Community Benefit Insight - Tax-exempt hospital

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Glencoe Regional Health Services

Glencoe Regional Health Services

705 East 18th Streeet
Glencoe, MN 55336

Bed count	49	Medicare provider number	241355	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 411949230

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.38%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,241,829 1.82 %
Medicaid as % of operating expenses	$ 2,304,911 3.39 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 496,750 0.73 %
Subsidized health services as % of operating expenses	$ 12,202 0.02 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 238,353 0.35 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 49,802 0.07 %
Community building* as % of operating expenses	$ 62,100 0.09 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 62,100 0.09 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 62,100 100 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 584,247 0.86 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 51683933 including grants of $ 27948) (Revenue $ 59545177)
HOSPITAL - THE FACILITY IS LICENSED FOR 49 BEDS. MEDICAL/SURGICAL SERVICES ARE PROVIDED FOR ACUTE AND SWING BED PATIENTS. MAJOR SERVICES PROVIDED INCLUDE ER, MEDICAL IMAGING, SURGERY, LABORATORY, REHABILITATION THERAPY AND CLINIC SERVICES.

4B (Expenses $ 9128946 including grants of $ 0) (Revenue $ 10517479)
NURSING HOME - THE LONG-TERM CARE UNIT IS A 108-BED SKILLED NURSING FACILITY, WITH ALL BEDS MEDICARE AND MEDICAID CERTIFIED.

4C (Expenses $ 440512 including grants of $ 0) (Revenue $ 507515)
INDEPENDENT SENIOR LIVING - ORCHARD ESTATES IS A 40-UNIT SENIOR HOUSING COMPLEX COMPRISED OF ONE- AND TWO-BEDROOM APARTMENTS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 5: IN MARCH 2018, GRHS STAFF MEMBERS BEGAN MEETING WITH REPRESENTATIVES FROM HUTCHINSON HEALTH, RIDGEVIEW SIBLEY MEDICAL CENTER, MEEKER MEMORIAL HOSPITAL, AND MEEKER-MCLEOD-SIBLEY PUBLIC HEALTH (MMS) TO IDENTIFY STRATEGIES AND TACTICS FOR THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENTS REQUIRED BY EACH ORGANIZATION. THIS WAS A COLLABORATIVE PROCESS INVOLVING OUR LOCAL HOSPITALS AND PUBLIC HEALTH. THROUGH REGULAR MEETINGS AND DISCUSSIONS, A COMMUNITY BEHAVIORAL HEALTH SURVEY WAS DEPLOYED, SIMILAR TO ONE THAT OCCURRED IN 2014. WORK CONTINUED THROUGHOUT 2018 AND 2019, WITH STRATEGIC EFFORTS IDENTIFIED AND IMPLEMENTED TO GAIN COMMUNITY INPUT INTO THE HEALTH ISSUES FACING OUR COMMUNITIES. INFORMATION WAS SHARED AMONG THE ORGANIZATIONS AS IT RELATED TO INDIVIDUAL EFFORTS OCCURRING BY EACH GROUP. THROUGH THIS WORK AND THE REVIEW OF AVAILABLE DATA, PRIORITY AREAS EMERGED. ADDITIONALLY, WE PARTNERED WITH STUDENTS FROM RIDGEWATER COLLEGE'S MINNESOTA ALLIANCE FOR NURSING EDUCATION (MANE) NURSING PROGRAM TO ASSIST US IN OUR CHNA PROCESS. THROUGH THIS PARTNERSHIP DATA TRENDS WERE ANALYZED, ADDITIONAL KEY COMMUNITY STAKEHOLDERS WERE IDENTIFIED AND SURVEYED, PRIORITY AREAS WERE REAFFIRMED, AND RECOMMENDATIONS EMERGED ON OUR IMPLEMENTATION STRATEGY. SIMILAR TO OUR PAST CHNAS, THE HIGHEST-PRIORITY HEALTH NEEDS FOR THE COMMUNITY SERVED BY GLENCOE REGIONAL HEALTH WERE IDENTIFIED AS ACCESS TO NEEDED SERVICES (SPECIFICALLY MENTAL HEALTH) AND OBESITY TRENDS (ESPECIALLY IN OUR FEMALE POPULATION). RESPONDING TO THOSE OBESITY TRENDS WILL CALL FOR US TO POSITIVELY IMPACT INDIVIDUAL BEHAVIORAL CHOICES RELATED TO HEALTHY EATING AND BEING ACTIVE. AN ADDITIONAL EMERGING AREA OF CONCERN WAS IDENTIFIED LATE IN OUR PROCESS RELATED TO VAPING LUNG DISEASE.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 6A: HUTCHINSON HEALTH, MEEKER MEMORIAL HOSPITAL AND RIDGEVIEW SIBLEY MEDICAL CENTER

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 6B: THE NON-HOSPITAL ORGANIZATIONS INVOLVED IN THE ASSESSMENT PROCESS INCLUDED REPRESENTATIVES FROM MEEKER-MCLEOD-SIBLEY PUBLIC HEALTH (MMS) AND RIDGEWATER COLLEGE'S MINNESOTA ALLIANCE FOR NURSING EDUCATION (MANE), AS WELL AS UNAFFILIATED COMMUNITY MEMBERS.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 7D: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://GRHSONLINE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 11: THE GLENCOE REGIONAL HEALTH SERVICES BOARD OF DIRECTORS REVIEWED THE CHNA ON NOVEMBER 25, 2019. BASED UPON AN ANALYSIS OF GRHS'S CAPABILITIES AND CAPACITY, IT WAS DECIDED TO CONTINUE OUR EFFORTS TO FOCUS UPON MENTAL HEALTH DURING THE NEXT THREE YEARS. IT WAS ALSO DETERMINED THAT WE NEED TO INCREASE EFFORTS TO IMPACT OBESITY AND PHYSICAL ACTIVITY, BEING MINDFUL TO FOCUS ON EFFORTS THAT IMPACT WOMEN WHEN POSSIBLE.AN EMERGING ISSUE WAS IDENTIFIED LATE IN OUR ASSESSMENT AS VAPING LUNG DISEASE WAS MAKING HEADLINES ACROSS MINNESOTA AND THE NATION. TO ADDRESS THIS ISSUE, RIDGEWATER NURSING STUDENTS CONDUCTED SEVERAL KEY INFORMANT INTERVIEWS WITH LOCAL LEADERS TO GAIN ADDITIONAL INSIGHT. THEY ALSO LOOKED FOR ADDITIONAL DATA THAT WAS NOT INCLUDED IN THE MMS INDICATOR DATA. AFTER REVIEWING THE SURVEY RESULTS AND ADDITIONAL LIMITED DATA THEY WERE ABLE TO FIND, IT WAS CONCLUDED THIS WAS NOT A PRIORITY AT THIS TIME, BUT AN ISSUE WE NEEDED TO KEEP ON OUR RADAR. THE NURSING STUDENTS HAVE PROVIDED STRATEGIES TO ADDRESS VAPING AS MORE DATA BECOMES AVAILABLE IN THE FUTURE.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 13H: BANKRUPTCY ACCOUNTS WILL BE CONSIDERED CHARITY CARE AND THE GUARANTOR WILL NOT BE REQUIRED TO COMPLETE THE CHARITY CARE APPLICATION. BANKRUPTCY ACCOUNTS WILL BE ADJUSTED OFF ONCE GRHS RECEIVES THE BANKRUPTCY DISCHARGE OF DEBTOR INFORMATION.

GLENCOE REGIONAL HEALTH SERVICES
PART V, SECTION B, LINE 16J: A COPY OF THE FIANCIAL ASSISTANCE POLICY WAS GIVEN TO EACH SELF-PAY EMERGENCY ROOM PATIENT WHEN LEAVING OUR FACILITY.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON ANNUAL HOUSEHOLD INCOME AND INSURANCE STATUS. INDIVIDUALS MUST ALSO APPLY FOR GOVERNMENT MEDICAL ASSISTANCE BEFORE QUALIFYING FOR FINANCIAL ASSISTANCE FROM GRHS.

PART I, LINE 7:
THE AMOUNTS IN PART I, LINE 7 WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990, SCHEDULE H.

PART I, LINE 7G:
THE ORGANIZATION DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN ITS SUBSIDIZED HEALTH SERVICES IN SCHEDULE H, PART I, LINE 7G.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE - REPORTED IN FORM 990, PART IX, LINE 24 - IS SUBTRACTED FROM THE TOTAL FUNCTIONAL EXPENSES IN CALCULATING THE PERCENTAGES IN PART 1, LINE 7, COLUMN F. BAD DEBT EXPENSE SUBTRACTED IN THIS WAY WAS $584,247 FOR 2021.

PART II, COMMUNITY BUILDING ACTIVITIES:
OUR COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH DISASTER PREPAREDNESS EFFORTS, CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PATIENTS, FINANCIAL AND IN-KIND SUPPORT, AND EDUCATION. FIRST, THROUGH DISASTER PREPAREDNESS TRAINING, WE SUPPORT AND PROTECT THE HEALTH OF OUR COMMUNITIES BY WORKING TO INSURE THAT THOSE NEEDING MEDICAL ATTENTION CAN ACCESS QUALITY CARE IN A SAFE AND TIMELY MANNER. DISASTER PREPAREDNESS EFFORTS ARE A YEAR-ROUND ACTIVITY, AS DISASTERS CAN INCLUDE PANDEMICS, NATURAL DISASTERS AND MASS CASUALTY SITUATIONS. SECOND, BY PROVIDING CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PATIENTS, WE WORK TO HELP PATIENTS RETURN HOME AND REGAIN THEIR INDEPENDENCE AFTER AN ILLNESS, INJURY OR SURGERY. IN CASES WHERE IT IS NOT POSSIBLE FOR SOMEONE TO RETURN HOME, WE WORK TO MAKE SURE THEY HAVE ACCESS TO THE CARE AND RESOURCES THEY NEED TO CONTINUE THEIR RECOVERY OR LIVE WITH DIGNITY. THROUGH HELPING OUR PATIENTS OBTAIN FINANCIAL SUPPORT, AS WELL AS OBTAIN ACCESS TO COMMUNITY SUPPORT SYSTEMS, WE WORK TO ENSURE THAT THEY GET ADDITIONAL SERVICES THAT MAY BE NEEDED TO ASSIST IN THEIR RECOVERY. THIS PROMOTES THE HEALTH OF THE COMMUNITY BY ENSURING THAT PATIENTS HAVE THE SUPPORT AND RESOURCES THEY NEED TO RETURN TO THE COMMUNITY AS PRODUCTIVE CITIZENS, AS WELL AS HELPING TO CREATE A COMMUNITY IN WHICH PEOPLE ARE VALUED AND TREATED WITH RESPECT.THIRD, BY PROVIDING FINANCIAL AND IN-KIND SUPPORT TO THE GLENCOE AREA CHAMBER OF COMMERCE, WE SUPPORT THE ECONOMIC HEALTH OF OUR REGION. A STRONG LOCAL ECONOMY CONTRIBUTES TO THE OVERALL HEALTH AND WELL-BEING OF ALL ITS RESIDENTS. BY PROVIDING FINANCIAL AND IN-KIND SUPPORT FOR COMMUNITY ACTIVITIES, SUCH AS THE MCLEOD COUNTY FOOD DRIVE CHALLENGE, WE ENHANCE THE QUALITY OF LIFE IN OUR COMMUNITY.FINALLY, BY PROVIDING EDUCATIONAL PRESENTATIONS AND TOURS TO OUR AREA SCHOOLS, WE ARE INVESTING IN A FUTURE GENERATION OF HEALTH CARE WORKERS WHO MAY PROVIDE DIRECT CARE TO OUR PATIENTS AND OTHERS IN THE COMMUNITIES WE SERVE. WE ARE ALSO EDUCATING INDIVIDUALS ABOUT THE WORK WE DO, WHY WE DO IT, AND HOW OUR EFFORTS AFFECT THEIR LIVES AND THE LIVES OF OTHERS.

PART III, LINE 2:
IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, GRHS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, GRHS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, GRHS RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIAL RESPONSIBLE.

PART III, LINE 3:
GRHS IS UNABLE TO REASONABLY CALCULATE THE AMOUNT OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF THEY APPLIED.

PART III, LINE 4:
"SEE THE ""PATIENT ACCOUNTS RECEIVABLE"" PARAGRAPH IN NOTE 1 (PAGE 9) TO THE ATTACHED FINANCIAL STATEMENTS."

PART III, LINE 8:
THE ORGANIZATION USES A COST-TO-CHARGE RATIO TO CALCULATE THE MEDICARE ALLOWABLE COSTS REPORTED IN ITS MEDICARE COST REPORT. THE ORGANIZATION USES THE MEDICARE REIMBURSEMENT PROVIDER MANUAL 15-2 TO DETERMINE ACCEPTABLE METHODOLOGIES.

PART III, LINE 9B:
OUR GENERAL DEBT COLLECTION POLICY FOR ALL PATIENTS IS AS FOLLOWS: TWO BILLING STATEMENTS ARE SENT OUT TO THE PATIENT. ACCOUNTS WITH NO SELF-PAY ACTIVITY WITHIN TWO MONTHS RECEIVE A REMINDER LETTER. IF NO PAYMENT IS MADE WITHIN THREE WEEKS OF THE FIRST LETTER BEING SENT, A PHONE CALL IS PLACED TO THE PATIENT IN ORDER TO SET UP PAYMENT ARRANGEMENTS. IF AN AGREEMENT IS NOT MET, THE ACCOUNT IS SENT TO COLLECTIONS. IN ALL, PATIENTS RECEIVE THREE STATEMENTS, ONE LETTER AND A PHONE CALL BEFORE AN ACCOUNT IS SENT TO COLLECTIONS.PAYMENT PLANS ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE OR FINANCIAL SITUATION. WE DO NOT CHARGE INTEREST OR FEES ON PAYMENT PLANS. IF PATIENTS CONTACT US ABOUT THEIR BILL, WE WILL REFER THEM TO FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE OR DETERMINE IF THEY ARE ELIGIBLE FOR CHARITY CARE PROGRAMS OR UNINSURED DISCOUNT PROGRAMS. INFORMATION ABOUT THE DISCOUNTS AND PROGRAMS THAT ARE AVAILABLE TO PATIENTS CAN ALSO BE FOUND ON THE BACK OF EACH MONTHLY STATEMENT, ON GRHS WEB-SITE AND ON EACH PAYMENT REMINDER LETTER THAT IS SENT. WHEN INSURANCE COMPANIES NEED MORE INFORMATION FROM THE PATIENT TO PROCESS THE CLAIM, WE WILL CALL THE PATIENT AND SEND THE PATIENT A REMINDER LETTER ASKING THE PATIENT TO CONTACT THEIR INSURANCE COMPANY.

PART VI, LINE 2:
GHRS HAS CONDUCTED COMMUNITY-BASED RESEARCH ON SEVERAL OCCASIONS, INCLUDING USE OF FOCUS GROUPS AND STATISTICALLY VALID TELEPHONIC SURVEYS. DURING STRATEGIC PLANNING PROCESSES, DEMOGRAPHIC AND UTILIZATION TRENDS ARE REVIEWED, ALONG WITH THE RESULTS OF ANY COMMUNITY-BASED RESEARCH. FEEDBACK FROM MEDICAL STAFF MEMBERS IS SOLICITED REGARDING TRENDS AND ISSUES THEY SEE. PATIENT FEEDBACK FROM PATIENT SURVEYS IS ALSO REVIEWED.

PART VI, LINE 3:
GRHS EDUCATES AND INFORMS PATIENTS ABOUT FINANCIAL ASSISTANCE, CHARITY CARE AND UNINSURED DISCOUNT PROGRAMS IN ALL BILLING INVOICES SENT. THE INFORMATION IS LISTED ON THE BACK OF THE BILLING STATEMENT. WE ALSO POST THE INFORMATION IN OUR FACILITY AND INCLUDE IT ON OUR WEB SITE, WWW.GRHSONLINE.ORG. IN ADDITION, WE PROVIDE A REPORT BACK TO THE COMMUNITY ANNUALLY ABOUT OUR FINANCES AND CHARITY CARE AMOUNTS. THIS REPORT IS SENT TO ALL OF OUR PATIENTS, AS WELL AS THE RESIDENTS IN THE COMMUNITIES WE SERVE.

PART VI, LINE 4:
PATIENTS CARED FOR BY GRHS RESIDE, PRIMARILY, IN AN AREA WITHIN A RADIUS OF TWENTY MILES OF THE CITY OF GLENCOE, WHICH IS APPROXIMATELY 55 MILES WEST OF MINNEAPOLIS. THE POPULATION OF GRHS'S PRIMARY SERVICE AREA WAS PROJECTED TO BE 35,873 IN 2018, A DECREASE OF 2% SINCE 2010. THE REPORTED POPULATION OF THE CITY OF GLENCOE FOR THE YEAR 2010 AND 2018 WERE 5,631 AND 5,467 RESPECTIVELY, A DECREASE OF 2%.

PART VI, LINE 6:
THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Operating expenses	$ 68,051,592
Total amount spent on community benefits as % of operating expenses	$ 4,343,847 6.38 %