2012-07-16T13:20:31-05:00 2011-08-31 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2010-09-01 350876396 UNION HOSPITAL INC UNIO 8122387000 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 WAYNE HUTSON 8122387000 2012-07-14 1 CARRIE A MERRILL CPA 3176334705 2010 2016-02-24 21:20:13Z WAYNE HUTSON 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 424153646 0 X WWW.UHHG.ORG X 1892 IN WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 14 9 2622 394 583535 -93017 1278146 1496433 393861040 413557285 524097 598160 4785924 4444700 400449207 420096578 302195 172159 0 0 135678291 138416504 0 0 0 263549859 281589094 399530345 420177757 918862 -81179 455384525 464415498 319751492 337089154 135633033 127326344 X WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 0 0 396612015 172159 412869553 UNION HOSPITAL, UNION HOSPITAL CLINTON, AND OUR NETWORK OF PRIMARY CARE PHYSICIANS JOIN TOGETHER TO PROVIDE COMPREHENSIVE CARE TO RESIDENTS OF WEST CENTRAL INDIANA AND EASTERN ILLINOIS. OUR FACILITIES INCLUDE TWO HOSPITALS AND MORE THAN 40 PRIMARY AND SPECIALTY CARE PHYSICIANS AND MID-LEVEL PROVIDERS. WE ARE THE LARGEST PROVIDER OF HEALTH CARE SERVICES BETWEEN INDIANAPOLIS AND ST. LOUIS ALONG THE I-70 CORRIDOR, SERVING VIGO, PARKE, VERMILLION AND CLAY COUNTIES IN INDIANA, AND CLARK AND EDGAR COUNTIES IN ILLINOIS AS OUR PRIMARY SERVICE AREA. OUR SECONDARY SERVICE AREA INCLUDES GREENE AND SULLIVAN COUNTIES IN INDIANA, AND CRAWFORD COUNTY IN ILLINOIS.CONTINUE TO SCHEDULE O:ACCESS TO HEALTH CARE FOR OUR COMMUNITIES IS A CHALLENGE WE HAVE BEEN WORKING TO MEET FOR MANY YEARS. WHEN AN IMPENDING SHORTAGE OF PRIMARY CARE PROVIDERS WAS IDENTIFIED IN THE 1970'S, UNION HOSPITAL ESTABLISHED A FAMILY MEDICINE RESIDENCY PROGRAM TO TRAIN AND RETAIN DOCTORS FOR SERVICE IN OUR AREA. IN RESPONSE TO HEALTH CARE PROFESSIONAL SHORTAGES IN RURAL AREAS, THE RICHARD G. LUGAR CENTER FOR RURAL HEALTH (FORMERLY THE MIDWEST CENTER FOR RURAL HEALTH) WAS ESTABLISHED IN 1993 AS A DIVISION OF THE FAMILY MEDICINE RESIDENCY PROGRAM. THIS INNOVATIVE CENTER HAS DEVELOPED A CURRICULUM FOR RESIDENTS SPECIALIZING IN RURAL FAMILY MEDICINE AS WELL AS PRACTICE MODELS THAT INCORPORATE A MULTIDISCIPLINARY TEAM APPROACH AND STATE-OF-THE-ART TECHNOLOGY TO ENSURE THE SATISFACTION AND SUCCESS OF PROFESSIONALS WHO CHOOSE TO SERVE IN RURAL AREAS. SINCE 1976, THE PROGRAM HAS PLACED 81 PHYSICIANS IN COMMUNITIES IN INDIANA, 30 IN ILLINOIS, 1 IN JAPAN, 1 IN GUAM, 1 IN CANADA, 1 IN SUDAN AND 47 OTHERS IN COMMUNITIES ACROSS THE UNITED STATES. THE LUGAR CENTER'S INNOVATIVE PROGRAMS AND PROJECTS INCLUDE PARTNERSHIPS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE, THE INDIANA STATE UNIVERSITY SCHOOL OF NURSING, THE STATE AND NATIONAL RURAL HEALTH ASSOCIATIONS, THE STATE OF INDIANA, THE U.S. DEPARTMENT OF AGRICULTURE, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMONG MANY OTHERS. GRANTS TO SUPPORT ITS INITIATIVES TOTAL MORE THAN NEARLY $15 MILLION. THESE GRANTS SUPPORT ADVANCEMENTS IN RESIDENCY TRAINING, TELEMEDICINE TECHNOLOGY, AND THE FUNDING OF RURAL HEALTH CLINICS AND SERVICES. THE CLAY CITY CENTER FOR FAMILY MEDICINE IS OUR MODEL RURAL HEALTH CLINIC AND TRAINING SITE FOR RESIDENTS AND PROVIDES VITAL CARE TO THE MEDICALLY UNDERSERVED CITIZENS OF CLAY COUNTY, INDIANA. OUR COMMUNITY LOOKS TO UHI FOR A HIGH LEVEL OF SUPPORT. IN FISCAL YEAR 2011, MORE THAN $11 MILLION WAS DONATED TO THE POOR AND THE COMMUNITY THROUGH DONATIONS, SUBSIDIZED HEALTH SERVICES, THE EDUCATION OF MEDICAL PROFESSIONALS, AND EDUCATION FOR PATIENTS AND THE COMMUNITY. ANNUALLY, THE UNION HOSPITAL FOUNDATION AWARDS 20 SCHOLARSHIPS FOR AREA STUDENTS. FINANCIAL COMMITMENT FOR THESE INITIATIVES COMES FROM THE BOARD OF DIRECTORS THROUGH THE ORGANIZATION AS PART OF THE BUDGETING PROCESS. THE UNION HOSPITAL FOUNDATION, THE UNION HOSPITAL CLINTON FOUNDATION AND GUILD, AND THE SERVICE LEAGUE OF UNION HOSPITAL ARE ACTIVELY ENGAGED IN RAISING FUNDS TO SUPPORT THESE VITAL COMMUNITY SERVICES. GRANT SOURCES INCLUDE: THE U.S. DEPARTMENT OF AGRICULTURE, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE STATE OF INDIANA, MARCH OF DIMES, AND THE SUSAN G. KOMEN FOUNDATION, AMONG OTHERS. 396612015 1 1 0 1 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 1 191 0 1 2622 1 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X WAYNE HUTSON CFO 8122387000 1606 N SEVENTH STREET TERRE HAUTE IN 47804 X JOHN LUKENS 2.00 X 0 0 0 CURTIS BRIGHTON 2.00 X 0 0 0 WILLIAM G GRIMES 2.00 X 0 0 0 DAN DEBARD 2.00 X 0 0 0 WARD HUBBARD 2.00 X 0 0 0 FREDERICK BAUER 2.00 X 0 0 0 ANNA ZIMMERMAN 2.00 X 0 0 0 CINDY MARTIN 2.00 X 0 0 0 MARK LYNCH 2.00 X 0 0 0 MOLLY CALLAHAN 2.00 X 0 0 0 ROBERT HAERR 2.00 X 0 0 0 ROBERT MCLAUGHLIN 2.00 X 0 0 0 STEVEN MCDONALD 2.00 X 0 0 0 DAVID DOERR 40.00 X X 296764 0 20311 SCOTT TEFFETELLER 40.00 X 287164 0 26327 WAYNE HUTSON 40.00 X 237354 0 20244 CAROL ROESCH 40.00 X 170861 0 19539 KYM PFRANK 40.00 X 178716 0 19025 SALLY ZUEL 40.00 X 157901 0 11954 RONALD LEACH 40.00 X 200084 0 0 KRISTI WILLIAMS 40.00 X 132090 0 16931 RONALD KING 40.00 X 128969 0 18564 NABIL MNAYARJI 40.00 X 842921 0 30478 LINGAN SIDDA 40.00 X 1025320 0 22930 PRADEEP NAROTAM 40.00 X 849900 0 28024 RAMESH TANK 40.00 X 1001601 0 30479 SANJAY PATHAK 40.00 X 847512 0 28457 6096098 0 257768 92 0 1 0 PROVIDENCE MEDICAL GROUP 2723 S 7TH ST TERRE HAUTE IN 47802 MEDICAL SERVICES AND RENT 19512732 CARDIOVASCULAR MANAGEMENT 2723 S 7TH ST TERRE HAUTE IN 47802 MEDICAL MANAGEMENT SERVICES 18930049 AMBULATORY SURGERY MANAGEMENT 221 S 6TH ST TERRE HAUTE IN 47802 MEDICAL MANAGEMENT SERVICES 6284955 AP&S CLINIC 221 S 6TH ST TERRE HAUTE IN 47802 MEDICAL SERVICES AND RENT 5436588 GARMONG PEPPER CONSTRUCTION 1659 N 8TH ST TERRE HAUTE IN 47804 CONSTRUCTION 4377754 50 170120 1114560 211753 1496433 NET PATIENT REVENUE 900099 413557285 413557285 413557285 687872 687872 1348590 3621775 -2273185 -2273185 -2273185 345581 435293 -89712 -89712 -89712 CAFETERIA REVENUE 900099 1333147 1333147 AP & S PURCHASED SERVI 900099 1075759 1075759 CHILD DEVELOPMENT REVE 624410 645957 314010 331947 3663022 1585453 269525 1808044 6717885 420096578 412869553 583535 5147057 172159 172159 1183034 275591 907443 115943733 109671177 6272556 11308542 10696750 611792 2052980 1941914 111066 7928215 7499299 428916 9232 8733 499 10755239 10173381 581858 540710 511458 29252 13403019 12677916 725103 11546387 10921727 624660 375029 354740 20289 13922753 13169532 753221 24948134 23598440 1349694 16535167 15640614 894553 PURCHASED SERVICES 76074533 71958901 4115632 MEDICAL SUPPLIES 68119852 64434568 3685284 BAD DEBT 41962299 39692139 2270160 LICENSES, DUES & SUBSCR 569775 538950 30825 2826965 2674026 152939 420177757 396612015 23565742 0 21856285 28919312 55239274 53853217 5049617 4386794 5284677 5223132 460456776 170135124 299056105 290321652 37666679 59682256 20230429 13506327 6120840 4651848 4880619 3870960 455384525 464415498 43964421 47653026 507720 401447 235025000 255640000 25791757 23178118 14462594 10216563 319751492 337089154 X 127903123 121024812 6783414 5343087 946496 958445 135633033 127326344 455384525 464415498 X -81179 -8225510 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16160 16160 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 5.29% OF INDIANA HOSPITAL ASSOCATION AND 24.42% OF AMERICAN HOSPITAL ASSOCIATION DUES PAID WERE ATTRIBUTABLE TO LOBBYING EXPENSES AS DEFINED IN FEDERAL LAW. 946496 44026 20970 11108 958444 969067 17441 27706 12306 946496 1010484 4129 33684 11862 969067 1.00000 0 0 16928544 16928544 319814029 92074572 227739457 2534128 1704233 829895 108703442 76356319 32347123 12476633 12476633 290321652 PENSION LIABILITY 10216563 10216563 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CORPORATION'S ENDOWMENT CONSISTS OF INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES WHICH WERE DONOR-RESTRICTED. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE CORPORATION TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF AUGUST 31, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FILINGS ARE CURRENT THROUGH 2010. THE IMPACT OF THE SUBSIDIARIES TAX CONSEQUENCES IS IMMATERIAL TO THESE FINANCIAL STATEMENTS. FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 1 1 X 1 X 1 X 1 1 1 0 1 1 10949501 10949501 0.02900 57009533 27286614 29722919 0.07860 67959034 27286614 40672420 0.10760 1154447 57437 1097010 0.00290 7630293 2773395 4856898 0.01280 11642909 2698810 8944099 0.02360 176729 176729 0.00050 20604378 5529642 15074736 0.03980 88563412 32816256 55747156 0.14740 819791 819791 0.00220 1022546 1022546 0.00270 183893 183893 0.00050 179391 75070 104321 0.00030 2205621 75070 2130551 0.00570 1 14132858 0 128357921 144023723 -15665802 X 1 1 2 1 UNION HOSPITAL INC

1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804

X X X X PHYSICIAN PRACTICES, OFF CAMPUS THERAPY, RADIOLOGY 2 UNION HOSPITAL CLINTON

801 S MAIN ST CLINTON IN 47842

X X X UNION HOSPITAL - NOT REQUIRED 1 UNION HOSPITAL CLINTON - NOT REQUIRED 2 13 CLARA FAIRBANKS CENTER FOR WOMEN

1711 N 6 1/2 ST HUX CANCER CTR 3RD FLOOR TERRE HAUTE IN 47804

MAMMOGRAPHY CENTER CLAY CITY CENTER FOR FAMILY MEDICINE

315 LANKFORD ST PO BOX 96 CLAY CITY IN 47841

FAMILY MEDICINE CENTER IMAGING SERVICES - THOMAS PROF PLAZA

5500 S US HWY 41 TERRE HAUTE IN 47802

OUTPATIENT THERAPY & IMAGING CENTER PEDIATRIC THERAPY SERVICES

450 8TH AVE TERRE HAUTE IN 47804

OUTPATIENT THERAPY CENTER PROVIDENCE MEDICAL GROUP CATH LAB

2723 S 7TH ST TERRE HAUTE IN 47802

OUTPATIENT CATH LAB PROVIDENCE MEDICAL GROUP CHEMO THERAPY

2723 S 7TH ST TERRE HAUTE IN 47802

CHEMO THERAPY/INFUSION CENTER THERAPY SERVICES (UPA BONE & JOINT)

1725 N 5TH ST TERRE HAUTE IN 47804

OUTPATIENT THERAPY CENTER THERAPY SERVICES - PROFESSIONAL PLAZA

4001 E WABASH AVENUE TERRE HAUTE IN 47803

OUTPATIENT THERAPY CENTER THERAPY SERVICES - ST MARY OF THE WOODS

ONE SISTER OF PROVIDENCE ST MARY OF THE WOOD IN 47876

OUTPATIENT THERAPY CENTER UNION FAMILY MEDICINE EAST

4001 E WABASH AVENUE TERRE HAUTE IN 47803

FAMILY MEDICINE CENTER UNION HOSPITAL FAMILY MEDICINE CENTER

1513 N 6 1/2 ST TERRE HAUTE IN 47807

FAMILY MEDICINE CENTER UNION HOSPTIAL HUX CANCER CENTER

1711 N 6 1/2 ST TERRE HAUTE IN 47804

CANCER CARE CENTER WABASH VALLEY SURGERY CENTER

1421 N 7TH ST TERRE HAUTE IN 47807

SURGERY CENTER PART I, LINE 3C: SCHEDULE H PART I LINE 3BDESCRIPTION OF FAMILY INCOME LIMIT FOR DISCOUNTED CARETHE ORGANIZATION PROVIDES PARTIAL ASSISTANCE FOR INCOME LEVELS BETWEEN 150% AND 200% OF FEDERAL POVERTY GUIDELINES, AND OFFERS DISCOUNTED CARE ON A SLIDING SCALE FOR INCOME LEVELS BETWEEN 250% AND 400% OF FEDERAL POVERTY GUIDELINES. PART I, L7 COL(F): TOTAL BAD DEBT EXPENSE OF $41,962,299 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN (F) PER IRS INSTRUCTION. PART II: TO BETTER MEET THE NEEDS OF OUR COMMUNITIES UHI PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES TO IMPROVE THE HEALTH IN THE COMMUNITY. PROGRAMS HAVE BEEN DEVELOPED TO SPECIFICALLY HELP MEET THE NEEDS AS DEFINED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THE PROGRAMS OR SERVICES DEVELOPED MEET SEVERAL DEFINED NEEDS AND SOME OF THEM ARE MORE FOCUSED ON A CENTRAL IDEA, FOR EXAMPLE PARTNERING WITH OUR LOCAL WABASH VALLEY HARLEY DAVIDSON DEALER AND OFFERING A FREE PROSTATE CANCER SCREENING TO OUR MALE POPULATION. THE CENTRAL FOCUS IS TO IDENTIFY MALES THAT HAVE AN ELEVATED PSA LEVELS SO THEY CAN GET TREATMENT BEFORE MAJOR HEALTH COMPLICATIONS ARISE. CONTINUED ON SCHEDULE O PART III, LINE 4: FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES: THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL WRITEOFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT ACCOUNTS WITH COLLECTION AGENCIES.EXPLANATION FOR LINE 2 AND 3 OR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED AUGUST 31, 2011 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: IF THE PATIENT DOES NOT QUALIFY FOR CHARITY, BUT QUALIFIES FOR LIMITED MEANS ASSISTANCE, A REDUCTION IN CHARGES WILL BE MADE TO THE ACCOUNT AND THE PATIENT WILL BE NOTIFIED VIA MAIL. AT THE PATIENT'S REQUEST, PAYMENT ARRANGEMENTS WILL BE MADE FOR THE REMAINING BALANCE. SCHEDULE H PART I LINE 3BDESCRIPTION OF FAMILY INCOME LIMIT FOR DISCOUNTED CARETHE ORGANIZATION PROVIDES PARTIAL ASSISTANCE FOR INCOME LEVELS BETWEEN 150% AND 200% OF FEDERAL POVERTY GUIDELINES, AND OFFERS DISCOUNTED CARE ON A SLIDING SCALE FOR INCOME LEVELS BETWEEN 250% AND 400% OF FEDERAL POVERTY GUIDELINES. PART VI, LINE 2: ASSESSING THE NEEDS OF OUR COMMUNITY IS AN ONGOING ACTIVITY. ALTHOUGH A FORMALIZED ASSESSMENT TOOL IS CURRENTLY BEING EVALUATED, ONLINE DATABASES HAVE PROVED BENEFICIAL IN HELPING THE ORGANIZATION DETERMINE THE BEST WAY TO UTILIZE ITS RESOURCES. THE MOST VALUABLE OF THOSE RESOURCES BEING UNION'S 2,000 PLUS EMPLOYEES WHO DONATE THOUSANDS OF HOURS OF COMMUNITY SERVICE EACH YEAR. UHI EMPLOYS A FULL-TIME POSITION (COMMUNITY LIAISON) DEDICATED TO COMMUNITY BENEFIT ACTIVITIES FOR THE ORGANIZATION. THE COMMUNITY LIAISON TAKES ON THE LEAD ROLE IN COLLECTING DATA TO ASSIST IN ASSESSING THE NEEDS OF OUR COMMUNITY. THE WEBSITE STATSINDIANA.EDU HAS A WEALTH OF HEALTH, DEMOGRAPHIC AND INCOME DATA PROVIDING UNION WITH AN ASSESSMENT OF ALL INDIANA COUNTIES IN OUR SERVICE AREA. THE U.S. CENSUS BUREAU AND COUNTYHEALTHRANKINGS.ORG PROVIDED DATA THAT CAN BE DRILLED DOWN TO THE STATE, COUNTY AND CITY LEVELS TO HELP UHI OFFICIALS ACCURATELY ASSESS COMMUNITY HEALTH NEEDS. UNION ALSO WORKS CLOSELY WITH INDIANA STATE UNIVERSITY COLLEGE OF NURSING HEALTH AND HUMAN SERVICES, AND THE VIGO COUNTY HEALTH DEPARTMENT. THE HOSPITAL UTILIZES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT ITS PATIENT SATISFACTION SURVEYS, AND TO PROVIDE UHI WITH COMMUNITY HEALTH NEEDS ASSESSMENT. ON AUGUST 14, 2009, PUBLIC HEALTH SYSTEM PARTNERS OF VIGO COUNTY CONVENED A MEETING TO EVALUATE HOW TO BETTER SERVE THE PUBLIC HEALTH AND HEALTHCARE NEEDS OF THE COUNTY'S ESTIMATED 106,000 RESIDENTS. THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) HOSTED THE ALL DAY EVENT, IN PARTNERSHIP WITH THE VIGO COUNTY HEALTH DEPARTMENT. THE INDIANA STATE DEPARTMENT OF HEALTH, IN COLLABORATION WITH PURDUE UNIVERSITY'S HEALTHCARE TECHNICAL ASSISTANCE PROGRAM, WORKED TOGETHER TO CREATE THIS OPPORTUNITY FOR ALL LOCAL PUBLIC HEALTH SYSTEM PARTNERS TO IDENTIFY EXISTING STRENGTHS, AS WELL AS OPPORTUNITIES TO ESTABLISH AND FORMALIZE PUBLIC HEALTH SYSTEM INFRASTRUCTURE IN INDIANA COUNTIES. VIGO COUNTY PARTNERS MET TO COMPLETE THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT - A NATIONALLY RECOGNIZED PUBLIC HEALTH SYSTEM ASSESSMENT TOOL. THE ASSESSMENT PROCESS AND RESULTS ENABLED GREATER UNDERSTANDING OF HOW THE COUNTY'S HEALTHCARE AND PUBLIC HEALTH ORGANIZATIONS RELATE TO ONE ANOTHER AND HOW THEY PROVIDE ESSENTIAL PUBLIC HEALTH AND HEALTHCARE SERVICES TO THE PUBLIC THEY SERVE. THE ASSESSMENT SPECIFICALLY FOCUSED ON AREAS SUCH AS COMMUNICATION, PARTNERSHIPS, LINKING PEOPLE TO NEEDED SERVICES, AND SHARING OF RESOURCES. FINDINGS OF THE ASSESSMENT REVEALED STRENGTHS OF THE SYSTEM THAT INCLUDED: -IDENTIFICATION AND SURVEILLANCE OF HEALTH THREATS, AND RESPONSE TO PUBLIC HEALTH THREATS AND EMERGENCIES -INFORMING, EDUCATING AND EMPOWERING THE PUBLIC ABOUT PUBLIC HEALTH ISSUES-ENFORCEMENT OF LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY THE ASSESSMENT ALSO REVEALED IMPORTANT AREAS FOR PERFORMANCE IMPROVEMENT, INCLUDING:-MOBILIZING COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS -DEVELOPING COMMUNITY HEALTH IMPROVEMENT PROCESSES-USING CURRENT TECHNOLOGY TO MONITOR, MANAGE AND COMMUNICATE POPULATION HEALTH DATA-THE ASSESSMENT PROCESS CAN SERVE AS THE FOUNDATION TO FORMALIZE PROCESSES THAT STRENGTHEN LOCAL PUBLIC HEALTH SYSTEM INFRASTRUCTURE WITH THE CAPACITY AND RESOURCES TO IMPROVE QUALITY AND EFFECTIVENESS OF HEALTHCARE SERVICES IN VIGO COUNTY. PART VI, LINE 3: UHI USES A VARIETY OF TOOLS TO EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. SIGNS ARE DISPLAYED IN THE ADMITTING AREAS, BROCHURES AND THE FINANCIAL ASSISTANCE POLICY IS ATTAINED ON OUR STATEMENTS. CLAIMAID IS AVAILABLE OF POINT OF SERVICE ONSITE MEDICAID ELIGIBILITY ADVISOR THAT ASSISTS OUR PATIENTS IN QUALIFYING FOR ANY MEDICAID PROGRAMS. ALL OF OUR FINANCIAL COUNSELORS ARE TRAINED AND SCRIPTED TO COMMUNICATE FINANCIAL ASSISTANCE PROGRAMS AND ASSIST IN SETTING UP MEETINGS FOR THE CLAIMAID STAFF. FINANCIAL COUNSELORS ARE LOCATED IN THE ADMITTING IN BOTH UNION HOSPITAL EAST AND WEST FACILITIES AND AT UNION CLINTON FACILITY TO ASSIST OUR PATIENTS. THIS INCLUDES STAFF THAT CAN SPEAK SPANISH TO ASSIST IN ANY INTERPRETATION FOR A SPANISH SPEAKING PATIENT. PART VI, LINE 4: THE COMMUNITIES SERVED BY UHI REPRESENT A BLENDING OF URBAN AND RURAL PEOPLE. TERRE HAUTE AND VIGO COUNTY ARE LARGELY URBAN AND SUBURBAN WITH A POPULATION OF 106,000. THE REMAINING 147,000 PEOPLE SERVED BY UNION ARE LOCATED IN SMALL TOWNS AND RURAL FARMING AREAS THROUGHOUT EIGHT ADDITIONAL COUNTIES SURROUNDING VIGO COUNTY. PEOPLE IN VIGO COUNTY ARE MORE RACIALLY DIVERSE WITH 89.5% BEING CAUCASIAN, 7% AFRICAN AMERICAN, 1.6% ASIAN AND 1.5% HISPANIC. THE SURROUNDING COUNTIES AVERAGE 96.4% WHITE, 2% AFRICAN AMERICAN AND LESS THAN 1% ASIAN AND HISPANIC POPULATIONS. VIGO COUNTY IS YOUNGER WITH AN AVERAGE AGE OF 35.9 COMPARED TO 39.99 IN THE SURROUNDING COUNTIES WITH 14.5% BEING 65 YEARS OF AGE OR OLDER COMPARED TO 13.7% IN VIGO COUNTY. REGARDLESS OF LOCATION, MEDIAN HOUSEHOLD INCOMES AVERAGING $39,250 FALL FAR BELOW THE INDIANA AVERAGE OF $48,010 AND THE US AVERAGE OF $52,029. MORE THAN 19% OF VIGO COUNTY RESIDENTS AND 10.3% OF SURROUNDING COUNTY RESIDENTS LIVE IN POVERTY. IN VIGO COUNTY, ONE IN FOUR CHILDREN LIVES IN POVERTY. VIGO COUNTY RANKS SECOND IN THE STATE IN POVERTY, AND 5TH IN THE STATE IN POVERTY RANK AMONG CHILDREN UNDER THE AGE OF 18. EMPLOYMENT WITHIN VIGO COUNTY INCLUDES A LARGE RETAIL AND RESTAURANT SERVICE SECTOR, HEALTHCARE, HIGHER EDUCATION AND A DIVERSE MANUFACTURING SECTOR. UHI IS THE LARGEST EMPLOYER IN TERRE HAUTE. THE SURROUNDING COUNTIES OFFER LARGELY AGRICULTURAL AND MINING-BASED EMPLOYMENT WITH MANY RESIDENTS TRAVELING TO VIGO COUNTY FOR EMPLOYMENT OPPORTUNITIES. UNEMPLOYMENT IN VIGO COUNTY WAS 9.9% IN 2009, SLIGHTLY LOWER THAN THE STATE AVERAGE AT THAT TIME OF 10.4%. A HEALTH NEEDS ASSESSMENT CONDUCTED IN 2006 REVEALED THAT PEOPLE IN THE AREA WITH INCOMES BELOW 200% OF THE POVERTY LEVEL HAD SIGNIFICANTLY HIGHER RATES OF PHYSICAL IMPAIRMENT, DEPRESSION, OBESITY, TOBACCO USE, HIGH BLOOD PRESSURE AND DIABETES. THIS POPULATION SEGMENT WAS FAR LESS LIKELY TO ENGAGE IN REGULAR PHYSICAL ACTIVITY. WHILE OVERALL RATES OF TOBACCO USE IN THE AREA WERE SLIGHTLY LOWER (20%) THAN THE STATE AVERAGE (24.9%), THE DEMOGRAPHIC SEGMENT WITH THE LARGEST TOBACCO USE WAS WOMEN OF CHILDBEARING AGE AT 24.8%. ACCESS TO HEALTH CARE IS A CHALLENGE FOR THOSE IN RURAL AREAS WHO OFTEN MUST TRAVEL TO TERRE HAUTE OR ELSEWHERE FOR MEDICAL CARE AND CHRONIC DISEASE MANAGEMENT. PART VI, LINE 6: SEE SCHEDULE O. PART VI, LINE 7: THE ORGANIZATION IS PART OF AN AFFILATED HEALTH CARE SYSTEM TO PROVIDE VISION AND STRATEGIC DIRECTION IN THE FORMATION OF A REGIONAL HEALTH CARE SYSTEM TO EXPAND AND IMPROVE THE DELIVERY OF HEALTH CARE SERVCIES IN ORDER TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE SYSTEM'S SERVICE AREA. REPORTS FILED WITH STATES PART VI, LINE 7 IN 1 VIGO COUNTY SCHOOL CORPORATION PO BOX 3703 TERRE HAUTE IN 47803 356007261 22000 GENERAL DONATION TERRE HAUTE BOYS & GIRLS CLUB 220 NORTH THIRD ST TERRE HAUTE IN 47807 350868182 501C3 5000 GENERAL DONATION RURAL HEALTH INNOVATION COLLABORATIVE INC 1606 N 7TH STREET TERRE HAUTE IN 47804 271374208 501C3 0 28632 FMV DONATION OF OFFICE SPACE DONATION OF RENTAL OFFICE SPACE TO ORGANIZATION TO FURTHER ITS EXEMPT PURPOSE. AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501C3 5000 20006 FMV DONATION OF ADVERTISING SPACE PROVIDING ADVERTISING SPACE FREE OF CHARGE. 3 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS TO ENTITIES IN THE UNITED STATES: GRANTS ARE PROVIDED TO 501(C)(3) PUBLIC CHARITIES AND LOCAL SCHOOL CORPORATION FOR GENERAL SUPPORT. UNION HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 DAVID DOERR 279034 0 0 0 17730 0 1396 0 18915 0 317075 0 0 0 SCOTT TEFFETELLER 245820 0 0 0 41344 0 4954 0 21373 0 313491 0 0 0 WAYNE HUTSON 205012 0 0 0 32342 0 5105 0 15139 0 257598 0 0 0 CAROL ROESCH 141189 0 0 0 29672 0 3904 0 15635 0 190400 0 0 0 KYM PFRANK 153216 0 0 0 25500 0 3768 0 15257 0 197741 0 0 0 SALLY ZUEL 136704 0 0 0 21197 0 3628 0 8326 0 169855 0 0 0 RONALD LEACH 183584 0 0 0 16500 0 0 0 0 0 200084 0 0 0 NABIL MNAYARJI 695821 0 0 0 147100 0 7350 0 23128 0 873399 0 0 0 LINGAN SIDDA 437782 0 0 0 587538 0 6891 0 16039 0 1048250 0 0 0 PRADEEP NAROTAM 496819 0 0 0 353081 0 5895 0 22129 0 877924 0 0 0 RAMESH TANK 429003 0 0 0 572598 0 7350 0 23129 0 1032080 0 0 0 SANJAY PATHAK 429999 0 0 0 417513 0 6334 0 22123 0 875969 0 0 0 PART I, LINE 1A COUNTY CLUB OF TERRE HAUTE DUES WERE PAID FOR THE CFO DURING THE YEAR. THE COUNTY CLUB DUES FOR THE COO AND CEO WERE CANCELLED DURING THE FIRST QUARTER OF THE FISCAL YEAR. PART I, LINE 7 THE ORGANIZATION PROVIDES NON-FIXED PAYMENTS TO SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. THESE NON-FIXED PAYMENTS ARE BASED ON THE ORGANIZATION'S ABILITY TO PAY AND ARE NOT CONSTRUED AS A CONTRACT BETWEEN UNION AND ITS EXECUTIVES. THE EXECUTIVE BONUS PLAN IS A MIXTURE OF OBJECTIVES, STANDARDS AND SUBJECTIVE STANDARDS THAT BOTH THE POLICY AND THE IMPLEMENTATION OF THE POLICY BY THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS APPROVES AND AWARDS DEPENDING ON UNION'S ABILITY TO PAY. THERE IS NO AUTOMATIC RIGHT TO A BONUS OR A SPECIFIC BONUS AMOUNT EVEN IF ALL CRITERIA ARE MET. THE PERFORMANCE MEASURE PLAN IS LINKED TO THE UNION STRATEGIC AND FISCAL-YEAR BUSINESS PLANNING PROCESS. THE PLAN IS INTENDED TO FOCUS PARTICIPANTS' ATTENTION ON MISSION-CRITICAL GOALS AND KEY STRATEGIC PRIORITIES. THE PLAN IS ALSO INTENDED TO ENHANCE THE PERFORMANCE OF UNION EXECUTIVES AND THE ORGANIZATION. PRIOR TO THE START OF THE FISCAL YEAR AND AS PART OF THE BUSINESS PLANNING PROCESS, THE UNION PRESIDENT AND CEO WILL FINALIZE A LIST OF GOALS, WEIGHTS AND MEASURES TO BE USED TO ASSESS PERFORMANCE DURING THE FISCAL YEAR. THE LIST IS PRESENTED TO AND DISCUSSED WITH THE COMMITTEE. THE COMMITTEE REVIEWS AND APPROVES THE BONUS PLAN GOALS, WEIGHTS, AND MEASURES. ORGANIZATION GOALS WILL BE ASSIGNED TO EACH PARTICIPANT HOSPITAL-WIDE. IN ADDITION TO HOSPITAL-WIDE GOALS INDIVIDUAL AND/OR FUNCTIONAL/DEPARTMENT GOALS MAY OR MAY NOT BE INCLUDED. AFTER THE CONCLUSION OF EACH FISCAL YEAR, THE PRESIDENT & CEO WILL PREPARE AN ANNUAL BONUS PLAN REPORT FOR THE COMMITTEE. THE REPORT CONTAINS: AN APPRAISAL OF UNION AND HOSPITAL/OPERATING UNIT PERFORMANCE DURING THE RECENTLY-COMPLETED FISCAL YEAR; AND THE PRESIDENT & CEO'S RECOMMENDED PAYOUT FOR EACH PLAN PARTICIPANT. THE BONUS RECOMMENDATIONS FOR ALL SR. MANAGEMENT ARE RECEIVED AND REVIEWED FIRST BY THE PERSONNEL COMMITEE WHO THEN MAKE DECISIONS AND SUBMITS TO THE BOARD TO VOTE. THE COMMITTEE WILL DETERMINE AND SUBMIT THE PAYOUT FOR THE PRESIDENT & CEO TO THE BOARD OF DIRECTORS WHO, ABSENT THE PRESDIENT & CEO, WILL VOTE ON APPROVAL. AWARD DETERMINATIONS ARE CALCULATED AS PERCENTAGES OF PARTICIPANT'S SALARIES PAID FOR TIME WORKED DURING THE FISCAL YEAR. PAYOUTS FOR PRESIDENT IS 0% TO 30%; CFO & COO ARE 0% TO 25%; AND OTHER EXECUTIVES ARE 0% TO 20%. THE EXCUTIVE BONUS PLAN PAYOUTS ARE TO BE PAID WHEN DETERMINED BY THE PERSONNEL COMMITTEE, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. SUPPLEMENTAL INFORMATION PART III FORM 990, PART VII, SECTION A, TITLES FOR DOERR AND TEFFETELLER: OCTOBER 1, 2010 DAVID DOERR BECAME AN EMPLOYEE OF UNION HEALTH SYSTEM, THE SOLE MEMBER OF UNION HOSPITAL. UNION HOSPITAL CONTINUES TO PAY WAGES TO MR. DOERR, HOWEVER, HIS WAGES ARE ALLOCATED TO UNION HEALTH SYSTEM FOR HIS SERVICES TO THE UNION HEALTH SYSTEM. MR. DOERR WAS PRESIDENT/CEO FOR UNION HOSPITAL FROM SEPTEMBER 1 - 30, 2010 BEFORE SCOTT TEFFETELLER BECAME PRESIDENT/CEO FOR UNION HOSPITAL ON OCTOBER 1, 2010. HOSPITAL AUTHORITY OF VIGO COUNTY (REVENUE BONDS SERIES 2007) 351656988 926742BY2 2007-07-12 176052475 CONSTRUCT NEW HOSPITAL BUILDING 0 0 0 HOSPITAL AUTHORITY OF VIGO COUNTY 351656988 926742CF2 2011-03-02 53989054 CAPITAL ASSET RENOVATION/CONSTRUCTION, REFUNDING OF BONDS 0 0 0 176052475 15716590 2151525 158184360 2010 0 0 1 1 53989054 5504000 1078426 17009396 30397232 1 0 0 1 0 1 1 0 1 0.00000 0.00000 0.00000 1 0 1 1 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 SERIES 2011 BONDS PURPOSE DETAIL THE PROCEEDS FROM THE SALE OF THE SERIES 2011 BONDS, TOGETHER WITH CERTAIN OTHER MONEYS, WILL BE USED TO (I) FINANCE THE COST OF CONSTRUCTING, ACQUIRING, EQUIPPING OR RENOVATING CERTAIN CAPITAL ASSETS OF THE CORPORATION,(II) REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2002 AND THE INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2006A, (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2011 BONDS, AND (IV) PAY A PORTION OF THE COST OF ISSUANCE OF THE SERIES 2011 BONDS. PHYSICIAN GROUP SEE PART V BELOW 34720 SEE PART V 0 FOREST SHERER INC SEE PART V BELOW 988746 SEE PART V 0 AP&S CLINIC NORTH SIDE SEE PART V BELOW 5436588 SEE PART V 0 BUNCH NURSERIES INC SEE PART V BELOW 142337 SEE PART V 0 (A) NAME OF PERSON: PHYSICIAN GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBERT HAERR IS A UNION HOSPITAL BOARD MEMBER AND PHYSICIAN GROUP MEMBER (D) DESCRIPTION OF TRANSACTION: THE PHYSICIAN GROUP PROVIDES ONCOLOGY SERVICES TO THE HOSPITAL ON AN ARMS LENGTH BASIS.(A) NAME OF PERSON: FOREST SHERER, INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN LUKENS IS THE UNION HOSPITAL BOARD CHAIRMAN AND PRESIDENT OF FORREST SHERER, INC.(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL PURCHASES INSURANCE FROM THE INDEPENDENT INSURANCE AGENCY ON AN ARMS LENGTH BASIS.(A) NAME OF PERSON: AP&S CLINIC NORTHSIDE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ANNA ZIMMERMAN IS A UNION HOSPITAL BOARD MEMBER AND MEDICAL DOCTOR FOR AP&S CLINIC NORTHSIDE(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL HAS A CONTRACTUAL ARRANGEMENT FOR SERVICES WHICH ARE PROVIDED ON AN ARMS LENGTH BASIS.A) NAME OF PERSON: BUNCH NURSERIES, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IS MORE THAN 35% OWNED BY HUSBAND OF CINDY MARTIN, UNION BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: ENTITY PROVIDED SERVICES TO THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION MADE SIGNIFICANT CHANGES TO ITS ARTICLES OF INCORPORATION AND BYLAWS FOR THE PERIOD ENDING 8/31/2011. THE SIGNIFICANT CHANGE TO THE ARTICLES OF INCORPORATION IS TO CHANGE THE MEMBERSHIP TO ONE MEMBER, UNION HEALTH SYSTEM, INC., AN INDIANA NONPROFIT, TAX EXEMPT CORPORATION. THE SIGNIFICANT CHANGES TO THE BYLAWS ARE TO UPDATE ARTICLE II, SECTION 2 FOR THE POWERS RESERVED TO THE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 UNION HOSPITAL HAS ONE MEMBER, UNION HEALTH SYSTEM, INC., AN INDIANA NONPROFIT, TAX EXEMPT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER MAY APPOINT THE HOSPITAL BOARD DIRECTORS WITH THE RECOMMENDATION OF THE HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNING BODY DECISIONS SUBJECT TO APPROVAL BY THE MEMBER INCLUDE: 1. MISSION AND VISION STATEMENT CHANGES; 2. CHANGES TO THE GOVERNING DOCUMENT; 3. APPROVAL AND REMOVAL OF BOARD DIRECTORS; 4. INCURRING DEBT; 5. APPROVAL, SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS; 6. FORMATION OF A SUBSIDIARY; 7. TRANSFER OR ENCUMBRANCE OF THE ASSETS; 8. APPROVAL OF ANNUAL OPERATING BUDGET, CAPITAL PLAN, STRATEGIC PLAN, AND BUSINESS PLAN; 9. APPOINTMENT OF THE CEO; 10. TRANSACTIONS OVER $250,000; AND 11. APPROVAL OF ANY MANAGEMENT AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORM 990 BY THE ORGANIZATION'S MANAGEMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES DIRECTORS, OFFICERS, MANAGEMENT, AND EMPLOYEES. THE POLICY IS IN PLACE TO AVOID PERSONAL INTERESTS THAT CONFLICT, OR MAY APPEAR TO CONFLICT, WITH THE BEST INTERESTS OF UNION AND ITS AFFILIATES AND THE COMMUNITIES THEY SERVE. THE COVERED PERSONS ARE TO REFRAIN FROM PERSONAL INTERESTS, DIRECT OR INDIRECT WITH ANY THIRD PARTIES. IT IS THE RESPONSIBILITY OF OFFICERS, MANAGEMENT, AND EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES AND ACT ACCORDINGLY. A SELF-DISCLOSURE FROM COVERED PERSONS TO THE CORPORATE COMPLIANCE OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THE CONFLICTS DISCLOSED ARE REVIEWED AND RESOLVED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION UNDER THE BY-LAWS OF UNION HOSPITAL INCLUDES A BOARD OF DIRECTORS PERSONNEL COMMITTEE WHOSE RESPONSIBILITIES INCLUDE IN CHARGE OF DOING THE APPROPRIATE REVIEW OF COMPENSATION FOR THE SR. MANAGEMENT TEAM, INCLUDING THE CEO. THEY GATHER INFORMATION AND FOLLOW THE STEPS SET FORTH BELOW AND IN TURN SUBMIT TO THE FULL BOARD OF DIRECTORS THE RECOMMENDATIONS IN TERMS OF COMPENSATION AND BENEFITS FOR THE CEO AND SR. MANAGEMENT. THE PERSONNEL COMMITTEE CONSISTS OF INDIVIDUALS WHO ARE DISINTERESTED. THE CEO IS EXCUSED FROM THE MEETING WHEN HIS COMPENSATION/BENEFITS ARE REVIEWED BOTH AT THE PERSONNEL COMMITTEE LEVEL AND THE BOARD LEVEL. NOTE: DURING THE CURRENT FISCAL YEAR, SALARY INCREASES WERE NOT GIVEN TO THE SR. MANAGEMENT TEAM INCLUDING THE CEO, AND THUS, AN ANALYSIS OF COMPENSATION WAS NOT COMPLETED. IN FUTURE PERIODS, THIS PROCEDURE WILL RESUME AS STATED IN THIS POLICY. THE STEPS INCLUDE: 1. THE PERSONNEL COMMITTEE RETAINS AN OUTSIDE INDEPENDENT CONSULTANT TO (1) PROVIDE THE COMMITTEE WITH INFORMATION, AND (2) TO REVIEW THE ACTIONS AND COMPENSATION/BENEFITS TO BE SURE THAT THERE IS NOT EXCESSIVE COMPENSATION. THE CONSULTANT THAT HAS BEEN USED THE PAST THREE (3) YEARS IS SULLIVAN COTTER & ASSOCIATES, INC. UNDER THE PROCESS, SULLIVAN COTTER FIRST IS PROVIDED WITH THE NAMES AND JOB DESCRIPTIONS FOR THE SR. MANAGEMENT TEAM THAT IS BEING EVALUATED. THE INDEPENDENT ADVISOR THEN SUBMITS TO THE PERSONNEL COMMITTEE COMPARABLE INFORMATION, SPECIFICALLY: > FIVE COMMERCIALLY AVAILABLE EXECUTIVE HEALTH CARE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS, WERE REFERENCED TO OBTAIN MARKET DATA FOR THIS REVIEW - INTEGRATED HEALTHCARE STRATEGIES: 2009 HEALTHCARE EXECUTIVE COMPENSATION SURVEY - INDIANA HOSPITAL & HEALTH ASSOCIATION: 2009 COMPENSATION SURVEY REPORT - SULLIVAN, COTTER, AND ASSOCIATES: 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS - WATSON WYATT DATA SERVICES: 2009/2010 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT - MERCER HUMAN RESOURCE CONSULTING: 2009 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY > MARKET DATA REFLECTING FUNCTIONALLY-COMPARABLE POSITIONS WERE OBTAINED FOR ALL SEVEN EXECUTIVE POSITIONS > DATA WERE ABSTRACTED FOR COMPARABLY-SIZED ORGANIZATIONS AS MEASURED BY NET REVENUE > THE DATA REPORTED REPRESENTED THE 50TH, 75TH, AND 90TH PERCENTILES OF BASE SALARY AND TOTAL CASH COMPENSATION (BASE SALARY PLUS ACTUAL ANNUAL INCENTIVE - ABBREVIATED TCC) > REGIONAL MARKET DATA WERE ALSO COLLECTED FROM THE PUBLISHED COMPENSATION SURVEYS AS WELL AS A SPECIAL CUT OF THE FOLLOWING INDIANA HOSPITALS FROM SULLIVAN COTTER'S 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS - BALL MEMORIAL HOSPITAL - REID HOSPITAL & HEALTH CARE SERVICES - BLOOMINGTON HOSPITAL - RILEY HOSPITAL FOR CHILDREN - ELKHART GENERAL HOSPITAL - SAINT JOHN'S HEALTH SYSTEM - GOOD SAMARITAN HOSPITAL - SAINT JOSEPH REGIONAL MEDICAL CENTER - MEMORIAL HOSPITAL OF SOUTH BEND - SAINT MARY'S MEDICAL CENTER - METHODIST HOSPITALS - TERRE HAUTE REGIONAL HOSPITAL - PARKVIEW HOSPITAL > THAT DATA WAS ALSO REPORTED WITH NATIONAL AVERAGE, REGIONAL AVERAGE AND INDIANA AVERAGE. 2. THE PERSONNEL COMMITTEE OF UNION HOSPITAL'S BOARD OF DIRECTORS TAKES THE DATA PROVIDED BY THE INDEPENDENT CONSULTANTS AND FOLLOWING A REVIEW OF THE PERFORMANCE OF EACH INDIVIDUAL SUBMITS TO THE FULL BOARD FOR APPROVAL RECOMMENDATIONS IN TERMS OF SALARIES, BENEFITS, AND BONUSES. FINAL APPROVAL IS BY THE BOARD OF DIRECTORS. THE CEO DOES NOT TAKE PART IN THE DISCUSSION OR ACTION ON HIS SALARY, BENEFITS AND BONUS. 3. MINUTES OF THE PERSONNEL COMMITTEE AND THE BOARD MEETINGS ARE CONTEMPORANEOUSLY KEPT AND MAINTAIN WITH THE CORPORATE MINUTE BOOKS. 4. FOLLOWING THE ACTION OF THE BOARD OF DIRECTORS THE NEW PROPOSED SALARIES, BENEFITS AND BONUSES ARE SENT TO THE INDEPENDENT CONSULTANT (SULLIVAN COTTER) WHO SUBMITS BACK TO THE PERSONNEL COMMITTEE THEIR OPINION IN TERMS OF THE COMPENSATION BEING REASONABLE IN RELATION TO THE MARKET DATA AND MARKET PRACTICES. THIS REPORT IS ALSO RECEIVED AND REVIEWED BY THE BOARD PERSONNEL COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. TITLES PART VII, SECTION A DAVID DOERR WAS PRESIDENT/CEO OF UNION HOSPITAL, INC. UNTIL SEPTEMBER 31, 2010 AT WHICH TIME HE BECAME THE PRESIDENT/CEO FOR UNION HEALTH SYSTEM, INC., A RELATED PARTY. COMPENSATION SCOTT TEFFETELLER BECAME PRESIDENT/CEO OF UNION HOSPITAL ON OCTOBER 1, 2010. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED GAIN ON INVESTMENTS 739,114. CHANGE IN PERMANETLY RESTRICTED NET ASSETS 11,949. CHANGE IN PENSION LIABILITY 3,085,712. TRANSFER TO RELATED PARTY -12,062,285. TOTAL TO FORM 990, PART XI, LINE 5: -8,225,510. OVERSIGHT OF AUDIT PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. SCHEDULE H, PART VI, LINE 5: RICHARD G LUGAR CENTER FOR RURAL HEALTH RICHARD G. LUGAR CENTER FOR RURAL HEALTH: THE LUGAR CENTER'S MISSION IS TO ADVANCE RURAL HEALTH THROUGH EDUCATION, INNOVATION AND COLLABORATION. THE LUGAR CENTER IS A PART OF UNION HOSPITAL AND ITS FAMILY MEDICINE RESIDENCY PROGRAM DEDICATED TO PREPARING PHYSICIANS TO SERVE IN RURAL COMMUNITIES. THIS PROGRAM CONSISTS OF HANDS-ON CURRICULUM FOR FUTURE RURAL HEALTH PROVIDERS BASED ON A UNIQUE HUB-AND-SPOKE STRUCTURE THAT ALLOWS RESIDENTS TO WORK OUT OF THE MAIN HOSPITAL-BASED SITE DURING THEIR FULL THREE YEARS OF TRAINING WHILE STILL GAINING FIRST-HAND RURAL EXPERIENCE AT A FEDERALLY-DESIGNATED RURAL HEALTH CLINIC AND A FEDERALLY QUALIFIED HEALTH CENTER. IT HAS DEVELOPED INTO A POLICY AND PROGRAM LEADER WITH THE DEVELOPMENT OF INNOVATIVE METHODOLOGIES TO SUPPORT A WORKFORCE THAT IS WELL-PREPARED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES IN REMOTE AREAS NATIONALLY AND INTERNATIONALLY. IT WAS FIRST ESTABLISHED IN 1993 AS THE MIDWEST CENTER FOR RURAL HEALTH TO PREPARE PRIMARY CARE PHYSICIANS FOR SUCCESSFUL RURAL PRACTICE AND TO EXPOSE INDIVIDUALS NOT YET DECIDED ON A CAREER TO THE REWARDS OF DELIVERING HEALTH CARE IN A RURAL AREA. THE CENTER WAS RENAMED IN 2006 TO HONOR U.S. SENATOR RICHARD G. LUGAR A SUPPORTER OF THE CENTER'S MISSION AND AN ADVOCATE FOR THE ADVANCEMENT OF RURAL HEALTHCARE. IN 1993, UNION SET UP A MODEL RURAL HEALTH CLINIC AND TRAINING SITE IN CLAY CITY, INDIANA TO PROVIDE MUCH NEEDED HEALTH CARE SERVICES TO A MEDICALLY UNDERSERVED COMMUNITY. THIS FEDERALLY DESIGNATED RURAL HEALTH CLINIC (RHC) ALSO PROVIDES A UNIQUE HANDS-ON TRAINING SITE FOR PHYSICIANS ENROLLED IN UNION HOSPITAL'S FAMILY MEDICINE RESIDENCY'S RURAL TRAINING TRACK. A MULTIDISCIPLINARY TEAM OF PHYSICIANS, PHYSICIANS ASSISTANTS, NURSE PRACTITIONERS, MENTAL HEALTH COUNSELORS, PSYCHOLOGY INTERNS, AN X-RAY TECHNICIAN, AND AN OPTOMETRIST PROVIDE COMPREHENSIVE CARE TO ALL REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE CLINIC COLLABORATES WITH THE LOCALLY OWNED PHARMACY TO PROVIDE PRESCRIPTION SERVICES TO UNINSURED AND UNDERINSURED PATIENTS USING THE SAME DISCOUNTED SLIDING FEE SCALE USED BY THE CLINIC. A VITAL COMPONENT OF THIS CLINIC IS THE 10 MEMBER COMMUNITY ADVISORY BOARD. CLAY CITY CENTER FOR FAMILY MEDICINE SERVES AS A MEDICAL HOME FOR APPROXIMATELY 5,000 AREA RESIDENTS, DELIVERING OVER 10,000 VISITS ANNUALLY, IN ADDITION TO HOUSE CALLS AND IN-PATIENT HOSPITAL CARE. IN 2001, THE LUGAR CENTER DEVELOPED AND IMPLEMENTED A CHRONIC DISEASE MANAGEMENT PROGRAM AT THE CLINIC THAT IS STILL BEING INTEGRATED INTO CARE PLANS FOR PATIENTS AS APPROPRIATE. THIS EVIDENCE BASED PROGRAM INCLUDES FIVE CHRONIC DISEASES-HYPERTENSION, DIABETES MELLITUS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CONGESTIVE HEART FAILURE, AND ASTHMA. CLAY CITY CENTER FOR FAMILY MEDICINE REACHED CAPACITY AS A TEACHING SITE FOR RESIDENTS AND THERE REMAINS AN ENORMOUS NEED FOR ADDITIONAL PROVIDERS IN THE SMALL COMMUNITIES SURROUNDING UH AS WELL AS CLINICAL TRAINING SITES. THEREFORE, THE LUGAR CENTER IS EXPANDED TRAINING CAPACITY FOR FUTURE HEALTH CARE PROVIDERS THROUGH COLLABORATIVE EFFORTS WITH A RURAL UNDERSERVED COMMUNITY IN VERMILLION COUNTY. THIS PROJECT FOCUSES ON THE COMMUNITY HEALTH CENTER MODEL OR FQHC (FEDERALLY QUALIFIED HEALTH CENTER). THIS MODEL DELIVERY SYSTEM BEGAN WITH A GROUP OF COMMUNITY MEMBERS WHO SERVE AS THE GOVERNING BOARD OF DIRECTORS FOR A COMMUNITY-OWNED HEALTH CARE FACILITY, RECEIVING FEDERAL 330 FUNDS TO PROVIDE SERVICES TO THE UNINSURED. LUGAR CENTER WAS INSTRUMENTAL IN WRITING THE APPLICATION FOR A HRSA NEW ACCESS POINT GRANT FOR $1.6 MILLION FOR THIS COMMUNITY IN SEPTEMBER 2007. THIS SITE SERVES AS AN INTEGRAL TRAINING SITE FOR UH RESIDENTS, IU SCHOOL OF MEDICINE MEDICAL STUDENTS, AND OTHER LEARNERS. OUR OPERATING EXPENSES FOR THE FISCAL YEAR 2011 WERE $1,037,374. THE LUGAR CENTER ALSO RECEIVED FUNDING FROM THE INDIANA STATE DEPARTMENTS OF HEALTH COMMUNITY HEALTH CENTER GRANT $361,849. SCHEDULE H, PART VI, LINE 5: RURAL HEALTH INNOVATION COLLABORATIVE ON DEC. 2, 2008, UNION HOSPITAL'S LUGAR CENTER HELPED LAUNCH A RURAL HEALTH COLLABORATIVE AIMED AT IMPROVING AND EXPANDING HEALTH CARE IN OUR COMMUNITY. WHAT BEGAN AS AN INFORMAL EXERCISE IN CREATIVE PROBLEM-SOLVING HAS BECOME THE RURAL HEALTH INNOVATION COLLABORATIVE (THE RHIC). FOUNDING PARTNERS INCLUDE INDIANA STATE UNIVERSITY (ISU), INDIANA UNIVERSITY SCHOOL OF MEDICINE (IUSM), UNION HOSPITAL AND IT'S RICHARD G. LUGAR CENTER FOR RURAL HEALTH (UH), THE TERRE HAUTE ECONOMIC DEVELOPMENT CORPORATION (THEDC), THE CITY OF TERRE HAUTE (THE CITY), AND IVY TECH COMMUNITY COLLEGE WABASH VALLEY (IVY TECH). THE MISSION OF THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) IS TO IMPROVE AND EXPAND EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AND FUTURE HEALTH CARE PROFESSIONALS, ESPECIALLY FOR THOSE COMMITTED TO SERVING RURAL AND UNDERSERVED POPULATIONS. KEY COMPONENTS OF THIS MISSION INCLUDE: TO PROMOTE THE RETENTION OF HEALTH CARE PROFESSIONALS TO SERVE RURAL AND UNDERSERVED POPULATIONS; TO INVITE COMMUNITY REVITALIZATION BY PROMOTING THE ENHANCEMENT OF OPPORTUNITIES FOR EDUCATION, TRAINING, AND EXPERIENCE IN HEALTH-RELATED PROFESSIONS AND FIELDS; TO PROMOTE SOCIAL WELFARE AND TO ENCOURAGE AND COORDINATE COMMUNITY INITIATIVES TO ADDRESS CHALLENGES AFFECTING HEALTH CARE DELIVERY; TO PROMOTE THE EFFICIENT USE OF PUBLIC AND PRIVATE RESOURCES AND COLLABORATE WITH OTHER ENTITIES WITH SIMILAR OR COMPLEMENTARY PURPOSES; TO DESIGN AND IMPLEMENT INNOVATIVE BEST PRACTICES AND STRATEGIES THAT ARE CAPABLE OF REPLICATION IN OTHER AREAS OF THE UNITED STATES; AND TO DISSEMINATE EDUCATIONAL INFORMATION, THEREBY POTENTIALLY OR ACTUALLY BENEFITING THOSE OTHER AREAS. A RECENT STUDY COMMISSIONED BY RHIC PARTNERS AND CONDUCTED BY INDIANA UNIVERSITY SCHOOL OF MEDICINE'S BOWEN RESEARCH CENTER, FOUND SHORTAGES IN ALMOST EVERY HEALTH CARE FIELD IN THE WABASH VALLEY. THE WABASH VALLEY IS A REGION WITH COUNTIES IN BOTH INDIANA AND ILLINOIS. NURSES AND PHYSICIANS TOP THE LIST OF SHORTAGE AREAS. THE SURVEY FOUND A NEED FOR 702 TO 827 ADDITIONAL NURSES AND 134 TO 275 PRIMARY CARE PHYSICIANS IN AN 11-COUNTY AREA OF WEST-CENTRAL INDIANA. THE ELEVEN COUNTIES INCLUDED IN THIS REGION WERE: CLAY, FOUNTAIN, GREENE, MONTGOMERY, OWEN, PARKE, PUTNAM, SULLIVAN, VERMILLION, VIGO, AND WARREN. SIGNIFICANT SHORTAGES WERE ALSO FOUND IN MENTALHEALTH COUNSELORS, PHYSICAL THERAPISTS, PHARMACISTS, SOCIAL WORKERS, HEALTH EDUCATORS, SPEECH PATHOLOGISTS, PHYSICIAN ASSISTANTS AND PSYCHOLOGISTS. IN MORE THAN THREE FOURTHS OF THE PROFESSIONS ANALYZED THE STUDY PROJECTS THAT BY 2016 THE NUMBER OF HEALTH CARE PROVIDERS PER 100,000 RESIDENTS WILL BE LOWER IN THE WABASH VALLEY THAN STATEWIDE. ADDITIONALLY THE STUDY FOUND A NEED FOR INCREASED ACCESS TO EDUCATION PROGRAMS, EXPANDING EXISTING PROGRAMS AND MAKING NEW PROGRAMS AVAILABLE. RHIC LEADERS ENVISION TACKLING THE CURRENT AND WORSENING HEALTH CARE WORKER SHORTAGES THROUGH INNOVATIONS AND COLLABORATIONS IN HEALTH CARE EDUCATION ACROSS THE PARTNERSHIP. THE PARTNERS ARE FOCUSED NOT JUST ON INCREASING NUMBERS OF STUDENTS AND EDUCATIONAL OPPORTUNITIES, BUT ALSO ON TRANSFORMING OUR TRADITIONAL EDUCATION MODEL TO ENSURE AN OPTIMALLY PREPARED WORKFORCE, RESULTING IN IMPROVED ACCESS TO CARE AND PATIENT OUTCOMES. THERE ARE SEVERAL CHALLENGES TO MINIMIZING THE HEALTH CARE WORKFORCE SHORTAGES IN RURAL WEST-CENTRAL INDIANA AND THROUGHOUT THE NATION. ONE OF THE BIGGEST CHALLENGES IS CHANGING THE EDUCATIONAL METHODOLOGY WHEN TRAINING FUTURE HEALTH CARE PROVIDERS. TRADITIONALLY, OUR WORKFORCE IS EDUCATED IN "SILOS", RATHER THAN IN INTERPROFESSIONAL TEAMS. EVEN A QUICK REVIEW OF THE LITERATURE REVEALS QUALITATIVE AND QUANTITATIVE EVIDENCE SUGGESTING THE NEED TO CHANGE THE METHODS THAT HAVE HISTORICALLY BEEN UTILIZED TO TRAIN HEALTH PROFESSIONALS. YET, THIS IS NOT AN EASY TASK. THE RHIC PARTNERS HAVE BEGUN TO ADDRESS THIS CHALLENGE BY EMBRACING INTERPROFESSIONAL EDUCATION (IPE) AS A MAJOR FOCUS OF THE RHIC. ONE IMPORTANT COMPONENT OF THE RHIC'S IPE INITIATIVE IS TO DEVELOP A COLLABORATIVE CURRICULUM WHERE STUDENTS FROM MULTIPLE HEALTH CARE PROFESSIONS LEARN TOGETHER. AS A PART OF THIS EFFORT, THE RHIC IMPLEMENTED A COLLABORATIVE SIMULATION CENTER FOR INTERPROFESSIONAL EDUCATION AND TRAINING. THE PRIMARY PURPOSE OF THE RHIC SIMULATION CENTER IS DEDICATED TO ENHANCING HANDS-ON EDUCATIONAL OPPORTUNITIES FOR TEAMS OF FUTURE HEALTH CARE PROFESSIONALS, PARTICULARLY THOSE PREPARING TO PRACTICE IN RURAL AREAS. THE CENTER ENSURES A ROBUST, WELL-PREPARED TEAM OF HEALTH CARE PROFESSIONALS WHO PROVIDE ENHANCED ACCESS TO QUALITY CARE IN RURAL COMMUNITIES. IN ADDITION TO MORE AND BETTER PREPARED HEALTH CARE PROFESSIONALS THIS COLLABORATIVE LEADS TO ADDITIONAL CUTTING-EDGE TRAINING AND RESEARCH FACILITIES, AS WELL AS SUPPORT FOR BUSINESS AND HEALTH CARE SERVICE EXPANSION. THIS OUTCOME LEADS THE WAY FOR NEIGHBORHOOD REVITALIZATION AND ECONOMIC DEVELOPMENT IN TERRE HAUTE AND IN SURROUNDING RURAL, UNDERSERVED COMMUNITIES. THE RHIC COLLABORATIVE INCLUDES URBAN AND RURAL PARTNERS AS WELL AS PRIVATE, PUBLIC AND GOVERNMENT PARTNERS. THE LEADERS OF EACH PARTNER ORGANIZATION BRING MULTIPLE RESOURCES AND EXPERTISE TO THE COLLABORATIVE AND PROVIDE GUIDANCE AS A PART OF A ROBUST BOARD OF DIRECTORS. COMMITTEES OF THE BOARD MANAGE ACTIVITIES IN: COMMUNICATIONS, EDUCATION, FACILITIES, FINANCE, ECONOMIC DEVELOPMENT AND RESOURCE DEVELOPMENT. AD-HOC COMMITTEES ARE CREATED AS NEEDED FOR TARGETED STUDY AND WORK. THROUGH THIS ROBUST COLLABORATIVE--INCLUDING THROUGH THE SHARING OF RESOURCES AMONG URBAN, RURAL, GOVERNMENT, PUBLIC AND PRIVATE ENTITIES THAT ARE ALL REPRESENTED WITHIN THE RHIC--WE ARE IMPROVING EFFICIENCIES, CREATING AND IMPLEMENTINNOVATING ADVANCES IN CURRICULUM AND TRAINING FOR INTERPROFESSIONAL TEAMS OF PROVIDERS, AND ENSURING LONG-TERM RESULTS TOWARD IMPROVED ACCESS TO QUALITY HEALTH CARE IN ALL OF OUR COMMUNITIES, ESPECIALLY INCLUDING OUR SURROUNDING RURAL COMMUNITIES. NO COLLABORATION EVER COMES EASILY. YET, IT IS THROUGH COLLABORATION THAT WE ARE ABLE TO ACHIEVE THE MOST. RHIC MEMBERS HAVE HIRED A FULL-TIME DIRECTOR TO ASSIST WITH THOUGHTFULLY BUILDING A SOLID FOUNDATION FOR THE RHIC COLLABORATIVE, INCLUDING THROUGH THE CREATION OF FORMAL BYLAWS AND OTHER GOVERNING MECHANISMS. TOWARD THIS END, IN DECEMBER 2009, THE RHIC WAS FORMALLY RECOGNIZED BY THE IRS AS A 501(C)(3) NONPROFIT ENTITY. RHIC MEMBERS COME TOGETHER MONTHLY FOR INTENSE MEETINGS DURING WHAT HAS COME TO BE KNOWN AS "RHIC WEEK" EACH MONTH. THE BOARD IS MADE UP OF MEMBERS FROM THE HIGHEST LEVELS OF LEADERSHIP FROM EACH OF THE PARTNER ENTITIES. IN ADDITION TO RHIC COMMITTEE MEMBERS MEETING MONTHLY, THESE LEADERS ARE ALSO COMING TOGETHER ON A CONTINUOUS, CONSISTENT BASIS. THIS SHARING OF TIME TO REVIEW VISION DOCUMENTS AS WELL AS THE MOST MUNDANE DOCUMENTS, HAS BEEN INVALUABLE IN TERMS OF MOVING THE COLLABORATIVE FORWARD TOWARD ITS ULTIMATE GOAL OF ENSURING A ROBUST WORKFORCE AND ENVIRONMENT TO BE ABLE TO PROVIDE LONG-TERM, SUSTAINABLE ACCESS TO QUALITY HEALTH CARE. FUTURE GOALS, AS STATED ABOVE, INCLUDE CREATING A TRULY INNOVATIVE INTERPROFESSIONAL HEALTH CURRICULUM AND TRAINING PROGRAM. IN ADDITION TO CREATING A ROBUST INNOVATIVE, LEARNING ENVIRONMENT, THE RHIC MEMBERS ENVISION CREATING A "DISTRICT" THAT CONNECTS UNION HOSPITAL TO THE INDIANA STATE UNIVERSITY CAMPUS IN TERRE HAUTE. THIS "NEIGHBORHOOD", ABOUT 270 ACRES, BETWEEN THE UNION HOSPITAL AND ISU CAMPUSES IS A BLIGHTED NEIGHBORHOOD. THROUGH THIS ECONOMIC DEVELOPMENT INITIATIVE OF THE RHIC, WE ENVISION CREATING A MIXED-USE LEARN-LIVE-WORK-PLAY DISTRICT THAT INCORPORATES HEALTHY LIVING DESIGN FEATURES AND FOSTERS JOB CREATION AND A CULTURE OF INNOVATION, CONTINUOUS LEARNING AND EXCELLENCE. TOWARD THIS END, THE RHIC PARTNERS HAVE HIRED AN ARCHITECTURAL FIRM TO LEAD A MASTER PLANNING PROCESS THAT WILL INVOLVE STAKEHOLDERS FROM ACROSS THE COMMUNITY AND FROM ACROSS DISCIPLINES. WE FULLY EXPECT THIS "RHIC DISTRICT" TO BECOME A MODEL IN THE UNITED STATES FOR INNOVATION AND EXCELLENCE. CURRENT OPERATING EXPENSES ARE FUNDED THROUGH THE RHIC MEMBER ORGANIZATIONS. IN ADDITION, SOME INITIAL FEDERAL AND STATE GRANTS HAVE BEEN SECURED TO BEGIN IMPLEMENTATION. FOR EXAMPLE, A $100,000 GRANT WAS SECURED THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION TO ESTABLISH THE COLLABORATIVE SIMULATION CENTER. IN ADDITION, THE RHIC'S RESOURCE DEVELOPMENT COMMITTEE HAS TAKEN A LEADING ROLE TO BEGIN APPLYING FOR GRANTS TO ASSIST WITH PROGRAM DEVELOPMENT AND IMPLEMENTATION TO MAXIMIZE IMPACT AND FURTHER THE VISION OF PROVIDING A ROBUST HEALTHCARE WORKFORCE THAT IS SUFFICIENT TO MEET ALL OF THE HEALTHCARE NEEDS IN OUR SERVICE AREAS, ESPECIALLY INCLUDING IN OUR RURAL UNDERSERVED COMMUNITIES THROUGHOUT THE WEST-CENTRAL REGION OF INDIANA. SCHEDULE H, PART VI, LINE 5: PRE-NATAL CARE FOR INDIGENT POPULATION UNION HOSPITAL SERVES AS THE COMMUNITY SAFETY NET TO ASSURE THAT PRENATAL AND BIRTH CARE IS AVAILABLE TO ALL PREGNANT WOMEN IN THE WABASH VALLEY REGARDLESS OF FINANCIAL STATUS THROUGH ITS FAMILY MEDICINE CENTER. AS IN MANY AREAS OF HEALTH CARE, FISCAL REALITIES AFFECT SERVICES THAT CAN BE PROVIDED. WE ARE STRIVING TO MAINTAIN AND INNOVATIVELY IMPROVE SERVICES AND OPTIONS FOR THE VULNERABLE AND HIGH-RISK POPULATION WE SERVE. EACH COUNTY THAT WE SERVE HAS A HIGHER PERCENT OF REPORTED PRENATAL SMOKING THAN THE 2005 REPORTED STATE OF INDIANA AVERAGE OF 17.9%. THERE IS A COMBINED AVERAGE OF 27.94% FOR WOMEN FROM THE FIVE COUNTIES THAT WE SERVE. WE STRIVE TO ADDRESS THIS PROBLEM AS WELL AS BREASTFEEDING AND PRENATAL CARE INITIATION IN THE FIRST TRIMESTER. THE MHC IS PROUD TO PROVIDE A MULTIDISCIPLINARY APPROACH TO CARE FROM PHYSICIANS, RESIDENT PHYSICIANS, MIDWIVES, A FAMILY NURSE PRACTITIONER, NURSES, SOCIAL WORKERS, A SONOGRAPHER, AND A SUBSTANCE ABUSE COUNSELOR. REFERRALS ARE MADE TO APPROPRIATE COMMUNITY AGENCIES WITH SERVICES FOR HOUSING, FOOD STAMPS, WOMEN INFANTS AND CHILDREN NUTRITION PROGRAM, ADOPTION RESOURCES, DENTAL, TRANSPORTATION, DOMESTIC ABUSE SUPPORT RESOURCES, MENTAL HEALTH COUNSELING, BEREAVEMENT, CHILD PROTECTION, FAMILY PLANNING, AND BABY SUPPLIES. WE ENROLLED 284 NEW PATIENTS IN THE PAST FISCAL YEAR. 130 OF OUR PATIENTS WERE ASSESSED AS BEING MODERATE TO HIGH RISK SOCIALLY. THE POVERTY RATE IN VIGO COUNTY IN 2010 WAS 19.1%. BECAUSE OF THIS, IT IS APPARENT THAT WOMEN IN OUR AREA ARE IN NEED OF THE SERVICES THAT THE MHC PROVIDES. WE ARE A MEDICAID ENROLLMENT SITE, AND WE PROVIDE CARE ON A SLIDING FEE FOR SERVICE SCALE FOR THOSE WHO ARE NOT ELIGIBLE FOR MEDICAID. FIRST TRIMESTER CARE HAS BEEN INCREASED FROM 77% IN 2007 TO 81% IN 2009. BREASTFEEDING RATES HAVE INCREASED FROM 65.8% IN 2007 TO 69.6% IN 2009. OVER HALF OF OUR CLIENTS WHO SMOKED WHEN THEY BECAME PREGNANT STOPPED SMOKING BY THE TIME THEIR BABIES WERE BORN. WE HAVE RECENTLY STARTED AURICULAR (EAR) ACUPRESSURE AND ACUPUNCTURE IN OUR CLINIC TO ASSIST IN DECREASING SMOKING RATES. WOMEN ARE READY TO BE HELPED DURING PREGNANCY TO DECREASE AND/OR STOP SMOKING. WE HAVE IMPLEMENTED HOME VISITS, EDUCATION, AND AURICULAR THERAPY TO AID IN THIS TRANSITION. WE KNOW THAT WOMEN WANT CONSISTENT CARE AND MANY WANT FEMALE PROVIDERS. WE HAVE THE CARE PROVIDERS TO DO JUST THOSE THINGS. WE PROMOTE AND ASSIST WITH BREASTFEEDING EDUCATION AND SUPPORT. WE ADOPTED AN INCENTIVE PROGRAM TO MOTIVATE WOMEN TO PARTICIPATE IN EDUCATIONAL OPPORTUNITIES AND MAKE POSITIVE BEHAVIOR CHANGES. PATIENTS EARN POINTS FOR KEEPING APPOINTMENTS, CHANGING DIETS, RELEASING ADDICTIONS, AND BREASTFEEDING. THESE POINTS CAN BE EXCHANGED FOR USED CLOTHING AND HOUSEHOLD ITEMS AT THE NONPROFIT STORE RUN BY THE HELPING HANDS ORGANIZATION. BY 2012, WE PLAN TO HAVE OUR FIRST TRIMESTER CARE RATES AT 80% AND OUR BREASTFEEDING AT 70%. THROUGH OUR OPTIONS FOR SMOKING REDUCTION, WE PLAN TO DECREASE THIS RATE TO 98%. UNION HOSPITAL'S PERINATAL SERVICE OFFERS THE ONLY LEVEL III-B NICU IN A SEVENTY-MILE RADIUS. IN FACT, UNION HOSPITAL HAD THE FIRST NICU IN THE STATE WHICH WAS DEVELOPED IN 1964 BY A GROUP OF PEDIATRICIANS. WE CURRENTLY OFFER THE EXPERTISE OF NEONATOLOGISTS WHICH ENABLES US TO CARE FOR THE VERY LOW BIRTH WEIGHT NEONATES TO ANY FULL TERM INFANT THAT MAY REQUIRE MEDICAL INTERVENTIONS. RECENT RENOVATIONS WILL INCREASE THE NICU BEDS FROM NINE TO FIFTEEN. IN 2011 OVER THREE-HUNDRED NEWBORNS WERE ADMITTED FOR CARE. ANY NEWBORN THAT REQUIRES SURGICAL INTERVENTIONS DUE TO A CONGENITAL ANOMALY IS TRANSFERRED TO INDIANAPOLIS. OUR PRIMARY GOAL IS TO CARE FOR THIS VULNERABLE POPULATION IN OUR TECHNOLOGICALLY ADVANCED UNIT SO THAT WE CAN DECREASE ANY UNNECESSARY STRESS TO FAMILIES. ADDITIONALLY, WE HAVE A TRANSPORT TEAM WHO WILL GO TO SEVERAL SURROUNDING COUNTIES TO BRING INFANTS BACK TO UNION'S NICU FOR THE EXPERT MEDICAL AND NURSING CARE. LABOR AND DELIVERY WILL MOVE ALSO MOVE TO THE RENOVATED AREA ON JULY 9, 2012. THE NEW 23,300 SQUARE FOOT RENOVATIONS WILL INCREASE THE BIRTHING SUITES FROM THE CURRENT 5 BEDS TO 8. THE TRIAGE AREA WILL EXPAND FROM 3 BEDS TO 9, WITH THE CESAREAN BIRTHING AREA ACQUIRING AN ADDITIONAL ROOM FOR A TOTAL OF TWO. IN 2011 THERE WERE 1600 BIRTHS AND APPROXIMATELY THE SAME NUMBER OF OUTPATIENTS. WE PROVIDE ALL OPTIONS FOR THE PREGNANT WOMAN TO CHOOSE IN HOW SHE WOULD LIKE TO BIRTH HER NEWBORN--FROM HIGH TOUCH WITH NO PAIN MEDICATION TO HIGH TECH WHERE SHE CAN HAVE AN EPIDURAL. THE NEW BIRTHING SUITES WILL HAVE SHOWERS WHERE ONE CAN USE HYDROTHERAPY FOR ANY LABORING DISCOMFORT. WE MAKE EVERY EFFORT TO KEEP MOTHER AND NEWBORN TOGETHER FROM BIRTH TO DISCHARGE AND INITIATE BREAST FEEDING WITHIN THE FIRST HOUR OF LIFE. THERE ARE LACTATION CONSULTANTS TO ASSIST WITH BREAST FEEDING DURING THE HOSPITALIZATION AND A "STORK SHOP" WHERE ELECTRIC BREAST PUMPS, BRAS, AND SUPPLIES CAN BE PURCHASED. PRENATAL CLASSES ARE ALSO OFFERED TO THOSE NEWLY PREGNANT FAMILIES AND FOR ANYONE WHO NEEDS A REFRESHER. SCHEDULE H, PART VI, LINE 5: ST. ANN MEDICAL CLINIC FOUNDED IN SEPTEMBER 1997 TO PROVIDE COMPREHENSIVE OUTPATIENT MEDICAL CARE FOR THE POOR OF VIGO AND SURROUNDING COUNTIES. ST. ANN MEDICAL CLINIC IS A PROGRAM OF PROVIDENCE SELF SUFFICIENCY MINISTRIES. CLIENTS SERVED MUST BE FINANCIALLY AT OR BELOW THE 125% POVERTY LEVEL AS ESTABLISHED BY THE FEDERAL GUIDELINES, MUST HAVE NO INSURANCE AND NO PHYSICIAN, AND BE WITHOUT THE RESOURCES OF MEDICARE OR MEDICAID. UNION'S PHYSICIANS, NURSES AND OTHERS PROVIDE VOLUNTEER SERVICE AND LEADERSHIP WITH ONE OF OUR PHYSICIANS SERVING AS MEDICAL DIRECTOR, AND LEADERS SUCH AS THE UNION HOSPITAL FOUNDATION DIRECTOR, THE CHAIRMAN OF THE BOARD OF DIRECTORS AND THE HOSPITAL'S LEGAL COUNSEL SERVING ON ITS ADVISORY COMMITTEE. HOSPITAL PHYSICIANS AND STAFF PROVIDE THOUSANDS OF VOLUNTEER HOURS TO THE CLINIC EACH YEAR. BEGINNING IN 2007, UNION HEALTH SYSTEM PLACED A NURSE PRACTITIONER FULL TIME WITHIN THE CLINIC. IN ADDITION, UNION HOSPITAL UHI ANNUALLY PROVIDES MORE THAN $13,000 IN MONETARY SUPPORT AND NEARLY $150,000 IN IN-KIND SUPPORT IN THE FORM OF FOLLOWUP TESTING AND CARE. SINCE 1997, THE CLINIC HAS TALLIED 60,000 CLIENT VISITS WITH NEARLY 20,800 OF THOSE VISITS OCCURRING SINCE FISCAL YEAR 2007. THE CLINIC OPERATES WITH A STAFF OF 105 DEDICATED CORE VOLUNTEERS, INCLUDING DOCTORS, NURSE PRACTITIONERS, NURSES, PHARMACISTS AND CLERICAL SUPPORT. THE NUMBER OF UNDERSERVED POOR IN THE VIGO COUNTY AREA IS INCREASING RAPIDLY AS EVIDENCED BY THE INCREASING NUMBERS OF CLINIC VISITS AND DECREASING ECONOMIC OPPORTUNITIES. THE CLINIC HAS DECREASED VISITS TO THE ALREADY OVERLOADED HOSPITAL EMERGENCY ROOMS. FURTHERMORE INDIVIDUALS AND FAMILIES, WHO HAVE NO OTHER RESOURCES, WOULD TYPICALLY NOT SEEK MEDICAL CARE, THUS RESULTING IN HIGHER IN HIGHER INCIDENCES OF MORE SERIOUS MEDICAL CONDITIONS GOING UNTREATED, POORER QUALITY OF LIFE AND INCREASING STRESS ON THE FAMILY. SCHEDULE H,PART VI,LINE 5: UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOMEN CLARA FAIRBANKS CENTER FOR WOMEN PROVIDES QUALITY CARE AND STATE-OF-THE-ART TECHNOLOGY IN MAMMOGRAPHY SERVICES FOR ALL PATIENTS OF THE WABASH VALLEY AND SURROUNDING COUNTIES. WE NOW HAVE THREE LOCATIONS TO SERVE OUR PATIENTS: THE MAIN CENTER AT 1711 N. 6 1/2 ST., SUITE 300, HUX CANCER CENTER IN TERRE HAUTE, SECOND LOCATION IS SOUTH OF THE CITY AT THOMAS PLAZA, 5500 S. US HWY. 41, TERRE HAUTE, AND THE THIRD LOCATION AT UNION HOSPITAL CLINTON, 801 S. MAIN, CLINTON, IN. THE SERVICES PROVIDED INCLUDE: DIGITAL MAMMOGRAPHY, BREAST ULTRASOUND, STEREOTACTIC AND ULTRASOUND GUIDED BREAST BIOPSY PROCEDURES, BONE DENSITY SCANS, AND A BOUTIQUE TO SUPPLY SPECIAL GARMENTS FOR PATIENTS WHO HAVE UNDERGONE BREAST SURGERY. BECAUSE PERSONALIZED CARE IS AS VITAL A PART OF GUIDING A PATIENT THROUGH BREAST CARE, AS IT IS IMPORTANT TO BE SURE TO TREAT EACH PATIENT AS AN INDIVIDUAL NOT JUST A CANCER DIAGNOSIS; THE CENTER IDENTIFIED THE NEED FOR A PATIENT NAVIGATOR IN 2004. THE PATIENT NAVIGATOR HELPS GUIDE THE PATIENTS AND THEIR FAMILIES THROUGH THE SOMETIMES-OVERWHELMING PROCESS OF A BREAST CANCER DIAGNOSIS AND TREATMENT. SHE IS ABLE TO ACCOMPLISH THIS BY MAKING HERSELF AVAILABLE TO ANSWER QUESTIONS, SCHEDULE APPOINTMENTS AND COORDINATE REFERRALS. THE STAFF EDUCATES THE PATIENTS AND COMMUNITY ABOUT BREAST CARE, AVAILABLE GRANT DOLLARS, AND MAMMOGRAPHY SERVICES THROUGH DIRECT COMMUNICATION WITH THE CENTER, COMMUNITY HEALTH FAIRS AND PUBLIC SPEAKING. THE CLARA FAIRBANKS CENTER MEETS ALL STANDARDS SET FORTH BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), FEDERAL DRUG ADMINISTRATION (FDA), AMERICAN COLLEGE OF RADIOLOGY (ACR), AND THE REQUIREMENTS SET FORTH BY THE INDIANA STATE DEPARTMENT OF HEALTH. THE CENTER IS THE LEADING MAMMOGRAPHY FACILITY IN THE WABASH VALLEY. SINCE 1998, THE CENTER HAS BEEN A MAJOR PARTICIPANT IN THE INDIANA BREAST AND CERVICAL CANCER PREVENTION PROGRAM (BCCP), A PROGRAM TO ASSIST INDIGENT WOMEN WITH FUNDING FOR MAMMOGRAPHY SERVICES. FOR THE LAST FIVE YEARS, THE CENTER HAS BEEN APPROVED FOR GRANT DOLLARS THROUGH THE INDIANA BREAST CANCER AWARENESS TRUST. IN 2010, THE CLARA FAIRBANKS CENTER PROVIDED OVER 17,000 MAMMOGRAPHY SERVICES (BREAST BIOPSIES, ULTRASOUNDS, AND MAMMOGRAMS). THIS SAME YEAR, THE CLARA FAIRBANKS CENTER FOR WOMEN DIAGNOSED 153 WOMEN WITH BREAST CANCER AND ANOTHER 41 THAT WERE HIGH RISK. THE WABASH VALLEY BREAST CANCER SURVIVOR ORGANIZATION GAVE DOLLARS IN THE AMOUNT OF $7,500.00. THIS HELPED WITH THE PURCHASE OF 7 LYMPHEDEMA GARMENTS (WHICH WERE NOT COVERED BY THE PATIENTS INSURANCE) AND ASSISTED 13 WOMEN WITH MAMMOGRAPHY SERVICES. THE BCCP GAVE FUNDS FOR APPROXIMATELY 86 MAMMOGRAPHY SERVICES. THROUGH A WABASH VALLEY KOMEN FOUNDATION GRANT IN THE AMOUNT OF $65,000 ANOTHER 203 WOMEN AND ONE MALE WERE ASSISTED WITH ADDITIONAL SERVICES (MOSTLY BREAST BIOPSY PROCEDURES AND DIAGNOSTIC MAMMOGRAPHY). SEVENTY-SIX WOMEN RECEIVED SCREENING MAMMOGRAMS FROM A $10,000 GRANT FROM INDIANA BREAST CANCER AWARENESS TRUST. THESE WERE WOMEN AND MEN WHO MIGHT NOT HAVE RECEIVED THESE SERVICES IF THIS FUNDING HAD NOT BEEN AVAILABLE. BREAST CANCER SHOWS NO AGE BOUNDARIES; EARLY DETECTION IS STILL THE BEST PREVENTION. WITH EARLIER DIAGNOSIS, THERE IS LESS TREATMENT COST AND BETTER PROGNOSIS FOR THE PATIENT. WHILE BCCP IS A WORTHWHILE PROGRAM TO ASSIST INDIGENT WOMEN WITH MAMMOGRAPHY SERVICES, IT ONLY SUPPLIES FUNDING FOR MAMMOGRAPHY SERVICES FOR WOMEN 40 YEARS AND OLDER. WE KNOW THAT BREAST CANCER HAS THE POTENTIAL TO GROW MORE RAPIDLY IN YOUNGER WOMEN: THEREFORE IT IS OF UTMOST IMPORTANCE TO DETECT THESE CANCERS AT THE FIRST POSSIBLE SIGN. SINCE THERE HAS BEEN AN INCREASED NEED FOR FUNDING TO INCLUDE SCREENING, DIAGNOSIS, AND TREATMENT FOR WOMEN UNDER THE AGE OF 40, CLARA FAIRBANKS WILL CONTINUE TO PARTNER WITH ORGANIZATIONS LIKE THE SUSAN G. KOMEN FOUNDATION. THE CENTER WILL LOOK FOR EVERY OPPORTUNITY TO REQUEST GRANTS TO HELP ASSIST NOT ONLY WOMEN BUT MEN FOR THESE SERVICES. THE CENTER WILL CONTINUE TO EDUCATE ABOUT THE IMPORTANCE OF EARLY DETECTION AND FURTHER ENHANCE THE HOSPITAL'S "TEAM APPROACH" FOR BREAST CANCER PATIENTS. SCHEDULE H, PART VI, LINE 5: FRANKLIN ELEMENTARY SCHOOL WHAT BEGAN IN 1983 AS AN INDIANA STATE UNIVERSITY GRADUATE STUDENT'S PROJECT TO LINK LOCAL BUSINESSES WITH ELEMENTARY SCHOOLS HAS BECOME A LONG-STANDING PARTNERSHIP TO ENCOURAGE HEALTHY LIFESTYLES IN ONE OF TERRE HAUTE'S POOREST ELEMENTARY SCHOOLS. THE PAIRING OF UNION HOSPITAL WITH BENJAMIN FRANKLIN ELEMENTARY SCHOOL IN TERRE HAUTE HAS PROVEN TO BE A "PERFECT PARTNERSHIP" IN MATCHING THE NEEDS OF STUDENTS WITH STAFF AND VOLUNTEERS FROM THE HOSPITAL. FRANKLIN SCHOOL IS LOCATED IN A POOR INNER-CITY NEIGHBORHOOD WHERE 98% OF STUDENTS QUALIFY FOR THE FEDERAL FREE BREAKFAST AND LUNCH PROGRAM. THE STUDENT POPULATION IS TRANSIENT; 90% OF STUDENTS WHO BEGIN ELEMENTARY SCHOOL AT FRANKLIN DO NOT FINISH ELEMENTARY SCHOOL AT THE SCHOOL DUE TO INSTABILITY IN THEIR HOME AND FAMILY LIVES. FOR MOST, GOOD NUTRITION, HYGIENE AND PHYSICAL FITNESS ARE NOT TAUGHT OR ENCOURAGED IN THE HOME. EACH YEAR UNION PROGRAM DIRECTORS MEET WITH THE PRINCIPAL AND TEACHERS FROM THE SCHOOL TO SET CRITERIA AND PLAN THE YEAR'S ACTIVITIES. ENGAGING THE CLASSROOM TEACHER IN THE PLANNING AND PREPARATION FOR THESE ACTIVITIES AND WORKING WITH THEM TO INCORPORATE GOOD HEALTH MESSAGES INTO THEIR CURRICULA IS VITAL TO THE PROGRAMS SUCCESS. IN 2011 UNION HOSPITAL OFFICIALS DEVELOPED THE UNION HOSPITAL HEALTHY ME PROGRAM FOR FRANKLIN STUDENTS. THE PROGRAM TESTS THE STUDENTS HEIGHT, WEIGHT, BLOOD PRESSURE, SIT-UP, SIT AND REACH, BAR HANG AND SHUTTLE RUN. THE RESULTS OF EACH TEST ARE RECORDED AND SENT TO THE HOMES OF EACH STUDENT. THIS PARTNERSHIP IS FAR FROM ONE-SIDED. FOR EACH HOLIDAY, STUDENTS FROM THE SCHOOL MAKE TRAY FAVORS FOR PATIENT MEAL TRAYS TO BRIGHTEN THEIR DAY. CAROLERS FROM THE SCHOOL AT CHRISTMAS PROVIDE CHEER TO PATIENTS AND STAFF. MORE THAN 350 STUDENTS PARTICIPATE EACH YEAR IN THESE ACTIVITIES. GIVEN THE TRANSIENT NATURE OF THIS POPULATION, IT IS DIFFICULT TO MEASURE THE LONG-TERM EFFECTS HOWEVER AT OVER THE YEARS THE HEALTH TESTING OF THE STUDENTS, 3-6 STUDENTS ARE IDENTIFIED WITH SIGNIFICANT HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR, MALNOURISHMENT OR OBESITY. FOLLOW-UP IS DONE WITH FAMILIES TO ENCOURAGE FURTHER MEDICAL EVALUATION AND LINK THEM TO APPROPRIATE SOCIAL SERVICES. ANECDOTALLY, NURSES AND OTHER HEALTH PROFESSIONALS HAVE TOLD US OF THE INFLUENCE OUR STAFF HAD IN THEIR DECISION TO BECOME CARE PROVIDERS AS A RESULT OF HEARING THEM AT FRANKLIN SCHOOL. WHILE THE SCHOOL HAS HAD THREE PRINCIPLES IN THE LAST 15 YEARS, EACH ONE HAS KEPT THE PROGRAM GROWING AND VIABLE. AN AVERAGE OF $2,000 IS SPENT FROM THE MARKETING BUDGET EACH YEAR ON T-SHIRTS, PRINTING, RIBBONS, BUS TRANSPORTATION AND MEALS. STAFF DONATES ABOUT 60 HOURS EACH YEAR FOR THESE ACTIVITIES. TO HELP FIGHT CHILDHOOD OBESITY AND TO BETTER COMBAT HEART DISEASE THE FRANKLIN SCHOOL HEALTH PROGRAM UNDERWENT A MAJOR OVERHAUL IN 2011. THE NEW PROGRAM TITLED, UNION HOSPITAL HEALTHY ME AT FRANKLIN ELEMENTARY WILL BE A MORE FORMALIZED PROGRAM THAT WILL INCLUDE PRE AND POST HEALTH TESTING. BUILDING ON OUR ADOPTION OF THE PRESIDENTIAL FITNESS CHALLENGE IN FY 2010, THE HEALTHY ME PROGRAM INCLUDES FOLLOW-UP TESTING AT THE END OF THE SCHOOL YEAR. IF THE STUDENTS DO NOT EAT HEALTHY AND EXERCISE OUTSIDE OF SCHOOL, THE HEALTHY ME PROGRAM WILL BE LESS IMPACTFUL. THUS, THE NEW PROGRAM FEATURED THREE FAMILY DINNER NIGHTS, OFFERING A FREE MEAL AND EDUCATION FROM A UNION HOSPITAL NUTRITIONIST AND FITNESS CENTER SPECIALISTS. HEALTHY EATING ON A BUDGET AND AT-HOME-IN-HOME EXERCISE WAS STRESSED TO THE PARENTS. IPACS INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 351720998 CLINIC MANAGEMENT IN 298863 2051568 UNION HOSPITAL UNION ASSOCIATED PHYSICIANS CLINIC INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581401 PHYSICIAN GROUP IN -2465813 10782740 UNION HEALTH SYSTEM UNION HOSPITAL FOUNDATION 1659 N SEVENTH ST TERRE HAUTE IN 47804 351642823 FUNDRAISING IN 501(C)(3) LINE 11C, III-FI UNION HOSPITAL 1 UNION HOSPITAL HEALTH SERVICES INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 351642805 HEALTH SERVICES IN 501(C)(3) LINE 9 N/A 0 VISITING NURSE ASSOCIATION OF WABASH VALLEY INC 400 EIGHT AVE TERRE HAUTE IN 47804 350869064 CHARITABLE HOME HEALTH IN 501(C)(3) LINE 7 UNION HOSPITAL FOUNDATION 1 CENTER FOR OCCUPATIONAL HEALTH 4001 WABASH AVE TERRE HAUTE IN 47803 352118417 OCCUPATIONAL HEALTH SERVICES IN 501(C)(3) LINE 7 UNION HOSPITAL 1 UNION HEALTH SYSTEMS 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581133 MANAGEMENT ORGANIZATION IN 501(C)(3) LINE 11B, II N/A 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 UNION HOSPITAL FOUNDATION P 354434