Community Benefit Insight - Tax-exempt hospital

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Regions Hospital

Regions Hospital

640 N Jackson Street
St Paul, MN 55101

Bed count	480	Medicare provider number	240106	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 410956618

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.28%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 22,775,649 2.63 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 12,720,113 1.47 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 10,209,402 1.18 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
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
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
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
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
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	$ 4,280,465 0.49 %
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 2022 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:
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.
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.
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.

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 $ 793744688 including grants of $ 675417) (Revenue $ 898880912)
SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

REGIONS HOSPITAL
PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE REGIONS HOSPITAL'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/ABOUT/COMMUNITY-BENEFIT.

REGIONS HOSPITAL
PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2021 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN.- PARK NICOLLET METHODIST HOSPITAL, ST. LOUIS PARK, MN- AMERY REGIONAL MEDICAL CENTER, AMERY, WI.- HUTCHINSON HEALTH, HUTCHINSON MN- HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC, OLIVIA MN

REGIONS HOSPITAL
PART V, SECTION B, LINE 11: IN 2021, SEVERAL TACTICS WERE IMPLEMENTED TO HELP ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA AND DESCRIBED IN OUR IMPLEMENTATION PLAN. HIGHLIGHTS OF THE 2021 ACTIVITIES AND RESULTS ARE INCLUDED BELOW.PRIORITY 1: ACCESS TO CAREIN 2021, THE COMMUNITY PARAMEDICINE PROGRAM SERVED 557 PATIENTS OF WHICH 247 WERE ADMITTED TO OUR HOSPITAL@HOME PROGRAM. THE TEAM COMPLETED 2,256 HOME VISITS IN TOTAL. PARTICIPANTS HAD AN ESTIMATED 1,608 FEWER HOSPITAL DAYS WHEN COMPARED TO A MATCHED GROUP WITHIN THE SYSTEM. MUCH OF THE PROGRESS AND GROWTH EXPERIENCED BY THE COMMUNITY PARAMEDICINE PROGRAM IN 2021 RESULTED FROM ITS RESPONSE TO THE COVID-19 PANDEMIC AND THE IMPLEMENTATION OF A ROBUST HOSPITAL@HOME PROGRAM.PRIORITY 2: ACCESS TO HEALTHREGIONS HOSPITAL CONVERTED TO USING EPIC'S SOCIAL DETERMINANTS OF HEALTH WHEEL AND STANDARDIZED WORKFLOWS TO MATCH SYSTEM-WIDE PROCESSES. IN 2021, 77.6% OF PATIENT ENCOUNTERS WERE SCREENED FOR FOOD INSECURITY; 6% OF THOSE SCREENED POSITIVE, AND 19% SCREENED THAT SCREENED POSITIVE WERE MALNOURISHED AND FOOD INSECURE. ADDITIONALLY, REGIONS HOSPITAL WORKED WITH THE AMERICAN HEART ASSOCIATION AND LOCAL HMONG ELDER DAY CARE CENTERS TO HOST A BLOOD PRESSURE SCREENING AND HEALTHY NUTRITION EVENT AT HMONG VILLAGE IN ST. PAUL.PRIORITY 3: MENTAL HEALTH AND WELL-BEINGIN DECEMBER OF 2021, REGIONS HOSPITAL INCREASED THEIR INPATIENT MENTAL HEALTH BED CAPACITY BY 20 TO A TOTAL OF 120 BEDS. THIS ALLOWS REGIONS HOSPITAL TO ACCOMMODATE FROM 50 TO 60 MORE MENTAL ADMISSIONS MONTHLY. REGIONS WAS THE ONLY HOSPITAL IN THE TWIN CITIES METRO AREA TO EXPAND INPATIENT MENTAL HEALTH CAPACITY IN 2021. REGIONS HOSPITAL BEHAVIORAL HEALTH OUTPATIENT CLINICS COMPLETED 76,634 VISITS IN 2021, WHICH IS 1,125 MORE THAN THE PRIOR YEAR AND 14.2% OVER THE LAST TWO YEARS. MUCH OF THIS GROWTH IS ATTRIBUTABLE TO THE RAPID TRANSITION TO TELEMEDICINE AND IMPROVED ACCESSIBILITY FOR PATIENTS. PRIORITY 4: NUTRITION AND PHYSICAL ACTIVITYREGIONS HOSPITAL PARTNERED WITH HUNGER SOLUTIONS FOR HUNGER ON THE HILL DAY AND WITH GOVERNMENT RELATIONS TO SHARE KEY LEARNINGS WITH THE EAST METRO MENTAL HEALTH ROUND TABLE REGARDING FOOD INSECURITY AMONGST OUR MENTAL HEALTH POPULATION.PRIORITY 5: SUBSTANCE ABUSEREGIONS HOSPITAL MAINTAINED THE STRONG IMPROVEMENTS IN REDUCING THE AMOUNT OF OPIOIDS PRESCRIBED AFTER INPATIENT DISCHARGES AND AFTER SURGERIES AT SAME DAY SURGERY. DEVELOPED CLEAR AND EFFECTIVE REFERRAL PATHWAYS TO ADDICTION MEDICINE PROVIDERS, INCREASED AVAILABILITY OF MEDICATIONS TO TREAT OPIOID USE DISORDER AND ADDED AN ADDICTION MEDICINE PROVIDER TO SUPPORT THE INCREASE IN ADDICTION MEDICINE CONSULT VOLUMES.

PART V, SECTION B, LINE 13
REGIONS HOSPITAL FINANCIAL ASSISTANCE POLICY (FAP) EXPLAINS THE ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE AS FOLLOWS: FEDERAL POVERTY GUIDELINES (FPG) FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE AT 200%; AND UNLIMITED FPG FAMILY INCOME FOR ELIGIBILITY FOR DISCOUNTED CARE.

PART V, SECTION B, LINE 3E
REGIONS HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
REGIONS HOPSITAL PARTICIPATES IN A MINNESOTA ATTORNEY GENERAL'S (MN AG) AGREEMENT THAT GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER. REGIONS HOSPITAL APPLIES THE MN AG OR THE 501R DISCOUNT, WHICHEVER IS GREATER.

PART I, LINE 7:
REGIONS HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS.

PART III, LINE 2:
REGIONS HOSPITAL USES A HISTORIC BAD DEBT PERCENTAGE THAT IS ROUTINELY MONITORED, REVIEWED, AND UPDATED IN ORDER TO OBTAIN THE BEST ESTIMATE OF THE CURRENT YEAR'S BAD DEBT.

PART III, LINE 4:
SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT.

PART III, LINE 8:
REGIONS HOSPITAL MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A.

PART III, LINE 9B:
COLLECTIONS PRACTICESREGIONS HOSPITAL DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE. REGIONS HOSPITAL WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. REGIONS WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A CHARITY CARE (FINANCIAL ASSISTANCE) APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR CHARITY CARE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED.

PART VI, LINE 2:
TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE REGIONS HOSPITAL 2021 CHNA.

PART VI, LINE 3:
"REGIONS HOSPITAL IS THE PRIMARY ""SAFETY NET"" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. REGIONS HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2021 REGIONS HOSPITAL PROVIDED APPROXIMATELY $18.5 MILLION IN CHARITY CARE COSTS. REGIONS HOSPITAL DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. TO INFORM AND EDUCATE PATIENTS ON ITS CHARITY CARE PROGRAM AND GOVERNMENT PROGRAMS, REGIONS HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. THE PROGRAM WAS STARTED IN THE EMERGENCY DEPARTMENT IN 1995 BUT SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT THE HOSPITAL. INFORMATION IS AVAILABLE IN PATIENT WELCOME MATERIALS, AT ALL CHECK IN AREAS, ON THE WEBSITE AND THROUGH THE FINANCIAL COUNSELING STAFF."

PART VI, LINE 5:
REGIONS HOSPITAL CONTINUALLY INVESTS - THROUGH EXPENDITURES AND IN-KIND CONTRIBUTIONS OR OTHER SUPPORT - IN ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITY AND THE REGION. REGIONS HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS AND THE MEDICAL STAFF IS ORGANIZED IN THE PUBLIC'S INTEREST. SUPPORT MAY INCLUDE DIRECT EXPENDITURES, RAISING FUNDS THROUGH EMPLOYEE OR COMMUNITY INITIATIVES, DONATING STAFF TIME, PARTICIPATING IN COMMUNITY PARTNERSHIPS AND INITIATIVES AND /OR PROVIDING FREE SERVICES OR EQUIPMENT. MORE INFORMATION ABOUT REGIONS COMMUNITY BENEFIT AND COMMUNITY HEALTH EFFORTS IS DETAILED IN SCHEDULE O.

PART VI, LINE 6:
"AFFILIATED HEALTH CARE SYSTEMPLEASE SEE SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS ""I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE."""

PART VI, LINE 7, REPORTS FILED WITH STATES
MN,WI

PART VI, LINE 4:
REGIONS HOSPITAL IS LOCATED IN RAMSEY COUNTY IN DOWNTOWN ST. PAUL. REGIONS HOSPITAL IS IN CLOSE PROXIMITY TO THE STATE CAPITOL, POPULAR ENTERTAINMENT ATTRACTIONS AND NUMEROUS LARGE CORPORATE HEADQUARTERS AND IS VISIBLE FROM INTERSTATE 94. REGIONS HOSPITAL IS THE LARGEST PROVIDER OF CHARITY CARE IN THE EAST METRO AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. THIS CERTIFICATION REQUIRES REGIONS HOSPITAL TO HAVE SELECT MEDICAL AND SURGICAL SPECIALISTS AVAILABLE TWENTY-FOUR HOURS A DAY. ACCORDING TO THE U.S. CENSUS BUREAU, RAMSEY COUNTY HAD A POPULATION OF 552,352 IN 2020. APPROXIMATELY 33.9% WERE NON-WHITE, 12.6% OF INDIVIDUALS IN RAMSEY COUNTY ARE LIVING IN POVERTY, AND 6.9% ARE WITHOUT INSURANCE. IN 2021, REGIONS HOSPITAL PROVIDED CARE TO PATIENTS FROM EVERY ONE OF THE 87 COUNTIES IN THE STATE AND ADMITTED PATIENTS FROM ALL 50 STATES. AS THE STATE'S SECOND-LARGEST SAFETY-NET HOSPITAL, REGIONS PROVIDES CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. REGIONS HOSPITAL SERVES A DIVERSE PATIENT POPULATION. REGIONS HOSPITAL AND HEALTHPARTNERS ARE ONE OF THE FIRST IN THE NATION TO GATHER SELF-REPORTED DATA FROM PATIENTS ON RACE, COUNTRY OF ORIGIN AND LANGUAGE PREFERENCE. OF REGIONS HOSPITALS 28,206 2021 INPATIENT CASES, 35.5% WERE PATIENTS OF COLOR. FOR THESE SAME ADMISSIONS, 2,455 PATIENTS (9%) REPORTED A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY PREFERENCE.

PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT
REGIONS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF MINNESOTA REGIONS HOSPITAL'S SISTER HOSPITALS, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, LOCATED IN STILLWATER, MINNESOTA AND PARK NICOLLET METHODIST HOSPITAL IN ST, LOUIS PARK, MINNESOTA; HUTCHINSON HEALTH, IN HUTCHINSON, MINNESOTA; WESTFIELDS HOSPITAL, LOCATED IN NEW RICHMOND, WISCONSIN; HUDSON HOSPITAL, LOCATED IN HUDSON, WISCONSIN; AMERY REGIONAL MEDICAL CENTER, LOCATED IN AMERY, WISCONSIN; AND HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC, LOCATED IN OLIVIA MINNESOTA, FILE COMMUNITY BENEFIT REPORTS WITH THEIR RESPECTIVE STATES. THE SEVEN HOSPITALS WORK COLLABORATIVELY ACROSS MULTIPLE HEALTH INITIATIVES, ALONG WITH OTHER MEMBERS OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS TO IMPROVE THE HEALTH OF MEMBERS, PATIENTS AND THE COMMUNITY.

Operating expenses	$ 865,417,504
Total amount spent on community benefits as % of operating expenses	$ 45,705,164 5.28 %