2012-06-19T08:47:26-05:00 2011-08-31 Grant Thornton LLP 175 W Jackson Blvd Chicago IL 60604 990 2010-09-01 363517697 HealthEast Care System HEAL 6512321000 PO Box 64624 St Paul MN 551640624 Michael F Nass 6512322300 2012-06-19 0 Scott Thompsett 3128560200 X 2010 2016-02-24 21:20:13Z Kathryn Correia 559 Capitol Blvd St Paul MN 55103 222060973 0 X www.healtheast.org X 1983 MN HealthEast Care System is a long-term care acute hospital. The organization also provides home care services, medical transportation services, and general mangement services to related organizations. Hospital services include inpatient routine services, rehabilitation services and respiratory care in support of the hospitals Health Care Mission to provide high quality, cost effective, compassionate health care. Other services provided include emergency and scheduled transportation services, professional home care personnel and services, and general management services to related organizations. Revenue includes payments from the Medicare and Medicaid programs. This organization provides emergency and medically necessary non-emergency services regardless of ability to pay. Additionally, this organization offers financial aid for eligible services in the form of free or discounted care to those low income, underinsured or uninsured individuals who meet qualification criteria. 15 12 2123 138 1563129 -29274 718604 1030013 163185233 196719316 2286903 4489014 2912013 5615171 169102753 207853514 1533340 2333750 0 0 107383860 136011654 0 0 0 49077427 58620638 157994627 196966042 11108126 10887472 246823503 265606484 393307302 393652696 -146483799 -128046212 X Rooted in Judeo-Christian values, our mission is high quality, compassionate, cost effective health care for the communities we serve. 0 0 54356587 67054133 HealthEast Care System provides care to patients needing respiratory care, complex medical care, medical behavioral services and brain injury services at our rehabilitation hospital, HealthEast Bethesda Hospital. Since being founded more than 128 years ago, Bethesda has grown from a small, community hospital to a comprehensive, specialty long-term acute care hospital (LTACH). It is one of only two LTACH's in Minnesota. 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.We treated nearly 1,100 people last year, more than any other comparable facility in the Midwest.Our scope of services includes:* Alzheimer's and Memory Loss Care* Brain Injury Services* Capistrant Center for Parkinson's Disease and Movement Disorders* Complex Medical Care* Concussion Clinic* Medical Behavioral Services* Respiratory CareBethesda Hospital is certified by Medicaid and accredited by The Joint Commission. The orgnaizations 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, sexual preference, marital status, status with regard to public assistance, disability or age. This organization provides emergency and medically necessary non-emergency services regardless of ability to pay.HealthEast Bethesda Hospital fiscal year 2011 statistics: *Hospital Inpatient Admissions: 1,077 *Outpatient visits: 10,357HealthEast 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 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. Today, HealthEast Care System and its subsidiaries includes four hospitals, as well as 14 clinics, outpatient services, home care, pharmacies and medical transportation. Practicing financial responsibility, we are the largest, locally-owned health care organization in the St. Paul/Minneapolis East Metro area. *Mission: Rooted in Judeo-Christian values, our mission is high-quality, compassionate, cost effective health care for the communities we serve. *Values: HealthEast values originate in the tradition of its sponsor organizations, forming the foundation for the Mission and Vision of the HealthEast Care System. *Life: Life is a gift to be valued highly. *Compassion: Caring attends to physical, emotional and spiritual dimensions of persons. *Respect: Each person is unique and deserving of respect. *Community: We exist to service our community. *Faith-Based Philosophy: By sustaining HealthEast's Christian heritage and identity, we provide compassionate service that respects the dignity of each person and welcomes all faith traditions, cultures and communities. *Vision: Creating the best health care experience through a passion for caring and service. *Goal: We are the first choice for customers, physicians and employees. *Milestone Goal: Building on our benchmark performance, HealthEast will be a national leader in clinical quality, patient experience and cost effectiveness - the best value - by 2015. HealthEast Care System fiscal year 2011 statistics: *Total Hospital inpatient admissions: 35,956 *Total Outpatient visits: 420,134 *Total Emergency Department Visits: 89,707 *Lab tests: over 2.75 Million *Home Care patients served: 7,402 *Home Care patient visits: 62,661 *Health Alert Subscribers: 3,517 *Clinic Professional Visits: 775,631 *Clinic Ancillary Services: 988,719 *Clinic patients: 140,912 *Patient Transports: 30,280 *Employees: 7,324 59413090 2333750 106573760 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. 10728795 12449868 HealthEast Care System provides professional home 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, sexual preference, marital status, status with regard to public assistance, disability or age. 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 assessements, 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 ceritified laboratory for testing. Home health aides provide hands-on personal care. This may include bathing, assistance with walking, transferring a patient from one place to another (example: from bed to chair), minor dressing changes and skin care. 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 has a program that provides individualized home care services to new parents and their babies. 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. HealthEast Home Care FY 2011 Statistics: *Clients Served: 7,402 *Total Visits: 62,661 *Health Alert Subscribers: 3,517 10712491 14302937 HealthEast Care System offers emergency medical services through HealthEast Medical Transportation. A Twin Cities leader in emergency and scheduled transportation, the organization cares for community needs with:* Ground Ambulance Services* Communications Services* Fleet and Retail Vehicle Maintenance Services* Training and Education* Special Event Medical Standbys* Wheelchair Transportation Services (MedKab)* HealthEast Care System Interfacility Courier Services* Tactical Emergency Medical Services (TEMS) for High-Risk SituationsRevenues 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, sexual preference, marital status, status with regard to public assistance, disability or age. This organization provides emergency and medically necessary non-emergency services regardless of ability to pay. Transportation Fiscal Year 2011 Statistics: *Transported 30,280 patients 10712491 14302937 135210963 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 756 0 1 2123 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Michael F Nass 6512322300 559 Capitol Blvd St Paul MN 55103 X Larry K Ainsworth 2.00 X 25000 0 0 Dianne E Arnold 2.00 X 28000 0 0 Diane M Berthel 2.00 X 34000 0 0 Patrick J Donovan 2.00 X 36000 0 0 Albert E Eggert 2.00 X 33000 0 0 John R Finnegan Jr MD 2.00 X 0 0 0 Joan A Grzywinski 2.00 X 55250 0 0 Fred Harris Jr 4.00 X X 65000 0 0 Roland L Hayes 4.00 X X 37000 0 0 Anne M Pearson MD 2.00 X 28000 251038 63960 Leonard M Randolph Jr MD 2.00 X 27833 0 0 Sister Marie H Seiter CSJ 2.00 X 0 0 0 David V Taylor PHD 2.00 X 27833 0 0 Jone M Tiffany 2.00 X 0 0 0 Laure Waschbusch MD 2.00 X 0 30000 900 James W Wiltz 2.00 X 26000 0 0 Timothy H Hanson 40.00 X X 1105397 0 451130 Mary L Arnold 40.00 X 162564 0 58055 Catherine J Barr 40.00 X 345447 0 106229 Sara Criger 0.00 X 0 422928 149730 Brendon Cullinan MD 0.00 X 0 0 0 Shirley Germann 40.00 X 177904 0 45934 Robert D Gill 40.00 X 538108 0 171169 Roger E Green 40.00 X 329824 0 149754 Scott W Hinrichs 40.00 X 265060 0 132093 Stephen J Kolar MD 40.00 X 490732 0 162139 Milton P McClurkan Jr 40.00 X 246828 0 23367 Michael F Nass 40.00 X 260809 0 154280 Scott L North 0.00 X 0 442425 133249 Brian Patty MD 40.00 X 421854 0 225798 John Piatkowski MD 0.00 X 0 292147 132685 Mary F Pynn 40.00 X 313647 0 125270 Julie A Schmidt 40.00 X 316840 106228 147776 Thomas A Schmitt 0.00 X 0 298256 95471 Ann M Schrader 40.00 X 707027 0 176098 Mindy A Smith 0.00 X 0 448058 133312 Leslie R Stern 0.00 X 0 212303 43947 Virginia Sullivan 40.00 X 304439 0 66622 Craig A Svendson MD 40.00 X 374716 0 157581 Rahul Koranne MD 40.00 X 326500 0 71053 Aaron Bloomquist 40.00 X 216698 0 16358 Bradley Anderson 40.00 X 194164 0 28361 Karen E MacDonald 40.00 X 188250 0 70916 Denise L Thiede 40.00 X 181261 0 27333 7890985 2503383 3320570 127 0 1 1 McKesson Information Solutions PO Box 98347 Chicago IL 60693 Software Support & Maintenance 5065157 Huron Consulting Services LLC 4795 Paysphere Circle Chicago IL 60674 Consulting Services 2977400 GE Healthcare Financial Services 8400 Normandale Lake BLvd Minneapolis MN 55437 Software Support & Maintenance 2785319 CenturyLink PO Box 4300 Carol Stream IL 60197 Telecommunications Services 1760137 Moore Costello & Hart PLLP 55 East Fifth Street St Paul MN 55101 Legal Services 1003144 131 1030013 1030013 Management Services 561100 100693054 99458959 1234095 Patient Revenue 622110 95638544 95638544 Patient Education 611710 470456 470456 Senior Wellness Progra 611710 187614 187614 Senior Care Joint Vent 561100 -270352 -270352 196719316 3180916 3180916 390660 390660 390660 390660 15507007 8550 14207459 1299548 8550 1308098 1308098 Subpart F Income 900099 1855263 1855263 Cash Discounts & Rebat 900099 1748650 1748650 Courier Services to Re 492110 479473 479473 1141125 812091 329034 5224511 207853514 200380698 1563129 4879674 2333750 2333750 6962786 6962786 99798097 74178022 25620075 6652294 4944523 1707771 15526936 11540875 3986061 7071541 4913344 2158197 1168305 6535 1161770 584860 584661 199 148303 148303 14231667 9726664 4505003 613287 201348 411939 16803659 10652513 6151146 2841470 85209 2756261 7601073 7142410 458663 780517 606319 174198 517029 362444 154585 882067 882067 5499910 2225152 3274758 1169030 95156 1073874 Bad Debt Expense 1250110 1250110 Vehicle Expenses 743703 743703 Minnesota Care Tax 730947 730947 Medical Care Surcharge 705635 705635 Memberships/Sponsorship 568066 370875 197191 1781000 780398 1000602 196966042 135210963 61755079 0 956586 879385 41606190 47342833 257098 13946285 14743681 1952462 2010610 628436 465203 7158931 6190070 117209417 69911665 44431996 47297752 99797019 115021389 31436297 26095254 4652203 5560307 246823503 265606484 62781368 64216137 269719530 267431132 167228 34454 60639176 61970973 393307302 393652696 X -157518572 -139399036 11034773 11352824 -146483799 -128046212 246823503 265606484 X 10887472 7550115 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 152611 152611 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The organization contracts with consultants to express their concerns regarding health care issues to state and federal legislators. The organization also pays annual memebership dues to the American Hospital Association, the Minnesota Hospital Association and the National Association of Long Term Hospitals. A portion of these annual dues are determined to be used for lobbying purposes. 1179601 1179601 54634105 34574507 20059598 1844178 484033 1360145 55364520 31664182 23700338 4187013 3188943 998070 47297752 Investment in Senior Care 11512192 C Investment in Health Systems Cooperative Laundry 1530238 C Investment in VHA 250000 C Investment in East Metro Insurance, LTD. 1450000 C Investment in HealthEast Foundation 11352824 C 26095254 Asbestos Abatement Liability 593804 Workers Compensation Liability 6449776 GL/PL Liability 6034998 Deferred Compensation - 457(b) Plan 6183605 Accrued Pension Liability 23851387 Accrued Health Insurance Liability 3856862 Pension Restoration Liability 8641965 Debt Service Fund - Forward Purchase 4628668 Loan Guarantee Accrued Expense 32773 WCRA Surplus Recovery Liability 258384 Settlement - Bank of America 1438751 61970973 The financial statements did not include a footnote addressing the organization's liability for uncertain tax positions under FIN 48 because the organization did not have any such liabilities to report. Cayman Islands 0 0 Program Services Self Insurance 1839841 Cayman Islands 0 0 Investments 14061500 0 0 0 15901341 0 15901341 0 0 1 0 0 0 1 1 X 1 X 1 X 1 1 0 1 1 122307 122307 0.00100 12948811 7651429 5297382 0.04410 953676 88458 865218 0.00720 14024794 7739887 6284907 0.05230 75502 35786 39716 0.00030 730442 -140241 870683 0.00730 460055 460055 0.00380 1265999 -104455 1370454 0.01140 15290793 7635432 7655361 0.06370 2781 2781 0.00000 74562 48845 25717 0.00020 77343 48845 28498 0.00020 1 653892 0 34711867 41769970 -7058103 X 1 1 1 1 HealthEast Bethesda Hospital

559 Capitol Boulevard St Paul MN 55103

X HealthEast Bethesda Hospital 1 2 HealthEast Medical Transportation

799 Reaney Avenue St Paul MN 55106

Medical Transporation HealthEast Home Care

1700 University Avenue West St Paul MN 55104

Home Healthcare Part I, Line 7: Column (f) Percent of total expenses was calculated as follows: "Net community benefit expense" in column E was divided by the amount in Part IX, line 25, column (A) of the Form 990 less reported bad debt expense and management expenses allocated to HealthEast Care System related organizations. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1250110. Part II: HealthEast Care System promotes the health of the communities it serves by providing community building activities. The organization offers free access to its Passport Program. This program is dedicated to enhancing the quality of life for all as we age. We lead positive social change and deliver value to members through information, advocacy, lifelong learning, self-development and fulfillment. We accomplish this goal by offering social opportunities, educational seminars, opportunities to meet other members and volunteer opportunities. Part III, Line 4: The following is the text of the footnote to the organization's financial statements that describes bad debt expense: Net patient accounts receivable consist of gross charges for patient services less contractual adjustments and other reductions for anticipated uncollectible amounts. The allowance for doubtful patient accounts receivable is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of this review are used to make any modifications to the allowance for doubtful accounts. After satisfaction of amounts due from insurance and other third-party payors, HealthEast Care System follows established guidelines for placing certain past-due patient balances with collection agencies.To arrive at the Form 990, Schedule H, Part III, Line 2 bad debt expense "at cost", the organization has applied a ratio of patient care cost to charges (cost to charge ratio) to an estimated patient charge amount included in bad debt after removing the anticipated discounts.Certain patient accounts are written off to bad debt because the organization does not have sufficient information to determine if the patient would qualify for free care or financial aid. Therefore, it is possible that some bad debt is actually charity care. However, if a patient account is written off to bad debt and the collection agency later determines that the patient would have qualified for free care or financial aid, then the bad debt expense is reclassified to charity care.Part III, Line 1: The organization reports bad debt in accordance to Healthcare Financial Management Association (HFMA) Statement No. 15 to the extent that HFMA Statement No. 15 follows the Generally Accecpted Accounting Principles (GAAP) for the reporting of bad debt. Part III, Line 8: HealthEast Care System 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. Part III, Line 9b: The organization's collection policy and practices provide that a patient who indicates an inability to pay be provided with the information and application for the organization's financial aid policy. When a completed financial assistance application is recevied, it is processed according to the organization's policy to detemine 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.The patient handbook also provides information regarding collection policies and practices. Bills provided to patients include the following statement: "Financial Aid Availabie: 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." Part VI, Question 1, (Part 1, Line 6a): This organization is part of the HealthEast Care System which prepares an annual community benefit report called "HealthEast Report to the Communty" on a consolidated basis.Part VI, Question 1, (Part I, Line 7): The cost to charge ratio used to report amounts in Form 990, Schedule H, Part I, Line 7 were derived from worksheet 2, in the Schedule H, Form 990 instructions. Part VI, Line 2: HealthEast Care System assesses community needs through a large number of connections with community partners. Through these connections HealthEast Care System is able to identify areas of importance or concern to the community and to provide the appropriate solution to provide high quality, cost effective, compassionate Health Care for Twin Cities East Metro residents as stated in our Health Care Mission. Some examples are the following:The System Director of Government and Special Populations works closely with community partners and leaders representing minorities, the elderly (65+), the poor, the chronically ill and others to identify health care needs and advocate for organizational response and provision of services. As an example, the Minnesota Department of Health requested help to address the needs of the newest refugees and partnered with the HealthEast Care System Community Health Worker Program.The Director of Cross Cultural Services acts as a liaison with community leaders to ensure that HealthEast is providing culturally responsive patient care. Examples include: 1) Collaborate with community partners to offer culturally specific health care workshops.2) Participation in Stratis Health Cultural Care Connection initiative at HealthEast Rosveille Clinic and Rice Street Clinic to reduce health disparities among communities of color and underserved populations.3) HealthEast Care System Employees organized and participated in a tour of the Hmong Community to better understand their cultural health care needs including barriers to care.4) Honoring Choices Minnesota: HealthEast Care System joined the Twin Cities Medical Society collaborative, a community-wide public health initiative, called Honoring Choices Minnesota. The goal of Honoring Choices Minnesota is to promote discussions about end of life choices and to assist health care organizations with the installation of a comprehensive advance care planning program. The Chief Medical Quality Officer for HealthEast Care System serves on The Honoring Choices Minnesota Advisory Committee and leads the work for the system. The System Director of Cross Cultural Services for HealthEast Care System serves on the Multicultural Advistory Board. Information on Honoring Choices and end of life conversations is now being incorporated into care management workflow across the continuum of care.The Director of Emergency Preparedness connects with regional hospital colleagues and public health and public safety officials to ensure that HealthEast Care System is prepared to respond in the event of large community disasters or public health concerns.Other HealthEast Care System departments provide outreach programs to meet the needs of the community. The following are some examples:Pathways to Better Health: A 6 week training course was developed to help persons and care givers manage their chronic disease and maximize their independence. HealthEast Care System established and coordinated programming, marketing and data collection throughout calendar year 2011. Community Health Workers: This program supports a non-skilled level of care to address the educational and psycho-social barriers to care that have potential to create unnecessary need for healthcare services. This can include assistance in navigating the healthcare system as a guide and or providing education to a patient to help them understand how to monitor their daily blood pressure.Community Care Management (MSHO): This program is a health plan subcontracted service that provides a care manager who will support the healthcare needs of patients throughout the continuum.Transition Coach: This program follows high risk patients post hospital discharge to empower them to manage their own safety in transitions in care. This program continues to support patients post acute care needs while reducing readmission rates from baseline in a high rish population.Point of Entry RN Care Managers: HealthEast Care System has continued to expand their support to patients and families to assure right care, right place and right time. HealthEast St. John's Hospital, HealthEast St. Joseph's Hospital and HealthEast Woodwinds Hospital have all created a RN care manager role for the emergency department that helps partner with physicians and families to find alternative options to care when a hospital stay is not the most appropriate place of care. This may include connections to community resources such as home care or direct transfers to behavioral health facilities and other available resources.Examples of needs identified through these programs where service change has taken place:1) During the transition coaching intervention it was determined that there was a 30-40% rate of discrepancy between what the hospital had planned for the patient medication regime and what the patient was actually taking in the home. There are many reasons for this difference, but the most prevalent was that the patient was taking the new post discharge medication along with medications previously prescribed. Feedback on this issue was brought back to the hospital safety committee who recommended discharge education should include scripting of "stop taking all other medications" in its materials. 2) In assisting limited English speaking populations with transportation to one of our healthcare facilities, we have identified that often a patient will live in a multiple housing unit. When they go to the main entrance of their building to get their ride, they end up seeing several of the same looking vehicles. The patient is not sure which vehicle is for them and is not able to easily communicate with the drivers. To help these patients detetmine which ride is for them, we contacted the transportation providers and asked them to give the patient some sort of visual identification when setting up the ride. This way the patient can look for the visual sign and be assured that they are in the correct vehicle.HealthEast Care System and related organizations began conducting a Community Health Needs Assessment as set forth in the Compilation of Patient Protection and Affordable Care Act of 2010 and the Internal Revenue Code Section 501(r).As a first step in the process, HealthEast Care System and related organizations collected secondary data. Secondary data is defined as data which has been collected by individuals or agencies for purposes other than those of the current endeavor. Common sources of secondary data include censuses, surveys, publications, public databases or registries. Primary data, by contrast, are collected by the investigator conducting the research.Secondary data analysis saves time and resources that would otherwise be spent collecting data and, particularly in the case of quantitative data, provides larger and higher-quality databases that would be difficult for any individual researcher to collect on their own. In some instances, secondary data may be available which is entirely appropriate and wholly adequate to draw conclusions.Secondary data has been used by HealthEast Care System hospitals to:* define their respective service area populations;* inform them of current service area trends;* structure the more resource-intensive primary data collection plan.Wherever possible, analogous data, readily available in HealthEast Care System's varied data collection systems are presented alongside external data to bear witness to HealthEast hospitals' substantial community benefit.HealthEast Care System and related organizations will continue to gather data and do research to complete the Community Health Needs Assessment as required by the Patient Protection and Affordable Act of 2010. The Community Health Needs Assessment is expected to be completed by the fiscal year ended August 31, 2013 or earlier. Part VI, Line 3: HealthEast Care System 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 brochures are also available to patients which explain the organization's billing and payment policies as well as contact information for discussing finanacial 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 Availabie: 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." Part VI, Line 4: HealthEast Care System collectively serves a 45-zip code east metro area which constitutes approximately 85% of its annual inpatient discharges. The three hospitals included in the 45-zip code area are HealthEast St. John's Hospital in Maplewood, Minnesota, HealthEast St. Joseph's Hospital in St. Paul, Minnesota, and HealthEast Woodwinds in Woodbury, Minnesota. HealthEast Bethesda Hospital located in St. Paul, Minnesota, is also part of the HealthEast Care System and serves the 13 counties of the Twin Cities area.Within the zip code area or primary service area (PSA) reside 1,032,956 people within 396,426 households. Five year projections suggest a slowing overall growth of only 2.1%, although the more suburban and exurban areas of the primary service area will see more growth than the metropolitan area of St. Paul and some inner-ring suburbs. Median income in the PSA is $66,365. 7.3% of 2010 households within the PSA have less than $15,000 of income compared to 12.1% in the United States. The organizations PSA is made up of the following racial breakouts: 78.8% white, 6.4% black, 5.3% Hispanic, 6.6% Asian and 3.0% other. There are two other large acute care hospital systems in St. Paul that service this same area, as well as three to four smaller hospitals. West metro hospital systems also have a share in the HealthEast Care System PSA.Hospital Specifics:St. John's Hospital resides in the suburb of Maplewood, Minnesota. St. John's Hospital had over 14,100 admissions in the fiscal year ended August 31, 2011 and over 210,000 outpatient visits. The median income in the 15-zip code PSA of St. John's Hospital is about the same compared to the HealthEast Care System overall PSA. During the fiscal year ended August 31, 2011, St. John's Hospital received 31% of its net revenue from Medicare and 5.3% from Medicaid.St. Joseph's Hospital resides in downtown St. Paul, Minnesota. There were over 13,400 admissions in the fiscal year ended August 31, 2011 and over 118,900 outpatient visits. St. Joseph's Hospitals PSA median income is lower than HealthEast Care Systems overall median income at $53,394. The PSA consists of 22 zip codes in St. Paul city limits and inner-ring suburbs surrounding the city. During the fiscal year ended August 31, 2011, St. Joseph's Hospital received 37.3% of its net revenue from Medicare and 6.3% from Medicaid.Woodwinds Hospital resides in Woodbury, Minnesota, a recently booming suburb east of St. Paul. Woodwinds Hospital had over 7,100 admissions during the fiscal year ended August 31, 2011, and over 80,500 outpatient visits. The PSA around Woodwinds Hospital, a defined 12-zip code area, has a high median income of $73,492 and is less ethnically diverse than the other HealthEast Care System hospiatal PSAs. During the fiscal year ended August 31, 2011, Woodwinds Hospital received 25.9% of its net revenue from Medicare and 3.7% from Medicaid.Although the three HealthEast Care System acute care hospitals have their own defined PSAs, there is much overlap because of the short distance between the three hospital sites and the development of site specific centers of excellence. HeatlthEast Bethesda Hospital's primary service area includes the 13 counties of the Twin Cities Area, as their specialty services draw from a broader area. This area includes 10 counties of Minnesota that surround the urban cities of Minneapolis and St. Paul, along with three counties in western Wisconsin. Approximately 80% of Bethesda Hospital's inpatients are drawn from this area. The additional 20% come from greater Minnesota and outstate. Although some acute care hospitals offer one-specialty programs comparable to Bethesda, there is only one other Long Term Acute Care Hospital (LTACH) in the 13-county PSA. In the fiscal year ended Augsut 31, 2011, Bethesda saw over 1,000 inpatients and experienced over 10,300 outpatient visits. During the fiscal year ended August 31, 2011, Bethesda Hospital received 38.1% of its net revenue from Medicare and 13.9% from Medicaid.HealthEast Care System is fulfilling its new obligation to conduct a community health needs assessment for each of its member hospitals, as set forth in the Compilation of Patient Protection and Affordable Care Act of 2010. In 2011, HealthEast Care System completed the compilation of secondary data to aid HealthEast Care System hospitals in: a) defining their service area populations, b) informing them of current service area trends and c) structuring the more resource-intensive primary data collection plan.This data collection provided/validated information such as:* Definitions for HealthEast hospital service areas or "Communities of Service."* Individuals aged 65 and older, who composed the smallest proportion of HealthEast Care System hospital service area populations (10.9%-12.7%) were consuming between 24.9% and 43.3% of the health care provided by HealthEast Care System hospitals. * Whites accounted for between 75.7% and 85.3% of HealthEast Care System hospital service areas. Among other federally recognized racial categories, individuals of Asian (4.0%-9.6%) and African American (5.2%-8.7%) descent comprised the second and third largest proportions of HealthEast Care System hospital service areas, respectively. Hispanics/Latinos were the fourth most commonly identified group within HealthEast Care System hospital service areas (4.7%-6.0%). * Several subcultures of prominence/growth within HealthEast Care System service areas - which did not reveal themselves in the federal data - were identified.1. Within HealthEast Care System hospital service areas the Hmong population had grown between 39.0% and 45.6% over the last decade. 2. Karen refugees from Burma continued to grow in number, with 918 added in 2011. 3. Foreign-born Somalis in the Twin Cities area increased 89.9% between 2000 and 2008. * Compared to other components of HealthEast Care System hospital service areas, Ramsey County was economically behind, with substantially lower median household income, higher unemployment, higher poverty rates, and higher rates of uninsured adults than the State of Minnesota as a whole. * Minnesota's uninsured rates were lower than national figures for all available races/ ethnicities. * Generally, HealthEast Care System hospitals were observed to have room for service growth among individuals participating in state health plans (Medical Assistance, MinnesotaCare, General Assistance Medical Care) especially among eligible children. * Ramsey County contained five areas which had been identified by the federal government as medically underserved: Rice-Phalen, Thomas-Dale, Dayton's Bluff, Summit-Dale and Ramsey. * Overall, age-adjusted cancer rates for Dakota (490.8), Ramsey (471.3) and Washington (491.9) counties and the State of Minnesota (473.7) were higher than US age-adjusted-rate (466.6). * The proportion of African American visits to St. Joseph's Hospital for Heart Disease (3.3%) was considerably lower than Asians (5.7%) and Hispanics (5.6%), who were known to have lower risk nationally. * The proportions of African American visits to HealthEast Care SYstem short-term acute hospitals for stroke was as low as or lower than for any other federally-recognized race category. Part VI, Line 6: In addition to the community benefits and activities described in other parts of this filing, the HealthEast Care System 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. As a tax-exempt health care system, HealthEast Care System 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, Stoke, Cancer, Brain Injury, Smoking Cessation and CPR (Cardiopulmonary Resuscitation).HealthEast Care System is governed by a board of directors that are members of the community the organization serves. Part VI, Line 7: HealthEast Care System is an integrated health care organization headquartered in the East Metro area of St. Paul, Minnesota. The organization, together with its subsidiaries and affiliates, provide high quality, cost effective compassioinate health care to the communities they serve. HealthEast Care System and its subsidiaries includes three acute care hospitals, one long term acute care hospital, 14 clinics, outpatient services, home care services, hospice care, and medical transportation.See Schedule R for a list of additional related organizations and partnerships including the primary activity of affiliated organization. Reports Filed With States Part VI, Line 7 MN 1 HealthEast Foundation 1690 University Avenue West Suite 250 St Paul MN 55104 411602044 501(c)(3) 2148750 Grant provided to HealthEast Foundation for general support. Portico Healthnet 2610 University Avenue West St Paul MN 55114 411814659 501(c)(3) 185000 Grant provided to Portico Healthnet for general support. 2 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: HealthEast Foundation and Protico Healthnet are organizations affiliated with HealthEast Care System. Their budget and financial records are reviewed periodically to ensure proper usage of funds. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Anne M Pearson MD 28000 235560 0 2303 0 13175 0 37170 0 26790 28000 314998 0 9156 Timothy H Hanson 620894 0 324039 0 160464 0 427445 0 23685 0 1556527 0 147118 0 Mary L Arnold 150635 0 11929 0 0 0 47134 0 10921 0 220619 0 0 0 Catherine J Barr 245677 0 97227 0 2543 0 83871 0 22359 0 451677 0 0 0 Sara Criger 0 350964 0 70053 0 1911 0 139877 0 9853 0 572658 0 0 Shirley Germann 149284 0 28620 0 0 0 37327 0 8607 0 223838 0 0 0 Robert D Gill 323201 0 162049 0 52858 0 144324 0 26845 0 709277 0 44945 0 Roger E Green 242476 0 57309 0 30039 0 133501 0 16253 0 479578 0 26774 0 Scott W Hinrichs 172581 0 68935 0 23544 0 79021 0 53073 0 397154 0 20377 0 Stephen J Kolar MD 333279 0 99668 0 57785 0 126333 0 35806 0 652871 0 42633 0 Milton P McClurkan Jr 246828 0 0 0 0 0 7367 0 16000 0 270195 0 0 0 Michael F Nass 187869 0 71579 0 1361 0 129044 0 25236 0 415089 0 0 0 Scott L North 0 305913 0 96452 0 40060 0 105600 0 27649 0 575674 0 37550 Brian Patty MD 282154 0 124434 0 15266 0 177514 0 48284 0 647652 0 0 0 John Piatkowski MD 0 223222 0 67209 0 1716 0 111713 0 20972 0 424832 0 1163 Mary F Pynn 227451 0 58275 0 27921 0 104188 0 21082 0 438917 0 25175 0 Julie A Schmidt 214621 63504 94876 0 7343 42724 124117 609 19630 3421 460587 110258 0 40295 Thomas A Schmitt 0 219558 0 78405 0 293 0 77281 0 18190 0 393727 0 0 Ann M Schrader 446741 0 181547 0 78739 0 138927 0 37171 0 883125 0 61885 0 Mindy A Smith 0 271286 0 69428 0 107344 0 111510 0 21802 0 581370 0 105944 Leslie R Stern 0 187133 0 25008 0 162 0 26585 0 17362 0 256250 0 0 Virginia Sullivan 206815 0 74285 0 23339 0 42258 0 24364 0 371061 0 21768 0 Craig A Svendson MD 276746 0 94959 0 3011 0 134435 0 23147 0 532298 0 0 0 Rahul Koranne MD 253803 0 40707 0 31990 0 59341 0 11712 0 397553 0 28080 0 Aaron Bloomquist 179440 0 37258 0 0 0 15710 0 648 0 233056 0 0 0 Bradley Anderson 138359 0 32227 0 23578 0 17830 0 10531 0 222525 0 0 0 Karen E MacDonald 157950 0 30300 0 0 0 52814 0 18102 0 259166 0 0 0 Denise L Thiede 139033 0 20184 0 22044 0 5701 0 21632 0 208594 0 0 0 Part I, Line 1a Rev. Scott Hinrichs, Vice President of Spiritual Care & Mission for HealthEast Care System was paid $38,400 for housing allowance. This was treated as nontaxable compensation to Rev. Scott Hinrichs. Housing allowances are nontaxable compensation to ordained members of the clergy. Part I, Line 4b The following individuals participated in or received payment from a supplemental nonqualified retirement plan. The amount listed is the amount paid to the individual and reported accordingly on their 2010 W-2 Form. The terms and conditions of this supplemental nonqualified retirement plan is a five year cliff vesting arrangement: Anne M. Pearson M.D. $9,156; Timothy H. Hanson $147,118; Robert D. Gill $44,945; Roger E. Green $26,774; Rev. Scott Hinrichs $20,377; Stephen J. Kolar, M.D. $42,633; Scott North $37,550; John Piatkowski, M.D. $1,162; Mary F. Pynn $25,175; Julie A. Schmidt $40,295; Ann M. Schrader $61,885; Mindy A. Smith $105,944; Virginia Sullivan $21,768; Rahul Koranne, M.D. $28,080. The following individuals were participants in the supplemental nonqualified retirement plan but did not receive any payment as they are not yet vested in the plan: Mary Arnold, Catherine J. Barr, Sara Criger, Michael F. Nass, Brian Patty, M.D., Thomas A. Schmitt, Leslie R. Stern, Craig A. Svendson, M.D. Part I, Line 7 HEALTHEAST MANAGEMENT INCENTIVE PROGRAM DESCRIPTION: For Patient Care Executives, Operation Executives and Senior Directors For Clinic Managers, Directors and System/Group Directors Summary Description and Goals: The Management Incentive Program provides lump sum financial awards based on system-wide, business unit and/or department financial and quality measures. The primary goal of the Program is to focus the manager on meeting key objectives related to the business while managing their operation(s) or function(s) effectively and efficiently to improve overall financial performance for the HealthEast organization. Annual goals, specifically tied to productivity and quality indicators, will be set for the fiscal year and an incentive paid out annually if key goals and measures are achieved. Goals are weighted based on strategic importance. Specific objectives of the Program are as follows: * Strengthen performance of HealthEast * Align goals of management with HealthEast's mission, values and strategic direction * Achieve "line of sight" by combining system-wide, business unit and/or department financial and quality performance objectives * Provide competitive levels of incentive opportunity to help attract and retain the best talent * Promote objectivity and fairness through rigorous goal setting and performance measurement * Provide feedback on performance relative to goals throughout the plan year to strengthen the link between individual performance and HealthEast's system-wide results Qualifications for Funding and Paying Awards: Before HealthEast can authorize payment of any awards, it must meet the following qualifications: * Financial - HealthEast must have sufficient net income for the fiscal year to cover the cost of any awards. * Accreditation - All HealthEast business units must maintain a level of quality and performance that results in, and maintains, accreditation by Joint Commission (JCAHO) and equivalent licensing boards * Approval -The HealthEast Board of Directors has final approval of all incentive program payouts. In addition, each participant must meet the following individual qualifications to be eligible to receive an award: * Performance - Participant must be performing at an acceptable level in order to be eligible for a payout. * Performance Management - Each participant must have completed performance appraisals for all direct reports with review dates on, or before, August 31 of the fiscal year for which the Program is in effect. * Mandatory Education - Each participant must have completed his/her annual calendar year Mandatory Education training. Award Determination Procedures: The awards are based on a percentage of the participant's salary. The Annual awards range from 0% to 24% of the participant's salary for Patient Care Executives, Operation Executives and Senior Directors. The Annual awards range from 0% to 12% of the participant's salary for Clinic Managers, Directors and System/Group Directors. The award is calculated according to the incentive opportunity assigned to each position, the level of performance achieved on each goal and the weight assigned to each goal. Supplemental Information Part III Form 990, Part VII, Section A, Line 5: Milton P. McClurkan, Jr. received compensation for the professional services rendered to this organization from Innovative Consulting Group, an unrelated organization. Housing and Redevelopment Authority of the City of St Paul Minnesota 416005521 792888JS9 2005-08-31 205009305 See Schedule O 0 0 0 213330034 19402171 16276065 90289448 3450083 83912269 2009 1 0 1 1 0 0 1 0 1 0.00000 0.02030 0.02030 1 0 0 0 0 1 0 Explanation for number reported in Box 3 of Form 1096: Form 990, Part V, Line 1a Cash disbursements are centralized through the parent organization. Therefore the parent organization, HealthEast Care System, makes the payment and files the related Form 1099's and Form 1096 instead of HealthEast Care System. Form 990, Part VI, Section B, line 11 The Form 990 is sent electronically to all members of the Board of Directors prior to the filing of the Form 990 and prior to the board meeting in which it will be reviewed. The Director of Tax attends the board meeting to discuss the Form 990 with the members of the Board and answer any questions from the Board. Form 990, Part VI, Section B, line 12c HealthEast Care System monitors proposed or ongoing transactions for conflicts of interest through the procedures set forth in its Conflicts of Interest Policy (the Policy). The Policy covers HealthEast Care System's Directors, Officers and members of a Committee with Board-delegated powers. A Director, Officer or members of a Committee with Board-delegated powers who has a direct or indirect financial interest, is an interested person under the terms of the Policy. If a person is an interested person with respect to any entity in the HealthEast Care System he or she is an interested person with respect to all entities in the HealthEast Care System. Pursuant to the terms of the Policy, in connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts relating to his or her financial interest to the Directors or members of Committees with Board-delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person must leave the Board (or Committee) meeting while the financial interest is discussed and voted upon. The remaining Board (or Committee) members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or Committee meeting regarding the proposed transaction or arrangement, but after such presentation, the interested person shall leave the meeting during the discussion of, and the vote on, the proposed transaction or arrangement that results in the conflict of interest. Form 990, Part VI, Section B, line 15 The Chair of the Board of Directors engages an external consulting firm to review the compensation of the organization's CEO, Senior Vice Presidents and Vice Presidents annually and was last completed in November 2010. The process includes the external consulting firm evaluating current base salaries and total cash and benefits compared to comparable positions within the comparator group. The external firm presents its findings to the Executive Committee of the Board and indicates any recommendations for change. The Executive Committee of the Board approves the salaries. The consulting firm issues a reasonable compensation letter to the Board of Directors. Form 990, Part VI, Section C, line 19 The Articles of Incorporation for this organization are made available to the public through the Secretary of State Office. The organizations conflict of interest policy and other governing documents are not made available to the public. The financial statements for this organization are made available to the public through the Attorney General's Office. Average hours worked per week devoted to related organizations: Form 990, Part VII, Section A, Column B Individuals listed on Form 990, Part VII, Section A, Column A worked the following average hours per week for a related organization: Larry Ainsworth 0 hours, Dianne Arnold 0 hours, Diane Berthel 0 hours, Patrick Donovan 0 hours, Albert Eggert 0 hours, John Finnegan, Jr. M.D. 0 hours, Joan Grzywinski 0 hours, Fred Harris Jr. 0 hours, Roland Hayes 0 hours, Anne M. Pearson M.D. 40 hours, Leonard Randolph 0 hours, Sister Marie Seiter 0 hours, David Taylor 0 hours, Jone Tiffany 0 hours, Laure Waschbusch M.D. 0 hours, James Wiltz 0 hours, Timothy Hanson 0 hours, Mary Arnold 0 hours, Catherine Barr 0 hours, Sara Criger 40 hours, Brandon Cullinan, M.D. 40 hours, Shirley Germann 0 hours, Robert Gill 0 hours, Roger Green 0 hours, Scott Hinrichs 0 hours, Stephen Kolar 0 hours, Milton McClurkan Jr. 0 hours, Michael Nass 0 hours, Scott North 40 hours, Brian Patty M.D. 0 hours, John Piatkowski M.D. 40 hours, Mary Pynn 0 hours, Julie Schmidt 0 hours, Thomas Schmitt 40 hours, Ann Schrader 0 hours, Mindy Smith 40 hours, Leslie Stern 40 hours, Virginia Sullivan 0 hours, Craig Svendson M.D. 0 hours, Rahul Koranne M.D. 0 hours, Aaron Bloomquist 0 hours, Bradley Anderson 0 hours, Karen MacDonald 0 hours, Denise Thiede 0 hours Average hours worked per week: Form 990, Part VII, Section A, Column B This organization is the parent organization for HealthEast Care System, a 501(c)(3), tax-exempt, non-profit organization. The Board of Directors for this organization is the same as the Board of Directors for all HealthEast Care System subsidiaries. All hours worked as a member of the Board of Directors are reported on this Form 990. Therefore, we report 0.00 hours worked by each member of the Board of Directors on all HealthEast Care System subsidiaries. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 3,329,129. Change in Temrorarily Restricted Funds 318,051. Donated Assets 277,137. Contributions from related organizations 1,047,282. Pension Liability adjustment 4,433,779. Subpart F Income -1,855,263. Total to Form 990, Part XI, Line 5: 7,550,115. Were financial statements audited by independent accountant: Form 990, Part XII, Line 2 This organization's financial statements were audited by an independent auditor as part of a consolidated financial statement only. Description of Bond Purpose: Schedule K, Part I, Line A(f): Acquiring, constructing, renovating, remodeling and equipping health care facilities, including HealthEast St. Joseph's Hospital. Currently refund the following issues: Series 1993A Bonds - 4/13/1993 Series 1993B Bonds - 4/13/1993 Series 1994 Bonds - 8/19/1994 Series 1996 Bonds - 11/7/1996 D & T Facility Management Company PO Box 64624 St Paul MN 55164 411928275 Diagnostic Medical Services MN 501(c)(3) 11a HealthEast Woodwinds Hospital 1 HealthEast Medical Research Institute PO Box 64624 St Paul MN 55164 411765832 Medical Research MN 501(c)(3) 4 HealthEast Care System 1 HealthEast Professional Services PO Box 64624 St Paul MN 55164 261226617 Physician services provided to related tax-exempt hospitals. MN 501(c)(3) 9 HealthEast Care System 1 HealthEast St John's Hospital PO Box 64624 St Paul MN 55164 411456897 Hospital MN 501(c)(3) 3 HealthEast Care System 1 HealthEast St Joseph's Hospital PO Box 64624 St Paul MN 55164 410693880 Hospital MN 501(c)(3) 3 HealthEast Care System 1 HealthEast Woodwinds Hospital PO Box 64624 St Paul MN 55164 411592761 Hospital MN 501(c)(3) 3 HealthEast Care System 1 Maplewood Professional Building Limited Partnership 1655 Beam Avenue Maplewood MN 55109 411431847 Rental Real Estate MN N/A HealthEast Surgery Center-Maplewood LLC 1655 Beam Avenue Maplewood MN 55109 203349887 Outpatient Surgery Center MN N/A East Metro Insurance LTD 62 Forum Lane 3rd Floor Camana Ba Grand Cayman CJ KY1-1203 980417513 Captive Insurance Organization CJ N/A C 1761281 17075460 1.00000 HealthEast Diversified Services Inc PO Box 64624 St Paul MN 55164 411388583 Reference Lab, Retail Pharmacies, Rental Real Estate MN N/A C 2064633 13597166 1.00000 0 1 1 0 0 0 0 1 1 1 1 1 0 0 1 0 0 0 D & T Facility Management Company B 157072 Cost HealthEast St Joseph's Hospital B 7250523 Cost HealthEast Medical Research Institute B 22124162 Cost HealthEast Woodwinds Hospital C 9359921 Cost HealthEast St John's Hospital C 20780588 Cost HealthEast Diversified Services Inc C 438528 Cost HealthEast St John's Hospital J 4426407 Fair Market Value HealthEast Diversified Services Inc J 906327 Fair Market Value HealthEast EMS Campus LLC J 535000 Fair Market Value HealthEast Woodwinds Hospital K 13660174 Cost D & T Facility Management Company K 12057092 Cost HealthEast St Joseph's Hospital K 30333631 Cost HealthEast St John's Hospital K 29378286 Cost HealthEast Medical Research Institute K 12466539 Cost HealthEast Surgery Center-Maplewood K 192647 Cost HealthEast Diversified Services Inc K 1047974 Cost East Metro Insurance LTD L 642130 Cost HealthEast Diversified Services Inc L 136053 Cost HealthEast St Joseph's Hospital O 808826 Cost HealthEast St John's Hospital O 56738 Cost HealthEast Medical Research Institute O 1699232 Cost HealthEast Woodwinds Hospital H 4095137 Cost HealthEast St John's Hospital H 1114547 Cost