2024-11-13T18:23:48-06:00 2023-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2023-01-01 410811697 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC LAKE 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 ALITA R RISINGER CFO 9528836584 2024-11-13 1 0 HOLLY K MOEN P01800653 6123055000 2023 2024-10-15 13:58:12Z ALITA R RISINGER 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 187051618 0 X WWW.LAKEVIEW.ORG X 1880 MN TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 13 8 1319 95 0 0 1270573 2513693 165751479 182803212 432299 1294327 -74270 -74455 167380081 186536777 316894 213720 0 0 91432787 102052560 0 0 0 69118015 71483986 160867696 173750266 6512385 12786511 119076419 132668016 19692478 21740563 99383941 110927453 X TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 0 0 156749217 213720 182803237 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 156749217 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 1319 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN J BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 X MIKE ANDERSON DIRECTOR AND CHAIR 0.58 0.00 X X 0 0 0 ELIZABETH BRADSHAW DIRECTOR 0.58 0.00 X 0 0 0 JASON HOWARD DIRECTOR 0.58 0.00 X 0 0 0 SHARON TOLVA DIRECTOR & TREASURER 0.58 0.00 X X 0 0 0 SUE HEDLUND DIRECTOR 0.58 0.00 X 0 0 0 JOHN UPPGREN DIRECTOR 0.58 0.00 X 0 0 0 BRETT C HAAKE MD DIRECTOR 0.50 54.50 X 0 730568 113054 BRIAN L CRESS MD DIRECTOR 0.50 44.50 X 0 347743 40815 MATTHEW A RICHIE DIRECTOR & VP SMG 0.50 44.50 X X 0 403091 47575 BRANDI L LUNNEBORG DIRECTOR & PRESIDENT 59.50 0.50 X X 0 671461 139951 MICHAEL FUNK DIRECTOR 0.58 0.00 X 0 0 0 PAHOUA HOFFMAN DIRECTOR 0.50 49.50 X 0 427857 105197 ANNIE JACOBSEN MD DIRECTOR 0.50 49.50 X 0 569641 69516 ALITA R RISINGER DIRECTOR 0.50 49.50 X 0 574234 112052 KHU THAO DIRECTOR 0.58 0.00 X 0 0 0 KEVIN J BJORK MD DIRECTOR (JAN-AUG) 0.50 15.00 X 0 274610 42519 PHAEDRA COFIELD DIRECTOR (JAN-NOV) 0.58 0.00 X 0 0 0 PATRICK T COURNEYA MD DIRECTOR (JAN-APR) 0.50 54.50 X 0 494297 76938 STEVEN C HOUSH DIRECTOR (JAN-APR) 0.50 49.50 X 0 317969 45951 NICHOLAS MEYER MD DIRECTOR (JAN-OCT) 0.58 0.00 X 0 0 0 BRENDA HALL VP ANCILLARY SERVICES 40.00 0.00 X 161900 0 20454 DOUGLAS E JOHNSON CFO, LHS 51.00 4.00 X 603783 0 44121 THOMAS S ANDERSON MD VPMA 0.50 44.50 X 0 479739 67935 NANCY L EVERT SECRETARY & GEN. COUNSEL 0.50 54.50 X 0 811272 238674 EMILIENNE ANDERSON VP NURSING SERVICES & CNO 40.00 0.00 X 253764 0 25767 CYNTHIA A APPLESETH DIRECTOR OF PHARMACY 44.00 0.00 X 225074 0 27596 JASON D TAUZELL NURSE ANESTHETIST 40.00 0.00 X 233414 0 47725 CATHY J MANLEY NURSE ANESTHETIST 40.00 0.00 X 226778 0 35448 MICHAEL D WEIS MANAGER NURSE ANESTHETIST 45.00 0.00 X 291971 0 50664 JUSTIN R CUSICK NURSE ANESTHETIST 40.00 0.00 X 277688 0 48707 ANDREW E DORWART MD FORMER SMG PRESIDENT 0.00 0.00 X 0 282322 61384 THEODORE WEGLEITNER FORMER PRESIDENT 0.00 0.00 X 0 269652 13842 NATHAN S PULSCHER FORMER VP ANCILLARY SERVICES 0.00 50.00 X 0 313799 66188 2274372 6968255 1542073 169 1 1 0 KRAUS-ANDERSON CONSTRUCTION COMPANY 501 S 8TH ST MINNEAPOLIS MN 55404 CONSTRUCTION SERVICES 934194 FAVORITE HEALTHCARE STAFFING PO BOX 26225 OVERLAND PARK KS 66225 STAFFING 843605 HEALTHSYSTEMS COOP LAUNDRIES 725 MINNEHAHA AVE E ST PAUL MN 551064441 LAUNDRY SERVICES 434163 ALLINA HEALTH SYSTEM PO BOX 9382 MINNEAPOLIS MN 554409382 MEDICAL SERVICES 355241 ONESTAFF MEDICAL LLC PO BOX 3544 OMAHA NE 681030544 STAFFING 310802 30 1980641 533052 2513693 NET PATIENT REVENUE 623990 179261989 179261989 MEDICAL RETAIL 623990 3273289 3273289 CAFETERIA 623990 267934 267934 182803212 1294327 1294327 440361 514841 -74480 -74480 -74480 OTHER REVENUE 25 25 25 186536777 182803237 0 1219847 213720 213720 1109789 1109789 80212334 72582286 7630048 2556464 2399809 156655 18139771 16191976 1947795 34202 34202 132159 132159 43949 43949 7936576 6865343 1071233 291111 105524 185587 1206121 1095208 110913 2094594 317799 1776795 2374796 1589490 785306 844778 828711 16067 309174 253999 55175 54554 54554 5488134 4791173 696961 376213 362217 13996 MEDICAL & PHARMACY SUPP 44774590 44714928 59662 EQUIPMENT & MAINTENANCE 2485432 2403902 81530 TAXES & ASSESSMENTS 1403758 1403758 OTHER EXPENSE 1396056 354451 1041605 271991 240721 31270 173750266 156749217 17001049 0 29091896 1089937 32575335 15847846 17582236 2378316 2525714 15961304 22443619 99826010 46228903 55339388 53597107 457669 2854068 119076419 132668016 18689629 19072571 59467 63116 943382 2604876 19692478 21740563 X 99383941 110927453 99383941 110927453 119076419 132668016 X 12786511 -1242999 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: THE HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 22364922 22364922 39749255 19990135 19759120 199206 110670 88536 34486228 26095797 8390431 3026399 32301 2994098 53597107 PENSION LIABILITIES 2604876 2604876 X PART X, LINE 2: THE HOSPITAL. IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 275.000000000000 1 1 1 0 0 2223787 2223787 0.01280 2353867 974540 1379327 0.00790 11711444 9002101 2709343 0.01560 16289098 9976641 6312457 0.03630 447211 3745 443466 0.00260 588179 588179 0.00340 9831951 5273583 4558368 0.02620 313720 313720 0.00180 11181061 5277328 5903733 0.03400 27470159 15253969 12216190 0.07030 9048 9048 0.00010 9048 9048 0.00010 1 2808333 31353828 35257954 -3904126 X 1 1 1 1 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 927 CHURCHILL STREET W STILLWATER MN 55082 WWW.LAKEVIEWHEALTH.ORG/ 8029322 X X X LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW X 1 22 1 WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW 0 1 X 200.000000000000 275.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.LAKEVIEWHEALTH.ORG/POLICIES X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/PATIENT-GUEST/ X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/ X X X X X X 1 X 0 X X X X 1 X 0 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE THE HOSPITAL'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/ABOUT/COMMUNITY-HEALTH-NEEDS/ LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS EIGHT HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2021 CHNA: AMERY HOSPITAL & CLINIC (AMERY, WI) HUDSON HOSPITAL & CLINIC (HUDSON, WI) LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION HOSPITAL (STILLWATER, MN) PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN) REGIONS HOSPITAL (ST. PAUL, MN) HUTCHINSON HEALTH (HUTCHINSON, MN) WESTFIELDS HOSPITAL & CLINIC (NEW RICHMOND, WI) HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL & CLINIC, OLIVIA, MN LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: PROGRESS ON 2021 GOALS IN 2023ACCESS TO CAREGOAL: IMPROVE ACCESS TO CARE THAT IS APPROPRIATE, AFFORDABLE, AND CONVENIENT, -CONTINUED TO INCREASE WEBSITE ACCESS TO PATIENT AND COMMUNITY ACCESS TO HEALTH INFORMATION AND APPOINTMENT SCHEDULING. -IMPROVED GEOGRAPHIC ACCESS OF CARE FOR PATIENTS THROUGH COORDINATION OF APPOINTMENT SCHEDULING BETWEEN FIVE SITES IN THE ST. CROIX VALLEY AREA.-CONTINUED PATIENT EXPERIENCE IN ADVISORY COUNCILS IN A VIRTUAL FORMAT, TO BETTER UNDERSTAND AND IMPROVE CARE EXPERIENCE DURING PANDEMIC.-PROVIDED COMMUNITY DIABETES EDUCATION WITH VIRTUAL OPTIONS AS A LOW-COST OPTION FOR HEALTH INFORMATION AND EDUCATION.ACCESS TO HEALTH GOAL: STRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT, PROMOTE SUSTAINABLE OPERATIONS. -HEALTHPARTNERS CONTINUED ADVISORY COUNCIL FOR SOCIAL DRIVERS OF HEALTH TO ACCELERATE AND ALIGN EFFORTS TO IDENTIFY AND SUPPORT PATIENTS AND MEMBERS WITH SOCIAL NEEDS. -COMMUNITY HEALTH ACTION TEAM (CHAT) CONTINUED TO ENGAGE COMMUNITY LEADERS TO COLLABORATE AND PARTNER.-CONTINUED TO SERVE ON CORE LEADERSHIP TEAM FOR SUPERSHELF FOOD SHELF TRANSFORMATIONS.-CONTINUED FOOD INSECURITY SCREENING AND REFERRAL FOR ALL WELL-CHILD AND MEDICARE WELL EXAMS.-CONTINUED PARTNERSHIP WITH THE LOCAL FOOD SHELVES TO EXPAND SUPERSHELF TO INCREASE ACCESS TO HEALTHIER FOOD OPTIONS FOR CLIENTS IN MINNESOTA AND WISCONSIN. -HEALTH AND WELL-BEING ADVISORY COMMITTEE CONTINUED TO GUIDE COMMUNITY HEALTH EFFORTS AND RESPONSE THROUGH CROSS-SECTOR COLLABORATION. -CONTINUED TO SPONSOR LOCAL BUS LOOP FOR SENIORS AND COMMUNITY TO ACCESS ESSENTIAL SERVICES AND HEALTH CARE. SERVE ON ADVISORY COMMITTEE.-CONTINUED TO SERVE ON COUNTY TRANSPORTATION STEERING COMMITTEE-DISTRIBUTED MORE THAN 4500 BOOKS TO CHILDREN IN VALLEY CLINICS THROUGH REACH OUT AND READ. -LITTLE MOMENTS COUNT CONTINUED TO OFFER TRAINING AND DIGITAL RESOURCES TO FURTHER MOMENTUM AND COMMUNITY COLLABORATION TO PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT.-HIGHLIGHTS INCLUDE INSTALLING BLUEBIRD HOUSES AT CURVE CREST, FARMERS MARKET AT CURVE CREST, AND PARTICIPATING IN THE EXPRESS BIKE BICYCLE DRIVE. AWARDS INCLUDE A PGH TOP 25 AWARD AND SUSTAINABLE STILLWATER'S FIRST EVER GREEN BUSINESS OF THE YEAR AWARD.MENTAL HEALTH AND WELL-BEING GOAL: REDUCE THE STIGMA SURROUNDING MENTAL ILLNESS. INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING AND SERVICES.THE HOSPITAL IS A PARTNER IN MAKE IT OK, A PROGRAM FOCUSED ON REDUCING THE STIGMA OF MENTAL ILLNESS. IN 2023, THE MAKE IT OK COMMUNITY CAMPAIGN CELEBRATED 10 YEARS OF REDUCING STIGMA THROUGH CHANGING ATTITUDES AND CREATING OPEN AND CARING CONVERSATIONS ABOUT MENTAL HEALTH AND ILLNESSES, WITH CONTINUED GROWTH OF PARTNERS, AMBASSADORS AND COMMUNITY ENGAGEMENT, AND AN INCREASING FOCUS AND COMMITMENT TO EQUITY IN COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESSES AND STIGMA. 2023 HIGHLIGHTS-MEASURED CAMPAIGN IMPACT AND PROGRESS THROUGH THE IMPACT SURVEY.-209 AMBASSADORS TRAINED THROUGH 17 VIRTUAL TRAININGS.-533 REACHED THROUGH 32 VIRTUAL PRESENTATIONS. -2,175 ENGAGED IN MAKE IT OK THROUGH COMMUNITY EVENTS.-DEVELOPED RESOURCES TO PROMOTE MENTAL WELL-BEING AND RESILIENCY, REDUCE STIGMA OF SUBSTANCE USE DISORDER, AND EQUIP ADULTS TO EFFECTIVELY SUPPORT YOUTH MENTAL HEALTH.- CONTINUED TO OFFER BEATING THE BLUES AND RESILIENCY RESOURCES AT NO CHARGE TO MEMBERS, PATIENTS AND EMPLOYEES. MENTAL HEALTH RESOURCES PROMOTED AS KEY PART OF EMPLOYEE WELL-BEING PROGRAM. THE HOSPITAL CONVENES AND PARTICIPATES IN MULTIPLE COLLABORATIVES FOCUSING ON MENTAL HEALTH. -INCREASED VALLEY-WIDE USE OF BEHAVIORAL HEALTH TELEHEALTH (BHTV) PROGRAM FOR PATIENTS ACCESSING EMERGENCY DEPARTMENT CARE DURING A MENTAL HEALTH CRISIS. VALLEY-WIDE SERVED 2,543 PATIENTS, THE HOSPITAL SERVED 309.-BEHAVIORAL HEALTH TEAM SERVED OUR COMMUNITY IN NEW AND DIFFERENT WAYS, INCLUDING SOME DIGITAL/VIRTUAL FORMATS, INCLUDING PODCASTS. SIX PODCASTS WERE RECORDED IN 2023, PRIMARILY WITH A MENTAL HEALTH FOCUS ON TOPICS SUCH AS DEPRESSION, ANXIETY AND STRESS RELIEF. IN TOTAL, THESE HAVE BEEN ACCESSED OVER 250 TIMES.-CONTINUED: INCREASING TELEHEALTH CAPACITY FOR BEHAVIORAL HEALTH APPOINTMENTS.-CONTINUED: COLLABORATED WITH PARTNERS HAVE IMPROVED AWARENESS INCLUDING COUNTY DHS, OTHER HOSPITALS AND CLINICS, MAKE IT OK, NAMI, AND OTHERS (BEHAVIORAL HEALTH CO-OP).-CONTINUED: INTEGRATED BEHAVIORAL HEALTH INTO TOTAL HEALTH CARE AT ALL LOCATIONS.NUTRITION AND PHYSICAL ACTIVITY GOALS: PROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. POWERUP IS OUR KEY COMMUNITY-WIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND PHYSICAL ACTIVITIES SO YOUTH CAN REACH THEIR FULL POTENTIAL. WE WORK WITH HUNDREDS OF PARTNERS ACROSS THE REGION RESULTING IN A HIGH LEVEL OF COMMUNITY AND SCHOOL ENGAGEMENT, STRONGER SCHOOL WELLNESS POLICIES AND PRACTICES; MORE FREE AND LOW-COST OPTIONS FOR PHYSICAL ACTIVITY INCLUDING OPEN GYMS; PARTNERSHIPS WITH STATE AND LOCAL PARKS; TRANSFORMED FOOD PANTRIES, CAFETERIAS AND CONCESSIONS; AND COMMUNITY MOMENTUM TO CREATE CHANGE. KEY RESULTS INCLUDE:-NEW POWERUP4KIDS.ORG WEB PLATFORM WITH IMPROVED NAVIGATION, NEW RESOURCES FOR AT-HOME FAMILY ACTIVITIES AND SCHOOL RESOURCES FOR VIRTUAL AND IN-PERSON LEARNING ENVIRONMENTS.-ONLINE RECIPE GALLERY, WITH MORE THAN 300 KIDAPPROVED RECIPES.-VIDEO GALLERY FOR SCHOOLS AND FAMILIES WITH PHYSICAL ACTIVITY AND FOOD IDEAS FOR KIDS, CLASSROOMS AND FAMILIES.-POWERUP SCHOOL CHALLENGE PROGRAM WAS REVISED TO PROVIDE SCHOOLS AND YOUTH SERVING ORGANIZATIONS TO COMPLETE THE CHALLENGE IN A FLEXIBLE WAY, ONLINE OR IN PERSON. THE PROGRAM INSPIRES STUDENTS TO EAT BETTER AND MOVE MORE, AND IN 2023 REACHED ELEMENTARY AGE STUDENTS IN 6,558 CLASSROOMS IN 17 ST. CROIX VALLEY AREA SCHOOLS. -THE THREE WEEK WINTER WARMUP CHALLENGE INSPIRED KIDS TO STAY ACTIVE DURING THE COLD MONTHS AND WAS IMPLEMENTED IN LOCAL SCHOOLS IN A VIRTUAL FORMAT, REACHING 70 ELEMENTARY CLASSROOMS IN FOUR VALLEY SCHOOL DISTRICTS.SUBSTANCE ABUSEREDUCED OPIOID PRESCRIPTIONS, DOSES, AND PATIENTS MEETING CHRONIC OPIOID USE CRITERIA. -THROUGH COLLABORATIVE EFFORTS WITH PHARMACY, PRESCRIBERS AND PAIN CLINICS, ACHIEVED SIGNIFICANT REDUCTION IN OPIOID PRESCRIBING IN OUR CARE SYSTEM AND COMMUNITY.-IN 2023, THE NUMBER OF PATIENTS RECEIVING NEW OPIOID PRESCRIPTIONS DECREASED 9%; THE NUMBER OF PILLS PRESCRIBED REDUCED BY 13%. SINCE THE OPIOID REDUCTION FOCUS BEGAN IN 2018, THE NUMBER OF PILLS PRESCRIBED HAS REDUCED BY 52%.-REDUCED ACCIDENTAL POISONING AND DRUG ABUSE BY OFFERING FREE AND ENVIRONMENTALLY FRIENDLY MEDICATION COLLECTION AT OUR HOSPITALS AND CLINICS FOR THE COMMUNITY. PROMOTED COMMUNITY PRESCRIPTION TAKE-BACK LOCATIONS AND DISPOSAL BAGS.-LAKEVIEW: 321 LBS OF UNUSED MEDICATION COLLECTED LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS LISTED ON THE BACK OF THE PATIENT STATEMENT PER THE MINNESOTA ATTORNEY GENERAL (AG) AGREEMENT. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 24: WHEN A PATIENT IS UNINSURED THERE HAVE BEEN INSTANCES WHERE A PORTION OF THE BALANCE IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINING BALANCE IS COVERED BY CHARITY CARE. EXAMPLE: AN UNINSURED PATIENT HAS $1,000 IN GROSS CHARGES FOR AN EMERGENCY ROOM VISIT. THE PATIENT QUALIFIES FOR CHARITY CARE AND ALSO IS ELIGIBLE FOR THE UNINSURED DISCOUNT. A PORTION OF THE GROSS CHARGES IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINDER BY CHARITY CARE, WHICH MAY TOTAL AN AMOUNT EQUAL TO THE GROSS CHARGE FOR THAT VISIT. PART V LINE 20A THE HOSPITAL DOES NOT PERFORM ANY ECAS (EXTRAORDINARY COLLECTION ACTIONS), THEREFORE WE WOULD NOT GIVE A PATIENT A WRITTEN NOTICE OF DOING SO. PART I, LINE 7: ACTUAL COSTS WERE ESTIMATED USING A COST-TO-CHARGE RATIO AND EXCLUDING BAD DEBT. PART I, LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY. THE HOSPITAL PROVIDED COMMUNITY ACTIVITIES AND PROGRAMS WHICH WERE SUBSIDIZED BY THE HOSPITAL IN ORDER TO IMPROVE COMMUNITY HEALTH. THE HOSPITAL PROVIDED SUPPORT SERVICES TO PATIENTS AND FAMILIES IN MANY WAYS DURING 2023. MOST NOTABLY, THE HOSPITAL PROVIDED NURSE NAVIGATORS FOR BREAST HEALTH AND CANCER SUPPORT TO ASSIST PATIENTS WITH SCHEDULING, COORDINATION, FOLLOW-UP APPOINTMENTS, AND PROVIDING CONSULTS AND COMFORT TO THOSE PATIENTS DIAGNOSED WITH CANCER. THE CHAPLAINCY PROGRAM AT THE HOSPITAL ALSO PROVIDED OUTREACH SERVICES, INCLUDING BEREAVEMENT GROUP CLASSES. PART I, LINE 7F: HEALTH PROFESSIONS EDUCATION THE HOSPITAL COORDINATES AND SUPPORTS WEEKLY CONTINUING MEDICAL EDUCATION (CME) PROGRAMS FOR STAFF AND COMMUNITY EDUCATION. IN 2023, OUR STAFF PROVIDED PRECEPTOR TIME TO STUDENT PROFESSIONAL INTERNS IN PHARMACY AND NURSING. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. LAKEVIEW HOSPITAL SUBSIDIZED INPATIENT AND OUTPATIENT HEALTH SERVICES, INCLUDING CLINICAL DIABETES AND NUTRITION, LABOR AND DELIVERY SERVICES, AND HOMECARE SERVICES. PART I, LINE 7I: CONTRIBUTIONS FOR COMMUNITY BENEFIT TO FORM PARTNERSHIPS THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES, THE HOSPITAL PROVIDES GRANTS TO LOCAL ORGANIZATIONS. OUR GRANTMAKING EMPOWERS OUR COMMUNITIES AND BUILDS MOMENTUM FOR INNOVATIVE PROGRAMS AND SERVICES THAT MAKE A DIRECT IMPACT ON LOCAL HEALTH PRIORITIES.LAKEVIEW HEALTH FOUNDATION'S BOARD OF DIRECTORS HAS OVERSIGHT OF THE DISBURSEMENT OF HEALTH AND WELL-BEING GRANTS ON BEHALF OF THE HOSPITAL. NINETEEN GRANTS WERE APPROVED IN 2023, WHICH BENEFITED THE COMMUNITY. INKIND CONTRIBUTIONS INCLUDED SUPPORT OF MISSION TRIPS FOR EMPLOYEES AND PHARMACEUTICALS. SEE SCHEDULE O, SECTION 4. CASH AND IN-KIND CONTRIBUTIONS, FOR DETAIL ON GRANTS OFFERED, SPONSORSHIPS PROVIDED, AND INKIND SUPPORT GIVEN IN 2023. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS. PART III, LINE 4: SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q, ON PAGE 25 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT. PART III, LINE 8: THE MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:1) IT PROVIDES SERVICES TO A SIGNIFICANT PORTION OF OUR SERVICE POPULATION AT A NEGATIVE MARGIN; 2) THE HOSPITAL WOULD DISCONTINUE PROVIDING SERVICES TO MEDICARE PATIENTS IF THE DECISION WERE BASED STRICTLY ON A FINANCIAL BASIS; 3) THERE IS A COMMUNITY NEED TO PROVIDE THESE SERVICES LOCALLY; 4) IF THE HOSPITAL DID NOT PROVIDE THESE SERVICES; THEY WOULD BECOME THE OBLIGATION OF THE GOVERNMENT. PART III, LINE 9B: IF THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, AND IF THE PATIENT IS ELIGIBLE FOR DISCOUNTED (AND NOT FREE) CARE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT AND APPROVAL OR DECLINATION LETTER REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE.THE HOSPITAL WILL REFUND ANY PAYMENT THE PATIENT MADE FOR CARE WHICH EXCEEDS THE AMOUNT THAT IS DETERMINED TO BE PATIENT RESPONSIBILITY. THEY WILL ALSO TAKE REASONABLE MEASURES TO REVERSE ANY COLLECTION ACTIONS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT. PART III, SECTION A, LINE 2: BAD DEBT EXPENSE METHODOLOGY THE "ACTUAL COST" OF BAD DEBT EXPENSE IS ESTIMATED. BAD DEBT EXPENSE REPRESENTS THOSE ACCOUNTS RECEIVABLE WRITTEN OFF FROM PATIENTS THAT HAVE NOT PAID THEIR BILL AND HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE. THE BAD DEBT AMOUNT IS THE RECEIVABLE AFTER INSURANCE PAYMENT AND ADJUSTMENTS HAVE ALREADY BEEN MADE, INCLUDING ADJUSTMENTS FOR SELF-PAY IN ACCORDANCE WITH THE AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. SINCE REDUCTIONS HAVE ALREADY BEEN MADE FOR DISCOUNTS AND OTHER ALLOWANCES, THE ENTIRE BALANCE IS CONSIDERED BAD DEBT AND NO FURTHER REDUCTIONS ARE CONSIDERED.THE PROVISIONS FOR BAD DEBT FOOTNOTE IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS IS INCLUDED IN SECTION 1, PART (P), PAGES 11 AND 12. PART VI, LINE 2: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE HOSPITAL'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/ABOUT/COMMUNITY-HEALTH-NEEDS/ PART VI, LINE 3: THE HOSPITAL DEFINES FINANCIAL ASSISTANCE AS THE COST OF CARE DELIVERED TO PATIENTS WHO HAVE A NEED FOR MEDICALLY NECESSARY TREATMENT BUT WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE REMAINING BALANCE LEFT BY THEIR INSURANCE; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION.THE HOSPITAL IS COMPLIANT WITH THE 501R FEDERAL REGULATIONS, AND PROVIDES EASY ACCESS TO THE FINANCIAL ASSISTANCE PROGRAM INCLUDING THE FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION, AND PLAIN LANGUAGE SUMMARY. THE FINANCIAL ASSISTANCE PROGRAM AND LISTS OF PROVIDERS COVERED BY THE PROGRAM IS ALSO WIDELY PUBLICIZED AND AVAILABLE ON THE HOSPITAL'S WEBSITE.TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM, FINANCIAL ASSISTANCE POLICY, AND GOVERNMENT PROGRAMS, EACH PATIENT IS OFFERED AND PROVIDED WITH THE FINANCIAL ASSISTANCE PROGRAM POLICY AT REGISTRATION. THIS INFORMATION IS ALSO IS ALSO PROVIDED IN PUBLIC LOCATIONS, INCLUDING REGISTRATION, ON PATIENT STATEMENTS, AND THE HOSPITAL'S PUBLIC WEBSITE, HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/.IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE.TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE, EACH PATIENT BILLING STATEMENT AND COLLECTIONS LETTER PRODUCED BY LAKEVIEW HOSPITAL INCLUDE THE FOLLOWING NOTICE: LAKEVIEW HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM. FOR COPIES OF OUR APPLICATION, FINANCIAL ASSISTANCE POLICY, AND PLAIN LANGUAGE SUMMARY, WHICH INCLUDE INFORMATION ON ELIGIBILITY AND HOW WE CALCULATE FINANCIAL ASSISTANCE, PLEASE VISIT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/. OUR PATIENT FINANCIAL SERVICES TEAM CAN HELP YOU ENROLL IN THIS PROGRAM. PLEASE CALL 651-430-4533. PART VI, LINE 4: THE HOSPITAL SERVES THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN. THE HOSPITAL'S CORE SERVICE AREA INCLUDES STILLWATER, BAYPORT, LAKE ELMO, LAKELAND, AND MARINE ON ST. CROIX, MN ALONG WITH HOULTON AND SOMERSET, WI. PRIMARY SERVICE AREAS ARE HUDSON, NEW RICHMOND AND STAR PRAIRIE, WI, AND AFTON, MN. SECONDARY SERVICE AREAS ARE NEARBY CITIES IN EASTERN MINNESOTA AND WESTERN WISCONSIN. PART VI, LINE 5: THE HOSPITAL PROVIDED EDUCATION SCHOLARSHIPS TO PEOPLE WITH DIABETES THAT REQUIRED NUTRITION AND LIFE-STYLE EDUCATION; THEY ALSO PROVIDED FREE LAB AND PHARMACY SERVICES FOR PATIENTS OF THE ST. CROIX FAMILY MEDICAL CENTER, A LOCAL MEDICAL CLINIC THAT PROVIDES FREE AND DISCOUNTED SERVICES FOR INDIGENT AND LOW INCOME PATIENTS OF THE AREA. FOR ADDITIONAL DISCUSSION, SEE FORM 990, SCHEDULE O - "EXEMPT PURPOSE AND ACHIEVEMENTS". PART VI, LINE 6: AS A MEMBER OF LAKEVIEW HEALTH, THE HOSPITAL PARTICIPATES WITH THE MULTI-SPECIALTY CLINIC AND HEALTH SYSTEM LEADERSHIP WITHIN OUR OVERALL ORGANIZATION IN PROVIDING ACCESS TO CARE, SUPPORT GROUPS, EDUCATIONAL ACTIVITIES, AND FINANCIAL CONTRIBUTIONS TO THE MARKET AREA DESCRIBED ABOVE. THE MULTI-SPECIALTY CLINIC FURTHER PARTICIPATES IN MINNESOTA COMMUNITY MEASUREMENT, PRACTICES AND MEASURES PROVIDER, PERFORMANCE WITH SPECIFIC PREVENTIVE CARE METRICS AND SPECIFIC CHRONIC DISEASE MANAGEMENT METRICS. IN 2011, LAKEVIEW HEALTH AFFILIATED WITH HEALTHPARTNERS. THE MISSION OF HEALTHPARTNERS IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 FAMILY MEANS 1875 NORTHWESTERN AVENUE STILLWATER MN 55082 416045574 501 (C)(3) 30000 0 PROGRAM SUPPORT CANVAS HEALTH 7066 STILLWATER BLVD N OAKDALE MN 55128 410955577 501 (C)(3) 17500 0 PROGRAM SUPPORT YOUTH SERVICE BUREAU 101 W PINE ST STILLWATER MN 55082 411333578 501 (C)(3) 10000 0 PROGRAM SUPPORT COMMUNITY THREAD 2300 ORLEANS ST W STILLWATER MN 55082 410967271 501 (C)(3) 10000 0 PROGRAM SUPPORT VALLEY OUTREACH 1901 CURVE CREST BLVD W STILLWATER MN 55082 411452973 501 (C)(3) 10000 0 PROGRAM SUPPORT ST ANDREW'S LUTHERAN CHURCH 900 STILLWATER RD MAHTOMEDI MN 55115 410880458 501 (C)(3) 10000 0 PROGRAM SUPPORT SILVER SOBRIETY INC 11550 STILLWATER BLVD N STE 103 LAKE ELMO MN 55042 473080139 501 (C)(3) 6000 0 PROGRAM SUPPORT YOUTH ADVANTAGE INC PO BOX 11 STILLWATER MN 55082 262920118 501 (C)(3) 10000 0 PROGRAM SUPPORT 8 PART I, LINE 2: THE HOSPITAL MANAGEMENT STAFF REVIEWS THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE HOSPITAL'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE HOSPITAL'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. 0 1 0 0 0 1 1 0 0 NANCY L EVERT SECRETARY & GEN. COUNSEL 0 503395 0 251362 0 56515 0 206367 0 32307 0 1049946 0 36575 BRETT C HAAKE MD DIRECTOR 0 541746 0 164908 0 23914 0 66326 0 46728 0 843622 0 0 BRANDI L LUNNEBORG DIRECTOR & PRESIDENT 0 414094 0 212500 0 44867 0 94716 0 45235 0 811412 0 2556 ALITA R RISINGER DIRECTOR 0 452971 0 40000 0 81263 0 72026 0 40026 0 686286 0 0 DOUGLAS E JOHNSON CFO, LHS 386739 0 106273 0 110771 0 6600 0 37521 0 647904 0 0 0 ANNIE JACOBSEN MD DIRECTOR 0 378503 0 0 0 191138 0 24750 0 44766 0 639157 0 0 PATRICK T COURNEYA MD DIRECTOR (JAN-APR) 0 220858 0 236391 0 37048 0 39914 0 37024 0 571235 0 0 THOMAS S ANDERSON MD VPMA 0 379108 0 22500 0 78131 0 24750 0 43185 0 547674 0 0 PAHOUA HOFFMAN DIRECTOR 0 298112 0 123833 0 5912 0 62902 0 42295 0 533054 0 0 MATTHEW A RICHIE DIRECTOR & VP SMG 0 309093 0 0 0 93998 0 15870 0 31705 0 450666 0 0 BRIAN L CRESS MD DIRECTOR 0 257279 0 0 0 90464 0 0 0 40815 0 388558 0 0 NATHAN S PULSCHER FORMER VP ANCILLARY SERVICES 0 261957 0 45121 0 6721 0 28036 0 38152 0 379987 0 0 STEVEN C HOUSH DIRECTOR (JAN-APR) 0 195879 0 111847 0 10243 0 17247 0 28704 0 363920 0 0 ANDREW E DORWART MD FORMER SMG PRESIDENT 0 205223 0 0 0 77099 0 21900 0 39484 0 343706 0 0 MICHAEL D WEIS MANAGER NURSE ANESTHETIST 191894 0 34367 0 65710 0 14049 0 36615 0 342635 0 0 0 JUSTIN R CUSICK NURSE ANESTHETIST 209147 0 0 0 68541 0 12581 0 36126 0 326395 0 0 0 KEVIN J BJORK MD DIRECTOR (JAN-AUG) 0 138805 0 0 0 135805 0 20689 0 21830 0 317129 0 0 THEODORE WEGLEITNER FORMER PRESIDENT 0 0 0 0 0 269652 0 0 0 13842 0 283494 0 269652 JASON D TAUZELL NURSE ANESTHETIST 209746 0 0 0 23668 0 11959 0 35766 0 281139 0 0 0 EMILIENNE ANDERSON VP NURSING SERVICES & CNO 169688 0 41600 0 42476 0 11115 0 14652 0 279531 0 0 0 CATHY J MANLEY NURSE ANESTHETIST 205082 0 0 0 21696 0 12418 0 23030 0 262226 0 0 0 CYNTHIA A APPLESETH DIRECTOR OF PHARMACY 166668 0 29203 0 29203 0 4591 0 23005 0 252670 0 0 0 BRENDA HALL VP ANCILLARY SERVICES 161690 0 0 0 210 0 0 0 20454 0 182354 0 0 0 PART I, LINE 3 THE HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI), OR STILLWATER MEDICAL GROUP (SMG) WHICH ARE RELATED ORGANIZATIONS OR BY LAKEVIEW HOSPITAL. GHI, SMG AND THE HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND OTHER OFFICERS. PART I, LINE 4B DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: NANCY L. EVERT $ 54,148 BRANDI L. LUNNEBORG $23,255 ALITA R. RISINGER $34,771 PAHOUA HOFFMAN $30,366 PART I, LINE 6 THE HOSPITAL'S OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR SMG, RELATED ORGANIZATIONS OR BY THE HOSPITAL. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM GHI'S, SMG'S OR BY THE HOSPITAL'S LEADER INCENTIVE PROGRAMS, WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE LEADER INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, AND OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF SYSTEM BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. 990, SCHEDULE J, PART II, COLUMN F: PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTOR: NANCY L. EVERT $ 36,575 BRANDI L. LUNNEBORG $ 2,556 THEODORE WEGLEITNER $ 269,652 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (THE HOSPITAL) IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 2,000 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS, AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH (LH), AND RH-WISCONSIN, INC., ALL OF WHICH ARE NONPROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). LAKEVIEW HEALTH IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. THE HOSPITAL AND LAKEVIEW HEALTH ARE PART OF THE LAKEVIEW HEALTH SYSTEM ALONG WITH THE LAKEVIEW MEMORIAL HOSPITAL FOUNDATION, A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION (THE FOUNDATION) AND STILLWATER MEDICAL GROUP (SMG), A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION. LAKEVIEW HEALTH IS ALSO THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND SMG. HEALTHPARTNERS AND THE HOSPITAL ALSO PARTNER WITH OTHER PLANS, CARE PROVIDERS AND NONPROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION; TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. THE HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE STILLWATER COMMUNITY AND SURROUNDING AREA A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1880, THE FIFTH OLDEST HOSPITAL, AND SECOND OLDEST CONTINUALLY OPERATING HOSPITAL IN MINNESOTA. THE HOSPITAL CONVENES AND SUPPORTS MULTIPLE COMMUNITY COLLABORATIVES TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. THE HOSPITAL IS DESIGNATED A LEVEL 3 TRAUMA HOSPITAL AND HAS MEDICAL STAFF IN A VARIETY OF SPECIALTIES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN WITH A LEVEL II NURSERY, GENERAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, OCCUPATIONAL HEALTH, EMERGENCY MEDICINE, HOSPITAL MEDICINE, NEUROLOGY, ONCOLOGY, UROLOGY, CARDIOLOGY, SPORTS MEDICINE, GASTROENTEROLOGY, RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. COURTESY AND CONSULTING STAFF PROVIDE ADDITIONAL SERVICES, INCLUDING PAIN MANAGEMENT, INFECTIOUS DISEASE, PULMONARY/SLEEP MEDICINE, AND ORAL SURGERY. CHARITY CARE: CHARITY CARE IS DEFINED AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES, OR SPECIAL FINANCIAL HARDSHIP, WARRANT SPECIAL CONSIDERATION. THE HOSPITAL PROVIDED $2,257,142 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2023. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $1,379,134. THE COST INCURRED FOR OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS $2,707,835. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: $431,944 THE HOSPITAL IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT SERVICES, WHICH INCLUDE A RANGE OF ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH BEYOND PATIENT CARE. BELOW ARE HIGHLIGHTS OF SUCH ACTIVITIES THAT FALL WITHIN THE CATEGORIES OF COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE SUPPORT SERVICES AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT. EACH YEAR, THE HOSPITAL HELPS EDUCATE THE LOCAL COMMUNITIES ABOUT HEALTH TOPICS BY PROVIDING THEM A VARIETY OF COMMUNITY EDUCATION. WE CONTINUED TO SERVE OUR COMMUNITIES IN DIGITAL/VIRTUAL FORMATS. 35 VIRTUAL CLASSES, EVENTS, AND PODCASTS WERE CARRIED OUT ON A VARIETY OF TOPICS INCLUDING: DIABETES, DEMENTIA, GRIEF, ANXIETY IN TEENS, WARNING SIGNS OF SUBSTANCE USE, EXERCISE, PREGNANCY, AND HEART HEALTH. IN TOTAL, THESE HAVE BEEN ACCESSED OVER 2,500 TIMES. IN 2023, THE MAKE IT OK CAMPAIGN MARKED A DECADE OF REDUCING MENTAL HEALTH STIGMA BY CHANGING ATTITUDES AND FOSTERING CARING CONVERSATIONS IN COMMUNITIES. MAKE IT OK HAD CONTINUED GROWTH OF PARTNERS, AMBASSADORS AND COMMUNITY ENGAGEMENT, WITH AN INCREASED FOCUS ON EQUITABLY REACHING COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESSES AND STIGMA. IT WAS ALSO A YEAR TO REFLECT ON A DECADE OF MILESTONES WITH OUR NEW MAKE IT OK 10-YEAR REPORT, SHOWCASING THE CAMPAIGN'S MEANINGFUL AND MEASURABLE PROGRESS. THIS MILESTONE WAS CELEBRATED WITH AN EVENT IN APRIL, ATTENDED BY OVER 150 PEOPLE, BOTH IN PERSON AND VIRTUALLY, HIGHLIGHTING THE 10-YEAR PROGRESS AND FUTURE PLANS. SINCE 2012, MORE THAN: 5,000 PEOPLE HAVE BEEN TRAINED AS AMBASSADORS, 10,000 HAVE ATTENDED MAKE IT OK PRESENTATIONS, 21,000 HAVE TAKEN THE PLEDGE TO STAND AGAINST STIGMA, AND THE CAMPAIGN HAS EXPANDED ITS REACH NATIONWIDE THROUGH ONLINE RESOURCES, TRAININGS AND PARTNERSHIPS. THIS IMPORTANT WORK RESULTED IN A MEASURABLE DECREASE IN COMMUNITY STIGMA, YET THERE IS STILL WORK TO DO. PART III CONT. HIGHLIGHTS OF MAKE IT OK IN 2023: - 133,260 REACHED VIRTUALLY, THROUGH PRESENTATIONS, TRAININGS, WEBSITE, SOCIAL AND E-NEWSLETTERS; - 15,000+ REACHED WITH 6,325 ENGAGED IN MAKE IT OK THROUGH 41 COMMUNITY EVENTS; - 855 AMBASSADORS SUBSCRIBERS REACHED THROUGH QUARTERLY E-NEWSLETTER; - 480 ENGAGED THROUGH 32 VIRTUAL PRESENTATIONS AND FIVE IN-PERSON (165 ATTENDED PRESENTATION ON STIGMA OF SUBSTANCE USE DISORDER); - 220 AMBASSADORS TRAINED THROUGH 15 VIRTUAL TRAININGS AND TWO IN-PERSON; - WEB DEVELOPMENT OF THE NEWLY TRANSFORMED MAKE IT OK WEBSITE. IN 2023, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE AND FEEL GOOD. THE YEAR WITNESSED A NOTEWORTHY INCREASE IN IN-PERSON OUTREACH AND EVENTS, DEMONSTRATING A ROBUST RETURN TO COMMUNITY ENGAGEMENT. AT THE SAME TIME, VIRTUAL OUTREACH AND COMMUNICATIONS CONTINUED TO EXPAND WITH AN ENHANCED AND CONSISTENT APPROACH, OFFERING FAMILIES SIMPLE AND FUN IDEAS TO POWERUP AT HOME. NEW AND INNOVATIVE RESOURCES FEATURING PLANT-BASED PROTEINS WERE ALSO DEVELOPED. THESE RESOURCES REPRESENT OUR EXPANDING COMMITMENT TO HEALTH, THE PLANET AND BUDGET-FRIENDLY NUTRITION. HIGHLIGHTS OF POWERUP IN 2023: - REACHED 64,176+ VIRTUALLY, THROUGH CLASSES, WEBSITE, SOCIAL AND E-NEWSLETTERS; - REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY); - POWERED UP 4,126 STUDENTS WITH THE POWERUP SCHOOL CHALLENGE ACROSS 25 ELEMENTARY SCHOOLS; - ENGAGED 18,887 KIDS AND FAMILIES THROUGH 141 EVENTS THAT POWERUP ATTENDED; - ENGAGED 1,958 LISTSERV SUBSCRIBERS (+80 IN LAST YEAR) THROUGH MONTHLY E-NEWSLETTERS; - DEVELOPED 'POWERUP WITH PLANTS,' A WEB RESOURCE WITH PLANT-BASED PROTEIN INFORMATION, ACTIVITIES AND FEATURED AN INTERACTIVE CHALLENGE WITH NEARLY 200 PARTICIPANTS; - DEVELOPED FIVE NEW RECIPE VIDEO RESOURCES FOR FAMILIES WITH A FOCUS ON MEALS AND SNACKS FEATURING PLANT-BASED PROTEINS. THE ST. CROIX VALLEY FAITH COMMUNITY NURSING PROGRAM IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR LOCAL CONGREGATIONS AND COMMUNITY IN PARTNERSHIP WITH THE HOSPITAL. THE PROGRAM ORIGINATED AND PRIMARILY SERVED THE STILLWATER, MINNESOTA AREA, BUT IN 2023 STARTED EXPANSION EFFORTS IN AMERY, NEW RICHMOND AND HUDSON, WISCONSIN. WHILE JUST GETTING STARTED IN THESE COMMUNITIES, THE PARTNER RESPONSE WAS OVERWHELMINGLY POSITIVE. THE PROGRAM ALSO HOLDS WELLNESS DAY EVENT AND COMMUNITY FOOT CARE CLINICS, WHICH ARE OPEN TO AND SERVE ST. CROIX VALLEY COMMUNITIES. HIGHLIGHTS OF FAITH COMMUNITY NURSING IN 2023: - WELLNESS DAY AND FOOT CARE CLINIC SERVED 168 INDIVIDUALS, SCREENED 99 INDIVIDUALS FOR MEMORY AND BALANCE, BLOOD PRESSURE AND GLUCOSE; - FOUNDER AND SUPPORTER OF ST. CROIX VALLEY GRIEF COALITION WHICH WAS CREATED THIS YEAR IN COLLABORATION WITH COMMUNITY PARTNERS AND NOW HAS OVER 70 MEMBERS AND HAS A MISSION OF ADDRESSING THE EXPERIENCES OF LOSS AND GRIEF BY OFFERING SUPPORT, EDUCATION, AND ADVOCACY; - PARTNERSHIP BUILDING IN AMERY, NEW RICHMOND AND HUDSON WITH THREE LOCAL MINISTERIUM GROUPS AND A VARIETY OF ORGANIZATIONS; - FREE FOOT CARE CLINIC HELD AT GRACE PLACE SHELTER SERVED EIGHT CLIENTS. THROUGH THE PROGRAM, FAITH COMMUNITY NURSES IN THE STILLWATER AREA SERVES SEVEN CONGREGATIONS WITH OVER 25,000 MEMBERS. OVER 3,500 OF THOSE MEMBERS HAD DIRECT SERVICE BY A FAITH COMMUNITY NURSE WHICH PROVIDE THE FOLLOWING: HOME OR HOSPITAL VISITS, ASSISTING IN TRANSITIONS OF CARE, ASSISTING IN NAVIGATING THE HEALTH CARE SYSTEM, REFERRALS TO HELP ASSIST IN OBTAINING NEEDED COMMUNITY SERVICES, ASSISTING INDIVIDUALS IN UNDERSTANDING THE RELATIONSHIP BETWEEN BODY, MIND AND SPIRIT, HEALTH SCREENINGS AND EDUCATION, AND SUPPORT FOR ALL AGES AND THROUGH ALL STAGES OF LIFE TRANSITIONS. THE HOSPITAL IS COMMITTED TO PROVIDING SEVERAL HEALTH CARE SUPPORT SERVICES, INTENDED TO INCREASE ACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. THESE SUPPORT SERVICES INCLUDE: NURSE NAVIGATORS FOR BREAST HEALTH AND CANCER CARE, OUTREACH CHAPLAINCY SERVICES, FAITH COMMUNITY NURSING, PRESCRIPTION ASSISTANCE, SOCIAL WORKERS PROVIDING SUPPORT ABOVE AND BEYOND STANDARD OF PRACTICE. 2. HEALTH PROFESSIONS EDUCATION: $588,179 IN 2023, THE HOSPITAL PROVIDED CLINICAL TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING, PHARMACY (12), RESIDENT PHYSICIANS (20), PHYSICIAN ASSISTANTS (9), MEDICAL STUDENTS (16). 3. CASH AND IN-KIND CONTRIBUTIONS: $286,292 THE HOSPITAL HELPED VARIOUS NON-PROFIT ORGANIZATIONS, COMMUNITY GROUPS, AND SCHOOL PROGRAMS THROUGH CASH DONATIONS AND SPONSORSHIPS. THE FOLLOWING ORGANIZATIONS AND PROGRAMS ARE A FEW EXAMPLES OF THOSE THAT WERE SUPPORTED VIA SPONSORSHIPS OR CASH DONATIONS FOR OVERALL COMMUNITY BENEFIT: YELLOW RIBBON ALLIANCE, SCHEUERMAN YOUTH FUND, AND MEALS FROM THE HEART. IN ADDITION, ON BEHALF OF THE HOSPITAL, THE FOUNDATION ADMINISTERS GRANTS, WHICH ARE APPROVED BY THE HOSPITAL'S GRANT COMMITTEE. IN 2023, GRANTS WERE GIVEN TO LOCAL COMMUNITY ORGANIZATION, INCLUDING CANVAS HEALTH, COMMUNITY THREAD, YOUTH ADVANTAGE, VALLEY OUTREACH, FAMILY MEANS, AND YOUTH SERVICE BUREAU. 4. COMMUNITY BUILDING ACTIVITIES: $9,048 THE HOSPITAL PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COMMUNITY HEALTH ACTION TEAM, CONNECT TO PREVENT AND REDUCE YOUTH ALCOHOL, TOBACCO AND OTHER DRUG USE, WASHINGTON COUNTY COMMUNITY LEADERSHIP TEAM, WASHINGTON COUNTY PUBLIC HEALTH, METRO HEALTHCARE COALITION, REGIONAL HOSPITAL LIAISON PLANNING. THE HOSPITAL CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS THROUGH INITIATIVES SUCH AS GREENING THE OR, EQUIPMENT AND ORGANICS DONATIONS: - COLLECTED 178 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; - OVER $86,000 WAS SAVED THROUGH GREENING THE OR PROGRAM IN 2023; - OVER 17 TONS OF CAFETERIA FOOD WASTE WAS DONATED TO FEED PIG LIVESTOCK THROUGH THE PROGRAM KNOWN AS "FOOD TO HOGS; - 2.9 TONS OF EQUIPMENT WAS DONATED; -129 TONS OF MATERIALS WERE RECYCLED, CREATING A SAVINGS OF OVER $26,000. THE MEDICATION TAKE BACK PROGRAM COLLECTED 448 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS IN A SECURE MANNER TO PREVENT ACCIDENTAL POISONING OR MISUSE AND PREVENT MEDICATIONS FROM ENTERING THE WATER AND DRINKING WATER. THE HOSPITAL'S EMERGENCY MEDICAL SERVICES DEPARTMENT PROVIDES EVENT COVERAGE IN THE SURROUNDING COMMUNITIES, WHICH SUPPORT COALITION BUILDING WITH COMMUNITY PARTNERS AS WELL AS REDUCE RESPONSE TIME TO INJURIES. 5. COMMUNITY BENEFIT OPERATIONS: $11,522 STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT, AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. 6. ORGANIZATION AWARDS AND ACHIEVEMENTS WE ARE VERY PROUD THAT OUR HOSPITAL CONTINUED ITS NATIONAL AWARD-WINNING TRADITIONS OF EXCEPTIONAL CARE AND PERFORMANCE IN ALL AREAS. HERE ARE A FEW OF THE HIGHLIGHTS FROM 2023: - PATIENT SAFETY EXCELLENCE AWARD FROM HEALTHGRADES FOR BEING IN THE TOP 10% IN THE NATION FOR PATIENT SAFETY; - OUTSTANDING PATIENT EXPERIENCE AWARD FROM HEALTHGRADES FOR BEING IN THE TOP 15% IN THE NATION FOR PATIENT CARE; - TOP 25 ENVIRONMENTAL EXCELLENCE AWARD AND GREENING THE OPERATING ROOM RECOGNITION AWARD FROM PRACTICE GREENHEALTH; - FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR QUALITY OF PATIENT CARE - EARNED AN "A" GRADE FOR PATIENT SAFETY FROM THE LEAPFROG GROUP; - BIRTHING-FRIENDLY DESIGNATION FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES; - LAKEVIEW EMS RECOGNIZED WITH CLINICAL EXCELLENCE AWARD FROM MINNESOTA'S EMERGENCY SERVICES REGULATORY BOARD. PART III CONT. FIVE-STAR RATING BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) FOR THE QUALITY OF PATIENT CARE. OPERATIONAL EXCELLENCE AWARD, A STROKE QUALITY IMPROVEMENT AWARD FROM THE MINNESOTA HOSPITAL ASSOCIATION (MHA), FOR EFFORTS TO PARTNER WITHIN THE HEALTH SYSTEM AND IMPROVE DOOR-TO-TREATMENT TIMES FOR STROKE PATIENTS. PRACTICE GREENHEALTH TOP 25 ENVIRONMENTAL EXCELLENCE AWARD AND GREENING THE OPERATING ROOM RECOGNITION AWARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS LAKEVIEW HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER RATIFIES THE PERSONS ELECTED TO LAKEVIEW HOSPITAL BOARD, AT LEAST 75% OF WHOM MUST BE COMMUNITY LEADERS. THE PRESIDENT OF THE SOLE MEMBER SERVES AS AN EX OFFICIO NON-VOTING HOSPITAL BOARD MEMBER. ADDITIONALLY, HEALTHPARTNERS AS THE SOLE MEMBER OF LAKEVEIW HEALTH APPOINTS ONE PERSON TO THE LAKEVIEW HOSPITAL BOARD.THE PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF LAKEVIEW HEALTH ALSO SERVE AS BOARD OF DIRECTORS OF LAKEVIEW HOSPITAL, INCLUDING 9 COMMUNITY MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CUSTOMARY POWERS INCLUDING APPROVAL OF HIGHLY SIGNIFICANT ACTIONS OF LAKEVIEW HOSPITAL'S BOARD OF DIRECTORS. THESE INCLUDE AMENDMENT OF THE GOVERNING DOCUMENTS; APPROVAL OF STRATEGIC PLANS AND ANNUAL BUDGETS; MERGER, CONSOLIDATION OR SUBSTANTIAL AFFILIATION WITH ANOTHER ENTITY; APPOINTMENT OF THE PRESIDENT OF LAKEVIEW HOSPITAL; AND INCURRENCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B LAKEVIEW HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND LAKEVIEW HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF LAKEVIEW HOSPITAL. LAKEVIEW HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE MEETING. THIS PROCESS IS DOCUMENTED IN THE WRITTEN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C THE LAKEVIEW HOSPITAL BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE GENERAL COUNSEL OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW HOSPITAL) PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI), STILLWATER MEDICAL GROUP (SMG), BOTH OF WHICH ARE RELATED ORGANIZATIONS OR BY LAKEVIEW HOSPITAL. GHI, SMG AND LAKEVIEW HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF LAKEVIEW HOSPITAL'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, EITHER THE EXECUTIVE COMMITTEE OF LAKEVIEW HOSPITAL OR THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES ARE DETERMINED FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEES REVIEW AND APPROVE EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, THE COMMITTEES' MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEES MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. WITH LAKEVIEW HOSPITAL'S BOARD OF DIRECTORS INPUT, THE PRESIDENT OF REGIONS HOSPITAL CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE COMPENSATION COMMITTEE'S APPROVAL, DETERMINES THE COMPENSATION OF THE LAKEVIEW HOSPITAL PRESIDENT. THE BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL HOSPITAL-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE LAKEVIEW HOSPITAL. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. FORM 990, PART VI, SECTION C, LINE 19 LAKEVIEW HOSPITAL'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS. LAKEVIEW HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. 990, PART VII, SECT A, LN 1A, COL B: AVERAGE HOURS - RELATED ORGANIZATION AVERAGE WEEKLY HOURS: THE COMPENSATED BOARD MEMBERS AND OFFICERS OF LAKEVIEW HOSPITAL ARE EMPLOYED AND COMPENSATED BY LAKEVIEW HOSPITAL, GHI OR SMG. THE COMPENSATED BOARD MEMBERS AND OFFICERS DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE - SMG AND LHF -3,850,000. CHANGE IN PENSION LIABILITY VALUATION 3,401,226. CONTRIBUTIONS FROM LHF RUN THROUGH THE FUND BALANCE -794,225. 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CLAIMSHEALTHCARE SERVICES L 15863368 CASH AMOUNT