WESTFIELDS HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: WESTFIELDS HOSPITAL INC (EIN 39-0808442)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202333189349311113
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T13:54:15-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CTR 90 S7TH STREET	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390808442	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELDS HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WEST	BusinessNameControlTxt
Phone	9528836584	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8170 33RD AVENUE SOUTH PO BOX 1309	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554401309	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE A DZIUK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9528836535	PhoneNum
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVE	PersonFirstNm
Person Last	DZIUK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HOLLY MOEN	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVEN M MASSEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8170 33RD AVENUE SOUTH PO BOX 1309	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554401309	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$87,133,037	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HEALTHPARTNERS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	508	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,204,913	PYContributionsGrantsAmt
CY Contributions Grants	$606,264	CYContributionsGrantsAmt
PY Program Service Revenue	$80,074,732	PYProgramServiceRevenueAmt
CY Program Service Revenue	$85,163,647	CYProgramServiceRevenueAmt
PY Investment Income	$741,298	PYInvestmentIncomeAmt
CY Investment Income	$701,851	CYInvestmentIncomeAmt
PY Other Revenue	$308,463	PYOtherRevenueAmt
CY Other Revenue	$344,186	CYOtherRevenueAmt
PY Total Revenue	$82,329,406	PYTotalRevenueAmt
CY Total Revenue	$86,815,948	CYTotalRevenueAmt
PY Grants And Similar Paid	$46,527	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$57,285	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,569,415	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$49,017,161	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,081,880	PYOtherExpensesAmt
CY Other Expenses	$30,344,543	CYOtherExpensesAmt
PY Total Expenses	$74,697,822	PYTotalExpensesAmt
CY Total Expenses	$79,418,989	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,631,584	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,396,959	CYRevenuesLessExpensesAmt
Total Assets BOY	$77,938,894	TotalAssetsBOYAmt
Total Assets EOY	$73,378,031	TotalAssetsEOYAmt
Total Liabilities BOY	$22,963,432	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,877,193	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$54,975,462	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$59,500,838	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WESTFIELDS HOSPITAL, IN PARTNERSHIP WITH OTHERS, WILL IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE WHICH MEETS THE NEEDS OF ALL PEOPLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$71,081,108	ExpenseAmt
Grant	$57,285	GrantAmt
Revenue	$85,273,590	RevenueAmt
Desc	SEE SCHEDULE O - PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS	Desc
Total Program Service Expenses	$71,081,108	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	508	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEVIN J BRANDT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9528836584	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8170 33RD AVE S	AddressLine1Txt
City	BLOOMINGTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55440	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMY L DEWANE
DIRECTOR	0.50	51.50	Yes (X)	$0	$428,046	$62,187
ANTHONY C HECHT MD
DIRECTOR	0.50	69.50	Yes (X)	$0	$485,566	$48,897
BURKE T KEALEY
DIRECTOR	0.50	50.00	Yes (X)	$0	$678,244	$42,618
CRAIG YEHLIK
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
ERIC W LING MD
DIRECTOR AND CMO	0.50	49.50	Yes (X)	$0	$485,748	$62,307	Yes (X)
HEIDI G CONRAD
DIRECTOR & TREASURER (JAN-OCT)	0.50	54.50	Yes (X)	$0	$549,913	$116,747	Yes (X)
KATIE WENDT
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
MARY HAILEY
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
PATRICK OLSON
DIRECTOR & SECRETARY (JAN-APR)	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
PAULA KOLBACK
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
REGAN BROWN
DIRECTOR & CHAIR	1.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
SCOTT SODERBERG
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
STEVEN M MASSEY
DIRECTOR, PRESIDENT	49.50	0.50	Yes (X)	$0	$384,015	$60,826	Yes (X)
TYLER R SCHMIDTZ
DIRECTOR	0.50	49.50	Yes (X)	$0	$399,299	$61,974
VINI T MANCHANDA
DIRECTOR	0.50	49.50	Yes (X)	$0	$373,503	$95,121
ROBIN REICHERT MD
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
MARIE GREMORE
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
DOUGLAS E JOHNSON
CFO	13.75	41.25		$0	$501,465	$118,928	Yes (X)
LEANNE M ROGGEMANN
VP PATIENT SERVICES & CNO	40.00	0.00		$199,966	$0	$51,933	Yes (X)
NATHAN T SCHOONE
SR DIRECTOR HR	40.00	0.00		$152,025	$0	$49,615		Yes (X)
NICOLE M TROSEN
PHARMACY MANAGER	40.00	0.00		$177,303	$0	$38,980		Yes (X)
KRISTA L SIKORSKI
FAMILY PRACTICE	40.00	0.00		$159,161	$0	$58,098		Yes (X)
NATHAN P WAYNE
FINANCE DIRECTOR	45.00	0.00		$150,496	$0	$65,835		Yes (X)
VICKI D ZIGLINSKI
MANAGER PATIENT FINANCIAL SERVICES	40.00	0.00		$146,175	$0	$46,265		Yes (X)
DAVID O DEGEAR MD
FORMER VP - MEDICAL AFFAIR	0.00	55.00		$0	$531,749	$63,368			Yes (X)
JASON J LUHRS
FORMER CFO	0.00	50.00		$0	$318,933	$60,605			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$985,126	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,136,481	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,104,304	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	44	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RIVER VALLEY ANESTHESIA INC
PO BOX 118	NEW RICHMOND	WI	540170118	ANESTHESIA SERVICES	$1,519,015
INFINITE HEALTH COLLABORATIVE
4200 DALBERG DR STE 300	GOLDEN VALLEY	MN	55422	MEDICAL SERVICE	$900,962
CANCER CENTER OF WESTERN WISCONSIN
501 HOSPITAL RD	NEW RICHMOND	WI	54017	MEDICAL SERVICE	$755,416
TOTAL MSP LLC
221 W COLLEGE AVE FL 2	APPLETON	WI	54911	CONSULTING	$690,977
SAGILITI
23505 SMITHTOWN RD STE 280	ELCELSIOR	MN	55331	ENERGY CONSULTING	$513,036

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$426,584	RelatedOrganizationsAmt
Government Grants	$160,997	GovernmentGrantsAmt
All Other Contributions	$18,683	AllOtherContributionsAmt
Total Contributions	$606,264	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT SERVICES	623000	$85,033,407	$85,033,407
DIETARY SERVICES	722514	$130,240		$130,240

Field	Value	IRS element (for citing)
Total Program Service Revenue	$85,163,647	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$701,851	TotalRevenueColumnAmt
Exclusion	$701,851	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$551,332	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$317,089	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$234,243	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,243	TotalRevenueColumnAmt
Exclusion	$234,243	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER INCOME	623000	$70,516	$70,516
GIFT SHOP	623000	$39,427	$39,427

Field	Value	IRS element (for citing)
Other Revenue Total	$109,943	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,815,948	TotalRevenueColumnAmt
Related Or Exempt Func Income	$85,033,407	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,176,277	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$57,285	TotalAmt
Program Services	$57,285	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$251,899	TotalAmt
Management And General	$251,899	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$41,930,857	TotalAmt
Program Services	$37,353,690	ProgramServicesAmt
Management And General	$4,577,167	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,049,546	TotalAmt
Program Services	$934,978	ProgramServicesAmt
Management And General	$114,568	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,454,388	TotalAmt
Program Services	$3,895,109	ProgramServicesAmt
Management And General	$559,279	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,330,471	TotalAmt
Program Services	$1,185,237	ProgramServicesAmt
Management And General	$145,234	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$37,772	TotalAmt
Management And General	$37,772	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35	TotalAmt
Management And General	$35	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,171,985	TotalAmt
Program Services	$5,058,833	ProgramServicesAmt
Management And General	$113,152	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$170,980	TotalAmt
Program Services	$38,225	ProgramServicesAmt
Management And General	$132,755	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$751,225	TotalAmt
Program Services	$644,808	ProgramServicesAmt
Management And General	$106,417	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$201,359	TotalAmt
Program Services	$113,782	ProgramServicesAmt
Management And General	$87,577	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,270,418	TotalAmt
Program Services	$1,037,730	ProgramServicesAmt
Management And General	$232,688	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$74,901	TotalAmt
Program Services	$62,788	ProgramServicesAmt
Management And General	$12,113	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$26,785	TotalAmt
Program Services	$11,564	ProgramServicesAmt
Management And General	$15,221	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$222,127	TotalAmt
Program Services	$164,198	ProgramServicesAmt
Management And General	$57,929	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,899,443	TotalAmt
Program Services	$2,448,819	ProgramServicesAmt
Management And General	$450,624	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$200,166	TotalAmt
Program Services	$200,166	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$15,458,088	$15,388,704	$69,384
EQUIPMENT RENT/LEASE	$2,018,726	$928,637	$1,090,089
OTHER EXPENSE	$1,668,101	$1,385,719	$282,382
TAXES & ASSESSMENTS	$100,265	$100,265

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,167	TotalAmt
Program Services	$70,571	ProgramServicesAmt
Management And General	$1,596	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,418,989	TotalAmt
Program Services	$71,081,108	ProgramServicesAmt
Management And General	$8,337,881	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,084,584	BOYAmt
EOY	$2,238,289	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,176,970	BOYAmt
EOY	$20,568,001	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,565,748	BOYAmt
EOY	$8,885,025	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$916,903	BOYAmt
EOY	$1,083,769	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$126,062	BOYAmt
EOY	$98,970	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$50,690,723	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$33,446,360	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,509,584	BOYAmt
EOY	$17,244,363	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$12,143,032	BOYAmt
EOY	$22,874,614	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$385,000	BOYAmt
EOY	$385,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$31,011	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,938,894	BOYAmt
EOY	$73,378,031	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,741,592	BOYAmt
EOY	$8,902,553	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,221,840	BOYAmt
EOY	$4,974,640	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,963,432	BOYAmt
EOY	$13,877,193	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,975,462	BOYAmt
EOY	$59,500,838	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,975,462	BOYAmt
EOY	$59,500,838	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$77,938,894	BOYAmt
EOY	$73,378,031	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$7,396,959	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,871,583	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$0	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	WESTFIELDS HOSPITAL, INC. 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$195,306	OtherCostOrOtherBasisAmt
Book Value	$195,306	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,413,961	OtherCostOrOtherBasisAmt
Depreciation	$16,854,006	DepreciationAmt
Book Value	$13,559,955	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,896,616	OtherCostOrOtherBasisAmt
Depreciation	$16,592,354	DepreciationAmt
Book Value	$3,304,262	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,840	OtherCostOrOtherBasisAmt
Book Value	$184,840	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,244,363	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	WESTFIELDS HOSPITAL, INC. 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, 2022 OR 2021 FOR UNRECOGNIZED TAX BENEFITS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	459	PersonsServedCnt
Total Community Benefit Expns	$364,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$364,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	476	PersonsServedCnt
Total Community Benefit Expns	$8,129,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,209,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,919,897	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	935	PersonsServedCnt
Total Community Benefit Expns	$8,493,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,209,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,283,912	NetCommunityBenefitExpnsAmt
Total Expense	0.04140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	1763	PersonsServedCnt
Total Community Benefit Expns	$298,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$297,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	81	PersonsServedCnt
Total Community Benefit Expns	$412,731	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$412,731	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	24392	PersonsServedCnt
Total Community Benefit Expns	$3,107,877	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,107,877	NetCommunityBenefitExpnsAmt
Total Expense	0.03910	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Direct Offsetting Revenue	$72,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	26236	PersonsServedCnt
Total Community Benefit Expns	$3,819,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,751	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,818,559	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	27171	PersonsServedCnt
Total Community Benefit Expns	$12,312,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,282,673	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,102,471	NetCommunityBenefitExpnsAmt
Total Expense	0.08950	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,652	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,736	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	80	PersonsServedCnt
Total Community Benefit Expns	$813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$813	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	80	PersonsServedCnt
Total Community Benefit Expns	$10,201	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,201	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$826,827	BadDebtExpenseAmt
Bad Debt Expense Attributable	$89,545	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,470,836	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,470,836	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 CANCER CENTER OF WESTERN WISCONSIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ONCOLOGY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.23680	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELDS HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	535 HOSPITAL ROAD	AddressLine1Txt
City	NEW RICHMOND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54017	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.WESTFIELDSHOSPITAL.COM	WebsiteAddressTxt
State License	WISCONSIN LICENSE # 1050	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WESTFIELDS HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE NOTE FOR FULL WEBSITE URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE NOTE FOR FULL WEBSITE URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE NOTE FOR FULL WEBSITE URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
WESTFIELDS HOSPITAL, INC.	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 WESTFIELDS HOSPITAL 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HEALTH-NEEDS/
WESTFIELDS HOSPITAL, INC.	PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2021 HEALTHPARTNERS CHNA WERE:- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN.- PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN)- REGIONS HOSPITAL, MN.- AMERY REGIONAL MEDICAL CENTER, WI.- HUDSON HOSPITAL, HUDSON, WI.- HUTCHINSON HEALTH, HUTCHINSON, MN- HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC (OLIVIA, MN)
WESTFIELDS HOSPITAL, INC.	PART V, SECTION B, LINE 11: THE 2021 HEALTHPARTNERS CHNA RESULTED IN THE FOLLOWING PRIORITIES:PRIORITY 1: ACCESS TO CAREOUR GOAL IS TO 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 TO BETTER UNDERSTAND AND IMPROVE CARE EXPERIENCE.-PROVIDED COMMUNITY DIABETES EDUCATION WITH VIRTUAL OPTIONS AS A LOW-COST OPTION FOR HEALTH INFORMATION AND EDUCATION. PRIORITY 2: ACCESS TO HEALTHSTRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT AND SUSTAINABLE OPERATIONS TO POSITIVELY IMPACT TO THE COMMUNITY. -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-SHILD 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. -CONTINUED CROSS-SECTOR COLLABORATION FOR COMMUNITY HEALTH EFFORTS AND RESPONSE WITH HEALTHIER TOGETHER.-DISTRIBUTED MORE THAN 3600 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.-SUSTAINABLE OPERATIONS INCLUDE INSTALLING BEE HIVES, CONTINUING OUR COMMUNITY GARDEN, INSTALLING A NEW BIKE REPAIR STATION, AND STARTING INSTALLATION OF TWO EV CHARGING STATIONS. AWARDS INCLUDE A PGH EMERALD AWARD, ARBOR DAY TREE CAMPUS HEALTHCARE, AUDUBON COOPERATIVE SANCTUARY, AND A WSBC GREEN MASTER AWARD.PRIORITY 3: MENTAL HEALTH AND WELL-BEINGREDUCE THE STIGMA SURROUNDING MENTAL ILLNESS. INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING. IMPROVE ACCESS TO MENTAL HEALTH SERVICES. IN 2022, 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. 2022 HIGHLIGHTS INCLUDE:-MEASURED CAMPAIGN IMPACT AND PROGRESS THROUGH THE IMPACT SURVEY-209 AMBASSADORS TRAINED THROUGH VIRTUAL TRAININGS.-533 REACHED THROUGH 32 VIRTUAL PRESENTATIONS.-2175 ENGAGED IN MAKE IT OK THROUGH COMMUNITY EVENTS.-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.-HOSPITAL CONTINUES TO CONVENE AND PARTICIPATE 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, WESTFIELDS SERVED 438.-BEHAVIORAL HEALTH TEAM SERVED OUR COMMUNITY IN NEW AND DIFFERENT WAYS, INCLUDING SOME DIGITAL/VIRTUAL FORMATS, INCLUDING PODCASTS. SIX PODCASTS WERE RECORDED IN 2021, PRIMARILY WITH A MENTAL HEALTH FOCUS ON TOPICS SUCH AS DEPRESSION, ANXIETY AND STRESS RELIEF. THESE HAVE BEEN ACCESSED OVER 400 TIMES. PRIORITY 4: NUTRITION AND PHYSICAL ACTIVITYPROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. -DIABETES EDUCATION AND DIABETES PREVENTION PROGRAMS TAUGHT SKILLS FOR EATING HEALTHY AND ACTIVITY TO MANAGE AND PREVENT DISEASE. NUTRITION EDUCATION CLASSES THROUGH COMMUNITY EDUCATION SUPPORTED DISEASE PREVENTION AND MANAGEMENT. -POWERUP: SINCE 2015, THE HOSPITAL HAS SUPPORTED POWERUP, A COMMUNITYWIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND PHYSICAL ACTIVITIES SO YOUTH CAN REACH THEIR FULL POTENTIAL. OUR WORK WITH HUNDREDS OF PARTNERS ACROSS THE REGION HAS RESULTED 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. IN 2022, MORE THAN 64,000 ENGAGED IN THE ST. CROIX VALLEY AREA THROUGH EVENTS, CLASSES, OUTREACH PROGRAMS AND GROWING ONLINE RESOURCES TO PROMOTE BETTER EATING AND MOVING MORE.-REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY) -POWERED UP 6,558 STUDENTS WITH THE POWERUP SCHOOL CHALLENGE ACROSS 17 ELEMENTARY SCHOOLS THROUGHOUT THE ST. CROIX VALLEY.-ENGAGED 8,025 KIDS AND FAMILIES THROUGH 50 OUTDOOR SUMMER EVENTS THAT POWERUP ATTENDEDPRIORITY 5: SUBSTANCE ABUSEREDUCE 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 2022, 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. WESTFIELDS HOSPITAL COLLECTED 659LBS OF UNUSED MEDICIATION.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	WESTFIELDS HOSPITAL GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER.
PART I, LINE 7:	ACTUAL COSTS ESTIMATED USING COST-TO-CHARGE RATIO WORKSHEETS PROVIDED IN SCHEDULE H.
PART I, LINE 7G:	WESTFIELDS HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2022, LOSS ON SERVICES FOR HOSPITAL OUTPATIENT SERVICES INCLUDING EMERGENCY, RESPIRATORY THERAPY, PHYSICAL THERAPY, ONCOLOGY, SPECIALTY CLINIC, AND PRIMARY CLINIC TOTALED $3,107,877.
PART II, COMMUNITY BUILDING ACTIVITIES:	WESTFIELDS HOSPITAL SUPPORTS INDIVIDUALS, ORGANIZATIONS, EVENTS AND PROGRAMS; IT LIVES OUT ITS COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY. KNOWING MUCH MORE CAN BE ACCOMPLISHED TOGETHER, WESTFIELDS HOSPITALS COMMUNITY BENEFIT PROGRAM STRIVES TO MAKE VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. WESTFIELDS HOSPITAL PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT TO IMPROVE THE BUSINESS CLIMATE IN THE REGION. THESE ACTIVITIES INCLUDED EMERGENCY PREPAREDNESS AND YOUTH ASSET DEVELOPMENT, INCLUDING DRUG AND SAFETY PREVENTION, LEADERSHIP DEVELOPMENT/CONFLICT RESOLUTION, HEALTH IMPROVEMENT ADVOCACY, WORKFORCE DEVELOPMENT AND COALITION BUILDING TO PROVIDE LEADERSHIP AND IN-KIND SUPPORT FOR HEALTHIER TOGETHER PIERCE & ST. CROIX COUNTIES AND THE NEW RICHMOND AREA CENTRE WELLNESS FACILITY AND LOCAL COMMUNITY HEALTH. TO PROMOTE POSITIVE BEHAVIOR TO REDUCE OBESITY, WESTFIELDS HAS IMPLEMENTED POWERUP, A COMMUNITY-WIDE YOUTH HEALTH INITIATIVE TO MAKE BETTER EATING AND ACTIVE LIVING EASY, FUN, AND POPULAR, SO THAT OUR YOUTH CAN REACH THEIR FULL POTENTIAL.ADDITIONAL PROGRAMS/ACTIVITIES INCLUDED NEW RICHMOND CHAMBER OF COMMERCE & THE CENTRE PARTNERSHIPS, VISION 2020 COMMUNITY GROUP, AND THE LEADERSHIP TRUST INITIATIVE - A PROGRAM DEDICATED TO PROMOTING AND DEVELOPING DYNAMIC BUSINESS AND COMMUNITY LEADERS.IN SUPPORT OF "HEALTHY FOOD IN HEALTH CARE," LOCAL FARMS AND PROCUREMENT OF LOCAL FOOD, WESTFIELDS PARTICIPATED IN COMMUNITY SUPPORTED AGRICULTURE AND HOSTED WEEKLY FARMER'S MARKET EVENTS.
PART III, LINE 2:	WESTFIELDS HOSPITAL USES A HISTORIC BAD DEBT PERCENTAGE THAT IS ROUTINELY MONITORED, REVIEWED, AND UPDATED IN ORDER TO OBTAIN THE BEST ESTIMATE OF THE CURRENT YEAR'S BAD DEBT.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON THE GROSS BAD DEBT WRITE OFFS COMING FOR SOLELY UNINSURED PATIENTS. OUR ESTIMATE ASSUMES 1/3 OF THE BAD DEBT FROM UNINSURED PATIENTS WOULD HAVE QUALIFIED FOR EITHER A FULL OR PARTIAL ADJUSTMENT BASED ON OUR FINANCIAL ASSISTANCE POLICY. BECAUSE THE ADJUSTED AMOUNTS ARE TIED TO GROSS CHARGES, THE COST TO CHARGE RATIO IS USED TO ADJUST DOWN TO THE AMOUNT REPORTED AS THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. BAD DEBT WRITE OFFS RESULTING FROM CO-PAYS, DEDUCTIBLES, OR OTHER OUT OF POCKET FROM PATIENTS WITH INSURANCE ARE EXCLUDED. THE AMOUNT REPORTED IS NOT INCLUDED AS COMMUNITY BENEFIT.
PART III, LINE 4:	SEE THE ORGANIZATION'S FOOTNOTES OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT.
PART III, LINE 8:	MEDICARE SURPLUS (SHORTFALL) IN LINE 7 REPRESENTS THE ADDITIONAL 1% OF ALLOWABLE COST THAT CRITICAL ACCESS HOSPITALS RECEIVE. MEDICARE SHORTFALL IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER THE WHA, BUT CAN BE INCLUDED IN OTHER FINANCIAL REPORTS. WESTFIELDS BASES ITS MEDICARE COSTING METHODOLOGY ON THE CMS MEDICARE COST REPORT METHODOLOGY; COST TO CHARGE RATIO.
PART III, LINE 9B:	WESTFIELDS HOSPITAL DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. WESTFIELDS WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT, ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.
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 WESTFIELDS HOSPITAL 2021CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY THE FIVE PRIORITIES ARE OF EQUAL IMPORTANCE AND ARE PRESENTED IN ALPHABETICAL ORDER:ACCESS TO CAREACCESS TO CARE REFERS TO HAVING EQUITABLE ACCESS TO APPROPRIATE, CONVENIENT AND AFFORDABLE HEALTH CARE. THIS INCLUDES FACTORS SUCH AS PROXIMITY TO CARE, ACCESS TO PROVIDERS, COST, INSURANCE COVERAGE, MEDICAL TRANSPORTATION, CARE COORDINATION WITHIN THE HEALTH CARE SYSTEM AND CULTURAL SENSITIVITY AND RESPONSIVENESS. ACCESS TO HEALTHACCESS TO HEALTH REFERS TO THE SOCIAL AND ENVIRONMENTAL CONDITIONS THAT DIRECTLY AND INDIRECTLY AFFECT PEOPLE'S HEALTH SUCH AS HOUSING, INCOME, EMPLOYMENT, EDUCATION AND MORE. THESE FACTORS, ALSO REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, DISPROPORTIONATELY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. MENTAL HEALTH AND WELL-BEINGMENTAL HEALTH AND WELL-BEING REFERS TO THE INTERCONNECTION BETWEEN MENTAL ILLNESS, MENTAL HEALTH, MENTAL WELL-BEING AND THE ASSOCIATED STIGMA. POOR MENTAL HEALTH IS ASSOCIATED WITH POOR QUALITY OF LIFE, HIGHER RATES OF CHRONIC DISEASE AND A SHORTER LIFESPAN.NUTRITION AND PHYSICAL ACTIVITYNUTRITION AND PHYSICAL ACTIVITY REFERS TO EQUITABLE ACCESS TO NUTRITION, PHYSICAL ACTIVITY AND FOOD AND FEEDING CHOICES. POOR NUTRITION AND PHYSICAL INACTIVITY ARE MAJOR CONTRIBUTORS TO OBESITY AND CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND STROKE, WHICH DISPROPORTIONALLY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. SUBSTANCE ABUSESUBSTANCE ABUSE AND ADDICTION ARE THE EXCESSIVE USE OF SUBSTANCES INCLUDING ALCOHOL, TOBACCO, PRESCRIPTION DRUGS, OPIOIDS AND OTHER DRUGS IN A MANNER THAT IS HARMFUL TO HEALTH AND WELL-BEING. PRIORITIES NOT SELECTED: HEALTHPARTNERS DISCUSSED AND CONSIDERED ADDITIONAL OR ALTERNATIVE PRIORITIES DURING THE PRIORITIZATION PROCESS, INCLUDING: OLDER ADULT HEALTH/AGING, MATERNAL AND CHILD HEALTH, ENVIRONMENTAL HEALTH AND INJURY AND VIOLENCE. THESE NEEDS WERE NOT SELECTED AS ONE OF THE TOP FIVE PRIORITIES IN THE CONSENSUS BUILDING PROCESS, HOWEVER, THE THEMES WILL BE CONSIDERED IN THE IMPLEMENTATION FOR THE SELECTED PRIORITY AREAS. WESTFIELDS HOSPITAL 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HEALTH-NEEDS/
PART VI, LINE 3:	WESTFIELDS HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO OUR PATIENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE. AS A RESULT, OUR FINANCIAL ASSISTANCE POLICY (REFERRED TO HEREIN AS "FAP OR "POLICY") IS AVAILABLE TO UNINSURED OR UNDERINSURED PATIENTS BASED ON THE PATIENT'S ABILITY TO PAY FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. OUR POLICY IS AVAILABLE TO PROVIDE EPISODIC HELP; IT IS NOT MEANT TO PROVIDE LONG-TERM, FREE OR DISCOUNTED CARE. OUR POLICY SETS FORTH AND DESCRIBES ELIGIBILITY CRITERIA, HOW WE CALCULATE DISCOUNTS, HOW TO APPLY FOR FINANCIAL ASSISTANCE, THE PROVIDERS DELIVERING CARE IN OUR HOSPITAL AND OUR EMERGENCY MEDICAL CARE POLICY.WESTFIELDS HOSPITAL'S FAP IS WIDELY PUBLICIZED IN MULTIPLE WAYS. PATIENTS CAN OBTAIN FREE COPIES OF THIS POLICY AT ALL PATIENT REGISTRATION LOCATIONS AT WESTFIELDS. FOR ADDITIONAL INFORMATION OR QUESTIONS ABOUT THE APPLICATION PROCESS, OR TO REQUEST COPIES BY MAIL, PATIENTS CAN CONTACT OUR PATIENT FINANCIAL SERVICES DEPARTMENT AT 1-715-243-2600. FREE COPIES OF THIS POLICY AND THE FINANCIAL ASSISTANCE APPLICATION FORM ARE ALSO AVAILABLE AT HTTP://WWW.WESTFIELDSHOSPITAL.COM.
PART VI, LINE 4:	WESTFIELDS HOSPITAL SERVES RESIDENTS FROM ST. CROIX COUNTY, WISCONSIN AND SURROUNDING COUNTIES OF POLK, DUNN AND PIERCE. 2019 CENSUS LISTS THE POPULATION OF ST. CROIX COUNTY AT 90,687, A 7.5% POPULATION GROWTH SINCE 2010. RAPID GROWTH CONTINUES WITHIN ST. CROIX COUNTY, IN PART DUE TO ITS CLOSE PROXIMITY TO THE TWIN CITIES (MINNEAPOLIS/ST. PAUL), WHERE MANY RESIDENTS COMMUTE TO WORK. ST. CROIX COUNTY'S POPULATION IS COMPRISED OF 35% UNDER 19, 11% 65 YEARS AND OVER. THE POPULATION IS 95.9% WHITE, 0.9% BLACK, 0.5% AMERICAN INDIAN, 1.1% ASIAN AND 1.6% HISPANIC OR LATINO. ST. CROIX COUNTY HAS A HIGH MEDIAN INCOME COMPARATIVELY WITHIN THE STATE - $81,124 AND A POVERTY RATE APPROXIMATELY HALF THAT OF THE REST OF THE STATE - 4.78%.ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS REPORT, ST. CROIX COUNTY RANKED FIFTH FOR HEALTH FACTORS AND SECOND IN HEALTH OUTCOMES OVERALL IN THE STATE OUT OF 72 COUNTIES.
PART VI, LINE 5:	AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE NEW RICHMOND AREA SINCE 1950, WESTFIELDS CONTINUES TO PLAY AN IMPORTANT ROLE AND IS POSITIONED WELL TO MEET THE HEALTH CARE NEEDS OF THE AREA. WESTFIELDS IS A FULL-SERVICE MEDICAL CAMPUS OFFERING EMERGENCY SERVICES, SPECIALTY CLINICS AND PHARMACY, AS WELL AS INPATIENT, OUTPATIENT AND MATERNITY SERVICES. WESTFIELDS IS GOVERNED BY A BOARD OF DIRECTORS WITH REPRESENTATION FROM COMMUNITY MEMBERS.WORKING IN PARTNERSHIP WITH EACH OTHER, WESTFIELDS, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, AND THE COMMUNITY ACCOMPLISHED A GREAT DEAL IN 2022. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. DEDICATED STAFF PROMOTE COMMUNITY HEALTH IN THE FOLLOWING WAYS: FREE ON-GOING SUPPORT AND EDUCATION GROUPS IN BEREAVEMENT/ GRIEF, BREASTFEEDING, CANCER, DIABETES, NUTRITION AND WEIGHT MANAGEMENT AND CAREGIVERS; SCHOOL-BASED EDUCATION FOR ELEMENTARY AND SECONDARY SCHOOLS; TRAININGS FOR HEALTH CARE PROFESSIONALS AND NURSING STUDENTS; SELF-HELP PROGRAMMING FOLLOWING CARDIAC REHAB AND PHYSICAL THERAPY TO COMMUNITY MEMBERS.WESTFIELDS ENCOURAGES PATIENTS AND THEIR FAMILIES THEIR PARTNERS IN HEALTH TO BE ACTIVELY INVOLVED IN DECISIONS ABOUT THEIR OWN HEALTH CARE. RESEARCH SHOWS THAT PATIENTS AND THEIR FAMILIES WHO ARE MORE INVOLVED WITH THEIR CARE FEEL THEY GET BETTER RESULTS AND ARE MORE SATISFIED. SAFETY AND SATISFACTION ARE PRIORITIES AT WESTFIELDS. WESTFIELDS IS MORE THAN JUST A HOSPITAL TAKING CARE OF PATIENTS WHEN THEY ARE SICK OR HURT. THE GOAL IS TO BE A LEADING PARTNER IN HEALTH EDUCATION, OUTREACH AND IMPROVEMENT. WESTFIELDS IS CONTINUALLY MAKING IMPROVEMENTS TO REACH THAT GOAL. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2022WESTFIELDS' DEVOTION TO THE HEALTH OF THE COMMUNITY STARTS WITH PROVIDING EXCEPTIONAL MEDICAL CARE TO EACH PATIENT AND EXTENDS TO FAMILIES AND ORGANIZATIONS THROUGHOUT THE REGION. THROUGH ITS COMMUNITY BENEFIT PROGRAM, WESTFIELDS OFFERED SPECIAL HELP AND SUPPORT FOR INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL.TOTAL 2022 COMMUNITY BENEFIT CONTRIBUTION EQUALED $7,112,672 WHICH REPRESENTS 8.95% OF TOTAL EXPENSE. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING.2022 ACCOMPLISHMENTS INCLUDE: - DESIGNATED AS NATIONAL TREE CAMPUS HEALTH CARE FACILITIES BY THE ARBOR DAY FOUNDATION FOR A SECOND YEAR.- GREEN MASTERS AWARD FROM THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL.- RECOGNIZED NATIONALLY FOR ITS PERFORMANCE IN HIP FRACTURES, FOR PERFORMANCE LEADERSHIP IN RURAL HEALTH, AND AMED ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS IN THE COUNTRY BY NATIONAL RURAL HEALTH ASSOCIATION.- TOP 100 CRITICAL ACCESS HOSPITALS RECOGNITION BY CHARTIS CENTER FOR RURAL HEALTH.- US NEWS & WORLD REPORT RECOGNITION AS A HIGH-PERFORMING HOSPITAL IN HIP FRACTURES.- TOP 20 CRITICAL ACCESS HOSPITALS (3RD YEAR IN A ROW) RECOGNITION BY NATIONAL RURAL HEALTH ASSOCIATION.OUTCOMES AND PATIENT PERSPECTIVE PERFORMANCE LEADERSHIP AWARDS BY THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH (NOSORH) AND CHARTIS.
PART VI, LINE 6:	PLEASE SEE WESTFIELDS HOSPITAL'S SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I: CORPORATE STRUCTURE, PURPOSE, GOVERNANCE."
PART VI, LINE 7, REPORTS FILED WITH STATES	WI
SCHEDULE H - PART I, LINE 7F -HEALTH PROFESSIONS EDUCATION	IN 2022, WESTFIELDS HOSPITAL PROVIDED CLINICAL TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING (46), CERTIFIED REGISTERED NURSE ANESTHETIST (10), RADIOLOGY (2), PHLEBOTOMY (1), PHYSICAL THERAPY (1), PHARMACY (4), MEDICAL ASSISTANT (1), OCCUPATIONAL THERAPY (1), RESIDENT PHYSICIANS (4), EMERGENCY MEDICAL TECHNICIAN PARAMEDIC (5), HUMAN RESOURCES (1), ADVANCED PRACTICE NURSING (3). TOTAL COST OF THESE SERVICES WAS $412,731.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NEW RICHMOND AREA COMMUNITY FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 96	AddressLine1Txt
City	NEW RICHMOND	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54017	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	391392267	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$50,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BURKE T KEALEY
DIRECTOR	$0	$519,125	$0	$60,600	$0	$98,519	$0	$0	$0	$42,618	$0	$720,862	$0	$0
HEIDI G CONRAD
DIRECTOR & TREASURER (JAN-OCT)	$0	$363,640	$0	$166,627	$0	$19,646	$0	$80,282	$0	$36,465	$0	$666,660	$0	$0
DOUGLAS E JOHNSON
CFO	$0	$346,590	$0	$91,391	$0	$63,484	$0	$82,683	$0	$36,245	$0	$620,393	$0	$0
DAVID O DEGEAR MD
FORMER VP - MEDICAL AFFAIR	$0	$288,574	$0	$7,353	$0	$235,822	$0	$22,875	$0	$40,493	$0	$595,117	$0	$0
ERIC W LING MD
DIRECTOR AND CMO	$0	$327,393	$0	$11,602	$0	$146,753	$0	$22,875	$0	$39,432	$0	$548,055	$0	$0
ANTHONY C HECHT MD
DIRECTOR	$0	$235,054	$0	$0	$0	$250,512	$0	$22,875	$0	$26,022	$0	$534,463	$0	$0
AMY L DEWANE
DIRECTOR	$0	$318,940	$0	$89,679	$0	$19,427	$0	$22,875	$0	$39,312	$0	$490,233	$0	$0
VINI T MANCHANDA
DIRECTOR	$0	$288,580	$0	$74,840	$0	$10,083	$0	$56,600	$0	$38,521	$0	$468,624	$0	$0
TYLER R SCHMIDTZ
DIRECTOR	$0	$307,379	$0	$81,477	$0	$10,443	$0	$24,620	$0	$37,354	$0	$461,273	$0	$0
STEVEN M MASSEY
DIRECTOR, PRESIDENT	$0	$296,083	$0	$78,332	$0	$9,600	$0	$24,620	$0	$36,206	$0	$444,841	$0	$0
JASON J LUHRS
FORMER CFO	$0	$244,837	$0	$65,415	$0	$8,681	$0	$22,875	$0	$37,730	$0	$379,538	$0	$0
LEANNE M ROGGEMANN
VP PATIENT SERVICES & CNO	$160,198	$0	$29,629	$0	$10,139	$0	$36,096	$0	$15,837	$0	$251,899	$0	$0	$0
KRISTA L SIKORSKI
FAMILY PRACTICE	$103,724	$0	$5,880	$0	$49,557	$0	$22,656	$0	$35,442	$0	$217,259	$0	$0	$0
NATHAN P WAYNE
FINANCE DIRECTOR	$123,766	$0	$9,344	$0	$17,386	$0	$28,020	$0	$37,815	$0	$216,331	$0	$0	$0
NICOLE M TROSEN
PHARMACY MANAGER	$167,300	$0	$10,001	$0	$2	$0	$26,836	$0	$12,144	$0	$216,283	$0	$0	$0
NATHAN T SCHOONE
SR DIRECTOR HR	$139,327	$0	$12,697	$0	$1	$0	$11,777	$0	$37,838	$0	$201,640	$0	$0	$0
VICKI D ZIGLINSKI
MANAGER PATIENT FINANCIAL SERVICES	$125,408	$0	$15,347	$0	$5,420	$0	$19,246	$0	$27,019	$0	$192,440	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

WESTFIELDS HOSPITAL'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC., (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, ALL OF WHICH ARE RELATED ORGANIZATIONS. GHI, REGIONS, AND LAKEVIEW HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF WESTFIELDS PRESIDENT AND OTHER OFFICERS.

PART I, LINE 6

WESTFIELDS HOSPITAL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC., (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, ALL OF WHICH ARE RELATED ORGANIZATIONS OR BY WESTFIELDS HOSPITAL. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS, GHI, LAKEVIEW OR WESTFIELD HOSPITAL MANAGEMENT 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 MANAGEMENT INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF 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 CARE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VILLAGE OF STAR PRAIRIE WI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391280538	BondIssuerEIN
CUSIP	NONE99999	CUSIPNum
Bond Issued	2016-07-06	BondIssuedDt
Issue Price	$6,854,052	IssuePriceAmt
Purpose	REFUNDING OF SERIES 1999B/2016B	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$690,052	RetiredAmt
Total Proceeds	$6,854,052	TotalProceedsAmt
Issuance Costs From Proceeds	$135,000	IssuanceCostsFromProceedsAmt
Capital Expenditures	$3,500,000	CapitalExpendituresAmt
Other Spent Proceeds	$3,219,052	OtherSpentProceedsAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART V	WESTFIELD'S HOSPITAL FOLLOWS ESTABLISHED WRITTEN PROCEDURES.
SCHEDULE K, PART III, LINES 3B AND 3D	WESTFIELD'S HOSPITAL USES INTERNAL LEGAL COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY. IF IT ENCOUNTERS UNUSUAL OR COMPLEX CONTRACT IT WILL ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A- PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS	CORPORATE STRUCTURE, PURPOSE, GOVERNANCE WESTFIELDS HOSPITAL, A STATE LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL (CAH), IS A WISCONSIN NON-PROFIT 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 1,900 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 NON-PROFIT 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 NON-PROFIT 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), REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH, AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS THE CLASS A CORPORATE MEMBER OF WESTFIELDS HOSPITAL. WESTFIELDS HOSPITAL IS THE SOLE CORPORATE MEMBER OF WESTFIELDS HOSPITAL FOUNDATION. 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. WESTFIELDS HOSPITAL PROVIDED $364,015 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2022. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: WESTFIELDS HOSPITAL PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. AYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $2,919,897.
PART III CONT.	COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: $ 284,175 WESTFIELDS 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, WESTFIELDS 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. OVER 30 VIRTUAL CLASSES, EVENTS, AND PODCASTS WERE CARRIED OUT ON A VARIETY OF TOPICS INCLUDING: COVID-19 AND MEN'S MENTAL HEALTH, HEART DISEASE, ANXIETY, WARNING SIGNS OF SUBSTANCE USE, EXERCISE, PREGNANCY, AND BUILDING SELF-ESTEEM IN KIDS. IN TOTAL, THESE HAVE BEEN ACCESSED OVER 2000 TIMES. IN 2022, 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. IT WAS ALSO A YEAR TO REFLECT ON A DECADE OF MILESTONES WITH OUR NEW MAKE IT OK 10-YEAR REPORT, HIGHLIGHTING THE CAMPAIGN'S MEANINGFUL AND MEASURABLE PROGRESS. SINCE 2012, MORE THAN: 5,000 PEOPLE HAVE BEEN TRAINED AS AMBASSADORS, 10,000 HAVE ATTENDED MAKE IT OK PRESENTATIONS, 20,000 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 HAS RESULTED IN A MEASURABLE DECREASE IN COMMUNITY STIGMA, YET THERE IS STILL WORK TO BE DONE. 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 IN 2022, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE AND FEEL GOOD, WHILE INCREASING FOCUS AND COMMITMENT TO EQUITY AND THE NUMEROUS FACTORS THAT INFLUENCE HEALTH AND WELL-BEING IN CHILDREN. ADDITIONAL "MOVE MORE AND "FEEL GOOD" RESOURCES WERE CREATED TO EXPAND THE COLLECTION OF MATERIALS ON THE MIND-BODY CONNECTION AND WAYS TO RELAX AND RECHARGE, WHICH IS PARTICULARLY SIGNIFICANT AS THIS EMERGED AS A TOP COMMUNITY PRIORITY. THE RETURN OF OUTREACH EVENTS AND ACTIVITIES WAS ROBUST THIS PAST YEAR WITH HIGH ENGAGEMENT, WHILE VIRTUAL OUTREACH AND CLASSES ALSO CONTINUED WITH INCREASING LEVELS OF PARTICIPATION. HIGHLIGHTS: - REACHED 64,686+ VIRTUALLY, THROUGH CLASSES, EVENTS, WEBSITE, AND E-NEWSLETTERS - REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY) - POWERED UP 6,558 STUDENTS WITH THE POWERUP SCHOOL CHALLENGE ACROSS 17 ELEMENTARY SCHOOLS THROUGHOUT THE ST. CROIX VALLEY - ENGAGED 8,025 KIDS AND FAMILIES THROUGH 50 OUTDOOR SUMMER EVENTS THAT POWERUP ATTENDED - DEVELOPED 3 NEW VIDEO RESOURCES FOR SCHOOLS AND FAMILIES, FOCUSED ON EATING BETTER, MOVING MORE AND FEELING GOOD - DEVELOPED 1 NEW FAMILY MAGAZINE, FOCUSED ON MOVING MORE AND FEELING GOOD WESTFIELDS HOSPITAL IS COMMITTED TO PROVIDING SEVERAL HEALTH CARE SUPPORT SERVICES, INTENDED TO INCREASEACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. THESE SUPPORT SERVICES INCLUDE: PRESCRIPTION ASSISTANCE/PATIENT EMERGENCY FUND, SOCIAL WORKERS PROVIDING SUPPORT ABOVE AND BEYOND STANDARD OF PRACTICE, AND ADVANCE CARE DIRECTIVES ASSISTANCE. WESTFIELDS HOSPITAL CONTINUES TO PROVIDE VAN TRANSPORTATION AT NO COST TO OVER 1,500 PATIENTS LIVING WITHIN 25 MILES WHO WOULD HAVE LIMITED ACCESS TO CARE AS A RESULT OF NO TRANSPORTATION. WESTFIELDS HOSPITAL CONTINUES TO HOST, MAINTAIN AND SUPPORT THE COMMUNITY GARDEN ALONGSIDE LOCAL COMMUNITY PARTNERS. 2. HEALTH PROFESSIONS EDUCATION: $ 412,731 IN 2022, WESTFIELDS HOSPITAL PROVIDED CLINICAL TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING (45), CERTIFIED REGISTERED NURSE ANESTHETIST (10), RADIOLOGY (3), PHARMACY (8), PHLEBOTOMY (2), PHYSICAL THERAPY (4), RESIDENT PHYSICIANS (4), AND EMERGENCY MEDICAL TECHNICIAN PARAMEDIC (5). 3. SUBSIDIZED HEALTH SERVICES: $ 3,107,877 WESTFIELDS HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. IN 2022, SUBSIDIZED HEALTH SERVICES INCLUDED: EMERGENCY & TRAUMA, PRIMARY AND SPECIALTY CLINICS, RESPIRATORY THERAPY, LABOR AND DELIVERY, BEHAVIORAL HEALTH, AND ONCOLOGY. 4. CASH AND IN-KIND CONTRIBUTIONS: $ 72,301 WESTFIELDS HOSPITAL HELPED VARIOUS NON-PROFIT ORGANIZATIONS, COMMUNITY GROUPS, AND SCHOOL PROGRAMS THROUGH CASH DONATIONS AND SPONSORSHIPS. WESTFIELDS IS A PLATINUM SPONSOR OF THE NEW RICHMOND AREA CENTRE WHICH IS A NON-PROFIT ORGANIZATION WITH A FOCUS OF PROMOTING HEALTH, FITNESS, AND FUN FOR ALL AGES. WESTFIELDS ALSO DONATED FUNDS TO PURCHASE FRESH GREENS GROWING EQUIPMENT FOR THE NEW RICHMOND HIGH SCHOOL. IN-KIND DONATIONS INCLUDE STAFF HOURS SPENT IN SUPPORT OF LOCAL COMMUNITY BOARDS OR COMMITTEE WORK SUCH AS: REGIONAL TRAUMA ADVISORY COUNCIL AND STATE TRAUMA ADVISORY COMMITTEE. 5. COMMUNITY BUILDING ACTIVITIES: $ 10,201 WESTFIELDS HOSPITAL PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COMMUNITY HEALTH ACTION TEAM, LIVING WELL TOGETHER, SHINE, HEALTHIER TOGETHER, AND NORTHWEST WISCONSIN HEALTHCARE EMERGENCY READINESS.WESTFIELDS CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS THROUGH INITIATIVES SUCH AS GREENING THE OR, EQUIPMENT DONATIONS, AND FOOD DONATION. THE HOSPITAL COLLECTED 55 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL. OVER $137,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM IN 2022. - 0.02 TONS OF CAFETERIA FOOD WAS DONATED - 0.2 TONS OF EQUIPMENT WAS DONATED - 55 TONS OF MATERIALS WERE RECYCLED, CREATING A SAVINGS OF OVER $4,000 THE MEDICATION TAKE BACK PROGRAM COLLECTED 659 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.
PART III CONT.	6. COMMUNITY BENEFIT OPERATIONS: $ 13,776 STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT, AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. 7. 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 2022: - U.S. NEWS & WORLD REPORT 2022-2023 HIGH PERFORMING HOSPITAL IN THE TREATMENT OF HIP FRACTURES. - TOP 20 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE NATIONAL RURAL HEALTH ASSOCIATION. - TOP 100 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE CHARTIS CENTER FOR RURAL HEALTH. - PERFORMANCE LEADERSHIP AWARD IN THE CATEGORIES OF OUTCOMES AND PATIENT PERSPECTIVES FROM THE CHARTIS CENTER FOR RURAL HEALTH. - GREEN MASTERS PROGRAM WITH THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL. - PRACTICE GREENHEALTH EMERALD AWARD AND GREENING THE OPERATING ROOM RECOGNITION AWARD. - ARBOR DAY FOUNDATION TREE CAMPUS HEALTHCARE FACILITY.
FORM 990, PART VI, SECTION A, LINE 6	RH WISCONSIN, INC. IS THE CLASS A MEMBER AND GROUP HEALTH PLAN, INC. IS THE CLASS B MEMBER OF WESTFIELDS HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	THE CLASS A MEMBER (RH WISCONSIN, INC.) APPOINTS THREE DIRECTORS TO REPRESENT THE CLASS A MEMBER. THE CLASS B MEMBER (GROUP HEALTH PLAN, INC.) APPOINTS TWO DIRECTORS TO REPRESENT THE CLASS B MEMBER. TWO HEALTH CARE PROVIDERS ARE NOMINATED AS DIRECTORS BY AN UNRELATED MEDICAL GROUP AND APPOINTED BY MAJORITY VOTE OF THE FULL BOARD. EIGHT COMMUNITY REPRESENTATIVES ARE APPOINTED AS DIRECTORS BY THE CLASS A MEMBER UPON RECOMMENDATION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CLASS A AND CLASS B MEMBERS (RH WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. RESPECTIVELY) BOTH MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS IMPACTING MEMBERSHIP - RESIGNATION OF A MEMBER - DISSOLUTION - ANY CHANGE IN THE FUNDAMENTAL NATURE OR PURPOSE - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS. ONLY THE CLASS A MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS NOT IMPACTING MEMBERSHIP - ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS - ESTABLISHMENT OF NEW ENTITIES OR SIGNIFICANT RELATIONSHIPS WITH OTHER ENTITIES - UNBUDGETED EXPENDITURES IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - TRANSFER OF ASSETS TO ANOTHER ENTITY - APPOINTMENT OF AUDITORS - APPOINTMENT OF THE PRESIDENT AND THE BOARD CHAIR.
FORM 990, PART VI, SECTION B, LINE 11B	WESTFIELDS HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF WESTFIELDS HOSPITAL. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF WESTFIELDS HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND WESTFIELDS 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 WESTFIELDS HOSPITAL. WESTFIELDS 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 IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	WESTFIELDS 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 LEGAL DEPARTMENT 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.
FORM 990, PART VI, SECTION B, LINE 15	WESTFIELDS' HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC., (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW) ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY WESTFIELDS HOSPITAL. GHI, AND REGIONS, LAKEVIEW AND WESTFIELDS HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF WESTFIELDS HOSPITAL 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, THE EXECUTIVE COMMITTEE OF REGIONS, THE COMPENSATION COMMITTEE OF GHI OR WESTFIELDS EXECUTIVE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES 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 WESTFIELDS HOSPITAL BOARD OF DIRECTORS INPUT, THE ST CROIX VALLEY EXECUTIVE LEADER CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH WESTFIELDS HOSPITAL BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE WESTFIELDS HOSPITAL PRESIDENT. THE WESTFIELDS HOSPITAL BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL WESTFIELDS HOSPITALS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY WESTFIELDS HOSPITAL EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2.
FORM 990, PART VI, SECTION C, LINE 19	WESTFIELDS' FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM WESTFIELDS HOSPITAL OR HEALTHPARTNERS.
990, PART VII, SEC A, LN 1A, COL (B) - RELATED ORGANIZATION AVERAGE HOURS	DIRECTORS AND OFFICERS OF WESTFIELDS HOSPITAL ARE EMPLOYED AND COMPENSATED BY GHI, INC., REGIONS HOSPITAL OR WESTFIELDS HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HEALTHPARTNERS INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411693838	HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(4)	N/A	0
HPI-RAMSEY
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411793333	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)		0	509(A)(3) TYPE I	HEALTHPARTNERS INC
GROUP HEALTH PLAN INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410797853	STAFF MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(3)		0	170(B)(1) (A)(III)	HEALTHPARTNERS INC
RH WISCONSIN INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	202287016	CORPORATE PLANNING AND OVERSIGHT	WI	501(C)(3)		0	509(A)(3) TYPE I	HPI - RAMSEY
HEALTHPARTNERS INSTITUTE
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411670163	HEALTHCARE EDUCATION AND RESEARCH	MN	501(C)(3)		0	509(A)(3) TYPE I	HEALTHPARTNERS INC
CAPITOL VIEW TRANSITIONAL CARE CENTER
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	412011453	TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(III)	HPI - RAMSEY
REGIONS HOSPITAL
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410956618	HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(III)	HPI - RAMSEY
REGIONS HOSPITAL FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411888902	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	MN	501(C)(3)		0	170(B)(1) (A)(VI)	HPI - RAMSEY
RHSC INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411891928	HEALTHCARE STAFFING AND INTENSE REHAB SERVICES	MN	501(C)(3)		0	509(A)(3) TYPE II	HEALTHPARTNERS INC
HUDSON HOSPITAL INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	390804125	HOSPITAL	WI	501(C)(3)		0	170(B)(1) (A)(III)	RH-WISCONSIN INC
HUDSON HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391279567	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)		0	170(B)(1) (A)(VI)	HUDSON HOSPITAL INC
LAKEVIEW HEALTH FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411386635	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	MN	501(C)(3)		0	170(B)(1) (A)(VI)	LAKEVIEW HEALTH
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410811697	HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(III)	LAKEVIEW HEALTH
STILLWATER MEDICAL GROUP
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	830379473	CLINIC STAFF AND FACILITIES	MN	501(C)(3)		0	509(A)(3) TYPE I	LAKEVIEW HEALTH
LAKEVIEW HEALTH
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	300221189	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)		0	509(A)(3) TYPE II	HPI - RAMSEY
WESTFIELDS HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391770913	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)		Yes (1)	170(B)(1) (A)(VI)	WESTFIELDS HOSPITAL INC
PARK NICOLLET HEALTH SERVICES
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	363465840	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)		0	509(A)(2)	HEALTHPARTNERS INC
PARK NICOLLET FOUNDATION
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	237346465	SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH	MN	501(C)(3)		0	170(B)(1) (A)(VI)	PARK NICOLLET HEALTH SERVICES
PARK NICOLLET METHODIST HOSPITAL
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	410132080	HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES
PARK NICOLLET HEALTH CARE PRODUCTS
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	010638901	DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALES	MN	501(C)(3)		0	509(A)(3) TYPE I	PARK NICOLLET HEALTH SERVICES
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	410834920	CLINIC SERVICES	MN	501(C)(3)		0	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES
PNMC HOLDINGS
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	411741792	HEALTHCARE REAL ESTATE	MN	501(C)(3)		0	509(A)(3) TYPE I	PARK NICOLLET HEALTH SERVICES
AMERY REGIONAL MEDICAL CENTER INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	390908320	HOSPITAL	WI	501(C)(3)		0	170(B)(1) (A)(III)	RH-WISCONSIN INC
AMERY REGIONAL MEDICAL CENTER FOUNDATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391726539	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)		0	170(B)(1) (A)(VI)	AMERY REGIONAL MEDICAL CENTER INC
HUTCHINSON HEALTH
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	841715908	HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES
HUTCHINSON HEALTH FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	363317820	PROVIDE SUPPORT TO HOSPITAL	MN	501(C)(3)		0	170(B)(1) (A)(VI)	HUTCHINSON HEALTH
HEALTHPARTNERS RC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	844261122	HOSPITAL	MN	501(C)(3)		0	170(B)(1)(A)(III)	PARK NICOLLET HEALTH SERVICES
OLIVIA HOSPITAL & CLINIC FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411839619	PROVIDE SUPPORT TO HOSPITAL	MN	501(C)(3)		0	509(A)(3) TYPE I	HEALTHPARTNERS RC
CANCER CENTER OF WESTERN WISCONSIN
501 HOSPITAL RD	NEW RICHMOND	WI	54017	273238660	PROVIDE SUPPORT TO HOSPITAL	WI	501(C)(3)		0	509(A)(3) TYPE I

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
HEALTHPARTNERS ADMINISTRATORS INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411629390	THIRD PARTY ADMINISTRATOR	MN	HEALTHPARTNERS INC	C	0
HEALTHPARTNERS ASSOCIATES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	522365151	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C	0
HEALTHPARTNERS SERVICES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411683568	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C	0
HEALTHPARTNERS INSURANCE COMPANY
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411683523	MEDICAL AND DENTAL INSURANCE	MN	HEALTHPARTNERS ADMINISTRATORS INC	C	0
DENTAL SPECIALTIES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	451297583	PROFESSIONAL DENTAL SERVICES	MN	HEALTHPARTNERS ADMINISTRATORS INC	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES
L	$645,248	CASH AMOUNT
WESTFIELDS HOSPITAL FOUNDATION
C	$426,584	CASH AMOUNT