Allina Health System

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 2024, allina health provided $1,004,525,144 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 2024, allina health expended $662,503,231 beyond reimbursements to provide care for medicare patients and an additional $248,752,037 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 2024, allina health paid $28,827,733 for the medicaid surcharge. Minnesotacare taxthe system also participates in the funding of medical care for the uninsured through a minnesotacare tax of 1.8% on certain patient service revenue. Patients who are unable to get insurance through their employer are eligible to participate in minnesotacare. Allina health paid over $61 million in mncare taxes in 2024.taxes and fees allina health pays property taxes to local and state government used in funding civil and education services to the community. In total, allina health paid $3,422,313 in property taxes in 2024. Allina health pays other federal, state, and local taxes that aren't reported here.

Uncompensated care:charity careallina health provides medical care without charge or at reduced cost to residents of the communities that it serves through the provision of charity care. Our partners care was established to assist patients who do not qualify for medical assistance such as medicaid and whose annual incomes are at or below 275% of the federal poverty level. Charity care does not include bad debt (charges written off as unpaid and uncollectible). Through this program, allina health strives to ensure that all members of the community receive quality medical care; regardless of ability to pay. In 2024, allina health provided $14,617,779 in charity care.uninsured discount programfor uninsured patients who do not qualify for medicaid or meet the financial threshold for charity care, but require some financial assistance, allina health provides a sliding scale discount. All uninsured patients are eligible for a minimum of a 14 percent discount on billed charges and may qualify for discounts up to 77 percent based on eligibility criteria. In 2024, allina health provided $123,008,922 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 2024 totaled $91,786,691.

Community services:in 2024, allina health contributed $59,928,520 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 2024, more than 150,000 people 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 2024, more than 750,000 people visited the change to chill website. Also in 2024, allina health hosted seven community dialogues, facilitated in partnership with four community partners, to inform the creation of substance use prevention content for the ctc website. Since 2018, the ctc program has included an in-person component-the change to chill school partnership (ctcsp). Components of ctcsp include staff training on ctc, a mental wellness curriculum, a "chill kit" with print materials and items such as fidgets to promote mental wellbeing, and funding for a "chill zone" - a designated space for students and staff to practice self-care. Initial evaluations of ctcsp have shown increases in confidence in ability to cope with stress among students who participate in program components. During the 2024-2025 school year, 34 high schools and middle schools received support and resources through the ctcsp, reaching an estimated 31,657 students.hello4health - launched in 2021 to help people build or strengthen social connections in their lives. The program builds on a previous allina health program, neighborhood health connection, and was developed in response to the 2020-2022 chna which identified social isolation as a factor contributing to poor mental wellness among adults across all geographies. Components include education on the importance of social connections to health, suggested activities to connect with others of all ages and social skill-building tools to make connecting easier. Patients who self-identify as lonely or socially isolated are also referred to the website. In 2024, more than 12,700 people visited the h4h website.medeligible - medeligible services supports patients who have difficulty paying their medical bills. The staff helps patients apply to federal, state, and county aid programs such as medicaid, medicare, social security, food stamps, emergency food and shelter. Medeligible services educates patients and their families about the advantages of these programs and works with them to get the help they need. Allina health health-related needs program - to partner with community-based organizations to address select patient needs at point of care and connect patients to community programs or resources that support ongoing need, allina health continued its health-related social needs (hrsn) program, an allina health-specific model for screening and addressing health-related social needs. In october 2023, allina health expanded the program to include all hospital patients as well as those accessing care via our mother-baby service line, care management, and the penny george institute for health and healing. In 2024, allina health screened more than 510,000 patients for health-related social needs such as housing, food insecurity, transportation and help paying medical bills. Of those, approximately 11% identified at least one need. Nearly 13,400 patients also received support accessing community resources from an allina health community navigator. Health professions education allina health actively supports numerous medical education activities for providers, health care students and other health professionals. In 2024, allina health invested over $35 million in internship opportunities, mentoring partnerships, and graduate medical education programming. Allina health is committed to the education, training and development of future health care professionals and ensures the availability of a highly trained workforce to meet the community's health care needs. Research allina health participates in clinical and community health research that is focused on improving community health. Allina health invested more than $4 million toward research in 2024. 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 2024, allina health funded more than $3.8 million for donations of equipment, supplies, meeting space, staff time and sponsorship of various civic awards, community programs and events. This included 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 2024, allina health and its facilities were the recipient of numerous awards for attributes such as workplace excellence, safety, patient experience and quality. Pertaining to community benefit, allina health again received a system for change award from practice greenhealth, an environmental sustainability organization for hospitals and health systems in the us and canada. Allina health was also recognized as a 2024 wellbeing first champion by all in: wellbeing first for healthcare. As a wellbeing first champion, allina health has verified that all initial and follow up credentialing applications are free from intrusive and stigmatizing language around mental health and addiction care and treatment. This means that health care providers at allina health can seek needed care without fear of losing their license or job. Mental health america (mha) awarded allina health with its 2024 platinum bell seal for workplace mental health. The platinum distinction is the highest level associated with mha's bell seal for workplace mental health, which is the nation's leading certification recognizing employers who are committed to creating mentally healthy workplaces.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/.