Charitable Contribution Request Form
Allina Health Charitable Contributions Program Overview
Allina Health is committed to supporting organizations working to improve community health, particularly in the following priority areas and communities:
Priority areas
- Mental Health and wellness
- Substance abuse and prevention and recovery
- Access to culturally responsive care
- Access to safe, accessible and affordable housing (including ability to pay for heat, electricity or other utilities)
- Access to healthy food
- Access to reliable transportation
- Social isolation/ social connectedness
Priority communities
- People with disabilities
- Peopled living at or near poverty
- People which identify as Black, Indigenous and/or People of Color (BIPOC)
- People who identify as lesbian, gay, bi-sexual, trans, queer and/or questioning, and other historically underserved sexual and gender identities (LGBTQ+)
All charitable contributions made by Allina Health are required to:
- Further the Allina Health mission
- Support Allina Health values
- Promote health equity in the communities we serve
- Be consistent with the Allina Health commitment to be a good community partner in the communities it serves.
- Benefit a 501(c) (3) non-profit organization or, when made for a public purpose, a governmental unit eligible under section 170(c)(1) of the Internal Revenue Code
- Be coordinated within Allina Health to ensure maximum impact for both Allina Health and the communities we serve.
Requests for charitable support are reviewed on a quarterly basis. Below are the deadlines for submission and the notification timelines. If you have any questions when completing this form, please email community@allina.com.
- Quarter 1 requests due February 28 (end of March notification)
- Quarter 2 requests due May 31 (end of June notification)
- Quarter 3 requests due August 31 (end of September notification)
- Quarter 4 requests due October 31 (end of November notification)
You may save and come back to your application at a later time by scrolling to the bottom and clicking "Save Draft".