2017-11-10T14:32:49-06:00 2016-12-31 420714325 RSM US LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2016-01-01 421707837 HENNEPIN HEALTHCARE SYSTEM INC HENN 6128736518 701 PARK AVENUE P-1 MINNEAPOLIS MN 55415 DERRICK O HOLLINGS CFO CFO 6128736518 2017-11-10 1 TODD A JACKSON P00092672 6123324300 108.171.131.186 2017-11-10 09:53:53 CS P 134BD58B7D7A54F01293A091CAE7F8DE49748E6F 5AB5DFEC54AF030231DDAA57F2AFD57D98013E0B 2016 2017-02-10 21:41:12Z HENNEPIN COUNTY MEDICAL CENTER JON L PRYOR MD MBA 701 PARK AVENUE P-1 MINNEAPOLIS MN 55415 973048760 0 X WWW.HCMC.ORG X 2007 MN WE PARTNER WITH OUR COMMUNITY, OUR PATIENTS, AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH. 14 9 8376 469 4156579 563496 63005974 60669401 852308591 910100290 1535002 1305743 0 0 916849567 972075434 413545 695854 0 0 597454212 692943233 0 0 0 290346872 308507945 888214629 1002147032 28634938 -30071598 517851291 593091017 461712945 575906544 56138346 17184473 X SEE SCHEDULE O 0 0 820876859 602576 866549956 HHS INC. (D/B/A HCMC) (HEREAFTER HHS) IS A NATIONALLY RECOGNIZED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER WITH THE LARGEST EMERGENCY DEPARTMENT IN MINNESOTA. HHS IS ALSO RECOGNIZED NATIONALLY FOR LEADERSHIP IN MEDICAL EDUCATION, EMERGENCY PREPAREDNESS, RESEARCH, AND COMPASSIONATE CARE IN MANY MEDICAL SPECIALTIES.AS OF DECEMBER 31, 2016, HHS OPERATED A HOSPITAL WITH LICENSED CAPACITY OF 894 BEDS AND 65 BASSINETS, OF WHICH 486 BEDS AND 62 BASSINETS WERE AVAILABLE, AS WELL AS 13 PRIMARY CARE CLINICS AND 35 SPECIALTY CARE CLINICS, 6 PHARMACY LOCATIONS, AND EMPLOYED APPROXIMATELY 711 PROVIDERS, 233 RESIDENTS AND 131 PHARMACISTS. 19324919 66740 43550334 HHS PROVIDES STUDENTS AND MEDICAL PROFESSIONALS WITH ACCESS TO INNOVATIVE AND COMPREHENSIVE RESOURCES THAT ARE UNIQUE TO THE ORGANIZATION, DRAWING OVER 20,000 PROVIDERS EACH YEAR FOR CLINICAL TRAINING. HHS ALSO TRAINS PROVIDERS ACROSS MINNESOTA AND THE REGION THROUGH OUR OUTREACH EFFORTS. HHS IS THE LARGEST CONTINUING MEDICAL EDUCATION (CME) PROVIDER ACCREDITED BY THE MINNESOTA MEDICAL ASSOCIATION. HHS IS THE LARGEST TEACHING HOSPITAL FOR THE UNIVERSITY OF MINNESOTA SCHOOL OF MEDICINE AND OPERATES 14 HHS-BASED RESIDENCY AND FELLOWSHIP PROGRAMS. THERE ARE MULTIPLE EDUCATIONAL AREAS TO ENHANCE STUDENT AND PROVIDER EDUCATION SUCH AS THE INTERDISCIPLINARY SIMULATION AND EDUCATION CENTER, THE CENTER FOR LEARNING INTEGRATION, AND THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER. 177635 26538 HHS IS NATIONALLY RECOGNIZED FOR ITS COMMITMENT TO ADVANCING THE FIELD OF MEDICINE THROUGH PROGRESSIVE MEDICAL RESEARCH. MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF), THE THIRD LARGEST MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENT IN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH MMRF INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY. HENNEPIN HEALTHCARE SYSTEM, INC. (HEREAFTER HHS) IS GOVERNED BY A 14-MEMBER BOARD OF DIRECTORS. THE BOARD IS RESPONSIBLE FOR OVERSIGHT OF POLICY AND OPERATING ACTIVITIES. UPON DISINTEGRATION OF THE HOSPITAL SYSTEM FROM THE HENNEPIN COUNTY NETWORK, THE HENNEPIN COUNTY OF MINNESOTA RETAINS OWNERSHIP OF THE HHS FACILITIES. THE HENNEPIN COUNTY BOARD OF COMMISSIONERS OVERSEES CERTAIN GOVERNING RIGHTS AND OBLIGATIONS, INCLUDING OVERSIGHT OF THE SAFETY NET MISSION AND REVIEW AND APPROVAL OF HHS' BOARD MEMBERS, ANNUAL OPERATING BUDGET, HEALTH SERVICES PLAN AND CAPITAL BUDGET.DURING THE YEAR 2016, HHS MAINTAINED THE COURSE TOWARDS CONSTRUCTION OF A NEW $240M CLINIC AND SPECIALTY BUILDING, WHICH WILL CONSOLIDATE HCMC'S EXISTING DOWNTOWN CLINICS IN ONE STATE OF THE ART, SIX-STORY FACILITY AIMED AT IMPROVING CARE, EFFICIENCIES, AND THE PATIENT EXPERIENCE WITHIN THE MAIN CAMPUS COMMUNITY. THE NEW SPECIALTY COMPLEX IS EXPECTED TO BE OPERATIONAL IN 2018.HHS IS AN ESSENTIAL COMMUNITY PROVIDER AS DESIGNATED BY THE MINNESOTA DEPARTMENT OF HEALTH. HHS IS COMMITTED TO PARTNERING WITH ITS COMMUNITY, PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHS CONTINUES TO PROVIDE UNPARALLELED CARE FOR LOW-INCOME, THE UNINSURED, THE INDIGENT AND VULNERABLE POPULATIONS WHILE BEING A MAJOR EMPLOYER AND ECONOMIC ENGINE IN HENNEPIN COUNTY OF MINNESOTA. AS A LEADER IN EMERGENCY AND TRAUMA CARE, HHS PROVIDES STATE-OF-THE-ART TRAUMA CARE SERVICES TO ALL ITS PATIENTS.HHS PRIDES ITSELF IN BEING A CENTER FOR INNOVATIVE AND TECHNICALLY- SOPHISTICATED SERVICES. THIS IS ESSENTIAL NOT ONLY BECAUSE OF THE TRAINING PROVIDED TO PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS, BUT ALSO BECAUSE IT IS OFTEN THE SITE FROM WHICH NEW THERAPIES, SURGERIES, AND TECHNOLOGIES TO TREAT AND CURE PATIENTS EMERGE. THE CENTER FOR LEARNING INTEGRATION (CLI) CREATED IN 2015, EXCELS IN COORDINATING, DESIGNING AND INTEGRATING EXCELLENT LEARNING THROUGHOUT THE HEALTHCARE SYSTEM WITH THE PRIORITY GOAL TO ACHIEVE IMPROVED QUALITY, SAFETY AND EXPERIENCE OUTCOMES FOR ALL STAKEHOLDERS. HHS ALSO OPERATES THE INTERDISCIPLINARY SIMULATION AND EDUCATION CENTER (ISEC), A MULTIDISCIPLINARY TRAINING CENTER THAT HOSTS EDUCATIONAL PROGRAMS FOR NURSES, PHYSICIANS, PRE-HOSPITAL PROVIDERS, AND OTHER ALLIED HEALTH PROFESSIONALS FROM HHS AND ACROSS THE REGION. IT IS A GUIDED, SAFE ENVIRONMENT FOR HEALTHCARE PROFESSIONALS TO PRACTICE REAL-LIFE MEDICAL SITUATIONS AND PROCEDURES VIA STATE-OF-THE-ART SIMULATION EQUIPMENT.HHS EMPHASIZES TRAINING THE FUTURE HEALTHCARE WORKFORCE IN LIGHT OF COMMUNITY HEALTH NEEDS. THE ADVANCED PRACTICE PROVIDER PROFESSIONAL CENTER, ESTABLISHED IN 2013, CONTINUES TO PROVIDE ORGANIZATIONAL STRUCTURE IN LIGHT OF THE INCREASING ROLE OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS AT HHS. HHS CONTINUES TO COOPERATE WITH METROPOLITAN STATE UNIVERSITY IN PROVIDING THE DENTAL THERAPIST PROGRAM WHICH FOCUSES ON ADVANCED DENTAL THERAPY TRAINING OPPORTUNITIES IN GENERAL AND PEDIATRIC DENTISTRY AS WELL AS ORAL SURGERY. ADDITIONALLY, HHS' EMERGENCY MEDICAL SERVICES PARTNERS WITH HENNEPIN TECHNICAL COLLEGE'S COMMUNITY PARAMEDIC CERTIFICATION TRAINING PROGRAM TO PROVIDE STUDENTS WITH RELEVANT CLINICAL EXPERIENCE. COMMUNITY PARAMEDICS IS A NEW HEALTHCARE ROLE THAT APPLIES AND EXPANDS PARAMEDIC SKILLS TO PREVENTATIVE AND PRIMARY CARE MEDICINE, CLOSING THE GAP BETWEEN EMERGENCY CARE AND PRIMARY CARE NEEDS BY PROVIDING COMMUNITY-BASED HEALTH SERVICES TO UNDERSERVED POPULATIONS.COMMUNITY PHYSICIANS AND OTHER PRACTITIONERS FROM ACROSS MINNESOTA COME TO HHS FOR CONTINUING MEDICAL EDUCATION TRAINING COURSES AND TO KEEP THEIR SKILLS AND KNOWLEDGE SHARP. HHS ALSO CONDUCTS ON-SITE TRAINING AT THE REQUEST OF RURAL HOSPITALS AND CLINICS AND HAS ESTABLISHED RELATIONSHIPS WITH OTHER DESIGNATED TRAUMA CENTERS AND EMERGENCY DEPARTMENTS IN GREATER MINNESOTA. THE HHS EMERGENCY DEPARTMENT MAINTAINS A FREE ONLINE DATABASE OF DIVERSE TEACHING MATERIALS INCLUDING INSTRUCTIONAL VIDEOS, LECTURES, CRITICAL CARE CONFERENCE PRESENTATIONS AND VIDEOS, MEDICAL BLOGS, AND EDUCATIONAL LINKS, ALL UTILIZED BY PRACTITIONERS AROUND THE WORLD.THIS FOCUS DISTINGUISHES MMRF/HHS FROM OTHER RESEARCH INSTITUTIONS IN THE STATE, DIRECTLY BENEFITS PATIENTS, AND CREATES STRONG LINKS WITHIN THE COMMUNITY. MMRF-COORDINATED RESEARCH FOCUS INCLUDES ADDICTION MEDICINE AND TOBACCO DEPENDENCE TREATMENT, BONE INFECTIONS AND HEALING, CANCER BIOLOGY, CHRONIC KIDNEY DISEASES, COGNITIVE ISSUES IN AGING, DIABETES AND OBESITY, DISPARITIES IN HEALTH CARE DELIVERY AND OUTCOMES, EMERGENCY MEDICINE, HEART FAILURE, HIV/AIDS, LIVER DISEASE, PEDIATRIC DISEASE PREVENTION, FOOD SECURITY, TRANSPLANT AVAILABILITY AND OUTCOMES AND TRAUMATIC BRAIN INJURY.RESEARCHERS AT HHS, THE UNIVERSITY OF MINNESOTA, AND ABBOTT HEALTHCARE SYSTEM REGULARLY COLLABORATE ON AN INNOVATIVE, COMPREHENSIVE STUDY TO BETTER IDENTIFY THE RANGE OF BRAIN INJURIES AMONG PATIENTS. LED BY DR. UZMA SAMADANI, AN INTERNATIONALLY RECOGNIZED NEUROSURGEON AND TRAUMATIC BRAIN INJURY RESEARCHER, IT IS HOPED THAT BY USING MULTIPLE EVALUATION TOOLS, INCLUDING EYE TRACKING, BLOOD-BASED BIOMARKERS, IMAGING AND COGNITIVE MEASURES, MEDICAL RESEARCHERS WILL DEVELOP A NEW STANDARD APPROACH TO HELP CLASSIFY BRAIN INJURIES, INCLUDING CONCUSSIONS, AND PROVIDE THE INFORMATION NEEDED TO GUIDE DOCTORS' TREATMENT DECISIONS. PHILANTHROPY FOR HHS AND MMRF IS COORDINATED AND SUPPORTED THROUGH HENNEPIN HEALTH FOUNDATION (HHF). HHF CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHF HAS FACILITATED THE ESTABLISHMENT OF THE ROCKSWOLD KAPLAN ENDOWED CHAIR FOR TBI RESEARCH AND HAS ASSISTED IN THE ESTABLISHMENT OF THE DELTA DENTAL ORAL HEALTH CENTER AT HCMC, OPENING IN THE NEW CLINIC AND SPECIALTY CARE BUILDING. 840379413 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1169 0 1 8376 1 1 1 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X CHARLES ESLER CONTROLLER 6128736518 701 PARK AVENUE P-1 MINNEAPOLIS MN 55415 JON L PRYOR MD MBA CEO 40.00 X X 821026 0 56703 SAMUEL E CARLSON MD FACP BOARD CHAIR 2.00 X X 0 0 0 BRIAN J RANALLO CHAIR - FINANCE CMTE 2.00 X 0 0 0 DOUGLAS D BRUNETTE MD DIRECTOR - PHYSICIAN 40.00 X 464488 0 44779 TARA L GUSTILO MD DIRECTOR - PHYSICIAN 32.00 X 331105 0 42278 DAVID B ORBUCH JD DIRECTOR 2.00 X 0 0 0 JANIS A CALLISON MA JD DIRECTOR 2.00 40.00 X 0 102927 22531 RANDY JOHNSON JD DIRECTOR 2.00 40.00 X 0 104541 23613 SHEILA M RIGGS DDS DMSC DIRECTOR 2.00 X 0 0 0 KRIS L PETERSEN MBA DIRECTOR 2.00 X 0 0 0 DIANA J VANCE-BRYAN JD DIRECTOR 2.00 X 0 0 0 JACOB A GAYLE PHD DIRECTOR 2.00 X 0 0 0 DAVID M YBARRA II DIRECTOR 2.00 X 0 0 0 KATHRYN H TUNHEIM DIRECTOR 2.00 X 0 0 0 DERRICK O HOLLINGS CPA CFO 40.00 X 171952 0 20809 NANCY GARRETT PHD CHIEF ANALYTICS OFFICER 40.00 X 308510 0 47268 SCOTT WORDELMAN FACHE SVP AMBULATORY ADMIN 40.00 X 385523 0 37308 STEVEN P STERNER MD FACEP CHIEF PROVIDER SERVICES 40.00 X 438398 0 43453 WILLIAM G HEEGAARD MD CHIEF MEDICAL OFFICER 40.00 X 499190 0 48035 KATHY WILDE RN MA CHIEF NURSING OFFICER 40.00 X 378400 0 43153 MIAJA CASSIDY JD CHCP CCEP CHIEF COMPLIANCE OFFICER 40.00 X 283664 0 42412 WALTER T CHESLEY JD SVP HUMAN RESOURCES 40.00 X 307440 0 42671 CONSTANTIN N STARCHOOK MD PHYSICIAN - MANAGING 40.00 X 703832 0 44779 CHARLES L TRUWIT MD PHYSICIAN CHIEF 40.00 X 671067 0 44779 UZMA SAMADANI MD PHD PHYSICIAN 40.00 X 664979 0 26423 CHAD J RICHARDSON MD PHYSICIAN - MANAGING 40.00 X 644069 0 44779 MARK HILL MD PHD PHYSICIAN - MANAGING 40.00 X 617760 0 44779 LARRY A KRYZANIAK MS FORMER OFFICER 40.00 X 468359 0 43453 8159762 207468 764005 1045 1 1 0 MA MORTENSON COMPANY 700 MEADOW LANE NORTH MINNEAPOLIS MN 55422 CONSTRUCTION 67229448 UNIVERSITY OF MINNESOTA 1425 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55455 PHYSICIAN SVCS 7499030 DATALINK CORPORATION 10050 CROSSTOWN CIRCLE SUITE 500 EDEN PRAIRIE MN 55344 IT MAINTENANCE 6454517 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 INFO TECHNOLOGY 4792946 STANDARD CONSTRUCTION LLC 11360 PRESERVE LANE NORTH CHAMPLIN MN 55316 CONSTRUCTION 4025522 301 18055096 27936372 14677933 60669401 MEDICARE/MEDICAID REVENUE 624100 538731860 538731860 MANAGED CARE - COMMERCIAL 621990 242038951 242038951 RETAIL PHARMACY REVENUE 621990 71951857 71951857 UPPER PAYMENT LIMIT REVENUE 446110 46875323 46875323 OTHER OPERATING REVENUE 900099 6345720 6345720 4156579 4156579 910100290 1317565 1317565 727671 727671 0 233833 245655 -11822 -11822 -11822 972075434 899597991 4156579 7651463 695854 695854 4858564 1268403 3590161 511812 102098 409714 509915052 423888592 86026460 36946420 29688716 7257704 107906772 86268585 21638187 32804613 26260618 6543995 1547337 1238668 308669 420613 420613 174631 174631 150152 120199 29953 29808100 23153196 6654904 1336226 1069670 266556 9106944 7290253 1816691 15839837 12680043 3159794 14666973 11741147 2925826 1010682 809067 201615 1441308 1153790 287518 3049 2441 608 33026728 26438425 6588303 1000515 800928 199587 MEDICAL DRUGS & SUPPLIE 110106693 110106693 SUPPLIES & UTILITY PMTS 41590849 33293901 8296948 BAD DEBTS 23658875 23658875 TAXES & SURCHARGE 21674865 17351077 4323788 1943568 1123543 820025 1002147032 840379413 161767619 0 48791956 59069027 185794598 177493877 5001870 6091191 8956556 7735476 743023028 407501243 246772025 335521785 6404154 7171523 16130132 8138 517851291 593091017 155061905 174099166 1651324 1513902 304999716 400293476 461712945 575906544 X 0 0 250152464 339143427 -194014118 -321958954 56138346 17184473 517851291 593091017 X -30071598 61376 -8943651 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 174631 0 174631 1001972401 1002147032 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 206597 187527 144041 174631 712796 250000 250000 250000 250000 1000000 1500000 206597 187527 144041 174631 712796 PART I-A, LINE 1: HENNEPIN HEALTH SYSTEM INC.'S (HHS INC.) HAS A SERVICE AGREEMENT IN FORCE WITH HENNEPIN COUNTY INTERGOVERNMENTAL RELATIONS (IGT) TO FURNISH STATE AND FEDERAL GRASSROOT LOBBYING SERVICES RELATED TO HHS INC.'S MISSION AND PURPOSE. IN ADDITION, HHS INC. IS ASSOCIATED WITH ORGANIZATIONS SUCH AS MINNESOTA HOSPITAL ASSOCIATION, AMERICA'S ESSENTIAL HOSPITALS, AND THE NATIONAL ASSOCIATION OF CHILDREN HOSPITALS WHICH ENGAGE IN LOBBYING ACTIVITIES AT THE STATE AND NATIONAL LEVEL ON BEHALF OF ITS MEMBER ENTITIES. THE GRASSROOTS LOBBYING EXPENSES ARE MADE UP AS BELOW: HENNEPIN COUNTY IGR PAYMENTS _ $155,000 MINNESOTA HOSPITAL ASSOCIATION _ $5,078 AMERICA'S ESSENTIAL HOSPITALS _ $3,900 NATIONAL ASSOCIATION OF CHILDREN HOSPITALS _ $5,346 MN AMBULANCE ASSOCIATION _ $3,500 MINNESOTA HOMECARE ASSOCIATION _ $1,006 SAFETY NET HOSPITALS PHARM ACCESS _ $536 NATIONAL HOSPICE PALLIATIVE CARE ORG _ $173 MINNEAPOLIS DOWNTOWN COUNCIL _ $92 TOTAL GRASSROOTS LOBBYING EXPENDITURE _ $174,631 3153016 46489 3199505 2956178 196839 3153016 2754332 183917 2956178 2187882 566450 2754332 0.58840 0.41160 0 0 28603548 28603548 376962917 241629419 135333498 117755554 8901840 108853714 215639099 154831111 60807988 4061910 2138873 1923037 335521785 NET PENSION LIABILITY GASB 68 326481978 LEASE REVENUE REFUNDING CERTIFICATES 63337266 TAXES 6957766 RELATED PARTY PAYABLES 3516466 400293476 947915257 61376 61376 947853881 24221553 24221553 972075434 977925479 0 977925479 24221553 24221553 1002147032 PART V, LINE 4: THE ENDOWMENT CONSISTS ENTIRELY OF DONOR-RESTRICTED FUNDS ESTABLISHED TO SUPPORT RESEARCH ACTIVITIES AND THE NON-SURGERY ENDOWMENT. HHS, INC. POLICY PROVIDES FOR THE ABILITY TO APPROPRIATE FOR DISTRIBUTION EACH YEAR AN AGREED PROPORTION PLUS RELATED ACCUMULATED EARNINGS BASED UPON BALANCES OF THE PRECEDING YEAR AND MAINTAINING A RECOMMENDED PURCHASING POWER OF THE ENDOWMENT. DISTRIBUTIONS ARE NOT MADE IN PERIODS SUBSEQUENT TO A DETERMINATION THAT THE FAIR MARKET VALUE OF THE PERMANENTLY RESTRICTED NET ASSETS FALLS BELOW CORPUS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECLASS 23,658,875. LOSS ON SALE/DISPOSAL OF ASSETS -11,822. RELATED PARTY REIMBURSEMENTS 574,500. PART XII, LINE 4B - OTHER ADJUSTMENTS: RELATED PARTY REIMBURSEMENTS 574,500. BAD DEBT RECLASS 23,658,875. LOSS ON SALE/DISPOSAL OF ASSETS -11,822. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 20955633 20955633 0.02090 404731080 360042078 44689002 0.04460 425686713 360042078 65644635 0.06550 228929 3517844 3014101 503743 0.00050 69064342 43550334 25514008 0.02550 88700 88700 0.00010 228929 72670886 46564435 26106451 0.02610 228929 498357599 406606513 91751086 0.09160 1312826 1126730 186096 0.00020 1312826 1126730 186096 0.00020 1 23658875 748819 192522760 274200546 -81677786 X 1 1 1 1 HENNEPIN HEALTHCARE SYSTEM INC HENNEPIN CTY MEDICAL CENTER 701 PARK AVENUE MINNEAPOLIS MN 55415 WWW.HCMC.ORG 376138 X X X X X X LEVEL 1 TRAUMA HOSPITAL HENNEPIN HEALTHCARE SYSTEM INC 0 0 1 X X X X X X X X X 16 1 0 0 1 X WWW.HCMC.ORG X WWW.MNHOSPITALS.ORG X 1 16 1 WWW.HCMC.ORG 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X WWW.HCMC.ORG X WWW.HCMC.ORG X WWW.HCMC.ORG X X X X X X X 1 X 1 X X X X X 1 X X 0 0 HENNEPIN HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 3J: AS LEGISLATED BY MINNESOTA STATUTE 383B.918, HHS IS REQUIRED TO PREPARE "A HEALTH SERVICES PLAN THAT DRAWS INPUT FROM A POPULATION HEALTH NEEDS ASSESSMENT AND DELINEATES THE ORGANIZATION'S ROLE IN THE COMMUNITY, INCLUDING EDUCATION, RESEARCH, AND PATIENT CARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY INCLUDING INDIGENT POPULATIONS." THE HEALTH SERVICES PLAN IS APPROVED ANNUALLY BY THE HHS, INC. BOARD AND THE HENNEPIN COUNTY BOARD OF COMMISSIONERS. HENNEPIN HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 5: STARTING IN TAX YEARS BEGINNING AFTER MARCH 23, 2012, THE AFFORDABLE CARE ACT REQUIRED 501(C)(3) NON-PROFIT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY AT LEAST ONCE EVERY THREE YEARS. INDIVIDUALS FROM MORE THAN 30 KEY COMMUNITY ORGANIZATIONS WERE INTERVIEWED TO GAIN COMMUNITY INSIGHT INTO THE MOST PRESSING HEALTH NEEDS IN THE HCMC COMMUNITY. WE SOUGHT INPUT FROM THE FOLLOWING PERSONS AND TYPES OF ORGANIZATIONS:- COUNTY AND CITY WORKERS OF MINNEAPOLIS HEALTH PROFESSIONALS.- ORGANIZATIONS WORKING DIRECTLY WITH COMMUNITY MEMBERS, SERVING SPECIFIC POPULATIONS AND/OR ADDRESSING SPECIFIC SOCIAL AND HEALTH NEEDS. - ORGANIZATIONS WITH A BROAD FOCUS AND SCOPE, CROSSING A MULTITUDE OF POPULATIONS, INCLUDING FUNDERS SUCH AS UNITED WAY AND HENNEPIN HEALTH FOUNDATION. - HCMC PATIENTS AND FAMILIES- KEY HCMC LEADERS. IN AN EFFORT TO INCLUDE INPUT FROM THOSE REPRESENTING THE HCMC COMMUNITY DEMOGRAPHIC PROFILE, HCMC CONTACTED AGENCIES AND ORGANIZATIONS THAT REPRESENTED THE RACIAL, ETHICAL, LANGUAGE, AND AGE DISTRIBUTION FOUND IN ITS PATIENT AND COMMUNITY POPULATIONS. THROUGH CONSIDERABLE INPUT FROM A BROAD GROUP OF COMMUNITY STAKEHOLDERS, THE CHNA IDENTIFIED THREE PRIORITY NEEDS:1. MENTAL HEALTH WAS IDENTIFIED AS ONE OF THE THREE TOP PRIORITY HEALTH NEEDS IN THE HCMC COMMUNITY. MENTAL HEALTH ITSELF ENCOMPASSES A WIDE RANGE OF ISSUES, FROM PROMOTING MENTAL, EMOTIONAL, AND SPIRITUAL WELLBEING TO DIAGNOSING AND TREATING SERIOUS LONG-TERM MENTAL ILLNESS.2. SOCIAL DETERMINANTS OF HEALTH WHICH INCLUDES THE FOOD SHELF AT HCMC AND THE COMMUNITY RESOURCE NETWORK COLLABORATIVE. THE CENTERS FOR DISEASE CONTROL DEFINES DETERMINANTS OF HEALTH AS "FACTORS THAT CONTRIBUTE TO A PERSON'S CURRENT STATE OF HEALTH." ADDITIONALLY, CDC SAYS: "SOCIAL DETERMINANTS ARE THE COMPLEX, INTEGRATED, AND OVERLAPPING SOCIAL STRUCTURES AND ECONOMIC SYSTEMS THAT ARE RESPONSIBLE FOR MOST HEALTH INEQUITIES."SEVERAL COMMUNITY STAKEHOLDERS OBSERVED, "IT'S HARD TO THINK ABOUT HEALTHY EATING OR GETTING EXERCISE, WHEN YOU DON'T KNOW WHERE YOU'RE GOING TO SLEEP TONIGHT." ADDRESSING SOCIAL DETERMINANTS OF HEALTH WAS SEEN AS FOUNDATIONAL TO ADDRESSING OTHER HEALTH ISSUES SUCH AS HEALTH BEHAVIORS AND CHRONIC DISEASES.3. MATERNAL CHILD HEALTH INCLUDING THREE SPECIFIC ASPECTS OF NEED THAT WERE IDENTIFIED BY A BROAD GROUP OF COMMUNITY STAKEHOLDERS PARTICIPATING IN THE ASSESSMENT PROCESS: PRENATAL SERVICES, EARLY CHILDHOOD DEVELOPMENT AND CARE FOR HIGH-RISK TEENAGERS.THESE TOP THREE PRIORITY NEEDS ARE IN ALIGNMENT WITH TWO OF THE NEEDS IDENTIFIED IN 2013 I.E. MATERNAL AND CHILD HEALTH AND SOCIAL AND EMOTIONAL WELL-BEING. NUTRITION, OBESITY, AND PHYSICAL ACTIVITY-THE THIRD NEED FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT-WAS A NEED CONSIDERED WITHIN THE HEALTHY BEHAVIORS CATEGORY IN THE 2016 PROCESS BUT DID NOT RISE TO THE LEVEL OF PRIORITY OF THE SELECTED TOP HEALTH NEEDS. TO LEARN MORE ABOUT THE PROCESS AND FINDINGS, VISIT THE 2016 HCMC COMMUNITY HEALTH NEEDS ASSESSMENT REPORT ON THE HCMC WEBSITE (WWW.HCMC.ORG). HENNEPIN HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 11: AFTER THE COMMUNITY ADVISORY GROUP MEETING, THE RESULTS FROM THE INDIVIDUAL SCORING PROCESS WERE CONSIDERED ALONG WITH WRITTEN COMMENTS FROM THE TABLE DISCUSSIONS AND INDIVIDUAL NOTES ADDED TO THE SCORING SHEETS. TAKING ALL OF THESE INPUTS INTO ACCOUNT, THE FOLLOWING THREE HEALTH NEEDS WERE INDICATED AS TOP PRIORITY. THESE WERE GIVEN APPROVAL BY HCMC LEADERS.1 - MENTAL HEALTH2 - SOCIAL DETERMINANTS OF HEALTH3 - MATERNAL CHILD HEALTHCONCERNING THE REMAINING CONSIDERED HEALTH NEEDS: - CULTURALLY SPECIFIC CARE - CULTURALLY SPECIFIC SOLUTIONS WILL BE CONSIDERED IN THE IMPLEMENTATION PLANNING FOR ADDRESSING THE TOP PRIORITY NEEDS. - CHRONIC CONDITIONS, HEALTH BEHAVIORS, AND ORAL HEALTH - WHILE ALL WERE CONSIDERED IMPORTANT, EACH OF THESE HEALTH NEEDS SCORED LOWER THAN THE TOP NEEDS. IN ADDITION, THERE WAS BROAD AGREEMENT THAT ADDRESSING MENTAL HEALTH, MATERNAL CHILD HEALTH, AND ESPECIALLY SOCIAL DETERMINANTS OF HEALTH WAS FOUNDATIONAL AND, IF EFFECTIVE, COULD HAVE POSITIVE IMPACT ON OTHER HEALTH NEEDS. HCMC HAS A LONG-STANDING COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. HHS CONTINUES TO UNDERTAKE A PLANNING PROCESS TO BUILD A MULTI-YEAR IMPLEMENTATION STRATEGY TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. IN COMPLIANCE WITH IRS REQUIREMENTS, THE 2017-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN WILL BE COMPLETED BY MAY 2017. HHS ACTIVELY ENGAGED COMMUNITY STAKEHOLDERS IN THE IDENTIFICATION AND PRIORITIZATION OF PRIORITY HEALTH NEEDS. MANY COMMUNITY STAKEHOLDERS EXPRESSED STRONG INTEREST IN CONTINUED INVOLVEMENT IN DETERMINING APPROACHES TO ADDRESS THOSE NEEDS.LIKEWISE, INTERNAL HHS' STAKEHOLDERS ARE A KEY CONTRIBUTOR TO FURTHER UNDERSTANDING NEEDS AND POSSIBLE SOLUTIONS. RECOGNIZING THAT COLLABORATIVE EFFORTS INVOLVING HHS STAKEHOLDERS AND COMMUNITY PARTNERS ARE THE MOST LIKELY TO YIELD POSITIVE IMPACTS, HHS' CHNA IMPLEMENTATION PLANNING WILL CONTINUE TO BE DIRECTED FROM THE POPULATION HEALTH DEPARTMENT AND UNDER EXECUTIVE LEADERSHIP OF THE COMMUNITY CARE RING.HHS' IMPLEMENTATION STEERING COMMITTEE, WHICH GUIDES THE IMPLEMENTATION PLANNING PROCESS, HAS BEEN TASKED TO CONTINUE ENGAGING BOTH HHS AND COMMUNITY STAKEHOLDERS. THIS ENCOMPASSES HELPING DETERMINE KEY STRATEGIES, PROGRAMS AND INITIATIVES TO ADDRESS EACH OF THE THREE IDENTIFIED PRIORITY HEALTH NEEDS AS WELL AS CONTINUOUSLY MONITORING PROGRESS OF EFFORTS AND INITIATIVES.HHS CONVENES COMMUNITY LISTENING SESSIONS WHICH ALLOW FOR REGULAR AND ONGOING DIALOGUE ABOUT THE PRIORITY NEED AREAS AND WHERE MORE FOCUS AND ATTENTION IS NEEDED. THE SESSIONS ARE HELD IN THE COMMUNITY AND IN PARTNERSHIP WITH COMMUNITY PARTNERS.ADDITIONALLY, POTENTIAL COLLABORATIVE SOLUTION FORUMS REGULARLY BRING ALL COMMUNITY STAKEHOLDERS INVOLVED IN THE CHNA PLUS ADDITIONAL STAKEHOLDERS TOGETHER TO DEFINE AND DEVELOP POSSIBLE COLLABORATIVE SOLUTIONS TO PRIORITY NEED AREAS. IF APPLICABLE, HHS CONVENES NEED-FOCUSED WORKGROUPS TO ENSURE ENGAGEMENT. THE WORKGROUPS FOCUS ON SPECIFIC IMPLEMENTATION STRATEGIES, PROGRAMS, AND INITIATIVES (AS APPLICABLE). HENNEPIN HEALTHCARE SYSTEM, INC. PART V, SECTION B, LINE 16J: PATIENTS CAN REQUEST TO SEE FINANCIAL COUNSELORS WHO CAN HELP DETERMINE ELIGIBILITY FOR MANY FINANCIAL ASSISTANCE PROGRAMS. UPON REGISTRATION, PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY HHS AND WHENEVER POSSIBLE, THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR MEDICAL ASSISTANCE AND/OR HENNEPIN CARE. FOR THOSE THAT DO NOT QUALIFY FOR CHARITY CARE, HENNEPIN CARE MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT. HHS HAS ISSUED A NEW BROCHURE "WHAT'S YOUR PLAN" THAT ASSISTS PATIENTS NAVIGATE THE PROGRAMS AVAILABLE. THESE BROCHURES ARE AVAILABLE THROUGHOUT THE CAMPUS. ANOTHER TOOL FOR PATIENTS IS ON THE HHS WEBSITE WWW.HCMC.ORG - "PATIENT BILLING PORTAL" FUNCTIONS AS AN ONLINE "WHAT'S YOUR PLAN" BROCHURE. 5 1 - HCMC CLINICS - 43 CLINICS 701 PARK AVENUE MINNEAPOLIS MN 55415 HOSPITAL-BASED UNDER NPI 1407897309 - OUTPATIENT & SPECIALTY CARE SERVICE 2 - HCMC PHARMACIES - 6 LOCATIONS 701 PARK AVENUE MINNEAPOLIS MN 55415 PHARMACY SERVICES 3 - HCMC-BE WELL CLINIC 300 SOUTH SIXTH STREET MINNEAPOLIS MN 55487 FREE STANDING CLINIC 4 - HCMC - GOLDEN VALLEY CLINIC 5653 DULUTH STREET GOLDEN VALLEY MN 55422 FREE STANDING CLINIC 5 - PARKSIDE PATCH CLINIC 825 SOUTH 8TH STREET MINNEAPOLIS MN 55404 FREE STANDING CLINIC PART II, COMMUNITY BUILDING ACTIVITIES: HHS PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. HHS COORDINATED THE DEVELOPMENT OF THE METROPOLITAN HOSPITAL COMPACT, BRINGING COMMUNITY HOSPITALS TOGETHER TO COORDINATE DISASTER PREPAREDNESS AND RESPONSE. AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE 7 COUNTY METRO REGIONS (2.6 MN PEOPLE) HHS COORDINATES 30 HOSPITALS AND THEIR AFFILIATED CLINICS, LONG TERM CARE FACILITIES AND THE UNAFFILIATED CLINICS.HHS IS A PARTICIPANT IN THE SUSPECTED CHILD ABUSE AND NEGLECT TEAM (SCANT). SCANT IS A MULTI-DISCIPLINARY, INTERDEPARTMENTAL TEAM OF PROFESSIONALS FROM HHS, INCLUDING PEDIATRICIANS, SOCIAL WORKERS, NURSES, CHAPLAINS, AND PSYCHOLOGISTS, AS WELL AS INDIVIDUALS FROM COLLABORATING AGENCIES INCLUDING THE MINNEAPOLIS POLICE DEPARTMENT, HENNEPIN COUNTY CHILD PROTECTION, THE HENNEPIN COUNTY ATTORNEY'S OFFICE, AND THE HENNEPIN COUNTY MEDICAL EXAMINER'S OFFICE. HHS IS A SITE FOR THE SUMMER MEALS PROGRAMS THROUGH THE US DEPARTMENT OF AGRICULTURE. APPROXIMATELY 42 CHILDREN RECEIVE FREE BREAKFAST OR LUNCH EVERY DAY DURING THE SUMMER. PART III, LINE 2: BAD DEBT EXPENSE IN THE AMOUNT OF $23,658,875 IS THE AMOUNT RECORDED DURING 2016 WHICH IS WRITTEN OFF OR SENT TO COLLECTIONS NET OF RECOVERIES AND NET OF BOOK RESERVES FOR ADJUSTMENTS TO THE ON-GOING BAD DEBT ALLOWANCE ON OPEN ACCOUNTS RECEIVABLE. PART III, LINE 3: THE COST OF CHARGES WRITTEN OFF AS BAD DEBT EXPENSE TOTALED $ 9,821,017 FOR 2016. THIS WAS CALCULATED AS THE PERCENTAGE OF ADJUSTED PATIENT CHARGES DIVIDED BY OPERATING EXPENSE TO ACHIEVE A COST TO CHARGE RATIO. THE BAD DEBT AMOUNT IS THE PRODUCT OF THE RATIO OF THE COST TO CHARGES MULTIPLIED BY THE BAD DEBT EXPENSE.HHS, INC. COLLECTIONS/CUSTOMER SERVICE AREAS PROCESS DISCOUNT ADJUSTMENTS TO PATIENT ACCOUNTS SUBJECT TO PROPER ADJUSTMENT APPROVALS AND GUIDELINES. PATIENTS ARE ELIGIBLE FOR DISCOUNTS BASED ON PATIENT HOUSEHOLD SIZE AND INCOME IN RELATION TO FEDERAL POVERTY GUIDELINES. PATIENTS WHO MAY BE ELIGIBLE FOR GOVERNMENT PROGRAMS ARE REQUIRED TO APPLY FOR THOSE PROGRAMS. IF BENEFITS ARE DENIED, THE APPROPRIATE APPLICABLE DISCOUNT SHALL APPLY. FINANCIAL COUNSELORS COLLECT AND RECORD THE PATIENTS' NET AND GROSS INCOME AND FAMILY SIZE TO DETERMINE THE APPROPRIATE DISCOUNT. HHS, INC. USES FEDERAL GUIDELINES FOR DETERMINING DISCOUNTS AND CHARITY CARE. PART III, LINE 4: HHS INCLUDES DISCUSSION OF ACCOUNTS RECEIVABLE AND BAD DEBT EXPENSE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGE 9, 10 AND 15. PART III, LINE 8: IN THE COMMUNITY BENEFIT FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS, MEDICARE SHORTFALL IS CONSIDERED AN ADDITIONAL COMMUNITY CONTRIBUTION, NOT INCLUDED IN COMMUNITY BENEFIT. THE SHORTFALL IS CALCULATED BY SUBTRACTING MEDICARE REVENUE FROM MEDICARE ALLOWABLE COSTS. MEDICARE ALLOWABLE COSTS ARE DETERMINED BY MULTIPLYING ALL MEDICARE CHARGES BY THE 2016 COST TO CHARGE RATIO. PART III, LINE 9B: HHS USES A COMBINATION OF DISCOUNT AND COLLECTION POLICIES. PATIENTS ARE SCREENED USING ESTABLISHED GUIDELINES AS SET BY THE HOSPITAL AND WHENEVER POSSIBLE THE PATIENT OR PATIENT'S FAMILY CAN FILL OUT AN APPLICATION FOR FINANCIAL ASSISTANCE. THOSE THAT DO NOT QUALIFY FOR MEDICAL ASSISTANCE, HENNEPIN HEALTH, CHARITY CARE OR HENNEPIN CARE, OR WHO ARE UNINSURED, WILL BE OFFERED AN UNINSURED DISCOUNT. PATIENTS WITH SELF-PAY BALANCES WHO ARE CONSIDERED ABLE TO PAY BASED ON FINANCIAL SCREENING MAY BE TURNED OVER TO COLLECTIONS IF THE HOSPITAL DEEMS THAT THEY HAVE THE ABILITY TO PAY FOR SERVICES. HHS, AS A GOVERNMENT ENTITY, IS ALLOWED TO PARTICIPATE IN STATE OF MINNESOTA REVENUE RECAPTURE PROGRAM. THIS PROGRAM ALLOWS HHS TO SUBMIT CLAIMS AGAINST PATIENT INCOME TAX REFUNDS, PROPERTY TAX REFUNDS, AND LOTTERY WINNINGS TO RECOVER PAST DUE BALANCES AFTER OTHER COLLECTION EFFORTS ARE EXHAUSTED. PART VI, LINE 2: HHS PARTNERS WITH THE COMMUNITY, THE PATIENTS AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH. WHILE MINNESOTA AND HENNEPIN COUNTY APPEAR TO FARE WELL ON HEALTH CARE ACCESS, QUALITY, AND HEALTH STATUS OF ITS RESIDENTS, THERE ARE WIDE DISPARITIES ACROSS THE POPULATION. AS A SAFETY NET HEALTH CARE ORGANIZATION THAT PROVIDES CARE FOR A LARGE NUMBER OF LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS, HHS IS DEDICATED TOWARD ADVANCING HEALTH EQUITY. IN ADOPTING THIS HEALTH EQUITY FRAMEWORK AS PART OF HHS' HEALTH SERVICES PLAN, HHS WILL CONTINUE INVESTMENTS IN EFFORTS THAT CURRENTLY ARE WORKING TO ADVANCE HEALTH EQUITY, STRENGTHEN COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO ADVANCE HEALTH EQUITY, STRENGTHEN THE COLLECTION, ANALYSIS, AND USE OF DATA TO ADVANCE HEALTH EQUITY, AND MAKE HEALTH EQUITY AN EMPHASIS THROUGHOUT HHS. PART VI, LINE 3: HENNEPIN HEALTHCARE SYSTEM, INC.'S (HHS) FINANCIAL ASSISTANCE POLICY IS INTENDED FOR PATIENTS WHO NEED HELP PAYING FOR EMERGENCY OR MEDICALLY NECESSARY CARE THEY RECEIVE AT A HENNEPIN HEALTHCARE SYSTEM FACILITY OR BY A HENNEPIN HEALTHCARE SYSTEM PROVIDER. WE ARE COMMITTED TO PROVIDING THE BEST POSSIBLE CARE TO EVERY PATIENT WE SERVE, INCLUDING THOSE WHO ARE NOT ABLE TO PAY FOR THAT CARE. PATIENTS REQUESTING FINANCIAL ASSISTANCE FOR THEIR MEDICAL CARE MUST FILL OUT AN APPLICATION TO APPLY AND MUST MEET THE ELIGIBILITY REQUIREMENTS TO QUALIFY.THE FINANCIAL ASSISTANCE PROGRAM HELPS LOW-INCOME, UNINSURED, OR UNDERINSURED PATIENTS WHO NEED HELP PAYING FOR ALL OR PART OF THEIR MEDICAL CARE. PATIENTS ARE ELIGIBLE FOR A HHS FINANCIAL ASSISTANCE PROGRAM WHEN THEIR FAMILY INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL (FPL).DISCOUNTS FOR PATIENTS WITHOUT INSURANCE ARE ALSO AVAILABLE FOR INCOMES EXCEEDING 300% OF THE FEDERAL POVERTY LEVEL. EVALUATION OF OTHER CRITERIA MAY BE REQUIRED FOR ALL DISCOUNTS. PATIENTS WHO ARE ELIGIBLE FOR HHS FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED (AGB) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TO PATIENTS WITH INSURANCE (AGB, AS DEFINED BY IRS SECTION 501(R)). PART VI, LINE 4: HENNEPIN HEALTHCARE SYSTEM (HHS) IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. HHS PROVIDES MORE CARE TO VULNERABLE POPULATIONS THAN ANY OTHER HOSPITAL, UP TO 20% OF CARE GIVEN STATEWIDE TO MINNESOTANS ON PUBLIC PROGRAMS. HHS HOUSES THE HENNEPIN REGIONAL POISON CENTER WHICH SERVES MINNESOTA AND SOUTH AND NORTH DAKOTA. FINALLY, HHS SERVES AS THE REGIONAL HOSPITAL RESOURCE CENTER FOR THE SEVEN-COUNTY METRO AREA COMPACT ON EMERGENCY PREPAREDNESS. HHS INCLUDES FOUR FREE STANDING CLINICS, 6 PHARMACIES, AND 43 SPECIALTY CLINICS.OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTH FOUNDATION, A 501(C)(3) NON- PROFIT ORGANIZATION, FOSTERS A MISSION THAT "INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES." PART VI, LINE 5: HHS PROVIDES MORE CARE TO MINNESOTA HEALTH CARE PROGRAM (MHCP) RECIPIENTS AND THE UNINSURED THAN DO OUR NON-TEACHING PEERS, NEARLY 50% OF HHS' VOLUME IS PROVIDED TO LOW INCOME POPULATIONS. HHS IS MINNESOTA'S LARGEST PROVIDER OF SERVICE TO THE POOR BY A SUBSTANTIAL MARGIN. HHS TREATS HENNEPIN COUNTY'S AND THE REGION'S MORE SEVERELY ILL PATIENTS, SUCH AS THOSE REFERRED FROM OTHER HOSPITALS AND THOSE REQUIRING EXTENSIVE SUPPORT SERVICES. HHS' PHYSICIANS AND ALUMNI ARE INTEGRAL TO THE REGION'S EMERGENCY PREPAREDNESS AND STAND-BY CAPABILITIES. HHS PROVIDES MANY SPECIALIZED INPATIENT AND OUTPATIENT SERVICES SUCH AS INTENSIVE NEONATAL CARE, ORGAN TRANSPLANTATION, ONCOLOGY SERVICES AND SOPHISTICATED RECONSTRUCTIVE SURGERY TO THE REGION'S POPULATION. HHS FACILITATES THE TRANSITIONS OF NEW SERVICES AND TECHNOLOGIES INTO THE MAINSTREAM HEALTH CARE PROVISION SYSTEM AND HELPS TO RAISE THE REGIONAL HEALTH PROVISION STANDARDS. PART VI, LINE 6: HENNEPIN HEALTHCARE SYSTEM (HHS) IS A SAFETY NET HOSPITAL, PROVIDING CARE FOR LOW-INCOME, UNINSURED, AND VULNERABLE PATIENTS IN THE STATE. OPERATING IN SUPPORT OF HHS, HENNEPIN HEALTH FOUNDATION, A 501(C)(3) NON-PROFIT ORGANIZATION, FOSTERS A MISSION "INSPIRES GENEROSITY BY CONNECTING HENNEPIN HEALTHCARE SYSTEM SOLUTIONS TO COMMUNITY HEALTH CHALLENGES." MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (MMRF), THE THIRD LARGETS MEDICAL RESEARCH NON-PROFIT IN MINNESOTA, HAS A DELIBERATE AND DISTINGUISHING EMPHASIS ON THE HEALTH CARE PROBLEMS AND NEEDS PREVALENTIN THE HHS PATIENT POPULATION AND SURROUNDING COMMUNITY. RESEARCH CONDUCTED AT HHS AND THROUGH MMRF INCLUDES TRAUMA, EMERGENCY MEDICINE, AND TRAUMATIC BRAIN INJURY FIELDS OF STUDY. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 PHILLIPS EYE INSTITUTE 2215 PARK AVENUE MINNEAPOLIS MN 55404 363261413 501C3 5146 EMERGENCY PREP RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA MN 55387 311667875 501C3 16180 EMERGENCY PREP MAYO CLINIC HLTH SYSTEM NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE MN 56071 410723639 501C3 9510 EMERGENCY PREP ST FRANCIS REGIONAL MEDICAL CENTER 1455 ST FRANCIS AVENUE SHAKOPEE MN 55379 410907986 501C3 16814 EMERGENCY PREP FAIRVIEW HEALTH SERVICES 6401 FRANCE AVENUE SOUTH EDINA MN 55435 410991680 501C3 36650 EMERGENCY PREP LAKEVIEW HOSPITAL 927 CHURCHILL STREET WEST STILLWATER MN 55082 410811697 501C3 15360 EMERGENCY PREP NORTHFIELD HOSPITAL & CLINICS 2000 NORTH AVENUE NORTHFIELD MN 55057 416038368 501C3 7846 EMERGENCY PREP ALLINA HEALTH SYSTEM - UNITY HOSPITAL 500 OSBORNE ROAD FRIDLEY MN 55432 363261413 501C3 6739 EMERGENCY PREP REGINA MEDICAL CENTER 1175 NININGER ROAD HASTINGS MN 55033 410740678 501C3 12175 EMERGENCY PREP REGIONS HOSPITAL 640 JACKSON STREET ST PAUL MN 55101 410956618 501C3 19798 EMERGENCY PREP MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPTIAL DRIVE MAPLE GROVE MN 55369 208316475 501C3 17804 EMERGENCY PREP ALLINA HEALTH SYSTEM - MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS MN 55433 363261413 501C3 12832 EMERGENCY PREP ALLINA HEALTH SYSTEM - UNITED HOSPITAL 333 NORTH SMITH AVENUE SAINT PAUL MN 55102 363261413 501C3 25188 EMERGENCY PREP NORTH MEMORIAL HEATH CARE 3500 FRANCE AVE N STE 106 ROBBINSDALE MN 55422 410729979 501C3 12073 EMERGENCY PREP CHILDREN'S HOSPS & CLINICS OF MN 2525 CHICAGO AVENUE MINNEAPOLIS MN 55404 411754276 501C3 32749 EMERGENCY PREP STATE OF SOUTH DAKOTA SAD 133 BOX 2201 BROOKINGS SD 57007 466000364 13809 EDUCATION & RESEARCH ABBOTT NORTHWESTERN HOSPITAL 800 E 29TH STREET MINNEAPOLIS MN 55407 363261413 501C3 25478 EMERGENCY PREP HEALTHEAST CARE SYSTEM NW 7205 PO BOX 1450 MINNEAPOLIS MN 55485 363517697 501C3 38060 EMERGENCY PREP UNIVERSITY OF MN MEDICAL CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 501C3 27887 EDUCATION & RESEARCH GILLETTE CHILDREN'S SPECIALTY 200 UNIVERSITY AVENUE EAST SAINT PAUL MN 55101 411200302 501C3 11215 EMERGENCY PREP HEALTHEAST WOODWINDS HOSPITAL 1925 WOODWINDS DRIVE WOODBURY MN 55125 411592761 501C3 11960 EMERGENCY PREP ST JOHN'S HOSPITAL 1575 BEAM AVENUE MAPLEWOOD MN 55379 411456897 501C3 11960 EMERGENCY PREP ST JOSEPH'S HOSPITAL 45 W 10TH STREET SAINT PAUL MN 55102 410693880 501C3 11960 EMERGENCY PREP ALLINA HEALTH SYSTEM PO BOX 43 MR 10890 MINNEAPOLIS MN 55440 363261413 501C3 5438 EMERGENCY PREP WILAND ASSOCIATES LLC PO BOX 117 SELAH WA 98942 582679959 501C3 26978 EMERGENCY PREP PATTERSON DENTAL 1031 MENDOTA HEIGHTS ROAD SAINT PAUL MN 55120 743076772 501C3 84837 EMERGENCY PREP PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BOULEVARD ST LOUIS PARK MN 55426 363465840 501C3 18029 EMERGENCY PREP NW HEALTHCARE RESPONSE NETWORK 7100 FORT DENT WAY SUITE 210 TUKWILIA MN 98188 501C3 40248 EMERGENCY PREP NORTH MEMORIAL MEDICAL 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411777966 501C3 8123 EMERGENCY PREP MASA CONSULTING INC 13033 RIDGEDALE DRIVE STE 112 MINNEAPOLIS MN 55305 11875 EMERGENCY PREP HIRED 212 FIFTH AVENUE NORTH NO 300 MINNEAPOLIS MN 55411 416078344 501C3 14782 TRAINING PROGRAM CITY OF BROOKLYN CENTER 6155 EARLE BROWN DR BROOKLYN CENTER MN 55430 501C3 74595 EMERGENCY PREP JON GAYKEN 13626 SUPERIOR DRIVE ROGERS MN 55374 6756 EMERGENCY PREP 30 3 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE HENNEPIN HEALTH FOUNDATION RAISES AND ADMINISTERS PHILANTHROPIC SUPPORT FOR HENNEPIN HEALTHCARE SYSTEM, INC. THE SUPPORT INCLUDES A GRANT MANAGEMENT DEPARTMENT WHICH COORDINATES THE TASK OF MONITORING GRANT RECEIPTS AND GRANT DISBURSEMENTS FROM FEDERAL, STATE, LOCAL OR INDIVIDUAL TO BENEFICIARIES. THE HENNEPIN HEALTH FOUNDATION WORKS CLOSELY WITH HHS TO ENSURE PROPER CONTROLS ARE IN PLACE BY USE OF RECONCILITATIONS AND COMPLIANCE MONITORING AND REPORTING. 0 0 0 0 0 0 0 0 0 JON L PRYOR MD MBA CEO 757546 0 62688 0 792 0 39750 0 16953 0 877729 0 0 0 DOUGLAS D BRUNETTE MD DIRECTOR - PHYSICIAN 457116 0 6580 0 792 0 23320 0 21459 0 509267 0 0 0 TARA L GUSTILO MD DIRECTOR - PHYSICIAN 326897 0 3932 0 276 0 23320 0 18958 0 373383 0 0 0 DERRICK O HOLLINGS CPA CFO 136754 0 35000 0 198 0 16961 0 3848 0 192761 0 0 0 NANCY GARRETT PHD CHIEF ANALYTICS OFFICER 290102 0 18228 0 180 0 26500 0 20768 0 355778 0 0 0 SCOTT WORDELMAN FACHE SVP AMBULATORY ADMIN 364629 0 20378 0 516 0 26500 0 10808 0 422831 0 0 0 STEVEN P STERNER MD FACEP CHIEF PROVIDER SERVICES 410469 0 26405 0 1524 0 26500 0 16953 0 481851 0 0 0 WILLIAM G HEEGAARD MD CHIEF MEDICAL OFFICER 473140 0 25774 0 276 0 26500 0 21535 0 547225 0 0 0 KATHY WILDE RN MA CHIEF NURSING OFFICER 356224 0 21384 0 792 0 26500 0 16653 0 421553 0 0 0 MIAJA CASSIDY JD CHCP CCEP CHIEF COMPLIANCE OFFICER 258411 0 25000 0 253 0 26500 0 15912 0 326076 0 0 0 WALTER T CHESLEY JD SVP HUMAN RESOURCES 290071 0 16577 0 792 0 26500 0 16171 0 350111 0 0 0 CONSTANTIN N STARCHOOK MD PHYSICIAN - MANAGING 693851 0 9801 0 180 0 23320 0 21459 0 748611 0 0 0 CHARLES L TRUWIT MD PHYSICIAN CHIEF 661135 0 9140 0 792 0 23320 0 21459 0 715846 0 0 0 UZMA SAMADANI MD PHD PHYSICIAN 664799 0 0 0 180 0 23320 0 3103 0 691402 0 0 0 CHAD J RICHARDSON MD PHYSICIAN - MANAGING 635569 0 8320 0 180 0 23320 0 21459 0 688848 0 0 0 MARK HILL MD PHD PHYSICIAN - MANAGING 609369 0 8211 0 180 0 23320 0 21459 0 662539 0 0 0 LARRY A KRYZANIAK MS FORMER OFFICER 439781 0 27786 0 792 0 26500 0 16953 0 511812 0 0 0 FORM 990, PART I, LINE 6 OVER 450 VOLUNTEERS SERVED A TOTAL OF OVER 34,000 HOURS DURING THE YEAR 2016. VOLUNTEERING AT HHS, INC. GIVES QUALIFIED AND INTERESTED INDIVIDUALS THE OPPORTUNITY TO PROVIDE PATIENT SUPPORT SERVICES WITHIN OUR COMMUNITY OF DIVERSE VOLUNTEERS, STAFF, VISITORS AND PATIENTS. VOLUNTEERS SUPPLEMENT AND ENHANCE HOSPITAL-BASED PATIENT SUPPORT SERVICES AND PROGRAMS. A VOLUNTEER SERVICES COORDINATOR WILL WORK WITH A VOLUNTEER TO FIND A POSITION THAT FITS THEIR SCHEDULE AND INTERESTS FROM AMONG VARIOUS OPENINGS. THE REPORTED VOLUNTEERS INCLUDE NINE (9) UNCOMPENSATED INDEPENDENT BOARD MEMBERS WHO SERVED DURING THE YEAR 2016. PART III, LINE - BRIEFLY DESCRIPT THE ORGANIZATION'S MISSION: HHS' MISSION IS "WE PARTNER WITH OUR COMMUNITY, OUR PATIENTS, AND THEIR FAMILIES TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION, AND RESEARCH." HHS STRIVES TO PROVIDE THE BEST POSSIBLE CARE TO EVERY PATIENT; TO SEARCH FOR NEW WAYS TO IMPROVE THE CARE THAT WILL BE PROVIDED TOMORROW; TO EDUCATE HEALTH CARE PROVIDERS FOR THE FUTURE; AND TO ENSURE ACCESS TO HEALTHCARE FOR ALL. FORM 990, PART VI, SECTION A, LINE 6 AS PER THE CORPORATE BYLAWS, THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS-A GOVERNING MEMBER. THE GOVERNING MEMBER OF THE CORPORATION IS THE COUNTY OF HENNEPIN OF MINNESOTA AND IS REPRESENTED BY THE HENNEPIN COUNTY BOARD OF COMMISSIONERS. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING MEMBER, COUNTY OF HENNEPIN, MINNESOTA HAS RETAINED THE RIGHTS, DUTIES AND PRIVILEGES SPECIFIED UNDER THE BYLAWS OF HHS UP TO AND INCLUDING THE AUTHORITY TO APPOINT THE DIRECTORS OF HHS. THE HHS BOARD OF DIRECTORS IS EMPOWERED TO EXECUTE THE RIGHTS, DUTIES AND PRIVILEGES OF THE CORPORATION TO THE EXTENT AS SPECIFIED IN HHS BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B AS EXPLAINED IN PART VI LINE 7A, THE GOVERNING MEMBER, HENNEPIN COUNTY OF MN RETAINS THE APPROVAL RIGHTS TO APPOINTING THE HHS BOARD OF DIRECTORS, THE HHS BUDGET, ANY ADDITIONAL INDEBTEDNESS, FINANCE COMMITTEE RECOMMENDATIONS AND EXECUTIVE COMMITTEE AS WELL AS APPROVING THE ANNUAL HHS HEALTH SERVICES PLAN WHICH IS REQUIRED BY STATE LAW. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS COMPLETED AND REVIEWED INTERNALLY FOR ACCURACY, COMPLETENESS AND VALIDITY, THEN SUBMITTED FOR EXTERNAL REVIEW. THE FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE AND THE HHS BOARD OF DIRECTORS. THE FORM 990 IS FORMALLY APPROVED VIA A LINE ITEM MOTION. IT IS THEN SIGNED AND FILED ELECTRONICALLY AS REQUIRED BY THE IRS. FORM 990, PART VI, SECTION B, LINE 12C HHS HAS A POLICY ON CONFLICT OF INTEREST AND CONFIDENTIALITY WHICH REQUIRES THAT AN INTERESTED PERSON WHO IS A DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST DISCLOSE IN WRITING WHEN POSSIBLE, OR ORALLY WHEN TIME DOES NOT ALLOW FOR WRITTEN DISCLOSURE. THE EXISTENCE AND NATURE OF HIS/HER RELATIONSHIP OR MATERIAL FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AT OR PRIOR TO THE MEETING OF THE BOARD OR COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE THE MEETING. COPIES OF DISCLOSURES ARE MAINTAINED BY CORPORATE LEGAL COUNSEL WHO ALSO DOES MONITORING. EVERY YEAR THE ORGANIZATION IS AUDITED SEPARATELY FROM HENNEPIN COUNTY OF MINNESOTA AND A SEPARATE AUDIT REPORT IS PREPARED AND PRESENTED TO THE BOARD OF DIRECTORS AND TO THE HENNEPIN COUNTY, MN BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 HHS BOARD OF DIRECTORS ENGAGES AN INDEPENDENT CONSULTING FIRM EXPERT TO EVALUATE THE BASE AND TOTAL CASH COMPENSATION FOR THE CEO AND OTHER TOP OFFICIALS. THE COMPARABLE DATA COLLECTED BY THE INDEPENDENT CONSULTING FIRM EXPERT RELEVANTLY APPLIES REVENUE, EMPLOYEE SIZE AND GEOGRAPHIC LOCATION IN DELINEATING THE COMPARISON GROUP. THE DATA IS REVIEWED BY THE COMPENSATION SUBCOMMITTEE AND FURTHER SUBMITTED FOR DISCUSSION AND APPROVAL BY THE HHS, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: MVNA AND HOTC NET ASSETS ADJUSTMENT -8,943,651. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EFFECTIVE JANUARY 1, 2015, HHS ACQUIRED MINNESOTA VISITING NURSES ASSOCIATION (MVNA) AND ITS AFFILIATE HOSPICE OF TWIN CITIES (HOTC). FULL INTEGRATION WAS EFFECTIVE JANUARY 1, 2016. MVNA WAS ORGANIZED TO IMPROVE LIVES AT EVERY AGE THROUGH HOME AND COMMUNITY HEALTH SERVICES PRIMARILY IN HENNEPIN COUNTY OF MINNESOTA. HOTC WAS ORGANIZED TO ENHANCE THE QUALITY OF LIFE FOR PATIENTS, FAMILIES, AND CAREGIVERS BY PROVIDING RESPECTFUL CARE BASED ON MAINTAINING DIGNITY AND ALLEVIATING PHYSICAL, PSYCHOSOCIAL, AND SPIRITUAL SUFFERING. SUCCESSFUL INTEGRATION OF MVNA AND HOTC WILL ENHANCE CRITICAL INNOVATIVE COMMUNITY HEALTH SERVICES COMMUNITY AND END-OF-LIFE SERVICE TO OUR PATIENTS. FOLLOWING THE FULL INTEGRATION, HHS HAD TO RECONICLE MVNA AND HOTC NET ASSETS DUE TO THE MERGER TOTALING -$8,943,651. HENNEPIN HEALTH FOUNDATION 701 PARK AVENUE MINNEAPOLIS MN 55415 410845733 GRANTS MGT MN 501C3 7 HHS INC 1 MINNEAPOLIS MED RESEARCH FOUNDATION 701 PARK AVENUE PP7700 MINNEAPOLIS MN 55415 411677920 RESEARCH MN 501C3 4 HHS INC 1 METROPOLITAN HEALTH PLAN 400 SOUTH FOURTH STREET STE 201 MINNEAPOLIS MN 55415 GOV'T UNIT MN 6 N/A 0 HENNEPIN COUNTY 300 SOUTH 6TH STREET MINNEAPOLIS MN 55487 GOV'T UNIT MN 6 N/A 0 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 HENNEPIN HEALTH FOUNDATION C 3489811 CASH HENNEPIN HEALTH FOUNDATION O 1696642 CASH HENNEPIN HEALTH FOUNDATION R 348091 FAIR VALUE METROPOLITAN HEALTH PLAN Q 890726 CASH MINNEAPOLIS MED RESEARCH FOUNDATION A 676068 CASH MINNEAPOLIS MED RESEARCH FOUNDATION B 1129745 FAIR VALUE MINNEAPOLIS MED RESEARCH FOUNDATION O 3805325 CASH MINNEAPOLIS MED RESEARCH FOUNDATION R 381265 CASH FORM 990, SCHEDULE R - RELATED ORGANIZATIONS HHS, INC. (HEREAFTER REFERRED TO AS HHS) SUPPORTS THE HENNEPIN HEALTH FOUNDATION BY PROVIDING SPACE FOR OFFICES, GIFT SHOPS, COFFEE SHOPS, AND FOR DISPLAY AND STORAGE OF COLLECTIONS OF THE HENNEPIN HISTORICAL CENTER AND THE INSPIRE ARTS PROGRAM. HHS INCURS EXPENSES FOR ALL ADMINISTRATION COSTS, STAFF, INFORMATION TECHNOLOGY SYSTEMS, OFFICE SUPPLIES AND PROFESSIONAL SERVICES ON BEHALF OF HENNEPIN HEALTH FOUNDATION. CERTAIN PERSONNEL OF HENNEPIN HEALTH FOUNDATION ARE EMPLOYEES OF HHS. THE HENNEPIN HEALTH FOUNDATION (HHF) CONNECTS THE GENEROSITY OF THE COMMUNITY TO THE MISSION OF HHS WHICH IS TO ENSURE ACCESS TO OUTSTANDING CARE FOR EVERYONE, WHILE IMPROVING HEALTH AND WELLNESS THROUGH TEACHING, PATIENT AND COMMUNITY EDUCATION AND RESEARCH. HHF-COORDINATED RESEARCH FOCUSES INCLUDE CLINICAL INNOVATIONS IN CHRONIC DISEASE MANAGEMENT AND CLINICAL-COMMUNITY PARTNERSHIPS TO IMPROVE PUBLIC HEALTH. MINNEAPOLIS MEDICAL RESEARCH FOUNDATION IS THE RESEARCH ARM OF HHS, INC. HHS IS A MAJOR PROVIDER OF HEALTH CARE SERVICES FOR METROPOLITAN HEALTH PLAN (MHP D/B/A HENNEPIN HEALTH), AN ENTERPRISE FUND OF THE HENNEPIN COUNTY OF MINNESOTA. HHS HAS AN AGREEMENT WITH MHP TO PROVIDE SERVICES TO ENROLLEES OF THE HENNEPIN HEALTH PROGRAM WHEREBY MHP REIMBURSES HHS BASED ON SERVICES PERFORMED AND PROGRAM OUTCOMES.