LAKEWOOD HEALTH SYSTEM: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- LAKEWOOD HEALTH SYSTEM (EIN 41-1842965)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-11
- IRS object ID
- 202443169349304074
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-11T13:15:32-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411842965 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 2188941515 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 49725 COUNTY 83 | AddressLine1Txt |
| City | STAPLES | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56479 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE REYCRAFT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2188941515 | PhoneNum |
| Signature | 2024-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2024-11-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA BJERGA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 49725 COUNTY 83 | AddressLine1Txt |
| City | STAPLES | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $148,182,087 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAKEWOODHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY, PERSONALIZED HEALTHCARE FOR A LIFETIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1094 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,055,621 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,594,226 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $128,995,985 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $144,739,988 | CYProgramServiceRevenueAmt |
| PY Investment Income | $391,578 | PYInvestmentIncomeAmt |
| CY Investment Income | $650,250 | CYInvestmentIncomeAmt |
| PY Other Revenue | $913,262 | PYOtherRevenueAmt |
| CY Other Revenue | $1,059,423 | CYOtherRevenueAmt |
| PY Total Revenue | $136,356,446 | PYTotalRevenueAmt |
| CY Total Revenue | $148,043,887 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $61,488,165 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,613,506 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,164,272 | PYOtherExpensesAmt |
| CY Other Expenses | $78,046,654 | CYOtherExpensesAmt |
| PY Total Expenses | $125,652,437 | PYTotalExpensesAmt |
| CY Total Expenses | $144,660,160 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,704,009 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,383,727 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $163,284,076 | TotalAssetsBOYAmt |
| Total Assets EOY | $162,825,284 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $65,990,838 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,426,912 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $97,293,238 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,398,372 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF LAKEWOOD HEALTH SYSTEM IS TO PROVIDE QUALITY, PERSONALIZED HEALTHCARE FOR A LIFETIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $107,899,450 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $126,915,585 | RevenueAmt |
| Desc | HOSPITAL AND CLINICS -LAKEWOOD HEALTH SYSTEM (THE ORGANIZATION) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT, EMERGENCY, AND OTHER SPECIALTY HEALTH CARE SERVICES, INCLUDING A 10-BED GERIATRIC BEHAVIORAL HEALTH UNIT IN STAPLES, MINNESOTA. THE ORGANIZATION ALSO OPERATES RURAL HEALTH CLINICS LOCATED IN STAPLES, MOTLEY, PILLAGER, EAGLE BEND, AND BROWERVILLE, MINNESOTA. PHYSICIANS, PHYSICIAN'S ASSISTANTS, AND NURSE PRACTITIONERS PROVIDE CLINIC PATIENTS WITH PRIMARY CARE AND OTHER HEALTH CARE SERVICES. IN ADDITION, THE ORGANIZATION OPERATES A DERMATOLOGY CLINIC IN SARTELL, MINNESOTA.THE ORGANIZATION PROVIDED FOR 3,554 INPATIENT HOSPITAL AND SWING-BED DAYS, 178 ICU DAYS, 2,352 INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT DAYS, 97,886 MEDICAL AND MENTAL HEALTH RURAL HEALTH CLINIC VISITS AND 10,705 DERMATOLOGY CLINIC VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,167,197 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $18,224,138 | RevenueAmt |
| Desc | SENIOR SERVICES -THE ORGANIZATION OPERATES A 100-BED, MEDICARE-CERTIFIED SKILLED NURSING FACILITY IN STAPLES, MINNESOTA, THAT PROVIDES LONG-TERM AND REHABILITATIVE CARE TO RESIDENTS. IN SEPTEMBER 2021, 13 BEDS WERE PUT ON LAYAWAY STATUS, REDUCING THE TOTAL SKILLED NURSING BEDS IN SERVICE FROM 100 TO 87. IN ADDITION TO SKILLED NURSING CARE, THE ORGANIZATION ALSO OPERATES HOME HEALTH CARE AND HOSPICE PROGRAMS TO PROVIDE NURSING CARE AND ASSISTANCE AT THE PATIENT'S RESIDENCE. ASSISTED LIVING AND INDEPENDENT LIVING FACILITIES OPERATED BY THE ORGANIZATION, LOCATED IN STAPLES, MINNESOTA, PROVIDE COMBINATIONS OF HEALTH-RELATED AND SUPPORTIVE SERVICES FOR TENANTS. THE ORGANIZATION PROVIDED FOR 27,403 RESIDENT DAYS IN THE NURSING HOME AND 812 ASSISTED LIVING UNIT RENTED MONTHS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $121,066,647 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 168 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1094 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOE REYCRAFT CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2188941515 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 49725 COUNTY 83 | AddressLine1Txt |
| City | STAPLES | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56479 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| LISA BJERGA | |||||||||
| CEO & PRESIDENT | 40.00 | Yes (X) | Yes (X) | $486,257 | $0 | $8,072 | |||
| CURT MCILRAVY | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $5,408 | $0 | $0 | |||
| JEF CICHOS | |||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $3,796 | $0 | $0 | |||
| KEVIN NELSON | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $1,872 | $0 | $0 | |||
| MARY THEURER | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $4,004 | $0 | $0 | |||
| MICHAEL HUDALLA MD | |||||||||
| BOARD MEMBER (THRU 06/23) | 1.00 | Yes (X) | $624 | $0 | $0 | ||||
| STEPHANIE JORDAHL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $1,144 | $0 | $0 | ||||
| NORMAN KRAUSE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $2,756 | $0 | $0 | ||||
| RYAN KRAY MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $624 | $0 | $0 | ||||
| ROBERT MUELLER | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $1,612 | $0 | $0 | ||||
| KAITLYN SCHOECK MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $676 | $0 | $0 | ||||
| JOSEPH REYCRAFT | |||||||||
| CFO | 40.00 | Yes (X) | $242,160 | $0 | $13,859 | ||||
| CHRISTINE ALBRECHT | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $579,850 | $0 | $0 | ||||
| LYNN RICE | |||||||||
| VP OF SUPPORT SERVICES | 40.00 | $296,416 | $0 | $21,610 | Yes (X) | ||||
| CORRINE NEISESS | |||||||||
| VP OF NURSING | 40.00 | $205,173 | $0 | $17,614 | Yes (X) | ||||
| CRAIG WOLHOWE | |||||||||
| VP OF HOSPITAL & CLINIC SERVICES | 40.00 | $295,992 | $0 | $42,772 | Yes (X) | ||||
| KIMERLY HUSCHLE | |||||||||
| CRNA | 40.00 | $224,885 | $0 | $27,695 | Yes (X) | ||||
| SCOTT MANEY | |||||||||
| CRNA | 40.00 | $350,398 | $0 | $26,838 | Yes (X) | ||||
| DANIEL LUND | |||||||||
| CRNA | 40.00 | $318,732 | $0 | $42,641 | Yes (X) | ||||
| JASON ALEXANDER | |||||||||
| CRNA | 40.00 | $345,339 | $0 | $23,333 | Yes (X) | ||||
| MATTHEW SINGH | |||||||||
| CRNA | 40.00 | $341,892 | $0 | $25,953 | Yes (X) | ||||
| TIM RICE | |||||||||
| CEO (FORMER) | 0.00 | $157,454 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,867,064 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $250,387 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 101 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LAKEWOOD CLINIC PA | |||||
| 49725 COUNTY 83 | STAPLES | MN | 56479 | PHYSICIAN SERVICES | $15,961,240 |
| OCHIN | |||||
| PO BOX 5426 | PORTLAND | OR | 972285426 | SOFTWARE BUILD SERVICES | $3,914,941 |
| BIG STONE THERAPIES | |||||
| 309 WASHINGTON AVE | ORTONVILLE | MN | 56278 | THERAPY SERVICES | $2,970,252 |
| INFINITE HEALTH COLLABORATIVE TCO | |||||
| 4200 DAHLBERG DRIVE | GOLDEN VALLEY | MN | 55422 | ORTHOPEDIC SERVICES | $1,465,791 |
| HPM SERVICES LLC | |||||
| 3780 N GARFILED AVENUE 101 | LOVELAND | CO | 80538 | PAIN MANAGEMENT SERVICES | $1,135,860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $46,373 | FundraisingAmt |
| Government Grants | $1,442,054 | GovernmentGrantsAmt |
| All Other Contributions | $105,799 | AllOtherContributionsAmt |
| Total Contributions | $1,594,226 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT AND RESIDENT SERVICE | 621110 | $141,798,050 | $141,798,050 |
| 340B PHARMACY | 621300 | $1,040,371 | $1,040,371 |
| OCCUPATIONAL HEALTH | 621300 | $506,083 | $506,083 |
| RENT REVENUE | 531120 | $327,208 | $327,208 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,068,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,068,276 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $144,739,988 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $666,012 | TotalRevenueColumnAmt |
| Exclusion | $666,012 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,711 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $22,473 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$15,762 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,762 | TotalRevenueColumnAmt |
| Exclusion | -$15,762 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $35,927 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $46,373 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,234 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,693 | TotalRevenueColumnAmt |
| Exclusion | $9,693 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $27,850 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $25,465 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,385 | TotalRevenueColumnAmt |
| Exclusion | $2,385 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $113,650 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $64,028 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,622 | TotalRevenueColumnAmt |
| Exclusion | $49,622 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| FOOD SERVICE | 900099 | $597,988 | $597,988 | |
| EHR INCENTIVE | 621110 | $399,735 | $399,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $997,723 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,043,887 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $145,139,723 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,309,938 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232,291 | TotalAmt |
| Management And General | $2,232,291 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,716,036 | TotalAmt |
| Program Services | $39,073,088 | ProgramServicesAmt |
| Management And General | $9,642,948 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,011,356 | TotalAmt |
| Program Services | $1,557,265 | ProgramServicesAmt |
| Management And General | $454,091 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,092,457 | TotalAmt |
| Program Services | $7,751,833 | ProgramServicesAmt |
| Management And General | $2,340,624 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,561,366 | TotalAmt |
| Program Services | $2,715,744 | ProgramServicesAmt |
| Management And General | $845,622 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,060 | TotalAmt |
| Management And General | $73,060 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,908 | TotalAmt |
| Management And General | $166,908 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,091 | TotalAmt |
| Management And General | $1,091 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,693,741 | TotalAmt |
| Program Services | $29,222,608 | ProgramServicesAmt |
| Management And General | $1,471,133 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,340 | TotalAmt |
| Program Services | $37,635 | ProgramServicesAmt |
| Management And General | $471,705 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,700,324 | TotalAmt |
| Program Services | $18,688,203 | ProgramServicesAmt |
| Management And General | $2,012,121 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,573 | TotalAmt |
| Management And General | $774,573 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,293,870 | TotalAmt |
| Program Services | $3,592,002 | ProgramServicesAmt |
| Management And General | $1,701,868 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,289 | TotalAmt |
| Program Services | $404,313 | ProgramServicesAmt |
| Management And General | $117,976 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,699 | TotalAmt |
| Program Services | $138,889 | ProgramServicesAmt |
| Management And General | $43,810 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,215,580 | TotalAmt |
| Program Services | $1,097,194 | ProgramServicesAmt |
| Management And General | $118,386 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,250,443 | TotalAmt |
| Program Services | $7,214,777 | ProgramServicesAmt |
| Management And General | $35,666 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,335 | TotalAmt |
| Management And General | $544,335 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OPERATING ROOM SUPPLIES | $3,231,685 | $3,231,685 | |
| MN CARE TAX | $2,168,663 | $2,168,663 | |
| BAD DEBT EXPENSE | $1,302,501 | $1,302,501 | |
| DUES & SUBSCRIPTIONS | $876,497 | $467,195 | $409,302 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,539,055 | TotalAmt |
| Program Services | $2,403,052 | ProgramServicesAmt |
| Management And General | $136,003 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,660,160 | TotalAmt |
| Program Services | $121,066,647 | ProgramServicesAmt |
| Management And General | $23,593,513 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132 | BOYAmt |
| EOY | $5,112 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,087,770 | BOYAmt |
| EOY | $16,916,606 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,726,954 | BOYAmt |
| EOY | $28,864,729 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,102 | BOYAmt |
| EOY | $277,077 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,233,945 | BOYAmt |
| EOY | $3,130,833 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,882,144 | BOYAmt |
| EOY | $3,531,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $151,645,200 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $81,292,961 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,372,234 | BOYAmt |
| EOY | $70,352,239 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,545,025 | BOYAmt |
| EOY | $38,206,204 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,250,770 | BOYAmt |
| EOY | $1,540,606 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,284,076 | BOYAmt |
| EOY | $162,825,284 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,610,599 | BOYAmt |
| EOY | $12,728,513 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,631,448 | BOYAmt |
| EOY | $630,373 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,641,123 | BOYAmt |
| EOY | $2,469,779 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,421 | BOYAmt |
| EOY | $33,094 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,477,153 | BOYAmt |
| EOY | $39,607,702 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,595,094 | BOYAmt |
| EOY | $2,957,451 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,990,838 | BOYAmt |
| EOY | $58,426,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,985,989 | BOYAmt |
| EOY | $102,831,763 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,249 | BOYAmt |
| EOY | $1,566,609 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,293,238 | BOYAmt |
| EOY | $104,398,372 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,284,076 | BOYAmt |
| EOY | $162,825,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,383,727 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,603,955 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $117,452 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,091 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,091 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF MINNESOTA HOSPITAL ASSOCIATION AND 3.96% OF THE $27,546 MEMBERSHIP FEE WAS RELATED LOBBYING ACTIVITIES. MINNESOTA HOSPITAL ASSOCIATION (MHA) IS AN ORGANIZATION OF 142 MEMBER HOSPITALS AND HEALTH SYSTEMS. MHA ADVOCATES ON BEHALF OF ITS MEMBERS WITH LAWMAKERS, EDUCATING THEM ON COMPLEX ISSUES IN HEALTH CARE AND ENSURING THEY HAVE THE TOOLS THEY NEED TO MAKE INFORMED DECISIONS. THE MISSION OF MHA IS TO ADVOCATE SO THEIR MEMBERS CAN ACHIEVE THEIR MISSIONS BETTER. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,208,430 | OtherCostOrOtherBasisAmt |
| Book Value | $1,208,430 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,292,253 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,389,374 | DepreciationAmt |
| Book Value | $19,902,879 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,227,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,903,587 | DepreciationAmt |
| Book Value | $27,323,434 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,917,496 | OtherCostOrOtherBasisAmt |
| Book Value | $21,917,496 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $70,352,239 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS | $606,171 |
| LEASE OBLIGATIONS | $2,351,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,957,451 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $148,404,344 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,603,955 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,935,492 | OtherRevenueAmt |
| Revenue Not Reported | $668,463 | RevenueNotReportedAmt |
| Revenue Subtotal | $147,735,881 | RevenueSubtotalAmt |
| Other Revenues Not Included | $308,006 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $308,006 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $148,043,887 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $141,558,570 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $141,558,570 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,101,590 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,101,590 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $144,660,160 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THE ORGANIZATION ALSO HOLDS TENANT SECURITY DEPOSITS FOR RESIDENTS OF LAKEWOOD PINES AND LAKEWOOD MANOR. THESE FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS AND ARE REPORTED AS AN ASSET AND LIABILITY ON PART X OF THE 990. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INVESTMENT IN AFFILIATES 166,098. BAD DEBT EXPENSE -1,302,501. EXPENSES RECORDED AS REVENUE -1,799,089. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS TO RESTRICTED NET ASSETS 310,545. FUNDRAISING EVENT -2,539. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,302,501. EXPENSES RECORDED AS REVENUE 1,799,089. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DINNER AUCTION | Event1Nm |
| Gross Receipts Event1 | $47,302 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $24,375 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $22,927 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $7,305 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,200 | EntertainmentEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $34,998 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,998 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $13,000 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $300 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $9,028 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $4,100 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $4,301 | FoodAndBeverageEvent2Amt |
| Gross Receipts Total | $82,300 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $46,373 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $35,927 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $300 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $9,028 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,100 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,606 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,200 | EntertainmentTotalEventsAmt |
| Direct Expense Summary Events | $26,234 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $9,693 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $27,850 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $25,000 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $465 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $27,850 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $25,000 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $465 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $25,465 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $2,385 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MN | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
| Gaming Other Facility | 0.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOE REYCRAFT | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 49725 COUNTY 83 | AddressLine1Txt |
| City | STAPLES | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | LISA BJERGA | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | GENERAL OVERSIGHT OF GAMING ACTIVITIES. | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 240.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $450,253 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $450,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,457,877 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,424,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,033,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,908,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,424,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,483,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $513,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,745 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $436,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,918 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,801,789 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,050,028 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,751,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,772 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,372,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,126,773 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,245,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,280,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,551,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,728,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $240,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $240,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $247,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $247,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $778,424 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $17,979,934 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,479,858 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$499,924 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH SYSTEM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 49725 COUNTY ROAD 83 | AddressLine1Txt |
| City | STAPLES | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAKEWOODHEALTHSYSTEM.COM | WebsiteAddressTxt |
| State License | 1295726362 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL PROVIDER | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, LINE 7D | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 240.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/PATIENTS-VISITORS/BILLING-PAYMENTS/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/PATIENTS-VISITORS/BILLING-PAYMENTS/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/PATIENTS-VISITORS/BILLING-PAYMENTS/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 5: IN ITS MOST RECENT CHNA, LAKEWOOD HEALTH SYSTEM (LAKEWOOD) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. THE "COMMUNITY" SERVED IS DEFINED AS THE ZIP CODE TABULATION AREAS OF STAPLES (56479) AND MOTLEY (56466), AND THE HOSPITAL'S PRIMARY SERVICE AREA OF MORRISON, TODD, AND WADENA COUNTY.FOR MORE THAN A DECADE, LAKEWOOD HAS BEEN AN ACTIVE MEMBER OF THE CHNA COLLABORATIVE - A COMMITTEE ESTABLISHED IN 2012 AND MADE UP OF HOSPITALS AND PUBLIC HEALTH AGENCIES FROM THE THREE-COUNTY SERVICE AREA - WHICH FACILITATES AN EVIDENCE-BASED PROCESS TO CHARACTERIZE THE HEALTH AND HEALTH NEEDS OF THE COMMUNITY. THE LARGEST SOURCE OF PRIMARY DATA WAS GENERATED BY THE MAILED HEALTH4LIFE SURVEY AND A WEB-BASED SURVEY. THE 2022 CHNA CONVENED IN AUGUST 2021 TO PLAN AND EXECUTE PROJECT ACTIVITIES, AND ENSURE THE ASSESSMENT PROCESS WAS INCLUSIVE, COMPREHENSIVE AND OBJECTIVE. BETWEEN OCTOBER - DECEMBER 2021, THE CHNA COLLABORATIVE CONDUCTED A MAIL-BASED AND RANDOM HOUSEHOLD SURVEY, WHICH CAPTURED INFORMATION DIRECTLY FROM COMMUNITY RESIDENTS WHO WERE AT LEAST 18 YEARS OLD, SUCH AS HEALTH STATUS AND OVERALL WELL-BEING, HEALTH SERVICE UTILIZATION, BARRIERS TO CARE, AND HEALTH-RELATED SOCIAL NEEDS. TO GENERATE THE SURVEY SAMPLE, A 47-QUESTION HEALTH4LIFE SURVEY INSTRUMENT WAS DISTRIBUTED TO MORE THAN 6,400 RANDOMLY SAMPLED HOUSEHOLDS IN THE THREE-COUNTY SERVICE AREA. A TOTAL OF 1,270 ADULT RESIDENTS COMPLETED THE HARD COPY SURVEY, REPRESENTING A SURVEY RESPONSE RATE OF 19.8%. FOR THE FIRST TIME, THE CHNA COLLABORATIVE DEVELOPED AND CONDUCTED A WEB-BASED SURVEY TO SOLICIT ADDITIONAL INPUT AND TO ENSURE RESPONSES FROM HOUSEHOLDS WITH YOUNGER ADULTS AND FROM UNDER-REPRESENTED POPULATIONS WERE CAPTURED. THE SURVEY WAS MADE AVAILABLE THROUGH THE ARCGIS SURVEY123 PLATFORM, AND IN MULTIPLE LANGUAGES (ENGLISH AND SPANISH). THE CHNA COLLABORATIVE POSTED THE ONLINE SURVEY ON WEB PAGES, SOCIAL MEDIA PLATFORMS, AND IN LOCAL NEWSPAPERS TO DIRECT COMMUNITY RESIDENTS TO THE LINK. THE SURVEY WAS OPEN BETWEEN NOVEMBER - DECEMBER 2021 AND GENERATED A TOTAL 928 COMMUNITY ADULT RESIDENTS' RESPONSES.THE CHNA ALSO UTILIZED SECONDARY PUBLIC HEALTH DATA FROM VARIOUS PUBLICLY AVAILABLE SOURCES, INCLUDING: UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, HEALTHY PEOPLE 2030, COUNTY HEALTH RANKINGS, MINNESOTA DEPARTMENT OF HEALTH, MINNESOTA DEPARTMENT OF HUMAN SERVICES, AND INTERNAL HEALTHCARE DATA. BOTH SECONDARY AND PRIMARY DATA WERE REVIEWED BY THE LAKEWOOD'S INTERNAL CHNA TEAM TO IDENTIFY AND PRIORITIZE THE TOP ISSUES FACING RESIDENTS IN THE COMMUNITY. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 6A: LAKEWOOD CONDUCTED ITS NEEDS ASSESSMENT WITH THE FOLLOWING THREE (3) FACILITIES: ASTERA HEALTH (FORMERLY TRI-COUNTY HEALTH CARE) CENTRACARE - LONG PRAIRIE, AND CHI ST. GABRIEL'S HEALTH. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 6B: LAKEWOOD CONDUCTED ITS NEEDS ASSESSMENT WITH THE FOLLOWING THREE (3) ORGANIZATIONS: MORRISON COUNTY PUBLIC HEALTH AND HUMAN SERVICES, TODD COUNTY HEALTH AND HUMAN SERVICES, AND WADENA COUNTY PUBLIC HEALTH. THE CHNA COLLABORATIVE HIRED A RESEARCH SCIENTIST FROM THE MINNESOTA DEPARTMENT OF HEALTH'S CENTER FOR HEALTH STATISTICS TO PROVIDE TECHNICAL ASSISTANCE AND CONDUCT A WEIGHTED ANALYSIS OF THE SURVEY DATA. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 7D: COMMUNITY PRESENTATIONS OCCURRED AT AREA SERVICE CLUBS, TO OUR DISTRICT TOWNSHIP ANNUAL MEETINGS, AND KEY COMMUNITY STAKEHOLDER GROUPS (ROTARY, LIONS, SCHOOL DISTRICT, CITY OF STAPLES) JAN-FEB 2020.PART V, SECTION B, LINE 7A & 10A:HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 11: THE TOP COMMUNITY HEALTH NEEDS THAT EMERGED FROM THE 2022 CHNA WERE IDENTIFIED BY THE HOSPITAL'S CHNA TEAM. THE CHNA TEAM EXAMINED EACH DOCUMENTED NEED AND USED A SET OF CRITERIA TO RANK AND DISTINGUISH THE TOP PRIORITIES THE HOSPITAL FACILITY WOULD UNDERTAKE, SUCH AS THE ALIGNMENT WITH LAKEWOOD'S MISSION, VISION, GOALS, AND KEY STRENGTHS; THE POTENTIAL FOR THE ORGANIZATION TO MAKE AN IMPACT ON THE NEEDS; AND THE COMMITMENT FROM REGIONAL PARTNERS TO COLLECTIVELY ADDRESS THE NEEDS. FURTHER, THE CHNA TEAM IDENTIFIED MULTIPLE DEMOGRAPHICS AND SOCIO-ECONOMIC SEGMENTS OF THE POPULATION WHO CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY HEALTH INEQUITIES, INCLUDING OLDER ADULTS, RACIAL AND ETHNIC MINORITIES, AND LOW-INCOME INDIVIDUALS AND FAMILIES.SUBSEQUENT TO THE ADOPTION OF LAKEWOOD'S 2022 CHNA, THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN WAS APPROVED BY THE SYSTEM BOARD OF DIRECTORS ON FEBRUARY 23, 2023. THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN OUTLINES THE PRIORITY AREAS THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET THE HEALTH NEEDS OF ITS COMMUNITY, REACH THE TARGETED POPULATION, AND IMPROVE THE QUALITY AND VALUE OF THE CARE PROVIDED TO PATIENTS.BETWEEN 2023-2025, LAKEWOOD COMMITTED TO IMPLEMENTING ACTIVITIES WITHIN THE FOLLOWING THREE (3) PRIORITY AREAS: 1. IMPROVING QUALITY OF LIFE2. PROMOTING ACCESS TO RESOURCES AND CARE3. ENHANCING THE BUILT ENVIRONMENTSIN ITS FIRST YEAR OF EXECUTING THE 2023-2025 IMPLEMENTATION STRATEGY PLAN, LAKEWOOD CONTINUED TO SCREEN FOR AND ADDRESS THE HEALTH-RELATED SOCIAL NEEDS (HRSNS) AND COMMUNITY-LEVEL SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT AFFECT AN INDIVIDUAL'S ABILITY TO MAINTAIN OPTIMAL HEALTH AND WELL-BEING. IN FACT, LAKEWOOD INTENSIFIED ITS SCREENING PRACTICES, OPTIMIZED AND GREW MANY OF ITS TARGETED INTERVENTIONS, AND STRENGTHENED ITS COLLABORATIVE PARTNERSHIP BASE. - LAKEWOOD INVESTED IN A NEW ELECTRONIC HEALTH RECORDS SYSTEM THAT ALLOWED PROVIDERS AND CARE TEAMS TO CONDUCT MORE COMPREHENSIVE SCREENINGS FOR HRSNS/SDOHS AND EASILY MAKE REFERRALS TO ITS INTERNAL COMMUNITY HEALTH DEPARTMENT WHEN A POSITIVE SCREEN WAS DOCUMENTED. UPON REFERRALS, THE COMMUNITY HEALTH DEPARTMENT PROVIDED SUPPORT TO PATIENTS AND THEIR FAMILIES, AND/OR ENROLLED THEM IN ONE OF MANY FOOD SECURITY INTERVENTIONS.- LAKEWOOD ENHANCED AND EXPANDED ITS RECOVERY MEAL PROGRAM TO ADDRESS THE GROWING NUMBER OF POSTPARTUM MOTHERS WHO SCREENED POSITIVE FOR FOOD INSECURITY DURING DISCHARGE PLANNING. IN 2023, NEARLY 24 PERCENT OF NEW MOTHERS WERE FOOD INSECURE. THE MEALS AT BABY (OB) PROGRAM PROVIDED THREE (3) PREPARED AND NUTRITIOUS MEALS FOR NEW MOMS UPON DISCHARGE AND ADDITIONAL MEALS FOR EACH HOUSEHOLD MEMBER. - IN JUNE 2023, LAKEWOOD LAUNCHED THE TODD COUNTY PROMOTORES PROJECT TO ADDRESS THE HRSNS AND HEALTH DISPARITIES EXPERIENCED BY PERIPARTUM HISPANIC-LATINO WOMEN. LAKEWOOD'S COMMUNITY HEALTH WORKER (PROMOTORA) SCREENED WOMEN AND FAMILIES FOR HRSNS AND THEN CONNECTED THEM TO RESOURCES OR SERVICE PROVIDERS WHO COULD FURTHER ADDRESS THEIR UNMET HEALTH, ECONOMIC AND SOCIAL NEEDS.- LAKEWOOD'S COMMUNITY HEALTH COORDINATOR IS A CERTIFIED MNSURE NAVIGATOR AND PROVIDED FREE ASSISTANCE TO 131 INDIVIDUALS AND FAMILIES WHO NEEDED HEALTHCARE COVERAGE OR NEEDED ASSISTANCE WITH RENEWING THEIR COVERAGE.- LAKEWOOD FORMED NEW PARTNERSHIPS WITH PAYERS, GOVERNMENT/COUNTY AGENCIES AND COMMUNITY ENTITIES TO CONNECT RESOURCES TO PATIENTS WHO FACED CHALLENGES OUTSIDE THE CLINICAL SETTING. FOR EXAMPLE, LAKEWOOD RECEIVED A GRANT FROM BLUE CROSS BLUE SHIELD OF MINNESOTA THAT FOSTERED COLLABORATION WITH THE WAVE/SALUDOS WELCOME CENTER, TODD COUNTY HEALTH AND HUMAN SERVICES, LONG PRAIRIE CHAMBER OF COMMERCE, AND MANY LOCAL/REGIONAL NON-PROFITS. THESE PARTNERSHIPS HELPED TO ALIGN EFFORTS, REDUCE DUPLICATION, OPTIMIZE FINANCIAL RESOURCES, AND ULTIMATELY WORKING TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE HISPANIC-LATINO COMMUNITY IN TODD COUNTY. THERE WERE HEALTH NEEDS THAT EMERGED FROM THE 2022 CHNA THAT WERE NOT INCLUDED IN THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN, SUCH AS DENTAL WORK, CANCER, AND TOBACCO USE. WHILE SOME HEALTH NEEDS MAY BE INDIRECTLY ADDRESSED THROUGH THE ACTIVITIES AND STRATEGIES OUTLINED IN THE IMPLEMENTATION STRATEGY PLAN, LAKEWOOD RECOGNIZED CERTAIN NEEDS WERE DEEMED TO ALREADY BE IN PLACE BY TRADITIONAL HEALTHCARE OR BY COLLABORATIVE PARTNERS WHO POSSESSED THE SCOPE OF SERVICES AND SKILL SET TO EFFECTIVELY ADDRESS THEM.FOR MORE DETAILED INFORMATION, INCLUDING GOALS, OBJECTIVES AND STRATEGIES, COMMUNITY PARTNERS, AND EVALUATION FRAMEWORK, REFER TO THE PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION PLAN AVAILABLE ON THE LAKEWOOD'S WEBSITE; REFER TO THE URL GIVEN PREVIOUSLY FOR THE POSTING OF THE PLAN. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 13H: THE AMOUNT INVOICED DOES NOT CHANGE, HOWEVER A DISCOUNT AMOUNT IS DETERMINED BY INCOME LEVEL AND UNINSURED STATUS THAT WILL RESULT IN THE AMOUNT OF PAYMENT, IF ANY, FROM THE FAP-ELIGIBLE PATIENT. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 16J: EACH APPLICABLE ADMISSION AREA HAS A POLICY AVAILABLE FOR THE PATIENT AS NEEDED AND UPON REQUEST. |
| LAKEWOOD HEALTH SYSTEM | PART V, SECTION B, LINE 24: THERE ARE CHARGES THAT ARE EXEMPT FROM THE FAP DISCOUNTS, SO IN THIS CASE YES WE WOULD CHARGE THE AMOUNT EQUAL TO THE GROSS CHARGE. EXAMPLES WOULD BE A DOT PHYSICAL, A COPAY BALANCE THAT INSURANCE WOULD LEAVE FOR THE CLIENT AS WE CANNOT DISCOUNT COPAYS AND IN VITRO FERTILIZATION SERVICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - STAPLES CLINIC | ||||
| 49725 COUNTY ROAD 83 | STAPLES | MN | 56479 | CLINIC |
| 2 - LHS CARE CENTER | ||||
| 401 PRAIRIE AVE NE | STAPLES | MN | 56479 | SKILLED NURSING FACILITY |
| 3 - SARTELL DERMATOLOGY | ||||
| 161 19TH ST S SUITE 106 | SARTELL | MN | 56377 | CLINIC |
| 4 - PILLAGER CLINIC | ||||
| 653 PILLSBURY ST N STE 1 | PILLAGER | MN | 56473 | CLINIC |
| 5 - BROWERVILLE CLINIC | ||||
| 30535 241ST AVE | BROWERVILLE | MN | 56438 | CLINIC |
| 6 - MOTLEY CLINIC | ||||
| 1233 HWY 10 | MOTLEY | MN | 56466 | CLINIC |
| 7 - EAGLE VALLEY CLINIC | ||||
| 815 HWY 71 S | EAGLE BEND | MN | 56446 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USES THE COST-TO-CHARGE RATIO RECOMMENDED BY WORKSHEET 2 OF THE IRS FORM 990, SCHEDULE H INSTRUCTIONS. |
| PART I, LINE 7G: | AMOUNTS USED FOR SUBSIDIZED SERVICES WERE CALCULATED USING DETAILED REPORT DATA KEPT BY THE ORGANIZATION. DATA INCLUDED THE TOTAL CHARGES, LESS ALLOWANCES AND DISCOUNTS, MEDICAID; AND ACTUAL COST OF SERVICES PROVIDED. SUBSIDIZED SERVICES INCLUDED THE TRANSPORTATION, CARE CENTER, AND INPATIENT BEHAVIORAL HEALTH UNITS IN 2023. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,302,501. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | - DINO PARK: IN 2001, LAKEWOOD WORKED WITH THE CITY OF STAPLES-PARK AND RECREATION DEPARTMENT TO FUND AND CONSTRUCT A COMMUNITY PARK ON A SMALL PARCEL OF LAND OWNED BY THE ORGANIZATION. THE COMMUNITY PARK, AFFECTIONATELY KNOWN AS DINO PARK BECAUSE OF THE DINOSAUR-THEMED PLAY EQUIPMENT, IS MOST OFTEN USED BY NEIGHBORHOOD CHILDREN AND A LOCAL CHILDCARE CENTER. IN 2018, LAKEWOOD INSTALLED MULTIGENERATIONAL FITNESS EQUIPMENT TO GIVE CHILDREN AND ADULTS ENHANCED OPPORTUNITIES TO PLAY AND PARTICIPATE IN PHYSICAL ACTIVITY WHILE AT THE PARK. IN 2021, CONCRETE WALKWAYS WERE ADDED INSIDE AND OUTSIDE THE PERIMETER FENCING TO ENSURE VISITORS COULD EASILY ACCESS AND SAFELY NAVIGATE DINO PARK.- DESPITE DINO PARK BEING LISTED ON THE CITY OF STAPLES' WEBSITE AS ONE OF SIX COMMUNITY PARKS, LAKEWOOD EXCLUSIVELY MAINTAINS THE PARK AND ITS MANY AMENITIES, INCLUDING A PAVILION WITH RESTROOMS, UTILITIES, AND WALKWAYS. THE ORGANIZATION'S MAINTENANCE AND HOUSEKEEPING DEPARTMENTS ARE RESPONSIBLE FOR PRESERVING THE AESTHETICS AND CLEANLINESS OF DINO PARK DURING THE 28-WEEK COMMUNITY PARK SEASON. THE COST OF STAFF TIME AND OTHER EXPENSES ASSOCIATED WITH MAINTENANCE WERE CALCULATED USING DETAILED REPORT DATA KEPT BY THE ORGANIZATION.- THE NEST: IN 2022, LAKEWOOD COMMITTED TO INVESTING $6 MILLION TO HELP THE STAPLES-MOTLEY INDEPENDENT SCHOOL DISTRICT EXPAND A GYMNASIUM PROJECT TO A MULTI-PURPOSE WELLNESS AND RECREATION FACILITY ON THE SCHOOL CAMPUS. THE NEST, NAMED AFTER THE SCHOOL'S CARDINAL MASCOT, WILL HAVE A WALKING TRACK AND DEDICATED ROOMS TO HOST WELLNESS CLASSES AND WORKSHOPS. THE PARTNERSHIP BETWEEN THE ORGANIZATION AND A LOCAL SCHOOL DISTRICT ENHANCES THE DEVELOPMENT OF A VARIETY OF COMMUNITY HEALTH PROGRAMS AND REVITALIZES ITS RURAL COMMUNITY. LAKEWOOD INTENDS TO PRESCRIBE PATIENT PASSES FOR THOSE RECEIVING CARE AT ITS HOSPITAL FACILITY, PROVIDE EVIDENCE-BASED PROGRAMS, AND OFFER SOCIAL OPPORTUNITIES FOR THE COMMUNITY. MORE INFORMATION ABOUT THE NEST CAN BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/LAKEWOOD-HEALTH-SYSTEM-PLEDGES-INVESTMENTS-FOR-A-HEALTHIER-COMMUNITY/ - ECONOMIC DEVELOPMENT ACTIVITIES: LAKEWOOD'S PRESIDENT AND CEO IS A MEMBER OF THE STAPLES ECONOMIC DEVELOPMENT AUTHORITY (SEDA) BOARD OF COMMISSIONERS. SEDA'S MISSION IS "TO PROMOTE THE STAPLES COMMUNITY AS A GROWING DESTINATION, WHERE PEOPLE LIVE, WORK, PLAY AND SUCCEED, AND ACTIVELY WORKS TO ATTRACT, DEVELOP, AND SUPPORT ECONOMIC GROWTH WITHIN THE COMMUNITY. SEDA MET ON THE FOURTH TUESDAY OF EACH MONTH IN 2023. PARTICIPATION ON SEDA INITIATED THE FOLLOWING INVESTMENTS IN THE CITY OF STAPLES. - THE PLAZA: IN 2022, LAKEWOOD PURCHASED A VACANT 1.789-ACRE PROPERTY IN THE CITY OF STAPLES AND BEGAN CONSTRUCTING "THE PLAZA", A MIXED-USE BUILDING COMPRISED OF 16,786 SQ. FT. OF COMMERCIAL AND RETAIL SPACE ON THE FIRST FLOOR, AND ELEVEN RESIDENTIAL APARTMENTS AVAILABLE FOR LEASE ON THE SECOND FLOOR. THE PLAZA REPRESENTS LAKEWOOD'S COMMITMENT TO THE COMMUNITY AND TO ITS MEDICAL AND CITY STAKEHOLDERS WHO ARE WORKING TO INCREASE ACCESS TO DIVERSE HEALTHCARE SERVICES, ADDRESS THE LACK OF NEWER AND/OR AFFORDABLE HOUSING OPTIONS, AND PROVIDE HIGH VISIBILITY SPACE FOR ENTREPRENEURS AND NEW BUSINESSES TO GENERATE ECONOMIC ACTIVITY FOR THE CITY OF STAPLES. CONSTRUCTION OF THE PLAZA WAS COMPLETED IN DECEMBER 2023. THE COMMERCIAL SPACE IS NOW HOME TO TWIN CITIES ORTHOPEDICS (TCO) STAPLES THERAPY AND LONGBELLA DRUG BY LAKEWOOD HEALTH SYSTEM. THE COST OF STAFF TIME AND OTHER EXPENSES ASSOCIATED WITH THE CONSTRUCTION AND DEVELOPMENT OF THE PLAZA, SUCH AS ECONOMIC DEVELOPMENT ACTIVITIES, SMALL BUSINESS DEVELOPMENT, AND SUPPORTING HOUSING NEEDS, WERE CALCULATED USING DETAILED REPORT DATA KEPT BY THE ORGANIZATION.MORE INFORMATION ABOUT THE PLAZA CAN BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/THE-PLAZA/ - LAKEWOOD IS A MEMBER OF THE STAPLES-MOTLEY HOUSING GROUP, LLC, A COLLABORATIVE OF COMMUNITY-BASED ORGANIZATIONS AND BUSINESSES WHO SHARE A COLLECTIVE INTEREST IN ENHANCING HOUSING OPTIONS WITHIN THE COMMUNITY. THE STAPLES HOUSING GROUP PURCHASED SEVEN (7) VACANT PARCELS OF LAND FROM THE CITY OF STAPLES IN 2022, WITH THE INTENT TO CONSTRUCT SEVEN (7) SINGLE-FAMILY HOMES BY THE END OF 2023. THE EFFORTS TO BUILD SINGLE-FAMILY HOMES HAS ECONOMIC AND COMMUNITY BENEFITS, WHICH INCLUDES GENERATING LOCAL ECONOMIC ACTIVITY AND TAX REVENUE FOR THE CITY OF STAPLES, INCREASING LOCAL SCHOOL DISTRICT ENROLLMENT, AND GROWING AND RETAINING A DIVERSE WORKFORCE. LAKEWOOD INVESTED $210,000 IN 2022 TO SUPPORT THE HOUSING PROJECT. |
| PART III, LINE 2: | THE AMOUNT IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES FOR SERVICES WRITTEN OFF AS BAD DEBT BY THE COST-TO-CHARGE RATIO. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY IS NOT REASONABLE TO CALCULATE FOR THE ORGANIZATION. LAKEWOOD DOES NOT DO PRESUMPTIVE CHARITY CARE OR PARO (PAYMENT ASSISTANCE RANK ORDER) SCORING SO THERE IS NO ESTIMATE ELECTED.LAKEWOOD DOES HAVE A FINANCIAL ASSISTANCE POLICY THAT PROVIDES DISCOUNTED OR FREE CARE. LAKEWOOD IS ALSO COMMITTED TO PROVIDING OTHER COMMUNITY BENEFIT AND COMMUNITY BUILDING FUNCTIONS. THE OPPORTUNITY TO PROVIDE MORE DISCOUNTED OR FREE CARE OR PERFORM ADDITIONAL COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES IS LIMITED AS BAD DEBT COSTS INCREASE. |
| PART III, LINE 4: | MANAGEMENT PROVIDES FOR POTENTIALLY UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO VALUATION ALLOWANCE AND A CREDIT TO PATIENTS ACCOUNTS RECEIVABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE DESCRIBING HOW THE ORGANIZATION ACCOUNTS FOR BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE MEDICARE ALLOWABLE COST OF CARE RELATING TO PAYMENTS ON LINE 5 WERE CALCULATED USING INFORMATION PREPARED FROM OUR FILED 2023 MEDICARE COST REPORT.A LARGE PERCENTAGE OF LAKEWOOD PATIENTS ARE MEDICARE ELIGIBLE AND LAKEWOOD WILL CONTINUE TO PROVIDE SERVICES DESPITE ANY SHORTFALL. |
| PART III, LINE 9B: | WHEN COLLECTIONS ARE UNDERWAY WITH PATIENTS AND IT IS IDENTIFIED THAT THEY ARE ELIGIBLE, THE CUSTOMER ASSISTANCE PROGRAM IS EXTENDED TO THE PATIENT AND WE WILL SEND AN APPLICATION DIRECTLY TO THEM VIA EMAIL, FAX, MAILING ETC. OR DIRECT THEM TO THE APPLICATION ON OUR WEBSITE FOR CONVENIENT AND TIMELY COMPLETION. PATIENTS ARE REQUIRED TO APPLY FOR MEDICAL ASSISTANCE IN ORDER TO RECEIVE A 50% OR GREATER DISCOUNT PER LAKEWOOD'S CUSTOMER ASSISTANCE PROGRAM. |
| PART VI, LINE 2: | IN ADDITION TO THE CHNA, LAKEWOOD ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH THE CHNA COLLABORATIVE MEMBERSHIP. THE MORRISON-TODD-WADENA COMMUNITY HEALTH BOARD PUBLISHES A COLLECTIVE AND COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DESCRIBING HOW LOCAL PUBLIC HEALTH, COMMUNITY PARTNERS AND STAKEHOLDERS IN THE THREE-COUNTIES WILL PRIORITIZE AND ADDRESS HEALTH ISSUES DETERMINED BY THE HEALTH NEEDS ASSESSMENTS. REGULAR MEETINGS ALLOW ALL PARTIES TO DISCUSS PROGRESS WITH CURRENT AND NEW PRIORITY HEALTH NEEDS INITIATIVES.LAKEWOOD ALSO REVIEWS PATIENT-LEVEL DATA, PAYOR AND CLAIMS DATA, AND PATIENT SATISFACTION AND EXPERIENCE SURVEY RESPONSES TO ASSESS PATIENT HEALTH NEEDS AND TO IDENTIFY WHERE GAPS IN ACCESS TO HEALTHCARE MAY EXIST. THE ORGANIZATION CONCURRENTLY LISTENS TO ITS WORKFORCE AND SEEKS PROVIDER AND CLINICIAN FEEDBACK TO IMPROVE THE HEALTHCARE NEEDS OF THE COMMUNITY. LAKEWOOD USES ITS SOCIAL MEDIA PLATFORMS AND ITS WEBSITE TO ACTIVELY ENGAGE AND EXCHANGE INFORMATION WITH PATIENTS, COMMUNITY MEMBERS, AND STAKEHOLDERS. PATIENT AND FAMILY ADVISORY GROUPS, CONSISTING OF PATIENTS, FAMILY AND COMMUNITY MEMBERS FROM ALL AGE GROUPS AND COMMUNITIES, ALSO GIVES THE ORGANIZATION REAL-TIME OPPORTUNITIES TO LISTEN TO SHARED HEALTHCARE-RELATED STORIES, EXPERIENCES AND IDEAS. PATIENT ADVISORY GROUP INFORMATION MAY BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/LAKEWOOD-HEALTH-SYSTEM-LAUNCHES-PATIENT-ADVISORY-GROUPS/ LASTLY, LAKEWOOD SEEKS TO UNDERSTAND THE NEEDS OF THE COMMUNITY THROUGH THE PARTICIPATION IN LOCAL, REGIONAL, STATE AND FEDERAL COLLABORATIVES, ASSOCIATIONS AND COALITIONS, SUCH AS LEADERSHIP, ENGAGEMENT, ADVOCACY, AND POSITIVENESS (LEAP); STAPLES-MOTLEY INDEPENDENT SCHOOL DISTRICT BOARD; STAPLES-MOTLEY BEYOND POVERTY; WAVE/SALUDOS WELCOME CENTER; TODD COUNTY FAMILY SERVICES COLLABORATIVE; CENTRAL MINNESOTA COUNCIL ON AGING; MINNESOTA HOSPITAL ASSOCIATION; AND THE MEDICAID SERVICES ADVISORY COMMITTEE. |
| PART VI, LINE 3: | LAKEWOOD EFFECTIVELY INFORMS AND EDUCATES PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. THE ORGANIZATION WIDELY PUBLICIZES THE AVAILABILITY AND UTILIZATION OF FINANCIAL ASSISTANCE, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501 (R) (4), TO ENSURE THE COMMUNITY SERVED IS AWARE OF THE SERVICES AND SUPPORT. LAKEWOOD OFFERS FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED MEANS, AND TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE.INFORMATION ABOUT FINANCIAL ASSISTANCE AND MEANS-TESTED PUBLIC PROGRAMS ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESS, AND THROUGH COMMUNICATION WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE.INFORMATION ON FINANCIAL ASSISTANCE IS AVAILABLE ONLINE, IN BROCHURES, MESSAGES ON PATIENTS' BILLS, AND POSTED NOTICES IN PUBLIC AREAS (E.G., EMERGENCY DEPARTMENT, ADMITTING AND REGISTRATION AREAS, AND PATIENT FINANCIAL SERVICES OFFICES). SUMMARIES OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS MADE AVAILABLE TO APPROPRIATE HEALTH AND HUMAN SERVICES AGENCIES AND OTHER COMMUNITY ORGANIZATIONS IN THE REGION THAT ASSIST PEOPLE IN NEED.LAKEWOOD ALSO HAS A WRITTEN POLICY FOR BILLING AND COLLECTIONS AND FOR ITS CUSTOMER ASSISTANCE PROGRAM. PAYMENT ARRANGEMENT IS AVAILABLE TO ASSIST PATIENTS IN PAYING OFF OBLIGATIONS OWED TO THE ORGANIZATION.MORE INFORMATION ABOUT LAKEWOOD'S FINANCIAL ASSISTANCE PROGRAM AND RESPECTIVE POLICIES CAN BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LAKEWOODHEALTHSYSTEM.COM/PATIENTS-VISITORS/BILLING-PAYMENTS/FINANCIAL-ASSISTANCE-PROGRAM/ |
| PART VI, LINE 4: | LAKEWOOD PROVIDES A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT CARE SERVICES AT ITS STATE-OF-THE-ART MAIN CAMPUS FACILITY WHICH INCLUDES A 25-BED CRITICAL ACCESS HOSPITAL AND CLINIC (STAPLES, MN); FOUR MODERN SATELLITE CLINICS (BROWERVILLE, PILLAGER, MOTLEY & EAGLE BEND, MN), SENIOR SERVICES CARE AND HOUSING, A SPECIALIZED SENIOR BEHAVIORAL HEALTH UNIT (STAPLES, MN), AND A DERMATOLOGY CLINIC (SARTELL, MN). WHILE LAKEWOOD'S PRIMARY AND SECONDARY SERVICE AREA CONSISTS OF CASS, CROW WING, MORRISON, TODD, AND WADENA COUNTY, ITS FACILITIES AND SPECIALTY SERVICES DRAW FROM PORTIONS OF THE SURROUNDING COUNTIES, INCLUDING HUBBARD, AND OTTER TAIL. THE FIVE-COUNTY SERVICE AREA IS PRIMARILY AGRICULTURALLY BASED WITH LOW POPULATION DENSITIES WHICH HOUSE 165,640 RESIDENTS OVER 6,246 SQUARE MILES (26.5 PEOPLE PER SQUARE MILE). THE POPULATION DISTRIBUTION BY AGE ARE AS FOLLOWS: 22.5% ARE INFANTS, CHILDREN OR ADOLESCENTS AGES 0-17; ANOTHER 55.3% ARE AGES 18 TO 64; WHILE 22.2% ARE AGES 65 AND OLDER. THE PERCENTAGE OF THE TOTAL POPULATION IS MOSTLY WHITE, NON-HISPANIC AT 91.3%, BUT PORTIONS OF THE SERVICE AREA HAVE A HIGHER POPULATION OF HISPANIC OR LATINO INDIVIDUALS. HISPANIC OR LATINO AMERICANS MAKE UP THE LARGEST ETHNIC MINORITY GROUP IN THE REGION AT NEARLY 7.2%.THE PERCENTAGE OF THE POPULATION WHO LIVE IN POVERTY IS 11.5% AMONG ALL AGES, AND 16.3% AMONG CHILDREN AGES 0 TO 17 YEARS OLD. THE ABOVE-MENTIONED DATA ARE BASED ON THE U.S. CENSUS BUREAU, 2016-2020 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES.THE PERCENTAGE OF THE POPULATION WHO LACK ADEQUATE ACCESS TO FOOD IS SLIGHTLY MORE THAN 8% ACROSS THE FIVE-COUNTY REGION. HOWEVER, THE NUMBER EQUATES TO MORE THAN 13,560 INDIVIDUALS WHO DO NOT HAVE ACCESS, AT TIMES, TO A RELIABLE SOURCE OF FOOD FOR AN ACTIVE, HEALTHY LIFE. |
| PART VI, LINE 5: | LAKEWOOD FURTHERS ITS EXEMPT PURPOSES BY PROMOTING THE HEALTH OF COMMUNITY, AND BY: 1. OPERATING A FULL-TIME EMERGENCY DEPARTMENT OPEN TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 2. MAINTAINING A VOLUNTARY BOARD OF DIRECTORS WHO REPRESENT AND ARE DRAWN FROM THE COMMUNITIES OR GEOGRAPHICAL AREAS WITHIN THE SERVICE AREA. LAKEWOOD'S BOARD OF DIRECTORS HAS A GROUP OF SEVEN (7) PUBLIC TRUSTEES, ALONG WITH THE CEO AND FOUR (4) CLINIC PROVIDERS, WHO GOVERNS THE CHARITABLE ORGANIZATION AND ENSURES THE HOSPITAL IS OPERATING FOR THE BENEFIT OF THE COMMUNITY. 3. MAINTAINING AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. PROVIDING CARE FOR ALL PATIENTS ABLE TO PAY AND REMAINING CERTIFIED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE CARE TO THOSE WHO PAY THEIR BILLS THROUGH MEDICARE, MEDICAID, AND OTHER GOVERNMENT PAYMENT PROGRAMS.5. USING SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, PURCHASE EQUIPMENT, AND ADVANCE MEDICAL TRAINING AND EDUCATION.6. COLLABORATING WITH BUSINESSES, A SCHOOL DISTRICT, LOCAL FARMERS AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE COMMUNITY INFRASTRUCTURE AND SOCIAL CONNECTIONS, SUCH AS RESIDENTIAL HOUSING, COMMUNITY WELLNESS CENTER, A LOCAL FARMERS MARKET. 7. IMPLEMENTING EIGHT TARGETED INTERVENTIONS TO ADDRESS FOOD INSECURITY FOR NEARLY 1,500 PATIENTS AND HOUSEHOLD MEMBERS ANNUALLY. ALL ENROLLED PARTICIPANTS ARE FURTHER ASSESSED FOR HEALTH-RELATED SOCIAL NEEDS AND CONNECTED TO RESOURCES IF THEY DEMONSTRATE A NEED, SUCH AS HOUSING INSTABILITY AND CHRONIC STRESS ASSOCIATED WITH EXPERIENCING INTERPERSONAL VIOLENCE, POVERTY, AND GAPS IN HEALTH INSURANCE. 8. OFFERING SUPPORT GROUPS AND EDUCATIONAL CLASSES FACILITATED BY VARIOUS LAKEWOOD HEALTH PROFESSIONALS AND OFFERED AT NO COST TO PATIENTS AND COMMUNITY MEMBERS. 9. PROVIDING A RENTAL SPACE FOR A LOCAL DAYCARE CENTER, MAGIC FOREST, AND HAS RECENTLY SUPPORTED A BUILDING EXPANSION ALLOWING THE CENTER TO DOUBLE THE FACILITY SPACE TO ACCOMMODATE DOUBLING OF ENROLLMENT. WITH THE SUPPORT OF LHS, MAGIC FOREST IS ABLE TO SERVE 42 AREA CHILDREN WITHIN THEIR CHILDCARE ENVIRONMENT. |
| PART VI, LINE 6: | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE ALBRECHT | ||||||||||||||
| CHIEF MEDICAL OFFICER | $579,850 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $579,850 | $0 | $0 | $0 |
| LISA BJERGA | ||||||||||||||
| CEO & PRESIDENT | $411,700 | $0 | $49,580 | $0 | $24,977 | $0 | $6,818 | $0 | $1,254 | $0 | $494,329 | $0 | $0 | $0 |
| SCOTT MANEY | ||||||||||||||
| CRNA | $349,898 | $0 | $500 | $0 | $0 | $0 | $880 | $0 | $25,958 | $0 | $377,236 | $0 | $0 | $0 |
| JASON ALEXANDER | ||||||||||||||
| CRNA | $339,839 | $0 | $5,500 | $0 | $0 | $0 | $2,625 | $0 | $20,708 | $0 | $368,672 | $0 | $0 | $0 |
| MATTHEW SINGH | ||||||||||||||
| CRNA | $336,392 | $0 | $5,500 | $0 | $0 | $0 | $4,950 | $0 | $21,003 | $0 | $367,845 | $0 | $0 | $0 |
| DANIEL LUND | ||||||||||||||
| CRNA | $318,226 | $0 | $506 | $0 | $0 | $0 | $9,900 | $0 | $32,741 | $0 | $361,373 | $0 | $0 | $0 |
| CRAIG WOLHOWE | ||||||||||||||
| VP OF HOSPITAL & CLINIC SERVICES | $259,485 | $0 | $23,130 | $0 | $13,377 | $0 | $5,853 | $0 | $36,919 | $0 | $338,764 | $0 | $0 | $0 |
| LYNN RICE | ||||||||||||||
| VP OF SUPPORT SERVICES | $254,288 | $0 | $21,914 | $0 | $20,214 | $0 | $9,086 | $0 | $12,524 | $0 | $318,026 | $0 | $0 | $0 |
| JOSEPH REYCRAFT | ||||||||||||||
| CFO | $230,683 | $0 | $11,287 | $0 | $190 | $0 | $2,822 | $0 | $11,037 | $0 | $256,019 | $0 | $0 | $0 |
| KIMERLY HUSCHLE | ||||||||||||||
| CRNA | $219,510 | $0 | $5,375 | $0 | $0 | $0 | $6,798 | $0 | $20,897 | $0 | $252,580 | $0 | $0 | $0 |
| CORRINE NEISESS | ||||||||||||||
| VP OF NURSING | $184,434 | $0 | $15,338 | $0 | $5,401 | $0 | $6,226 | $0 | $11,388 | $0 | $222,787 | $0 | $0 | $0 |
| TIM RICE | ||||||||||||||
| CEO (FORMER) | $0 | $0 | $0 | $0 | $157,454 | $0 | $0 | $0 | $0 | $0 | $157,454 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART II & FORM 990, PART VII, SECTION A, LINE 5 | FormAndLineReferenceDesc |
| Explanation | CHRISTINE ALBRECHT IS THE HOSPITAL'S CHIEF MEDICAL OFFICER. SHE ALSO PRACTICES AS AN EMPLOYEE OF LAKEWOOD CLINIC PA WHICH IS AN UNRELATED ORGANIZATION (SEE RELATIONSHIP FURTHER DESCRIBED ON SCHEDULE L) . THE COMPENSATION REPORTED ON PART VII OF THE 990 AND SCHEDULE J, PART II IS REPRESENTATIVE OF HER REPORTED COMPENSATION IN TOTAL FROM LAKEWOOD CLINIC WHICH INCLUDES HER CONTRIBUTIONS TO LAKEWOOD AS CHIEF MEDICAL OFFICER. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED HOSPITAL DISTRICT TODD MORRISON CASS AND WADENA COUNTIES MN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005558 | BondIssuerEIN |
| CUSIP | 88903ACN8 | CUSIPNum |
| Bond Issued | 2016-11-15 | BondIssuedDt |
| Issue Price | $4,168,729 | IssuePriceAmt |
| Purpose | REFINANCING | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,135,000 | RetiredAmt |
| Total Proceeds | $4,168,729 | TotalProceedsAmt |
| Refunding Escrow | $4,098,626 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $70,103 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2004 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: UNITED HOSPITAL DISTRICT, TODD, MORRISON, CASS AND WADENA COUN DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2020 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD CLINIC PA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBERS HAVE OWNERSHIP INTEREST IN LAKEWOOD CLINIC, PA. | RelationshipDescriptionTxt |
| Transaction | $16,882,102 | TransactionAmt |
| Transaction | THE ORGANIZATION HAS A MEDICAL SERVICE AGREEMENT WITH LAKEWOOD CLINIC, PA FOR THE PROVISION OF PHYSICIAN AND OTHER PROFESSIONAL MEDICAL SERVICES. THE AGREEMENT EXPIRES IN 2022. LAKEWOOD CLINIC, PA IS PAID PER A NEGOTIATED PRICE OF RELATIVE VALUE UNIT (RVU). THE RVU IS DETERMINED BASED ON THIRD-PARTY COMPENSATION DATA. IN ADDITION, THERE ARE COMPENSATION AGREEMENTS FOR SERVICES THAT USE HOURLY RATES DETERMINED USING MARKET DATA TO ENSURE COMPENSATION IS REASONABLE. THERE ARE SPECIALIST POSITIONS THAT RECEIVE AN ANNUAL COMPENSATION THAT IS ALSO DETERMINED USING MARKET DATA. THE FOLLOWING LAKEWOOD HEALTH SYSTEM BOARD MEMBERS HAVE OWNERSHIP INTEREST IN OR ARE MEMBERS OF LAKEWOOD CLINIC, PA: - MICHAEL HUDALLA, MD (BOARD MEMBER THRU JUNE) - KAITLYN SCHOECK, MD - RYAN KRAY, MD | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE PREPARER OF FORM 990 EMAILS A COPY OF THE FINAL 990 TO THE ORGANIZATION'S CFO. THE CFO PERFORMS A DETAIL REVIEW OF FORM 990 AND PROVIDES EACH VOTING BOARD MEMBER WITH A COPY OF FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY INTERESTS WHICH WERE IDENTIFIED AS PART OF THE ANNUAL CONFLICT OF INTEREST DISCLOSURE WOULD BE DOCUMENTED IN THE BOARD OF DIRECTOR MEETING MINUTES. THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE A FORMAL CONFLICT OF INTEREST DISCLOSURE ANNUALLY. INTERESTS THAT ARISE BETWEEN COMPLETING FORMS MUST BE DISCLOSED BY THE INTERESTED MEMBER TO THE REST OF THE BOARD. FOR ANY BOARD ACTION THAT REQUIRED A VOTE AND COULD BE INFLUENCED BY A CONFLICT, THE AFFECTED BOARD MEMBER IS NOT PERMITTED TO VOTE ON THE ACTION. THE ORGANIZATION ALSO CONSIDERS WHETHER OTHER POTENTIAL CONFLICTS OF INTEREST COULD RESULT FOR ANY OF THESE INDIVIDUALS BASED ON POSSIBLE ACTIONS UNDER CONSIDERATION BY THE ORGANIZATION DURING THE YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR THE CEO, INITIAL COMPENSATION CONSIDERATION IS MADE BASED ON A REVIEW OF SALARY SURVEY DATA COMPILED BY GALLAGHER. ADDITIONALLY, THE COMMITTEE MAY CONSIDER OTHER DATA SOURCES FOR CONTEXT INCLUDING DATA COMPILED BY THE MINNESOTA HOSPITAL ASSOCIATION (MHA), AND HEALTHCARE HUMAN RESOURCES ASSOCIATION OF MINNESOTA (HHRAM). THIS DATA IS THEN REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. AFTER THIS REVIEW, A RECOMMENDATION IS SUBMITTED TO THE BOARD OF DIRECTORS FOR REVIEW ALONG WITH THE ENTIRE ANNUAL BUDGET PACKAGE. FINALLY, THE FULL BUDGET PACKAGE, ALONG WITH ALL SPECIFIC SALARY PROPOSALS IS SUBMITTED TO THE FULL BOARD OF DIRECTORS FOR FINAL APPROVAL. AT ANY TIME IN THIS PROCESS, ANY OF THE COMMITTEES OR BOARD COULD REQUEST ADDITIONAL INDEPENDENT SALARY INFORMATION SUPPORTING THE PROPOSED SALARY. THIS COMPENSATION AMOUNT IS INCLUDED IN THE CEO EMPLOYMENT CONTRACT WHICH IS PREPARED EVERY OTHER YEAR WITH A TWO-YEAR TERM. FOR THE CFO, CMO, AND VP'S, THE PROCESS STARTS WITH A COMPENSATION SURVEY PERFORMED BY INTEGRATED HEALTHCARE STRATEGIES (IHS) OR SIMILAR FIRM. IHS IS CONTRACTED BIENNIALLY TO COMPLETE A COMPENSATION MARKET SURVEY FOR THESE POSITIONS. THE COMMITTEE MAY CONSIDER OTHER DATA SOURCES FOR CONTEXT INCLUDING BUT NOT LIMITED TO DATA COMPILED BY THE MINNESOTA HOSPITAL ASSOCIATION (MHA), AND HEALTHCARE HUMAN RESOURCES ASSOCIATION OF MINNESOTA (HHRAM). THIS DATA IS REVIEWED BY THE COMPENSATION COMMITTEE WITH THE REMAINING PROCESS BEING IDENTICAL TO THAT FOR THE CEO WITH ALL RECOMMENDATIONS AND COMMITTEE MEETING MINUTES SENT TO THE BOARD FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THESE DOCUMENTS CAN BE REQUESTED FROM THE ORGANIZATION'S CHIEF FINANCIAL OFFICER. |
| FORM 990, PART IX, LINE 11G | OPERATING ROOM PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,078,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,078,560. REHAB/THERAPY PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,420,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,420,383. PHYSICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,639,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,639,634. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,994,540. MANAGEMENT AND GENERAL EXPENSES 766,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,761,386. CLINIC & ADMIN FEES: PROGRAM SERVICE EXPENSES 2,904,998. MANAGEMENT AND GENERAL EXPENSES 704,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,609,285. PHARMACY PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 417,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,525. LAB PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,766,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,766,968. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS 166,098. CHANGE IN INVESTMENTS IN AFFILIATES -48,646. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STAPLESMOTLEY HOUSING GROUP LLC | |||||||||||||
| 49725 COUNTY ROAD 83 | STAPLES | MN | 56479 | 882108733 | HOME & ECONOMIC DEVELOPMENT | MN | LAKEWOOD HEALTH SYSTEM | RELATED | -$38,505 | $411,495 | 0 | Yes (1) | 0.70000 |
| LHS-TCO HOUSING LLC | |||||||||||||
| 49725 COUNTY ROAD 83 | STAPLES | MN | 56479 | 882084265 | HOUSING | MN | LAKEWOOD HEALTH SYSTEM | RELATED | -$9,065 | $158,944 | 0 | Yes (1) | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| STAPLESMOTLEY HOUSING GROUP LLC | ||
| B | $240,000 | CASH |
| LHS-TCO HOUSING LLC | ||
| B | $158,944 | CASH |