Occurrence form: [DOC].
From the Catholic Health Institute, this form can be used to document and report statistical and financial information for each community health service.
Community benefit tracking form: [DOC].
Complete this form for each event, service or program.
Standard community benefit disclosure footnote: [PDF]
This statement, approved by the MHA Finance Committee, can be included in hospitals' audited financial statements to clarify the community benefit services provided by the hospital.
"MHA Categories of Community Benefit Activities and Programs," [PDF].
This document can also help you in filling out the MHA community benefit survey. It relies primarily on CHA/VHA standard reporting definitions along with Minnesota state reporting definitions.
"Community Benefit Reporting, Guidelines and Standard Definitions for the Community Benefit Inventory for Social Accountability," [PDF]. In an effort to achieve a national standardized approach for not-for-profit health-care organizations, the Catholic Health Association and VHA have provided this guide that includes standardized community benefit categories, definitions and reporting guidelines.
MHA thanks Mahowald Insurance Agency, L.L.P. and our other associate members for their support. Minnesota Hospital Association 2550 University Ave. W., Suite 350-S St. Paul, MN 55114-1900 TEL: (651) 641-1121 or (800) 462-5393; FAX: (651) 659-1477; EMAIL: info@mnhospitals.org
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