Forms and Instructions
Acute Care Hospitals
Psych/Specialty Hospitals
Freestanding Outpatient Surgical Centers (FOSC)
Diagnostic Imaging Facilities
Dental CBCT Facilities
Health Care System Capital Expenditure Report
Process for Amending Hospital Data (PDF)
Events and Deadlines
- Acute and Psych/Specialty Hospitals
- Hospital Formset Training
HAR Webinar Training
Wednesday January 22, 2020 - 10:00 am - 12:00 pm
Contact Jenny Sanislo at jsanislo@mnhospitals.org or 651-659-1440 to pre-register. - Feb. 3, 2020 - First and Second Quarter FYE hospitals' 2019 annual reports due to MHA.
- April 1, 2020 - Third Quarter FYE hospitals' 2019 annual reports due to MHA.
- July 1, 2020 - Fourth Quarter FYE hospitals' 2019 annual reports due to MHA.
- Freestanding Outpatient Surgical Centers (FOSC)
- March 1, 2020 - 2019 annual reports due to MDH.
- Diagnostic Imaging Facilities
- March 1, 2020 - 2019 annual reports due to MDH.
- Dental CBCT Facilities
- March 1, 2020 - 2019 annual reports due to MDH.
- Health Care System Capital Expenditure Commitment
- March 1, 2020 - 2019 annual reports due to MDH.
Acute Care Hospitals
2019 Hospital Annual Report (HAR)
- Formset - Excel
- Instructions - PDF
- Tip Sheet - included in the formset
- Note:Web transmission site available: https://portal.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 for your login and password. This Web site is secured and encrypted.
- Available Soon
2018 Hospital Annual Report (HAR) 2018 HAR Training Materials
2017 Hospital Annual Report (HAR)
2016 Hospital Annual Report (HAR)
2015 Hospital Annual Report (HAR)
Psych/Specialty Hospitals
2019 Psych/Specialty
This is included with the Hospital formset. There are specific instructions and coding built into the formset that will guide the Psychiatric and Specialty hospitals through the completion of the report.
- Formset - Excel
- Instructions - PDF
- Tip Sheet - included in the formset
- Note:Web transmission site available: https://portal.mnhospitals.org. Contact Jennifer Sanislo at (651) 659-1440 for your login and password. This Web site is secured and encrypted.
2018 Psych/Specialty
2017 Psych/Specialty
2016 Psych/Specialty
2015 Psych/Specialty
Freestanding Outpatient Surgical Center (FOSC)
2019 FOSC Financial, Utilization and Services Report
2018 FOSC Financial, Utilization and Services Report
2017 FOSC Financial, Utilization and Services Report
2016 FOSC Financial, Utilization and Services Report
2015 FOSC Financial, Utilization and Services Report
Diagnostic Imaging Facility
2019 Diagnostic Imaging Facility Utilization Report
(see Minnesota Statutes, section 144.565)
- Advanced Diagnostic Imaging Accreditation and Reporting Requirements
This fact sheet outlines accreditation and reporting requirements for providers of Advanced Diagnostic Imaging as required by Minnesota Statues, Section 144.1225.
2018 Diagnostic Imaging Facility Utilization Report
2017 Diagnostic Imaging Facility Utilization Report
2016 Diagnostic Imaging Facility Utilization Report 2015 Diagnostic Imaging Facility Utilization Report
Dental CBCT Facility
2019 Dental CBCT Facility Utilization Report
(see Minnesota Statutes, section 144.565)
- CBCT Dental Facility Formset - Excel
- Instructions - PDF
- CBCT Dental Facility Notification Letter - PDF
2018 Dental CBCT Facility Utilization Report
2017 Dental CBCT Facility Utilization Report
2016 Dental CBCT Facility Utilization Report
2015 Dental CBCT Facility Utilization Report
Capital Expenditure Commitments
2019 Health Care System or Other Provider Capital Expenditure Commitment Report
2018 Health Care System or Other Provider Capital Expenditure Commitment Report
2017 Health Care System or Other Provider Capital Expenditure Commitment Report
2016 Health Care System or Other Provider Capital Expenditure Commitment Report 2015 Health Care System or Other Provider Capital Expenditure Commitment Report
More information about Capital Expenditure Reporting
