4A (Expenses $ 981744081 including grants of $ 2975612) (Revenue $ 926876099)
PATIENT CARE:HENNEPIN HEALTHCARE SYSTEM, INC. (HEREAFTER HHS) IS A NATIONALLY RECOGNIZED HEALTHCARE SYSTEM THAT INCLUDES A COMPREHENSIVE CLINIC SYSTEM, LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER AND MEDICAL CENTER WITH THE LARGEST EMERGENCY DEPARTMENT IN MINNESOTA, EMS SERVICE, NURSE HOME VISITING PROGRAM AND HOSPICE. HHS IS ALSO RECOGNIZED NATIONALLY FOR LEADERSHIP IN MEDICAL EDUCATION, EMERGENCY PREPAREDNESS, RESEARCH, AND COMPASSIONATE CARE IN MANY MEDICAL SPECIALTIES.HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, 452 BEDS AND 65 BASSINETS OF WHICH WERE AVAILABLE, AS WELL AS 10 PRIMARY CARE CLINICS AND 34 SPECIALTY CARE CLINICS, AND EMPLOYED APPROXIMATELY 882 PROVIDERS, 245 RESIDENTS, AND 146 PHARMACISTS IN 9 PHARMACY LOCATIONS. THE $220.8M CLINIC AND SPECIALTY CENTER (CSC) OPENED IN 2018 AND REAFFIRMS HHS' COMMITMENT TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE OF ALL, INCLUDING LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY OF MINNESOTA. AS A LEADER IN EMERGENCY AND TRAUMA CARE, HHS PROVIDES STATE-OF-THE-ART TRAUMA CARE SERVICES TO ALL ITS PATIENTS.

4B (Expenses $ 25178571 including grants of $ 99907) (Revenue $ 46268068)
EDUCATION & TRAINING:EDUCATION CENTER, THE CENTER FOR LEARNING INTEGRATION, AND THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER.HHS PRIDES ITSELF IN BEING A CENTER FOR INNOVATIVE AND TECHNICALLY-SOPHISTICATED SERVICES. THIS IS ESSENTIAL NOT ONLY BECAUSE OF THE TRAINING PROVIDED TO PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS, BUT ALSO BECAUSE IT SEEKS TO BE A SITE FROM WHICH NEW THERAPIES, SURGERIES, AND TECHNOLOGIES TO TREAT AND CURE PATIENTS EMERGE.THE CENTER FOR LEARNING INTEGRATION (CLI) CREATED IN 2015, EXCELS IN COORDINATING, DESIGNING AND INTEGRATING EXCELLENT LEARNING THROUGHOUT THE HEALTHCARE SYSTEM WITH THE PRIORITY GOAL TO IMPROVE QUALITY, SAFETY AND EXPERIENCE OUTCOMES FOR ALL STAKEHOLDERS. HHS ALSO OPERATES THE INTERDISCIPLINARY SIMULATION AND EDUCATION CENTER (ISEC), A TRAINING CENTER THAT HOSTS EDUCATIONAL PROGRAMS FOR NURSES, PHYSICIANS, PRE-HOSPITAL PROVIDERS, AND OTHER ALLIED HEALTH PROFESSIONALS FROM HHS AND ACROSS THE REGION. IT IS A GUIDED, SAFE ENVIRONMENT FOR HEALTHCARE PROFESSIONALS TO SIMULATE PRACTICE OF REAL-LIFE MEDICAL SITUATIONS AND PROCEDURES VIA STATE-OF-THE-ART SIMULATION EQUIPMENT.HHS EMPHASIZES TRAINING THE FUTURE HEALTHCARE WORKFORCE TO MEET COMMUNITY HEALTH NEEDS. THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER, ESTABLISHED IN 2013, CONTINUES TO PROVIDE ORGANIZATIONAL STRUCTURE IN LIGHT OF THE INCREASING ROLE OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT HHS. HHS COOPERATES WITH METROPOLITAN STATE UNIVERSITY TO PROVIDE THE DENTAL THERAPIST PROGRAM WHICH FOCUSES ON ADVANCED DENTAL THERAPY TRAINING OPPORTUNITIES IN GENERAL AND PEDIATRIC DENTISTRY AS WELL AS ORAL SURGERY. ADDITIONALLY, HHS' EMERGENCY MEDICAL SERVICES PARTNERS WITH HENNEPIN TECHNICAL COLLEGE'S COMMUNITY PARAMEDIC CERTIFICATION TRAINING PROGRAM TO PROVIDE STUDENTS WITH RELEVANT CLINICAL EXPERIENCE. COMMUNITY PARAMEDICS IS A HEALTHCARE ROLE THAT APPLIES AND EXPANDS PARAMEDIC SKILLS TO PREVENTIVE AND PRIMARY CARE MEDICINE, CLOSING THE GAP BETWEEN EMERGENCY CARE AND PRIMARY CARE NEEDS BY PROVIDING COMMUNITY-BASED HEALTH SERVICES TO UNDERSERVED POPULATIONS.COMMUNITY PHYSICIANS AND OTHER PRACTITIONERS FROM ACROSS MINNESOTA COME TO HHS FOR CONTINUING MEDICAL EDUCATION TRAINING COURSES. HHS ALSO CONDUCTS ON-SITE TRAINING AT THE REQUEST OF RURAL HOSPITALS AND CLINICS AND HAS ESTABLISHED RELATIONSHIPS WITH OTHER DESIGNATED TRAUMA CENTERS AND EMERGENCY DEPARTMENTS IN GREATER MINNESOTA. THE HHS EMERGENCY DEPARTMENT MAINTAINS A FREE ONLINE DATABASE OF DIVERSE TEACHING MATERIALS INCLUDING INSTRUCTIONAL VIDEOS, LECTURES, CRITICAL CARE CONFERENCE PRESENTATIONS AND VIDEOS, MEDICAL BLOGS, AND EDUCATIONAL LINKS, ALL UTILIZED BY PRACTITIONERS AROUND THE WORLD.

4C (Expenses $ 438251 including grants of $ 389000) (Revenue $ 0)
RESEARCH:HHS IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO ADVANCING THE FIELD OF MEDICINE THROUGH PROGRESSIVE MEDICAL RESEARCH. HENNEPIN HEALTHCARE RESEARCH INSTITUTE (HHRI), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH HHRI INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY. THIS FOCUS DISTINGUISHES HHRI/HHS FROM OTHER RESEARCH INSTITUTIONS IN THE STATE, DIRECTLY BENEFITS PATIENTS, AND CREATES STRONG LINKS WITHIN THE COMMUNITY. HHRI-COORDINATED RESEARCH FOCUS INCLUDES ADDICTION MEDICINE AND TOBACCO DEPENDENCE TREATMENT, BONE INFECTIONS AND HEALING, CANCER BIOLOGY, CHRONIC KIDNEY DISEASES, COGNITIVE ISSUES IN AGING, DIABETES AND OBESITY, DISPARITIES IN HEALTH CARE DELIVERY AND OUTCOMES, EMERGENCY MEDICINE, HEART FAILURE, HIV/AIDS, LIVER DISEASE, PEDIATRIC DISEASE PREVENTION, FOOD SECURITY, TRANSPLANT AVAILABILITY AND OUTCOMES, AND TRAUMATIC BRAIN INJURY.RESEARCHERS AT HHS, THE UNIVERSITY OF MINNESOTA, AND ABBOTT ARE COLLABORATING ON AN INNOVATIVE, COMPREHENSIVE STUDY TO BETTER IDENTIFY THE RANGE OF BRAIN INJURIES AMONG PATIENTS. IT IS HOPED THAT BY USING MULTIPLE EVALUATION TOOLS, INCLUDING EYE TRACKING BLOOD-BASED BIOMARKERS, IMAGING AND COGNITIVE MEASURES, MEDICAL RESEARCHERS WILL DEVELOP A NEW STANDARD APPROACH TO HELP CLASSIFY BRAIN INJURIES, INCLUDING CONCUSSIONS, AND PROVIDE THE INFORMATION NEEDED TO GUIDE DOCTORS' TREATMENT DECISIONS. THE HENNEPIN HEALTHCARE FOUNDATION CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS.

HENNEPIN HEALTHCARE SYSTEM, INC.
"PART V, SECTION B, LINE 3J: AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HHS IS REQUIRED TO PREPARE ""A HEALTH SERVICES PLAN THAT DRAWS INPUT FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS."" THE HEALTH SERVICES PLAN IS ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, AND IS APPROVED EVERY THREE YEARS."

HENNEPIN HEALTHCARE SYSTEM, INC.
PART V, SECTION B, LINE 5: STARTING IN TAX YEARS BEGINNING AFTER MARCH 23, 2012, THE AFFORDABLE CARE ACT REQUIRED 501(C)(3) NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY AT LEAST ONCE EVERY THREE YEARS. WITH CONSIDERABLE ENGAGEMENT AND INPUT FROM A BROAD GROUP OF INTERNAL AND COMMUNITY STAKEHOLDERS, THE 2019 CHNA IDENTIFIED ONE OVERARCHING PRIORITY HEALTH NEED; IMPROVING ACCESS TO CULTURALLY RESPONSIVE CARE AND SERVICES. FOLLOWING THE COMPLETION OF THE CHNA, HHS CONTINUED TO ENGAGE WITH A BROAD RANGE OF COMMUNITY STAKEHOLDERS TO GAIN ADDITIONAL INSIGHT INTO THE DIMENSIONS OF CULTURALLY RESPONSIVE CARE AND TO DETERMINE SPECIFIC FOCUS AREAS FOR THE 2020 - 2022 CHNA IMPLEMENTATION PLAN. HHS HELD COMMUNITY LISTENING SESSIONS IN FIVE LOCATIONS IN OUR PRIMARY SERVICE AREA. ALL INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE INVITED TO ATTEND. IN ADDITION, INFORMATION AND AN OPEN INVITATION TO EACH MEETING WAS POSTED ON THE HHS SOCIAL MEDIA SITES AND POSTERS WERE DISPLAYED IN PUBLIC SITES NEAR EACH OF THE COMMUNITY LISTENTING SITES. BASED ON THE INPUT FROM THE LISTENING SESSIONS, OUR 2020 - 2022 CHNA IMPLEMENTATION PLAN FOCUSES ON FOUR AREAS: INCREASING KNOWLEDGE RELATED TO CULTURALLY RESPSONSIVE CARE; DEVELOPING A WORKFORCE, AT ALL LEVELS, THAT IS MORE REFLECTIVE OF THE COMMUNITIES WE SERVE; IMPLEMENTING CULTURALLY RESPONSE CLINICAL PRACTICES, CARE MODELS, AND POLICIES; AND IMPROVING OUR ENVIRONMENT AND NAVIGATION TO CULTURALLY RESPONSIVE SERVICES. ACROSS ALL FOUR FOCUS AREAS, WE WILL INCREASE COMMUNITY PARTNERHIPS AND VOICE IN ALL ASPECTS OF THE WORK.FOLLOWING THE COMPLETION OF THE CHNA AND IMPLEMENTATION PLAN, HHS BUILT CULTURALLY RESPONSIVE CARE INTO THE THE ORGANIZATION STRATEGIC PLAN. AS A FIRST STEP, WE CONDUCTED AN INTITAL ASSESSMENT OF CURRENT PRACTICES AND POLICES RELATED TO PROVIDING CULTURALLY RESPONSIVE CARE. USING THE CULTURALLY COMPETENT ASSESSMENT TOOL FOR HOSPITALS (CCATH), HHS ESTABLISHED A BASELINE SCORE AND SET 2020 IMPROVEMENT GOALS.SPECIFIC COMMUNITY ENGAGEMENT APPROACHES THROUGHOUT THE ASSESSEMENT, PRIORITIZATION, AND IMPLEMENTATION PLANNING PROCESS INCLUDED:CHNA: KEY INFORMANT INTERVIEWS:A TOTAL OF 138 KEY INFORMATION INTERVIEWS INFORMED THE CHNA. INTERVIEWEES INCLUDED INTERNAL AND COMMUNITY INDIVIDUALS IN LEADERSHIP POSITIONS IN THEIR ORGANIZATIONS, INDIVIDUALS WORKING IN DIRECT SERVICE AND FRONT LINE POSITIONS WITH ONE OR MORE OF THE COMMUNITIES WE SERVE, AND INDIVIDUAL COMMUNITY MEMBERS. REPRESENTATIVES FROM THE FOLLOWING INTERNAL DEPARTMENT AND COMMUNITY ORGANIZATIONS PROVIDED INPUT AND INSIGHT INTO CURRENT AND EMERGING HEALTH NEEDS WITHIN THE COMMUNITIES WE SERVE: ABDI ALI, LLC AFRICAN COMMUNITY SERVICESAFRICAN-AMERICAN LEADERSHIP FORUMAHAVAH BIRTHWORKS (CULTURALLY CONGRUENT DOULA AGENCY)AMHERST H WILDER FOUNDATIONAQUI PARA TI (FOCUS ON LATINO YOUTH AND FAMILY)CITY OF BLOOMINGTON-PUBLIC HEALTHCENTER FOR INTERNATIONAL HEALTH CLUES (COMUNIDADES LATINAS UNIDAS EN SERVICIO)COMMUNITY MEMBERSFIRST COVENANT CHURCH, MINNEAPOLISGREAT LAKES INTER-TRIBAL COUNCIL (NATIVE AMERICAN FOCUS)HEAD START, MINNEAPOLISHENNEPIN COUNTY- ADMINISTRATIONHENNEPIN COUNTY- OFFICE OF MULTI-CULTURAL AFFAIRSHENNEPIN COUNTY- OPIOID STRATEGYHENNEPIN HEALTH COMMUNITY OUTREACH HENNEPIN COUNTY-PUBLIC HEALTH HENNEPIN HEALTHCARE-ADDICTION MEDICINEHENNEPIN HEALTHCARE-CLINICSHENNEPIN HEALTHCARE-COMMUNITY HEALTH WORKERSHENNEPIN HEALTHCARE-SOCIAL WORKERSHENNEPIN HEALTHCARE-INTERPRETER SERVICES HENNEPIN HEALTHCARE-NEXT STEP PROGRAM (HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM)HENNEPIN HEALTHCARE-HEALTH SERVICES RESEARCHHENNEPIN HEALTHCARE-PATIENT ADVOCATE HENNEPIN HEALTHCARE-COMMUNITY ADVISORY BOARDHENNEPIN HEALTHCARE-PSYCHIATRY HOLY ROSARY CHURCH HOUSE OF CHARITYCITY OF RICHFIELDMERIDIAN BEHAVIORAL HEALTHMID MINNESOTA LEGAL AIDMINNEAPOLIS DEPARTMENT OF HEALTH-INFANT MORTALITYMINNESOTA DEPARTMENT OF HEALTH-AMERICAN INDIAN HEALTH MINNESOTA DEPARTMENT OF HUMAN SERVICESMINNESOTA INDIAN WOMEN'S RESOURCE CENTERMINNEAPOLIS PUBLIC HEALTH MINNEAPOLIS POLICE DEPARTMENT COMMUNITY LIAISON PROGRAM MINNEAPOLIS PUBLIC SCHOOLSMVNA FAMILY HEALTHNAMI MN-COMMUNITY OUTREACH AND ENGAGEMENTNAMI MN-MULTICULTURAL OUTREACHNORTHPOINT HEALTH AND WELLNESS CENTER NORTHSIDE ACHIEVEMENT ZONE (NORTH MINNEAPOLIS FOCUS) PEOPLE SERVING PEOPLE (SERVING HOMELESS FAMILIES WITH CHILDREN)PFUND FOUNDATION (LGBTQ FOCUS)RAMSEY COUNTY PUBLIC HEALTH SECOND HARVEST HEARTLAND (FOOD ACCESS)STAIRSTEP FOUNDATION (AFRICAN AMERICAN FOCUS)STREET VOICES OF CHANGE (HOMELESSNESS ADVOCACY)THE CULTURAL WELLNESS CENTERTHE FOOD GROUP TURNING POINT (ADDICTION TREATMENT FOR AFRICAN AMERICAN MEN)UNIVERSITY OF MN DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH UPSTREAM HEALTH INNOVATIONS WAY TO GROW (EARLY CHILDHOOD)STRUCTURED PRIORITIZATION PROCESS TO SELECT THE TOP PRIORITY NEED:A TOTAL OF 25 INDIVIDUALS FROM THE ORGANIZATIONS LISTED ABOVE PARTICIPATED IN THE PROCESS OF DETERMINING THE TOP PRIORITY NEED. DETERMINATION OF FOCUS AREAS FOR THE 2020 - 2022 CHNA IMPLEMENTATION PLAN:50 COMMUNITY MEMBERS PARTICIPATED IN ONE OF 5 LISTENING SESSIONS FOCUSED ON CULTURALLY RESPONSIVE CARE. THE SESSIONS WERE HELD IN COMMUNITY SPACES IN DIFFERENT LOCATIONS ACROSS MINNEAPOLIS. FOUR SESSIONS WERE HELD IN ENGLISH, ONE IN SPANISH. TO LEARN MORE ABOUT THE CHNA AND IMPLEMENTATION PLANNING PROCESSES AND FINDINGS, VISIT THE THE HHS WEBSITE: WWW.HENNEPINHEALTHCARE.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT TO READ THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2020 - 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN HEALTH-SERVICES PLAN

HENNEPIN HEALTHCARE SYSTEM, INC.
PART V, SECTION B, LINE 11: HHS HAS A LONG-STANDING COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. HHS HAS CREATED A MULTI-YEAR IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. DURING THE CHNA PROCESS A STRUCTURED COMMUNITY PRIORITIZATION PROCESS WAS USED TO LOOK AT THE RANGE OF HEALTH NEEDS IDENTIFIED THROUGH DATA REVIEW AND COMMUNITY ENGAGEMENT THROUGH KEY INFORMANT INTERVIEWS. DURING THE PRIORITIZATION PROCESS, PARTICIPANTS WERE ABLE TO REVIEW, DISCUSS, AND PRIORITIZE A RANGE OF COMMUNITY IDENTIFIED HEALTH NEEDS THROUGH A VOTING PROCESS, THE PARTICIPANTS INDICATED PRIORITY LEVELS FOR EACH NEED. THE VOTES FOR IMPROVING ACCESS TO CULTURALLY RESPONSIVE CARE FAR EXCEEDED ANY OTHER NEED. AS A RESULT OF THE PRIORITIZATION PROCESS AND VOTE, HHS DECIDED TO FOCUS ON ONE OVERARCHING NEED. OTHER POTENTIAL FOCUS AREAS WERE NOT INCLUDED IN THE IMPLEMENTATION PLAN AS A RESULT. WHILE THESE OTHER AREAS WERE DEEMED IMPORTANT, THEY DID NOT RISE TO THE SAME LEVEL OF PRIORITY AS THE AREAS SELECTED.IN DEVELOPING THE IMPLEMENTATION PLAN, HHS HAS IDENTIFIED KEY COLLABORATIVE PARTNERS IN THE COMMUNITY. WHENEVER POSSIBLE, HHS SEEKS TO WORK WITH COMMUNITY PARTNERS TO DEVELOP AND DESIGN COLLABORATIVE ACTIONS AS A WAY OF ADDRESSING PRIORITY NEEDS. RECOGNIZING THAT COLLABORATIVE EFFORTS INVOLVING HHS STAKEHOLDERS AND COMMUNITY PARTNERS ARE THE MOST LIKELY TO YIELD POSITIVE IMPACTS, HHS' CHNA IMPLEMENTATION PLANNING AND ACTION WILL CONTINUE TO BE DIRECTED FROM THE POPULATION HEALTH DEPARTMENT.DUE TO COVID 19, MUCH OF THE IMPLEMENTATION WORK PLANNED FOR 2020 WAS PUT ON HOLD. INSTEAD, HHS BROUGHT A CULTURALLY RESPONSIVE LENS TO EFFORTS TO KEEP OUR COMMUNITIES INFORMED ABOUT PANDEMIC GUIDELINES AS THEY EVOLVED IN WAYS THAT WERE ACCESSIBLE AND MEANINGFUL AND THAT ADDRESSED SPECIFIC COMMUNITY QUESTIONS AND CONCERNS. IN ADDITION, HHS ADOPTED APPROACHES TO ENSURE COMMUNITIES AT GREATER RISK FOR INFECTION AND/OR SEVERE ILLNESS HAD ACCESS TO TESTING. COMMUNITY PARTNERSHIPS PLAYED A KEY ROLE IN ACCOMPLISHING THIS GOAL.

HENNEPIN HEALTHCARE SYSTEM, INC.
PART V, SECTION B, LINE 16J: PATIENTS CAN REQUEST TO SEE FINANCIAL COUNSELORS WHO CAN HELP DETERMINE ELIGIBILITY FOR MANY FINANCIAL ASSISTANCE PROGRAMS. UPON REGISTRATION, PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY HHS AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HHS HAS AN ONLINE PATIENT BILLING PORTAL ON THE HENNEPINHEALTHCARE.ORG WEBSITE THAT HELPS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. WALK IN FINANCIAL COUNSELLING SERVICES ARE AVAILABLE IN MULTIPLE LOCATIONS ON THE DOWNTOWN CAMPUS AND IN NEIGHBORHOOD CLINICS.

PART I, LINE 3C:
PATIENTS APPLYING FOR CHARITY CARE WITH LIQUID ASSETS GREATER THAN $6,000 IN THE CASE OF A FAMILY AND $3,000 IN THE CASE OF AN INDIVIDUAL WILL BE REQUIRED TO PAY FOR THEIR INPATIENT MEDICAL CARE. IF, AFTER SUCH PAYMENT IN FULL OR PART, THE PATIENT'S LIQUID ASSETS FALL BELOW THE THRESHOLDS EXPRESSED ABOVE, THE PATIENT WILL THEN BECOME ELIGIBLE FOR CHARITY CARE.

PART I, LINE 7:
THE COSTS REPORTED IN PART I, LINES 7A-B WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM IRS WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. COSTS REPORTED IN LINE 7E-G WERE ACTUAL COSTS INCURRED BY HHS.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 72,093,587.

PART II, COMMUNITY BUILDING ACTIVITIES:
HHS PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. HHS COORDINATED THE DEVELOPMENT OF THE METROPOLITAN HOSPITAL COMPACT, BRINGING COMMUNITY HOSPITALS TOGETHER TO COORDINATE DISASTER PREPAREDNESS AND RESPONSE. AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE 7 COUNTY METRO REGIONS (2.6M MN PEOPLE) HHS COORDINATES 30 HOSPITALS AND THEIR AFFILIATED CLINICS, LONG TERM CARE FACILITIES AND THE UNAFFILIATED CLINICS.HHS IS A PARTICIPANT IN THE SUSPECTED CHILD ABUSE AND NEGLECT TEAM (SCANT). SCANT IS A MULTI-DISCIPLINARY, INTERDEPARTMENTAL TEAM OF PROFESSIONALS FROM HHS, INCLUDING PEDIATRICIANS, SOCIAL WORKERS, NURSES, CHAPLAINS, AND PSYCHOLOGISTS, AS WELL AS INDIVIDUALS FROM COLLABORATING AGENCIES INCLUDING THE MINNEAPOLIS POLICE DEPARTMENT, HENNEPIN COUNTY CHILD PROTECTION, THE HENNEPIN COUNTY ATTORNEY'S OFFICE, AND THE HENNEPIN COUNTY MEDICAL EXAMINER'S OFFICE. HHS IS A SITE FOR THE SUMMER MEALS PROGRAMS THROUGH THE US DEPARTMENT OF AGRICULTURE. APPROXIMATELY 1,100 CHILDREN RECEIVE FREE BREAKFAST OR LUNCH EVERY DAY DURING THE SUMMER. HOWEVER DUE TO THE COVID-19 PANDEMIC, THE PROGRAM WAS SUSPENDED IN 2020.

PART III, LINE 2:
BAD DEBT EXPENSE IN THE AMOUNT OF $72,093,587 IS THE AMOUNT RECORDED DURING 2020, WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ON-GOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE.

PART III, LINE 3:
THE COST OF CHARGES WRITTEN OFF AS BAD DEBT EXPENSE TOTALED $72,093,587 FOR 2020. THIS WAS CALCULATED AS THE PERCENTAGE OF ADJUSTED PATIENT CHARGES DIVIDED BY OPERATING EXPENSE TO ACHIEVE A COST TO CHARGE RATIO. THE BAD DEBT AMOUNT IS THE PRODUCT OF THE RATIO OF THE COST TO CHARGES MULTIPLIED BY THE BAD DEBT EXPENSE.HHS, INC. COLLECTIONS/CUSTOMER SERVICE AREAS PROCESS DISCOUNT ADJUSTMENTS TO PATIENT ACCOUNTS SUBJECT TO PROPER ADJUSTMENT APPROVALS AND GUIDELINES. PATIENTS ARE ELIGIBLE FOR DISCOUNTS BASED ON PATIENT HOUSEHOLD SIZE AND INCOME IN RELATION TO FEDERAL POVERTY GUIDELINES. PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT PROGRAMS ARE REQUIRED TO APPLY FOR THOSE PROGRAMS. IF BENEFITS ARE DENIED, THE APPROPRIATE APPLICABLE DISCOUNT SHALL APPLY. FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS' NET AND GROSS INCOME AND FAMILY SIZE TO DETERMINE THE APPROPRIATE DISCOUNT. HHS USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND CHARITY CARE.

PART III, LINE 4:
HHS INCLUDES DISCUSSION OF ACCOUNTS RECEIVABLE AND BAD DEBT EXPENSE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGES 9 AND 10.

PART III, LINE 8:
IN THE COMMUNITY BENEFIT FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS, MEDICARE SHORTFALL IS CONSIDERED AN ADDITIONAL COMMUNITY CONTRIBUTION, NOT INCLUDED IN COMMUNITY BENEFIT. THE SHORTFALL IS CALCULATED BY SUBTRACTING MEDICARE REVENUE FROM MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DETERMINED BY MULTIPLYING ALL MEDICARE CHARGES BY THE 2020 COST TO CHARGE RATIO.

PART III, LINE 9B:
HHS USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF-PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HHS, AS A GOVERNMENT ENTITY, IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HHS TO SUBMIT CLAIMS AGAINST PATIENT INCOME TAX REFUNDS, PROPERTY TAX REFUNDS, AND LOTTERY WINNINGS TO RECOVER PAST DUE BALANCES AFTER OTHER COLLECTION EFFORTS ARE EXHAUSTED.

PART VI, LINE 2:
HHS PARTNERS WITH THE COMMUNITY, THE PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH. HHS DOES NOT PARTICIPATE IN ANY OTHER FORMAL, EXTERNALLY MANDATED ASSESSMENTS LIKE THE CHNA. HOWEVER, LEADERS ARE CONTINUALLY WORKING TO UNDERSTAND THE NEEDS OF THE COMMUNITY THROUGH THE VOICE OF COMMUNITY MEMBERS WHO SERVE ON THE BOARD OF DIRECTORS AND BOARD SUBCOMMITTEES. IN ADDITION, HHS HAS A COMMUNITY ADVISORY BOARD COMPRISED OF INDIVIDUALS WHO REPRESENT THE DIVERSE COMMUNITIES WE SERVE. WE ALSO UTILIZE PATIENT-FAMILY ADVISORY GROUPS THAT SERVE A KEY ADVISING AND INFORMING ROLE ABOUT SERVICES AND PROCESSES OF THE HEALTH SYSTEM. STARTING THE SUMMER OF 2020, HHS INITIATED A SERIES OF VIRTUAL COMMUNITY CONVERSATIONS BETWEEN HHS (LEADERS, PROVIDER, STAFF) AND LEADERS AND MEMBERS OF FOUR OF OUR LARGEST CULTURAL COMMUNITIES: AFRICAN AMERICAN, SOMALI, AMERICAN INDIAN, AND LATINX. THESE ONGOING CONVERSATIONS PROVIDE A FORUM FOR HONEST ENGAGEMENT PROVIDING OPPORTUNITIES FOR COMMUNITIES TO VOICE PRESSING CONCERNS, ASK QUESTIONS, AND POINT TO NEEDED CHANGES. THESE ONGOING CONVERSATIONS PROVIDE AN INFORMAL AVENUE FOR KEEPING ABREAST OF COMMUNITY NEEDS.

PART VI, LINE 6:
"HENNEPIN HEALTHCARE SYSTEM (HHS) IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTHCARE FOUNDATION, A 501(C)(3) NON-PROFIT ORGANIZATION, FOSTERS A MISSION THAT ""INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES.""HENNEPIN HEALTHCARE RESEARCH INSTITUTE (HHRI), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH HHRI INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY."

PART VI, LINE 7, REPORTS FILED WITH STATES
MN

PART VI, LINE 3:
HHS FINANCIAL ASSISTANCE POLICY IS INTENDED FOR PATIENTS WHO NEED HELP PAYING FOR EMERGENCY OR MEDICALLY NECESSARY CARE THEY RECEIVE AT A HENNEPIN HEALTHCARE SYSTEM FACILITY OR BY A HENNEPIN HEALTHCARE SYSTEM PROVIDER. WE ARE COMMITTED TO PROVIDING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE, INCLUDING THOSE WHO ARE NOT ABLE TO PAY FOR THAT CARE. PATIENTS REQUESTING FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE MUST FILL OUT AN APPLICATION TO APPLY AND MUST MEET THE ELIGIBILITY REQUIREMENTS TO QUALIFY.THE FINANCIAL ASSISTANCE PROGRAM HELPS LOW-INCOME, UNINSURED, OR UNDERINSURED PATIENTS WHO NEED HELP PAYING FOR ALL OR PART OF THEIR MEDICAL CARE. PATIENTS ARE ELIGIBLE FOR A HHS FINANCIAL ASSISTANCE PROGRAM WHEN THEIR FAMILY INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL (FPL).DISCOUNTS FOR PATIENTS WITHOUT INSURANCE ARE ALSO AVAILABLE FOR INCOMES EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL. EVALUATION OF OTHER CRITERIA MAY BE REQUIRED FOR ALL DISCOUNTS. PATIENTS WHO ARE ELIGIBLE FOR HHS FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO PATIENTS WITH INSURANCE (AGB, AS DEFINED BY IRS SECTION 501(R)).PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IS A FUNCTION OF THE FINANCIAL ASSISTANCE PROGRAM THAT IS ADMINISTERED THROUGH FINANCIAL COUNSELING SERVICES. A HENNEPIN HEALTHCARE FINANCIAL COUNSELOR EDUCATES AND ANSWERS FINANCIAL ASSISTANCE PROGRAM QUESTIONS AND HELPS DETERMINE THE PATIENT'S ELIGIBILITY. THE FINANCIAL COUNSELLOR HELPS ELIGIBLE PATIENTS TO COMPLETE A SIMPLE APPLICATION.

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"HHS IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. HHS PROVIDES MORE CARE TO VULNERABLE POPULATIONS THAN ANY OTHER HOSPITAL, UP TO 20% OF CARE GIVEN STATEWIDE TO MINNESOTANS ON PUBLIC PROGRAMS. HHS HOUSES THE HENNEPIN REGIONAL POISON CENTER WHICH SERVES MINNESOTA AND SOUTH AND NORTH DAKOTA. FINALLY, HHS SERVES AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE SEVEN-COUNTY METRO AREA COMPACT ON EMERGENCY PREPAREDNESS. HHS INCLUDES 5 FREE STANDING CLINICS, 9 PHARMACIES, AND 39 HOSPITAL-BASED PRIMARY AND SPECIALTY CLINICS.OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTHCARE FOUNDATION, A 501(C)(3) NON- PROFIT ORGANIZATION, FOSTERS A MISSION THAT ""INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES."""

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HHS PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM (MHCP) RECIPIENTS AND THE UNINSURED THAN DO OUR NON-TEACHING PEERS, NEARLY 50% OF HHS' VOLUME IS PROVIDED TO LOW INCOME POPULATIONS. HHS IS MINNESOTA'S LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN. HHS TREATS HENNEPIN COUNTY'S AND THE REGION'S MORE SEVERELY ILL PATIENTS, SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES. HHS' PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGION'S EMERGENCY PREPAREDNESS AND STAND-BY CAPABILITIES. HHS PROVIDES MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS INTENSIVE NEONATAL CARE, ORGAN TRANSPLANTATION, ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGION'S POPULATION. HHS FACILITATES THE TRANSITIONS OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM HEALTH CARE PROVISION SYSTEM AND HELPS TO RAISE THE REGIONAL HEALTH PROVISION STANDARDS.