2025-11-17T08:56:41-06:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 350876396 UNION HOSPITAL INC UNIO 8122387000 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 JAMES SCHRADER INTERIM CFO 8122387000 2025-11-17 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-11-17 2024 2025-03-06 01:10:19Z SEE SCHEDULE O JAMES SCHRADER 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 742597818 0 X WWW.UHHG.ORG X 1892 IN WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 12 8 3616 318 0 0 2508551 2977489 671767400 703282592 8201766 12335843 17306628 19279875 699784345 737875799 738335 375140 0 0 192768635 209687197 0 0 0 422024782 437742743 615531752 647805080 84252593 90070719 748462224 751253241 357605158 322428131 390857066 428825110 X WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 0 0 573615406 375140 704341534 UNION HOSPITAL (UHI), UNION HOSPITAL CLINTON (UHC), AND OUR NETWORK OF PRIMARY CARE PHYSICIANS JOIN TOGETHER TO PROVIDE COMPREHENSIVE CARE TO RESIDENTS OF WEST CENTRAL INDIANA AND EASTERN ILLINOIS. OUR FACILITIES AT UNION HOSPITAL INCLUDE TWO HOSPITALS AND MORE THAN 400 PRIMARY AND SPECIALTY CARE PHYSICIANS AND MID-LEVEL PROVIDERS. WE ARE THE LARGEST PROVIDER OF NOT-FOR-PROFIT HEALTH CARE SERVICES BETWEEN INDIANAPOLIS AND ST. LOUIS ALONG THE I-70 CORRIDOR, SERVING VIGO, PARKE, VERMILLION, CLAY, SULLIVAN AND GREENE COUNTIES IN INDIANA, AND CLARK AND EDGAR COUNTIES IN ILLINOIS AS OUR PRIMARY SERVICE AREA. OUR SECONDARY SERVICE AREA INCLUDES CRAWFORD COUNTY IN ILLINOIS.CONTINUE TO SCHEDULE O:UNION HOSPITAL HAS BEEN SERVING COMMUNITIES IN WEST CENTRAL INDIANA AND EAST CENTRAL ILLINOIS FOR THE PAST 133 YEARS. UNION HOSPITAL SERVES 250,000 PEOPLE IN BOTH URBAN AND RURAL AREAS; CLAY, GREENE, SULLIVAN, PARKE, VERMILLION AND VIGO COUNTIES IN INDIANA ALONG WITH CLARK AND CRAWFORD COUNTIES IN ILLINOIS MAKE UP OUR PRIMARY SERVICE AREA AS IT RELATES TO COMMUNITY BENEFIT. THE MAJORITY OF FAMILIES IN OUR SERVICE AREA FALL SIGNIFICANTLY BELOW THE NATIONAL AND STATE MEDIAN HOUSEHOLD INCOME. AS THE LARGEST NOT-FOR-PROFIT HEALTHCARE PROVIDER BETWEEN ST. LOUIS AND INDIANAPOLIS, WE ARE PROUD TO BE THE SAFETY NET HOSPITAL FOR OUR COMMUNITY PROVIDING OVER $71 MILLION IN TOTAL COMMUNITY BENEFITS, THAT INCLUDE $8.9 MILLION IN CHARITY CARE TO OUR COMMUNITY. THE PEOPLE WHO MAKE UP UHI ARE DEVOTED TO HELPING OTHERS. WHETHER THEY PROVIDE CARE TO PATIENTS IN OUR HOSPITALS AND CLINICS, PERFORM FREE HEALTH SCREENINGS AT COMMUNITY HEALTH FAIRS, VOLUNTEER FOR COMMUNITY SERVICE ORGANIZATIONS AND CAUSES, OR ORGANIZE FUNDRAISERS FOR FELLOW EMPLOYEES IN NEED, OUR EMPLOYEES EXEMPLIFY A SPIRIT OF CARING. 573615406 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 207 0 1 3616 1 0 0 0 0 0 0 0 0 0 0 1 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 IN X JAMES SCHRADER 8122387000 1606 N SEVENTH STREET TERRE HAUTE IN 47804 ROBERT COONS CHAIR 2.00 2.00 X X 0 0 0 MOLLY CALLAHAN VICE CHAIR 2.00 2.00 X X 0 0 0 MARY DOTI SECRETARY 2.00 2.00 X X 0 0 0 LUKE TERRY TREASURER 2.00 2.00 X X 0 0 0 JOHN AIDOO MEMBER 2.00 2.00 X 0 0 0 KATHLEEN COUTINHO MD MEMBER 42.00 2.00 X 243740 0 24783 JOHN ETLING MEMBER 2.00 2.00 X 0 0 0 KENNETH KIGORWE MD MEMBER 42.00 2.00 X 326093 0 44622 SARA SMITH MEMBER 2.00 2.00 X 0 0 0 TIM SULLIVAN MEMBER 2.00 2.00 X 0 0 0 RICHARD TEMPLETON MEMBER 2.00 2.00 X 0 0 0 DON SCOTT PAST CHAIR 2.00 2.00 X 0 0 0 MICHELE JOHNSON NON-VOTING ASST. SECRETARY 40.00 2.00 X 121715 0 33535 STEVEN HOLMAN PRESIDENT & CEO 20.00 20.00 X 1884765 0 43235 JACK HILL COO 42.00 2.00 X 611453 0 47360 MATTHEW NEALON SR VP FINANCE/CFO/ASST TRE 40.00 7.00 X 631856 0 48114 AMY HOCK CHIEF LEGAL OFFICER 40.00 2.00 X 540147 0 41852 JAMES SCHRADER CHIEF STRATEGY/BUS. DEV OFFICER 40.00 0.00 X 494960 0 47883 REBECCA LYNCH CMO 40.00 0.00 X 434475 0 14772 RHONDA SMITH CNO 40.00 1.00 X 506214 0 27966 VIJAY KUMAR CIO 40.00 0.00 X 580700 0 28053 LAURA STARKS CHIEF HR OFFICER 40.00 0.00 X 455912 0 34126 STEPHANIE LAWS VICE PRESIDENT 40.00 0.00 X 349114 0 37609 NABIL MNAYARJI PHYSICIAN 40.00 0.00 X 1282821 0 42712 VANNARA SAKBUN PHYSICIAN 40.00 0.00 X 962720 0 50839 VUPPAA REDDY PHYSICIAN 40.00 0.00 X 863226 0 17040 MARY ABERNATHY PHYSICIAN 40.00 0.00 X 680759 0 42712 IMAD KOJ PHYSICIAN 40.00 0.00 X 638112 0 46660 11608782 0 673873 377 0 1 0 PROVIDENCE MEDICAL GROUP 2723 S 7TH ST TERRE HAUTE IN 46804 PSA/ONCOLOGY SERVICES 25432572 ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI OH 45263 PATIENT SERVICES 23105452 PROVIDENCE CARDIOVASCULAR SUPPLY COMPANY 2723 S 7TH ST TERRE HAUTE IN 47802 CARDIOLOGY SERVICES 19556296 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 NURSING 16572161 ICELAND ANESTHESIA MANAGEMENT PO BOX 69394 BALTIMORE MD 21264 ANESTHESIA SERVICES 11769834 60 582574 2261130 133785 2977489 NET PATIENT REVENUE 900099 703282592 703282592 703282592 9527757 9527757 6525200 1973453 4551747 4551747 4551747 5522478 34174 2716238 32328 2806240 1846 2808086 2808086 LEASED EMPLOYEE REVENUE 900099 2633274 2633274 CAFETERIA REVENUE 900099 1784584 1784584 GAIN/LOSS ON SUBSIDIARIES 900099 1058942 1058942 9251328 9251328 14728128 737875799 704341534 0 30556776 X 375140 375140 7655054 6434623 1220431 163357974 137314111 26043863 5900712 4959972 940740 21112627 17746680 3365947 11660830 9801765 1859065 39483345 33188587 6294758 2430082 2042658 387424 311600 261922 49678 127846323 107464017 20382306 466235 391904 74331 9245334 6992840 2252494 16087659 13522832 2564827 588707 494851 93856 63266 53180 10086 9900246 8321868 1578378 26472763 22252259 4220504 3597364 3023843 573521 MEDICAL SUPPLIES 162469527 162469527 HAF FEE 24050436 24050436 SOFTWARE FEES 11313556 9509856 1803700 LICENSES, DUES & SUBSCR 1699186 1428288 270898 1717114 1514247 202867 647805080 573615406 74189674 0 66394247 42409460 96706672 89742150 10855001 12277965 18778864 19226478 722454417 455391707 270064738 267062710 277697244 304712754 7965458 15821724 748462224 751253241 64438756 58807824 271390587 262773182 21775815 847125 357605158 322428131 X 381698503 419297728 9158563 9527382 390857066 428825110 748462224 751253241 X 90070719 13201539 -65304214 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35267 35267 0 PART II-B, LINE 1: PERCENTAGE OF INDIANA HOSPITAL ASSOCATION AND AMERICAN HOSPITAL ASSOCIATION DUES PAID ATTRIBUTABLE TO LOBBYING EXPENSES AS DEFINED IN FEDERAL LAW. 19683265 19683265 453736583 255345214 198391369 3955480 3476150 479330 231769919 196570343 35199576 13309170 13309170 267062710 ESTIMATED THIRD PARTY SETTLEMENTS 847125 847125 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY UHS, THE CORPORATION, AND UAPC, AND RECOGNIZE A TAX LIABILITY IF UHS, THE CORPORATION, AND UAPC HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY UHS, THE CORPORATION, AND UAPC, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. UHS, THE CORPORATION, AND UAPC ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FILINGS ARE CURRENT THROUGH 2023. THE IMPACT OF THE SUBSIDIARIES TAX CONSEQUENCES IS IMMATERIAL TO THESE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 504337 504337 0.00080 223659435 190912337 32747098 0.05060 224163772 190912337 33251435 0.05140 10345405 10345405 0.01600 10727782 5008586 5719196 0.00880 16838109 5595851 11242258 0.01740 96816 96816 0.00010 323614 323614 0.00050 38331726 10604437 27727289 0.04280 262495498 201516774 60978724 0.09420 1 46733645 142035424 135526469 6508955 X 1 1 2 1 UNION HOSPITAL INC 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 HTTP://WWW.MYUNIONHOSPITAL.ORG 25-005022-1 X X X X PHYSICIAN PRACTICES, OFF CAMPUS THERAPY, RADIOLOGY A 2 UNION HOSPITAL CLINTON 801 S MAIN ST CLINTON IN 47842 HTTP://WWW.MYUNIONHOSPITAL.ORG 25-005055-1 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, PAGE 8 X 1 24 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: UNION HOSPITAL, INC, - FACILITY 2: UNION HOSPITAL CLINTON GROUP A-FACILITY 1 -- UNION HOSPITAL PART V, SECTION B, LINE 5: AN ONLINE SURVEY WAS DEVELOPED FOR THE COMMUNITY TO RANK NEEDS BASED ON THE AREA CODE IN WHICH THEY RESIDE. THIS DATA HAS BEEN TAKEN INTO CONSIDERATION AND WILL HELP US PLAN AND IMPLEMENT PROGRAMS FOR COMMUNITY HEALTH IMPROVEMENT. ALSO, PUBLIC INPUT WAS SOUGHT IN VARIOUS STAKEHOLDER MEETINGS THAT TAKE PLACE AT THE HOSPITAL ON A BI-MONTHLY BASIS. THOSE STAKEHOLDER MEETINGS CONSIST OF, COMMUNITY IMPACT COMMITTEE, PATIENT FAMILY ADVISORY, BOARD OF DIRECTORS ADVISORY AND VENDOR ADVISORY. THESE ADVISORY COMMITTEES WERE FORMED TO HELP THE HOSPITAL PERFORM A SWOT ANALYSIS AND GAIN DIFFERENT PERSPECTIVE FROM DIFFERENT INDIVIDUALS THAT THE HOSPITALS COME IN CONTACT WITH ON A DAILY BASIS. THIS ANALYSIS HAS BEEN COMPILED TO HELP WITH OUR STRATEGIC PLANNING PROCESS. GROUP A-FACILITY 1 -- UNION HOSPITAL PART V, SECTION B, LINE 6A: UNION HOSPITAL CLINTONTERRE HAUTE REGIONAL HOSPITALSULLIVAN COUNTY COMMUNITY HOSPITAL GROUP A-FACILITY 1 -- UNION HOSPITAL PART V, SECTION B, LINE 11: BASED ON PRIMARY AND SECONDARY RESEARCH, THE UNION HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2024 SHOWS A CHANGE IN HEALTH CARE NEEDS IN THE WABASH VALLEY.ALCOHOL/DRUG ADDICTION; MENTAL HEALTH; OBESITY; TOBACCO USE/VAPING; DIABETES/CANCER/CHILD ABUSE/NEGLECT/HEART DISEASE & STROKE/AGING ISSUES/LUNG DISEASEMENTAL HEALTH & SUBSTANCE MISUSE/ABUSECONTINUED SUCCESSFUL INTERVENTIONS:-UNION HEALTH EMPLOYEE ASSISTANCE PROGRAM; TELEHEALTH ACCESS THROUGH THE MENTAL HEALTH MINUTE WHICH ALLOWS STAFF TO CONNECT VIRTUALLY IN THE EVENING WITH A TRAINED COUNSELOR-ACCESS TO MENTAL HEALTH ACCESS THROUGH THE ALL-BABIES INITIATIVES WAS INTEGRATED INTO THE OBSTETRIC OFFICE TO SUPPORT THE PREVIOUSLY UNMET NEEDS OF PREGNANT AND PARENTING WOMEN-THROUGH A COLLABORATION WITH INDIANA STATE UNIVERSITY, THE LUGAR CENTER INTEGRATED BEHAVIORAL HEALTH SERVICES INTO THE CLAY CITY CENTER FOR FAMILY MEDICINE TO SUPPORT THE NEEDS OF PATIENTS IN CLAY COUNTY-UAP PSYCHIATRY WITH DR. ELLINGSWORTH-DR. LAHOOD MEDICATION ASSISTED THERAPY CLINIC WHICH WAS INTEGRATED INTO THE PSYCHIATRY OFFICE SPECIFICALLY TARGETING ALCOHOL ADDICTION-THE SCHOOL HEALTH PROGRAM MENTAL HEALTH NAVIGATOR IMPLEMENTED SEVERAL INITIATIVES SUPPORTING SCHOOL CHILDREN AND TEACHERS ALIKE INCLUDING ONES FOCUSED ON SELF-CARE, SOCIAL MEDIA/SCREEN TIME, ETC.)-WE CONTINUE COLLABORATING WITH COMMUNITY ORGANIZATIONS SUCH AS NEXT STEPS FOUNDATION AND HARSHA FOR ACCESS TO PSYCHIATRY SERVICES OR TO REFER TO PEER SERVICES TO MEET NEEDS OF PATIENTS BOTH IN THE HOSPITAL AND COMMUNITY ALIKE-THE EAT SLEEP CONSOLE (ESC) PROGRAM HAS BEEN FULLY IMPLEMENTED IN THE NICU & LABOR ROOM AND HAS BENEFITED DOZENS OF PATIENTS WHO SCREENED POSITIVE FOR SUBSTANCE USE. THE METHOD IS A NON-PHARMACOLOGICAL APPROACH TO MANAGING NEONATAL ABSTINENCE SYNDROME (NAS), A CONDITION IN NEWBORNS EXPOSED TO OPIOIDS DURING PREGNANCYNEW / EXPANDED INTERVENTIONS:-THE LUGAR CENTER IS EVALUATING THE FEASIBILITY OF DEVELOPING NEW WORKFORCE PROGRAMS AIMED AT INCREASING THE CAPACITY LOCALLY-SEVERAL STAFF MEMBERS COMPLETED THE POSTPARTUM SUPPORT INTERNATIONAL PERINATAL MOOD AND ANXIETY DISORDERS TRAINING AND CERTIFICATION TO BETTER UNDERSTAND AND MEET NEEDS OF PREGNANT AND PARENTING WOMEN SERVED BY THE HEALTH SYSTEM-THE LEAH'S PANTRY TRAUMA INFORMED NUTRITION CURRICULUM WAS SUCCESSFULLY INTEGRATED IN THE FOOD IS MEDICINE INITIATIVES THROUGHOUT THE PAST YEAROBESITYCONTINUED SUCCESSFUL INTERVENTIONS:-UNION HEALTH EMPLOYEE OPPORTUNITIES THAT ENCOURAGE HEALTHY INTERVENTIONS TO IMPROVE OVERALL EMPLOYEE HEALTH-WEIGHT LOSS CLINIC-SCHOOL HEALTH PROGRAM FITNESS ACTIVITIES AND RACES FOR SCHOOL AGED CHILDREN-FOOD PRESCRIPTION CLASSES WHICH EMPHASIZE HEALTHY EATING AND OFFER SUPPORT AS WELL FOOD FOR PARTICIPANTS TO TAKE HOME-BREAST FEEDING EDUCATIONAL SUPPORT CONTINUED IN THE MOTHER BABY UNITSNEW/EXPANDED INTERVENTIONS:-COLLABORATION WITH LOCAL PANTRIES TO IMPLEMENT THE HEALTHY EATING RESEARCH (HER) NUTRITION GUIDELINES ARE EVIDENCE-BASED RECOMMENDATIONS FOR THE CHARITABLE FOOD SYSTEM (FOOD BANKS, PANTRIES) TO IMPROVE FOOD QUALITY AND PROMOTE HEALTHIER CHOICES FOR FOOD-INSECURE PEOPLE. THESE GUIDELINES USE A COLOR-CODED SYSTEM (GREEN, YELLOW, RED) TO CLASSIFY FOODS BASED ON THEIR CONTENT OF SATURATED FAT, SODIUM, AND ADDED SUGAR, HELPING FOOD BANKS AND PANTRIES TO OFFER AND PROMOTE MORE NUTRITIOUS OPTIONS AND PROVIDE INFORMATION SO CLIENTS CAN MAKE INFORMED, HEALTHY FOOD CHOICESTOBACCO/VAPING/LUNG DISEASECONTINUED SUCCESSFUL INTERVENTIONS:-RETRAINING OCCURRED WITH CLINICAL STAFF TO DIRECT PATIENTS TO THE SMOKING INDIANA & ILLINOIS QUIT LINES-UNION HEALTH JOINED CHANCES AND SERVICES FOR YOUTH (CASY) FOR THE GREAT AMERICAN SMOKE OUT DAY USING INTERNAL NEWSLETTER AIMED AT 3,000 EMPLOYEES AS WELL AS MULTIPLE SOCIAL MEDIA PLATFORMS-CONTINUED DISPLAYING "LIFE IS BETTER WITHOUT TOBACCO" POSTER IN CLINIC WAITING ROOMS THAT INCLUDED OUR PHYSICIAN QUOTES-CONTINUED EMPLOYER OUTREACHNEW/EXPANDED INTERVENTIONS:-ANTI-SMOKING MESSAGES FOR PREGNANT MOMS WITH HEADLINES "SMOKING CAN AFFECT YOUR CHILD'S HEALTH BEFORE AND AFTER DELIVERY" RAN IN THE WAITING ROOM TV'S AND EXAM ROOM WALLBOARDS SEVERAL TIMES PER HOUR. EACH MESSAGE STEERED MOMS TO THE INDIANA AND ILLINOIS QUIT LINE-SUPPORT ANTI-VAPING MESSAGES WITH CASY-COMMUNITY AND PROVIDER EDUCATION-TRAINING FOR NAVIGATORS ON TOBACCO TREATMENT SPECIALIST WHICH HAS LED TO MORE THAN 90% OF WOMEN, ENROLLED IN ABI, WHO SCREENED POSITIVE FOR TOBACCO PRODUCTS AT BEGINNING OF PREGNANCY QUITTING BY THIRD TRIMESTERDIABETESCONTINUED SUCCESSFUL INTERVENTIONS:-FREE DIABETES EDUCATIONAL CLASSES CONTINUED AT UNION HEALTH AND WERE PROMOTED HEAVILY THROUGHOUT THE WABASH VALLEY-EMPLOYER OUTREACH-SYSTEM GOAL FOR PRIMARY CARE PHYSICIANS TO BETTER MANAGE A1C FOR DIABETES PATIENTS-COMMERCIALS AND SOCIAL MEDIA POSTS FOCUSED ON DIABETES/PREDIABETESNEW/EXPANDED INTERVENTIONS:-DIABETES PRESCRIPTION CLASSES IN COLLABORATION WITH PURDUE EXTENSION AND CATHOLIC CHARITIES-INDIVIDUAL ONE ON ONE COUNSELING WITH A REGISTERED DIETICIAN FOR PARTICIPANTS IN THE FOOD PRESCRIPTION CLASSES WHICH WERE ORGANIZED IN MULTIPLE COUNTIES-COLLABORATION BETWEEN THE LUGAR CENTER, DIABETES EDUCATION CENTER, AND MEALS ON WHEELS TO PROVIDE PATIENTS WITH CONTINUOUS GLUCOSE MONITORING RESOURCES ALONG WITH NUTRITION FOOD AS NEEDED TO BETTER EDUCATE ON IMPACT OF FOODS ON HEALTH SPECIFICALLY FOR PATIENTS WITH RECENT DIABETES RELATED HOSPITALIZATIONS-SCHOOL HEALTH PROGRAM UPDATE/REVISIONS TO SCHOOL WIDE POLICY TO LESSEN SUGAR INTAKE AND EMPHASIZE HEALTHIER FOODS IN CLASSROOMS THROUGHOUT VIGO COUNTY, EDUCATIONAL PROGRAMS WHICH ILLUSTRATED IMPACT AND CONCENTRATION OF SUGAR IN POPULAR DRINKS CONSUMED BY CHILDREN AND FAMILIESHEART DISEASE & STROKECONTINUED SUCCESSFUL INTERVENTIONS:-SYSTEM-WIDE PROMOTIONAL MESSAGING OF WORLD STROKE DAY IN OCTOBER 2021-HEART & STROKE PREVENTION MESSAGING INCLUDED ON OUR 2021 VOICE ON HOLD MESSAGING-WE RAN ADS AND BILLBOARD MESSAGES FOR HEART ATTACK (CONTROL CHOLESTEROL) AND STROKE (SHOVELING)-ON-GOING HEART SCANS CAMPAIGN CONTINUED AT UNION HOSPITAL CLINTON TO ENCOURAGE THE PUBLIC TO IDENTIFY THEIR HEART RISKS-IMPROVE STROKE OUTREACH WITH CRITICAL ACCESS HOSPITALS IN OUR REGIONNEW/EXPANDED INTERVENTIONS:-ENCOURAGE EXPANDED WELLNESS PROGRAMS-INCLUDE A HEART AND VASCULAR MESSAGE WITHIN THE NEW PATIENT FOLDERS-RECORD AND PROMOTE PHYSICIAN INTERVIEWS REGARDING STROKE DIABETES-INCREASE REACH AND PARTICIPATION LEVELS FOR PRE-DIABETES (BORDERLINE) PATIENTS-NEW PRINT AND SOCIAL MEDIA ADS WITH HEADLINES "REVERSE THE COURSE OF PREDIABETES AND TYPE 2 DIABETES AND "IT'S TIME TO TAKE CONTROL" RAN INTERNALLY AND EXTERNALLYCANCERCONTINUED SUCCESSFUL INTERVENTIONS:-CANCER SCREENINGS AND COMMUNITY EDUCATION AND AWARENESS-SURVIVORSHIP DAY-ONCOLOGY NURSE NAVIGATIONNEW/EXPANDED INTERVENTION:-COMMUNITY COLLABORATION AROUND I-SMILE INITIATIVE WITH YMCA INTRODUCING LIVE STRONG IN WABASH VALLEYINFANT MORTALITY & CHILD ABUSE/NEGLECTCONTINUED SUCCESSFUL INTERVENTIONS:-ALL-BABIES INITIATIVE (ABI WHICH IS A VOLUNTARY COMMUNITY-BASED HOME VISITING PROGRAM THAT HELPS PREGNANT AND PARENTING WOMEN AND FAMILIES NAVIGATE PRENATAL/POSTPARTUM CARE, ENROLL IN COMMUNITY ASSISTANCE PROGRAMS, AND SUPPORTS YOU THROUGH YOUR PARENTING JOURNEY UP TO 18 MONTHS! PREGNANT AND PARENTING FAMILIES RECEIVE IN HOME SUPPORT, FROM PREGNANCY UNTIL THE CHILD IS 18 MONTHS OF AGE, CONNECTION TO HEALTH INFORMATION AND COMMUNITY RESOURCES, AND SUPPORT TO HELP FAMILIES PROTECT AND NURTURE THEIR CHILDREN'S HEALTH AND WELLBEING-ABI SERVED MORE THAN 1,200 PARTICIPANTS WITH STAFF CONDUCTING MORE THAN 2,000 HOME VISITS, DISTRIBUTING MORE THAN 2,000 CHILDREN'S BOOKS AS WELL AS MORE THAN 55,000 DIAPERS TO FAMILIES IN NEED. DISTRIBUTED THOUSANDS OF -FACILITATION OF LOCAL FETAL AND INFANT MORTALITY REVIEW (FIMR) BOARD IN COLLABORATION WITH LOCAL HEALTH DEPARTMENTS TO REVIEW ALL FETAL AND INFANT DEMISES IN THE REGION TO DEVELOP PREVENTION STRATEGIES BASED ON THE BOARD'S RECOMMENDATIONS-COLLABORATION WITH THE CHILD FATALITY REVIEW BOARD WHICH IS HOSTED ON UH CAMPUS IN CONJUNCTION WITH FIMR MEETINGS. -TEEN PARENT SUPPORT GROUP-HOSTED AN ANNUAL COMMUNITY BABY SHOWER IN COLLABORATION WITH MULTIPLE COMMUNITY ORGANIZATIONS WHICH SERVED HUNDREDS OF PREGNANT WOMEN-PARTICIPATE IN CHILD SAFETY SEAT INSTALLATIONS, WHILE TRAINING NEW INSTALLERSNEW/EXPANDED INTERVENTIONS:-SAFE SLEEP COFFEE SLEEVE CAMPAIGN IN COLLABORATION WITH COMMUNITY COFFEE SHOPS TO PROMOTE ABCS OF SAFE SLEEP AS INFANT DEATHS TIED TO SAFE SLEEP AND BEDSHARING REMAIN A SIGNIFICANT ISSUE IN OUR COMMUNITY-ORGANIZED A PUBLIC SERVICE ANNOUNCEMENT CAMPAIGN IN COLLABORATION WITH HEALTH DEPARTMENTS (LOCAL AND STATE) ALSO GEARED ON SAFE SLEEP PROMOTION-ORGANIZED AN ABI PARTICIPANT ADVISORY BOARD WHICH IS INFORMING LOCAL STRATEGIES OF GROWTH FOR THE PROGRAM GROUP A-FACILITY 1 -- UNION HOSPITAL PART V, SECTION B, LINE 13H: DESCRIPTION OF FAMILY INCOME LIMIT FOR ELIGIBILITY:THE ORGANIZATION PROVIDES FULL FINANCIAL ASSISTANCE FOR INCOME LEVELS BELOW 200% OF FEDERAL POVERTY INCOME GUIDELINES (FPIG), PROVIDED THEY HAVE NO OTHER SOURCES FOR PAYMENT [SUCH AS HEALTH INSURANCE, MEDICAID ELIGIBILITY OR LIABILITY CLAIMS], AND GRANTS PARTIAL FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME LEVEL BETWEEN 201% AND 300% OF FPIG. INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME EXCEEDING 301% OF FPIG SHALL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ABSENT UNUSUAL CIRCUMSTANCES AS APPROVED BY THE FINANCIAL ASSISTANCE COMMITTEE. ALL UNINSURED PATIENTS, REGARDLESS OF FINANCIAL NEED, WILL BE ELIGIBLE FOR AN INITIAL AUTOMATIC DISCOUNT TO THE AGB, AS CALCULATED CONSISTENTLY WITH THE CREDIT AND COLLECTION POLICY. ADDITIONALLY, AN UNINSURED INDIVIDUAL, ELIGIBLE FOR THE AUTOMATIC DISCOUNT, MAY ALSO BE AN ELIGIBLE INDIVIDUAL FOR PURPOSE OF RECEIVING ADDITIONAL FINANCIAL ASSISTANCE. GROUP A-FACILITY 2 -- UNION HOSPITAL CLINTON PART V, SECTION B, LINE 5: AN ONLINE SURVEY WAS DEVELOPED FOR THE COMMUNITY TO RANK NEEDS BASED ON THE AREA CODE IN WHICH THEY RESIDE. THIS DATA HAS BEEN TAKEN INTO CONSIDERATION AND WILL HELP US PLAN AND IMPLEMENT PROGRAMS FOR COMMUNITY HEALTH IMPROVEMENT. ALSO, PUBLIC INPUT WAS SOUGHT IN VARIOUS STAKEHOLDER MEETINGS THAT TAKE PLACE AT THE HOSPITAL ON A BI-MONTHLY BASIS. THOSE STAKEHOLDER MEETINGS CONSIST OF, COMMUNITY IMPACT COMMITTEE, PATIENT FAMILY ADVISORY, BOARD OF DIRECTORS ADVISORY AND VENDOR ADVISORY. THESE ADVISORY COMMITTEES WERE FORMED TO HELP THE HOSPITAL PERFORM A SWOT ANALYSIS AND GAIN DIFFERENT PERSPECTIVE FROM DIFFERENT INDIVIDUALS THAT THE HOSPITALS COME IN CONTACT WITH ON A DAILY BASIS. THIS ANALYSIS HAS BEEN COMPILED TO HELP WITH OUR STRATEGIC PLANNING PROCESS. GROUP A-FACILITY 2 -- UNION HOSPITAL CLINTON PART V, SECTION B, LINE 6A: UNION HOSPITAL, INC.TERRE HAUTE REGIONAL HOSPITALSULLIVAN COUNTY COMMUNITY HOSPITAL GROUP A-FACILITY 2 -- UNION HOSPITAL CLINTON PART V, SECTION B, LINE 11: BASED ON PRIMARY AND SECONDARY RESEARCH, THE UNION HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT 2024 SHOWS A CHANGE IN HEALTH CARE NEEDS IN THE WABASH VALLEY.ALCOHOL/DRUG ADDICTION; MENTAL HEALTH; OBESITY; TOBACCO USE/VAPING; DIABETES/CANCER/CHILD ABUSE/NEGLECT/HEART DISEASE & STROKE/AGING ISSUES/LUNG DISEASEMENTAL HEALTH & SUBSTANCE MISUSE/ABUSECONTINUED SUCCESSFUL INTERVENTIONS:-UNION HEALTH EMPLOYEE ASSISTANCE PROGRAM; TELEHEALTH ACCESS THROUGH THE MENTAL HEALTH MINUTE WHICH ALLOWS STAFF TO CONNECT VIRTUALLY IN THE EVENING WITH A TRAINED COUNSELOR-ACCESS TO MENTAL HEALTH ACCESS THROUGH THE ALL-BABIES INITIATIVES WAS INTEGRATED INTO THE OBSTETRIC OFFICE TO SUPPORT THE PREVIOUSLY UNMET NEEDS OF PREGNANT AND PARENTING WOMEN-THROUGH A COLLABORATION WITH INDIANA STATE UNIVERSITY, THE LUGAR CENTER INTEGRATED BEHAVIORAL HEALTH SERVICES INTO THE CLAY CITY CENTER FOR FAMILY MEDICINE TO SUPPORT THE NEEDS OF PATIENTS IN CLAY COUNTY-UAP PSYCHIATRY WITH DR. ELLINGSWORTH-DR. LAHOOD MEDICATION ASSISTED THERAPY CLINIC WHICH WAS INTEGRATED INTO THE PSYCHIATRY OFFICE SPECIFICALLY TARGETING ALCOHOL ADDICTION-THE SCHOOL HEALTH PROGRAM MENTAL HEALTH NAVIGATOR IMPLEMENTED SEVERAL INITIATIVES SUPPORTING SCHOOL CHILDREN AND TEACHERS ALIKE INCLUDING ONES FOCUSED ON SELF-CARE, SOCIAL MEDIA/SCREEN TIME, ETC.)-WE CONTINUE COLLABORATING WITH COMMUNITY ORGANIZATIONS SUCH AS NEXT STEPS FOUNDATION AND HARSHA FOR ACCESS TO PSYCHIATRY SERVICES OR TO REFER TO PEER SERVICES TO MEET NEEDS OF PATIENTS BOTH IN THE HOSPITAL AND COMMUNITY ALIKE-THE EAT SLEEP CONSOLE (ESC) PROGRAM HAS BEEN FULLY IMPLEMENTED IN THE NICU & LABOR ROOM AND HAS BENEFITED DOZENS OF PATIENTS WHO SCREENED POSITIVE FOR SUBSTANCE USE. THE METHOD IS A NON-PHARMACOLOGICAL APPROACH TO MANAGING NEONATAL ABSTINENCE SYNDROME (NAS), A CONDITION IN NEWBORNS EXPOSED TO OPIOIDS DURING PREGNANCYNEW / EXPANDED INTERVENTIONS:-THE LUGAR CENTER IS EVALUATING THE FEASIBILITY OF DEVELOPING NEW WORKFORCE PROGRAMS AIMED AT INCREASING THE CAPACITY LOCALLY-SEVERAL STAFF MEMBERS COMPLETED THE POSTPARTUM SUPPORT INTERNATIONAL PERINATAL MOOD AND ANXIETY DISORDERS TRAINING AND CERTIFICATION TO BETTER UNDERSTAND AND MEET NEEDS OF PREGNANT AND PARENTING WOMEN SERVED BY THE HEALTH SYSTEM-THE LEAH'S PANTRY TRAUMA INFORMED NUTRITION CURRICULUM WAS SUCCESSFULLY INTEGRATED IN THE FOOD IS MEDICINE INITIATIVES THROUGHOUT THE PAST YEAROBESITYCONTINUED SUCCESSFUL INTERVENTIONS:-UNION HEALTH EMPLOYEE OPPORTUNITIES THAT ENCOURAGE HEALTHY INTERVENTIONS TO IMPROVE OVERALL EMPLOYEE HEALTH-WEIGHT LOSS CLINIC-SCHOOL HEALTH PROGRAM FITNESS ACTIVITIES AND RACES FOR SCHOOL AGED CHILDREN-FOOD PRESCRIPTION CLASSES WHICH EMPHASIZE HEALTHY EATING AND OFFER SUPPORT AS WELL FOOD FOR PARTICIPANTS TO TAKE HOME-BREAST FEEDING EDUCATIONAL SUPPORT CONTINUED IN THE MOTHER BABY UNITSNEW/EXPANDED INTERVENTIONS:-COLLABORATION WITH LOCAL PANTRIES TO IMPLEMENT THE HEALTHY EATING RESEARCH (HER) NUTRITION GUIDELINES ARE EVIDENCE-BASED RECOMMENDATIONS FOR THE CHARITABLE FOOD SYSTEM (FOOD BANKS, PANTRIES) TO IMPROVE FOOD QUALITY AND PROMOTE HEALTHIER CHOICES FOR FOOD-INSECURE PEOPLE. THESE GUIDELINES USE A COLOR-CODED SYSTEM (GREEN, YELLOW, RED) TO CLASSIFY FOODS BASED ON THEIR CONTENT OF SATURATED FAT, SODIUM, AND ADDED SUGAR, HELPING FOOD BANKS AND PANTRIES TO OFFER AND PROMOTE MORE NUTRITIOUS OPTIONS AND PROVIDE INFORMATION SO CLIENTS CAN MAKE INFORMED, HEALTHY FOOD CHOICESTOBACCO/VAPING/LUNG DISEASECONTINUED SUCCESSFUL INTERVENTIONS:-RETRAINING OCCURRED WITH CLINICAL STAFF TO DIRECT PATIENTS TO THE SMOKING INDIANA & ILLINOIS QUIT LINES-UNION HEALTH JOINED CHANCES AND SERVICES FOR YOUTH (CASY) FOR THE GREAT AMERICAN SMOKE OUT DAY USING INTERNAL NEWSLETTER AIMED AT 3,000 EMPLOYEES AS WELL AS MULTIPLE SOCIAL MEDIA PLATFORMS-CONTINUED DISPLAYING "LIFE IS BETTER WITHOUT TOBACCO" POSTER IN CLINIC WAITING ROOMS THAT INCLUDED OUR PHYSICIAN QUOTES-CONTINUED EMPLOYER OUTREACHNEW/EXPANDED INTERVENTIONS:-ANTI-SMOKING MESSAGES FOR PREGNANT MOMS WITH HEADLINES "SMOKING CAN AFFECT YOUR CHILD'S HEALTH BEFORE AND AFTER DELIVERY" RAN IN THE WAITING ROOM TV'S AND EXAM ROOM WALLBOARDS SEVERAL TIMES PER HOUR. EACH MESSAGE STEERED MOMS TO THE INDIANA AND ILLINOIS QUIT LINE-SUPPORT ANTI-VAPING MESSAGES WITH CASY-COMMUNITY AND PROVIDER EDUCATION-TRAINING FOR NAVIGATORS ON TOBACCO TREATMENT SPECIALIST WHICH HAS LED TO MORE THAN 90% OF WOMEN, ENROLLED IN ABI, WHO SCREENED POSITIVE FOR TOBACCO PRODUCTS AT BEGINNING OF PREGNANCY QUITTING BY THIRD TRIMESTERDIABETESCONTINUED SUCCESSFUL INTERVENTIONS:-FREE DIABETES EDUCATIONAL CLASSES CONTINUED AT UNION HEALTH AND WERE PROMOTED HEAVILY THROUGHOUT THE WABASH VALLEY-EMPLOYER OUTREACH-SYSTEM GOAL FOR PRIMARY CARE PHYSICIANS TO BETTER MANAGE A1C FOR DIABETES PATIENTS-COMMERCIALS AND SOCIAL MEDIA POSTS FOCUSED ON DIABETES/PREDIABETESNEW/EXPANDED INTERVENTIONS:-DIABETES PRESCRIPTION CLASSES IN COLLABORATION WITH PURDUE EXTENSION AND CATHOLIC CHARITIES-INDIVIDUAL ONE ON ONE COUNSELING WITH A REGISTERED DIETICIAN FOR PARTICIPANTS IN THE FOOD PRESCRIPTION CLASSES WHICH WERE ORGANIZED IN MULTIPLE COUNTIES-COLLABORATION BETWEEN THE LUGAR CENTER, DIABETES EDUCATION CENTER, AND MEALS ON WHEELS TO PROVIDE PATIENTS WITH CONTINUOUS GLUCOSE MONITORING RESOURCES ALONG WITH NUTRITION FOOD AS NEEDED TO BETTER EDUCATE ON IMPACT OF FOODS ON HEALTH SPECIFICALLY FOR PATIENTS WITH RECENT DIABETES RELATED HOSPITALIZATIONS-SCHOOL HEALTH PROGRAM UPDATE/REVISIONS TO SCHOOL WIDE POLICY TO LESSEN SUGAR INTAKE AND EMPHASIZE HEALTHIER FOODS IN CLASSROOMS THROUGHOUT VIGO COUNTY, EDUCATIONAL PROGRAMS WHICH ILLUSTRATED IMPACT AND CONCENTRATION OF SUGAR IN POPULAR DRINKS CONSUMED BY CHILDREN AND FAMILIESHEART DISEASE & STROKECONTINUED SUCCESSFUL INTERVENTIONS:-SYSTEM-WIDE PROMOTIONAL MESSAGING OF WORLD STROKE DAY IN OCTOBER 2021-HEART & STROKE PREVENTION MESSAGING INCLUDED ON OUR 2021 VOICE ON HOLD MESSAGING-WE RAN ADS AND BILLBOARD MESSAGES FOR HEART ATTACK (CONTROL CHOLESTEROL) AND STROKE (SHOVELING)-ON-GOING HEART SCANS CAMPAIGN CONTINUED AT UNION HOSPITAL CLINTON TO ENCOURAGE THE PUBLIC TO IDENTIFY THEIR HEART RISKS-IMPROVE STROKE OUTREACH WITH CRITICAL ACCESS HOSPITALS IN OUR REGIONNEW/EXPANDED INTERVENTIONS:-ENCOURAGE EXPANDED WELLNESS PROGRAMS-INCLUDE A HEART AND VASCULAR MESSAGE WITHIN THE NEW PATIENT FOLDERS-RECORD AND PROMOTE PHYSICIAN INTERVIEWS REGARDING STROKE DIABETES-INCREASE REACH AND PARTICIPATION LEVELS FOR PRE-DIABETES (BORDERLINE) PATIENTS-NEW PRINT AND SOCIAL MEDIA ADS WITH HEADLINES "REVERSE THE COURSE OF PREDIABETES AND TYPE 2 DIABETES AND "IT'S TIME TO TAKE CONTROL" RAN INTERNALLY AND EXTERNALLYCANCERCONTINUED SUCCESSFUL INTERVENTIONS:-CANCER SCREENINGS AND COMMUNITY EDUCATION AND AWARENESS-SURVIVORSHIP DAY-ONCOLOGY NURSE NAVIGATIONNEW/EXPANDED INTERVENTION:-COMMUNITY COLLABORATION AROUND I-SMILE INITIATIVE WITH YMCA INTRODUCING LIVE STRONG IN WABASH VALLEYINFANT MORTALITY & CHILD ABUSE/NEGLECTCONTINUED SUCCESSFUL INTERVENTIONS:-ALL-BABIES INITIATIVE (ABI WHICH IS A VOLUNTARY COMMUNITY-BASED HOME VISITING PROGRAM THAT HELPS PREGNANT AND PARENTING WOMEN AND FAMILIES NAVIGATE PRENATAL/POSTPARTUM CARE, ENROLL IN COMMUNITY ASSISTANCE PROGRAMS, AND SUPPORTS YOU THROUGH YOUR PARENTING JOURNEY UP TO 18 MONTHS! PREGNANT AND PARENTING FAMILIES RECEIVE IN HOME SUPPORT, FROM PREGNANCY UNTIL THE CHILD IS 18 MONTHS OF AGE, CONNECTION TO HEALTH INFORMATION AND COMMUNITY RESOURCES, AND SUPPORT TO HELP FAMILIES PROTECT AND NURTURE THEIR CHILDREN'S HEALTH AND WELLBEING-ABI SERVED MORE THAN 1,200 PARTICIPANTS WITH STAFF CONDUCTING MORE THAN 2,000 HOME VISITS, DISTRIBUTING MORE THAN 2,000 CHILDREN'S BOOKS AS WELL AS MORE THAN 55,000 DIAPERS TO FAMILIES IN NEED. DISTRIBUTED THOUSANDS OF -FACILITATION OF LOCAL FETAL AND INFANT MORTALITY REVIEW (FIMR) BOARD IN COLLABORATION WITH LOCAL HEALTH DEPARTMENTS TO REVIEW ALL FETAL AND INFANT DEMISES IN THE REGION TO DEVELOP PREVENTION STRATEGIES BASED ON THE BOARD'S RECOMMENDATIONS-COLLABORATION WITH THE CHILD FATALITY REVIEW BOARD WHICH IS HOSTED ON UH CAMPUS IN CONJUNCTION WITH FIMR MEETINGS. -TEEN PARENT SUPPORT GROUP-HOSTED AN ANNUAL COMMUNITY BABY SHOWER IN COLLABORATION WITH MULTIPLE COMMUNITY ORGANIZATIONS WHICH SERVED HUNDREDS OF PREGNANT WOMEN-PARTICIPATE IN CHILD SAFETY SEAT INSTALLATIONS, WHILE TRAINING NEW INSTALLERSNEW/EXPANDED INTERVENTIONS:-SAFE SLEEP COFFEE SLEEVE CAMPAIGN IN COLLABORATION WITH COMMUNITY COFFEE SHOPS TO PROMOTE ABCS OF SAFE SLEEP AS INFANT DEATHS TIED TO SAFE SLEEP AND BEDSHARING REMAIN A SIGNIFICANT ISSUE IN OUR COMMUNITY-ORGANIZED A PUBLIC SERVICE ANNOUNCEMENT CAMPAIGN IN COLLABORATION WITH HEALTH DEPARTMENTS (LOCAL AND STATE) ALSO GEARED ON SAFE SLEEP PROMOTION-ORGANIZED AN ABI PARTICIPANT ADVISORY BOARD WHICH IS INFORMING LOCAL STRATEGIES OF GROWTH FOR THE PROGRAM GROUP A-FACILITY 2 -- UNION HOSPITAL CLINTON PART V, SECTION B, LINE 13H: DESCRIPTION OF FAMILY INCOME LIMIT FOR ELIGIBILITY:THE ORGANIZATION PROVIDES FULL FINANCIAL ASSISTANCE FOR INCOME LEVELS BELOW 200% OF FEDERAL POVERTY INCOME GUIDELINES (FPIG), PROVIDED THEY HAVE NO OTHER SOURCES FOR PAYMENT [SUCH AS HEALTH INSURANCE, MEDICAID ELIGIBILTY, OR LIABILITY CLAIMS], AND GRANTS PARTIAL FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME LEVELS BETWEEN 201% AND 300% OF FPIG. INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME EXCEEDING 301% OF FPIG SHALL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ABSENT UNUSUAL CIRCUMSTANCES AS APPROVED BY THE FINANCIAL ASSISTANCE COMMITTEE. ALL UNINSURED PATIENTS, REGARDLESS OF FINANCIAL NEED, WILL BE ELIGIBLE FOR AN INITIAL AUTOMATIC DISCOUNT TO THE AGB, AS CALCULATED CONSISTENTLY WITH THE CREDIT AND COLLECTION POLICY. ADDITIONALLY, AN UNINSURED INDIVIDUAL, ELIGIBLE FOR THE AUTOMATIC DISCOUNT, MAY ALSO BE AN ELIGIBLE INDIVIDUAL FOR PURPOSE OF RECEIVING ADDITIONAL FINANCIAL ASSISTANCE. UNION HOSPITAL, INC. & UNION HOSPITAL CLINTON: SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.UNION.HEALTH/ABOUT-US/SERVING-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ UNION HOSPITAL, INC. & UNION HOSPITAL CLINTON: SCHEDULE H, PART V, LINE 10A:HTTPS://WWW.UNION.HEALTH/ABOUT-US/SERVING-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT/ UNION HOSPITAL, INC. & UNION HOSPITAL CLINTON: SCHEDULE H, PART V, LINE 16A:HTTPS://WWW.UNION.HEALTH/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-INSURANCE/POLICIESSCHEDULE H, PART V, LINE 16B:HTTPS://WWW.UNION.HEALTH/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-INSURANCE/POLICIESSCHEDULE H, PART V, LINE 16C:HTTPS://WWW.UNION.HEALTH/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-INSURANCE/POLICIES 20 1 - CLARA FAIRBANKS CENTER FOR WOMEN 1711 N 6 1/2 ST HUX CANCER CTR 3RD FLOOR TERRE HAUTE IN 47804 MAMMOGRAPHY CENTER 2 - CLAY CITY CENTER FOR FAMILY MEDICINE 315 LANKFORD ST PO BOX 96 CLAY CITY IN 47841 FAMILY MEDICINE CENTER 3 - CORK MEDICAL CENTER 408 N 2ND ST MARSHALL IL 62441 FAMILY MEDICAL SERVICES 4 - DR WALTZ MD 727 N LINCOLN RD ROCKVILLE IN 47872 FAMILY MEDICAL SERVICES 5 - HERITAGE FAMILY MEDICINE 7500 STATE ROAD 46 RILEY IN 47871 FAMILY MEDICAL SERVICES 6 - ILLIANA INTERNAL MEDICINE LLC 1332 N 7TH ST TERRE HAUTE IN 47807 INTERNAL MEDICINE 7 - IMAGING SERVICES - THOMAS PROF PLAZA 5500 S US HWY 41 TERRE HAUTE IN 47802 OUTPATIENT THERAPY & IMAGING CENTER 8 - PEDIATRIC THERAPY SERVICES 450 8TH AVE TERRE HAUTE IN 47804 OUTPATIENT THERAPY CENTER 9 - PROFESSIONAL OFFICE BUILDING 1530 N 7TH ST TERRE HAUTE IN 47807 P.E.T. SCANS 10 - PROVIDENCE MEDICAL GROUP CATH LAB 2723 S 7TH ST TERRE HAUTE IN 47802 OUTPATIENT CATH LAB 11 - PROVIDENCE MEDICAL GROUP CHEMO THERAPY 2723 S 7TH ST TERRE HAUTE IN 47802 CHEMO THERAPY/INFUSION CENTER 12 - RICHARD G LUGAR CENTER FOR RURAL HEALTH 1433 NORTH 6 1/2 ST TERRE HAUTE IN 47807 CENTER FOR MEDICAL EDUCATION 13 - THERAPY SERVICES - PROFESSIONAL PLAZA 4001 E WABASH AVENUE TERRE HAUTE IN 47803 OUTPATIENT THERAPY CENTER 15 - THERAPY SERVICES (UAP BONE & JOINT) 1725 N 5TH ST TERRE HAUTE IN 47804 OUTPATIENT THERAPY CENTER 16 - UNION FAMILY MEDICINE EAST 4001 E WABASH AVENUE TERRE HAUTE IN 47803 THERAPY SERVICES 17 - UNION HOSPITAL FAMILY MEDICINE CENTER 1530 N 7TH ST STE 200 TERRE HAUTE IN 47807 FAMILY MEDICINE CENTER 18 - UNION HOSPTIAL HUX CANCER CENTER 1711 N 6 1/2 ST TERRE HAUTE IN 47804 CANCER CARE CENTER 19 - WABASH VALLEY SURGERY CENTER 1421 N 7TH ST TERRE HAUTE IN 47807 SURGERY CENTER 20 - BRAZIL FAMILY MEDICINE 115 S MURPHY AVENUE BRAZIL IN 47834 FAMILY MEDICAL SERVICES 21 - ILLIANA INTERNAL MEDICINE LLC 601 E SURGERY DR TERRE HAUTE IN 47807 INTERNAL MEDICINE PART I, LINE 3C: DESCRIPTION OF FAMILY INCOME LIMIT FOR ELIGIBILITY:THE ORGANIZATION PROVIDES FULL FINANCIAL ASSISTANCE FOR INCOME LEVELS BELOW 200% OF FEDERAL POVERTY INCOME GUIDELINES (FPIG), PROVIDED THEY HAVE NO OTHER SOURCES FOR PAYMENT [SUCH AS HEALTH INSURANCE, MEDICAID ELIGIBILTY, OR LIABILITY CLAIMS], AND GRANTS PARTIAL FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME LEVELS BETWEEN 201% AND 300% OF FPIG. INDIVIDUALS AND FAMILIES WITH AN ANNUAL HOUSEHOLD INCOME EXCEEDING 301% OF FPIG SHALL NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ABSENT UNUSUAL CIRCUMSTANCES AS APPROVED BY THE FINANCIAL ASSISTANCE COMMITTEE. ALL UNINSURED PATIENTS, REGARDLESS OF FINANCIAL NEED, WILL BE ELIGIBLE FOR AN INITIAL AUTOMATIC DISCOUNT TO THE AGB, AS CALCULATED CONSISTENTLY WITH THE CREDIT AND COLLECTION POLICY. ADDITIONALLY, AN UNINSURED INDIVIDUAL, ELIGIBLE FOR THE AUTOMATIC DISCOUNT, MAY ALSO BE AN ELIGIBLE INDIVIDUAL FOR PURPOSE OF RECEIVING ADDITIONAL FINANCIAL ASSISTANCE. PART I, LINE 7: A COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART 1, LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE 2024 IRS INSTRUCTIONS FOR SCHEDULE H. PART II, COMMUNITY BUILDING ACTIVITIES: TO BETTER MEET THE NEEDS OF OUR COMMUNITIES UNION HOSPITAL PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES TO IMPROVE THE HEALTH IN THE COMMUNITY. PROGRAMS HAVE BEEN DEVELOPED TO SPECIFICALLY HELP MEET THE NEEDS AS DEFINED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THE PROGRAMS OR SERVICES DEVELOPED MEET SEVERAL DEFINED NEEDS AND SOME OF THEM ARE MORE FOCUSED ON A CENTRAL IDEA. ACCESS TO HEALTH CARE HAS ALSO BEEN IDENTIFIED AS A NEED IN OUR COMMUNITY. IN 1993 THE RICHARD G. LUGAR CENTER FOR RURAL HEALTH WAS ESTABLISHED TO HELP RECRUIT AND EDUCATE PHYSICIANS TO PRACTICE HEALTH CARE IN OUR RURAL COMMUNITIES. SINCE ITS INCEPTION THE LUGAR CENTER HAS WORKED TO DEVELOP PROGRAMS AND SERVICES THAT MAKE HEALTHCARE MORE ACCESSIBLE TO THOSE INDIVIDUALS LIVING IN RURAL COMMUNITIES. THE ESTABLISHMENT OF CLINICS SUCH AS THE CLAY CITY CENTER FOR FAMILY MEDICINE THAT SERVES AS A MEDICAL HOME FOR APPROXIMATELY 3,500 AREA RESIDENTS, DELIVERING OVER 8,000 VISITS ANNUALLY, IN ADDITION TO HOUSE CALLS. IN 2001, THE LUGAR CENTER DEVELOPED AND IMPLEMENTED A CHRONIC DISEASE MANAGEMENT PROGRAM AT THE CLINIC THAT IS STILL BEING INTEGRATED INTO CARE PLANS FOR PATIENTS AS APPROPRIATE. THIS EVIDENCE-BASED PROGRAM INCLUDES FIVE CHRONIC DISEASES-HYPERTENSION, DIABETES MELLITUS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CONGESTIVE HEART FAILURE, AND ASTHMA. THE LUGAR CENTER IN COORDINATION WITH THE FAMILY MEDICINE RESIDENCY HAS EXPANDED TRAINING CAPACITY FOR FUTURE RURAL HEALTH CARE PROVIDERS THROUGH COLLABORATIVE EFFORTS WITH RURAL PARTNERS AROUND THE WABASH VALLEY. THE RURAL HEALTH INNOVATION COLLABORATIVE IS ANOTHER PROGRAM THAT HAS BEEN DEVELOPED TO HELP IMPROVE ACCESS TO HEALTHCARE AMONG OTHER COMMUNITY BUILDING ACTIVITIES. IN 2008 UNION HOSPITAL'S LUGAR CENTER HELPED LAUNCH A RURAL HEALTH COLLABORATIVE AIMED AT IMPROVING AND EXPANDING HEALTH CARE IN OUR COMMUNITY. WHAT BEGAN AS AN INFORMAL EXERCISE IN CREATIVE PROBLEM-SOLVING HAS BECOME THE RHIC. FOUNDING PARTNERS INCLUDE INDIANA STATE UNIVERSITY (ISU), INDIANA UNIVERSITY SCHOOL OF MEDICINE (IUSM), UNION HOSPITAL AND IT'S RICHARD G. LUGAR CENTER FOR RURAL HEALTH (UH), THE TERRE HAUTE ECONOMIC DEVELOPMENT CORPORATION (THEDC), THE CITY OF TERRE HAUTE (THE CITY), AND IVY TECH COMMUNITY COLLEGE WABASH VALLEY (IVY TECH). THE MISSION OF THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) IS TO IMPROVE AND EXPAND EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AND FUTURE HEALTH CARE PROFESSIONALS, ESPECIALLY FOR THOSE COMMITTED TO SERVING RURAL AND UNDERSERVED POPULATIONS. KEY COMPONENTS OF THIS MISSION INCLUDE: TO PROMOTE THE RETENTION OF HEALTH CARE PROFESSIONALS TO SERVE RURAL AND UNDERSERVED POPULATIONS; TO INVITE COMMUNITY REVITALIZATION BY PROMOTING THE ENHANCEMENT OF OPPORTUNITIES FOR EDUCATION, TRAINING, AND EXPERIENCE IN HEALTH-RELATED PROFESSIONS AND FIELDS; TO PROMOTE SOCIAL WELFARE AND TO ENCOURAGE AND COORDINATE COMMUNITY INITIATIVES TO ADDRESS CHALLENGES AFFECTING HEALTH CARE DELIVERY; TO PROMOTE THE EFFICIENT USE OF PUBLIC AND PRIVATE RESOURCES AND COLLABORATE WITH OTHER ENTITIES WITH SIMILAR OR COMPLEMENTARY PURPOSES; TO DESIGN AND IMPLEMENT INNOVATIVE BEST PRACTICES AND STRATEGIES THAT ARE CAPABLE OF REPLICATION IN OTHER AREAS OF THE UNITED STATES; AND TO DISSEMINATE EDUCATIONAL INFORMATION, THEREBY POTENTIALLY OR ACTUALLY BENEFITING THOSE OTHER AREAS. PART III, LINE 2: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: UNION HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), THEREFORE NO PORTION OF BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE INDIVIDUALS IS CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 4: FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES CAN BE FOUND ON PAGE 9 THROUGH 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER THE FINANCIAL FOOTNOTE "PATIENT ACCOUNTS RECEIVABLE, NET PATIENT SERVICE REVENUE AND ESTIMATED THIRD-PARTY SETTLEMENTS". PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED DECEMBER 31, 2024 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: IF THE PATIENT DOES NOT QUALIFY FOR CHARITY, BUT QUALIFIES FOR LIMITED MEANS ASSISTANCE, A REDUCTION IN CHARGES WILL BE MADE TO THE ACCOUNT AND THE PATIENT WILL BE NOTIFIED VIA MAIL. AT THE PATIENT'S REQUEST, PAYMENT ARRANGEMENTS WILL BE MADE FOR THE REMAINING BALANCE. PART VI, LINE 2: AT UNION HOSPITAL, ASSESSING THE NEEDS OF OUR COMMUNITY IS AN ONGOING ACTIVITY. ON FEBRUARY 7, 2012, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS OFFICIALLY LAUNCHED AND MADE AVAILABLE FOR PUBLIC USE. THE CHNA REPRESENTS A UNIQUE COLLABORATION BETWEEN THE TWO LARGEST HEALTHCARE PROVIDERS IN THE WABASH VALLEY (UNION HOSPITAL AND REGIONAL HOSPITAL), ALONG WITH THE TERRE HAUTE CHAMBER OF COMMERCE (THCC) AND ITS BETTER HEALTH WABASH VALLEY (BHWV) INITIATIVE. THE SIX COUNTIES ASSESSED INCLUDE CLAY, GREENE, PARKE, SULLIVAN, VERMILLION AND VIGO COUNTIES. HEALTHY COMMUNITY INSTITUTE (HCI) USES DATA FROM SECONDARY SOURCES BY COMPILING THE DATA INTO ONE CHNA REPORT PROVIDING NEARLY 100 INDICATORS MEASURING HEALTH AND WELLNESS, ECONOMIC FACTORS, EDUCATION, PUBLIC SAFETY AND SOCIAL ENVIRONMENT. THIS TOOL CAN BE USED BY MANY DIFFERENT SEGMENTS OF THE COMMUNITY. THE DATA IS AUTOMATICALLY UPDATED BY HCI REPRESENTATIVES AS NEW DATA IS MADE PUBLIC BY OTHER SECONDARY DATA SOURCES. THE CHNA INDICATORS EACH FEATURE A "DASHBOARD" REPRESENTING DATA THAT HAS BEEN COLLECTED FROM ROUGHLY 40 DIFFERENT SOURCES. EACH "DASHBOARD" HAS A NEEDLE POINTING TO ONE OF THREE COLORS REPRESENTING THE GOOD (GREEN), THE CAUTIONARY (YELLOW) AND THE SERIOUS CONDITION (RED) OF A PARTICULAR INDICATOR. SIDE-BY-SIDE COMPARISONS OF THE FIVE COUNTIES FEATURED ON THE WEBSITE, ALONG WITH STATEWIDE AND NATIONWIDE COMPARISONS ARE ALSO AVAILABLE. THE CHNA IS HOUSED ON THE THCC WEBSITE, TERREHAUTECHAMBER.COM AND CAN BE ACCESSED THROUGH BOTH THE TERRE HAUTE REGIONAL HOSPITAL AND UNION HOSPITAL WEBSITES. THE BHWV IMPLEMENTATION PLAN WAS DEVELOPED BY A SUB-COMMITTEE OF BHWV. MEMBERS OF THIS SUB-COMMITTEE HAVE KNOWLEDGE OF PUBLIC HEALTH AND REPRESENT THE COMMUNITY AS A WHOLE. THIS IMPLEMENTATION PLAN IS INTENDED TO BE A "COMMUNITY PLAN". NO SINGLE ORGANIZATION CAN IMPACT THE HEALTH OF THE COMMUNITY ALONE. IT IS BHWV VISION THAT EACH COMMUNITY INCLUDED IN THE CHNA SHOULD HAVE A SAY NOT ONLY IN WHAT NEEDS THEY WILL FOCUS ON BUT HOW THEY WILL GO ABOUT POSITIVELY IMPACTING THOSE NEEDS. THE EXPECTATION IS THAT MANY OF THE COUNTIES INCLUDED IN THE CHNA WILL HAVE SIMILAR NEEDS AND PROJECTS, PROGRAMS AND EDUCATION WILL BE DEVELOPED FOR IMPLEMENTATION ACROSS THE ENTIRE "REGION". THE IMPLEMENTATION PLAN WENT INTO EFFECT IN MAY 2013 AND WILL BE UPDATED/REVIEWED ON AN ANNUAL BASIS. THE PLAN IS A THREE YEAR PLAN WITH ANNUAL REVIEW OF EFFECTIVENESS, BENCHMARKS, PROGRAMS AND COMMUNITY HEALTH NEEDS. BHWV ORGANIZATIONS MAY FORMALLY CHOOSE TO ADOPT THE INITIATIVES OUTLINED IN THIS DOCUMENT. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT PRIOR TO MARCH 2012 AND ALSO COMPLETE AN IMPLEMENTATION PLAN, SEEKING INPUT FROM THE COMMUNITY AND BOARD APPROVAL OF THE PLAN IS REQUIRED. FAILURE TO COMPLY WITH THE PPACA COULD RESULT IN FORFEITURE OF TAX EXEMPT STATUS OR A $50,000 FINE UNTIL THE REQUIREMENTS ARE MET. UNION HOSPITAL, SULLIVAN COUNTY COMMUNITY HOSPITAL, GREENE COUNTY GENERAL HOSPITAL AND ST. VINCENT CLAY HOSPITAL ARE ALL PARTNERS IN THE BHWV INITIATIVE THAT HAVE REQUIREMENTS THEY HAVE TO FULFILL TO BE IN COMPLIANCE WITH THE PPACA. TO HELP SUPPLEMENT OUR INVOLVEMENT IN BHWV, UNION HOSPITAL OFFICIALS HAVE FORMED THE UNION HOSPITAL COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN WHICH INCORPORATES DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, INPUT FROM COMMUNITY LEADERS HAVING INTEREST AND KNOWLEDGE IN PUBLIC HEALTH THAT ARE MEMBERS OF BHWV, THE UNION HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY AS A WHOLE. ADDITIONALLY, TO HELP SUPPLEMENT OUR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE SURVEY WAS DEVELOPED FOR THE COMMUNITY TO RANK NEEDS BASED ON THE AREA CODE IN WHICH THEY RESIDE. THIS DATA HAS BEEN TAKEN INTO CONSIDERATION AND WILL HELP US PLAN AND IMPLEMENT PROGRAMS FOR COMMUNITY HEALTH IMPROVEMENT. UNION HOSPITAL ALSO SEEKS PUBLIC INPUT IN VARIOUS STAKEHOLDER MEETINGS THAT TAKE PLACE AT THE HOSPITAL ON A BI-MONTHLY BASIS. THOSE STAKEHOLDER MEETINGS CONSIST OF; COMMUNITY IMPACT COMMITTEE, PATIENT FAMILY ADVISORY, BOARD OF DIRECTORS ADVISORY AND VENDOR ADVISORY. THESE ADVISORY COMMITTEES WERE FORMED TO HELP THE HOSPITAL PERFORM A SWOT ANALYSIS AND GAIN DIFFERENT PERSPECTIVE FROM DIFFERENT INDIVIDUALS THAT THE HOSPITALS COME IN CONTACT WITH ON A DAILY BASIS. THIS ANALYSIS HAS BEEN COMPILED TO HELP WITH OUR STRATEGIC PLANNING PROCESS. UNION EMPLOYS A FULL-TIME POSITION (COMMUNITY BENEFIT SPECIALIST) DEDICATED TO COMMUNITY BENEFIT ACTIVITIES FOR THE ORGANIZATION. THE COMMUNITY BENEFIT SPECIALIST TAKES ON THE LEAD ROLE IN COLLECTING DATA TO ASSIST IN ASSESSING THE NEEDS OF OUR COMMUNITY. THE WEB SITE STATSINDIANA.EDU HAS A WEALTH OF HEALTH, DEMOGRAPHIC AND INCOME DATA PROVIDING UNION WITH AN ASSESSMENT OF ALL INDIANA COUNTIES IN OUR SERVICE AREA. THE U.S. CENSUS BUREAU AND COUNTYHEALTHRANKINGS.ORG PROVIDED US MORE DATA THAT CAN BE DRILLED DOWN TO THE STATE, COUNTY AND CITY LEVELS TO HELP UNION OFFICIALS ACCURATELY ASSESS COMMUNITY HEALTH NEEDS. UNION ALSO WORKS CLOSELY WITH INDIANA STATE UNIVERSITY HEALTH AND HUMAN SERVICES AND THE VIGO COUNTY HEALTH DEPARTMENT. THE HOSPITAL UTILIZES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT ITS PATIENT SATISFACTIONS SURVEY PROCESS, THE NRC PRODUCT PROVIDES UNION WITH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRAM INDICATORS. PART VI, LINE 3: UHI USES A VARIETY OF TOOLS TO EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINICAL ASSISTANCE. SIGNS ARE DISPLAYED IN THE ADMITTING AREAS, BROCHURES AND THE FINANCIAL ASSISTANCE POLICY IS ATTAINED ON OUR STATEMENTS. CLAIMAID IS AVAILABLE OF POINT OF SERVICE ONSITE MEDICAID ELIGIBILITY ADVISOR THAT ASSISTS OUR PATIENTS IN QUALIFYING FOR ANY MEDICAID PROGRAMS. ALL OF OUR FINANCIAL COUNSELORS ARE TRAINED AND SCRIPTED TO COMMUNICATE FINICAL ASSISTANCE PROGRAMS AND ASSIST IN SETTING UP MEETINGS FOR THE CLAIMAID STAFF. FINANCIAL COUNSELORS ARE LOCATED IN THE ADMITTING IN BOTH UNION HOSPITAL EAST AND WEST FACILITIES TO ASSIST OUR PATIENTS. THIS INCLUDES STAFF THAT CAN SPEAK SPANISH TO ASSIST IN ANY INTERPRETATION FOR A SPANISH-SPEAKING PATIENT. PART VI, LINE 4: THE ORGANIZATION SERVES NINE COUNTIES LOCATED IN WABASH VALLEY; CLAY, GREEN, PARKE, SULLIVAN, VERMILLION, AND VIGO COUNTIES IN INDIANA & CLARK, CRAWFORD, AND EDGAR COUNTIES IN ILLINOIS. FOLLOWING IS A DESCRIPTION OF THE COMMUNITY BY COUNTY. CLAY COUNTY:CLAY COUNTY IS A LARGELY RURAL COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 26,466 RESIDENTS. THE CITY OF BRAZIL IS THE COUNTY SEAT AND HAS A POPULATION OF 8,176. THERE ARE 14 COMMUNITY PARKS IN THE COUNTY SUPPORTED AND MAINTAINED BY VOLUNTEERS AND LOCAL COMPANIES. THE COUNTY HAS TWO PUBLIC HIGH SCHOOLS AND SEVEN ELEMENTARY SCHOOLS. THE LARGEST EMPLOYERS INCLUDE GREAT DANE TRAILERS, PROCESS DEVELOPMENT & FABRICATION, INC, ASCENSION ST. VINCENT CLAY, MORRIS MANUFACTURING & SALES, WALMART, KROGER, AND THE PUBLIC SCHOOL SYSTEM. CLAY COUNTY IS HOME TO ONE 25-BED, CRITICAL ACCESS HOSPITAL, ASCENSION ST. VINCENT CLAY, A PRIVATE NONPROFIT HOSPITAL THAT OFFERS PRIMARY, SPECIALTY AND EMERGENCY CARE. THE MEDIAN AGE IS 41.2 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $67,676. THE OVERALL POVERTY RATE IS 12.7%, WITH THE CHILD POVERTY RATE BEING 17%. THE HIGH SCHOOL GRADUATION RATE IS 88.8% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 17%. THE EMPLOYEMENT RATE FOR CLAY COUNTY IS 58.7%. THE VETERAN POPULATION RATE IS 5.8%, WHITE POPULATION IS 96.7%, AND THE HISPANIC OR LATINO POPULATION IS 2.1%. GREENE COUNTY:GREENE COUNTY IS A RURAL COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 30,803 RESIDENTS. THE TOWN OF BLOOMFIELD IS THE COUNTY SEAT AND HAS A POPULATION OF 2,405. SHAKAMAK STATE PARK SITS IN THE NORTHWEST CORNER OF THE COUNTY, SPANNING PARTS OF CLAY AND SULLIVAN COUNTIES AS WELL. GREENE COUNTY HAS FIVE SEPARATE SCHOOL DISTRICTS WITH FOUR HIGH SCHOOLS. THE LARGEST EMPLOYERS INCLUDE WALMART, GREENE COUNTY GENERAL HOSPITAL, GLENBURN SENIOR LIVING AND THE PUBLIC SCHOOL SYSTEM. GREENE COUNTY IS HOME TO A 25-BED, CRITICAL ACCESS HOSPITAL WHICH IS OWNED BY THE LOCAL GOVERNMENT. THE HOSPITAL OFFERS PRIMARY AND SPECIALTY CARE SERVICES ALONG WITH 24/7 EMERGENCY CARE. THE MEDIAN AGE IS 43.1 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $59,753. THE OVERALL POVERTY RATE IS 12.7%, WITH THE CHILD POVERTY RATE BEING 17.7%. THE HIGH SCHOOL GRADUATION RATE IS 95% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 14.6%. THE EMPLOYEMENT RATE FOR GREEN COUNTY IS 55.2%. THE VETERAN POPULATION IS 9.3%, WHITE POPULATION IS 97.4%, AND THE HISPANIC OR LATINO POPULATION IS 2.2%. PARKE COUNTY:PARKE COUNTY IS A RURAL COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 16,156 RESIDENTS. THE TOWN OF ROCKVILLE IS THE COUNTY SEAT AND HAS A POPULATION OF 2,607. PARKE COUNTY IS KNOWN FOR ITS 31 COVERED BRIDGES ANDITS PROXIMITY TO THE WABASH RIVER WHICH RUNS ALONG THE WESTERN BORDER. THE COUNTY HAS THREE PUBLIC HIGH SCHOOLS. PARKE COUNTY IS HOME TO A LARGE AMISH POPULATION WITH 1,351 AMISH RESIDENTS MAKING UP 8% OF THE COUNTY'S TOTAL POPULATION. THE LARGEST EMPLOYERS INCLUDE TAGHLEEF INDUSTRIES, FORMFLEX, ROCKVILLE CORRECTIONAL FACILITY, SCOTT PET INC, FUTUREX, SUPERIOR HARDWOODS AND THE PUBLIC SCHOOL SYSTEM. THERE IS NO HOSPITAL IN PARKE COUNTY. THE MEDIAN AGE IS 42.5 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $66,776. THE OVERALL POVERTY RATE IS 14.4%, WHILE THE CHILD POVERTY RATE IS 20.5%. THE HIGH SCHOOL GRADUATION RATE IS 90.2% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 14.2%. THE EMPLOYEMENT RATE FOR PARKE COUNTY IS 49.2%. THE VETERAN POPULATION IS 8.8%, WHITE POPULATION IS 96%, AND THE HISPANIC OR LATINO POPULATION IS 1.7%.SULLIVAN COUNTY:SULLIVAN COUNTY IS A RURAL COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 20,817 RESIDENTS. THE TOWN OF SULLIVAN IS THE COUNTY SEAT AND HAS A POPULATION OF 4,249. THE WABASH RIVER LIES ON THE WESTERN EDGE OF THE COUNTY AND MAKES UP THE STATE BORDER BETWEEN INDIANA AND ILLINOIS. THE COUNTY IS SERVED BY TWO SCHOOL CORPORATIONS WITH TWO HIGH SCHOOLS AND ONE PUBLIC CHARTER SCHOOL. THE LARGEST EMPLOYERS INCLUDE RAYBESTOS POWERTRAIN LLC, HOOSIER ENERGY RURAL ELECTRIC COOPERATIVE, SULLIVAN COUNTY COMMUNITY HOSPITAL, WALMART, THE PUBLIC SCHOOL SYSTEM, PEABODY ENERGY CORP, MCDONALD'S AND BAESLER'S MARKET. SULLIVAN COUNTY IS HOME TO A 25-BED, CRITICAL ACCESS HOSPITAL, WHICH IS OWNED BY THE LOCAL GOVERNMENT AND OFFERS PRIMARY, SPECIALTY AND EMERGENCY CARE SERVICES. THE MEDIAN AGE IS 41.3 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $54,985. THE OVERALL POVERTY RATE IS 12.7%, WHILE THE CHILD POVERTY RATE IS 17.2%. THE HIGH SCHOOL GRADUATION RATE IS 87.2% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 14.3%. THE EMPLOYEMENT RATE FOR SULLIVAN COUNTY IS 51.3%. THE VETERAN POPULATION IS 8.5%, WHITE POPULATION IS 92.7%, AND THE HISPANIC OR LATINO POPULATION IS 2%.VERMILLION COUNTY:VERMILLION COUNTY IS A RURAL COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 15,439 RESIDENTS. NEWPORT IS THE COUNTY SEAT AND HAS A POPULATION OF 515. VERMILLION COUNTY IS ON THE WESTERN BORDER OF INDIANA AND LIES BETWEEN THE WABASH RIVER AND THE INDIANA/ILLINOIS STATE LINE. THE COUNTY IS LESS THAN TEN MILES AT ITS WIDEST POINT BUT EXTENDS OVER 37 MILES FROM NORTH TO SOUTH. THE COUNTY IS SERVED BY TWO SCHOOL CORPORATIONS WITH TWO HIGH SCHOOLS. THE LARGEST EMPLOYERS INCLUDE ELANCO, THE PUBLIC SCHOOL SYSTEM, UNION HOSPITAL CLINTON, WALMART, INTERNATIONAL PAPER, SCOTT PET PRODUCTS, SEVERAL NURSING HOMES AND CLINTON IGA. THE COUNTY IS HOME TO A 25-BED, CRITICAL ACCESS HOSPITAL, UNION HOSPITAL CLINTON, A PRIVATE NONPROFIT HOSPITAL THAT OFFERS PRIMARY, SPECIALTY AND EMERGENCY CARE. THE MEDIAN AGE IS 42.5 YEARS AND THE MEDIAN HOUSEHOLD INCOME $59,363. THE OVERALL POVERTY RATE IS 14%, WHILE THE CHILD POVERTY RATE IS 18.3%. THE HIGH SCHOOL GRADUATION RATE IS 84.5% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 17.2%. THE EMPLOYEMENT RATE FOR VERMILLION COUNTY IS 54.4%. THE VETERAN POPULATION IS 7.4%, WHITE POPULATION IS 95.6%, AND THE HISPANIC OR LATINO POPULATION IS 1.7%.VIGO COUNTY:VIGO COUNTY IS A LARGELY URBAN COUNTY IN WEST CENTRAL INDIANA WITH A POPULATION OF 106,153 RESIDENTS. THE CITY OF TERRE HAUTE IS THE COUNTY SEAT AND HAS A POPULATION OF 58,389. VIGO COUNTY IS HOME TO FOUR COLLEGES AND IS A REGIONAL RESOURCE FOR COMMERCE AND CARE. THE LARGEST EMPLOYERS INCLUDE UNION HEALTH, THE SCHOOL CORPORATION, INDIANA STATE UNIVERSITY, REGIONAL HOSPITAL, COUNTY GOVERNMENT, US FEDERAL CORRECTIONAL COMPLEX, CITY OF TERRE HAUTE, AMCOR FLEXIBLES, HAMILTON CENTER, ADVICS, ROSE-HULMAN INSTITUTE OF TECHNOLOGY, FIRST FINANCIAL BANK AND GE AVIATION. THERE ARE MULTIPLE HOSPITALS IN VIGO COUNTY INCLUDING UNION HOSPITAL (318-BED, PRIVATE NONPROFIT, ACUTE CARE), REGIONAL HOSPITAL (278-BED, PRIVATE FOR-PROFIT, ACUTE CARE), HARSHA BEHAVIORAL CENTER (36-BED, PRIVATE FOR-PROFIT, PSYCHIATRIC CARE), AND HAMILTON CENTER (PRIVATE NONPROFIT, MENTAL HEALTH WITH 16-BED INPATIENT UNIT). THE MEDIAN AGE IS 35.9 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $47,659. THE OVERALL POVERTY RATE IS 18.5%, WHILE THE CHILD POVERTY RATE IS 20.5%. THE HIGH SCHOOL GRADUATION RATE IS 77% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 27%. THE EMPLOYEMENT RATE FOR VIGO COUNTY IS 52.9%. THE VETERAN POPULATION IS 7.1%, WHITE POPULATION IS 87.7%, AND THE HISPANIC OR LATINO POPULATION IS 3.3%. [CONTINUED] PART VI, LINE 5: UNION HOSPITAL, ALONG WITH TERRE HAUTE REGIONAL HOSPITAL ARE FOUNDING MEMBERS OF THE TERRE HAUTE CHAMBER OF COMMERCE BETTER HEALTH WABASH VALLEY INITIATIVE (BHWV). THE ORIGINAL COMMITMENT WAS TO ASSIST IN THE PURCHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND TO MAKE THAT DATA WIDELY AVAILABLE TO THE PUBLIC. BETTER HEALTH WABASH VALLEY NOW HAS ADDITIONAL SUPPORTING MEMBERS INCLUDING SULLIVAN COUNTY COMMUNITY HOSPITAL, HAMILTON CENTER AND UNITED WAY OF THE WABASH VALLEY. THESE ORGANIZATIONS HAVE MADE A FINANCIAL CONTRIBUTION TO BETTER HEALTH WABASH VALLEY. ALL MONIES CONTRIBUTED TO BETTER HEALTH WABASH VALLEY GO THROUGH THE TERRE HAUTE CHAMBER OF COMMERCE FOUNDATION WHICH IS A 501(C)(3) ORGANIZATION. BETTER HEALTH WABASH VALLEY'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WHILE MAKING THE WABASH VALLEY A HEALTHIER COMMUNITY TO LIVE, WORK AND PLAY. BETTER HEALTH WABASH VALLEY IS REPRESENTED BY SEVERAL DIFFERENT ORGANIZATIONS IN THE COMMUNITY INCLUDING, HEALTHCARE AND MENTAL HEALTH ORGANIZATIONS, SCHOOL CORPORATIONS, UNIVERSITIES, NOT-FOR-PROFITS AND BUSINESSES. UNION HOSPITAL WILL REMAIN HEAVILY INVOLVED AND COMMITTED TO THE BETTER HEALTH WABASH VALLEY INITIATIVE OVER THE NEXT SEVERAL YEARS. AS EMPLOYERS IN THE WABASH VALLEY LOOK FOR WAYS TO KEEP HEALTH INSURANCE CLAIMS AT A MINIMUM WE WILL WORK WITH THEM ON EMPLOYEE WELLNESS STRATEGIES, ADDITIONALLY WE WILL ASSIST IN PROGRAM DEVELOPMENT THAT COULD BE IMPLEMENTED ON AN ORGANIZATIONAL LEVEL AT LITTLE TO NO COST TO THE EMPLOYER. AN EXAMPLE OF THIS MIGHT BE PROVIDING MATERIALS OR ONLINE RESOURCES FOR A WALKING PROGRAM. BETTER HEALTH WABASH VALLEY AND ITS MEMBERS HAVE DECIDED TO FOCUS ON CARDIOVASCULAR DISEASE, OBESITY AND CHILDHOOD OBESITY AS TOP ISSUES THAT THEY WILL FOCUS ON OVER THE NEXT THREE YEARS. PART VI, LINE 6: THE ORGANIZATION IS PART OF AN AFFILATED HEALTH CARE SYSTEM TO PROVIDE VISION AND STRATEGIC DIRECTION IN THE FORMATION OF A REGIONAL HEALTH CARE SYSTEM TO EXPAND AND IMPROVE THE DELIVERY OF HEALTH CARE SERVCIES IN ORDER TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE SYSTEM'S SERVICE AREA. PART VI, LINE 7, REPORTS FILED WITH STATES IN SCHEDULE H, PART VI, LINE 5: RICHARD G. LUGAR CENTER FOR RURAL HEALTH THE LUGAR CENTER'S MISSION IS TO ADVANCE RURAL HEALTH THROUGH EDUCATION, INNOVATION AND COLLABORATION. THE LUGAR CENTER IS A PART OF UNION HOSPITAL AND ITS FAMILY MEDICINE RESIDENCY PROGRAM DEDICATED TO PREPARING PHYSICIANS TO SERVE IN RURAL COMMUNITIES. THIS PROGRAM CONSISTS OF HANDS-ON CURRICULUM FOR FUTURE RURAL HEALTH PROVIDERS BASED ON A UNIQUE HUB-AND-SPOKE STRUCTURE THAT ALLOWS RESIDENTS TO WORK OUT OF THE MAIN HOSPITAL-BASED SITE DURING THEIR FULL THREE YEARS OF TRAINING WHILE STILL GAINING FIRST-HAND RURAL EXPERIENCE AT A FEDERALLY-DESIGNATED RURAL HEALTH CLINIC AND A FEDERALLY QUALIFIED HEALTH CENTER. IT HAS DEVELOPED INTO A POLICY AND PROGRAM LEADER WITH THE DEVELOPMENT OF INNOVATIVE METHODOLOGIES TO SUPPORT A WORKFORCE THAT IS WELL-PREPARED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES IN REMOTE AREAS NATIONALLY AND INTERNATIONALLY. IT WAS FIRST ESTABLISHED IN 1993 AS THE MIDWEST CENTER FOR RURAL HEALTH TO PREPARE PRIMARY CARE PHYSICIANS FOR SUCCESSFUL RURAL PRACTICE AND TO EXPOSE INDIVIDUALS NOT YET DECIDED ON A CAREER TO THE REWARDS OF DELIVERING HEALTH CARE IN A RURAL AREA. THE CENTER WAS RENAMED IN 2006 TO HONOR U.S. SENATOR RICHARD G. LUGAR A SUPPORTER OF THE CENTER'S MISSION AND AN ADVOCATE FOR THE ADVANCEMENT OF RURAL HEALTHCARE. IN 1993, UNION SET UP A MODEL RURAL HEALTH CLINIC AND TRAINING SITE IN CLAY CITY, INDIANA TO PROVIDE MUCH NEEDED HEALTH CARE SERVICES TO A MEDICALLY UNDERSERVED COMMUNITY. THIS FEDERALLY DESIGNATED RURAL HEALTH CLINIC (RHC) ALSO PROVIDES A UNIQUE HANDS-ON TRAINING SITE FOR PHYSICIANS ENROLLED IN UNION HOSPITAL'S FAMILY MEDICINE RESIDENCY'S RURAL TRAINING TRACK. A MULTIDISCIPLINARY TEAM OF PHYSICIANS, PHYSICIANS ASSISTANTS, NURSE PRACTITIONERS, MENTAL HEALTH COUNSELORS, PSYCHOLOGY INTERNS, AN X-RAY TECHNICIAN, AND AN OPTOMETRIST PROVIDE COMPREHENSIVE CARE TO ALL REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE CLINIC COLLABORATES WITH THE LOCALLY OWNED PHARMACY TO PROVIDE PRESCRIPTION SERVICES TO UNINSURED AND UNDERINSURED PATIENTS USING THE SAME DISCOUNTED SLIDING FEE SCALE USED BY THE CLINIC. A VITAL COMPONENT OF THIS CLINIC IS THE 10 MEMBER COMMUNITY ADVISORY BOARD. CLAY CITY CENTER FOR FAMILY MEDICINE SERVES AS A MEDICAL HOME FOR APPROXIMATELY 5,000 AREA RESIDENTS, DELIVERING OVER 10,000 VISITS ANNUALLY, IN ADDITION TO HOUSE CALLS AND IN-PATIENT HOSPITAL CARE. IN 2001, THE LUGAR CENTER DEVELOPED AND IMPLEMENTED A CHRONIC DISEASE MANAGEMENT PROGRAM AT THE CLINIC THAT IS STILL BEING INTEGRATED INTO CARE PLANS FOR PATIENTS AS APPROPRIATE. THIS EVIDENCE BASED PROGRAM INCLUDES FIVE CHRONIC DISEASES-HYPERTENSION, DIABETES MELLITUS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CONGESTIVE HEART FAILURE, AND ASTHMA. THERE REMAINS AN ENORMOUS NEED FOR ADDITIONAL PROVIDERS IN THE SMALL COMMUNITIES SURROUNDING UH AS WELL AS CLINICAL TRAINING SITES. THE LUGAR CENTER IN COORDINATION WITH THE FAMILY MEDICINE RESIDENCY HAS EXPANDED TRAINING CAPACITY FOR FUTURE RURAL HEALTH CARE PROVIDERS THROUGH COLLABORATIVE EFFORTS WITH RURAL PARTNERS AROUND THE WABASH VALLEY. THE LUGAR CENTER RECEIVED GRANT FUNDING IN THE AMOUNT OF $1,041,412 DURING FISCAL YEAR 2012 TO HELP SUPPORT THE UNION HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM, CLAY CITY CENTER FOR FAMILY MEDICINE, AND THE WABASH VALLEY RURAL TELEHEALTH NETWORK. SCHEDULE H, PART VI, LINE 5: RURAL HEALTH INNOVATION COLLABORATIVE ON DEC. 2, 2008, UNION HOSPITAL'S LUGAR CENTER HELPED LAUNCH A RURAL HEALTH COLLABORATIVE AIMED AT IMPROVING AND EXPANDING HEALTH CARE IN OUR COMMUNITY. WHAT BEGAN AS AN INFORMAL EXERCISE IN CREATIVE PROBLEM-SOLVING HAS BECOME THE RURAL HEALTH INNOVATION COLLABORATIVE (THE RHIC). FOUNDING PARTNERS INCLUDE INDIANA STATE UNIVERSITY (ISU), INDIANA UNIVERSITY SCHOOL OF MEDICINE (IUSM), UNION HOSPITAL AND IT'S RICHARD G. LUGAR CENTER FOR RURAL HEALTH (UH), THE TERRE HAUTE ECONOMIC DEVELOPMENT CORPORATION (THEDC), THE CITY OF TERRE HAUTE (THE CITY), AND IVY TECH COMMUNITY COLLEGE WABASH VALLEY (IVY TECH). THE MISSION OF THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) IS TO IMPROVE AND EXPAND EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AND FUTURE HEALTH CARE PROFESSIONALS, ESPECIALLY FOR THOSE COMMITTED TO SERVING RURAL AND UNDERSERVED POPULATIONS.KEY COMPONENTS OF THIS MISSION INCLUDE: TO PROMOTE THE RETENTION OF HEALTH CARE PROFESSIONALS TO SERVE RURAL AND UNDERSERVED POPULATIONS; TO INVITE COMMUNITY REVITALIZATION BY PROMOTING THE ENHANCEMENT OF OPPORTUNITIES FOR EDUCATION, TRAINING, AND EXPERIENCE IN HEALTH-RELATED PROFESSIONS AND FIELDS; TO PROMOTE SOCIAL WELFARE AND TO ENCOURAGE AND COORDINATE COMMUNITY INITIATIVES TO ADDRESS CHALLENGES AFFECTING HEALTH CARE DELIVERY; TO PROMOTE THE EFFICIENT USE OF PUBLIC AND PRIVATE RESOURCES AND COLLABORATE WITH OTHER ENTITIES WITH SIMILAR OR COMPLEMENTARY PURPOSES; TO DESIGN AND IMPLEMENT INNOVATIVE BEST PRACTICES AND STRATEGIES THAT ARE CAPABLE OF REPLICATION IN OTHER AREAS OF THE UNITED STATES; AND TO DISSEMINATE EDUCATIONAL INFORMATION, THEREBY POTENTIALLY OR ACTUALLY BENEFITING THOSE OTHER AREAS. A RECENT STUDY COMMISSIONED BY RHIC PARTNERS AND CONDUCTED BY INDIANA UNIVERSITY SCHOOL OF MEDICINE'S BOWEN RESEARCH CENTER, FOUND SHORTAGES IN ALMOST EVERY HEALTH CARE FIELD IN THE WABASH VALLEY. THE WABASH VALLEY IS A REGION WITH COUNTIES IN BOTH INDIANA AND ILLINOIS. NURSES AND PHYSICIANS TOP THE LIST OF SHORTAGE AREAS. THE SURVEY FOUND A NEED FOR 702 TO 827 ADDITIONAL NURSES AND 134 TO 275 PRIMARY CARE PHYSICIANS IN AN 11-COUNTY AREA OF WEST-CENTRAL INDIANA. THE ELEVEN COUNTIES INCLUDED IN THIS REGION WERE: CLAY, FOUNTAIN, GREENE, MONTGOMERY, OWEN, PARKE, PUTNAM, SULLIVAN, VERMILLION, VIGO, AND WARREN. SIGNIFICANT SHORTAGES WERE ALSO FOUND IN MENTALHEALTH COUNSELORS, PHYSICAL THERAPISTS, PHARMACISTS, SOCIAL WORKERS, HEALTH EDUCATORS, SPEECH PATHOLOGISTS, PHYSICIAN ASSISTANTS AND PSYCHOLOGISTS. IN MORE THAN THREE FOURTHS OF THE PROFESSIONS ANALYZED THE STUDY PROJECTS THAT BY 2016 THE NUMBER OF HEALTH CARE PROVIDERS PER 100,000 RESIDENTS WILL BE LOWER IN THE WABASH VALLEY THAN STATEWIDE. ADDITIONALLY THE STUDY FOUND A NEED FOR INCREASED ACCESS TO EDUCATION PROGRAMS, EXPANDING EXISTING PROGRAMS AND MAKING NEW PROGRAMS AVAILABLE. RHIC LEADERS ENVISION TACKLING THE CURRENT AND WORSENING HEALTH CARE WORKER SHORTAGES THROUGH INNOVATIONS AND COLLABORATIONS IN HEALTH CARE EDUCATION ACROSS THE PARTNERSHIP. THE PARTNERS ARE FOCUSED NOT JUST ON INCREASING NUMBERS OF STUDENTS AND EDUCATIONAL OPPORTUNITIES, BUT ALSO ON TRANSFORMING OUR TRADITIONAL EDUCATION MODEL TO ENSURE AN OPTIMALLY PREPARED WORKFORCE, RESULTING IN IMPROVED ACCESS TO CARE AND PATIENT OUTCOMES. THERE ARE SEVERAL CHALLENGES TO MINIMIZING THE HEALTH CARE WORKFORCE SHORTAGES IN RURAL WEST-CENTRAL INDIANA AND THROUGHOUT THE NATION. ONE OF THE BIGGEST CHALLENGES IS CHANGING THE EDUCATIONAL METHODOLOGY WHEN TRAINING FUTURE HEALTH CARE PROVIDERS. TRADITIONALLY, OUR WORKFORCE IS EDUCATED IN "SILOS", RATHER THAN IN INTERPROFESSIONAL TEAMS. EVEN A QUICK REVIEW OF THE LITERATURE REVEALS QUALITATIVE AND QUANTITATIVE EVIDENCE SUGGESTING THE NEED TO CHANGE THE METHODS THAT HAVE HISTORICALLY BEEN UTILIZED TO TRAIN HEALTH PROFESSIONALS. YET, THIS IS NOT AN EASY TASK. THE RHIC PARTNERS HAVE BEGUN TO ADDRESS THIS CHALLENGE BY EMBRACING INTERPROFESSIONAL EDUCATION (IPE) AS A MAJOR FOCUS OF THE RHIC. ONE IMPORTANT COMPONENT OF THE RHIC'S IPE INITIATIVE IS TO DEVELOP A COLLABORATIVE CURRICULUM WHERE STUDENTS FROM MULTIPLE HEALTH CARE PROFESSIONS LEARN TOGETHER. AS A PART OF THIS EFFORT, THE RHIC IMPLEMENTED A COLLABORATIVE SIMULATION CENTER FOR INTERPROFESSIONAL EDUCATION AND TRAINING. THE PRIMARY PURPOSE OF THE RHIC SIMULATION CENTER IS DEDICATED TO ENHANCING HANDS-ON EDUCATIONAL OPPORTUNITIES FOR TEAMS OF FUTURE HEALTH CARE PROFESSIONALS, PARTICULARLY THOSE PREPARING TO PRACTICE IN RURAL AREAS. THE CENTER ENSURES A ROBUST, WELL-PREPARED TEAM OF HEALTH CARE PROFESSIONALS WHO PROVIDE ENHANCED ACCESS TO QUALITY CARE IN RURAL COMMUNITIES. IN ADDITION TO MORE AND BETTER PREPARED HEALTH CARE PROFESSIONALS THIS COLLABORATIVE LEADS TO ADDITIONAL CUTTING-EDGE TRAINING AND RESEARCH FACILITIES, AS WELL AS SUPPORT FOR BUSINESS AND HEALTH CARE SERVICE EXPANSION. THIS OUTCOME LEADS THE WAY FOR NEIGHBORHOOD REVITALIZATION AND ECONOMIC DEVELOPMENT IN TERRE HAUTE AND IN SURROUNDING RURAL, UNDERSERVED COMMUNITIES. THE RHIC COLLABORATIVE INCLUDES URBAN AND RURAL PARTNERS AS WELL AS PRIVATE, PUBLIC AND GOVERNMENT PARTNERS. THE LEADERS OF EACH PARTNER ORGANIZATION BRING MULTIPLE RESOURCES AND EXPERTISE TO THE COLLABORATIVE AND PROVIDE GUIDANCE AS A PART OF A ROBUST BOARD OF DIRECTORS. COMMITTEES OF THE BOARD MANAGE ACTIVITIES IN: COMMUNICATIONS, EDUCATION, FACILITIES, FINANCE, ECONOMIC DEVELOPMENT AND RESOURCE DEVELOPMENT. AD-HOC COMMITTEES ARE CREATED AS NEEDED FOR TARGETED STUDY AND WORK. THROUGH THIS ROBUST COLLABORATIVE--INCLUDING THROUGH THE SHARING OF RESOURCES AMONG URBAN, RURAL, GOVERNMENT, PUBLIC AND PRIVATE ENTITIES THAT ARE ALL REPRESENTED WITHIN THE RHIC--WE ARE IMPROVING EFFICIENCIES, CREATING AND IMPLEMENTINNOVATING ADVANCES IN CURRICULUM AND TRAINING FOR INTERPROFESSIONAL TEAMS OF PROVIDERS, AND ENSURING LONG-TERM RESULTS TOWARD IMPROVED ACCESS TO QUALITY HEALTH CARE IN ALL OF OUR COMMUNITIES, ESPECIALLY INCLUDING OUR SURROUNDING RURAL COMMUNITIES. NO COLLABORATION EVER COMES EASILY. YET, IT IS THROUGH COLLABORATION THAT WE ARE ABLE TO ACHIEVE THE MOST. RHIC MEMBERS HAVE HIRED A FULL-TIME DIRECTOR TO ASSIST WITH THOUGHTFULLY BUILDING A SOLID FOUNDATION FOR THE RHIC COLLABORATIVE, INCLUDING THROUGH THE CREATION OF FORMAL BYLAWS AND OTHER GOVERNING MECHANISMS. TOWARD THIS END, IN DECEMBER 2009, THE RHIC WAS FORMALLY RECOGNIZED BY THE IRS AS A 501(C)(3) NONPROFIT ENTITY. RHIC MEMBERS COME TOGETHER MONTHLY FOR INTENSE MEETINGS DURING WHAT HAS COME TO BE KNOWN AS "RHIC WEEK" EACH MONTH. THE BOARD IS MADE UP OF MEMBERS FROM THE HIGHEST LEVELS OF LEADERSHIP FROM EACH OF THE PARTNER ENTITIES. IN ADDITION TO RHIC COMMITTEE MEMBERS MEETING MONTHLY, THESE LEADERS ARE ALSO COMING TOGETHER ON A CONTINUOUS, CONSISTENT BASIS. THIS SHARING OF TIME TO REVIEW VISION DOCUMENTS AS WELL AS THE MOST MUNDANE DOCUMENTS, HAS BEEN INVALUABLE IN TERMS OF MOVING THE COLLABORATIVE FORWARD TOWARD ITS ULTIMATE GOAL OF ENSURING A ROBUST WORKFORCE AND ENVIRONMENT TO BE ABLE TO PROVIDE LONG-TERM, SUSTAINABLE ACCESS TO QUALITY HEALTH CARE. FUTURE GOALS, AS STATED ABOVE, INCLUDE CREATING A TRULY INNOVATIVE INTERPROFESSIONAL HEALTH CURRICULUM AND TRAINING PROGRAM. IN ADDITION TO CREATING A ROBUST INNOVATIVE, LEARNING ENVIRONMENT, THE RHIC MEMBERS ENVISION CREATING A "DISTRICT" THAT CONNECTS UNION HOSPITAL TO THE INDIANA STATE UNIVERSITY CAMPUS IN TERRE HAUTE. THIS "NEIGHBORHOOD", ABOUT 270 ACRES, BETWEEN THE UNION HOSPITAL AND ISU CAMPUSES IS A BLIGHTED NEIGHBORHOOD. THROUGH THIS ECONOMIC DEVELOPMENT INITIATIVE OF THE RHIC, WE ENVISION CREATING A MIXED-USE LEARN-LIVE-WORK-PLAY DISTRICT THAT INCORPORATES HEALTHY LIVING DESIGN FEATURES AND FOSTERS JOB CREATION AND A CULTURE OF INNOVATION, CONTINUOUS LEARNING AND EXCELLENCE. TOWARD THIS END, THE RHIC PARTNERS HAVE HIRED AN ARCHITECTURAL FIRM TO LEAD A MASTER PLANNING PROCESS THAT WILL INVOLVE STAKEHOLDERS FROM ACROSS THE COMMUNITY AND FROM ACROSS DISCIPLINES. WE FULLY EXPECT THIS "RHIC DISTRICT" TO BECOME A MODEL IN THE UNITED STATES FOR INNOVATION AND EXCELLENCE. CURRENT OPERATING EXPENSES ARE FUNDED THROUGH THE RHIC MEMBER ORGANIZATIONS. IN ADDITION, SOME INITIAL FEDERAL AND STATE GRANTS HAVE BEEN SECURED TO BEGIN IMPLEMENTATION. FOR EXAMPLE, A $100,000 GRANT WAS SECURED THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION TO ESTABLISH THE COLLABORATIVE SIMULATION CENTER. IN ADDITION, THE RHIC'S RESOURCE DEVELOPMENT COMMITTEE HAS TAKEN A LEADING ROLE TO BEGIN APPLYING FOR GRANTS TO ASSIST WITH PROGRAM DEVELOPMENT AND IMPLEMENTATION TO MAXIMIZE IMPACT AND FURTHER THE VISION OF PROVIDING A ROBUST HEALTHCARE WORKFORCE THAT IS SUFFICIENT TO MEET ALL OF THE HEALTHCARE NEEDS IN OUR SERVICE AREAS, ESPECIALLY INCLUDING IN OUR RURAL UNDERSERVED COMMUNITIES THROUGHOUT THE WEST-CENTRAL REGION OF INDIANA. SCHEDULE H, PART VI, LINE 5: PRE-NATAL CARE FOR INDIGENT POPULATION UNION HOSPITAL SERVES AS THE COMMUNITY SAFETY NET TO ASSURE THAT PRENATAL AND BIRTH CARE IS AVAILABLE TO ALL PREGNANT WOMEN IN THE WABASH VALLEY REGARDLESS OF FINANCIAL STATUS THROUGH ITS FAMILY MEDICINE CENTER. AS IN MANY AREAS OF HEALTH CARE, FISCAL REALITIES AFFECT SERVICES THAT CAN BE PROVIDED. WE ARE STRIVING TO MAINTAIN AND INNOVATIVELY IMPROVE SERVICES AND OPTIONS FOR THE VULNERABLE AND HIGH-RISK POPULATION WE SERVE. EACH COUNTY THAT WE SERVE HAS A HIGHER PERCENT OF REPORTED PRENATAL SMOKING THAN THE 2005 REPORTED STATE OF INDIANA AVERAGE OF 17.9%. THERE IS A COMBINED AVERAGE OF 27.94% FOR WOMEN FROM THE FIVE COUNTIES THAT WE SERVE. WE STRIVE TO ADDRESS THIS PROBLEM AS WELL AS BREASTFEEDING AND PRENATAL CARE INITIATION IN THE FIRST TRIMESTER. THE MHC IS PROUD TO PROVIDE A MULTIDISCIPLINARY APPROACH TO CARE FROM PHYSICIANS, RESIDENT PHYSICIANS, MIDWIVES, A FAMILY NURSE PRACTITIONER, NURSES, SOCIAL WORKERS, A SONOGRAPHER, AND A SUBSTANCE ABUSE COUNSELOR. REFERRALS ARE MADE TO APPROPRIATE COMMUNITY AGENCIES WITH SERVICES FOR HOUSING, FOOD STAMPS, WOMEN INFANTS AND CHILDREN NUTRITION PROGRAM, ADOPTION RESOURCES, DENTAL, TRANSPORTATION, DOMESTIC ABUSE SUPPORT RESOURCES, MENTAL HEALTH COUNSELING, BEREAVEMENT, CHILD PROTECTION, FAMILY PLANNING, AND BABY SUPPLIES. WE ENROLLED 284 NEW PATIENTS IN THE PAST FISCAL YEAR. 130 OF OUR PATIENTS WERE ASSESSED AS BEING MODERATE TO HIGH RISK SOCIALLY. THE POVERTY RATE IN VIGO COUNTY IN 2010 WAS 19.1%. BECAUSE OF THIS, IT IS APPARENT THAT WOMEN IN OUR AREA ARE IN NEED OF THE SERVICES THAT THE MHC PROVIDES. WE ARE A MEDICAID ENROLLMENT SITE, AND WE PROVIDE CARE ON A SLIDING FEE FOR SERVICE SCALE FOR THOSE WHO ARE NOT ELIGIBLE FOR MEDICAID. FIRST TRIMESTER CARE HAS BEEN INCREASED FROM 77% IN 2007 TO 81% IN 2009. BREASTFEEDING RATES HAVE INCREASED FROM 65.8% IN 2007 TO 69.6% IN 2009. OVER HALF OF OUR CLIENTS WHO SMOKED WHEN THEY BECAME PREGNANT STOPPED SMOKING BY THE TIME THEIR BABIES WERE BORN. WE HAVE RECENTLY STARTED AURICULAR (EAR) ACUPRESSURE AND ACUPUNCTURE IN OUR CLINIC TO ASSIST IN DECREASING SMOKING RATES. WOMEN ARE READY TO BE HELPED DURING PREGNANCY TO DECREASE AND/OR STOP SMOKING. WE HAVE IMPLEMENTED HOME VISITS, EDUCATION, AND AURICULAR THERAPY TO AID IN THIS TRANSITION. WE KNOW THAT WOMEN WANT CONSISTENT CARE AND MANY WANT FEMALE PROVIDERS. WE HAVE THE CARE PROVIDERS TO DO JUST THOSE THINGS. WE PROMOTE AND ASSIST WITH BREASTFEEDING EDUCATION AND SUPPORT. WE ADOPTED AN INCENTIVE PROGRAM TO MOTIVATE WOMEN TO PARTICIPATE IN EDUCATIONAL OPPORTUNITIES AND MAKE POSITIVE BEHAVIOR CHANGES. PATIENTS EARN POINTS FOR KEEPING APPOINTMENTS, CHANGING DIETS, RELEASING ADDICTIONS, AND BREASTFEEDING. THESE POINTS CAN BE EXCHANGED FOR USED CLOTHING AND HOUSEHOLD ITEMS AT THE NONPROFIT STORE RUN BY THE HELPING HANDS ORGANIZATION. BY 2012, WE PLAN TO HAVE OUR FIRST TRIMESTER CARE RATES AT 80% AND OUR BREASTFEEDING AT 70%. THROUGH OUR OPTIONS FOR SMOKING REDUCTION, WE PLAN TO DECREASE THIS RATE TO 98%.UNION HOSPITAL'S PERINATAL SERVICE OFFERS THE ONLY LEVEL III-B NICU IN A SEVENTY-MILE RADIUS. IN FACT, UNION HOSPITAL HAD THE FIRST NICU IN THE STATE WHICH WAS DEVELOPED IN 1964 BY A GROUP OF PEDIATRICIANS. WE CURRENTLY OFFER THE EXPERTISE OF NEONATOLOGISTS WHICH ENABLES US TO CARE FOR THE VERY LOW BIRTH WEIGHT NEONATES TO ANY FULL TERM INFANT THAT MAY REQUIRE MEDICAL INTERVENTIONS. RECENT RENOVATIONS WILL INCREASE THE NICU BEDS FROM NINE TO FIFTEEN. IN 2011 OVER THREE-HUNDRED NEWBORNS WERE ADMITTED FOR CARE. ANY NEWBORN THAT REQUIRES SURGICAL INTERVENTIONS DUE TO A CONGENITAL ANOMALY IS TRANSFERRED TO INDIANAPOLIS. OUR PRIMARY GOAL IS TO CARE FOR THIS VULNERABLE POPULATION IN OUR TECHNOLOGICALLY ADVANCED UNIT SO THAT WE CAN DECREASE ANY UNNECESSARY STRESS TO FAMILIES. ADDITIONALLY, WE HAVE A TRANSPORT TEAM WHO WILL GO TO SEVERAL SURROUNDING COUNTIES TO BRING INFANTS BACK TO UNION'S NICU FOR THE EXPERT MEDICAL AND NURSING CARE. LABOR AND DELIVERY MOVED TO THE RENOVATED AREA ON JULY 9, 2012. THE NEW 23,000 SQUARE FOOT RENOVATIONS INCREASED THE BIRTHING SUITES FROM 5 BEDS TO 8. THE TRIAGE AREA EXPANDED FROM 3 BEDS TO 9, WITH THE CESAREAN BIRTHING AREA ACQUIRING AN ADDITIONAL ROOM FOR A TOTAL OF TWO. IN 2012 THERE WERE 1732 BIRTHS AND APPROXIMATELY THE SAME NUMBER OF OUTPATIENTS. WE PROVIDE ALL OPTIONS FOR THE PREGNANT WOMAN TO CHOOSE IN HOW SHE WOULD TO BIRTH HER NEWBORN - FROM HIGH TOUCH WITH NO PAIN MEDICATIONS TO HIGH TECH WHERE SHE CAN HALF AN EPIDURAL. THE BIRTHING SUITES HAVE SHOWERS WHERE ONE CAN USE HYDROTHERAPY FOR ANY LABORING DISCOMFORT. WE MAKE EVERY EFFORT TO KEEP MOTHER AND NEWBORN TOGETHER FROM BIRTH TO DISCHARGE AND INITIATE BREAST FEEDING WITHIN THE FIRST HOUR OF LIFE. THERE ARE LACTATION CONSULTANTS TO ASSIST WITH BREAST FEEDING DURING THE HOSPITALIZATION AND THE "STORK SHOP" WHERE ELECTRIC BREAST PUMPS, BRAS, AND SUPPLIES CAN BE PURCHASED. PRENATAL CLASSES ARE ALSO OFFERED TO THOSE NEWLY PREGNANT FAMILIES AND FOR ANYONE WHO NEEDS A REFRESHER. SCHEDULE H, PART VI, LINE 5: ST. ANN MEDICAL CLINIC FOUNDED IN SEPTEMBER 1997 TO PROVIDE COMPREHENSIVE OUTPATIENT MEDICAL CARE FOR THE POOR OF VIGO AND SURROUNDING COUNTIES. ST. ANN MEDICAL CLINIC IS A PROGRAM OF PROVIDENCE SELF SUFFICIENCY MINISTRIES. CLIENTS SERVED MUST BE FINANCIALLY AT OR BELOW THE 125% POVERTY LEVEL AS ESTABLISHED BY THE FEDERAL GUIDELINES, MUST HAVE NO INSURANCE AND NO PHYSICIAN, AND BE WITHOUT THE RESOURCES OF MEDICARE OR MEDICAID. UNION'S PHYSICIANS, NURSES AND OTHERS PROVIDE VOLUNTEER SERVICE AND LEADERSHIP WITH ONE OF OUR PHYSICIANS SERVING AS MEDICAL DIRECTOR, AND LEADERS SUCH AS THE UNION HOSPITAL FOUNDATION DIRECTOR, THE CHAIRMAN OF THE BOARD OF DIRECTORS AND THE HOSPITAL'S LEGAL COUNSEL SERVING ON ITS ADVISORY COMMITTEE. HOSPITAL PHYSICIANS AND STAFF PROVIDE THOUSANDS OF VOLUNTEER HOURS TO THE CLINIC EACH YEAR. BEGINNING IN 2007, UNION HEALTH SYSTEM PLACED A NURSE PRACTITIONER FULL TIME WITHIN THE CLINIC. IN ADDITION, UNION HOSPITAL UHI ANNUALLY PROVIDES MORE THAN $13,000 IN MONETARY SUPPORT AND NEARLY $150,000 IN IN-KIND SUPPORT IN THE FORM OF FOLLOWUP TESTING AND CARE. SINCE 1997, THE CLINIC HAS TALLIED 83,750 CLIENT VISITS WITH NEARLY 59,000 OF THOSE VISITS OCCURRING SINCE FISCAL YEAR 2007. THE CLINIC OPERATES WITH A STAFF OF 141 DEDICATED CORE VOLUNTEERS, INCLUDING DOCTORS, NURSE PRACTITIONERS, NURSES, PHARMACISTS AND CLERICAL SUPPORT. THE NUMBER OF UNDERSERVED POOR IN THE VIGO COUNTY AREA IS INCREASING RAPIDLY AS EVIDENCED BY THE INCREASING NUMBERS OF CLINIC VISITS AND DECREASING ECONOMIC OPPORTUNITIES. THE CLINIC HAS DECREASED VISITS TO THE ALREADY OVERLOADED HOSPITAL EMERGENCY ROOMS. FURTHERMORE INDIVIDUALS AND FAMILIES, WHO HAVE NO OTHER RESOURCES, WOULD TYPICALLY NOT SEEK MEDICAL CARE, THUS RESULTING IN HIGHER IN HIGHER INCIDENCES OF MORE SERIOUS MEDICAL CONDITIONS GOING UNTREATED, POORER QUALITY OF LIFE AND INCREASING STRESS ON THE FAMILY. SCHEDULE H, PART VI, LINE 5: UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOMEN CLARA FAIRBANKS CENTER FOR WOMEN PROVIDES QUALITY CARE AND STATE-OF-THE-ART TECHNOLOGY IN MAMMOGRAPHY SERVICES FOR ALL PATIENTS OF THE WABASH VALLEY AND SURROUNDING COUNTIES. WE NOW HAVE THREE LOCATIONS TO SERVE OUR PATIENTS: THE MAIN CENTER AT 1711 N. 6 1/2 ST., SUITE 300, HUX CANCER CENTER IN TERRE HAUTE, SECOND LOCATION IS SOUTH OF THE CITY AT THOMAS PLAZA, 5500 S. US HWY. 41, TERRE HAUTE, AND THE THIRD LOCATION AT UNION HOSPITAL CLINTON, 801 S. MAIN, CLINTON, IN. THE SERVICES PROVIDED INCLUDE: DIGITAL MAMMOGRAPHY, BREAST ULTRASOUND, STEREOTACTIC AND ULTRASOUND GUIDED BREAST BIOPSY PROCEDURES, BONE DENSITY SCANS, AND A BOUTIQUE TO SUPPLY SPECIAL GARMENTS FOR PATIENTS WHO HAVE UNDERGONE BREAST SURGERY. BECAUSE PERSONALIZED CARE IS AS VITAL A PART OF GUIDING A PATIENT THROUGH BREAST CARE, AS IT IS IMPORTANT TO BE SURE TO TREAT EACH PATIENT AS AN INDIVIDUAL NOT JUST A CANCER DIAGNOSIS; THE CENTER IDENTIFIED THE NEED FOR A PATIENT NAVIGATOR IN 2004. THE PATIENT NAVIGATOR HELPS GUIDE THE PATIENTS AND THEIR FAMILIES THROUGH THE SOMETIMES-OVERWHELMING PROCESS OF A BREAST CANCER DIAGNOSIS AND TREATMENT. SHE IS ABLE TO ACCOMPLISH THIS BY MAKING HERSELF AVAILABLE TO ANSWER QUESTIONS, SCHEDULE APPOINTMENTS AND COORDINATE REFERRALS. THE STAFF EDUCATES THE PATIENTS AND COMMUNITY ABOUT BREAST CARE, AVAILABLE GRANT DOLLARS, AND MAMMOGRAPHY SERVICES THROUGH DIRECT COMMUNICATION WITH THE CENTER, COMMUNITY HEALTH FAIRS AND PUBLIC SPEAKING. THE CLARA FAIRBANKS CENTER MEETS ALL STANDARDS SET FORTH BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), FEDERAL DRUG ADMINISTRATION (FDA), AMERICAN COLLEGE OF RADIOLOGY (ACR), AND THE REQUIREMENTS SET FORTH BY THE INDIANA STATE DEPARTMENT OF HEALTH. THE CENTER IS THE LEADING MAMMOGRAPHY FACILITY IN THE WABASH VALLEY. SINCE 1998, THE CENTER HAS BEEN A MAJOR PARTICIPANT IN THE INDIANA BREAST AND CERVICAL CANCER PREVENTION PROGRAM (BCCP), A PROGRAM TO ASSIST INDIGENT WOMEN WITH FUNDING FOR MAMMOGRAPHY SERVICES. FOR THE LAST FIVE YEARS, THE CENTER HAS BEEN APPROVED FOR GRANT DOLLARS THROUGH THE INDIANA BREAST CANCER AWARENESS TRUST. IN 2012, THE CLARA FAIRBANKS CENTER PROVIDED OVER 17,000 MAMMOGRAPHY SERVICES (BREAST BIOPSIES, ULTRASOUNDS, AND MAMMOGRAMS). THIS SAME YEAR, THE CLARA FAIRBANKS CENTER FOR WOMEN DIAGNOSED 165 WOMEN WITH BREAST CANCER AND ANOTHER 28 THAT WERE HIGH RISK. THE WABASH VALLEY BREAST CANCER SURVIVOR ORGANIZATION GAVE DOLLARS IN THE AMOUNT OF $7,500.00. THE BCCP GAVE FUNDS FOR APPROXIMATELY 86 MAMMOGRAPHY SERVICES. THROUGH A WABASH VALLEY KOMEN FOUNDATION GRANT IN THE AMOUNT OF $27,764 .00 ANOTHER 46 WOMEN WERE ASSISTED WITH ADDITIONAL SERVICES (MOSTLY BREAST BIOPSY PROCEDURES AND DIAGNOSTIC MAMMOGRAPHY). FIFTY WOMEN RECEIVED SCREENING MAMMOGRAMS FROM A $6,000 GRANT FROM INDIANA BREAST CANCER AWARENESS TRUST. THESE WERE WOMEN WHO MIGHT NOT HAVE RECEIVED THESE SERVICES IF THIS FUNDING HAD NOT BEEN AVAILABLE. BREAST CANCER SHOWS NO AGE BOUNDARIES; EARLY DETECTION IS STILL THE BEST PREVENTION. WITH EARLIER DIAGNOSIS, THERE IS LESS TREATMENT COST AND BETTER PROGNOSIS FOR THE PATIENT. WHILE BCCP IS A WORTHWHILE PROGRAM TO ASSIST INDIGENT WOMEN WITH MAMMOGRAPHY SERVICES, IT ONLY SUPPLIES FUNDING FOR MAMMOGRAPHY SERVICES FOR WOMEN 40 YEARS AND OLDER. WE KNOW THAT BREAST CANCER HAS THE POTENTIAL TO GROW MORE RAPIDLY IN YOUNGER WOMEN: THEREFORE IT IS OF UTMOST IMPORTANCE TO DETECT THESE CANCERS AT THE FIRST POSSIBLE SIGN. SINCE THERE HAS BEEN AN INCREASED NEED FOR FUNDING TO INCLUDE SCREENING, DIAGNOSIS, AND TREATMENT FOR WOMEN UNDER THE AGE OF 40, CLARA FAIRBANKS WILL CONTINUE TO PARTNER WITH ORGANIZATIONS LIKE THE SUSAN G. KOMEN FOUNDATION. THE CENTER WILL LOOK FOR EVERY OPPORTUNITY TO REQUEST GRANTS TO HELP ASSIST NOT ONLY WOMEN BUT MEN FOR THESE SERVICES. THE CENTER WILL CONTINUE TO EDUCATE ABOUT THE IMPORTANCE OF EARLY DETECTION AND FURTHER ENHANCE THE HOSPITAL'S "TEAM APPROACH" FOR BREAST CANCER PATIENTS. SCHEDULE H, PART VI, LINE 5: FRANKLIN ELEMENTARY SCHOOL WHAT BEGAN IN 1983 AS AN INDIANA STATE UNIVERSITY GRADUATE STUDENT'S PROJECT TO LINK LOCAL BUSINESSES WITH ELEMENTARY SCHOOLS HAS BECOME A LONG-STANDING PARTNERSHIP TO ENCOURAGE HEALTHY LIFESTYLES IN ONE OF TERRE HAUT'S POOREST ELEMENTARY SCHOOLS. THE PAIRING OF UNION HOSPITAL WITH BENJAMIN FRANKLIN ELEMENTARY SCHOOL IN TERRE HAUTE HAS PROVEN TO BE A "PERFECT PARTNERSHIP" IN MATCHING THE NEEDS OF STUDENTS WITH STAFF AND VOLUNTEERS FROM THE HOSPITAL. FRANKLIN SCHOOL IS LOCATED IN A POOR INNER-CITY NEIGHBORHOOD WHERE 98% OF STUDENTS QUALIFY FOR THE FEDERAL FREE BREAKFAST AND LUNCH PROGRAM. THE STUDENT POPULATION IS TRANSIENT; 90% OF STUDENTS WHO BEGIN ELEMENTARY SCHOOL AT FRANKLIN DO NOT FINISH ELEMENTARY SCHOOL AT THE SCHOOL DUE TO INSTABILITY IN THEIR HOME AND FAMILY LIVES. FOR MOST, GOOD NUTRITION, HYGIENE AND PHYSICAL FITNESS ARE NOT TAUGHT OR ENCOURAGED IN THE HOME. EACH YEAR UNION PROGRAM DIRECTORS MEET WITH THE PRINCIPAL AND TEACHERS FROM THE SCHOOL TO SET CRITERIA AND PLAN THE YEAR'S ACTIVITIES. ENGAGING THE CLASSROOM TEACHER IN THE PLANNING AND PREPARATION FOR THESE ACTIVITIES AND WORKING WITH THEM TO INCORPORATE GOOD HEALTH MESSAGES INTO THEIR CURRICULA IS VITAL TO THE PROGRAMS SUCCESS. ACTIVITIES MAY VARY FROM YEAR TO YEAR BUT TWO ACTIVITIES HAVE REMAINED CONSTANT: THE ANNUAL HEALTH FAIR AND THE HEALTH CAREERS DAY. FOR THE STUDENT HEALTH FAIR STUDENTS ARE TESTED ON HEALTH INDICATORS: HEIGHT, WEIGHT, BLOOD PRESSURE, SIT-UP, SIT AND REACH, BAR HANG AND SHUTTLE RUN. THE RESULTS OF EACH TEST ARE RECORDED AND SENT TO THE HOMES OF EACH STUDENT. DURING CAREER DAY, HEALTH PROFESSIONALS TALK ABOUT THEIR WORK AND THE EDUCATION THEY'VE RECEIVED. PHYSICIANS, PHARMACISTS, FITNESS EXPERTS, NURSES, THERAPISTS, NUTRITION SERVICES STAFF AND MANY OTHERS HAVE VOLUNTEERED TIME TO TALK TO THE KIDS. THIS PARTNERSHIP IS FAR FROM ONE-SIDED. FOR EACH HOLIDAY, STUDENTS FROM THE SCHOOL MAKE TRAY FAVORS FOR PATIENT MEAL TRAYS TO BRIGHTEN THEIR DAY. CAROLERS FROM THE SCHOOL AT CHRISTMAS PROVIDE CHEER TO PATIENTS AND STAFF. MORE THAN 350 STUDENTS PARTICIPATE EACH YEAR IN THESE ACTIVITIES. GIVEN THE TRANSIENT NATURE OF THIS POPULATION, IT IS DIFFICULT TO MEASURE THE LONG-TERM EFFECTS HOWEVER AT EVERY HEALTH FAIR, 3-6 STUDENTS ARE IDENTIFIED WITH SIGNIFICANT HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR, MALNOURISHMENT OR OBESITY. FOLLOW-UP IS DONE WITH FAMILIES TO ENCOURAGE FURTHER MEDICAL EVALUATION AND LINK THEM TO APPROPRIATE SOCIAL SERVICES. ANECDOTALLY, NURSES AND OTHER HEALTH PROFESSIONALS HAVE TOLD US OF THE INFLUENCE OUR STAFF HAD IN THEIR DECISION TO BECOME CARE PROVIDERS AS A RESULT OF HEARING THEM AT FRANKLIN SCHOOL. WHILE THE SCHOOL HAS HAD THREE PRINCIPLES IN THE LAST 15 YEARS, EACH ONE HAS KEPT THE PROGRAM GROWING AND VIABLE. AN AVERAGE OF $2,000 IS SPENT FROM THE MARKETING BUDGET EACH YEAR ON T-SHIRTS, PRINTING, RIBBONS, BUS TRANSPORTATION AND MEALS. STAFF DONATES ABOUT 60 HOURS EACH YEAR FOR THESE ACTIVITIES.TO HELP FIGHT CHILDHOOD OBESITY AND TO BETTER COMBAT HEART DISEASE THE FRANKLIN SCHOOL HEALTH PROGRAM UNDERWENT A MAJOR OVERHAUL IN 2011. THE NEW PROGRAM TITLED, UNION HOSPITAL HEALTHY ME AT FRANKLIN ELEMENTARY IS A MORE FORMALIZED PROGRAM THAT INCLUDES PRE AND POST HEALTH TESTING. BUILDING ON OUR ADOPTION OF THE PRESIDENTIAL FITNESS CHALLENGE IN FY 2010, THE HEALTHY ME PROGRAM INCLUDES FOLLOW-UP TESTING AT THE END OF THE SCHOOL YEAR. EACH STUDENT WILL BE TESTED ON THEIR HEIGHT, WEIGHT AND BLOOD PRESSURE AT THE BEGINNING AND END OF EACH SCHOOL YEAR TO PROVIDE US WITH MEASURABLE BODY MASS INDEX (BMI) DATA FOR EACH STUDENT. THE DATA WILL BE COLLECTED ON EACH STUDENT FOR THE DURATION OF THEIR EDUCATION AT FRANKLIN. IF THE STUDENTS DO NOT EAT HEALTHY AND EXERCISE OUTSIDE OF SCHOOL, THE HEALTHY ME PROGRAM WILL BE LESS IMPACTFUL. THUS, THE NEW PROGRAM FEATURES THREE FAMILY DINNER NIGHTS, OFFERING A FREE MEAL AND EDUCATION FROM A UNION HOSPITAL NUTRITIONIST AND FITNESS CENTER SPECIALISTS WILL INCLUDE FAMILIES IN THE PROGRAM. SCHEDULE H, PART VI, LINE 5: BETTER HEALTH WABASH VALLEY (BHWV) UNION HOSPITAL, ALONG WITH TERRE HAUTE REGIONAL HOSPITAL ARE FOUNDING MEMBERS OF THE TERRE HAUTE CHAMBER OF COMMERCE BETTER HEALTH WABASH VALLEY INITIATIVE. THE ORIGINAL COMMITMENT WAS TO ASSIST IN THE PURCHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND TO MAKE THAT DATA WIDELY AVAILABLE TO THE PUBLIC. BETTER HEALTH WABASH VALLEY NOW HAS ADDITIONAL SUPPORTING MEMBERS INCLUDING SULLIVAN COUNTY COMMUNITY HOSPITAL, HAMILTON CENTER AND UNITED WAY OF THE WABASH VALLEY. THESE ORGANIZATIONS HAVE MADE A FINANCIAL CONTRIBUTION TO BETTER HEALTH WABASH VALLEY. ALL MONIES CONTRIBUTED TO BETTER HEALTH WABASH VALLEY GO THROUGH THE TERRE HAUTE CHAMBER OF COMMERCE FOUNDATION WHICH IS A 501C3 ORGANIZATION. BETTER HEALTH WABASH VALLEY'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WHILE MAKING THE WABASH VALLEY A HEALTHIER COMMUNITY TO LIVE, WORK AND PLAY. BETTER HEALTH WABASH VALLEY IS REPRESENTED BY SEVERAL DIFFERENT ORGANIZATIONS IN THE COMMUNITY INCLUDING, HEALTHCARE AND MENTAL HEALTH ORGANIZATIONS, SCHOOL CORPORATIONS, UNIVERSITIES, NOT-FOR-PROFITS AND BUSINESSES. UNION HOSPITAL WILL REMAIN HEAVILY INVOLVED AND COMMITTED TO THE BETTER HEALTH WABASH VALLEY INITIATIVE OVER THE NEXT SEVERAL YEARS. AS EMPLOYERS IN THE WABASH VALLEY LOOK FOR WAYS TO KEEP HEALTH INSURANCE CLAIMS AT A MINIMUM WE WILL WORK WITH THEM ON EMPLOYEE WELLNESS STRATEGIES, ADDITIONALLY WE WILL ASSIST IN PROGRAM DEVELOPMENT THAT COULD BE IMPLEMENTED ON AN ORGANIZATIONAL LEVEL AT LITTLE TO NO COST TO THE EMPLOYER. AN EXAMPLE OF THIS MIGHT BE PROVIDING MATERIALS OR ONLINE RESOURCES FOR A WALKING PROGRAM. BETTER HEALTH WABASH VALLEY AND ITS MEMBERS HAVE DECIDED TO FOCUS ON CARDIOVASCULAR DISEASE, OBESITY AND CHILDHOOD OBESITY AS TOP ISSUES THAT THEY WILL FOCUS ON OVER THE NEXT THREE YEARS. SCHEDULE H, PART VI, LINE 5: VERMILLION PARKE COMMUNITY HEALTH CENTER VERMILLION PARKE COMMUNITY HEALTH CENTER MOBILE SCHOOL BASED HEALTH UNIT:THE PURPOSE AND GOAL OF VPCHC'S SCHOOL-BASED CAPITAL GRANT PROJECT IS TO CREATE A COLLABORATIVE PARTNERSHIP BETWEEN VPCHC AND THE FIVE SCHOOL CORPORATIONS LOCATED IN PARKE AND VERMILLION COUNTIES, TO HELP CHILDREN STAY IN SCHOOL BY IDENTIFYING AND ADDRESSING HEALTH PROBLEMS THAT MAY INTERFERE IN THE LEARNING PROCESS. THE MSBHC WILL DELIVER A COMBINATION OF PRIMARY HEALTH AND A VARIETY OF OTHER HEALTH-RELATED SERVICES TO THE CHILDREN ATTENDING THESE SCHOOLS. OTHER PRIMARY GOALS OF THE MSBHC INCLUDE:-IMPROVE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES BY PROVIDING A CONVENIENT RESOURCE FOR STUDENTS TO GAIN ACCESS TO THE HEALTH CARE SYSTEM, AS WELL AS A SOURCE FOR ONGOING CARE FOR SCHOOL-AGE CHILDREN. -REDUCE THE PERCENTAGE OF SCHOOL-AGE CHILDREN WHO ARE UNABLE TO OBTAIN OR DELAYED IN OBTAINING NECESSARY MEDICAL CARE.-IMPLEMENT EVIDENCE-BASED CLINICAL SERVICES THROUGH THE HIGHLY-TRAINED STAFF OF VPCHC, ALONG WITH OTHER COMMUNITY PARTNERS.-PROVIDE TRAINING OPPORTUNITIES FOR STUDENTS ENROLLED IN COURSES GEARED TOWARD THE DELIVERY OF HEALTH AND HUMAN SERVICES, AND TO -CREATE A QUALIFIED LOCAL HEALTHCARE WORKFORCE. FORM 990, SCHEDULE H, PART VI, LINE 4: CLARK COUNTY, IL:CLARK COUNTY IS A RURAL COUNTY IN EAST CENTRAL ILLINOIS WITH A POPULATION OF 15,455 RESIDENTS. MARSHALL IS THE COUNTY SEAT AND HAS A POPULATION OF 3,947. CLARK COUNTY IS ON THE EASTERN BORDER OF ILLINOIS/INDIANA WITH THE WABASH RIVER SERVING AS THE EASTERN BORDER AND STATE LINE. LINCOLN TRAIL STATE PARK IS LOCATED IN THE COUNTY AND MARKS THE ROUTE PRESIDENT LINCOLN'S FAMILY TRAVELED FROM INDIANA TO ILLINOIS IN 1831. THE TOWN OF CASEY IN CLARK COUNTY IS HOME TO SEVERAL GUINNESS WORLD RECORD CONSTRUCTIONS SUPER-SIZED OUTDOOR SCULPTURES OF ITEMS INCLUDING A WIND CHIME, ROCKING CHAIR, PITCHFORK AND MORE. THE LARGEST EMPLOYERS INCLUDE ZF MANUFACTURING, WALMART, THE PUBLIC SCHOOL SYSTEM, KIRCHNER BUILDING CENTER AND MARSHALL REHAB & NURSING. THERE IS NO HOSPITAL IN THE COUNTY. THE MEDIAN AGE IS 42 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $70,625. THE OVERALL POVERTY RATE IS 9.5%, WHILE THE CHILD POVERTY RATE IS 10.5%. THE HIGH SCHOOL GRADUATION RATE IS 88.9% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 24.3%. THE EMPLOYEMENT RATE FOR CLARK COUNTY, IL IS 57.2%. THE VETERAN POPULATION IS 7.9%, WHITE POPULATION IS 97%, AND THE HISPANIC OR LATINO POPULATION IS 1.8%. CRAWFORD COUNTY, IL:CRAWFORD COUNTY IS A RURAL COUNTY IN EAST CENTRAL ILLINOIS WITH A POPULATION OF 18,679 RESIDENTS. THE TOWN OF ROBINSON IS THE COUNTY SEAT AND HAS A POPULATION OF 7,713. CRAWFORD COUNTY IS ON THE EASTERN BORDER OF ILLINOIS/INDIANA WITH THE BORDER PARTIALLY DEFINED BY THE WABASH RIVER. ROBINSON IS HOME OF THE HEATH CANDY BAR AND HOUSES THE HEATH MUSEUM. THERE ARE FOUR HIGH SCHOOLS IN THE COUNTY AND A PUBLIC COMMUNITY COLLEGE. THE LARGEST EMPLOYERS INCLUDE DANA SEALING MANUFACTURING, HERSHEY CANDY COMPANY, MARATHON PETROLEUM COMPANY, CRAWFORD MEMORIAL HOSPITAL AND LINCOLN TRAIL COLLEGE. CRAWFORD COUNTY IS HOME TO A 25-BED, CRITICAL ACCESS HOSPITAL, CRAWFORD MEMORIAL HOSPITAL, A PRIVATE NONPROFIT OPERATED BY THE CRAWFORD MEMORIAL HOSPITAL DISTRICT AND MANAGED BY OVATION HEALTHCARE, A FOR-PROFIT COMPANY OWNED BY PRIVATE EQUITY FIRM GRANT AVENUE CAPITAL. THE MEDIAN AGE IS 42.4 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS 67,614. THE OVERALL POVERTY RATE IS 11.6, WHILE THE CHILD POVERTY RATE IS 11.5%. THE HIGH SCHOOL GRADUATION RATE IS 85.7% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 20.6%. THE EMPLOYEMENT RATE FOR CRAWFORD COUNTY, IL IS 52.6%. THE VETERAN POPULATION IS 7.8%, WHITE POPULATION IS 92.5%, AND THE HISPANIC OR LATINO POPULATION IS 2.8%.EDGAR COUNTY, IL:EDGAR COUNTY IS A RURAL COUNTY IN EAST CENTRAL ILLINOIS WITH A POPULATION OF 16,866 RESIDENTS. THE TOWN OF PARIS IS THE COUNTY SEAT AND HAS A POPULATION OF 8,291. EDGAR COUNTY IS ON THE EASTERN BORDER OF ILLINOIS/INDIANA. THE LARGEST RECREATIONAL AREA, TWIN LAKES PARK & RESERVOIR, IS NORTH OF PARIS AND DRAWS PEOPLE TO THE AREA FOR OUTDOOR ACTIVITIES. THE COUNTY HAS FIVE PUBLIC HIGH SCHOOLS. THE LARGEST EMPLOYERS INCLUDE NORTH AMERICAN LIGHTING, ILLINOIS DEPARTMENT OF TRANSPORTATION, SIMONTON WINDOWS, GSI GROUP, CARGILL, PARIS METAL PRODUCTS, PRETIUM PACKING LLC AND HORIZON HEALTH. EDGAR COUNTY IS HOME TO A 25-BED, CRITICAL ACCESS HOSPITAL, PARIS COMMUNITY HOSPITAL, A PRIVATE NONPROFIT HOSPITAL THAT OFFERS PRIMARY AND SPECIALTY CARE ALONG WITH 24/7 EMERGENCY CARE SERVICES. THE MEDIAN AGE IS 46.4 YEARS AND THE MEDIAN HOUSEHOLD INCOME IS $56,909. THE OVERALL POVERTY RATE IS 11.8%, WHILE THE CHILD POVERTY RATE IS 18.6%. THE HIGH SCHOOL GRADUATION RATE IS 88.9% AND THE PERCENTAGE OF THE POPULATION WITH A BACHELOR'S DEGREE OR HIGHER IS 20.1%. THE EMPLOYEMENT RATE FOR EDGAR COUNTY, IL IS 54%. THE VETERAN POPULATION IS 5.9%, WHITE POPULATION IS 97.1%, AND THE HISPANIC OR LATINO POPULATION IS 1.7%. 0 UNION HOSPITAL FOUNDATION 1606 N 7TH ST TERRE HAUTE IN 47804 351642823 501C3 201600 0 CHARITABLE CONTRIBUTION TERRE HAUTE BOYS & GIRLS CLUB 924 N 13 ST TERRE HAUTE IN 47807 350868182 501C3 60000 0 CHARITABLE CONTRIBUTION RUTH HOUSE 128 S CROWDER ST SULLIVAN IN 47882 834469170 501C3 50000 0 CHARITABLE CONTRIBUTION TERRE HAUTE AIR SHOW 581 SOUTH AIRPORT ST TERRE HAUTE IN 47803 874833049 501C3 15000 0 CHARITABLE CONTRIBUTION HABITAT FOR HUMANITY OF INDIANA INC 101 W OHIO ST SUITE 2000 INDIANAPOLIS IN 46204 911914868 501C3 10000 0 CHARITABLE CONTRIBUTION TERRE HAUTE SYMPHONY ASSOCIATION INC 25 NORTH 6TH ST TERRE HAUTE IN 47807 351120529 501C3 10000 0 CHARITABLE CONTRIBUTION UNITED WAY OF THE WABASH VALLEY 100 S 7TH ST TERRE HAUTE IN 47804 351008531 501C3 8890 0 CHARITABLE CONTRIBUTION VIGO COUNTY MEDICAL ALLIANCE INC 6751 W MANOR DRIVE TERRE HAUTE IN 47802 351434642 501C3 7500 0 CHARITABLE CONTRIBUTION CATHOLIC CHARITIES OF TERRE HAUTE 1801 POPLAR ST TERRE HAUTE IN 47803 351577679 501C3 6800 0 CHARITABLE CONTRIBUTION ROSE-HULMAN INSTITUTE OF TECHNOLOGY 5500 WABASH AVE TERRE HAUTE IN 47803 350868149 501C3 5350 0 CHARITABLE CONTRIBUTION 10 0 PART I, LINE 2: GRANTS TO ENTITIES IN THE UNITED STATES AND SCHOLARSHIPS PROVIDED: GRANTS AND ASSISTANCE ARE PROVIDED TO ELIGIBLE 501(C)(3) PULIC CHARITIES, LOCAL SCHOOL CORPORATION FOR GENERAL SUPPORT, AND SCHOLARSHIPS FOR ELIGIBLE INDIVIDUALS. UNION HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THE ORGANIZATIONS OR INDIVIDUALS. X X X X X 0 1 0 0 0 0 0 1 0 STEVEN HOLMAN PRESIDENT & CEO 1122357 0 508738 0 253670 0 16857 0 26378 0 1928000 0 0 0 NABIL MNAYARJI PHYSICIAN 835087 0 447734 0 0 0 17100 0 25612 0 1325533 0 0 0 VANNARA SAKBUN PHYSICIAN 689375 0 273345 0 0 0 21068 0 29771 0 1013559 0 0 0 VUPPAA REDDY PHYSICIAN 323150 0 540076 0 0 0 16774 0 266 0 880266 0 0 0 MARY ABERNATHY PHYSICIAN 662871 0 17888 0 0 0 17100 0 25612 0 723471 0 0 0 IMAD KOJ PHYSICIAN 362523 0 275589 0 0 0 16889 0 29771 0 684772 0 0 0 MATTHEW NEALON SR VP FINANCE/CFO/ASST TRE 548266 0 0 0 83590 0 17100 0 31014 0 679970 0 0 0 JACK HILL COO 419390 0 123484 0 68579 0 16346 0 31014 0 658813 0 0 0 VIJAY KUMAR CIO 422521 0 95688 0 62491 0 17260 0 10793 0 608753 0 0 0 AMY HOCK CHIEF LEGAL OFFICER 396702 0 93084 0 50361 0 11638 0 30214 0 581999 0 0 0 JAMES SCHRADER CHIEF STRATEGY/BUS. DEV OFFICER 357773 0 80761 0 56426 0 17669 0 30214 0 542843 0 0 0 RHONDA SMITH CNO 371972 0 83823 0 50419 0 16735 0 11231 0 534180 0 0 0 LAURA STARKS CHIEF HR OFFICER 368346 0 80745 0 6821 0 8270 0 25856 0 490038 0 0 0 REBECCA LYNCH CMO 346962 0 80719 0 6794 0 14772 0 0 0 449247 0 0 0 STEPHANIE LAWS VICE PRESIDENT 252837 0 57211 0 39066 0 17100 0 20509 0 386723 0 0 0 KENNETH KIGORWE MD MEMBER 263229 0 62864 0 0 0 14851 0 29771 0 370715 0 0 0 KATHLEEN COUTINHO MD MEMBER 195570 0 48170 0 0 0 14367 0 10416 0 268523 0 0 0 MICHELE JOHNSON NON-VOTING ASST. SECRETARY 96357 0 25358 0 0 0 6445 0 27090 0 155250 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIUDALS PARTICIPATED IN A 457F PLAN DURING THE YEAR: STEVEN HOLMAN CONTRIBUTED DURING THE YEAR: $171,465 PAID OUT DURING THE YEAR: $157,858 JACK HILL CONTRIBUTED DURING THE YEAR: $47,507 PAID OUT DURING THE YEAR: $40,864 MATTHEW NEALON CONTRIBUTED DURING THE YEAR: $61,069 PAID OUT DURING THE YEAR: $50,761 VIJAY KUMAR CONTRIBUTED DURING THE YEAR: $43,060 PAID OUT DURING THE YEAR: $40,725 AMY HOCK CONTRIBUTED DURING THE YEAR: $41,120 PAID OUT DURING THE YEAR: $22,949 JAMES SCHRADER CONTRIBUTED DURING THE YEAR: $36,746 PAID OUT DURING THE YEAR: $31,400 RHONDA SMITH CONTRIBUTED DURING THE YEAR: $37,719 PAID OUT DURING THE YEAR: $33,757 STEPHANIE LAWS CONTRIBUTED DURING THE YEAR: $26,028 PAID OUT DURING THE YEAR: $21,750 PART I, LINE 7 THE ORGANIZATION PROVIDES NON-FIXED PAYMENTS TO SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. THESE NON-FIXED PAYMENTS ARE BASED ON THE ORGANIZATION'S ABILITY TO PAY AND ARE NOT CONSTRUED AS A CONTRACT BETWEEN UNION AND ITS EXECUTIVES. THE EXECUTIVE BONUS PLAN IS A MIXTURE OF OBJECTIVES, STANDARDS AND SUBJECTIVE STANDARDS THAT BOTH THE POLICY AND THE IMPLEMENTATION OF THE POLICY BY THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS APPROVES AND AWARDS DEPENDING ON UNION'S ABILITY TO PAY. THERE IS NO AUTOMATIC RIGHT TO A BONUS OR A SPECIFIC BONUS AMOUNT EVEN IF ALL CRITERIA ARE MET. THE PERFORMANCE MEASURE PLAN IS LINKED TO THE UNION STRATEGIC AND FISCAL-YEAR BUSINESS PLANNING PROCESS. THE PLAN IS INTENDED TO FOCUS PARTICIPANTS' ATTENTION ON MISSION-CRITICAL GOALS AND KEY STRATEGIC PRIORITIES. THE PLAN IS ALSO INTENDED TO ENHANCE THE PERFORMANCE OF UNION EXECUTIVES AND THE ORGANIZATION. PRIOR TO THE START OF THE FISCAL YEAR AND AS PART OF THE BUSINESS PLANNING PROCESS, THE UNION PRESIDENT AND CEO WILL FINALIZE A LIST OF GOALS, WEIGHTS AND MEASURES TO BE USED TO ASSESS PERFORMANCE DURING THE FISCAL YEAR. THE LIST IS PRESENTED TO AND DISCUSSED WITH THE COMMITTEE. THE COMMITTEE REVIEWS AND APPROVES THE BONUS PLAN GOALS, WEIGHTS, AND MEASURES. ORGANIZATION GOALS WILL BE ASSIGNED TO EACH PARTICIPANT HOSPITAL-WIDE. IN ADDITION TO HOSPITAL-WIDE GOALS INDIVIDUAL AND/OR FUNCTIONAL/DEPARTMENT GOALS MAY OR MAY NOT BE INCLUDED. AFTER THE CONCLUSION OF EACH FISCAL YEAR, THE PRESIDENT AND CEO WILL PREPARE AN ANNUAL BONUS PLAN REPORT FOR THE COMMITTEE. THE REPORT CONTAINS: AN APPRAISAL OF UNION AND HOSPITAL/OPERATING UNIT PERFORMANCE DURING THE RECENTLY-COMPLETED FISCAL YEAR; AND THE PRESIDENT AND CEO'S RECOMMENDED PAYOUT FOR EACH PLAN PARTICIPANT. THE BONUS RECOMMENDATIONS FOR ALL SR. MANAGEMENT ARE RECEIVED AND REVIEWED FIRST BY THE PERSONNEL COMMITTEE WHO THEN MAKE DECISIONS AND SUBMITS TO THE BOARD TO VOTE. THE COMMITTEE WILL DETERMINE AND SUBMIT THE PAYOUT FOR THE PRESIDENT AND CEO TO THE BOARD OF DIRECTORS WHO, ABSENT THE PRESIDENT AND CEO, WILL VOTE ON APPROVAL. AWARD DETERMINATIONS ARE CALCULATED AS PERCENTAGES OF PARTICIPANT'S SALARIES PAID FOR TIME WORKED DURING THE FISCAL YEAR. PAYOUT FOR THE PRESIDENT IS 0% TO 30%; CFO AND COO ARE 0% TO 25%; AND OTHER EXECUTIVES ARE 0% TO 20%. THE EXECUTIVE BONUS PLAN PAYOUTS ARE TO BE PAID WHEN DETERMINED BY THE PERSONNEL COMMITTEE, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. SYCAMORE INSURANCE ASSOCIATION BOARD MEMBER OF UHI, DON SCOTT, IS AN OFFICER AND OWNER 1854239 SYCAMORE INSURANCE PROVIDES INSURANCE PRODUCTS TO THE ORGANIZATION. 0 SYCAMORE ENGINEERING BOARD MEMBER OF UHI, SARA SMITH, IS A FAMILY MEMBER OF >35% OWNER 1561890 SYCAMORE ENGINEERING PROVIDES SERVICES TO THE ORGANIZATION 0 FORM 990, PART I, DOING BUSINESS AS: CARDIAC REHAB GROUP OF UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOMEN CLAY CITY CENTER FOR FAMILY MEDICINE HEARTLAND MIDWIVES HUX CANCER CENTER RICHARD G. LUGAR CENTER FOR RURAL HEALTH UH REGISTERED DIETITIAN GROUP UNION CENTER FOR JOINT REPLACEMENT UNION CENTER FOR SPORTS MEDICINE UNION HOSPITAL CLINTON UNION HOSPITAL CLINTON WESTERN INDIANA RURAL MEDICINE UNION HOSPITAL CVT/NEURO GROUP UNION HOSPITAL FAMILY MEDICINE CENTER UNION HOSPITAL HEALTH GROUP UNION HOSPITAL HUX HEART CENTER UNION HOSPITAL MEDICAL GROUP UNION HOSPITAL NEUROSCIENCE UNION HOSPITAL TERRE HAUTE UNION HOSPITALISTS GROUP WABASH VALLEY SURGERY CENTER WEST CENTRAL COMMUNITY HOSPITAL FORM 990, PART VI, SECTION A, LINE 6 UNION HOSPITAL HAS ONE MEMBER, UNION HEALTH SYSTEM, INC., AN INDIANA NONPROFIT, TAX EXEMPT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER MAY APPOINT THE HOSPITAL BOARD DIRECTORS WITH THE RECOMMENDATION OF THE HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNING BODY DECISIONS SUBJECT TO APPROVAL BY THE MEMBER INCLUDE: 1. MISSION AND VISION STATEMENT CHANGES; 2. CHANGES TO THE GOVERNING DOCUMENT; 3. APPROVAL AND REMOVAL OF BOARD DIRECTORS; 4. INCURRING DEBT; 5. APPROVAL, SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS; 6. FORMATION OF A SUBSIDIARY; 7. TRANSFER OR ENCUMBRANCE OF THE ASSETS; 8. APPROVAL OF ANNUAL OPERATING BUDGET, CAPITAL PLAN, STRATEGIC PLAN, AND BUSINESS PLAN; 9. APPOINTMENT OF THE CEO; 10. TRANSACTIONS OVER $500,000; AND 11. APPROVAL OF ANY MANAGEMENT AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORM 990 BY THE ORGANIZATION'S MANAGEMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES DIRECTORS, OFFICERS, MANAGEMENT, AND EMPLOYEES. THE POLICY IS IN PLACE TO AVOID PERSONAL INTERESTS THAT CONFLICT, OR MAY APPEAR TO CONFLICT, WITH THE BEST INTERESTS OF UNION AND ITS AFFILIATES AND THE COMMUNITIES THEY SERVE. THE COVERED PERSONS ARE TO REFRAIN FROM PERSONAL INTERESTS, DIRECT OR INDIRECT WITH ANY THIRD PARTIES. IT IS THE RESPONSIBILITY OF OFFICERS, MANAGEMENT, AND EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES AND ACT ACCORDINGLY. A SELF-DISCLOSURE FROM COVERED PERSONS TO THE CORPORATE COMPLIANCE OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THE CONFLICTS DISCLOSED ARE REVIEWED AND RESOLVED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF SR. EXECUTIVE OR SR. ADMINISTRATIVE POSITIONS INCLUDES A SUBCOMMITTEE OF THE UNION HOSPITAL'S BOARD OF DIRECTORS' EXECUTIVE COMMITTEE CONSISTING OF INDEPENDENT BOARD MEMBERS WHOSE RESPONSIBILITY INCLUDES SUCH REVIEW, INCLUDING REVIEW OF THE CEO'S COMPENSATION. THEY GATHER INFORMATION AND FOLLOW THE STEPS SET FORTH BELOW AND IN TURN SUBMIT TO THE FULL BOARD OF DIRECTORS THE RECOMMENDATIONS IN TERMS OF COMPENSATION AND BENEFITS FOR THE CEO AND SR. MANAGEMENT. A SUBCOMMITTEE OF THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE CONSISTS OF INDIVIDUALS WHO ARE INDEPENDENT AND DISINTERESTED BOARD MEMBERS. THE CEO IS EXCUSED FROM THE MEETING WHEN HIS/HER COMPENSATION/BENEFITS ARE REVIEWED BOTH AT THE COMMITTEE LEVEL AND THE BOARD LEVEL. THE STEPS INCLUDE: 1. THE EXECUTIVE/COMPENSATION SUBCOMMITTEE INSTRUCTS THE VP OF HUMAN RESOURCES TO RETAIN AN OUTSIDE INDEPENDENT CONSULTANT TO (1) PROVIDE THE COMMITTEE WITH INFORMATION, AND (2) TO REVIEW THE ACTIONS AND COMPENSATION/BENEFITS TO BE SURE THAT THERE IS NOT EXCESSIVE COMPENSATION. THE CONSULTANT THAT HAS BEEN USED THE PAST SEVERAL YEARS IS SULLIVAN COTTER & ASSOCIATES, INC. UNDER THE PROCESS, SULLIVAN COTTER FIRST IS PROVIDED WITH THE NAMES AND JOB DESCRIPTIONS FOR THE SR. MANAGEMENT TEAM THAT IS BEING EVALUATED. THE INDEPENDENT ADVISOR THEN SUBMITS TO THE EXECUTIVE/COMPENSATION SUBCOMMITTEE COMPARABLE INFORMATION, SPECIFICALLY: COMMERCIALLY AVAILABLE EXECUTIVE HEALTH CARE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS, WERE REFERENCED TO OBTAIN MARKET DATA FOR THIS REVIEW: -SULLIVAN COTTER: 2023 HEALTH CARE MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY REPORT -MERCER: 2023 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY -MARKET DATA REFLECTING FUNCTIONALLY COMPARABLE POSITIONS WERE OBTAINED FOR ALL EXECUTIVE POSITIONS. -DATA WERE ABSTRACTED FOR COMPARABLY SIZED ORGANIZATIONS AS MEASURED BY NET REVENUE. -THE DATA REPORTED REPRESENTED THE 50TH, 75TH, AND 90TH PERCENTILES OF BASE SALARY AND TOTAL CASH COMPENSATION (BASE SALARY PLUS ACTUAL ANNUAL INCENTIVE - ABBREVIATED TCC) -THAT DATA WAS ALSO REPORTED WITH NATIONAL AVERAGE, REGIONAL AVERAGE, AND INDIANA AVERAGE. 2. THE EXECUTIVE/COMPENSATION SUBCOMMITTEE OF UNION HOSPITAL'S BOARD OF DIRECTORS TAKES THE DATA PROVIDED BY THE INDEPENDENT CONSULTANTS AND FOLLOWING A REVIEW OF THE PERFORMANCE OF EACH INDIVIDUAL SUBMITS TO THE FULL BOARD FOR APPROVAL RECOMMENDATIONS IN TERMS OF SALARIES, BENEFITS, AND BONUSES. FINAL APPROVAL IS BY THE BOARD OF DIRECTORS. THE CEO DOES NOT TAKE PART IN THE DISCUSSION OR ACTION ON HIS/HER SALARY, BENEFITS, AND BONUS. 3. MINUTES OF THE EXECUTIVE/COMPENSATION SUBCOMMITTEE AND THE BOARD MEETINGS ARE CONTEMPORANEOUSLY KEPT AND MAINTAINED WITH THE CORPORATE MINUTE BOOKS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 71,513,831. MANAGEMENT AND GENERAL EXPENSES 13,563,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,077,597. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 35,950,186. MANAGEMENT AND GENERAL EXPENSES 6,818,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,768,726. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO UAPC -65,304,214. FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. CENTER FOR OCCUPATIONAL HEALTH 4001 WABASH AVE TERRE HAUTE IN 47803 352118417 OCCUPATIONAL HEALTH SERVICES IN 501(C)(3) LINE 3 UNION HOSPITAL 1 UNION ASSOCIATED PHYSICIAN CLINIC INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581401 PHYSICIAN GROUP IN 501(C)(3) LINE 10 UNION HEALTH SYSTEMS 0 UNION HEALTH SYSTEMS 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581133 MANAGEMENT ORGANIZATION IN 501(C)(3) LINE 12B, II N/A 0 UNION HOSPITAL FOUNDATION INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 351642823 FUNDRAISING IN 501(C)(3) LINE 12C, III-FI N/A 0 VISITING NURSE ASSOCIATION OF THE WABASH VALLEY 400 8TH AVENUE TERRE HAUTE IN 47804 350869064 HOME HEALTH AND HOSPICE CARE IN 501(C)(3) LINE 10 UNION HOSPITAL FOUNDATION INC 0 UNION HOSPITAL THERAPY LLC 150 N ROSENBERGER EVANSVILLE IN 47712 464357168 REHABILITATION AND THERAPY SERVICES IN UNION HOSPITAL INC INVESTMENT 1059857 999455 0 0 0.51010 ONCOLOGY SERVICES GROUP LLC 6100 W 96TH STREET SUITE 125 INDIANAPOLIS IN 46278 208567643 MEDICAL SERVICES IN N/A 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 CENTER FOR OCCUPATIONAL HEALTH S 1316462 BOOK VALUE