TY 2020 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	0.00 ................. 40.00	X	X			1,905,996	715,433
(2) LAURA REED RN...................................................................... COO	0.00 ................. 40.00		X			844,330	204,477
(3) ROBERT BEACHER...................................................................... CHIEF OF SHA	0.00 ................. 40.00		X			780,726	139,032
(4) DANIEL M FROMM...................................................................... FORMER CFO	0.00 ................. 40.00				X	769,600	111,548
(5) MARK WELTON MD...................................................................... CHIEF MEDICA	0.00 ................. 40.00		X			677,489	171,579
(6) JOHN BATSON...................................................................... CFO	0.00 ................. 40.00		X			788,660	56,778
(7) TRUDI N TRYSLA...................................................................... CHIEF LEGAL	0.00 ................. 40.00		X			614,974	176,005
(8) SAMEER BADLANI...................................................................... CIO	0.00 ................. 40.00		X			632,945	72,986
(9) SRIJOY MAHAPATRA...................................................................... CHF STRATEGY	0.00 ................. 40.00		X			633,360	70,354
(10) DAVID CROSBY...................................................................... CHF VALUE BA	0.00 ................. 40.00		X			580,889	58,946
(11) MARY NEASE...................................................................... CHIEF PEOPLE	0.00 ................. 40.00		X			575,298	58,752
(12) SCOTT WEBER...................................................................... CHF MRKTG CO	0.00 ................. 40.00		X			414,752	85,497
(13) LYUDMILA ISLYAMOVA MD...................................................................... PHYSICIAN	40.00 ................. 0.00			X		359,288	56,240
(14) BRYAN JARABEK...................................................................... CMIO	0.00 ................. 40.00		X			342,756	37,820
(15) JEFFREY HERICKHOFF MD...................................................................... PHYSICIAN	40.00 ................. 0.00			X		307,502	68,557
(16) SUSAN PLEASANTS...................................................................... CMIO	0.00 ................. 40.00		X			313,262	54,524
(17) IVAYLO KRASTEV MD...................................................................... PHYSICIAN	40.00 ................. 0.00			X		284,382	78,469

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(18) VIOREL GHEORGHE MD........................................................................ PHYSICIAN	40.00 .......................0.00			X	254,762	62,838
(19) JOSEPH LEE MD........................................................................ PHYSICIAN	40.00 .......................0.00			X	260,605	33,549
(20) RICH OSTLUND........................................................................ CHAIR	0.00 .......................2.00	X	X		35,000	0
(21) KAREN GRABOW........................................................................ SECRETARY	0.00 .......................2.00	X	X		25,000	0
(22) JOHN HEINMILLER........................................................................ DIRECTOR	0.00 .......................2.00	X			25,000	0
(23) ANN LOWRY MD........................................................................ VICE CHAIR	0.00 .......................2.00	X	X		25,000	0
(24) CAROL LEY MD........................................................................ DIRECTOR	0.00 .......................2.00	X			25,000	0
(25) BRAD WALLIN........................................................................ DIRECTOR	0.00 .......................2.00	X			25,000	0
(26) BARCLAY BERDAN........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(27) JULIE S CAUSEY........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(28) MICHAEL R CONNLY........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(29) RICH THOMPSON MD........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(30) JODI RICHARD........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(31) KENNETH ROERING........................................................................ DIRECTOR	0.00 .......................2.00	X			20,000	0
(32) TIMOTHY MARX........................................................................ DIRECTOR	0.00 .......................2.00	X			15,625	0
(33) BRIAN BURNETT........................................................................ DIRECTOR	0.00 .......................2.00	X			0	0
(34) JAKUB TOLAR MD........................................................................ VICE CHAIR	0.00 .......................0.00	X	X		0	0
(35) MELISSA GELLER MD........................................................................ DIRECTOR	0.00 .......................2.00	X			0	0
(36) BETSY L WERGIN........................................................................ DIRECTOR-END	0.00 .......................2.00	X			0	0

- 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 instructions and the latest information.

OMB No. 1545-0047

2020

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) 2020

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

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

2020

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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|No

(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

5,775

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

5,775

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 AND THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS. A PORTION OF THESE ANNUAL DUES ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES.

Schedule C (Form 990 or 990EZ) 2020

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 instructions and the latest information.

OMB No. 1545-0047

2020

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 FASB 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 FASB 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 FASB 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) 2020

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

Term 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 .....	2,000,000		2,000,000
b	Buildings ....	545,417	38,199	507,218
c	Leasehold improvements	83,957	23,142	60,815
d	Equipment ....	6,593,265	2,605,849	3,987,416
e	Other .....	463,182	251,310	211,872
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				6,767,321

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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	22,427,936	C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	22,427,936

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				13,553,302
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				13,553,302

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
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,084,211
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) 2020

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

FAIRVIEW RECOGNIZES ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED ON THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2020 OR 2019. FAIRVIEW HAS MADE REASONABLE ESTIMATES OF THE PROVISION FOR INCOME TAXES AND ON EXISTING DEFERRED TAX BALANCES BASED ON ACCOUNTING GUIDANCE INCLUDED IN ASC 740, INCOME TAXES. FAIRVIEW DOES NOT EXPECT THAT THERE WILL BE A SIGNIFICANT CHANGE IN THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS.

Schedule D (Form 990) 2020

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

2020

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? . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . .	645,180		645,180	0.990 %
b	Medicaid (from Worksheet 3, column a) . . . . .	6,883,244	4,575,754	2,307,490	3.550 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	7,528,424	4,575,754	2,952,670	4.540 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	169,089		169,089	0.260 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	174,277	134,664	39,613	0.060 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	343,366	134,664	208,702	0.320 %
k	Total. Add lines 7d and 7j .	7,871,790	4,710,418	3,161,372	4.860 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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 Healthcare 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. ......

1,397,480

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. ......

27,950

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).....

7,182,824

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

12,607,081

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

-5,424,257

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) 2020

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 45 10TH STREET WEST UNIT 4100 ST PAUL,MN55102 FAIRVIEW.ORG/LOCATIONS/M-HEALTH-FAIRVI	X

Schedule H (Form 990) 2020

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/M-HEALTH-FAIRVI

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): SEE SECTION C, LINE 7D

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) 2020

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):

SEE SECTION C, LINE 16J

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

SEE SECTION C, LINE 16J

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C, LINE 16J

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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, 20a, 20b, 20c, 20d, 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 PREVIOUS 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 15 HEALTH NEEDS IDENTIFIED IN THE HOSAPITAL COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ACCESS TO HEALTHCARE AND RESOURCES 3.HEALTHY EATING AND ACTIVE LIVING 4.SUICIDE 5.TRANSPORTATION 6.QUALITY AND CONSISTENCY OF CARE 7.CANCER 8.STROKE 9.CARE COORDINATION 10.COST ASSOCIATED WITH CARE THROUGH A VOTING PROCESS, THE HOSPITAL ADVISORY COUNCIL RECOMMENDED THE FOLLOWING AS BETHESDA HOSPITAL'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 3J	HEALTHEAST CARE SYSTEM IS PART OF M HEALTH FAIRVIEW, A COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, IS COMMITTED TO PROVIDING BREAKTHROUGH CARE AND PROMOTING HEALTH EQUITY THROUGH ACADEMIC AND COMMUNITY MEDICINE. AS AN ANCHOR INSTITUTION, AN ORGANIZATION ROOTED IN OUR COMMUNITY, THIS COMMITMENT REACHES OUT INTO THE COMMUNITY. IN 2020, OUR PLANNED COMMUNITY OUTREACH AND EDUCATION EFFORTS TO IMPROVE HEALTH AND WELLBEING WERE DISRUPTED BY THE COVID-19 PANDEMIC AND CIVIL UNREST. OUR TEAMS WORKED CLOSELY WITH LOCAL COMMUNITY PARTNERS TO RE- PRIORITIZE IN ORDER TO MEET THE EMERGING NEEDS OF OUR NEIGHBORS. THE FOCUS OF OUR HEALTH AND WELLBEING WORK EACH YEAR IS GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND IS CO-DESIGNED WITH THE COMMUNITIES WE SERVE. IN 2020, TO UNDERSTAND THE EMERGENT COMMUNITY HEALTH NEEDS AND ASSETS, WE LISTENED AND ENGAGED WITH COMMUNITY MEMBERS AND COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH SYSTEMS. THIS PROCESS HELPED US, IN ALIGNMENT WITH OUR PARTNERS, DIRECT OUR INVESTMENTS TO MAKE THE BIGGEST IMPACT. WE SWIFTLY ADAPTED OUR COMMUNITY BENEFIT ACTIVITIESCOMMUNITY-BASED PROGRAMS AND SERVICES, FINANCIAL ASSISTANCE, RESEARCH, AND HEALTH PROFESSIONS EDUCATIONTO MEET THE EVOLVING NEEDS OF OUR COMMUNITY. TOGETHER WITH OUR PARTNERS, WE FOUND NEW AND CREATIVE WAYS TO CONTINUE OUR EFFORTS TO IMPROVE HEALTH AND WELLBEING AND TO PROVIDE EQUITABLE CARE DURING A TIME WHEN INEQUITIES WERE EXACERBATED BY THE COVID-19 PANDEMIC. WE ALSO PARTNERED WITH ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH TO PROVIDE STAFFING, COORDINATION, AND OUTREACH FOR MOBILE COVID-19 TESTING SITES AND IN 2021 VACCINATION CLINICS. ALTHOUGH OUR PLANNED ACTIVITIES CHANGED DUE TO COVID-19, THEY REMAINED IN ALIGNMENT WITH THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIORITY HEALTH NEEDS ARE MENTAL HEALTH AND WELLBEING, HEALTHY LIFESTYLES, AND ACCESS TO CARE AND RESOURCES. OUR EFFORTS TARGETED THE AGING POPULATION, PEOPLE OF COLOR AND INDIGENOUS PEOPLE, AND PEOPLE EXPERIENCING POVERTY. SOME EXAMPLES OF M HEALTH FAIRVIEWS POSITIVE IMPACT ON THE COMMUNITY IN 2020. LOW-BARRIER COVID-19 TESTING WE HOSTED 48 FREE COVID-19 TESTING CLINICS FOR UNDERSERVED COMMUNITIES IN PARTNERSHIP WITH CULTURAL GROUPS AND COMMUNITY PARTNER ORGANIZATIONS, INCLUDING ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH. THE CLINICS SUPPORTED BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITIES AND PROVIDED 19,377 FREE, LOW-BARRIER TESTS IN COMMUNITY SETTINGS. FREE INFLUENZA VACCINE CLINICS INFLUENZA VACCINE CLINICS CONTINUED AS PLANNED IN 2020. OUR TEAMS GOT CREATIVE AND MOVED CLINICS OUTSIDE OR TO LARGER SPACES TO ALLOW FOR SOCIAL DISTANCING. DURING THE 2020-21 SEASON, 6,662 COMMUNITY MEMBERS WERE VACCINATED AT 105 CLINICS; 89 PERCENT OF VACCINE RECIPIENTS IDENTIFIED AS BIPOC. COVID-19 EDUCATION AND SUPPORT TO MINORITY COMMUNITIES CULTURAL BROKER SERVICES SHIFTED TO MEET THE EMERGENT NEEDS OF THE COMMUNITY, INCLUDING PROVIDING COVID-19 EDUCATION, SUPPORTING FAMILIES WITH RESOURCES TO REMAIN SHELTERED IN PLACE, DEBUNKING VACCINE MYTHS, CONNECTING INDIVIDUALS TO UNEMPLOYMENT RESOURCES, ASSISTING PEOPLE WITH RESOURCE NAVIGATION AND ADVOCACY, PROVIDING FOLLOW-UP AFTER COVID-19 PATIENTS ARE DISCHARGED, AND SEEKING OUT SOCIALLY ISOLATED INDIVIDUALS AND FAMILIES. THE CULTURAL BROKERS SERVED 1,573 COMMUNITY MEMBERS ON ST. PAULS EAST SIDE. EXPANDED ACCESS TO HEALTHCARE DESPITE COVID-19, WE MOVED FORWARD WITH EXPANSION PLANS AT HEALTH COMMONS CEDAR RIVERSIDE. OUR GOAL IS TO IMPROVE ACCESS FOR THE DIVERSE AND UNDERSERVED NEIGHBORHOOD BY PROVIDING FREE HEALTHCARE SERVICES THROUGH A FULL-TIME REGISTERED NURSE WHO REFLECTS THE COMMUNITY SHE IS SERVING. THERE WERE 5,926 VIRTUAL OR OUTDOOR VISITS TO HEALTH COMMONS CEDAR RIVERSIDE AND HEALTH COMMONS THE LIVING ROOM IN NORTH MINNEAPOLIS. FUNDING FOR COMMUNITY-BASED PARTNERS IMPACTED BY COVID-19 WE RESPONDED TO THE NEEDS OF OUR COMMUNITY-BASED PARTNER ORGANIZATIONS EXPERIENCING A SURGE IN DEMAND FOR THEIR SERVICES. THE FAIRVIEW FOUNDATION ESTABLISHED A COVID-19 COMMUNITY RESPONSE FUND AND DISTRIBUTED GRANTS TOTALING 290,000 TO 29 PARTNER ORGANIZATIONS. THE GRANTS DIRECTLY SUPPORTED OUR MOST VULNERABLE NEIGHBORS. FOOD FOR FRONTLINE HEALTHCARE WORKERS TO HELP OUR HEALTHCARE WORKERS CARING FOR PATIENTS ON THE FRONTLINE OF THE PANDEMIC, WE ESTABLISHED THE FEEDING THE FRONTLINES MINNESOTA FUND. THE FUND HELPED US DISTRIBUTE NUTRIENTDENSE, HEALTHY FOODS TO HEALTHCARE WORKERS DURING THEIR SHIFTS. WE WERE ABLE TO PROVIDE MORE THAN 20,000 MEALS AND NEARLY 9,600 SNACKS TO FRONTLINE HEALTHCARE WORKERS. VIRTUAL CLASSES TO SUPPORT HEALTH AND WELLBEING OUR HEALTH AND WELLBEING CLASSES QUICKLY MOVED TO A VIRTUAL FORMAT AND INCORPORATED COVID-19 EDUCATION. THE CLASSES INCLUDED MENTAL HEALTH AND STRESS RESILIENCE RESOURCES AND GRIEF SUPPORT SERVICES. OUR COMMUNITY PARTNERS WERE ESPECIALLY EXCITED TO OFFER THESE TO THEIR COMMUNITIES. 1,034 INDIVIDUALS ATTENDED HEALTH AND WELLBEING CLASSES AND 428 INDIVIDUALS RECEIVED TRAUMA INFORMED TRAINING OR MENTAL HEALTH FIRST AID. CARE NAVIGATION SUPPORT FOR UNDERSERVED COMMUNITIES OUR CULTURAL BROKERS PROVIDED CARE NAVIGATION SUPPORT TO HIGHER-RISK COVID-19 PATIENTS FROM OUR KAREN AND HMONG COMMUNITIES FOLLOWING HOSPITAL DISCHARGE.
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 HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/OUR-COMMUNITY- COMMITMENT/BETHESDA_CHNAANDCHIP.ASHX?LA=EN
FACILITY 1, HEALTHEAST BETHESDA HOSPITAL - PART V, LINE 11	COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED IN 2018. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY NEEDS IN THE LOCAL COMMUNITY. THE HOSPITALS AND/OR MEDICAL CENTERS IDENTIFIED THE FOLLOWING PRIORITY NEEDS FOR M HEALTH FAIRVIEW BETHESDA HOSPITAL: MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES, ACCESS TO CARE AND SERVICES. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES ALONG WITH A SYSTEM FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE TO ADDRESS THEIR IDENTIFIED PRIORITY NEEDS. EACH PROGRAM IS EVALUATED ON AN ANNUAL BASIS AGAINST PROGRAM SPECIFIC ANTICIPATED IMPACTS. AS PART OF THE EVALUATION PROCESS EACH PROGRAM INDICATOR IS ASSIGNED A VALUE OF "GREEN", "YELLOW- OR "RED" BASED UPON THE CRITERIA THAT FOLLOWS. A RATING OF "GREEN" MEANS THAT THE PROGRAM (A) MET, OR EXCEEDED, 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO BOTH GOAL/S AND ANTICIPATED IMPACT/S (C) THERE IS AN EVALUATION TOOL WITH MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "YELLOW" MEANS THAT THE PROGRAM (A) HAD PARTIAL COMPLETION OF 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO EITHER GOAL/S OR ANTICIPATED IMPACT/S BUT NOT BOTH (C)THERE IS AN EVALUATION TOOL WITHOUT MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "RED" MEANS THAT THE PROGRAM (A) DID NOT COMPLETE THE 2020 HOSPITAL GOAL/S WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) THERE WAS NO COUNT DATA (C) THERE WAS NO EVALUATION TOOL/S. POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE INITIATIVES OFTEN TAKE MULTIPLE YEARS TO PLAN AND IMPLEMENT. USING A CDC EVALUATION FRAMEWORK EACH PSE INITIATIVE IS MONITORED AND EVALUATED ANNUALLY AGAINST ANTICIPATED ACTIVITIES AND MILESTONES LINKED TO THE SIX CONNECTED PSE EVALUATION STEPS. THE SIX CONNECTED STEPS OF PSE CHANGE WE TRACKED FOR MONITORING AND EVALUATION PURPOSES ARE (1) ENGAGE STAKEHOLDERS, (2) DESCRIBE THE PROGRAM, (3) FOCUS THE EVALUATION DESIGN, (4) GATHER CREDIBLE EVIDENCE, (5) JUSTIFY CONCLUSIONS, AND (6) ENSURE USE AND SHARE LESSONS LEARNED. OUR 2020 EVALUATION OF THE PSE INITIATIVES NOTE THE SPECIFIC PSE STEP/S FOR THAT INITIATIVES BASED ON THE ACTIVITIES. IN 2020 WE ARE IDENTIFYING PSE INITIATIVE SPECIFIC METRICS RELATED TO EACH STEP TO DEEPEN OUR EVALUATION OF OUTCOMES IN FUTURE YEARS. ANY PROGRAMMATIC ANTICIPATED IMPACT THAT RECEIVED A RATING OF "YELLOW- OR "RED" HAS A CORRESPONDING BRIEF EXPLANATION AND 2020 ACTION PLAN. IN 2020 WE WILL CONTINUE REFINING THE RATING SYSTEM AND CORRESPONDING PROGRAMMATIC AND PSE EVALUATION AS PART OF OUR COMMITMENT TO CONTINUOUS PROCESS IMPROVEMENT. DETAILED RESULTS AND ACTION PLANS ON PROGRAM AND PSE INITIATIVES ARE AVAILABLE UPON REQUEST. PRIORITY: MENTAL HEALTH AND WELLBEING M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED CULTURAL BROKERS. EAST SIDE PARTNERS DESIGNED THE POSITION OF CULTURAL BROKER SERVING ST. PAUL'S EAST SIDE OF SAINT PAUL COMMUNITY TO BUILD STRESS RESILIENCE AND HOLISTIC WELL- BEING AMONG COMMUNITY MEMBERS. THE CULTURAL BROKER CO-NAVIGATES MAINSTREAM SYSTEMS WITH CLIENTS AND HELPS BRIDGE THOSE SYSTEMS WITHIN CULTURE, AS WELL AS LOCATES RESOURCES AND ADVOCATES FOR RESIDENTS' INTERESTS. THIS SUPPORT RESULTS IN IMPROVED ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH CARE AND OTHER RESOURCES THAT BUILD STRESS RESILIENCE OVER THE LONG TERM. THE 2020 ANTICIPATED IMPACT FOR THE CULTURAL BROKERS WAS AN INCREASE IN PARTICIPANTS' CONNECTEDNESS TO OTHERS IN THE COMMUNITY. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 100% OF PARTICIPANTS STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: I FEEL CONNECTED TO OTHERS IN THE COMMUNITY. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE EVIDENCE-BASED MENTAL HEALTH FIRST AID PROGRAM. THE PROGRAM INTRODUCES RISK FACTORS AND WARNING SIGNS OF COMMON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, BUILDS UNDERSTANDING OF THEIR IMPACT, AND REVIEWS SUPPORT OPTIONS. THE INTERACTIVE COURSE TEACHES PARTICIPANTS HOW TO OFFER INITIAL HELP TO AN INDIVIDUAL WHO MAY BE EXPERIENCING A MENTAL HEALTH CONCERN OR CRISIS AND CONNECT THEM TO THE APPROPRIATE RESOURCES. YOUTH MENTAL HEALTH FIRST AID IS THE SECOND CORE PROGRAM WHICH FOCUSES ON MENTAL HEALTH CONCERNS AMONG YOUTH AGES 12-18. THE 2020 ANTICIPATED IMPACT FOR THE MENTAL HEALTH FIRST AID PROGRAMS WAS AN INCREASE IN PARTICIPANTS' ABILITY TO RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: DUE TO COVID-19, CLASSES WERE PIVOTED TO VIRTUAL. ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL. SYSTEM OUTCOME: 42% INCREASE FROM PRE-SURVEY (55%) TO POST-SURVEY (97%) IN RESPONSE TO THE FOLLOWING: I STRONGLY AGREE OR AGREE THAT I CAN RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH, SUBSTANCE USE AND MENTAL ILLNESS AS I ENCOUNTER THEM. EVALUATION OF SURVEY RESULTS WAS ADJUSTED IN 2020, TO REFLECT A CHANGE, AS IN 2019 OUTCOMES WERE BASED ON POST-SURVEY ONLY. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE MOBILE SUBSTANCE USE DISORDER SUPPORT PROGRAM, SERVING ADULT RESIDENTS (18+) IN RAMSEY, DAKOTA AND WASHINGTON COUNTIES WHO HAVE SUBSTANCE USE ISSUES THROUGH MOBILE SUDS TEAM WHO ARE PROFESSIONAL PEER RECOVERY SPECIALISTS AND CLINICAL STAFF WHO COLLABORATE TO DEVELOP INDIVIDUAL RECOVERY PLANS. THE 2020 ANTICIPATED IMPACT FOR THE MOBILE SUBSTANCE USE DISORDER SUPPORT PROGRAM WAS AN INCREASE IN THE NUMBER OF ACTIVE PARTICIPANTS IN THE RECOVERY PROGRAM. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: THERE WAS AN INCREASE OF 24 ACTIVE PARTICIPANTS. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE EVIDENCE-BASED STRESS REDUCTION SUITE WHICH INCLUDED TWO PROGRAMS (1) FLOURISH A RESTORATIVE FOUR-WEEK SERIES, THAT LETS PARTICIPANTS EXPERIENCE A VARIETY OF MIND-BODY PRACTICES DESIGNED TO PROMOTE A SENSE OF CALM, JOY, CONNECTION, AND INNER STRENGTH. A FEW OF THE PRACTICES EXPLORED ARE MOVING MEDITATION, JOURNALING, GUIDED IMAGERY, AND MINDFULNESS. (2) RESILIENCY AND STRESS MANAGEMENT TRAINING SERIES A RESTORATIVE SIX-WEEK SERIES, BASED ON CENTER MIND BODY MEDICINE, 90-MINUTE SESSIONS. PARTICIPANTS EXPERIENCE A VARIETY OF MIND-BODY PRACTICES DESIGNED TO PROMOTE A SENSE OF CALM, JOY, CONNECTION, AND INNER STRENGTH. A FEW OF THE PRACTICES EXPLORED BY PARTICIPANTS INCLUDE MOVING MEDITATION, JOURNALING, GUIDED IMAGERY, AND MINDFULNESS. THIS MIND BODY SERIES IS A PROVEN METHOD TO REDUCE STRESS, INCREASE SELF-ESTEEM, AND IMPROVE A PERSON'S OVERALL QUALITY OF LIFE. THE 2020 ANTICIPATED IMPACT FOR THE STRESS REDUCTION SUITE WAS A DECREASE IN PARTICIPANTS' PERCEIVED STRESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: DUE TO COVID-19, CLASSES WERE PIVOTED TO VIRTUAL. ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL. SYSTEM OUTCOME: 1.28 POINTS DECREASE FROM PRE-PROGRAM-SURVEY TO POST- PROGRAM-SURVEY IN RESPONSE TO THE FOLLOWING METRIC: PARTICIPANTS' PERCEIVED STRESS. AVERAGE CHANGE (DECREASE) IN PARTICIPANTS' PERCEIVED STRESS ON A 10 POINT SCALE - THE HIGHER THE SCORE, THE MORE THE PERCEIVED STRESS. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED THE TRAUMA INFORMED CONGREGATIONS PROGRAM, THE IMPLEMENTATION OF THE RISKING CONNECTION IN FAITH COMMUNITIES CURRICULUM ACROSS FAITH COMMUNITIES. RISKING CONNECTION HELPS CLERGY UNDERSTAND THE NATURE OF TRAUMA, ITS IMPACT ON PEOPLE AND HOW FAITH LEADERS CAN SUPPORT AND BRING HEALING TO TRAUMA SURVIVORS. THE 2020 ANTICIPATED IMPACT FOR THE TRAUMA INFORMED CONGREGATIONS PROGRAM WAS AN INCREASE IN CLERGY/LEADER UNDERSTANDING OF THE IMPACT OF TRAUMA ON TRAUMA SURVIVORS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: ALL COMPONENTS OF A "GREEN" ASSIGNED IMPACT VALUE WERE MET, BUT EVALUATION PIECES WERE NOT IN PLACE TO TRACK OUTCOMES AT A HOSPITAL LEVEL SYSTEM OUTCOME: 100% OF PARTICIPANTS REPORTED THEY STRONGLY AGREE OR AGREE TO THE FOLLOWING: I UNDERSTAND THE CONCEPTS OF TRAUMA AND IMPACT TRAUMA CAN HAVE ON TRAUMA SURVIVORS. EVALUATION OF SURVEY RESULTS ADJUSTED IN 2020, AS THERE WAS NO PRE-SURVEY ADMINISTERED, ONLY A POST SURVEY WAS CONDUCTED. M HEALTH FAIRVIEW BETHESDA HOSPITAL OFFERED YOUTH GRIEF SERVICES SESSIONS AND CAMPS. YOUTH GRIEF SERVICES (YGS) PROVIDES A SAFE AND NURTURING PLACE WHERE FAMILIES CAN TURN FOR HELP AFTER A LOVED ONE DIES. YGS ASSISTS IN THE HEALING PROCESS THROUGH A NETWORK OF PROGRAMS AND SERVICES THAT SUPPORT, EDUCATE, AND CONNECT GRIEVING FAMILIES. THE 2020 ANTICIPATED IMPACT FOR YOUTH GRIEF SERVICES WAS AN INCREASE IN YOUTH PARTICIPANTS' KNOWLEDGE OF HEALTHY COPING STRATEGIES IN RESPONSE TO GRIEF. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE
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. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY-2020-FINAL-VERSION_EN.ASHX?LA=EN PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/FAIRVIEW-CHARITY-CARE HTTP://WWW.FVFILES.COM/2266.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/4454EN-FINANCIAL- ASSISTANCE-PLS-2020.ASHX?LA=EN

Schedule H (Form 990) 2020

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) 2020

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
SCHEDULE H, PART I, LINE 7G	THERE ARE NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN LINE 7G.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	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.
SCHEDULE H, PART I, LINE 7	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.
SCHEDULE H, PART II	EFFORTS TO ESTABLISH OR ENHANCE COMMUNITY SUPPORT NETWORKS, SUCH AS MENTORING PROGRAMS, YOUTH ASSET DEVELOPMENT, NEIGHBORHOOD WATCH GROUPS.
SCHEDULE H, PART III, LINE 2	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.
SCHEDULE H, PART III, LINE 3	THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
SCHEDULE H, PART III, LINE 4	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.
SCHEDULE H, PART III, LINE 8	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.
SCHEDULE H, PART III, LINE 9B	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.
SCHEDULE H, PART VI, LINE 2	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.
SCHEDULE H, PART VI, LINE 3	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."
SCHEDULE H, PART VI, LINE 4	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.
SCHEDULE H, PART VI, LINE 5	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.
SCHEDULE H, PART VI, LINE 6	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, PART VI, LINE 7	MINNESOTA

Schedule H (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

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 on 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 on 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 ............

Yes

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) 2020

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	(i) (ii)	------------- 1,655,996	------------- 250,000	-------------	------------- 675,788	------------- 39,645	------------- 2,621,429	-------------
2LAURA REED RN COO	(i) (ii)	------------- 844,330	-------------	-------------	------------- 160,422	------------- 44,055	------------- 1,048,807	-------------
3ROBERT BEACHER CHIEF OF SHARED CLIN	(i) (ii)	------------- 625,269	-------------	------------- 155,457	------------- 45,500	------------- 93,532	------------- 919,758	-------------
4DANIEL M FROMM FORMER CFO	(i) (ii)	-------------	-------------	------------- 769,600	-------------	------------- 111,548	------------- 881,148	-------------
5MARK WELTON MD CHIEF MEDICAL OFFICE	(i) (ii)	------------- 677,489	-------------	-------------	------------- 135,229	------------- 36,350	------------- 849,068	-------------
6JOHN BATSON CFO	(i) (ii)	------------- 788,486	-------------	------------- 174	------------- 19,500	------------- 37,278	------------- 845,438	-------------
7TRUDI N TRYSLA CHIEF LEGAL COUNSEL	(i) (ii)	------------- 525,478	-------------	------------- 89,496	------------- 100,980	------------- 75,025	------------- 790,979	-------------
8SAMEER BADLANI CIO	(i) (ii)	------------- 582,945	------------- 50,000	-------------	------------- 39,000	------------- 33,986	------------- 705,931	-------------
9SRIJOY MAHAPATRA CHF STRATEGY OFFICER	(i) (ii)	------------- 633,360	-------------	-------------	------------- 57,052	------------- 13,302	------------- 703,714	-------------
10DAVID CROSBY CHF VALUE BASED SOLU	(i) (ii)	------------- 580,889	-------------	-------------	------------- 26,000	------------- 32,946	------------- 639,835	-------------
11MARY NEASE CHIEF PEOPLE OFFICER	(i) (ii)	------------- 560,298	------------- 15,000	-------------	------------- 26,000	------------- 32,752	------------- 634,050	-------------
12SCOTT WEBER CHF MRKTG COMM & DIG	(i) (ii)	------------- 414,752	-------------	-------------	------------- 54,044	------------- 31,453	------------- 500,249	-------------
13LYUDMILA ISLYAMOVA MD PHYSICIAN	(i) (ii)	------------- 281,934	------------- 77,354	-------------	------------- 19,500	------------- 36,740	------------- 415,528	-------------
14BRYAN JARABEK CMIO	(i) (ii)	------------- 342,756	-------------	-------------	------------- 12,205	------------- 25,615	------------- 380,576	-------------
15JEFFREY HERICKHOFF MD PHYSICIAN	(i) (ii)	------------- 272,020	------------- 35,482	-------------	------------- 26,000	------------- 42,557	------------- 376,059	-------------
16SUSAN PLEASANTS CMIO	(i) (ii)	------------- 296,840	-------------	------------- 16,422	------------- 19,500	------------- 35,024	------------- 367,786	-------------
17IVAYLO KRASTEV MD PHYSICIAN	(i) (ii)	------------- 234,928	------------- 49,454	-------------	------------- 45,500	------------- 32,969	------------- 362,851	-------------
18VIOREL GHEORGHE MD PHYSICIAN	(i) (ii)	------------- 241,337	------------- 13,425	-------------	------------- 30,376	------------- 32,462	------------- 317,600	-------------
19JOSEPH LEE MD PHYSICIAN	(i) (ii)	------------- 169,457	------------- 85,343	------------- 5,805	------------- 10,365	------------- 23,184	------------- 294,154	-------------

Schedule J (Form 990) 2020

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	JAMES HEREFORD 0 630,288 0 LAURA REED, RN 0 114,922 0 ROBERT BEACHER 0 89,553 0 DANIEL M. FROMM 769,600 0 0 MARK WELTON, MD 0 95,721 0 TRUDI N. TRYSLA 0 74,980 0 SRIJOY MAHAPATRA 0 37,552 0 SCOTT WEBER 0 37,077 0
SCHEDULE J, PAGE 1, PART I, LINE 7	FAIRVIEW HEALTH SERVICES PROVIDES LUMP SUM FINANCIAL AWARDS BASED ON SYSTEM-WIDE, BUSINESS UNIT AND/OR DEPARTMENTS FINANCIAL AND QUALITY MEASURES. ANNUAL GOALS, SPECIFICALLY TIED TO PRODUCTIVITY AND QUALITY INDICATORS, ARE SET FOR THE YEAR AND AN INCENTIVE PAID OUT ANNUALLY IF KEY GOALS AND MEASURES ARE ACHIEVED.
SCHEDULE J, PART III	THE NONQUALIFIED PLAN IS ONLY OPEN TO A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES. THE PLAN CONTRIBUTES THE DIFFERENCE OF WHAT 403(B) EMPLOYER CONTRIBUTIONS WERE MISSED FOR PARTICIPANTS WHO EARN MORE THAN THE IRS LIMIT ON ELIGIBLE COMPENSATION FOR QUALIFIED RETIREMENT PLANS. THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE.

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2020

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 3	FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
FORM 990, PAGE 2, PART III, LINE 4A	HEALTHEAST CARE SYSTEM IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND PROVIDED POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY FOR MORE THAN A CENTURY. IN EARLY 2020, BETHESDA HOSPITAL BECAME MINNESOTA'S FIRST DEDICATED COVID- 19 TREATMENT FACILITY. IT PLAYED A CRITICAL ROLE IN THE STATE'S EARLY PANDEMIC RESPONSE AND ACHIEVED SOME OF THE HIGHEST SURVIVAL RATES IN THE NATION - AND EVEN THE WORLD - DURING THE EARLY DAYS OF THE PANDEMIC. ITS CARE TEAMS CREATED NEW CARE MODELS AND CONNECTED PATIENTS TO TREATMENT OPTIONS AND CLINICAL TRIALS SUPPORTED BY RESEARCHERS AT THE UNIVERSITY OF MINNESOTA. WHAT MADE CARE SUCCESSFUL WAS THE MODELS ESTABLISHED USING PROTOCOLS TO IDENTIFY PATIENT RISKS EARLY AND OFFER APPROPRIATE TREATMENTS. TREATMENT PROTOCOLS INITIALLY DEVELOPED AT BETHESDA ARE USED ACROSS THE FAIRVIEW HEALTH SYSTEM. IN DECEMBER 2020, A NEW MISSION TRANSFORMED BETHESDA HOSPITAL THAT IS CRITICAL TO OUR COMMUNITY'S COVID-19 RESPONSE - PROVIDING SHELTER TO 100 HOMELESS PEOPLE IN PARTNERSHIP WITH RAMSEY COUNTY. RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. ADEQUATE HOUSING IS CRITICAL TO IMPROVING OUR COMMUNITY'S HEALTH, AND NOW, IT'S ALSO CRITICAL TO PREVENTING THE SPREAD OF COVID-19 TOO. EVIDENCE SHOWS PEOPLE WITHOUT STABLE HOUSING EXPERIENCE HIGHER RATES OF DISEASE, ARE MORE LIKELY TO HAVE MULTIPLE HEALTH CONCERNS AND HAVE A LOWER LIFE EXPECTANCY THAN OTHERS IN THE SAME COMMUNITY. THESE HEALTH CHALLENGES, IN TURN, MAKE IT HARDER TO HOLD A JOB. AND DURING THE PANDEMIC, THEY'RE MORE LIKELY TO SUFFER POORER OUTCOMES IF THEY SHOULD CONTRACT COVID-19. AS BETHESDA EVOLVES, IT WILL CONTINUE TO PLAY A CRITICAL ROLE IN THE STATE'S COVID-19 RESPONSE - BUT IN A NEW WAY. SINCE THE PANDEMIC BEGAN, THE MEDICAL COMMUNITY HAS LEARNED A LOT ABOUT HOW TO TREAT THE ILLNESS AND INCREASE SURVIVAL RATES, AND THE MODELS CREATED AT BETHESDA ARE SAVING LIVES THROUGHOUT OUR HEALTH SYSTEM. THAT ALLOWS US THE OPPORTUNITY TO TRANSITION THE SITE TO A NEW PHASE OF SUPPORT. TOO OFTEN, IN TIMES OF CRISIS, THE MOST VULNERABLE IN OUR COMMUNITY ARE OVERLOOKED. TRUE TO ITS MISSION, THE NEW USE OF BETHESDA WILL ENSURE WE HELP THOSE MOST IN NEED AS WE AGGRESSIVELY RESPOND TO THE COVID-19 PANDEMIC. FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FAIRVIEW HEALTH SERVICES IS AN INDUSTRY-LEADING, 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. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC, STANDING UP THE STATE'S FIRST DEDICATED COVID-19 HOSPITAL AT ITS BETHESDA HOSPITAL FACILITY. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 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 WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. 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; 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. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. 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 OFFERED EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT) THROUGH APRIL 2020. ON MAY 1, 2020 THESE SERVICES ARE NOW BEING REPORTED ON THE FAIRVIEW HEATH SERVICES FORM 990. FOR THE SERVICES REFLECTED IN THIS RETURN, HEALTHEAST MEDICAL TRANSPORTATION CONTINUES TO BE A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION SERVICES. SERVICES PROVIDED TO MEET THE NEEDS OF THE COMMUNITY ARE: 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 4C	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, PART V	LINES 1A AND 2A: SECTION B: INDEPENDENT CONTRACTORS ALL FORM 1099'S AND FORM W-2'S WERE FILED BY A RELATED ORGANIZATION FAIRVIEW HEALTH SERVICES, A 501(C)(3) NON-PROFIT, TAX-EXEMPT ORGANIZATIONS.
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 VII	SECTION B: INDEPENDENT CONTRACTORS FORM 1099'S WERE FILED BY A RELATED ORGANIZATION FAIRVIEW HEALTH SERVICES, A 501(C)(3) NON-PROFIT, TAX-EXEMPT ORGANIZATIONS.
FORM 990, PART XI, LINE 9	PENSION PLAN -289,608

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
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- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2020

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	FAIRVIEW		No
(2)HEALTHEAST MEDICAL RESEARCH INSTITU PO BOX 64624 ST PAUL,MN55164 41-1765832	MEDICAL RE	MN	501C3	4	FAIRVIEW		No
(3)HEALTHEAST PROFESSIONAL SERVICES PO BOX 64624 ST PAUL,MN55164 26-1226617	PHYSICIAN	MN	501C3	11	FAIRVIEW		No
(4)HEALTHEAST ST JOHN'S HOSPITAL PO BOX 64624 ST PAUL,MN55164 41-1456897	HOSPITAL	MN	501C3	3	FAIRVIEW		No
(5)HEALTHEAST ST JOSEPH'S HOSPITAL PO BOX 64624 ST PAUL,MN55164 41-0693880	HOSPITAL	MN	501C3	3	FAIRVIEW		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	FAIRVIEW		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 COMMUNITY HEALTH PLAN 6105 GOLDEN HILLS DEIVE GOLDEN VALLEY,MN55416 41-1796007	INSURANCE	MN	501C4	12D	FAIRVIEW		No
(13)GRAND ITASCA FOUNDATION 1601 GOLD COURSE ROAD GRAND RAPIDS,MN55744 41-1560554	FOUNDATION	MN	501C3	12A	FAIRVIEW		No
(14)FAIRVIEW PHYSICIAN ASSOCIATES NETWO 3400 WEST 66TH STREET MINNEAPOLIS,MN55435 41-1753325	CLINICAL	MN	501C3	10	FAIRVIEW		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2020

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) HEALTHEAST SURGERY CENTER-MAPLEWOOD 1655 BEAM AVENUE MAPLEWOOD,MN55109 20-3349887	SURG CNTR	MN	N/A					No			No
(2) VADNAIS HEIGHTS SURGERY CENTER 3580 ARCADE ST SUITE 200 VADNAIS HEIGHTS,MN55127 37-1866891	SURG CNTR	MN	HEALTHEAST HEALTHEAST CARE SYSTEM	RELATED	1,264,587	3,180,619		No			No	20.000 %
(3) RIDGES SURGERY CENTER 14101 FAIRVIEW DRIVE STE 400 BURNSVILLE,MN55127 37-1866891	SURG CNTR	MN	N/A					No			No
(4) MAPLEWOOD IMAGING CENTER LLC 2355 HWY 36 SUITE 100 ROSEVILLE,MN55113 26-1379236	IMAGING	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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) HEALTHEAST DIVERSIFIED SERVICES IN PO BOX 64624 ST PAUL,MN55164 41-1388583	REFERENCE	MN	FAIRVIEW	C CORP	23,303,266	44,653,535	100.000 %		No
(2) FAIRVIEW CLINICS 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1761760	PHYSICIAN	MN	N/A						No
(3) FAIRVIEW EXPRESS CARE 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 20-5996177	PHYSICIAN	MN	N/A						No
(4) FAIRVIEW DEVELOPMENT COMPANY 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1568579	LEASEHOLD	MN	N/A						No
(5) FAIRVIEW CLINIC AND PHYSICIAN SERVI 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1544996	PHYSICIAN	MN	N/A						No
(6) FHS ASSURANCE LIMITED 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 98-0417513	SELF INSUR	MN	N/A						No

Schedule R (Form 990) 2020

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

Yes

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

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	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	76
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	16,564
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	255,000	4,887,934
9	Program service revenue (Part VIII, line 2g) .........	109,575,400	60,062,767
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	65,412	4,377,040
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)		0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	109,895,812	69,327,741
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
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)	78,806,382	44,604,941
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)....	39,539,484	20,382,675
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	118,345,866	64,987,616
19	Revenue less expenses. Subtract line 18 from line 12.......	-8,450,054	4,340,125
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	88,780,671	56,564,733
21	Total liabilities (Part X, line 26).............	237,740,125	201,473,670
22	Net assets or fund balances. Subtract line 21 from line 20.....	-148,959,454	-144,908,937

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 28,097,023 including grants of $ ) (Revenue $ 26,071,760 )
	HEALTHEAST CARE SYSTEM IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND PROVIDED POST-ACUTE CARE TO PATIENTS AT HEALTHEAST BETHESDA HOSPITAL FOLLOWING A CATASTROPHIC ILLNESS OR INJURY FOR MORE THAN A CENTURY. IN EARLY 2020, BETHESDA HOSPITAL BECAME MINNESOTA'S FIRST DEDICATED COVID- 19 TREATMENT FACILITY. IT PLAYED A CRITICAL ROLE IN THE STATE'S EARLY PANDEMIC RESPONSE AND ACHIEVED SOME OF THE HIGHEST SURVIVAL RATES IN THE NATION - AND EVEN THE WORLD - DURING THE EARLY DAYS OF THE PANDEMIC. ITS CARE TEAMS CREATED NEW CARE MODELS AND CONNECTED PATIENTS TO TREATMENT OPTIONS AND CLINICAL TRIALS SUPPORTED BY RESEARCHERS AT THE UNIVERSITY OF MINNESOTA. WHAT MADE CARE SUCCESSFUL WAS THE MODELS ESTABLISHED USING PROTOCOLS TO IDENTIFY PATIENT RISKS EARLY AND OFFER APPROPRIATE TREATMENTS. TREATMENT PROTOCOLS INITIALLY DEVELOPED AT BETHESDA ARE USED ACROSS THE FAIRVIEW HEALTH SYSTEM. IN DECEMBER 2020, A NEW MISSION TRANSFORMED BETHESDA HOSPITAL THAT IS CRITICAL TO OUR COMMUNITY'S COVID-19 RESPONSE - PROVIDING SHELTER TO 100 HOMELESS PEOPLE IN PARTNERSHIP WITH RAMSEY COUNTY. RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. ADEQUATE HOUSING IS CRITICAL TO IMPROVING OUR COMMUNITY'S HEALTH, AND NOW, IT'S ALSO CRITICAL TO PREVENTING THE SPREAD OF COVID-19 TOO. EVIDENCE SHOWS PEOPLE WITHOUT STABLE HOUSING EXPERIENCE HIGHER RATES OF DISEASE, ARE MORE LIKELY TO HAVE MULTIPLE HEALTH CONCERNS AND HAVE A LOWER LIFE EXPECTANCY THAN OTHERS IN THE SAME COMMUNITY. THESE HEALTH CHALLENGES, IN TURN, MAKE IT HARDER TO HOLD A JOB. AND DURING THE PANDEMIC, THEY'RE MORE LIKELY TO SUFFER POORER OUTCOMES IF THEY SHOULD CONTRACT COVID-19. AS BETHESDA EVOLVES, IT WILL CONTINUE TO PLAY A CRITICAL ROLE IN THE STATE'S COVID-19 RESPONSE - BUT IN A NEW WAY. SINCE THE PANDEMIC BEGAN, THE MEDICAL COMMUNITY HAS LEARNED A LOT ABOUT HOW TO TREAT THE ILLNESS AND INCREASE SURVIVAL RATES, AND THE MODELS CREATED AT BETHESDA ARE SAVING LIVES THROUGHOUT OUR HEALTH SYSTEM. THAT ALLOWS US THE OPPORTUNITY TO TRANSITION THE SITE TO A NEW PHASE OF SUPPORT. TOO OFTEN, IN TIMES OF CRISIS, THE MOST VULNERABLE IN OUR COMMUNITY ARE OVERLOOKED. TRUE TO ITS MISSION, THE NEW USE OF BETHESDA WILL ENSURE WE HELP THOSE MOST IN NEED AS WE AGGRESSIVELY RESPOND TO THE COVID-19 PANDEMIC. FOR MORE THAN A CENTURY, BETHESDA HOSPITAL HAS FOCUSED ON THE COMMUNITY'S MOST PRESSING HEALTH NEEDS AND BECOME WELL KNOWN FOR PROVIDING CARE EVENT TO THOSE WHO COULDN'T PAY. THE HOSPITAL MOVED SEVERAL TIMES BEFORE IT WAS RELOCATED TO ITS CURRENT SITE IN 1932. BUT IT DIDN'T STOP EVOLVING. ITS NURSING SCHOOL TRAINED UNITS TO SERVE IN WORLD WAR II. IT PLAYED A PIVOTAL ROLE IN THE DEVELOPMENT OF THE PACEMAKER WHEN DR. SAMUEL HUNTER IMPLANTED THE FIRST PERMANENT LEADS INTO A PATIENT'S HEART AT THE HOSPITAL IN 1959. IN 1963, BETHESDA ESTABLISHED THE CITY'S FIRST DIALYSIS UNIT. AND IN 1989, IT BECAME A LONG-TERM ACUTE CARE FACILITY, OR LTACH, TO SERVE PATIENTS WITH COMPLEX MEDICAL NEEDS THAT REQUIRED LONGER STAYS. NOW, OUR COMMUNITY'S NEEDS ARE EVOLVING ONCE AGAIN. AND JUST AS WE HAVE ALWAYS DONE, WE WILL TRANSFORM BETHESDA TO MEET THE MOST PRESSING HEALTH NEEDS OF OUR COMMUNITY. TODAY, THAT MEANS SUPPORTING OUR COMMUNITY'S RESPONSE TO THE HOMELESSNESS CRISIS. AT BETHESDA, WE HAVE AN OPPORTUNITY TO SERVE UP TO 100 PEOPLE EXPERIENCING HOMELESSNESS DURING THE PANDEMIC. THERE, RESIDENTS WILL HAVE PRIVATE ROOMS, MEALS, BATHROOM AND SHOWER FACILITIES. RAMSEY COUNTY WILL COORDINATE MENTAL HEALTH CARE AND CHEMICAL ABUSE TREATMENT ON SITE, AS WELL AS A VARIETY OF SOCIAL SERVICES SUCH AS EMPLOYMENT ASSISTANCE. AND THOSE WITH SYMPTOMS OF COVID-19 WILL HAVE ACCESS TO TREATMENT AND THE ABILITY TO ISOLATE FROM OTHER RESIDENTS IN A SEPARATE AREA OF THE BUILDING. BY THE END OF 2020, MOST EXISTING HOSPITAL SERVICES AT BETHESDA MOVED TO OTHER HOSPITAL LOCATIONS IN OUR SYSTEM, INCLUDING OUR HIGHLY RECOGNIZED COVID 19 CARE CENTER, WHICH HAS A NEW HOME AT ST. JOSEPH'S HOSPITAL. THOUGH WE ARE WORKING TO TRANSITION MANY STAFF TO OTHER POSITIONS AND LOCATIONS, OUR LONG-TERM ACUTE CARE FACILITY, OR LTACH, REMAINS NEEDED SERVICE WITHIN OUR COMMUNITY. THE LTACH WAS MOVED AND DURING 2020 TO A NEW LOCATION AND CONTINUES ITS INPATIENT BED COUNT AND THE SPECIALTY NATURE OF THE CARE PROVIDED THERE. WE EXPECT THAT MEDICARE AND MEDICAID PATIENTS WILL CONTINUE TO MAKE UP THE BULK OF BETHESDA HOSPITAL'S TOTAL PATIENTS AND THAT BETHESDA WILL CONTINUE TO OFFER CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FAIRVIEW HEALTH SERVICES IS AN INDUSTRY-LEADING, 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. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC, STANDING UP THE STATE'S FIRST DEDICATED COVID-19 HOSPITAL AT ITS BETHESDA HOSPITAL FACILITY. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; 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 WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. 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; 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. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. 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 $ 17,863,533 including grants of $ ) (Revenue $ 27,025,069 )
	HEALTHEAST CARE SYSTEM OFFERED EMERGENCY MEDICAL SERVICES THROUGH HEALTHEAST MEDICAL TRANSPORTATION (HEMT) THROUGH APRIL 2020. ON MAY 1, 2020 THESE SERVICES ARE NOW BEING REPORTED ON THE FAIRVIEW HEATH SERVICES FORM 990. FOR THE SERVICES REFLECTED IN THIS RETURN, HEALTHEAST MEDICAL TRANSPORTATION CONTINUES TO BE A TWIN CITIES LEADER IN EMERGENCY AND SCHEDULED TRANSPORTATION SERVICES. SERVICES PROVIDED TO MEET THE NEEDS OF THE COMMUNITY ARE: 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.

4c	(Code: ) (Expenses $ 6,999,876 including grants of $ ) (Revenue $ 6,965,938 )
	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 $ including grants of $ ) (Revenue $ )
4e	Total program service expenses52,960,432

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,637,201	2,313,384

(A) Name and business address	(B) Description of services	(C) Compensation





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

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	4,887,934

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,887,934

		Business Code
2a	PATIENT REVENUE	621110	57,858,190	57,858,190
b	INVESTMENT IN ORG REVENUE	900099	1,639,089	1,639,089
c	RELATED ENTITY SPACE RENTAL	900099	317,863	317,863
d	CAFETERIA REVENUE	812930	169,986	169,986
e	PARKING REVENUE	722514	61,075	61,075
f	All other program service revenue.		16,564		16,564
g	Total. Add lines 2a–2f .....		60,062,767

3 Investment income (including dividends, interest, and othersimilar amounts) ......			33,691			33,691
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	5,738,481		7a
b	Less: cost or other basis and sales expenses	1,395,132		7b
c	Gain or (loss)	4,343,349		7c
d	Net gain or (loss).........			4,343,349			4,343,349
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
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.....			69,327,741	60,046,203	16,564	4,377,040

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
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, lines 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........	35,923,390	34,050,040	1,873,350
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,634,382	1,570,154	64,228
9	Other employee benefits .......	5,003,920	4,704,252	299,668
10	Payroll taxes ...........	2,043,249	1,911,724	131,525
11	Fees for services (non-employees):
a	Management ......	127,056	80,045	47,011
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	5,775	5,775
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,702,371	1,559,694	142,677
12	Advertising and promotion ....	1,300		1,300
13	Office expenses .......	547,257	317,223	230,034
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,950,996	1,933,142	17,854
17	Travel ............	624,923	614,393	10,530
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	58,861	55,193	3,668
20	Interest ...........	306,218	306,218
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,305,175	1,297,977	7,198
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	MANAGEMENT FEES	8,741,967		8,741,967
b	MEDICAL SUPPLIES	2,795,541	2,722,881	72,660
c	UTILITIES & REPAIR	868,342	567,558	300,784
d	MEDICAL TAXES	637,762	637,762
e	All other expenses	709,131	626,401	82,730
25	Total functional expenses. Add lines 1 through 24e	64,987,616	52,960,432	12,027,184	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
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			24,622,456	4	12,090,925
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			496,400	8	256,080
9	Prepaid expenses and deferred charges ......			2,440,403	9	1,469,169
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	9,685,821
b	Less: accumulated depreciation	10b	2,918,500	7,950,660	10c	6,767,321
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			21,984,801	13	22,427,936
14	Intangible assets ...............			10,433,331	14
15	Other assets. See Part IV, line 11 ...........			20,852,620	15	13,553,302
16	Total assets. Add lines 1 through 15 (must equal line 33)...			88,780,671	16	56,564,733

17	Accounts payable and accrued expenses .....	21,833,331	17	1,660,311
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	194,460,800	24	195,729,148
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	21,445,994	25	4,084,211
26	Total liabilities. Add lines 17 through 25..	237,740,125	26	201,473,670

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-148,959,454	27	-144,908,937
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-148,959,454	32	-144,908,937
33	Total liabilities and net assets/fund balances ........	88,780,671	33	56,564,733