4A (Expenses $ 23559287 including grants of $ 0) (Revenue $ 23097500)
HOSPITAL SERVICES PROVIDED FOR THE ELY COMMUNITY AND SURROUNDING AREA. ELY-BLOOMENSON COMMUNITY HOSPITAL (EBCH), RECOGNIZED BY THE FEDERAL & STATE OF MINNESOTA GOVERNMENTS AS A CRITICAL ACCESS HOSPITAL, IS THE ONLY LOCAL HEALTHCARE CENTER SERVING ELY AND SURROUNDING COMMUNITIES BORDERING THE VAST ACREAGE OF BOUNDARY WATERS CANOE AREA WILDERNESS. UNDER ORIGINAL FEDERAL RULES EBCH WOULD HAVE BEEN ONLY ONE OUT OF SEVEN HOSPITALS IN MINNESOTA THAT WOULD HAVE QUALIFIED FOR CRITICAL ACCESS HOSPITAL STATUS. THE HOSPITAL BOASTS: IN AND OUTPATIENT HOSPITAL NURSING SERVICE, IN-HOUSE LABORATORY, AN ON-SITE RETAIL PHARMACY, PHYSICAL AND OCCUPATIONAL THERAPY, CHEMOTHERAPY, A FULLY-STAFFED 24-7 RADIOLOGY DEPARTMENT, A PROFESSIONAL ANESTHESIA TEAM, SWING BED CARE FOR PATIENTS WHO NO LONGER REQUIRE ACUTE CARE HOSPITALIZATION, AND A 24-7 EMERGENCY ROOM. DURING THE FY2022 EBCH PERFORMED 483 SURGICAL PROCEDURES, 64,848 LABORATORY TESTS, 7,022 RADIOLOGICAL EXAMS, AND 3,403 EMERGENCY ROOM VISITS. IN ADDITION, 239 PEOPLE WERE ADMITTED FOR INPATIENT CARE. 1064 DAYS OF CARE WERE PROVIDED, 8,388 OUTPATIENTS WERE SEEN, AND 16,245 MODALITIES WERE PERFORMED IN OT AND PT.

ELY-BLOOMENSON COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5: EBCH PROVIDED RHI WITH A COUNT OF INPATIENT ADMISSIONS BY ZIP CODE FROM THE PREVIOUS YEAR. ZIP CODES WITH THE GREATEST NUMBER OF ADMISSIONS AND UTILIZATION WERE STRATIFIED IN THE INITIAL SAMPLE SELECTION. EACH AREA WOULD BE REPRESENTED IN THE SAMPLING PROPORTIONATELY TO BOTH THE OVERALL SERVED POPULATION AND THE NUMBER OF PAST ADMISSIONS OR UTILIZATION. EIGHT HUNDRED ADDRESSES REPRESENTING THE SAMPLE AREA WERE SELECTED RANDOMLY FROM PRIMENET DATA SOURCE, A MARKETING ORGANIZATION. ALTHOUGH THE SURVEY SAMPLES WERE PROPORTIONATELY SELECTED, ACTUAL SURVEYS RETURNED FROM EACH POPULATION AREA VARIED. THIS MAY RESULT IN SLIGHTLY LESS PROPORTIONAL RESULTS. THE CHNA, A COVER LETTER ON EBCH'S LETTERHEAD, AND A POSTAGE PAID REPLY ENVELOPE WERE MAILED FIRST CLASS TO 800 RANDOMLY SELECTED RESIDENTS IN THE TARGETED REGION (SEVEN ZIP CODES). EBCH ANNOUNCED THE CHNA SURVEY IN A PRESS RELEASE IN THE ELY ECHO AND THE TIMBERJAY NEWSPAPERS THE WEEK OF OCTOBER 25, 2021. THE INFORMATION RAN IN THE TIMBERJAY ON OCTOBER 29, 2021, AND THE ELY ECHO ON OCTOBER 30, 2021. EBCH ALSO PROMOTED THE SURVEY ON SOCIAL MEDIA AND THE LOCAL RADIO STATION WELY.

ELY-BLOOMENSON COMMUNITY HOSPITAL
PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS IN ITS MOST RECENTLY CONDUCTED CHNA: 1. ACCESS TO DENTAL SERVICES2. ACCESS TO CHILDCARE3. ACCESS TO SPECIALISTS4. DENTAL CARE5. AVAILABILITY OF SERVICES/ PROVIDERS6. MENTAL HEALTH SERVICESELY-BLOOMENSON COMMUNITY HOSPITAL (EBCH) AND ITS BOARD OF DIRECTORS IDENTIFIED THE FOLLOWING THREE SIGNIFICANT NEEDS. THE HOSPITAL IS ADDRESSING ALL OF THE SIGNIFICANT NEEDS IN SOME CAPACITY: 1.) INCREASE IN ACCESS TO SPECIALTY SERVICES2.) INCREASE IN COMMUNITY AWARENESS AND EDUCATION3.) INCREASE IN ACCESS TO CHILDCARESOME OF THE ONGOING COMMUNITY BENEFIT ACTIVITIES THAT EBCH IS PARTICIPATING IN FOR EACH OF THE SIGNIFICANT NEEDS INCLUDE: 1. WE CONTINUE TO WORK WITH OTHER HEALTHCARE PARTNERS TO INCREASE THE AVAILABILITY OF SERVICES AND PROVIDERS AT EBCH. EBCH HAS THE FOLLOWING SPECIALTIES: PODIATRY, ORTHOPEDICS, GENERAL SURGERY AND GASTROENTEROLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, INFUSIONS, AND CARDIAC REHAB. CURRENTLY EBCH IS EXPLORING ADDING ADDITIONAL SPECIALTIES WITH LIMITED FINANCIAL RESOURCES.2. INCREASE IN ACCESS TO SPECIALTY SERVICES WAS IDENTIFIED BY THE BOARD OF DIRECTORS AND THE CHNA AS A SIGNIFICANT NEED. WE PROVIDE ONGOING PRINT AND RADIO ADS ADVERTISING THESE SPECIALTY SERVICES AND WHAT THEY CAN DO FOR THE COMMUNITY. EBCH HAS INCREASED ITS SOCIAL MEDIA PRESENCE REGARDING HEALTH TOPICS WITHIN THE COMMUNITY THROUGH ITS PARTNERSHIP WITH LEGATO, A MARKETING COMPANY. EBCH ALSO CREATED MARKETING MATERIALS TO GIVE TO LARGE EMPLOYERS IN THE AREA. 3. THE CEO, PATTI BANKS, DURING TAX YEAR 2021, JOINED THE BOARD OF THE ELY AREA COMMUNITY FOUNDATION THAT IS WORKING ON A PROJECT TO PROVIDE AN AFFORDABLE BUILDING SPACE FOR A LOCAL DAY CARE FACILITY. EBCH IS IN THE PLANNING STAGE TO DETERMINE THE BEST WAY TO PROVIDE CHILDCARE SERVICES TO THE COMMUNITY WITH LIMITED FINANCIAL RESOURCES.4. THE CHNA NOTES THAT THERE IS A GAP IN MENTAL HEALTH CARE SERVICES; WE CONTINUE TO PARTNER WITH MANY LOCAL ORGANIZATIONS SUCH AS BEHAVIORAL HEALTH NETWORK AND EPARC TO BRING AWARENESS TO MENTAL HEALTH AND ASSOCIATED SUBSTANCE ABUSE. EBCH IS ALSO PARTICIPATING IN THE MN PATH TO VALUES AND IS PART OF THE MENTAL HEALTH COMMUNITY CARE TEAM. EBCH IS DETERMINING THE BEST WAY TO PROVIDE MENTAL HEALTH SERVICES TO THE COMMUNITY WITH LIMITED FINANCIAL RESOURCES5. THE CHNA NOTES THAT ACCESS TO DENTAL SERVICES IS A SIGNIFICANT NEED IN THE COMMUNITY, EBCH DONATES TO THE ELY FREE CLINIC WHICH PROVIDES DENTAL SERVICES. EBCH IS DETERMINING THE BEST WAY TO PROVIDE DENTAL SERVICES TO THE COMMUNITY WITH LIMITED FINANCIAL RESOURCES.

PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE
HTTPS://WWW.EBCH.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE
HTTPS://WWW.EBCH.ORG/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART V, LINE 16A, FAP WEBSITE
HTTPS://EBCH.ORG/SITES/DEFAULT/FILES/2022-04/FINANCIAL%20ASSISTANCE%20POLICY.PDF

PART V, LINE 16B, FAP APPLICATION WEBSITE
HTTPS://EBCH.ORG/SITES/DEFAULT/FILES/2022-01/EBCH%20CHARITY%20CARE%20APPLICATION%20%2012.21.PDF

PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY
HTTPS://EBCH.ORG/SITES/DEFAULT/FILES/2022-01/EBCH%20FAP%20PLAIN%20LANGUAGE%20SUMMARY%2012.21.PDF

PART I, LINE 7:
COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 9/30/2022 MEDICARE COST REPORT.

PART I, LN 7 COL(F):
IMPLICIT PRICE CONCESSIONS FROM THE FINANCIAL STATEMENTS IS -$42,502.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY SUPPORT: OUR HOSPITAL FACILITIES AND THE SAFTEY COMMITTEE MEETS WITH STAFF EVERY MONTH, PROVIDING UPDATES OF FEDERAL AND STATE MANDATES. EACH MANDATE IS ADDRESSED IN REGARDS TO HOW THEY IMPACT OUR COMMUNITY AND THE SURROUNDING SERVICE AREA. OUR DECONTAMINATION TENT IS ERECTED ANNUALLY. STAFF FROM FIRE, POLICE, EMTS AND 1ST RESPONDERS REPRESENTING ELY, TOWER, SOUDAN, BABBITT, ISABELLA AND WINTON ARE INVITED TO PARTICIPATE IN THIS EXERCISE. HOSPITAL STAFF IS ALSO ASKED TO CONTRIBUTE TO THIS EMERGENCY PREPAREDNESS ACTIVITY. IN FY22 EBCH BROUGHT ON A CONSULTANT TO LEAD THE DISCUSSION ON EMERGENCY PREPAREDNESS AND CONDUCT ALICE (ACTIVE SHOOTER) TRAINING. EBCH STAFF ALSO SATTENED THE UNDER ONE ROOF CONFERENCE. HELICOPTER LANDING TRAINING WAS CONDUCTED.

PART III, LINE 2:
THE HOSPITAL GENERALLY ESTIMATES THE AMOUNT OF IMPLICIT PRICE CONCESSIONS FOR THE CURRENT YEAR BY USING THE PRECENTAGE OF REVENUE AS SHOWN AS IMPLICIT PRICE CONCESSIONS IN SUPPLEMENTAL INFORMATION TO THE AUDITED FINANCIAL STATEMENT FROM THE PRIOR YEAR.

PART III, LINE 3:
THE HOSPITAL ESIMATES THE AMOUNT OF IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY BY USING THE PERCENTAGE OF REVENUE SHOWN AS IMPLICIT PRICE CONCESSIONS ON THE HOSPITAL'S OPERATIONS REVIEW REPORT MULTIPLIED BY THE CURRENT YEAR MEDICAID CONTRACTUAL ADJUSTMENT.

PART III, LINE 4:
FROM FOOTNOTE 1 OF THE AUDITED FINANCIAL STATEMENTS: UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE (ASU) NO. 2014-09, WHICH WAS ADOPTED OCTOBER 1, 2019, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THE HOSPITAL HAS THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS ARE RECEIVABLES IF THE HOSPITAL'S RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASU 2014-09, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL DETERMINES THIS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH CERTAIN CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH.THE PRIMARY COLLECTIONS RISKS RELATE TO UNINSURED PATIENT ACCOUNTS, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT THE PATIENT RESPONSIBILITY AMOUNT (DEDUCTIBLES AND COPAYMENTS) REMAIN OUTSTANDING. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED IMPLICIT PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED.

PART III, LINE 8:
THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.

PART VI, LINE 6:
AFFILIATED HEALTH CARE SYSTEM:N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
MN

PART III, LINE 9B:
AT LEAST 30 DAYS PRIOR TO TAKING ANY EXTRAORDINARY COLLECTION ACTION AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT FOR AN EPISODE OF CARE, EBCH OR ITS AGENT SHALL PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INCLUDES THE FOLLOWING INFORMATION:I. CHARITY CARE FINANCIAL ASSISTANCE PROGRAM (FAP) IS AVAILABLE FOR ELIGIBLE INDIVIDUALS.II. THE EXTRAORDINARY COLLECTION ACTIONS THAT EBCH INTENDS TO INITIATE FOR PAYMENT OF CARE.III. A DEADLINE AFTER WHICH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED.BEFORE SENDING AN ACCOUNT TO A COLLECTION AGENCY, EBCH MAY USE INFORMATION PROVIDED BY AN OUTSIDE AGENCY OR VENDOR TO DETERMINE ELIGIBILITY AND POTENTIAL FINANCIAL ASSISTANCE. THESE AGENCIES MAY USE PUBLICLY AVAILABLE AND PURCHASED TRANSACTION DATA TO ESTIMATE A GUARANTOR'S FINANCIAL PROFILE AND HOUSEHOLD SIZE. EXAMPLES OF SUCH DATA ARE CENSUS DATA, BIRTH CERTIFICATES, MARRIAGE LICENSES, LEGAL NOTICES, BANKRUPTCY FILINGS, AUTOMOBILE REGISTRATIONS, PROPERTY TAX RECORDS, AS WELL AS POINT-OF-SALES TRANSACTIONS DATA THAT RETAILERS AND CREDIT CARD COMPANIES MAKE AVAILABLE FOR PURCHASE TO PRESUMPTIVELY DETERMINE WHETHER THAT INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER EBCH'S FINANCIAL ASSISTANCE POLICY.IF THE INDIVIDUAL IS PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR A 100% DISCOUNT (COMPLETE WRITE-OFF) UNDER EBCH'S FINANCIAL ASSISTANCE POLICY, EBCH SHALL INFORM THE INDIVIDUAL OF THAT DECISION AND NO FURTHER ACTIONS WILL BE TAKEN IN RELATION TO MEDICAL SERVICES TO WHICH THIS FINANCIAL ASSISTANCE APPLIES.

PART VI, LINE 2:
"NEEDS ASSESSMENT:ELY BLOOMENSON UTILIZES THE BRIDGES TO HEALTH SURVEY FIRST CONDUCTED IN 1995 AND THUS COMPLETED EVERY FIVE YEARS, 2000, 2005, 2010, 2015. 2020. THE SURVEY, A COLLABORATIVE EFFORT AMONG REGIONAL HEALTH ORGANIZATIONS, IS A TRUSTED SOURCE OF POPULATION-BASED HEALTH STATUS INFORMATION USED TO IMPROVE THE HEALTH OF PEOPLE THROUGHOUT NORTHEASTERN MINNESOTA.THE HOSPITAL HELD THREE SESSIONS OF ITS COMMUNITY FORUM IN ELY, BABBITT, AND TOWER IN THE SPRING TO ENCOURAGE THE COMMUNITY TO GET AN UPDATE OF WHAT THEY ARE DOING AT THE HOSPITAL, AND THE HOSPITAL LISTENS TO QUESTIONS AND SUGGESTIONS FOR THE COMMUNITY. THE 2019 SESSIONS TOOK PLACE IN ELY ON 4/24/2019, BABBITT ON 5/23/2019, AND TOWER ON 6/27/2019.IN THE SUMMER OF 2021, EBCH PARTICIPATED IN COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SERVICES ADMINISTRATED BY RURAL HEALTH INNOVATIONS (RHI), A SUBSIDIARY OF THE NATIONAL RURAL HEALTH RESOURCE CENTER. RHI CONFERRED WITH LEADERS FROM EBCH TO DISCUSS THE OBJECTIVES OF A REGIONAL CHNA. A MAILED SURVEY INSTRUMENT WAS DEVELOPED TO ASSESS THE HEALTH CARE NEEDS AND PREFERENCES IN THE SERVICE AREA. THIS WAS COMPLETED IN NOVEMBER 2021.THE HOSPITAL ALSO RECEIVES QUESTIONS AND SUGGESTIONS FROM THE COMMUNITY THROUGH THE ""CONTACT US"" PAGE OF THEIR WEBSITE, THE EBCH FACEBOOK PAGE, AND AT VARIOUS SPEAKING ENGAGEMENTS FOR THEIR LOCAL SERVICE CLUBS AND ORGANIZATIONS, SUCH AS THE ROTARY, LIONS, AND KIWANIS."

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE ELY BLOOMENSON HOSPITAL STAFF ENCOURAGES ANY PATIENT WITH NO INSURANCE TO TALK TO ST. LOUIS COUNTY SOCIAL SERVICES TO FIND OUT ABOUT MEDICAL ASSISTANCE OR MN CARE ELIGIBILITY. ON ALL PATIENT STATEMENTS, THERE ARE DIRECTIONS ON HOW TO ACCESS THE CREDIT AND COLLECTION POLICY AS WELL AS THE FINANCIAL ASSISTANCE POLICY. THE FINANCIAL ASSISTANCE POLICY INFORMS PATIENTS THAT WE HAVE AN INCOME BASED CHARITY CARE POLICY AND THEY CAN CONTACT THE EBCH FINANCIAL COUNCILOR OR BUSINESS OFFICE FOR AN APPLICATION. APPLICATIONS AND POLICIES ARE AVAILABLE ON THE HOPITAL'S WEBSITE AT EBCH.ORG. WHEN AN ACCOUNT IS PAST DUE A SERIES OF COLLECTION LETTERS GO OUT WITH THE MESSAGE THAT THE ELY BLOOMENSON HOSPITAL HAS AN INCOME BASED CHARITY CARE POLICY AND IF ANYONE WOULD LIKE AN APPLICATION OR IF ANYONE HAS A QUESTION ABOUT IT THEY SHOULD CONTACT THE EBCH FINANCIAL COUNCILOR OR THE BUSINESS OFFICE. ALL PATIENTS SHOULD BE AWARE OF THE CHARITY CARE OPTION BEFORE THE ACCOUNT TURNS INTO IMPLICIT PRICE CONCESSION STATUS.

PART VI, LINE 4:
COMMUNITY INFORMATION:ELY, A CITY OF 2.7 SQUARE MILES, AND THE SURROUNDING COMMUNITIES OF WINTON, BABBITT, TOWER AND ISABELLA CONSTITUTES A LARGE RURAL DEMOGRAPHIC REGION IN NORTHEASTERN MINNESOTA BORDERING THE 1.5 MILLION ACRES OF THE BOUNDARY WATERS CANOE AREA WILDERNESS (BWCAW). THE CITY OF DULUTH, 120 MILES SOUTHWEST AND VIRGINIA, 50 MILES WEST, SERVE AS THE NEAREST HEALTH CARE CENTERS. THE HOSPITAL SERVES A YEAR ROUND POPULATION OF APPROXIMATELY 8,600. IN ADDITION, THE COMMUNITY ANNUALLY SERVES OVER 125,000 VISITORS SEEKING A WILDERNESS EXPERIENCE. ACCORDING TO THE 2020 CENSUS, ELY, MN HAD A POPULATION OF 3.34K PEOPLE WITH A MEDIAN AGE OF 52.4 AND A MEDIAN HOUSEHOLD INCOME OF $37,317. BETWEEN 2019 AND 2020 THE POPULATION OF ELY, MN DECLINED FROM 3,390 TO 3,338, A 1.53% DECREASE AND ITS MEDIAN HOUSEHOLD INCOME DECLINED FROM $40,946 TO $37,317, A 8.86% DECREASE.THE 5 LARGEST ETHNIC GROUPS IN ELY, MN ARE WHITE (NON-HISPANIC) (95.1%), TWO+ (HISPANIC) (1.98%), BLACK OR AFRICAN AMERICAN (NON-HISPANIC) (1.11%), AMERICAN INDIAN & ALASKA NATIVE (NON-HISPANIC) (0.989%), AND OTHER (HISPANIC) (0.33%). NONE OF THE HOUSEHOLDS IN ELY, MN REPORTED SPEAKING A NON-ENGLISH LANGUAGE AT HOME AS THEIR PRIMARY SHARED LANGUAGE. THIS DOES NOT CONSIDER THE POTENTIAL MULTI-LINGUAL NATURE OF HOUSEHOLDS, BUT ONLY THE PRIMARY SELF-REPORTED LANGUAGE SPOKEN BY ALL MEMBERS OF THE HOUSEHOLD.99.6% OF THE RESIDENTS IN ELY, MN ARE U.S. CITIZENS. THE LARGEST UNIVERSITIES IN ELY, MN ARE VERMILION COMMUNITY COLLEGE (185 DEGREES AWARDED IN 2020).IN 2020, THE MEDIAN PROPERTY VALUE IN ELY, MN WAS $119,400, AND THE HOMEOWNERSHIP RATE WAS 58.2%.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTH:ELY BLOOMENSON DOES HAVE AN OPEN MEDICIAL STAFF ALLOWING A VARIETY OF PHYSICIANS TO PRACTICE BENEFITING THE COMMUNITY AND CITIZENS OF THE SURROUNDING AREA. THE COMMUNITY HEALTH COUNCIL, BRINGING HEALTH AND WELLNESS TO THE FOREFRONT IN ELY AND SURROUNDING COMMUNITIES THROUGH VARIOUS INITIATIVE AND SERVICES, MEETS AND IS PARTIALLY FUNDED THROUGH THE HOSPITAL. PROVIDES FUNDING FOR ELY, BABBITT, AND TOWER SOUDAN HIGH SCHOOL GRADUATION ACTIVITIES. FUNDING PROVIDED FOR CHILDREN'S PROGRAMS SPONSORED BY THE ELY POLICE, ELY FIRE DEPARTMENTS, AND LOCAL SCHOOLD DISTRCT ISD# 696. THE HOSPITAL RECORDS DAILY RADIO SPOTS PROMOTING HEALTH AND WELLNESS. CONSULTATION SERVICES FOR THE MANY NON PROFIT ORGANIZATIONS SPECIFICALLY HOSPICE/RESPITE AND MENTAL ILLNESS PROGRAMS. TWO BLOOD DRIVES ARE ADMINISTERED ANNUALLY THROUGH ELY BLOOMENSON. ELY BLOOMENSON COMMUNITY HOSPITAL IS THE HEART OF THE CITY.