4A (Expenses $ 802699009 including grants of $ 3389792) (Revenue $ 906960874)
HOSPITAL PROGRAM SERVICES: FAMILIES LOOK TO CHILDREN'S MINNESOTA FOR THE FINEST IN PEDIATRIC ARE. WITH TWO PEDIATRIC HOSPITAL FACILITIES AND 429 STAFFED BEDS, WE CHAMPION THE SPECIAL HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES AND ARE COMMITTED TO PROVIDING HIGH-QUALITY, FAMILY CENTERED PEDIATRIC SERVICES. THE LEAPFROG GROUP'S ANNUAL LIST OF TOP HOSPITALS NAMED CHILDREN'S MINNESOTA'S MINNEAPOLIS AND ST. PAUL HOSPITALS AS TWO OF THE TOP TEN PEDIATRIC HOSPITALS IN THE COUNTRY FOR QUALITY AND EFFICIENCY.SEE SCHEDULE O.

4B (Expenses $ 4197863 including grants of $ 0) (Revenue $ 163132)
RESEARCH: CHILDREN'S HAS 403 OPEN RESEARCH STUDIES, OF WHICH 180 ARE ACTIVELY RECRUITING CLINICAL TRIALS. IN 2021 CHILDREN'S RECEIVED ABOUT $30.0 MILLION FROM INDUSTRY CONTRACTS AND FEDERAL STATE AND FOUNDATION SPONSORS. TYPES OF STUDIES AND TRIALS CONDUCTED AT CHILDREN'S ARE INVESTIGATOR-INITIATED STUDIES, EXTERNAL MULTI-CENTER TRIALS, OBSERVATIONAL STUDIES, REGISTRIES, AND SUPPORTIVE SERVICES SUCH AS CASE MANAGEMENT. CHILDREN'S HAD ONGOING RESEARCH IN EMERGENCY/TRAUMA, CYSTIC FIBROSIS, DIABETES AND ENDOCRINOLOGY, CARDIOVASCULAR AND CRITICAL CARE, PAIN AND PALLIATIVE CARE, INTEGRATIVE MEDICINE, GENETICS, CANCER AND BLOOD DISORDERS, AND NEONATOLOGY ENT AND REHAB. SEE SCHEDULE O.

4C (Expenses $ 3444156 including grants of $ 0) (Revenue $ 1500676)
EDUCATION: MANY EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND YOUTH REQUIRE LONG-TERM INVESTMENT IN THEIR FUTURE. CHILDREN'S PROVIDES EDUCATION AND TRAINING PROGRAMS FOR PROVIDERS, HEALTH CARE STUDENTS, AND OTHER HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: 1) COMMUNITY MEDICAL EDUCATION FOR COMMUNITY PHYSICIANS: DURING THE 2021 CALENDAR YEAR, CHILDREN'S PROVIDED TRAINING TO 377 AFFILIATED RESIDENTS AND FELLOWS, AND HOSTED 341 MEDICAL STUDENT & 668 RESIDENT ROTATIONS AT CHILDREN'S MINNEAPOLIS, CHILDREN'S ST PAUL, OR BOTH LOCATIONS.SEE SCHEDULE O.

FORM 990, SCHEDULE H, PART V, LINE 5:
OVER THE COURSE OF 2019, CHILDREN'S MINNESOTA CONNECTED WITH STAKEHOLDERS BOTH WITHIN THE ORGANIZATION AND IN THE SURROUNDING COMMUNITY TO LEARN ABOUT THEIR PERSPECTIVES ON CHILDREN'S HEALTH AND WELL-BEING, INCLUDING: MORE THAN 640 PEOPLE AT COMMUNITY EVENTS AND PRIMARY CARE CLINICS; 42 COMMUNITY STAKEHOLDERS, 19 PARENTS/CAREGIVERS AND 71 CHILDREN'S MINNESOTA EMPLOYEES AND CLINICIANS. IN 2016, CHILDREN'S MINNESOTA BEGAN TO EMPHASIZE HEALTH EQUITY IN THE ASSESSMENT PROCESS AND BROADENED POTENTIAL TOPIC AREAS TO INCLUDE COMMUNITY CONDITIONS THAT CONTRIBUTE TO HEALTH OUTCOMES SUCH AS POVERTY, EDUCATION AND HOUSING. THE 2016 CHNA WAS A ROBUST ASSESSMENT THAT WAS LED AND INFORMED BY THE COMMUNITY VIA THE COMMUNITY ADVISORY COUNCIL (CAC). THE 2019 CHNA PROCESS, SIMILAR TO 2016, GATHERED INPUT FROM THE COMMUNITY AND CHILDREN'S MINNESOTA STAFF AND REVIEWED EXISTING DATA TO IDENTIFY CRITICAL NEEDS. GIVEN THAT MOST OF THE 2016 PRIORITIES WERE BASED ON SOCIAL DETERMINANTS OF HEALTH, IT WOULD BE UNREALISTIC TO ANTICIPATE SIGNIFICANT, MEASURABLE IMPROVEMENTS TO BE ACHIEVED IN THREE YEARS. TO THAT END, THE 2019 ASSESSMENT WAS DESIGNED TO BUILD UPON KEY LEARNINGS FROM 2016 AND ADDRESS CONCERNS THROUGH INVESTMENTS IN SERVICES AND COMMUNITY RELATIONSHIPS.A MORE DETAILED DESCRIPTION OF THE CHILDREN'S MINNESOTA COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND A COPY OF THE FULL 2019 CHNA REPORT IS AVAILABLE AT WWW.CHILDRENSMN.ORG/CHNACHILDREN'S MINNESOTA ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY HEALTH COALITIONS AND MAINTAINS PARTNERSHIPS WITH MANY OF THE STAKEHOLDERS AND COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE 2019 CHNA.

FORM 990, SCHEDULE H, PART V, LINE 11:
"BASED ON COMMUNITY INPUT AND EXISTING DATA EXAMINED BY CHILDREN'S MINNESOTA STAFF, THE FOLLOWING HEALTH PRIORITIES WERE DETERMINED IN THE 2019 ASSESSMENT: STRUCTURAL RACISM, HEALTH DISPARITIES, ECONOMIC OPPORTUNITY AND INCOME, MENTAL HEALTH AND DEVELOPMENTAL WELL-BEING AND ACCESS TO RESOURCESCHILDREN'S MINNESOTA CONTINUES TO PROVIDE THE FOLLOWING SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA, INCLUDING: ACCESS TO RESOURCES AND CARE:COMMUNITY CONNECT: COMMUNITY CONNECT IS A COMPREHENSIVE FAMILY SUPPORT MODEL THAT ADDRESSES THE BROADER SOCIAL CONDITIONS THAT IMPACT CHILDHOOD HEALTH THROUGH SCREENING, CUSTOMIZED RESOURCE NAVIGATION, AND CASE MANAGEMENT. EMBEDDED IN THE MINNEAPOLIS AND ST. PAUL PRIMARY CARE CLINICS AND STAFFED BY A TEAM OF MULTI-LINGUAL, MULTI-CULTURAL RESOURCE NAVIGATORS, THE PROGRAM HELPS CONNECT FAMILIES TO ESSENTIAL COMMUNITY SERVICES AND RESOURCES, INCLUDING FOOD, TRANSPORTATION, LEGAL ASSISTANCE, HOUSING SUPPORT, EARLY CHILDHOOD EDUCATION PROGRAMS, EMPLOYMENT SEARCH ASSISTANCE AND MUCH MORE. DESPITE LOWER CLINIC VOLUMES, REFERRALS TO COMMUNITY CONNECT REMAINED STEADY DURING THE COVID-19 PANDEMIC. THE AVERAGE POSITIVE SCREEN RATE FOR 2021 WAS 34%, AS COMPARED TO 31% IN 2020 INDICATING A RISE IN UNMET SOCIAL NEEDS AMONG THE CHILDREN'S MINNESOTA PATIENT POPULATION. A TOTAL OF 1,915 FAMILIES MET WITH A COMMUNITY CONNECT RESOURCE NAVIGATOR FROM JANUARY 2021-DECEMBER 2021. HEALTHCARE LEGAL PARTNERSHIP: CHILDREN'S MINNESOTA LAUNCHED THE HEALTHCARE LEGAL PARTNERSHIP (HLP) IN OCTOBER 2017. THE PROGRAM SUPPORTS TWO ATTORNEYS BASED ON THE CHILDREN'S MINNESOTA ST. PAUL AND MINNEAPOLIS HOSPITAL CAMPUSES. THESE DEDICATED LAWYERS COLLABORATE WITH HEALTH CARE TEAMS TO IDENTIFY, PREVENT, AND REMEDY HEALTH-HARMING FACTORS THAT ARE ROOTED IN LEGAL PROBLEMS. DURING 2021, THE HEALTHCARE LEGAL PARTNERSHIP PROVIDED SERVICES IN 228 CASES ACROSS MULTIPLE LEGAL ISSUES INCLUDING: HOUSING, BENEFITS, FAMILY LAW, AND IMMIGRATION. FOOD SECURITY: IN 2021, THE CHILDREN'S MINNESOTA FOOD SUPPORT PROGRAM PROVIDED 189 INDIVIDUAL MEALS. IN PARTNERSHIP WITH SECOND HARVEST HEARTLAND, A COMMUNITY-BASED NONPROFIT WHOSE MISSION INCLUDES EXPANDING ACCESS TO HEALTHY FOOD, 533 ""FOODRX BOXES"" (TAKE-HOME GROCERIES) WERE DISTRIBUTED TO PATIENT FAMILIES. FOODRX BOX TYPES INCLUDE TRADITIONAL, LATINX AND SOMALI/VEGETARIAN TO MEET PATIENT FAMILIES' CULTURAL NEEDS. FAMILY RESOURCE CENTER: IN 2021, THE TOTAL NUMBER OF VISITS TO CHILDREN'S FAMILY RESOURCE CENTERS IN ST. PAUL AND MINNEAPOLIS WAS 689. FAMILY RESOURCE CENTER STAFF PROVIDED HANDS-ON HELP AND SUPPORT IN THESE FAMILY ENCOUNTERS INCLUDING PERSONAL CARE ITEMS, BUSINESS SERVICES (FAX, COPIER, PRINTER), CONSUMER HEALTH RESEARCH/REFERENCE REQUESTS, NOTARY TRANSACTIONS, TECHNOLOGY SUPPORT, ETC. FINANCIAL COUNSELING: IN 2021 THE CHILDREN'S MINNESOTA FINANCIAL COUNSELING TEAM ASSISTED 771 PATIENTS WITH APPOINTMENTS FOR ASSISTANCE AND PROCESSED FINANCIAL ASSISTANCE APPLICATIONS FOR 1481 PATIENTS.INTERPRETER SERVICES: OVERALL, THE TOTAL NUMBER OF INTERPRETING ENCOUNTERS FOR 2021 WAS 109,342 IN A TOTAL OF 73 LANGUAGES. THE TOP THREE LANGUAGES INTERPRETED AT CHILDREN'S ARE: SPANISH, SOMALI AND KAREN. SIBLING PLAY AREA: DUE TO COVID-19, THE SIBLING PLAY AREA WAS CLOSED IN 2021. ACTIVITIES WILL RESUME WHEN IT IS SAFE TO DO SO.SCHOOL RE-ENTRY PROGRAM: WHEN A CHILD RETURNS TO SCHOOL AFTER A SIGNIFICANT DIAGNOSIS OR PROLONGED PERIOD OF TIME DUE TO MEDICAL CARE, THE SCHOOL RE-ENTRY PROGRAM HELPS THE CHILD, FAMILY, AND SCHOOL STAFF FEEL CONFIDENT DURING THAT TRANSITION. IN 2021, CHILDREN'S MINNESOTA'S CHILD LIFE TEAM PROVIDED 28 SCHOOL VISITS. MANY OF THESE VISITS WERE CONDUCTED VIRTUALLY TO ENSURE THAT KIDS WERE STILL SUPPORTED REGARDLESS OF SAFETY PRECAUTIONS IN PLACE OR DURING DISTANCE LEARNING SCHOOL MODELS. REACH OUT AND READ: CHILDREN'S MINNESOTA HAS BEEN A LONG-TIME PARTICIPANT IN REACH OUT AND READ, A PROGRAM THAT TRAINS DOCTORS AND NURSES TO GIVE BOOKS TO CHILDREN AND GIVE DEVELOPMENTAL GUIDANCE TO PARENTS AND CAREGIVERS AT THEIR CHILDREN'S ROUTINE WELL-CHILD VISITS. IN 2021, 21,064 BOOKS WERE DISTRIBUTED AT WELL-CHILD VISITS.STRUCTURAL RACISM & HEALTH DISPARITIES EQUITY AND INCLUSION: THE CHILDREN'S MINNESOTA CAMPUS IS LOCATED IN THE HEART OF ONE OF THE LARGEST AND MOST VIBRANT URBAN COMMUNITIES IN THE COUNTRY. RECOGNIZING THE CRITICAL ROLE CULTURE AND TRADITIONS PLAY IN A CHILD'S HEALTH AND WELL-BEING, CHILDREN'S MINNESOTA CONTINUES TO PARTNER WITH COMMUNITY ORGANIZATIONS TO HELP PROVIDE A MORE CULTURALLY RESPONSIVE AND RESPECTFUL APPROACH TO HEALTH CARE. SPECIFIC EQUITY PROGRAMS AND PARTNERSHIPS INCLUDE: - HEALTH EQUITY COUNCIL: IN 2021, THE WORK OF THE HEALTH EQUITY COUNCIL, A CROSS-DISCIPLINARY, CROSS-HIERARCHICAL GROUP OF APPROXIMATELY 40-45 CHILDREN'S MINNESOTA STAFF THAT FOCUSED ON BUILDING EQUITY PRACTICES INTO THE CULTURE OF CHILDREN'S AND IDENTIFYING AND ADDRESSING POLICIES, PRACTICES AND BEHAVIOR THAT MAINTAIN OR EXACERBATE INEQUITIES FOR PATIENTS, FAMILIES AND EMPLOYEES, WAS PUT ON HOLD AND IS BEING REIMAGINED IN 2022. THE FUTURE COUNCIL WILL INCLUDE MEMBERS FROM THE COMMUNITY AND STAFF AT CHILDREN'S MINNESOTA. - HEALTH EQUITY INDEX: IN 2021, CHILDREN'S MINNESOTA CONTINUED TO UTILIZE A PATIENT FOCUSED EQUITY INDEX THAT HIGHLIGHTS DISPARITIES IN CLINICAL OUTCOMES. STRATEGIES CONTINUE TO BE DEVELOPED TO ADDRESS DISPARITIES IN SEVERAL CORE PEDIATRIC QUALITY METRICS OF THE IDENTIFIED DISPARITIES (ASTHMA WELL-CONTROLLED, COMBO 10 VACCINES, AND A PATIENT-EXPERIENCE MEASURE OF WHETHER THE FAMILY FELT LISTENED TO DURING THEIR CARE) AND PERFORMANCE OUTCOMES ARE TIED TO MANAGEMENT AND EXECUTIVE INCENTIVE PLANS. - QUALITY-EQUITY ALIGNMENT: IN PARTNERSHIP WITH THE VALUE & CLINICAL EXCELLENCE DEPT, THE EQUITY TEAM CONTINUES TO AFFIRM EQUITY AND INCLUSION AS A CORE ELEMENT OF CHILDREN'S VALUE PROGRAM INCLUDING RE-SHAPING THE ORGANIZATION'S PERSPECTIVE ON HOW AND WHERE TO FOCUS QUALITY IMPROVEMENT EFFORTS. SPECIFIC EFFORTS INCLUDE THE IMPLEMENTATION AND ADVANCEMENT OF RESPECT AND DIGNITY SAFETY LEARNING REPORTS AND TOOLS FOR CONDUCTING ROOT CAUSE ANALYSES THROUGH AN EQUITY LENS. - RESPECT & DIGNITY SAFETY LEARNING REPORTS: UTILIZING AN EXISTING REPORTING PLATFORM CHILDREN'S MINNESOTA IS ABLE TO COLLECT, ANALYZE, AND TRACK EVENTS THAT RESULT IN EMOTIONAL HARM. THESE INCLUDE BUT ARE NOT LIMITED TO MICRO-AGGRESSIONS AGAINST PATIENTS AND STAFF, EVENTS RELATED TO IMPLICIT BIAS, AND OPPORTUNITIES TO IMPROVE HEALTH EQUITY. THE REPORTS ARE REVIEWED BY PATIENT EXPERIENCE COACHES AND HEALTH EQUITY COACHES IN COLLABORATION WITH A PATIENT SAFETY TEAM TO INITIATE REAL-TIME ROOT CAUSE ANALYSIS AND REMEDIATION. AMERICAN INDIAN COMMUNITY COLLABORATIVE- ""THE FIRST GIFT"" : ""THE FIRST GIFT"", IN PARTNERSHIP WITH CHILDREN'S MINNESOTA AND THE MINNESOTA INDIAN WOMEN'S RESOURCE CENTER, CONTINUES TO GROW AS A TRANSFORMATIVE PROGRAM THAT CONNECTS TRADITIONAL KNOWLEDGE, COMMUNITY HEALING AND POSITIVE STORYTELLING/NARRATIVES, TO PROMOTE HEALTHY AMERICAN INDIAN BABIES. TRADITIONALLY, ""THE FIRST GIFT"" IS A PAIR OF MOCCASINS GIVEN TO A NEWBORN BABY. AS A PART OF ""THE FIRST GIFT"" PROGRAM AT CHILDREN'S, AMERICAN INDIAN COMMUNITY MEMBERS GATHER FOR A MEAL AND TO MAKE MOCCASINS THAT CAN BE DISTRIBUTED TO ALL AMERICAN INDIAN NEWBORN BABIES AT CHILDREN'S MINNESOTA. DUE TO COVID-19 AND STAFFING CHANGES THIS WORK WAS LIMITED IN 2020, BUT HAS RESUMED IN 2021. - AMERICAN INDIAN VOLUNTEER COHORT: DUE TO THE COVID-19 PANDEMIC VOLUNTEER ACTIVITY WAS PAUSED IN THE HOSPITAL SETTING, BUT CHILDREN'S MINNESOTA IS WORKING TO RESUME, RE-ENGAGE, AND MOVE FORWARD WITH ADDING TO THIS SPECIALIZED AND UNIQUE VOLUNTEER GROUP. THIS COHORT SPECIFICALLY AIMS TO RECRUIT AMERICAN INDIAN COMMUNITY MEMBERS TO COME TO CHILDREN'S TO HOLD BABIES IN THE SPECIAL CARE NURSERY (SCN). THIS COHORT WAS DESIGNED TO CREATE A MORE INCLUSIVE, REPRESENTATIVE, AND CULTURALLY AWARE ENVIRONMENT FOR CHILDREN'S PATIENTS AND FAMILIES. - REAL DATA: CHILDREN'S MINNESOTA ACKNOWLEDGES THAT ACCURATE DEMOGRAPHIC DATA IS FOUNDATIONAL TO UNDERSTANDING WHERE HEALTH DISPARITIES EXIST AND QUANTIFYING POTENTIAL IMPROVEMENT IMPACT. A MULTI-DISCIPLINARY TEAM IS WORKING TO LEVERAGE TECHNOLOGY AND ESTABLISH ORGANIZATION-WIDE PROCESSES TO ACCURATELY AND RELIABLY CAPTURE RACE, ETHNICITY, AND LANGUAGE DATA FOR EVERY PATIENT AND GUARDIAN. - EQUITY INTERNSHIP PROGRAM: LAUNCHED IN 2019, THE CHILDREN'S EQUITY AND INCLUSION INTERNSHIP PROGRAM WAS DESIGNED TO BUILD A PIPELINE FOR BLACK, INDIGENOUS, AND STUDENTS OF COLOR IN HIGH SCHOOL AND COLLEGE TO PURSUE CAREERS IN HEALTHCARE. BECAUSE OF THE COVID-19 PANDEMIC, CHILDREN'S MINNESOTA WAS UNABLE TO HOST INTERNS AS A PART OF THIS PROGRAM IN 2020. IN PARTNERSHIP WITH NOTABLE CAREER-DEVELOPMENT ORGANIZATIONS AND HIGHER EDUCATION IN THE COMMUNITY IN 2021 THE PROGRAM HOSTED 12 INTERNS AND HAS CONTINUED TO GROW IN 2022 WITH A GROUP OF 20 INTERNS."

FORM 990, SCHEDULE H, PART V, LINE 11 CONTINUED:
- COMMUNITY BRIDGING WALKS: COMMUNITY BRIDGING WALKS BEGAN IN 2019 AND PROVIDED OPPORTUNITIES FOR STAFF TO LEARN THE UNIQUE NEEDS OF PATIENTS AND FAMILIES LIVING IN THE COMMUNITIES SERVED BY CHILDREN'S MINNESOTA. BECAUSE OF THE COVID-19 PANDEMIC THESE WALKS WERE SUSPENDED, BUT WILL RESUME IN 2023. - AFRICAN AMERICAN LEADERSHIP FORUM VIRTUAL TOWN HALLS: THROUGHOUT 2021 CHILDREN'S MINNESOTA JOINED TOGETHER WITH THE AFRICAN AMERICAN LEADERSHIP FORUM (AALF), INSIGHT NEWS, NORTHPOINT HEALTH & WELLNESS, MINNESOTA COMMUNITY CARE AND THE MINNESOTA SPOKESMAN-RECORDER TO CREATE A VIRTUAL TOWN HALL SERIES THAT EXPLORED THE IMPACTS OF COVID-19 ON BLACK MINNESOTANS WHILE ALSO ADDRESSING OTHER CURRENT EVENTS AND ISSUES IMPACTING THE COMMUNITY. A MEMBER OF CHILDREN'S MINNESOTA'S INFECTION PREVENTION TEAM APPEARED REGULARLY IN THE TOWN HALL MEETINGS TO PROVIDE COVID-19 UPDATES, INFORMATION, AND CONSIDERATIONS. - LEADERSHIP SCORECARDS: IN AN EFFORT TO BUILD A WORKFORCE THAT REFLECTS THE COMMUNITIES CHILDREN'S MINNESOTA SERVES AND HELP THE ORGANIZATION CULTIVATE A MORE INCLUSIVE AND EQUITABLE ENVIRONMENT, IN Q4 2022, CHILDREN'S MINNESOTA WILL BE IMPLEMENTING SCORECARD THAT WILL ALLOW LEADERS TO REVIEW, ANALYZE AND TRACK OVERALL PERFORMANCE ON SPECIFIC EQUITY AND INCLUSION METRICS. METRICS ARE FOCUSED ON THE REPRESENTATION OF CHILDREN'S MINNESOTA STAFF, HIRING, RETENTION AND TURNOVER RATES, AS WELL AS HEALTH EQUITY METRICS. MENTAL HEALTH AND DEVELOPMENTAL WELL-BEING:MIDWEST CHILDREN'S RESOURCE CENTER (MCRC): MCRC IS A HOSPITAL-BASED PROGRAM THAT PROVIDES CLINICAL EVALUATIONS AND SERVICES TO CHILDREN WHO HAVE BEEN ABUSED OR NEGLECTED. MCRC BRINGS SUBSPECIALTY MEDICAL CONSULTATION, SKILLED CASE MANAGEMENT AND EXPERT PSYCHOLOGICAL SERVICES TO COMMUNITIES THROUGHOUT THE REGION, AND PROMOTES AND DELIVERS EXPERT SERVICE IN CHILD ABUSE RESPONSE. IN 2021, MCRC PERFORMED OVER 1000 MEDICAL EVALUATIONS FOR SUSPECTED ABUSE VICTIMS. ACHIEVING OPTIMAL OUTCOMES FOR MALTREATED CHILDREN REQUIRES CLOSE COLLABORATION WITH COMMUNITY PARTNERS IN LAW ENFORCEMENT, CHILD PROTECTION, ADVOCACY, MEDICINE, AND MENTAL HEALTH. SERVICES INCLUDE: MEDICAL EVALUATIONS AND HEALTH ASSESSMENTS FOR CHILD SEXUAL AND PHYSICAL ABUSE; PSYCHOLOGICAL ASSESSMENTS; PROFESSIONAL CONSULTATIONS; AND PREVENTION PROGRAMS RELATED TO TEEN PARENTING. MCRC ALSO ADMINISTERS THE NATIONALLY RECOGNIZED RUNAWAY INTERVENTION PROGRAM (RIP). RIP PROVIDES STRENGTH BASED MEDICAL CARE AND THERAPY TO RUN-AWAY AND EXPLOITED YOUTH. CARE IS PROVIDED BY EXPERIENCED TRAUMA-FOCUSED THERAPISTS AND ADVANCED PRACTICE NURSES THROUGH A COMMUNITY-BASED DELIVERY MODEL OVER THE COURSE OF A YEAR. RIP HAS BEEN DEMONSTRATED TO DRAMATICALLY IMPROVE HEALTH OUTCOMES FOR THESE YOUTH. IN 2021 RIP PROVIDED INTENSIVE SERVICES TO 133 YOUTH. THE MCRC ALSO FUNCTIONS AS ONE OF THE FOUR REGIONAL CHILDREN'S ADVOCACY CENTERS ACROSS THE NATION, PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO CHILD ABUSE PROFESSIONALS ACROSS THE MIDWEST AND NATION. IN 2021 MRCAC PROVIDED TRAINING OR TECHNICAL ASSISTANCE TO OVER 890 ORGANIZATIONS ACROSS THE COUNTRY.HEALTHYSTEPS: HEALTHYSTEPS IS A NATIONAL PROGRAM SUPPORTED BY ZERO TO THREE AS AN EVIDENCE-BASED MODEL OF INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE FOR VERY YOUNG PATIENTS (BIRTH TO THREE YEARS OLD). THE PROGRAM ENSURES BABIES AND TODDLERS RECEIVE NURTURING PARENTING AND HAVE HEALTHY DEVELOPMENT. A CHILD DEVELOPMENT PROFESSIONAL, KNOWN AS A HEALTHYSTEPS SPECIALIST, CONNECTS WITH FAMILIES DURING WELL-CHILD VISITS AS PART OF THE PRIMARY CARE TEAM. SPECIALISTS ARE TRAINED TO PROVIDE FAMILIES WITH PARENTING GUIDANCE, SUPPORT BETWEEN VISITS, AND REFERRALS, ALL SPECIFIC TO THEIR NEEDS. HEALTHYSTEPS IS CURRENTLY OFFERED IN THE MINNEAPOLIS PRIMARY CARE CLINIC. IN 2021, HEALTHYSTEPS SERVED 34 FAMILIES. ELEVEN FAMILIES WITH PATIENTS AGES 0-3 YEARS RECEIVED BRIEF CONSULTATION AND THERAPY TO ADDRESS SPECIFIC CONCERNS ABOUT THEIR YOUNG CHILDREN. TWENTY-THREE FAMILIES WERE IDENTIFIED WITH SIGNIFICANT PSYCHOSOCIAL RISK FACTORS AND ENROLLED TO RECEIVE INTENSIVE HEALTHYSTEPS SERVICES. THESE 23 FAMILIES WILL PARTICIPATE IN ENHANCED WELL-CHILD CHECKS, WHICH INCLUDE A HEALTHYSTEPS SPECIALIST CONSULT AT EVERY WELL-CHILD VISIT, UNTIL THEIR CHILD'S 5TH BIRTHDAY. NOTE: IMPLEMENTATION OF HEALTHYSTEPS IN THE MINNEAPOLIS PRIMARY CARE CLINIC WAS AFFECTED BY PROVIDER TURNOVER IN 2021.MATERNAL AND CHILD HEALTH:PERINATAL HIV PREVENTION (ADULT): CHILDREN'S PROVIDED PERINATAL CARE COORDINATION TO 40 HIV POSITIVE PREGNANT PEOPLE IN 2021. PERINATAL HIV PREVENTION (INFANT): CHILDREN'S PROVIDED CARE COORDINATION AND SURVEILLANCE FOR 34 HIV EXPOSED INFANTS IN 2021 AND EMERGENCY CONSULTATION AND ASSISTANCE ON PERINATAL HIV PREVENTION TO 6 DIFFERENT HEALTH CARE SYSTEMS ACROSS THE STATE. MEDICAL CASE MANAGEMENT WAS ALSO PROVIDED FOR 105 FAMILIES, CHILDREN AND YOUTH LIVING WITH HIV. IN ADDITION, CHILDREN'S MINNESOTA HAS ALSO PROVIDED PERINATAL HIV CAPACITY BUILDING SUPPORT FOR 6 HEALTHCARE SITES ACROSS THE STATE, AND CREATED AND DISTRIBUTED AN EDUCATIONAL E-LEARNING ABOUT PERINATAL HIV PREVENTION TO EXTERNAL AND INTERNAL HEALTH CARE PROVIDERS.ADVOCACY AND ENGAGEMENT:PUBLIC HEALTH AND POLICY COALITIONS: IN ORDER TO ADDRESS THE POLICIES, SYSTEMS AND ENVIRONMENTS THAT IMPACT CHILD HEALTH, CHILDREN'S ACTIVELY PARTICIPATED IN SEVERAL BROAD-BASED COALITIONS AND COLLABORATIVES, INCLUDING: THE THIS IS MEDICAID COALITION, THE PRENATAL TO THREE COALITION, THE MINNESOTA COALITION FOR TARGETED FAMILY HOME VISITING, MINNESOTANS FOR A SMOKE FREE GENERATION, THE HUNGER FREE SCHOOLS COALITION, THE MINNESOTA BUSINESS COALITION FOR RACIAL EQUITY AND LITTLE MOMENTS COUNT. THESE ORGANIZATIONS ADDRESS A VARIETY OF HEALTH ISSUES IN THE COMMUNITY, INCLUDING IMPROVED BIRTH OUTCOMES, ACCESS TO HEALTHY FOOD, EARLY CHILDHOOD DEVELOPMENT, ACCESS TO HEALTH CARE, MENTAL HEALTH, RACIAL EQUITY AND COMMUNITY HEALTH OVERALL. ADDITIONALLY, CHILDREN'S MINNESOTA PARTICIPATES IN THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL CHILDREN'S HOSPITAL ASSOCIATION BOTH OF WHOM ARE FOCUSED ON IMPROVING THE HEALTH CARE DELIVERY SYSTEM AND ENHANCING BOTH QUALITY AND ACCESS TO CARE. PATIENT AND FAMILY ENGAGEMENT:FAMILIES AS PARTNERS (FAP)THE CHILDREN'S MINNESOTA FAMILIES AS PARTNERS PROGRAM PROMOTES, COORDINATES AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND THE FAMILY SPEAKER'S BUREAU. IN 2021, THE FAMILIES AS PARTNERS (FAP) PROGRAM HAD A TOTAL OF 128 ACTIVE PATIENT FAMILY VOLUNTEERS THAT CONTRIBUTED A COMBINED TOTAL OF 3,259 VOLUNTEER HOURS. YOUTH ADVISORY COUNCIL THE YOUTH ADVISORY COUNCIL CONSISTS OF PATIENTS AND SIBLINGS AGED 10-18 YEARS OF AGE THAT PROVIDE INSIGHT TO IMPROVE THE CHILDREN'S MINNESOTA CARE EXPERIENCE FOR CHILDREN AND TEENS. TWENTY-ONE YOUTH PARTICIPATED IN THE YOUTH ADVISORY COUNCIL IN 2021 AND THE MEMBERS VOLUNTEERED A COMBINED TOTAL OF 232 HOURS OF SERVICE.

FORM 990, SCHEDULE H, PART V, LINE 15E:
CHILDREN'S MINNESOTA HAS A WRITTEN FINANCIAL ASSISTANCE POLICY. THE POLICY OUTLINES THE GUIDELINES, SCOPE OF SERVICES COVERED, AVAILABILITY OF INFORMATION, HOW TO APPLY, THE PATIENT/GUARANTOR'S RESPONSIBILITY FOR PROVIDING INFORMATION AND THE HOSPITALS RESPONSIBILITY FOR REVIEW AND COMMUNICATION OF DETERMINATION. THE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES, UPDATED ANNUALLY WITH A DIFFERENTIATION FOR THOSE FAMILIES WITH INSURANCE AND THOSE WITHOUT AND INCLUDES AN EXCEPTION PROCESS. AMOUNTS GENERALLY BILLED IS DEFINED AND CHILDREN'S HAS CHOSEN THE LOOK BACK METHOD INCLUSIVE OF ALL CLAIMS.

FORM 990, SCHEDULE H, PART V, LINE 16A:
HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/BILLING-POLICIES/FORM 990, SCHEDULE H, PART V, LINE 16B:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16C:HTTPS://WWW.CHILDRENSMN.ORG/YOUR-VISIT/AFTER-YOUR-VISIT/BILLING-AND-FINANCIAL-MATTERS/FINANCIAL-COUNSELING-AND-ASSISTANCE/FORM 990, SCHEDULE H, PART V, LINE 16J:CHILDREN'S MINNESOTA HAS A WRITTEN FINANCIAL ASSISTANCE POLICY AND A PLAIN LANGUAGE SUMMARY OF OUR POLICY. OUR POLICY IS POSTED ON OUR WEBSITE AS WELL AS AVAILABLE AT ALL REGISTRATION AREAS THROUGHOUT THE HOSPITAL AND OUR CLINICS. A COPY OF THE PLAIN LANGUAGE SUMMARY OF OUR POLICY IS PROVIDED TO ANY PATIENT WITHOUT INSURANCE AT EACH VISIT AND ANNUALLY TO ALL PATIENTS. THE POLICY AND PLAIN LANGUAGE SUMMARY IS CURRENTLY AVAILABLE IN ENGLISH, SPANISH, SOMALI HMONG, RUSSIAN, VIETNAMESE, ARABIC AND KAREN. WE ALSO HAVE POSTERS IDENTIFYING KEY POINTS OF OUR POLICY DISPLAYED IN ALL REGISTRATION AREAS IN ADDITION, WE HAVE A FINANCIAL ASSISTANCE CALCULATOR ON OUR WEBSITE WHERE FAMILIES ARE ABLE TO KEY IN THEIR INCOME AND FAMILY SIZE TO ASSESS WHETHER THEY MAY MEET OUR POLICY GUIDELINES.

FORM 990, SCHEDULE H, PART V, LINE 23:
CHILDREN'S FINANCIAL ASSISTANCE POLICY IS BASED ON THE FEDERAL POVERTY GUIDELINES. FOR FAMILIES WITH NO INSURANCE AND INCOME LESS THAN 275% OF THE FPL, THE CARE PROVIDED TO THE FAMILY IS FREE. FOR FAMILIES WITH INCOME GREATER THAN 275% OF THE FPL BUT LESS THAN 350% OF THE FPL, THE FAMILY WILL BE CHARGED NOT MORE THAN AMOUNTS GENERALLY BILLED. CHILDREN'S HAS CHOSEN TO USE THE LOOK BACK METHOD AND INCLUDING ALL CLAIM PAYMENTS FOR THE PREVIOUS 12 MONTH PERIOD.

PART I, LINE 3C:
FEDERAL POVERTY GUIDELINES ARE THE PRIMARY MEASUREMENT USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, POLICY EXCEPTIONS MAY BE GRANTED FOR FAMILIES WHO HAVE MEDICAL DEBT EXCEEDING 10 PERCENT OF THEIR INCOME OR HAVE OTHER SPECIFIC DOCUMENTED NEEDS WHERE THEY ARE NOT ABLE TO PAY ALL OR A PORTION OF THEIR BALANCE. MEDICAID ELIGIBILITY MAY ALSO BE USED TO DETERMINE ELIGIBILITY.

PART I, LINE 6A:
CHILDREN'S INCLUDES INFORMATION ON COMMUNITY BENEFIT EXPENDITURES IN THE ORGANIZATION'S ANNUAL REPORT. THE 2021 ANNUAL REPORT IS AVAILABLE ONLINE AT HTTPS://WWW.CHILDRENSMN.ORG/ABOUT-US/ANNUAL-REPORT/.COMMUNITY BENEFIT NUMBERS AS WELL AS COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION ARE ALSO AVAILABLE ON THE COMMUNITY HEALTH SECTION OF THE WEBSITE: HTTP://WWW.CHILDRENSMN.ORG/COMMUNITY.

PART III, LINE 2:
BAD DEBT IS DEFINED AS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO PAY. THE AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY ARE DETERMINED BY A PATIENT'S WILLINGNESS TO PAY WITH A DOCUMENTED INABILITY TO PAY PER MEASURES ESTABLISHED BY OUR POLICY. BAD DEBT IS ESTIMATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, AS CALCULATED ON FORM 990, SCHEDULE H, WORKSHEET 2, TO THE ACTUAL PATIENT CHARGES.

PART III, LINE 3:
THE ORGANIZATION ESTIMATES THAT TWENTY-FIVE PERCENT OF BAD DEBT EXPENSES ARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (BUT WERE EITHER UNWILLING OR UNABLE TO PROVIDE SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF THEIR ELIGIBILITY WHILE IN OUR CARE). THE ESTIMATE OF TWENTY-FIVE PERCENT IS BASED ON A REVIEW OF ACCOUNTS CLASSIFIED AS BAD DEBT AND MANAGEMENT JUDGMENT.

PART III, LINE 4:
GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CHILDREN'S ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. CHILDREN'S ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCES AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. CONSISTENT WITH CHILDREN'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CHILDREN'S HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (E.G., CO-PAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CHILDREN'S EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PATIENTS WHO MEET CHILDREN'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE.

PART III, LINE 8:
THE ORGANIZATION PRIMARILY SERVES PEDIATRIC PATIENTS AND DOES NOT GENERATE SIGNIFICANT MEDICARE REVENUES. THE ORGANIZATION FILES A MEDICARE COST REPORT ANNUALLY. FORM 990, SCHEDULE H, WORKSHEET 3 - UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH MEDICARE CHARGES REPORTED IN PART III, LINE 6. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.

PART III, LINE 9B:
WHEN COLLECTING MEDICAL DEBT, CHILDREN'S MINNESOTA TREATS ITS PATIENT FAMILIES WITH HONOR, DIGNITY, AND RESPECT; DEMONSTRATES COMPASSION; AND ARE GOOD STEWARDS OF HEALTH CARE RESOURCES. THERE IS A ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY CHILDREN'S EMPLOYEES AND CONTRACTORS WHO COLLECT MEDICAL DEBT FROM PATIENT FAMILIES. THIS POLICY APPLIES BROADLY TO ALL PATIENT FAMILIES WE SERVE.COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE: DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S ATTEMPTS TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR FINANCIAL ASSISTANCE POLICY. IN ADDITION, ALL FAMILIES ARE PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AT REGISTRATION. INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS POSTED IN EACH CLINIC AND REGISTRATION AREA, OUR WELCOME CENTER AND ON OUR WEBSITE.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS ARE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION INFORMS STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE.A COPY OF THE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS INCLUDED ON THE BACK OF EACH HOSPITAL PATIENT STATEMENT EXPLAINING THE PROCESS AND PHONE NUMBERS TO CONTACT FOR QUESTIONS FOR OBTAINING FINANCIAL ASSISTANCE FOR ALL PATIENT FAMILIES THE LOCATION ON CHILDREN'S WEB SITE WHERE THE POLICIES AND APPLICATIONS RESIDE IS ALSO REFERENCED. .. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS OR THROUGHOUT THE COLLECTION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY STAFF. ALL PATIENTS WHO ARE REGISTERED AS SELF PAY ARE OFFERED THE FINANCIAL ASSISTANCE INFORMATION AT THE TIME OF REGISTRATION.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE FINAL NOTICE PRIOR TO BAD DEBT PLACEMENT INCLUDE THE REQUIRED LANGUAGE RELATED TO EXTRAORDINARY COLLECTION EFFORTS.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE AUDIT COMMITTEE OF OUR BOARD OF DIRECTORS ANNUALLY REVIEWS THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE ALSO REVIEWS THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.

PART VI, LINE 7, REPORTS FILED WITH STATES
MN

PART I, LINE 7:
SUBSIDIZED HEALTH SERVICES BENEFITS INCLUDE THE FOLLOWING PROGRAMS:THE ECMO PROGRAM AT CHILDREN'S MINNESOTA IS THE LARGEST PROVIDER OF NEONATAL AND PEDIATRIC ECMO IN THE STATE AND HAS RECEIVED THE EXTRACORPOREAL LIFE SUPPORT ORGANIZATION AWARD FOR EXCELLENCE IN LIFE SUPPORT SINCE 2008: $689,327THE INFANT APNEA PROGRAM INCLUDES PEDIATRIC SPECIALISTS WHO UNDERSTANDTHE SCIENCE BEHIND A BABY'S BREATHING PROCESS. OUR TEAM OF PULMONARY,NEONATOLOGY AND NURSE EXPERTS PROVIDES COMPREHENSIVE EVALUATIONS, FAMILYEDUCATION, ONGOING MANAGEMENT AND SUPPORT TO FAMILIES OF INFANTSDIAGNOSED WITH APNEA OR GASTROESOPHAGEAL REFLUX (GER), A REGURGITATION OFFOOD THAT CAN INTERFERE WITH BREATHING: $769,435THE HOSPITALIST PROGRAM IS A TEAM ON THE GENERAL MEDICAL/SURGICAL UNITS24/7 THAT ARE AMONG THE FIRST FACES A CHILD SEES. THE HOSPITALISTS CONFERWITH THE REFERRING DOCTOR AND THE PATIENT'S PEDIATRICIAN TO GATHERINFORMATION AND PLAN FOR FIRST-RATE CARE: $2,830,457OUR MOBILE CLINIC WAS CREATED TO DELIVER CHILDREN'S QUALITY PEDIATRIC CARE IN THE COMMUNITY, ON DEMAND: $133,234THE INTEGRATIVE MEDICINE PROGRAM AT CHILDREN'S MINNESOTA IS THE LONGEST-RUNNING PEDIATRIC, CLINICAL INTEGRATIVE MEDICINE PROGRAM IN NORTH AMERICA, OFFERING BOTH INPATIENT SERVICES AND OUTPATIENT SERVICES THROUGH OUR PAIN, PALLIATIVE AND INTEGRATIVE MEDICINE CLINIC. THE INTEGRATIVE MEDICINE PROGRAM PROVIDES INNOVATIVE, HOLISTIC CARE FOR THE WHOLE CHILD MIND, BODY AND SPIRIT: $1,736THE EATING DISORDERS CLINIC USES LEADING EVIDENCE-BASED TREATMENTS TOPATIENTS OF ALL AGES AND WITH ALL TYPES OF EATING DISORDERS. THE CENTERFOR THE TREATMENT OF EATING DISORDERS IS THE ONLY HOSPITAL-BASED PROGRAM IN THE TWIN CITIES TO OFFER IMMEDIATE ACCESS FOR MEDICAL STABILIZATION:$279,620OUR GENDER HEALTH PROGRAM IS AN EXCLUSIVELY PEDIATRIC, MULTIDISCIPLINARY GENDER HEALTH PROGRAM, AND INCLUDES PEDIATRIC GENDER HEALTH, ENDOCRINOLOGY AND GYNECOLOGY PHYSICIANS. THE GENDER HEALTH PROGRAM PROVIDES COMPASSIONATE AND COMPREHENSIVE CARE FOR TRANSGENDER AND GENDER-DIVERSE YOUTH. WE'RE DEDICATED TO SERVING AS AN ESSENTIAL MEDICAL PARTNER AND RESOURCE FOR TRANSGENDER YOUTH AND FAMILIES ALONG THEIR JOURNEY: $28,143THE EAR, NOSE AND THROAT (ENT) AND FACIAL PLASTIC SURGERY TEAM AT CHILDREN'S MINNESOTA IS INTERNATIONALLY RECOGNIZED FOR THEIR LEADERSHIP IN DEVELOPING AND PROVIDING PEDIATRIC TREATMENTS. AND CHILDREN'S MINNESOTA IS THE ONLY HOSPITAL IN THE STATE OF MINNESOTA OFFERING 24/7 ACCESS TO PEDIATRIC ENT SPECIALISTS: $1,455,642THE DEVELOPMENT PEDIATRIC CLINIC ADDRESSES CONCERNS ABOUT YOUR CHILD'SDEVELOPMENTAL, BEHAVIORAL, SOCIAL OR LEARNING CHALLENGES. THE PROGRAMAPPROACHES BEHAVIORAL AND DEVELOPMENTAL CONDITIONS, SUCH AS AUTISM ANDDOWN SYNDROME, FROM ALL ANGLES: $394,615PSYCHOLOGICAL SERVICES MEETS WITH CHILDREN FOR OUTPATIENT THERAPY,PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL ASSESSMENTS, AND CONSULTATION TOOUTPATIENT AND INPATIENT MEDICAL SERVICE: $1,161,360HOME HEALTH CARE ALLOWS KIDS TO RECEIVE THESE SERVICES NOT AT A HOSPITALBEDSIDE, BUT AT HOME WITH THEIR FAMILIES. EDUCATION IS ALSO A BIG PART OFA HOME CARE NURSES' ROLE AND THEY ARE ALWAYS AVAILABLE TO ANSWER ANYQUESTIONS OR PROVIDE ASSISTANCE: $780,995THE PERFUSION TEAM CARES FOR THE ESSENTIAL BODILY FUNCTIONS OF THE PATIENT DURING SURGERY. WHILE THE HEART-LUNG MACHINE PUMPS FRESH OXYGENATED BLOOD INTO THE BODY, THE PERFUSIONIST MONITORS THE PATIENT'S BLOOD FLOW, SUPPORTS OPTIMAL SURGICAL CONDITIONS, COMMUNICATES WITH BOTH THE SURGEON AND ANESTHESIOLOGIST, MAINTAINS THE PATIENT'S BODY TEMPERATURE AND EXTENDS SUPPORT OF THE PATIENT'S CIRCULATION AFTER SURGERY: $138,436MIDWEST CHILDREN'S RESOURCES CENTER (MCRC) OFFERS MEDICAL EVALUATIONS AND CASE MANAGEMENT IN ALLEGED CHILD ABUSE CASES, SERIOUS NEGLECT AND WITNESSTO VIOLENCE. EVERY YEAR, MORE THAN 1,100 CHILDREN AGES 0 TO 18 VISIT US.MCRC RECEIVES REFERRALS FROM LAW ENFORCEMENT, EMERGENCY DEPARTMENTS,PRIMARY PHYSICIANS, CHILD PROTECTION SERVICES, PARENTS, SELF-REFERRALSAND A VARIETY OF COMMUNITY AGENCIES: $146,217THE GENETICS CLINIC HELPS FAMILIES UNDERSTAND GENETIC CONDITIONS, LIKECHROMOSOMAL DISORDERS AND SINGLE-GENE DISORDERS. WITH ONE OF THE LARGESTGENETICS PROGRAMS IN THE REGION, WE SEE MORE THAN 2,000 CHILDREN ANDTEENS EVERY YEAR AND WE ARE THE ONLY GENETICS CLINIC IN MINNESOTA THATFOCUSES ENTIRELY ON CARING FOR KIDS WITH GENETIC CONDITIONS: $1,058,263THE NEUROLOGY CLINIC PROVIDES EXPERT DIAGNOSIS AND TREATMENT FOR KIDS'BRAIN AND NERVOUS SYSTEM CONDITIONS LIKE BRAIN TUMORS, EPILEPSY, HEADTRAUMA, CEREBRAL PALSY AND OTHERS: $644,299THE NEUROSURGERY CLINIC USES CUTTING EDGE SURGICAL TECHNIQUES ANDTECHNOLOGY TO TREAT TUMORS, EPILEPSY AND OTHER BRAIN AND NERVOUS SYSTEM CONDITIONS. WE PERFORM HUNDREDS OF SURGERIES EACH YEAR ON BABIES, KIDSAND TEENS. THAT MAKES US ONE THE MOST EXPERIENCED PEDIATRIC NEUROSURGERYCENTERS ANYWHERE: $1,884,085THE RHEUMATOLOGY CLINIC USES ADVANCED TOOLS TO DIAGNOSE THESE COMPLEXCONDITIONS, ALLEVIATE PAIN AND RESTORE FUNCTION IN KIDS AND TEENS:$69,614PSYCHIATRIC SERVICES PROVIDES ASSESSMENT AND CONSULTATION TO CHILDREN.THEY CAN ALSO PRESCRIBE AND MANAGE MEDICATIONS USED TO TREAT EMOTIONALAND BEHAVIORAL PROBLEMS: $667,906THE SEDATION AND PROCEDURAL SERVICES (SPS) UNIT PROVIDES A BROAD RANGE OFSCHEDULED AND UNSCHEDULED SERVICES INCLUDING, NON-SURGICAL PROCEDURES,DIAGNOSTIC TESTING, MINIMAL, MODERATE, AND DEEP SEDATION, NURSE-ONLYVISITS, AND VASCULAR ACCESS SERVICES FOR THE HOSPITAL SITES. THE SPSUNITS ADMIT SCHEDULED AND UNSCHEDULED MEDICAL AND SURGICAL OBSERVATIONSTATUS PATIENTS AND CARE FOR INPATIENT OVERFLOW VOLUME IN TIMES OF HIGH CENSUS: $2,533,757THE DIABETES AND ENDOCRINE CLINIC DIAGNOSES AND TREATS ALL KINDS OFENDOCRINE DISORDERS IN CHILDREN AND TEENS, INCLUDING GROWTH DISORDERS,ABNORMALLY EARLY OR DELAYED PUBERTY AND DISEASES OF THE THYROID,PITUITARY AND ADRENAL GLANDS: $644,761OUR INFECTIOUS DISEASE PROGRAM HAS EXPERTISE WITH BACTERIAL, VIRAL,FUNGAL AND PARASITIC INFECTIONS AND EVALUATES CHILDREN WITH RECURRENTFEVERS FOR POSSIBLE PERIODIC FEVER SYMPTOMS. WE ARE ALSO KNOWN FOR OURMINNESOTA PERINATAL AND PEDIATRIC HIV PROGRAM: $1,003,684IN OUR IMMUNOLOGY PROGRAM, EVERY DOCTOR HAS HAD DEDICATED TRAINING IN BOTH PEDIATRIC INFECTIOUS DISEASES AND PEDIATRIC IMMUNOLOGY. WE COORDINATE CARE WITH OTHER DEPARTMENTS WITHIN THE HOSPITAL SO THAT PATIENTS CAN SEE EVERYONE THEY NEED, ALL AT THE SAME TIME AND IN THE SAME PLACE. WE COLLABORATE WITH CLINICAL IMMUNOLOGISTS NATIONALLY TO PROVIDE THE MOST ADVANCED DIAGNOSTIC TESTS AND TREATMENTS AVAILABLE, AND WE STAY UP TO DATE BY ATTENDING THE ANNUAL CLINICAL IMMUNOLOGY SOCIETY MEETING: $328,802ST PAUL PRIMARY CARE CLINIC PROVIDES A WIDE VARIETY OF PRIMARY CARE SERVICES THAT KIDS NEED DURING A TYPICAL CHILDHOOD. AND, IF SOMETHING IS OUT OF THE ORDINARY, THEY CONNECT YOU TO THE REST OF THE SERVICES THROUGHOUT THE CHILDREN'S MINNESOTA SYSTEM: $264,275

FORM 990, SCHEDULE H, PART II:
CHILDREN'S PROVIDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN 2021:CAREER READINESS: ACHIEVE STEP-UP: STEP-UP IS MINNEAPOLIS' LARGEST TRAINING PROGRAM WHICH PROVIDES JOB OPPORTUNITIES TO YOUTH. SINCE 2006 CHILDREN'S MINNESOTA HAS HIRED STEP-UP SUMMER INTERNS. THE STUDENTS WORK IN A VARIETY OF AREAS TO GAIN KNOWLEDGE IN PATIENT CARE AND NON-PATIENT CARE DEPARTMENTS. MANY OF THE CHILDREN'S STEP-UP STUDENTS ATTENDED OR WILL BE ATTENDING HIGHER EDUCATION INSTITUTIONS. STUDENTS MAY RETURN TO THEIR POSITIONS DURING BREAKS IN A CASUAL CAPACITY WHILE ATTENDING SCHOOL OR VOLUNTEERING. THE PROGRAM AT CHILDREN'S FOCUSES ON IMMERSING AND INTEGRATING STUDENTS IN THE HOSPITAL WORK ENVIRONMENT TO ASSIST WITH BUILDING SKILLS AND COMPETITIVE EMPLOYMENT IN HEALTHCARE. IN THE SUMMER OF 2021, CHILDREN'S MINNESOTA HOSTED 2 COLLEGE LEVEL INTERNS AND 5 HIGH SCHOOL LEVEL INTERNS. UNIVERSITY OF SAINT THOMAS-DOUGHERTY FAMILY COLLEGE: THE DOUGHERTY FAMILY COLLEGE PROVIDES COLLEGE AGE STUDENTS WITH A CAREER DEVELOPMENT OPPORTUNITY THROUGH THEIR CORPORATE INTERNSHIP PROGRAM. THIS PROGRAM ALLOWS STUDENTS TO HAVE THE OPPORTUNITY TO DEVELOP REAL-WORLD, PROFESSIONAL EXPERIENCE IN PAID INTERNSHIPS AT LEADING ORGANIZATIONS THROUGHOUT THE TWIN CITIES WHERE THEY'LL START USING THEIR EDUCATION TO BUILD A CAREER THAT MAKES A DIFFERENCE. IN THE 2021-2022 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 4 COLLEGE LEVEL INTERNS. CRISTO REY JESUIT HIGH SCHOOL: CHILDREN'S IS ONE OF THE PIONEER ORGANIZATIONS IN THE TWIN CITIES THAT IS INVOLVED IN THE CRISTO REY SCHOOL INITIATIVE. THIS PROGRAM PROVIDES COLLEGE PREPARATORY SCHOOLING TO INNER CITY MINORITY STUDENTS AS WELL AS TARGETED WORK-STUDY OPPORTUNITIES. CHILDREN'S MINNESOTA HAS PROVIDED WORK-STUDY AND MENTOR OPPORTUNITIES TO STUDENTS SINCE 2007. THE GOAL OF THIS INITIATIVE IS TO PROVIDE REAL-LIFE WORK EXPERIENCES THAT WILL BROADEN THE MINORITY TALENT POOL WHILE ALLOWING STUDENTS TO EARN A PORTION OF THE COST OF THEIR EDUCATION. IN THE 2021-2022 ACADEMIC YEAR, CHILDREN'S MINNESOTA HOSTED 2 STUDENT INTERNS. PROJECT SEARCH: CHILDREN'S MINNESOTA PARTNERED WITH THE MINNEAPOLIS PUBLIC SCHOOLS TRANSITIONS PLUS PROGRAM TO LAUNCH PROJECT SEARCH IN 2011. CHILDREN'S MINNESOTA WAS ONE OF THE FIRST HEALTHCARE ORGANIZATIONS TO LAUNCH PROJECT SEARCH IN THE 5-STATE AREA. PROJECT SEARCH IS A UNIQUE BUSINESS-LED TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES TO WORK, EXPLORE CAREERS AND DEVELOP TRANSFERABLE JOB SKILLS, WITH THE GOAL OF WORKING IN A COMPETITIVE ENVIRONMENT. DESIGNED AS AN UNPAID INTERNSHIP PROGRAM, PROJECT SEARCH PLACES STUDENTS IN REAL SITUATIONS WHERE THEY LEARN ALL ASPECTS OF GAINING AND MAINTAINING A JOB. THIS PROCESS OF IMMERSION FACILITATES THE TEACHING AND LEARNING OF NEW WORK SKILLS ON-SITE. INDIVIDUALIZED JOB DEVELOPMENT AND PLACEMENT OCCURS BASED ON THE STUDENT'S EXPERIENCES, STRENGTHS, AND SKILLS. A SERIES OF JOB ROTATIONS ALLOW STUDENTS TO FIND POSITIONS THAT BEST SUIT THEIR PREFERENCES. STUDENTS RECEIVE SUPPORT WITH ACCOMMODATION, ADAPTATIONS, AND ON-THE-JOB COACHING VIA MINNEAPOLIS SCHOOL EMPLOYEES. IN 2021 CHILDREN'S MINNESOTA HOSTED 8 INTERNS FROM PROJECT SEARCH. THERE WAS ALSO ONE 2021 INTERN GRADUATE HIRED AS A CHILDREN'S MINNESOTA EMPLOYEE. PROJECT FOR PRIDE IN LIVING (PPL): PPL HELPS LOW-INCOME PEOPLE ACHIEVE SELF-SUFFICIENCY THROUGH HOUSING, EMPLOYMENT TRAINING, SUPPORT SERVICES AND EDUCATION. CHILDREN'S MINNESOTA PARTNERS WITH AND PROVIDES FINANCIAL SUPPORT TO PPL IN THEIR TRAIN TO WORK INITIATIVE, WHICH HAS TRAINED HUNDREDS OF PEOPLE TO MEET ENTRY-LEVEL STAFFING NEEDS OF CHILDREN'S MINNESOTA AND OTHER MAJOR AREA HEALTHCARE PARTNERS. TRAIN TO WORK OFFERS TRAINING IN HEALTHCARE-SPECIFIC DETAILS, SUCH AS MEDICAL TERMINOLOGY AND ELECTRONIC HEALTH RECORDS, AS WELL AS A JOB SHADOWING INTERNSHIP THAT HAS BEEN AN ESSENTIAL COMPONENT OF THE PROGRAM'S SUCCESS. THE INTERNSHIP GIVES PARTICIPANTS HANDS-ON EXPERIENCE IN HEALTHCARE AND GIVES EMPLOYERS AN OPPORTUNITY TO OBSERVE POTENTIAL EMPLOYEES. IN 2021, CHILDREN'S MINNESOTA DID NOT SPONSOR ANY PROGRAM PARTICIPANTS, HOWEVER, OTHER ACTIVITIES SUCH AS PRESENTATIONS, MOCK INTERVIEWS AND DISCUSSIONS TOOK PLACE ON HOW TO RE-ENGAGE THE PREVIOUS PARTNERSHIP AND HOW TO DEVELOP MEANINGFUL EXPERIENTIAL OPPORTUNITIES FOR THE PROGRAM PARTICIPANTS. URBAN SCHOLARS: THE URBAN SCHOLARS PROGRAM INTENTIONALLY CONNECTS STUDENTS AND ORGANIZATIONS IN PURSUIT OF AN EQUITABLE WORKFORCE. URBAN SCHOLARS IS A PAID, FULL TIME, 12-WEEK SUMMER INTERNSHIP PROGRAM. SCHOLARS SPEND 32 HOURS IN THEIR WORK PLACEMENT, AND 8 HOURS IN THE URBAN SCHOLARS LEADERSHIP INSTITUTE EVERY WEEK. CHILDREN'S MINNESOTA DID NOT HOST ANY URBAN SCHOLARS INTERNS IN 2021, BUT THE PARTNERSHIP CONTINUED AND CHILDREN'S MINNESOTA WILL HOST INTERNS IN 2022. RIGHTTRACK: RIGHT TRACK BRINGS TOGETHER THE CITY OF SAINT PAUL, THE SAINT PAUL PUBLIC SCHOOLS, LOCAL BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE EMPLOYMENT OPPORTUNITIES AND PROFESSIONAL SKILLS TRAINING FOR HIGH SCHOOL YOUTH. IN 2021, CHILDREN'S MINNESOTA HOSTED 1 HIGH SCHOOL INTERN.WALLIN EDUCATION PARTNERS: WALLEN EDUCATION PARTNERS WORKS WITH STUDENTS TO PROVIDE FINANCIAL AID, ADVISING, AND ACCESS TO COMMUNITY AND CAREER OPPORTUNITIES. IN 2021 CHILDREN'S MINNESOTA HOSTED 2 HIGH SCHOOL INTERNS.EMERGE: EMERGE IS A WORKFORCE AND COMMUNITY DEVELOPMENT NONPROFIT WITH THREE SOCIAL ENTERPRISE BUSINESSES. THEY SUPPORT THOUSANDS OF PEOPLE IN BUILDING CAREERS AND ENGAGING WITH COMMUNITY TO CREATE PATHWAYS TO BRIGHTER FUTURES. CHILDREN'S MINNESOTA PARTNERS WITH THE EMERGE NURSING ASSISTANT PROGRAM. IN 2021 CHILDREN'S MINNESOTA HOSTED 1 COLLEGE LEVEL INTERN.INTERNATIONAL INSTITUTE OF MINNESOTA: CHILDREN'S MINNESOTA CONSULTS WITH THE INTERNATIONAL INSTITUTE OF MINNESOTA ON HIGH NEEDS AREAS, HOSTS INFORMATION SESSIONS, MOCK INTERVIEWS AND PROVIDES EMPLOYMENT ASSISTANCE AND SITE VISITS FOR NURSING ASSISTANT, HOUSEKEEPING AND RN STUDENTS. TWO PROGRAM PARTICIPANTS WERE HIRED IN 2021 INTO CLINICAL SUPPORT ASSOCIATE ROLES. SUMMIT ACADEMY: IN SEPTEMBER 2021 CHILDREN'S MINNESOTA BEGAN WORKING WITH THE SUMMIT ACADEMY OIC PROGRAM WHICH OFFERS TRAINING FOR IN-DEMAND CAREERS, INCLUDING HEALTHCARE. CHILDREN'S MINNESOTA PARTICIPATES IN INFORMATION SESSIONS, MOCK INTERVIEWS AND CAREER FAIRS WHILE ALSO PROVIDING EMPLOYMENT ASSISTANCE. IN 2021 CHILDREN'S MINNESOTA HIRED FOUR STUDENTS FROM THE SUMMIT OIC MEDICAL ADMINISTRATIVE ASSISTANT CLASS INTO ADMINISTRATIVE ROLES. CHILDREN'S MINNESOTA ALSO HOSTED A STUDENT AS AN INFORMATION TECHNOLOGY SERVICES INTERN.

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"IN 2019, CHILDREN'S MINNESOTA COMPLETED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT, AS REQUIRED UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 (""PPACA""). THE CHNA AND ACCOMPANYING IMPLEMENTATION STRATEGY WERE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CHILDREN'S MINNESOTA BOARD OF DIRECTORS. THE COMPLETE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT HTTPS://WWW.CHILDRENSMN.ORG/SUPPORT-CHILDRENS/COMMUNITY-HEALTH-ENGAGEMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/IN CONDUCTING THE ASSESSMENT, CHILDREN'S MINNESOTA CONSIDERED THE FOLLOWING TOPICS AND DATA: DEMOGRAPHICS; ECONOMIC ISSUES THAT AFFECT CHILDREN; COMMUNITY ISSUES; HEALTH STATUS INDICATORS; HEALTH ACCESS INDICATORS; HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES.IN ADDITION TO THE CHNA PROCESS, CHILDREN'S MINNESOTA ALSO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IN THE FOLLOWING WAYS:A. BOARD OF DIRECTORS: THE ORGANIZATION'S GOVERNING BODY, COMPRISED PRIMARILY OF COMMUNITY MEMBERS WHO RESIDE LOCALLY, PROVIDES GOVERNANCE OVERSIGHT AND INPUT ON THE HEALTH CARE SERVICES CHILDREN'S MINNESOTA PROVIDES TO THE LOCAL COMMUNITY.B. CHILDREN'S MINNESOTA EMPLOYED PHYSICIANS, INDEPENDENT PHYSICIANS WHO PROVIDE CARE AT CHILDREN'S, AND NUMEROUS CLINICAL CARE PROVIDERS ASSESS COMMUNITY NEEDS DAILY THROUGH THE PEDIATRIC CARE PROVIDED THROUGHOUT THE COMMUNITY.C. COMMUNITY PARTNERSHIPS/RELATIONSHIPS: THE CHILDREN'S MINNESOTA ADVOCACY AND HEALTH POLICY DEPARTMENT, EQUITY AND INCLUSION DEPARTMENT AND OTHERS CONTINUE TO DEVELOP A CORE STRATEGY BASED ON ACTIVE AND SUBSTANTIVE ENGAGEMENT OF THE COMMUNITY, IN ITS VARYING FORMS. THIS INCLUDES COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND LEADERS, ALIGNED NON-PROFITS, SERVICE DELIVERY AGENCIES AND ASSOCIATIONS. CHILDREN'S MINNESOTA ALSO ENGAGES IN LOCAL AND STATE GOVERNMENT-DRIVEN INITIATIVES AROUND CHILD HEALTH ISSUES. THROUGH THESE PARTNERSHIPS CHILDREN'S GAINS INSIGHT AND SUPPORTS PROGRESS ON A NUMBER OF KEY ISSUES IMPACTING CHILDREN, INCLUDING: EARLY CHILDHOOD DEVELOPMENT, CHILDHOOD ASTHMA, MENTAL HEALTH, PREMATURE BIRTH, TOBACCO CONTROL, EQUITY AND THE SOCIAL CONDITIONS THAT IMPACT HEALTH. D. THE FAMILIES AS PARTNERS (FAP) PROGRAM: THE CHILDREN'S MINNESOTA FAP PROGRAM PROMOTES, COORDINATES, AND SUPPORTS PATIENT FAMILY ENGAGEMENT THROUGHOUT THE ORGANIZATION. THE PATHWAYS TO GET INVOLVED INCLUDE THE FAMILY-TO- FAMILY PROGRAM, FAMILY ADVISORY COUNCIL, FAMILY ADVOCATES, FAMILY ADVISORS, FAMILIES AS FACULTY AND FAMILY SPEAKER'S BUREAU. FAMILY-TO-FAMILY PROGRAM CHILDREN'S MINNESOTA PATIENT FAMILIES THAT MENTOR AND SUPPORT OTHER HOSPITALIZED PATIENTS AND FAMILIES FAMILY ADVISORY COUNCIL (FAC) A DIVERSE GROUP OF FAMILIES WHO COLLABORATE WITH STAFF TO ENHANCE THE PATIENT AND FAMILY EXPERIENCE FAMILY ADVOCATES PATIENT FAMILIES WHO ADVOCATE FOR PEDIATRIC HEALTH POLICIES FAMILY ADVISORS REPRESENT THE FAMILY PERSPECTIVE ON COMMITTEES, EXPERIENCE TEAMS, FACILITY DESIGN TEAMS AND FOCUS GROUPS FAMILIES AS FACULTY PARTICIPATE IN SESSIONS THAT PROVIDE PATIENT AND FAMILY CENTERED CARE EDUCATION FOR PHYSICIANS, NURSES AND STAFF FAMILY SPEAKER'S BUREAU SHARE INFORMATION ABOUT THEIR INDIVIDUAL EXPERIENCE AT SPECIAL EVENTS AND MEETINGSE. YOUTH ADVISORY COUNCIL (YAC) -- THIS IS A DEDICATED GROUP OF PATIENTS; AGES 10 TO 18, WHO HELP HOSPITAL STAFF, LEADERS, CLINICIANS AND PARENTS UNDERSTAND WHAT IS IMPORTANT TO CHILDREN, TEENS AND SIBLINGS DURING HOSPITAL STAYS, CLINIC VISITS AND EMERGENCY CARE. THE YAC BRINGS A VALUABLE PERSPECTIVE AND VOICE TO CHILDREN'S MINNESOTA BY PARTICIPATING IN ACTIVITIES THAT PROMOTE DISCUSSION AND THOUGHT ABOUT HEALTH CARE SERVICES FOR PEDIATRIC AND YOUNG ADULT PATIENTS. THE COUNCIL ALSO BRINGS GREAT PERSPECTIVE TO LET OTHER CHILDREN KNOW HOW TO MAKE THEIR STAY AT CHILDREN'S MINNESOTA A MORE COMFORTABLE AND POSITIVE EXPERIENCE. F. OTHER METHODS INCLUDE AND ARE NOT LIMITED TO PARTNERSHIPS AND PROJECTS WITH THIRD PARTY-PAYERS AND OTHER COMMUNITY PHYSICIANS AND HOSPITALS, MONITORING AND REPORTING OF INFECTIOUS DISEASE DATA, DISASTER READINESS EFFORTS, RESEARCH AND EDUCATION, SUPPORT GROUPS, AND OTHERS."

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COMPONENTS OF CHILDREN'S COLLECTION POLICY INCLUDE:DURING THE PRE-REGISTRATION, REGISTRATION, OR ADMISSION PROCESS, CHILDREN'S WILL ATTEMPT TO IDENTIFY AND INFORM PATIENT FAMILIES WHO MAY BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTED CARE THROUGH THE UNINSURED DISCOUNT OR CHARITY CARE POLICY.ALL CHILDREN'S EMPLOYEES AND CONTRACTED STAFF WHO HAVE DIRECT CONTACT WITH PATIENTS WILL BE EDUCATED ON AN ANNUAL BASIS OF CHILDREN'S FINANCIAL ASSISTANCE POLICIES. THE EDUCATION WILL INFORM STAFF OF PROGRAMS AVAILABLE AND HOW A PATIENT FAMILY MAY OBTAIN MORE INFORMATION AND SUBMITAN APPLICATION FOR FINANCIAL ASSISTANCE.A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT WITH THE INITIAL LETTER EXPLAINING THE PROCESS FOR OBTAINING FINANCIAL ASSISTANCE TO ALL SELF-PAY PATIENT FAMILIES. IF A PATIENT FAMILY INDICATES THE NEED FOR FINANCIAL ASSISTANCE DURING THE REGISTRATION PROCESS, FINANCIAL ASSISTANCE INFORMATION IS PROVIDED TO THE FAMILY BY THE REGISTRATION STAFF.ALL CORRESPONDENCE SEEKING COLLECTION OF MEDICAL DEBTS WILL CONTAIN A REFERENCE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE.MINNESOTA HOSPITAL PROVIDERS HAVE JOINTLY DEVELOPED CONSISTENT COLLECTION GUIDELINES SET OUT IN FORMAL AGREEMENTS WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THIS AGREEMENT IS CONSISTENT WITH CHILDREN'S COLLECTION POLICY. THE BOARD OF DIRECTORS (AUDIT COMMITTEE) PERFORMS AN ANNUAL REVIEW OF THIS POLICY AND ALL POLICIES CONCERNING COLLECTION OF MEDICAL DEBT, UNINSURED DISCOUNT, AND CHARITY CARE. THE AUDIT COMMITTEE SHALL ALSO REVIEW THE RESULTS OF AN ANNUAL AUDIT RELATED TO THESE AREAS IN ACCORDANCE WITH THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT.

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CHILDREN'S MINNESOTA SERVES THE FIVE-STATE AREA OF THE UPPER MIDWEST (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, IOWA, AND WISCONSIN). IN 2021, CHILDREN'S MINNESOTA SERVED PATIENTS FROM 100 PERCENT OF MINNESOTA COUNTIES AND 58 PERCENT OF THE TOTAL COUNTIES IN THE FIVE-STATE AREA. IN SUPPORT OF A HIGHLY DIVERSE PATIENT POPULATION, CHILDREN'S MINNESOTA PROVIDED INTERPRETER SERVICES FOR 73 LANGUAGES WITH THE MOST FREQUENT LANGUAGES BEING SPANISH, SOMALI, AND KAREN. CHILDREN'S MINNESOTA ALSO SERVES A DISPROPORTIONATE SHARE OF ECONOMICALLY DISADVANTAGED PATIENTS WITH APPROXIMATELY 46 PERCENT OF THE CHILDREN'S MINNESOTA PATIENT POPULATION BEING ELIGIBLE FOR MEDICAID IN 2021. THE MINNEAPOLIS CAMPUS IS LOCATED WITHIN THE PHILLIPS-POWDERHORN NEIGHBORHOOD, HOME TO ONE OF THE MOST RACIALLY AND ETHNICALLY DIVERSE COMMUNITIES IN MINNESOTA.

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AS A TAX-EXEMPT ORGANIZATION, CHILDREN'S MINNESOTA MAINTAINS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A VOLUNTEER, COMMUNITY BOARD. CHILDREN'S MINNESOTA PROVIDES A BROAD SPECTRUM OF BENEFITS TO THE COMMUNITIES IT SERVES THAT WOULD OTHERWISE BE UNAVAILABLE OR INSUFFICIENT TO MEET PATIENT DEMAND. CHILDREN'S MINNESOTA DOES THIS FOR THE EXPRESS PURPOSE OF IMPROVING THE HEALTH STATUS OF CHILDREN IN THE COMMUNITY. THESE SERVICES AND DONATIONS ACCOUNT FOR A MEASURABLE PORTION OF THE HOSPITAL'S COSTS AND HELP TO PROMOTE HEALTHY LIFESTYLES, COMMUNITY DEVELOPMENT, HEALTH EDUCATION AND AFFORDABLE ACCESS TO CARE. EXAMPLE PROGRAMS INCLUDE:THE EMERGENCY MEDICAL SERVICES FOR CHILDREN RESOURCE CENTER PROVIDES TECHNICAL ASSISTANCE TO AGENCIES TO IMPROVE PEDIATRIC EMERGENCY CARE. THE EMSC WORKS TO REDUCE CHILD MORBIDITY AND MORTALITY DUE TO TRAUMA AND CRITICAL ILLNESS AND IS THE ONLY STATEWIDE PROGRAM THAT FOCUSES ON IMPROVING PEDIATRIC COMPONENTS OF MEDICAL CARE. IN 2021, EMSC PROVIDED OVER 20 HOURS OF PEDIATRIC CONTINUING EDUCATION TO ROUGHLY 3,900 PRE-HOSPITAL AND HOSPITAL-BASED PROVIDERS. ADDITIONALLY, EMSC HAS DISTRIBUTED OVER 4,500 PEDIATRIC RESOURCES (PEDIATRIC PROCEDURES FOR EMERGENCY, COMMUNICATION CARDS AND PEDIATRIC VITAL SIGN CARDS) TO THE COMMUNITY THIS PAST YEAR. THE SIMULATION CENTER IS A MOTOR COACH OUTFITTED WITH SIMULATION EQUIPMENT AND STAFFED WITH CHILDREN'S MINNESOTA TRAINERS THAT TRAVELS THROUGHOUT THE MIDWEST TO TRAIN STAFF FROM HOSPITALS IN THE BEST PRACTICES WHEN RESPONDING TO PEDIATRIC OR NEONATAL MEDICAL EMERGENCIES.THE CHILDREN'S MINNESOTA MOBILE CLINIC IS A MOTOR COACH OUTFITTED WITH THE APPROPRIATE MEDICAL EQUIPMENT AND STAFF TO PROVIDE HEALTH SCREENINGS, VACCINATIONS AND OTHER SERVICES AT COMMUNITY EVENTS, SCHOOLS AND OTHER LOCATIONS.PERINATAL HIV PREVENTION PROGRAM: OPTIMAL PRENATAL CARE FOR WOMEN WITH HIV IS ESSENTIAL IN PREVENTING TRANSMISSION OF THE DISEASE TO INFANTS. THE CHILDREN'S MINNESOTA INFECTION PREVENTION DEPARTMENT WORKS WITH HIV POSITIVE PREGNANT WOMEN TO HELP THEM GET THIS CARE BY BUILDING RELATIONSHIPS WITH MEDICAL PROVIDERS THROUGHOUT THE STATE TO REFER EXPECTING MOTHERS INTO THE PROGRAM.THE ADVOCACY AND HEALTH POLICY DEPARTMENT AT CHILDREN'S MINNESOTA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ACTIVE AND INTENTIONAL ENGAGEMENT WITH THE COMMUNITY TO BUILD PARTNERSHIPS THAT CAN SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN IN THE STATE.