2025-05-09T09:33:21-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 450310159 CHRISTIAN UNITY HOSPITAL CORPORATION CHRI 7013521620 164 WEST 13TH STREET GRAFTON ND 58237 BRAD WURGLER CHIEF FINANCIAL OFFICER 7013521620 2025-05-08 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-05-05 2023 2025-03-06 01:10:19Z UNITY MEDICAL CENTER ALAN O'NEIL 164 WEST 13TH STREET GRAFTON ND 58237 31566255 0 X WWW.UNITYMEDCENTER.COM X 1970 ND PROVIDE ACCESS TO QUALITY HEALTH CARE FOR THE REGION. 9 8 203 24 0 0 1385566 888288 26970054 30012755 167495 484177 0 0 28523115 31385220 14747 2016 0 0 14807797 16356781 0 0 172294 11459806 13851310 26282350 30210107 2240765 1175113 39284392 42485654 23758153 25418329 15526239 17067325 X UNITY MEDICAL CENTER PROVIDES ACCESS TO QUALITY HEALTH CARE FOR THE REGION. 1 0 24830945 2016 30012755 UMC PROVIDES EMERGENCY CARE, ACUTE CARE SERVICES, SWING BED SERVICES, OUTPATIENT, AND CLINICAL MEDICAL SERVICES TO THE RESIDENTS OF GRAFTON, NORTH DAKOTA AND SURROUNDING COMMUNITIES. THE FACILITY PROVIDES OUTREACH SERVICES SUCH AS PHYSICAL THERAPY, RESPIRATORY THERAPY, AND FLU VACCINATION CLINICS TO OTHER EMPLOYERS IN THE AREA AS WELL. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, THE MEDICAL CENTER PROVIDED AS PART OF ITS MISSION 393 ACUTE DAYS, 1,861 SWING BED DAYS, 58 RESPITE DAYS, 2,330, ER ADMITS, AND 16,054 CLINIC VISITS. 24830945 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 203 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BRAD WURGLER 7013521620 164 WEST 13TH STREET GRAFTON ND 58237 DR MATTHEW VISCITO BOARD MEMBER/CHIEF OF MED. STAFF 40.00 X 434564 0 52932 JO PETERSON PRESIDENT 5.00 X X 0 0 0 PAUL MOHAGEN VICE PRESIDENT 1.50 X X 0 0 0 AMY GEIGER SECRETARY/TREASURER 2.00 X X 0 0 0 TOM CAMPBELL BOARD MEMBER 1.50 X 0 0 0 RUSSELL CARIGNAN BOARD MEMBER 1.50 1.00 X 0 0 0 ROGER GORDER BOARD MEMBER 1.50 X 0 0 0 TODD MORGAN BOARD MEMBER 1.50 X 0 0 0 HEIDI PAULSON BOARD MEMBER 2.00 X 0 0 0 ALAN O'NEIL CHIEF EXECUTIVE OFFICER 40.00 X 431688 0 49324 BRAD WURGLER CHIEF FINANCIAL OFFICER 40.00 X 145584 0 45752 JENNIFER HOLAND CHIEF NURSING OFFICER 40.00 1.00 X 139466 0 12978 DR JARED MARQUARDT PHYSICIAN 40.00 1.00 X 371819 0 47335 DR KRISTI MIDGARDEN PHYSICIAN 40.00 X 288369 0 47730 DR JENNIFER SHAW PHSYICIAN 40.00 X 281627 0 53068 JODI SHERVE FAMILY NURSE PRACTITIONER 40.00 X 186178 0 41311 MATTHEW MASSMANN PHYSICIAN ASSISTANT 40.00 X 182719 0 47364 2462014 0 397794 25 0 1 0 TRIAGE LLC PO BOX 773328 CHICAGO IL 60677 TRAVEL NURSING SERVICES 458414 TOP SHELF ANESTHESIA PLLC 2029 9TH ST SE EAST GRAND FORKS MN 56721 ANESTHESIA SERVICES 299150 ALTRU HEALTH SYSTEM PO BOX 13780 GRAND FORKS ND 58208 EPIC, TELEPHARMACY, PACS, BIOMED, OT SER 287393 TL STROH ARCHITECTS 8 SEVENTH ST N FARGO ND 58102 ARCHITECTURAL SERVICES 207725 CRL 7595 ANAGRAM DR EDEN PRAIRIE MN 55344 RADIOLOGY READINGS 196798 10 429358 310328 148602 888288 NET PATIENT SERVICE REVENUE 621300 24641924 24641924 CLINIC SERVICE REVENUE 621400 4461558 4461558 340(B) PROGRAM REVENUE 456110 639183 639183 270090 270090 30012755 260360 260360 404852 178673 2362 226179 -2362 223817 223817 31385220 30012755 0 484177 2016 2016 1186901 251401 935500 11696813 10131426 1438682 126705 421600 373578 43323 4699 2207777 1867404 317311 23062 843690 686554 148735 8401 45658 45658 85007 85007 2211 2211 32235 32235 2083300 1903276 180024 188564 188564 81503 32083 48986 434 377947 377947 319768 319768 223162 174120 49042 22030 22030 499444 442712 56732 2120414 1669320 442101 8993 207857 207857 MEDICAL SUPPLIES 4747034 4747034 PROVISION FOR BAD DEBT 672471 672471 REPAIRS AND MAINTENANCE 519650 454636 65014 DUES & SUBSCRIPTIONS 233134 73799 159335 1389921 1029347 360574 30210107 24830945 5206868 172294 57521 14599 6056689 5365730 3375509 3030434 245385 268890 144987 182671 39087324 14260963 22738438 24826361 6225299 6720627 128933 111993 311631 1964349 39284392 42485654 1993379 2950246 21195672 20693939 569102 1774144 23758153 25418329 X 15526239 17067325 15526239 17067325 39284392 42485654 1175113 365973 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2211 2211 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF AMERICAN HOSPITAL ASSOCIATION AND NORTH DAKOTA HOSPITAL ASSOCIATION. A PORTION OF MEMBERSHIP DUES TO THE ABOVE LISTED ASSOCIATIONS IS USED FOR LOBBYING. THESE ASSOCIATIONS ADVOCATE ON BEHALF OF ITS MEMBERS FOR IMPROVING EFFICIENCY AND ACCESSIBILITY OF THE HEALTHCARE DELIVERY SYSTEMS AND THE HEALTH STATUS OF NORTH DAKOTA'S POPULATION. 101237 101237 20698557 6527886 14170671 16522743 7733077 8789666 1764787 1764787 24826361 OPERATING LEASE OBLIGATIONS 97946 FINANCE LEASE OBLIGATIONS 1614019 SPECIAL ASSESSMENT LIABILITY 62179 1774144 1 1 X 0 1 X 1 0 0 22330 22330 0.00080 1583119 1355674 227445 0.00770 1605449 1355674 249775 0.00850 8419069 5093136 3325933 0.11260 8419069 5093136 3325933 0.11260 10024518 6448810 3575708 0.12110 0 611426 59308 12699272 12788156 -88884 X 1 1 1 1 CHRISTIAN UNITY HOSPITAL CORPORATION 164 WEST 13TH STREET GRAFTON ND 58257 WWW.UNITYMEDCENTER.COM 5020 X X X X X RURAL HOSPITAL CHRISTIAN UNITY HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C, LINE 7D X X 1 21 1 SEE PART V, SECTION C, LINE 7D 0 1 X 200.000000000000 X X 1 1 X X X X X 1 X HTTPS://WWW.UNITYMEDCENTER.COM/ABOUT-US/PRICE-TRANSPARENCY.HTML X HTTPS://WWW.UNITYMEDCENTER.COM/ABOUT-US/PRICE-TRANSPARENCY.HTML X HTTPS://WWW.UNITYMEDCENTER.COM/ABOUT-US/PRICE-TRANSPARENCY.HTML X X X X X X 1 X 0 X X X X X 1 X 0 0 CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 5: WE ARE IN THE PROCESS OF COMPLETING OUR 2025 CHNA. ON NOVEMBER 6, 2024, THREE INTERVIEWS WITH KEY INFORMANTS WERE COMPLETED. THE CRH FACILITATED THE INTERVIEWS. A COMMUNITY MEETING LED BY THE CRH STAFF WAS HELD AT UNITY ON THAT SAME DAY. WE HAD A VARIETY OF PARTICIPANTS INVOLVED WITH THE INTERVIEWS AND MEETINGS.INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH ACQUIRED THROUGH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES.TOPICS COVERED DURING THE INTERVIEWS INCLUDED THE GENERAL HEALTH NEEDS OF THE COMMUNITY, THE GENERAL HEALTH OF THE COMMUNITY, COMMUNITY CONCERNS, DELIVERY OF HEALTH CARE BY LOCAL PROVIDERS, AWARENESS OF HEALTH SERVICES OFFERED LOCALLY, BARRIERS TO RECEIVING HEALTH SERVICES, AND SUGGESTIONS FOR IMPROVING COLLABORATION WITHIN THE COMMUNITY.A SURVEY WAS DISTRIBUTED TO SOLICIT FEEDBACK FROM THE COMMUNITY AND WAS NOT INTENDED TO BE A SCIENTIFIC OR STATISTICALLY VALID SAMPLING OF THE POPULATION. IT WAS DESIGNED TO BE AN ADDITIONAL TOOL FOR COLLECTING QUALITATIVE DATA FROM THE COMMUNITY AT LARGE - SPECIFICALLY, INFORMATION RELATED TO COMMUNITY-PERCEIVED HEALTH NEEDS. THE SURVEY WAS A COLLABORATIVE EFFORT BETWEEN FCHC, WALSH COUNTY PUBLIC HEALTH AND UMC, SURVEYING WALSH COUNTY. IN COMBINATION OF PAPER FORMS AND ONLINE SURVEYS, A TOTAL OF 176 COMMUNITY MEMBERS COMPLETED SURVEYS. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH FIRST CARE HEALTH CENTER. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH WALSH COUNTY PUBLIC HEALTH. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 7D: PART V, SECTION B, LINES 7A & 10A:HTTPS://WWW.UNITYMEDCENTER.COM/ABOUT-US/PATIENTRESOURCES.HTML CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 11: REDUCING ADULT OBESITY: WE ARE HAPPY TO REPORT THAT OUR CULINARY MEDICINE PROGRAM CONTINUES TO SERVE MANY REGIONAL PATIENTS. THIS PROGRAM, LED BY A LICENSED REGISTERED DIETICIAN, IS OFFERED TO OUR PATIENTS THROUGH PROVIDER REFERRALS. IN ADDITION, UMC ADDED PULMONARY REHAB CLASSES AND EXPANDED CARDIAC REHAB CLASSES. THESE TWO SERVICES PROMOTE OVERALL WELLNESS THROUGH EXERCISE AND EDUCATION ON HEALTH AND LIFESTYLE CHANGES.THE UMC DIETICIAN CONSISTENTLY OFFERS NUTRITION-FOCUSED EVENTS FOR THE COMMUNITY AND UMC STAFF. COOKING CLASSES AND WEIGHT LOSS CLASSES HAVE BEEN OPEN FOR COMMUNITY MEMBER ENROLLMENT. PARTICIPATION IN OUR ANNUAL UMC KIDS CLINIC SHOWCASES HEALTHY FOOD CHOICES FOR CHILDREN. AN EXPANSIVE SALAD BAR IS AVAILABLE DAILY AS A LUNCH OPTION FOR UMC STAFF AND VISITORS. THIS AMAZING ADDITION PROMOTES HEALTHY EATING AND ALLOWS EVERYONE TO EXPLORE NUTRITIOUS OPTIONS THAT THEY MAY NOT CHOOSE REGULARLY.ANOTHER WAY THAT UMC IS STRIVING TO INCREASE THE HEALTH AND WELLNESS OF EMPLOYEES IS THROUGH THE ACTIVITIES OF THE UMC HEALTH & WELLNESS COMMITTEE. THIS COMMITTEE HAS LED A WEEKLY WALKING GROUP AND COOKING DEMONSTRATIONS FOR STAFF. THEY SHARE HEALTHY RECIPES AND TIPS WITH STAFF VIA POSTINGS AND EMAILS AND SPONSORS MONTHLY FITNESS CHALLENGES. A STAFF LED EXERCISE GROUP WAS ALSO BORN OUT OF THIS COMMITTEE. CLASSES ARE REGULARLY HELD IN THE REHAB SERVICES SPACE AND MORE AND MORE EMPLOYEES ARE UTILIZING THE EQUIPMENT DURING THEIR FREE TIME TO LOSE WEIGHT AND INCREASE STRENGTH. UMC IMPLEMENTED A NEW BENEFIT IN 2024 WHICH PROVIDED HEALTHY SPENDING DOLLARS FOR ALL STAFF.UMC PARTNERED WITH THE CITY OF GRAFTON AND GRAFTON PARKS AND RECREATION IN 2023 TO HOST A 5K RUN/WALK FOR THE COMMUNITY. THIS WAS A GREAT EVENT THAT BROUGHT THE COMMUNITY TOGETHER, PROMOTED PHYSICAL ACTIVITY AND A HEALTHY LIFESTYLE, WHILE RAISING MONEY FOR THE CITY POOL.THE PARTNERSHIP BETWEEN UMC AND WALSH COUNTY SOCIAL SERVICES WAS EXTENDED THROUGH COLLABORATIVE CLASSES FOCUSED ON UTILIZING HEALTHY FOOD SUBSTITUTES AND ALTERNATIVE COOKING METHODS. THIS INFORMATION WAS THEN PASSED ON TO THEIR CLIENTS. THE WALSH COUNTY FOOD PANTRY LOCATED IN GRAFTON AND THE PARK RIVER FOOD PANTRY ARE AVAILABLE TO MEMBERS OF THE COMMUNITY. THE LOCAL CHURCH COMMUNITIES, THE WALSH COUNTY HEALTH DEPARTMENT AND THE SCHOOL DISTRICTS ARE PARTNERING WITH THE FOOD PANTRY TO INCREASE ACCESS TO THE SERVICES AND PRODUCTS FOR CITIZENS IN NEED ACROSS THE COUNTY. UMC PROVIDES HEALTHY RECIPES AND FOOD PREPARATION TIPS FOR THE TYPICAL FOOD OPTIONS AVAILABLE AT THE PANTRIES. THE FOOD PANTRY THEN DISTRIBUTES THIS INFORMATION TO THOSE UTILIZING THE SERVICES.THE UMC PHYSICAL THERAPY DEPARTMENT HAS ALSO EXPANDED TO PROVIDE NUMEROUS NEW PROGRAMS FOR MANY DIFFERENT PATIENT POPULATIONS. UMC NOW OFFERS THE LSVT BIG PROGRAM TO ASSIST PEOPLE WITH PARKINSON'S DISEASE. WOMEN'S HEALTH AND "FIT AS A MAMA" BIRTHFIT CLASSES CONTINUE TO IMPROVE THE HEALTH OF OUR FEMALE PATIENTS. ALSO, OUR THERAPISTS HAVE ENHANCED ALREADY CLOSE RELATIONSHIPS WITH LOCAL BUSINESSES THROUGH WORKSITE WELLNESS AND INDUSTRIAL MEDICINE ASSESSMENTS AND ACTIVITIES OFFERED ONSITE. SPECIAL ATTENTION IS GIVEN TO EACH PATIENT THROUGH INDIVIDUALIZED PROGRAMMING SUCH AS FUNCTIONAL MOVEMENT SCREENING FOR SCHOOL ATHLETES AND FREE ATHLETIC INJURY SCREENS. PATIENTS OF ALL AGES SEEK TREATMENT, REHABILITATION, AND PERFORMANCE ENHANCEMENT COACHING FROM OUR LARGE TEAM OF PROVIDERS. RECRUITING HEALTHCARE STAFF: UMC IS DEDICATED TO THE EDUCATION AND TRAINING OF THE NEXT GENERATION OF HEALTHCARE PROVIDERS. WE PARTNER WITH MANY LOCAL COLLEGES, HIGH SCHOOLS, AND TECHNOLOGY CENTERS AND OUR SERVICE PROVIDERS IN NEARLY ALL DEPARTMENTS GLADLY TAKE THE ROLE OF MENTOR FOR GRADUATE, UNDERGRADUATE, AND HIGH SCHOOL STUDENTS/INTERNS. UMC HAS HOSTED R-COOL-HEALTH SCRUBS CAMP FOR 9TH GRADE STUDENTS THROUGHOUT THE AREA SINCE 2021 IN PARTNERSHIP WITH CENTER FOR RURAL HEALTH. THIS FULL DAY EVENT PROVIDES EXPOSURE TO ALL AREAS OF HEALTHCARE THROUGH HANDS-ON ACTIVITIES AND ENGAGING SPEAKERS FROM UMC AND COMMUNITY HEALTHCARE PARTNERS.LOCAL HIGH SCHOOL STUDENTS ARE WELCOME TO COMPLETE PAID SUMMER INTERNSHIPS AND HALF-DAY JOB SHADOW EXPERIENCES WITH UMC STAFF. SOME OF THE MOST RECENT HOSTS FOR THESE STUDENTS INCLUDE DEPARTMENTS SUCH AS INFORMATION TECHNOLOGY, REHAB SERVICES, RADIOLOGY, HUMAN RESOURCES, MARKETING, NURSING, DIETARY, SURGICAL SERVICES, AND LABORATORY. EXPOSURE TO THESE VARIOUS AREAS OF HEALTHCARE IS CRUCIAL TO RECRUITMENT EFFORTS.IN 2024 UMC PARTNERED WITH BE MORE COLORFUL TO CREATE VIRTUAL REALITY JOB SHADOW EXPERIENCES. THIS UNIQUE EXPERIENCE ALLOWS JOB HUNTERS TO EXPLORE CAREER FIELDS FIRSTHAND. THESE EXPERIENCES ARE A GREAT SUPPLEMENTAL RESOURCE TO SHARE WITH OTHERS WHEN WE NETWORK WITH STUDENTS AT THE VARIOUS HIRING FAIRS AND SCHOOL EVENTS THAT WE ATTEND. ANOTHER RECRUITING TOOL THAT WE HAVE IS THE FACT THAT WE HAVE BEEN NAMED TO MODERN HEALTHCARE'S BEST PLACES TO WORK LIST FOR THREE YEARS IN A ROW. WE ARE GRATEFUL TO BE RECOGNIZED AS AN OUTSTANDING EMPLOYER WHICH PRIORITIZES WORKPLACE EXCELLENCE AND EMPLOYEE SATISFACTION.OUR GENEROUS FOUNDATION OFFERS SCHOLARSHIP APPLICATIONS TO UMC STAFF WHO WANT TO CONTINUE THEIR EDUCATION. ANOTHER SEPARATE OPPORTUNITY TO PURSUE A HIGHER DEGREE IS THROUGH ESTABLISHED APPRENTICESHIP PROGRAMS THAT UMC HAS WITH LOCAL COLLEGES. THROUGH THESE PROGRAMS UMC CAN PROVIDE COMPENSATION AND TUITION COSTS FOR NURSING STUDENTS PURSUING A CNA TO LPN AND LPN TO RN THROUGH LAKE REGION STATE COLLEGE.MARKETING CAMPAIGNS DONE THROUGHOUT THE YEAR HIGHLIGHT AREAS OF EMPLOYMENT NEED. UMC OFFERS A COMPETITIVE BENEFIT PACKAGE AND WAGES. THE HUMAN RESOURCES DEPARTMENT REVIEWS ALL WAGES ANNUALLY AND MARKET ADJUSTMENTS ARE MADE FOR THOSE POSITIONS WHOSE PAY FALLS BELOW THE MARKET.INCREASING ACCESS TO SPECIALIST PROVIDERS, INCLUDING BEHAVIORAL HEALTH PROVIDERS: IN 2024 UMC HIRED A LICENSED PROFESSIONAL COUNSELOR (LPC). THIS NEW TEAM MEMBER PROVIDES BEHAVIORAL HEALTH COUNSELING AND ADDICTION EVALUATIONS FOR PATIENTS ACROSS THE REGION. WE ALSO ARE PROUD TO OFFER ADHD TESTING IN OUR RURAL HEALTH CLINIC. IF A PATIENT SCREENS POSITIVE, OUR PROVIDERS CAN OFFER TREATMENT PLANS AND FOLLOW-UP CARE AS NEEDED TO SUPPORT THE PATIENT.STAFF AT UMC UNDERSTAND THE NEED FOR CONTINUOUS IMPROVEMENT EFFORTS IN HEALTHCARE. THROUGH MULTIDISCIPLINARY TEAMWORK, AN IMPROVED REFERRAL WORKFLOW WAS DESIGNED AND IMPLEMENTED. THIS NEW PROCESS HAS FACILITATED TIMELY APPOINTMENT SCHEDULING WITH SPECIALISTS FROM REFERRALS MADE BY UMC PROVIDERS. SOME OF THE SPECIALISTS THAT WE REFER OUR PATIENTS TO ARE ABLE TO SEE THEM IN OUR GRAFTON CLINIC SPACE IN PERSON OR THROUGH TELEMEDICINE APPOINTMENTS. DUE TO AN INCREASED DEMAND FOR SPECIALIZED SERVICES CLOSER TO HOME, UMC IS EXPANDING THE GRAFTON FAMILY CLINIC SPACE TO INCLUDE AN ADDITIONAL 13 EXAM ROOMS AND SUPPLEMENTARY WORK AND WAITING SPACES. SOME OF THE SPECIALISTS THAT WE PLAN TO HOST INCLUDE ONCOLOGY, SURGERY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, OPHTHALMOLOGY, AND OBSTETRICS.TO EXPAND PRENATAL SERVICES TO THE REGION, WE ADDED AN ADDITIONAL ULTRASOUND TECHNICIAN AND A NEW ULTRASOUND MACHINE. TWO UMC PROVIDERS OFFER PRENATAL CARE FOR PREGNANT WOMEN UP TO 28-35 WEEKS GESTATION. UMC ALSO OFFERS NON-STRESS TESTS (NSTS). HAVING THE NSTS DONE LOCALLY IS CONVENIENT FOR THE PATIENTS AS IT REDUCES TRAVEL FOR THE PATIENT, AND THEY PROVIDE VALUABLE INFORMATION FOR THE TELEMEDICINE PROVIDERS OFF SITE WHO MAY SEE THESE PATIENTS. ADDITIONAL TESTAMENTS TO THE GROWTH THAT WE ARE EXPERIENCING INCLUDE OUR HEALTH AND WELLNESS COACHING PROGRAM, REHABILITATION SERVICES, AND SURGICAL SERVICES. OUR HEALTH COACHES WORK ONE-ON-ONE WITH PATIENTS TO REACH HEALTH GOALS SET BY THE PATIENT AND THEIR PROVIDER. UMC RECENTLY HIRED A PEDIATRIC PHYSICAL THERAPIST, TWO OCCUPATIONAL THERAPISTS, AN OCCUPATIONAL THERAPY TECHNICIAN AND A SPEECH THERAPIST TO SUPPLEMENT OUR GROWING REHABILITATION SERVICES DEPARTMENT SERVING BOTH THE INPATIENT AND OUTPATIENT POPULATIONS. EXPANDED SURGICAL OFFERINGS INCLUDING CATARACT REMOVAL, JOINT REPLACEMENT, AND GENERAL SURGERIES. WE HIRED A GENERAL SURGEON WHO CAN PERFORM DA VINCI SURGICAL ROBOT PROCEDURES AT UMC.UMC OFFERS A TOBACCO CESSATION PROGRAM, LED BY THE RESPIRATORY THERAPY DEPARTMENT. WE HAVE THREE NURSES WHO HAVE BEEN CERTIFIED AS TOBACCO CESSATION SPECIALISTS AND ASSIST THE PATIENTS ENROLLED IN THIS GROWING PROGRAM. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: UNITY MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE ON THE BASIS OF THE PATIENT'S HOUSEHOLD ASSETS AND FAMILY INCOME. IF THE PATIENT'S ASSETS ARE INSUFFICIENT TO PAY THE AMOUNT DUE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE COMPARING THE PATIENT'S HOUSEHOLD ADJUSTED GROSS INCOME TO THE FEDERAL POVERTY GUIDELINES. - PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE COMPARING THE PATIENT'S HOUSEHOLD ADJUSTED GROSS INCOME TO THE FEDERAL POVERTY GUIDELINES FOR THAT YEAR. - UNITY MEDICAL CENTER MAY REVERSE A FINANCIAL ASSISTANCE ADJUSTMENT IF IT LATER LEARNS THE APPLICANT FAILED TO FULLY DISCLOSE FAMILY INCOME OR ASSETS, OR FALSIFIED INFORMATION SUBMITTED TO APPLY FOR FINANCIAL ASSISTANCE. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 15E: PATIENTS WHO DO NOT PAY AFTER 90 DAYS MEET WITH THE PATIENT ACCOUNT REPRESENTATIVE AND GO OVER THEIR AVAILABLE OPTIONS INCLUDING FINANCIAL ASSISTANCE. THE ORGANIZATION POSTS THE EMTALA LAW IN THEIR EMERGENCY ROOM. THE ORGANIZATION IS ALSO WEIGHING THEIR OPTIONS OF HOW TO MAKE THEIR FINANCIAL ASSISTANCE POLICY MORE WIDELY AVAILABLE TO THE PUBLIC INCLUDING THE POSSIBILITY OF POSTING THE POLICY ON THEIR WEBSITE. CHRISTIAN UNITY HOSPITAL CORPORATION PART V, SECTION B, LINE 20E: FINANCIAL COUNSELOR MEETS WITH PATIENTS. 2 1 - GRAFTON FAMILY CLINIC 164 W 13TH STREET GRAFTON ND 58257 RURAL HEALTH CLINIC 2 - PARK RIVER FAMILY CLINIC 503 PARK ST W B PARK RIVER ND 58270 RURAL HEALTH CLINIC PART I, LINE 3C: UNITY MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE ON THE BASIS OF THE PATIENT'S HOUSEHOLD ASSETS AND FAMILY INCOME. IF THE PATIENT'S ASSETS ARE INSUFFICIENT TO PAY THE AMOUNT DUE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE COMPARING THE PATIENT'S HOUSEHOLD ADJUSTED GROSS INCOME TO THE FEDERAL POVERTY GUIDELINES. - PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE COMPARING THE PATIENT'S HOUSEHOLD ADJUSTED GROSS INCOME TO THE FEDERAL POVERTY GUIDELINES FOR THAT YEAR. - UNITY MEDICAL CENTER MAY REVERSE A FINANCIAL ASSISTANCE ADJUSTMENT IF IT LATER LEARNS THE APPLICANT FAILED TO FULLY DISCLOSE FAMILY INCOME OR ASSETS, OR FALSIFIED INFORMATION SUBMITTED TO APPLY FOR FINANCIAL ASSISTANCE. PART I, LINE 7: THE ORGANIZATION USES THE COST-TO-CHARGE RATIO BASED ON WORKSHEET 2 OF SCHEDULE H. PART I, LINE 7G: AMOUNTS USED FOR SUBSIDIZED SERVICES WERE CALCULATED USING DETAILED REPORT DATA KEPT BY THE ORGANIZATION. THE ORGANIZATION INCLUDED DATA FOR EMERGENCY SERVICES AND TWO RURAL HEALTH CLINICS IN LINE 7G.SUBSIDIZED SERVICES ARE DETERMINED BY THE ORGANIZATION DUE TO THE NEED IN THE COMMUNITY THAT CAN ONLY BE FILLED BY THE ORGANIZATION. 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 $ 672,471. PART III, LINE 2: THIS AMOUNT IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES FOR SERVICES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. PART III, LINE 3: 9.70% OF THE INDIVIDUALS IN WALSH COUNTY, NORTH DAKOTA (IN WHICH THE HOSPITAL IS LOCATED) FALL BELOW THE FEDERAL POVERTY LEVELS ACCORDING TO CENSUS.GOV. THEREFORE, THE ORGANIZATION ESTIMATES THAT 9.70% OF THE BAD DEBT EXPENSE AT COST IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. CARE IS GIVEN TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY AND SO THEREFORE THIS IS A COMMUNITY BENEFIT. PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FOR UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOOTNOTE 1 OF THE AUDITED FINANCIAL STATEMENTS:THE ORGANIZATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE ORGANIZATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2024 AND 2023, WAS NOT SIGNIFICANT. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.CHRISTIAN UNITY HOSPITAL CORPORATION PROVIDES MEDICALLY NECESSARY CARE TO ALL REGARDLESS OF THE ABILITY TO PAY. PROVIDING SERVICES TO THOSE ELIGIBLE FOR MEDICARE IS A BENEFIT TO THE COMMUNITY AS ELDERLY ARE A CHARITABLE CLASS. THEREFORE, ALL OF THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: IF AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED, THE PATIENT ACCOUNTS REPRESENTATIVE WILL WORK WITH THE PATIENT TO GATHER ANY MISSING OR OUTSTANDING ITEMS. ANY COLLECTION ACTIONS ARE STOPPED AFTER THE PATIENT SUBMITS AN APPLICATION FOR FINANCIAL ASSISTANCE UNTIL IT IS DETERMINED WHETHER OR NOT THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, ANY COLLECTION ACTIONS ALREADY TAKEN AGAINST THE INDIVIDUAL WOULD BE REVERSED. THE PATIENT ACCOUNTS REPRESENTATIVE DOCUMENTS WHETHER OR NOT THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THROUGHOUT THE YEAR, UMC IS PROACTIVE IN DETERMINING WHAT NEEDS THEY CAN ADDRESS FOR THEIR COMMUNITY. THE UMC BOARD REVIEWS CURRENT SERVICES AND VISITS ABOUT POTENTIAL SERVICES THAT COULD BE ADDED EACH YEAR, OR AS THEY COME UP. PART VI, LINE 3: A SIGN NEAR THE ENTRANCE TO THE EMERGENCY ROOM INDICATES WE "PROVIDE MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY." ANOTHER POSTING STATES THAT "THE FACILITY IS LEGALLY OBLIGATED TO SERVE THE COMMUNITY." FOR THOSE PATIENTS WHO DO NOT PAY ON THEIR BALANCES, WE CONTACT THEM BY PHONE AND/OR THROUGH THE MAIL. THEY VISIT WITH OUR PATIENT FINANCIAL COUNSELOR. THE COUNSELOR DISCUSSES PAYMENT ARRANGEMENTS, ELIGIBILITY FOR CERTAIN PROGRAMS, SUCH AS MEDICAID, AND THEN CHARITY CARE, IF NECESSARY. IF WE CANNOT GET THOSE PATIENTS TO COME IN AND TALK, WE ATTEMPT TO MAKE ARRANGEMENTS OVER THE PHONE AND THROUGH THE MAIL, IF NECESSARY. PART VI, LINE 4: UNITY MEDICAL CENTER SERVES THE POPULATION OF GRAFTON, NORTH DAKOTA AND SURROUNDING SMALLER COMMUNITIES. GRAFTON IS A RURAL COMMUNITY OF APPROXIMATELY 4,059 RESIDENTS LOCATED IN WALSH COUNTY, NORTH DAKOTA. THE MEDIAN HOUSEHOLD INCOME FOR WALSH COUNTY IS $68,082, AND 9.7% OF INDIVIDUALS IN THE WALSH COUNTY FALL BELOW THE FEDERAL POVERTY LEVEL. THE AREA IS ALSO SERVED BY HOSPITALS IN PARK RIVER AND GRAND FORKS AS WELL AS A COMMUNITY HEALTH CLINIC AND A VETERAN'S AFFAIRS CLINIC IN GRAFTON. APPROXIMATELY 6% OF THE HOSPITAL'S BUSINESS IN FY 2024 WAS TO PRIVATE PAY INDIVIDUALS AND 4% WAS TO MEDICAID RECIPIENTS. PART VI, LINE 5: THE UNITY MEDICAL CENTER (UMC) GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA. THE BOARD MEMBERS ARE NEITHER CONTRACTORS, NOR FAMILY MEMBERS OF THE ORGANIZATION. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO THOSE QUALIFIED PHYSICIANS IN OUR COMMUNITY WHO HAVE APPLIED FOR AND BEEN GRANTED MEDICAL PRIVILEGES, PER OUR CREDENTIALING PROCESS. SURPLUS FUNDS, WHEN AVAILABLE, ARE USED TO PURCHASE EQUIPMENT OR MAKE PURCHASES TO IMPROVE THE BUILDING STRUCTURE FOR THE PURPOSE OF IMPROVING PATIENT CARE OR FOR THE RETENTION OF QUALITY EMPLOYEES. UNITY MEDICAL CENTER FOUNDATION ALSO ASSISTS THE HOSPITAL WITH CAPITAL PURCHASES.UMC OFFERS 24-HOUR ACCESS TO EMERGENCY ROOM CARE, AVAILABLE TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY FOR THE CARE. UMC OFFERS ACUTE CARE, SWING BED CARE, GENERAL SURGERY, ORTHOPEDIC SURGERY, AS WELL AS MANY OUTPATIENT SERVICES. UMC DOES PARTICIPATE IN EDUCATION OF HEALTHCARE PROFESSIONALS. THROUGH THE UND SCHOOL OF MEDICINE, UMC WAS CHOSEN AS A RURAL OPPORTUNITIES IN MEDICAL EDUCATION (ROME) SITE, WHERE STUDENTS LIVE AND TRAIN IN NON-METROPOLITAN COMMUNITIES UNDER THE SUPERVISION OF PHYSICIAN PRECEPTORS. ROME STUDENTS EXPERIENCE HEALTH CARE DELIVERY IN RURAL AREAS THROUGHOUT NORTH DAKOTA AND MINNESOTA, WHERE PROVIDING ACCESS TO HEALTH CARE IS SOMETIMES CHALLENGING. IN ADDITION, UMC TAKES APPROXIMATELY 4 MEDICAL STUDENTS, 10 FNP/PA STUDENTS, AND MULTIPLE DIETETICS, AND SEVERAL PHYSICAL THERAPY STUDENTS THROUGHOUT THE YEAR FROM THE UNIVERSITY OF NORTH DAKOTA. WE ALSO TAKE NURSING AND SOCIAL WORK STUDENTS FROM UND. WE DO TRAINING FOR STUDENTS FROM TECHNICAL SCHOOLS, AS WELL, AS REQUESTED. UMC IS THE ONLY HOSPITAL IN THE COMMUNITY; THEREFORE, WE ARE A VIABLE PART OF THIS COMMUNITY. UMC OFFERS PROGRAMS SUCH AS DIABETES SCREENINGS, PRE-DIABETES CLASSES, FLU VACCINATION CLINICS, FREE BLOOD PRESSURE CHECKS, EDUCATIONAL EVENTS FOR CENTURY ELEMENTARY STUDENTS AND WALSH COUNTY HEAD START STUDENTS, ETC. UMC BRINGS IN SPECIALTY DOCTORS TO OUR CLINIC IN ORDER TO OFFER NECESSARY SERVICES TO OUR PATIENT POPULATION, I.E. ONCOLOGY, ORTHOPEDICS, OBSTETRICS, ETC. WE OFFER VOLUNTEER OPPORTUNITIES FOR HIGH SCHOOL STUDENTS AND ADULTS. WE HAVE EIGHT MEMBERS OF OUR UMC AUXILIARY SERVICES THAT VOLUNTEER AT THE HOSPITAL EVERY WEEK FOR THE BENEFIT OF THE FACILITY. PART VI, LINE 6: N/A X X 0 0 0 0 0 0 0 0 0 DR MATTHEW VISCITO BOARD MEMBER/CHIEF OF MED. STAFF 414429 0 20000 0 135 0 22500 0 30432 0 487496 0 0 0 ALAN O'NEIL CHIEF EXECUTIVE OFFICER 330972 0 100000 0 716 0 19149 0 30175 0 481012 0 0 0 DR JARED MARQUARDT PHYSICIAN 361722 0 10000 0 97 0 16903 0 30432 0 419154 0 0 0 DR KRISTI MIDGARDEN PHYSICIAN 287784 0 0 0 585 0 17400 0 30330 0 336099 0 0 0 DR JENNIFER SHAW PHSYICIAN 281562 0 0 0 65 0 17176 0 35892 0 334695 0 0 0 MATTHEW MASSMANN PHYSICIAN ASSISTANT 172684 0 10000 0 35 0 11371 0 35993 0 230083 0 0 0 JODI SHERVE FAMILY NURSE PRACTITIONER 171147 0 15000 0 31 0 11169 0 30142 0 227489 0 0 0 BRAD WURGLER CHIEF FINANCIAL OFFICER 135549 0 10000 0 35 0 9203 0 36549 0 191336 0 0 0 JENNIFER HOLAND CHIEF NURSING OFFICER 134399 0 5000 0 67 0 8739 0 4239 0 152444 0 0 0 FORM 990, PART III, LINE 2 GENERAL SURGERY SERVICES RESTARTED IN NOVEMBER 2023 AFTER A TWO-YEAR ABSENCE WITH THE HIRING OF GENERAL SURGEON, MICHAEL BITTLES, MD. CATARACT SURGERIES ALSO REESTABLISHED WITH DR. SCZEPANSKI. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION SHALL BE EITHER LIFETIME OR ANNUAL, AND SHALL BE LIMITED TO ADULT INDIVIDUALS AS FOLLOWS: 1) THOSE INDIVIDUALS OR COMPANIES CONTRIBUTING $100 TO THE CORPORATION, OR TO THE DEVELOPMENT FUND OF THE MEDICAL CENTER CORPORATION, SHALL, UPON SPECIFIC REQUEST, BE ENTITLED TO A LIFE MEMBERSHIP. IF AN INDIVIDUAL OR COMPANY MAKES A CONTRIBUTION OF $200 OR MORE, THEY SHALL BE ENTITLED TO DESIGNATE ONE ADDITIONAL IMMEDIATE FAMILY MEMBER OR COMPANY EMPLOYEE (LIMITED TO TWO PER FAMILY OR COMPANY), RESPECTIVELY, FOR LIFETIME MEMBERSHIP EFFECTIVE RETROACTIVELY. 2) THOSE INDIVIDUALS RESIDING IN THE UNITY MEDICAL CENTER SERVICE AREA SHALL BE GRANTED ANNUAL MEMBERSHIP AT NO FEE. THEY SHALL BE GRANTED ANNUAL MEMBERSHIP STATUS BY SHOWING PROOF OF RESIDING IN THE CORPORATION SERVICE AREA. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO CAST ONE VOTE ON ANY ISSUE THAT MAY PROPERLY COME BEFORE ANY MEETING OF THE MEMBERS OF THE CORPORATION, AND TO HOLD ANY OFFICE IN THE CORPORATION TO WHICH HE OR SHE MAY BE ELECTED OR APPOINTED. FORM 990, PART VI, SECTION B, LINE 11B THE CFO & CEO WILL REVIEW A DRAFT OF THE FORM 990. UNITY MEDICAL CENTER WILL PROVIDE THE BOARD MEMBERS WITH A LINK AND A PASSWORD TO AN ELECTRONIC COPY OF THE 990 BEFORE SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY. IF A BOARD MEMBER BELIEVES THAT A CONFLICT EXISTS IT IS THEIR RESPONSIBILITY TO BRING THE CONFLICT TO THE ATTENTION OF THE BOARD. THE BOARD WILL DETERMINE IF A CONFLICT EXISTS. ANY BOARD MEMBERS WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 A FORMAL EVALUATION IS COMPLETED FOR BOTH THE CEO AND CFO. COMPARABILITY DATA IS USED FROM THE NORTH DAKOTA HOSPITAL ASSOCIATION. AT BUDGET TIME EACH YEAR THE BOARD WILL APPROVE A PERCENTAGE INCREASE. THE DELIBERATION AND DECISION ARE DOCUMENTED IN THE BOARD MINUTES. THE PROCESS WAS LAST COMPLETED IN JUNE 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AND ANNOUNCES SUCH AT BOARD MEETINGS. UNITY MEDICAL CENTER FOUNDATION 164 WEST 13TH STREET GRAFTON ND 58237 363522304 FUNDRAISING FOR UNITY MEDICAL CENTER ND 501(C)(3) LINE 12A, I CHRISTIAN UNITY HOSPITAL CORPORATION DBA UNITY MEDICAL CENTER 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 UNITY MEDICAL CENTER FOUNDATION C 429358 CASH