SANFORD: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SANFORD (EIN 45-3791176)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202213189349302121
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T08:12:26-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET STE 2800 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453791176 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANFORD GROUP RETURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANF | BusinessNameControlTxt |
| Phone | 6053331000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5039 RTE 5218 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175039 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE BRUHN | PersonNm |
| Person Title | EVP, CFO & TREASURER | PersonTitleTxt |
| Phone | 6053331000 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHELLE | PersonFirstNm |
| Person Last | BRUHN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MESKIMEN | PreparerPersonNm |
| PTIN | P01314196 | PTIN |
| Phone | 6123974000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BILL GASSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH ST | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,233,712,943 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 5851 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SANFORDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT." | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 3040 | TotalEmployeeCnt |
| Total Volunteers | 1209 | TotalVolunteersCnt |
| Total Gross UBI | $76,338,273 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,363,766 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $266,108,775 | PYContributionsGrantsAmt |
| CY Contributions Grants | $173,849,939 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,501,303,320 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,046,555,124 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,625,505 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,533,720 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,067,483 | PYOtherRevenueAmt |
| CY Other Revenue | $2,635,171 | CYOtherRevenueAmt |
| PY Total Revenue | $4,784,105,083 | PYTotalRevenueAmt |
| CY Total Revenue | $5,228,573,954 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $49,629,394 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,416,673 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,604,736,831 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,822,078,981 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,740,135,761 | PYOtherExpensesAmt |
| CY Other Expenses | $1,964,536,735 | CYOtherExpensesAmt |
| PY Total Expenses | $4,394,501,986 | PYTotalExpensesAmt |
| CY Total Expenses | $4,834,032,389 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $389,603,097 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $394,541,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,325,190,715 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,485,607,781 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,386,689,937 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,207,557,219 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,938,500,778 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,278,050,562 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PART OF THE SANFORD HEALTH SYSTEM, SANFORD IS COMMITTED TO THE HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT SOUTH DAKOTA, NORTH DAKOTA, MINNESOTA AND IOWA. SANFORD PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,752,539,326 | ExpenseAmt |
| Grant | $47,401,573 | GrantAmt |
| Revenue | $5,023,563,794 | RevenueAmt |
| Desc | SANFORD IS THE NATION'S LARGEST NOT-FOR-PROFIT INTEGRATED RURAL HEALTH SYSTEM PROVIDING MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT INCLUDES OVER 220,000 SQUARE MILES WITH A NINE STATE SERVICE AREA INCLUDING A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND THE WORLD. SANFORD OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES. SANFORD FINANCIALLY SUPPORTS HEALTH AND WELLNESS, EDUCATION AND COMMUNITY DEVELOPMENT ACTIVITIES TO IMPROVE THE QUALITY OF LIFE AND STRENGTHEN COMMUNITIES THROUGHOUT THE REGION. EACH OF SANFORD'S FACILITIES PROMOTES HEALTH AND HEALING THAT RESPONDS TO THE UNIQUE NEEDS OF THE PATIENTS IN THE COMMUNITIES THAT SANFORD SERVES, ENSURING ACCESS TO COMPREHENSIVE AND SPECIALIZED SERVICES. A RECENTLY COMPLETED AND PUBLISHED COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THE IMPORTANT NEED FOR BEHAVIORAL HEALTH SERVICES FOR OUR COMMUNITY MEMBERS. SANFORD IS MEETING THIS NEED THROUGH AN INTEGRATED DELIVERY SYSTEM PROVIDING BEHAVIORAL HEALTH WITHIN THE MEDICAL HOME STRUCTURE.PLEASE SEE SCHEDULE H FOR A DESCRIPTION OF ADDITIONAL SERVICES, COMMUNITY BENEFIT ACTIVITIES, AND THE FULL SPECTRUM OF CHARITY CARE THAT SANFORD PROVIDES WITHIN THE COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,621,871 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $18,728,490 | RevenueAmt |
| Desc | MEDICAL EDUCATION IS AN IMPORTANT SERVICE FOR SANFORD. SANFORD PROVIDES THE MEDICAL COMMUNITY WITH HIGH QUALITY EDUCATIONAL AND PROFESSIONAL DEVELOPMENT THAT IS EVIDENCE AND RESEARCH BASED; ACCREDITED FOR PHYSICIANS, NURSES, PHARMACISTS, AND ALLIED HEALTH PROFESSIONALS AND SCIENTISTS; INCLUSIVE OF CULTURAL DIVERSITY AND ADDRESSES THE NEED FOR SPECIALTY TRAINING.SANFORD IS DEDICATED TO PREPARING HEALTH CARE PROFESSIONALS FOR THE FUTURE. THE SANFORD PROMISE PROGRAM CONNECTS STUDENTS, EDUCATORS AND COMMUNITIES WITH SCIENCE AND RESEARCH IN HEALTH CARE AT A SECONDARY EDUCATION AGE. SANFORD WORKS IN PARTNERSHIP WITH THE UNIVERSITY OF SOUTH DAKOTA - SANFORD SCHOOL OF MEDICINE, AND THE UNIVERSITY OF NORTH DAKOTA - SCHOOL OF MEDICINE TO PROVIDE ROTATIONS FOR MEDICAL STUDENTS, RESIDENCIES AND FELLOWSHIPS. SANFORD WORKS IN PARTNERSHIP WITH AN EXTENSIVE GROUP OF HIGHER LEARNING ORGANIZATIONS TO PROVIDE STUDENT TRAINING AND LEARNING OPPORTUNITIES IN MANY VENUES ACROSS OUR REGION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,807,342 | ExpenseAmt |
| Grant | $15,100 | GrantAmt |
| Revenue | $4,262,840 | RevenueAmt |
| Desc | SANFORD RESEARCH AND SANFORD RESEARCH NORTH ARE BOTH NON-PROFIT HEALTH RESEARCH ORGANIZATIONS. COMBINED, BOTH ENTITIES HAVE MORE THAN 200 SCIENTISTS AND STAFF AS WELL AS CENTERS, INCLUDING: CHILDREN'S HEALTH, FOCUSED ON PEDIATRIC RARE DISEASES AND CANCER; THE SANFORD PROJECT, SEEKING A CURE FOR TYPE 1 DIABETES THROUGH THE BODY'S NATURAL ABILITY TO REGENERATE CELLS; HEALTH OUTCOMES AND PREVENTION FOCUSING ON SUDDEN INFANT DEATH SYNDROME AND BIRTH-RELATED DISORDERS AT STUDY SITES INCLUDING UNITED STATES NATIVE AMERICAN RESERVATIONS AND SOUTH AFRICA; GENOMIC AND MOLECULAR MEDICINE WITH AN EMPHASIS ON GENOMICS, MOLECULAR BIOLOGY, BIOBANKING AND IMMUNOTHERAPY; EDITH SANFORD BREAST CANCER FOCUSING ON ADVANCED MOLECULAR RESEARCH AND PERSONALIZED TREATMENT; NEUROSCIENCES, FOCUSED ON THE AREA OF EATING DISORDERS, OBESITY AND BARIATRIC SURGERY OUTCOMES AS WELL AS PHYSIOLOGICAL ASPECTS OF EATING AND ADDICTION AND CLINICAL RESEARCH INCLUDING PARTICIPATION IN DRUG AND DEVICE STUDIES, THE NATIONAL CANCER INSTITUTE COMMUNITY CLINICAL ONCOLOGY PROGRAM AND THE NATIONAL COMMUNITY CANCER CENTER PILOT PROJECT.SANFORD RESEARCH AND SANFORD RESEARCH NORTH OFFER EXCITING CHALLENGES FOR RESEARCHERS BOTH IN WELL-ESTABLISHED PROJECTS AND EVER EXPANDING RESEARCH OPPORTUNITIES. SANFORD OFFERS OPPORTUNITIES TO PARTICIPATE IN CLINICAL TRIALS AND TO BE A PART OF THE CHANGING FACE OF MEDICINE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,805,968,539 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 4632 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3040 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CH | ForeignCountryCd |
| Foreign Country | GH | ForeignCountryCd |
| Foreign Country | GM | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE BRUHN EVP CFO & TREASURER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053331000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH STREET | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BILL MARLETTE | ||||||||||
| EVP, CFO & TREASURER-END 12/21 | 48.83 | 11.17 | Yes (X) | $0 | $2,180,340 | $13,341 | ||||
| BILL MARLETTE | ||||||||||
| SEE SCH J, PART III, LINES 4A-4B | 48.83 | 11.17 | Yes (X) | $0 | $4,817,032 | $0 | ||||
| MICAH ABERSON | ||||||||||
| EVP, CHIEF INNOV OFFICER | 25.00 | 35.00 | $0 | $1,568,349 | $36,312 | Yes (X) | ||||
| MICAH ABERSON | ||||||||||
| SEE SCH J, PART III, LINES 4A-4B | 25.00 | 35.00 | $0 | $4,870,823 | $0 | Yes (X) | ||||
| BILL GASSEN III | ||||||||||
| TRUSTEE, PRESIDENT & CEO | 49.64 | 10.36 | Yes (X) | $0 | $3,147,051 | $207,603 | Yes (X) | |||
| ADAM STYS MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $3,256,066 | $0 | $40,740 | Yes (X) | ||||
| WILLIAM BRUNNER MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $3,123,988 | $0 | $37,069 | Yes (X) | ||||
| ERIC BELANGER MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $2,948,715 | $0 | $40,238 | Yes (X) | ||||
| TOMASZ STYS MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $2,947,037 | $0 | $37,793 | Yes (X) | ||||
| DARREN WALKER | ||||||||||
| SVP, CHIEF PEOPLE OFFICER | 60.00 | 0.00 | $0 | $1,049,481 | $39,475 | Yes (X) | ||||
| DARREN WALKER | ||||||||||
| SEE SCH J, PART III, LINES 4A-4B | 60.00 | 0.00 | $0 | $1,832,714 | $0 | Yes (X) | ||||
| MATT HOCKS | ||||||||||
| EVP, CHIEF OPERATING OFFICER | 53.85 | 6.15 | $0 | $1,907,395 | $182,622 | Yes (X) | ||||
| BRYAN NERMOE | ||||||||||
| PRESIDENT & CEO, FARGO | 55.00 | 5.00 | $0 | $1,366,110 | $527,663 | Yes (X) | ||||
| PAUL HANSON | ||||||||||
| PRESIDENT & CEO, SIOUX FALLS | 60.00 | 0.00 | $0 | $1,170,168 | $522,288 | Yes (X) | ||||
| MICHAEL LEBEAU MD | ||||||||||
| SVP, HEALTH SVC OPERATIONS-BEG 10/21 | 60.00 | 0.00 | $0 | $1,426,100 | $131,572 | Yes (X) | ||||
| RANDY BURY | ||||||||||
| FORMER CHIEF ADMIN OFF-END 12/21 | 0.00 | 60.00 | $0 | $1,435,086 | $53,436 | Yes (X) | ||||
| JENNIFER GRENNAN | ||||||||||
| EVP, CHIEF ADMIN OFFICER | 55.00 | 5.00 | $0 | $1,151,748 | $116,897 | Yes (X) | ||||
| MICHELLE BRUHN | ||||||||||
| EVP, CFO & TREASURER-BEG 12/21 | 49.64 | 10.36 | Yes (X) | $0 | $1,150,758 | $117,377 | ||||
| MARIA BELL MD | ||||||||||
| TRUSTEE, PHYSICIAN | 57.99 | 2.01 | $1,074,403 | $0 | $42,172 | Yes (X) | ||||
| MICHELLE MICKA | ||||||||||
| SVP, FINANCE, HEALTH SERVICES | 55.00 | 5.00 | $0 | $797,018 | $95,095 | Yes (X) | ||||
| SUSAN JARVIS | ||||||||||
| PRESIDENT & CEO, BEMIDJI | 60.00 | 0.00 | $0 | $763,272 | $94,785 | Yes (X) | ||||
| TODD SCHAFFER | ||||||||||
| PRESIDENT & CEO, BISMARCK-BEG 10/21 | 60.00 | 0.00 | $0 | $657,757 | $27,759 | Yes (X) | ||||
| MARK LUNDEEN MD | ||||||||||
| TRUSTEE, PHYSICIAN | 57.99 | 2.01 | $421,764 | $0 | $17,875 | Yes (X) | ||||
| JOANN KUNKEL | ||||||||||
| FORMER CFO-SCH J, PART III, 4A-4B | 0.00 | 0.00 | $0 | $339,000 | $0 | Yes (X) | ||||
| ANDY NORTH | ||||||||||
| TRUSTEE, SECRETARY | 9.10 | 2.01 | Yes (X) | $303,056 | $0 | $0 | Yes (X) | |||
| MARK PAULSON MD | ||||||||||
| TRUSTEE, PAST CHAIR, PHYSICIAN | 57.99 | 2.01 | Yes (X) | $262,715 | $0 | $38,966 | Yes (X) | |||
| BRENT TEIKEN | ||||||||||
| TRUSTEE, CHAIRPERSON | 5.10 | 2.01 | Yes (X) | $63,158 | $0 | $0 | Yes (X) | |||
| BARB EVERIST | ||||||||||
| TRUSTEE-END 12/21 | 5.10 | 2.01 | $46,308 | $0 | $0 | Yes (X) | ||||
| NEIL GULSVIG | ||||||||||
| TRUSTEE, TREASURER | 5.10 | 2.01 | Yes (X) | $36,000 | $0 | $0 | Yes (X) | |||
| WESLEY ENGBRECHT | ||||||||||
| TRUSTEE-BEG 1/21 | 5.10 | 2.01 | $33,000 | $0 | $0 | Yes (X) | ||||
| ROBIN SMITH | ||||||||||
| TRUSTEE-BEG 1/21 | 5.10 | 2.01 | $32,000 | $0 | $0 | Yes (X) | ||||
| JAMES CAIN | ||||||||||
| TRUSTEE | 5.10 | 2.01 | $29,500 | $0 | $0 | Yes (X) | ||||
| LAURIS MOLBERT | ||||||||||
| TRUSTEE-BEG 1/21 | 5.10 | 2.01 | $29,364 | $0 | $0 | Yes (X) | ||||
| DON JACOBS | ||||||||||
| TRUSTEE, VICE CHAIRPERSON | 5.10 | 2.01 | Yes (X) | $28,500 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,635,574 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $31,630,202 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,421,078 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2254 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FOCUSONE SOLUTIONS LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | STAFFING SERVICES | $119,575,932 |
| OWENS & MINOR INC | |||||
| 12199 COLLECTION CENTER | CHICAGO | IL | 60693 | MEDICAL SERVICES | $101,956,400 |
| MEDTRONIC USA | |||||
| 710 MEDTRONIC PARKWAY | MINNEAPOLIS | MN | 55432 | MEDICAL SERVICES | $48,192,490 |
| GE HEALTHCARE | |||||
| 1053 W GRAND AVE | CHICAGO | IL | 60642 | MEDICAL SERVICES | $41,877,920 |
| SIRIUS COMPUTER SOLUTIONS INC | |||||
| 10100 REUNION PL STE 500 | SAN ANTONIO | TX | 78216 | TECHNOLOGY SERVICES | $18,710,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1625 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $40,468,298 | RelatedOrganizationsAmt |
| Government Grants | $124,615,941 | GovernmentGrantsAmt |
| All Other Contributions | $8,765,700 | AllOtherContributionsAmt |
| Noncash Contributions | $1,096,326 | NoncashContributionsAmt |
| Total Contributions | $173,849,939 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621110 | $2,374,364,837 | $2,374,364,837 | |
| MEDICARE/MEDICAID | 621400 | $1,953,295,456 | $1,953,295,456 | |
| 340B REVENUE | 621300 | $412,493,489 | $412,493,489 | |
| RETAIL SALES | 446199 | $136,564,947 | $121,116,856 | $15,448,091 |
| PHARMACY & OPTICAL SAL | 446100 | $49,577,744 | $42,712,326 | $6,865,418 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,258,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,045,626 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $54,024,764 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,188,261 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,046,555,124 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,526,971 | TotalRevenueColumnAmt |
| Exclusion | $4,526,971 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,026 | TotalRevenueColumnAmt |
| Exclusion | $19,026 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,925,478 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,309,333 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,616,145 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,616,145 | TotalRevenueColumnAmt |
| Exclusion | $2,616,145 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,836,405 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,829,656 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,006,749 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,006,749 | TotalRevenueColumnAmt |
| Exclusion | $1,006,749 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,228,573,954 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,957,028,590 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $76,338,273 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,357,152 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,709,891 | TotalAmt |
| Program Services | $46,709,891 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,107 | TotalAmt |
| Program Services | $682,107 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,675 | TotalAmt |
| Program Services | $24,675 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,506,021 | TotalAmt |
| Program Services | $29,066,388 | ProgramServicesAmt |
| Management And General | $2,439,633 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,827,522 | TotalAmt |
| Management And General | $1,827,522 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302,853,452 | TotalAmt |
| Program Services | $2,126,220,628 | ProgramServicesAmt |
| Management And General | $176,632,824 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,378,284 | TotalAmt |
| Program Services | $82,383,733 | ProgramServicesAmt |
| Management And General | $8,994,551 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,364,090 | TotalAmt |
| Program Services | $218,725,536 | ProgramServicesAmt |
| Management And General | $29,638,554 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,149,612 | TotalAmt |
| Program Services | $133,677,064 | ProgramServicesAmt |
| Management And General | $12,472,548 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,544,190 | TotalAmt |
| Program Services | $460,763 | ProgramServicesAmt |
| Management And General | $2,083,427 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,387,351 | TotalAmt |
| Program Services | $91,537 | ProgramServicesAmt |
| Management And General | $1,295,814 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,250 | TotalAmt |
| Management And General | $345,250 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,084 | TotalAmt |
| Program Services | $259,084 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,252,449 | TotalAmt |
| Program Services | $289,093,147 | ProgramServicesAmt |
| Management And General | $31,159,302 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,839,942 | TotalAmt |
| Program Services | $5,175,533 | ProgramServicesAmt |
| Management And General | $17,664,409 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,785,941 | TotalAmt |
| Program Services | $35,292,786 | ProgramServicesAmt |
| Management And General | $16,493,155 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,717,475 | TotalAmt |
| Program Services | $41,698,967 | ProgramServicesAmt |
| Management And General | $63,018,508 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,709,443 | TotalAmt |
| Program Services | $96,728,249 | ProgramServicesAmt |
| Management And General | $5,981,194 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,815,984 | TotalAmt |
| Program Services | $16,248,331 | ProgramServicesAmt |
| Management And General | $1,567,653 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,411,418 | TotalAmt |
| Program Services | $2,909,310 | ProgramServicesAmt |
| Management And General | $2,502,108 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,148,295 | TotalAmt |
| Program Services | $27,421,168 | ProgramServicesAmt |
| Management And General | $727,127 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,224,202 | TotalAmt |
| Program Services | $147,245,646 | ProgramServicesAmt |
| Management And General | $21,978,556 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,318,430 | TotalAmt |
| Program Services | $23,237,971 | ProgramServicesAmt |
| Management And General | $80,459 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,142,501,150 | $1,135,968,343 | $6,532,807 |
| OTHER TAXES | $12,619,987 | $11,718,433 | $901,554 |
| CERT/LICENSES/SUBSCRIPT | $10,284,704 | $8,801,387 | $1,483,317 |
| EMPLOYEE RECRUITMENT | $8,570,721 | $7,728,059 | $842,662 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$60,199,281 | TotalAmt |
| Program Services | $318,399,803 | ProgramServicesAmt |
| Management And General | -$378,599,084 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,834,032,389 | TotalAmt |
| Program Services | $4,805,968,539 | ProgramServicesAmt |
| Management And General | $28,063,850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | Yes (X) | JointCostsInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,648,573 | BOYAmt |
| EOY | $87,235,347 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,509,732 | BOYAmt |
| EOY | $281,391,844 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,674,421 | BOYAmt |
| EOY | $653,343,333 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,819 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,222,667 | BOYAmt |
| EOY | $50,879,932 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,774,742 | BOYAmt |
| EOY | $125,839,955 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,561,572 | BOYAmt |
| EOY | $65,070,623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,656,738,597 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,904,996,722 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,707,127,233 | BOYAmt |
| EOY | $1,751,741,875 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,809,675 | BOYAmt |
| EOY | $735,389 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,615,860 | BOYAmt |
| EOY | $40,467,353 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,809,306 | BOYAmt |
| EOY | $48,008,578 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,306,115 | BOYAmt |
| EOY | $380,893,552 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,325,190,715 | BOYAmt |
| EOY | $3,485,607,781 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,250,057 | BOYAmt |
| EOY | $390,495,684 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,213 | BOYAmt |
| EOY | $1,595,748 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,288,177 | BOYAmt |
| EOY | $3,159,894 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,831,231 | BOYAmt |
| EOY | $505,134,169 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,916 | BOYAmt |
| EOY | $218,589 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,080,749 | BOYAmt |
| EOY | $15,455,741 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,971,594 | BOYAmt |
| EOY | $291,497,394 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,386,689,937 | BOYAmt |
| EOY | $1,207,557,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,936,923,319 | BOYAmt |
| EOY | $2,278,043,512 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,577,459 | BOYAmt |
| EOY | $7,050 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,938,500,778 | BOYAmt |
| EOY | $2,278,050,562 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,325,190,715 | BOYAmt |
| EOY | $3,485,607,781 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $394,541,565 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,424,215 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$53,567,566 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LIST OF ORGAIZATIONS AND PUBLIC CHARITY STATUS: | SANFORD HEALTH 509(A)(3) SANFORD MEDICAL CENTER 170(B)(1)(A)(III) SANFORD CLINIC 170(B)(1)(A)(III) SANFORD RESEARCH 170(B)(1)(A)(III) SANFORD RESEARCH NORTH 170(B)(1)(A)(III) SANFORD HOME HEALTH 509(A)(2) SANFORD HEALTH NETWORK 170(B)(1)(A)(III) SANFORD WORLD CLINICS 170(B)(1)(A)(III) SANFORD NORTH 509(A)(3) SANFORD MEDICAL CENTER FARGO 170(B)(1)(A)(III) SANFORD CLINIC NORTH 509(A)(2) SANFORD HEALTH NETWORK NORTH 509(A)(3) SANFORD HEALTH OF NORTHERN MINNESOTA 170(B)(1)(A)(III) BAKER PARK, INC. 509(A)(2) SANFORD WEST 509(A)(3) SANFORD BISMARCK 170(B)(1)(A)(III) |
| SCHEDULE A, PART I | PART I, LINE 12B - SANFORD HEALTH, SANFORD NORTH, SANFORD WEST, AND SANFORD HEALTH NETWORK NORTH ARE TYPE II SUPPORTING ORGANIZATIONS. DETAIL FOR SCHEDULE A, PART I LINE 12, COLUMN: (I) SANFORD MEDICAL CENTER; (II) 46-0227855; (III) 170(B)(1)(A)(III); (IV) YES; (V) $31,456,770 LINE 12, COLUMN: (I) SANFORD CLINIC; (II) 46-0447693; (III) 170(B)(1)(A)(III); (IV) YES; (V) $2,407,137 LINE 12, COLUMN: (I) SANFORD RESEARCH; (II) 46-0450378; (III) 170(B)(1)(A)(III); (IV) YES; (V) $444,366 LINE 12, COLUMN: (I) SANFORD RESEARCH NORTH; (II) 45-0274828; (III) 170(B)(1)(A)(III); (IV) YES; (V) $88,531 LINE 12, COLUMN: (I) SANFORD HOME HEALTH; (II) 46-0282134; (III) 509(A)(2); (IV) YES; (V) $266,590 LINE 12, COLUMN: (I) SANFORD HEALTH NETWORK; (II) 46-0388596; (III) 170(B)(1)(A)(III); (IV) YES; (V) $7,820,390 LINE 12, COLUMN: (I) SANFORD CLINIC NORTH; (II) 91-1770748; (III) 509(A)(2); (IV) YES; (V) $4,192,743 LINE 12, COLUMN: (I) SANFORD MEDICAL CENTER FARGO; (II) 45-0226909; (III) 170(B)(1)(A)(III); (IV) YES; (V) $36,978,520 LINE 12, COLUMN: (I) SANFORD WORLD CLINICS; (II) 26-2707628; (III) 170(B)(1)(A)(III); (IV) YES; (V) $234,303 LINE 12, COLUMN: (I) SANFORD HEALTH OF NORTHERN MINNESOTA; (II) 41-1266009; (III) 170(B)(1)(A)(III); (IV) YES; (V) $8,256,202 LINE 12, COLUMN: (I) BAKER PARK, INC.; (II) 41-1372480; (III) 509(A)(2); (IV) YES; (V) $12,041 LINE 12, COLUMN: (I) SANFORD HEALTH FOUNDATION NORTH; (II) 45-0398104; (III) 170(B)(1)(A)(VI); (IV) YES; (V) $281,616 LINE 12, COLUMN: (I) SANFORD BISMARCK; (II) 45-0226700; (III) 170(B)(1)(A)(III); (IV) YES; (V) $16,946,275 LINE 12, COLUMN: (I) SANFORD HEALTH FOUNDATION WEST; (II) 45-0397196; (III) 170(B)(1)(A)(VI); (IV) YES; (V) $66,075 LINE 12, COLUMN: (I) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION; (II) 46-0422866; (III) 170(B)(1)(A)(VI); (IV) YES; (V) $203,862 |
| SCHEDULE A, PART III | LINE 1 - COLUMN: (A) 279,310; (B) 133,275; (C) 429,804; (D) 9,415,179; (E) (3,426,082); (F) 6,831,486 LINE 2 - COLUMN: (A) 159,680,023; (B) 81,522,328; (C) 172,911,271; (D) 177,631,632; (E) 204,250,348; (F) 796,023,861 LINE 6 - COLUMN: (A) 159,959,333; (B) 81,655,603; (C) 173,369,334; (D) 187,046,811; (E) 200,824,265; (F) 802,855,346 LINE 8 - COLUMN: (F) 802,855,346 LINE 9 - COLUMN: (A) 159,959,333; (B) 81,655,603; (C) 173,369,334; (D) 187,046,811; (E) 200,824,265; (F) 802,855,346 LINE 10A - COLUMN: (A) 1,664,637; (B) 1,127,888; (C) 1,216,540; (D) 1,544,624; (E) 1,377,220; (F) 6,930,909 LINE 10C - COLUMN: (A) 1,664,637; (B) 1,127,888; (C) 1,216,540; (D) 1,544,624; (E) 1,377,220; (F) 6,930,909 LINE 11 - COLUMN: (A) 783,554; (B) 718,178; (C) 1,230,289; (D) 673,203; (E) 151,437; (F) 3,556,661 LINE 13 - COLUMN: (A) 162,407,524; (B) 83,501,669; (C) 175,816,163; (D) 189,264,638; (E) 202,201,486; (F) 808,408,501 LINE 15: 99.31% LINE 16: 99.00% LINE 17: 0.86% LINE 18: 0.77% LINE 19A: X LINE 19B: X PART IV, SECTION A LINE 1: YES LINE 2: NO LINE 3A: NO LINE 4A: NO LINE 5A: YES LINE 5B: NO LINE 5C: NO LINE 6: NO LINE 7: NO LINE 8: NO LINE 9A: NO LINE 9B: NO LINE 9C: NO LINE 10A: NO LINE 11A: NO LINE 11B: NO LINE 11C: NO PART IV, SECTION C LINE 1: YES |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $341,518 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $888,597 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,230,115 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION HAS MEMBERSHIPS IN 340B HEALTH, HEALTH POLICY CONSORTIUM, IOWA HOSPITAL ASSOCIATION, LEADINGAGE MN, MEDICAL GROUP MANAGEMENT ASSOCIATION, MINNESOTA HOSPITAL ASSOCIATION, NORTH DAKOTA HOSPITAL ASSOCIATION, NORTH DAKOTA LONG TERM CARE ASSOCIATION, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATION, AND SOUTH DAKOTA MEDICAL GROUP MANAGEMENT ASSOCIATION. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS RELATE TO LOBBYING EXPENSES. IN ADDITION, THE ORGANIZATION EMPLOYS CERTAIN INDIVIDUALS, AND CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL SANFORD ENTITIES ON BOTH STATE AND NATIONAL LEVELS. OCCASIONALLY, SANFORD EMPLOYEES SEND MAILINGS TO LEGISLATORS ON ISSUES THAT MAY AFFECT HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $92,002,112 | BeginningYearBalanceAmt |
| Contributions | $3,586,461 | ContributionsAmt |
| End Year Balance | $95,588,573 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $89,216,166 | BeginningYearBalanceAmt |
| Contributions | $3,360,625 | ContributionsAmt |
| Grants Or Scholarships | $574,611 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $67 | AdministrativeExpensesAmt |
| End Year Balance | $92,002,112 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,843,272 | BeginningYearBalanceAmt |
| Contributions | $4,372,894 | ContributionsAmt |
| End Year Balance | $89,216,166 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $63,648,688 | BeginningYearBalanceAmt |
| Contributions | $21,194,584 | ContributionsAmt |
| End Year Balance | $84,843,272 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,166,967 | BeginningYearBalanceAmt |
| Contributions | $4,233,247 | ContributionsAmt |
| Grants Or Scholarships | $751,526 | GrantsOrScholarshipsAmt |
| End Year Balance | $63,648,688 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,708,308 | OtherCostOrOtherBasisAmt |
| Book Value | $121,708,308 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,663,097,858 | OtherCostOrOtherBasisAmt |
| Depreciation | $728,579,724 | DepreciationAmt |
| Book Value | $934,518,134 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,920,039 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,487,431 | DepreciationAmt |
| Book Value | $31,432,608 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,739,871,478 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,092,363,217 | DepreciationAmt |
| Book Value | $647,508,261 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,140,914 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,566,350 | DepreciationAmt |
| Book Value | $16,574,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,751,741,875 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NON-OPERATING PROPERTY | $103,506,471 |
| DEFERRED COMPENSATION ASSETS HELD FOR INVESTMENT | $185,874,731 |
| OTHER ASSETS | $18,699,403 |
| ENHANCED BENEFITS | $2,520,129 |
| INTEREST RECEIVABLE | $21,600 |
| RIGHT OF USE ASSET | $70,271,218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $380,893,552 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION LIABILITY | $186,569,323 |
| DEFINED BENEFIT PENSION LIABILITY | $23,290,081 |
| OTHER NON-CURRENT LIABILITIES | $25,488,158 |
| LEASE SETTLEMENT PAYABLE | $735,191 |
| OPERATING LEASE PAYABLE - LT | $55,414,641 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $291,497,394 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | LONG TERM CARE FACILITIES HOLD SECURITY DEPOSITS FOR TENANTS. |
| PART V, LINE 4: | SANFORD HEALTH FOUNDATION, SANFORD HEALTH FOUNDATION NORTH, SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA, AND SANFORD HEALTH FOUNDATION WEST HOLD ENDOWMENT FUNDS ON BEHALF OF THE FILING ORGANIZATION TO BE USED FOR ASSISTANCE IN ITS ACTIVITIES AND FOR PROVIDING HEALTH CARE, MEDICAL, OR EDUCATIONAL SERVICES. |
| PART X, LINE 2: | CERTAIN CONTROLLED ORGANIZATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. SANFORD GROUP DID NOT HAVE A MATERIAL INCOME TAX LIABILITY AT DECEMBER 31, 2021; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| EAST ASIA AND THE PACIFIC | 0 | 0 | INVESTMENTS | CHINA INVESTMENTS, BEGINNING IN 2014 | $733,000 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICES | CLINIC OPERATIONS (CHINA, NEW ZELAND, VIETNAM) | $68,000 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | PROGRAM SERVICES | CLINIC OPERATIONS (GERMANY) | $74,000 |
| SUB-SAHARAN AFRICA | 0 | 0 | PROGRAM SERVICES | CLINIC OPERATIONS (GHANA), INVESTIGATION OF POTENTIAL RESEARCH PARTNER (SOUTH AFRICA) | $3,666,000 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENTS | GERMANY INVESTMENTS, BEGINNING IN 2015 | $11,922,000 |
| SUB-SAHARAN AFRICA | 0 | 0 | INVESTMENTS | GHANA INVESTMENTS, BEGINNING IN 2012 | $3,311,000 |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | CLINIC OPERATIONS (COSTA RICA) | $1,227,000 |
| NORTH AMERICA - CANADA AND MEXICO | 0 | 0 | PROGRAM SERVICES | PURCHASED GOODS AND SERVICES | $8,000 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | INVESTMENTS | ISRAEL INVESTMENTS, BEGINNING IN 2018 | $1,300,000 |
| EAST ASIA AND THE PACIFIC | 0 | 0 | INVESTMENTS | NEW ZEALAND INVESTMENTS, BEGINNING IN 2019 | $1,600,000 |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | PROGRAM SERVICES | TRAVEL, PURCHASED GOODS AND SERVICES | $1,000 |
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICES | PURCHASED GOODS AND SERVICES | $6,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $21,009,000 | SubtotalSpentAmt |
| Continuation Spent | $2,907,000 | ContinuationSpentAmt |
| Total Spent | $23,916,000 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Manner Of Cash DisbursementMannerOfCashDisbursementTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|---|
| SOUTH ASIA | GENERAL SUPPORT | $6,319 | BANK TRANSFER | $0 | COST |
| SUB-SAHARAN AFRICA | GENERAL SUPPORT | $10,000 | BANK TRANSFER | $0 | COST |
| SUB-SAHARAN AFRICA | GENERAL SUPPORT | $8,356 | BANK TRANSFER | $0 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | PRIOR TO DISBURSEMENT ALL GRANT FUND REQUESTS ARE REVIEWED TO ENSURE THE RECEIVING ORGANIZATION AND PROPOSED USE OF FUNDS ALIGN WITH SANFORD'S MISSION. GRANTS ARE DISBURSED BY THE ORGANIZATION ONLY AFTER THE EXPENDITURE HAS BEEN MADE AND PROPERLY AUTHORIZED BY THE ORGANIZATION ALONG WITH RELATED DOCUMENTATION TO ENSURE THE FUNDS ARE NOT DIVERTED FOR NON-CHARITABLE USE. |
| PART III ACCOUNTING METHOD: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 375.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,612,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,612,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $631,927,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $504,777,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,149,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02630 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $719,540,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $504,777,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $214,762,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,337,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $662,574 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,674,898 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,399,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,106,619 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,293,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $412,467,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $363,015,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,451,962 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,748,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,045,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,703,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,509,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,509,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $509,463,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $386,830,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $122,632,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,229,003,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $891,607,944 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $337,395,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,520,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,520,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,706,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,704,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,414 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,819,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,819,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,089,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,087,320 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $65,652,861 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $934,148,192 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $991,583,192 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$57,435,000 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 EVERIST HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PREVENTION OF HEART AND CARDIOVASCULAR DISEASE THROUGH UNIQUE MEDICAL TECH | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.22840 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.15340 | OfcrEtcProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 24 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (24 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt | Subordinate Hospital EINSubordinateHospitalEIN | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANFORD USD MEDICAL CENTER | ||||||||||||||||
| 1 | 1305 W 18TH STREET | SIOUX FALLS | SD | 57117 | WWW.SANFORDHEALTH.ORG | SD 10564 | SANFORD MEDICAL CENTER | 460227855 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| SANFORD MEDICAL CENTER FARGO | ||||||||||||||||
| 2 | 5225 23RD AVENUE S | FARGO | ND | 58104 | WWW.SANFORDHEALTH.ORG | ND 5070 | SANFORD MEDICAL CENTER FARGO | 450226909 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| SANFORD BROADWAY MEDICAL CENTER FARGO | ||||||||||||||||
| 3 | 801 BROADWAY NORTH | FARGO | ND | 58122 | WWW.SANFORDHEALTH.ORG | ND 5018A | SANFORD MEDICAL CENTER FARGO | 450226909 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| SANFORD MEDICAL CENTER SOUTH UNIVERSITY | ||||||||||||||||
| 4 | 1720 SOUTH UNIVERSITY | FARGO | ND | 58103 | WWW.SANFORDHEALTH.ORG | ND 5068A | SANFORD MEDICAL CENTER FARGO | 450226909 | Yes (X) | Yes (X) | Yes (X) | A | ||||
| SANFORD BISMARCK MEDICAL CENTER | ||||||||||||||||
| 5 | 300 N 7TH STREET | BISMARCK | ND | 58501 | WWW.SANFORDHEALTH.ORG | ND 5003A | SANFORD BISMARCK | 450226700 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |||
| SANFORD BEMIDJI MEDICAL CENTER | ||||||||||||||||
| 6 | 1300 ANNE STREET NW | BEMIDJI | MN | 56601 | WWW.SANFORDHEALTH.ORG | MN 371073 | SANFORD HEALTH OF NORTHERN MINNESOTA | 411266009 | Yes (X) | Yes (X) | Yes (X) | A | ||||
| SANFORD MEDICAL CENTER THIEF RIVER FALLS | ||||||||||||||||
| 7 | 3001 SANFORD PARKWAY | THIEF RIVER FALLS | MN | 56701 | WWW.SANFORDHEALTH.ORG | MN 371500 | SANFORD HEALTH NETWORK NORTH | 450409348 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | INPATIENT MENTAL HEALTH | ||
| SANFORD ABERDEEN MEDICAL CENTER | ||||||||||||||||
| 8 | 2905 3RD AVENUE SE | ABERDEEN | SD | 57401 | WWW.SANFORDHEALTH.ORG | SD 65089 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | ||||
| SANFORD WORTHINGTON MEDICAL CENTER | ||||||||||||||||
| 9 | 1018 6TH AVENUE | WORTHINGTON | MN | 56187 | WWW.SANFORDHEALTH.ORG | MN 371449 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | ||||
| SANFORD SHELDON MEDICAL CENTER | ||||||||||||||||
| 10 | 118 N 7TH AVENUE | SHELDON | IA | 51201 | WWW.SANFORDHEALTH.ORG | IA 161381 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | NURSING FACILITY | ||
| SANFORD VERMILLION MEDICAL CENTER | ||||||||||||||||
| 11 | 20 S PLUM STREET | VERMILLION | SD | 57069 | WWW.SANFORDHEALTH.ORG | SD 53082 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | NURSING FACILITY | ||
| SANFORD CHAMBERLAIN MEDICAL CENTER | ||||||||||||||||
| 12 | 300 S BYRON BLVD | CHAMBERLAIN | SD | 57325 | WWW.SANFORDHEALTH.ORG | SD 50302 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | NURSING FACILITY | ||
| SANFORD LUVERNE MEDICAL CENTER | ||||||||||||||||
| 13 | 1600 N KNISS AVENUE | LUVERNE | MN | 56156 | WWW.SANFORDHEALTH.ORG | MN 371352 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD CANBY MEDICAL CENTER | ||||||||||||||||
| 14 | 112 ST OLAF AVENUE S | CANBY | MN | 56220 | WWW.SANFORDHEALTH.ORG | MN 371019 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | NURSING FACILITY | ||
| SANFORD JACKSON MEDICAL CENTER | ||||||||||||||||
| 15 | 1430 N HIGHWAY | JACKSON | MN | 56143 | WWW.SANFORDHEALTH.ORG | MN 371002 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD TRACY MEDICAL CENTER | ||||||||||||||||
| 16 | 251 5TH STREET E | TRACY | MN | 56175 | WWW.SANFORDHEALTH.ORG | MN 371440 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD HILLSBORO MEDICAL CENTER | ||||||||||||||||
| 17 | 12 3RD STREET SE | HILLSBORO | ND | 58045 | WWW.SANFORDHEALTH.ORG | ND 5026A | SANFORD HEALTH NETWORK NORTH | 450409348 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD MEDICAL CENTER MAYVILLE | ||||||||||||||||
| 18 | 42 6TH AVENUE SE | MAYVILLE | ND | 58257 | WWW.SANFORDHEALTH.ORG | ND 5034A | SANFORD HEALTH NETWORK NORTH | 450409348 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD WEBSTER MEDICAL CENTER | ||||||||||||||||
| 19 | 1401 W 1ST STREET | WEBSTER | SD | 57274 | WWW.SANFORDHEALTH.ORG | SD 10573 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD MEDICAL CENTER WHEATON | ||||||||||||||||
| 20 | 401 12TH STREET N | WHEATON | MN | 56296 | WWW.SANFORDHEALTH.ORG | MN 371390 | SANFORD HEALTH NETWORK NORTH | 450409348 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD BAGLEY MEDICAL CENTER | ||||||||||||||||
| 21 | 203 4TH STREET NW | BAGLEY | MN | 56621 | WWW.SANFORDHEALTH.ORG | MN 371484 | SANFORD HEALTH OF NORTHERN MINNESOTA | 411266009 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD CANTON-INWOOD MEDICAL CENTER | ||||||||||||||||
| 22 | 440 N HIAWATHA DRIVE | CANTON | SD | 57013 | WWW.SANFORDHEALTH.ORG | SD 51569 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD CLEAR LAKE MEDICAL CENTER | ||||||||||||||||
| 23 | 701 3RD AVENUE S | CLEAR LAKE | SD | 57226 | WWW.SANFORDHEALTH.ORG | SD 10533 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
| SANFORD WESTBROOK MEDICAL CENTER | ||||||||||||||||
| 24 | 920 BELL AVENUE | WESTBROOK | MN | 56183 | WWW.SANFORDHEALTH.ORG | MN 371439 | SANFORD HEALTH NETWORK | 460388596 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 375.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE NARRATIVE FOR FULL URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE NARRATIVE FOR FULL URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE NARRATIVE FOR FULL URL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (146 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: SANFORD USD MEDICAL CENTER, - FACILITY 3: SANFORD BROADWAY MEDICAL CENTER FARGO, - FACILITY 4: SANFORD MEDICAL CENTER SOUTH UNIVERSITY, - FACILITY 5: SANFORD BISMARCK MEDICAL CENTER, - FACILITY 6: SANFORD BEMIDJI MEDICAL CENTER, - FACILITY 7: SANFORD MEDICAL CENTER THIEF RIVER FALLS, - FACILITY 8: SANFORD ABERDEEN MEDICAL CENTER, - FACILITY 9: SANFORD WORTHINGTON MEDICAL CENTER, - FACILITY 10: SANFORD SHELDON MEDICAL CENTER, - FACILITY 11: SANFORD VERMILLION MEDICAL CENTER, - FACILITY 12: SANFORD CHAMBERLAIN MEDICAL CENTER, - FACILITY 13: SANFORD LUVERNE MEDICAL CENTER, - FACILITY 14: SANFORD CANBY MEDICAL CENTER, - FACILITY 15: SANFORD JACKSON MEDICAL CENTER, - FACILITY 16: SANFORD TRACY MEDICAL CENTER, - FACILITY 17: SANFORD HILLSBORO MEDICAL CENTER, - FACILITY 18: SANFORD MEDICAL CENTER MAYVILLE, - FACILITY 19: SANFORD WEBSTER MEDICAL CENTER, - FACILITY 20: SANFORD MEDICAL CENTER WHEATON, - FACILITY 21: SANFORD BAGLEY MEDICAL CENTER, - FACILITY 22: SANFORD CANTON-INWOOD MEDICAL CENTER, - FACILITY 23: SANFORD CLEAR LAKE MEDICAL CENTER, - FACILITY 24: SANFORD WESTBROOK MEDICAL CENTER, - FACILITY 2: SANFORD MEDICAL CENTER FARGO |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO CAREACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. SANFORD HAS MADE ACCESS TO CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO AND AWARENESS OF AFFORDABLE CARE OPTIONS AND TO IMPROVE ACCESS THROUGH VIRTUAL CARE OPTIONS. IT IS SANFORD'S GOAL TO IMPROVE COMMUNITY ACCESS SO CARE IS AVAILABLE AND AFFORDABLE FOR ALL. PRIORITY 2: CHRONIC DISEASE PREVENTIONSANFORD USD MEDICAL CENTER TAKES AN INTEGRATED APPROACH TO DISEASE PREVENTION. SANFORD PROMOTES THE IMPORTANCE OF HAVING A PRIMARY CARE PROVIDER AND OFFERS SCREENING OPPORTUNITIES FOR EARLY DETECTION AND INTERVENTION OF CHRONIC DISEASE.SANFORD HAS MADE CHRONIC DISEASE PREVENTION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO BROADEN COMMUNITY AWARENESS OF THE IMPORTANCE OF PRIMARY AND PREVENTIVE CARE AND IMPROVE CARE FOR CHILDREN AT RISK FOR OBESITY. IT IS SANFORD'S GOAL TO IMPROVE CHRONIC DISEASE MANAGEMENT AND REDUCTION OF OBESITY.PRIORITY 3: MENTAL HEALTH AND ADDICTIONMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH AND ADDICTION SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO EXPAND ACCESS TO TIMELY BEHAVIORAL HEALTH CARE AND REDUCE THE NEGATIVE IMPACT OF ADDICTION AND SUBSTANCE ABUSE ON THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE CARE MANAGEMENT FOR RESIDENTS SUFFERING FROM SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR:ACCESS TO CAREFINANCIAL COUNSELORS ARE AVAILABLE TO HELP PATIENTS WHO NEED FREE OR DISCOUNTED CARE. SANFORD HEALTH PLAN OPTIONS CAN ALSO BE REVIEWED FOR THOSE SEEKING AFFORDABLE HEALTH INSURANCE COVERAGE. WALK-INS, VIDEO VISITS, E-VISITS, ONLINE SCHEDULING, AND SAME-DAY ACCESS ARE AVAILABLE AT ALL PRIMARY CARE LOCATIONS. SANFORD USD MEDICAL CENTER PROVIDES NURSE CASE MANAGERS IN THE EMERGENCY DEPARTMENT TO SUPPORT COMPLEX PATIENTS WHO ACCESS CARE IN THIS SETTING, WORKING WITH THE MULTIDISCIPLINARY TEAM TO SUPPORT THE NEEDS OF THE INDIVIDUAL. BEHAVIORAL HEALTH CARE ACCESS HAS BEEN ENHANCED WITH THE RECRUITMENT OF ADDITIONAL PROVIDERS AND PLACING BEHAVIORAL HEALTH TRIAGE THERAPISTS IN ALL PRIMARY CARE CLINICS. CHRONIC DISEASE PREVENTIONSANFORD USD MEDICAL CENTER TAKES AN INTEGRATED APPROACH TO DISEASE PREVENTION. SANFORD PROMOTES THE IMPORTANCE OF HAVING A PRIMARY CARE PROVIDER AND OFFERS SCREENING OPPORTUNITIES FOR EARLY DETECTION AND INTERVENTION OF CHRONIC DISEASE. SANFORD PROVIDES NURSE CASE MANAGERS, DIETICIANS, AND BEHAVIORAL HEALTH THERAPISTS, AMONG OTHER RESOURCES, TO HOLISTICALLY ADDRESS PATIENT NEEDS. SANFORD PROVIDES A VARIETY OF COMMUNITY EDUCATION OPPORTUNITIES. SANFORD DIETICIANS GIVE NUTRITION EDUCATION PRESENTATIONS TO EMPLOYEES OF SIOUX FALLS BUSINESSES. SANFORD PROVIDES FITCARE CLASSES FOR CHILDCARE PROVIDERS IN THE REGION AND THE SANFORD FIT PROGRAM IS AVAILABLE IN AREA SCHOOLS AND ONLINE. SANFORD ALSO WORKS IN PARTNERSHIP WITH THE SIOUX FALLS HEALTH DEPARTMENT ON NUMEROUS HEALTH PROMOTION PROGRAMS. MENTAL HEALTH AND ADDICTIONSANFORD HAS RECRUITED BOTH ADULT AND CHILD PSYCHIATRY PROVIDERS TO INCREASE THE SIZE OF THE CURRENT SANFORD PSYCHIATRY GROUP. A LICENSED ADDICTION COUNSELOR IS ALSO AVAILABLE TO PROVIDE OUTPATIENT ADDICTION/CHEMICAL DEPENDENCY CARE. SANFORD PLACES BEHAVIORAL HEALTH TRIAGE THERAPISTS IN ALL PRIMARY CARE CLINICS TO PROVIDE IMMEDIATE ACCESS TO MENTAL HEALTH SCREENING AS NEED IS IDENTIFIED. SANFORD ALSO INVESTS IN 24/7 ACCESS TO INPATIENT MENTAL HEALTH COUNSELORS AND PSYCHIATRY AND PSYCHOLOGY. SANFORD HAS BEEN A KEY PARTNER IN THE COMMUNITY BEHAVIORAL HEALTH INITIATIVE WHICH ESTABLISHED THE LINK COMMUNITY TRIAGE CENTER IN 2021. THE LINK OFFERS AN INNOVATIVE APPROACH TO ADDRESS GAPS IN CRITICAL SERVICES FOR PEOPLE LIVING WITH MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE: LONG-TERM CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 1 -- SANFORD USD MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CAREACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. NDSU REPORTED HEALTH CARE ACCESSIBILITY AND COST AS TWO SEPARATE HEALTH NEEDS. THE CASS-CLAY WORKING GROUP DETERMINED THAT THE TWO TOPICS ARE MOST APPROPRIATELY ADDRESSED AS A COMBINED TOPIC FOR PURPOSES OF THE LOCAL CHNA PROCESS.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND HEALTHCARE ACCESS AND ACCESS TO PRIMARY CARE SERVICES. IT IS SANFORD'S GOAL THAT THE COMMUNITY WOULD SEE THAT PATIENTS WILL HAVE GREATER EASE TO ACCESS PRIMARY CARE PROVIDERS FOR VIRTUAL OR IN-PERSON VISITS, HOME VISITS AND INCREASED EXPANDED HOURS. PATIENTS MAY EXPERIENCE LESS FREQUENT UTILIZATION OF EMERGENCY CARE, WHICH IS OFTEN MORE EXPENSIVE THAN PREVENTATIVE AND SCREENING SERVICES.PRIORITY 2: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO RECRUIT PROVIDERS, INCREASE ACCESS TO CARE AND MENTAL HEALTH PROMOTION. IT IS SANFORD'S GOAL TO HAVE BETTER ACCESS TO AND UTILIZATION OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES DUE TO SERVICES BEING PROVIDED AT THE RIGHT TIME AND RIGHT PLACE. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: ACCESS TO AFFORDABLE HEALTH CARESANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON HEALTH CARE ACCESS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS TO EXPAND HEALTHCARE ACCESS AND SUPPORT SERVICES AND EXPANDED PLATFORM TO ACCESS PRIMARY CARE SERVICES, AREAS OF FOCUS IDENTIFIED IN THE STAKEHOLDER MEETING.SANFORD IS ADDRESSING THE NEED BY INCLUDING ACCESS TO HEALTHCARE AS A PRIORITY FOCUS AREA FOR THE 2022-2024 IMPLEMENTATION PLAN. WE LAUNCHED HOME BASED PRIMARY CARE IN 2021. THE GOAL IS TO PROVIDE QUALITY MEDICAL CARE AT HOME TO PATIENTS WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE BECAUSE OF PHYSICAL DISABILITY OR DEMENTIAS. AN INTERDISCIPLINARY TEAM SEES THE PATIENT IN THEIR HOME AND CONSISTS OF SOCIAL WORKER, CARE MANAGER, LPN AND PHYSICIAN/APP. FAMILY MEDICINE RESIDENT CLINIC NOW SEES PATIENTS IN LOCAL SHELTERS, YWCA, HEADSTART AND WILL BEGIN IN ONE OF THE FARGO SCHOOLS IN LATE FALL 2021. THE GOAL OF THESE OUTREACH SITES IS TO IMPROVE ACCESS TO CARE FOR THESE PATIENTS. SANFORD WILL BE EXPANDING PRIMARY CARE CLINIC LOCATIONS BY ADDING A HORACE CLINIC IN LATE 2022. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC.MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH / BEHAVIORAL HEALTH AND SUBSTANCE ABUSE WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON THREE PRIMARY GOALS RECRUITMENT AND ACCESS TO MENTAL HEALTH PROVIDERS, DEVELOPMENT OF A COMMUNITY STRATEGY FOR MENTAL HEALTH PROMOTION, AND SUBSTANCE ABUSE.MENTAL HEALTH: SANFORD HEALTH CONTINUES TO RECRUIT PROVIDERS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. WE HAVE EXPANDED SCHOOL PARTNERSHIPS TO INCREASE WORKFORCE FOR OUR MENTAL HEALTH PROVIDERS. A MENTAL HEALTH CONSULT TEAM STARTED IN 2021 WITH A GOAL OF EMBEDDING THERAPISTS ON HOSPITAL UNITS. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC. SANFORD HEALTH IS HOSTING COMMUNITY MENTAL HEALTH COLLABORATION MEETINGS WITH OUR COMMUNITY PARTNERS WITH A GOAL OF IMPROVING THE MENTAL HEALTH PROVIDED IN THE COMMUNITY, TO SERVE THOSE IN A BEHAVIORAL HEALTH CRISIS.A GRANT HAS BEEN SUBMITTED FOR OUR COMMUNITY MENTAL HEALTH COLLABORATION PROJECT, WITH NOTICE OF AWARD TIMEFRAME IN DECEMBER 2021. WE CURRENTLY SCREEN FOR DEPRESSION AT CLINIC VISITS AND HAVE INTEGRATED HEALTH THERAPISTS EMBEDDED IN ALL OF THE PRIMARY CARE CLINICS.SUBSTANCE ABUSE: PATIENTS IDENTIFIED BY THEIR PRIMARY CARE PROVIDER AS HAVING AN OPIOID USE DISORDER ARE ABLE TO RECEIVE TREATMENT WITH OUR SUBOXONE CLINIC AND MAT COMMUNITY PARTNERS. PATIENTS ARE SEEN BY OUR INTEGRATIVE HEALTH THERAPISTS FOR A COMPREHENSIVE BEHAVIORAL HEALTH EVALUATION, FOLLOWED BY A REFERRAL TO THE APPROPRIATE BEHAVIORAL HEALTH PROVIDER (E.G. ADDICTION TREATMENT, THERAPY, PSYCHIATRY). THE PATIENT THEN IS SCHEDULED WITH ONE OF OUR FOUR CERTIFIED PHYSICIANS WHO PRESCRIBE SUBOXONE FOR INDUCTION. SANFORD HEALTH'S COLLABORATION WITH A FARGO-BASED PEER-TO-PEER SUBSTANCE ABUSE PROGRAM PROVIDER, F5, BEGAN IN 2019. THE COLLABORATION REMAINS STRONG AND THE F5 TEAM BEGIN COUNSELING SESSIONS WITHIN OUR HOSPITAL FOR PATIENTS WITH DRUG/ALCOHOL ADDICTION. SANFORD SUPPORTS MANY COMMUNITY PARTNERS TO ADDRESS THE SUBSTANCE ABUSE IN OUR COMMUNITY. PARTNERSHIPS INCLUDE FARGO CASS PUBLIC HEALTH (MOBILE CRISIS UNIT) AND RECOVERY REINVENTED.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:PHYSICAL ACTIVITY AND NUTRITIONSENIOR HOUSING AND LONG-TERM CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSING, EMPLOYMENT, ECONOMIC DEVELOPMENTDIVERSITY, INCLUSION, HEALTH EQUITYCHILDCAREHEALTH LITERACY AND NAVIGATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CARE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. NDSU REPORTED HEALTH CARE ACCESSIBILITY AND COST AS TWO SEPARATE HEALTH NEEDS. THE CASS-CLAY WORKING GROUP DETERMINED THAT THE TWO TOPICS ARE MOST APPROPRIATELY ADDRESSED AS A COMBINED TOPIC FOR PURPOSES OF THE LOCAL CHNA PROCESS.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND HEALTHCARE ACCESS AND ACCESS TO PRIMARY CARE SERVICES. IT IS SANFORD'S GOAL THAT THE COMMUNITY WOULD SEE THAT PATIENTS WILL HAVE GREATER EASE TO ACCESS PRIMARY CARE PROVIDERS FOR VIRTUAL OR IN-PERSON VISITS, HOME VISITS AND INCREASED EXPANDED HOURS. PATIENTS MAY EXPERIENCE LESS FREQUENT UTILIZATION OF EMERGENCY CARE, WHICH IS OFTEN MORE EXPENSIVE THAN PREVENTATIVE AND SCREENING SERVICES.PRIORITY 2: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO RECRUIT PROVIDERS, INCREASE ACCESS TO CARE AND MENTAL HEALTH PROMOTION. IT IS SANFORD'S GOAL TO HAVE BETTER ACCESS TO AND UTILIZATION OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES DUE TO SERVICES BEING PROVIDED AT THE RIGHT TIME AND RIGHT PLACE. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: ACCESS TO AFFORDABLE HEALTH CARESANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON HEALTH CARE ACCESS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS TO EXPAND HEALTHCARE ACCESS AND SUPPORT SERVICES AND EXPANDED PLATFORM TO ACCESS PRIMARY CARE SERVICES, AREAS OF FOCUS IDENTIFIED IN THE STAKEHOLDER MEETING.SANFORD IS ADDRESSING THE NEED BY INCLUDING ACCESS TO HEALTHCARE AS A PRIORITY FOCUS AREA FOR THE 2022-2024 IMPLEMENTATION PLAN. WE LAUNCHED HOME BASED PRIMARY CARE IN 2021. THE GOAL IS TO PROVIDE QUALITY MEDICAL CARE AT HOME TO PATIENTS WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE BECAUSE OF PHYSICAL DISABILITY OR DEMENTIAS. AN INTERDISCIPLINARY TEAM SEES THE PATIENT IN THEIR HOME AND CONSISTS OF SOCIAL WORKER, CARE MANAGER, LPN AND PHYSICIAN/APP. FAMILY MEDICINE RESIDENT CLINIC NOW SEES PATIENTS IN LOCAL SHELTERS, YWCA, HEADSTART AND WILL BEGIN IN ONE OF THE FARGO SCHOOLS IN LATE FALL 2021. THE GOAL OF THESE OUTREACH SITES IS TO IMPROVE ACCESS TO CARE FOR THESE PATIENTS. SANFORD WILL BE EXPANDING PRIMARY CARE CLINIC LOCATIONS BY ADDING A HORACE CLINIC IN LATE 2022. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC.MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH / BEHAVIORAL HEALTH AND SUBSTANCE ABUSE WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON THREE PRIMARY GOALS RECRUITMENT AND ACCESS TO MENTAL HEALTH PROVIDERS, DEVELOPMENT OF A COMMUNITY STRATEGY FOR MENTAL HEALTH PROMOTION, AND SUBSTANCE ABUSE.MENTAL HEALTH: SANFORD HEALTH CONTINUES TO RECRUIT PROVIDERS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. WE HAVE EXPANDED SCHOOL PARTNERSHIPS TO INCREASE WORKFORCE FOR OUR MENTAL HEALTH PROVIDERS. A MENTAL HEALTH CONSULT TEAM STARTED IN 2021 WITH A GOAL OF EMBEDDING THERAPISTS ON HOSPITAL UNITS. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC. SANFORD HEALTH IS HOSTING COMMUNITY MENTAL HEALTH COLLABORATION MEETINGS WITH OUR COMMUNITY PARTNERS WITH A GOAL OF IMPROVING THE MENTAL HEALTH PROVIDED IN THE COMMUNITY, TO SERVE THOSE IN A BEHAVIORAL HEALTH CRISIS.A GRANT HAS BEEN SUBMITTED FOR OUR COMMUNITY MENTAL HEALTH COLLABORATION PROJECT, WITH NOTICE OF AWARD TIMEFRAME IN DECEMBER 2021. WE CURRENTLY SCREEN FOR DEPRESSION AT CLINIC VISITS AND HAVE INTEGRATED HEALTH THERAPISTS EMBEDDED IN ALL OF THE PRIMARY CARE CLINICS.SUBSTANCE ABUSE: PATIENTS IDENTIFIED BY THEIR PRIMARY CARE PROVIDER AS HAVING AN OPIOID USE DISORDER ARE ABLE TO RECEIVE TREATMENT WITH OUR SUBOXONE CLINIC AND MAT COMMUNITY PARTNERS. PATIENTS ARE SEEN BY OUR INTEGRATIVE HEALTH THERAPISTS FOR A COMPREHENSIVE BEHAVIORAL HEALTH EVALUATION, FOLLOWED BY A REFERRAL TO THE APPROPRIATE BEHAVIORAL HEALTH PROVIDER (E.G. ADDICTION TREATMENT, THERAPY, PSYCHIATRY). THE PATIENT THEN IS SCHEDULED WITH ONE OF OUR FOUR CERTIFIED PHYSICIANS WHO PRESCRIBE SUBOXONE FOR INDUCTION. SANFORD HEALTH'S COLLABORATION WITH A FARGO-BASED PEER-TO-PEER SUBSTANCE ABUSE PROGRAM PROVIDER, F5, BEGAN IN 2019. THE COLLABORATION REMAINS STRONG AND THE F5 TEAM BEGIN COUNSELING SESSIONS WITHIN OUR HOSPITAL FOR PATIENTS WITH DRUG/ALCOHOL ADDICTION. SANFORD SUPPORTS MANY COMMUNITY PARTNERS TO ADDRESS THE SUBSTANCE ABUSE IN OUR COMMUNITY. PARTNERSHIPS INCLUDE FARGO CASS PUBLIC HEALTH (MOBILE CRISIS UNIT) AND RECOVERY REINVENTED.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:PHYSICAL ACTIVITY AND NUTRITIONSENIOR HOUSING AND LONG-TERM CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSING, EMPLOYMENT, ECONOMIC DEVELOPMENTDIVERSITY, INCLUSION, HEALTH EQUITYCHILDCAREHEALTH LITERACY AND NAVIGATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE ACCESS TO BEHAVIORAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN IMPROVED CONTINUUM OF CARE APPROACH TO ADDRESSING MENTAL AND BEHAVIORAL HEALTH NEEDS AND SUBSTANCE USE DISORDERS. PRIORITY 2: IMPROVE ACCESS TO AFFORDABLE CAREACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO SERVICES. IMPROVING ACCESS TO HEALTHCARE SERVICES HAS BOTH FINANCIAL AND QUALITY OF LIFE IMPLICATIONS ON THE COMMUNITY. BY HELPING COMMUNITY MEMBERS ACCESS THE RIGHT CARE AT THE RIGHT TIME IN THE RIGHT PLACE, THEY ARE BETTER ABLE TO PREVENT AND MANAGE CHRONIC DISEASE AND ENJOY A BETTER QUALITY OF LIFE. FROM A FINANCIAL PERSPECTIVE, BETTER ACCESS TO CARE CAN BE MEASURED IN REDUCED UNNECESSARY EMERGENCY VISITS AND HOSPITALIZATIONS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICESIN ADDITION TO PROVIDING MORE THAN 130,000 BEHAVIORAL HEALTH-RELATED VISITS PER YEAR, SANFORD HEALTH PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS TO SUPPORT ACCESS TO COMMUNITY RESOURCES AND TO STREAMLINE CONNECTING INDIVIDUALS TO THE SERVICES THEY NEED. IN ADDITION TO PROVIDING CARE WITHIN OUR FACILITIES, SANFORD BEGAN OFFERING ONSITE SCHOOL-BASED BEHAVIORAL HEALTH SERVICES AS PART OF A BISMARCK PUBLIC SCHOOL DISTRICT PILOT PROJECT IN 2020.CLINICALLY, SANFORD INTEGRATES BEHAVIORAL HEALTH SPECIALISTS INTO THE PRIMARY CARE CLINIC SETTING. THE SPECIALISTS COLLABORATE WITH PRIMARY CARE TEAMS AND PROVIDE DIRECT CLINICAL SERVICES CRISIS INTERVENTION, COUNSELING, AND EDUCATION TO PATIENTS. SANFORD ALSO SCREENS PATIENTS FOR DEPRESSION ON ANNUAL BASIS TO INCREASE DIAGNOSING AND TREATING MENTAL HEALTH CONDITIONS EARLY, SANFORD. PATIENTS WHO SCORE OUT AT RISK ARE IMMEDIATELY CONNECTED WITH APPLICABLE CLINICAL AND COMMUNITY RESOURCES AND/OR SUICIDE PREVENTION SERVICES. IMPROVE ACCESS TO AFFORDABLE CARESANFORD HEALTH HAS IMPLEMENTED SEVERAL PROGRAMS AND SERVICES TO IMPROVE ACCESS TO AFFORDABLE CARE. TO ADDRESS HEALTHCARE COVERAGE FOR UNINSURED AND UNDERINSURED, SANFORD INTEGRATED FULLTIME ONSITE FINANCIAL ADVOCATES TO HELP PATIENTS AND THEIR FAMILIES ENROLL IN HEALTH COVERAGE PROGRAMS. SANFORD'S FINANCIAL ASSISTANCE PROGRAM HELPS THOUSANDS OF PATIENTS EACH YEAR REDUCE OR ELIMINATE MEDICAL BILLS THEY CAN AFFORD TO PAY. SANFORD ALSO ASSISTS AT RISK POPULATIONS WITH ENROLLMENT IN PUBLIC HEALTHCARE COVERAGE PROGRAMS. TO HELP BRIDGE THE GAP BETWEEN HEALTH CARE SERVICES PROVIDED IN OUR FACILITIES TO WHAT AT-RISK PATIENTS OUTSIDE OUR WALLS, SANFORD CREATED A COMMUNITY HEALTH WORKER PROGRAM. THE CHW WORKS WITH PATIENTS IN THE COMMUNITY TO ASSIST WITH SOCIAL SERVICES, COMMUNITY RESOURCES, TRANSPORTATION NEEDS, FOOD STABILITY AND OTHER KEY SOCIAL DETERMINANTS OF HEALTH. TO HELP THE COMMUNITY'S MOST VULNERABLE PATIENTS BETTER MANAGE CHRONIC DISEASES INCLUDING DIABETES, ASTHMA AND DEPRESSION, SANFORD ESTABLISHED BETTER CHOICES, BETTER HEALTH, A SELF-MANAGEMENT PROGRAM DESIGNED TO HELP ADULTS BETTER UNDERSTAND THEIR HEALTH AND BETTER MANAGE THEIR SYMPTOMS. ADDITIONAL FREE HEALTHCARE CLASSES INCLUDE FAMILY PARENTING AND SIBLING CLASSES, BIRTHING CLASSES, BREASTFEEDING CLASSES, AND CARING FOR YOUR NEWBORN CLASS.SUBSIDIZED HEALTH SERVICES CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A FINANCIAL LOSS ARE PROVIDED TO MEET IDENTIFIED COMMUNITY NEEDS AND IF IT WERE NOT OFFERED BY SANFORD, IT WOULD EITHER BE UNAVAILABLE OR FALL TO THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION. EXAMPLES OF SUBSIDIZED HEALTH SERVICES INCLUDE BEHAVIORAL HEALTH SERVICES, RENAL DIALYSIS SERVICES, TRAUMA CARE AND WOMEN'S AND CHILDREN'S SERVICES. SANFORD HEALTH SERVES AS THE REGION'S SAFETY NET HOSPITAL, PROVIDING FREE AND DISCOUNTED CARE TO THOUSANDS OF PATIENTS UNABLE TO AFFORD HEALTHCARE COSTS. SANFORD ALSO WORKS PROACTIVELY WITH PATIENTS AND COMMUNITY MEMBERS TO HELP INDIVIDUALS APPLY FOR HEALTHCARE COVERAGE PROGRAMS INCLUDING MEDICAID, MEDICARE AND PRIVATE COVERAGE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:HEALTHY LIVING ACCESS TO HEALTH CARE PROVIDERSLONG-TERM CARE PUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO HEALTH CARE: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ADD ADDITIONAL BEHAVIORAL HEALTH PROVIDERS, PROGRAMS, IMPROVED ACCESS AND ALTERNATE WAYS TO ENGAGE WITH BEHAVIORAL HEALTH PROVIDERS. IT IS SANFORD'S GOAL TO PROVIDE ACCESS TO QUALITY AND TIMELY HEALTH CARE RELATED TO MENTAL HEALTH AND SUBSTANCE ABUSE. PRIORITY 2: HEALTHY LIVINGIN THE UNITED STATES, MANY OF THE LEADING CAUSES OF DEATH AND DISEASE ARE ATTRIBUTED TO UNHEALTHY BEHAVIORS. FOR EXAMPLE, POOR NUTRITION AND LOW LEVELS OF PHYSICAL ACTIVITY ARE ASSOCIATED WITH HIGHER RISK OF CARDIOVASCULAR DISEASE, TYPE 2 DIABETES, AND OBESITY. TOBACCO USE IS ASSOCIATED WITH HEART DISEASE, CANCER, AND POOR PREGNANCY OUTCOMES IF THE MOTHER SMOKES DURING PREGNANCY. EXCESSIVE ALCOHOL USE IS ASSOCIATED WITH INJURIES, CERTAIN TYPES OF CANCERS, AND CIRRHOSIS. SANFORD HAS MADE HEALTHY LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN OPTIONS AND ASSISTANCE FOR HEALTHY LIVING. IT IS SANFORD'S GOAL TO FOCUS ON HEALTHY LIVING TO INCLUDE ASSESSMENT AND TREATMENT OF CHRONIC HEALTH ISSUES, LEVELS OF PHYSICAL ACTIVITY AND FOOD INSECURITY.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO HEALTH CARE: MENTAL HEALTHTHE FIRST PRIORITY ENCOMPASSES STRATEGIES TO ADDRESS TWO SIGNIFICANT HEALTH NEEDS NOTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: ACCESS TO HEALTH CARE AND MENTAL HEALTH.OUTREACH TO COMMUNITIES HAS GROWN TO 9 DIFFERENT COMMUNITIES IN THE REGION IN ADDITION TO LEVERAGING SPECIALISTS FROM FARGO WHO COME TO BEMIDJI. OF THESE LOCATIONS THERE ARE MORE THAN 14 DIFFERENT BEMIDJI SPECIALISTS THAT OUTREACH. SANFORD CONTINUES RECRUITMENT FOR SPECIALISTS FOCUSING CURRENTLY ON CARDIOLOGY, DERMATOLOGY, ONCOLOGY, UROLOGY, ORTHOPEDICS, AND NEUROLOGY.UNDERSTANDING PATIENT EXPERIENCE IS OF HIGH IMPORTANCE TO SANFORD. PATIENT FEEDBACK IS COLLECTED THROUGH TWO SURVEY PROCESSES. THE FIRST IS A PAPER CAHPS SURVEY COMPLETED BY MAIL IN WHICH THE PATIENT HAS 42 DAYS TO RESPOND FROM THEIR ENCOUNTER DATE. THE SECOND IS A REAL-TIME SURVEY CONDUCTED BY EMAIL OR AN INTERACTIVE VOICE PHONE CALL. IN THIS CASE, THE PATIENT HAS TWO WEEKS FROM THE ENCOUNTER DATE TO RESPOND.SANFORD BEMIDJI IS COMMITTED TO THE MENTAL HEALTH OF OUR REGIONAL POPULATION BY IMPLEMENTING A BEST PRACTICES MODEL RECOMMENDED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE FEDERAL GOLD STANDARD FOR COMMUNITY BEHAVIORAL HEALTH SERVICES. THE IMPLEMENTATION OF THIS NEW MODEL WILL INCREASE ACCESS TO QUALITY SERVICES. DEVELOPMENT OF THESE NEW SERVICES INCLUDES A CRISIS CENTER FACILITY WHICH HOUSES INPATIENT PSYCHIATRIC HOSPITAL BEDS AND EMPATH UNIT. WE ARE TREATING THE NEEDS OF OUR MOST ACUTE POPULATION, FURTHER ADDRESSING THE IMPORTANCE FOR OUR PATIENTS TO STAY IN THE COMMUNITY IN WHICH THEY AND THEIR FAMILIES LIVE. A RESIDENTIAL WITHDRAWAL MANAGEMENT (DETOX) UNIT IS SCHEDULED TO BE OPERATIONAL EARLY 2023. AS SANFORD TRANSITIONS TO CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) STATUS, COORDINATION OF CARE BETWEEN WITHDRAWAL MANAGEMENT, MEDICATED ASSISTED TREATMENT (MAT), AND OUTPATIENT SUBSTANCE USE AND/OR DUAL DISORDER TREATMENT PROVIDERS WILL SIGNIFICANTLY INCREASE ACCESS TO TIMELY AND QUALITY CARE.SANFORD HEALTH IS COMMITTED TO WORKING WITH THE SCHOOLS TO PROVIDE CULTURALLY SENSITIVE, AGE APPROPRIATE AND FAMILY-ORIENTED PREVENTION PROGRAMS TO CREATE AND GIVE CHILDREN A HEALTHY START IN LIFE. SANFORD HEALTH WILL BUILD UPON CURRENT RELATIONSHIPS WITH AREA SCHOOLS TO IDENTIFY IN-SCHOOL AND/OR TELEHEALTH PROGRAMS AND SERVICES THAT WILL AUGMENT AND SUPPORT HEALTHY LEARNING, EMOTIONAL AND BEHAVIORAL DEVELOPMENT. SANFORD OFFERS FINANCIAL SUPPORT FOR BEMIDJI AREA SERVICE COLLABORATIVE AND PEACEMAKER RESOURCES SO THAT SOCIAL AND EMOTIONAL LEARNING CURRICULUM COULD BE IMPLEMENTED IN ALL K-3 CLASSROOMS IN ISD.MOBILE CRISIS RESPONSE SERVICES ARE OFFERED TO ALL CHILDREN 24/7. THE CRISIS SERVICES ARE PROVIDED AS NEEDED IN ALL SCHOOL LOCATIONS. CHILDREN'S THERAPEUTIC SERVICES AND SUPPORTS (CTSS) SERVICES WILL BE EXPANDED BEYOND SCHOOLS TO INCLUDE IN-HOME SERVICES TO SUPPORT FAMILIES. ADDITIONAL SUPPORTS TO AREA SCHOOLS WILL BE PROVIDED THROUGH SANFORD'S NEW PEDIATRIC PSYCHIATRIST. HEALTHY LIVINGSANFORD HEALTH PROVIDES FUNDING TO ISD # 31 AND THE UNITED WAY OF BEMIDJI AREA TO SUPPORT THE NO CHILD HUNGRY INITIATIVE. THIS INITIATIVE INCLUDES FINANCIAL SUPPORT OF ISD 31'S ANGEL FUND, WHICH COVERS THE UNPAID MEAL BALANCE FOR THE DISTRICT. BY PAYING THIS BALANCE, IT ALLOWS ISD #31 TO CONTINUE TO PROVIDE ALL CHILDREN BREAKFAST AND LUNCH REGARDLESS OF THE FAMILY'S ABILITY TO PAY. NO CHILD HUNGRY ALSO PROVIDES FUNDING TO THE UNITED WAY OF BEMIDJI AREA BACKPACK BUDDIES FOOD PACK PROGRAM. THIS PROGRAM SENDS FOOD PACKS HOME WITH CHILDREN OVER THE WEEKEND AND SERVES 400+ KIDS WITHIN ISD 31. IN 2020, WE PROVIDED ADDITIONAL FUNDING WHICH SUPPORTED EXPANDING THIS PROGRAM TO THE BI-CAP HEAD START, THE BLACKDUCK SCHOOL DISTRICT, AND THE KELLIHER SCHOOL DISTRICT.SANFORD IS ALSO MOVING FORWARD A WELLNESS CENTER PROJECT IN COLLABORATION WITH A LOCAL DEVELOPER AND THE CITY OF BEMIDJI. THE CENTER WOULD HOUSE A FITNESS FACILITY, COMMUNITY AND EDUCATIONAL SPACE, A MULTI-PURPOSE AREA FOR INDOOR SPORTS, AND AQUATICS AREA AND ICE RINKS. THE PROJECT IS IN THE PLANNING STAGE, WITH SITE ANALYSIS AND FEASIBILITY STUDIES BEING CONDUCTED.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:EMPLOYMENT AND INCOMEACCESS TO AFFORDABLE HEALTH CAREAFFORDABLE HOUSINGPUBLIC TRANSPORTATIONCHILD CARE QUALITYCOMMUNITY SAFETYSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOR MENTAL HEALTH PROMOTION, SUICIDE PREVENTION AND EDUCATION FOR PARENTING RELATED SKILLS. IT IS SANFORD'S GOAL TO INCREASE ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES, IN PARTICULAR FOR AT RISK YOUTH AND TO DECREASE THE NUMBER OF SUICIDES.PRIORITY 2: ACCESS TO HEALTHCARE PROVIDERSACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. SANFORD HAS MADE ACCESS TO HEALTHCARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO DEVELOP A FULLTIME DERMATOLOGY CLINIC AND TO EXPAND ACCESS TO TELEHEALTH TECHNOLOGIES IN BEHAVIORAL HEALTH. IT IS SANFORD'S GOAL TO INCREASE NUMBER OF LOCAL PROVIDERS SERVICING THIEF RIVER FALLS THROUGH LOCALLY BASED PROVIDERS, OUTREACH FROM OTHER SANFORD FACILITIES, OR TELEHEALTH/VIRTUAL CARE PLATFORMS. INCREASED PROVIDERS WILL EXPAND THE NUMBER OF AVAILABLE SERVICES AND APPOINTMENTS AVAILABLE TO THE LOCAL COMMUNITY.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTH SANFORD THIEF RIVER FALLS CONTINUES TO RECRUIT PROVIDERS TO ADDRESS THE DIFFICULTIES IN TIMELY APPOINTMENT AND FOLLOW-UP. IN THE PAST YEAR WE HAVE ADDED FIVE NEW PROVIDERS AND ARE IN THE PROCESS OF LICENSING A NEW FACILITY FOR SUBSTANCE USE DISORDERS (SUDS). ADOLESCENT CARE PROVIDERS HAVE BEEN A FOCUS IN RECRUITMENT BUT DUE TO THE SPECIALIZATION IT IS A DIFFICULT RECRUIT. WE CONTINUE TO RECRUIT FOR ADDITIONAL PROVIDERS, PARTICULARLY WITH TRAINING IN ADOLESCENT CARE AND TREATMENT. THE SHIFT TO TELEHEALTH, PARTICULARLY VIDEO, WAS ENABLED BY TIME-LIMITED, REGULATORY CHANGES RELATED TO REIMBURSEMENT, PRIVACY STANDARDS FOR TELEHEALTH TECHNOLOGY, AND LICENSURE. POST-COVID-19 POLICIES WILL DETERMINE WHETHER TELEHEALTH REMAINS CENTRAL TO US HEALTH CARE OR RETURNS TO THE PERIPHERY.ACCESS TO HEALTHCARE PROVIDERSACCESS TO PROVIDERS HAS BEEN AND CONTINUES TO BE A HIGH PRIORITY IN THIEF RIVER FALLS. THROUGH TELEHEALTH TECHNOLOGIES WE HAVE BEEN ABLE TO EXPAND ACCESS BEYOND THE TRADITIONAL FACE TO FACE ENCOUNTERS. TELEHEALTH OPPORTUNITIES ARE MANY, HOWEVER CONSTRAINED TO SOME DEGREE BY PAYMENT MODELS AND WHETHER INSURANCE PAYORS WILL RECOGNIZE TELEHEALTH AS A COVERED SERVICE. THE COVID PANDEMIC HAS ACCELERATED THE ACCEPTANCE OF TELEHEALTH BY THE CONSUMER, PROVIDERS AND INSURERS HOWEVER IT REMAINS TO BE SEEN WHETHER SUPPORT AND ADOPTION OF THIS SERVICE OPTION WILL CONTINUE AT THE PACE EXPERIENCED DURING THE PANDEMIC. WITH REGARD TO NURSE PRACTITIONERS, THERE IS CERTAINLY OPPORTUNITY TO WORK WITH OUR PARTNERS TO INCREASE AWARENESS AMONG THE GENERAL COMMUNITY OF THE EXPERT CARE THEY CAN PROVIDE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO QUALITY HEALTHCAREAFFORDABLE HOUSINGLONG-TERM CAREPUBLIC TRANSPORTATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVING PHYSICAL ACTIVITY AND NUTRITION FOR YOUTH AND ADULTSTHE ENVIRONMENTS WHERE PEOPLE LIVE, LEARN, WORK, AND PLAY AFFECT ACCESS TO HEALTHY FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY WHICH, ALONG WITH GENETIC FACTORS AND PERSONAL CHOICES, SHAPE HEALTH AND THE RISK OF BEING OVERWEIGHT AND OBESE. SANFORD HAS MADE PHYSICAL ACTIVITY AND NUTRITION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE CARE OF PATIENTS WITH OBESITY DIAGNOSIS AND TO PROVIDE EDUCATION TO SCHOOLS REGARDING PHYSICAL ACTIVITY AND NUTRITION. IT IS SANFORD'S GOAL TO IMPROVE PHYSICAL ACTIVITY AND NUTRITION FOR THE COMMUNITY. PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS, PARTICULARLY FOR MENTAL HEALTH SERVICES AND EDUCATIONACCORDING TO THE COUNTY HEALTH RANKINGS FOR CLINICAL CARE, ACCESS TO HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO SERVICES AND EDUCATION. IT IS SANFORD'S GOAL THAT ALL PATIENTS REQUIRING ACCESS TO HEALTHCARE ARE SUCCESSFUL IN SECURING TIMELY APPOINTMENTS AND TO IMPROVING MENTAL HEALTH SERVICES IN THE COMMUNITY. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVING PHYSICAL ACTIVITY AND NUTRITION FOR YOUTH AND ADULTSSANFORD ABERDEEN MEDICAL CENTER (SAMC) IS COMMITTED TO IMPROVING CARE OF PATIENTS WITH OBESITY DIAGNOSIS THROUGH REFERRING PATIENTS TO INTERNAL AND EXTERNAL SERVICES, INCLUDING REGISTERED DIETITIANS, EXERCISE PHYSIOLOGISTS, AND HEALTH COACHES. SANFORD EMPLOYS A REGISTERED DIETICIAN AND FOOD PRODUCTION STAFF WITHIN THE HOSPITAL WHICH AND WILL UTILIZE THESE RESOURCES TO EDUCATE THE LOCAL COMMUNITY ON HEALTHY EATING AND HOW TO UTILIZE LIMITED FOOD RESOURCES FOR FULL MEAL PLANNING. IN 2021, SAMC STAFF PROVIDED EDUCATION TO LOCAL SCHOOLS AND CHILDCARE CENTERS ABOUT THE SANFORD FIT INITIATIVE, A CHILDHOOD OBESITY PREVENTION INITIATIVE. FIT IS THE ONLY INITIATIVE PROGRAM FOCUSING EQUALLY ON THE FOUR KEY CONTRIBUTING FACTORS TO CHILDHOOD OBESITY: FOOD (NUTRITION), MOVE (ACTIVITY), MOOD (BEHAVIORAL HEALTH), AND RECHARGE (SLEEP). ACCESS TO HEALTH CARE PROVIDERS, PARTICULARLY FOR MENTAL HEALTH SERVICES AND EDUCATIONSAMC SEEKS TO ENSURE THAT MENTAL HEALTH SERVICES ARE AVAILABLE IN ABERDEEN AND THE SURROUNDING AREA. WE AIM TO IMPROVE CARE OF PATIENTS WITH DEPRESSION DIAGNOSIS THROUGH IMPROVING PHQ-9 SCORES FOR PATIENTS WITH MAJOR DEPRESSION. TO THIS END, SANFORD ABERDEEN CLINIC IS OFFERING TELEMEDICINE OPTIONS FOR PSYCHIATRY SERVICES TO INCREASE OVERALL ACCESS TO MENTAL HEALTH CARE. TO IDENTIFY NEEDS AND ENSURE ACCESS TO APPROPRIATE CARE, PCP VISITS INCLUDE A QUESTIONNAIRE ASSESSMENT TOOL THAT IS ALIGNED WITH SANFORD HEALTH ENTERPRISE PROTOCOLS FOR SCREENING. THIS APPROACH IS A MORE HOLISTIC MANNER BY EMBEDDING AN INTEGRATED HEALTH THERAPIST (IHT) IN OUR PRIMARY CARE CLINICS. THE IHT ALSO OFFERS ONGOING EDUCATION ON SERVICES OFFERED THROUGH PRIMARY CARE. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTER |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO PROVIDERS (BILINGUAL MENTAL HEALTH AND PEDIATRIC DENTAL CARE)ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWN. IT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE SCREENING OF MENTAL HEALTH AND REFERRAL SOURCES FOR MENTAL HEALTH SUPPORT AND TO INCREASE ACCESS TO PEDIATRIC DENTAL CARE FOR AT-RISK PATIENTS. IT IS SANFORD'S GOAL THAT MORE AREA RESIDENTS WILL HAVE ACCESS TO PROVIDERS OF BILINGUAL MENTAL HEALTH AND PEDIATRIC DENTAL CARE.PRIORITY 2: TEEN PREGNANCYTEEN PREGNANCY RESULTS IN SUBSTANTIAL SOCIAL, ECONOMIC, AND HEALTH COSTS THROUGH IMMEDIATE AND LONG-TERM IMPACTS ON TEEN PARENTS AND THEIR CHILDREN. STUDIES SHOW THAT THE CHILDREN OF TEENAGE MOTHERS ARE MORE LIKELY TO HAVE LOWER SCHOOL ACHIEVEMENT AND TO DROP OUT OF HIGH SCHOOL, HAVE MORE HEALTH PROBLEMS, BE INCARCERATED AT SOME TIME DURING ADOLESCENCE, AND FACE UNEMPLOYMENT AS A YOUNG ADULT, THAN CHILDREN BORN TO OLDER MOTHERS.SANFORD HAS MADE TEEN PREGNANCY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE LINKAGES BETWEEN TEEN PREGNANCY PREVENTION PROGRAMS AND COMMUNITY-BASED CLINICAL SERVICES. IT IS SANFORD'S GOAL THAT THE COMMUNITY WILL BENEFIT FROM STRONG LOCAL PARTNERSHIPS THROUGH SANFORD'S FOCUS ON THIS ISSUE. FAMILY PRACTICE AND PEDIATRIC PROVIDERS WILL PROVIDE PATIENT EDUCATION, RECOMMEND, AND SUPPORT SPECIALTY REFERRALS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO PROVIDERS (BILINGUAL MENTAL HEALTH AND PEDIATRIC DENTAL CARE)SANFORD HEALTH WILL POSITIVELY IMPACT ACCESS BY SERVING AS PRIMARY CARE PROVIDERS TO THOUSANDS OF LOCAL RESIDENTS, ASSESSING NEEDS, PROVIDING EDUCATION, AND SUPPORTING SPECIALTY REFERRALS. THE RN CARE MANAGER, COMMUNITY HEALTH WORKERS, AND INTEGRATED HEALTH THERAPISTS (IHT) ASSIST WITH IMMEDIATE NEEDS AND REFERRALS TO APPROPRIATE RESOURCES.THE LOCATION HAS RECENTLY HIRED A BILINGUAL SPANISH CHW WHO CAN HELP FILL GAPS IN COMPLETION OF THE MENTAL HEALTH ASSESSMENT AND APPROPRIATE REFERRAL TO MENTAL HEALTH SERVICES. THE IHT POSITION FOR THE CLINIC HAS BEEN POSTED. TEEN PREGNANCYSANFORD WORTHINGTON WILL PRIORITIZE TEEN PREGNANCY IN EFFORT TO CONTINUE THE POSITIVE DOWNWARD TRAJECTORY IN THE TEEN PREGNANCY RATE FOR THE AREA. SANFORD WORTHINGTON SUPPORTS DONATIONS TO HELPING HANDS PREGNANCY CENTER'S ANNUAL FUNDRAISING EVENT. SANFORD PROVIDERS, RN CARE MANAGERS, COMMUNITY HEALTH WORKERS, AND INTEGRATED HEALTH THERAPISTS ASSIST WITH IMMEDIATE NEEDS AND REFERRALS TO APPROPRIATE RESOURCES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:INCOME AND POVERTYPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGACCESS TO AFFORDABLE HEALTH CAREPHYSICAL ACTIVITY AND NUTRITIONCHILDCARE QUALITYLONG-TERM CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CARE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. SANFORD HAS MADE ACCESS TO AFFORDABLE HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EDUCATE THE COMMUNITY ON THE FULL SCOPE OF LOCALLY AVAILABLE SERVICES AND OFFER COMMUNITY EDUCATIONAL AND SCREENING EVENTS TO ENHANCE PREVENTATIVE CARE AND REDUCE OUT-OF-POCKET COSTS. IT IS SANFORD'S GOAL TO INCREASE THE PUBLIC EDUCATION ON THE PROMOTION OF SERVICES AVAILABLE IN SHELDON, REDUCING OUT-OF-POCKET COSTS DUE TO TRAVEL TIME AND TIME AWAY FROM THEIR EMPLOYMENT.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWNIT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENHANCE MARKETING AND PROMOTIONAL ACTIVITIES TO IMPROVE ACCESS AND TO PROMOTE VIRTUAL CARE TO AUGMENT ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE. IT IS SANFORD'S GOAL TO ENHANCE ACCESS TO CARE FOR RESIDENTS OF SHELDON AND THE SURROUNDING AREA.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO AFFORDABLE HEALTH CARESANFORD SHELDON MEDICAL CENTER PROVIDES FINANCIAL ASSISTANCE TO PATIENTS THAT QUALIFY. RN HEALTH COACHES WORK WITH PATIENTS TO PROVIDE ASSISTANCE OBTAINING AFFORDABLE PRESCRIPTION MEDICATIONS. UNINSURED PATIENTS ARE OFFERED FINANCIAL ASSISTANCE APPLICATION AND POLICY AS WELL AS ASSISTANCE TO APPLY FOR INSURANCE WITH MEDDATA. SANFORD SHELDON PROVIDES A WIDE RANGE OF SERVICES AND HOURS OF OPERATIONS. ACCESS TO HEALTH CARE PROVIDERSSANFORD WILL EDUCATE THE COMMUNITY ON THE PRIMARY CARE AND SPECIALTY PHYSICIANS PROVIDING SERVICES IN SHELDON. SPECIALTY COVERAGE WILL BE ANALYZED TO DETERMINE THE AVAILABILITY OF OFFERING ADDITIONAL SERVICES. SANFORD SHELDON WILL ALSO INCLUDE MENTAL HEALTH ACCESS AS A FOCUS AREA. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:PHYSICAL ACTIVITY AND NUTRITIONAFFORDABLE HOUSINGPUBLIC TRANSPORTATIONLONG-TERM CAREENVIRONMENTAL HEALTHSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CAREACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET.SANFORD VERMILLION HAS MADE ACCESS TO AFFORDABLE HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENSURE PATIENTS AND COMMUNITY PARTNERS ARE AWARE OF ITS FINANCIAL ASSISTANCE PROGRAM AND OTHER PROGRAMS AVAILABLE TO ELIGIBLE PATIENTS TO ASSIST WITH MEDICATIONS AND PREVENTATIVE CARE. IT IS SANFORD'S GOAL TO SEE LESS ACCOUNTS GOING TO COLLECTIONS OR WRITTEN OFF TO BAD DEBT AND A GREATER SHARE WRITTEN OFF TO OUR FINANCIAL ASSISTANCE PROGRAM. THERE ARE OTHER ASSISTANCE PROGRAMS FOR MEDICATIONS AND WOMEN'S PREVENTATIVE CARE THAT WE CAN HELP PATIENTS GET SIGNED UP FOR AS WELL.PRIORITY 2: HEALTH CARE ACCESS: MENTAL HEALTH/BEHAVIORAL HEALTHACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWNIT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS.SANFORD HAS MADE HEALTH CARE ACCESS: MENTAL HEALTH/BEHAVIORAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE ALTERNATIVE VISIT TYPES AND TO ALLOW OPEN SCHEDULING AND EXPANSION OF WEEKEND HOURS. IT IS SANFORD'S GOAL TO OFFER THE ALTERNATIVE VISITS, ADDING OPEN SCHEDULING AND EXPANSION OF OUR WEEKEND HOURS, THUS ALLOWING GREATER ACCESS TO OUR PROVIDERS FOR THE COMMUNITY AND WILL ADVERTISE THESE SO THE COMMUNITY IS AWARE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO AFFORDABLE HEALTH CARESANFORD VERMILLION WILL WORK WITH PATIENTS AND ITS COMMUNITY PARTNERS TO ENSURE ALL ARE AWARE OF ITS FINANCIAL ASSISTANCE PROGRAM AND OTHER PROGRAMS AVAILABLE TO ELIGIBLE PATIENTS TO ASSIST WITH MEDICATIONS AND PREVENTATIVE CARE.SANFORD VERMILLION CURRENTLY OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM TO ELIGIBLE PATIENTS, BUT PATIENTS MAY BE RELUCTANT TO ASK ABOUT IT OR UNAWARE IT EXISTS AS WE STILL WRITE OFF A NUMBER OF ACCOUNTS TO BAD DEBT. OUR TEAM UTILIZES SANFORD HEALTH PLAN'S WEBSITE AND RELATED RESOURCES TO PROVIDE RELEVANT INSURANCE INFORMATION AS NEEDED. WE WORK WITH BOTH SANFORD HEALTH PLAN REPRESENTATIVES AND LOCAL INSURANCE AGENTS TO GIVE PATIENTS INFORMATION ON INSURANCE PRODUCTS AND SERVICES. SANFORD HEALTH IS ALSO PART OF SOUTH DAKOTANS DECIDE HEALTH CARE A BROAD COALITION ADVOCATING FOR MEDICAID EXPANSION IN SD. MEDICAID EXPANSION WILL HELP SOUTH DAKOTA FAMILIES WHO ARE SLIPPING THROUGH THE CRACKS IN OUR HEALTHCARE SYSTEM AND WILL HELP KEEP RURAL HOSPITALS OPEN ENSURING ACCESS TO EMERGENCY CARE. ADDITIONALLY, PATIENTS WHO CALL WITH CONCERNS ABOUT PAYING BILLS AND/OR COST OF THEIR BILL ARE ALL REFERRED TO OUR FINANCIAL ASSISTANCE PROGRAM WHICH IF THEY QUALIFY PROVIDES PARTIAL TO FULL DISCOUNT ON THEIR SANFORD BILLS FOR UP TO ONE YEAR. WE EDUCATE ALL OF OUR PROVIDERS TO TELL PATIENTS NOT TO DELAY OR DENY SERVICES BASED ON COST CONCERNS AS WE WILL WORK WITH PATIENTS ON THEIR BILL WHETHER IT'S PAYMENT PLANS, PROMPT PAY DISCOUNTS OR APPLYING FOR OUR FINANCIAL ASSISTANCE PROGRAM. HEALTH CARE ACCESS: MENTAL HEALTH/BEHAVIORAL HEALTH SANFORD VERMILLION WILL PROMOTE VERBAL AND TELEHEALTH/VIDEO VISITS IF CMS CONTINUES TO ALLOW THEM TO IMPROVE ACCESS TO PROVIDERS. SANFORD VERMILLION IS ALSO WORKING WITH IT TO OFFER OPEN SCHEDULING FOR PATIENTS TO GO ONLINE AND SCHEDULE THEIR OWN APPOINTMENTS WITH ANY PROVIDER OF THEIR CHOICE, INCLUDING MENTAL HEALTH PROVIDERS. SANFORD VERMILLION WILL ALSO BE WORKING WITH MARKETING DEPARTMENT TO PROMOTE AVAILABILITY OF ALL PROVIDERS AND START ADVERTISING AVAILABLE OUTREACH SPECIALTY PROVIDERS AND MENTAL HEALTH PROVIDERS AVAILABLE LOCALLY.SANFORD VERMILLION CURRENTLY HAS A NUMBER OF SPECIALTIES AND TWO MENTAL HEALTH PROVIDERS WHO PROVIDE SERVICES AT OUR CLINIC. AWARENESS IN THE COMMUNITY OF THESE COULD BE IMPROVED. WE ALSO SAW A DECREASE IN NO SHOW VISIT RATES DURING COVID-19 WHEN WE WERE ABLE TO OFFER MORE VERBAL, VIDEO AND TELEHEALTH VISITS SO WE HOPE TO CONTINUE TO BE ABLE TO OFFER THESE TYPES OF VISITS. THERE ARE ALSO MENTAL HEALTH SERVICES AVAILABLE TO UNIVERSITY OF SOUTH DAKOTA STUDENTS ON CAMPUS AT NO CHARGE TO THEM. IN THE VERMILLION COMMUNITY, THERE IS ALSO A MENTAL HEALTH COUNSELOR WHO HAS A PRIVATE PRACTICE AND LEWIS AND CLARK BEHAVIORAL HEALTH HAS AN OFFICE IN VERMILLION WITH MENTAL HEALTH COUNSELORS AND ALCOHOL AND SUBSTANCE ABUSE COUNSELORS AVAILABLE TO THE VERMILLION COMMUNITY. THEY ARE ALSO WORK IN THE SCHOOL DISTRICT TO MAKE VISITS ON SITE AT THE SCHOOLS. WE CONTINUE TO EVALUATE SERVICE DEMAND AND MAY RECRUIT ADDITIONAL PROVIDERS IN THE FUTURE IF NEEDED.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:AFFORDABLE HOUSINGPUBLIC TRANSPORTATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE MENTAL HEALTH AND DECREASE ADDICTION/SUBSTANCE ABUSE IN THE COMMUNITYMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ADD ADDITIONAL MENTAL HEALTH RESOURCES IN THE COMMUNITY AND TO INCREASE ACCESSIBILITY TO MENTAL HEALTH CARE FOR YOUTH. IT IS SANFORD'S GOAL TO INCREASE MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE COUNSELING OPTIONS IN THE COMMUNITY. PRIORITY 2: INCREASE ACCESS TO SPECIALTY CARE IN THE COMMUNITYACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. WHILE HIGH RATES OF SPECIALIST PHYSICIANS HAVE BEEN SHOWN TO BE ASSOCIATED WITH HIGHER (AND PERHAPS UNNECESSARY) UTILIZATION, SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE.SANFORD HAS MADE ACCESS TO SPECIALTY HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE NEW SPECIALTY CARE SERVICES INCLUDING OPHTHALMOLOGY AND ORTHOPEDICS AND CREATE AWARENESS OF VIRTUAL CARE OPTIONS FOR SPECIALTY SERVICES. IT IS SANFORD'S GOAL TO PROVIDE ENHANCED ACCESS TO A VARIETY OF SPECIALTY CARE SERVICES IN THE COMMUNITY.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVE MENTAL HEALTH AND DECREASE ADDICTION/SUBSTANCE ABUSE IN THE COMMUNITYSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON IMPROVING MENTAL HEALTH AND DECREASING ADDICTION/SUBSTANCE ABUSE IN THE COMMUNITY AS A WHOLE. IN PARTICULAR, WE INTEND TO ADD RESOURCES AND CONTINUE PARTNERSHIP WITH THE LOCAL SCHOOLS. SANFORD IS FURTHER DEVELOPING THE MENTAL HEALTH SERVICES IN CENTRAL SOUTH DAKOTA, THROUGH HIRING ADDITIONAL MENTAL HEALTH THERAPISTS, TO SERVE CENTRAL SOUTH DAKOTA AT SANFORD CHAMBERLAIN.INCREASE ACCESS TO SPECIALTY CARE IN THE COMMUNITYSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON INCREASING ACCESS TO SPECIALTY CARE WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS PROMOTING SERVICES ALREADY OFFERED THAT MAY BE UNDERUTILIZED OR UNKNOWN AND, LEVERAGING VIRTUAL CARE FOR SERVICES THAT ARE NOT OFFERED LOCALLY. SANFORD CHAMBERLAIN IS USING ROBUST MARKETING IN PROMOTING SPECIALTY SERVICES INCLUDING SOCIAL MEDIA AND A WEBPAGE. THERE IS A TELEHEALTH COORDINATOR ON SITE THAT PROMOTES VIRTUAL SERVICES TO PATIENTS AND PROVIDERS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREPHYSICAL ACTIVITY AND NUTRITIONSEXUAL ACTIVITYCOMMUNITY SAFETYCHILDCARE QUALITYAFFORDABLE HOUSINGPUBLIC TRANSPORTATION AND THE INTERNETSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD SHARED THE FINDINGS OF THE CHNA RESEARCH AND THESE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1 MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND MENTAL HEALTH OPPORTUNITIES AND DECREASE SUBSTANCE ABUSE IN THE COMMUNITY. IT IS SANFORD'S GOAL THAT THE COMMUNITY WOULD SEE EXPANDED ACCESS TO MENTAL HEALTH SERVICES WITHIN THE COMMUNITY.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWNIT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO PRIMARY CARE AND EXPAND TELEHEALTH AND DENTAL ACCESS. IT IS SANFORD'S GOAL TO PROVIDE GREATER ACCESS TO CARE USING THE VISIT STYLE PREFERRED BY THE PATIENT. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD LUVERNE WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH. IN ADDITION, SANFORD LUVERNE WILL CONTINUE TO LOOK AT ACCESS POINTS WITHIN THE CLINIC, BOTH IN PERSON AND VIRTUAL TO IMPROVE ACCESS TO MENTAL HEALTH. SANFORD LUVERNE WILL SPEND TIME OVER THE NEXT THREE YEARS EXPLORING WAYS TO ASSIST THE SCHOOL WITH MENTAL HEALTH OPPORTUNITIES AS WELL AS FOCUSING ON CAREGIVER MENTAL HEALTH AND RESILIENCY. SANFORD LUVERNE'S TEAM FOCUSING ON THIS INITIATIVE WILL CONSIST OF TWO SUBSTANCE USE COUNSELORS AND ONE INTEGRATED HEALTH THERAPIST.ACCESS TO HEALTH CARE PROVIDERSSANFORD LUVERNE HAS WORKED TO IMPROVE ACCESS TO PROVIDERS OVER THE PAST 3 YEARS AS WE FOCUSED ON RECRUITMENT OF HIGH-QUALITY PROVIDERS TO ENSURE ACCESS TO CARE WITH A COUPLE LONGER TERM PHYSICIAN RETIREMENTS. WE HAVE RECENTLY ADDED A NURSE PRACTITIONER AND WILL HAVE A NEW FAMILY MEDICINE PHYSICIAN JOINING THE PRACTICE IN FEBRUARY 2022. OVER 2020-2021, SANFORD HEALTH DEPLOYED ACCESS TO VIDEO VISITS AND PATIENTS CAN CONTINUE TO ACCESS AN ACUTE CARE PROVIDER VIA TELEHEALTH OR CALLING THE CLINIC TO DO A VIDEO VISIT WITH THEIR PRIMARY CARE PROVIDER. WE ANTICIPATE THAT TELEHEALTH VISITS WILL CONTINUE TO GROW AND SERVES TO PROVIDE AFTER HOURS ACCESS WITHOUT A TRIP TO THE EMERGENCY ROOM. SANFORD LUVERNE WILL CONTINUE TO LOOK AT ALL POINTS OF ACCESS TO CARE OVER THE UPCOMING 3-YEAR CYCLE FOCUSING ON AFTER HOURS, ER, PRIMARY CARE ACCESS, AND SPECIALTY OUTREACH CARE WITHIN LUVERNE. SANFORD LUVERNE LEADERSHIP WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH THE DENTAL COMMUNITY AND LUV1LUVALL COMMITTEE. IN ADDITION, SANFORD LUVERNE WILL CONTINUE TO LOOK FOR WAYS TO SUPPORT THE LUV1LUVALL DENTAL ACCESS TO HELP ENSURE ALL RESIDENTS HAVE ACCESS TO CARE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREPHYSICAL ACTIVITY AND NUTRITIONAFFORDABLE HOUSINGCHILDCARE/DAYCARE SERVICESSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH WITH A BROAD FOCUS, KEEPING IN MIND THE SPECIFIC CHALLENGES FACED BY AREA YOUTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: EXPANDING AWARENESS OF THE SANFORD CANBY AMBULATORY CARE MANAGER'S ROLE IN MENTAL HEALTH AND PROVIDING AND/OR SUPPORTING MENTAL HEALTH RESOURCES TO AREA YOUTH. IT IS SANFORD'S GOAL TO MAKE THE COMMUNITY MORE AWARE OF MENTAL HEALTH RESOURCES THAT ARE AVAILABLE IN THEIR LOCAL COMMUNITY.PRIORITY 2: INCREASEING ACCESS TO PROVIDERS, SPECIFICALLY TO INCREASE ACCESS TO PRIMARY CARE PROVIDERS AND IMPROVE MARKETING AROUND SPECIALTY OUTREACH SERVICES ACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. WHILE HIGH RATES OF SPECIALIST PHYSICIANS HAVE BEEN SHOWN TO BE ASSOCIATED WITH HIGHER (AND PERHAPS UNNECESSARY) UTILIZATION, SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO IMPROVE ACCESS TO PROVIDERS, SPECIFICALLY TO INCREASE ACCESS TO PRIMARY CARE PROVIDERS AND IMPROVE MARKETING AROUND SPECIALTY OUTREACH SERVICES. IT IS SANFORD'S GOAL THAT THE COMMUNITY WOULD FEEL EMPOWERED TO TAKE OWNERSHIP OF PREVENTATIVE HEALTH MAINTENANCE AND SEE PROGRESS TOWARDS AN OVERALL HEALTHIER POPULATION. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTH WITH A BROAD FOCUS, KEEPING IN MIND THE SPECIFIC CHALLENGES FACED BY AREA YOUTHSANFORD CANBY MEDICAL CENTER UTILIZES THE PHQ-9 SCREENING TOOL WITHIN THE ELECTRONIC MEDICAL RECORD TO HELP IN THE IDENTIFICATION OF MENTAL HEALTH NEEDS. THROUGH THE MEDICAL HOME PROGRAM, RN AMBULATORY CARE MANAGER, AND PHQ-9 SCREENING, WE CAN OFFER AND REFER MENTAL HEALTH SERVICES TO THOSE WITH SCORES INDICATIVE OF DEPRESSION. PATIENTS ARE ASSESSED AT EACH PRIMARY CARE VISIT. SANFORD CANBY ALSO OFFERS PSYCHIATRY SERVICES VIA TELEMEDICINE AND BEHAVIORAL HEALTH REFERRALS ARE MADE FOR PATIENTS WHO PRESENT WITH NEEDS IN THE EMERGENCY DEPARTMENT. IN ADDITION, SANFORD CANBY PROVIDES SPONSORSHIP SUPPORT FOR VARIOUS COMMUNITY EVENTS INCLUDING A TEEN SAFETY FAMILY NIGHT HELD IN MARCH 2019 THAT COVERED SOCIAL MEDIA AND ONLINE SAFETY, ADVERSE CHILDHOOD EXPERIENCES, AND MENTAL HEALTH AWARENESS. THE SANFORD CANBY PATHWAYS SUPPORT GROUP WAS DEVELOPED TO PROVIDE SUPPORT FOR THOSE AFFECTED BY CHRONIC ILLNESS.INCREASING ACCESS TO PROVIDERS, SPECIFICALLY TO INCREASE ACCESS TO PRIMARY CARE PROVIDERS AND IMPROVE MARKETING AROUND SPECIALTY OUTREACH SERVICESDURING THE COVID-19 PANDEMIC, SANFORD BEGAN FOCUSING ON BRINGING PATIENTS BACK IN TO SEE THEIR PRIMARY CARE PROVIDERS FOR PREVENTATIVE HEALTH MAINTENANCE SERVICES. A PRIMARY CARE MARKETING CAMPAIGN WAS LAUNCHED TO ASSURE PATIENTS THAT IT WAS SAFE TO SEE THEIR PROVIDERS.IN ADDITION TO REGULARLY SCHEDULED APPOINTMENTS, SANFORD CANBY OFFERS WALK-IN CLINIC SERVICES MONDAY THROUGH SATURDAY. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:AFFORDABLE HOUSINGEMPLOYMENT AND ECONOMIC OPPORTUNITIESSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ADVANCE INTEGRATED HEALTHCARE IN THE COMMUNITY AND TO INCREASE AWARENESS AND EDUCATION ON SUICIDE PREVENTION. IT IS SANFORD'S GOAL TO INCREASE THE NUMBER OF PATIENTS THAT SANFORD PROVIDES INTEGRATED HEALTH THERAPIST SERVICES TO IN THE JACKSON AREA. PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. WHILE HIGH RATES OF SPECIALIST PHYSICIANS HAVE BEEN SHOWN TO BE ASSOCIATED WITH HIGHER (AND PERHAPS UNNECESSARY) UTILIZATION, SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE COMMUNITY AWARENESS OF LOCAL PROVIDERS AND INCREASE ACCESS TO SPECIALTY CARE AT SANFORD JACKSON MEDICAL CENTER. IT IS SANFORD'S GOAL TO INCREASE AWARENESS OF PRIMARY CARE PROVIDERS AND SPECIALTY CARE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH NEEDS IN THE COMMUNITY. SANFORD JACKSON LEADERSHIP WILL SHARE THE RESULTS OF THE CHNA RESEARCH WITH OTHER COMMUNITY PARTNERS TO PROVIDE AN OPPORTUNITY TO COLLABORATE, IDENTIFY, AND PRIORITIZE BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY. FACILITATE COMMUNITY BEHAVIORAL HEALTH TASK FORCE MEETINGS WHERE MENTAL HEALTH ISSUES ARE IDENTIFIED AND KEY STAKEHOLDERS ARE AVAILABLE TO COLLABORATE, MAKE RECOMMENDATIONS AND INSTILL CHANGE. SANFORD JACKSON HAS A NUMBER OF RESOURCES AND PROVIDERS, SUCH AS INTEGRATED HEALTH THERAPISTS AVAILABLE LOCALLY. MENTAL HEALTH WAS INCLUDED IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT AND A SUMMARY OF THOSE EFFORTS ARE AVAILABLE LATER IN THE REPORT.ACCESS TO HEALTH CARE PROVIDERSSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON PROVIDING PRIMARY CARE SERVICES WITHIN THE COMMUNITY AND EXPANDING OVERALL ACCESS TO CARE.SANFORD JACKSONS OFFERS A VARIETY OF SERVICES LOCALLY THROUGH LOCALLY BASED AND OUTREACH PROVIDERS. LABORATORY AND RADIOLOGY SERVICES ARE AVAILABLE 24 HOURS A DAY, WITH STAFF SERVING THE HOSPITAL, ATTACHED MEDICAL CLINIC, AND TWO SATELLITE CLINICS. CLINIC SERVICES INCLUDE FAMILY MEDICINE AND VARIOUS SPECIALTY OUTREACH SERVICES. A VARIETY OF SURGICAL PROCEDURES ARE PERFORMED IN THE SURGICAL SUITE AT SANFORD JACKSON MEDICAL CENTER. SANFORD JACKSON EMPLOYS SEVEN CLINICIANS, INCLUDING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. PERIODIC MARKETING IS IN PLACE TO GAIN EXPOSURE OF PRIMARY CARE SERVICES AND PROVIDERS VIA MEDIA OUTLETS SUCH AS RADIO, PRINT AND SOCIAL MEDIA. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:PHYSICAL ACTIVITY AND NUTRITIONHUMAN IMMUNODEFICIENCY VIRUS (HIV)ALCOHOL-RELATED DRIVING DEATHSAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: PHYSICAL ACTIVITY AND NUTRITIONTHE ENVIRONMENTS WHERE PEOPLE LIVE, LEARN, WORK, AND PLAY AFFECT ACCESS TO HEALTHY FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY WHICH, ALONG WITH GENETIC FACTORS AND PERSONAL CHOICES, SHAPE THE HEALTH AND THE RISK OF BEING OVERWEIGHT AND OBESE.SANFORD HEALTH TRACY HAS MADE PHYSICAL ACTIVITY AND NUTRITION SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO CONTINUE THE RN HEALTH COACH PROGRAM AND TO BEGIN A DIABETIC EDUCATION PROGRAM. IN ADDITION, SANFORD HAS DEVELOPED A STRATEGY TO PROVIDE AN ALTERNATIVE OPTION FOR THOSE COMMUNITY MEMBERS WHO ARE HUNGRY AND/OR LACKING FOOD OPTIONS. IT IS SANFORD'S GOAL TO PROVIDE A POSITIVE IMPACT ON PHYSICAL WELLBEING SPECIFICALLY RELATED TO OBESITY AND CHRONIC ILLNESS LIKE HIGH BLOOD PRESSURE AND DIABETES, AS WELL AS A POSITIVE IMPACT ON THE LACK OF NUTRITIONAL FOOD ACCESS.PRIORITY 2: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE SCREENING FOR DEPRESSION AND TO PROMOTE AND IMPROVE ACCESS TO SERVICES. IT IS SANFORD'S GOAL THAT, THE COMMUNITY WOULD SEE A LOWERED NUMBER OF MENTAL HEALTH DAYS FROM COMMUNITY MEMBERS AND A POSITIVE INCREASE IN AWARENESS OF MENTAL HEALTH SERVICES IN THE COMMUNITY.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARPHYSICAL ACTIVITY AND NUTRITIONSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON PHYSICAL ACTIVITY AND NUTRITION WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS:1. RN HEALTH COACH PROGRAM AND DIABETIC EDUCATION PROGRAM2. PROVIDE ALTERNATIVE OPTIONS FOR THOSE COMMUNITY MEMBERS WHO ARE HUNGRY AND/OR LACKING FOOD OPTIONS.SANFORD TRACY CURRENTLY HAS AN RN HEALTH COACH AVAILABLE TO WORK WITH PATIENTS TO ESTABLISH HEALTH LIFESTYLE HABITS. SANFORD TRACY ALSO OFFERS FIT CLUB CLASSES AT OUR LOCAL ELEMENTARY SCHOOL WHICH TEACHES STUDENTS ABOUT EATING RIGHT, EXERCISING, GETTING ENOUGH REST, AND EMOTIONAL WELL-BEING.MENTAL HEALTHSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS:1. INCREASE SCREENING FOR DEPRESSION AND REFERRALS TO BEHAVIORAL HEALTH SPECIALISTS.2. RAISE AWARENESS OF MENTAL HEALTH AND BEHAVIORAL HEALTH PROVIDERS AND SERVICES AT SANFORD TRACY.SANFORD TRACY CURRENTLY HAS BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE CLINIC. WE ALSO OFFER PSYCHIATRY TELEMEDICINE SERVICES. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREEMPLOYMENT AND ECONOMIC OPPORTUNITIESPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH SERVICES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO IMPROVE ACCESS, USE OF INTEGRATED HEALTH THERAPISTS AND IMPROVE SCREENING PROCEDURES. IT IS SANFORD'S GOAL TO REDUCE THE SEVERITY OF DEPRESSION THROUGH SCREENING AND CARE DELIVERY EFFORTS. PRIORITY 2: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HEALTH HILLSBORO HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO WORK IN COLLABORATION WITH CITY AND COUNTY LEADERSHIP TO EXPLORE OPTIONS FOR THE LOCAL COMMUNITY AND COUNTY MEMBERS. IT IS SANFORD'S GOAL TO IMPROVE THE AVAILABILITY OF PUBLIC TRANSPORTATION THROUGH BOTH THE PROMOTION OF CURRENT RESOURCES WITHIN THE HOSPITAL AND CLINIC SETTINGS, BUT ALSO IN WORKING TO ESTABLISH NEW RESOURCES THAT EXPAND OPPORTUNITIES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTH SERVICES SANFORD IS ADDRESSING THE NEED BY INCLUDING MENTAL HEALTH SERVICES AS A PRIORITY FOCUS AREA FOR THE 2022-2024 IMPLEMENTATION PLAN. SANFORD WILL IMPROVE MENTAL HEALTH SERVICES BY SEEKING AVENUES TO INCREASE ACCESS AMONG THOSE POPULATIONS AGED 65 AND OVER AND REDUCING THE SEVERITY OF DEPRESSION THROUGH USE OF INTEGRATED HEALTH THERAPISTS AND IMPROVED SCREENING PROCEDURES.SANFORD IS UTILIZING THE PHQ-9 PATIENT HEALTH QUESTIONNAIRE ON INITIAL AND CERTAIN FOLLOW-UP APPOINTMENTS AND APPROPRIATE PATIENTS TO ENSURE THOSE IN NEED OF MENTAL HEALTH SERVICES ARE IDENTIFIED AND OFFERED TREATMENT. WE HAVE IMPLEMENTED IHTS (INTEGRATED HEALTH THERAPIST) INTO THE CLINICS, MOSTLY BY TELE-HEALTH DUE TO THE COVID-19 PANDEMIC. 1-3 PATIENTS PER DAY ARE BEING SEEN BY TELEHEALTH FROM EACH CLINIC.TRANSPORTATIONSANFORD AND LOCAL STAKEHOLDERS HAVE A WELL-ESTABLISHED WORKING RELATIONSHIP WITH THE AIM OF IMPROVING TRANSPORTATION OPTIONS FOR RURAL COMMUNITIES.SANFORD HAS COORDINATED WITH TRAILL COUNTY TO PROVIDE A PUBLIC DIRECTORY OF TRANSPORTATION OPTIONS, WHICH IS AVAILABLE THROUGHOUT THE COUNTY. TRAILL COUNTY HAS A BUS/VAN AVAILABLE FOR USE AND SEEMED TO BE WORKING VERY WELL IN THE COMMUNITY. UNFORTUNATELY, COVID-19 STOPPED ALL TRANSPORTATION IN 2020. FROM A HEALTHCARE PERSPECTIVE, SANFORD OFFERS AND PROMOTES SEVERAL VIRTUAL HEALTHCARE OPTIONS IN RESPONSE TO COVID-19 AND THE SUBSEQUENT IMPACT ON TRAVEL. OFFERINGS INCLUDE VIDEO VISITS, TELEHEALTH, AND E-VISITS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CAREPHYSICAL ACTIVITY AND NUTRITIONACCESS TO QUALITY CHILDCARE AND AFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE THE SEVERITY OF DEPRESSION THROUGH USE OF INTEGRATED HEALTH THERAPISTS AND IMPROVE SCREENING PROCEDURES REDUCE MORTALITY AND MORBIDITY FROM MENTAL HEALTH AND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. IT IS SANFORD'S GOAL TO REDUCE THE SEVERITY OF DEPRESSION THROUGH SCREENING AND CARE DELIVERY EFFORTS.PRIORITY 2: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HEALTH MAYVILLE HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO WORK IN COLLABORATION WITH CITY AND COUNTY LEADERSHIP TO EXPLORE OPTIONS FOR THE LOCAL COMMUNITY AND COUNTY MEMBERS. IT IS SANFORD'S GOAL TO IMPROVE AAVAILABILITY OF PUBLIC TRANSPORTATION THROUGH BOTH THE PROMOTION OF CURRENT RESOURCES WITHIN THE HOSPITAL AND CLINIC SETTINGS, BUT ALSO IN WORKING TO ESTABLISH NEW RESOURCES THAT EXPAND OPPORTUNITIES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTH SERVICES SANFORD IS ADDRESSING THE NEED BY INCLUDING MENTAL HEALTH SERVICES AS A PRIORITY FOCUS AREA FOR THE 2022-2024 IMPLEMENTATION PLAN. SANFORD WILL IMPROVE MENTAL HEALTH SERVICES BY SEEKING AVENUES TO INCREASE ACCESS AMONG THOSE POPULATIONS AGED 65 AND OVER AND REDUCING THE SEVERITY OF DEPRESSION THROUGH USE OF INTEGRATED HEALTH THERAPISTS AND IMPROVED SCREENING PROCEDURES.SANFORD IS UTILIZING THE PHQ-9 PATIENT HEALTH QUESTIONNAIRE ON INITIAL AND CERTAIN FOLLOW-UP APPOINTMENTS AND APPROPRIATE PATIENTS TO ENSURE THOSE IN NEED OF MENTAL HEALTH SERVICES ARE IDENTIFIED AND OFFERED TREATMENT. WE HAVE IMPLEMENTED IHTS (INTEGRATED HEALTH THERAPIST) INTO THE CLINICS, MOSTLY BY TELE-HEALTH DUE TO THE COVID-19 PANDEMIC. 1-3 PATIENTS PER DAY ARE BEING SEEN BY TELEHEALTH FROM EACH CLINIC.TRANSPORTATIONSANFORD AND LOCAL STAKEHOLDERS HAVE A WELL-ESTABLISHED WORKING RELATIONSHIP WITH THE AIM OF IMPROVING TRANSPORTATION OPTIONS FOR RURAL COMMUNITIES.SANFORD HAS COORDINATED WITH TRAILL COUNTY TO PROVIDE A PUBLIC DIRECTORY OF TRANSPORTATION OPTIONS, WHICH IS AVAILABLE THROUGHOUT THE COUNTY. TRAILL COUNTY HAS A BUS/VAN AVAILABLE FOR USE AND SEEMED TO BE WORKING VERY WELL IN THE COMMUNITY. UNFORTUNATELY, COVID-19 STOPPED ALL TRANSPORTATION IN 2020.FROM A HEALTHCARE PERSPECTIVE, SANFORD OFFERS AND PROMOTES SEVERAL VIRTUAL HEALTHCARE OPTIONS IN RESPONSE TO COVID-19 AND THE SUBSEQUENT IMPACT ON TRAVEL. OFFERINGS INCLUDE VIDEO VISITS, TELEHEALTH, AND E-VISITS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CAREPHYSICAL ACTIVITY AND NUTRITIONACCESS TO QUALITY CHILDCARE AND AFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: PHYSICAL ACTIVITY AND NUTRITIONTHE ENVIRONMENTS WHERE PEOPLE LIVE, LEARN, WORK, AND PLAY AFFECT ACCESS TO HEALTHY FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY WHICH, ALONG WITH GENETIC FACTORS AND PERSONAL CHOICES, SHAPE THE HEALTH AND THE RISK OF BEING OVERWEIGHT AND OBESE.SANFORD HAS MADE PHYSICAL ACTIVITY AND NUTRITION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE THE NUMBER OF PATIENTS ENGAGING WITH DIETICIANS TO IMPROVE NUTRITION AND TO CREATE A COMPREHENSIVE APPROACH TO CARE MANAGEMENT. IT IS SANFORD'S GOAL TO SEE IMPROVED HEALTH AND WELLNESS AND BETTER OVERALL MANAGEMENT OF CHRONIC DISEASES.PRIORITY 2: COMMUNITY SAFETYACCIDENTS AND VIOLENCE AFFECT HEALTH AND QUALITY OF LIFE IN THE SHORT- AND LONG-TERM, FOR THOSE BOTH DIRECTLY AND INDIRECTLY AFFECTED, AND LIVING IN UNSAFE NEIGHBORHOODS CAN IMPACT HEALTH IN A MULTITUDE OF WAYS. SANFORD HAS MADE COMMUNITY SAFETY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND LEVERAGE RESOURCES TO ADDRESS SUBSTANCE ABUSE ISSUES AND EXPAND ACCESS TO MENTAL HEALTH AND BEHAVIORAL HEALTH CARE. IT IS SANFORD'S GOAL TO INCREASE GREATER AWARENESS OF RESOURCES AVAILABLE TO MITIGATE COMMUNITY SAFETY ISSUES. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARPHYSICAL ACTIVITY AND NUTRITIONSANFORD WEBSTER IS POSITIONED TO HAVE A POSITIVE IMPACT ON PHYSICAL ACTIVITY AND NUTRITION, TO INCLUDE EDUCATION AND PREVENTATIVE MEASURES TO MITIGATE SERIOUS HEALTH EVENTS AND CHRONIC DISEASE WITHIN THE COMMUNITY. OUR MEDICAL STAFF, CHRONIC CARE MANAGEMENT STAFF, HEALTH COACH AND DIETICIAN WILL OFFER ADDITIONAL INTERVENTIONS TO RESIDENTS OF THE COMMUNITY. SANFORD WEBSTER PROVIDERS AND STAFF ARE CONTINUALLY FOCUSED ON CHRONIC DISEASE MANAGEMENT, WORKING WITH OUR PATIENTS TO ENCOURAGE HEALTHY LIFESTYLES DURING CLINIC VISITS. DIETITIANS ARE AVAILABLE TO PROVIDE MEDICAL NUTRITION THERAPY AND EXERCISE SPECIALISTS PROVIDE EXERCISE THERAPY.COMMUNITY SAFETYSANFORD HEALTH INTENDS TO POSITIVELY IMPACT COMMUNITY SAFETY, INCLUDING ALCOHOL AND SUBSTANCE ABUSE AND MENTAL HEALTH, IN THE COMMUNITY. SANFORD WEBSTER WILL UTILIZE MENTAL HEALTH RESOURCES TO BE AN ADVOCATE FOR POTENTIAL VICTIMS OF VIOLENCE. WE WILL ALSO SHARE ASSESSMENT RESULTS WITH KEY COMMUNITY STAKEHOLDERS AND PARTNER AS APPROPRIATE. ALL PATIENTS ARE ASSESSED BY PRIMARY CARE PROVIDERS. INTEGRATIVE HEALTH TRIAGE THERAPISTS ARE IN CLINICS TO PROVIDE EARLY INTERVENTION AND REFERRAL. TREATMENT SERVICES ARE ALSO AVAILABLE WITHIN OUR BEHAVIORAL HEALTH SERVICES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREEMPLOYMENT AND ECONOMIC OPPORTUNITIESSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH AND SUBSTANCE ABUSE SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO IMPROVE ACCESS TO SERVICES. IT IS SANFORD'S GOAL TO INCREASE ACCESS TO PSYCHOLOGY AND PSYCHIATRY AND TO EXPAND TELEHEALTH SERVICES. PRIORITY 2: PHYSICAL ACTIVITY AND NUTRITIONTHE ENVIRONMENTS WHERE PEOPLE LIVE, LEARN, WORK, AND PLAY AFFECT ACCESS TO HEALTHY FOOD AND OPPORTUNITIES FOR PHYSICAL ACTIVITY WHICH, ALONG WITH GENETIC FACTORS AND PERSONAL CHOICES, SHAPE THE HEALTH AND THE RISK OF BEING OVERWEIGHT AND OBESE.SANFORD HAS MADE PHYSICAL ACTIVITY AND NUTRITION SIGNIFICANT PRIORITIES HAS DEVELOPED STRATEGIES IMPROVE ACCESS TO NUTRITION AND TO PROMOTE AND SUPPORT OPPORTUNITIES FOR PHYSICAL ACTIVITY. IT IS SANFORD'S GOAL TO HAVE ADDITIONAL FOOD SOURCES AND AVAILABILITY FOR FOOD OPTIONS AND TO IMPROVE AND EXPAND COMMUNITY AREAS FOR PHYSICAL ACTIVITY.ADDRESSING OF SIGNIFICANT NEEDS DURING THE CURRENT YEARMENTAL HEALTH AND SUBSTANCE ABUSETELEHEALTH SERVICES ARE CURRENTLY AVAILABLE, AND SANFORD WHEATON IS LOOKING INTO EXPANSION OPPORTUNITIES.PHYSICAL ACTIVITY AND NUTRITIONCURRENT ACTIVITIES INCLUDE A BACKPACK PROGRAM WITH FOOD DELIVERED BI-WEEKLY TO STUDENTS ENROLLED AND A LOCAL FOOD PANTRY.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN:ACCESS TO HEALTH CARE PROVIDERSEMPLOYMENT AND ECONOMIC OPPORTUNITIESSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO HEALTH CARE PROVIDERSACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. WHILE HIGH RATES OF SPECIALIST PHYSICIANS HAVE BEEN SHOWN TO BE ASSOCIATED WITH HIGHER (AND PERHAPS UNNECESSARY) UTILIZATION, SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE. SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON ACCESS TO AFFORDABLE, QUALITY HEALTHCARE WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS. THE FIRST GOAL IS TO HAVE INCREASED ACCESS TO PRIMARY AND SPECIALTY CARE AND THE SECOND GOAL IS TO HAVE INCREASED UTILIZATION OF TELEMEDICINE SERVICES.PRIORITY 2: SANFORD HEALTH IS POSTIONED LOCALLY TO HAVE A POSTIVE IMPACT ON BEHAVIORAL HEALTH SERVICES WITHIN THE COMMUNITYMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON BEHAVIORAL HEALTH SERVICES WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS. THE FIRST GOAL IS TO PROVIDE ADDITIONAL BEHAVIORAL HEALTH SERVICES WITHIN SANFORD BAGLEY. THE SECOND GOAL IS THE ASSESSMENT AND TREATMENT OF BEHAVIORAL HEALTH CONCERNS WITHIN PRIMARY CARE VISITS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO HEALTH CARE PROVIDERSSANFORD BAGLEY ACTIVELY PROMOTES OUTREACH SPECIALTY SERVICES AVAILABLE WITHIN THE COMMUNITY. THESE OUTREACH SERVICES BRING SPECIALTY PROVIDERS TO BAGLEY FACILITIES TO PROVIDE ACCESS TO CARE CLOSE TO HOME. CURRENT OUTREACH SERVICES OFFERED ARE GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY, SLEEP MEDICINE, PSYCHIATRY, PEDIATRICS. OPPORTUNITIES TO ADD DERMATOLOGY SERVICES ARE BEING EXPLORED. SANFORD BAGLEY RECENTLY EXPANDED AND UPDATED THE EYE CLINIC AND OPTICAL SHOP IN BAGLEY, MOVING IT TO THE MAIN CLINIC LOCATION. THIS ALLOWS ACCESS TO EYE, PRIMARY CARE, AND SPECIALTY CARE SERVICES IN THE SAME BUILDING.ADDITIONALLY, ALTERNATIVE APPOINTMENT TYPES, SUCH AS TELEMEDICINE VISITS, WILL BE PROMOTED DURING PRIMARY CARE APPOINTMENTS WHICH WILL INCREASE UTILIZATION DUE TO INCREASED AWARENESS OF TELEMEDICINE AVAILABILITY.SANFORD HEALTH IS POSTIONED LOCALLY TO HAVE A POSTIVE IMPACT ON BEHAVIORAL HEALTH SERVICES WITHIN THE COMMUNITYSANFORD BAGLEY IS EXPLORING OPPORTUNITIES TO PROVIDE ADDITIONAL BEHAVIORAL HEALTH SERVICES TO THE BAGLEY COMMUNITY, WHICH INCLUDE AN INTENSIVE OUTPATIENT THERAPY PROGRAM AND EXPANDING TELEMEDICINE AWARENESS AND USE FOR BEHAVIORAL HEALTH APPOINTMENTS. DEPRESSION SCREENINGS ARE PART OF ROUTINE PRIMARY CARE VISITS. SANFORD HEALTH IS COMMITTED TO WORKING WITH THE SCHOOLS TO PROVIDE CULTURALLY SENSITIVE, AGE APPROPRIATE AND FAMILY-ORIENTED PREVENTION PROGRAMS TO CREATE AND GIVE CHILDREN A HEALTHY START IN LIFE. SANFORD HEALTH WILL BUILD UPON CURRENT RELATIONSHIPS WITH AREA SCHOOLS TO IDENTIFY IN-SCHOOL AND/OR TELEHEALTH PROGRAMS AND SERVICES THAT WILL AUGMENT AND SUPPORT HEALTHY LEARNING, EMOTIONAL AND BEHAVIORAL DEVELOPMENT. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:LONG-TERM CARE, NURSING HOMES, AND SENIOR HOUSINGAFFORDABLE HOUSINGCOMMUNITY SAFETY ACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONACCESS TO QUALITY HEALTH CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HOUSINGTHERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. AS HOUSING COSTS HAVE OUTPACED LOCAL INCOMES, HOUSEHOLDS NOT ONLY STRUGGLE TO ACQUIRE AND MAINTAIN ADEQUATE SHELTER, BUT ALSO FACE DIFFICULT TRADE-OFFS IN MEETING OTHER BASIC NEEDS. WHEN THE MAJORITY OF A PAYCHECK GOES TOWARD THE RENT OR MORTGAGE, IT CAN BE DIFFICULT TO AFFORD DOCTOR VISITS, HEALTHY FOODS, UTILITY BILLS, AND RELIABLE TRANSPORTATION TO WORK OR SCHOOL. THIS CAN, IN TURN, LEAD TO INCREASED STRESS LEVELS AND EMOTIONAL STRAIN. SANFORD HAS MADE ACCESS TO AFFORDABLE HOUSING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE HOUSING OPTIONS WHICH WOULD SEE AN INCREASE IN POPULATION AND ABILITY FOR CITIZENS TO AGE IN PLACE VERSUS MOVING OUT OF TOWN DUE TO NO OPTIONS. THIS WORK WILL PROVIDE A MUCH NEEDED ECONOMIC STIMULUS TO THE COMMUNITY, AS WELL AS INCREASED ACCESS TO AFFORDABLE HOUSING OPTIONS. IT IS SANFORD'S GOAL TO WORK WITH THE CANTON ECONOMIC DEVELOPMENT CORPORATION (CEDC) TO RECRUIT A DEVELOPER TO CANTON TO BUILD AFFORDABLE MULTI-FAMILY AND SINGLE-FAMILY HOMES.PRIORITY 2: ACCESS TO SENIOR LIVINGLONG-TERM CARE REFERS TO A BROAD RANGE OF SERVICES AND SUPPORTS TO MEET THE NEEDS OF FRAIL OLDER ADULTS AND OTHER PEOPLE WHO ARE LIMITED IN THEIR ABILITIES FOR SELF-CARE BECAUSE OF CHRONIC ILLNESS, DISABILITY, AGE, OR OTHER HEALTH-RELATED CONDITIONS. THESE SERVICES HELP PEOPLE LIVE AS INDEPENDENTLY AND SAFELY AS POSSIBLE WHEN THEY CAN NO LONGER PERFORM EVERYDAY ACTIVITIES ON THEIR OWN. CARE CAN BE PROVIDED IN THE HOME, A NURSING HOME, OR IN A VARIETY OF OTHER SETTINGS.SANFORD HAS MADE ACCESS TO SENIOR LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPLORE ADDITIONAL OPTIONS FOR SENIOR CARE, INCLUDING HOME-BASED CARE AND HOUSING ALTERNATIVES. IT IS SANFORD'S GOAL TO DO A HOME HEALTH FEASIBILITY STUDY AND EXPAND SENIOR HOUSING OPTIONS IN THE COMMUNITY.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO AFFORDABLE HOUSINGTHE CANTON AREA IS IN NEED OF MORE AFFORDABLE HOUSING UNITS TO INCREASE THE WELL-BEING OF COMMUNITY MEMBERS. SANFORD CANTON-INWOOD MEDICAL CENTER IS WORKING WITH THE CEDC AND THE FOUNDATION TO SECURE DEVELOPERS TO PURCHASE LAND TO INCREASE HOUSING OPTIONS TO ENHANCE LOCAL CAPACITY.ACCESS TO SENIOR LIVING SANFORD CANTON INWOOD MEDICAL CENTER (SCIMIC) CURRENTLY WORKS HAND IN HAND WITH ITS LOCAL PARTNER, CANTON GOOD SAMARITAN SOCIETY NURSING HOME, TO ADDRESS SENIOR LIVING NEEDS IN THE COMMUNITY. GOING FORWARD, WE WILL EXPLORE ADDITIONAL OPTIONS FOR SENIOR CARE, INCLUDING HOME-BASED CARE AND HOUSING ALTERNATIVES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREMENTAL HEALTH AND SUBSTANCE ABUSEPUBLIC TRANSPORTATION SANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE COMMUNITY ACCESS TO PRIMARY CARE PROVIDERS INCLUDING ENHANCED AFFORDABILITYACCESS TO CARE REQUIRES NOT ONLY FINANCIAL COVERAGE, BUT ALSO ACCESS TO PROVIDERS. WHILE HIGH RATES OF SPECIALIST PHYSICIANS HAVE BEEN SHOWN TO BE ASSOCIATED WITH HIGHER (AND PERHAPS UNNECESSARY) UTILIZATION, SUFFICIENT AVAILABILITY OF PRIMARY CARE PHYSICIANS IS ESSENTIAL FOR PREVENTIVE AND PRIMARY CARE, AND, WHEN NEEDED, REFERRALS TO APPROPRIATE SPECIALTY CARE.ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. SANFORD HEALTH CLEAR LAKE HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND AFFORDABLE HEALTH CARE SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO RECRUIT AN ADDITIONAL PRIMARY CARE PROVIDER AND TO INCREASE ANNUAL WELLNESS VISITS. IT IS SANFORD'S GOAL TO INCREASE MEDICAL STAFF RESULTING IN INCREASED APPOINTMENT AVAILABILITY, AS WELL AS A GREATER PATIENT CHOICE IN PROVIDERS.PRIORITY 2: CONTINUE TO BUILD/IMPROVE COMMUNITY ACCESS TO DAILY TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTHCARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HEALTH CLEAR LAKE HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO DEVELOP A SUSTAINABLE PUBLIC TRANSPORTATION SERVICE IN THE CLEAR LAKE COMMUNITY AND TO ESTABLISH AN INFRASTRUCTURE IMPROVEMENT PLAN TO ALLOW FOR ENHANCED WALKABILITY IN THE CLEAR LAKE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE AVAILABILITY OF TRANSPORTATION OPTIONS FOR COMMUNITY MEMBERS UNABLE TO KEEP APPOINTMENTS DUE TO LACK OF PERSONAL TRANSPORTATION OPTIONS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE COMMUNITY ACCESS TO PRIMARY CARE PROVIDERS INCLUDING ENHANCED AFFORDABILITYSANFORD HEALTH IS POSITIONED TO HAVE A POSITIVE IMPACT ON IMPROVING ACCESS TO PRIMARY CARE PROVIDERS. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS; RECRUITMENT OF A PRIMARY CARE PROVIDER TO ASSURE TWO PROVIDERS ARE AVAILABLE TO SEE PATIENTS IN THE CLINIC MONDAY THROUGH FRIDAY AND INCREASING WELLNESS/PREVENTATIVE HEALTH VISITS BY TEN PERCENT BY THE END OF 2024. INCREASED WELLNESS/PREVENTATIVE HEALTH VISITS WILL ALSO IMPROVE AFFORDABILITY OVER THE LONGER TERM, AS REGULAR PRIMARY CARE IS GENERALLY ASSOCIATED WITH BETTER HEALTH OUTCOMES AND LOWER OVERALL COSTS.WALK-IN CLINIC SERVICES ARE CURRENTLY OFFERED SIX DAYS PER WEEK (MONDAY THROUGH SATURDAY). VIDEO VISITS AND TELEPHONE VISITS ARE ALSO AVAILABLE WHEN APPROPRIATE. THE SANFORD CLEAR LAKE OUTREACH CLINIC OFFERS THE CONVENIENCE OF SEEING A SPECIALIST WITHOUT THE BURDEN OF TRAVELING. TELEMEDICINE VISITS FOR VARIOUS OUTREACH SERVICES ARE ALSO AVAILABLE. DIRECT ACCESS LABORATORY TESTING IS AVAILABLE MONDAY THROUGH FRIDAY. SANFORD CLEAR LAKE OFFERS ANNUAL INFLUENZA CLINICS AND BEGAN OFFERING COVID-19 VACCINATION CLINICS IN LATE 2020. COMMUNITY HEALTH FAIRS, WHICH OFTEN INCLUDE HEALTH SCREENINGS, HAVE ALSO BEEN OFFERED IN THE PAST. PATIENTS EXPERIENCING FINANCIAL HARDSHIPS MAY REQUEST FINANCIAL ASSISTANCE. SANFORD'S FINANCIAL ASSISTANCE POLICY AND INSTRUCTIONS ARE PRINTED ON SANFORD HEALTH BILLING STATEMENTS. FINANCIAL COMPONENTS ARE DISCUSSED AT THE TIME OF ADMISSION FOR INPATIENT STAYS.DURING THE COVID-19 PANDEMIC, SANFORD BEGAN FOCUSING ON BRINGING PATIENTS BACK IN TO SEE THEIR PRIMARY CARE PROVIDERS FOR PREVENTATIVE HEALTH MAINTENANCE SERVICES. A PRIMARY CARE MARKETING CAMPAIGN WAS LAUNCHED TO ASSURE PATIENTS THAT IT WAS SAFE TO SEE THEIR PROVIDERS.SANFORD CLEAR LAKE RECRUITED AN ADDITIONAL ADVANCED PRACTICE PROVIDER (APP) IN 2021. RECRUITMENT EFFORTS ARE CURRENTLY UNDERWAY FOR A THIRD PROVIDER (ADVANCED PRACTICE PROVIDER OR MEDICAL DOCTOR). CONTINUE TO BUILD/IMPROVE COMMUNITY ACCESS TO DAILY TRANSPORTATION SANFORD HEALTH IS POSITIONED TO HAVE A POSITIVE IMPACT ON BUILDING AND IMPROVING COMMUNITY ACCESS TO DAILY TRANSPORTATION. WE WILL FOCUS ON A COLLABORATIVE EFFORT WITH OTHER COMMUNITY STAKEHOLDERS TO ESTABLISH A SUSTAINABLE PUBLIC TRANSPORTATION MODEL AND DEVELOP A PLAN FOR IMPROVING CITY INFRASTRUCTURE TO ALLOW FOR IMPROVED WALKABILITY OF THE COMMUNITY.SANFORD CLEAR LAKE BEGAN WORKING TO ADDRESS THIS HIGH-PRIORITY NEED IN 2019. WE ARE CURRENTLY WORKING WITH COMMUNITY TRANSIT OF WATERTOWN/SISSETON TO ESTABLISH A MORE AFFORDABLE PUBLIC TRANSPORTATION MODEL THAT MEETS THE NEEDS OF THE COMMUNITY.IN 2019, A COMMITTEE OF VOLUNTEERS WAS FORMED WITH THE HELP OF A WELLMARK-SPONSORED PROGRAM HEALTHY HOMETOWN. SANFORD CLEAR LAKE STAFF PARTICIPATE IN THE PROGRAM SPONSORED BY WELLMARK. THIS COMMITTEE UTILIZES A TOOLKIT TO WORK TO IMPLEMENT CHANGES THAT PROMOTE HEALTHY LIVING BY FOCUSING ON THREE AREAS MOVE MORE, EAT WELL, AND FEEL BETTER. A COMPONENT OF THIS PROGRAM ANALYZES WALKABILITY IN THE COMMUNITY AND ASSISTS IN FACILITATING PEOPLE AND RESOURCES IN ORDER TO IMPROVE WALKABILITY.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:MENTAL HEALTHAFFORDABLE HOUSING PHYSICAL ACTIVITY AND NUTRITIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED. |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH WESTBROOK HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND THE USE OF TELEMEDICINE AND IN-HOUSE MENTAL HEALTH SERVICES AND INCREASE THE NUMBER OF SCREENINGS AND REFERRALS TO BEHAVIORAL HEALTH PROVIDERS. IT IS SANFORD'S GOAL TO SEE A LOWERED NUMBER OF MENTAL HEALTH DAYS FROM COMMUNITY MEMBERS AND A POSITIVE INCREASE IN AWARENESS OF MENTAL HEALTH SERVICES IN THE COMMUNITY.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWNIT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND OUTREACH SERVICES AND TO ADDRESS THE NEED FOR LIMITED ACCESS TO DENTAL CARE. REDUCE MORTALITY AND MORBIDITY FROM MENTAL HEALTH AND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. IT IS SANFORD'S GOAL TO INCREASE THE AVAILABILITY OF SPECIALTY SERVICES LOCALLY THROUGH OUTREACH AND/OR TELEHEALTH.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS:1. EXPAND USE OF CURRENT TELEMEDICINE AND IN-HOUSE MENTAL HEALTH SERVICES2. PROVIDE ALTERNATIVE RESOURCES FOR MENTAL HEALTH SERVICES TO COMMUNITY.SANFORD WESTBROOK CURRENTLY HAS A PSYCHIATRIST VIA TELEMEDICINE AVAILABLE FOR PATIENTS. WE ALSO HAVE TWO LICSWS AND A BEHAVIORAL HEALTH NURSE PRACTITIONER ON STAFF.ACCESS TO HEALTH CARE PROVIDERSSANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON ACCESS TO HEALTH CARE PROVIDERS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS:1. EXPANDING OUTREACH SERVICES2. ADDRESSING NEED FOR LIMITED ACCESS TO DENTAL CARESANFORD WESTBROOK CURRENTLY PROVIDES A NUMBER OF OUTREACH SERVICES IN-HOUSE AND VIA TELEMEDICINE. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:COMMUNITY SAFETYENVIRONMENTAL HEALTHAFFORDABLE HOUSINGPUBLIC TRANSPORTATIONPHYSICAL ACTIVITY AND NUTRITIONEMPLOYMENT AND ECONOMIC OPPORTUNITIESSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 5: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A: | SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D: | SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCULDED. |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 11: | THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CAREACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE, LOCAL CARE OPTIONS, AND A USUAL SOURCE OF CARE HELP TO ENSURE ACCESS TO HEALTH CARE. HAVING ACCESS TO CARE ALLOWS INDIVIDUALS TO ENTER THE HEALTH CARE SYSTEM, FIND CARE EASILY AND LOCALLY, PAY FOR CARE, AND GET THEIR HEALTH NEEDS MET. NDSU REPORTED HEALTH CARE ACCESSIBILITY AND COST AS TWO SEPARATE HEALTH NEEDS. THE CASS-CLAY WORKING GROUP DETERMINED THAT THE TWO TOPICS ARE MOST APPROPRIATELY ADDRESSED AS A COMBINED TOPIC FOR PURPOSES OF THE LOCAL CHNA PROCESS.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND HEALTHCARE ACCESS AND ACCESS TO PRIMARY CARE SERVICES. IT IS SANFORD'S GOAL THAT THE COMMUNITY WOULD SEE THAT PATIENTS WILL HAVE GREATER EASE TO ACCESS PRIMARY CARE PROVIDERS FOR VIRTUAL OR IN-PERSON VISITS, HOME VISITS AND INCREASED EXPANDED HOURS. PATIENTS MAY EXPERIENCE LESS FREQUENT UTILIZATION OF EMERGENCY CARE, WHICH IS OFTEN MORE EXPENSIVE THAN PREVENTATIVE AND SCREENING SERVICES.PRIORITY 2: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SIGNIFICANT PRIORITIES AND HAS DEVELOPED STRATEGIES TO RECRUIT PROVIDERS, INCREASE ACCESS TO CARE AND MENTAL HEALTH PROMOTION. IT IS SANFORD'S GOAL TO HAVE BETTER ACCESS TO AND UTILIZATION OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES DUE TO SERVICES BEING PROVIDED AT THE RIGHT TIME AND RIGHT PLACE. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: ACCESS TO AFFORDABLE HEALTH CARESANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON HEALTH CARE ACCESS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS TO EXPAND HEALTHCARE ACCESS AND SUPPORT SERVICES AND EXPANDED PLATFORM TO ACCESS PRIMARY CARE SERVICES, AREAS OF FOCUS IDENTIFIED IN THE STAKEHOLDER MEETING.SANFORD IS ADDRESSING THE NEED BY INCLUDING ACCESS TO HEALTHCARE AS A PRIORITY FOCUS AREA FOR THE 2022-2024 IMPLEMENTATION PLAN. WE LAUNCHED HOME BASED PRIMARY CARE IN 2021. THE GOAL IS TO PROVIDE QUALITY MEDICAL CARE AT HOME TO PATIENTS WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE BECAUSE OF PHYSICAL DISABILITY OR DEMENTIAS. AN INTERDISCIPLINARY TEAM SEES THE PATIENT IN THEIR HOME AND CONSISTS OF SOCIAL WORKER, CARE MANAGER, LPN AND PHYSICIAN/APP. FAMILY MEDICINE RESIDENT CLINIC NOW SEES PATIENTS IN LOCAL SHELTERS, YWCA, HEADSTART AND WILL BEGIN IN ONE OF THE FARGO SCHOOLS IN LATE FALL 2021. THE GOAL OF THESE OUTREACH SITES IS TO IMPROVE ACCESS TO CARE FOR THESE PATIENTS. SANFORD WILL BE EXPANDING PRIMARY CARE CLINIC LOCATIONS BY ADDING A HORACE CLINIC IN LATE 2022. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC.MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON MENTAL HEALTH / BEHAVIORAL HEALTH AND SUBSTANCE ABUSE WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON THREE PRIMARY GOALS RECRUITMENT AND ACCESS TO MENTAL HEALTH PROVIDERS, DEVELOPMENT OF A COMMUNITY STRATEGY FOR MENTAL HEALTH PROMOTION, AND SUBSTANCE ABUSE.MENTAL HEALTH: SANFORD HEALTH CONTINUES TO RECRUIT PROVIDERS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. WE HAVE EXPANDED SCHOOL PARTNERSHIPS TO INCREASE WORKFORCE FOR OUR MENTAL HEALTH PROVIDERS. A MENTAL HEALTH CONSULT TEAM STARTED IN 2021 WITH A GOAL OF EMBEDDING THERAPISTS ON HOSPITAL UNITS. USING TELEHEALTH, WE HAVE EXPANDED OUR ACCESS IN CLINICS FOR PATIENTS UNABLE TO TRAVEL TO THE CLINIC. SANFORD HEALTH IS HOSTING COMMUNITY MENTAL HEALTH COLLABORATION MEETINGS WITH OUR COMMUNITY PARTNERS WITH A GOAL OF IMPROVING THE MENTAL HEALTH PROVIDED IN THE COMMUNITY, TO SERVE THOSE IN A BEHAVIORAL HEALTH CRISIS.A GRANT HAS BEEN SUBMITTED FOR OUR COMMUNITY MENTAL HEALTH COLLABORATION PROJECT, WITH NOTICE OF AWARD TIMEFRAME IN DECEMBER 2021. WE CURRENTLY SCREEN FOR DEPRESSION AT CLINIC VISITS AND HAVE INTEGRATED HEALTH THERAPISTS EMBEDDED IN ALL OF THE PRIMARY CARE CLINICS.SUBSTANCE ABUSE: PATIENTS IDENTIFIED BY THEIR PRIMARY CARE PROVIDER AS HAVING AN OPIOID USE DISORDER ARE ABLE TO RECEIVE TREATMENT WITH OUR SUBOXONE CLINIC AND MAT COMMUNITY PARTNERS. PATIENTS ARE SEEN BY OUR INTEGRATIVE HEALTH THERAPISTS FOR A COMPREHENSIVE BEHAVIORAL HEALTH EVALUATION, FOLLOWED BY A REFERRAL TO THE APPROPRIATE BEHAVIORAL HEALTH PROVIDER (E.G. ADDICTION TREATMENT, THERAPY, PSYCHIATRY). THE PATIENT THEN IS SCHEDULED WITH ONE OF OUR FOUR CERTIFIED PHYSICIANS WHO PRESCRIBE SUBOXONE FOR INDUCTION. SANFORD HEALTH'S COLLABORATION WITH A FARGO-BASED PEER-TO-PEER SUBSTANCE ABUSE PROGRAM PROVIDER, F5, BEGAN IN 2019. THE COLLABORATION REMAINS STRONG AND THE F5 TEAM BEGIN COUNSELING SESSIONS WITHIN OUR HOSPITAL FOR PATIENTS WITH DRUG/ALCOHOL ADDICTION. SANFORD SUPPORTS MANY COMMUNITY PARTNERS TO ADDRESS THE SUBSTANCE ABUSE IN OUR COMMUNITY. PARTNERSHIPS INCLUDE FARGO CASS PUBLIC HEALTH (MOBILE CRISIS UNIT) AND RECOVERY REINVENTED.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:PHYSICAL ACTIVITY AND NUTRITIONSENIOR HOUSING AND LONG-TERM CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSING, EMPLOYMENT, ECONOMIC DEVELOPMENTDIVERSITY, INCLUSION, HEALTH EQUITYCHILDCAREHEALTH LITERACY AND NAVIGATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H: | OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE. |
| GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J: | OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 251 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (251 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SANFORD CLINIC ABERDEEN | ||||
| 3015 3RD AVENUE SE | ABERDEEN | SD | 57401 | MEDICAL CLINIC |
| 2 - SANFORD CLINIC ABERDEEN SURGICAL CENTER | ||||
| 3015 3RD AVENUE SE | ABERDEEN | SD | 57401 | AMBULATORY SURGERY CENTER |
| 3 - SANFORD HEALTH ADRIAN CLINIC | ||||
| 201 MAINE AVE | ADRIAN | SD | 56110 | RURAL HEALTH CLINIC |
| 4 - SANFORD HEALTH BROADWAY CLINIC | ||||
| 1527 BROADWAY STREET | ALEXANDRIA | MN | 56308 | MEDICAL CLINIC |
| 5 - SANFORD HEALTH EASTON PLACE CLINIC | ||||
| 510 - 22ND AVENUE E SUITE 602 | ALEXANDRIA | MN | 56308 | MEDICAL CLINIC |
| 6 - SANFORD BAGLEY CLINIC | ||||
| 1656 CENTRAL ST W | BAGLEY | MN | 56621 | RURAL HEALTH CLINIC |
| 7 - SANFORD BAGLEY EYE CENTER & OPTICAL | ||||
| 1656 CENTRAL ST W | BAGLEY | MN | 56621 | EYE CARE CENTER |
| 8 - SANFORD TRACY BALATON CLINIC | ||||
| 551 HIGHWAY 14 E | BALATON | MN | 56115 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 9 - SANFORD HEALTH BASSETT FAMILY CLINIC | ||||
| 103 CLARK ST | BASSETT | NE | 68714 | MEDICAL CLINIC |
| 10 - SANFORD HEALTH BAUDETTE EYE CENTER | ||||
| 103 MAIN ST | BAUDETTE | MN | 56623 | EYE CARE CENTER |
| 11 - BAKER PARK INC | ||||
| 803 DEWEY AVENUE | BEMIDJI | MN | 56601 | ASSISTED LIVING CENTER |
| 12 - EDITH SANFORD BREAST CENTER BEMIDJI | ||||
| 1233 34TH ST NW | BEMIDJI | MN | 56601 | WOMEN'S HEALTH |
| 13 - SANFORD BEMIDJI 1611 ANNE ST CLINIC | ||||
| 1611 ANNE ST NW | BEMIDJI | MN | 56601 | MEDICAL CLINIC |
| 14 - SANFORD BEMIDJI 1705 ANN ST CLINIC | ||||
| 1705 ANNE ST NW | BEMIDJI | MN | 56601 | MEDICAL CLINIC |
| 15 - SANFORD BEMIDJI EYE CENTER & OPTICAL | ||||
| 1611 ANNE ST NW | BEMIDJI | MN | 56601 | EYE CARE CENTER |
| 16 - SANFORD BEMIDJI DOWNTOWN EYE CENTER & OP | ||||
| 506 BELTRAMI AVE NW | BEMIDJI | MN | 56601 | EYE CARE CENTER |
| 17 - SANFORD BEMIDJI HOME CARE & HOSPICE | ||||
| 3201 PINE RIDGE AVE NW | BEMIDJI | MN | 56601 | HOME CARE AND HOSPICE |
| 18 - SANFORD BEMIDJI MAIN CLINIC | ||||
| 1233 34TH ST NW | BEMIDJI | MN | 56601 | MEDICAL CLINIC |
| 19 - SANFORD BEMIDJI OTHOPEDICS & SPORTS MEDICI | ||||
| 1300 ANNE STREET NW | BEMIDJI | MN | 56601 | MEDICAL CLINIC |
| 20 - SANFORD DIALYSIS BEMIDJI | ||||
| 1300 ANNE STREET NW | BEMIDJI | MN | 56601 | DIALYSIS |
| 21 - SANFORD HEALTH NEILSON PLACE | ||||
| 1000 ANNE ST NW | BEMIDJI | MN | 56601 | SKILLED NURSING FACILITY |
| 22 - SANFORD HEALTH TRILLIUM | ||||
| 930 ANNE STREET NW | BEMIDJI | MN | 56601 | ASSISTED LIVING CENTER |
| 23 - SANFORD HEALTH WINDSONG | ||||
| 1000 ANNE ST NW | BEMIDJI | MN | 56601 | ASSISTED LIVING CENTER |
| 24 - SANFORD JOE LUEKEN CANCER CENTER | ||||
| 1233 34TH ST NW | BEMIDJI | MN | 56601 | CANCER CENTER |
| 25 - SANFORD BEHAVIORAL HEALTH HEADWATERS ACT | ||||
| 1705 ANNE ST NW | BEMIDJI | MN | 56601 | BEHAVIORAL HEALTH TREATMENT CENTER |
| 26 - SANFORD HEALTH PRIMEWEST RESIDENTIAL | ||||
| 3124 HANNAH AVE NW | BEMIDJI | MN | 56601 | BEHAVIORAL HEALTH & ADDICTION CENTER |
| 27 - SANFORD CLINIC BERESFORD | ||||
| 600 W CEDAR STREET | BERESFORD | SD | 57004 | RURAL HEALTH CLINIC |
| 28 - BISMARCK CANCER CENTER | ||||
| 500 N 8TH STREET | BISMARCK | ND | 58501 | CANCER CENTER |
| 29 - SANFORD BIRTH CENTER | ||||
| 300 N 7TH STREET | BISMARCK | ND | 58501 | BIRTH CENTER |
| 30 - SANFORD CANCER CENTER BISMARCK | ||||
| 300 N 7TH STREET | BISMARCK | ND | 58501 | CANCER CENTER |
| 31 - SANFORD CHILDREN'S NORTH CLINIC | ||||
| 765 W INTERSTATE AVE | BISMARCK | ND | 58503 | CHILDREN'S CLINIC |
| 32 - SANFORD CLINIC | ||||
| 222 N 7TH STREET | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 33 - SANFORD EAST INTERSTATE AVE CLINIC | ||||
| 1800 E INTERSTATE AVE | BISMARCK | ND | 58503 | MEDICAL CLINIC |
| 34 - SANFORD FIFTH & BROADWAY CLINIC | ||||
| 515 E BROADWAY AVE | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 35 - SANFORD HEALTH CHIROPRACTICOCC MED CLINIC | ||||
| 2603 E BROADWAY AVE | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 36 - SANFORD NORTH CLINIC | ||||
| 2830 N WASHINGTON STREET | BISMARCK | ND | 58503 | MEDICAL CLINIC |
| 37 - SANFORD ORTHOPEDIC & SPORTS MEDICINE | ||||
| 225 N 7TH STREET | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 38 - SANFORD SEVENTH & BROADWAY CLINIC | ||||
| 715 E BROADWAY AVE | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 39 - SANFORD SEVENTH & ROSSER CLINIC | ||||
| 414 N 7TH STREET | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 40 - SANFORD SEVENTH & THAYER CLINIC | ||||
| 209 N 7TH STREET | BISMARCK | ND | 58501 | MEDICAL CLINIC |
| 41 - SANFORD SOUTH CLINIC | ||||
| 1040 TACOMA AVE | BISMARCK | ND | 58504 | MEDICAL CLINIC |
| 42 - SANFORD STATE SREET CLINIC | ||||
| 3318 N 14TH STREET | BISMARCK | ND | 58503 | MEDICAL CLINIC |
| 43 - SANFORD TOM & FRANCES LEACH BISMARCK DIA | ||||
| 209 N 7TH STREET | BISMARCK | ND | 58501 | DIALYSIS CENTER |
| 44 - SANFORD BEMIDJI BLACKDUCK CLINIC | ||||
| 81 1ST ST NW | BLACKDUCK | MN | 56630 | MEDICAL CLINIC |
| 45 - SANFORD BOYDEN CLINIC | ||||
| 3971 320TH ST | BOYDEN | IA | 51234 | MEDICAL CLINIC |
| 46 - SANFORD BRANDON ACUTE CARE & ORTHO FAST TR | ||||
| 1105 E HOLLY BLVD | BRANDON | SD | 57005 | MEDICAL CLINIC |
| 47 - SANFORD BRANDON FAMILY MEDICINE & CHILDREN | ||||
| 1105 E HOLLY BLVD | BRANDON | SD | 57005 | MEDICAL CLINIC |
| 48 - SANFORD HEALTH BROOKINGS CLINIC | ||||
| 922 - 22ND AVENUE S | BROOKINGS | SD | 57006 | MEDICAL CLINIC |
| 49 - SANFORD CANBY CLINIC | ||||
| 112 ST OLAF AVENUE S | CANBY | MN | 56220 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 50 - SANFORD CANBY DENTAL CLINIC | ||||
| 11 ST OLAF AVENUE S | CANBY | MN | 56220 | DENTAL CLINIC |
| 51 - SANFORD CANBY DIALYSIS UNIT | ||||
| 112 ST OLAF AVENUE S | CANBY | MN | 56220 | MEDICARE CERTIFIED END STAGE RENAL DIALYSIS |
| 52 - SANFORD CANBY HOME CARE | ||||
| 213 ST OLAF AVENUE N | CANBY | MN | 56220 | MEDICARE CERTIFIED HOME HEALTH AGENCY |
| 53 - SANFORD CANBY MEDICAL CENTER | ||||
| 112 ST OLAF AVENUE S | CANBY | MN | 56220 | CLASS F HOME CARE PROVIDER |
| 54 - SANFORD DIALYSIS CANBY | ||||
| 112 ST OLAF AVENUE S | CANBY | MN | 56220 | DIALYSIS |
| 55 - SANFORD HEALTH CANBY SYLVAN PLACE | ||||
| 212 ST OLAF AVENUE S | CANBY | MN | 56220 | HOUSING WITH SERVICES |
| 56 - SANFORD HEALTH CANISTOTAUSD CLINIC | ||||
| 320 W MAIN ST | CANISTOTA | SD | 57012 | RURAL HEALTH CLINIC |
| 57 - SANFORD CANTON CLINIC | ||||
| 400 N HIAWATHA DRIVE | CANTON | SD | 57013 | RURAL HEALTH CLINIC |
| 58 - SANFORD HEALTH CANTON HIAWATHA HEIGHTS | ||||
| 398 N HIAWATHA DRIVE | CANTON | SD | 57013 | ASSISTED LIVING CENTER |
| 59 - SANFORD BEMIDJI CASS LAKE CLINIC | ||||
| 219 GRANT UTLEY AVE NW | CASS LAKE | MN | 56633 | MEDICAL CLINIC |
| 60 - SANFORD CHAMBERLAIN CLINIC | ||||
| 300 S BYRON BLVD | CHAMBERLAIN | SD | 57325 | RURAL HEALTH CLINIC |
| 61 - SANFORD DIALYSIS | ||||
| 300 S BYRON BLVD | CHAMBERLAIN | SD | 57325 | DIALYSIS |
| 62 - SANFORD HEALTH CHAMBERLAIN CARE CENTER | ||||
| 300 S BYRON BLVD | CHAMBERLAIN | SD | 57325 | NURSING FACILITY |
| 63 - SANFORD HOME HEALTH & HOSPICE CHAMBERLAI | ||||
| 110 W BEEBE AVE | CHAMBERLAIN | SD | 57325 | HOME HEALTH CARE & HOSPICE |
| 64 - SANFORD HEALTH CLARK CLINIC | ||||
| 211 N COMMERCIAL STREET | CLARK | SD | 57225 | RURAL HEALTH CLINIC |
| 65 - SANFORD CLEAR LAKE CLINIC | ||||
| 701 3RD AVENUE S | CLEAR LAKE | SD | 57226 | RURAL HEALTH CLINIC |
| 66 - SANFORD CLEAR LAKE MEDICAL CENTER | ||||
| 701 3RD AVENUE S | CLEAR LAKE | SD | 57226 | HOME HEALTH CARE |
| 67 - SANFORD BAGLEY CLEARBROOK CLINIC | ||||
| 22 ELM STREET | CLEARBROOK | MN | 56634 | RURAL HEALTH CLINIC |
| 68 - SANFORD HEALTH DAKOTA DUNES CLINIC | ||||
| 350 OAK TREE LN | DAKOTA DUNES | SD | 57049 | MEDICAL CLINIC |
| 69 - SANFORD HEALTH DELL RAPIDS ORCHARD HILLS | ||||
| 200 W 10TH STREET | DELL RAPIDS | SD | 57022 | ASSISTED LIVING CENTER |
| 70 - SANFORD DIALYSIS | ||||
| 1234 WASHINGTON AVE SUITE B | DETROIT LAKES | MN | 56501 | DIALYSIS CENTER |
| 71 - SANFORD HEALTH DETROIT LAKES CLINC & SAM | ||||
| 1245 WASHINGTON AVENUE | DETROIT LAKES | MN | 56501 | AMBULATORY SURGERY CENTER/CLINIC |
| 72 - SANFORD HEALTH DETROIT LAKES EYE CENTER | ||||
| 1234 WASHINGTON AVE SUITE A | DETROIT LAKES | MN | 56501 | EYE CARE CENTER |
| 73 - SANFORD HEALTH WEST DICKINSON CLINIC | ||||
| 2615 FAIRWAY STREET | DICKINSON | ND | 58601 | MEDICAL CLINIC |
| 74 - SANFORD HEALTH EAST DICKINSON CLINIC | ||||
| 33 9TH ST W | DICKINSON | ND | 58601 | MEDICAL CLINIC |
| 75 - SANFORD HEALTH HEARING CENTER DICKINSON | ||||
| 1531 W VILLARD ST | DICKINSON | ND | 58601 | HEARING CENTER |
| 76 - SANFORD DERMATOLOGY CLINIC | ||||
| 625 DEMERS AVE NW | EAST GRAND FORKS | MN | 56721 | MEDICAL CLINIC |
| 77 - SANFORD HEALTH 621 DEMERS AVE CLINIC | ||||
| 621 DEMERS AVE NW | EAST GRAND FORKS | MN | 56721 | MEDICAL CLINIC |
| 78 - SANFORD HEALTH 929 CENTRAL AVE CLINIC | ||||
| 929 CENTRAL AVE | EAST GRAND FORKS | MN | 56721 | MEDICAL CLINIC |
| 79 - SANFORD HEALTH 625 DEMERS AVE CLINIC | ||||
| 625 DEMERS AVE NW | EAST GRAND FORKS | MN | 56721 | MEDICAL CLINIC |
| 80 - SANFORD HOME CARE EAST GRAND FORKS | ||||
| 404 DEMERS AVE | EAST GRAND FORKS | MN | 56721 | HOME HEALTH CARE |
| 81 - SANFORD HEALTH EDGELEY CLINIC | ||||
| 506 2ND ST | EDGELEY | ND | 58433 | MEDICAL CLINIC |
| 82 - SANFORD LUVERNE EDGERTON CLINIC | ||||
| 733 MAIN AVE | EDGERTON | MN | 56128 | RURAL HEALTH CLINIC |
| 83 - SANFORD HEALTH ELLENDALE CLINIC | ||||
| 141 MAIN ST | ELLENDALE | ND | 58436 | RURAL HEALTH CLINIC |
| 84 - SANFORD HEALTH ENDERLIN CLINIC | ||||
| 201 4TH AVENUE | ENDERLIN | ND | 58027 | RURAL HEALTH CLINIC |
| 85 - SANFORD CLINIC ESTELLINE | ||||
| 305 HOSPITAL DRIVE | ESTELLINE | SD | 57234 | RURAL HEALTH CLINIC |
| 86 - EDITH SANFORD BREAST CENTER FARGO | ||||
| 737 BROADWAY N | FARGO | ND | 58102 | WOMEN'S HEALTH |
| 87 - SANFORD 1711 MEDICAL BUILDING | ||||
| 1711 UNIVERSITY DRIVE S | FARGO | ND | 58103 | MEDICAL CLINIC |
| 88 - SANFORD 2801 MEDICAL BUILDING | ||||
| 2801 S UNIVERSITY DRIVE | FARGO | ND | 58122 | MEDICAL CLINIC |
| 89 - SANFORD BRAIN & SPINE CENTER FARGO | ||||
| 2301 25TH ST S | FARGO | ND | 58103 | MEDICAL CLINIC |
| 90 - SANFORD BROADWAY CLINIC | ||||
| 801 BROADWAY N | FARGO | ND | 58102 | MEDICAL CLINIC |
| 91 - SANFORD BROADWAY MEDICAL BUILDING | ||||
| 736 BROADWAY N | FARGO | ND | 58102 | MEDICAL CLINIC |
| 92 - SANFORD CHILDREN'S BROADWAY CLINIC | ||||
| 737 BROADWAY N | FARGO | ND | 58102 | CHILDREN'S CLINIC |
| 93 - SANFORD CHILDREN'S CARE CLINIC | ||||
| 100 4TH STREET S | FARGO | ND | 58103 | CHILDREN'S CLINIC |
| 94 - SANFORD CHILDREN'S SOUTHWEST CLINIC | ||||
| 2701 13TH AVE S | FARGO | ND | 58103 | CHILDREN'S CLINIC |
| 95 - SANFORD DERMATOLOGY & LASER CLINIC | ||||
| 4656 40TH AVE S | FARGO | ND | 58104 | MEDICAL CLINIC |
| 96 - SANFORD DIALYSIS FARGO | ||||
| 2801 S UNIVERSITY DRIVE | FARGO | ND | 58122 | DIALYSIS |
| 97 - SANFORD FOOT AND ANKLE CLINIC | ||||
| 1720 S UNIVERSITY DR | FARGO | ND | 58103 | MEDICAL CLINIC |
| 98 - SANFORD HOME CARE FARGO | ||||
| 100 4TH STREET S | FARGO | ND | 58103 | HOME HEALTH AGENCY |
| 99 - SANFORD I-94 CLINIC | ||||
| 5225 23RD AVENUE SOUTH | FARGO | ND | 58104 | MEDICAL CLINIC |
| 100 - SANFORD NEUROSCIENCE CLINIC | ||||
| 700 1ST AVE S | FARGO | ND | 58103 | MEDICAL CLINIC |
| 101 - SANFORD NORTH FARGO CLINIC | ||||
| 2601 BROADWAY N | FARGO | ND | 58102 | MEDICAL CLINIC |
| 102 - SANFORD ORTHOPEDIC WALK-IN CLINIC FARGO | ||||
| 1720 S UNIVERSITY DR | FARGO | ND | 58103 | MEDICAL CLINIC |
| 103 - SANFORD PAIN CENTER FARGO | ||||
| 2301 25TH ST S | FARGO | ND | 58103 | MEDICAL CLINIC |
| 104 - SANFORD REPRODUCTIVE MEDICINE CLINIC | ||||
| 1111 HARWOOD DRIVE S | FARGO | ND | 58104 | MEDICAL CLINIC |
| 105 - SANFORD ROGER MARIS CANCER CENTER | ||||
| 820 4TH STREET N | FARGO | ND | 58102 | CANCER CENTER |
| 106 - SANFORD SOUTH UNIVERSITY CLINIC | ||||
| 1717 S UNIVERSITY DR | FARGO | ND | 58103 | MEDICAL CLINIC |
| 107 - SANFORD SOUTH UNIVERSITY EYE CENTER & OP | ||||
| 1717 S UNIVERSITY DR | FARGO | ND | 58103 | EYE CARE CENTER |
| 108 - SANFORD SOUTHPOINTE CLINIC | ||||
| 2400 32ND AVE S | FARGO | ND | 58103 | MEDICAL CLINIC |
| 109 - SANFORD SOUTHPOINTE EYE CENTER & OPTICAL | ||||
| 2400 32ND AVE S | FARGO | ND | 58103 | EYE CARE CENTER |
| 110 - SANFORD VETERANS SQUARE CLINIC | ||||
| 3955 56TH ST S | FARGO | ND | 58104 | MEDICAL CLINIC |
| 111 - SANFORD HEALTH FINLEY CLINIC | ||||
| 407 WASHINGTON AVE E | FINLEY | ND | 58230 | RURAL HEALTH CLINIC |
| 112 - SANFORD HEALTH FORMAN CLINIC | ||||
| 336 MAIN ST | FORMAN | ND | 58032 | RURAL HEALTH CLINIC |
| 113 - SANFORD DIALYSIS FORT YATES | ||||
| 10 N RIVER ROAD | FORT YATES | ND | 58538 | DIALYSIS CENTER |
| 114 - SANFORD HEALTH FOSSTON EYE CENTER & OPTI | ||||
| 111 2ND ST NE | FOSSTON | MN | 56542 | EYE CARE CENTER |
| 115 - SANFORD ROCK RAPIDS GEORGE CLINIC | ||||
| 101 N MAIN | GEORGE | IA | 51237 | RURAL HEALTH CLINIC |
| 116 - SANFORD HEALTH GRAND FORKS CLINIC | ||||
| 1750 47TH AVE S | GRAND FORKS | ND | 58201 | MEDICAL CLINIC |
| 117 - SANFORD HEALTH GWINNER CLINIC | ||||
| 69 HIGHWAY 13 W | GWINNER | ND | 58040 | MEDICAL CLINIC |
| 118 - SANFORD HEALTH HALSTAD CLINIC | ||||
| 445 1ST STREET E | HALSTAD | MN | 56548 | RURAL HEALTH CLINIC |
| 119 - SANFORD HEALTH HARTFORD CLINIC | ||||
| 905 N OAKS AVE | HARTFORD | SD | 57033 | MEDICAL CLINIC |
| 120 - SANFORD SHELDON HARTLEY CLINIC | ||||
| 512 3RD ST NE | HARTLEY | IA | 51346 | MEDICAL CLINIC |
| 121 - SANFORD HAWLEY CLINIC | ||||
| 1412 MAIN ST | HAWLEY | MN | 56549 | MEDICAL CLINIC |
| 122 - SANFORD HEALTH COMSTOCK CORNER | ||||
| 12 3RD STREET SE | HILLSBORO | ND | 58045 | ASSISTED LIVING CENTER |
| 123 - SANFORD HILLSBORO CARE CENTER | ||||
| 12 3RD STREET SE | HILLSBORO | ND | 58045 | HOSPITAL BASED-NURSING FACILITIES LTC |
| 124 - SANFORD HEALTH HILLSBORO CLINIC | ||||
| 315 EAST CALEDONIA | HILLSBORO | ND | 58045 | RURAL HEALTH CLINIC |
| 125 - SANFORD HEALTH DIALYSIS HOSPERS | ||||
| 112 SUNRISE DRIVE | HOSPERS | IA | 51238 | END STAGE RENAL DIALYSIS |
| 126 - SANFORD HEALTH INTL FALLS EYE CENTER | ||||
| 1400 HIGHWAY 71 | INTERNATIONAL FALLS | MN | 56649 | EYE CARE CENTER |
| 127 - SANFORD HEALTH INWOOD CLINIC | ||||
| 303 E JEFFERSON ST | INWOOD | IA | 51240 | MEDICAL CLINIC |
| 128 - SANFORD CLINIC IPSWICH | ||||
| 110 5TH AVENUE | IPSWICH | SD | 57451 | RURAL HEALTH CLINIC |
| 129 - SANFORD JACKSON CLINIC | ||||
| 1430 NORTH HIGHWAY | JACKSON | MN | 56143 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 130 - SANFORD DIALYSIS JAMESTOWN | ||||
| 300 2ND AVENUE NE | JAMESTOWN | ND | 58401 | DIALYSIS CENTER |
| 131 - SANFORD HEALTH HEARING CENTER JAMESTOWN | ||||
| 904 5TH AVE NE | JAMESTOWN | ND | 58401 | HEARING CENTER |
| 132 - SANFORD HEALTH JAMESTOWN 2ND AVE CLINIC | ||||
| 300 2ND AVENUE NE | JAMESTOWN | ND | 58401 | MEDICAL CLINIC |
| 133 - SANFORD DIALYSIS JAMESTOWN | ||||
| 300 2ND AVENUE NE | JAMESTOWN | ND | 58401 | DIALYSIS |
| 134 - SANFORD HEALTH JAMESTOWN CLINIC | ||||
| 904 5TH AVE NE | JAMESTOWN | ND | 58401 | MEDICAL CLINIC |
| 135 - SANFORD HEALTH KELLIHER CLINIC | ||||
| 243 CLARK AVE N | KELLIHER | MN | 56650 | MEDICAL CLINIC |
| 136 - SANFORD HEALTH KIMBALL CLINIC | ||||
| 101 S MAIN ST | KIMBALL | SD | 57355 | RURAL HEALTH CLINIC |
| 137 - SANFORD CHILDREN'S CLINIC | ||||
| 3001 DAGGETT ST | KLAMATH FALLS | OR | 97601 | MEDICAL CLINIC |
| 138 - SANFORD HEALTH LAKE NORDEN CLINIC | ||||
| 512 MAIN AVE | LAKE NORDEN | SD | 57248 | RURAL HEALTH CLINIC |
| 139 - SANFORD JACKSON LAKEFIELD CLINIC | ||||
| 209 MAIN STREET | LAKEFIELD | MN | 56150 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 140 - SANFORD HEALTH LAKE PARK CLINIC | ||||
| 215 N MARKET ST | LAKE PARK | IA | 51347 | MEDICAL CLINIC |
| 141 - SANFORD HEALTH LAMOURE CLINIC | ||||
| 100 1ST AVE SW | LAMOURE | ND | 58458 | RURAL HEALTH CLINIC |
| 142 - SANFORD HEALTH LENNOX CLINIC | ||||
| 108 S MAIN | LENNOX | SD | 57039 | RURAL HEALTH CLINIC |
| 143 - SANFORD HEALTH LIDGERWOOD CLINIC | ||||
| 21 WILEY AVE S | LIDGERWOOD | ND | 58053 | MEDICAL CLINIC |
| 144 - SANFORD HEALTH LISBON CLINIC | ||||
| 102 10TH AVE W | LISBON | ND | 58054 | MEDICAL CLINIC |
| 145 - SANFORD HOME CARE LISBON | ||||
| 404 FOREST ST | LISBON | ND | 58054 | HOME HEALTH CARE |
| 146 - SANFORD HOME HEALTH LUVERNE | ||||
| 304 N MCKENZIE ST | LUVERNE | MN | 56156 | HOME HEALTH CARE |
| 147 - SANFORD LUVERNE CLINIC | ||||
| 1601 SIOUX VALLEY DR | LUVERNE | MN | 56156 | MEDICAL CLINIC |
| 148 - SANFORD LUVERNE HOSPICE | ||||
| 217 N OAKLEY ST | LUVERNE | MN | 56156 | MEDICARE CERTIFIED HOSPICE |
| 149 - SANFORD DIALYSIS | ||||
| 323 SW 10TH STREET | MADISON | SD | 57042 | END STAGE RENAL DIALYSIS |
| 150 - SANFORD HOSPICE MADISON | ||||
| 900 2ND AVENUE | MADISON | MN | 56256 | HOSPICE (LICENSED IN SD) |
| 151 - SANFORD HEALTH MAHNOMEN CLINIC | ||||
| 410 W 4TH ST | MAHNOMEN | MN | 56557 | RURAL HEALTH CLINIC |
| 152 - SANFORD HOME CARE MAHNOMEN | ||||
| 414 W JEFFERSON AVE | MAHNOMEN | MN | 56557 | HOME HEALTH CARE |
| 153 - SANFORD HOME CARE BISMARCK | ||||
| 910 18TH STREET NW | MANDAN | ND | 58554 | HOME HEALTH AGENCY |
| 154 - SANFORD EAST MANDAN CLINIC | ||||
| 102 MANDAN AVE | MANDAN | ND | 58554 | MEDICAL CLINIC |
| 155 - SANFORD NORTH MANDAN CLINIC | ||||
| 910 18TH STREET NW | MANDAN | ND | 58554 | MEDICAL CLINIC |
| 156 - SANFORD HOME CARE MAYVILLE | ||||
| 49 7TH AVE SE | MAYVILLE | ND | 58257 | HOME HEALTH CARE |
| 157 - SANFORD MAYVILLE CLINIC | ||||
| 600 1ST ST SE | MAYVILLE | ND | 58257 | MEDICAL CLINIC |
| 158 - SANFORD HEALTH HIGHWAY 2 CLINIC | ||||
| 801 21ST AVE SE | MINOT | ND | 58701 | MEDICAL CLINIC |
| 159 - SANFORD HEALTH NORTHWEST CLINIC | ||||
| 1500 21ST AVE NW | MINOT | ND | 58701 | MEDICA |
| 160 - SANFORD HEALTH MINNEOTA CLINIC | ||||
| 700 N MONROE ST | MINNEOTA | MN | 56264 | RURAL HEALTH CLINIC |
| 161 - SANFORD HEALTH MITCHELL CLINIC | ||||
| 2100 HIGHLAND WAY | MITCHELL | SD | 57301 | MEDICAL CLINIC |
| 162 - SANFORD MOORHEAD CAMPUS | ||||
| 4000 28TH AVE S | MOORHEAD | MN | 56560 | MEDICAL CLINIC |
| 163 - SANFORD DIALYSIS MORRIS | ||||
| 400 1ST STREET EAST | MORRIS | MN | 56267 | DIALYSIS |
| 164 - SANFORD HEALTH MOUNTAIN LAKE CLINIC | ||||
| 308 N 8TH STREET | MOUNTAIN LAKE | MN | 56159 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 165 - SANFORD HEALTH OAKES CLINIC | ||||
| 420 7TH ST S | OAKES | ND | 58474 | MEDICAL CLINIC |
| 166 - SANFORD CHILDREN'S CLINIC | ||||
| 3605 VISTA WAY | OCEANSIDE | CA | 92056 | CHILDREN'S CLINIC |
| 167 - SANFORD HEALTH PARK RAPIDS CLINIC | ||||
| 110 7TH ST W | PARK RAPIDS | MN | 56470 | MEDICAL CLINIC |
| 168 - SANFORD HEALTH PARKERS PRAIRIE CLINIC | ||||
| 115 E SOO STREET | PARKERS PRAIRIE | MN | 56361 | MEDICAL CLINIC |
| 169 - SANFORD HEALTH PELICAN RAPIDS CLINIC | ||||
| 211 EAST MILL STREET | PELICAN RAPIDS | MN | 56572 | RURAL HEALTH CLINIC |
| 170 - SANFORD HOME CARE PELICAN RAPIDS | ||||
| 211 EAST MILL STREET | PELICAN RAPIDS | MN | 56572 | HOME HEALTH CARE |
| 171 - SANFORD HEALTH PIERRE CLINIC | ||||
| 521 E SIOUX AVE | PIERRE | SD | 57501 | MEDICAL CLINIC |
| 172 - SANFORD VERMILLION PONCA CLINIC | ||||
| 111 E 2ND STREET | PONCA | NE | 68770 | MEDICAL CLINIC |
| 173 - SANFORD DIALYSIS RED LAKE | ||||
| 24760 HOSPITAL DRIVE | RED LAKE | MN | 56671 | DIALYSIS |
| 174 - SANFORD ROCK RAPIDS CLINIC | ||||
| 104 BUNCOMBE DRIVE | ROCK RAPIDS | IA | 51246 | RURAL HEALTH CLINIC |
| 175 - SANFORD SHELDON SANBORN CLINIC | ||||
| 321 MAIN STREET | SANBORN | IA | 51248 | MEDICAL CLINIC |
| 176 - SANFORD HEALTH SHELDON CARE CENTER | ||||
| 118 NORTH SEVENTH AVENUE PO BOX 250 | SHELDON | IA | 51201 | HOSPITAL BASED-NURSING FACILITIES |
| 177 - SANFORD SHELDON CLINIC | ||||
| 800 OAK STREET | SHELDON | IA | 51201 | RURAL HEALTH CLINIC |
| 178 - SANFORD SHELDON HOME HEALTH & HOSPICE | ||||
| 118 NORTH SEVENTH AVENUE PO BOX 250 | SHELDON | IA | 51201 | HOME HEALTH AGENCY AND HOSPICE |
| 179 - AVA'S HOUSE | ||||
| 1320 W 17TH STREET | SIOUX FALLS | SD | 57104 | HOSPICE |
| 180 - SANFORD 10TH & PHILLIPS ACUTE CARE & ORT | ||||
| 136 S PHILLIPS AVE | SIOUX FALLS | SD | 57104 | MEDICAL CLINIC |
| 181 - SANFORD 26TH & SYCAMORE FAMILY MEDICINE | ||||
| 4405 E 26TH ST | SIOUX FALLS | SD | 57103 | MEDICAL CLINIC |
| 182 - SANFORD 32ND & ELLIS CLINIC | ||||
| 2601 S ELLIS ROAD | SIOUX FALLS | SD | 57106 | MEDICAL CLINIC |
| 183 - SANFORD 49TH & OXBOW FAMILY MEDICINE | ||||
| 3401 W 49TH STREET | SIOUX FALLS | SD | 57106 | MEDICAL CLINIC |
| 184 - SANFORD 4TH & SYCAMORE FAMILY MEDICINE | ||||
| 600 N SYCAMORE AVE | SIOUX FALLS | SD | 57110 | MEDICAL CLINIC |
| 185 - SANFORD 69TH & LOUISE FAMILY MEDICINE | ||||
| 6101 S LOUISE AVE | SIOUX FALLS | SD | 57108 | MEDICAL CLINIC |
| 186 - SANFORD 69TH & MINNESOTA FAMILY MEDICINE | ||||
| 6110 S MINNESOTA AVE | SIOUX FALLS | SD | 57108 | MEDICAL CLINIC |
| 187 - SANFORD CANCER CENTER | ||||
| 1309 W 17TH ST | SIOUX FALLS | SD | 57104 | CANCER CENTER |
| 188 - SANFORD CARDIOVASCULAR INSTITUTE | ||||
| 1301 W 18TH STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 189 - SANFORD CHILDREN'S MB2 CLINIC | ||||
| 1205 S GRANGE AVE | SIOUX FALLS | SD | 57105 | CHILDREN'S CLINIC |
| 190 - SANFORD CHILDREN'S RESIDENCY CLINIC | ||||
| 6101 S LOUISE AVE | SIOUX FALLS | SD | 57108 | CHILDREN'S CLINIC |
| 191 - SANFORD CHILDREN'S SPECIALTY CLINIC | ||||
| 1600 W 22ND STREET | SIOUX FALLS | SD | 57117 | CHILDREN'S CLINIC |
| 192 - SANFORD DERMATOLOGY CLINIC | ||||
| 1310 W 22ND STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 193 - SANFORD DIABETES & THYROID CLINIC | ||||
| 1305 W 18TH STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 194 - SANFORD DIALYSIS SIOUX FALLS | ||||
| 1321 W 22ND STREET | SIOUX FALLS | SD | 57117 | DIALYSIS CENTER |
| 195 - SANFORD EAR NOSE AND THROAT CLINIC | ||||
| 1310 W 22ND STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 196 - SANFORD EYE CENTER & OPTICAL | ||||
| 1621 S MINNESOTA AVE | SIOUX FALLS | SD | 57105 | EYE CARE CENTER |
| 197 - SANFORD HEALTH EYE CLINIC | ||||
| 2310 S MARION RD 140 | SIOUX FALLS | SD | 57106 | EYE CARE CENTER |
| 198 - SANFORD HEALTH MB2 CLINIC | ||||
| 1205 S GRANGE AVE | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 199 - SANFORD HOME HEALTH SIOUX FALLS | ||||
| 2710 WEST 12TH STREET | SIOUX FALLS | SD | 57104 | HOME HEALTH CARE |
| 200 - SANFORD HOSPICE SIOUX FALLS | ||||
| 2710 WEST 12TH STREET | SIOUX FALLS | SD | 57104 | HOSPICE (LICENSED IN MN AND SD) |
| 201 - SANFORD IMAGENETICS | ||||
| 1321 W 22ND STREET | SIOUX FALLS | SD | 57117 | GENETICS |
| 202 - SANFORD INTERNAL MEDICINE CLINIC | ||||
| 1321 W 22ND STREET | SIOUX FALLS | SD | 57117 | MEDICAL CLINIC |
| 203 - SANFORD MATERNAL-FETAL MEDICINE | ||||
| 1500 W 22ND STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 204 - SANFORD OBSTETRICS & GYNECOLOGY CLINIC | ||||
| 1500 W 22ND STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 205 - SANFORD PSYCHIATRY & PSYCHOLOGY CLINIC | ||||
| 2400 W 49TH STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 206 - SANFORD SURGICAL ASSOCIATES | ||||
| 1508 W 22ND STREET | SIOUX FALLS | SD | 57105 | AMBULATORY SURGERY CENTER/CLINIC |
| 207 - SANFORD USD 34TH & KIWANIS FAMILY MEDICINE | ||||
| 2701 S KIWANIS AVE | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 208 - SANFORD VAN DEMARK CLINIC | ||||
| 1210 W 18TH STREET | SIOUX FALLS | SD | 57104 | MEDICAL CLINIC |
| 209 - SANFORD VASCULAR ASSOCIATES | ||||
| 1305 W 18TH STREET | SIOUX FALLS | SD | 57105 | MEDICAL CLINIC |
| 210 - SANFORD WOMEN'S PRIMARY CARE CLINIC | ||||
| 5019 S WESTERN AVE | SIOUX FALLS | SD | 57108 | MEDICAL CLINIC |
| 211 - THE BIRTH PLACE | ||||
| 1500 W 22ND STREET | SIOUX FALLS | SD | 57105 | BIRTH CENTER |
| 212 - NORTHERN LIGHTS COMMUNITY RESIDENCE | ||||
| 921 ATLANTIC AVE N | THIEF RIVER FALLS | MN | 56701 | RESIDENTIAL BEHAVIORAL HEALTH |
| 213 - SANFORD BEHAVIORAL HEALTH OUTPATIENT CLI | ||||
| 120 LABREE AVENUE S | THIEF RIVER FALLS | MN | 56701 | BEHAVIORAL HEALTH TREATMENT CENTER |
| 214 - SANFORD DIALYSIS THIEF RIVER FALLS | ||||
| 120 LABREE AVENUE S | THIEF RIVER FALLS | MN | 56701 | DIALYSIS |
| 215 - SANFORD HEALTH THIEF RIVER FALLS EYE CEN | ||||
| 1720 HIGHWAY 59 S | THIEF RIVER FALLS | MN | 56701 | EYE CARE CENTER |
| 216 - SANFORD HEALTH THIEF RIVER FALLS SOUTHEAST | ||||
| 1720 HIGHWAY 59 S | THIEF RIVER FALLS | MN | 56701 | MEDICAL CLINIC |
| 217 - SANFORD THIEF RIVER FALLS CLINIC | ||||
| 3001 SANFORD PKWY | THIEF RIVER FALLS | MN | 56701 | MEDICAL CLINIC |
| 218 - SANFORD HEALTH TRACY O'BRIEN COURT | ||||
| 410 STATE STREET | TRACY | MN | 56175 | HOUSING WITH SERVICES |
| 219 - SANFORD TRACY CLINIC | ||||
| 249 FIFTH STREET E | TRACY | MN | 56175 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 220 - SHETEK HOME CARE SERVICES | ||||
| 251 5TH ST E | TRACY | MN | 56175 | HOME HEALTH CARE |
| 221 - SANFORD HEALTH TWIN VALLEY CLINIC | ||||
| 501 2ND ST NW | TWIN VALLEY | MN | 56584 | RURAL HEALTH CLINIC |
| 222 - SANFORD HEALTH ULEN CLINIC | ||||
| 108 VIKING AVENUE W | ULEN | MN | 56585 | RURAL HEALTH CLINIC |
| 223 - SANFORD HEALTH VALLEY CITY CLINIC | ||||
| 520 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | MEDICAL CLINIC |
| 224 - SANFORD HEALTH VERMILLION CARE CENTER | ||||
| 125 WALKER STREET | VERMILLION | SD | 57069 | NURSING FACILITY |
| 225 - SANFORD HEALTH VERMILLION DAKOTA GERDENS | ||||
| 126 S PLUM STREET | VERMILLION | SD | 57069 | RESIDENTIAL LIVING CENTER |
| 226 - SANFORD HOSPICE VERMILLION | ||||
| 848 EAST CHERRY STREET | VERMILLION | SD | 57069 | HOSPICE |
| 227 - SANFORD VERMILLION CLINIC | ||||
| 20 S PLUM STREET | VERMILLION | SD | 56069 | MEDICAL CLINIC |
| 228 - SANFORD DIALYSIS | ||||
| 111 WASHINGTON AVE NW | WAGNER | SD | 57380 | DIALYSIS CENTER |
| 229 - SANFORD HEALTH WAHPETON CLINIC | ||||
| 332 2ND AVE N | WAHPETON | ND | 58075 | MEDICAL CLINIC |
| 230 - SANFORD HEALTH WAHPETON EYE CENTER & OPT | ||||
| 332 2ND AVE N | WAHPETON | ND | 58075 | EYE CARE CENTER |
| 231 - SANFORD HEALTH WAHPETON PT & PSYCHOLOGY | ||||
| 123 2ND AVE N | WAHPETON | ND | 58075 | MEDICAL CLINIC |
| 232 - SANFORD HEALTH WALKER CLINIC | ||||
| 614 MICHIGAN AVENUE | WALKER | MN | 56484 | RURAL HEALTH CLINIC |
| 233 - SANFORD HEALTH WALKER REHAB | ||||
| 106 5TH ST S | WALKER | MN | 56484 | REHABILITATIVE SERVICES |
| 234 - SANFORD TRACY WALNUT GROVE CLINIC | ||||
| 810 8TH ST | WALNUT GROVE | MN | 56180 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 235 - SANFORD HEALTH WATERTOWN CLINIC | ||||
| 901 4TH STREET NW | WATERTOWN | SD | 57201 | MEDICAL CLINIC |
| 236 - SANFORD HEALTH HEARING CENTER | ||||
| 116 8TH STREET NE | WATFORD CITY | ND | 58854 | HEARING CENTER |
| 237 - SANFORD HEALTH WATFORD CITY CLINIC | ||||
| 709 4TH AVE NE | WATFORD CITY | ND | 58854 | MEDICAL CLINIC |
| 238 - SANFORD WEBSTER CLINIC | ||||
| 101 PEABODY DRIVE | WEBSTER | SD | 57274 | RURAL HEALTH CLINIC |
| 239 - SANFORD HEALTH WESTROOK PETERSON ESTATES | ||||
| 1012 9TH STREET | WESTBROOK | MN | 56183 | HOUSING WITH SERVICES |
| 240 - SANFORD WESTBROOK CLINIC | ||||
| 920 BELL AVENUE | WESTBROOK | MN | 56183 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 241 - SANFORD WEST FARGO CLINIC | ||||
| 1220 SHEYENNE STREET | WEST FARGO | ND | 58078 | MEDICAL CLINIC |
| 242 - SANFORD HOME CARE WHEATON | ||||
| 405 12TH ST N | WHEATON | MN | 56926 | HOME HEALTH CARE |
| 243 - SANFORD WHEATON CLINIC | ||||
| 401 12TH ST N | WHEATON | MN | 56926 | RURAL HEALTH CLINIC |
| 244 - SANFORD CLINIC WINDOM | ||||
| 591 2ND AVENUE N | WINDOM | MN | 56101 | MEDICARE CERTIFIED RURAL HEALTH CLINIC |
| 245 - SANFORD HOSPICE WINNER | ||||
| 745 E 8TH STREET | WINNER | SD | 57580 | HOSPICE |
| 246 - SANFORD DIALYSIS | ||||
| 1018 SIXTH AVENUE | WORTHINGTON | MN | 56187 | DIALYSIS CENTER |
| 247 - SANFORD HEALTH CANCER CENTER | ||||
| 1018 SIXTH AVENUE | WORTHINGTON | MN | 56187 | CANCER CENTER |
| 248 - SANFORD HOSPICE WORTHINGTON | ||||
| 1935 WOODLAND CT | WORTHINGTON | MN | 56187 | HOSPICE (LICENSED IN SD) |
| 249 - SANFORD WORTHINGTON CLINIC | ||||
| 1680 DIAGONAL ROAD | WORTHINGTON | MN | 56187 | MEDICAL CLINIC |
| 250 - SANFORD WORTHINGTON MEDICAL CENTER | ||||
| 1018 SIXTH AVENUE | WORTHINGTON | MN | 56187 | MEDICARE CERTIFIED END STAGE RENAL DIALYSIS |
| 251 - SANFORD WORTHINGTON OBGYN CLINIC | ||||
| 1018 SIXTH AVENUE | WORTHINGTON | MN | 56187 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | SANFORD HEALTH DOES NOT DENY CARE TO ANYONE BASED ON THE ABILITY TO PAY. SANFORD'S FINANCIAL ASSISTANCE (CHARITY CARE) POLICY PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ENSURE THE ENTIRE COMMUNITY SERVED BY SANFORD HAS ACCESS TO NEEDED HEALTHCARE SERVICES. ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY IS BASED ON INCOME LEVELS AND FAMILY SIZE. GENERALLY, INDIVIDUALS EARNING INCOME OF UP TO 375% OF THE FEDERAL POVERTY INCOME GUIDELINES ARE ELIGIBLE FOR VARYING LEVELS OF DISCOUNTS, INCLUDING FULL DISCOUNTS FOR CERTAIN INCOME LEVELS. APPLICATIONS FOR COVERAGE UNDER THE PROGRAM MAY BE OBTAINED AT ANY SANFORD PATIENT REGISTRATION AREA.THE PRIMARY SCOPE OF SANFORD'S FINANCIAL ASSISTANCE MATRIX CONSIDERS FAMILY INCOME AND FAMILY SIZE TO OBJECTIVELY DETERMINE FINANCIAL NEED. THE FAMILY INCOME RANGE VARIES FROM 0-225% UP TO 375% OF THE FEDERAL POVERTY LEVEL (FPL). AN APPLICANT OVER 375% MAY BE ELIGIBLE FOR SOME LEVEL OF FINANCIAL ASSISTANCE BASED ON A REVIEW OF ADDITIONAL FACTORS SUCH AS: THE SIZE OF THE ACCOUNT BALANCE, DEBT-TO-INCOME RATIO, CURRENT ASSETS, CURRENT LIABILITIES, IRS FOOD EXPENSE ALLOWANCES, MONTHLY CASH FLOW, ETC.ADDITIONALLY, IT IS POSSIBLE FOR A FAMILY TO QUALIFY IN ONE SEGMENT (BASED ON INCOME AND FAMILY SIZE ALONE) BUT BE MOVED TO A MORE GENEROUS (FOR THE PATIENT) SEGMENT BASED ON THE OTHER FINANCIAL VARIABLES MENTIONED ABOVE. AN APPLICANT MAY BE DENIED IF THEY HAVE SUBSTANTIAL ASSETS AND APPLICANTS ARE CONSIDERED ON A CASE BY CASE BASIS.THE AMOUNT GENERALLY BILLED (AGB) DISCOUNT PERCENTAGE IS THE LEAST AMOUNT SANFORD CAN DISCOUNT FOR ANY PATIENT QUALIFYING UNDER THE SANFORD FINANCIAL ASSISTANCE POLICY. IT IS THE PERCENTAGE USED FOR THE LOWEST LEVEL OF ASSISTANCE GRANTED FOR THOSE QUALIFYING UNDER THE SANFORD FINANCIAL ASSISTANCE POLICY AS LISTED ON APPENDIX 1 - SLIDING DISCOUNT SCHEDULE FOR ASSISTANCE. ANYONE ELSE QUALIFYING FOR ASSISTANCE AT GREATER LEVELS WILL RECEIVE DISCOUNT AMOUNTS GREATER THAN THE SANFORD AGB DISCOUNT AMOUNT. PART I, LINE 5B: SANFORD AS A WHOLE DID NOT EXCEED ITS FINANCIAL ASSISTANCE BUDGET FOR CY 2021, HOWEVER, IF THEY WOULD HAVE EXCEEDED THEIR BUDGET IT WOULD NOT IMPACT THEIR ABILITY TO SERVE ANY PATIENTS AND NO PATIENTS WOULD BE DISALLOWED SERVICES. THE ORGANIZATION PROVIDED FREE OR DISCOUNTED SERVICES TO PATIENTS WHO WERE ELIGIBLE FOR FREE OR DISCOUNTED CARE.PART I, LINE 6: SANFORD HEALTH'S COMMUNITY BENEFIT ANNUAL REPORT IS POSTED ANNUALLY ON THE SANFORD WEBSITE AT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-BENEFIT |
| PART I, LINE 7: | COST TO CHARGE RATIOS ARE USED TO CALCULATE THE AMOUNTS ON LINE 7A - 7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) AND ALSO LINE 7G (SUBSIDIZED HEALTH SERVICES) FOR EACH OF THE SUBSIDIARIES INCLUDED IN THE RETURN. ALL OTHER AMOUNTS FOR LINES 7E, 7F, 7H AND 7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST TO CHARGE RATIO, OR SIMILAR COST ACCOUNTING METHODOLOGY. THESE COSTS STILL REPRESENT THE COSTS TO PROVIDE BENEFITS. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO SANFORD. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE AND MEDICAID. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO SANFORD, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES SERVED. VARIOUS SERVICES THAT GENERATE LOSSES ARE PROVIDED BY SANFORD THROUGH PHYSICIAN PRACTICES. FOR CY 2021, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH CLINIC PHYSICIAN PRACTICES GENERATED LOSSES OF $49,451,962. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SANFORD HEALTH IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO THE WORK OF HEALTH AND HEALING FOR THE PUBLIC GOOD. SANFORD IS COMMITTED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES AND PATIENTS LIVE AND WORK. SANFORD INVESTS RESOURCES IN ORDER TO PRODUCE THE BEST OUTCOMES FOR PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY ENRICHMENT, AND PARTNERS WITH OTHERS TO ENSURE THAT THE COMMUNITY IS A WELCOMING, HEALTHY ENVIRONMENT AND ONE THAT ATTRACTS AND SUSTAINS A DIVERSE SANFORD WORKFORCE TO DELIVER THE BEST PATIENT CARE AND MUCH NEEDED MEDICAL RESEARCH. SANFORD CONSIDERS REQUESTS FOR FUNDING AND IN KIND SUPPORT FOR NEW AND ONGOING PROGRAMS WITH ALL AREAS SUPPORTING THE ABOVE GOALS, SUCH AS BASIC HUMAN SERVICES, EDUCATION AND WORKFORCE DEVELOPMENT BY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO MEDICAL SHORTAGE OR UNDERSERVED AREAS AND COLLABORATING WITH EDUCATIONAL INSTITUTIONS TO TRAIN AND RECRUIT HEALTH PROFESSIONALS, ADVOCATING COMMUNITY HEALTH IMPROVEMENT THROUGH EFFORTS TO SUPPORT POLICIES AND PROGRAMS THAT SAFEGUARD OR IMPROVE PUBLIC HEALTH AND HELP TO ENSURE ACCESS TO HEALTH CARE SERVICES. |
| PART III, LINE 2: | BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST TO CHARGE RATIOS THAT ARE USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE. |
| PART III, LINE 3: | IT IS SANFORD'S POLICY TO MAKE FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANCIAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT SANFORD IS PROACTIVE IN IDENTIFICATION OF THE PATIENTS WHO NEED HELP WITH FINANCIAL CONCERNS. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE ELIGIBLE PATIENTS DO NOT PROGRESS TO BAD DEBT. FOR THIS REASON, A DOLLAR AMOUNT FOR BAD DEBT IS NOT INCLUDED. |
| PART III, LINE 4: | THE AUDITED FINANCIAL STATEMENTS (AFS) OF SANFORD INCLUDE A BAD DEBT FOOTNOTE. SEE FOOTNOTE 3 ON PAGES 13 - 14 OF THE AFS. SANFORD REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). |
| PART III, LINE 8: | PER IRS INSTRUCTIONS, SANFORD HAS IDENTIFIED THE COST ASSOCIATED WITH PROVIDING MEDICARE SERVICES FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT CALCULATIONS ARE TOTAL EXPENSE LESS EXPENSES DEEMED "UNALLOWABLE" PER MEDICARE REGULATIONS. THE NET EXPENSE IS THEN USED TO CALCULATE THE COST PER DAY AND COST TO CHARGE RATIOS WHICH ARE MULTIPLIED BY THE MEDICARE DAYS AND ANCILLARY CHARGES TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES. IF ALL EXPENSES THAT SANFORD INCURRED WERE INCLUDED ON THE MEDICARE COST REPORT; THIS WOULD SHOW A SHORTFALL OF APPROXIMATELY $342,442,972. SANFORD BELIEVES THIS SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THESE SERVICES WOULD NEED TO BE PROVIDED BY EITHER ANOTHER CHARITABLE ORGANIZATION OR THE GOVERNMENT IF IT WAS NOT PROVIDED BY SANFORD. |
| PART III, LINE 9B: | SANFORD WILL PROVIDE SERVICES AT NO COST OR REDUCED COST TO PATIENTS WHO QUALIFY FOR THE PROGRAM. PATIENTS WITH INCOMES AT OR BELOW 225% OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES POVERTY GUIDELINE WILL RECEIVE A 100% REDUCTION OF THEIR PAYMENT RESPONSIBILITY. PATIENTS WITH INCOME BETWEEN 225% - 375% OF THE POVERTY GUIDELINE WILL BE GIVEN A DISCOUNT BASED ON A SLIDING SCALE AND ASSETS ARE CONSIDERED IN THE CALCULATION OF THE INCOME OF THE PATIENT, WITH THE EXCEPTION OF THE PATIENT'S PRINCIPAL RESIDENCE. PATIENTS ABOVE 375% OF THE FPG WILL BE REVIEWED FOR ADDITIONAL FACTORS SUCH AS SIZE OF MEDICAL DEBT BEFORE A FINAL DETERMINATION. PATIENTS MUST MAKE THEIR FINANCIAL NEED KNOWN TO APPROPRIATE PERSONNEL AND BE ENGAGED IN FILING APPROPRIATE AND COMPLETE APPLICATIONS. THE PROGRAM IS AVAILABLE TO THOSE PATIENTS WITHOUT HEALTH CARE BENEFITS FROM ANY SOURCE AS WELL AS TO THOSE WHO HAVE COVERAGE FOR HEALTH CARE COSTS THROUGH A GOVERNMENT PROGRAM, COMMERCIAL INSURANCE, OR OTHER HEALTH BENEFIT PLAN BUT CONTINUE TO HAVE A REMAINING BALANCE AFTER BENEFITS HAVE BEEN APPLIED TO THE CHARGES. SANFORD WILL NOT DENY FINANCIAL ASSISTANCE BASED ON RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WITH FINANCIAL NEED AS EARLY AS POSSIBLE IN THE REVENUE CYCLE.SANFORD HAS ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OF COLLECTIONS CONDUCT. THIS ZERO TOLERANCE APPLIES TO INTERNAL SANFORD STAFF AND THIRD PARTY COLLECTION VENDORS AND ATTORNEYS.NEITHER SANFORD NOR ANY OF ITS THIRD PARTY COLLECTION VENDORS WILL TAKE ANY EXTRAORDINARY COLLECTION EFFORTS UNTIL SANFORD AND THE THIRD PARTY COLLECTION VENDOR HAVE MADE REASONABLE EFFORTS TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 2: | SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2020 THROUGH DECEMBER 2021, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2022-2024. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.NORTHERN DENTAL ACCESS CENTER SOUTHWEST HEALTH AND HUMAN SERVICES BELTRAMI COUNTY PUBLIC HEALTH SIOUX FALLS DEPARTMENT OF HEALTH BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION MINNESOTA DEPARTMENT OF HEALTH SOUTHWEST HEALTH AND HUMAN SERVICES AVERA HEALTH OTTERTAIL PUBLIC HEALTH ESSENTIA HEALTH BELTRAMI COUNTY HEALTH AND HUMAN SERVICES CHI ST. ALEXIUS HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH LIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING THEM THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES; A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE. COMMUNITY AND STAKEHOLDER SURVEY MEMBERS OF THE COMMUNITY WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND THE NEEDS OF THE COMMUNITY BASED UPON THE UW POPULATION HEALTH MODEL. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW UP OPPORTUNITY TO COMMENT ON THE REASON. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. TO FURTHER PROMOTE COMMUNITY INVOLVEMENT THE SURVEY WAS ALSO SENT TO COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS WITH MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE ASKED TO COMPLETE THE INSTRUMENT AS A RESIDENT OF THE COMMUNITY AND FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT. THE SURVEY WAS HIGHLIGHTED IN A SANFORD HEALTH NEWS ARTICLE (HTTPS://NEWS.SANFORDHEALTH.ORG/COMMUNITY/HEALTH-NEEDS-ASSESSMENT-SURVEY/) AND PROMOTED THROUGH SOCIAL MEDIA VIA PAID COMMUNICATIONS. THE PAID COMMUNICATIONS YIELDED 344,300 IMPRESSIONS AND 1,150 COMPLETED SURVEYS ACROSS THE SYSTEM.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. NEARLY 7,000 RESPONDENTS FROM ACROSS THE ENTIRE SANFORD FOOTPRINT COMPLETED THE SURVEY.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY WHICH BUILDS UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. FOR EXAMPLE, IF THE COMPOSITE STRATIFIED SYSTEM-WIDE AVERAGE SCORE IS 4 AND AN INDIVIDUAL COMMUNITY'S AVERAGE RESPONSE WAS 2.5, THAT WOULD SUGGEST AN ISSUE OF CONCERN AND A POTENTIAL COMMUNITY HEALTH CARE NEED TO BE HIGHLIGHTED IN THE SUMMARY FINDINGS. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS (HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/) AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA BUT NOT BOTH WERE ALSO INCLUDED IN THE FINDINGS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS.COMMUNITY LISTENING SESSIONS AND INTERVIEWSCOMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. FACILITATED DISCUSSION COMMENCED AFTER THE PRESENTATION, AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION. THE FACILITATED DISCUSSION SOUGHT TO INFORM ON SEVERAL ASPECTS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHERE CAN WE HAVE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ANY WORK CURRENTLY BEING DONE ON THESE NEEDS?ARE THERE UNDERUTILIZED COMMUNITY RESOURCES THAT COULD ADDRESS THIS TOPIC?WHICH FALL WITHIN THE PURVIEW OF HEALTHCARE SYSTEM AND WHICH DO NOT?CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2022-2024 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE. |
| PART VI, LINE 3: | SANFORD EMPLOYS A VARIETY OF STRATEGIES TO MAKE CERTAIN THAT THE ORGANIZATION IS TRANSPARENT IN THE COMMUNICATION OF FINANCIAL ASSISTANCE GUIDELINES. THE STAFF AT SANFORD MAKES EVERY EFFORT TO IDENTIFY PATIENTS NEEDING FINANCIAL ASSISTANCE AS EARLY IN THE REVENUE CYCLE AS POSSIBLE. ALL SANFORD ENTITIES DISPLAY SIGNAGE IN REGISTRATION AREAS ADVISING PATIENTS OF THEIR ABILITY TO REQUEST FINANCIAL ASSISTANCE. THE SIGNAGE WAS MADE AVAILABLE IN ENGLISH AND SPANISH. ALTERNATE LANGUAGES WERE INCLUDED ON THE SIGNAGE THAT BASICALLY STATED, IF YOU NEED INTERPRETER SERVICES, PLEASE INQUIRE AT THE REGISTRATION DESK. FINANCIAL ASSISTANCE APPLICATIONS WERE AVAILABLE IN ENGLISH, SPANISH, CHINESE, GERMAN, HINDI, KOREAN, LAOTIAN AND VIETNAMESE UPON REQUEST OR ON THE SANFORD WEBSITE. ALL HEALTHCARE WORKERS WHO IDENTIFY PATIENTS WITH FINANCIAL NEED ARE ENCOURAGED TO PROVIDE PATIENTS OR THEIR DESIGNEES A FINANCIAL APPLICATION. THIS MAY INCLUDE, BUT NOT BE LIMITED TO THE FOLLOWING AREAS: ADMINISTRATION, ADMISSIONS, PATIENT FINANCIAL SERVICES, FINANCIAL COUNSELORS, SOCIAL SERVICES, PHYSICIANS, NURSING, CLINIC DIRECTOR, RECEPTION STAFF AND HUMAN RESOURCES.FINANCIAL COUNSELORS ARE TRAINED TO WORK INDIVIDUALLY WITH PATIENTS TO DETERMINE THE FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE IN APPLICATION FOR CHARITY CARE, GOVERNMENT PROGRAMS OR DISCOUNTED SERVICES.SANFORD'S FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO ANYONE WHO QUALIFIES FOR ASSISTANCE. THIS PROGRAM ENSURES THAT ALL PEOPLE RECEIVE THE CARE THEY NEED, REGARDLESS OF THEIR FINANCIAL SITUATION. SANFORD MAKES FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO COMMUNITY AGENCIES AND REFERRAL ORGANIZATIONS. FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE ON THE SANFORD WEBSITE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY |
| PART VI, LINE 4: | SANFORD HEALTH IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN THE DAKOTAS. IT IS ONE OF THE LARGEST RURAL HEALTH SYSTEMS IN THE NATION WITH 24 HOSPITALS AND NEARLY 448 CLINICS IN 158 LOCATIONS IN NINE STATES AND THREE COUNTRIES. SANFORD HEALTH'S APPROXIMATELY 36,000 EMPLOYEES, INCLUDING 1,500 PHYSICIANS, MAKE IT THE LARGEST EMPLOYER IN THE DAKOTAS. SANFORD USD MEDICAL CENTER - SIOUX FALLS, SOUTH DAKOTASIOUX FALLS IS THE LARGEST CITY IN THE STATE OF SOUTH DAKOTA AND IS THE COUNTY SEAT OF MINNEHAHA COUNTY. SIOUX FALLS ALSO EXTENDS INTO LINCOLN COUNTY. THE 2021 U.S. CENSUS BUREAU ESTIMATES A TOTAL POPULATION OF 196,528 FOR SIOUX FALLS. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, THE POPULATION OF MINNEHAHA COUNTY IS 81.1% WHITE, 6.4% AFRICAN AMERICAN, 2.9% AMERICAN INDIAN, 2.2% ASIAN AND 5.4% HISPANIC. SIOUX FALLS IS A SIGNIFICANT REGIONAL HEALTH CARE CENTER. ONLY 2% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IN SIOUX FALLS IS $64,500.SANFORD MEDICAL CENTER FARGO - FARGO, NORTH DAKOTAFARGO IS THE LARGEST CITY IN NORTH DAKOTA, ACCOUNTING FOR 24% OF THE STATE'S POPULATION. FARGO IS ALSO THE COUNTY SEAT OF CASS COUNTY. THE 2021 UNITED STATES CENSUS ESTIMATES THE POPULATION OF FARGO WAS 183,904. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, THE POPULATION OF CASS COUNTY IS 84.1% WHITE, 6.3% AFRICAN AMERICAN, 1.5% AMERICAN INDIAN, 3.3% ASIAN AND 2.9% HISPANIC. ONLY 1% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IS $61,300. SANFORD BEMIDJI MEDICAL CENTER - BEMIDJI, MINNESOTABEMIDJI IS LOCATED IN BELTRAMI COUNTY, MINNESOTA. BEMIDJI HOUSES MANY NATIVE AMERICAN SERVICES, INCLUDING THE INDIAN HEALTH SERVICE. THE CITY IS THE CENTRAL HUB OF THE RED LAKE INDIAN RESERVATION, WHITE EARTH INDIAN RESERVATION, AND THE LEECH LAKE INDIAN RESERVATION. ACCORDING TO THE 2021 UNITED STATES CENSUS ESTIMATES, THE POPULATION OF BEMIDJI IS 15,279. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, THE POPULATION OF BELTRAMI COUNTY IS 71.9% WHITE, 0.7% AFRICAN AMERICAN, 22% AMERICAN INDIAN, 0.8% ASIAN AND 2.5% HISPANIC. 0% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IS $58,100.SANFORD BISMARCK MEDICAL CENTER - BISMARCK, NORTH DAKOTABISMARCK IS A CITY LOCATED IN BURLEIGH COUNTY IN CENTRAL NORTH DAKOTA. BISMARCK IS EXPERIENCING FAST-PACED GROWTH AS A DIRECT RESULT OF OIL DEVELOPMENT THROUGHOUT THE WESTERN PART OF THE STATE. BISMARCK IS THE STATE CAPITAL AND IS THE SECOND LARGEST CITY IN THE STATE OF NORTH DAKOTA WITH AN ESTIMATED POPULATION OF 74,138. ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS, THE POPULATION OF BURLEIGH COUNTY IS 88.2% WHITE, 2.2 AFRICAN AMERICAN, 4.5% AMERICAN INDIAN, 0.9% ASIAN AND 2.7% HISPANIC. 0% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IS $72,200.SANFORD NETWORK HOSPITALSSANFORD HEALTH NETWORK HOSPITALS IS A NETWORK OF RURAL HOSPITALS LOCATED THROUGHOUT SOUTH DAKOTA, NORTH DAKOTA, AND MINNESOTA.SANFORD CLINICSSANFORD CLINIC IS A MULTI-SPECIALTY CLINIC COMPRISED OF APPROXIMATELY 1,500 PHYSICIANS PROVIDING SERVICES IN THE US AS WELL AS INTERNATIONALLY. |
| PART VI, LINE 5: | SANFORD MAINTAINS AN OPEN MEDICAL STAFF. COMMUNITY BOARDS - THE SANFORD BOARD OF TRUSTEES WAS COMPRISED OF 13 MEMBERS AT THE END OF THE CALENDAR YEAR, INCLUDING 9 COMMUNITY MEMBERS, 3 PHYSICIANS AND THE CEO. SURPLUS FUNDS - SURPLUS FUNDS ARE INVESTED BACK INTO THE COMMUNITY, AS WELL AS TO RESOURCE DEVELOPMENT AND FACILITY DEVELOPMENT TO BETTER SERVE PATIENTS AND COMMUNITIES. |
| PART VI, LINE 6: | SANFORD HEALTH IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN THE DAKOTAS. IT IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE NATION WITH 24 HOSPITALS AND NEARLY 450 CLINICS IN NINE STATES AND THREE COUNTRIES. SANFORD HEALTH'S 36,000 EMPLOYEES, INCLUDING 1,500 PHYSICIANS, MAKE IT THE LARGEST EMPLOYER IN THE DAKOTAS.SANFORD HEALTH PROVIDES SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT INCLUDES OVER 220,000 SQUARE MILES WITH A NINE STATE SERVICE AREA AND A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND WORLD. SANFORD HEALTH OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES. SANFORD HEALTH FINANCIALLY SUPPORTS HEALTH AND WELLNESS, EDUCATION AND COMMUNITY DEVELOPMENT ACTIVITIES TO IMPROVE THE QUALITY OF LIFE AND STRENGHTEN COMMUNITIES THROUGHOUT THE REGION. EACH FACILITY PROMOTES HEALTH AND HEALING THAT RESPONDS TO THE UNIQUE NEEDS OF THE PATIENTS IN THE COMMUNITY, ENSURING ACCESS TO COMPREHENSIVE AND SPECIALIZED SERVICES. PART VI, LINE 7: COMMUNITY BENEFIT REPORTING IS NOT REQUIRED AND THEREFORE NOT FILED IN NORTH DAKOTA, SOUTH DAKOTA, OR NEBRASKA. FILING IN MINNESOTA IS VOLUNTARY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (269 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| ABERDEEN AREA CHAMBER OF COMMERCE | ||||||||||
| PO BOX 1179 | ABERDEEN | SD | 574021179 | 460103710 | 501(C)(6) | $9,025 | $0 | ECONOMIC DEVELOPMENT | ||
| ABERDEEN CATHOLIC SCHOOL SYSTEM INC | ||||||||||
| 1400 N DAKOTA ST | ABERDEEN | SD | 57401 | 460336005 | 501(C)(3) | $25,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| ABERDEEN DEVELOPMENT CORPORATION | ||||||||||
| 416 PRODUCTION ST N | ABERDEEN | SD | 57401 | 466011831 | 501(C)(6) | $10,000 | $0 | ECONOMIC DEVELOPMENT,COMMUNITY HEALTH IMPROVEMENT | ||
| ABERDEEN FAMILY YMCA | ||||||||||
| 5 S STATE ST | ABERDEEN | SD | 57401 | 460255779 | 501(C)(3) | $15,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ABERDEEN PUBLIC SCHOOLS FOUNDATION INC | ||||||||||
| 1224 S 3RD ST | ABERDEEN | SD | 57401 | 460423109 | 501(C)(3) | $40,000 | $0 | PROGRAM SUPPORT | ||
| ABERDEEN SCHOOL DISTRICT | ||||||||||
| 1224 3RD ST SOUTH | ABERDEEN | SD | 57401 | 466000912 | 115 | $6,000 | $0 | PROGRAM SUPPORT | ||
| ADVOCATES FOR MENTAL HEALTH | ||||||||||
| PO BOX 89213 | SIOUX FALLS | SD | 57109 | 363593641 | 501(C)(3) | $6,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ALEXANDRIA AREA ARTS ASSOCIATION | ||||||||||
| 618 BROADWAY ST | ALEXANDRIA | MN | 56308 | 510171992 | 501(C)(3) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| ALL STAR BOOSTER CLUB | ||||||||||
| 3009 S PHILIPS AVE | SIOUX FALLS | SD | 57105 | 363897227 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| ALLIANCE FOR CELL THERAPY NOW | ||||||||||
| 611 PENNSYLVANIA AVE SE 267 | WASHINGTON | DC | 20003 | 475183080 | 501(C)(6) | $100,000 | $0 | RESEARCH | ||
| ALUMNI ATHLETICA LLC | ||||||||||
| 3000 MIDLANTIC DR STE 100 | MOUNT LAUREL | NJ | 08054 | 843266506 | $350,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | |||
| ALZHEIMERS DISEASE & RELATED DISORDERS ASSOCIATION INC | ||||||||||
| 225 N MICHIGAN AVE FLOOR 17 | CHICAGO | IL | 60601 | 133039601 | 501(C)(3) | $12,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | ||||||||||
| 555 11TH ST NW | WASHINGTON | DC | 20004 | 522340031 | 501(C)(4) | $7,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| AMERICAN CANCER SOCIETY INC | ||||||||||
| 250 WILLIAMS ST 4TH FL | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | $553,700 | $0 | RESEARCH | ||
| AMERICAN FOUNDATON FOR SUICIDE PREVENTION | ||||||||||
| 120 WALL STREET FL 29 | NEW YORK | NY | 10005 | 133393329 | 501(C)(3) | $12,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| AMERICAN GOLD GYMNASTICS INC | ||||||||||
| 2001 17TH AVE S | FARGO | ND | 58103 | 450333196 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| AMERICAN HEART ASSOCIATION | ||||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $97,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| AMERICAN RED CROSS | ||||||||||
| 808 WEST AVE N | SIOUX FALLS | SD | 57104 | 530196605 | 501(C)(3) | $50,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ARTS PARTNERSHIP | ||||||||||
| 1104 2ND AVE S STE 315 | FARGO | ND | 58104 | 237108936 | 501(C)(3) | $30,000 | $0 | ECONOMIC DEVELOPMENT | ||
| AUGUSTANA COLLEGE ASSOCIATION | ||||||||||
| 2001 S SUMMIT AVE | SIOUX FALLS | SD | 57197 | 460224588 | 501(C)(3) | $2,489,750 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| BAREKNUCKLE BASEBALL LLC | ||||||||||
| 300 N 4TH ST STE 103 | BISMARCK | ND | 58501 | 813163412 | $82,591 | $0 | ECONOMIC DEVELOPMENT | |||
| BEMIDJI AREA SCHOOLS | ||||||||||
| 502 MINNESOTA AVE | BEMIDJI | MN | 56619 | 416000181 | 115 | $93,100 | $8,051 | EDUCATION/WORKFORCE DEVELOPMENT | FAIR MARKET VALUE | MEALS FOR SCHOOL DISTRICT STAFF |
| BEMIDJI BLUE OX MARATHON | ||||||||||
| PO BOX 633 | BEMIDJI | MN | 56619 | 461700357 | 501(C)(3) | $15,000 | $0 | ECONOMIC DEVELOPMENT | ||
| BEMIDJI COMMUNITY ARENA CORPORATION | ||||||||||
| PO BOX 1726 | BEMIDJI | MN | 566191726 | 813622011 | 501(C)(3) | $179,131 | $0 | ECONOMIC DEVELOPMENT | ||
| BEMIDJI STATE UNIVERSITY | ||||||||||
| 1500 BIRCHMONT DR NE | BEMIDJI | MN | 56601 | 411687554 | 115 | $231,600 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| BEMIDJI YOUTH LEAGUE INC | ||||||||||
| PO BOX 265 | BEMIDJI | MN | 56619 | 411870778 | 501(C)(3) | $19,800 | $0 | PROGRAM SUPPORT | ||
| BIO GIRLS INC | ||||||||||
| 4151 38TH ST STE A | FARGO | ND | 58104 | 810792142 | 501(C)(3) | $25,300 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BISHOP DUDLEY HOSPITALITY HOUSE | ||||||||||
| 101 N INDIANA AVE | SIOUX FALLS | SD | 57103 | 911836526 | 501(C)(3) | $22,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BISMARCK CANCER CENTER | ||||||||||
| 500 N 8TH ST | BISMARCK | ND | 58501 | 450454363 | 501(C)(3) | $13,600 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BISMARCK MANDAN CHAMBER FOUNDATION | ||||||||||
| 1640 BURNT BOAT DR | BISMARCK | ND | 58503 | 263807225 | 501(C)(3) | $28,300 | $0 | ECONOMIC DEVELOPMENT | ||
| BISMARCK PUBLIC SCHOOLS DISTRICT 1 | ||||||||||
| 806 N WASHINGTON ST | BISMARCK | ND | 58501 | 456000242 | 115 | $86,050 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT | ||
| BISMARCK PUBLIC SCHOOLS FOUNDATION | ||||||||||
| 806 N WASHINGTON ST | BISMARCK | ND | 58501 | 450442960 | 501(C)(3) | $140,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT | ||
| BISMARCK STATE COLLEGE | ||||||||||
| 1500 EDWARDS AVE | BISMARCK | ND | 43942 | 450343495 | 115 | $6,606 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| BISMARCK-MANDAN CHAMBER EDC | ||||||||||
| 1640 BURNT BOAT DR | BISMARCK | ND | 58503 | 450116753 | 501(C)(6) | $10,775 | $0 | ECONOMIC DEVELOPMENT | ||
| BOYS & GIRLS CLUB ABERDEEN AREA | ||||||||||
| 1121 1ST AVE SE | ABERDEEN | SD | 57401 | 237062273 | 501(C)(3) | $6,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BOYS & GIRLS CLUB BEMIDJI AREA | ||||||||||
| 1600 MINNESOTA AVE NW | BEMIDJI | MN | 56601 | 810599601 | 501(C)(3) | $11,040 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BOYS & GIRLS CLUB OF THE SIOUX EMPIRE | ||||||||||
| 100 S SPRING SUITE 280 | SIOUX FALLS | SD | 271043657 | 460399482 | 501(C)(3) | $51,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| BRANDON VALLEY BASEBALL ASSOC | ||||||||||
| PO BOX 605 | BRANDON | SD | 57005 | 460401362 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| BRANDON VALLEY BOOSTER CLUB | ||||||||||
| PO BOX 572 | BRANDON | SD | 57005 | 460393971 | 501(C)(3) | $63,000 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| BUTTERFLY HOUSE & AQUARIUM INC | ||||||||||
| 4320 S OXBOW AVE | SIOUX FALLS | SD | 57106 | 522370420 | 501(C)(3) | $11,000 | $0 | ECONOMIC DEVELOPMENT | ||
| CALL TO FREEDOM INC | ||||||||||
| 1915 E 8TH ST STE 100 | SIOUX FALLS | SD | 57103 | 475469817 | 501(C)(3) | $22,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CANTON SCHOOLS | ||||||||||
| 800 N MAIN ST | CANTON | SD | 57013 | 466002143 | 115 | $16,444 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| CAPITAL AREA COUNSELING LLC | ||||||||||
| 2001 EASTGATE AVE | PIERRE | SD | 57501 | 460305571 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CAPITAL VOLLEYBALL CLUB | ||||||||||
| 607 WEYBURN DR | BISMARCK | ND | 58503 | 811302972 | 501(C)(3) | $7,500 | $0 | PROGRAM SUPPORT | ||
| CHARIS MINISTRY PARTNERS | ||||||||||
| 1300 E 10TH ST | SIOUX FALLS | SD | 57103 | 383775128 | 501(C)(3) | $7,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CHILDRENS HOME SOCIETY OF SOUTH DAKOTA | ||||||||||
| PO BOX 1749 | SIOUX FALLS | SD | 571011749 | 460224542 | 501(C)(3) | $12,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CITY OF BISMARCK | ||||||||||
| 221 N 5TH ST | BISMARCK | ND | 58501 | 456002036 | 115 | $30,000 | $0 | ECONOMIC DEVELOPMENT | ||
| CITY OF CANBY | ||||||||||
| 110 OSCAR AVE NORTH | CANBY | MN | 56220 | 416005031 | 115 | $9,000 | $0 | ECONOMIC DEVELOPMENT | ||
| CITY OF JACKSON | ||||||||||
| 80 W ASHLEY ST | JACKSON | MN | 56143 | 416005262 | 115 | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| CITY OF SHELDON | ||||||||||
| PO BOX 276 | SHELDON | IA | 51201 | 426005194 | 115 | $50,000 | $0 | ECONOMIC DEVELOPMENT | ||
| CITY OF WEBSTER | ||||||||||
| PO BOX 539 | WEBSTER | SD | 57274 | 466000530 | 115 | $7,143 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CITY OF YANKTON | ||||||||||
| PO BOX 176 | YANKTON | SD | 57078 | 466000567 | 115 | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 814 JACKSON ST | BURKE | SD | 57523 | 460219795 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CONCORDIA COLLEGE | ||||||||||
| 901 8TH STREET S | MOORHEAD | MN | 565609981 | 410693977 | 501(C)(3) | $3,307,750 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| CREIGHTON UNIVERSITY | ||||||||||
| 2500 CALIFORNIA PLAZA | OMAHA | NE | 68178 | 470376583 | 501(C)(3) | $250,000 | $0 | SCHOLARSHIP ENDOWMENT | ||
| CULLEN CHILDRENS FOUNDATION | ||||||||||
| PO BOX 594 | WEST FARGO | ND | 58078 | 770636521 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| CYSTIC FIBROSIS FOUNDATION | ||||||||||
| 4550 MONTGOMERY AVE N SUITE 1100 | BETHESDA | MD | 20814 | 131930701 | 501(C)(3) | $17,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| DAKOTA ALLIANCE SOCCER CLUB | ||||||||||
| 401 W 39TH ST | SIOUX FALLS | SD | 57105 | 460359817 | 501(C)(3) | $71,250 | $0 | PROGRAM SUPPORT | ||
| DAKOTA FUNDS LLC | ||||||||||
| 709 TEDDY STREET | HARRISBURG | SD | 57032 | 460841913 | $5,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | |||
| DAKOTA MEDICAL FOUNDATION | ||||||||||
| 4141 28TH AVE SOUTH | FARGO | ND | 58104 | 456012318 | 501(C)(3) | $33,600 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| DAKOTA STATE UNIVERSITY | ||||||||||
| 820 N WASHINGTON AVE | MADISON | SD | 57042 | 466000364 | 115 | $580,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT | ||
| DICKINSON STATE UNIVERSITY HERITAGE FOUNDATION | ||||||||||
| 230 8TH AVE W | DICKINSON | ND | 58601 | 475378718 | $151,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,COMMUNITY HEALTH IMPROVEMENT | |||
| DEADWOOD CHAMBER OF COMMERCE | ||||||||||
| 501 MAIN ST | DEADWOOD | SD | 57732 | 460118544 | 501(C)(6) | $20,000 | $0 | ECONOMIC DEVELOPMENT | ||
| DETROIT LAKES PUBLIC SCHOOLS | ||||||||||
| 702 LAKE AVE | DETROIT LAKES | MN | 56501 | 410971772 | 115 | $20,000 | $0 | PROGRAM SUPPORT | ||
| DICKINSON STATE UNIVERSITY | ||||||||||
| 291 CAMPUS DRIVE | DICKINSON | ND | 58601 | 456002480 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| DLCCC INC | ||||||||||
| 826 SUMMIT AVE | DETROIT LAKES | MN | 56501 | 411970351 | 501(C)(3) | $5,500 | $0 | ECONOMIC DEVELOPMENT | ||
| DOW RUMMEL | ||||||||||
| 1321 W DOW RUMMEL ST | SIOUX FALLS | SD | 57104 | 460271277 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| DOWNTOWN COMMUNITY PARTNERSHIP | ||||||||||
| 210 BROADWAY STE 202 | FARGO | ND | 58102 | 464472309 | 501(C)(6) | $5,500 | $0 | ECONOMIC DEVELOPMENT | ||
| DOWNTOWN SIOUX FALLS INC | ||||||||||
| 230 S PHILIPS AVE STE 306 | SIOUX FALLS | SD | 57104 | 363627217 | 501(C)(4) | $27,457 | $0 | ECONOMIC DEVELOPMENT | ||
| DURHAM VETERANS AFFAIRS HEALTHCARE SYSTEM | ||||||||||
| 508 FULTON ST | DURHAM | NC | 27705 | 561932832 | 115 | $5,000,000 | $0 | MILITARY AND VETERANS SERVICES | ||
| EAST GRAND FORKS BLUE LINE CLUB INC | ||||||||||
| PO BOX 125 | EAST GRAND FORKS | MN | 56721 | 411404267 | 501(C)(3) | $7,740 | $0 | PROGRAM SUPPORT | ||
| ELEVATE RAPID CITY | ||||||||||
| 525 UNIVERSITY LOOP STE 102 | RAPID CITY | SD | 57701 | 460118545 | 501(C)(6) | $50,000 | $0 | ECONOMIC DEVELOPMENT | ||
| EMBE | ||||||||||
| 300 W 11TH ST | SIOUX FALLS | SD | 57104 | 460234998 | 501(C)(3) | $20,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA | ||||||||||
| 800 BEMIDJI AVE N STE 4 | BEMIDJI | MN | 566013072 | 202102302 | 501(C)(3) | $18,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FARGO AIRSHO INC | ||||||||||
| 2822 27TH ST S | FARGO | ND | 58103 | 450440151 | 501(C)(4) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| FARGO MOORHEAD ORCHESTRAL ASSOCIATION | ||||||||||
| 808 3RD AVE S 300 | FARGO | ND | 58103 | 450275135 | 501(C)(3) | $20,000 | $0 | ECONOMIC DEVELOPMENT | ||
| FARGO SCHOOLS | ||||||||||
| 415 4TH ST N | FARGO | ND | 57192 | 456012318 | 501(C)(3) | $251,050 | $0 | PROGRAM SUPPORT | ||
| FARGO YOUTH BASEBALL | ||||||||||
| 1892 17TH AVE S | FARGO | ND | 58103 | 450370089 | 501(C)(3) | $7,000 | $0 | PROGRAM SUPPORT | ||
| FARGO YOUTH HOCKEY ASSOCIATION | ||||||||||
| 831 17TH AVE N | FARGO | ND | 58102 | 363548649 | 501(C)(3) | $12,000 | $0 | PROGRAM SUPPORT | ||
| FIRST CITY OF LIGHTS FOUNDATION | ||||||||||
| PO BOX 1991 | BEMIDJI | MN | 56619 | 854069354 | 501(C)(3) | $7,000 | $0 | ECONOMIC DEVELOPMENT | ||
| FIRST PRIORITY OF SIOUX FALLS | ||||||||||
| 3815 S WESTERN AVE | SIOUX FALLS | SD | 57105 | 263765706 | 501(C)(3) | $12,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FIRST TEE OF SOUTH DAKOTA | ||||||||||
| PO BOX 88938 | SIOUX FALLS | SD | 57109 | 460449824 | 501(C)(3) | $80,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FIRSTLINK | ||||||||||
| 4357 13TH AVE S STE 107L | FARGO | ND | 58103 | 450419491 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FITNESS ON MAIN INC | ||||||||||
| 901 MAIN STREET | BURKE | SD | 57523 | 264125455 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FM ROTARY FOUNDATIION | ||||||||||
| PO BOX 684 | FARGO | ND | 581070684 | 203453808 | 501(C)(3) | $50,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| FOFJV LLP | ||||||||||
| PO BOX 2443 | FARGO | ND | 58108 | 832467021 | $250,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | |||
| FOLDS OF HONOR SOUTH DAKOTA | ||||||||||
| PO BOX 91541 | SIOUX FALLS | SD | 57109 | 301250357 | 501(C)(3) | $10,000 | $0 | MILITARY AND VETERANS SERVICES | ||
| FORWARD SIOUX FALLS | ||||||||||
| PO BOX 907 | SIOUX FALLS | SD | 57101 | 460396647 | 501(C)(6) | $250,000 | $0 | ECONOMIC DEVELOPMENT | ||
| FRIENDS OF BROOKINGS BASEBALL INC | ||||||||||
| PO BOX 536 | BROOKINGS | SD | 57006 | 731701047 | 501(C)(3) | $5,500 | $0 | COMMUNITY HEALTH IMPROVEMENT,PROGRAM SUPPORT | ||
| FRIENDS OF LEVITT SHELL SIOUX FALLS INC | ||||||||||
| 524 N MAIN AVE 106 | SIOUX FALLS | SD | 57104 | 611699910 | 501(C)(3) | $87,000 | $341 | ECONOMIC DEVELOPMENT | FAIR MARKET VALUE | WATER BOTTLES FOR EVENTS |
| GATEWAY TO SCIENCE | ||||||||||
| 1810 SCHAFER STREET STE 1 | BISMARCK | ND | 58501 | 450443517 | 501(C)(3) | $10,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| GLOBAL INTERDEPENDENCE CENTER | ||||||||||
| 100 N INDEPENDENCE MALL W SUITE 5 | PHILADELPHIA | PA | 191061521 | 232138619 | 501(C)(3) | $25,000 | $0 | ECONOMIC DEVELOPMENT | ||
| GORILLA WRESTLING CLUB INC | ||||||||||
| 2318 FRESNO DR | BISMARCK | ND | 58504 | 364644140 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| GREAT LIFE CARES FOUNDATION | ||||||||||
| 3800 W 53RD ST | SIOUX FALLS | SD | 57106 | 472447820 | 501(C)(3) | $16,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| GREAT PLAINS FOOD BANK | ||||||||||
| 1720 3RD AVE N | FARGO | ND | 58102 | 450226421 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| GREATER FARGO MOORHEAD ECONOMIC DEVELOPMENT CORPORATION | ||||||||||
| 51 BROADWAY STE 500 | FARGO | ND | 58102 | 456011769 | 501(C)(3) | $40,000 | $0 | ECONOMIC DEVELOPMENT | ||
| GREATER NORTH DAKOTA CHAMBER | ||||||||||
| PO BOX 2639 | BISMARCK | ND | 58502 | 450141100 | 501(C)(6) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| GREATER SIOUX FALLS CHAMBER OF COMMERCE | ||||||||||
| 200 N PHILLIPS AVE STE 200 | SIOUX FALLS | SD | 571046058 | 460189300 | 501(C)(6) | $14,200 | $0 | ECONOMIC DEVELOPMENT | ||
| GROUND WORKS MIDWEST | ||||||||||
| 102 N KROHNS PL STE 116 | SIOUX FALLS | SD | 57103 | 475498537 | 501(C)(3) | $37,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| HARRISBURG SCHOOL DISTRICT 41-2 | ||||||||||
| 200 WILLOW ST | HARRISBURG | SD | 57032 | 466002218 | 115 | $248,707 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT | ||
| HARTFORD AREA DEVELOPMENT CORP | ||||||||||
| 125 N MAIN AVE | HARTFORD | SD | 57033 | 460354618 | 501(C)(3) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| HAT TRICK HOCKEY CORP | ||||||||||
| 5808 S PRAIRIE VIEW CT | SIOUX FALLS | SD | 57108 | 471795011 | 501(C)(3) | $40,000 | $0 | PROGRAM SUPPORT | ||
| HEALTH CONNECT OF SOUTH DAKOTA | ||||||||||
| PO BOX 1772 | SIOUX FALLS | SD | 571011772 | 460444328 | 501(C)(3) | $8,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| HEARTLAND LAKES DEVELOPMENT COMMISSION | ||||||||||
| 301 COURT AVE | PARK RAPIDS | MN | 56470 | 204208381 | 501(C)(6) | $20,000 | $0 | ECONOMIC DEVELOPMENT | ||
| HELPLINE CENTER INC | ||||||||||
| 1000 N WEST AVE STE 310 | SIOUX FALLS | SD | 571041314 | 237424387 | 501(C)(3) | $58,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| HILLSBORO PUBLIC SCHOOLS | ||||||||||
| PO BOX 579 | HILLSBORO | ND | 58045 | 456001736 | 115 | $6,900 | $0 | PROGRAM SUPPORT | ||
| HISTORICAL & CULTURAL SOCIETY OF CLAY COUNTY | ||||||||||
| 202 FIRST AVE NORTH | MOORHEAD | MN | 56560 | 416038553 | 501(C)(3) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| HOPE HAVEN INC | ||||||||||
| PO BOX 70 | ROCK VALLEY | IA | 51247 | 420890017 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| IMPACT FOUNDATION | ||||||||||
| 4141 28TH AVE S | FARGO | ND | 58104 | 200520386 | 501(C)(3) | $105,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| INDEPENDENT SCHOOL DIST #2184 | ||||||||||
| 709 NORTH KNISS AVE | LUVERNE | MN | 56156 | 411784004 | 115 | $10,000 | $0 | PROGRAM SUPPORT | ||
| INDEPENDENT SCHOOL DISTRICT 518 | ||||||||||
| 1117 MARINE AVE | WORTHINGTON | MN | 561871610 | 416008522 | 115 | $110,000 | $0 | PROGRAM SUPPORT | ||
| INDEPENDENT SCHOOL DISTRICT NO 2164 | ||||||||||
| 113 1ST ST NW | DILWORTH | MN | 565290188 | 061400159 | 115 | $5,100 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| JDRF INTERNATIONAL | ||||||||||
| 1305 W 18TH STREET | SIOUX FALLS | SD | 571175039 | 231907729 | 501(C)(3) | $30,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| JEREMIAH PROGRAM | ||||||||||
| 3104 FIECHTNER DR S | FARGO | ND | 58103 | 411801834 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| JUNIOR ACHIEVEMENT OF SOUTH DAKOTA | ||||||||||
| 300 S PHILLIPS AVE STE L102 | SIOUX FALLS | SD | 57104 | 460306352 | 501(C)(3) | $40,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| JUNIOR ACHIEVEMENT OF UPPER MIDWEST INC | ||||||||||
| 1745 UNIVERSITY AVE W | SAINT PAUL | MN | 55104 | 411424988 | 501(C)(3) | $10,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| KIDS CHANCE OF SOUTH DAKOTA | ||||||||||
| 300 S MAIN AVE | SIOUX FALLS | SD | 57104 | 474439997 | 501(C)(3) | $8,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| KNIGHTS OF COLUMBUS COUNCIL #1544 BEMIDJI | ||||||||||
| 702 BELTRAMI AVE NW | BEMIDJI | MN | 56601 | 237543090 | 501(C)(8) | $6,200 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| LEADERSHIP SOUTH DAKOTA | ||||||||||
| PO BOX 675 | PLATTE | SD | 57369 | 820880122 | 501(C)(3) | $20,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| LEGEND SPORTS INSTITUTE LLC | ||||||||||
| 322 E 8TH ST STE 206 | SIOUX FALLS | SD | 57103 | 264544536 | $35,000 | $0 | PROGRAM SUPPORT | |||
| LEGENDS OF GOLD | ||||||||||
| PO BOX 287 | BERESFORD | SD | 57004 | 273794971 | 501(C)(3) | $40,000 | $0 | PROGRAM SUPPORT | ||
| LINCOLN HIGH SCHOOL | ||||||||||
| 201 E 38TH ST | SIOUX FALLS | SD | 57105 | 466002586 | 501(C)(3) | $107,300 | $0 | PROGRAM SUPPORT,SCHOLARSHIP ENDOWMENT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| MAKE A WISH | ||||||||||
| 4143 26TH AVE S STE 104 | FARGO | ND | 58104 | 450393770 | 501(C)(3) | $15,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MAKE A WISH FOUNDATION OF MINNESOTA | ||||||||||
| 1919 UNIVERSITY AVE W | ST PAUL | MN | 55104 | 411422893 | 501(C)(3) | $7,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MANDAN PARK DISTRICT | ||||||||||
| 2600 46TH AVE SE | MANDAN | ND | 58554 | 456002119 | 115 | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MANDAN PUBLIC SCHOOLS | ||||||||||
| 901 DIVISION ST NW | MANDAN | ND | 58554 | 456001098 | 115 | $13,000 | $0 | PROGRAM SUPPORT | ||
| MAYVILLE STATE UNIVERSITY | ||||||||||
| 330 THIRD ST NE | MAYVILLE | ND | 58257 | 456002485 | 501(C)(3) | $66,000 | $0 | PROGRAM SUPPORT,SCHOLARSHIP ENDOWMENT | ||
| MCCROSSAN BOYS RANCH | ||||||||||
| 47135 260TH ST | SIOUX FALLS | SD | 57107 | 460311913 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MCKENZIE COUNTY HEALTHCARE SYS | ||||||||||
| 709 4TH AVE NE | WATFORD CITY | ND | 58854 | 770637498 | 501(C)(3) | $100,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 221 NE GLEN OAK AVE | PEORIA | IL | 61636 | 510186460 | 501(C)(3) | $746,321 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MIAMI CHILDRENS HEALTH SYSTEM FOUNDATION INC | ||||||||||
| 3100 SW 62ND AVE | MIAMI | FL | 33155 | 461784918 | 501(C)(3) | $3,000,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MIDWEST FUNDING LLC | ||||||||||
| 6045 S LOUISE AVE | SIOUX FALLS | SD | 57108 | 861821983 | $5,500 | $0 | PROGRAM SUPPORT | |||
| MINNESOTA STATE UNIVERSITY MANKATO FOUNDATION INC | ||||||||||
| 236 WIGLEY ADMINISTRATION CTR | MANKOTA | MN | 56001 | 416033423 | 501(C)(3) | $200,000 | $0 | SCHOLARSHIP ENDOWMENT | ||
| MINNESOTA STATE UNIVERSITY MOORHEAD | ||||||||||
| 1104 7TH AVE SOUTH | MOORHEAD | MN | 56563 | 411687554 | 115 | $672,725 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| MINNESOTA WEST FOUNDATION | ||||||||||
| 1593 11TH AVENUE | GRANITE FALLS | MN | 56241 | 363266500 | 501(C)(3) | $10,400 | $0 | SCHOLARSHIP ENDOWMENT | ||
| MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER | ||||||||||
| 1405 ANNE ST NW | BEMIDJI | MN | 56601 | 841711812 | 501(C)(3) | $20,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| MISSOURI SLOPE AREAWIDE UNITED WAY | ||||||||||
| 515 N 4TH ST | BISMARCK | ND | 58501 | 450387741 | 501(C)(3) | $38,000 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| MITCHELL PARKS & RECREATION | ||||||||||
| 612 NORTH MAIN STREET | MITCHELL | SD | 57301 | 466000305 | 115 | $15,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ML HOCKEY LLC | ||||||||||
| 1103 SOCORRO PLACE | BISMARCK | ND | 58501 | 872668590 | $33,250 | $0 | PROGRAM SUPPORT | |||
| MOORHEAD YOUTH HOCKEY ASSOCIATION | ||||||||||
| 707 SE MAIN AVE | MOORHEAD | MN | 56560 | 237221429 | 501(C)(3) | $50,000 | $0 | PROGRAM SUPPORT | ||
| MULTIPLE SCLEROSIS SOCIETY | ||||||||||
| 733 THIRD AVENUE FLOOR 3 | NEW YORK | NY | 10017 | 135661935 | 501(C)(3) | $20,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NAMELESS COALITION FOR THE HOMELESS | ||||||||||
| PO BOX 353 | BEMIDJI | MN | 566010353 | 472472053 | 501(C)(3) | $0 | $490,891 | ECONOMIC DEVELOPMENT | BOOK VALUE | COMMERCIAL BUILDING |
| NATIONAL FIELD ARCHERY ASSOCIATION FOUNDATION | ||||||||||
| 800 ARCHERY LN | YANKTON | SD | 57078 | 330430066 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| NATIONAL KIDNEY FOUNDATION | ||||||||||
| 30 EAST 33RD STREET | NEW YORK | NY | 10016 | 131673104 | 501(C)(3) | $33,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NDSCS FOUNDATION | ||||||||||
| 800 N 6TH ST | WAHPETON | ND | 580760002 | 450407617 | 501(C)(3) | $212,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| NORTH DAKOTA ASSISTIVE | ||||||||||
| 3240 15TH ST S SUITE B | FARGO | ND | 58104 | 270260522 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NORTH DAKOTA DEPARTMENT OF COMMERCE | ||||||||||
| 1600 E CENTURY AVE STE 2 | BISMARCK | ND | 585022057 | 450309764 | 115 | $7,500 | $0 | ECONOMIC DEVELOPMENT | ||
| NORTH DAKOTA FFA FOUNDATION INC | ||||||||||
| 909 BASIN AVE | BISMARCK | ND | 58504 | 450359297 | 501(C)(3) | $6,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| NORTH DAKOTA HOSPITAL ASSOCIATION | ||||||||||
| PO BOX 7340 | BISMARCK | ND | 585077340 | 450274165 | 501(C)(6) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NORTH DAKOTA INTERSCHOLASTIC ATHLETIC ADMINISTRATORS ASSOCIATION | ||||||||||
| 125 SLATE DR STE 7 | BISMARCK | ND | 58503 | 450461077 | 501(C)(6) | $20,000 | $0 | PROGRAM SUPPORT | ||
| NORTH DAKOTA SAFETY COUNCIL | ||||||||||
| 1710 CANARY AVE SUITE A | BISMARCK | ND | 58501 | 450353009 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NORTH DAKOTA STATE UNIVERSITY | ||||||||||
| PO BOX 6050 | FARGO | ND | 581086050 | 456002439 | 501(C)(3) | $723,777 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| NORTH SARGENT PUBLIC SCHOOL DISTRICT #3 | ||||||||||
| PO BOX 289 | GWINNER | ND | 58040 | 456001516 | 115 | $11,100 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| NORTHERN LIGHTS COUNCIL OF THE BOY SCOUTS OF AMERICA INC | ||||||||||
| 4200 19TH AVE S | FARGO | ND | 581037207 | 450226415 | 501(C)(3) | $8,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NORTHERN LIGHTS YOUTH SERVICES INC | ||||||||||
| PO BOX 743 | HILLSBORO | ND | 58045 | 371473272 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| NORTHERN STATE UNIVERSITY | ||||||||||
| 1200 S JAY ST | ABERDEEN | SD | 574017198 | 466000364 | 115 | $774,500 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| NORTHERN SUN INTERCOLLEGIATE CONFERENCE | ||||||||||
| 2999 COUNTY RD 42 W | BURNSVILLE | MN | 55306 | 411783486 | 501(C)(3) | $200,000 | $0 | SCHOLARSHIP ENDOWMENT,PROGRAM SUPPORT | ||
| NORTH DAKOTA STATE UNIVERSITY FOUNDATION & ALUMNI ASSOCIATION | ||||||||||
| 1241 UNIVERSITY DR N | FARGO | ND | 58102 | 237120898 | 501(C)(3) | $2,432,530 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| OAK GROVE LUTHERAN SCHOOL | ||||||||||
| 124 N TERRACE | FARGO | ND | 58102 | 450226473 | 501(C)(3) | $33,050 | $0 | PROGRAM SUPPORT | ||
| PARK RAPIDS ACTIVITIES FOUNDATION INC | ||||||||||
| PO BOX 211 | PARK RAPIDS | MN | 56470 | 411704411 | 501(C)(3) | $8,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| PERHAM AREA ACTIVITY CENTER | ||||||||||
| 620 3RD AVE SE | PERHAM | MN | 56573 | 411565457 | 501(C)(3) | $40,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| PHILANTHROPY PROMOTIONS INC | ||||||||||
| 2601 W 60TH ST N | SIOUX FALLS | SD | 57107 | 870695596 | 501(C)(3) | $30,000 | $0 | ECONOMIC DEVELOPMENT | ||
| PLAINS ART MUSEUM | ||||||||||
| 704 1ST AVE N | FARGO | ND | 58102 | 411260780 | 501(C)(3) | $12,500 | $0 | ECONOMIC DEVELOPMENT | ||
| PRESIDENTS BOWL | ||||||||||
| PO BOX 1443 | SIOUX FALLS | SD | 571011443 | 911776303 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| PROFESSIONAL PATIENT ADVOCATES IN LIFE SCIENCES INC | ||||||||||
| 94 HILLANDALE RD | DANBURY | CT | 06811 | 472878879 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| PROJECT PREP OLY DEVELOPMENT PROGRAM | ||||||||||
| PO BOX 385970 | BLOOMINGTON | MN | 55438 | 043644163 | 501(C)(3) | $12,500 | $0 | PROGRAM SUPPORT | ||
| RAPID CITY CLUB FOR BOYS INC | ||||||||||
| 320 N 4TH ST | RAPID CITY | SD | 57701 | 460277778 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| RE ARENA INC | ||||||||||
| ONE RALPH ENGELSTAD ARENA DR | GRAND FORKS | ND | 58203 | 113666663 | 501(C)(3) | $18,500 | $0 | ECONOMIC DEVELOPMENT | ||
| REACH LITERACY | ||||||||||
| 2101 W 41ST ST STE 23 | SIOUX FALLS | SD | 57105 | 460396579 | 501(C)(3) | $6,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| RED RIVER CHILDRENS ADVOCACY CENTER | ||||||||||
| 100 S 4TH ST STE 302 | FARGO | ND | 58103 | 201095721 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| RED RIVER ZOOLOGICAL SOCIETY | ||||||||||
| 4255 23RD AVE S | FARGO | ND | 58104 | 363938878 | 501(C)(3) | $27,500 | $0 | ECONOMIC DEVELOPMENT | ||
| REGIONS HOSPITAL FOUNDATION | ||||||||||
| 640 JACKSON ST | ST PAUL | MN | 55101 | 411888902 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| RESTORATION GENERATION INC | ||||||||||
| PO BOX 91405 | SIOUX FALLS | SD | 57109 | 271864860 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| RONALD MCDONALD HOUSE | ||||||||||
| 4757 AGASSIZ XING S | FARGO | ND | 58104 | 450365598 | 501(C)(3) | $100,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| RONALD MCDONALD HOUSE CHARITY | ||||||||||
| 825 S LAKE ROAD | SIOUX FALLS | SD | 57104 | 460371152 | 501(C)(3) | $107,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ROOSEVELT HIGH SCHOOL | ||||||||||
| 6600 W 41ST ST | SIOUX FALLS | SD | 57106 | 466002586 | 501(C)(3) | $108,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT,GENERAL SUPPORT | ||
| SAMARITANS FEET | ||||||||||
| PO BOX 78992 | CHARLOTTE | NC | 282717045 | 141880905 | 501(C)(3) | $1,000,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SANFORD SCHOOL OF MEDICINE | ||||||||||
| 414 EAST CLARK ST | VERMILLION | SD | 57069 | 466000364 | 115 | $660,730 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| SD GOVERNORS OFFICE OF ECONOMIC DEVELOPMENT | ||||||||||
| 711 EAST WELLS AVENUE | PIERRE | SD | 57501 | 466000364 | 115 | $101,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SD GUARDIANSHIP PROGRAM INC | ||||||||||
| PO BOX 794 | PIERRE | SD | 57501 | 460366602 | 501(C)(3) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SD LAW ENFORCEMENT CHARITIES | ||||||||||
| 101 SOUTH MAIN AVE STE 100 | SIOUX FALLS | SD | 57104 | 460440378 | 501(C)(3) | $15,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SHILOH CHRISTIAN SCHOOL | ||||||||||
| 1915 SHILOH DR | BISMARCK | ND | 58503 | 450348120 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| SHOW CHOIRS OF BEMIDJI INC | ||||||||||
| 21132 GOLD COAST RD NW | BEMIDJI | MN | 56601 | 800324292 | 501(C)(3) | $6,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SIOUX COUNCIL BOY SCOUTS | ||||||||||
| 800 N WEST AVE | SIOUX FALLS | SD | 57104 | 460224599 | 501(C)(3) | $31,300 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX EMPIRE JUNIOR GOLF ASSOCIATION | ||||||||||
| 7708 W VISTA PARK ST | SIOUX FALLS | SD | 57106 | 205858531 | 501(C)(3) | $20,000 | $0 | PROGRAM SUPPORT | ||
| SIOUX EMPIRE UNITED WAY | ||||||||||
| 1000 N W AVE 120 | SIOUX FALLS | SD | 571041314 | 460233701 | 501(C)(3) | $271,082 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| SIOUX EMPIRE YOUTH WRESTLING ASSOCIATION | ||||||||||
| 3509 S GENEVIEVE AVE | SIOUX FALLS | SD | 57103 | 822705107 | 501(C)(3) | $35,000 | $0 | PROGRAM SUPPORT | ||
| SIOUX FALLS AREA CASA PROGRAM | ||||||||||
| PO BOX 1901 | SIOUX FALLS | SD | 57101 | 460430647 | 501(C)(3) | $15,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SIOUX FALLS AREA COMMUNITY FOUNDATION | ||||||||||
| 200 N CHERAPA PL | SIOUX FALLS | SD | 57103 | 311748533 | 501(C)(3) | $335,500 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| SIOUX FALLS CATHOLIC SCHOOL CORPORATION | ||||||||||
| 3100 W 41ST ST | SIOUX FALLS | SD | 57105 | 460413591 | 501(C)(3) | $62,750 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX FALLS CHRISTIAN SCHOOL ASSOCIATION | ||||||||||
| 6120 S CHARGER CIRCE | SIOUX FALLS | SD | 57108 | 460340024 | 501(C)(3) | $140,000 | $0 | SCHOLARSHIP ENDOWMENT,PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX FALLS CYCLONES INC | ||||||||||
| PO BOX 361 | SIOUX FALLS | SD | 57101 | 274705069 | 501(C)(3) | $22,750 | $0 | PROGRAM SUPPORT | ||
| SIOUX FALLS FAMILY FEST LLC | ||||||||||
| PO BOX 90646 | SIOUX FALLS | SD | 57109 | 812254064 | 501(C)(3) | $8,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SIOUX FALLS HOPE COALITION | ||||||||||
| 2211 W CHERRYWOOD CIR | SIOUX FALLS | SD | 57108 | 822097994 | 501(C)(3) | $25,000 | $0 | COMMUNITY HEALTH IMPROVEMENT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX FALLS LUTHERAN SCHOOL ASSOCIATION | ||||||||||
| 308 W 37TH ST | SIOUX FALLS | SD | 57105 | 460343381 | 501(C)(3) | $1,001,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,PROGRAM SUPPORT | ||
| SIOUX FALLS PUBLIC SCHOOL EDUCATION FOUNDATION | ||||||||||
| PO BOX 560 | SIOUX FALLS | SD | 57101 | 263537657 | 501(C)(3) | $14,000 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX FALLS SCHOOL DISTRICT 49-5 | ||||||||||
| 201 E 38TH ST | SIOUX FALLS | SD | 57105 | 466002586 | 501(C)(3) | $117,400 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| SIOUX FALLS SPORTS AUTHORITY | ||||||||||
| 200 N PHILLIPS AVE SUITE 304 | SIOUX FALLS | SD | 57104 | 205850491 | 501(C)(3) | $2,551,775 | $0 | ECONOMIC DEVELOPMENT | ||
| SIOUX FALLS SWIM TEAM | ||||||||||
| PO BOX 758 | SIOUX FALLS | SD | 57101 | 460343732 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| SIOUX FALLS WOMEN RUN LLC | ||||||||||
| 5235 S SWEETBRIAR CT | SIOUX FALLS | SD | 57108 | 813518734 | 501(C)(6) | $15,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| SOUL SOLUTIONS RECOVERY CENTER INC | ||||||||||
| 1801 38TH ST S | FARGO | ND | 58103 | 843025490 | 501(C)(3) | $10,000 | $0 | RESEARCH | ||
| SOUTH DAKOTA BASKETBALL COACHES ASSOCIATION | ||||||||||
| 1404 YOSEMITE LANE | BROOKINGS | SD | 57006 | 811379554 | 501(C)(3) | $7,500 | $0 | PROGRAM SUPPORT | ||
| SOUTH DAKOTA CATTLEMENS FOUNDATION | ||||||||||
| PO BOX 29 | DE SMET | SD | 57231 | 462773322 | 501(C)(3) | $15,998 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTH DAKOTA COMMUNITY FOUNDATION | ||||||||||
| 1714 N LINCOLN AVE | PIERRE | SD | 57501 | 460398115 | 501(C)(3) | $1,260,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTH DAKOTA CORN GROWERS ASSOCIATION | ||||||||||
| 4712 S TECHNOPOLIS DR | SIOUX FALLS | SD | 57106 | 460392991 | 501(C)(5) | $6,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTH DAKOTA GOLF ASSOCIATION JUNIOR GOLF FOUNDATION | ||||||||||
| PO BOX 88938 | SIOUX FALLS | SD | 57109 | 460449824 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| SOUTH DAKOTA HALL OF FAME | ||||||||||
| 1480 SOUTH MAIN | CHAMBERLAIN | SD | 57325 | 460324210 | 501(C)(3) | $65,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION | ||||||||||
| PO BOX 1217 | PIERRE | SD | 575011217 | 460226882 | 501(C)(3) | $130,000 | $0 | PROGRAM SUPPORT | ||
| SOUTH DAKOTA LACROSSE BOOSTER CLUB | ||||||||||
| 606 E TAN TARA CIR | SIOUX FALLS | SD | 57106 | 464887667 | 501(C)(3) | $22,500 | $0 | PROGRAM SUPPORT | ||
| SOUTH DAKOTA MILITARY HERITAGE ALLIANCE INC | ||||||||||
| 1600 W RUSSELL ST | SIOUX FALLS | SD | 57104 | 832381925 | 501(C)(3) | $250,000 | $0 | MILITARY AND VETERANS SERVICES | ||
| SOUTH DAKOTA STATE UNIVERSITY FOUNDATION | ||||||||||
| 815 MEDARY AVE | BROOKINGS | SD | 57007 | 460273801 | 501(C)(3) | $1,286,000 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| SOUTH DAKOTA SYMPHONY ORCHESTRA | ||||||||||
| 300 NORTH DAKOTA AVE STE 116 | SIOUX FALLS | SD | 57104 | 466017026 | 501(C)(3) | $85,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTH DAKOTA YOUTH SOCCER ASSOCIATION | ||||||||||
| 2127 S MINNESOTA AVE STE 201 | SIOUX FALLS | SD | 57105 | 237183054 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| SOUTH EASTERN DEVELOPMENT FOUNDATION | ||||||||||
| 500 N WESTERN AVENUE | SIOUX FALLS | SD | 57104 | 300017659 | 501(C)(3) | $0 | $111,783 | ECONOMIC DEVELOPMENT | BOOK VALUE | RESIDENTIAL BUILDING |
| SOUTHEAST TECHNICAL INSTITUTE | ||||||||||
| 201 E 38TH ST | SIOUX FALLS | SD | 571055898 | 466002586 | 115 | $21,621 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| SOUTHWEST INITIATIVE FOUNDATION | ||||||||||
| 15 3RD AVE NW | HUTCHINSON | MN | 55350 | 411555592 | 501(C)(3) | $6,000 | $0 | ECONOMIC DEVELOPMENT | ||
| SOUTHWEST MINNESOTA STATE UNIVERSITY FOUNDATION | ||||||||||
| FOUNDERS HALL 1501 STATE ST | MARSHALL | MN | 56258 | 237108470 | 501(C)(3) | $100,000 | $0 | SCHOLARSHIP ENDOWMENT | ||
| SPECIAL OLYMPICS SOUTH DAKOTA | ||||||||||
| 800 E I-90 LANE | SIOUX FALLS | SD | 57104 | 460359776 | 501(C)(3) | $16,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| ST JOHN PAUL II CATHOLIC SCHOOLS NETWORK | ||||||||||
| 5600 25TH ST S | FARGO | ND | 581047123 | 450403317 | 501(C)(3) | $25,000 | $0 | PROGRAM SUPPORT | ||
| THE BANQUET | ||||||||||
| 900 E 8TH ST | SIOUX FALLS | SD | 57103 | 460387495 | 501(C)(3) | $30,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE BISMARCK MARATHON | ||||||||||
| PO BOX 7023 | BISMARCK | ND | 585077023 | 208441757 | 501(C)(3) | $10,300 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE BISMARCK STATE COLLEGE FOUNDATION | ||||||||||
| PO BOX 5587 | BISMARCK | ND | 585065587 | 450358929 | 501(C)(3) | $449,048 | $0 | EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| THE CHAMBER FARGO MOORHEAD WEST FARGO | ||||||||||
| PO BOX 2443 | FARGO | ND | 581082443 | 450448041 | 501(C)(6) | $30,934 | $0 | ECONOMIC DEVELOPMENT | ||
| THE COMMUNITY FOUNDATION OF MIDDLE TENNESSEE INC | ||||||||||
| 3833 CLEGHORN AVE | NASHVILLE | TN | 37215 | 621471789 | 501(C)(3) | $20,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE GIVING BACK FUND INC | ||||||||||
| 5757 WEST CENTURY BLVD STE 410 | LOS ANGELES | CA | 90045 | 043367888 | 501(C)(3) | $20,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE GLORY HOUSE OF SIOUX FALLS | ||||||||||
| 4000 S WEST AVE | SIOUX FALLS | SD | 57105 | 460308425 | 501(C)(3) | $15,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE GRAY ACADEMY | ||||||||||
| 5757 W CENTURY BLVD STE 410 | LOS ANGELES | CA | 90045 | 831590154 | 501(C)(3) | $15,000 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| THE GREAT NORTH POLE | ||||||||||
| 675 13TH AVE E STE 101 | WEST FARGO | ND | 58078 | 821969429 | 501(C)(3) | $20,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE LEUKEMIA & LYMPHOMA SOCIETY INC | ||||||||||
| 3 INTERNATIONAL DR STE 200 | RYE BROOK | NY | 105737501 | 135644916 | 501(C)(3) | $7,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE OUTDOOR ADVENTURE FOUNDATION INC | ||||||||||
| 415 38TH ST S STE E | FARGO | ND | 58103 | 270192316 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| THE SUMMIT LEAGUE INC | ||||||||||
| 4000 N HERCULES AVE STE 200 | SIOUX FALLS | SD | 571071401 | 391417116 | 501(C)(3) | $1,640,000 | $0 | PROGRAM SUPPORT,SCHOLARSHIP ENDOWMENT,ECONOMIC DEVELOPMENT | ||
| THIEF RIVER FALLS PUBLIC SCHOOL ISD 564 | ||||||||||
| 230 LABREE AVENUE SOUTH | THIEF RIVER FALLS | MN | 56701 | 416003126 | 115 | $5,550 | $0 | PROGRAM SUPPORT | ||
| TRI-CITY STORM SOCCER CLUB | ||||||||||
| 1323 23RD ST S STE A | FARGO | ND | 58103 | 363346894 | 501(C)(3) | $17,500 | $0 | PROGRAM SUPPORT | ||
| TYTAN ENTERPRISES LLC | ||||||||||
| 5901 S SOUTHEASTERN AVE 104 | SIOUX FALLS | SD | 57108 | 270805922 | $82,000 | $0 | PROGRAM SUPPORT | |||
| UNITED TRIBES TECH COLLEGE | ||||||||||
| 3315 UNIVERSITY DR | BISMARCK | ND | 58504 | 450314233 | 501(C)(3) | $7,580 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| UNITED WAY OF BEMIDJI AREA | ||||||||||
| PO BOX 27 | BEMIDJI | MN | 56619 | 411567744 | 501(C)(3) | $126,278 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| UNITED WAY OF CASS-CLAY | ||||||||||
| PO BOX 1609 | FARGO | ND | 581071609 | 410810008 | 501(C)(3) | $175,562 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| UNITED WAY OF DOUGLAS & POPE COUNTIES | ||||||||||
| 503 HAWTHORNE ST STE 131 | ALEXANDRIA | MN | 56308 | 237450908 | 501(C)(3) | $6,000 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| UNITED WAY OF NORTHEASTERN SOUTH DAKOTA | ||||||||||
| PO BOX 1065 | ABERDEEN | SD | 574021065 | 237086355 | 501(C)(3) | $10,000 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| UNITED WAY OF VERMILLION | ||||||||||
| PO BOX 216 | VERMILLION | SD | 57069 | 363535078 | 501(C)(3) | $6,594 | $0 | COMMUNITY HEALTH IMPROVEMENT,ECONOMIC DEVELOPMENT | ||
| UNIVERSITY OF JAMESTOWN | ||||||||||
| 6085 COLLEGE LANE | JAMESTOWN | ND | 58405 | 450231180 | 501(C)(3) | $65,500 | $0 | PROGRAM SUPPORT | ||
| UNIVERSITY OF MARY | ||||||||||
| 7500 UNIVERSITY DR | BISMARCK | ND | 58504 | 450273403 | 501(C)(3) | $10,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| UNIVERSITY OF NEBRASKA FOUNDATION | ||||||||||
| 1010 LINCOLN MALL STE 300 | LINCOLN | NE | 68508 | 470379839 | 501(C)(3) | $250,000 | $0 | SCHOLARSHIP ENDOWMENT | ||
| UNIVERSITY OF NORTH DAKOTA ALUMNI ASSOCIATION & FOUNDATION | ||||||||||
| 3501 UNIVERSITY AVE STOP 8157 | GRAND FORKS | ND | 58202 | 450348296 | 501(C)(3) | $101,750 | $0 | SCHOLARSHIP ENDOWMENT | ||
| UNIVERSITY OF SOUTH DAKOTA FOUNDATION | ||||||||||
| 1110 N DAKOTA ST | VERMILLION | SD | 57069 | 466018891 | 501(C)(3) | $1,845,817 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT,SCHOLARSHIP ENDOWMENT | ||
| UNIVERSITY OF WISCONSON FOUNDATION | ||||||||||
| 1848 UNIVERSITY AVE | MADISON | WI | 537264090 | 390743975 | 501(C)(3) | $275,000 | $0 | SCHOLARSHIP ENDOWMENT | ||
| USPIREND | ||||||||||
| 4758 92ND AVE SW | RICHARDTON | ND | 58652 | 861588678 | 501(C)(3) | $13,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| VALLEY CITY STATE UNIVERSITY | ||||||||||
| 101 COLLEGE ST SW | VALLEY CITY | ND | 58072 | 456002482 | 115 | $5,500 | $0 | EDUCATION/WORKFORCE DEVELOPMENT | ||
| VENUWORKS OF BEMIDJI LLC | ||||||||||
| 1111 EVENT CENTER DR NE | BEMIDJI | MN | 56601 | 270941862 | $201,368 | $0 | ECONOMIC DEVELOPMENT | |||
| VERMILLION AREA CHAMBER AND DEVELOPMENT CO | ||||||||||
| 2 E MAIN ST STE 101 | VERMILLION | SD | 57069 | 460284795 | 501(C)(3) | $30,000 | $0 | ECONOMIC DEVELOPMENT | ||
| VETERANS COMMUNITY PROJECT | ||||||||||
| 88900 TROOST AVE | KANSAS CITY | MO | 64131 | 474960735 | 501(C)(3) | $17,000 | $0 | MILITARY AND VETERANS SERVICES | ||
| VILLAGE FAMILY SERVICE CENTER | ||||||||||
| 808 3RD AVE S STE 101 | FARGO | ND | 58103 | 450226423 | 501(C)(3) | $102,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| VILLAGE NORTHWEST UNLIMITED | ||||||||||
| 330 VILLAGE CIRCLE | SHELDON | IA | 51201 | 421044017 | 501(C)(3) | $27,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| VOLUNTEERS OF AMERICA DAKOTAS | ||||||||||
| PO BOX 89306 | SIOUX FALLS | SD | 57109 | 237353508 | 501(C)(3) | $40,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| WASHINGTON PAVILION MANAGEMENT INC | ||||||||||
| PO BOX 984 | SIOUX FALLS | SD | 57101 | 460435791 | 501(C)(3) | $95,481 | $0 | ECONOMIC DEVELOPMENT | ||
| WATERTOWN AREA COMMUNITY FOUNDATION | ||||||||||
| 211 E KEMP AVE | WATERTOWN | SD | 57201 | 460350319 | 501(C)(3) | $20,000 | $0 | ECONOMIC DEVELOPMENT | ||
| WATERTOWN DEVELOPMENT COMPANY | ||||||||||
| PO BOX 332 | WATERTOWN | SD | 57201 | 470813269 | 501(C)(3) | $15,000 | $0 | ECONOMIC DEVELOPMENT | ||
| WEST CENTRAL SCHOOL DISTRICT 49-7 | ||||||||||
| PO BOX 252 | HARTFORD | SD | 57033 | 460284421 | 115 | $24,800 | $0 | PROGRAM SUPPORT,EDUCATION/WORKFORCE DEVELOPMENT | ||
| WESTERN REGION ECONOMIC DEVELOPMENT | ||||||||||
| PO BOX 1306 | WILLISTON | ND | 58802 | 363803598 | 501(C)(6) | $10,000 | $0 | ECONOMIC DEVELOPMENT | ||
| WHEATON COUNTRY CLUB INC | ||||||||||
| PO BOX 885 | WHEATON | MN | 56296 | 410718632 | $10,000 | $0 | ECONOMIC DEVELOPMENT | |||
| WINGS OF VALOR INC | ||||||||||
| 45618 278TH ST | PARKER | SD | 57053 | 843711088 | 501(C)(3) | $50,250 | $0 | MILITARY AND VETERANS SERVICES | ||
| WINNER REGIONAL FOUNDATION | ||||||||||
| 745 E 8TH ST | WINNER | SD | 57580 | 363739631 | 501(C)(3) | $100,350 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| WORLD GOLF FOUNDATION INC | ||||||||||
| PO BOX 3055 | PONTE VEDRA BEACH | FL | 32004 | 592998925 | 501(C)(3) | $200,000 | $0 | RESEARCH | ||
| YELLOW JACKET FOUNDATION | ||||||||||
| 1200 UNIVERSITY ST UNIT 9506 | BELLE FOURCHE | SD | 57717 | 510151319 | 501(C)(3) | $125,000 | $0 | PROGRAM SUPPORT | ||
| YMCA OF CASS & CLAY COUNTIES (FARGO MOORHEAD) | ||||||||||
| 400 1ST AVE S | FARGO | ND | 58103 | 450232096 | 501(C)(3) | $18,000 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| YOUNG MENS CHRISTIAN ASSOCIATION (YMCA) | ||||||||||
| 230 S MINNESOTA AVE | SIOUX FALLS | SD | 57104 | 460225021 | 501(C)(3) | $54,500 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| YOUTH & FAMILY SERVICES INC | ||||||||||
| 1920 N PLAZA BLVD | RAPID CITY | SD | 57702 | 466017085 | 501(C)(3) | $5,560 | $0 | COMMUNITY HEALTH IMPROVEMENT | ||
| YOUTH ATHLETIC FOUNDATION | ||||||||||
| PO BOX 770445 | MEMPHIS | TN | 381770445 | 264744698 | 501(C)(3) | $10,000 | $0 | PROGRAM SUPPORT | ||
| ZOOLOGIAL SOCIETY OF SIOUX FALLS | ||||||||||
| 805 S KIWANIS AVE | SIOUX FALLS | SD | 57104 | 466015015 | 501(C)(3) | $37,500 | $0 | ECONOMIC DEVELOPMENT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 236 | Total501c3OrgCnt |
| Total Other Org | 33 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EDUCATIONAL ASSISTANCE | 575 | $615,607 |
| GENERAL SUPPORT FOR COMMUNITY PROGRAMS | 6 | $66,500 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | PRIOR TO DISBURSEMENT ALL GRANT FUND REQUESTS ARE REVIEWED TO ENSURE THE RECEIVING ORGANIZATION AND PROPOSED USE OF FUNDS ALIGN WITH SANFORD'S MISSION. |
| PART III, COLUMN A: | SANFORD HEALTH PROVIDES SCHOLARSHIPS TO EMPLOYEES WHO ARE ENROLLED IN A QUALIFIED EDUCATION PROGRAM. SANFORD HEALTH PAYS THE SCHOLARSHIP DIRECTLY TO THE EDUCATIONAL INSTITUTION WHERE THE EMPLOYEE IS ENROLLED. IF AN EMPLOYEE HAS ALREADY PAID THE EXPENSE, SANFORD HEALTH REQUIRES RECEIPT OF PAYMENT BEFORE REIMBURSEMENT IS MADE TO THE EMPLOYEE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BILL MARLETTE | ||||||||||||||
| EVP, CFO & TREASURER-END 12/21 | $0 | $1,504,270 | $0 | $431,002 | $0 | $245,068 | $0 | $0 | $0 | $13,341 | $0 | $2,193,681 | $0 | $0 |
| BILL MARLETTE | ||||||||||||||
| SEE SCH J, PART III, LINES 4A-4B | $0 | $0 | $0 | $436,802 | $0 | $4,380,230 | $0 | $0 | $0 | $0 | $0 | $4,817,032 | $0 | $0 |
| MICAH ABERSON | ||||||||||||||
| EVP, CHIEF INNOV OFFICER | $0 | $1,065,078 | $0 | $332,002 | $0 | $171,269 | $0 | $13,846 | $0 | $22,466 | $0 | $1,604,661 | $0 | $0 |
| MICAH ABERSON | ||||||||||||||
| SEE SCH J, PART III, LINES 4A-4B | $0 | $0 | $0 | $1,622,419 | $0 | $3,248,404 | $0 | $0 | $0 | $0 | $0 | $4,870,823 | $0 | $258,008 |
| BILL GASSEN III | ||||||||||||||
| TRUSTEE, PRESIDENT & CEO | $0 | $1,703,249 | $0 | $1,182,759 | $0 | $261,043 | $0 | $205,720 | $0 | $1,883 | $0 | $3,354,654 | $0 | $0 |
| ADAM STYS MD | ||||||||||||||
| PHYSICIAN | $3,237,602 | $0 | $0 | $0 | $18,464 | $0 | $14,500 | $0 | $26,240 | $0 | $3,296,806 | $0 | $0 | $0 |
| WILLIAM BRUNNER MD | ||||||||||||||
| PHYSICIAN | $3,120,391 | $0 | $0 | $0 | $3,597 | $0 | $14,097 | $0 | $22,972 | $0 | $3,161,057 | $0 | $0 | $0 |
| ERIC BELANGER MD | ||||||||||||||
| PHYSICIAN | $2,931,861 | $0 | $0 | $0 | $16,854 | $0 | $13,566 | $0 | $26,672 | $0 | $2,988,953 | $0 | $0 | $0 |
| TOMASZ STYS MD | ||||||||||||||
| PHYSICIAN | $2,806,729 | $0 | $0 | $0 | $140,308 | $0 | $14,500 | $0 | $23,293 | $0 | $2,984,830 | $0 | $0 | $0 |
| DARREN WALKER | ||||||||||||||
| SVP, CHIEF PEOPLE OFFICER | $0 | $708,024 | $0 | $253,000 | $0 | $88,457 | $0 | $14,500 | $0 | $24,975 | $0 | $1,088,956 | $0 | $0 |
| DARREN WALKER | ||||||||||||||
| SEE SCH J, PART III, LINES 4A-4B | $0 | $0 | $0 | $0 | $0 | $1,832,714 | $0 | $0 | $0 | $0 | $0 | $1,832,714 | $0 | $0 |
| MATT HOCKS | ||||||||||||||
| EVP, CHIEF OPERATING OFFICER | $0 | $1,360,816 | $0 | $330,002 | $0 | $216,577 | $0 | $154,897 | $0 | $27,725 | $0 | $2,090,017 | $0 | $0 |
| BRYAN NERMOE | ||||||||||||||
| PRESIDENT & CEO, FARGO | $0 | $826,264 | $0 | $402,504 | $0 | $137,342 | $0 | $503,120 | $0 | $24,543 | $0 | $1,893,773 | $0 | $0 |
| PAUL HANSON | ||||||||||||||
| PRESIDENT & CEO, SIOUX FALLS | $0 | $828,765 | $0 | $202,504 | $0 | $138,899 | $0 | $503,120 | $0 | $19,168 | $0 | $1,692,456 | $0 | $0 |
| MICHAEL LEBEAU MD | ||||||||||||||
| SVP, HEALTH SVC OPERATIONS-BEG 10/21 | $0 | $835,513 | $0 | $452,002 | $0 | $138,585 | $0 | $104,900 | $0 | $26,672 | $0 | $1,557,672 | $0 | $0 |
| RANDY BURY | ||||||||||||||
| FORMER CHIEF ADMIN OFF-END 12/21 | $0 | $984,890 | $0 | $273,000 | $0 | $177,196 | $0 | $27,139 | $0 | $26,297 | $0 | $1,488,522 | $0 | $0 |
| JENNIFER GRENNAN | ||||||||||||||
| EVP, CHIEF ADMIN OFFICER | $0 | $807,782 | $0 | $216,500 | $0 | $127,466 | $0 | $91,600 | $0 | $25,297 | $0 | $1,268,645 | $0 | $0 |
| MICHELLE BRUHN | ||||||||||||||
| EVP, CFO & TREASURER-BEG 12/21 | $0 | $847,016 | $0 | $179,504 | $0 | $124,238 | $0 | $92,080 | $0 | $25,297 | $0 | $1,268,135 | $0 | $0 |
| MARIA BELL MD | ||||||||||||||
| TRUSTEE, PHYSICIAN | $966,197 | $0 | $54,000 | $0 | $54,206 | $0 | $14,500 | $0 | $27,672 | $0 | $1,116,575 | $0 | $0 | $0 |
| MICHELLE MICKA | ||||||||||||||
| SVP, FINANCE, HEALTH SERVICES | $0 | $568,879 | $0 | $153,277 | $0 | $74,862 | $0 | $70,120 | $0 | $24,975 | $0 | $892,113 | $0 | $0 |
| SUSAN JARVIS | ||||||||||||||
| PRESIDENT & CEO, BEMIDJI | $0 | $531,089 | $0 | $133,253 | $0 | $98,930 | $0 | $68,920 | $0 | $25,865 | $0 | $858,057 | $0 | $0 |
| TODD SCHAFFER | ||||||||||||||
| PRESIDENT & CEO, BISMARCK-BEG 10/21 | $0 | $502,124 | $0 | $65,000 | $0 | $90,633 | $0 | $25,444 | $0 | $2,315 | $0 | $685,516 | $0 | $0 |
| MARK LUNDEEN MD | ||||||||||||||
| TRUSTEE, PHYSICIAN | $420,939 | $0 | $0 | $0 | $825 | $0 | $14,500 | $0 | $3,375 | $0 | $439,639 | $0 | $0 | $0 |
| JOANN KUNKEL | ||||||||||||||
| FORMER CFO-SCH J, PART III, 4A-4B | $0 | $0 | $0 | $339,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $339,000 | $0 | $0 |
| ANDY NORTH | ||||||||||||||
| TRUSTEE, SECRETARY | $303,056 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $303,056 | $0 | $0 | $0 |
| MARK PAULSON MD | ||||||||||||||
| TRUSTEE, PAST CHAIR, PHYSICIAN | $261,607 | $0 | $0 | $0 | $1,108 | $0 | $11,913 | $0 | $27,053 | $0 | $301,681 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ON PART I, QUESTIONS REGARDING COMPENSATION, SANFORD CHECKED SEVERAL OF THE ITEMS AS PROVIDED TO LISTED PERSONS: FIRST CLASS OR CHARTER TRAVEL - CHARTER TRAVEL FOR BUSINESS PURPOSES IS PROVIDED FOR INDIVIDUALS AS NEEDED AND AS COST APPROPRIATE, IN ACCORDANCE WITH WRITTEN POLICIES. THESE COSTS ARE NOT INCLUDED IN THE W-2'S OF THE INDIVIDUALS AS THEY ARE INCURRED FOR BUSINESS PURPOSES OF SANFORD. TRAVEL FOR COMPANIONS - LIMITED TRAVEL FOR COMPANIONS IS OFFERED FOR CERTAIN MEETINGS AND EVENTS. THESE COSTS ARE INCLUDED IN THE 1099'S OF THE INDIVIDUALS. SANFORD USED THE SIFL (STANDARD INDUSTRY FARE LEVEL) RATE METHOD TO IMPUTE THE FRINGE BENEFIT TO THE LISTED PERSON. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - CERTAIN COMPENSATION MAY BE GROSSED UP TO INCLUDE APPROPRIATE TAX AMOUNTS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - ALL SANFORD EMPLOYEES ARE ELIGIBLE FOR DISCOUNTED WELLNESS MEMBERSHIPS, A PORTION OF THESE DISCOUNTS AND OTHER CLUB DUES ARE INCLUDED AS FRINGE BENEFITS AND TAXED AS SUCH. PART I, LINE 3: THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2021. |
| PART I, LINES 4A-B | LINE 4A-SEVERANCE OR CHANGE OF CONTROL PAYMENT UPON HIRE OR PROMOTION, SELECT OFFICERS AND KEY EMPLOYEES SIGN AN EXECUTIVE SEVERANCE AGREEMENT (THE "AGREEMENT"). THE AGREEMENT PROVIDES THAT THE EXECUTIVE WILL RECEIVE A MULTIPLE OF HIS OR HER SALARY (BASED ON YEARS OF SERVICE OR POSITION) AS A PAYMENT IN THE EVENT OF A DEFINED SEPARATION EVENT, WHICH CAN INCLUDE AN INVOLUNTARY SEPARATION OR AN EMPLOYEE VOLUNTARILY LEAVING FOR A DEFINED CONTRACTUAL REASON. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B-SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS SANFORD SPONSORS NONQUALIFIED RETIREMENT PLANS FOR SELECT OFFICERS OR KEY EMPLOYEES. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT. LINE 4A AND 4B-PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: BILL MARLETTE: 2021 BONUS AND INCENTIVE COMPENSATION $436,802 SEPARATION $2,924,223 NONQUALIFIED RETIREMENT PLAN $1,456,007 TOTAL $4,817,032 MICAH ABERSON: 2021 BONUS AND INCENTIVE COMPENSATION $374,404 RETENTION PLAN AGREEMENT $1,248,015 SEPARATION $2,768,875 NONQUALIFIED RETIREMENT PLAN $479,529 TOTAL $4,870,823 DARREN WALKER: SEPARATION $1,635,127 NONQUALIFIED RETIREMENT PLAN $197,587 TOTAL $1,832,714 . JOANN KUNKEL: 2020 BONUS AND INCENTIVE COMPENSATION $339,000 |
| PART I, LINE 6 | SANFORD PHYSICIANS ARE COMPENSATED BASED ON THE PROFESSIONAL SERVICES THEY PERFORM WITHIN THE CLINIC IN WHICH THEY PROVIDE CARE. GENERALLY, THE MODEL IS BASED ON PRODUCTION. |
| PART I, LINE 7 | CERTAIN EMPLOYEES ARE ELIGIBLE FOR A DISCRETIONARY INCENTIVE BONUS. BONUSES ARE PAID BASED ON THE ACHIEVEMENT OF FINANCIAL AND OTHER GOALS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 460315509 | 83755VHY3 | 2004-09-14 | $70,073,989 | 2004: NEW CONSTRUCTION OF HEALTHCARE FACILITIES | 0 | 0 | 0 |
| CITY OF CHAMBERLAIN | ||||||||
| B | 460000094 | 000000000 | 2010-12-30 | $4,000,000 | 2010 CHAMB: NEW CONSTRUCTION OF LONG-TERM CARE FACILITIES | 0 | 0 | 0 |
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| C | 460315509 | 000000000 | 2012-03-29 | $66,185,000 | 2012AB: REFUNDING BONDS ISSUED 9/12/2001 AND 10/15/2002 | 0 | 0 | 0 |
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| D | 460315509 | 000000000 | 2012-06-14 | $45,000,000 | 2012D:REFINANCE TAXABLE INDEBTEDNESS USED TO CONSTRUCT HEALTHCARE FACILITY | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $57,075,000 | $71,581,953 | $69,505 | $764,068 | $70,817,885 | 2006 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $2,644,635 | $4,000,000 | $4,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |||
| C | $28,285,000 | $66,185,000 | $24,356 | 2012 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $66,160,644 | ||
| D | $17,030,000 | $45,000,000 | $45,000,000 | 2012 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2006 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/29/2013 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2019 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2020 |
| SCHEDULE K, PART I, BOND ISSUES | BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 9/14/2004, COLUMN(C) CUSIP #: 83755VHY3 AND 83755VHZ0 |
| PART I, COLUMN E AND PART II, LINE 3 | DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN E) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. |
| PART II, LINE 4 | THE AMOUNTS SHOWN HERE CONSIST OF DEBT SERVICE FUND DEPOSITS. |
| PART III | PART III HAS NOT BEEN COMPLETED FOR THE 3/29/2012 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS. THESE BONDS REFUNDED PRE-2003 DEBT THAT DOES NOT HAVE TO BE REPORTED. |
| PART IV, LINE 6 | WITH RESPECT TO THE 3/29/2012 AND 10/21/2015 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF BONDS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 460315509 | 83755VWA8 | 2014-08-05 | $52,083,720 | 2014A: CURRENT REFUND 2004A ISSUED 9/14/2004 | 0 | 0 | 0 |
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| B | 460315509 | 83755VXE9 | 2014-10-28 | $207,014,209 | 2014B: NEW CONSTRUCTION AND REMODELING OF HEALTHCARE FACILITIES | 0 | 0 | 0 |
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| C | 460315509 | 83755VZW7 | 2015-10-21 | $192,641,206 | 2015:NEW CONSTRUCTION & ADVANCED REFUNDING OF BONDS ISSUED 4/19/07, 5/22/07 | 0 | 0 | 0 |
| SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| D | 460315509 | 000000000 | 2016-10-28 | $50,000,000 | 2016: NEW CONSTRUCTION, EQUIPMENT AND IMPROVEMENTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $52,083,720 | $2 | $52,083,720 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| B | $207,081,359 | $14 | 2017 | 0 | 0 | Yes (1) | Yes (1) | $20,900,000 | $31,874 | $1,906,127 | $205,143,359 | |
| C | $192,707,024 | $14 | $80,746,163 | 2017 | 0 | Yes (1) | Yes (1) | Yes (1) | $20,905,000 | $1,431,628 | $110,529,233 | |
| D | $50,000,000 | 2017 | 0 | 0 | Yes (1) | Yes (1) | $25,000,000 | $150,032 | $49,849,968 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KATHRYN NERMOE | |||
| FAMILY RELATIONSHIP - BRYAN NERMOE | $138,347 | COMPENSATION | 0 |
| MELINDA ANDERSON | |||
| FAMILY RELATIONSHIP - MARK PAULSON | $133,264 | COMPENSATION | 0 |
| DANIEL ABERSON | |||
| FAMILY RELATIONSHIP - MICAH ABERSON | $710,654 | COMPENSATION | 0 |
| MALLORY NERMOE | |||
| FAMILY RELATIONSHIP - BRYAN NERMOE | $42,091 | COMPENSATION | 0 |
| MEGAN HEMMELGARN | |||
| FAMILY RELATIONSHIP - MARK PAULSON | $19,697 | COMPENSATION | 0 |
| KRISTI BENZ | |||
| FAMILY RELATIONSHIP - LAURIS MOLBERT | $58,031 | COMPENSATION | 0 |
| BARB EVERIST | |||
| EQUITY INVESTMENT IN EVERIST GENOMICS, INC. | $6,000,000 | PRIOR TO 2019, SANFORD INVESTED $6,000,000 IN EVERIST GENOMICS, INC. RESULTING IN 10% OR MORE OWNERSHIP INTEREST. THERE WERE NO ADDITIONAL DOLLARS INVESTED DURING 2021. AS A RESULT, SANFORD HEALTH AND BARB EVERIST BOTH OWNED MORE THAN 10% INTEREST IN THE COMPANY DURING 2021. | 0 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,096,326 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | BOOK VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 1 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 3A: | SANFORD HEALTH, SANFORD MEDICAL CENTER, SANFORD NORTH, SANFORD MEDICAL CENTER FARGO, SANFORD CLINIC NORTH, SANFORD CLINIC, SANFORD BISMARCK AND SANFORD WORLD CLINICS HAVE UNRELATED BUSINESS GROSS INCOME OVER $1,000. |
| PART V, LINE 4A: | SANFORD WORLD CLINICS HAS AN INTEREST IN FINANCIAL ACCOUNTS IN THE FOREIGN COUNTRIES OF GHANA, CHINA AND GERMANY. |
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF SANFORD OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED SANFORD BOARDS, OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: BILL GASSEN, BILL MARLETTE, BRYAN NERMOE, JENNIFER GRENNAN, MARIA BELL, MARK LUNDEEN, MARK PAULSON, MICAH ABERSON, MICHAEL LEBEAU, MICHELLE BRUHN, MICHELLE MICKA, PAUL HANSON, MATT HOCKS, SUSAN JARVIS, & TODD SCHAFFER. |
| FORM 990, PART VI, SECTION A, LINE 6 | SANFORD IS GOVERNED BY A BOARD OF TRUSTEES (BOT) THAT HAS ULTIMATE STRATEGIC AND DECISION MAKING AUTHORITY. THE BOT DELEGATES CERTAIN ACTIVITIES AND RESPONSIBILITIES TO BOARDS OF EACH OF SANFORD'S PRIMARY OPERATING SUBSIDIARIES. THE UNIQUE NATURE AND COMPLEXITY OF THE SUBSIDIARIES REQUIRES EACH TO HAVE A DELEGATED BOARD WITH A SINGULAR ENTITY FOCUS. SUCH BODIES, REFERRED TO AS BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS, ADDRESS MATTERS SUCH AS CREDENTIALING, ACCREDITATION STANDARDS, DEVELOPING BUDGETS, PROGRAMS AND FACILITIES ON AN ENTITY-SPECIFIC BASIS, AND GENERALLY CONSIST OF INDIVIDUALS DISTINCT FROM THE BOT. THESE BOARDS FUNCTION MUCH LIKE COMMITTEES IN A TRADITIONAL CORPORATE STRUCTURE. THE BOT THEN ACTS AS A HOLDING COMPANY BOARD, SYNTHESIZING AND RECONCILING EACH ENTITY'S PROGRAMS AND BUDGETS INTO A SYSTEM-WIDE STRATEGIC PLAN. THIS STRUCTURE OF GOVERNANCE PRODUCES A SIGNIFICANT NUMBER OF TRUSTEES, GOVERNORS AND DIRECTORS. SUBSIDIARIES INCLUDED WITHIN THIS GROUP TAX RETURN CONSIST OF SANFORD HEALTH, SANFORD NORTH, SANFORD MEDICAL CENTER, SANFORD MEDICAL CENTER FARGO, SANFORD CLINIC, SANFORD CLINIC NORTH, SANFORD HEALTH NETWORK, SANFORD HEALTH NETWORK NORTH, SANFORD HOME HEALTH, SANFORD RESEARCH, SANFORD RESEARCH NORTH, SANFORD WORLD CLINICS, SANFORD HEALTH OF NORTHERN MINNESOTA, BAKER PARK, INC., SANFORD WEST, AND SANFORD BISMARCK. THE BOARD OF TRUSTEES OF SANFORD IS ALSO THE BOARD OF TRUSTEES FOR SANFORD HEALTH, SANFORD NORTH AND SANFORD WEST, AND SANFORD IS THE SOLE CORPORATE MEMBER OF THESE ENTITIES. THESE ENTITIES, IN TURN, ARE THE SOLE CORPORATE MEMBERS OF THE MEMBER. THE ACTIONS APPROVED BY A SUBSIDIARY'S BOARD OF DIRECTORS ARE THEN APPROVED BY THE SANFORD BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SANFORD BOARD OF TRUSTEES APPOINTS THE BOARD MEMBERS FOR THE BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS OF THE SUBSIDIARY ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SANFORD BOARD OF TRUSTEES APPROVES THE ACTIONS APPROVED BY THE BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS OF THE SUBSIDIARY ENTITIES. FORM 990, PART VI, SECTION B, LINE 10B: SANFORD NORTH, SANFORD CLINIC AND SANFORD HEALTH NETWORK HAVE LOCAL CHAPTERS, BRANCHES OR AFFILIATES OVER WHICH THE ORGANIZATION HAS THE LEGAL AUTHORITY TO EXERCISE DIRECT OR INDIRECT SUPERVISION AND CONTROL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE BOARD OF TRUSTEES MEETING PRIOR TO THE RETURN FILING DATE. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO SYSTEM TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND, 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST, AND HOW TO MANAGE THEM. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2021. PART VI, LINE 16A: SANFORD HEALTH, SANFORD MEDICAL CENTER, SANFORD CLINIC, SANFORD MEDICAL CENTER FARGO AND SANFORD CLINIC NORTH HAVE PARTICIPATED IN JOINT VENTURES WITH TAXABLE ENTITIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALTHOUGH THE ORGANIZATION DOES NOT MAINTAIN A WEBSITE WHERE THE PUBLIC CAN ACCESS THESE DOCUMENTS, IT WOULD RESPOND INDIVIDUALLY TO ANY REQUESTS OR INQUIRIES FROM THE PUBLIC FOR THESE DOCUMENTS. |
| FORM 990, PART VII, SECTION A | THE SANFORD BOARD OF TRUSTEES HAS ULTIMATE GOVERANCE RESPONSIBILITIES FOR EACH MAJOR OPERATING ENTITY WITHIN SANFORD. IN ADDITION, A BOARD OF DIRECTORS IS ESTABLISHED FOR EACH MAJOR OPERATING ENTITY. THIS BOARD HAS SPECIFIC RESPONSIBILITIES DELEGATED FROM THE BOARD OF TRUSTEES. GENERALLY THESE RESPONSIBILITIES ARE RELATED TO THE OVERSIGHT OF THE DAY TO DAY OPERATIONS OF THAT ENTITY. |
| FORM 990, PART VII, SECTION B | WE ARE REPORTING ONE GROUP OF TOP FIVE EMPLOYEES AND INDEPENDENT CONTRACTORS FOR THE ENTIRE GROUP. AMOUNTS LISTED AS COMPENSATION FOR THE FIVE HIGHEST COMPENSATED INDEPENDENT CONTRACTORS INCLUDE PAYMENTS FOR BOTH MATERIALS AND SERVICES. |
| FORM 990, PART IX, LINE 24E | CME: PROGRAM SERVICE EXPENSES 5,987,732. MANAGEMENT AND GENERAL EXPENSES 11,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,999,632. GAIN/LOSS ON EXTINGUISHMENT OF DEBT: PROGRAM SERVICE EXPENSES 121,822. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,822. INTERCOMPANY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 312,290,249. MANAGEMENT AND GENERAL EXPENSES -378,610,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -66,320,735. |
| FORM 990, PART XI, LINE 9: | NET PAYROLL PAID BY PARENT NET OF OTHER EXPENSES PAID FOR AFFILIATES -21,843,043. PENSION PLAN ACTURIAL GAIN/LOSS 26,704,175. SANFORD PARENT PAID OFF DEBT OF CO 2620 AND TOOK ON NOTE 10,035,742. CAPITAL CONTRIBUTIONS TO SUBSIDIARIES -68,464,440. |
| FORM 990 ELECTIONS | FORM 990, PAGE 1, LINE H(A) - LISTING OF SUBORDINATE ORGANIZATIONS: NAMES, ADDRESSES, AND EINS SANFORD HEALTH 1305 W 18TH STREET, PO BOX 5039 SIOUX FALLS, SD 57117-5039 EIN: 31-1527032 SANFORD USD MEDICAL CENTER 1305 W 18TH STREET, PO BOX 5039 SIOUX FALLS, SD 57117-5039 EIN: 46-0227855 SANFORD HOME HEALTH 1305 W 18TH STREET, PO BOX 5039 SIOUX FALLS, SD 57117-5039 EIN: 46-0282134 SANFORD HEALTH NETWORK 1305 W 18TH STREET SIOUX FALLS, SD 57105 EIN: 46-0388596 SANFORD CLINIC 1305 W 18TH STREET, PO BOX 5039 SIOUX FALLS, SD 57117-5039 EIN: 46-0447693 SANFORD RESEARCH 2301 E 60TH STREET N SIOUX FALLS, SD 57104 EIN: 46-0450378 SANFORD RESEARCH NORTH 120 8TH STREET SOUTH FARGO, ND 58103 EIN: 45-0274828 SANFORD WORLD CLINICS 1305 W 18TH STREET SIOUX FALLS, SD 57105 EIN: 26-2707628 SANFORD NORTH 801 BROADWAY DRIVE, PO BOX 2010 FARGO, ND 58122 EIN: 45-0385890 SANFORD CLINIC NORTH 801 BROADWAY DRIVE, PO BOX 2010 FARGO, ND 58122 EIN: 91-1770748 SANFORD MEDICAL CENTER FARGO 801 BROADWAY DRIVE, PO BOX 2010 FARGO, ND 58122 EIN: 45-0226909 SANFORD HEALTH NETWORK NORTH 801 BROADWAY DRIVE, PO BOX 2010 FARGO, ND 58122 EIN: 45-0409348 SANFORD HEALTH OF NORTHERN MINNESOTA 1300 ANNE STREET NW BEMIDJI, MN 56601 EIN: 41-1266009 BAKER PARK, INC. 803 DEWEY AVENUE NW BEMIDJI, MN 56601 EIN: 41-1372480 SANFORD WEST 300 N 7TH STREET BISMARCK, ND 58501 EIN: 45-0397195 SANFORD BISMARCK 300 N 7TH STREET BISMARCK, ND 58501 EIN: 45-0226700 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 1527 BROADWAY LLC | |||||||||
| 1527 BROADWAY | ALEXANDRIA | MN | 56308 | 411336392 | REAL ESTATE | MN | $628,216 | $3,449,455 | SANFORD CLINIC NORTH |
| B&K PROPERTIES LLC | |||||||||
| PO BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175030 | 830614887 | REAL ESTATE | SD | -$168 | $0 | SANFORD HEALTH |
| HEALTHCARE ENVIRONMENTAL SERVICES LLC | |||||||||
| PO BOX 2010 | FARGO | ND | 58122 | 205236701 | RETAIL ENTERPRISES | ND | $1,240,887 | $4,282,263 | SANFORD NORTH |
| LINCOLN COUNTY REAL ESTATE TRUST | |||||||||
| 100 S PHILLIPS AVE | SIOUX FALLS | SD | 57104 | 466126929 | REAL ESTATE | SD | $0 | $0 | SANFORD HEALTH |
| LYNX TRUST | |||||||||
| PO BOX 5186 | SIOUX FALLS | SD | 57117 | 266167201 | INVESTMENT | SD | SANFORD HEALTH | ||
| NATIONAL STUDENT HOUSING TRUST-SD | |||||||||
| PO BOX 5186 | SIOUX FALLS | SD | 57117 | 206831968 | INVESTMENT | SD | SANFORD HEALTH | ||
| NORTH COUNTRY SENIOR LIVING LLC | |||||||||
| 1000 ANNE ST NW | BEMIDJI | MN | 56601 | 263862586 | SENIOR HOUSING | CO | -$444,794 | $6,046,542 | SANFORD HEALTH OF NORTHERN MINNESOTA |
| PPK FAMILY TRUST | |||||||||
| 100 S PHILLIPS AVE | SIOUX FALLS | SD | 57104 | 207317570 | RENTAL REAL ESTATE | SD | SANFORD HEALTH | ||
| SANFORD HEALTH MOBILE MED LLC | |||||||||
| 2603 E BROADWAY AVENUE | BISMARCK | ND | 58501 | 471209528 | MOBILE HEALTHCARE | ND | $0 | $0 | SANFORD HEALTH |
| SANFORD HEALTHCARE ACCESSORIES LLC | |||||||||
| 3223 32ND AVE SW | FARGO | ND | 58103 | 202404179 | SALES OF DURABLE MEDICAL EQUIP | ND | $8,010,607 | $50,892,989 | SANFORD HEALTH |
| SHETEK MEDICAL SERVICES LLC | |||||||||
| 251 5TH STREET E | TRACY | MN | 56175 | 412004685 | HOME HEALTH SERVICES | MN | -$270,519 | $53,628 | SANFORD HEALTH NETWORK |
| SOUTHWEST MN RADIATION CENTER LLC | |||||||||
| 1018 6TH AVENUE | WORTHINGTON | MN | 56187 | 460447693 | RADIATION SERVICES | MN | -$630,055 | $2,978 | SANFORD HEALTH NETWORK |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 461495572 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| ALLIANCE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204714573 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| ARLINGTON GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 371805492 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| BOISE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 363370371 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | PF | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| BROOKINGS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460439509 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| COLLISTER DRIVE HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 300872973 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | PF | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| EL PASO GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 272876627 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| F-M AMBULANCE SERVICE INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450344371 | EMT | ND | 501(C)(4) | SANFORD NORTH | Yes (1) | |
| GOOD SAMARITAN SOCIETY INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460349951 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| GRANTS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460439511 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| GREELEY GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460456087 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| HASTINGS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460434693 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212446 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| HOWARD LAKE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364885253 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 760789504 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| JASONVILLE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396355 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| JEFFERSONTOWN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 911751137 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| KEARNEY GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460421846 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | PF | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| LEA COUNTY GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 453946645 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| LEMARS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204714415 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| LILAC WAY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 465740381 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| LOVINGTON GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460392944 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| MILLARD GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396332 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| NORTHPORT GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 383993597 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| OLATHE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396398 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| PRESCOTT GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 275114421 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| PROPHETSTOWN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460392943 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| RAPID CITY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 461579750 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| SANFORD | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271218956 | SUPPORTING ORGANIZATION | ND | 501(C)(3) | 12-II | 0 | |
| SANFORD HEALTH FOUNDATION | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 363297853 | FOUNDATION | SD | 501(C)(3) | 12-II | SANFORD HEALTH | Yes (1) |
| SANFORD HEALTH FOUNDATION NORTH | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450398104 | FOUNDATION | ND | 501(C)(3) | 7 | SANFORD NORTH | Yes (1) |
| SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 411389317 | FOUNDATION | MN | 501(C)(3) | 7 | SANFORD HEALTH OF NORTHERN MINNESOTA | Yes (1) |
| SANFORD HEALTH FOUNDATION WEST | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450397196 | FOUNDATION | ND | 501(C)(3) | 7 | SANFORD BISMARCK | Yes (1) |
| SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204714647 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 452473519 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| SIOUX FALLS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460385187 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460461264 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460422866 | FOUNDATION | MN | 501(C)(3) | 7 | SANFORD HEALTH | Yes (1) |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450228055 | LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES | ND | 501(C)(3) | 12-I | SANFORD | Yes (1) |
| VALENTINE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 911751139 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| WINFIELD GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 201115155 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
| WISCONSIN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460447338 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| ADA COUNTY GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364799439 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| ADAMS COUNTY GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 383896526 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| COLLISTER DRIVE HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611752929 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
| GOOD SAMARITAN INSURANCE PLAN LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815051671 | INSURANCE | DE | N/A | 0 | 0 |
| HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212511 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| LILAC WAY GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364786577 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| MILLARD GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212324 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC | |||||||||
| 100 S PHILLIPS AVE | SIOUX FALLS | SD | 57104 | 202129839 | INVESTMENT | SD | N/A | 0 | 0 |
| OLATHE GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 205297369 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| PENNINGTON COUNTY GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 384060178 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| PRESCOTT GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 275115281 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| RAC RENTALS LLC | |||||||||
| 100 S PHILLIPS AVE | SIOUX FALLS | SD | 57104 | 261961077 | INVESTMENT | SD | N/A | 0 | 0 |
| RAPID CITY GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 352466169 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| RUTH STREET GOOD SAMARITAN HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611748321 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
| SIOUX FALLS DOWNTOWN GOOD SAMARITAN LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 320377442 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| TEXAS GOOD SAMARITAN HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 371774574 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HUMANITARIAN SERVICE INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 205533741 | MANAGEMENT AND UNBUNDLED SERVICES; UNRELATED BUSINESS ACTIVITIES | SD | N/A | C | Yes (1) | ||||||||
| GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815037667 | INSURANCE | NE | N/A | C | Yes (1) | ||||||||
| GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815020633 | INSURANCE | ND | N/A | C | Yes (1) | ||||||||
| GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 814989242 | INSURANCE | SD | N/A | C | Yes (1) | ||||||||
| GOOD SAMARITAN SOCIETY INSURANCE LTD | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 980379099 | INSURANCE | N/A | C | Yes (1) | CJ | ||||||||
| HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 900491537 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||||||
| HERITAGE HEALTHCARE SERVICES INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850418562 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||||||
| HERITAGE HOME HEALTHCARE & HOSPICE INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463468 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||||||
| HERITAGE HOME HEALTHCARE OF ARIZONA INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204243949 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||||||
| HERITAGE HOME HEALTHCARE SERVICES INC | |||||||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463469 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||||||
| SANFORD FRONTIERS | |||||||||||||||||
| 1305 W 18TH STREET PO BOX 5039 | SIOUX FALLS | SD | 571175039 | 455436599 | WEIGHT LOSS/FITNESS | SD | C | Yes (1) | SANFORD HEALTH | 1.00000 | |||||||
| SANFORD HEALTH PLAN | |||||||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 911842494 | INSURANCE | SD | C | Yes (1) | SANFORD HEALTH | 1.00000 | |||||||
| SANFORD HEALTH PLAN OF MN | |||||||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 460445852 | INSURANCE | MN | C | Yes (1) | SANFORD HEALTH | 1.00000 | |||||||
| SANFORD INTERNATIONAL - MUNICH GMBH | |||||||||||||||||
| HEALTHCARE | C | Yes (1) | GM | SANFORD WORLD CLINICS | 1.00000 | NYMPHENBURGER STRASSE 3 | MUNICH | GM | $1,032 | $11,922,129 | |||||||
| SANFORD WORLD CLINICS - GHANA | |||||||||||||||||
| HEALTHCARE | C | Yes (1) | GH | SANFORD WORLD CLINICS | 1.00000 | SARBAH ROAD TANTRI LORRY STATION | CAPE COAST | GH | -$1,287,351 | $3,820,306 | |||||||
| SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD | |||||||||||||||||
| HEALTHCARE | C | Yes (1) | CH | SANFORD WORLD CLINICS | 1.00000 | 188 YESHENG ROAD ROOM A-862 GUOMA | SHANGHAI | CH | $129,795 | $733,182 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (23 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SANFORD WORLD CLINICS - GHANA | ||
| B | $558,073 | CASH METHOD |
| SANFORD FRONTIERS | ||
| B | $67,964,440 | CASH METHOD |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ||
| C | $129,657 | CASH METHOD |
| SANFORD HEALTH FOUNDATION | ||
| C | $32,783,754 | CASH METHOD |
| SANFORD HEALTH FOUNDATION NORTH | ||
| C | $6,493,930 | CASH METHOD |
| SANFORD HEALTH FOUNDATION WEST | ||
| C | $750,158 | CASH METHOD |
| SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA | ||
| C | $324,562 | CASH METHOD |
| SANFORD SHANGHAI | ||
| F | $176,871 | CASH METHOD |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION | ||
| P | $3,115,069 | CASH METHOD |
| SANFORD HEALTH FOUNDATION WEST | ||
| P | $1,031,857 | CASH METHOD |
| SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA | ||
| P | $732,442 | CASH METHOD |
| SANFORD HEALTH FOUNDATION NORTH | ||
| P | $2,166,778 | CASH METHOD |
| SANFORD HEALTH FOUNDATION | ||
| P | $6,439,015 | CASH METHOD |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION | ||
| Q | $2,362,611 | CASH METHOD |
| FM AMBULANCE | ||
| Q | $3,452,233 | CASH METHOD |
| SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA | ||
| R | $221,668 | CASH METHOD |
| SANFORD HEALTH FOUNDATION NORTH | ||
| R | $3,054,692 | CASH METHOD |
| SANFORD HEALTH FOUNDATION | ||
| R | $5,815,357 | CASH METHOD |
| SANFORD | ||
| R | $35,458,792 | CASH METHOD |
| SANFORD HEALTH FOUNDATION WEST | ||
| S | $1,236,841 | CASH METHOD |
| SANFORD | ||
| S | $10,035,742 | CASH METHOD |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ||
| S | $29,205,803 | CASH METHOD |
| SANFORD HEALTH PLAN | ||
| B | $500,000 | CASH METHOD |