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      <OtherExpensesGrp>
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        <CurrentTaxYearMinus2YearsAmt>1</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1</CurrentTaxYearMinus1YearAmt>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED. THE ORGANIZATION IS ALSO EXEMPT FROM MINNESOTA INCOME TAXES. THE ORGANIZATION REVIEWS INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS TO DETERMINE IF THERE ARE ANY INCOME TAX UNCERTAINTIES. THIS INCLUDES POSITIONS THAT THE ENTITY IS EXEMPT FROM INCOME TAXES OR NOT SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE ORGANIZATION RECOGNIZES TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITIONS. THE ORGANIZATION HAS IDENTIFIED NO SIGNIFICANT INCOME TAX UNCERTAINTIES. THE ORGANIZATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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          <BusinessNameLine1Txt>ELY-BLOOMENSON HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>ELY</CityNm>
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          <ZIPCd>55731</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
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          <CityNm>MINNEAPOLIS</CityNm>
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        <ExplanationTxt>STRATIS HEALTH HAS INVESTED THE APPROPRIATE RESOURCES TO ENSURE THAT COMPREHENSIVE AND PRUDENT OVERSIGHT OF ALL FUNDS GRANTED ARE APPROPRIATE.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <DeferredCompensationFlngOrgAmt>7191</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>21158</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>340810</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>CATHERINE WEIK MAL SPHR</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANE PEDERSON MD</PersonNm>
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        <PersonNm>MICHAEL J NOVAK</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NET REVENUE OF ($466,705) REFLECTED IN LINE 19 ON PAGE 1 INCLUDES NON-OPERATING BOARD DESIGNATED EXPENSES THAT ARE NOT FUNDED FROM ANY OF STRATIS HEALTH'S EXISTING BUSINESS. REMOVING THESE BOARD DESIGNATED EXPENSES RESULTS IN A NET REVENUE FROM OPERATIONS OF $151,395 FOR THE FISCAL YEAR ENDED JULY 31, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:</FormAndLineReferenceDesc>
        <ExplanationTxt>STRATIS HEALTH IS A 501(C)3 NONPROFIT ORGANIZATION DEDICATED TO MAKING LIVES BETTER. WE LEAD COLLABORATION AND INNOVATION IN HEALTH CARE QUALITY AND SAFETY AND SERVE AS A TRUSTED EXPERT IN FACILITATING IMPROVEMENT FOR PEOPLE AND COMMUNITIES. AS A COLLABORATIVE FORCE, THE ORGANIZATION BUILDS CAPABILITY ACROSS SETTINGS AND SERVICES TO ACCELERATE IMPROVEMENT, DEMONSTRATE VALUE, AND FURTHER A HEALTH SYSTEM THAT IS SAFE, EFFECTIVE, TIMELY, PATIENT-CENTERED, EFFICIENT, AND EQUITABLE. OUR MISSION AND VISION ARE SUPPORTED BY VALUES THAT GUIDE OUR EVERYDAY INTERACTIONS. - IN ALL INTERACTIONS AND DECISIONS, WE ARE COMMITTED TO QUALITY, DEFINED AS EXCELLENCE IN EXECUTION; RESPECT, DEFINED AS BEING FAIR AND INCLUSIVE; AND INTEGRITY, DEFINED AS BEING HONEST AND TRANSPARENT. - OUR STAFF EMPHASIZES COLLABORATION TEAMWORK AND PARTNERSHIP IN ALL RELATIONSHIPS. - WE ASPIRE TO BE AN ORGANIZATION WHERE STAFF MEMBERS ARE CONTINUALLY LEARNING, OPTIMISTIC, AND HAVING FUN WHILE DELIVERING HIGH QUALITY WORK. OUR STRATEGIES ALLOW US TO PRIORITIZE IMPROVEMENT EFFORTS THAT EMPOWER THOSE WHO HAVE BEEN HISTORICALLY MARGINALIZED. - CO-DESIGN SYSTEM CHANGES THAT CONNECT HEALTH CARE AND COMMUNITY ORGANIZATIONS TO IMPROVE HEALTH. - ADVANCE A SAFE AND COMPASSIONATE HEALTH CARE ENVIRONMENT FOR THOSE RECEIVING AND THOSE PROVIDING CARE. - ACCELERATE EVIDENCE-INFORMED AND CULTURALLY RESPONSIVE CARE AND SERVICES. OUR STRATEGIES AND PRIORITY POPULATIONS CROSS-OVER BETWEEN AND AMONG THEM, REFLECTING THE INTERSECTIONALITY OF OUR WORK. FOR THE PURPOSE OF THIS REPORT PROJECTS ARE CATEGORIZED INTO SINGLE SECTIONS. WE WORK IN WAYS THAT ARE INCLUSIVE, SYSTEMS ORIENTED, AND CENTERED ON EQUITY. THE WORK WE DO NATIONALLY IS BROAD AND INCLUSIVE, YET FOCUSES ON: - PEOPLE WHO ARE AGE 65 AND OLDER - PEOPLE LIVING IN RURAL PLACES - PEOPLE EXPERIENCING SUBSTANCE USE DISORDERS - PEOPLE EXPERIENCING HEALTH DISPARITIES OUR OUTREACH HAS ALLOWED OUR WORK WITH NATIONAL AUDIENCES WITH A REACH OF CARE SUCH AS: - HEALTH SYSTEMS, HOSPITALS, CLINICS, NURSING HOMES, AND HOME AND COMMUNITY-BASED SERVICES - PAYERS SUCH AS HEALTH PLANS, ACOS AND EMPLOYERS - PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS STRATIS HEALTH'S TRANSFORMATION FRAMEWORK AIMS TO IMPROVE HEALTH CARE BY FOCUSING ON HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND BUILDING RELATIONSHIPS BETWEEN HEALTHCARE AND COMMUNITIES TO ACHIEVE LOWER COST, BETTER CARE, AND BETTER HEALTH. THROUGH STATE, FEDERAL, AND FOUNDATION GRANTS AND CONTRACTS, AS WELL AS CONSULTING SERVICES, OUR STAFF IS INTENTIONAL IN: - DELIVERING DATA-DRIVEN INSIGHTS, EVIDENCE-BASED INTERVENTIONS, AND LEADING-EDGE IMPROVEMENT METHODOLOGIES THAT INSPIRE ORGANIZATIONS AND COMMUNITIES TO ACHIEVE SOLUTIONS TO THEIR MOST COMPLEX AND DIVERSE HEALTH IMPROVEMENT CHALLENGES. - DESIGNING AND PROVIDING TRAINING AND TECHNICAL ASSISTANCE PROGRAMS TO IMPROVE HEALTH AND HEALTH EQUITY IS CORE TO STRATIS HEALTH'S WORK, FACILITATING THE TRANSLATION OF RESEARCH TO PRACTICE. - CREATING STRUCTURED PEER LEARNING AND SHARING PROGRAMS. - LIFTING PROMISING PRACTICES FOR TESTING, REPLICATION, AND DISSEMINATION. - SUPPORTING MULTI-SECTOR COMMUNITY ENGAGEMENT. IN FY24, STRATIS HEALTH'S EDUCATIONAL EVENTS AND ACTIVITIES REACHED NEARLY 12,000 PEOPLE AND OUR TARGETED IMPROVEMENT WORK ENGAGED JUST OVER 2,000 PEOPLE. OUR WORK FOCUS AREA: PEOPLE WHO ARE AGE 65 AND OLDER AS A MEMBER OF THE SUPERIOR HEALTH QUALITY ALLIANCE, A QUALITY INNOVATION NETWORK QUALITY IMPROVEMENT ORGANIZATION (QIO-QIN) FOR MICHIGAN, MINNESOTA, AND WISCONSIN, WE IMPLEMENT INITIATIVES THAT FOCUS ON IMPROVING THE QUALITY OF CARE FOR OLDER ADULTS AND OTHER MEDICARE BENEFICIARIES. THE GOALS OF THE QIO-QIN: - IMPROVE BEHAVIORAL HEALTH OUTCOMES, FOCUSING ON DECREASED OPIOID MISUSE. - INCREASE PATIENT SAFETY, INCLUDING REDUCED ADVERSE DRUG EVENTS. - INCREASE CHRONIC DISEASE MANAGEMENT, FOCUSING ON CARDIAC/VASCULAR HEALTH, DIABETES, AND CHRONIC KIDNEY DISEASE. - INCREASE QUALITY OF CARE TRANSITIONS, INCLUDING REDUCED HOSPITAL READMISSIONS. - IMPROVE NURSING HOME QUALITY. IMPACT OF EDUCATIONAL EVENTS, ACTIVITIES, AND TARGETED IMPROVEMENT WORK - REGISTERED 243 ADDITIONAL USERS IN THE VIVEN HEALTH MODULES TO EDUCATE AND PROMOTE VACCINATIONS RESULTING IN: - 2,328 RESIDENT AND 357 STAFF COVID-19 VACCINATIONS - 205 RESIDENT AND 37 STAFF FLU VACCINATIONS - 356 RESIDENT AND 35 STAFF PNEUMOCOCCAL VACCINATIONS - HOSTED SIX NURSING HOME VIRTUAL EMERGENCY PREPAREDNESS TABLETOP EXERCISES - PRESENTED QIN-QIO WORK IN FOUR POSTERS COMMUNITY HEALTH DISPARITIES REDUCTION, EMERGENCY PREPAREDNESS, CARE COORDINATION, CHRONIC KIDNEY DISEASE AT THE CMS QUALITY CONFERENCE, BALTIMORE, MD, NATIONAL AUDIENCE OF CMS QUALITY IMPROVEMENT CONTRACTORS AND PARTNER ORGANIZATIONS (APPROXIMATELY 5,000 ATTENDEES, IN-PERSON AND VIRTUAL) - HOSTED, FACILITATED, AND PRESENTED THE FINAL THREE OF FIVE COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE VIRTUAL SESSIONS FOCUSED ON ADDRESSING HEALTH-RELATED SOCIAL NEEDS TO REDUCE EMERGENCY DEPARTMENT USE AND HOSPITAL READMISSIONS - PRESENTED: - HOME CARE INTAKE SCRIPTING (HIS) AND HOME CARE ACCEPTANCE TRACKING (HAT) TOOLS AT THE MN HOME CARE ASSOCIATION ANNUAL MEETING - NALOXONE EDUCATION AT THE COMMUNITY OF PRACTICE/DVAC - UNDERSTANDING AND IMPROVING HEALTH EQUITY AT RIDGEVIEW NURSE NAVIGATOR EDUCATION DAY WACONIA, MN - SEPSIS IMPROVEMENT SPRINT WEBINARS THE STRATIS HEALTH COMMUNITY OUTREACH COMMITTEE (COC) CONSISTS OF CONSUMERS AND REPRESENTATIVES FROM ORGANIZATIONS THAT SUPPORT SENIORS. THE COMMITTEE CONVENES QUARTERLY TO DISCUSS, LEARN, AND SHARE HEALTH CARE ISSUES THAT ARE TIMELY AND RELEVANT TO OLDER ADULTS AND MEDICARE BENEFICIARIES. MEETING THEMES FOR 2023-2024 - HOW THE 2023 LEGISLATIVE SESSION RESULTS DO AND DON'T FAVOR OLDER ADULTS IN MN - BEING A SMARTER CONSUMER OF MEDICARE - USING MEDICARE BENEFITS WISELY - ACUTE HOSPITAL AT HOME PROGRAMS IN MINNESOTA: THE STRENGTHS, CHALLENGES, AND OPPORTUNITIES - IMPROVING HEALTH CARE QUALITY, EQUITY, AND SAFETY THROUGH CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES (CLAS) FOCUS AREA: PEOPLE LIVING IN RURAL AREAS UNDERSTANDING HOW CHANGES IN HEALTH CARE DELIVERY AND FINANCING IMPACT RURAL COMMUNITIES AND PROVIDERS CAN LEAD TO MORE EQUITABLE AND EFFECTIVE SOLUTIONS. THE RURAL HEALTH VALUE (RHV) INITIATIVE SUPPORTS HOW EVOLVING HEALTHCARE DELIVERY AND FINANCING SYSTEMS IMPACT RURAL COMMUNITIES AND PROVIDERS. IT PROVIDES RESOURCES, RESEARCH, AND TECHNICAL ASSISTANCE TO HELP RURAL HEALTH CARE ORGANIZATIONS ADAPT TO VALUE-BASED CARE MODELS. BY FOCUSING ON INNOVATION, COLLABORATION, AND SUSTAINABILITY, THE INITIATIVE HELPS ENSURE THAT RURAL COMMUNITIES HAVE ACCESS TO QUALITY CARE. MINNESOTA RURAL FLEX PROGRAM ADDRESSES QUALITY HEALTHCARE IN RURAL COMMUNITIES BY SUPPORTING CRITICAL ACCESS HOSPITALS (CAHS), ENHANCING MEDICAL SERVICES (EMS), AND PROMOTING RURAL HEALTH NETWORKS. RURAL HEALTHCARE PROVIDER TRANSITION PROGRAM (RHPTP) ASSISTS SMALL RURAL HOSPITALS AND RURAL HEALTH CLINICS IN STRENGTHENING THEIR FOUNDATION IN KEY ELEMENTS OF VALUE-BASED CARE. SOAR ECHO (STRATIS HEALTH OPIOID ADDICTION IN RURAL PROJECT ECHO) USES A VIRTUAL TELE-EDUCATIONAL PLATFORM TO CONNECT HEALTHCARE PROVIDERS IN RURAL AREAS WITH SPECIALIST, OFFERING MENTORSHIP AND CASE-BASED LEARNING TO IMPROVE THE QUALITY OF CARE FOR INDIVIDUALS WITH OPIOID USE DISORDER (OUD). MAIN COMPONENTS: - EDUCATION AND NETWORK - ADAPTABLE KNOWLEDGE - ONLINE RESOURCES - FACILITATORS IMPACT OF EDUCATIONAL EVENTS, ACTIVITIES, AND TARGETED IMPROVEMENT WORK - AS PART RURAL HEALTH VALUE (RHV) INITIATIVE: - PRESENTED A VBC LEADERSHIP LEARNING COLLABORATIVE SESSION - PRESENTED "CONSIDERING VALUE-BASED CARE PARTNERSHIPS FOR SUSTAINABILITY" FOR THE FORHP MULTI-PROGRAM GRANTEE MEETING (CONNECT AND ENGAGE FOR RURAL HEALTH GRANTEE MEETING), ATLANTA, GA - HOSTED A VIRTUAL SUMMIT BRINGING INVITED LEADERS FROM PAYER ORGANIZATIONS TO DISCUSS RURAL VALUE-BASED CARE CONTRACTING - HOSTED AND FACILITATED "LET'S TALK ABOUT STATES ADVANCING ALL-PAYER HEALTH EQUITY APPROACHES AND DEVELOPMENT (AHEAD)" WEBINAR - CO-PRESENTED "BIRTHING FRIENDLY HOSPITAL DESIGNATION: RURAL OPPORTUNITIES" FOR THE RHI HUB WEBINAR: HRSA RURAL MATERNAL HEALTH INITIATIVES - PRESENTED "STATE LEVEL STRATEGIES TO ADVANCE VALUE-BASED CARE" FOR THE NRHA ANNUAL CONFERENCE, NEW ORLEANS, LA - FACILITATED "EQUITABLE DISTRIBUTION OF SHARED SAVINGS," THE FOURTH PART OF A LEARNING SERIES - COMPLETED AND POSTED A NEW RURAL HEALTH VALUE SUMMIT REPORT, "DRIVING VALUE THROUGH COMMUNITY-BASED PARTNERSHIPS" - FINALIZED AND POSTED TWO RURAL INNOVATION PROFILES, "IOWA COMMUNITY HEALTH CENTERS AND VALUE-BASED CARE AND "A RURAL ACCOUNTABLE CARE ORGANIZATION'S JOURNEY (SERPA-ACO) - FACILITATED "LET'S TALK ABOUT STATES ADVANCING ALL-PAYER HEALTH EQUITY APPROACHES AND DEVELOPMENT (AHEAD)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONALLY, CULTURE CARE CONNECTION, OUR ONLINE LEARNING AND RESOURCE CENTER, SUPPORTS CLINICAL AND NON-CLINICAL HEALTH CARE PROFESSIONALS TO REDUCE HEALTH DISPARITIES AND PROMOTE HEALTH EQUITY. ON AVERAGE, THE SITE HAS ABOUT 28,000 VISITORS FROM ACROSS THE COUNTRY EACH YEAR, MANY OF WHOM TAKE THE IMPLICIT BIAS QUIZ AT THE OUTSET. TOOLS AND RESOURCES IN FOUR KEY AREAS FOCUS ON BUILDING SKILLS, KNOWLEDGE, AND COMMITMENT TO ACTION FOR INDIVIDUALS AND ORGANIZATIONS TO: RECOGNIZE AND ADDRESS BIASES THAT CAN LEAD TO INEQUITABLE CARE. PROVIDE CULTURALLY RESPONSIVE CARE TO SUPPORT POSITIVE HEALTH OUTCOMES AND MEET PATIENT NEEDS. EXPLORE AND USE DATA RESOURCES TO DRIVE ACTION THAT WILL SUPPORT THE DELIVERY OF EQUITABLE AND EFFECTIVE HEALTH CARE AND SERVICES. UNDERSTAND HOW SOCIAL DETERMINANTS OF HEALTH AFFECT INDIVIDUALS AND COMMUNITIES AND TAKE ACTION TO ADDRESS THEIR IMPACT. IMPROVING RURAL HEALTH STRATIS HEALTH LEADS THE NATIONAL RURAL QUALITY IMPROVEMENT TECHNICAL ASSISTANCE (RQITA) PROGRAM SUPPORTS QUALITY MEASUREMENT AND IMPROVEMENT BY RURAL CRITICAL ACCESS HOSPITALS ACROSS THE COUNTRY THROUGH THE STATE-BASED MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAMS (FLEX). OUR FY24 RQITA ACCOMPLISHMENTS INCLUDE PROVIDING SUPPORT TO ALL 45 STATE FLEX PROGRAMS (EITHER 1:1 TECHNICAL ASSISTANCE, CALLS, WEBINARS, OR OTHER EDUCATION SESSIONS) WITH 98% OF STATE FLEX PROGRAMS INDICATING RQITA RESOURCES AND SUPPORT ARE USEFUL AND EFFECTIVE. THE STRATIS HEALTH RQITA TEAM RESPONDED TO NEARLY 300 TECHNICAL ASSISTANCE REQUESTS, WITH AN AVERAGE TIME TO RESOLUTION OF LESS THAN ONE DAY. ADDITIONALLY, WE PROVIDED 30 PRESENTATIONS REACHING NEARLY 1,300 PARTICIPANTS, DISSEMINATED A MONTHLY E-NEWSLETTER, AND POSTED THREE EPISODES OF A PODCAST SERIES, "QUALITY TIME: SHARING PIE (PERFORMANCE IMPROVEMENT EXPERIENCE)" AS PART OF A NATIONAL VIRTUAL QI MENTORS PROGRAM. THE ACHIEVEMENTS INCLUDED: ANTIBIOTIC STEWARDSHIP REPORTING AND IMPLEMENTATION: INCREASED FROM 80% OF CAHS REPORTING FOR THE SURVEY YEAR 2017 (1,076 CAHS) TO 89% OF CAHS REPORTING AS OF THE SURVEY YEAR 2021 (1,160 CAHS, MOST RECENT DATA). DURING THAT TIME, THERE HAS BEEN AN INCREASE FROM 58% TO 89% OF CAHS NATIONALLY THAT ARE MEETING ALL CORE ELEMENTS. EDTC REPORTING AND IMPROVEMENT: EDTC REPORTING STARTED HIGH AT 90% OF CAHS IN Q2 2018 (1,204 CAHS) BUT DIPPED AS LOW AS 77% DURING THE INITIAL PHASES OF THE COVID-19 PANDEMIC (1,025 CAHS REPORTING IN Q1 2020). REPORTING HAS SINCE REBOUNDED TO 90% FOR Q4 2022 (1,210 CAHS). NATIONAL PERFORMANCE ON THE MEASURE HAS RISEN FROM 83% IN Q2 2018 TO 90% IN Q4 2022. HCAHPS REPORTING: INCREASED FROM 87% OF CAHS REPORTING ALL FOUR QUARTERS OF 2017 (1,165 CAHS) TO 93% REPORTING IN ALL FOUR QUARTERS OF 2021 (1,243 CAHS). STRATIS HEALTH CO-LEADS THE NATIONAL RURAL HEALTH VALUE PROGRAM WITH THE UNIVERSITY OF IOWA RUPRI CENTER. IN FY24, WE DEVELOPED THREE RURAL INNOVATION PROFILES FOCUSING ON A RURAL PHYSICIAN-LED ACCOUNTABLE CARE ORGANIZATION IN NEBRASKA, A NETWORK OF FEDERALLY QUALIFIED HEALTH CLINICS IN IOWA, AND THE COLORADO HOSPITAL TRANSFORMATION PROGRAM. PROVIDED TECHNICAL ASSISTANCE FOCUSED ON VALUE-BASED CARE FOR THE FEDERAL OFFICE OF RURAL HEALTH POLICY FUNDED QUALITY PROGRAM GRANTEES THROUGH PRESENTATIONS AND CONSULTATIONS, SUPPORTED A FOUR-PART VIRTUAL LEARNING AND ACTION NETWORK FOCUSES ON HEALTH SYSTEM SUPPORT FOR ENGAGEMENT OF RURAL CLINICS AND HOSPITALS IN VALUE-BASED CARE PAYMENT ARRANGEMENTS, AND HOSTED A VIRTUAL SUMMIT FOCUSED ON "DRIVING VALUE THROUGH COMMUNITY-BASED PARTNERSHIPS." WITH SUPPLEMENTAL FUNDING, THE TEAM ALSO COMPLETED A LANDSCAPE ASSESSMENT, TARGETED SURVEYS, AND INTERVIEWS TO BETTER UNDERSTAND BARRIERS, FACILITATORS, AND IMPLICATIONS OF THE NEW CMS BIRTHING FRIENDLY DESIGNATION FOR RURAL HOSPITALS. THE RURAL HEALTH VALUE TEAM ALSO PROVIDED STATEWIDE EDUCATION AND TARGETED TECHNICAL ASSISTANCE TO FIVE CRITICAL ACCESS HOSPITALS IN NORTH DAKOTA FOCUSED ON VALUE-BASED CARE INFRASTRUCTURE AND COMPETENCIES. AS PART OF THE NATIONAL RURAL HEALTHCARE PROVIDER TRANSITION PROJECT (RHPTP) TEAM LED BY THE NATIONAL RURAL HEALTH RESOURCE CENTER, STRATIS HEALTH PROVIDED IN-DEPTH QUALITY IMPROVEMENT TECHNICAL ASSISTANCE AND COACHING FOR SIX PARTICIPATING SMALL RURAL HOSPITALS AND THEIR AFFILIATED RURAL HEALTH CLINICS IN GEORGIA, KENTUCKY, MAINE, MINNESOTA (2), AND NEW HAMPSHIRE AND LED A FOUR-PART LEARNING COLLABORATIVE FOR 20 ELIGIBLE ORGANIZATIONS (ALL RURAL HOSPITALS AND/OR RHCS) FOCUSED ON QUALITY AND HEALTH EQUITY. THE CENTER DOES A REASSESSMENT WITH THE SITES WE WORK WITH UNDER RHPTP BUT NOT UNTIL 1-YEAR AFTER WE'VE COMPLETED THE ENGAGEMENT. RESULTS WILL BE AVAILABLE TO SHARE ON LAST YEAR'S COHORT IN THE FALL OF 2024. WITH PREVIOUS COHORTS, PARTICIPANTS INDICATED AN AVERAGE 1.5-POINT IMPROVEMENT BASED ON THE COMPARISON OF A PRE/POST INFRASTRUCTURE ASSESSMENT THAT USES A 5-POINT SCALE. IMPROVING PATIENT SAFETY STRATIS HEALTH LEADS THE MINNESOTA ADVERSE HEALTH EVENTS REVIEW OF ROOT CAUSE ANALYSES AND CORRECTIVE ACTION PLANS, AND COACHES AND SUPPORTS HOSPITALS AND AMBULATORY SURGERY CENTERS TO IMPROVE SAFETY. MINNESOTA CREATED THE FIRST ADVERSE HEALTH EVENT REPORTING SYSTEM IN 2003 USING A TRANSPARENT LEARNING AND IMPROVEMENT APPROACH TO MITIGATE AND PREVENT AVOIDABLE PATIENT/FAMILY SUFFERING. IN FY24, STRATIS HEALTH REVIEWED AND ANALYZED ROOT CAUSE ANALYSES AND CORRECTIVE ACTION PLANS REPORTED TO THE MINNESOTA PATIENT SAFETY REGISTRY AND PROVIDED 70 CONSULTS TO MINNESOTA HOSPITALS AND AMBULATORY SURGERY CENTERS FOR THE STATE ADVERSE HEALTH EVENTS REPORTING SYSTEMS. FOR EACH ADVERSE EVENT REPORTED, THE STRATIS HEALTH TEAM WORKS TO SUPPORT THE FACILITIES' EFFORTS TO PREVENT THE EVENT FROM OCCURRING AGAIN. AT THE STATEWIDE PROGRAM LEVEL, WE ADVISE THE MINNESOTA DEPARTMENT OF HEALTH ON TRENDS IN REPORTED SAFETY EVENTS TO GUIDE THE DEVELOPMENT OF STATEWIDE PREVENTION PLANS. AS PART OF THE NATIONAL METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) PREVENTION PROGRAM, LED BY NORC AT THE UNIVERSITY OF CHICAGO TOGETHER WITH JOHNS HOPKINS MEDICINE ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY, STRATIS HEALTH PROVIDED TECHNICAL ASSISTANCE TO 60 HOSPITAL UNITS INCLUDING INTENSIVE CARE AND OTHER INPATIENT HOSPITAL UNITS, 37 SURGICAL SERVICES UNITS, AND 82 NURSING HOMES FROM ACROSS THE UNITED STATES TO SUPPORT ADOPTION OF EVIDENCE-BASED INFECTION PREVENTION PRACTICES. THE OBJECTIVES ARE TO DEVELOP AND IMPLEMENT INTERVENTIONS TO ASSESS, REINFORCE, AND IMPROVE MULTIPLE DOMAINS OF THE INFECTION PREVENTION PROGRAM AND TO DETERMINE HOW BEST TO ADAPT AND IMPLEMENT THE COMPREHENSIVE UNIT-BASED SAFETY PROGRAM (CUSP) MODEL IN THESE HEALTH CARE SETTINGS. THE CUSP MODEL AIMS TO IMPROVE TEAMWORK, COMMUNICATION, AND THE UNDERSTANDING AND IMPLEMENTATION OF PATIENT SAFETY CULTURE IN PARTICIPATING TEAMS TO ENHANCE THE APPROACHES PARTICIPATING HOSPITALS, SURGICAL SERVICES, AND NURSING HOMES TAKE TO SUCCESSFULLY REDUCE AND PREVENT MRSA TRANSMISSION. THE PROJECT IS IN THE IMPLEMENTATION PHASE, WITH RESULTS AVAILABLE AT A LATER DATE. ADDRESSING THE OPIOID CRISIS SINCE 2018, STRATIS HEALTH HAS A PARTNERSHIP AGREEMENT WITH UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER TO SERVE AS A PROJECT ECHO HUB. EFFECTIVE IMPLEMENTATION OF THE PROJECT ECHO CASE-BASED LEARNING APPROACH IS PART OF STRATIS HEALTH'S INTERVENTIONAL STRATEGIES IN OUD CARE AND TREATMENT. WE ARE CURRENTLY IMPLEMENTING TWO PROJECT ECHO OPIOID PROGRAMS FOR DHS: 1) MIDWEST TRIBAL HEALTH ECHO, IN PARTNERSHIP WITH NACC (NATIVE AMERICAN COMMUNITY CLINIC), AND 2) SOAR (STRATIS HEALTH OPIOID ADDICTION IN RURAL) ECHO. ACROSS BOTH PROJECT ECHOS IN 2023, 65 ECHO SESSIONS WERE HELD; 3,387 PEOPLE ATTENDED THE ECHOS; AND 869 CME CERTIFICATES WERE REQUESTED BY ATTENDEES. WE AVERAGED MORE THAN 52 PARTICIPANTS PER SESSION, AND THEIR EVALUATIONS WERE STRONGLY POSITIVE: 85.2% (1305/1531) INDICATED THAT "THE CONTENT IS USEFUL IN MY JOB" 91.5% (1402/1533) INDICATED THAT "THIS EVENT WAS VALUABLE TO ME"</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>STRATIS HEALTH ALSO RECENTLY COMPLETED THE MINNESOTA DEPARTMENT OF HUMAN SERVICES (DHS)-FUNDED "MAT IN JAILS" PROJECT. IN THIS PROJECT, WE WORKED WITH FIVE COUNTY JAILS IN MINNESOTA TO OFFER MEDICATIONS FOR OPIOID USE DISORDER (MOUD) FOR PEOPLE WHILE THEY ARE INCARCERATED AND SUPPORTING THEIR TRANSITION TO MOUD CARE IN COMMUNITY CLINICS. WITH ONE OF THE PARTICIPATING COUNTIES, WE HELPED A JAIL REDUCE THE AVERAGE TIME BETWEEN A PERSON'S JAIL INTAKE AND MOUD TREATMENT REFERRAL BY 85% (38 DAYS TO UNDER SIX DAYS) AND THE AVERAGE TIME BETWEEN BOOKING AND MOUD INITIATION BY 76% (49 DAYS TO 12 DAYS). ADDITIONALLY, STRATIS HEALTH RECENTLY COMPLETED THE OPIOID PRESCRIBING IMPROVEMENT PROGRAM (OPIP) FOR THE MINNESOTA DEPARTMENT OF HUMAN SERVICES (DHS), 2021-2024. THIS PROJECT AIMED TO IMPROVE OPIOID STEWARDSHIP PRACTICES AND SAFER OPIOID PRESCRIBING BY MN HEALTH CARE PRESCRIBERS. STRATIS HEALTH'S TA WITH PRESCRIBERS IMPROVED UNDERSTANDING OF THEIR PRACTICE AND SUPPORTED TAILORED FEEDBACK ON WHAT THEY COULD DO TO IMPROVE. IT HELPED TO IDENTIFY BEST PRACTICES AND ISSUES THAT WERE BEYOND INDIVIDUAL PRESCRIBERS, AND THESE WERE SHARED WITH DHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE (CONTINUED):</FormAndLineReferenceDesc>
        <ExplanationTxt>- PRESENTED "RURAL-RELEVANT ENGAGEMENT AND VBP MODEL DESIGN" AHIP VBC WORKGROUP - FOR THE RURAL HEALTH VALUE NORTH DAKOTA PROJECT, CO-PRESENTED TO PROVIDE EDUCATION FOR THE LEGISLATURE INTERIM HEALTHCARE COMMITTEE ON VBC/P - SERVED AS FACULTY PRECEPTOR FOR THE QUALITY MODULE OF THE NRHA CERTIFICATION PROGRAM, CEO COHORT - MINNESOTA FLEX PROGRAM - PRESENTED AND FACILITATED THE FINAL THREE FLEX HEALTH EQUITY LEARNING COLLABORATIVE SESSIONS AS PART OF A 15-MONTH COLLABORATIVE FOR THE MINNESOTA DEPARTMENT OF HEALTH RURAL FLEX PROGRAM FOCUSED ON PATIENT, FAMILY, AND COMMUNITY ENGAGEMENT AS FOUNDATION OF HEALTH EQUITY - HOSTED THE THIRD SESSION OF THE FLEX HEALTH EQUITY LEARNING COLLABORATIVE A 15-MONTH COLLABORATIVE FOR THE MINNESOTA DEPARTMENT OF HEALTH RURAL FLEX PROGRAM FOCUSED ON PATIENT, FAMILY, AND COMMUNITY ENGAGEMENT AS FOUNDATION OF HEALTH EQUITY - RURAL HEALTHCARE PROVIDER TRANSITION PROGRAM (RHPTP) - LAUNCHED INTENSIVE TECHNICAL ASSISTANCE FOR THE FIVE SELECTED PARTICIPANTS OF THE RURAL HEALTHCARE PROVIDER TRANSITION PROJECT (RHPTP) YEAR 4 COHORT. THE FIVE PARTICIPANTS ARE ALL SMALL RURAL HOSPITALS OR RURAL HEALTH CLINICS AND LOCATED IN CA, IA, KY, LA, AND TX. PARTICIPANTS APPLIED TO BE PART OF THE NATIONAL PROJECT FUNDED BY THE FEDERAL OFFICE OF RURAL HEALTH POLICY AND LED BY THE NATIONAL RURAL HEALTH RESOURCE CENTER. PARTICIPANTS RECEIVE SIX MONTHS OF INTENSIVE TECHNICAL ASSISTANCE TO HELP THEM PREPARE FOR MOVING INTO VALUE-BASED PAYMENT ARRANGEMENTS, WORKING WITH STRATIS HEALTH ON FOCUSED QUALITY IMPROVEMENT PROJECT, AND RECEIVING A FINANCIAL ASSESSMENT FROM STROUDWATER ASSOCIATES. - PRESENTED ORGANIZATIONAL LEADERSHIP TOWARD VALUE" FOR THE RHPTP HEALTH EDUCATION LEARNING PROGRAM (HELP) WEBINAR SERIES - LAUNCHED TECHNICAL ASSISTANCE FOR SIX SELECTED NATIONAL PARTICIPANTS - PRESENTED "RHPTP HEALTH EQUITY LEARNING COLLABORATIVE," THE LAST TWO IN FOUR-PART LEARNING COLLABORATIVE - PRESENTED "UNDERSTANDING AND IMPROVING HEALTH EQUITY IN RURAL HEALTH CARE SETTINGS," THE THIRD IN A FOUR-PART LEARNING COLLABORATIVE - HOSTED AND CO-FACILITATED STRATIS HEALTH OPIOID ADDICTION IN RURAL (SOAR) ECHO SESSIONS: - SUBSTANCE USE DISORDERS IN THE PALLIATIVE CARE SETTING - CARING FOR PATIENTS WITH CHRONIC PAIN AND OPIOID DEPENDENCE - STEVE RUMMLER HOPE NETWORK OVERVIEW - CLINICAL MANAGEMENT OF METHAMPHETAMINE USE WEBINAR - TOBACCO CESSATION - COMPASSION AND COMPASSION FATIGUE - CONTROLLED SUBSTANCE USE IN VETERINARY PRACTICE - PUBLIC HEALTH AND BIO-SURVEILLANCE - MINNESOTA MEDICAL ASSOCIATION (MMA) LEGISLATION OVERVIEW - MOUD CARE MAP: GETTING MOUD CARE IN PRIMARY CARE CLINICS - GIVING INCARCERATED MOTHERS AND THEIR BABIES A HEALTHY START - STIMULANT MISUSE IN ADOLESCENTS AND YOUNG ADULTS: FROM RESEARCH TO PRACTICE FOCUS AREA: PEOPLE EXPERIENCING SUBSTANCE USE DISORDERS SINCE 2014 STRATIS HEALTH HAS ADDRESSED THE OPIOID CRISIS, FOCUSING ON: - INCREASING ACCESS TO EVIDENCE-BASED AND CULTURALLY RELEVANT CARE. - IMPROVING THE APPROPRIATE PRESCRIBING OF OPIOIDS FOR PAIN MANAGEMENT. - REDUCING DISPARITIES IN CARE AND OUTCOME. STRATIS HEALTH IMPLEMENTS MOUD (MEDICATIONS FOR OPIOID USE DISORDER) IN JAILS AS PART OF ITS COMMITMENT TO EXPANDING ACCESS TO EVIDENCE-BASED ADDITION TREATMENT. PROVIDING THIS TREATMENT ADDRESSES OPIOID USE DISORDER AND REDUCING OVERDOSE RISKS, ESPECIALLY FOLLOWING RELEASE, WHICH IS A VULNERABLE PERIOD. THE MIDWEST TRIBAL ECHO IS A KNOWLEDGE-SHARE INITIATIVE. IT PROVIDES ACCESS TO CULTURALLY RESPONSIVE, PROMISING PRACTICES FOR THE TREATMENT OF SUBSTANCE USE DISORDERS, SPECIFICALLY BUT NOT LIMITED TO OPIOID USE DISORDER (OUD). TOWN (TEAMS OVERCOMING OVERDOSE NEEDS) IS A CLINICAL CARE TEAM-BASED MODEL TO PREVENT OPIOID OVERDOSES IN RURAL AND TRIBAL COMMUNITIES. IT IS A COLLABORATION WITH THE MINNESOTA HEALTH DEPARTMENT. SOAR (STRATIS HEALTH OPIOID ADDICTION IN RURAL) ECHO EXPANDS ACCESS TO AND IMPROVES THE QUALITY OF ADDICTION TREATMENT IN UNDERSERVED AND HARD TO REACH RURAL MINNESOTA AREAS. IMPACT OF EDUCATIONAL EVENTS, ACTIVITIES, AND TARGETED IMPROVEMENT WORK - AS A PART OF THE MN DHS JAIL ECHO PROJECT: - HOSTED "BEST PRACTICES AND WORKFORCE TRAINING BOOTCAMP FOR JAIL ADMINISTRATORS," ST. CLOUD, MN - HOSTED "COMMUNITY OF PRACTICE FOR JAIL ADMINISTRATORS" - FACILITATED "MOUD JAILS ECHO FOR MEDICAL STAFF" - HOSTED THE SIXTH SESSION OF THE OPIOID PRESCRIBING &amp; OVERDOSE PREVENTION LEARNING COLLABORATIVE - PRESENTED "HOW TO IMPLEMENT PROVEN OPIOID STEWARDSHIP STRATEGIES WHILE INTEGRATING QUALITY MEASURES FOR IMPROVED POPULATION HEALTH" WEBINAR FOR THE NATIONAL RURAL HEALTH RESOURCE CENTER AS PART OF THE RURAL HEALTH PROVIDER TRANSITION PROJECT (RHPTP) PROJECT. - CO-FACILITATED THE FINAL TWO OF A NINE-PART SERIES OF QIO MOUD COLLABORATIVE WEBINARS: - SUSTAINING RECOVERY FOR PATIENTS ON MOUD, PART 2 - MANAGEMENT OF PATIENTS ON MOUD WRAP UP - CO-FACILITATED QIO MOUD COLLABORATIVE WEBINARS: - ENSURING MOUD ACROSS THE CARE CONTINUUM: MANAGEMENT OF PATIENTS ON MOUD - ENSURING MOUD ACROSS THE CARE CONTINUUM: MANAGEMENT OF PATIENTS ON MOUD DURING NH STAY - ENSURING MOUD ACROSS THE CARE CONTINUUM: SUSTAINING RECOVERY - TOWN - FOR THE 12 RECENT TOWN SITES, WE FACILITATED 34 NURSE MEETINGS ATTENDED BY 26 UNIQUE INDIVIDUALS REPRESENTING ALL 12 CLINICS. - IN ADDITION TO FACILITATING TOWN NURSE MEETINGS AND PERFORMING SITE VISITS, WE PROVIDED DIRECT, INDIVIDUALIZED TA. TA TOPICS INCLUDED THE FOLLOWING (LISTED IN ORDER FROM MOST-LEAST FREQUENT): DIRECT PATIENT CARE, MEDICATION-RELATED, WORKFLOW, ADMINISTRATIVE, POLICIES AND PROTOCOLS, RESEARCH SUPPORT, COMMUNITY ENGAGEMENT, AND CULTURALLY RESPONSIVE APPROACHES. - THE 12 PARTICIPATING TOWN CLINIC SITES MADE EXCELLENT PROGRESS WITH OUR TA SUPPORT. NEARLY 75% OF PARTICIPATING CLINICS IMPROVED OR MAINTAINED "OPTIMAL" RATINGS FROM THEIR INITIAL TO FINAL MATURITY MATRIX RATINGS. IN AUGUST 2023, ONE OF THE PARTICIPATING CLINICS SAID, "OUR TWO HIGHEST PRESCRIBERS OF OPIOIDS HAVE BOTH CUT THEIR PRESCRIBING IN HALF." A PARTICIPATING NURSE CARE COORDINATOR SAYS IN HER LETTER OF SUPPORT, "FAIRVIEW MESABA CLINIC HAS BEEN COLLABORATING WITH DR. KURT DEVINE AND HIS TEAM SINCE 2018. THEIR WILLINGNESS TO HELP AND SHARE KNOWLEDGE HAS MADE OUR TOWN CLINIC SO SUCCESSFUL." - SOAR ECHO - ACROSS BOTH PROJECT ECHOS IN 2023, 65 ECHO SESSIONS WERE HELD; 3,387 PEOPLE ATTENDED THE ECHOS; AND 869 CME CERTIFICATES WERE REQUESTED BY ATTENDEES. WE AVERAGED MORE THAN 52 PARTICIPANTS PER SESSION, AND THEIR EVALUATIONS WERE STRONGLY POSITIVE, WITH OVER 85% SAYING "THE CONTENT IS USEFUL IN MY JOB, AND 91.5% SAYING "THIS EVENT WAS VALUABLE TO ME. FOCUS AREA: PEOPLE EXPERIENCING HEALTH DISPARITIES STRATIS HEALTH IS COMMITTED TO ENSURING THAT QUALITY HEALTH CARE IS DELIVERED IN A FAIR, INCLUSIVE, AND JUST MANNER TO IMPROVE THE LIVES OF INDIVIDUALS, COMMUNITIES, AND POPULATIONS. TO DO THIS, WE KNOW THAT HEALTH EQUITY MUST BE CENTERED IN OUR WORK OUR OPERATING PREMISE IS THAT WITHOUT EQUITY, THERE CANNOT BE QUALITY. WE ALSO KNOW THAT THE LACK OF EQUITY IN HEALTH CARE PLANNING AND DELIVERY HEIGHTENS HEALTH DISPARITIES FOR VULNERABLE AND AT-RISK COMMUNITIES. PATH (PARTNERSHIP TO ADVANCE TRIBAL HEALTH) IS A PROJECT FOCUSED ON IMPROVING THE HEALTH OF AMERICAN INDIAN AND ALASKA NATIVE PEOPLE. THE INITIATIVE PROVIDES TECHNICAL ASSISTANCE AND TRAINING IN QUALITY IMPROVEMENT AND SAFETY CULTURE TO INDIAN HEALTH SERVICES (IHS) HOSPITALS. STRATIS HEALTH SERVED IN LOCAL AND NATIONAL ROLES. CLAS (CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES) PROVIDES HEALTH CARE SERVICES DESIGNED TO A PERSON'S CULTURE AND LANGUAGE PREFERENCES. THE SERVICE CAN ASSIST IN PROMOTING QUALITY CARE FOR ALL INDIVIDUALS, WITH A GOAL OF REDUCING HEALTH DISPARITIES AND ACHIEVING HEALTH EQUITY. STRATIS HEALTH OFFERS CULTURE CARE CONNECTION TO CLINICAL AND NON-CLINICAL HEALTH CARE PROFESSIONALS. IT IS AN ONLINE LEARNING AND RESOURCE CENTER, THAT SERVES AS A GUIDE TO REDUCE HEALTH DISPARITIES AND PROMOTE HEALTH EQUITY. THE SITE HAS VISITORS FROM ACROSS THE COUNTRY, MANY OF WHOM TAKE THE IMPLICIT BIAS QUIZ AT THE OUTSET. TOOLS AND RESOURCES IN FOUR KEY AREAS FOCUS ON BUILDING SKILLS, KNOWLEDGE, AND COMMITMENT TO ACTION FOR INDIVIDUALS AND ORGANIZATIONS TO: - RECOGNIZE AND ADDRESS BIASES THAT CAN LEAD TO INEQUITABLE CARE. - PROVIDE CULTURALLY RESPONSIVE CARE TO SUPPORT POSITIVE HEALTH OUTCOMES AND MEET PATIENT NEEDS. - EXPLORE AND USE DATA RESOURCES TO DRIVE ACTION THAT WILL SUPPORT THE DELIVERY OF EQUITABLE AND EFFECTIVE HEALTH CARE AND SERVICES. - UNDERSTAND HOW SOCIAL DETERMINANTS OF HEALTH AFFECT INDIVIDUALS AND COMMUNITIES AND TAKE ACTION TO ADDRESS THEIR IMPACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE (CONTINUED):</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPACT OF EDUCATIONAL EVENTS, ACTIVITIES, AND TARGETED IMPROVEMENT WORK - PATH: - CO-PRESENTED "USING COMMUNITY HEALTH ASSESSMENTS AND LEVERAGING COMMUNITY RESOURCES TO IMPROVE HEALTH EQUITY AND REDUCE HEALTH CARE DISPARITIES" BREAKOUT SESSION AT THE CMS QUALITY CONFERENCE, BALTIMORE, MD - HOSTED AND FACILITATED SIX AMERICAN INDIAN FAMILY EDUCATION DIABETES SERIES SESSIONS - CLAS: - PROVIDED INTENSIVE ONE-ON-ONE TECHNICAL ASSISTANCE THROUGH OUR WORK WITH ORGANIZATIONAL CLAS ASSESSMENTS. THESE ASSESSMENTS ARE ANALYZED AND TRANSLATED INTO WORK PLANS FOR DHS GRANTEES WHO ARE WORKING TO IMPLEMENT CLAS STANDARDS. - CCC: - FOR FY24 THERE 19,000 VISITORS TO THE SITE AND 895 PEOPLE PARTICIPATED IN THE IMPLICIT BIAS QUIZ</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE CHAIR, THE IMMEDIATE PAST CHAIR, THE SECRETARY AND AT LEAST ONE OTHER DIRECTOR DESIGNATED BY THE BOARD. THE CHAIR OF THE BOARD SHALL BE THE CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DURING SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE FROM TIME TO TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER, AND COPIES OF THE RETURN ARE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION OF ITS ACCEPTANCE TO THE BOARD. THE BOARD IS PROVIDED A COPY TO REVIEW PRIOR TO APPROVAL FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>STRATIS HEALTH HAS AN ORGANIZATIONAL CONFLICT OF INTEREST POLICY WHICH IS INCORPORATED INTO ITS COMPLIANCE PLAN INITIALLY UPON ELECTION TO THE STRATIS HEALTH BOARD OF DIRECTORS AND HIRE TO THE ORGANIZATON AND ON AN ANNUAL BASIS, ALL STRATIS BOARD MEMBERS, SENIOR MANAGEMENT AND OTHER KEY STRATIS HEALTH PERSONNEL ARE REQUIRED TO REVIEW THE POLICY AND COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE SO THAT STRATIS HEALTH IS AWARE AND ABLE TO DEVELOP MITIGATION PLANS TO MANAGE ANY POTENTIAL, PERCEIVED OR REAL CONFLICTS. THE PROCESS IS MANAGED BY STRATIS HEALTH'S SENIOR VICE PRESIDENT ADMINISTRATION/COMPLIANCE OFFICER. EACH RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THE CONFLICT OF INTEREST POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO. THIS SHALL BE DONE ANNUALLY BE EACH RESPONSIBLE PERSON. A DIRECTOR, OFFICER OR KEY PERSONNEL WHO HAS A CONFLICT OF INTEREST SHALL REPORT ALL FACTS MATERIAL TO THE CONFLICT TO THE CHAIR OF THE BOARD. THE CHAIR SHALL REPORT DISCLOSURE TO STRATIS HEALTH'S COMPLIANCE OFFICER AND AT THE MEETING, THE DISCLOSURE SHALL BE REFLECTED IN THE MEETING MINUTES. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD OR COMMITTEE DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS DONE BY SECRET BALLOT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH INTERNAL REVENUE CODE (IRC SECTION 4958) STRATIS HEALTH IMPLEMENTED AN EXECUTIVE COMPENSATON INTERMEDIATE SANCTIONS COMPLIANCE PLAN (ISCP) IN 2005. THE COMPENSATON SETTING COMMITTEE IS COMPRISED OF MEMBERS OF STRATIS HEALTH'S EXECUTIVE/FINANCE BOARD COMMITTEE. THE COMMITTEE SERVES AS THE DECISION-MAKING BODY IN DETERMINING REASONABLE LEVELS OF COMPENSATION AND BENEFITS FOR THE CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICERS POSITIONS. THE COMMITTEE IS RESPONSIBLE FOR GATHERING SALARY AND BENEFIT COMPARABILITY DATA, WHICH IS DONE ON A BI-ANNUAL BASIS BASED ON REVIEW AND APPROVAL OF THE DATA. THE COMMITTEE IS RESPONSIBLE FOR APPROVING AND FINALIZING THE SALARY RANGE FOR EACH OF THE REVIEWED POSITIONS. THE COMMITTEE ALSO HAS THE RESPONSIBILITY TO APPROVE THE CHIEF EXECUTIVE OFFICER'S SALARY INCREASE ON AN ANNUAL BASIS. THE COMMITTEE ENGAGES A CONSULTANT TO CONDUCT AN INDEPENDENT SURVEY AND REVIEW OF THE SALARY DATA COLLECTED. THIS PROCESS WAS LAST CONDUCTED IN 2019 FOR OFFICERS OF STRATIS HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES THE FOLLOWING UPON REQUEST: A DESCRIPTION OF ITS PROGRAM ACTIVITIES AND ACCOMPLISHMENTS AND GEOGRAPHIC AREA SERVED, A SUMMARY OF THE TOTAL COST OF EACH MAJOR PROGRAM (THE THE EXTENT REQUIRED IN THE IRS FORM 990) AND A LIST OF THE ORGANIZATON'S BOARD OF DIRECTORS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 537,888. MANAGEMENT AND GENERAL EXPENSES 453,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 991,557.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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