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      <Desc>HEALTHEAST CARE SYSTEM IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. MANAGEMENT SERVICES PROVIDE CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. A MANAGEMENT FEE IS CHARGED TO EACH SUBSIDIARY FOR MANAGEMENT SERVICES. THESE SERVICES INCLUDE THE FOLLOWING: STRATEGIC PLANNING, TAX SERVICES, FINANCIAL ANALYSIS, PAYROLL, BUDGETING, ACCOUNTS RECEIVABLE, ACCOUNTS PAYABLE, COMMUNICATION, IT SERVICES, HEALTH CARE MANAGEMENT, QUALITY MANAGEMENT, CASH MANAGEMENT, RISK MANAGEMENT, REAL ESTATE, ACCOUNTING, MARKETING, SPIRITUAL CARE, CONTRACTING, LEGAL, PURCHASING, HUMAN RESOURCE AND EMPLOYEE BENEFITS SERVICES. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE TWIN CITIES EAST METRO RESIDENTS. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE SYSTEM THAT PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. IN 1986, THE LEADERS OF SEVEN HOSPITALS IN ST. PAUL, MINNESOTA BLENDED THEIR BAPTIST, ROMAN CATHOLIC AND LUTHERAN CULTURES TO BECOME HEALTHEAST CARE SYSTEM, UNITED IN PURSUIT OF A COMMON MISSION BUILT ON JUDEO-CHRISTIAN VALUES. 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 2018, WE EXTENDED OUR PARTNERSHIP, WITH WORK UNDERWAY TO BUILD AN ACADEMIC HEALTH SYSTEM FOCUSED ON PATIENT- CENTERED CARE, INNOVATION, AND CLINICAL EXCELLENCE. 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.</Desc>
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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 253 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.</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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          <BusinessNameLine1Txt>DAWN KSEPKA</BusinessNameLine1Txt>
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        <PersonNm>JOHN HEINMILLER</PersonNm>
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        <PersonNm>ANN HENGEL</PersonNm>
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        <PersonNm>CAROL LEY MD</PersonNm>
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        <PersonNm>BRAD WALLIN</PersonNm>
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        <PersonNm>MICHAEL R CONNLY</PersonNm>
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        <PersonNm>TIM MARX</PersonNm>
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        <PersonNm>JULIE S CAUSEY</PersonNm>
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        <PersonNm>LAURA REED RN</PersonNm>
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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 THE 2017 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>
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      <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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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW NEEDS WERE ADDRESSED: STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITIES IT SERVES FOR THE YEARS 2019-2021 FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN 2018 WERE DEVELOPED WITH SIGNIFICANT CONTRIBUTIONS FROM FAIRVIEW HEALTH SERVICES AND BETHESDA HOSPITAL STAFF AND PROVIDERS, BETHESDA/ST. JOSEPH'S COMMUNITY HEALTH STEERING COMMITTEE MEMBERS, AND OTHER COMMUNITY MEMBERS AND LEADERS. THESE STRATEGIES WILL GUIDE FAIRVIEW IN BRIDGING COMMUNITY AND CLINICAL CARE TO IMPROVE HEALTH, ADDRESS THE ROOT CAUSE AND CONTRIBUTING FACTORS OF HEALTH CONDITIONS, ADDRESS PRIORITY POPULATIONS, AND CATALYZE FAIRVIEW'S ANCHOR MISSION. ALL PROGRAMS AND INITIATIVES WILL FOCUS ON THE IDENTIFIED PRIORITY NEEDS OF MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES, AND ACCESS TO CARE AND SERVICES, AND WILL TAKE INTO CONSIDERATION OUR IDENTIFIED PRIORITY POPULATIONS THAT INCLUDE SENIORS, PERSONS EXPERIENCING POVERTY, PEOPLE OF COLOR AND INDIGENOUS PEOPLE. ALTHOUGH THE HOSPITAL WAS NOT ABLE TO IMPLEMENT ANY NEW STRATEGIES DURING THIS FISCAL YEAR AS A RESULT OF THE MOST RECENT CHNA, THE FOLLOWING DESCRIBES THE SIGNIFICANT ACTIONS TAKEN DURING THIS FISCAL YEAR BY BETHESDA HOSPITAL IN THEIR THREE PRIORITY GOALS AS PART OF THE ITS CONTINUATION OF PRIOR COMMUNITY HEALTH IMPLEMENTATION PLANS. PRIORITY NEED: HEALTHY EATING AND ACTIVE LIVING GOAL: PROMOTE HEALTHY LIFESTYLES BY IMPROVING ACCESS TO NUTRITIOUS, CULTURALLY RESPONSIVE FOOD AND PHYSICAL ACTIVITY IN ORDER TO INCREASE THE PERCENTAGE OF PEOPLE LIVING AT A HEALTHY WEIGHT. STRATEGY 1: INCREASE PARTICIPATION IN PHYSICAL ACTIVITY AND NUTRITION EDUCATION IN TARGETED EAST METRO NEIGHBORHOODS AND/OR WITH PRIORITY POPULATIONS. PROGRAM 1: EAST SIDE TABLE EAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED THROUGH PARTICIPATION AT COMMUNITY EVENTS. OUTCOMES: -28 COOKING CLASSES AND DEMONSTRATIONS WERE HELD. -281 PEOPLE ATTENDED A COOKING CLASS OR DEMONSTRATION. -4,625 PEOPLE WERE REACHED THROUGH HEALTHY EATING ENGAGEMENT EFFORTS. PROGRAM 2: WELLNESS AND PREVENTION PROGRAMS WELLNESS AND PREVENTION PROGRAMS INCLUDES EVIDENCE-BASED FALLS PREVENTION PROGRAMS TAI JI QUAN AND A MATTER OF BALANCE. THIS STRATEGY WAS MEASURED WITH PARTICIPANTS SURVEYS THAT WERE ADMINISTERED AT THE BEGINNING OF THE FIRST CLASS (PRE) AND END OF THE LAST CLASS (POST). OUTCOMES: -5 CLASSES WITH 49 PARTICIPANTS. -THERE WAS A 58% REDUCTION IN THE NUMBER OF FALLS AMONG PARTICIPANTS. -THERE WAS A 3% REDUCTION IN THE FEAR OF FALLING AMONG PARTICIPANTS. STRATEGY 2: IMPROVE ACCESS TO AND CONSUMPTION OF HEALTHY FOOD AND IMPROVE FOOD SKILLS IN TARGETED NEIGHBORHOODS AND/OR WITH PRIORITY POPULATIONS. PROGRAM 1: EAST SIDE TABLE EAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED WITH PARTICIPANT SURVEYS THAT WERE ADMINISTERED AT THE END OF COMMUNITY EVENTS. OUTCOMES: -OVER 10 WEEKS, 106 FAMILIES RECEIVED MAKE-AT-HOME MEAL KITS -75% OF PARTICIPANTS FROM THE COMMUNITY MEAL WITH SENIORS FELT THE RECIPE INTRODUCED THEM TO A NEW FOOD SKILL OR COOKING TIP. PROGRAM 2: FRUIT AND VEGGIE RX FRUIT AND VEGGIE RX IS A PARTNERSHIP BETWEEN THE HMONG AMERICAN FARMERS ASSOCIATION AND THREE HEALTHEAST CLINICS TO PROVIDE WEEKLY BOXES OF LOCAL FRUITS AND VEGETABLES TO IMMIGRANTS AND REFUGEES WHO ARE FOOD INSECURE. THIS STRATEGY WAS MEASURED WITH PARTICIPANT SURVEYS THAT WERE COLLECTED BEFORE THE START OF PROGRAM (PRE) AND AT THE END OF THE PROGRAM (POST). OUTCOMES: -OVER 22 WEEKS, 97 FAMILIES RECEIVED COMMUNITY SUPPORT AGRICULTURE (CSA) BOXES FILLED WITH FRESH FRUITS AND VEGETABLES. NOTE: PRE AND POST SURVEYS WERE COLLECTED FOR PARTICIPANTS. POST SURVEYS WERE COLLECTED MID-DECEMBER AND ARE NOT INCLUDED IN THIS REPORT. STRATEGY 3: INCREASE SOCIAL CONNECTEDNESS AMONG AGING AND NEW IMMIGRANT POPULATIONS THROUGH MEALTIME. PROGRAM 1: EAST SIDE TABLEEAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED THROUGH PARTICIPATION AT COMMUNITY EVENTS AND WITH PARTICIPANTS SURVEYS THAT WERE ADMINISTERED AT THE END OF COMMUNITY EVENTS. OUTCOMES: -755 GUESTS SHARED A MEAL TOGETHER AT 13 COMMUNITY MEALS. -97% OF PARTICIPANTS FROM THE COMMUNITY MEALS WITH SENIORS STATED THAT THE EVENT HELPED THEM FEEL MORE CONNECTED TO OTHERS IN THEIR COMMUNITY. STRATEGY 4: LEVERAGE HEALTHEAST LEADERS ON COMMUNITY BOARDS, COMMITTEES AND OTHER INITIATIVES. ACTIVITY 1: PARTICIPATION ON COMMUNITY BOARDS, COMMITTEES, AND OTHER INITIATIVES THIS STRATEGY WAS MEASURED THROUGH TIME SPENT PARTICIPATING IN COMMUNITY BOARDS, COMMITTEES, AND OTHER INITIATIVES. OUTCOMES: -STAFF CONTRIBUTED 1,234 HOURS TO COMMUNITY BOARDS, COMMITTEES, INITIATIVES, AND COLLABORATIONS TO IMPROVE HEALTH AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. -PARTICIPATED IN LOCAL PUBLIC HEALTH DEPARTMENT COMMUNITY LEADERSHIP COMMITTEES, INCLUDING ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH AND WASHINGTON COUNTY PUBLIC HEALTH. -PARTICIPATED IN MINNESOTA DEPARTMENT OF HEALTH - HEALTHY MINNESOTA PARTNERSHIP. -PARTICIPATED IN LOCAL COLLABORATIONS, INCLUDING THE CENTER FOR COMMUNITY HEALTH, EAST SIDE HEALTH AND WELL-BEING COLLABORATIVE, WOODBURY THRIVES, CENTRAL CORRIDOR ANCHOR PARTNERSHIP, AND AFRICAN AMERICAN LEADERSHIP COUNCIL. -PARTICIPATED IN NATIONAL ORGANIZATIONS, INCLUDING ROOT CAUSE COALITION AND THE HEALTHCARE ANCHOR NETWORK. STRATEGY 5: INFLUENCE POLICY AND SYSTEMS CHANGE PRIORITIES RELATED TO FOOD SYSTEMS AND ACTIVE LIVING AT LOCAL COMMUNITY, STATE AND NATIONAL LEVELS. NO PROGRAMS OR ACTIVITIES TIED TO POLICY OR SYSTEMS CHANGE WERE CONDUCTED IN 2018. PRIORITY NEED: MENTAL HEALTH AND STRESS RESILIENCE GOAL: IMPROVE ACCESS TO AND AWARENESS OF CULTURALLY RESPONSIVE MENTAL HEALTH RESOURCES AND EDUCATION. STRATEGY 1: REDUCE STRESSORS AND INCREASE COPING SKILLS REGARDING BASIC NEEDS TO TARGETED MINORITY AND AGING POPULATIONS. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIP IS A PILOT PROJECT THAT PROVIDES CULTURALLY RESPONSIVE OPPORTUNITIES TO FOSTER MENTAL HEALTH AND HOLISTIC WELL-BEING. COMPONENTS OF THE PROJECT INCLUDE PLACE-BASED CULTURAL BROKERS, COMMUNITY AND PROVIDER TRAININGS ON CULTURAL ASPECTS OF MENTAL HEALTH, CULTURALLY SPECIFIC COMMUNITY DIALOGUES, AND THE IDENTIFICATION OF SAFE AND SACRED PLACES. THIS STRATEGY WAS MEASURED THROUGH INTERACTIONS AND REFERRALS WITH CULTURAL BROKERS. OUTCOMES: -FIVE CULTURAL BROKERS WORKED WITH 643 INDIVIDUALS TO BUILD SELF-EFFICACY AND RESILIENCE WITHIN THE AFRICAN AMERICAN, AMERICAN INDIAN, HISPANIC/LATINO, HMONG, AND KAREN COMMUNITIES. STRATEGY 2: INCREASE ACCESS TO CULTURALLY RESPONSIVE RESOURCES FOR EAST METRO RESIDENTS WITH MENTAL HEALTH NEEDS. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIP IS A PILOT PROJECT THAT PROVIDES CULTURALLY RESPONSIVE OPPORTUNITIES TO FOSTER MENTAL HEALTH AND HOLISTIC WELL-BEING. COMPONENTS OF THE PROJECT INCLUDE PLACE-BASED CULTURAL BROKERS, COMMUNITY AND PROVIDER TRAININGS ON CULTURAL ASPECTS OF MENTAL HEALTH, CULTURALLY SPECIFIC COMMUNITY DIALOGUES, AND THE IDENTIFICATION OF SAFE AND SACRED PLACES. THIS STRATEGY WAS MEASURED THROUGH THE PLACEMENT OF CULTURAL BROKERS WITHIN COMMUNITY ORGANIZATIONS, AND THROUGH PRE AND POST SURVEYS THAT WERE ADMINISTERED TO PEOPLE WHO MET WITH A CULTURAL BROKER. OUTCOMES: -FIVE CULTURAL BROKERS WERE EMBEDDED WITHIN COMMUNITY ORGANIZATIONS TO PROVIDE CULTURALLY RESPONSIVE RESOURCES TO MEMBERS FROM THE AFRICAN AMERICAN, AMERICAN INDIAN, HISPANIC/LATINO, HMONG, AND KAREN COMMUNITIES. -46% OF INDIVIDUALS SURVEYED AFTER AN INTERACTION WITH A CULTURAL BROKER STRONGLY AGREED THAT THEY FELT CONNECTED TO THEIR COMMUNITY. PROGRAM 2: KAREN CHEMICAL DEPENDENCY COLLABORATIONKAREN CHEMICAL DEPENDENCY COLLABORATION (KCDC) IS A MULTI-ORGANIZATION COLLABORATION WORKING TOGETHER TO ADDRESS SUBSTANCE USE IN THE KAREN COMMUNITY THROUGH EDUCATION, SCREENINGS, TREATMENT, AND COMMUNITY SUPPORT PROGRAMS USING A CULTURALLY RELEVANT AND INFORMED APPROACH. THIS STRATEGY WAS MEASURED BY THE NUMBER OF PROFESSIONALS TRAINED. OUTCOMES: -EDUCATION ON THE KAREN COMMUNITY WAS PROVIDED TO 150 MENTAL HEALTH PROFESSIONALS AND PROVIDERS. STRATEGY 3: PROMOTE MENTAL HEALTH AWARENESS IN THE COMMUNITY. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE M</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>PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE</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>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</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. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</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>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</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>PART III, LINE 8 - MEDICARE EXPLANATION</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>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</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>PART VI, LINE 2 - NEEDS ASSESSMENT</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>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</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>PART VI, LINE 4 - COMMUNITY INFORMATION</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>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</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>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</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>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc7">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PORTICO HEALTHNET</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2610 UNIVERSITY AVENUE WEST</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55114</ZIPCd>
        </USAddress>
        <CashGrantAmt>261250</CashGrantAmt>
        <PurposeOfGrantTxt>GRANT PROVIDED TO PO</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PORTICO HEALTHNET IS AFFILIATED WITH HEALTHEAST CARE SYSTEM. THEIR BUDGET AND FINANCIAL RECORDS ARE REVIEWED PERIODICALLY TO ENSURE PROPER USAGE OF FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc8">
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES HEREFORD</PersonNm>
        <TitleTxt>PRESIDENT/CEO - FHS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1340912</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>439355</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>42546</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>42280</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1865093</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL M FROMM</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFI</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>785742</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>270217</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>85063</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>172798</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>76960</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1390780</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT BEACHER</PersonNm>
        <TitleTxt>CHIEF OF SHARED CLIN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>601546</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>195966</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>163382</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>117278</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>102531</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1180703</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK WELTON MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>641639</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>114418</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>43000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>43769</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>842826</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRUDI N TRYSLA</PersonNm>
        <TitleTxt>CHIEF LEGAL COUNSEL</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>508043</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>141927</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>50924</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>97712</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>63561</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>862167</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA REED RN</PersonNm>
        <TitleTxt>CHIEF NURSING EXECUT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>599498</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>38901</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>43000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>42201</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>723600</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLYN JACOBSON</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>452681</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>120530</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>101962</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>42200</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>717373</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISTAIR D JACQUES</PersonNm>
        <TitleTxt>CIO - END 10-2018</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>402283</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>139252</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2458</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>98048</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>42051</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>684092</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN CORREIA</PersonNm>
        <TitleTxt>CAO - END 5-2018</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>295524</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>76726</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>151045</OtherCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>4471</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>4947</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>227771</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>304942</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>27666</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE J BARR</PersonNm>
        <TitleTxt>PRES-HE, END 3-2018</TitleTxt>
        <BaseCompensationFilingOrgAmt>151289</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>134959</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>128938</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7844</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>466030</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>127814</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>M OSMAN AKHTAR</PersonNm>
        <TitleTxt>COO - END 9-2018</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>615779</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>137298</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>41076</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15249</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>809402</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER H KELLY MD</PersonNm>
        <TitleTxt>VP/EMD SURGICAL SERV</TitleTxt>
        <BaseCompensationFilingOrgAmt>551837</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>35707</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>93132</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18821</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>742497</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>9710</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KVASNICKA MD</PersonNm>
        <TitleTxt>VP MEDICAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>407177</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25411</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>111894</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26734</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>595716</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>29882</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE PEARSON MD</PersonNm>
        <TitleTxt>VP/EMD HE MED GROUP</TitleTxt>
        <BaseCompensationFilingOrgAmt>396282</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26070</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>77678</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>37000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26688</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>563718</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARA L TOMLINSON</PersonNm>
        <TitleTxt>VP/CHIEF CLINICAL QU</TitleTxt>
        <BaseCompensationFilingOrgAmt>373105</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>50459</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25155</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>492319</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN D AMDAHL MD</PersonNm>
        <TitleTxt>VP/EMD PAC/MED SPEC</TitleTxt>
        <BaseCompensationFilingOrgAmt>342822</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>22625</BonusFilingOrganizationAmount>
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        <CompReportPrior990FilingOrgAmt>4126</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN GARRETT MD</PersonNm>
        <TitleTxt>FORMER EXECUTIVE</TitleTxt>
        <BaseCompensationFilingOrgAmt>9605</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>49500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1046070</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>1149744</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>65139</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DANIEL M. FROMM 0 129,798 0 ROBERT BEACHER 0 74,278 0 TRUDI N. TRYSLA 0 73,212 0 CAROLYN JACOBSON 0 58,962 0 ALISTAIR D. JACQUES 0 73,548 0 M. OSMAN AKHTAR 0 16,569 0 KEVIN GARRETT, MD 480,770 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEAST CARE SYSTEM IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. MANAGEMENT SERVICES PROVIDE CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. A MANAGEMENT FEE IS CHARGED TO EACH SUBSIDIARY FOR MANAGEMENT SERVICES. THESE SERVICES INCLUDE THE FOLLOWING: STRATEGIC PLANNING, TAX SERVICES, FINANCIAL ANALYSIS, PAYROLL, BUDGETING, ACCOUNTS RECEIVABLE, ACCOUNTS PAYABLE, COMMUNICATION, IT SERVICES, HEALTH CARE MANAGEMENT, QUALITY MANAGEMENT, CASH MANAGEMENT, RISK MANAGEMENT, REAL ESTATE, ACCOUNTING, MARKETING, SPIRITUAL CARE, CONTRACTING, LEGAL, PURCHASING, HUMAN RESOURCE AND EMPLOYEE BENEFITS SERVICES. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE TWIN CITIES EAST METRO RESIDENTS. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE SYSTEM THAT PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. IN 1986, THE LEADERS OF SEVEN HOSPITALS IN ST. PAUL, MINNESOTA BLENDED THEIR BAPTIST, ROMAN CATHOLIC AND LUTHERAN CULTURES TO BECOME HEALTHEAST CARE SYSTEM, UNITED IN PURSUIT OF A COMMON MISSION BUILT ON JUDEO-CHRISTIAN VALUES. 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 2018, WE EXTENDED OUR PARTNERSHIP, WITH WORK UNDERWAY TO BUILD AN ACADEMIC HEALTH SYSTEM FOCUSED ON PATIENT- CENTERED CARE, INNOVATION, AND CLINICAL EXCELLENCE. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</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 253 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</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 4D</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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>STND SERVCS - EXTERNAL VENDOR 4,990,184 0 0 STND SERVCS - EXTERNAL VENDOR 2,662,580 0 0 STND SERVCS - EXTERNAL VENDOR 454,186 0 0 STND SERVCS - EXTERNAL VENDOR 669,474 0 0 CORPORATE &amp; OTHER SERVCIES 14,431,383 0 0 CORPORATE &amp; OTHER SERVICES 608,979 0 0 CORPORATE &amp; OTHER SERVICES 42,956 0 0 CORPORATE &amp; OTHER SERVICES 12,001 0 0 INTERPRETER FEES 483,357 0 0 INTERPRETER FEES 124,237 0 0 INTERPRETER FEES 137,220 0 0 0 10,595,455 0 TOTAL 24,616,557 10,595,455 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED CAPITAL 20,153 OTHER ADJUSTMENTS 1,198,213 CHANGE IN HEF ASSETS -13,106,474 TOTAL -11,888,108</ExplanationTxt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55454</ZIPCd>
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          <BusinessNameLine1Txt>MAPLEWOOD PROFESSIONAL BUILDING LIM</BusinessNameLine1Txt>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST WOODWINDS HOSPITAL</BusinessNameLine1Txt>
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        <TransactionTypeTxt>S</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST WOODWINDS HOSPITAL</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EAST METRO INSURACNE LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>D &amp; T FACILITY MANAGEMENT COMPANY</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST MAPLEWOOD SURGERY CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHEAST MEDICAL RESEARCH INSTITU</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
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</Return>