2011-11-09T09:31:50-06:00 2010-12-31 990 2010-01-01 421707837 HENNEPIN HEALTHCARE SYSTEM INC HENN 6128739252 701 PARK AVENUE FINANCE P-1 MINNEAPOLIS MN 55415 LARRY A KRYZANIAK 6128739252 2011-10-21 false 2011-11-09 2010 2016-02-24 21:20:13Z HENNEPIN COUNTY MEDICAL CENTER LARRY A KRYZANIAK 701 PARK AVENUE FINANCE P-1 MINNEAPOLIS MN 55415 658217560 false X WWW.HCMED.ORG X 2007 MN FORM 990, PART I, LINE1 AND FORM 990, PART III, LINE 1 HCMC IS A LEVEL ONE TRAUMA CENTER, ACUTE & TERTIARY CARE, PUBLIC TEACHING HOSPITAL. HCMC PROVIDES THE BEST POSSIBLE CARE TO EVERY PATIENT SERVED AND SEARCHES FOR NEW WAYS TO IMPROVE HEALTHCARE FOR TOMORROW. HCMC IS EDUCATING HEALTHCARE PROVIDERS FOR THE FUTURE AND ENSURING ACCESS TO HEALTHCARE FOR ALL. FORM 990, PART I LINE 1, SIGNIFICANT ACTVIVITES FOR 2010 AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL), FOR INPATIENT AND OUTPATIENT SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. DURING 2009, MINNESOTA STATE LEGISLATION CREATED SEVERAL NEW SUPPLEMENTAL MEDICAID PAYMENT STATUTES. UPON FEDERAL APPROVAL IN 2010, THE MEDICAL CENTER RECEIVED NONRECURRING PAYMENTS OF APPROXIMATELY 17 MILLION UNDER THESE STATUTES RELATED TO THE 2009 FEDERAL FISCAL YEAR. HCMC ALSO RECEIVES AMOUNTS FR 13 10 5164 384 1084330 -74062 210560 55618122 591747048 597152250 493320 593837 5392444 4385210 597843372 657749419 1006600 1008754 0 330354097 323356779 0 0 252418676 265464183 583779373 589829716 14063999 67919703 350021810 429395423 143085452 154539362 206936358 274856061 X FORM 990, PART I, LINE1 AND FORM 990, PART III, LINE 1 HCMC IS A LEVEL ONE TRAUMA CENTER, ACUTE & TERTIARY CARE, PUBLIC TEACHING HOSPITAL. HCMC PROVIDES THE BEST POSSIBLE CARE TO EVERY PATIENT SERVED AND SEARCHES FOR NEW WAYS TO IMPROVE HEALTHCARE FOR TOMORROW. HCMC IS EDUCATING HEALTHCARE PROVIDERS FOR THE FUTURE AND ENSURING ACCESS TO HEALTHCARE FOR ALL. FORM 990, PART I LINE 1, SIGNIFICANT ACTVIVITES FOR 2010 AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL), FOR INPATIENT AND OUTPATIENT SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. DURING 2009, MINNESOTA STATE LEGISLATION CREATED SEVERAL NEW SUPPLEMENTAL MEDICAID PAYMENT STATUTES. UPON FEDERAL APPROVAL IN 2010, THE MEDICAL CENTER RECEIVED NONRECURRING PAYMENTS OF APPROXIMATELY 17 MILLION UNDER THESE STATUTES RELATED TO THE 2009 FEDERAL FISCAL YEAR. HCMC ALSO RECEIVES AMOUNTS FR false false 517550863 1008754 657692237 HHS, INC., CONSISTS OF A HOSPITAL IN MINNEAPOLIS, PRIMARY CARE CLINICS IN THE FOLLOWING COMMUNITIES AND SPECIALTY CARE CENTERS AS FOLLOWS. HOSPITAL HCMC OPERATES APPROXIMATELY 477 BEDS AS AN ACUTE CARE HOSPITAL AND COMPREHENSIVE ACADEMIC MEDICAL CENTER AND PUBLIC HOSPITAL LOCATED IN THE HEART OF THE TWIN CITIES OF MINNEAPOLIS AND ST. PAUL, MINNESOTA. HCMC IS MINNESOTA'S PREMIER LEVEL 1 TRAUMA CENTER WITH MANY NATIONALLY RECOGNIZED PROGRAMS AND SPECIALTIES. HCMC IS A TEACHING HOSPITAL FOR DOCTORS WHO GO ON TO PRACTICE THROUGHOUT THE STATE AND NATION. HCMC IS A SAFETY NET HOSPITAL PROVIDING CARE FOR LOW-INCOME, THE UNINSURED AND VULNERABLE POPULATIONS. ACUTE DIALYSIS (DAVITA) ACUTE DIALYSIS SERVICES' MAIN PURPOSE AND GOAL IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS. WE ARE RESPONSIBLE FOR HEMODIALYSIS TREATMENTS AND OTHER NEPHROLOGY NURSING NEEDS OF THE ACUTE AND CHRONIC PATIENTS ADMITTED TO THE HOSPITAL. WE PROVIDE THE PATIENT WITH THE SERVICES OF AN EXPERIENCED TEAMMATE AND WORK IN CONJUNCTION WITH THE HOSPITAL TO ENSURE THAT EACH PATIENT REACHES THE HIGHES LEVEL OF HEALTH, SECURITY, AND INDEPENDENCE 24- HOURS A DAY, 7-DAYS A WEEK. ACUTE PSYCHIATRIC SERVICES (APS) APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HOURS PER DAY, 7 DAYS PER WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION, AND REFERRAL. AMBULATORY BURN CLINIC THE AMBULATORY BURN AND WOUND CLINIC WHICH SERVES ALL AGES, IS A SPECIALTY CLINIC PROVIDING COMPREHENSIVE TREATMENT AND MANAGEMENT OF PATIENTS WITH A VARIETY OF WOUNDS AND/OR PATIENTS NEEDING IV THERAPY. AMBULATORY CARE AMBULATORY CARE SERVICES AT HENNEPIN COUNTY MEDICAL CENTER (HCMC) ARE SUPPORTED BY MORE THAN 300 PHYSICIANS AND RELATED PROVIDERS FROM HENNEPIN FACULTY ASSOCIATES (HFA) AND HCMC. AMBULATORY CARE IS PROVIDED THROUGH BOTH MULTISPECIALTY AND PRIMARY CARE CLINICS. ANESTHESIA GENERAL, MONITORED ANESTHESIA CARE AND REGIONAL ANESTHESIA ARE PROVIDED BY ANESTHESIOLOGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS. ANESTHESIA CARE IS PROVIDED FOR ELECTIVE, URGENT AND EMERGENT OPERATING ROOM CASES AND IN ANCILLARY AREAS INCLUDING CARDIAC CATHETER LAB, RADIOLOGY, VASCULAR ACCESS, GASTRO-INTESTIONAL LAB, LABOR AND DELIVERY AND PSYCHIATRY. AUDIOLOGY CLINIC THE AUDIOLOGY CLINIC PROVIDES HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS OF ALL AGES, FROM INFANCY TO GERIATRIC. OUR LICENSED AUDIOLOGISTS HAVE ADVANCED EXPERTISE IN EVALUATING AND TREATING A WIDE RANGE OF HEARING IMPAIRMENTS, AS WELL AS PRESCRIBING AND FITTING SOPHISTICATED HEARING INSTRUMENTS. BIOMEDICAL ETHICS COMMITTEE FOCUS ON ETHICAL ISSUES THAT ARISE IN PATIENT CARE. BONE AND MINERAL CLINIC SPECIALTY CLINIC FOR THE MANAGEMENT OF BONE AND MINERAL METABOLISM SUCH AS OSTEOPOROSIS AND KIDNEY STONE DISEASE. ALSO PERFORM BONE DENSITOMETRY WITH AN IDXA BONE DENSITOMETRY SCANNER, THE NEWEST AVAILABLE TECHNOLOGY FOR DETECTING BONE DENSITY. BURN CENTER THE BURN CENTER IS A 17 BED UNIT THAT HAS RECEIVED VERIFICATION AS A BURN CENTER FROM THE AMERICAN BURN ASSOCIATION. A MULTIDISCIPLINARY TEAM APPROACH IS USED BY THE BURN CENTER TO PROVIDE INTENSIVE, ACUTE, AND REHABILITATIVE CARE TO ALL AGE GROUPS THAT PRESENT WITH THERMAL INJURIES, COMPLEX WOUNDS, PLASTIC SURGERY, AND SKIN DISORDERS OF VARYING SEVERITY. CARDIAC SERVICES (HENNEPIN HEART CENTER) CARDIAC SERVICES INCLUDES THE FOLLOWING SERVICE AREAS: CARDIAC CATHETERIZATION LABORATORY; CARDIAC ECHOCARDIOGRAPHY LABORATORY; CARDIAC MEDICAL INTERMEDIATE CARE (CMIC); CARDIAC REHABILITATION; CARDIAC-RENAL; UNIT (CARE); CARDIAC RESEARCH CARDIOLOGY ADMINISTRATION; CARDIOLOGY CLINIC CARDIOTHORACIC SURGERY; ELECTROCARDIOGRAM (EKG); ELECTROPHYSIOLOGY LABORATORY AND R5 OBSERVATION UNIT. CENTRAL STERILE SUPPLY REPROCESSING OF REUSABLE MEDICAL / SURGICAL INSTRUMENTS AND SUPPLIES IN A MANNER THAT IS SAFE, EFFECTIVE, AND FOLLOWS RECOMMENDATIONS SET FORTH BY GOVERNING AGENCIES. CENTRAL STERILE SUPPLY SERVES ALL HCMC CLINICS, NURSING STATIONS, OPERATING ROOMS AND OTHER AFFILIATES. CHAPLAINCY (SPIRITUAL CARE) THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER'S SPIRITUAL CARE DEPARTMENT IS TO PROVIDE SENSITIVE SUPPORT TO PATIENTS AND FAMILY MEMBERS AFFECTED BY CRISIS, ILLNESS OR LOSS-WHILE RESPECTING THEIR CULTURE, RELIGION, VALUE SYSTEMS, TRADITIONS AND FAITH COMMUNITIES. THE DEPARTMENT HAS A NUMBER OF ITEMS AVAILABLE UPON REQUEST TO SUPPORT THE DIVERSE NEEDS OF MANY FAITHS. CHILD/ADOLESCENT PSYCHIATRY CLINIC THE CHILD/ADOLESCENT PSYCHIATRY CLINIC OFFERS A VARIETY OF OUTPATIENT SERVICES TO HELP CHILDREN AND ADOLESCENTS WHO ARE HAVING BEHAVIORAL AND EMOTIONAL PROBLEMS. SERVICES INCLUDE PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS, THERAPY, PARENTING SKILLS COUNSELING AND MEDICATION MANAGEMENT. COMPREHENSIVE CANCER CENTER THE COMPREHENSIVE CANCER CENTER IS COMMITTED TO PROVIDING THE FINEST IN CANCER-RELATED SERVICES THROUGH AN INTEGRATED SYSTEM OF HEALTH AND SOCIAL SERVICES. THE CONTINUUM OF CARE EXTENDS FROM PREVENTION, DIAGNOSIS, TREATMENT, SYMPTOM CONTROL, AND CURE, THROUGH ALL RELATED ASPECTS OF ADJUSTMENT TO RELAPSE, SURVIVORSHIP, AND BEREAVEMENT COUNSELING. CONTACT CENTER THE CONTACT CENTER IS A MAIN POINT OF PATIENT ENTRY INTO HENNEPIN COUNTY MEDICAL CENTER'S HOSPITAL AND MEDICAL CLINICS. WE PROVIDE PATIENTS WITH ONE-STOP ACCESS TO THE SERVICES PROVIDED BOTH ON AND OFF CAMPUS. PATIENTS ARE ABLE TO REGISTER, SCHEDULE, RESCHEDULE, OR CANCEL APPOINTMENTS, SIGN UP FOR MY CHART ACTIVATION, AND LEARN MORE ABOUT TOPICS DISCUSSED ON WCCO'S HEALTHY MATTER'S RADIO SHOW. IN ADDITION, THE CONTACT CENTER'S TRIAGE NURSES OFFER TRIAGE SUPPORT, SYMPTOM SUPPORT, LAB RESULTS, APPOINTMENT SCHEDULING, REFILL MANAGEMENT AND REQUESTS, AND WILL CONTACT PROVIDERS AS NEEDED. CONTINUING MEDICAL EDUCATION THE PURPOSE OF MEDICAL CENTER'S CME PROGRAM IS TO PROVIDE ORGANIZED, PLANNED EDUCATION ACTIVITIES TO HELP PHYSICIANS IMPROVE THEIR MEDICAL KNOWLEDGE, DELIVERY OF-HEALTHCARE, AND PROFESSIONAL NETWORKING. HCMC IS ACCREDITED BY THE MINNESOTA MEDICAL ASSOCIATION TO SPONSOR AMA PRA CATEGORY 1 CREDIT(S) FOR PHYSICIANS. COORDINATED CARE SYSTEM THE HENNEPIN COORDINATED CARE SYSTEM (HCCCS) PROVIDES CARE FOR PATIENTS WITH COMPLEX MEDICAL NEEDS AND "EXPRESS ACCESS" TO CLINICS POST DISCHARGE. EACH MONTH AN AVERAGE OF 1400 PATIENTS ARE SEEN. SERVICE IS PROVIDED TO OUTPATIENTS AND INPATIENTS. THE AGES OF THE PATIENT POPULATION RANGE FROM PEDIATRICS THROUGH GERIATRICS. THEY REPRESENT A LARGE VARIETY OF RACES AND ETHNIC GROUPS AND VARIOUS FINANCIAL BACKGROUNDS. THEY MAY BE INSURED, UNDERINSURED, OR UNINSURED. APPROXIMATELY THIRTY PERCENT OF PATIENTS ARE UNDER AGE 12, AND ABOUT TEN PERCENT ARE OVER AGE 65. DISABILITY EVALUATION CENTER (DEC) THE DISABILITY EVALUATION CENTER ASSISTS HENNEPIN COUNTY MEDICAL CENTER PATIENTS WITH APPLICATIONS TO THE STATE MEDICAL REVIEW TEAM (SMRT) FOR DISABILITY AS WELL AS SOCIAL SECURITY APPLICATIONS. WE WILL ASSIST THE PATIENT IN COMPLETING FORMS, SCHEDULING EXAMS THAT ARE REQUIRED BY THE STATE OR THE DEC AS WELL AS PROVIDE A RESOURCE FOR ALL HCMC USERS. ELECTROENCEPHALOGRAM LAB (EEG) THE EEG LAB OFFERS DIAGNOSTIC TESTING FOR ALL PATIENTS FROM NEWBORNS TO ADULTS UPON A RECOMMENDATION FROM A PHYSICIAN. ROUTINE EEG TESTING (RECORDING OF ELECTRICAL IMPULSES FROM THE BRAIN) IS PERFORMED IN BOTH AN INPATIENT AND OUTPATIENT SETTING. EEG TESTING IN THE OPERATING ROOM IS USED TO MONITOR NEUROLOGICAL FUNCTION DURING SURGERY. EMERGENCY MEDICINE (EMS) EMERGENCY MEDICAL SERVICES INCLUDES THE FOLLOWING SERVICE AREAS: - EMERGENCY DEPARTMENT AND EXPRESS CARE - EMERGENCY MEDICAL SERVICES, COMPRISED OF EMS FIELD OPERATIONS, EMS EMERGENCY COMMUNICATION CENTER, EMS EDUCATION ELECTROMYOGRAPHY LABORATORY DEPARTMENT (EMG) THE EMG LABORATORY PROVIDES NERVE CONDUCTION STUDIES (NCS), NEEDLE ELECTROMYOGRAPHY, AUTONOMIC NERVOUS SYSTEM TESTING, BOTULINIUM TOXIN AND PHENOL INJECTIONS ON ADULT AND PEDIATRIC INPATIENTS (AMBULATORY OR PORTABLE) AND OUTPATIENTS FROM ALL ETHNIC AND SOCIO-ECONOMIC GROUPS. EAR, NOSE AND THROAT CLINIC (ENT) THE ENT CLINIC IS A SPECIALTY CLINIC THAT PROVIDES A WIDE RANGE OF SURGICAL, DIAGNOSTIC AND POSTOPERATIVE MANAGEMENT OF PATIENTS WITH EAR, NOSE AND THROAT CONDITIONS. EXTENDED CARE DEPARTMENT EXTENDED CARE PROVIDES PRIMARY CARE TO HCMC PATIENTS LIVING IN NURSING FACILITIES. FAMILY MEDICINE DEPARTMENT THE VISION OF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE IS TO USE HIGH QUALITY MEDICAL EDUCATION AND PATIENT CARE TO CREATE EXCELLENT FAMILY PHYSICIANS WHO ARE SKILLED IN CARING FOR PEOPLE OF DIVERSE CULTURES, COMMITTED TO SERVING THEIR COMMUNITY, AND COMPETENT TO PRACTICE IN MULTIPLE SETTINGS. GASTROINTESTINAL LAB (GI) THE GI LAB IS PART OF THE SURGICAL SERVICES AREA PROVIDING PRE-PROCEDURE, PROCEDURAL AND NURSING VISITS TO A DIVERSE POPULATION OF BOTH INPATIENTS AND OUTPATIENTS SERVING PRIMARILY ADULTS. G3 MEDICAL /SURGICAL / ORTHOPAEDICS G3 IS A 37-BED, ALL PRIVATE-ROOM UNIT THAT SERVES MEDICAL AND SURGICAL PATIENTS, WITH AN EMPHASIS ON ORTHOPAEDICS AND HOSPITALIST 517550863 true true false true false false false false false false true false false false true false true false false false false false false false false false true false true false true false false false false false false false false false false false false false true true true true false true X 287 0 5164 true true true false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true false MN X X DAVID ALBRIGHT 6128739292 701PARK AVENUE FINANCE P-1 701 PARK AVENUE FINANCE P-1 MINNEAPOLIS MN 55415 ARTHUR A GONZALEZ 55.00 X X 525104 0 40046 RANDALL JOHNSON 2.00 X 0 97143 15125 MICHAEL OPAT 2.00 X 0 88983 25850 ANITA PAMPUSCH PHD 2.00 X 0 0 0 CHRISTOPHER PUTO PHD 2.00 X 0 0 0 DAVID JONES 2.00 X 0 0 0 DONALD JACOBS MD 2.00 X 0 0 0 JAN MALCOLM 2.00 X 0 0 0 JUDITH SHANK MD 2.00 X 0 0 0 MARK BERNHARDSON 2.00 X 0 0 0 MARY AZZAHIR 2.00 X 0 0 0 RAYMOND WALDRON 2.00 X 0 0 0 SHARON SAYLES BELTON 2.00 X 0 0 0 LARRY KRYZANIAK 55.00 X 319813 0 30984 JOANNE SUNQUIST 55.00 X 236765 0 31539 KATHY WILDE 55.00 X 233405 0 24841 TIMOTHY HARLIN 55.00 X 215922 0 38218 TERRY W HOWELL 55.00 X 213246 0 23747 JEANETTE TAYLOR-JONES 55.00 X 195574 0 28074 MICHAEL HARRISTHAL 55.00 X 160607 0 27367 SCOTT CHASTEK 55.00 X 172961 0 22526 MICHAEL SINGH 55.00 X 169021 0 19786 SAMUEL D FINE 55.00 X 167579 0 28294 DIONNE HART 55.00 X 156454 0 0 THOMAS J LUTTENEGGER 55.00 X 155971 0 27502 2922422 186126 383899 207 false true false HENNEPIN FACULTY ASSOCIATES HENNEPIN FACULTY ASSOCIATES 914 SOUTH 8TH STREET 600 914 SOUTH 8TH STREET 600 MINNEAPOLIS MN 55404 HEALTH SERVICES 46682311 MCGOUGH CONSTRUCTION INC MCGOUGH CONSTRUCTION INC 2737 FAIRVIEW AVENUE N 2737 FAIRVIEW AVENUE N SAINT PAUL MN 55113 CONSTRUCTION 16538772 UNIVERSITY OF MINNESOTA UNIVERSITY OF MINNESOTA 420 DELAWARE STREET 420 DELAWARE ST SE MINNEAPOLIS MN 55455 MEDICAL EDUCATI 6586978 SODEXO HEATLTHCARE SERVICES DODEXO HEALTHCARE SERVICES 3023 RANDOLPH STREET NE 4880 PAYSPERE CIRCLE CHICAGO IL 60674 HEALTH SERVICES 4959460 EPIC SYSTEMS CORPORATION EPIC SYSTEMS CORPORATION BOX 88314 BOX 88314 MILWAUKEE WI 53288 CONSULTING/MEDI 3901571 238 55246873 371249 55618122 MEDICARE/MEDICAID PAYMENTS 900099 241139245 241139245 INPATIENT REVENUE-NON GOV'T 900099 172955063 172955063 OUTPATIENT REVENUE-NON GOV'T 900099 98967915 98967915 OTHER STATE/FEDERAL PROGRAMS 900099 53310614 53310614 INPATIENT PHARMACY 446110 26959568 26959568 3819845 2233842 1586003 597152250 1061978 1061978 1122572 1122572 1122572 1122572 468141 -468141 -468141 -468141 CAFETERIA SALES 722210 1904586 1904586 UNRELATED PARKING LOT REVENUE 812930 570612 570612 UNRELATED PHARMACY REVENUE 446110 513718 513718 273722 273722 3262638 657749419 595839969 1084330 5206998 1008754 1008754 1887190 316104 1571086 241835314 201327899 40507415 16682701 13888349 2794352 46428373 38651621 7776752 16523201 13755565 2767636 170029 102017 68012 170655 170655 1093431 910281 183150 913567 760545 153022 9067623 7548796 1518827 352995 293868 59127 257913 214713 43200 610486 508230 102256 33577625 27953373 5624252 317605 264406 53199 MEDICAL SUPPLIES & MEDIC 65928779 65928779 PURCH SRV-HFA 36895455 36895455 BAD DEBTS 33771517 33771517 FACILITY/GROUNDS MAINT 14482543 12056717 2425826 MN CARE TAX/SURCHARGE 10923714 10923714 56930246 50470160 6460086 589829716 517550863 72278853 0 37693888 88716597 102079046 118822733 3617615 3278587 2141933 3937867 519118830 307700890 203292824 211417940 901368 858986 295136 2362713 350021810 429395423 130104500 144000283 12980952 10539079 143085452 154539362 X 187755685 203416365 19180673 71439696 206936358 274856061 350021810 429395423 67919703 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 114523 56132 170655 589659061 589829716 1000000 250000 false 1000000 1000000 2000000 3000000 213175 170655 383830 250000 250000 500000 750000 160810 114523 275333 false false false false false false false false false false false false false false SCHEDULE C, PART I-A, LINE 1 HENNEPIN HEALTHCARE SYSTEM, INC AND HENNEPIN COUNTY MN ENTERED INTO A SERVICE AGREEMENT WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS(IGR), TO FURNISH STATE AND FEDERAL LOBBYING SERVICES RELATED TO HHS, INC MISSION AND PURPOSE. TOTAL 100,000 HHS, INC PAYS ASSOCIATION DUES TO THE FOLLOWING ORGANIZATIONS OF WHICH A PORTION OF THE DUES ARE FOR LOBBYING EFFORTS. THE FOLLOWING AMOUNTS ARE THE PORTION THAT REPRESENTS LOBBYING. 1. MINNESOTA HOSPITAL ASSOCIATION 4,180 2. ASSOCIATION OF AMERICAN MEDICAL COLLEGES 678 3. SAFETY NET HOSPITALS FOR PHARMACEUTICAL ACCESS 165 4. NATIONAL ASSOCIATION FOR PUBLIC HOSPITALS 9,500 TOTAL 14,523 TOTAL GRASS ROOTS LOBBYING BY HHS FOR 2010 114,523 HHS, INC INCURRED 56,132 FOR DIRECT LOBBYING EXPENSE IN REACTION TO THE ELIMINATION OF APPROXIMATELY 46 MILLION IN STATE OF MINNESOTA FUNDING FOR GENERAL ASSISTANCE MEDICAL CARE (GAMC) THAT WAS LINE ITEM VETOED BY THE GOVERNOR IN 2009. GAMC PROVIDES CARE FOR THOSE WHO HAVE NO, OR CAN NOT AFFORD HEALTH INSURANCE IN THE STATE OF MINNESOTA. THE LOBBYIST IS REGISTERED WITH THE STATE OF MINNESOTA. HCMC DISCOUNTINUED THE USE OF A LOBBYIST IN FEB 2011. false false false false false false false false false false 18939367 18939367 289896145 172893741 117002404 5698088 3492261 2205827 134467584 92202520 42265064 70117646 39112368 31005278 211417940 LEASE REFUNDING CERTIFICATES 10539079 10539079 657749419 589829716 67919703 67919703 617185902 617185902 40563517 40563517 657749419 549266199 549266199 40563517 40563517 589829716 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 BAD DEBT RECLASS -33,771,517 IGT2 RECLASS -6,792,000 BAD DEBT RECLASS 33,771,517 IGT2 RECLASS 6,792,000 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT RECLASS 33,771,517 IGT2 RECLASS 6,792,000 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B BAD DEBT RECLASS 33,771,517 IGT2 RECLASS 6,792,000 true true X true X true X true true true false true true 31956000 31956000 0.05420 209587000 189534000 20053000 0.03400 241543000 189534000 52009000 0.08820 24 3030327 3994922 3942883 52039 0.00010 5 1320 64347214 41954569 22392645 0.03800 1 50000 233704 93000 140704 0.00020 1 200 9000 9000 31 3081847 68584840 45990452 22594388 0.03830 31 3081847 310127840 235524452 74603388 0.12650 1 13511 13511 1 23988 1700 22288 1 11200 11200 3 48699 1700 46999 0.00010 true 16530000 104805000 152139000 -47334000 X true true 1 1 HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN COUNTY MEDICAL CENTER

701 PARK AVENUE MINNEAPOLIS MN 55415

X X X X X X X LEVEL 1 TRAUMA HOSPITAL HENNEPIN HEALTHCARE SYSTEM INC 1 true X X X X X X X X 10 true false true X X X X X X X X X true true true 200.0 true 300.0 true X X X X X X X true true X X X true X true X X X X X X true X false false 7 HCMC- BROOKLYN CENTER CLINIC

6601 SHINGLE CREEK PARKWAY MINNEAPOLIS MN 55430

HOSPITAL BASED CLINIC HCMC- BROOKLYN PARK CLINIC

7650 ZANE AVENUE NORTH MINNEAPOLIS MN 55443

HOSPITAL BASED CLINIC HCMC-CONVENIENCE CARE AT WAL MART

12195 SINGLE TREE LANE MINNEAPOLIS MN 55420

FREE STANDING CLINIC HCMC-CONVENIENCE CARE AT WAL MART

715 EAST 78TH STREET MINNEAPOLIS MN 55344

FREE STANDING CLINIC HCMC-EAST LAKE CLINIC

2700 EAST LAKE STREET MINNEAPOLIS MN 55406

HOSPITAL BASED CLNIC HCMC- RICHFIELD CLINIC

44 WEST 66TH STREET RICHFIELD MN 55423

HOSPITAL BASED CLINIC HCMC-WHITTIER CLINIC

2810 NICOLLET MINNEAPOLIS MN 55408

HOSPITAL BASED CLINIC OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C THIS LINE IS NOT APPLICABLE SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G THE HOSPITAL PROVIDES SERVICES THAT WOULD NOT BE PROVIDED OR WOULD NEED TO BE PROVIDED BY THE GOVERNMENT OR OTHER NONPROFITS IF THE DECISION WAS BASED ON FINANCIAL TERMS RESPOND TO PUBLIC HEALTH NEEDS OR INVOLVE EDUCATION OR RESEARCH THAT FURTHERS COMMUNITY HEALTH THE HOSPITAL ALSO PROVIDES EMERGENCY AND TRAUMA BEHAVIORAL HEALTH SERVICES OTHER SERVICES PROVIDED AT A FINANCIAL LOSS BECAUSE THEY MEET COMMUNITY NEEDS INCLUDE EMERGENCY CLOTHING FOR ADULTS AND CHILDREN WHEN PATIENTS CANNOT AFFORD CLOTHING APPROPRIATE FOR THE WEATHER HAVE CLOTHING RUINED IN AN ACCIDENT OR CLOTHING THAT IS IN POOR SHAPE OR TOO WORN ADDRESSING HOMELESSNESS AND POVERTY SUPPORTING ECONOMIC DEVELOPMENT OR ENVIRONMENTAL PROTECTION EFFORTS OR IMPROVING PUBLIC SPACES THROUGH REVITALIZATION EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F COMMUNITY BENEFIT AMOUNTS DO NOT INCLUDE BAD DEBTS IN THE AMOUNT OF 33772000 THIS IS COMPUTED FROM HHS INC EPIC AR SYSTEM AND FROM WRITE OFFS CHARGES FORGONE AND BAD DEBT POSTED OR RESERVED FOR IN THE GENERAL LEDGER FOR COMMUNITY BENEFIT REPORTING IN THE NOTES TO THE FINANCIAL STATEMENTS THE MINNESOTA HOSPITAL ASSOCIATION INCLUDES BAD DEBTS AS COMMUNITY BENEFIT AS ALL OTHER HOSPITALS REPORT THIS AMOUNT WHICH IS SEPARATELY LISTED ALONG WITH OTHER COMMUNITY BENEFITS WHICH ARE REPORTED TO THE MINNESOTA STATE LEGISLATURE COSTING METHODOLOGY EXPLANATION PART I LINE 7 HENNEPIN HEALTHCARE SYSTEM INC AS A SAFETY NET HOSPITAL HAS A TREAT FIRST POLICY TO MEET THE HEALTHCARE NEEDS OF ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY CONSISTENT WITH A COMMITMENT TO CHARITABLE PURPOSES AND A DEDICATION TO SERVING THE HEALTHCARE NEEDS OF THE COMMUNITY NO INDIVIDUAL IS TURNED AWAY OR DENIED TREATMENT FOR COSTING PURPOSES HHS INC USES A COMBINATION OF STANDARD COSTING WHERE APPLICABLE AND FEDERAL POVERTY GUIDELINES PART I LINE 7A INCLUDED IN CHARITY CARE AT COST IS MN CARE TAX AND SURCHARGE TAXES IN THE AMOUNT OF 6046387 AND 4721100 RESPECTIVELY THESE TAXES ARE IMPOSED BY MINNESOTA STATUTE TO COVER COST OF PROVIDING HEALTHCARE COVERAGES FOR THOSE WHO CANNOT AFFORD INSURANCE COMMUNITY BUILDING ACTIVITIES PART II THE HOSPITAL IS HEAVILY INVOLVED IN COMMUNITY SUPPORT PROGRAMS INCLUDING DOMESTIC FAMILY VIOLENCE PROGRAMS FOR THE SURROUNDING COUNTIES IN THE STATE OF MINNESOTA SUSPECTED CHILD ABUSE AND NEGLECTSCANT PROGRAMS AND CONFERENCES TO MEET THE NEEDS OF COMMUNITIES NATIVE AMERICAN ADVOCATE WHICH IS HEALTH IMPROVEMENT ADVOCACY FOR NATIVE AMERICANS ADDRESSING HOMELESSNESS AND POVERTY SUPPORTING ECONOMIC DEVELOPMENT AND ENVIRONMENTAL PROTECTION EFFORTS OR IMPROVING PUBLIC SPACE THROUGH REVITALIZATION EACH PROGRAM IS DONE ANNUALLY AND IS FREE OF CHARGE BAD DEBT EXPENSE EXPLANATION PART III LINE 4 BAD DEBTS IN THE COST AMOUNT OF 16530000 AS REPORTED ON LINE 2 IS THE COST AS A PERCENTAGE OF ADJUSTED PATIENT CHARGES DIVIDED BY OPERATING EXPENSES TO ACHIEVE A COST TO CHARGE RATIO THIS AMOUNT IS THE PRODUCT OF THE RATIO OF COST TO CHARGES MULTIPLIED BY THE BAD DEBT EXPENSE PART III LINE 4 BAD DEBT EXPENSE EXPLANATION BAD DEBTS EXPENSE IN THE AMOUNT OF 33772000 WHICH IS NOT INCLUDED IN COMMUNITY BENEFITS IS THE AMOUNT RECORDED DURING 2010 WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ONGOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE MEDICARE EXPLANATION PART III LINE 8 THE SHORTFALL IN MEDICARE IS DETERMINED BY THE COST TO CHARGE RATIO THAT IS COMPUTED EVERY YEAR AND COMPARED FOR REASONABLENESS THE SHORTFALL IN MEDICARE PAYMENTS TO COMPUTED COSTS REPRESENTS THE NET COSTS THAT THE HOSPITAL INCURS FOR NONCOMMUNITY BENEFIT MEDICARE EXPENSES ABSORBED BY THE HOSPITAL COLLECTION PRACTICES EXPLANATION PART III LINE 9B HHS INC USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHEREVER POSSIBLE THE PATIENT OR PATIENTS FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE CHARITY CARE OR HENNEPIN CARE OR WHO ARE UNINSURED WILL BE OFFERED AN UNINSURED DISCOUNT CARE PATIENTS WITH SELF PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO COLLECT FOR SERVICES NEEDS ASSESSMENT PART VI SCHEDULE H PART V COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY MINNESOTA LAW HHS INC IS REQUIRED TO PERFORM AN ANNUAL NEEDS ASSESMENT FOR THE SURROUNDING METRO TWIN CITIES AREA ENTITLED HEALTH SERVICES PLAN THE REPORT IS ANNUALLY APPPROVED BY HHS INC BOARD AND THE HENNEPIN COUNTY HEALTH HUMAN SERVICES COMMITTEE THE REPORT IS ALSO SUBMITTED TO THE MINNESOTA DEPARTMENT OF HEALTH HHS INC USES A VARIETY OF COMMUNITY NEEDS ASSESSMENTS EG SHAPE AND HEALTH SERVICE PLANNING DOCUMENTS TO DEVELOP A PROFILE OF THE HEALTH STATUS OF THE COMMUNITY CURRENTLY THERE ARE NO COMPREHENSIVE AND WIDELY ACCESSIBLE AND ACCEPTED DOCUMENTS THAT PROVIDE A DEFENSIVE BASELINE AS A MEANS FOR LONGITUDINAL ESTIMATE FOR IMPROVEMENT HHS INC USES STUDIES OR INITIATIVES BEING CONDUCTED BY PUBLIC HEALTH DEPARTMENTS HEALTH CARE SYSTEMS AND OTHER AGENCIES AND ENTITIES FOCUSED ON SPECIFIC CONDITIONS OR SPECIFIC GEOGRAPHIC REGIONS IMPROVEMENTS INCLUDE THE IDENTIFICATION OF DATASETS TO CREATE AND SYNDICATE BASELINE DATA AND ENGAGE IN COLLABORATIVE DISCUSSIONS AMONG AND BETWEEN PUBLIC HEALTH DEPARTMENTS AND HEALTH CARE SYSTEMS HCMC CONDUCTED EXPLORATORY DISCUSSION SESSIONS THAT INCLUDED ALL OF THE HENNEPIN COUNTY HEALTHCARE SYSTEMS OPEN COMMUNITY FORUM AND THE THREE LARGEST PUBLIC HEALTH DEPARTMENTS HCMC DATA SHOW THAT PROFOUND HEALTH DISPARITIES EXIST IN MINNESOTA AT HCMC 6065 OF SERVICES ARE PROVIDED TO PERSONS BELONGING TO RACIAL AND ETHNIC MINORITIES HCMCHHS ADMINISTERS PRESS GANEY PATIENT SATISFACTION SURVEYS IN FIVE LANGUAGES AND HAS BEGUN TO STRATIFY RESULTS BY RACE AND ETHNICITY THUS ALLOWING FOR GREATER AWARENESS AND THE OPPORTUNITY FOR FOCUSED INTERVENTION THE HEALTH SERVICES PLAN IS APPROVED ANNUALLY BY THE HENNEPIN HEALTHCARE SYSTEM INC BOARD OF DIRECTORS AND THE HENNEPIN COUNTY HEALTH HUMAN SERVICES COMMITTEE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHEREVER POSSIBLE THE PATIENT OR PATIENTS FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE ANDOR HENNEPIN CARE REQUIRED TO SUBMIT THE REQUIRED VERIFICATIONS FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE HENEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT PATIENTS WHO HAVE A PAST DUE BILL BALANCE AND BASED UPON FINANCIAL ASSISTANCE SCREENING ARE CONSIDERED ABLE TO PAY MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE TO THE ABILITY TO COLLECT FOR SERVICES COMMUNITY INFORMATION PART VI HENNEPIN HEALTHCARE SYSTEM INC IS A PUBLIC CORPORATION SAFETY NET HOSPITAL ENGAGED IN THE DELIVERY OF HEALTHCARE AND RELATED SERVICES TO THE GENERAL PUBLIC IN THE STATE OF MN INCLUDING THE INDIGENT AS DEFINED BY STATE AND FEDERAL LAW AS DETERMINED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS IT HAS A TREAT FIRST POLICY REGARDLESS OF A PATIENTS ABILITY TO PAY HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI HCMC PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM MHCP RECIPIENTS AND THE UNINSURED THAN DO OUR NONTEACHING HOSPITAL COUNTERPARTS NEARLY 50 OF HCMCHHS VOLUME IS PROVIDED TO LOWINCOME POPULATIONS HCMCHHS IS THE STATES LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN HCMC TREATS THE COUNTYS AND REGIONS MORE SEVERELY ILL PATIENTS SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGIONS EMERGENCY PREPAREDNESS AND STANDBY CAPACITY AND PROVIDE MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS ORGAN TRANSPLANTATION INTENSIVE NEONATAL CARE ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGIONS POPULATION HCMC FACILITATES THE TRANSITION OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM AND RAISE OUR REGIONAL STANDARDS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MINNESOTA ADDITIONAL INFORMATION PART VI PART I LINE 6A B THE COMMUNITY BENEFIT REPORT IS A FOOTNOTE DISCLOSURE AS PART OF HHS INC ANNUAL AUDITED FINANCIAL STATEMENT THAT IS AN ENTERPRISE FUND OF HENNEPIN COUNTY MINNESOTA AND IS SUCH FILED WITH THE COUNTY THE AUDITED STATEMENT IS AVAILABLE TO THE PUBLIC THE REPORT IS FILED WITH THE SECRETARY OF STATE MINNESOTA PART I LINE 7F HEALTH PROFESSIONAL EDUCATION PUBLIC HOSPITALS ARE SPECIAL PLACES THAT HELP THE UNDERSERVED AND PROVIDE COMPREHENSIVE AND UNIQUE SERVICES FOR THE GENERAL POPULATION HCMC IS A PREMIER TEACHING HOSPITAL AND CLINIC SYSTEM FROM THE TRAINING OF TOMORROWS DOCTORS TO ENSURING PHYSICIANS THROUGH OUT MINNESOTA REMAIN CURRENT ON THE LATEST MEDICAL ADVANCES HCMC HAS LONG BEEN AND CONTINUES TO BE A NATIONALLY RECOGNIZED PUBLIC HEALTH SYSTEM AND MEDICAL EDUCATION RESOURCE HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 1J PART V LINE 1J HENNEPIN COUNTY MEDICAL CENTERHENNEPIN HEALTHCARE SYSTEM INC HCMCHHS PRODUCES AN ANNUAL HEALTH SERVICES PLAN FOR THE REVIEW AND APPROVAL BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERSAS STATED IN THE BYLAWS THE HEALTH SERVICES PLAN WILL DRAW FROM A POPULATION NEEDS ASSESSMENT AND WILL DELINEATE THE CORPORATIONS ROLE IN THE COMMUNITY INCLUDING EDUCATION RESEARCH AND SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS THE PLAN MUST ALSO DESCRIBE CONTINUED COORDINATION WITH THE COUNTY THE PRINCIPLE HEALTH SERVICES TO BE PROVIDED SIGNIFICANT CHANGES IN THE PATTERNS OF THE COMMUNITY HEALTH NEEDS SIGNIFICANT PLANS FOR CHANGES IN THE DEPLOYMENT OF RESOURCES OR SITES THE PRIMARY THRUST OF WORKFORCE PLANS AND THE OPERATION AND EFFECT OF THE INDIGENT CARE FORMULA OUR OBJECTIVES ARE TO DESIGN AND FACILITATE ACTIONS THAT ARE CONTINUOUS OVER TIME MEASURABLE AND THAT BOTH LEVERAGE AND COMPLEMENT RELATIONSHIPS WITH PARTNERING ORGANIZATIONS THIS WORK INCLUDES ASSURANCE THAT INITIATIVES ARE DEEPLY EMBEDDED INTO DAYTODAY OPERATIONS HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 THE HEALTH SERVICES PLAN DRAWS FROM A POPULATION NEEDS ASSESSMENT AND WILL DELINEATE THE CORPORATIONS ROLE IN THE COMMUNITY INCLUDING EDUCATION RESEARCH AND SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 13G PART V LINE 13G HHSINC CREATED A WEB SITE BASED INFORMATION FOR PATIENTS FAMILY VISITORS THE SITE ALLOWS INDIVIDUALS ACCESS TO PATIENT RESOURCES AND A PORTAL IN THE PATIENT BILLING SITE THAT ASSISTS WITH PAYING FOR YOUR HEALTH SERVICES IN WHICH THE PATIENT CAN BE GUIDED THROUGH THE INPUT SCREENS WHETHER OR NOT THEY ARE INSURED HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 15E PART V LINE 15E SEE EXPLANATION PART III LINE 9B HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 16E PART V LINE 16E SEE EXPLANATION PART III LINE 9B HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 17E PART V LINE 17E SEE EXPLANATION PART III LINE 9B HENNEPIN HEALTHCARE SYSTEM INC LINE NUMBER 1 PART V LINE 19D PART V LINE 19D HCMC COLLECTIONSCUSTOMER SERVICE AREAS PROCESS DISCOUNT ADJUSTMENTS TO PATIENTS ACCOUNTS SUBJECT TO PROPER ADJUSTMENT APPROVALS AND GUIDELINES PATIENTS ARE ELIGIBLE FOR DISCOUNTS BASED ON PATIENT HOUSEHOLD SIZE AND INCOME IN RELATION TO FEDERAL POVERTY GUIDELINES PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT PROGRAMS ARE REQUIRED TO APPLY FOR THOSE PROGRAMS IF BENEFITS ARE DENIED THE APPLICABLE DISCOUNT SHALL APPLY FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS GROSSNET INCOME AND FAMILY SIZE TO DETERMINE APPROPRIATE DISCOUNT THE HOSPITAL USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND FREE CARE true ALLINA HOSPITAL - MERCY HOSPITAL ALLINA HOSPITAL - MERCY HOSPITAL 4050 COON RAPIDS BLVD 4050 COON RAPIDS BLVD COON RAPIDS MN 55433 363261413 47612 EMERGENCY & PREPARD ALLINA HOSPITAL - UNITED HOSPITAL ALLINA HOSPITAL - UNITED HOSPITAL 333 SMITH AVENUE NORTH 333 SMITH AVENUE SAINT PAUL MN 55102 363261413 54942 EMERGENCY & PREPARD ALLINA HOSPITAL - UNITY HOSPITAL ALLINA HOSPITAL - UNITY HOSPITAL 5500 OSBORNE ROAD 550 OSBORNE ROAD FRIDLEY MN 55435 363261413 46211 EMERGENCY & PREPARD ALLINA HOSPITAL -ABBOTT NORTHWSTRN ALLINA HOSPITAL-ABBOTT NORTHWESTER 800 EAST 28TH STREET 800 EAST 28TH STREET MINNEAPOLIS MN 55407 363261413 92826 EMERGENCY & PREPARD CHILDREN'S HOSPITAL- ST PAUL CHILDREN'S HOSPITAL- ST PAUL 345 N SMITH AVENUE 345 N SMITH AVENUE SAINT PAUL MN 55102 411754276 44402 EMERGENCY & PREPARD CHILDREN'S HOSPITAL-MPLS CHILDREN'S HOSPITAL-MPLS 2525 CHICAGO AVENUE 2525 CHICAGO AVENUE MINNEAPOLIS MN 55404 411754276 46616 EMERGENCY & PREPARD CLEARWTER TRUCK CENTER INC CLEARWATER TRUCK CENTER INC 925 SHORTY STREET 925 SHORTY STREET CLEARWATER MN 55320 411639302 26385 EMERGENCY &PREPARD EARLE BROWN HERITAGE CENTER EARLE BROWN HERITAGE CENTER EARLE BROWN DRIVE EARLE BROWN DRIVE BROOKLYN CENTER MN 55430 416005011 38995 EMERGENCY & PREPARD FAIRVIEW RIDGES HOSPITAL FARIVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD 201 E NICOLLET BLVD BURNSVILLE MN 55337 410991680 67850 EMERGENCY & PREPARD FAIRVIEW RIVERSIDE HOSPITAL FAIRVIEW RIVERSIDE HOSPITAL 2450 RIVERSIDE AVENUE 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 31359 EMERGENCY & PREPARD FAIRVIEW SOUTHDALE HOSPITAL FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE SOUTH 6401 FRANCE AVENUE SOUTH EDINA MN 55435 410991680 32088 EMERGENCY & PREPARD FAIRVIEW UNIVERSITY HOSPITAL FAIRVIEW UNIVERSITY HOSPITAL 500 HARVARD STREET 500 HARVARD STREET MINNEAPOLIS MN 55455 410991680 33033 EMERGENCY & PREPARD GRAINGER GRAINGER 100 GRAINGER PARKWAY 100 GRAINGER PARKWAY LAKE FOREST IL 60045 361150280 35898 EMERGENCY & PREPARD HEALTHEAST - SAINT JOHN'S HOSPITAL HEALTHEAST - SAINT JOHN'S HOSPITAL 1575 BEAM AVENUE 1575 BEAM AVENUE MAPLEWOOD MN 55109 411456897 45960 EMERGENCY & PREPARD HEALTHEAST - SAINT JOSEPH HOSPITAL HEALTHEAST - SAINT JOSEPH HOSPITAL 45 WEST 10TH STREET 45 WEST 10TH STREET SAINT PAUL MN 55102 410693880 20500 EMERGENCY & PREPARD HEALTHEAST - WOODWINDS HOSPITAL HEALTHEAST - WOODWINDS HOSPITAL 1690 UNIVERSITY AVENUE WEST 1690 UNIVERSITY AVENUE WEST SAINT PAUL MN 55104 411592761 38822 EMERGENCY & PREPARD LAKEVIEW HOSPITAL LAKEVIEW HOSPITAL 927 CHURCHILL STREET WEST 927 CHURCHILL STREET WEST STILLWATER MN 55082 410811697 18250 EMERGENCY & PREPARD MAPLE GROVE HOPITAL CORP MAPLE GROVE HOSPITAL CORP 9875 HOSPITAL DRIVE 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 208316475 18250 EMERGEMCY & PREPARD NORTH MEMORIAL MEDICAL CENTER NORTH MEMORIAL HOSPITAL 3300 OAKDALE AVENUE N 3300 OAKDALE AVENUE N ROBBINSDALE MN 55422 410729979 71909 EMERGENCY & PREPARD NORTHFIELD HOSPITAL NORTHFIEL HOSPITAL 2000 NORTH AVENUE 2000 NORTH AVENUE NORTHFIELD MN 55057 416007241 19249 EMERGENCY & PREPARD PARK NICOLLET METHODIST HOSPITAL PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD 6500 EXCELSIOR BLVD SAINT LOUIS PARK MN 55426 410132080 54456 EMERGENCY & PREPARD QUEEN OF PEACE HOSPITAL QUEEN OF PEACE HOSPITAL 301 2ND STREET NE 301 2ND STREET NE NEW PRAGUE MN 56071 410723639 18250 EMERGENCY & PREPARD REGINA MEDICAL CENTER REGINA MEDICAL CENTER 1175 SINGER ROAD 1175 SINGER ROAD HASTINGS MN 55033 410740678 37391 EMERGENCY & PREPARD REGIONS HOSPITAL REGIONS HOSPITAL 640 JACKSON STREET 640 JACKSON STREET SAINT PAUL MN 55101 410956618 31000 EMERGENCY & PREPARD RIDGEVIEW MEDICAL CENTER RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET 500 SOUTH MAPLE STREET WACONIA MN 55387 311667875 18250 EMERGENCY & PREPARD SAINT FRANCIS REGIONAL MEDICAL CTR SAINT FRANCIS REGIONAL MEDICAL CTR 1455 SAINT FRANCIS AVENUE 1455 SAINT FRANCIS AVENUE SHAKOPEE MN 55379 363261413 18250 EMERGENCY & PREPARD 24 14 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 HENNEPIN HEALTHCARE SYSTEMS, INC HAS A GRANT MANAGEMENT DEPARTMENT THAT WORKS IN COOPERATION WITH FINANCE, PROGRAM DIRECTORS AND HENNEPIN COUNTY, MN TO MONITOR GRANT RECEIPTS AND GRANT DISBURSEMENTS, (WHETHER FEDERAL, STATE, LOCAL OR INDIVIDUAL,) THAT THE ORGANIZATION HAS RECEIVED AND EXPENDED AND MONITORS COMPLIANCE ,(IF ANY) WITH SUCH GRANT REQUIREMENTS. X X X X X false false false false false true false false false ARTHUR A GONZALEZ 525104 24500 15546 565150 LARRY KRYZANIAK 319813 17150 13834 350797 JOANNE SUNQUIST 236765 16222 15317 268304 KATHY WILDE 233405 16422 8419 258246 TIMOTHY HARLIN 215922 12946 25272 254140 TERRY W HOWELL 213246 12680 11067 236993 JEANETTE TAYLOR-JONES 195574 14571 13503 223648 MICHAEL HARRISTHAL 160607 11130 16237 187974 SCOTT CHASTEK 172961 10575 11951 195487 MICHAEL SINGH 169021 11831 7955 188807 SAMUEL D FINE 167579 11626 16668 195873 DIONNE HART 156454 156454 THOMAS J LUTTENEGGER 155971 10820 16682 183473 COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A HENNEPIN HEALTHCARE SYSTEM, INC., HAS TWO INCENTIVE PROGRAMS DESIGNED TO REWARD ELIGIBLE EMPLOYEES WITH A FINANCIAL PAYOUT IF ESTABLISHED ORGANIZATIONAL GOALS (FOCUSED ON CUSTOMER SERVICE AND PATIENT SAFETY) ARE MET. THE OBJECTIVES OF THE PLANS ARE TO ALIGN COMPENSATION PRACTICES WITH ORGANIZATIONAL GOALS AND OBJECTIVES AND REWARD INDIVIDUALS BASED ON PERFORMANCE-BASED CRITERIA. INDIVIDUALS ARE NOT ALLOWED TO PARTICIPATE IN BOTH PLANS AND BOTH ARE SUBJECT TO MODIFICATION BY THE BOARD OF DIRECTORS INCLUDING THE RIGHT TO NOT PAY ANY AMOUNT. FOR EXAMPLE, UNFORESEEN OR CATASTROPHIC CIRCUMSTANCES THAT WOULD MAKE IT DIFFICULT TO JUSTIFY PAYING IN A GIVEN YEAR. EACH PLAN HAS QUALIFICATIONS THAT MUST BE MET IN ORDER FOR THE DISCRETIONARY PAYMENT TO BE CONSIDERED. DURING 2010 THERE WERE PAYOUTS FOR CERTAIN PERSONS LISTED IN PART VII, SECTION A, LINE 1A. THESE INCENTIVE PAYMENTS WERE FOR THE 2009 PROGRAM YEAR, ACCRUED DURING 2009. THE SPECIFIC INCENTIVE PLAN FOR LEADERS WITHIN THE ORGANIZATION WAS NOT IN PLACE DURING 2010, THEREFORE, NO ACCRUALS WERE MADE DURING 2010 FOR THIS PROGRAM. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III FORM 990 SCHEDULE J PART 1, QUESTION 3 AS PART OF ITS ANNUAL BOARD APPROVAL ITEMS, A LINE ITEM MOTION IS DONE. FORM 990 SCHEDULE J PART II KEY EMPLOYEES - ADDITIONS INCLUDED AS HHS, INC KEY EMPLOYEES ARE THE FOLLOWING HENNEPIN FACULTY ASSOCIATES (HFA) EMPLOYEES. THEY ARE NOT COMPENSATED BY HHS, INC. OR ANY RELATED ORGANIZATION, BUT ARE PAID THROUGH A SHARED SERVICES AGREEMENT WITH HFA. THIS AGREEMENT IS INCLUDED AS PART OF FORM 990, PART VII, SECTION B, INDEPENDENT CONTRACTORS. DEFERRED NON-TAXABLE NAME/ TITLE COMPENSATION COMPENSATION BENEFITS MICHAEL B. BELZER M.D 323,796 31,152 26,794 CHIEF MEDICAL OFFICER GREGORY A. LUTZ 252,278 31,152 6,458 CHIEF CLINICAL OFFICER CONTINUE FROM PREVIOUS PAGE STEVEN P. STERNER M.D 291,867 31,152 24,894 CHIEF CLINICAL OFFICER ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION FORM 990, PART I, LINE1 AND FORM 990, PART III, LINE 1 HCMC IS A LEVEL ONE TRAUMA CENTER, ACUTE & TERTIARY CARE, PUBLIC TEACHING HOSPITAL. HCMC PROVIDES THE BEST POSSIBLE CARE TO EVERY PATIENT SERVED AND SEARCHES FOR NEW WAYS TO IMPROVE HEALTHCARE FOR TOMORROW. HCMC IS EDUCATING HEALTHCARE PROVIDERS FOR THE FUTURE AND ENSURING ACCESS TO HEALTHCARE FOR ALL. FORM 990, PART I LINE 1, SIGNIFICANT ACTVIVITES FOR 2010 AS A SAFETY NET HOSPITAL, HCMC RECEIVES SUPPLEMENTAL MEDICAID PAYMENTS, ALSO KNOWN AS UPPER PAYMENT LIMIT PAYMENTS (UPL), FOR INPATIENT AND OUTPATIENT SERVICES THROUGH INTERGOVERNMENTAL TRANSFERS IN ACCORDANCE WITH SPECIFIC STATE STATUES SUBJECT TO FEDERAL REGULATIONS AND APPROVAL. DURING 2009, MINNESOTA STATE LEGISLATION CREATED SEVERAL NEW SUPPLEMENTAL MEDICAID PAYMENT STATUTES. UPON FEDERAL APPROVAL IN 2010, THE MEDICAL CENTER RECEIVED NONRECURRING PAYMENTS OF APPROXIMATELY 17 MILLION UNDER THESE STATUTES RELATED TO THE 2009 FEDERAL FISCAL YEAR. HCMC ALSO RECEIVES AMOUNTS FROM HENNEPIN COUNTY FOR CAPITAL ASSET ADDITIONS. THESE CAPITAL CONTRIBUTIONS TOTALED APPROXIMATELY 22 MILLION AND 16 MILLION IN 2010 AND 2009, RESPECTIVELY. NET OF THESE AMOUNTS, PART 1, LINE 19 "REVENUE LESS EXPENSES" WOULD BE 28.5 MILLION AND (2.5) MILLION FOR 2010 AND 2009, RESPECTIVELY. EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 HENNEPIN COUNTY MEDICAL CENTER HAD 11,756 HOURS LOGGED IN 2010 BY VOLUNTEERS WHO HELP THROUGHOUT THE HOSPITAL, ANSWERING PHONES LINES AND SUPPORTING THE INFORMATION DESK AND ENHANCING THE PATIENT AND VISITOR EXPERIENCE AND PROVIDING COMPANIONSHIP TO PATIENTS. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A POPULATIONS. ACUTE DIALYSIS (DAVITA) ACUTE DIALYSIS SERVICES' MAIN PURPOSE AND GOAL IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS. WE ARE RESPONSIBLE FOR HEMODIALYSIS TREATMENTS AND OTHER NEPHROLOGY NURSING NEEDS OF THE ACUTE AND CHRONIC PATIENTS ADMITTED TO THE HOSPITAL. WE PROVIDE THE PATIENT WITH THE SERVICES OF AN EXPERIENCED TEAMMATE AND WORK IN CONJUNCTION WITH THE HOSPITAL TO ENSURE THAT EACH PATIENT REACHES THE HIGHES LEVEL OF HEALTH, SECURITY, AND INDEPENDENCE 24- HOURS A DAY, 7-DAYS A WEEK. ACUTE PSYCHIATRIC SERVICES (APS) APS IS A PSYCHIATRIC EMERGENCY DEPARTMENT OPEN 24 HOURS PER DAY, 7 DAYS PER WEEK, FOR ANYONE EXPERIENCING A MENTAL HEALTH OR EMOTIONAL CRISIS. WE PROVIDE ASSESSMENT, INTERVENTION, AND REFERRAL. AMBULATORY BURN CLINIC THE AMBULATORY BURN AND WOUND CLINIC WHICH SERVES ALL AGES, IS A SPECIALTY CLINIC PROVIDING COMPREHENSIVE TREATMENT AND MANAGEMENT OF PATIENTS WITH A VARIETY OF WOUNDS AND/OR PATIENTS NEEDING IV THERAPY. AMBULATORY CARE AMBULATORY CARE SERVICES AT HENNEPIN COUNTY MEDICAL CENTER (HCMC) ARE SUPPORTED BY MORE THAN 300 PHYSICIANS AND RELATED PROVIDERS FROM HENNEPIN FACULTY ASSOCIATES (HFA) AND HCMC. AMBULATORY CARE IS PROVIDED THROUGH BOTH MULTISPECIALTY AND PRIMARY CARE CLINICS. ANESTHESIA GENERAL, MONITORED ANESTHESIA CARE AND REGIONAL ANESTHESIA ARE PROVIDED BY ANESTHESIOLOGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS. ANESTHESIA CARE IS PROVIDED FOR ELECTIVE, URGENT AND EMERGENT OPERATING ROOM CASES AND IN ANCILLARY AREAS INCLUDING CARDIAC CATHETER LAB, RADIOLOGY, VASCULAR ACCESS, GASTRO-INTESTIONAL LAB, LABOR AND DELIVERY AND PSYCHIATRY. AUDIOLOGY CLINIC THE AUDIOLOGY CLINIC PROVIDES HIGH QUALITY INPATIENT AND OUTPATIENT SERVICES TO INDIVIDUALS OF ALL AGES, FROM INFANCY TO GERIATRIC. OUR LICENSED AUDIOLOGISTS HAVE ADVANCED EXPERTISE IN EVALUATING AND TREATING A WIDE RANGE OF HEARING IMPAIRMENTS, AS WELL AS PRESCRIBING AND FITTING SOPHISTICATED HEARING INSTRUMENTS. BIOMEDICAL ETHICS COMMITTEE FOCUS ON ETHICAL ISSUES THAT ARISE IN PATIENT CARE. BONE AND MINERAL CLINIC SPECIALTY CLINIC FOR THE MANAGEMENT OF BONE AND MINERAL METABOLISM SUCH AS OSTEOPOROSIS AND KIDNEY STONE DISEASE. ALSO PERFORM BONE DENSITOMETRY WITH AN IDXA BONE DENSITOMETRY SCANNER, THE NEWEST AVAILABLE TECHNOLOGY FOR DETECTING BONE DENSITY. BURN CENTER THE BURN CENTER IS A 17 BED UNIT THAT HAS RECEIVED VERIFICATION AS A BURN CENTER FROM THE AMERICAN BURN ASSOCIATION. A MULTIDISCIPLINARY TEAM APPROACH IS USED BY THE BURN CENTER TO PROVIDE INTENSIVE, ACUTE, AND REHABILITATIVE CARE TO ALL AGE GROUPS THAT PRESENT WITH THERMAL INJURIES, COMPLEX WOUNDS, PLASTIC SURGERY, AND SKIN DISORDERS OF VARYING SEVERITY. CARDIAC SERVICES (HENNEPIN HEART CENTER) CARDIAC SERVICES INCLUDES THE FOLLOWING SERVICE AREAS: CARDIAC CATHETERIZATION LABORATORY; CARDIAC ECHOCARDIOGRAPHY LABORATORY; CARDIAC MEDICAL INTERMEDIATE CARE (CMIC); CARDIAC REHABILITATION; CARDIAC-RENAL; UNIT (CARE); CARDIAC RESEARCH CARDIOLOGY ADMINISTRATION; CARDIOLOGY CLINIC CARDIOTHORACIC SURGERY; ELECTROCARDIOGRAM (EKG); ELECTROPHYSIOLOGY LABORATORY AND R5 OBSERVATION UNIT. CENTRAL STERILE SUPPLY REPROCESSING OF REUSABLE MEDICAL / SURGICAL INSTRUMENTS AND SUPPLIES IN A MANNER THAT IS SAFE, EFFECTIVE, AND FOLLOWS RECOMMENDATIONS SET FORTH BY GOVERNING AGENCIES. CENTRAL STERILE SUPPLY SERVES ALL HCMC CLINICS, NURSING STATIONS, OPERATING ROOMS AND OTHER AFFILIATES. CHAPLAINCY (SPIRITUAL CARE) THE MISSION OF HENNEPIN COUNTY MEDICAL CENTER'S SPIRITUAL CARE DEPARTMENT IS TO PROVIDE SENSITIVE SUPPORT TO PATIENTS AND FAMILY MEMBERS AFFECTED BY CRISIS, ILLNESS OR LOSS-WHILE RESPECTING THEIR CULTURE, RELIGION, VALUE SYSTEMS, TRADITIONS AND FAITH COMMUNITIES. THE DEPARTMENT HAS A NUMBER OF ITEMS AVAILABLE UPON REQUEST TO SUPPORT THE DIVERSE NEEDS OF MANY FAITHS. CHILD/ADOLESCENT PSYCHIATRY CLINIC THE CHILD/ADOLESCENT PSYCHIATRY CLINIC OFFERS A VARIETY OF OUTPATIENT SERVICES TO HELP CHILDREN AND ADOLESCENTS WHO ARE HAVING BEHAVIORAL AND EMOTIONAL PROBLEMS. SERVICES INCLUDE PSYCHIATRIC AND PSYCHOLOGICAL EVALUATIONS, THERAPY, PARENTING SKILLS COUNSELING AND MEDICATION MANAGEMENT. COMPREHENSIVE CANCER CENTER THE COMPREHENSIVE CANCER CENTER IS COMMITTED TO PROVIDING THE FINEST IN CANCER-RELATED SERVICES THROUGH AN INTEGRATED SYSTEM OF HEALTH AND SOCIAL SERVICES. THE CONTINUUM OF CARE EXTENDS FROM PREVENTION, DIAGNOSIS, TREATMENT, SYMPTOM CONTROL, AND CURE, THROUGH ALL RELATED ASPECTS OF ADJUSTMENT TO RELAPSE, SURVIVORSHIP, AND BEREAVEMENT COUNSELING. CONTACT CENTER THE CONTACT CENTER IS A MAIN POINT OF PATIENT ENTRY INTO HENNEPIN COUNTY MEDICAL CENTER'S HOSPITAL AND MEDICAL CLINICS. WE PROVIDE PATIENTS WITH ONE-STOP ACCESS TO THE SERVICES PROVIDED BOTH ON AND OFF CAMPUS. PATIENTS ARE ABLE TO REGISTER, SCHEDULE, RESCHEDULE, OR CANCEL APPOINTMENTS, SIGN UP FOR MY CHART ACTIVATION, AND LEARN MORE ABOUT TOPICS DISCUSSED ON WCCO'S HEALTHY MATTER'S RADIO SHOW. IN ADDITION, THE CONTACT CENTER'S TRIAGE NURSES OFFER TRIAGE SUPPORT, SYMPTOM SUPPORT, LAB RESULTS, APPOINTMENT SCHEDULING, REFILL MANAGEMENT AND REQUESTS, AND WILL CONTACT PROVIDERS AS NEEDED. CONTINUING MEDICAL EDUCATION THE PURPOSE OF MEDICAL CENTER'S CME PROGRAM IS TO PROVIDE ORGANIZED, PLANNED EDUCATION ACTIVITIES TO HELP PHYSICIANS IMPROVE THEIR MEDICAL KNOWLEDGE, DELIVERY OF-HEALTHCARE, AND PROFESSIONAL NETWORKING. HCMC IS ACCREDITED BY THE MINNESOTA MEDICAL ASSOCIATION TO SPONSOR AMA PRA CATEGORY 1 CREDIT(S) FOR PHYSICIANS. COORDINATED CARE SYSTEM THE HENNEPIN COORDINATED CARE SYSTEM (HCCCS) PROVIDES CARE FOR PATIENTS WITH COMPLEX MEDICAL NEEDS AND "EXPRESS ACCESS" TO CLINICS POST DISCHARGE. EACH MONTH AN AVERAGE OF 1400 PATIENTS ARE SEEN. SERVICE IS PROVIDED TO OUTPATIENTS AND INPATIENTS. THE AGES OF THE PATIENT POPULATION RANGE FROM PEDIATRICS THROUGH GERIATRICS. THEY REPRESENT A LARGE VARIETY OF RACES AND ETHNIC GROUPS AND VARIOUS FINANCIAL BACKGROUNDS. THEY MAY BE INSURED, UNDERINSURED, OR UNINSURED. APPROXIMATELY THIRTY PERCENT OF PATIENTS ARE UNDER AGE 12, AND ABOUT TEN PERCENT ARE OVER AGE 65. DISABILITY EVALUATION CENTER (DEC) THE DISABILITY EVALUATION CENTER ASSISTS HENNEPIN COUNTY MEDICAL CENTER PATIENTS WITH APPLICATIONS TO THE STATE MEDICAL REVIEW TEAM (SMRT) FOR DISABILITY AS WELL AS SOCIAL SECURITY APPLICATIONS. WE WILL ASSIST THE PATIENT IN COMPLETING FORMS, SCHEDULING EXAMS THAT ARE REQUIRED BY THE STATE OR THE DEC AS WELL AS PROVIDE A RESOURCE FOR ALL HCMC USERS. ELECTROENCEPHALOGRAM LAB (EEG) THE EEG LAB OFFERS DIAGNOSTIC TESTING FOR ALL PATIENTS FROM NEWBORNS TO ADULTS UPON A RECOMMENDATION FROM A PHYSICIAN. ROUTINE EEG TESTING (RECORDING OF ELECTRICAL IMPULSES FROM THE BRAIN) IS PERFORMED IN BOTH AN INPATIENT AND OUTPATIENT SETTING. EEG TESTING IN THE OPERATING ROOM IS USED TO MONITOR NEUROLOGICAL FUNCTION DURING SURGERY. EMERGENCY MEDICINE (EMS) EMERGENCY MEDICAL SERVICES INCLUDES THE FOLLOWING SERVICE AREAS: - EMERGENCY DEPARTMENT AND EXPRESS CARE - EMERGENCY MEDICAL SERVICES, COMPRISED OF EMS FIELD OPERATIONS, EMS EMERGENCY COMMUNICATION CENTER, EMS EDUCATION ELECTROMYOGRAPHY LABORATORY DEPARTMENT (EMG) THE EMG LABORATORY PROVIDES NERVE CONDUCTION STUDIES (NCS), NEEDLE ELECTROMYOGRAPHY, AUTONOMIC NERVOUS SYSTEM TESTING, BOTULINIUM TOXIN AND PHENOL INJECTIONS ON ADULT AND PEDIATRIC INPATIENTS (AMBULATORY OR PORTABLE) AND OUTPATIENTS FROM ALL ETHNIC AND SOCIO-ECONOMIC GROUPS. EAR, NOSE AND THROAT CLINIC (ENT) THE ENT CLINIC IS A SPECIALTY CLINIC THAT PROVIDES A WIDE RANGE OF SURGICAL, DIAGNOSTIC AND POSTOPERATIVE MANAGEMENT OF PATIENTS WITH EAR, NOSE AND THROAT CONDITIONS. EXTENDED CARE DEPARTMENT EXTENDED CARE PROVIDES PRIMARY CARE TO HCMC PATIENTS LIVING IN NURSING FACILITIES. FAMILY MEDICINE DEPARTMENT THE VISION OF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE IS TO USE HIGH QUALITY MEDICAL EDUCATION AND PATIENT CARE TO CREATE EXCELLENT FAMILY PHYSICIANS WHO ARE SKILLED IN CARING FOR PEOPLE OF DIVERSE CULTURES, COMMITTED TO SERVING THEIR COMMUNITY, AND COMPETENT TO PRACTICE IN MULTIPLE SETTINGS. GASTROINTESTINAL LAB (GI) THE GI LAB IS PART OF THE SURGICAL SERVICES AREA PROVIDING PRE-PROCEDURE, PROCEDURAL AND NURSING VISITS TO A DIVERSE POPULATION OF BOTH INPATIENTS AND OUTPATIENTS SERVING PRIMARILY ADULTS. G3 MEDICAL /SURGICAL / ORTHOPAEDICS G3 IS A 37-BED, ALL PRIVATE-ROOM UNIT THAT SERVES MEDICAL AND SURGICAL PATIENTS, WITH AN EMPHASIS ON ORTHOPAEDICS AND HOSPITALIST SERVICES. HENNEPIN BARIATRIC CENTER THE HENNEPIN COUNTY MEDICAL CENTER HAS ESTABLISHED A WORLD-CLASS TEAM OF HEALTH CARE PROVIDERS TO HELP PATIENTS ACHIEVE WEIGHT LOSS GOALS. THE CENTERS OFFERS A COMPREHENSIVE WEIGHT LOSS PROGRAM. HENNEPIN CENTER FOR DIABETES AND ENDOCRINOLOGY THE HENNEPIN CENTER FOR DIABETES AND ENDOCRINOLOGY (HCDE) PROVIDES COMPREHENSIVE SERVICES TO PEOPLE WITH HORMONAL DISORDERS SUCH AS DIABETES. TREATMENT INCLUDES CLINICAL CARE, EDUCATION, NUTRITION AND WEIGHT MANAGEMENT. PATIENT CARE FOCUSES ON PREVENTING COMPLICATIONS ASSOCIATED WITH DIABETES. HOME EQUIPMENT SERVICES HOME EQUIPMENT SERVICES (HES) PARTNERS WITH HCMC REASON FORM 720 WAS NOT FILED FORM 990, PART V, LINE 14B HHS, INC DOES NOT PROVIDE ANY TANNING SERVICES. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 AS PER THE CORPORATE BYLAWS, THE ORGANIZATION SHALL HAVE ONE CLASS OF MEMBERS: A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE ORGANIZATION IS THE COUNTY OF HENNEPIN MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A HENNEPIN COUNTY, MN HAS RETAINED ALL THE RIGHTS , DUTIES AND PRIVILEGES AS TO ALL MATTERS SPECIFIED UNDER THE BYLAWS OF HHS, INC. HHS, INC. BOARD OF DIRECTORS IS EMPOWERED TO CARRY OUT RIGHTS, DUTIES AND PRIVILEGES OF THE ORGANIZATION TO THE EXTENT AS SPECIFIED IN HHS, INC. BYLAWS. HENNEPIN COUNTY, MN RETAINS ITS AUTHORITY TO APPOINT HHS, INC BOARD MEMBERS, APPROVE HHS, INC ANNUAL BUDGETS, APPROVE ANY ADDITIONAL INDEBTEDNESS, AND APPROVE THE ANNUAL HHS, INC HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B HENNEPIN COUNTY, MN AUTHORITY IS SET IN THE BYLAWS OF THE ORGANIZATION. THIS INCLUDES APPOINT HHS, INC BOARD MEMBERS, APPROVE HHS, INC ANNUAL BUDGETS, APPROVE ANY ADDITIONAL INDEBTEDNESS, APPROVAL OF THE FINANCE COMMITEE RECONMENDATIONS AND EXECUTIVE COMMITTEE AND APPROVE THE ANNUAL HHS, INC HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS COMPLETED AND REVIEWED INTERNALLY FOR FINALIZATION AND IS THEN MAILED TO THE HHS, INC BOARD OF DIRECTORS FOR REVIEW. ANY QUESTIONS THAT THE BOARD HAS IS ANSWERED BY THE NEXT MEETING BEFORE APPROVAL. AT THE OCTOBER MONTHLY BOARD MEETING IT IS FORMALLY APPROVED VIA A LINE ITEM MOTION. IT IS THEN SIGNED AND MAILED BY THE DUE DATE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C HHS, INC HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES AN INTERESTED PERSON WHO IS A DIRECTOR, OFFICER OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST DISLOSE IN WRITING WHEN POSSIBLE, OR ORALLY WHEN TIME DOES NOT ALLOW FOR WRITTEN DISCLOSURE. THE EXISTENCE AND NATURE OF HIS/HER RELATIONSHIP OR MATERIAL FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AT OR PRIOR TO THE MEETING OF THE BOARD OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTEREST PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE THE MEETING. COPIES OF DISCLOSURES ARE MAINTAINED BY CORPORATE LEGAL COUNSEL WHO ALSO DOES MONITORING. EVERY YEAR THE ORGANIZATION IS AUDITED SEPARATELY FROM HENNEPIN COUNTY, MN AND A SEPARATE AUDIT REPORT IS PREPARED AND PRESENTED TO THE BOARD OF DIRECTORS AND TO THE HENNEPIN COUNTY, MN BOARD OF DIRECTORS. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A HHS, INC BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT, RSM MCGLADREY TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER QUALIFIED EXECUTIVES. MCGLADREY GATHERED COMPARABILITY DATA ACCORDING TO THE ASSUMPTIONS OUTLINED IN HHS' COMPENSATION PHILOSOPHY, INCLUDING DATA RELEVANT TO OTHER ACADEMIC AND PUBLIC HOSPITALS. THE DATA TAKES INTO CONSIDERATION THE SCOPE OF THE COMPARISON GROUP, INCLUDING FACTORS SUCH AS REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC REGION. MCGLADREY COMPILED THIS DATA FIRST FOR CONSIDERATION BY THE COMPENSATION SUBCOMMITTEE OF THE BOARD WHO THEN DISCUSSES AND SUBMITS FOR APPROVAL BY THE HHS, INC BOARD OF DIRECTORS. ARTHUR A. GONZALEZ, CHIEF EXECUTIVE OFFICER HAS AN EMPLOYMENT CONTRACT WITH THE HOSPITAL WHICH IS APPROVED BY THE HHS, INC BOARD. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE ABOVE EXPLANATION IN LINE 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 INFORMATION FROM THE ORGANIZATION ANNUAL FORM 990 TAX RETURN IS AVAILABLE ON THE OFFICE OF ATTORNEY GENERAL WEBSITE AT WWW.AG.STATE.MN.US/CHARITIES. AUDITED FINANCIAL STATEMENTS AND FORM 1023, FORM 990 & FORM 990-T TAX RETURN ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. ITEMS DESCRIBED WITHIN ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS. HENNEPIN HEALTHCARE SYSTEM IS A COMPONENT UNIT OF HENNEPIN COUNTY, MINNESOTA A POLITICAL SUBDIVISION OF THE STATE OF MINNESOTA AND AS SUCH TNE ABOVE LISTED DOCUMENTS ARE AVAILABLE TO PUBLIC INSPECTION. THE TAX RETURN IS AVAILALBE FOR PUBLIC INSPECTION AT WWW.GUIDESTAR.ORG WEBSITE. REASON FOR NOT UNDERGOING REQUIRED AUDIT FORM 990, PAGE 12, PART XII, LINE 3B HHS,INC DID UNDERGO THE REQUIRED AUDITS. HENNEPIN HEALTH FOUNDATION HENNEPIN HEALTH FOUNDATION 701 PARK AVENUE ADMINISTRATION BUILDING MINNEAPOLIS MN 55415 410845733 PUB SUPPT MN 501C3 11A HHS INC HENNEPIN HEALTHCARE SYSTEM INC true false false true false false false false false false false true false false false false true false false HENNEPIN HEALTH FOUNDATION P 265907 CASH HENNEPIN COUNTY C 55246873 CASH METROPOLITAN HEALTH PLAN K 25196000 CASH ADDITIONAL INFORMATION SCHEDULE R HHS INC IS RELATED TO THE FOLLOWING ORGANIZATIONS THROUGH COMMON BOARD MEMBER RELATIONSHIP WITH THE FOLLOWING ORGANIZATIONS AND ARE DISCLOSED IN HHS INC ANNUAL AUDIT FINANCIAL REPORT 1 HENNEPIN COUNTY MN 2 HENNEPIN HEALTH FOUNDATION 3 METROPOLITAN HEALTH PLAN FORM 5768 ELECTION EFFECTIVE FOR 2009 RETURN FILING.