2013-11-13T15:47:04-06:00 2012-12-31 135665207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2012-01-01 390804125 HUDSON HOSPITAL INC HUDS 7155316000 405 STAGELINE ROAD HUDSON WI 54016 DOUGLAS E JOHNSON 7155316000 2013-11-13 1 JASON DIVINE P01076050 6123055000 2012 2016-03-07 17:11:31Z DOUGLAS E JOHNSON 405 STAGELINE ROAD HUDSON WI 54016 51921169 0 X WWW.HUDSONHOSPITAL.ORG X 1950 WI SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 13 10 425 170 0 0 1067367 668392 50844141 49973456 114033 186275 798099 329534 52823640 51157657 9712 16025 0 0 27375409 29620422 0 0 0 22065650 17875680 49450771 47512127 3372869 3645530 66786396 68750038 30259967 28349627 36526429 40400411 X CARING FOR THE HEALTH OF OUR COMMUNITY. 0 0 42132958 16025 50302990 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS 42132958 1 1 0 1 0 1 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 425 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X X DOUGLAS E JOHNSON - CHIEF FINANCIAL OFFICER 7155316013 405 STAGELINE ROAD HUDSON WI 54016 X JOHN CLYMER 1.00 X 159 0 0 SUSAN GILBERT 1.00 X 159 0 0 BILL GOLD MD 1.00 X 159 0 0 DENNIS HARTUNG MD 0.50 X 159 0 0 STEVE KIRBY 0.50 X 159 0 0 RUTH MISENKO 0.50 X 159 0 0 MIKE SELLMAN 0.50 X 159 0 0 MARK STANNARD MD 0.50 X 159 0 0 GREG YOUNG MD 0.50 X 159 0 0 LINDA ZEITS 0.50 X 159 0 0 MARIAN M FURLONG 47.50 2.50 X X 159 296406 74382 BURKE KEALEY MD 0.50 44.50 X 159 402684 87506 BROCK D NELSON 0.50 49.50 X 159 556774 173644 SCOTT A SCHNUCKLE 0.50 49.50 X 159 389303 102177 STEVE MUELLERLEILE 49.50 0.50 X 209120 0 32577 ANN RIPLEY 60.00 X 143720 0 27240 HELEN A SATHRE 20.00 30.00 X 0 161036 19537 KARA A FEDIE 40.00 X 178780 0 15525 DARLA R KLEMENTZ 40.00 X 133477 0 19543 CHERYLL A MARTINY-JORGENSEN 40.00 X 178089 0 27055 JEFFREY L REICHEL 50.00 X 175750 0 22782 GREGG L WILLKOM 40.00 X 177410 0 10916 DEBORAH BRISCH-CRAMER 40.00 X 146725 0 12161 SHEILA PROEHL 40.00 X 0 183014 52607 1345297 1989217 677652 22 1 1 0 WESTERN WISCONSIN ANESTHESIA ASSOCIATES 400 S 2ND STREET SUITE 2010 HUDSON WI 54016 ANESTHESIOLOGIST SERVICES 271824 COMPUTERIZED MEDICAL IMAGING 719 W HAMILTON AVE SUITE B EAU CLAIRE WI 54701 RADIOLOGY SERVICES 257660 SHARED MEDICAL TECHNOLOGY INC 202 W NEWTON ST RICE LAKE WI 54868 DIAGNOSTIC SERVICES 240990 CHRISTIANSEN CREATIVE 900 4TH STREET HUDSON WI 54016 CREATIVE WEB SERVICES 184445 CANCER CENTER OF WESTERN WISCONSIN 235 STATE STREET ST CROIX FALLS WI 54024 PHYSICIAN SERVICES 170300 15 252094 313343 102955 668392 PATIENT SERVICE 623990 49526556 49526556 OTHER HEALTH CARE 623990 156515 156515 DIETARY 722210 145491 145491 GIFT SHOP 453220 144894 144894 49973456 186275 186275 1093046 763512 329534 329534 329534 51157657 50302990 0 186275 16025 16025 412657 412657 25113844 22672729 2441115 4093921 3688898 405023 -17151 -17151 107 107 2194441 1728027 466414 351141 3392 347749 375971 90410 285561 241659 186466 55193 827798 567766 260032 61674 24655 37019 6063 600 5463 1243954 1243954 2800501 2721894 78607 107685 107685 MEDICAL & OFFICE SUPPLY 7672538 7650035 22503 EQUIPMENT & MAINTENANCE 1343303 1169760 173543 TAXES & ASSESSMENTS 268906 268906 RECRUITMENT & TRAINING 236473 112131 124342 160617 -12797 173414 47512127 42132958 5379169 0 15970041 23887319 86098 95503 6778385 6326203 930704 942593 663184 336804 57397245 25432829 32565023 31964416 2278335 2702604 7514626 2494596 66786396 68750038 6471390 6958760 16871 375 22905000 20365487 866706 1025005 30259967 28349627 X 34508182 38065504 1936557 2253217 81690 81690 36526429 40400411 66786396 68750038 X 3645530 228452 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 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: HUDSON HOSPITAL, INC. PAYS FOR CERTAIN CORPORATE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 3 633476 316816 2334907 1 1 81690 81690 81690 81690 81690 81690 81690 81690 81690 81690 0 1 1 12143402 12143402 29608391 16360340 13248051 14700423 8503130 6197293 945029 569359 375670 31964416 THIRD-PARTY PAYOR SETTLEMENTS 1025005 1025005 51921169 0 51921169 -763512 -763512 51157657 48275639 763512 763512 47512127 0 47512127 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PART V, LINE 4: HUDSON HOSPITAL, INC. HOLDS $81,690 OF PERMANENTLY RESTRICTED ASSETS RELATED TO HUDSON HOSPITAL, INC.'S BENEFICIAL INTEREST IN THE NET ASSETS OF HUDSON HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION OF HUDSON HOSPITAL, INC. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL PROPERTY EXPENSE -763,512. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL PROPERTY EXPENSE 763,512. 1 1 1 X 1 X 1 0 1 1 361 118358 0 118358 0.00250 5014 4876506 4647015 229491 0.00480 0 0 0 0.00000 5375 4994864 4647015 347849 0.00730 44 15450 632480 43308 589172 0.01220 2 72 222386 0 222386 0.00460 7 13995 1513487 0 1513487 0.03140 0 0 0 0 0.00000 17 0 62050 0 62050 0.00130 70 29517 2430403 43308 2387095 0.04950 70 34892 7425267 4690323 2734944 0.05680 1 44 872 0 872 0.00000 2 0 3012 0 3012 0.00010 1 400 312 0 312 0.00000 2 100 15257 0 15257 0.00030 1 12 838 0 838 0.00000 2 216 8990 0 8990 0.00020 0 0 0 0 0.00000 1 42 2806 0 2806 0.00010 0 0 0 0 0.00000 10 814 32087 32087 0.00070 1 1156456 0 10585183 10585183 X 1 1 1 ST CROIX VALLEY SHARED SERVICES HOME HEALTH AND HOSPICE CARE 0.25000 0.00000 0.00000 2 WESTERN WISCONSIN CANCER CENTER MEDICAL ONCOLOGY AND RADIATION 0.23700 0.00000 0.00000 1 1 HUDSON HOSPITAL INC

405 STAGELINE ROAD HUDSON WI 54016

X X X X HUDSON HOSPITAL INC 1 1 X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 PART I, LINE 7: USED WORKSHEETS PROVIDED IN SCHEDULE H INSTRUCTIONS TO CALCULATE COST TO CHARGE RATIOS. PART I, LINE 7G: HUDSON HOSPITAL (THE HOSPITAL) IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2012, LOSS ON SERVICES FOR HOSPITAL OUTPATIENT SERVICES INCLUDING RESPIRATORY THERAPY, PHYSICAL THERAPY, ONCOLOGY, EMERGENCY ROOM, OBSERVATION, REGIONAL BLOOD BANK, PROGRAMS FOR CHANGE, LABOR AND DELIVERY TOTALED $1,513,487. COMMUNITY BENEFIT REPORT SCHEDULE H - PART I - LINE 6A AS A NOT-FOR-PROFIT ORGANIZATION, THE HOSPITAL NEEDS TO BE ACCOUNTABLE FOR ITS TAX EXEMPTION STATUS ACCOUNTABLE TO ITS BOARD, STAFF, PHYSICIANS, DONORS, KEY STAKEHOLDERS, COMMUNITY PARTNERS AND MOST OF ALL TO THE COMMUNITIES IT SERVES. THE 2012 REPORT TO COMMUNITY WAS REVIEWED AT BOTH THE BOARD OF DIRECTORS AND THE MANAGEMENT COUNCIL MEETING. IT WAS POSTED ON THE HOSPITAL WEBSITE IN DECEMBER 2012 FOR THE GENERAL PUBLIC TO REVIEW (HUDSONHOSPITAL.ORG/COMMUNITYREPORT). PRINT COPIES WERE AVAILABLE AT THE FRONT DESK IF PEOPLE REQUESTED IT. THE REPORT COMMUNICATES THE ACCOMPLISHMENTS AND CHARITABLE WORKS OF THE HOSPITAL IN SUPPORT OF ITS MISSION - "CARING FOR THE HEALTH OF OUR COMMUNITY" AND HUDSON HOSPITAL FOUNDATION, INC.'S COMMITMENT AND SUPPORT IN THESE EFFORTS. THE ONLINE REPORT SUPPORTS THE HOSPITAL'S GREEN INITIATIVE AND SHARES THE HOSPITAL ACCOMPLISHMENTS, SUPPORT EFFORTS OF THE HUDSON HOSPITAL FOUNDATION AND HEALTHIER TOGETHER UPDATES. PART II: THE HOSPITAL IS AN ENERGETIC MEMBER OF THE LOCAL, STATE AND REGIONAL COMMUNITIES. AS THE HOSPITAL SUPPORTS INDIVIDUALS, ORGANIZATIONS, EVENTS AND PROGRAMS, IT LIVES OUT ITS COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY. KNOWING MUCH MORE CAN BE ACCOMPLISHED TOGETHER, THE HOSPITAL CONTINUED ITS LEADERSHIP AND CO-FACILITATION OF HEALTHIER TOGETHER ST. CROIX COUNTY. THROUGH THIS COUNTY-WIDE, COMMUNITY HEALTH IMPROVEMENT INITIATIVE, THE HOSPITAL BEGAN TO ALIGN ITS COMMUNITY BENEFIT PROGRAM WITH COMMUNITY HEALTH IMPROVEMENT EFFORTS AND CONTINUES TO BUILD VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. THE HOSPITAL PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTS ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT INCLUDING THE TOBACCO COALITION, HEALTHWATCH OF ST. CROIX COUNTY, WEST CENTRAL REGIONAL TRAUMA ADVISORY COUNCIL (RTAC), THE HEALING ARTS PROGRAM, HUDSON CHAMBER, ST. CROIX COUNTY ECONOMIC DEVELOPMENT CORPORATION (EDC), SOMERSET MIDDLE SCHOOL CAREER ACADEMIC AND PERSONAL AND SOCIAL SKILLS (CAPS) CLASS, AND LEADERSHIP HUDSON A PROGRAM DEDICATED TO PROMOTING AND DEVELOPING DYNAMIC BUSINESS AND COMMUNITY LEADERS.THE HOSPITAL CONTINUED ON ITS ECO-FRIENDLY JOURNEY "HEALTH CARE WITHOUT HARM" (2008 COMMITMENT) USING SUSTAINABLE BUSINESS PRACTICES AND ESTABLISHING GREEN PURCHASING POLICIES IN ORDER TO PROVIDE HEALTH CARE THAT'S HEALTHY. GREEN INITIATIVES INCLUDED THE RECYCLING PROGRAM, COMMUNITY SHARPS DISPOSAL SITE, REDUCTION OF ENERGY AND WATER CONSUMPTION, CREATION AND EXPANSION OF THE COMMUNITY GARDEN THE HOSPITAL IN SUPPORT OF HEALTHIER TOGETHER INITIATIVES, AND THE FOSTERING OF HEALING ENVIRONMENTS INCLUDING THE COMMUNITY LABYRINTH. IMPLEMENTING SUSTAINABLE BUSINESS PRACTICES HAS MADE THE HOSPITAL A MODEL WITHIN THE HEALTHPARTNERS FAMILY OF CARE. THE HOSPITAL NUTRITION SERVICES CONTINUED ITS WORK IN SUPPORT OF THE HOSPITAL'S "HEALTHY FOOD IN HEALTH CARE" PLEDGE (2010). THE PLEDGE IS A COMMITMENT TO INCREASE OFFERINGS OF FRUITS AND VEGETABLES, REDUCE FATS AND SWEETENED FOODS, TAKE STEPS TO ENCOURAGE CURRENT VENDORS TO PROCURE LOCAL FOOD, AND WORK DIRECTLY WITH LOCAL FARMS. THE HOSPITAL IS SHARING BEST PRACTICES AND ENCOURAGING OTHER HOSPITALS IN THE HEALTHPARTNERS FAMILY OF CARE TO INCREASE LOCAL PURCHASING. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY SUPPORTED AGRICULTURE (CSA) AND SERVES AS A DISTRIBUTION SITE FOR LOCALLY-GROWN FRESH, ORGANIC PRODUCE FOR STAFF AND COMMUNITY MEMBERS. IN 2012, NUTRITION SERVICES HAD THEIR OWN COMMUNITY GARDEN PLOT TO GROW VEGETABLES THAT WERE USED FOR INPATIENT AND CAFE FOOD. THEY WERE ABLE TO GROW AND UTILIZE 135 POUNDS OF VEGETABLES. COMPOSTING FOR THE GARDENS YIELDED 2.5 TONS IN 2012. PART III, LINE 4: IN JULY 2011, THE FINANCIAL ACCOUNTING STANDARDS BOARD (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 FOR THE 2012 FISCAL YEAR."BAD DEBT" REPRESENTS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO DO SO. BAD DEBT INCLUDES ANY UNPAID PATIENT RESPONSIBILITY THAT MAY INCLUDE, BUT IS NOT LIMITED TO, DEDUCTIBLES, CO-INSURANCE, CO-PAYMENTS AND NON-COVERED SERVICES.THE FOOTNOTE IN THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS 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. 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."BAD DEBT IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER WISCONSIN HOSPITAL ASSOCIATION (WHA). PART III, LINE 8: THE HOSPITAL BASES ITS MEDICARE COSTING METHODOLOGY ON THE CMS MEDICARE COST REPORT METHODOLOGY TO GET THE COST TO CHARGE RATIO. SINCE THE HOSPITAL IS A CRITICAL ACCESS HOSPITAL, REIMBURSEMENT FROM MEDICARE IS EQUAL TO THE COST SO THERE IS NO SUPLUS (SHORTFALL). MEDICARE SHORTFALL IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER WISCONSIN HOSPITAL ASSOCIATION (WHA), BUT CAN BE INCLUDED IN OTHER FINANCIAL REPORTS. PART III, LINE 9B: THE HOSPITAL DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT DEBT COLLECTION POLICIES, WHETHER IMPLEMENTED BY HOSPITAL STAFF OR HOSPITAL'S AGENTS, SHOULD REFLECT THE HOSPITAL'S MISSION AND VALUES. THE HOSPITAL WILL NOT TOLERATE ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY ITS DEBT COLLECTION, ATTORNEY AND AGENCY, AND THEIR AGENTS AND EMPLOYEES, AND THE HOSPITAL EMPLOYEES RESPONSIBLE FOR COLLECTING MEDICAL DEBT FROM PATIENTS. THE HOSPITAL WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. THE HOSPITAL WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A FINANCIAL ASSISTANCE APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED.- THE LEVEL OF AUTHORITY REQUIRED TO MAKE DECISIONS REGARDING AUTHORIZING LITIGATION, PAYMENT PLANS, AND FINANCIAL ASSISTANCE IS: - BALANCES OVER $25,000 CEO - BALANCES BETWEEN $10,000 AND $25,000 CFO - BALANCES BETWEEN $1 AND $10,000 DIRECTOR OF BUSINESS OPERATIONS HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 3: NEEDS ASSESSMENT INPUT IN 2012, IN PARTNERSHIP WITH OTHER MEMBERS OF THE HEALTHPARTNERS HOSPITAL DIVISION, THE HOSPITAL ENGAGED THE RESOURCES OF COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO CONDUCT A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA UTILIZED RELEVANT HEALTH DATA, FINDINGS FROM THE HEALTHIER TOGETHER ST. CROIX COUNTY, WHICH WAS A 2009 QUALITATIVE, AND QUANTITATIVE CHNA CONDUCTED IN PARTNERSHIP WITH THE ST. CROIX COUNTY HEALTH IMPROVEMENT PROCESS (CHIP) STEERING COMMITTEE. IT IS A STRATEGIC, COUNTYWIDE, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. ADDITIONALLY, THE HOSPITAL'S 2012 CHNA WORKED WITH STAKEHOLDERS BY WAY OF IN-DEPTH INTERVIEWS, ELECTRONIC SURVEY RESULTS, A FOCUS GROUP, AND A TOWN HALL MEETING TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT THE HOSPITAL WILL ADDRESS IN ITS CHNA IMPLEMENTATION PLAN. HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 4: NEEDS ASSESSMENT IN CONJUNCTION WITH OTHER HOSPITALS THE HOSPITAL'S 2012 CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE HEALTHPARTNERS FAMILY OF CARE HOSPITALS THAT INCLUDE REGIONS HOSPITAL, ST. PAUL, MN; LAKEVIEW HOSPITAL, STILLWATER, MN; AND WESTFIELDS HOSPITAL, NEW RICHMOND, WI. ADDITIONALLY, THE HOSPITAL CONTINUES TO WORK WITH BALDWIN AREA MEDICAL CENTER AND RIVER FALLS AREA HOSPITAL TO MOVE THE HEALTHIER TOGETHER PLAN FORWARD. HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 5C: NEEDS ASSESSMENT REPORT AVAILABILITYTHE HOSPITAL'S 2012 CHNA AND IMPLEMENTATION PLAN IS AVAILABLE ON THE HEALTH AND WELLNESS SECTION OF THE HOSPITALS WEBSITE AT HTTP://WWW.HUDSONHOSPITAL.ORG/COMMUNITY/THE HOSPITAL'S 2012 CHNA UNCOVERED THE FOLLOWING FINDINGS:- TOBACCO, DRUG, ALCOHOL USE AND OTHER UNHEALTHY BEHAVIORS ARE LINKED TO THE LEADING CAUSES OF DEATH. - OBESITY, POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY ARE GROWING CONCERNS. - ACCESS IS LIMITED TO PRIMARY AND PREVENTIVE CARE FOR UNINSURED, UNDERINSURED, ETHNICALLY DIVERSE, ELDERLY AND CHEMICALLY DEPENDENT PATIENTS. - ACCESS IS LIMITED TO MENTAL HEALTH AND DENTAL CARE. - THERE IS A LACK OF COORDINATION AMONG PROVIDERS. THE HEALTHCARE SYSTEM NEEDS TO LEARN TO ADAPT TO MEET THE NEEDS OF THE COMMUNITY BY INCLUDING CULTURAL SENSITIVITY TRAININGS FOR MEDICAL PROVIDERS.TO ADDRESS THESE COMMUNITY NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN WITH THE FOLLOWING PRIORITIES:- INCREASE ACCESS TO MENTAL HEALTH.- PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY BY IMPROVING NUTRITION AND EXERCISE.- INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE.- IMPROVE SERVICE INTEGRATION.- PROMOTE CHANGE IN UNHEALTHY BEHAVIORS.THESE TOP FIVE PRIORITIES CORRELATE VERY WELL WITH THE FIVE PRIORITIES IDENTIFIED IN THE HEALTHIER TOGETHER ST. CROIX PLAN THAT INCLUDED: - ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES.- OVERWEIGHT, OBESITY, AND LACK OF PHYSICAL ACTIVITY.- ADEQUATE AND APPROPRIATE NUTRITION.- ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION.- TOBACCO USE AND EXPOSURE.EXISTING AND NEW PROGRAMS AND ACTIVITIES ARE MOVING FORWARD TO ADDRESS THE NEEDS OF THE COMMUNITY. THE FOLLOWING IS AN OVERVIEW OF SOME OF THOSE PROGRAMS AT THE HOSPITAL:- CONTINUE SUPPORT WITH HEALTHPARTNERS' OVERALL EFFORTS TO IMPLEMENT THE MENTAL HEALTH ANTI STIGMA CAMPAIGN. SOME OF THESE EFFORTS INCLUDE COLLABORATING WITH LOCAL SERVICE AGENCIES WITH A VESTED INTEREST IN MENTAL HEALTH, SUPPORTING THE ANNUAL NAMI WALK, AND UTILIZING HEALTHPARTNERS' RESOURCES AND TOOLKITS TO RAISE PUBLIC AWARENESS OF MENTAL ILLNESS.- SUPPORT THE YUMPOWER EFFORTS OF HEALTHPARTNERS BOTH INTERNALLY (STAFF EDUCATION AND ENGAGEMENT) AND EXTERNALLY IN THE COMMUNITY'S ELEMENTARY SCHOOLS. YUMPOWER IS A KID FRIENDLY ONLINE RESOURCE THAT PROVIDES NUTRITIONAL ADVICE FOR HEALTHY EATING HABITS. - CONTINUE FACILITATION OF THE LOCAL CANCER SUPPORT GROUP, IN COLLABORATION WITH THE CANCER CENTER OF WESTERN WISCONSIN.- CONTINUE PARTICIPATION IN HIGH SCHOOL JUNIOR PROM MOCK CRASH DRILL.- EXPAND THE COMMUNITY GARDEN ON THE HOSPITAL PROPERTY TO ENCOURAGE HEALTHY EATING. HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 7: UNADDRESSED IDENTIFIED NEEDS THE FOLLOWING ITEMS OF FOCUS ARE CONSIDERED OPERATIONAL AND ARE ADDRESSED IN THE HOSPITAL BUSINESS PLAN: - REDUCE PATIENT UTILIZATION OF EMERGENCY DEPARTMENT TO FREE UP SPACE AND RESOURCES FOR ACUTE MEDICAL CRISES - REDUCTION OF READMISSIONS - INCREASE RELATIONSHIPS WITH PRIMARY CARE CLINIC / PHYSICIANS (CARE TRANSITION) - ASSIST WITH ACCESSING AFFORDABLE MEDICATIONS / MEDICATION MONITORING - PATIENT FINANCIAL SERVICES REPRESENTATIVE (FOCUSED EFFORTS ON ENROLLMENT ASSISTANCE, INFORMATION, AND REFERRAL SERVICES)THE HOSPITAL WILL CONTINUE TO IMPROVE SERVICE INTEGRATION AND THE PATIENT CONTINUUM OF CARE VIA INNOVATIVE PARTNERSHIPS, TECHNOLOGY ADVANCEMENTS AND EFFECTIVE COMMUNICATION WITH OTHER SERVICE PROVIDERS.THE HOSPITAL HAS CHOSEN NOT TO INCLUDE THE PRIORITY, IMPROVED SERVICE INTEGRATION THAT WAS IDENTIFIED IN THE COMPREHENSIVE CHNA CONDUCTED IN 2012 WITHIN ITS COMMUNITY BENEFIT IMPLEMENTATION PLAN. HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 14G: THE HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2012, THE HOSPITAL PROVIDED $118,358 IN FINANCIAL ASSISTANCE. THE HOSPITAL DEFINES FINANCIAL ASSISTANCE 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. TO INFORM AND EDUCATE PATIENTS ON ITS FINANCIAL ASSISTANCE PROGRAM, FINANCIAL ASSISTANCE POLICY, AND GOVERNMENT PROGRAMS, THE HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. WHEN A PATIENT VISITS THE HOSPITAL'S EMERGENCY DEPARTMENT OR IS ADMITTED TO THE HOSPITAL, BASIC INFORMATION ABOUT INSURANCE STATUS IS REQUESTED. IF A PATIENT DOES NOT HAVE HEALTH INSURANCE, PATIENT FINANCIAL SERVICES IS CONTACTED TO MEET OR FOLLOW-UP WITH THE PATIENT. ALL PATIENTS WITHOUT INSURANCE AUTOMATICALLY QUALIFY FOR A DISCOUNT OF 50%, REGARDLESS OF INCOME. IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY ARE ELIGIBLE FOR FURTHER DISCOUNTS, THEY WILL BE REQUESTED TO PROVIDE ADDITIONAL INFORMATION. ENROLLMENT ASSISTANCE, INFORMATION, AND REFERRAL SERVICES ARE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDER INSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE HOSPITAL'S BUSINESS OPERATIONS, EMPLOYS 1.5 FTE FOR PATIENT FINANCIAL SERVICES REPRESENTATIVES TO OVERSEE ITS FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2012, THE HOSPITAL SPENT $14,466 IN STAFF TIME TO ASSIST 273 PATIENTS ENROLL IN PUBLIC MEDICAL PROGRAMS; $40,039 IN STAFF TIME TO GUIDE OR REFER 1,732 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $106,387 IN STAFF TIME TO GUIDE OR REFER 3,025 PATIENTS TO FINANCIAL ASSISTANCE. FINANCIAL INFORMATION (PAYMENT, BILLING AND INSURANCE COVERAGE) AND FINANCIAL ASSISTANCE OPPORTUNITIES ARE NOTED ON THE HOSPITAL'S WEB SITE,ON ALL BILLING STATEMENTS, AND IN THE PATIENT INFORMATION GUIDE, DISTRIBUTED TO ALL NEW PATIENTS. IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. HUDSON HOSPITAL, INC. PART V, SECTION B, LINE 20D: THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINE PRESCRIBED CALCULATION TO DETERMINE THE MAXIMUM CHARGEABLE AMOUNT FOR PATIENTS DETERMINED TO BE FAP ELIGIBLE. THERE IS ALSO AN UNINSURED DISCOUNT IS AVAILABLE TO ASSIST THOSE INDIVIDUALS WHO DO NOT HAVE HEALTH INSURANCE. THE HOSPITAL OFFERS A STANDARDIZED AND UNIFORM APPROACH TO OFFERING A DISCOUNT FOR THE UNINSURED. THE DISCOUNT IS 50% FOR ALL ELIGIBLE PATIENTS, REGARDLESS OF INCOME. PART VI, LINE 2: IN 2012, IN PARTNERSHIP WITH OTHER MEMBERS OF THE HEALTHPARTNERS HOSPITAL DIVISION, THE HOSPITAL ENGAGED THE RESOURCES OF COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO CONDUCT A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA UTILIZED RELEVANT HEALTH DATA, FINDINGS FROM THE HEALTHIER TOGETHER ST. CROIX COUNTY, WHICH WAS A 2009 QUALITATIVE, AND QUANTITATIVE CHNA CONDUCTED IN PARTNERSHIP WITH THE ST. CROIX COUNTY HEALTH IMPROVEMENT PROCESS (CHIP) STEERING COMMITTEE. IT IS A STRATEGIC, COUNTYWIDE, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. ADDITIONALLY, THE HOSPITAL'S 2012 CHNA WORKED WITH STAKEHOLDERS BY WAY OF IN-DEPTH INTERVIEWS, PATIENT ADVISORY COUNCIL, A FOCUS GROUP, AND THE ST. CROIX COUNTY DEPARTMENT OF HEALTH TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT THE HOSPITAL WILL ADDRESS IN ITS CHNA IMPLEMENTATION PLAN.THE HOSPITAL' 2012 CHNA AND IMPLEMENTATION PLAN IS AVAILABLE IN THE COMMUNITY SECTION OF THE HOSPITAL'S WEBSITE AT HTTP://WWW.HUDSONHOSPITAL.ORG/DOCUMENTS/UPLOADS/HUDSON_IMPLEMENTATION_PLAN_FINAL_8.10.12.PDF THE HOSPITAL'S 2012 CHNA UNCOVERED THE FOLLOWING FINDINGS:- TOBACCO, DRUG, ALCOHOL USE AND OTHER UNHEALTHY BEHAVIORS ARE LINKED TO THE LEADING CAUSES OF DEATH. - OBESITY, POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY ARE GROWING CONCERNS. - ACCESS IS LIMITED TO PRIMARY AND PREVENTIVE CARE FOR UNINSURED, UNDERINSURED, ETHNICALLY DIVERSE, ELDERLY AND CHEMICALLY DEPENDENT PATIENTS. - ACCESS IS LIMITED TO MENTAL HEALTH AND DENTAL CARE. - IMPROVE SERVICE INTEGRATIONTO ADDRESS THESE COMMUNITY NEEDS, THE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN FOR THE FOLLOWING PRIORITIES:- INCREASE ACCESS TO MENTAL HEALTH.- PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY BY IMPROVING NUTRITION AND EXERCISE.- INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE.- PROMOTE CHANGE IN UNHEALTHY BEHAVIORS.THESE TOP PRIORITIES CORRELATE VERY WELL WITH THE PRIORITIES IDENTIFIED IN THE 2009-2014 HEALTHIER TOGETHER ST. CROIX PLAN THAT INCLUDED: - ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES.- OVERWEIGHT, OBESITY, AND LACK OF PHYSICAL ACTIVITY.- ADEQUATE AND APPROPRIATE NUTRITION.- ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION.- TOBACCO USE AND EXPOSURE.EXISTING AND NEW PROGRAMS/ACTIVITIES ARE MOVING FORWARD TO ADDRESS THE NEEDS OF THE COMMUNITY. THE FOLLOWING IS AN OVERVIEW OF SOME OF THOSE PROGRAMS AT THE HOSPITAL:- CONTINUED INVOLVEMENT IN THE COUNTY-WIDE HEALTH IMPROVEMENT INITIATIVE NOW KNOWN AS HEALTHIER TOGETHER-ST. CROIX- CONTINUE SUPPORT WITH HEALTHPARTNERS OVERALL EFFORTS TO IMPLEMENT THE MENTAL HEALTH ANTI STIGMA CAMPAIGN. SOME OF THESE EFFORTS INCLUDE COLLABORATING WITH LOCAL SERVICE AGENCIES WITH A VESTED INTEREST IN MENTAL HEALTH, SUPPORTING THE ANNUAL NAMI WALK, AND UTILIZING HEALTHPARTNERS' RESOURCES AND TOOLKITS TO RAISE PUBLIC AWARENESS OF MENTAL ILLNESS.- ACTIVELY PARTICIPATE IN THE ST. CROIX VALLEY CO-OP INITIATIVE TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN THE REGION.- SUPPORT THE YUMPOWER EFFORTS OF HEALTHPARTNERS BOTH INTERNALLY (STAFF EDUCATION AND ENGAGEMENT) AND EXTERNALLY IN THE COMMUNITY'S ELEMENTARY SCHOOLS. YUMPOWER IS A KID FRIENDLY ONLINE RESOURCE THAT PROVIDES NUTRITIONAL ADVICE FOR HEALTHY EATING HABITS. - INCREASE ACCESS TO MEDICATION FOR UN-INSURED AND UNDER-INSURED PATIENTS.- WORK TO ELIMINATE BARRIERS TO ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE BY PROVIDING FINANCIAL SUPPORT FOR HUDSON PHYSICIANS MEDICAL PHYSICIAN LIAISON TO PARTICIPATE IN THE ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES TASK FORCE.- CONTINUE TO OFFER THE HOSPITAL VAN TRANSPORTATION SERVICE TO COMMUNITY RESIDENTS SEEKING PRIMARY MEDICAL CARE AND HOSPITAL SERVICES.- ENROLLMENT ASSISTANCE, INFORMATION AND REFERRAL SERVICES ARE AVAILABLE TO HELP SECURE PAYMENT SOURCES FOR UNINSURED AND UNDERINSURED PATIENTS.- CONTINUED WORK THROUGH HEALTHIER TOGETHER WITH THE OVERWEIGHT AND LACK OF PHYSICAL ACTIVITY TASK FORCES.- HEALTHIER TOGETHER IS THE GRANT RECIPIENT OF A TRANSFORM WISCONSIN IMPACT GRANT (26 MONTH) WITH FOCUS ON ACTIVE COMMUNITIES (JOINT USE AGREEMENTS WITH SCHOOL, PARKS AND RECREATIONAL FACILITIES). THE HOSPITAL, IN PARTNERSHIP WITH OTHER GRANT WORK GROUP MEMBERS, WILL IMPLEMENT A WORK PLAN TO HELP INCREASE PHYSICAL ACTIVITY FOR KIDS, THEIR FAMILIES AND THE COMMUNITY AT LARGE. THE HOSPITAL WILL ACT AS THE FISCAL AGENT AND PROVIDE STAFF MANAGEMENT AND GRANT OVERSIGHT.- THE HOSPITAL OPERATES PROGRAMS FOR CHANGE, AN OUTPATIENT CHEMICAL ADDICTION TREATMENT AND RECOVERY CARE PROGRAM, WHICH OFFERS PARENTS AND FAMILY MEMBERS THE OPPORTUNITY TO PARTICIPATE IN EDUCATIONAL LECTURES, GROUP DISCUSSION, AND FAMILY TREATMENT GROUPS FREE OF CHARGE IN SUPPORT OF THEIR LOVED ONE. - THE HOSPITAL EMPLOYS A CERTIFIED TOBACCO CESSATION THERAPIST, WHO ALSO SERVES AS THE TOBACCO TASK FORCE / CESSATION SERVICES LEAD. - THE HOSPITAL WILL CONTINUE FACILITATION OF THE LOCAL CANCER SUPPORT GROUP. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2012, THE HOSPITAL PROVIDED $118,358 IN FINANCIAL ASSISTANCE. THE HOSPITAL DEFINES FINANCIAL ASSISTANCE 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. TO INFORM AND EDUCATE PATIENTS ON ITS FINANCIAL ASSISTANCE PROGRAM, FINANCIAL ASSISTANCE POLICY, AND GOVERNMENT PROGRAMS, THE HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. WHEN A PATIENT VISITS THE HOSPITAL'S EMERGENCY DEPARTMENT OR IS ADMITTED TO THE HOSPITAL, BASIC INFORMATION ABOUT INSURANCE STATUS IS REQUESTED. IF A PATIENT DOES NOT HAVE HEALTH INSURANCE, PATIENT FINANCIAL SERVICES IS CONTACTED TO MEET OR FOLLOW-UP WITH THE PATIENT. ALL PATIENTS WITHOUT INSURANCE AUTOMATICALLY QUALIFY FOR A DISCOUNT OF 50%, REGARDLESS OF INCOME. IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY ARE ELIGIBLE FOR FURTHER DISCOUNTS, THEY WILL BE REQUESTED TO PROVIDE ADDITIONAL INFORMATION. ENROLLMENT ASSISTANCE, INFORMATION, AND REFERRAL SERVICES ARE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDER INSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE HOSPITAL'S BUSINESS OPERATIONS, EMPLOYS 1.5 FTE FOR PATIENT FINANCIAL SERVICES REPRESENTATIVES TO OVERSEE ITS FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2012, THE HOSPITAL SPENT $14,466 IN STAFF TIME TO ASSIST 273 PATIENTS ENROLL IN PUBLIC MEDICAL PROGRAMS; $40,039 IN STAFF TIME TO GUIDE OR REFER 1,732 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $106,387 IN STAFF TIME TO GUIDE OR REFER 3,025 PATIENTS TO FINANCIAL ASSISTANCE. FINANCIAL INFORMATION (PAYMENT, BILLING AND INSURANCE COVERAGE) AND FINANCIAL ASSISTANCE OPPORTUNITIES ARE NOTED ON THE HOSPITAL'S WEB SITE,ON ALL BILLING STATEMENTS, AND IN THE PATIENT INFORMATION GUIDE, DISTRIBUTED TO ALL NEW PATIENTS. IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. PART VI, LINE 4: COMMUNITY INFORMATIONTHE HOSPITAL SERVES RESIDENTS FROM ST. CROIX AND PIERCE COUNTIES IN WESTERN WISCONSIN AND AREAS OF NEIGHBORING MINNESOTA. OUR PRIMARY SERVICE AREA IS HUDSON, WI 54016 (INCLUDES HUDSON, HUDSON TOWNSHIP, TROY, ST. JOSEPH'S AND NORTH HUDSON). OUR SECONDARY SERVICE AREA INCLUDES WI (BALDWIN, HAMMOND, HOULTON, NEW RICHMOND, PRESCOTT, RIVER FALLS, ROBERTS AND SOMERSET) AND MN (BAYPORT, LAKELAND, AND STILLWATER). 2010 CENSUS LISTS THE POPULATION OF ST. CROIX COUNTY AT 84,345, A 33.6% POPULATION GROWTH SINCE 2000. RAPID GROWTH CONTINUES WITHIN ST. CROIX COUNTY, MUCH IN PART DUE TO ITS CLOSE PROXIMITY TO THE TWIN CITIES (MINNEAPOLIS/ST. PAUL) WHERE MANY RESIDENTS COMMUTE TO WORK. ST. CROIX COUNTY'S POPULATION IS COMPRISED OF: 7.4% UNDER 5 YEARS OLD, 26% UNDER 18, 10% 65 YEARS AND OVER, AND 50% FEMALE. THE POPULATION IS 95.9% WHITE, 0.7% BLACK, 0.4% AMERICAN INDIAN, 1.0% ASIAN AND 2.0% HISPANIC OR LATINO. ST. CROIX COUNTY HAS A HIGH MEDIAN INCOME COMPARATIVELY WITHIN THE STATE - $69,682 AND A POVERTY RATE APPROXIMATELY HALF THAT OF THE REST OF THE STATE - 6.3%.ACCORDING TO THE 2012 COUNTY HEALTH RANKINGS REPORT, ST. CROIX COUNTY RANKED AS THE 1ST HEALTHIEST COUNTY OVERALL IN THE STATE (OUT OF 72 COUNTIES). PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS AND THE MEDICAL STAFF IS ORGANIZED IN THE PUBLIC'S INTEREST. THE HOSPITAL AIMS TO BE THE PREMIER PARTNER IN THE COMMUNITY'S QUEST FOR HEALTH AND HAPPINESS. WORKING IN PARTNERSHIP WITH EACH OTHER, THE HEALTHPARTNERS FAMILY, HUDSON PHYSICIANS WWMA, AND THE COMMUNITY, THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2012. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. THE HOSPITAL CONTINUED TO GROW ITS REPUTATION FOR EXCELLENT CLINICAL OUTCOMES AND SERVICE. HIGHLIGHTS INCLUDE: - JOINED THE AMERICAN HOSPITAL ASSOCIATION'S PARTNERS FOR PATIENTS NATIONAL INITIATIVE TO PREVENT 1.8 MILLION INJURIES TO PATIENTS IN THE HOSPITAL SAVING MORE THAN 60,000 LIVES OVER THREE YEARS. FOCUS AREAS FOR THE HOSPITAL ARE REDUCING CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, FALL PREVENTION, AND TREADMISSION/CARE TRANSITIONS.- EXPANDED THE PROVIDERS PRACTICING IN THE INTERNAL MEDICINE CLINIC, HOSPITALIST PROGRAM (ONLY HOSPITAL IN WESTERN WISCONSIN TO PROVIDE THIS MODEL OF CARE) AND PRIMARY CARE CLINIC IN ROBERTS WISCONSIN.- CELLS GONE WILD, A FREE COMMUNITY HEALTH EVENT WAS ATTENDED BY 52 PEOPLE. A PANEL OF PHYSICIANS SHARED CURRENT INFORMATION ON PREVENTION, EDUCATION, DIAGNOSIS, CANCER CARE AND TREATMENT. - CONTINUED OPTIMIZATION OF EPIC ELECTRONIC HEALTH RECORD (EHR) SYSTEM TO IMPROVE HEALTHPARTNERS' REGIONAL NETWORK AND ADVANCE QUALITY AND EXPERIENCE FOR PATIENTS, CLINICIANS AND MEDICAL STAFF, AND REDUCE HEALTH CARE COSTS. HEALTHPARTNERS WAS NAMED ONE OF THE "MOST WIRED" ORGANIZATIONS BY HOSPITAL & HEALTH NETWORKS MAGAZINE. THE HOSPITAL, ONE OF THE FEW ITS SIZE NATIONALLY TO HAVE EPIC, TOGETHER WITH WESTFIELDS HOSPITAL WERE AMONG THE FIRST IN THE STATE OF WISCONSIN TO ATTEST TO MEANINGFUL USE.- EXPANDED HEALTHPARTNERS ONLINE PATIENT SERVICES FOR THE SPECIALTY CLINICS AND THE ROBERTS CLINIC TO GIVE PATIENTS THE OPTION OF ACCESSING TEST RESULTS OR IMMUNIZATION RECORDS, EMAILING A PROVIDER, AND PAYING BILLS ONLINE.- DURING EARTH WEEK, A THERMOMETER SWAP EVENT OCCURRED. IT ENABLED THE COMMUNITY A CHANCE TO EXHANGE THEIR OLD MERCURY THERMOMETERS FOR NEW DIGITAL ECO-FRIENDLY MERCURY-FREE THERMOMETERS. A TOTAL OF 70 NEW ONES WERE GIVEN AWAY.- THE HOSPITAL WON TWO NATIONAL SUSTAINABILITY AWARDS FROM PARCTICE GREENHEALTH, THE NATION'S LEADING SUSTAINABILITY IN HEALTH CARE ORGANIZATION. THESE INCLUDED THE PARTNER FOR CHANGE AWARD, FOR ENVIRONMENTAL EXCELLENCE AND THE MAKING MEDICINE MERCURY-FREE AWARD. THE HOSPITAL ALSO WAS AWARDED HUDSON'S SUSTAIN GREEN LEAF AWARD.- PROGRAMS FOR CHANGE, ALCOHOL AND SUBSTANCE ABUSE RECOVERY PROGRAM CELEBRATED THEIR 25TH ANNIVERSARY. IN OCTOBER THEY HELD A CELEBRATION EVENT FOR ALUMNI, FAMILY, FRIENDS AND COMMUNITY PARTNERS TO SHARE EXPERIENCES, SUCCESSES AND CELEBRATE.- THE HOSPITAL PARTICIPATED IN A COUNTY WIDE MOCK DISASTER DRILL. ST. CROIX EMS & RESCUE, THE HOSPITAL STAFF, EMERGENCY CENTER PHYSICIANS AND STUDENTS FRO THE LOCAL SWIM CLUB ALL PARTICIPATED IN THE DRILL. OBSERVERS FROM OTHER LOCAL HOSPITALS FELT THAT THE EMERGENCY MANAGEMENT TEAM SUCCESSFULLY MET ALL DRILL REQUIREMENTS FOR JOINT COMMISSION.- THE HOSPITAL IMAGING CENTER INSTALLED A NEW 160-SLICE, 3D CT SCANNER. A GREATER NUMBER OF SCAN OPTIONS ARE AVAILABLE INCLUDING CT FLUORO, IMPROVE BIOPSY CAPABILITIES AND FASTER SCAN TIMES, THUS REDUCING THE RADIATION EXPOSURE.- CONTINUED SUCCESS WITH THE SURGICAL CARE IMPROVEMENT PROJECT (SCIP) IMPLEMENTED IN 2010 - NATIONAL PATIENT SAFETY INITIATIVE TO REDUCE PATIENT INFECTION RATES. ACCORDING TO THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN), THE HOSPITAL REPORTS SOME OF THE LOWEST SURGICAL INFECTION RATES IN THE REGION WITH A RATE OF 0.7% COMPARED TO THE NATIONAL AVERAGE OF 1.9%.- MEDICATION WASTE PROGRAM CREATED TO ENSURE BEST PRACTICES FOR COLLECTION OF HAZARDOUS WASTE USED IN THE HOSPITAL IN SUPPORT OF A SUSTAINABLE AND ECO-FRIENDLY ENVIRONMENT.- ADDITION OF MANY NEW HEALTH CARE PROVIDERS TO THE CAMPUS TEAM, INCLUDING SPECIALISTS IN ALLERGY AND IMMUNOLOGY, INTERNAL MEDICINE, PEDIATRIC HEMATOLOGY/ONCOLOGY, OPHTHALMOLOGY, GENERAL SURGERY, THE HOSPITALIST PROGRAM, OB/GYN AND FAMILY MEDICINE.- EXPERIENCED A 12% INCREASE IN SURGICAL VOLUMES OVER 2011 WITH 1,769 SURGICAL PROCEDURES.- RECORD-SETTING 646 BABIES WERE BORN IN THE BIRTH CENTER - MARKING THE HIGHEST NUMBER OF BIRTHS IN A SINGLE YEAR SINCE THE HOSPITAL'S FOUNDING IN 1953. BIRTH CENTER GROWTH: 3.5%.- THE HOSPITAL BIRTH CENTER NURSING STAFF CONTINUES TO RANK AMONG THE BEST IN THE NATION - 99TH PERCENTILE FOR FRIENDLINESS AND ATTITUDE ACCORDING TO PRESS GANEY SURVEY DATA (1800 HOSPITAL DATABASE).THE HOSPITAL'S DEVOTION TO THE HEALTH OF THE COMMUNITY STARTS WITH PROVIDING EXCEPTIONAL MEDICAL CARE TO EACH PATIENT AND EXTENDS TO FAMILIES AND ORGANIZATIONS THROUGHOUT THE REGION. THROUGH ITS HEALTHIER TOGETHER LEADERSHIP AND COMMUNITY BENEFIT PROGRAM, BOTH INTEGRATED INTO THE ORGANIZATION PLAN, THE HOSPITAL OFFERED SPECIAL HELP AND SUPPORT FOR INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP TO EFFORTS OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL. THE HOSPITAL ENGAGED IN COMMUNITY PARTNERSHIPS WITH SCHOOLS, BUSINESSES, AGENCIES AND OTHER HEALTH PROVIDERS INVESTED IN COMMUNITY PROGRAMS AND SERVICES THAT POSITIVELY SUPPORT AND STRENGTHEN COMMUNITY HEALTH, EDUCATION, ECONOMIC DEVELOPMENT, AND CULTURE. THESE PROGRAMS AND PARTNERSHIPS EMBODY THE HOSPITAL'S MISSION OF "CARING FOR THE HEALTH OF OUR COMMUNITY." TOTAL 2012 COMMUNITY BENEFIT CONTRIBUTION EQUALED $2,767,031 WHICH REPRESENTS 5.3% OF NET REVENUE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMPLEASE SEE SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS "I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." REPORTS FILED WITH STATES PART VI, LINE 7 WI HEALTH PROFESSIONS EDUCATION SCHEDULE H - PART I, LINE 7F THE HOSPITAL'S STAFF PROVIDED CLINICAL TRAINING FOR 92 NURSES AND NURSING STUDENTS AND 29 HEALTH PROFESSIONALS INCLUDING EMS FROM SEVENTEEN INSTITUTIONS AT A COST OF $222,386. IN ADDITION, THE HOSPITAL VOLUNTARILY PARTICIPATED IN THE WISCONSIN NURSE RESIDENCY PROGRAM (WNRP). THE PROGRAM IS A STRUCTURED LEARNING EXPERIENCE FOR NEWLY LICENSED REGISTERED NURSES DESIGNED TO PROMOTE EFFECTIVE TRANSITION INTO PROFESSIONAL PRACTICE. THREE NURSES, PAIRED WITH EXPERIENCED HOSPITAL NURSES ACTING AS COACH/SUPPORT PERSON, COMPLETED THE 12-MONTH PROGRAM. 1 UNIVERSITY OF WISCONSIN RIVER FALLS FOUNDATION 410 S THIRD STREET RIVER FALLS WI 54022 6000 CASH VALUE PROGRAM SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: HUDSON HOSPITAL, INC. (HUDSON) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH HUDSON,S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO HUDSON'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. X X X X 0 1 0 0 0 1 1 0 0 MARIAN M FURLONG 0 237893 0 58513 159 0 0 43096 0 31286 159 370788 0 0 BURKE KEALEY MD 0 377084 0 25600 159 0 0 47638 0 39868 159 490190 0 0 BROCK D NELSON 0 434415 0 122359 159 0 0 132795 0 40849 159 730418 0 0 SCOTT A SCHNUCKLE 0 290119 0 73401 159 25783 0 61278 0 40899 159 491480 0 17172 STEVE MUELLERLEILE 174131 0 34989 0 0 0 6437 0 26140 0 241697 0 0 0 ANN RIPLEY 135771 0 7949 0 0 0 4431 0 22809 0 170960 0 0 0 HELEN A SATHRE 0 161036 0 0 0 0 0 4091 0 15446 0 180573 0 0 KARA A FEDIE 178771 0 0 0 9 0 0 0 15525 0 194305 0 0 0 DARLA R KLEMENTZ 125533 0 7944 0 0 0 4037 0 15506 0 153020 0 0 0 CHERYLL A MARTINY-JORGENSEN 178089 0 0 0 0 0 171 0 26884 0 205144 0 0 0 JEFFREY L REICHEL 175750 0 0 0 0 0 40 0 22742 0 198532 0 0 0 GREGG L WILLKOM 172728 0 0 0 4682 0 0 0 10916 0 188326 0 0 0 DEBORAH BRISCH-CRAMER 1786 0 23006 0 121933 0 3065 0 9096 0 158886 0 0 0 SHEILA PROEHL 0 156515 0 26499 0 0 0 35128 0 17479 0 235621 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 DIRECTORS: BROCK D. NELSON $ 39,216 SCOTT A. SCHNUCKLE 8,446 -------- TOTAL $ 47,662 PART I, LINE 6 HUDSON HOSPITAL, INC.'S (HOSPITAL) PRESIDENT AND CHIEF FINANCIAL OFFICER (CFO) ARE EMPLOYEES OF REGIONS HOSPITAL (REGIONS), A RELATED ORGANIZATION. THE HOSPITAL'S OTHER OFFICERS ARE EMPLOYEES OF THE HOSPITAL. BOTH REGIONS AND THE HOSPITAL HAVE MANAGEMENT INCENTIVE PROGRAMS WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAM REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (NET MARGIN), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A NET MARGIN THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION: PART II, 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. ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, OF ANY PARTICIPANT 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. A WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY 391337855 97710B6E7 2012-10-03 20513711 REFUNDING OF SERIES 2002 BONDS 1 0 0 A 148224 20513711 20513711 1 0 1 1 A 0 0 1 0 0 0.00000 0.00000 0.00000 1 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART III, LINES 3B, 3C & 3D ENGAGEMENT OF OUTSIDE COUNSEL HUDSON HOSPITAL USES INTERNAL LEGAL COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY. IF IT ENCOUNTERS UNUSUAL OR COMPLEX CONTRACTS IT WILL ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL. SCHEDULE K, PART V PROCEDURE TO UNDERTAKE CORRECTIVE ACTION SINCE 12/31/2012 HUDSON HOSPITAL HAS UNDERTAKEN ESTABLISHING SUCH WRITTEN PROCEDURES. EXEMPT PURPOSE AND ACHIEVEMENTS FORM 990, PART III, LINE 4A I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HUDSON HOSPITAL, INC. (THE HOSPITAL), A STATE LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL (CAH), IS A WISCONSIN NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF HUDSON HOSPITAL FOUNDATION, INC., A FOUNDATION WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL. GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. ARE CORPORATE MEMBERS OF THE HOSPITAL. THE HOSPITAL IS PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATION (HEALTHPARTNERS). HEALTHPARTNERS, INC. (HPI), A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4), 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). HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL AND REGIONS HOSPITAL'S SISTER ORGANIZATIONS, REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH), AND RAMSEY INTEGRATED HEALTH SERVICES, ALL OF WHICH ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HPI-RAMSEY IS ALSO THE SOLE CORPORATE MEMBER OF RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HEALTHPARTNERS, INC. IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C) (3): GROUP HEALTH PLAN, INC. (GHI) (A MINNESOTA LICENSED STAFF MODEL HMO) WHICH IS ALSO THE SOLE CORPORATE MEMBER OF PHYSICIANS NECK & BACK CLINICS, WHICH IS ALSO A MINNESOTA NON-PROFIT CORPORATION EXEMPT UNDER SECTION 501(C) (3); HEALTHPARTNERS RESEARCH & EDUCATION (D/B/A HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH (HPIER)), AND RHSC, INC.. RH-WISCONSIN, INC. AND GHI ARE CORPORATE MEMBERS OF THE HOSPITAL, AND WESTFIELDS HOSPITAL, INC., BOTH OF WHICH ARE WISCONSIN NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS ALSO THE SOLE CORPORATE MEMBER OF WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY, AN AMBULANCE SERVICE WHICH IS A WISCONSIN NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TOGETHER, ALL OF THESE RELATED ORGANIZATIONS COMPRISE THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS), WHICH IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT COMBINES THE PROVISION AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. 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 WORK IN PARTNERSHIP WITH THE HEALTHPARTNERS FAMILY, THE HOSPITAL PHYSICIANS WESTERN WISCONSIN MEDICAL ASSOCIATES (WWMA), AND THE COMMUNITY TO ALSO PROMOTE COMMUNITY HEALTH THROUGH CLINICAL INITIATIVES, EDUCATION AND OUTREACH, AND COMMUNITY HEALTH IMPROVEMENT EFFORTS SUCH AS HEALTHIER TOGETHER - ST. CROIX COUNTY. THE HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE HUDSON COMMUNITY AND SURROUNDING AREA. THE HOSPITAL HAS BEEN A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1953. IN 2011 AND 2012, THE NATIONAL RURAL HEALTH ASSOCIATION RANKED HUDSON IN THE TOP 100 CRITICAL ACCESS HOSPITALS IN AMERICA AND THE JOINT COMMISSION AWARDED HUDSON FULL ACCREDITATION. THIS RECOGNITION IS A RESULT OF THE HOSPITAL'S ATTENTION TO QUALITY AND PATIENT SAFETY. PROGRAMS AND SERVICES INCLUDE: - A REGIONALLY POPULAR BIRTH CENTER, RANKED IN THE TOP 3% OF BIRTHING UNITS (TOP 50 HOSPITALS) NATIONWIDE FOR EXCEPTIONAL CARE DELIVERY; - 24/7 EMERGENCY CENTER (WITH MEDICAL HELICOPTER TRANSPORT SERVICE) STAFFED BY FULL-TIME, BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS; - GROWING SPECIALTY CLINICS (UP 14.7%) - INCLUDING EXPANDED PEDIATRIC SPECIALTY SERVICES TO INCLUDE HEMATOLOGY AND ONCOLOGY (IN PARTNERSHIP WITH CHILDREN'S HOSPITALS & CLINICS AND HUDSON PHYSICIANS PEDIATRICIANS); - NEW INTERNAL MEDICINE CLINIC; - A HOSPITALIST PROGRAM (THE ONLY HOSPITAL IN WESTERN WISCONSIN TO PROVIDE THIS MODEL OF CARE); - THE OPENING OF THE NEW HEALTHPARTNERS ROBERTS CLINIC (PRIMARY CARE); - THE OPENING OF THE CANCER CENTER OF WESTERN WISCONSIN (CCWW) IN COLLABORATION WITH FIVE OTHER HOSPITALS AND TWO MEDICAL PROVIDER GROUPS. IT IS LOCATED ON THE WESTFIELDS HOSPITAL CAMPUS, CCWW PROVIDES COORDINATED CLINICAL CARE AND AFFORDS PATIENTS REGIONAL ACCESS TO THE AREA'S ONLY RADIATION THERAPY CENTER. THE HOSPITAL PROVIDES CLINICAL ACCESS, INFUSION THERAPY, CANCER PREVENTION EDUCATION AND SUPPORT LOCALLY. OTHER SERVICES INCLUDE AN IMAGING CENTER, MEDICAL LABORATORY, PHARMACY, REHABILITATION CENTER, SURGERY & PROCEDURE CENTER, CANCER CARE, HEART AND VASCULAR CARE, NEUROLOGY, ORTHOPEDICS, SLEEP HEALTH, EYE CARE AND MORE. THE HOSPITAL'S CAMPUS IS DESIGNED WITH THE LATEST TECHNOLOGY AND AMENITIES TO SUPPORT WHOLE HEALTH AND HEALING FOR PATIENTS AND THEIR FAMILIES - INCLUDING A NATIONALLY ACCLAIMED AND INTERNATIONALLY RECOGNIZED HEALING ARTS PROGRAM. THE PROGRAM, IN COLLABORATION WITH THE PHIPPS CENTER FOR THE ARTS, IS ONE OF THE MOST COMPREHENSIVE HOSPITAL ARTS PROGRAM IN THE REGION WITH OVER 200 ORIGINAL PIECES OF ART ON DISPLAY AT ANY GIVEN TIME. THE PROGRAM'S MISSION IS TO BRING THE CREATIVE AND VISUAL ARTS TO PATIENTS, GUESTS AND STAFF TO WELCOME DIVERSION FROM OFTENTIMES CHALLENGING HEALTH EXPERIENCES. BEST CARE, BEST EXPERIENCE ACTIVITIES, INCLUDING PROMISES TO PATIENTS AND PROMISES TO EACH OTHER CONTINUED IN SUPPORT OF A CULTURE OF EXCELLENCE - ONE OF RESPECT, ACCOUNTABILITY FOR EXCELLENCE, AND EMPLOYEE ENGAGEMENT AND INVOLVEMENT. THE HOSPITAL'S OVERALL "ENGAGEMENT INDEX" WAS 80%, AS REPORTED BY TOWERS WATSON, A GLOBAL PERFORMANCE CONSULTING FIRM. A PATIENT'S WILLINGNESS TO RECOMMEND IS A LEADING INDICATOR OF SUCCESSFUL CUSTOMER SERVICE. THE HOSPITAL'S INPATIENT SCORES REMAIN HIGH AT THE 89TH PERCENTILE NATIONAL RANKING (TOP BOX: "WOULD DEFINITELY RECOMMEND") AMONG PRESS GANEY HOSPITALS OF COMPARABLE SIZE. PRESS GANEY IS ONE OF THE COUNTRY'S LARGEST HOSPITAL DATA BASES OF PATIENT SATISFACTION SURVEY DATA. II. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2012 THE HOSPITAL AIMS TO BE THE PREMIER PARTNER IN THE COMMUNITY'S QUEST FOR HEALTH AND HAPPINESS. WORKING IN PARTNERSHIP WITH EACH OTHER, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, HUDSON PHYSICIANS (WWMA), AND THE COMMUNITY, THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2012. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. THE HOSPITAL CONTINUED TO GROW ITS REPUTATION FOR EXCELLENT CLINICAL OUTCOMES AND SERVICE. HIGHLIGHTS INCLUDE: - JOINED THE AMERICAN HOSPITAL ASSOCIATION'S PARTNERS FOR PATIENTS NATIONAL INITIATIVE TO PREVENT 1.8 MILLION INJURIES TO PATIENTS IN THE HOSPITAL SAVING MORE THAN 60,000 LIVES OVER THREE YEARS. FOCUS AREAS FOR THE HOSPITAL ARE REDUCING CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, FALL PREVENTION, AND READMISSION/CARE TRANSITIONS. - EXPANDED THE PROVIDERS PRACTICING IN THE INTERNAL MEDICINE CLINIC, HOSPITALIST PROGRAM (ONLY HOSPITAL IN WESTERN WISCONSIN TO PROVIDE THIS MODEL OF CARE) AND PRIMARY CARE CLINIC IN ROBERTS, WISCONSIN. - CONTINUED OPTIMIZATION OF EPIC THE ELECTRONIC HEALTH RECORD (EHR) SYSTEM TO IMPROVE HEALTHPARTNERS' REGIONAL NETWORK AND ADVANCE QUALITY AND EXPERIENCE FOR PATIENTS, CLINICIANS AND MEDICAL STAFF, AND REDUCE HEALTH CARE COSTS. HEALTHPARTNERS WAS NAMED ONE OF THE "MOST WIRED" ORGANIZATIONS BY HOSPITAL & HEALTH NETWORKS MAGAZINE. THE HOSPITAL, ONE OF THE FEW ITS SIZE NATIONALLY TO HAVE EPIC, TOGETHER WITH WESTFIELDS HOSPITAL WAS AMONG THE FIRST IN THE STATE OF WISCONSIN TO ATTEST TO MEANINGFUL USE. - EXPANDED HEALTHPARTNERS ONLINE PATIENT SERVICES FOR THE SPECIALTY CLINICS AND THE ROBERTS CLINIC TO GIVE PATIENTS THE OPTION OF ACCESSING TEST RESULTS OR IMMUNIZATION RECORDS, EMAILING A PROVIDER, AND PAYING BILLS ONLINE. - DURING EARTH WEEK, A THERMOMETER SWAP EVENT OCCURRED. IT ENABLED THE COMMUNITY A CHANCE TO EXCHANGE THEIR OLD MERCURY THERMOMETERS FOR NEW DIGITAL ECO-FRIENDLY MERCURY-FREE THERMOMETERS. A TOTAL OF 70 NEW ONES WERE GIVEN AWAY. - THE HOSPITAL WON TWO NATIONAL SUSTAINABILITY AWARDS FROM PRACTICE GREENHEALTH, THE NATION'S LEADING SUSTAINABILITY IN HEALTH CARE ORGANIZATION. THESE INCLUDED THE PARTNER FOR CHANGE AWARD, FOR ENVIRONMENTAL EXCELLENCE AND THE MAKING MEDICINE MERCURY-FREE AWARD. THE HOSPITAL ALSO WAS AWARDED HUDSON'S SUSTAIN GREEN LEAF AWARD. - PROGRAMS FOR CHANGE, ALCOHOL AND SUBSTANCE ABUSE RECOVERY PROGRAM CELEBRATED THEIR 25TH ANNIVERSARY. IN OCTOBER THEY HELD A CELEBRATION EVENT FOR ALUMNI, FAMILY, FRIENDS AND COMMUNITY PARTNERS TO SHARE EXPERIENCES, SUCCESSES AND CELEBRATE. - THE HOSPITAL PARTICIPATED IN A COUNTY WIDE MOCK DISASTER DRILL. ST. CROIX EMS & RESCUE, THE HOSPITAL STAFF, EMERGENCY CENTER PHYSICIANS AND STUDENTS FROM THE LOCAL SWIM CLUB ALL PARTICIPATED IN THE DRILL. OBSERVERS FROM OTHER LOCAL HOSPITALS FELT THAT THE EMERGENCY MANAGEMENT TEAM SUCCESSFULLY MET ALL DRILL REQUIREMENTS FOR THE JOINT COMMISSION. - THE HOSPITAL IMAGING CENTER INSTALLED A NEW 160-SLICE, 3D CT SCANNER. A GREATER NUMBER OF SCAN OPTIONS ARE AVAILABLE INCLUDING CT FLUORO WHICH IMPROVE BIOPSY CAPABILITIES AND FASTER SCAN TIMES, THUS REDUCING THE RADIATION EXPOSURE. - CONTINUED SUCCESS WITH THE SURGICAL CARE IMPROVEMENT PROJECT (SCIP) IMPLEMENTED IN 2010 - NATIONAL PATIENT SAFETY INITIATIVE TO REDUCE PATIENT INFECTION RATES. ACCORDING TO THE NATIONAL HEALTHCARE SAFETY NETWORK (NHSN), THE HOSPITAL REPORTS SOME OF THE LOWEST SURGICAL INFECTION RATES IN THE REGION WITH A RATE OF 0.7% COMPARED TO THE NATIONAL AVERAGE OF 1.9%. - MEDICATION WASTE PROGRAM CREATED TO ENSURE BEST PRACTICES FOR COLLECTION OF HAZARDOUS WASTE USED IN THE HOSPITAL IN SUPPORT OF A SUSTAINABLE AND ECO-FRIENDLY ENVIRONMENT. - ADDITION OF MANY NEW HEALTH CARE PROVIDERS TO THE CAMPUS TEAM, INCLUDING SPECIALISTS IN ALLERGY AND IMMUNOLOGY, INTERNAL MEDICINE, PEDIATRIC HEMATOLOGY/ONCOLOGY, OPHTHALMOLOGY, GENERAL SURGERY, THE HOSPITALIST PROGRAM, OB/GYN AND FAMILY MEDICINE. - EXPERIENCED A 12% INCREASE IN SURGICAL VOLUMES OVER 2011 WITH 1,769 SURGICAL PROCEDURES. - RECORD-SETTING 646 BABIES WERE BORN IN THE BIRTH CENTER - MARKING THE HIGHEST NUMBER OF BIRTHS IN A SINGLE YEAR SINCE HUDSON'S FOUNDING IN 1953. BIRTH CENTER GROWTH: 3.5%. - THE BIRTH CENTER NURSING STAFF CONTINUES TO RANK AMONG THE BEST IN THE NATION - 99TH PERCENTILE FOR FRIENDLINESS AND ATTITUDE ACCORDING TO PRESS GANEY SURVEY DATA (1,800 HOSPITAL DATABASE). WHILE 2012 BROUGHT NEW CHALLENGES, THE HOSPITAL PROACTIVELY IMPLEMENTED CHANGES TO ENSURE A SOUND FUTURE FOR THE ORGANIZATION. IT WAS A YEAR FOCUSED ON GROWTH, EXCEPTIONAL PATIENT CARE, AND CLEAR ATTENTION TO QUALITY AND SAFETY. THE HOSPITAL PROVIDED MORE SPECIALTIES AND RECRUITED ADDITIONAL PHYSICIANS TO MEET THE NEEDS OF ITS GROWING COMMUNITIES, IMPLEMENTED NEW TECHNOLOGIES, CONTINUED ITS SUSTAINABLE JOURNEY, AND DELIVERED SERVICES IN MORE EFFICIENT AND EFFECTIVE WAYS TO BRING GREATER VALUE TO PATIENTS AND THEIR FAMILIES. CHARITABLE TRADITION CONTINUED AS THE HOSPITAL REACHED OUT TO THOSE IN NEED OF ITS SERVICES. STAFF ENGAGED IN COMMUNITY PARTNERSHIPS WITH SCHOOLS, BUSINESSES, AGENCIES, AND OTHER HEALTH PROVIDERS INVESTED IN COMMUNITY HEALTH, EDUCATION, ECONOMIC DEVELOPMENT, AND CULTURE. THESE PROGRAMS AND PARTNERSHIPS EMBODY THE THE HOSPITAL'S MISSION OF "CARING FOR THE HEALTH OF OUR COMMUNITY." THE HOSPITAL AND ST. CROIX COUNTY PUBLIC HEALTH CONTINUED TO CO-FACILITATE HEALTHIER TOGETHER - ST. CROIX COUNTY, THE COUNTYWIDE COMMUNITY HEALTH IMPROVEMENT INITIATIVE. SINCE JUNE 2008, THEY HAVE WORKED TOGETHER TO BETTER UNDERSTAND CURRENT AND FUTURE HEALTH CARE NEEDS OF ST. CROIX COUNTY. THE PROCESS INVOLVES ASSESSING, PRIORITIZING AND ADDRESSING HEALTH NEEDS IN THE REGION. HEALTHIER TOGETHER IS A STRATEGIC, COUNTY-WIDE, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. A STEERING COMMITTEE OF 20+ MEMBERS REPRESENTING DIVERSE ORGANIZATIONS FROM ACROSS THE COUNTY PROVIDES OVERSIGHT AND GUIDANCE. THEY WORK TOGETHER TO BETTER ALIGN EFFORTS AMONG COMMUNITY PARTNERS AND CREATE A MORE STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. FROM THE 2009 COUNTY-WIDE COMMUNITY NEEDS ASSESSMENT (EXECUTIVE SUMMARY AND FULL REPORT ARE PUBLICLY AVAILABLE ON THE WEBSITE), THE TOP 5 HEALTH PRIORITIES WERE IDENTIFIED FOR THE PURPOSE OF EDUCATING AND MOBILIZING AREA ORGANIZATIONS, PLANNING ACTIONS TO IMPROVE PUBLIC HEALTH AND QUALITY OF LIFE, AND GARNERING RESOURCES FOR HEALTH IMPROVEMENT INITIATIVES. THE TOP FIVE HEALTH PRIORITIES FOR 2009-2014 ARE: 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. COMMUNITY BENEFIT OPERATIONS. IN SUPPORT OF THE COALITION WORK DONE IN 2010 (COMMUNITY FORUM, WORKSHOPS, LEADERSHIP ORIENTATION AND CONTINUED CAPACITY BUILDING), THE TASK FORCES AND WORK GROUPS COMPLETED THEIR ACTION, IMPLEMENTATION AND EVALUATION PLANNING AND THE HEALTHIER TOGETHER - ST. CROIX COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WAS RELEASED JUNE 2011. IN 2012, THE PLAN CONTINUED TO BE IMPLEMENTED AND THE HOSPITAL REMAINS COMMITTED TO PLAN SUCCESS. THE HOSPITAL HAS PROVIDED A SIGNIFICANT AMOUNT OF INTELLECTUAL, IN-KIND AND FINANCIAL RESOURCES TO THIS INITIATIVE SINCE IT BEGAN. COSTS ASSOCIATED WITH DEDICATED STAFF, PROGRAM OPERATIONS, RESOURCE EXPENSES, TRAINING, TRAVEL, WHA SURVEY COMPLETION, HEALTHIER TOGETHER CO-FACILITATION, FUNDRAISING FOR COMMUNITY BENEFIT PROGRAMS, AND OTHER PROGRAM EXPENSES TOTALED $121,295. THIS INVESTMENT REFLECTS THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT AND ITS COMMUNITY BENEFIT PROGRAM AND REPORTING PROCESS. THE 2012 ANNUAL COMMUNITY BENEFIT REPORT IS PUBLICALLY AVAILABLE ON THE HOSPITAL'S WEBSITE. FROM JANUARY TO JULY 2012, HEALTHPARTNERS ENGAGED THE RESOURCES OF COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO CONDUCT A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ON BEHALF OF REGIONS HOSPITAL, LAKEVIEW HEALTH, THE HOSPITAL, AND WESTFIELDS HOSPITAL. THE "COMMUNITIES" ASSESSED INCLUDED DAKOTA, RAMSEY, WASHINGTON AND ST. CROIX COUNTIES. THE PURPOSE OF THE ASSESSMENT, ASIDE FROM MEETING FEDERAL GOVERNMENT AND REGULATORY REQUIREMENTS (PATIENT PROTECTION AND AFFORDABLE CARE ACT AND INTERNAL REVENUE SERVICE NOTICE 2011-52), WAS TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT HEALTHPARTNERS AND ITS RESPECTIVE HOSPITALS SHOULD SEEK TO ADDRESS. IT WAS CONCLUDED THAT THE FIVE PRIORITIZED HEALTH NEEDS CURRENTLY OF PARAMOUNT CONCERN TO THE COMMUNITIES SERVED BY THESE HOSPITALS ARE: 1. INCREASE ACCESS TO MENTAL HEALTH; 2. PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION/PHYSICAL ACTIVITY); 3. INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE; 4. IMPROVE SERVICE INTEGRATION; AND 5. PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO/ALCOHOL/SUBSTANCE ABUSE) THESE PRIORITIES CORRELATE VERY WELL WITH THE FIVE TOP HEALTH PRIORITIES IDENTIFIED IN THE ST. CROIX COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2009 AND THE WORK BEING DONE THROUGH THE HEALTHIER TOGETHER - ST. CROIX COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (2009-2014). EACH HOSPITAL, USING CHNA FINDINGS, HAS DESIGNED A COMMUNITY BENEFIT IMPLEMENTATION PLAN TO IDENTIFY HOSPITAL-SPECIFIC ACTIVITIES, PROGRAMS, AND SERVICES WHICH DIRECTLY ADDRESS THE HEALTH CONCERNS, AND ARE INTENDED TO POSITIVELY IMPACT THE COMMUNITIES IT SERVES. THE HOSPITAL'S DEVOTION TO THE HEALTH OF THE COMMUNITY STARTS WITH PROVIDING EXCEPTIONAL MEDICAL CARE TO EACH PATIENT AND EXTENDS TO FAMILIES AND ORGANIZATIONS THROUGHOUT THE REGION. THROUGH ITS COMMUNITY BENEFIT PROGRAM, THE HOSPITAL OFFERED SPECIAL HELP AND SUPPORT TO INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP AND TO EFFORTS OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL. TOTAL 2012 COMMUNITY BENEFIT CONTRIBUTION EQUALED $2,767,031 WHICH REPRESENTS 5.3% OF NET REVENUE. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES AND IN ACCORDANCE WITH WISCONSIN HOSPITAL ASSOCIATION (WHA) REPORTING REQUIREMENTS. FINANCIAL ASSISTANCE AND HEALTHCARE ACCESS FOR LOW-INCOME INDIVIDUALS. FINANCIAL ASSISTANCE 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 $118,358 IN FREE OR DISCOUNTED CARE TO 361 LOW INCOME AND UNINSURED PATIENTS. FINANCIAL ASSISTANCE REPRESENTS ABOUT 0.25% OF THE HOSPITAL'S TOTAL OPERATING EXPENSES. CARE FOR MEDICAID PATIENTS. 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 EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR 5,014 PATIENTS TOTALED $229,491. SUBSIDIZED HEALTH SERVICES. THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2012, LOSS ON SERVICES FOR HOSPITAL INPATIENT AND OUTPATIENT HEALTH SERVICES INCLUDING RESPIRATORY THERAPY, PHYSICAL THERAPY, ONCOLOGY, EMERGENCY AND TRAUMA - OBSERVATION, EMERGENCY DEPARTMENT, LABOR & DELIVERY, AND REGIONAL BLOOD BANK TOTALED $1,513,487. COMMUNITY HEALTH IMPROVEMENT SERVICES. OVER 15,000 PEOPLE BENEFITED FROM THE FOLLOWING PROGRAMS OR ACTIVITIES, WHICH WERE CARRIED OUT AND SUPPORTED BY THE HOSPITAL IN 2012 FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH: COMMUNITY HEALTH EDUCATION. - OVER 7,200 PEOPLE ATTENDED EDUCATIONAL PROGRAMS, CLASSES, SPECIAL EVENTS, HEALTH FAIRS OR SUPPORT GROUPS TAUGHT OR HOSTED BY MEDICAL AND CLINICS STAFF AND CAMPUS PARTNERS OR WERE HOSPITAL FITNESS CENTER MEMBERS (1:1 EDUCATION AND FITNESS TRAINING). TOTAL COMMUNITY HEALTH EDUCATION EXPENSES TOTALED $193,791. - CLASSES INCLUDED ADVANCED DIRECTIVES, BREASTFEEDING, BABY SIGN LANGUAGE, BABYSITTING CLASSES, FAMILY/PARENTING/SIBLING EDUCATION, HEART DISEASE, MEDICATION SAFETY, MENTAL HEALTH AND DEPRESSION, NUTRITION/WEIGHT MANAGEMENT, SCHOOL-BASED HEALTH EDUCATION, WORKFORCE DEVELOPMENT, HAND HYGIENE, EFFECTS OF SMOKING, HEALTHY EATING AND PORTION CONTROL, CAREER DAY, ETC. IN ADDITION, NEARLY 600 PEOPLE ATTENDED 20 FREE HEALTH SEMINARS ON RELEVANT HEALTH TOPICS. OVER 60 CPR/AED AND FIRST AID TRAINING CLASSES WERE OFFERED TO 719 PARTICIPANTS, AS YOUNG AS 6TH GRADE. - SPECIAL HEALTH EDUCATION PROGRAMS AND EVENTS WERE PRESENTED TO AREA YOUTH (ANNUAL BIKE SAFETY CLINIC, GIRL SCOUT LEARNING MODULES, ETC.) 192 PARTICIPANTS ENJOYED AN EVENING OF ZEN - A HOLISTIC APPROACH TO BETTER HEALTH (MEDITATION, YOGA AND NUTRITION TIPS) OFFERED THROUGHOUT THE YEAR. - OVER 50 COMMUNITY MEMBERS ATTENDED A CANCER EDUCATION PROGRAM, CELLS GONE WILD, COLLABORATION BETWEEN THE HOSPITAL, HUDSON HOSPITAL FOUNDATION, HUDSON PHYSICIANS, AND THE CANCER CENTER OF WESTERN WISCONSIN. THE EVENT FEATURED A FAMILY MEDICINE PHYSICIAN, AN ONCOLOGIST AND A RADIATION ONCOLOGIST WHO SHARED CURRENT INFORMATION ON PREVENTION, EDUCATION, DIAGNOSIS, CANCER CARE AND TREATMENT. - COMMUNITY-BASED HEALTH FAIRS INCLUDING THE UNIVERSITY OF WISCONSIN STUDENT HEALTH FAIR AND THE YMCA SENIOR HEALTH FAIR ATTRACTED OVER 100 PEOPLE, WHO LEARNED ABOUT PROGRAM FOR CHANGE (EFFECTS OF ALCOHOL AND BINGE DRINKING - HOSPITAL ALCOHOL AND SUBSTANCE ABUSE TREATMENT PROGRAM), ADVANCED DIRECTIVES AND LIVING WILLS, RECREATION THERAPY - THE BENEFITS OF MOTION AND MOVEMENT, AND MEDICATION SAFETY. - SUPPORT GROUPS FACILITATED BY STAFF INCLUDED CANCER, NEW PARENT, SMOKING CESSATION, CELIAC, WEIGHT LOSS AND WELLNESS. OVER 400 PEOPLE PARTICIPATED. OTHER SUPPORT GROUPS OFFERED ON CAMPUS BY COMMUNITY PARTNERS INCLUDED CARDIOVASCULAR DISEASE, DIABETES, AND PARKINSON'S DISEASE. - HEALTH RESOURCE CENTER (HRC) OPERATES AT A COST OF $17,298. OVER 1,200 PEOPLE UTILIZED MATERIALS OR SERVICES. THE HRC IS A LENDING LIBRARY WHERE PATIENTS, THEIR FAMILY AND FRIENDS, STAFF AND COMMUNITY MEMBERS CAN ACCESS HEALTH AND WELLNESS INFORMATION FROM PRINT RESOURCES, INTERNET SITES, ORGANIZED EVENTS, AND STAFF ASSISTANCE FROM A REGISTERED NURSE. OVER 1200 BOOKS AND MAGAZINES ARE CHECKED OUT ANNUALLY. WELLNESS CLASSES ARE COORDINATED BY THE HRC AND ARE OPEN TO THE COMMUNITY AT NO OR LOW COST. - THE FITNESS CENTER, AN ON-SITE COMMUNITY FITNESS CENTER USED BY 70 COMMUNITY MEMBERS INCLUDING PHASE 3 CARDIAC REHAB PROGRAM PARTICIPANTS, WAS AVAILABLE FOR USE. OPERATING COSTS OF $42,800 INCLUDED DEDICATED STAFF TIME TO ADMINISTER FITNESS AND EDUCATION PROGRAMS, SPACE USAGE, AND REDUCED FACILITY MEMBERSHIP FEES. COMMUNITY BASED CLINICAL SERVICES. - THE HOSPITAL HOSTED NUMEROUS BLOOD DRIVES (200 DONORS) IN SUPPORT OF THE AMERICAN RED CROSS THROUGHOUT THE YEAR AT A COST OF $4,869. HEALTH CARE SUPPORT SERVICE. - IN 2012, OVER 7,900 PEOPLE REALIZED THE BENEFIT OF HEALTH CARE SUPPORT SERVICES AVAILABLE INCLUDING TRANSLATION/INTERPRETER SERVICES, VAN TRANSPORTATION, CRISIS INTERVENTION AND COUNSELING SERVICES, AND LIFELINE HOME MONITORING SYSTEM, TO NAME A FEW. MORE SPECIFICALLY: - INFORMATION SERVICES AND REFERRAL IS A COMMUNITY RESOURCE PROVIDED BY THE HRC. A REGISTERED NURSE ASSISTS HRC VISITORS/CALLERS WITH FREE EDUCATION CONSULTS, CUSTOM-RESEARCHED HEALTH INFORMATION, AND REFERRAL TO COMMUNITY SERVICES. THIS SERVICE AVERAGES 100 REQUESTS PER MONTH. SERVICE WAS PROVIDED AT A COST OF $11,558. - THE HOSPITAL'S GOOD SAMARITAN FUND, SUPPORTED BY HUDSON HOSPITAL FOUNDATION AND EMPLOYEE GIVING, DONATED $3,706 TO HELP 43 INDIVIDUALS RECEIVING CARE ON THE HEALTH CAMPUS. FUNDS SUPPORTED URGENT AND EMERGENT NEEDS RELATED TO THEIR HEALTH INCLUDING DURABLE EQUIPMENT, NON-NARCOTIC PRESCRIPTION DRUGS, GAS CARDS, CLOTHING, ETC. - ENROLLMENT ASSISTANCE, INFORMATION AND REFERRAL SERVICES WERE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDERINSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE BUSINESS OPERATIONS, OVERSEES THE FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2012, THE HOSPITAL SPENT $14,466 IN STAFF TIME TO ASSIST 273 PATIENTS TO ENROLL IN PUBLIC MEDICAL PROGRAMS; $40,039 IN STAFF TIME TO GUIDE OR REFER 1,732 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $106,387 IN STAFF TIME TO GUIDE OR REFER 3,025 PATIENTS TO FINANCIAL ASSISTANCE. - PROGRAMS FOR CHANGE, THE HOSPITAL'S OUTPATIENT CHEMICAL ADDICTION TREATMENT AND RECOVERY CARE PROGRAM, OFFERED PARENTS AND FAMILY MEMBERS THE OPPORTUNITY TO PARTICIPATE IN EDUCATIONAL LECTURES, GROUP DISCUSSION, AND FAMILY TREATMENT GROUPS FREE OF CHARGE IN SUPPORT OF THEIR LOVED ONE. THE HOSPITAL PROVIDED $35,318 IN STAFF TIME TO SUPPORT THE 322 ATTENDEES. - VAN TRANSPORTATION AND PHARMACY DELIVERY SERVICES WERE AVAILABLE TO COMMUNITY RESIDENTS WITHIN A 15-MILE RADIUS UPON REQUEST. OPERATING COSTS FOR THE PROGRAM TOTALED $17,294. OVER 1,164 RESIDENTS TOOK ADVANTAGE OF THE SERVICES. HEALTH PROFESSIONS EDUCATION. THE HOSPITAL'S STAFF PROVIDED CLINICAL TRAINING FOR 92 NURSES AND NURSING STUDENTS AND 29 HEALTH PROFESSIONALS INCLUDING EMS FROM SEVENTEEN INSTITUTIONS AT A COST OF $222,386. IN ADDITION, THE HOSPITAL VOLUNTARILY PARTICIPATED IN THE WISCONSIN NURSE RESIDENCY PROGRAM (WNRP). THE PROGRAM IS A STRUCTURED LEARNING EXPERIENCE FOR NEWLY LICENSED REGISTERED NURSES DESIGNED TO PROMOTE EFFECTIVE TRANSITION INTO PROFESSIONAL PRACTICE. THREE NURSES, PAIRED WITH EXPERIENCED HOSPITAL NURSES ACTING AS COACH/SUPPORT PERSON, COMPLETED THE 12-MONTH PROGRAM. CASH DONATIONS & GRANTS. THE HOSPITAL'S FINANCIAL CONTRIBUTION IN THE FORM OF CASH DONATIONS AND GRANTS TO OTHER TAX-EXEMPT COMMUNITY ORGANIZATIONS FOR SPONSORSHIPS OR MEMBERSHIP DUES INCLUDING HUDSON RELAY FOR LIFE, HUDSON ROTARY, HUDSON CHAMBER, TWIN CITIES HEART WALK, ETC. TOTALED $6,460. IN-KIND DONATIONS. IN-KIND SERVICES PROVIDED INCLUDED STAFF HOURS SPENT IN SUPPORT OF BOARD OR COMMITTEE WORK INCLUDING: HUDSON ROTARY CLUB, ST. CROIX ECONOMIC DEVELOPMENT CORPORATION, ST. CROIX COUNTY SUBSTANCE ABUSE ADVISORY COMMITTEE, UW-RIVER FALLS CHANCELLOR ADVISORY COUNCIL, ST. CROIX VALLEY VISUAL ARTS COUNCIL, CANCER CENTER OF WESTERN WISCONSIN, ST, CROIX VALLEY YMCA, AND WISCONSIN HOSPITAL ASSOCIATION IN ADDITION, MD MISSION TRIP SUPPLIES; SPECIAL EVENTS PLANNING (HEART WALK, NAMIWALK, HUDSON RELAY FOR LIFE); GERIATRIC FALLS PREVENTION RESEARCH PROJECT; AND OVERHEAD EXPENSES OF SPACE PROVIDED TO NOT-FOR-PROFIT COMMUNITY GROUPS FOR MEETINGS. COMMUNITY-BUILDING ACTIVITIES. THE HOSPITAL IS AN ENERGETIC MEMBER OF THE LOCAL, STATE AND REGIONAL COMMUNITIES. THE HOSPITAL SUPPORTS INDIVIDUALS, ORGANIZATIONS, EVENTS AND PROGRAMS; IT LIVES OUT ITS COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY. KNOWING MUCH MORE CAN BE ACCOMPLISHED TOGETHER, THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM BUILT VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. THE HOSPITAL PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT INCLUDING THE TOBACCO COALITION, HEALTHWATCH OF ST. CROIX COUNTY, WEST CENTRAL REGIONAL TRAUMA ADVISORY COUNCIL (RTAC), THE HEALING ARTS PROGRAM, HUDSON CHAMBER, SOMERSET MIDDLE SCHOOL CAREER ACADEMIC AND PERSONAL AND SOCIAL SKILLS (CAPS) CLASS, AND LEADERSHIP HUDSON - A PROGRAM DEDICATED TO PROMOTING AND DEVELOPING DYNAMIC BUSINESS AND COMMUNITY LEADERS. THE HOSPITAL CONTINUED ON ITS ECO-FRIENDLY JOURNEY "HEALTH CARE WITHOUT HARM" (2008 COMMITMENT) USING SUSTAINABLE BUSINESS PRACTICES AND ESTABLISHING GREEN PURCHASING POLICIES IN ORDER TO PROVIDE HEALTH CARE THAT'S HEALTHY. GREEN INITIATIVES INCLUDED THE RECYCLING PROGRAM, COMMUNITY SHARPS DISPOSAL SITE, REDUCTION OF ENERGY AND WATER CONSUMPTION, CREATION AND EXPANSION OF THE COMMUNITY GARDEN - THE HOSPITAL IN SUPPORT OF HEALTHIER TOGETHER INITIATIVES, AND THE FOSTERING OF HEALING ENVIRONMENTS INCLUDING THE COMMUNITY LABYRINTH. IMPLEMENTING SUSTAINABLE BUSINESS PRACTICES HAS MADE THE HOSPITAL A MODEL WITHIN THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. NUTRITION SERVICES CONTINUED ITS WORK IN SUPPORT OF THE HOSPITAL'S "HEALTHY FOOD IN HEALTH CARE" PLEDGE (2010). THE PLEDGE IS A COMMITMENT TO INCREASE OFFERINGS OF FRUITS AND VEGETABLES, REDUCE FATS AND SWEETENED FOODS, TAKE STEPS TO ENCOURAGE CURRENT VENDORS TO PROCURE LOCAL FOOD, AND WORK DIRECTLY WITH LOCAL FARMS. THE HOSPITAL IS SHARING BEST PRACTICES AND ENCOURAGING OTHER HOSPITALS IN THE FAMILY TO INCREASE LOCAL PURCHASING. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY SUPPORTED AGRICULTURE AND SERVES AS A DISTRIBUTION SITE FOR LOCALLY GROWN FRESH, ORGANIC PRODUCE FOR STAFF AND COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 AS OF JANUARY 1, 2009, THE CORPORATE MEMBERS OF THE HOSPITAL ARE GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. THESE SAME ENTITIES ARE ALSO THE CORPORATE MEMBERS OF WESTFIELDS HOSPITAL, INC., A CRITICAL ACCESS HOSPITAL IN NEW RICHMOND, WISCONSIN. GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. ARE PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF NOT MORE THAN THIRTEEN (13) PERSONS APPOINTED AS FOLLOWS (AMENDED BYLAWS, ART. II, SECT. 2): - SEVEN (7) COMMUNITY DIRECTORS NOMINATED BY THE BOARD'S NOMINATING COMMITTEE AND APPOINTED BY RH-WISCONSIN, INC. - THREE (3) DIRECTORS APPOINTED BY GROUP HEALTH PLAN, INC., ONE OF WHOM MAY BE A PHISICIAN AND ONE OF WHOM MAY BE THE CHIEF EXECUTIVE OFFICER OF REGIONS HOSPITAL - ONE (1) DIRECTOR WHO IS A MEMBER OF THE ACTIVE MEDICAL STAFF OF THE HOSPITAL AND APPOINTED BY WESTERN WISCONSIN MEDCIAL ASSOCIATES, S.C. OR BY THE LARGEST ACTIVE PRIMARY CARE PHYSICIAN GROUP SERVING THE HOSPITAL. - ONE (1) DIRECTOR SHALL BE THE HOSPITAL'S CHIEF OF STAFF - ONE (1) DIRECTOR SHALL BE A PHYSICIAN NOMINATED BY THE BOARD'S NOMINATING COMMITTEE AND APPOINTED BY RH-WISCONSIN, INC. FORM 990, PART VI, SECTION A, LINE 7B THE HOSPITAL'S CORPORATE MEMBERS - RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. - JOINTLY APPROVE THE FOLLOWING ACTIONS OF THE BOARD OF DIRECTORS OR INITIATE THESE ACTIONS DIRECTLY (AMENDED BYLAWS, ART. III, SECT. 1): - AMENDMENT OF THE ARTICLES, BYLAWS OR OTHER GOVERNING DOCUMENTS - APPROVAL OF THE ADDITION OR DELETION OF MAJOR SERVICE LINES - SALE, LEASE, MORTGAGE OR PLEDGE OF ANY REAL ESTATE OR INTEREST THEREIN, OR OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS - ADOPTION OF AMENDMENT OF A STRATEGIC PLAN, AND CAPITAL AND OPERATING BUDGETS - APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES - APPROVAL OF BORROWING OR LENDING OF FUNDS IN EXCESS OF ONE MILLION DOLLARS - MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY AND TRANSFER OR CONTRIBUTION OF ASSETS AND FUNDS TO SEPARATE ENTITIES - ESTABLISHMENT OR DIVESTITURE OF ENTITIES OF WHICH THE HOSPITAL HAS AN EQUITY OR MANAGEMENT INTEREST, OR ESTABLISMENT OF ANY SIGNIFICANT AND CONTINUING RELATIONSHIP WITH ANY ENTITY - APPOINTMENT AND REMOVAL OF THE HOSPITAL'S PRESIDENT AND CHAIR OF THE BOARD OF DIRECTORS - DISSOLUTION AND DISTRIBUTION OF ASSETS 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 HEALTHPARTNERS, INC.'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. ONCE THAT REVIEW PROCESS HAS BEEN COMPLETED, IT IS THE POLICY OF THE HOSPITAL TO MAKE AVAILABLE TO THE FINANCE AND AUDIT COMMITTEE OF IT'S BOARD OF DIRECTORS, AND TO IT'S BOARD OF DIRECTORS, A COPY OF THE 990 PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE BYLAWS OF THE HOSPITAL, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND SUBMIT A REPORT TO THE CHAIR AND HOSPITAL PRESIDENT. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL'S PRESIDENT AND CHIEF FINANCIAL OFFICER (CFO) ARE EMPLOYEES OF REGIONS HOSPITAL (REGIONS), A RELATED ORGANIZATION WHICH HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND CFO. EACH YEAR, UNDER THE DIRECTION OF THE REGIONS BOARD OF DIRECTORS' COMPENSATION COMMITTEE, AN ANNUAL TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE COMPENSATION COMMITTEE OF REGIONS. THE COMPENSATION COMMITTEE'S MARKET REVIEW PROCESS AND SUBSEQUENT DECISIONS INCLUDE THE FOLLOWING ELEMENTS: - INDEPENDENT BODY - COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEE MEMBERS' INDEPENDENCE - STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS - AUTHORIZED BODY - REGIONS' BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY AND AUTHORITY TO REVIEW AND APPROVE THE COMPARABILITY DATA OF ALL OFFICERS AND ASSOCIATE MEDICAL DIRECTORS - REGIONS' BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF ALL OFFICERS BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA. - COMPARABILITY DATA - EVERY THREE YEARS, THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY SURVEY FOR ALL OFFICERS OF THE ORGANIZATION. WITH THE INPUT OF THE CONSULTANT, THE COMPENSATION COMMITTEE DETERMINES APPROPRIATE PEER GROUPS INCLUDING BOTH LOCAL AND NATIONAL PEER GROUPS. THE SURVEY CONSIDERS EACH ELEMENT OF TOTAL COMPENSATION AND AGGREGATE TOTAL COMPENSATION. BASED ON THIS DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, THE REGIONS HR DEPARTMENT, UNDER THE COMPENSATION COMMITTEE'S DIRECTION USES THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES AND AVERAGE SALARY INCREASES. BASED ON THIS UPDATED DATA, THE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION RANGES FOR EACH OFFICER. - THE ELEMENTS OF TOTAL COMPENSATION ARE SALARY, INCENTIVES, BENEFITS AND PERQUISITES. - PROPER CONTEMPORANEOUS DOCUMENTATION - MINUTES OF THE COMPENSATION COMMITTEE ARE PREPARED AFTER EACH MEETING AND APPROVED AT THE NEXT MEETING. - TOTAL COMPENSATION IS APPROPRIATELY REPORTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. THE HOSPITAL'S OTHER OFFICERS ARE EMPLOYEES OF THE HOSPITAL. THE HOSPITAL COMPENSATION PROGRAM CONSISTS OF: KEY POINTS: - SALARY RANGES ARE DETERMINED BY UTILIZING PUBLISHED SALARY SURVEY DATA AND LOCAL JOB MARKET INFORMATION (TYPICALLY HRRAM'S ANNUAL SURVEY). - RANGES ARE UPDATED ANNUALLY DURING MAY BY THE HOSPITAL'S HR DEPARTMENT. - RANGES ARE POSITION SPECIFIC AND ARE 95-100% OF THE TWIN CITY MARKET OR 100% OF THE WI DATA (THE HIGHER OF THE TWO). - REGIONS COMPENSATION DEPARTMENT IS REFERENCED FOR NON-MATCHING POSITIONS WITH HRRAM DATA. - WISCONSIN HOSPITAL ASSOCIATION (WHA) SALARY SURVEY IS ALSO REFERENCED FOR SENIOR LEADERS AND EXECUTIVE POSITIONS. - PLACEMENT IN THE RANGE IS DETERMINED BY JOB DESCRIPTION REQUIREMENTS, INCLUDING EDUCATION, TRAINING, EXPERIENCE, LENGTH OF TIME IN THE POSITION, AND PERFORMANCE IN THE POSITION. - POSITIONS WITHIN MANAGEMENT COUNCIL UTILIZE THE COMPA-RATIO FOR REVIEW OF SALARY RANGES. TYPICALLY MANAGERS WILL BE 0.90 OR GREATER, DEPENDING ON SKILLS, MANAGEMENT EXPERIENCE, ETC. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL. THE HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE WISCONSIN SECRETARY OF STATE'S OFFICE. THE HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE VIEWED THROUGH THE HUDSON HOSPITAL.ORG WEBSITE. AVERAGE HOURS - RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) DIRECTORS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH PLAN, INC., REGIONS HOSPITAL, OR THE HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INCREASE IN INTEREST IN NET ASSETS OF HUDSON HOSPITAL FOUNDATION 402,759. TRANSFER OF NET ASSETS TO HUDSON HOSPITAL FOUNDATION, INC. -174,307. 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 AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I GROUP HEALTH PLAN INC 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 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 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 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 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 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410811697 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) STILLWATER HEALTH SYSTEM 1 ST CROIX VALLEY HEALTHCARE & RESEARCH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411923524 FOUNDATION MN 501(C)(3) PF 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 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 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 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C 1 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 1 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 1 HEALTHPARTNERS VENTURES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411838197 DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES MN HEALTHPARTNERS INC C 1 HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 1 DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 451297583 DENTAL CLINIC STAFFING MN HEALTHPARTNERS ADMINISTRATORS INC C 1 HEALTHPARTNERS CENTRAL MINNESOTA CLINICS 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411236798 MEDICAL CLINIC STAFFING AND MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 HUDSON HOSPITAL FOUNDATION INC B 174307 CASH AMOUNT HUDSON HOSPITAL FOUNDATION INC C 20642 CASH AMOUNT HUDSON HOSPITAL FOUNDATION INC M HUDSON HOSPITAL FOUNDATION INC N HUDSON HOSPITAL FOUNDATION INC O HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES L 871430 CASH AMOUNT