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      <Desc>HEALTHEAST CARE SYSTEM PROVIDES POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY. THESE PATIENTS: HAVE CLINICAL NEEDS JUSTIFYING A HOSPITAL STAY BEYOND 20 DAYS. REQUIRE DAILY PHYSICIAN VISITS. NEED INTERDISIPLINARY SUPPORT AND MULTIPLE THERAPY DISCIPLINES. BETHESDA HOSPITAL OPENED IN ST. PAUL IN 1883. WITH 254 LICENSED BEDS, 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. KEY SERVICES INCLUDE BRAIN INJURY, RESPIRATORY, AND COMPLEX MEDICAL CARE. BETHESDA HOSPITAL IS DIFFERENT FROM OTHER REHABILITATION FACILITIES BECAUSE: OUR FOCUS IS ON WORKING WITH PATIENTS REPRESENTING A HIGH LEVEL OF ACUITY, THOSE WHO ARE CHRONICALLY, CRITICALLY ILL WITH COMPLEX MEDICAL CO- MORBIDITIES; MANY COME TO US DIRECTLY FROM OTHER HOSPITALS' ICUS FOR CARE IN OUR SIGNATURE PROGRAMS. WE ARE COMMITTED TO INCLUDING FAMILIES AND CAREGIVERS IN THE CARE PLANNING AND RECOVERY PROCESS. WE HIGHLIGHT THE MIND, BODY AND SPIRIT CONNECTION. WE ARE DEDICATED TO INDIVIDUALIZED, INTERDISCIPLINARY MEDICAL CARE AND THERAPY PLANS. OUR SCOPE OF SERVICES INCLUDES: ALZHEIMER'S AND MEMORY LOSS CARE (COGNITIVE BEHAVIORAL DISORDERS) BRAIN INJURY SERVICES CAPISTRANT CENTER FOR PARKINSON'S DISEASE AND MOVEMENT DISORDERS COMPLEX MEDICAL CARE (INCLUDING ADVANCED WOUND CARE) CONCUSSION CLINIC MEDICAL BEHAVIORAL SERVICES RESPIRATORY CARE BETHESDA HOSPITAL IS CERTIFIED BY MEDICAID AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATION'S 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. HEALTHEAST CARE SYSTEM IS PART OF FAIRVIEW HEALTH SERVICES. FAIRVIEW HEALTH SERVICES IS AN 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. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; 10 COMMUNITY-BASED GENERAL ACUTE CARE HOSPITALS; 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 10 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. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. IN JUNE 2017, FAIRVIEW WELCOMED THE HEALTHEAST CARE SYSTEM INTO THE FAIRVIEW FAMILY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW IS COMMITTED TO PARTICIPATING IN NATION-LEADING RESEARCH AND EDUCATING TOMORROW'S PHYSICIANS AND HEALTH CARE PROFESSIONALS. WE SERVE PATIENTS FROM ACROSS THE STATE OF MINNESOTA, THE UPPER MIDWEST AND BEYOND. IN ADDITION TO OUR EMPLOYED PHYSICIANS, WE WORK CLOSELY WITH THE ACADEMIC PHYSICIANS AT UNIVERSITY OF MINNESOTA PHYSICIANS AND WITH FAIRVIEW PHYSICIAN ASSOCIATES, A NETWORK OF INDEPENDENT PHYSICIANS. FAIRVIEW HAS ENJOYED A LONG PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS, WHICH IS REPRESENTED IN THE UNIVERSITY OF MINNESOTA HEALTH BRAND. IN 2019, WE EXTENDED OUR PARTNERSHIP BY BUILDING M HEALTH FAIRVIEW AN ACADEMIC HEALTH SYSTEM DRIVING TO DELIVER BREAKTHROUGH CARE CLOSE TO HOME. 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; HOME CARE AND HOSPICE; 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. 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. FOR THE COMMUNITY HEALTH PROGRAM &amp; SERVICES FOR 2019, WE HAD 80,607 ENCOUNTERS WITH COMMUNITY MEMBERS.</Desc>
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        <Desc>HEALTHEAST CARE SYSTEM OFFERS EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT). A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION, THE ORGANIZATION CARES FOR COMMUNITY NEEDS BY PROVIDING: 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.</Desc>
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        <Desc>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.</Desc>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>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 21 HEALTH NEEDS IDENTIFIED IN THE HOSAPITAL COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ACCESS TO CARE AND RESOUCES 3.ACCESS TO HEALTHY AND AFFORDABLE FOOD 4.WORKFORCE SHORTAGE 5.SUICIDE 6.LANGUAGE BARRIERS 7.HEALTHY EATING AND ACTIVE LIVING 8.TRANSPORTATION 9.RESPECTFUL AND CULTURALY RESPONSIVE CARE 10.TIED FOR TENTH (1) AFFORDABLE, HEALTHY, AND SAFE HOUSING (2)DENTAL CARE THROUGH A VOTING PROCESS, THE HOSPITAL ADVISORY COUNCIL RECOMMENDED THE FOLLOWING AS BETHESDA'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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; JOHNSON -TRACY BERGLUND, CATHOLIC CHARITIES OF ST. PAUL AND MINNEAPOLIS -VIVA YANG, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/OUR-COMMUNITY-COMMITMENT/LOCAL-HEALTH-NEEDS</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2019 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 2019 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 2019 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 2019 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 2019 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". 2019 IMPACT: GREEN - OUTCOME: 7% INCREASE FROM PRE-PROGRAM-SURVEY (79%) TO POST-PROGRAM-SURVEY (86%) IN RESPONSE TO THE FOLLOWING STATEMENT: I STRONGLY AGREE OR AGREE THAT I FEEL CONNECTED TO OTHERS IN THE COMMUNITY. EVALUATION OF SURVEY RESULTS WAS DONE ON A PROGRAM LEVEL. 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 2019 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". 2019 IMPACT: GREEN - OUTCOME: 93% OF PARTICIPANTS THAT RESPONDED TO THE POST PROGRAM SURVEY INDICATED THAT THEY STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: THEY CAN RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH, SUBSTANCE USE AND MENTAL ILLNESS AS I ENCOUNTER THEM. 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 2019 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". 2019 IMPACT: GREEN - OUTCOME: THERE WAS AN INCREASE OF 11 ACTIVE PARTICIPANTS. M HEALTH FAIRVIEW BETHESDA HOSPITAL DID NOT OFFER THE EVIDENCE-BASED STRESS REDUCTION SUITE SERIES - FLOURISH OR RESILIENCY AND STRESS MANAGEMENT TRAINING. THE 2019 ANTICIPATED IMPACT FOR THE STRESS REDUCTION SUITE WAS A DECREASE IN PARTICIPANTS' PERCEIVED STRESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "RED". EXPLANATION: A COURSE WAS OFFERED BUT DID NOT MEET MINIMUM NUMBER OF REGISTRANTS TO CONDUCT A SERIES. 2020 ACTION PLAN: WE WILL PARTNER WITH A TRUSTED COMMUNITY ORGANIZATION TO RECRUIT AND BEGIN RECRUITMENT EARLIER IN THE YEAR. 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 2019 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". 2019 IMPACT: GREEN - OUTCOME: 32% INCREASE FROM ON PRE-PROGRAM-SURVEY TO POST-PROGRAM-SURVEY FOR PARTICIPANTS THAT STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: I UNDERSTAND THE CONCEPTS OF TRAUMA AND THE IMPACT TRAUMA CAN HAVE ON TRAUMA SURVIVORS. O EVALUATION OF SURVEY RESULTS WAS DONE ON A PROGRAM LEVEL AND NOT ON HOSPITAL LEVEL - 19 SURVEY RESPONDENTS NOT ALL FROM BETHESDA SERVICE AREA. 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 2019 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 OF "GREEN". 2019 IMPACT: GREEN - CAMP OUTCOME: 66% OF YOUTH INDICATED THAT THEY HAVE NEW TOOLS TO HELP THEM WITH THEIR GRIEF AFTER CAMP. SERIES OUTCOME: 53% OF YOUTH INDICATED THAT THEY CAN IDENTIFY (NAME) SOME HEALTHY WAYS TO EXPRESS THEIR GRIEF. EVALUATION OF SURVEY RESULTS WAS DONE FOR CAMP PARTICIPANTS AND SERIES PARTICIPANTS ON A PROGRAM LEVEL. M HEALTH FAIRVIEW BETHESDA HOSPITAL COLLABORATED IN POLICY, SYSTEMS AND ENVIRONMENTAL (PSE) CHANGE AROUND RESPONDING TO TRAUMA IN SETTINGS SUCH AS SCHOOLS AND FAITH COMMUNITIES. THIS INITIATIVE INCLUDES ACTIVITIES AND MILESTONES LINKED TO PSE EVALUATION STEPS (1) ENGAGE STAKEHOLDERS, (2) DESCRIBE THE PROGRAM, AND (3) FOCUS THE EVALUATION DESIGN. 2019 IMPACT: GREEN - AN EXECUTIVE COMMITTEE WAS FORMED. THEY BEGAN MEETING QUARTERLY, TO CREATE A PLAN TO BECOME A TRAUMA-INFORMED SYSTEM FOR M HEALTH FAIRVIEW PATIENTS. PROVIDED TRAUMA-INFORMED CARE TRAINING FOR BEHAVIORAL HEALTH EMPLOYEES. THIS WORK ALIGNS WITH THE COMMUNITY WORK, TRAUMA INFORMED CONGREGATIONS PROGRAMMING, BEING PROVIDED TO FAITH COMMUNITY LEADERS. PRIORITY: HEALTHY LIFESTYLES M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE EVIDENCE-BASED FALLS PREVENTION SUITE WHICH INCLUDED TWO PROGRAMS (1) MATTER OF BALANCE A PROGRAM DESIGNED TO REDUCE THE FEAR OF FALLING AND INCRE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE CALCULATION WAS UPDATED FOR TAX YEAR 2019 AS IT WAS DISCOVERED THAT COMMUNITY BENEFIT COSTS FOR FINANCIAL ASSISTANCE AND MEDICAID WERE OVERSTATED IN PRIOR YEARS. THE OVERSTATEMENT WAS RELATED TO THE ALLOCATION OF PROVIDER TAXES AND MISTREATMENT OF OFFSETTING REVENUE FROM THE UNCOMPENSATED POOL. FOR TAX YEAR 2019 THIS RESULTED IN THE PERCENT OF TOTAL EXPENSE TO CHANGE FROM 4.15% TO 2.42%. THE ORGANIZATION WILL USE THIS CALCULATION IN FUTURE YEARS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFORTS TO ESTABLISH OR ENHANCE COMMUNITY SUPPORT NETWORKS, SUCH AS MENTORING PROGRAMS, YOUTH ASSET DEVELOPMENT, NEIGHBORHOOD WATCH GROUPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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)</ExplanationTxt>
      </SupplementalInformationDetail>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISTAIR D JACQUES</PersonNm>
        <TitleTxt>FORMER CIO</TitleTxt>
        <BonusRelatedOrganizationsAmt>141003</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>475426</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>616429</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KVASNICKA MD</PersonNm>
        <TitleTxt>VP MEDICAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>411836</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>121445</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>258</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>39455</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>597994</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMEER BADLANI</PersonNm>
        <TitleTxt>CIO - FHS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>394908</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>70000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>29644</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17315</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18387</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>530254</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARA L TOMLINSON</PersonNm>
        <TitleTxt>VP/CHIEF CLINICAL QU</TitleTxt>
        <BaseCompensationFilingOrgAmt>385456</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>51259</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>60</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31669</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>487444</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLEN WESLEY</PersonNm>
        <TitleTxt>MED DIR HEMT</TitleTxt>
        <BaseCompensationFilingOrgAmt>365040</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>52746</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>546</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31016</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>474348</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN D AMDAHL MD</PersonNm>
        <TitleTxt>VP/EMD PAC/MED SPEC</TitleTxt>
        <BaseCompensationFilingOrgAmt>345500</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46203</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>458</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25949</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>443110</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT WEBER</PersonNm>
        <TitleTxt>CHF MRKTG COMM &amp; DIG</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>300844</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>70000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>14831</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21106</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>406781</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SRIJOY MAHAPATRA</PersonNm>
        <TitleTxt>CHF STRATEGY OFFICER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>364255</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>19000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>511</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>383766</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN GARRETT MD</PersonNm>
        <TitleTxt>FORMER EXECUTIVE</TitleTxt>
        <OtherCompensationRltdOrgsAmt>269251</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>269251</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK ADAMS</PersonNm>
        <TitleTxt>CHF OF STAFF TO CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>128129</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>36941</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>19000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30022</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>214092</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES HEREFORD 0 179,823 0 DANIEL M. FROMM 439,936 99,655 0 LAURA REED, RN 0 54,202 0 ROBERT BEACHER 0 71,226 0 MARK WELTON, MD 0 67,059 0 TRUDI N. TRYSLA 0 54,997 0 CAROLYN JACOBSON 0 47,509 0 ALISTAIR D. JACQUES 475,426 0 0 KEVIN GARRETT, MD 269,251 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEAST CARE SYSTEM BECAME PART OF FAIRVIEW HEALTH SERVICES IN JUNE 2017. DURING 2019, THE INTREGRATION OF COPORATE RELATED SERVICES TRANSFERED FROM THIS ENTITY TO THE FAIRVIEW HEALTH SERVICES ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEAST CARE SYSTEM PROVIDES POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY. THESE PATIENTS: HAVE CLINICAL NEEDS JUSTIFYING A HOSPITAL STAY BEYOND 20 DAYS. REQUIRE DAILY PHYSICIAN VISITS. NEED INTERDISIPLINARY SUPPORT AND MULTIPLE THERAPY DISCIPLINES. BETHESDA HOSPITAL OPENED IN ST. PAUL IN 1883. WITH 254 LICENSED BEDS, 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. KEY SERVICES INCLUDE BRAIN INJURY, RESPIRATORY, AND COMPLEX MEDICAL CARE. BETHESDA HOSPITAL IS DIFFERENT FROM OTHER REHABILITATION FACILITIES BECAUSE: OUR FOCUS IS ON WORKING WITH PATIENTS REPRESENTING A HIGH LEVEL OF ACUITY, THOSE WHO ARE CHRONICALLY, CRITICALLY ILL WITH COMPLEX MEDICAL CO- MORBIDITIES; MANY COME TO US DIRECTLY FROM OTHER HOSPITALS' ICUS FOR CARE IN OUR SIGNATURE PROGRAMS. WE ARE COMMITTED TO INCLUDING FAMILIES AND CAREGIVERS IN THE CARE PLANNING AND RECOVERY PROCESS. WE HIGHLIGHT THE MIND, BODY AND SPIRIT CONNECTION. WE ARE DEDICATED TO INDIVIDUALIZED, INTERDISCIPLINARY MEDICAL CARE AND THERAPY PLANS. OUR SCOPE OF SERVICES INCLUDES: ALZHEIMER'S AND MEMORY LOSS CARE (COGNITIVE BEHAVIORAL DISORDERS) BRAIN INJURY SERVICES CAPISTRANT CENTER FOR PARKINSON'S DISEASE AND MOVEMENT DISORDERS COMPLEX MEDICAL CARE (INCLUDING ADVANCED WOUND CARE) CONCUSSION CLINIC MEDICAL BEHAVIORAL SERVICES RESPIRATORY CARE BETHESDA HOSPITAL IS CERTIFIED BY MEDICAID AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATION'S 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. HEALTHEAST CARE SYSTEM IS PART OF FAIRVIEW HEALTH SERVICES. FAIRVIEW HEALTH SERVICES IS AN 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. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; 10 COMMUNITY-BASED GENERAL ACUTE CARE HOSPITALS; 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 10 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. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. IN JUNE 2017, FAIRVIEW WELCOMED THE HEALTHEAST CARE SYSTEM INTO THE FAIRVIEW FAMILY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW IS COMMITTED TO PARTICIPATING IN NATION-LEADING RESEARCH AND EDUCATING TOMORROW'S PHYSICIANS AND HEALTH CARE PROFESSIONALS. WE SERVE PATIENTS FROM ACROSS THE STATE OF MINNESOTA, THE UPPER MIDWEST AND BEYOND. IN ADDITION TO OUR EMPLOYED PHYSICIANS, WE WORK CLOSELY WITH THE ACADEMIC PHYSICIANS AT UNIVERSITY OF MINNESOTA PHYSICIANS AND WITH FAIRVIEW PHYSICIAN ASSOCIATES, A NETWORK OF INDEPENDENT PHYSICIANS. FAIRVIEW HAS ENJOYED A LONG PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS, WHICH IS REPRESENTED IN THE UNIVERSITY OF MINNESOTA HEALTH BRAND. IN 2019, WE EXTENDED OUR PARTNERSHIP BY BUILDING M HEALTH FAIRVIEW AN ACADEMIC HEALTH SYSTEM DRIVING TO DELIVER BREAKTHROUGH CARE CLOSE TO HOME. 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; HOME CARE AND HOSPICE; 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. 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. FOR THE COMMUNITY HEALTH PROGRAM &amp; SERVICES FOR 2019, WE HAD 80,607 ENCOUNTERS WITH COMMUNITY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEAST CARE SYSTEM OFFERS EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT). A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION, THE ORGANIZATION CARES FOR COMMUNITY NEEDS BY PROVIDING: 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>FIXED ASSETS WERE WRITTEN DOWN BASED ON AN IMPAIRMENT ANALYSIS PERFORMED DURING CALENDAR 2019. THE NEW ASSET BALANCES ARE REFLECTED ON PART X BALANCE SHEET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED CAPITAL 0 OTHER ADJUSTMENTS 0 PENSION PLAN -148,220 OTHER -381 TOTAL -148,601</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>D &amp; T FACILITY MANAGEMENT COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>411928275</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHEAST MEDICAL RESEARCH INSTITU</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>411765832</EIN>
        <PrimaryActivitiesTxt>MEDICAL RE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHEAST PROFESSIONAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>261226617</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHEAST ST JOHN'S HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>411456897</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHEAST ST JOSEPH'S HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>410693880</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAIRVIEW HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2450 RIVERSIDE AVENUE</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55454</ZIPCd>
        </USAddress>
        <EIN>410991680</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>N/A</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAIRVIEW FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2450 RIVERSIDE AVENUE</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55454</ZIPCd>
        </USAddress>
        <EIN>411573810</EIN>
        <PrimaryActivitiesTxt>FUNDRAISIN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAIRVIEW HOME CARE AND HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2450 RIVERSIDE AVENUE</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55454</ZIPCd>
        </USAddress>
        <EIN>411434246</EIN>
        <PrimaryActivitiesTxt>HOME HEALT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RANGE REGIONAL HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>750 EAST 34TH STREET</AddressLine1Txt>
          <CityNm>HIBBING</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55746</ZIPCd>
        </USAddress>
        <EIN>411293970</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EBENEZER SOCIETY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2701 PARK AVENUE</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55407</ZIPCd>
        </USAddress>
        <EIN>410706141</EIN>
        <PrimaryActivitiesTxt>NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GRAND ITASCA CLINIC AND HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1601 GOLF COURSE ROAD</AddressLine1Txt>
          <CityNm>GRAND RAPIDS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55744</ZIPCd>
        </USAddress>
        <EIN>411865874</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PREFERRED ONE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6105 GOLDEN HILLS DEIVE</AddressLine1Txt>
          <CityNm>GOLDEN VALLEY</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55416</ZIPCd>
        </USAddress>
        <EIN>411796007</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C4</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12D</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MAPLEWOOD PROFESSIONAL BUILDING LIM</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1655 BEAM AVENUE</AddressLine1Txt>
          <CityNm>MAPLEWOOD</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55109</ZIPCd>
        </USAddress>
        <EIN>411431847</EIN>
        <PrimaryActivitiesTxt>RENTAL REA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST SURGERY CENTER-MAPLEWOOD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1655 BEAM AVENUE</AddressLine1Txt>
          <CityNm>MAPLEWOOD</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55109</ZIPCd>
        </USAddress>
        <EIN>203349887</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST DIVERSIFIED SERVICES IN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 64624</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
        </USAddress>
        <EIN>411388583</EIN>
        <PrimaryActivitiesTxt>REFERENCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHEAST</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>