4A (Expenses $ 22230452 including grants of $ 15078) (Revenue $ 29825281)
CCH - LONG PRAIRIE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - LONG PRAIRIE IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC, AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF LONG PRAIRIE AND THE SURROUNDING AREA. THERE WERE 541 ADMISSIONS, 2,751 INPATIENT DAYS, AND 38,516 OUTPATIENT VISITS DURING FISCAL YEAR 2022.

4B (Expenses $ 4600240 including grants of $ 0) (Revenue $ 7868483)
CCH - LONG PRAIRIE OPERATES THE LONG PRAIRIE CLINIC WHICH IS CONVENIENTLY CONNECTED TO THE LONG PRAIRIE HOSPITAL FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. LONG PRAIRIE CLINIC PROVIDES HEALTH CARE THROUGH A MIXTURE OF PHYSICIANS AND MIDLEVEL PROVIDERS. THERE WERE 21,396 CLINIC VISITS DURING FISCAL YEAR 2022.

4C (Expenses $ 5174586 including grants of $ 0) (Revenue $ 4775753)
THE CCH - LONG PRAIRIE CARE CENTER IS AN ATTACHED 70 BED SKILLED NURSING FACILITY THAT PROVIDES QUALITY, COMPASSIONATE CARE WITH AN EMPHASIS ON ENHANCING EACH RESIDENT'S PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL WELL-BEING. THERE WERE 15,825 RESIDENT DAYS DURING FISCAL YEAR 2022.

4D (Expenses $ 2545739 including grants of $ 0) (Revenue $ 554872)
CCH - LONG PRAIRIE BUILT AN ASSISTED LIVING BUILDING AND OPENED IT FOR SERVICES IN MID AUGUST 2017. THE BUILDING CONSISTS OF 24 ASSISTED LIVING APARTMENTS AND 16 MEMORY CARE APARTMENTS. THERE WERE 7,062 ASSISTED LIVING OCCUPIED UNIT DAYS AND 3,662 MEMORY CARE OCCUPIED UNIT DAYS FOR FISCAL YEAR 2022. THERE WERE 7,427 ASSISTED LIVING TENANT DAYS AND 3,662 MEMORY CARE TENANT DAYS FOR FISCAL YEAR 2022.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE CHNA AND PREPARE THE IMPLEMENTATION STRATEGY WHICH WE CALLED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDES A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND SEVERAL COMMUNITY MEETINGS TO GATHER INFORMATION ON FORCES THAT CREATE HEALTH, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. THE CHNA INCLUDED A HEALTH EQUITY ASSESSMENT AND INFORMATION ON NATIONAL, STATE, AND OTHER LOCAL PLANNING PROCESSES RELATED TO HEALTH.AS A FOLLOW UP TO THE PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH TODD COUNTY HEALTH AND HUMAN SERVICES, MORRISON COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 5: TODD-MORRISON-WADENA CHNA COLLABORATIVE (MTW CHB) AGREED TO UTILIZE THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE THE IMPLEMENTATION STRATEGY.THIS GROUP MEETS BI-MONTHLY TO DEDICATE TIME IN COMPLETING THE MAPP PROCESS. IN ADDITION TO THE COLLABORATIVE GROUP'S EFFORTS OF COMPLETING A FORCES OF CHANGE ASSESSMENT, COMMUNITY INPUT WILL BE REPRESENTED THROUGH A COMMUNITY HEALTH SURVEY (GOAL IS 400 COMPLETED SURVEYS PER COUNTY), COMMUNITY STAKEHOLDER INTERVIEWS (FOLLOWING THE 12 SECTOR MODEL, EACH COUNTY WILL SELECT 20-30 NAMES FOR INTERVIEWS), AND ANECDOTAL SELF-REPORTED DATA COLLECTION WITHIN OUR TARGETED POPULATION (IDENTIFIED THROUGH ASSESSMENT IN OUR PMAP). OTHER SOURCES OF DATA COLLECTION INCLUDE LOCAL ELECTRONIC MEDICAL RECORD DATA, IHP AND HEALTH EQUITY DATA, COUNTY DATA TABLES, MINNESOTA STUDENT SURVEYS AND RESULTS FROM THE 2013 AND 2016 REGIONAL COMMUNITY HEALTH SURVEY DATA.EACH ORGANIZATION WILL WORK ON THE 2019 COMMUNITY HEALTH PRIORITIES INDEPENDENTLY, AS WELL AS COLLECTIVELY WHEN POSSIBLE. IDENTIFYING PRIORITIES TOGETHER ALLOWS THE OPPORTUNITY TO MAKE GREATER STRIDES THROUGHOUT OUR AREA, CREATING A REGIONAL APPROACH RATHER THAN ORGANIZATIONAL APPROACH. EACH ORGANIZATION HAS THE FREEDOM TO DECIDE HOW THEY CAN MOST AFFECT EACH PRIORITY BASED ON THEIR RESOURCES ALLOTTED TO THIS WORK. THE COLLABORATIVE GROUP WILL CONTINUE TO MEET TO REVIEW GOALS AND STRATEGIES AND UPDATE CURRENT EFFORTS AND MEASURES OF SUCCESS OVER THE DESIGNATED COMMUNITY HEALTH NEEDS ASSESSMENT PERIOD.THE ASSESSMENTS GATHER QUALITATIVE AND QUANTITATIVE DATA TO DRIVE THE PRIORITY SELECTION PROCESS. TO COMPLETE THE ASSESSMENTS, TODD AND WADENA COUNTIES FOLLOWED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE MAPP PROCESS IS A COMMUNITY-DRIVEN STRATEGIC PLANNING TOOL THAT INCLUDES COMMUNITY VISIONING, CONDUCTING FOUR ASSESSMENTS (COMMUNITY THEMES AND STRENGTHS, ORGANIZATION CAPACITY AND PERFORMANCE, COMMUNITY HEALTH, AND FORCES OF CHANGE), PRIORITIZING ISSUES, SELECTING GOALS AND STRATEGIES, AND DEVELOPING AN ACTION PLAN. THE CHB'S COMMUNITY HEALTH ASSESSMENT RESULTS INCLUDE SIX AREAS: WRITTEN/EMAIL SURVEY, FACE-TO-FACE INTERVIEWS, SECONDARY DATA SOURCES, DIRECTORY LISTING OF HEALTH SYSTEM CAPABILITIES, SUMMARY AND CONCLUSIONS, AND THREE-YEAR ACTION PLAN.THE SURVEY INSTRUMENT CONTENT WAS LARGELY TAKEN FROM A SIMILAR SURVEY CONDUCTED BY THESE SAME COUNTIES IN 2016. MODIFICATIONS TO THE SURVEY QUESTIONS WERE MADE BY LOCAL PUBLIC HEALTH STAFF WITH TECHNICAL ASSISTANCE FROM THE MINNESOTA DEPARTMENT OF HEALTH CENTER FOR HEALTH STATISTICS. A TWO-STAGE SAMPLING STRATEGY WAS USED FOR OBTAINING PROBABILITY SAMPLES OF ADULTS LIVING IN EACH OF THE THREE COUNTIES. A SEPARATE SAMPLE WAS DRAWN FOR EACH COUNTY. ADDITIONAL SAMPLES WERE DRAWN IN EACH OF FOUR CITIES IN THE REGION (LITTLE FALLS, LONG PRAIRIE, STAPLES AND WADENA).THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA): COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH 54 INDIVIDUALS ACROSS MORRISON, TODD, AND WADENA COUNTIES. INTERVIEWS WERE CONDUCTED BY PUBLIC HEALTH AND HEALTH CARE STAFF UTILIZING THE COMMUNITY STAKEHOLDER QUESTIONNAIRE. INTERVIEWS WERE CONDUCTED IN PERSON AND VIA PHONE AND TYPICALLY LASTED 45 MINUTES TO 1 HOUR. 22 INTERVIEWS WERE CONDUCT IN MORRISON COUNTY, 15 INTERVIEWS WERE CONDUCTED IN TODD COUNTY, AND 17 INTERVIEWS WERE CONDUCTED IN WADENA COUNTY. COMMUNITY STAKEHOLDERS WERE SELECTED FROM A VARIETY OF SECTORS.THE FORCES OF CHANGE (FOC) ASSESSMENT IDENTIFIES FORCES THAT MAY AFFECT A COMMUNITY AND OPPORTUNITIES AND THREATS ASSOCIATED WITH THOSE FORCES. THE FOC TEAM FACILITATED A CONVERSATION ON WHAT CREATES HEALTH, FORCES, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, AND CHI ST. GABRIEL'S HEALTH.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON COUNTRY PUBLIC HEALTH, TODD COUNTRY PUBLIC HEALTH, AND WADENA CONTRY PUBLIC HEALTH).

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 11: AFTER COMPLETING THE 2019 MORRISON-TODD-WADENA COMMUNITY HEALTH SURVEY AND THE INTERVIEWS WITH 22 COMMUNITY STAKEHOLDERS, AND AFTER REVIEWING ADDITIONAL DATA SOURCES FROM EMERGENCY ROOM STATISTICS TO THE STATE'S STUDENT SURVEY TO THE U.S. CENSUS BUREAU INFORMATION, AND MANY OTHER SOURCES, THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT CENTRACARE LONG PRAIRIE BEGAN THE WORK TO DEVELOP GOALS, INITIATIVES AND STRATEGIES TO ADDRESS TODD COUNTY'S THREE TOP HEALTH NEEDS AS IDENTIFIED BY THESE INVESTIGATIONS.WITH DATA IN HAND, KATIE GRUBER, SUPERVISOR COMMUNITY HEALTH AND WELL-BEING AND JODI HILLMER, DIRECTOR OF PATIENT CARE SERVICES, WHO LED THE 2019 CHNA WORK, CONVENED A SERIES OF MEETINGS WITH A STRATEGY TEAM TO, FIRST, DISCUSS THE ISSUES THAT SEEMED OF GREATEST CONCERN TO THE PEOPLE OF TODD COUNTY, AND THEN TO FOCUS ON EACH OF THE TOP THREE TO EXPLORE WAYS TO ADDRESS THOSE NEEDS AND TO IMPROVE THE HEALTH OF THEIR COMMUNITY. THE STRATEGY TEAM SHE INVITED TO ATTEND INCLUDED REPRESENTATIVES OF ORGANIZATIONS WHO, ON A DAILY BASIS, ADDRESS THE HEALTH CONCERNS OF THE PEOPLE WHO CALL TODD COUNTY HOME. THE TEAM INCLUDES REPRESENTATIVES FROM THE COUNTY'S PUBLIC HEALTH OFFICE, CITY COUNCIL, SCHOOLS, ELDERLY COMMUNITIES, THE COUNTY EXTENSION OFFICE, AND CENTRACARE LONG PRAIRIE ITSELF.PREPARED WITH INFORMATION ON THE RESULTS OF THE 2019 COMMUNITY NEEDS SURVEY AND THE STAKEHOLDER INTERVIEWS, THEY BEGAN ADDRESSING THE ISSUES FROM THEIR PROFESSIONAL PERSPECTIVES, QUICKLY FOCUSING ON OBESITY AND MENTAL HEALTH AS TOP CONCERNS, AS THEY HAD BEEN IN THE 2016 CHNA. DISCUSSION OF THESE TWO ISSUES LED THE TEAM TO CONCLUDE THAT OTHER ISSUES IDENTIFIED IN THE SURVEY, SUCH AS PARENTING SKILLS, AND FOOD INSECURITY WERE RELATED AND THAT THE ISSUES OF MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH ARE INTERTWINED. THE TEAM ACKNOWLEDGED AND ADDRESSED THE FACT THAT THE LIST OF ISSUES FROM WHICH SURVEY RESPONDENTS HAD TO CHOOSE WAS DEVELOPED BY THE MTW HEALTH BOARD TEAM AND WERE, THUS, NOT SELF-REPORTED ISSUES. THE TEAM MEMBERS, HOWEVER, AGREED THAT OBESITY, CAUSES MAJOR HEALTH CONCERNS FACED BY TODD COUNTY RESIDENTS. OBESITY ROSE TO THE TOP OF THEIR LIST OF HEALTH CONCERNS FOR 2019, FOLLOWED BY MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH.CENTRACARE - LONG PRAIRIE HAS ADDRESSED THESE NEEDS IN THE FOLLOWING WAYS: OBESITY - PREVENT AND REDUCE OBESITY IN ADULTS AND CHILDREN BY INCREASING PHYSICAL ACTIVITY AND HEALTHY EATING OPPORTUNITIES. CENTRACARE - LONG PRAIRIE IMPLEMENTED SPORTS CLINICS FOR ALL DIFFERENT AGES DURING THE SUMMER MONTHS, OFFERED HEALTHY EATING CLASSES TO THE HISPANIC POPULATION, WE WERE A PARTNER IN CSA FOOD DELIVERY AND EXPANDED HOURS OF OPERATION TO VITALITY WELLNESS GYM AND STUDIO TO BE MORE ACCESSIBLE TO WORK SCHEDULES OF THE COMMUNITY .MENTAL HEALTH -IMPROVE EDUCATION, SCREENINGS, AWARENESS AND ACCESS TO COMMUNITY BASED MENTAL HEALTH RESOURCES TO PROMOTE EARLY INTERVENTION AND TREATMENT OF MENTAL HEALTH CONDITIONS. CENTRACARE - LONG PRAIRIE IMPLEMENTED INTEGRATED BEHAVIOR HEALTH VIA TELEHEALTH IN CLINIC, AND NURSE VISIT BEHAVIORAL HEALTH SCREENINGS VIA TELEHEALTH IN THE ED.SOCIAL DETERMINANTS OF HEALTH - BUILD AND STRENGTHEN PARTNERSHIPS WITH COMMUNITY AGENCIES TO ADDRESS FOOD INSECURITY AND TOBACCO USE/EXPOSURE IN AT-RISK POPULATIONS TO REDUCE HEALTH DISPARITIES. CENTRACARE - LONG PRAIRIE IS A PART OF MINNESOTA PATHWAY TO HEALTH PROJECT FOCUSING ON HISPANIC POPULATION AND THE LIVE WELL AT HOME GRANT THAT FOCUSES ON PARTNERING WITH COMMUNITY AGENCIES TO PROVIDE RESOURCES TO OUR ELDERLY POPULATION.THE SOCIAL NEEDS NOT ADDRESSED SUCH AS SUBSTANCE ABUSE, CHRONIC DISEASE, DENTAL CARE, INFECTIOUS DISEASES, POVERTY, HOUSING, TRANSPORTATION AND CHILD CARE WERE NOT ADDRESSED DUE TO STAFFING AND FUNDING CONSTRAINTS.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE.PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS.

CENTRACARE HEALTH - LONG PRAIRIE
PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT.

PART V, SECTION B, LINE 7A:
THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-VERSION-1-UPDATED-8.19.PDF

PART V, SECTION B, LINE 10A:
THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-VERSION-1-UPDATED-8.19.PDF

PART V, SECTION B, LINE 22B:
"THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC. 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 22B. DURING THE TAX PERIOD ENDED JUNE 30, 2022, THE FINANCIAL ASSISTANCE POLICY DID NOT INCLUDE THE PERCENTAGE CALCULATED FOR THE ""AMOUNTS GENERALLY BILLED"" USING THE LOOK BACK METHOD. CENTRACARE IDENTIFIED THIS ERROR IN MARCH 2022 DURING THE PREPARATION OF THE FORM 990 FOR THE TAX PERIOD ENDED JUNE 30, 2021 AND CORRECTED THIS ERROR IN APRIL 2022. THIS ERROR WAS MINOR AND INADVERTENT AND CORRECTIVE ACTIONS WERE TAKEN AFTER THE DISCOVERY OF THE ERROR."

PART I, LINE 6A:
CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS.

PART I, LINE 7:
THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MN CARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE FINANCIAL ASSISTANCE ON LINE 7A. MEDICAID COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES ON LINE 7B ARE REPORTED AT COST. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ON LINE 7E ARE REPORTED AT COST. HEALTH PROFESSIONALS EDUCATION AND DIRECT OFFSETING REVENUES ON LINE 7F ARE REPORTED AT COST.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,327,058.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE HEALTH SYSTEM PROVIDED DRIVE THROUGH TEST SITES, FREE VACCINATION CLINICS, MANDATED EMPLOYEE VACCINATION, TRAINING, SCREENING, PRODUCTS TO ENSURE SAFE ENVIRONMENTS, AND OTHER VARIOUS SERVICES/PRODUCTS.

PART III, LINE 2:
THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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.

PART III, LINE 4:
"THE FOLLOWING IS FROM THE ""ACCOUNTS RECEIVABLE"" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 10 OF THE ORGANIZATION'S AUDITED FINANCIALS.""THE SYSTEM REPORTS PATIENT AND RESIDENT SERVICE REVENUE AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE SYSTEM EXPECTS TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS AND THIRD-PARTY PAYORS (INCLUDING MEDICARE, MEDICAID, BLUE CROSS AND OTHER THIRD-PARTY PAYORS). CERTAIN REIMBURSEMENT ARRANGEMENTS INCLUDE VARIABLE CONSIDERATION FOR AMOUNTS SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. DIFFERENCES BETWEEN AMOUNTS ORIGINALLY RECORDED AND FINALLY SETTLED ARE INCLUDED IN OPERATIONS IN THE YEAR IN WHICH THE DIFFERENCES ARE KNOWN. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED."""

PART III, LINE 8:
THE AMOUNT ON LINE 7 OF PART III WAS DETERMINED BY UTILIZING KEY SECTIONS OF THE MEDICARE COST REPORT, PRIMARILY THE D SERIES AND E SERIES.

PART III, LINE 9B:
THE COLLECTION POLICIES AT THE ORGANIZATION REQUIRE COLLECTION STAFF TO OFFER CHARITY TO PATIENTS WHO INDICATE THAT PAYMENT MAY BE AN ISSUE. IF A PATIENT DOES QUALIFY FOR FULL CHARITY, ALL OTHER COLLECTION EFFORTS MUST CEASE. IF A PATIENT QUALIFIES FOR PARTIAL CHARITY, COLLECTION EFFORTS WILL CONTINUE ON THE BALANCE OF THE ACCOUNT. THESE PROVISIONS APPLY TO BOTH HOSPITAL EMPLOYED COLLECTION STAFF AND COLLECTION AGENCY STAFF. NO PATIENTS, WHETHER THEY QUALIFY FOR CHARITY OR NOT, ARE REPORTED TO CREDIT REPORTING AGENCIES.

PART VI, LINE 2:
THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES.

PART VI, LINE 3:
INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF PAY RECEIVE AN AUTOMATIC SELF PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO ALL PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE.

PART VI, LINE 4:
LONG PRAIRIE IS LOCATED IN TODD COUNTY, MINNESOTA IN WHICH THERE IS 1 HOSPITAL. THE ESTIMATED 2023 POPULATION SHOWS 6,152 RESIDENTS WITH AN ESTIMATED SLIGHT DECREASE TO 6,142 BY 2028. THE PROJECTED CHANGE BY AGE BRACKET FROM 2023 TO 2028 IS AS FOLLOWS: 0-17: 1.10%, 18-44: 3.35%, 45-64: -10.91%, 65+: 4.49%. THE ESTIMATED 2023 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 77.63%, AFRICAN AMERICAN: 0.41%, ASIAN: 0.16%, HISPANIC: 20.29%, OTHER: 1.51%. THE ESTIMATED 2023 AVERAGE INCOME IS $85,356. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 53.90.

PART VI, LINE 5:
THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS ON A MONTHLY BASIS TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. A MAJORITY OF THE COMMITTEE IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA THAT ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION AND ARE NOT FAMILY MEMBERS THEREOF. THE ORGANIZATION PARTICIPATES IN THE COMMUNITY BLOOD DRIVES BY PROVIDING FOOD AND SUPPLIES FOR BOTH THE WORKERS AND BLOOD DONORS. THE FACILITY ALSO SPONSORS A HEALTH FAIR ON AN ANNUAL BASIS FOR THE LOCAL AND SURROUNDING COMMUNITIES. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES AND FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH.

PART VI, LINE 6:
THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND IN REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE.

PART VI, LINE 7, REPORTS FILED WITH STATES
MN