2020-11-15T19:02:26-06:00 2019-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2019-01-01 410811697 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC LAKE 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 DOUGLAS E JOHNSON CFO 9528836584 2020-11-15 1 MONROE JORDAN GIERL P01413237 6123055000 198.153.9.194 2020-11-15 17:19:06 CS P 763097D6A2B3EA9277A508CC789A2C5E6C07E1F2 763097D6A2B3EA9277A508CC789A2C5E6C07E1F2 2019 2021-01-29 14:40:06Z DOUGLAS E JOHNSON 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 138884304 0 X WWW.LAKEVIEW.ORG X 1880 MN TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 15 10 996 219 0 0 306646 334914 122521264 131854723 225033 6383271 1832 8420 123054775 138581328 238881 201052 0 0 63182393 69727223 0 0 0 50730800 52310485 114152074 122238760 8902701 16342568 84532275 96162119 17146419 16274481 67385856 79887638 X TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 0 0 109544531 201052 131357080 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 109544531 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 996 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X DOUGLAS E JOHNSON 6514304581 927 CHURCHILL STREET WEST STILLWATER MN 55082 X SCOTT AEBISCHER DIRECTOR 0.50 49.50 X 0 554498 184782 MIKE ANDERSON DIRECTOR 0.58 0.00 X 0 0 0 ELIZABETH BRADSHAW VICE CHAIR & DIRECTOR 0.58 0.00 X X 0 0 0 DWIGHT CUMMINS CHAIR & DIRECTOR 0.58 0.00 X X 0 0 0 JASON HOWARD DIRECTOR 0.58 0.00 X 0 0 0 ANDREW ROLLWAGEN DIRECTOR 0.58 0.00 X 0 0 0 MEGAN REMARK DIRECTOR 0.50 49.50 X 0 746520 202431 SHARON TOLVA DIRECTOR 0.58 0.00 X 0 0 0 SUE HEDLUND DIRECTOR 0.58 0.00 X 0 0 0 JOHN UPPGREN DIRECTOR 0.58 0.00 X 0 0 0 NICK MEYER MD DIRECTOR 0.58 0.00 X 0 0 0 DENISE PONTRELLI DIRECTOR 0.58 0.00 X 0 0 0 JULIE SCHMIDT SECRETARY & DIRECTOR 0.58 0.00 X X 0 0 0 KEVIN BJORK MD DIRECTOR 0.50 44.50 X 0 458983 55887 ANDREW E DORWART MD PRESIDENT & DIRECTOR 0.50 49.50 X X 0 473905 56989 BRETT HAAKE MD DIRECTOR 0.50 44.50 X 0 612496 88993 JOHN MISA MD DIRECTOR 0.50 59.50 X 0 102063 8498 MARTHA SANFORD MD DIRECTOR 0.50 39.50 X 0 246014 29541 TED WEGLEITNER DIRECTOR & PRESIDENT 1.00 52.00 X X 0 548976 116564 DOUGLAS E JOHNSON CFO 13.75 41.25 X 380795 0 153262 ROBBI A HAGELBERG VP OF OPERATIONS & CNO 39.50 0.50 X 225420 0 31112 NATE PULSCHER VP ANCILLARY SERVICES 49.50 0.50 X 208099 0 37926 THOMAS ANDERSON VP MEDICAL AFFAIRS 0.50 49.50 X 0 379699 59058 MATT RICHIE ADMINISTRATOR 44.50 0.50 X 324978 0 41142 NANCY EVERT SECRETARY & GENERAL COUNCSEL 0.50 54.50 X 0 401500 108606 MICHAEL D WEIS CRNA 44.00 0.00 X 236237 0 38844 MICHAEL S KENNEDY CRNA 40.00 0.00 X 212376 0 36420 CATHY MANLEY CRNA 50.00 0.00 X 197785 0 39994 JASON TAUZELL CRNA 40.00 0.00 X 194251 0 36499 CYNTHIA APPLESETH PHARMANCY DIRECTOR 45.00 0.00 X 190344 0 26931 2170285 4524654 1353479 78 0 1 0 KRAUS-ANDERSON CONSTRUCTION CO 525 S 8TH ST MINNEAPOLIS MN 55404 CONSTRUCTION SERVICES 1105165 WALSH CONSTRUCTION LLC 10901 BREN RD E MINNETONKA MN 55343 CONSTRUCTION SERVICES 439501 BOUTWELLS LANDING CARE CENTER 13575 58TH ST N OAK PARK HEIGHTS MN 55082 TRANSITIONAL CARE 362496 HEALTH SYSTEM COOP LAUNDRIES 55 5TH ST E STE 960 ST PAUL MN 551012595 LAUNDRY SERVICES 315577 ESTATES AT LINDEN 105 W LINDEN ST STILLWATER MN 55082 HOSPICE CARE 273916 27 227678 107236 334914 NET PATIENT REVENUE 623990 130724372 130724372 OTHER REVENUE 900099 632708 632708 CAFETERIA 722210 379711 379711 GIFT SHOP 453220 117932 117932 131854723 230864 230864 311396 302976 8420 8420 8420 6152407 0 6152407 6152407 6152407 138581328 131357080 0 6889334 201052 201052 1402734 1402734 53095663 49139901 3955762 3379072 3137649 241423 8353335 7756519 596816 3496419 3246612 249807 5292 4275 1017 5000 5000 1403407 1022416 380991 106958 90871 16087 1272564 1116868 155696 355452 189191 166261 2468295 1732622 735673 251726 245202 6524 74256 46605 27651 4760644 4138275 622369 440725 25920 414805 MEDICAL & PHARMACY SUPP 32683824 32683824 EQUIPMENT & MAINTENANCE 3523318 1842621 1680697 OTHER EXPENSE 2736069 712598 2023471 TAXES & ASSESSMENTS 2131799 2131799 91156 79711 11445 122238760 109544531 12694229 0 10944687 21846314 11319407 12375097 2560623 1988390 365955 364559 86640346 28064876 58791172 58575470 550431 1012289 84532275 96162119 11398147 11910315 81798 103789 5666474 4260377 17146419 16274481 X 67385856 79887638 67385856 79887638 84532275 96162119 X 16342568 -3840786 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION 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. 24066375 24066375 34385944 8674804 25711140 26379112 18219135 8159977 1808915 1170937 637978 58575470 PENSION LIABILITIES 4260377 4260377 X PART X, LINE 2: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. HP'S ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2019 OR 2018 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 275.000000000000 1 1 1 0 0 1512639 1512639 0.01240 2362789 827708 1535081 0.01260 8083525 524848 7558677 0.06180 11958953 1352556 10606397 0.08680 531139 32334 498805 0.00410 160694 160694 0.00130 10847998 4976773 5871225 0.04800 237852 237852 0.00190 11777683 5009107 6768576 0.05530 23736636 6361663 17374973 0.14210 56850 56850 0.00050 56850 56850 0.00050 1 1989353 0 29702970 30400026 -697056 X 1 1 1 1 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 927 CHURCHILL STREET W STILLWATER MN 55082 WWW.LAKEVIEWHEALTH.ORG/ 8029322 X X X LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA X 1 19 1 HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA 0 1 X 200.000000000000 275.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.LAKEVIEWHEALTH.ORG/POLICIES X HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/BRAND-IDENTITY/PDFS/CARE/LAKEVIE X HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/BRAND-IDENTITY/PDFS/CARE/LAKEVIE X X X X X X 1 X 0 X X X X 1 X 0 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 5: THE WAYS WE BRING THE MISSION TO LIFE IS TO WORK WITH COMMUNITY PARTNERS TO BETTER UNDERSTAND WHAT CONTRIBUTES TO AND STANDS IN THE WAY OF GOOD HEALTH AND HOW WE CAN WORK TOGETHER TO IMPROVE HEALTH OUTCOMES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS IS AN OPPORTUNITY FOR US TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AND THE MEASURES AND RESOURCES REQUIRED TO ADDRESS THOSE NEEDS. HEALTHPARTNERS WORKED WITH LOCAL HEALTH DEPARTMENTS, LOCAL COALITIONS, THE CENTER FOR COMMUNITY HEALTH (CCH) AND COMMUNITY PARTNERS TO CONDUCT A COMPREHENSIVE CHNA. IN ADDITION, EACH HOSPITAL ENGAGED WITH LOCAL PUBLIC HEALTH PARTNERS AND OTHER LOCAL HEALTH CARE ORGANIZATIONS ON THE CHNA PROCESS THROUGH PARTICIPATION IN TWO LOCAL COLLABORATIVES: THE CENTER FOR COMMUNITY HEALTH EAST METRO CHA (COMMUNITY HEALTH ASSESSMENT)/CHNA COLLABORATIVE AND THE WEST METRO CHNA COLLABORATION. BETWEEN 2016 AND 2018, HEALTHPARTNERS AND LAKEVIEW HOSPITAL ENGAGED WITH LOCAL PUBLIC HEALTH PARTNERS IN WASHINGTON AND RAMSEY COUNTY, MINNESOTA; ST. CROIX COUNTY, WISCONSIN; LOCAL COALITIONS; THE CENTER FOR COMMUNITY HEALTH (CCH) AND COMMUNITY PARTNERS TO CONDUCT A COMPREHENSIVE CHNA. THE CHNA IDENTIFIES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS WELL AS MEASURES AND RESOURCES TO ADDRESS THOSE NEEDS. THE RESULTS WILL ENABLE COMMUNITY PARTNERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE COMMUNITY.COMMUNITY SERVED LAKEVIEW HOSPITAL IS LOCATED IN THE CITY OF STILLWATER IN WASHINGTON COUNTY, MINNESOTA. WHILE LAKEVIEW HOSPITAL SERVES PATIENTS FROM EVERYWHERE, 82 PERCENT OF OUR PATIENTS LIVE IN WASHINGTON COUNTY AND RAMSEY COUNTY, MINNESOTA AND ST. CROIX COUNTY, WISCONSIN. IN TOTAL, 867,000 PEOPLE LIVE IN THESE THREE COUNTIES. IN 2019, LAKEVIEW HOSPITAL REPORTED 4,634 INPATIENT ADMISSIONS FROM PATIENTS LIVING IN THESE THREE COUNTIES. COMMUNITY INPUT: AS PART OF ITS CHNA PROCESS, HEALTHPARTNERS AND LAKEVIEW HOSPITAL ACTIVELY PARTNERED WITH WASHINGTON COUNTY PUBLIC HEALTH & ENVIRONMENT TO ALIGN LAKEVIEW'S CHNA AND WASHINGTON COUNTY'S COMMUNITY HEALTH ASSESSMENT PROCESS. THIS PROCESS INCLUDED SHARED DEVELOPMENT AND IMPLEMENTATION OF ASSESSMENT METHODS INCLUDING COMMUNITY DIALOGUES, COMMUNITY SURVEYS, A PROVIDER SURVEY AND COMMUNITY PRIORITIZATION DISCUSSION.THE COMMUNITY INPUT FOR THIS REPORT INCLUDES:COUNTY PRIORITY DATA: EACH COUNTY IN THE LAKEVIEW HOSPITAL AREA HAS DETERMINED THE TOP HEALTH PRIORITIES FOR ITS COMMUNITY THROUGH A COUNTY-LEVEL COMMUNITY HEALTH ASSESSMENT PROCESS (CHA). THIS REPORT INCLUDES A CROSSWALK WITH EACH COUNTY'S MOST RECENT COMMUNITY HEALTH PRIORITIES. COMMUNITY DIALOGUES: IN 2018, LAKEVIEW HOSPITAL ACTIVELY PARTNERED WITH WASHINGTON COUNTY PUBLIC HEALTH & ENVIRONMENT TO FACILITATE COMMUNITY DIALOGUES. COMMUNITY HEALTH ACTION TEAM (CHAT). THE COMMUNITY HEALTH ACTION TEAM MEETS TO DISCUSS AND ADDRESS UNMET HEALTH NEEDS IN THE AREA THROUGH ACTION, NETWORKING AND EDUCATIONAL OPPORTUNITIES. MEMBERS REPRESENT LOCAL PUBLIC HEALTH, LOCAL BUSINESSES, EDUCATION, NONPROFITS, SOCIAL SERVICES AGENCIES, AND COMMUNITY MEMBERS. LAKEVIEW HEALTH AND WELLNESS ADVISORY COMMITTEE (HWA). THE HEALTH AND WELLBEING ADVISORY COMMITTEE SERVES AS THE EYES AND EARS FOR LAKEVIEW HEALTH FOUNDATION AND PROVIDES RESOURCES AND SERVICES TO MEET THE HEALTH AND WELLBEING NEEDS OF THE COMMUNITY.PROVIDER SURVEY: IN 2018, HEALTHPARTNERS SURVEYED HEALTH CARE PROVIDERS TO UNDERSTAND THEIR PERCEPTIONS OF LEADING HEALTH NEEDS AND COMMUNITY RESOURCES AVAILABLE TO HELP THEIR PATIENTS. THE SURVEY ALSO ASKED PROVIDERS TO IDENTIFY BARRIERS THEY FACE IN ADDRESSING HEALTH NEEDS AND THE RESOURCES THEY NEED TO BETTER SERVE THEIR PATIENTS. TWENTY-THREE HEALTH CARE PROVIDERS COMPLETED THE SURVEY, INCLUDING SEVEN WHO PRACTICE AT LAKEVIEW HOSPITAL. COMMUNITY PRIORITIZATION DIALOGUELAKEVIEW HOSPITAL PARTNERED WITH WASHINGTON COUNTY PUBLIC HEALTH & ENVIRONMENT TO SCORE AND THEME ALL QUANTITATIVE AND QUALITATIVE DATA COLLECTED. THE THEMES GENERATED WERE PRESENTED TO A DIVERSE GROUP OF MORE THAN FORTY COMMUNITY LEADERS AND MEMBERS. A FACILITATED DISCUSSION ALLOWED PARTICIPANTS TO INDICATE THEIR TOP PRIORITIES. THESE PRIORITIES AND PERSPECTIVES WERE A KEY CONTRIBUTOR TO THE DEVELOPMENT OF HEALTHPARTNERS' OVERALL PRIORITIES. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS SIX HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2018 CHNA: AMERY HOSPITAL & CLINIC (AMERY, WI) HUDSON HOSPITAL & CLINIC (HUDSON, WI) LAKEVIEW HOSPITAL (STILLWATER, MN) PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN) REGIONS HOSPITAL (ST. PAUL, MN) WESTFIELDS HOSPITAL & CLINIC (NEW RICHMOND, WI) LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 11: PRIORITIZED NEEDS THE FIVE PRIORITY AREAS AND PRIORITY SPECIFIC PROGRESS IN 2019 ARE:ACCESS TO CAREGOAL: ENSURED THAT EVERY PERSON WHO TOUCHES OUR ORGANIZATION FEELS WELCOMED, INCLUDED, AND VALUED. STRATEGIES: ORGANIZATION-WIDE TRAINING ON DIVERSITY SERVED AS A SPRINGBOARD TO PATIENT & MEMBER BIAS, PATIENT AND DIVERSITY TRAINING AND INTEGRATION INTO ALL-STAFF LEARNING MODULES, WELCOME DAY AND LEADER DEVELOPMENT.GOAL: IMPROVE ACCESS TO CARE THAT IS APPROPRIATE, AFFORDABLE, AND CONVENIENT. STRATEGIES: INCREASED WEBSITE ACCESS TO PATIENT AND COMMUNITY ACCESS TO HEALTH INFORMATION AND APPOINTMENT SCHEDULING. EXPANDED HOSPICE, HOME CARE AND PALLIATIVE CARE SERVICES TO BETTER SERVE COMMUNITIES. INCREASED PATIENT EXPERIENCE IN ADVISORY COUNCIL TO BETTER UNDERSTAND AND IMPROVE CARE EXPERIENCE. PROVIDED COMMUNITY DIABETES EDUCATION AS A LOW COST OPTION FOR HEALTH INFORMATION AND EDUCATION. INCREASED VISIBILITY OF FAITH COMMUNITY NURSES WHO PROVIDE PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES.ACCESS TO HEALTH GOAL: STRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. STRATEGIES: STANDARDIZED FOOD INSECURITY SCREENING AND REFERRAL FOR ALL WELL-CHILD AND MEDICARE WELL EXAMS. PATIENTS WERE PROVIDED WITH A COMMUNITY RESOURCE LIST FOR COUNTY AND COMMUNITY RESOURCES FOR HOUSING, TRANSPORTATION AND FINANCIAL NEED. CONTINUED PARTNERSHIP WITH THE LOCAL FOOD SHELF TO EXPAND SUPERSHELF IN ORDER TO INCREASE ACCESS TO HEALTHIER FOOD OPTIONS FOR CLIENTS. SPONSORED LOCAL BUS LOOP FOR SENIORS AND COMMUNITY TO ACCESS ESSENTIAL SERVICES AND HEALTH CARE. SERVED ON ADVISORY COMMITTEE AND PARTNER AS MEMBER OF COUNTY TRANSPORTATION STEERING COMMITTEE.GOAL: PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT. STRATEGIES: DISTRIBUTED MORE THAN 500 BOOKS TO CHILDREN IN CLINICS THROUGH REACH OUT AND READ. LITTLE MOMENTS COUNT TRAINING AND RESOURCES CREATED PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS TO INTEGRATE INTO COMMUNITY OUTREACH.GOAL: PROMOTE SUSTAINABLE OPERATIONS TO POSITIVELY IMPACT THE COMMUNITY. STRATEGIES: INCREASED RECYCLING AND PURCHASES OF SUSTAINABLY PRODUCED AND LOCAL FOODS AND BEVERAGES. REDUCED WASTE TO LANDFILLS, MEAT PURCHASES, SINGLE USE PLASTIC BOTTLES, ELECTRICITY, NATURAL GAS AND WATER USE AND TOTAL GREENHOUSE EMISSIONS. INCREASED USE OF ENVIRONMENTALLY PREFERRED AND RECYCLED PAPER AND OFFICE SUPPLIES. MENTAL HEALTH AND WELL-BEING GOAL: REDUCE THE STIGMA SURROUNDING MENTAL ILLNESS. STRATEGIES: EXPANDED THE REACH OF THE MAKE IT OK CAMPAIGN THROUGH TRAINING LOCAL AMBASSADORS, PROMOTION, AND PARTNERSHIPS WITH LOCAL AGENCIES AND PUBLIC HEALTH. HELD FOUR AMBASSADOR TRAINING SESSIONS IN 2019 AND REACHED MORE THAN 4,000 PEOPLE IN THE ST. CROIX VALLEY AND EAST METRO AREA THROUGH COMMUNITY PRESENTATIONS, EVENTS AND WEBINARS. MORE THAN 450 AMBASSADORS ARE NOW TRAINED IN THE ST. CROIX VALLEY AREA. MORE THAN 90 PERCENT OF PARTICIPANTS REPORTED INCREASED KNOWLEDGE ABOUT MENTAL ILLNESS AND GREATER CONFIDENCE IN TALKING ABOUT MENTAL ILLNESS AS A RESULT OF THE PRESENTATIONS. MAKE IT OK HAS BEEN A KEY PARTNER IN A COMPREHENSIVE APPROACH TO MENTAL HEALTH FOR STUDENTS IN THE LOCAL SCHOOLS. THERE WERE 81,349 WEBSITE VISITS WITH 62,780 UNIQUE VISITORS TO MAKEITOK.ORG IN 2019.WORKING WITH THE HEALTHPARTNERS INSTITUTE, MAKE IT OK EVALUATORS SURVEYED ADULTS IN 2017 AND 2019 IN COMMUNITIES THAT HAVE LAUNCHED MAKE IT OK CAMPAIGNS. RESULTS SHOW THAT THERE HAS BEEN A STATISTICALLY SIGNIFICANT DECREASE IN STIGMA AMONG SURVEY RESPONDENTS AND OUR EVALUATION TEAM IS CONFIDENT THAT MAKE IT OK IS HAVING THE EFFECTS WE INTENDED ON HOW PEOPLE THINK ABOUT STIGMA AND MENTAL ILLNESSES AND THEIR WILLINGNESS TO TAKE ACTION. THE SURVEYS SHOW THAT FROM 2017 TO 2019: MORE PEOPLE FEEL COMFORTABLE TALKING WITH SOMEONE ABOUT THEIR MENTAL ILLNESS (66% TO 71%) MORE PEOPLE SAY THEY WOULD TELL FRIENDS IF THEY HAD A MENTAL ILLNESS (34% TO 41%) FEWER PEOPLE SAY THEY WOULD BE RELUCTANT TO SEEK HELP (50% TO 46%) ONLY ABOUT ONE IN FOUR THINKS THAT PEOPLE ARE GENERALLY CARING AND SYMPATHETIC TO INDIVIDUALS WHO LIVE WITH A MENTAL ILLNESS (24% TO 26% ) MORE THAN NINE OUT OF TEN SAID THAT THE MAKE IT OK GOAL TO REDUCE STIGMA IS IMPORTANT (93% TO 95%) GOAL: INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING. STRATEGIES: OFFERED 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 CONVENES AND PARTICIPATES IN MULTIPLE COLLABORATIVES FOCUSING ON MENTAL HEALTH. GOAL: IMPROVE ACCESS TO MENTAL HEALTH SERVICES. STRATEGIES: CREATED SUSTAINABLE BEHAVIORAL HEALTH TELEHEALTH (BHTV) PROGRAM IN HOSPITALS AND THREE COUNTIES. CONTINUED TO BUILD TELEHEALTH CAPACITY FOR BEHAVIORAL HEALTH APPOINTMENTS. COLLABORATED WITH PARTNERS HAVE IMPROVED AWARENESS INCLUDING COUNTY DHS, OTHER HOSPITALS AND CLINICS, MAKE IT OK, NAMI, AND OTHERS. INTEGRATED BEHAVIORAL HEALTH INTO TOTAL HEALTH CARE AT ALL LOCATIONS.NUTRITION AND PHYSICAL ACTIVITY GOALS: PROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. STRATEGIES: 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 IS OUR KEY COMMUNITY-WIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND PHYSICAL ACTIVITIES SO YOUTH CAN REACH THEIR FULL POTENTIAL. WE WORK WITH HUNDREDS OF PARTNERS ACROSS THE REGION RESULTING IN A HIGH LEVEL OF COMMUNITY AND SCHOOL ENGAGEMENT, STRONGER SCHOOL WELLNESS POLICIES AND PRACTICES; MORE FREE AND LOW-COST OPTIONS FOR PHYSICAL ACTIVITY INCLUDING OPEN GYMS; PARTNERSHIPS WITH STATE AND LOCAL PARKS; TRANSFORMED FOOD PANTRIES, CAFETERIAS AND CONCESSIONS; AND COMMUNITY MOMENTUM TO CREATE CHANGE. KEY RESULTS INCLUDE: COMMUNITY-WIDE SURVEYS OF RESIDENT FAMILIES WITH CHILDREN HAVE SHOWN STATISTICALLY SIGNIFICANT INCREASES IN PHYSICAL ACTIVITY LEVELS AMONG YOUTH OVER TIME IN TARGETED COMMUNITIES. A REVIEW OF BMI DATA FOR CHILDREN 6-10 YEARS OLD SHOWED A STATISTICALLY SIGNIFICANT POSITIVE DOWNWARD TREND IN THE BMIS OF CHILDREN IN SPECIFIC POWERUP COMMUNITIES COMPARED TO OTHER PATIENTS IN THE BROADER CARE SYSTEM. THESE ARE EXCITING RESULTS, SINCE PAST INITIATIVES NATIONWIDE HAVE SHOWN THAT IT IS DIFFICULT TO DEMONSTRATE COMMUNITY-LEVEL CHANGE IN BEHAVIORS OR HEALTH OUTCOMES. POWERUP IS A FOUNDING PARTNER OF THE SUPERSHELF PROJECT, TRANSFORMING FOOD SHELVES TO MAKE HEALTHY FOOD APPEALING AND ACCESSIBLE FOR ALL. STARTING AS A PILOT IN ONE COMMUNITY, SUPERSHELF IS NOW A ROBUST NIH RESEARCH STUDY WITH 30 FOOD SHELVES TRANSFORMED IN THE REGION AND DEMONSTRATING NATIONAL INFLUENCE TO IMPROVE THE QUALITY OF FOOD FOR THOSE WHO ARE FOOD INSECURE. RESULTS HAVE BEEN PUBLISHED IN PEER REVIEWED JOURNALS (SUPERSHELFMN.ORG).POWERUP COMMUNITY ENGAGEMENT HAS GROWN OVER TIME, WITH MORE THAN 130,000 ENGAGED IN THE ST. CROIX VALLEY AREA IN 2019 THROUGH EVENTS, CLASSES, OUTREACH PROGRAMS AND ONLINE RESOURCES TO PROMOTE BETTER EATING AND MOVING MORE. KEY STRATEGIES AND RESOURCES INCLUDE: POWERUP ONLINE RECIPE GALLERY, WITH MORE THAN 300 KID-APPROVED RECIPES. POWERUP TRY FOR 5 SCHOOL CHALLENGE, A TWO WEEK PROGRAM TO GET ELEMENTARY AGED STUDENTS EXCITED TO TRY EATING 5 FRUITS AND VEGETABLES EVERY DAY, REACHED MORE THAN 12,000 ELEMENTARY AGE STUDENTS. 3-WEEK WINTER WARM-UP CHALLENGE TO INSPIRE KIDS TO STAY ACTIVE DURING THE COLD MONTHS. OPEN GYMS EXPANDED TO INCLUDE MULTI-SITE OFFERINGS ON A WEEKLY BASIS. POWERUP AMBASSADORS HELP INSPIRE AND INFLUENCE THEIR COMMUNITIES. POWERUP FRUIT AND VEGGIE RX, DELIVERING A $10 VOUCHER FOR FRESH PRODUCE TO CHILDREN IN DISCUSSION WITH THEIR PROVIDER AT WELL-CHILD VISITS IN OUR LOCAL CLINICS.TO DEEPEN THE POWERUP STRATEGY WITH OLDER STUDENTS, IN 2019 WE DEVELOPED THE POWERUP STUDENT AMBASSADOR PROGRAM, WHICH ENCOURAGES MIDDLE AND HIGH SCHOOL STUDENTS TO BECOME CHAMPIONS FOR HEALTHIER LIFESTYLES AMONG THEIR PEERS AND COMMUNITIES. THESE YOUNG ROLE MODELS DESIGN AND IMPLEMENT PROJECTS THAT MAKE IT EASIER FOR THEIR FELLOW STUDENTS TO ENJOY BETTER EATING AND PHYSICAL ACTIVITY. THE PROJECT HAS RECRUITED AND RETAINED 14 YOUTH LEADERS FROM DIVERSE BACKGROUNDS WHO ARE HIGHLY ENGAGED IN DEVELOPING PROGRAMS FOR THEIR PEERS. THE TEENS ALSO PROVIDE CONSULTATION TO OTHER YOUTH PROGRAMS AND PROJECTS AND HAVE SHARED THEIR INSIGHTS AT REGIONAL CONFERENCES. SUBSTANCE ABUSEREDUCED OPIOID PRESCRIPTIONS, DOSES, AND PATIENTS MEETING CHRONIC OPIOID USE CRITERIA. THROUGH COLLABORATIVE EFFORTS WITH PHARMACY, PRESCRIBERS AND PAIN CLINICS, ACHIEVED SIGNIFICANT REDUCTION IN OPIOID PRESCRIBING IN OUR CARE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS LISTED ON THE BACK OF THE PATIENT STATEMENT PER THE MINNESOTA ATTORNEY GENERAL (AG) AGREEMENT. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 24: WHEN A PATIENT IS UNINSURED THERE HAVE BEEN INSTANCES WHERE A PORTION OF THE BALANCE IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINING BALANCE IS COVERED BY CHARITY CARE. EXAMPLE: AN UNINSURED PATIENT HAS $1,000 IN GROSS CHARGES FOR AN EMERGENCY ROOM VISIT. THE PATIENT QUALIFIES FOR CHARITY CARE AND ALSO IS ELIGIBLE FOR THE UNINSURED DISCOUNT. A PORTION OF THE GROSS CHARGES IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINDER BY CHARITY CARE, WHICH MAY TOTAL AN AMOUNT EQUAL TO THE GROSS CHARGE FOR THAT VISIT. PART V LINE 20A LAKEVIEW MEMORIAL HOSPITAL DOES NOT PERFORM ANY ECAS (EXTRAORDINARY COLLECTION ACTIONS), THEREFORE WE WOULD NOT GIVE A PATIENT A WRITTEN NOTICE OF DOING SO. PART I, LINE 7: ACTUAL COSTS WERE ESTIMATED USING A COST-TO-CHARGE RATIO AND EXCLUDING BAD DEBT. PART I, LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY. THE HOSPITAL PROVIDED COMMUNITY ACTIVITIES AND PROGRAMS WHICH WERE SUBSIDIZED BY THE HOSPITAL IN ORDER TO IMPROVE COMMUNITY HEALTH. SEE SCHEDULE O, 1. SUBSIDIZED SERVICES FOR THE TYPES OF CLASSES AND EVENTS PROVIDED TO THE COMMUNITY. THE NET COST OF PROVIDING COMMUNITY HEALTH IMPROVEMENT AND OPERATIONS ASSOCIATED WITH OFFERING CLASSES AND SUPPORT GROUPS IN 2019 WAS $112,231.THE HOSPITAL PROVIDED SUPPORT SERVICES TO PATIENTS AND FAMILIES IN MANY WAYS DURING 2019. MOST NOTABLY, THE HOSPITAL PROVIDED CHAPLAINCY SERVICES AT A NET COST OF $105,500, TO HELP PATIENTS AND VISITORS NAVIGATE THE HEALTHCARE SYSTEM WHILE SUPPORTING SPIRITUAL AND RELIGIOUS CONCERNS. THE HOSPITAL ALSO PROVIDED NURSE NAVIGATOR SUPPORT FOR BREAST HEALTH, ASSISTING PATIENTS WITH SCHEDULING, COORDINATION, FOLLOW-UP APPOINTMENTS, AND PROVIDING CONSULTS AND COMFORT TO THOSE PATIENTS DIAGNOSED WITH BREAST CANCER. THE NET COST OF THIS PROGRAM WAS $182,506 IN 2019. PART I, LINE 7F: HEALTH PROFESSIONS EDUCATION THE HOSPITAL COORDINATES AND SUPPORTS WEEKLY CONTINUING MEDICAL EDUCATION (CME) PROGRAMS FOR STAFF AND COMMUNITY EDUCATION. TOTAL DIRECT COSTS FOR STIPENDS, PURCHASED SERVICES, SUPPLIES, ROOM RENTALS AND INDIRECT COSTS FOR THE YEAR WERE $26,670.IN 2019, OUR STAFF PROVIDED OVER 2,000 HOURS OF TIME AS PRECEPTORS TO STUDENT PROFESSIONAL INTERNS IN PHARMACY, NURSING, MEDICAL RECORDS AND DIABETES AND NUTRITION SERVICES AT A NET COST OF $134,022. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. IN 2018, LOSS ON SERVICES FOR INPATIENT AND OUTPATIENT HEALTH SERVICES, INCLUDING CLINICAL DIABETES AND NUTRITION, LABOR AND DELIVERY SERVICES, NEONATAL NURSE PRACTITIONERS, AND HOMECARE SERVICES, TOTALED $5,871,226. PART I, LINE 7I: CONTRIBUTIONS FOR COMMUNITY BENEFIT ON BEHALF OF THE HOSPITAL, THE LAKEVIEW FOUNDATION ADMINISTERS GRANTS, WHICH ARE APPROVED BY THE HOSPITAL'S GRANT COMMITTEE. TWENTY-TWO GRANTS WERE APPROVED IN 2019, WHICH BENEFITED THE COMMUNITY. IN-KIND CONTRIBUTIONS INCLUDED SUPPORT OF MISSION TRIPS FOR EMPLOYEES AND PHARMACEUTICALS. SEE SCHEDULE O, SECTION 4. FINANCIAL CONTRIBUTIONS, FOR DETAIL ON GRANTS OFFERED, SPONSORSHIPS GIVEN AND IN-KIND SUPPORT PROVIDED IN 2019.THE HOSPITAL'S CASH DONATIONS TO COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS IN THE FORM OF SPONSORSHIPS, GRANTS OR SUPPLIES FOR MEDICAL MISSION TRIPS TOTALED $237,852 IN 2019. PART II, COMMUNITY BUILDING ACTIVITIES: ON BEHALF OF THE HOSPITAL, THE EMERGENCY MEDICAL SERVICES (EMS) TEAM PROVIDES EVENT COVERAGE IN THE SURROUNDING COMMUNITIES, WHICH SUPPORT COALITION BUILDING WITH COMMUNITY PARTNERS. IN 2018, EMS PROVIDED 591 HOURS OF EVENT COVERAGE AT A COST OF $21,424. SEE SCHEDULE O, SECTION 5. COMMUNITY BUILDING ACTIVITIES, FOR EVENTS COVERED. PART III, LINE 4: SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q, ON PAGES 13 & 14 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT. PART III, LINE 8: THE MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:1) IT PROVIDES SERVICES TO A SIGNIFICANT PORTION OF OUR SERVICE POPULATION AT A NEGATIVE MARGIN; 2) THE HOSPITAL WOULD DISCONTINUE PROVIDING SERVICES TO MEDICARE PATIENTS IF THE DECISION WERE BASED STRICTLY ON A FINANCIAL BASIS; 3) THERE IS A COMMUNITY NEED TO PROVIDE THESE SERVICES LOCALLY; 4) IF THE HOSPITAL DID NOT PROVIDE THESE SERVICES; THEY WOULD BECOME THE OBLIGATION OF THE GOVERNMENT. PART III, LINE 9B: IF THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, AND IF THE PATIENT IS ELIGIBLE FOR DISCOUNTED (AND NOT FREE) CARE, THE HOSPITAL WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT AND APPROVAL OR DECLINATION LETTER REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL REFUND ANY PAYMENT THE PATIENT MADE FOR CARE WHICH EXCEEDS THE AMOUNT THAT IS DETERMINED TO BE PATIENT RESPONSIBILITY. THE HOSPITAL WILL ALSO TAKE REASONABLE MEASURES TO REVERSE ANY COLLECTION ACTIONS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT. PART III, SECTION A, LINE 2: BAD DEBT EXPENSE METHODOLOGY THE "ACTUAL COST" OF BAD DEBT EXPENSE IS ESTIMATED. BAD DEBT EXPENSE REPRESENTS THOSE ACCOUNTS RECEIVABLE WRITTEN OFF FROM PATIENTS THAT HAVE NOT PAID THEIR BILL AND HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE. THE BAD DEBT AMOUNT IS THE RECEIVABLE AFTER INSURANCE PAYMENT AND ADJUSTMENTS HAVE ALREADY BEEN MADE, INCLUDING ADJUSTMENTS FOR SELF-PAY IN ACCORDANCE WITH THE AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. SINCE REDUCTIONS HAVE ALREADY BEEN MADE FOR DISCOUNTS AND OTHER ALLOWANCES, THE ENTIRE BALANCE IS CONSIDERED BAD DEBT AND NO FURTHER REDUCTIONS ARE CONSIDERED.THE PROVISIONS FOR BAD DEBT FOOTNOTE IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS IS INCLUDED IN SECTION 1, PART (P), PAGES 11 AND 12. PART VI, LINE 2: IN 2018, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COLLABORATION WAS CONDUCTED FOR HEALTHPARTNERS AND SIX OF ITS HOSPITALS INCLUDING REGIONS HOSPITAL, LAKEVIEW HOSPITAL, HUDSON HOSPITAL & CLINIC, WESTFIELDS HOSPITAL & CLINIC, AMERY HOSPITAL & CLINIC, AND PARK NICOLLET METHODIST HOSPITAL) BY THE IMPROVEGROUP TO DETERMINE THE GREATEST HEALTH NEEDS IN THE COMMUNITIES THEY SERVE. THESE HOSPITALS SERVE SIMILAR COMMUNITIES AND HAVE OVERLAPPING STUDY AREAS. THE SYSTEM'S STUDY AREA IS DEFINED AS DAKOTA, HENNEPIN, RAMSEY, SCOTT, AND WASHINGTON COUNTIES IN MINNESOTA AND POLK AND ST. CROIX COUNTIES IN WISCONSIN. LAKEVIEW HOSPITAL SPECIFIC STUDY AREA IS DEFINED AS: WASHINGTON COUNTY (MINNESOTA) RAMSEY COUNTY (MINNESOTA) ST. CROIX COUNTY (WISCONSIN)METHODOLOGYHEALTHPARTNERS AND LAKEVIEW HOSPITAL ENGAGED LOCAL PUBLIC HEALTH PARTNERS AND OTHER LOCAL HEALTH CARE ORGANIZATIONS IN THE CHNA PROCESS THROUGH PARTICIPATION IN TWO LOCAL COLLABORATIVES: THE CENTER FOR COMMUNITY HEALTH EAST METRO COMMUNITY HEALTH ASSESSMENT (CHA)/CHNA COLLABORATIVE AND THE WEST METRO CHNA COLLABORATION. LAKEVIEW HOSPITAL ACTIVELY PARTNERED WITH WASHINGTON COUNTY PUBLIC HEALTH & ENVIRONMENT TO ALIGN LAKEVIEW'S CHNA AND WASHINGTON COUNTY'S COMMUNITY HEALTH ASSESSMENT PROCESS. THIS PROCESS INCLUDED SHARED DEVELOPMENT AND IMPLEMENTATION OF ASSESSMENT METHODS INCLUDING COMMUNITY CONVERSATIONS, COMMUNITY SURVEYS, AND A PROVIDER SURVEY AND COMMUNITY PRIORITIZATION DISCUSSION. LAKEVIEW HOSPITAL ALSO PARTICIPATED IN HEALTHIER TOGETHER REGARDING COMMUNITY HEALTH NEEDS IN ST. CROIX COUNTY, WI. IN 2018, HEALTHPARTNERS AND LAKEVIEW HOSPITAL CONTRACTED WITH THE IMPROVE GROUP TO ANALYZE AND REPORT ON THE DATA DESCRIBING THE COMMUNITIES WE SERVE. HEALTHPARTNERS PROVIDED THE IMPROVE GROUP WITH THE DEFINITIONS OF EACH HOSPITAL'S SERVICE AREA, THE INDICATORS TO STUDY FOR THE HEALTH AND DEMOGRAPHIC DATA SUMMARIES AND DATA COLLECTED DURING COMMUNITY CONVERSATIONS. COMMUNITY INPUT WAS COLLECTED IN PARTNERSHIP WITH HEALTHPARTNERS AND OUR PARTNERS THROUGH COMMUNITY CONVERSATIONS AND MULTIPLE SURVEYS. THE IMPROVE GROUP THEN GATHERED SECONDARY DATA FROM PUBLIC SOURCES, ANALYZED COMMUNITY INPUT DATA AND DEVELOPED SUMMARY REPORTS TO GUIDE A PRIORITIZATION PROCESS FOR HEALTHPARTNERS SHARED PRIORITIES. THE HEALTHPARTNERS CHNA TEAM INCLUDED REPRESENTATIVES FROM EACH HEALTHPARTNERS HOSPITAL AND HEALTHPARTNERS LEADERSHIP. ON SEPTEMBER 14, 2018, THE CHNA TEAM MET TO REVIEW THE DATA AND PRIORITIZE THE COMMUNITY HEALTH NEEDS ACROSS THE SYSTEM. HEALTHPARTNERS COLLECTIVELY PRIORITIZED COMMUNITY HEALTH NEEDS USING A PROCESS INFORMED BY THE HANLON METHOD AND OTHER COMMONLY USED PRIORITIZATION METHODS. EACH HOSPITAL SHARED ITS 4 OR 5 PRIORITY TOPIC AREAS AND RATIONALE FOR EACH TOPIC AREA BASED ON: SIZE: NUMBER OF PERSONS AFFECTED, TAKING INTO ACCOUNT VARIANCE FROM BENCHMARK DATA AND TARGETS; SERIOUSNESS: THE DEGREE TO WHICH THE PROBLEM LEADS TO DEATH, DISABILITY AND IMPAIRMENT OF ONE'S QUALITY OF LIFE (MORTALITY AND MORBIDITY); EQUITY: DEGREE TO WHICH SPECIFIC GROUPS ARE AFFECTED BY THE PROBLEM; VALUE: THE IMPORTANCE OF THE PROBLEM TO THE COMMUNITY; AND CHANGE: WHAT IS THE SAME AND WHAT IS DIFFERENT FROM YOUR PREVIOUS CHNA? HEALTHPARTNERS HOSPITALS WORKED IN A THOROUGH, FACILITATED LARGE AND SMALL GROUP PROCESS TO REACH CONSENSUS ON TOP PRIORITIES. THE CHNA TEAM CONSIDERED THE CRITERIA DESCRIBED ABOVE AS WELL AS COMMUNITY INPUT DATA IN THESE DISCUSSIONS. THE FIVE PRIORITIES ARE OF EQUAL IMPORTANCE AND ARE PRESENTED IN ALPHABETICAL ORDER. THE FIVE PRIORITY AREAS ARE: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, AND 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 TOP FIVE PRIORITIES IN THE CONSENSUS BUILDING PROCESS, HOWEVER, THE THEMES WILL BE CONSIDERED IN THE IMPLEMENTATION OF THE SELECTED PRIORITY AREAS. PART VI, LINE 3: THE HOSPITAL DEFINES FINANCIAL ASSISTANCE AS THE COST OF CARE DELIVERED TO PATIENTS WHO HAVE A NEED FOR MEDICALLY NECESSARY TREATMENT BUT WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE REMAINING BALANCE LEFT BY THEIR INSURANCE; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION.THE HOSPITAL IS COMPLIANT WITH THE 501R FEDERAL REGULATIONS, AND PROVIDES EASY ACCESS TO THE FINANCIAL ASSISTANCE PROGRAM INCLUDING THE FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION, AND PLAIN LANGUAGE SUMMARY. THE FINANCIAL ASSISTANCE PROGRAM AND LISTS OF PROVIDERS COVERED BY THE PROGRAM IS ALSO WIDELY PUBLICIZED AND AVAILABLE ON THE HOSPITAL'S WEBSITE.TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM, FINANCIAL ASSISTANCE POLICY, AND GOVERNMENT PROGRAMS, EACH PATIENT IS OFFERED AND PROVIDED WITH THE FINANCIAL ASSISTANCE PROGRAM POLICY AT REGISTRATION. THIS INFORMATION IS ALSO IS ALSO PROVIDED IN PUBLIC LOCATIONS, INCLUDING REGISTRATION, ON PATIENT STATEMENTS, AND THE HOSPITAL'S PUBLIC WEBSITE, HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/.IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE.TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE, EACH PATIENT BILLING STATEMENT AND COLLECTIONS LETTER PRODUCED BY THE HOSPITAL INCLUDE THE FOLLOWING NOTICE: LAKEVIEW HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM. FOR COPIES OF OUR APPLICATION, FINANCIAL ASSISTANCE POLICY, AND PLAIN LANGUAGE SUMMARY, WHICH INCLUDE INFORMATION ON ELIGIBILITY AND HOW WE CALCULATE FINANCIAL ASSISTANCE, PLEASE VISIT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/. OUR PATIENT FINANCIAL SERVICES TEAM CAN HELP YOU ENROLL IN THIS PROGRAM. PLEASE CALL 651-430-4533. PART VI, LINE 4: THE HOSPITAL SERVES THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN. THE HOSPITAL'S CORE SERVICE AREA INCLUDES STILLWATER, BAYPORT, LAKE ELMO, LAKELAND, AND MARINE ON ST. CROIX, MN ALONG WITH HOULTON AND SOMERSET, WI. PRIMARY SERVICE AREAS ARE HUDSON, NEW RICHMOND AND STAR PRAIRIE, WI, AND AFTON, MN. SECONDARY SERVICE AREAS ARE NEARBY CITIES IN EASTERN MINNESOTA AND WESTERN WISCONSIN. PART VI, LINE 5: THE HOSPITAL PROVIDED EDUCATION SCHOLARSHIPS TO PEOPLE WITH DIABETES THAT REQUIRED NUTRITION AND LIFE-STYLE EDUCATION; THE HOSPITAL ALSO PROVIDED FREE LAB AND PHARMACY SERVICES FOR PATIENTS OF THE ST. CROIX FAMILY MEDICAL CENTER, A LOCAL MEDICAL CLINIC THAT PROVIDES FREE AND DISCOUNTED SERVICES FOR INDIGENT AND LOW INCOME PATIENTS OF THE AREA. FOR ADDITIONAL DISCUSSION, SEE FORM 990, SCHEDULE O - "EXEMPT PURPOSE AND ACHIEVEMENTS". PART VI, LINE 6: AS A MEMBER OF LAKEVIEW HEALTH, THE HOSPITAL PARTICIPATES WITH THE MULTI-SPECIALTY CLINIC AND HEALTH SYSTEM LEADERSHIP WITHIN OUR OVERALL ORGANIZATION IN PROVIDING ACCESS TO CARE, SUPPORT GROUPS, EDUCATIONAL ACTIVITIES, AND FINANCIAL CONTRIBUTIONS TO THE MARKET AREA DESCRIBED ABOVE. THE MULTI-SPECIALTY CLINIC FURTHER PARTICIPATES IN MINNESOTA COMMUNITY MEASUREMENT, PRACTICES AND MEASURES PROVIDER, PERFORMANCE WITH SPECIFIC PREVENTIVE CARE METRICS AND SPECIFIC CHRONIC DISEASE MANAGEMENT METRICS. IN 2011, LAKEVIEW HEALTH AFFILIATED WITH HEALTHPARTNERS. THE MISSION OF HEALTHPARTNERS IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 FAMILY MEANS 1875 NORTHWESTERN AVENUE STILLWATER MN 55082 416045574 501 (C)(3) 30000 PROGRAM SUPPORT CANVAS HEALTH 7066 STILLWATER BLVD N OAKDALE MN 55128 410955577 501 (C)(3) 10000 PROGRAM SUPPORT YOUTH SERVICE BUREAU 101 W PINE ST STILLWATER MN 55082 411333578 501 (C)(3) 10150 PROGRAM SUPPORT OPERATION GRACE MN 1769 LEXINGTON AVE N 204 ROSEVILLE MN 55113 471051919 501 (C)(3) 7500 PROGRAM SUPPORT COMMUNITY THREAD 2300 ORLEANS ST W STILLWATER MN 55082 410967271 501 (C)(3) 11000 PROGRAM SUPPORT VALLEY OUTREACH 1901 CURVE CREST BLVD W STILLWATER MN 55082 411452973 501 (C)(3) 15250 PROGRAM SUPPORT ST ANDREW'S LUTHERAN CHURCH 900 STILLWATER RD MAHTOMEDI MN 55115 410880458 501 (C)(3) 7500 PROGRAM SUPPORT HOPE DENTAL CLINIC 800 MINNEHAHA AVENUE EAST 65 ST PAUL MN 55106 814068287 501 (C)(3) 7500 PROGRAM SUPPORT 8 PART I, LINE 2: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) MANAGEMENT STAFF REVIEWS THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE HOSPITAL'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE HOSPITAL'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. 0 1 0 0 0 0 0 0 0 SCOTT AEBISCHER DIRECTOR 0 391400 0 113734 0 49364 0 148108 0 36674 0 739280 0 16902 MEGAN REMARK DIRECTOR 0 540290 0 157646 0 48584 0 163375 0 39056 0 948951 0 22795 KEVIN BJORK MD DIRECTOR 0 391993 0 0 0 66990 0 21000 0 34887 0 514870 0 0 ANDREW E DORWART MD PRESIDENT & DIRECTOR 0 382579 0 56152 0 35174 0 21000 0 35989 0 530894 0 0 BRETT HAAKE MD DIRECTOR 0 487185 0 109061 0 16250 0 51880 0 37113 0 701489 0 0 MARTHA SANFORD MD DIRECTOR 0 162904 0 18746 0 64364 0 0 0 29541 0 275555 0 0 TED WEGLEITNER DIRECTOR & PRESIDENT 0 434318 0 108899 0 5759 0 79487 0 37077 0 665540 0 0 DOUGLAS E JOHNSON CFO 299890 0 55505 0 25400 0 121094 0 32168 0 534057 0 0 0 ROBBI A HAGELBERG VP OF OPERATIONS & CNO 188854 0 25497 0 11069 0 11649 0 19463 0 256532 0 0 0 NATE PULSCHER VP ANCILLARY SERVICES 182790 0 23096 0 2213 0 8262 0 29664 0 246025 0 0 0 THOMAS ANDERSON VP MEDICAL AFFAIRS 0 329406 0 14000 0 36293 0 24435 0 34623 0 438757 0 0 MATT RICHIE ADMINISTRATOR 272996 0 50456 0 1526 0 15153 0 25989 0 366120 0 0 0 NANCY EVERT SECRETARY & GENERAL COUNCSEL 0 340220 0 55965 0 5315 0 85833 0 22773 0 510106 0 0 MICHAEL D WEIS CRNA 218823 0 17414 0 0 0 9526 0 29318 0 275081 0 0 0 MICHAEL S KENNEDY CRNA 212376 0 0 0 0 0 8782 0 27638 0 248796 0 0 0 CATHY MANLEY CRNA 197785 0 0 0 0 0 10479 0 29515 0 237779 0 0 0 JASON TAUZELL CRNA 194251 0 0 0 0 0 7789 0 28710 0 230750 0 0 0 CYNTHIA APPLESETH PHARMANCY DIRECTOR 173829 0 15622 0 893 0 7628 0 19303 0 217275 0 0 0 PART I, LINE 3 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (HOSPITAL) PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI), OR BY LAKEVIEW HEALTH (LH), BOTH OF WHICH ARE RELATED ORGANIZATIONS OR BY THE HOSPITAL. GHI, LH AND THE HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND OTHER OFFICERS. PART I, LINE 4B DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: SCOTT AEBISCHER $ 16,905 TED WEGLITNER $ 38,373 MEGAN REMARK $ 30,909 NANCY EVERT $ 14,244 990, SCHEDULE J, PART II, COLUMN F: PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTOR: SCOTT AEBISCHER $ 16,902 MEGAN REMARK $ 22,795 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) IS A MINNESOTA 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, AND IS THE LARGEST CONSUMER-GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE COUNTRY. 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 NON-PROFIT 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 1,800 PHYSICIANS AND DENTISTS, SEVEN OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 125 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.2 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 CONTINUING IN 2019 ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, 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), 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 IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. HEALTHPARTNERS COLLABORATE 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 CONTINUING IN 2019 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, 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), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). 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 HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH (LH), RAMSEY INTEGRATED HEALTH SERVICES AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). LH IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. THE HOSPITAL AND LH ARE PART OF THE LAKEVIEW HEALTH SYSTEM ALONG WITH THE LAKEVIEW HEALTH FOUNDATION, A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION (THE FOUNDATION) AND STILLWATER MEDICAL GROUP (SMG), A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION. LH IS ALSO THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND SMG. HEALTHPARTNERS AND THE HOSPITAL ALSO PARTNER WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION; TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. THE HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE STILLWATER COMMUNITY AND SURROUNDING AREA - A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1880, THE FIFTH OLDEST HOSPITAL, AND SECOND OLDEST CONTINUALLY OPERATING HOSPITAL IN MINNESOTA. THE HOSPITAL CONVENES AND SUPPORTS MULTIPLE COMMUNITY COLLABORATIVES TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. THE HOSPITAL IS DESIGNATED A LEVEL 3 TRAUMA HOSPITAL AND HAS MEDICAL STAFF IN A VARIETY OF SPECIALTIES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN WITH A LEVEL II NURSERY, GENERAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, OCCUPATIONAL HEALTH, EMERGENCY MEDICINE, HOSPITAL MEDICINE, NEUROLOGY, ONCOLOGY, UROLOGY, CARDIOLOGY, SPORTS MEDICINE, GASTROENTEROLOGY, RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. COURTESY AND CONSULTING STAFF PROVIDE ADDITIONAL SERVICES, INCLUDING PAIN MANAGEMENT, INFECTIOUS DISEASE, PULMONARY/SLEEP MEDICINE, AND ORAL SURGERY. CHARITY CARE: CHARITY CARE IS DEFINED AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES: PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES, OR SPECIAL FINANCIAL HARDSHIP, WARRANT SPECIAL CONSIDERATION. THE HOSPITAL PROVIDED $1,512,639 IN FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS IN 2019. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE HOSPITAL'S EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $1,535,080. BENEFIT TO THE COMMUNITY: THE HOSPITAL WORKED IN COLLABORATIVE PARTNERSHIP WITH THE COMMUNITY TO IMPROVE HEALTH AND WELL-BEING. THE LAKEVIEW HEALTH SYSTEM ORGANIZATIONS, THE COMMUNITY AND THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2019. THE HOSPITAL CONTINUES TO GROW ITS REPUTATION FOR EXCELLENT CLINICAL OUTCOMES AND SERVICE. 1. COMMUNITY HEALTH SERVICES: THE HOSPITAL CONVENED AND PARTICIPATED IN COMMUNITY-BASED COLLABORATIVE EFFORTS TO IMPROVE ACCESS TO COMMUNITY AND MENTAL HEALTH SERVICES, INCLUDING: THE COMMUNITY HEALTH ACTION TEAM (CHAT) FOCUSED DISCUSSION ON DENTAL HEALTH ACCESS, COMMUNITY CENTER PARTNERSHIPS, COMMUNITY HEALTH NEEDS ASSESSMENT, AND OVERALL COMMUNITY NEEDS. THE HOSPITAL PROVIDED REPRESENTATION AT CONNECT COMMUNITY COLLABORATIVE FOR MENTAL AND CHEMICAL HEALTH. THE HOSPITAL PROVIDED REPRESENTATION AT LIVING HEALTH WASHINGTON COUNTY, A PUBLIC HEALTH AND COMMUNITY COLLABORATIVE, SUPPORTING OUR CHNA PRIORITIES. THE HOSPITAL SUPPORTED TRAINING MAKE IT OK ANTI-STIGMA CAMPAIGN AMBASSADORS FOR MENTAL HEALTH IN 2019. MORE THAN 450 AMBASSADORS ARE NOW TRAINED IN THE ST. CROIX VALLEY AREA. PART III CONT. THE HOSPITAL SUPPORTED POWERUP, A COMMUNITY-WIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND PHYSICAL ACTIVITIES SO YOUTH CAN REACH THEIR FULL POTENTIAL. POWERUP HAS IMPLEMENTED A COMPREHENSIVE FRAMEWORK AND STRATEGY FOR THE INITIATIVE INCLUDING COMMUNITY ADVISORY COMMITTEES, COMMUNITY OUTREACH AND EDUCATION, AND PARTNERSHIPS WITH MULTIPLE COMMUNITY SECTORS TO CHANGE THE FOOD AND PHYSICAL ACTIVITY ENVIRONMENT. THE HOSPITAL, THROUGH ITS BREAST HEALTH CENTER, PROVIDED 1.5 FTE OF NURSE NAVIGATORS, AT A COST OF $182,506 FOR PATIENT EDUCATION, CONSULTS AND COORDINATION AND TO ASSIST WITH SCHEDULING FOLLOW-UP APPOINTMENTS FOR PATIENTS DIAGNOSED WITH CANCER. THE HOSPITAL, AT A COST OF $105,500 IN 2019, PROVIDED CHAPLAINCY SERVICES TO THE COMMUNITY, INCLUDING PATIENTS AND VISITORS. THE CHAPLAINCY PROGRAM SUPPORTS PATIENTS AND STAFF WITH SPIRITUAL AND RELIGIOUS CONCERNS, AND CHAPLAINS ARE CLINICALLY TRAINED AT HELPING INDIVIDUALS AND FAMILIES NAVIGATE THE HEALTHCARE EXPERIENCE. THE HOSPITAL SPONSORED AND COORDINATED, FOR THE BENEFIT OF THE COMMUNITY, CLOSE TO 200 CLASSES, EVENTS AND SUPPORT GROUPS DURING THE YEAR, REACHING OVER 3,500 INDIVIDUALS, AT A NET COST OF APPROXIMATELY $112,131. THIS INCLUDED: TAI CHI, CPR, JOINT HEALTH, DIABETES EDUCATION, LIFE AFTER LOSS SUPPORT, CANCER SUPPORT GROUPS, ADVANCED CARE PLANNING, DEMENTIA/ALZHEIMER'S SUPPORT, VEIN SCREENINGS, WOMEN'S HEALTH, TEDDY BEAR CLINICS (TO HELP ALLEVIATE THE ANXIETY ASSOCIATED WITH COMING TO THE HOSPITAL), FALLS PREVENTION CLASSES AND BREASTFEEDING/PRENATAL EDUCATION. THE HOSPITAL PROVIDED INTERPRETER SERVICES FOR PATIENTS AND VISITORS AT A COST OF $25,898 IN 2019. THE HOSPITAL SUPPORTED THE ST. CROIX VALLEY FAITH COMMUNITY NURSE PROGRAM, WHICH IS A PARTNERSHIP BETWEEN THE HOSPITAL AND LOCAL CONGREGATIONS TO PROVIDE PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES SERVED BY LOCAL CONGREGATIONS. THIS PROGRAM REACHED MORE THAN 5,000 CONTACTS WITH PEOPLE IN OUR COMMUNITY. THE FAITH COMMUNITY NURSE PROGRAM, FUNDED BY THE FOUNDATION, PROMOTES A GREATER UNDERSTANDING OF HEALTH-RELATED ISSUES AND ADDRESSES THESE CONCERNS THROUGH INFORMATION AND EDUCATION. THE HOSPITAL SUPPORTED THE PRESCRIPTION ASSISTANCE PROGRAM, WHICH PROVIDES ASSISTANCE ON BEHALF OF PATIENTS/CLIENTS IN OUR COMMUNITY, TO HELP THEM OBTAIN AFFORDABLE PRESCRIPTIONS TO PROMOTE THEIR HEALTH AND WELL-BEING. A STAFF MEMBER AT LAKEVIEW HOSPITAL, FUNDED BY THE FOUNDATION, ASSISTS PATIENTS WHO HAVE DIFFICULTY AFFORDING THEIR MEDICATIONS. 2. HEALTH PROFESSIONAL EDUCATION: THE HOSPITAL COORDINATED AND SUPPORTED WEEKLY CONTINUING MEDICAL EDUCATION (CME) PROGRAMS FOR STAFF AND COMMUNITY EDUCATION. TOTAL DIRECT COSTS FOR STIPENDS, PURCHASED SERVICES, SUPPLIES, ROOM RENTALS AND INDIRECT COSTS FOR THE YEAR WERE $26,672. OUR STAFF ALSO PROVIDED OVER 2,000 HOURS AS PRECEPTORS TO STUDENT PROFESSIONAL INTERNS IN PHARMACY, NURSING, MEDICAL RECORDS AND DIABETES AND NUTRITION SERVICES. 3. SUBSIDIZED HEALTH SERVICES: THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. IN 2019, LOSS ON SERVICES FOR INPATIENT AND OUTPATIENT HEALTH SERVICES, INCLUDING CLINICAL DIABETES AND NUTRITION, LABOR AND DELIVERY SERVICES, NEONATAL NURSE PRACTITIONERS, AND HOMECARE SERVICES, TOTALED $5,871,226. STILLWATER AREA SCHOOLS WELLNESS PROGRAM AND CENTER OPERATES AT THE LARGEST HIGH SCHOOL IN THE SERVICE AREA. THE WELLNESS CENTER IS A PHYSICAL SPACE IN THE HIGH SCHOOL IN COLLABORATION WITH FAMILYMEANS, YOUTH SERVICE BUREAU, THE HOSPITAL'S POWERUP INITIATIVE, LAKEVIEW HEALTH SYSTEM AND INDEPENDENT SCHOOL DISTRICT 834. THIS COLLABORATION PROVIDES K-12 STUDENTS WITH A WIDE RANGE OF INDIVIDUALIZED MENTAL HEALTH, CHEMICAL HEALTH AND NUTRITIONAL COUNSELING SERVICES THAT REDUCE BARRIERS TO OBTAINING HELP IN AN EASILY ACCESSIBLE, WELCOMING AND CONFIDENTIAL SETTING. IN 2019, THE PROGRAM SERVED 203 STUDENTS IN 2,348 SESSIONS AT THE WELLNESS CENTER. 4. FINANCIAL CONTRIBUTIONS: ON BEHALF OF THE HOSPITAL, THE LAKEVIEW FOUNDATION ADMINISTERS GRANTS, WHICH ARE APPROVED BY THE HOSPITAL'S GRANT COMMITTEE. THE TWENTY GRANTS INCLUDED: ACRES FOR LIFE, ANGEL FOUNDATION, CANVAS HEALTH (2), COMMUNITY THREAD, EVOLVE (HOPE ADOPTION), FAMILYMEANS (2), HOPE DENTAL CLINIC, OPERATION GRACE, OPTIONS FOR WOMEN (PROJECT LIFE), OUR COMMUNITY KITCHEN, RISE, ST. ANDREW'S RESOURCE CENTER, GRIEF AND CARE SUPPORT THROUGH ST. CROIX CHAPLAINCY ASSOCIATION, TREEHOUSE-MAHTOMEDI, VALLEY OUTREACH, YOUNGLIFE, YOUTH ADVANTAGE AND YOUTH SERVICE BUREAU. IN ADDITION, THE FOLLOWING ORGANIZATIONS AND PROGRAMS WERE SUPPORTED VIA SPONSORSHIPS OR CASH DONATIONS FOR OVERALL COMMUNITY BENEFIT: AMERICAN CANCER SOCIETY, AMERICAN LEGION, AMERY REGIONAL MEDICAL CENTER FOUNDATION, COURAGE KENNEY FOUNDATION - ST. CROIX VALLEY, DOUG ALLEN MEMORIAL, GREATER STILLWATER CHAMBER OF COMMERCE, HALOS, HUDSON HOSPITAL FOUNDATION, LAKE ELMO ROTARY, MAHTOMEDI AREA EDUCATION FOUNDATION, PARTNERSHIP PLAN, PHY ED CONNECTIONS, REGIONS HOSPITAL FOUNDATION, SCHEUERMAN YOUTH, SPRINGBOARD, STILLWATER NOON ROTARY, STILLWATER SUNRISE ROTARY, ST. ANNE CATHOLIC SCHOOL, ST. CROIX VALLEY FOUNDATION, STILLWATER CHAMBER, STILLWATER PUBLIC LIBRARY FOUNDATION, UNITED WAY AND VALLEY FRIENDSHIP. THE HOSPITAL DONATED SUPPLIES AND MEDICAL EQUIPMENT TO MATTERS, A MINNESOTA-BASED, GLOBAL NON-PROFIT ORGANIZATION WHICH, THROUGH THE REDISTRIBUTION OF MEDICAL SUPPLIES AND EQUIPMENT, INCREASE ACCESS TO HEALTH IN SOME OF THE HARDEST TO REACH CORNERS OF THE WORLD. THE HOSPITAL ALSO PROVIDED SUPPORT FOR MISSION TRIPS COORDINATED BY THE FOLLOWING ORGANIZATIONS: GLOBAL HEALTH MINISTRIES, MN ATITLAN SURGICAL TEAM, AND INTERNATIONAL HEALTH PARTNERS. THE HOSPITAL'S CASH DONATIONS TO COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS IN THE FORM OF SPONSORSHIPS, GRANTS OR SUPPLIES FOR MEDICAL MISSION TRIPS TOTALED $237,852 IN 2019. 5. COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL PROVIDES LEADERSHIP AND PARTICIPATES IN A NUMBER OF STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: CHAT (COMMUNITY HEALTH ACTION TEAM): CONVENES NONPROFIT AND COMMUNITY LEADERS ON A MONTHLY BASIS TO COLLABORATE ON ADDRESSING PRIORITY COMMUNITY HEALTH NEEDS. CONNECT: COLLABORATIVE MISSION IS TO PREVENT AND REDUCE YOUTH ALCOHOL, TOBACCO AND OTHER DRUG USE THROUGH PARTNERSHIP, EDUCATION, INTERVENTION AND COMMUNITY CHANGE. WASHINGTON COUNTY COMMUNITY LEADERSHIP TEAM (CLT): THE HOSPITAL COLLABORATES ON BOTH TOBACCO CESSATION AND OBESITY INITIATIVES. THE HOSPITAL IS ACTIVELY PARTICIPATING IN THE CREATION AND IMPLEMENTATION OF THE LEADERSHIP IN THE VALLEY LEADERSHIP DEVELOPMENT PROGRAM FROM THE STILLWATER CHAMBER OF COMMERCE. LAKEVIEW IS ALSO SERVING AS A SPONSOR AND HOSTED ITS HEALTH AND WELLNESS DAY IN JANUARY OF THIS YEAR. APPROXIMATELY 20 STAFF PARTICIPATED IN THE STILLWATER B2B MEAL PACKING EVENT, TO PACK MEALS FOR UNDERPRIVILEGED FAMILIES IN THE STILLWATER AREA. THE HOSPITAL PROVIDED POTATO SALAD FOR A MINNESOTA ASSISTANCE COUNCIL FOR VETERANS EVENT TO PROVIDE FOOD FOR HOMELESS VETERANS. THE HOSPITAL PARTNERS WITH WASHINGTON COUNTY PUBLIC HEALTH IN EMERGENCY PREPAREDNESS PLANNING AND DRILLS WHICH PREPARES THE COMMUNITY FOR POTENTIAL DISASTERS. THE HOSPITAL CONTINUOUSLY FOCUSSES ON SUSTAINABILITY EFFORTS. THE HOSPITAL COLLECTED 118 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL. $218,000 WAS SAVED THROUGH RECYCLING PROGRAMS, FOOD WASTE, AND OTHER DIVERSION METHODS. 30,600 POUNDS OF FOOD WAS DIVERTED THROUGH THE "FOOD-TO-HOGS" PROGRAM, AT A COST OF $828. THIS PROGRAM ALLOWS THE HOSPITAL TO DONATE FOOD WASTE FROM THE CAFETERIA TO FEED PIG LIVESTOCK. THIS NOT ONLY REDUCES WASTE BUT ALSO REDUCES THE TAXES THE HOSPITAL PAYS ON GARBAGE BASED ON WEIGHT. THE HOSPITAL'S PHARMACIES COLLECTED 870 POUNDS OF MEDICATIONS THROUGH THE MED TAKE BACK PROGRAM FOR DISPOSAL IN 2019. GREENING THE OR IS AN INITIATIVE TO REDUCE WASTE ALONG WITH CERTAIN TYPES OF GASES THAT DAMAGE THE OZONE. THIS INITIATIVE IN THE OPERATING ROOM RESULTED IN $84,760 OF SAVINGS DURING 2019. THE HOSPITAL'S EMERGENCY MEDICAL SERVICES (EMS) DEPARTMENT PROVIDES EVENT COVERAGE IN THE SURROUNDING COMMUNITIES, WHICH SUPPORT COALITION BUILDING WITH COMMUNITY PARTNERS. EMS PROVIDED 897 HOURS OF AT VARIOUS COMMUNITY EVENTS IN 2019, INCLUDING: LAW ENFORCEMENT MEMORIAL, HUDSON HOT AIR AFFAIR, PEA SOUP DAYS FOOD TRUCK EXTRAVAGANZA, LIFT BRIDGE ROAD RACE, FIREWORKS MARINE ON ST. CROIX AND STILLWATER, MN HIGH SCHOOL RODEO, LUMBERJACK DAYS, WASHINGTON COUNTY FAIR, HARVEST FEST AND COVERAGE FOR VARIOUS PARADES, RACES AND SPORTING EVENTS THROUGHOUT THE YEAR. PART III CONT. 6. COMMUNITY BENEFIT OPERATIONS: THE HOSPITAL STAFF'S TIME TO COLLECT, ANALYZE AND REPORT COMMUNITY BENEFITS FOR 2019 WAS APPROXIMATELY 130 HOURS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); PLEASE REFER TO THE SCHEDULE H NARRATIVE IN THIS 990 REPORT. THE NET 2019 COMMUNITY BENEFIT CONTRIBUTION EQUALED $12,657,973 OR 10.4% OF TOTAL EXPENSES. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. 7. ORGANIZATION AWARDS AND ACHIEVEMENTS: THE HOSPITAL AGAIN RECEIVED THE EMERALD AWARD FOR BEING A TOP 25 HOSPITAL BY PRACTICE GREENHEALTH RECOGNIZING ITS ENVIRONMENTAL ACHIEVEMENTS. THIS AWARD ACKNOWLEDGES OUR WORK IN REDUCING ENERGY CONSUMPTION, PAPER USAGE, AND WATER, AS WELL AS GREEN OR PRACTICES, GREEN CLEANING CHEMICAL USAGE, AMONGST OTHERS. THE HOSPITAL WAS RECOGNIZED FOR 5-STAR PERFORMANCE BY CMS FOR ITS COST, QUALITY AND PATIENT EXPERIENCE PERFORMANCE. ONLY 7% OF HOSPITALS IN THE COUNTRY RECEIVE 5 STARS. THE HOSPITAL RECEIVED AN A GRADE FROM LEAPFROG, A NATIONAL ORGANIZATION EVALUATING HOSPITAL QUALITY. THE HOSPITAL RECEIVED 5 STARS FROM HEALTHGRADES, A NATIONAL ORGANIZATION THAT PROVIDES QUALITY AND EXPERIENCE INFORMATION TO HELP CONNECT CONSUMERS AND PROVIDERS. THE HOSPITAL RECEIVED BOTH THE HOMECARE ELITE TOP AGENCY AND TOP 500 AGENCY DESIGNATIONS. LAKEVIEW HOMECARE WAS THE ONLY TWIN CITIES HOMECARE AGENCY TO HAVE 4.5 STARS FOR QUALITY OF PATIENT CARE RATING AND 5 STARS FOR PATIENT SATISFACTION-MAKING IT THE HIGHEST RATED HOMECARE AGENCY IN THE STATE OF MINNESOTA. THE HOSPITAL IS ALSO THE HIGHEST RATED HOMECARE AGENCY IN ITS COVERAGE AREA (THE ST. CROIX VALLEY OF MINNESOTA AND WISCONSIN). THERE WAS ONLY ONE OTHER AGENCY OPERATING IN THE STATE OF WISCONSIN WITH THE SAME 4.5/5 AND 5/5 RATING. THIS IS SPEAKS TO THE INCREDIBLE EFFORTS OF THE LAKEVIEW HOMECARE TEAM TO CARE FOR OUR NEIGHBORS AT HOME. THE HOSPITALONCE AGAIN DEMONSTRATED COMPLIANCE WITH THE MEDICARE CONDITIONS OF PARTICIPATION WITH THE JOINT COMMISSION. THE HOSPITAL WAS AGAIN CERTIFIED AS A STROKE READY HOSPITAL AND LEVEL III TRAUMA CENTER BY THE STATE OF MINNESOTA. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS LH. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER RATIFIES THE PERSONS ELECTED TO THE HOSPITAL BOARD, AT LEAST 75% OF WHOM MUST BE COMMUNITY LEADERS. THE PRESIDENT OF THE SOLE MEMBER SERVES AS AN EX OFFICIO NON-VOTING HOSPITAL BOARD MEMBER. ADDITIONALLY, HEALTHPARTNERS AS THE SOLE MEMBER OF LH APPOINTS ONE PERSON TO THE HOSPITAL BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CUSTOMARY POWERS INCLUDING APPROVAL OF HIGHLY SIGNIFICANT ACTIONS OF THE HOSPITAL'S BOARD OF DIRECTORS. THESE INCLUDE AMENDMENT OF THE GOVERNING DOCUMENTS; APPROVAL OF STRATEGIC PLANS AND ANNUAL BUDGETS; MERGER, CONSOLIDATION OR SUBSTANTIAL AFFILIATION WITH ANOTHER ENTITY; APPOINTMENT OF THE PRESIDENT OF THE HOSPITAL; AND INCURRENCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B THE HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND THE 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 THE HOSPITAL. THE 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. THE HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE MEETING. THIS PROCESS IS DOCUMENTED IN THE WRITTEN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C THE 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 THE HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI), OR BY LAKEVIEW HEALTH (LH), BOTH OF WHICH ARE RELATED ORGANIZATIONS OR BY THE HOSPITAL. GHI, LH AND THE HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, EITHER THE COMPENSATION COMMITTEE OF THE LH OR THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES ARE DETERMINED FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEES REVIEW AND APPROVE EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, THE COMMITTEES' MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEES MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. WITH THE HOSPITAL'S BOARD OF DIRECTORS INPUT, REGIONS HOSPITAL PRESIDENT CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE COMPENSATION COMMITTEE OF THE LH'S APPROVAL, DETERMINES THE COMPENSATION OF THE HOSPITAL PRESIDENT. THE HOSPITAL BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL HOSPITAL-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE LH. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS. THE HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. 990, PART VII, SECT A, LN 1A, COL B: AVERAGE HOURS - RELATED ORGANIZATION AVERAGE WEEKLY HOURS: THE COMPENSATED BOARD MEMBERS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY THE HOSPITAL, GHI OR PARK NICOLLET. THE COMPENSATED BOARD MEMBERS AND OFFICERS DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE - SMG -4,700,000. CHANGE IN PENSION LIABILITY VALUATION 918,264. FOUNDATION GRANT -59,050. 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) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 RH WISCONSIN INC 8171 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 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) 170(B)(1) (A)(III) HPI - RAMSEY 0 REGIONS HOSPITAL 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410956618 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 0 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) 170(B)(1) (A)(VI) HPI - RAMSEY 0 RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411891928 HEALTHCARE STAFFING AND INTENSE REHAB SERVICES MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 PHYSICIANS NECK & BACK CLINICS 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 270684883 SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC 0 HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390804125 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 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) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC 0 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) 170(B)(1) (A)(VI) LAKEVIEW HEALTH 0 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 CLINIC STAFF AND FACILITIES MN 501(C)(3) 509(A)(3) TYPE I LAKEVIEW HEALTH 0 LAKEVIEW HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 300221189 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 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) 170(B)(1) (A)(VI) WESTFIELDS HOSPITAL INC 0 RAMSEY INTEGRATED HEALTH SERVICES 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411503090 HOME CARE AND HOSPICE MN 501(C)(3) 509(A)(2) HPI - RAMSEY 0 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 363465840 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) HEALTHPARTNERS INC 0 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 010638901 DURABLE MEDICAL EQUIPMENT , PHARMACY AND OTHER HEALTH CARE RETAIL SALES MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410834920 CLINIC SERVICES MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411741792 HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390908320 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 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) 170(B)(1) (A)(VI) AMERY REGIONAL MEDICAL CENTER INC 0 HUTCHINSON HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 841715908 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 363317820 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 509(A)(3) TYPE III HUTCHINSON HEALTH 0 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 HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411236798 MEDICAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC C 0 PARK NICOLLET ENTERPRISES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411656735 REAL ESTATE FOR RELATED ORGANIZATIONS MN PARK NICOLLET HEALTH SERVICES C 0 1 0 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES L 701192 CASH AMOUNT