TY 2018 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) JAMES HEREFORD...................................................................... PRESIDENT/CE	1.00 ................. 40.00	X	X	1,780,267	84,826
(2) JOHN HEINMILLER...................................................................... DIRECTOR	0.00 ................. 1.00	X		35,000	0
(3) ANN HENGEL...................................................................... DIRECTOR	0.00 ................. 1.00	X		35,000	0
(4) KAREN GRABOW...................................................................... SECRETARY	0.00 ................. 1.00	X	X	25,000	0
(5) CAROL LEY MD...................................................................... DIRECTOR	0.00 ................. 1.00	X		25,000	0
(6) RICH OSTLUND...................................................................... CHAIR	0.00 ................. 1.00	X	X	25,000	0
(7) BRAD WALLIN...................................................................... DIRECTOR	0.00 ................. 1.00	X		25,000	0
(8) MICHAEL R CONNLY...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(9) TIM MARX...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(10) KEVIN ROBERG...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(11) KENNETH ROERING...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(12) RICH THOMPSON MD...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(13) BETSY L WERGIN...................................................................... DIRECTOR	0.00 ................. 1.00	X		20,000	0
(14) JULIE S CAUSEY...................................................................... DIRECTOR	0.00 ................. 1.00	X		15,000	0
(15) BRIAN BURNETT...................................................................... DIRECTOR	0.00 ................. 1.00	X		0	0
(16) ANN LOWRY MD...................................................................... VICE CHAIR	0.00 ................. 1.00	X	X	0	0
(17) JAKUB TOLAR MD...................................................................... VICE CHAIR	0.00 ................. 1.00	X	X	0	0

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SOPHIA VINOGRADOV........................................................................ DIRECTOR, NE	0.00 .......................1.00	X					0	0	0
(19) DANIEL M FROMM........................................................................ CHIEF FINANC	1.00 .......................40.00		X				0	1,141,022	249,758
(20) ROBERT BEACHER........................................................................ CHIEF OF SHA	1.00 .......................40.00		X				0	960,894	219,809
(21) MARK WELTON MD........................................................................ CHIEF MEDICA	1.00 .......................40.00		X				0	756,057	86,769
(22) TRUDI N TRYSLA........................................................................ CHIEF LEGAL	1.00 .......................40.00		X				0	700,894	161,273
(23) LAURA REED RN........................................................................ CHIEF NURSIN	1.00 .......................40.00		X				0	638,399	85,201
(24) CAROLYN JACOBSON........................................................................ CHIEF HUMAN	1.00 .......................40.00		X				0	573,211	144,162
(25) ALISTAIR D JACQUES........................................................................ CIO - END 10	1.00 .......................40.00		X				0	543,993	140,099
(26) KATHRYN CORREIA........................................................................ CAO - END 5-	1.00 .......................40.00		X				227,771	295,524	9,418
(27) CATHERINE J BARR........................................................................ PRES-HE, END	40.00 .......................0.00		X				415,186	0	50,844
(28) M OSMAN AKHTAR........................................................................ COO - END 9-	1.00 .......................40.00			X			0	753,077	56,325
(29) PETER H KELLY MD........................................................................ VP/EMD SURGI	40.00 .......................0.00				X		680,676	0	61,821
(30) JOHN KVASNICKA MD........................................................................ VP MEDICAL A	40.00 .......................0.00				X		544,482	0	51,234
(31) ANNE PEARSON MD........................................................................ VP/EMD HE ME	40.00 .......................0.00				X		500,030	0	63,688
(32) KARA L TOMLINSON........................................................................ VP/CHIEF CLI	40.00 .......................0.00				X		448,664	0	43,655
(33) BRIAN D AMDAHL MD........................................................................ VP/EMD PAC/M	40.00 .......................0.00				X		408,740	0	40,251
(34) KEVIN GARRETT MD........................................................................ FORMER EXECU	.......................					X	1,105,175	0	44,569

(A) Name and business address	(B) Description of services	(C) Compensation
CUSHMAN WAKEFIELD OF MINNESOTA INC, 225 W WACKER DRIVE - SUITE 3000 CHICAGO,IL60606	MANAGEMENT	11,100,636
UNIVERSITY OF MINNESOTA PHYSICIANS, SDS 12 1562 PO BOX 86 MINNEAPOLIS,MN55486	MEDICAL SVCS	9,506,235
ASSOCIATED ANESTHESIOLOGIST PA, PO BOX 860212 MINNEAPOLIS,MN55486	MEDICAL SVCS	3,403,484
PREMIER OBGYN OF MINNESOTA PA, 17 EXCHANGE STREET W SUITE 622 ST PAUL,MN55102	MEDICAL SCVS	2,228,459
SUMMIT ORTHOPEDICS LTD, 710 COMMERCE DRIVE SUITE 200 WOODBURY,MN55125	MEDICAL SVCS	1,907,378
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 55

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization HEALTHEAST CARE SYSTEM

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization HEALTHEAST CARE SYSTEM		Employer identification number 36-3517697

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization HEALTHEAST CARE SYSTEM			Employer identification number 36-3517697
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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)? ........

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

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

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

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

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

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

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

Yes

5,506

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

5,506

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART I-A, LINE 1	THE ORGANIZATION CONTRACTS WITH CONSULTANTS TO EXPRESS THEIR CONCERNS REGARDING HEALTH CARE ISSUES TO STATE AND FEDERAL LEGISLATORS. THE ORGANIZATION ALSO PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE MINNESOTA HOSPITAL ASSOCIATION AND THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS. A PORTION OF THESE ANNUAL DUES ARE ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES.
SCHEDULE C, PART II-B, LINE 1	THE ORGANIZATION PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION. A PORTION OF THESE ANNUAL DUES ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES.

Schedule C (Form 990 or 990EZ) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	17,480,000		17,480,000
b	Buildings ....	43,667,455	5,362,699	38,304,756
c	Leasehold improvements	1,513,701	260,091	1,253,610
d	Equipment ....	48,103,794	18,468,768	29,635,026
e	Other .....	4,672,976	552,738	4,120,238
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				90,793,630

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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
(1)PROGRAM RELATED INVESTMENTS	23,012,807	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	23,012,807

Part IX

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

(a) Description				(b) Book value
(1) OTHER ASSETS				18,824,724
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				18,824,724

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DEFERRED COMP - 457(B) PLAN	15,115,187
GL/PL LIABILITY	3,650,000
NAMING RIGHTS	1,175,216
ACCRETIONA EXPENSE	999,322
RETIREMENT OBLIGATION	827,114
ACCRUED HEALTH INSURANCE LIABILITY	579,206
OTHER LIABILITIES	380,039
PCARD	70,000
GE PATIENT MONITORS	60,952
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	22,857,036
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) 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
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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

SCHEDULE D, PAGE 3, PART X

THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE MINNESOTA STATUTES. CONSEQUENTLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. THE ORGANIZATION'S ANNUAL TAX FILINGS ARE SUBJECT TO REVIEW BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX- EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR OTHER EXCISE TAXES.

Schedule D (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

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: . . . . . . . .

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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? . . . . . . . . . . . . . . . . . . . . . . .

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

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) . . .	296,343	18,081	278,262	0.110 %
b	Medicaid (from Worksheet 3, column a) . . . . .	16,111,305	12,917,924	3,193,381	1.240 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	16,407,648	12,936,005	3,471,643	1.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,726,520		2,726,520	1.060 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	237	207	30
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,670		2,670
j	Total. Other Benefits . .	2,729,427	207	2,729,220	1.060 %
k	Total. Add lines 7d and 7j .	19,137,075	12,936,212	6,200,863	2.410 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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)	(b) Persons served (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
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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. ......

3,010,879

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. ......

60,218

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).....

39,302,185

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

48,610,397

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

-9,308,212

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	HEALTHEAST BETHESDA HOSPITAL 559 CAPITOL BOULEVARD ST PAUL,MN55103 FAIRVIEW.ORG/LOCATIONS/BETHESDA-HOSPIT	X

Schedule H (Form 990) 2018

Page 4

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)

	HEALTHEAST BETHESDA HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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): FAIRVIEW.ORG/LOCATIONS/BETHESDA-HOSPIT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG/OUR-COMMUNITY-COMMITM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HEALTHEAST BETHESDA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FI

The FAP application form was widely available on a website (list url):

WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FI

A plain language summary of the FAP was widely available on a website (list url):
WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	HEALTHEAST BETHESDA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	HEALTHEAST BETHESDA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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 Section C.

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 Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 3E	IN ORDER TO DETERMINE THE TOP HEALTH NEEDS IN THE COMMUNITY INDICATORS FROM SECONDARY DATA; DATA FROM WILDER RESEARCH ON THE LEADING CAUSES OF DEATH AND PREMATURE DEATH, AND THE SOCIAL DETERMINANTS OF HEALTH; AND PRIMARY DATA THAT MET TWO PIECES OF CRITERIA: (1) A NEED AND/OR BARRIER THAT WAS SAID MORE THAN ONE TIME, AND (2) A NEED AND/OR BARRIER THAT WAS REPEATED IN AT LEAST TWO OF THE GROUPS (E.G. BOTH A STAKEHOLDER INTERVIEW AND A COMMUNITY CONVERSATION) WERE USED. THE HEALTHEAST COMMUNITY ADVISORY COUNCIL LENT THEIR VOICES TO HELP US BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY. SINCE THE PRIORITY HEALTH NEEDS AND INFORMATION GATHERED DURING THE 2018 ASSESSMENT BUILT UPON THE 2017 BOARD ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND PRIORITIES, THIS COUNCIL WAS NOT ASKED TO IDENTIFY AND PRIORITIZE HEALTH ISSUES AGAIN IN 2018. INSTEAD, THE COUNCIL MEMBERS MET IN SEPTEMBER 2018 TO PROVIDE COMMUNITY AND PRIORITY POPULATION SPECIFIC FEEDBACK ON THE PRIMARY DATA FINDINGS. THE FAIRVIEW COMMUNITY BENEFIT TEAM, USED THE WEIGHTED CRITERIA TO PRIORITIZE THE SIGNIFICANT HEALTH NEEDS IDENTIFIED: 2017 PLUS CHNA PRIORITY NEEDS, COMMUNITY PRIORITY, BETHESDA'S EXPERTISE/RESOURCES/FEASIBILITY, EVIDENCE OF DISPARITIES, MAGNITUDE/SCALE OF NEED, AND NEED PRESENT IN ALL 11 FAIRVIEW COMMUNITIES. WEIGHTED CRITERIA WAS USED TO PRIORITIZE HEALTH NEEDS. HIGHEST WEIGHT WAS GIVEN TO THE TWO CRITERION DEEMED MOST IMPORTANT BY THE HOSPITAL ADVISORY COUNCIL - CONTINUING WORK IN THE 2017 PLUS CHNA PRIORITY AREAS AND ENSURING FUTURE PRIORITIES ALIGNED WITH WHAT THE COMMUNITY IDENTIFIED AS TOP NEEDS. THE PRIORITIZATION CRITERIA WAS APPLIED TO THE TOP 21 HEALTH NEEDS IDENTIFIED IN THE HOSAPITAL COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ACCESS TO CARE AND RESOUCES 3.ACCESS TO HEALTHY AND AFFORDABLE FOOD 4.WORKFORCE SHORTAGE 5.SUICIDE 6.LANGUAGE BARRIERS 7.HEALTHY EATING AND ACTIVE LIVING 8.TRANSPORTATION 9.RESPECTFUL AND CULTURALY RESPONSIVE CARE 10.TIED FOR TENTH (1) AFFORDABLE, HEALTHY, AND SAFE HOUSING (2)DENTAL CARE THROUGH A VOTING PROCESS, THE HOSPITAL ADVISORY COUNCIL RECOMMENDED THE FOLLOWING AS BETHESDA'S 2018 CHNA PRIORITY NEEDS: MENTAL HEALTH AND WELL- BEING HEALTHY LIFESTYLES AND ACCESS TO CARE AND RESOURCES. THESE THREE PRIORITIES ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS.
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 5	BETHESDA HOSPITAL HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SINCE 1998 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL NEEDS OF THE COMMUNITY AND TO ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. IT SERVES AS A TOOL FOR GUIDING POLICY, ADVOCACY, AND PROGRAM PLANNING. IT ALSO FULFILLS IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS AND PROVIDE AN ANNUAL EVALUATION OF IMPACT OF THE PREVIOUS IMPLEMENTATION STRATEGY. THROUGH THIS PROCESS, BETHESDA AIMS TO: -UNDERSTAND THE HEALTH STATUS AND NEEDS OF THE COMMUNITY IT SERVES BY ANALYZING CURRENT DEMOGRAPHICS, HEALTH DATA, AND BY COLLECTING DIRECT INPUT FROM COMMUNITY MEMBERS AND ORGANIZATIONS. -IDENTIFY THE STRENGTHS, ASSETS, AND RESOURCES AVAILABLE IN THE COMMUNITY TO SUPPORT HEALTH AND WELL-BEING. -ADDRESS SIGNIFICANT HEALTH NEEDS THROUGH PARTNERSHIPS WITH COMMUNITY MEMBERS AND ORGANIZATIONS, PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. -CREATE A STRATEGIC IMPLEMENTATION PLAN REFLECTIVE OF THE DATA COLLECTED THROUGH THE CHNA PROCESS. -INFORM BETHESDA'S COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THE COMMUNITY ADVISORY COUNCIL: -ADAM CREPEAU, FAIRVIEW HEALTH SERVICES -ALANA WRIGHT, EAST SIDE PARTNERSHIP FOR HEALTHY AGING (WILDER) -AMY NELSON-FORKNER , FAIRVIEW HEALTH SERVICES -ANDRIANA ABARIOTES, TWIN CITIES LISC -ANN BAILEY, DAKOTA AREA RESOURCES AND TRANSPORTATION FOR SENIORS (DARTS) -ANNA GREER, AMERICAN INDIAN FAMILY CENTER -ANNE BARRY, ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH -BETH HEIN, CENTURY COLLEGE -BONNIE BRUESCHOFF , DAKOTA COUNTY PUBLIC HEALTH -COURTNEY TROYER, ST. PAUL EASTSIDE YMCA -CRYSTAL YANG, COMMUNITY DENTAL CENTER -DEAN NEUMANN, FAIRVIEW HEALTH SERVICES -DEB RODAHL, ST. JOSEPH'S HOSPITAL -DUWAYNE KONEWKO, CITY OF MAPLEWOOD -EVA SONG MARGOLIS, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER -JAEDEN ALLEN, COMMUNITY MEMBER -JESSICA GOURNEAU, AMERICAN INDIAN FAMILY CENTER -JODI BANTLEY, METROPOLITAN STATE UNIVERSITY -JODI RITACCA, WOODBURY THRIVES -JULIA WOLFE, ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH -JULIE ROLES , VITAL AGING NETWORK -KATHERINE BEECHAM, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER -KELBY GROVENDER, HEARTH CONNECTION -KESHAWN WILLIAMS, TWIN CITIES MOBILE MARKET -KEVEN BLAKE, YMCA - EASTSIDE BRANCH -KIM MILES, METROPOLITAN STATE UNIVERSITY -KRISTI BALL, BETHESDA HOSPITAL -KRISTIN REITHER, MAPLEWOOD COMMUNITY CENTER - YMCA -LAURA KEITHAHN, ST. JOHN'S HOSPITAL -LISA BUESGENS, FAIRVIEW HEALTH SERVICES -LOWELL JOHNSON, WASHINGTON COUNTY PUBLIC HEALTH -MAI MOUA, HMONG AMERICAN PARTNERSHIP -MARK SKEIE, VITAL AGING NETWORK -MELANIE COUNTRYMAN, DAKOTA COUNTY PUBLIC HEALTH -MICHELE BRIN, WOODWINDS HOSPITAL -MUNIRA SALAD, INTERNATIONAL INSTITUTE OF MINNESOTA -NORA SLAWIK, CITY OF MAPLEWOOD -PAIGE BOWEN, WEST SIDE COMMUNITY HEALTH SERVICES -PAT SCHOON, METROPOLITAN STATE UNIVERSITY -RHYS WILLIAMS, THE GOOD ACRE -ROGER GREEN, WOODBURY THRIVES -RUBY LEE, COMUNIDADES LATINAS UNIDAS EN SERVICIO (CLUES) -SAMUEL ESTES, PORTICO HEALTHNET -SARA BARSEL, ROSEVILLE COMMUNITY HEALTH AWARENESS TEAM -SAW BAW, INTERNATIONAL INSTITUTE OF MINNESOTA -SHARON D'AGOSTINO, JOHNSON & JOHNSON -TRACY BERGLUND, CATHOLIC CHARITIES OF ST. PAUL AND MINNEAPOLIS -VIVA YANG, LUTHERAN SOCIAL SERVICES EASTSIDE FINANCIAL CENTER
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/OUR-COMMUNITY-COMMITMENT/LOCAL-HEALTH-NEEDS
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 11	HOW NEEDS WERE ADDRESSED: STRATEGIES TO ADDRESS THE NEEDS OF THE COMMUNITIES IT SERVES FOR THE YEARS 2019-2021 FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN 2018 WERE DEVELOPED WITH SIGNIFICANT CONTRIBUTIONS FROM FAIRVIEW HEALTH SERVICES AND BETHESDA HOSPITAL STAFF AND PROVIDERS, BETHESDA/ST. JOSEPH'S COMMUNITY HEALTH STEERING COMMITTEE MEMBERS, AND OTHER COMMUNITY MEMBERS AND LEADERS. THESE STRATEGIES WILL GUIDE FAIRVIEW IN BRIDGING COMMUNITY AND CLINICAL CARE TO IMPROVE HEALTH, ADDRESS THE ROOT CAUSE AND CONTRIBUTING FACTORS OF HEALTH CONDITIONS, ADDRESS PRIORITY POPULATIONS, AND CATALYZE FAIRVIEW'S ANCHOR MISSION. ALL PROGRAMS AND INITIATIVES WILL FOCUS ON THE IDENTIFIED PRIORITY NEEDS OF MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES, AND ACCESS TO CARE AND SERVICES, AND WILL TAKE INTO CONSIDERATION OUR IDENTIFIED PRIORITY POPULATIONS THAT INCLUDE SENIORS, PERSONS EXPERIENCING POVERTY, PEOPLE OF COLOR AND INDIGENOUS PEOPLE. ALTHOUGH THE HOSPITAL WAS NOT ABLE TO IMPLEMENT ANY NEW STRATEGIES DURING THIS FISCAL YEAR AS A RESULT OF THE MOST RECENT CHNA, THE FOLLOWING DESCRIBES THE SIGNIFICANT ACTIONS TAKEN DURING THIS FISCAL YEAR BY BETHESDA HOSPITAL IN THEIR THREE PRIORITY GOALS AS PART OF THE ITS CONTINUATION OF PRIOR COMMUNITY HEALTH IMPLEMENTATION PLANS. PRIORITY NEED: HEALTHY EATING AND ACTIVE LIVING GOAL: PROMOTE HEALTHY LIFESTYLES BY IMPROVING ACCESS TO NUTRITIOUS, CULTURALLY RESPONSIVE FOOD AND PHYSICAL ACTIVITY IN ORDER TO INCREASE THE PERCENTAGE OF PEOPLE LIVING AT A HEALTHY WEIGHT. STRATEGY 1: INCREASE PARTICIPATION IN PHYSICAL ACTIVITY AND NUTRITION EDUCATION IN TARGETED EAST METRO NEIGHBORHOODS AND/OR WITH PRIORITY POPULATIONS. PROGRAM 1: EAST SIDE TABLE EAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED THROUGH PARTICIPATION AT COMMUNITY EVENTS. OUTCOMES: -28 COOKING CLASSES AND DEMONSTRATIONS WERE HELD. -281 PEOPLE ATTENDED A COOKING CLASS OR DEMONSTRATION. -4,625 PEOPLE WERE REACHED THROUGH HEALTHY EATING ENGAGEMENT EFFORTS. PROGRAM 2: WELLNESS AND PREVENTION PROGRAMS WELLNESS AND PREVENTION PROGRAMS INCLUDES EVIDENCE-BASED FALLS PREVENTION PROGRAMS TAI JI QUAN AND A MATTER OF BALANCE. THIS STRATEGY WAS MEASURED WITH PARTICIPANTS SURVEYS THAT WERE ADMINISTERED AT THE BEGINNING OF THE FIRST CLASS (PRE) AND END OF THE LAST CLASS (POST). OUTCOMES: -5 CLASSES WITH 49 PARTICIPANTS. -THERE WAS A 58% REDUCTION IN THE NUMBER OF FALLS AMONG PARTICIPANTS. -THERE WAS A 3% REDUCTION IN THE FEAR OF FALLING AMONG PARTICIPANTS. STRATEGY 2: IMPROVE ACCESS TO AND CONSUMPTION OF HEALTHY FOOD AND IMPROVE FOOD SKILLS IN TARGETED NEIGHBORHOODS AND/OR WITH PRIORITY POPULATIONS. PROGRAM 1: EAST SIDE TABLE EAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED WITH PARTICIPANT SURVEYS THAT WERE ADMINISTERED AT THE END OF COMMUNITY EVENTS. OUTCOMES: -OVER 10 WEEKS, 106 FAMILIES RECEIVED MAKE-AT-HOME MEAL KITS -75% OF PARTICIPANTS FROM THE COMMUNITY MEAL WITH SENIORS FELT THE RECIPE INTRODUCED THEM TO A NEW FOOD SKILL OR COOKING TIP. PROGRAM 2: FRUIT AND VEGGIE RX FRUIT AND VEGGIE RX IS A PARTNERSHIP BETWEEN THE HMONG AMERICAN FARMERS ASSOCIATION AND THREE HEALTHEAST CLINICS TO PROVIDE WEEKLY BOXES OF LOCAL FRUITS AND VEGETABLES TO IMMIGRANTS AND REFUGEES WHO ARE FOOD INSECURE. THIS STRATEGY WAS MEASURED WITH PARTICIPANT SURVEYS THAT WERE COLLECTED BEFORE THE START OF PROGRAM (PRE) AND AT THE END OF THE PROGRAM (POST). OUTCOMES: -OVER 22 WEEKS, 97 FAMILIES RECEIVED COMMUNITY SUPPORT AGRICULTURE (CSA) BOXES FILLED WITH FRESH FRUITS AND VEGETABLES. NOTE: PRE AND POST SURVEYS WERE COLLECTED FOR PARTICIPANTS. POST SURVEYS WERE COLLECTED MID-DECEMBER AND ARE NOT INCLUDED IN THIS REPORT. STRATEGY 3: INCREASE SOCIAL CONNECTEDNESS AMONG AGING AND NEW IMMIGRANT POPULATIONS THROUGH MEALTIME. PROGRAM 1: EAST SIDE TABLEEAST SIDE TABLE IS A PILOT PROJECT THAT SEEKS TO IMPROVE ACCESS TO HEALTHY FOOD BY IMPROVING FOOD SKILLS. COMPONENTS OF THE PROJECT INCLUDE RECIPE TASTINGS, COMMUNITY MEALS, COOKING DEMONSTRATIONS, OTHER EDUCATION AND OUTREACH ACTIVITIES, AND FREE MAKE-AT-HOME MEAL KITS. THIS STRATEGY WAS MEASURED THROUGH PARTICIPATION AT COMMUNITY EVENTS AND WITH PARTICIPANTS SURVEYS THAT WERE ADMINISTERED AT THE END OF COMMUNITY EVENTS. OUTCOMES: -755 GUESTS SHARED A MEAL TOGETHER AT 13 COMMUNITY MEALS. -97% OF PARTICIPANTS FROM THE COMMUNITY MEALS WITH SENIORS STATED THAT THE EVENT HELPED THEM FEEL MORE CONNECTED TO OTHERS IN THEIR COMMUNITY. STRATEGY 4: LEVERAGE HEALTHEAST LEADERS ON COMMUNITY BOARDS, COMMITTEES AND OTHER INITIATIVES. ACTIVITY 1: PARTICIPATION ON COMMUNITY BOARDS, COMMITTEES, AND OTHER INITIATIVES THIS STRATEGY WAS MEASURED THROUGH TIME SPENT PARTICIPATING IN COMMUNITY BOARDS, COMMITTEES, AND OTHER INITIATIVES. OUTCOMES: -STAFF CONTRIBUTED 1,234 HOURS TO COMMUNITY BOARDS, COMMITTEES, INITIATIVES, AND COLLABORATIONS TO IMPROVE HEALTH AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. -PARTICIPATED IN LOCAL PUBLIC HEALTH DEPARTMENT COMMUNITY LEADERSHIP COMMITTEES, INCLUDING ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH AND WASHINGTON COUNTY PUBLIC HEALTH. -PARTICIPATED IN MINNESOTA DEPARTMENT OF HEALTH - HEALTHY MINNESOTA PARTNERSHIP. -PARTICIPATED IN LOCAL COLLABORATIONS, INCLUDING THE CENTER FOR COMMUNITY HEALTH, EAST SIDE HEALTH AND WELL-BEING COLLABORATIVE, WOODBURY THRIVES, CENTRAL CORRIDOR ANCHOR PARTNERSHIP, AND AFRICAN AMERICAN LEADERSHIP COUNCIL. -PARTICIPATED IN NATIONAL ORGANIZATIONS, INCLUDING ROOT CAUSE COALITION AND THE HEALTHCARE ANCHOR NETWORK. STRATEGY 5: INFLUENCE POLICY AND SYSTEMS CHANGE PRIORITIES RELATED TO FOOD SYSTEMS AND ACTIVE LIVING AT LOCAL COMMUNITY, STATE AND NATIONAL LEVELS. NO PROGRAMS OR ACTIVITIES TIED TO POLICY OR SYSTEMS CHANGE WERE CONDUCTED IN 2018. PRIORITY NEED: MENTAL HEALTH AND STRESS RESILIENCE GOAL: IMPROVE ACCESS TO AND AWARENESS OF CULTURALLY RESPONSIVE MENTAL HEALTH RESOURCES AND EDUCATION. STRATEGY 1: REDUCE STRESSORS AND INCREASE COPING SKILLS REGARDING BASIC NEEDS TO TARGETED MINORITY AND AGING POPULATIONS. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIP IS A PILOT PROJECT THAT PROVIDES CULTURALLY RESPONSIVE OPPORTUNITIES TO FOSTER MENTAL HEALTH AND HOLISTIC WELL-BEING. COMPONENTS OF THE PROJECT INCLUDE PLACE-BASED CULTURAL BROKERS, COMMUNITY AND PROVIDER TRAININGS ON CULTURAL ASPECTS OF MENTAL HEALTH, CULTURALLY SPECIFIC COMMUNITY DIALOGUES, AND THE IDENTIFICATION OF SAFE AND SACRED PLACES. THIS STRATEGY WAS MEASURED THROUGH INTERACTIONS AND REFERRALS WITH CULTURAL BROKERS. OUTCOMES: -FIVE CULTURAL BROKERS WORKED WITH 643 INDIVIDUALS TO BUILD SELF-EFFICACY AND RESILIENCE WITHIN THE AFRICAN AMERICAN, AMERICAN INDIAN, HISPANIC/LATINO, HMONG, AND KAREN COMMUNITIES. STRATEGY 2: INCREASE ACCESS TO CULTURALLY RESPONSIVE RESOURCES FOR EAST METRO RESIDENTS WITH MENTAL HEALTH NEEDS. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIP IS A PILOT PROJECT THAT PROVIDES CULTURALLY RESPONSIVE OPPORTUNITIES TO FOSTER MENTAL HEALTH AND HOLISTIC WELL-BEING. COMPONENTS OF THE PROJECT INCLUDE PLACE-BASED CULTURAL BROKERS, COMMUNITY AND PROVIDER TRAININGS ON CULTURAL ASPECTS OF MENTAL HEALTH, CULTURALLY SPECIFIC COMMUNITY DIALOGUES, AND THE IDENTIFICATION OF SAFE AND SACRED PLACES. THIS STRATEGY WAS MEASURED THROUGH THE PLACEMENT OF CULTURAL BROKERS WITHIN COMMUNITY ORGANIZATIONS, AND THROUGH PRE AND POST SURVEYS THAT WERE ADMINISTERED TO PEOPLE WHO MET WITH A CULTURAL BROKER. OUTCOMES: -FIVE CULTURAL BROKERS WERE EMBEDDED WITHIN COMMUNITY ORGANIZATIONS TO PROVIDE CULTURALLY RESPONSIVE RESOURCES TO MEMBERS FROM THE AFRICAN AMERICAN, AMERICAN INDIAN, HISPANIC/LATINO, HMONG, AND KAREN COMMUNITIES. -46% OF INDIVIDUALS SURVEYED AFTER AN INTERACTION WITH A CULTURAL BROKER STRONGLY AGREED THAT THEY FELT CONNECTED TO THEIR COMMUNITY. PROGRAM 2: KAREN CHEMICAL DEPENDENCY COLLABORATIONKAREN CHEMICAL DEPENDENCY COLLABORATION (KCDC) IS A MULTI-ORGANIZATION COLLABORATION WORKING TOGETHER TO ADDRESS SUBSTANCE USE IN THE KAREN COMMUNITY THROUGH EDUCATION, SCREENINGS, TREATMENT, AND COMMUNITY SUPPORT PROGRAMS USING A CULTURALLY RELEVANT AND INFORMED APPROACH. THIS STRATEGY WAS MEASURED BY THE NUMBER OF PROFESSIONALS TRAINED. OUTCOMES: -EDUCATION ON THE KAREN COMMUNITY WAS PROVIDED TO 150 MENTAL HEALTH PROFESSIONALS AND PROVIDERS. STRATEGY 3: PROMOTE MENTAL HEALTH AWARENESS IN THE COMMUNITY. PROGRAM 1: EAST SIDE MENTAL HEALTH AND STRESS RESILIENCE PARTNERSHIPEAST SIDE M
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 13B	THE MINNESOTA ATTORNEY GENERAL AGREEMENT WAS USED IN THE DETERMINATION OF THE ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY-ENGLISH.ASHX?LA=EN PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTP://WWW.FVFILES.COM/2266.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/HEALTHEAST-FINANCIAL-ASSISTANCE OR HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY--PLAIN-LANGUAGE-SUMMARY_ENGLISH.ASHX?LA=EN
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 16J	THE ORGANIZATION ATTACHES A SUMMARY OF THE POLICY TO BILLING INVOICES AND ALSO COMMUNICATES TO PATIENTS DURING ADMISSION, FINANCIAL COUNSELING AND COLLECTION CALLS THAT THERE IS A FINANCIAL ASSISTANCE PROGRAM AND THAT AN APPLICATION CAN BE PROVIDED TO THEM.

Schedule H (Form 990) 2018

Page 9

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

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
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A THROUGH 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
PART III, LINE 8 - MEDICARE EXPLANATION	THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	THE ORGANIZATION'S COLLECTION POLICY AND PRACTICES PROVIDE THAT A PATIENT WHO INDICATES AN INABILITY TO PAY BE PROVIDED WITH THE INFORMATION AND APPLICATION FOR THE ORGANIZATION'S FINANCIAL AID POLICY. WHEN A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS RECEIVED, IT IS PROCESSED ACCORDING TO THE ORGANIZATION'S POLICY TO DETERMINE WHETHER THE PATIENT QUALIFIES FOR DISCOUNTED OR FREE MEDICAL SERVICES. THE ORGANIZATION WILL NOT BEGIN THE BILLING PROCESS UNTIL A DETERMINATION IS MADE WHETHER THE PATIENT QUALIFIES FOR DISCOUNTED OR FREE MEDICAL SERVICES. HOWEVER, IF A PATIENT EXPIRES OR FILES FOR BANKRUPTCY PRIOR TO PROVIDING A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THERE IS NO WAY TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE.
PART VI, LINE 2 - NEEDS ASSESSMENT	ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT BETHESDA HOSPITAL'S MISSION: DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. IN ORDER TO ACHIEVE OPTIMAL HEALTH FOR OUR COMMUNITY, WE MUST REACH BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS TO UNDERSTAND THE HEALTH OF OUR COMMUNITY WHERE THEY LIVE. BETHESDA HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EVERY THREE YEARS SINCE 1998 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL HEALTH NEEDS OF THE COMMUNITY AND TO DEVELOP STRATEGIES TO ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS, ORGANIZATIONS, AND LOCAL PUBLIC HEALTH AGENCIES. IN ADDITION TO FULFILLING THE IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS, THE CHNA WILL ALSO SERVE TO INFORM ORGANIZATIONAL STRATEGIES. IN LATE 2017 BETHESDA HOSPITAL PARTICIPATED IN A MULTI-HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH ST. JOHNS HOSPITAL, ST. JOSEPHS HOSPITAL, AND WOODWINDS HEALTH CAMPUS. THE FOUR HOSPITALS ALSO SHARED A COMMON COMMUNITY ADVISORY COUNCIL. AFTER JOINING FAIRVIEW IN 2018 THE DECISION WAS MADE TO CONDUCT HOSPITAL SPECIFIC ASSESSMENT FOR THESE FOUR HOSPITALS USING THE SHARED HEALTHEAST COMMUNITY ADVISORY COUNCIL IN THE 2018 ASSESSMENT PROCESS EACH FAIRVIEW'S HOSPITALS AND MEDICAL CENTERS ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. WE FULFILL OUR RESPONSIBILITY NOT ONLY THROUGH THE CHNA, BUT ALSO THROUGH EFFORTS INCLUDING: A SUSTAINABLE FUNDING STRUCTURE THAT SUPPORTS INNOVATIVE AND COLLABORATIVE HEALTH PROJECTS THAT HAVE MEASURABLY IMPROVED HEALTH OUTCOMES AND EARNED NATIONAL RECOGNITION. POLICIES AND BILLING PRACTICES THAT SUPPORT APPROPRIATE FINANCIAL ASSISTANCE FOR THOSE IN NEED. WHILE FAIRVIEW'S COMMUNITY HEALTH PROGRAMS ADDRESS THE NEEDS OF THE WHOLE COMMUNITY, OUR EFFORTS ARE FOCUSED ON SENIORS, PEOPLE EXPERIENCING POVERTY, PERSONS OF COLOR, AND INDIGENOUS PEOPLE. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY HEALTH NEEDS IN THE LOCAL COMMUNITY. ALTHOUGH EACH FAIRVIEW HOSPITAL AND/OR MEDICAL CENTER WORKED FROM QUALITATIVE AND QUANTITATIVE DATA SPECIFIC TO THEIR COMMUNITY, THERE WERE LARGE OVERLAPS IN THE IDENTIFIED COMMUNITY NEEDS. THE HOSPITALS AND/OR MEDICAL CENTERS THREE PRIORITIES ARE CONSISTENT ACROSS ALL FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. THE THREE PRIORITY HEALTH NEEDS ARE: MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES AND ACCESS TO CARE AND RESOURCES. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND THESE THREE PRIORITY HEALTH ISSUES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE ORGANIZATION HAS FINANCIAL COUNSELORS AND SOCIAL WORKERS AVAILABLE TO ASSIST PATIENTS IN DETERMINING WHETHER THEY QUALIFY FOR HELP WITH THEIR MEDICAL BILLS. BILLING AND INSURANCE INFORMATION IS AVAILABLE ONLINE AND IN THE PATIENT HANDBOOK THAT IS PROVIDED TO PATIENTS, WHICH EXPLAIN THE ORGANIZATION'S BILLING AND PAYMENT POLICIES AS WELL AS CONTACT INFORMATION FOR DISCUSSING FINANCIAL ASSISTANCE WITH OUR FINANCIAL COUNSELORS AND SOCIAL WORKERS. PATIENTS ARE INFORMED ABOUT THE AVAILABILITY OF FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, CHARITY CARE AVAILABILITY AS WELL AS DISCOUNTED CARE ELIGIBILITY REQUIREMENTS. THE PATIENT HANDBOOK ALSO PROVIDES INFORMATION REGARDING COLLECTION POLICIES AND PRACTICES. BILLS PROVIDED TO PATIENTS INCLUDE THE FOLLOWING STATEMENT: "FINANCIAL AID AVAILABLE: IT IS IMPORTANT THAT YOU LET US KNOW IF YOU WILL HAVE TROUBLE PAYING YOUR BILL. HEALTHEAST MAY BE ABLE TO HELP YOU GET FREE OR LOW-COST HEALTH COVERAGE THROUGH COMMUNITY OR GOVERNMENT PROGRAMS. ALTHOUGH HEALTHEAST CAN ASSIST YOU IN THIS PROCESS, YOU MUST APPLY FOR THESE BENEFITS IF YOU ARE ELIGIBLE."
PART VI, LINE 4 - COMMUNITY INFORMATION	BETHESDA HOSPITAL, PART OF FAIRVIEW HEALTH SERVICES, OPENED IN ST. PAUL IN 1883. BETHESDA HOSPITAL IS THE LARGEST LONG-TERM ACUTE CARE HOSPITAL IN THE REGION, PROVIDING SPECIALIZED CARE FOR PATIENTS EXPERIENCING SUDDEN TRAUMA OR LONG-TERM ILLNESS. SERVICES ARE SPECIFICALLY DESIGNED TO TREAT PATIENTS WITH MULTIPLE MEDICAL CONDITIONS AND COMPLEX NEEDS, PARTICULARLY ONES THAT REQUIRE LONGER-TERM, HOSPITAL-LEVEL CARE WITH DAILY PHYSICIAN INVOLVEMENT. IN THESE UNIQUE CIRCUMSTANCES, BETHESDA HOSPITAL CARES FOR PATIENTS PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL NEEDS. FOR THE PURPOSES OF THE CHNA, BETHESDA HOSPITAL'S COMMUNITIES ARE DEFINED AS THE POPULATION OF THE COMBINED ZIP CODES FOR BETHESDA HOSPITAL'S PRIMARY SERVICE AREA. THE COMMUNITY INCLUDES 20 ZIP CODES WHERE APPROXIMATELY 80 PERCENT OF ITS PATIENTS LIVE, THE CITY WHERE THE HOSPITAL RESIDES, ST. PAUL, MN, AND THE COUNTY WHERE THE HOSPITAL RESIDES, RAMSEY COUNTY. THE TOTAL POPULATION OF THIS GEOGRAPHIC COMMUNITY IS 415,297 PEOPLE, IT COVERS 179 SQUARE MILES. BETHESDA HOSPITAL IS LOCATED IN RAMSEY COUNTY. RAMSEY COUNTYS POPULATION HAS BECOME INCREASINGLY DIVERSE. WHILE WHITE RESIDENTS STILL ACCOUNT FOR THE LARGEST RACIAL GROUP IN RAMSEY COUNTY, WHITE RESIDENTS COMPRISE A SMALLER PERCENTAGE OF THE POPULATION TODAY (62 PERCENT) COMPARED TO 75 PERCENT IN 2000. RESIDENTS IDENTIFYING AS ASIAN MAKE UP THE SECOND LARGEST GROUP AT 15 PERCENT OF THE OVERALL POPULATION. THE PROPORTION OF RAMSEY COUNTY RESIDENTS AGE 65 AND OLDER HAS INCREASED. 14 PERCENT OF RAMSEY COUNTY RESIDENTS ARE AGE 65 AND OLDER, COMPARED TO 12 PERCENT IN 2000.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	IN ADDITION TO THE COMMUNITY BENEFITS AND ACTIVITIES DESCRIBED IN OTHER PARTS OF THIS FILING, THE ORGANIZATION FURTHERS ITS TAX-EXEMPT CHARITABLE PURPOSE AND PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: THE ORGANIZATION'S HOSPITALS EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. BEING PART OF A NON-PROFIT, TAX-EXEMPT HEALTHCARE SYSTEM, THE ORGANIZATION REINVESTS ANY EXCESS REVENUES BACK INTO THE CORE OPERATIONS OF THE ORGANIZATION FOR WHICH THE TAX-EXEMPTION WAS GRANTED. THE ORGANIZATION OFFERS VARIOUS HEALTH CARE CLASSES, HEALTH SCREENINGS, SUPPORT GROUPS AND OTHER EVENTS RELATED TO THE PROMOTION OF HEALTH. SOME EXAMPLES ARE IN THE FOLLOWING AREAS: DIABETES, PAIN CARE, PREGNANCY, BIRTHING, PARENTING, HEART DISEASE, WEIGHT LOSS, WOMEN'S HEALTH, VEIN THERAPY, CHEMICAL DEPENDENCY, STROKE, CANCER, BRAIN INJURY, SMOKING CESSATION AND CPR (CARDIOPULMONARY RESUSCITATION). THE ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS THAT ARE MEMBERS OF THE COMMUNITY THE ORGANIZATION SERVES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE ORGANIZATION THAT IS PART OF FAIRVIEW HEALTH SERVICES. HEALTHEAST CARE SYSTEM PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE, AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. ABOUT FAIRVIEW HEALTH SERVICES: FAIRVIEW HEALTH SERVICES (FAIRVIEW.ORG) IS A MINNEAPOLIS-BASED NONPROFIT HEALTH SYSTEM DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA, SERVING THE GREATER TWIN CITIES METRO AREA AND NORTH-CENTRAL MINNESOTA. THROUGH A CLOSE RELATIONSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW OFFERS ACCESS TO BREAKTHROUGH MEDICAL RESEARCH AND SPECIALTY EXPERTISE AS PART OF A CONTINUUM OF CARE THAT REACHES ALL AGES AND HEALTH NEEDS. OUR MISSION: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FAIRVIEW AT A GLANCE: 33,000+ EMPLOYEES 5,000+ SYSTEM PROVIDERS 11 HOSPITALS AND MEDICAL CENTERS 2,177 STAFFED BEDS 56+ PRIMARY CARE CLINICS 55+ SPECIALTY CLINICS 70+ SENIOR HOUSING LOCATIONS 40+ RETAIL AND SPECIALTY PHARMACIES FAIRVIEW HAS THE FOLLOWING HOSPITALS AND MEDICAL CENTERS: BETHESDA HOSPITAL (ST. PAUL) FAIRVIEW LAKES MEDICAL CENTER (WYOMING) FAIRVIEW NORTHLAND MEDICAL CENTER (PRINCETON) FAIRVIEW RANGE MEDICAL CENTER (HIBBING) FAIRVIEW RIDGES HOSPITAL (BURNSVILLE) FAIRVIEW SOUTHDALE HOSPITAL (EDINA) GRAND ITASCA CLINIC & HOSPITAL (GRAND RAPIDS) ST. JOHN'S HOSPITAL (MAPLEWOOD) ST. JOSEPH'S HOSPITAL (ST. PAUL) UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL (MINNEAPOLIS) WOODWINDS HEALTH CAMPUS (WOODBURY)

Schedule H (Form 990) 2018

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
HEALTHEAST CARE SYSTEM

Employer identification number
36-3517697

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) PORTICO HEALTHNET 2610 UNIVERSITY AVENUE WEST ST PAUL,MN55114			261,250				GRANT PROVIDED TO PO

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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
SCHEDULE I, PAGE 1, PART I, LINE 2	PORTICO HEALTHNET IS AFFILIATED WITH HEALTHEAST CARE SYSTEM. THEIR BUDGET AND FINANCIAL RECORDS ARE REVIEWED PERIODICALLY TO ENSURE PROPER USAGE OF FUNDS.

Schedule I (Form 990) 2018

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

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

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

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

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

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1JAMES HEREFORD PRESIDENT/CEO - FHS	(i) (ii)	------------- 1,340,912	------------- 439,355	-------------	------------- 42,546	------------- 42,280	------------- 1,865,093	-------------
2DANIEL M FROMM CHIEF FINANCIAL OFFI	(i) (ii)	------------- 785,742	------------- 270,217	------------- 85,063	------------- 172,798	------------- 76,960	------------- 1,390,780	-------------
3ROBERT BEACHER CHIEF OF SHARED CLIN	(i) (ii)	------------- 601,546	------------- 195,966	------------- 163,382	------------- 117,278	------------- 102,531	------------- 1,180,703	-------------
4MARK WELTON MD CHIEF MEDICAL OFFICE	(i) (ii)	------------- 641,639	------------- 114,418	-------------	------------- 43,000	------------- 43,769	------------- 842,826	-------------
5TRUDI N TRYSLA CHIEF LEGAL COUNSEL	(i) (ii)	------------- 508,043	------------- 141,927	------------- 50,924	------------- 97,712	------------- 63,561	------------- 862,167	-------------
6LAURA REED RN CHIEF NURSING EXECUT	(i) (ii)	------------- 599,498	------------- 38,901	-------------	------------- 43,000	------------- 42,201	------------- 723,600	-------------
7CAROLYN JACOBSON CHIEF HUMAN RESOURCE	(i) (ii)	------------- 452,681	------------- 120,530	-------------	------------- 101,962	------------- 42,200	------------- 717,373	-------------
8ALISTAIR D JACQUES CIO - END 10-2018	(i) (ii)	------------- 402,283	------------- 139,252	------------- 2,458	------------- 98,048	------------- 42,051	------------- 684,092	-------------
9KATHRYN CORREIA CAO - END 5-2018	(i) (ii)	------------- 295,524	76,726 -------------	151,045 -------------	------------- 4,471	------------- 4,947	227,771 ------------- 304,942	27,666 -------------
10CATHERINE J BARR PRES-HE, END 3-2018	(i) (ii)	151,289 -------------	134,959 -------------	128,938 -------------	43,000 -------------	7,844 -------------	466,030 -------------	127,814 -------------
11M OSMAN AKHTAR COO - END 9-2018	(i) (ii)	------------- 615,779	------------- 137,298	-------------	------------- 41,076	------------- 15,249	------------- 809,402	-------------
12PETER H KELLY MD VP/EMD SURGICAL SERV	(i) (ii)	551,837 -------------	35,707 -------------	93,132 -------------	43,000 -------------	18,821 -------------	742,497 -------------	9,710 -------------
13JOHN KVASNICKA MD VP MEDICAL AFFAIRS	(i) (ii)	407,177 -------------	25,411 -------------	111,894 -------------	24,500 -------------	26,734 -------------	595,716 -------------	29,882 -------------
14ANNE PEARSON MD VP/EMD HE MED GROUP	(i) (ii)	396,282 -------------	26,070 -------------	77,678 -------------	37,000 -------------	26,688 -------------	563,718 -------------	-------------
15KARA L TOMLINSON VP/CHIEF CLINICAL QU	(i) (ii)	373,105 -------------	25,100 -------------	50,459 -------------	18,500 -------------	25,155 -------------	492,319 -------------	-------------
16BRIAN D AMDAHL MD VP/EMD PAC/MED SPEC	(i) (ii)	342,822 -------------	22,625 -------------	43,293 -------------	24,500 -------------	15,751 -------------	448,991 -------------	4,126 -------------
17KEVIN GARRETT MD FORMER EXECUTIVE	(i) (ii)	9,605 -------------	49,500 -------------	1,046,070 -------------	43,000 -------------	1,569 -------------	1,149,744 -------------	65,139 -------------

Schedule J (Form 990) 2018

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
SCHEDULE J, PAGE 1, PART I, LINE 4	DANIEL M. FROMM 0 129,798 0 ROBERT BEACHER 0 74,278 0 TRUDI N. TRYSLA 0 73,212 0 CAROLYN JACOBSON 0 58,962 0 ALISTAIR D. JACQUES 0 73,548 0 M. OSMAN AKHTAR 0 16,569 0 KEVIN GARRETT, MD 480,770 0 0

Schedule J (Form 990) 2018

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

Return Reference	Explanation
FORM 990, PAGE 2, PART III, LINE 4A	HEALTHEAST CARE SYSTEM IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. MANAGEMENT SERVICES PROVIDE CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. A MANAGEMENT FEE IS CHARGED TO EACH SUBSIDIARY FOR MANAGEMENT SERVICES. THESE SERVICES INCLUDE THE FOLLOWING: STRATEGIC PLANNING, TAX SERVICES, FINANCIAL ANALYSIS, PAYROLL, BUDGETING, ACCOUNTS RECEIVABLE, ACCOUNTS PAYABLE, COMMUNICATION, IT SERVICES, HEALTH CARE MANAGEMENT, QUALITY MANAGEMENT, CASH MANAGEMENT, RISK MANAGEMENT, REAL ESTATE, ACCOUNTING, MARKETING, SPIRITUAL CARE, CONTRACTING, LEGAL, PURCHASING, HUMAN RESOURCE AND EMPLOYEE BENEFITS SERVICES. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE TWIN CITIES EAST METRO RESIDENTS. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE SYSTEM THAT PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. IN 1986, THE LEADERS OF SEVEN HOSPITALS IN ST. PAUL, MINNESOTA BLENDED THEIR BAPTIST, ROMAN CATHOLIC AND LUTHERAN CULTURES TO BECOME HEALTHEAST CARE SYSTEM, UNITED IN PURSUIT OF A COMMON MISSION BUILT ON JUDEO-CHRISTIAN VALUES. HEALTHEAST CARE SYSTEM IS PART OF FAIRVIEW HEALTH SERVICES. FAIRVIEW HEALTH SERVICES IS AN AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; 10 COMMUNITY-BASED GENERAL ACUTE CARE HOSPITALS; 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 10 URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90 OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. IN JUNE 2017, FAIRVIEW WELCOMED THE HEALTHEAST CARE SYSTEM INTO THE FAIRVIEW FAMILY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW IS COMMITTED TO PARTICIPATING IN NATION-LEADING RESEARCH AND EDUCATING TOMORROW'S PHYSICIANS AND HEALTH CARE PROFESSIONALS. WE SERVE PATIENTS FROM ACROSS THE STATE OF MINNESOTA, THE UPPER MIDWEST AND BEYOND. IN ADDITION TO OUR EMPLOYED PHYSICIANS, WE WORK CLOSELY WITH THE ACADEMIC PHYSICIANS AT UNIVERSITY OF MINNESOTA PHYSICIANS AND WITH FAIRVIEW PHYSICIAN ASSOCIATES, A NETWORK OF INDEPENDENT PHYSICIANS. FAIRVIEW HAS ENJOYED A LONG PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS, WHICH IS REPRESENTED IN THE UNIVERSITY OF MINNESOTA HEALTH BRAND. IN 2018, WE EXTENDED OUR PARTNERSHIP, WITH WORK UNDERWAY TO BUILD AN ACADEMIC HEALTH SYSTEM FOCUSED ON PATIENT- CENTERED CARE, INNOVATION, AND CLINICAL EXCELLENCE. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; HOME CARE AND HOSPICE; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS, AND SERVICES FOR VARIOUS HEALTH ISSUES.
FORM 990, PAGE 2, PART III, LINE 4B	HEALTHEAST CARE SYSTEM PROVIDES POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY. THESE PATIENTS: HAVE CLINICAL NEEDS JUSTIFYING A HOSPITAL STAY BEYOND 20 DAYS. REQUIRE DAILY PHYSICIAN VISITS. NEED INTERDISIPLINARY SUPPORT AND MULTIPLE THERAPY DISCIPLINES. BETHESDA HOSPITAL OPENED IN ST. PAUL IN 1883. WITH 253 LICENSED BEDS, BETHESDA HOSPITAL IS THE LARGEST LONG-TERM ACUTE CARE HOSPITAL IN THE REGION, PROVIDING SPECIALIZED CARE FOR PATIENTS EXPERIENCING SUDDEN TRAUMA OR LONG-TERM ILLNESS. SERVICES ARE SPECIFICALLY DESIGNED TO TREAT PATIENTS WITH MULTIPLE MEDICAL CONDITIONS AND COMPLEX NEEDS, PARTICULARLY ONES THAT REQUIRE LONGER-TERM, HOSPITAL-LEVEL CARE WITH DAILY PHYSICIAN INVOLVEMENT. IN THESE UNIQUE CIRCUMSTANCES, BETHESDA HOSPITAL CARES FOR PATIENTS' PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL NEEDS. KEY SERVICES INCLUDE BRAIN INJURY, RESPIRATORY, AND COMPLEX MEDICAL CARE. BETHESDA HOSPITAL IS DIFFERENT FROM OTHER REHABILITATION FACILITIES BECAUSE: OUR FOCUS IS ON WORKING WITH PATIENTS REPRESENTING A HIGH LEVEL OF ACUITY, THOSE WHO ARE CHRONICALLY, CRITICALLY ILL WITH COMPLEX MEDICAL CO- MORBIDITIES; MANY COME TO US DIRECTLY FROM OTHER HOSPITALS' ICUS FOR CARE IN OUR SIGNATURE PROGRAMS. WE ARE COMMITTED TO INCLUDING FAMILIES AND CAREGIVERS IN THE CARE PLANNING AND RECOVERY PROCESS. WE HIGHLIGHT THE MIND, BODY AND SPIRIT CONNECTION. WE ARE DEDICATED TO INDIVIDUALIZED, INTERDISCIPLINARY MEDICAL CARE AND THERAPY PLANS. OUR SCOPE OF SERVICES INCLUDES: ALZHEIMER'S AND MEMORY LOSS CARE (COGNITIVE BEHAVIORAL DISORDERS) BRAIN INJURY SERVICES CAPISTRANT CENTER FOR PARKINSON'S DISEASE AND MOVEMENT DISORDERS COMPLEX MEDICAL CARE (INCLUDING ADVANCED WOUND CARE) CONCUSSION CLINIC MEDICAL BEHAVIORAL SERVICES RESPIRATORY CARE BETHESDA HOSPITAL IS CERTIFIED BY MEDICAID AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATION'S REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY.
FORM 990, PAGE 2, PART III, LINE 4C	HEALTHEAST CARE SYSTEM OFFERS EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT). A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION, THE ORGANIZATION CARES FOR COMMUNITY NEEDS BY PROVIDING: GROUND AMBULANCE SERVICES (ADVANCED AND BASIC LIFE SUPPORT AND CRITICAL CARE) EMERGENCY COMMUNICATIONS SERVICES FLEET MAINTENANCE SERVICES EMERGENCY VEHICLE CONVERSION SERVICES TRAINING AND EDUCATION THROUGH EMS ACADEMY SPECIAL EVENT MEDICAL STANDBYS PROGRAMS INCLUDING COMMUNITY PARAMEDICINE, COMMUNITY CPR AND CARE SEAT CHECKS. WHEELCHAIR TRANSPORTATION SERVICES (MEDKAB) HEALTHEAST CARE SYSTEM INTER-FACILITY COURIER SERVICES TACTICAL EMERGENCY MEDICAL SERVICES (TEMS) FOR HIGH-RISK SITUATIONS HEALTHEAST MEDICAL TRANSPORTATION HAS BEEN SERVING THE TWIN CITIES FOR MORE THAN 100 YEARS UNDER DIFFERENT COMPANY NAMES. OUR SERVICE BEGAN IN 1910 AS OLSEN AMBULANCE. IN 1986, WE BECAME HEALTHEAST MEDICAL TRANSPORTATION WHEN HEALTHEAST CARE SYSTEM WAS FORMED. TODAY WE PROVIDE WHEELCHAIR TRANSPORT, AND BASIC, ADVANCED AND CRITICAL CARE LIFE SUPPORT TRANSPORTATION THROUGHOUT THE TWIN CITIES. WE ARE ALSO PROUD TO PROVIDE 9-1-1 ADVANCED LIFE SUPPORT FOR NORTHERN DAKOTA COUNTY. REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY.
FORM 990, PAGE 2, PART III, LINE 4D	HEALTHEAST CARE SYSTEM PROVIDES PROFESSIONAL HOME HEALTH CARE PERSONNEL AND SERVICES THROUGH HEALTHEAST HOME CARE. THESE HEALTH CARE SERVICES ARE PROVIDED TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND OTHERS WITHIN THE COMMUNITY. HOME CARE SERVICES INVOLVE VISITS TO THE PATIENT'S HOME AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, INFUSION THERAPY, MEDICAL SOCIAL WORKER VISITS, HOME HEALTH AIDE VISITS AND IN-HOME EMERGENCY RESPONSE MONITORING SYSTEM. HOME CARE REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. NURSING CASE MANAGERS HAVE A BROAD RANGE OF NURSING EXPERIENCE, AND PROVIDE ASSESSMENTS, TEACHING AND SKILLED NURSING PROCEDURES. THE CASE MANAGER WORKS WITH DOCTORS, OTHER TEAM MEMBERS, AND CAREGIVERS TO DEVELOP A PLAN OF CARE. LABORATORY SPECIMENS CAN BE DRAWN OR COLLECTED AT HOME BY A NURSE AND DELIVERED TO A CERTIFIED LABORATORY FOR TESTING. HOME HEALTH AIDES PROVIDE HANDS-ON PERSONAL CARE. THIS MAY INCLUDE BATHING, ASSISTANCE WITH WALKING AND TRANSFERRING, MINOR DRESSING CHANGES AND CARE OF OSTOMIES, WOUNDS AND INCONTINENCE. HOME CARE PROVIDES EXTENSIVE REHABILITATION SERVICES FROM THEIR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY DEPARTMENTS. HOME INFUSION THERAPY/INTRAVENOUS (IV) MEDICATIONS CAN NOW BE SAFELY ADMINISTERED IN THE HOME. SPECIALLY TRAINED NURSES AND CLINICAL PHARMACISTS WORK WITH DOCTORS TO PROVIDE EFFECTIVE INFUSION THERAPIES. HIGH-RISK PREGNANCIES CAN BE MONITORED BY A HOME CARE NURSE IN THE COMFORT OF THE PATIENTS' HOME TO HELP PREVENT COMPLICATIONS AND EARLY DELIVERIES. HOME CARE ALSO PROVIDES POSTPARTUM SERVICES THAT ARE INDIVIDUALIZED HOME CARE SERVICES TO NEW PARENTS AND THEIR BABIES; THIS TYPICALLY INCLUDES A ONE-TIME VISIT TO ASSIST NEW PARENTS, ESPECIALLY THE MOTHER, AND NEWBORNS WITH THE ADJUSTMENT OF HAVING A NEW BABY IN THE HOME. THIS VISIT CAN INCLUDE LACTATION ASSISTANCE AND HYPERBILIRUBINEMIA (JAUNDICE) ASSESSMENT. IN ADDITION, WE OFFER SOCIAL WORK SERVICES TO ADDRESS AREAS INCLUDING CRISIS INTERVENTION AND NUTRITION THERAPY SERVICES FOR PATIENTS WITH SPECIAL MEDICAL NEEDS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. HEALTHEAST PALLIATIVE CARE PROVIDES HOME HEALTH CARE TO THOSE WITH ADVANCED CHRONIC ILLNESSES, SUCH AS CANCER, HEART, LUNG, LIVER OR NEUROLOGICAL DISEASE. AGGRESSIVE SYMPTOM MANAGEMENT IS PROVIDED ALONG WITH THE SUPPORT OF THE BODY, MIND AND SPIRIT. HEALTH ALERT IS AN IN-HOME EMERGENCY RESPONSE SYSTEM THAT ALLOWS CUSTOMERS TO LIVE INDEPENDENTLY IN THEIR HOME WITH DIRECT ACCESS TO EMERGENCY ASSISTANCE.
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 7B	THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER, CONTROLLER, AND VICE PRESIDENT AND TREASURER. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C	MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR.
FORM 990, PAGE 6, PART VI, LINE 15A	THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19	THIS ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT.
FORM 990, PART IX, LINE 11G	STND SERVCS - EXTERNAL VENDOR 4,990,184 0 0 STND SERVCS - EXTERNAL VENDOR 2,662,580 0 0 STND SERVCS - EXTERNAL VENDOR 454,186 0 0 STND SERVCS - EXTERNAL VENDOR 669,474 0 0 CORPORATE & OTHER SERVCIES 14,431,383 0 0 CORPORATE & OTHER SERVICES 608,979 0 0 CORPORATE & OTHER SERVICES 42,956 0 0 CORPORATE & OTHER SERVICES 12,001 0 0 INTERPRETER FEES 483,357 0 0 INTERPRETER FEES 124,237 0 0 INTERPRETER FEES 137,220 0 0 0 10,595,455 0 TOTAL 24,616,557 10,595,455 0
FORM 990, PART XI, LINE 9	DONATED CAPITAL 20,153 OTHER ADJUSTMENTS 1,198,213 CHANGE IN HEF ASSETS -13,106,474 TOTAL -11,888,108

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HEALTHEAST CARE SYSTEM

Employer identification number

36-3517697

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)D & T FACILITY MANAGEMENT COMPANY PO BOX 64624 ST PAUL,MN55164 41-1928275	MANAGEMENT	MN	501C3	12B	HEALTHEAST		No
(2)HEALTHEAST MEDICAL RESEARCH INSTITU PO BOX 64624 ST PAUL,MN55164 41-1765832	MEDICAL RE	MN	501C3	4	HEALTHEAST		No
(3)HEALTHEAST PROFESSIONAL SERVICES PO BOX 64624 ST PAUL,MN55164 26-1226617	PHYSICIAN	MN	501C3	11	HEALTHEAST		No
(4)HEALTHEAST ST JOHN'S HOSPITAL PO BOX 64624 ST PAUL,MN55164 41-1456897	HOSPITAL	MN	501C3	3	HEALTHEAST		No
(5)HEALTHEAST ST JOSEPH'S HOSPITAL PO BOX 64624 ST PAUL,MN55164 41-0693880	HOSPITAL	MN	501C3	3	HEALTHEAST		No
(6)FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-0991680	HOSPITAL	MN	501C3	3	NA N/A		No
(7)FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1573810	FUNDRAISIN	MN	501C3	1	FAIRVIEW		No
(8)FAIRVIEW HOME CARE AND HOSPICE 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1434246	HOME HEALT	MN	501C3	10	FAIRVIEW		No
(9)RANGE REGIONAL HEALTH SERVICES 750 EAST 34TH STREET HIBBING,MN55746 41-1293970	HOSPITAL	MN	501C3	3	FAIRVIEW		No
(10)EBENEZER SOCIETY 2701 PARK AVENUE MINNEAPOLIS,MN55407 41-0706141	NURSING	MN	501C3	10	N/A		No
(11)GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS,MN55744 41-1865874	HOSPITAL	MN	501C3	3	FAIRVIEW		No
(12)PREFERRED ONE 6105 GOLDEN HILLS DEIVE GOLDEN VALLEY,MN55416 41-1796007	INSURANCE	MN	501C4	12D	FAIRVIEW		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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
(1) MAPLEWOOD PROFESSIONAL BUILDING LIM 1655 BEAM AVENUE MAPLEWOOD,MN55109 41-1431847	RENTAL REA	MN	N/A				No			No
(2) HEALTHEAST SURGERY CENTER-MAPLEWOOD 1655 BEAM AVENUE MAPLEWOOD,MN55109 20-3349887	OUTPATIENT	MN	N/A				No			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) EAST METRO INSURANCE LTD 62 FORUM LANE 3RD FLOOR CAMANA BA GRAND CAYMAN KY1-1203 CJ 98-0417513	CAPTIVE IN	CJ	HEALTHEAST	C CORP				No
(2) HEALTHEAST DIVERSIFIED SERVICES IN PO BOX 64624 ST PAUL,MN55164 41-1388583	REFERENCE	MN	HEALTHEAST	C CORP				No

Schedule R (Form 990) 2018

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 .....................

Yes

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

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

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) ......................

Yes

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) ............................

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

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

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

Yes

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

Yes

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)	(d) Method of determining amount involved
(1) HEALTHEAST WOODWINDS HOSPITAL	S	FAIR MARKET VALUE
(2) HEALTHEAST WOODWINDS HOSPITAL	L	FAIR MARKET VALUE
(3) EAST METRO INSURACNE LTD	M	FAIR MARKET VALUE
(4) D & T FACILITY MANAGEMENT COMPANY	R	FAIR MARKET VALUE
(5) HEALTHEAST MAPLEWOOD SURGERY CENTER	L	FAIR MARKET VALUE
(6) HEALTHEAST MEDICAL RESEARCH INSTITU	L	FAIR MARKET VALUE
(7) HEALTHEAST MEDICAL RESEARCH INSTITU	M	FAIR MARKET VALUE
(8) HEALTHEAST MEDICAL RESEARCH INSTITU	R	FAIR MARKET VALUE
(9) HEALTHEAST DIVERSIFIED SERVICES IN	K	FAIR MARKET VALUE
(10) HEALTHEAST DIVERSIFIED SERVICES IN	S	FAIR MARKET VALUE
(11) HEALTHEAST DIVERSIFIED SERVICES IN	L	FAIR MARKET VALUE
(12) HEALTHEAST DIVERSIFIED SERVICES IN	M	FAIR MARKET VALUE
(13) HEALTHEAST DIVERSIFIED SERVICES IN	R	FAIR MARKET VALUE
(14) HEALTHEAST ST JOHN'S HOSPITAL	S	FAIR MARKET VALUE
(15) HEALTHEAST ST JOHN'S HOSPITAL	L	FAIR MARKET VALUE
(16) HEALTHEAST ST JOSEPH'S HOSPITAL	R	FAIR MARKET VALUE
(17) HEALTHEAST ST JOSEPH'S HOSPITAL	L	FAIR MARKET VALUE
(18) FAIRVIEW HEALTH SERVICES	P	FAIR MARKET VALUE
(19) FAIRVIEW HEALTH SERVICES	O	FAIR MARKET VALUE
(20) FAIRVIEW HEALTH SERVICES	L	FAIR MARKET VALUE
(21) FAIRVIEW HEALTH SERVICES	Q	FAIR MARKET VALUE

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES.
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	17
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	2,170
6	Total number of volunteers (estimate if necessary) .............	6	85
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,384,944
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	265,770	1,488,440
9	Program service revenue (Part VIII, line 2g) .........	89,942,928	257,651,565
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	16,180,012	706,207
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-27,830	1,863
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	106,360,880	259,848,075
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	824,640	261,250
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	53,160,537	159,160,965
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	27,976,735	97,493,483
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	81,961,912	256,915,698
19	Revenue less expenses. Subtract line 18 from line 12.......	24,398,968	2,932,377
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	237,471,351	210,676,249
21	Total liabilities (Part X, line 26).............	360,065,713	351,037,048
22	Net assets or fund balances. Subtract line 21 from line 20.....	-122,594,362	-140,360,799

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 68,703,199 including grants of $ 261,250 ) (Revenue $ )
	HEALTHEAST CARE SYSTEM IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. MANAGEMENT SERVICES PROVIDE CENTRALIZED SERVICES FOR ALL HEALTHEAST CARE SYSTEM SUBSIDIARIES. A MANAGEMENT FEE IS CHARGED TO EACH SUBSIDIARY FOR MANAGEMENT SERVICES. THESE SERVICES INCLUDE THE FOLLOWING: STRATEGIC PLANNING, TAX SERVICES, FINANCIAL ANALYSIS, PAYROLL, BUDGETING, ACCOUNTS RECEIVABLE, ACCOUNTS PAYABLE, COMMUNICATION, IT SERVICES, HEALTH CARE MANAGEMENT, QUALITY MANAGEMENT, CASH MANAGEMENT, RISK MANAGEMENT, REAL ESTATE, ACCOUNTING, MARKETING, SPIRITUAL CARE, CONTRACTING, LEGAL, PURCHASING, HUMAN RESOURCE AND EMPLOYEE BENEFITS SERVICES. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE TWIN CITIES EAST METRO RESIDENTS. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. HEALTHEAST CARE SYSTEM IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE SYSTEM THAT PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. IN 1986, THE LEADERS OF SEVEN HOSPITALS IN ST. PAUL, MINNESOTA BLENDED THEIR BAPTIST, ROMAN CATHOLIC AND LUTHERAN CULTURES TO BECOME HEALTHEAST CARE SYSTEM, UNITED IN PURSUIT OF A COMMON MISSION BUILT ON JUDEO-CHRISTIAN VALUES. HEALTHEAST CARE SYSTEM IS PART OF FAIRVIEW HEALTH SERVICES. FAIRVIEW HEALTH SERVICES IS AN AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; 10 COMMUNITY-BASED GENERAL ACUTE CARE HOSPITALS; 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 10 URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90 OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. IN JUNE 2017, FAIRVIEW WELCOMED THE HEALTHEAST CARE SYSTEM INTO THE FAIRVIEW FAMILY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW IS COMMITTED TO PARTICIPATING IN NATION-LEADING RESEARCH AND EDUCATING TOMORROW'S PHYSICIANS AND HEALTH CARE PROFESSIONALS. WE SERVE PATIENTS FROM ACROSS THE STATE OF MINNESOTA, THE UPPER MIDWEST AND BEYOND. IN ADDITION TO OUR EMPLOYED PHYSICIANS, WE WORK CLOSELY WITH THE ACADEMIC PHYSICIANS AT UNIVERSITY OF MINNESOTA PHYSICIANS AND WITH FAIRVIEW PHYSICIAN ASSOCIATES, A NETWORK OF INDEPENDENT PHYSICIANS. FAIRVIEW HAS ENJOYED A LONG PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS, WHICH IS REPRESENTED IN THE UNIVERSITY OF MINNESOTA HEALTH BRAND. IN 2018, WE EXTENDED OUR PARTNERSHIP, WITH WORK UNDERWAY TO BUILD AN ACADEMIC HEALTH SYSTEM FOCUSED ON PATIENT- CENTERED CARE, INNOVATION, AND CLINICAL EXCELLENCE. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; HOME CARE AND HOSPICE; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS, AND SERVICES FOR VARIOUS HEALTH ISSUES.

4b	(Code: ) (Expenses $ 70,088,372 including grants of $ ) (Revenue $ )
	HEALTHEAST CARE SYSTEM PROVIDES POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY. THESE PATIENTS: HAVE CLINICAL NEEDS JUSTIFYING A HOSPITAL STAY BEYOND 20 DAYS. REQUIRE DAILY PHYSICIAN VISITS. NEED INTERDISIPLINARY SUPPORT AND MULTIPLE THERAPY DISCIPLINES. BETHESDA HOSPITAL OPENED IN ST. PAUL IN 1883. WITH 253 LICENSED BEDS, BETHESDA HOSPITAL IS THE LARGEST LONG-TERM ACUTE CARE HOSPITAL IN THE REGION, PROVIDING SPECIALIZED CARE FOR PATIENTS EXPERIENCING SUDDEN TRAUMA OR LONG-TERM ILLNESS. SERVICES ARE SPECIFICALLY DESIGNED TO TREAT PATIENTS WITH MULTIPLE MEDICAL CONDITIONS AND COMPLEX NEEDS, PARTICULARLY ONES THAT REQUIRE LONGER-TERM, HOSPITAL-LEVEL CARE WITH DAILY PHYSICIAN INVOLVEMENT. IN THESE UNIQUE CIRCUMSTANCES, BETHESDA HOSPITAL CARES FOR PATIENTS' PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL NEEDS. KEY SERVICES INCLUDE BRAIN INJURY, RESPIRATORY, AND COMPLEX MEDICAL CARE. BETHESDA HOSPITAL IS DIFFERENT FROM OTHER REHABILITATION FACILITIES BECAUSE: OUR FOCUS IS ON WORKING WITH PATIENTS REPRESENTING A HIGH LEVEL OF ACUITY, THOSE WHO ARE CHRONICALLY, CRITICALLY ILL WITH COMPLEX MEDICAL CO- MORBIDITIES; MANY COME TO US DIRECTLY FROM OTHER HOSPITALS' ICUS FOR CARE IN OUR SIGNATURE PROGRAMS. WE ARE COMMITTED TO INCLUDING FAMILIES AND CAREGIVERS IN THE CARE PLANNING AND RECOVERY PROCESS. WE HIGHLIGHT THE MIND, BODY AND SPIRIT CONNECTION. WE ARE DEDICATED TO INDIVIDUALIZED, INTERDISCIPLINARY MEDICAL CARE AND THERAPY PLANS. OUR SCOPE OF SERVICES INCLUDES: ALZHEIMER'S AND MEMORY LOSS CARE (COGNITIVE BEHAVIORAL DISORDERS) BRAIN INJURY SERVICES CAPISTRANT CENTER FOR PARKINSON'S DISEASE AND MOVEMENT DISORDERS COMPLEX MEDICAL CARE (INCLUDING ADVANCED WOUND CARE) CONCUSSION CLINIC MEDICAL BEHAVIORAL SERVICES RESPIRATORY CARE BETHESDA HOSPITAL IS CERTIFIED BY MEDICAID AND ACCREDITED BY THE JOINT COMMISSION. THE ORGANIZATION'S REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY.

4c	(Code: ) (Expenses $ 15,593,744 including grants of $ ) (Revenue $ )
	HEALTHEAST CARE SYSTEM OFFERS EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT). A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION, THE ORGANIZATION CARES FOR COMMUNITY NEEDS BY PROVIDING: GROUND AMBULANCE SERVICES (ADVANCED AND BASIC LIFE SUPPORT AND CRITICAL CARE) EMERGENCY COMMUNICATIONS SERVICES FLEET MAINTENANCE SERVICES EMERGENCY VEHICLE CONVERSION SERVICES TRAINING AND EDUCATION THROUGH EMS ACADEMY SPECIAL EVENT MEDICAL STANDBYS PROGRAMS INCLUDING COMMUNITY PARAMEDICINE, COMMUNITY CPR AND CARE SEAT CHECKS. WHEELCHAIR TRANSPORTATION SERVICES (MEDKAB) HEALTHEAST CARE SYSTEM INTER-FACILITY COURIER SERVICES TACTICAL EMERGENCY MEDICAL SERVICES (TEMS) FOR HIGH-RISK SITUATIONS HEALTHEAST MEDICAL TRANSPORTATION HAS BEEN SERVING THE TWIN CITIES FOR MORE THAN 100 YEARS UNDER DIFFERENT COMPANY NAMES. OUR SERVICE BEGAN IN 1910 AS OLSEN AMBULANCE. IN 1986, WE BECAME HEALTHEAST MEDICAL TRANSPORTATION WHEN HEALTHEAST CARE SYSTEM WAS FORMED. TODAY WE PROVIDE WHEELCHAIR TRANSPORT, AND BASIC, ADVANCED AND CRITICAL CARE LIFE SUPPORT TRANSPORTATION THROUGHOUT THE TWIN CITIES. WE ARE ALSO PROUD TO PROVIDE 9-1-1 ADVANCED LIFE SUPPORT FOR NORTHERN DAKOTA COUNTY. REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY.

	(Code: ) (Expenses $ 10,173,809 including grants of $ ) (Revenue $ )
	HEALTHEAST CARE SYSTEM PROVIDES PROFESSIONAL HOME HEALTH CARE PERSONNEL AND SERVICES THROUGH HEALTHEAST HOME CARE. THESE HEALTH CARE SERVICES ARE PROVIDED TO MEET THE HEALTH CARE NEEDS OF THE ELDERLY AND OTHERS WITHIN THE COMMUNITY. HOME CARE SERVICES INVOLVE VISITS TO THE PATIENT'S HOME AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, INFUSION THERAPY, MEDICAL SOCIAL WORKER VISITS, HOME HEALTH AIDE VISITS AND IN-HOME EMERGENCY RESPONSE MONITORING SYSTEM. HOME CARE REVENUES INCLUDE PAYMENTS FROM THE MEDICARE AND MEDICAID PROGRAMS. ALL OF THESE SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF CARING FOR SICK, INFIRM, AGED AND INJURED PERSONS REGARDLESS OF THEIR RACE, COLOR, CREED, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, STATUS WITH REGARD TO PUBLIC ASSISTANCE, MEMBERSHIP OR ACTIVITY IN A LOCAL COMMISSION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE OR GENETIC INFORMATION. HEALTHEAST SEEKS TO BE A WELCOMING AND INCLUSIVE PROVIDER OF CARE PROVIDING OPTIMAL HEALTH AND WELL-BEING FOR OUR PATIENTS, OUR COMMUNITIES AND OURSELVES. THIS ORGANIZATION PROVIDES EMERGENCY AND MEDICALLY NECESSARY NON-EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY. NURSING CASE MANAGERS HAVE A BROAD RANGE OF NURSING EXPERIENCE, AND PROVIDE ASSESSMENTS, TEACHING AND SKILLED NURSING PROCEDURES. THE CASE MANAGER WORKS WITH DOCTORS, OTHER TEAM MEMBERS, AND CAREGIVERS TO DEVELOP A PLAN OF CARE. LABORATORY SPECIMENS CAN BE DRAWN OR COLLECTED AT HOME BY A NURSE AND DELIVERED TO A CERTIFIED LABORATORY FOR TESTING. HOME HEALTH AIDES PROVIDE HANDS-ON PERSONAL CARE. THIS MAY INCLUDE BATHING, ASSISTANCE WITH WALKING AND TRANSFERRING, MINOR DRESSING CHANGES AND CARE OF OSTOMIES, WOUNDS AND INCONTINENCE. HOME CARE PROVIDES EXTENSIVE REHABILITATION SERVICES FROM THEIR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY DEPARTMENTS. HOME INFUSION THERAPY/INTRAVENOUS (IV) MEDICATIONS CAN NOW BE SAFELY ADMINISTERED IN THE HOME. SPECIALLY TRAINED NURSES AND CLINICAL PHARMACISTS WORK WITH DOCTORS TO PROVIDE EFFECTIVE INFUSION THERAPIES. HIGH-RISK PREGNANCIES CAN BE MONITORED BY A HOME CARE NURSE IN THE COMFORT OF THE PATIENTS' HOME TO HELP PREVENT COMPLICATIONS AND EARLY DELIVERIES. HOME CARE ALSO PROVIDES POSTPARTUM SERVICES THAT ARE INDIVIDUALIZED HOME CARE SERVICES TO NEW PARENTS AND THEIR BABIES; THIS TYPICALLY INCLUDES A ONE-TIME VISIT TO ASSIST NEW PARENTS, ESPECIALLY THE MOTHER, AND NEWBORNS WITH THE ADJUSTMENT OF HAVING A NEW BABY IN THE HOME. THIS VISIT CAN INCLUDE LACTATION ASSISTANCE AND HYPERBILIRUBINEMIA (JAUNDICE) ASSESSMENT. IN ADDITION, WE OFFER SOCIAL WORK SERVICES TO ADDRESS AREAS INCLUDING CRISIS INTERVENTION AND NUTRITION THERAPY SERVICES FOR PATIENTS WITH SPECIAL MEDICAL NEEDS SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. HEALTHEAST PALLIATIVE CARE PROVIDES HOME HEALTH CARE TO THOSE WITH ADVANCED CHRONIC ILLNESSES, SUCH AS CANCER, HEART, LUNG, LIVER OR NEUROLOGICAL DISEASE. AGGRESSIVE SYMPTOM MANAGEMENT IS PROVIDED ALONG WITH THE SUPPORT OF THE BODY, MIND AND SPIRIT. HEALTH ALERT IS AN IN-HOME EMERGENCY RESPONSE SYSTEM THAT ALLOWS CUSTOMERS TO LIVE INDEPENDENTLY IN THEIR HOME WITH DIRECT ACCESS TO EMERGENCY ASSISTANCE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 10,173,809 including grants of $ ) (Revenue $ )
4e	Total program service expenses164,559,124

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,330,724	8,448,338	1,593,702

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,488,440
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		1,488,440

		Business Code
2a	MANAGEMENT SERVICES	561000	127,790,264	127,790,264
b	PATIENT REVENUE	621110	118,346,065	118,346,065
c	RELATED ENTITY SPACE RENTAL		5,751,808	5,751,808
d	MANAGEMENT SERVICES	561000	1,656,404		1,656,404
e	INVESTMENT IN ORG REVENUE		1,404,221	1,404,221
f	All other program service revenue.		2,702,803	1,975,174	727,629
g	Total. Add lines 2a–2f ....		257,651,565

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,576,616			2,576,616
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	1,863
b	Less: rental expenses
c	Rental income or (loss)	1,863
d	Net rental income or (loss)......			1,863	952	911
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	93,476	699,070
b	Less: cost or other basis and sales expenses	2,662,955
c	Gain or (loss)	-2,569,479	699,070
d	Net gain or (loss).....			-1,870,409			-1,870,409
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			259,848,075	255,268,484	2,384,944	706,207

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	261,250	261,250
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
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	124,654,621	73,700,521	50,954,100
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,413,739	7,304,518	109,221
9	Other employee benefits .......	18,498,441	18,170,750	327,691
10	Payroll taxes ...........	8,594,164	8,481,500	112,664
11	Fees for services (non-employees):
a	Management ......	431,826	315,707	116,119
b	Legal .........	4,050	4,050
c	Accounting ...........
d	Lobbying ...........	5,506	5,506
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	28,934		28,934
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	35,212,012	24,616,557	10,595,455
12	Advertising and promotion ....	58,540	15,877	42,663
13	Office expenses .......	18,339,876	2,434,444	15,905,432
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,054,481	7,775,154	279,327
17	Travel ............	1,201,952	946,397	255,555
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	345,355	210,751	134,604
20	Interest ...........	5,226,476	5,226,476
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,143,871	5,119,697	11,024,174
23	Insurance ...
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	5,608,792	5,168,256	440,536
b	UTILITIES & REPAIR	3,677,790	2,128,623	1,549,167
c	MEDICAL TAXES	1,769,769	1,769,476	293
d	NON MEDICAL SUPPLIES	711,631	526,963	184,668
e	All other expenses	672,622	376,651	295,971
25	Total functional expenses. Add lines 1 through 24e	256,915,698	164,559,124	92,356,574	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).

1	Cash–non-interest-bearing ........			1,666,905	1	2,214,658
2	Savings and temporary cash investments .........			32,577,024	2
3	Pledges and grants receivable, net ......			151,208	3
4	Accounts receivable, net .............			22,506,627	4	58,481,738
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 ....			3,334,677	7
8	Inventories for sale or use ........			219,132	8	952,479
9	Prepaid expenses and deferred charges ......			6,657,243	9	5,748,177
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	115,437,926
b	Less: accumulated depreciation	10b	24,644,296	109,687,034	10c	90,793,630
11	Investments—publicly traded securities .			20,598,967	11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			25,479,370	13	23,012,807
14	Intangible assets ...............			7,928,431	14	10,648,036
15	Other assets. See Part IV, line 11 ...........			6,664,733	15	18,824,724
16	Total assets. Add lines 1 through 15 (must equal line 34)...			237,471,351	16	210,676,249

17	Accounts payable and accrued expenses .....	321,024,172	17	54,206,593
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
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 ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24	273,973,419
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	39,041,541	25	22,857,036
26	Total liabilities. Add lines 17 through 25..	360,065,713	26	351,037,048

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-135,700,836	27	-140,360,799
28	Temporarily restricted net assets ...........	13,106,474	28
29	Permanently restricted net assets		29
	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 ...........	-122,594,362	33	-140,360,799
34	Total liabilities and net assets/fund balances ........	237,471,351	34	210,676,249