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) PENNY WHEELER MD...................................................................... DIRECTOR/PRES/CEO	40.00 ................. 2.00	X	X	2,700,630	540,537
(2) JOHN ALLEN MD...................................................................... DIRECTOR	2.00 ................. 0.00	X		28,000	0
(3) DEBBRA SCHONEMAN...................................................................... DIRECTOR/VICE CHAIR	2.00 ................. 0.00	X		18,000	0
(4) LAURA GILLUND...................................................................... DIRECTOR	2.00 ................. 0.00	X		14,000	0
(5) DAVID KUPLIC...................................................................... DIRECTOR	2.00 ................. 0.00	X		14,000	0
(6) SALLY SMITH...................................................................... DIRECTOR	2.00 ................. 0.00	X		14,000	0
(7) LOUIS KING II...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,000	0
(8) BRIAN ROSENBERG PHD...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,000	0
(9) ABIR SEN...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,000	0
(10) DARRELL TUKUA...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,000	0
(11) RAYMOND CLAY AHRENS...................................................................... DIRECTOR	2.00 ................. 0.00	X		9,000	0
(12) STEVEN LACROIX...................................................................... DIRECTOR	2.00 ................. 0.00	X		7,500	0
(13) AMY RONNEBERG...................................................................... DIRECTOR	2.00 ................. 0.00	X		7,500	0
(14) BARBARA BUTTS WILLIAMS PHD...................................................................... DIRECTOR	2.00 ................. 0.00	X		5,000	0
(15) JENNIFER ALSTAD...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(16) SHARI BALLARD...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(17) GARY BHOJWANI...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MAYKAO HANG DPA........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(19) GREGORY HEINEMANN........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(20) ANDERS KNUTZEN MD........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(21) THOMAS SCHREIER JR........................................................................ DIRECTOR/CHAIR	2.00 .......................0.00	X					0	0
(22) TIMOTHY WELSH........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(23) VICKI YANISCH RASMUSEN........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(24) JOHN CHURCH........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(25) JOSEPH GOSWITZ MD........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(26) LISA SHANNON........................................................................ PRESIDENT/COO	40.00 .......................0.00		X				1,241,668	527,804
(27) RICHARD MAGNUSON........................................................................ EVP/CFO/TREASURER	40.00 .......................2.00		X				1,041,052	376,450
(28) SARA CRIGER........................................................................ SVP-OPS/PRES. MERCY/UNITED	40.00 .......................2.00		X				968,752	310,188
(29) ANN MADDEN RICE........................................................................ SVP-PRESIDENT ANW	40.00 .......................2.00		X				920,921	323,318
(30) TIMOTHY SIELAFF MD........................................................................ SVP AHG-SPECIALTY CARE/CMO	40.00 .......................0.00		X				886,439	172,090
(31) ELIZABETH TRUESDELL SMITH........................................................................ SECRETARY/SVP GEN COUN.	40.00 .......................0.00		X				754,328	251,108
(32) JONATHAN SHOEMAKER........................................................................ SVP CHIEF INFO & IMPROV OFF.	40.00 .......................0.00		X				733,543	226,682
(33) CHRISTINE MOORE........................................................................ SVP, CHIEF HUMAN RESOURCE OFF	40.00 .......................0.00		X				680,592	232,431
(34) DAVID SLOWINSKE........................................................................ SVP AHG OPERATIONS	40.00 .......................0.00		X				692,671	178,120
(35) SARAH KLEAVELAND KUPCZAK........................................................................ SVP CHIEF COMPLIANCE OFF	40.00 .......................0.00		X				431,883	79,547
(36) JEFFREY SHOEMATE........................................................................ SVP CHIEF MARKETING OFF	40.00 .......................0.00		X				375,126	154,718
(37) PETER HOFRENNING........................................................................ SVP,INTERIM CHIEF COMP. OFF	40.00 .......................0.00		X				258,906	43,394
(38) JOHN MISA MD........................................................................ VP INTERIM AHG MED OFF	40.00 .......................0.00			X			579,110	67,560
(39) RYAN ELSE MD........................................................................ VP INTERIM ACUTE CARE MED OFF	40.00 .......................0.00			X			536,250	115,606
(40) SCOTT LEIGHTY........................................................................ SVP OPS/REG HOSP & CLINICS	40.00 .......................0.00			X			436,290	91,812
(41) NICHOLAS MENDYKA........................................................................ VP SYSTEM FINANCE OPS	40.00 .......................0.00			X			371,517	47,469
(42) MARK HELLER MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,458,408	114,683
(43) DANIEL BUSS MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,411,587	52,008
(44) DANA HARMS MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,360,991	41,584
(45) ANTHONY ANDERSON MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,277,233	114,133
(46) MICHAEL FREEHILL MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,201,832	113,313
(47) ROBERT WIELAND MD........................................................................ FORMER SVP CHIEF STRATEGY OFFICER	0.00 .......................0.00					X	1,157,418	0
(48) CORRINE KROEHLER........................................................................ FORMER VP FINANCE/SUPPLY CHAIN	40.00 .......................0.00					X	546,865	33,843
(49) HELEN STRIKE........................................................................ FORMER PRESIDENT-UNITY HOSP	40.00 .......................0.00					X	315,132	39,875
(50) MARY BEAR DUKES........................................................................ FORMER VP REVENUE CYCLE MGMT	40.00 .......................0.00					X	355,136	11,882
(51) ELIZABETH SMITH MD........................................................................ FORMER INTERIM SVP AHG-PRIMARY CARE	0.00 .......................0.00					X	232,225	0
(52) THOMAS O'CONNOR........................................................................ FORMER PRESIDENT-UNITED HOSP.	0.00 .......................0.00					X	194,678	0
(53) BEN BACHE-WIIG MD........................................................................ FORMER EVP CHIEF POPLTN HLTH OFF	0.00 .......................0.00					X	117,438	0

(A) Name and business address	(B) Description of services	(C) Compensation
DELOITTE CONSULTING LLP 30 ROCKEFELLER PLAZA - 41ST FLOOR NEW YORK,NY101120015	PROFESSIONAL SERVICES - CONSULTING	32,510,173
METROPOLITAN CARDIOLOGY CONSULTANTS PA 4040 COON RAPIDS BLVD NW SUITE 120 COON RAPIDS,MN55433	PROFESSIONAL SERVICES - MEDICAL	25,744,912
MA MORTENSON COMPANY 700 MEADOW LANE NORTH MINNEAPOLIS,MN55422	CONSTRUCTION	19,233,628
JE DUNN CONSTRUCTION 800 WASHINGTON AVE N SUITE 600 MINNEAPOLIS,MN55401	CONSTRUCTION	16,099,894
METROPOLITAN CARDIAC SERVICES 4040 COON RAPIDS BLVD NW COON RAPIDS,MN55433	PROFESSIONAL SERVICES - MEDICAL	16,089,198
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 275

- 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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. 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 ALLINA HEALTH SYSTEM

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 ALLINA HEALTH SYSTEM		Employer identification number 36-3261413

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (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.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 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? ...........................................................................................................

Yes

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

Yes

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

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

Yes

4,367

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

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

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

Yes

535,599

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

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

Yes

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

539,966

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	ALLINA HEALTH EMPLOYS VARIOUS INDIVIDUALS, AS WELL AS CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL OF ALLINA ON BOTH A NATIONAL AND STATE LEVEL.

Schedule C (Form 990 or 990EZ) 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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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 ....	105,468,342	93,936,959	102,594,063	94,600,833	90,703,126
b	Contributions ...	1,373,045	149,082	131,724	113,190	262,589
c	Net investment earnings, gains, and losses	9,219,107	15,316,040	-4,679,140	10,942,048	6,502,830
d	Grants or scholarships ...	348,035	12,549	-41,015	5,000	7,615
e	Other expenditures for facilities and programs ...	3,431,646	3,921,190	4,068,672	3,057,008	2,860,097
f	Administrative expenses ....
g	End of year balance ......	112,280,813	105,468,342	93,936,959	102,594,063	94,600,833

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

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

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

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

Yes

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

Yes

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

Part VI

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

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

1a	Land .....	104,787,300		104,787,300
b	Buildings ....	1,653,558,023	935,534,901	718,023,122
c	Leasehold improvements	447,254,413	178,001,294	269,253,119
d	Equipment ....	1,623,437,244	1,315,421,292	308,015,952
e	Other .....	108,584,820	23,168,970	85,415,850
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,485,495,343

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 (A) CASH AND CASH EQUIVALENTS	644,287,099	F
(B) MONEY MARKET COLLECTIVE FUND	143,490,201	F
(C) FIXED INCOME	230,249	F
(D) SHORT-TERM FIXED INCOME	1,123,914,687	F
(E) EQUITY SECURITIES	467,319,168	F
(F) INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	682,815,637	F
(G) INVESTMENTS IN JOINT VENTURES	127,453,523	F
(H) REAL RETURN MUTUAL FUNDS	162,886,379	F
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	3,352,396,943

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	852,570,517
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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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

Part XIII

Supplemental Information

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

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

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

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
ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	202,545,487
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS	37,820,121















3a	Sub-total ....	0	0		240,365,608
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		240,365,608

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

Page 2

Part II

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

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

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

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

Page 5

Part V

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

ReturnReference	Explanation
PART III ACCOUNTING METHOD:

Schedule F (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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 27500.0000000000 %

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

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

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	0	0	17,432,332		17,432,332	0.390 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0	75,095,186		75,095,186	1.660 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	49,719,397		49,719,397	1.100 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			142,246,915		142,246,915	3.150 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	97	1,928,951	13,081,762	1,372,001	11,709,761	0.260 %
f	Health professions education (from Worksheet 5) . . .	30	2,360	26,665,015	10,838,718	15,826,297	0.350 %
g	Subsidized health services (from Worksheet 6) . . . .	7	541	23,039,401	11,600	23,027,801	0.510 %
h	Research (from Worksheet 7) .	3	17,050	3,843,538	0	3,843,538	0.090 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	58	49,297	3,870,638	0	3,870,638	0.090 %
j	Total. Other Benefits . .	195	1,998,199	70,500,354	12,222,319	58,278,035	1.300 %
k	Total. Add lines 7d and 7j .	195	1,998,199	212,747,269	12,222,319	200,524,950	4.450 %

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)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0	0
2	Economic development	2	400	8,815	145	8,670	0 %
3	Community support	15	30	1,160,201	0	1,160,201	0.030 %
4	Environmental improvements	0	0	0	0
5	Leadership development and training for community members	0	0	0	0
6	Coalition building	10	5,580	38,675	0	38,675	0 %
7	Community health improvement advocacy	2	0	3,500	0	3,500	0 %
8	Workforce development	1	22	108	0	108	0 %
9	Other	0	0	0	0
10	Total	30	6,032	1,211,299	145	1,211,154	0.030 %

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. ......

75,915,037

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

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

Section B. Medicare

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

611,201,202

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

657,809,583

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

-46,608,381

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 MOBILE IMAGING SERVICES LLC	DIAGNOSTIC IMAGING	50.000 %	50.000 %
22 MAGNETO LEASING LLC	EQUIPMENT LEASING	50.000 %	50.000 %
33 SUBURBAN IMAGING LLC	OUTPATIENT RADIOLOGY SERVICES	50.000 %	50.000 %
44 APPLE VALLEY BUILDING ASSOCIATES LLC	BUILDING	50.000 %	50.000 %
55 CROSBY CARDIOVASCULAR SERVICES LLC	CARDIOLOGY DIAGNOSTIC SERVICES	50.000 %	50.000 %
66 NORTHSTAR SLEEP CENTER LLC	SLEEP MEDICINE	49.000 %	51.000 %
77 GERIATRIC SERVICES OF MINNESOTA LLC	LONG TERM CARE FOR THE ELDERLY	50.000 %	50.000 %
88 HEALTHCARE CAMPUS IMAGING ONE LLC	DIAGNOSTIC IMAGING	50.000 %	25.000 %
99 REHAB ONE CENTER LLC	REHABILITATION SERVICES	34.600 %	48.700 %
1010 PET EQUIPMENT LEASING LLC	EQUIPMENT LEASING	25.000 %	25.000 %
1111 GREENWAY SURGICAL SUITES LLC	AMBULATORY SURGICAL CENTER	28.300 %	44.600 %
1212 CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC	OUTPATIENT SURGICAL FACILITY	26.500 %	48.000 %
1313 WOODBURY SURGERY CENTER LLC	OUTPATIENT SURGICAL FACILITY	26.000 %	49.000 %

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?10Name, 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)	Facility reporting group
1	ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH STREET MINNEAPOLIS,MN55407 HTTP://WWW.ALLINAHEALTH.ORG/ABBOTT-NO 385390	X	X	X		X	X		A
2	MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS,MN55433 HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOS 385123	X	X	X		X	X	INCLUDING MERCY HOSPITAL - UNITY CAMPUS	A
3	UNITED HOSPITAL 333 NORTH SMITH AVENUE ST PAUL,MN55102 HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HO 384993	X	X	X		X	X		A
4	NEW ULM MEDICAL CENTER 1324 FIFTH NORTH STREET NEW ULM,MN56073 HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-M 384708	X	X		X		X		A
5	BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO,MN55313 HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-H 385336	X	X				X		A
6	CAMBRIDGE MEDICAL CENTER 701 S DELLWOOD STREET CAMBRIDGE,MN55008 HTTP://WWW.ALLINAHEALTH.ORG/CAMBRIDGE 384707	X	X				X		A
7	REGINA HOSPITAL 1175 NININGER ROAD HASTINGS,MN55033 HTTP://WWW.ALLINAHEALTH.ORG/REGINA-HO 384506	X	X				X		A
8	OWATONNA HOSPITAL 903 S OAK AVE OWATONNA,MN55060 HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA- 384920	X	X				X		A
9	DISTRICT ONE HOSPITAL 200 STATE AVENUE FARIBAULT,MN54022 HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT- 384658	X	X				X		A
10	RIVER FALLS AREA HOSPITAL 1629 EAST DIVISION STREET RIVER FALLS,WI55404 HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FAL 1054	X	X		X		X		A

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)

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

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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): HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSM

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)

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

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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.ALLINAHEALTH.ORG/FINANCIALASSISTANCE

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

WWW.ALLINAHEALTH.ORG/FINANCIALASSISTANCE

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

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

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

Yes

Did the hospital facility have in place during the tax year a 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)

	FACILITY REPORTING GROUP - A
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? ...........................

Yes

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
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: MERCY HOSPITAL, - FACILITY 3: UNITED HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: REGINA HOSPITAL, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: DISTRICT ONE HOSPITAL, - FACILITY 10: RIVER FALLS AREA HOSPITAL
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): ABBOTT NORTHWESTERN HOSPITAL DEVELOPED ITS CHNA WITH THE MINNEAPOLIS, HENNEPIN COUNTY AND BLOOMINGTON PUBLIC HEALTH DEPARTMENTS, WHICH WERE SIMULTANEOUSLY DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN FOR HENNEPIN COUNTY. THESE ENTITIES AND 50 NONPROFIT AND GOVERNMENT REPRESENTATIVES REVIEWED HOSPITAL, STATE AND LOCAL DATA AND CONDUCTED 23 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING VARIOUS CULTURAL GROUPS, BUSINESS AND ORGANIZATIONS. ABBOTT NORTHWESTERN IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. STAFF THEN CONDUCTED 10 KEY INFORMANT INTERVIEWS WITH STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS SUCH AS AN ADVOCACY ORGANIZATION SERVING LOCAL BUSINESSES, A FEDERALLY-QUALIFIED HEALTH CENTER, A HOUSING PROVIDER FOR PEOPLE LIVING WITH HIV/AIDS AND THE LOCAL PARKS SYSTEM, AMONG OTHERS, TO UPDATE ITS UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM. IN ADDITION, A LOCAL PUBLIC AFFAIRS CONSULTANT INTERVIEWED 25 HEALTH AND CIVIC LEADERS TO EXPLORE THEIR PERCEPTIONS OF HEALTH, HEALTHCARE, PUBLIC HEALTH AND THE HOSPITAL.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: REDUCE OVERWEIGHT AND OBESITY BY IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS.IN 2020, THE DUAL CHALLENGES OF A COVID-19 PANDEMIC AND THE DESTRUCTION OF PROPERTY FOLLOWING A PERIOD OF CIVIL UNREST IN MINNEAPOLIS FORCED ABBOTT NORTHWESTERN HOSPITAL (ANW) TO EVOLVE THE WORK RELATED TO IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS. WITH THE LOSS OF JOBS FOR MANY MEMBERS OF THE COMMUNITY IN ADDITION TO THE DESTRUCTION OF TWO MAJOR GROCERY STORES DURING THE CIVIL UNREST, THE NEIGHBORHOODS SURROUNDING ANW WERE SUDDENLY FINDING THEMSELVES WITHOUT ACCESS TO FRESH, HEALTHY FOOD. ANW PARTNERED WITH A NUMBER OF NON-PROFITS AND NEARBY FAITH COMMUNITIES TO PROVIDE FARE FOR ALL FOOD DONATION OPPORTUNITIES. ANW AND ITS PARENT ORGANIZATION, ALLINA HEALTH, ALSO CREATED A DIAPER AND FORMULA DRIVE TO ENSURE THAT OUR YOUNGEST PATIENTS AND COMMUNITY MEMBERS HAD ACCESS TO THE NUTRITION THEY RELIED UPON. THE PANDEMIC ALSO FORCED ANW'S COMMUNITY HEALTH CONTRACTOR, THE BACKYARD COMMUNITY HEALTH HUB, TO ADJUST ITS ONGOING PROGRAMMING TO INCLUDE REGULAR, VIRTUAL PHYSICAL ACTIVITY CLASSES THAT WERE BROADCAST VIA ITS FACEBOOK AND OTHER SOCIAL MEDIA FEEDS. THESE ONLINE EXERCISE CLASSES WERE HUGELY SUCCESSFUL WITH THE CONTRACTOR DRAWING LARGER ONLINE AUDIENCES THAN THEY PREVIOUSLY REACHED WITH THEIR IN-PERSON EDUCATION SESSIONS. THESE CLASSES PROVIDED REGULAR, NECESSARY ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES THAT WERE AVAILABLE TO PEOPLE SAFELY IN THEIR OWN HOMES. GOAL 2: PROMOTE MENTAL HEALTH BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND PROVIDE OPPORTUNITIES FOR INCREASED SOCIAL CONNECTIONS.ANW CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). IN 2020, ANW RECEIVED FUNDING FROM HENNEPIN COUNTY TO BUILD OUT ADDITIONAL FEATURES OF THE CHANGE TO CHILL PROGRAM TO INCORPORATE THE VOICES OF MORE DIVERSE YOUTH AND INCLUDE MORE CULTURALLY-RESPONSIVE MESSAGING. THIS BUILD-OUT AND THE SUBSEQUENT PROGRAMMING OPENED UP THE PROGRAM TO HUNDREDS OF ADDITIONAL YOUTH FROM BLACK, INDIGENOUS, HISPANIC OR LATINX AND LGBTQIA+ YOUTH, AS WELL AS THEIR PARENTS, TEACHERS AND OTHER SCHOOL STAFF. CTC WORKED WITH TEENS TO SHARE THEIR EXPERIENCE WITH OTHERS THROUGH VIDEO INTERVIEWS AND TRANSLATED ALL AVAILABLE TOOLS AND RESOURCES INTO SPANISH TO EXPAND THE PROGRAM'S REACH AND IMPACT. ADDITIONALLY, CTC CONTRACTED WITH COMMUNITY CONSULTANTS AND MENTAL HEALTH PROVIDERS TO FACILITATE TEN FREE 60-MINUTE VIRTUAL MENTAL WELL-BEING SESSIONS FOR SCHOOL STAFF, PARENTS AND TEENS WITH A SPECIAL FOCUS ON THE COMMUNITIES LISTED ABOVE. NEARLY 300 INDIVIDUALS ATTENDED THESE SESSIONS. THE MAJORITY OF PARTICIPANTS REPORTED INCREASED KNOWLEDGE OF METHODS OF RECOGNIZING STRESS AND INCREASED COMFORT IN TALKING ABOUT MENTAL WELL-BEING IN THEIR COMMUNITY. ALL THE CHANGES THAT WERE MADE TO CHANGE TO CHILL HAVE BEEN PERMANENTLY INCORPORATED INTO THE PROGRAM FOR FUTURE USE BY PEOPLE FROM ALL BACKGROUNDS. GOAL 3: IMPROVE GENERAL POPULATION HEALTH BY INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES.IN 2020, ANW'S FOCUS ON INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES PIVOTED TO PROVIDING RESOURCES AND INFORMATION TO COMMUNITIES BEING MOST DRASTICALLY AFFECTED BY COVID-19. IN JUNE, THE HOSPITAL OPENED A COVID-19 DRIVE THROUGH TESTING LOCATION ON OUR CAMPUS, PROVIDING ACCESS TO THIS MUCH-NEEDED RESOURCE IN THE HEART OF A COMMUNITY THAT WAS SEEING A HIGH NUMBER OF CASES OF THE VIRUS. THE HOSPITAL ALSO IDENTIFIED A HEALTH DISPARITY THAT WAS EMERGING WITHIN THE SOMALI COMMUNITY AND WORKED WITH COMMUNITY PARTNERS AND ELECTED OFFICIALS TO ADDRESS THE HIGH RATE OF SERIOUS COVID-19 INFECTION AND DEATH BOTH WITHIN THE HOSPITAL AND WITHIN THE COMMUNITY. IN RESPONSE TO THIS SUDDEN, EMERGENT TREND, ANW CREATED A NEW MUSLIM CHAPLAINCY PROGRAM AND HIRED TWO SOMALI IMAMS FROM THE COMMUNITY TO PROVIDE SPIRITUAL SUPPORT AND COVID-19 EDUCATION TO OUR SOMALI PATIENTS AND COMMUNITY MEMBERS, WHILE ALSO ACTING AS A 'CULTURAL BROKER' WITH OUR STAFF. THE MUSLIM CHAPLAINCY PROGRAM HAS BEEN SO SUCCESSFUL THAT ANW WILL CONTINUE TO PROVIDE IT IN THE FUTURE, AS WELL AS ACT AS A TRAINING SITE FOR FUTURE IMAMS TO BECOME MEMBERS OF THE HOSPITAL CHAPLAINCY TEAM.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA AND RESPONSES FROM INTERVIEWS WITH 14 COMMUNITY LEADERS AND DATA FROM 857 RESIDENT-RESPONSES ON A 2018 ANOKA COUNTY COMMUNITY HEALTH SURVEY. MERCY HOSPITAL IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES, MERCY CONDUCTED COMMUNITY DIALOGUES WITH 64 PEOPLE REPRESENTING THE WEST AFRICAN COMMUNITY, THE ANOKA COUNTY HEAD START POLICY COUNCIL, ALEXANDRA HOUSE DOMESTIC AND SEXUAL ASSAULT CENTER AND THE NORTHWEST COMMUNITY HEALTH ADVISORY COUNCIL.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:MERCY HOSPITAL: GOAL 1: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG ANOKA COUNTY RESIDENTS OF ALL AGES.IN 2020, MERCY HOSPITAL PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, INCLUDING CEAP, ACBC, SACA, NACE, ALEXANDRA HOUSE, HOPE FOR YOUTH & STEPPING STONE HOMELESS SHELTER. THE HOSPITAL CONTINUED MAKING HEALTHY EATING AND ACTIVE LIVING RESOURCES AVAILABLE TO LOCAL COMMUNITIES THROUGH THE HEALTH POWERED KIDS WEBSITE, AND PROMOTING HEALTH POWERED KIDS PROGRAM RESOURCES IN LOCAL COMMUNITIES. GOAL 2: ADDRESS MENTAL HEALTH AND ADDICTION BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES, REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES AND DECREASING USE OF TOBACCO AND ELECTRONIC CIGARETTES BY YOUTH.IN 2020, MERCY HOSPITAL CONTINUED WORK IN THE COMMUNITY THROUGH CHANGE TO CHILL PROGRAM AND RESOURCES. COLLABORATED WITH BLAINE AND FRIDLEY HIGH SCHOOLS TO IMPLEMENT CHANGE TO CHILL PROGRAMMING DURING 2019-2020 SCHOOL YEAR, REACHING APPROXIMATELY 886 STUDENTS AT FRIDLEY HIGH SCHOOL. CONTINUED 2019-2020 SCHOOL YEAR PARTNERSHIP WITH COON RAPIDS HIGH SCHOOL, REACHING APPROXIMATELY 2,229 STUDENTS. PARTNERED WITH ST. FRANCIS HIGH SCHOOL IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,297 STUDENTS. MANY ACTIVITIES WERE OFFERED REMOTELY THROUGH 2020-21 SCHOOL YEAR. MERCY HOSPITAL PROMOTED MENTAL WELL-BEING SESSIONS FOR YOUTH AND THEIR PARENTS AND CAREGIVERS THROUGH CHANGE TO CHILL'S PARTNERSHIP WITH HENNEPIN COUNTY. SESSIONS WERE HELD IN NOVEMBER AND DECEMBER 2020 AND PRIORITIZED BLACK, INDIGENOUS, LATINX AND LGBTQIA+ YOUTH AND THEIR PARENTS/CAREGIVERS. PRESENTED CHANGE TO CHILL TO 15 STUDENT ACHIEVEMENT ADVISORS WHO WORK DIRECTLY WITH STUDENTS IN ANOKA-HENNEPIN SCHOOL DISTRICT. PARTNERED WITH INDIAN EDUCATION ADVISOR TO CREATE CULTURALLY SPECIFIC STRESS MANAGEMENT KITS FOR STUDENTS. MERCY HOSPITAL IS PART OF THE NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORKGROUP. THE GROUP JOINED WITH THE ANOKA COUNTY MENTAL WELLNESS CAMPAIGN AND THE MIO (MAKE IT OK CAMPAIGN) TO PROMOTE STIGMA REDUCTION EDUCATION IN THE COMMUNITY. THE WORKGROUP OFFERED OUR FIRST PUBLIC AWARENESS VIRTUAL EVENT THROUGH THE ANOKA COUNTY LIBRARY SYSTEM IN DECEMBER 2020. IN ADDITION, IN 2020 MERCY HOSPITAL WORKED AS A LEADER AND PARTNER WITH THE NORTHWEST MENTAL HEALTH ROUNDTABLE TO IDENTIFY STRATEGIES TO ASSURE ACCESS AND COORDINATION OF SERVICES BETWEEN COMMUNITY MENTAL HEALTH PROVIDERS, LAW ENFORCEMENT, COUNTY AND CITY REPRESENTATIVES.GOAL 3: REDUCE VIOLENCE, BULLYING AND ABUSE AMONG PEOPLE LIVING IN ANOKA COUNTY.IN 2020, MERCY HOSPITAL CONTINUED STAYING ACTIVE IN THE ANOKA COUNTY VIOLENCE ROUNDTABLE, AND PARTICIPATED IN STEERING AND LEADERSHIP COMMITTEE WITH MONTHLY MEETINGS. ORGANIZED TWO FOCUS GROUPS AND CONDUCTED COMMUNITY SURVEY ON INTERPERSONAL VIOLENCE. ACTIVITIES ARE PLANNED IN PARTNERSHIP WITH ANOKA COUNTY DEPARTMENT OF HEALTH TO ADVANCE THE WORK RELATED TO REDUCING VIOLENCE. IN ADDITION, MERCY HOSPITAL SPONSORED AND PARTICIPATED IN ALEXANDRA HOUSE'S ANNUAL HOPEFEST EVENT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: UNITED HOSPITAL WORKED WITH THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE ST. PAUL-RAMSEY COUNTY STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP) COMMUNITY LEADERSHIP TEAM TO COMPLETE ITS CHNA. MEMBERSHIP IN THESE GROUPS INCLUDED OTHER LOCAL HEALTH CARE SYSTEMS, LOCAL PUBLIC HEALTH, COMMUNITY RESIDENTS AND STAFF FROM LOCAL UNIVERSITIES AND SOCIAL SERVICE AGENCIES. THE CHNA WAS INFLUENCED BY OTHER ORGANIZATIONS' DATA REVIEW AND COMMUNITY ENGAGEMENT ACTIVITIES. AS PART OF THESE GROUPS, UNITED HOSPITAL'S STAFF REVIEWED HOSPITAL, STATE AND LOCAL DATA AND FEEDBACK FROM 2,100 RAMSEY, WASHINGTON OR DAKOTA COUNTY RESIDENTS WHO SHARED THEIR PERSPECTIVES VIA A SURVEY CONDUCTED BY THE CCH EAST METRO CHNA COLLABORATIVE. THE HOSPITAL'S 2020-2022 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED HOSPITAL STAFF ATTENDED COMMUNITY DIALOGUES FACILITATED BY LOCAL PARTNERS AND ATTENDED BY APPROXIMATELY 60 COMMUNITY RESIDENTS INCLUDING PUBLIC HOUSING RESIDENTS, HALF-WAY HOUSE RESIDENTS, INDIVIDUALS EXPERIENCING HOMELESSNESS, SENIORS, PEOPLE WITH CRIMINAL RECORDS AND COMMUNITY ACTIVISTS. STAFF ALSO PARTICIPATED IN RAMSEY COUNTY EAST METRO MENTAL HEALTH CRISIS ALLIANCE MEETINGS AND CONDUCTED INTERVIEWS WITH SIX REPRESENTATIVES FROM HEALTH, PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:UNITED HOSPITAL: GOAL 1: ADDRESS MENTAL HEALTH, INCLUDING STIGMA AND ACCESS TO SERVICES BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN RAMSEY COUNTY AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, UNITED HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. IN 2020, UNITED HOSPITAL CONTINUED ITS PARTNERSHIP WITH HARDING HIGH SCHOOL, REACHING APPROXIMATELY 1,877 STUDENTS; COLLABORATED WITH FOREST LAKE MIDDLE SCHOOL AND STILLWATER HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN THE 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 3,562 STUDENTS. UNITED HOSPITAL ALSO SHARED MENTAL WELLNESS TOOLS AND RESOURCES DURING CHILL WEEK IN OCTOBER 2020 WITH CTCSP SCHOOLS. IN ADDITION, UNITED HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO THE EAST METRO CRISIS ALLIANCE. EAST METRO CRISIS ALLIANCE IS A THREE-COUNTY CONSORTIUM INCLUDING REPRESENTATIVES FROM STATE AND LOCAL PUBLIC HEALTH AND HUMAN SERVICES DEPARTMENTS, HEALTH SYSTEMS, INSURANCE COMPANIES, MENTAL HEALTH SERVICE PROVIDERS, LAW ENFORCEMENT, ELECTED OFFICIALS, AND A VARIETY OF OTHER STAKEHOLDERS. THE ALLIANCE PARTNERS ACROSS THE CONTINUUM OF MENTAL HEALTH AND SUBSTANCE USE SERVICES IN THE EAST METRO AREA, ADDRESSING GAPS IN CRISIS CARE ISSUES AT THE SYSTEMS LEVEL. THE HOSPITAL ALSO PARTICIPATED IN A VARIETY OF PUBLIC POLICY AND PLANNING EFFORTS DESIGNED TO ADDRESS GAPS IN TRANSPORTATION SERVICES FOR UNDERSERVED POPULATIONS AND PROVIDED FINANCIAL ASSISTANCE IN SUPPORT OF COMMUNITY-BASED TRANSPORTATION PROJECTS SUCH AS THE DARTS COMMUNITY CIRCULATOR BUSES AND PILOT TRANSPORTATION INITIATIVES DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING HEALTH-CARE SERVICES. GOAL 2. DECREASE THE PERCENTAGE OF PEOPLE IN UNITED'S SERVICE AREA THAT ARE OBESE OR OVERWEIGHT.IN 2020, MANY PLANNED ACTIVITIES WERE ON HOLD DUE TO THE COVID-19 PANDEMIC. UNITED HOSPITAL ACTIVELY CONTRIBUTED TO AND PARTICIPATED IN COMMUNITY COALITIONS AND PARTNERSHIPS RELATED TO HEALTHY FOOD AND ACTIVE LIVING, SUCH AS EASTSIDE HEALTH AND WELLNESS COLLABORATIVE, AS WELL AS PROVIDED A CHARITABLE CONTRIBUTION IN SUPPORT OF AN AD HOC PUBLIC HEALTH COLLABORATIVE THAT PROVIDED CULTURALLY SPECIFIC FOOD-SHELF OFFERINGS TO THREE LOW-INCOME HOUSING DEVELOPMENTS. PROVIDED CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS. DEVELOPED AND PROMOTED NEW HEALTH POWERED KIDS CONTENT IN THE COMMUNITY. GOAL 3. INCREASE PERCENTAGE OF POPULATION WITH ACCESS TO HEALTHY FOOD.UNITED HOSPITAL PROMOTED VOLUNTEER OPPORTUNITIES IN SUPPORT OF FOOD SHELVES AND OTHER HEALTHY FOOD INITIATIVES AT NEIGHBORHOOD HOUSE, MODEL CITIES, KEYSTONE COMMUNITY SERVICES, AND OTHER COMMUNITY-BASED OPPORTUNITIES. PROVIDED CHARITABLE CONTRIBUTIONS TO KEYSTONE COMMUNITY SERVICES, OPEN ARMS, NEIGHBORHOOD HOUSE, CHRISTIAN CUPBOARD EMERGENCY SERVICES; INCREASED NUMBER OF FOOD SHELVES RECEIVING CHARITABLE CONTRIBUTIONS, INCLUDING SPECIAL JOINT PROJECT OF WASHINGTON COUNTY PUBLIC HEALTH AND LOCAL TRANSPORTATION AND FOOD-SHELF PROVIDERS. IN ADDITION, THE HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND HEALTHY FOOD INITIATIVES, INCLUDING FOREST LAKE HEALTH UP, ACTIVE LIVING RAMSEY COUNTY, AND AGE-FRIENDLY RAMSEY COUNTY INITIATIVES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH TO COMPLETE ITS CHNA TO ENGAGE REPRESENTATIVES FROM 15 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA, SUCH AS THE 2016 BROWN COUNTY COMMUNITY HEALTH SURVEY. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. TO GAIN COMMUNITY MEMBERS' PERSPECTIVES ON THESE PRIORITIES, THE MEDICAL CENTER HOSTED TWO COMMUNITY DIALOGUES IN OCTOBER 2018 THAT WERE ATTENDED BY 32 PEOPLE REPRESENTING 18 BROWN COUNTY ORGANIZATIONS SUCH AS EARLY CHILDHOOD FAMILY EDUCATION (ECFE), LOCAL FAITH COMMUNITIES, BROWN COUNTY UNITED WAY, NEW ULM PARK AND REC AND PUBLIC SCHOOLS, AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:NEW ULM MEDICAL CENTER:GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, NEW ULM MEDICAL CENTER (NUMC) CONTINUED WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. PARTNERED WITH SLEEPY EYE AND SPRINGFIELD HIGH SCHOOLS IN 2019-2020 SCHOOL YEAR TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 524 STUDENTS. CONTINUED 2018-2019 PARTNERSHIP WITH NEW ULM HIGH SCHOOL, REACHING APPROXIMATELY 623 STUDENTS. PARTNERED WITH RED ROCK CENTRAL HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 250 STUDENTS. BROWN COUNTY MENTAL HEALTH AND WELLNESS ACTION TEAM CONDUCTED A MEDIA CAMPAIGN AND SUBMITTED PRESS RELEASE FOR LOCAL NEWSPAPERS REGARDING REDUCING STIGMA. SHARED MENTAL WELLNESS MESSAGING TO CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER FOR CHILL WEEK.NUMC CONTINUED MAINTAINING A COMMUNITY MENTAL HEALTH AND WELLNESS ACTION TEAM COMPRISED OF NUMC AND COMMUNITY EXPERTS AND LEADERS. THE GROUP MEETS MONTHLY. IN ADDITION, IN 2020 NUMC CREATED AN ONLINE MENTAL HEALTH RESOURCE DIRECTORY AND IT IS CURRENTLY HOUSED ON HEART OF NEW ULM WEBSITE. GOAL 2. REDUCE BARRIERS TO ACTIVE LIVING AND HEALTHY EATING.NUMC IS ACTIVELY PARTICIPATING IN LOCAL COALITIONS. NUMC STAFF LEADS MONTHLY FOOD ENVIRONMENT ACTION TEAM MEETINGS AND ACTIVELY PARTICIPATES IN FOOD ENVIRONMENT ACTION TEAM. IN ADDITION, NUMC HELD QUARTERLY WORKSITE WELLNESS TRAINING EVENTS. ONE OF THE EVENTS WAS ON HEALTHY FOOD POLICIES FOR WORKSITES. STARTED A "WELLNESS THE NU WAY" CAMPAIGN. MESSAGING IS FOCUSED ON EATING MORE FRUITS AND VEGETABLES AND HEALTHY SNACKS. NUMC IS CONTINUING TO PROMOTE COMMUNITY GARDEN. PROVIDE FINANCIAL AND IN-KIND SUPPORT FOR FAMILY FITNESS NIGHTS AT NEW ULM PARK AND RECREATION; ONE EVENT WAS HELD IN JANUARY OF 2020. GOAL 3. DECREASE ADDICTION RATES AND USE OF LEGAL AND ILLEGAL SUBSTANCES.IN 2020, NUMC ASSISTED CITY WITH UPDATING THEIR TOBACCO POLICY. USED BEST PRACTICES FROM PUBLIC HEALTH LAW CENTER. IN JULY 2020, NUMC HELPED CREATE AND BECAME A PARTNER IN BROWN COUNTY CHEMICAL HEALTH ACTION TEAM. IN ADDITION, NUMC PARTNERED WITH NEW ULM HIGH SCHOOL HEALTH CLASS IN DECEMBER TO DISCUSS THE HARMS OF VAPING. IN PART DUE TO NUMC HEALTH ADVOCACY WORK IN THE COMMUNITY, AT THE OCTOBER 20TH, 2020 MEETING CITY COUNCIL ADOPTED A TOBACCO FREE PARKS, TRAILS AND RECREATION FACILITIES POLICY TO BECOME EFFECTIVE JANUARY 1, 2021.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2018 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY TO WHICH 2,039 PEOPLE RESPONDED. ADDITIONALLY, MEMBERS TALKED TO COMMUNITY MEMBERS AT WRIGHT COUNTY FAIR IN JULY 2018. FINALLY, WCCHC CONDUCTED KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS WITH 150 RESIDENTS AND REPRESENTATIVES FROM 40 COMMUNITY ORGANIZATIONS, INCLUDING SENIORS, LOW-INCOME FAMILIES, REPRESENTATIVES FROM RACIAL/ETHNIC MINORITY POPULATIONS, AND ORGANIZATIONS SERVING PEOPLE LIVING ON LESS TO UNDERSTAND THE COMMUNITY'S PERSPECTIVE ON IDENTIFIED PRIORITIES.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:BUFFALO HOSPITAL: GOAL 1: REDUCE THE RATE OF MENTAL HEALTH CARE DELAY AND THE NUMBER OF NOT GOOD" MENTAL HEALTH DAYS IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED EXPANDING AND DEEPENING THEIR CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP WORK. AT THE START OF THIS ON-GOING PROGRAM, IN 2018-19, BUFFALO HOSPITAL PARTNERED WITH MAPLE LAKE HIGH SCHOOL, REACHING APPROXIMATELY 419 STUDENTS/YEAR. IN THE 2019-2020 SCHOOL YEAR, BUFFALO AND MONTICELLO HIGH SCHOOLS WERE ADDED TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 3,064 ADDITIONAL STUDENTS/YEAR. CONTINUED COLLABORATION WITH BUFFALO MIDDLE SCHOOL AND ROCKFORD HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,882 ADDITIONAL STUDENTS. PROMOTED MENTAL WELL-BEING MESSAGING FOR CHILL WEEK WITH CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER. AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC) WORK, BUFFALO HOSPITAL IMPLEMENTED A COORDINATED AWARENESS CAMPAIGN EDUCATING THE COMMUNITY ABOUT MENTAL ILLNESS AS A MEDICAL CONDITION. IN COLLABORATION WITH OTHER PARTNERS, IN 2020 BUFFALO HOSPITAL INTRODUCED MENTAL HEALTH MOMENTS. MENTAL HEALTH MOMENTS ARE SHORT RECORDINGS DISCUSSING MENTAL HEALTH STIGMA ISSUES AND WERE PLAYED ON THE LOCAL RADIO STATION. AN INTERVIEW WAS CONDUCTED WITH MONA VOLDEN OF ALLINA HEALTH BUFFALO AND MELISSA PRIBYL OF CENTRACARE MONTICELLO DISCUSSING THE TOPIC OF MENTAL HEALTH AND THE WORK LINKED TO COMMUNITY HEALTH NEEDS ASSESSMENT, THE PARTNERSHIP IN WRIGHT COUNTY AND THE LOCAL HEALTH PRIORITIES. THE INTERVIEW WAS PLAYED ON THE LOCAL RADIO STATION. IN ADDITION, WCCHC INTRODUCED SHORT VIDEOS RECORDED BY MENTAL HEALTH PROVIDERS. THE VIDEOS ADDRESSED STIGMA AROUND MENTAL HEALTH CONDITIONS AND PROVIDED INFORMATION ON MENTAL HEALTH CARE ACCESS. THE MEMBERS OF WCCHC SHARED AND PROMOTED THE VIDEOS THROUGH VARIOUS SOCIAL MEDIA CHANNELS. BUFFALO HOSPITAL CONTINUED PARTICIPATION IN CENTRAL MN SUICIDE PREVENTION PROGRAM, WITH A FOCUS ON THE LOCAL VETERAN POPULATION. GOAL 2. REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED ACTIVE INVOLVEMENT AND PARTICIPATION IN WRIGHT COUNTY DENTAL HEALTH WORKGROUP. A PORTION OF THE NEW WRIGHT COUNTY GOVERNMENT CENTER WAS IDENTIFIED AS A LOCATION FOR THE LOW-COST/NO-COST DENTAL CLINIC AND IS CURRENTLY UNDER CONSTRUCTION. TO ADVOCATE FOR FUNDING FOR AFFORDABLE DENTAL CARE IN WRIGHT COUNTY, BUFFALO HOSPITAL PARTICIPATED IN A BONDING BILL ASKING FOR MN STATE FUNDING FOR THIS DENTAL CLINIC WHICH WAS AWARDED. ALSO, PROVIDED LETTERS OF SUPPORT FROM ALLINA HEALTH AND EDUCATION TO ELECTED OFFICIALS REGARDING THE NEED. IN ADDITION, THE GROUP SECURED THE SUPPORT OF AN AREA DENTIST TO PROVIDE EDUCATIONAL OPPORTUNITIES REGARDING IMPORTANCE OF ORAL HYGIENE TO THE COMMUNITY. AS PART OF COMMUNITY EDUCATION, THE DENTAL WORKGROUP DEVELOPED AN INFOGRAPHIC AND POWERPOINT REGARDING THE SCOPE OF DENTAL CARE ACCESS AND RELATED NEEDS IN WRIGHT COUNTY TO EDUCATE COMMUNITY PARTNERS. GOAL 3. SUPPORT LOCAL PREVENTION EFFORTS AND ADVOCATE FOR POLICY CHANGES TO ADDRESS SUBSTANCE ABUSE IN WRIGHT COUNTY.IN 2020, BUFFALO HOSPITAL ACTIVELY ENGAGED IN POLICY, SYSTEM AND ENVIRONMENTAL CHANGES THAT REDUCE ACCESS TO E-CIGARETTES AMONG YOUTH AND ADULTS. THE HOSPITAL PARTICIPATED IN THE TOBACCO21 ADVOCACY WORK IN WRIGHT COUNTY AND CONTINUED MEMBERSHIP AND PARTNERSHIP WITH THE MEADA COMMUNITY PROGRAM THAT DEALS WITH SUBSTANCE USE/ABUSE ISSUES FOR RESIDENTS OF ALL AGES. THIS GROUP WROTE AND WAS AWARDED A DRUG FREE COMMUNITY GRANT. IN ADDITION, THE HOSPITAL ACTIVELY PROMOTED CHANGE TO CHILL ESCAPE THE VAPE CONTEST AMONG LOCAL AREA SCHOOLS AND PROGRAMS WORKING WITH YOUTH.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE MEMBERS REVIEWED PATIENT, STATE AND LOCAL DATA AND RESULTS FROM THE EAST CENTRAL REGIONAL SURVEY TO SELECT THEIR 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, THE COMMITTEE CONDUCTED A ROOT CAUSE ANALYSIS AND DEVELOPED A CONVERSATION IN A BOX GUIDE THAT THE COMMUNITY GROUPS USED TO FACILITATE 13 DIALOGUES WITH A TOTAL OF 150 CLIENTS AND CONSTITUENTS FROM LOCAL SCHOOLS, SENIORS, THE LOCAL CHAMBER OF COMMERCE, EARLY CHILDHOOD PROGRAMS, SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMS AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS. AN ADDITIONAL 36 PEOPLE PROVIDED INPUT THROUGH AN ONLINE SURVEY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE SOCIAL CONNECTEDNESS ACROSS ALL STAGES AND AGES OF LIFE.IN 2020, CAMBRIDGE MEDICAL CENTER (CMC) STAFF PARTICIPATED IN DEVELOPMENT OF ALLINA-WIDE SOCIAL CONNECTEDNESS INITIATIVE AND CONTRIBUTED TO THE DEVELOPMENT OF HELLO4HEALTH WEBSITE. CMC STARTED PLANNING PROCESS ON HOW TO BEST SUPPORT GRASSROOTS, COMMUNITY-BASED EFFORTS TO INCREASE SOCIAL CONNECTIONS AMONG OLDER ADULTS OR CAREGIVERS OF OLDER ADULTS. CHAMPIONED DEVELOPMENT OF A CARE MODEL TO IDENTIFY AND ADDRESS SOCIAL ISOLATION WITH OUR PATIENTS. THROUGH THE WORK LINKED TO HELLO4HEALTH, CAMBRIDGE MEDICAL CENTER DEVELOPED, PROMOTED AND IMPLEMENTED COMMUNITY MAP CONNECTIONS - A SIMPLE TOOLKIT GEARED TOWARDS CREATING COMMUNITY CONNECTIONS AND EXPANDING SOCIAL NETWORKS. CMC STARTED PLANNING PROCESS TO DEVELOP MEASUREMENT TOOLS TO EVALUATE SOCIAL CONNECTEDNESS THROUGH THE NEXT COMMUNITY-WIDE SURVEY. GOAL 2. ADDRESS YOUTH SUBSTANCE USE, INCLUDING ALCOHOL AND TOBACCO BY REDUCING THE IMPACT OF SUBSTANCE USE AND ABUSE ON THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ISANTI COUNTY YOUTH AND INCREASING RESILIENCE AND HEALTHY COPING SKILLS AMONG COMMUNITY MEMBERS.CAMBRIDGE MEDICAL CENTER CONTINUED EXPANDING AND DEEPENING CHANGE TO CHILL SCHOOL PARTNERSHIP WORK. COLLABORATED WITH BRAHAM HIGH SCHOOL TO IMPLEMENT CHANGE TO CHILL PROGRAMMING IN 2019-2020 SCHOOL YEAR, REACHING 317 STUDENTS. CAMBRIDGE MEDICAL CENTER CONTINUED 2018-2019 PARTNERSHIP WITH CAMBRIDGE-ISANTI HIGH SCHOOL, REACHING APPROXIMATELY 1,552 STUDENTS. PARTNERED WITH CAMBRIDGE AND ISANTI MIDDLE SCHOOLS TO IMPLEMENT CTC PROGRAMMING IN 2020-2021 SCHOOL YEAR, REACHING APPROXIMATELY 1,141 STUDENTS. CAMBRIDGE MEDICAL CENTER PROMOTED VIRTUAL MENTAL WELLNESS SERIES FOR STUDENTS AND FAMILIES AND SHARED MENTAL WELLNESS MESSAGING DURING CHILL WEEK IN OCTOBER 2020 WITH CHANGE TO CHILL PARTNERSHIP SCHOOLS.IN THE SUMMER OF 2020, CAMBRIDGE MEDICAL CENTER SUPPORTED CAMBRIDGE POSITIVITY IN THE PARK PROJECT. CMC STAFF PROVIDED PRESENTATIONS AND INFORMATION ABOUT CHANGE TO CHILL AND STRESS MANAGEMENT RESOURCES TO LOCAL AREA SCHOOLS. IN ADDITION, CMC FACILITATED GROWING GRATITUDE - JOURNEY TO WELLNESS CLASS TRAINING AT MILL RIDGE COMMONS. CMC STAFF OFFERED PRESENTATION ABOUT AVOIDING BURNOUT AND STRESS MANAGEMENT TECHNIQUES TO EAST CENTRAL ENERGY STAFF. IN ADDITION, CMC STAFF PRESENTED TO STUDENTS AT BRAHAM MIDDLE VAPING FACTS/MYTH BUSTING, ALONG WITH LUNCH & LEARN ABOUT VAPING AND NEW TOBACCO LEGISLATION TO ISANTI COUNTY STAFF. PROVIDED WRITTEN MATERIAL ABOUT VAPING AND IN DEPTH VAPING DIVERSION PROGRAM INFORMATION TO LOCAL SCHOOLS. GOAL 3. REDUCE BARRIERS TO MENTAL HEALTH SERVICES FOR PEOPLE IN OUR COMMUNITIES.CAMBRIDGE MEDICAL CENTER SUPPORTED THE CREATION OF NEW CHANGE TO CHILL CONTENT RELATED TO STIGMA, HEALTHY COMMUNICATION, SUICIDE PREVENTION, GRIEF AND LOSS. PROMOTED VIRTUAL MENTAL WELLNESS SERIES FOR STUDENTS AND FAMILIES IN THE LOCAL COMMUNITY. PARTNERED WITH REGION 7E MENTAL HEALTH INITIATIVE TO PROVIDE ONE LOCAL MENTAL HEALTH RESOURCE GUIDE, IN EFFORT TO DEVELOP AND PROMOTE A "ONE-STOP" REFERENCE POINT TO THE COMMUNITY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:REGINA HOSPITAL: REGINA HOSPITAL DEVELOPED ITS CHNA AS PART OF THE DAKOTA COUNTY PUBLIC HEALTH'S HEALTHY DAKOTA INITIATIVE, THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE HASTINGS EQUITY AND INCLUSION COMMITTEE. MEMBERS OF THE HEALTHY DAKOTA INITIATIVE REVIEWED STATE AND LOCAL DATA RESOURCES AND SURVEY RESPONSES FROM 1,244 RESIDENTS AND 46 ORGANIZATIONAL ASSESSMENTS. ADDITIONALLY, THEY CONDUCTED LISTENING SESSIONS WITH COMMUNITY REPRESENTATIVES FROM SOCIAL SERVICE AGENCIES, HOUSING ORGANIZATIONS AND LEGAL AND MENTAL HEALTH SERVICES. BASED ON THE DATA REVIEW, THE HEALTHY DAKOTA INITIATIVE STEERING COMMITTEE SELECTED 19 HEALTH PRIORITIES. REGINA STAFF NARROWED THE LIST BY REVIEWING ALLINA HEALTH PATIENT DATA AND HOLDING THREE DIALOGUES WITH MEMBERS OF THE HASTINGS EQUITY AND INCLUSION COMMITTEE. THIS GROUP INCLUDES REGINA HOSPITAL AND 50 OTHER MEMBERS, INCLUDING COMMUNITY RESIDENTS, BUSINESS OWNERS AND REPRESENTATIVES FROM GOVERNMENT AND NONPROFIT ORGANIZATIONS. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES AND GATHER IDEAS FOR ADDRESSING THEM, REGINA STAFF INTERVIEWED REPRESENTATIVES FROM FIVE COMMUNITY ORGANIZATIONS SUCH AS LOCAL SOCIAL SERVICE AGENCIES AND THE LOCAL HIGH SCHOOL AND SENIOR CENTER.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:REGINA HOSPITAL: GOAL 1: IMPROVE MENTAL HEALTH AND WELLNESS BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2020, REGINA HOSPITAL CONTINUED PARTNERING WITH DAKOTA COUNTY. THIS COLLABORATION INCLUDED SERVING ON THE DAKOTA COUNTY MENTAL HEALTH ACTION TEAM, CHIP LEADERSHIP COMMITTEE, AND SAVE: SUICIDE AWARENESS / REDUCTION COMMITTEE. THE HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO THE HASTINGS HIGH SCHOOL PEER HELPER PROGRAM AND OTHER COMMUNITY PROGRAMS THAT FOCUS ON IMPROVING MENTAL HEALTH SERVICES. CONTINUED CHANGE TO CHILL SCHOOL PARTNERSHIP WITH HASTINGS HIGH SCHOOL AND ENGAGED IN NEW PARTNERSHIP WITH HASTINGS MIDDLE SCHOOL, OFFERING THE DEVELOPMENT AND FUNDING FOR CHILL ZONE, INTERN PROGRAM AND ONGOING SUPPORT TO STAFF AND PARENTS IN ADDRESSING TEENS' MENTAL HEALTH NEEDS. REGINA HOSPITAL PROMOTED CHILL WEEK WITHIN CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS. INTERNALLY, REGINA HOSPITAL PROVIDED INFORMATION AND RESOURCES FOR EMPLOYEES AND STAFF REGARDING RESILIENCY AND COPINGS STRATEGIES.GOAL 2. BROADEN THE ARRAY OF PROGRAMS AND SERVICES AVAILABLE TO SUPPORT THE AGING CONTINUUM.IN 2020, MANY PLANNED ACTIVITIES WERE ON HOLD DUE TO THE COVID-19 PANDEMIC. REGINA HOSPITAL CONTINUED TO SUPPORT THE MEALS ON WHEELS PROGRAM, PARTNERING WITH HASTINGS FAMILY SERVICES TO ADAPT TO THE PROGRAM TO SUPPORT THOSE IN NEED DURING THE PANDEMIC. THE HOSPITAL WORKED WITH DARTS TO MODIFY THE HASTINGS LOOP TRANSPORTATION VAN TO MEET COVID GUIDELINES. CONTINUED PLANNING WITH HASTINGS SENIOR CENTER, DARTS, AND DAKOTA COUNTY TO ADDRESS THE NEEDS OF THIS POPULATION AND INCREASED RISKS OF ISOLATION.GOAL 3. DECREASE THE PERCENTAGE OF POPULATION THAT IS OVERWEIGHT OR OBESE.REGINA HOSPITAL PROVIDES GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS A FOOD COLLECTION EVENT IN EARLY 2020. SUPPORTED HFS MARKET CART PROGRAM THROUGH PROMOTION AND FINANCIAL CONTRIBUTION. CONTINUED PARTNERSHIP WITH DAKOTA COUNTY SHIP LEADERSHIP TEAM.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: ADDRESS MENTAL HEALTH AND SUBSTANCE USE BY INCREASING RESILIENCY AND HEALTHY COPING SKILLS AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. IN 2020-2021 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES INCLUDED FARIBAULT HIGH SCHOOL AND FARIBAULT ALTERNATIVE LEARNING CENTER HIGH SCHOOL REACHING APPROXIMATELY 1,209 STUDENTS. 2018-2019 CONTINUED PARTNERSHIP SCHOOL INCLUDE ARCADIA CHARTER SCHOOL, REACHING APPROXIMATELY 109 STUDENTS. 2019-2020 SITES INCLUDED NORTHFIELD HIGH SCHOOL REACHING APPROXIMATELY 1,336 STUDENTS.IN ADDITION, THE HOSPITALS LED HEALTH & HAPPINESS PROJECT FOR RICE/STEELE COUNTIES INCLUDING DEVELOPMENT OF A NEW WEBSITE AND MULTI-CULTURAL TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG). IN 2020, THE HOSPITAL REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE. PARTICIPATED IN LEGISLATIVE BREAKFAST/VIRTUAL COFFEE CHATS HOSTED BY RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION AND RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY CAFE AND CONGREGATE MEAL PROGRAMS IN FARIBAULT AND OWATONNA DURING THE COVID-19 PANDEMIC RESPONSE. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2020. THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. BEGAN PLANNING UCARE HEALTH EQUITY "PAVING THE WAY" PRENATAL PROJECT TO HELP PRENATAL AND POSTPARTUM MOMS WITH DIABETES AND HYPERTENSION THROUGH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS AND COMMUNITY HEALTH WORKERS. IN ADDITION, THE HOSPITALS PARTICIPATED IN DEVELOPMENT OF NEW FOOD SHELF/DISTRIBUTION PLAN FOR FARIBAULT CULTURAL COMMUNITIES. FARIBAULT FOOD SHELF CLOSED DURING COVID-19 PANDEMIC; THE HOSPITALS PROVIDED CHARITABLE SUPPORT TO CONGREGATE MEAL PROGRAMS AT CHURCHES INCLUDING FUNDING NEW FREEZERS AND PURCHASING FOOD AND TO-GO CONTAINERS. DISTRICT ONE AND OWATONNA HOSPITALS PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS FARIBAULT SCHOOL DISTRICT AND GROWING UP HEALTHY NEIGHBORHOOD FOOD DISTRIBUTION, TRUCK TO TRUNK, COMMUNITY CAFE, STEELE COUNTY HEALTHY EATING COALITION, RICE COUNTY EMERGENCY FOOD NETWORK.GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2020, DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, COMMUNITY ACTION CENTER FOOD INITIATIVE, ALLINA HEALTH BUCKS PROGRAM TO SUPPORT FARMERS MARKETS. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY DURING THE COVID-19 PANDEMIC.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: ADDRESS MENTAL HEALTH AND SUBSTANCE USE BY INCREASING RESILIENCY AND HEALTHY COPING SKILLS AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. IN 2020-2021 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES INCLUDED FARIBAULT HIGH SCHOOL AND FARIBAULT ALTERNATIVE LEARNING CENTER HIGH SCHOOL REACHING APPROXIMATELY 1209 STUDENTS. 2018-2019 CONTINUED PARTNERSHIP SCHOOL INCLUDE ARCADIA CHARTER SCHOOL, REACHING APPROXIMATELY 109 STUDENTS. 2019-2020 SITES INCLUDED NORTHFIELD HIGH SCHOOL REACHING APPROXIMATELY 1336 STUDENTS.IN ADDITION, THE HOSPITALS LED HEALTH & HAPPINESS PROJECT FOR RICE/STEELE COUNTIES INCLUDING DEVELOPMENT OF A NEW WEBSITE AND MULTI-CULTURAL TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG). IN 2020, THE HOSPITAL REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE. PARTICIPATED IN LEGISLATIVE BREAKFAST/VIRTUAL COFFEE CHATS HOSTED BY RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION AND RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY CAF AND CONGREGATE MEAL PROGRAMS IN FARIBAULT AND OWATONNA DURING THE COVID-19 PANDEMIC RESPONSE.GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.IN 2020. THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. BEGAN PLANNING UCARE HEALTH EQUITY "PAVING THE WAY" PRENATAL PROJECT TO HELP PRENATAL AND POSTPARTUM MOMS WITH DIABETES AND HYPERTENSION THROUGH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS AND COMMUNITY HEALTH WORKERS. IN ADDITION, THE HOSPITALS PARTICIPATED IN DEVELOPMENT OF NEW FOOD SHELF/DISTRIBUTION PLAN FOR FARIBAULT CULTURAL COMMUNITIES. FARIBAULT FOOD SHELF CLOSED DURING THE COVID-19 PANDEMIC; THE HOSPITALS PROVIDED CHARITABLE SUPPORT TO CONGREGATE MEAL PROGRAMS AT CHURCHES INCLUDING FUNDING NEW FREEZERS AND PURCHASING FOOD AND TO-GO CONTAINERS. DISTRICT ONE AND OWATONNA HOSPITALS PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, SUCH AS FARIBAULT SCHOOL DISTRICT AND GROWING UP HEALTHY NEIGHBORHOOD FOOD DISTRIBUTION, TRUCK TO TRUNK, COMMUNITY CAF, STEELE COUNTY HEALTHY EATING COALITION, RICE COUNTY EMERGENCY FOOD NETWORK.DISTRICT ONE GOAL 3: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTS.IN 2020, DISTRICT ONE AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY: STEEL COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, COMMUNITY ACTION CENTER FOOD INITIATIVE, ALLINA HEALTH BUCKS PROGRAM TO SUPPORT FARMERS MARKETS. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY DURING THE COVID-19 PANDEMIC.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5:	IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED 39 ORGANIZATIONS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND 1,072 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. BASED ON THIS REVIEW, THE COALITION DEFINED ITS 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND RESIDENTS' PERSPECTIVES, HEALTHIER TOGETHER CONDUCTED SEVEN FOCUS GROUPS WITH 61 RESIDENTS INCLUDING FARMERS, SENIORS, YOUTH, PEOPLE IN MENTAL HEALTH OR SUBSTANCE USE RECOVERY, PROVIDERS AND PEOPLE WHO WORK WITH YOUTH.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A:	THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B:	IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA, SUCH AS:HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) IS A COMMUNITY COALITION WORKING TO CREATE AND MAINTAIN HEALTHY COMMUNITIES AND PROVIDE A STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. HUDSON HOSPITAL & CLINIC, RIVER FALLS AREA HOSPITAL, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH, AND THE UNITED WAY OF ST. CROIX VALLEY LEAD THE PLANNING AND IMPLEMENTATION OF A TWO-COUNTY, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. RIVER FALLS AREA HOSPITAL COMPLETED ITS MOST RECENT CHNA AND IMPLEMENTATION PLAN AS PART OF HEALTHIER TOGETHER AND IS AN ACTIVE PARTICIPANT IN THE COALITION.RIVER FALLS AREA HOSPITAL (HEALTHIER TOGETHER):GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES, SUPPORTING COORDINATION OF MENTAL HEALTH CARE SERVICES BETWEEN SCHOOLS, PROVIDERS, AND COUNTIES AND INCREASING SERVICES THAT PROMOTE FAMILY STABILITY.IN 2020, RIVER FALLS AREA HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL SCHOOL PARTNERSHIP PROGRAM. ELLSWORTH HIGH SCHOOL AND RIVER FALLS MIDDLE SCHOOL WERE SELECTED FOR THE PARTNERSHIP, WHICH INCLUDED THE DEVELOPMENT AND FUNDING FOR CHILL ZONE, INTERN PROGRAM AND ONGOING SUPPORT TO STAFF AND PARENTS IN ADDRESSING TEENS' MENTAL HEALTH NEEDS. RIVER FALLS AREA HOSPITAL PROMOTED CHILL WEEK WITHIN CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS. RIVER FALLS AREA HOSPITAL WAS ALSO AN ACTIVE PARTNER IN THE HEALTHIER TOGETHER SCHOOL PARTNERS SUB-COMMITTEE WHICH PROMOTED RESILIENCY, ISOLATION REDUCTION, AND COVID RELATED STRATEGIES TO SCHOOLS THROUGHOUT THE REGION DURING VIRTUAL, HYBRID, AND IN-PERSON LEARNING.IN ADDITION, RIVER FALLS AREA HOSPITAL SUPPORTED THE ROLL OUT AND STRATEGIC GROWTH OF UNITED WAY OF ST. CROIX VALLEY 211 (SCV211) THROUGH FINANCIAL CONTRIBUTIONS AND PARTICIPATION THE LEADERSHIP COMMITTEE. SCV211 BECAME AN INVALUABLE RESOURCE DURING COVID-19 PANDEMIC; ADDITIONAL VOLUNTEERS AND STAFF WERE TRAINED TO MAINTAIN THE PHONE LINES.GOAL 2. ADDRESS SUBSTANCE USE DISORDER BY ADVOCATING FOR POLICIES THAT INCREASE ACCESS TO SUBSTANCE USE TREATMENT, INCREASING EARLY INTERVENTION, EDUCATION AND PREVENTION SERVICES RELATED TO SUBSTANCE USE IN THE COMMUNITY AND INCREASING COORDINATED YOUTH PREVENTION WORK, PROVIDING EDUCATION, HEALTHY ACTIVITIES AND RESILIENCE TRAINING. RIVER FALLS AREA HOSPITAL PROMOTED DRUG DISPOSAL DAY AT WALMART AND BY LOCAL LAW ENFORCEMENT AGENCIES, WHO OFFERED COLLECTION EVENTS TWICE A YEAR. EDUCATION AND MARKETING FOR THE EVENTS WAS CONDUCTED THROUGH HEALTHIER TOGETHER WEBSITE. IN 2020, RIVER FALLS AREA HOSPITAL WAS ACTIVELY PLANNING THE IMPLEMENTATION OF "TALK. THEY HEAR YOU." CAMPAIGN. IN FEBRUARY OF 2020, RIVER FALLS AREA HOSPITAL OFFERED DRUG IMPAIRMENT TRAINING FOR EDUCATION PROFESSIONALS. THE HOSPITAL ACTIVELY ENGAGED IN ADVOCACY WORK TO ALLOW FIRST RESPONDERS AND APPROPRIATE COMMUNITY MEMBERS TO CARRY NARCAN. AS A RESULT, IN 2020 LOCAL PUBLIC HEALTH DEPARTMENTS RECEIVED FUNDING TO PROVIDE NARCAN TO EMERGENCY RESPONDERS.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B, LINE 7 A	HOSPITAL FACILITY WEBSITE URL -HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
PART V, SECTION B, LINE 11	THE FOLLOWING ARE SYSTEM WIDE INITIATIVES THAT APPLY TO TEN ALLINA HEALTH HOSPITALS. PLEASE REFER TO PART V SECTION B LINE 11 EXPLANATION FOR EACH HOSPITAL FACILITY FOR ADDITIONAL NEEDS ADDRESSED AT THE HOSPITAL LEVEL. AT THE END OF 2019, ALLINA HEALTH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 ASSESSMENT IDENTIFIED HEALTHY EATING/ACTIVING LIVING, MENTAL HEALTH AND SUBSTANCE USE AND SOCIAL DETERMINANTS OF HEALTH AS PRIORITY NEEDS FOR 2020-2022 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2020 FOR THE ALLINA HEALTH SYSTEM AND INDIVIDUAL HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:-CHANGE TO CHILL (CTC) - IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. SINCE 2018, THE PROGRAM HAS ALSO INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. IN 2020, COVID-19 CAUSED FEAR, ANXIETY, UNCERTAINTY AND STRESS IN POPULATIONS ACROSS MINNESOTA AND SCHOOLS TRANSITIONED TO DISTANCE LEARNING. CTC MET THE CHANGING NEEDS OF THE COMMUNITY BY TRANSFORMING IN-PERSON TRAININGS AND CTCSP TO A VIRTUAL MODEL, OFFERING A VIRTUAL CARE PACKAGES TO FAMILIES, CREATING NEW ONLINE RESOURCES LIKE A VIRTUAL CHILL ZONE, AND ENHANCING EXISTING PROGRAM CONTENT RELATED TO COPING WITH GRIEF, LOSS AND CHANGE. IN 2020, MORE THAN 55,000 USERS VISITED THE CTC WEBSITE-A 81% INCREASE FROM THE PREVIOUS YEAR. AN ADDITIONAL 2,500 PARTICIPATED IN VIRTUAL TRAININGS AND WELL-BEING SESSIONS, AND 30 STUDENTS FROM 15 HIGH SCHOOLS AND MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP INTERNSHIP PROGRAM. -BE THE CHANGE - ALLINA HEALTH HAS BEEN A LEADER IN ELIMINATING STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS WITHIN THE HEALTHCARE INDUSTRY. BE THE CHANGE, WAS A CAMPAIGN TO ELIMINATE STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS AT ALLINA HEALTH AND ENSURE ALL PATIENTS RECEIVE THE SAME CONSISTENT, EXCEPTIONAL CARE. AT THE CAMPAIGN'S LAUNCH, 500 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO LEAD THE EFFORT AS TRAINED BE THE CHANGE CHAMPIONS AND HELP EDUCATE AND GENERATE AWARENESS AMONG THEIR COLLEAGUES ABOUT MENTAL HEALTH AND ADDICTION CONDITIONS THROUGH PRESENTATIONS AND EDUCATION EVENTS. IN 2020, BE THE CHANGE TRANSITIONED FROM A CAMPAIGN TO AN EMPLOYEE RESOURCE GROUP. THE PURPOSE OF THIS GROUP IS TO CREATE AN INCLUSIVE, WELCOMING AND SUPPORTIVE ENVIRONMENT FOR PEOPLE LIVING WITH DISABILITIES, MENTAL HEALTH CONDITIONS AND/OR ADDICTION AND CONTINUE TO WORK TO ELIMINATE STIGMA AROUND MENTAL HEALTH, ADDICTION AND DISABILITY CONDITIONS.-HELLO4HEALTH - IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN 2021. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES AND SKILL-BUILDING TOOLS FOR CONNECTING WITH OTHERS. ADDITIONAL PROGRAM COMPONENTS WERE DELAYED DUE TO THE COVID-19 PANDEMIC AND ARE IN DEVELOPMENT.-HEALTH POWERED KIDS (HPK) - LAUNCHED IN 2012, IS A FREE COMMUNITY EDUCATION PROGRAM DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 YEARS TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. IN 2020, MORE THAN 100,000 USERS VISITED THE HPK WEBSITE.-CHARITABLE CONTRIBUTIONS- CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. IN 2020, ALLINA HEALTH PRIORITIZED CONTRIBUTIONS TO ORGANIZATIONS RESPONDING TO CRITICAL NEEDS RELATED TO THE COVID-19 CRISIS AND THE CIVIL UNREST, INCLUDING RACIAL INEQUITY AND OTHER HEALTH DISPARITIES. IN 2020 ALLINA HEALTH SYSTEM OFFICE MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA: $70,000 (30%) FOR ACTIVE LIVING, $50,000 (22%) FOR HEALTHY EATING, $50,000 (22%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES, $19,000 (8%) FOR MENTAL HEALTH AND WELLNESS, $40,000 (17%) FOR OTHER HEALTH-RELATED PURPOSES AND $1,000 (<1%) FOR NON-HEALTH RELATED PURPOSES. EXAMPLES OF SPECIFIC CONTRIBUTIONS ARE DESCRIBED BELOW.TO SUPPORT ACTIVE LIVING, ALLINA HEALTH GAVE $65,000 TO FREE BIKES 4 KIDZ MN. THIS CONTRIBUTION WAS PART OF TEN-YEAR PARTNERSHIP BETWEEN ALLINA HEALTH AND FREE BIKES 4 KIDZ MN. IN ADDITION TO THE CONTRIBUTION, ALLINA HEALTH PARTNERS WITH FREE BIKES 4 KIDZ MN EACH YEAR TO COLLECT AND DISTRIBUTE BICYCLES TO CHILDREN WHOSE FAMILIES COULD NOT OTHERWISE AFFORD ONE. IN 2020, ALLINA HEALTH ALSO DISTRIBUTED BIKES TO ESSENTIAL WORKERS IN RESPONSE TO THE INCREASED DIFFICULTY ACCESSING TRANSPORTATION BROUGHT ON BY THE COVID-19 PANDEMIC. FOR THE FOCUS AREA OF HEALTHY EATING, A $20,000 CONTRIBUTION WAS PROVIDED TO METRO MEALS ON WHEELS TO SAFELY PROVIDE FOOD AND SOCIAL CONNECTIONS TO OLDER ADULTS AT RISK FOR HUNGER AND ISOLATION DUE TO THE DISPROPORTIONATE EFFECT OF THE COVID-19 PANDEMIC ON SENIORS. ADDITIONAL GIFTS AIMED AT INCREASING ACCESS TO HEALTHY FOODS INCLUDED $10,000 EACH TO THE FOOD GROUP, HUNGER SOLUTIONS AND THE SHERIDAN STORY (EVERY MEAL). THESE ORGANIZATIONS WERE ABLE TO QUICKLY ADJUST THEIR PROGRAM MODELS TO CONTINUE TO SAFELY FIGHT HUNGER AND INCREASE ACCESS TO HEALTHY FOOD DURING THE PANDEMIC. CONTRIBUTIONS TO MENTAL WELLNESS PRIORITIZED HEALTH EQUITY AND SUPPORTING COMMUNITIES DISPROPORTIONATELY AFFECTED BY THE PANDEMIC AND CIVIL UNREST. FOR EXAMPLE, A $5,000 CONTRIBUTION WAS MADE TO PEOPLE INCORPORATED'S PATHWAYS MENTAL HEALTH TRAINEE PROGRAM, WHICH PROVIDES A HIGH-INTENSITY, IMMERSIVE INTERNSHIP EXPERIENCE FOR EMERGING MENTAL HEALTH PRACTITIONERS, WITH A PARTICULAR FOCUS ON IMPROVING ACCESS TO MENTAL HEALTH PRACTITIONERS FROM DIVERSE BACKGROUNDS BY REMOVING BARRIERS TO EMPLOYMENT FOR DIVERSE PRACTITIONERS. ADDITIONALLY, BOTH THE BARBARA SCHNEIDER FOUNDATION'S CRISIS INTERVENTION TEAM (CIT) CONFERENCE AND PROGRESSIVE INDIVIDUAL RESOURCES INC.'S AFRICAN MENTAL HEALTH VIRTUAL SUMMIT WERE SUPPORTED AT THE $2,500 LEVEL. THE CIT CONFERENCE IS AIMED AT PROVIDING A FORUM FOR FIRST RESPONDERS, COMMUNITY MEMBERS AND OTHER LEADERS TO COME TOGETHER FOR EFFECTIVE PROBLEM SOLVING REGARDING THE INTERACTION BETWEEN CRIMINAL JUSTICE AND MENTAL HEALTHCARE SYSTEMS. THE THEME OF THE 2020 AFRICAN MENTAL HEALTH VIRTUAL SUMMIT WAS "THE NECESSITY OF RESILIENCE: LIVING WITH THE MENTAL HEALTH CONSEQUENCES OF COVID-19." THROUGH THE ACCOUNTABLE HEALTH COMMUNITIES MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREEN PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY (E.G. HOMELESSNESS, LOW HOUSING QUALITY), FOOD INSECURITY (E.G. LACK OF ACCESS TO FOOD), ACCESS TO TRANSPORTATION (E.G. LACK OF RELIABLE TRANSPORT OPTIONS), DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY (E.G. INTIMATE PARTNER VIOLENCE, CHILD ABUSE, ELDER ABUSE). IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2020, MORE THAN 130,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS WITH MORE THAN 50,000 BEING COMPLETED. TWENTY-TWO PERCENT OF SCREENINGS IDENTIFIED AT LEAST ONE NEED, WITH THE MOST FREQUENTLY IDENTIFIED NEED BEING FOOD ACCESS FOLLOWED BY HOUSING INSTABILITY. ADDITIONALLY, 363 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES. ALSO IN 2020, ALLINA HEALTH BEGAN PLANNING FOR THE TRANSITION TO AN ALLINA HEALTH-SPECIFIC MODEL AFTER THE COOPERATIVE AGREEMENT ENDS IN 2022. BEFORE THE COVID-19 PANDEMIC, SOCIAL NEEDS SCREENINGS WERE ONLY OFFERED TO PATIENTS AT IN-PERSON MEDICAL VISITS. WHEN THE PANDEMIC HIT, ALLINA HEALTH QUICKLY TRANSITIONED TO PROVIDING HEALTH CARE THROUGH VIRTUAL VISITS AND OFFERING THE SOCIAL NEEDS SCREENING ELECTRONICALLY. IN 2020, NEARLY 4,000 SCREENINGS WERE OFFERED TO PATIENTS ATTENDING A VIRTUAL HEALTH CARE VISIT.

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?12
Name and address		Type of Facility (describe)
1	1 - ALLINA HEALTH CLINICS-66 LOCATIONS PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS,MN55440	INPATIENT AND OUTPATIENT SERVICES
2	2 - ALLINA HEALTH LABORATORIES 800 E 28TH STREET MINNEAPOLIS,MN55407	LABORATORY SERVICES
3	3 - ALLINA HEALTH PHARMACIES-15 LOCATIONS 800 E 28TH STREET MINNEAPOLIS,MN55407	PHARMACY SERVICES
4	4 - ALLINA HEALTH EMERGENCY MEDICAL SERVICE 167 GRAND AVENUE ST PAUL,MN55102	AMBULANCE AND MEDICAL TRANSPORTATION
5	5 - WESTHEALTH SURGERY CENTER LLC PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS,MN55440	OUTPATIENT SURGERY CENTER
6	6 - SOUTHWEST SURGICAL CENTER LLC 920 EAST 28TH STREET SUITE 500 MINNEAPOLIS,MN55407	OUTPATIENT SURGERY CENTER
7	7 - NORTHSTAR SLEEP CENTER LLC 3800 COON RAPIDS BOULEVARD SUITE 3800 COON RAPIDS,MN55433	OUTPATIENT SERVICES
8	8 - ASPEN SLEEP CENTER 1010 BANDANA BOULEVARD WEST ST PAUL,MN55108	OUTPATIENT SERVICES
9	9 - MOBILE IMAGING SERVICES 7505 METRO BOULEVARD SUITE 400 EDINA,MN55439	MOBILE RADIOLOGY
10	10 - WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER
11	11 - GREENWAY SURGICAL SUITES LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER
12	12 - CENTER FOR RESTORATIVE SURGERY AT MG LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER

Schedule H (Form 990) 2020

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Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR.
PART I, LINE 6A:	ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/
PART I, LINE 7:	WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G:	THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2020:WORKFORCE DEVELOPMENTMANY OF ALLINA HEALTH HOSPITALS HAVE TRAIN-TO-WORK PROGRAMS AS A MEANS TO BUILD A FUTURE WORKFORCE WITHIN AND OUTSIDE OF OUR ORGANIZATION. BY FOCUSING ON BUILDING THE WORKFORCE, THE GOAL IS THAT THERE WILL BE AN INCREASE IN PERSONAL EMPLOYMENT AND ECONOMIC AND WORKFORCE STABILITY. MULTIPLE ALLINA HEALTH HOSPITALS HAVE DEVELOPED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. SEVERAL HOSPITALS AND THE CORPORATE OFFICE HOST CAREER DAYS FOR HIGH SCHOOL STUDENTS. RIVER FALLS AREA HOSPITAL ALSO HAS SIGNIFICANT INVESTMENTS IN TRAIN TO WORK PROGRAMS, IN PARTICULAR THROUGH AN INTERNATIONAL PROGRAM CALLED PROJECT SEARCH. THIS PROGRAM PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES. STUDENTS SPEND NINE MONTHS GAINING REAL-LIFE, TRANSFERRABLE SKILLS AT THE HOSPITAL.COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS AND CIVIC GROUPS, SUCH AS COMMUNITY HEALTH ADVISORY COUNCILS AND LOCAL CHAMBERS OF COMMERCE, AS A WAY TO RESPOND TO COMMUNITY NEEDS THROUGH COLLABORATION AND PARTNERSHIP. THESE COALITIONS PROVIDE THE HOSPITALS THE OPPORTUNITIES TO BUILD RELATIONSHIPS AND DETERMINE HOW BEST TO LEVERAGE LOCAL RESOURCES TO ADDRESS COMMUNITY NEEDS THAT EXIST OUTSIDE THE TRADITIONAL REALM OF HEALTH CARE. ALLINA HEALTH HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. ONE EXAMPLE OF THIS IS THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP), WHICH HAS LOCAL COALITIONS THROUGHOUT THE STATE VIA LOCAL PUBLIC HEALTH AGENCIES TO WORK ON NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE. IN ADDITION, MANY OF OUR LEADERS SERVE ON LOCAL COMMUNITY ORGANIZATION LEADERSHIP TEAMS, SUCH AS VOLUNTEER BOARDS, TO ADVANCE COMMUNITY WORK.DISASTER PREPAREDNESSIN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA HEALTH HOSPITALS ENGAGED IN AND LED DISASTER PREPAREDNESS PLANNING TO ENSURE SAFETY, EFFICIENCY AND EXCELLENT HEALTH CARE DURING TIMES OF TRAGEDY AND/OR UPSET. THIS INCLUDED PLANNING MEETINGS AND COMMUNITY MEETINGS/TRAININGS, AMONG OTHER THINGS.THESE PROGRAMS AND SERVICES, AMONG OTHERS, PROVIDE THE HOSPITALS WITHIN OUR SYSTEM THE OPPORTUNITY TO IMPACT COMMUNITY HEALTH BEFORE IT BECOMES PROBLEMATIC AND EXPENSIVE. IN ADDITION, THIS IMPORTANT WORK IS SUPPORTED BY THE MISSION OF OUR ORGANIZATION AND IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION. WE WILL CONTINUE TO CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROMOTION OF COMMUNITY HEALTH.
PART III, LINE 2:	SCH H, PART III, SECTION A, LINES 2 & 3THE ORGANIZATION HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION [HFMA] STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS OR IMPLICIT PRICE CONCESSIONS TO WHICH THE PATIENT MAY BE ELIGIBLE INCLUDING, BUT NOT LIMITED TO, THE UNINSURED DISCOUNT PROGRAM (DISCUSSED ABOVE) AND REFLECTS THE ESTIMATED AMOUNT REPORTED AS "NET PATIENT SERVICE REVENUE" DURING THE CURRENT PERIOD OR ANY PREVIOUS PERIOD. THIS DOES NOT NECESSARILY EQUAL THE "COST" TO PROVIDE THE MEDICAL SERVICES. ALSO, NOTE THAT AMOUNTS RELATED TO PATIENTS WHO HAVE QUALIFIED UNDER THE CHARITY CARE PROGRAM ARE NOT INCLUDED IN EITHER NET PATIENT REVENUE OR IN BAD DEBT EXPENSE. IN OTHER WORDS, THE BAD DEBT EXPENSE REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE IN THE REVENUE SECTION OF THE FINANCIAL STATEMENTS OF THE FORM 990 DOES NOT INCLUDE AMOUNTS RELATED TO QUALIFIED CHARITY CARE PATIENTS AND IS STATED AT THE "NET" EXPECTED OR ANTICIPATED COLLECTION AMOUNT WHICH MAY BE SIGNIFICANTLY DIFFERENT THAN PATIENT CHARGES DUE TO THE APPLICATION OF DISCOUNTS SUCH AS THOSE PROVIDED UNDER THE UNINSURED DISCOUNT PROGRAM. THIS AMOUNT ALSO CONSTITUTES A DIFFERENT AMOUNT THAN THE ORGANIZATION'S ACTUAL COST TO PROVIDE THE MEDICAL SERVICES. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 2 BAD DEBT "AT COST", THE ORGANIZATION HAS APPLIED A RATIO OF PATIENT CARE COST TO CHARGES (COST TO CHARGE RATIO) TO THE ESTIMATED PATIENT CHARGE AMOUNT INCLUDED IN BAD DEBT AFTER REMOVING THE ANTICIPATED DISCOUNTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH HOSPITAL OR OPERATING UNIT. THE RESULTING BAD DEBT (AT COST) AMOUNT FOR EACH HOSPITAL AND OPERATING UNIT IS THEN AGGREGATED TO ARRIVE AT THE BAD DEBT (AT COST) REPORTED ON LINE 2. THIS PROCESS PROVIDES A VERY CONSERVATIVE ESTIMATE OF THE ORGANIZATION'S BAD DEBT (AT COST). THE ORGANIZATION HAS A ROBUST PROCESS FOR ADMINISTERING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM DESCRIBED IN FURTHER DETAIL IN PART VI, LINE 3. EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO APPLY TO THE COMMUNITY CARE PROGRAM AND TO PARTICIPATE, IF QUALIFIED, TO RECEIVE FREE OR DISCOUNTED MEDICAL CARE OR BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM UNDER THE ORGANIZATIONS VARIOUS FINANCIAL ASSISTANCE PROGRAMS. THE ADMINISTRATIVE PROCESS INCLUDES IDENTIFYING ANY PATIENT WITH A FINANCIAL CONCERN, AS WELL AS INFORMING, COUNSELING, QUALIFYING AND ASSISTING PATIENTS TO APPLY FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. ALTHOUGH EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO RECEIVE FINANCIAL ASSISTANCE AND INFORMED MULTIPLE TIMES OF THE CHARITY CARE PROGRAM PRIOR TO OUR CLASSIFYING THE AMOUNTS AS BAD DEBT, IT IS POSSIBLE THAT PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE DO NOT COMPLETE THE APPLICATION. THIS AMOUNT IS NOT REASONABLY ESTIMABLE. AS A TAX-EXEMPT HOSPITAL ORGANIZATION WE ARE REQUIRED TO PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. DUE TO CIRCUMSTANCES BEYOND OUR CONTROL, A PERSON WHO WOULD OTHERWISE QUALIFY UNDER THE CHARITY CARE PROGRAM MAY NOT PROVIDE US THE NECESSARY INFORMATION, QUALIFY FOR THE PROGRAM, AND RECEIVE FREE CARE ALLOWING US TO CLASSIFY AND QUANTIFY IT ACCORDINGLY AND AS SUCH. ULTIMATELY, THOSE AMOUNTS ARE WRITTEN-OFF AND REPORTED AS BAD DEBT EXPENSE. ANY METHODOLOGY WE COULD USE TO QUANTIFY AND PROVIDE AN ESTIMATE OF HOW MUCH BAD DEBT (AT COST AND IF ANY) REPORTED ON LINE 2 REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND FOR US TO PROVIDE AN ESTIMATE OF WHAT PORTION OF BAD DEBT, IF ANY, THE ORGANIZATION BELIEVES SHOULD CONSTITUTE COMMUNITY BENEFIT WOULD BE PURELY SPECULATIVE, IMPRECISE AND SUBJECT TO INHERENT METHODOLOGY FLAWS. WHILE WE FIRMLY BELIEVE, FOR THE REASONS STATED ABOVE, THAT SOME COMPONENT OF OUR REPORTED BAD DEBT EXPENSE (AT COST) ON LINE 2 CONSTITUTES AMOUNTS RELATED TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM, WE CANNOT REASONABLY QUANTIFY THE AMOUNT AND RESPECTFULLY DECLINE THE OPPORTUNITY TO PROVIDE AN AMOUNT. THEREFORE, WE HAVE REPORTED ZERO OR NONE FOR FORM 990, SCHEDULE H, PART III, LINE 3.
PART III, LINE 4:	FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE:SEE ATTACHED AUDIT, FOOTNOTE 2(T) ON PAGE 13
PART III, LINE 8:	THE ORGANIZATION HAS MORE THAN ONE MEDICARE PROVIDER NUMBER AND THEREFORE AGGREGATED THE AMOUNTS REPORTED IN THE MEDICARE COST REPORTS AS THE SOURCE FOR THE AMOUNTS REPORTED ON PART III, LINES 5 & 6 AS OUTLINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. FOR MEDICARE COST REPORTS, ALLINA USES A RATIO OF PATIENT CARE COSTS TO CHARGES (COST TO CHARGE RATIO) TO DETERMINE MEDICARE ALLOWABLE COSTS. GENERALLY, THE RATIO IS CALCULATED AS THE TOTAL MEDICARE ALLOWABLE PATIENT COSTS OVER THE TOTAL PATIENT CHARGES. MEDICARE CHARGES MULTIPLIED BY THIS RATIO EQUALS THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH MEDICARE COST REPORT/PROVIDER NUMBER. ALLINA BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. ALLINA'S PROVIDING OF THESE SERVICES CLEARLY LESSENS THE BURDENS OF GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINE 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. THE TRUE COMMUNITY BENEFIT FOR OUR PARTICIPATION IN THE CURRENT MEDICARE PROGRAM IS DEPENDENT ON HOW EFFICIENTLY AND COST EFFECTIVELY THE FEDERAL GOVERNMENT COULD OPERATE A DIRECT MEDICAL CARE MEDICARE PROGRAM OR ALTERNATIVELY THE COST TO THE GOVERNMENT TO CONTRACT OUT SUCH SERVICES THROUGH A COMPETITIVE BIDDING PROCESS IN THE OPEN MARKETS FOR THE SAME OR SIMILAR SERVICES FACTORING IN ITEMS SUCH AS QUALITY OF CARE, OUTCOMES AND SIMILAR IMPORTANT FACTORS AS COMPARED TO ALLINA'S ACTUAL COSTS OF PROVIDING THE MEDICAL CARE. THE MEDICARE SHORTFALL CALCULATION ON THE FORM 990, SCHEDULE H, PART III, LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL FOR TWO REASONS. FIRST, ALLINA INCURS SIGNIFICANT COSTS IN EXCESS OF PAYMENTS UNDER THE MEDICARE PROGRAM FOR PROVIDING CERTAIN SERVICES THAT ARE NOT SUBJECT TO MEDICARE COST REPORTING AND THEREFORE NOT REFLECTED IN OUR COST AMOUNTS ON LINE 6. SECOND, THE LINE 6 LIMITS OUR REPORTED COSTS TO ONLY MEDICARE "ALLOWABLE COSTS" AS SOLELY DETERMINED BY THE FEDERAL GOVERNMENT MEDICARE PROGRAM. FOR THESE TWO REASONS, THE MEDICARE SHORTFALL REPORTED ON LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL AND THE ACTUAL COST OF PROVIDING MEDICAL CARE TO MEDICARE PROGRAM PARTICIPANTS. WE ESTIMATE THESE TWO ITEMS UNDERSTATE ALLINA'S REPORTED MEDICARE SHORTFALL BY OVER $213 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM.
PART III, LINE 9B:	THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS.
PART VI, LINE 2:	IN 2019, ALLINA HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE PURPOSE WAS TO IDENTIFY LOCAL PRIORITIES FOR EACH HOSPITAL AS WELL AS OVER-ARCHING THEMES FOR THE HEALTH SYSTEM TO ADDRESS FOR FY 2020-2022. TO RESPOND TO LOCAL NEEDS AND RESOURCES, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. THE HOSPITALS WORKED CLOSELY WITH LOCAL PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. SOME ALSO COLLABORATED WITH OTHER HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. THE CHNA PROCESS OCCURRED IN THREE STEPS: DATA REVIEW AND PRIORITIZATION, COMMUNITY INPUT AND THE DEVELOPMENT OF A THREE-YEAR IMPLEMENTATION PLAN. MOST HOSPITALS USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THE OFFICIAL CHNA PROCESS BEGAN IN JUNE 2018 AND WAS COMPLETED IN AUGUST 2019. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED, BUT INCLUDED THE MINNESOTA STUDENT SURVEY, HEALTH SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH DEPARTMENTS, LOCAL RESEARCH STUDIES ON TOPICS SUCH AS HOUSING AND SECONDARY PUBLIC HEALTH DATA AVAILABLE THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. ADDITIONALLY, TEAMS REVIEWED SELECT COUNTY-SPECIFIC ALLINA HEALTH PATIENT DATA. MANY HOSPITALS ALSO COLLECTED FEEDBACK ON PERCEIVED COMMUNITY HEALTH NEEDS FROM LOCAL STAKEHOLDERS THROUGH COMMUNITY DIALOGUES, INTERVIEWS AND SURVEYS. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES FOR THE 2020-2022 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WAS DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. HOSPITAL PRIORITIES INCLUDE:- MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE- OBESITY, PHYSICAL ACTIVITY AND NUTRITION- ACCESS TO CARE- SOCIAL DETERMINANTS OF HEALTH- SOCIAL ISOLATION- VIOLENCE- DENTAL CARE- AGING SERVICES TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES. IN FEBRUARY AND APRIL 2019, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. TOGETHER, THEY IDENTIFIED MENTAL HEALTH (INCLUDING SUBSTANCE USE) AND OBESITY CAUSED BY PHYSICAL INACTIVITY AND POOR NUTRITION AS PRIORITY NEEDS IN ALL ALLINA HEALTH GEOGRAPHIES. THEY ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ACCESS TO HEALTHY FOOD AND STABLE HOUSING, AS KEY FACTORS CONTRIBUTING TO HEALTH. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2019. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2020-2022-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSONCE IMPLEMENTATION PLANS ARE CREATED, MORE DETAILED PLANNING CONTINUES WITH STAKEHOLDER TO DEVELOP AND DELIVER SPECIFIC PROGRAMS, SERVICES AND ACTIVITIES EITHER LOCALLY OR SYSTEM-WIDE.
PART VI, LINE 3:	A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- ALLINA PARTNERS CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICES- PAYMENT PLANSOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - ALLINA PARTNERS CARE PROGRAM THE ALLINA PARTNERS CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE ALLINA PARTNERS CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTER. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS , ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. PAYMENT PLANS - IF A PATIENT INDICATES THEY ARE UNABLE OR UNWILLING TO PAY THE BALANCE IN FULL, ALLINA OFFERS A PAYMENT PLAN WHICH CANNOT EXCEED TWELVE MONTHS AND CANNOT BE LESS THAN THIRTY DOLLARS PER MONTH. IF THE PATIENT IS UNABLE TO MEET THESE PARAMETERS, MEDCREDIT IS OFFERED TO THEM. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS ALSO AVAILABLE IN SOMALI AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LEP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS.
PART VI, LINE 4:	ALLINA HEALTH SYSTEM (ALLINA HEALTH) IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 10 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITALS SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES REGINA HOSPITAL AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN.
PART VI, LINE 5:	GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. OPEN MEDICAL STAFF THE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.
PART VI, LINE 6:	ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE "TWIN CITIES") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 27,500 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 1,465 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES TEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 91,600 INPATIENT ADMISSIONS AND MORE THAN 1,097,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2020. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,778 OF WHICH WERE STAFFED FOR INPATIENT SERVICES. ALLINA HEALTH PROVIDES CLINICAL SERVICES THROUGH ITS ALLINA HEALTH GROUP AND HOSPITAL-BASED PHYSICIANS. ALLINA HEALTH GROUP CONTROLS AND OPERATES 66 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS APPROXIMATELY 760 PHYSICIANS AND 250 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 85 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 370 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 7,395,000 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2020. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 2,000 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. NEARLY 570 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,200 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $195,336,467 IN 2020.ALLINA PARTNERS WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL TO PROVIDE PHYSICIAN RESIDENCY PROGRAMS FOR FAMILY PRACTICE AND INTERNAL MEDICINE RESIDENT PHYSICIANS.ALLINA CONTROLS AND OPERATES SIX (6) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN,WI

Schedule 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
ALLINA HEALTH SYSTEM

Employer identification number
36-3261413

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MINNESOTA COMMUNITY HEALTHCARE NETWORK 2351 GRAYS LANDING ROAD MINNETONKA,MN55391	47-2590506	501C3	244,557	GENERAL SUPPORT
(2) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS 1200 2ND AVENUE SOUTH MINNEAPOLIS,MN55403	41-1302487	501C3	117,166	SUPPORT FOR RESPITE PROGRAM
(3) PROJECT FOR PRIDE IN LIVING INC 1035 EAST FRANKLIN AVENUE MINNEAPOLIS,MN55404	23-7232208	501C3	86,100	GENERAL SUPPORT
(4) FREE BIKES 4 KIDZ PO BOX 007 LONG LAKE,MN55356	27-1199089	501C3	65,600	SPONSORSHIP FOR BIKE DISTRIBUTION
(5) HEALTHFINDERS COLLABORATIVE INC 706 DIVISION STREET NORTHFIELD,MN55057	20-1805262	501C3	63,643	GENERAL SUPPORT
(6) CEDAR RIVERSIDE PEOPLES CENTER 425 20TH AVENUE SOUTH MINNEAPOLIS,MN55454	41-0982430	501C3	57,000	GENERAL SUPPORT
(7) WALK-IN COUNSELING CENTER INC 2421 CHICAGO AVENUE SOUTH MINNEAPOLIS,MN55404	41-0983461	501C3	55,000	GENERAL SUPPORT
(8) LAKE STREET COUNCIL 919 LAKE STREET MINNEAPOLIS,MN55407	41-0975738	501C3	52,793	GENERAL SUPPORT
(9) NEIGHBORHOOD DEVELOPMENT CENTER INC 663 UNIVERSITY AVENUE 200 ST PAUL,MN55104	41-1738791	501C3	52,793	GENERAL SUPPORT
(10) MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 EAST 28TH STREET SUITE 100 MINNEAPOLIS,MN55407	41-1426406	501C3	52,500	SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION
(11) SOUTHSIDE COMMUNITY HEALTH SERVICES INC 4243 4TH AVENUE SOUTH MINNEAPOLIS,MN55409	23-7113799	501C3	45,000	GENERAL SUPPORT
(12) BEACON INTERFAITH HOUSING COLLABORATIVE 2610 UNIVERSITY AVENUE WEST SUITE 100 SAINT PAUL,MN55114	41-1953599	501C3	35,000	GENERAL SUPPORT
(13) REACH OUT AND READ MINNESOTA 701 WASHINGTON AVENUE N SUITE 111-112 MINNEAPOLIS,MN55401	81-1641189	501C3	32,500	SUPPORT FOR BOOKS FOR REACH OUT AND READ
(14) SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION 1884 RANDOLPH AVENUE ST PAUL,MN55105	41-1765361	501C3	30,000	SPONSORSHIP FOR 2020 CARONDELETE GALA
(15) CLARE HOUSING 929 CENTRAL AVENUE NE MINNEAPOLIS,MN55413	41-1794924	501C3	28,000	GENERAL SUPPORT
(16) NAMI MINNESOTA 1919 UNIVERSITY AVE W STE 400 ST PAUL,MN55104	41-1317030	501C3	25,200	SUPPORT FOR THE CRISIS ALLIANCE'S WORK IN IMPROVING THE EAST METRO MENTAL HEALTH AND SUBSTANCE USE CRISIS SYSTEM
(17) REGIONS HOSPITAL FOUNDATION 640 JACKSON STREET MAIL STOP 11202C 11202C ST PAUL,MN55101	41-1888902	501C3	25,000	GENERAL SUPPORT
(18) METRO MEALS ON WHEELS INC 1200 WASHINGTON AVE SOUTH SUITE 380 380 MINNEAPOLIS,MN55415	31-1501057	501C3	20,100	GENERAL SUPPORT
(19) COMMUNITY DENTAL CARE 1670 BEAM AVENUE SUITE 204 MAPLEWOOD,MN55109	04-3692982	501C3	20,000	GENERAL SUPPORT
(20) ST PAUL & MINNESOTA FOUNDATION 101 FIFTH STREET EAST SUITE 2400 ST PAUL,MN55101	41-6031510	501C3	20,000	CONTRIBUTION TO THE 2020 ITATSCA PROJECT
(21) FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC PO BOX 745 RIVER FALLS,WI54022	20-5892220	501C3	15,700	GENERAL SUPPORT
(22) RIDGEVIEW FOUNDATION 490 S MAPLE ST SUITE 110 WACONIA,MN55387	41-1328097	501C3	15,000	SPONSORSHIP FOR 2020 RIDGEVIEW GOLF AND TASTE CELEBRATION
(23) SAINT PAUL DOWNTOWN ALLIANCE 401 NORTH ROBERT STREET SUITE 150 SAINT PAUL,MN55101	82-4187263	501C3	15,000	GENERAL SUPPORT
(24) THE FOOD GROUP MINNESOTA INC 8501 54TH AVENUE NORTH NEW HOPE,MN55428	41-1246504	501C3	11,258	GENERAL SUPPORT
(25) UNITED WAY OF STEELE COUNTY 1850 AUSTIN ROAD 103 OWATONNA,MN55060	23-7366680	501C3	10,500	GENERAL SUPPORT
(26) HASTINGS PUBLIC SCHOOLS 200 GENERAL SIEBEN DRIVE HASTINGS,MN55033	41-6000810	ISD 200	10,400	IN SUPPORT OF THE PEER HELPER PROGRAM
(27) OPEN ARMS OF MINNESOTA INC 2500 BLOOMINGTON AVENUE MINNEAPOLIS,MN55404	41-1681317	501C3	10,300	GENERAL SUPPORT
(28) SHERIDAN STORY 2723 PATTON RD ROSEVILLE,MN55113	80-0919680	501C3	10,200	GENERAL SUPPORT
(29) HOUSING LINK 1400 VAN BUREN STREET NE SUITE 215 MINNEAPOLIS,MN55413	41-1873314	501C3	10,000	GENERAL SUPPORT
(30) HUNGER SOLUTIONS MINNESOTA 555 PARK STREET SUITE 400 ST PAUL,MN55103	36-3567366	501C3	10,000	GENERAL SUPPORT
(31) METROPOLITAN CONSORTIUM OF COMMUNITY DEVELOPERS 3137 CHICAGO AVENUE MINNEAPOLIS,MN55407	41-1658654	501C3	10,000	GENERAL SUPPORT
(32) GUILD INCORPORATED 130 SOUTH WABASHA STREET SUITE 90 ST PAUL,MN55017	41-1669233	501C3	8,000	GENERAL SUPPORT
(33) ALEXANDRA HOUSE INC 10065 3RD STREET NE BLAINE,MN55434	41-1309977	501C3	7,800	GENERAL SUPPORT
(34) WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVE MINNEAPOLIS,MN55405	41-0711618	501C3	7,500	SUPPORT FOR MENTAL WELLNESS PROGRAMS FOR YOUNG PEOPLE IN THE COMMUNITY
(35) FEED MY STARVING CHILDREN 401 93RD AVENUE NW COON RAPIDS,MN55433	41-1601449	501C3	7,300	GENERAL SUPPORT
(36) SOLE CARE FOR SOULS 4190 VINEWOOD LANE NORTH PLYMOUTH,MN55442	26-3300002	501C3	6,600	IN SUPPORT OF SUPPLIES NEEDED FOR HOMELESSNESS
(37) PHILLIPS WEST NEIGHBORHOOD ORGANIZATION 2400 PARK AVENUE SOUTH SUITE 337 MINNEAPOLIS,MN55404	90-0122796	501C3	6,250	GENERAL SUPPORT
(38) COMMUNITY EMERGENCY ASSISTANCE PROGRAM INC 7051 BROOKLYN BLVD BROOKLYN CENTER,MN55429	41-0990340	501C3	5,400	GENERAL SUPPORT
(39) GREATER MINNEAPOLIS CRISIS NURSERY 4544 FOURTH AVENUE SOUTH MINNEAPOLIS,MN55419	41-1379021	501C3	5,400	IN SUPPORT OF THE EVENT FORMULA FOR HOPE
(40) HOPE 4 YOUTH 2191 NORTHDALE BLVD NW COON RAPIDS,MN55303	46-1626500	501C3	5,400	GENERAL SUPPORT
(41) COMMUNITY ACTION CENTER OF NORTHFIELD INC 1651 JEFFERSON PARKWAY NORTHFIELD,MN55057	41-0970984	501C3	5,350	GENERAL SUPPORT
(42) MATTER 7005 OXFORD ST ST LOUIS PARK,MN55426	37-1441658	501C3	5,344	GENERAL SUPPORT
(43) FREE CLINIC OF STEELE COUNTY 2250 NW 26TH STREET OWATONNA,MN55060	46-1795200	501C3	5,300	GENERAL SUPPORT
(44) THREE RIVERS PARK DISTRICT FOUNDATION INC 3000 XENIUM LANE N PLYMOUTH,MN55441	41-1579104	501C3	5,300	SUPPORT FOR THE TRAIL MIX RACE
(45) ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION INC 7900 W 78TH ST STE 100 MINNEAPOLIS,MN55439	13-3039601	501C3	5,200	SPONSORSHIP FOR WALK TO END ALZHEIMER'S TWIN CITIES
(46) CHRISTIAN CUPBOARD EMERGENCY FOOD SHELF 8264 4TH STREET NORTH OAKDALE,MN55128	36-3298764	501C3	5,100	SUPPORT TO PURCHASE FOOD FOR DISTRIBUTION EVENTS TO LOW-INCOME HOUSEHOLDS
(47) NORTHFIELD HEALTHY COMMUNITY INITIATIVE 1651 JEFFERSON PARKWAY NORTHFIELD,MN55057	26-2852506	501C3	5,100	TO SUPPORT HEALTHY WAYS HEALTHY HARLEM PROGRAM

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) SCHOLARSHIPS TO STUDENTS AT VARIOUS COLLEGES AND UNIVERSITIES	15	9,500
(2) HOUSING AND LIVING ASSISTANCE	10	10,297
(3) BIKES AND HELMETS	5588		49,627	FMV	BIKES AND HELMETS DISTRIBUTION AT VARIOUS BIKE EVENTS
(4) MEDICAL ASSISTANCE	8908	150,000
(5) T-SHIRTS AND BAGS	6401		19,790	FMV	T-SHIRT AND BAG DISTRIBUTION AT BIKE EVENTS
(6) CARING FOR COLLEAGUES	595	959,897
(6)
(7)

Part IV

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

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2 EXPLANATION

ALLINA HEALTH SYSTEM STRICTLY MONITORS GRANT FUNDS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER AND INTENDED PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. THE ORGANIZATION HAS A PROCESS WHICH INCLUDES A WRITTEN APPLICATION WHICH REQUIRES SUPPORTING DOCUMENTATION AND SUBSTANTIATION PRIOR TO A GRANT BEING APPROVED AND DISBURSED. IN ADDITION AND DEPENDING ON THE FACTS AND CIRCUMSTANCE OF THE GRANT, THE ORGANIZATION EMPLOYS VARIOUS METHODS TO ENSURE PROPER AND INTENDED USE SUCH AS; PERIODIC REPORTING TO THE ORGANIZATION, FIELD INVESTIGATIONS, CONTRACTS WITH REPAYMENT CLAUSES, REQUIRING ADDITIONAL SUBSTANTIATION AND DOCUMENTATION NOT AVAILABLE AT THE TIME OF THE GRANT, PAYING THIRD PARTIES DIRECTLY ON BEHALF OF THE GRANTEE ORGANIZATION, AND OTHER METHODS AS APPROPRIATE AND WARRANTED.

Schedule I (Form 990) 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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any 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 ..........................

Yes

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

Yes

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

Cat. No. 50053T

Schedule J (Form 990) 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)
1PENNY WHEELER MD DIRECTOR/PRES/CEO	(i) (ii)	1,342,280 ------------- 0	631,044 ------------- 0	727,306 ------------- 0	524,198 ------------- 0	16,339 ------------- 0	3,241,167 ------------- 0	664,145 ------------- 0
2LISA SHANNON PRESIDENT/COO	(i) (ii)	953,194 ------------- 0	98,901 ------------- 0	189,573 ------------- 0	496,248 ------------- 0	31,556 ------------- 0	1,769,472 ------------- 0	110,921 ------------- 0
3MARK HELLER MD PHYSICIAN	(i) (ii)	1,354,126 ------------- 0	0 ------------- 0	104,282 ------------- 0	85,827 ------------- 0	28,856 ------------- 0	1,573,091 ------------- 0	69,353 ------------- 0
4DANIEL BUSS MD PHYSICIAN	(i) (ii)	1,242,402 ------------- 0	0 ------------- 0	169,185 ------------- 0	18,525 ------------- 0	33,483 ------------- 0	1,463,595 ------------- 0	0 ------------- 0
5RICHARD MAGNUSON EVP/CFO/TREASURER	(i) (ii)	707,435 ------------- 0	217,689 ------------- 0	115,928 ------------- 0	358,765 ------------- 0	17,685 ------------- 0	1,417,502 ------------- 0	219,483 ------------- 0
6DANA HARMS MD PHYSICIAN	(i) (ii)	879,787 ------------- 0	0 ------------- 0	481,204 ------------- 0	17,100 ------------- 0	24,485 ------------- 0	1,402,576 ------------- 0	0 ------------- 0
7ANTHONY ANDERSON MD PHYSICIAN	(i) (ii)	1,192,102 ------------- 0	300 ------------- 0	84,831 ------------- 0	76,550 ------------- 0	37,583 ------------- 0	1,391,366 ------------- 0	0 ------------- 0
8MICHAEL FREEHILL MD PHYSICIAN	(i) (ii)	1,134,320 ------------- 0	0 ------------- 0	67,512 ------------- 0	80,730 ------------- 0	32,583 ------------- 0	1,315,145 ------------- 0	56,728 ------------- 0
9SARA CRIGER SVP-OPS/PRES. MERCY/UNITED	(i) (ii)	677,498 ------------- 0	179,228 ------------- 0	112,026 ------------- 0	287,043 ------------- 0	23,145 ------------- 0	1,278,940 ------------- 0	179,341 ------------- 0
10ANN MADDEN RICE SVP-PRESIDENT ANW	(i) (ii)	782,775 ------------- 0	86,487 ------------- 0	51,659 ------------- 0	312,486 ------------- 0	10,832 ------------- 0	1,244,239 ------------- 0	19,375 ------------- 0
11ROBERT WIELAND MD FORMER SVP CHIEF STRATEGY OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	1,157,418 ------------- 0	0 ------------- 0	0 ------------- 0	1,157,418 ------------- 0	633,276 ------------- 0
12TIMOTHY SIELAFF MD SVP AHG-SPECIALTY CARE/CMO	(i) (ii)	552,219 ------------- 0	166,662 ------------- 0	167,558 ------------- 0	150,328 ------------- 0	21,762 ------------- 0	1,058,529 ------------- 0	177,243 ------------- 0
13ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN.	(i) (ii)	536,737 ------------- 0	139,966 ------------- 0	77,625 ------------- 0	222,252 ------------- 0	28,856 ------------- 0	1,005,436 ------------- 0	145,422 ------------- 0
14JONATHAN SHOEMAKER SVP CHIEF INFO & IMPROV OFF.	(i) (ii)	520,199 ------------- 0	126,227 ------------- 0	87,117 ------------- 0	217,121 ------------- 0	9,561 ------------- 0	960,225 ------------- 0	126,318 ------------- 0
15CHRISTINE MOORE SVP, CHIEF HUMAN RESOURCE OFF	(i) (ii)	473,571 ------------- 0	121,763 ------------- 0	85,258 ------------- 0	199,948 ------------- 0	32,483 ------------- 0	913,023 ------------- 0	124,955 ------------- 0
16DAVID SLOWINSKE SVP AHG OPERATIONS	(i) (ii)	528,358 ------------- 0	103,998 ------------- 0	60,315 ------------- 0	149,264 ------------- 0	28,856 ------------- 0	870,791 ------------- 0	105,459 ------------- 0
17RYAN ELSE MD VP INTERIM ACUTE CARE MED OFF	(i) (ii)	441,665 ------------- 0	38,836 ------------- 0	55,749 ------------- 0	82,273 ------------- 0	33,333 ------------- 0	651,856 ------------- 0	0 ------------- 0
18JOHN MISA MD VP INTERIM AHG MED OFF	(i) (ii)	541,061 ------------- 0	34,188 ------------- 0	3,861 ------------- 0	67,560 ------------- 0	0 ------------- 0	646,670 ------------- 0	0 ------------- 0
19CORRINE KROEHLER FORMER VP FINANCE/SUPPLY CHAIN	(i) (ii)	220,344 ------------- 0	31,459 ------------- 0	295,062 ------------- 0	15,952 ------------- 0	17,891 ------------- 0	580,708 ------------- 0	96,622 ------------- 0
20JEFFREY SHOEMATE SVP CHIEF MARKETING OFF	(i) (ii)	289,357 ------------- 0	34,446 ------------- 0	51,323 ------------- 0	124,035 ------------- 0	30,683 ------------- 0	529,844 ------------- 0	29,055 ------------- 0
21SCOTT LEIGHTY SVP OPS/REG HOSP & CLINICS	(i) (ii)	314,707 ------------- 0	50,000 ------------- 0	71,583 ------------- 0	76,418 ------------- 0	15,394 ------------- 0	528,102 ------------- 0	0 ------------- 0
22SARAH KLEAVELAND KUPCZAK SVP CHIEF COMPLIANCE OFF	(i) (ii)	277,078 ------------- 0	50,000 ------------- 0	104,805 ------------- 0	56,322 ------------- 0	23,225 ------------- 0	511,430 ------------- 0	0 ------------- 0
23NICHOLAS MENDYKA VP SYSTEM FINANCE OPS	(i) (ii)	356,683 ------------- 0	10,513 ------------- 0	4,321 ------------- 0	20,786 ------------- 0	26,683 ------------- 0	418,986 ------------- 0	0 ------------- 0
24MARY BEAR DUKES FORMER VP REVENUE CYCLE MGMT	(i) (ii)	52,495 ------------- 0	25,673 ------------- 0	276,968 ------------- 0	5,223 ------------- 0	6,659 ------------- 0	367,018 ------------- 0	28,376 ------------- 0
25HELEN STRIKE FORMER PRESIDENT-UNITY HOSP	(i) (ii)	274,160 ------------- 0	14,399 ------------- 0	26,573 ------------- 0	29,814 ------------- 0	10,061 ------------- 0	355,007 ------------- 0	0 ------------- 0
26PETER HOFRENNING SVP,INTERIM CHIEF COMP. OFF	(i) (ii)	219,810 ------------- 0	17,620 ------------- 0	21,476 ------------- 0	10,811 ------------- 0	32,583 ------------- 0	302,300 ------------- 0	0 ------------- 0
27ELIZABETH SMITH MD FORMER INTERIM SVP AHG-PRIMARY CARE	(i) (ii)	0 ------------- 0	0 ------------- 0	232,225 ------------- 0	0 ------------- 0	0 ------------- 0	232,225 ------------- 0	142,510 ------------- 0
28THOMAS O'CONNOR FORMER PRESIDENT-UNITED HOSP.	(i) (ii)	0 ------------- 0	0 ------------- 0	194,678 ------------- 0	0 ------------- 0	0 ------------- 0	194,678 ------------- 0	0 ------------- 0
29BEN BACHE-WIIG MD FORMER EVP CHIEF POPLTN HLTH OFF	(i) (ii)	0 ------------- 0	0 ------------- 0	117,438 ------------- 0	0 ------------- 0	0 ------------- 0	117,438 ------------- 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 1A	EXPLANATION: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ALLINA HEALTH SYSTEM PROVIDES THIS TYPE OF PAYMENT AS IT RELATES TO EXPENSE REIMBURSEMENTS ON CERTAIN EXECUTIVES. SARAH KLEAVELAND KUPCZAK - $99,860; SCOTT LEIGHTY - $67,778.
PART I, LINES 4A-B	4(A): TIMOTHY SIELAFF, MD - $50,314; BEN BACHE WIIG, MD - $117,438; THOMAS O'CONNOR - $194,678; MARY BEAR-DUKES - $206,401; CORRINE KROEHLER - $80,021. 4(B): PENNY WHEELER, MD - $331,930; SARA CRIGER - $86,184; RICHARD MAGNUSON - $90,123; CHRISTINE MOORE - $61,684; ANN MADDEN RICE - $23,381; LISA SHANNON - $125,284; JONATHAN SCHOEMAKER - $59,947; JEFFREY SHOEMATE - $29,055; TIMOTHY SIELAFF, MD - $91,069; DAVID SLOWINSKE - $45,162; ELIZABETH TRUESDELL SMITH - $72,262; RYAN ELSE, MD - $50,793; ANTHONY ANDERSON, MD $59,161; DANIEL BUSS, MD - $70,072; MICHAEL FREEHILL, MD - $62,841; DANA HARMS - $398,327; MARK HELLER, MD - $77,070; MARY BEAR-DUKES - $31,516 - $CORRINE KROEHLER - $119,618; ROBERT WIELAND, MD - $1,094,950; ELIZABETH SMITH, MD - $232,225.
PART I, LINE 6	DEFERRED COMPENSATION PLANS TERMS AND CONDITIONS: ALLINA INCENTIVE PLAN ALLINA PROVIDES AN ANNUAL INCENTIVE COMPENSATION OPPORTUNITY FOR EXECUTIVES, MANAGEMENT AND KEY INDIVIDUAL CONTRIBUTOR STAFF. UNDER THIS PLAN, THE TARGET AWARD IS EXPRESSED AS A FUNCTION OF THE PARTICIPANT'S SALARY PAID DURING THE CALENDAR YEAR AND REQUIRES AT LEAST FOUR MONTHS OF SERVICE IN AN ELIGIBLE POSITION DURING THE YEAR. ACTUAL AWARDS CAN RANGE FROM 0% TO 150% OF THE TARGET AWARD, BASED ON ALLINA'S FINANCIAL AND NON-FINANCIAL PERFORMANCE OVER THE CALENDAR YEAR. NON-FINANCIAL PERFORMANCE MEASURES INCLUDE PATIENT & EMPLOYEE SAFETY, QUALITY, PATIENT EXPERIENCE AND FINANCIAL HEALTH. NO AWARDS ARE PROVIDED UNLESS THRESHOLD FINANCIAL PERFORMANCE IS ACHIEVED. PARTICIPANTS WHO HAVE LEFT EMPLOYMENT PRIOR TO THE END OF THE YEAR AS THE RESULT OF VOLUNTARY TERMINATION OR TERMINATION FOR POOR PERFORMANCE ARE NOT ELIGIBLE FOR AN AWARD. LONG-TERM INCENTIVE PLAN ALLINA HAS A LONG-TERM INCENTIVE PLAN THAT PROVIDES A CASH AWARD OPPORTUNITY TO A SMALL NUMBER OF TOP EXECUTIVES APPROVED FOR PARTICIPATION BY THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF ALLINA HEALTH ("THE COMMITTEE"). THE AWARD OPPORTUNITY IS BASED ON ALLINA PERFORMANCE DURING OVERLAPPING THREE-YEAR CYCLES. PERFORMANCE MEASURES AND TARGETS ARE DEFINED BY THE COMMITTEE FOR EACH THREE-YEAR PERIOD AND CAN VARY FROM ONE PERIOD TO ANOTHER DEPENDING ON THE COMMITTEE'S JUDGMENT OF THE MOST IMPORTANT MEASURES OF SUCCESS. AWARDS CAN RANGE FROM 0% TO 150% OF TARGET AWARDS.
PART I, LINE 8	CERTAIN AMOUNTS REPORTED ON FORM 990, PART VII WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATION SECTION 53.4958-4(A)(3). FROM TIME TO TIME, ALLINA HEALTH SYSTEM ENTERS INTO CONTRACTUAL ARRANGEMENTS THAT MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION BASED ON THE TERMS AND UNDERSTANDINGS OF THE CONTRACTUAL AGREEMENTS.
SCHEDULE J, LINE 4(A) & (B)	ADDITIONAL DISCLOSURES: DEFERRED COMPENSATION PLANS - TERMS AND CONDITIONS: EXECUTIVE MUTUAL FUND ACCOUNT PLAN PHYSICIAN MUTUAL FUND ACCOUNT PLAN THESE ACCOUNTS GIVE THE PARTICIPANT THE OPPORTUNITY FOR CAPITAL ACCUMULATION NOT FULLY AVAILABLE TO THEM THROUGH SOCIAL SECURITY OR THE GENERAL EMPLOYEE RETIREMENT PLANS BECAUSE OF MAXIMUMS PLACED ON COMPENSATION THAT CAN BE RECOGNIZED UNDER FEDERAL LAW FOR PURPOSES OF CONTRIBUTIONS. THEY ALSO SERVE AS AN IMPORTANT NON-COMPETE INCENTIVE TO PARTICIPANTS. PRIOR TO THE YEAR IN WHICH CONTRIBUTIONS ARE MADE, THE PARTICIPANT MUST DESIGNATE A VESTING/PAYOUT DATE CONSISTENT WITH THE CONSTRAINTS OF THE PLANS AND FEDERAL DEFERRED COMPENSATION REGULATIONS. AFTER THE CONTRIBUTIONS ARE MADE, THE PARTICIPANT HAS A ONE-TIME LIMITED OPPORTUNITY TO EXTEND THE ELECTED PAYMENT DATE FOR AT LEAST FIVE YEARS. ONCE THE VESTING/PAYOUT DATE HAS BEEN REACHED, ALLINA WILL WITHHOLD THE APPROPRIATE TAXES AND THE BALANCE WILL BE PAID TO THE PARTICIPANT ON THEIR PAYCHECK AS SOON AS ADMINISTRATIVELY FEASIBLE. IF THE PARTICIPANT TERMINATES EMPLOYMENT VOLUNTARILY BEFORE AN AMOUNT IS PAID, PAYMENT WILL BE SUBJECT TO THE PARTICIPANT'S COMPLIANCE WITH A NON-COMPETE AGREEMENT WITH ALLINA FOR TWO YEARS AFTER TERMINATION. THE PARTICIPANT MAY ELECT FROM AMONG INVESTMENT ALTERNATIVES THAT ARE SIMILAR TO THOSE AVAILABLE IN THE RETIREMENT SAVINGS PLAN. UNLIKE THE RETIREMENT SAVINGS PLAN, THE PARTICIPANT HAS THE STATUS OF AN UNSECURED CREDITOR OF ALLINA AND WILL NOT HAVE A PRIORITY CLAIM TO PAYMENT IN THE CASE OF THE COMPANY'S INABILITY TO PAY. HOWEVER, THE COMPANY DOES SET ASIDE ASSETS FOR ITS OBLIGATIONS BY ACTUALLY INVESTING THE PROMISED ASSETS CONSISTENT WITH PARTICIPANT ELECTIONS. THE MUTUAL FUND PLANS TERMINATED EFFECTIVE DECEMBER 31, 2018. ALL MUTUAL FUND ACCOUNTS SHALL BE DISTRIBUTED IN A LUMP SUM NO LATER THAN JANUARY 2021, OR IF ELECTED BY THE PARTICIPANT IN DECEMBER 2018, IN THREE ANNUAL INSTALLMENTS WITH THE FIRST HAVING BEEN MADE FEBRUARY 2019 (33.33 PERCENT OF ACCOUNT BALANCE), THE SECOND MADE FEBRUARY 2020 (50 PERCENT OF REMAINING BALANCE), AND THE THIRD MADE JANUARY 2021 (REMAINING BALANCE). ALLINA DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPAPTED IN A DEFINED CONTRIBUTION SERP. THIS PLAN WAS AMENDED AND FROZEN EFFECTIVE DECEMBER 31, 2008, SUCH THAT NO FUTURE BENEFITS ACCRUE FOR SERVICE AFTER THAT DATE. THIS PLAN WAS REPLACED WITH THE EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN EFFECTIVE JANUARY 1, 2009, WHICH WAS ALSO FROZEN EFFECTIVE DECEMBER 31, 2018 EMPLOYER CREDITS WERE MADE EACH YEAR TO THEIR DC SERP BALANCE ACCORDING TO THE FOLLOWING SCHEDULE: EXEC YRS OF SERVICE CONTRIBUTION % OF PENSIONABLE EARNINGS 0-5 2.75% 6-10 3.50% 11+ 4.75% EXECUTIVES WERE ALSO CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE PENSION ACCOUNT PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE PENSION ACCOUNT PLAN CREDITING RATE AS DECLARED BY ALLINA. THE CURRENT RATE IS 4%. THE PARTICIPANT VESTS AFTER THREE YEARS OF EXECUTIVE SERVICE PROVIDED THAT IF THE PARTICIPANT TERMINATES EMPLOYMENT WITH ALLINA PRIOR TO AGE 65 FOR ANY REASON OTHER THAN ELIMINATION OF POSITION, THE PARTICIPANT MUST FULFILL THE TERMS OF A COVENANT NOT TO COMPETE. BENEFITS ARE PAID AS A SINGLE LUMP-SUM AMOUNT UPON AGE 65, RETIREMENT OR JOB POSITION ELIMINATION. IN THE CASE OF OTHER VOLUNTARY TERMINATIONS, PAYMENT IS DELAYED UNTIL COMPLETION OF THE TWO-YEAR NON-COMPETE PERIOD. THE SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND FROZEN EFFECTIVE DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% SVP \| EVP 15% CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN.

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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
ALLINA HEALTH SYSTEM

Employer identification number
36-3261413

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	603695JN8	10-23-2019	82,732,038	REFUND ISSUE DATED 11/10/2009		X		X		X
B	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909DV2	04-13-2017	77,845,000	REFUND ISSUE DATED 10/19/2007		X		X		X
C	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	603695JC2	04-13-2017	92,779,168	REFUND ISSUE DATED 11/15/2009		X		X		X
D	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909BJ1	11-10-2009	348,409,221	REFUNDING OF 2007B & A PORTION		X		X		X
	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909BH5	10-17-2007	482,877,203	REFUNDING OF 1993A AND ADVANCE		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,705,000		48,550,000		2,335,000		185,245,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	82,732,038		77,845,000		92,779,168		348,795,795
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	925,179		135,000		830,328		3,332,390
8 Credit enhancement from proceeds .............	6,787,000						222,216
9 Working capital expenditures from proceeds .............	3,908				6,508
10 Capital expenditures from proceeds .............	126,922,772						49,893,780
11 Other spent proceeds .............	81,802,951		77,710,000		91,942,332		295,092,023
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2017		2017		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X	X		X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.800 %		1.600 %		0.400 %		0.600 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.800 %		1.600 %		0.400 %		0.600 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X			X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........	US BANK						JP MORGANWELLS FARGO
c Term of hedge .........	2480.0000000000 %						2580.0000000000 %
d Was the hedge superintegrated? ......	X						X
e Was the hedge terminated? ........		X						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	MBIA
c Term of GIC .........	80.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........	X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
PART I, COLUMN A, B, & F EXPLANATION	ENTITY 1: BOND A: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND A PORTION OF THE 2009A BONDS DATED 11/10/2009. BOND B: (A) ISSUER NAME CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUNDING OF 2007B DATED 10/09/2007 & A PORTION OF 1998A DATED 10/08/1998;CONSTRUCTION;REMODELING;RENOVATION. BOND C: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND THE SERIES 2009A BONDS DATED 11/10/2009. BOND D: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 F) DESCRIPTION OF PURPOSE: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION. ENTITY 2: BOND A: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 41-6005521 (F) DESCRIPTION OF PURPOSE: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION
PART II, LINE 3	ENTITY 1: BOND D: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS. ENTITY 2: BOND A: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS.
PART II, LINE 11 EXPLANATION	ENTITY 1: BOND D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW.
PART IV, ARBITRAGE, LINE 2C	ENTITY 1: BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ENTITY 2: BOND A: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012

Schedule K (Form 990) 2020

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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
ALLINA HEALTH SYSTEM

Employer identification number
36-3261413

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	603695JN8	10-23-2019	82,732,038	REFUND ISSUE DATED 11/10/2009		X		X		X
B	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909DV2	04-13-2017	77,845,000	REFUND ISSUE DATED 10/19/2007		X		X		X
C	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	603695JC2	04-13-2017	92,779,168	REFUND ISSUE DATED 11/15/2009		X		X		X
D	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909BJ1	11-10-2009	348,409,221	REFUNDING OF 2007B & A PORTION		X		X		X
	CITY OF MINNEAPOLIS & HRA CITY OF ST PAUL	41-6005375	792909BH5	10-17-2007	482,877,203	REFUNDING OF 1993A AND ADVANCE		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,705,000		48,550,000		2,335,000		185,245,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	82,732,038		77,845,000		92,779,168		348,795,795
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	925,179		135,000		830,328		3,332,390
8 Credit enhancement from proceeds .............	6,787,000						222,216
9 Working capital expenditures from proceeds .............	3,908				6,508
10 Capital expenditures from proceeds .............	126,922,772						49,893,780
11 Other spent proceeds .............	81,802,951		77,710,000		91,942,332		295,092,023
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2017		2017		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X	X		X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.800 %		1.600 %		0.400 %		0.600 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.800 %		1.600 %		0.400 %		0.600 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X			X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........		X		X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........	US BANK						JP MORGANWELLS FARGO
c Term of hedge .........	2480.0000000000 %						2580.0000000000 %
d Was the hedge superintegrated? ......	X						X
e Was the hedge terminated? ........		X						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	MBIA
c Term of GIC .........	80.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........	X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
PART I, COLUMN A, B, & F EXPLANATION	ENTITY 1: BOND A: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND A PORTION OF THE 2009A BONDS DATED 11/10/2009. BOND B: (A) ISSUER NAME CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUNDING OF 2007B DATED 10/09/2007 & A PORTION OF 1998A DATED 10/08/1998;CONSTRUCTION;REMODELING;RENOVATION. BOND C: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 (F) DESCRIPTION OF PURPOSE: REFUND THE SERIES 2009A BONDS DATED 11/10/2009. BOND D: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 52-1440935 F) DESCRIPTION OF PURPOSE: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION. ENTITY 2: BOND A: (A) ISSUER NAME: CITY OF MINNEAPOLIS & HOUSING & REDEVELOPMENT AUTHORITY OF THE CITY OF SAINT PAUL, MN (B) ISSUER EIN: CITY OF MINNEAPOLIS - 41-6005375; HRA CITY OF ST. PAUL - 41-6005521 (F) DESCRIPTION OF PURPOSE: REFUNDING OF 1993A BONDS DATED 11/03/1993, AND ADVANCED REFUNDING OF 2002A BONDS DATED 12/10/2002;REMODELING&RENOVATION
PART II, LINE 3	ENTITY 1: BOND D: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS. ENTITY 2: BOND A: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND AND REFUNDING ACCOUNTS.
PART II, LINE 11 EXPLANATION	ENTITY 1: BOND D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW.
PART IV, ARBITRAGE, LINE 2C	ENTITY 1: BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012 ENTITY 2: BOND A: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/15/2012

Schedule K (Form 990) 2020

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

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

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

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

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

Part II

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

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






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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CAROLYN ALLEN	FAMILY MEMBER OF JOHN ALLEN, BOARD MEMBER	20,122	EMPLOYMENT		No
(2) CAROL ROSENBERG	FAMILY MEMBER OF BRIAN ROSENBERG, BOARD MEMBER	80,282	EMPLOYMENT		No
(3) SARAH CORNICK	FAMILY MEMBER OF BEN BACHE-WIIG, EVP CHIEF POPULATION HEALTH OFFICER	117,874	EMPLOYMENT		No
(4) ERIN CHURCH	FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER	52,037	EMPLOYMENT		No
(5) MARGARET HASBROUCK	FORMER EMPLOYEE/OFFICER AND OWNER OF MARGARET HASBROUCK, LLC.	7,800	BUSINESS RELATIONSHIP		No
(6) ALEXIS SHANNON	FAMILY MEMBER OF LISA SHANNON, PRESIDENT AND COO	9,922	EMPLOYMENT		No

Part V

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

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

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

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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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( EQUIPMENT )	X	49	67,036	FAIR MARKET VALUE
26 Other ( )
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?

Yes

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

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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP - DIRECTORS SALLY SMITH AND GARY BHOJWANI. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, SALLY SMITH AND GARY BHOJWANI ALSO SERVE ON THE HORMEL FOODS CORPORATION [NYSE: HRL] BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - DIRECTORS DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. ALSO SERVE ON THE PIPER SANDLER COMPANIES BOARD OF DIRECTORS. DEBBRA SCHONEMAN IS ALSO AN EMPLOYEE/OFFICER OF PIPER SANDLER COMPANIES. BUSINESS RELATIONSHIP - RICHARD MAGNUSON, PENNY WHEELER, M.D., ABIR SEN AND BEN BACHE-WIIG, M.D. ARE DIRECTORS OF THE BOARD OF (1) ALLINA HEALTH AND AETNA INSURANCE COMPANY, A MINNESOTA CORPORATION; AND (2) ALLINA HEALTH AND AETNA INSURANCE HOLDING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BUSINESS RELATIONSHIP - CORRINE KROEHLER AND ELIZABETH TRUESDELL SMITH ARE BOARD MEMBERS AND RICHARD MAGNUSON IS A BOARD MEMBER AND BOARD OFFICER OF FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY, SPC, A WHOLLY OWNED SUBSIDIARY OF ALLINA. BUSINESS RELATIONSHIP - MAYKAO HANG, PH.D. IS EMPLOYED BY THE UNIVERSITY OF ST. THOMAS AND PENNY WHEELER, MD AND DEBBRA SCHONEMAN ARE DIRECTORS/TRUSTEES ON THAT BOARD. BUSINESS RELATIONSHIP - TIM WELSH AND THOMAS SCHREIER, JR. ARE CO-INVESTORS IN A PARTNERSHIP THAT INVESTS IN THE MN UNITED FOOTBALL CLUB; THE RIGHTS TO THE PHYSICAL STADIUM ARE OWNED DIRECTLY BY MUSC HOLDINGS, AND THE HOLDING COMPANY ALSO CONTROLS MNUFC.
FORM 990, PART VI, SECTION B, LINE 11B	THE ALLINA HEALTH SYSTEM FORM 990 WAS PREPARED BY THE TAX SERVICES FUNCTION OF ALLINA HEALTH SYSTEM. THE FORM 990 FILING WAS SUBJECTED TO A RIGOROUS REVIEW PROCESS BY ALLINA'S TAX MANAGER AND TAX DIRECTOR. ALLINA'S CHIEF FINANCIAL OFFICER ALSO PERFORMED AN EXECUTIVE REVIEW OF THE FORM 990. AFTER THE MANAGEMENT REVIEW PROCESS DESCRIBED ABOVE WAS COMPLETED, THE FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE [IRS], WAS PROVIDED TO EACH VOTING MEMBER OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS. AN ALLINA HEALTH SYSTEM BOARD OF DIRECTORS MEETING WAS HELD ON NOVEMBER 1, 2021 TO REVIEW AND DISCUSS THE FORM 990 FILING. THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS VOTED ON AND APPROVED A RESOLUTION APPROVING THE FORM 990, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT TO BE FILED WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE BOARD OF DIRECTORS RESOLUTION ALSO DIRECTED OFFICERS TO FILE THE FORM 990 WITH THE IRS, THE CHARITABLE ANNUAL REPORT WITH THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS. THE ABOVE STATED REVIEW AND APPROVAL PROCESS OCCURRED PRIOR TO FILING THE ALLINA HEALTH SYSTEM FORM 990 WITH THE IRS, THE MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT WITH THE MINNESOTA ATTORNEY GENERAL AND THE WISCONSIN CHARITABLE ANNUAL REPORT WITH THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS SEVERAL METHODS OF MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FIRST, THE ORGANIZATION REGULARLY DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRES TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANNUALLY ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS, INCLUDING ANY FAMILY OR BUSINESS RELATIONSHIP. SECOND, THE GENERAL COUNSEL'S OFFICE ANNUALLY DELIVERS A REPORT TO ALLINA'S BOARD OF DIRECTORS WHICH INCLUDES, AMONG OTHER THINGS, THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE, AN ANALYSIS OF POTENTIAL CONFLICTS, AND GUIDANCE FOR SATISFACTORILY RESOLVING CONFLICTS. THIRD, THE ORGANIZATION UNDERTAKES MANDATORY COMPLIANCE TRAINING OF ALL ITS EMPLOYEES WHICH INCLUDES TRAINING ON CONFLICTS OF INTEREST. FOURTH, ALL EMPLOYEES RECEIVE, AND ARE EXPECTED TO CONDUCT THEMSELVES IN ACCORDANCE WITH ALLINA'S CODE OF CONDUCT. THE CODE OF CONDUCT CONTAINS EDUCATIONAL MATERIALS AND GUIDANCE TO RESOLVE POTENTIAL CONFLICTS OF INTEREST. FIFTH, ALLINA MAINTAINS A CORPORATE INTEGRITY HOTLINE, A CONFIDENTIAL 24 HOUR EXTERNAL RESOURCE TO HELP ANSWER QUESTIONS RELATED TO ETHICAL BUSINESS CONDUCT. ALL CALLS TO THE INTEGRITY LINE ARE KEPT CONFIDENTIAL.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS IS RESPONSIBLE FOR ALL COMPENSATION AND BENEFITS PROGRAM ELEMENTS FOR NON-COLLECTIVELY BARGAINED ALLINA HEALTH SYSTEM EXECUTIVE EMPLOYEES. ALLINA HEALTH SYSTEM USES A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CERTAIN OTHER OFFICERS AND KEY EXECUTIVE EMPLOYEES THAT INCLUDED ALL OF THE FOLLOWING ELEMENTS: REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, THE MEMBERS OF WHICH ARE INDEPENDENT AND WITHOUT A CONFLICT OF INTEREST AS DEFINED IN REGULATION SECTION 53.4958-6(C)(1)(III). ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT SPECIALIZING IN EXECUTIVE COMPENSATION USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS CONTEMPORANEOUS DOCUMENTATION, SUBSTANTIATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT THE ABOVE DESCRIBED PROCESS AND AN ASSESSMENT IS PERFORMED AT LEAST ANNUALLY FOR THE FOLLOWING POSITIONS: CHIEF EXECUTIVE OFFICER, PRESIDENT AND CHIEF OPERATING OFFICER; EVP CHIEF FINANCIAL OFFICER, EVP CHIEF HUMAN RESOURCES AND ADMINISTRATIVE OFFICER; SVP OPERATIONS/PRESIDENT III; SVP CHIEF MARKETING OFFICER; SVP CHIEF COMPLIANCE OFFICER; SVP CHIEF STRATEGY AND GROWTH OFFICER; SVP CHIEF MEDICAL OFFICER; SVP GENERAL COUNSEL; SVP CHIEF INFORMATION AND IMPROVEMENT OFFICER. IN ADDITION, THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS CHANGES TO THE BOARD OF DIRECTORS FOR THE CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES ALL COMPENSATION CHANGES OF THE OTHER FORE MENTIONED POSITIONS LISTED IN ADVANCE OF THE CHANGE.
FORM 990, PART VI, SECTION C, LINE 19	ALLINA HEALTH SYSTEM MAKES ITS FORM 990, FORM 1023, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. TO ARRANGE AN INSPECTION OR RECEIVE A COPY, PLEASE CONTACT THE FOLLOWING: ALLINA HEALTH SYSTEM TAX SERVICES MAIL ROUTE 10890 P.O. BOX 43 MINNEAPOLIS, MN 55407-0043 TELEPHONE: 612-262-0660 PHYSICAL ADDRESS: 2925 CHICAGO AVENUE MINNEAPOLIS, MN 55407-1321 THE FORM 990 AND FORM 1023 ARE ALSO AVAILABLE DIRECTLY FROM THE INTERNAL REVENUE SERVICE. THE FORM 990 AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE CHARITIES DIVISION OF THE OFFICE OF THE MINNESOTA ATTORNEY GENERAL. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM DIGITAL ASSURANCE CERTIFICATION (DAC) AND ON THEIR WEBSITE AT DACBOND.COM, AND FROM ELECTRONIC MUNICIPAL MARKET ACCESS AND ON THEIR WEBSITE AT HTTP://EMMA.MSRB.ORG. DAC CLIENTS MEET THE IRS SECTION 6104(D) REQUIREMENTS ON ALLOWING "PUBLIC INSPECTION OF CERTAIN ANNUAL RETURNS, REPORTS, AND APPLICATIONS FOR EXEMPTION AND NOTICES OF STATUS" VIA THE DAC WEBSITE. DAC ENSURES THE RELIABILITY AND ACCURACY OF THE POSTED DOCUMENTS AND TAKES REASONABLE PRECAUTIONS TO PRECENT ALTERATION, DESTRUCTION OR ACCIDENTAL LOSS OF THE POSTED DOCUMENTS. WHERE REQUESTD, A USER MAY DOWNLOAD A DOCUMENT, PRINT A DOCUMENT, EMAIL A DOCUMENT OR, GIVEN REASONABLE WRITTEN NOTICE, DAC WILL MAIL A NOTIFICATION INDICATING WHERE SUCH DOCUMENTS ARE AVAILABLE WITHIN 7 DAYS OF THE WRITTEN REQUEST, PER IRS TREA. REG. SECTION 301.6104(D)-2(D).
FORM 990, PART VII, SECTION A EXPLANATION	FORM 990, PART VII, SECTION A ALLINA HEALTH SYSTEM PROVIDES COMPENSATION TO THE BOARD OF DIRECTORS FOR SERVING ON THE BOARD AND FOR SERVING ON CERTAIN COMMITTEES. THE FOLLOWING COMPENSATION WAS PAID BY ALLINA HEALTH SYSTEM FOR SERVICES PROVIDED TO US AND NOT DISCLOSED ON PART VII OR SCHEDULE J. $5,000 DONATED TO MINNESOTATOGETHER.ORG AND $5,000 TO ALLINA CARING FOR THE COMMUNITY FUND FOR THE SERVICES OF JENNIFER ALSTAD $24,000 DONATED TO COURAGE KENNY FOUNDATION FOR THE SERVICES OF THOMAS SCHREIER, JR. $10,000 DONATED TO ABBOTT NORTHWESTERN HOSPITAL FOUNDATION FOR THE SERVICES OF TIMOTHY WELSH. $10,000 DONATED TO MENTAL HEALTH AND ADDITION AND CANCER PRIORITIES FUND FOR THE SERVICES OF GARY BHOJWANI. $3,000 DONATED TO ALLINA CARING FOR CARGIVERS; $2,000 TO HMONG NATIONALITIES ORGANIZATION; $3,000 TO MAYKAO YANGBLONGSUA & LAO LU HANG FUND; $1,000 TO COALITION OF ASIAN AMERICAN LEADERS AND $1,000 TO DEAN'S STRATEGIC FUND FOR THE SERVICES OF MAYKAO HANG. $5,000 DONATED TO THE ALLINA CARING FOR CAREGIVERS FUND; $5,000 TO ALLINA TELE-ADDICTION FUND; $5,000 TO ALLINA CARING FOR THE COMMUNITY FUND FOR THE SERVICES OF VICKI YANISCH. $2,500 DONATED TO THE ALLINA TELE-ADDICTION FUND FOR THE SERVICES OF STEPHEN LACROIX. $2,000 TO ALLINA TELE-ADDICTION FUND; $2,000 TO ALLINA CARING FOR THE COMMUNITY FUND; $1,000 TO ALLINA CARING FOR CAREGIVERS FUND FOR THE SERVICES OF BARBARA BUTTS WILLIAMS. $1,000 TO ALLINA'S GENERAL FUND FOR THE SERVICES OF RAYMOND (CLAY) AHRENS. $10,000 TO ALLINA CARING FOR CAREGIVERS FUND FOR THE SERVICES OF SHARI BALLARD. $14,000 PAID TO MIDWEST RADIOLOGY FOR THE SERVICES OF ANDERS KNUTZEN, MD.
FORM 990, PART XI, LINE 9:	DISTRIBUTION TO MEMBERS - MICC 23,134,678. DISTRICT ONE HARDSHIP FUND 94,893. FAS 106 MNA BENEFIT ACTUARIAL ADJUSTMENT -3,294,595. WESTHEALTH AMBULATORY SURGERY CENTER LLC JOINT VENTURE CONSOLIDATION 1,808,100. OWNERSHIP STRUCTURE CHANGE WITH SCA AND WESTHEALTH ASC 6,890,736. RIVERWOOD VILLAGE SECURITY DEPOSIT REFUND 2,108.
PART XII, LINE 2C	THIS PROCESS REMAINS UNCHANGED FROM PRIOR YEAR.

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

ALLINA HEALTH SYSTEM

Employer identification number

36-3261413

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ACCOUNTS RECEIVABLE SERVICES LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 55-0811834	DEBT COLLECTION	MN	13,518,563	17,672,942	ALLINA HEALTH SYSTEM
(2) AXIS HEALTHCARE LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1855603	HEALTHCARE SERVICES	MN	307,374	918,158	ALLINA HEALTH SYSTEM
(3) SOUTHWEST SURGICAL CENTER LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-2013700	SURGICAL SERVICES	MN	2,801,358	20,905,526	ALLINA HEALTH SYSTEM
(4) AH FRANCHISING LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043	FRANCHISING	DE	0	0	ALLINA HEALTH SYSTEM

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ABBOTT NORTHWESTERN HOSPITAL FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 04-3643816	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM		No
(2)MERCY & UNITY HOSPITALS FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 30-0086426	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM		No
(3)ST FRANCIS REGIONAL MEDICAL CENTER PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-0907986	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 3	N/A		No
(4)REGINA FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1987372	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	N/A		No
(5)COURAGE KENNY FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1952989	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM		No
(6)UNITED HOSPITAL FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 23-7420998	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM		No
(7)ALLINA ASSOCIATED FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 27-4116873	FUNDRAISING AND GRANTMAKING FOUNDATION	MN	501(C)(3)	LINE 7	ALLINA HEALTH SYSTEM		No
(8)MBP FACILITY LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 45-4078371	SUPPORTING ORGANIZATION	MN	501(C)(3)	LINE 12A, I	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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) GERIATRIC SERVICES OF MINNESOTA LLC 3433 BROADWAY STREET NE SUITE 300 MINNEAPOLIS,MN55413 45-3357936	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-867,037	1,199,417		No		Yes		50.000 %
(2) NORTHSTAR SLEEP CENTER LLC 920 EAST 28TH STREET SUITE 700 MINNEAPOLIS,MN55407 45-2532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	271,888	111,912		No		Yes		49.000 %
(3) ASPEN SLEEP CENTER LLC 1010 BANDANA BOULEVARD WEST ST PAUL,MN55108 26-1850227	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	299,480	316,441		No			No	65.000 %
(4) HEALTHCARE CAMPUS IMAGING ONE LLC 200 STATE AVENUE FARIBAULT,MN55021 52-2401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	189,707	159,294		No		Yes		50.000 %
(5) CROSBY CARDIOVASCULAR SERVICES LLC 920 E 28TH STREET SUITE 500 MINNEAPOLIS,MN55407 41-2010368	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-4,493	993,434		No		Yes		50.000 %
(6) MOBILE IMAGING SERVICES LLC 7505 METRO BOULEVARD SUITE 400 EDINA,MN55439 41-1883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	13,408	319,330		No		Yes		50.000 %
(7) MAGNETO LEASING LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 20-1582501	RENTAL EQUIPMENT	MN	ALLINA HEALTH SYSTEM	RELATED	29,745	12,745		No		Yes		50.000 %
(8) GLOBAL MARKET RESERVE FUND LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 83-2659070	FINANCE	MN	ALLINA HEALTH SYSTEM	UNRELATED	54,626	1,501,097		No		Yes		50.000 %
(9) METROPOLITAN INTEGRATED CANCER CENTER LLC PO BOX 819067 DALLAS,TX75381 20-5068485	RADIOLOGY	DE	ALLINA HEALTH SYSTEM	UNRELATED	2,504,977	1,371,871		No		Yes		80.000 %
(10) BPA HEALTH LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE,MN55113 35-2490984	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED		3,145		No		Yes		33.330 %
(11) SCA GREENWAY HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3472510	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-20,549	6,137,942		No			No	51.000 %
(12) SCA MAPLE GROVE HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3425387	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-16,297	599,360		No			No	51.000 %
(13) SCA WOODBURY HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3491574	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	-8,742	742,494		No			No	51.000 %
(14) GREENWAY SURGICAL SUITES LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3346468	HEALTHCARE SERVICES	MN	SCA GREENWAY HOLDINGS LLC	RELATED	-39,792	12,035,180		No			No	28.300 %
(15) CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3324771	HEALTHCARE SERVICES	MN	SCA MAPLE GROVE HOLDINGS LLC	RELATED	-31,454	1,175,216		No			No	26.500 %
(16) WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3366699	HEALTHCARE SERVICES	MN	SCA WOODBURY HOLDINGS LLC	RELATED	-16,642	1,455,871		No			No	26.000 %
(17) WESTHEALTH JV HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3312235	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	257,991	2,355,346		No			No	70.000 %
(18) WESTHEALTH SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 37-1763155	HEALTHCARE SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	354,551	3,233,271		No			No	49.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ALLINA SPECIALTY ASSOCIATES INC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1802815	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	-26,954,350	78,375,081	100.000 %		No
(2) ALLINA HEALTH SYSTEM TRUST PO BOX 535007 PITTSBURGH,PA15253 27-6712988	TRUST	PA	ALLINA HEALTH SYSTEM	T	191,765,786		100.000 %		No
(3) ALLINA HEALTH SYSTEM DEFINED BENEFIT MASTER TRUST 500 GRANT STREET SUITE 625 PITTSBURGH,PA15258 37-6520273	TRUST	PA	ALLINA HEALTH SYSTEM	T			100.000 %		No
(4) LIFESPAN AFFILIATES DEFERRED COMPENSATION PLAN PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1720860	TRUST	MN	ALLINA HEALTH SYSTEM	T	76,137		100.000 %		No
(5) ALLINA INTEGRATED MEDICAL NETWORK PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 27-5129095	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	C	1,328,329	11,263,684	100.000 %		No
(6) FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC PO BOX 1085 GRAND CAYMANKY1-1102 CJ 98-1366132	CAPTIVE INSURANCE	CJ	ALLINA HEALTH SYSTEM	C	759,234	19,381,612	100.000 %		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 .....................

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION	C	5,037,775	CASH
(2) ABBOTT NORTHWESTERN HOSPITAL FOUNDATION	B	2,005,784	COST
(3) COURAGE KENNY FOUNDATION	C	4,912,864	CASH AND FMV
(4) MERCY & UNITY HOSPITALS FOUNDATION	C	1,146,690	CASH
(5) MERCY & UNITY HOSPITALS FOUNDATION	B	767,548	COST
(6) UNITED HOSPITAL FOUNDATION	C	3,547,721	CASH
(7) UNITED HOSPITAL FOUNDATION	B	1,296,438	COST
(8) ALLINA ASSOCIATED FOUNDATION	C	1,384,865	CASH
(9) ALLINA ASSOCIATED FOUNDATION	B	1,125,298	COST
(10) ALLINA SPECIALTY ASSOCIATES INC	C	2,182,764	COST
(11) ASPEN SLEEP CENTER LLC	C	200,850	CASH
(12) METROPOLITAN INTEGRATED CANCER CARE LLC	C	3,008,857	CASH
(13) HEALTHCARE CAMPUS IMAGING ONE LLC	C	155,000	CASH
(14) ST FRANCIS REGIONAL MEDICAL CENTER	Q	25,942,841	CASH
(15) ST FRANCIS REGIONAL MEDICAL CENTER	S	261,500	CASH
(16) REGINA FOUNDATION	B	64,962	COST
(17) REGINA FOUNDATION	C	119,264	CASH
(18) WESTHEALTH SURGERY CENTER LLC	B	1,257,606	CASH
(19) FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC	R	1,716,600	CASH
(20) FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC	B	4,000,000	CASH
(21) ALLINA INTEGRATED MEDICAL NETWORK	C	1,418,327	CASH
(22) SCA GREENWAY HOLDINGS LLC	B	6,158,491	CASH
(23) SCA MAPLE GROVE HOLDINGS LLC	B	483,203	CASH
(24) SCA WOODBURY HOLDINGS LLC	B	395,958	CASH
(25) WESTHEALTH JV HOLDINGS LLC	B	916,256	CASH

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: ALLINA HEALTH SYSTEM ("ALLINA HEALTH") IS DEDICATED TO MEETING THE NEEDS OF OUR PATIENTS THROUGH WHOLE PERSON CARE-PHYSICAL, MENTAL, SPIRITUAL AND COMMUNITY. THIS COMMITMENT IS EMBODIED IN OUR MISSION: TO PROVIDE EXCEPTIONAL CARE, AS WE PREVENT ILLNESS, RESTORE HEALTH AND PROVIDE COMFORT TO ALL WHO ENTRUST US WITH THEIR CARE. ALLINA HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. BECAUSE OF ITS CHARITABLE MISSION, ALLINA HEALTH PROVIDES THESE HEALTH CARE SERVICES AS WELL AS EDUCATIONAL AND WELLNESS PROGRAMS TO COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES. IN 2020, ALLINA HEALTH PROVIDED $631,066,161 IN COMMUNITY CONTRIBUTIONS SUCH AS DIRECT FINANCIAL SUPPORT, IN-KIND DONATIONS, FREE AND REDUCED-COST MEDICAL CARE AND SERVICES, AND FUNDING FOR PUBLIC HEALTH PROGRAMS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	32,300
6	Total number of volunteers (estimate if necessary) .............	6	2,817
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	32,996,282
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	4,774,570

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	35,617,733	25,084,616
9	Program service revenue (Part VIII, line 2g) .........	4,507,988,236	4,402,766,104
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	57,218,610	159,574,900
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	54,613,817	44,414,432
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,655,438,396	4,631,840,052
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	7,517,022	3,008,356
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,782,019,594	2,771,677,701
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 9,480,018
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,749,379,068	1,739,125,486
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,538,915,684	4,513,811,543
19	Revenue less expenses. Subtract line 18 from line 12.......	116,522,712	118,028,509
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,338,690,925	5,900,652,811
21	Total liabilities (Part X, line 26).............	2,280,235,406	2,731,421,914
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,058,455,519	3,169,230,897

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,383,598,788 including grants of $ 3,008,356 ) (Revenue $ 4,558,772,507 )
	PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE; THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE. ABBOTT NORTHWESTERN HOSPITAL ALSO OFFERS SPECIALTY EYE CARE THROUGH THE PHILLIPS EYE INSTITUTE, WHICH DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY. BUFFALO HOSPITAL - BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY, AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY.DISTRICT ONE HOSPITAL - FARIBAULT, MNLOCATED JUST SOUTH OF THE TWIN CITIES IN FARIBAULT, DISTRICT ONE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES: BIRTH CENTER, COURAGE KENNY REHABILITATION INSTITUTE, CARDIOPULMONARY REHABILITATION, DIAGNOSTIC IMAGING, EMERGENCY, GENERAL SURGERY, LABORATORY, PHARMACY, SLEEP STUDY AND VIRGINIA PIPER CANCER INSTITUTE. THE DYNAMIC HEALTH CARE CAMPUS ALSO INCLUDES THE ALLINA HEALTH FARIBAULT CLINIC AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT. MERCY HOSPITAL - COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE THE HEART & VASCULAR CENTER, CANCER CARE, THE MOTHER BABY CENTER, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. THE UNITY CAMPUS OF MERCY, LOCATED IN FRIDLEY, ALSO PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL-BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL - OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.REGINA MEDICAL CENTER-HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, PEDIATRICS, EMERGENCY MEDICINE, INPATIENT GERIATRIC MENTAL HEALTH, UROLOGY AND OCCUPATIONAL MEDICINE. SINCE ITS FOUNDATION, REGINA HOSPITAL CONTINUES TO MAINTAIN ITS CATHOLIC HERITAGE FOCUSING ON SERVING THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HASTINGS CAMPUS INCLUDES SENIOR LIVING FACILITIES, TWO ALLINA HEALTH CLINICS AND A SURGERY CENTER.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THEIR VIRGINIA PIPER CANCER CENTER BIRTH CENTER AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT, CANCER AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL - ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS AMONG LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2020, ALLINA HEALTH EXPENDED OVER $3 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 7,400,000 CLINIC VISITS, 96,652 INPATIENT ADMISSIONS AND 1,100,000 HOSPITAL OUTPATIENT VISITS. THERE WERE 302,195 EMERGENCY CARE VISITS, 376,257 HOMECARE AND HOSPICE VISITS, AND 13,456 BIRTHS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, AND MENTAL HEALTH SERVICES. IN 2020, ALLINA HEALTH EXPENDED $23,027,801 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.

4b	(Code: ) (Expenses $ 388,613,132 including grants of $ ) (Revenue $ )
	COST OF PARTICIPATING IN GOVERNMENT PROGRAMSALLINA HEALTH IS COMMITTED TO SERVING ALL PERSONS IN NEED, REGARDLESS OF RACE, CREED, SEX, NATIONALITY, RELIGION, DISABILITY, AGE, OR ABILITY TO PAY. TO PROMOTE ACCESS TO CARE FOR ALL INDIVIDUALS, ALLINA HEALTH PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, MINNESOTACARE, AND GENERAL ASSISTANCE. PAYMENTS FROM THESE PROGRAMS FREQUENTLY DO NOT COVER THE COSTS ALLINA HEALTH INCURS TO SERVE PROGRAM BENEFICIARIES. IN 2020, ALLINA HEALTH PROVIDED $388,613,132 IN HEALTH CARE SERVICES IN EXCESS OF THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS AND SURCHARGES, TAXES AND FEES RELATED TO THESE PROGRAMS. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THESE PROGRAMS, SERVICES AND ADDITIONAL TAXES AND FEES.COSTS IN EXCESS OF MEDICARE AND MEDICAID PAYMENTSALLINA HEALTH PROVIDES SERVICES TO PUBLIC PROGRAM ENROLLEES. SUCH PUBLIC PROGRAMS HAVE HISTORICALLY BEEN REIMBURSED AT AMOUNTS LESS THAN COST. IN 2020, ALLINA HEALTH EXPENDED $259,377,338 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $47,555,450 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA HEALTH IS A PARTICIPANT IN THE MEDICAID SURCHARGE PROGRAM. THE CURRENT PROGRAM INCLUDES A 1.56% SURCHARGE ON A HOSPITAL'S NET PATIENT SERVICE REVENUE (EXCLUDING MEDICARE REVENUE). REPORTED AMOUNTS ARE NET OF ANY DISPROPORTIONATE SHARE ADJUSTMENTS. IN 2020, ALLINA HEALTH PAID $27,539,736 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 2% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $49,719,397 FOR THE MINNESOTACARE TAX IN 2020. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $4,421,211 IN TAXES AND FEES IN 2020.

4c	(Code: ) (Expenses $ 62,343,065 including grants of $ ) (Revenue $ -120,620,775 )
	UNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR PARTNERS CARE WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2020, ALLINA HEALTH PROVIDED $17,432,332 IN CHARITY CARE.UNINSURED DISCOUNT PROGRAMFOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR MEDICAID OR MEET THE FINANCIAL THRESHOLD FOR CHARITY CARE, BUT REQUIRE SOME FINANCIAL ASSISTANCE, ALLINA HEALTH PROVIDES A SLIDING SCALE DISCOUNT. ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A MINIMUM OF A 25 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 46 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2020, ALLINA HEALTH PROVIDED $44,910,733 IN SUCH DISCOUNTS TO LOW-INCOME, UNINSURED INDIVIDUALS. BAD DEBT - BAD DEBT WILL BE REPORTED AS A REDUCTION TO REVENUE.ALLINA HEALTH PROVIDES MEDICAL CARE TO ALL IN NEED. THERE ARE TIMES WHEN PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT. THESE BAD DEBT AMOUNTS IN 2020 TOTALED $120,620,775.

	(Code: ) (Expenses $ 36,461,387 including grants of $ ) (Revenue $ )
	COMMUNITY SERVICES:IN 2020, ALLINA HEALTH CONTRIBUTED $36,461,385 TO COMMUNITY PROGRAMS AND SERVICES TO ADVANCE THE HEALTH OF THE BROADER COMMUNITY. BELOW ARE EXAMPLES OF PROGRAMS AND SERVICES ALLINA HEALTH PROVIDES WITHIN THE COMMUNITIES WE SERVE THAT OFFER COMMUNITY BENEFIT.COMMUNITY HEALTH IMPROVEMENT SERVICESACCORDING TO IRS REPORTING CATEGORIES AND THE CATHOLIC HEALTH ASSOCIATION (CHA/VHA) GUIDELINES, COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES TO IMPROVE COMMUNITY HEALTH THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION AND DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS. ALLINA HEALTH PROVIDES MANY PROGRAMS AND SERVICES THAT FALL UNDER THIS CATEGORY. A FEW EXAMPLES INCLUDE: HEALTH POWERED KIDS (HPK), LAUNCHED IN 2012, IS A FREE COMMUNITY EDUCATION PROGRAM DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 YEARS TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. IN 2020, MORE THAN 100,000 USERS VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. SINCE 2018, THE PROGRAM HAS ALSO INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, CTC MESSAGING FOR PARENTS, A PAID STUDENT INTERNSHIP AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. IN 2020, COVID-19 CAUSED FEAR, ANXIETY, UNCERTAINTY AND STRESS IN POPULATIONS ACROSS MINNESOTA AND SCHOOLS TRANSITIONED TO DISTANCE LEARNING. CTC MET THE CHANGING NEEDS OF THE COMMUNITY BY TRANSFORMING IN-PERSON TRAININGS AND CTCSP TO A VIRTUAL MODEL, OFFERING A VIRTUAL CARE PACKAGES TO FAMILIES, CREATING NEW ONLINE RESOURCES LIKE A VIRTUAL CHILL ZONE, AND ENHANCING EXISTING PROGRAM CONTENT RELATED TO COPING WITH GRIEF, LOSS AND CHANGE. IN 2020, MORE THAN 55,000 USERS VISITED THE CTC WEBSITE-A 81% INCREASE FROM THE PREVIOUS YEAR. AN ADDITIONAL 2,500 PARTICIPATED IN VIRTUAL TRAININGS AND WELL-BEING SESSIONS, AND 30 STUDENTS FROM 15 HIGH SCHOOLS AND MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP INTERNSHIP PROGRAM.HELLO4HEALTH IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN 2021. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES AND SKILL-BUILDING TOOLS FOR CONNECTING WITH OTHERS. ADDITIONAL PROGRAM COMPONENTS WERE DELAYED DUE TO THE COVID-19 PANDEMIC AND ARE IN DEVELOPMENT.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. CENTER FOR MEDICARE AND MEDICAID SERVICES ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT - IN MAY 2017, ALLINA HEALTH WAS AWARDED AN ACCOUNTABLE HEALTH COMMUNITIES (AHC) COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THROUGH THE AHC MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREENED PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY, FOOD INSECURITY, ACCESS TO TRANSPORTATION, DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY. IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2020, MORE THAN 130,000 SCREENINGS FOR SOCIAL NEEDS WERE OFFERED TO PATIENTS WITH MORE THAN 50,000 BEING COMPLETED. ADDITIONALLY, 363 PATIENTS IDENTIFYING NEEDS RECEIVED SUPPORT FROM A NAVIGATOR IN CONNECTING TO COMMUNITY RESOURCES. BEFORE THE COVID-19 PANDEMIC, SOCIAL NEEDS SCREENINGS WERE ONLY OFFERED TO PATIENTS AT IN-PERSON MEDICAL VISITS. WHEN THE PANDEMIC HIT, ALLINA HEALTH TRANSITIONED TO PROVIDING HEALTH CARE THROUGH VIRTUAL VISITS AND OFFERING THE SOCIAL NEEDS SCREENING ELECTRONICALLY. IN 2020, NEARLY 4,000 SCREENINGS WERE OFFERED TO PATIENTS ATTENDING A VIRTUAL HEALTH CARE VISIT. ALLINA HEALTH INVESTED MORE THAN $56,000 IN STAFF TIME IN 2020 TO IMPLEMENT THE AHC MODEL, BEYOND WHAT WAS PROVIDED FOR BY THE COOPERATIVE AGREEMENT. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2020, ALLINA HEALTH INVESTED OVER $15 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. IN 2020, THIS INCLUDED COVID-19 STUDIES. ALLINA HEALTH INVESTED $3,843,538 TOWARD RESEARCH IN 2020. FINANCIAL AND IN-KIND CONTRIBUTIONSALLINA HEALTH PROVIDES NUMEROUS IN-KIND AND MONETARY CONTRIBUTIONS TO INDIVIDUALS AND OTHER NOT-FOR-PROFIT ORGANIZATIONS TO SUPPORT COMMUNITY NEEDS. IN 2020, ALLINA HEALTH FUNDED MORE THAN $3.8 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, MEETING SPACE, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. THIS INCLUDED OPENING ALLINA HEALTH'S CORPORATE HEADQUARTERS, THE ALLINA COMMONS, TO THREE NON-PROFIT ORGANIZATIONS OVERSEEING EDUCATIONAL SUPPORT PROGRAMS TO SUPPORT DISTANCE LEARNING. STUDENTS IN GRADES 1-12 USED THE SPACE TO ACCESS THEIR VIRTUAL SCHOOL PROGRAMS UNDER THE SUPERVISION OF ADULT TUTORS. WHEN ATTENDING SCHOOL AT THE ALLINA COMMONS, STUDENTS RECEIVED TWO MEALS PER DAY, ONGOING SUPERVISION, ACCESS TO RELIABLE, HIGH-SPEED INTERNET CONNECTIVITY AND AN ENVIRONMENT CONDUCTIVE TO LEARNING. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. IN 2020, THIS INCLUDED COVID-19 RESPONSE ACTIVITIES OVER AND ABOVE THOSE REQUIRED FOR THE HOSPITALS' OPERATIONS AS WELL AS STAFF TIME SPENT WORKING IN A STATE COMMAND CENTER AIMED AT RESPONDING TO THE CIVIL UNREST IN MINNEAPOLIS. EXAMPLES OF COVID-19 ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO COMMUNITY SUPPORT AND EDUCATION RELATED TO COVID-19, REPRESENTING ALLINA HEALTH AT COVID-19 COALITION MEETINGS WITH OTHER HEALTH AND HEALTHCARE LEADERS, AND COORDINATING ALLINA HEALTH COVID-19 RESPONSE WITH RELATED ACTIONS BY STATE AND OTHER PARTNERS. AWARDSIN 2020, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS, FOR ATTRIBUTES SUCH AS SAFETY, PATIENT EXPERIENCE AND QUALITY. FOR EXAMPLE, ABBOTT NORTHWESTERN HOSPITAL RETAINED FIRST PLACE FOR THE BEST HOSPITAL IN THE TWIN CITIES AND SECOND IN MINNESOTA IN THE U.S. NEWS & WORLD REPORT 2020-21 BEST HOSPITALS RANKINGS, NEW ULM MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL WERE RECOGNIZED AS 2020 TOP 100 CRITICAL ACCESS HOSPITALS AND BUFFALO HOSPITAL EARNED THE HIGHEST QUALITY RATING, FIVE STARS, FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES.COMMUNITY BENEFIT OPERATIONSALLINA HEALTH USES DEDICATED STAFF FOR THE ASSESSMENT AND MANAGEMENT OF COMMUNITY BENEFIT PROGRAMS AND NEEDS. FOR MORE, PLEASE VISIT: HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 36,461,387 including grants of $ ) (Revenue $ )
4e	Total program service expenses3,871,016,372

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	23,395,621	0	4,260,155

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	16,149,179
e	Government grants (contributions)		1e	8,879,466

f	All other contributions, gifts, grants, and similar amounts not included above		1f	55,971

g	Noncash contributions included in lines 1a - 1f:$		1g	67,036

h Total. Add lines 1a-1f.......		25,084,616

		Business Code
2a	PROG.SERV.REVENUE-RELATED-990	621990	4,523,386,879	4,523,386,879
b	PATIENT BAD DEBT	621990	-120,620,775	-120,620,775
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		4,402,766,104

3 Investment income (including dividends, interest, and othersimilar amounts) ......			33,213,787			33,213,787
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		9,028,804	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		9,028,804	6c
d	Net rental income or (loss).......			9,028,804			9,028,804
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	9,567,943	1,223,763,142	7a
b	Less: cost or other basis and sales expenses	5,016,074	1,101,953,898	7b
c	Gain or (loss)	4,551,869	121,809,244	7c
d	Net gain or (loss).........			126,361,113			126,361,113
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	RETAIL PHARMACY		446110	10,975,827		10,975,827
b	REFERENCE LAB		621500	10,186,866		10,186,866
c	ST FRANCIS MEDICAL CENTER		621990	4,840,873	4,840,873
d	All other revenue ....			9,382,062	-2,451,527	11,833,589
e	Total. Add lines 11a–11d ......			35,385,628
12	Total revenue. See instructions.....			4,631,840,052	4,405,155,450	32,996,282	168,603,704

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,808,727	1,808,727
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,199,629	1,199,629
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 ...........	13,766,676		13,766,676
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........	2,192,284,321	1,937,857,429	248,475,299	5,951,593
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	112,665,594	98,968,636	13,393,003	303,955
9	Other employee benefits .......	286,639,209	251,791,968	34,073,932	773,309
10	Payroll taxes ...........	166,321,901	146,101,850	19,771,340	448,711
11	Fees for services (non-employees):
a	Management ......	32,134,433	17,284,402	14,838,688	11,343
b	Legal .........	5,866,598		5,866,598
c	Accounting ...........	1,070,054		1,070,054
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	413,056,469	273,269,240	139,274,710	512,519
12	Advertising and promotion ....	4,264,532	826,080	2,922,055	516,397
13	Office expenses .......	691,699,690	657,645,933	33,764,616	289,141
14	Information technology ......	70,505,610	49,809,734	20,652,924	42,952
15	Royalties ..
16	Occupancy ...........	145,641,519	114,607,300	30,920,448	113,771
17	Travel ............	4,172,709	3,737,507	422,873	12,329
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,397,230	1,836,121	554,601	6,508
20	Interest ...........	39,924,853	39,924,853
21	Payments to affiliates .......	223,680	223,680
22	Depreciation, depletion, and amortization ..	198,424,847	156,771,930	41,528,013	124,904
23	Insurance ...	21,791,451	21,791,451
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MINNESOTA CARE TAX	49,719,397	49,719,397
b	MEDICAID SURCHARGE	27,539,736	27,539,736
c	INCOME TAX - UBI	1,224,802		1,224,802
d	COMMUNITY OUTREACH	1,035,264	935,323	92,435	7,506
e	All other expenses	28,432,612	17,365,446	10,702,086	365,080
25	Total functional expenses. Add lines 1 through 24e	4,513,811,543	3,871,016,372	633,315,153	9,480,018
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 ........			21,726,361	1	39,040,625
2	Savings and temporary cash investments .........			7,958,443	2	8,272,813
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			820,113,226	4	806,291,818
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 ............			75,170,778	8	89,608,901
9	Prepaid expenses and deferred charges ......			19,645,959	9	23,712,392
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,937,621,800
b	Less: accumulated depreciation	10b	2,452,126,457	1,492,480,973	10c	1,485,495,343
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			2,783,531,408	12	3,352,396,943
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			31,301,835	14	39,691,388
15	Other assets. See Part IV, line 11 ...........			86,761,942	15	56,142,588
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,338,690,925	16	5,900,652,811

17	Accounts payable and accrued expenses .....	518,456,208	17	653,455,137
18	Grants payable ...		18
19	Deferred revenue .........	27,609,480	19	43,271,882
20	Tax-exempt bond liabilities .........	1,225,573,462	20	1,182,124,378
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	508,596,256	25	852,570,517
26	Total liabilities. Add lines 17 through 25..	2,280,235,406	26	2,731,421,914

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,048,834,715	27	3,159,943,108
28	Net assets with donor restrictions ...........	9,620,804	28	9,287,789
	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 .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,058,455,519	32	3,169,230,897
33	Total liabilities and net assets/fund balances ........	5,338,690,925	33	5,900,652,811

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No