TY 2023 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/1099-NEC)
(1) LISA SHANNON...................................................................... PRESIDENT/CEO	40.00 ................. 2.00	X	X	2,613,585	466,312
(2) PENNY WHEELER...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(3) JOHN CHURCH...................................................................... DIRECTOR	2.00 ................. 0.00	X		63,079	0
(4) CHALLIS LOWE...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,342	0
(5) DARRELL TUKUA...................................................................... DIRECTOR	2.00 ................. 0.00	X		10,250	0
(6) BARBARA BUTTS WILLIAMS PHD...................................................................... DIRECTOR	2.00 ................. 2.00	X		10,250	0
(7) LAURA GILLUND...................................................................... DIRECTOR	2.00 ................. 0.00	X		8,250	0
(8) DAVID KUPLIC...................................................................... DIRECTOR	2.00 ................. 0.00	X		8,250	0
(9) DANIEL O'LAUGHLIN MD...................................................................... DIRECTOR	2.00 ................. 0.00	X		8,250	0
(10) LOUIS KING II...................................................................... DIRECTOR	2.00 ................. 0.00	X		6,300	0
(11) RAYMOND CLAY AHRENS...................................................................... DIRECTOR	2.00 ................. 0.00	X		6,250	0
(12) MAYKAO HANG DPA...................................................................... DIRECTOR	2.00 ................. 0.00	X		6,250	0
(13) BRIAN ROSENBERG PHD...................................................................... DIRECTOR	2.00 ................. 0.00	X		3,765	0
(14) DEBBRA SCHONEMAN...................................................................... DIRECTOR/CHAIR	2.00 ................. 0.00	X		740	0
(15) AMY RONNEBERG...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(16) STEVEN LACROIX...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0
(17) SHAWN ULREICH...................................................................... 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RUTH WILLIAMS-BRINKLEY........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(19) LEE MITAU........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(20) JENNIFER ALSTAD........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(21) SHARI BALLARD........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(22) THOMAS SCHREIER JR........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(23) TIMOTHY WELSH........................................................................ DIRECTOR/VICE CHAIR	2.00 .......................0.00	X					0	0
(24) VICKI YANISCH RASMUSEN........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0
(25) RICHARD MAGNUSON........................................................................ TREASURER/EVP/CFO	40.00 .......................2.00		X				1,888,713	10,001
(26) SARA CRIGER........................................................................ SVP/OPS/PRES MERCY & UNITE	40.00 .......................2.00		X				1,570,586	-42,175
(27) JONATHAN SHOEMAKER........................................................................ SVP OPERATIONS AND CHIEF INTEGRATION OFFICER	40.00 .......................0.00		X				1,375,849	-33,517
(28) DOMINICA TALLARICO........................................................................ EVP, CHIEF OPERATING OFFICER	40.00 .......................0.00		X				1,095,860	238,329
(29) HSIENG SU MD........................................................................ SVP, CHIEF MEDICAL OFFICER	40.00 .......................2.00		X				1,051,375	211,941
(30) CHRISTINE MOORE........................................................................ EVP, CHIEF ADMINISTRATIVE OFFICER	40.00 .......................2.00		X				1,030,219	198,377
(31) JOHN MISA MD........................................................................ VP INTERIM AHG MED OFF	40.00 .......................0.00		X				1,047,531	14,025
(32) DAVID SLOWINSKE........................................................................ SVP OPERATIONS - NORTHEAST REGION	40.00 .......................0.00		X				833,703	153,555
(33) ELIZABETH TRUESDELL SMITH........................................................................ SECRETARY/SVP GEN COUN.	40.00 .......................2.00		X				899,046	42,132
(34) LAWRENCE CHO........................................................................ SVP, CHIEF STRATEGY & GROW	40.00 .......................2.00		X				788,491	134,010
(35) SARAH KLEAVELAND KUPCZAK........................................................................ SVP CHIEF COMPLIANCE OFFIC	40.00 .......................0.00		X				334,250	-7,848
(36) PATRICIA WESELA........................................................................ INTERIM CHIEF COMPLIANCE OFFICER	40.00 .......................0.00		X				252,895	66,835
(37) DANDRE CARPENTER DNP........................................................................ SVP SYSTEM NURSING OFFICER	40.00 .......................0.00		X				258,033	6,211
(38) BADRINATH KONETY MD........................................................................ VP CANCER INSTITUTE/PRESIDENT & RESEARCH OFFICER	40.00 .......................2.00			X			1,192,652	202,422
(39) SANJAY SINGH MD........................................................................ VP CLINICAL SERVICE LINE NEUROSCIENCE	40.00 .......................0.00			X			1,004,268	215,952
(40) ROBERT QUICKEL MD........................................................................ VP CLINICAL SERVICE LINE, SURGICAL SERVICES	40.00 .......................2.00			X			896,439	172,202
(41) DAVID JOOS........................................................................ VP OPERATIONS-SOUTHWEST REGION	40.00 .......................0.00			X			747,681	144,528
(42) VENKAT IYER MD........................................................................ VP CLINICAL SERVICE LINE	40.00 .......................0.00			X			663,523	141,075
(43) DAVID INGHAM DO........................................................................ VP CHIEF INFORMATION OFFIC	40.00 .......................0.00			X			609,541	124,386
(44) NICHOLAS MENDYKA........................................................................ VP SYSTEM FINANCE OPERATIO	40.00 .......................0.00			X			591,283	117,840
(45) THOMAS LUBOTSKY........................................................................ VP SUPPLY CHAIN	40.00 .......................0.00			X			653,210	54,788
(46) MOTTI EDELSTEIN........................................................................ VP REVENUE CYCLE MANAGEMEN	40.00 .......................0.00			X			536,916	117,894
(47) MAHMOUD NAGIB MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,666,823	41,827
(48) MARK HELLER MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,465,621	120,564
(49) JAYSON DOCK MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,444,758	130,103
(50) ANTHONY ANDERSON MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,446,089	112,619
(51) DANA HARMS MD........................................................................ PHYSICIAN	40.00 .......................0.00				X		1,435,119	48,489
(52) RYAN ELSE MD........................................................................ FORMER VP MEDICAL AFFAIRS/SYSTEM	40.00 .......................0.00					X	720,125	41,746
(53) ANN MADDEN RICE........................................................................ FORMER SVP-PRESIDENT ANW	40.00 .......................2.00					X	434,789	0
(54) PETER HOFRENNING........................................................................ FORMER SVP,INTERIM CHIEF C	40.00 .......................0.00					X	272,605	53,587

(A) Name and business address	(B) Description of services	(C) Compensation
AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO,CA92121	PROFESSIONAL SERVICES - MEDICAL	170,156,363
JE DUNN CONSTRUCTION 800 WASHINGTON AVE N SUITE 600 MINNEAPOLIS,MN55401	CONSTRUCTION	33,254,984
METROPOLITAN CARDIOLGY CONSULTANTS PA 4040 COON RAPIDS BLVD NW SUITE 120 COON RAPIDS,MN55433	PROFESSIONAL SERVICES - MEDICAL	31,805,626
TWIN CITIES SPINE CENTER 913 EAST 26TH STREET SUITE 600 MINNEAPOLIS,MN55404	PROFESSIONAL SERVICES - MEDICAL	26,496,263
PHYSICIANS GROUP OF NEW ULM 1324 5TH STREET NORTH NEW ULM,MN56073	PROFESSIONAL SERVICES - MEDICAL	19,725,347
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 355

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

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

OMB No. 1545-0047

2023

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) .

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

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 on 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 on 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) 2023

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

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) (2023)

Schedule B (Form 990) (2023) 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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Schedule B (Form 990) (2023)

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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

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

OMB No. 1545-0047

2022

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

4,890

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

626,555

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

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

Yes

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

631,445

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) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	109,460,861	121,860,611	112,280,813	105,468,342	93,936,959
b	Contributions ...	403,597		106,331	1,373,045	149,082
c	Net investment earnings, gains, and losses	15,356,205	-9,633,047	14,274,240	9,219,107	15,316,040
d	Grants or scholarships ...			10,811	348,035	12,549
e	Other expenditures for facilities and programs ...	5,087,962	2,766,703	4,789,962	3,431,646	3,921,190
f	Administrative expenses ....
g	End of year balance ......	120,132,701	109,460,861	121,860,611	112,280,813	105,468,342

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	115,128,976		115,128,976
b	Buildings ....	1,712,859,443	987,381,352	725,478,091
c	Leasehold improvements	496,119,875	232,970,053	263,149,822
d	Equipment ....	1,507,193,684	1,204,139,275	303,054,409
e	Other .....	289,088,761	26,644,011	262,444,750
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,669,256,048

Schedule D (Form 990) 2022

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	217,074,298	F
(B) MONEY MARKET COLLECTIVE FUND	383,429,187	F
(C) FIXED INCOME	428,436,877	F
(D) SHORT-TERM FIXED INCOME	1,224,468,012	F
(E) EQUITY SECURITIES	324,247,224	F
(F) INVESTMENTS ACCOUNTED FOR AT NET ASSET VALUE	370,380,630	F
(G) INVESTMENTS IN JOINT VENTURES	155,154,436	F
(H) DIRECT AND IMPACT INVESTMENTS	11,028,345	F
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	3,114,219,009

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
NET PENSION LIABILITY	6,441,504
DEFERRED COMPENSATION	13,446,086
INSURANCE CLAIMS PAYABLE	45,392,928
MN CARE TAX PAYABLE	11,863,435
CAPITALIZED LEASE OBLIGATIONS	222,098,528
INCURRED BUT NOT REPORTED CLAIMS	29,564,681
THIRD PARTY LIABILITIES	17,681,898
DEFERRED LIABILITIES	129,154

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	346,618,214
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) 2022

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 $2,590 AND $1,921 IN 2023 AND 2022, RESPECTIVELY. AS OF DECEMBER 31, 2023 AND 2022, THE TAXABLE SUBSIDIARIES OF THE SYSTEM'S CONTINUING OPERATIONS HAD A GROSS DEFERRED TAX ASSET OF $48,485 AND $45,916, RESPECTIVELY, RESULTING FROM NET OPERATING LOSS CARRYFORWARDS, EMPLOYEE COMPENSATION AND BENEFITS ACCRUALS, AND DEPRECIATION, OFFSET BY VALUATION ALLOWANCES OF $29,685 AND $28,815, RESPECTIVELY. AS OF DECEMBER 31, 2023 AND 2022, THE CONTINUING OPERATIONS OF THE SYSTEM AND ITS SUBSIDIARIES HAD NET OPERATING LOSS CARRYFORWARDS OF $127,705 AND $128,287, RESPECTIVELY, FOR INCOME TAX PURPOSES, OF WHICH $93,148 WILL EXPIRE IN VARIOUS YEARS THROUGH 2030 WITH $34,557 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, 2023 AND 2022, THE SYSTEM DOES NOT HAVE ANY SIGNIFICANT LIABILITIES FOR UNCERTAIN TAX BENEFITS. THE FILINGS FOR THE YEARS ENDED 2019 TO 2022 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.

Schedule D (Form 990) 2022

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 arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

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,			INVESTMENTS	160,047,717
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM			INVESTMENTS	34,056,609















3a	Sub-total ....	0	0		194,104,326
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		194,104,326

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

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) 2023

Schedule F (Form 990) 2023Page 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) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

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

ReturnReference	Explanation

Schedule F (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

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? . . . . . .

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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	15,653,489		15,653,489	0.280 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0	314,159,088		314,159,088	5.630 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			329,812,577		329,812,577	5.910 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	78	8,643,890	14,522,535	1,563,762	12,958,773	0.230 %
f	Health professions education (from Worksheet 5) . . .	41	7,423	36,661,813	10,074,772	26,587,041	0.480 %
g	Subsidized health services (from Worksheet 6) . . . .	7	2,650	21,452,821		21,452,821	0.380 %
h	Research (from Worksheet 7) .	2	15,000	2,022,378		2,022,378	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	50	342,382	5,104,808	9,805	5,095,003	0.090 %
j	Total. Other Benefits . .	178	9,011,345	79,764,355	11,648,339	68,116,016	1.220 %
k	Total. Add lines 7d and 7j .	178	9,011,345	409,576,932	11,648,339	397,928,593	7.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0	0
2	Economic development	5	6,242	662,755	0	662,755	0.010 %
3	Community support	2	960	37,426	0	37,426	0 %
4	Environmental improvements	1	0	7,223	0	7,223	0 %
5	Leadership development and training for community members	0	0	0	0
6	Coalition building	10	3,350	57,475	0	57,475	0 %
7	Community health improvement advocacy	2	0	1,724	0	1,724	0 %
8	Workforce development	5	1,977	114,715	0	114,715	0 %
9	Other	0	0	0	0
10	Total	25	12,529	881,318		881,318	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

59,116,334

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).....

587,898,487

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

690,963,993

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

-103,065,506

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 NORTHSTAR SLEEP CENTER LLC	SLEEP MEDICINE	49.000 %	51.000 %
55 HEALTHCARE CAMPUS IMAGING ONE LLC	DIAGNOSTIC IMAGING	50.000 %	25.000 %
66 PET EQUIPMENT LEASING LLC	EQUIPMENT LEASING	25.000 %	25.000 %
77 GREENWAY SURGICAL SUITES LLC	OUTPATIENT RADIOLOGY SERVICES	26.910 %	47.240 %
88 CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE LLC	OUTPATIENT SURGICAL FACILITY	30.600 %	40.000 %
99 WOODBURY SURGERY CENTER LLC	OUTPATIENT SURGICAL FACILITY	31.640 %	49.000 %
1010 ALLINA HEALTH SURGERY CENTER - BROOKLYN PARK LLC	OUTPATIENT SURGICAL FACILITY	35.700 %	49.000 %
11
12
13

Schedule H (Form 990) 2023

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?9Name, 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-NOR 385390	X	X	X		X	X		A
2	UNITED HOSPITAL 333 NORTH SMITH AVENUE ST PAUL,MN55102 HTTP://WWW.ALLINAHEALTH.ORG/UNITED-HOS 384993	X	X	X		X	X	INCLUDING UNITED HOSPITAL - HASTINGS REGINA CAMPUS	A
3	MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS,MN55433 HTTP://WWW.ALLINAHEALTH.ORG/MERCY-HOSP 385123	X	X	X		X	X	INCLUDING MERCY HOSPITAL - UNITY CAMPUS	A
4	NEW ULM MEDICAL CENTER 1324 FIFTH NORTH STREET NEW ULM,MN56073 HTTP://WWW.ALLINAHEALTH.ORG/NEW-ULM-ME 384708	X	X		X		X		A
5	BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO,MN55313 HTTP://WWW.ALLINAHEALTH.ORG/BUFFALO-HO 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	OWATONNA HOSPITAL 903 S OAK AVE OWATONNA,MN55060 HTTP://WWW.ALLINAHEALTH.ORG/OWATONNA-H 384920	X	X				X		A
8	FARIBAULT MEDICAL CENTER 200 STATE AVENUE FARIBAULT,MN54022 HTTP://WWW.ALLINAHEALTH.ORG/DISTRICT-O 384658	X	X				X		A
9	RIVER FALLS AREA HOSPITAL 1629 EAST DIVISION STREET RIVER FALLS,WI55404 HTTP://WWW.ALLINAHEALTH.ORG/RIVER-FALL 1054	X	X		X		X		A

Schedule H (Form 990) 2023

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 22

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-ASSESSMENT

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 22

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) 2023

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) 2023

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) 2023

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) 2023

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: UNITED HOSPITAL, - FACILITY 3: MERCY HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: OWATONNA HOSPITAL, - FACILITY 8: FARIBAULT MEDICAL CENTER, - FACILITY 9: RIVER FALLS AREA HOSPITAL
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): TO COMPLETE ITS CHNA, ABBOTT NORTHWESTERN HOSPITAL ESTABLISHED A CORE PLANNING TEAM WITH REPRESENTATIVES FROM THE HOSPITAL'S LEADERSHIP TEAM, COMMUNITY ENGAGEMENT, AND HEALTH EQUITY STAFF. THIS TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, LOCAL PUBLIC HEALTH SURVEY DATA, THE MINNESOTA STUDENT SURVEY, AND VITAL STATISTICS, AMONG OTHERS. ADDITIONALLY, TO ENSURE ALIGNMENT WITH LOCAL PUBLIC HEALTH, THE TEAM REVIEWED INITIAL FINDINGS FROM THE MINNEAPOLIS HEALTH DEPARTMENT'S 2020 COMMUNITY HEALTH ASSESSMENT. BASED ON THIS REVIEW, THE PLANNING TEAM IDENTIFIED 18 TOPICS TO CONSIDER FOR PRIORITIZATION. NEXT, THE TEAM SURVEYED ALLINA HEALTH LEADERS FROM PRIMARY CARE, PHARMACY, EMERGENCY MEDICAL SERVICES, HOSPITAL OPERATIONS, MENTAL HEALTH AND ADDICTION. RESPONDENTS CHOSE THE TOP FIVE ISSUES FACING HENNEPIN COUNTY. THEY THEN RANKED BROAD HEALTH CATEGORIES BASED ON THE SIZE AND SERIOUSNESS OF THE PROBLEM, EFFECTIVENESS AND FEASIBILITY OF INTERVENTIONS AND OPPORTUNITY FOR IMPROVING HEALTH EQUITY. TO FURTHER REFINE ITS PRIORITIES, ABBOTT NORTHWESTERN STAFF CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH NONPROFIT, FAITH AND BUSINESS LEADERS IN SOUTH MINNEAPOLIS AND CONTRACTED WITH COMMUNITY PARTNERS TO HOST FOUR FOCUS GROUPS WITH COMMUNITY MEMBERS FROM SPECIFIC CULTURAL COMMUNITIES. HOSPITAL STAFF ALSO FACILITATED ONE FOCUS GROUP WITH SOUTH MINNEAPOLIS MENTAL HEALTH PROFESSIONALS. DIVERSITY OF EXPERIENCE WAS SOUGHT WITH A PARTICULAR FOCUS ON THE EXPERIENCES OF PEOPLE WHO IDENTIFY AS BLACK OR AFRICAN AMERICAN, HISPANIC/LATINE, INDIGENOUS AND/OR SOMALI.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES WHILE INCREASING RESILIENCE AND HEALTHY COPING.IN 2023, ABBOTT NORTHWESTERN HOSPITAL (ANW) CONTINUED TO BUILD AND EXPAND PARTNERSHIPS WITH KEY COMMUNITY PARTNERS TO PROVIDE CULTURALLY APPROPRIATE AND RESPECTFUL OPPORTUNITIES FOR LOCAL BLACK, AFRICAN-AMERICAN AND SOMALI COMMUNITIES TO ACCESS MENTAL HEALTH AND RESILIENCE FOCUSED SERVICES IN THEIR COMMUNITIES. PARTNERSHIPS WITH ORGANIZATIONS SUCH AS THE H.O.P.E. PROJECT, THE TWIN CITIES RECOVERY PROJECT AND THE CULTURAL WELLNESS CENTER HELPED TO REDUCE STIGMA AND IMPROVE ACCESS TO NEEDED SUPPORT IN THESE COMMUNITIES.LEADERSHIP AT ANW ALSO CONTINUES TO BE HEAVILY INVOLVED IN COUNTY-WIDE ACTIVITIES RELATED TO MENTAL HEALTH AND WELLNESS. ANW'S COMMUNITY ENGAGEMENT LEAD CURRENTLY CO-CHAIRS THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP (CHIP), WHICH IS WORKING ACROSS MINNESOTA'S LARGEST COUNTY TO ADDRESS COMMUNITY MENTAL WELLBEING AND HOUSING CHALLENGES.GOAL 2: DECREASE OVERALL SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE ALSO DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.ANW CONTINUES TO SUPPORT HENNEPIN COUNTY SCHOOLS VIA THE CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP. FOR THE 2023-2024 SCHOOL YEAR, ANW PROVIDED FUNDING AND SUPPORT TO ORONO HIGH SCHOOL, ST. LOUIS PARK HIGH SCHOOL, AND HOPKINS HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 3,921 STUDENTS. THE NEW CHANGE TO CHILL FOR INDIGENOUS YOUTH-CONTENT WAS CREATED BY NATIVE AMERICAN TEENAGERS WHO LIVE NEAR ANW. ABBOTT NORTHWESTERN ALSO SUPPORTED THE FUNDRAISERS OF NEARBY NON-PROFITS SUCH AS THE TWIN CITIES RECOVERY PROJECT THAT FOCUS ON REDUCING SUBSTANCE MISUSE, AS WELL AS POTENTIAL HARM AND DEATH OF MEMBERS OF THIS COMMUNITY.GOAL 3: IMPROVE ACCESS TO COMMUNITY RESOURCES AND IMPROVE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS.AS PART OF ALLINA HEALTH, ANW JOINED THE HEALTHCARE ANCHOR NETWORK IN 2023. THE INTENT OF THIS COALITION IS TO BUILD OUT THE ANCHOR INSTITUTION STRATEGY OF ANW AND ALLINA HEALTH, WHICH FOCUSES ON BUILDING COMMUNITY-BASED INFRASTRUCTURE TO ADDRESS SYSTEMIC INEQUITIES AND CREATE MORE INCLUSIVE, SUSTAINABLE LOCAL ECONOMIES. ANW'S CURRENT FOCUS IS ON ACCESS TO AFFORDABLE HOUSING, AS WELL AS BUILDING OUR DIVERSE SUPPLIER POOL TO GENERATE LONG-TERM, SUSTAINED PROGRESS. IN 2023, ALLINA HEALTH/ANW INVESTED $9M IN AFFORDABLE HOUSING, COMMUNITY DEVELOPMENT FUNDS AND OTHER ENTREPRENEUR START-UP SUPPORT. ANW ALSO CREATED THE COMMUNITY WORKFORCE PROGRAM AS PART OF THE CONSTRUCTION EFFORTS HAPPENING ON THE MAIN CAMPUS. THE COMMUNITY WORKFORCE PROGRAM WILL ULTIMATELY TEACH AROUND 60 COMMUNITY RESIDENTS BASIC CONSTRUCTION SKILLS AND INTRODUCE THEM TO NUMEROUS SUBCONTRACTORS WHO COULD BECOME FUTURE EMPLOYERS ONCE THE ANW PROJECT IS COMPLETE.GOAL 4: INCREASE ACCESS TO CARE, SERVICES AND PROGRAMS THAT ARE CULTURALLY SPECIFIC, HONORING AND APPROPRIATE.IN 2023, ANW CONTRACTED WITH A LOCAL NATIVE AMERICAN ARCHITECT TO GUIDE THE PROCESS OF DESIGNING PARTS OF ANW'S NEW CRITICAL CARE AND SURGICAL CENTER TO ENSURE THAT THE SPACE WILL FEEL WELCOMING AND REFLECTIVE OF OUR NATIVE AMERICAN PATIENTS, VISITORS AND STAFF. ANW ALSO PROVIDED CHARITABLE CONTRIBUTIONS TO COMMUNITY-BASED ORGANIZATIONS THAT ENCOURAGED AND PROVIDED ACCESS TO MENTAL HEALTH CARE AND SERVICES WITHIN THE BLACK/AFRICAN-AMERICAN COMMUNITY, WITH A FOCUS ON REACHING BLACK MEN OF ALL AGES.GOAL 5: INCREASE ACCESS TO PREVENTATIVE HEALTH EDUCATION IN COMMUNITIES FACING THE GREATEST HEALTH DISPARITIES.ANW CONTINUES TO SUPPORT THE WORK OF THE BACKYARD COMMUNITY HEALTH HUB WHICH WORKS TO PROVIDE REGULAR OPPORTUNITIES FOR ONGOING HEALTH EDUCATION AND RESOURCES. IN 2023, THE BACKYARD COMMUNITY HEALTH HUB TAUGHT FITNESS CLASSES, BOTH IN-PERSON AND ONLINE, PROVIDED COOKING AND NUTRITION SEMINARS AND OFFERED MONTHLY HEALTH EDUCATION OPPORTUNITIES AT VARIOUS LOCATIONS WITHIN THE COMMUNITY TO ENCOURAGE ROUTINE CANCER SCREENINGS, VACCINATIONS AND REFERRALS TO SPECIALTY CARE FOR FOLLOW-UP APPOINTMENTS AND CARE.
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 -- UNITED HOSPITAL PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: IN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS.UNITED HOSPITAL DEVELOPED ITS CHNA WITH SUPPORT FROM THE CENTER FOR COMMUNITY HEALTH, WHICH INCLUDES ORGANIZATIONS REPRESENTING LOCAL PUBLIC HEALTH, OTHER HEALTH CARE SYSTEMS AND PAYERS. IN PARTICULAR, UNITED HOSPITAL, HEALTHPARTNERS AND MHEALTH FAIRVIEW COLLABORATED ON A COMMUNITY DIALOGUE THAT INCLUDED PARISH NURSES AND OTHER FAITH-BASED HEALTH SERVICE PROVIDERS AND COMMUNITY HEALTH WORKERS IN THE EAST METRO. UNITED HOSPITAL ALSO PARTICIPATED IN OR ANALYZED SEVERAL OTHER ORGANIZATIONS' DATA AND INFORMATION COLLECTED DURING COMMUNITY ENGAGEMENT SESSIONS AND PARTICIPATED IN THE ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH 2023-2026 STRATEGIC PLANNING PROCESS. AFTER REVIEWING THE ABOVE DATA SOURCES, UNITED HOSPITAL STAFF MET WITH REPRESENTATIVES FROM RAMSEY COUNTY, DAKOTA COUNTY AND WASHINGTON COUNTY LOCAL PUBLIC HEALTH TO REVIEW AND DISCUSS SELECT ALLINA HEALTH PATIENT DATA AND LOCAL PUBLIC HEALTH DATA. THE HOSPITAL'S 2023-2025 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED'S STAFF ATTENDED ADDITIONAL COMMUNITY DIALOGUES FACILITATED BY OTHER ORGANIZATIONS AND PARTICIPATED IN REGULAR COMMUNITY MEETINGS IN WHICH COMMUNITY STAKEHOLDERS DISCUSSED LOCAL MENTAL HEALTH SERVICES, FOOD INSECURITY, AND SOCIAL DETERMINANTS OF HEALTH. UNITED STAFF ALSO CONDUCTED 16 KEY INFORMANT INTERVIEWS WITH COMMUNITY-BASED SERVICE PROVIDERS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. IN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS.UNITED HOSPITAL: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES WHILE INCREASING RESILIENCE AND HEALTHY COPING.IN 2023, UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. IN RAMSEY COUNTY, UNITED PROVIDED FUNDING AND SUPPORT TO FOREST LAKE MIDDLE SCHOOL, COMO PARK SENIOR HIGH SCHOOL, AND JOHNSON HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 3,075 STUDENTS. IN THE HASTINGS COMMUNITY, THE HOSPITAL PROVIDED FUNDING TO HASTINGS ALTERNATIVE CENTER AND HASTINGS MIDDLE SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 1,243 STUDENTS. IN TOTAL, THESE EFFORTS REACHED MORE THAN 4,300 STUDENTS.ADDITIONALLY, HOSPITAL STAFF SERVED AS A MEMBER OF THE WASHINGTON COUNTY MENTAL HEALTH COMMITTEE, DAKOTA COUNTY MENTAL HEALTH ACTION TEAM, AND THE EAST METRO PROVIDE CONNECT - ALL AIMED AT INCREASING ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES. GOAL 2: DECREASE SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.IN 2023, UNITED HOSPITAL MENTAL HEALTH PROVIDERS CONTINUED TO ATTEND, SUPPORT AND ACTIVELY PROMOTE THE EAST METRO MENTAL HEALTH PROVIDERS CONNECT MONTHLY MEETING. LEADERSHIP FROM UNITED HOSPITAL AS WELL AS ALLINA HEALTH CONTINUE TO PARTICIPATE IN THE EAST METRO MENTAL HEALTH ROUNDTABLE, A COLLABORATIVE THAT BRINGS TOGETHER COMMITTED MENTAL HEALTH CARE PARTNERS AND LOCAL GOVERNMENT AND ELECTED OFFICIALS TO ADDRESS CHALLENGES AND OPPORTUNITIES THAT ARE BEING FELT BY ALL WHO INTERACT WITH THOSE EXPERIENCING MENTAL HEALTH CRISIS IN THE EAST METRO.IN ADDITION, AS A PARTNER OF THE RAMSEY COUNTY OPIOID RESPONSE TASK FORCE, UNITED HOSPITAL STAFF ATTENDED TASK FORCE PLANNING MEETINGS, PROMOTED COUNTY-WIDE NARCAN TRAININGS AND HAVE SUPPORTED THE PROMOTION OF OPIOID RESPONSE COMMUNITY RESPONSE GRANTS ACROSS THE COUNTY.AS A MEMBER OF THE "ONE PILL CAN KILL" PLANNING COMMITTEE, UNITED HOSPITAL-HASTINGS REGINA CAMPUS STAFF SUPPORTED NUMEROUS EVENTS AIMED AT DECREASING OPIOID DEATHS INCLUDING PROMOTING ONE PILL CAN KILL EVENTS AND STAFFING RESOURCE TABLES. ADDITIONALLY, THIS GROUP BEGAN PLANNING DISCUSSIONS FOR A PEER SUPPORT PROGRAM AT THE CAMPUS. THIS PLANNING WILL CONTINUE IN 2024. GOAL 3: IMPROVE ACCESS TO COMMUNITY RESOURCES WHILE IMPROVING THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS.BUILDING OFF WORK THAT STARTED IN 2022, UNITED HOSPITAL CONTINUED TO ACTIVELY PARTICIPATE IN COLLABORATIONS FOCUSED ON BUILDING SOCIAL CONNECTIONS, AS WELL AS IMPROVING MENTAL WELL-BEING AND RESILIENCE INITIATIVES WITH VARIOUS COMMUNITY PARTNERS. COMMUNITY PARTNERS INCLUDE THE AGE-FRIENDLY RAMSEY COUNTY INITIATIVE, UNITED WAY HASTINGS, ST CROIX VALLEY RECREATION CENTER, VALLEY FRIENDSHIP CLUB AND COMMUNITY THREAD. UNITED HOSPITAL ALSO MAINTAINS AN ACTIVE RELATIONSHIP WITH THE RAMSEY COUNTY FOOD SECURITY COMMUNITY ADVISORY GROUP AS WE WORK COLLABORATIVELY TO ADDRESS FOOD INSECURITY ACROSS THE ENTIRE COUNTY, WITH A FOCUS ON BUILDING THE FOOD SAFETY NET SYSTEM IN THE NEIGHBORHOODS EXPERIENCING THE HIGHEST RATES OF FOOD INSECURITY, EXPANDING OPPORTUNITIES FOR URBAN AGRICULTURE AND CREATING NEW FOOD WASTE REDUCTION PARTNERSHIPS.UNITED HOSPITAL ALSO REMAINS COMMITTED TO SUPPORTING INITIATIVES THAT ADDRESS GAPS IN TRANSPORTATION SERVICES FOR UNDERSERVED POPULATIONS IN THE EAST METRO. THIS COMMITMENT INCLUDES PROVIDING FINANCIAL ASSISTANCE TO COMMUNITY-BASED TRANSPORTATION PROJECTS SUCH AS THE DARTS COMMUNITY CIRCULATOR BUSES AND PILOT TRANSPORTATION PROJECTS THAT ARE DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING SOCIAL OPPORTUNITIES AND HEALTH-CARE SERVICES. UNITED HOSPITAL'S PATIENTS CONTINUE TO IDENTIFY TRANSPORTATION ACCESS AS A SIGNIFICANT HEALTH-RELATED SOCIAL NEED IN OUR ROUTINE SCREENING PROGRAM OF ALL PATIENTS AS PART OF THEIR HOSPITAL VISIT, SO INVESTMENTS OF FINANCIAL AND POLICY SUPPORT FOR PROGRAMS SUCH AS THE WASHINGTON COUNTY TRANSPORTATION CONSORTIUM, NEWTRAX TRANSPORTATION ADVISORY BOARD AND OTHER TRANSPORTATION-RELATED COLLABORATIVES REMAIN A FOCUS FOR UNITED HOSPITAL AND ITS PARENT ORGANIZATION, ALLINA HEALTH.GOAL 4: INCREASE ACCESS TO CARE, SERVICES AND PROGRAMS THAT ARE CULTURALLY SPECIFIC, HONORING AND APPROPRIATE.LAST YEAR, UNITED HOSPITAL SUPPORTED SEVERAL KEY COMMUNITY PARTNERS FOCUSED ON INCREASING ACCESS TO CULTURALLY APPROPRIATE AND RESPECTFUL CARE. ONE SUCH PARTNER WAS THE AMHERST WILDER FOUNDATION, WHICH UNITED HOSPITAL SUPPORTED WITH A CHARITABLE CONTRIBUTION FOR THEIR CENTER FOR SOCIAL HEALING CENTER, WHICH IS DESIGNED TO PROVIDE EMOTIONAL SUPPORT AND OPPORTUNITIES FOR CONNECTION FOR IMMIGRANTS AND REFUGEES. ANOTHER PARTNER WAS THE JEWISH FAMILY SERVICES OF ST. PAUL WHO RECEIVED A DONATION TO IMPROVE ACCESS TO HEALTHCARE AND MENTAL WELLBEING.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- UNITED HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 3J:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICES TO ENGAGE MORE THAN 50 COMMUNITY STAKEHOLDERS IN A COMMITTEE THAT COMPLETED ITS CHNA. COMMITTEE MEMBERS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND INCLUDED REPRESENTATIVES FROM HEALTH PLANS, HEALTHCARE SYSTEMS, LOCAL NON-PROFITS, THE LOCAL FAITH COMMUNITY, LOCAL GOVERNMENT, MENTAL HEALTH PROVIDERS, PUBLIC HEALTH AND COMMUNITY RESIDENTS FROM A VARIETY OF CULTURAL TRADITIONS. THE COMMITTEE REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA; THE MINNESOTA STUDENT SURVEY; ANOKA COUNTY ADULT HEALTH SURVEY; AND ANOKA COUNTY VIOLENCE PREVENTION COMMUNITY SURVEY AND MINNESOTA HOUSING PARTNERSHIP, AMONG OTHERS. ADDITIONALLY, MERCY HOSPITAL AND ANOKA COUNTY CONTRACTED WITH WILDER RESEARCH TO COLLECT FEEDBACK FROM THE COMMITTEE VIA A SURVEY AND FOCUS GROUPS.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 5:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER, AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MERCY HOSPITAL: GOAL 1: IMPROVE ACCESS TO COMMUNITY RESOURCES WHILE IMPROVING THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS IN THE COMMUNITY. INCLUDING INCREASING ACCESS TO HEALTHY FOODS AND INCREASING UNDERSTANDING OF CHRONIC DISEASE PREVENTION AND ACCESS TO PROGRAMS THAT ARE CULTURALLY SPECIFIC, HONORING AND APPROPRIATE.AS THE CONVENER OF THE NORTHWEST METRO COMMUNITY HEALTH ADVISORY BOARD, MERCY HOSPITAL MAINTAINS STRONG PARTNERSHIPS WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS AND COLLECTIVELY, THESE PARTNERS WORK TO ADDRESS CHRONIC DISEASES AND RESOURCE ACCESS ISSUES IN COMMUNITY AND OVERSEE THE IMPLEMENTATION OF MERCY HOSPITAL'S CHNA PLAN. IN ADDITION, THE ANOKA COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE WORKS TO PROMOTE HEALTHY HABITS TO IMPROVE LONG-TERM HEALTH OUTCOMES AT THE COUNTY LEVEL.IN 2023, CHARITABLE CONTRIBUTIONS WERE PROVIDED TO ORGANIZATIONS SUCH AS STEPPING STONE EMERGENCY HOUSING, MASSIE'S MOBILE MISSION AND MOM'S HAVEN OF HOPE TO ENSURE THAT RESIDENTS AND FAMILIES EXPERIENCING HOMELESSNESS IN ANOKA COUNTY HAD ACCESS TO RESOURCES AND SUPPORT THEY NEEDED.IN 2023, MERCY HOSPITAL SUPPORTED PARTNERSHIPS WITH ANOKA TECHNICAL COLLEGE AND ANOKA RAMSEY COMMUNITY COLLEGE TO PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES THAT SERVE STUDENTS LIVING IN THE NORTHWEST METRO. IN A NEW PARTNERSHIP PROGRAM THIS YEAR, MERCY HOSPITAL PAID FOR ANOKA TECHNICAL COLLEGE MEDICAL ASSISTANT STUDENT TRAINING WITH THE OPPORTUNITY AND EXPECTATION THAT ONCE STUDENTS GRADUATE FROM THE EDUCATION PROGRAM, THEY WILL BEGIN A JOB AT MERCY HOSPITAL. THESE PAID TRAINING PROGRAMS ARE PROVIDING EDUCATION AND LIVING-WAGE CAREER OPPORTUNITIES. MERCY HOSPITAL ALSO CONTINUES TO ENCOURAGE SOCIAL CONNECTIVITY WITHIN THE COMMUNITY BY PROVIDING GRANTS TO ORGANIZATIONS SUCH AS THE ANOKA-HENNEPIN EDUCATIONAL FOUNDATION AND THE YMCA OF THE NORTH TO PROVIDE PROGRAMMING AND OPPORTUNITIES FOR INCREASED SOCIAL CONNECTIONS.MERCY HOSPITAL HAS SUSTAINED ITS LONG-TERM COMMITMENT TO HEALTHY FOOD ACCESS FOR ALL COMMUNITY MEMBERS BY SUPPORTING AND COLLABORATING WITH THE MANY FOOD SHELVES AND EMERGENCY FOOD OFFERINGS IN THE NORTHWEST METRO. ORGANIZATIONS SUCH AS THE SOUTHERN ANOKA COUNTY ASSISTANCE (SACA), COMMUNITY EMERGENCY ASSISTANCE PROGRAM (CEAP), NORTH ANOKA EMERGENCY FOOD SHELF, HOPE FOR THE COMMUNITY, ACBC FOOD SHELF, IMPACT SERVICES, CAER FOOD SHELF AND THE ORGANIZATION OF LIBERIANS OF MINNESOTA ALL RECEIVED CHARITABLE CONTRIBUTIONS TO INCREASE ACCESS TO HEALTHY FOODS IN 2023.IN 2023, MERCY HOSPITAL CONTINUED TO CO-CREATE AND IMPLEMENT PROGRAMMING AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS NEIGHBORHOOD HEALTH SOURCE, THAT PROVIDE CULTURALLY RESPONSIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND RESOURCES. THROUGH A GRANT TO NEIGHBORHOOD HEALTH SOURCE, MERCY HOSPITAL CONTINUED TO SUPPORT THE ONGOING WORK SUPPORTING THE HEALTH NEEDS OF THE COMMUNITY SEEKING CARE AT THIS FEDERALLY QUALIFIED HEALTH CARE CENTER IN COON RAPIDS. MERCY HOSPITAL ALSO DEPLOYED NEW CHANGE TO CHILL CULTURALLY RESPONSIVE CONTENT FOCUSED ON IDENTITY AND STRESS, AS WELL AS NEW CHANGE TO CHILL CONTENT IN SPANISH. CONTENT FOR BOTH OF THESE NEW MODULES WAS DEVELOPED IN PARTNERSHIP WITH LOCAL YOUTH AND TEENS WHO PROVIDED FEEDBACK, GUIDANCE AND EVALUATION OF THE MESSAGING, VISUALS AND OVERALL CONTENT MAKE-UP PRIOR TO DEPLOYMENT TO THE BROADER COMMUNITY. GOAL 2: INCREASE ACCESS TO MENTAL HEALTH SERVICES WHILE REDUCING STIGMA AROUND MENTAL HEALTH AND INCREASE RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES. MERCY HOSPITAL CONTINUES TO PARTNER WITH THE NORTHWEST METRO ALLIANCE TO COLLECTIVELY CREATE A VISION AND STRATEGIC DIRECTION FOR A COLLABORATIVE THAT WORKS TO IMPROVE ACCESS TO EFFECTIVE COMMUNITY SUPPORT SERVICES. IN 2023, MERCY HOSPITAL STAFF CONTINUED TO WORK ON MENTAL HEALTH STIGMA REDUCTION, INCLUDING CHAIRING NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORK GROUP WORKING. IN ADDITION, THE HOSPITAL COLLABORATED WITH MENTAL WELLNESS CAMPAIGN FOR ANOKA COUNTY, ANOKA COUNTY LIBRARY SYSTEM, AND STATE HEALTH INSURANCE PROGRAM (SHIP) STAFF TO PROMOTE "MAKE IT OK" (MIO) AND STIGMA REDUCTION. STAFF AND MENTAL HEALTH LEADERSHIP ALSO CONTINUED TO PARTICIPATE AS A MEMBER AND FINANCIAL SUPPORTER OF THE NORTH WEST MENTAL HEALTH ROUNDTABLE. THIS INITIATIVE CONTINUES TO DETERMINE WAYS TO COORDINATE SERVICES BETWEEN LOCAL COMMUNITY MENTAL HEALTH PROVIDERS, HEALTHCARE INSTITUTION PARTNERS, LOCAL LAW ENFORCEMENT AGENCIES, AS WELL AS COUNTY AND CITY RESOURCES.IN 2023, MERCY HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. IN THE 2023-2024 SCHOOL YEAR, MERCY PROVIDED FUNDING AND SUPPORT TO HIGHVIEW MIDDLE SCHOOL, COMPASS PROGRAMS, ST. FRANCIS HIGH SCHOOL, BLAINE HIGH SCHOOL, AND COON RAPIDS HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 7,155 STUDENTS.GOAL 3: DECREASE SUBSTANCE MISUSE AND HARM AND DEATHS RELATED TO SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS.AS PART OF OUR PARTICIPATION WITH THE NORTHWEST METRO ALLIANCE, MERCY HOSPITAL CONTINUES TO WORK WITH COLLEAGUES FROM HEALTH PARTNERS AND THE RIVERWAY PAIN CLINIC TO ADDRESS OPIOID USE AND MISUSE. RIVERWAY PAIN CLINIC'S UNIQUE APPROACH TO LONG-TERM, CHRONIC PAIN MANAGEMENT HAS SHOWN SOME REMARKABLE DECREASES IN THE NEED FOR OPIOIDS.GOAL 4: DECREASE THE NUMBER OF PEOPLE EXPERIENCING RELATIONSHIP VIOLENCE IN ANOKA COUNTY. AS A MEMBER OF THE ANOKA COUNTY VIOLENCE ROUNDTABLE, MERCY HOSPITAL CONTINUES TO PARTICIPATE IN STEERING AND LEADERSHIP COMMITTEE MEETINGS, AND STAFF REMAIN ACTIVE IN THE COUNTY-WIDE ELDER ABUSE COMMITTEE. MERCY HOSPITAL HAS ALSO CONTINUED TO SPONSOR AND SUPPORT IN ALEXANDRA HOUSE, A RELATIONSHIP AND SEXUAL VIOLENCE SERVICE PROVIDER IN ANOKA COUNTY THAT SERVES MEN, WOMEN, CHILDREN AND FAMILIES.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- MERCY HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH AND THE COMMUNITY GROUP HEART OF NEW ULM (HONU) TO ENGAGE MORE THAN 60 COMMUNITY MEMBERS, REPRESENTING MORE THAN 35 ORGANIZATIONS, TO COMPLETE ITS CHNA. PARTICIPANTS INCLUDED RESIDENTS AND REPRESENTATIVES FROM LOCAL SCHOOLS, GOVERNMENT, LAW ENFORCEMENT, SOCIAL SERVICE AGENCIES, PROFESSIONAL GROUPS AND BUSINESS OWNERS. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2023-2025 PRIORITIES BASED ON THIS REVIEW. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, STAFF FROM NUMC DEVELOPED A CONVERSATION IN A BOX GUIDE USED BY HONU LEADERSHIP AND NUMC STAFF TO FACILITATE COMMUNITY CONVERSATIONS WITH APPROXIMATELY 100 INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. NEW ULM MEDICAL CENTER:GOAL 1: INCREASE ACCESS TO HEALTHY FOODS AND OPPORTUNITIES FOR PHYSICAL ACTIVITY.AS A MEMBER OF HEART OF NEW ULM (HONU), ALLINA HEALTH STAFF SUPPORTED NUMEROUS INITIATIVES IN THE COMMUNITY. THE TEAM HOSTED THREE QUARTERLY WORKSITE WELLNESS NETWORKING AND TRAINING EVENTS FOR 65 ATTENDEES. WORKSHOP TOPICS INCLUDED CULTURALLY RESPONSIVE AND RESPONSIBLE: LEADING WITH CULTURAL AGILITY; VISION HEALTH; ERGONOMICS AND PROMOTING AN ACTIVE WORKDAY; AND SUSTAINABLE SELF-CARE HABITS FOR DAILY LIVING: HOW TO ALLEVIATE STRESS AND ANXIETY THROUGH NUTRITION, MOVEMENT AND GROUNDING RITUALS. ALSO IN 2023, THE TEAM SPONSORED THE ANNUAL POKER WALK IN JUNE IN PARTNERSHIP WITH THE CHAMBER AND AMERIPRISE FINANCIAL TO PROMOTE PHYSICAL WELLNESS. THE WALK HAD 30 PARTICIPATING BUSINESSES THAT ATTRACTED APPROXIMATELY 150 WALKERS THROUGHOUT THE FIVE-WEEK EVENT. ADDITIONALLY, 200 COMMUNITY MEMBERS PARTICIPATED IN THE HOLIDAY TRIMMINGS PROGRAM TO HELP PEOPLE IMPROVE THEIR WELL-BEING DURING THE BUSY HOLIDAY SEASON.FOLLOWING YEARS OF HONU COLLABORATION WITH MINNESOTA DEPARTMENT OF TRANSPORTATION (MNDOT), IN THE SPRING OF 2023, NEW ULM'S NEW ACTIVE TRANSPORTATION PLAN WAS FINALIZED WITH CONSULTING ASSISTANCE FROM MNDOT'S ACTIVE TRANSPORTATION PROGRAM. MORE THAN 100 COMMUNITY MEMBERS PROVIDED INPUT VIA A SURVEY. ADDITIONALLY, TO ENCOURAGE WALKING OR BICYCLING TO SCHOOL, THE SAFE ROUTES TO SCHOOL (SRTS) TEAM CONDUCTED TWO WALK AND ROLL TO SCHOOL DAYS, WITH 84 STUDENTS PARTICIPATING IN MAY AND 125 IN OCTOBER FROM FOUR DIFFERENT SCHOOLS, ALONG WITH NUMEROUS ADULT VOLUNTEERS. IN OCTOBER, THE SRTS TEAM PARTNERED WITH BIKEMN TO OFFER A BIKE MAINTENANCE CLASS FOR HIGH SCHOOL STUDENTS AND ADULTS.FINALLY, IN SUPPORT OF HEALTHY EATING, IN FALL 2023 THE TEAM LAUNCHED HEALTHY EATS NEW ULM TO ENCOURAGE EVERYONE IN THE COMMUNITY TO VISIT SOME LOCAL RESTAURANTS AND TRY SOME GREAT-TASTING, HEALTHIER DISHES. ADDITIONALLY, POWER OF PRODUCE DAYS WERE HELD IN NEW ULM, SPRINGFIELD AND TWO SENIOR CITIZEN COMMUNITIES. IN TOTAL, APPROXIMATELY 240 RESIDENTS WERE REACHED THROUGH THESE EFFORTS. GOAL 2: REDUCE BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES WHILE INCREASING RESILIENCE AND HEALTHY COPING SKILLS.NEW ULM MEDICAL CENTER STAFF CO-LEAD THE BROWN COUNTY MENTAL HEALTH AND WELLNESS ACTION TEAM, WHICH IS AIMED AT IMPROVING MENTAL WELLNESS IN THE AREA, INCLUDING SOCIAL CONNECTIONS, SOCIAL COHESION AND A SENSE OF BELONGING. ADDITIONALLY, NEW ULM MEDICAL CENTER CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH THE CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. FOR THE 2023-2024 SCHOOL YEAR, NEW ULM PROVIDED FUNDING AND SUPPORT TO NEW ULM HIGH SCHOOL TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 706 STUDENTS. ADDITIONALLY, STAFF PARTNERED WITH THE FARM-CITY HUB CLUB TO OFFER A FREE QUESTION, PERSUADE, REFER (QPR) TRAINING TO ATTENDEES AT THE FARM SHOW IN MARCH TO HELP PEOPLE LEARN HOW TO RECOGNIZE THE WARNING SIGNS OF A SUICIDE CRISIS AND SAFELY INTERVENE. THROUGHOUT THE YEAR, THE TEAM PARTNERED WITH A LOCAL SCHOOL, CHURCH AND NONPROFITS TO OFFER FOUR TRAININGS ON UNDERSTANDING ADVERSE CHILDHOOD EXPERIENCES TO 84 COMMUNITY MEMBERS AND CONTINUES TO OFFER TRAININGS AS REQUESTED. GOAL 3: DECREASE SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS, IN THE BROWN COUNTY AREA WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.NEW ULM MEDICAL CENTER CO-LEADS THE BROWN COUNTY CHEMICAL HEALTH ACTION TEAM. THIS TEAM WAS ONE OF FOURTEEN TEAMS NATIONWIDE TO BE A PART OF THE INTERAGENCY COORDINATING COMMITTEE ON THE PREVENTION OF UNDERAGE DRINKING (ICCPUD) ALCOHOL POLICY ACADEMY TO ASSIST IN PLANNING FOR A SOCIAL HOST ORDINANCE. ADDITIONALLY, HOSPITAL STAFF PROMOTED TAKE IT TO THE BOX LOCATIONS ACROSS THE COUNTRY TO PROVIDE AND PROMOTE EDUCATION, OUTREACH AND RESOURCES FOR PROPER DISPOSAL OF PRESCRIPTION DRUGS.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2021 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY. TO INCORPORATE ADDITIONAL COMMUNITY FEEDBACK, WCCHC CONDUCTED A CONVERSATION WITH MORE THAN 20 COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES FROM HEALTHCARE, SOCIAL SERVICES, GOVERNMENT, LOCAL SCHOOLS, AND COMMUNITY RESIDENTS. PARTICIPANTS REVIEWED DATA ON SPECIFIC TOPICS AND PRIORITY AREAS AND DISCUSSED POTENTIAL PRIORITY HEALTH ISSUE STRATEGIES IN SMALL GROUPS. IN ADDITION, WCCHC ALSO FACILITATED FOCUS GROUPS WITH PEOPLE LIVING WITH DISABILITIES AND THEIR CAREGIVERS. FURTHER FEEDBACK ON THE EXPERIENCES OF PEOPLE LIVING AT OR BELOW THE POVERTY LEVEL IN WRIGHT COUNTY WAS PROVIDED BY WCCHC MEMBER WRIGHT COUNTY COMMUNITY ACTION.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. BUFFALO HOSPITAL: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES IN WRIGHT COUNTY AND INCREASE RESILIENCE AND HEALTHY COPING SKILLS BY PROVIDING EDUCATION ON ACTIVITIES THAT PROTECT MENTAL WELLNESS.THREE SCHOOLS IN BUFFALO HOSPITAL'S SERVICE AREA, MONTICELLO, MAPLE LAKE, AND ROCKFORD, SIGNED UP TO BE A PART OF THE CHANGE TO CHILL SCHOOL PARTNERSHIP PROGRAM FOR 2023-24 SCHOOL YEAR. TOGETHER, THESE EFFORTS REACHED APPROXIMATELY 2,152 STUDENTS. ADDITIONALLY, BUFFALO HOSPITAL STAFF TAUGHT A FOUR-WEEK CHANGE TO CHILL "BRAIN BUNDLE" AS A PILOT TO A CLASS AT BUFFALO HIGH SCHOOL. THE BRAIN BUNDLE INCLUDES EDUCATION AND TOOLS DESIGNED TO INCREASE STUDENT KNOWLEDGE AND SKILLS RELATED TO IMPROVED MENTAL WELLNESS. OTHER CLASSES OFFERED BY HOSPITAL STAFF AIMED AT FOSTERING MENTAL WELLNESS, BELONGING AND SOCIAL COHESION AMONG YOUTH INCLUDED A 12-WEEK MINDFUL MOVEMENT AND MEDITATION CLASS AT A BUFFALO HIGH SCHOOL ALTERNATIVE PHYSICAL EDUCATION CLASS AND TRAINING TO THE BUFFALO HIGH SCHOOL, IN-SERVICES TO PROMOTE AND ADVANCE THE "TIPS FOR TALKING TO TEENS ABOUT STRESS AND MENTAL HEALTH"-RESOURCE FROM CHANGE TO CHILL. TO SUPPORT ADULTS IN THE COMMUNITY, HOSPITAL STAFF PROVIDED LET'S TALK WELLNESS SESSIONS TO THE COMMUNITY, INCLUDING SIX SESSIONS AT HAVENWOOD, A SENIOR HOUSING/ASSISTED LIVING APARTMENT AND ONE 12-WEEK SERIES TO CLIENTS OF FUNCTIONAL INDUSTRIES. FUNCTIONAL INDUSTRIES PROVIDES VOCATIONAL SERVICES AND OTHER SUPPORT TO PEOPLE LIVING WITH DISABILITIES. SESSION TOPICS INCLUDED HEALTHY LIVING, SOCIAL CONNECTION, STRESS MANAGEMENT AND RESILIENCY, AMONG OTHERS. TO PROMOTE OVERALL WELLNESS AS AN ASPECT OF MENTAL WELLBEING, STAFF TAUGHT THRIVING WITH CHRONIC PAIN WORKSHOPS AT THE CROW RIVER SENIOR CENTER.FINALLY, HOSPITAL STAFF PARTICIPATED IN THE WRIGHT COUNTY MENTAL HEALTH COALITION. THIS COALITION IS AIMED AT IMPROVING ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES IN THE COUNTY. IT OFFERED SEVERAL PROGRAMS TO COMMUNITY MEMBERS THROUGHOUT THE YEAR INCLUDING AN "ANGST AND LIKE" VIEWING WITH PANEL DISCUSSION AND SUPPORT TO BUFFALO'S STREET PARTY OF HOPE AND RESILIENCY DAY.TO INCREASE INTERNAL AND EXTERNAL EDUCATIONAL RESOURCES AND ACTIVITIES REGARDING WHEN AND HOW TO ACCESS CONTINUUM OF MENTAL HEALTH SERVICES AND CARE, HOSPITAL STAFF PARTNERED WITH ITS CHNA PARTNERS TO CREATE AND DISTRIBUTE A MENTAL HEALTH AND WELLNESS FLOWCHART DESIGNED TO GUIDE COMMUNITY MEMBERS IN NAVIGATING INTERNAL AND EXTERNAL MENTAL HEALTH RESOURCES, BASED ON THEIR CURRENT NEED.GOAL 2: SUPPORT POLICY CHANGE FOR LOCAL PREVENTION, TREATMENT AND RECOVERY EFFORTS FOR DECREASING SUBSTANCE MISUSE WITH A FOCUS ON OPIOIDS WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.A BUFFALO HOSPITAL PHARMACIST SUPPORTS EFFORTS TO REDUCE ACCESS TO OPIOIDS AS A MEMBER OF THE WRIGHT COUNTY OPIOID TASK FORCE PLANNING COMMITTEE. BUFFALO HOSPITAL STAFF ALSO CONTINUE TO PARTICIPATE AS A MEMBER OF THE MENTORSHIP, EDUCATION AND DRUG AWARENESS COALITION OF WRIGHT COUNTY (MEADA). IN 2023, MEADA PUT TOGETHER A POSITIVE COMMUNITY NORMS POSTER CAMPAIGN INVOLVING MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS TO HELP PREVENT AND DECREASE SUBSTANCE USE. THE GROUP ALSO HOSTED TWO DRUG TAKE BACK EVENTS TO REDUCE ACCESS TO PRESCRIPTION DRUGS. AS PART OF MEADA, WRIGHT COUNTY MENTAL HEALTH COALITION, AND BUFFALO STRONG COALITIONS, STAFF ALSO SUPPORTED SEVERAL COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT MENTAL HEALTH AND SUBSTANCE USE AND ASSOCIATED RESOURCES. FOR EXAMPLE, STAFF HELPED ORGANIZE AND FACILITATE THE BUFFALO STRONG STREET PARTY OF HOPE WHICH CONNECTED MORE THAN 2,000 ATTENDEES WITH HEALTH & WELLNESS RESOURCES AND BUSINESSES. STAFF PROVIDED ALLINA HEALTH COMMUNITY HEALTH IMPROVEMENT RESOURCES TO BUFFALO'S STREET PARTY OF HOPE AND LOCAL SCHOOLS' REDUCTION AND AWARENESS OF VAPING AND E-CIGARETTE USE (RAVE) INITIATIVE. HOSPITAL STAFF ALSO PARTNERED WITH LOCAL CHNA PARTNERS (I.E. WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC)) TO MAKE PROGRESS ON ITS STRATEGY OF HIGHLIGHTING LOCAL SUBSTANCE USE TREATMENT RESOURCES THROUGH COMMUNICATION AND PARTNERING TO CREATE AWARENESS OF SERVICES IN OUR COMMUNITIES. AS A CHNA TEAM, THE GROUP SET A GOAL TO LOOK AT DEVELOPING A WCCHC AWARENESS CAMPAIGN COMMUNICATION DISTRIBUTION LIST AND ARE CONSIDERING A WEBSITE/LANDING PAGE TO SHARE INFORMATION.GOAL 3: IMPROVE ACCESS TO COMMUNITY RESOURCES THAT PROVIDE FOOD, HOUSING, TRANSPORTATION AND LONELINESS/SOCIAL ISOLATION SUPPORT TO ALLINA HEALTH PATIENTS AND COMMUNITIES. THIS WILL IMPROVE THE LONG-TERM SOCIAL, PHYSICAL AND ECONOMIC CONDITIONS IN THE COMMUNITY AND REDUCE THE PRESENCE OF HEALTH-RELATED SOCIAL NEEDS. IN ADDITION TO IMPLEMENTING THE ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS PROGRAM AND EVERY MEAL CARE MEAL PROGRAM (BOTH DESCRIBED ABOVE), BUFFALO HOSPITAL STAFF SOUGHT TO INCREASE KNOWLEDGE ABOUT THE IMPORTANCE OF SOCIAL CONNECTIONS AND THE HELLO4HEALTH PROGRAM VIA PRESENTATIONS ON HELLO4HEALTH AT LOCAL SENIOR CENTERS, COMMUNITY CENTERS, WORKSHOPS AND OTHER COMMUNITY VENUES.GOAL 4: REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED ACTIVE INVOLVEMENT AND PARTICIPATION IN WRIGHT COUNTY DENTAL HEALTH WORKGROUP. THIS GROUP PROMOTED COMMUNICATION REGARDING THE COMMUNITY DENTAL CARE CLINIC, WHICH OPENED A NOT-FOR-PROFIT DENTAL CLINIC IN WRIGHT COUNTY IN THE FALL OF 2022. IN 2023, COMMUNITY DENTAL CARE SHARED THEIR UPDATED SUMMARY OF CARE TO PATIENTS IN AND AROUND WRIGHT COUNTY FOR 2023. DENTAL CLINIC FLYERS WERE SHARED BROADLY, INCLUDING AMONG BUFFALO HOSPITAL PATIENTS AND ALLINA HEALTH PROVIDERS.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER (CMC) COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 35 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. TO SELECT THEIR 2023-2025 PRIORITIES, COMMITTEE MEMBERS REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, EAST CENTRAL REGIONAL SURVEY, AND ISANTI COUNTY SHERIFF'S DATA. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, CMC AND ISANTI COUNTY PUBLIC HEALTH CONDUCTED THREE COMMUNITY DIALOGUES WITH 33 REPRESENTATIVES FROM LOCAL ORGANIZATIONS REPRESENTING THE BROAD INTERESTS INCLUDING SOCIAL SERVICES, FAITH-BASED COMMUNITIES, LOCAL GOVERNMENT, SCHOOLS, LAW ENFORCEMENT, HEALTHCARE AND LOCAL PUBLIC HEALTH.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER (CMC) COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 35 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. TO SELECT THEIR 2023-2025 PRIORITIES, COMMITTEE MEMBERS REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, EAST CENTRAL REGIONAL SURVEY, AND ISANTI COUNTY SHERIFF'S DATA. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, CMC AND ISANTI COUNTY PUBLIC HEALTH CONDUCTED THREE COMMUNITY DIALOGUES WITH 33 REPRESENTATIVES FROM LOCAL ORGANIZATIONS REPRESENTING THE BROAD INTERESTS INCLUDING SOCIAL SERVICES, FAITH-BASED COMMUNITIES, LOCAL GOVERNMENT, SCHOOLS, LAW ENFORCEMENT, HEALTHCARE AND LOCAL PUBLIC HEALTH.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE ACCESS TO MENTAL HEALTH SERVICES ACROSS THE ALLINA HEALTH SERVICE AREA WHILE INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES.IN 2023, CAMBRIDGE MEDICAL CENTER CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH THE CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP PROGRAM. IN THE 2023-2024 SCHOOL YEAR, CAMBRIDGE PROVIDED FUNDING AND SUPPORT TO ISANTI MIDDLE, BRAHAM HIGH, CAMBRIDGE MIDDLE, AND CAMBRIDGE-ISANTI HIGH TO IMPLEMENT CTC PROGRAMMING, REACHING APPROXIMATELY 2,950 STUDENTS.ADDITIONALLY, STAFF HELPED IMPLEMENT SUICIDE PREVENTION AND INTERVENTION TRAINING IN THE COMMUNITY BY FACILITATING PATHWAY TO CARE COHORT MEETINGS WITH COMMUNITY PARTNERS. STAFF ALSO HELD TWO QUESTION PERSUADE REFER (QPR) COMMUNITY TRAININGS AND FOUR MENTAL HEALTH FIRST AID TRAININGS. A TOTAL OF 34 AND 54 PEOPLE ATTENDED, RESPECTIVELY. TO SUPPORT COMMUNITY KNOWLEDGE REGARDING MENTAL HEALTH RESOURCES, STAFF PARTNERED WITH OTHER COMMUNITY ORGANIZATIONS TO CREATE A PATHWAYS TO CARE FLYER FOR MENTAL HEALTH. THIS FLYER INCLUDES INFORMATION ON RESOURCES THAT CAN HELP BASED ON THE LEVEL OF CRISIS A PERSON IS EXPERIENCING. ADDITIONALLY, IN PARTNERSHIP WITH ISANTI COUNTY, AREA SCHOOLS, AND OTHER COMMUNITY ORGANIZATIONS, HOSPITAL STAFF HELD A MENTAL HEALTH SUMMIT FOR THE COMMUNITY TO PROVIDE INFORMATION ABOUT MENTAL WELLBEING AND ASSOCIATED RESOURCES TO COMMUNITY MEMBERS.FINALLY, MEDICAL CENTER STAFF SIT ON NUMEROUS COMMITTEES AND COUNTIES AIMED AT IMPROVING MENTAL HEALTH AND WELLNESS, SUCH AS THE LOCAL MENTAL HEALTH ADVISORY COUNCIL. GOAL 2: INCREASE SOCIAL CONNECTIONS ACROSS ALL AGES AND STAGES OF LIFE.IN 2023, CAMBRIDGE MEDICAL CENTER PROVIDED MONTHLY HEALTH EDUCATION PRESENTATIONS TO OLDER ADULTS AT THE CAMBRIDGE SENIOR ACTIVITY CENTER. THESE SESSIONS PROVIDED AN OPPORTUNITY FOR THESE ADULTS TO CONNECT WITH ONE ANOTHER WHILE LEARNING ABOUT TOPICS RELATED TO HEALTH. EXAMPLES OF TOPICS INCLUDED HEALTHY EATING FOR OLDER ADULTS, FLEXIBILITY AND STRETCHING, AND STRESS MANAGEMENT WHILE CAREGIVING FOR SENIORS. STAFF ALSO PRESENTED ON HEALTHY EATING AND THE IMPORTANCE OF SOCIAL CONNECTIONS TO THE WALKER METHODIST PARKINSON'S SUPPORT GROUP. OTHER WELLNESS SESSIONS PROVIDED TO THE COMMUNITY INCLUDED CONNECT FOR WELLBEING, CREATING KINDNESS AND HELLO4HEALTH, AND FALLS PREVENTION. AT THE SENIOR FAIR, STAFF SHARED HELLO4HEALTH AND VOLUNTEERISM RESOURCES WITH THE APPROXIMATELY 250 SENIORS IN ATTENDANCE.TO EXPLORE OPPORTUNITIES TO INCREASE ACCESS TO EXISTING AND NEW SPACES WHERE PEOPLE CAN BUILD INTERGENERATIONAL CONNECTIONS, STAFF PARTNERED WITH OTHER ORGANIZATIONS TO ESTABLISH A COMMUNITY THAT IS NOW EXPLORING THE POSSIBILITY OF A NEW WELLNESS COMMUNITY CENTER IN CAMBRIDGE. GOAL 3: DECREASE SUBSTANCE MISUSE, WITH A FOCUS ON OPIOIDS, IN THE COMMUNITIES SERVED BY ALLINA HEALTH WHILE DECREASING HARM AND DEATHS RELATED TO SUBSTANCE MISUSE.MEDICAL CENTER STAFF HELD NUMEROUS EDUCATIONAL SESSIONS FOR MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS ON THE DANGERS ASSOCIATED WITH TOBACCO, VAPING AND MARIJUANA USE. IN TOTAL, 350 STUDENTS ATTENDED THESE SESSIONS FROM THE AREAS OF BRAHAM, ISANTI AND CAMBRIDGE.AS PART OF ISANTI COUNTY SUBSTANCE USE AND RECOVER COALITION, HOSPITAL STAFF MET MONTHLY TO DISCUSS AND PLAN EFFORTS AIMED AT IMPROVING ACCESS TO ADDICTION SERVICES AND DECREASING OPIOID DEATHS IN THE COMMUNITY. THE GROUP WORKED ON A ONE PILL CAN KILL EVENT THAT WAS HELD IN EARLY 2024. CAMBRIDGE MEDICAL CENTER STAFF ALSO SIT ON THE NEWLY FORMED ISANTI COUNTY OPIOID COMMITTEE, WHICH HAS SIMILAR GOALS.FINALLY, AS PART OF ALLINA HEALTH'S BROADER PARTNERSHIP WITH STEVE RUMMLER HOPE NETWORK, CAMBRIDGE MEDICAL CENTER PARTNERED WITH THE CAMBRIDGE-ISANTI SCHOOL DISTRICT TO HOST A NALOXONE TRAINING FOR HEALTHCARE STAFF, WHICH 37 PEOPLE ATTENDED.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: REDUCE SUBSTANCE USE AND IMPROVE MENTAL WELLBEING WHILE DECREASING HARM AND DEATHS RELATED TO THE MISUSE OF OPIOIDS.IN 2023, FARIBAULT MEDICAL CENTER (FMC) AND OWATONNA HOPSITAL (OH) CONTINUED TO PROVIDE NARCAN TRAINING AND FREE FENTANYL TEST STRIPS TO COMMUNITY PARTNERS. FMC ALSO DEEPENED ITS RELATIONSHIP WITH THE RICE COUNTY MOBILE OPIOID SUPPORT TEAM (MOST) BY PROVIDING SPACE INSIDE THE FMC EMERGENCY DEPARTMENT FOR LONG-TIME PARTNER, HEALTH FINDERS COLLABORATIVE. FMC AND OH ALSO DEEPENED THEIR RELATIONSHIP WITH HEALTH FINDERS THIS YEAR BY HOLDING ALLINA HEALTH MENTAL HEALTH CLINIC TIME INSIDE THE HEALTHFINDERS OFFICE TWICE A WEEK TO PROVIDE BETTER ACCESS TO MUCH NEEDED MENTAL HEALTH SUPPORT IN COMMUNITY SETTINGS.GOAL 2: ESTABLISH AN ADEQUATE SUPPLY OF HOUSING THAT IS SAFE, HEALTHY AND AFFORDABLE FOR PEOPLE OF ALL INCOME LEVELS, RACES, AGES AND ABILITIES WHICH IS SUITABLE FOR THEIR NEEDS. INCREASE FOOD SECURITY, ACCESS TO QUALITY EDUCATION AND COMMUNITY-BASED PROGRAMS, AND INCREASE A SENSE OF BELONGING AND UNITY AMONG PRIORITY COMMUNITIES. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES AROUND FMC AND OH REQUIRES A SIGNIFICANT AMOUNT OF COLLABORATION WITH LONG-TIME COMMUNITY PARTNERS. IN 2023, WE WORKED IN COLLABORATION WITH RICE COUNTY TO DEVELOP A MOBILE HOME REHABILITATION CONCEPT, AS WELL AS DEVELOPED A HOUSING TRUST FUND AND HOSTED A LANDLORDS SUMMIT IN OWATONNA. BOTH HOSPITALS ALSO SUPPORTED THE CREATION OF A NEW COMMUNITY PARTNERSHIP PILOT WITH A PROGRAM CALLED SHARING OUR ROOTS, WHICH IS DESIGNED TO REVITALIZE RURAL COMMUNITIES BY CONVERTING PLOTS OF FARMLAND INTO SMALL FARMS THAT IMMIGRANTS AND PEOPLE OF COLOR CAN UTILIZE TO GROW THEIR OWN FOOD.GOAL 3: ELIMINATE PREVENTABLE DISPARITIES IN HEALTH OUTCOMES AMONG BIPOC AND NON-WHITE, NON-ENGLISH SPEAKING COMMUNITY MEMBERS.AS PART OF THE RACIAL AND HEALTH EQUITY WORK, FMC AND OH FOCUSED ON IMPLEMENTING WORKFORCE DEVELOPMENT INITIATIVES THAT INTRODUCED HIGH SCHOOL-AGE YOUTH SPECIFICALLY FROM DIVERSE BACKGROUNDS IN FARIBAULT AND OWATONNA TO THE VARIETY OF HEALTHCARE CAREERS THAT ARE AVAILABLE TO THEM IN THE FUTURE. FMC AND OH ALSO PARTICIPATED IN ADVOCACY WORK IN PARTNERSHIP WITH OUR LOCAL GOVERNMENT AND NON-PROFIT PARTNERS TO ADDRESS A VARIETY OF RACIAL INEQUITIES RELATED TO HOUSING, FOOD ACCESS AND OVERALL RACE RELATIONS WITHIN THE REGION.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 7 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 5:	DISTRICT ONE HOSPITAL CHANGED ITS NAME TO ALLINA HEALTH FARIBAULT MEDICAL CENTER, EFFECTIVE 1/1/2022. AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES.DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & ALLINA HEALTH FARIBAULT MEDICAL CENTER (JOINT): OWATONNA HOSPITAL AND ALLINA HEALTH FARIBAULT MEDICAL CENTER (FORMERLY, DISTRICT ONE HOSPITAL) CONDUCTED A JOINT CHNA. STAFF COLLABORATED CLOSELY WITH COMMUNITY PARTNERS TO REVIEW LOCAL DATA AND GATHER COMMUNITY FEEDBACK. MORE THAN 20 ORGANIZATIONS PROVIDED FEEDBACK ON THE CHNA PROCESS AND FINDINGS THROUGH DISCUSSION IN EXISTING COLLABORATIONS IN WHICH HOSPITAL STAFF PARTICIPATE. ADDITIONALLY, HOSPITAL STAFF CONTRACTED WITH THE LOCAL NONPROFIT HEALTHY COMMUNITY INITIATIVE (HCI) TO PLAN AND FACILITATE THREE COMMUNITY DIALOGUES. THESE DIALOGUES FOCUSED ON GATHERING INPUT FROM THE FOLLOWING PRIORITIZED COMMUNITIES: LATINE, LGBTQIA+ AND SOMALI RESIDENTS. IN TOTAL, 26 PEOPLE PARTICIPATED INCLUDING MEN, WOMEN, YOUNG PARENTS, ELDERS AND YOUTH. THESE DIALOGUE RESULTS WERE COMPILED AND SHARED WITH COMMUNITY GROUPS AND ORGANIZATIONAL LEADERS. SIXTY-FIVE INDIVIDUALS ATTENDED THE PRESENTATION OF RESULTS, REPRESENTING THE AGENCIES THAT PARTICIPATED IN THE DATA REVIEW PROCESS, AS WELL AS 20 ADDITIONAL ORGANIZATIONS THAT PROVIDE SOCIAL SERVICES IN THE AREA. AFTER THE PRESENTATION, AN ONLINE SURVEY WAS SENT TO ALL PARTNERS WHO PARTICIPATED TO ASSIST IN FURTHER REFINING NEEDS FOR THE REGION. IN TOTAL, 19 PARTNERS COMPLETED THE ONLINE SURVEY.
GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, FARIBAULT MEDICAL CENTER (FORMERLY DISTRICT ONE HOSPITAL) AND OWATONNA HOSPITAL COLLABORATED ON THEIR CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: REDUCE SUBSTANCE USE AND IMPROVE MENTAL WELLBEING WHILE DECREASING HARM AND DEATHS RELATED TO THE MISUSE OF OPIOIDS.IN 2023, FARIBAULT MEDICAL CENTER (FMC) AND OWATONNA HOSPITAL (OH) CONTINUED TO PROVIDE NARCAN TRAINING AND FREE FENTANYL TEST STRIPS TO COMMUNITY PARTNERS. FMC ALSO DEEPENED ITS RELATIONSHIP WITH THE RICE COUNTY MOBILE OPIOID SUPPORT TEAM (MOST) BY PROVIDING SPACE INSIDE THE FMC EMERGENCY DEPARTMENT FOR LONG-TIME PARTNER, HEALTH FINDERS COLLABORATIVE. FMC AND OH ALSO DEEPENED THEIR RELATIONSHIP WITH HEALTH FINDERS THIS YEAR BY HOLDING ALLINA HEALTH MENTAL HEALTH CLINIC TIME INSIDE THE HEALTHFINDERS OFFICE TWICE A WEEK TO PROVIDE BETTER ACCESS TO MUCH NEEDED MENTAL HEALTH SUPPORT IN COMMUNITY SETTINGS.GOAL 2: ESTABLISH AN ADEQUATE SUPPLY OF HOUSING THAT IS SAFE, HEALTHY AND AFFORDABLE FOR PEOPLE OF ALL INCOME LEVELS, RACES, AGES AND ABILITIES WHICH IS SUITABLE FOR THEIR NEEDS. INCREASE FOOD SECURITY, ACCESS TO QUALITY EDUCATION AND COMMUNITY-BASED PROGRAMS, AND INCREASE A SENSE OF BELONGING AND UNITY AMONG PRIORITY COMMUNITIES. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES AROUND FMC AND OH REQUIRES A SIGNIFICANT AMOUNT OF COLLABORATION WITH LONG-TIME COMMUNITY PARTNERS. IN 2023, WE WORKED IN COLLABORATION WITH RICE COUNTY TO DEVELOP A MOBILE HOME REHABILITATION CONCEPT, AS WELL AS DEVELOPED A HOUSING TRUST FUND AND HOSTED A LANDLORDS SUMMIT IN OWATONNA. BOTH HOSPITALS ALSO SUPPORTED THE CREATION OF A NEW COMMUNITY PARTNERSHIP PILOT WITH A PROGRAM CALLED SHARING OUR ROOTS, WHICH IS DESIGNED TO REVITALIZE RURAL COMMUNITIES BY CONVERTING PLOTS OF FARMLAND INTO SMALL FARMS THAT IMMIGRANTS AND PEOPLE OF COLOR CAN UTILIZE TO GROW THEIR OWN FOOD.GOAL 3: ELIMINATE PREVENTABLE DISPARITIES IN HEALTH OUTCOMES AMONG BIPOC AND NON-WHITE, NON-ENGLISH SPEAKING COMMUNITY MEMBERSAS PART OF THE RACIAL AND HEALTH EQUITY WORK, FMC AND OH FOCUSED ON IMPLEMENTING WORKFORCE DEVELOPMENT INITIATIVES THAT INTRODUCED HIGH SCHOOL-AGE YOUTH SPECIFICALLY FROM DIVERSE BACKGROUNDS IN FARIBAULT AND OWATONNA TO THE VARIETY OF HEALTHCARE CAREERS THAT ARE AVAILABLE TO THEM IN THE FUTURE. FMC AND OH ALSO PARTICIPATED IN ADVOCACY WORK IN PARTNERSHIP WITH OUR LOCAL GOVERNMENT AND NON-PROFIT PARTNERS TO ADDRESS A VARIETY OF RACIAL INEQUITIES RELATED TO HOUSING, FOOD ACCESS AND OVERALL RACE RELATIONS WITHIN THE REGION.
GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- FARIBAULT MEDICAL CENTER PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, DODGE COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, RICE COUNTY, STEELE COUNTY, ST. CROIX COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. IN ADDITION TO LOCAL PUBLIC HEALTH, MANY HOSPITALS ALSO ESTABLISHED CHNA TEAMS TO CONDUCT THEIR CHNA IN PARTNERSHIP WITH OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED.TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF THEN SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQIA+, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS, PEOPLE WITH DISABILITIES AND THEIR CAREGIVERS, AND LOW-INCOME HOUSING RESIDENTS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND FACILITATED DISCUSSIONS. THREE HOSPITALS ALSO PARTNERED WITH LOCAL PUBLIC HEALTH TO CONDUCT A COMMUNITY SURVEY. IN TOTAL, MORE THAN 60 INDIVIDUALS WERE INTERVIEWED AND MORE THAN 250 PARTICIPATED IN A COMMUNITY DISCUSSION OR FOCUS GROUP AS PART OF THE 2022 CHNA PROCESSES. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER), A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED MORE THAN 50 STAKEHOLDERS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND MORE THAN 1,000 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. NEXT, THE GROUP CONDUCTED 12 FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS TO BETTER UNDERSTAND COMMUNITY HEALTH STRENGTHS AND CONCERNS. IN ADDITION TO REPRESENTATIVES FROM SOCIAL SERVICES, HEALTHCARE, LOCAL GOVERNMENT, LOCAL PUBLIC HEALTH, LOCAL LAW ENFORCEMENT, AND AREA SCHOOLS, FOCUS GROUP PARTICIPANTS INCLUDED FAMILIES RECEIVING SUPPORT FROM WIC (WOMEN, INFANTS & CHILDREN), RURAL RESIDENTS, COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS, HISPANIC COMMUNITY RESIDENTS AND AREA YOUTH. BASED ON THIS DATA REVIEW AND FEEDBACK, THE COALITION DEFINED ITS 2023-2025 PRIORITIES AND ACTION PLAN.
GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A:	THE 9 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL (INCLUDING HASTINGS REGINA CAMPUS), MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, FARIBAULT MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- FARIBAULT MEDICAL CENTER AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11:	BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA.HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) IS A COMMUNITY COALITION WORKING TO CREATE AND MAINTAIN HEALTHY COMMUNITIES AND PROVIDE A STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. HUDSON HOSPITAL & CLINIC, RIVER FALLS AREA HOSPITAL, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH, AND THE UNITED WAY OF ST. CROIX VALLEY LEAD THE PLANNING AND IMPLEMENTATION OF A TWO-COUNTY, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. RIVER FALLS AREA HOSPITAL IS AN ACTIVE PARTICIPANT IN THE COALITION AND COLLABORATES WITH THE MEMBERS OF HEALTHIER TOGETHER TO ADVANCE THE WORK AROUND COMMUNITY HEALTH NEEDS. GOAL 1: IMPROVE LOCAL ACCESS TO MEET THE NEEDS OF THOSE SEEKING MENTAL HEALTH CARE. ENHANCE WORKFORCE RESILIENCY AND WELL-BEING WHILE BUILDING HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES FOR YOUTH AND THEIR CAREGIVERS. IN 2023, RIVER FALLS AREA HOSPITAL CONTINUED WORK AND PARTNERSHIP WITH CHANGE TO CHILL PROGRAM. THE HOSPITAL PROVIDED CONTINUED FUNDING AND SUPPORT TO MEYER MIDDLE SCHOOL, ELLSWORTH HIGH SCHOOL, AND HUDSON HIGH SCHOOL, REACHING APPROXIMATELY 3,015 STUDENTS. ADDITIONALLY, AS PART OF HEALTHIER TOGETHER, STAFF ALSO SUPPORT UNIVERSITY OF WISCONSIN-EXTENTION AND ST. CROIX VALLEY UNITED WAY EFFORTS TO DEVELOP A CALENDAR PROMOTING A MENU OF MENTAL HEALTH AND EMOTIONAL WELLNESS TRAINING AND ASSISTANCE OPPORTUNITIES THROUGH ST. CROIX AND PIERCE COUNTIES. THIS CALENDAR, WHEN COMPLETE, WILL BE MADE AVAILABLE VIA UNITED WAY'S WEBSITE. TO HELP ADDRESS THE SHORT AND LONG TERM EFFECTS OF COVID-19 ON THE MENTAL HEALTH OF HEALTHCARE WORKERS, RIVER FALLS PROVIDED TWO WEBINARS TO STAFF: (1) "PRACTICING GRATITUDE", AND (2) "DECLUTTER YOUR BRAIN". ADDITIONALLY, ONE COMMUNITY SYMPOSIUM AIMED AT EDUCATING THE PUBLIC ON ISSUES RELATED TO MENTAL HEALTH AND/OR SUBSTANCE USE WAS HELD IN ST. CROIX COUNTY.ALSO, AS PART OF HEALTHIER TOGETHER, RIVER FALLS AREA HOSPITAL STAFF PROVIDED A MAKE IT OKAY TRAINING TO 70 STUDENTS FROM PLUM CITY HIGH SCHOOL. THE HOSPITAL ALSO PROVIDED FUNDING FOR A MENTAL HEALTH FIRST AID TRAINING FOR UNIVERSITY OF WISCONSIN-RIVER FALLS STAFF. STAFF ALSO SUPPORTED BI-MONTHLY MEETINGS AIMED AT INCREASING YOUTH MENTAL HEALTH COLLABORATION AMONG SCHOOL, COUNTY, MEDICAL, AND NON-PROFIT PARTNERS TO SUPPORT MENTAL HEALTH SCREENING, SUPPORT, AND COORDINATION OF CARE FOR YOUTH. IN 2023, 11/12 SCHOOL DISTRICTS HAVE STAFF REGULARLY ATTEND BI-MONTHLY MEETINGS. ADDITIONALLY IN 2023, THE HEALTHIER TOGETHER MENTAL, SOCIAL AND EMOTIONAL WELLNESS GROUP MET WITH ST. CROIX VALLEY FOUNDATION & SECURED FUNDING FOR ST. CROIX VALLEY UNITED WAY 211 PROGRAM. A HOSPITAL EMPLOYEE ALSO CO-CHAIRS THE MENTAL, SOCIAL AND EMOTIONAL WELL-BEING SUB-COMMITTEE OF HEALTHIER TOGETHER.GOAL 2: IMPROVE SOCIAL, ENVIRONMENTAL AND ECONOMIC CONDITIONS THAT INFLUENCE HEALTH CARE AND INCREASE EQUITABLE ACCESS TO HEALTH CARE.RIVER FALLS AREA HOSPITAL STAFF SUPPORTED THE PROVISION OF NUMEROUS EDUCATIONAL ACTIVITIES RELATED TO THIS GOAL IN 2023. FOR EXAMPLE, THE HAVING A HEALTHY HOME" TRAINING WAS SHARED AT RIVER FALLS EARTH DAY, ELLSWORTH SCHOOLS, AND THE LOCAL LIBRARY. ADDITIONALLY, 25 INDIVIDUALS WERE TRAINED IN GRASSROOTS ADVOCACY, AND THE PIERCE/ST. CROIX HEALTHIER TOGETHER WEBSITE ADDED A WEBPAGE WITH VETTED RESOURCES ON THE SUBJECT OF HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. HOSPITAL STAFF SERVE ON THE ADVOCACY COMMITTEE WHICH FACILITATED THIS TRAINING.TO SUPPORT ACCESS TO LOCAL SERVICES, LOCAL CHARITABLE CONTRIBUTION DOLLARS AND IN-KIND DONATIONS WERE PROVIDED TO ORGANIZATIONS THAT IMPROVE THE PHYSICAL, SOCIAL AND ECONOMIC VITALITY OF THE RIVER FALLS COMMUNITY. CHARITABLE CONTRIBUTIONS WERE PROVIDED TO OUR NEIGHBORS PLACE, THE LOCAL DIAPER BANK, WESTCAP AND THE ARC. ADDITIONALLY, RIVER FALLS HELD COLLECTION DRIVES TO SUPPORT OUR NEIGHBORS PLACE, RELAY FOR LIFE, WILEY'S WARDROBE, THE RIVER FALLS FOOD PANTRY AND THE LOCAL DIAPER BANK. TO FURTHER SUPPORT LOCAL COMMUNITY ORGANIZATIONS, HOSPITAL STAFF ALSO SERVED ON THE BUILT ENVIRONMENT GRANT REVIEW PANEL, WHICH PROVIDED FUNDING TO LOCAL PROJECTS AIMED AT INCREASING EQUITABLE OPPORTUNITIES FOR PHYSICAL ACTIVITY.THE PLANNED ACTIVITIES RELATED TO INCREASING EQUITABLE ACCESS TO HEALTHCARE WERE DELAYED IN 2023 DUE TO CAPACITY CONSTRAINTS BUT WILL BE REVISITED AGAIN IN 2024.
GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B:	SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 9 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24:	NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B, LINE 7 A	HOSPITAL FACILITY WEBSITE URL -HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
PART V, SECTION B, LINE 11	THE FOLLOWING ARE SYSTEM WIDE INITIATIVES THAT APPLY TO NINE ALLINA HEALTH HOSPITALS. PLEASE REFER TO PART V SECTION B LINE 11 EXPLANATION FOR EACH HOSPITAL FACILITY FOR ADDITIONAL NEEDS ADDRESSED AT THE HOSPITAL LEVEL. THE 2022 ASSESSMENT IDENTIFIED MENTAL WELLNESS, SUBSTANCE USE PREVENTION AND RECOVERY, SOCIAL DETERMINANTS OF HEALTH AND HEALTH-RELATED SOCIAL NEEDS AND ACCESS TO CULTURALLY RESPONSIVE CARE AS PRIORITY NEEDS FOR 2023-2025 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. EXAMPLES OF SYSTEM-WIDE INITIATIVES IN THESE AREAS INCLUDE:-CHANGE TO CHILL (CTC) - IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2023, MORE THAN 138,000 PEOPLE VISITED THE CHANGE TO CHILL WEBSITE. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. DURING THE 2023-2024 SCHOOL YEAR, 35 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP. NEW RESOURCES PROVIDED TO SCHOOLS UPON REQUEST WERE A NEWLY PACKAGED CURRICULUM FOR SCHOOL STAFF TO INCORPORATE CTC LESSONS AND/OR ACTIVITIES INTO THEIR INTERACTIONS WITH STUDENTS AND A KIT OF BRANDED FIDGETS, PRINT MATERIALS, AND OTHER FUN ITEMS TO HELP PROMOTE CTC IN THE SCHOOL ENVIRONMENT. -HELLO4HEALTH- WAS LAUNCHED IN 2021 TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED ARE ALSO REFERRED TO THE WEBSITE. IN 2023, MORE THAN 13,700 PEOPLE VISITED THE WEBSITE. THE WEBSITE FOCUSES PARTICULARLY ON SUPPORTING OLDER ADULTS AND THEIR CAREGIVERS. ALSO IN 2023, HELLO4HEALTH TRANSITIONED TO A NEW WEB VENDOR AND BEGAN EFFORTS TO AUDIT THE NEW WEBSITE TO ENSURE ACCESSIBILITY FOR PEOPLE WITH DISABILITIES VIA COMPLIANCE WITH WITH LEVEL A AND LEVEL AA OF THE WEB CONTENT ACCESSIBILITY GUIDELINES (WCAG) VERSION 2.1. HELLO4HEALTH'S PREVIOUS WEBSITE CONFORMED WITH THESE GUIDELINES.-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 2023, MORE THAN 150,000 PEOPLE VISITED THE HPK WEBSITE. AS DESCRIBED ABOVE, IN NOVEMBER 2023, ALLINA HEALTH WAS AWARDED AN OPIOID EPIDEMIC RESPONSE ADVISORY COUNCIL (OERAC) GRANT FROM THE MINNESOTA DEPARTMENT OF HUMAN SERVICES FOR HPK AND CTC, WITH A FOCUS ON EXPANDING AND ENHANCING EFFORTS RELATED TO SUBSTANCE USE PRIMARY PREVENTION AMONG CHILDREN AND YOUTH. CONTENT WILL BE CREATED FOR YOUTH, BUT WILL ALSO CONTRIBUTE TO ALLINA HEALTH'S STRATEGY OF INCREASING CHANGE TO CHILL AND HEALTH POWERED KIDS CONTENT FOR ADULTS WHO SUPPORT SCHOOL-AGE YOUTH. THIS WORK ALIGNS CLOSELY WITH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY OF SUBSTANCE USE ABUSE AND PREVENTION AS WELL AS MENTAL HEALTH AND ADDICTION SERVICES.-PARTNERSHIP WITH STEVE RUMMLER HOPE NETWORK- ALLINA HEALTH PARTNERED WITH STEVE RUMMLER HOPE NETWORK TO OFFER THREE NALOXONE TRAININGS TO EMPLOYEES AND COMMUNITY MEMBERS. MORE THAN 400 PEOPLE RECEIVED TRAINING AND NALOXONE KITS THROUGH THIS PARTNERSHIP.-ALLINA HEALTH HEALTH-RELATED SOCIAL NEEDS PROGRAM- TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS SELECT PATIENT NEEDS AT POINT OF CARE AND CONNECT PATIENTS TO COMMUNITY PROGRAMS OR RESOURCES THAT SUPPORT ONGOING NEED, ALLINA HEALTH CONTINUED ITS HEALTH-RELATED SOCIAL NEEDS (HRSN) PROGRAM, AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. IN OCTOBER 2023, ALLINA HEALTH EXPANDED THE PROGRAM TO INCLUDE ALL HOSPITAL PATIENTS AS WELL AS THOSE ACCESSING CARE VIA OUR MOTHER-BABY SERVICE LINE, CARE MANAGEMENT, AND THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING. IN TOTAL, ALLINA HEALTH SCREENED MORE THAN 390,000 PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS SUCH AS HOUSING, FOOD INSECURITY, TRANSPORTATION AND HELP PAYING MEDICAL BILLS. OF THOSE, APPROXIMATELY 10% IDENTIFIED AT LEAST ONE NEED. MORE THAN 11,463 PATIENTS ALSO RECEIVED SUPPORT ACCESSING COMMUNITY RESOURCES FROM AN ALLINA HEALTH COMMUNITY NAVIGATOR. THROUGH THE HRSN PROGRAM, ALLINA HEALTH HAS TRACKED REFERRAL PARTNERS - I.E., COMMUNITY SOCIAL SERVICE PROVIDERS WHO HAVE OPTED-IN TO PILOT A TWO-WAY REFERRAL PROCESS IN WHICH ALLINA HEALTH USERS TO SEND PATIENT INFORMATION DIRECTLY TO A COMMUNITY ORGANIZATION; THESE ORGANIZATIONS IN TURN UPDATE ALLINA HEALTH ON REFERRAL STATUS, CLOSING THE LOOP SO CLINICIANS CAN SEE THE RESULT OF THE REFERRAL. THIS PROCESS, CALLED A CLOSED LOOP REFERRAL, INCREASES TRUST AMONG PATIENTS AND IMPROVES COMMUNICATION, HANDOFF AND REFERRAL PROCESSES BETWEEN COMMUNITY ORGANIZATIONS AND ALLINA HEALTH. IN 2023, ALLINA HEALTH ESTABLISHED SYSTEMATIC, REGULAR "CHECK-INS" WITH ITS TRACKED REFERRAL PARTNERS TO SHARE DATA, FEEDBACK AND LEARNINGS ABOUT THE HRSN PROGRAM.-HEALTHY FOOD INITIATIVE- TO ADDRESS FOOD INSECURITY, ALLINA HEALTH CONTINUED ITS HEALTHY FOOD INITIATIVE, SUPPORTING ACCESS TO HEALTHY, FRESH, AND AFFORDABLE FOOD IN ITS COMMUNITY THROUGH CHARITABLE CONTRIBUTIONS, FOOD ACCESS INTERVENTIONS FOR PATIENTS, EMPLOYEE VOLUNTEERISM AND SUPPORTING INTERNAL AND EXTERNAL POLICIES. FOLLOWING 2022 POLICY ADVOCACY ACTIVITIES, UNIVERSAL SCHOOL MEALS (FREE MEALS FOR ALL STUDENTS) WAS IMPLEMENTED IN MINNESOTA IN 2023. ALSO IN 2023, ALLINA HEALTH SUBMITTED COMMITMENTS TO THE WHITE HOUSE CHALLENGE TO END HUNGER FOCUSING ON TWO PILLARS. THE FIRST PILLAR IS TO HELP PATIENTS AND THEIR FAMILIES ACCESS NEEDED FOOD RESOURCES. ALLINA HEALTH WILL EXPAND ITS TRACKED REFERRAL MODEL, EMBEDDED WITHIN ITS HEALTH-RELATED SOCIAL NEEDS PROGRAM. THE SECOND PILLAR IS TO INCREASE ACCESS TO HEALTHY FOOD AMONG PATIENTS AND THEIR FAMILIES AND SUPPORT LOCAL ECONOMIC GROWTH. ALLINA HEALTH WILL INCREASE THE PERCENTAGE OF FOOD PURCHASED BY ALLINA HEALTH AND ITS CATERING CONTRACTS THAT IS LOCAL AND SUSTAINABLE. ADDITIONALLY, ALLINA HEALTH PRIMARY CARE CLINICS PROVIDED 2,052 MEALS TO ALLINA HEALTH PATIENTS EXPERIENCING URGENT FOOD NEEDS THROUGH A PARTNERSHIP WITH EVERY MEAL. THROUGH THIS PARTNERSHIP, PARTICIPATING ALLINA HEALTH PRIMARY CARE CLINICS PROVIDE 4-5 POUNDS OF NUTRITIOUS, NON-PERISHABLE FOOD TO PATIENTS IDENTIFYING A FOOD NEED. MEAL BAGS TAILORED TO DIETARY AND CULTURAL PREFERENCES ARE AVAILABLE. THROUGH A PARTNERSHIP WITH METRO MEALS ON WHEELS, ALLINA HEALTH PROVIDED 14 DAYS' WORTH OF MEALS FREE OF CHARGE TO 38 PATIENTS WHO IDENTIFY AS FOOD INSECURE THROUGH SELECT AMBULATORY CARE MANAGEMENT PROGRAMS. FINALLY, ALLINA HEALTH CARE MANAGEMENT PROVIDED ROUGHLY 110 $40 GROCERY STORE GIFT CARDS TO PATIENTS AT ST. FRANCIS MEDICAL CENTER.-IMPACT INVESTMENT PORTFOLIO- WE VIEW AND EVALUATE OUR DIVERSITY, EQUITY, INCLUSION AND BELONGING (DEIB) COMMITMENTS THROUGH FOUR ROLES: AS A PROVIDER, EMPLOYER, PURCHASER OF GOODS AND SERVICES AND COMMUNITY PARTNER. FOR EACH OF OUR COMMITMENT AREAS, WE SET CLEAR GOALS AND OBJECTIVES TO DRIVE ACCOUNTABILITY. USING THESE COMMITMENTS, THE ALLINA INVESTMENT COMMITTEE OF THE BOARD OF DIRECTORS AUTHORIZED AN ALLOCATION OF $30 MILLION TO CREATE AND FUND THE ALLINA HEALTH IMPACT PORTFOLIO. THE ALLINA HEALTH IMPACT FUND FOCUSES ON INVESTING IN INITIATIVES THAT IMPROVE THE ECONOMIC AND SOCIAL VITALITY OF OUR LOCAL COMMUNITIES. MORE THAN HALF ($17.5 MILLION) OF FUNDS WERE INVESTED BY THE END OF 2023. BY PROVIDING CAPITAL THROUGH INVESTMENTS TO LOCAL ORGANIZATIONS, WE ARE ABLE TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WHILE ENSURING OUR INVESTMENTS ARE EQUITABLE AND ALIGNED TO OUR GUIDING PRINCIPLES AND VALUES.

Schedule H (Form 990) 2023

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?16
Name and address		Type of Facility (describe)
1	1 - ALLINA HEALTH CLINICS LLC-60 LOCATIONS PO BOX 43 INTERNAL ZIP 10890 MINNEAPOLIS,MN55440	INPATIENT AND OUTPATIENT SERVICES
2	2 - ALLINA HEALTH PHARMACIES-13 LOCATIONS 800 E 28TH STREET MINNEAPOLIS,MN55407	PHARMACY SERVICES
3	3 - ALLINA HEALTH LABORATORIES 800 E 28TH STREET MINNEAPOLIS,MN55407	LABORATORY 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 - ALLINA HEALTH SURGERY CENTER-BP LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER
7	7 - SOUTHWEST SURGICAL CENTER LLC 920 EAST 28TH STREET SUITE 500 MINNEAPOLIS,MN55407	OUTPATIENT SURGERY CENTER
8	8 - ALLINA HEALTH RESTORATIVE SUITES LLC 2845 N HAMLINE AVENUE ROSEVILLE,MN55113	TRANSITIONAL CARE
9	9 - GREENWAY SURGICAL SUITES LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER
10	10 - WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER
11	11 - ALLINA HEALTH HEART AND VASCULAR SURGERY 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
13	13 - NORTHSTAR SLEEP CENTER LLC 3800 COON RAPIDS BOULEVARD SUITE 3800 COON RAPIDS,MN55433	OUTPATIENT SERVICES
14	14 - ASPEN SLEEP CENTER 1010 BANDANA BOULEVARD WEST ST PAUL,MN55108	OUTPATIENT SERVICES
15	15 - MOBILE IMAGING SERVICES 7505 METRO BOULEVARD SUITE 400 EDINA,MN55439	MOBILE RADIOLOGY
16	16 - ALLINA HEALTH SURGERY CENTER-VH LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209	OUTPATIENT SURGERY CENTER

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR.
PART I, LINE 6A:	ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/
PART I, LINE 7:	WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES ("COST TO CHARGE RATIO") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE).
PART I, LINE 7G:	THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.PART I, LINE 7 COL(F):UNLIKE THE MAJORITY OF LARGE HEALTHCARE SYSTEMS, ALLINA IS ORGANIZED TO OPERATE ITS ELEVEN WHOLLY-OWNED HOSPITAL CAMPUSES IN THE SAME TAX ENTITY AS DOZENS OF PRIMARY CARE AND URGENT CARE CLINICS, REHABILITATION FACILITIES, PHARMACIES, AND OTHER NON-HOSPITAL SPECIALTY SERVICE LOCATIONS. THE REVENUE AND EXPENSES OF THIS COMBINATION OF HOSPITAL AND NON-HOSPITAL SERVICES IS INCLUDED ON THIS 990 FOR THE ENTITY, AND THE EXPENSES OF THE ENTIRE GROUP IS CARRIED TO PART 1 OF SCHEDULE H AS PART OF THE COMMUNITY BENEFIT CALCULATION. BECAUSE THE PERCENTAGES REFLECTED IN PART 1 OF SCHEDULE H ARE THE RATIO OF QUALIFYING COMMUNITY BENEFIT EXPENSES OVER THE TOTAL EXPENSES OF ALL LOCATIONS INCLUDED IN THE 990, THE DENOMINATOR IS DILUTED BY EXPENSES RELATING TO SERVICES LIKE PRIMARY CARE CLINICS AND PHARMACY OPERATIONS THAT ARE NOT HOSPITAL-BASED AND WOULD NOT BE INCLUDED IN THE SAME ENTITY AS HOSPITALS IN A MORE TRADITIONAL HEALTHCARE STRUCTURE. OPERATING EXPENSES FOR HEALTHCARE ENTITIES, INCLUDING LABOR, EQUIPMENT AND SUPPLIES CONTINUE TO RISE EXPONENTIALLY COMPARED TO REIMBURSEMENT STREAMS AND CONTRIBUTE TO THE LARGE NET OPERATING LOSS FOR THE SYSTEM REFLECTED IN THIS RETURN. DESPITE CHALLENGING OPERATING LOSSES, ALLINA HAS PRIORITIZED CONTINUED CONSISTENT INVESTMENT IN ITS LEVEL OF COMMUNITY BENEFIT SUPPORT OVER THE PAST FIVE YEARS EVEN WHERE, LIKE THE CURRENT REPORTING YEAR, SUCH INVESTMENTS CANNOT BE FUNDED FROM NET REVENUE. DUE TO THE STRUCTURE OF PART 1 OF SCHEDULE H WHICH LOOKS ONLY AT EXPENSES AND NOT AT NET OPERATING REVENUE, CONTINUED OPERATING EXPENSE INCREASES CREATE A DISTORTED PRESSURE ON THE REFLECTED COMMUNITY BENEFIT PERCENTAGE WHILE FINDING RESOURCES TO MAINTAIN SUCH CRITICAL EXPENDITURES IS INCREASINGLY CHALLENGING.
PART I, LINE 7B	IN 2023, AN IN-DEPTH ASSESSMENT OF CURRENT REPORTING PRACTICES AND EXPERT GUIDANCE WAS COMPLETED. THE CALCULATION OF THIS CATEGORY WAS ADJUSTED TO INCLUDE COSTS IN EXCESS OF PAYMENTS ASSOCIATED WITH PROVIDING CARE TO PATIENTS WHO ARE BENEFICIARIES OF PROGRAMS REIMBURSED THROUGH MANAGED CARE PLANS SUCH AS MINNESOTA HEALTH CARE PROGRAMS (MHCP). MANAGED CARE PLANS SUCH AS MHCP ARE A FORM OF MEDICAID, ADMINISTERED THROUGH MANAGED CARE ORGANIZATIONS. IN MINNESOTA, MOST RESIDENTS WHO QUALIFY FOR MEDICAID ARE REQUIRED TO ENROLL IN AN MHCP PROGRAM UNLESS THEY MEET A CERTAIN LIST OF EXCLUSIONS. THE ADJUSTMENT TO INCLUDE MHCP PROGRAMS RESULTED INAN INCREASE OF ALMOST $250 MILLION REPORTED FOR 2023.
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 2023:WORKFORCE DEVELOPMENTMANY OF ALLINA HEALTH HOSPITALS HAVE TRAIN-TO-WORK PROGRAMS AS A MEANS TO BUILD A FUTURE WORKFORCE WITHIN AND OUTSIDE OF OUR ORGANIZATION. BY FOCUSING ON BUILDING THE WORKFORCE, THE GOAL IS THAT THERE WILL BE AN INCREASE IN PERSONAL EMPLOYMENT AND ECONOMIC AND WORKFORCE STABILITY. MULTIPLE ALLINA HEALTH HOSPITALS HAVE DEVELOPED PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN THE PROCESS. SEVERAL HOSPITALS AND THE CORPORATE OFFICE HOST CAREER DAYS FOR HIGH SCHOOL STUDENTS. RIVER FALLS AREA HOSPITAL ALSO HAS SIGNIFICANT INVESTMENTS IN TRAIN TO WORK PROGRAMS, IN PARTICULAR THROUGH AN INTERNATIONAL PROGRAM CALLED PROJECT SEARCH. THIS PROGRAM PROVIDES EMPLOYMENT AND EDUCATION OPPORTUNITIES FOR INDIVIDUALS WITH SIGNIFICANT DISABILITIES. STUDENTS SPEND NINE MONTHS GAINING REAL-LIFE, TRANSFERRABLE SKILLS AT THE HOSPITAL.COMMUNITY COALITIONSALL ALLINA HEALTH HOSPITALS PARTICIPATE ON LOCAL COMMUNITY COALITIONS AND CIVIC GROUPS, SUCH AS COMMUNITY HEALTH ADVISORY COUNCILS AND LOCAL CHAMBERS OF COMMERCE, AS A WAY TO RESPOND TO COMMUNITY NEEDS THROUGH COLLABORATION AND PARTNERSHIP. THESE COALITIONS PROVIDE THE HOSPITALS THE OPPORTUNITIES TO BUILD RELATIONSHIPS AND DETERMINE HOW BEST TO LEVERAGE LOCAL RESOURCES TO ADDRESS COMMUNITY NEEDS THAT EXIST OUTSIDE THE TRADITIONAL REALM OF HEALTH CARE. ALLINA HEALTH HOSPITALS ARE PRESENT AT THOSE DISCUSSIONS TO DETERMINE THE ROLE HEALTH CARE CAN PLAY. ONE EXAMPLE OF THIS IS THE STATEWIDE HEALTH IMPROVEMENT PLAN (SHIP), WHICH HAS LOCAL COALITIONS THROUGHOUT THE STATE VIA LOCAL PUBLIC HEALTH AGENCIES TO WORK ON NUTRITION, PHYSICAL ACTIVITY AND TOBACCO USE. IN ADDITION, MANY OF OUR LEADERS SERVE ON LOCAL COMMUNITY ORGANIZATION LEADERSHIP TEAMS, SUCH AS VOLUNTEER BOARDS, TO ADVANCE COMMUNITY WORK.DISASTER PREPAREDNESSIN ADDITION TO COMMUNITY-BUILDING ACTIVITIES THAT RELATED TO ROOT CAUSES OF HEALTH, ALLINA HEALTH HOSPITALS ENGAGED IN AND LED DISASTER PREPAREDNESS PLANNING TO ENSURE SAFETY, EFFICIENCY AND EXCELLENT HEALTH CARE DURING TIMES OF TRAGEDY AND/OR UPSET. THIS INCLUDED PLANNING MEETINGS AND COMMUNITY MEETINGS/TRAININGS, AMONG OTHER THINGS.THESE PROGRAMS AND SERVICES, AMONG OTHERS, PROVIDE THE HOSPITALS WITHIN OUR SYSTEM THE OPPORTUNITY TO IMPACT COMMUNITY HEALTH BEFORE IT BECOMES PROBLEMATIC AND EXPENSIVE. IN ADDITION, THIS IMPORTANT WORK IS SUPPORTED BY THE MISSION OF OUR ORGANIZATION AND IS OUR RESPONSIBILITY AS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION. WE WILL CONTINUE TO CONTRIBUTE TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROMOTION OF COMMUNITY HEALTH.
PART III, LINE 2:	SCH H, PART III, SECTION A, LINES 2 & 3THE ORGANIZATION HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION [HFMA] STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE, IMPLICIT PRICE CONCESSIONS AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (STATEMENT 15). THE BAD DEBT AMOUNT STATED FOR FINANCIAL REPORTING PURPOSES IS REPORTED "NET" OF ANY ANTICIPATED PATIENT DISCOUNTS OR IMPLICIT PRICE CONCESSIONS TO WHICH THE PATIENT MAY BE ELIGIBLE INCLUDING, BUT NOT LIMITED TO, THE UNINSURED DISCOUNT PROGRAM (DISCUSSED ABOVE) AND REFLECTS THE ESTIMATED AMOUNT REPORTED AS "NET PATIENT SERVICE REVENUE" DURING THE CURRENT PERIOD OR ANY PREVIOUS PERIOD. THIS DOES NOT NECESSARILY EQUAL THE "COST" TO PROVIDE THE MEDICAL SERVICES. ALSO, NOTE THAT AMOUNTS RELATED TO PATIENTS WHO HAVE QUALIFIED UNDER THE CHARITY CARE PROGRAM ARE NOT INCLUDED IN EITHER NET PATIENT REVENUE OR IN BAD DEBT EXPENSE. IN OTHER WORDS, THE BAD DEBT EXPENSE REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE IN THE REVENUE SECTION OF THE FINANCIAL STATEMENTS OF THE FORM 990 DOES NOT INCLUDE AMOUNTS RELATED TO QUALIFIED CHARITY CARE PATIENTS AND IS STATED AT THE "NET" EXPECTED OR ANTICIPATED COLLECTION AMOUNT WHICH MAY BE SIGNIFICANTLY DIFFERENT THAN PATIENT CHARGES DUE TO THE APPLICATION OF DISCOUNTS SUCH AS THOSE PROVIDED UNDER THE UNINSURED DISCOUNT PROGRAM. THIS AMOUNT ALSO CONSTITUTES A DIFFERENT AMOUNT THAN THE ORGANIZATION'S ACTUAL COST TO PROVIDE THE MEDICAL SERVICES. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 2 BAD DEBT "AT COST", THE ORGANIZATION HAS APPLIED A RATIO OF PATIENT CARE COST TO CHARGES (COST TO CHARGE RATIO) TO THE ESTIMATED PATIENT CHARGE AMOUNT INCLUDED IN BAD DEBT AFTER REMOVING THE ANTICIPATED DISCOUNTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH HOSPITAL OR OPERATING UNIT. THE RESULTING BAD DEBT (AT COST) AMOUNT FOR EACH HOSPITAL AND OPERATING UNIT IS THEN AGGREGATED TO ARRIVE AT THE BAD DEBT (AT COST) REPORTED ON LINE 2. THIS PROCESS PROVIDES A VERY CONSERVATIVE ESTIMATE OF THE ORGANIZATION'S BAD DEBT (AT COST). THE ORGANIZATION HAS A ROBUST PROCESS FOR ADMINISTERING THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE CHARITY CARE AND UNINSURED DISCOUNT PROGRAM DESCRIBED IN FURTHER DETAIL IN PART VI, LINE 3. EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO APPLY TO THE COMMUNITY CARE PROGRAM AND TO PARTICIPATE, IF QUALIFIED, TO RECEIVE FREE OR DISCOUNTED MEDICAL CARE OR BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM UNDER THE ORGANIZATIONS VARIOUS FINANCIAL ASSISTANCE PROGRAMS. THE ADMINISTRATIVE PROCESS INCLUDES IDENTIFYING ANY PATIENT WITH A FINANCIAL CONCERN, AS WELL AS INFORMING, COUNSELING, QUALIFYING AND ASSISTING PATIENTS TO APPLY FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. ALTHOUGH EACH PATIENT IS PROVIDED NUMEROUS OPPORTUNITIES TO RECEIVE FINANCIAL ASSISTANCE AND INFORMED MULTIPLE TIMES OF THE CHARITY CARE PROGRAM PRIOR TO OUR CLASSIFYING THE AMOUNTS AS BAD DEBT, IT IS POSSIBLE THAT PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE DO NOT COMPLETE THE APPLICATION. THIS AMOUNT IS NOT REASONABLY ESTIMABLE. AS A TAX-EXEMPT HOSPITAL ORGANIZATION WE ARE REQUIRED TO PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. DUE TO CIRCUMSTANCES BEYOND OUR CONTROL, A PERSON WHO WOULD OTHERWISE QUALIFY UNDER THE CHARITY CARE PROGRAM MAY NOT PROVIDE US THE NECESSARY INFORMATION, QUALIFY FOR THE PROGRAM, AND RECEIVE FREE CARE ALLOWING US TO CLASSIFY AND QUANTIFY IT ACCORDINGLY AND AS SUCH. ULTIMATELY, THOSE AMOUNTS ARE WRITTEN-OFF AND REPORTED AS BAD DEBT EXPENSE. ANY METHODOLOGY WE COULD USE TO QUANTIFY AND PROVIDE AN ESTIMATE OF HOW MUCH BAD DEBT (AT COST AND IF ANY) REPORTED ON LINE 2 REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AND FOR US TO PROVIDE AN ESTIMATE OF WHAT PORTION OF BAD DEBT, IF ANY, THE ORGANIZATION BELIEVES SHOULD CONSTITUTE COMMUNITY BENEFIT WOULD BE PURELY SPECULATIVE, IMPRECISE AND SUBJECT TO INHERENT METHODOLOGY FLAWS. WHILE WE FIRMLY BELIEVE, FOR THE REASONS STATED ABOVE, THAT SOME COMPONENT OF OUR REPORTED BAD DEBT EXPENSE (AT COST) ON LINE 2 CONSTITUTES AMOUNTS RELATED TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM, WE CANNOT REASONABLY QUANTIFY THE AMOUNT AND RESPECTFULLY DECLINE THE OPPORTUNITY TO PROVIDE AN AMOUNT. THEREFORE, WE HAVE REPORTED ZERO OR NONE FOR FORM 990, SCHEDULE H, PART III, LINE 3.
PART III, LINE 4:	FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE:SEE ATTACHED AUDIT, FOOTNOTE 2(N) ON PAGE 11
PART III, LINE 8:	THE ORGANIZATION HAS MORE THAN ONE MEDICARE PROVIDER NUMBER AND THEREFORE AGGREGATED THE AMOUNTS REPORTED IN THE MEDICARE COST REPORTS AS THE SOURCE FOR THE AMOUNTS REPORTED ON PART III, LINES 5 & 6 AS OUTLINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. FOR MEDICARE COST REPORTS, ALLINA USES A RATIO OF PATIENT CARE COSTS TO CHARGES (COST TO CHARGE RATIO) TO DETERMINE MEDICARE ALLOWABLE COSTS. GENERALLY, THE RATIO IS CALCULATED AS THE TOTAL MEDICARE ALLOWABLE PATIENT COSTS OVER THE TOTAL PATIENT CHARGES. MEDICARE CHARGES MULTIPLIED BY THIS RATIO EQUALS THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORTS. THE COST TO CHARGE RATIO IS CALCULATED INDEPENDENTLY FOR EACH MEDICARE COST REPORT/PROVIDER NUMBER. ALLINA BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. ALLINA'S PROVIDING OF THESE SERVICES CLEARLY LESSENS THE BURDENS OF GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINE 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. THE TRUE COMMUNITY BENEFIT FOR OUR PARTICIPATION IN THE CURRENT MEDICARE PROGRAM IS DEPENDENT ON HOW EFFICIENTLY AND COST EFFECTIVELY THE FEDERAL GOVERNMENT COULD OPERATE A DIRECT MEDICAL CARE MEDICARE PROGRAM OR ALTERNATIVELY THE COST TO THE GOVERNMENT TO CONTRACT OUT SUCH SERVICES THROUGH A COMPETITIVE BIDDING PROCESS IN THE OPEN MARKETS FOR THE SAME OR SIMILAR SERVICES FACTORING IN ITEMS SUCH AS QUALITY OF CARE, OUTCOMES AND SIMILAR IMPORTANT FACTORS AS COMPARED TO ALLINA'S ACTUAL COSTS OF PROVIDING THE MEDICAL CARE. THE MEDICARE SHORTFALL CALCULATION ON THE FORM 990, SCHEDULE H, PART III, LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL FOR TWO REASONS. FIRST, ALLINA INCURS SIGNIFICANT COSTS IN EXCESS OF PAYMENTS UNDER THE MEDICARE PROGRAM FOR PROVIDING CERTAIN SERVICES THAT ARE NOT SUBJECT TO MEDICARE COST REPORTING AND THEREFORE NOT REFLECTED IN OUR COST AMOUNTS ON LINE 6. SECOND, THE LINE 6 LIMITS OUR REPORTED COSTS TO ONLY MEDICARE "ALLOWABLE COSTS" AS SOLELY DETERMINED BY THE FEDERAL GOVERNMENT MEDICARE PROGRAM. FOR THESE TWO REASONS, THE MEDICARE SHORTFALL REPORTED ON LINE 7 SIGNIFICANTLY UNDERSTATES ALLINA'S ACTUAL MEDICARE SHORTFALL AND THE ACTUAL COST OF PROVIDING MEDICAL CARE TO MEDICARE PROGRAM PARTICIPANTS. WE ESTIMATE THESE TWO ITEMS UNDERSTATE ALLINA'S REPORTED MEDICARE SHORTFALL BY OVER $156 MILLION. WE BELIEVE A DIRECT MEDICAL SERVICE MEDICARE PROGRAM OPERATED BY THE FEDERAL GOVERNMENT AND THE COST TO THE GOVERNMENT TO CONTRACT OUT THE SERVICES UNDER A COMPETITIVE BIDDING PROCESS MAY EVEN PROVE TO BE MORE EXPENSIVE TO THE FEDERAL GOVERNMENT THAN ALLINA'S REPORTED MEDICARE "ALLOWABLE COSTS" ON LINE 6 GIVEN OUR QUALITY OF CARE, SUCCESSFUL OUTCOMES AND THE SIGNIFICANT DIFFERENCE BETWEEN ACTUAL COSTS WE INCUR AND MEDICARE "ALLOWABLE COSTS" IN PROVIDING CARE UNDER THE MEDICARE PROGRAM. THEREFORE, WE FIRMLY BELIEVE THAT THERE IS A TRUE COMMUNITY BENEFIT COMPONENT TO OUR PARTICIPATION IN THE FEDERAL MEDICARE PROGRAM.
PART III, LINE 9B:	THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY AND COLLECTION PRACTICES APPLY UNIFORMLY TO ALL PATIENTS AND INCLUDE PROVISIONS RELATED TO THE ORGANIZATIONS CHARITY CARE PROGRAM AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IF A PATIENT IS KNOWN TO QUALIFY FOR A FINANCIAL ASSISTANCE PROGRAM THEY ARE AUTOMATICALLY AFFORDED THE PROGRAM BENEFITS FOR UP TO ONE YEAR AS THEY WOULD HAVE ALREADY PROVIDED INFORMATION NECESSARY FOR US TO MAKE SUCH A DETERMINATION. FOR EXAMPLE, A PATIENT THAT QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM BEFORE RECEIVING SERVICES WOULD NOT RECEIVE A BILLING STATEMENT FOR THE MEDICAL SERVICES PROVIDED. IN THE CASE OF A PATIENT QUALIFYING FOR THE CHARITY CARE PROGRAM AFTER RECEIVING SERVICES AND THE COMMENCEMENT OF CERTAIN COLLECTION ACTIVITIES, THE AMOUNTS ARE DISCHARGED AS CHARITY CARE AND ALL COLLECTION ACTIVITIES CEASE. AS DISCUSSED IN THE RESPONSE TO PART VI, LINE 3, PATIENTS ARE INFORMED AND EDUCATED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE ORGANIZATION'S CHARITY CARE PROGRAM AS PART OF THE ROUTINE REGISTRATION, ADMISSION, INTAKE, BILLING AND COLLECTION PROCESSES. IF A PATIENT DESIRES TO APPLY FOR THE CHARITY CARE PROGRAM, PERSONNEL WILL SEND AN APPLICATION TO THE PATIENT. IF COLLECTION ACTIVITIES HAVE COMMENCED, THOSE ACTIVITIES WILL BE SUSPENDED FOR THIRTY (30) DAYS TO ALLOW TIME FOR THE APPLICATION PROCESS. COLLECTION ACTIVITY MAY RESUME IF, AFTER 30 DAYS, A COMPLETED APPLICATION HAS NOT BEEN RECEIVED. IN THE CASE OF AN INCOMPLETE APPLICATION, THE ORGANIZATION MAY RESUME COLLECTION ACTIVITIES IF REQUESTS FOR ADDITIONAL INFORMATION ARE NOT MET WITH A TIMELY RESPONSE. IF AN APPLICANT DOES NOT MEET THE ELIGIBILITY CRITERIA AND THE APPLICATION IS DENIED, COLLECTION ACTIVITY MAY RESUME UPON DENIAL. HOWEVER, THE PATIENT MAY STILL BE ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE PROGRAMS WHICH ARE APPLIED AS WARRANTED BASED UPON THE INFORMATION PROVIDED. SUCH ACTIVITIES ARE FULLY EXPLAINED TO THE PATIENT DURING THE COLLECTION PROCESS.
PART VI, LINE 2:	AS A COMMUNITY PARTNER, ALLINA HEALTH COLLABORATES WITH COMMUNITY MEMBERS, ORGANIZATIONS AND POLICYMAKERS TO IMPROVE THE HEALTH OF ALL PEOPLE IN OUR COMMUNITIES AND TO FOCUS OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND INVESTMENTS TO IMPROVE HEALTH EQUITY. THESE COMMITMENTS SERVED AS THE GUIDING PRINCIPLES OF OUR CHNA APPROACH, INCLUDING THE PROCESS, IMPLEMENTATION, AND EVALUATION METHODS. IN 2022, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2023-2025 CHNA INDEPENDENTLY, WITH GUIDANCE AND SUPPORT FROM THE ALLINA HEALTH SYSTEM OFFICE. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PIERCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH PROVIDED DATA AND FEEDBACK TO HELP DEFINE 2023-2025 CHNA PRIORITIES. MANY HOSPITALS ALSO CONDUCTED THEIR CHNA IN PARTNERSHIP OTHER HOSPITALS AND HEALTH SYSTEMS, COMMUNITY ORGANIZATIONS AND RESIDENTS. HOSPITAL STAFF ENGAGED AS MANY AS 50 COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS PART OF THEIR LOCAL HOSPITAL'S CHNA TEAM. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED BUT INCLUDED PATIENT DATA, THE MINNESOTA STUDENT SURVEY, SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH, COVID IMPACT SURVEYS, LOCAL RESEARCH STUDIES AND SECONDARY PUBLIC HEALTH DATA. WHERE POSSIBLE, DATA WERE DISAGGREGATED BY RACE AND ETHNICITY. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WERE DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, THE IMPACT OF COVID-19, RELEVANCE TO HEALTH EQUITY, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES AND PRIORITY COMMUNITIES FOR THE 2023-2025 CYCLE. HOSPITAL PRIORITIES INCLUDE:-MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE-HEALTHY EATING AND ACTIVE LIVING-CHRONIC DISEASE AND HEALTH HABITS-ACCESS TO CARE-SOCIAL DETERMINANTS OF HEALTH-SOCIAL ISOLATION-RELATIONSHIP VIOLENCE-DENTAL CARE-AGING SERVICES-AFFORDABLE HOUSINGHOSPITAL PRIORITY COMMUNITIES INCLUDE:-PEOPLE WITH DISABILITIES-PEOPLE WHO IDENTIFY AS BLACK, INDIGENOUS AND/OR PEOPLE OF COLOR(BIPOC)-PEOPLE LIVING AT OR NEAR POVERTY-PEOPLE WHO IDENTIFY AS LESBIAN, GAY, BI-SEXUAL, TRANS, QUEER AND/OR QUESTIONING, AND OTHER HISTORICALLY UNDERSERVED SEXUAL AND GENDER IDENTITIES (LGBTQ+)-OLDER ADULTS-YOUTH AND ADOLESCENTS-IMMIGRANTS AND REFUGEES-PEOPLE FROM SPECIFIC CULRUAL COMMUNITIES (SOMALI, HISPANIC/LATINO)-FAMILIES IMPACTED BY INCARCERATION-FARMERSTO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS SUCH AS RESIDENTS, STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS. ADDITIONALLY, FEEDBACK WAS SOUGHT FROM ALLINA HEALTH STAFF WITH UNIQUE ROLES SUPPORTING PATIENTS INCLUDING LANGUAGE SERVICES, COMMUNITY PARAMEDICS AND SPIRITUAL CARE. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES.IN MARCH, APRIL AND JULY 2022, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. THE PRIORITIZED COMMUNITIES IDENTIFIED BY EACH ALLINA HEALTH HOSPITAL WERE ALSO COMPARED AND THE MOST COMMON WERE IDENTIFIED FOR SYSTEM ACTION. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2023-2025-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSIN ADDITION TO THE FORMAL CHNA, ALLINA HEALTH HOSPITALS ASSESS COMMUNITY NEED ON AN ONGOING BASIS THROUGH PARTICIPATION IN COMMUNITY DIALOGUES AND COALITIONS, AND IN ONGOING DATA REVIEW IN PARTNERSHIP WITH PUBLIC HEALTH AND LOCAL NONPROFITS.
PART VI, LINE 3:	A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. PROVIDING CONVENIENT ACCESS TO NECESSARY MEDICAL CARE REGARDLESS OF ONE'S ABILITY TO PAY FOR THOSE SERVICES IS IMPORTANT TO US. ALLINA HAS ESTABLISHED THE FOLLOWING FINANCIAL ASSISTANCE PROGRAMS:- ALLINA PARTNERS CARE PROGRAM (CHARITY CARE)- UNINSURED DISCOUNT PROGRAM- SPECIAL CIRCUMSTANCES- MEDELIGIBLE SERVICES- MEDCREDIT FINANCIAL SERVICES- PAYMENT PLANSOUR CARE GOES BEYOND MEDICAL CARE ASSISTANCE. WE ALSO HELP PEOPLE GET FOOD STAMPS, WIC (WOMEN, INFANTS AND CHILDREN, A FEDERAL PROGRAM THAT SUPPLIES NUTRITIOUS FOODS) OR HEATING ASSISTANCE - ALL OF WHICH ARE VITALLY IMPORTANT TO A PATIENT'S RECOVERY, HEALTH AND WELL-BEING. YOU MAY VISIT WWW.ALLINAHEALTH.ORG AND CLICK ON THE FINANCIAL ASSISTANCE LINK.CHARITY CARE PROGRAM - ALLINA PARTNERS CARE PROGRAM THE ALLINA PARTNERS CARE PROGRAM PROVIDES FREE MEDICALLY NECESSARY CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR. THE PROGRAM WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE OR MINNESOTA CARE AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY LEVEL. THE APPLICATION IS BRIEF AND ASKS FOR INFORMATION ON FAMILY SIZE, EMPLOYMENT, INCOME, BANKING AND INSURANCE. IF PATIENTS MEET THE PROGRAM ELIGIBILITY GUIDELINES, THEIR TOTAL ALLINA BALANCE WILL BE ZERO. THEY WILL RECEIVE FREE MEDICAL CARE. AN ELIGIBLE INDIVIDUAL WILL BE COVERED BY THE PROGRAM FOR UP TO ONE YEAR BARRING ANY SIGNIFICANT CHANGE IN INCOME. PATIENTS MAY BE ASKED TO APPLY FOR MEDICAL ASSISTANCE AND MINNESOTA CARE AND BE FOUND INELIGIBLE FOR THOSE PROGRAMS BEFORE THEY QUALIFY FOR THE ALLINA PARTNERS CARE. UNINSURED DISCOUNT PROGRAM - THE UNINSURED DISCOUNT PROGRAM PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTER. UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS , ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM. SPECIAL CIRCUMSTANCES ASSISTANCE (ON INDIVIDUAL CASE BY CASE BASIS) - THE ORGANIZATION PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE "MEDICALLY INDIGENT". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. FINANCIAL ASSISTANCE SERVICES WILL PROVIDE AN EVALUATION OF PATIENTS WITH SPECIAL CIRCUMSTANCES. THERE MAY BE A CIRCUMSTANCE WHERE PATIENTS EXPERIENCE A CATASTROPHIC EVENT THAT PUTS THEM IN A DEVASTATING FINANCIAL POSITION WHEREBY THE PROGRAM REPRESENTATIVES WILL DETERMINE HOW TO BEST SUPPORT THEM FINANCIALLY.MEDELIGIBLE SERVICES - MEDELIGIBLE SERVICES PROVIDES ADVOCACY SUPPORT TO PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THEY CAN ASSIST PATIENTS WITH APPLYING FOR FEDERAL, STATE AND COUNTY BENEFIT PROGRAMS. THE MEDELIGIBLE SERVICES PERSONNEL ARE ADVOCATES WHO EDUCATE PATIENTS AND FAMILIES ABOUT THE ADVANTAGE OF PROGRAMS AND ASSIST THEM WITH GETTING HELP. PERSONNEL CAN PROVIDE ASSISTANCE WITH MEDICAID AND MEDICARE, SOCIAL SECURITY, VETERAN'S ADMINISTRATION, FOOD STAMPS, EMERGENCY FOOD, AND SHELTER. MEDCREDIT FINANCIAL SERVICES - MEDCREDIT FINANCIAL SERVICES PROVIDES FINANCIAL LOANS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR MEDICAL BILLS. THE PATIENT CAN CONSOLIDATE ALL MEDICAL EXPENSES FROM PARTICIPATING PROVIDERS SUCH THAT THE PATIENT HAS ONLY ONE MONTHLY PAYMENT. THERE IS NO CREDIT APPLICATION REQUIRED AND NO ANNUAL FEES OR DUES. THE ANNUAL PERCENTAGE INTEREST RATE IS 8 PERCENT. ONCE A PATIENT HAS ESTABLISHED A MEDCREDIT ACCOUNT, AMOUNTS CAN BE ADDED ON ANY ADDITIONAL MEDICAL EXPENSES FOR THEMSELVES AND THEIR FAMILY. PAYMENT PLANS - IF A PATIENT INDICATES THEY ARE UNABLE OR UNWILLING TO PAY THE BALANCE IN FULL, ALLINA OFFERS A PAYMENT PLAN WHICH CANNOT EXCEED TWELVE MONTHS AND CANNOT BE LESS THAN THIRTY DOLLARS PER MONTH. IF THE PATIENT IS UNABLE TO MEET THESE PARAMETERS, MEDCREDIT IS OFFERED TO THEM. THE FINANCIAL ASSISTANCE SERVICES INFORMATION AND EDUCATION METHODS - ALLINA HAS ROBUST METHODS TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS INCLUDING ITS CHARITY CARE PROGRAM AND ALSO ABOUT GOVERNMENT PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE TO RECEIVE BENEFITS. EACH PATIENT BILLING STATEMENT CONTAINS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION. THE ALLINA WEBSITE HOMEPAGE AT WWW.ALLINAHEALTH.ORG PROMINENTLY CONTAINS A LINK TO THE FINANCIAL ASSISTANCE SERVICES PAGE WHICH DESCRIBES THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND INCLUDES CONTACT INFORMATION.THE ORGANIZATION POSTS SUMMARIES OF ITS FINANCIAL ASSISTANCE PROGRAMS IN BROCHURES IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATIONS FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE BROCHURES CONTAIN SUMMARIES OF THE FINANCIAL ASSISTANCE PROGRAMS AND INCLUDE CONTACT INFORMATION FOR THE PROGRAMS. THIS INFORMATION IS ALSO AVAILABLE IN SOMALI AND SPANISH. REGISTRATION, ADMISSIONS AND INTAKE PERSONNEL ARE TRAINED TO PROVIDE FINANCIAL ASSISTANCE PROGRAM INFORMATION TO ANYONE EXPRESSING A CONCERN ABOUT THEIR ABILITY TO PAY FOR SERVICES. ALL "SELF-PAY" PATIENTS (THE PATIENT IS NOT COVERED BY INSURANCE OR A GOVERNMENT PROGRAM) THAT COMES TO ONE OF THE ORGANIZATION'S EMERGENCY ROOMS RECEIVES A PACKET OF INFORMATION CONTAINING EVERYTHING NECESSARY TO APPLY FOR THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAMS AND CERTAIN GOVERNMENT PROGRAMS. THERE IS CONTACT INFORMATION AND TELEPHONE NUMBERS THEY CAN CALL WITH ANY QUESTIONS OR TO RECEIVE ASSISTANCE IN COMPLETING APPLICATIONS. FINANCIAL ASSISTANCE PROGRAM PERSONNEL ALSO MEET DIRECTLY WITH ANY SELF-PAY PATIENT ADMITTED TO THE HOSPITAL. PERSONNEL WILL MEET WITH PATIENTS WHEREVER IT IS MOST CONVENIENT FOR THE PATIENT SUCH AS THE HOSPITAL, A CLINIC, THE ORGANIZATION'S OFFICES OR THE PATIENT'S HOME.ALLINA HAS A SYSTEM WIDE INTERPRETER SERVICES TEAM THAT PROVIDES INTERPRETERS TO PATIENTS, COMPANIONS AND FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP) OR ARE DEAF OR HARD OF HEARING (DHH). THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. LEP AND DHH PERSONNEL ARE TRAINED TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAMS. ALL PERSONNEL RESPONSIBLE FOR THE ORGANIZATIONS COLLECTION ACTIVITIES ARE EXTENSIVELY TRAINED ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS. ANY TIME A PATIENT EXPRESSES A CONCERN REGARDING THEIR ABILITY TO PAY FOR SERVICES, THE PERSONNEL EXPLAIN THE FINANCIAL ASSISTANCE PROGRAMS, ASK CERTAIN QUESTIONS TO OBTAIN INFORMATION AND TO DETERMINE WHICH FINANCIAL ASSISTANCE PROGRAMS THE PATIENT MAY QUALIFY AND BEST FITS THE PATIENTS' NEEDS.
PART VI, LINE 4:	ALLINA HEALTH SYSTEM (ALLINA HEALTH) IS A NOT-FOR-PROFIT SYSTEM OF CLINICS, HOSPITALS AND OTHER HEALTH CARE SERVICES. ALLINA HEALTH OWNS AND OPERATES 9 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, TRANSITIONAL CARE, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND FARIBAULT MEDICAL CENTER SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES UNITED HOSPITAL - HASTINGS REGINA CAMPUS AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN.
PART VI, LINE 5:	GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS ("BOARD") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. "INTERESTED DIRECTORS" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. OPEN MEDICAL STAFF THE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.SUSTAINABILITY EFFORTSAT ALLINA HEALTH TAKING CARE OF OUR ENVIRONMENT IS CRITICAL TO ENSURING GOOD HEALTH FOR OUR PATIENTS, EMPLOYEES AND OUR COMMUNITY. WE HAVE COMMITTED TO LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR MAJOR NEW CONSTRUCTION PROJECTS. IN 2023, ALLINA HEALTH CONTINUED ITS WASTE REDUCTION AND ENERGY EFFICIENCY PROJECTS, WHICH RESULTED IN NUMEROUS SUSTAINABILITY HONORS BEING AWARDED TO THE ALLINA HEALTH SYSTEM AND INDIVIDUAL SITES. 2023 PROGRESS ON OUR CLIMATE ACTION PLAN INCLUDES PURCHASING THREE ALTERNATIVE VEHICLES, REDUCING OUR ENERGY USE INTENSITY (EUI) BY 7 PERCENT, AND ACHIEVING 16 PERCENT OF OUR FOOD PURCHASES FROM LOCAL AND/OR SUSTAINABLE SOURCES. ADDITIONALLY, SINCE THE 2021 BEGINNING OF OUR SUSTAINABILITY PILOT PARTNERSHIP WITH RHEAPLY, AN ONLINE PLATFORM FOR SOURCE MATERIALS, ALLINA HEALTH HAS DONATED 93 ITEMS TO 16 LOCAL ORGANIZATION VALUED AT A TOTAL OF NEARLY $20,000. THESE DONATIONS EQUATE TO OVER 2,000 POUNDS OF DIVERTED WASTE.ALLINA HEALTH'S CLIMATE ACTION PLAN GOAL IS TO ACHIEVE A 50% REDUCTION IN EMISSIONS BY 2030 AND NET ZERO EMISSIONS BY 2050.
PART VI, LINE 6:	ALLINA HEALTH SYSTEM ("ALLINA HEALTH"), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE "TWIN CITIES") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 28,500 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 600 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES NINE HOSPITALS ON ELEVEN CAMPUSES AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 93,000 INPATIENT ADMISSIONS AND MORE THAN 1,218,000 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2023. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,851 OF WHICH WERE STAFFED FOR INPATIENT SERVICES. ALLINA HEALTH PROVIDES CLINICAL SERVICES THROUGH ITS ALLINA HEALTH GROUP AND HOSPITAL-BASED PHYSICIANS. ALLINA HEALTH GROUP CONTROLS AND OPERATES 60 ALLINA HEALTH CLINICS, OPERATES THE CLINICAL SERVICES LINES; THREE HOSPITALIST PROGRAMS ON THE ABBOTT NORTHWESTERN, UNITED AND MERCY HOSPITAL CAMPUSES; AND EMPLOYS PHYSICIANS AND HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. ("ASA"), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 10,469,200 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2023. THE ALLINA INTEGRATED MEDICAL ("AIM") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 1,500 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. NEARLY 700 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 2,700 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ORGANIZATIONS INCURRED COSTS FOR PARTICIPATION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $579,946,823 IN 2023.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 A FOUNDATION (ALLINA HEALTH FOUNDATION) THAT PROVIDES 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) 2023

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 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

2023

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) MINNEAPOLIS HEART INSTITUTE 920 EAST 28TH STREET SUITE 100 MINNEAPOLIS,MN55407	41-1426406	501C3	2,208,737	SUPPORT FOR CARDIOVASCULAR RESEARCH AND EDUCATION
(2) MINNESOTA COMMUNITY HEALTHCARE NETWORK 2351 GRAYS LANDING ROAD MINNETONKA,MN55391	47-2590506	501C3	755,195	GENERAL SUPPORT
(3) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF SAINT PAUL AND MINNEAPOLIS 1007 E 14TH STREET MINNEAPOLIS,MN55404	41-1302487	501C3	361,125	GENERAL SUPPORT
(4) FOUNDATION FOR ADVANCEMENT OF SPINAL KNOWLEDGE 913 E 26TH STREET STE 600 MINNEAPOLIS,MN55404	20-1628324	501C3	112,751	GENERAL SUPPORT
(5) PROJECT FOR PRIDE IN LIVING 1035 EAST FRANKLIN AVENUE MINNEAPOLIS,MN55404	23-7232208	501C3	85,200	GENERAL SUPPORT
(6) WALK-IN COUNSELING CENTER 2421 CHICAGO AVENUE SOUTH MINNEAPOLIS,MN55404	41-0983461	501C3	55,000	GENERAL SUPPORT
(7) HEALTHFINDERS COLLABORATIVE 706 DIVISION STREET NORTHFIELD,MN55057	20-1805262	501C3	41,240	PARTNERSHIP FOR POPULATION HEALTH INITIATIVES
(8) EVERY MEAL 2723 PATTON ROAD ROSEVILLE,MN55113	80-0919680	501C3	40,000	GENERAL SUPPORT
(9) NATIVE AMERICAN COMMUNITY DEVELOPMENT INSTITUTE 1414 E FRANKLIN AVE 1 MINNEAPOLIS,MN55404	41-2117257	501C3	36,000	GENERAL SUPPORT
(10) FREE BIKES 4 KIDZ PO BOX 007 LONG LAKE,MN55356	27-1199089	501C3	35,600	SPONSORSHIP FOR BIKE DISTRIBUTION
(11) INDIGENOUS PEOPLE'S TASK FORCE 1335 EAST 23RD STREET MINNEAPOLIS,MN55404	36-3617906	501C3	35,000	GENERAL SUPPORT
(12) MINNEAPOLIS - ST PAUL REGIONAL ECONOMIC DEVELOPMENT PARTNERSHIP 400 ROBERT STREET NORTH SUITE 1520 SAINT PAUL,MN55101	27-4026636	501C3	31,000	GENERAL SUPPORT
(13) CLARE HOUSING FACILITY 929 CENTRAL AVENUE NE MINNEAPOLIS,MN55413	41-1794924	501C3	30,750	SPONSORSHIP FOR A PLACE TO CALL HOME EVENT
(14) BEACON INTERFAITH HOUSING COLLABORATIVE 2610 UNIVERSITY AVENUE WEST SUITE 100 SAINT PAUL,MN55114	41-1953599	501C3	30,100	GENERAL SUPPORT
(15) NAMI MINNESOTA (EAST METRO CRISIS ALLIANCE) 1919 UNIVERSITY AVE W STE 400 ST PAUL,MN55104	41-1317030	501C3	30,000	TO PROVIDE SUPPORT OF LAUNCHING THE WEBSITE PROMOTING MENTAL HEALTH PROGRAMS AND SERVICES
(16) ST PAUL AREA CHAMBER OF COMMERCE FOUNDATION INC 401 NORTH ROBERT STREET 150 ST PAUL,MN55101	41-1378952	501C3	25,025	GENERAL SUPPORT
(17) REGIONS HOSPITAL FOUNDATION 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS,MN55440	41-1888902	501C3	25,000	CONTRIBUTION TO THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM
(18) SISTERS OF ST JOSEPH OF CARONDELET MINISTRIES FOUNDATION 1884 RANDOLPH AVENUE ST PAUL,MN55105	41-1765361	501C3	25,000	SPONSORSHIP FOR CARONDELETE GALA
(19) FREE CLINIC OF PIERCE AND ST CROIX COUNTIES INC PO BOX 745 RIVER FALLS,WI54022	20-5892220	501C3	23,539	GENERAL SUPPORT
(20) REACH OUT & READ INC 701 WASHINGTON AVENUE N SUITE 111-112 MINNEAPOLIS,MN55401	81-1641189	501C3	22,500	SUPPORT FOR BOOKS FOR REACH OUT AND READ
(21) MINNESOTA RECOVERY CONNECTION 800 TRANSFER ROAD NO 31 ST PAUL,MN55114	41-1948764	501C3	20,250	GENERAL SUPPORT
(22) COMMUNITY ACTION CENTER OF NORTHFIELD 1651 JEFFERSON PARKWAY NORTHFIELD,MN55057	41-0970984	501C3	16,000	GENERAL SUPPORT
(23) SHARING OUR ROOTS 4905 315TH ST W NORTHFIELD,MN55057	20-1788275	501C3	16,000	GENERAL SUPPORT
(24) CLUES 797 7TH STREET EAST ST PAUL,MN55106	41-1386986	501C3	15,000	GENERAL SUPPORT
(25) RIDGEVIEW FOUNDATION 490 S MAPLE ST SUITE 110 WACONIA,MN55387	41-1328097	501C3	15,000	SPONSORSHIP OF RIDGEVIEW FOUNDATION
(26) ST PAUL YOUTH SERVICES 2100 WILSON AVE ST PAUL,MN55119	41-1316444	501C3	15,000	BIPOC YOUTH MENTORSHIP
(27) OPEN ARMS OF MINNESOTA INC 2500 BLOOMINGTON AVENUE MINNEAPOLIS,MN55404	41-1681317	501C3	14,650	GENERAL SUPPORT
(28) ROOTS FOR THE HOME TEAM 12 YELLOW BIRCH ROAD ST PAUL,MN55110	46-2184817	501C3	12,428	GENERAL SUPPORT
(29) RUTHS HOUSE OF HOPE P O BOX 593 FARIBAULT,MN55021	87-0709671	501C3	12,400	GENERAL SUPPORT
(30) ST PAUL PUBLIC SCHOOLS 360 COLBORNE STREET ST PAUL,MN55102	41-0901311	ISD 625	12,000	CONTRIBUTION TO SUPPORT ACTIVITIES THAT PROMOTE HEALTH AND WELL-BEING FOR STUDENTS AND STAFF
(31) HUMANITY ALLIANCE 779 OAK DRIVE VICTORIA,MN55386	83-2358013	501C3	12,000	GENERAL SUPPORT
(32) ALEXANDRA HOUSE INC 10065 3RD STREET NE BLAINE,MN55434	41-1309977	501C3	11,500	GENERAL SUPPORT
(33) UNITED WAY OF STEELE COUNTY 1850 AUSTIN ROAD SUITE 103 OWATONNA,MN55060	23-7366680	501C3	11,500	GENERAL SUPPORT
(34) UNITED WAY OF HASTINGS 113 2ND ST E STE 102 HASTONGS,MN55033	41-1486488	501C3	11,000	TO SUPPORT THE PROGRAM "ONE PILL CAN KILL"
(35) PEOPLE SERVING PEOPLE INC 614 SOUTH THIRD STREET MINNEAPOLIS,MN55415	41-1443148	501C3	10,650	GENERAL SUPPORT
(36) HASTINGS FAMILY SERVICE 301 EAST SECOND STREET HASTINGS,MN55033	23-7083534	501C3	10,500	GENERAL SUPPORT
(37) METRO MEALS ON WHEELS INC 1200 WASHINGTON AVE SOUTH SUITE 380 MINNEAPOLIS,MN55415	31-1501057	501C3	10,500	GENERAL SUPPORT
(38) KEYSTONE COMMUNITY SERVICES 2000 SAINT ANTHONY AVENUE ST PAUL,MN55104	41-0693924	501C3	10,400	TO SUPPORT THE BASIC NEEDS, FOOD SECURITY, AND SENIOR PROGRAMS
(39) INTERFAITH ACTION CLUB OF GREATER ST PAUL 1041 GRAND AVENUE 312 ST PAUL,MN55105	41-0694741	501C3	10,100	GENERAL SUPPORT
(40) THE FOOD GROUP MINNESOTA 8501 54TH AVENUE NORTH NEW HOPE,MN55428	41-1246504	501C3	10,050	GENERAL SUPPORT
(41) AMHEARST H WILDER FOUNDATION 451 LEXINGTON PARKWAY NORTH ST PAUL,MN55104	41-0693889	501C3	10,000	SUPPORT TO PROVIDE SOCIAL CONNECTIONS AND EMOTIONAL SUPPORT FOR IMMIGRANTS AND REFUGEES
(42) ANNEX TEEN CLINIC 5810 42ND AVENUE NORTH ROBBINSDALE,MN55422	23-7236943	501C3	10,000	GENERAL SUPPORT
(43) ARTHRITIS FOUNDATION INC 1355 PEACHTREE STREET NE SUITE 600 ATLANTA,GA30309	58-1341679	501C3	10,000	SPONSORSHIP FOR THE WALK TO CURE JUVENILE ARTHRITIS
(44) BEYOND NEW BEGINNINGS 771 CASCADE DRIVE CHASKA,MN55318	85-1937150	501C3	10,000	DONATION FOR STABLE HOUSING TO YOUNG MOMS IN THE COMMUNITY
(45) HASTINGS HIGH SCHOOL PEER HELPERS 200 GENERAL SIEBEN DRIVE HASTINGS,MN55033	41-6000810	ISD 200	10,000	GENERAL SUPPORT
(46) HOUSING LINK 1400 VAN BUREN STREET NE SUITE 215 MINNEAPOLIS,MN55413	41-1873314	501C3	10,000	GENERAL SUPPORT
(47) HUNGER SOLUTIONS MINNESOTA 555 PARK STREET SUITE 400 ST PAUL,MN55103	36-3567366	501C3	10,000	GENERAL SUPPORT
(48) LAUNCH MINISTRY 204 PLAYHOUSE ST E COLOGNE,MN55322	26-4579522	501C3	10,000	TO SUPPORT IN-CRISIS 18-29 YEAR-OLDS INTO SUCCESSFUL ADULTHOOD
(49) MINNESOTA BRIDGE TO FREEDOM 18591 MUSHTOWN ROAD PRIOR LAKE,MN55372	83-2797380	501C3	10,000	TO SUPPORT PEOPLE IN RECOVERY FROM SUBSTANCE MISUSE
(50) MYHEALTH FOR TEENS & YOUNG ADULTS 15 8TH AVENUE SOUTH HOPKINS,MN55343	23-7152735	501C3	10,000	GENERAL SUPPORT
(51) NEIGHBORHOOD HEALTHSOURCE 3300 FREMONT AVENUE N MINNEAPOLIS,MN55412	41-1235064	501C3	10,000	GENERAL SUPPORT
(52) NEIGHBORHOOD HOUSE 179 EAST ROBIE STREET ST PAUL,MN55407	41-0693916	501C3	10,000	GENERAL SUPPORT
(53) PILLSBURY UNITED COMMIUNITIES 3650 FREMONT AVENUE NORTH 130 MINNEAPOLIS,MN55412	41-0916478	501C3	10,000	GENERAL SUPPORT
(54) STEPPING STONE EMERGENCY HOUSING 3300 FOURTH AVENUE CRONIN BLDG 14 ANOKA,MN55303	20-3226868	501C3	10,000	GENERAL SUPPORT
(55) UNITED NEGRO COLLEGE FUND INC 1805 7TH STREET NW WASHINGTON,DC20001	13-1624241	501C3	10,000	GENERAL SUPPORT
(56) WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVE MINNEAPOLIS,MN55405	41-0711618	501C3	10,000	GENERAL SUPPORT
(57) WAY TO GROW 201 IRVING AVENUE NORTH STE 100 MINNEAPOLIS,MN55405	71-0956749	501C3	10,000	SPONSORSHIP FOR SHINE CELEBRATION GALA EVENT
(58) THE SANNEH FOUNDATION 2090 CONWAY STREET ST PAUL,MN55119	56-2332269	501C3	9,623	GENERAL SUPPORT
(59) CAMP FIRE MINNESOTA 3300 TANADOONA DRIVE EXCELSIOR,MN55331	41-0706116	501C3	8,500	GENERAL SUPPORT
(60) TWIN CITIES PRIDE 2021 EAST HENNEPIN AVE STE 402-7 MINNEAPOLIS,MN55413	41-1808096	501C3	8,500	GENERAL SUPPORT
(61) ANOKA COUNTY BROTHERHOOD COUNCIL INC PO BOX 774 ANOKA,MN55303	51-0155191	501C3	8,100	GENERAL SUPPORT
(62) OUR NEIGHBORS PLACE PO BOX 274 RIVER FALLS,WI54022	35-2383155	501C3	8,050	GENERAL SUPPORT
(63) ADVOCATES FOR THRIVING COMMUNITIES 7143 FALMOUTH CURVE SHAKOPEE,MN55379	86-2343354	501C3	8,000	GENERAL SUPPORT
(64) ALLIANCE FOR GREATER EQUITY PO BOX 1015 OWATONNA,MN55060	41-1896632	501C3	8,000	GENERAL SUPPORT
(65) SOUTHERN ANOKA COMMUNITY ASSISTANCE 627 38TH AVE NE COLUMBIA HEIGHTS,MN55421	41-1272131	501C3	8,000	GENERAL SUPPORT
(66) VALLEY FRIENDSHIP CLUB 5620 MEMORIAL AVENUE NORTH STE C STILLWATER,MN55082	27-2362329	501C3	8,000	GENERAL SUPPORT
(67) 360 COMMUNITIES 501 E HIGHWAY 13 SUITE 112 BURNSVILLE,MN55337	41-0987708	501C3	7,800	GENERAL SUPPORT
(68) FACE TO FACE HEALTH & COUNSELING SERVICE INC 1165 ARCADE STREET ST PAUL,MN55103	41-0986780	501C3	7,600	GENERAL SUPPORT
(69) BASIC NEEDS INC OF SOUTH WASHINGTON CO 445 BROADWAY AVE ST PAUL PARK,MN55071	41-1878604	501C3	7,500	SUPPORT FOR PROGRAMS AND SERVICES INCLUDING THE NEW "TODAY'S HARVEST" FREE FOOD MARKET IN COTTAGE GROVE, MN.
(70) CORNERHOUSE 2502 10TH AVE SOUTH MINNEAPOLIS,MN55404	41-1640731	501C3	7,500	GENERAL SUPPORT
(71) FAMILYMEANS 1875 NORTHWESTERN AVENUE SOUTH STILLWATER,MN55082	41-6045574	501C3	7,500	GENERAL SUPPORT
(72) PEOPLE INC 2060 CENTRE POINT BLVD NO 3 ST PAUL,MN55120	41-0962296	501C3	7,500	GENERAL SUPPORT
(73) THE FAMILY PARTNERSHIP 414 S 8TH STREET MINNEAPOLIS,MN55404	41-0693858	501C3	7,500	GENERAL SUPPORT
(74) UNITED WAY OF RICE COUNTY 1651 JEFFERSON PARKWAY NORTHFIELD,MN55057	41-6025711	501C3	7,500	GENERAL SUPPORT
(75) YWCA OF MINNEAPOLIS 1130 NICOLLET MALL MINNEAPOLIS,MN55403	41-0693891	501C3	7,500	GENERAL SUPPORT
(76) ZACAH AID AND CHARITY ASSISTING HUMANITY P O BOS 21231 EAGAN,MN55121	46-2680963	501C3	7,500	GENERAL SUPPORT
(77) GOOD IN THE HOOD 2101 CHICAGO AVENUE SOUTH MINNEAPOLIS,MN55404	01-0768296	501C3	7,200	GENERAL SUPPORT
(78) ANOKA HENNEPIN EDUCATIONAL FOUNDATION INC 2727 FERRY STREET NORTH ANOKA,MN55303	41-1691433	501C3	7,000	SUPPORT FOR CHANGE TO CHILL PILOT
(79) INITIATIVE FOUNDATION 405 FIRST STREET SE LITTLE FALLS,MN56345	36-3451562	501C3	7,000	SUPPORT FOR BRAHAM AREA EDUCATIONAL FOUNDATION GALA
(80) THE HOPE PROJECT 1800 GRAHAM AVE STE 317 ST PAUL,MN55116	87-2740592	501C3	7,000	GENERAL SUPPORT
(81) LAKE STREET COUNCIL 2925 CHICAGO AVE STE 190 MINNEAPOLIS,MN55407	41-0975738	501C3	6,984	GENERAL SUPPORT
(82) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA,GA30303	13-1788491	501C3	6,850	SPONSORSHIP FOR MAKING STRIDES AGAINST BREAST CANCER OF THE TWIN CITIES
(83) CANVAS HEALTH 7066 STILLWATER BLVD N OAKDALE,MN55128	41-0955577	501C3	6,000	GENERAL SUPPORT
(84) DAKOTA COUNTY TECHNICAL COLLEGE FONDATION 1300 145TH STREET EAST ROSEMOUNT,MN55068	41-1488605	501C3	6,000	IN SUPPORT OF SCHOLARSHIPS FOR STUDENTS IN DCTCS MEDICAL ASSISTANT PROGRAM
(85) LAKES CENTER FOR YOUTH AND FAMILIES 20 N LAKE STREET SUITE 103 FOREST LAKE,MN55025	41-1322058	501C3	6,000	GENERAL SUPPORT
(86) RAINBOW HEALTH MINNESOTA 2577 TERRITORIAL ROAD ST PAUL,MN55114	41-1524746	501C3	6,000	GENERAL SUPPORT
(87) AVENUES FOR YOUTH 1708 OAK PARK AVENUE NORTH MINNEAPOLIS,MN55411	41-1765140	501C3	5,750	GENERAL SUPPORT
(88) HIGHLAND FRIENDSHIP CLUB 1795 HOLTON ST ROOM 105 SAINT PAUL,MN55113	41-1708179	501C3	5,500	GENERAL SUPPORT
(89) MILE IN MY SHOES P O BOX 583177 MINNEAPOLIS,MN55458	47-2702026	501C3	5,400	GENERAL SUPPORT
(90) SPRING VALLEY SENIORS STAYING PUT INC PO BOX 193 S312 MCKAY AVENUE SPRING VALLEY,WI54767	47-3511773	501C3	5,400	GENERAL SUPPORT
(91) FAMILY PATHWAYS 6413 OAK STREET NORTH BRANCH,MN55056	41-1332828	501C3	5,300	GENERAL SUPPORT
(92) MATTER 7005 OXFORD ST ST LOUIS PARK,MN55426	37-1441658	501C3	5,300	GENERAL SUPPORT
(93) HOPE 4 YOUTH 2191 NORTHDALE BLVD NW COON RAPIDS,MN55303	46-1626500	501C3	5,250	GENERAL SUPPORT
(94) COMMUNITY DENTAL CARE 1670 BEAM AVENUE SUITE 204 MAPLEWOOD,MN55109	04-3692982	501C3	5,200	GENERAL SUPPORT
(95) INTERFAITH OUTREACH 1605 COUNTY ROAD 101 NORTH PLYMOUTH,MN55447	36-3482724	501C3	5,200	SPONSORSHIP FOR THE SPREAD YOUR WINGS 2024 GALA
(96) VALLEY OUTREACH 1911 CURVE CREST BLVD W STILLWATER,MN55082	41-1452973	501C3	5,200	GENERAL SUPPORT
(97) CHRISTIAN CUPBOARD EMERGENCY FOOD SHELF 8264 4TH STREET NORTH OAKDALE,MN55128	36-3298764	501C3	5,100	GENERAL SUPPORT
(98) RIVER VALLEY COMMUNITY PARTNERSHIP 303 E 6TH ST CHASKA,MN55318	20-2886410	501C3	5,100	GENERAL SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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	21	33,500
(2) HOUSING AND LIVING ASSISTANCE	144	170,879
(3) MEDICAL ASSISTANCE	9077	150,000
(4) MISCELLANEOUS ITEMS	4967		12,566	FMV	STRESS BALLS, FIDGET SPINNERS AND BOOKS DISTRIBUTED AT EVENTS
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

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) 2023

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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

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 .....

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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1LISA SHANNON PRESIDENT/CEO	(i) (ii)	1,635,533 ------------- 0	734,381 ------------- 0	243,671 ------------- 0	429,964 ------------- 0	36,348 ------------- 0	3,079,897 ------------- 0	343,389 ------------- 0
2RICHARD MAGNUSON TREASURER/EVP/CFO	(i) (ii)	858,749 ------------- 0	524,746 ------------- 0	505,218 ------------- 0	-84 ------------- 0	10,085 ------------- 0	1,898,714 ------------- 0	211,342 ------------- 0
3MAHMOUD NAGIB MD PHYSICIAN	(i) (ii)	1,641,896 ------------- 0	0 ------------- 0	24,927 ------------- 0	21,450 ------------- 0	20,377 ------------- 0	1,708,650 ------------- 0	0 ------------- 0
4MARK HELLER MD PHYSICIAN	(i) (ii)	1,371,183 ------------- 0	0 ------------- 0	94,438 ------------- 0	88,232 ------------- 0	32,332 ------------- 0	1,586,185 ------------- 0	64,596 ------------- 0
5JAYSON DOCK MD PHYSICIAN	(i) (ii)	1,370,427 ------------- 0	0 ------------- 0	74,331 ------------- 0	89,965 ------------- 0	40,138 ------------- 0	1,574,861 ------------- 0	0 ------------- 0
6ANTHONY ANDERSON MD PHYSICIAN	(i) (ii)	1,361,324 ------------- 0	0 ------------- 0	84,765 ------------- 0	87,773 ------------- 0	24,846 ------------- 0	1,558,708 ------------- 0	57,375 ------------- 0
7SARA CRIGER SVP/OPS/PRES MERCY & UNITE	(i) (ii)	600,072 ------------- 0	401,280 ------------- 0	569,234 ------------- 0	-61,521 ------------- 0	19,346 ------------- 0	1,528,411 ------------- 0	41,137 ------------- 0
8DANA HARMS MD PHYSICIAN	(i) (ii)	1,396,693 ------------- 0	0 ------------- 0	38,426 ------------- 0	21,450 ------------- 0	27,039 ------------- 0	1,483,608 ------------- 0	0 ------------- 0
9BADRINATH KONETY MD VP CANCER INSTITUTE/PRESIDENT & RESE	(i) (ii)	954,726 ------------- 0	203,261 ------------- 0	34,665 ------------- 0	199,154 ------------- 0	3,268 ------------- 0	1,395,074 ------------- 0	0 ------------- 0
10JONATHAN SHOEMAKER SVP OPERATIONS AND CHIEF INTEGRATION	(i) (ii)	445,189 ------------- 0	340,742 ------------- 0	589,918 ------------- 0	-41,986 ------------- 0	8,469 ------------- 0	1,342,332 ------------- 0	272,041 ------------- 0
11DOMINICA TALLARICO EVP, CHIEF OPERATING OFFICER	(i) (ii)	749,756 ------------- 0	250,000 ------------- 0	96,104 ------------- 0	210,718 ------------- 0	27,611 ------------- 0	1,334,189 ------------- 0	0 ------------- 0
12HSIENG SU MD SVP, CHIEF MEDICAL OFFICER	(i) (ii)	792,501 ------------- 0	224,308 ------------- 0	34,566 ------------- 0	185,332 ------------- 0	26,608 ------------- 0	1,263,315 ------------- 0	18,846 ------------- 0
13CHRISTINE MOORE EVP, CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	662,840 ------------- 0	249,041 ------------- 0	118,338 ------------- 0	161,951 ------------- 0	36,426 ------------- 0	1,228,596 ------------- 0	136,533 ------------- 0
14SANJAY SINGH MD VP CLINICAL SERVICE LINE NEUROSCIENC	(i) (ii)	921,038 ------------- 0	0 ------------- 0	83,230 ------------- 0	182,454 ------------- 0	33,498 ------------- 0	1,220,220 ------------- 0	0 ------------- 0
15ROBERT QUICKEL MD VP CLINICAL SERVICE LINE, SURGICAL S	(i) (ii)	663,848 ------------- 0	127,219 ------------- 0	105,372 ------------- 0	134,226 ------------- 0	37,976 ------------- 0	1,068,641 ------------- 0	0 ------------- 0
16JOHN MISA MD VP INTERIM AHG MED OFF	(i) (ii)	184,044 ------------- 0	133,855 ------------- 0	729,632 ------------- 0	13,941 ------------- 0	84 ------------- 0	1,061,556 ------------- 0	196,852 ------------- 0
17DAVID SLOWINSKE SVP OPERATIONS - NORTHEAST REGION	(i) (ii)	546,877 ------------- 0	170,039 ------------- 0	116,787 ------------- 0	120,369 ------------- 0	33,186 ------------- 0	987,258 ------------- 0	117,169 ------------- 0
18ELIZABETH TRUESDELL SMITH SECRETARY/SVP GEN COUN.	(i) (ii)	618,377 ------------- 0	174,138 ------------- 0	106,531 ------------- 0	8,945 ------------- 0	33,186 ------------- 0	941,177 ------------- 0	127,821 ------------- 0
19LAWRENCE CHO SVP, CHIEF STRATEGY & GROW	(i) (ii)	622,446 ------------- 0	162,574 ------------- 0	3,471 ------------- 0	134,010 ------------- 0	0 ------------- 0	922,501 ------------- 0	15,198 ------------- 0
20DAVID JOOS VP OPERATIONS-SOUTHWEST REGION	(i) (ii)	564,602 ------------- 0	111,731 ------------- 0	71,348 ------------- 0	111,342 ------------- 0	33,186 ------------- 0	892,209 ------------- 0	0 ------------- 0
21VENKAT IYER MD VP CLINICAL SERVICE LINE	(i) (ii)	506,249 ------------- 0	107,740 ------------- 0	49,534 ------------- 0	102,844 ------------- 0	38,231 ------------- 0	804,598 ------------- 0	0 ------------- 0
22RYAN ELSE MD FORMER VP MEDICAL AFFAIRS/SYSTEM	(i) (ii)	292,924 ------------- 0	116,008 ------------- 0	311,193 ------------- 0	21,450 ------------- 0	20,296 ------------- 0	761,871 ------------- 0	65,561 ------------- 0
23DAVID INGHAM DO VP CHIEF INFORMATION OFFIC	(i) (ii)	480,479 ------------- 0	91,815 ------------- 0	37,247 ------------- 0	91,939 ------------- 0	32,446 ------------- 0	733,926 ------------- 0	0 ------------- 0
24NICHOLAS MENDYKA VP SYSTEM FINANCE OPERATIO	(i) (ii)	447,752 ------------- 0	90,820 ------------- 0	52,711 ------------- 0	84,102 ------------- 0	33,738 ------------- 0	709,123 ------------- 0	48,626 ------------- 0
25THOMAS LUBOTSKY VP SUPPLY CHAIN	(i) (ii)	405,570 ------------- 0	86,631 ------------- 0	161,009 ------------- 0	16,500 ------------- 0	38,288 ------------- 0	707,998 ------------- 0	0 ------------- 0
26MOTTI EDELSTEIN VP REVENUE CYCLE MANAGEMEN	(i) (ii)	433,504 ------------- 0	92,001 ------------- 0	11,411 ------------- 0	81,546 ------------- 0	36,348 ------------- 0	654,810 ------------- 0	0 ------------- 0
27ANN MADDEN RICE FORMER SVP-PRESIDENT ANW	(i) (ii)	0 ------------- 0	82,153 ------------- 0	352,636 ------------- 0	0 ------------- 0	0 ------------- 0	434,789 ------------- 0	0 ------------- 0
28SARAH KLEAVELAND KUPCZAK SVP CHIEF COMPLIANCE OFFIC	(i) (ii)	159,201 ------------- 0	106,478 ------------- 0	68,571 ------------- 0	-20,726 ------------- 0	12,878 ------------- 0	326,402 ------------- 0	58,246 ------------- 0
29PETER HOFRENNING FORMER SVP,INTERIM CHIEF C	(i) (ii)	211,427 ------------- 0	40,701 ------------- 0	20,477 ------------- 0	15,611 ------------- 0	37,976 ------------- 0	326,192 ------------- 0	0 ------------- 0
30PATRICIA WESELA INTERIM CHIEF COMPLIANCE OFFICER	(i) (ii)	204,874 ------------- 0	43,318 ------------- 0	4,703 ------------- 0	39,046 ------------- 0	27,789 ------------- 0	319,730 ------------- 0	0 ------------- 0
31DANDRE CARPENTER DNP SVP SYSTEM NURSING OFFICER	(i) (ii)	35,957 ------------- 0	200,000 ------------- 0	22,076 ------------- 0	5,409 ------------- 0	802 ------------- 0	264,244 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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, LINES 4A-B	4(A): SARA CRIGER - $197,478; JOHN MISA, MD - $424,320; JONATHAN SHOEMAKER - $149,040; RYAN ELSE, MD - $216,320; ANN MADDEN RICE - $352,636 4(B): LISA SHANNON - $203,393; SARA CRIGER - $294,979; SARAH KLEAVELAND KUPCZAK - $40,623; RICHARD MAGNUSON - $473,680, JOHN MISA, MD - $303,769; CHRISTINE MOORE - $91,609; JONATHAN SHOEMAKER - $409,736; DAVID SLOWINSKE - $89,485; ELIZABETH TRUESDELL SMITH - $99,513; PATRICIA WESELA - $823; MOTTI EDELSTEIN - $7,737; DAVID INGHAM, DO - $32,680; VENKAT IYER, MD - $21,947; DAVID JOOS - $63,558; THOMAS LUBOTSKY - $152,827; NICHOLAS MENDYKA - $48,626; ROBERT QUICKEL, MD - $92,212; MARK HELLER, MD - $64,596; ANTHONY ANDERSON, MD - $57,375; JAYSON DOCK, MD - $49,895; RYAN ELSE, MD - $65,561
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: 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 SERP IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. ALLINA EXECUTIVE RETIREMENT BENEFIT RESTORATION PLAN ELIGIBLE ALLINA EXECUTIVES PARTICIPATE IN A DEFERRED COMPENSATION RETIREMENT PLAN. EXECUTIVES ARE CREDITED AN AMOUNT EQUAL TO THE EXCESS AMOUNT THAT WOULD HAVE BEEN CREDITED TO THE ALLINA RETIREMENT SAVINGS PLAN WERE IT NOT FOR THE QUALIFIED PLAN COMPENSATION LIMITS. EMPLOYER CREDITS ARE MADE EACH YEAR TO THEIR ACCOUNT BALANCE ACCORDING TO THE FOLLOWING SCHEDULE AS OF THE END OF THE PLAN YEAR: PARTICIPANT'S YEARS OF VESTING SERVICE APPLICABLE PERCENTAGE LESS THAN 1 0% 1-5 5.0% 6-10 5.5% 11-15 6.0% 16 OR MORE 6.5% DEPOSITS EARN THE INVESTMENT RATE OF RETURN EQUAL TO THE INVESTMENT OPTIONS SELECTED BY THE PARTICIPANT WHICH ARE THE SAME OPTIONS AVAILABLE UNDER THE QUALIFIED PLAN. A PARTICIPANT WHO HAS COMPLETED AT LEAST TWO YEARS OF SERVICE BECOMES VESTED IN THE PORTION OF HIS OR HER ACCOUNT ATTRIBUTABLE TO THE ANNUAL CREDIT FOR A PARTICULAR YEAR AS OF JANUARY 15 OF THE YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE ANNUAL CREDIT IS EARNED. IN THE EVENT OF TERMINATION (OTHER THAN BECAUSE OF DEATH) PRIOR TO AGE 67, THE DISTRIBUTION DATE SHALL BE AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER TERMINATION IN THE FORM OF A LUMP SUM PAYMENT. THE PLAN IS PAYABLE FROM ALLINA'S GENERAL ASSETS. IF ALLINA BECOMES INSOLVENT, THE PARTICIPANT WILL BE AN UNSECURED CREDITOR AND WILL HAVE NO PRIORITY CLAIM TO ANY ASSETS. THIS PLAN WAS EFFECTIVE JANUARY 1, 2009 AND FROZEN EFFECTIVE DECEMBER 31, 2018. EXECUTIVE SEVERANCE PLAN ALLINA PROVIDES SALARY CONTINUATION FOR EXECUTIVES WHOSE EMPLOYMENT HAS BEEN INVOLUNTARILY TERMINATED FOR REASONS OTHER THAN CAUSE OR POOR PERFORMANCE. THE LENGTH OF THE SEVERANCE PAY PERIOD IS DEFINED BY THE PLAN AND DEPENDS ON THE LEVEL OF THE EXECUTIVE POSITION. UNDER THE PLAN THE SEVERED EXECUTIVE ALSO COULD CONTINUE CERTAIN BENEFITS FOR A LIMITED PERIOD OF TIME. IN 2009 THE PLAN WAS AMENDED TO FURTHER RESTRICT SEVERANCE BENEFITS IN THE CASE THAT THE EXECUTIVE OBTAINS OTHER EMPLOYMENT DURING THE SEVERANCE PERIOD. SUPPLEMENTAL PHYSICIAN AND EXECUTIVE SAVINGS PLAN THIS PLAN'S PURPOSE IS TO PROVIDE A SELECT GROUP OF PHYSICIANS AND EXECUTIVES WITH ADDITIONAL DEFERRED COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INTENDED TO BE EXEMPT FROM CODE SECTION 409A AND 457(F). ANNUAL CONTRIBUTIONS ARE MADE EACH FEBRUARY AND ARE BASED ON PREVIOUS YEAR'S ELIGIBLE COMPENSATION. PARTICIPANT'S APPLICABLE CONTRIBUTION PERCENTAGE FOLLOWS: PARTICIPANT APPLICABLE PERCENTAGE PHYSICIANS 5% VP'S 12% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT SVP \| EVP 15% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT CEO 20% OF BASE SALARY + 10% OF BASE SALARY OVER IRS PAY LIMIT IF PARTICIPANT IS FULLY VESTED, THE CONTRIBUTION IS PAID DIRECTLY TO PARTICIPANT, LESS TAXES IN LATE JANUARY. IF PARTICIPANT IS UNVESTED, THE CONTRIBUTION IS DEPOSITED WITH FIDELITY. THE VESTING SCHEDULE FOR THIS PLAN FOLLOWS: FOR 2019 CONTRIBUTION, ONLY - IT WAS DEPOSITED IN FEBRUARY 2020, 50% VESTING AFTER 2 YEARS - I.E. 2021, PAID OUT 01/2021; AND, 50% VESTING IN 2022, PAID OUT 01/2022. FOR 2020 CONTRIBUTIONS AND AFTER - VESTING OCCURS AFTER 3 YEARS - I.E. 2020 CONTRIBUTION VESTS IN 2023, THE 2021 CONTRIBUTION VESTS IN 2024, ETC. PARTICIPANTS ARE 100% VESTED AT THE EARLIER OF AT LEAST AGE 60 WITH 7 YEARS OF SERVICE OR AGE 65. GRANDFATHERED PROVISION - FOR THOSE AGE 54 OR OLDER AND EMPLOYED AS OF 12/31/2018: EARLIER OF AT LEAST AGE 60 WITH 3 YEARS OF SERVICE OR AGE 65. THIS PLAN WAS EFFECTIVE JANUARY 1, 2019. A NON-COMPETE CLAUSE DOES NOT APPLY TO THIS PLAN.

Schedule J (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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 MINNESOTA	41-6005375	60374VEX7	05-10-2023	401,407,215	SEE PART VI		X		X		X
B	CITY OF MINNEAPOLIS MINNESOTA	41-6005375	60374VEV1	11-10-2021	201,215,544	SEE PART VI		X		X		X
C	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
D	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

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................					17,655,000		20,015,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	410,525,805		204,062,640		82,732,038		92,779,168
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,709,631		1,213,450		925,179		830,328
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............					3,908		6,508
10 Capital expenditures from proceeds .............	93,396,348		175,758,359
11 Other spent proceeds .............					81,802,951		91,942,332
12 Other unspent proceeds .............	314,419,826		27,090,831
13 Year of substantial completion .............					2019		2017
	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 2020, 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 2020, 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) 2023

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
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 %		0 %		0.800 %		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 .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0.800 %		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) 2023

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 ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
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	BOND A: (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF AN APPROXIMATELY 575,000 SQUARE FOOT, TEN-STORY SURGICAL AND CRITICAL CARE PAVILION, TOGETHER WITH RELATED INFRASTRUCTURE. BOND B: (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF PARKING PROJECT AND POWER STATION PROJECT. 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 A PORTION OF THE 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: REFUND THE SERIES 2009A BONDS DATED 11/10/2009.
PART II, LINE 3 EXPLANATION	BOND A: THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS. BOND B: THE TOTAL PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS.
PART II, LINE 11 EXPLANATION	BOND C: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW. BOND D: THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW.
PART IV, ARBITRAGE, LINE 2C	BOND D: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/09/2022

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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. ........................... $

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

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) 2023

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) ERIN CHURCH	FAMILY MEMBER OF JOHN CHURCH, BOARD MEMBER	51,707	EMPLOYMENT		No
(2) MAKENZIE SHANNON	FAMILY MEMBER OF LISA SHANNON, PRESIDENT AND COO	89,979	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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2023

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	22	102,225	FAIR MARKET VALUE
26 Other ( EYEGLASS FRAMES & GLASSES )	X	807	85,380	FAIR MARKET VALUE
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) (2023)

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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

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 DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DEBBRA SCHONEMAN AND THOMAS SCHREIER, JR. ALSO SERVE ON THE PIPER SANDLER COMPANIES BOARD OF DIRECTORS. DEBBRA SCHONEMAN IS ALSO AN EMPLOYEE/OFFICER OF PIPER SANDLER COMPANIES. BUSINESS RELATIONSHIP - RICHARD MAGNUSON, PENNY WHEELER, M.D., AND LAWRENCE CHO ARE DIRECTORS OF THE BOARD OF (1) ALLINA HEALTH AND AETNA INSURANCE COMPANY, A MINNESOTA CORPORATION; AND (2) ALLINA HEALTH AND AETNA INSURANCE HOLDING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY. BUSINESS RELATIONSHIP - ELIZABETH TRUESDELL SMITH IS A BOARD MEMBER AND RICHARD MAGNUSON IS A BOARD MEMBER AND BOARD OFFICER OF FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY, SPC, A WHOLLY OWNED SUBSIDIARY OF ALLINA. BUSINESS RELATIONSHIP - MAYKAO HANG, PH.D. IS EMPLOYED BY THE UNIVERSITY OF ST. THOMAS AND PENNY WHEELER, MD AND DEBBRA SCHONEMAN ARE DIRECTORS/TRUSTEES ON THAT BOARD. BUSINESS RELATIONSHIP - TIM WELSH AND THOMAS SCHREIER, JR. ARE CO-INVESTORS IN A PARTNERSHIP THAT INVESTS IN THE MN UNITED FOOTBALL CLUB; THE RIGHTS TO THE PHYSICAL STADIUM ARE OWNED DIRECTLY BY MUSC HOLDINGS, AND THE HOLDING COMPANY ALSO CONTROLS MNUFC. SHARI BALLARD IS AN EMPLOYEE OFFICER OF MNUFC. BUSINESS RELATIONSHIP - DIRECTORS AMY RONNEBERG AND LISA SHANNON. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, AMY RONNEBERG AND LISA SHANNON ALSO SERVE ON THE MEDICAL ALLEY BOARD OF DIRECTORS. BUSINESS RELATIONSHIP - DIRECTORS SHARI BALLARD AND PENNY WHEELER. IN ADDITION TO SERVING TOGETHER ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, SHARI BALLARD IS A TRUSTEE AND PENNY WHEELER IS A BOARD MEMBER OF THE UNIVERSITY OF MN FOUNDATION. BUSINESS RELATIONSHIP - AMY RONNEBERG IS EMPLOYED BY THE NATIONAL MARROW DONOR PROGRAM BE THE MATCH, IN WHICH VICKI YANISCH (RASMUSSEN) IS A BOARD DIRECTOR. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, THOMAS SCHREIER AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE MINNEAPOLIS INSTITUTE OF ART. BUSINESS RELATIONSHIP - IN ADDITION TO SERVING ON THE ALLINA HEALTH SYSTEM BOARD OF DIRECTORS, DAVID KUPLIC AND TIMOTHY WELSH ARE BOTH TRUSTEES OF THE ORDWAY CENTER FOR THE PERFORMING ARTS. BUSINESS RELATIONSHIP - THOMAS SCHREIER AND TIMOTHY WELSH ARE OWNERS IN THE SAME ORGANIZATION - SYNERFUSE, INC. BUSINESS RELATIONSHIP - BADRINATH KONETY, MD, LISA SHANNON AND ROBERT QUICKEL, MD ARE ALL BOARD MEMBERS AND HSIENG SU, MD IS PRESIDENT OF THE SAME RELATED ORGANIZATION - ALLINA INTEGRATED MEDICAL NETWORK. BUSINESS RELATIONSHIP - SARA CRIGER, CHRISTINE MOORE AND LISA SHANNON ARE ALL BOARD MEMBERS OF THE SAME RELATED ORGANIZATION - ALLINA SPECIALTY ASSOCIATES. BUSINESS RELATIONSHIP - BARBARA BUTTS WILLIAMS IS A BOARD MEMBER AND RICHARD MAGNUSON AND LISA SHANNON ARE OFFICERS OF THE SAME RELATED ORGANIZATION - ALLINA HEALTH FOUNDATION.
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 5, 2024 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. $16,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF JENNIFER ALSTAD $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF SHARI BALLARD $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF JOHN CHURCH $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF LEE MITAU $17,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF VICKI RASMUSEN YANISCH $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF AMY RONNEBERG $22,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF DEBBRA SCHONEMAN $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF THOMAS SCHREIER $12,500 DONATED TO THE ALL TOGETHER BETTER CAMPAIGN FOR THE SERVICES OF TIM WELSH
FORM 990, PART XI, LINE 9:	FAS 106 MN BENEFIT RETIREMENT ADJUSTMENT 1,918,187. SCA BROOKLYN PARK AND EDINA AMBULATORY SURGERY CENTER CONTRIBUTIONS -1,129,433. TRANSFER OF SOUTHWEST SURGICAL CENTER, LLC PARTNERSHIP EQUITY -15,668,991. COOKE SPIRIT FUND 700,816. RESTRICTED MEDICAL STAFF FUND ACTIVITY -21,139. UNRESTRICTED CONTRIBUTIONS TO DISTRICT ONE FOUNDATION -982,183. ALLINA HEALTH CANCER CLINIC CAPITAL CAMPAIGN CONTRIBUTIONS 38,000. NET ASSETS RELEASED FROM RESTRICTIONS - NONCAPITAL -35,705.
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) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

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	10,061,883	10,412,264	ALLINA HEALTH SYSTEM
(2) AXIS HEALTHCARE LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1855603	HEALTHCARE SERVICES	MN	75,131	624,127	ALLINA HEALTH SYSTEM
(3) AH FRANCHISING LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043	FRANCHISING	DE	0	0	ALLINA HEALTH SYSTEM
(4) ALLINA HEALTH CLINICS LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 36-3261413	HEALTHCARE SERVICES	MN	-154,722,040	341,043,091	ALLINA HEALTH SYSTEM
(5) ALLINA HEALTH SURGERY CENTER PARTNERS LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 92-2516512	HEALTHCARE SERVICES	MN	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)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
(2)ALLINA HEALTH FOUNDATION (FKA 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
(3)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
(4)ALLINA HEALTH RESTORATIVE SUITES (FKA PHS WESTHEALTH INC) 2775 CAMPUS DRIVE PLYMOUTH,MN55441 41-2017315	HEALTHCARE SERVICES	MN	501(C)(3)	LINE 10	ALLINA HEALTH SYSTEM		No
(5)REGINA FOUNDATION PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 41-1987372	FUNDRAISING AND GRANTMAKING ORGANIZATION	MN	501(C)(3)	LINE 7	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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) MAGNETO LEASING LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 20-1582501	RENTAL EQUIPMENT	MN	ALLINA HEALTH SYSTEM	RELATED	29,619	12,556		No		Yes		50.000 %
(2) HEALTHCARE CAMPUS IMAGING ONE LLC 200 STATE AVENUE FARIBAULT,MN55021 52-2401657	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED				No		Yes		50.000 %
(3) MOBILE IMAGING SERVICES LLC 7505 METRO BOULEVARD SUITE 400 EDINA,MN55439 41-1883212	RADIOLOGY	MN	ALLINA HEALTH SYSTEM	RELATED	9,223	315,870		No		Yes		50.000 %
(4) BPA HEALTH LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE,MN55113 35-2490984	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED				No		Yes		50.000 %
(5) ASPEN SLEEP CENTER LLC 1010 BANDANA BOULEVARD WEST ST PAUL,MN55108 26-1850227	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	-20,101	491,806		No			No	65.000 %
(6) NORTHSTAR SLEEP CENTER LLC 920 EAST 28TH STREET SUITE 700 MINNEAPOLIS,MN55407 45-2532456	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	429,577	99,132		No		Yes		49.000 %
(7) CROSBY CARDIOVASCULAR SERVICES LLC 920 E 28TH STREET SUITE 500 MINNEAPOLIS,MN55407 41-2010368	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	124,736	1,150,168		No		Yes		50.000 %
(8) GERIATRIC SERVICES OF MINNESOTA LLC 3433 BROADWAY STREET NE SUITE 300 MINNEAPOLIS,MN55413 45-3357936	HEALTHCARE SERVICES	MN	ALLINA HEALTH SYSTEM	RELATED	8,615,704	5,238,476		No		Yes		45.000 %
(9) GLOBAL MARKET RESERVE FUND LLC PO BOX 43 MAIL ROUTE 10890 MINNEAPOLIS,MN554400043 83-2659070	FINANCE	MN	ALLINA HEALTH SYSTEM	UNRELATED	80,047	1,296,588		No			No	50.000 %
(10) WESTHEALTH SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 37-1763155	SURGICAL SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	2,862,743	4,285,864		No			No	49.000 %
(11) SCA GREENWAY HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3472510	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	589,469	1,091,411		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	-54,833	721,414		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	294,118	1,300,002		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	1,160,944	2,031,512		No			No	26.910 %
(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	-102,428	1,457,691		No			No	30.600 %
(16) WOODBURY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3366699	HEALTHCARE SERVICES	MN	SCA WOODBURY HOLDINGS LLC	RELATED	582,047	2,510,258		No			No	31.640 %
(17) WESTHEALTH JV HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-3312235	HOLDING COMPANY	DE	ALLINA HEALTH SYSTEM	RELATED	1,732,940	12,102,444		No			No	70.000 %
(18) SOUTHWEST SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 41-2013700	SURGICAL SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	1,472,692	1,775,875		No			No	84.700 %
(19) ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 87-2158427	SURGICAL SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	-361,660	2,106,252		No			No	84.700 %
(20) ALLINA HEALTH SURGERY CENTER - BROOKLYN PARK LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 87-1746250	SURGICAL SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	243,383	4,773,373		No			No	37.100 %
(21) ALLINA HEALTH SURGERY CENTER - VADNAIS HEIGHTS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 88-2406421	SURGICAL SERVICES	MN	WESTHEALTH JV HOLDINGS LLC	RELATED	-1,997,857	3,423,684		No			No	84.700 %

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	1,265,158	69,022,550	100.000 %		No
(2) ALLINA HEALTH SYSTEM TRUST PO BOX 535007 PITTSBURGH,PA15253 27-6712988	TRUST	PA	ALLINA HEALTH SYSTEM	T	109,751,268		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	22,046		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	1,174,225	11,799,912	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	849,412	20,934,890	100.000 %		No

Schedule R (Form 990) 2023

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) ALLINA HEALTH FOUNDATION	C	32,700,980	CASH
(2) ALLINA HEALTH FOUNDATION	B	6,530,991	COST
(3) ALLINA SPECIALTY ASSOCIATES INC	C	710,698	CASH
(4) ST FRANCIS REGIONAL MEDICAL CENTER	Q	36,017,801	CASH
(5) REGINA FOUNDATION	C	270,691	CASH
(6) WESTHEALTH SURGERY CENTER LLC	C	2,689,859	CASH
(7) FORSETI RISK MANAGEMENT INDEMNIFICATION COMPANY SPC	B	4,432,639	CASH
(8) ALLINA INTEGRATED MEDICAL NETWORK	B	449,268	CASH
(9) WESTHEALTH JV HOLDINGS LLC	C	2,847,653	CASH
(10) GERIATRIC SERVICES OF MN LLC	C	3,150,000	CASH
(11) SOUTHWEST SURGICAL CENTER LLC	C	1,286,803	CASH
(12) SCA GREENWAY HOLDINGS LLC	C	752,228	CASH
(13) GREENWAY SURGICAL SUITES LLC	C	396,910	CASH
(14) WOODBURY SURGERY CENTER LLC	C	94,716	CASH
(15) ALLINA HEALTH SURGERY CENTER - VADNAIS HEIGHTS LLC	B	5,124,049	CASH
(16) SCA WOODBURY HOLDINGS LLC	C	151,310	CASH

Schedule R (Form 990) 2023

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) 2023

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) 2023

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 2023, ALLINA HEALTH PROVIDED $1,291,488,361 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	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	33,927
6	Total number of volunteers (estimate if necessary) .............	6	3,322
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	35,230,005
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	2,799,570

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	23,541,864	36,066,043
9	Program service revenue (Part VIII, line 2g) .........	4,907,873,035	5,126,375,007
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	190,843,426	160,411,284
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	39,807,620	60,475,486
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,162,065,945	5,383,327,820
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,478,142	5,890,316
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)	3,231,914,520	3,452,287,205
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 7,642,502
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,953,363,069	2,120,139,785
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,190,755,731	5,578,317,306
19	Revenue less expenses. Subtract line 18 from line 12.......	-28,689,786	-194,989,486
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,837,797,261	5,959,780,886
21	Total liabilities (Part X, line 26).............	2,683,249,294	2,971,390,519
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,154,547,967	2,988,390,367

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,772,693,262 including grants of $ 5,890,316 ) (Revenue $ 5,235,132,675 )
	PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN IS THE LARGEST NONPROFIT HOSPITAL IN THE TWIN CITIES. ABBOTT NORTHWESTERN SERVES MORE THAN 200,000 PATIENTS AND THEIR FAMILIES FROM ACROSS THE TWIN CITIES AND UPPER MIDWEST PER YEAR. THE HOSPITAL IS KNOWN ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: ALLINA HEALTH CANCER INSTITUTE, MINNEAPOLIS HEART INSTITUTE, THE SPINE INSTITUTE, NEUROSCIENCE INSTITUTE, ORTHOPEDIC INSTITUTE, THE MOTHER BABY CENTER, AND THE COURAGE KENNY REHABILITATION INSTITUTE. THE HOSPITAL HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITY IT SERVES THROUGH BOTH CHARITABLE GIVING BY THE ALLINA HEALTH FOUNDATION - ABBOTT NORTHWESTERN HOSPITAL PHILANTHROPIC ADVISORY BOARD AND PROGRAMMING EFFORTS THAT ADDRESS HEALTH NEEDS IN THE COMMUNITY.BUFFALO HOSPITAL - BUFFALO, MINNESOTABUFFALO HOSPITAL IS A NON-PROFIT REGIONAL MEDICAL CENTER COMMITTED TO PROVIDING QUALITY, COMPREHENSIVE CARE TO PATIENTS IN AND AROUND WRIGHT COUNTY. BUFFALO HOSPITAL PROVIDES EXCEPTIONAL PATIENT-CENTERED CARE TO NEARLY 70,000 PATIENTS EVERY YEAR. BUFFALO HOSPITAL WAS ALSO THE FIRST HOSPITAL IN THE STATE OF MINNESOTA TO BE AWARDED THE PATHWAY TO EXCELLENCE AMERICAN NURSE CREDENTIALING DESIGNATION AND ALSO RECEIVED AN AWARD FROM THE MINNESOTA BUSINESS MAGAZINE FOR DEVELOPING WELLNESS PROGRAMS. THE HOSPITAL ALSO HAS A LONG HISTORY OF WORKING TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH CHARITABLE GIVING BY THE BUFFALO HOSPITAL FOUNDATION AND DIRECT COMMUNITY HEALTH-IMPROVEMENT PROGRAMMING. CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTACAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO MORE THAN 30,000 RESIDENTS IN ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND AN 86-BED HOSPITAL LOCATED ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY. THE LARGE DEDICATED TEAM OF PHYSICIANS AND PROVIDERS PROVIDE SPECIALTY CARE SUCH AS CARDIOLOGY, ONCOLOGY, EAR NOSE THROAT AND UROLOGY, AMONG OTHERS. THE MEDICAL CENTER HAS MORE THAN 850 EMPLOYEES AND IS THE LARGEST EMPLOYER IN THE CITY OF CAMBRIDGE.ALLINA HEALTH FARIBAULT MEDICAL CENTER (FKA DISTRICT ONE HOSPITAL) - FARIBAULT, MNFARIBAULT MEDICAL CENTER, LOCATED IN FARIBAULT, MINNESOTA, OPERATES 42 BEDS. THE MEDICAL CENTER PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES, INCLUDING ORTHOPEDIC SERVICES, PHYSICAL THERAPY, CARDIAC REHABILITATION, ADULT MENTAL HEALTH OUTPATIENT SERVICES, CANCER SERVICES AND A BIRTH CENTER.MERCY HOSPITAL - COON RAPIDS, MINNESOTAMERCY HOSPITAL HAS TWO CAMPUSES - THE MERCY CAMPUS IN COON RAPIDS AND UNITY CAMPUS IN FRIDLEY. MERCY OFFERS A WIDE RANGE OF SPECIALTY SERVICES, INCLUDING AWARD-WINNING VIRGINIA PIPER CANCER INSTITUTE, THE MOTHER BABY CENTER, MENTAL HEALTH CARE, EMERGENCY SERVICES, SURGICAL SERVICES AND TOP-RATED CARDIOVASCULAR CARE THROUGH THE HOSPITAL'S NATIONALLY KNOWN HEART & VASCULAR CENTER. ADDITIONALLY, THE HOSPITAL WAS NAMED ONE OF THE NATION'S 100 TOP HOSPITALS AND 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. MERCY HOSPITAL HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITIES IT SERVES THROUGH CHARITABLE GIVING BY ALLINA HEALTH AND THE MERCY HOSPITAL FOUNDATION AND PROGRAMMING THAT ADDRESSES HEALTH NEEDS IN THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTANEW ULM MEDICAL CENTER (NUMC) IS A NONPROFIT HOSPITAL WITH CLINICS IN NEW ULM, SPRINGFIELD, LAMBERTON AND WINTHROP. THE HOSPITAL OFFERS AN EXTENSIVE RANGE OF CARE OPTIONS WITH MORE THAN 70 AFFILIATED PHYSICIANS AND NURSE PRACTITIONER/PHYSICIAN ASSISTANT PROVIDERS AND A FULL COMPLEMENT OF VISITING SPECIALISTS. AMONG THE MANY IMPORTANT SERVICES ALLINA HEALTH OFFERS TO THIS RURAL REGION ARE OBSTETRICS, SURGERY, MENTAL HEALTH/ADDICTION, HOME CARE, HOSPICE AND EMERGENCY MEDICAL SERVICES. IN 2021, NUMC WAS NAMED ONE OF THE TOP 100 CRITICAL ACCESS HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH FOR THE 10TH TIME. OWATONNA HOSPITAL - OWATONNA, MINNESOTAOWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. THE HOSPITAL HAS SPECIALTIES IN SURGERY AND TRAUMA CARE AND A COMPREHENSIVE ARRAY OF OUTPATIENT REHABILITATION SERVICES. THE HOSPITAL IS PHYSICALLY CONNECTED TO MAYO CLINIC HEALTH SYSTEM - OWATONNA CLINIC AND BENEDICTINE LIVING COMMUNITY - OWATONNA, AN 80-BED LONG- AND SHORT-TERM CARE FACILITY. THE OWATONNA HEALTH CARE CAMPUS BRIDGES INPATIENT AND OUTPATIENT SERVICES WITHIN THE SAME MEDICAL DISCIPLINES TO CREATE SEAMLESS PATIENT CARE.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINRIVER FALLS AREA HOSPITAL IS A NON-PROFIT HEALTH SYSTEM DEDICATED TO THE PREVENTION AND TREATMENT OF ILLNESS. THE RIVER FALLS HEALTHCARE CAMPUS INCLUDES THE RIVER FALLS AREA HOSPITAL, ALLINA HEALTH RIVER FALLS CLINIC, A NUMBER OF SPECIALTY PROVIDER PARTNERS AND THE KINNIC HEALTH & REHAB FACILITY. ITS FOCUS IS TO DELIVER EXCEPTIONAL HEALTH CARE, SUPPORT SERVICES, AND PREVENTIVE CARE - PUTTING THE PATIENT FIRST IN EVERYTHING. THE HOSPITAL ALSO HAS A LONG HISTORY OF WORKING TO IMPROVE HEALTH IN THE COMMUNITY IT SERVES THROUGH PROGRAMS AND SERVICES THAT RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY. UNITED HOSPITAL - ST. PAUL, MINNESOTAIN AUGUST 2022, UNITED HOSPITAL IN ST. PAUL, MINNESOTA, AND REGINA HOSPITAL IN HASTINGS, MINNESOTA, ALIGNED UNDER ONE HOSPITAL LICENSE WITH TWO EAST METRO CAMPUSES. THEY ARE NOW KNOWN AS UNITED HOSPITAL AND UNITED HOSPITAL - HASTINGS REGINA CAMPUS. TOGETHER, THE TWO CAMPUSES ANNUALLY SERVE MORE THAN 250,000 PATIENTS. UNITED HOSPITAL - ST. PAUL CAMPUS IS ONE OF THE LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED'S EMPLOYEES AND MEDICAL STAFF ARE COMMITTED TO PLACE PATIENT NEEDS FIRST AND TREATING ALL INDIVIDUALS WITH COMPASSION AND RESPECT. HIGHLY REGARDED FOR ITS CLINICAL CARE, UNITED HAS EARNED A REPUTATION FOR SUPPORTIVE, PATIENT-CENTERED CARE DESIGNED TO CREATE THE MOST COMFORTABLE, STRESS-FREE HEALTH CARE EXPERIENCE POSSIBLE. UNITED HOSPITAL - HASTINGS REGINA CAMPUS SERVES THE COMMUNITY BY PROVIDING EXCEPTIONAL CARE, PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT TO PATIENTS.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2023, ALLINA HEALTH EXPENDED ALMOST $4 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 10,400,000 CLINIC VISITS, 93,531 INPATIENT ADMISSIONS AND 1,200,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 345,000 EMERGENCY CARE VISITS, 94,000 SURGERIES, AND OVER 101,000 AMBULANCE TRANSFERS AT ALLINA HEALTH HOSPITALS. FOR MORE INFORMATION PLEASE VISIT HTTP://WWW.ALLINAHEALTH.ORG.SUBSIDIZED HEALTH SERVICESALLINA HEALTH SUBSIDIZES CERTAIN NECESSARY HEALTH CARE SERVICES, WHICH INCLUDE 24-HOUR EMERGENCY SERVICES TO THE COMMUNITY, ESPECIALLY THOSE LOCATED IN MEDICALLY UNDERSERVED OR HIGH-NEED AREAS, COMMUNITY SERVICES FOR PEOPLE WITH DISABILITIES AND MENTAL HEALTH SERVICES. IN 2023, ALLINA HEALTH EXPENDED $21,452,821 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.

4b	(Code: ) (Expenses $ 1,065,994,966 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 2023, ALLINA HEALTH PROVIDED $1,065,994,966 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 2023, ALLINA HEALTH EXPENDED $698,665,818 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $285,823,068 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. IN 2023, AN IN-DEPTH ASSESSMENT OF CURRENT REPORTING PRACTICES AND EXPERT GUIDANCE WAS COMPLETED. THE CALCULATION OF THIS CATEGORY WAS ADJUSTED TO INCLUDE COSTS IN EXCESS OF PAYMENTS ASSOCIATED WITH PROVIDING CARE TO PATIENTS WHO ARE BENEFICIARIES OF PROGRAMS REIMBURSED THROUGH MANAGED CARE PLANS SUCH AS MINNESOTA HEALTH CARE PROGRAMS (MHCP). MANAGED CARE PLANS SUCH AS MHCP ARE A FORM OF MEDICAID, ADMINISTERED THROUGH MANAGED CARE ORGANIZATIONS. IN MINNESOTA, MOST RESIDENTS WHO QUALIFY FOR MEDICAID ARE REQUIRED TO ENROLL IN AN MHCP PROGRAM UNLESS THEY MEET A CERTAIN LIST OF EXCLUSIONS. THE ADJUSTMENT TO INCLUDE MHCP PROGRAMS RESULTED IN AN INCREASE OF ALMOST $250 MILLION REPORTED FOR 2023. 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 2023, ALLINA HEALTH PAID $28,336,020 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXTHE SYSTEM ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 1.6% ON CERTAIN PATIENT SERVICE REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE. IN 2023, ALLINA HEALTH PAID $50 MILLION IN MINNESOTACARE TAXES.TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $3,353,497 IN PROPERTY TAXES IN 2023. ALLINA HEALTH PAYS OTHER FEDERAL, STATE, AND LOCAL TAXES THAT AREN'T REPORTED HERE.

4c	(Code: ) (Expenses $ 68,417,715 including grants of $ ) (Revenue $ -88,078,346 )
	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 AS UNPAID AND UNCOLLECTIBLE). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2023, ALLINA HEALTH PROVIDED $15,653,489 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 14 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 77 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2023, ALLINA HEALTH PROVIDED $52,764,226 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 2023 TOTALED $88,078,346.

	(Code: ) (Expenses $ 47,544,513 including grants of $ ) (Revenue $ )
	COMMUNITY SERVICES:IN 2023, ALLINA HEALTH CONTRIBUTED $47,544,514 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 2023, MORE THAN 4,600 PEOPLE FROM MINNESOTA AND WISCONSIN VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2023, MORE THAN 139,000 PEOPLE VISITED THE CHANGE TO CHILL WEBSITE. ALSO IN 2023, CHANGE TO CHILL PARTNERED WITH THE LOCAL ORGANIZATION INDIGENOUS PEOPLE'S TASK FORCE (IPTF) TO CREATE A LAUNCH "CHANGE THE CHILL FOR INDIGENOUS YOUTH", A NATIVE AMERICAN-SPECIFIC WEBPAGE CREATED BY AND FOR INDIGENOUS YOUTH LIVING IN OUR COMMUNITY. SINCE 2018, THE CTC PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT - THE CHANGE TO CHILL SCHOOL PARTNERSHIP(CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, A MENTAL WELLNESS CURRICULUM, A "CHILL KIT" WITH PRINT MATERIALS AND ITEMS SUCH AS FIDGETS TO PROMOTE MENTAL WELLBEING, AND FUNDING FOR A "CHILL ZONE"-A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. DURING THE 2023-2024 SCHOOL YEAR, 35 HIGH SCHOOLS AND MIDDLE SCHOOLS RECEIVED SUPPORT AND RESOURCES THROUGH THE CTCSP.HELLO4HEALTH - LAUNCHED IN 2021 TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. PATIENTS WHO SELF-IDENTIFY AS LONELY OR SOCIALLY ISOLATED ARE ALSO REFERRED TO THE WEBSITE. IN 2023, MORE THAN 13,700 PEOPLE VISITED THE WEBSITE.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. ALLINA HEALTH HEALTH-RELATED NEEDS PROGRAM - TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS SELECT PATIENT NEEDS AT POINT OF CARE AND CONNECT PATIENTS TO COMMUNITY PROGRAMS OR RESOURCES THAT SUPPORT ONGOING NEED, ALLINA HEALTH CONTINUED ITS HEALTH-RELATED SOCIAL NEEDS (HRSN) PROGRAM, AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. IN OCTOBER 2023, ALLINA HEALTH EXPANDED THE PROGRAM TO INCLUDE ALL HOSPITAL PATIENTS AS WELL AS THOSE ACCESSING CARE VIA OUR MOTHER-BABY SERVICE LINE, CARE MANAGEMENT, AND THE PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING. IN TOTAL, ALLINA HEALTH SCREENED MORE THAN 390,000 PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS SUCH AS HOUSING, FOOD INSECURITY, TRANSPORTATION AND HELP PAYING MEDICAL BILLS. OF THOSE, NEARLY 10 % IDENTIFIED AT LEAST ONE NEED. MORE THAN 11,000 PATIENTS ALSO RECEIVED SUPPORT ACCESSING COMMUNITY RESOURCES FROM AN ALLINA HEALTH COMMUNITY NAVIGATOR. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2023, ALLINA HEALTH INVESTED OVER $26 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. ALLINA HEALTH INVESTED MORE THAN $2 MILLION TOWARD RESEARCH IN 2023. 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 2023, ALLINA HEALTH FUNDED NEARLY $5 MILLION FOR DONATIONS OF EQUIPMENT, SUPPLIES, MEETING SPACE, STAFF TIME AND SPONSORSHIP OF VARIOUS CIVIC AWARDS, COMMUNITY PROGRAMS AND EVENTS. THIS INCLUDED DONATING SPACE IN ALLINA HEALTH'S CORPORATE HEADQUARTERS, THE ALLINA COMMONS, TO COMMUNITY GROUPS SUCH AS THE LAKE STREET COUNCIL AND CULTURAL WELLNESS CENTER. COMMUNITY-BUILDING ACTIVITIESALLINA HEALTH AND ITS EMPLOYEES ARE ACTIVE PARTICIPANTS IN VARIOUS COMMUNITY ACTIVITIES THAT TARGET THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL ISSUES. EXAMPLES INCLUDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT, PARTICIPATING IN VARIOUS COMMUNITY COALITIONS AND DISASTER PREPAREDNESS PLANNING. AWARDSIN 2023, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS FOR ATTRIBUTES SUCH AS WORKPLACE EXCELLENCE, SAFETY, PATIENT EXPERIENCE AND QUALITY. PERTAINING TO COMMUNITY BENEFIT, ALLINA HEALTH WAS RECOGNIZED FOR ITS SUSTAINABILITY INITIATIVES VIA NUMEROUS AWARDS. FROM PRACTICE GREENHEALTH, AN ENVIRONMENTAL SUSTAINABILITY ORGANIZATION FOR HOSPITALS AND HEALTH SYSTEMS IN THE US AND CANADA, ALLINA HEALTH WAS AWARDED SYSTEM FOR CHANGE AWARD AND ALL ALLINA HEALTH HOSPITALS AND COURAGE KENNY GOLDEN VALLEY RECEIVED AWARDS FOR SUPERIOR PERFORMANCE ADDITIONALLY, FOR WASTE REDUCTION, ALLINA HEALTH WAS AWARDED THE DOE'S BETTER PRACTICE AWARD AND THE STRYKER SUSTAINABILITY FOR REPROCESSING. THE STAFF PERSON WHO STARTED AND MAINTAINS THE CAMBRIDGE GIVING GARDEN WAS AWARDED FOR HER WORK BY UPSTREAM, A NEW STATEWIDE INITIATIVE CELEBRATING MINNESOTA'S NATURAL PLACES AND THE PEOPLE WHO CARE FOR THEM. ADDITIONALLY, TO SUPPORT THE HEALTHCARE WORKFORCE AND ECONOMIC VITALITY IN RURAL COMMUNITIES, NEW ULM MEDICAL CENTER RECEIVED THE WORKFORCE PIPELINES AND PARTNERSHIPS AWARD FROM THE MINNESOTA HOSPITAL ASSOCIATION FOR ITS EFFORTS TO EDUCATE LOCAL STUDENTS IN HEALTHCARE CAREERS. 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 $ 47,544,513 including grants of $ ) (Revenue $ )
4e	Total program service expenses4,954,650,456

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	30,963,554	0	3,298,210

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	32,971,671
e	Government grants (contributions)		1e	2,619,979

f	All other contributions, gifts, grants, and similar amounts not included above		1f	474,393

g	Noncash contributions included in lines 1a - 1f:$		1g	187,605

h Total. Add lines 1a-1f.......		36,066,043

		Business Code
2a	PROG.SERV.REVENUE-RELATED-990	621990	5,214,453,353	5,214,453,353
b	PATIENT BAD DEBT	621990	-88,078,346	-88,078,346
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		5,126,375,007

3 Investment income (including dividends, interest, and othersimilar amounts) ......			71,975,939			71,975,939
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	4,566,159
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	4,566,159
d	Net rental income or (loss).......			4,566,159			4,566,159
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,874,720,868	10,242,655
b	Less: cost or other basis and sales expenses	7b	1,788,929,606	7,598,572
c	Gain or (loss)	7c	85,791,262	2,644,083
d	Net gain or (loss).........			88,435,345			88,435,345
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
11a	RETAIL PHARMACY		456110	21,817,125		21,817,125
b	REFERENCE LAB		621500	12,684,897		12,684,897
c	ST FRANCIS MEDICAL CENTER		621990	11,477,820	11,477,820
d	All other revenue ....			9,929,485	9,201,502	727,983
e	Total. Add lines 11a–11d ......			55,909,327
12	Total revenue. See instructions.....			5,383,327,820	5,147,054,329	35,230,005	164,977,443

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,523,371	5,523,371
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	366,945	366,945
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 ...........	22,797,752		22,797,752
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........	2,699,408,003	2,455,944,075	238,802,871	4,661,057
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	184,961,888	166,870,580	17,774,610	316,698
9	Other employee benefits .......	373,343,816	336,826,683	35,877,881	639,252
10	Payroll taxes ...........	171,775,746	154,974,187	16,507,438	294,121
11	Fees for services (non-employees):
a	Management ......	31,882,150	17,769,489	14,102,033	10,628
b	Legal .........	11,349,411		11,349,411
c	Accounting ...........	1,019,188		1,019,188
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)	478,705,148	383,359,065	93,979,811	1,366,272
12	Advertising and promotion ....	5,874,501	1,224,153	4,599,924	50,424
13	Office expenses .......	929,044,928	901,891,156	27,069,970	83,802
14	Information technology ......	102,014,499	53,789,624	48,172,354	52,521
15	Royalties ..
16	Occupancy ...........	161,326,432	140,506,821	20,811,779	7,832
17	Travel ............	5,862,022	5,118,085	732,675	11,262
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	7,931,390	7,088,892	839,842	2,656
20	Interest ...........	54,907,537	54,907,537
21	Payments to affiliates .......	154,500	154,500
22	Depreciation, depletion, and amortization ..	204,302,905	154,692,165	49,594,867	15,873
23	Insurance ...	18,157,481	18,157,481
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	49,816,563	49,816,563
b	MEDICAID SURCHARGE	28,336,021	28,336,021
c	COMMUNITY OUTREACH	1,654,390	1,507,086	142,524	4,780
d	INCOME TAX - UBI	1,381,715		1,381,715
e	All other expenses	26,419,004	15,825,977	10,467,703	125,324
25	Total functional expenses. Add lines 1 through 24e	5,578,317,306	4,954,650,456	616,024,348	7,642,502
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 ........			30,387,245	1	16,965,430
2	Savings and temporary cash investments .........			8,628,969	2	8,775,340
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			888,123,545	4	948,215,382
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 ............			105,192,246	8	101,725,140
9	Prepaid expenses and deferred charges ......			43,434,750	9	46,742,652
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,120,390,739
b	Less: accumulated depreciation	10b	2,451,134,691	1,555,934,522	10c	1,669,256,048
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			3,135,398,856	12	3,114,219,009
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			31,232,352	14	9,259,124
15	Other assets. See Part IV, line 11 ...........			39,464,776	15	44,622,761
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,837,797,261	16	5,959,780,886

17	Accounts payable and accrued expenses .....	679,202,892	17	887,287,320
18	Grants payable ...		18
19	Deferred revenue .........	15,302,574	19	16,136,204
20	Tax-exempt bond liabilities .........	1,627,957,952	20	1,721,348,781
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	360,785,876	25	346,618,214
26	Total liabilities. Add lines 17 through 25..	2,683,249,294	26	2,971,390,519

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,145,110,468	27	2,979,105,375
28	Net assets with donor restrictions ...........	9,437,499	28	9,284,992
	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 ...........	3,154,547,967	32	2,988,390,367
33	Total liabilities and net assets/fund balances ........	5,837,797,261	33	5,959,780,886

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