2024-11-13T17:56:10-06:00 2023-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2023-01-01 390808442 WESTFIELDS HOSPITAL INC WEST 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 ALITA R RISINGER CFO 9528836584 2024-11-13 1 0 HOLLY MOEN P01413237 6123055000 2023 2024-10-15 13:58:12Z ALITA R RISINGER 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 95511834 0 X WWW.HEALTHPARTNERS.COM X 1950 WI TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE. 12 7 515 24 0 0 606264 719099 85163647 93199066 701851 1241225 344186 98443 86815948 95257833 57285 100133 0 0 49017161 56152665 0 0 0 30344543 32870520 79418989 89123318 7396959 6134515 73378031 80139093 13877193 12732694 59500838 67406399 X WESTFIELDS HOSPITAL, IN PARTNERSHIP WITH OTHERS, WILL IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE WHICH MEETS THE NEEDS OF ALL PEOPLE. 0 0 77513214 100133 93049818 SEE SCHEDULE O - PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 77513214 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 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 1 1 0 1 0 0 515 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X KEVIN J BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 X ANTHONY C HECHT MD DIRECTOR 0.50 59.50 X 0 551936 53433 CRAIG YEHLIK DIRECTOR 0.50 0.00 X 0 0 0 ERIC W LING MD DIRECTOR, CMO, VPMA 0.50 49.50 X X 0 454681 66687 KATIE WENDT DIRECTOR 0.50 0.00 X 0 0 0 MARY HAILEY DIRECTOR 0.50 0.00 X 0 0 0 PAULA KOLBECK DIRECTOR 0.50 0.00 X 0 0 0 REGAN BROWN DIRECTOR & CHAIR 1.50 0.00 X X 0 0 0 SCOTT SODERBERG DIRECTOR & TREASURER 0.50 0.00 X X 0 0 0 STEVEN M MASSEY DIRECTOR, PRESIDENT 44.50 0.50 X X 0 409116 64799 TYLER R SCHMIDTZ DIRECTOR 0.50 49.50 X 0 423586 64029 VINI T MANCHANDA DIRECTOR 0.50 49.50 X 0 439861 104474 ROBIN REICHERT MD DIRECTOR 0.50 31.50 X 0 366352 59761 MARIE GREMORE DIRECTOR 0.50 0.00 X 0 0 0 LESLIE DOCKAN DIRECTOR 0.50 49.50 X 0 477764 67890 AMY L DEWANE DIRECTOR (JAN-APR) 0.50 49.50 X 0 458049 67579 DOUGLAS E JOHNSON CFO 13.75 41.25 X 0 603783 44121 LEANNE M ROGGEMANN VP PATIENT SERVICES 40.00 0.00 X 217590 0 18199 KRISTA L SIKORSKI FAMILY PRACTICE APP 36.00 0.00 X 188514 0 50299 KEVYN WOLLENBERG FAMILY PRACTICE APP 45.00 0.00 X 176132 0 39661 NICOLE M TROSEN PHARMACY MANAGER 40.00 0.00 X 191741 0 22833 NICOLE B LAVALLE FAMILY PRACTICE APP 40.00 0.00 X 174222 0 31227 JEAN M MEIER MANAGER WOMEN'S HEALTH 40.00 0.00 X 165011 0 54133 JASON J LUHRS FORMER CFO 0.00 50.00 X 0 347590 65808 HEIDI G CONRAD FORMER CFO 0.00 0.00 X 0 179908 46240 1113210 4712626 921173 55 1 1 0 RIVER VALLEY ANESTHESIA INC PO BOX 118 NEW RICHMOND WI 540170118 ANESTHESIA SERVICES 1619766 CANCER CENTER OF WESTERN WISCONSIN 501 HOSPITAL RD NEW RICHMOND WI 54017 MEDICAL SERVICE 574118 DERRICK BUILDING SOLUTION LLC 1505 HWY 65 NEW RICHMOND WI 54017 CONTRACTOR 316240 STAFFENCY INC 221 W COLLEGE AVE FL 2 APPLETON WI 54911 STAFFING 248351 LAKE KOUNTRY INC 347 180TH ST OSCEOLA WI 54020 LANDSCAPING 232081 11 417736 301363 719099 PATIENT SERVICES 623000 84023552 84023552 MEDICAL RETAIL 623000 9026266 9026266 DIETARY SERVICES 722514 149248 149248 93199066 1241225 1241225 351984 254001 97983 97983 97983 OTHER INCOME 623000 460 460 460 95257833 93049818 0 1488916 100133 100133 235789 235789 46228887 39823586 6405301 253832 216043 37789 9424696 8227092 1197604 9461 9461 21131 21131 44566 44566 4399193 3885329 513864 323691 47589 276102 403322 279623 123699 1191058 128952 1062106 987329 716801 270528 154845 145582 9263 123538 93714 29824 157622 131290 26332 2961988 2530210 431778 200393 47523 152870 MEDICAL SUPPLIES 19329379 19259220 70159 EQUIPMENT LEASE & REPAI 1593067 1551020 42047 OTHER EXPENSE 896004 283865 612139 SUBSCRIPTIONS & DUES 67686 23474 44212 15708 12707 3001 89123318 77513214 11610104 0 2238289 1838137 20568001 25524123 8885025 9753214 1083769 1186313 98970 67402 52225511 36349552 17244363 15875959 22874614 25508945 385000 385000 73378031 80139093 8902553 9006463 4974640 3726231 13877193 12732694 X 59500838 67406399 59500838 67406399 73378031 80139093 6134515 1771046 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: THE HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 195306 195306 30431571 18559634 11871937 75957 61240 14717 21522677 17728678 3793999 15875959 X PART X, LINE 2: WESTFIELDS HOSPITAL, INC. IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 1 1 1 0 0 457171 457171 0.00510 9717362 6369594 3347768 0.03760 10174533 6369594 3804939 0.04270 325439 450 324989 0.00360 301467 301467 0.00340 3306191 3306191 0.03710 91907 91907 0.00100 4025004 450 4024554 0.04510 14199537 6370044 7829493 0.08780 5187 5187 0.00010 7465 7465 0.00010 1604 1604 0.00000 14256 14256 0.00020 1 1570084 88939 24201229 24201229 X 1 1 1 CANCER CENTER OF WESTERN WISCONSIN ONCOLOGY SERVICES 0.23680 0.00000 0.00000 1 1 WESTFIELDS HOSPITAL INC 535 HOSPITAL ROAD NEW RICHMOND WI 54017 WWW.WESTFIELDSHOSPITAL.COM WISCONSIN LICENSE # 1050 X X X X WESTFIELDS HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY X 1 22 1 HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HE 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X X 1 X SEE NOTE FOR FULL WEBSITE URL X SEE NOTE FOR FULL WEBSITE URL X SEE NOTE FOR FULL WEBSITE URL X X X X X X 1 X 0 X X X X 1 X 0 0 WESTFIELDS HOSPITAL, INC. PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE THE HOSPITAL 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HEALTH-NEEDS/ WESTFIELDS HOSPITAL, INC. PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2021 HEALTHPARTNERS CHNA WERE:- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN.- PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN)- REGIONS HOSPITAL, MN.- AMERY REGIONAL MEDICAL CENTER, WI.- HUDSON HOSPITAL, HUDSON, WI.- HUTCHINSON HEALTH, HUTCHINSON, MN- HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC (OLIVIA, MN) WESTFIELDS HOSPITAL, INC. PART V, SECTION B, LINE 11: THE 2021 HEALTHPARTNERS CHNA RESULTED IN THE FOLLOWING PRIORITIES:PRIORITY 1: ACCESS TO CAREOUR GOAL IS TO IMPROVE ACCESS TO CARE THAT IS APPROPRIATE , AFFORDABLE AND CONVENIENT. -CONTINUED TO INCREASE WEBSITE ACCESS TO PATIENT AND COMMUNITY ACCESS TO HEALTH INFORMATION AND APPOINTMENT SCHEDULING. -IMPROVED GEOGRAPHIC ACCESS OF CARE FOR PATIENTS THROUGH COORDINATION OF APPOINTMENT SCHEDULING BETWEEN FIVE SITES IN THE ST. CROIX VALLEY AREA.-CONTINUED PATIENT EXPERIENCE IN ADVISORY COUNCILS TO BETTER UNDERSTAND AND IMPROVE CARE EXPERIENCE.-PROVIDED COMMUNITY DIABETES EDUCATION WITH VIRTUAL OPTIONS AS A LOW-COST OPTION FOR HEALTH INFORMATION AND EDUCATION.- IN 2023, CARE COORDINATION STRATEGIES FOCUSED ON TRANSITION CARE MANAGEMENT AND SUPPORTING HIGH-RISK PATIENTS TO PREVENT HOSPITAL AND ED READMISSIONS. REGISTERED NURSES CONDUCTED OUTREACH TO COORDINATE CARE, AND WE IMPLEMENTED DEDICATED HOSPITAL FOLLOW-UP VISIT TYPES TO ENSURE PATIENTS COULD SEE THEIR PRIMARY CARE CLINICIANS WITHIN 1-2 WEEKS POST-DISCHARGE. PRIORITY 2: ACCESS TO HEALTHSTRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT AND SUSTAINABLE OPERATIONS TO POSITIVELY IMPACT TO THE COMMUNITY. -HEALTHPARTNERS CONTINUED ADVISORY COUNCIL FOR SOCIAL DRIVERS OF HEALTH TO ACCELERATE AND ALIGN EFFORTS TO IDENTIFY AND SUPPORT PATIENTS AND MEMBERS WITH SOCIAL NEEDS. -COMMUNITY HEALTH ACTION TEAM (CHAT) CONTINUED TO ENGAGE COMMUNITY LEADERS TO COLLABORATE AND PARTNER.-CONTINUED TO SERVE ON CORE LEADERSHIP TEAM FOR SUPERSHELF FOOD SHELF TRANSFORMATIONS.-CONTINUED FOOD INSECURITY SCREENING AND REFERRAL FOR ALL WELL-SHILD AND MEDICARE WELL EXAMS.-CONTINUED PARTNERSHIP WITH THE LOCAL FOOD SHELVES TO EXPAND SUPERSHELF TO INCREASE ACCESS TO HEALTHIER FOOD OPTIONS FOR CLIENTS IN MINNESOTA AND WISCONSIN. -CONTINUED CROSS-SECTOR COLLABORATION FOR COMMUNITY HEALTH EFFORTS AND RESPONSE WITH HEALTHIER TOGETHER.-DISTRIBUTED MORE THAN 4,300 BOOKS TO CHILDREN IN VALLEY CLINICS THROUGH REACH OUT AND READ. -LITTLE MOMENTS COUNT CONTINUED TO OFFER TRAINING AND DIGITAL RESOURCES TO FURTHER MOMENTUM AND COMMUNITY COLLABORATION TO PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT.-THE HOSPITAL CONTINUED ITS SUSTAINABILITY EFFORTS WITH NOTABLE ACHIEVEMENTS IN 2023: COLLECTED 62 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; OVER $254,000 WAS SAVED THROUGH THE GREENING THE OR; 0.1 TONS OF CAFETERIA FOOD WASTE WAS COMPOSTED; 0.2 TONS OF EQUIPMENT WAS DONATED; 60 TONS OF MATERIALS WERE RECYCLED. THE MEDICATION TAKE BACK PROGRAM COLLECTED 730 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS IN A SECURE MANNER TO PREVENT ACCIDENTAL POISONING OR MISUSE AND PREVENT MEDICATIONS FROM ENTERING THE WATER AND DRINKING WATER. PRIORITY 3: MENTAL HEALTH AND WELL-BEINGREDUCE THE STIGMA SURROUNDING MENTAL ILLNESS. INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING. IMPROVE ACCESS TO MENTAL HEALTH SERVICES. IN 2023, THE MAKE IT OK COMMUNITY CAMPAIGN CELEBRATED 10 YEARS OF REDUCING STIGMA THROUGH CHANGING ATTITUDES AND CREATING OPEN AND CARING CONVERSATIONS ABOUT MENTAL HEALTH AND ILLNESSES, WITH CONTINUED GROWTH OF PARTNERS, AMBASSADORS AND COMMUNITY ENGAGEMENT, AND AN INCREASING FOCUS AND COMMITMENT TO EQUITY IN COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESSES AND STIGMA. 2023 HIGHLIGHTS INCLUDE:-MEASURED CAMPAIGN IMPACT AND PROGRESS THROUGH THE IMPACT SURVEY-855 AMBASSADORS TRAINED THROUGH VIRTUAL TRAININGS.-480 REACHED THROUGH 32 VIRTUAL PRESENTATIONS.-15,000+ ENGAGED IN MAKE IT OK THROUGH COMMUNITY EVENTS.-CONTINUED TO OFFER BEATING THE BLUES AND RESILIENCY RESOURCES AT NO CHARGE TO MEMBERS, PATIENTS AND EMPLOYEES. MENTAL HEALTH RESOURCES PROMOTED AS KEY PART OF EMPLOYEE WELL-BEING PROGRAM.-THE HOSPITAL CONTINUES TO CONVENE AND PARTICIPATE IN MULTIPLE COLLABORATIVES FOCUSING ON MENTAL HEALTH. -INCREASED VALLEY-WIDE USE OF BEHAVIORAL HEALTH TELEHEALTH (BHTV) PROGRAM FOR PATIENTS ACCESSING EMERGENCY DEPARTMENT CARE DURING A MENTAL HEALTH CRISIS: VALLEY-WIDE SERVED 2,543, THE HOSPITAL SERVED 438.-BEHAVIORAL HEALTH TELEHEALTH (BHTV) PROGRAM: IN 2023, THIS VALLEY-WIDE PROGRAM SAW INCREASED USE AMONG PATIENTS ACCESSING EMERGENCY DEPARTMENT CARE DURING MENTAL HEALTH CRISES. A TOTAL OF 481 PATIENTS UTILIZED PROGRAM, WITH 463 OF THEM RESIDING IN THE ST. CROIX VALLEY, INCLUDING 141 FROM POLK COUNTY, WI, 20 FROM PIERCE COUNTY, WI, 229 FROM ST. CROIX COUNTY, WI, AND 73 FROM WASHINGTON COUNTY, MN. PRIORITY 4: NUTRITION AND PHYSICAL ACTIVITYPROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. -DIABETES EDUCATION AND DIABETES PREVENTION PROGRAMS TAUGHT SKILLS FOR EATING HEALTHY AND ACTIVITY TO MANAGE AND PREVENT DISEASE. NUTRITION EDUCATION CLASSES THROUGH COMMUNITY EDUCATION SUPPORTED DISEASE PREVENTION AND MANAGEMENT. -POWERUP: SINCE 2015, THE HOSPITAL HAS SUPPORTED POWERUP, A COMMUNITYWIDE HEALTH INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND PHYSICAL ACTIVITIES SO YOUTH CAN REACH THEIR FULL POTENTIAL. OUR WORK WITH HUNDREDS OF PARTNERS ACROSS THE REGION HAS RESULTED IN A HIGH LEVEL OF COMMUNITY AND SCHOOL ENGAGEMENT, STRONGER SCHOOL WELLNESS POLICIES AND PRACTICES; MORE FREE AND LOW-COST OPTIONS FOR PHYSICAL ACTIVITY INCLUDING OPEN GYMS; PARTNERSHIPS WITH STATE AND LOCAL PARKS; TRANSFORMED FOOD PANTRIES, CAFETERIAS AND CONCESSIONS; AND COMMUNITY MOMENTUM TO CREATE CHANGE. IN 2023, MORE THAN 64,000 ENGAGED IN THE ST. CROIX VALLEY AREA THROUGH EVENTS, CLASSES, OUTREACH PROGRAMS AND GROWING ONLINE RESOURCES TO PROMOTE BETTER EATING AND MOVING MORE.-REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY) -4,126 STUDENTS PARTICIPATED IN THE POWERUP SCHOOL CHALLENGE-18,887 ENGAGED THROUGH 141 EVENTSPRIORITY 5: SUBSTANCE ABUSEREDUCE OPIOID PRESCRIPTIONS, DOSES, AND PATIENTS MEETING CHRONIC OPIOID USE CRITERIA. -THROUGH COLLABORATIVE EFFORTS WITH PHARMACY, PRESCRIBERS AND PAIN CLINICS, ACHIEVED SIGNIFICANT REDUCTION IN OPIOID PRESCRIBING IN OUR CARE SYSTEM AND COMMUNITY. IN 2023, THE NUMBER OF PATIENTS RECEIVING NEW OPIOID PRESCRIPTIONS DECREASED 5%; THE NUMBER OF PILLS PRESCRIBED REDUCED BY .2%. SINCE THE OPIOID REDUCTION FOCUS BEGAN IN 2018, THE NUMBER OF PILLS PRESCRIBED HAS REDUCED BY 52%.-REDUCED ACCIDENTAL POISONING AND DRUG ABUSE BY OFFERING FREE AND ENVIRONMENTALLY FRIENDLY MEDICATION COLLECTION AT OUR HOSPITALS AND CLINICS FOR THE COMMUNITY. PROMOTED COMMUNITY PRESCRIPTION TAKE-BACK LOCATIONS AND DISPOSAL BAGS. PART I, LINE 3C: THE HOSPITAL GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER. PART I, LINE 7: ACTUAL COSTS ESTIMATED USING COST-TO-CHARGE RATIO WORKSHEETS PROVIDED IN SCHEDULE H. PART I, LINE 7G: THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2023, LOSS ON SERVICES FOR THE HOSPITAL OUTPATIENT SERVICES INCLUDING EMERGENCY, RESPIRATORY THERAPY, PHYSICAL THERAPY, ONCOLOGY, SPECIALTY CLINIC, AND PRIMARY CLINIC TOTALED $3,306,191. PART II, COMMUNITY BUILDING ACTIVITIES: 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 STRIVES TO MAKE VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. THE HOSPITAL PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COMMUNITY HEALTH ACTION TEAM, LIVING WELL TOGETHER, SHINE, HEALTHIER TOGETHER, AND NORTHWEST WISCONSIN HEALTHCARE EMERGENCY READINESS.THE HOSPITAL CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS THROUGH INITIATIVES SUCH AS GREENING THE OR, EQUIPMENT DONATIONS, AND FOOD DONATION: COLLECTED 62 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; OVER $254,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM IN 2023; -0.10 TONS OF CAFETERIA FOOD WAS DONATED; -0.2 TONS OF EQUIPMENT WAS DONATED;-60 TONS OF MATERIALS WERE RECYCLED, CREATING A SAVINGS OF OVER $12,000.THE MEDICATION TAKE BACK PROGRAM COLLECTED 730 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS IN A SECURE MANNER TO PREVENT ACCIDENTAL POISONING OR MISUSE AND PREVENT MEDICATIONS FROM ENTERING THE WATER AND DRINKING WATER. ADDITIONAL PROGRAMS/ACTIVITIES INCLUDED NEW RICHMOND CHAMBER OF COMMERCE & THE CENTRE PARTNERSHIPS, VISION 2020 COMMUNITY GROUP, AND THE LEADERSHIP TRUST INITIATIVE - A PROGRAM DEDICATED TO PROMOTING AND DEVELOPING DYNAMIC BUSINESS AND COMMUNITY LEADERS.IN SUPPORT OF "HEALTHY FOOD IN HEALTH CARE," LOCAL FARMS AND PROCUREMENT OF LOCAL FOOD, THE HOSPITAL PARTICIPATED IN COMMUNITY SUPPORTED AGRICULTURE AND HOSTED WEEKLY FARMER'S MARKET EVENTS. PART III, LINE 2: THE HOSPITAL USES A HISTORIC BAD DEBT PERCENTAGE THAT IS ROUTINELY MONITORED, REVIEWED, AND UPDATED IN ORDER TO OBTAIN THE BEST ESTIMATE OF THE CURRENT YEAR'S BAD DEBT. PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED BASED ON THE GROSS BAD DEBT WRITE OFFS COMING FOR SOLELY UNINSURED PATIENTS. OUR ESTIMATE ASSUMES 1/3 OF THE BAD DEBT FROM UNINSURED PATIENTS WOULD HAVE QUALIFIED FOR EITHER A FULL OR PARTIAL ADJUSTMENT BASED ON OUR FINANCIAL ASSISTANCE POLICY. BECAUSE THE ADJUSTED AMOUNTS ARE TIED TO GROSS CHARGES, THE COST TO CHARGE RATIO IS USED TO ADJUST DOWN TO THE AMOUNT REPORTED AS THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. BAD DEBT WRITE OFFS RESULTING FROM CO-PAYS, DEDUCTIBLES, OR OTHER OUT OF POCKET FROM PATIENTS WITH INSURANCE ARE EXCLUDED. THE AMOUNT REPORTED IS NOT INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: BAD DEBT EXPENSE 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.BAD DEBT EXPENSE IS CALCULATED USING THE COST-TO-CHARGE RATIO FROM THE WORKSHEETS PROVIDED IN SCHEDULE H INSTRUCTIONS. BAD DEBT EXPENSE IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER THE WISCONSIN HOSPITAL ASSOCIATION (WHA). PART III, LINE 8: MEDICARE SURPLUS (SHORTFALL) IN LINE 7 REPRESENTS THE ADDITIONAL 1% OF ALLOWABLE COST THAT CRITICAL ACCESS HOSPITALS RECEIVE. MEDICARE SHORTFALL IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER THE WHA, BUT CAN BE INCLUDED IN OTHER FINANCIAL REPORTS. WESTFIELDS BASES ITS MEDICARE COSTING METHODOLOGY ON THE CMS MEDICARE COST REPORT METHODOLOGY; COST TO CHARGE RATIO. 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. WESTFIELDS 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. PART VI, LINE 2: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE WESTFIELDS HOSPITAL 2021CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY THE FIVE PRIORITIES ARE OF EQUAL IMPORTANCE AND ARE PRESENTED IN ALPHABETICAL ORDER:ACCESS TO CAREACCESS TO CARE REFERS TO HAVING EQUITABLE ACCESS TO APPROPRIATE, CONVENIENT AND AFFORDABLE HEALTH CARE. THIS INCLUDES FACTORS SUCH AS PROXIMITY TO CARE, ACCESS TO PROVIDERS, COST, INSURANCE COVERAGE, MEDICAL TRANSPORTATION, CARE COORDINATION WITHIN THE HEALTH CARE SYSTEM AND CULTURAL SENSITIVITY AND RESPONSIVENESS. ACCESS TO HEALTHACCESS TO HEALTH REFERS TO THE SOCIAL AND ENVIRONMENTAL CONDITIONS THAT DIRECTLY AND INDIRECTLY AFFECT PEOPLE'S HEALTH SUCH AS HOUSING, INCOME, EMPLOYMENT, EDUCATION AND MORE. THESE FACTORS, ALSO REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, DISPROPORTIONATELY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. MENTAL HEALTH AND WELL-BEINGMENTAL HEALTH AND WELL-BEING REFERS TO THE INTERCONNECTION BETWEEN MENTAL ILLNESS, MENTAL HEALTH, MENTAL WELL-BEING AND THE ASSOCIATED STIGMA. POOR MENTAL HEALTH IS ASSOCIATED WITH POOR QUALITY OF LIFE, HIGHER RATES OF CHRONIC DISEASE AND A SHORTER LIFESPAN.NUTRITION AND PHYSICAL ACTIVITYNUTRITION AND PHYSICAL ACTIVITY REFERS TO EQUITABLE ACCESS TO NUTRITION, PHYSICAL ACTIVITY AND FOOD AND FEEDING CHOICES. POOR NUTRITION AND PHYSICAL INACTIVITY ARE MAJOR CONTRIBUTORS TO OBESITY AND CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND STROKE, WHICH DISPROPORTIONALLY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. SUBSTANCE ABUSESUBSTANCE ABUSE AND ADDICTION ARE THE EXCESSIVE USE OF SUBSTANCES INCLUDING ALCOHOL, TOBACCO, PRESCRIPTION DRUGS, OPIOIDS AND OTHER DRUGS IN A MANNER THAT IS HARMFUL TO HEALTH AND WELL-BEING. PRIORITIES NOT SELECTED: HEALTHPARTNERS DISCUSSED AND CONSIDERED ADDITIONAL OR ALTERNATIVE PRIORITIES DURING THE PRIORITIZATION PROCESS, INCLUDING: OLDER ADULT HEALTH/AGING, MATERNAL AND CHILD HEALTH, ENVIRONMENTAL HEALTH AND INJURY AND VIOLENCE. THESE NEEDS WERE NOT SELECTED AS ONE OF THE TOP FIVE PRIORITIES IN THE CONSENSUS BUILDING PROCESS, HOWEVER, THE THEMES WILL BE CONSIDERED IN THE IMPLEMENTATION FOR THE SELECTED PRIORITY AREAS. THE HOSPITAL 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/WESTFIELDS/ABOUT/COMMUNITY-HEALTH-NEEDS/ PART VI, LINE 3: THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE TO OUR PATIENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE. AS A RESULT, OUR FINANCIAL ASSISTANCE POLICY (REFERRED TO HEREIN AS "FAP OR "POLICY") IS AVAILABLE TO UNINSURED OR UNDERINSURED PATIENTS BASED ON THE PATIENT'S ABILITY TO PAY FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. OUR POLICY IS AVAILABLE TO PROVIDE EPISODIC HELP; IT IS NOT MEANT TO PROVIDE LONG-TERM, FREE OR DISCOUNTED CARE. OUR POLICY SETS FORTH AND DESCRIBES ELIGIBILITY CRITERIA, HOW WE CALCULATE DISCOUNTS, HOW TO APPLY FOR FINANCIAL ASSISTANCE, THE PROVIDERS DELIVERING CARE IN OUR HOSPITAL AND OUR EMERGENCY MEDICAL CARE POLICY.THE HOSPITAL'S FAP IS WIDELY PUBLICIZED IN MULTIPLE WAYS. PATIENTS CAN OBTAIN FREE COPIES OF THIS POLICY AT ALL PATIENT REGISTRATION LOCATIONS AT WESTFIELDS. FOR ADDITIONAL INFORMATION OR QUESTIONS ABOUT THE APPLICATION PROCESS, OR TO REQUEST COPIES BY MAIL, PATIENTS CAN CONTACT OUR PATIENT FINANCIAL SERVICES DEPARTMENT AT 1-715-243-2600. FREE COPIES OF THIS POLICY AND THE FINANCIAL ASSISTANCE APPLICATION FORM ARE ALSO AVAILABLE AT HTTP://WWW.WESTFIELDSHOSPITAL.COM. PART VI, LINE 4: THE HOSPITAL SERVES RESIDENTS FROM ST. CROIX COUNTY, WISCONSIN AND SURROUNDING COUNTIES OF POLK, DUNN AND PIERCE. 2019 CENSUS LISTS THE POPULATION OF ST. CROIX COUNTY AT 90,687, A 7.5% POPULATION GROWTH SINCE 2010. RAPID GROWTH CONTINUES WITHIN ST. CROIX COUNTY, 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 35% UNDER 19, 11% 65 YEARS AND OVER. THE POPULATION IS 95.9% WHITE, 0.9% BLACK, 0.5% AMERICAN INDIAN, 1.1% ASIAN AND 1.6% HISPANIC OR LATINO. ST. CROIX COUNTY HAS A HIGH MEDIAN INCOME COMPARATIVELY WITHIN THE STATE - $81,124 AND A POVERTY RATE APPROXIMATELY HALF THAT OF THE REST OF THE STATE - 4.78%.ACCORDING TO THE 2021 COUNTY HEALTH RANKINGS REPORT, ST. CROIX COUNTY RANKED FIFTH FOR HEALTH FACTORS AND SECOND IN HEALTH OUTCOMES OVERALL IN THE STATE OUT OF 72 COUNTIES. PART VI, LINE 5: AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE NEW RICHMOND AREA SINCE 1950, THE HOSPITAL CONTINUES TO PLAY AN IMPORTANT ROLE AND IS POSITIONED WELL TO MEET THE HEALTH CARE NEEDS OF THE AREA. WESTFIELDS IS A FULL-SERVICE MEDICAL CAMPUS OFFERING EMERGENCY SERVICES, SPECIALTY CLINICS AND PHARMACY, AS WELL AS INPATIENT, OUTPATIENT AND MATERNITY SERVICES. WESTFIELDS IS GOVERNED BY A BOARD OF DIRECTORS WITH REPRESENTATION FROM COMMUNITY MEMBERS.WORKING IN PARTNERSHIP WITH EACH OTHER, THE HOSPITAL, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, AND THE COMMUNITY ACCOMPLISHED A GREAT DEAL IN 2023. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. DEDICATED STAFF PROMOTE COMMUNITY HEALTH IN THE FOLLOWING WAYS: FREE ON-GOING SUPPORT AND EDUCATION GROUPS IN BEREAVEMENT/ GRIEF, BREASTFEEDING, CANCER, DIABETES, NUTRITION AND WEIGHT MANAGEMENT AND CAREGIVERS; SCHOOL-BASED EDUCATION FOR ELEMENTARY AND SECONDARY SCHOOLS; TRAININGS FOR HEALTH CARE PROFESSIONALS AND NURSING STUDENTS; SELF-HELP PROGRAMMING FOLLOWING CARDIAC REHAB AND PHYSICAL THERAPY TO COMMUNITY MEMBERS.THE HOSPITAL ENCOURAGES PATIENTS AND THEIR FAMILIES THEIR PARTNERS IN HEALTH TO BE ACTIVELY INVOLVED IN DECISIONS ABOUT THEIR OWN HEALTH CARE. RESEARCH SHOWS THAT PATIENTS AND THEIR FAMILIES WHO ARE MORE INVOLVED WITH THEIR CARE FEEL THEY GET BETTER RESULTS AND ARE MORE SATISFIED. SAFETY AND SATISFACTION ARE PRIORITIES AT THE HOSPITAL. WESTFIELDS IS MORE THAN JUST A HOSPITAL TAKING CARE OF PATIENTS WHEN THEY ARE SICK OR HURT. THE GOAL IS TO BE A LEADING PARTNER IN HEALTH EDUCATION, OUTREACH AND IMPROVEMENT. WESTFIELDS IS CONTINUALLY MAKING IMPROVEMENTS TO REACH THAT GOAL. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2023THE 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 FOR INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL.TOTAL 2023 COMMUNITY BENEFIT CONTRIBUTION EQUALED $7,843,749, WHICH REPRESENTS 8.78% OF TOTAL EXPENSE. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING.2023 ACCOMPLISHMENTS INCLUDE: - ARBOR DAY FOUNDATION TREE CAMPUS HEALTHCARE FACILITY FOR HAVING A POSITIVE IMPACT ON THE COMMUNITY THROUGH TREE PLANTING, EDUCATION AND COMMUNITY ENGAGEMENT.- GREENHEALTH EMERALD AWARD AND GREENING THE OPERATING ROOM RECOGNITION AWARD FROM PRACTICE GREENHEALTH.- TOP 100 CRITICAL ACCESS HOSPITALS RECOGNITION BY CHARTIS CENTER FOR RURAL HEALTH.- US NEWS & WORLD REPORT RECOGNITION AS A HIGH-PERFORMING HOSPITAL IN HIP FRACTURES.- TOP 20 CRITICAL ACCESS HOSPITALS (5TH YEAR IN A ROW) RECOGNITION BY NATIONAL RURAL HEALTH ASSOCIATION.- PERFORMANCE LEADERSHIP AWARD IN THE CATEGORY OF PATIENT PERSPECTIVES FROM THE CHARTIS CENTER FOR RURAL HEALTH.- OUTSTANDING PATIENT EXPERIENCE AWARD FROM HEALTHGRADES FOR BEING IN THE TOP 15% IN THE NATION FOR PATIENT CARE.- BIRTHING-FRIENDLY DESIGNATION FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES.FOR OUTPATIENTS, THE HOSPITAL SAW HIGHER VOLUMES IN MANY DEPARTMENTS IN 2023 BUT OVERALL WERE ONLY UP SLIGHTLY FROM 2022 DUE TO THE DECREASE IN LAB VISITS PRIMARILY RELATED TO COVID-19 TESTING. VOLUMES IN 2023 INCLUDED: 7,299 CT SCANS, 2,904 MAMMOGRAMS, 9,302 EMERGENCY DEPARTMENT VISITS, 17,542 SPECIALTY CLINIC VISITS, 14,043 URGENT CARE VISITS, AND 42,074 PRIMARY CARE CLINIC VISITS. PART VI, LINE 6: PLEASE SEE THE HOSPITAL'S SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I: CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." PART VI, LINE 7, REPORTS FILED WITH STATES WI SCHEDULE H - PART I, LINE 7F -HEALTH PROFESSIONS EDUCATION IN 2023, THE HOSPITAL PROVIDED CLINICAL TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING (17), CERTIFIED REGISTERED NURSE ANESTHETIST (10), RADIOLOGY (3), PHLEBOTOMY (4), PHYSICAL THERAPY (8), OCCUPATIONAL THERAPY (1), PHARMACY (4), RESIDENT PHYSICIANS (4), AND EMERGENCY MEDICAL TECHNICIAN PARAMEDIC (85). TOTAL COST OF THESE SERVICES WAS $301,467. 1 NORTHWOOD TECHNICAL COLLEGE FOUNDATION 1900 COLLEGE DRIVE RICE LAKE WI 54868 391313438 501C3 30000 0 PROGRAM SUPPORT VFW WISCONSIN 331 264TH AVE KANSASVILLE WI 53139 237209490 501C3 50000 0 BUILDING FUND 2 PART I, LINE 2: THE HOSPITAL MANAGEMENT STAFF REVIEWS THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE HOSPITAL'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE HOSPITAL'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. 0 0 0 0 0 0 1 0 0 DOUGLAS E JOHNSON CFO 0 386739 0 106273 0 110771 0 6600 0 37521 0 647904 0 0 ANTHONY C HECHT MD DIRECTOR 0 278239 0 0 0 273697 0 24750 0 28683 0 605369 0 0 LESLIE DOCKAN DIRECTOR 0 366388 0 105491 0 5885 0 24750 0 43140 0 545654 0 0 VINI T MANCHANDA DIRECTOR 0 312239 0 116725 0 10897 0 61976 0 42498 0 544335 0 0 AMY L DEWANE DIRECTOR (JAN-APR) 0 333972 0 104314 0 19763 0 24750 0 42829 0 525628 0 0 ERIC W LING MD DIRECTOR, CMO, VPMA 0 330602 0 14000 0 110079 0 24750 0 41937 0 521368 0 0 TYLER R SCHMIDTZ DIRECTOR 0 318217 0 94742 0 10627 0 26592 0 37437 0 487615 0 0 STEVEN M MASSEY DIRECTOR, PRESIDENT 0 308224 0 91092 0 9800 0 26592 0 38207 0 473915 0 0 ROBIN REICHERT MD DIRECTOR 0 241598 0 0 0 124754 0 18339 0 41422 0 426113 0 0 JASON J LUHRS FORMER CFO 0 264872 0 76091 0 6627 0 24750 0 41058 0 413398 0 0 KRISTA L SIKORSKI FAMILY PRACTICE APP 127221 0 5167 0 56126 0 9932 0 40367 0 238813 0 0 0 LEANNE M ROGGEMANN VP PATIENT SERVICES 178049 0 35360 0 4181 0 0 0 18199 0 235789 0 0 0 HEIDI G CONRAD FORMER CFO 0 0 0 179908 0 0 0 33699 0 12541 0 226148 0 0 JEAN M MEIER MANAGER WOMEN'S HEALTH 146770 0 11170 0 7071 0 8515 0 45618 0 219144 0 0 0 KEVYN WOLLENBERG FAMILY PRACTICE APP 111812 0 500 0 63820 0 8976 0 30685 0 215793 0 0 0 NICOLE M TROSEN PHARMACY MANAGER 178636 0 13104 0 1 0 9660 0 13173 0 214574 0 0 0 NICOLE B LAVALLE FAMILY PRACTICE APP 112656 0 500 0 61066 0 8925 0 22302 0 205449 0 0 0 PART I, LINE 3 THE HOSPITAL'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW) , ALL OF WHICH ARE RELATED ORGANIZATIONS. GHI, REGIONS, AND LAKEVIEW HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF WESTFIELDS PRESIDENT AND OTHER OFFICERS. PART I, LINE 6 THE HOSPITAL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC. (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW), ALL OF WHICH ARE RELATED ORGANIZATIONS OR BY THE HOSPITAL. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM REGIONS, GHI, LAKEVIEW OR THE HOSPITAL LEADERSHIP 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 PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE LEADERSHIP INCENTIVE PROGRAMS' 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, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH CARE AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME 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. A VILLAGE OF STAR PRAIRIE WI 391280538 NONE99999 2016-07-06 6854052 REFUNDING OF SERIES 1999B/2016B 0 0 0 A 1420235 6854052 135000 3500000 3219052 2017 1 0 1 1 A 0 0 1 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 A 1 SCHEDULE K, PART V THE HOSPITAL FOLLOWS ESTABLISHED WRITTEN PROCEDURES. SCHEDULE K, PART III, LINES 3B AND 3D THE HOSPITAL USES INTERNAL LEGAL COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY. IF IT ENCOUNTERS UNUSUAL OR COMPLEX CONTRACT IT WILL ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL. FORM 990, PART III, LINE 4A- PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE WESTFIELDS HOSPITAL (THE HOSPITAL), A STATE LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL (CAH), IS A WISCONSIN NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 2,000 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS, AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL (REGIONS), REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH (LH), RH-WISCONSIN, INC., ALL OF WHICH ARE NONPROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. ("GHI") ARE THE CORPORATE MEMBERS OF THE HOSPITAL. GHI IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF WESTFIELDS HOSPITAL FOUNDATION, INC. CHARITY CARE: CHARITY CARE IS DEFINED AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES, OR SPECIAL FINANCIAL HARDSHIP, WARRANT SPECIAL CONSIDERATION. THE HOSPITAL PROVIDED $457,171 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2023. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $6,369,594. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: $309,936 THE HOSPITAL IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT SERVICES, WHICH INCLUDE A RANGE OF ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH BEYOND PATIENT CARE. BELOW ARE HIGHLIGHTS OF SUCH ACTIVITIES THAT FALL WITHIN THE CATEGORIES OF COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE SUPPORT SERVICES AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT. EACH YEAR, THE HOSPITAL HELPS EDUCATE THE LOCAL COMMUNITIES ABOUT HEALTH TOPICS BY PROVIDING THEM A VARIETY OF COMMUNITY EDUCATION. WE CONTINUED TO SERVE OUR COMMUNITIES IN DIGITAL/VIRTUAL FORMATS. THIRTY-FIVE VIRTUAL CLASSES, EVENTS, AND PODCASTS WERE CARRIED OUT ON A VARIETY OF TOPICS INCLUDING: DIABETES, DEMENTIA, GRIEF, ANXIETY IN TEENS, WARNING SIGNS OF SUBSTANCE USE, EXERCISE, PREGNANCY, AND HEART HEALTH. IN TOTAL, THESE HAVE BEEN ACCESSED OVER 2,500 TIMES. IN 2023, THE MAKE IT OK CAMPAIGN MARKED A DECADE OF REDUCING MENTAL HEALTH STIGMA BY CHANGING ATTITUDES AND FOSTERING CARING CONVERSATIONS IN COMMUNITIES. MAKE IT OK HAD CONTINUED GROWTH OF PARTNERS, AMBASSADORS AND COMMUNITY ENGAGEMENT, WITH AN INCREASED FOCUS ON EQUITABLY REACHING COMMUNITIES DISPROPORTIONATELY IMPACTED BY MENTAL ILLNESSES AND STIGMA. IT WAS ALSO A YEAR TO REFLECT ON A DECADE OF MILESTONES WITH OUR NEW MAKE IT OK 10-YEAR REPORT, SHOWCASING THE CAMPAIGN'S MEANINGFUL AND MEASURABLE PROGRESS. THIS MILESTONE WAS CELEBRATED WITH AN EVENT IN APRIL, ATTENDED BY OVER 150 PEOPLE, BOTH IN PERSON AND VIRTUALLY, HIGHLIGHTING THE 10-YEAR PROGRESS AND FUTURE PLANS. SINCE 2012, MORE THAN: 5,000 PEOPLE HAVE BEEN TRAINED AS AMBASSADORS, 10,000 HAVE ATTENDED MAKE IT OK PRESENTATIONS, 21,000 HAVE TAKEN THE PLEDGE TO STAND AGAINST STIGMA, AND THE CAMPAIGN HAS EXPANDED ITS REACH NATIONWIDE THROUGH ONLINE RESOURCES, TRAININGS AND PARTNERSHIPS. THIS IMPORTANT WORK RESULTED IN A MEASURABLE DECREASE IN COMMUNITY STIGMA, YET THERE IS STILL WORK TO DO. HIGHLIGHTS OF MAKE IT OK IN 2023: - 133,260 REACHED VIRTUALLY, THROUGH PRESENTATIONS, TRAININGS, WEBSITE, SOCIAL AND E-NEWSLETTERS; - 15,000+ REACHED WITH 6,325 ENGAGED IN MAKE IT OK THROUGH 41 COMMUNITY EVENTS; - 855 AMBASSADORS SUBSCRIBERS REACHED THROUGH QUARTERLY E-NEWSLETTER; - 480 ENGAGED THROUGH 32 VIRTUAL PRESENTATIONS AND FIVE IN-PERSON (165 ATTENDED PRESENTATION ON STIGMA OF SUBSTANCE USE DISORDER); - 220 AMBASSADORS TRAINED THROUGH 15 VIRTUAL TRAININGS AND TWO IN-PERSON; - WEB DEVELOPMENT OF THE NEWLY TRANSFORMED MAKE IT OK WEBSITE. PART III CONT. IN 2023, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE AND FEEL GOOD. THE YEAR WITNESSED A NOTEWORTHY INCREASE IN IN-PERSON OUTREACH AND EVENTS, DEMONSTRATING A ROBUST RETURN TO COMMUNITY ENGAGEMENT. AT THE SAME TIME, VIRTUAL OUTREACH AND COMMUNICATIONS CONTINUED TO EXPAND WITH AN ENHANCED AND CONSISTENT APPROACH, OFFERING FAMILIES SIMPLE AND FUN IDEAS TO POWERUP AT HOME. NEW AND INNOVATIVE RESOURCES FEATURING PLANT-BASED PROTEINS WERE ALSO DEVELOPED. THESE RESOURCES REPRESENT OUR EXPANDING COMMITMENT TO HEALTH, THE PLANET AND BUDGET-FRIENDLY NUTRITION. HIGHLIGHTS OF POWERUP IN 2023: - REACHED 64,176+ VIRTUALLY, THROUGH CLASSES, WEBSITE, SOCIAL AND E-NEWSLETTERS; - REACHED 40,000+ WITH THE POWERUP PRESS FAMILY NEWSLETTERS (DISTRIBUTED TO FAMILIES, SCHOOLS AND COMMUNITY); - POWERED UP 4,126 STUDENTS WITH THE POWERUP SCHOOL CHALLENGE ACROSS 25 ELEMENTARY SCHOOLS; - ENGAGED 18,887 KIDS AND FAMILIES THROUGH 141 EVENTS THAT POWERUP ATTENDED; - ENGAGED 1,958 LISTSERV SUBSCRIBERS (+80 IN LAST YEAR) THROUGH MONTHLY E-NEWSLETTERS; - DEVELOPED 'POWERUP WITH PLANTS,' A WEB RESOURCE WITH PLANT-BASED PROTEIN INFORMATION, ACTIVITIES AND FEATURED AN INTERACTIVE CHALLENGE WITH NEARLY 200 PARTICIPANTS; - DEVELOPED FIVE NEW RECIPE VIDEO RESOURCES FOR FAMILIES WITH A FOCUS ON MEALS AND SNACKS FEATURING PLANT-BASED PROTEINS. THE ST. CROIX VALLEY FAITH COMMUNITY NURSING PROGRAM IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR LOCAL CONGREGATIONS AND COMMUNITY IN PARTNERSHIP WITH THE HOSPITAL. THE PROGRAM ORIGINATED AND PRIMARILY SERVED THE STILLWATER, MINNESOTA AREA, BUT IN 2023 STARTED EXPANSION EFFORTS IN AMERY, NEW RICHMOND AND HUDSON, WISCONSIN. WHILE JUST GETTING STARTED IN THESE COMMUNITIES, THE PARTNER RESPONSE WAS OVERWHELMINGLY POSITIVE. THE PROGRAM ALSO HOLDS WELLNESS DAY EVENT AND COMMUNITY FOOT CARE CLINICS, WHICH ARE OPEN TO AND SERVE ST. CROIX VALLEY COMMUNITIES. HIGHLIGHTS OF FAITH COMMUNITY NURSING IN 2023: - WELLNESS DAY AND FOOT CARE CLINIC SERVED 168 INDIVIDUALS, SCREENED 99 INDIVIDUALS FOR MEMORY AND BALANCE, BLOOD PRESSURE AND GLUCOSE; - FOUNDER AND SUPPORTER OF ST. CROIX VALLEY GRIEF COALITION, WHICH WAS CREATED THIS YEAR IN COLLABORATION WITH COMMUNITY PARTNERS AND NOW HAS OVER 70 MEMBERS. ITS MISSION IS ADDRESSING THE EXPERIENCES OF LOSS AND GRIEF BY OFFERING SUPPORT, EDUCATION, AND ADVOCACY; - PARTNERSHIP BUILDING IN AMERY, NEW RICHMOND AND HUDSON WITH THREE LOCAL MINISTERIUM GROUPS AND A VARIETY OF ORGANIZATIONS; - FREE FOOT CARE CLINIC HELD AT GRACE PLACE SHELTER SERVED EIGHT CLIENTS. THE HOSPITAL IS COMMITTED TO PROVIDING SEVERAL HEALTH CARE SUPPORT SERVICES, INTENDED TO INCREASE ACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. THESE SUPPORT SERVICES INCLUDE: PRESCRIPTION ASSISTANCE/PATIENT EMERGENCY FUND, SOCIAL WORKERS PROVIDING SUPPORT ABOVE AND BEYOND STANDARD OF PRACTICE, AND ADVANCE CARE DIRECTIVES ASSISTANCE. THE HOSPITAL CONTINUES TO PROVIDE VAN TRANSPORTATION AT NO COST TO OVER 1,500 PATIENTS LIVING WITHIN 25 MILES WHO WOULD HAVE LIMITED ACCESS TO CARE AS A RESULT OF NO TRANSPORTATION. THE HOSPITAL CONTINUES TO HOST, MAINTAIN AND SUPPORT THE COMMUNITY GARDEN ALONGSIDE LOCAL COMMUNITY PARTNERS. 2. HEALTH PROFESSIONS EDUCATION: $301,467 IN 2023, THE HOSPITAL PROVIDED CLINICAL TRAINING FOR STUDENTS IN THE FOLLOWING FIELDS: NURSING (17), CERTIFIED REGISTERED NURSE ANESTHETIST (10), RADIOLOGY (3), PHARMACY (4), PHLEBOTOMY (4), PHYSICAL THERAPY (8), OCCUPATIONAL THERAPY (1), RESIDENT PHYSICIANS (4), AND EMERGENCY MEDICAL TECHNICIAN PARAMEDIC (8). 3. SUBSIDIZED HEALTH SERVICES: $3,306,191 THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS BECAUSE THEY WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNTS. IN 2023, SUBSIDIZED HEALTH SERVICES INCLUDED: PRIMARY AND SPECIALTY CLINICS, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, AND ONCOLOGY. 4. CASH AND IN-KIND CONTRIBUTIONS: $91,907 THE HOSPITAL HELPED VARIOUS NON-PROFIT ORGANIZATIONS, COMMUNITY GROUPS, AND SCHOOL PROGRAMS THROUGH CASH DONATIONS AND SPONSORSHIPS. THE HOSPITAL IS A PLATINUM SPONSOR OF THE NEW RICHMOND AREA CENTRE, A NON-PROFIT ORGANIZATION WITH A FOCUS OF PROMOTING HEALTH, FITNESS, AND FUN FOR ALL AGES. THE HOSPITAL ALSO DONATED FUNDS TO PURCHASE FRESH GREENS GROWING EQUIPMENT FOR NEW RICHMOND HIGH SCHOOL. IN-KIND DONATIONS INCLUDE STAFF HOURS SPENT IN SUPPORT OF LOCAL COMMUNITY BOARDS OR COMMITTEE WORK SUCH AS: REGIONAL TRAUMA ADVISORY COUNCIL AND STATE TRAUMA ADVISORY COMMITTEE. 5. COMMUNITY BUILDING ACTIVITIES: $14,256 THE HOSPITAL PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COMMUNITY HEALTH ACTION TEAM, LIVING WELL TOGETHER, SHINE, HEALTHIER TOGETHER, AND NORTHWEST WISCONSIN HEALTHCARE EMERGENCY READINESS. THE HOSPITAL CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS THROUGH INITIATIVES SUCH AS GREENING THE OR, EQUIPMENT DONATIONS, AND FOOD DONATION: - COLLECTED 62 TONS OF MATERIALS, WHICH WERE REUSED AND RECYCLED, THEREBY KEPT OUT OF THE LANDFILL; - OVER $254,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM IN 2023; - 0.10 TONS OF CAFETERIA FOOD WAS DONATED; 0.2 TONS OF EQUIPMENT WAS DONATED; 60 TONS OF MATERIALS WERE RECYCLED, CREATING A SAVINGS OF OVER $12,000. THE MEDICATION TAKE BACK PROGRAM COLLECTED 730 POUNDS OF UNUSED PRESCRIPTION MEDICATIONS IN A SECURE MANNER TO PREVENT ACCIDENTAL POISONING OR MISUSE AND PREVENT MEDICATIONS FROM ENTERING THE WATER AND DRINKING WATER. 6. COMMUNITY BENEFIT OPERATIONS: $15,053 STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT, AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. 7. ORGANIZATION AWARDS AND ACHIEVEMENTS WE ARE VERY PROUD THAT OUR HOSPITAL CONTINUED ITS NATIONAL AWARD-WINNING TRADITIONS OF EXCEPTIONAL CARE AND PERFORMANCE IN ALL AREAS. HERE ARE A FEW OF THE HIGHLIGHTS FROM 2023: - TOP 20 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE NATIONAL RURAL HEALTH ASSOCIATION; - TOP 100 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE CHARTIS CENTER FOR RURAL HEALTH; - PERFORMANCE LEADERSHIP AWARD WINNER IN THE "PATIENT PERSPECTIVE" CATEGORY FROM THE CHARTIS GROUP; - OUTSTANDING PATIENT EXPERIENCE AWARD FROM HEALTHGRADES FOR BEING IN THE TOP 15% IN THE NATION FOR PATIENT CARE. - TREE CAMPUS HEALTHCARE AWARD FROM THE ARBOR DAY FOUNDATION FOR HAVING A POSITIVE IMPACT ON THE COMMUNITY THROUGH TREE PLANTING, EDUCATION AND COMMUNITY ENGAGEMENT; - GREENHEALTH EMERALD AWARD AND GREENING THE OPERATING ROOM RECOGNITION AWARD FROM PRACTICE GREENHEALTH; - BIRTHING-FRIENDLY DESIGNATION FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. FORM 990, PART VI, SECTION A, LINE 6 RH-WISCONSIN, INC. IS THE CLASS A MEMBER AND GROUP HEALTH PLAN, INC. IS THE CLASS B MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE CLASS A MEMBER (RH WISCONSIN, INC.) APPOINTS THREE DIRECTORS TO REPRESENT THE CLASS A MEMBER. THE CLASS B MEMBER (GROUP HEALTH PLAN, INC.) APPOINTS TWO DIRECTORS TO REPRESENT THE CLASS B MEMBER. TWO HEALTH CARE PROVIDERS ARE NOMINATED AS DIRECTORS BY AN UNRELATED MEDICAL GROUP AND APPOINTED BY MAJORITY VOTE OF THE FULL BOARD. EIGHT COMMUNITY REPRESENTATIVES ARE APPOINTED AS DIRECTORS BY THE CLASS A MEMBER UPON RECOMMENDATION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CLASS A AND CLASS B MEMBERS (RH WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. RESPECTIVELY) BOTH MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS IMPACTING MEMBERSHIP - RESIGNATION OF A MEMBER - DISSOLUTION - ANY CHANGE IN THE FUNDAMENTAL NATURE OR PURPOSE - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISPOSITION OF SUBSTANTIALLY ALL ASSETS. ONLY THE CLASS A MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS NOT IMPACTING MEMBERSHIP - ANNUAL OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS - ESTABLISHMENT OF NEW ENTITIES OR SIGNIFICANT RELATIONSHIPS WITH OTHER ENTITIES - UNBUDGETED EXPENDITURES IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF AMOUNTS ESTABLISHED BY THE MEMBER - TRANSFER OF ASSETS TO ANOTHER ENTITY - APPOINTMENT OF AUDITORS - APPOINTMENT OF THE PRESIDENT AND THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 11B THE HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND THE HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE GENERAL COUNSEL OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH PLAN, INC., (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW) ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY WESTFIELDS HOSPITAL. GHI, AND REGIONS, LAKEVIEW AND WESTFIELDS HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, EITHER THE EXECUTIVE COMMITTEE OF LAKEVIEW, THE EXECUTIVE COMMITTEE OF REGIONS, THE COMPENSATION COMMITTEE OF GHI OR WESTFIELDS EXECUTIVE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEES REVIEW AND APPROVE EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, THE COMMITTEES' MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEES MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. WITH THE HOSPITAL BOARD OF DIRECTORS INPUT, THE ST CROIX VALLEY EXECUTIVE LEADER CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE HOSPITAL BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE HOSPITAL PRESIDENT. THE HOSPITAL BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL THE HOSPITALS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE HOSPITAL EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS. 990, PART VII, SEC A, LN 1A, COL (B) - RELATED ORGANIZATION AVERAGE HOURS DIRECTORS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY GHI, INC., REGIONS HOSPITAL OR THE HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. 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