LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC (EIN 41-0811697)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201943199349304999
- Schema version
- 2018v3.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T09:48:06-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 S 7TH | AddressLine1Txt |
| Address Line2 | STREET | AddressLine2Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410811697 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCIATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | 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 | DOUGLAS E JOHNSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9528836584 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MONROE JORDAN GIERL | PreparerPersonNm |
| PTIN | P01413237 | PTIN |
| Phone | 6123055000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.153.9.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-14 | IPDt |
| IP Tm | 16:01:54 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BC53011EDF70B2E1BD72B439C4A42BAD8A5D7AD2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 31AD5F3C55E0BEE4726FCC0867C2B4B74D95884E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DOUGLAS E JOHNSON | 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 | $123,086,819 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAKEVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1880 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1306 | TotalEmployeeCnt |
| Total Volunteers | 222 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $19,154 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $97,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $306,646 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $118,951,429 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $122,521,264 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,950 | PYInvestmentIncomeAmt |
| CY Investment Income | $225,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $596 | PYOtherRevenueAmt |
| CY Other Revenue | $1,832 | CYOtherRevenueAmt |
| PY Total Revenue | $119,144,993 | PYTotalRevenueAmt |
| CY Total Revenue | $123,054,775 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $215,963 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $238,881 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $60,743,721 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,182,393 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,651,581 | PYOtherExpensesAmt |
| CY Other Expenses | $50,730,800 | CYOtherExpensesAmt |
| PY Total Expenses | $109,611,265 | PYTotalExpensesAmt |
| CY Total Expenses | $114,152,074 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,533,728 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,902,701 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,595,814 | TotalAssetsBOYAmt |
| Total Assets EOY | $84,532,275 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,599,527 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,146,419 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $69,996,287 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $67,385,856 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $102,652,426 | ExpenseAmt |
| Grant | $238,881 | GrantAmt |
| Revenue | $1,222,521,264 | RevenueAmt |
| Desc | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $102,652,426 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| 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 | 1306 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6514304581 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL STREET WEST | AddressLine1Txt |
| City | STILLWATER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 |
|---|---|---|---|---|---|---|---|---|
| SCOTT AEBISCHER | ||||||||
| DIRECTOR | 0.50 | 49.50 | Yes (X) | $0 | $577,788 | $171,990 | ||
| REBECCA BILLINGSLEY | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH BRADSHAW | ||||||||
| VICE CHAIR & DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DWIGHT CUMMINS | ||||||||
| CHAIR & DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PHIL DONALDSON | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW ROLLWAGEN | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| MEGAN REMARK | ||||||||
| DIRECTOR | 0.50 | 49.50 | Yes (X) | $0 | $736,612 | $195,456 | ||
| SUE HEDLUND | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| JOHN UPPGREN | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| NICK MEYER MD | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| DENISE PONTRELLI | ||||||||
| DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | |||
| JULIE SCHMIDT | ||||||||
| SECRETARY & DIRECTOR | 0.58 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KEVIN BJORK MD | ||||||||
| DIRECTOR | 0.50 | 49.50 | Yes (X) | $0 | $546,862 | $55,354 | ||
| ANDREW E DORWART MD | ||||||||
| PRESIDENT & DIRECTOR | 0.50 | 49.50 | Yes (X) | $0 | $463,141 | $54,737 | Yes (X) | |
| JOHN MISA MD | ||||||||
| DIRECTOR | 0.50 | 59.50 | Yes (X) | $0 | $676,323 | $102,576 | ||
| MARTHA SANFORD MD | ||||||||
| DIRECTOR | 0.50 | 39.50 | Yes (X) | $0 | $343,050 | $52,996 | ||
| DOUGLAS E JOHNSON | ||||||||
| DIRECTOR & CFO | 51.00 | 4.00 | Yes (X) | $370,787 | $0 | $157,922 | Yes (X) | |
| TED WEGLEITNER | ||||||||
| DIRECTOR & CEO | 1.00 | 52.00 | Yes (X) | $0 | $568,002 | $112,133 | Yes (X) | |
| KATHLEEN COONEY | ||||||||
| EXECUTIVE VP & COA | 0.50 | 55.00 | $0 | $690,077 | $35,497 | Yes (X) | ||
| ROBBI A HAGELBERG | ||||||||
| VP OF OPERATIONS & CNO | 49.50 | 0.50 | $224,472 | $0 | $31,443 | Yes (X) | ||
| NATE PULSCHER | ||||||||
| VP ANCILLARY SERVICES | 49.50 | 0.50 | $201,165 | $0 | $42,631 | Yes (X) | ||
| THOMAS ANDERSON | ||||||||
| VP MEDICAL AFFAIRS | 0.50 | 52.50 | $0 | $364,852 | $56,599 | Yes (X) | ||
| MATT RICHIE | ||||||||
| ADMINISTRATOR | 49.50 | 0.50 | $297,741 | $0 | $38,609 | Yes (X) | ||
| MICHAEL D WEIS | ||||||||
| CRNA | 40.00 | $248,322 | $0 | $40,934 | Yes (X) | |||
| MICHAEL S KENNEDY | ||||||||
| CRNA | 40.00 | $204,673 | $0 | $39,557 | Yes (X) | |||
| JUSTIN R CUSICK | ||||||||
| CRNA | 40.00 | $205,521 | $0 | $42,007 | Yes (X) | |||
| ANN RIPLEY | ||||||||
| QUALITY | 40.00 | $202,425 | $0 | $42,249 | Yes (X) | |||
| BETTY A BENDER | ||||||||
| CRNA | 40.00 | $191,642 | $0 | $35,424 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,146,748 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,966,707 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,308,114 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 76 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| KRAUS-ANDERSON CONSTRUCTION CO | |||||
| 525 S 8TH ST | MINNEAPOLIS | MN | 55404 | CONSTRUCTION SERVICES | $2,905,883 |
| REGIONS HOSPITAL | |||||
| 640 JACKSON ST | ST PAUL | MN | 551012595 | ANCILLARY TESTING SERVICES | $369,224 |
| BWBR ARCHITECTS | |||||
| 380 ST PETER ST STE 600 | ST PAUL | MN | 55102 | ARCHITECTURAL SERVICES | $342,793 |
| HEALTH SYSTEM COOP LAUNDRIES | |||||
| 55 5TH ST E STE 960 | ST PAUL | MN | 551012595 | CONSTRUCTION SERVICES | $297,084 |
| BOUTWELLS LANDING CARE CENTER | |||||
| 13575 58TH ST N | OAK PARK HEIGHTS | MN | 55082 | TRANSITIONAL CARE | $284,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $203,045 | RelatedOrganizationsAmt |
| Government Grants | $103,601 | GovernmentGrantsAmt |
| Total Contributions | $306,646 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 623990 | $121,407,555 | $121,407,555 | |
| OTHER REVENUE | 900099 | $608,249 | $608,249 | |
| CAFETERIA | 722210 | $380,782 | $380,782 | |
| GIFT SHOP | 453220 | $124,678 | $124,678 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $122,521,264 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $225,033 | TotalRevenueColumnAmt |
| Exclusion | $225,033 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,876 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,044 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,832 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,832 | TotalRevenueColumnAmt |
| Exclusion | $1,832 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,054,775 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,407,555 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,340,574 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,881 | TotalAmt |
| Program Services | $238,881 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,770 | TotalAmt |
| Management And General | $1,364,770 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,606,888 | TotalAmt |
| Program Services | $45,049,818 | ProgramServicesAmt |
| Management And General | $3,557,070 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,699,318 | TotalAmt |
| Program Services | $2,433,455 | ProgramServicesAmt |
| Management And General | $265,863 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,131,247 | TotalAmt |
| Program Services | $6,428,872 | ProgramServicesAmt |
| Management And General | $702,375 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,380,170 | TotalAmt |
| Program Services | $3,047,248 | ProgramServicesAmt |
| Management And General | $332,922 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,485 | TotalAmt |
| Program Services | $6,625 | ProgramServicesAmt |
| Management And General | $71,860 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,334,995 | TotalAmt |
| Program Services | $2,746,603 | ProgramServicesAmt |
| Management And General | $588,392 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,188 | TotalAmt |
| Program Services | $115,518 | ProgramServicesAmt |
| Management And General | $46,670 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,283 | TotalAmt |
| Program Services | $1,007,256 | ProgramServicesAmt |
| Management And General | $144,027 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,827 | TotalAmt |
| Program Services | $185,104 | ProgramServicesAmt |
| Management And General | $77,723 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,867,413 | TotalAmt |
| Program Services | $1,810,229 | ProgramServicesAmt |
| Management And General | $57,184 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,628 | TotalAmt |
| Program Services | $225,315 | ProgramServicesAmt |
| Management And General | $9,313 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,114 | TotalAmt |
| Program Services | $58,347 | ProgramServicesAmt |
| Management And General | $40,767 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,527,189 | TotalAmt |
| Program Services | $4,001,297 | ProgramServicesAmt |
| Management And General | $525,892 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,000 | TotalAmt |
| Program Services | $27,989 | ProgramServicesAmt |
| Management And General | $323,011 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & PHARMACY SUPP | $30,961,951 | $30,846,742 | $115,209 |
| EQUIPMENT & MAINTENANCE | $3,267,011 | $1,681,947 | $1,585,064 |
| OTHER EXPENSE | $2,257,240 | $576,198 | $1,681,042 |
| TAXES & ASSESSMENTS | $2,002,048 | $2,002,048 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,428 | TotalAmt |
| Program Services | $162,934 | ProgramServicesAmt |
| Management And General | $10,494 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,152,074 | TotalAmt |
| Program Services | $102,652,426 | ProgramServicesAmt |
| Management And General | $11,499,648 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,759,254 | BOYAmt |
| EOY | $10,944,687 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,809,169 | BOYAmt |
| EOY | $11,319,407 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,916,046 | BOYAmt |
| EOY | $2,560,623 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,727 | BOYAmt |
| EOY | $365,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,718,541 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,927,369 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,106,433 | BOYAmt |
| EOY | $58,791,172 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,185 | BOYAmt |
| EOY | $550,431 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,595,814 | BOYAmt |
| EOY | $84,532,275 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,455,928 | BOYAmt |
| EOY | $11,398,147 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600 | BOYAmt |
| EOY | $81,798 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,139,999 | BOYAmt |
| EOY | $5,666,474 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,599,527 | BOYAmt |
| EOY | $17,146,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,996,287 | BOYAmt |
| EOY | $67,385,856 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,996,287 | BOYAmt |
| EOY | $67,385,856 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,595,814 | BOYAmt |
| EOY | $84,532,275 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,902,701 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$11,513,132 | 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 | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,836,001 | OtherCostOrOtherBasisAmt |
| Book Value | $23,836,001 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,687,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,934,169 | DepreciationAmt |
| Book Value | $25,753,316 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,992,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,902,016 | DepreciationAmt |
| Book Value | $9,090,304 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,202,735 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,091,184 | DepreciationAmt |
| Book Value | $111,551 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,791,172 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENSION LIABILITIES | Desc |
| Amt | $5,666,474 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,666,474 | TotalLiabilityAmt |
| 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 | 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, 2018 OR 2017 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 |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,378,733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,378,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,292,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $768,779 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,523,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01330 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,595,280 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,668,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,927,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,266,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,437,045 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,829,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $354,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,120 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $331,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $221,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $216,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,921,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,777,426 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,143,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04510 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $238,881 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $238,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,736,102 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,805,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,930,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,002,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,242,391 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,759,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10300 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,959,945 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $34,332,956 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,788,189 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,455,233 | MedicareSurplusOrShortfallAmt |
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 |
| 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 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL STREET W | AddressLine1Txt |
| City | STILLWATER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAKEVIEWHEALTH.ORG/ | WebsiteAddressTxt |
| State License | 8029322 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION | 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 | 18 | 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 | HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA | 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 | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/POLICIES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/CHARITY-CARE-APPLICATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/POLICIES | 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 |
| 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 5: AS PART OF THE DATA COLLECTION PROCESS FOR THE MOST RECENT CHNA THAT WAS CONDUCTED IN 2015, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (HOSPITAL) CONDUCTED TWO COMMUNITY CONVERSATIONS DURING THE SUMMER OF 2015 TO GATHER INPUT FROM VARIOUS GROUPS IN THE COMMUNITY, INCLUDING REPRESENTATIVES OF UNDERSERVED POPULATIONS. THESE CONVERSATIONS INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; FEDERAL, STATE OR LOCAL HEALTH DEPARTMENT OR AGENCIES WITH INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED, INCLUDING PUBLIC SCHOOL REPRESENTATION; AND LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2015 CHNA INCLUDED REGIONS HOSPITAL, HUDSON HOSPITAL, WESTFIELDS HOSPITAL, AMERY REGIONAL MEDICAL CENTER, AND PARK NICOLLET METHODIST HOSPITAL. |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 11: THE 2015 HEALTHPARTNERS CHNA CONDUCTED RESULTED IN THE FOLLOWING PRIORITIES:PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTHREDEUCE STIGMA SURROUNDING MENTAL ILLNESSES- MORE THAN 100 PEOPLE WERE TRAINED AS MAKE IT OK AMBASSADORS IN THE ST. CROIX VALLEY AREA. - SUPPORTED 20 COMMUNITY EVENTS AND TRAININGS WITH SCHOOLS, NAMI, AND OTHER COMMUNITY PARTNERS. - MAKE IT OK CAMPAIGN WAS INCLUDED IN EMPLOYEE COMMUNICATIONS, AND AMBASSADOR TRAININGS AND MAKE IT OK PRESENTATIONS WERE OFFERED FOR STAFF THROUGHOUT THE CARE SYSTEM AND IN THE COMMUNITY ON AN ONGOING BASIS. IMPROVE ACCESS TO MENTAL HEALTH SERVICES- CONTINUED EMBEDDED MENTAL HEALTH PROVIDER IN STILLWATER MEDICAL GROUP CLINIC, REDUCING BARRIERS TO ACCESSING MENTAL HEALTH CARE- UPGRADED TO EMERGENCY DEPARTMENT PATIENT ROOM TO CREATE A SAFE ENVIRONMENT FOR INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS. - DEPRESSION MANAGEMENT PROGRAM SERVED 172 PATIENTS WITH 1111 PATIENT CONTACTS.- LAKEVIEW CONTINUES TO SUPPORT AGENCIES TO DELIVER MENTAL AND CHEMICAL HEALTH SERVICES ARE OFFERED FOR NO CHARGE AT THE STILLWATER STUDENT WELLNESS CENTER (FAMILYMEANS AND YOUTH SERVICE BUREAU).REDUCE DRUG USE AND RISKY AND UNHEALTHY ALCOHOL USE- LAKEVIEW HOSPITAL PROVIDED ANNUAL GRANTS TO SUPPORT LOCAL AGENCIES (TREE HOUSE AND YOUTH SERVICE BUREAU) TO PROVIDE NO COST OR REDUCED COST MENTAL AND CHEMICAL HEALTH SERVICES TO STUDENTS.- LAKEVIEW STAFF CONTINUE TO SUPPORT AND PARTICIPATE IN CONNECT, SHARING RESOURCES WITH PATIENTS AND THE COMMUNITY. - CHANGES IN PRESCRIBING PRACTICES REDUCE THE NUMBER OF OPIOID PILLS WITH REDUCTIONS BEING ACHIEVED OVER TIME. VALLEY HOSPITAL SITES NOW HAVE PRESCRIPTION MEDICATION COLLECTION STATIONS. LAKEVIEW COLLECTED 120 POUNDS OF MEDICATION IN 2018.INCREASE EDUCATION AROUND MENTAL AND BEHAVIORAL HEALTH- LAKEVIEW CONTINUES TO PROMOTE AND OFFER THE FREE BEATING THE BLUES ONLINE PROGRAM FOR MEMBERS AND PATIENTS. MAKE IT OK CAMPAIGN CONTINUES TO REACH THOUSANDS OF PEOPLE THROUGH EVENTS, PRESENTATIONS AND THE AMBASSADOR TEAM ON HOW TO REDUCE STIGMA, INCLUDING FREE WEBINARS FOR THE COMMUNITY.ALIGN EFFORTS AND COLLABORATE WITH COMMUNITY PARTNERS- LAKEVIEW HOSPITAL HAS CONTINUED PARTICIPATION IN COMMUNITY LEADERSHIP TEAM, WORKING TOGETHER ON JOINT PROJECTS TO IMPROVE PHYSICAL AND MENTAL HEALTH. - THE COMMUNITY HEALTH ACTION TEAM MET 10 TIMES IN 2018 AND HEALTH AND WELLNESS ADVISORY COMMITTEE QUARTERLY. BOTH TEAMS REMAIN ACTIVELY INVOLVED AND ENGAGED IN PROVIDING INPUT AND COLLABORATING ON EFFORTS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH. PRIORITY 2: ACCESS AND AFFORDABILITYIMPROVE CONNECTIONS OF PEOPLE TO HEALTH CARE AND COMMUNITY RESOURCES- LAKEVIEW PROVIDES IN-KIND LABORATORY AND FINANCIAL SUPPORT ANNUALLY TO AGENCIES TO PROVIDE LOW COST HEALTH CARE (PORTICO) AND CONNECT PEOPLE TO SERVICES (COMMUNITY THREAD). LAKEVIEW SPONSORED A WEEKLY CONNECTOR LOOP BUS TO INCREASE ACCESS OF COMMUNITY MEMBERS WITHOUT TRANSPORTATION TO COMMUNITY SERVICES AND HEALTH CARE. LAKEVIEW SERVES ON THE TRANSPORTATION ADVISORY COMMITTEE TO GUIDE FUTURE DEVELOPMENT AND PROMOTION OF BUS LOOP.- EMPLOYEE WELLNESS IS ALIGNED WITH KEY HEALTH PRIORITIES THROUGH HEALTH ASSESSMENTS AND CLAIMS DATA. EMPLOYEE COMMUNICATIONS ENGAGE EMPLOYEES WITH HEALTH CHAMPIONS IDENTIFIED, TRAINED, AND MOBILIZED. HOSPITAL LEADERSHIP COMMITTED TO POLICIES AND PRACTICES TO IMPROVE EMPLOYEE HEALTH, SUCH AS BETTER FOOD ON CAMPUS. - PROVIDED 1,241 ONE-ON-ONE CONTACTS AND 3,559 GROUP CONTACTS. NURSES MADE 768 REFERRALS TO CHURCH AND COMMUNITY RESOURCES.- LAKEVIEW SUPPORTS AGENCIES TO DELIVER MENTAL AND CHEMICAL HEALTH SERVICES ARE OFFERED FOR NO CHARGE AT THE STILLWATER STUDENT WELLNESS CENTER (FAMILYMEANS AND YOUTH SERVICE BUREAU). IN ADDITION, A LAKEVIEW DIETITIAN SEES STUDENTS AT NO CHARGE FOR NUTRITION, PHYSICAL ACTIVITY AND WEIGHT CONCERNS AND QUESTIONS.INCREASE ACCESS, AFFORDABILITY AND QUALITY OF PRIMARY AND PREVENTATIVE HEALTHCARE- FINANCIAL SERVICES OFFERED AT LAKEVIEW INCLUDE PATIENT ACCOUNT REPRESENTATIVES, WHICH WILL FILE MEDICARE AND MEDICAID HEALTH INSURANCE COVERAGE ON THE PATIENT'S BEHALF, ALONG WITH HAVING FINANCIAL ASSISTANCE OPPORTUNITIES INCLUDING PAYMENT PLANS WITH NO INTEREST AND/OR DISCOUNTS BASED ON QUALIFICATIONS PROVIDED ON THE FINANCIAL ASSISTANCE APPLICATION. - LAKEVIEW PRESCRIPTION ASSISTANCE PROGRAM PROVIDED 464 PRESCRIPTIONS TO QUALIFIED CLINIC PATIENTS.- THE COMMUNITY HEALTH ACTION TEAM AND HEALTH AND WELLNESS ADVISORY COMMITTEE REMAIN ACTIVELY INVOLVED IN PROVIDING INPUT AND COLLABORATING ON EFFORTS TO IMPROVE ACCESS AND AFFORDABILITY. - THE COMMUNITY HEALTH ACTION TEAM AND HEALTH AND WELLNESS ADVISORY COMMITTEE REMAIN ACTIVELY INVOLVED IN PROVIDING INPUT AND COLLABORATING ON EFFORTS TO IMPROVE ACCESS AND AFFORDABILITY.PRIORITY 3: CHRONIC DISEASE AND ILLNESS PREVENTIONMAKE BETTER EATING AND PHYSICAL ACTIVITY EASY, FUN AND POPULAR FOR CHILDREN AND FAMILIES THROUGH THE POWERUP INITIATIVE- OVER 98,000 PEOPLE EXPOSED TO POWERUP AT COMMUNITY EVENTS AND THROUGH COMMUNICATIONS. - 1,526 KIDS ATTENDED EVENTS DURING POWERUP WEEK.- 8580 STUDENTS PARTICIPATED IN THE POWERUP SCHOOL CHALLENGE AND SCHOOL CHANGE TOOLKIT. (WASHINGTON, ST. CROIX COUNTIES).- MORE THAN 2000 STUDENT ATHLETES RECEIVED NUTRITION TRAINING IN 2018 THROUGH CLASSES AND INDIVIDUAL CONSULTATIONS AT SCHOOL WELLNESS CENTER.- 212 KIDS PARTICIPATED IN COOKING CLASSES- 152 OPEN GYMS WERE HELD IN PARTNERSHIP WITH SCHOOL DISTRICTS. STILLWATER PUBLIC SCHOOLS WORKED WITH POWERUP TO POWERUP THEIR CONCESSIONS DURING SUMMER SPORTS- LAKEVIEW HOSPITAL IMPLEMENTS THE REACH OUT AND READ PROGRAM DURING WELL-CHILD VISITS, INFANCY THROUGH AGE 5.- LAKEVIEW BABY CAFE WITH LACTATION CONSULTANTS BEGAN SUMMER, 2018. LAKEVIEW ACHIEVED BABY-FRIENDLY HOSPITAL STATUS IN 2018.PRIORITY 4: EQUITAABLE CAREIMPROVE CAPACITY TO DELIVER EQUITABLE CARE- HEALTHPARTNERS DIVERSITY AND INCLUSION TEAM HAS BEEN GUIDING THE PROCESS FOR ALL EMPLOYEES THROUGH MYLEARNING TO INCREASE CULTURAL HUMILITY. ALL LEADERS WERE TRAINED WITH TOOLS ADDRESSING DIVERSITY, INCLUSION AND BIAS TO BRING BACK TO THEIR TEAMS. DIVERSITY, INCLUSION AND BIAS ARE EMBEDDED INTO OUR APPROACH TO CARE.- LAKEVIEW CONTINUES TO PARTICIPATE IN COMMUNITY LEADERSHIP TEAM FOR STATEWIDE HEALTH IMPROVEMENT PROGRAM IN COLLABORATION WITH WASHINGTON COUNTY PUBLIC HEALTH.- FINANCIAL SUPPORT PROVIDED TO AGENCIES INCLUDING PORTICO, VALLEY OUTREACH, COMMUNITY THREAD, YSB, AND CANVAS HEALTH TO MEET THE NEEDS OF UNDERSERVED POPULATIONS.A FULL REPORT OF LAKEVIEW HOSPITAL'S 2015 CHNA AND ANNUAL IMPLEMENTATION PLAN UPDATE IS POSTED ON THEIR WEBPAGE AT HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA WHICH PROVIDES A DETAILED DESCRIPTION OF ALL THE ACTIVITIES.A FULL REPORT OF THE HOSPITAL'S 2015 CHNA AND ANNUAL IMPLEMENTATION PLAN UPDATE IS POSTED ON THEIR WEBPAGE AT HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA WHICH PROVIDES A DETAILED DESCRIPTION OF ALL THE ACTIVITIES.ACTIONS THE HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY AND HAS USED THE ABOVE FINDINGS AND HEALTH PRIORITIES TO CREATE A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. THE HOSPITAL'S IMPLEMENTATION PLAN IDENTIFIES OBJECTIVES AND ACTION STEPS FOR EACH PRIORITY. EACH OBJECTIVE IDENTIFIES ONE WAY THAT THE HOSPITAL WILL POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY. THE ACTION STEPS DEMONSTRATE STRATEGIES THAT THE HOSPITAL WILL TAKE TO CARRY OUT EACH OBJECTIVE. |
| 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: THE POLICY STATES THAT IF THE UNINSURED DISCOUNT IS MORE FAVORABLE THAN THE AGB DISCOUNT, THE UNINSURED DISCOUNT SHALL APPLY. THERE WERE NO SITUATIONS IN 2018 WHERE AN INDIVIDUAL QUALIFYING FOR CHARITY CARE HAD A PATIENT RESPONSIBILITY MORE THAN AGB. |
| 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. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | LAKEVIEW 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 ALMOST 200 CLASSES IN 2018 WAS $306,867.THE HOSPITAL PROVIDED INTERPRETER SERVICES FOR PATIENTS AND VISITORS AT A COST OF $24,396 IN 2018. |
| 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 $72,440.IN 2018, OUR STAFF PROVIDED 2,359 HOURS OF TIME AS PRECEPTORS TO STUDENT PROFESSIONAL INTERNS IN PHARMACY, NURSING, MEDICAL RECORDS AND DIABETES AND NUTRITION SERVICES AT A NET COST OF $144,278. |
| 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 $5,143,894. |
| 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-ONE GRANTS WERE APPROVED IN 2018, 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 2018.THE HOSPITAL'S CASH DONATIONS TO COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS IN THE FORM OF SPONSORSHIPS, GRANTS OR SUPPLIES FOR MEDICAL MISSION TRIPS TOTALED $238,881 IN 2018. |
| 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: | IN JULY 2011, THE FASB ISSUED ASU NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR DOUBTFUL ACCOUNTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, WHICH PROVIDES FINANCIAL STATEMENT USERS WITH GREATER TRANSPARENCY ABOUT A HEALTH CARE ENTITY'S NET PATIENT SERVICE REVENUE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMENDMENTS REQUIRE HEALTH CARE ENTITIES TO PRESENT THE PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THEIR STATEMENT OF OPERATIONS. THIS STANDARD WAS EFFECTIVE BEGINNING WITH THE 2012 FISCAL YEAR.THE FOOTNOTE IN THE HEALTHPARTNERS (HP) AUDIT REPORT, WHICH THE HOSPITAL IS PART OF, READS AS FOLLOWS: "HEALTH SERVICE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS OR CHARITY CARE BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS EITHER DOUBTFUL ACCOUNTS FOR CHARITY CARE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, HP'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE BY TAKING INTO CONSIDERATION, BY PAYOR CATEGORY, THE EXPECTED NET COLLECTIONS, ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE PATIENT RESPONSIBILITY PORTION OF COMMERCIAL ACCOUNTS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR CHARITY CARE IS CHARGES FOR UNINSURED PATIENTS. PATIENTS WHO ARE INSURED ARE ASSESSED SEPARATELY FOR COLLECTABILITY FROM UNINSURED PATIENTS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE. FOR PREMIUMS AND OTHER RECEIVABLES, HP'S POLICY IS TO SET UP ALLOWANCES FOR ALL RECEIVABLES OVER 90 DAYS OUTSTANDING." |
| PART III, LINE 8: | 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 | SEE FINANCIAL STATEMENT FOOTNOTE PROVIDED IN RESPONSE TO PART III, SECTION A, LINE 4. |
| PART VI, LINE 2: | THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS ADOPTED IN NOVEMBER 2018, SO THE FOLLOWING DISCUSSION IS BASED ON THE 2015 CHNA. IN 2015, A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") COLLABORATION WAS CONDUCTED FOR HEALTHPARTNERS AND ITS HOSPITALS (REGIONS HOSPITAL, THE HOSPITAL, HUDSON HOSPITAL, WESTFIELDS HOSPITAL, AMERY REGIONAL MEDICAL CENTER, AND PARK NICOLLET METHODIST HOSPITAL) BY COMMUNITY HOSPITAL CONSULTING 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. THE HOSPITAL'S SPECIFIC STUDY AREA IS DEFINED AS: - WASHINGTON COUNTY - ST. CROIX COUNTY - RAMSEY COUNTY DATA ELEMENTS REGARDING ALL SEVEN COUNTIES IN THE SYSTEM'S STUDY AREA ARE INCLUDED IN THIS REPORT FOR COMPARISON, AND ARE ALSO PROVIDED AS AN OPPORTUNITY FOR THE HOSPITALS TO WORK TOGETHER TO MEET THE NEEDS IDENTIFIED IN THE OVERLAPPING COUNTIES.- DEMOGRAPHICS: CHC CONSULTING ANALYZED THE MOST CURRENT DEMOGRAPHICS OF RESIDENTS IN WASHINGTON, ST. CROIX, AND RAMSEY COUNTIES INCLUDING: OVERALL POPULATION, POPULATION BY RACE AND ETHNICITY, MEDIAN AGE, MEDIAN HOUSEHOLD INCOME, POVERTY LEVELS, FOOD INSECURITY, AND EDUCATIONAL ATTAINMENT.- HEALTH DATA COLLECTION: CHC CONSULTING ANALYZED THE MOST CURRENT HEALTH DATA AVAILABLE PERTAINING TO RESIDENTS IN WASHINGTON, ST. CROIX, AND RAMSEY COUNTIES INCLUDING: MORTALITY RATES, CHRONIC CONDITIONS, HEALTH BEHAVIORS, MENTAL HEALTH, COMMUNICABLE DISEASES, PREVENTION AND FATALITY.- COMMUNITY INPUT: AS A PART OF COUNTY-WIDE ASSESSMENTS, SURVEYS AND LISTENING SESSIONS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS. IN ADDITION, THE HOSPITAL CONDUCTED COMMUNITY CONVERSATIONS ON MAY 15, 2015 AND JULY 15, 2015 TO GAIN INSIGHT SURROUNDING SIGNIFICANT HEALTH NEEDS.- FINAL PRIORITIZED NEEDS - MENTAL AND BEHAVIORAL HEALTH - ACCESS AND AFFORDABILITY - CHRONIC DISEASE AND ILLNESS PREVENTION - EQUITABLE CAREA FULL REPORT OF THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN IS POSTED ON THEIR WEBPAGE AT HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA. |
| 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 ARE 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 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 LAKEVIEW'S PUBLIC WEBSITE, WWW.LAKEVIEWHEALTH.ORG.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 WWW.LAKEVIEWHEALTH.ORG. 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.CENSUS FIGURES FOR 2013 SHOW THE FOLLOWING FOR WASHINGTON COUNTY:TOTAL POPULATION: 246,683- PERSONS UNDER 5 YEARS: 6.2%- PERSONS UNDER 18 YEARS: 25.4%- PERSONS 65 YEARS AND OVER: 12.3% IT IS ESTIMATED THAT THE 65 AND OLDER GROUP IN WASHINGTON COUNTY WILL GROW BY 350% BY 2030.- POPULATION CHANGE FROM 2010 TO 2013: +3.6%- FEMALES: 50.5%- WHITE PERSONS: 87.9%- PERSONS OF COLOR: 12.1%- LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 9.3%- HIGH SCHOOL GRADUATES: 95.9%- BACHELOR'S DEGREE OR HIGHER: 40.5%- PERSONS BELOW POVERTY LEVEL 2009 - 2013: 5.7%- MEDIAN HOUSEHOLD INCOME IN WASHINGTON COUNTY FROM 2009 - 2013 WAS $81,540. |
| 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PORTICO HEALTHNET | |||||||
| 1690 UNIVERSITY AVE W STE 250 | ST PAUL | MN | 55104 | 411814659 | 501 (C)(3) | $40,785 | PROGRAM SUPPORT |
| FAMILY MEANS | |||||||
| 1875 NORTHWESTERN AVENUE | STILLWATER | MN | 55082 | 416045574 | 501 (C)(3) | $35,000 | PROGRAM SUPPORT |
| CANVAS HEALTH | |||||||
| 7066 STILLWATER BLVD N | OAKDALE | MN | 55128 | 410955577 | 501 (C)(3) | $15,000 | PROGRAM SUPPORT |
| YOUTH SERVICE BUREAU | |||||||
| 101 W PINE ST | STILLWATER | MN | 55082 | 411333578 | 501 (C)(3) | $10,000 | PROGRAM SUPPORT |
| OPERATION GRACE MN | |||||||
| 1769 LEXINGTON AVE N 204 | ROSEVILLE | MN | 55113 | 471051919 | 501 (C)(3) | $10,000 | PROGRAM SUPPORT |
| PROJECT LIFE | |||||||
| 14563 6OTH ST N | OAK PARK HTS | MN | 55082 | 411593503 | 501 (C)(3) | $5,000 | PROGRAM SUPPORT |
| DARTS | |||||||
| 1645 MARTHALER LANE | WEST ST PAUL | MN | 55118 | 411326631 | 501 (C)(3) | $5,000 | PROGRAM SUPPORT |
| YOUTH ADVANTAGE INC | |||||||
| PO BOX 11 | STILLWATER | MN | 55082 | 262920118 | 501 (C)(3) | $15,000 | PROGRAM SUPPORT |
| COMMUNITY THREAD | |||||||
| 2300 ORLEANS ST W | STILLWATER | MN | 55082 | 410967271 | 501 (C)(3) | $10,000 | PROGRAM SUPPORT |
| ST CROIX CHAPLAINCY ASSN | |||||||
| PO BOXC 322 | STILLWATER | MN | 55082 | 411628281 | 501 (C)(3) | $5,000 | PROGRAM SUPPORT |
| TREEHOUSE | |||||||
| 5666 LINCOLN DR SUITE 201 | EDINA | MN | 55436 | 363287099 | 501 (C)(3) | $7,500 | PROGRAM SUPPORT |
| VALLEY OUTREACH | |||||||
| 1901 CURVE CREST BLVD W | STILLWATER | MN | 55082 | 411452973 | 501 (C)(3) | $10,000 | PROGRAM SUPPORT |
| ST ANDREW'S LUTHERAN CHURCH | |||||||
| 900 STILLWATER RD | MAHTOMEDI | MN | 55115 | 410880458 | 501 (C)(3) | $10,000 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT AEBISCHER | ||||||||||||||
| DIRECTOR | $0 | $388,769 | $0 | $127,680 | $0 | $61,339 | $0 | $136,615 | $0 | $35,375 | $0 | $749,778 | $0 | $36,797 |
| MEGAN REMARK | ||||||||||||||
| DIRECTOR | $0 | $515,709 | $0 | $161,965 | $0 | $58,938 | $0 | $158,389 | $0 | $37,067 | $0 | $932,068 | $0 | $28,720 |
| KEVIN BJORK MD | ||||||||||||||
| DIRECTOR | $0 | $311,238 | $0 | $0 | $0 | $235,624 | $0 | $20,625 | $0 | $34,729 | $0 | $602,216 | $0 | $0 |
| ANDREW E DORWART MD | ||||||||||||||
| PRESIDENT & DIRECTOR | $0 | $382,166 | $0 | $37,086 | $0 | $43,889 | $0 | $20,625 | $0 | $34,112 | $0 | $517,878 | $0 | $0 |
| JOHN MISA MD | ||||||||||||||
| DIRECTOR | $0 | $407,722 | $0 | $200,110 | $0 | $68,491 | $0 | $74,661 | $0 | $27,915 | $0 | $778,899 | $0 | $53,843 |
| MARTHA SANFORD MD | ||||||||||||||
| DIRECTOR | $0 | $165,826 | $0 | $10,607 | $0 | $166,617 | $0 | $20,625 | $0 | $32,371 | $0 | $396,046 | $0 | $0 |
| DOUGLAS E JOHNSON | ||||||||||||||
| DIRECTOR & CFO | $296,904 | $0 | $51,144 | $0 | $22,739 | $0 | $121,094 | $0 | $36,828 | $0 | $528,709 | $0 | $0 | $0 |
| TED WEGLEITNER | ||||||||||||||
| DIRECTOR & CEO | $0 | $421,844 | $0 | $101,090 | $0 | $45,068 | $0 | $76,500 | $0 | $35,633 | $0 | $680,135 | $0 | $40,735 |
| KATHLEEN COONEY | ||||||||||||||
| EXECUTIVE VP & COA | $0 | $88,912 | $0 | $266,006 | $0 | $335,159 | $0 | $13,750 | $0 | $21,747 | $0 | $725,574 | $0 | $319,601 |
| ROBBI A HAGELBERG | ||||||||||||||
| VP OF OPERATIONS & CNO | $199,393 | $0 | $23,502 | $0 | $1,577 | $0 | $11,649 | $0 | $19,794 | $0 | $255,915 | $0 | $0 | $0 |
| NATE PULSCHER | ||||||||||||||
| VP ANCILLARY SERVICES | $179,525 | $0 | $21,396 | $0 | $244 | $0 | $8,262 | $0 | $34,369 | $0 | $243,796 | $0 | $0 | $0 |
| THOMAS ANDERSON | ||||||||||||||
| VP MEDICAL AFFAIRS | $0 | $199,635 | $0 | $10,897 | $0 | $154,320 | $0 | $23,912 | $0 | $32,687 | $0 | $421,451 | $0 | $0 |
| MATT RICHIE | ||||||||||||||
| ADMINISTRATOR | $256,997 | $0 | $31,759 | $0 | $8,985 | $0 | $14,010 | $0 | $24,599 | $0 | $336,350 | $0 | $0 | $0 |
| MICHAEL D WEIS | ||||||||||||||
| CRNA | $185,565 | $0 | $23,834 | $0 | $38,923 | $0 | $9,526 | $0 | $31,408 | $0 | $289,256 | $0 | $0 | $0 |
| MICHAEL S KENNEDY | ||||||||||||||
| CRNA | $171,290 | $0 | $0 | $0 | $33,383 | $0 | $8,782 | $0 | $30,775 | $0 | $244,230 | $0 | $0 | $0 |
| JUSTIN R CUSICK | ||||||||||||||
| CRNA | $175,140 | $0 | $0 | $0 | $30,381 | $0 | $7,628 | $0 | $34,379 | $0 | $247,528 | $0 | $0 | $0 |
| ANN RIPLEY | ||||||||||||||
| QUALITY | $173,273 | $0 | $21,984 | $0 | $7,168 | $0 | $10,932 | $0 | $31,317 | $0 | $244,674 | $0 | $0 | $0 |
| BETTY A BENDER | ||||||||||||||
| CRNA | $173,550 | $0 | $0 | $0 | $18,092 | $0 | $7,287 | $0 | $28,137 | $0 | $227,066 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 17,651 KATHLEEN COONEY $ 33,002 JOHN S. MISA, MD $ 49,163 TED WEGLITNER $ 36,931 MEGAN REMARK $ 30,329 |
| 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 $ 36,797 KATHLEEN COONEY $ 319,601 JOHN S. MISA, MD $ 53,843 TED WEGLITNER $ 40,735 MEGAN REMARK $ 28,720 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (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 HEALTHPARTNERS ORGANIZATION ("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 INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS WITH HEALTH CARE ACTIVITIES PRIMARILY OPERATING IN MINNESOTA, WESTERN WISCONSIN AND EXPANDING INTO OTHER MIDWESTERN STATES. 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 100 OWNED AND LEASED PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND 25 DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS ALSO CONTRACTS WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS LOCATED PRIMARILY IN MINNESOTA, WESTERN WISCONSIN AND EXPANDING INTO OTHER MIDWESTERN STATES. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. 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 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 2018 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 RIHS AND ITS SISTER ORGANIZATIONS, REGIONS HOSPITAL (REGIONS), REGIONS HOSPITAL FOUNDATION, RH-WISCONSIN, INC., STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH), AND CAPITOL VIEW TRANSITIONAL CARE CENTER, 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 MEMORIAL HOSPITAL FOUNDATION, A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION (THE FOUNDATION) AND STILLWATER MEDICAL GROUP (SMG), A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION. 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, AND 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 $1,378,772 IN FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS IN 2018. 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 $1,523,694. 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 2018. 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 SUPPORTED TRAINING OF MORE THAN 350 MAKE IT OK ANTI-STIGMA CAMPAIGN AMBASSADORS FOR MENTAL HEALTH IN 2018. THE HOSPITAL SUPPORTED POWERUP, A COMMUNITY-WIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND ACTIVE LIVES 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 SPONSORED AND COORDINATED, FOR THE BENEFIT OF THE COMMUNITY, CLOSE TO 200 CLASSES, EVENTS AND SUPPORT GROUPS DURING THE YEAR, REACHING OVER 2,000 INDIVIDUALS, AT A NET COST OF APPROXIMATELY $306,867. THIS INCLUDED: TAI CHI, JOINT HEALTH, DIABETES EDUCATION, BLOOD DRIVES, CANCER SUPPORT GROUPS, ADVANCED CARE PLANNING, VEIN SCREENINGS, WOMEN'S HEALTH, TEDDY BEAR CLINICS (TO HELP ALLEVIATE THE ANXIETY ASSOCIATED WITH COMING TO THE HOSPITAL), FALLS PREVENTION CLASSES AND BABYSITTING TRAINING. THE HOSPITAL PROVIDED INTERPRETER SERVICES FOR PATIENTS AND VISITORS AT A COST OF $24,396 IN 2018. |
| FORM 990, PART III, LINE 4A | THE HOSPITAL SUPPORTED THE ST. CROIX VALLEY FAITH COMMUNITY NURSE PROGRAM, WHICH IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES SERVED BY LOCAL CONGREGATIONS. 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, PROVIDING FREE AND LOW-COST MEDICATIONS FOR THOSE WITH FINANCIAL NEED. A STAFF MEMBER AT THE 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 $72,440. IN 2018, OUR STAFF PROVIDED 1,499 HOURS OF TIME AS PRECEPTORS TO STUDENT PROFESSIONAL INTERNS IN PHARMACY, NURSING, MEDICAL RECORDS AND DIABETES AND NUTRITION SERVICES AT A NET COST OF $102,184. 3. 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 $5,143,894. 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 SERVICES THAT REDUCE BARRIERS TO OBTAINING HELP IN AN EASILY ACCESSIBLE, WELCOMING AND CONFIDENTIAL SETTING. THESE LOW TO NO COST SERVICES INCLUDE MENTAL HEALTH, CHEMICAL HEALTH AND NUTRITION ISSUES. THE WELLNESS CENTER WAS GIVEN A NEW, LARGER SPACE AND INCREASED AVAILABILITY AT THE STILLWATER AREA HIGH SCHOOL IN 2018, ALLOWING MORE SCHEDULED APPOINTMENTS AND THE ABILITY TO RESPOND QUICKLY WHEN IMMEDIATE NEEDS ARISE DURING THE SCHOOL WEEK. IN 2018, THE PROGRAM SERVED 166 STUDENTS IN 2,153 SESSIONS AT THE WELLNESS CENTER. 4. FINANCIAL CONTRIBUTIONS: ON BEHALF OF THE HOSPITAL, THE FOUNDATION ADMINISTERS GRANTS, WHICH ARE APPROVED BY THE HOSPITAL'S GRANT COMMITTEE. THE TWENTY-ONE GRANTS INCLUDED: ACRES FOR LIFE, CANVAS HEALTH, CENTURY COLLEGE FOUNDATION, COMMUNITY THREAD, ESR, FAMILYMEANS, OPERATION GRACE, OPTIONS FOR WOMEN, OUR COMMUNITY KITCHEN, PORTICO HEALTHNET, ST. ANDREW'S RESOURCE CENTER, GRIEF AND CARE SUPPORT THROUGH ST. CROIX CHAPLAINCY ASSOCIATION, STILLWATER PUBLIC LIBRARY FOUNDATION, TREEHOUSE-MAHTOMEDI, UNITED WAY OF THE ST. CROIX VALLEY, VALLEY OUTREACH, VITAL AGING PROGRAM OF WC, 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, DARTS TRANSPORTATION, DRAGON DIVAS, GREATER STILLWATER CHAMBER OF COMMERCE, HALOS, HUDSON HOSPITAL FOUNDATION, JON FRANCIS FOUNDATION, LAKE ELMO ROTARY, MAHTOMEDI AREA EDUCATION FOUNDATION, NIGHT OWL RUN, NORTHERN STAR COUNCIL BSA, PARTNERSHIP PLAN, PHY ED CONNECTIONS, REGIONS HOSPITAL FOUNDATION, STILLWATER NOON ROTARY, STILLWATER SUNRISE ROTARY, ST. ANNE CATHOLIC SCHOOL, ST. CROIX VALLEY FOUNDATION, STILLWATER HIGH SCHOOL, STILLWATER PUBLIC LIBRARY FOUNDATION, UNITED WAY WASHINGTON COUNTY EAST, VITAL AGING PROGRAM OF WASHINGTON COUNTY, AND YOUNGLIFE. FINALLY, THE HOSPITAL PROVIDED SUPPORT FOR MISSION TRIPS COORDINATED BY THE FOLLOWING ORGANIZATIONS: BETHEL LUTHERAN, GLOBAL HEALTH MINISTRIES, FIRST PRESBYTERIAN - TANZANIA, 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 $238,881 IN 2018. 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 PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY AND WORKFORCE DEVELOPMENT. $26,700 SAVED THROUGH RECYCLING (33% RECYCLING RATE), FOOD WASTE, AND OTHER DIVERSION METHODS AND $71,000 WERE COLLECTED IN REBATES. THE HOSPITAL COLLECTED 198 TONS OF MATERIALS WHICH WERE REUSED OR RECYCLED, THEREFORE KEPT OUT OF THE LANDFILL. 24 TONS OF FOOD WAS DIVERTED THROUGH THE "FOOD-TO-HOGS" PROGRAM. 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 532 POUNDS OF MEDICATIONS THROUGH THE MED TAKE BACK PROGRAM FOR DISPOSAL IN 2018. 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 $89,740 OF SAVINGS DURING 2018. THE HOSPITAL'S EMERGENCY MEDICAL SERVICES (EMS) DEPARTMENT PROVIDES EVENT COVERAGE IN THE SURROUNDING COMMUNITIES, WHICH SUPPORT COALITION BUILDING WITH COMMUNITY PARTNERS. EMS PROVIDED 591 HOURS OF COVERAGE AT A COST OF $21,424 AT VARIOUS COMMUNITY EVENTS IN 2018, INCLUDING: LAW ENFORCEMENT MEMORIAL, FOOD TRUCK EXTRAVAGANZA, LIFT BRIDGE ROAD RACE, FIREWORKS MARINE ON ST. CROIX AND STILLWATER, LUMBERJACK DAYS, WASHINGTON COUNTY FAIR, RIVERTOWN ART FAIR, NIGHT OWL SHUFFLE, HARVEST FEST AND COVERAGE FOR VARIOUS PARADES, RACES AND FOOTBALL GAMES THROUGHOUT THE YEAR. 6. COMMUNITY BENEFIT OPERATIONS: THE HOSPITAL STAFF'S TIME TO COLLECT, ANALYZE AND REPORT COMMUNITY BENEFITS FOR 2018 WAS APPROXIMATELY 85 HOURS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); PLEASE REFER TO THE SCHEDULE H NARRATIVE IN THIS 990 REPORT. THE NET 2018 COMMUNITY BENEFIT CONTRIBUTION EQUALED $11,759,934 OR 10.31% OF TOTAL EXPENSES. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. 7. ORGANIZATION AWARDS AND ACHIEVEMENTS: LAKEVIEW 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. LAKEVIEW 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. LAKEVIEW RECEIVED AN A GRADE FROM LEAPFROG, A NATIONAL ORGANIZATION EVALUATING HOSPITAL QUALITY. LAKEVIEW 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. LAKEVIEW 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. LAKEVIEW WAS AGAIN CERTIFIED AS A STROKE READY HOSPITAL BY THE STATE OF MINNESOTA. LAKEVIEW IS ACTIVELY SPONSORING AND PARTICIPATING IN THE STILLWATER CHAMBER OF COMMERCE LEADERSHIP DEVELOPMENT PROGRAM AND WILL HOST ITS HEALTH AND WELLNESS DAY. |
| 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 CHIEF EXECUTIVE OFFICER 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 SHS 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 SHS'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 SHS. 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 -12,500,000. CHANGE IN PENSION LIABILITY VALUATION 986,868. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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 | |||||||||||
| 8171 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| 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 | HPI - RAMSEY | |
| PHYSICIANS NECK & BACK CLINICS | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 270684883 | SPECIALTY PATIENT CARE | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | GROUP HEALTH PLAN 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 | 509(A)(3) TYPE II | 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 INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | RH-WISCONSIN INC | |
| 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) | 0 | 170(B)(1) (A)(VI) | WESTFIELDS HOSPITAL INC | |
| RAMSEY INTEGRATED HEALTH SERVICES | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411503090 | HOME CARE AND HOSPICE | MN | 501(C)(3) | 0 | 509(A)(2) | HPI - RAMSEY | |
| 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 , PHARMACY 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 | 509(A)(3) TYPE III | HUTCHINSON HEALTH | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 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 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $5,027,202 | InvolvedAmt |
| Method Of Amount Determination | CASH AMOUNT | MethodOfAmountDeterminationTxt |
Comments