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Allina Health System
PO Box 43 Mr 10890
Minneapolis, MN 55440
EIN: 363261413
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: New Ulm Medical Center1324 Fifth Street North
New Ulm, MN 56073
New Ulm, MN 56073
12 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 62 | Medicare provider number | 241378 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Allina Health SystemDisplay data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
4.15%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 4,842,121,497 Total amount spent on community benefits as % of operating expenses$ 200,992,904 4.15 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 16,823,763 0.35 %Medicaid as % of operating expenses$ 66,922,890 1.38 %Costs of other means-tested government programs as % of operating expenses$ 48,253,284 1.00 %Health professions education as % of operating expenses$ 24,050,348 0.50 %Subsidized health services as % of operating expenses$ 22,335,546 0.46 %Research as % of operating expenses$ 3,289,717 0.07 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 14,052,351 0.29 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 5,265,005 0.11 %Community building*
as % of operating expenses$ 294,384 0.01 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 24 Physical improvements and housing 0 Economic development 2 Community support 7 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 11 Community health improvement advocacy 2 Workforce development 2 Other 0 Persons served (optional) 2,701 Physical improvements and housing 0 Economic development 2,000 Community support 251 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 450 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 294,384 0.01 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 20,173 6.85 %Community support as % of community building expenses$ 98,342 33.41 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 90,134 30.62 %Community health improvement advocacy as % of community building expenses$ 6,053 2.06 %Workforce development as % of community building expenses$ 79,682 27.07 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 90 Physical improvements and housing $ 0 Economic development $ 90 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 58,743,909 1.21 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 3785761832 including grants of $ 5370952) (Revenue $ 5015890064) PROVIDING MEDICAL SERVICESHOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICESALLINA HEALTH DELIVERS HIGH QUALITY HOSPITAL, MEDICAL AND OTHER HEALTH CARE SERVICES TO PATIENTS IN MINNESOTA AND WESTERN WISCONSIN. AS A MISSION-DRIVEN ORGANIZATION, ALLINA HEALTH IS COMMITTED TO IMPROVING THE LIFELONG HEALTH OF THE COMMUNITIES IT SERVES. ALLINA HEALTH PROVIDES THESE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF HOSPITALS TO INCLUDE:ABBOTT NORTHWESTERN HOSPITAL - MINNEAPOLIS, MINNESOTALOCATED IN SOUTH MINNEAPOLIS, ABBOTT NORTHWESTERN HOSPITAL IS THE TWIN CITIES' LARGEST NOT-FOR-PROFIT HOSPITAL. ABBOTT NORTHWESTERN IS KNOWN AROUND THE REGION AND ACROSS THE UNITED STATES FOR ITS CENTERS OF EXCELLENCE: CANCER CARE THROUGH THE VIRGINIA PIPER CANCER INSTITUTE; CARDIOVASCULAR SERVICES IN PARTNERSHIP WITH THE MINNEAPOLIS HEART INSTITUTE; THE SPINE INSTITUTE; NEUROSCIENCE INSTITUTE; ORTHOPAEDIC INSTITUTE; PERINATOLOGY, OBSTETRICS AND GYNECOLOGY THROUGH WOMENCARE AND PHYSICAL REHABILITATION THROUGH COURAGE KENNY REHABILITATION INSTITUTE. ABBOTT NORTHWESTERN HOSPITAL ALSO OFFERS SPECIALTY EYE CARE THROUGH THE PHILLIPS EYE INSTITUTE, WHICH DRAWS PATIENTS FROM A FIVE-STATE REGION WITH AN EXTENSIVE ARRAY OF SERVICES, RANGING FROM DIAGNOSTIC TESTS AND VISION REHABILITATION TO LASER EYE TREATMENTS AND SPECIALIZED EYE SURGERY. BUFFALO HOSPITAL - BUFFALO, MINNESOTALOCATED IN THE WESTERN METROPOLITAN COMMUNITY OF BUFFALO, BUFFALO HOSPITAL IS RECOGNIZED AS ONE OF THE NATION'S 100 TOP HOSPITALS ACCORDING TO THOMSON REUTERS. BUFFALO HOSPITAL PROVIDES HIGH QUALITY, PERSONAL CARE IN PRIVATE ROOMS. THE HOSPITAL PROVIDES MANY SPECIALTY SERVICES INCLUDING THE BIRTH CENTER, CARDIAC CENTER, EMERGENCY SERVICES, SLEEP CENTER, PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING, PHILLIPS EYE INSTITUTE, COURAGE KENNY REHABILITATION INSTITUTE AND VIRGINIA PIPER CANCER INSTITUTE.CAMBRIDGE MEDICAL CENTER - CAMBRIDGE, MINNESOTALOCATED IN THE COMMUNITY OF CAMBRIDGE, CAMBRIDGE MEDICAL CENTER IS A REGIONAL HEALTH CARE FACILITY PROVIDING COMPREHENSIVE HEALTH CARE SERVICES TO RESIDENTS OF ISANTI COUNTY. THE MEDICAL CENTER IS COMPRISED OF A LARGE MULTI-SPECIALTY CLINIC AND A HOSPITAL ON ONE LARGE CAMPUS. A SAME DAY CLINIC, RETAIL PHARMACY, AND EYE CARE CENTER ARE ALSO LOCATED IN THE FACILITY.DISTRICT ONE HOSPITAL (CHANGED TO ALLINA HEALTH FARIBAULT MEDICAL CENTER 1/1/2022) - FARIBAULT, MNLOCATED JUST SOUTH OF THE TWIN CITIES IN FARIBAULT, DISTRICT ONE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES: BIRTH CENTER, COURAGE KENNY REHABILITATION INSTITUTE, CARDIOPULMONARY REHABILITATION, DIAGNOSTIC IMAGING, EMERGENCY, GENERAL SURGERY, LABORATORY, PHARMACY, SLEEP STUDY AND VIRGINIA PIPER CANCER INSTITUTE. THE DYNAMIC HEALTH CARE CAMPUS ALSO INCLUDES THE ALLINA HEALTH FARIBAULT CLINIC AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT. MERCY HOSPITAL - COON RAPIDS, MINNESOTALOCATED IN COON RAPIDS, MERCY HOSPITAL OFFERS NATIONALLY RECOGNIZED CLINICAL EXCELLENCE AND COMPASSIONATE HEALTH CARE SERVICES TO NORTH METRO COMMUNITIES. AMONG THE SERVICES PROVIDING CUTTING-EDGE CARE ARE THE HEART & VASCULAR CENTER, CANCER CARE, THE MOTHER BABY CENTER, EMERGENCY SERVICES, MENTAL HEALTH SERVICES AND A WIDE RANGE OF HEALTH EDUCATION AND SUPPORT GROUPS. THE UNITY CAMPUS OF MERCY, LOCATED IN FRIDLEY, ALSO PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO THE NORTH METRO AREA, INCLUDING A RENOWNED BARIATRIC [SURGICAL WEIGHT LOSS] CENTER. OTHER SERVICES INCLUDE MEDICAL SURGICAL CARE, CANCER CARE, EMERGENCY SERVICES AND MENTAL HEALTH AND ADDICTION SERVICES INCLUDING GERIATRIC MENTAL HEALTH. UNITY ALSO OFFERS A COMPLETE ARRAY OF HEALTH EDUCATION AND SUPPORT GROUPS TO PATIENTS AND THE COMMUNITY. NEW ULM MEDICAL CENTER - NEW ULM, MINNESOTALOCATED IN SOUTH CENTRAL MINNESOTA, NEW ULM MEDICAL CENTER (NUMC) CONSISTS OF A HOSPITAL AND CLINIC THAT SERVES THE REGION IN AND AROUND BROWN COUNTY. NUMC OFFERS AN EXTENSIVE RANGE OF HEALTH CARE OPTIONS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GENERAL SURGERY, PEDIATRICS, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, RADIOLOGY, EMERGENCY MEDICINE, PSYCHIATRY, PODIATRY, MENTAL HEALTH AND SUBSTANCE ABUSE, HOME CARE AND HOSPICE. AS A FULLY INVOLVED MEMBER OF ITS COMMUNITY, NUMC CONTINUALLY FOSTERS AN ATMOSPHERE OF WELL-BEING OUTSIDE ITS FOUR WALLS THROUGH A VARIETY OF COMMUNITY-FOCUSED INITIATIVES.OWATONNA HOSPITAL - OWATONNA, MINNESOTALOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, OWATONNA HOSPITAL PROVIDES COMPREHENSIVE CARE TO PATIENTS IN AND AROUND STEELE COUNTY. OWATONNA HOSPITAL HAS HELPED TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF ITS PATIENTS AND THE COMMUNITY FOR MORE THAN 110 YEARS. THE 38-BED REPLACEMENT HOSPITAL THAT OPENED IN OCTOBER 2009 FEATURES INTERNATIONAL BEST PRACTICES IN CONTEMPORARY HOSPITAL DESIGN. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.REGINA MEDICAL CENTER-HASTINGS, MNLOCATED IN HASTINGS, REGINA HOSPITAL PROVIDES HEALTH CARE SERVICES INCLUDING, PRIMARY CARE, INTERNAL MEDICINE, GENERAL SURGERY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, PEDIATRICS, EMERGENCY MEDICINE, INPATIENT GERIATRIC MENTAL HEALTH, UROLOGY AND OCCUPATIONAL MEDICINE. SINCE ITS FOUNDATION, REGINA HOSPITAL CONTINUES TO MAINTAIN ITS CATHOLIC HERITAGE FOCUSING ON SERVING THE WHOLE PERSON - MIND, BODY AND SPIRIT. THE HASTINGS CAMPUS INCLUDES SENIOR LIVING FACILITIES, TWO ALLINA HEALTH CLINICS AND A SURGERY CENTER.RIVER FALLS AREA HOSPITAL - RIVER FALLS, WISCONSINLOCATED IN WESTERN WISCONSIN, RIVER FALLS AREA HOSPITAL IS PART OF A SHARED MEDICAL CAMPUS THAT PROVIDES EASY ACCESS TO HOSPITAL SERVICES AS WELL AS PRIMARY CARE AND SPECIALTY CLINICS, A LONG-TERM CARE FACILITY AND A WELLNESS AND FITNESS CENTER. RIVER FALLS AREA HOSPITAL PROVIDES HIGH QUALITY PATIENT FOCUSED CARE AT THE ALLINA HEALTH CANCER INSTITUTE AND SLEEP CENTER. RIVER FALLS AREA HOSPITAL PROVIDES PATIENTS A FULL RANGE OF INPATIENT, OUTPATIENT, CANCER AND EMERGENCY SERVICES INCLUDING SURGICAL, CARDIOVASCULAR AND REHABILITATION SERVICES.UNITED HOSPITAL - ST. PAUL, MINNESOTALOCATED IN DOWNTOWN ST. PAUL, UNITED HOSPITAL IS AMONG THE LARGEST HOSPITALS IN THE TWIN CITIES EAST METRO AREA. UNITED HAS A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND STATE-OF-THE-ART FACILITIES, WITH INNOVATIVE PROGRAMS SUCH AS CARDIOVASCULAR SERVICES (INCLUDING NASSEFF HEART CENTER, WOMEN'S HEART CENTER AND VASCULAR CENTER); NASSEFF NEUROSCIENCE CENTER; AND PSYCHIATRY, WOMEN'S HEALTH, SURGICAL, REHABILITATION AND EMERGENCY SERVICES.ALLINA HEALTH ALSO PROVIDES SERVICES TO THE COMMUNITY THROUGH ITS FAMILY OF CLINICS. WITH MORE THAN 90 CLINICS THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, WE PROVIDE PRIMARY CARE, SPECIALTY CARE AND URGENT CARE SERVICES TO PEOPLE IN MORE THAN 40 COMMUNITIES. ALLINA AND ITS SUBSIDIARIES PROVIDE A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES INCLUDING TECHNICALLY ADVANCED INPATIENT AND OUTPATIENT CARE, 24-HOUR EMERGENCY CARE, MEDICAL TRANSPORTATION, PHARMACY, LABORATORY, HOME CARE AND HOSPICE SERVICES. MORE THAN 750 HEALTH CARE PRACTITIONER'S HELP PATIENTS IDENTIFY HEALTH RISKS, MANAGE CHRONIC ILLNESS AND FIND THEIR PATH TO BETTER HEALTH. ALLINA HEALTH ALSO OPERATES ADDITIONAL SERVICES WHICH INCLUDE:HOME CARE, HOSPICE AND PALLIATIVE CAREHOME OXYGEN AND MEDICAL EQUIPMENTMEDICAL LABORATORIESMEDICAL TRANSPORTATION PHARMACYPHYSICAL REHABILITATIONIN 2021, ALLINA HEALTH EXPENDED OVER $3.5 BILLION TO PROVIDE SERVICES TO PATIENTS THAT INCLUDED 8,850,000 CLINIC VISITS, 95,229 INPATIENT ADMISSIONS AND NEARLY 1,400,000 HOSPITAL OUTPATIENT VISITS. THERE WERE MORE THAN 310,000 EMERGENCY CARE VISITS, 81,614 SURGERIES, AND OVER 90,000 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 2021, ALLINA HEALTH EXPENDED $22,335,546 TO MAKE AVAILABLE AND PROVIDE THESE SERVICES TO THE COMMUNITIES WE SERVE.
4B (Expenses $ 353029406 including grants of $ 0) (Revenue $ 0) 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 2021, ALLINA HEALTH PROVIDED $353,029,406 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 2021, ALLINA HEALTH EXPENDED $232,926,862 BEYOND REIMBURSEMENTS TO PROVIDE CARE FOR MEDICARE PATIENTS AND AN ADDITIONAL $39,899,552 BEYOND REIMBURSEMENTS FOR MEDICAID PATIENTS. MEDICAID SURCHARGEALLINA HEALTH IS A PARTICIPANT IN THE MEDICAID SURCHARGE PROGRAM. THE CURRENT PROGRAM INCLUDES A 1.56% SURCHARGE ON A HOSPITAL'S NET PATIENT SERVICE REVENUE (EXCLUDING MEDICARE REVENUE). REPORTED AMOUNTS ARE NET OF ANY DISPROPORTIONATE SHARE ADJUSTMENTS. IN 2021, ALLINA HEALTH PAID $27,023,338 FOR THE MEDICAID SURCHARGE. MINNESOTACARE TAXALLINA HEALTH ALSO PARTICIPATES IN THE FUNDING OF MEDICAL CARE FOR THE UNINSURED THROUGH A MINNESOTACARE TAX OF 1.8% ON CERTAIN NET REVENUE. PATIENTS WHO ARE UNABLE TO GET INSURANCE THROUGH THEIR EMPLOYER ARE ELIGIBLE TO PARTICIPATE IN MINNESOTACARE IF THEY MEET RESIDENCY AND INCOME GUIDELINES. ALLINA HEALTH PAID $48,253,284 FOR THE MINNESOTACARE TAX IN 2021. TAXES AND FEES ALLINA HEALTH PAYS PROPERTY TAXES TO LOCAL AND STATE GOVERNMENT USED IN FUNDING CIVIL AND EDUCATION SERVICES TO THE COMMUNITY. IN TOTAL, ALLINA HEALTH PAID $4,926,370 IN TAXES AND FEES IN 2021.
4C (Expenses $ 58852105 including grants of $ 0) (Revenue $ -98032081) UNCOMPENSATED CARE:CHARITY CAREALLINA HEALTH PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COST TO RESIDENTS OF THE COMMUNITIES THAT IT SERVES THROUGH THE PROVISION OF CHARITY CARE. OUR PARTNERS CARE WAS ESTABLISHED TO ASSIST PATIENTS WHO DO NOT QUALIFY FOR MEDICAL ASSISTANCE SUCH AS MEDICAID AND WHOSE ANNUAL INCOMES ARE AT OR BELOW 275% OF THE FEDERAL POVERTY LEVEL. CHARITY CARE DOES NOT INCLUDE BAD DEBT (CHARGES WRITTEN OFF FOR PROVIDING SERVICES TO PERSONS ABLE, BUT UNWILLING, TO PAY FOR THESE SERVICES). THROUGH THIS PROGRAM, ALLINA HEALTH STRIVES TO ENSURE THAT ALL MEMBERS OF THE COMMUNITY RECEIVE QUALITY MEDICAL CARE; REGARDLESS OF ABILITY TO PAY. IN 2021, ALLINA HEALTH PROVIDED $16,823,763 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 35 PERCENT DISCOUNT ON BILLED CHARGES AND MAY QUALIFY FOR DISCOUNTS UP TO 47 PERCENT BASED ON ELIGIBILITY CRITERIA. IN 2021, ALLINA HEALTH PROVIDED $42,028,342 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 2021 TOTALED $98,032,081.
4D (Expenses $ 46951806 including grants of $ 0) (Revenue $ 0) "COMMUNITY SERVICES:IN 2021, ALLINA HEALTH CONTRIBUTED $46,951,806 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 2021, MORE THAN 142,000 USERS VISITED THE HPK WEBSITE.CHANGE TO CHILL (CTC) IS A FREE, ONLINE RESOURCE THAT PROVIDES STRESS REDUCTION TIPS, LIFE BALANCE TECHNIQUES AND HEALTH EDUCATION SERVICES FOR TEENS. IN 2021, NEARLY 140,000 USERS VISITED THE CHANGE TO CHILL WEBSITE AND THANKS TO THE HARDWORKING ALLINA HEALTH LANGUAGE SERVICES DEPARTMENT, USERS CAN NOW ACCESS THE WEBSITE IN SPANISH. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS ALSO INCLUDED AN IN-PERSON COMPONENT-THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, A PAID STUDENT INTERNSHIP AND FUNDING FOR A ""CHILL ZONE"" - A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. THROUGH CTCSP, 38 STUDENTS FROM 12 HIGH SCHOOLS AND 8 MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP SUMMER INTERNSHIP PROGRAM IN 2021.HELLO4HEALTH IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN APRIL 2021. 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 FOR CONNECTING WITH OTHERS. IN 2021, 9,488 MINNESOTA AND WISCONSIN USERS VISITED THE HELLO4HEALTH WEBSITE.MEDELIGIBLE - MEDELIGIBLE SERVICES SUPPORTS PATIENTS WHO HAVE DIFFICULTY PAYING THEIR MEDICAL BILLS. THE STAFF HELPS PATIENTS APPLY TO FEDERAL, STATE, AND COUNTY AID PROGRAMS SUCH AS MEDICAID, MEDICARE, SOCIAL SECURITY, FOOD STAMPS, EMERGENCY FOOD AND SHELTER. MEDELIGIBLE SERVICES EDUCATES PATIENTS AND THEIR FAMILIES ABOUT THE ADVANTAGES OF THESE PROGRAMS AND WORKS WITH THEM TO GET THE HELP THEY NEED. CENTER FOR MEDICARE AND MEDICAID SERVICES ACCOUNTABLE HEALTH COMMUNITIES COOPERATIVE AGREEMENT - IN MAY 2017, ALLINA HEALTH WAS AWARDED AN ACCOUNTABLE HEALTH COMMUNITIES (AHC) COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THROUGH THE AHC MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREENED PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY, FOOD INSECURITY, ACCESS TO TRANSPORTATION, DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY. IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2021, MORE THAN 60,000 PATIENTS WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS THROUGH THIS MODEL. 2021 ACTIVITIES FOCUSED ON CLOSING RACIAL/ETHNIC DISPARITIES IN OFFERS TO SCREEN AND SCREEN COMPLETION AND INCLUDED, BUT WERE NOT LIMITED TO: ESTABLISHING GOALS AND SYSTEMS FOR MONITORING PROGRESS, SCRIPTING FOR INTRODUCING THE SCREENING THROUGH AN INTERPRETER AND DEEPENING CULTURAL UNDERSTANDING AMONG CARE TEAMS VIA DEVELOPING AND DISTRIBUTING CULTURAL HUMILITY VIDEOS. THROUGH THESE EFFORTS, SCREENING GAPS WERE REDUCED SIGNIFICANTLY. MONITORING AND ADDRESSING SCREENING DISPARITIES WILL CONTINUE TO BE A FOCUS. ALLINA HEALTH INVESTED NEARLY $73,000 IN STAFF TIME IN 2021 TO IMPLEMENT THE AHC MODEL, BEYOND WHAT WAS PROVIDED FOR BY THE COOPERATIVE AGREEMENT. THE AHC COOPERATIVE AGREEMENT ENDED IN APRIL 2022. AT THE END OF 2021, ALLINA HEALTH BEGAN DEVELOPING AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. THROUGH THIS NEW MODEL, THE GOAL IS TO ACHIEVE UNIVERSAL HEALTH-RELATED SOCIAL NEED SCREENING IN THE ALLINA HEALTH SYSTEM BY THE END OF 2022. COVID-19 VACCINE CLINICS - TO PROMOTE EQUITABLE HEALTH CARE ACCESS, ALLINA HEALTH PARTNERED WITH COMMUNITY ORGANIZATIONS FROM FEBRUARY THROUGH JULY 2021 TO HOST FREE COVID-19 VACCINE CLINICS. THE CLINICS WERE LOCATED IN AND AIMED AT SERVING COMMUNITIES WHO HAVE BEEN DISPROPORTIONATELY IMPACTED BY COVID-19 AND HAVE HISTORICALLY EXPERIENCED HEALTH DISPARITIES. ALLINA HEALTH INVESTED NEARLY $350,000 IN CLINICAL STAFF TIME, CHANGES TO INFRASTRUCTURE, SUPPLIES AND OTHER EXPENSES TO OFFER THESE CLINICS. ADDITIONALLY, NEARLY 300 OF OUR DEDICATED EMPLOYEES AND FRIENDS VOLUNTEERED MORE THAN 1,000 HOURS OF THEIR TIME OVER THE FIVE-MONTH PERIOD TO SERVE IN NON-CLINICAL ROLES LIKE GREETING INDIVIDUALS UPON ARRIVAL, GUIDING INDIVIDUALS THROUGH THE VACCINE CLINIC AND OTHER ACTIVITIES. THROUGH THE COVID-19 VACCINE CLINICS, ALLINA HEALTH WAS ABLE TO VACCINATE MORE THAN 4,400 PEOPLE, 49% OF WHOM DID NOT HAVE ANY ELIGIBLE VISITS IN THE TWO YEARS BEFORE THEIR FIRST COMMUNITY EVENT VACCINATION. HEALTH PROFESSIONS EDUCATION ALLINA HEALTH ACTIVELY SUPPORTS NUMEROUS MEDICAL EDUCATION ACTIVITIES FOR PROVIDERS, HEALTH CARE STUDENTS AND OTHER HEALTH PROFESSIONALS. IN 2021, ALLINA HEALTH INVESTED OVER $24 MILLION IN INTERNSHIP OPPORTUNITIES, MENTORING PARTNERSHIPS, AND GRADUATE MEDICAL EDUCATION PROGRAMMING. ALLINA HEALTH IS COMMITTED TO THE EDUCATION, TRAINING AND DEVELOPMENT OF FUTURE HEALTH CARE PROFESSIONALS AND ENSURES THE AVAILABILITY OF A HIGHLY TRAINED WORKFORCE TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. RESEARCH ALLINA HEALTH PARTICIPATES IN CLINICAL AND COMMUNITY HEALTH RESEARCH THAT IS FOCUSED ON IMPROVING COMMUNITY HEALTH. ALLINA HEALTH INVESTED $3,289,717 TOWARD RESEARCH IN 2021. 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 2021, ALLINA HEALTH FUNDED MORE THAN $5.2 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 2021, ALLINA HEALTH AND ITS FACILITIES WERE THE RECIPIENT OF NUMEROUS AWARDS, FOR ATTRIBUTES SUCH AS SAFETY, PATIENT EXPERIENCE AND QUALITY. PERTAINING TO COMMUNITY BENEFIT, THE IBM WATSON TOP 100 HOSPITALS/ TOP 15 HEALTH SYSTEMS RANKINGS NAMED ALLINA HEALTH AS A TOP LARGE HEALTH SYSTEM AND BUFFALO HOSPITAL AS NUMBER 4 IN THE TOP 100 LIST OF SMALL COMMUNITY HOSPITALS. IN 2021, THIS RANKING ADDED MEASURES OF HOSPITALS' CONTRIBUTIONS TO COMMUNITY HEALTH, SUCH AS COMMUNITY PARTNERSHIPS AND HEALTH PROMOTION, TO THE MORE TRADITIONAL MEASURES.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/."
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ABBOTT NORTHWESTERN HOSPITAL, - FACILITY 2: MERCY HOSPITAL, - FACILITY 3: UNITED HOSPITAL, - FACILITY 4: NEW ULM MEDICAL CENTER, - FACILITY 5: BUFFALO HOSPITAL, - FACILITY 6: CAMBRIDGE MEDICAL CENTER, - FACILITY 7: REGINA HOSPITAL, - FACILITY 8: OWATONNA HOSPITAL, - FACILITY 9: DISTRICT ONE HOSPITAL(FARIBAULT MEDICAL CENTER, - FACILITY 10: RIVER FALLS AREA HOSPITAL
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: ABBOTT NORTHWESTERN HOSPITAL (INCLUDES PHILLIPS EYE INSTITUTE): ABBOTT NORTHWESTERN HOSPITAL DEVELOPED ITS CHNA WITH THE MINNEAPOLIS, HENNEPIN COUNTY AND BLOOMINGTON PUBLIC HEALTH DEPARTMENTS, WHICH WERE SIMULTANEOUSLY DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN FOR HENNEPIN COUNTY. THESE ENTITIES AND 50 NONPROFIT AND GOVERNMENT REPRESENTATIVES REVIEWED HOSPITAL, STATE AND LOCAL DATA AND CONDUCTED 23 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS REPRESENTING VARIOUS CULTURAL GROUPS, BUSINESS AND ORGANIZATIONS. ABBOTT NORTHWESTERN IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. STAFF THEN CONDUCTED 10 KEY INFORMANT INTERVIEWS WITH STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS SUCH AS AN ADVOCACY ORGANIZATION SERVING LOCAL BUSINESSES, A FEDERALLY-QUALIFIED HEALTH CENTER, A HOUSING PROVIDER FOR PEOPLE LIVING WITH HIV/AIDS AND THE LOCAL PARKS SYSTEM, AMONG OTHERS, TO UPDATE ITS UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM. IN ADDITION, A LOCAL PUBLIC AFFAIRS CONSULTANT INTERVIEWED 25 HEALTH AND CIVIC LEADERS TO EXPLORE THEIR PERCEPTIONS OF HEALTH, HEALTHCARE, PUBLIC HEALTH AND THE HOSPITAL.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 11:
"BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.ABBOTT NORTHWESTERN HOSPITAL: GOAL 1: REDUCE OVERWEIGHT AND OBESITY BY IMPROVING NUTRITION AND PHYSICAL ACTIVITY LEVELS.IN 2021, ANW DEVELOPED NEW RELATIONSHIPS WITH AND FUNDED GRASSROOTS ORGANIZATIONS SUPPORTING FOOD ACCESS AND COMMUNITY CAPACITY BUILDING (SOUTH MINNEAPOLIS RECOVERY) INCLUDING 846S, THE BLACK ENTREPRENEUR STATE FAIR, STUDIO 180, TRUTH & REPAIR AT LAKE & CHICAGO, AND ORGANIC ONENESS. ANW ALSO FUNDED GREEN LIGHT FOUNDATION COMMUNITY SAFETY PROGRAM WITH $20,000. IN ADDITION, ANW MAINTAINED RELATIONSHIPS WITH EVERY MEAL AND THE FOOD GROUP, PARTICIPATING IN LOCAL AND NATIONAL HEALTHY HUNGER FREE SCHOOLS PARTNERS COALITION ADVOCATING FOR UNIVERSAL FREE SCHOOL LUNCHES. THE HOSPITAL FUNDED DIVISION OF INDIAN WORK, ORGANIC ONENESS, VEAP, WECAN FOOD SHELVES, MIDTOWN FARMER'S MARKET, CLUES, BANYAN COMMUNITY, PHILLIPS WEST NEIGHBORHOOD ORGANIZATION, HOPE COMMUNITY, FULL CYCLE/PILLSBURY UNITED, WAY TO GROW HEALTH FOOD PROGRAMS, AND OPEN ARMS OF MINNESOTA. ANW PROMOTED VOLUNTEER ACTIVITIES INCLUDING FOOD PACKING AT EVERY MEAL AND MEAL SERVING AT OPEN ARMS. ANW DONATED $5,000 TO DIVISION OF INDIAN WORK IN PARTIAL SUPPORT OF HORIZONS UNLIMITED CULTURALLY-SPECIFIC FOOD SHELF, DONATED $8,000 TO HOPE COMMUNITY'S FOOD, LAND, COMMUNITY INITIATIVE, AND FUNDED CULTURAL WELLNESS CENTER'S ANCIENT GRAINS PROJECT.TO ADDRESS FOOD INSECURITY, ANW BEGAN PLANNING TO PROVIDE EVERY MEAL CARE MEAL BAGS TO PATIENTS WHO IDENTIFY AS FOOD INSECURE IN ALLINA HEALTH CLINICS AND PROVIDE TWO WEEKS WORTH OF MEALS ON WHEELS TO PATIENTS WHO IDENTIFY AS FOOD INSECURE THROUGH CARE MANAGEMENT. BOTH PROJECTS WERE PAID THROUGH ALLINA HEALTH EMPLOYEE GIVING FOOD ACCESS FUND.IN 2021, BACKYARD HUB CONTINUED TO PROVIDE EXERCISE AND CHRONIC DISEASE MANAGEMENT PROGRAMS, AS WELL AS COVID-19 EDUCATION, ON A DIGITAL PLATFORM AND HAVE INCREASED PARTICIPATION SIGNIFICANTLY.ABBOTT NORTHWESTERN CONTINUED TO SUPPORT THE HEATH POWERED KIDS PROGRAM, WHICH IN 2021 PRODUCED NEW POWER CHARGER VIDEOS INCLUDING ACTIVE LIVING LESSONS.GOAL 2: PROMOTE MENTAL HEALTH BY INCREASING ACCESS TO MENTAL HEALTH SERVICES AND PROVIDE OPPORTUNITIES FOR INCREASED SOCIAL CONNECTIONS.ANW CONTINUES TO PROMOTE AND IMPROVE ACCESS TO MENTAL HEALTH SERVICES WITH OUR TEEN MENTAL WELLBEING PROGRAM, CHANGE TO CHILL (CTC). ANW COLLABORATED WITH MINNESOTA VIRTUAL SCHOOLS FOR THE 2021-2022 SCHOOL YEAR, REACHING APPROXIMATELY 365 STUDENTS. ANW CONTINUED TO SUPPORT PREVIOUS PARTNERSHIP SCHOOLS INCLUDING ORONO, ST. LOUIS PARK, AND HOPKINS HIGH SCHOOLS, REACHING APPROXIMATELY 4,056 STUDENTS. ANW CREATED LARGER GRANTS FOR 4 ORGANIZATIONS FUNDING COMMUNITY MENTAL HEALTH AND HOUSING PROGRAMS AND FACILITATED FOUR BIAS AND CULTURAL COMPETENCY TRAININGS ON MUSLIM FAITH AND CULTURE PILOTED THROUGH THE HOSPITAL AND LED BY DIVERSITY, EQUITY & INCLUSION DEPARTMENT.IN 2021, ANW FUNDED THE NEW ORGANIZATIONS 846S YOGA AND MENTAL HEALTH OUTREACH AT GEORGE FLOYD SQUARE, STUDIO 180 AND TRUTH & REPAIR @CHICAGO & LAKE SUPPORTING RESILIENCE, SOCIAL CONNECTEDNESS AND HEALING IN SOUTH MINNEAPOLIS POST-CIVIL-UNREST (MAY 2020). IN ADDITION, ANW DONATED SPACE TO THE REAL MINNEAPOLIS HOPE YOUTH CENTER, WHICH OFFERED EDUCATION TO SUPPORT LEARNING AND SOCIALIZATION THROUGH DISTANCE LEARNING DUE TO THE PANDEMIC AND PROVIDED CHARITABLE CONTRIBUTIONS TO 846S TO OFFER YOGA CLASSES IN SOUTH MINNEAPOLIS COMMUNITY DURING THE PANDEMIC.ALLINA HEALTH CONTINUED DEVELOPMENT OF THE HELLO4HEALTH INITIATIVE TO INCREASE SOCIAL CONNECTEDNESS AND REDUCE SOCIAL ISOLATION AMONG ADULTS WITH A FOCUS ON OLDER ADULTS (65+). ALLINA ALSO LAUNCHED HELLO4HEALTH.ORG, AN ONLINE RESOURCE DESIGNED TO INCREASE AWARENESS OF THE IMPORTANCE OF SOCIAL CONNECTIONS, PROVIDE RESOURCES TO BUILD OR STRENGTHEN SOCIAL CONNECTIONS AND TOOLS TO MAKE CONNECTING EASIER. 9,488 INDIVIDUALS WERE REACHED THROUGH THE ONLINE PLATFORM. THE SYSTEM-WIDE PARTNERSHIP WITH METRO MEALS ON WHEELS WAS DEVELOPED TO CONNECT CLIENTS AND CAREGIVERS TO HELLO4HEATLH RESOURCES. HELLO4HEALTH IDENTIFIES AS A RESOURCE FOR PATIENTS WHO IDENTIFY LONELINESS AS A NEED THROUGH THE SOCIAL DETERMINANTS OF HEALTH 2.0 SCREENING.GOAL 3: IMPROVE GENERAL POPULATION HEALTH BY INCREASING ACCESS TO HEALTH CARE PROVIDERS AND HEALTH-RELATED RESOURCES.IN 2021, ANW WAS ADVOCATING LOCALLY THROUGH LAKE STREET GREENWAY PARTNERSHIP FOR MENTAL HEALTH AND SUBSTANCE USE RESOURCES FOR COMMUNITY ADVOCACY TO INFLUENCE ALLOCATION OF RESOURCES IN HENNEPIN COUNTY TO HOUSING NEEDS. ST. PAUL AND MINNEAPOLIS PUBLIC SCHOOLS RESUME VISION SCREENING, ADMINISTERED BY PHILLIPS EYE INSTUTUTE (PEI), PART OF ABBOTT NORTHWESTERN HOSPITAL. AS PART OF ALLINA HEALTH, ANW PARTICIPATED IN CREATION OF INCLUSIVE LGBTQIA+ (""STRESS AND IDENTITY"") CONTENT FOR CHANGE TO CHILL & PROMOTION TO PROVIDERS. FUNDING TO LGBTQIA+ INCLUSIVE ORGANIZATIONS LIKE AVENUES FOR YOUTH, ANNEX TEEN CLINIC, MYHEALTH, CLARE HOUSING, AND THE FAMILY PARTNERSHIP. ANW STAFF PARTICIPATED IN DE&I'S GENDER AFFIRMING CARE TRAININGS."
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 1 -- ABBOTT NORTHWESTERN HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS: MERCY HOSPITAL: MERCY HOSPITAL COLLABORATED WITH ANOKA COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA AND RESPONSES FROM INTERVIEWS WITH 14 COMMUNITY LEADERS AND DATA FROM 857 RESIDENT-RESPONSES ON A 2018 ANOKA COUNTY COMMUNITY HEALTH SURVEY. MERCY HOSPITAL IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES, MERCY CONDUCTED COMMUNITY DIALOGUES WITH 64 PEOPLE REPRESENTING THE WEST AFRICAN COMMUNITY, THE ANOKA COUNTY HEAD START POLICY COUNCIL, ALEXANDRA HOUSE DOMESTIC AND SEXUAL ASSAULT CENTER AND THE NORTHWEST COMMUNITY HEALTH ADVISORY COUNCIL.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL, AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.MERCY HOSPITAL: GOAL 1: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG ANOKA COUNTY RESIDENTS OF ALL AGES.IN 2021, MERCY HOSPITAL PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS, INCLUDING CEAP, ACBC, SACA, NACE, MEALS ON WHEELS, ALEXANDRA HOUSE, HOPE FOR YOUTH & STEPPING STONE HOMELESS SHELTER. THE HOSPITAL CONTINUED MAKING HEALTHY EATING AND ACTIVE LIVING RESOURCES AVAILABLE TO LOCAL COMMUNITIES THROUGH THE HEALTH POWERED KIDS WEBSITE, AND PROMOTING HEALTH POWERED KIDS PROGRAM RESOURCES IN LOCAL COMMUNITIES. GOAL 2: ADDRESS MENTAL HEALTH AND ADDICTION BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN OUR COMMUNITIES, REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES AND DECREASING USE OF TOBACCO AND ELECTRONIC CIGARETTES BY YOUTH.IN 2021, MERCY HOSPITAL CONTINUED WORK IN THE COMMUNITY THROUGH CHANGE TO CHILL (CTC) PROGRAM AND RESOURCES. CONTINUED 2020-2021 PARTNERSHIP WITH COON RAPIDS, FRIDLEY, BLAINE, AND ST. FRANCIS HIGH SCHOOLS, REACHING APPROXIMATELY 7,402 STUDENTS. PARTNERED WITH ANDOVER HIGH SCHOOL, COLUMBIA HEIGHTS HIGH SCHOOL, AND COMPASS PROGRAMS (GRADES 6-12) TO IMPLEMENT CTC ACTIVITIES IN THE 2021-2022 SCHOOL YEAR, REACHING APPROXIMATELY 2,879 STUDENTS. PROMOTED CTC EXPANDED WEB CONTENT AND MENTAL WELL-BEING SESSIONS FOR YOUTH AND THEIR PARENTS AND CAREGIVERS, INCLUDING CONTENT THAT PRIORITIZED BLACK, INDIGENOUS, LATINX AND LGBTQIA+ YOUTH AND THEIR PARENTS/CAREGIVERS. ACTIVE IN HENNEPIN COUNTY CARES ACT CTC STEERING TEAM AND IN GIVING INPUT RELATIVE DIVERSE POPULATIONS AND MINORITY COMMUNITIES. SHARED MENTAL WELLNESS MESSAGING WITH CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN THE MONTH OF OCTOBER. MERCY HOSPITAL IS ACTIVE IN NORTHWEST METRO WORK RELATIVE TO STIGMA REDUCTION: CHAIR NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORK GROUP WORKING ON ADVANCING MIO (MAKE IT OK CAMPAIGN) AS A STIGMA REDUCTION VEHICLE. IN ADDITION, THE HOSPITAL WAS COLLABORATING WITH MENTAL WELLNESS CAMPAIGN FOR ANOKA COUNTY, ANOKA COUNTY LIBRARY SYSTEM, AND SHIP STAFF TO PROMOTE MIO AND STIGMA REDUCTION. ADDITIONALLY, THE HOSPITAL CONTINUED THE WORK OF THE THE NORTH METRO MENTAL HEALTH ROUNDTABLE STIGMA REDUCTION WORKGROUP COLLABORATING WITH THE ANOKA COUNTY MENTAL WELLNESS CAMPAIGN AND THE MIO TO PROMOTE STIGMA REDUCTION EDUCATION IN THE COMMUNITY. WE HAVE TRAINED ADDITIONAL MIO COMMUNITY AMBASSADORS, AND CREATED ALLIANCES TO ADDRESS MIO KNOWLEDGE WITH BUSINESSES IN OUR COMMUNITY. CONTINUED TO PARTNER WITH THE NORTHWEST MENTAL HEALTH ROUNDTABLE TO IDENTIFY STRATEGIES TO ASSURE ACCESS AND COORDINATION OF SERVICES BETWEEN COMMUNITY MENTAL HEALTH PROVIDERS, LAW ENFORCEMENT, COUNTY AND CITY REPRESENTATIVES.THE REPRESENTATIVE FROM MERCY HOSPITAL BECAME A CHAIR OF NEWLY FORMED (2021) COMMUNITY RESILIENCY COMMITTEE, SUBCOMMITTEE OF ANOKA COUNTY CHILDREN AND FAMILY COUNCIL FOCUSED ON ADDRESSING ACES AFFECTING YOUTH, FAMILIES & THE COMMUNITY. COMMITTEE HAS HIGHLIGHTED CTC AS A METHOD TO ADDRESS ACES AND RECEIVED MINNESOTA DEPARTMENT OF HEALTH FUNDING TO BEGIN THIS WORK IN 2022. THIS WORK IS PROMOTING AND OFFERING CTC ACTIVITIES WITH UNDERSERVED COMMUNITIES. GOAL 3: REDUCE VIOLENCE, BULLYING AND ABUSE AMONG PEOPLE LIVING IN ANOKA COUNTY.IN 2021, MERCY HOSPITAL CONTINUED STAYING ACTIVE IN THE ANOKA COUNTY VIOLENCE ROUNDTABLE, AND PARTICIPATED IN STEERING AND LEADERSHIP COMMITTEE WITH MONTHLY MEETINGS. ACTIVITIES ARE PLANNED IN PARTNERSHIP WITH ANOKA COUNTY DEPARTMENT OF HEALTH TO ADVANCE THE WORK RELATED TO REDUCING VIOLENCE. IN ADDITION, MERCY HOSPITAL SPONSORED AND PARTICIPATED IN ALEXANDRA HOUSE'S ANNUAL HOPEFEST EVENT.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 2 -- MERCY HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:UNITED HOSPITAL: UNITED HOSPITAL WORKED WITH THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE ST. PAUL-RAMSEY COUNTY STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP) COMMUNITY LEADERSHIP TEAM TO COMPLETE ITS CHNA. MEMBERSHIP IN THESE GROUPS INCLUDED OTHER LOCAL HEALTH CARE SYSTEMS, LOCAL PUBLIC HEALTH, COMMUNITY RESIDENTS AND STAFF FROM LOCAL UNIVERSITIES AND SOCIAL SERVICE AGENCIES. THE CHNA WAS INFLUENCED BY OTHER ORGANIZATIONS' DATA REVIEW AND COMMUNITY ENGAGEMENT ACTIVITIES. AS PART OF THESE GROUPS, UNITED HOSPITAL'S STAFF REVIEWED HOSPITAL, STATE AND LOCAL DATA AND FEEDBACK FROM 2,100 RAMSEY, WASHINGTON OR DAKOTA COUNTY RESIDENTS WHO SHARED THEIR PERSPECTIVES VIA A SURVEY CONDUCTED BY THE CCH EAST METRO CHNA COLLABORATIVE. THE HOSPITAL'S 2020-2022 PRIORITIES WERE BASED ON THIS REVIEW. TO FURTHER REFINE ITS PRIORITIES, UNITED HOSPITAL STAFF ATTENDED COMMUNITY DIALOGUES FACILITATED BY LOCAL PARTNERS AND ATTENDED BY APPROXIMATELY 60 COMMUNITY RESIDENTS INCLUDING PUBLIC HOUSING RESIDENTS, HALF-WAY HOUSE RESIDENTS, INDIVIDUALS EXPERIENCING HOMELESSNESS, SENIORS, PEOPLE WITH CRIMINAL RECORDS AND COMMUNITY ACTIVISTS. STAFF ALSO PARTICIPATED IN RAMSEY COUNTY EAST METRO MENTAL HEALTH CRISIS ALLIANCE MEETINGS AND CONDUCTED INTERVIEWS WITH SIX REPRESENTATIVES FROM HEALTH, PUBLIC HEALTH AND SOCIAL SERVICE AGENCIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.UNITED HOSPITAL: GOAL 1: ADDRESS MENTAL HEALTH, INCLUDING STIGMA AND ACCESS TO SERVICES BY INCREASING RESILIENCE AND HEALTHY COPING SKILLS IN RAMSEY COUNTY AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2021, UNITED HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) PROGRAM. UNITED HOSPITAL CONTINUED ITS PARTNERSHIP WITH TWO RIVERS HIGH SCHOOL, FOREST LAKE MIDDLE SCHOOL, AND STILLWATER HIGH SCHOOL, REACHING APPROXIMATELY 5,010 STUDENTS. FOR THE 2021-2022 SCHOOL YEAR, UNITED DEVELOPED A NEW PARTNERSHIP WITH MURRAY MIDDLE SCHOOL, COMO PARK SENIOR HIGH SCHOOL, AND JOHNSON HIGH SCHOOL TO IMPLEMENT CHANGE TO CHILL IN PROGRAMMING, REACHING APPROXIMATELY 2,866 STUDENTS. UNITED HOSPITAL ALSO SHARED MENTAL WELLNESS TOOLS AND RESOURCES DURING CHILL WEEK IN OCTOBER 2021 WITH CTCSP SCHOOLS. IN 2021, UNITED HOSPITAL PARTICIPATED IN THE NEW AGE-FRIENDLY RAMSEY COUNTY INITIATIVE, WASHINGTON COUNTY TRANSPORTATION CONSORTIUM MEETINGS AND FOCUS GROUPS, NEWTRAX TRANSPORTATION ADVISORY BOARD, AS WELL AS ACTIVELY DEVELOPING COLLABORATION AROUND SOCIAL CONNECTIONS/MENTAL WELL-BEING/RESILIENCE INITIATIVES WITH VARIOUS COMMUNITY PARTNERS. THE HOSPITAL ALSO PARTICIPATED IN A VARIETY OF PUBLIC POLICY AND PLANNING EFFORTS DESIGNED TO ADDRESS SOCIAL ISOLATION, INCLUDING THE CENTER FOR COMMUNITY HEALTH. UNITED HOSPITAL ALSO PARTICIPATED IN INITIATIVES TO ADDRESS GAPS IN TRANSPORTATION SERVICES FOR UNDERSERVED POPULATIONS AND PROVIDED FINANCIAL ASSISTANCE IN SUPPORT OF COMMUNITY-BASED TRANSPORTATION PROJECTS SUCH AS THE DARTS COMMUNITY CIRCULATOR BUSES AND PILOT TRANSPORTATION INITIATIVES DESIGNED TO ASSIST COMMUNITY MEMBERS IN ACCESSING SOCIAL OPPORTUNITIES AND HEALTH-CARE SERVICES. IN ADDITION, UNITED HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO WILDER FOUNDATION, JEWISH FAMILY SERVICES, STILLWATER COMMUNITY THREAD, KIDS 'N KINSHIP, KEYSTONE COMMUNITY SERVICES AND OTHER COMMUNITY ORGANIZATIONS IN SUPPORT OF PROGRAMS AND SERVICES FOCUSING ON FOSTERING SOCIAL CONNECTIONS AMONG IMMIGRANTS AND REFUGEES, OLDER ADULTS, YOUTH, AND FAMILIES. THE HOSPITAL ALSO PROVIDED CHARITABLE CONTRIBUTIONS IN SUPPORT OF APRIL 2021 NAMI/VITAL AGING NETWORK WEBINAR FOCUSED ON STRESS AND IMPROVING MENTAL HEALTH DURING THE COVID-19 PANDEMIC.GOAL 2. DECREASE THE PERCENTAGE OF PEOPLE IN UNITED'S SERVICE AREA THAT ARE OBESE OR OVERWEIGHT.IN 2021, MANY PLANNED ACTIVITIES WERE ON HOLD DUE TO COVID-19 PANDEMIC. UNITED HOSPITAL ACTIVELY CONTRIBUTED TO AND PARTICIPATED IN COMMUNITY COALITIONS AND PARTNERSHIPS RELATED TO HEALTHY FOOD AND ACTIVE LIVING AND BEGAN DEVELOPING NEW PARTNERSHIPS WITH RAMSEY COUNTY'S NEWLY APPOINTED FOOD SECURITY COORDINATOR. UNITED HOSPITAL ALSO PROVIDED CHARITABLE CONTRIBUTIONS AND PROMOTED EMPLOYEE VOLUNTEER OPPORTUNITIES IN SUPPORT OF HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS. GOAL 3. INCREASE PERCENTAGE OF POPULATION WITH ACCESS TO HEALTHY FOOD.UNITED HOSPITAL PROMOTED VOLUNTEER OPPORTUNITIES IN SUPPORT OF FOOD SHELVES AND OTHER HEALTHY FOOD INITIATIVES AT NEIGHBORHOOD HOUSE, MODEL CITIES, KEYSTONE COMMUNITY SERVICES, AND OTHER COMMUNITY-BASED OPPORTUNITIES. PROVIDED CHARITABLE CONTRIBUTIONS IN SUPPORT OF ACCESS TO HEALTHY FOOD TO KEYSTONE COMMUNITY SERVICES, OPEN ARMS, NEIGHBORHOOD HOUSE, CHRISTIAN CUPBOARD EMERGENCY SERVICES, HUGO GOOD NEIGHBOR FOOD SHELF, AND VALLEY OUTREACH. INCREASED NUMBER OF FOOD SHELVES RECEIVING CHARITABLE CONTRIBUTIONS, INCLUDING SPECIAL JOINT PROJECTS OF WASHINGTON COUNTY PUBLIC HEALTH AND LOCAL TRANSPORTATION AND FOOD-SHELF PROVIDERS, NEWTRAX TRANSPORTATION SERVICES, AND OTHER COMMUNITY-BASED TRANSPORTATION AND MUNICIPAL PUBLIC SERVICE PROVIDERS. IN ADDITION, THE HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH IMPROVEMENT AND HEALTHY FOOD INITIATIVES, INCLUDING WASHINGTON, RAMSEY AND DAKOTA PUBLIC HEALTH COMMUNITY LEADERSHIP TEAMS; FOREST LAKE HEALTH UP, ACTIVE LIVING RAMSEY COUNTY, AND AGE-FRIENDLY RAMSEY COUNTY INITIATIVES.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 3 -- UNITED HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:NEW ULM MEDICAL CENTER: NEW ULM MEDICAL CENTER COLLABORATED WITH BROWN COUNTY PUBLIC HEALTH TO COMPLETE ITS CHNA TO ENGAGE REPRESENTATIVES FROM 15 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE REVIEWED HOSPITAL, STATE AND LOCAL DATA, SUCH AS THE 2016 BROWN COUNTY COMMUNITY HEALTH SURVEY. NEW ULM MEDICAL CENTER IDENTIFIED ITS 2020-2022 PRIORITIES BASED ON THIS REVIEW. TO GAIN COMMUNITY MEMBERS' PERSPECTIVES ON THESE PRIORITIES, THE MEDICAL CENTER HOSTED TWO COMMUNITY DIALOGUES IN OCTOBER 2018 THAT WERE ATTENDED BY 32 PEOPLE REPRESENTING 18 BROWN COUNTY ORGANIZATIONS SUCH AS EARLY CHILDHOOD FAMILY EDUCATION (ECFE), LOCAL FAITH COMMUNITIES, BROWN COUNTY UNITED WAY, NEW ULM PARK AND REC AND PUBLIC SCHOOLS, AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.NEW ULM MEDICAL CENTER:GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2021, NEW ULM MEDICAL CENTER (NUMC) CONTINUED WORK AND PARTNERSHIP WITH CHANGE TO CHILL (CTC) PROGRAM. PARTNERED WITH NEW ULM MIDDLE SCHOOL TO IMPLEMENT CTC DURING THE 2021-2022 SCHOOL YEAR, REACHING APPROXIMATELY 641 STUDENTS. CONTINUED TO SUPPORT PREVIOUS SCHOOL PARTNERS, INCLUDING RED ROCK CENTRAL, SPRINGFIELD, AND NEW ULM HIGH SCHOOLS, REACHING APPROXIMATELY 1,164 STUDENTS. SHARED MENTAL WELLNESS MESSAGING TO CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER FOR CHILL WEEK.NUMC HOSTED TWO QUESTION, PERSUADE, REFER SUICIDE PREVENTION TRAININGS WITH 22 COMMUNITY PARTICIPANTS DURING SUICIDE PREVENTION AWARENESS MONTH IN SEPTEMBER AND OCTOBER 2021.NUMC CONTINUED MAINTAINING A COMMUNITY MENTAL HEALTH AND WELLNESS ACTION TEAM COMPRISED OF NUMC AND COMMUNITY EXPERTS AND LEADERS. THE GROUP MEETS MONTHLY. IN ADDITION, A MENTAL HEALTH AND WELLNESS DIRECTORY WAS CREATED ONLINE IN 2020. AS OF 2021, NEW EXPANDED WEBSITE WWW.HEARTOFNEWULM.COM NOW HAS A PAGE JUST FOR THE MENTAL HEALTH TEAM AND ALL OTHER TEAMS AS WELL.IN 2021, NUMC OFFERED NALOXONE TRAINING TO 18 COMMUNITY MEMBERS. THE HOSPITAL PROVIDED EDUCATIONAL INFORMATION TO COMMUNITY PARTNERS THROUGH SOCIAL MEDIA CHANNELS IN EFFORTS TO REDUCE E-CIGARETTE USE. GOAL 2. REDUCE BARRIERS TO ACTIVE LIVING AND HEALTHY EATING.NUMC COLLABORATED WITH LOCAL VENDORS TO OFFER A POWER OF PRODUCE (POP) DAY AT THE FARMERS MARKET, WHICH EMPOWERS CHILDREN TO MAKE HEALTHFUL FOOD CHOICES, INCREASES FAMILY PARTICIPATION AT FARMERS MARKETS AND BUILDS A HEALTHIER COMMUNITY. 50 KIDS ATTENDED IN THE FIRST HOUR. IN 2021, THE HOSPITAL PROVIDED CHARITABLE CONTRIBUTIONS TO 3 LOCAL FOOD SHELVES AND OFFERED QUARTERLY WORKPLACE WELLNESS TRAININGS TO LOCAL BUSINESSES. THE FOOD ENVIRONMENT ACTION TEAM PROVIDED HEALTHY FOOD AWARENESS TRAINING TO A LOCAL FAITH-BASED COMMUNITY. GOAL 3. DECREASE ADDICTION RATES AND USE OF LEGAL AND ILLEGAL SUBSTANCES.NUMC CREATED A RESOURCE CARD TO ASSIST BUSINESSES AND INDIVIDUALS RESPONSIBLE FOR PREVENTING ILLEGAL ALCOHOL AND TOBACCO SALES TO MINORS DURING COVID-19 AND HELPED LAW ENFORCEMENT CONDUCTING COMPLIANCE CHECKS BY FINDING YOUTH TO ASSIST.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 4 -- NEW ULM MEDICAL CENTER PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:BUFFALO HOSPITAL: BUFFALO HOSPITAL CONDUCTED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC). WCCHC MEMBERS INCLUDE ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A CHNA: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE-MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. WCCHC MEMBERS REVIEWED HOSPITAL, STATE AND LOCAL DATA AND 2018 FINDINGS AND THREE-YEAR TRENDS FROM A COMMUNITY HEALTH SURVEY TO WHICH 2,039 PEOPLE RESPONDED. ADDITIONALLY, MEMBERS TALKED TO COMMUNITY MEMBERS AT WRIGHT COUNTY FAIR IN JULY 2018. FINALLY, WCCHC CONDUCTED KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS WITH 150 RESIDENTS AND REPRESENTATIVES FROM 40 COMMUNITY ORGANIZATIONS, INCLUDING SENIORS, LOW-INCOME FAMILIES, REPRESENTATIVES FROM RACIAL/ETHNIC MINORITY POPULATIONS, AND ORGANIZATIONS SERVING PEOPLE LIVING ON LESS TO UNDERSTAND THE COMMUNITY'S PERSPECTIVE ON IDENTIFIED PRIORITIES.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 11: "BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.BUFFALO HOSPITAL: GOAL 1: REDUCE THE RATE OF MENTAL HEALTH CARE DELAY AND THE NUMBER OF NOT GOOD"" MENTAL HEALTH DAYS IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED EXPANDING AND DEEPENING THEIR CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP WORK. 2020-21 CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP) SCHOOLS CONTINUED TO IMPLEMENT CTC IN SEVERAL ASPECTS OF CURRICULUM ALLOWING STUDENTS TO HOST STUDENT GROUPS AND CREATE A CHILL ZONE. NEW SCHOOLS APPLIED FOR THE 2021-22 SCHOOL YEAR AND 35 STUDENTS PARTICIPATED IN THE SUMMER INTERNSHIP PROGRAM TO CREATE THEIR SCHOOLS CHILL ZONE WITH THE $1,000 GRANT. CTCSP TRAIN THE TRAINER TRAININGS HAVE STARTED UP AGAIN THROUGH THE SCHOOL YEAR.BUFFALO HOSPITAL PARTNERED WITH DASSEL COKATO MIDDLE AND HIGH SCHOOL TO IMPLEMENT CTC DURING THE 2021-2022 SCHOOL YEAR, REACHING APPROXIMATELY 1,227 STUDENTS. MENTAL WELL-BEING MESSAGING WAS PROMOTED FOR CHILL WEEK WITH CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS IN OCTOBER.IN 2021, BUFFALO HOSPITAL ENGAGED IN PROMOTING HELLO4HEALTH FOR AREA COMMUNITY MEMBERS AND ORGANIZATIONS. CONTINUED WORK WITH LET'S TALK WELLNESS (LTW), HEALTH COACHING AND COMMUNITY CLASSES PROVIDED VIRTUALLY. THROUGHOUT THE YEAR THE HOSPITAL WELLNESS TEAM PROVIDED PRESENTATIONS IN THE COMMUNITY, BUSINESSES AND SCHOOLS INCLUDING CHANGE TO CHILL, LET'S TALK WELLNESS, MINDFULNESS TRAINING AND A SELF COMPASSION SERIES. FUNDING WAS PROVIDED TO COMMUNITY GROUPS THROUGH JUNE 2021 FOR BOUNCE BACK, RESILIENCY-BASED PROJECT WORK.BUFFALO HOSPITAL CONTINUED PARTICIPATION IN THE CENTRAL MN SUICIDE PREVENTION PROGRAM, WITH A FOCUS ON THE LOCAL VETERAN POPULATION. GOAL 2. REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.BUFFALO HOSPITAL CONTINUED ACTIVE INVOLVEMENT AND PARTICIPATION IN WRIGHT COUNTY DENTAL HEALTH WORKGROUP. A PORTION OF THE NEW WRIGHT COUNTY GOVERNMENT CENTER WAS IDENTIFIED AS A LOCATION FOR THE LOW-COST/NO-COST DENTAL CLINIC AND IS CURRENTLY UNDER CONSTRUCTION (TO BE OPENED SUMMER 2022). TO ADVOCATE FOR FUNDING FOR AFFORDABLE DENTAL CARE IN WRIGHT COUNTY, BUFFALO HOSPITAL PARTICIPATED IN A BONDING BILL ASKING FOR MN STATE FUNDING FOR THIS DENTAL CLINIC WHICH WAS AWARDED. ALSO, PROVIDED LETTERS OF SUPPORT FROM ALLINA HEALTH AND EDUCATION TO ELECTED OFFICIALS REGARDING THE NEED. IN ADDITION, THE GROUP SECURED THE SUPPORT OF AN AREA DENTIST TO PROVIDE EDUCATIONAL OPPORTUNITIES REGARDING IMPORTANCE OF ORAL HYGIENE TO THE COMMUNITY. AS PART OF COMMUNITY EDUCATION, THE DENTAL WORKGROUP DEVELOPED AN INFOGRAPHIC AND POWERPOINT REGARDING THE SCOPE OF DENTAL CARE ACCESS AND RELATED NEEDS IN WRIGHT COUNTY TO EDUCATE COMMUNITY PARTNERS. IN ADDITION, BUFFALO HOSPITAL WORKED CLOSELY WITH ALLINA HEALTH EDUCATION DEPARTMENT TO CREATE A BASIC EDUCATION SHEET TO BE USED ACROSS THE SYSTEM FOR DENTAL EDUCATION NEEDS. GOAL 3. SUPPORT LOCAL PREVENTION EFFORTS AND ADVOCATE FOR POLICY CHANGES TO ADDRESS SUBSTANCE ABUSE IN WRIGHT COUNTY.IN 2021, THROUGH THE DRUG FREE COMMUNITY (DFC) GRANT, BUFFALO HOSPITAL PARTICIPATED IN THE MONTANA INSTITUTE OF POSITIVITY TO BUILD ON POSITIVE SOCIAL NORMS. ALSO HELPED TO PROVIDE AN EVENT FOR THE COMMUNITY AND PROFESSIONALS ABOUT STIGMA REDUCTION FOR SUBSTANCE USE DISORDER- 'IN OTHER WORDS' BY DR. ALNA A. BALASANOVA (OVER 100 PEOPLE IN ATTENDANCE). THE EVENT INCLUDED A PRESENTATION AND SMALL GROUP DISCUSSIONS. THE HOSPITAL COORDINATES COLLABORATIVE MENTAL HEALTH COMMITTEE THAT INCLUDES REPRESENTATIVES FROM LOCAL LAW ENFORCEMENT, HOSPITAL STAFF, PUBLIC HEALTH, AND MENTAL HEALTH PROVIDERS.IN ADDITION, BUFFALO HOSPITAL CONTINUED SUPPORT OF COMMUNITY INITIATIVES RELATED TO REDUCTION OF E-CIGARETTE USE. SPECIAL FOCUS ON YOUTH WITH THE DFC GRANT AND WORK THROUGH MEADA."
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 5 -- BUFFALO HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:CAMBRIDGE MEDICAL CENTER: CAMBRIDGE MEDICAL CENTER COLLABORATED WITH ISANTI COUNTY PUBLIC HEALTH TO ENGAGE REPRESENTATIVES FROM 20 AGENCIES IN A COMMITTEE THAT COMPLETED ITS CHNA. THE COMMITTEE MEMBERS REVIEWED PATIENT, STATE AND LOCAL DATA AND RESULTS FROM THE EAST CENTRAL REGIONAL SURVEY TO SELECT THEIR 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND COMMUNITY MEMBERS' PERSPECTIVES ON THESE HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, THE COMMITTEE CONDUCTED A ROOT CAUSE ANALYSIS AND DEVELOPED A CONVERSATION IN A BOX GUIDE THAT THE COMMUNITY GROUPS USED TO FACILITATE 13 DIALOGUES WITH A TOTAL OF 150 CLIENTS AND CONSTITUENTS FROM LOCAL SCHOOLS, SENIORS, THE LOCAL CHAMBER OF COMMERCE, EARLY CHILDHOOD PROGRAMS, SUBSTANCE USE PREVENTION AND RECOVERY PROGRAMS AND LOCAL SOCIAL SERVICE AGENCIES, AMONG OTHERS. AN ADDITIONAL 36 PEOPLE PROVIDED INPUT THROUGH AN ONLINE SURVEY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.CAMBRIDGE MEDICAL CENTER: GOAL 1: INCREASE SOCIAL CONNECTEDNESS ACROSS ALL STAGES AND AGES OF LIFE.IN 2021, CAMBRIDGE MEDICAL CENTER (CMC) STAFF CONTINUED THE DEVELOPMENT OF THE ALLINA-WIDE SOCIAL CONNECTEDNESS INITIATIVE AND CONTRIBUTED TO THE DEVELOPMENT OF THE HELLO4HEALTH WEBSITE. CMC ADOPTED THE ENGAGEMENT STRATEGY TO BEST SUPPORT GRASSROOTS, COMMUNITY-BASED EFFORTS TO INCREASE SOCIAL CONNECTIONS AMONG OLDER ADULTS OR CAREGIVERS OF OLDER ADULTS. THROUGHOUT THE YEAR, CAMBRIDGE MEDICAL CENTER FACILITATED THE HELLO4HEALTH PRESENTATION FOR THE CENTRAL MN AGING AND WELLNESS, KINDNESS CONNECTION BINGO, CONNECT FOR WELLBEING (SIX WEEK SERIES), AND OTHER PROJECTS/PRESENTATIONS AIMED TO INCREASE SOCIAL CONNECTEDNESS AND COMBAT SOCIAL ISOLATION. IN ADDITION, STARTED PARTNERSHIP WITH ISANTI COUNTY ON THE HAPPINESS ADVANTAGE PROJECT.GOAL 2. ADDRESS YOUTH SUBSTANCE USE, INCLUDING ALCOHOL AND TOBACCO BY REDUCING THE IMPACT OF SUBSTANCE USE AND ABUSE ON THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ISANTI COUNTY YOUTH AND INCREASING RESILIENCE AND HEALTHY COPING SKILLS AMONG COMMUNITY MEMBERS.CAMBRIDGE MEDICAL CENTER CONTINUED EXPANDING AND DEEPENING CHANGE TO CHILL (CTC) SCHOOL PARTNERSHIP WORK. CONTINUED PARTNERSHIP WITH CAMBRIDGE-ISANTI HIGH SCHOOL, BRAHAM AREA HIGH SCHOOL, ISANTI MIDDLE SCHOOL, AND CAMBRIDGE MIDDLE SCHOOL, REACHING APPROXIMATELY 3,028 STUDENTS. CAMBRIDGE MEDICAL CENTER SHARED MENTAL WELLNESS MESSAGING DURING CHILL WEEK IN OCTOBER 2021 WITH CHANGE TO CHILL PARTNERSHIP SCHOOLS.IN 2021, CMC STAFF PROVIDED PRESENTATIONS AND INFORMATION ABOUT CHANGE TO CHILL AND STRESS MANAGEMENT RESOURCES TO LOCAL AREA SCHOOLS AND PROMOTED MENTAL HEALTH AND RESILIENCE PROGRAMS AT KIDS' DAY AT THE FAIR. CMC STAFF OFFERED PRESENTATIONS ABOUT AVOIDING BURNOUT AND STRESS MANAGEMENT TECHNIQUES TO EAST CENTRAL ENERGY STAFF. CMC STAFF FACILITATED ACTIVITIES THAT EDUCATE AND MOTIVATE YOUTH TO AVOID USE AND ABUSE OF SUBSTANCES, DIRECTLY REACHING OVER 500 STUDENTS IN 2021. GOAL 3. REDUCE BARRIERS TO MENTAL HEALTH SERVICES FOR PEOPLE IN OUR COMMUNITIES.CAMBRIDGE MEDICAL CENTER PROMOTED CTC EXPANDED WEB CONTENT AND MENTAL WELL-BEING SESSIONS FOR YOUTH AND THEIR PARENTS AND CAREGIVERS, INCLUDING CONTENT THAT PRIORITIZED BLACK, INDIGENOUS, LATINX AND LGBTQIA+ YOUTH AND THEIR PARENTS/CAREGIVERS.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 6 -- CAMBRIDGE MEDICAL CENTER PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:REGINA HOSPITAL: REGINA HOSPITAL DEVELOPED ITS CHNA AS PART OF THE DAKOTA COUNTY PUBLIC HEALTH'S HEALTHY DAKOTA INITIATIVE, THE CENTER FOR COMMUNITY HEALTH (CCH) EAST METRO CHNA COLLABORATIVE AND THE HASTINGS EQUITY AND INCLUSION COMMITTEE. MEMBERS OF THE HEALTHY DAKOTA INITIATIVE REVIEWED STATE AND LOCAL DATA RESOURCES AND SURVEY RESPONSES FROM 1,244 RESIDENTS AND 46 ORGANIZATIONAL ASSESSMENTS. ADDITIONALLY, THEY CONDUCTED LISTENING SESSIONS WITH COMMUNITY REPRESENTATIVES FROM SOCIAL SERVICE AGENCIES, HOUSING ORGANIZATIONS AND LEGAL AND MENTAL HEALTH SERVICES. BASED ON THE DATA REVIEW, THE HEALTHY DAKOTA INITIATIVE STEERING COMMITTEE SELECTED 19 HEALTH PRIORITIES. REGINA STAFF NARROWED THE LIST BY REVIEWING ALLINA HEALTH PATIENT DATA AND HOLDING THREE DIALOGUES WITH MEMBERS OF THE HASTINGS EQUITY AND INCLUSION COMMITTEE. THIS GROUP INCLUDES REGINA HOSPITAL AND 50 OTHER MEMBERS, INCLUDING COMMUNITY RESIDENTS, BUSINESS OWNERS AND REPRESENTATIVES FROM GOVERNMENT AND NONPROFIT ORGANIZATIONS. ADDITIONALLY, TO GAIN RESIDENTS' PERSPECTIVES ON THESE PRIORITIES AND GATHER IDEAS FOR ADDRESSING THEM, REGINA STAFF INTERVIEWED REPRESENTATIVES FROM FIVE COMMUNITY ORGANIZATIONS SUCH AS LOCAL SOCIAL SERVICE AGENCIES AND THE LOCAL HIGH SCHOOL AND SENIOR CENTER.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.REGINA HOSPITAL: GOAL 1: IMPROVE MENTAL HEALTH AND WELLNESS BY INCREASING RESILIENCE AND HEALTHY COPING IN COMMUNITIES AND REDUCING BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES.IN 2021, REGINA HOSPITAL CONTINUED THE CHANGE TO CHILL SCHOOL PARTNERSHIP WITH HASTINGS MIDDLE SCHOOL REACHING APPROXIMATELY 1,280 STUDENTS, HASTINGS HIGH SCHOOL REACHING APPROXIMATELY 1,404 STUDENTS, AND ELLSWORTH HIGH SCHOOL, REACHING APPROXIMATELY 65 STUDENTS. REGINA HOSPITAL ENGAGED IN THE PARTNERSHIP WITH DAKOTA COUNTY AREA LEARNING SCHOOL, REACHING APPROXIMATELY 16 STUDENTS. ALLINA HEALTH OFFERED THE DEVELOPMENT AND FUNDING FOR CHILL ZONE, INTERN PROGRAM AND ONGOING SUPPORT TO STAFF AND PARENTS IN ADDRESSING TEENS' MENTAL HEALTH NEEDS IN VARIOUS AREA SCHOOLS. REGINA HOSPITAL PROMOTED CHILL WEEK WITHIN CHANGE TO CHILL SCHOOL PARTNERSHIP SCHOOLS. INTERNALLY, REGINA HOSPITAL PROVIDED INFORMATION AND RESOURCES FOR EMPLOYEES AND STAFF REGARDING RESILIENCY AND COPING STRATEGIES.GOAL 2. BROADEN THE ARRAY OF PROGRAMS AND SERVICES AVAILABLE TO SUPPORT THE AGING CONTINUUM.REGINA HOSPITAL CONTINUED TO SUPPORT THE MEALS ON WHEELS PROGRAM, PARTNERING WITH HASTINGS FAMILY SERVICES TO ADAPT TO THE PROGRAM TO SUPPORT THOSE IN NEED DURING THE PANDEMIC. CONTINUED PLANNING WITH HASTINGS SENIOR CENTER, DARTS, AND DAKOTA COUNTY TO ADDRESS THE NEEDS OF THIS POPULATION AND INCREASED RISKS OF ISOLATION. GOAL 3. DECREASE THE PERCENTAGE OF POPULATION THAT IS OVERWEIGHT OR OBESE.IN 2021, REGINA HOSPITAL PROVIDED GRANT-MAKING, CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEER OPPORTUNITIES TO HEALTHY FOOD-RELATED ACTIVITIES AND ORGANIZATIONS. SUPPORTED HASTINGS FAMILY SERVICE MARKET CART PROGRAM THROUGH PROMOTION AND FINANCIAL CONTRIBUTION. CONTINUED PARTNERSHIP WITH DAKOTA COUNTY STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP LEADERSHIP TEAM.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 7 -- REGINA HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (ALLINA HEALTH FARIBAULT MEDICAL CENTER, EFFECTIVE 1/1/2022) (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 11: "BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: INCREASE RESILIENCE AND HEALTHY COPING SKILLSDISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH ITS CHANGE TO CHILL PROGRAM. IN THE 2021-2022 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES IN THE REGION INCLUDED FARMINGTON HIGH SCHOOL, MEDFORD HIGH SCHOOL, NORTHFIELD MIDDLE SCHOOL, AND OWATONNA MIDDLE SCHOOL.IN ADDITION, THE HOSPITALS CONTINUED TO LEAD THE HEALTH & HAPPINESS PROJECT FOR RICE AND STEELE COUNTIES INCLUDING ONGOING DEVELOPMENT OF A WEB-BASED RESILIENCY TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG) AND SUPPORTING ANTI-STIGMA SOCIAL MEDIA CAMPAIGNS ACROSS THE REGION.IN 2021, ALLINA HEALTH REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE AND MENTAL WELLNESS. STAFF PARTICIPATED IN LEGISLATIVE EVENTS HOSTED BY THE RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY ORGANIZATIONS IN FARIBAULT AND OWATONNA WHO WORK DIRECTLY IN MENTAL HEALTH AND SUBSTANCE USE AND WHO EXPERIENCED INCREASED NEED POST-COVID. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) BEGAN SERVING AS HOST SITE FOR THE MOBILE OPIATE SUPPORT TEAM (MOST) COORDINATOR, A COMMUNITY-BASED LICENSED ALCOHOL AND DRUG COUNSELOR/SOCIAL WORKER. THE MOST COORDINATOR RECEIVES REFERRALS FROM NUMEROUS COMMUNITY AGENCIES INCLUDING HEALTHFINDERS COLLABORATIVE, RICE COUNTY SOCIAL SERVICES, MAYO HEALTH SYSTEM AND MORE. THE PROGRAM HELPS TO QUICKLY ASSESS AND CONNECT RICE COUNTY RESIDENTS WHO ARE EXPERIENCING OPIOID AND SUBSTANCE USE DISORDERS WITH COMMUNITY RESOURCES AND DRUG TREATMENT.GOAL 3: REDUCE SOCIAL BARRIERS TO HEALTHIN 2021, THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS COLLABORATIVE IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. ADDITIONALLY, A UCARE HEALTH EQUITY GRANT HELPED FUND THE ""PAVING THE WAY"" MATERNAL CARE PROJECT IN RICE COUNTY. THE PILOT WAS CREATED TO HELP PRENATAL AND POSTPARTUM MOMS IDENTIFIED BY PROVIDERS AS NEEDING ADDITIONAL MEDICAL AND SOCIAL SUPPORT WITH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS, PUBLIC HEALTH NURSES AND BILINGUAL COMMUNITY HEALTH WORKERS. GOAL 4: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTSIN 2021, DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY INCLUDING: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, RICE COUNTY FOOD COUNCIL, AND THE COMMUNITY ACTION CENTER. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF THE HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY THOSE EXPERIENCING INCREASED NEED DUE TO THE COVID-19 PANDEMIC. IN ADDITION, DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) PARTNERED WITH THE NEW CANNON VALLEY FARMERS MARKET TO ESTABLISH TWO MARKET COORDINATOR POSITIONS TO HELP EXPAND DIVERSITY OF MARKET VENDORS, CONSUMERS AND IMPLEMENT USE OF WIC MARKET BUCKS AND SNAP/EBT."
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 8 -- OWATONNA HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 5: DISTRICT ONE HOSPITAL CHANGED ITS NAME TO ALLINA HEALTH FARIBAULT MEDICAL CENTER, EFFECTIVE 1/1/2022. IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:OWATONNA HOSPITAL & DISTRICT ONE HOSPITAL (JOINT): OWATONNA HOSPITAL AND DISTRICT ONE HOSPITAL CONDUCTED A JOINT CHNA IN COLLABORATION WITH TWO COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES: ONE CONDUCTED BY RICE COUNTY PUBLIC HEALTH AND THE OTHER CONDUCTED JOINTLY BY HEALTH DEPARTMENTS IN STEEL COUNTY AND DODGE COUNTY. BOTH GROUPS REVIEWED HOSPITAL, STATE AND LOCAL DATA. THE RICE COUNTY CHIP COMMITTEE MEMBERS ALSO REVIEWED RESPONSES FROM 639 PEOPLE ON A COMMUNITY HEALTH SURVEY CONDUCTED BY RICE COUNTY PUBLIC HEALTH. THE STEELE-DODGE CHIP COMMITTEE REVIEWED 27 RESPONSES TO AN ONLINE SURVEY OF KEY COMMUNITY PARTNERS' PERSPECTIVES ON PRIORITIES. OWATONNA AND DISTRICT ONE HOSPITALS' PRIORITIES WERE BASED ON THIS REVIEW. ADDITIONALLY, THE COMMITTEES HELD TWO CONVERSATIONS WITH MEMBERS OF FARIBAULT'S SOMALI AND LATINX COMMUNITIES AND CONDUCTED FOCUS GROUPS WITH THE STEELE AND DODGE COUNTIES' SHIP COMMUNITY LEADERSHIP TEAMS, MAYO CLINIC PRIMARY CARE PROVIDERS, OWATONNA HIGH SCHOOL STUDENTS AND RICE COUNTY SOCIAL SERVICE PROVIDERS. IN ADDITION, 80 RESIDENTS PARTICIPATED IN A COMMUNITY DIALOGUE.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 11: "BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.DISTRICT ONE HOSPITAL BECAME ALLINA HEALTH FARIBAULT MEDICAL CENTER ON 1/1/2022. DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL: DUE TO THEIR GEOGRAPHIC PROXIMITY AND TO EFFICIENTLY DISTRIBUTE THEIR SHARED STAFF RESOURCES, DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL COLLABORATED ON THEIR 2020-22 CHNA COMPLETION PROCESS AND DEVELOPED A SET OF SHARED ACTIVITIES.GOAL 1: INCREASE RESILIENCE AND HEALTHY COPING SKILLSDISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) AND OWATONNA HOSPITALS CONTINUED THE WORK AND PARTNERSHIP WITH ITS CHANGE TO CHILL PROGRAM. IN THE 2021-2022 SCHOOL YEAR, CHANGE TO CHILL SCHOOL PARTNERSHIP SITES IN THE REGION INCLUDED FARMINGTON HIGH SCHOOL, MEDFORD HIGH SCHOOL, NORTHFIELD MIDDLE SCHOOL, AND OWATONNA MIDDLE SCHOOL.IN ADDITION, THE HOSPITALS CONTINUED TO LEAD THE HEALTH & HAPPINESS PROJECT FOR RICE AND STEELE COUNTIES INCLUDING ONGOING DEVELOPMENT OF A WEB-BASED RESILIENCY TOOLKIT (WWW.HEALTHANDHAPPINESSPROJECT.ORG) AND SUPPORTING ANTI-STIGMA SOCIAL MEDIA CAMPAIGNS ACROSS THE REGION.IN 2021, ALLINA HEALTH REPRESENTATIVES CONTINUED ACTIVE PARTICIPATION IN THE STEELE COUNTY SAFE AND DRUG FREE COALITION AND THE RICE COUNTY CHEMICAL AND MENTAL HEALTH COALITION FOCUSED ON REDUCING ADOLESCENT SUBSTANCE USE AND MENTAL WELLNESS. STAFF PARTICIPATED IN LEGISLATIVE EVENTS HOSTED BY THE RICE COUNTY OPIOID RESPONSE COUNCIL WITH ELECTED OFFICIALS. IN ADDITION, THE HOSPITALS PROVIDED SIGNIFICANT CHARITABLE DONATIONS TO COMMUNITY ORGANIZATIONS IN FARIBAULT AND OWATONNA WHO WORK DIRECTLY IN MENTAL HEALTH AND SUBSTANCE USE AND WHO EXPERIENCED INCREASED NEED POST-COVID. GOAL 2: REDUCE SOCIAL BARRIERS TO HEALTH FOR ALLINA HEALTH PATIENTS AND COMMUNITIES.DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) BEGAN SERVING AS HOST SITE FOR THE MOBILE OPIATE SUPPORT TEAM (MOST) COORDINATOR, A COMMUNITY-BASED LICENSED ALCOHOL AND DRUG COUNSELOR/SOCIAL WORKER. THE MOST COORDINATOR RECEIVES REFERRALS FROM NUMEROUS COMMUNITY AGENCIES INCLUDING HEALTHFINDERS COLLABORATIVE, RICE COUNTY SOCIAL SERVICES, MAYO HEALTH SYSTEM AND MORE. THE PROGRAM HELPS TO QUICKLY ASSESS AND CONNECT RICE COUNTY RESIDENTS WHO ARE EXPERIENCING OPIOID AND SUBSTANCE USE DISORDERS WITH COMMUNITY RESOURCES AND DRUG TREATMENT.GOAL 3: REDUCE SOCIAL BARRIERS TO HEALTHIN 2021, THE HOSPITALS CONTINUED TO ENGAGE HEALTHFINDERS COLLABORATIVE IN SUPPORTING ACCOUNTABLE HEALTH COMMUNITIES INITIATIVE REFERRALS FOR NAVIGATION SUPPORT. ADDITIONALLY, A UCARE HEALTH EQUITY GRANT HELPED FUND THE ""PAVING THE WAY"" MATERNAL CARE PROJECT IN RICE COUNTY. THE PILOT WAS CREATED TO HELP PRENATAL AND POSTPARTUM MOMS IDENTIFIED BY PROVIDERS AS NEEDING ADDITIONAL MEDICAL AND SOCIAL SUPPORT WITH HOME VISITS CONDUCTED BY COMMUNITY PARAMEDICS, PUBLIC HEALTH NURSES AND BILINGUAL COMMUNITY HEALTH WORKERS. GOAL 4: INCREASE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG COMMUNITY RESIDENTSIN 2021, DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) AND OWATONNA HOSPITALS CONTINUED SERVING ON REGIONAL BOARDS AND COMMITTEES AIMED AT ADDRESSING FOOD INSECURITY INCLUDING: STEELE COUNTY HEALTHY EATING NETWORK, RICE COUNTY EMERGENCY FOOD ACCESS NETWORK, RICE COUNTY FOOD COUNCIL, AND THE COMMUNITY ACTION CENTER. THE HOSPITALS CONTINUED ACTIVE LOCAL PROMOTION OF THE HEALTH POWERED KIDS PROGRAM BY ALLINA HEALTH AS WELL AS DIRECTED CHARITABLE CONTRIBUTIONS TO FOOD SHELVES AND OTHER COMMUNITY FOOD PARTNERS, ESPECIALLY THOSE EXPERIENCING INCREASED NEED DUE TO THE COVID-19 PANDEMIC. IN ADDITION, DISTRICT ONE HOSPITAL (FARIBAULT MEDICAL CENTER) PARTNERED WITH THE NEW CANNON VALLEY FARMERS MARKET TO ESTABLISH TWO MARKET COORDINATOR POSITIONS TO HELP EXPAND DIVERSITY OF MARKET VENDORS, CONSUMERS AND IMPLEMENT USE OF WIC MARKET BUCKS AND SNAP/EBT."
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 9 -- DISTRICT ONE HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 5: IN 2019, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. EACH HOSPITAL WORKED CLOSELY WITH LOCAL PUBLIC HEALTH TO COMPLETE ITS CHNA. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. AT A MINIMUM, LOCAL PUBLIC HEALTH WORKED WITH ALLINA HEALTH TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND HELP DEFINE 2020-2022 CHNA PRIORITIES. ADDITIONALLY, TO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND COMMUNITY RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. COMMUNITY INPUT CAME FROM DIVERSE GROUPS IN TERMS OF AGE, RACE/ETHNICITY, CULTURAL GROUP, AND OTHER DEMOGRAPHICS. A SPECIAL EFFORT WAS MADE TO REACH HISTORICALLY UNDERSERVED COMMUNITIES INCLUDING, BUT NOT LIMITED TO: WEST AFRICAN, SOMALI, LATINX, LGBTQ, FARMING, AFRICAN AMERICAN, PEOPLE EXPERIENCING MENTAL HEALTH CONDITIONS, PEOPLE LIVING ON LESS AND LOW-INCOME HOUSING RESIDENTS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. DETAILS ON EACH HOSPITAL'S APPROACH ARE AS FOLLOWS:RIVER FALLS AREA HOSPITAL: RIVER FALLS AREA HOSPITAL IMPLEMENTED A JOINT CHNA AS PART OF HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) A COMMUNITY COALITION THAT INCLUDES STAFF FROM RIVER FALLS AREA HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH AND THE UNITED WAY OF ST. CROIX VALLEY. HEALTHIER TOGETHER ENGAGED 39 ORGANIZATIONS TO REVIEW HOSPITAL, STATE AND LOCAL DATA AND 1,072 RESIDENT RESPONSES TO A COMPREHENSIVE ONLINE/PAPER SURVEY. BASED ON THIS REVIEW, THE COALITION DEFINED ITS 2020-2022 PRIORITIES. ADDITIONALLY, TO UNDERSTAND RESIDENTS' PERSPECTIVES, HEALTHIER TOGETHER CONDUCTED SEVEN FOCUS GROUPS WITH 61 RESIDENTS INCLUDING FARMERS, SENIORS, YOUTH, PEOPLE IN MENTAL HEALTH OR SUBSTANCE USE RECOVERY, PROVIDERS AND PEOPLE WHO WORK WITH YOUTH.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6A: THE 10 ALLINA HEALTH HOSPITALS - ABBOTT NORTHWESTERN HOSPITAL (INCLUDING PHILLIPS EYE INSTITUTE), UNITED HOSPITAL, MERCY HOSPITAL (INCLUDING UNITY CAMPUS), CAMBRIDGE MEDICAL CENTER, BUFFALO HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, REGINA HOSPITAL, DISTRICT ONE HOSPITAL AND RIVER FALLS AREA HOSPITAL USE A COORDINATED APPROACH AND CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ON A GEOGRAPHIC REGIONAL COMMUNITY BASIS. EACH REGIONAL CHNA CONTAINED ONLY ONE ALLINA HOSPITAL FACILITY WITH THE FOLLOWING EXCEPTIONS:- DISTRICT ONE HOSPITAL AND OWATONNA HOSPITAL WERE INCLUDED IN THE SAME REGIONAL CHNA DUE TO THEIR CLOSE GEOGRAPHIC PROXIMITY. - BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A JOINT, COLLABORATIVE EFFORT WITH OTHER ORGANIZATIONS, INCLUDING OTHER HOSPITAL FACILITIES.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 6B: IN MOST CASES, THE HOSPITAL CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. CAMBRIDGE MEDICAL CENTER, MERCY HOSPITAL, NEW ULM MEDICAL CENTER, OWATONNA HOSPITAL, AND DISTRICT ONE HOSPITAL CONDUCTED JOINT ASSESSMENTS IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH. ABBOTT NORTHWESTERN HOSPITAL, UNITED HOSPITAL AND REGINA HOSPITAL ALSO DEVELOPED THEIR ASSESSMENT AS PART OF COLLABORATIONS WITH PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES:MINNESOTA:ANOKA, BROWN, CARVER, DAKOTA, HENNEPIN, ISANTI, RAMSEY, ST. CROIX, STEELE, SCOTT, WASHINGTON, AND WRIGHT COUNTY PUBLIC HEALTH DEPARTMENTS. WISCONSIN:PIERCE COUNTY PUBLIC HEALTH DEPARTMENT.BUFFALO HOSPITAL AND RIVER FALLS AREA HOSPITAL CONDUCTED THEIR CHNA AS A FORMAL COLLABORATIVE EFFORT - WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE AND HEALTHIER TOGETHER PIERCE AND ST. CROIX COUNTIES, RESPECTIVELY.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 11: BEYOND SYSTEM-WIDE ACTIVITIES, EACH HOSPITAL IS ADDRESSING THE COLLECTIVE NEEDS IDENTIFIED ACROSS THE SYSTEM AS WELL AS ANY ADDITIONAL NEEDS DOCUMENTED FOR THIS PRIMARY SERVICE AREA. MANY PLANNED ACTIVITIES AND EVENTS WERE PUT ON HOLD DUE TO COVID-19 PANDEMIC, AFFECTING THE SCOPE AND FOCUS OF WORK IN 2021 FOR ALL ALLINA HEALTH HOSPITALS. HOWEVER, MANY EFFORTS WERE MADE TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES BY ADVANCING ADVOCACY WORK AND DEEPENING HOSPITALS' RELATIONSHIP AND COLLABORATION WITH THE COMMUNITIES ALLINA HEALTH SERVES.HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES (HEALTHIER TOGETHER) IS A COMMUNITY COALITION WORKING TO CREATE AND MAINTAIN HEALTHY COMMUNITIES AND PROVIDE A STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. HUDSON HOSPITAL & CLINIC, RIVER FALLS AREA HOSPITAL, WESTERN WISCONSIN HEALTH, WESTFIELDS HOSPITAL & CLINIC, PIERCE COUNTY PUBLIC HEALTH, ST. CROIX COUNTY PUBLIC HEALTH, AND THE UNITED WAY OF ST. CROIX VALLEY LEAD THE PLANNING AND IMPLEMENTATION OF A TWO-COUNTY, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. RIVER FALLS AREA HOSPITAL IS AN ACTIVE PARTICIPANT IN THE COALITION AND COLLABORATES WITH THE MEMBERS OF HEALTHIER TOGETHER TO ADVANCE THE WORK AROUND COMMUNITY HEALTH NEEDS. GOAL 1: IMPROVE MENTAL HEALTH BY INCREASING HEALTHY COPING SKILLS AND STRESS REDUCTION STRATEGIES, SUPPORTING COORDINATION OF MENTAL HEALTH CARE SERVICES BETWEEN SCHOOLS, PROVIDERS, AND COUNTIES AND INCREASING SERVICES THAT PROMOTE FAMILY STABILITY.IN 2021, RIVER FALLS AREA HOSPITAL CONTINUED WORKING WITH COMMUNITY SCHOOLS ON TEEN MENTAL HEALTH THROUGH THE CHANGE TO CHILL SCHOOL PARTNERSHIP PROGRAM. RIVER FALLS AREA HOSPITAL PARTNERED WITH MEYER MIDDLE SCHOOL, REACHING APPROXIMATELY 772 STUDENTS, ST. CROIX CENTRAL MIDDLE SCHOOL, REACHING APPROXIMATELY 459 STUDENTS, HUDSON HIGH SCHOOL, REACHING APPROXIMATELY 1,832 STUDENTS, AND PLUM CITY MIDDLE SCHOOL AND HIGH SCHOOL, REACHING APPROXIMATELY 154 STUDENTS. RIVER FALLS AREA HOSPITAL WAS ALSO AN ACTIVE PARTNER IN THE HEALTHIER TOGETHER SCHOOL PARTNERS SUB-COMMITTEE WHICH PROMOTED RESILIENCY, ISOLATION REDUCTION, AND COVID RELATED STRATEGIES TO SCHOOLS THROUGHOUT THE REGION DURING VIRTUAL, HYBRID, AND IN-PERSON LEARNING. IN ADDITION, RIVER FALLS AREA HOSPITAL CONTINUED TO PROMOTE HOPELINE TO PATIENTS, COMMUNITY, AND EMPLOYEES, OFFERED TWO TAKING CARE OF YOU COURSES IN 2021, AND PARTICIPATED IN YOUTH MENTAL HEALTH COLLABORATION MEETINGS QUARTERLY. GOAL 2. ADDRESS SUBSTANCE USE DISORDER BY ADVOCATING FOR POLICIES THAT INCREASE ACCESS TO SUBSTANCE USE TREATMENT, INCREASING EARLY INTERVENTION, EDUCATION AND PREVENTION SERVICES RELATED TO SUBSTANCE USE IN THE COMMUNITY AND INCREASING COORDINATED YOUTH PREVENTION WORK, PROVIDING EDUCATION, HEALTHY ACTIVITIES AND RESILIENCE TRAINING. RIVER FALLS AREA HOSPITAL PROMOTED DRUG DISPOSAL DAY AT WALMART AND BY LOCAL LAW ENFORCEMENT AGENCIES, WHO OFFERED COLLECTION EVENTS TWICE A YEAR. EDUCATION AND MARKETING FOR THE EVENTS WAS CONDUCTED THROUGH THE HEALTHIER TOGETHER WEBSITE. IN 2021, THE HOSPITAL ACTIVELY ENGAGED IN ADVOCACY WORK TO ALLOW FIRST RESPONDERS AND APPROPRIATE COMMUNITY MEMBERS TO CARRY NARCAN. NARCAN OVERDOSE TRAINING WAS OFFERED AND COMPLETED FOR 73 INDIVIDUALS IN PIERCE COUNTY AND 38 IN ST. CROIX, INCLUDING LAW ENFORCEMENT AND HUMAN SERVICES PARTNERS.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 13B: SEE RESPONSE TO FORM 990, SCHEDULE H, PART I, LINE 3C INCLUDED IN FORM 990, SCHEDULE H, PART VI FOR EXPLANATION OF CRITERIA.
GROUP A-FACILITY 10 -- RIVER FALLS AREA HOSPITAL PART V, SECTION B, LINE 24: NON-MEDICALLY NECESSARY OR RETAIL/COSMETIC PROCEDURES WOULD NOT QUALIFY FOR THE UNINSURED DISCOUNT.
PART V, SECTION B, LINE 7 A HOSPITAL FACILITY WEBSITE URL -HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2017-2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-PLANS/
PART V, SECTION B, LINE 11 "THE FOLLOWING ARE SYSTEM WIDE INITIATIVES THAT APPLY TO TEN ALLINA HEALTH HOSPITALS. PLEASE REFER TO PART V SECTION B LINE 11 EXPLANATION FOR EACH HOSPITAL FACILITY FOR ADDITIONAL NEEDS ADDRESSED AT THE HOSPITAL LEVEL. AT THE END OF 2019, ALLINA HEALTH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 ASSESSMENT IDENTIFIED HEALTHY EATING/ACTIVING LIVING, MENTAL HEALTH AND SUBSTANCE USE AND SOCIAL DETERMINANTS OF HEALTH AS PRIORITY NEEDS FOR 2020-2022 ACROSS ALL ALLINA HEALTH GEOGRAPHIES. 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 2021, NEARLY 140,000 USERS VISITED THE CHANGE TO CHILL WEBSITE AND THANKS TO THE HARDWORKING ALLINA HEALTH LANGUAGE SERVICES DEPARTMENT, USERS CAN NOW ACCESS THE WEBSITE IN SPANISH. ADDITIONALLY, SINCE 2018, THE PROGRAM HAS INCLUDED AN IN-PERSON COMPONENT - THE CHANGE TO CHILL SCHOOL PARTNERSHIP (CTCSP). COMPONENTS OF CTCSP INCLUDE STAFF TRAINING ON CTC, A PAID STUDENT INTERNSHIP AND FUNDING FOR A ""CHILL ZONE"" -A DESIGNATED SPACE FOR STUDENTS AND STAFF TO PRACTICE SELF-CARE. INITIAL EVALUATIONS OF CTCSP HAVE SHOWN INCREASES IN CONFIDENCE IN ABILITY TO COPE WITH STRESS AMONG STUDENTS WHO PARTICIPATE IN PROGRAM COMPONENTS. THROUGH CTCSP, 38 STUDENTS FROM 12 HIGH SCHOOLS AND 8 MIDDLE SCHOOLS PARTICIPATED IN A VIRTUAL CTCSP SUMMER INTERNSHIP PROGRAM IN 2021.-BE THE CHANGE - ALLINA HEALTH HAS BEEN A LEADER IN ELIMINATING STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS WITHIN THE HEALTHCARE INDUSTRY. BE THE CHANGE, WAS A CAMPAIGN TO ELIMINATE STIGMA AROUND MENTAL HEALTH AND ADDICTION CONDITIONS AT ALLINA HEALTH AND ENSURE ALL PATIENTS RECEIVE THE SAME CONSISTENT, EXCEPTIONAL CARE. AT THE CAMPAIGN'S LAUNCH, 500 ALLINA HEALTH EMPLOYEES VOLUNTEERED TO LEAD THE EFFORT AS TRAINED BE THE CHANGE CHAMPIONS AND HELP EDUCATE AND GENERATE AWARENESS AMONG THEIR COLLEAGUES ABOUT MENTAL HEALTH AND ADDICTION CONDITIONS THROUGH PRESENTATIONS AND EDUCATION EVENTS. IN 2020, BE THE CHANGE TRANSITIONED FROM A CAMPAIGN TO AN EMPLOYEE RESOURCE GROUP (ERG). THE PURPOSE OF THIS GROUP IS TO CREATE AN INCLUSIVE, WELCOMING AND SUPPORTIVE ENVIRONMENT FOR PEOPLE LIVING WITH DISABILITIES, MENTAL HEALTH CONDITIONS AND/OR ADDICTION AND CONTINUE TO WORK TO ELIMINATE STIGMA AROUND MENTAL HEALTH, ADDICTION AND DISABILITY CONDITIONS. IN 2021, 129 INDIVIDUALS PARTICIPATED IN THE ERG. KEY ACTIVITIES INCLUDED: PROVIDING $1,250 ($416/EACH) IN CHARITABLE CONTRIBUTIONS TO 3 ORGANIZATIONS: SURVIVOR RESOURCES, DIVISION OF INDIAN WORK, AND THE DISABILITY LAW CENTER, HOSTING QUARTERLY MEMBER MEETINGS WITH GUEST SPEAKERS, AND HOSTING OR CO-HOSTING 8 EVENTS TO PROMOTE STIGMA REDUCTION ACROSS THE ENTIRE ORGANIZATION.-HELLO4HEALTH - IS A NEW ONLINE RESOURCE DEVELOPED BY ALLINA HEALTH TO HELP PEOPLE BUILD OR STRENGTHEN SOCIAL CONNECTIONS IN THEIR LIVES. THE PROGRAM BUILDS ON A PREVIOUS ALLINA HEALTH PROGRAM, NEIGHBORHOOD HEALTH CONNECTION, AND WAS DEVELOPED IN RESPONSE TO THE 2020-2022 CHNA WHICH IDENTIFIED SOCIAL ISOLATION AS A FACTOR CONTRIBUTING TO POOR MENTAL WELLNESS AMONG ADULTS ACROSS ALL GEOGRAPHIES. THE INITIATIVE WEBSITE WAS DEVELOPED IN 2020 AND LAUNCHED IN 2021. COMPONENTS INCLUDE EDUCATION ON THE IMPORTANCE OF SOCIAL CONNECTIONS TO HEALTH, SUGGESTED ACTIVITIES TO CONNECT WITH OTHERS OF ALL AGES AND SOCIAL SKILL-BUILDING TOOLS TO MAKE CONNECTING EASIER. IN 2021, 9,488 MINNESOTA AND WISCONSIN USERS VISITED THE HELLO4HEALTH WEBSITE.-HEALTH POWERED KIDS (HPK) - LAUNCHED IN 2012, IS A FREE COMMUNITY EDUCATION PROGRAM DESIGNED TO EMPOWER CHILDREN AGES 3 TO 14 YEARS TO MAKE HEALTHIER CHOICES ABOUT EATING, EXERCISE, KEEPING CLEAN AND MANAGING STRESS. IN 2021, MORE THAN 142,000 USERS VISITED THE HPK WEBSITE.-CHARITABLE CONTRIBUTIONS- CHARITABLE CONTRIBUTIONS MADE BY ALLINA HEALTH INCLUDE A FOCUS ON HEALTH PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT PROCESS, WITH A PARTICULAR FOCUS ON IMPROVING HEALTH EQUITY, AND ON SUPPORTING SAFETY NET PROVIDERS IN THE COMMUNITY TO IMPROVE ACCESS TO CARE. IN 2021 ALLINA HEALTH SYSTEM OFFICE MADE THE FOLLOWING CONTRIBUTIONS BY FOCUS AREA: $82,805 (18%) FOR ACTIVE LIVING, $170,000 (37%) FOR HEALTHY EATING, $80,000 (17%) FOR IMPROVING ACCESS TO HEALTH CARE SERVICES, $44,500 (10%) FOR MENTAL HEALTH AND WELLNESS, $22,500 (5%) FOR SUBSTANCE USE, $52,000 (11%) FOR OTHER HEALTH-RELATED PURPOSES AND $10,500 (2%) FOR NON-HEALTH RELATED PURPOSES. EXAMPLES OF SPECIFIC CONTRIBUTIONS ARE DESCRIBED BELOW.TO SUPPORT ACTIVE LIVING, ALLINA GAVE OVER $68,000 TO FREE BIKES 4 KIDZ, INCLUDING A $13,000 CONTRIBUTION TO SUPPORT THE ORGANIZATION IN PURCHASING EQUIPMENT AND TOOLS AFTER THEIR WAREHOUSE WAS BURGLARIZED. THIS CONTRIBUTION WAS PART OF TEN-YEAR PARTNERSHIP BETWEEN ALLINA HEALTH AND FREE BIKES 4 KIDZ MN. IN ADDITION TO THE CONTRIBUTION, ALLINA HEALTH PARTNERS WITH FREE BIKES 4 KIDZ MN EACH YEAR TO COLLECT AND DISTRIBUTE BICYCLES TO CHILDREN WHOSE FAMILIES COULD NOT OTHERWISE AFFORD ONE. IN 2021, MORE THAN 650 ALLINA HEALTH EMPLOYEES COLLECTED APPROXIMATELY 7,000 BIKES FOR FB4K MN. THE BIKES WERE REFURBISHED BY FB4K MN BEFORE THEY WERE DISTRIBUTED WITH HELMETS AND BIKE SAFETY INFORMATION TO CHILDREN AND ADULTS IN MN AND WI. ALSO IN SUPPORT OF ACTIVE LIVING, ALLINA HEALTH GAVE $5,000 EACH TO THE AMERICAN DIABETES ASSOCIATION'S TWIN CITIES TOUR DE CURE, THE SANNEH FOUNDATION AND YMCA OF THE NORTH: CYCLEHEALTH.FOR THE FOCUS AREA OF HEALTHY EATING, GRANTS WERE GIVEN TO HUNGER SOLUTIONS, MATTER, THE FOOD GROUP, SECOND HARVEST, AND EVERY MEAL (FORMERLY THE SHERIDAN STORY), AND LOAVES AND FISHES. ALL SIX ORGANIZATIONS PROVIDE HEALTHY FOOD TO FAMILIES EXPERIENCING FOOD INSECURITY THROUGHOUT THE ALLINA HEALTH SERVICE AREA. AN ADDITIONAL GRANT WAS PROVIDED TO METRO MEALS ON WHEELS TO SUPPORT THEIR EFFORTS ADDRESSING SOCIAL ISOLATION AND FOOD INSECURITY, WITH A FOCUS ON OLDER ADULTS AND PEOPLE WITH DISABILITIES.CONTRIBUTIONS TO MENTAL WELLNESS FOCUSED ON HEALTH EQUITY, INCREASING ACCESS TO CARE AND COMMUNITIES DISPROPORTIONATELY IMPACTED BY COVID-19. FOR EXAMPLE, $10,000 WAS PROVIDED TO CANVAS HEALTH AND OVER $5,000 TO GUILD, INC. TO SUPPORT THE PROVISION OF DIRECT SERVICES ACROSS ALLINA HEALTH'S SERVICE AREA. AN ADDITIONAL $7,500 WAS GIVEN TO PEOPLE INC. TO SUPPORT THE PATHWAYS MENTAL HEALTH TRAINEE PROGRAM, WHICH PROVIDES A HIGH-INTENSITY, IMMERSIVE INTERNSHIP EXPERIENCE FOR EMERGING MENTAL HEALTH PRACTITIONERS, WITH A PARTICULAR FOCUS ON IMPROVING ACCESS TO MENTAL HEALTH PRACTITIONERS FROM DIVERSE BACKGROUNDS BY REMOVING BARRIERS TO EMPLOYMENT FOR DIVERSE PRACTITIONERS.TO SUPPORT ACCESS TO SUBSTANCE USE SERVICES AND REDUCE STIGMA SURROUNDING SUBSTANCE USE DISORDERS, ALLINA HEALTH PROVIDED A $25,000 DONATION TO THE MINNESOTA RECOVERY CONNECTION AND SPONSORED THE CENTER OF ADDICTION AND FAITH CONFERENCE AT $2,500.TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ALLINA HEALTH SPONSORED THE CARONDELET GALA AT THE $30,000 LEVEL, WHICH RAISED FUNDS FOR ST. MARY'S HEALTH CLINICS (SMHC). SMHC SERVES LOW-INCOME, UNINSURED INDIVIDUALS, FAMILIES AND CHILDREN, BY PROVIDING FREE CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH CARE SERVICES.THROUGH THE ACCOUNTABLE HEALTH COMMUNITIES MODEL, CARE TEAMS IN 79 ALLINA HEALTH SITES SCREEN PATIENTS WITH MEDICARE AND/OR MEDICAID INSURANCE FOR FIVE HEALTH-RELATED SOCIAL NEEDS: HOUSING INSTABILITY, FOOD INSECURITY, ACCESS TO TRANSPORTATION, DIFFICULTY PAYING FOR HEAT, ELECTRICITY OR OTHER UTILITIES, AND CONCERNS ABOUT INTERPERSONAL SAFETY. IF A PATIENT IDENTIFIES A NEED, THE CARE TEAM PROVIDES A LIST OF COMMUNITY RESOURCES TAILORED TO THE PATIENT'S UNIQUE NEEDS. IN ADDITION, SOME HIGH-RISK PATIENTS RECEIVE CARE TEAM ASSISTANCE NAVIGATING TO COMMUNITY RESOURCES.IN 2021, MORE THAN 60,000 PATIENTS WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS THROUGH THIS MODEL. 2021 ACTIVITIES FOCUSED ON CLOSING RACIAL/ETHNIC DISPARITIES IN OFFERS TO SCREEN AND SCREEN COMPLETION AND INCLUDED, BUT WERE NOT LIMITED TO: ESTABLISHING GOALS AND SYSTEMS FOR MONITORING PROGRESS, SCRIPTING FOR INTRODUCING THE SCREENING THROUGH AN INTERPRETER AND DEEPENING CULTURAL UNDERSTANDING AMONG CARE TEAMS VIA DEVELOPING AND DISTRIBUTING CULTURAL HUMILITY VIDEOS. THROUGH THESE EFFORTS, SCREENING GAPS WERE REDUCED SIGNIFICANTLY. MONITORING AND ADDRESSING SCREENING DISPARITIES WILL CONTINUE TO BE A FOCUS. ALLINA HEALTH INVESTED NEARLY $73,000 IN STAFF TIME IN 2021 TO IMPLEMENT THE AHC MODEL, BEYOND WHAT WAS PROVIDED FOR BY THE COOPERATIVE AGREEMENT. THE AHC COOPERATIVE AGREEMENT ENDED IN APRIL 2022. AT THE END OF 2021, ALLINA HEALTH BEGAN DEVELOPING AN ALLINA HEALTH-SPECIFIC MODEL FOR SCREENING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS. THROUGH THIS NEW MODEL, THE GOAL IS TO ACHIEVE UNIVERSAL HEALTH-RELATED SOCIAL NEED SCREENING IN THE ALLINA HEALTH SYSTEM BY THE END OF 2022."
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Supplemental Information
Schedule H (Form 990) Part VI
PART I, LINE 3C: "CHARITY CARE PROGRAM- ALLINA PARTNERS CARE PROGRAM A KEY COMPONENT OF ALLINA'S MISSION IS TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES AND TO ADVOCATE FOR THOSE WITH LIMITED FINANCIAL MEANS. ALLINA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING MEDICAL CARE. THEREFORE, ALLINA HAS SEVERAL FINANCIAL ASSISTANCE PROGRAMS INCLUDING A ROBUST CHARITY CARE PROGRAM KNOWN AS THE ALLINA PARTNERS CARE PROGRAM WHICH PROVIDES FREE CARE TO ALL PERSONS AT OR BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY IN THE FEDERAL REGISTRAR.THE CHARITY CARE PROGRAM ALSO PROVIDES FOR THE CONSIDERATION OF SPECIAL CIRCUMSTANCES FOR THE ""MEDICALLY INDIGENT"". THE ORGANIZATION EXTENDS THE CHARITY CARE PROGRAM IN INSTANCES THE ORGANIZATION HAS DETERMINED THE PATIENT IS UNABLE TO PAY SOME OR ALL OF THEIR MEDICAL BILLS DUE TO CATASTROPHIC CIRCUMSTANCES EVEN THOUGH THEY HAVE INCOME OR ASSETS THAT OTHERWISE EXCEED THE GENERALLY APPLICABLE ELIGIBILITY CRITERIA FOR THE FREE CARE PROGRAM OR THE DISCOUNTED CARE PROGRAM (DESCRIBED BELOW) UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM GUIDELINES. DISCOUNTED CARE PROGRAM - UNINSURED DISCOUNT PROGRAM ALLINA ALSO HAS A FINANCIAL ASSISTANCE PROGRAM KNOWN AS THE UNINSURED DISCOUNT PROGRAM THAT PROVIDES A DISCOUNT ON BILLED CHARGES TO UNINSURED PATIENTS, AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT, FOR MEDICALLY NECESSARY CARE RECEIVED FROM ANY ALLINA HOSPITAL, HOSPITAL BASED CLINIC AND WHOLLY-OWNED AMBULATORY SURGERY CENTERS. THE UNINSURED DISCOUNT PROGRAM DOES NOT USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. INSTEAD, UNINSURED PATIENTS AND INSURED PATIENTS WHO RECEIVE UNINSURED TREATMENT ARE ELIGIBLE FOR A DISCOUNT BASED UPON THEIR INCOME LEVEL AND THE LOCATION OF THE SERVICES PROVIDED. ALL PATIENTS WITH AN ANNUAL INCOME AT OR BELOW $125,000 ARE ELIGIBLE FOR A DISCOUNT. THE DISCOUNT IS ALSO GENERALLY EXTENDED TO PATIENTS WITH AN ANNUAL INCOME ABOVE $125,000. THERE ARE THREE DISCOUNTS LEVELS ESTABLISHED, ONE FOR METRO HOSPITALS, ONE FOR REGIONAL HOSPITALS, AND ONE FOR HOSPITAL BASED CLINICS WITHIN THE ALLINA SYSTEM.ALLINA HEALTH'S UNINSURED DISCOUNT PROGRAM PROVIDES A SUBSTANTIAL DISCOUNT TO BILLED CHARGES FOR UNINSURED PATIENTS. THE DISCOUNT IS UPDATED ANNUALLY AND IS BASED ON THE REIMBURSEMENT RATE OF THE NON-GOVERNMENTAL THIRD PARTY PAYER WHICH PROVIDED ALLINA HEALTH THE MOST REVENUE DURING THE PREVIOUS YEAR."
PART I, LINE 6A: ALLINA'S ANNUAL COMMUNITY BENEFIT REPORT URL -HTTP://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/
PART I, LINE 7:
"WHERE APPROPRIATE, THE ORGANIZATION USES A RATIO OF PATIENT CARE COSTS TO CHARGES (""COST TO CHARGE RATIO"") TO CALCULATE THE AMOUNTS REPORTED FOR PART I, LINE 7 (THE TABLE)."
PART I, LINE 7G: THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
PART I, LN 7 COL(F): BAD DEBT EXPENSE HAS NOT BEEN INCLUDED IN FORM 990, PART IX, LINE 25 AND HAS NOT BEEN USED FOR THE PURPOSE OF CALCULATING THE AMOUNTS REPORTED IN COLUMN 7F. IT HAS BEEN REPORTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON FORM 990, PART VIII, LINE 2B.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIESUNDERSTANDING THAT GOOD HEALTH IS DEPENDENT ON SOCIETAL, COMMUNITY, AND FAMILY ENVIRONMENTS AS WELL AS INDIVIDUAL CHOICES, AND IS BIGGER THAN THE PROVISION OF HEALTH CARE, ALLINA ENGAGES IN COMMUNITY-BUILDING ACTIVITIES. BELOW ARE EXAMPLES OF WAYS THAT OUR HOSPITALS PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES IN 2021: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 4: FOOTNOTES TO AUDITED FINANCIAL STATEMENT THAT DESCRIBE BAD DEBT EXPENSE:SEE ATTACHED AUDIT, FOOTNOTE 2(N) ON PAGE 11
PART VI, LINE 7, REPORTS FILED WITH STATES MN,WI
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 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 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 $194 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 VI, LINE 2: IN 2019, ALLINA HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF THE HOSPITALS IN THE SYSTEM. THE PURPOSE WAS TO IDENTIFY LOCAL PRIORITIES FOR EACH HOSPITAL AS WELL AS OVER-ARCHING THEMES FOR THE HEALTH SYSTEM TO ADDRESS FOR FY 2020-2022. TO RESPOND TO LOCAL NEEDS AND RESOURCES, EACH ALLINA HEALTH HOSPITAL CONDUCTED ITS 2020-2022 CHNA INDEPENDENTLY. THE HOSPITALS WORKED CLOSELY WITH LOCAL PUBLIC HEALTH. THESE INCLUDE REPRESENTATIVES FROM THESE COUNTIES: ANOKA COUNTY, BROWN COUNTY, CARVER COUNTY, DAKOTA COUNTY, HENNEPIN COUNTY, ISANTI COUNTY, RAMSEY COUNTY, ST. CROIX COUNTY, STEELE COUNTY, SCOTT COUNTY, WASHINGTON COUNTY, WRIGHT COUNTY, AND PEIRCE COUNTY. SOME ALSO COLLABORATED WITH OTHER HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS. WHERE POSSIBLE, THE HOSPITAL ALIGNED THEIR PROCESS WITH ASSESSMENTS BEING CONDUCTED BY LOCAL PUBLIC HEALTH AND OTHER COMMUNITY AGENCIES. IN MANY CASES, THE HOSPITALS CONDUCTED THE CHNA JOINTLY WITH PARTNERS, WITH SHARED LEADERSHIP THROUGHOUT. THE CHNA PROCESS OCCURRED IN THREE STEPS: DATA REVIEW AND PRIORITIZATION, COMMUNITY INPUT AND THE DEVELOPMENT OF A THREE-YEAR IMPLEMENTATION PLAN. MOST HOSPITALS USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. THE OFFICIAL CHNA PROCESS BEGAN IN JUNE 2018 AND WAS COMPLETED IN AUGUST 2019. EACH HOSPITAL'S CHNA TEAM REVIEWED COUNTY-SPECIFIC DATA RELATED TO DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, PREVALENCE OF HEALTH CONDITIONS AND HEALTH CARE ACCESS. SOURCES VARIED, BUT INCLUDED THE MINNESOTA STUDENT SURVEY, HEALTH SURVEYS CONDUCTED BY LOCAL PUBLIC HEALTH DEPARTMENTS, LOCAL RESEARCH STUDIES ON TOPICS SUCH AS HOUSING AND SECONDARY PUBLIC HEALTH DATA AVAILABLE THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. ADDITIONALLY, TEAMS REVIEWED SELECT COUNTY-SPECIFIC ALLINA HEALTH PATIENT DATA. MANY HOSPITALS ALSO COLLECTED FEEDBACK ON PERCEIVED COMMUNITY HEALTH NEEDS FROM LOCAL STAKEHOLDERS THROUGH COMMUNITY DIALOGUES, INTERVIEWS AND SURVEYS. BASED ON THE DATA REVIEW AND COMMUNITY FEEDBACK, LOCAL CHNA TEAMS CHOSE CHNA PRIORITIES FOR THE 2020-2022 CYCLE. SPECIFIC PRIORITIZATION CRITERIA WAS DETERMINED LOCALLY, BUT SIZE AND SERIOUSNESS OF THE PROBLEM, IMPORTANCE TO THE COMMUNITY AND ORGANIZATIONAL CAPACITY TO ADDRESS THE NEED WERE ALL CONSIDERED. HOSPITAL PRIORITIES INCLUDE:- MENTAL HEALTH AND WELLNESS, INCLUDING SUBSTANCE USE- OBESITY, PHYSICAL ACTIVITY AND NUTRITION- ACCESS TO CARE- SOCIAL DETERMINANTS OF HEALTH- SOCIAL ISOLATION- VIOLENCE- DENTAL CARE- AGING SERVICESTO INCREASE THEIR UNDERSTANDING OF COMMUNITY MEMBERS' PERSPECTIVES ON IDENTIFIED HEALTH ISSUES AND IDEAS FOR ADDRESSING THEM, STAFF SOLICITED INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SUCH AS STAFF FROM SOCIAL SERVICE AND PUBLIC HEALTH ORGANIZATIONS AND RESIDENTS. STAFF COLLECTED FEEDBACK THROUGH A RANGE OF METHODS, INCLUDING FOCUS GROUPS AND INTERVIEWS. FOCUSED OUTREACH OCCURRED TO HISTORICALLY UNDERSERVED COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES. IN FEBRUARY AND APRIL 2019, COMMUNITY ENGAGEMENT LEADERS FROM EACH OF ALLINA HEALTH'S HOSPITALS DISCUSSED THE RESULTS OF EACH HOSPITAL'S DATA REVIEW, PRIORITIZATION AND COMMUNITY INPUT PROCESSES. PRIORITIES AND COMMON THEMES FOR ACTION WERE IDENTIFIED ACROSS ALL GEOGRAPHIES. TOGETHER, THEY IDENTIFIED MENTAL HEALTH (INCLUDING SUBSTANCE USE) AND OBESITY CAUSED BY PHYSICAL INACTIVITY AND POOR NUTRITION AS PRIORITY NEEDS IN ALL ALLINA HEALTH GEOGRAPHIES. THEY ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ACCESS TO HEALTHY FOOD AND STABLE HOUSING, AS KEY FACTORS CONTRIBUTING TO HEALTH. ALL ALLINA HEALTH ASSESSMENTS AND ACTION PLANS WERE APPROVED BY LOCAL FACILITIES AND THE ALLINA HEALTH BOARD OF DIRECTORS BY DECEMBER 2019. COPIES OF EACH FACILITY'S NEEDS ASSESSMENT REPORT AND ACTION PLAN CAN BE FOUND AT: HTTPS://WWW.ALLINAHEALTH.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/NEED-ASSESSMENTS/2020-2022-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION-PLANSONCE IMPLEMENTATION PLANS ARE CREATED, MORE DETAILED PLANNING CONTINUES WITH STAKEHOLDER TO DEVELOP AND DELIVER SPECIFIC PROGRAMS, SERVICES AND ACTIVITIES EITHER LOCALLY OR SYSTEM-WIDE.IN 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 10 HOSPITALS, MORE THAN 90 CLINICS AND HEALTH CARE SERVICES, INCLUDING HOME CARE, HOSPICE CARE, PALLIATIVE CARE, OXYGEN AND MEDICAL EQUIPMENT, PHARMACIES AND EMERGENCY MEDICAL TRANSPORTATION IN OPERATION WITHIN MINNESOTA AND WESTERN WISCONSIN. NEARLY ALL ALLINA HOSPITAL PATIENTS COME FROM MINNESOTA AND WISCONSIN, THE MAJORITY OF WHICH COME FROM THE COUNTIES SURROUNDING ITS HOSPITALS AND CLINICS, INCLUDING THE SEVEN-COUNTY TWIN CITIES METRO AND SUBURBAN AND RURAL COMMUNITIES IN WESTERN WISCONSIN, SOUTHERN MINNESOTA AND CENTRAL MINNESOTA. COMMUNITIES SERVED BY ALLINA HEALTH ARE ASSIGNED INTO ONE OF NINE REGIONS AND EACH REGION INCLUDES AT LEAST ONE HOSPITAL WITHIN OUR SYSTEM. COMMUNITY ENGAGEMENT LEADS ARE ASSIGNED TO EACH REGION TO ENGAGE COMMUNITY IN COMMUNITY BENEFIT ACTIVITIES. WEST METRO THE WEST METRO REGION INCLUDES ABBOTT NORTHWESTERN HOSPITAL AND PHILLIPS EYE INSTITUTE AND SERVES MOST COMMUNITIES WITHIN HENNEPIN COUNTY, THE LARGEST COUNTY IN MINNESOTA. THE CITY OF MINNEAPOLIS IS ITS LARGEST CITY AND THE COUNTY SEAT. THE WEST METRO REGION SERVES BOTH URBAN AND SUBURBAN COMMUNITIES AND INCLUDES A RANGE OF SOCIOECONOMIC STATUSES AS WELL AS A BROAD REPRESENTATION OF RACES AND ETHNICITIES. EAST METRO THE EAST METRO REGION INCLUDES UNITED HOSPITAL AND SERVES RAMSEY, WASHINGTON AND DAKOTA COUNTIES. THIS REGION SPANS THE EASTERN EDGE OF THE TWIN CITIES METRO, INCLUDING THE CITY OF ST. PAUL AND ITS SURROUNDING COMMUNITIES. ST. PAUL IS THE CAPITAL AND SECOND-MOST POPULOUS CITY IN THE STATE. THE EAST METRO REGION IS HIGHLY DIVERSE; GEOGRAPHICALLY, SOCIOECONOMICALLY AND RACIALLY. NORTHWEST METRO THE NORTHWEST METRO REGION INCLUDES MERCY HOSPITAL AND ITS UNITY CAMPUS AND PRIMARILY SERVES COMMUNITIES WITHIN ANOKA COUNTY, BUT ALSO INCLUDES AREAS WITHIN RAMSEY, SHERBURNE AND HENNEPIN COUNTIES. ANOKA COUNTY IS THE FOURTH-MOST POPULOUS COUNTY IN THE STATE OF MINNESOTA AND INCLUDES THE NORTHWEST METROPOLITAN AREA THAT IS PREDOMINANTLY SUBURBAN IN NATURE. SOUTH METRO THE SOUTH METRO REGION INCLUDES ST. FRANCIS REGIONAL MEDICAL CENTER, A PARTIALLY-OWNED HOSPITAL WITHIN THE ALLINA SYSTEM, AND PRIMARILY SERVES SCOTT AND CARVER COUNTIES. IT ALSO INCLUDES COMMUNITIES IN SIBLEY, LE SUEUR, DAKOTA AND HENNEPIN COUNTIES. THIS REGION INCLUDES BOTH SUBURBAN AND SMALL COMMUNITIES IN THE SOUTHWEST AREA OF THE MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. NORTHWEST REGIONAL THE NORTHWEST REGIONAL AREA INCLUDES BUFFALO HOSPITAL AND IS LOCATED WEST OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. THIS REGION PRIMARILY SERVES WRIGHT COUNTY, BUT ALSO SERVES COMMUNITIES WITHIN STEARNS, MEEKER AND HENNEPIN COUNTIES. THIS REGION IS MADE UP OF BOTH SMALL AND RURAL COMMUNITIES. NORTH REGIONALTHE NORTH REGIONAL AREA INCLUDES CAMBRIDGE MEDICAL CENTER AND SERVES SMALL AND RURAL COMMUNITIES WITHIN ISANTI, CHISAGO, KANABEC AND PINE COUNTIES NORTH OF THE METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL. SOUTHWEST REGIONALTHE SOUTHWEST REGIONAL AREA IS LOCATED IN SOUTH CENTRAL MINNESOTA AND INCLUDES NEW ULM MEDICAL CENTER. THE REGION SERVES COMMUNITIES AND RURAL AREAS IN AND AROUND BROWN COUNTY AND COMMUNITIES WITHIN SIBLEY AND NICOLLET COUNTIESSOUTH REGIONALLOCATED SOUTH OF THE TWIN CITIES METROPOLITAN AREA, THE SOUTH REGIONAL REGION PRIMARILY SERVES MID-SIZED SUBURBAN CITIES IN RICE, STEELE AND SOUTHERN DAKOTA COUNTIES AS WELL AS COMMUNITIES AND RURAL AREAS ACROSS DODGE, WASECA, AND GOODHUE COUNTIES. OWATONNA HOSPITAL AND DISTRICT ONE HOSPITALS (FARIBAULT MEDICAL CENTER AS OF 1/1/2022) SERVE THESE AREAS.EAST REGIONALTHE EAST REGIONAL REGION IS LOCATED EASTERN MINNESOTA AND WESTERN WISCONSIN. IT INCLUDES REGINA HOSPITAL AND RIVER FALLS AREA HOSPITALS, SERVING COMMUNITIES IN DAKOTA COUNTY IN MINNESOTA, AND PIERCE AND ST. CROIX COUNTIES IN WISCONSIN.
PART VI, LINE 5:
"GOVERNING BODYTHE ALLINA HEALTH BOARD OF DIRECTORS HAS OVERSIGHT FOR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT FUNCTIONS. ACCORDING TO ITS CHARTER, THE QUALITY AND POPULATION HEALTH COMMITTEE OF THE BOARD PROVIDES GOVERNANCE OVERSIGHT OF ALLINA'S POPULATION HEALTH AND COMMUNITY BENEFIT AND ENGAGEMENT STRATEGIES; THE QUALITY OF CARE AND SERVICE AT ALLINA HOSPITALS AND CLINICS; AND THE SYNERGIES AND LESSONS AT THE INTERFACE. THE COMMITTEE ASSISTS THE ALLINA BOARD OF DIRECTORS (""BOARD"") TO DELIVER ON ITS PURPOSES OF IMPROVING THE COORDINATION AND INTEGRATION OF CLINICAL CARE; ENHANCING ACCESS TO QUALITY HEALTH CARE FOR THE PEOPLE IT SERVES; IMPROVING THE COST EFFECTIVENESS OF THE HEALTH CARE SERVICES IT DELIVERS; IMPROVING THE PATIENT EXPERIENCE FOR INDIVIDUALS RECEIVING SUCH HEALTH CARE SERVICES, AND IMPROVING HEALTH STATUS INDICATORS BROADLY FOR THE LARGER POPULATION OF RESIDENTS IN OUR COMMUNITIES.TO ENSURE THAT THE BOARD OF DIRECTORS REPRESENTS THE COMMUNITIES SERVED BY ALLINA HEALTH, THE BY-LAWS STATE THAT A MAJORITY OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE INDEPENDENT CIVIC LEADERS. IN FURTHERANCE OF THIS REQUIREMENT, AND SUBJECT TO VACANCIES THAT MAY OCCUR FROM TIME TO TIME, NO MORE THAN ONE-THIRD (1/3) OF THE DIRECTORS (INCLUDING ANY EX-OFFICIO DIRECTORS WITH VOTE) MAY BE INTERESTED DIRECTORS. INTERESTED DIRECTORS SHALL INCLUDE PERSONS WHO ARE NOT ON THE BOARD OF DIRECTORS BUT SERVE ON COMMITTEES OR OTHERWISE PARTICIPATE IN THE AFFAIRS OF THE CORPORATION AND WOULD BE DEEMED INTERESTED DIRECTORS IF THEY WERE ON THE BOARD OF DIRECTORS. ""INTERESTED DIRECTORS"" ARE: (1) ANY MEMBERS OF THE CORPORATION'S MANAGEMENT WHO SERVE AS DIRECTORS; AND (2) ANY PHYSICIAN DIRECTORS WHO PROVIDE SERVICES IN CONJUNCTION WITH THE ORGANIZATION OR ANY OF ITS HOSPITALS OR CLINICS, INCLUDING WITHOUT LIMITATION SERVICES UNDER A CONTRACT WITH ANY OF THE ORGANIZATION'S HOSPITALS OR CLINICS, AS A PHYSICIAN EMPLOYEE OF ONE OF THE ORGANIZATION'S CLINICS OR AS A MEDICAL STAFF MEMBER OF ONE OF THE ORGANIZATION'S HOSPITALS. IN ADDITION TO THESE BY-LAWS PROVISIONS, THE BOARD'S GOVERNANCE AND NOMINATING COMMITTEE ACTIVELY ENSURES DIVERSITY OF DIRECTORS AND KEY SUBSTANTIVE AND STRATEGIC COMPETENCIES IN RECRUITING BOARD MEMBERS. THE COMMITTEE HAS CHOSEN SEVERAL CURRENT MEMBERS WHO REPRESENT THE PATIENT PERSPECTIVE AND COMMUNITY LEADERS. RECRUITMENT EFFORTS IN THE PAST SEVERAL YEARS HAVE FOCUSED ON ENHANCING THE MEMBERSHIP OF THE BOARD TO INCLUDE DIRECTORS AND COMMITTEE MEMBERS WITH STRATEGIC COMPETENCIES TO SUPPORT ALLINA IN THE NEW PAYMENT AND HEALTH REFORM ENVIRONMENT. OPEN MEDICAL STAFF THE MEDICAL STAFFS WITHIN ALLINA HEALTH ARE OPEN, WITH THE EXCEPTION OF CERTAIN DEPARTMENTS (SUCH AS RADIOLOGY, PATHOLOGY, EMERGENCY, AND CARDIOLOGY) AS TO WHICH SOME HOSPITALS HAVE ENTERED INTO EXCLUSIVE CONTRACTS WITH PARTICULAR MEDICAL GROUPS. THE HOSPITALS ENTER INTO THESE CONTRACTS WHEN THEY DETERMINE SUCH ARRANGEMENTS WILL IMPROVE CARE AND OPERATIONS IN THE HOSPITAL BY, FOR EXAMPLE, IMPROVING THE QUALITY OF PATIENT CARE, ASSURING THE AVAILABILITY OF SPECIFIC SERVICES, REDUCING THE COSTS OF PROVIDING HEALTH CARE, ALLOCATING HOSPITAL RESOURCES MORE EFFICIENTLY, SECURING GREATER PATIENT SATISFACTION, OR FACILITATING THE ORDERLY OPERATIONS OF THE HOSPITAL. IT DOES NOT ENTER INTO THESE ARRANGEMENTS SOLELY TO BENEFIT OR EXCLUDE SPECIFIC PROVIDERS OR TO RESTRAIN COMPETITION.SUSTAINABILITY EFFORTSAT ALLINA HEALTH TAKING CARE OF OUR ENVIRONMENT IS CRITICAL TO ENSURE GOOD HEALTH FOR OUR PATIENTS, EMPLOYEES AND OUR COMMUNITY. IN 2021, ALLINA HEALTH DONATED 115.2 TONS OF MEDICAL SUPPLIES, EQUIPMENT, AND FURNITURE TO MATTER. MATTER REPURPOSES MEDICAL EQUIPMENT AND SUPPLIES TO AID PEOPLE THROUGH DISTRIBUTIONS TO INTERNATIONAL HOSPITAL AND CLINIC PARTNERS. IN 2021, $12,000 WORTH OF COMPUTERS AND IT EQUIPMENT WERE ALSO DONATED TO LOCAL SCHOOLS, RED CROSS, AND MOBILE DISASTER RELIEF CENTERS. IN ADDITION, $7,050 OF SURPLUS FURNITURE AND SUPPLIES WERE DONATED TO SALVATION ARMY. ALLINA HEALTH'S ENERGY EFFICIENCY PROJECTS ALSO REDUCE AIR POLLUTION AND GREENHOUSE GAS EMISSIONS. ENERGY EFFICIENCY PROJECTS UNDERTAKEN IN 2021 ARE EXPECTED TO SAVE 4,059,062 KWH OF ELECTRICITY AND 14,766 THERMS OF GAS ANNUALLY. THIS ENERGY REDUCTION IS ESTIMATED TO SAVE $6,226,053 IN POLLUTION-RELATED HEALTH IMPACTS.IMPACT INVESTMENT PORTFOLIOIN 2021, WE MADE SIGNIFICANT STRIDES IN BUILDING OUR DIVERSITY, EQUITY, INCLUSION AND BELONGING (DEI&B) FRAMEWORK AND PUTTING IT AT THE CORE OF WHO WE ARE AND WHAT WE DO. WE VIEW AND EVALUATE OUR DEI&B COMMITMENTS THROUGH FOUR ROLES: AS A PROVIDER, EMPLOYER, PURCHASER OF GOODS AND SERVICES AND COMMUNITY PARTNER. FOR EACH OF OUR COMMITMENT AREAS, WE SET CLEAR GOALS AND OBJECTIVES TO DRIVE ACCOUNTABILITY. USING THESE COMMITMENTS, THE DEI&B FOCUS ON PURCHASING ALLOCATED $30 MILLION TO CREATE AND FUND THE ALLINA HEALTH IMPACT PORTFOLIO. IN 2021, $2 MILLION OF THIS PORTFOLIO WAS INVESTED TO SUPPORT LOCAL ECONOMIC DEVELOPMENT OPPORTUNITIES AND THE REMAINING FUNDS ARE EXPECTED TO BE INVESTED OVER A THREE-YEAR PERIOD. ADDITIONALLY, WE SPENT MORE THAN $18 MILLION IN SUPPLIER DIVERSITY INVESTMENTS. BY PROVIDING CAPITAL THROUGH INVESTMENTS TO LOCAL ORGANIZATIONS, WE ARE ABLE TO IMPROVE THE HEALTH OF OUR COMMUNITIES, WHILE ENSURING OUR INVESTMENTS ARE EQUITABLE AND ALIGNED TO OUR GUIDING PRINCIPLES AND VALUES."
PART VI, LINE 6:
"ALLINA HEALTH SYSTEM (""ALLINA HEALTH""), PRIMARILY DOING BUSINESS AS ALLINA HEALTH, IS A MINNESOTA NONPROFIT CORPORATION AND AN INTEGRATED HEALTH CARE DELIVERY NETWORK SERVING THE COMMUNITIES IN THE GREATER MINNEAPOLIS-ST. PAUL (THE ""TWIN CITIES"") METRO AREA, SPANNING THE COUNTIES FROM THE AREA WEST OF MINNEAPOLIS TO THE WESTERN PART OF WISCONSIN. ALLINA HEALTH IS ANCHORED BY THREE TWIN CITIES METRO AREA HOSPITALS AND IS SUPPORTED BY A NETWORK OF COMMUNITY HOSPITALS, INCLUDING TWO CRITICAL ACCESS HOSPITALS. ALLINA HEALTH IS STAFFED BY EMPLOYED PHYSICIANS AND A LARGE ALIGNED PROVIDER NETWORK. WITH MORE THAN 27,500 FULL AND PART-TIME EMPLOYEES, ALLINA HEALTH IS ONE OF THE LARGEST EMPLOYERS IN MINNESOTA. AS AN INTEGRATED HEALTH SYSTEM THAT INCLUDES HOSPITALS, EMERGENCY, AMBULATORY, HOMECARE AND HOSPICE SERVICES, AN AUTOMATED ELECTRONIC MEDICAL RECORD SYSTEM, AND OVER 1,465 EMPLOYED PHYSICIANS, ALLINA HEALTH IS UNIQUELY POSITIONED AS A LEADER IN HEALTHCARE IN THE MINNEAPOLIS/ST. PAUL AREA AND IS WELL POSITIONED FOR HEALTH CARE REFORM.ALLINA HEALTH OWNS AND OPERATES TEN HOSPITALS AND JOINTLY OWNS AND OPERATES ONE OTHER HOSPITAL. THESE INCLUDE URBAN TERTIARY CARE, SUBURBAN COMMUNITY AND RURAL HOSPITALS. ALLINA HEALTH HOSPITALS PROVIDED OVER 95,200 INPATIENT ADMISSIONS AND MORE THAN 1,390,900 OUTPATIENT VISITS DURING THE YEAR ENDED DECEMBER 31, 2021. AS OF YEAR-END, ALLINA HEALTH HOSPITALS HAD LICENSED BED CAPACITY OF 2,451 ACUTE CARE BEDS, 1,775 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 APPROXIMATELY 760 PHYSICIANS AND 250 HOSPITALISTS. ALLINA SPECIALTY ASSOCIATES, INC. (""ASA""), OPERATING UNDER THE NAME MINNEAPOLIS HEART INSTITUTE, EMPLOYS APPROXIMATELY 85 PHYSICIANS, CONSISTING OF CARDIOLOGISTS, CARDIOTHORACIC AND VASCULAR SURGEONS. IN ADDITION, ALLINA HEALTH HOSPITALS DIRECTLY EMPLOY APPROXIMATELY 370 SPECIALTY PHYSICIANS INCLUDING INTENSIVISTS, PERINATOLOGISTS, AND PSYCHIATRISTS. ALLINA HEALTH PHYSICIANS AND ALLIED PROFESSIONALS GENERATED MORE THAN 8,852,000 WORK RVU'S DURING THE YEAR ENDED DECEMBER 31, 2021. THE ALLINA INTEGRATED MEDICAL (""AIM"") NETWORK ALIGNS ALLINA HEALTH PHYSICIANS, 2,000 INDEPENDENT MEDICAL PHYSICIANS, AND OVER 20 HOSPITALS TO DELIVER MARKET-LEADING QUALITY AND EFFICIENCY IN PATIENT CARE. ALLINA HEALTH IS A COMPREHENSIVE HEALTH CARE SYSTEM AND HAS ONE OF THE LARGEST PHYSICIAN NETWORKS IN MINNESOTA.ALLINA'S HEALTH HOME CARE SERVICES DIVISION PROVIDES HOME HEALTH, HOME OXYGEN AND MEDICAL EQUIPMENT, HOSPICE, PALLIATIVE CARE AND SENIORCARE TRANSITIONS.A LEADER AND INNOVATOR IN PRE-HOSPITAL EMERGENCY MEDICAL DEVICES, ALLINA HEALTH EMERGENCY MEDICAL SERVICES IS DEVOTED TO PROVIDING SKILLED AND COMPASSIONATE ADVANCED LIFE SUPPORT, BASIC LIFE SUPPORT AND SCHEDULED TRANSPORT IN MORE THAN 100 MINNESOTA COMMUNITIES. NEARLY 570 PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, DISPATCHERS, SPECIAL TRANSPORTATION DRIVERS, MAINTENANCE AND ADMINISTRATIVE AND SUPPORT PERSONNEL WORK TOGETHER TO PROVIDE SERVICE TO AN AREA OF APPROXIMATELY 1,200 SQUARE MILES, REACHING OVER ONE MILLION PEOPLE. IN ADDITION TO THE AMOUNTS DISCLOSED ON THIS SCHEDULE H, ALLINA AND AFFILIATED ION IN GOVERNMENT MEDICAL CARE PROGRAMS IN EXCESS OF GOVERNMENT REIMBURSEMENTS IN THE AMOUNT OF $177,708,195 IN 2021.ALLINA PARTNERS WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL TO PROVIDE PHYSICIAN RESIDENCY PROGRAMS FOR FAMILY PRACTICE AND INTERNAL MEDICINE RESIDENT PHYSICIANS.ALLINA CONTROLS AND OPERATES SIX (6) AFFILIATED FOUNDATIONS THAT PROVIDE PHILANTHROPIC FUNDING SUPPORT FOR ALLINA PROGRAMS AND NUMEROUS COMMUNITY PROGRAMS AND INITIATIVES INCLUDING A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE R AND SCHEDULE H, PART IV FOR A LIST OF RELATED ORGANIZATIONS AND JOINT VENTURES INCLUDING THE PRIMARY ACTIVITY OF THE AFFILIATED ORGANIZATION. ALLINA AND ITS AFFILIATES ALSO ROUTINELY COOPERATE AND INNOVATE WITH OTHER ORGANIZATIONS INCLUDING HEALTH CARE AND SOCIAL WELFARE ORGANIZATIONS, COMMUNITY GROUPS, GOVERNMENT AGENCIES AND HEALTH CARE PROVIDERS TO PREVENT ILLNESS, PROMOTE AND RESTORE HEALTH TO THE COMMUNITIES WE SERVE AND BEYOND."
