which led to negative operating margins. Mayo Clinic Health System announced it had received approval to begin work on a 121 bed expansion of the Mankato Hospital, Minnesota in February 2022. In addition to the added bed space, the expansion includes an additional surgical unit, as well as new units for progressive and intensive care, and upgrades to staff workspaces. In April of the same year, the organization began work on USD$15 million worth of renovations and upgrades to its Albert Lea, Minnesota hospital, including remodeling and modernizing several departments. That month, the organization also broke ground on a new 70-bed hospital in La Crosse. As of 2022, the health system had 16 hospitals, 53 multispecialty clinics, and one mobile health clinic. Southeast Minnesota has a Physician and Management Services Agreement with Winneshiek Medical Center in Decorah. Minnesota regions The Southeast Minnesota regional hub is Rochester. Southwest Minnesota's hub is Mankato. The health system's Iowa facilities are part of the Southeast Minnesota region. As of March 2022, the organization's Southwest and Southeast Minnesota regions operated nine hospitals and 30 clinics in the following communities (parentheses indicate multiple locations): Wisconsin regions The health system's Southwest Wisconsin regional hub is La Crosse, the Northwest Wisconsin hub is Eau Claire. As of March 2022, the organization's Northwest and Southwest Wisconsin regions operated 7 hospitals and 23 clinics in the following communities (parentheses indicate multiple locations): Research and education Mayo Clinic Health System has research partnerships with University of Wisconsin's UW-La Crosse and UW-Eau Claire campuses. The groups have collaborated on cancer research, and in 2020 worked together developing COVID-19 tests. The organization also partners with UW-Eau Claire to host an annual research symposium for college and high school students to present original theories on medical topics. The symposium winners are given the opportunity to work with the Mayo Clinic Health System's labs to develop their ideas. In 2022, the health system and UW-Eau Claire received a $9.4 million grant under the American Rescue Plan Act. The grant would be used to increase health care workers rural communities, improve nursing education and clinical training opportunities by incentivizing teaching in rural communities, and train medical assistants to be health coaches. The organization announced in March 2022 that it will build an $11 million diagnostic imaging and sports medicine center in UW-Eau Claire's County Material Complex, also known as the Sonnentag Complex. Mayo Clinic Health System