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". 

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