TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CRAIG FRISVOLD........................................................................ TREASURER & DIRECTOR	1.30 .......................	X		1,400	0	0
(2) CHUCK HAYNOR........................................................................ CHAIR & DIRECTOR	1.70 .......................	X		2,900	0	0
(3) SUSAN KIMBERLY........................................................................ DIRECTOR	.40 .......................	X		1,100	0	0
(4) TOM KINGSTON........................................................................ CHAIR & DIRECTOR	1.40 .......................	X		1,100	0	0
(5) DON MAIETTA........................................................................ DIRECTOR	.20 .......................	X		900	0	0
(6) NNEKA MORGAN........................................................................ SECRETARY & DIRECTOR	.50 .......................	X		1,600	0	0
(7) RUSS NELSON........................................................................ VICE CHAIR & DIRECTOR	.30 .......................	X		600	0	0
(8) RAFAEL ORTEGA........................................................................ DIRECTOR	.20 .......................	X		600	0	0
(9) JERRY REDMOND........................................................................ DIRECTOR	.50 .......................	X		800	0	0
(10) JOSEPH TASHJIAN MD........................................................................ DIRECTOR	.20 .......................	X		0	0	0
(11) BILLIE YOUNG........................................................................ DIRECTOR	.70 .......................	X		1,600	0	0
(12) DAVID ABELSON MD........................................................................ DIRECTOR	.50 .......................49.50	X		0	1,410,881	268,995
(13) MARY K BRAINERD........................................................................ DIRECTOR	.50 .......................49.50	X		0	1,678,467	476,898
(14) KATHLEEN M COONEY........................................................................ DIRECTOR	.50 .......................54.50	X		0	831,140	257,356
(15) BRET C HAAKE MD........................................................................ DIRECTOR	.50 .......................59.50	X		0	546,074	77,917
(16) BROCK D NELSON........................................................................ DIRECTOR, PRESIDENT & CEO	50.50 .......................4.50	X	X	0	586,029	181,857
(17) KAREN A QUADAY MD........................................................................ DIRECTOR	.50 .......................42.50	X		0	307,516	82,423

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) BRIAN H RANK MD........................................................................ DIRECTOR	.50 .......................62.50	X				0	734,018	208,836
(19) CHRISTINE M BOESE........................................................................ VP, PATIENT CARE SERVICE	49.50 ........................50		X			297,109	0	43,314
(20) HEIDI G CONRAD........................................................................ CHIEF FINANCIAL OFFICER	47.50 .......................2.50		X			0	335,007	122,701
(21) MARIAN M FURLONG........................................................................ VP, HUDSON HOSPITAL PRESID	.50 .......................49.50		X			297,817	0	52,536
(22) BETH L HEINZ........................................................................ VP - OPERATIONS	44.00 .......................1.00		X			279,357	0	34,563
(23) KENNETH D HOLMEN MD........................................................................ VP - BUS DEV/PHYS STRATEGY	.50 .......................49.50		X			0	623,413	168,261
(24) KIM R LAREAU........................................................................ VP & CIO	.50 .......................49.50		X			0	301,240	83,435
(25) GRETCHEN M LEITERMAN........................................................................ VP, OPERATIONS & SPECIALTY	48.50 .......................1.50		X			0	275,181	63,381
(26) STEVEN MASSEY........................................................................ VP-REGIONS & CEO-WESTFIELD	.50 .......................51.50		X			249,599	0	55,026
(27) MEGAN M REMARK........................................................................ VP - SPECIALTY CARE	.50 .......................49.50		X			0	447,700	130,775
(28) BARBARA E TRETHEWAY........................................................................ SR VP, GENERAL COUNSEL	.50 .......................52.50		X			0	632,735	154,088
(29) KARI B BECERRA........................................................................ NURSE ANESTHETIST	40.00 .......................			X		191,088	0	43,902
(30) ALISON G BRISBIN........................................................................ NURSE ANESTHETIST	40.00 .......................			X		197,040	0	43,718
(31) JOHN A CHAUSS........................................................................ NURSE ANESTHETIST	40.00 .......................			X		199,964	0	44,674
(32) GREG S MELLESMOEN........................................................................ DIRECTOR - SURGICAL SERVICES	50.00 .......................			X		214,256	0	36,027
(33) LUANN M YERKS........................................................................ MANAGER - ANESTHESIA	45.00 .......................			X		214,316	0	39,212
(34) THOMAS G GESKERMAN........................................................................ FORMER VP, OPERATIONS	0.00 .......................0.00				X	284,920	0	36,593

(A) Name and business address	(B) Description of services	(C) Compensation
KRAUS-ANDERSON CONST CO525 S EIGHTHMINNEAPOLISMN55404	CONSTRUCTION	12,321,210
UNIVERSITY OF MINNESOTA1300 S 2ND STMINNEAPOLISMN55454	PHYSICIAN SERVICES	6,053,069
CROTHALL LAUNDRY SERVICES13028 COLLECTION CTR DRVCHICAGOIL60693	CLEANING & LAUNDRY	1,869,807
TWIN CITIES ANESTHESIA ASSOCIATES940 WESTPORT PLAZA DST LOUISMO63146	MEDICAL SERVICES	1,552,670
TOTAL RENAL CARE INCPO BOX 403008COLLEGE PARKGA30349	MEDICAL SERVICES	1,335,557
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 56

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	62,365	62,365
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,321,921		1,321,921
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	288,175,259	267,792,630	20,382,629
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,617,837	11,000,843	616,994
9	Other employee benefits .......	40,355,549	38,212,368	2,143,181
10	Payroll taxes ...........	17,649,436	16,712,119	937,317
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	870,178	739,149	131,029
c	Accounting ...........	3,353		3,353
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	18,939,549	15,619,604	3,319,945
12	Advertising and promotion ....	2,117,879	417,949	1,699,930
13	Office expenses .......	10,713,627	9,910,673	802,954
14	Information technology ......	6,194,509	4,801,246	1,393,263
15	Royalties ..
16	Occupancy ...........	19,688,188	19,169,776	518,412
17	Travel ............	616,894	516,633	100,261
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	142,758	121,728	21,030
20	Interest ...........	11,141,377	11,141,377
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	39,948,724	37,022,317	2,926,407
23	Insurance ..............	2,687,694	2,668,198	19,496
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	95,911,937	95,895,776	16,161
b	TAXES & ASSESSMENTS	24,618,951	24,618,951
c	MISCELLANEOUS EXPENSE	7,098,130	6,371,216	726,914
d	OPERATING SUPPORT TO HE	3,531,250	3,531,250
e	All other expenses	5,368,728	4,162,624	1,206,104
25	Total functional expenses. Add lines 1 through 24e	608,776,093	570,488,792	38,287,301	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	64,516,962	1	86,633,622
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	71,064,586	4	78,545,320
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,869,181	8	5,824,305
9	Prepaid expenses and deferred charges ..........	4,408,188	9	4,138,833
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	682,383,130
b	Less: accumulated depreciation .....	10b	383,200,899	299,225,126	10c	299,182,231
11	Investments—publicly traded securities ..........	181,796,000	11	209,386,000
12	Investments—other securities. See Part IV, line 11 .....	4,703,827	12	6,148,109
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	20,372,598	15	21,247,625
16	Total assets. Add lines 1 through 15 (must equal line 34)......	651,956,468	16	711,106,045
	17	Accounts payable and accrued expenses .........	74,388,932	17	85,600,820
18	Grants payable .................		18
19	Deferred revenue ................	5,696,645	19	5,392,837
20	Tax-exempt bond liabilities .............	211,116,862	20	207,677,243
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	1,981,620	23	1,872,969
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	25,336,986	25	26,511,807
26	Total liabilities. Add lines 17 through 25.........	318,521,045	26	327,055,676
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	313,465,423	27	363,111,369
28	Temporarily restricted net assets ...........	19,355,000	28	20,296,000
29	Permanently restricted net assets ...........	615,000	29	643,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	333,435,423	33	384,050,369
34	Total liabilities and net assets/fund balances ........	651,956,468	34	711,106,045

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Yes

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

70,377

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

Other activities? ..........................

Yes

Total. Add lines 1c through 1i ...............................

70,377

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	REGIONS HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. REGIONS COST OF DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODIES CONSISTS OF: LOBBYISTS $43,500 LOBBYING DUES 2,280 ADMINISTRATIVE COST 24,597 ------ TOTAL $70,377

Return Reference

Explanation

PART II-B, LINE 1:

REGIONS HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. REGIONS COST OF DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODIES CONSISTS OF: LOBBYISTS $43,500 LOBBYING DUES 2,280 ADMINISTRATIVE COST 24,597 ------ TOTAL $70,377

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,881,396		4,881,396
b	Buildings ................	445,239,320	203,424,346	241,814,974
c	Leasehold improvements ............	4,438,508	3,444,246	994,262
d	Equipment ................	197,255,266	151,802,621	45,452,645
e	Other .................	30,568,640	24,529,686	6,038,954
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				299,182,231

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
LONG TERM DEBT CURRENT PORTION		3,548,270
POST RETIREMENT BENEFITS		5,892,116
PROFESSIONAL LIABILITY RESERVE		17,071,421






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		26,511,807
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	643,010,005
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1.....................			3	643,010,005
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-62,175
c	Add lines 4a and 4b.......................			4c	-62,175
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	642,947,830

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	608,838,268
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	62,175
e	Add lines 2a through 2d......................			2e	62,175
3	Subtract line 2e from line 1.....................			3	608,776,093
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	608,776,093

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:	LOSS ON FIXED ASSET DISPOSALS -62,175.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON FIXED ASSET DISPOSALS 62,175.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	19,536,516	2,540,770	16,995,746	2.800 %
b	Medicaid (from Worksheet 3, column a) ....
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	19,536,516	2,540,770	16,995,746	2.800 %
Other Benefits		16,179,622	1,959,997	14,219,625	2.300 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	16,179,622	1,959,997	14,219,625	2.300 %
f	Health professions education (from Worksheet 5) ..	22,288,599	5,585,000	16,703,599	2.700 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	38,468,221	7,544,997	30,923,224	5.000 %
k	Total. Add lines 7d and 7j .	58,004,737	10,085,767	47,918,970	7.800 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	6	29,225	0	29,225	0.010 %
7	Community health improvement advocacy
8	Workforce development	1	15,000	0	15,000	0 %
9	Other
10	Total	7	44,225		44,225	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,486,122

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

197,734,242

Enter Medicare allowable costs of care relating to payments on line 5.....

212,757,805

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-15,023,563

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 EAST METRO IMAGING CENTERS	OPERATE A RADIOLOGY CENTER	49.000 %	0 %	51.000 %
22 CRITICAL CARE SERVICES INC	REGIONAL EMERGENCY AIR TRANSPORT	11.000 %	0 %	0 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	REGIONS HOSPITAL 640 JACKSON STREET ST PAUL,MN55101 WWW.REGIONSHOSPITAL.COM 361114	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REGIONS HOSPITAL
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.REGIONSHOSPITAL.COM

Other website (list url): WWW.REIONSHOSPITAL.COM/RH/COMMUNITY-BENEFIT

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11		No
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
REGIONS HOSPITAL	PART V, SECTION B, LINE 3: AS PART OF THE DATA COLLECTION PROCESS FOR THE MOST RECENT CHNA THAT WAS CONDUCTED IN 2012, REPRESENTATIVES FROM COMMUNITY HOSPITAL CONSULTING CONDUCTED INTERVIEWS WITH TWENTY (20) STAKEHOLDERS FROM MARCH 14, 2012 - APRIL 6, 2012. INTERVIEWS WERE CONDUCTED WITH PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY INCLUDING:- PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.- FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS OR AGENCIES WITH INFORMATION RELEVANT TO THE HEALTH NEEDS OF COMMUNITY SERVED.- LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED.THE COUNTIES REPRESENTED INCLUDED WASHINGTON, DAKOTA, ST. CROIX AND RAMSEY. THE GOAL OF THE INTERVIEWS WAS TO GATHER OPINIONS AND PERCEPTIONS ON CURRENT HEALTH CARE ISSUES FACED IN THE COUNTIES SERVED AND/OR POPULATIONS REPRESENTED. FOR A FULL DETAILED LIST OF INSTITUTIONS AND PERSONS, PLEASE SEE THE 2012 HEALTHPARTNERS CHNA LOCATED AT OUR WEBSITE:HTTP://WWW.REGIONSHOSPITAL.COM/RH/COMMUNITY-BENEFIT/INDEX.HTML
REGIONS HOSPITAL	PART V, SECTION B, LINE 4: CHNA WITH OTHER HOSPITAL FACILITIES: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2012 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- LAKEVIEW MEMORIAL HOSPITAL, STILLWATER, MN.
REGIONS HOSPITAL	PART V, SECTION B, LINE 7: UNADDRESSED IDENTIFIED NEEDS OTHER IMPORTANT PRIORITIES FROM THE 2012 HEALTHPARTNERS CHNA: "INCREASE ACCESS TO DENTAL SERVICES" WAS IDENTIFIED AS THE SIXTH PRIORITY IN THE COMMUNITIES SERVED BY REGIONS, LAKEVIEW, HUDSON AND WESTFIELDS HOSPITALS (HOSPITALS). WHILE THIS IS A CONCERN IN THE COMMUNITY, THE TEAM DECIDED TO FOCUS THEIR EFFORTS ON THE OTHER FIVE PRIORITIES BECAUSE HEALTHPARTNERS DENTAL GROUP, A DIVISION OF GROUP HEALTH PLAN, INC., A STAFF MODEL HMO, IS CURRENTLY THE LEADING DENTAL CARE PROVIDER TO UNINSURED PEOPLE IN MINNEAPOLIS/ST. PAUL. ACCESS TO DENTAL CARE IS NOT A CORE SERVICE LINE FOR THE HOSPITALS AND IS OUTSIDE THE SCOPE OF THE HOSPITAL INFLUENCE. AS A RESULT, COMMUNITY BENEFIT ACTIVITIES WOULD BE MORE BENEFICIAL IN THE OTHER PRIORITIZED AREAS. WHILE OVERALL THE TEAM DECIDED NOT TO FOCUS EFFORTS ON ORAL HEALTH SERVICES, IT IS NOTEWORTHY THAT ST. CROIX COUNTY IS ADDRESSING "ORAL HEALTH" AS A SUBSET WITHIN THE "ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES" HEALTH PRIORITY AND TASK FORCE.
REGIONS HOSPITAL	PART V, SECTION B, LINE 12I: ALL SELF-PAY PATIENTS GET THE SAME DISCOUNT FROM GROSS CHARGES BASED ON REGIONS' AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL. THE AGREEMENT DISCOUNTS RATES, TO THAT EQUIVALENT TO REGIONS' LOWEST COMMERCIAL PAYOR RATE, FOR ALL SELF PAY PATIENTS.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES	THE 2012 HEALTHPARTNERS CHNA CONDUCTED RESULTED IN THE FOLLOWING PRIORITIES LISTED BELOW. 2013 IMPLEMENTATION ACTIVITIES TOWARDS THE PRIORITIES ARE DESCRIBED.PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTHMENTAL HEALTH FACILITYIN DECEMBER OF 2012, REGIONS OPENED A NEW INPATIENT MENTAL HEALTH FACILITY, THE ONLY COMPLETELY PRIVATE ROOM FACILITY IN THE TWIN CITIES. WITH THE NEW BUILDING AND CARE MODEL, REGIONS EXPERIENCED GROWTH IN VOLUMES AND IMPROVED PATIENT SATISFACTION.DAYBRIDGEIN MAY OF 2013, REGIONS OPENED DAYBRIDGE, A PARTIAL HOSPITALIZATION PROGRAM. DAYBRIDGE IS A MENTAL HEALTH PROGRAM FOR ADULTS WHO NEED INTENSIVE THERAPY BUT CAN CONTINUE TO LIVE IN THEIR COMMUNITY WITH THE SUPPORT OF FAMILY AND FRIENDS. INDIVIDUALS PARTICIPATE IN INPATIENT-LIKE TREATMENT DURING THE DAY AND RETURN TO THEIR HOME AT NIGHT AND ON WEEKENDS. 115 PATIENTS SERVED. MAKE IT OKTHE EAST METRO MENTAL HEALTH ROUNDTABLE SUPPORTED AND LAUNCHED THE MAKE IT OK CAMPAIGN AND CONTINUED TO OVERSEE THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM. THIS ROUNDTABLE REVISED METRICS FOR TRACKING MENTAL HEALTH SERVICES, WITH THE ASSISTANCE OF THE WILDER FOUNDATION, AND REPORTED ON THE NEED FOR MORE INTENSIVE RESIDENTIAL SERVICES. - IN 2013, REGIONS AND HEALTHPARTNERS SPENT $1,004,257 ON THE MAKE IT OK CAMPAIGN USING CONTRIBUTIONS FROM REGIONS HOSPITAL FOUNDATION. - MAKEITOK.ORG LAUNCHED IN DECEMBER 2012 AND THE CAMPAIGN HARD LAUNCHED IN MAY 2013 WITH AN ADVERTISING "FLIGHT" THAT INCLUDED TELEVISION, MAKE IT OK HAS GENERATED A LOT OF ENTHUSIASM IN THE COMMUNITY. - THROUGH 2013, THE MAKEITOK.ORG SITE HAD 30,696 UNIQUE VISITORS AND 4,035 PEOPLE TOOK THE SITE'S PLEDGE TO BECOME STIGMA-FREE. - THE MAKE IT OK CAMPAIGN HAS ALSO RECEIVED VERY POSITIVE REVIEWS IN LOCAL PRESS. THE FOLLOWING QUOTE IS FROM A STARTRIBUNE EDITORIAL DATE JUNE 12, 2013: "MINNESOTA, SO OFTEN AHEAD OF THE HEALTH CARE CURVE, IS AGAIN A PUBLIC HEALTH PACESETTER THANKS TO THE MAKE IT OK CAMPAIGN, WHICH BOLDLY BUT PRAGMATICALLY MOVES BEYOND PREVIOUS EFFORTS TO REDUCE THE STIGMA OF MENTAL ILLNESS."NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI)NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI) PROVIDED TRAINED VOLUNTEERS TO SOURCE THE LOBBY AND RESOURCE ROOM. OVER 113 HOURS OF VOLUNTEER TIME WAS PROVIDED TO ASSIST FAMILIES WITH THEIR EDUCATION AND SUPPORT NEEDS. THERE WERE 88 PARTICIPANTS ON THE REGIONS TEAM FOR THE ANNUAL NAMI WALK. THE REGIONS TEAM RAISED APPROXIMATELY $6,000 TO CONTRIBUTE TO NAMI IN THE EFFORT TO INCREASE AWARENESS OF MENTAL ILLNESS AND TO ELIMINATE STIGMA. MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP) LACK OF TIMELY ACCESS TO MEDICATIONS CAN LEAD TO EMERGENCY HOSPITALIZATION FOR BEHAVIORAL HEALTH CRISIS. TO INCREASE ACCESS TO NEEDED DRUGS, REGIONS AND HEALTHPARTNERS HELPED CREATE THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP). MHDAP ADDRESSES BARRIERS THAT MENTAL HEALTH PATIENTS HAVE IN OBTAINING HEALTHCARE COVERAGE TO PAY FOR MEDICATIONS AND THE LACK OF SUPPORTIVE SERVICES TO HELP THEM STAY ON MEDICATIONS. GAPS IN ADEQUATE HEALTHCARE AND MEDICATION COVERAGE ARE ASSOCIATED WITH INCREASED RISK OF PSYCHIATRIC HOSPITALIZATIONS, WHICH CAN COST THE COMMUNITY AN AVERAGE OF $12,000-15,000 PER VISIT. MHDAP PROVIDES 30 TO 90 DAYS OF STOP-GAP PSYCHIATRIC DRUG COVERAGE FUNDING FOR LOW-INCOME PATIENTS. MHDAP PROVIDED $234,620 WORTH OF STOP-GAP ASSISTANCE TO 406 MENTAL HEALTH PATIENTS WHO TEMPORARILY COULD NOT AFFORD MEDICATIONS. THE PROGRAM HELPED INDIVIDUALS OBTAIN 1,275 PRESCRIPTIONS.MENTAL HEALTH CRISIS REGIONS CONTINUES TO OFFER SERVICES IN THE EMERGENCY CENTER MENTAL HEALTH CRISIS UNIT. BY YEAR-END 2013, REGIONS IMPLEMENTED ENHANCEMENTS TO THE CARE MODEL UTILIZED IN THE CRISIS UNIT INCLUDING REDUCING AGGRESSIVE PATIENT BEHAVIOR AND DE-ESCALATION TRAINING FOR STAFF, UNIT PHYSICAL IMPROVEMENTS FOR PATIENT AND STAFF SAFETY AND A REVISED CLINICAL STAFFING MODEL TO ENHANCE AND ACCELERATE TREATMENT.- 7,482 WERE SERVED IN THE MENTAL HEALTH CRISIS UNIT IN 2013. - PATIENTS STAYED FOR AN AVERAGE OF 12 HOURS, AND 57% WERE ADMITTED. - REGIONS ADDED A PSYCHIATRY CONSULT SERVICE AND A DEDICATED PA 16 HOURS A DAY TO ENHANCE THE EXPERIENCE AND ACCELERATE THE RECOVERY PROCESS. MENTAL HEALTH CRISIS ALLIANCE (MHCA) IS A CRISIS RESPONSE SYSTEM THAT AUGMENTS INPATIENT SERVICES IN THE EAST METRO. HEALTHPARTNERS AND REGIONS ARE MAJOR SPONSORS OF MHCA, WHICH INCLUDES FOURTEEN ORGANIZATIONS THAT REPRESENT COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, AND CONSUMERS AND ADVOCATES. FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS, MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. REGIONS CONTINUES TO BE AN ACTIVE SPONSOR OF THE MHCA. MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION AND FACILITATING TIMELY DISCHARGES BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. WE ARE FOUNDERS AND HELP LEAD (AS WELL AS FINANCIALLY SUPPORT). THIS PROGRAM IS PROVEN TO REDUCE COSTS AND HOSPITALIZATIONS FOR PATIENTS NEEDING CRISIS STABILIZATION. MCHA RECEIVED THE FOLLOWING THREE PRESTIGIOUS AWARDS:- 2013 DHS COMMISSIONER'S CIRCLE OF EXCELLENCE AWARD- 2013 NAMI PROVIDER OF THE YEAR AWARD- 2013 UNIVERSITY OF MINNESOTA HUMPHREY SCHOOL LOCAL GOVERNMENT INNOVATION AWARDPRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION / PHYSICAL ACTIVITY)COLLABORATION WITH STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP)MANY OF REGIONS' PRIORITY GOALS OVERLAP WITH MANY OF THE SHIP GOALS. REGIONS, AS PART OF THE INTEGRATED SYSTEM OF HEALTHPARTNERS AND THROUGH ITS SISTER HOSPITAL IN STILLWATER, MINNESOTA COLLABORATES AND ADVOCATES IN COOPERATION WITH THESE SHIP EFFORTS THROUGH OUR YUMPOWER AND POWERUP INITIATIVES. YUMPOWERINTERNAL EMPLOYEE COMMUNICATIONS, FACEBOOK AND TWITTER WERE ALL USED TO SEND CONSISTENT MESSAGING ABOUT YUMPOWER AND BETTER-FOR-YOU OPTIONS. ARTICLES INCLUDED EVERYTHING FROM WEIGHT LOSS TIPS, JUVENILE DIABETES AND THE YUMPOWER APP TO CHOOSING THE RIGHT FOODS WHEN DINING OUT AND DEBATING THE MERITS OF CLEANSES. THERE WERE SEVERAL EVENTS INCLUDING TEAMING WITH ANDREW ZIMMERN TO OFFER FREE YUMPOWER SAMPLES ON HIS FOOD TRUCK, HANDING OUT FREE VEGGIES AT CLINICS AND OFFERING YUMPOWER OPTIONS AND RECIPES AT REGIONS YEAR END CELEBRATION. BEST FED BEGINNINGS (BFB)THE BEST FED BEGINNINGS (BFB) INITIATIVE IS TO PROMOTE BREASTFEEDING NATIONWIDE BY CREATING AN ENVIRONMENT IN WHICH A MOTHER'S CHOICE CONCERNING BREASTFEEDING.- EXCLUSIVE BREASTFEEDING RATE IMPROVEMENT FROM SUMMER 2012 AT 39% TO WINTER 2014 AT 64%. GOAL IS 70%- BABY SKIN TO SKIN (VAGINAL BIRTH) IMPROVED FROM SUMMER 2012 AT 30% TO WINTER 2014 AT 60%. GOAL IS 80%- BABY SKIN TO SKIN (CESAREAN BIRTH) IMPROVED FROM SUMMER 2012 AT 0% TO WINTER 2014 AT 50%. GOAL IS 70%- ROOMING IN 23 OF 24 HOURS/DAY IMPROVED FROM SUMMER 2012 AT 10% TO WINTER 2014 AT 50%. GOAL IS 70%- CREATED/DEVELOPED/IMPLEMENTED PRENATAL EDUCATION DOCUMENTS FOR ALL 17 PRENATAL CLINICS, TRANSLATED INTO HMONG, SOMALI, SPANISH, AMHARIC EMPLOYEE AND CORPORATE FUNDRAISINGREGIONS PARTICIPATED AND SPONSORED THE FOLLOWING EVENTS:- TEACHING GARDENS FUNDS GARDENS IN LOCAL SCHOOLS - HEART WALK - POWER TO END STROKE - GO RED FOR WOMENHEALTH AND WELLNESS OF OUR OWN EMPLOYEESREGIONS HAS A FITNESS CENTER WHICH CONSISTS OF A CARDIO ROOM, GROUP ACTIVITY, AND PERSONAL TRAINING/COACH ROOM. - THERE ARE 1,436 (29%) OF EMPLOYEES WHO HAVE SIGNED PARTICIPATION FORMS GIVING THEMSELVES BADGE ACCESS 24/7 TO THE FITNESS CENTER WHICH RESULTED IN 14,921 EMPLOYEE VISITS DURING 2013. DURING PEAK USE HOURS, ALL FOUR MACHINES ARE BUSY. - IN THE GROUP FITNESS ROOM A VARIETY OF CLASSES ARE OFFERED SUCH AS YOGA, CORE CONDITIONING, MINDFUL RELAXATION, STEP AEROBICS AND ZUMBA. THE SPACE COMFORTABLY HOLDS 8-10 PEOPLE DEPENDING UPON THE TYPE OF CLASS WITH AN AVERAGE ATTENDANCE OF 5-6 PEOPLE PER CLASS, WHICH RESULTS IN ABOUT 2,274 EMPLOYEE VISITS FOR A GROUP FITNESS CLASS. - IN THE FITNESS CENTER, PERSONAL TRAINING IS ALSO AVAILABLE TO EMPLOYEES. 33 EMPLOYEES PURCHASED PERSONAL TRAINING PACKAGES IN 2013.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	REGIONS PROVIDE HEALTH AND WELLNESS COACHING TO EMPLOYEES THROUGH A VARIETY OF SERVICES OFFERED BY A CERTIFIED WELLNESS COACH. - OUR MOST SUCCESSFUL COACHING PROGRAM WAS "KNOW YOUR NUMBERS". IN THIS PROGRAM, EMPLOYEES COMPLETE 3 VISITS IN THE ORDER OF THEIR CHOOSING. IN ONE VISIT THEY MEET WITH THE EMPLOYEE HEALTH AND WELLNESS CLINIC NP TO DISCUSS CARDIOVASCULAR HEALTH RISK FACTORS INCLUDING BLOOD PRESSURE, HEIGHT, WEIGHT, BMI AND BLOOD WORK (CHOLESTEROL PROFILE AND GLUCOSE). IN ANOTHER THEY MEET WITH A CERTIFIED PERSONAL TRAINER AND WELLNESS COACH TO REVIEW OVERALL FITNESS AND WELL-BEING AFTER MEASURING WAIST CIRCUMFERENCE AND BODY COMPOSITION. IN ANOTHER VISIT, THEY MEET WITH A WELLNESS COACH TO DISCUSS RESULTS ON A COMPLETED SELF-ASSESSMENT TOOL MEASURING RESILIENCE, STRESS MANAGEMENT AND LIFE SATISFACTION. - THERE WERE 106 EMPLOYEES WHO COMPLETED AT LEAST ONE VISIT AND 56 EMPLOYEES WHO COMPLETED ALL THREE VISITS. EMPLOYEES WHO COMPLETED EVALUATIONS INDICATED THAT THIS PROGRAM WAS EXTREMELY BENEFICIAL IN CHANGING LIFESTYLE AND IMPROVING HEALTH AND WELL-BEING. IN ADDITION, ANOTHER 17 EMPLOYEES PARTICIPATED IN INDIVIDUAL OR IN A SMALL GROUP SESSION WITH THE HEALTH AND WELLNESS COACH. REGIONS OPENED AN EMPLOYEE HEALTH AND WELLNESS CLINIC TO EMPLOYEES, WHICH IS STAFFED BY A CERTIFIED FAMILY NURSE PRACTITIONER. THE CLINIC PROVIDES MINOR ACUTE ILLNESS AND INJURY CARE, INCLUDING WORKPLACE INJURY, PREVENTIVE HEALTH SCREENINGS AND WELLNESS CARE. - IN 2013, OVER 2,100 EMPLOYEES RECEIVED CARE FOR CONCERNS RELATED TO MUSCULOSKELETAL PAIN/INJURY, SKIN, ALLERGIC, UPPER RESPIRATORY CONDITIONS, BLOOD PRESSURE, MENTAL HEALTH AND URINARY ISSUES. - EMPLOYEES RECEIVE ANY REQUIRED BLOOD/RADIOLOGY TESTING, PRESCRIPTIONS AND REFERRALS TO OTHER PROVIDERS AS NEEDED. - TWENTY-NINE EMPLOYEES RECEIVED TOBACCO CESSATION COUNSELING INCLUDING A FREE 6-WEEK SUPPLY OF NICOTINE REPLACEMENT PRODUCTS (AVERAGE VALUE OF $100 PER SUPPLY). - PATIENT (EMPLOYEE) SATISFACTION WITH THE CLINIC IS MEASURED USING THE SAME METHOD AS ALL HEALTHPARTNERS CLINICS. THIS MEASUREMENT INCLUDES THE QUESTION "WOULD YOU RECOMMEND YOUR REGIONS HEALTH AND WELLNESS CLINIC TO COLLEAGUES?" THE CLINIC CONSISTENTLY SCORES ABOVE 90 AND MOSTLY AT 100 (THE MAXIMUM SCORE). - THE CLINIC HAS PROVIDED ACCESSIBLE AND HIGH QUALITY CARE TO EMPLOYEES WHILE SHOWING AN ROI FOR SAVED PRODUCTIVE TIME (LESS PTO) AND COST TO THE HEALTH INSURANCE PLAN.INTERPRETERSREGIONS MAINTAINS A STAFF OF AT LEAST 75 PERMANENT AND ON-CALL INTERPRETERS WHO PROVIDE INTERPRETATION SERVICES AT REGIONS AND FOUR HEALTHPARTNERS CLINICS.- IN 2013, REGIONS EMPLOYED 93 STAFF INTERPRETERS PROVIDING SERVICES IN 13 LANGUAGES: CAMBODIAN, KAREN, BURMESE, NEPALI, OROMO, AMHARIC, SPANISH, SOMALI, HMONG, LAO, THAI, VIETNAMESE, AND AMERICAN SIGN LANGUAGE. - STAFF INTERPRETERS INTERPRETED FOR OVER 13,863 IN-PERSON PATIENT ENCOUNTERS AT REGIONS AND AN ADDITIONAL 31,241 ENCOUNTERS THROUGHOUT THE HEALTHPARTNERS CARE SYSTEM. - REGIONS ALSO HOLDS CONTRACTS WITH NINE INTERPRETER AGENCIES TO PROVIDE IN-PERSON OR REMOTE (TELEPHONIC AND VIDEO CONFERENCING) SERVICES IN OVER 150 ADDITIONAL LANGUAGES 24/7. REGIONS STAFF ACCESSED TELEPHONIC AND VIDEO INTERPRETERS FOR OVER 50 DIFFERENT LANGUAGES DURING 2013.FINANCIAL COUNSELINGREGIONS CONTINUES ITS EFFORTS TO CONNECT PATIENTS WITH PRIMARY CARE. REGIONS OPERATES A FINANCIAL COUNSELING PROGRAM, WHICH WORKS TO SECURE A PAYMENT SOURCE FOR UN-INSURED AND UNDER-INSURED PATIENTS. REGIONS ALSO PROVIDES CASE MANAGEMENT SERVICES IN THE EMERGENCY DEPARTMENT SPECIFICALLY TASKED WITH HELPING PATIENTS FIND A PRIMARY CARE PROVIDER AND SCHEDULING APPROPRIATE FOLLOW UP APPOINTMENTS.- TWENTY-TWO COUNSELORS AND 2.5 OF RAMSEY AND DAKOTA COUNTY EMPLOYEES HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF COVERAGE. SPECIFICALLY, THE COUNSELORS ARE ABLE TO ASSIST PATIENTS WITH SCREENING FOR AND COMPLETING APPLICATIONS WITH MN HEALTH CARE PROGRAMS, REGIONS FINANCIAL ASSISTANCE/CHARITY CARE APPLICATIONS, AND SETTING UP PAYMENT PLANS.- THE REGIONS EMERGENCY DEPARTMENT AND INPATIENT UNITS PROVIDE FINANCIAL COUNSELING 24 HOURS A DAY, 7 DAYS A WEEK, WHILE OTHER DEPARTMENTS PROVIDES COUNSELING DURING THE BUSINESS WEEK.- IN 2013, FINANCIAL COUNSELORS ENROLLED NEARLY 1,930 INDIVIDUALS IN GOVERNMENT HEALTH CARE PROGRAMS: 1,848 APPLICATIONS TAKEN AND 1,334 WERE SUCCESSFULLY OPENED (72% SUCCESS RATE); FOR INPATIENTS, 860 APPLICATIONS TAKEN AND 596 WERE SUCCESSFULLY OPENED (70% SUCCESS RATE).- REGIONS PROVIDES 4 CASE MANAGERS IN THE ED TO CONNECT PATIENTS TO COMMUNITY RESOURCES. STAFF HELPED SCHEDULE 1,141 FOLLOW UP APPOINTMENTS, MADE 89 CONNECTIONS TO COMMUNITY RESOURCES AND 19 CONNECTIONS TO HOMELESSNESS RESOURCES AND PROGRAMS.PORTICO PORTICO IS A COMMUNITY BASED NONPROFIT MODEL FOR DELIVERING CARE MANAGEMENT AND PRIMARY, PREVENTIVE AND SPECIALTY HEALTH CARE SERVICES TO UNINSURED FAMILIES AND INDIVIDUALS WHO CANNOT AFFORD HEALTH INSURANCE AND DO NOT QUALIFY FOR PUBLICLY SPONSORED HEALTH CARE PROGRAMS. REGIONS PROVIDE FUNDS TO PORTICO WHO USES THAT CONTRIBUTION TO PROVIDE AMBULATORY CARE COVERAGE AND CASE MANAGEMENT FOR THE OTHERWISE UNINSURED. THROUGH REGIONS CONTRIBUTION, PORTICO COVERED 204 INDIVIDUALS.CHARITY CAREREGIONS CONTINUES TO BE THE LARGEST PROVIDER OF CHARITY CARE SERVICES IN THE EAST METRO. AS A LEVEL 1 ADULT AND PEDIATRIC TRAUMA HOSPITAL WITH 100 INPATIENT PSYCHIATRIC BEDS, REGIONS CONTINUES TO ACHIEVE ITS MISSION TO SERVE ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY.IN 2013, 43,237 PATIENTS RECEIVED CHARITY CARE SERVICES AT REGIONS AT A COST OF $17.0 MILLION. THIS INCLUDED INPATIENT AND OUTPATIENT SERVICES ACROSS ALL SERVICE LINES.EQUITABLE CAREREGIONS WILL CONTINUE TO ENGAGE IN PROGRAMS AND INITIATIVES SPECIFICALLY DESIGNED TO REDUCE DISPARITIES AND ENCOURAGE THE APPROPRIATE USE OF HEALTH CARE RESOURCES. - THE EQUITABLE CARE COMMITTEE HELD FIVE CARING ACROSS CULTURES FILM SHOWINGS WITH GUIDED DISCUSSIONS FOLLOWING EACH FILM. THESE FILMS ADDRESSED HEALTH CARE NEEDS AND BARRIERS TO CARE FOR THE HMONG, LATINO, AFRICAN-AMERICAN, AND SOMALI COMMUNITIES. THE FIFTH FILM PROVIDED INSIGHT IN IMPROVING HEALTH COMMUNICATION WITH PATIENTS FROM AROUND THE WORLD. 45 PEOPLE PARTICIPATED. - THE EQUITABLE CARE FELLOWS PROGRAM CONTINUES AT REGIONS AS PART OF A LARGER HEALTHPARTNERS INITIATIVE. EQUITABLE CARE FELLOWS ARE VOLUNTEERS WHO HAVE COMMITTED TO LEARNING ABOUT HEALTH CARE EQUITY ISSUES AND BRINGING LEARNING INTO TO THEIR PRIMARY WORK AREAS. - REGIONS HAS EIGHTY EQUITABLE CARE FELLOWS IN A VARIETY OF ROLES, INCLUDING PHYSICIANS, NURSES, AND SOCIAL WORKERS. IN 2013, FELLOWS PARTICIPATED IN AN ANNUAL MEETING EARLY IN THE YEAR AND ACTIVITIES AT THE HMONG VILLAGE MALL IN ST. PAUL AND THE SOMALI MUSEUM IN MINNEAPOLIS. - REGIONS FELLOWS CONTRIBUTED ARTICLES TO HEALTHPARTNERS CULTURE ROOTS PUBLICATIONS. THESE SHORT ONLINE ARTICLES HIGHLIGHT DIVERSITY ISSUES IN HEALTHCARE.- AN INTERDISCIPLINARY TEAM FOCUSED ON REDUCING DISPARITIES IN CARE FOR WOMEN AND THEIR FAMILIES DURING CHILDBIRTH HELD FIVE COMMUNITY FOCUS GROUPS WITH 119 INDIVIDUALS TO SOLICIT FEEDBACK ON EXPECTATIONS REGARDING THE CHILDBIRTH EXPERIENCE. - THE GROUPS WERE COMPRISED OF HMONG, LATINA, AFRICAN-AMERICAN (2 GROUPS), AND TEEN-AGE MOTHERS. SUGGESTIONS FROM THESE GROUPS ARE BEING INCORPORATED INTO REGIONS BIRTH CENTER QUALITY IMPROVEMENT INITIATIVES. - REGIONS NURSING LEADERSHIP HELD THREE "LET'S TALK" SESSIONS TO BEGIN CONVERSATIONS REGARDING RACE AND OTHER DISPARITIES. - A HUMAN LIBRARY EVENT WAS HELD AT REGIONS. THIS EVENT WAS DESIGNED TO ALLOW A SAFE ENVIRONMENT FOR PEOPLE TO TALK AND LEARN FROM OTHERS WITH A DIVERSE LIFESTYLE OR CULTURE. OVER 30 STAFF MEMBERS PARTICIPATED.- THE REGIONS PATIENT & FAMILY ADVISORY COUNCIL CONTINUED ITS EFFORTS TO DIVERSIFY BY ADDING A HMONG REPRESENTATIVE TO THE COUNCIL.- A TEAM OF REGIONS LEADERS CONTINUES TO MONITOR DISPARITIES BASED ON RACE AND LANGUAGE FOR SELECTED DIAGNOSES AND PATIENT SATISFACTION SCORES. FINDINGS ARE GENERALLY SHARED WITH KEY LEADERS WHO ARE RESPONSIBLE FOR ADDRESSING ANY ISSUES. ONE EXAMPLE OF SUCH AN ACTION WAS TO CONDUCT PHYSICIAN AND STAFF SHADOWING TO IMPROVE INTERACTIONS AND COMMUNICATION WITH PATIENTS. - METRICS RELATING TO THE PROGRESS IN REDUCING DISPARITIES INCLUDE: - PATIENT SATISFACTION IS MONITORED BY RACE AND LANGUAGE FOR SPECIFIC KEY QUESTIONS. - CORE MEASURES ARE MONITORED BY RACE AND LANGUAGE.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	BASIC LIFE SUPPORT (BLS)REGIONS SUPPORTED THE ST. PAUL FIRE DEPARTMENT'S IMPLEMENTATION OF A NEW BASIC LIFE SUPPORT (BLS) TRANSPORT SERVICE WITH CREW UNIFORMS, EMS TRAINING, MEDICAL DIRECTION, CLINICAL TIME IN THE EMERGENCY DEPARTMENT AND PAYMENT FOR CHARITY CARE TRANSPORTS.PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CAREHEALTH RESOURCE CENTER2013 HAS BEEN A TRANSITIONAL YEAR FOR THE HEALTH RESOURCE CENTER (HRC). AN ANALYSIS OF DATA RELATED TO USE OF THE SERVICES AND PROGRAMMING AND KEY INFORMANT INTERVIEWS REVEALS THAT THE HRC AS CURRENTLY DESIGNED IS NOT MEETING ITS INTENDED PURPOSE. THEREFORE, THE HEALTH RESOURCE CENTER WAS CLOSED IN 2013. - PATIENTS AND FAMILIES STILL RECEIVE MANY EDUCATIONAL RESOURCES THROUGH REGIONS AND HEALTHPARTNERS. THE CANCER CARE CENTER, MENTAL HEALTH AND HEART CENTER ALL HAVE PATIENT RESOURCE LIBRARIES. IN ADDITION, FAMILIES DO ACCESS THE MEDICAL RESOURCE LIBRARY, WHICH DOES MAINTAIN A SMALL COLLECTION OF BOOKS BUT MAINLY PROVIDES ACCESS TO RELIABLE ON-LINE RESOURCES.- PATIENT CARE STAFF READILY ACCESSES THE TIGR SYSTEM, WHICH CURRENTLY HAS OVER 100 EDUCATION MODULES. THIS PUTS EDUCATION AT THE BEDSIDE FOR PATIENTS AND THEIR FAMILIES. - PATIENT CARE STAFF ALSO UTILIZES THE ON-LINE MATERIALS THROUGH HEALTHPARTNERS HEALTHWISE, WHICH ALLOWS STAFF TO PRINT OUT RESOURCES FOR PATIENTS AND FAMILIES. FINALLY PATIENTS CAN RECEIVE A COMPLIMENTARY CARE (MASSAGE, MUSIC THERAPY, ETC) WHILE A PATIENT AT REGIONS.ELECTRONIC MEDICAL RECORDREGIONS WENT LIVE WITH HEALTHWISE PATIENT INSTRUCTIONS IN JUNE 2013. BASED ON A PATIENT'S PROBLEM LIST AND/OR DIAGNOSIS CODE(S), RELEVANT PATIENT INSTRUCTIONS ARE PRESENTED IN EPIC, OUR ELECTRONIC MEDICAL RECORD, DURING THE PATIENT ENCOUNTER. PATIENT INSTRUCTIONS CAN BE ADDED TO THE AFTER VISIT SUMMARY/DISCHARGE INSTRUCTIONS AS PART OF THE PATIENT'S MEDICAL RECORD (OR PRINTED SEPARATELY). PATIENTS CAN ALSO VIEW THE INSTRUCTIONS ON MYCHART. IN ADDITION, A CODE AT THE BOTTOM OF A PATIENT INSTRUCTION DIRECTS THE PATIENT TO MORE INFORMATION ON THE TOPIC IN THE HEALTHWISE HEALTH INFORMATION LIBRARY ON HEALTHPARTNERS.COM. AMBULATORY AND ED WENT LIVE WITH HEALTHWISE PATIENT INSTRUCTIONS PRIOR TO 2013 SO CONSISTENT, PATIENT-FRIENDLY CONTENT IS NOW PROVIDED TO PATIENTS ACROSS THE CONTINUUM OF CARE.MEDICAL EDUCATIONREGIONS IS A TEACHING HOSPITAL AND WILL CONTINUE TO COLLABORATE WITH HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH IN ITS MISSION TO IMPROVE HEALTH BY MAXIMIZING THE ABILITIES OF PEOPLE AND SYSTEMS TO PROVIDE OUTSTANDING CARE. REGIONS IS A TRAINING GROUND FOR APPROXIMATELY 470 RESIDENTS AND MANY CLINICAL STUDENTS WHO RECEIVE EXTENSIVE TRAINING. REGIONS WILL CONTINUE TO COLLABORATE WITH VARIOUS INSTITUTIONS TO PROVIDE HIGH QUALITY LEARNING OPPORTUNITIES FOR FUTURE CLINICIANS.THROUGH OUR OWN ACCREDITED PROGRAMS AND THROUGH PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, REGIONS TRAINED CAREGIVERS OF THE FUTURE. TWENTY-TWO RESIDENTS GRADUATED FROM REGIONS-BASED PROGRAMS IN 2013. APPROXIMATELY 500 RESIDENTS (133 FTES) IN TOTAL RECEIVED CLINICAL EXPERIENCE AT REGIONS. CLINICAL EXPERIENCE WAS ALSO PROVIDED TO 600 MEDICAL STUDENTS, 100 PHYSICIAN ASSISTANT STUDENTS, 500 UNDERGRADUATE NURSING STUDENTS AND 75 NURSE PRACTITIONER STUDENTS.REGIONS CONTINUES TO ADVOCATE FOR ADEQUATE FUNDING AT THE STATE AND FEDERAL LEVEL FOR MEDICAL EDUCATION. REGIONS ADVOCATED FOR THE RESTORATION OF STATE MEDICAL EDUCATION FUNDING THAT WAS REDUCED IN THE 2011 BUDGET SESSION WITH ADMINISTRATION OFFICIALS AND LEGISLATORS. REGIONS ALSO EDUCATED STATE OFFICIALS ON THE IMPACT OF PROPOSED CHANGES TO MEDICAL EDUCATION FUNDING FORMULA WILL HAVE ON REGIONS. IN ADDITION, REGIONS WORKED WITH MEMBERS OF THE STATE MEDICAL EDUCATION ADVISORY COMMITTEE TO ADVOCATE FOR RESTORATION OF MEDICAL EDUCATION FUNDING. STATE MEDICAL EDUCATION FUNDING WAS RESTORED IN THE 2013 SESSION TO PRE-CUT 2011 LEVELS. THE FORMULA CHANGE INCLUDED IN THE BUDGET IS AWAITING APPROVAL FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) SO THE FINAL IMPACT TO REGIONS IS YET UNKNOWN.RESIDENCY PROGRAMSREGIONS HAS RECENTLY ADDED NEW RESIDENCY POSITIONS, INCLUDING A PHARMACY RESIDENCY POSITION AND AN ADVANCED PRACTICE PSYCHIATRIC RESIDENCY POSITION. REGIONS AND THE HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH WILL CONTINUE TO EXPLORE NEW OPPORTUNITIES TO EXPAND OR ENHANCE EDUCATION ON THE REGIONS CAMPUS.- PSYCHIATRIC RESIDENCY: IN 2008, REGIONS BEGAN AN ADVANCED PRACTICE PSYCHIATRY POST GRADUATE TRAINING PROGRAM. REGIONS' MENTAL HEALTH DEPARTMENT OFFERS A ONE YEAR POST GRADUATE PSYCHIATRIC TRAINING PROGRAM FOR PA'S AND NP'S INTERESTED IN OBTAINING FURTHER EXPERIENCE IN PSYCHIATRY. THIS IS ONE OF THREE PROGRAMS IN THE UNITED STATES THAT OFFERS POST GRADUATE TRAINING FOR PHYSICIAN ASSISTANTS AND THE FIRST POST-GRADUATE PROGRAM FOR NURSE PRACTITIONERS IN THE FIELD OF PSYCHIATRY. - PHARMACY RESIDENCY: THE PURPOSE OF THE PGY-1 PHARMACY RESIDENCY PROGRAM AT REGIONS IS TO PROVIDE THE LEARNING ENVIRONMENT, INSTRUCTION, MENTORING, AND EVALUATION NECESSARY TO PREPARE PHARMACISTS TO WORK IN AN ACUTE CARE SETTING, PURSUE FURTHER POST-GRADUATE PHARMACY TRAINING, AND PRECEPT PHARMACY STUDENTS UPON COMPLETION OF THE RESIDENCY. THE PROGRAM IS ONE-YEAR IN DURATION AND ACCREDITED BY THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP). SIMULATION AND LEARNING CENTERTHE SIMULATION & LEARNING CENTER REMAINS THE ONLY SSH ACCREDITED SIMULATION CENTER IN MN AND SURROUNDING STATES (WI, IA, ND, SD). THE SIM CENTER PROVIDED PERT TEAM TRAINING, MENTAL HEALTHY SAFETY COURSE, CONDUCTED MOCK CODES, LUCAS DEVICE TRAINING, EMERGENCY MEDICINE RESIDENT COMPETENCY TESTING, EMERGENCY MEDICINE PROCEDURES TRAINING, NURSING ORIENTATION, AND CREATED VARIOUS VIDEOS. IN 2013, THERE WERE 3,500 REGIONS PARTICIPANT ENCOUNTERS. AS A RESULT OF MOCK CODE TRAINING, THE TIME TO COMPRESSIONS DECREASED FROM AN AVERAGE OF 41 SECONDS TO 26 SECONDS. TIME TO FIRST SHOCK WAS 142 SECONDS, REDUCED FROM 162 SECONDS IN 2012.ON-SITE AND ON-LINE MEDICAL LIBRARY RESOURCESAT WWW.REGIONSHOSPITAL.COM PATIENTS CAN FIND A VARIETY OF HEALTH EDUCATION MATERIALS AND LINKS TO TRUSTED SITES FOR ADDITIONAL SUPPORT AND RESOURCES. PATIENTS CAN PERUSE THE WEBSITE OR ARE DIRECTED THERE THROUGH SOCIAL MEDIA. IN 2013, REGIONS WEBSITE HAD 495,213 VISITS.REGIONS MEDICAL LIBRARY MAINTAINS BOTH ON-SITE AND ONLINE ACCESS TO SUBSCRIPTION, KNOWLEDGE-BASED RESOURCES FOR ALL REGIONS AND HEALTHPARTNERS EMPLOYEES. PRINT JOURNALS AND BOOKS ARE AVAILABLE AT THE MEDICAL LIBRARY LOCATED IN THE EAST SECTION OF THE CAMPUS. ONLINE RESOURCES, WHICH INCLUDE JOURNALS, BOOKS AND DATABASES, CAN BE ACCESSED THROUGH THE LIBRARY'S INTRANET SITE AVAILABLE ON ANY NETWORKED COMPUTER, REMOTELY THROUGH CITRIX, AND OPENATHENS, A PROXY SERVER. THE LIBRARY'S COLLECTION INCLUDES RESOURCES FOR PHYSICIANS AND NURSES AND MOST ALLIED HEALTH PROFESSIONALS. IT INCLUDES OVER 3,000 ONLINE JOURNAL TITLES AND 19 DATABASES. OVER 400 LITERATURE SEARCHES ARE PERFORMED BY LIBRARIANS EACH YEAR IN SUPPORT OF PATIENT CARE, EDUCATION AND RESEARCH.PRIORITY 4: IMPROVE SERVICE INTEGRATIONHOSPITAL TO HOME (PILOT) PROGRAMREGIONS AND ITS PARTNERS EXPANDED THE PROGRAM TO 18 ADDITIONAL PARTICIPANT POSITIONS WITH GRANT FUNDING FROM THE FEDERAL HOUSING AND URBAN DEVELOPMENT AGENCY. REGIONS PARTNERED WITH ADDITIONAL COMMUNITY ORGANIZATIONS TO RECRUIT PROGRAM PARTICIPANTS AND ENSURE THAT THOSE PARTICIPANTS MET CRITERIA FOR PREVIOUS ER USE AND CHRONIC HEALTH CONDITIONS. THE MAJORITY OF PARTICIPANTS (78%) WERE ABLE TO SECURE STABLE HOUSING IN THE FIRST FOUR MONTHS OF ENROLLMENT. LEGAL OR MEDICAL ISSUES PREVENTED THE REMAINING PARTICIPANTS FROM OBTAINING HOUSING. THE HOSPITAL TO HOME INITIATIVE CONTINUED TO WORK WITH THESE PARTICIPANTS TOWARDS THE GOAL OF STABLE HOUSING. AT ANY GIVEN TIME THE PROGRAM CAN SERVE UP TO 25 INDIVIDUALS.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	ELECTRONIC MEDICAL RECORD (EMR)REGIONS WILL EVALUATE POTENTIAL OPPORTUNITIES TO EXTEND THE ELECTRONIC MEDICAL RECORD TO KEY COMMUNITY PARTNERS, OR EVALUATE IMPROVED WAYS TO APPROPRIATELY SHARE DISCHARGE INFORMATION WITH THE PATIENT'S CAREGIVERS, TO ENSURE SMOOTH HANDOVERS AND TRANSITIONS OF CARE. IN 2013, REGIONS:- DEVELOPED ELECTRONIC MEDICAL RECORD EMERGENCY DEPARTMENT CARE PLANS: AN EMERGENCY DEPARTMENT-BASED CARE PLAN IS CREATED FOR IDENTIFIED PATIENTS WITH HIGH RATES OF UNNECESSARY EMERGENCY DEPARTMENT (ED) VISITS AND ADMISSIONS. ALL CARE PLANS ARE VIEWABLE TO ALL HOSPITAL CARE PROVIDERS, INCLUDING EMERGENCY DEPARTMENT PROVIDERS, HOSPITALISTS, AND PRIMARY CARE PHYSICIANS WITHIN THE SYSTEM.- PROVIDED CARE MANAGER OUTREACH TO PATIENTS: A CARE MANAGER IS AVAILABLE TO PROVIDE FACE-TO-FACE OR TELEPHONIC EDUCATION AND FOLLOW UP FOR PATIENTS USING THE EMERGENCY DEPARTMENT FOR NON-EMERGENT REASONS.- FUNDED A COMMUNITY PARAMEDIC DEVELOPMENT PROGRAM: THE COMMUNITY PARAMEDIC, UNDER THE ORDERS OF A PHYSICIAN, WILL MAKE ONE OR MORE HOME VISITS TO IDENTIFIED PATIENTS TO SUPPORT CLINICAL STABILIZATION, PATIENT EDUCATION, AND PREVENT UNNECESSARY HOSPITAL READMISSIONS AND EMERGENCY DEPARTMENT VISITS.- DEVELOPED AN ELECTRONIC MEDICAL RECORD ED VISIT DATA FEED TO PRIMARY CARE PROVIDERS: WITHIN 24 HOURS OF AN EMERGENCY DEPARTMENT VISIT, THE VISIT INFORMATION IS SENT ELECTRONICALLY TO THE APPLICABLE PRIMARY CARE PROVIDER. IT DEVELOPMENT WORK WAS REQUIRED IN ORDER TO DESIGN AND IMPLEMENT THIS ELECTRONIC FEED TO PRIMARY CARE CLINICS. WORK CLOSELY WITH COMMUNITY CLINICSREGIONS WORKED CLOSELY WITH COMMUNITY CLINIC PARTNERS IN THE SERVICE AREA ON CONTINUITY OF CARE AND LINKAGES TO REGIONS, AS PART OF THE EAST METRO SAFETY NET. HEALTHPARTNERS MEDICAL GROUP PHYSICIANS CONTINUE TO PROVIDE ON CALL SERVICES FOR THESE CLINICS WHEN THEIR PATIENTS ARE HOSPITALIZED AT REGIONS.REGIONS CONDUCTED A TELEMEDICINE SERVICES PILOT TO ASSIST SMALL HOSPITALS AND RURAL COMMUNITIES TO INCREASE ACCESS TO CLINICAL EXPERTISE IN SELECT SUBSPECIALTY AREAS. BASED ON COMMUNITY CLINIC FEEDBACK, REGIONS IDENTIFIED THE NEED TO PROVIDE MORE STREAMLINED AND TIMELY ACCESS TO A PATIENT'S RECORD ONCE A PATIENT RECEIVED CARE AT REGIONS AND SUBSEQUENTLY RETURNED TO THEIR HOME CLINICS (BASED ON PATIENT'S PERMISSION). REGIONS HAS COMMITTED AND IS IN THE PROCESS OF IMPLEMENTING A NEW PORTAL THAT WILL PROVIDE EASIER ACCESS TO THE PATIENT'S ELECTRONIC HEALTH RECORD. THIS PORTAL WILL PROVIDE SECURE ACCESS WITHOUT THE NEED OF AN ADDITIONAL SECURITY TOKEN VIA THE INTERNET. PATIENTS WHO IDENTIFY A PHYSICIAN OR CLINIC IN THE COMMUNITY WILL BE PUBLISHED TO THEIR LIST OF PATIENTS FOR EASE OF SELECTION. THIS PORTAL WILL BE UP AND AVAILABLE IN FEBRUARY 2014 FOR THE PILOT CLINICS. ADDITIONAL CLINICS WILL BE ROLLED OUT ONCE THE PILOT CLINICS ARE DEEMED SUCCESSFUL.CARE MANAGEMENTREGIONS ACTIVELY LEADS IN THE COMPANY-WIDE CARE MANAGEMENT TRANSFORMATION EFFORTS. THIS WORK INTENDS TO IMPROVE HEALTH OUTCOMES AND THE EXPERIENCE FOR PATIENTS WITH CHRONIC OR COMPLEX CONDITIONS BY INTEGRATING SERVICES AND SMOOTHING HANDOVERS AND TRANSITIONS. REGIONS CONVENED AN INTERDISCIPLINARY COMMITTEE THAT MEETS MONTHLY TO ADDRESS ED VISITS AND HOSPITAL ADMISSIONS. CARE PLANS ARE IMPLEMENTED ON PATIENTS CONSIDERED HIGH RISK INCLUDING THOSE WITH NARCOTIC ABUSING/SEEKING BEHAVIOR AND THOSE WITH HIGH RATES OF POTENTIALLY MEDICALLY UNNECESSARY ED VISITS. REGIONS DATA SHOWS THE IMPACT ON COMPLIANCE AND LIMITING ED VISITS AND HOSPITAL ADMISSIONS. IN 2013, REGIONS HAD 34 PATIENTS WITH A CARE PLAN IN PLACE. ED VISITS DECREASED BY 17.95% WITH THIS GROUP AND ADMISSIONS DECREASED BY 54.79%. ALSO IMBEDDED IN THE ED ARE CARE MANAGERS WHO PROVIDE EDUCATION AND SUPPORT TO PATIENTS, CONNECT THEM TO PRIMARY CARE AND TO COMMUNITY RESOURCES. IN ADDITION, GEOGRAPHIC STUDIES WERE COMPLETED AND WE ARE PARTNERING WITH COMMUNITY PARAMEDICS IN NEIGHBORHOODS WHERE WE SEE A HIGH UTILIZATION OF THE EMERGENCY DEPARTMENT.MANY EFFORTS ARE IN PLACE TO MANAGE RISK OF READMISSION. AN ALGORITHM WAS BUILT TO ASSIGN A SCORE TO PATIENTS REPRESENTING THEIR RISK FOR RISK FOR READMISSION. THIS SCORE, ALONG WITH OTHER CRITERIA, IS USED BY CARE MANAGEMENT STAFF AND PHYSICIANS TO PUT IN PLACE ACTIVITIES TO MANAGE THE RISK. HOSPITAL CARE MANAGEMENT WORKS CLOSELY WITH THE HEALTH PLAN DISEASE AND CASE MANAGEMENT STAFF TO ENSURE HIGH RISK PATIENTS ARE BEING FOLLOWED OUTSIDE THE HOSPITAL. HOSPITAL CARE MANAGEMENT ALSO WORKS CLOSELY WITH GERIATRICS, HOSPICE AND HOME CARE TO ESTABLISH SMOOTH TRANSITIONS AND EXCHANGE OF INFORMATION. REGULAR MEETINGS TAKE PLACE WITH TCU'S, LTAC'S, SNF'S AND OTHER FACILITIES TO ESTABLISH AND MAINTAIN PROCESSES THAT SUPPORT EFFICIENT AND EFFECTIVE TRANSITIONS TO AND FROM THE ACUTE CARE SETTING. . OUR RESULTS AROUND RE-ADMISSION REDUCTION HAVE ALSO BEEN POSITIVE. FOR 2013, OUR NON-ELECTIVE 30 DAY READMIT RATE WAS 9.9%, DOWN FROM 11.86%.PRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO / ALCOHOL / SUBSTANCE ABUSE)REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP)REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP), ESTABLISHED IN 1972, MATCHES CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO BUILD THE FOUNDATION FOR VIABLE, SUSTAINABLE RECOVERY. THE STAFF OF LICENSED DRUG AND ALCOHOL COUNSELORS ARE SUPPORTED BY A TEAM OF MENTAL HEALTH CARE PROFESSIONALS. THROUGH LONG-ESTABLISHED COMMUNITY RELATIONSHIPS WITH SOCIAL SERVICE, COUNTY AGENCIES, AND FINANCIAL AND HOUSING ORGANIZATIONS, REGIONS ADAP PROGRAM WILL CONTINUE TO CONNECT CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO SUPPORT THEIR LONG-TERM RECOVERY.THE ADAP PROGRAM NAVIGATED SEVERAL CHANGES IN MANAGEMENT AND STAFFING STRUCTURE IN 2013. IN SEPTEMBER OF 2013, THE FINAL LEADERSHIP STRUCTURE WAS IN PLACE AND SINCE THAT TIME, EFFORTS HAVE FOCUSED ON INCREASING THE AVAILABILITY OF RESIDENTIAL AND OUTPATIENT PROGRAMS, BY INCREASING STAFF NUMBERS AND EXPERTISE, IMPROVING THE AMOUNT AND QUALITY OF PROGRAMMING, AND BY ACTIVELY BUILDING RELATIONSHIPS WITH OUR REFERRAL SOURCES AND COMMUNITY PARTNERS. AS A RESULT OF CHANGES, VOLUMES OF PATIENTS SERVED IN RESIDENTIAL, OUTPATIENT AND ASSESSMENT CLINICS HAVE BEEN INCREASING, AS HAVE THE PATIENTS' LEVEL OF SATISFACTION. SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT)SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS AN EVIDENCE-BASED PRACTICE USED TO IDENTIFY, REDUCE, AND PREVENT PROBLEMATIC USE, ABUSE, AND DEPENDENCE ON ALCOHOL AND ILLICIT DRUGS. FOR APPROPRIATE EMERGENCY DEPARTMENT AND TRAUMA PATIENTS, REGIONS USED THE SBIRT TOOL AND SCREENED 2,633 PATIENTS FOR YEAR 2013.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	HEALTHPARTNERS SPECIALTY CENTER 435 PHALEN BOULEVARD ST PAUL,MN55132	REGIONS SURGERY, PAIN, DIGESTIVE & ENDOSCOPY CLINICS
2	HEALTHPARTNERS SPECIALTY CENTER 401 PHALEN BOULEVARD ST PAUL,MN55130	REGIONS THERAPY CLINICS & DIAGNOSTIC LABS
3	REGIONS CARDIOPULMONARY REHABILITATION 2575 UNIVERSITY AV SUITE 140 WESTGATE ST PAUL,MN55114	CARDIOPULMONARY REHABILITATION CLINIC
4	HEALTHPARTNERS SLEEP CENTER 2688 MAPLEWOOD DRIVE MAPLEWOOD,MN55109	SLEEP HEALTH CENTER
5	REGIONS NEW CONNECTIONS 1250 HIGHWAY 55 HASTINGS,MN55033	ALCOHOL AND DRUG USE TREATMENT
6	REGIONS NEW CONNECTIONS 199 COON RAPIDS BLVD SUITE 110 COON RAPIDS,MN55433	ALCOHOL AND DRUG USE TREATMENT
7	REGIONS NEW CONNECTIONS 6446 CITY WEST PARKWAY EDEN PRAIRIE,MN55344	ALCOHOL AND DRUG USE TREATMENT
8	REGIONS PHYSICAL THERAPY CLINIC 295 PHALEN BLVD ST PAUL,MN55130	PHYSICAL THERAPY CLINIC
9	REGIONS HOSPITAL HAND & PT CLINIC 2220 RIVERSIDE AVE 5TH FLOOR MINNEAPOLIS,MN55454	HAND AND PHYSICAL THERAPY
10	REGIONS REHAB INSTITUTE 8425 SEASON PARKWAY SUITE 103 WOODBURY,MN55125	PHYSICAL THERAPY CLINIC
11	REGIONS ADAP 445 ETNA STREET SUITE 55 ST PAUL,MN55106	ALCOHOL AND DRUG TREATMENT

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
REGIONS HOSPITAL	PART V, SECTION B, LINE 3: AS PART OF THE DATA COLLECTION PROCESS FOR THE MOST RECENT CHNA THAT WAS CONDUCTED IN 2012, REPRESENTATIVES FROM COMMUNITY HOSPITAL CONSULTING CONDUCTED INTERVIEWS WITH TWENTY (20) STAKEHOLDERS FROM MARCH 14, 2012 - APRIL 6, 2012. INTERVIEWS WERE CONDUCTED WITH PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY INCLUDING:- PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.- FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS OR AGENCIES WITH INFORMATION RELEVANT TO THE HEALTH NEEDS OF COMMUNITY SERVED.- LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED.THE COUNTIES REPRESENTED INCLUDED WASHINGTON, DAKOTA, ST. CROIX AND RAMSEY. THE GOAL OF THE INTERVIEWS WAS TO GATHER OPINIONS AND PERCEPTIONS ON CURRENT HEALTH CARE ISSUES FACED IN THE COUNTIES SERVED AND/OR POPULATIONS REPRESENTED. FOR A FULL DETAILED LIST OF INSTITUTIONS AND PERSONS, PLEASE SEE THE 2012 HEALTHPARTNERS CHNA LOCATED AT OUR WEBSITE:HTTP://WWW.REGIONSHOSPITAL.COM/RH/COMMUNITY-BENEFIT/INDEX.HTML
REGIONS HOSPITAL	PART V, SECTION B, LINE 4: CHNA WITH OTHER HOSPITAL FACILITIES: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2012 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- LAKEVIEW MEMORIAL HOSPITAL, STILLWATER, MN.
REGIONS HOSPITAL	PART V, SECTION B, LINE 7: UNADDRESSED IDENTIFIED NEEDS OTHER IMPORTANT PRIORITIES FROM THE 2012 HEALTHPARTNERS CHNA: "INCREASE ACCESS TO DENTAL SERVICES" WAS IDENTIFIED AS THE SIXTH PRIORITY IN THE COMMUNITIES SERVED BY REGIONS, LAKEVIEW, HUDSON AND WESTFIELDS HOSPITALS (HOSPITALS). WHILE THIS IS A CONCERN IN THE COMMUNITY, THE TEAM DECIDED TO FOCUS THEIR EFFORTS ON THE OTHER FIVE PRIORITIES BECAUSE HEALTHPARTNERS DENTAL GROUP, A DIVISION OF GROUP HEALTH PLAN, INC., A STAFF MODEL HMO, IS CURRENTLY THE LEADING DENTAL CARE PROVIDER TO UNINSURED PEOPLE IN MINNEAPOLIS/ST. PAUL. ACCESS TO DENTAL CARE IS NOT A CORE SERVICE LINE FOR THE HOSPITALS AND IS OUTSIDE THE SCOPE OF THE HOSPITAL INFLUENCE. AS A RESULT, COMMUNITY BENEFIT ACTIVITIES WOULD BE MORE BENEFICIAL IN THE OTHER PRIORITIZED AREAS. WHILE OVERALL THE TEAM DECIDED NOT TO FOCUS EFFORTS ON ORAL HEALTH SERVICES, IT IS NOTEWORTHY THAT ST. CROIX COUNTY IS ADDRESSING "ORAL HEALTH" AS A SUBSET WITHIN THE "ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES" HEALTH PRIORITY AND TASK FORCE.
REGIONS HOSPITAL	PART V, SECTION B, LINE 12I: ALL SELF-PAY PATIENTS GET THE SAME DISCOUNT FROM GROSS CHARGES BASED ON REGIONS' AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL. THE AGREEMENT DISCOUNTS RATES, TO THAT EQUIVALENT TO REGIONS' LOWEST COMMERCIAL PAYOR RATE, FOR ALL SELF PAY PATIENTS.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES	THE 2012 HEALTHPARTNERS CHNA CONDUCTED RESULTED IN THE FOLLOWING PRIORITIES LISTED BELOW. 2013 IMPLEMENTATION ACTIVITIES TOWARDS THE PRIORITIES ARE DESCRIBED.PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTHMENTAL HEALTH FACILITYIN DECEMBER OF 2012, REGIONS OPENED A NEW INPATIENT MENTAL HEALTH FACILITY, THE ONLY COMPLETELY PRIVATE ROOM FACILITY IN THE TWIN CITIES. WITH THE NEW BUILDING AND CARE MODEL, REGIONS EXPERIENCED GROWTH IN VOLUMES AND IMPROVED PATIENT SATISFACTION.DAYBRIDGEIN MAY OF 2013, REGIONS OPENED DAYBRIDGE, A PARTIAL HOSPITALIZATION PROGRAM. DAYBRIDGE IS A MENTAL HEALTH PROGRAM FOR ADULTS WHO NEED INTENSIVE THERAPY BUT CAN CONTINUE TO LIVE IN THEIR COMMUNITY WITH THE SUPPORT OF FAMILY AND FRIENDS. INDIVIDUALS PARTICIPATE IN INPATIENT-LIKE TREATMENT DURING THE DAY AND RETURN TO THEIR HOME AT NIGHT AND ON WEEKENDS. 115 PATIENTS SERVED. MAKE IT OKTHE EAST METRO MENTAL HEALTH ROUNDTABLE SUPPORTED AND LAUNCHED THE MAKE IT OK CAMPAIGN AND CONTINUED TO OVERSEE THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM. THIS ROUNDTABLE REVISED METRICS FOR TRACKING MENTAL HEALTH SERVICES, WITH THE ASSISTANCE OF THE WILDER FOUNDATION, AND REPORTED ON THE NEED FOR MORE INTENSIVE RESIDENTIAL SERVICES. - IN 2013, REGIONS AND HEALTHPARTNERS SPENT $1,004,257 ON THE MAKE IT OK CAMPAIGN USING CONTRIBUTIONS FROM REGIONS HOSPITAL FOUNDATION. - MAKEITOK.ORG LAUNCHED IN DECEMBER 2012 AND THE CAMPAIGN HARD LAUNCHED IN MAY 2013 WITH AN ADVERTISING "FLIGHT" THAT INCLUDED TELEVISION, MAKE IT OK HAS GENERATED A LOT OF ENTHUSIASM IN THE COMMUNITY. - THROUGH 2013, THE MAKEITOK.ORG SITE HAD 30,696 UNIQUE VISITORS AND 4,035 PEOPLE TOOK THE SITE'S PLEDGE TO BECOME STIGMA-FREE. - THE MAKE IT OK CAMPAIGN HAS ALSO RECEIVED VERY POSITIVE REVIEWS IN LOCAL PRESS. THE FOLLOWING QUOTE IS FROM A STARTRIBUNE EDITORIAL DATE JUNE 12, 2013: "MINNESOTA, SO OFTEN AHEAD OF THE HEALTH CARE CURVE, IS AGAIN A PUBLIC HEALTH PACESETTER THANKS TO THE MAKE IT OK CAMPAIGN, WHICH BOLDLY BUT PRAGMATICALLY MOVES BEYOND PREVIOUS EFFORTS TO REDUCE THE STIGMA OF MENTAL ILLNESS."NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI)NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI) PROVIDED TRAINED VOLUNTEERS TO SOURCE THE LOBBY AND RESOURCE ROOM. OVER 113 HOURS OF VOLUNTEER TIME WAS PROVIDED TO ASSIST FAMILIES WITH THEIR EDUCATION AND SUPPORT NEEDS. THERE WERE 88 PARTICIPANTS ON THE REGIONS TEAM FOR THE ANNUAL NAMI WALK. THE REGIONS TEAM RAISED APPROXIMATELY $6,000 TO CONTRIBUTE TO NAMI IN THE EFFORT TO INCREASE AWARENESS OF MENTAL ILLNESS AND TO ELIMINATE STIGMA. MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP) LACK OF TIMELY ACCESS TO MEDICATIONS CAN LEAD TO EMERGENCY HOSPITALIZATION FOR BEHAVIORAL HEALTH CRISIS. TO INCREASE ACCESS TO NEEDED DRUGS, REGIONS AND HEALTHPARTNERS HELPED CREATE THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MHDAP). MHDAP ADDRESSES BARRIERS THAT MENTAL HEALTH PATIENTS HAVE IN OBTAINING HEALTHCARE COVERAGE TO PAY FOR MEDICATIONS AND THE LACK OF SUPPORTIVE SERVICES TO HELP THEM STAY ON MEDICATIONS. GAPS IN ADEQUATE HEALTHCARE AND MEDICATION COVERAGE ARE ASSOCIATED WITH INCREASED RISK OF PSYCHIATRIC HOSPITALIZATIONS, WHICH CAN COST THE COMMUNITY AN AVERAGE OF $12,000-15,000 PER VISIT. MHDAP PROVIDES 30 TO 90 DAYS OF STOP-GAP PSYCHIATRIC DRUG COVERAGE FUNDING FOR LOW-INCOME PATIENTS. MHDAP PROVIDED $234,620 WORTH OF STOP-GAP ASSISTANCE TO 406 MENTAL HEALTH PATIENTS WHO TEMPORARILY COULD NOT AFFORD MEDICATIONS. THE PROGRAM HELPED INDIVIDUALS OBTAIN 1,275 PRESCRIPTIONS.MENTAL HEALTH CRISIS REGIONS CONTINUES TO OFFER SERVICES IN THE EMERGENCY CENTER MENTAL HEALTH CRISIS UNIT. BY YEAR-END 2013, REGIONS IMPLEMENTED ENHANCEMENTS TO THE CARE MODEL UTILIZED IN THE CRISIS UNIT INCLUDING REDUCING AGGRESSIVE PATIENT BEHAVIOR AND DE-ESCALATION TRAINING FOR STAFF, UNIT PHYSICAL IMPROVEMENTS FOR PATIENT AND STAFF SAFETY AND A REVISED CLINICAL STAFFING MODEL TO ENHANCE AND ACCELERATE TREATMENT.- 7,482 WERE SERVED IN THE MENTAL HEALTH CRISIS UNIT IN 2013. - PATIENTS STAYED FOR AN AVERAGE OF 12 HOURS, AND 57% WERE ADMITTED. - REGIONS ADDED A PSYCHIATRY CONSULT SERVICE AND A DEDICATED PA 16 HOURS A DAY TO ENHANCE THE EXPERIENCE AND ACCELERATE THE RECOVERY PROCESS. MENTAL HEALTH CRISIS ALLIANCE (MHCA) IS A CRISIS RESPONSE SYSTEM THAT AUGMENTS INPATIENT SERVICES IN THE EAST METRO. HEALTHPARTNERS AND REGIONS ARE MAJOR SPONSORS OF MHCA, WHICH INCLUDES FOURTEEN ORGANIZATIONS THAT REPRESENT COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, AND CONSUMERS AND ADVOCATES. FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS, MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. REGIONS CONTINUES TO BE AN ACTIVE SPONSOR OF THE MHCA. MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION AND FACILITATING TIMELY DISCHARGES BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. WE ARE FOUNDERS AND HELP LEAD (AS WELL AS FINANCIALLY SUPPORT). THIS PROGRAM IS PROVEN TO REDUCE COSTS AND HOSPITALIZATIONS FOR PATIENTS NEEDING CRISIS STABILIZATION. MCHA RECEIVED THE FOLLOWING THREE PRESTIGIOUS AWARDS:- 2013 DHS COMMISSIONER'S CIRCLE OF EXCELLENCE AWARD- 2013 NAMI PROVIDER OF THE YEAR AWARD- 2013 UNIVERSITY OF MINNESOTA HUMPHREY SCHOOL LOCAL GOVERNMENT INNOVATION AWARDPRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION / PHYSICAL ACTIVITY)COLLABORATION WITH STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP)MANY OF REGIONS' PRIORITY GOALS OVERLAP WITH MANY OF THE SHIP GOALS. REGIONS, AS PART OF THE INTEGRATED SYSTEM OF HEALTHPARTNERS AND THROUGH ITS SISTER HOSPITAL IN STILLWATER, MINNESOTA COLLABORATES AND ADVOCATES IN COOPERATION WITH THESE SHIP EFFORTS THROUGH OUR YUMPOWER AND POWERUP INITIATIVES. YUMPOWERINTERNAL EMPLOYEE COMMUNICATIONS, FACEBOOK AND TWITTER WERE ALL USED TO SEND CONSISTENT MESSAGING ABOUT YUMPOWER AND BETTER-FOR-YOU OPTIONS. ARTICLES INCLUDED EVERYTHING FROM WEIGHT LOSS TIPS, JUVENILE DIABETES AND THE YUMPOWER APP TO CHOOSING THE RIGHT FOODS WHEN DINING OUT AND DEBATING THE MERITS OF CLEANSES. THERE WERE SEVERAL EVENTS INCLUDING TEAMING WITH ANDREW ZIMMERN TO OFFER FREE YUMPOWER SAMPLES ON HIS FOOD TRUCK, HANDING OUT FREE VEGGIES AT CLINICS AND OFFERING YUMPOWER OPTIONS AND RECIPES AT REGIONS YEAR END CELEBRATION. BEST FED BEGINNINGS (BFB)THE BEST FED BEGINNINGS (BFB) INITIATIVE IS TO PROMOTE BREASTFEEDING NATIONWIDE BY CREATING AN ENVIRONMENT IN WHICH A MOTHER'S CHOICE CONCERNING BREASTFEEDING.- EXCLUSIVE BREASTFEEDING RATE IMPROVEMENT FROM SUMMER 2012 AT 39% TO WINTER 2014 AT 64%. GOAL IS 70%- BABY SKIN TO SKIN (VAGINAL BIRTH) IMPROVED FROM SUMMER 2012 AT 30% TO WINTER 2014 AT 60%. GOAL IS 80%- BABY SKIN TO SKIN (CESAREAN BIRTH) IMPROVED FROM SUMMER 2012 AT 0% TO WINTER 2014 AT 50%. GOAL IS 70%- ROOMING IN 23 OF 24 HOURS/DAY IMPROVED FROM SUMMER 2012 AT 10% TO WINTER 2014 AT 50%. GOAL IS 70%- CREATED/DEVELOPED/IMPLEMENTED PRENATAL EDUCATION DOCUMENTS FOR ALL 17 PRENATAL CLINICS, TRANSLATED INTO HMONG, SOMALI, SPANISH, AMHARIC EMPLOYEE AND CORPORATE FUNDRAISINGREGIONS PARTICIPATED AND SPONSORED THE FOLLOWING EVENTS:- TEACHING GARDENS FUNDS GARDENS IN LOCAL SCHOOLS - HEART WALK - POWER TO END STROKE - GO RED FOR WOMENHEALTH AND WELLNESS OF OUR OWN EMPLOYEESREGIONS HAS A FITNESS CENTER WHICH CONSISTS OF A CARDIO ROOM, GROUP ACTIVITY, AND PERSONAL TRAINING/COACH ROOM. - THERE ARE 1,436 (29%) OF EMPLOYEES WHO HAVE SIGNED PARTICIPATION FORMS GIVING THEMSELVES BADGE ACCESS 24/7 TO THE FITNESS CENTER WHICH RESULTED IN 14,921 EMPLOYEE VISITS DURING 2013. DURING PEAK USE HOURS, ALL FOUR MACHINES ARE BUSY. - IN THE GROUP FITNESS ROOM A VARIETY OF CLASSES ARE OFFERED SUCH AS YOGA, CORE CONDITIONING, MINDFUL RELAXATION, STEP AEROBICS AND ZUMBA. THE SPACE COMFORTABLY HOLDS 8-10 PEOPLE DEPENDING UPON THE TYPE OF CLASS WITH AN AVERAGE ATTENDANCE OF 5-6 PEOPLE PER CLASS, WHICH RESULTS IN ABOUT 2,274 EMPLOYEE VISITS FOR A GROUP FITNESS CLASS. - IN THE FITNESS CENTER, PERSONAL TRAINING IS ALSO AVAILABLE TO EMPLOYEES. 33 EMPLOYEES PURCHASED PERSONAL TRAINING PACKAGES IN 2013.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	REGIONS PROVIDE HEALTH AND WELLNESS COACHING TO EMPLOYEES THROUGH A VARIETY OF SERVICES OFFERED BY A CERTIFIED WELLNESS COACH. - OUR MOST SUCCESSFUL COACHING PROGRAM WAS "KNOW YOUR NUMBERS". IN THIS PROGRAM, EMPLOYEES COMPLETE 3 VISITS IN THE ORDER OF THEIR CHOOSING. IN ONE VISIT THEY MEET WITH THE EMPLOYEE HEALTH AND WELLNESS CLINIC NP TO DISCUSS CARDIOVASCULAR HEALTH RISK FACTORS INCLUDING BLOOD PRESSURE, HEIGHT, WEIGHT, BMI AND BLOOD WORK (CHOLESTEROL PROFILE AND GLUCOSE). IN ANOTHER THEY MEET WITH A CERTIFIED PERSONAL TRAINER AND WELLNESS COACH TO REVIEW OVERALL FITNESS AND WELL-BEING AFTER MEASURING WAIST CIRCUMFERENCE AND BODY COMPOSITION. IN ANOTHER VISIT, THEY MEET WITH A WELLNESS COACH TO DISCUSS RESULTS ON A COMPLETED SELF-ASSESSMENT TOOL MEASURING RESILIENCE, STRESS MANAGEMENT AND LIFE SATISFACTION. - THERE WERE 106 EMPLOYEES WHO COMPLETED AT LEAST ONE VISIT AND 56 EMPLOYEES WHO COMPLETED ALL THREE VISITS. EMPLOYEES WHO COMPLETED EVALUATIONS INDICATED THAT THIS PROGRAM WAS EXTREMELY BENEFICIAL IN CHANGING LIFESTYLE AND IMPROVING HEALTH AND WELL-BEING. IN ADDITION, ANOTHER 17 EMPLOYEES PARTICIPATED IN INDIVIDUAL OR IN A SMALL GROUP SESSION WITH THE HEALTH AND WELLNESS COACH. REGIONS OPENED AN EMPLOYEE HEALTH AND WELLNESS CLINIC TO EMPLOYEES, WHICH IS STAFFED BY A CERTIFIED FAMILY NURSE PRACTITIONER. THE CLINIC PROVIDES MINOR ACUTE ILLNESS AND INJURY CARE, INCLUDING WORKPLACE INJURY, PREVENTIVE HEALTH SCREENINGS AND WELLNESS CARE. - IN 2013, OVER 2,100 EMPLOYEES RECEIVED CARE FOR CONCERNS RELATED TO MUSCULOSKELETAL PAIN/INJURY, SKIN, ALLERGIC, UPPER RESPIRATORY CONDITIONS, BLOOD PRESSURE, MENTAL HEALTH AND URINARY ISSUES. - EMPLOYEES RECEIVE ANY REQUIRED BLOOD/RADIOLOGY TESTING, PRESCRIPTIONS AND REFERRALS TO OTHER PROVIDERS AS NEEDED. - TWENTY-NINE EMPLOYEES RECEIVED TOBACCO CESSATION COUNSELING INCLUDING A FREE 6-WEEK SUPPLY OF NICOTINE REPLACEMENT PRODUCTS (AVERAGE VALUE OF $100 PER SUPPLY). - PATIENT (EMPLOYEE) SATISFACTION WITH THE CLINIC IS MEASURED USING THE SAME METHOD AS ALL HEALTHPARTNERS CLINICS. THIS MEASUREMENT INCLUDES THE QUESTION "WOULD YOU RECOMMEND YOUR REGIONS HEALTH AND WELLNESS CLINIC TO COLLEAGUES?" THE CLINIC CONSISTENTLY SCORES ABOVE 90 AND MOSTLY AT 100 (THE MAXIMUM SCORE). - THE CLINIC HAS PROVIDED ACCESSIBLE AND HIGH QUALITY CARE TO EMPLOYEES WHILE SHOWING AN ROI FOR SAVED PRODUCTIVE TIME (LESS PTO) AND COST TO THE HEALTH INSURANCE PLAN.INTERPRETERSREGIONS MAINTAINS A STAFF OF AT LEAST 75 PERMANENT AND ON-CALL INTERPRETERS WHO PROVIDE INTERPRETATION SERVICES AT REGIONS AND FOUR HEALTHPARTNERS CLINICS.- IN 2013, REGIONS EMPLOYED 93 STAFF INTERPRETERS PROVIDING SERVICES IN 13 LANGUAGES: CAMBODIAN, KAREN, BURMESE, NEPALI, OROMO, AMHARIC, SPANISH, SOMALI, HMONG, LAO, THAI, VIETNAMESE, AND AMERICAN SIGN LANGUAGE. - STAFF INTERPRETERS INTERPRETED FOR OVER 13,863 IN-PERSON PATIENT ENCOUNTERS AT REGIONS AND AN ADDITIONAL 31,241 ENCOUNTERS THROUGHOUT THE HEALTHPARTNERS CARE SYSTEM. - REGIONS ALSO HOLDS CONTRACTS WITH NINE INTERPRETER AGENCIES TO PROVIDE IN-PERSON OR REMOTE (TELEPHONIC AND VIDEO CONFERENCING) SERVICES IN OVER 150 ADDITIONAL LANGUAGES 24/7. REGIONS STAFF ACCESSED TELEPHONIC AND VIDEO INTERPRETERS FOR OVER 50 DIFFERENT LANGUAGES DURING 2013.FINANCIAL COUNSELINGREGIONS CONTINUES ITS EFFORTS TO CONNECT PATIENTS WITH PRIMARY CARE. REGIONS OPERATES A FINANCIAL COUNSELING PROGRAM, WHICH WORKS TO SECURE A PAYMENT SOURCE FOR UN-INSURED AND UNDER-INSURED PATIENTS. REGIONS ALSO PROVIDES CASE MANAGEMENT SERVICES IN THE EMERGENCY DEPARTMENT SPECIFICALLY TASKED WITH HELPING PATIENTS FIND A PRIMARY CARE PROVIDER AND SCHEDULING APPROPRIATE FOLLOW UP APPOINTMENTS.- TWENTY-TWO COUNSELORS AND 2.5 OF RAMSEY AND DAKOTA COUNTY EMPLOYEES HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF COVERAGE. SPECIFICALLY, THE COUNSELORS ARE ABLE TO ASSIST PATIENTS WITH SCREENING FOR AND COMPLETING APPLICATIONS WITH MN HEALTH CARE PROGRAMS, REGIONS FINANCIAL ASSISTANCE/CHARITY CARE APPLICATIONS, AND SETTING UP PAYMENT PLANS.- THE REGIONS EMERGENCY DEPARTMENT AND INPATIENT UNITS PROVIDE FINANCIAL COUNSELING 24 HOURS A DAY, 7 DAYS A WEEK, WHILE OTHER DEPARTMENTS PROVIDES COUNSELING DURING THE BUSINESS WEEK.- IN 2013, FINANCIAL COUNSELORS ENROLLED NEARLY 1,930 INDIVIDUALS IN GOVERNMENT HEALTH CARE PROGRAMS: 1,848 APPLICATIONS TAKEN AND 1,334 WERE SUCCESSFULLY OPENED (72% SUCCESS RATE); FOR INPATIENTS, 860 APPLICATIONS TAKEN AND 596 WERE SUCCESSFULLY OPENED (70% SUCCESS RATE).- REGIONS PROVIDES 4 CASE MANAGERS IN THE ED TO CONNECT PATIENTS TO COMMUNITY RESOURCES. STAFF HELPED SCHEDULE 1,141 FOLLOW UP APPOINTMENTS, MADE 89 CONNECTIONS TO COMMUNITY RESOURCES AND 19 CONNECTIONS TO HOMELESSNESS RESOURCES AND PROGRAMS.PORTICO PORTICO IS A COMMUNITY BASED NONPROFIT MODEL FOR DELIVERING CARE MANAGEMENT AND PRIMARY, PREVENTIVE AND SPECIALTY HEALTH CARE SERVICES TO UNINSURED FAMILIES AND INDIVIDUALS WHO CANNOT AFFORD HEALTH INSURANCE AND DO NOT QUALIFY FOR PUBLICLY SPONSORED HEALTH CARE PROGRAMS. REGIONS PROVIDE FUNDS TO PORTICO WHO USES THAT CONTRIBUTION TO PROVIDE AMBULATORY CARE COVERAGE AND CASE MANAGEMENT FOR THE OTHERWISE UNINSURED. THROUGH REGIONS CONTRIBUTION, PORTICO COVERED 204 INDIVIDUALS.CHARITY CAREREGIONS CONTINUES TO BE THE LARGEST PROVIDER OF CHARITY CARE SERVICES IN THE EAST METRO. AS A LEVEL 1 ADULT AND PEDIATRIC TRAUMA HOSPITAL WITH 100 INPATIENT PSYCHIATRIC BEDS, REGIONS CONTINUES TO ACHIEVE ITS MISSION TO SERVE ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY.IN 2013, 43,237 PATIENTS RECEIVED CHARITY CARE SERVICES AT REGIONS AT A COST OF $17.0 MILLION. THIS INCLUDED INPATIENT AND OUTPATIENT SERVICES ACROSS ALL SERVICE LINES.EQUITABLE CAREREGIONS WILL CONTINUE TO ENGAGE IN PROGRAMS AND INITIATIVES SPECIFICALLY DESIGNED TO REDUCE DISPARITIES AND ENCOURAGE THE APPROPRIATE USE OF HEALTH CARE RESOURCES. - THE EQUITABLE CARE COMMITTEE HELD FIVE CARING ACROSS CULTURES FILM SHOWINGS WITH GUIDED DISCUSSIONS FOLLOWING EACH FILM. THESE FILMS ADDRESSED HEALTH CARE NEEDS AND BARRIERS TO CARE FOR THE HMONG, LATINO, AFRICAN-AMERICAN, AND SOMALI COMMUNITIES. THE FIFTH FILM PROVIDED INSIGHT IN IMPROVING HEALTH COMMUNICATION WITH PATIENTS FROM AROUND THE WORLD. 45 PEOPLE PARTICIPATED. - THE EQUITABLE CARE FELLOWS PROGRAM CONTINUES AT REGIONS AS PART OF A LARGER HEALTHPARTNERS INITIATIVE. EQUITABLE CARE FELLOWS ARE VOLUNTEERS WHO HAVE COMMITTED TO LEARNING ABOUT HEALTH CARE EQUITY ISSUES AND BRINGING LEARNING INTO TO THEIR PRIMARY WORK AREAS. - REGIONS HAS EIGHTY EQUITABLE CARE FELLOWS IN A VARIETY OF ROLES, INCLUDING PHYSICIANS, NURSES, AND SOCIAL WORKERS. IN 2013, FELLOWS PARTICIPATED IN AN ANNUAL MEETING EARLY IN THE YEAR AND ACTIVITIES AT THE HMONG VILLAGE MALL IN ST. PAUL AND THE SOMALI MUSEUM IN MINNEAPOLIS. - REGIONS FELLOWS CONTRIBUTED ARTICLES TO HEALTHPARTNERS CULTURE ROOTS PUBLICATIONS. THESE SHORT ONLINE ARTICLES HIGHLIGHT DIVERSITY ISSUES IN HEALTHCARE.- AN INTERDISCIPLINARY TEAM FOCUSED ON REDUCING DISPARITIES IN CARE FOR WOMEN AND THEIR FAMILIES DURING CHILDBIRTH HELD FIVE COMMUNITY FOCUS GROUPS WITH 119 INDIVIDUALS TO SOLICIT FEEDBACK ON EXPECTATIONS REGARDING THE CHILDBIRTH EXPERIENCE. - THE GROUPS WERE COMPRISED OF HMONG, LATINA, AFRICAN-AMERICAN (2 GROUPS), AND TEEN-AGE MOTHERS. SUGGESTIONS FROM THESE GROUPS ARE BEING INCORPORATED INTO REGIONS BIRTH CENTER QUALITY IMPROVEMENT INITIATIVES. - REGIONS NURSING LEADERSHIP HELD THREE "LET'S TALK" SESSIONS TO BEGIN CONVERSATIONS REGARDING RACE AND OTHER DISPARITIES. - A HUMAN LIBRARY EVENT WAS HELD AT REGIONS. THIS EVENT WAS DESIGNED TO ALLOW A SAFE ENVIRONMENT FOR PEOPLE TO TALK AND LEARN FROM OTHERS WITH A DIVERSE LIFESTYLE OR CULTURE. OVER 30 STAFF MEMBERS PARTICIPATED.- THE REGIONS PATIENT & FAMILY ADVISORY COUNCIL CONTINUED ITS EFFORTS TO DIVERSIFY BY ADDING A HMONG REPRESENTATIVE TO THE COUNCIL.- A TEAM OF REGIONS LEADERS CONTINUES TO MONITOR DISPARITIES BASED ON RACE AND LANGUAGE FOR SELECTED DIAGNOSES AND PATIENT SATISFACTION SCORES. FINDINGS ARE GENERALLY SHARED WITH KEY LEADERS WHO ARE RESPONSIBLE FOR ADDRESSING ANY ISSUES. ONE EXAMPLE OF SUCH AN ACTION WAS TO CONDUCT PHYSICIAN AND STAFF SHADOWING TO IMPROVE INTERACTIONS AND COMMUNICATION WITH PATIENTS. - METRICS RELATING TO THE PROGRESS IN REDUCING DISPARITIES INCLUDE: - PATIENT SATISFACTION IS MONITORED BY RACE AND LANGUAGE FOR SPECIFIC KEY QUESTIONS. - CORE MEASURES ARE MONITORED BY RACE AND LANGUAGE.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	BASIC LIFE SUPPORT (BLS)REGIONS SUPPORTED THE ST. PAUL FIRE DEPARTMENT'S IMPLEMENTATION OF A NEW BASIC LIFE SUPPORT (BLS) TRANSPORT SERVICE WITH CREW UNIFORMS, EMS TRAINING, MEDICAL DIRECTION, CLINICAL TIME IN THE EMERGENCY DEPARTMENT AND PAYMENT FOR CHARITY CARE TRANSPORTS.PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CAREHEALTH RESOURCE CENTER2013 HAS BEEN A TRANSITIONAL YEAR FOR THE HEALTH RESOURCE CENTER (HRC). AN ANALYSIS OF DATA RELATED TO USE OF THE SERVICES AND PROGRAMMING AND KEY INFORMANT INTERVIEWS REVEALS THAT THE HRC AS CURRENTLY DESIGNED IS NOT MEETING ITS INTENDED PURPOSE. THEREFORE, THE HEALTH RESOURCE CENTER WAS CLOSED IN 2013. - PATIENTS AND FAMILIES STILL RECEIVE MANY EDUCATIONAL RESOURCES THROUGH REGIONS AND HEALTHPARTNERS. THE CANCER CARE CENTER, MENTAL HEALTH AND HEART CENTER ALL HAVE PATIENT RESOURCE LIBRARIES. IN ADDITION, FAMILIES DO ACCESS THE MEDICAL RESOURCE LIBRARY, WHICH DOES MAINTAIN A SMALL COLLECTION OF BOOKS BUT MAINLY PROVIDES ACCESS TO RELIABLE ON-LINE RESOURCES.- PATIENT CARE STAFF READILY ACCESSES THE TIGR SYSTEM, WHICH CURRENTLY HAS OVER 100 EDUCATION MODULES. THIS PUTS EDUCATION AT THE BEDSIDE FOR PATIENTS AND THEIR FAMILIES. - PATIENT CARE STAFF ALSO UTILIZES THE ON-LINE MATERIALS THROUGH HEALTHPARTNERS HEALTHWISE, WHICH ALLOWS STAFF TO PRINT OUT RESOURCES FOR PATIENTS AND FAMILIES. FINALLY PATIENTS CAN RECEIVE A COMPLIMENTARY CARE (MASSAGE, MUSIC THERAPY, ETC) WHILE A PATIENT AT REGIONS.ELECTRONIC MEDICAL RECORDREGIONS WENT LIVE WITH HEALTHWISE PATIENT INSTRUCTIONS IN JUNE 2013. BASED ON A PATIENT'S PROBLEM LIST AND/OR DIAGNOSIS CODE(S), RELEVANT PATIENT INSTRUCTIONS ARE PRESENTED IN EPIC, OUR ELECTRONIC MEDICAL RECORD, DURING THE PATIENT ENCOUNTER. PATIENT INSTRUCTIONS CAN BE ADDED TO THE AFTER VISIT SUMMARY/DISCHARGE INSTRUCTIONS AS PART OF THE PATIENT'S MEDICAL RECORD (OR PRINTED SEPARATELY). PATIENTS CAN ALSO VIEW THE INSTRUCTIONS ON MYCHART. IN ADDITION, A CODE AT THE BOTTOM OF A PATIENT INSTRUCTION DIRECTS THE PATIENT TO MORE INFORMATION ON THE TOPIC IN THE HEALTHWISE HEALTH INFORMATION LIBRARY ON HEALTHPARTNERS.COM. AMBULATORY AND ED WENT LIVE WITH HEALTHWISE PATIENT INSTRUCTIONS PRIOR TO 2013 SO CONSISTENT, PATIENT-FRIENDLY CONTENT IS NOW PROVIDED TO PATIENTS ACROSS THE CONTINUUM OF CARE.MEDICAL EDUCATIONREGIONS IS A TEACHING HOSPITAL AND WILL CONTINUE TO COLLABORATE WITH HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH IN ITS MISSION TO IMPROVE HEALTH BY MAXIMIZING THE ABILITIES OF PEOPLE AND SYSTEMS TO PROVIDE OUTSTANDING CARE. REGIONS IS A TRAINING GROUND FOR APPROXIMATELY 470 RESIDENTS AND MANY CLINICAL STUDENTS WHO RECEIVE EXTENSIVE TRAINING. REGIONS WILL CONTINUE TO COLLABORATE WITH VARIOUS INSTITUTIONS TO PROVIDE HIGH QUALITY LEARNING OPPORTUNITIES FOR FUTURE CLINICIANS.THROUGH OUR OWN ACCREDITED PROGRAMS AND THROUGH PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, REGIONS TRAINED CAREGIVERS OF THE FUTURE. TWENTY-TWO RESIDENTS GRADUATED FROM REGIONS-BASED PROGRAMS IN 2013. APPROXIMATELY 500 RESIDENTS (133 FTES) IN TOTAL RECEIVED CLINICAL EXPERIENCE AT REGIONS. CLINICAL EXPERIENCE WAS ALSO PROVIDED TO 600 MEDICAL STUDENTS, 100 PHYSICIAN ASSISTANT STUDENTS, 500 UNDERGRADUATE NURSING STUDENTS AND 75 NURSE PRACTITIONER STUDENTS.REGIONS CONTINUES TO ADVOCATE FOR ADEQUATE FUNDING AT THE STATE AND FEDERAL LEVEL FOR MEDICAL EDUCATION. REGIONS ADVOCATED FOR THE RESTORATION OF STATE MEDICAL EDUCATION FUNDING THAT WAS REDUCED IN THE 2011 BUDGET SESSION WITH ADMINISTRATION OFFICIALS AND LEGISLATORS. REGIONS ALSO EDUCATED STATE OFFICIALS ON THE IMPACT OF PROPOSED CHANGES TO MEDICAL EDUCATION FUNDING FORMULA WILL HAVE ON REGIONS. IN ADDITION, REGIONS WORKED WITH MEMBERS OF THE STATE MEDICAL EDUCATION ADVISORY COMMITTEE TO ADVOCATE FOR RESTORATION OF MEDICAL EDUCATION FUNDING. STATE MEDICAL EDUCATION FUNDING WAS RESTORED IN THE 2013 SESSION TO PRE-CUT 2011 LEVELS. THE FORMULA CHANGE INCLUDED IN THE BUDGET IS AWAITING APPROVAL FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) SO THE FINAL IMPACT TO REGIONS IS YET UNKNOWN.RESIDENCY PROGRAMSREGIONS HAS RECENTLY ADDED NEW RESIDENCY POSITIONS, INCLUDING A PHARMACY RESIDENCY POSITION AND AN ADVANCED PRACTICE PSYCHIATRIC RESIDENCY POSITION. REGIONS AND THE HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH WILL CONTINUE TO EXPLORE NEW OPPORTUNITIES TO EXPAND OR ENHANCE EDUCATION ON THE REGIONS CAMPUS.- PSYCHIATRIC RESIDENCY: IN 2008, REGIONS BEGAN AN ADVANCED PRACTICE PSYCHIATRY POST GRADUATE TRAINING PROGRAM. REGIONS' MENTAL HEALTH DEPARTMENT OFFERS A ONE YEAR POST GRADUATE PSYCHIATRIC TRAINING PROGRAM FOR PA'S AND NP'S INTERESTED IN OBTAINING FURTHER EXPERIENCE IN PSYCHIATRY. THIS IS ONE OF THREE PROGRAMS IN THE UNITED STATES THAT OFFERS POST GRADUATE TRAINING FOR PHYSICIAN ASSISTANTS AND THE FIRST POST-GRADUATE PROGRAM FOR NURSE PRACTITIONERS IN THE FIELD OF PSYCHIATRY. - PHARMACY RESIDENCY: THE PURPOSE OF THE PGY-1 PHARMACY RESIDENCY PROGRAM AT REGIONS IS TO PROVIDE THE LEARNING ENVIRONMENT, INSTRUCTION, MENTORING, AND EVALUATION NECESSARY TO PREPARE PHARMACISTS TO WORK IN AN ACUTE CARE SETTING, PURSUE FURTHER POST-GRADUATE PHARMACY TRAINING, AND PRECEPT PHARMACY STUDENTS UPON COMPLETION OF THE RESIDENCY. THE PROGRAM IS ONE-YEAR IN DURATION AND ACCREDITED BY THE AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP). SIMULATION AND LEARNING CENTERTHE SIMULATION & LEARNING CENTER REMAINS THE ONLY SSH ACCREDITED SIMULATION CENTER IN MN AND SURROUNDING STATES (WI, IA, ND, SD). THE SIM CENTER PROVIDED PERT TEAM TRAINING, MENTAL HEALTHY SAFETY COURSE, CONDUCTED MOCK CODES, LUCAS DEVICE TRAINING, EMERGENCY MEDICINE RESIDENT COMPETENCY TESTING, EMERGENCY MEDICINE PROCEDURES TRAINING, NURSING ORIENTATION, AND CREATED VARIOUS VIDEOS. IN 2013, THERE WERE 3,500 REGIONS PARTICIPANT ENCOUNTERS. AS A RESULT OF MOCK CODE TRAINING, THE TIME TO COMPRESSIONS DECREASED FROM AN AVERAGE OF 41 SECONDS TO 26 SECONDS. TIME TO FIRST SHOCK WAS 142 SECONDS, REDUCED FROM 162 SECONDS IN 2012.ON-SITE AND ON-LINE MEDICAL LIBRARY RESOURCESAT WWW.REGIONSHOSPITAL.COM PATIENTS CAN FIND A VARIETY OF HEALTH EDUCATION MATERIALS AND LINKS TO TRUSTED SITES FOR ADDITIONAL SUPPORT AND RESOURCES. PATIENTS CAN PERUSE THE WEBSITE OR ARE DIRECTED THERE THROUGH SOCIAL MEDIA. IN 2013, REGIONS WEBSITE HAD 495,213 VISITS.REGIONS MEDICAL LIBRARY MAINTAINS BOTH ON-SITE AND ONLINE ACCESS TO SUBSCRIPTION, KNOWLEDGE-BASED RESOURCES FOR ALL REGIONS AND HEALTHPARTNERS EMPLOYEES. PRINT JOURNALS AND BOOKS ARE AVAILABLE AT THE MEDICAL LIBRARY LOCATED IN THE EAST SECTION OF THE CAMPUS. ONLINE RESOURCES, WHICH INCLUDE JOURNALS, BOOKS AND DATABASES, CAN BE ACCESSED THROUGH THE LIBRARY'S INTRANET SITE AVAILABLE ON ANY NETWORKED COMPUTER, REMOTELY THROUGH CITRIX, AND OPENATHENS, A PROXY SERVER. THE LIBRARY'S COLLECTION INCLUDES RESOURCES FOR PHYSICIANS AND NURSES AND MOST ALLIED HEALTH PROFESSIONALS. IT INCLUDES OVER 3,000 ONLINE JOURNAL TITLES AND 19 DATABASES. OVER 400 LITERATURE SEARCHES ARE PERFORMED BY LIBRARIANS EACH YEAR IN SUPPORT OF PATIENT CARE, EDUCATION AND RESEARCH.PRIORITY 4: IMPROVE SERVICE INTEGRATIONHOSPITAL TO HOME (PILOT) PROGRAMREGIONS AND ITS PARTNERS EXPANDED THE PROGRAM TO 18 ADDITIONAL PARTICIPANT POSITIONS WITH GRANT FUNDING FROM THE FEDERAL HOUSING AND URBAN DEVELOPMENT AGENCY. REGIONS PARTNERED WITH ADDITIONAL COMMUNITY ORGANIZATIONS TO RECRUIT PROGRAM PARTICIPANTS AND ENSURE THAT THOSE PARTICIPANTS MET CRITERIA FOR PREVIOUS ER USE AND CHRONIC HEALTH CONDITIONS. THE MAJORITY OF PARTICIPANTS (78%) WERE ABLE TO SECURE STABLE HOUSING IN THE FIRST FOUR MONTHS OF ENROLLMENT. LEGAL OR MEDICAL ISSUES PREVENTED THE REMAINING PARTICIPANTS FROM OBTAINING HOUSING. THE HOSPITAL TO HOME INITIATIVE CONTINUED TO WORK WITH THESE PARTICIPANTS TOWARDS THE GOAL OF STABLE HOUSING. AT ANY GIVEN TIME THE PROGRAM CAN SERVE UP TO 25 INDIVIDUALS.
PART V, SECTION B, LINE 6 - CHNA IMPLEMENTATION ACTIVITIES (CONTINUED)	ELECTRONIC MEDICAL RECORD (EMR)REGIONS WILL EVALUATE POTENTIAL OPPORTUNITIES TO EXTEND THE ELECTRONIC MEDICAL RECORD TO KEY COMMUNITY PARTNERS, OR EVALUATE IMPROVED WAYS TO APPROPRIATELY SHARE DISCHARGE INFORMATION WITH THE PATIENT'S CAREGIVERS, TO ENSURE SMOOTH HANDOVERS AND TRANSITIONS OF CARE. IN 2013, REGIONS:- DEVELOPED ELECTRONIC MEDICAL RECORD EMERGENCY DEPARTMENT CARE PLANS: AN EMERGENCY DEPARTMENT-BASED CARE PLAN IS CREATED FOR IDENTIFIED PATIENTS WITH HIGH RATES OF UNNECESSARY EMERGENCY DEPARTMENT (ED) VISITS AND ADMISSIONS. ALL CARE PLANS ARE VIEWABLE TO ALL HOSPITAL CARE PROVIDERS, INCLUDING EMERGENCY DEPARTMENT PROVIDERS, HOSPITALISTS, AND PRIMARY CARE PHYSICIANS WITHIN THE SYSTEM.- PROVIDED CARE MANAGER OUTREACH TO PATIENTS: A CARE MANAGER IS AVAILABLE TO PROVIDE FACE-TO-FACE OR TELEPHONIC EDUCATION AND FOLLOW UP FOR PATIENTS USING THE EMERGENCY DEPARTMENT FOR NON-EMERGENT REASONS.- FUNDED A COMMUNITY PARAMEDIC DEVELOPMENT PROGRAM: THE COMMUNITY PARAMEDIC, UNDER THE ORDERS OF A PHYSICIAN, WILL MAKE ONE OR MORE HOME VISITS TO IDENTIFIED PATIENTS TO SUPPORT CLINICAL STABILIZATION, PATIENT EDUCATION, AND PREVENT UNNECESSARY HOSPITAL READMISSIONS AND EMERGENCY DEPARTMENT VISITS.- DEVELOPED AN ELECTRONIC MEDICAL RECORD ED VISIT DATA FEED TO PRIMARY CARE PROVIDERS: WITHIN 24 HOURS OF AN EMERGENCY DEPARTMENT VISIT, THE VISIT INFORMATION IS SENT ELECTRONICALLY TO THE APPLICABLE PRIMARY CARE PROVIDER. IT DEVELOPMENT WORK WAS REQUIRED IN ORDER TO DESIGN AND IMPLEMENT THIS ELECTRONIC FEED TO PRIMARY CARE CLINICS. WORK CLOSELY WITH COMMUNITY CLINICSREGIONS WORKED CLOSELY WITH COMMUNITY CLINIC PARTNERS IN THE SERVICE AREA ON CONTINUITY OF CARE AND LINKAGES TO REGIONS, AS PART OF THE EAST METRO SAFETY NET. HEALTHPARTNERS MEDICAL GROUP PHYSICIANS CONTINUE TO PROVIDE ON CALL SERVICES FOR THESE CLINICS WHEN THEIR PATIENTS ARE HOSPITALIZED AT REGIONS.REGIONS CONDUCTED A TELEMEDICINE SERVICES PILOT TO ASSIST SMALL HOSPITALS AND RURAL COMMUNITIES TO INCREASE ACCESS TO CLINICAL EXPERTISE IN SELECT SUBSPECIALTY AREAS. BASED ON COMMUNITY CLINIC FEEDBACK, REGIONS IDENTIFIED THE NEED TO PROVIDE MORE STREAMLINED AND TIMELY ACCESS TO A PATIENT'S RECORD ONCE A PATIENT RECEIVED CARE AT REGIONS AND SUBSEQUENTLY RETURNED TO THEIR HOME CLINICS (BASED ON PATIENT'S PERMISSION). REGIONS HAS COMMITTED AND IS IN THE PROCESS OF IMPLEMENTING A NEW PORTAL THAT WILL PROVIDE EASIER ACCESS TO THE PATIENT'S ELECTRONIC HEALTH RECORD. THIS PORTAL WILL PROVIDE SECURE ACCESS WITHOUT THE NEED OF AN ADDITIONAL SECURITY TOKEN VIA THE INTERNET. PATIENTS WHO IDENTIFY A PHYSICIAN OR CLINIC IN THE COMMUNITY WILL BE PUBLISHED TO THEIR LIST OF PATIENTS FOR EASE OF SELECTION. THIS PORTAL WILL BE UP AND AVAILABLE IN FEBRUARY 2014 FOR THE PILOT CLINICS. ADDITIONAL CLINICS WILL BE ROLLED OUT ONCE THE PILOT CLINICS ARE DEEMED SUCCESSFUL.CARE MANAGEMENTREGIONS ACTIVELY LEADS IN THE COMPANY-WIDE CARE MANAGEMENT TRANSFORMATION EFFORTS. THIS WORK INTENDS TO IMPROVE HEALTH OUTCOMES AND THE EXPERIENCE FOR PATIENTS WITH CHRONIC OR COMPLEX CONDITIONS BY INTEGRATING SERVICES AND SMOOTHING HANDOVERS AND TRANSITIONS. REGIONS CONVENED AN INTERDISCIPLINARY COMMITTEE THAT MEETS MONTHLY TO ADDRESS ED VISITS AND HOSPITAL ADMISSIONS. CARE PLANS ARE IMPLEMENTED ON PATIENTS CONSIDERED HIGH RISK INCLUDING THOSE WITH NARCOTIC ABUSING/SEEKING BEHAVIOR AND THOSE WITH HIGH RATES OF POTENTIALLY MEDICALLY UNNECESSARY ED VISITS. REGIONS DATA SHOWS THE IMPACT ON COMPLIANCE AND LIMITING ED VISITS AND HOSPITAL ADMISSIONS. IN 2013, REGIONS HAD 34 PATIENTS WITH A CARE PLAN IN PLACE. ED VISITS DECREASED BY 17.95% WITH THIS GROUP AND ADMISSIONS DECREASED BY 54.79%. ALSO IMBEDDED IN THE ED ARE CARE MANAGERS WHO PROVIDE EDUCATION AND SUPPORT TO PATIENTS, CONNECT THEM TO PRIMARY CARE AND TO COMMUNITY RESOURCES. IN ADDITION, GEOGRAPHIC STUDIES WERE COMPLETED AND WE ARE PARTNERING WITH COMMUNITY PARAMEDICS IN NEIGHBORHOODS WHERE WE SEE A HIGH UTILIZATION OF THE EMERGENCY DEPARTMENT.MANY EFFORTS ARE IN PLACE TO MANAGE RISK OF READMISSION. AN ALGORITHM WAS BUILT TO ASSIGN A SCORE TO PATIENTS REPRESENTING THEIR RISK FOR RISK FOR READMISSION. THIS SCORE, ALONG WITH OTHER CRITERIA, IS USED BY CARE MANAGEMENT STAFF AND PHYSICIANS TO PUT IN PLACE ACTIVITIES TO MANAGE THE RISK. HOSPITAL CARE MANAGEMENT WORKS CLOSELY WITH THE HEALTH PLAN DISEASE AND CASE MANAGEMENT STAFF TO ENSURE HIGH RISK PATIENTS ARE BEING FOLLOWED OUTSIDE THE HOSPITAL. HOSPITAL CARE MANAGEMENT ALSO WORKS CLOSELY WITH GERIATRICS, HOSPICE AND HOME CARE TO ESTABLISH SMOOTH TRANSITIONS AND EXCHANGE OF INFORMATION. REGULAR MEETINGS TAKE PLACE WITH TCU'S, LTAC'S, SNF'S AND OTHER FACILITIES TO ESTABLISH AND MAINTAIN PROCESSES THAT SUPPORT EFFICIENT AND EFFECTIVE TRANSITIONS TO AND FROM THE ACUTE CARE SETTING. . OUR RESULTS AROUND RE-ADMISSION REDUCTION HAVE ALSO BEEN POSITIVE. FOR 2013, OUR NON-ELECTIVE 30 DAY READMIT RATE WAS 9.9%, DOWN FROM 11.86%.PRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO / ALCOHOL / SUBSTANCE ABUSE)REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP)REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP), ESTABLISHED IN 1972, MATCHES CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO BUILD THE FOUNDATION FOR VIABLE, SUSTAINABLE RECOVERY. THE STAFF OF LICENSED DRUG AND ALCOHOL COUNSELORS ARE SUPPORTED BY A TEAM OF MENTAL HEALTH CARE PROFESSIONALS. THROUGH LONG-ESTABLISHED COMMUNITY RELATIONSHIPS WITH SOCIAL SERVICE, COUNTY AGENCIES, AND FINANCIAL AND HOUSING ORGANIZATIONS, REGIONS ADAP PROGRAM WILL CONTINUE TO CONNECT CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO SUPPORT THEIR LONG-TERM RECOVERY.THE ADAP PROGRAM NAVIGATED SEVERAL CHANGES IN MANAGEMENT AND STAFFING STRUCTURE IN 2013. IN SEPTEMBER OF 2013, THE FINAL LEADERSHIP STRUCTURE WAS IN PLACE AND SINCE THAT TIME, EFFORTS HAVE FOCUSED ON INCREASING THE AVAILABILITY OF RESIDENTIAL AND OUTPATIENT PROGRAMS, BY INCREASING STAFF NUMBERS AND EXPERTISE, IMPROVING THE AMOUNT AND QUALITY OF PROGRAMMING, AND BY ACTIVELY BUILDING RELATIONSHIPS WITH OUR REFERRAL SOURCES AND COMMUNITY PARTNERS. AS A RESULT OF CHANGES, VOLUMES OF PATIENTS SERVED IN RESIDENTIAL, OUTPATIENT AND ASSESSMENT CLINICS HAVE BEEN INCREASING, AS HAVE THE PATIENTS' LEVEL OF SATISFACTION. SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT)SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS AN EVIDENCE-BASED PRACTICE USED TO IDENTIFY, REDUCE, AND PREVENT PROBLEMATIC USE, ABUSE, AND DEPENDENCE ON ALCOHOL AND ILLICIT DRUGS. FOR APPROPRIATE EMERGENCY DEPARTMENT AND TRAUMA PATIENTS, REGIONS USED THE SBIRT TOOL AND SCREENED 2,633 PATIENTS FOR YEAR 2013.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
REGIONS HOSPITAL

Employer identification number
41-0956618

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) GILLETTE CHILDRENS HEALTHCARE 200 E UNIVERSITY AVE ST PAUL,MN55101	10,000	PROGRAM SUPPORT
(2) AMERICAN HEART ASSOCIATION 460 N LINDBERGH BLVD ST LOUIS,MO63141	9,550	PROGRAM SUPPORT
(3) ST PAUL FIRE FOUNDATION PO BOX 10593 ST PAUL,MN55110	23,000	PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	REGIONS HOSPITAL (REGIONS) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH REGIONS' MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO REGIONS' FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)DAVID ABELSON MDDIRECTOR	(i) (ii)	0 889,915	0 367,419	0 153,547	0 207,460	0 61,535	0 1,679,876	0 0
(2)MARY K BRAINERDDIRECTOR	(i) (ii)	0 989,800	0 458,854	0 229,813	0 407,824	0 69,074	0 2,155,365	0 220,337
(3)KATHLEEN M COONEYDIRECTOR	(i) (ii)	0 562,902	0 197,759	0 70,479	0 207,062	0 50,294	0 1,088,496	0 48,225
(4)BRET C HAAKE MDDIRECTOR	(i) (ii)	0 527,574	0 18,500	0 0	0 36,454	0 41,463	0 623,991	0 0
(5)BROCK D NELSONDIRECTOR, PRESIDENT & CEO	(i) (ii)	0 457,118	0 128,911	0 0	0 140,570	0 41,287	0 767,886	0 0
(6)KAREN A QUADAY MDDIRECTOR	(i) (ii)	0 281,288	0 0	0 26,228	0 51,238	0 31,185	0 389,939	0 26,228
(7)BRIAN H RANK MDDIRECTOR	(i) (ii)	0 538,408	0 144,639	0 50,971	0 167,347	0 41,489	0 942,854	0 27,358
(8)CHRISTINE M BOESEVP, PATIENT CARE SERVICE	(i) (ii)	246,799 0	50,310 0	0 0	20,952 0	22,362 0	340,423 0	0 0
(9)HEIDI G CONRADCHIEF FINANCIAL OFFICER	(i) (ii)	0 270,864	0 57,897	0 6,246	0 84,763	0 37,938	0 457,708	0 6,246
(10)MARIAN M FURLONGVP, HUDSON HOSPITAL PRESID	(i) (ii)	244,033 0	53,784 0	0 0	20,952 0	31,584 0	350,353 0	0 0
(11)BETH L HEINZVP - OPERATIONS	(i) (ii)	232,498 0	46,859 0	0 0	20,952 0	13,611 0	313,920 0	0 0
(12)KENNETH D HOLMEN MDVP - BUS DEV/PHYS STRATEGY	(i) (ii)	0 454,471	0 129,504	0 39,438	0 119,598	0 48,663	0 791,674	0 24,122
(13)KIM R LAREAUVP & CIO	(i) (ii)	0 239,139	0 62,101	0 0	0 47,957	0 35,478	0 384,675	0 0
(14)GRETCHEN M LEITERMANVP, OPERATIONS & SPECIALTY	(i) (ii)	0 225,830	0 49,351	0 0	0 37,979	0 25,402	0 338,562	0 0
(15)STEVEN MASSEYVP-REGIONS & CEO-WESTFIELD	(i) (ii)	199,637 0	49,962 0	0 0	20,952 0	34,074 0	304,625 0	0 0
(16)MEGAN M REMARKVP - SPECIALTY CARE	(i) (ii)	0 347,619	0 82,137	0 17,944	0 89,306	0 41,469	0 578,475	0 8,917
(17)BARBARA E TRETHEWAYSR VP, GENERAL COUNSEL	(i) (ii)	0 447,853	0 120,382	0 64,500	0 121,279	0 32,809	0 786,823	0 49,120
(18)KARI B BECERRANURSE ANESTHETIST	(i) (ii)	191,088 0	0 0	0 0	14,916 0	28,986 0	234,990 0	0 0
(19)ALISON G BRISBINNURSE ANESTHETIST	(i) (ii)	196,477 0	0 0	563 0	12,470 0	31,248 0	240,758 0	0 0
(20)JOHN A CHAUSSNURSE ANESTHETIST	(i) (ii)	199,964 0	0 0	0 0	15,876 0	28,798 0	244,638 0	0 0
(21)GREG S MELLESMOENDIRECTOR - SURGICAL SERVICES	(i) (ii)	188,101 0	26,155 0	0 0	16,977 0	19,050 0	250,283 0	0 0
(22)LUANN M YERKSMANAGER - ANESTHESIA	(i) (ii)	194,013 0	20,303 0	0 0	17,296 0	21,916 0	253,528 0	0 0
(23)THOMAS G GESKERMANFORMER VP, OPERATIONS	(i) (ii)	89,507 0	60,281 0	135,132 0	13,391 0	23,202 0	321,513 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINES 4A-B	DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: DAVID ABELSON $113,160 MARY K. BRAINERD 130,379 HEIDI G. CONRAD 23,491 KATHLEEN M. COONEY 50,960 KENNETH D. HOLMEN, MD 23,378 BROCK D. NELSON 41,192 MEGAN M. REMARK 12,583 BRIAN H. RANK 30,313 BARBARA E. TRETHEWAY 22,276 -------- TOTAL $447,732
PART I, LINES 4A-B	OTHER REPORTABLE COMPENSATION IN COLUMN B(III) OF SCHEDULE J, PART II INCLUDES SALARY CONTINUATION PAYMENTS TO THE FOLLOWING FORMER OFFICER: THOMAS G. GESKERMAN $109,063
PART I, LINE 6	REGIONS HOSPITAL (REGIONS) OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY REGIONS OR BY GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM EITHER REGIONS' OR GHI'S MANAGEMENT INCENTIVE PROGRAM, WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (NET MARGIN), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A NET MARGIN THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT.
FORM 990, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION	COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS AND OFFICERS: MARY K. BRAINERD $ 220,337 KATHLEEN M. COONEY $ 48,225 KAREN A. QUADAY, MD $ 26,228 BRIAN H. RANK, MD $ 27,358 HEIDI G. CONRAD $ 6,246 KENNETH D. HOLMEN, MD $ 24,122 MEGAN M. REMARK $ 8,917 BARBARA E. TRETHEWAY $ 49,120 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
REGIONS HOSPITAL

Employer identification number
41-0956618

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS-SERIES 2006	41-6005521	792905CH2	11-30-2006	185,729,229	REFUND SERIES 1993 BONDS & EXPANSION OF REGIONS HOSPITAL FACILITY		X		X		X
B	CITY OF MAPLEWOOD MN HEALTH CARE FACILITY REVENUE NOTE SERIES 2006	41-6008920	NONE99999	08-18-2006	2,651,612	CONSTRUCTION - SLEEP DISORDER CLINIC		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	7,910,000		618,380
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	198,836,067		2,651,612
4 Gross proceeds in reserve funds . . . . . . . . . . . .	17,172,394
5 Capitalized interest from proceeds . . . . . . . . . . .	15,443,609
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,988,857		51,612
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	140,295,341		2,600,000
11 Other spent proceeds . . . . . . . . . . . . . .	24,756,039
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2009		2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .	X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .	X			X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X
b Exception to rebate? . . . . . . . .	X		X
c No rebate due? . . . . . . . .		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X
b Name of provider . . . . . . . . .	PIPER JAFFRAY
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X
e Was the hedge terminated? . . . . . .	X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .	X			X
b Name of provider . . . . . . . . .	SEE PART VI
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, AND PART II, LINE3 - DIFFERENCES IN AMOUNTS	DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
PART II, LINE 4 - COMPONENTS OF AMOUNT	THE AMOUNT SHOWN IN COLUMN A CONSISTS OF $16,754,593 IN A DEBT SERVICE RESERVE FUND, PLUS $417,801 IN DEBT SERVICE FUND DEPOSITS.
PART III, LINE 3B - REVIEW OF MANAGEMENT OR SERVICE CONTRACTS	REGIONS USES INTERNAL LEGAL COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY. IF IT ENCOUNTERS UNUSUAL OR COMPLEX CONTRACTS IT WILL ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL.
SCHEDULE K, PART IV, LINES 4B & 4C, COLUMN A - PROVIDER NAME & TERM OF GIC	THERE ARE TWO INVESTMENT CONTRACTS ASSOCIATED WITH THE BONDS, ONE WITH TRINITY PLUS FUNDING COMPANY, LLC WITH A TERM OF 1.3 YEARS, AND ONE WITH MORGAN STANLEY CAPITAL SERVICES INC. WITH A TERM OF 25.5 YEARS.
PART IV, LINES 1 AND 6, COLUMN A - CLARIFICATION	THE CURRENT REFUNDING PORTION OF THE BONDS QUALIFIED FOR A SPENDING EXCEPTION; THE REMAINDER OF THE BONDS DID NOT QUALIFY FOR THE EXCEPTION, AND A REBATE PAYMENT HAS BEEN MADE, AND FORM 8038-T FILED WITH RESPECT THERETO.
PART IV, LINE 3 - CLARIFICATION	REGIONS ENTERED INTO AN ANTICIPATORY HEDGE WITH THE PROVIDER PRIOR TO THE ISSUANCE OF THE BONDS; HOWEVER, DUE TO CHANGES IN THE INTEREST RATE ENVIRONMENT, THAT HEDGE WAS TERMINATED AT THE ISSUANCE OF THE BONDS.
SCHEDULE K, PART V - PROCEDURES TO UNDERTAKE CORRECTIVE ACTION	SINCE 12/31/2011 REGIONS HAS UNDERTAKEN ESTABLISHING SUCH WRITTEN PROCEDURES.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Return Reference	Explanation
FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS	I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE REGIONS HOSPITAL (REGIONS) IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS (HEALTHPARTNERS), AN INTEGRATED SYSTEM OF HEALTH FINANCING, CARE DELIVERY, AND SUPPORT SERVICES PROVIDING HEALTH PLAN SERVICES TO OVER 1,165,000 MEMBERS AND DELIVERING CARE TO OVER 4,500,000 PATIENT ENCOUNTERS, PRIMARILY IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND IMPROVING AFFORDABILITY - ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ENTITIES - INCLUDING FIVE HOSPITALS AND THEIR RELATED FOUNDATIONS, TWO HEALTH MAINTENANCE ORGANIZATIONS, FOUR NON-PROFIT PHYSICIAN GROUPS, HOME CARE, TRANSITIONAL CARE, MEDICAL EQUIPMENT, A THIRD PARTY ADMINISTRATOR THAT SERVES SELF INSURED EMPLOYERS, AND MANY MORE. A COMPLETE LISTING OF ALL HEALTHPARTNERS ORGANIZATIONS, FOR WHICH HPI IS THE PARENT ORGANIZATION AND THE REPORTING RELATIONSHIP BETWEEN EACH OF THOSE ORGANIZATIONS, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS ALONG WITH REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH), RAMSEY INTEGRATED HEALTH SERVICES AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). REGIONS, A PREMIER, FULL-SERVICE HOSPITAL PROVIDING OUTSTANDING MEDICAL AND SURGICAL CARE, HAS SERVED THE TWIN CITIES AND SURROUNDING REGION FOR OVER 140 YEARS. THE MISSION OF REGIONS IS TO IMPROVE THE HEALTH OF ITS PATIENTS AND THE COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE, WHICH MEETS THE NEEDS OF ALL PEOPLE. REGIONS IS THE SECOND LARGEST PROVIDER OF CHARITY CARE IN MINNESOTA AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. II. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2013 CHARITY CARE REGIONS IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. IN 2013 ALONE, REGIONS PROVIDED $62.2 MILLION IN CHARITY CARE CHARGES ($21.4 MILLION IN CHARITY CARE COSTS) TO CARE FOR 43,237 PATIENTS WHO DID NOT HAVE INSURANCE OR COULD NOT AFFORD CARE. CHARITY CARE REPRESENTED 2.8 PERCENT OF REGIONS' TOTAL OPERATING EXPENSES. OF THE 75,029 TOTAL PATIENT ACCOUNTS WRITTEN OFF IN 2013, 26,987 WERE PURE SELF-PAY PATIENTS WITH NO COVERAGE AND NO ABILITY TO PAY. APPROXIMATELY 50 PERCENT OF THESE SELF-PAY PATIENTS WERE BETWEEN THE AGES OF 18 AND 24. THE REMAINING 48,042 PATIENTS HAD SOME COVERAGE BUT WERE UNABLE TO PAY THE "PATIENT RESPONSIBILITY" PORTION OF THEIR BILL. REGIONS DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY A THIRD-PARTY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. REGIONS IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. FOR EXAMPLE, IN 2013, REGIONS PROVIDED INPATIENT AND OUTPATIENT EMERGENCY SERVICES TO SELF-PAY PATIENTS TOTALING $31.5 MILLION IN CHARGES. APPROXIMATELY $10.8 MILLION OF THESE CHARGES WERE WRITTEN-OFF BY REGIONS AT A NET LOSS. REGIONS' EMERGENCY CENTER EXPANDED IN 2010 TO 54,000 SQUARE FEET AND 53 BEDS BEING THE LARGEST IN THE EAST METRO. REGIONS PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES, TO A LARGE NUMBER OF MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. IN FACT, PATIENTS FROM GOVERNMENT PROGRAMS FOR SENIORS CONSTITUTED 39% PERCENT OF REGIONS' CHARGES, PATIENTS FROM GOVERNMENT PROGRAMS FOR THE POOR CONSTITUTED 23% PERCENT OF REGIONS' CHARGES, AND CHARITY CASES WERE 3% OF CHARGES. ONLY 36% OF CHARGES WERE FOR COMMERCIAL OR GOVERNMENT PATIENTS. ALTHOUGH MOST OF REGIONS' REIMBURSEMENT COMES FROM GOVERNMENT PROGRAMS, IT SHOULD ALSO BE NOTED THAT THESE PROGRAMS OFTEN DO NOT COMPENSATE HOSPITALS FOR THE FULL COST OF PROVIDING CARE. REGIONS PAID $13.3 MILLION IN 2013 IN A MINNESOTA HEALTH CARE TAXES EQUAL TO TWO PERCENT OF ITS NET REVENUE FROM PATIENT CARE SERVICES. THE FUNDS RAISED BY THIS TAX ARE EARMARKED BY THE STATE OF MINNESOTA TO INCREASE HEALTH CARE ACCESS FOR MINNESOTANS WHO ARE OTHERWISE UNABLE TO FULLY PAY FOR HEALTH CARE SERVICES. PORTICO HEALTHNET REGIONS BELIEVES THAT ACCESS TO HEALTH CARE COVERAGE IS A MAJOR FACTOR IN AVERTING MORE EXPENSIVE EMERGENCY ROOM VISITS. PORTICO HEALTHNET IS A NONPROFIT ORGANIZATION THAT HELPS ABOUT 350 PEOPLE PER MONTH ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS. SINCE 1995, PORTICO OUTREACH WORKERS HAVE PROVIDED ASSISTANCE IN COMPLETING APPLICATIONS FOR PROGRAMS SUCH AS MINNESOTA CARE OR MEDICAL ASSISTANCE. IN ADDITION, PORTICO OFFERS ITS OWN COVERAGE PROGRAM AND COVERS PRIMARY AND SPECIALTY CARE CLINIC VISITS, URGENT CARE SERVICES, AND PRESCRIPTION DRUGS ALONG WITH INTERPRETER AND TRANSPORTATION SERVICES. IN 2013, REGIONS PROVIDED $97,193 TO PORTICO IN ORDER TO IMPROVE ACCESS AND COVER ADMINISTRATIVE COSTS FOR PEOPLE WITHOUT HEALTH INSURANCE. COMMUNITY SERVICES IN ADDITION TO THE CHARITY CARE DESCRIBED ABOVE, REGIONS PROVIDED THE FOLLOWING: INTERPRETER SERVICE IN 2013, REGIONS HOSPITAL EMPLOYED OVER 90 STAFF INTERPRETERS PROVIDING SERVICES IN 13 MOST USED LANGUAGES AT REGIONS: CAMBODIAN, KAREN, BURMESE, NEPALI, OROMO, AMHARIC, SPANISH, SOMALI, HMONG, LAO, THAI, VIETNAMESE, AND AMERICAN SIGN LANGUAGE. STAFF INTERPRETERS INTERPRETED FOR OVER 13,863 IN-PERSON PATIENT ENCOUNTERS AT REGIONS AND AN ADDITIONAL 31,241 ENCOUNTERS THROUGHOUT THE HEALTHPARTNERS CARE SYSTEM. REGIONS ALSO HOLDS CONTRACTS WITH NINE INTERPRETER AGENCIES TO PROVIDE IN-PERSON OR REMOTE (TELEPHONIC AND VIDEO CONFERENCING) SERVICES IN OVER 150 ADDITIONAL LANGUAGES 24/7. REGIONS STAFF ACCESSED TELEPHONIC AND VIDEO INTERPRETERS FOR OVER 50 DIFFERENT LANGUAGES DURING 2013. THE COST PAID TO PROVIDE THIS RESOURCE IS $1.7 MILLION FOR 2013. IN 2013, REGIONS INTERPRETER SERVICES MADE TARGETED IMPROVEMENTS TO IMPROVE ACCESS TO INTERPRETERS, INCLUDING CENTRALIZING ITS SCHEDULING SYSTEM AND EXPANDING IN-PERSON COVERAGE FOR PATIENTS DURING THE WEEKENDS. REGIONS ALSO CONTINUED TO FOCUS ON QUALITY OF SERVICES: 100 PERCENT OF STAFF INTERPRETERS HAVE COMPLETED A MINIMUM OF 40 HOURS OF PROFESSIONAL INTERPRETER TRAINING AND ARE REQUIRED TO COMPLETE 8 HOURS OF CONTINUING EDUCATION EACH YEAR. THIRTY-EIGHT PERCENT OF STAFF INTERPRETERS HOLD A NATIONAL INTERPRETING CREDENTIAL, THE LARGEST NUMBER OF ANY HEALTH CARE SYSTEM IN MINNESOTA. UPDATED ANNUALLY, REGIONS LANGUAGE ASSISTANCE PLAN SETS ORGANIZATIONAL BEST PRACTICES AND EXPECTATIONS, AND IS ACCOMPANIED BY THE PRACTICAL YOUR GUIDE TO INTERPRETER SERVICES. YOUR GUIDE PROVIDES ANSWERS TO QUESTIONS SUCH AS HOW TO ACCESS AN INTERPRETER AND HOW TO TALK WITH PATIENTS WHO WISH TO RELY ON FAMILY MEMBERS TO INTERPRET. TRAINING IS CONDUCTED ON THESE TOOLS TO SUPPORT CONTINUED IMPROVEMENT IN HEALTH AND EXPERIENCE OUTCOMES. REGIONS ANNUAL INTERPRETER SATISFACTION SURVEY ALLOWS STAFF AND PROVIDERS TO GIVE FEEDBACK ON ALL INTERPRETER TYPES (AGENCY; STAFF; TELEPHONIC; VIDEO). THE RESULTS OF THESE SURVEYS ARE REVIEWED AND ACTED UPON TO SUPPORT IMPROVEMENT. AN ANNUAL PLENARY MEETING IS ALSO HELD WITH ALL CONTRACTED INTERPRETER AGENCIES TO REVIEW SATISFACTION SURVEYS AND PERFORMANCE AND TO CONTINUE AGENCY ENGAGEMENT AND OUTCOMES THAT SUPPORT THE TRIPLE AIM. THROUGH OUR PARTNERSHIP WITH HEALTHWISE, OVER 2,700 PATIENT INSTRUCTIONS ARE NOW AVAILABLE IN EPIC IN ENGLISH AND SPANISH. THESE INSTRUCTIONS CAN BE ADDED TO THE AFTER VISIT SUMMARY/DISCHARGE INSTRUCTIONS AND/OR PRINTED FOR PATIENTS.
FORM 990, PART III, LINE 4A	IN ADDITION TO INTERPRETING FOR PATIENTS AND PROVIDERS, REGIONS INTERPRETERS MADE ADDITIONAL CONTRIBUTIONS TO OUR PATIENTS AND COMMUNITY, INCLUDING: - REGIONS STAFF INTERPRETERS COMPLETED THOUSANDS OF REMINDER CALLS TO PATIENTS TO ENSURE THEY WERE AWARE OF SCHEDULED APPOINTMENTS AND HAD NECESSARY INFORMATION REGARDING THEIR UPCOMING VISITS. - QUALIFIED TRANSLATORS IN SPANISH, SOMALI, AND HMONG PROVIDED WRITTEN TRANSLATION SERVICES, INCLUDING THE TRANSLATION OF MEDICAL RECORDS, LETTERS TO PATIENTS, AND HOSPITAL SIGNAGE. - REGIONS STAFF INTERPRETERS AND LEADERS PARTICIPATED ON MULTIPLE STATE AND NATIONAL COMMITTEES AND BOARDS FOCUSED ON IMPROVING ACCESS TO QUALITY INTERPRETER SERVICES. THESE ORGANIZATIONS INCLUDED THE UPPER MIDWEST TRANSLATORS AND INTERPRETERS ASSOCIATION, THE MINNESOTA REGISTRY OF INTERPRETERS FOR THE DEAF, THE MINNESOTA INTERPRETER STAKEHOLDERS GROUP, THE MINNESOTA INTERPRETER SERVICES LEADERSHIP GROUP, AND THE CERTIFICATION COMMISSION FOR HEALTHCARE INTERPRETERS. - REGIONS INTERPRETER SERVICES COLLABORATED WITH BOTH CENTURY COLLEGE AND ST. CATHERINE UNIVERSITY TO TRAIN SEVEN INTERPRETING STUDENT INTERNS. - REGIONS INTERPRETER SERVICES LEVERAGED ITS POSITIVE RELATIONSHIP WITH LOCAL INTERPRETER VENDORS TO RECRUIT VOLUNTEER INTERPRETERS FOR TWO COMMUNITY HEALTH FAIRS PUT ON BY ST. CATHERINE UNIVERSITY IN CONJUNCTION WITH WEST SIDE COMMUNITY HEALTH SERVICES AND THE EAST SIDE FAMILY CLINIC. MULTILINGUAL HEALTH RESOURCES EXCHANGE (EXCHANGE) THE MULTILINGUAL HEALTH RESOURCES EXCHANGE IS A COLLABORATION AMONG MANY MINNESOTA ORGANIZATIONS (INCLUDING HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS, PUBLIC HEALTH AGENCIES, AND COMMUNITY GROUPS) TO SHARE TRANSLATED HEALTH MATERIALS AND INFORMATION TO MEET THE HEALTH EDUCATION AND INFORMATION NEEDS OF PEOPLE WITH LIMITED ENGLISH PROFICIENCY (LEP). REGIONS WAS INSTRUMENTAL IN STARTING THE EXCHANGE IN 2001. EACH MEMBER OF THE EXCHANGE CONTRIBUTES MATERIALS TRANSLATED BY THEIR ORGANIZATION TO THE EXCHANGE WEBSITE (WWW.HEALTH-EXCHANGE.NET) WHERE ALL PARTNER ORGANIZATIONS CAN DOWNLOAD IT FOR USE WITH THEIR CLIENTS AND PATIENTS. THIS GREATLY INCREASES THE AMOUNT OF HEALTH EDUCATION AVAILABLE IN LANGUAGES OTHER THAN ENGLISH FOR ALL PARTICIPATING ORGANIZATIONS. ANNUALLY, HEALTHPARTNERS AND REGIONS TOGETHER CONTRIBUTE $2,500 TO THE EXCHANGE. FINANCIAL COUNSELING TO SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDERINSURED PATIENTS, REGIONS ESTABLISHED A FINANCIAL COUNSELING PROGRAM. THE PROGRAM WAS STARTED IN THE ADMITTING INPATIENT DEPARTMENT IN 1995 BUT SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT REGIONS, TO INCLUDE THE EMERGENCY DEPARTMENT. THE PROGRAM WAS FUNDED BY REGIONS AT THE COST OF OVER $1.2 MILLION IN 2013. TWENTY-TWO COUNSELORS AND 2.5 OF RAMSEY AND DAKOTA COUNTY EMPLOYEES HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF COVERAGE. SPECIFICALLY, THE COUNSELORS ARE ABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS, SETTING UP PAYMENT PLANS OR APPLYING FOR CHARITY CARE. TO HELP PATIENTS ACCESS SERVICES BEYOND MEDICAL CARE, REGIONS HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY DEPARTMENT NEEDS, AND PATIENT AFTERCARE. IN 2013, FINANCIAL COUNSELORS ENROLLED NEARLY 1,930 INDIVIDUALS IN GOVERNMENT HEALTHCARE PROGRAMS. THIS PROVIDED APPROXIMATELY $5.6 MILLION TO REGIONS FOR CARE THAT OTHERWISE WOULD HAVE BEEN CONSIDERED CHARITY CARE. FOR 2013, THE APPLICATION BREAKDOWN WAS AS FOLLOWS: IN THE EMERGENCY DEPARTMENT, THERE WERE 1,848 APPLICATIONS TAKEN AND 1,334 WERE SUCCESSFULLY OPENED (72% SUCCESS RATE); FOR INPATIENTS, THERE WERE 860 APPLICATIONS TAKEN AND 596 WERE SUCCESSFULLY OPENED (70% SUCCESS RATE). REGIONS PROVIDES FOUR CASE MANAGERS IN THE ED TO CONNECT PATIENTS TO COMMUNITY RESOURCES. STAFF HELPED SCHEDULE 1,141 FOLLOW UP APPOINTMENTS, MADE 89 CONNECTIONS TO COMMUNITY RESOURCES AND 19 CONNECTIONS TO HOMELESSNESS RESOURCES AND PROGRAMS. EMERGENCY PREPAREDNESS TERRORISM PREPAREDNESS REGIONS IS A LEADER IN EMERGENCY MANAGEMENT FOR THE EAST METRO. REGIONS STAFF ARE PREPARED FOR ANY SITUATION THAT MAY ARISE AND COLLABORATES WITH OTHER HOSPITALS AND PUBLIC SAFETY OFFICIALS TO ENSURE THAT PLANNING AND RESPONSE PLANS ARE INTEGRATED. REGIONS PARTICIPATION IN AN INSPECTION CONDUCTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RECEIVED HIGH MARKS FOR EMERGENCY MANAGEMENT AND OVERALL PLAN OF SUSTAINABILITY. REGIONS ALSO HAS THE ONLY MASS (NON-MILITARY) DECONTAMINATION SITE IN RAMSEY COUNTY THAT STANDS READY TO HANDLE ANY MAJOR EVENT. REGIONS CAN TREAT UP TO 150 PEOPLE PER HOUR IN THE EVENT OF BIOLOGICAL, CHEMICAL, OR NUCLEAR INCIDENTS AND IS COMPLETELY COMPLIANT WITH THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION. THIS SYSTEM IS TESTED ANNUALLY IN CONJUNCTION WITH A MASS CASUALTY DRILL THAT INVOLVES OUR COMMUNITY PARTNERS AND PUBLIC SAFETY AGENCIES. REGIONS IS A MEMBER OF THE METROPOLITAN HOSPITAL COMPACT, ALONG WITH 29 TWIN CITIES HOSPITALS. REGIONS HAS PLAYED A VITAL ROLE IN THE DEVELOPMENT OF COMMUNITY WIDE PLANNING TO IMPROVE EMERGENCY MANAGEMENT THROUGHOUT HEALTHCARE AND ESTABLISH INTERFACING WITH PUBLIC SAFETY INCLUDING CITY AND COUNTY EMERGENCY MANAGERS. ADDITIONALLY, REGIONS COLLABORATES WITH CITY, COUNTY AND STATE PUBLIC HEALTH OFFICIALS TO PLAN APPROPRIATELY FOR PANDEMIC EVENTS. REGIONS HAS BEEN SELECTED AS A SITE FOR MUCH OF THE STOCKPILE PROVIDED BY BOTH THE STATE OF MINNESOTA AND THE FEDERAL GOVERNMENT. EMERGENCY MEDICAL SERVICES (EMS) EMERGENCY MEDICAL SERVICES (EMS) EDUCATION REGIONS EMS HAS BEEN THE PRINCIPAL PROVIDER OF PRE-HOSPITAL EDUCATION IN EASTERN MINNESOTA AND WESTERN WISCONSIN FOR OVER 30 YEARS. THE EMS EDUCATION DIVISION HAS EVOLVED RAPIDLY IN THE AREAS OF RESEARCH AND PHYSICIAN INVOLVEMENT IN PRE-HOSPITAL MEDICINE. EMS EDUCATION PROVIDES BASIC AND ADVANCED COURSES FOR NURSES, PHYSICIANS AND OTHER HEALTH PROFESSIONALS. CPR, AED, AND FIRST AID EDUCATION ARE ALSO OFFERED TO COMMUNITY BUSINESSES AND THE PUBLIC. THE NET COST INVESTED IN THE COMMUNITY WAS OVER $1,613,014 IN 2013. REGIONS EMS DELIVERS 24-HOUR MEDICAL DIRECTION AND CONSULTATION TO A DIVERSE GROUP OF PRE-HOSPITAL PROVIDERS IN MINNESOTA AND WESTERN WISCONSIN. ONE UNIQUE WAY THEY DO THIS IS BY PROVIDING CUSTOMIZED RESOURCE DIRECTORY. THIS DIRECTORY INCLUDES BEST PRACTICE GUIDELINES AND STATE REGULATIONS, ALONG WITH A CUSTOMIZED MEDICAL DIRECTION PLAN FOR EACH ORGANIZATION BASED ON THEIR LOCAL RESOURCES AND ENVIRONMENT. THE DEPARTMENT CURRENTLY REPRESENTS 28 SERVICES WITH 1,500 PROVIDERS INCLUDING RURAL VOLUNTEER FIREFIGHTERS AND EMERGENCY MEDICAL TECHNICIANS, URBAN PARAMEDICS AND SUBURBAN PUBLIC SAFETY PERSONNEL. LIFE LINK III REGIONS IS A CORPORATE MEMBER (ALONG WITH SEVERAL OTHER AREA HOSPITALS) OF LIFE LINK III, A CRITICAL CARE TRANSPORT SERVICE THAT PROVIDES HELICOPTER AND AIRPLANE OPTIONS TO THE MOST SEVERELY ILL AND INJURED TRAUMA PATIENTS. BY COLLABORATING ACROSS THE COMMUNITY, WE AVOID DUPLICATION OF EXPENSIVE AIR TRANSPORT SERVICES THEREBY REDUCING THE COST OF HEALTHCARE. MEDICAL RESOURCE CONTROL CENTER (MRCC) THE MRCC SERVES AS THE ONLINE TRIAGE LIAISON BETWEEN EMS AMBULANCE CREWS AND DESTINATION HOSPITALS. MRCC PROVIDES MEDICAL CONTROL COMMUNICATIONS TO AMBULANCE SERVICES AND PRE-HOSPITAL EMERGENCY CARE PROVIDERS IN THE EAST METRO COUNTIES OF DAKOTA, RAMSEY AND WASHINGTON IN MINNESOTA AND AREAS OF WESTERN WISCONSIN. THE MRCC IS IN CONTACT WITH METRO AREA EMERGENCY DEPARTMENTS. THE COMMUNICATIONS CENTER ITSELF IS LOCATED IN THE REGIONS EMERGENCY CENTER. MRCC STAFF PROVIDES AMBULANCE PERSONNEL WITH A SINGLE CONTACT POINT FOR RELAYING PATIENT INFORMATION, AN EMS GUIDELINE RESOURCE, HOSPITAL DIVERSION INFORMATION, MEDICAL RESOURCE ACCESS, COORDINATION OF MASS CASUALTIES, EMS COMMUNICATION EDUCATION AND CQI AND EMS CALL DATA COLLECTION. REGIONS INVESTED $385,769 IN THIS RESOURCE IN 2013. TRAUMA SERVICES TRAUMA CENTER ADMINISTRATION REGIONS TRAUMA PROGRAM TRACKS TRAUMA-RELATED INJURIES FOR A REGISTRY USED FOR PERFORMANCE IMPROVEMENT, QUALITY ASSURANCE AND PUBLIC HEALTH REPORTING. THE TRAUMA CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS, AS A LEVEL I ADULT TRAUMA CENTER AND A LEVEL I PEDIATRIC TRAUMA CENTER. MINNESOTA STATE TRAUMA SYSTEM REGIONS IS ACTIVE IN THE MINNESOTA STATE TRAUMA SYSTEM (STAC). DR. PETER COLE IS A MEMBER OF THE STAC. REGIONS STAFF PARTICIPATED IN SUBCOMMITTEES ASSOCIATED WITH THE STAC INCLUDING THE INJURY PREVENTION AND DATA ELEMENTS. TRAUMA LEADERSHIP PROVIDES A CONSULTATIVE ROLE TO HOSPITALS IN MINNESOTA BY HELPING THEM PREPARE FOR THEIR STATE TRAUMA SYSTEM HOSPITAL VERIFICATION SITE REVIEWS. THIS IS A SERVICE PROVIDED TO THE FACILITIES AT NO COST TO THEM. ADDITIONALLY, REGIONS PROVIDED LEADERSHIP FOR THE DEVELOPMENT OF THE MINNESOTA -METRO REGION TRAUMA ADVISORY COMMITTEE THAT REPORTS TO THE STAC. DR. MICHAEL MCGONIGAL IS THE COMMITTEE CHAIR.
FORM 990, PART III, LINE 4A	WEST CENTRAL REGIONAL TRAUMA ADVISORY COMMITTEE REGIONS IS AN ACTIVE MEMBER OF THE WEST CENTRAL REGIONAL TRAUMA ADVISORY COMMITTEE, WHICH WAS CREATED BY THE STATE OF WISCONSIN TO SERVE AS THE REGIONAL TRAUMA SYSTEM FOR THE WESTERN WISCONSIN REGION. THE SYSTEM COORDINATES WITH REGIONS AS THE AREA'S ONLY LEVEL I ADULT AND LEVEL I PEDIATRIC TRAUMA CENTERS TO TREAT SEVERE TRAUMA PATIENTS FROM PIERCE, POLK AND ST. CROIX COUNTIES IN WISCONSIN. TRAUMA LEADERSHIP PROVIDES A CONSULTATIVE ROLE TO HOSPITALS IN WISCONSIN BY HELPING THEM PREPARE FOR THEIR STATE TRAUMA SYSTEM HOSPITAL VERIFICATION SITE REVIEWS. THIS IS A SERVICE PROVIDED TO THE FACILITIES AT NO COST TO THEM. ADDITIONALLY, REGIONS STAFF PARTICIPATED IN TRAUMA AND EMERGENCY CONFERENCES SUCH AS LOCAL AND REGIONAL EMERGENCY NURSING ASSOCIATION CONFERENCES, EMS AND TRAUMA EDUCATION: THE NEXT GENERATION. SEVERAL COMMUNITY GRAND ROUND EDUCATIONAL EVENTS ARE PROVIDED BY PROFESSIONAL STAFF. INJURY PREVENTION REGIONS EMS PROGRAM ACTIVELY PARTICIPATES IN INJURY PREVENTION AND OUTREACH EFFORTS THROUGHOUT THE EAST METRO AND WESTERN WISCONSIN. REGIONS IS A LEADER IN PROVIDING INJURY PREVENTION EDUCATION. THE PURPOSE OF INJURY PREVENTION PROGRAMMING IS TO REDUCE THE RATES OF INJURIES AT HOME, AT SCHOOL, ON THE ROAD AND AT PLAY. 2013 INJURY PREVENTION EFFORTS INCLUDE THE FOLLOWING: - PROVIDING TRAINING AND HEALTH SAFETY EDUCATION. - CAR SEAT SAFETY CLINICS THAT TEACH PARENTS HOW TO SAFELY SECURE INFANTS AND CHILDREN IN CAR SEATS AND HOW TO PROPERLY INSTALL THESE CAR SEATS WITHIN THE VEHICLE. CLINICS ARE OFFERED TO THE PUBLIC AT LEAST 2 TIMES A MONTH. - SAFEKIDS CAR SEAT TECHNICIAN COURSES ARE CONTINUOUSLY OFFERED TO HELP SUPPORT THE EAST METRO AND WESTERN WISCONSIN IN CAR SEAT SAFETY INITIATIVES BY PRODUCING TRAINED TECHNICIANS WHO CAN STAFF SAFETY CLINICS. - HELMET FITTING AT BIKE RODEOS AND SAFETY CAMPS HELP TEACH PARENTS AND CHILDREN HOW TO PROPERLY WEAR BICYCLE HELMETS. REPLACEMENT HELMETS ARE ALSO PROVIDED IN SUPPORT OF COMMUNITY SAFETY EVENTS. - INJURY PREVENTION EDUCATION IS OFFERED TO FIRST GRADERS THROUGH VIDEO PRESENTATION AND INTERACTIVE DISCUSSION. TOPICS COVERED INCLUDE BIKE & HELMET SAFETY, PLAYGROUND SAFETY, AND HOME SAFETY. - THINK FIRST PROGRAM TEACHES YOUNG ADULTS IN DRIVER'S EDUCATION AND HIGH SCHOOL HEALTH CLASSES TO MAKE RESPONSIBLE DECISIONS IN ORDER TO AVOID HEAD AND SPINAL CORD INJURIES. THE CLASSES ARE TAUGHT BY AN OCCUPATIONAL THERAPIST OR PHYSICAL THERAPIST AND A SPINAL CORD INJURED YOUNG ADULT. THE PROGRAM GAVE PRESENTATIONS TO 58 CLASSES AND 82 HOURS IN 2013. - JUNIOR DOCTOR CAMP IS AN INTERACTIVE SAFETY ACTIVITY OFFERED TO CHILDREN AT COMMUNITY EVENTS THROUGHOUT THE YEAR. OTHER INJURY PREVENTION METHODS INCLUDE COLLECTING AND ANALYZING DATA REGARDING INJURIES WITHIN THE COMMUNITY, LEADING COALITIONS OF ORGANIZATIONS THAT ARE TIED TO THE SAFETY OF THE COMMUNITY AND HELPING PARTNERS DEVELOP THEIR OWN PROGRAMS TO PROTECT PUBLIC SAFETY. IN ADDITION TO CREATING INFORMATIONAL MATERIAL ON PUBLIC SAFETY, REGIONS HOSPITAL COLLABORATES WITH ST. PAUL FIRE ON SAFETY INITIATIVES AND PARTICIPATION IN SAFETY FAIRS IN THE COMMUNITY. CANCER AND PALLIATIVE CARE PATRICIA D. LUNDBORG CANCER LIBRARY THE LUNDBORG CANCER LIBRARY PROVIDES CANCER-RELATED CONSUMER HEALTH INFORMATION TO PATIENTS, THEIR FAMILIES AND FRIENDS, STAFF, AND MEMBERS OF THE COMMUNITY. THE LIBRARY COLLECTION CONSISTS OF OVER 1,000 CANCER-RELATED BOOKS AND VIDEOS AVAILABLE FOR CHECK OUT. ALSO, THE LIBRARY OFFERS BROCHURES FROM THE AMERICAN CANCER SOCIETY (ACS), THE NATIONAL CANCER INSTITUTE, THE LEUKEMIA AND LYMPHOMA SOCIETY, CANCERCARE, LIVESTRONG AND MANY OTHER ORGANIZATION. THE LIBRARY PROVIDES INFORMATION IN DIFFERENT FOREIGN LANGUAGES INCLUDING SPANISH, CHINESE, RUSSIAN, VIETNAMESE, HMONG AND THAI. IN ADDITION, A LIBRARY INTRANET WEBSITE OFFERS LINKS TO OVER 300 WEB PAGES WITH CANCER-RELATED RESOURCES. THE ENTIRE COLLECTION, INCLUDING BROCHURES AND ONLINE RESOURCES IS ORGANIZED BY A SIMPLIFIED SET OF CATEGORIES THAT ALLOW PEOPLE TO QUICKLY LOCATE MATERIAL, REGARDLESS OF THE FORMAT. YOGA WAS OFFERED TO CANCER PATIENTS IN CONJUNCTION WITH THE LUNDBORG CANCER LIBRARY. PROGRAMS THAT ENDED INCLUDE PILATES, HEALING TOUCH CLASSES, QIGONG, AND YOGA FOR THE COMMUNITY THE REGIONS CANCER SURVIVORSHIP PROGRAM THE REGIONS CANCER SURVIVORSHIP PROGRAM WAS ESTABLISHED IN 2008. IN THE SURVIVORSHIP CLINIC, AN INTERDISCIPLINARY TEAM REVIEWS THE PATIENT'S TREATMENT EXPERIENCE AND THE PATIENT'S CURRENT PHYSICAL AND EMOTIONAL WELL-BEING. BASED ON THIS REVIEW, THE PATIENT RECEIVES A COMPREHENSIVE AND INDIVIDUALIZED SURVIVORSHIP CARE PLAN. PATIENTS RECEIVE INFORMATION THAT IDENTIFIES SPECIALISTS AND RESOURCES WITHIN HEALTHPARTNERS AND THE COMMUNITY TO MANAGE SPECIFIC SURVIVORSHIP ISSUES INCLUDING NUTRITIONAL EDUCATION, PHYSICAL ACTIVITY RECOMMENDATIONS AND OTHER TOPICS OF INTEREST. CANCER SURVIVORS ADVISORY COUNCIL THE MISSION OF THE COUNCIL IS TO ADVISE HEALTHPARTNERS CANCER CARE CENTERS ON ISSUES THAT CANCER PATIENTS FACE DURING AND AFTER TREATMENT AND TO PROVIDE FEEDBACK AND RECOMMENDATIONS TO IMPROVE THE PROGRAM. THE ADVISORY COUNCIL MEETS SIX TIMES ANNUALLY AND MAKES RECOMMENDATIONS ON SERVICES ALREADY OFFERED AS WELL AS TO ASSIST WITH THE DESIGN OF NEW SERVICES. FEEDBACK FROM THE COUNCIL HAS GUIDED THE CHANGES TO PATIENT EDUCATION MATERIALS, SERVICES AND PROCESSES IN HEALTHPARTNERS CANCER CARE CENTERS. STATEWIDE CANCER REGISTRY IN 2013, REGIONS CONTINUED TO SUPPORT THE ONGOING OPERATIONS OF A STATEWIDE SYSTEM THAT RECEIVES AND CATALOGUES REPORTS OF CANCER INCIDENTS. THROUGH IN-KIND STAFF COSTS AND CONTRIBUTIONS TO THE COALITIONS, REGIONS PROVIDED $218,137 IN SUPPORT TO THE CANCER REGISTRY. SEXUAL ASSAULT NURSE EXAMINER (SANE) THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM HAS COLLABORATED WITH SEXUAL OFFENSE SERVICES OF RAMSEY COUNTY TO PROVIDE COMPREHENSIVE, COMPASSIONATE CARE TO SEXUAL ASSAULT VICTIMS, AGE 13 AND OLDER, SINCE 2002. THE REGISTERED NURSES WITHIN THE SANE PROGRAM ARE SPECIALLY TRAINED TO PROVIDE FOR THE UNIQUE NEEDS OF SEXUAL ASSAULT VICTIMS FROM BOTH A MEDICAL AND A FORENSIC PERSPECTIVE. ON DECEMBER 1, 2011, REGIONS SANE PROGRAM BEGAN PROVIDING SANE SERVICES TO LAKEVIEW HOSPITAL PATIENTS. JULY 1, 2013, REGIONS BEGAN OFFERING SANE SERVICES TO THE THREE HEALTHEAST FACILITIES (WOODWIND'S, ST JOSEPH'S AND ST JOHN'S HOSPITALS). CANVAS HEALTH PROVIDES THE ADVOCACY SERVICES TO THE TWO WASHINGTON COUNTY SITES (LAKEVIEW HOSPITAL AND WOODWINDS HOSPITAL). REGIONS SANE PROGRAM CARED FOR 219 PATIENTS IN 2013. REGIONS INVESTED $266,129 IN 2013 TO THIS VERY IMPORTANT EFFORT. REGIONS SANE PROGRAM STAFF ACTIVELY PARTICIPATED IN EDUCATIONAL PROGRAMS IN THE COMMUNITY, INCLUDING PRESENTING TO MEDICAL STUDENTS AT THE UNIVERSITY OF MINNESOTA, THE COLLEGE OF SAINT CATHERINE AND INVER HILLS COLLEGE, DNP STUDENTS AT THE UNIVERSITY OF MINNESOTA, MN SANES, PROSECUTORS, LAW ENFORCEMENT, HAMLINE LAW STUDENTS, AND ADVOCATES FROM THE NATIONAL GUARD AND SOS OF RAMSEY COUNTY. REGIONS SANE PROGRAM ALSO CO-SPONSORED THE 40-HOUR SANE COURSE TRAINING HELD IN JANUARY 2013. SANE PROGRAM PERSONNEL PARTICIPATED IN PUBLIC SERVICE ANNOUNCEMENTS REGARDING SEXUAL ASSAULT AND BEST PRACTICES FOR TREATING VICTIMS THROUGH TWIN CITIES PUBLIC TELEVISION (TPT). PROGRAM PERSONNEL ARE A RESOURCE FOR THE MINNESOTA COALITION OF SEXUAL ASSAULT (MNCASA) AND PROVIDE INPUT INTO INITIATIVES THAT SERVE VICTIMS AND VICTIM SERVICE PROVIDERS. SUPPORT GROUPS IN 2013, REGIONS PROVIDED OVER $222,438 OF IN-KIND SUPPORT GROUPS OPEN TO PATIENTS AND COMMUNITY MEMBERS. GROUPS INCLUDED: - AWAKE SLEEP SUPPORT GROUP. THE AWAKE MEETING IS A COMMUNITY BASED SUPPORT GROUP EDUCATING CURRENT AND POTENTIAL NEW PATIENTS ABOUT SLEEP TYPE DISORDERS. EACH QUARTER THE SUPPORT GROUP MEETS AT THE COMMUNITY CENTER IN MAPLEWOOD, MN WITH ABOUT 60 PEOPLE ATTENDANCE.. AT EACH OF THESE MEETINGS WE HAVE SUBJECT MATTER EXPERTS IN THE FIELD OF SLEEP MEDICINE. THOSE EXPERTS RANGE FROM PHYSICIANS TO TECHNICAL STAFF (ONE GUEST SPEAKER PER QUARTER) - INFORMING THE PUBLIC ABOUT TYPES OF SLEEP BEHAVIORS, SLEEP DISORDERS, ETC. DURING THESE EVENTS, WE ALSO HAVE 3-4 VENDORS THAT SUPPLY HOME BASED EQUIPMENT AND ANSWER QUESTIONS ABOUT ORAL APPLIANCES, CPAP MACHINES AND OTHER SLEEP RELATED TREATMENT OPTIONS. - BURN SURVIVOR. SUPPORT GROUP FOR PATIENTS AND FAMILY MEMBERS WITH BURN INJURIES, ELECTRICAL INJURIES AND SOFT TISSUE DISORDERS SUCH AS NECROTIZING FASCIITIS. GROUP FACILITATORS INCLUDE A BURN CENTER SOCIAL WORKER AND BURN SUPPORT REPRESENTATIVE. BURN SURVIVORS AND FAMILIES WERE TRAINED AS BURN SOAR VOLUNTEERS TO WORK WITH AND SUPPORT CURRENT PATIENTS AND FAMILIES. THE BURN SUPPORT GROUP MET FOR 36 HRS IN 2013, BASED ON MONTHLY MEETINGS THAT USUALLY LAST ABOUT 2 HOURS. THERE IS AN ANNUAL PICNIC IN THE SUMMER AND A HOLIDAY PARTY IN THE WINTER WHICH HAS ATTENDANCE THAT RANGES FROM 50 -100 INDIVIDUALS.
FORM 990, PART III, LINE 4A	- STROKE SURVIVOR SUPPORT GROUP. STROKE SURVIVORS AND THEIR FAMILY MEMBERS MEET MONTHLY TO DISCUSS TOPICS OF INTEREST RELATED TO STROKE OR TO SHARE THEIR EXPERIENCE. THE GROUP IS FACILITATED BY AN OCCUPATIONAL THERAPIST, PHYSICAL THERAPIST OR SPEECH PATHOLOGIST, AND MET FOR A TOTAL OF 9 HOURS IN 2013. - TRAUMATIC BRAIN INJURY SUPPORT GROUP. A SUPPORT GROUP FOR PATIENTS WHO HAVE SUSTAINED TRAUMATIC BRAIN INJURIES AND THEIR FAMILY MEMBERS. THE GROUP FOCUSES ON PROVIDING THE MEMBERS A CHANCE TO SHARE EXPERIENCES, CHALLENGES AND SOLUTIONS. THE GROUP ALSO PROVIDES EDUCATION AND RESOURCE INFORMATION ABOUT BRAIN INJURY. THE GROUP IS FACILITATED BY A SPEECH PATHOLOGIST, PSYCHOLOGIST AND PHYSICAL THERAPIST. THE GROUP MET FOR A TOTAL OF 30 HOURS IN 2013. - COMMUNICATION PRACTICE GROUP. A GROUP FOR PEOPLE WHO HAVE SUSTAINED STROKES OR TRAUMATIC BRAIN INJURIES AND WHO HAVE RESIDUAL COMMUNICATION DIFFICULTIES. GROUP MEMBERS TYPICALLY HAVE DIFFICULTY FINDING WORDS OR HAVE SLURRED SPEECH. THE GROUP IS DESIGNED TO PROVIDE THEM WITH OPPORTUNITIES TO PRACTICE THEIR COMMUNICATION SKILLS WITH OTHERS UNDER THE GUIDANCE OF A SPEECH PATHOLOGIST. THE GROUP MET FOR A TOTAL OF 3 HOURS IN 2013. - RELISH SUPPORT GROUP. A SUPPORT GROUP FOR HEAD OR NECK CANCER SURVIVORS WHO HAVE EATING OR SWALLOWING DIFFICULTIES. THE GROUP IS FACILITATED BY A SPEECH PATHOLOGIST AND A DIETICIAN. THE GROUP MET FOR A TOTAL OF 6 HOURS IN 2013. - LOOKING FORWARD: LIVING WITH MULTIPLE MYELOMA/LEUKEMIA/LYMPHOMA. THIS GROUP IS FOR PATIENTS DIAGNOSED WITH BLOOD CANCERS AND THEIR FAMILIES. THE GROUP MEETS MONTHLY AND ALTERNATES WITH TOPICS SPECIFIC TO MULTIPLE MYELOMA, LEUKEMIA AND LYMPHOMA AND OPEN DISCUSSIONS. PATIENTS COME TOGETHER FOR DISCUSSIONS, SPEAKERS AND SUPPORT ON HOW TO LIVE THEIR LIVES WHILE DEALING WITH THE CHALLENGES OF THEIR DISEASE. THE GROUPS ARE LEAD BY A PSYCHOTHERAPIST/SOCIAL WORKER FROM THE REGIONS CANCER CARE CENTER. LOOKING FORWARD MET FOR A TOTAL OF 18 HOURS (HOUR AND A HALF EACH MONTH) AND AVERAGED SIX PARTICIPANTS PER GROUP IN 2013. - SUPPORTING SENIORS. THIS GROUP WAS NEWLY ESTABLISHED IN 2013 TO MEET THE NEEDS OF SENIORS WHO HAVE BEEN DIAGNOSED WITH CANCER AND THEIR FAMILIES/CAREGIVERS. THE GROUP FOCUSES ON THE PARTICULAR CHALLENGES THAT ARISE FOR THOSE OF RETIREMENT AGE DIAGNOSED WITH CANCER, AS WELL AS ALLOW FOR CONFIDENTIAL DISCUSSION. IT PROVIDES PATIENTS AND FAMILIES THE OPPORTUNITY TO SHARE THEIR FEELINGS, CONCERNS AND EXPERIENCES SURROUNDING THEIR DIAGNOSES. THE GROUPS BEGIN WITH A SPECIFIC TOPIC, SUCH AS PLANNING FOR LONG-TERM CARE, ROLE REVERSALS, AND SELF-ADVOCACY, FOLLOWED BY OPEN DISCUSSION, WHICH IS DICTATED BY THE NEEDS OF THE MEMBERS. THE GROUP IS LEAD BY A PSYCHOTHERAPIST/SOCIAL WORKER FROM REGIONS CANCER CARE CENTER, MET FOR A TOTAL OF 13.5 HOURS (ONCE A MONTH FOR 9 MONTHS) IN 2013, AND AVERAGED 7-8 PATIENTS PER MEETING. - BREAST CANCER SUPPORT GROUP. THIS GROUP MEETS MONTHLY AND IS FOR PATIENTS WITH ALL STAGES OF BREAST CANCER, IN ALL PHASES OF TREATMENT. THE GROUP OFTEN BEGINS WITH A TOPIC SPECIFIC TO BREAST CANCER TREATMENT AND/OR RECOVERY SUCH AS LYMPHEDEMA, EXERCISE, MEDICATION EFFECTS, AND COMPLEMENTARY CARE, AND FOLLOWS WITH THE OPPORTUNITY FOR PATIENT TO SHARE THOUGHTS, FEELINGS AND EXPERIENCES IN A CARING, SUPPORTIVE ENVIRONMENT. GROUPS ARE FACILITATED BY A NURSE PRACTITIONER FROM REGIONS BREAST HEALTH CENTER, AND A PSYCHOTHERAPIST/SOCIAL WORKER FROM REGIONS CANCER CARE CENTER. THE GROUP MEETS FOR AN HOUR AND A HALF EACH MONTH (18 HOURS FOR THE YEAR), WITH ATTENDANCE AVERAGING 6-7 PATIENTS IN 2013. MENTAL HEALTH SERVICES REGIONS' BEHAVIORAL HEALTH DEPARTMENT IS THE LEADING PROVIDER OF COMPREHENSIVE MENTAL AND CHEMICAL HEALTH SERVICES IN THE TWIN CITIES EAST METRO AREA AND WESTERN WISCONSIN. FOR EXAMPLE, REGIONS CONTRIBUTED $248,900 IN 2013 TO HOVANDER HOUSE, A SHORT-TERM RESIDENTIAL LIVING FACILITY AND PROGRAM FOR BEHAVIORAL HEALTH PATIENTS WHO ARE CLINICALLY AND PHYSICALLY STABLE BUT WHO REQUIRE FURTHER SUPPORT AND ASSISTANCE BEFORE RETURNING TO A COMMUNITY SETTING. HOVANDER HOUSE IS STAFFED BY MENTAL HEALTH PROFESSIONALS FROM REGIONS AND CAN ACCOMMODATE UP TO NINE ADULTS AT A TIME. IN ADDITION TO HELPING PATIENTS TRANSITION INTO THE COMMUNITY, THE FACILITY HAS SAVED OVER 2,124 NON-ACUTE HOSPITAL DAYS. IN 2013, HOVANDER HOUSE SERVED 274 ADULTS WITH AN AVERAGE LENGTH OF STAY OF 8.2 DAYS. UP TO 30 PERCENT OF PATIENTS REFERRED TO HOVANDER HOUSE DID NOT HAVE INSURANCE. ADDITIONALLY, SAFE HOUSE SAFE ALTERNATIVES IS A LICENSED INTENSIVE RESIDENTIAL TREATMENT PROGRAM PROVIDING SUPPORTIVE AND TREATMENT SERVICES FOR UP TO 90 DAYS TO APPROXIMATELY 60 ADULTS PER YEAR SUFFERING FROM MENTAL AND CHEMICAL HEALTH PROBLEMS. SAFE HOUSE SAFE ALTERNATIVES ASSISTS CLIENTS IN FINDING SAFE AND AFFORDABLE HOUSING AS WELL AS PROVIDING LONG-TERM SUPPORT IN MAINTAINING HOUSING TO OVER 200 ADULTS WITH MENTAL AND CHEMICAL HEALTH PROBLEMS EACH YEAR. REGIONS MENTAL HEALTH FACILITY IN DECEMBER 2012, REGIONS AND HEALTHPARTNERS OPENED A $36 MILLION MENTAL HEALTH CENTER, REPLACING THE CURRENT CENTER THAT WAS BUILT IN 1964 AS A NURSE DORM. THE NEW FACILITY PROVIDES PRIVATE ROOMS FOR PATIENTS AND SEPARATE DINING AND COMMONS AREAS. THERE IS ALSO AMPLE SPACE AND PRIVACY FOR FAMILIES AND VISITORS. THE FACILITY IS EIGHT STORIES, 115,000 SQUARE FOOT, HAS 100 PRIVATE INPATIENT ROOMS WITH AN OPTION TO ADD 20 MORE. THE FACILITY IS HANDICAP ACCESSIBLE, AND PROVIDES SECURED OUTDOOR AREA FOR GROUP PATIENTS. WITH THE NEW BUILDING AND CARE MODEL, REGIONS EXPERIENCED GROWTH IN VOLUMES AND IMPROVED PATIENT SATISFACTION. DAYBRIDGE IN MAY OF 2013, REGIONS OPENED DAYBRIDGE, A PARTIAL HOSPITALIZATION PROGRAM. DAYBRIDGE IS A MENTAL HEALTH PROGRAM FOR ADULTS WHO NEED INTENSIVE THERAPY BUT CAN CONTINUE TO LIVE IN THEIR COMMUNITY WITH THE SUPPORT OF FAMILY AND FRIENDS. INDIVIDUALS PARTICIPATE IN INPATIENT-LIKE TREATMENT DURING THE DAY AND RETURN TO THEIR HOME AT NIGHT AND ON WEEKENDS. 115 PATIENTS SERVED. MENTAL HEALTH CRISIS ALLIANCE (MHCA) MHCA IS A CRISIS RESPONSE SYSTEM THAT AUGMENTS INPATIENT SERVICES IN THE EAST METRO. HEALTHPARTNERS FAMILY OF ORGANIZATIONS, ARE MAJOR SPONSORS OF MHCA WHICH INCLUDES FOURTEEN ORGANIZATIONS THAT REPRESENT COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, CONSUMERS AND ADVOCATES. FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS, MHCA PREVENTS AVOIDABLE EMERGENCY HOSPITALIZATION BY PROVIDING ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. 7,482 WERE SERVED IN THE MENTAL HEALTH CRISIS UNIT IN 2013. PATIENTS STAYED FOR AN AVERAGE OF 12 HOURS, AND 57% WERE ADMITTED. IN 2013, REGIONS PROVIDED $855,533 FOR 24/7 BEHAVIORAL HEALTH CRISIS SERVICES IN THE REGIONS EMERGENCY DEPARTMENT. ALCOHOL AND DRUG ABUSE PROGRAM REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP), ESTABLISHED IN 1972, HAS THE EXPERIENCE AND TOOLS TO HELP PATIENTS SUCCEED. THE STAFFS OF LICENSED DRUG AND ALCOHOL COUNSELORS ARE SUPPORTED BY A TEAM OF MENTAL HEALTH CARE PROFESSIONALS. THE PROGRAM MATCHES CLIENTS WITH APPROPRIATE COMMUNITY RESOURCES TO BUILD THE FOUNDATION FOR VIABLE, SUSTAINABLE RECOVERY. THROUGH LONG-ESTABLISHED COMMUNITY RELATIONSHIPS WITH SOCIAL SERVICE, COUNTY AGENCIES, AND FINANCIAL AND HOUSING ORGANIZATIONS, CLIENTS ARE CONNECTED WITH APPROPRIATE COMMUNITY RESOURCES TO SUPPORT THEIR LONG-TERM RECOVERY. REGIONS ALCOHOL AND DRUG ABUSE PROGRAM (ADAP) NAVIGATED SEVERAL CHANGES IN MANAGEMENT AND STAFFING STRUCTURE IN 2013. IN SEPTEMBER OF 2013, THE FINAL LEADERSHIP STRUCTURE WAS IN PLACE AND SINCE THAT TIME, EFFORTS HAVE FOCUSED ON INCREASING THE AVAILABILITY OF RESIDENTIAL AND OUTPATIENT PROGRAMS, BY INCREASING STAFF NUMBERS AND EXPERTISE, IMPROVING THE AMOUNT AND QUALITY OF PROGRAMMING, AND BY ACTIVELY BUILDING RELATIONSHIPS WITH OUR REFERRAL SOURCES AND COMMUNITY PARTNERS. AS A RESULT OF CHANGES, VOLUMES OF PATIENTS SERVED IN RESIDENTIAL, OUTPATIENT AND ASSESSMENT CLINICS HAVE BEEN INCREASING, AS HAVE THE PATIENTS' LEVEL OF SATISFACTION. COMMUNITY BENEFIT ACTIVITIES REGIONS SUPPORT ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITY AND THE REGION. SUPPORT MAY INCLUDE DIRECT EXPENDITURES OR RAISING FUNDS THROUGH EMPLOYEE OR COMMUNITY INITIATIVES, DONATING STAFF TIME, PARTICIPATING IN COMMUNITY PARTNERSHIPS AND INITIATIVES, OR PROVIDING FREE SERVICES OR EQUIPMENT. EXAMPLES OF 2013 ACTIVITIES INCLUDE:
FORM 990, PART III, LINE 4A	EMPLOYEE GIVING HEALTHPARTNERS' COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY EXTENDS BEYOND ITS DOORS. FOR HEALTHPARTNERS AND REGIONS EMPLOYEES, THERE ARE TWO ANNUAL GIVING EVENTS, ONE IN THE SPRING CALLED SHARING AT WORK, WHICH IS ORGANIZED BY THE REGIONS HOSPITAL FOUNDATION AND THE HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH WHICH RAISES FUNDS FOR PATIENT CARE, RESEARCH AND MEDICAL EDUCATION AND THE OTHER IN THE FALL, CALLED THE COMMUNITY GIVING CAMPAIGN THAT SUPPORTS SIX LOCAL FEDERATIONS: GREATER TWIN CITIES UNITED WAY, UNITED WAY OF WASHINGTON COUNTY-EAST, UNITED WAY ST. CROIX VALLEY, COMMUNITY SHARES MINNESOTA, COMMUNITY HEALTH CHARITIES-MINNESOTA AND THE MINNESOTA ENVIRONMENTAL FUND. IN 2013, REGIONS AND OTHER HEALTHPARTNERS ORGANIZATION EMPLOYEES DONATED $470,834 TO THE ANNUAL SHARING AT WORK CAMPAIGN. IN ADDITION, THE 2013 COMMUNITY GIVING CAMPAIGN RAISED $410,691 TOWARDS THE LOCAL FEDERATIONS, INCLUDED A $60,000 CORPORATE GIFT AND $33,893 OF EVENT FUNDS INDIVIDUALLY RAISED THROUGHOUT HEALTHPARTNERS DEPARTMENTS AND CLINICS. WISHING WELL CLOTHES CLOSET THE CARE MANAGEMENT CLOTHES CLOSET HAS BEEN IN PLACE FOR OVER FIVE YEARS. A LACK OF CLOTHING CAN BE A SIGNIFICANT BARRIER IN THE DISCHARGE PLANNING PROCESS. THE CARE MANAGEMENT DEPARTMENT USUALLY STOCKS VARIOUS CLOTHING ITEMS FOR PATIENTS WHO ARE IN THE HOSPITAL OR WHO ARE ABOUT TO BE DISCHARGED AND NEED SOME CLOTHES. THESE PATIENTS MAY HAVE COME IN WITH INAPPROPRIATE CLOTHES, THEIR CLOTHES MAY HAVE BEEN LOST DURING THEIR HOSPITALIZATION, OR THEY MAY HAVE HAD THEIR CLOTHES CUT OFF THEM AS PART OF THEIR EMERGENCY MEDICAL CARE. THIS INCLUDES ADULTS, CHILDREN, MOMS AND BABIES. THE CARE MANAGEMENT DEPARTMENT ALSO SUPPLIES CLOTHING TO PATIENT'S FAMILY MEMBERS AS NEEDED ON A CASE-BY-CASE BASIS. IN 2013, 18 HOURS OF STAFF TIME WERE USED TO ORGANIZE, COLLECT AND $2,713 WAS USED TO PURCHASE CLOTHES FOR THE WISHING WELL CLOTHES CLOSET. COMMUNITY OUTREACH REGIONS CONTRIBUTED TO THE FOLLOWING COMMUNITY OUTREACH PROGRAMS IN 2013: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012, REGIONS ALONG WITH OTHER HEALTHPARTNERS FAMILY OF ORGANIZATIONS CONDUCTED AND COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMPLETED CHNA RESULTS IN THE FOLLOWING AS THE GREATEST HEALTH CONCERNS: - TOBACCO, DRUG, ALCOHOL USE AND OTHER UNHEALTHY BEHAVIORS ARE LINKED TO THE LEADING CAUSES OF DEATH. - OBESITY, POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY ARE GROWING CONCERNS. - ACCESS IS LIMITED TO PRIMARY AND PREVENTIVE CARE FOR UNINSURED, UNDERINSURED, ETHNICALLY DIVERSE, ELDERLY AND CHEMICALLY DEPENDENT PATIENTS. - ACCESS IS LIMITED TO MENTAL HEALTH AND DENTAL CARE. - THERE IS A LACK OF COORDINATION AMONG PROVIDERS. TO ADDRESS THESE COMMUNITY NEEDS, REGIONS DEVELOPED AN IMPLEMENTATION PLAN WITH THE FOLLOWING IN MIND: - INCREASE ACCESS TO MENTAL HEALTH. - PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY BY IMPROVING NUTRITION AND EXERCISE. - INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE. - IMPROVE SERVICE INTEGRATION. - PROMOTE CHANGE IN UNHEALTHY BEHAVIORS. A FULL REPORT OF THE HEALTHPARTNERS CHNA AND IMPLEMENTATION PLAN IS POSTED ON THE REGIONS WEBPAGE AT WWW.REGIONSHOSPITAL.COM/RH/COMMUNITY-BENEFIT/INDEX.HTML A DETAILED REPORT OF 2013 REGIONS IMPLEMENTATION ACTIVITIES FOR THE ABOVE PRIORITIES CAN BE CAN BE FOUND IN REGIONS SCHEDULE H OF THIS 990 REPORT. COMMUNITY EVENTS/ PARTNERSHIPS AMERICAN HEART ASSOCIATION IN SUPPORT OF THE FIGHT AGAINST THE NATION'S NO. 1 KILLER, CARDIOVASCULAR DISEASE, HEALTHPARTNERS AND REGIONS ORGANIZED 321 WALKERS AND RAISED $45,754 FOR THE AMERICAN HEART ASSOCIATION - TWIN CITIES HEART WALK IN 2013. REGIONS LEADERSHIP CONTRIBUTED 86 HOURS OF COMMITTEE PLANNING AND ORGANIZATION TIME TO THIS EVENT. AFRICAN AMERICAN LEADERSHIP FORUM REGIONS STAFF CONTRIBUTED 36 HOURS TO SUPPORT BUILDING LEADERSHIP IN THE AFRICAN AMERICAN COMMUNITY. FIGHT AGAINST DISPARITIES IN DIABETES REGIONS STAFF CONTRIBUTED 24 HOURS TO SUPPORT THE EBAN 3D COLLABORATION PARTNERSHIP. CINCO DE MAYO REGIONS EMPLOYEES CONTRIBUTED 4.5 HOURS BY HOSTING A BOOTH WITH WELLNESS RESOURCES AT THE CINCO DE MAYO COMMUNITY EVENT. PRIDE FESTIVAL REGIONS LEADERS CONTRIBUTED 2 HOURS TO THE 2013 TWIN CITIES PRIDE FESTIVAL. REGIONS ALSO PROVIDED RESOURCES ABOUT HEALTHY LIVING. FOOD AND NUTRITION IN 2013, THE FOOD AND NUTRITION STAFF CONTRIBUTED A TOTAL OF 66.5 HOURS TO THE COMMUNITY. FOOD AND NUTRITION LEADERS PROVIDED FOOD AND SERVICE TO KEYSTONE COMMUNITY CENTER'S VOLUNTEER LUNCHEON AND THE CENTER'S SENIOR PROGRAM HOLIDAY MEAL. FOR NATIONAL NUTRITION MONTH, THE FOOD AND NUTRITION SERVICES SPENT 5 HOURS ORGANIZING A FOOD DRIVE, COLLECTING 72 POUNDS OF NON-PERISHABLE FOOD PRODUCTS. THE ITEMS COLLECTED WERE DONATED TO EAGAN RESOURCES CENTER. OF THE TOTAL HOURS, 11.5 HOURS CONTRIBUTED TO ORGANIZING AND MANAGING THE OVERLOOK COFFEE TIP DONATION AND TOY DRIVE. $1,227.21 TIPS RECEIVED FROM THE OVERLOOK COFFEE AND DELI TIPS WERE DONATED TO THE HOPE CHEST AND RONALD MCDONALD HOUSE CHARITIES ($759) AND MELA ($468). MENTORING & EDUCATION REGIONS IS COMMITTED TO EDUCATING THE CAREGIVERS OF TOMORROW. OUR DOCTORS TEACH OTHER FUTURE DOCTORS, AND CARE PROVIDERS FROM OTHER HOSPITALS COME TO US FOR ADVANCED TRAINING. IN ADDITION, WE COLLABORATE WITH VARIOUS COLLEGES TO MENTOR STUDENTS WHO ARE INTERESTED IN HEALTHCARE. REGIONS STAFF IN THE STERILE PROCESSING DEPARTMENT (SPD) CONTRIBUTED TO 75 HOURS OF PROVISION OF ON THE JOB TRAINING OPPORTUNITIES FOR EIGHT COMMUNITY COLLEGE STUDENTS WITH SPECIALIZED EDUCATION AND ONE TO ONE SKILLS EXPOSURES. $635 WAS ALSO CONTRIBUTED TO THE MENTORSHIP ACTIVITY. REGIONS STAFF CONTRIBUTED TO 1,401 HOURS OF MENTORSHIP AND 641 HOURS OF EDUCATIONAL JOB SHADOWING TO STUDENTS AND COMMUNITY ORGANIZATIONS FROM THE TWIN CITIES INCLUDING MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE, THINK FIRST, SOCIAL WORK, ST. PAUL COLLEGE, NURSING EDUCATION TO RURAL BOLIVIAN NURSES, CAPITOL HILL MAGNET SCHOOL, HONORING WOMEN WORLDWIDE. PRENATAL EDUCATION 533 HOURS WERE CONTRIBUTED TO PRENATAL EDUCATION. FREE CHILDBIRTH AND PARENTING CLASSES WERE OFFERED TO COMMUNITY MEMBERS WHO ARE NOT ABLE TO PAY. TOPICS INCLUDED CHILDBIRTH PREPARATION, BREASTFEEDING, NEWBORN SAFETY CLASS, INFANT CPR, MOM AND BABY - THE EARLY WEEKS, BONDING AND ATTACHMENT, CESAREAN BIRTH AND SIBLING PREPARATION. MEDICAL EDUCATION REGIONS IS ONE OF ONLY SIX MAJOR TEACHING HOSPITALS IN THE STATE OF MINNESOTA. REGIONS TRAINS ALMOST 500 RESIDENT PHYSICIANS IN 19 MEDICAL SPECIALTIES EACH YEAR AS WELL AS OVER 300 MEDICAL STUDENTS. REGIONS' TEACHING AFFILIATIONS INCLUDE COLLEGES AND UNIVERSITIES THROUGHOUT THE COUNTRY. REGIONS AND THE HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH (HPIER) HAVE ENJOYED A LONG HISTORY OF PARTNERSHIP WITH THE MEDICAL SCHOOL OF THE UNIVERSITY OF MINNESOTA (U OF M) TO PROVIDE MEDICAL STUDENT EDUCATION AT REGIONS. HPIER PROVIDES EDUCATION IN ELEVEN ADDITIONAL RESIDENCY PROGRAMS FROM THE U OF M. REGIONS HEALTH PROFESSIONALS ARE ALSO INVOLVED IN MEDICAL RESEARCH FOCUSED ON IMPROVING HEALTH AND MEDICAL CARE. REGIONS SUPPORTS HPIER TRAINING PROGRAMS, SUCH AS THE CENTER FOR UNDERGRADUATE AND GRADUATE CLINICAL EDUCATION, THE CENTER FOR CONTINUING PROFESSIONAL EDUCATION AND THE SIMULATION CENTER FOR PATIENT SAFETY. HPIER PROVIDES EDUCATION FOR RESIDENT PHYSICIANS AT REGIONS IN THE FOLLOWING SPECIALTIES: ANESTHESIA, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, MANAGED CARE PHARMACY, NEUROLOGY, OBSTETRICS & GYNECOLOGY, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PHYSICAL MEDICINE & REHABILITATION, PHYSICIAN ASSISTANT/NURSE PRACTITIONER FELLOWSHIP IN BEHAVIORAL HEALTH, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, SURGERY, AND MEDICAL TOXICOLOGY PLEASE SEE HPIER'S 2013 FORM 990 FOR MORE INFORMATION ON THEIR MEDICAL EDUCATION ACTIVITIES. BOARDS & COMMITTEES REGIONS STAFF AND LEADERSHIP SERVE ON NUMBER OF ORGANIZATION BOARDS AND COMMITTEES. THIS IS AN EFFORT TO SUPPORT ORGANIZATIONS WITHIN OUR COMMUNITIES AND CONNECT PEOPLE AND RESOURCES. REGIONS STAFF AND LEADERSHIP SERVED ON THE FOLLOWING ORGANIZATION BOARDS AND COMMITTEE GROUPS IN 2013: - 21.5 HOURS SERVED ON THE AMERY REGIONAL MEDICAL CENTER BOARD - 5 HOURS SERVED ON COMMON HOPE FINANCE BOARD - 8 HOURS SERVED ON THE ECHO BOARD - 43.5 HOURS SERVED ON THE LIFE LINK BOARD - 24 HOURS SERVED ON THE NOKOMIS HEALTHY SENIORS COMMITTEE - 12 HOURS SERVED ON THE NORMANDALE COLLEGE BOARD - 33.5 HOURS SERVED ON THE OSCEOLA MEDICAL BOARD - 26.5 HOURS SERVED ON THE ST. CROIX VALLEY EMS BOARD - 31 HOURS SERVED ON THE ST. PAUL FIRE FOUNDATION
FORM 990, PART III, LINE 4A	EQUITABLE CARE REGIONS PARTICIPATED IN SEVERAL COMMUNITY INITIATIVES TO LEARN AND SHARE BEST PRACTICES AND EXPERIENCES RELATED TO EQUITABLE CARE 2013 INITIATIVES INCLUDED: MINNESOTA HEALTH LITERACY PARTNERSHIP REGIONS CONTINUE TO BE PARTNER WITH THE MINNESOTA HEALTH LITERACY PARTNERSHIP. IT IS A STATEWIDE COLLABORATIVE TO IMPROVE THE HEALTH OF MINNESOTANS THROUGH CLEAR HEALTH COMMUNICATIONS. HEALTH LITERACY LIMITATIONS CONTRIBUTE TO HEALTH DISPARITIES. DATA COLLECTION HEALTHPARTNERS AND REGIONS SYSTEMATICALLY COLLECT DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCES DIRECTLY FROM PATIENTS AND MEMBERS IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. DATA IS COLLECTED THROUGH HEALTHPARTNERS.COM, TELEPHONE CONTACTS WITH DEPARTMENTS SUCH AS MEMBER SERVICES AND CASE MANAGEMENT AND ON-LINE THROUGH HEALTH ASSESSMENTS. HEALTHPARTNERS AND REGIONS USE THE ELECTRONIC MEDICAL RECORDS IN THEIR CARE DELIVERY SYSTEM TO CAPTURE THIS DATA FACE-TO-FACE WITH PATIENTS. THE DATA IS USED TO CONTINUALLY MONITOR THE QUALITY OF CARE DELIVERED AND PATIENT EXPERIENCE BY RACE AND LANGUAGE, AS WELL AS IDENTIFY STRATEGIES TO REDUCE HEALTH DISPARITIES IN TREATMENT, OUTCOMES AND SERVICE. EQUITABLE CARE FELLOWS PROGRAM THE HEALTHPARTNERS EQUITABLE CARE FELLOWS PROGRAMS CONTINUED IN 2013. THE 120 FELLOWS ARE STAFF MEMBERS AND PROVIDERS WHO RECEIVE EXPERT TRAINING SO THEY CAN BECOME ADVOCATES AND SERVE AS LOCAL RESOURCES FOR THEIR COLLEAGUES IN CARING FOR PATIENTS FROM DIVERSE CULTURES AND THOSE WITH LIMITED ENGLISH PROFICIENCY (LEP). FELLOWS ARE EXPECTED TO BE ROLE MODELS, SHARING IDEAS WITH COWORKERS AND ACTIVELY PARTICIPATING IN RAISING OVERALL CULTURE AWARENESS. THEY CONTRIBUTE ARTICLES, REPRESENT HEALTHPARTNERS IN COMMUNITY CULTURAL EVENTS AND PARTICIPATE IN OR PLAN SEMINARS ON EQUITABLE CARE. IN 2013, HEALTHPARTNERS AND REGIONS OFFERED THE FOLLOWING EQUITABLE CARE ACTIVITIES: - MONTHLY "CULTURE ROOTS" ARTICLES CONTINUED TO BE AN ORGANIZATION-WIDE EDUCATIONAL TOOL. - PARTICIPATED IN AN ANNUAL MEETING EARLY IN THE YEAR AND TWO COMMUNITY "FIELD TRIPS" WERE OFFERED TO FELLOWS: ONE TO HMONG VILLAGE SHOPS AND SERVICE CENTER IN ST. PAUL AND ONE TO SOMALI ARTIFACT AND CULTURAL MUSEUM IN MINNEAPOLIS. - ONGOING MESSAGING AND NOTIFICATIONS TO FELLOWS ON COMMUNITY EVENTS, OPPORTUNITIES AND ARTICLES RELATED TO CROSS-CULTURAL HEALTH CARE AND HEALTH DISPARITIES. - HELD FIVE CARING ACROSS CULTURES FILM SHOWINGS WITH GUIDED DISCUSSIONS FOLLOWING EACH FILM. THESE FILMS ADDRESSED HEALTH CARE NEEDS AND BARRIERS TO CARE FOR THE HMONG, LATINO, AFRICAN-AMERICAN, AND SOMALI COMMUNITIES. THE FIFTH FILM PROVIDED INSIGHT IN IMPROVING HEALTH COMMUNICATION WITH PATIENTS FROM AROUND THE WORLD. 45 PEOPLE PARTICIPATED. - A TEAM OF REGIONS LEADERS CONTINUES TO MONITOR DISPARITIES BASED ON RACE AND LANGUAGE FOR SELECTED DIAGNOSES AND PATIENT SATISFACTION SCORES. FINDINGS ARE GENERALLY SHARED WITH KEY LEADERS WHO ARE RESPONSIBLE FOR ADDRESSING ANY ISSUES. ONE EXAMPLE OF SUCH AN ACTION WAS TO CONDUCT PHYSICIAN AND STAFF SHADOWING TO IMPROVE INTERACTIONS AND COMMUNICATION WITH PATIENTS. - A HUMAN LIBRARY EVENT WAS HELD AT REGIONS AND DESIGNED TO ALLOW A SAFE ENVIRONMENT FOR PEOPLE TO TALK AND LEARN FROM OTHERS WITH A DIVERSE LIFESTYLE OR CULTURE. OVER 30 STAFF MEMBERS PARTICIPATED. - THE REGIONS PATIENT & FAMILY ADVISORY COUNCIL CONTINUED ITS EFFORTS TO DIVERSIFY BY ADDING A HMONG REPRESENTATIVE TO THE COUNCIL. - AN INTERDISCIPLINARY TEAM FOCUSED ON REDUCING DISPARITIES IN CARE FOR WOMEN AND THEIR FAMILIES DURING CHILDBIRTH HELD FIVE COMMUNITY FOCUS GROUPS WITH 119 INDIVIDUALS TO SOLICIT FEEDBACK ON EXPECTATIONS REGARDING THE CHILDBIRTH EXPERIENCE. THE GROUPS WERE COMPRISED OF HMONG, LATINA, AFRICAN-AMERICAN (2 GROUPS), AND TEEN-AGE MOTHERS. SUGGESTIONS FROM THESE GROUPS ARE BEING INCORPORATED INTO REGIONS BIRTH CENTER QUALITY IMPROVEMENT INITIATIVES. - REGIONS NURSING LEADERSHIP HELD THREE "LET'S TALK" SESSIONS TO BEGIN CONVERSATIONS REGARDING RACE AND OTHER DISPARITIES. ENVIRONMENTAL CONSERVATION REGIONS HAS BEEN A LEADER IN REDUCING WASTE, RECYCLING AND CONSERVATION. REGIONS HAS IMPLEMENTED MANY PROGRAMS AROUND WATER CONSERVATION AND REDUCTION OF HAZARDOUS WASTE THROUGH RECYCLING AND PURCHASING ONLY THOSE ITEMS THAT ARE SAFE FOR THE ENVIRONMENT. ADDITIONALLY, REGIONS TAKES ADVANTAGE OF OPPORTUNITIES TO BECOME "GREEN" WITH RESPECT TO NEW CONSTRUCTION, REMODELS AND ENERGY MANAGEMENT. IN 2013, REGIONS CREATED A SUSTAINABILITY TEAM AND ESTABLISHED SPECIFIC GOALS AROUND REDUCTION OF SOLID WASTE, REDUCTION IN PAPER USAGE, REDUCTION IN ENERGY CONSUMPTION AND IN EDUCATING AND ENCOURAGING STAFF TO RECYCLE MORE ACROSS THE ORGANIZATION. ALL GOALS WERE MET AND MANY OF THEM EXCEEDED. IN 2013, REGIONS RECEIVED AN AWARD FROM PRACTICE GREEN HEALTH FOR ITS SUSTAINABILITY EFFORTS. CHAPLAINCY SERVICES REGIONS CHAPLAINCY SERVICES AIMS TO IMPROVE PATIENT CARE BY PROVIDING EMOTIONAL AND SPIRITUAL SUPPORT TO REGIONS PATIENTS, THEIR FAMILY MEMBERS, AND STAFF. ITS GOAL IS TO PROMOTE A SENSE OF PURPOSE, MEANING, AND HOPE FOR THOSE SERVED. CHAPLAINCY SERVICES MAKES OVER 6,300 PATIENT/FAMILY VISITS PER YEAR. CHAPLAINS SUPPORT REGIONS STAFF THROUGH PROVIDING EDUCATION AS WELL AS CRITICAL INCIDENT DEBRIEFING SESSIONS. IN 2013, REGIONS CHAPLAINCY STAFF PROVIDED OVER 40 HOURS OF LECTURE AT SEVERAL EVENTS FOR UNIVERSITY OF MINNESOTA MEDICAL STUDENTS AND RESIDENTS, COVERING TOPICS SUCH AS ETHICS, SPIRITUALITY IN THE HEALTHCARE SETTING, END OF LIFE CARE, PALLIATIVE AND SWARTZ ROUNDS PRESENTATIONS AND COMPASSION OF CARE. IN ADDITION, CHAPLAINCY STAFF PROVIDED 5.5 HRS IN MENTORSHIP TO COLLEGE AND NURSING STUDENTS. MOREOVER, 12 HOURS OF STAFF TIME WAS COMMITTED TO SPONSORING A FAMILY FOR THE HOLIDAY. CHAPLAINCY SERVICES ALSO PROVIDES BEREAVEMENT SUPPORT FOR THE FAMILIES OF PATIENTS WHO DIE AT REGIONS. THIS INVOLVES SENDING CONDOLENCE CARDS, AS WELL AS FOLLOW-UP LETTERS ONE MONTH AND A YEAR FOLLOWING THE DEATH. FAMILIES ARE INVITED TO ATTEND A QUARTERLY MEMORIAL SERVICE DURING WHICH THEIR LOVED ONE IS NAMED AND REMEMBERED. APPROXIMATELY 600 FAMILIES ARE SERVED BY THIS PROGRAM EACH YEAR. REGIONS DRIVING ABILITY PROGRAM REGIONS REHABILITATION INSTITUTE'S DRIVING ABILITY PROGRAM IS THE FIRST HOSPITAL-BASED DRIVING PROGRAM IN THE TWIN CITIES. THE PROGRAM, LICENSED BY THE MINNESOTA DEPARTMENT OF PUBLIC SAFETY, PROVIDES COMPREHENSIVE CLINICAL PRE-DRIVING ASSESSMENTS AND BEHIND-THE-WHEEL EVALUATION AND TRAINING TO HELP PATIENTS RETURN TO DRIVING AFTER EXPERIENCING A MAJOR HEALTH COMPLICATION. THE PROGRAM IS STAFFED BY OCCUPATIONAL THERAPISTS. THE PROGRAM UTILIZES SOME FUNDS FROM THE REGIONS HOSPITAL FOUNDATION TO PROVIDE BEHIND THE WHEEL DRIVING ASSESSMENTS FOR SOME LOW-INCOME PATIENTS. 19 HOURS CONTRIBUTED TO DRIVING EVALUATIONS FOR PATIENTS. NATIONAL RECOGNITION REGIONS HAS BEEN REGULARLY RECOGNIZED FOR ITS CARE. IN 2013, REGIONS RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS: - OUTSTANDING CARE FOR GERIATRIC HIP FRACTURE PATIENTS. REGIONS IS OF FIVE NATIONAL HOSPITALS TO BE CERTIFIED AS A GERIATRIC FRACTURE CARE PROGRAM BY THE INTERNATIONAL GERIATRIC FRACTURE SOCIETY. - COMPREHENSIVE STROKE CENTER. REGIONS IS HONORED TO HAVE MINNESOTA'S FIRST COMPREHENSIVE STROKE CENTER, CERTIFIED BY THE JOINT COMMISSION. - REGIONS IS AMONG ONLY 22 MINNESOTA HOSPITALS TO EARN AN "A" IN THE LEAPFROG GROUP'S FALL 2013 HOSPITAL SAFETY SCORE. REGIONS IS ALSO NAMED ONE OF LEAPFROG GROUP'S 13 HIGHEST VALUE HOSPITALS NATIONWIDE. - REGIONS WAS AWARDED A SILVER MEDAL OF HONOR BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ORGAN DONATION. - REGIONS IS ONE OF THE FIRST IN THE NATION TO BE VERIFIED FOR SUPERIOR CARE ON MORE THAN 100 KEY MEASURES BY THE EMERGENCY CENTER OF EXCELLENCE CARE. - FROM THE JOINT COMMISSION, REGIONS IS AMONG THE FIRST TO MEET STANDARDS FOR ADVANCED CERTIFICATION FOR PALLIATIVE CARE ADVANCED CERTIFICATION FOR OUR PRIMARY STROKE CENTER AND THE GOLD SEAL OF APPROVAL FOR HIP AND KNEE REPLACEMENT. - REGIONS IS RECOGNIZED AS A TOP PERFORMING HOSPITAL IN HIGHEST QUALITY CARE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, AND SURGICAL CARE BY THE JOINT COMMISSION QUALITY REPORT. - REGIONS IS ACCREDITED WITH THE HIGHEST HONOR BY THE COMMISSION ON CANCER FOR HIGHEST QUALITY CANCER CARE AND ALSO CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY FOR MEETING THE HIGHEST STANDARD OF CARE. - REGIONS WAS ALSO IDENTIFIED AS A GREAT PLACE TO WORK BY THE MINNEAPOLIS, ST. PAUL BUSINESS JOURNAL, AND THE MINNESOTA HOSPITAL ASSOCIATION BEST MINNESOTA HOSPITAL WORKPLACE.
FORM 990, PART VI, SECTION A, LINE 6	HPI RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS.
FORM 990, PART VI, SECTION A, LINE 7A	HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS, APPOINTS UP TO 12 MEMBERS OF THE UP TO 19 MEMBER BOARD OF DIRECTORS. THIS REFLECTS RELATIVELY MINOR CHANGES THAT WERE MADE TO REGIONS' BYLAWS EFFECTIVE IN 2013. THE SIZE OF THE BOARD WAS REDUCED FROM A RANGE OF 17 TO 22 MEMBERS, TO A RANGE OF 15 TO 19 MEMBERS. AND, THE PRESIDENT OF REGIONS HOSPITAL BECAME AN EX OFFICIO NON-VOTING MEMBER OF THE BOARD, RATHER THAN AN EX OFFICIO VOTING MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	HPI RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS, APPROVES ACTIONS AS FOLLOWS: AMENDMENT OF ARTICLES OR BYLAWS, ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG-RANGE PLANS, UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $1,000,000, GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY IN EXCESS OF $1,000,000, A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $1,000,000, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, DISPOSITION OF SUBSTANTIALLY ALL ASSETS, DISSOLUTION, APPOINTMENT OF THE CHAIR OF THE BOARD AND PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11	REGIONS' 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF REGIONS. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF REGIONS, THE ORGANIZATION'S INTERNAL LEGAL DEPARTMENT AND REGIONS' OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF REGIONS. REGIONS MAKES AVAILABLE, TO THE FINANCE AND AUDIT COMMITTEE OF REGIONS' BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	REGIONS' BOARD OF DIRECTORS MONITORS POTENTIAL CONFLICTS OF INTEREST OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES, BY MAINTAINING A CONFLICT OF INTEREST POLICY. ANNUALLY, UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. A REPORT OF THESE POTENTIAL CONFLICTS IS SHARED WITH THE GOVERNANCE COMMITTEE, THE CHAIR AND THE CEO. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE DOCUMENTED IN RELATION TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15	REGIONS' CEO AND OTHER OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION, OR BY REGIONS. GHI AND REGIONS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S CEO AND OTHER OFFICERS. EACH YEAR, UNDER THE DIRECTION OF AN INDEPENDENT COMPENSATION COMMITTEE, THE ENTITY COMPLETES AN ANNUAL TOTAL COMPENSATION MARKET REVIEW. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE'S MARKET REVIEW PROCESS AND SUBSEQUENT DECISIONS INCLUDE THE FOLLOWING ELEMENTS: - DURING FINAL DELIBERATIONS AND VOTE STAFF IS NOT IN ROOM AND DECISIONS ARE RECORDED IN THE MINUTES OF THE ORGANIZATION. - EVERY THREE YEARS, THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY SURVEY FOR ALL OFFICERS OF THE ORGANIZATION. WITH THE INPUT OF THE CONSULTANT, THE COMMITTEE DETERMINED APPROPRIATE PEER GROUPS INCLUDING BOTH LOCAL AND NATIONAL PEER GROUPS. THE SURVEY CONSIDERS EACH ELEMENT OF TOTAL COMPENSATION AND AGGREGATE TOTAL COMPENSATION. BASED ON THIS DATA, THE COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, REGIONS' HR DEPARTMENT, UNDER THE COMMITTEE'S DIRECTION USES THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES AND AVERAGE SALARY INCREASES. BASED ON THIS UPDATED DATA, THE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION RANGES FOR EACH POSITION SURVEYED. - TOTAL COMPENSATION IS APPROPRIATELY REPORTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2.
FORM 990, PART VI, SECTION C, LINE 19	REGIONS FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM REGIONS OR HEALTHPARTNERS, INC. REGIONS' ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE.
FORM 990, PART XI, LINE 9:	FASB 124 FAIR MARKET VALUE ADJUSTMENT 6,461,996. TRANSFER TO AFFILIATE - WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES -160,000. TRANSFER FROM AFFILIATES - REGIONS HOSPITAL FOUNDATION FOR CAPITAL ASSETS 9,172,424. BENEFICIAL INTEREST IN THE NET ASSETS OF REGIONS HOSPITAL FOUNDATION 968,789.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

REGIONS HOSPITAL

Employer identification number

41-0956618

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HEALTHPARTNERS INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1693838	HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(4)		N/A	Yes
(2) HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1793333	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE I	HEALTHPARTNERS INC	Yes
(3) GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-0797853	STAFF MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(3)	170(B)(1) (A)(III)	HEALTHPARTNERS INC	Yes
(4) HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1670163	HEALTHCARE EDUCATION & RESEARCH	MN	501(C)(3)	509(A)(3) TYPE I	GROUP HEALTH PLAN INC	Yes
(5) CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-2011453	POST HOSPITALIZATION PATIENT CARE	MN	501(C)(3)	170(B)(1) (A)(III)	HPI - RAMSEY	Yes
(6) REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1888902	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	MN	501(C)(3)	170(B)(1) (A)(VI)	HPI - RAMSEY	Yes
(7) RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1891928	HEALTHCARE STAFFING	MN	501(C)(3)	509(A)(3) TYPE II	HEALTHPARTNERS INC	Yes
(8) RH-WISCONSIN 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 20-2287016	CORPORATE PLANNING AND OVERSIGHT	WI	501(C)(3)	509(A)(3) TYPE II	HPI - RAMSEY	Yes
(9) PHYSICIANS NECK AND BACK CLINICS 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 27-0684883	SPECIALTY PATIENT CARE	MN	501(C)(3)	509(A)(3) TYPE II	GROUP HEALTH PLAN INC	Yes
(10) HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-0804125	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	RH-WISCONSIN & GROUP HEALTH PLAN INC	Yes
(11) HUDSON HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-1279567	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	WI	501(C)(3)	170(B)(1) (A)(VI)	HUDSON HOSPITAL INC	Yes
(12) WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 26-3616590	PROVIDE MEDICAL TRANSPORT SERVICES	WI	501(C)(3)	509(A)(3) TYPE II	RH-WISCONSIN	Yes
(13) LAKEVIEW MEMORIAL HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1386635	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	MN	501(C)(3)	509(A)(3) TYPE II	STILLWATER HEALTH SYSTEM	Yes
(14) LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-0811697	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	STILLWATER HEALTH SYSTEM	Yes
(15) STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 83-0379473	PHYSICIANS GROUP	MN	501(C)(3)	509(A)(2)	STILLWATER HEALTH SYSTEM	Yes
(16) STILLWATER HEALTH SYSTEM 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 30-0221189	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE II	HPI - RAMSEY	Yes
(17) WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-0808442	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	RH-WISCONSIN & GROUP HEALTH PLAN INC	Yes
(18) WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-1770913	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	WI	501(C)(3)	509(A)(3) TYPE I	WESTFIELDS HOSPITAL INC	Yes
(19) RAMSEY INTEGRATED HEALTH SERVICES 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1503090	IN-HOME PATIENT CARE	MN	501(C)(3)	509(A)(2)	HPI - RAMSEY	Yes
(20) PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 36-3465840	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(2) TYPE III	HEALTHPARTNERS INC	Yes
(21) PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 23-7346465	GRANTS TO SERVE THE COMMUNITY	MN	501(C)(3)	170(B)(1) (A)(VI)	PARK NICOLLET HEALTH SERVICES	Yes
(22) PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-0132080	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES	Yes
(23) PARK NICOLLET INSTITUTE 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-0961862	HEALTHCARE RESEARCH	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES	Yes
(24) PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 01-0638901	HEALTHCARE PRODUCTS	MN	501(C)(3)	509(A)(3) TYPE II	PARK NICOLLET HEALTH SERVICES	Yes
(25) PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-0834920	HEALTHCARE	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES	Yes
(26) PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-1741792	HEALTHCARE REAL ESTATE	MN	501(C)(3)	509(A)(3) TYPE I	PARK NICOLLET CLINIC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1629390	THIRD PARTY ADMINISTRATOR	MN	HEALTHPARTNERS INC	C			Yes
(2) HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 52-2365151	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C			Yes
(3) HEALTHPARTNERS SERVICES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1683568	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C			Yes
(4) HEALTHPARTNERS VENTURES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1838197	DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES	MN	HEALTHPARTNERS INC	C			Yes
(5) HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1683523	MEDICAL AND DENTAL INSURANCE	MN	HEALTHPARTNERS ADMINISTRATORS INC	C			Yes
(6) DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 45-1297583	DENTAL CLINIC STAFFING	MN	HEALTHPARTNERS ADMINISTRATORS INC	C			Yes
(7) HEALTHPARTNERS CENTRAL MINNESOTA CLINICS 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1236798	MEDICAL CLINIC STAFFING AND MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C			Yes
(8) PARK NICOLLET ENTERPRISES 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-1656735	REAL ESTATE FOR RELATED ORGANIZATIONS	MN	PARK NICOLLET HEALTH SERVICES	C			Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES	L	65,439,248
(2) HEALTHPARTNERS INC - RENT	P	671,000

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	5,118
6	Total number of volunteers (estimate if necessary) .............	6	690
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,899,133	9,541,734
9	Program service revenue (Part VIII, line 2g) .........	612,710,877	628,811,256
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,731,810	4,594,840
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	624,341,820	642,947,830
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	304,524	62,365
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	348,804,626	359,120,002
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	238,598,827	249,593,726
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	587,707,977	608,776,093
19	Revenue less expenses. Subtract line 18 from line 12.......	36,633,843	34,171,737
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	651,956,468	711,106,045
21	Total liabilities (Part X, line 26).............	318,521,045	327,055,676
22	Net assets or fund balances. Subtract line 21 from line 20.....	333,435,423	384,050,369

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 570,488,792 including grants of $ 62,365 ) (Revenue $ 628,811,256 )
	SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses570,488,792

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,438,066	8,709,401	2,706,488

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		9,541,714

f	All other contributions, gifts, grants, and similar amounts not included above1f		20

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			9,541,734
			Business Code
2a	PATIENT SERVICES		623990	596,709,798	596,709,798
b	CONTRACT REVENUE		900099	13,896,150	13,896,150
c	OTHER REVENUE		900099	12,610,317	12,610,317
d	CAFETERIA		722210	3,295,089	3,295,089
e	PARKING		812930	1,631,755	1,631,755
f	All other program service revenue .			668,147	668,147
g	Total. Add lines 2a–2f........			628,811,256
3	Investment income (including dividends, interest, and other similar amounts).......			4,723,995			4,723,995
4	Income from investment of tax-exempt bond proceeds..			194,020			194,020
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	104,449,000
b	Less: cost or other basis and sales expenses	104,710,000	62,175
c	Gain or (loss)	-261,000	-62,175
d	Net gain or (loss)..........			-323,175			-323,175
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			642,947,830	628,811,256	0	4,594,840


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			64,516,962	1	86,633,622
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			71,064,586	4	78,545,320
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,869,181	8	5,824,305
9	Prepaid expenses and deferred charges ..........			4,408,188	9	4,138,833
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	682,383,130
b	Less: accumulated depreciation .....	10b	383,200,899	299,225,126	10c	299,182,231
11	Investments—publicly traded securities ..........			181,796,000	11	209,386,000
12	Investments—other securities. See Part IV, line 11 .....			4,703,827	12	6,148,109
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			20,372,598	15	21,247,625
16	Total assets. Add lines 1 through 15 (must equal line 34)......			651,956,468	16	711,106,045
17	Accounts payable and accrued expenses .........			74,388,932	17	85,600,820
18	Grants payable .................				18
19	Deferred revenue ................			5,696,645	19	5,392,837
20	Tax-exempt bond liabilities .............			211,116,862	20	207,677,243
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			1,981,620	23	1,872,969
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			25,336,986	25	26,511,807
26	Total liabilities. Add lines 17 through 25.........			318,521,045	26	327,055,676
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			313,465,423	27	363,111,369
28	Temporarily restricted net assets ...........			19,355,000	28	20,296,000
29	Permanently restricted net assets ...........			615,000	29	643,000
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			333,435,423	33	384,050,369
34	Total liabilities and net assets/fund balances ........			651,956,468	34	711,106,045