hospitality - Benedictine Health System | Catholic … BHS Annual Report_digital... ·...

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BENEDICTINE HEALTH SYSTEM | 2016 ANNUAL REPORT hospitality

Transcript of hospitality - Benedictine Health System | Catholic … BHS Annual Report_digital... ·...

BENEDICTINE HEALTH SYSTEM | 2016 ANNUAL REPORThospitality

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2016 Annual Report

Provident God, with love You share Your very life with us.Bless us with gracious generosity to be hospitable to everyone we meet.When we are served, give us grateful hearts to show appreciation at least with a kind word.This we ask through Jesus, the Christ, our Lord. AMEN.

prayer

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Dear friends,

It is our pleasure to share the Benedictine Health System 2016 Annual Report with you.

As is our time-honored tradition, each year we select a Core Value to focus and reflect on what it truly means to each of us. In 2016, we explored the main dimensions of Hospitality. Our goal is to collectively be a welcoming community built on openness, kindness and compassion. Understanding that Benedictine Hospitality is a gift of one human being to another, our theme was Welcoming Christ in Each Other. As a Ministry, we practiced hospitable reception of guests, ideas, attitudes and perceptions — no matter the situation. Together, we were united in our efforts to make others comfortable and welcome.

2016 was a year of challenge and achievement for BHS. The ever-changing health care environment continues to be a lesson in agility, adaptation and change. Financially, it was not an easy year for us for many reasons. Competition for the best and brightest associates is, and continues to be, fierce. Government regulations and mandates add increasing pressure to delivering care to those we serve. However, the year had many successes including — after diligent advocacy — a long-awaited reimbursement rate increase for our Minnesota communities. Significant progress was made on key initiatives such as getting paid for what we do, managing labor hours, improving associate recruitment and retention, enhancing community census development, and reducing hospital readmissions. We also completed several important community transitions.

Despite these many pressures and challenges, we are constantly reminded to be responsible guides and stewards of our Ministry. We have a special gift for creating Benedictine Living Communities where each person — residents, guests, family members and associates — feel a sense of belonging and purpose.

We, the BHS Board of Directors, the Benedictine Sisters of St. Scholastica Monastery and the senior leadership of the System, thank all of our associates, governance members and volunteers who provide care and who support the work of the System and this special Ministry of our Sponsor. It is through your work that others are living fully and living well.

a message from the BHS Board Chair, Prioress and CEO

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Rocklon B. “Rocky” Chapin, FACHE President/CEO

BENEDICTINE HEALTH SYSTEM

Sister Beverly Raway, OSB Prioress

ST. SCHOLASTICA MONASTERY

Dean Fox, M.D. Board Chair

BENEDICTINE HEALTH SYSTEM

Michael Beard

Roxann Daggett

Sister Beverly Horn, OSB

Sister Beverly Raway, OSB, Prioress

Sister Clare Marie Trettel, OSB

Sister Danile Lynch, OSB, Secretary

Sister Joan Marie Stelman, OSB

Timothy Scanlon, CPA

Rocklon Chapin, FACHE, President/CEO

With Peace,

Brian Lassiter

Chandra Mehrotra, Ph.D.

Daniel Zismer, Ph.D.

Dean Fox, M.D., FACP, Chair

Jerry Carley

Kathleen LaTour, MA, RHIA, FAHIMA, Vice-chairperson

board of directors

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visionWe create Benedictine Living Communities where health, wellness and choice come to life.

core valueshospitalityExtending warmth and acceptance to each other and everyone we serve.

stewardshipProviding wise and respectful use of all human and material resources.

respectCherishing and promoting the worth of all human life with dignity and reverence.

justiceAdvocating for the underserved and those in need as we work to eliminate prejudice.

mission The Benedictine Health System is a Catholic, faith-based organization entrusted with advancing the life-enhancing senior care ministry of the Benedictine Sisters of Duluth, Minn.

We witness to God’s love by creating compassionate communities providing support to those we serve to live fully and live well with special concern for the underserved and those in need.

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the year in review

• Four important initiatives began focusing on getting paid for what we do, billing and collecting, managing labor hours and transitioning communities to financially stabilize the System as well as fine-tune systems and processes already in place.

• At the Benedictine Health Center in Minneapolis, the Great Benedictine Get-Together was held in August to the delight of residents and guests with its State Fair theme and activities.

• In September, a new BHS web site was launched featuring a cleaner design, improved navigation and a better user experience.

• “Experience the Difference – BHS Culinary Services” a six-minute video featuring the unique dining experience at BHS communities was premiered at the annual BHS Leadership Conference. It has continued to educate and entertain a wide variety of audiences across the country.

• More than 80 Unified Leadership Team members participated in a three-day spiritual renewal in October to reflect on their calling and work at BHS.

• BHS served more than 160,000 individuals in need as part of its 2016 commitment to community benefit.

Working together to advance our Ministry, the following are selected highlights of BHS activities and accomplishments during the 2016 fiscal year — July 1, 2015 to June 30, 2016.

• At the end of December, Tekakwitha Living Center, Sisseton, S.D., transitioned to Coteau des Prairies Health System to continue service to the residents of the area.

• Madonna Towers of Rochester, Minn., released a limited-edition calendar featuring 19 residents portraying well-known storybook, TV and movie characters and scenes from Snow White to Titanic.

• A long-advocated and waited for reimbursement rate increase for Minnesota skilled nursing facilities took effect Jan. 1, 2016.

• Associate participation in the annual Mission and Values Survey was high with 70 percent of associates responding to the survey. Engagement across the System was 4.15 out of 5.0 according to the results.

• Neal Buddensiek, M.D., joined BHS in January as chief medical officer.

• The CareForce Innovation™ partnership with BHS, St. Catherine’s University, St. Paul, and Presbyterian Homes and Services was created with the goal of transforming care delivery for aging adults. A team of associates participated in a three-day session regarding design thinking to spur imaginative ideas for the future.

continued on next page

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• In March, 35 recipients of the Sister Claudia Riehl, OSB, Living A Legacy Award program were announced on the Feast of St. Benedict.

• Also in March, BHS communities received life-like geriatric medical training mannequins as a resource for their nursing associate skill training.

• As part of Madonna Living Community of Rochester, Madonna Summit of Byron, Minn., a 50-unit independent and assisted living community, opened in the spring.

• Significant time and effort was dedicated to the development of a new strategic plan for BHS that will take the organization through the year 2020.

• At the end of the fiscal year, we said goodbye to two more BHS communities, St. Eligius Health Center, Duluth, Minn., and St. Isidore Health Center of Greenwood Prairie, Plainview, Minn., which were transitioned to a Minnesota-based long-term care company.

• With the success of the four key System initiatives during fiscal year 2016, four new initiatives for 2017 were launched. They include recruitment and retention of associates, reducing hospital readmissions, census development, and decision support.

We look back at these and the many other accomplishments of the System with gratitude and enthusiasm for the future as we are called to carry forward the health care ministry of our Sponsor, the Benedictine Sisters of St. Scholastica Monastery, Duluth, Minn.

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hospitalityHospitality is the very essence of who we are at the Benedictine Health System. We strive to create environments that honor the individual and build communities centered on openness, kindness and compassion. We love Hospitality. And we love showing it. We are reminded everyday of its importance as part of our special culture at BHS.

More than 1,500 years ago, Saint Benedict in his Holy Rule talked to us about Hospitality. In Chapter 36, he calls us to care for the sick as we would care for Christ. Benedict further tells us in Chapter 53 to welcome guests as Christ. Benedict encourages us to welcome everyone — the young, the old, the sick and the healthy, those we know and those friends we have yet to know.

Throughout the Benedictine Health System, attention to Hospitality means more than a warm welcome. Hospitality begins in small ways — a smile, a greeting, an acknowledgment — and then grows from these small gestures. It is not so much about what we do, but more about the way we practice Hospitality. It is how we see Christ in each other.

One of the complexities of Hospitality is that it is multidimensional. Benedictine Hospitality is more than just the welcoming of guests and making them comfortable. It is taking this sheer joy in others and being open to their presence and ideas. It is about listening and responding to each other in a respectful way. It is about being truly happy for others when something good happens and supporting people when they need reassurance or simply to be heard.

Change is ever-present in our fast-paced, technology-based world today. Hospitality calls us to be mindful that change exists. Change is not easy for all of us. Being adaptable, flexible and open to change is another aspect of Hospitality. When we accept and embrace change, it challenges us to move beyond ourselves and focus on the common good for all.

At the Benedictine Health System, our collective commitment to our Mission and Core Values are at the heart of the beautiful culture we have as an organization. The soul of BHS is the people — our associates, residents, guests, family members and others — who have been called to protect and advance this special ministry. Each and every day, our goal, both as individuals and as communities, is to honor and extend Hospitality to all as St. Benedict called us to do so long ago.

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2015consolidated statement of

operations

selected

statistics

2014(Dollar amounts in thousands)

2016

Total operating revenue $ 272,765 $ 237,007 $ 249,533

Total operating expense 269,538 235,694 248,702

Operating income 3,227 1,313 831

Non-operating income 654 (3,572) (6,844)

Excess of revenue over expense $ 3,881 $ (2,259) $ (6,013)

BED COMPLEMENT

Nursing beds 3,183 3,097 2,899

Assisted/independent units 2,332 2,354 2,445

Total beds/units 5,515 5,451 5,344

UTILIZATION

Nursing facility resident days 1,011,450 986,318 888,590

Assisted/independent days 668,557 716,113 736,618

Total employee full-time equivalents 4,397 4,382 4,362

financials

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consolidated

balance sheet(Dollar amounts in thousands)

20152014 2016

ASSETS

Current Assets

Cash and investments $ 33,681 $ 45,172 $ 42,568

Accounts receivable 31,209 26,899 29,420

Inventories and prepaid expenses 11,185 10,184 11,156

Total Current Assets 76,075 82,255 83,144

Assets limited to use 70,374 67,215 81,081

Property and equipment 202,644 215,809 236,747

Other assets 13,841 13,440 13,191

Total Assets $ 362,934 $ 378,719 $ 414,163

LIABILITIES AND NET ASSETS

Current liabilities

Accounts payable and accruals $ 35,681 $ 37,600 $ 34,459

Current portion long-term debt 8,991 9,458 29,552

Total current liabilities 44,672 47,058 64,011

Other liabilities 27,280 26,647 25,907

Long-term debt 183,172 198,694 223,186

Net assets 107,810 106,320 101,059

Total liabilities and net assets $ 362,934 $ 378,719 $ 414,163

financials

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Financials

nursing facility census

days

net resident service

revenue

0% 20% 40% 60% 80% 100%

2015 29.6% 46.5% 13.3% 10.5%

2014 29.2% 49.1% 12.7% 9.0%

2016 28.1% 47.9% 13.7% 10.2%

PRIVATE MEDICAID MEDICARE INS./OTHER

2015 $178.1 $43.5 $15.4

2014 $212.1 $43.0

2016 $187.7 $46.5 $15.3

NURSING FACILITY ASSISTED/INDEPENDENT OTHER

$0 $50 $100 $150 $200 $250 $300

2015 $87.4 $70.6 $42.6 $36.4

2014 $91.0 $85.8 $50.3 $30.9

2016 $92.0 $76.5 $42.0 $39.0

PRIVATE MEDICAID MEDICARE INS./OTHER

$0 $50 $100 $150 $200 $250

$2.9

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The Benedictine Health System is primarily comprised of communities that are owned by BHS; however, there are also Ministry Partners — in which BHS serves as co-owners or co-sponsors — and Associate Organizations, where we undertake management obligations.

(Dollar amounts in thousands)

ministry partnersOPERATING REVENUE

2016 $72,260 2015 $69,400 2014 $67,417

TOTAL ASSETS

2016 $141,484 2015 $140,804 2014 $139,749

associate organizationsOPERATING REVENUE

2016 $23,345 2015 $21,280 2014 $22,014

TOTAL ASSETS

2016 $21,586 2015 $19,159 2014 $20,215

collaboration

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The virtue of Hospitality has been extolled throughout the ages. Since Old Testament times, all were asked to extend a friendly reception to guests and strangers, which often meant an invitation to share a meal or shelter.

As a Benedictine Health System Core Value, Hospitality is integral to how services are provided in our communities. With the support of generous donors, adults in need of care are warmly greeted and welcomed to homes where Hospitality is evident. Gifts of time, talent and treasure totaling more than $3 million have been used to update aging buildings, to construct new buildings, and to enhance care and services to meet local residents’ needs.

This year, the Benedictine Health System Foundation (BHSF) announced the creation of the Dale Thompson Innovation Legacy Fund to recognize the impact BHS’ retired president/CEO has had on improving elder care quality. In his honor, BHSF raised $1 million of its $1.5 million goal for the Innovation Legacy Fund which will be used to support CareForce Innovation™, BHS’ new partnership with Presbyterian Homes & Services and St. Catherine University. CareForce Innovation partners, committed to improving services and quality of life for older adults, will be engaged in co-creating learning, improvement and innovation initiatives to transform long-term care services and supports.

BENEDICTINE HEALTH SYSTEM

foundation

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In addition, 30 dedicated BHS Mission supporters have chosen to create their own legacy of care. Planned gifts such as will bequests, life insurance policy designations, and charitable gift annuities are just a few of the ways they have chosen to make a difference in the lives of those who are being served today and into the future.

BHS Participating Organizations’ associates are critical to fulfilling the BHS Mission. Their belief and support of the Mission add to the possibilities of what can be accomplished to spread Hospitality. BHS support center associates, while not providing direct care, choose to make a difference in the lives of residents and associates by supporting the BHSF we believe! campaign. Since its inception we believe! has raised more than $700,000. These dollars have funded the fulfillment of 30 residents’ dreams; relieved the stress of 149 associates through the Employee Emergency Fund; honored 212 BHS associates who emulate Sister Claudia Riehl’s life and work; and much more.

To all who have supported the Benedictine Health System Foundation and its Associated Foundations, thank you! Your support extends the virtue of Hospitality to so many throughout the Benedictine Health System.

* BHS Foundation only ** BHS Foundation and Participating Organizations

total net assets*

2016 $17,021 2015 $17,455

2014 $15,272

total contributions*

2016 $3,063 2015 $4,935 2014 $4,536

total contributions/ grants/performance awards**

2016 $3,511 2015 $5,651 2014 $6,577

The above financials include St. Eligius Foundation, Duluth, Minn., St. Isidore Health Center of Greenwood Prairie Foundation, Plainview, Minn., and Tekakwitha Living Center Foundation, Sisseton, S.D., which transitioned from BHS during the 2016 fiscal year.

(Dollar amounts in thousands)foundation

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Benedictine Health Center of Minneapolis Foundation, Minneapolis, Minn.

Benedictine Living Center of Garrison Foundation, Garrison, N.D.

Benedictine Living Community of Ada Foundation, Ada, Minn.

Benedictine Living Community of Duluth Foundation, Duluth, Minn.

Benedictine Living Community of St. Peter Foundation, St. Peter, Minn.

Benedictine Living Community of Wahpeton Foundation, Wahpeton, N.D.

Cerenity Foundation, St. Paul, Minn.

Cerenity – Humboldt Foundation, St. Paul, Minn.

Cerenity – Marian of St. Paul Foundation, St. Paul, Minn.

Cerenity – White Bear Lake Foundation, White Bear Lake, Minn.

Innsbruck Foundation, New Brighton, Minn., serving Benedictine Health Center at Innsbruck

Koda Living Community Foundation, Owatonna, Minn.

Living Community of St. Joseph Foundation, St. Joseph, Mo.

Madonna Living Community Foundation of Rochester, Rochester, Minn., serving Madonna Towers of Rochester, Madonna Meadows of Rochester and Madonna Summit of Byron

Nazareth Living Center Foundation, St. Louis, Mo.

Prince of Peace and Evergreen Foundation, Ellendale, N.D.

Saint Anne Foundation, Winona, Minn.

St. Benedict’s Health Center Foundation, Dickinson, N.D.

St. Clare Living Community of Mora Foundation, Mora, Minn.

St. Crispin Foundation, Red Wing, Minn.

St. Gabriel’s Community Foundation, Bismarck, N.D.

St. Gertrude’s Foundation, Shakopee, Minn.

St. Mary’s of Winsted Foundation, Winsted, Minn.

St. Michael’s Foundation, Virginia, Minn.

St. Raphael’s Foundation, Eveleth, Minn.

St. Rose Foundation, LaMoure, N.D.

Villa St. Benedict Foundation, Lisle, Ill.

Villa St. Vincent/The Summit Foundation, Crookston, Minn.

BENEDICTINE HEALTH SYSTEM

associated foundations

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Like other Catholic health care organizations across the United States, the Benedictine Health System is dedicated to the common good in the communities where our organizations are located. Each of these communities has unique characteristics and needs and every year BHS attempts to identify, plan for and meet these community needs. We call this community benefit.

Community benefit is defined as programs and activities that promote health, healing and wellness that directly address community need. Community benefit is organized into two main categories. The first category is benefits for persons living in poverty and includes charity care, unpaid costs of public programs such as Medicaid, community health improvement services, cash and in-kind contributions and community building activities. The second category addresses benefits for the broader community and includes programs that improve community health, education, subsidized health services, financial and material donations and other similar activities. Examples of community benefit activities and programs in fiscal year 2016 include:

+ Benedictine Health Center at Innsbruck, New Brighton, Minn., through its Assisting Better Lives for Elders program, a partnership with St. John the Baptist Catholic Church, collected and donated items for 68 Christmas packages for the Season’s Bright Christmas basket project.

+ Benedictine Living Community of Wahpeton’s (N.D.) Mission Integration Community Helper program found many ways to meet area needs and serve others by collecting school supplies, coordinating and distributing winter coats and other warm clothing and adopting families in need for Christmas.

+ Finally, St. Gabriel’s Community, Bismarck, N.D., in cooperation with the Bismarck YMCA, provides monthly blood pressure screening where as many as 50 people take advantage of this free service.

During fiscal year 2016, the Benedictine Health System provided $17,058,751 in quantifiable community benefit programs and activities that served 162,852 people in our communities. This is a 16 percent increase in the number of individuals served from 2015.

As a Catholic long-term care organization, we are pleased with this commitment to society and to the communities we serve as we strive for the common good.

community benefit

The Benedictine

Health System is

dedicated to the

common good in

the communities

where our

organizations are

located.

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2016 Participating Organizations

NORTH DAKOTA

MINNESOTA

WISCONSIN

MISSOURI

ILLINOIS

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503 E. THIRD STREETSUITE 400DULUTH, MINN. 55805

1995 E. RUM RIVER DRIVE S.CAMBRIDGE, MINN. 55008

4000 LEXINGTON AVE. N.SUITE 201 | SHOREVIEW, MINN. 55126

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