2015-11-13T16:20:01-06:00 2014-12-31 135665207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2014-01-01 410811697 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC LAKE 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 DOUGLAS E JOHNSON CFO 9528836584 2015-11-13 1 ANN LAMOUREUX P00691316 6123055000 2014 2016-04-25 22:37:26Z DOUGLAS E JOHNSON 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 95122888 0 X WWW.LAKEVIEW.ORG X 1880 MN SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 9 8 876 281 0 0 790926 1136158 92822510 93937698 9926 10374 38658 16859 93662020 95101089 162736 167909 0 0 47132499 48241504 0 0 0 38496032 40976793 85791267 89386206 7870753 5714883 53602402 48852437 13981813 20779044 39620589 28073393 X TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 0 0 77350872 167909 90393290 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 77350872 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 876 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X DOUG JOHNSON 6514304581 927 CHURCHILL STREET WEST STILLWATER MN 55082 X ARBA-DELLA BECK DIRECTOR & SECRETARY 0.10 X 0 0 0 REBECCA BILLINGSLEY DIRECTOR & VICE CHAIR 0.10 X 0 0 0 BRUCE BARTIE DO DIRECTOR 0.10 X 0 0 0 ELIZABETH BRADSHAW DIRECTOR 0.10 X 0 0 0 PHIL DONALDSON DIRECTOR 0.10 X 0 0 0 DAVID REAMER DIRECTOR 0.10 X 0 0 0 C ANDREW ROLLWAGEN DIRECTOR 0.10 X 0 0 0 JIM SCHUG DIRECTOR CHAIR 0.00 X 0 0 0 KENNETH D HOLMEN MD DIRECTOR 0.50 39.50 X 0 630586 119371 JEFFREY J ROBERTSON CEO 35.70 14.30 X X 761012 0 39693 CURT GEISSLER PRESIDENT 50.00 X 515658 0 36399 DOUGLAS E JOHNSON CFO & TREASURER 36.30 18.70 X 467533 0 37730 MARY E JONES REGISTERRED NURSE 40.00 X 129131 0 30964 JO E SITTLOW SR. DIR. - PATIENT CARE 50.00 X 178500 0 31898 CYNTHIA A APPLESETH MANAGER - PHARMACY 45.00 X 150376 0 32942 JEFFREY W MAANUM LEAD ULTRASOUND TECH. 40.00 X 140511 0 32457 NEIL J BLAND PHARMACIST 40.00 X 132256 0 18122 2474977 630586 379576 37 0 1 0 REGIONS HOSPITAL 640 JACKSON ST ST PAUL MN 551012595 ANCILLARY TESTING SERVICES 513813 NURSE ANESTHESIA SERVICES PA 8990 SPRINGBROOK DR COON RAPIDS MN 55432 PROFESSIONAL NURSE ANESTHESIA CALL 433329 QUEST DIAGNOSTICS 1355 MITTEL BLVD WOODDALE IL 60191 REFERENCE LAB SERVICES 291648 BRADEN CONSTRUCTION 1438 7TH STREET HOULTON WI 54082 CONSTRUCTION SERVICES 220410 INTEREUM 845 BERKSHIRE LN N PLYMOUTH MN 55441 CONSTRUCTION SERVICES 214234 17 1118637 17521 1136158 NET PATIENT REVENUE 623990 90393290 90393290 OTHER REVENUE 900099 3082797 3082797 CAFETERIA 722210 317372 317372 GIFT SHOP 453220 118532 118532 CONTRACT REVENUE 900099 25707 25707 93937698 10374 10374 38658 21799 16859 16859 16859 95101089 90393290 0 3571641 167909 167909 2011384 2011384 37041427 33571904 3469523 2026334 1934230 92104 4550027 4343212 206815 2612332 2493593 118739 2776 2776 3358337 2970494 387843 19793 13152 6641 1360946 809136 551810 967455 322133 645322 1349566 1322515 27051 208053 184065 23988 66073 29658 36415 862465 862465 3833144 2881683 951461 364509 17046 347463 MEDICAL & PHARMACY SUPP 21636319 21635716 603 EQUIPMENT & MAINTENANCE 3764536 2112895 1651641 TAXES & ASSESSMENTS 1692436 1692436 OTHER EXPENSE 1489021 845828 643193 1364 491 873 89386206 77350872 12035334 0 12895480 7788898 9800252 11049801 1916461 1963175 401397 505844 35043890 9509726 26415167 25534164 1331669 1151392 841976 859163 53602402 48852437 10643021 8620618 3338792 12158426 13981813 20779044 X 39620589 28073393 39620589 28073393 53602402 48852437 X 5714883 -17262079 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 0 PART II-B, LINE 1: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 2951767 2951767 14778815 2914172 11864643 326621 92054 234567 15945208 5928454 10016754 1041479 575046 466433 25534164 PENSION LIABILITIES 12158426 12158426 X 95122888 0 95122888 -21799 -21799 95101089 89408005 21799 21799 89386206 0 89386206 PART X, LINE 2: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. HP'S ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2014 OR 2013 FOR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -21,799. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 21,799. 1 1 1 X 1 X 1 1 0 1 1 1062924 1062924 0.01190 2515900 843953 1671947 0.01870 4973370 2918352 2055018 0.02300 8552194 3762305 4789889 0.05360 185526 4677 180849 0.00200 82271 82271 0.00090 18036524 12944211 5092313 0.05700 167865 167865 0.00190 18472186 12948888 5523298 0.06180 27024380 16711193 10313187 0.11540 1 1518960 0 22441006 25559838 -3118832 X 1 1 1 HIGH POINTE SURGERY CENTER AMBULATORY SURGERY 0.32700 0.67300 1 1 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 927 CHURCHILL STREET W STILLWATER MN 55082 WWW.LAKEVIEWHEALTH.ORG/ 8029322 X X X LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 12 1 1 0 1 X HTTP://WWW.LAKEVIEWHEALTH.ORG/ X HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA 1 13 1 HTTP://WWW.LAKEVIEWHEALTH.ORG/ 0 0 1 X 100.000000000000 200.000000000000 X X X X X 1 1 X X X 1 X X X X X X 1 X 0 X 1 X 0 1 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 2012, REPRESENTATIVES FROM COMMUNITY HOSPITAL CONSULTING CONDUCTED INTERVIEWS WITH TWENTY (20) STAKEHOLDERS FROM MARCH 14, 2012 - APRIL 6, 2012. INTERVIEWS WERE CONDUCTED WITH PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY INCLUDING:- PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.- FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS OR AGENCIES WITH INFORMATION RELEVANT TO THE HEALTH NEEDS OF COMMUNITY SERVED.- LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED.THE COUNTIES REPRESENTED INCLUDED WASHINGTON, DAKOTA, ST. CROIX AND RAMSEY. THE GOAL OF THE INTERVIEWS WAS TO GATHER OPINIONS AND PERCEPTIONS ON CURRENT HEALTH CARE ISSUES FACED IN THE COUNTIES SERVED AND/OR POPULATIONS REPRESENTED. FOR A FULL DETAILED LIST OF INSTITUTIONS AND PERSONS, PLEASE SEE THE 2012 HEALTHPARTNERS CHNA LOCATED AT OUR WEBSITE: HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2012 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- REGIONS HOSPITAL, ST. PAUL, MN. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 11: THE CHNA CONDUCTED IN 2012 RESULTED IN THE FOLLOWING PRIORITIES AND 2014 IMPLEMENTATION ACTIVITIES FOR EACH PRIORITY ARE INCLUDED BELOW:PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTHLAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) CONTINUES TO SUPPORT THE DIAMOND (DEPRESSION IMPROVEMENT ACROSS MINNESOTA, OFFERING A NEW DIRECTION). DIAMOND IS AN INNOVATIVE PROGRAM THAT HELPS PATIENTS WHO ARE BEING TREATED FOR DEPRESSION RECOVER MORE QUICKLY. THROUGH THE PROGRAM, PATIENTS RECEIVE SUPPORT FROM A TEAM THAT INCLUDES THEIR PRIMARY CARE PROVIDER, A CARE MANAGER WHO INTERACTS WITH THAT PATIENT ON AN ONGOING BASIS AND CONSULTING PSYCHIATRIST.THE HOSPITAL WILL PARTICIPATE IN COMMUNITY BASED COLLABORATIVE EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. THE HOSPITAL GIVES 5% OF ITS NET SURPLUS TO THE LAKEVIEW MEMORIAL HOSPITAL FOUNDATION, WHICH DISBURSES THOSE FUNDS TO COMMUNITY ORGANIZATIONS, INCLUDING PROGRAMS THAT INCREASE ACCESS TO MENTAL HEALTH SERVICES.PRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION / PHYSICAL ACTIVITY)- THE HOSPITAL CONTINUES TO LEAD AND FINANCIALLY SUPPORT POWERUP, A PROGRAM THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND ACTIVE LIVES SO YOUTH CAN REACH THEIR FULL POTENTIAL.- THE HOSPITAL CONTINUES TO SUPPORT BREASTFEEDING, WHICH HAS BEEN LINKED TO LOWER RATES OF OBESITY. THE HOSPITAL PARTICIPATES IN THE BABY-FRIENDLY HOSPITAL INITIATIVE, WHICH IS A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND TO ENCOURAGE AND RECOGNIZE HOSPITALS AND BIRTHING CENTERS THAT OFFER AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING. THE HOSPITAL UTILIZES GRANT FUNDING TO EDUCATE NURSING STAFF ON THE IMPORTANCE OF BREASTFEEDING AND TO EDUCATE MOTHERS ABOUT BEST PRACTICES. - THE HOSPITAL OFFERS ADDITIONAL CLASSES THROUGHOUT THE YEAR FOCUSING ON COMMUNITY EDUCATION. THE HOSPITAL WILL ALSO CONTINUE TO EDUCATE THE PUBLIC ON DIABETES AND NUTRITION. THE HOSPITAL OFFERS "STOMP OUT DIABETES", WHERE CERTIFIED DIABETES AND NUTRITION EDUCATORS TEACH PARTICIPANTS WHAT STEPS THEY CAN TAKE TO REDUCE THE RISK OF TYPE 2 DIABETES.PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE- THE HOSPITAL PARTNERS WITH THE ST. CROIX VALLEY PARISH NURSE PROGRAM, WHICH IS A HEALTHCARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL, AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES SERVED BY LOCAL CONGREGATIONS. PARISH NURSES ARE THE HOSPITAL EMPLOYEES WHO SERVE AREA CONGREGATIONS. THEY BRING HOLISTIC HEALTHCARE AND A VARIETY OF WELLNESS RESOURCES TO PARISHIONERS AND THE COMMUNITY-IN THEIR HOMES, HEALTHCARE SETTING, AND CHURCHES. THE PARISH NURSE PROMOTES A GREATER UNDERSTANDING OF HEALTH RELATED ISSUES AND ADDRESSES THESE CONCERNS THROUGH INFORMATION AND EDUCATION.- THE HOSPITAL PARTNERS WITH "SAGE" THE LARGEST PROGRAM WITHIN THE SAGE SCREENING PROGRAM FAMILY, WHICH IS A BREAST AND CERVICAL CANCER SCREENING PROGRAM. FOR ELIGIBLE WOMEN, SAGE PROVIDES FREE OFFICE VISITS FOR BREAST AND CERVICAL EXAMS, ALONG WITH SCREENING MAMMOGRAM AND PAP SMEARS.PRIORITY 4: IMPROVE SERVICE INTEGRATION- THE HOSPITAL OPERATES A NON-CRITICAL TRANSPORT SERVICE, WHICH ENABLES PATIENTS TO TRAVEL FROM ONE MEDICAL FACILITY TO ANOTHER THAT MIGHT PROVIDE A MORE APPROPRIATE LEVEL OF CARE.- THE HOSPITAL PROVIDES FUNDING TO PORTICO HEALTHNET (PORTICO) TO IMPROVE ACCESS TO PEOPLE WITHOUT HEALTH INSURANCE. PORTICO IS A NONPROFIT ORGANIZATION THAT HELPS 350 PEOPLE PER MONTH ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS.- THE HOSPITAL HOSTED MORE THAN 4 MEETINGS RELATED TO THE AFFORDABLE CARE ACT TO INCREASE UNDERSTANDING OF THE NEW SYSTEM OF ACCESSING HEALTH INSURANCE FOR HEALTH CARE STAFF AND COMMUNITY ORGANIZATIONS AND BUSINESSES.- THE PRESCRIPTION ASSISTANCE PROGRAM PROVIDED FREE AND /OR REDUCED COST MEDICATION ASSISTANCE FOR 307 QUALIFIED CLINIC PATIENTS COPING WITH CHRONIC DISEASES IN 2014.- THE HOSPITAL PROVIDES STILLWATER MEDICAL GROUP EMPLOYEES TO "THE GATHERING" WHICH IS AN END OF LIFE HOSPICE UNIT AT BOUTWELLS, A SENIOR LIVING COMMUNITY. BY PROVIDING END OF LIFE PALLIATIVE CARE, THE HOSPITAL INTEGRATES ASSISTED LIVING WITH HOSPICE CARE, ALLOWING PATIENTS TO REMAIN IN ONE CENTRAL COMMUNITY DURING THE END OF THEIR LIVES.PRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO / ALCOHOL / SUBSTANCE ABUSE)THE HOSPITAL CONTINUES TO PROVIDE LEADERSHIP TO VARIOUS GROUPS THAT FOCUS ON STRATEGIC INITIATIVES TO PREVENT AND TREAT TOBACCO USE, AND ALCOHOL AND SUBSTANCE ABUSE IN THE COMMUNITY. THE HOSPITAL PROVIDES LEADERSHIP TO THE FOLLOWING:- CHEMICAL HEALTH ACTION COLLABORATIVE (CHAC): THE MISSION OF THE CHAC IS TO PREVENT YOUTH ALCOHOL, TOBACCO, AND OTHER DRUG USE THROUGH PARTNERSHIP, EDUCATION, INTERVENTION, AND COMMUNITY CHANGE.- COMMUNITY LEADERSHIP TEAM (CLT): THE HOSPITAL WORKS IN COLLABORATION WITH THE CLT ON BOTH TOBACCO CESSATION AND OBESITY INITIATIVES.- YOUTH ALCOHOL AND DRUG PROGRAM (YADP) AKA "YOUTH MATTERS": THE HOSPITAL SUPPORTED YOUTH MATTERS TO BRING COURAGE RETREATS TO STILLWATER JUNIOR HIGH AND OAKLAND JUNIOR HIGH.- THE HOSPITAL ALSO SUPPORTED TREE HOUSE, FAMILY MEANS, AND THE YOUTH SERVICE BUREAU.- THE HOSPITAL WILL ALSO CONTINUE TO OFFER "FREEDOM FROM SMOKING" CESSATION CLASSES AT LOW TO NO COST TO PEOPLE IN THE COMMUNITY. THIS PROGRAM RUNS BETWEEN 2 TO 4 TIMES PER YEAR.THE HOSPITAL PROVIDES FUNDING FOR THE WELLNESS CENTER, WHICH OPERATES AT THE LARGEST HIGH SCHOOL IN THE SERVICE AREA. THE WELLNESS CENTER IS A PHYSICAL SPACE IN THE HIGH SCHOOL IN COLLABORATION WITH FAMILY MEANS, YOUTH SERVICE BUREAU, THE HOSPITAL, AND INDEPENDENT SCHOOL DISTRICT 834. THIS COLLABORATION PROVIDES SERVICES TO YOUTH AT LOW TO NO COST REGARDING MENTAL HEALTH, DIET, NUTRITION, CHEMICAL AND ALCOHOL ABUSE, WHICH PROVIDES FOCUS TO PRIORITY 1, 2, AND 5 FOR OUR COMMUNITY'S YOUTH."INCREASE ACCESS TO DENTAL SERVICES" WAS IDENTIFIED AS THE SIXTH PRIORITY IN THE COMMUNITIES SERVED BY REGIONS HOSPITAL, THE HOSPITAL, HUDSON HOSPITAL AND WESTFIELDS HOSPITAL. WHILE THIS IS A CONCERN IN THE COMMUNITY, THE CHNA COMMITTEE DECIDED TO FOCUS THEIR EFFORTS ON THE OTHER FIVE PRIORITIES BECAUSE HEALTHPARTNERS AS AN INSURANCE COMPANY IS CURRENTLY THE LEADING DENTAL CARE PROVIDER TO UNINSURED PEOPLE IN MINNEAPOLIS/ST. PAUL. ACCESS TO DENTAL CARE IS NOT A CORE SERVICE LINE FOR THE HOSPITALS AND IS OUTSIDE THE SCOPE OF THE HOSPITAL INFLUENCE. AS A RESULT, COMMUNITY BENEFIT ACTIVITIES WOULD BE MORE BENEFICIAL IN THE OTHER PRIORITIZED AREAS. WHILE OVERALL THE CHNA COMMITTEE DECIDED NOT TO FOCUS EFFORTS ON ORAL HEALTH SERVICES, IT IS NOTEWORTHY THAT ST. CROIX COUNTY IS ADDRESSING "ORAL HEALTH" AS A SUBSET WITHIN THE "ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES" HEALTH PRIORITY AND TASK FORCE. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, PART V, SECTION B, LINE 24: WHEN A PATIENT IS UNINSURED THERE HAVE BEEN INSTANCES WHERE A PORTION OF THE BALANCE IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINING BALANCE IS COVERED BY CHARITY CARE. EXAMPLE: UNINSURED PATIENT HAS $1,000 IN GROSS CHARGES FOR AN ER VISIT. PATIENT QUALIFIES FOR CHARITY CARE AND ALSO GETS THE UNINSURED DISCOUNT. PART OF THE GROSS CHARGES IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINDER BY CHARITY CARE. THE SUM OF BOTH FINANCIAL ASSISTANCE PROGRAMS COVERS 100% OF THE GROSS CHARGES ($1,000). PART I, LINE 7: ACTUAL COSTS ESTIMATED USING COST-TO-CHARGE RATIO AND EXCLUDING BAD DEBT PART III, LINE 4: THE "ACTUAL COST" OF BAD DEBT INCLUDED IN COMMUNITY BENEFIT IS ESTIMATED. BAD DEBT EXPENSE REPRESENTS THOSE ACCOUNTS RECEIVABLE WRITTEN OFF FROM PATIENTS THAT HAVE THE ABILITY TO PAY, AS DETERMINED FROM CHARITY CARE APPLICATIONS AND OTHER DOCUMENTATION, BUT CHOOSE NOT TO. THE BAD DEBT AMOUNT IS THE RECEIVABLE AFTER INSURANCE PAYMENT AND ADJUSTMENTS HAVE ALREADY BEEN MADE, INCLUDING ADJUSTMENTS FOR SELF-PAY IN ACCORDANCE WITH THE AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. SINCE REDUCTIONS HAVE ALREADY BEEN MADE FOR DISCOUNTS AND OTHER ALLOWANCES, THE ENTIRE BALANCE IS CONSIDERED BAD DEBT AND NO FURTHER REDUCTIONS ARE CONSIDERED. PART III, LINE 8: THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE: 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 A PATIENT WAS NOT IDENTIFIED AS A POTENTIAL CHARITY CARE CANDIDATE UPON REGISTRATION, THE FIRST COLLECTIONS CONTACT IS WITH THE HOSPITAL'S INTERNAL BUSINESS STAFF, WHO INTERVIEW THE PATIENT AND DETERMINE IF THE PATIENT IS A CANDIDATE FOR CHARITY CARE. IF THE NECESSARY PAPERWORK IS COMPLETED AND THEY DO QUALIFY FOR CHARITY CARE, THERE IS NO FURTHER COLLECTION ACTIVITY; HOWEVER IF THE PAPERWORK IS NOT COMPLETED, OR IS COMPLETED AND THEY DO NOT MEET THE CRITERIA, THEY ARE SUBJECT TO FURTHER COLLECTION ACTIVITY. THIS FIRST OCCURS INTERNALLY THROUGH HOSPITAL STAFF. IF INTERNAL ATTEMPTS ARE UNSUCCESSFUL, THIS SUBSEQUENTLY OCCURS THROUGH OUTSIDE COLLECTION AGENCIES. PART VI, LINE 2: IN ORDER TO FURTHER IDENTIFY AND ADDRESS SPECIFIC NEEDS IN ITS MARKET AREA, THE HOSPITAL HAS ENGAGED A PARTNER, COMMUNITY HOSPITAL CONSULTING (CHC), TO HELP COORDINATE AND COMPLETE A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR OUR MARKET AREA SERVING A POPULATION OF MORE THAN 250,000 RESIDENTS IN THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN IN 2012.THE HEALTHPARTNERS COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED RELEVANT HEALTH DATA, FINDINGS FROM THE ST. CROIX COMMUNITY HEALTH NEEDS ASSESSMENT, AND STAKEHOLDER INPUT (IN DEPTH INTERVIEWS, ELECTRONIC SURVEY RESULTS, A FOCUS GROUP, AND A TOWN HALL MEETING) TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT HEALTHPARTNERS AND ITS RESPECTIVE HOSPITALS SHOULD SEEK TO ADDRESS. THIS PROCESS CULMINATED WITH 5 MAIN FINDINGS:1. MANY LEADING CAUSES OF DEATH CAN BE LINKED TO UNHEALTHY LIFESTYLES. POOR EATING HABITS, LACK OF EXERCISE, TOBACCO USE AND ALCOHOL AND DRUG USE ARE LARGE CONTRIBUTORS TO UNHEALTHY LIFESTYLES. SOME OF THESE CONDITIONS INCLUDE CANCER, HEART DISEASE, STROKE, DIABETES, AND CHRONIC LOWER RESPIRATORY DISEASE.2. OBESITY, POOR NUTRITION AND LACK OF PHYSICAL EXERCISE ARE GROWING CONCERNS IN THE COMMUNITY SERVED BY THE HOSPITAL.3. ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE IS LIMITED FOR SPECIAL POPULATIONS, SUCH AS THE UN-INSURED OR UNDERINSURED, ETHNICALLY DIVERSE, ELDERLY, AND CHEMICALLY DEPENDENT.4. ACCESS TO SPECIFIC HEALTH SERVICES IS ALSO LIMITED. BARRIERS TO ACCESSING MENTAL HEALTH CARE INCLUDE LITTLE AVAILABILITY, LONG WAIT TIMES, AND A SHORTAGE OF PROVIDERS. BARRIERS TO ACCESSING DENTAL CARE INCLUDE LACK OF INSURANCE, PARTICULARLY BECAUSE MANY PEOPLE, EVEN THOSE WITH MEDICAL INSURANCE, EITHER CAN'T AFFORD IT OR OPT OUT OF DENTAL INSURANCE.5. THERE ARE SIGNIFICANT ISSUES WITH "SERVICE INTEGRATION" IN THE COMMUNITY. THERE IS A LACK OF COMMUNICATION ANDCOORDINATION AMONG PROVIDERS IN THE COMMUNITY, AS WELL AS A DISCONNECT WITHIN THE CONTINUUM OF CARE.FROM THE RESEARCH FINDINGS AND THE TOP FIVE PRIORITIES WERE IDENTIFIED TO ADDRESS THESE COMMUNITY HEALTH NEEDS:PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTHPRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION / PHYSICAL ACTIVITY)PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CAREPRIORITY 4: IMPROVE SERVICE INTEGRATIONPRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO / ALCOHOL / SUBSTANCE ABUSE) PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR HOSPITAL PATIENTS, EACH PATIENT BILLING STATEMENT AND COLLECTIONS LETTER PRODUCED BY THE HOSPITAL INCLUDES THE FOLLOWING NOTICE: "FINANCIAL ASSISTANCE AND PAYMENT ARRANGEMENTS: LAKEVIEW HOSPITAL OFFERS FINANCIAL ASSISTANCE TO PATIENTS EXPERIENCING DIFFICULTY PAYING THEIR MEDICAL BILLS. IF YOU ARE INSURED AND ARE EXPERIENCING DIFFICULTY PAYING THE BALANCE OF YOUR MEDICAL BILL, PLEASE CONTACT OUR BUSINESS OFFICE FOR MORE INFORMATION ABOUT SETTING UP A PAYMENT PLAN OR ABOUT OUR CHARITY CARE PROGRAM. IF YOU ARE UNINSURED AND YOUR HOUSEHOLD INCOME IS LESS THAN $125,000, PLEASE CONTACT OUR BUSINESS OFFICE FOR INFORMATION ON OUR UNINSURED DISCOUNT PROGRAM, SETTING UP A PAYMENT PLAN, OR OUR CHARITY CARE PROGRAM." PART VI, LINE 4: THE HOSPITAL IS IN WASHINGTON COUNTY, MINNESOTA, AND SERVES THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN. CORE SERVICE AREAS INCLUDE - 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 WISCONSINPEOPLE ACROSS MINNESOTA AND WISCONSIN HAVE ACCESS TO THE HOSPITAL'S SERVICES. CENSUS FIGURES FOR 2013 SHOW THE FOLLOWING FOR WASHINGTON COUNTY, MINNESOTA: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 DIABETIC PATIENTS 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 0 - "EXEMPT PURPOSE AND ACHIEVEMENTS". PART VI, LINE 6: AS A MEMBER OF STILLWATER HEALTH SYSTEM (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, THE LAKEVIEW HEALTH AFFILIATED WITH HEALTHPARTNERS. THE MISSION OF HEALTHPARTNERS IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH ITS MEMBERS, PATIENTS AND COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MN PART VI, LINE 7: STATES RECEIVING COMMUNITY BENEFIT REPORT THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH MINNESOTA THROUGH THE MINNESOTA HOSPITAL ASSOCIATION (MHA). 1 PORTICO HEALTHNET 1690 UNIVERSITY AVE W STE 250 ST PAUL MN 55104 51045 CASH AMOUNT PROGRAM SUPPORT FAMILY MEANS 1875 NORTHWESTERN AVENUE STILLWATER MN 55082 30500 CASH AMOUNT PROGRAM SUPPORT 2 PART I, LINE 2: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) MANAGEMENT STAFF REVIEW 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. X X X X 0 1 0 0 0 0 0 0 0 KENNETH D HOLMEN MD DIRECTOR 0 465349 0 125097 0 40140 0 69482 0 49889 0 749957 0 24678 JEFFREY J ROBERTSON CEO 416986 0 299000 0 45026 0 5100 0 34593 0 800705 0 0 0 CURT GEISSLER PRESIDENT 177717 0 170268 0 167673 0 5100 0 31299 0 552057 0 0 0 DOUGLAS E JOHNSON CFO & TREASURER 267994 0 176538 0 23001 0 5100 0 32630 0 505263 0 0 0 MARY E JONES REGISTERRED NURSE 127004 0 1075 0 1052 0 1810 0 29154 0 160095 0 0 0 JO E SITTLOW SR. DIR. - PATIENT CARE 159502 0 18998 0 0 0 3671 0 28227 0 210398 0 0 0 CYNTHIA A APPLESETH MANAGER - PHARMACY 141525 0 8851 0 0 0 3149 0 29793 0 183318 0 0 0 JEFFREY W MAANUM LEAD ULTRASOUND TECH. 130123 0 0 0 10388 0 2725 0 29732 0 172968 0 0 0 NEIL J BLAND PHARMACIST 132256 0 0 0 0 0 1481 0 16641 0 150378 0 0 0 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 DIRECTOR: KENNETH D. HOLMEN, MD $ 23,831 990, 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: KENNETH D. HOLMEN, MD $ 24,678 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (THE HOSPITAL) IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS "HEALTHPARTNERS". FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED SYSTEM OF HEALTH CARE DELIVERY AND HEALTH CARE FINANCING ORGANIZATIONS, AND IS ONE OF THE LARGEST CONSUMER-GOVERNED ORGANIZATIONS IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY, ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS WITH HEALTH CARE ACTIVITIES PRIMARILY OPERATING IN MINNESOTA AND WESTERN WISCONSIN. 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 PLAN'S SERVE MORE THAN 1.5 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE, AND IS THE TOP-RANKED COMMERCIAL PLAN IN MINNESOTA. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,700 PHYSICIANS, SIX HOSPITALS, 55 PRIMARY CARE CLINICS, 22 URGENT CARE LOCATIONS AND NUMEROUS SPECIALTY PRACTICES IN MINNESOTA AND WESTERN WISCONSIN. IN ADDITION, HEALTHPARTNERS DENTAL CARE SYSTEM HAS MORE THAN 60 DENTISTS AND 22 DENTAL CLINICS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUND RAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN THE HEALTHPARTNERS FAMILY, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. HEALTHPARTNERS COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2014 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, STILLWATER HEALTH SYSTEM (SHS), RAMSEY INTEGRATED HEALTH SERVICES AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). SHS IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. THE HOSPITAL AND SHS 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. 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 IS DESIGNATED A LEVEL 3 TRAUMA HOSPITAL AND HAS MEDICAL STAFF IN A VARIETY OF SPECIALTIES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN, GENERAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, OCCUPATIONAL HEALTH, EMERGENCY MEDICINE, PODIATRY, HOSPITALISTS, NEUROLOGY, GERIATRICS, ONCOLOGY, UROLOGY, CARDIOLOGY, SPORTS MEDICINE, ALLERGY/IMMUNOLOGY., OPHTHALMOLOGY, GASTROENTEROLOGY, DERMATOLOGY, RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. COURTESY AND CONSULTING STAFF PROVIDE ADDITIONAL SERVICES, INCLUDING PLASTIC SURGERY, 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 $1,062,924 IN FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES ARE BELOW THE COST OF CARE PROVIDED. THE HOSPITAL'S EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $1,671,946. BENEFIT TO THE COMMUNITY: THE HOSPITAL WORKS 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 2014. OUR PARTNERSHIP WAS ADVANCED ON APRIL 1, 2011, WITH A FORMAL AFFILIATION WITH HEALTHPARTNERS AND ITS FAMILY OF HEALTH CARE ORGANIZATIONS. ADVANCEMENTS WERE MADE TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. THE HOSPITAL CONTINUES TO GROW ITS REPUTATION FOR EXCELLENT CLINICAL OUTCOMES AND SERVICE. HIGHLIGHTS INCLUDE: - INFLUENZA VACCINATION FOR HEALTH CARE WORKERS - THE HOSPITAL ACHIEVED FLU SAFE STATUS BY THE MINNESOTA DEPARTMENT OF HEALTH WITH A RATE OF 82% VACCINATIONS. THE CAMPAIGN INCLUDED EMPLOYEES, CONTRACTED WORKERS, LICENSED PROVIDERS (LIP), STUDENTS AND VOLUNTEERS. - PATIENT SATISFACTION SCORES - THE HOSPITAL CONTINUES TO PERFORM IN THE TOP DECILE FOR PATIENT EXPERIENCE. (SOURCE - NRC PICKER) - SINCE 2011, THE HOSPITAL HAS BEEN DESIGNATED A LEVEL 3 TRAUMA HOSPITAL BY THE MINNESOTA DEPARTMENT OF HEALTH. THIS MEANS WE OFFER 24-HOUR IMMEDIATE COVERAGE BY EMERGENCY MEDICAL PHYSICIANS AND PROMPT EVALUATION BY GENERAL SURGEONS AND ANESTHESIOLOGISTS. - THE HOSPITAL COMPLETED A SUCCESSFUL JOINT COMMISSION SURVEY IN APRIL 2014. WITH APPROXIMATELY 500 STANDARDS AND 3,200 INDIVIDUAL ELEMENTS OF PERFORMANCE IN THE HOSPITAL, HOMECARE AND HOSPICE, VALIDATING THE WORK WE DO IS A DAUNTING TASK. - THE BREAST HEALTH CENTER AT THE HOSPITAL OPENED IN JANUARY 2014. THIS COLLABORATION BETWEEN HUDSON HOSPITAL, WESTFIELDS HOSPITAL AND THE HOSPITAL BRINGS A LOCAL, COMMON APPROACH TO THE MANAGEMENT OF BREAST HEALTH ISSUES INVOLVING DIAGNOSIS AND TREATMENT. THE GOAL IS TO INCREASE SCREENING RATES, UTILIZE A FORMAL PROCESS FOR CARE COORDINATION AND PROVIDE ACCESS TO THE NEWEST TECHNOLOGIES. FORM 990, PART III, LINE 4A WHILE 2014 CONTINUED TO BE A YEAR OF TRANSITIONS FOR THE HOSPITAL, WE EXCELLED IN PROVIDING EXCELLENT PATIENT CARE, REACHING OUT TO THOSE IN NEED OF SERVICES AND EXCEEDING OUR COMMUNITY'S EXPECTATIONS. THE HOSPITAL ENGAGED THE COMMUNITY THROUGH PARTNERSHIPS WITH SCHOOLS, BUSINESSES, AGENCIES AND OTHERS. THESE PARTNERSHIPS POSITIVELY SUPPORT AND STRENGTHEN COMMUNITY HEALTH, EDUCATION AND ECONOMIC DEVELOPMENT. THESE PROGRAMS AND PARTNERSHIPS EMBODY THE HOSPITAL'S MISSION "TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY." THE HOSPITAL CONTINUES TO INCREASE RELATIONSHIPS WITH OTHER PRIMARY CARE CLINICS AND PRIMARY CARE PHYSICIANS. THESE AFFILIATIONS ALLOW US TO PROVIDE EASIER ACCESS TO SERVICES FOR OUR PATIENTS AND SEAMLESS CARE, INCLUDING A COMMON ELECTRONIC MEDICAL RECORD, ACROSS FACILITIES. TOTAL 2014 COMMUNITY BENEFIT CONTRIBUTION EQUALED $10,313,187, WHICH REPRESENTS 11.5% OF TOTAL EXPENSES. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. COMMUNITY HEALTH SERVICES: THE HOSPITAL PARTICIPATED IN COMMUNITY-BASED COLLABORATIVE EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AS OPPORTUNITIES AROSE: - COMMUNITY HEALTH ACTION TEAM (CHAT) FOCUSED DISCUSSION ON MENTAL HEALTH ACCESS AND STIGMA REDUCTION. - THE HOSPITAL AND CHAT BOTH SUPPORT TRAINING FOR ANTI-STIGMA CAMPAIGN, MAKE IT OK, RESPONDED TO REQUESTS FOR TRAINING AS MAKE IT OK AMBASSADORS AND SCHEDULED TRAINING FOR COMMUNITY MEMBERS FOR 1ST QUARTER 2015. - REPRESENTATION AT YOUTH MATTERS (FORMERLY YADP) SUPPORTED COURAGE RETREATS FOR JUNIOR HIGH STUDENTS IN ISD 834. - BEHAVIORAL HEALTH SUMMIT GROUP: THE HOSPITAL IS AN ACTIVE PARTICIPANT IN THE WASHINGTON COUNTY SUMMIT TO EXPLORE PRIORITY NEEDS IN THE AREA OF BEHAVIORAL/MENTAL HEALTH AND SUBSTANCE ABUSE. - SUPPORT FOR POWERUP, A COMMUNITY-WIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND ACTIVES LIVES SO YOUTH CAN REACH THEIR FULL POTENTIAL. - POWERUP DEVELOPED A COMPREHENSIVE EVALUATION STRATEGY FOR THE INITIATIVE INCLUDING A COMMUNITY SURVEY, SENT TO RANDOMLY SELECTED HOUSEHOLDS WITH YOUNG CHILDREN. RESULTS INDICATE A VERY HIGH AWARENESS FOR POWERUP AFTER ONE YEAR IN THE COMMUNITY. THE SURVEY WAS FOR PARENTS OF CHILDREN AGES 4-10 AND ESTABLISHED A BASELINE FOR AWARENESS, PARENTING PRACTICES AROUND FOOD AND PHYSICAL ACTIVITY, CHILDREN'S FOOD AND PHYSICAL ACTIVITY BEHAVIORS, AND BARRIERS TO COMMUNITY CHANGE. THE SURVEY WILL BE REPEATED IN JAN. 2016. - POWERUP SCHOOL CHALLENGE REACHED MORE THAN 10,000 CHILDREN PLUS SCHOOL STAFF IN MORE THAN 25 SCHOOLS THROUGHOUT THE SERVICE AREA. RESULTS INDICATE THAT TEACHERS, FAMILIES AND STUDENTS ARE HIGHLY ENGAGED IN THE PROGRAM WITH AN 80% PARTICIPATION RATE OF CHILDREN TRACKING FRUITS AND VEGETABLES. - MORE THAN 30,000 FAMILIES AND CHILDREN WERE REACHED THROUGH EVENTS, CLASSES, OUTREACH, PROGRAMS AND RESOURCES TO PROMOTE BETTER EATING, FAMILY MEALS, PHYSICAL ACTIVITY, REDUCED SCREEN TIME AND FEWER SUGARY DRINKS. - PARTNERSHIPS HAVE EXPANDED TO INCLUDE SCHOOLS, BUSINESS, NONPROFITS, FAMILIES, FAITH COMMUNITIES, PUBLIC HEALTH AND THE ENTIRE COMMUNITY. - OPEN GYMS, IN PARTNERSHIP WITH LOCAL SCHOOLS, HAVE EXPANDED TO INCLUDE MULTI-SITE OFFERINGS ON A WEEKLY BASIS. THIS FREE OPTION FOR PHYSICAL ACTIVITY RANKED AS ONE OF THE KEY NEEDS IDENTIFIED BY PARENTS OF CHILDREN ON THE FAMILY COMMUNITY SURVEY, JAN. 2014. - THE HOSPITAL HELD TWO AMERICAN RED CROSS BLOOD DRIVES IN 2014, ON THE THE HOSPITAL CAMPUS, WITH 48 STAFF AND COMMUNITY MEMBERS VOLUNTEERING FOR THIS CAUSE. - CONTINUED TO PARTNER WITH THE VITALITY INITIATIVE, A LOCAL GRASSROOTS GROUP, TO IMPLEMENT HEALTHY EATING PROMOTIONS, COMMUNITY EVENTS AND WEIGHT LOSS CHALLENGES. - SUPPORTED SOS FOR YOUTH IN SOMERSET (WI), A PRESCRIPTION ABUSE PREVENTION PROGRAM FOR YOUTH. - CONTINUED FACILITATION OF THE LOCAL CANCER SUPPORT GROUP, IN COLLABORATION WITH THE CANCER CENTER OF WESTERN WISCONSIN. - THE HOSPITAL SPONSORED AND COORDINATED OVER 100 COMMUNITY BENEFIT CLASSES, EVENTS AND SUPPORT GROUPS DURING THE YEAR AT A NET COST OF $99,845. - THE HOSPITAL HOSTED MEETINGS RELATED TO THE AFFORDABLE CARE ACT TO INCREASE COMMUNITY UNDERSTANDING OF THIS NEW SYSTEM OF ACCESSING HEALTH INSURANCE FOR HEALTH CARE STAFF, COMMUNITY ORGANIZATIONS AND AREA BUSINESSES. - THE HOSPITAL CONTINUES TO INCREASE RELATIONSHIPS WITH OTHER PRIMARY CARE CLINICS AND PRIMARY CARE PHYSICIANS. THESE AFFILIATIONS ALLOW US TO PROVIDE EASIER ACCESS TO SERVICES AND SEAMLESS CARE FOR OUR PATIENTS, INCLUDING A COMMON ELECTRONIC MEDICAL RECORD ACROSS FACILITIES. IN JANUARY, 2014, AMERY REGIONAL MEDICAL CENTER BECAME PART OF THE HEALTH PARTNERS FAMILY OF CARE. THIS INCLUDES AMERY HOSPITAL & CLINIC LOCATIONS SUCH AS CLEAR LAKE, LUCK AND TURTLE LAKE CLINICS. HEALTH PROFESSIONAL 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 $82,271. SUBSIDIZED HEALTH SERVICES: THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. IN 2014, LOSS ON SERVICES FOR INPATIENT AND OUTPATIENT HEALTH SERVICES, INCLUDING EMERGENCY AND TRAUMA (EMERGENCY DEPARTMENT AND AMBULANCE/EMS SERVICES), HOSPITAL OUTPATIENT SERVICES (CLINICAL NUTRITION, CARDIAC REHABILITATION), OB/GYN SERVICES, AND HOMECARE AND HOSPICE SERVICES, TOTALED $5,092,000. GRANTS TO SUPPORT HEALTH SERVICES FOR YOUTH AND ADULTS IN THE COMMUNITY INCLUDED: AMERICAN DIABETES ASSOCIATION, ASCENSION EPISCOPAL GARDEN, CANVAS HEALTH, COMMUNITY THREAD, FAMILYMEANS, HOPE ADOPTION & FAMILY SERVICE, MEDICAL TEAMS INTERNATIONAL, PORTICO HEALTHNET, PROJECT LIFE, ST. CROIX VALLEY CHAPLAINCY, ST. CROIX VALLEY FAMILY MEDICAL CLINIC, SOS FOR YOUTH, TREE HOUSE, VALLEY OUTREACH FOOD SHELF, YOUNG LIVES, YOUTH ADVANTAGE AND YOUTH SERVICE BUREAU. IN ADDITION, THE HOSPITAL SUPPORTED YOUTH MATTERS (FORMERLY YADP) TO BRING COURAGE RETREATS TO STILLWATER JUNIOR HIGH AND OAKLAND JUNIOR HIGH SCHOOLS, A PREVENTION PROGRAM FOR ISSUES FACING JUNIOR HIGH YOUTH. YOUTH MATTERS IS IN THE PROCESS OF RE-EVALUATING FOCUS AND POSSIBLY COMBINING WITH OTHER RELATED COMMUNITY COLLABORATIVES. THE HOSPITAL WILL STAY INVOLVED IN THAT PROCESS. 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 SERVICES TO YOUTH AT LOW TO NO-COST FOR MENTAL HEALTH, CHEMICAL HEALTH AND NUTRITION ISSUES. THE WELLNESS CENTER PROGRAM REACHED 3,950 CONTACTS FOR CHEMICAL AND MENTAL HEALTH (1,790 STUDENTS, 1,800 STAFF AND 360 PARENT CONTACTS). NUTRITION COUNSELING WAS PROVIDED TO 89 STUDENTS, INCLUDING THE ALTERNATIVE LEARNING CENTER AND FEDERAL FOUR PROGRAM STUDENTS. ON STUDENT SURVEYS, 100% REPORT NUTRITION COUNSELING HAS BEEN HELPFUL, AND 98% REPORT THEY HAVE CHANGED THEIR EATING HABITS FOR THE BETTER. IN ADDITION, REGISTERED DIETITIANS DID OUTREACH AND EDUCATION THROUGH PRESENTATIONS, CLASSES, HEALTH CLASSES, HEALTH FAIRS AND TO COACHES REACHING MORE THAN 1,800 PEOPLE. FORM 990, PART III, LINE 4A RESEARCH: IN 2012, IN PARTNERSHIP WITH OTHER MEMBERS OF THE HEALTHPARTNERS HOSPITAL DIVISION, THE HOSPITAL ENGAGED THE RESOURCES OF COMMUNITY HOSPITAL CONSULTING (CHC) TO CONDUCT A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA STARTED BY UTILIZING RELEVANT HEALTH DATA, FINDINGS FROM THE WASHINGTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (2010) AND THE HEALTHIER TOGETHER - ST. CROIX COUNTY, HEALTH IMPROVEMENT PROCESS (CHIP) STEERING COMMITTEE. BUILDING ON THE ASSESSMENTS AVAILABLE FROM WASHINGTON AND ST. CROIX COUNTIES, CHC COORDINATED A PROCESS TO FURTHER IDENTIFY AND ADDRESS SPECIFIC NEEDS IN ITS MARKET AREA, TO COMPLETE THE COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR OUR MARKET AREA SERVING A POPULATION OF MORE THAN 250,000 RESIDENTS IN THE EASTERN TWIN CITIES METRO AREA AND WESTERN WISCONSIN IN 2012. THE HOSPITAL'S 2012 CHNA WORKED WITH STAKEHOLDERS BY WAY OF IN-DEPTH INTERVIEWS, ELECTRONIC SURVEY RESULTS, A FOCUS GROUP AND TOWN HALL MEETINGS TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT LAKEVIEW HOSPITAL WILL ADDRESS IN ITS CHNA IMPLEMENTATION PLAN. FROM THE RESEARCH FINDINGS, THE TOP FIVE PRIORITIES WERE IDENTIFIED TO ADDRESS THESE COMMUNITY HEALTH NEEDS: PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTH PRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION/PHYSICAL ACTIVITY) PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE PRIORITY 4: IMPROVE SERVICE INTEGRATION PRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO/ALCOHOL/SUBSTANCE ABUSE) THESE TOP FIVE PRIORITIES CORRELATE VERY WELL WITH THE FIVE PRIORITIES IDENTIFIED IN THE HEALTHIER TOGETHER - ST. CROIX PLAN THAT INCLUDED: 1. ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES 2. OVERWEIGHT, OBESITY AND LACK OF PHYSICAL ACTIVITY 3. ADEQUATE AND APPROPRIATE NUTRITION 4. ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION 5. TOBACCO USE AND EXPOSURE SIMILAR PRIORITIES WERE IDENTIFIED BY WASHINGTON COUNTY PUBLIC HEALTH AND ENVIRONMENT. FINANCIAL CONTRIBUTIONS: - SUPPORT THE NEW RICHMOND (WI) COMMUNITY'S SAFE YOUTH CAMPAIGN, WHICH DEMONSTRATES THE CAUSE AND EFFECTS OF DRUNK DRIVING. - TO ADDRESS HEALTH CARE ACCESS FOR UNINSURED AND UNDER-INSURED PATIENTS, THE HOSPTIAL PROVIDES FUNDING TO PORTICO HEALTHNET (PORTICO). PORTICO IS A NONPROFIT ORGANIZATION THAT HELPED 383 PEOPLE IN 2014 ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS. - IN ADDITION, THE FOLLOWING ORGANIZATIONS AND PROGRAMS WERE SUPPORTED FOR OVERALL COMMUNITY BENEFIT: AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, AMERY REGIONAL MEDICAL CENTER FOUNDATION, BREAST CANCER AWARENESS, CAMP ODAYIN, CHURCH OF ST. MARY, COURAGE CENTER SCV, EAST SUBURBAN RESOURCES, FAMILYMEANS, GLOBAL HEALTH MINISTRIES, GOOD SAMARITAN SOCIETY STILLWATER, HOPE HOUSE, MAHTOMEDI AREA EDUCATION FOUNDATION, MINNESOTA ORGANIZATION FOR FETAL ALCOHOL SYNDROME, MINNESOTA HOSPITAL ASSOCIATION, NORTHERN STAR COUNCIL BSA, PARTNERSHIP PLAN, RED CROSS, REGIONS HOSPITAL FOUNDATION, STILLWATER SUNRISE ROTARY, ST. ANNE'S CATHOLIC SCHOOL, STILLWATER HIGH SCHOOL, ST. CROIX COUNTY HEALTHIER TOGETHER, UNITED WAY WASHINGTON COUNTY EAST, VALLEY CHAMBER CHORALE, AND YOUNG LIFE . - THE HOSPITAL'S CASH DONATIONS TO OTHER TAX-EXEMPT COMMUNITY ORGANIZATIONS IN THE FORM OF SPONSORSHIPS OR CONTRIBUTIONS TOTALED $26,387. 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 HOSPTIAL COLLABORATES ON BOTH TOBACCO CESSATION AND OBESITY INITIATIVES. - HEALTHIER TOGETHER: FOCUSED ON A NUMBER OF HEALTH PRIORITIES, INCLUDING ALCOHOL AND SUBSTANCE ABUSE, IN ST. CROIX COUNTY, WI. - THE HOSPITAL PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY AND WORKFORCE DEVELOPMENT. - LAKEVIEW HOSPITAL PARTICIPATES IN A PROGRAM WHERE FOOD WASTE FROM THE CAFETERIA IS SAVED IN BARRELS AND PICKED UP BY AN AREA FARMER WHO FEEDS THE SCRAPS TO PIG LIVESTOCK. THIS HELPS THE ENVIRONMENT BY REDUCING WASTE, AND ALSO REDUCES THE TAXES THE HOSPITAL PAYS ON GARBAGE BASED ON WEIGHT. IN 2014, 57,720 POUNDS OF FOOD WASTE WAS DIVERTED FROM THE LANDFILL AT A TAX SAVINGS OF $3,463. - IN 2014, THE HOSPITAL BECAME DESIGNATED AS A PRESCRIPTION DRUG DISPOSAL DROP-OFF SITE FOR WASHINGTON COUNTY. COMMUNITY MEMBERS CAN BRING THEIR MEDICATIONS IN THEIR ORIGINAL AND LABELED CONTAINERS TO THE PHARMACY FOR A SAFE, FREE DISPOSAL. - THE COMMUNITY PHARMACY SERVED 174 PATIENTS AND GATHERED 46 LBS. OF MEDICATIONS FOR DISPOSAL IN 2014. - THE HOSPITAL OUTPATIENT PHARMACY SERVED 100 PATIENTS AND GATHERED 63 LBS. OF MEDICATIONS FOR DISPOSAL IN 2014. - THE HOSPITAL INPATIENT PHARMACY SERVED 54 PATIENTS AND GATHERED 22 LBS. OF MEDICATIONS FOR DISPOSAL IN 2014. - EQUIPMENT AND SUPPLY DONATIONS TO MISSIONS AND CHARITIES TOTALED $6,000 IN 2014. - IMPLEMENTED VIRTUAL MEETINGS AS A SUSTAINABLE TRANSPORTATION INITIATIVE. COMMUNITY BENEFIT OPERATIONS: - CONTINUED SUPPORT FOR THE ST. CROIX VALLEY PARISH NURSE PROGRAM, WHICH IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES SERVED BY LOCAL CONGREGATIONS. THE PARISH NURSE PROMOTES A GREATER UNDERSTANDING OF HEALTH-RELATED ISSUES AND ADDRESSES THESE CONCERNS THROUGH INFORMATION AND EDUCATION. IN 2014, THEY PROVIDED 2,280 1:1 CONTACTS, 1,393 GROUP CONTACTS, AND MORE THAN 500 REFERRALS TO CHURCH AND COMMUNITY RESOURCES BRIDGING PEOPLE TO THE WHOLE PERSON CARE, SERVICES AND SUPPORT THEY NEED FOR HEALING AND GREATER WELL-BEING. THE ST. CROIX VALLEY PARISH NURSES SERVED 651 CONTACTS WITH NEW CLIENTS AND 1,631 FOLLOW-UP CONTACTS IN NINE PARISHES THROUGHOUT THE ST. CROIX VALLEY. - NURSES SEE CLIENTS FOR VARIOUS, AND OFTEN MULTIPLE, ISSUES. THE PRIMARY ISSUES ADDRESSED ARE: PHYSICAL HEALTH (30% OF CONTACTS), EMOTIONAL HEALTH (25% OF CONTACTS), SPIRITUAL (20% OF CONTACTS) AND SAFETY (10% OF CONTACTS). NURSES CONNECT CLIENTS TO CHURCH AND COMMUNITY RESOURCES TO HELP SUPPORT THEM IN MULTIPLE WAYS. - THE PARISH NURSES HOLD A BIG COLLABORATE ON AN EVENT EACH SPRING FOR OUR COMMUNITY SENIORS CALLED THE SENIOR HEALTH AND FAITH DAY WITH THE GOAL OF EDUCATING AND INSPIRING THEM TO LIVE WELL PHYSICALLY, EMOTIONALLY AND SPIRITUALLY. OVER 240 SENIORS ATTENDED IN 2014. - SUPPORTED THE PRESCRIPTION ASSISTANCE PROGRAM. A STAFF MEMBER AT THE HOSPITAL, FUNDED BY THE FOUNDATION, ASSISTS PATIENTS WHO HAVE DIFFICULTY AFFORDING THEIR MEDICATIONS. IN 2014, THE PROGRAM PROVIDED ASSISTANCE FOR 276 QUALIFIED CLINIC PATIENTS WHO ARE COPING WITH CHRONIC DISEASES, TO HELP THEM GET FREE AND/OR REDUCED-COST MEDICATIONS. ORGANIZATION AWARDS AND ACHIEVEMENTS: - RECOGNIZED BY THE MINNESOTA HOSPITAL ASSOCIATION FOR ITS COMMITMENT TO PATIENT SAFETY THROUGH ITS PARTICIPATION IN THE THREE-YEAR PARTNERSHIP FOR PATIENTS HOSPITAL ENGAGEMENT NETWORK INITIATIVE. (2014) - RECIPIENT OF A 2014 GREENHEALTH PARTNER FOR CHANGE AWARD BY PRACTICE GREENHEALTH. - RECOGNIZED FOR DELIVERING THE BEST CARE FOR CERTAIN CONDITIONS 95% OF THE TIME OR MORE IN THE JOINT COMMISSION'S TOP PERFORMER ON KEY QUALITY MEASURES REPORT. (2013) - RECOGNIZED FOR HIGH QUALITY SURGICAL CARE IN THE JOINT COMMISSION'S TOP PERFORMER ON KEY QUALITY MEASURES REPORT. (2013) - RECIPIENT OF THE 2014 WOMEN'S CHOICE AWARD RANKING AMONG AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE IN OBSTETRICS. - HOMECARE ELITE TOP AGENCY FOR LAKEVIEW HOMECARE AND A TOP 500 AGENCY. (2013) - RECEIVED BEST POSSIBLE SCORE IN CONSUMER REPORTS FOR SURGICAL CARE. (9/2013) - NAMED A COMMUNITY VALUE FIVE-STAR HOSPITAL BY CLEVERLEY + ASSOCIATES (2011, 2013) - AWARDED CERTIFICATE BY THE MINNESOTA DEPARTMENT OF HUMAN SERVICES FOR HELPING FAMILIES THROUGH THE STATE'S RECOGNITION OF PARENTAGE PROGRAM. (2013) - NAMED A 100 TOP HOSPITAL BY THOMSON REUTERS FIVE TIMES (2003, 2006, 2007, 2008 AND 2012) - RECIPIENT OF A PATIENT/FAMILY ENGAGEMENT AWARD FROM THE MINNESOTA ALLIANCE FOR PATIENT SAFETY. (2012) - NAMED ON THE BECKER'S HOSPITAL REVIEW LIST OF 101 HOSPITALS WITH GREAT ORTHOPEDIC PROGRAMS. (2012) FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS SHS. 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 STILLWATER HEALTH SYSTEM 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 11 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. THIS COPY WILL BE PROVIDED IN A MAILING TO THE BOARD MEMBERS PRIOR TO THE FILING OF THE 990. EACH BOARD MEMBER WILL HAVE AN OPPORTUNITY TO COMMENT OR ASK QUESTIONS ABOUT THE 990 BEFORE IT IS FILED. THIS PROCESS WILL BE NOTED AND DOCUMENTED IN A WRITTEN MEMO IN THE FILES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL BOARD OF DIRECTORS MONITORS POTENTIAL CONFLICTS OF INTEREST OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES, BY MAINTAINING A CONFLICT OF INTEREST POLICY. ANNUALLY, UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. A REPORT OF THESE POTENTIAL CONFLICTS IS SHARED WITH THE GOVERNANCE COMMITTEE, THE CHAIR AND THE CEO. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE DOCUMENTED IN RELATION TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING OFFICERS' COMPENSATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2012. EACH YEAR, UNDER THE DIRECTION OF THE LAKEVIEW HEALTH SYSTEM'S COMPENSATION COMMITTEE, AN ANNUAL TOTAL COMPENSATION MARKET REVIEW IS COMPLETED TO PROVIDE A COMPREHENSIVE MARKET REVIEW FOR THE FOLLOWING EXECUTIVE POSITIONS WITHIN LAKEVIEW HEALTH SYSTEM CEO, SYSTEM CFO, CLINIC PRESIDENT, CLINIC ADMINISTRATOR, AND HOSPITAL PRESIDENT. IN 2011, THE COMPENSATION COMMITTEE RETAINED AN INDEPENDENT EXECUTIVE CONSULTING FIRM TO PROVIDE A REVIEW OF ALL COMPONENTS OF COMPENSATION INCLUDING BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. IN 2012 AND SUBSEQUENT YEARS, UNDER THE COMMITTEE'S DIRECTION, THE GHI HUMAN RESOURCES DEPARTMENT USED THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES. BASED ON THIS UPDATED DATA, THE COMMITTEE LEARNED THE COMPENSATION RATES THAT ARE CONSIDERED P50 TO P60 OF THE MARKET FOR COMPARABLE LAKEVIEW POSITIONS. OTHER CONSIDERATIONS OF THE COMMITTEE INCLUDE: ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES, INDIVIDUAL PERFORMANCE, EXPERIENCE, SUBJECTIVE EVALUATION BY BOARD MEMBERS, GENERAL ECONOMIC CONDITIONS, COSTS OF REPLACEMENT, PREVAILING COMMUNITY ATTITUDES AND BELIEFS REGARDING COMPENSATION. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2S. 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 OR GHI. 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 - STILLWATER HEALTH SYSTEM -925,000. TRANSFER TO AFFILIATE - LAKEVIEW MEMORIAL HOSPITAL FOUNDATION -148,716. TRANSFER TO AFFILIATE - STILLWATER MEDICAL GROUP -6,600,000. CHANGE IN PENSION LIABILITY VALUATION -9,588,363. 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 1 HPI - RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 1 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 1 HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION & RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC 1 CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 412011453 POST HOSPITALIZATION PATIENT CARE MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 1 REGIONS HOSPITAL 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410956618 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 1 REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411888902 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 170(B)(1) (A)(VI) HPI - RAMSEY 1 RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411891928 HEALTHCARE STAFFING MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC 1 RH-WISCONSIN 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 1 PHYSICIANS NECK AND BACK CLINICS 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 270684883 SPECIALTY PATIENT CARE MN 501(C)(3) 509(A)(3) TYPE II GROUP HEALTH PLAN INC 1 HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390804125 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN & GROUP HEALTH PLAN INC 1 HUDSON HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391279567 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC 1 WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 263616590 PROVIDE MEDICAL TRANSPORT SERVICES WI 501(C)(3) 509(A)(3) TYPE II RH-WISCONSIN 1 LAKEVIEW MEMORIAL HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411386635 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT MN 501(C)(3) 509(A)(3) TYPE II STILLWATER HEALTH SYSTEM 1 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 PHYSICIANS GROUP MN 501(C)(3) 509(A)(2) STILLWATER HEALTH SYSTEM 1 STILLWATER HEALTH SYSTEM 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 300221189 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 1 WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN & GROUP HEALTH PLAN INC 1 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391770913 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 509(A)(3) TYPE I WESTFIELDS HOSPITAL INC 1 RAMSEY INTEGRATED HEALTH SERVICES 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411503090 IN-HOME PATIENT CARE MN 501(C)(3) 509(A)(2) HPI - RAMSEY 1 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 363465840 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) TYPE III HEALTHPARTNERS INC 1 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 GRANTS TO SERVE THE COMMUNITY MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET INSTITUTE 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410961862 HEALTHCARE RESEARCH MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 010638901 HEALTHCARE PRODUCTS MN 501(C)(3) 509(A)(3) TYPE II PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410834920 HEALTHCARE MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 1 PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411741792 HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET CLINIC 1 AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390908320 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN 1 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391726539 PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT WI 501(C)(3) 170(B)(1) (A)(VI) AMERY REGIONAL MEDICAL CENTER INC 1 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C 0 HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 522365151 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS SERVICES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683568 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 0 DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 451297583 PROFESSIONAL DENTAL SERVICES MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411236798 MEDICAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC C 0 PARK NICOLLET ENTERPRISES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411656735 REAL ESTATE FOR RELATED ORGANIZATIONS MN PARK NICOLLET HEALTH SERVICES C 0 1 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES L 3002932 CASH AMOUNT