2021-11-12T07:38:27-08:00 2020-12-31 990 2020-01-01 930602940 St Charles Health System Inc STCH 5417067707 2500 NE Neff Rd BEND OR 97701 Swafford Matthew SENIOR VP/CFO 2021-11-12 Swafford Matthew 999009999 0 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Sluka Joseph 2500 NE Neff Rd BEND OR 97701 1002115958 false X http://www.stcharleshealthcare.org/ X 2001 OR Mission: In a spirit of love and compassion, better health, better care, better value. Vision: Creating America's healthiest community, together. 11 10 5277 450 4876669 4466807 7165458 866025605 895837716 128104012 -211804 3542630 10036813 1002139054 912828183 1429434 736062 0 459720034 507633403 0 567181 372574003 395674015 833723471 904043480 168415583 8784703 1206976077 1470535512 435183665 649990481 771792412 820545031 X To own, manage and operate hospitals in Central Oregon, as well as the care of sick, injured and infirm and the carrying on, participation in and sponsorship of health-related services and activities in the communities. false false 477638701 736062 626560421 St. Charles BendSCMC-B PROVIDED SERVICES FOR 15,864 INPATIENTS, 2,114 BIRTHS, 14,183 SURGICAL CASES, 38,125 EMERGENCY ROOM VISITS, AND 95,204 OTHER OUTPATIENT VISITS IN 2020. AS ONE OF THE PACIFIC NORTHWEST'S LEADING REGIONAL HEALTH CARE FACILITIES, ST. CHARLES BEND PROVIDES SERVICES TYPICALLY FOUND IN MARKETS MANY TIMES ITS SIZE. FOR 100 YEARS, ST. CHARLES BEND HAS TAKEN RESPONSIBILITY FOR THE HEALTH AND WELL-BEING OF GENERATIONS OF OREGONIANS, DEVELOPING INTO A LEVEL II REGIONAL TRAUMA CENTER WITH SPECIALIZED PARTNERSHIPS IN HEART, CANCER, ORTHOPEDICS AND NEUROSURGERY. 85355030 59226956 St. Charles Medical Group (SCMG)SCMG IS A GROUP OF MEDICAL CLINICS OWNED AND OPERATED BY ST. CHARLES HEALTH SYSTEM. THESE CLINICS ARE LOCATED THROUGHOUT THE REGION AND PROVIDE OUTPATIENT SERVICES SUCH AS CANCER CARE, OB/GYN, PULMONARY CARE, SLEEP DISORDER RESOURCES, HEART SERVICES AND PRIMARY CARE. SCMG PROVIDED OVER 190,500 VISITS IN BEND CLINICS, 25,370 VISITS IN REDMOND CLINICS, 7,800 VISITS IN THE SISTERS CLINIC, 23,990 VISITS IN PRINEVILLE CLINICS, 10,030 IN THE MADRAS CLINICS AND 5,660 IN LA PINE CLINICS IN 2020. SCMG ALSO OPERATES TWO IMMEDIATE CARE CLINICS TO PROVIDE LOW-COST URGENT CARE SERVICES TO THE COMMUNITY; THE IMMEDIATE CARE CLINICS PROVIDED SERVICES FOR MORE THAN 22,500 PATIENT VISITS IN 2020. 72904807 94320569 St. Charles RedmondSCMC-R PROVIDED SERVICES FOR 2,046 INPATIENTS, 3,837 SURGICAL CASES, 18,786 EMERGENCY ROOM VISITS, AND 39,198 OTHER OUTPATIENT VISITS IN 2020. AT ST. CHARLES REDMOND, THE PATIENT EXPERIENCE REMAINS AT THE CENTER OF ALL WE DO AND EACH PATIENT IS EMPOWERED TO PLAY AN ACTIVE ROLE IN HIS OR HER OWN CARE AND HEALING. SURGERIES ARE PERFORMED IN FOUR OF OREGON'S NEWEST AND MOST ADVANCED SURGICAL SUITES. PATIENTS AND THEIR FAMILIES ENJOY THE COMFORT OF STATE-OF-THE-ART PATIENT ROOMS. EVERYONE RECEIVES THE LEVEL OF CARE THAT IS EXPECTED OF A LEADING REGIONAL HEALTH CARE FACILITY. 91338645 120754408 727237183 true true false true false false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false true false true false false false true true true false false false true 369 0 true 5277 true true true false false false false false false 0 false false false false false true false X 11 10 false false true false false false false true true false true true true true true true true true true true true true OR X MATTHEW SWAFFORD 5417067707 2500 NE Neff Rd BEND OR 97701 Sluka Joseph President 50.00 1.00 X 1204088 0 221442 Slater Matthew MD Physician 60.00 0.00 877859 0 37615 Laughlin James MD Physician 50.00 0.00 744718 0 42499 Absalon Jeffrey MD CHIEF PHYSICIAN EXECUTIVE 40.00 0.00 666981 0 117516 Clover Todd MD Physician 55.00 0.00 668918 0 45816 Dixon Jennifer MD Physician 50.00 0.00 672194 0 37933 Vlessis Angelo MD Physician 50.00 0.00 653420 0 45180 Simmons Iman SVP COO 50.00 1.00 534585 0 95347 Welander Jennifer Senior VP/CFO 50.00 1.00 X 524567 0 91126 Steinke Pamela SVP Quality/CNE 40.00 0.00 494670 0 56139 Guyn Jim MD SVP Population Health 40.00 1.00 495854 0 42448 Brickhouse Jeremiah SVP/CIO 50.00 1.00 401734 0 81541 Marchiando Rod SVP Improvement & Strategy 40.00 0.00 394525 0 83397 Binder Darren SVP Chief Legal & Risk Officer 50.00 0.10 385648 0 86095 Adams Aaron CEO Bend & Redmond 40.00 0.00 390817 0 77293 Berry Rebecca VP Human Resources 55.00 0.00 366683 0 66860 Freeman Richard PRESIDENT, SCMG 50.00 0.00 351816 0 15866 Pfister Robert SVP Chief Quality and Safety Physic 60.00 0.00 316966 0 42657 Robinson Debra CNO Bend 55.00 0.00 243969 0 37057 Powell Michael CHIEF PHARMACY OFFICER 50.00 0.00 220121 0 37822 Ostrom Julie SR Director Periop & Cardio 40.00 0.00 191768 0 34698 Reedy James CNO Redmond 40.00 0.00 210942 0 12607 Richards Michael VP Operations Medial Group 50.00 0.00 183547 0 36788 Breit Mindy SR Director Diagnostics 40.00 0.00 160817 0 29844 Stevens Carla SR Director Periop & Cardio 40.00 0.00 147931 0 2589 Askari Sanaz MD Director 5.00 0.00 X 58500 0 0 Orlikoff James Chairman 5.00 0.00 X X 30000 0 0 Sayeg Thomas Director 5.00 0.00 X 25000 0 0 Schuette Dan Director 25.00 0.00 X 25000 0 0 DeGroot Shawn Director 5.00 0.00 X 25000 0 0 Dempsey Dennis Director 15.00 0.00 X 25000 0 0 Terhes John MD Director 5.00 0.00 X 25000 0 0 Gordon Steve Director 5.00 0.00 X 25000 0 0 Downer Doug Director 5.00 0.00 X 20000 0 0 Schmid Corey Director 5.00 0.00 X 20000 0 0 Haase Megan Vice Chair 5.00 0.00 X X 20000 0 0 11803638 1478175 1117 false true false CASCADE MEDICAL IMAGING LLC 1460 NE MEDICAL CENTER DR BEND OR 97701 Imaging Services 36896259 MAYO CLINIC LABORATORIES 200 SW FIRST STREET ROCHESTER MN 55905 LAB SERVICES 2107891 CENTRAL OREGON MRI LLC PO BOX 6059 BEND OR 97708 MRI services 5093022 BEND ANESTHESIOLOGY GROUP 150 W CIVIC CENTER DR STE 200 SANDY UT 84070 ANESTHESIOLOGY 2689406 OBHG OREGON PC 777 LOWNDES HILL RD BUILDING 1 GREENVILLE SC 29607 HOSPITALIST SERVICES 1701129 45 5493476 838850 833132 94265 7165458 St. Charles Bend 900099 626560421 626560421 St. Charles Madras 900099 45087889 45087889 St. Charles Medical Group 621110 59226956 59226956 St. Charles Prineville 900099 43590032 43590032 St. Charles Redmond 900099 94320569 94320569 27051849 27051849 895837716 155465 155465 0 0 138280 2774 135506 135506 135506 88711963 21930 89078112 23050 -366149 -1120 -367269 -367269 0 0 316922 183839 133083 133083 Healthcare JV Income 900099 3669536 3669536 IT Support 540000 5545314 668645 4876669 Supply Sales & Other Fees 900099 184289 184289 369085 369085 9768224 912828183 900862354 4876669 -76298 736062 736062 0 0 0 9455661 9455661 0 399576290 336186590 63081061 308639 16006148 13684165 2304203 17780 59045356 43392192 15585237 67927 23549948 20723523 2804471 21954 0 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1470535512 X 8784703 48974368 -9006452 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false true false false true 95303 false true 55874 151177 false false Part II-B, Line 1i - Other Activities Description ST. CHARLES UNDERTAKES LIMITED LOBBYING ACTIVITIES AIMED AT INFLUENCING STATE AND FEDERAL OFFICIALS ON HEALTHCARE MATTERS AFFECTING THE PROVISION AND FINANCING OF HEALTHCARE SERVICES BY NON-PROFIT HEALTH SYSTEMS IN OREGON. 5295153 100250 493847 58150 169830 26817 5634453 4702154 325 728943 113389 22880 5295153 4902009 2440 -127411 51407 23477 4702154 4527217 2577 573516 179114 22187 4902009 4475381 2517 236984 161937 25728 4527217 0.61000 0.29000 0.10000 false true true 20352207 20352207 478356896 201242414 277114482 7854906 5968758 1886148 317205006 223642182 93562824 41363731 9740355 31623376 424539037 JOINT VENTURES 3068835 C COST REPORT SETTLEMENT EST LIABILITIES 1458837 PROF LIAB INSURANCE 10395000 11853837 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are reported in this section because they are held by St. Charles Foundation, Inc., a related entity of SCHS. Permanently restricted endowment funds are primarily to be used for continuing education scholarships for caregivers and the professional medical community, support of SCHS' Community Benefit Programs, and in the area of greatest need. The Floyd Dement Hospital Trust Fund Testamentary Trust is administered by the Union Bank of California under a trust agreement which provides that the annual income be distributed to the Foundation for charity care to be provided to St. Charles Bend.St. Charles Foundation Board Designated endowments consist of two individual funds established for community benefit and indigent care. Part X : FIN48 Footnote The audited financial statements contain the following footnote: Accounting principles generally accepted in the United States of America require SCHS management to evaluate tax positions taken by the Corporation and recognize a tax liability (or asset) if the Corporation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Corporation and has concluded that as of December 31, 2020, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The Corporation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Corporations management believes it is no longer subject to income tax examinations for years prior to 2017. true true X true X 300.000000000 true X true true false false true true 18508 14327724 14327724 0.01580 159471 211476538 152003687 59472851 0.06580 177979 225804262 152003687 73800575 0.08160 3505 634339 634339 0.00070 1775 1262750 221288 1041462 0.00120 485 35903 35903 1185084 1185084 0.00130 5765 3118076 221288 2896788 0.00320 183744 228922338 152224975 76697363 0.08480 204824 177769 177769 0.00020 204824 177769 177769 0.00020 true 189557647 244131795 -54574148 X true true Cascade Medical Imaging LLC CT, Mammography and Other 0.70000 0.30000 Central Oregon Magnetic Res Magnetic Resonance Imaging 0.33300 0.66700 Heart Center of the Cascade Owns & manages a medical bu 0.50000 0.50000 Cascade SurgiCenter LLC Outpatient surgery 0.50000 0.50000 4 1 St Charles Bend 2500 NE NEFF RD BEND OR 97701 X X X 2 St Charles Redmond 1253 NW CANAL BLVD REDMOND OR 97756 X X X 3 St Charles Prineville 384 SE COMBS FLAT RD PRINEVILLE OR 97754 X X X X 4 St Charles Madras 470 NE A ST MADRAS OR 97741 X X X X St Charles Bend 1 false false true X X X X X X X X X 19 true true false true X http://www.stcharleshealthcare.org/ X true 19 true http://www.stcharleshealthcare.org/ false false true X 300.0000 400.0000 X X X X true true X X X true X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X X X X X X X true X false X X X true X false false St Charles Redmond 2 false false true X X X X X X X X X 19 true true false true X http://www.stcharleshealthcare.org/ X true 19 true http://www.stcharleshealthcare.org/ false false true X 300.0000 400.0000 X X X X true true X X X true X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X X X X X X X true X false X X X true X false false St Charles Prineville 3 false false true X X X X X X X X X 19 true true false true X http://www.stcharleshealthcare.org/ X true 19 true http://www.stcharleshealthcare.org/ false false true X 300.0000 400.0000 X X X X true true X X X true X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X X X X X X X true X false X X X true X false false St Charles Madras 4 false false true X X X X X X X X X 19 true true false true X http://www.stcharleshealthcare.org/ X true 19 true http://www.stcharleshealthcare.org/ false false true X 300.0000 400.0000 X X X X true true X X X true X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X http://www.stcharleshealthcare.org X X X X X X X true X false X X X true X false false Facility: St Charles Bend - Part V, Section B, Line 5 Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. Facility: St Charles Madras - Part V, Section B, Line 5 Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community stakeholder interviews: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. Facility: St Charles Prineville - Part V, Section B, Line 5 The CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. Facility: St Charles Redmond - Part V, Section B, Line 5 Methodologyprimary researchThe CHNA was conducted using many forms of data collection and analysis including the following primary research:Surveys: DHM Research conducted telephone interviews of more than 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. .Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community-based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. Facility: St Charles Bend - Part V, Section B, Line 6a St. Charles Redmond, St Charles Madras, St Charles Prineville Facility: St Charles Madras - Part V, Section B, Line 6a St. Charles Bend, St Charles Redmond, St Charles Prineville Facility: St Charles Prineville - Part V, Section B, Line 6a St. Charles Bend, St Charles Redmond, St Charles Madras Facility: St Charles Redmond - Part V, Section B, Line 6a St. Charles Bend, St Charles Madras, St Charles Prineville Facility: St Charles Bend - Part V, Section B, Line 11 The significant health needs that were identified for the St. Charles Bend facility were prioritized as such:1.Stable Housing & Supportsa.Housingb.Housing Supports for High Utilizersc.Homelessness2.Address Poverty & Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation3.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education & Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan)4.Substance & Alcohol Misuse Prevention & Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesitya.Preventable DiseasesAfter careful consideration, St. Charles Bend selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001 and in the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Deschutes County 32% of motor vehicle crash deaths involved alcohol and 21% of adults reported they had drank alcohol excessively in the past 30 days. In the 2013 Prevention Status report from the Center for Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Bend representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Deschutes County and is something that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Bend CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supportsa.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 4.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, this plan will only focus on severe issues that the organization has the most ability to impact, has community partners available to collaborate with and needs that will further St. Charles strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Bend, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Bend team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners. Facility: St Charles Madras - Part V, Section B, Line 11 The significant health needs selected for the St. Charles Madras facility were prioritized as such:1.Stable Housing & Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty & Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance & Alcohol Misuse Prevention & Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education & Developmentb.Childcarec.Immunizationsd.ACEs (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.CVDb.Diabetesc.Obesityd.Preventable DiseasesAfter careful consideration, St. Charles Madras selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Jefferson County 19% of motor vehicle crash deaths involved alcohol and 17% of adults reported drinking alcohol excessively in the past 30 days. In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Madras representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Jefferson County and that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Madras CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Madras, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Madras team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners. Facility: St Charles Prineville - Part V, Section B, Line 11 The significant health needs selected for the St. Charles Prineville facility were prioritized as such:1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 4.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases 5.Substance and Alcohol Misuse Prevention and Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 6.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan)After careful consideration, St. Charles Prineville selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days.[1] According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol.[2] Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report.[3] In Crook County 58% of motor vehicle crash deaths involved alcohol and 17% of adults reported drinking excessively in the past 30 days.[4] In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days.[5] In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities.St. Charles Prineville representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Crook County and that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked healthiest counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Prineville CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 4.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases 5.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 6.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of becoming the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Prineville, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Prineville team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners. Facility: St Charles Redmond - Part V, Section B, Line 11 The significant health needs selected for the St. Charles Redmond facility were prioritized as such:1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance and Alcohol Misuse Prevention and Treatment a.Alcoholb.Tobaccoc.Other Drugsd.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable DiseasesAfter careful consideration, St. Charles Redmond selected alcohol misuse prevention as its priority for the 2020-2022 regional health implementation strategy. The American Academy of Family Physicians defines alcohol misuse as a spectrum of behavior, including risky (excessive) alcohol use, alcohol abuse or alcohol dependence. Risky and excessive alcohol use means drinking more that the amount that results in an increased risk of poor health outcomes. They also mention that in the United States, 58% of men and 46% of women are estimated to have consumed alcohol in the past 30 days. According to the 2018 Oregon Health Authority (OHA) State of Health Assessment there has been a 38% increase in the overall rate of alcohol-related deaths in Oregon since 2001. In the 2017 Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resiliency Strategy report it shows that 23% of suicides and 40% of suicide attempts involved alcohol. Oregon also ranks third highest in the country for deaths related to alcohol. Alcohol is a risk factor for injuries, violence, unintended pregnancy and motor vehicle crashes. In Oregon 33% of driving-related deaths involved alcohol, this was according to the OHA report. In Deschutes County 32% of motor vehicle crash deaths involved alcohol and 21% of adults had drank excessively in the past 30 days. In the 2013 Prevention Status report from the Center of Disease Control and Prevention (CDC) the cost of excessive alcohol use is $2.8 billion, or $1.75 per drink in Oregon. Also in Oregon, in the same report, excessive drinking resulted in 1,302 deaths and 33,933 years of potential life lost each year. In Central Oregon, 37% of people ages 18-34 reported binge drinking at least once in the last 30 days. In the OHA report the word alcohol appears 25 times and in nine of those times it is in relation to the negative impacts it has on the other issues facing our communities. St. Charles Redmond representatives feel that alcohol misuse prevention is a health need that is severe in Oregon and Deschutes County and is something that together with our partners, we will make positive changes. Many local organizations are working to address this need and we believe St. Charles can capitalize on the energy that surrounds the subject. St. Charles Health System is using the Robert Wood Johnson Foundation County Health Rankings to measure the success of its 10-year goal of becoming the first, second and third ranked healthiest counties in the state of Oregon. Alcohol misuse impacts a lot of the metrics shown in the rankings but it is specifically called out in the Excessive drinking and Alcohol-impaired driving deaths sections. By increasing our efforts to prevent alcohol misuse, we would not only be improving the health of the communities we serve, educating our populations and enhancing our partnerships, we would also be in alignment with the health systems strategic plan and its goals. The following are the significant health needs identified in the St. Charles Redmond CHNA that will not be addressed in this implementation strategy: 1.Stable Housing and Supports a.Housingb.Housing Supports for High Utilizersc.Homelessness 2.Address Poverty and Enhance Self Sufficiency a.Living Wage Jobsb.Homelessnessc.Povertyd.Cost of healthy foods/food insecuritye.High school graduation 3.Substance Misuse Prevention and Treatment a.Tobaccob.Other Drugsc.Marijuana 4.Upstream Prevention: Promotion of Individual Well-Being a.Early Childhood Education and Developmentb.Childcarec.Immunizationsd.Adverse Childhood Experiences (ACEs) (across the lifespan) 5.Behavioral Health: Increase Access and Coordination a.Mental Healthb.Behavioral Healthc.Suicided.Emotional Health 6.Promote Enhanced Physical Health Across Communities a.Cardiovascular disease (CVD)b.Diabetesc.Obesityd.Preventable Diseases In order to achieve real improvement, it was determined that this plan would only focus on severe issues that the organization felt it had the most ability to impact, had community partners available to collaborate with and needs that would further its strategic goal of creating the top three healthiest counties in Oregon per the Robert Wood Johnson Foundations County Health Rankings. By selecting one priority, a more focused effort can be made by the caregivers at St. Charles Redmond, in collaboration with local partners, to improve the health of those the health system serves. Although the other needs listed above are important, they were not selected for this RHIS. With limited resources available, the St. Charles Redmond team felt it was important not to take on too much in order to tackle the selected issue from all angles and have laser-focused energy around improving alcohol misuse prevention efforts in our region. It is important to note that even though the other needs werent selected as priorities, work in these areas will continue. Each of the needs is an area of focus both internally within St. Charles departments and by external partners. Facility: St Charles Bend - Part V, Section B, Line 16j A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS. Facility: St Charles Madras - Part V, Section B, Line 16j A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS. Facility: St Charles Prineville - Part V, Section B, Line 16j A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS. Facility: St Charles Redmond - Part V, Section B, Line 16j A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS. St Charles Heart & Lung Specialists 2500 NE Neff Rd Bend OR 97701 Cardiothoracic Surgery St Charles Cancer Center Bend 2500 NE Neff Road Bend OR 97701 Outpatient Cancer Center Cascade Medical Imaging 1460 NE Medical Center Dr Bend OR 97701 Diagnostic Imaging Clinic Redmond Surgical Specialists 1245 NW 4th Street Redmond OR 97756 Surgical Specialists Sage View Psychiatric Center 1885 NE Purcell Blvd Bend OR 97701 Mental Health Services St Charles Family Care Redmond 211 NW Larch Ave Redmond OR 97756 Primary Care Clinic St Charles Family Care Bend East 2965 NE Conners Ave Ste 127 Bend OR 97701 Primary Care Clinic St Charles Family Care Prineville 384 SE Combs Flat Road Prineville OR 97754 Rural Health Clinic St Charles Hospice 2275 Northeast Doctors Dr Suite 5 Bend OR 97701 Hospice Care St Charles Center for Womens Health Redmond 340 NW 5th Street Ste 101 Redmond OR 97756 OB/GYN Clinic St Charles Trauma & Acute Care 2275 Northeast Doctors Dr Suite 6 Bend OR 97701 Trauma and & Surgical Services St Charles Family Care Bend South 61250 SE Coombs Place Bend OR 97701 Primary Care Clinic St Charles Wound Care & Ostomy Clinic 2275 NE Doctors Dr Suite 9 Bend OR 97701 Wound & Ostomy Care Behavioral Health Bend 2542 Courtney Dr Bend OR 97701 Behavioral Health Clinic St Charles Family Care Madras 480 NE A St Madras OR 97741 Primary Care Clinic St Charles Immediate Care South 61250 SE Coombs Place Bend OR 97702 Urgent Care Clinic St Charles Sleep Center Bend 2042 Williamson Ct Bend OR 97701 Sleep Lab Cascade SurgiCenter 2200 NE Neff Rd 100 Bend OR 97701 Surgery Center St Charles Neonatology 2500 NE Neff Rd Bend OR 97701 Neonatal Intensive Care Unit St Charles Family Care Sisters 630 Arrowleaf Trail Sisters OR 97759 Primary Care Clinic St Charles Immediate Care La Pine 51781 Huntington Rd La Pine OR 97739 Urgent Care Clinic Central Oregon Magnetic Resonance Imaging 1460 NE Medical Center Dr Bend OR 97701 MRI Center St Charles Sleep Center Redmond 655 NW Jackpine Ave Redmond OR 97756 Sleep Lab St Charles Pulmonary Clinic Bend 2500 NE Neff Rd Bend OR 97701 Lung Clinic St Charles Family Care Clinic La Pine 51600 Hunnington Rd La Pine OR 97739 PRIMARY CARE CLINIC St Charles Anticoagulation Clinic Bend 2275 NE Doctors Drive Bend OR 97701 Anticoag Clinic St Charles Rheumatology 2600 NE Neff Rd Bend OR 97701 Rheumatology Clinic St Charles Immediate Care Prineville 384 SE Combs Flat Road Prineville OR 97754 Urgent Care Clinic St Charles PEDAL Clinic 2600 NE Neff Rd Bend OR 97701 Pediatric Behavioral Health St Charles Paliative Care 2275 NE Doctors Dr Suite 5 Bend OR 97701 Paliative Care Clinic St Charles Imaging Redmond 211 NW Larch Ave Redmond OR 97756 Imaging Services St Charles Preoperative Medicine 2275 NE Doctors Dr Suite 6 Bend OR 97701 Comprehensive Care for Surgery Patients St Charles Pulmonary Clinic Redmond 655 NW Jackpine Ave Redmond OR 97756 Lung Clinic Sisters School Based Health Clinic 535 N Reed St Sisters OR 97759 School Based Clinic St Charles Imaging Bend East 2500 NE Neff Road Bend OR 97701 Imaging Services St Charles Imaging Services La Pine 51600 Hunnington Rd La Pine OR 97739 IMAGING SERVICES Sisters Diagnostic Radiology 630 N Arrowleaf Trail Sisters OR 97759 Radiology St Charles Infectious Disease 2965 NE Conners Ave Suite 127 Bend OR 97701 Infectious Disease Clinic St Charles Lab Clinic Madras 470 NE A Street Madras OR 97741 Outpatient Lab St Charles Cancer Center Redmond 1541 NW Canal Redmond OR 97756 Outpatient Cancer Center St Charles Anticoagulation Clinic Redmond 244 NW Kingwood Ave Suite C Redmond OR 97756 Anticoag Clinic St Charles Lab Clinic Redmond 1245 NW 4th Street Redmond OR 97756 Lab Services St Charles Surgical Specialists Madras 480 NE A Street Madras OR 97741 Surgical Specialists Behavioral Health Redmond 916 SW 17th St Suite 202 Redmond OR 97756 Behavioral Health Clinic St Charles Surgical Specialists Prineville 384 SE Combs Flat Rd Suite 1200 Prineville OR 97754 Surgical Specialists St Charles Preoperative Medicine Redmond 244 NW Kingwood Ave Suite C Redmond OR 97756 Comprehensive Care for Surgery Patients St Charles Heart & Lung Specialists 244 NW Kingwood Ave Suite C Redmond OR 97756 Cardiology Clinic St Charles Wound Care & Ostomy Clinic Madras 470 NE A Street Madras OR 97741 Wound & Ostomy Care St Charles Preoperative Medicine La Pine 51781 Huntington Rd La Pine OR 97739 Comprehensive Care for Surgery Patients St Charles Lab Clinic La Pine 51781 Huntington Rd La Pine OR 97739 Outpatient Lab Part I, Line 7 - Explanation of Costing Methodology The costing methodology used was derived from SCHS's financial systems, which address all hospital-based patient segments and other services provided. A cost-to-charge ratio from the financial systems was used to calculate the cost of Financial Assistance in line 7a. Numbers reported in column (b) in lines 7a and 7b refer to the number of patient encounters. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense When SCHS provides care to patients, it does not require collateral; however, itmaintains an estimated allowance for doubtful accounts. The primary collection risksrelate to uninsured patient accounts and patient accounts for which the primaryinsurance payor has paid, but patient responsibility amounts (generally deductiblesand copayments) remain outstanding. The reserves against accounts receivable is estimated based primarily upon SCHS historical collection experience, the age of the patient's account, management's estimate of the patient's economic ability to pay, and the effectiveness of collection efforts. Patient accounts receivable balances are routinely reviewed in conjunction with historical collection rates and other economic conditions that might ultimately affect the collectability of patientaccounts when considering the adequacy of the amounts recorded as net patient revenues. Actual write offs have historically been within management'sexpectations. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit SCHS currently has no reasonable way to track or estimate the amount of bad debt expense attributable to charity care, and accordingly this line has been left blank. Part III, Line 4 - Bad Debt Expense See page 14, footnote 4 "Net Patient Service Revenue", in the attached Audited Financial Statements. Part III, Line 8 - Explanation Of Shortfall As Community Benefit As a response to efforts to improve the health and quality of life of people living in the community, SCHS provided approximately $55 million in unreimbursed services to patients enrolled in traditional Medicare programs. SCHS believes that the Medicare shortfall should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. If SCHS should cease to exist, this shortfall would have to be absorbed by another health care provider. Costs are from the Medicare Cost Report, but none of these costs are being claimed as a community benefit in Part I, line 7.Our community benefit report shows a Medicare shortfall of $110,474,442 which differs from the shortfall of $55,900,294 reported in Part III Section B because Part III Section B includes only those costs allowed in the Medicare Cost Report which excludes the Medicare Advantage shortfall; this shortfall is included in our annual community benefit report. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Collection policies are the same for all patients. Every effort is made to identify patients who may need financial assistance at the earliest point during the patients experience with St. Charles. Patients may be identified as a candidate for financial assistance at any time before, during or after services are delivered. If at any point during the collection process documentation or information is received that indicates the patient may be eligible for our financial assistance program, the account is reviewed by our financial assistance team for eligibility. Prior to sending an account to collections, patient accounts are reviewed for Federal Poverty Level(FPL). If FPL is 200% or below, a Financial Assistance policy & Financial Assistance application are mailed to the guarantor. If the guarantor fails to complete and return the application, or fails to pay the account in full, or fails to set up a payment plan within 45-days of mailing the policy application, the accounts are assigned to a bad debt agency. Part VI, Line 2 - Needs Assessment St. Charles Health System (SCHS) assesses the needs of each of our communities in many different ways other than the facility community health needs assessments. SCHS partners with many organizations from around the community. We collaborated with the Central Oregon Health Council (COHC) to establish a local community data website. The data is provide by Healthy Communities Institute (HCI) and COHC staff manages the website. The website will have dashboards of each community and population risk profiling data that is continuously updated and accessible to the community. This information helps SCHS to keep a finger on the pulse of each population's many health indicators, helping us to continually assess each community's needs, positive changes and/or opportunities for improvement. This information can be found at http://www.centraloregonhealthdata.org. Each year St. Charles also produces the St. Charles Health System Annual Report. This report is comprised of a summary of each of the following: Community BenefitTotalsFinancial OverviewDays cash on handOperating marginExcess marginOperating ExpensesFull time employee countEach health system facility (St. Charles Bend, St. Charles Redmond, St. Charles Prineville and St. Charles Madras) BirthsDischargesIn-patient casesOut-patient casesEmergency visitsSt. Charles Medical GroupPatient visits for each clinicsThe 2018-19 Annual Report is posted online on the St. Charles Health System website at https://www.stcharleshealthcare.org/About-Us/Reports. This report and the primary data collected for its creation let us know what the trends are for different hospital stays, conditions and out-patient visits, helping to decide what services we offer and where the needs are. St. Charles also plays a significant role in local, regional and State groups in order to stay abreast of the newest information, trends, health data and best practices. SCHS has representation on the Central Oregon Health Council (COHC), the governance entity over the region's Coordinated Care Organization, PacificSource Community Solutions, County Commissions, patients, community members & local medical clinics. BY PARTICIPATING ON THIS COUNCIL, ST. CHARLES IS ABLE TO WORK WITH THE EXPERTS IN EACH OF THE THREE COUNTIES TO HEAR FIRSTHAND HOW EACH COMMUNITY IS DOING AND WHAT THEIR HEALTH NEEDS ARE. ST. CHARLES ALSO SITS ON DIFFERENT COMMITTEES FOR THE OREGON ASSOCIATION FOR HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND LOCAL NON-PROFITS. BEING PART OF THESE GROUPS HELPS ST. CHARLES TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITIES WHILE ALSO LEARNING HOW TO BETTER COLLECT, TRACK, REPORT AND IMPROVE UPON COLLECTED INFORMATION. Part VI, Line 3 - Patient Education of Eligibility for Assistance The Financial assistance program policy is posted on the SCHS website.Financial Counselors and registration staff in our facilities & primary care clinics offer financial assistance to patients, both upon request and when patients are uninsured.SCHS works to identify patients who may qualify for coverage through the following government programs (uninsured patients seen in our Emergency departments & those admitted to all of our facilities are automatically referred to a Financial Counseling Patient Advocate): CobraCrime Victims AssistanceEmergency Medicaid for Aliens Medicaid for pregnant women and children Medicaid, Medicare Supplemental Security Income (SSI)Temporary Aid for Needy Families (TANF) VeteransOur Financial Counseling Patient Advocate will work with these individuals through the process of qualifying for coverage or denial of coverage from all applicable government programs.Patients working with the Financial Counseling Patient Advocate have their accounts put on hold from collections. Patients will be referred to the SCHS Financial Assistance Department for follow-up. Part VI, Line 4 - Community Information Deschutes County: (St. Charles Bend and St. Charles Redmond) Information taken from United States Census Bureau(https://www.census.gov/quickfacts/fact/table/deschutescountyoregon) unless otherwise noted:URBANLAND AREA IN SQUARE MILES (2010): 3,018POPULATION (2019 ESTIMATE): 197,692POPULATION (2019): UNDER 5 YEARS: 5% UNDER 18 YEARS: 19.8% 65 YEARS AND OVER: 20.5% FEMALE: 50.5%HOUSEHOLDS (2015-2019): 74,397PERSONS PER HOUSEHOLD (2015-2019): 2.49MEDIAN HOUSEHOLD INCOME (2015-2019): $67,043PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2015-2019): 9.2%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2015-2019): 93.7%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 86.8% HISPANIC OR LATINO: 8.3% TWO OR MORE RACES: 2.8% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.1% ASIAN ALONE: 1.3% BLACK OR AFRICAN AMERICAN ALONE: .6% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.2%HEALTH CARE PROVIDER ASSETS IN DESCHUTES COUNTY (OUTSIDE OF ST. CHARLES BEND AND REDMOND): MOSAIC MEDICAL CLINIC, (BEND AND REDMOND) (FQHC) LYNCH COMMUNITY CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL, REDMOND SCHOOL DISTRICT AND DESCHUTES COUNTY) ENSWORTH COMMUNITY SCHOOL-BASED HEALTH CENTER (PARTNERSHIP BETWEEN MOSAIC MEDICAL, BEND-LAPINE SCHOOL DISTRICT AND DESCHUTES COUNTY)BEND MEMORIAL CLINIC, (BEND, REDMOND AND SISTERS) HIGH LAKES HEALTH CARE (BEND, REDMOND AND SISTERS).CROOK COUNTY: (ST. CHARLES PRINEVILLE) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU (https://www.census.gov/quickfacts/fact/table/crookcountyoregon) UNLESS OTHERWISE NOTED:RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2010): 2.979POPULATION (2019 ESTIMATE): 24,404POPULATION (2019): UNDER 5 YEARS: 5.6% UNDER 18 YEARS: 19.8% 65 YEARS AND OVER: 25.2% FEMALE: 50.4%HOUSEHOLDS (2015-2019): 9,588PERSONS PER HOUSEHOLD (2015-2019): 2.39MEDIAN HOUSEHOLD INCOME (2015-2019): $49,006PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2015-2019): 10.9%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2015-2019): 90.0%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 88% HISPANIC OR LATINO: 7.6% TWO OR MORE RACES: 2.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.7% ASIAN ALONE: 0.7% BLACK OR AFRICAN AMERICAN ALONE: 0.5% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.1%HEALTH CARE PROVIDER ASSETS IN CROOK COUNTY (OUTSIDE OF ST. CHARLES PRINEVILLE): MOSAIC MEDICAL (FQHC)CROOK KIDS CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL AND CROOK COUNTY SCHOOL DISTRICT).JEFFERSON COUNTY: (ST. CHARLES MADRAS) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU (https://www.census.gov/quickfacts/fact/table/jeffersoncountyoregon)UNLESS OTHERWISE NOTED: RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2019): 1,781POPULATION (2019 ESTIMATE): 24,658POPULATION (2019): UNDER 5 YEARS: 6.3% UNDER 18 YEARS: 23.3% 65 YEARS AND OVER: 19.8% FEMALE: 48.3%HOUSEHOLDS (2015-2019): 8,094PERSONS PER HOUSEHOLD (2015-2019): 2.78MEDIAN HOUSEHOLD INCOME (2015-2019): $53,277PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2014-2018): 15%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2015-2019): 87%POPULATION BY RACE (2019): WHITE ALONE, NOT HISPANIC: 60.7% HISPANIC OR LATINO: 19.9% TWO OR MORE RACES: 3.4% AMERICAN INDIAN AND ALASKA NATIVE ALONE: 18.3% ASIAN ALONE: .9% BLACK OR AFRICAN AMERICAN ALONE: 1.2% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.2%HEALTH CARE PROVIDER ASSETS IN JEFFERSON COUNTY (OUTSIDE OF ST. CHARLES MADRAS): MOSAIC MEDICAL (FQHC)CONFEDERATED TRIBES OF WARM SPRINGS MADRAS MEDICAL GROUP Part VI, Line 4 - Community Building Activities Our community building activities focused on workforce development activities which support the community by offering the expertise and resources of our hospital systems caregivers for the betterment of the community. Specifically these programs address community-wide workforce issues, potentially providing health care workers to promote the health of the community. Part VI, Line 5 - Promotion of Community Health SCHS provides services without charge, or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. SCHS criteria for the determination of charity care include the patientsor other responsible partys annual household income, number of people in the home and amount claimed on taxes, credit history, existing medical debt obligations and other indicators of the patient's ability to pay. Generally, those individuals with an annual household income at or less than 300% of the Federal Poverty Guidelines (the Guidelines) qualify for charity care under SCHS policy. In addition, SCHS provides discounts on a sliding scale to those individuals with an annual household income of between 300% and 400% of the Guidelines. Since SCHS does not pursue collection of amounts determined to qualify as charity care, those amounts are not reported as net patient service revenue.BECAUSE MADRAS PRINEVILLE AND LA PINE ARE LOCATED IN MEDICALLY UNDERSERVED AREAS(MUAS), THE RESOURCES USED FOR PROVIDER RECRUITMENT IN THOSE COMMUNITIES ARE COUNTED AS COMMUNITY BENEFIT. ST. CHARLES ALSO ALLOWS NURSING STUDENTS, HIGH SCHOOL STUDENTS AND OTHER PROVIDERS TO PARTAKE IN JOB-SHADOWING WITH OUR PAID CAREGIVERS TO HELP THEM COMPLETE THEIR COURSE WORK AND/OR EARN CREDITS, WITHOUT RESTRICTIONS RELATED TO FUTURE EMPLOYMENT. THE ST. CHARLES HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF MEMBERS FROM MULTIPLE COMMUNITIES SERVED BY THE SYSTEMBEND, PRINEVILLE, SISTERS,ETC.ALLOWING FOR DIVERSE VIEWS AND LEADERSHIP RELATED TO PROMOTING THE HEALTH OF THE COMMUNITY. VARIOUS COMMUNITY CLASSES ARE OFFERED AT EACH CAMPUS, INCLUDING TRAUMA NURSES TALK TOUGH, STOP THE BLEED, HEALTH HEART EDUCATION, ETC. IN ORDER TO CONTINUE TO PROMOTE HEALTH IN THE COMMUNITY AND ELIMINATE BARRIERS, SCHOLARSHIPS ARE AVAILABLE FOR THOSE WHO ARE UNABLE TO PAY BUT WOULD STILL LIKE TO PARTICIPATE IN ANY OF THESE CLASSES. DUE TO COVID-19, WE SHIFTED RESOURCES AND ASSETS TO COLLABORATING WITH OUR LOCAL PARTNERS TO HELP TACKLE THE ISSUES THAT HAVE ARISED BECAUSE OF THE PANDEMIC.BEING THE ONLY HEALTH CARE SYSTEM IN CENTRAL OREGON, MANY NON-PROFIT COMMUNITYORGANIZATIONS COME TO ST. CHARLES NEEDING FUNDS AND OTHER DONATIONS, SUCH AS IN-KIND SUPPORT. DURING 2020 ST. CHARLES FACILITY CAREGIVERS PROVIDED THOUSANDS OF HOURS OF IN-KIND SUPPORT TO THESE ORGANIZATIONS WHO SHARE IN ST. CHARLES VISION OF CREATING AMERICAS HEALTHIEST COMMUNITY, TOGETHER. IN-KIND SUPPORT ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO MEMBERSHIP ON NON-PROFIT COMMUNITY ORGANIZATION BOARDS, BELOW FAIRMARKET VALUE RENT FEES, FREE CLEANING AND LANDSCAPING SERVICES AND HOURS SPENT COORDINATING EVENTS PROMOTING HEALTH IMPROVEMENT FOR VULNERABLE AND LOW-INCOME COMMUNITY MEMBERS. Part VI, Line 7 - States Filing of Community Benefit Report OR false ASSISTANCE LEAGUE OF BEND PO BOX BEND OR 97709 943138500 501(c)(3) 6000 0 Community Programs BEND LAPINE SCHOOL DISTRICT 520 NW Wall St BEND OR 97703 936000393 SCHOOL DISTRICT 8000 0 YOUTH IN TRANSITION BETHLEHEM INN 3705 N HWY 97 BEND OR 97701 931323419 501(c)(3) 7500 0 HOMELESS SHELTER AND SERVICES BOYS & GIRLS CLUB OF BEND 500 NW WALL STREET BEND OR 97701 931127536 501(c)(3) 10000 0 ENABLE YOUNG PEOPLE TO REACH THEIR CO COUNCIL ON AGING 373 NE Greenwood Ave BEND OR 97701 930661229 501(C)(3) 35500 0 MEALS ON WHEELS, AGING SAFETY COMMUTE OPTIONS OF CO 50 SW BOND STREET BEND OR 97701 931330126 501(c)(3) 7500 0 WALKING SCHOOL BUS PROGRAM CONFEDERATED TRIBES OF WARM PO BOX 1747 REDMOND OR 97756 930639711 Quasi Govnt 10000 0 Alcohol, tobacco & drug free activi CROOK COUNTY SCHOOL DISTRICT 471 NE OCHOCO PLACE PRINEVILLE OR 97754 936000375 SCHOOL DISTRICT 6000 0 AFTER SCHOOL PROGRAMS FAMILIES FORWARD 405 SW 6th REDMOND OR 97756 760738741 501(c)(3) 7500 0 HOUSING & OPPORTUNITY FOR IN NEED FAMILY ACCESS NETWORK FOUND 2125 NE DAGGETT LN BEND OR 97701 203534560 501(c)(3) 17500 0 Access to basic needs for children FAMILY RESOURCE CENTER 1130 NW Harriman St Ste B BEND OR 97701 930990542 501(c)(3) 10000 0 PARTNERING WITH PARENTS GIVING PLATE 61445 S HWY 97 S BEND OR 97702 800553186 501(c)(3) 8500 0 COMMUNITY FOOD BANK GUARDIAN GROUP 20380 Halfway Rd STE 1 BEND OR 97703 721613750 501(c)(3) 6000 0 Prevention of sex trafficking J BAR J YOUTH SERVICES 62895 Hamby Rd BEND OR 97701 930677650 501(c)(3) 7100 0 FACILITY SERVING YOUTH OFFENDERS JEFFERSON CNTY FAITH BASED 278 Southeast 8th Street MADRAS OR 97741 461018517 501(c)(3) 10000 0 COMMUNITY IMPROVEMENT JEFFERSON COUNTY 66 SE D ST Suite C MADRAS OR 97741 936002299 COUNTY 25500 0 COMMUNITY HEALTH JEFFERSON COUNTY SCHOOL DIST 445 SE Buff St MADRAS OR 97741 936000537 501(c)(3) 10000 0 EMPOWER ENHANCED LEARNERS JERICHO ROAD PO Box 1623 REDMOND OR 97753 562653566 501(c)(3) 13500 0 SUPPORT FOR HOMELESS LA PINE COMMUNITY KITCHEN 16480 FINLEY BUTTE RD LA PINE OR 97739 202087631 501(c)(3) 10000 0 Provide food & clothing LATINO COMMUNITY ASSOC 1130 NW HARRIMAN BEND OR 97703 931260288 501(c)(3) 20000 0 Community activities MOUNTAIN STAR FAMILY RELIEF 2125 NE Daggett Ln BEND OR 97701 421560891 501(c)(3) 8000 0 Help prevent Child Abuse & Neglect NEIGHBORIMPACT 2303 SW FIRST STREET REDMOND OR 97756 930884929 501(c)(3) 20500 0 Provide families access to food OR STATE UNIVERSITY FNDTN 850 SW 35th Street CORVALLIS OR 97333 936022772 501(c)(3) 10000 0 Nutrition education program REDMOND COUNCIL FOR SENIORS 325 NW Dogwood Ave REDMOND OR 97756 937026803 501(c)(3) 23000 0 Support for Seniors in the Communit REDMPTION HOUSE MINISTRIES 780 E 1st St PRINEVILLE OR 97754 462175446 501(c)(3) 10000 0 Providing shelter to community memb RIMROCK TRAILS ADOLESCENT TRE 1333 NW 9TH STREET BEND OR 97701 931019081 501(c)(3) 12900 0 DRUG & ALCOHOL TREATMENT FOR YOUTH SAVING GRACE 1004 NW MILWAUKEE AVE 100 BEND OR 97701 930797194 501(c)(3) 7500 0 Family Violence Abuse & Services SOROPTIMIST INTERNATIONAL OF 180 NE Belknap PRINEVILLE OR 97754 931326625 501(c)(3) 15000 0 Support for Seniors in the Communit STOKE AWARENESS OREGON 695 SW Mill View Way BEND OR 97701 824216575 501(c)(3) 10500 0 Support for Seniors in the Communit TOUR DES CHUTES 70 SW Century Dr STE 100-273 BEND OR 97702 202006038 501(c)(3) 10000 0 SUPPORTS CANCER CARE VOLUNTEERS IN MEDICINE 2300 NE Neff Rd BEND OR 97701 931327847 501(c)(3) 246879 0 FREE MEDICAL CARE 31 0 X true true X X X X X X false true false false false true false true false Absalon Jeffrey MD CHIEF PHYSICIAN EXECUTIVE 530485 62555 73941 91901 25615 784497 41789 Adams Aaron CEO Bend & Redmond 346502 41069 3246 52002 25291 468110 Berry Rebecca VP Human Resources 289788 34636 42259 46709 20151 433543 Binder Darren SVP Chief Legal & Risk Officer 335941 25051 24656 57757 28338 471743 Breit Mindy SR Director Diagnostics 159581 1100 136 9946 19898 190661 Brickhouse Jeremiah SVP/CIO 306793 38740 56201 56732 24809 483275 22837 Clover Todd MD Physician 663662 1100 4156 17100 28716 714734 Dixon Jennifer MD Physician 647937 1100 23157 17100 20833 710127 Freeman Richard PRESIDENT, SCMG 282294 69522 15866 367682 Guyn Jim MD SVP Population Health 394044 47369 54441 17100 25348 538302 19001 Laughlin James MD Physician 743041 1000 677 17100 25399 787217 Marchiando Rod SVP Improvement & Strategy 306752 36923 50850 54887 28510 477922 Ostrom Julie SR Director Periop & Cardio 179982 1000 10786 9680 25018 226466 Pfister Robert SVP Chief Quality and Safety Physic 269605 26051 21310 17100 25557 359623 Powell Michael CHIEF PHARMACY OFFICER 197624 1000 21497 13878 23944 257943 Reedy James CNO Redmond 180099 1000 29843 7416 5191 223549 Richards Michael VP Operations Medial Group 183296 100 151 14512 22276 220335 Robinson Debra CNO Bend 224380 1613 17976 14928 22129 281026 Simmons Iman SVP COO 415021 51610 67954 69950 25397 629932 38002 Slater Matthew MD Physician 855037 1000 21822 17100 20515 915474 Sluka Joseph President 864238 143529 196321 195943 25499 1425530 126398 Steinke Pamela SVP Quality/CNE 313470 40065 141135 35711 20428 550809 96218 Stevens Carla SR Director Periop & Cardio 20841 127090 2234 355 150520 Vlessis Angelo MD Physician 648856 1000 3564 17100 28080 698600 Welander Jennifer Senior VP/CFO 407770 52374 64423 70724 20402 615693 41781 Part I, Line 1a: Relevant information in regards to selections on 1a. Part I, Line 7: Non-Fixed payments not listed above Bonus payments were made to several Key Employees who participated in Incident Command, due to the COVID pandemic, which required them to perform duties and work hours beyond their normal jobs. A HOSPITAL FACILITY AUTHORI 930991182 000000000 2014-04-01 75000000 SEE PART VI false false false B HOSPITAL FACILITY AUTHORI 930991182 250336DY7 2016-10-12 114801653 Capital Projects & COI false false false C HOSPITAL FACILITY AUTHORI 930991182 250336EY6 2020-10-22 51302850 Capital Projects false false false A 75121022 44185 290853 74785984 2017 false false true true B 4170000 115768621 2321 1200176 68596617 45969500 7 2020 false true false true C 51352821 51352821 false false false true A false true true true true true 0.00600 0.00600 false false true B false true true true true true true false true C false false false false false true false true A false false false true true US BANK NA false true false false true B false true false false false false false true C false true false false false false false true A true B true C true Part VI COLUMN A:Difference between Part I(e) and Part II, Line 3 is due to interest earned on bond proceeds.Part I(f): Proceeds of the bonds were issued to pay or reimburse the cost of capitalized assets of Borrower facilities and support the provision of healthcare.Part III, Line 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/orunrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of theprivate security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code.Part IV, line 2(c): The rebate report was prepared by BLX Group LLC, and dated February 28, 2019.Part IV, Line 4(c): The qualified hedge was terminated substantially contemporaneously with the issue date of the Bonds, within the meaning of Treasury Regulations, Section 1.148(h)(5)(ii)(A).COLUMN B:Difference between Part I(e) and Part II, Line 3 is due to interest earned on bond proceeds.Part I(f): The Series 2016A Bonds refund the Borrower's 2005B Bonds which were issued on December 21, 2005.Part III, Line 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/orunrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of theprivate security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code.COLUMN C:Difference between Part I(e) and Part II, Line 3 is due to interest earned on bond proceeds.Part III, Line 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/orunrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of theprivate security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code. David Liedman Employee 30919 Compensation false Schedule L, Part V Supplemental Information Part IV: David Liedman was employed at St. Charles Health System Inc. He is a family member of Darren Binder, a Key Employee of St. Charles, who is listed on Form 990, Part VII. X 82 94265 COST OR STATED false false false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Sage View mental health, Community Education and rents from affiliates. OTHER PROGRAM SERVICES 5: St. Charles Prineville OTHER PROGRAM SERVICES 6: St. Charles Medical Group (SCMG)SCMG IS A GROUP OF MEDICAL CLINICS OWNED AND OPERATED BY ST. CHARLES HEALTH SYSTEM. THESE CLINICS ARE LOCATED THROUGHOUT THE REGION AND PROVIDE OUTPATIENT SERVICES SUCH AS CANCER CARE, OB/GYN, PULMONARY CARE, SLEEP DISORDER RESOURCES, HEART SERVICES AND PRIMARY CARE. SCMG PROVIDED OVER 190,500 VISITS IN BEND CLINICS, 25,370 VISITS IN REDMOND CLINICS, 7,800 VISITS IN THE SISTERS CLINIC, 23,990 VISITS IN PRINEVILLE CLINICS, 10,030 IN THE MADRAS CLINICS AND 5,660 IN LA PINE CLINICS IN 2020. SCMG ALSO OPERATES TWO IMMEDIATE CARE CLINICS TO PROVIDE LOW-COST URGENT CARE SERVICES TO THE COMMUNITY; THE IMMEDIATE CARE CLINICS PROVIDED SERVICES FOR MORE THAN 22,500 PATIENT VISITS IN 2020. OTHER PROGRAM SERVICES 7: Home Health/Hospice OTHER PROGRAM SERVICES 8: Net Gain/(Loss)on sale of inventory OTHER PROGRAM SERVICES 9: Healthcare JV Income/(Loss) OTHER PROGRAM SERVICES 10: IT Support OTHER PROGRAM SERVICES 11: Patient Interest OTHER PROGRAM SERVICES 12: Supply Sales OTHER PROGRAM SERVICES 13: Education Programs OTHER PROGRAM SERVICES 14: Other Fees OTHER PROGRAM SERVICES 15: Provider Tax Interest OTHER PROGRAM SERVICES 16: Reimbursed Salaries Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents In 2020, the Board approved its Eighth Amended and Restated Bylaws that implemented changes to the Board compensation plan review process and clarified references to the St. Charles Conflict of Interest Policy. Additionally, the Board reviewed its Committee Charters, worked to standardize and clarify such documents, and subsequently adopted newly revised Committee Charters. Form 990, Part VI, Line 11b: Form 990 Review Process The 990 was prepared internally and reviewed by an external consultant. It was reviewed by the organization's VP Finance and the CFO. It was also sent to each Board member and an acknowledgment of receipt and review is required by each member. It was reviewed by the Audit & Compliance Committee on behalf of the Board of Directors for final review before filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The policy covers any SCHS director, principal officer, or member of a committee (hereinafter referred to as fiduciary) with powers delegated by the SCHS Board of Directors (the Board) who has a direct or indirect financial interest in SCHS or any entity within SCHS. This policy is intended to ensure that the business conducted by SCHS is free from the influence of actual or potential conflicts of interests by any SCHS fiduciary. Each fiduciary shall annually complete the Conflict of Interest Questionnaire. This completed form is automatically submitted to the SCHS VP Chief Compliance Officer who will evaluate the completed forms and present a report to the Governance Committee . The fiduciary is also required to update his/her responses to the Conflict of Interest Questionnaire should any new information regarding an actual or potential conflict of interest for that fiduciary arise. In addition, should a subsequent conflict arise after the submission of the previously completed Conflict of Interest Questionnaire each fiduciary shall orally disclose, prior to the Boards or the relevant committees consideration of a proposed transaction or arrangement, the existence of any financial interest that he or she may have with respect to the transaction or arrangement. The board will then review the transaction or arrangement to determine if it is in SCHS's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision as to whether to enter into the transaction or arrangement. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management SCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the CEO and top management officials. The analysis covers all elements of total compensation. The CEO's compensation is reviewed and approved by the Board of Directors following a compensation review. The most recent study for the CEO and top management officials was performed in November of 2019. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees SCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the Key Employees. The analysis covers all elements of total compensation. The compensation is reviewed by the Board of Directors following a compensation review. The evaluation and review process is prescribed in an internal policy and the process is documented. The most recent study for the key employees was performed in November of 2019.SCHS utilized an independent outside consultant to determine the pros and cons of establishing board compensation. In February 2010 the consultant presented its findings to the St. Charles board governance committee advising that board members not be involved in determining any level of compensation for the board. An external committee was selected to review the consultants analysis along with management recommendations and agreed that compensation for the SCHS board of directors is warranted and will assist in retaining and recruiting highly qualified board members. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents are available upon request. The Conflict of Interest policy is available to employees through a shared document management system. Financial reports are shared with employees monthly. Audited financial statements are available to the public upon request and on the internet at https://emma.msrb.org/Home/Index. Other Changes In Net Assets Or Fund Balances - Other Decreases DISTRIBUTIONS PAID TO NONCONTROLLING OWNERS = -$9180000 Other Changes In Net Assets Or Fund Balances - Other Increases JOINT VENTURE ASSET ADJUSTMENT = $173548 Cascade Medical Buildings LLC 2200 NE Neff Rd Bend OR 97701 270037327 Real Estate Rental OR 1458398 48775512 St Charles Health System Inc ST CHARLES FOUNDATION 2500 NE NEFF ROAD BEND OR 97701 943076293 RAISES FUNDS FOR SCHS & CMNTY PROGRAMS OR 501(C)(3) 7 SCHS true CASCADE MEDICAL IMAGING LLC 1460 NE MEDICAL CENTER DRIVE BEND OR 97701 850484640 IMAGING SERVICES OR SCHS RELATED 25331374 -282273 false true 0.70000 HEART CENTER OF THE CASCADES 2500 NE NEFF RD BEND OR 97701 383724947 MEDICAL BUILDING OR NA RELATED 263931 -78470 false true 0.50000 CHARITABLE REMAINDER TRUST 2500 NE NEFF ROAD BEND OR 97701 CRUT OR NA TRUST false false true true true false false false false false true true true true false true true true false true ST CHARLES FOUNDATION b 10540 CASH ST CHARLES FOUNDATION c 5399211 CASH ST CHARLES FOUNDATION o 414990 BOOK VALUE ST CHARLES FOUNDATION q 151799 BOOK VALUE CASCADE MEDICAL IMAGING LLC j 203765 BOOK VALUE CASCADE MEDICAL IMAGING LLC l 707 BOOK VALUE CASCADE MEDICAL IMAGING LLC m 37414192 BOOK VALUE CASCADE MEDICAL IMAGING LLC p 409826 BOOK VALUE CASCADE MEDICAL IMAGING LLC q 4507990 BOOK VALUE CASCADE MEDICAL IMAGING LLC s 21420000 CASH HEART CENTER OF THE CASCADES d 3615000 BOOK VALUE HEART CENTER OF THE CASCADES j 113604 BOOK VALUE HEART CENTER OF THE CASCADES k 1643640 BOOK VALUE HEART CENTER OF THE CASCADES m 355808 BOOK VALUE HEART CENTER OF THE CASCADES s 232000 CASH