2021-11-01T09:30:08-05:00 2020-12-31 410991680 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2020-01-01 363517697 HEALTHEAST CARE SYSTEM HEAL 6126724986 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 JAMES HEREFORD PRESIDENT/CEO 6512325333 2021-11-01 JAMES HEREFORD 999009999 2021-11-01 2020 2022-09-23 18:48:47Z JAMES HEREFORD 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 70722873 false X WWW.FAIRVIEW.ORG X 1983 MN FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. 17 16 0 76 16564 255000 4887934 109575400 60062767 65412 4377040 0 109895812 69327741 0 0 78806382 44604941 0 0 39539484 20382675 118345866 64987616 -8450054 4340125 88780671 56564733 237740125 201473670 -148959454 -144908937 X FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. false true 28097023 26071760 HEALTHEAST CARE SYSTEM IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND PROVIDED POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY FOR MORE THAN A CENTURY. IN EARLY 2020, BETHESDA HOSPITAL BECAME MINNESOTA'S FIRST DEDICATED COVID- 19 TREATMENT FACILITY. IT PLAYED A CRITICAL ROLE IN THE STATE'S EARLY PANDEMIC RESPONSE AND ACHIEVED SOME OF THE HIGHEST SURVIVAL RATES IN THE NATION - AND EVEN THE WORLD - DURING THE EARLY DAYS OF THE PANDEMIC. ITS CARE TEAMS CREATED NEW CARE MODELS AND CONNECTED PATIENTS TO TREATMENT OPTIONS AND CLINICAL TRIALS SUPPORTED BY RESEARCHERS AT THE UNIVERSITY OF MINNESOTA. WHAT MADE CARE SUCCESSFUL WAS THE MODELS ESTABLISHED USING PROTOCOLS TO IDENTIFY PATIENT RISKS EARLY AND OFFER APPROPRIATE TREATMENTS. TREATMENT PROTOCOLS INITIALLY DEVELOPED AT BETHESDA ARE USED ACROSS THE FAIRVIEW HEALTH SYSTEM. IN DECEMBER 2020, A NEW MISSION TRANSFORMED BETHESDA HOSPITAL THAT IS CRITICAL TO OUR COMMUNITY'S COVID-19 RESPONSE - PROVIDING SHELTER TO 100 HOMELESS PEOPLE IN PARTNERSHIP WITH RAMSEY COUNTY. RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. ADEQUATE HOUSING IS CRITICAL TO IMPROVING OUR COMMUNITY'S HEALTH, AND NOW, IT'S ALSO CRITICAL TO PREVENTING THE SPREAD OF COVID-19 TOO. EVIDENCE SHOWS PEOPLE WITHOUT STABLE HOUSING EXPERIENCE HIGHER RATES OF DISEASE, ARE MORE LIKELY TO HAVE MULTIPLE HEALTH CONCERNS AND HAVE A LOWER LIFE EXPECTANCY THAN OTHERS IN THE SAME COMMUNITY. THESE HEALTH CHALLENGES, IN TURN, MAKE IT HARDER TO HOLD A JOB. AND DURING THE PANDEMIC, THEY'RE MORE LIKELY TO SUFFER POORER OUTCOMES IF THEY SHOULD CONTRACT COVID-19. AS BETHESDA EVOLVES, IT WILL CONTINUE TO PLAY A CRITICAL ROLE IN THE STATE'S COVID-19 RESPONSE - BUT IN A NEW WAY. SINCE THE PANDEMIC BEGAN, THE MEDICAL COMMUNITY HAS LEARNED A LOT ABOUT HOW TO TREAT THE ILLNESS AND INCREASE SURVIVAL RATES, AND THE MODELS CREATED AT BETHESDA ARE SAVING LIVES THROUGHOUT OUR HEALTH SYSTEM. THAT ALLOWS US THE OPPORTUNITY TO TRANSITION THE SITE TO A NEW PHASE OF SUPPORT. TOO OFTEN, IN TIMES OF CRISIS, THE MOST VULNERABLE IN OUR COMMUNITY ARE OVERLOOKED. TRUE TO ITS MISSION, THE NEW USE OF BETHESDA WILL ENSURE WE HELP THOSE MOST IN NEED AS WE AGGRESSIVELY RESPOND TO THE COVID-19 PANDEMIC. FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FAIRVIEW HEALTH SERVICES IS AN INDUSTRY-LEADING, AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC, STANDING UP THE STATE'S FIRST DEDICATED COVID-19 HOSPITAL AT ITS BETHESDA HOSPITAL FACILITY. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90+ OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. 17863533 27025069 HEALTHEAST CARE SYSTEM OFFERED EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT) THROUGH APRIL 2020. ON MAY 1, 2020 THESE SERVICES ARE NOW BEING REPORTED ON THE FAIRVIEW HEATH SERVICES FORM 990. FOR THE SERVICES REFLECTED IN THIS RETURN, HEALTHEAST MEDICAL TRANSPORTATION CONTINUES TO BE A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION SERVICES. SERVICES PROVIDED TO MEET THE NEEDS OF THE COMMUNITY ARE: GROUND AMBULANCE SERVICES (ADVANCED AND BASIC LIFE SUPPORT AND CRITICAL CARE) EMERGENCY COMMUNICATIONS SERVICES FLEET MAINTENANCE SERVICES EMERGENCY VEHICLE CONVERSION SERVICES TRAINING AND EDUCATION THROUGH EMS ACADEMY SPECIAL EVENT MEDICAL STANDBYS PROGRAMS INCLUDING COMMUNITY PARAMEDICINE, COMMUNITY CPR AND CARE SEAT CHECKS. WHEELCHAIR TRANSPORTATION SERVICES (MEDKAB) HEALTHEAST CARE SYSTEM INTER-FACILITY COURIER SERVICES TACTICAL EMERGENCY MEDICAL SERVICES (TEMS) FOR HIGH-RISK SITUATIONS HEALTHEAST MEDICAL TRANSPORTATION HAS BEEN SERVING THE TWIN CITIES FOR MORE THAN 100 YEARS UNDER DIFFERENT COMPANY NAMES. OUR SERVICE BEGAN IN 1910 AS OLSEN AMBULANCE. IN 1986, WE BECAME HEALTHEAST MEDICAL TRANSPORTATION WHEN HEALTHEAST CARE SYSTEM WAS FORMED. TODAY WE PROVIDE WHEELCHAIR TRANSPORT, AND BASIC, ADVANCED AND CRITICAL CARE LIFE SUPPORT TRANSPORTATION THROUGHOUT THE TWIN CITIES. WE ARE ALSO PROUD TO PROVIDE 9-1-1 ADVANCED LIFE SUPPORT FOR NORTHERN DAKOTA COUNTY. REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. 6999876 6965938 HEALTHEAST CARE SYSTEM PROVIDES PROFESSIONAL HOME HEALTH CARE PERSONNEL AND SERVICES THROUGH HEALTHEAST HOME CARE. THESE HEALTH CARE SERVICES ARE PROVIDED TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND OTHERS WITHIN THE COMMUNITY. HOME CARE SERVICES INVOLVE VISITS TO THE PATIENT'S HOME AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, INFUSION THERAPY, MEDICAL SOCIAL WORKER VISITS, HOME HEALTH AIDE VISITS AND IN-HOME EMERGENCY RESPONSE MONITORING SYSTEM. HOME CARE REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. NURSING CASE MANAGERS HAVE A BROAD RANGE OF NURSING EXPERIENCE, AND PROVIDE ASSESSMENTS, TEACHING AND SKILLED NURSING PROCEDURES. THE CASE MANAGER WORKS WITH DOCTORS, OTHER TEAM MEMBERS, AND CAREGIVERS TO DEVELOP A PLAN OF CARE. LABORATORY SPECIMENS CAN BE DRAWN OR COLLECTED AT HOME BY A NURSE AND DELIVERED TO A CERTIFIED LABORATORY FOR TESTING. HOME HEALTH AIDES PROVIDE HANDS-ON PERSONAL CARE. THIS MAY INCLUDE BATHING, ASSISTANCE WITH WALKING AND TRANSFERRING, MINOR DRESSING CHANGES AND CARE OF OSTOMIES, WOUNDS AND INCONTINENCE. HOME CARE PROVIDES EXTENSIVE REHABILITATION SERVICES FROM THEIR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY DEPARTMENTS. HOME INFUSION THERAPY/INTRAVENOUS (IV) MEDICATIONS CAN NOW BE SAFELY ADMINISTERED IN THE HOME. SPECIALLY TRAINED NURSES AND CLINICAL PHARMACISTS WORK WITH DOCTORS TO PROVIDE EFFECTIVE INFUSION THERAPIES. HIGH-RISK PREGNANCIES CAN BE MONITORED BY A HOME CARE NURSE IN THE COMFORT OF THE PATIENTS' HOME TO HELP PREVENT COMPLICATIONS AND EARLY DELIVERIES. HOME CARE ALSO PROVIDES POSTPARTUM SERVICES THAT ARE INDIVIDUALIZED HOME CARE SERVICES TO NEW PARENTS AND THEIR BABIES; THIS TYPICALLY INCLUDES A ONE-TIME VISIT TO ASSIST NEW PARENTS, ESPECIALLY THE MOTHER, AND NEWBORNS WITH THE ADJUSTMENT OF HAVING A NEW BABY IN THE HOME. THIS VISIT CAN INCLUDE LACTATION ASSISTANCE AND HYPERBILIRUBINEMIA (JAUNDICE) ASSESSMENT. IN ADDITION, WE OFFER SOCIAL WORK SERVICES TO ADDRESS AREAS INCLUDING CRISIS INTERVENTION AND NUTRITION THERAPY SERVICES FOR PATIENTS WITH SPECIAL MEDICAL NEEDS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. HEALTHEAST PALLIATIVE CARE PROVIDES HOME HEALTH CARE TO THOSE WITH ADVANCED CHRONIC ILLNESSES, SUCH AS CANCER, HEART, LUNG, LIVER OR NEUROLOGICAL DISEASE. AGGRESSIVE SYMPTOM MANAGEMENT IS PROVIDED ALONG WITH THE SUPPORT OF THE BODY, MIND AND SPIRIT. HEALTH ALERT IS AN IN-HOME EMERGENCY RESPONSE SYSTEM THAT ALLOWS CUSTOMERS TO LIVE INDEPENDENTLY IN THEIR HOME WITH DIRECT ACCESS TO EMERGENCY ASSISTANCE. 52960432 true false false true false false false false false false true false true true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true X 0 0 0 true true false false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true false MN X X DAWN KSEPKA 6126724986 1700 UNIVERSITY AVE W ST PAUL MN 55104 X JAMES HEREFORD PRESIDENT/CE 0.00 40.00 X X 0 1905996 715433 LAURA REED RN COO 0.00 40.00 X 0 844330 204477 ROBERT BEACHER CHIEF OF SHA 0.00 40.00 X 0 780726 139032 DANIEL M FROMM FORMER CFO 0.00 40.00 X 0 769600 111548 MARK WELTON MD CHIEF MEDICA 0.00 40.00 X 0 677489 171579 JOHN BATSON CFO 0.00 40.00 X 0 788660 56778 TRUDI N TRYSLA CHIEF LEGAL 0.00 40.00 X 0 614974 176005 SAMEER BADLANI CIO 0.00 40.00 X 0 632945 72986 SRIJOY MAHAPATRA CHF STRATEGY 0.00 40.00 X 0 633360 70354 DAVID CROSBY CHF VALUE BA 0.00 40.00 X 0 580889 58946 MARY NEASE CHIEF PEOPLE 0.00 40.00 X 0 575298 58752 SCOTT WEBER CHF MRKTG CO 0.00 40.00 X 0 414752 85497 LYUDMILA ISLYAMOVA MD PHYSICIAN 40.00 0.00 X 0 359288 56240 BRYAN JARABEK CMIO 0.00 40.00 X 0 342756 37820 JEFFREY HERICKHOFF MD PHYSICIAN 40.00 0.00 X 0 307502 68557 SUSAN PLEASANTS CMIO 0.00 40.00 X 0 313262 54524 IVAYLO KRASTEV MD PHYSICIAN 40.00 0.00 X 0 284382 78469 VIOREL GHEORGHE MD PHYSICIAN 40.00 0.00 X 0 254762 62838 JOSEPH LEE MD PHYSICIAN 40.00 0.00 X 0 260605 33549 RICH OSTLUND CHAIR 0.00 2.00 X X 0 35000 0 KAREN GRABOW SECRETARY 0.00 2.00 X X 0 25000 0 JOHN HEINMILLER DIRECTOR 0.00 2.00 X 0 25000 0 ANN LOWRY MD VICE CHAIR 0.00 2.00 X X 0 25000 0 CAROL LEY MD DIRECTOR 0.00 2.00 X 0 25000 0 BRAD WALLIN DIRECTOR 0.00 2.00 X 0 25000 0 BARCLAY BERDAN DIRECTOR 0.00 2.00 X 0 20000 0 JULIE S CAUSEY DIRECTOR 0.00 2.00 X 0 20000 0 MICHAEL R CONNLY DIRECTOR 0.00 2.00 X 0 20000 0 RICH THOMPSON MD DIRECTOR 0.00 2.00 X 0 20000 0 JODI RICHARD DIRECTOR 0.00 2.00 X 0 20000 0 KENNETH ROERING DIRECTOR 0.00 2.00 X 0 20000 0 TIMOTHY MARX DIRECTOR 0.00 2.00 X 0 15625 0 BRIAN BURNETT DIRECTOR 0.00 2.00 X 0 0 0 JAKUB TOLAR MD VICE CHAIR 0.00 0.00 X X 0 0 0 MELISSA GELLER MD DIRECTOR 0.00 2.00 X 0 0 0 BETSY L WERGIN DIRECTOR-END 0.00 2.00 X 0 0 0 11637201 2313384 true true false 4887934 4887934 PATIENT REVENUE 621110 57858190 57858190 INVESTMENT IN ORG REVENUE 900099 1639089 1639089 RELATED ENTITY SPACE RENTAL 900099 317863 317863 CAFETERIA REVENUE 812930 169986 169986 PARKING REVENUE 722514 61075 61075 16564 16564 60062767 33691 33691 5738481 1395132 4343349 4343349 4343349 69327741 60046203 16564 4377040 35923390 34050040 1873350 1634382 1570154 64228 5003920 4704252 299668 2043249 1911724 131525 127056 80045 47011 5775 5775 1702371 1559694 142677 1300 1300 547257 317223 230034 1950996 1933142 17854 624923 614393 10530 58861 55193 3668 306218 306218 1305175 1297977 7198 MANAGEMENT FEES 8741967 8741967 MEDICAL SUPPLIES 2795541 2722881 72660 UTILITIES & REPAIR 868342 567558 300784 MEDICAL TAXES 637762 637762 709131 626401 82730 64987616 52960432 12027184 0 24622456 12090925 496400 256080 2440403 1469169 9685821 2918500 7950660 6767321 21984801 22427936 10433331 20852620 13553302 88780671 56564733 21833331 1660311 194460800 195729148 21445994 4084211 237740125 201473670 X -148959454 -144908937 -148959454 -144908937 88780671 56564733 X 4340125 -289608 X false true X true true true X false false false false false false false false true 5775 5775 false SCHEDULE C, PART I-A, LINE 1 THE ORGANIZATION CONTRACTS WITH CONSULTANTS TO EXPRESS THEIR CONCERNS REGARDING HEALTH CARE ISSUES TO STATE AND FEDERAL LEGISLATORS. THE ORGANIZATION ALSO PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS. A PORTION OF THESE ANNUAL DUES ARE ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES. SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS. A PORTION OF THESE ANNUAL DUES ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES. 2000000 2000000 545417 38199 507218 83957 23142 60815 6593265 2605849 3987416 463182 251310 211872 6767321 PROGRAM RELATED INVESTMENTS 22427936 C 22427936 OTHER ASSETS 13553302 13553302 NAMING RIGHTS 1022567 ACCRETION EXPENSE 1006352 GL/PL LIABILITY 989908 RETIREMENT OBLIGATION 827114 ACCRUED HEALTH INSURANCE LIABILITY 132722 OTHER LIABILITIES 94030 OPERATING LEASES 10893 LEASE CLEARING 625 4084211 X SCHEDULE D, PAGE 3, PART X FAIRVIEW RECOGNIZES ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED ON THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2020 OR 2019. FAIRVIEW HAS MADE REASONABLE ESTIMATES OF THE PROVISION FOR INCOME TAXES AND ON EXISTING DEFERRED TAX BALANCES BASED ON ACCOUNTING GUIDANCE INCLUDED IN ASC 740, INCOME TAXES. FAIRVIEW DOES NOT EXPECT THAT THERE WILL BE A SIGNIFICANT CHANGE IN THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. true true X true X true X true true false true true 645180 645180 0.00990 6883244 4575754 2307490 0.03550 7528424 4575754 2952670 0.04540 169089 169089 0.00260 174277 134664 39613 0.00060 343366 134664 208702 0.00320 7871790 4710418 3161372 0.04860 true 1397480 27950 7182824 12607081 -5424257 X true true 1 1 HEALTHEAST BETHESDA HOSPITAL 45 10TH STREET WEST UNIT 4100 ST PAUL MN 55102 FAIRVIEW.ORG/LOCATIONS/M-HEALTH-FAIRVI X HEALTHEAST BETHESDA HOSPITAL 1 false false true X X X X X X X X X X 18 true false false true X FAIRVIEW.ORG/LOCATIONS/M-HEALTH-FAIRVI X X true 18 true SEE SECTION C, LINE 7D false false true X 200.000000000000 300.000000000000 X X X X X X true true X X X X true X SEE SECTION C, LINE 16J X SEE SECTION C, LINE 16J X SEE SECTION C, LINE 16J X X X X X X X true X false X X X X false X X false false FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 3E IN ORDER TO DETERMINE THE TOP HEALTH NEEDS IN THE COMMUNITY INDICATORS FROM SECONDARY DATA; DATA FROM WILDER RESEARCH ON THE LEADING CAUSES OF DEATH AND PREMATURE DEATH, AND THE SOCIAL DETERMINANTS OF HEALTH; AND PRIMARY DATA THAT MET TWO PIECES OF CRITERIA: (1) A NEED AND/OR BARRIER THAT WAS SAID MORE THAN ONE TIME, AND (2) A NEED AND/OR BARRIER THAT WAS REPEATED IN AT LEAST TWO OF THE GROUPS (E.G. BOTH A STAKEHOLDER INTERVIEW AND A COMMUNITY CONVERSATION) WERE USED. THE HEALTHEAST COMMUNITY ADVISORY COUNCIL LENT THEIR VOICES TO HELP US BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. SINCE THE PRIORITY HEALTH NEEDS AND INFORMATION GATHERED DURING THE 2018 ASSESSMENT BUILT UPON PREVIOUS BOARD ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND PRIORITIES, THIS COUNCIL WAS NOT ASKED TO IDENTIFY AND PRIORITIZE HEALTH ISSUES AGAIN IN 2018. INSTEAD, THE COUNCIL MEMBERS MET IN SEPTEMBER 2018 TO PROVIDE COMMUNITY AND PRIORITY POPULATION SPECIFIC FEEDBACK ON THE PRIMARY DATA FINDINGS. THE FAIRVIEW COMMUNITY BENEFIT TEAM, USED THE WEIGHTED CRITERIA TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS IDENTIFIED: 2017 PLUS CHNA PRIORITY NEEDS, COMMUNITY PRIORITY, BETHESDA'S EXPERTISE/RESOURCES/FEASIBILITY, EVIDENCE OF DISPARITIES, MAGNITUDE/SCALE OF NEED, AND NEED PRESENT IN ALL 11 FAIRVIEW COMMUNITIES. WEIGHTED CRITERIA WAS USED TO PRIORITIZE HEALTH NEEDS. HIGHEST WEIGHT WAS GIVEN TO THE TWO CRITERION DEEMED MOST IMPORTANT BY THE HOSPITAL ADVISORY COUNCIL - CONTINUING WORK IN THE 2017 PLUS CHNA PRIORITY AREAS AND ENSURING FUTURE PRIORITIES ALIGNED WITH WHAT THE COMMUNITY IDENTIFIED AS TOP NEEDS. THE PRIORITIZATION CRITERIA WAS APPLIED TO THE TOP 15 HEALTH NEEDS IDENTIFIED IN THE HOSAPITAL COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ACCESS TO HEALTHCARE AND RESOURCES 3.HEALTHY EATING AND ACTIVE LIVING 4.SUICIDE 5.TRANSPORTATION 6.QUALITY AND CONSISTENCY OF CARE 7.CANCER 8.STROKE 9.CARE COORDINATION 10.COST ASSOCIATED WITH CARE THROUGH A VOTING PROCESS, THE HOSPITAL ADVISORY COUNCIL RECOMMENDED THE FOLLOWING AS BETHESDA HOSPITAL'S 2018 CHNA PRIORITY NEEDS: MENTAL HEALTH AND WELL-BEING HEALTHY LIFESTYLES AND ACCESS TO CARE AND RESOURCES. THESE THREE PRIORITIES ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 3J HEALTHEAST CARE SYSTEM IS PART OF M HEALTH FAIRVIEW, A COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, IS COMMITTED TO PROVIDING BREAKTHROUGH CARE AND PROMOTING HEALTH EQUITY THROUGH ACADEMIC AND COMMUNITY MEDICINE. AS AN ANCHOR INSTITUTION, AN ORGANIZATION ROOTED IN OUR COMMUNITY, THIS COMMITMENT REACHES OUT INTO THE COMMUNITY. IN 2020, OUR PLANNED COMMUNITY OUTREACH AND EDUCATION EFFORTS TO IMPROVE HEALTH AND WELLBEING WERE DISRUPTED BY THE COVID-19 PANDEMIC AND CIVIL UNREST. OUR TEAMS WORKED CLOSELY WITH LOCAL COMMUNITY PARTNERS TO RE- PRIORITIZE IN ORDER TO MEET THE EMERGING NEEDS OF OUR NEIGHBORS. THE FOCUS OF OUR HEALTH AND WELLBEING WORK EACH YEAR IS GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND IS CO-DESIGNED WITH THE COMMUNITIES WE SERVE. IN 2020, TO UNDERSTAND THE EMERGENT COMMUNITY HEALTH NEEDS AND ASSETS, WE LISTENED AND ENGAGED WITH COMMUNITY MEMBERS AND COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH SYSTEMS. THIS PROCESS HELPED US, IN ALIGNMENT WITH OUR PARTNERS, DIRECT OUR INVESTMENTS TO MAKE THE BIGGEST IMPACT. WE SWIFTLY ADAPTED OUR COMMUNITY BENEFIT ACTIVITIESCOMMUNITY-BASED PROGRAMS AND SERVICES, FINANCIAL ASSISTANCE, RESEARCH, AND HEALTH PROFESSIONS EDUCATIONTO MEET THE EVOLVING NEEDS OF OUR COMMUNITY. TOGETHER WITH OUR PARTNERS, WE FOUND NEW AND CREATIVE WAYS TO CONTINUE OUR EFFORTS TO IMPROVE HEALTH AND WELLBEING AND TO PROVIDE EQUITABLE CARE DURING A TIME WHEN INEQUITIES WERE EXACERBATED BY THE COVID-19 PANDEMIC. WE ALSO PARTNERED WITH ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH TO PROVIDE STAFFING, COORDINATION, AND OUTREACH FOR MOBILE COVID-19 TESTING SITES AND IN 2021 VACCINATION CLINICS. ALTHOUGH OUR PLANNED ACTIVITIES CHANGED DUE TO COVID-19, THEY REMAINED IN ALIGNMENT WITH THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIORITY HEALTH NEEDS ARE MENTAL HEALTH AND WELLBEING, HEALTHY LIFESTYLES, AND ACCESS TO CARE AND RESOURCES. OUR EFFORTS TARGETED THE AGING POPULATION, PEOPLE OF COLOR AND INDIGENOUS PEOPLE, AND PEOPLE EXPERIENCING POVERTY. SOME EXAMPLES OF M HEALTH FAIRVIEWS POSITIVE IMPACT ON THE COMMUNITY IN 2020. LOW-BARRIER COVID-19 TESTING WE HOSTED 48 FREE COVID-19 TESTING CLINICS FOR UNDERSERVED COMMUNITIES IN PARTNERSHIP WITH CULTURAL GROUPS AND COMMUNITY PARTNER ORGANIZATIONS, INCLUDING ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH. THE CLINICS SUPPORTED BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITIES AND PROVIDED 19,377 FREE, LOW-BARRIER TESTS IN COMMUNITY SETTINGS. FREE INFLUENZA VACCINE CLINICS INFLUENZA VACCINE CLINICS CONTINUED AS PLANNED IN 2020. OUR TEAMS GOT CREATIVE AND MOVED CLINICS OUTSIDE OR TO LARGER SPACES TO ALLOW FOR SOCIAL DISTANCING. DURING THE 2020-21 SEASON, 6,662 COMMUNITY MEMBERS WERE VACCINATED AT 105 CLINICS; 89 PERCENT OF VACCINE RECIPIENTS IDENTIFIED AS BIPOC. COVID-19 EDUCATION AND SUPPORT TO MINORITY COMMUNITIES CULTURAL BROKER SERVICES SHIFTED TO MEET THE EMERGENT NEEDS OF THE COMMUNITY, INCLUDING PROVIDING COVID-19 EDUCATION, SUPPORTING FAMILIES WITH RESOURCES TO REMAIN SHELTERED IN PLACE, DEBUNKING VACCINE MYTHS, CONNECTING INDIVIDUALS TO UNEMPLOYMENT RESOURCES, ASSISTING PEOPLE WITH RESOURCE NAVIGATION AND ADVOCACY, PROVIDING FOLLOW-UP AFTER COVID-19 PATIENTS ARE DISCHARGED, AND SEEKING OUT SOCIALLY ISOLATED INDIVIDUALS AND FAMILIES. THE CULTURAL BROKERS SERVED 1,573 COMMUNITY MEMBERS ON ST. PAULS EAST SIDE. EXPANDED ACCESS TO HEALTHCARE DESPITE COVID-19, WE MOVED FORWARD WITH EXPANSION PLANS AT HEALTH COMMONS CEDAR RIVERSIDE. OUR GOAL IS TO IMPROVE ACCESS FOR THE DIVERSE AND UNDERSERVED NEIGHBORHOOD BY PROVIDING FREE HEALTHCARE SERVICES THROUGH A FULL-TIME REGISTERED NURSE WHO REFLECTS THE COMMUNITY SHE IS SERVING. THERE WERE 5,926 VIRTUAL OR OUTDOOR VISITS TO HEALTH COMMONS CEDAR RIVERSIDE AND HEALTH COMMONS THE LIVING ROOM IN NORTH MINNEAPOLIS. FUNDING FOR COMMUNITY-BASED PARTNERS IMPACTED BY COVID-19 WE RESPONDED TO THE NEEDS OF OUR COMMUNITY-BASED PARTNER ORGANIZATIONS EXPERIENCING A SURGE IN DEMAND FOR THEIR SERVICES. THE FAIRVIEW FOUNDATION ESTABLISHED A COVID-19 COMMUNITY RESPONSE FUND AND DISTRIBUTED GRANTS TOTALING 290,000 TO 29 PARTNER ORGANIZATIONS. THE GRANTS DIRECTLY SUPPORTED OUR MOST VULNERABLE NEIGHBORS. FOOD FOR FRONTLINE HEALTHCARE WORKERS TO HELP OUR HEALTHCARE WORKERS CARING FOR PATIENTS ON THE FRONTLINE OF THE PANDEMIC, WE ESTABLISHED THE FEEDING THE FRONTLINES MINNESOTA FUND. THE FUND HELPED US DISTRIBUTE NUTRIENTDENSE, HEALTHY FOODS TO HEALTHCARE WORKERS DURING THEIR SHIFTS. WE WERE ABLE TO PROVIDE MORE THAN 20,000 MEALS AND NEARLY 9,600 SNACKS TO FRONTLINE HEALTHCARE WORKERS. VIRTUAL CLASSES TO SUPPORT HEALTH AND WELLBEING OUR HEALTH AND WELLBEING CLASSES QUICKLY MOVED TO A VIRTUAL FORMAT AND INCORPORATED COVID-19 EDUCATION. THE CLASSES INCLUDED MENTAL HEALTH AND STRESS RESILIENCE RESOURCES AND GRIEF SUPPORT SERVICES. OUR COMMUNITY PARTNERS WERE ESPECIALLY EXCITED TO OFFER THESE TO THEIR COMMUNITIES. 1,034 INDIVIDUALS ATTENDED HEALTH AND WELLBEING CLASSES AND 428 INDIVIDUALS RECEIVED TRAUMA INFORMED TRAINING OR MENTAL HEALTH FIRST AID. CARE NAVIGATION SUPPORT FOR UNDERSERVED COMMUNITIES OUR CULTURAL BROKERS PROVIDED CARE NAVIGATION SUPPORT TO HIGHER-RISK COVID-19 PATIENTS FROM OUR KAREN AND HMONG COMMUNITIES FOLLOWING HOSPITAL DISCHARGE. FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 5 BETHESDA HOSPITAL HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SINCE 1998 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL NEEDS OF THE COMMUNITY AND TO ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. IT SERVES AS A TOOL FOR GUIDING POLICY, ADVOCACY, AND PROGRAM PLANNING. IT ALSO FULFILLS IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS AND PROVIDE AN ANNUAL EVALUATION OF IMPACT OF THE PREVIOUS IMPLEMENTATION STRATEGY. THROUGH THIS PROCESS, BETHESDA AIMS TO: -UNDERSTAND THE HEALTH STATUS AND NEEDS OF THE COMMUNITY IT SERVES BY ANALYZING CURRENT DEMOGRAPHICS, HEALTH DATA, AND BY COLLECTING DIRECT INPUT FROM COMMUNITY MEMBERS AND ORGANIZATIONS. -IDENTIFY THE STRENGTHS, ASSETS, AND RESOURCES AVAILABLE IN THE COMMUNITY TO SUPPORT HEALTH AND WELL-BEING. -ADDRESS SIGNIFICANT HEALTH NEEDS THROUGH PARTNERSHIPS WITH COMMUNITY MEMBERS AND ORGANIZATIONS, PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. -CREATE A STRATEGIC IMPLEMENTATION PLAN REFLECTIVE OF THE DATA COLLECTED THROUGH THE CHNA PROCESS. -INFORM BETHESDA'S COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THE COMMUNITY ADVISORY COUNCIL: -ADAM CREPEAU, FAIRVIEW HEALTH SERVICES -ALANA WRIGHT, EAST SIDE PARTNERSHIP FOR HEALTHY AGING (WILDER) -AMY NELSON-FORKNER , FAIRVIEW HEALTH SERVICES -ANDRIANA ABARIOTES, TWIN CITIES LISC -ANN BAILEY, DAKOTA AREA RESOURCES AND TRANSPORTATION FOR SENIORS (DARTS) -ANNA GREER, AMERICAN INDIAN FAMILY CENTER -ANNE BARRY, ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH -BETH HEIN, CENTURY COLLEGE -BONNIE BRUESCHOFF , DAKOTA COUNTY PUBLIC HEALTH -COURTNEY TROYER, ST. PAUL EASTSIDE YMCA -CRYSTAL YANG, COMMUNITY DENTAL CENTER -DEAN NEUMANN, FAIRVIEW HEALTH SERVICES -DEB RODAHL, ST. JOSEPH'S HOSPITAL -DUWAYNE KONEWKO, CITY OF MAPLEWOOD -EVA SONG MARGOLIS, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER -JAEDEN ALLEN, COMMUNITY MEMBER -JESSICA GOURNEAU, AMERICAN INDIAN FAMILY CENTER -JODI BANTLEY, METROPOLITAN STATE UNIVERSITY -JODI RITACCA, WOODBURY THRIVES -JULIA WOLFE, ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH -JULIE ROLES , VITAL AGING NETWORK -KATHERINE BEECHAM, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER -KELBY GROVENDER, HEARTH CONNECTION -KESHAWN WILLIAMS, TWIN CITIES MOBILE MARKET -KEVEN BLAKE, YMCA - EASTSIDE BRANCH -KIM MILES, METROPOLITAN STATE UNIVERSITY -KRISTI BALL, BETHESDA HOSPITAL -KRISTIN REITHER, MAPLEWOOD COMMUNITY CENTER - YMCA -LAURA KEITHAHN, ST. JOHN'S HOSPITAL -LISA BUESGENS, FAIRVIEW HEALTH SERVICES -LOWELL JOHNSON, WASHINGTON COUNTY PUBLIC HEALTH -MAI MOUA, HMONG AMERICAN PARTNERSHIP -MARK SKEIE, VITAL AGING NETWORK -MELANIE COUNTRYMAN, DAKOTA COUNTY PUBLIC HEALTH -MICHELE BRIN, WOODWINDS HOSPITAL -MUNIRA SALAD, INTERNATIONAL INSTITUTE OF MINNESOTA -NORA SLAWIK, CITY OF MAPLEWOOD -PAIGE BOWEN, WEST SIDE COMMUNITY HEALTH SERVICES -PAT SCHOON, METROPOLITAN STATE UNIVERSITY -RHYS WILLIAMS, THE GOOD ACRE -ROGER GREEN, WOODBURY THRIVES -RUBY LEE, COMUNIDADES LATINAS UNIDAS EN SERVICIO (CLUES) -SAMUEL ESTES, PORTICO HEALTHNET -SARA BARSEL, ROSEVILLE COMMUNITY HEALTH AWARENESS TEAM -SAW BAW, INTERNATIONAL INSTITUTE OF MINNESOTA -SHARON D'AGOSTINO, JOHNSON & JOHNSON -TRACY BERGLUND, CATHOLIC CHARITIES OF ST. PAUL AND MINNEAPOLIS -VIVA YANG, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/OUR-COMMUNITY- COMMITMENT/BETHESDA_CHNAANDCHIP.ASHX?LA=EN FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 11 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED IN 2018. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY NEEDS IN THE LOCAL COMMUNITY. THE HOSPITALS AND/OR MEDICAL CENTERS IDENTIFIED THE FOLLOWING PRIORITY NEEDS FOR M HEALTH FAIRVIEW BETHESDA HOSPITAL: MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES, ACCESS TO CARE AND SERVICES. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES ALONG WITH A SYSTEM FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE TO ADDRESS THEIR IDENTIFIED PRIORITY NEEDS. EACH PROGRAM IS EVALUATED ON AN ANNUAL BASIS AGAINST PROGRAM SPECIFIC ANTICIPATED IMPACTS. AS PART OF THE EVALUATION PROCESS EACH PROGRAM INDICATOR IS ASSIGNED A VALUE OF "GREEN", "YELLOW- OR "RED" BASED UPON THE CRITERIA THAT FOLLOWS. A RATING OF "GREEN" MEANS THAT THE PROGRAM (A) MET, OR EXCEEDED, 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO BOTH GOAL/S AND ANTICIPATED IMPACT/S (C) THERE IS AN EVALUATION TOOL WITH MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "YELLOW" MEANS THAT THE PROGRAM (A) HAD PARTIAL COMPLETION OF 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO EITHER GOAL/S OR ANTICIPATED IMPACT/S BUT NOT BOTH (C)THERE IS AN EVALUATION TOOL WITHOUT MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "RED" MEANS THAT THE PROGRAM (A) DID NOT COMPLETE THE 2020 HOSPITAL GOAL/S WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) THERE WAS NO COUNT DATA (C) THERE WAS NO EVALUATION TOOL/S. POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE INITIATIVES OFTEN TAKE MULTIPLE YEARS TO PLAN AND IMPLEMENT. USING A CDC EVALUATION FRAMEWORK EACH PSE INITIATIVE IS MONITORED AND EVALUATED ANNUALLY AGAINST ANTICIPATED ACTIVITIES AND MILESTONES LINKED TO THE SIX CONNECTED PSE EVALUATION STEPS. THE SIX CONNECTED STEPS OF PSE CHANGE WE TRACKED FOR MONITORING AND EVALUATION PURPOSES ARE (1) ENGAGE STAKEHOLDERS, (2) DESCRIBE THE PROGRAM, (3) FOCUS THE EVALUATION DESIGN, (4) GATHER CREDIBLE EVIDENCE, (5) JUSTIFY CONCLUSIONS, AND (6) ENSURE USE AND SHARE LESSONS LEARNED. OUR 2020 EVALUATION OF THE PSE INITIATIVES NOTE THE SPECIFIC PSE STEP/S FOR THAT INITIATIVES BASED ON THE ACTIVITIES. IN 2020 WE ARE IDENTIFYING PSE INITIATIVE SPECIFIC METRICS RELATED TO EACH STEP TO DEEPEN OUR EVALUATION OF OUTCOMES IN FUTURE YEARS. ANY PROGRAMMATIC ANTICIPATED IMPACT THAT RECEIVED A RATING OF "YELLOW- OR "RED" HAS A CORRESPONDING BRIEF EXPLANATION AND 2020 ACTION PLAN. IN 2020 WE WILL CONTINUE REFINING THE RATING SYSTEM AND CORRESPONDING PROGRAMMATIC AND PSE EVALUATION AS PART OF OUR COMMITMENT TO CONTINUOUS PROCESS IMPROVEMENT. DETAILED RESULTS AND ACTION PLANS ON PROGRAM AND PSE INITIATIVES ARE AVAILABLE UPON REQUEST. PRIORITY: MENTAL HEALTH AND WELLBEING M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED CULTURAL BROKERS. EAST SIDE PARTNERS DESIGNED THE POSITION OF CULTURAL BROKER SERVING ST. PAUL'S EAST SIDE OF SAINT PAUL COMMUNITY TO BUILD STRESS RESILIENCE AND HOLISTIC WELL- BEING AMONG COMMUNITY MEMBERS. THE CULTURAL BROKER CO-NAVIGATES MAINSTREAM SYSTEMS WITH CLIENTS AND HELPS BRIDGE THOSE SYSTEMS WITHIN CULTURE, AS WELL AS LOCATES RESOURCES AND ADVOCATES FOR RESIDENTS' INTERESTS. THIS SUPPORT RESULTS IN IMPROVED ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH CARE AND OTHER RESOURCES THAT BUILD STRESS RESILIENCE OVER THE LONG TERM. THE 2020 ANTICIPATED IMPACT FOR THE CULTURAL BROKERS WAS AN INCREASE IN PARTICIPANTS' CONNECTEDNESS TO OTHERS IN THE COMMUNITY. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 100% OF PARTICIPANTS STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: I FEEL CONNECTED TO OTHERS IN THE COMMUNITY. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE EVIDENCE-BASED MENTAL HEALTH FIRST AID PROGRAM. THE PROGRAM INTRODUCES RISK FACTORS AND WARNING SIGNS OF COMMON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, BUILDS UNDERSTANDING OF THEIR IMPACT, AND REVIEWS SUPPORT OPTIONS. THE INTERACTIVE COURSE TEACHES PARTICIPANTS HOW TO OFFER INITIAL HELP TO AN INDIVIDUAL WHO MAY BE EXPERIENCING A MENTAL HEALTH CONCERN OR CRISIS AND CONNECT THEM TO THE APPROPRIATE RESOURCES. YOUTH MENTAL HEALTH FIRST AID IS THE SECOND CORE PROGRAM WHICH FOCUSES ON MENTAL HEALTH CONCERNS AMONG YOUTH AGES 12-18. THE 2020 ANTICIPATED IMPACT FOR THE MENTAL HEALTH FIRST AID PROGRAMS WAS AN INCREASE IN PARTICIPANTS' ABILITY TO RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: DUE TO COVID-19, CLASSES WERE PIVOTED TO VIRTUAL. ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL. SYSTEM OUTCOME: 42% INCREASE FROM PRE-SURVEY (55%) TO POST-SURVEY (97%) IN RESPONSE TO THE FOLLOWING: I STRONGLY AGREE OR AGREE THAT I CAN RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH, SUBSTANCE USE AND MENTAL ILLNESS AS I ENCOUNTER THEM. EVALUATION OF SURVEY RESULTS WAS ADJUSTED IN 2020, TO REFLECT A CHANGE, AS IN 2019 OUTCOMES WERE BASED ON POST-SURVEY ONLY. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE MOBILE SUBSTANCE USE DISORDER SUPPORT PROGRAM, SERVING ADULT RESIDENTS (18+) IN RAMSEY, DAKOTA AND WASHINGTON COUNTIES WHO HAVE SUBSTANCE USE ISSUES THROUGH MOBILE SUDS TEAM WHO ARE PROFESSIONAL PEER RECOVERY SPECIALISTS AND CLINICAL STAFF WHO COLLABORATE TO DEVELOP INDIVIDUAL RECOVERY PLANS. THE 2020 ANTICIPATED IMPACT FOR THE MOBILE SUBSTANCE USE DISORDER SUPPORT PROGRAM WAS AN INCREASE IN THE NUMBER OF ACTIVE PARTICIPANTS IN THE RECOVERY PROGRAM. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: THERE WAS AN INCREASE OF 24 ACTIVE PARTICIPANTS. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE EVIDENCE-BASED STRESS REDUCTION SUITE WHICH INCLUDED TWO PROGRAMS (1) FLOURISH A RESTORATIVE FOUR-WEEK SERIES, THAT LETS PARTICIPANTS EXPERIENCE A VARIETY OF MIND-BODY PRACTICES DESIGNED TO PROMOTE A SENSE OF CALM, JOY, CONNECTION, AND INNER STRENGTH. A FEW OF THE PRACTICES EXPLORED ARE MOVING MEDITATION, JOURNALING, GUIDED IMAGERY, AND MINDFULNESS. (2) RESILIENCY AND STRESS MANAGEMENT TRAINING SERIES A RESTORATIVE SIX-WEEK SERIES, BASED ON CENTER MIND BODY MEDICINE, 90-MINUTE SESSIONS. PARTICIPANTS EXPERIENCE A VARIETY OF MIND-BODY PRACTICES DESIGNED TO PROMOTE A SENSE OF CALM, JOY, CONNECTION, AND INNER STRENGTH. A FEW OF THE PRACTICES EXPLORED BY PARTICIPANTS INCLUDE MOVING MEDITATION, JOURNALING, GUIDED IMAGERY, AND MINDFULNESS. THIS MIND BODY SERIES IS A PROVEN METHOD TO REDUCE STRESS, INCREASE SELF-ESTEEM, AND IMPROVE A PERSON'S OVERALL QUALITY OF LIFE. THE 2020 ANTICIPATED IMPACT FOR THE STRESS REDUCTION SUITE WAS A DECREASE IN PARTICIPANTS' PERCEIVED STRESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: DUE TO COVID-19, CLASSES WERE PIVOTED TO VIRTUAL. ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL. SYSTEM OUTCOME: 1.28 POINTS DECREASE FROM PRE-PROGRAM-SURVEY TO POST- PROGRAM-SURVEY IN RESPONSE TO THE FOLLOWING METRIC: PARTICIPANTS' PERCEIVED STRESS. AVERAGE CHANGE (DECREASE) IN PARTICIPANTS' PERCEIVED STRESS ON A 10 POINT SCALE - THE HIGHER THE SCORE, THE MORE THE PERCEIVED STRESS. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE TRAUMA INFORMED CONGREGATIONS PROGRAM, THE IMPLEMENTATION OF THE RISKING CONNECTION IN FAITH COMMUNITIES CURRICULUM ACROSS FAITH COMMUNITIES. RISKING CONNECTION HELPS CLERGY UNDERSTAND THE NATURE OF TRAUMA, ITS IMPACT ON PEOPLE AND HOW FAITH LEADERS CAN SUPPORT AND BRING HEALING TO TRAUMA SURVIVORS. THE 2020 ANTICIPATED IMPACT FOR THE TRAUMA INFORMED CONGREGATIONS PROGRAM WAS AN INCREASE IN CLERGY/LEADER UNDERSTANDING OF THE IMPACT OF TRAUMA ON TRAUMA SURVIVORS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL SYSTEM OUTCOME: 100% OF PARTICIPANTS REPORTED THEY STRONGLY AGREE OR AGREE TO THE FOLLOWING: I UNDERSTAND THE CONCEPTS OF TRAUMA AND IMPACT TRAUMA CAN HAVE ON TRAUMA SURVIVORS. EVALUATION OF SURVEY RESULTS ADJUSTED IN 2020, AS THERE WAS NO PRE-SURVEY ADMINISTERED, ONLY A POST SURVEY WAS CONDUCTED. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED YOUTH GRIEF SERVICES SESSIONS AND CAMPS. YOUTH GRIEF SERVICES (YGS) PROVIDES A SAFE AND NURTURING PLACE WHERE FAMILIES CAN TURN FOR HELP AFTER A LOVED ONE DIES. YGS ASSISTS IN THE HEALING PROCESS THROUGH A NETWORK OF PROGRAMS AND SERVICES THAT SUPPORT, EDUCATE, AND CONNECT GRIEVING FAMILIES. THE 2020 ANTICIPATED IMPACT FOR YOUTH GRIEF SERVICES WAS AN INCREASE IN YOUTH PARTICIPANTS' KNOWLEDGE OF HEALTHY COPING STRATEGIES IN RESPONSE TO GRIEF. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 13B THE MINNESOTA ATTORNEY GENERAL AGREEMENT WAS USED IN THE DETERMINATION OF THE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY-ENGLISH.ASHX?LA=EN PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTP://WWW.FVFILES.COM/2266.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY--PLAIN-LANGUAGE-SUMMARY_ENGLISH.ASHX?LA=EN FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 16J THE ORGANIZATION ATTACHES A SUMMARY OF THE POLICY TO BILLING INVOICES AND ALSO COMMUNICATES TO PATIENTS DURING ADMISSION, FINANCIAL COUNSELING AND COLLECTION CALLS THAT THERE IS A FINANCIAL ASSISTANCE PROGRAM AND THAT AN APPLICATION CAN BE PROVIDED TO THEM. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY-2020-FINAL-VERSION_EN.ASHX?LA=EN PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/FAIRVIEW-CHARITY-CARE HTTP://WWW.FVFILES.COM/2266.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/4454EN-FINANCIAL- ASSISTANCE-PLS-2020.ASHX?LA=EN SCHEDULE H, PART I, LINE 7G THERE ARE NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN LINE 7G. SCHEDULE H, PART I, LINE 7, COLUMN (F) THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A THROUGH 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. SCHEDULE H, PART II EFFORTS TO ESTABLISH OR ENHANCE COMMUNITY SUPPORT NETWORKS, SUCH AS MENTORING PROGRAMS, YOUTH ASSET DEVELOPMENT, NEIGHBORHOOD WATCH GROUPS. SCHEDULE H, PART III, LINE 2 THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. SCHEDULE H, PART III, LINE 3 THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. SCHEDULE H, PART III, LINE 4 THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. SCHEDULE H, PART III, LINE 8 THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 9B THE ORGANIZATION'S COLLECTION POLICY AND PRACTICES PROVIDE THAT A PATIENT WHO INDICATES AN INABILITY TO PAY BE PROVIDED WITH THE INFORMATION AND APPLICATION FOR THE ORGANIZATION'S FINANCIAL AID POLICY. WHEN A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS RECEIVED, IT IS PROCESSED ACCORDING TO THE ORGANIZATION'S POLICY TO DETERMINE WHETHER THE PATIENT QUALIFIES FOR DISCOUNTED OR FREE MEDICAL SERVICES. THE ORGANIZATION WILL NOT BEGIN THE BILLING PROCESS UNTIL A DETERMINATION IS MADE WHETHER THE PATIENT QUALIFIES FOR DISCOUNTED OR FREE MEDICAL SERVICES. HOWEVER, IF A PATIENT EXPIRES OR FILES FOR BANKRUPTCY PRIOR TO PROVIDING A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THERE IS NO WAY TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE. SCHEDULE H, PART VI, LINE 2 ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT BETHESDA HOSPITAL'S MISSION: DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. IN ORDER TO ACHIEVE OPTIMAL HEALTH FOR OUR COMMUNITY, WE MUST REACH BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS TO UNDERSTAND THE HEALTH OF OUR COMMUNITY WHERE THEY LIVE. BETHESDA HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EVERY THREE YEARS SINCE 1998 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL HEALTH NEEDS OF THE COMMUNITY AND TO DEVELOP STRATEGIES TO ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS, ORGANIZATIONS, AND LOCAL PUBLIC HEALTH AGENCIES. IN ADDITION TO FULFILLING THE IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS, THE CHNA WILL ALSO SERVE TO INFORM ORGANIZATIONAL STRATEGIES. IN LATE 2017 BETHESDA HOSPITAL PARTICIPATED IN A MULTI-HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH ST. JOHNS HOSPITAL, ST. JOSEPHS HOSPITAL, AND WOODWINDS HEALTH CAMPUS. THE FOUR HOSPITALS ALSO SHARED A COMMON COMMUNITY ADVISORY COUNCIL. AFTER JOINING FAIRVIEW IN 2018 THE DECISION WAS MADE TO CONDUCT HOSPITAL SPECIFIC ASSESSMENT FOR THESE FOUR HOSPITALS USING THE SHARED HEALTHEAST COMMUNITY ADVISORY COUNCIL IN THE 2018 ASSESSMENT PROCESS EACH FAIRVIEW'S HOSPITALS AND MEDICAL CENTERS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. WE FULFILL OUR RESPONSIBILITY NOT ONLY THROUGH THE CHNA, BUT ALSO THROUGH EFFORTS INCLUDING: A SUSTAINABLE FUNDING STRUCTURE THAT SUPPORTS INNOVATIVE AND COLLABORATIVE HEALTH PROJECTS THAT HAVE MEASURABLY IMPROVED HEALTH OUTCOMES AND EARNED NATIONAL RECOGNITION. POLICIES AND BILLING PRACTICES THAT SUPPORT APPROPRIATE FINANCIAL ASSISTANCE FOR THOSE IN NEED. WHILE FAIRVIEW'S COMMUNITY HEALTH PROGRAMS ADDRESS THE NEEDS OF THE WHOLE COMMUNITY, OUR EFFORTS ARE FOCUSED ON SENIORS, PEOPLE EXPERIENCING POVERTY, PERSONS OF COLOR, AND INDIGENOUS PEOPLE. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY HEALTH NEEDS IN THE LOCAL COMMUNITY. ALTHOUGH EACH FAIRVIEW HOSPITAL AND/OR MEDICAL CENTER WORKED FROM QUALITATIVE AND QUANTITATIVE DATA SPECIFIC TO THEIR COMMUNITY, THERE WERE LARGE OVERLAPS IN THE IDENTIFIED COMMUNITY NEEDS. THE HOSPITALS AND/OR MEDICAL CENTERS THREE PRIORITIES ARE CONSISTENT ACROSS ALL FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. THE THREE PRIORITY HEALTH NEEDS ARE: MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES AND ACCESS TO CARE AND RESOURCES. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND THESE THREE PRIORITY HEALTH ISSUES. SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION HAS FINANCIAL COUNSELORS AND SOCIAL WORKERS AVAILABLE TO ASSIST PATIENTS IN DETERMINING WHETHER THEY QUALIFY FOR HELP WITH THEIR MEDICAL BILLS. BILLING AND INSURANCE INFORMATION IS AVAILABLE ONLINE AND IN THE PATIENT HANDBOOK THAT IS PROVIDED TO PATIENTS, WHICH EXPLAIN THE ORGANIZATION'S BILLING AND PAYMENT POLICIES AS WELL AS CONTACT INFORMATION FOR DISCUSSING FINANCIAL ASSISTANCE WITH OUR FINANCIAL COUNSELORS AND SOCIAL WORKERS. PATIENTS ARE INFORMED ABOUT THE AVAILABILITY OF FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, CHARITY CARE AVAILABILITY AS WELL AS DISCOUNTED CARE ELIGIBILITY REQUIREMENTS. THE PATIENT HANDBOOK ALSO PROVIDES INFORMATION REGARDING COLLECTION POLICIES AND PRACTICES. BILLS PROVIDED TO PATIENTS INCLUDE THE FOLLOWING STATEMENT: "FINANCIAL AID AVAILABLE: IT IS IMPORTANT THAT YOU LET US KNOW IF YOU WILL HAVE TROUBLE PAYING YOUR BILL. HEALTHEAST MAY BE ABLE TO HELP YOU GET FREE OR LOW-COST HEALTH COVERAGE THROUGH COMMUNITY OR GOVERNMENT PROGRAMS. ALTHOUGH HEALTHEAST CAN ASSIST YOU IN THIS PROCESS, YOU MUST APPLY FOR THESE BENEFITS IF YOU ARE ELIGIBLE." SCHEDULE H, PART VI, LINE 4 BETHESDA HOSPITAL, PART OF FAIRVIEW HEALTH SERVICES, OPENED IN ST. PAUL IN 1883. BETHESDA HOSPITAL IS THE LARGEST LONG-TERM ACUTE CARE HOSPITAL IN THE REGION, PROVIDING SPECIALIZED CARE FOR PATIENTS EXPERIENCING SUDDEN TRAUMA OR LONG-TERM ILLNESS. SERVICES ARE SPECIFICALLY DESIGNED TO TREAT PATIENTS WITH MULTIPLE MEDICAL CONDITIONS AND COMPLEX NEEDS, PARTICULARLY ONES THAT REQUIRE LONGER-TERM, HOSPITAL-LEVEL CARE WITH DAILY PHYSICIAN INVOLVEMENT. IN THESE UNIQUE CIRCUMSTANCES, BETHESDA HOSPITAL CARES FOR PATIENTS PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL NEEDS. FOR THE PURPOSES OF THE CHNA, BETHESDA HOSPITAL'S COMMUNITIES ARE DEFINED AS THE POPULATION OF THE COMBINED ZIP CODES FOR BETHESDA HOSPITAL'S PRIMARY SERVICE AREA. THE COMMUNITY INCLUDES 20 ZIP CODES WHERE APPROXIMATELY 80 PERCENT OF ITS PATIENTS LIVE, THE CITY WHERE THE HOSPITAL RESIDES, ST. PAUL, MN, AND THE COUNTY WHERE THE HOSPITAL RESIDES, RAMSEY COUNTY. THE TOTAL POPULATION OF THIS GEOGRAPHIC COMMUNITY IS 415,297 PEOPLE, IT COVERS 179 SQUARE MILES. BETHESDA HOSPITAL IS LOCATED IN RAMSEY COUNTY. RAMSEY COUNTYS POPULATION HAS BECOME INCREASINGLY DIVERSE. WHILE WHITE RESIDENTS STILL ACCOUNT FOR THE LARGEST RACIAL GROUP IN RAMSEY COUNTY, WHITE RESIDENTS COMPRISE A SMALLER PERCENTAGE OF THE POPULATION TODAY (62 PERCENT) COMPARED TO 75 PERCENT IN 2000. RESIDENTS IDENTIFYING AS ASIAN MAKE UP THE SECOND LARGEST GROUP AT 15 PERCENT OF THE OVERALL POPULATION. THE PROPORTION OF RAMSEY COUNTY RESIDENTS AGE 65 AND OLDER HAS INCREASED. 14 PERCENT OF RAMSEY COUNTY RESIDENTS ARE AGE 65 AND OLDER, COMPARED TO 12 PERCENT IN 2000. SCHEDULE H, PART VI, LINE 5 IN ADDITION TO THE COMMUNITY BENEFITS AND ACTIVITIES DESCRIBED IN OTHER PARTS OF THIS FILING, THE ORGANIZATION FURTHERS ITS TAX-EXEMPT CHARITABLE PURPOSE AND PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: THE ORGANIZATION'S HOSPITALS EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. BEING PART OF A NON-PROFIT, TAX-EXEMPT HEALTHCARE SYSTEM, THE ORGANIZATION REINVESTS ANY EXCESS REVENUES BACK INTO THE CORE OPERATIONS OF THE ORGANIZATION FOR WHICH THE TAX-EXEMPTION WAS GRANTED. THE ORGANIZATION OFFERS VARIOUS HEALTH CARE CLASSES, HEALTH SCREENINGS, SUPPORT GROUPS AND OTHER EVENTS RELATED TO THE PROMOTION OF HEALTH. SOME EXAMPLES ARE IN THE FOLLOWING AREAS: DIABETES, PAIN CARE, PREGNANCY, BIRTHING, PARENTING, HEART DISEASE, WEIGHT LOSS, WOMEN'S HEALTH, VEIN THERAPY, CHEMICAL DEPENDENCY, STROKE, CANCER, BRAIN INJURY, SMOKING CESSATION AND CPR (CARDIOPULMONARY RESUSCITATION). THE ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS THAT ARE MEMBERS OF THE COMMUNITY THE ORGANIZATION SERVES. SCHEDULE H, PART VI, LINE 6 HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE ORGANIZATION THAT IS PART OF FAIRVIEW HEALTH SERVICES. HEALTHEAST CARE SYSTEM PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE, AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. ABOUT FAIRVIEW HEALTH SERVICES: FAIRVIEW HEALTH SERVICES (FAIRVIEW.ORG) IS A MINNEAPOLIS-BASED NONPROFIT HEALTH SYSTEM DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA, SERVING THE GREATER TWIN CITIES METRO AREA AND NORTH-CENTRAL MINNESOTA. THROUGH A CLOSE RELATIONSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW OFFERS ACCESS TO BREAKTHROUGH MEDICAL RESEARCH AND SPECIALTY EXPERTISE AS PART OF A CONTINUUM OF CARE THAT REACHES ALL AGES AND HEALTH NEEDS. OUR MISSION: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FAIRVIEW AT A GLANCE: 33,000+ EMPLOYEES 5,000+ SYSTEM PROVIDERS 11 HOSPITALS AND MEDICAL CENTERS 2,177 STAFFED BEDS 56+ PRIMARY CARE CLINICS 55+ SPECIALTY CLINICS 70+ SENIOR HOUSING LOCATIONS 40+ RETAIL AND SPECIALTY PHARMACIES FAIRVIEW HAS THE FOLLOWING HOSPITALS AND MEDICAL CENTERS: BETHESDA HOSPITAL (ST. PAUL) FAIRVIEW LAKES MEDICAL CENTER (WYOMING) FAIRVIEW NORTHLAND MEDICAL CENTER (PRINCETON) FAIRVIEW RANGE MEDICAL CENTER (HIBBING) FAIRVIEW RIDGES HOSPITAL (BURNSVILLE) FAIRVIEW SOUTHDALE HOSPITAL (EDINA) GRAND ITASCA CLINIC & HOSPITAL (GRAND RAPIDS) ST. JOHN'S HOSPITAL (MAPLEWOOD) ST. JOSEPH'S HOSPITAL (ST. PAUL) UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL (MINNEAPOLIS) WOODWINDS HEALTH CAMPUS (WOODBURY) SCHEDULE H, PART VI, LINE 7 MINNESOTA true true false false false false false true false JAMES HEREFORD PRESIDENT/CEO 1655996 250000 675788 39645 2621429 LAURA REED RN COO 844330 160422 44055 1048807 ROBERT BEACHER CHIEF OF SHARED CLIN 625269 155457 45500 93532 919758 DANIEL M FROMM FORMER CFO 769600 111548 881148 MARK WELTON MD CHIEF MEDICAL OFFICE 677489 135229 36350 849068 JOHN BATSON CFO 788486 174 19500 37278 845438 TRUDI N TRYSLA CHIEF LEGAL COUNSEL 525478 89496 100980 75025 790979 SAMEER BADLANI CIO 582945 50000 39000 33986 705931 SRIJOY MAHAPATRA CHF STRATEGY OFFICER 633360 57052 13302 703714 DAVID CROSBY CHF VALUE BASED SOLU 580889 26000 32946 639835 MARY NEASE CHIEF PEOPLE OFFICER 560298 15000 26000 32752 634050 SCOTT WEBER CHF MRKTG COMM & DIG 414752 54044 31453 500249 LYUDMILA ISLYAMOVA MD PHYSICIAN 281934 77354 19500 36740 415528 BRYAN JARABEK CMIO 342756 12205 25615 380576 JEFFREY HERICKHOFF MD PHYSICIAN 272020 35482 26000 42557 376059 SUSAN PLEASANTS CMIO 296840 16422 19500 35024 367786 IVAYLO KRASTEV MD PHYSICIAN 234928 49454 45500 32969 362851 VIOREL GHEORGHE MD PHYSICIAN 241337 13425 30376 32462 317600 JOSEPH LEE MD PHYSICIAN 169457 85343 5805 10365 23184 294154 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES HEREFORD 0 630,288 0 LAURA REED, RN 0 114,922 0 ROBERT BEACHER 0 89,553 0 DANIEL M. FROMM 769,600 0 0 MARK WELTON, MD 0 95,721 0 TRUDI N. TRYSLA 0 74,980 0 SRIJOY MAHAPATRA 0 37,552 0 SCOTT WEBER 0 37,077 0 SCHEDULE J, PAGE 1, PART I, LINE 7 FAIRVIEW HEALTH SERVICES PROVIDES LUMP SUM FINANCIAL AWARDS BASED ON SYSTEM-WIDE, BUSINESS UNIT AND/OR DEPARTMENTS FINANCIAL AND QUALITY MEASURES. ANNUAL GOALS, SPECIFICALLY TIED TO PRODUCTIVITY AND QUALITY INDICATORS, ARE SET FOR THE YEAR AND AN INCENTIVE PAID OUT ANNUALLY IF KEY GOALS AND MEASURES ARE ACHIEVED. SCHEDULE J, PART III THE NONQUALIFIED PLAN IS ONLY OPEN TO A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES. THE PLAN CONTRIBUTES THE DIFFERENCE OF WHAT 403(B) EMPLOYER CONTRIBUTIONS WERE MISSED FOR PARTICIPANTS WHO EARN MORE THAN THE IRS LIMIT ON ELIGIBLE COMPENSATION FOR QUALIFIED RETIREMENT PLANS. THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE. FORM 990, PAGE 2, PART III, LINE 3 FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FORM 990, PAGE 2, PART III, LINE 4A HEALTHEAST CARE SYSTEM IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND PROVIDED POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY FOR MORE THAN A CENTURY. IN EARLY 2020, BETHESDA HOSPITAL BECAME MINNESOTA'S FIRST DEDICATED COVID- 19 TREATMENT FACILITY. IT PLAYED A CRITICAL ROLE IN THE STATE'S EARLY PANDEMIC RESPONSE AND ACHIEVED SOME OF THE HIGHEST SURVIVAL RATES IN THE NATION - AND EVEN THE WORLD - DURING THE EARLY DAYS OF THE PANDEMIC. ITS CARE TEAMS CREATED NEW CARE MODELS AND CONNECTED PATIENTS TO TREATMENT OPTIONS AND CLINICAL TRIALS SUPPORTED BY RESEARCHERS AT THE UNIVERSITY OF MINNESOTA. WHAT MADE CARE SUCCESSFUL WAS THE MODELS ESTABLISHED USING PROTOCOLS TO IDENTIFY PATIENT RISKS EARLY AND OFFER APPROPRIATE TREATMENTS. TREATMENT PROTOCOLS INITIALLY DEVELOPED AT BETHESDA ARE USED ACROSS THE FAIRVIEW HEALTH SYSTEM. IN DECEMBER 2020, A NEW MISSION TRANSFORMED BETHESDA HOSPITAL THAT IS CRITICAL TO OUR COMMUNITY'S COVID-19 RESPONSE - PROVIDING SHELTER TO 100 HOMELESS PEOPLE IN PARTNERSHIP WITH RAMSEY COUNTY. RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. ADEQUATE HOUSING IS CRITICAL TO IMPROVING OUR COMMUNITY'S HEALTH, AND NOW, IT'S ALSO CRITICAL TO PREVENTING THE SPREAD OF COVID-19 TOO. EVIDENCE SHOWS PEOPLE WITHOUT STABLE HOUSING EXPERIENCE HIGHER RATES OF DISEASE, ARE MORE LIKELY TO HAVE MULTIPLE HEALTH CONCERNS AND HAVE A LOWER LIFE EXPECTANCY THAN OTHERS IN THE SAME COMMUNITY. THESE HEALTH CHALLENGES, IN TURN, MAKE IT HARDER TO HOLD A JOB. AND DURING THE PANDEMIC, THEY'RE MORE LIKELY TO SUFFER POORER OUTCOMES IF THEY SHOULD CONTRACT COVID-19. AS BETHESDA EVOLVES, IT WILL CONTINUE TO PLAY A CRITICAL ROLE IN THE STATE'S COVID-19 RESPONSE - BUT IN A NEW WAY. SINCE THE PANDEMIC BEGAN, THE MEDICAL COMMUNITY HAS LEARNED A LOT ABOUT HOW TO TREAT THE ILLNESS AND INCREASE SURVIVAL RATES, AND THE MODELS CREATED AT BETHESDA ARE SAVING LIVES THROUGHOUT OUR HEALTH SYSTEM. THAT ALLOWS US THE OPPORTUNITY TO TRANSITION THE SITE TO A NEW PHASE OF SUPPORT. TOO OFTEN, IN TIMES OF CRISIS, THE MOST VULNERABLE IN OUR COMMUNITY ARE OVERLOOKED. TRUE TO ITS MISSION, THE NEW USE OF BETHESDA WILL ENSURE WE HELP THOSE MOST IN NEED AS WE AGGRESSIVELY RESPOND TO THE COVID-19 PANDEMIC. FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FAIRVIEW HEALTH SERVICES IS AN INDUSTRY-LEADING, AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC, STANDING UP THE STATE'S FIRST DEDICATED COVID-19 HOSPITAL AT ITS BETHESDA HOSPITAL FACILITY. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90+ OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FORM 990, PAGE 2, PART III, LINE 4B HEALTHEAST CARE SYSTEM OFFERED EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT) THROUGH APRIL 2020. ON MAY 1, 2020 THESE SERVICES ARE NOW BEING REPORTED ON THE FAIRVIEW HEATH SERVICES FORM 990. FOR THE SERVICES REFLECTED IN THIS RETURN, HEALTHEAST MEDICAL TRANSPORTATION CONTINUES TO BE A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION SERVICES. SERVICES PROVIDED TO MEET THE NEEDS OF THE COMMUNITY ARE: GROUND AMBULANCE SERVICES (ADVANCED AND BASIC LIFE SUPPORT AND CRITICAL CARE) EMERGENCY COMMUNICATIONS SERVICES FLEET MAINTENANCE SERVICES EMERGENCY VEHICLE CONVERSION SERVICES TRAINING AND EDUCATION THROUGH EMS ACADEMY SPECIAL EVENT MEDICAL STANDBYS PROGRAMS INCLUDING COMMUNITY PARAMEDICINE, COMMUNITY CPR AND CARE SEAT CHECKS. WHEELCHAIR TRANSPORTATION SERVICES (MEDKAB) HEALTHEAST CARE SYSTEM INTER-FACILITY COURIER SERVICES TACTICAL EMERGENCY MEDICAL SERVICES (TEMS) FOR HIGH-RISK SITUATIONS HEALTHEAST MEDICAL TRANSPORTATION HAS BEEN SERVING THE TWIN CITIES FOR MORE THAN 100 YEARS UNDER DIFFERENT COMPANY NAMES. OUR SERVICE BEGAN IN 1910 AS OLSEN AMBULANCE. IN 1986, WE BECAME HEALTHEAST MEDICAL TRANSPORTATION WHEN HEALTHEAST CARE SYSTEM WAS FORMED. TODAY WE PROVIDE WHEELCHAIR TRANSPORT, AND BASIC, ADVANCED AND CRITICAL CARE LIFE SUPPORT TRANSPORTATION THROUGHOUT THE TWIN CITIES. WE ARE ALSO PROUD TO PROVIDE 9-1-1 ADVANCED LIFE SUPPORT FOR NORTHERN DAKOTA COUNTY. REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. FORM 990, PAGE 2, PART III, LINE 4C HEALTHEAST CARE SYSTEM PROVIDES PROFESSIONAL HOME HEALTH CARE PERSONNEL AND SERVICES THROUGH HEALTHEAST HOME CARE. THESE HEALTH CARE SERVICES ARE PROVIDED TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND OTHERS WITHIN THE COMMUNITY. HOME CARE SERVICES INVOLVE VISITS TO THE PATIENT'S HOME AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, INFUSION THERAPY, MEDICAL SOCIAL WORKER VISITS, HOME HEALTH AIDE VISITS AND IN-HOME EMERGENCY RESPONSE MONITORING SYSTEM. HOME CARE REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. NURSING CASE MANAGERS HAVE A BROAD RANGE OF NURSING EXPERIENCE, AND PROVIDE ASSESSMENTS, TEACHING AND SKILLED NURSING PROCEDURES. THE CASE MANAGER WORKS WITH DOCTORS, OTHER TEAM MEMBERS, AND CAREGIVERS TO DEVELOP A PLAN OF CARE. LABORATORY SPECIMENS CAN BE DRAWN OR COLLECTED AT HOME BY A NURSE AND DELIVERED TO A CERTIFIED LABORATORY FOR TESTING. HOME HEALTH AIDES PROVIDE HANDS-ON PERSONAL CARE. THIS MAY INCLUDE BATHING, ASSISTANCE WITH WALKING AND TRANSFERRING, MINOR DRESSING CHANGES AND CARE OF OSTOMIES, WOUNDS AND INCONTINENCE. HOME CARE PROVIDES EXTENSIVE REHABILITATION SERVICES FROM THEIR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY DEPARTMENTS. HOME INFUSION THERAPY/INTRAVENOUS (IV) MEDICATIONS CAN NOW BE SAFELY ADMINISTERED IN THE HOME. SPECIALLY TRAINED NURSES AND CLINICAL PHARMACISTS WORK WITH DOCTORS TO PROVIDE EFFECTIVE INFUSION THERAPIES. HIGH-RISK PREGNANCIES CAN BE MONITORED BY A HOME CARE NURSE IN THE COMFORT OF THE PATIENTS' HOME TO HELP PREVENT COMPLICATIONS AND EARLY DELIVERIES. HOME CARE ALSO PROVIDES POSTPARTUM SERVICES THAT ARE INDIVIDUALIZED HOME CARE SERVICES TO NEW PARENTS AND THEIR BABIES; THIS TYPICALLY INCLUDES A ONE-TIME VISIT TO ASSIST NEW PARENTS, ESPECIALLY THE MOTHER, AND NEWBORNS WITH THE ADJUSTMENT OF HAVING A NEW BABY IN THE HOME. THIS VISIT CAN INCLUDE LACTATION ASSISTANCE AND HYPERBILIRUBINEMIA (JAUNDICE) ASSESSMENT. IN ADDITION, WE OFFER SOCIAL WORK SERVICES TO ADDRESS AREAS INCLUDING CRISIS INTERVENTION AND NUTRITION THERAPY SERVICES FOR PATIENTS WITH SPECIAL MEDICAL NEEDS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. HEALTHEAST PALLIATIVE CARE PROVIDES HOME HEALTH CARE TO THOSE WITH ADVANCED CHRONIC ILLNESSES, SUCH AS CANCER, HEART, LUNG, LIVER OR NEUROLOGICAL DISEASE. AGGRESSIVE SYMPTOM MANAGEMENT IS PROVIDED ALONG WITH THE SUPPORT OF THE BODY, MIND AND SPIRIT. HEALTH ALERT IS AN IN-HOME EMERGENCY RESPONSE SYSTEM THAT ALLOWS CUSTOMERS TO LIVE INDEPENDENTLY IN THEIR HOME WITH DIRECT ACCESS TO EMERGENCY ASSISTANCE. FORM 990, PART V LINES 1A AND 2A: SECTION B: INDEPENDENT CONTRACTORS ALL FORM 1099'S AND FORM W-2'S WERE FILED BY A RELATED ORGANIZATION FAIRVIEW HEALTH SERVICES, A 501(C)(3) NON-PROFIT, TAX-EXEMPT ORGANIZATIONS. FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD. FORM 990, PAGE 6, PART VI, LINE 7B THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS. FORM 990, PAGE 6, PART VI, LINE 11B THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER, CONTROLLER, AND VICE PRESIDENT AND TREASURER. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 THIS ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT. FORM 990, PART VII SECTION B: INDEPENDENT CONTRACTORS FORM 1099'S WERE FILED BY A RELATED ORGANIZATION FAIRVIEW HEALTH SERVICES, A 501(C)(3) NON-PROFIT, TAX-EXEMPT ORGANIZATIONS. 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