2019-11-05T12:44:41-06:00 2018-12-31 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2018-01-01 411865874 GRAND ITASCA CLINIC AND HOSPITAL GRAN 2183265000 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 JEAN MACDONELL PRESIDENT & CEO-GICH 2183265000 2019-09-18 2019-11-05 162.96.9.40 2019-11-05 12:44:41 CS P 9A7795162CD8FED1DB572D6341B886463E8B285F 9A7795162CD8FED1DB572D6341B886463E8B285F 2018 2020-03-31 21:24:44Z JEAN MACDONELL 1680 GOLF COURSE ROAD GRAND RAPIDS MN 55744 90909519 false X WWW.GRANDITASCA.ORG X 1997 MN PROVIDE QUALITY, ACCESSIBLE, AND VALUABLE HEALTH CARE SERVICES VIA A HOSPITAL, HOME HEALTH AGENCY, AND CLINIC TO THE SURROUNDING RURAL COMMUNITY. 14 11 769 98 205047 156353 213798 1632834 219473780 87548706 268844 291391 1273456 1436588 221229878 90909519 0 0 53681204 57611579 0 0 29385595 31137891 83066799 88749470 138163079 2160049 58607872 78502474 32555247 46747787 26052625 31754687 X PROVIDE QUALITY, ACCESSIBLE, AND VALUABLE HEALTH CARE SERVICES VIA A HOSPITAL, HOME HEALTH AGENCY, AND CLINIC TO THE SURROUNDING RURAL COMMUNITY. false false 78514702 88780247 GRAND ITASCA CLINIC AND HOSPITAL IS AN INTEGRATED MULTI-SPECIALTY CLINIC AND ACUTE-SURGICAL HOSPITAL. THE FACILITY IS LICENSED FOR 64 BEDS WHICH ARE COMPRISED OF 48 MEDICAL BEDS, 10 INTENSIVE CARE BEDS AND 6 OB BEDS. IN ADDITION TO PROVIDING TRADITIONAL HOSPITAL SERVICES, THE FACILITY HAS FOUR SURGERY SITES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT REHABILITATION SERVICES, AND OUTPATIENT CLINIC SERVICES. THE FACILITY EMPLOYS APPROXIMATELY 750 PEOPLE INCLUDING OVER 60 HEALTHCARE PROVIDERS. THE FACILITY SERVED OVER 1,700 INPATIENTS AND OVER 200,000 OUTPATIENT ENCOUNTERS INCLUDING CLINIC, EMERGENCY ROOM, OUTPATIENT IMAGING AND OUTPATIENT SURGICAL PROCEDURE. GRAND ITASCA SERVES THE PATIENT REGARDLESS OF THE PERSON'S ABILITY TO PAY. DURING THE CALENDAR YEAR, THE FACILITY PROVIDED 643,364 OF CHARITY CARE, 55,454 OF DISCOUNTS TO THE UNINSURED AND ABSORBED 15,188,129 OF UNPAID MEDICARE AND MEDICAID COSTS. GRAND ITASCA ALSO PAID 1,587,260 IN PAYMENTS FOR MINNESOTA CARE TAX AND MEDICAID SURCHARGES, WHICH WERE USED TO FUND CARE FOR THE INDIGENT AND UNDERINSURED. 78514702 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false true false false true false false false false false false true true true false false true X 21 0 true 769 true true true false false false false false false false false false false false X 14 11 false false false false false false false true true false false true true true true true true true true true true MN X TODD CHRISTENSON 2189991703 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 M OSMAN AKHTAR DIR/COO END 0.00 40.00 X X 0 753077 56325 LAURA REED RN COO-FAIRIVEW 1.00 40.00 X X 0 638399 85201 LIZBETH THOMAS MD DIRECTOR 1.00 0.00 X 0 566346 86689 KEVIN NELSON MD DIRECTOR 1.00 40.00 X 0 407845 94989 DR JAMISON HARKER DIRECTOR 40.00 0.00 X 292847 0 43293 JAN ROURK MD DIRECTOR 40.00 0.00 X 169917 0 26360 DALE ADAMS VICE-CHAIR 1.00 0.00 X 0 0 0 BETH BILY DIRECTOR 1.00 0.00 X 0 0 0 STEVE BURGGRAF DIRECTOR 1.00 0.00 X 0 0 0 KENT KOERBITZ DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH MISKOVICH DIRECTOR 1.00 0.00 X 0 0 0 COLLEEN NARDONE CHAIR 1.00 0.00 X 0 0 0 AMANDA OKECH DIRECTOR 1.00 0.00 X 0 0 0 DENNIS ROY SECRETARY 1.00 0.00 X 0 0 0 JOSH SKELTON FINANCE COMM 1.00 0.00 X 0 0 0 JAMES HEREFORD PRES/CEO FAI 0.00 40.00 X 0 1780267 84827 MICHAEL YOUSO PRESIDENT & 0.00 40.00 X 0 401832 85137 DANIEL SOULAR MD CMO-GICH 40.00 0.00 X 316274 0 30780 JEAN MACDONELL PRESIDENT & X 0 0 0 RYAN NOVAK MD UROLOGIST MD 40.00 0.00 X 726812 0 56970 TROY ERICKSON MD ORTHOPEDIC S 40.00 0.00 X 476529 0 19275 SHAWN OLSON MD GENERAL SURG 40.00 0.00 X 423320 0 30431 DEREK BEYER MD OB/GYN MD 40.00 0.00 X 414646 0 44263 DARIN SKAUDIS MD INTERNAL MED 40.00 0.00 X 407804 0 38455 3228149 4547766 782995 77 false true false KRAUS-ANDERSON CONSTRUCTION 501 S 8TH STREET MINNEAPOLIS MN 55404 CONSTRUCTION 1495110 PREMIER STAFFING INC 243 WINKLER TRAIL COLOGNE MN 55322 STAFFING 1379412 AMERICAN EXPRESS 2925 CHICAGO AVENUE MINNEAPOLIS MN 55407 IT/LAB SERVICES 1220313 AMERIPRIDE SERVICES 519 EAST 19TH STREET HIBBING MN 55746 LAUNDRY SVCS. 432985 JALALUDDIN AKBAR 750 E 34TH STREET HIBBING MN 55746 MEDICAL SVCS. 392619 21 1632834 1632834 PATIENT SERVICES 621110 84648722 84648722 PHARMACY 446110 2694937 2694937 PHARMACY 446110 205047 205047 87548706 255319 255319 35716 356 35716 356 36072 36072 621110 1436588 1436588 1436588 90909519 88780247 205047 291391 779038 462764 316274 46769774 42111146 4658628 2186776 1943611 243165 5013851 3575474 1438377 2862140 2504291 357849 214276 45926 168350 17500 17500 10011 10011 4322 4322 4667527 3562025 1105502 293562 293562 2808447 2592403 216044 1314622 1307538 7084 129460 88929 40531 195881 162569 33312 1187219 1187219 1957333 973724 983609 23087 23087 MEDICAL SUPPLIES 14739324 14739324 MEDICARE & MEDICAID 1587260 1587260 REPAIR & MAINTENANCE 721540 720446 1094 SUPPLIES - OTHER 705819 593684 112135 560701 333282 227419 88749470 78514702 10234768 0 -230995 888716 4367463 24484746 9620372 10483213 143947 155816 72521 69523 1805772 2135745 470935 576005 38203744 3532061 33296867 34671683 6898173 1909928 2162817 3127099 58607872 78502474 8445171 4909538 46687 37194 19365662 35393720 4697727 6407335 32555247 46747787 X 25554617 31256679 498008 498008 26052625 31754687 58607872 78502474 X 2160049 324127 3217886 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4322 4322 false SCHEDULE C, PART II-B, LINE 1 GRAND ITASCA CLINIC AND HOSPITAL PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION (MHA). A PORTION OF THESE ANNUAL DUES ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES. 1194000 1194000 29191896 1598882 27593014 5699954 1833804 3866150 2117894 99375 2018519 34671683 DEFERRED COMPENSATION OBLIGATIONS 2921320 OTHER ACCRUALS 1505074 THIRD PARTY PAYOR SETTLEMENTS 1272091 WORK COMP RESERVE 708850 6407335 X SCHEDULE D, PAGE 3, PART X MOST OF FAIRVIEW'S CONTROLLED AFFILIATES ARE TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THESE ORGANIZATIONS ARE SUBJECT TO INCOME TAX ON ANY INCOME FROM UNRELATED BUSINESS ACTIVITES. FAIRVIEW ALSO OWNS OR CONTROLS CERTAIN TAXABLE AFFILIATES. FAIRVIEW FILES INCOME TAX RETURNS IN THE U.S FEDERAL JURISDICTION AND IN VARIOUS STATE AND LOCAL JURISDICTIONS. WITH FEW EXCEPTIONS, FAIRVIEW IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2014. FAIRVIEW RECOGNIZED ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2018 OR 2017. true true true X true X true true true false true true 3062591 19486 3043105 0.03430 23794824 11992839 11801985 0.13300 26857415 12012325 14845090 0.16730 1911 1911 673085 591944 81141 0.00090 674996 591944 83052 0.00090 27532411 12604269 14928142 0.16820 true 2013579 40272 29048020 38566443 -9518423 X true true CDI GRAND RAPIDS LL PROVIDE MRI, DIAGNOSTIC INJECTION AND PA 0.55000 1 1 GRAND ITASCA CLINIC AND HOSPITAL X X X GRAND ITASCA CLINIC AND HOSPITAL 1 false false true X X X X X X X X X X 18 true false false true X WWW.GRANDITASCA.ORG X true 19 true GRANDITASCA.ORG (UNDER NEWS & EVENTS) false false true X 150.000000000000 300.000000000000 X X X X X true true X X X X true X WWW.GRANDITASCA.ORG X WWW.GRANDITASCA.ORG X WWW.GRANDITASCA.ORG X X X X X X true X false X X X X true X false false FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 3E IN ORDER TO DETERMINE THE TOP HEALTH NEEDS IN THE COMMUNITY INDICATORS FROM SECONDARY DATA; DATA FROM WILDER RESEARCH ON THE LEADING CAUSES OF DEATH AND PREMATURE DEATH, AND THE SOCIAL DETERMINANTS OF HEALTH; AND PRIMARY DATA THAT MET TWO PIECES OF CRITERIA: (1) A NEED AND/OR BARRIER THAT WAS SAID MORE THAN ONE TIME, AND (2) A NEED AND/OR BARRIER THAT WAS REPEATED IN AT LEAST TWO OF THE GROUPS (E.G. BOTH A STAKEHOLDER INTERVIEW AND A COMMUNITY CONVERSATION) WERE USED. GRAND ITASCA'S COMMUNITY HEALTH STEERING COMMITTEE REVIEWED AND VALIDATED FINDINGS FROM THE PRIMARY AND SECONDARY DATA AND RECOMMENDED THREE HEALTH NEEDS TO BE ADOPTED FOR THE CLINIC AND HOSPITAL. THE THREE HEALTH NEEDS ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. WEIGHTED CRITERIA WAS USED TO PRIORITIZE HEALTH NEEDS. HIGHEST WEIGHT WAS GIVEN TO THE TWO CRITERION DEEMED MOST IMPORTANT BY THE STEERING COMMITTEE - CONTINUING WORK IN THE 2015 CHNA PRIORITY AREAS AND ENSURING FUTURE PRIORITIES ALIGNED WITH WHAT THE COMMUNITY IDENTIFIED AS TOP NEEDS. THE PRIORITIZATION CRITERIA WAS APPLIED TO THE TOP 25 HEALTH NEEDS IDENTIFIED IN THE GRAND ITASCA COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ADOLESCENT MENTAL HEALTH 3.ADVERSE CHILDHOOD EXPERIENCES (ACES) 4.ACCESS TO HEALTHY FOODS 5.CANCER 6.HEART DISEASE 7.STIGMA - MENTAL HEALTH 8.WORKFORCE SHORTAGE 9.SUICIDE 10.TIED FOR TENTH (1) TRANSPORTATION (2) GROWING SENIOR POPULATION THROUGH A VOTING PROCESS, THE GRAND ITASCA CLINIC & HOSPITAL COMMUNITY HEALTH STEERING COMMITTEE VALIDATED THE FOLLOWING HEALTH NEEDS: -MENTAL HEALTH AND WELL-BEING -HEALTHY LIFESTYLES -ACCESS TO CARE AND RESOURCES THESE THREE PRIORITIES ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 5 GRAND ITASCA CLINIC & HOSPITAL HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SINCE 2013 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL NEEDS OF THE COMMUNITY AND ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. IT SERVES AS A TOOL FOR GUIDING POLICY, ADVOCACY, AND PROGRAM PLANNING. IT ALSO FULFILLS IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS AND PROVIDE AN ANNUAL EVALUATION OF IMPACT OF THE PREVIOUS IMPLEMENTATION STRATEGY. FOR ADDITIONAL DETAIL, SEE SECTION TITLED, EVALUATION OF IMPACT, 2017-2018 CHNA IMPLEMENTATION STRATEGY. THROUGH THIS PROCESS, GRAND ITASCA AIMS TO: -UNDERSTAND THE HEALTH STATUS AND NEEDS OF THE COMMUNITY IT SERVES BY ANALYZING CURRENT DEMOGRAPHICS, HEALTH DATA, AND BY COLLECTING DIRECT INPUT FROM COMMUNITY MEMBERS AND ORGANIZATIONS. -IDENTIFY THE STRENGTHS, ASSETS, AND RESOURCES AVAILABLE IN THE COMMUNITY TO SUPPORT HEALTH AND WELL-BEING. -ADDRESS SIGNIFICANT HEALTH NEEDS THROUGH PARTNERSHIPS WITH COMMUNITY MEMBERS AND ORGANIZATIONS, PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. -CREATE A STRATEGIC IMPLEMENTATION PLAN REFLECTIVE OF THE DATA COLLECTED THROUGH THE CHNA PROCESS. -INFORM GRAND ITASCA'S COMMUNITY BENEFIT ACTIVITIES. GRAND ITASCA CLINIC & HOSPITAL COMMUNITY HEALTH STEERING COMMITTEE -BETSY JOHNSON, HEALTH AND NUTRITION EDUCATOR, UNIVERSITY OF MINNESOTA EXTENSION -CASSI CHRZANOWSKI, MARKETING AND COMMUNICATIONS MANAGER, GRAND ITASCA CLINIC & HOSPITAL -DAN SOULAR, MD, VPMA AND FAMILY MEDICINE PHYSICIAN, GRAND ITASCA CLINIC & HOSPITAL -JACI DAVID, PUBLIC POLICY PROGRAM OFFICER, BLANDIN FOUNDATION -JEAN MACDONELL, VP, CLINIC SERVICES AND COMPLIANCE, GRAND ITASCA CLINIC & HOSPITAL -JONI OLSON, SUPERINTENDENT, INDEPENDENT SCHOOL DISTRICT 318 -KELLY CHANDLER, PUBLIC HEALTH DIVISION MANAGER, ITASCA COUNTY PUBLIC HEALTH -KELLY KIRWIN, COMMUNITY RELATIONS AND FOUNDATION DIRECTOR, GRAND ITASCA CLINIC & HOSPITAL -KRIS BOLIN, DIRECTOR OF HEALTHY LIVING, ITASCA COUNTY FAMILY YMCA -MELANIE DEBAY, COMMUNITY EDUCATION DIRECTOR, INDEPENDENT SCHOOL DISTRICT 318 -MICHELLE INGLE, EDUCATION DIRECTOR, KOOTASCA COMMUNITY ACTION -MOLLY MCCANN, SHIP COORDINATOR, ITASCA COUNTY PUBLIC HEALTH AND GET FIT ITASCA -RENEE BYMARK, EXECUTIVE DIRECTOR, ELDERCIRCLE -SARA CITRINE, COMMUNITY HEALTH WORKER, KIESLER WELLNESS CENTER -SARAH BRUBAKER, COMMUNITY HEALTH WORKER, KIESLER WELLNESS CENTER -STEVE LONEY, DIRECTOR, KIESLER WELLNESS CENTER -TONI YOUNGDAHL, MD, FAMILY MEDICINE PHYSICIAN, GRAND ITASCA CLINIC & HOSPITAL FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 11 A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY. THE MEDICAL CENTER IDENTIFIED PROGRAMMING TO ADDRESS THE IDENTIFIED PRIORITY NEEDS. EACH SELECTED PROGRAM IS EVALUATED ON AN ANNUAL BASIS AGAINST PROGRAM SPECIFIC ANTICIPATED IMPACTS. AS PART OF THE EVALUATION PROCESS EACH INDICATOR IS ASSIGNED A VALUE OF "GREEN- OR "RED" BASED UPON THE FOLLOWING CRITERIA. GREEN: MET, OR EXCEEDED ANNUAL GOALS RED: NO COMPLETION OR PARTIAL COMPLETION OF ANNUAL GOALS. HEALTHY LIFESTYLES 1.GRAND ITASCA CLINIC AND HOSPITAL IS COLLABORATED WITH FAIRVIEW'S FIVE HOSPITALS IN THE EVIDENCE-BASED LIVING WELL: CHRONIC DISEASE SELF- MANAGEMENT PROGRAM DEVELOPED BY STANFORD MEDICINE. THE FORMAT IS A WORKSHOP OF TWO-AND-A-HALF-HOURS, ONCE A WEEK, FOR SIX WEEKS, IN A COMMUNITY SETTING. EVALUATION IS BUILT INTO THE DESIGN OF THE PROGRAM AROUND THE FOLLOWING TOPICS: SELF-MANAGEMENT BEHAVIORS, SELF-EFFICACY, HEALTH STATUS, HEALTH CARE UTILIZATION AND EDUCATION. IN PARTNERSHIP WITH THE FAIRVIEW FOUNDATION, FAIRVIEW IS COMMITTED TO THE RESOURCE NEEDS AND IMPLEMENTATION OF THIS PROGRAM. THE 2018 ANTICIPATED IMPACTS FOR THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM ARE TO (1) INCREASE PARTICIPANT KNOWLEDGE OF TECHNIQUES TO DEAL WITH PROBLEMS SUCH AS FRUSTRATION, FATIGUE, PAIN AND ISOLATION, (2) INCREASE PARTICIPANT KNOWLEDGE OF APPROPRIATE EXERCISE FOR MAINTAINING AND IMPROVING STRENGTH, FLEXIBILITY, AND ENDURANCE, (3) INCREASE PARTICIPANT KNOWLEDGE OF APPROPRIATE USE OF MEDICATIONS, (4) INCREASE PARTICIPANT ABILITY TO COMMUNICATE EFFECTIVELY WITH FAMILY, FRIENDS AND HEALTH PROFESSIONALS, (5) INCREASE PARTICIPANTS DECISION-MAKING ABILITY AND (6) INCREASE PARTICIPANTS' ABILITY TO EVALUATE NEW TREATMENTS. 2018 IMPACTS: ONE WORKSHOP WAS CONDUCTED WITH 10 PARTICIPANTS. SIX OF SIX ANTICIPATED IMPACTS WERE ASSIGNED A RATING OF "GREEN" (EVALUATION FINDINGS AVAILABLE UPON REQUEST) MENTAL WELLNESS 1.GRAND ITASCA CLINIC AND HOSPITAL OFFERED THE EVIDENCE-BASED MENTAL HEALTH FIRST AID USA AND YOUTH MENTAL HEALTH FIRST AID USA PROGRAMS. PARTICIPANTS ATTEND AN EIGHT-HOUR CLASS IN WHICH THEY RECEIVE AN OVERVIEW OF THE RISK FACTORS OF COMMON MENTAL HEALTH AND SUBSTANCE ABUSE ILLNESSES AND PARTICIPATE IN ROLE-PLAYING SIMULATIONS TO LEARN HOW TO SUCCESSFULLY OFFER HELP TO THOSE IN CRISIS. EVALUATION (E.G., PARTICIPANT PRE- AND POST-TEST AND A SIX-MONTH EVALUATION) IS BUILT INTO THE DESIGN OF THE PROGRAM. IN PARTNERSHIP WITH THE FAIRVIEW FOUNDATION, FAIRVIEW IS COMMITTED TO THE RESOURCE NEEDS AND IMPLEMENTATION OF THIS PROGRAM. THE 2018 ANTICIPATED IMPACTS FOR THE MENTAL HEALTH FIRST AID PROGRAMS ARE TO (1) INCREASE KNOWLEDGE OF THE SIGNS, SYMPTOMS AND RISK FACTORS OF MENTAL ILLNESSES, (2) INCREASE KNOWLEDGE OF THE IMPACT OF MENTAL AND SUBSTANCE USE DISORDERS IN PARTICIPANTS, (3) INCREASE AWARENESS OF LOCAL RESOURCES AND WHERE TO TURN FOR HELP AND (4) BUILD CAPACITY TO ASSESS A SITUATION AND HELP AN INDIVIDUAL IN DISTRESS. 2018 IMPACTS: TWO ADULT CLASSES AND ONE YOUTH CLASS WAS HELD WITH A TOTAL OF 58 PARTICIPANTS. ALL FOUR ANTICIPATED IMPACTS WERE ASSIGNED A VALUE OF "GREEN" (EVALUATION FINDINGS AVAILABLE UPON REQUEST 2.GRAND ITASCA CLINIC AND HOSPITAL COLLABORATED WITH FAIRVIEW HEALTH SERVICES OTHER FIVE HOSPITALS AND MEDICAL CENTERS, LOCAL PUBLIC HEALTH AND HOSPITAL VENDORS ON A RETHINK YOUR DRINK, EVERY SIP COUNTS CAMPAIGN. THIS CAMPAIGN IS AN INITIATIVE TO EDUCATE COMMUNITY RESIDENTS, HOSPITAL PATIENTS, PATIENTS' FAMILIES AND EMPLOYEES ON THE HEALTH RISKS ASSOCIATED WITH DRINKING SUGAR-LOADED BEVERAGES. IN PARTNERSHIP WITH THE FAIRVIEW FOUNDATION, FAIRVIEW IS COMMITTED TO THE RESOURCE NEEDS AND IMPLEMENTATION OF THIS PROGRAM. THE 2018 ANTICIPATED IMPACTS FOR THE RETHINK YOUR DRINK, EVERY SIP COUNTS CAMPAIGN ARE TO (1) INCREASE AWARENESS OF THE RISKS ASSOCIATED WITH DRINKING SUGAR-SWEETENED BEVERAGES AMONGST COMMUNITY RESIDENTS, FAIRVIEW PATIENTS AND EMPLOYEES AND (2) REVIEW EXISTING VENDING CONTRACTS TO BRING THEM IN ALIGNMENT WITH PARTNERSHIP FOR HEALTHIER AMERICA'S GOAL OF LESS THAN 20 PERCENT OF VENDING BEVERAGES ARE SUGAR-SWEETENED. 2018 IMPACTS: ONE PRESENTATION WAS CONDUCTED WITH FIVE ATTENDEES. TWO OF TWO ANTICIPATED IMPACTS WAS ASSIGNED A RATING OF "GREEN" THE OTHER ANTICIPATED IMPACT WAS ASSIGNED A RATING OF "RED" AS NO RETHINK YOUR DRINK PRESENTATIONS WERE CONDUCTED AND MEASURED IN 2018 (EVALUATION FINDINGS AVAILABLE UPON REQUEST). THE DRUG DISPOSAL PROGRAM HELPS TO PREVENT UNNECESSARY DEATHS DUE TO ACCIDENTAL MEDICATION EXPOSURE, AND IN DIVERTING MEDICINES FROM ENTERING THE ENVIRONMENT VIA HOUSEHOLD TRASH OR FLUSHING, BY RAISING AWARENESS OF THE NEGATIVE IMPACTS OF IMPROPER DRUG DISPOSAL AND REDUCING THE AMOUNT OF UNWANTED OR UNUSED MEDICATIONS IN HOUSEHOLDS IN ITASCA COUNTY BY INSTALLING A SAFE DRUG DISPOSAL BOX IN THE GRAND ITASCA CLINIC & HOSPITAL PHARMACY. THE ANTICIPATED IMPACTS FOR THE DRUG DISPOSAL PROGRAM ARE TO: (1) INCREASE AWARENESS OF THE NEGATIVE IMPACTS ASSOCIATED WITH IMPROPER DRUG DISPOSAL INCLUDING DRUG ABUSE, ACCIDENTAL OVERDOSE AND ENVIRONMENTAL DAMAGE AMONGST COMMUNITY RESIDENTS, GRAND ITASCA PATIENTS AND EMPLOYEES (2) REDUCE THE AMOUNT OF UNWANTED OR UNUSED MEDICATIONS IN HOUSEHOLDS IN ITASCA COUNTY (3) COLLABORATE WITH ITASCA COUNTY SHERIFF DEPARTMENT TO CREATE SHARED PRACTICES AND GUIDELINES FOR ONGOING DRUG COLLECTION AND TARGETED DISPOSAL EVENTS SEMI-ANNUALLY AND AN ONGOING BASIS (4) EDUCATE PROVIDERS, PHARMACY STAFF AND INTERNS ON THE DANGERS OF IMPROPER DRUG DISPOSAL. 2018 IMPACTS: 516 POUNDS OF MEDICATION WERE DISPOSED OF IN THE DRUG DISPOSAL BOX. GRAND ITASCA CLINIC & HOSPITAL COLLABORATED WITH THE ITASCA COUNTY SHERIFF'S DEPARTMENT IN HOSTING ONE DRUG TAKE-BACK EVENT; 41 POUNDS OF MEDICATION WERE COLLECTED DURING THE TWO EVENTS. 2 OF 4 ANTICIPATED IMPACTS WAS ASSIGNED A RATING OF "GREEN" THE OTHER ANTICIPATED IMPACT WAS ASSIGNED A RATING OF "RED". ALTHOUGH THE FOLLOWING HEALTH NEEDS WERE NOT SELECTED AS PRIORITY NEEDS, GRAND ITASCA CLINIC & HOSPITAL WILL CONTINUE TO SUPPORT WORK ALIGNED WITH ADDRESSING THESE NEEDS AS APPROPRIATE PARTICULARLY WHEN DOING SO WOULD ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND/OR THE LEADING CAUSES OF PREMATURE DEATH. AFFORDABLE, HEALTHY, AND SAFE HOUSING: THIS ISSUE IS BEYOND WHAT GRAND ITASCA CLINIC & HOSPITAL RESOURCES CAN SUPPORT AT THIS TIME. ASTHMA: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. CHRONIC LOWER RESPIRATORY DISEASE: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. CLINIC HOURS: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. COST ASSOCIATED WITH CARE: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. PATIENT ADVOCATE/NAVIGATOR: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. STROKE: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. TRANSPORTATION: THIS ISSUE IS BEYOND WHAT GRAND ITASCA CLINIC & HOSPITAL RESOURCES CAN SUPPORT AT THIS TIME. WAIT TIMES TO APPOINTMENT DATE: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. 1 GRAND ITASCA PROFESSIONAL BUILDING 111 SE 3RD STREET GRAND RAPIDS MN 55744 VARIOUS OUTPATIENT & BUSINESS SERVICES PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PATIENTS THAT ARE ELIGIBLE FOR THE ORGANIZATION'S COMMUNITY CARE PROGRAM OR OTHER CHARITY CARE PLANS MAY RECEIVE A REDUCTION ON AMOUNTS OWED OR UP TO 100% OF TOTAL CHARGES. THE ORGANIZATION INFORMS PATIENTS ABOUT THE COMMUNITY CARE PROGRAM PRIOR TO DELIVERY OF SERVICES IF FEASIBLE AND AS APPROPRIATE AND DURING THE BILLING PROCESS. UNINSURED PATIENTS WITH HOUSEHOLD INCOME UP TO 150% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF THE TOTAL CHARGES. UNINSURED PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% OF THE FEDERAL POVERTY LEVEL AND BELOW 125,000 ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM HOSPITAL'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A THROUGH 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. PART II - COMMUNITY BUILDING ACTIVITIES GRAND ITASCA'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING INNOVATIVE AND ADVANCED MEDICAL SERVICES, WITH HIGH-QUALITY, SEAMLESS PATIENT CARE IN MIND. GRAND ITASCA'S INTERPRETATION AND ED PATIENT TAXI CAB SERVICES ALLOW FOR THE CARE OF EACH AND EVERY PATIENT, NO MATTER THE INITIAL BARRIERS OR HARDSHIPS THAT MAY EXIST. THE NURSE ON-LINE PROGRAM, BY PROVIDING A 24 HOUR MEDICAL ADVICE HOTLINE, EMPOWERS PATIENTS TO MAKE EDUCATED DECISIONS ABOUT THEIR MEDICAL TREATMENT. TRIAGE CAN BE COMPLETED PRIOR TO A PATIENT'S ARRIVAL, ALLOWING MEDICAL RESOURCES TO BE ALLOCATED MORE EFFICIENTLY AND EFFECTIVELY. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. SEE NOTE 6 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 8 - MEDICARE EXPLANATION IT IS PART OF THE ORGANIZATION'S MISSION THAT COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. THE MEDICARE COST TO CHARGE RATIO REPORTING IS CALCULATED SERVICE LINE BY SERVICE LINE. OTHER EXPENSES ARE CALCULATED USING THE OVERALL COST TO CHARGE RATIO. UNCOMPENSATED COSTS RESULTING FROM MEDICARE, MEDICAID AND STATE AND LOCAL INDIGENT CARE PROGRAMS ARE CONSIDERED A COMMUNITY BENEFIT BECAUSE OF THE SIGNIFICANT DIFFERENCES BETWEEN ACTUAL COSTS AND REIMBURSEMENT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION AFTER OUR PATIENTS HAVE RECEIVED SERVICES, IT IS THE POLICY OF THE ORGANIZATION TO BILL PATIENTS AND THEIR APPLICABLE PAYORS ON A TIMELY AND ACCURATE BASIS. DURING THIS BILLING AND COLLECTION PROCESS, STAFF IS COMMITTED TO PROVIDING QUALITY CUSTOMER SERVICE AND TIMELY FOLLOW UP ON ALL OUTSTANDING ACCOUNTS. BILLING: IT IS THE GOAL OF THE ORGANIZATION TO BILL ALL CLAIMS ACCURATELY AND ON A TIMELY BASIS. ALTHOUGH DEPENDENT ON INFORMATION AND COMMUNICATIONS FROM PATIENTS AND PAYORS, THE ORGANIZATION WILL PROVIDE SUFFICIENT FOLLOW UP SERVICE TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR COMMUNITY CARE. THE ORGANIZATION HAS AGREED TO CERTAIN BILLING AND COLLECTION PRACTICES BY AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THERE ARE FINANCIAL COUNSELORS AT EVERY ENTITY MONDAY THROUGH FRIDAY WHO INTERACT WITH THE PATIENTS IN PERSON AND OVER THE PHONE TO INFORM OF PROGRAMS AVAILABLE TO THEM AS WELL AS ASSIST THEM IN APPLYING FOR THE PROGRAMS. THE INFORMATION ABOUT NEEDING ASSISTANCE WITH PAYING THE BILL IS POSTED ON SIGNS IN THE HOSPITALS AND MATERIALS ARE DISTRIBUTED TO SELF-PAY PATIENTS BY REGISTRATION STAFF. THE STATEMENTS SENT OUT AFTER THE VISIT PROVIDE THIS INFORMATION AS WELL. IF A PATIENT/FAMILY MEMBER CALLS THE CENTRAL BUSINESS OFFICE CUSTOMER SERVICE STAFF TO ASK FOR ASSISTANCE WITH PAYING THEIR BILL, THEY ARE INFORMED ABOUT OPTIONS AT THAT TIME. THE ORGANIZATION PROVIDES AN INTERPRETER SERVICE THAT INTERPRETS CONVERSATIONS OVER THE PHONE. THIS SERVICE CAN BE USED EITHER AS A THREE-WAY PHONE CALL OR THE FINANCIAL COUNSELOR, IN A ROOM WITH THE PATIENT OR FAMILY CAN PLACE THE CALL TOGETHER TO THE INTERPRETER PHONE SERVICE. THE INTERPRETER SERVICES LINE ACCOMMODATES CLOSE TO 200 LANGUAGES. THE BILLING PROCESS WILL BE ASSISTED BY THE FOLLOWING GUIDELINES: 1) FOR ALL INSURED PATIENTS, THE ORGANIZATION WILL BILL ALL THIRD PARTY PAYOR INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY AND ACCURATE BASIS. 2) FOR ALL UNINSURED PATIENTS WITH MINNESOTA RESIDENCY RECEIVING HOSPITAL BASED SERVICES DEEMED MEDICALLY NECESSARY. THE ORGANIZATION WILL APPLY AN UNINSURED DISCOUNT EQUAL TO THE DISCOUNT PROVIDER TO OUR LARGEST CONTRACTED NON-GOVERNMENT PAYOR, ANY REMAINING BALANCE WILL BE BILLED TO THE PATIENT IN A TIMELY AND MANNER. 3) ALL BILLED PATIENTS HAVE THE OPPORTUNITY TO CONTACT THE ORGANIZATION REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. FINANCIAL ASSISTANCE MAY INCLUDE COMMUNITY CARE, PAYMENT ARRANGEMENTS, MEDICAL ASSISTANCE OR OTHER APPLICABLE PROGRAMS. 4) IF A PATIENT CONTACTS THE ORGANIZATION REGARDING COMMUNITY CARE BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ATTORNEY, AN APPLICATION AND REQUIRED DOCUMENTATION IS REQUESTED (INCOME VERIFICATION ETC.), THE ACCOUNT WILL THEN BE PROCESSED BASED ON THE OUTCOME OF THE COMMUNITY CARE DETERMINATION. 5) THE ORGANIZATION TAKES REASONABLE MEASURES TO AVOID REFERRING AN ACCOUNT TO COLLECTION UNLESS THERE ARE NO RESPONSES FROM THE PATIENT. IF A PATIENT CONTACTS THE ORGANIZATION REGARDING COMMUNITY CARE AFTER THEIR ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY OR ATTORNEY, THE ORGANIZATION WILL SEND AN APPLICATION TO THE PATIENT PROVIDED THE ACCOUNT MEETS THE COMMUNITY CARE REQUIREMENTS. IF THE COMPLETED APPLICATION ALONG WITH REQUIRED DOCUMENTATION (INCOME VERIFICATION, ETC.) IS SUBMITTED, ALL COLLECTION ACTION WILL BE SUSPENDED UNTIL THE PATIENT IS NOTIFIED OF THE ORGANIZATION'S DETERMINATION. PART VI, LINE 2 - NEEDS ASSESSMENT GRAND ITASCA REVIEWS APPLICABLE STATE AND COUNTY SURVEYS PERFORMED BY OTHER AGENCIES TO ASSESS THE NEEDS OF THE COMMUNITY. GRAND ITASCA WORKS WITH THESE AGENCIES TO PROVIDE THESE SERVICES WITHIN THE SCOPE OF THE MEDICAL FACILITY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE GRAND ITASCA HAS FINANCIAL ADVOCATES WORKING WITH UNINSURED PATIENTS TO ASSIST THEM IN COMPLETING APPLICATION FOR VARIOUS PROGRAMS THAT MAY PROVIDE THEM COVERAGE FOR MEDICAL SERVICES. PART VI, LINE 4 - COMMUNITY INFORMATION GRAND ITASCA SERVES THE PEOPLE OF GRAND RAPIDS AND THE SURROUNDING COMMUNITIES THROUGHOUT ITASCA COUNTY. THE COMMUNITY INCLUDES 15 ZIP CODES WHERE APPROXIMATELY 80 PERCENT OF ITS PATIENTS LIVE, THE CITY WHERE THE HOSPITAL RESIDES, GRAND RAPIDS, MN, AND THE COUNTY WHERE THE HOSPITAL RESIDES, ITASCA COUNTY. NINETY-FOUR PERCENT OF GRAND ITASCA EMPLOYEES LIVE WITHIN THE DEFINED COMMUNITY. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH GRAND ITASCA PROMOTES HEALTH IN THE COMMUNITY BY SUPPORTING THE LOCAL FREE CLINIC, THROUGH THE PROVISION OF MEDICAL SUPPLIES, BASIC LAB TEST AND BASIC X-RAYS TO THE PATIENTS OF THIS CLINIC AT NO CHARGE. GRAND ITASCA ALSO WORKS WITH A COMMUNITY COALITION TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY SERVED BY GRAND ITASCA CLINIC & HOSPITAL. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MINNESOTA X X X false true false false false false false false false M OSMAN AKHTAR DIR/COO END 8-2018 615779 137298 41076 15249 809402 LAURA REED RN COO-FAIRIVEW 599498 38901 43000 42201 723600 LIZBETH THOMAS MD DIRECTOR 412527 153819 43000 43689 653035 KEVIN NELSON MD DIRECTOR 336525 71320 52709 42280 502834 DR JAMISON HARKER DIRECTOR 292847 15900 27393 336140 JAN ROURK MD DIRECTOR 169917 7983 18377 196277 JAMES HEREFORD PRES/CEO FAIRVIEW 1340912 439355 42546 42281 1865094 MICHAEL YOUSO PRESIDENT & CEO-GICH 323773 78059 42968 42169 486969 DANIEL SOULAR MD CMO-GICH 316274 15441 15339 347054 RYAN NOVAK MD UROLOGIST MD 726812 34945 22025 783782 TROY ERICKSON MD ORTHOPEDIC SURGEON 476529 16445 2830 495804 SHAWN OLSON MD GENERAL SURGEON 423320 14202 16229 453751 DEREK BEYER MD OB/GYN MD 414646 16445 27818 458909 DARIN SKAUDIS MD INTERNAL MEDICINE MD 407804 16445 22010 446259 SCHEDULE J, PAGE 1, PART I, LINE 4 M. OSMAN AKHTAR 0 16,569 0 DR SCOTT JOHNSON EMPLOYEE X 50000 42949 false true true DR KATHRYN JOHNSON EMPLOYEE COMPENSATION PACKAGE X 50000 27438 false true true DR SHAWN OLSON EMPLOYEE COMPENSATION PACKAGE X 50000 27438 false true true DR OGECHUKWU ADEKWEH EMPLOYEE COMPENSATION PACKAGE X 30000 26616 false true true DR JAY SONDER EMPLOYEE COMPENSATION PACKAGE X 20000 16334 false true true DR RYAN NOVAK EMPLOYEE COMPENSATION PACKAGE X 100000 12357 false true true DR ERIC WARNE EMPLOYEE COMPENSATION PACKAGE X 5000 2684 false true true 155816 DR SHANNON R HARKER WIFE OF DIRECTO 193374 COMPENSATION false FORM 990, PAGE 2, PART III, LINE 4A GRAND ITASCA CLINIC AND HOSPITAL IS AN INTEGRATED MULTI-SPECIALTY CLINIC AND ACUTE-SURGICAL HOSPITAL. THE FACILITY IS LICENSED FOR 64 BEDS WHICH ARE COMPRISED OF 48 MEDICAL BEDS, 10 INTENSIVE CARE BEDS AND 6 OB BEDS. IN ADDITION TO PROVIDING TRADITIONAL HOSPITAL SERVICES, THE FACILITY HAS FOUR SURGERY SITES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT REHABILITATION SERVICES, AND OUTPATIENT CLINIC SERVICES. THE FACILITY EMPLOYS APPROXIMATELY 750 PEOPLE INCLUDING OVER 60 HEALTHCARE PROVIDERS. THE FACILITY SERVED OVER 1,700 INPATIENTS AND OVER 200,000 OUTPATIENT ENCOUNTERS INCLUDING CLINIC, EMERGENCY ROOM, OUTPATIENT IMAGING AND OUTPATIENT SURGICAL PROCEDURE. GRAND ITASCA SERVES THE PATIENT REGARDLESS OF THE PERSON'S ABILITY TO PAY. DURING THE CALENDAR YEAR, THE FACILITY PROVIDED 643,364 OF CHARITY CARE, 55,454 OF DISCOUNTS TO THE UNINSURED AND ABSORBED 15,188,129 OF UNPAID MEDICARE AND MEDICAID COSTS. GRAND ITASCA ALSO PAID 1,587,260 IN PAYMENTS FOR MINNESOTA CARE TAX AND MEDICAID SURCHARGES, WHICH WERE USED TO FUND CARE FOR THE INDIGENT AND UNDERINSURED. FORM 990, PART V LINE 1A: GRAND ITASCA CLINIC AND HOSPITAL WAS INTEGRATED INTO THE FAIRVIEW HEALTH SERVICES FAMILY IN 2017. FAIRVIEW HEALTH SERVICES IS A TAX-EXEMPT, NON- PROFIT 501(C)(3) ORGANIZATION. AS PART OF THIS COMBINATION, THE ACCOUNTS PAYABLE FORM 1099 PROCESSING WAS TRANSITIONED TO FAIRVIEW HEALTH SERVICES DURING 2018. THE NUMBER OF FORM 1099'S REPORTED ON THIS TAX RETURN REFLECT ONLY WHAT GRAND ITASCA CLINIC AND HOSPITAL PROCESSED IN 2018 BEFORE TRANSITIONING ALL ACCOUNTS PAYABLE ACTIVITY AND FORM 1099 PROCESSING TO FAIRVIEW HEALTH SERVICES. FORM 990, PAGE 6, PART VI, LINE 11B THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE FORM 990 IS THEN REVIEWED BY THE GRAND ITASCA DIRECTOR OF FINANCE AND A COPY IS PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION IS DETERMINED BY ASSESSING THE MARKET THROUGH THE USE OF SURVEYS AND STUDIES AND DETERMINING PAY RATES AND RANGES FROM THE RESULTS OF THE ASSESSMENT. THE CEO COMPENSATION PACKAGE IS SUMMARIZED IN AN EMPLOYMENT AGREEMENT THAT IS APPROVED BY THE BOARD. THE COMPENSATION PACKAGE IS BASED UPON MARKET FOR THE POSITION. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION IS DETERMINED BY ASSESSING THE MARKET THROUGH THE USE OF SURVEYS AND STUDIES AND DETERMINING PAY RATES AND RANGES FROM THE RESULTS OF THE ASSESSMENT. THE CEO COMPENSATION PACKAGE IS SUMMARIZED IN AN EMPLOYMENT AGREEMENT THAT IS APPROVED BY THE BOARD. THE COMPENSATION PACKAGE IS BASED UPON MARKET FOR THE POSITION. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9 RESTRICTED FUNDS 1,632,834 OTHER FUND BALANCE ADJUSTMENTS 1,585,052 TOTAL 3,217,886 FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 HOSPITAL MN 501C3 3 N/A false GRAND ITASCA FOUNDATION 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411560554 FOUNDATION MN 501C3 12A GICH GRAND ITASCA CLINIC & HOSPITSL true CDI GRAND RAPIDS LLC 1601 GOLF COURSE ROAD GRAND ITASCA MN 55744 453783014 IMAGING SE MN N/A RELATED true true false false true false false false false false false false false true false false false true true true false FAIRVIEW HEALTH SERVICES R 16567504 COST GRAND ITASCA FOUNDATION C 1632834 ACTUAL