITY QUESTIONS AND CONCERNS. IN ADDITION, HHS ADOPTED APPROACHES TO ENSURE COMMUNITIES AT GREATER RISK FOR INFECTION AND/OR SEVERE ILLNESS HAD ACCESS TO TESTING. COMMUNITY PARTNERSHIPS PLAYED A KEY ROLE IN ACCOMPLISHING THIS GOAL.
HENNEPIN HEALTHCARE SYSTEM, INC.	PART V, SECTION B, LINE 16J: PATIENTS CAN REQUEST TO SEE FINANCIAL COUNSELORS WHO CAN HELP DETERMINE ELIGIBILITY FOR MANY FINANCIAL ASSISTANCE PROGRAMS. UPON REGISTRATION, PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY HHS AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HHS HAS AN ONLINE PATIENT BILLING PORTAL ON THE HENNEPINHEALTHCARE.ORG WEBSITE THAT HELPS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. WALK IN FINANCIAL COUNSELLING SERVICES ARE AVAILABLE IN MULTIPLE LOCATIONS ON THE DOWNTOWN CAMPUS AND IN NEIGHBORHOOD CLINICS.

Schedule H (Form 990) 2020

Page 9

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?53
Name and address		Type of Facility (describe)
1	1 - HHS CLINICS - 39 CLINICS 701 PARK AVENUE MINNEAPOLIS,MN55415	HOSPITAL-BASED UNDER NPI 1407897309 - OUTPATIENT & SPECIALTY CARE SERVICE
2	2 - HHS PHARMACIES - 9 LOCATIONS 701 PARK AVENUE MINNEAPOLIS,MN55415	PHARMACY SERVICES
3	3 - HHS - BE WELL CLINIC 701 PARK AVENUE MINNEAPOLIS,MN55415	FREE STANDING CLINIC
4	4 - HHS - GOLDEN VALLEY CLINIC 5653 DULUTH STREET GOLDEN VALLEY,MN55422	FREE STANDING CLINIC
5	5 - HHS - NORTH LOOP CLINIC 800 WASHINGTON AVENUE NORTH SUITE 190 MINNEAPOLIS,MN55401	FREE STANDING CLINIC
6	6 - HHS - RICHFIELD CLINIC 790 WEST 66TH STREET RICHFIELD,MN55423	FREE STANDING CLINIC
7	7 - HHS - ST ANTHONY VILLAGE CLINIC 2714 HIGHWAY 88 ST ANTHONY,MN55418	FREE STANDING CLINIC
8
9
10

Schedule H (Form 990) 2020

Page 10

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:	PATIENTS APPLYING FOR CHARITY CARE WITH LIQUID ASSETS GREATER THAN $6,000 IN THE CASE OF A FAMILY AND $3,000 IN THE CASE OF AN INDIVIDUAL WILL BE REQUIRED TO PAY FOR THEIR INPATIENT MEDICAL CARE. IF, AFTER SUCH PAYMENT IN FULL OR PART, THE PATIENT'S LIQUID ASSETS FALL BELOW THE THRESHOLDS EXPRESSED ABOVE, THE PATIENT WILL THEN BECOME ELIGIBLE FOR CHARITY CARE.
PART I, LINE 7:	THE COSTS REPORTED IN PART I, LINES 7A-B WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM IRS WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. COSTS REPORTED IN LINE 7E-G WERE ACTUAL COSTS INCURRED BY HHS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 72,093,587.
PART II, COMMUNITY BUILDING ACTIVITIES:	HHS PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. HHS COORDINATED THE DEVELOPMENT OF THE METROPOLITAN HOSPITAL COMPACT, BRINGING COMMUNITY HOSPITALS TOGETHER TO COORDINATE DISASTER PREPAREDNESS AND RESPONSE. AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE 7 COUNTY METRO REGIONS (2.6M MN PEOPLE) HHS COORDINATES 30 HOSPITALS AND THEIR AFFILIATED CLINICS, LONG TERM CARE FACILITIES AND THE UNAFFILIATED CLINICS.HHS IS A PARTICIPANT IN THE SUSPECTED CHILD ABUSE AND NEGLECT TEAM (SCANT). SCANT IS A MULTI-DISCIPLINARY, INTERDEPARTMENTAL TEAM OF PROFESSIONALS FROM HHS, INCLUDING PEDIATRICIANS, SOCIAL WORKERS, NURSES, CHAPLAINS, AND PSYCHOLOGISTS, AS WELL AS INDIVIDUALS FROM COLLABORATING AGENCIES INCLUDING THE MINNEAPOLIS POLICE DEPARTMENT, HENNEPIN COUNTY CHILD PROTECTION, THE HENNEPIN COUNTY ATTORNEY'S OFFICE, AND THE HENNEPIN COUNTY MEDICAL EXAMINER'S OFFICE. HHS IS A SITE FOR THE SUMMER MEALS PROGRAMS THROUGH THE US DEPARTMENT OF AGRICULTURE. APPROXIMATELY 1,100 CHILDREN RECEIVE FREE BREAKFAST OR LUNCH EVERY DAY DURING THE SUMMER. HOWEVER DUE TO THE COVID-19 PANDEMIC, THE PROGRAM WAS SUSPENDED IN 2020.
PART III, LINE 2:	BAD DEBT EXPENSE IN THE AMOUNT OF $72,093,587 IS THE AMOUNT RECORDED DURING 2020, WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ON-GOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE.
PART III, LINE 3:	THE COST OF CHARGES WRITTEN OFF AS BAD DEBT EXPENSE TOTALED $72,093,587 FOR 2020. THIS WAS CALCULATED AS THE PERCENTAGE OF ADJUSTED PATIENT CHARGES DIVIDED BY OPERATING EXPENSE TO ACHIEVE A COST TO CHARGE RATIO. THE BAD DEBT AMOUNT IS THE PRODUCT OF THE RATIO OF THE COST TO CHARGES MULTIPLIED BY THE BAD DEBT EXPENSE.HHS, INC. COLLECTIONS/CUSTOMER SERVICE AREAS PROCESS DISCOUNT ADJUSTMENTS TO PATIENT ACCOUNTS SUBJECT TO PROPER ADJUSTMENT APPROVALS AND GUIDELINES. PATIENTS ARE ELIGIBLE FOR DISCOUNTS BASED ON PATIENT HOUSEHOLD SIZE AND INCOME IN RELATION TO FEDERAL POVERTY GUIDELINES. PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT PROGRAMS ARE REQUIRED TO APPLY FOR THOSE PROGRAMS. IF BENEFITS ARE DENIED, THE APPROPRIATE APPLICABLE DISCOUNT SHALL APPLY. FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS' NET AND GROSS INCOME AND FAMILY SIZE TO DETERMINE THE APPROPRIATE DISCOUNT. HHS USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND CHARITY CARE.
PART III, LINE 4:	HHS INCLUDES DISCUSSION OF ACCOUNTS RECEIVABLE AND BAD DEBT EXPENSE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGES 9 AND 10.
PART III, LINE 8:	IN THE COMMUNITY BENEFIT FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS, MEDICARE SHORTFALL IS CONSIDERED AN ADDITIONAL COMMUNITY CONTRIBUTION, NOT INCLUDED IN COMMUNITY BENEFIT. THE SHORTFALL IS CALCULATED BY SUBTRACTING MEDICARE REVENUE FROM MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DETERMINED BY MULTIPLYING ALL MEDICARE CHARGES BY THE 2020 COST TO CHARGE RATIO.
PART III, LINE 9B:	HHS USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF-PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HHS, AS A GOVERNMENT ENTITY, IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HHS TO SUBMIT CLAIMS AGAINST PATIENT INCOME TAX REFUNDS, PROPERTY TAX REFUNDS, AND LOTTERY WINNINGS TO RECOVER PAST DUE BALANCES AFTER OTHER COLLECTION EFFORTS ARE EXHAUSTED.
PART VI, LINE 2:	HHS PARTNERS WITH THE COMMUNITY, THE PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH. HHS DOES NOT PARTICIPATE IN ANY OTHER FORMAL, EXTERNALLY MANDATED ASSESSMENTS LIKE THE CHNA. HOWEVER, LEADERS ARE CONTINUALLY WORKING TO UNDERSTAND THE NEEDS OF THE COMMUNITY THROUGH THE VOICE OF COMMUNITY MEMBERS WHO SERVE ON THE BOARD OF DIRECTORS AND BOARD SUBCOMMITTEES. IN ADDITION, HHS HAS A COMMUNITY ADVISORY BOARD COMPRISED OF INDIVIDUALS WHO REPRESENT THE DIVERSE COMMUNITIES WE SERVE. WE ALSO UTILIZE PATIENT-FAMILY ADVISORY GROUPS THAT SERVE A KEY ADVISING AND INFORMING ROLE ABOUT SERVICES AND PROCESSES OF THE HEALTH SYSTEM. STARTING THE SUMMER OF 2020, HHS INITIATED A SERIES OF VIRTUAL COMMUNITY CONVERSATIONS BETWEEN HHS (LEADERS, PROVIDER, STAFF) AND LEADERS AND MEMBERS OF FOUR OF OUR LARGEST CULTURAL COMMUNITIES: AFRICAN AMERICAN, SOMALI, AMERICAN INDIAN, AND LATINX. THESE ONGOING CONVERSATIONS PROVIDE A FORUM FOR HONEST ENGAGEMENT PROVIDING OPPORTUNITIES FOR COMMUNITIES TO VOICE PRESSING CONCERNS, ASK QUESTIONS, AND POINT TO NEEDED CHANGES. THESE ONGOING CONVERSATIONS PROVIDE AN INFORMAL AVENUE FOR KEEPING ABREAST OF COMMUNITY NEEDS.
PART VI, LINE 3:	HHS FINANCIAL ASSISTANCE POLICY IS INTENDED FOR PATIENTS WHO NEED HELP PAYING FOR EMERGENCY OR MEDICALLY NECESSARY CARE THEY RECEIVE AT A HENNEPIN HEALTHCARE SYSTEM FACILITY OR BY A HENNEPIN HEALTHCARE SYSTEM PROVIDER. WE ARE COMMITTED TO PROVIDING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE, INCLUDING THOSE WHO ARE NOT ABLE TO PAY FOR THAT CARE. PATIENTS REQUESTING FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE MUST FILL OUT AN APPLICATION TO APPLY AND MUST MEET THE ELIGIBILITY REQUIREMENTS TO QUALIFY.THE FINANCIAL ASSISTANCE PROGRAM HELPS LOW-INCOME, UNINSURED, OR UNDERINSURED PATIENTS WHO NEED HELP PAYING FOR ALL OR PART OF THEIR MEDICAL CARE. PATIENTS ARE ELIGIBLE FOR A HHS FINANCIAL ASSISTANCE PROGRAM WHEN THEIR FAMILY INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL (FPL).DISCOUNTS FOR PATIENTS WITHOUT INSURANCE ARE ALSO AVAILABLE FOR INCOMES EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL. EVALUATION OF OTHER CRITERIA MAY BE REQUIRED FOR ALL DISCOUNTS. PATIENTS WHO ARE ELIGIBLE FOR HHS FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO PATIENTS WITH INSURANCE (AGB, AS DEFINED BY IRS SECTION 501(R)).PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IS A FUNCTION OF THE FINANCIAL ASSISTANCE PROGRAM THAT IS ADMINISTERED THROUGH FINANCIAL COUNSELING SERVICES. A HENNEPIN HEALTHCARE FINANCIAL COUNSELOR EDUCATES AND ANSWERS FINANCIAL ASSISTANCE PROGRAM QUESTIONS AND HELPS DETERMINE THE PATIENT'S ELIGIBILITY. THE FINANCIAL COUNSELLOR HELPS ELIGIBLE PATIENTS TO COMPLETE A SIMPLE APPLICATION.
PART VI, LINE 4:	HHS IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. HHS PROVIDES MORE CARE TO VULNERABLE POPULATIONS THAN ANY OTHER HOSPITAL, UP TO 20% OF CARE GIVEN STATEWIDE TO MINNESOTANS ON PUBLIC PROGRAMS. HHS HOUSES THE HENNEPIN REGIONAL POISON CENTER WHICH SERVES MINNESOTA AND SOUTH AND NORTH DAKOTA. FINALLY, HHS SERVES AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE SEVEN-COUNTY METRO AREA COMPACT ON EMERGENCY PREPAREDNESS. HHS INCLUDES 5 FREE STANDING CLINICS, 9 PHARMACIES, AND 39 HOSPITAL-BASED PRIMARY AND SPECIALTY CLINICS.OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTHCARE FOUNDATION, A 501(C)(3) NON- PROFIT ORGANIZATION, FOSTERS A MISSION THAT "INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES."
PART VI, LINE 5:	HHS PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM (MHCP) RECIPIENTS AND THE UNINSURED THAN DO OUR NON-TEACHING PEERS, NEARLY 50% OF HHS' VOLUME IS PROVIDED TO LOW INCOME POPULATIONS. HHS IS MINNESOTA'S LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN. HHS TREATS HENNEPIN COUNTY'S AND THE REGION'S MORE SEVERELY ILL PATIENTS, SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES. HHS' PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGION'S EMERGENCY PREPAREDNESS AND STAND-BY CAPABILITIES. HHS PROVIDES MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS INTENSIVE NEONATAL CARE, ORGAN TRANSPLANTATION, ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGION'S POPULATION. HHS FACILITATES THE TRANSITIONS OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM HEALTH CARE PROVISION SYSTEM AND HELPS TO RAISE THE REGIONAL HEALTH PROVISION STANDARDS.
PART VI, LINE 6:	HENNEPIN HEALTHCARE SYSTEM (HHS) IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTHCARE FOUNDATION, A 501(C)(3) NON-PROFIT ORGANIZATION, FOSTERS A MISSION THAT "INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES."HENNEPIN HEALTHCARE RESEARCH INSTITUTE (HHRI), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH HHRI INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule H (Form 990) 2020

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number
42-1707837

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	(h) Purpose of grant or assistance
(1) CHILDREN HOSPITAL & CLINICS OF MINNESOTA 2525 CHICAGO AVE SOUTH MINNEAPOLIS,MN55404	41-1754276	501(C)(3)	511,452	EMERGENCY PREPAREDNESS
(2) HENNEPIN HEALTHCARE RESEARCH INSITUTE 701 PARK AVE PP7700 MINNEAPOLIS,MN55415	41-1677920	501(C)(3)	389,000	RESEARCH PROGRAM SUPPORT
(3) HEALTHPARTNERS INSTITUTE 8170 33RD AVENUE SOUTH BLOOMINGTON,MN554254516	41-1670163	501(C)(3)	177,865	EMERGENCY PREPAREDNESS
(4) FAIRVIEW HEALTH SERVICES 333 NORTH SMITH AVENUE ST PAUL,MN55102	36-3261413	501(C)(3)	116,264	EMERGENCY PREPAREDNESS
(5) REGENTS OF THE UNIVERSITY OF MINNESOTA NW 5960 PO BOX 1450 MINNEAPOLIS,MN554855960	41-6007513	501(C)(3)	99,907	EDUCATION
(6) ALLINA HEALTH SYSTEM PO BOX 43 MINNEAPOLIS,MN55440	36-3261413	501(C)(3)	84,407	EMERGENCY PREPAREDNESS FOR MERCY HOSPITAL, UNITY HOSPITAL, & REGINA MEDICAL CENTER
(7) MASA CONSULTING INC 13033 RIDGEDALE DRIVE SUITE 112 MINNEAPOLIS,MN553051807	41-1910796		45,405	EMERGENCY PREPAREDNESS
(8) HENNEPIN COUNTY 300 S 6TH STREET MINNEAPOLIS,MN55487	41-6005801	GOVERNMENT	32,917	PCA ASSESSMENT
(9) PATTERSON DENTAL 1031 MENDOTA HEIGHTS ROAD ST PAUL,MN55120	41-1833619	501(C)(3)	28,185	DENTISTRY CLINIC
(10) REGIONS HOSPITAL 640 JACKSON STREET ST PAUL,MN55369	41-0956618	501(C)(3)	22,205	EMERGENCY PREPAREDNESS
(11) LAKEVIEW HOSPITAL 927 W CHURCHILL STREET STILLWATER,MN55082	41-0811697	501(C)(3)	22,131	EMERGENCY PREPAREDNESS
(12) PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BOULEVARD ST LOUIS PARK,MN55426	41-0132080	501(C)(3)	20,845	EMERGENCY PREPAREDNESS
(13) MAYO CLINIC HEALTH SYSTEM NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE,MN56071	41-0723639	501(C)(3)	20,675	EMERGENCY PREPAREDNESS
(14) ST FRANCIS REGIONAL MEDICAL CENTER 1455 ST FRANCIS AVENUE SHAKOPEE,MN55379	41-0907986	501(C)(3)	20,622	EMERGENCY PREPAREDNESS
(15) ABBOTT NORTHWESTERN HOSPITAL 800 E 29TH STREET MINNEAPOLIS,MN55407	36-3261413	501(C)(3)	19,954	EMERGENCY PREPAREDNESS
(16) NORTH MEMORIAL HEALTH CARE 701 PARK AVENUE SOUTH MINNEAPOLIS,MN55415	41-0729979	501(C)(3)	19,914	EMERGENCY PREPAREDNESS
(17) MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE,MN55369	20-8316475	501(C)(3)	19,588	EMERGENCY PREPAREDNESS
(18) NORTHFIELD HOSPITAL 2000 NORTH AVENUE NORTHFIELD,MN55057	41-6038368	501(C)(3)	19,300	EMERGENCY PREPAREDNESS
(19) HEALTHEAST WOODWINDS HOSPITAL NW 7205 PO BOX 1450 MINNEAPOLIS,MN55485	36-3517697	501(C)(3)	17,587	EMERGENCY PREPAREDNESS
(20) HENRY SCHEIN PRACTICE SOLUTIONS DEPT CH 14200 PALATINE,IL600554200	87-0426590		15,000	DENTISTRY CLINIC
(21) DENTSPLY TULSA DENTAL SPECIALTIES 5100 E SKELLY DR STE 300 TULSA,OK74135	23-2830736		9,454	DENTISTRY CLINIC
(22) RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA,MN55387	31-1667875	501(C)(3)	8,423	FAMILY HEALTH
(23) GILLETTE CHILDREN'S SPECIALTY HEALTHCARE 200 E UNIVERSITY AVE ST PAUL,MN55101	36-3379150	501(C)(3)	7,199	EMERGENCY PREPAREDNESS
(24) PRAIRIECARE LLC 9400 ZANE AVE NORTH BROOKLYN PARK,MN55443	26-1545791		6,577	EMERGENCY PREPAREDNESS

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) 2020

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(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

PART I, LINE 2:

PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE HENNEPIN HEALTHCARE FOUNDATION RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT FOR HENNEPIN HEALTHCARE SYSTEM, INC. THE SUPPORT INCLUDES A GRANT MANAGEMENT DEPARTMENT WHICH COORDINATES THE TASK OF MONITORING GRANT RECEIPTS AND GRANT DISBURSEMENTS FROM FEDERAL, STATE, LOCAL OR INDIVIDUAL BENEFICIARIES. THE HENNEPIN HEALTHCARE FOUNDATION WORKS CLOSELY WITH HHS TO ENSURE PROPER CONTROLS ARE IN PLACE BY USE OF RECONCILIATIONS AND COMPLIANCE MONITORING AND REPORTING.

Schedule I (Form 990) 2020

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
Graphic Arrow

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

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 on 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 .....

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 on Line 1a? ....

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? .............

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

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? ......................

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 nonfixed
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 ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2020

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)
1THOMAS BERGMAN MD PHYSICIAN	(i) (ii)	1,036,242 ------------- 0	19,417 ------------- 0	3,877 ------------- 0	25,080 ------------- 0	19,984 ------------- 0	1,104,600 ------------- 0	0 ------------- 0
2WALTER GALICICH MD PHYSICIAN - MANAGING	(i) (ii)	829,946 ------------- 0	20,515 ------------- 0	2,803 ------------- 0	25,080 ------------- 0	25,632 ------------- 0	903,976 ------------- 0	0 ------------- 0
3CONSTANTIN STARCHOOK MD PHYSICIAN - MANAGING	(i) (ii)	683,116 ------------- 0	23,921 ------------- 0	2,296 ------------- 0	25,080 ------------- 0	25,632 ------------- 0	760,045 ------------- 0	0 ------------- 0
4CHAD RICHARDSON MD PHYSICIAN CHIEF	(i) (ii)	670,205 ------------- 0	21,167 ------------- 0	2,556 ------------- 0	25,080 ------------- 0	25,632 ------------- 0	744,640 ------------- 0	0 ------------- 0
5GOPAL PUNJABI MD PHYSICIAN	(i) (ii)	685,677 ------------- 0	0 ------------- 0	2,135 ------------- 0	25,080 ------------- 0	25,632 ------------- 0	738,524 ------------- 0	0 ------------- 0
6DERRICK HOLLINGS CPA INACTIVE CHIEF FINANCIAL OFFICER	(i) (ii)	491,240 ------------- 0	118,669 ------------- 0	3,877 ------------- 0	28,500 ------------- 0	25,632 ------------- 0	667,918 ------------- 0	0 ------------- 0
7JENNIFER DECUBELLIS MA CEO/SEC/TREAS (EFFECTIVE 2/17/20)	(i) (ii)	540,400 ------------- 0	0 ------------- 0	230 ------------- 0	42,750 ------------- 0	3,057 ------------- 0	586,437 ------------- 0	0 ------------- 0
8JOHN CUMMING MD MBA CEO/SEC/TREAS (1/1/20-2/17/20)	(i) (ii)	317,726 ------------- 0	213,424 ------------- 0	1,444 ------------- 0	42,750 ------------- 0	10,409 ------------- 0	585,753 ------------- 0	0 ------------- 0
9ARTI PRASAD MD DIRECTOR/PHYSICIAN	(i) (ii)	503,539 ------------- 0	0 ------------- 0	3,464 ------------- 0	25,080 ------------- 0	19,984 ------------- 0	552,067 ------------- 0	0 ------------- 0
10DANIEL HOODY MD MSC INTERIM CHIEF MEDICAL OFFICER	(i) (ii)	409,020 ------------- 0	75,461 ------------- 0	1,378 ------------- 0	28,500 ------------- 0	12,448 ------------- 0	526,807 ------------- 0	0 ------------- 0
11EMILY BLOMBERG MHA CHIEF OPERATING OFFICER	(i) (ii)	376,757 ------------- 0	88,916 ------------- 0	1,292 ------------- 0	28,500 ------------- 0	28,210 ------------- 0	523,675 ------------- 0	0 ------------- 0
12THOMAS WYATT MD DIRECTOR/PHYSICIAN	(i) (ii)	446,683 ------------- 0	15,003 ------------- 0	2,586 ------------- 0	25,080 ------------- 0	28,337 ------------- 0	517,689 ------------- 0	0 ------------- 0
13THERESA PESCH RN VP PHILANTHROPY - HHF PRESIDENT	(i) (ii)	257,047 ------------- 0	58,437 ------------- 0	792 ------------- 0	28,500 ------------- 0	24,703 ------------- 0	369,479 ------------- 0	0 ------------- 0
14WALTER CHESLEY JD CHIEF HUMAN RESOURCES OFFICER (1/1/2	(i) (ii)	219,171 ------------- 0	72,795 ------------- 0	1,215 ------------- 0	28,500 ------------- 0	12,906 ------------- 0	334,587 ------------- 0	0 ------------- 0
15LORI BROWN DHA RN MSN CENP CHIEF NURSING OFFICER (1/1/20-8/19/2	(i) (ii)	206,568 ------------- 0	74,600 ------------- 0	923 ------------- 0	28,500 ------------- 0	12,901 ------------- 0	323,492 ------------- 0	0 ------------- 0
16KELSEY LAWSON CHIEF COMPLIANCE OFFICER	(i) (ii)	259,701 ------------- 0	0 ------------- 0	108 ------------- 0	26,481 ------------- 0	21,529 ------------- 0	307,819 ------------- 0	0 ------------- 0
17WILLIAM HEEGAARD MD FORMER KEY EMPLOYEE	(i) (ii)	145,065 ------------- 0	113,410 ------------- 0	864 ------------- 0	12,255 ------------- 0	8,414 ------------- 0	280,008 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 6:

PLAN GOALS: IF THE THRESHOLD CASH FLOW MARGIN IS ACHIEVED, THE POOL WILL BE FUNDED AND INCENTIVE PAYOUTS, IF ANY, WILL BE DETERMINED BASED UPON THE OPERATIONAL AND INDIVIDUAL GOALS ACHIEVED. EACH YEAR DURING THE PLANNING PROCESS, HHS CHOOSES A SET OF GOALS THAT WILL BE MEASURED UNDER THE PLAN. FOR THE 2020 PLAN, THERE ARE ORGANIZATIONAL GOALS RELATING TO QUALITY/PATIENT SAFETY, OPERATIONAL EXCELLENCE, PATIENT EXPERIENCE, AND EMPLOYEE ENGAGEMENT. THE PLAN ALSO HAS A COMPONENT TIED TO INDIVIDUAL GOALS. IN FUTURE YEARS, THE GOALS IN THE PLAN MAY CHANGE AS NECESSARY TO SUPPORT THE ORGANIZATION GOALS AND OBJECTIVES. NOTE: LINEAR INTERPOLATION WILL BE USED FOR PERFORMANCE BETWEEN THRESHOLD AND TARGET.

Schedule J (Form 990) 2020

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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 .
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 .	X	1	885,060	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( FOOD/OTHER NON-MEDICAL ITEMS )	X	1	102,955	FMV
26 Other ( COVID - DISCOUNTED HOTEL ROOMS FOR NURSES/PHYSICIANS )	X	1	77,400	FMV
27 Other ( )
28 Other ( )

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 isn't 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 nonstandard contributions?

32a

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

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

32a

If "Yes," describe in Part II.

If the organization didn't 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) (2020)

Page 2

Part IISupplemental 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, COLUMN (B):	THE NUMBER OF CONTIRBUTORS IS BEING REPORTED.

Schedule M (Form 990) (2020)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

Return Reference	Explanation
FORM 990, PART I, ITEM C	DBA: HENNEPIN HEALTHCARE
FORM 990, PART I, LINE 6:	OVER 202 VOLUNTEERS SERVED A TOTAL OF 12,778 HOURS DURING THE YEAR 2020. VOLUNTEERING AT HHS, INC. GIVES QUALIFIED AND INTERESTED INDIVIDUALS THE OPPORTUNITY TO PROVIDE PATIENT SUPPORT SERVICES WITHIN OUR COMMUNITY OF DIVERSE VOLUNTEERS, STAFF, VISITORS, AND PATIENTS. VOLUNTEERS SUPPLEMENT AND ENHANCE HOSPITAL-BASED PATIENT SUPPORT SERVICES AND PROGRAMS. A VOLUNTEER SERVICE COORDINATOR WILL WORK WITH A VOLUNTEER TO FIND A POSITION THAT FITS THEIR SCHEDULE AND INTERESTS FROM AMONG VARIOUS OPENINGS. THE REPORTED VOLUNTEERS INCLUDE TEN (10) UNCOMPENSATED INDEPENDENT BOARD MEMBERS WHO SERVED DURING THE YEAR 2020.
PART III, LINE 1 - BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION:	HENNEPIN HEALTHCARE SYSTEM'S (HHS) MISSION IS "WE PARTNER WITH OUR COMMUNITY, OUR PATIENTS, AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH." HHS STRIVES TO PROVIDE THE BEST POSSIBLE CARE TO EVERY PATIENT; TO SEARCH FOR NEW WAYS TO IMPROVE THE CARE THAT WILL BE PROVIDED TOMORROW; TO EDUCATE HEALTH CARE PROVIDERS FOR THE FUTURE; AND TO ENSURE ACCESS TO HEALTHCARE FOR ALL.
FORM 990, PART VI, SECTION A, LINE 6	AS PER THE CORPORATE BYLAWS, THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS-A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE CORPORATION IS THE COUNTY OF HENNEPIN OF MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNING MEMBER, COUNTY OF HENNEPIN, MINNESOTA HAS RETAINED THE RIGHTS, DUTIES AND PRIVILEGES SPECIFIED UNDER THE BYLAWS OF HHS UP TO AND INCLUDING THE AUTHORITY TO APPOINT THE DIRECTORS OF HHS. THE HHS BOARD OF DIRECTORS IS EMPOWERED TO EXECUTE THE RIGHTS, DUTIES AND PRIVILEGES OF THE CORPORATION TO THE EXTENT AS SPECIFIED IN HHS BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7B	AS EXPLAINED IN PART VI LINE 7A, THE GOVERNING MEMBER, HENNEPIN COUNTY OF MN RETAINS THE APPROVAL RIGHTS TO APPOINTING THE HHS BOARD OF DIRECTORS, THE HHS BUDGET, ANY ADDITIONAL INDEBTEDNESS, FINANCE COMMITTEE RECOMMENDATIONS AND EXECUTIVE COMMITTEE AS WELL AS APPROVING THE ANNUAL HHS HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS COMPLETED AND REVIEWED INTERNALLY FOR ACCURACY, COMPLETENESS AND VALIDITY, THEN SUBMITTED FOR EXTERNAL REVIEW. THE FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE AND THE HHS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	HHS HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES THAT AN INTERESTED PERSON WHO IS A DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST DISCLOSE IN WRITING WHEN POSSIBLE, OR ORALLY WHEN TIME DOES NOT ALLOW FOR WRITTEN DISCLOSURE. THE EXISTENCE AND NATURE OF HIS/HER RELATIONSHIP OR MATERIAL FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AT OR PRIOR TO THE MEETING OF THE BOARD OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE THE MEETING. COPIES OF DISCLOSURES ARE MAINTAINED BY CORPORATE LEGAL COUNSEL WHO ALSO DOES MONITORING. EVERY YEAR THE ORGANIZATION IS AUDITED SEPARATELY FROM HENNEPIN COUNTY OF MINNESOTA AND A SEPARATE AUDIT REPORT IS PREPARED AND PRESENTED TO THE BOARD OF DIRECTORS AND TO THE HENNEPIN COUNTY, MN BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	HHS BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER TOP OFFICIALS. THE COMPARABLE DATA COLLECTED BY THE INDEPENDENT CONSULTING FIRM EXPERT RELEVANTLY APPLIES REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC LOCATION IN DELINEATING THE COMPARISON GROUP. THE DATA IS REVIEWED BY THE COMPENSATION SUBCOMMITTEE AND FURTHER SUBMITTED FOR DISCUSSION AND APPROVAL BY THE HHS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	FORM 990 IS AVAILABLE ON THE HHS WEBISTE AND ALL OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART XII, LINE 1:	ENTERPRISE ACCOUNTING METHOD - PER THE GOVERNMENT ACCOUNTING STANDARD BOARD (GASB), HHS USES ENTERPRISE FUND ACCOUNTING. REVENUES AND EXPENSES ARE RECOGNIZED ON THE ACCRUAL BASIS, USING THE ECONOMIC RESOURCES MEASUREMENT FOCUS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

HENNEPIN HEALTHCARE SYSTEM INC

Employer identification number

42-1707837

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

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)HENNEPIN HEALTHCARE FOUNDATION 701 PARK AVENUE MINNEAPOLIS,MN55415 41-0845733	GRANTS MANAGEMENT	MN	501(C)(3)	LINE 7	HHS INC	Yes
(2)HENNEPIN HEALTHCARE RESEARCH INSTITUTE 701 PARK AVENUE PP7700 MINNEAPOLIS,MN55415 41-1677920	RESEARCH	MN	501(C)(3)	LINE 4	HHS INC	Yes
(3)HENNEPIN COUNTY 300 SOUTH 6TH STREET MINNEAPOLIS,MN55487 41-6005801	GOVERNMENTAL UNIT	MN			N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

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	(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	(k) Percentage ownership

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	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2020

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 .....................

Yes

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) .......................

Yes

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

Yes

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

Yes

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) ............................

Yes

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

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) ............................

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) HENNEPIN HEALTHCARE RESEARCH INSTITUTE	A	777,880	CASH
(2) HENNEPIN HEALTHCARE RESEARCH INSTITUTE	B	389,000	CASH
(3) HENNEPIN HEALTHCARE FOUNDATION	C	10,712,980	CASH
(4) HENNEPIN HEALTHCARE RESEARCH INSTITUTE	O	4,693,895	CASH
(5) HENNEPIN HEALTHCARE FOUNDATION	O	2,391,831	CASH
(6) HENNEPIN HEALTHCARE RESEARCH INSTITUTE	R	472,969	CASH
(7) HENNEPIN HEALTHCARE FOUNDATION	R	635,386	FAIR VALUE
(8) HENNEPIN HEALTHCARE RESEARCH INSTITUTE	Q	802,488	FAIR VALUE

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE PARTNER WITH OUR COMMUNITY, OUR PATIENTS, AND THEIR FAMILIES TO ENSURE OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	8,291
6	Total number of volunteers (estimate if necessary) .............	6	202
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,995,168
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	490,929

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	94,719,437	236,767,697
9	Program service revenue (Part VIII, line 2g) .........	1,018,665,647	977,139,335
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,309,410	820,722
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,114,694,494	1,214,727,754
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,559,481	3,464,519
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)	752,299,070	741,370,801
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	375,854,102	428,089,476
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,130,712,653	1,172,924,796
19	Revenue less expenses. Subtract line 18 from line 12.......	-16,018,159	41,802,958
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	710,586,782	827,542,550
21	Total liabilities (Part X, line 26).............	701,144,389	778,428,663
22	Net assets or fund balances. Subtract line 21 from line 20.....	9,442,393	49,113,887

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 981,744,081 including grants of $ 2,975,612 ) (Revenue $ 926,876,099 )
	PATIENT CARE:HENNEPIN HEALTHCARE SYSTEM, INC. (HEREAFTER HHS) IS A NATIONALLY RECOGNIZED HEALTHCARE SYSTEM THAT INCLUDES A COMPREHENSIVE CLINIC SYSTEM, LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER AND MEDICAL CENTER WITH THE LARGEST EMERGENCY DEPARTMENT IN MINNESOTA, EMS SERVICE, NURSE HOME VISITING PROGRAM AND HOSPICE. HHS IS ALSO RECOGNIZED NATIONALLY FOR LEADERSHIP IN MEDICAL EDUCATION, EMERGENCY PREPAREDNESS, RESEARCH, AND COMPASSIONATE CARE IN MANY MEDICAL SPECIALTIES.HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, 452 BEDS AND 65 BASSINETS OF WHICH WERE AVAILABLE, AS WELL AS 10 PRIMARY CARE CLINICS AND 34 SPECIALTY CARE CLINICS, AND EMPLOYED APPROXIMATELY 882 PROVIDERS, 245 RESIDENTS, AND 146 PHARMACISTS IN 9 PHARMACY LOCATIONS. THE $220.8M CLINIC AND SPECIALTY CENTER (CSC) OPENED IN 2018 AND REAFFIRMS HHS' COMMITMENT TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE OF ALL, INCLUDING LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY OF MINNESOTA. AS A LEADER IN EMERGENCY AND TRAUMA CARE, HHS PROVIDES STATE-OF-THE-ART TRAUMA CARE SERVICES TO ALL ITS PATIENTS.

4b	(Code: ) (Expenses $ 25,178,571 including grants of $ 99,907 ) (Revenue $ 46,268,068 )
	EDUCATION & TRAINING:EDUCATION CENTER, THE CENTER FOR LEARNING INTEGRATION, AND THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER.HHS PRIDES ITSELF IN BEING A CENTER FOR INNOVATIVE AND TECHNICALLY-SOPHISTICATED SERVICES. THIS IS ESSENTIAL NOT ONLY BECAUSE OF THE TRAINING PROVIDED TO PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS, BUT ALSO BECAUSE IT SEEKS TO BE A SITE FROM WHICH NEW THERAPIES, SURGERIES, AND TECHNOLOGIES TO TREAT AND CURE PATIENTS EMERGE.THE CENTER FOR LEARNING INTEGRATION (CLI) CREATED IN 2015, EXCELS IN COORDINATING, DESIGNING AND INTEGRATING EXCELLENT LEARNING THROUGHOUT THE HEALTHCARE SYSTEM WITH THE PRIORITY GOAL TO IMPROVE QUALITY, SAFETY AND EXPERIENCE OUTCOMES FOR ALL STAKEHOLDERS. HHS ALSO OPERATES THE INTERDISCIPLINARY SIMULATION AND EDUCATION CENTER (ISEC), A TRAINING CENTER THAT HOSTS EDUCATIONAL PROGRAMS FOR NURSES, PHYSICIANS, PRE-HOSPITAL PROVIDERS, AND OTHER ALLIED HEALTH PROFESSIONALS FROM HHS AND ACROSS THE REGION. IT IS A GUIDED, SAFE ENVIRONMENT FOR HEALTHCARE PROFESSIONALS TO SIMULATE PRACTICE OF REAL-LIFE MEDICAL SITUATIONS AND PROCEDURES VIA STATE-OF-THE-ART SIMULATION EQUIPMENT.HHS EMPHASIZES TRAINING THE FUTURE HEALTHCARE WORKFORCE TO MEET COMMUNITY HEALTH NEEDS. THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER, ESTABLISHED IN 2013, CONTINUES TO PROVIDE ORGANIZATIONAL STRUCTURE IN LIGHT OF THE INCREASING ROLE OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT HHS. HHS COOPERATES WITH METROPOLITAN STATE UNIVERSITY TO PROVIDE THE DENTAL THERAPIST PROGRAM WHICH FOCUSES ON ADVANCED DENTAL THERAPY TRAINING OPPORTUNITIES IN GENERAL AND PEDIATRIC DENTISTRY AS WELL AS ORAL SURGERY. ADDITIONALLY, HHS' EMERGENCY MEDICAL SERVICES PARTNERS WITH HENNEPIN TECHNICAL COLLEGE'S COMMUNITY PARAMEDIC CERTIFICATION TRAINING PROGRAM TO PROVIDE STUDENTS WITH RELEVANT CLINICAL EXPERIENCE. COMMUNITY PARAMEDICS IS A HEALTHCARE ROLE THAT APPLIES AND EXPANDS PARAMEDIC SKILLS TO PREVENTIVE AND PRIMARY CARE MEDICINE, CLOSING THE GAP BETWEEN EMERGENCY CARE AND PRIMARY CARE NEEDS BY PROVIDING COMMUNITY-BASED HEALTH SERVICES TO UNDERSERVED POPULATIONS.COMMUNITY PHYSICIANS AND OTHER PRACTITIONERS FROM ACROSS MINNESOTA COME TO HHS FOR CONTINUING MEDICAL EDUCATION TRAINING COURSES. HHS ALSO CONDUCTS ON-SITE TRAINING AT THE REQUEST OF RURAL HOSPITALS AND CLINICS AND HAS ESTABLISHED RELATIONSHIPS WITH OTHER DESIGNATED TRAUMA CENTERS AND EMERGENCY DEPARTMENTS IN GREATER MINNESOTA. THE HHS EMERGENCY DEPARTMENT MAINTAINS A FREE ONLINE DATABASE OF DIVERSE TEACHING MATERIALS INCLUDING INSTRUCTIONAL VIDEOS, LECTURES, CRITICAL CARE CONFERENCE PRESENTATIONS AND VIDEOS, MEDICAL BLOGS, AND EDUCATIONAL LINKS, ALL UTILIZED BY PRACTITIONERS AROUND THE WORLD.

4c	(Code: ) (Expenses $ 438,251 including grants of $ 389,000 ) (Revenue $ )
	RESEARCH:HHS IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO ADVANCING THE FIELD OF MEDICINE THROUGH PROGRESSIVE MEDICAL RESEARCH. HENNEPIN HEALTHCARE RESEARCH INSTITUTE (HHRI), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH HHRI INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY. THIS FOCUS DISTINGUISHES HHRI/HHS FROM OTHER RESEARCH INSTITUTIONS IN THE STATE, DIRECTLY BENEFITS PATIENTS, AND CREATES STRONG LINKS WITHIN THE COMMUNITY. HHRI-COORDINATED RESEARCH FOCUS INCLUDES ADDICTION MEDICINE AND TOBACCO DEPENDENCE TREATMENT, BONE INFECTIONS AND HEALING, CANCER BIOLOGY, CHRONIC KIDNEY DISEASES, COGNITIVE ISSUES IN AGING, DIABETES AND OBESITY, DISPARITIES IN HEALTH CARE DELIVERY AND OUTCOMES, EMERGENCY MEDICINE, HEART FAILURE, HIV/AIDS, LIVER DISEASE, PEDIATRIC DISEASE PREVENTION, FOOD SECURITY, TRANSPLANT AVAILABILITY AND OUTCOMES, AND TRAUMATIC BRAIN INJURY.RESEARCHERS AT HHS, THE UNIVERSITY OF MINNESOTA, AND ABBOTT ARE COLLABORATING ON AN INNOVATIVE, COMPREHENSIVE STUDY TO BETTER IDENTIFY THE RANGE OF BRAIN INJURIES AMONG PATIENTS. IT IS HOPED THAT BY USING MULTIPLE EVALUATION TOOLS, INCLUDING EYE TRACKING BLOOD-BASED BIOMARKERS, IMAGING AND COGNITIVE MEASURES, MEDICAL RESEARCHERS WILL DEVELOP A NEW STANDARD APPROACH TO HELP CLASSIFY BRAIN INJURIES, INCLUDING CONCUSSIONS, AND PROVIDE THE INFORMATION NEEDED TO GUIDE DOCTORS' TREATMENT DECISIONS. THE HENNEPIN HEALTHCARE FOUNDATION CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,007,360,903

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,025,678	227,653	839,528

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	20,744,587
e	Government grants (contributions)		1e	169,711,831

f	All other contributions, gifts, grants, and similar amounts not included above		1f	46,311,279

g	Noncash contributions included in lines 1a - 1f:$		1g	1,065,415

h Total. Add lines 1a-1f.......		236,767,697

		Business Code
2a	MEDICARE/MEDICAID REVENUE	624100	609,712,157	609,712,157
b	MANAGED CARE - COMMERCIAL	621990	225,509,976	225,509,976
c	RETAIL PHARMACY REVENUE	621990	90,839,734	90,768,911	70,823
d	UPPER PAYMENT LIMIT REVENUE	446110	45,501,148	45,501,148
e	OTHER OPERATING REVENUE	900099	5,576,320	1,651,975	3,924,345
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		977,139,335

3 Investment income (including dividends, interest, and othersimilar amounts) ......			888,927			888,927
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		821,666	6a
b	Less: rental expenses		821,666	6b
c	Rental income or (loss)		0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses	68,205		7b
c	Gain or (loss)	-68,205		7c
d	Net gain or (loss).........			-68,205			-68,205
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			1,214,727,754	973,144,167	3,995,168	820,722

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,464,519	3,464,519
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,295,724	1,298,962	3,996,762
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........	586,139,335	486,143,964	99,995,371
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	41,002,900	34,007,805	6,995,095
9	Other employee benefits .......	72,926,458	60,485,204	12,441,254
10	Payroll taxes ...........	36,006,384	29,863,695	6,142,689
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,529,767	1,268,789	260,978
c	Accounting ...........	674,815		674,815
d	Lobbying ...........	185,862		185,862
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)	75,985,994	63,003,045	12,982,949
12	Advertising and promotion ....	1,571,681	1,303,552	268,129
13	Office expenses .......	9,856,159	8,174,698	1,681,461
14	Information technology ......	20,874,274	17,313,123	3,561,151
15	Royalties ..
16	Occupancy ...........	19,542,882	16,208,866	3,334,016
17	Travel ............	530,860	440,295	90,565
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	642,405	532,811	109,594
20	Interest ...........	4,040,427	3,351,130	689,297
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	43,452,933	36,039,863	7,413,070
23	Insurance ...	2,967,634	2,461,356	506,278
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	MEDICAL SUPPLIES AND SE	149,318,643	149,318,643
b	BAD DEBTS	72,093,587	72,093,587
c	TAXES AND SURCHARGES	21,592,687	17,908,975	3,683,712
d
e	All other expenses	3,228,866	2,678,021	550,845
25	Total functional expenses. Add lines 1 through 24e	1,172,924,796	1,007,360,903	165,563,893	0
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 ........			27,084,798	1	79,001,246
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			221,302,834	4	171,877,879
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			9,321,532	8	12,777,684
9	Prepaid expenses and deferred charges ......			10,090,349	9	17,884,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	975,843,925
b	Less: accumulated depreciation	10b	554,112,497	426,019,669	10c	421,731,428
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			10,361,218	12	8,048,754
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			6,406,382	15	116,220,749
16	Total assets. Add lines 1 through 15 (must equal line 33)...			710,586,782	16	827,542,550

17	Accounts payable and accrued expenses .....	168,079,647	17	214,940,063
18	Grants payable ...		18
19	Deferred revenue .........	2,458,533	19	7,081,196
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
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	530,606,209	25	556,407,404
26	Total liabilities. Add lines 17 through 25..	701,144,389	26	778,428,663

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	352,634,490	30	407,670,820
31	Retained earnings, endowment, accumulated income, or other funds	-343,192,097	31	-358,556,933
32	Total net assets or fund balances ...........	9,442,393	32	49,113,887
33	Total liabilities and net assets/fund balances ........	710,586,782	33	827,542,550