LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC (EIN 41-0811697)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201413189349303201
- Schema version
- 2013v3.0
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T10:17:10-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135665207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CTR 90 S 7TH | AddressLine1 |
| Address Line2 | STREET | AddressLine2 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410811697 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 9528836584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVENUE SOUTH PO BOX 1309 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554401309 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOUGLAS E JOHNSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9528836584 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANN LAMOUREUX | PreparerPersonNm |
| PTIN | P00691316 | PTIN |
| Phone | 6123055000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DOUGLAS E JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVENUE SOUTH PO BOX 1309 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554401309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $93,662,020 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAKEVIEW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1880 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 879 | TotalEmployeeCnt |
| Total Volunteers | 289 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,653 | PYContributionsGrantsAmt |
| CY Contributions Grants | $790,926 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,031,944 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $92,822,510 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,125 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,926 | CYInvestmentIncomeAmt |
| PY Other Revenue | $37,197 | PYOtherRevenueAmt |
| CY Other Revenue | $38,658 | CYOtherRevenueAmt |
| PY Total Revenue | $86,125,919 | PYTotalRevenueAmt |
| CY Total Revenue | $93,662,020 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $222,708 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $162,736 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $45,784,960 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $47,132,499 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,165,861 | PYOtherExpensesAmt |
| CY Other Expenses | $38,496,032 | CYOtherExpensesAmt |
| PY Total Expenses | $81,173,529 | PYTotalExpensesAmt |
| CY Total Expenses | $85,791,267 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,952,390 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,870,753 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,509,386 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,602,402 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,841,354 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,981,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,668,032 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,620,589 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $74,692,595 | ExpenseAmt |
| Grant | $162,736 | GrantAmt |
| Revenue | $89,496,117 | RevenueAmt |
| Desc | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $74,692,595 | 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 | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 879 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | 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 | 0 | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUG JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6514304581 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL STREET WEST | AddressLine1 |
| City | STILLWATER | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ARBA-DELLA BECK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA BILLINGSLEY | ||||||||
| DIRECTOR & SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PETER CLEMENTS | ||||||||
| DIRECTOR & CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PHIL DONALDSON | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| RON PHILLIPPO | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID REAMER | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JIM SCHUG | ||||||||
| DIRECTOR & VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH D HOLMEN MD | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $623,413 | $168,261 | 49.50 | ||
| JEFFREY J ROBERTSON | ||||||||
| CEO | 35.70 | Yes (X) | $548,354 | $0 | $68,616 | 14.30 | Yes (X) | |
| CURT GEISSLER | ||||||||
| PRESIDENT | 59.50 | $336,235 | $0 | $68,172 | 0.50 | Yes (X) | ||
| DOUGLAS E JOHNSON | ||||||||
| CFO & TREASURER | 26.50 | $326,498 | $0 | $63,502 | 28.50 | Yes (X) | ||
| MARY E JONES | ||||||||
| REGISTERRED NURSE | 45.00 | $205,379 | $0 | $51,273 | Yes (X) | |||
| JO E SITTLOW | ||||||||
| SR. DIR. - PATIENT CARE | 45.00 | $156,991 | $0 | $54,747 | Yes (X) | |||
| CYNTHIA A APPLESETH | ||||||||
| MANAGER - PHARMACY | 45.00 | $145,315 | $0 | $53,274 | Yes (X) | |||
| JEFFREY W MAANUM | ||||||||
| LEAD ULTRASOUND TECH. | 45.00 | $142,150 | $0 | $43,498 | Yes (X) | |||
| MARCIA A MCGOWAN | ||||||||
| PHARMACY COORDINATOR | 45.00 | $126,073 | $0 | $49,821 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,986,995 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $623,413 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $621,164 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS USA | |||||
| NW 9562 PO BOX 1450 | MINNEAPOLIS | MN | 554859562 | EQUIPMENT REPAIR & MAINTENANCE | $1,473,467 |
| QUEST DIAGNOSTICS | |||||
| 1355 MITTEL BLVD | WOODDALE | IL | 60191 | REFERENCE LAB SERVICES | $703,694 |
| METROPOLITAN MECHANICAL CONTRACTORS | |||||
| 7450 FLYING CLOUD DR | EDEN PRAIRIE | MN | 55344 | CONSTRUCTION SERVICES | $430,242 |
| NURSE ANESTHESIA SERVICES PA | |||||
| 8990 SPRINGBROOK DR | COON RAPIDS | MN | 55432 | PROFESSIONAL NURSE ANESTHESIA CALL | $366,663 |
| NORTHERN X-RAY | |||||
| 2118 4TH AVENUE SOUTH | MINNEAPOLIS | MN | 554042642 | EQUIPMENT MAINTENANCE | $297,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $771,981 | GovernmentGrantsAmt |
| All Other Contributions | $18,945 | AllOtherContributionsAmt |
| Total Contributions | $790,926 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 623990 | $89,496,117 | $89,496,117 | |
| OTHER REVENUE | 900099 | $2,830,296 | $2,830,296 | |
| CAFETERIA | 722210 | $315,614 | $315,614 | |
| GIFT SHOP | 453220 | $134,047 | $134,047 | |
| CONTRACT REVENUE | 900099 | $46,436 | $46,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $92,822,510 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,926 | TotalRevenueColumnAmt |
| Exclusion | $9,926 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,658 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,658 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,658 | TotalRevenueColumnAmt |
| Exclusion | $38,658 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,662,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $89,496,117 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,374,977 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,736 | TotalAmt |
| Program Services | $162,736 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,411,377 | TotalAmt |
| Management And General | $1,411,377 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,373,655 | TotalAmt |
| Program Services | $32,320,680 | ProgramServicesAmt |
| Management And General | $4,052,975 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,090,858 | TotalAmt |
| Program Services | $2,911,573 | ProgramServicesAmt |
| Management And General | $179,285 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,796,368 | TotalAmt |
| Program Services | $3,576,161 | ProgramServicesAmt |
| Management And General | $220,207 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,460,241 | TotalAmt |
| Program Services | $2,317,535 | ProgramServicesAmt |
| Management And General | $142,706 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,413 | TotalAmt |
| Program Services | $6,873 | ProgramServicesAmt |
| Management And General | $6,540 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,631,245 | TotalAmt |
| Program Services | $3,276,462 | ProgramServicesAmt |
| Management And General | $354,783 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,535 | TotalAmt |
| Program Services | $10,478 | ProgramServicesAmt |
| Management And General | $34,057 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,973 | TotalAmt |
| Program Services | $751,877 | ProgramServicesAmt |
| Management And General | $433,096 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $765,014 | TotalAmt |
| Program Services | $396,721 | ProgramServicesAmt |
| Management And General | $368,293 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,954 | TotalAmt |
| Program Services | $925,794 | ProgramServicesAmt |
| Management And General | $42,160 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,786 | TotalAmt |
| Program Services | $106,027 | ProgramServicesAmt |
| Management And General | $12,759 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,980 | TotalAmt |
| Program Services | $25,428 | ProgramServicesAmt |
| Management And General | $17,552 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,701 | TotalAmt |
| Management And General | $882,701 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,706,549 | TotalAmt |
| Program Services | $2,564,175 | ProgramServicesAmt |
| Management And General | $1,142,374 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,203 | TotalAmt |
| Program Services | $13,792 | ProgramServicesAmt |
| Management And General | $288,411 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & PHARMACY SUPP | $21,092,903 | $21,091,098 | $1,805 |
| EQUIPMENT & MAINTENANCE | $2,729,116 | $1,782,779 | $946,337 |
| TAXES & ASSESSMENTS | $1,602,465 | $1,602,465 | |
| OTHER EXPENSE | $1,410,222 | $849,305 | $560,917 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $973 | TotalAmt |
| Program Services | $636 | ProgramServicesAmt |
| Management And General | $337 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,791,267 | TotalAmt |
| Program Services | $74,692,595 | ProgramServicesAmt |
| Management And General | $11,098,672 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,800,908 | BOYAmt |
| EOY | $12,895,480 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,527,891 | BOYAmt |
| EOY | $9,800,252 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,901,718 | BOYAmt |
| EOY | $1,916,461 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,081 | BOYAmt |
| EOY | $401,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,847,230 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,432,063 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,708,237 | BOYAmt |
| EOY | $26,415,167 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,187,410 | BOYAmt |
| EOY | $1,331,669 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $661,141 | BOYAmt |
| EOY | $841,976 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,509,386 | BOYAmt |
| EOY | $53,602,402 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,220,515 | BOYAmt |
| EOY | $10,643,021 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,620,839 | BOYAmt |
| EOY | $3,338,792 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,841,354 | BOYAmt |
| EOY | $13,981,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,668,032 | BOYAmt |
| EOY | $39,620,589 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,668,032 | BOYAmt |
| EOY | $39,620,589 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,509,386 | BOYAmt |
| EOY | $53,602,402 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,870,753 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,571,773 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,489,969 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $0 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $0 | 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 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,951,767 | OtherCostOrOtherBasisAmt |
| Book Value | $2,951,767 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,522,036 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,284,158 | DepreciationAmt |
| Book Value | $12,237,878 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $326,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,506 | DepreciationAmt |
| Book Value | $259,115 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,934,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,687,417 | DepreciationAmt |
| Book Value | $10,247,245 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,112,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $392,982 | DepreciationAmt |
| Book Value | $719,162 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,415,167 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENSION LIABILITIES | Desc |
| Amt | $3,338,792 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,338,792 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $93,662,020 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $93,662,020 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $93,662,020 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $85,791,267 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $85,791,267 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $85,791,267 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | $1,146,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,146,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,705,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,825,533 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,880,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03360 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $776,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $428,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $348,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,629,780 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,253,868 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,375,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $258,308 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,610 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $248,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,260 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,989,026 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,587,146 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,401,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $162,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,472,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,596,756 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,875,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,102,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,850,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,251,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07290 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,390,292 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,791,073 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,099,823 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,308,750 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HIGH POINTE SURGERY CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY SURGERY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33670 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.66330 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL STREET W | AddressLine1 |
| City | STILLWATER | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAKEVIEWHEALTH.ORG/LAKEVIEWHOSPITA | WebsiteAddressTxt |
| State License | 8029322 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/LAKEVIEWHOS | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA | OtherWebsiteURLTxt |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 3: AS PART OF THE DATA COLLECTION PROCESS FOR THE MOST RECENT CHNA THAT WAS CONDUCTED IN 2012, REPRESENTATIVES FROM COMMUNITY HOSPITAL CONSULTING CONDUCTED INTERVIEWS WITH TWENTY (20) STAKEHOLDERS FROM MARCH 14, 2012 - APRIL 6, 2012. INTERVIEWS WERE CONDUCTED WITH PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY INCLUDING:- PEOPLE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.- FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS OR AGENCIES WITH INFORMATION RELEVANT TO THE HEALTH NEEDS OF COMMUNITY SERVED.- LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED.THE COUNTIES REPRESENTED INCLUDED WASHINGTON, DAKOTA, ST. CROIX AND RAMSEY. THE GOAL OF THE INTERVIEWS WAS TO GATHER OPINIONS AND PERCEPTIONS ON CURRENT HEALTH CARE ISSUES FACED IN THE COUNTIES SERVED AND/OR POPULATIONS REPRESENTED. FOR A FULL DETAILED LIST OF INSTITUTIONS AND PERSONS, PLEASE SEE THE 2012 HEALTHPARTNERS CHNA LOCATED AT OUR WEBSITE: HTTP://WWW.LAKEVIEWHEALTH.ORG/CHNA |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 4: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2012 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- REGIONS HOSPITAL, ST. PAUL, MN. |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, | PART V, SECTION B, LINE 7: "INCREASE ACCESS TO DENTAL SERVICES" WAS IDENTIFIED AS THE SIXTH PRIORITY IN THE COMMUNITIES SERVED BY LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (THE HOSPITAL), REGIONS, HUDSON AND WESTFIELDS HOSPITALS. WHILE THIS IS A CONCERN IN THE COMMUNITY, THE TEAM DECIDED TO FOCUS THEIR EFFORTS ON THE OTHER FIVE PRIORITIES BECAUSE HEALTHPARTNERS DENTAL GROUP, A DIVISION OF GROUP HEALTH PLAN, INC., A STAFF MODEL HMO, IS CURRENTLY THE LEADING DENTAL CARE PROVIDER TO UNINSURED PEOPLE IN MINNEAPOLIS/ST. PAUL. ACCESS TO DENTAL CARE IS NOT A CORE SERVICE LINE FOR THE HOSPITALS AND IS OUTSIDE THE SCOPE OF THE HOSPITAL INFLUENCE. AS A RESULT, COMMUNITY BENEFIT ACTIVITIES WOULD BE MORE BENEFICIAL IN THE OTHER PRIORITIZED AREAS. WHILE OVERALL THE TEAM DECIDED NOT TO FOCUS EFFORTS ON ORAL HEALTH SERVICES, IT IS NOTEWORTHY THAT ST. CROIX COUNTY IS ADDRESSING "ORAL HEALTH" AS A SUBSET WITHIN THE "ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES" HEALTH PRIORITY AND TASK FORCE. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | ACTUAL COSTS ESTIMATED USING COST-TO-CHARGE RATIO AND EXCLUDING BAD DEBT |
| 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 $ 973. |
| PART III, LINE 4: | THE 2013 AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL ARE CONSOLIDATED STATEMENTS OF HEALTHPARTNERS, INC., AND INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE OF ORGANIZATIONS IN FOOTNOTE 1.THE FOOTNOTE IN HEALTHPARTNERS' CONSOLIDATED AUDIT REPORT, WHICH THE HOSPITAL IS A PART OF, READS AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY TAKING INTO CONSIDERATION, BY PAYOR CATEGORY, THE EXPECTED NET COLLECTIONS, ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE PATIENT RESPONSIBILITY PORTION OF COMMERCIAL ACCOUNTS. PATIENTS WHO ARE INSURED ARE ASSESSED SEPARATELY FOR COLLECTABILITY FROM UNINSURED PATIENTS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."THE "ACTUAL COST" OF BAD DEBT INCLUDED IN COMMUNITY BENEFIT IS ESTIMATED. BAD DEBT EXPENSE REPRESENTS THOSE ACCOUNTS RECEIVABLE WRITTEN OFF FROM PATIENTS THAT HAVE THE ABILITY TO PAY, AS DETERMINED FROM CHARITY CARE APPLICATIONS AND OTHER DOCUMENTATION, BUT CHOOSE NOT TO. THE BAD DEBT AMOUNT IS THE RECEIVABLE AFTER INSURANCE PAYMENT AND ADJUSTMENTS HAVE ALREADY BEEN MADE, INCLUDING ADJUSTMENTS FOR SELF-PAY IN ACCORDANCE WITH THE AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. SINCE REDUCTIONS HAVE ALREADY BEEN MADE FOR DISCOUNTS AND OTHER ALLOWANCES, THE ENTIRE BALANCE IS CONSIDERED BAD DEBT AND NO FURTHER REDUCTIONS ARE CONSIDERED. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE: 1) IT PROVIDES SERVICES TO A SIGNIFICANT PORTION OF OUR SERVICE POPULATION AT A NEGATIVE MARGIN; 2) THE HOSPITAL WOULD DISCONTINUE PROVIDING SERVICES TO MEDICARE PATIENTS IF THE DECISION WERE BASED STRICTLY ON A FINANCIAL BASIS; 3) THERE IS A COMMUNITY NEED TO PROVIDE THESE SERVICES LOCALLY; 4) IF THE HOSPITAL DID NOT PROVIDE THESE SERVICES; THEY WOULD BECOME THE OBLIGATION OF THE GOVERNMENT. |
| PART III, LINE 9B: | IF A PATIENT WAS NOT IDENTIFIED AS A POTENTIAL CHARITY CARE CANDIDATE UPON REGISTRATION, THE FIRST COLLECTIONS CONTACT IS WITH THE HOSPITAL'S INTERNAL BUSINESS STAFF, WHO INTERVIEW THE PATIENT AND DETERMINE IF THE PATIENT IS A CANDIDATE FOR CHARITY CARE. IF THE NECESSARY PAPERWORK IS COMPLETED AND THEY DO QUALIFY FOR CHARITY CARE, THERE IS NO FURTHER COLLECTION ACTIVITY; HOWEVER IF THE PAPERWORK IS NOT COMPLETED, OR IS COMPLETED AND THEY DO NOT MEET THE CRITERIA, THEY ARE SUBJECT TO FURTHER COLLECTION ACTIVITY. THIS FIRST OCCURS INTERNALLY THROUGH HOSPITAL STAFF. IF INTERNAL ATTEMPTS ARE UNSUCCESSFUL, THIS SUBSEQUENTLY OCCURS THROUGH OUTSIDE COLLECTION AGENCIES. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR HOSPITAL PATIENTS, EACH PATIENT BILLING STATEMENT AND COLLECTIONS LETTER PRODUCED BY THE HOSPITAL INCLUDES THE FOLLOWING NOTICE: "FINANCIAL ASSISTANCE AND PAYMENT ARRANGEMENTS: THE HOSPITAL OFFERS FINANCIAL ASSISTANCE TO PATIENTS EXPERIENCING DIFFICULTY PAYING THEIR MEDICAL BILLS. IF YOU ARE INSURED AND ARE EXPERIENCING DIFFICULTY PAYING THE BALANCE OF YOUR MEDICAL BILL, PLEASE CONTACT OUR BUSINESS OFFICE FOR MORE INFORMATION ABOUT SETTING UP A PAYMENT PLAN OR ABOUT OUR CHARITY CARE PROGRAM. IF YOU ARE UNINSURED AND YOUR HOUSEHOLD INCOME IS LESS THAN $125,000, PLEASE CONTACT OUR BUSINESS OFFICE FOR INFORMATION ON OUR UNINSURED DISCOUNT PROGRAM, SETTING UP A PAYMENT PLAN, OR OUR CHARITY CARE PROGRAM." |
| PART VI, LINE 4: | THE HOSPITAL SERVES THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN. PRIMARY SERVICE AREA - STILLWATER, BAYPORT, LAKE ELMO, LAKELAND, AND MARINE ON ST. CROIX, MN ALONG WITH HOULTON AND SOMERSET, WI. SECONDARY SERVICE AREAS ARE NEARBY CITIES IN EASTERN MINNESOTA AND WESTERN WISCONSIN. THERE ARE MORE THAN 300,000 RESIDENTS IN THE HOSPITAL'S PRIMARY SERVICE AREA.ACROSS MINNESOTA AND WISCONSIN HAVE ACCESS TO THE HOSPITAL'S SERVICES. CENSUS FIGURES FOR 2010 SHOW THE FOLLOWING FOR WASHINGTON COUNTY:- PERSONS UNDER 5 YEARS: 6.4%- PERSONS UNDER 18 YEARS: 26.7%- PERSONS 65 YEARS AND OVER: 10.5% IT IS ESTIMATED THAT THE 65 AND OLDER GROUP IN WASHINGTON COUNTY WILL GROW BY 350% BY 2030- POPULATION CHANGE FROM 2000 TO 2010: +18.4%- FEMALES: 50.5%- WHITE PERSONS: 87.8%= PERSONS OF COLOR: 12.2%- LANGUAGE OTHER THAN ENGLISH SPOKEN AT HOME: 8.9%- HIGH SCHOOL GRADUATES: 95.7%- BACHELOR'S DEGREE OR HIGHER: 40.0%- PERSONS BELOW POVERTY LEVEL 2006 - 2010: 5.2%- MEDIAN HOUSEHOLD INCOME IN WASHINGTON COUNTY FROM 2006 - 2010 WAS $79,109 |
| PART VI, LINE 5: | THE HOSPITAL PROVIDED EDUCATION SCHOLARSHIPS TO DIABETIC PATIENTS THAT REQUIRED NUTRITION AND LIFE-STYLE EDUCATION; THE HOSPITAL ALSO PROVIDED FREE LAB AND PHARMACY SERVICES FOR PATIENTS OF THE ST. CROIX FAMILY MEDICAL CENTER, A LOCAL MEDICAL CLINIC THAT PROVIDES FREE AND DISCOUNTED SERVICES FOR INDIGENT AND LOW INCOME PATIENTS OF THE AREA.FOR ADDITIONAL DISCUSSION, SEE THE HOSPITAL'S FORM 990, SCHEDULE O |
| PART VI, LINE 6: | AS A MEMBER OF STILLWATER HEALTH SYSTEM, THE HOSPITAL PARTICIPATES WITH THE MULTI-SPECIALTY CLINIC AND HEALTH SYSTEM LEADERSHIP WITHIN OUR OVERALL ORGANIZATION IN PROVIDING ACCESS TO CARE, SUPPORT GROUPS, EDUCATIONAL ACTIVITIES, AND FINANCIAL CONTRIBUTIONS TO THE MARKET AREA DESCRIBED ABOVE. THE MULTI-SPECIALTY CLINIC FURTHER PARTICIPATES IN MINNESOTA COMMUNITY MEASUREMENT, PRACTICES AND MEASURES PROVIDER, PERFORMANCE WITH SPECIFIC PREVENTIVE CARE METRICS AND SPECIFIC CHRONIC DISEASE MANAGEMENT METRICS. IN 2011, THE STILLWATER HEALTH SYSTEM COMBINED WITH HEALTHPARTNERS. THE MISSION OF HEALTHPARTNERS IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
| PART VI, LINE 7: STATES RECEIVING COMMUNITY BENEFIT REPORT | THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH MINNESOTA THROUGH THE MINNESOTA HOSPITAL ASSOCIATION (MHA). |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|
| YOUTH SERVICE BUREAU | ||||||
| 101 PINE STREET WEST | STILLWATER | MN | 55082 | $6,000 | CASH AMOUNT | PROGRAM SUPPORT |
| PORTICO HEALTHNET | ||||||
| 2610 UNIVERSITY AVENUE WEST | ST PAUL | MN | 55114 | $58,447 | CASH AMOUNT | PROGRAM SUPPORT |
| CANVAS HEALTH | ||||||
| 7066 STILLWATER BLVD N | OAKDALE | MN | 55128 | $10,500 | CASH AMOUNT | PROGRAM SUPPORT |
| FAMILY MEANS | ||||||
| 1875 NORTHWESTERN AVENUE | STILLWATER | MN | 55082 | $25,000 | CASH AMOUNT | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (THE HOSPITAL) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE HOSPITAL'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE HOSPITAL'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH D HOLMEN MD | ||||||||||||||
| DIRECTOR | $0 | $454,471 | $0 | $129,504 | $0 | $39,438 | $0 | $119,598 | $0 | $48,663 | $0 | $791,674 | $0 | $24,122 |
| JEFFREY J ROBERTSON | ||||||||||||||
| CEO | $404,065 | $0 | $144,289 | $0 | $0 | $0 | $36,722 | $0 | $31,894 | $0 | $616,970 | $0 | $0 | $0 |
| CURT GEISSLER | ||||||||||||||
| PRESIDENT | $255,320 | $0 | $80,915 | $0 | $0 | $0 | $36,854 | $0 | $31,318 | $0 | $404,407 | $0 | $0 | $0 |
| DOUGLAS E JOHNSON | ||||||||||||||
| CFO & TREASURER | $266,918 | $0 | $59,580 | $0 | $0 | $0 | $32,438 | $0 | $31,064 | $0 | $390,000 | $0 | $0 | $0 |
| MARY E JONES | ||||||||||||||
| REGISTERRED NURSE | $205,379 | $0 | $0 | $0 | $0 | $0 | $19,787 | $0 | $31,486 | $0 | $256,652 | $0 | $0 | $0 |
| JO E SITTLOW | ||||||||||||||
| SR. DIR. - PATIENT CARE | $143,969 | $0 | $13,022 | $0 | $0 | $0 | $27,229 | $0 | $27,518 | $0 | $211,738 | $0 | $0 | $0 |
| CYNTHIA A APPLESETH | ||||||||||||||
| MANAGER - PHARMACY | $139,228 | $0 | $6,087 | $0 | $0 | $0 | $23,065 | $0 | $30,209 | $0 | $198,589 | $0 | $0 | $0 |
| JEFFREY W MAANUM | ||||||||||||||
| LEAD ULTRASOUND TECH. | $142,150 | $0 | $0 | $0 | $0 | $0 | $13,643 | $0 | $29,855 | $0 | $185,648 | $0 | $0 | $0 |
| MARCIA A MCGOWAN | ||||||||||||||
| PHARMACY COORDINATOR | $126,073 | $0 | $0 | $0 | $0 | $0 | $22,890 | $0 | $26,931 | $0 | $175,894 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTOR: KENNETH D. HOLMEN, MD $ 23,378 |
| 990, SCHEDULE J, PART II, COLUMN F: PRIOR REPORTED COMPENSATION | COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTOR: KENNETH D. HOLMEN, MD $ 24,122 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS | I. ORGANIZATION AND GOVERNANCE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (HOSPITAL), A STATE LICENSED 97-BED, ACUTE CARE, IS A MINNESOTA NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS (HEALTHPARTNERS), AN INTEGRATED SYSTEM OF HEALTH FINANCING, CARE DELIVERY, AND SUPPORT SERVICES PROVIDING HEALTH PLAN SERVICES TO OVER 1,165,000 MEMBERS AND DELIVERING CARE TO OVER 4,500,000 PATIENT ENCOUNTERS, PRIMARILY IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND IMPROVING AFFORDABILITY - ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ENTITIES - INCLUDING FIVE HOSPITALS AND THEIR RELATED FOUNDATIONS, TWO HEALTH MAINTENANCE ORGANIZATIONS, FOUR NON-PROFIT PHYSICIAN GROUPS, HOME CARE, TRANSITIONAL CARE, MEDICAL EQUIPMENT, A THIRD PARTY ADMINISTRATOR THAT SERVES SELF INSURED EMPLOYERS, AND MANY MORE. A COMPLETE LISTING OF ALL HEALTHPARTNERS ORGANIZATIONS, FOR WHICH HPI IS THE PARENT ORGANIZATION AND THE REPORTING RELATIONSHIP BETWEEN EACH OF THOSE ORGANIZATIONS, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY, A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS ALONG WITH REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, STILLWATER HEALTH SYSTEM (LAKEVIEW HEALTH), RAMSEY INTEGRATED HEALTH SERVICES AND RH-WISCONSIN, INC., ALL OF WHICH ARE NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). STILLWATER HEALTH SYSTEM (SHS) IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. SHS IS A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION. THE HOSPITAL AND SHS ARE PART OF THE LAKEVIEW HEALTH SYSTEM ALONG WITH THE LAKEVIEW MEMORIAL HOSPITAL FOUNDATION, A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION (THE FOUNDATION) AND STILLWATER MEDICAL GROUP (SMG), A MINNESOTA 501(C) (3) TAX EXEMPT ORGANIZATION. HEALTHPARTNERS AND THE HOSPITAL ALSO PARTNER WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION; TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. THE HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE STILLWATER COMMUNITY AND SURROUNDING AREA - A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1880, THE FIFTH OLDEST HOSPITAL, AND SECOND OLDEST CONTINUALLY OPERATING HOSPITAL IN MINNESOTA. THE HOSPITAL IS DESIGNATED A LEVEL 3 TRAUMA HOSPITAL AND HAS 117 ACTIVE MEDICAL STAFF IN A VARIETY OF SPECIALTIES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN, GENERAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, OCCUPATIONAL HEALTH, EMERGENCY MEDICINE, PODIATRY, HOSPITALISTS, NEUROLOGY, GERIATRICS, ONCOLOGY, UROLOGY, CARDIOLOGY, SPORTS MEDICINE, ALLERGY/IMMUNOLOGY, OPHTHALMOLOGY, GASTROENTEROLOGY, DERMATOLOGY, RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. COURTESY AND CONSULTING STAFF PROVIDE ADDITIONAL SERVICES, INCLUDING PLASTIC SURGERY, PAIN MANAGEMENT, AND INFECTIOUS DISEASE, PULMONARY/SLEEP MEDICINE AND ORAL SURGERY. HOSPITALISTS PROVIDE THE MAJORITY OF CARE FOR THE HOSPITAL INPATIENTS. APPROXIMATELY 49% OF SURGICAL PROCEDURES PERFORMED AT THE HOSPITAL ARE SAME-DAY SURGERIES. THE HOSPITAL EMPLOYS 808 INDIVIDUALS, TOTALING 497 FULL TIME EQUIVALENTS (FTES). APPROXIMATELY 30% OF EMPLOYEES ARE FULL-TIME, 39% ARE PART-TIME AND 31% ARE CASUAL. THE AVERAGE NUMBER OF YEARS OF SERVICE FOR ALL EMPLOYEES AT THE HOSPITAL IS 7.78 YEARS. THE HOSPITAL PROVIDES FIELD EXPERIENCE FOR A VARIETY OF HEALTH PROFESSIONS, INCLUDING (BUT NOT LIMITED TO) STUDENTS IN NURSING, IMAGING PHARMACY, AND PHYSICAL MEDICINE. VOLUNTEERS AND STUDENT VOLUNTEERS PROVIDE NON-DIRECT CARE SUPPORT AT THE HOSPITAL. DUTIES VARY ACCORDING TO THE SERVICE AREA, BUT EXAMPLES INCLUDE STAFFING THE GIFT SHOP, WORKING AT THE INFORMATION DESKS, AND KNITTING BABY CAPS. ALL VOLUNTEERS AND STAFF RECEIVE HOSPITAL OR CLINIC ORIENTATION (DEPENDING ON THEIR LOCATION), AS WELL AS ORIENTATION TO THEIR DEPARTMENT. THE HOSPITAL EMPLOYS THE BEST IN MEDICINE THROUGHOUT ALL STAGES OF LIFE - FROM THE BIRTH OF A CHILD TO HOSPICE CARE FOR A FAMILY MEMBER. AS A RESULT, IT HAS GARNERED NATIONAL AND LOCAL ACCLAIM FOR ITS ACHIEVEMENTS IN A NUMBER OF AREAS, INCLUDING PATIENT SATISFACTION, ORTHOPEDICS, AND OVERALL OPERATIONS. AMONG ITS RECENT AWARDS: - RECIPIENT OF THE HEALTHGRADES PATIENT SAFETY EXCELLENCE- AWARD 2013 - RECIPIENT OF THE HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD FOR 6 YEARS IN A ROW (2008-2013). - RECIPIENT OF THE HEALTHGRADES ORTHOPEDIC SURGERY EXCELLENCE AWARD FOR 8 YEARS IN A ROW (2006-2013). - RECIPIENT OF THE HEALTHGRADES JOINT REPLACEMENT EXCELLENCE AWARD FOR 7 YEARS IN A ROW (2007-2013). - RECIPIENT OF THE HEALTHGRADES SPINE SURGERY EXCELLENCE AWARD- FOR 5 YEARS IN A ROW (2008-2012). - NAMED ON THE BECKER'S HOSPITAL REVIEW LIST OF 101 HOSPITALS WITH GREAT ORTHOPEDIC PROGRAMS (2012). - LAKEVIEW HOMECARE NAMED TO THE LIST OF HOMECARE ELITE (TOP 25% OF HOME HEALTH AGENCIES IN THE U.S.), AS WELL AS ONE OF THE TOP 500 HOME HEALTH AGENCIES BY OCS HOMECARE (2010-2013). - FIRST HOSPITAL IN MINNESOTA TO PERFORM MINIMALLY INVASIVE SURGERY (MIS) FOR KNEE AND HIP REPLACEMENTS. A PATIENT'S WILLINGNESS TO RECOMMEND IS A LEADING INDICATOR OF SUCCESSFUL CUSTOMER SERVICE. THE HOSPITAL INPATIENT SCORES CONSISTENTLY SCORE ABOVE THE 90TH PERCENTILE NATIONAL RANKING FOR "WOULD DEFINITELY RECOMMEND" AMONG NRC PICKER HOSPITALS OF COMPARABLE SIZE. II. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2013 THE HOSPITAL AIMS TO BE THE PREMIER PARTNER IN THE COMMUNITY'S QUEST FOR HEALTH AND HAPPINESS. WORKING IN PARTNERSHIP WITH EACH OTHER, THE LAKEVIEW HEALTH SYSTEM ORGANIZATIONS, THE COMMUNITY, AND THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2013. OUR PARTNERSHIP WAS ADVANCED ON APRIL 1, 2011, WITH A FORMAL AFFILIATION WITH HEALTHPARTNERS AND ITS FAMILY OF HEALTHCARE ORGANIZATIONS. ADVANCEMENTS WERE MADE TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. THE HOSPITAL CONTINUED TO GROW ITS REPUTATION FOR EXCELLENT CLINICAL OUTCOMES AND SERVICE. HIGHLIGHTS INCLUDE: - INFLUENZA VACCINATION FOR HEALTHCARE WORKERS -- ACHIEVED FLU SAFE STATUS WITH A RATE OF 85% VACCINATIONS FOR 3RD YEAR. THIS YEAR THE CAMPAIGN INCLUDED LICENSED INDEPENDENT PRACTITIONERS, STUDENTS, AND VOLUNTEERS. - PATIENT SATISFACTION SCORES, THE HOSPITAL CONTINUES TO PERFORM IN THE TOP DECILE FOR PATIENT EXPERIENCE. - IMPROVEMENT ANALYSIS OF RAPID RESPONSE AND CODE BLUE EVENTS (2007-2013) WHILE 2013 CONTINUED TO BE A YEAR OF CHANGE, CHALLENGES AND CHOICES FOR THE HOSPITAL, IT WAS ALSO ONE OF CONTINUED COMMUNITY SUPPORT. CHARITABLE TRADITION CONTINUED AS THE HOSPITAL REACHED OUT TO THOSE IN NEED OF ITS SERVICES. THE HOSPITAL ENGAGED IN COMMUNITY PARTNERSHIPS WITH SCHOOLS, BUSINESSES, AGENCIES AND OTHER HEALTH PROVIDERS INVESTED IN COMMUNITY PROGRAMS AND SERVICES THAT POSITIVELY SUPPORT AND STRENGTHEN COMMUNITY HEALTH, EDUCATION, ECONOMIC DEVELOPMENT, AND CULTURE. THESE PROGRAMS AND PARTNERSHIPS EMBODY THE HOSPITAL'S MISSION OF "CARING FOR THE HEALTH OF OUR COMMUNITY." TOTAL 2013 COMMUNITY BENEFIT CONTRIBUTION EQUALED $6,251,486, WHICH REPRESENTS 7.29% OF TOTAL EXPENSES. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. TRADITIONAL CHARITY CARE AND HEALTHCARE ACCESS FOR LOW-INCOME INDIVIDUALS CHARITY CARE IS DEFINED AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. THE HOSPITAL PROVIDED $1,146,947 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS. |
| FORM 990, PART III, LINE 4A | CARE FOR MEDICAID PATIENTS THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES, TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES ARE BELOW THE COST OF CARE PROVIDED. THE HOSPITAL'S EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $2,880,448. SUBSIDIZED HEALTH SERVICES THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2013, LOSS ON SERVICES FOR INPATIENT AND OUTPATIENT HEALTH SERVICES INCLUDING EMERGENCY AND TRAUMA (INCLUDING EMERGENCY DEPARTMENT AND AMBULANCE/EMS SERVICES), HOSPITAL OUTPATIENT SERVICES (CLINICAL NUTRITION, CARDIAC REHABILITATION), OB/GYN SERVICES, AND HOMECARE AND HOSPICE SERVICES, TOTALED $1,401,880. COMMUNITY HEALTH IMPROVEMENT SERVICES IN 2012, IN PARTNERSHIP WITH OTHER MEMBERS OF THE HEALTHPARTNERS HOSPITAL DIVISION, THE HOSPITAL ENGAGED THE RESOURCES OF COMMUNITY HOSPITAL CONSULTING (CHC CONSULTING) TO CONDUCT A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA STARTED BY UTILIZING RELEVANT HEALTH DATA, FINDINGS FROM THE WASHINGTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (2010) AND THE HEALTHIER TOGETHER - ST. CROIX COUNTY, HEALTH IMPROVEMENT PROCESS (CHIP) STEERING COMMITTEE. BUILDING ON THE ASSESSMENTS AVAILABLE FROM WASHINGTON AND ST CROIX COUNTIES, CHC COORDINATED A PROCESS TO FURTHER IDENTIFY AND ADDRESS SPECIFIC NEEDS IN ITS MARKET AREA, TO COMPLETE THE COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOR OUR MARKET AREA SERVING A POPULATION OF MORE THAN 250,000 RESIDENTS IN THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN IN 2012. THE HOSPITAL'S 2012 CHNA WORKED WITH STAKEHOLDERS BY WAY OF IN-DEPTH INTERVIEWS, ELECTRONIC SURVEY RESULTS, A FOCUS GROUP, AND A TOWN HALL MEETING TO IDENTIFY THE MAIN COMMUNITY HEALTH PRIORITIES THAT LAKEVIEW WILL ADDRESS IN ITS CHNA IMPLEMENTATION PLAN. FROM THE RESEARCH, FINDINGS AND THE TOP FIVE PRIORITIES WERE IDENTIFIED TO ADDRESS THESE COMMUNITY HEALTH NEEDS: PRIORITY 1: INCREASE ACCESS TO MENTAL HEALTH PRIORITY 2: PROMOTE POSITIVE BEHAVIORS TO REDUCE OBESITY (NUTRITION / PHYSICAL ACTIVITY) PRIORITY 3: INCREASE ACCESS TO PRIMARY AND PREVENTIVE CARE PRIORITY 4: IMPROVE SERVICE INTEGRATION PRIORITY 5: PROMOTE CHANGE IN UNHEALTHY LIFESTYLES (TOBACCO / ALCOHOL / SUBSTANCE ABUSE) THESE TOP FIVE PRIORITIES CORRELATE VERY WELL WITH THE FIVE PRIORITIES IDENTIFIED IN THE HEALTHIER TOGETHER - ST. CROIX PLAN THAT INCLUDED: 1. ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES. 2. OVERWEIGHT, OBESITY, AND LACK OF PHYSICAL ACTIVITY. 3. ADEQUATE AND APPROPRIATE NUTRITION. 4. ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION. 5. TOBACCO USE AND EXPOSURE. AS WELL AS SIMILAR PRIORITIES IDENTIFIED BY WASHINGTON COUNTY PUBLIC HEALTH AND ENVIRONMENT. 2013 IMPLEMENTATION ACTIVITIES TOWARDS THESE PRIORITIES INCLUDED EXISTING AND NEW PROGRAMS AND ACTIVITIES ARE MOVING FORWARD TO ADDRESS THE NEEDS OF THE COMMUNITY. - CONTINUE SUPPORT WITH HEALTHPARTNERS OVERALL EFFORTS TO IMPLEMENT THE MENTAL HEALTH ANTI- STIGMA CAMPAIGN. SOME OF THESE EFFORTS INCLUDE COLLABORATING WITH LOCAL SERVICE AGENCIES WITH A VESTED INTEREST IN MENTAL HEALTH, SUPPORTING THE ANNUAL NAMI WALK, AND UTILIZING HEALTHPARTNERS' RESOURCES AND TOOLKITS TO RAISE PUBLIC AWARENESS OF MENTAL ILLNESS. - CONTINUE SUPPORT FOR THE ST. CROIX VALLEY PARISH NURSE PROGRAM, WHICH IS A HEALTHCARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES SERVED BY LOCAL CONGREGATIONS. THE PARISH NURSE PROMOTES A GREATER UNDERSTANDING OF HEALTH RELATED ISSUES AND ADDRESSES THESE CONCERNS THROUGH INFORMATION AND EDUCATION. THERE ARE PRESENTLY NINE CHURCHES IN THE ST. CROIX VALLEY PARISH NURSE PROGRAM. IN 2013, THE ST. CROIX VALLEY PARISH NURSES CONNECTED WITH OVER 3,800 INDIVIDUALS IN OUR COMMUNITY AND MADE OVER 620 REFERRALS TO CHURCH AND COMMUNITY RESOURCES BRIDGING PEOPLE TO THE WHOLE PERSON CARE, SERVICES AND SUPPORT THAT THEY NEED FOR HEALING AND GREATER WELL-BEING. THE PARISH NURSES CONTINUE TO COLLABORATE ON AN EVENT EACH SPRING FOR OUR COMMUNITY SENIORS CALLED THE SENIOR HEALTH AND FAITH DAY WITH THE GOAL OF EDUCATING AND INSPIRING THEM TO LIVE WELL PHYSICALLY, EMOTIONALLY, AND SPIRITUALLY. OVER 225 SENIORS ATTENDED. - SUPPORT FOR POWERUP, A COMMUNITY-WIDE INITIATIVE THAT INSPIRES AND ENGAGES THE ENTIRE COMMUNITY TO PROMOTE BETTER EATING AND ACTIVE LIVES SO YOUTH CAN REACH THEIR FULL POTENTIAL. POWERUP REACHED MORE THAN 30,000 FAMILIES AND CHILDREN THROUGH EVENTS, CLASSES, OUTREACH, PROGRAMS AND RESOURCES TO PROMOTE BETTER EATING, FAMILY MEALS, PHYSICAL ACTIVITY, REDUCED SCREEN TIME, AND FEWER SUGARY DRINKS IN 2013. POWERUP PARTNERSHIPS HAVE EXPANDED TO INCLUDE SCHOOLS, BUSINESS, NONPROFITS, FAMILIES, FAITH COMMUNITIES, PUBLIC HEALTH AND THE ENTIRE COMMUNITY. POWERUP PROVIDES CLASSES, FREE RESOURCES, INFORMATION, CONSULTATION AND SUPPORT TO PARTNERS IN WORKING TOGETHER TO PREVENT CHILDHOOD OBESITY. - CONTINUE TO PARTNER WITH THE VITALITY INITIATIVE, A LOCAL GRASS ROOTS GROUP, TO IMPLEMENT HEALTHY EATING PROMOTIONS, COMMUNITY EVENTS, WEIGHT LOSS CHALLENGES, AND THE YEAR?ROUND "WALK CHALLENGE". - SUPPORT NEW RICHMOND COMMUNITY'S SAFE YOUTH CAMPAIGN, WHICH DEMONSTRATES THE CAUSE AND EFFECTS OF DRUNK DRIVING. - CONTINUE FACILITATION OF THE LOCAL CANCER SUPPORT GROUP, IN COLLABORATION WITH THE CANCER CENTER OF WESTERN WISCONSIN. - INCREASE RELATIONSHIPS WITH PRIMARY CARE CLINICS AND PRIMARY CARE PHYSICIANS, CONTINUING ITS WORK OF HOSPITAL - CLINIC INTEGRATION. ON OCTOBER 1, 2013, NEW RICHMOND CLINIC OFFICIALLY JOINED WESTFIELDS HOSPITAL. WESTFIELDS HOSPITAL IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS. THIS COMBINATION ALLOWS US TO FURTHER DEVELOP ONE ELECTRONIC MEDICAL RECORD ACROSS THE CAMPUS FOR IMPROVED HEALTH AND EASIER ACCESS TO SERVICES. THE HOSPITAL SPONSORED AND COORDINATED OVER 55 COMMUNITY BENEFIT CLASSES, EVENTS, AND SUPPORT GROUPS DURING THE YEAR AT A NET COST OF $258,308. THE FOLLOWING ACTIVITIES OR PROGRAMS WERE SUPPORTED BY THE HOSPITAL IN PARTNERSHIP WITH COMMUNITY PARTNERS: COMMUNITY COLLABORATION: SHS PROVIDES LEADERSHIP AND PARTICIPATES IN A NUMBER OF STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES INCLUDING: - CHAT (COMMUNITY HEALTH ACTION TEAM) CONVENING NONPROFIT AND COMMUNITY LEADERS ON A MONTHLY BASIS TO COLLABORATE ON ADDRESSING PRIORITY COMMUNITY HEALTH NEEDS. - CONNECT COLLABORATIVE MISSION OF IS TO PREVENT AND REDUCE YOUTH ALCOHOL, TOBACCO, AND OTHER DRUG USE THROUGH PARTNERSHIP, EDUCATION, INTERVENTION AND COMMUNITY CHANGE. - WASHINGTON COUNTY COMMUNITY LEADERSHIP TEAM (CLT): LAKEVIEW COLLABORATES ON BOTH TOBACCO CESSATION AND OBESITY INITIATIVES. - HEALTHIER TOGETHER: FOCUSED ON A NUMBER OF HEALTH PRIORITIES INCLUDING ALCOHOL AND SUBSTANCE ABUSE, IN ST. CROIX COUNTY, WI. HEALTH CARE ACCESS: - TO ADDRESS HEALTH CARE ACCESS FOR UN?INSURED AND UNDER?INSURED PATIENTS LAKEVIEW HAS PROVIDES FUNDING TO PORTICO HEALTHNET (PORTICO) IN ORDER TO IMPROVE ACCESS TO PEOPLE WITHOUT HEALTH INSURANCE. PORTICO IS A NONPROFIT ORGANIZATION THAT HELPS ABOUT 350 PEOPLE PER MONTH ENROLL IN FREE OR LOW?COST HEALTH COVERAGE PROGRAMS. IN ADDITION, SUPPORT IS PROVIDED TO THE SCV FAMILY MEDICAL CLINIC (SOUTHSIDE COMMUNITY HEALTH). - SHS HOSTED MORE THAN 4 MEETINGS RELATED TO THE AFFORDABLE CARE ACT TO INCREASE COMMUNITY UNDERSTANDING OF THIS NEW SYSTEM OF ACCESSING HEALTH INSURANCE FOR HEALTH CARE STAFF AND COMMUNITY ORGANIZATIONS AND BUSINESSES. SHS FUNDS A STAFF MEMBER AT THE HOSPITAL WHO ASSISTS PATIENTS WHO HAVE DIFFICULTY AFFORDING MEDICATIONS THROUGH THE PRESCRIPTION ASSISTANCE PROGRAM. THE PROGRAM PROVIDED FREE AND/OR REDUCED-COST MEDICATION ASSISTANCE FOR 307 QUALIFIED CLINIC PATIENTS COPING WITH CHRONIC DISEASES IN 2013. |
| FORM 990, PART III, LINE 4A | MENTAL AND CHEMICAL HEALTH: GRANTS TO SUPPORT MENTAL AND CHEMICAL HEALTH SERVICE FOR YOUTH AND ADULTS IN THE COMMUNITY INCLUDED: CANVAS HEALTH, COMMUNITY THREAD, FAMILYMEANS, HOPE ADOPTION & FAMILY SERVICE, PLACE OF GRACE, SCV CHAPLAINCY, YOUTH SERVICE BUREAU; SOMERSET SCHOOLS; TREEHOUSE, FAMILYMEANS AND YOUTH SERVICE BUREAU IN ADDITION, SHS SUPPORTED YOUTH MATTERS (FORMERLY YADP) TO BRING COURAGE RETREATS TO STILLWATER JUNIOR HIGH AND OAKLAND JUNIOR HIGH SCHOOLS THROUGH THE YOUTH FRONTIERS PROGRAM, THE COURAGE RETREAT, A PREVENTION PROGRAM FOR ISSUES FACING JUNIOR HIGH YOUTH. SHS CONTINUES AS AN ACTIVE COMMITTEE MEMBER AND PROVIDES SPONSORSHIP SUPPORT. STILLWATER AREA SCHOOLS WELLNESS PROGRAM AND CENTER: CENTER- WHICH OPERATES AT THE LARGEST HIGH SCHOOL IN THE SERVICE AREA. THE WELLNESS CENTER IS A PHYSICAL SPACE IN THE HIGH SCHOOL IN COLLABORATION WITH FAMILY MEANS, YOUTH SERVICE BUREAU, LAKEVIEW HEALTH SYSTEM AND INDEPENDENT SCHOOL DISTRICT 834 NONPROFIT ORGANIZATIONS. THIS COLLABORATION PROVIDES SERVICES TO YOUTH AT LOW TO NO COST REGARDING MENTAL HEALTH, DIET AND NUTRITION AND CHEMICAL AND ALCOHOL ABUSE. THE NUMBER OF STUDENTS SERVED THROUGH THE WELLNESS CENTER AND PROGRAM IN ISD 834 WERE AS FOLLOWS: - CHEMICAL HEALTH: 75 STUDENTS - MENTAL HEALTH: 351 STUDENTS NUTRITION COUNSELING WAS EXPANDED TO INCLUDE STUDENTS CONSIDERED HIGH RISK THROUGH THE ALTERNATIVE LEARNING CENTER AND FEDERAL FOUR PROGRAM IN 2013. SERVICES WERE ALSO EXPANDED IN SOMERSET, WI SCHOOLS REACHING MORE THAN 500 STUDENTS IN 2013 FOR HEALTHY LIFESTYLES, PLUS MORE THAN 1500 THROUGH HEALTH CLASSES, HEALTH FAIRS AND PRESENTATIONS. ON STUDENT SURVEYS, 100% REPORT NUTRITION COUNSELING HAS BEEN HELPFUL AND 98% REPORT THEY HAVE CHANGED THEIR EATING HABITS FOR THE BETTER. IN ADDITION, THE FOLLOWING ORGANIZATION AND PROGRAMS WERE SUPPORTED FOR OVERALL COMMUNITY BENEFIT: - PROJECT LIFE - VALLEY OUTREACH-SUPPORT TO PROVIDE MILK FOR FAMILIES WHO USE THE FOOD SHELF - YOUNG LIFE-SUPPORT YOUNG LIVES PROGRAM FOR TEENAGE MOTHERS - YOUTH ADVANTAGE-PROVIDING SCHOLARSHIPS FOR ATHLETIC, ACADEMIC, AND MUSICAL EXTRACURRICULAR ACTIVITIES FOR LOW INCOME CHILDREN - CAMP ODAYIN - COALITION FOR ST. CROIX RIVER CROSSING - COURAGE CENTER ST. CROIX VALLEY - GOOD SAMARITAN SOCIETY (STILLWATER) - HOPE HOUSE - HUDSON HOSPITAL FOUNDATION - MAEF - NORTHERN STAR COUNCIL BSA - RED CROSS - ST. CROIX VALLEY - ROTARY STILLWATER - SOMERSET HIGH SCHOOL - STILLWATER HIGH SCHOOL - ST. ANDREWS LUTHERAN - ST. MICHAELS CATHOLIC - STILLWATER LIONS CLUB - STILLWATER PUBLIC LIBRARY - VALLEY CHAMBER CHORALE HEALTH PROFESSIONS EDUCATION THE HOSPITAL COORDINATES AND SUPPORTS WEEKLY CONTINUING MEDICAL EDUCATION (CME) PROGRAMS FOR STAFF AND COMMUNITY EDUCATION. TOTAL DIRECT COSTS FOR STIPENDS, PURCHASED SERVICES, SUPPLIES, ROOM RENTALS, AND INDIRECT COSTS FOR THE YEAR WERE $62,260. CASH DONATIONS THE HOSPITAL'S CASH DONATIONS TO OTHER TAX-EXEMPT COMMUNITY ORGANIZATIONS IN THE FORM OF SPONSORSHIPS OR CONTRIBUTIONS TOTALED $162,736. COMMUNITY-BUILDING ACTIVITIES THE HOSPITAL PARTICIPATED IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT INCLUDING THE ST. CROIX VALLEY BRIDGE COALITION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS SHS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER RATIFIES THE PERSONS ELECTED TO THE HOSPITAL BOARD, AT LEAST 75% OF WHOM MUST BE COMMUNITY LEADERS. THE CHIEF EXECUTIVE OFFICER OF THE SOLE MEMBER SERVES AS AN EX OFFICIO NON-VOTING HOSPITAL BOARD MEMBER. ADDITIONALLY, HEALTHPARTNERS AS THE SOLE MEMBER OF STILLWATER HEALTH SYSTEM APPOINTS ONE PERSON TO THE HOSPITAL BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS CUSTOMARY POWERS INCLUDING APPROVAL OF HIGHLY SIGNIFICANT ACTIONS OF THE HOSPITAL'S BOARD OF DIRECTORS. THESE INCLUDE AMENDMENT OF THE GOVERNING DOCUMENTS; APPROVAL OF STRATEGIC PLANS AND ANNUAL BUDGETS; MERGER, CONSOLIDATION OR SUBSTANTIAL AFFILIATION WITH ANOTHER ENTITY; APPOINTMENT OF THE PRESIDENT OF THE HOSPITAL; AND INCURRENCE OF DEBT. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND THE HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY WILL BE PROVIDED IN A MAILING TO THE BOARD MEMBERS PRIOR TO THE FILING OF THE 990. EACH BOARD MEMBER WILL HAVE AN OPPORTUNITY TO COMMENT OR ASK QUESTIONS ABOUT THE 990 BEFORE IT IS FILED. THIS PROCESS WILL BE NOTED AND DOCUMENTED IN A WRITTEN MEMO IN THE FILES OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL BOARD OF DIRECTORS MONITORS POTENTIAL CONFLICTS OF INTEREST OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES, BY MAINTAINING A CONFLICT OF INTEREST POLICY. ANNUALLY, UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. A REPORT OF THESE POTENTIAL CONFLICTS IS SHARED WITH THE GOVERNANCE COMMITTEE, THE CHAIR AND THE CEO. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE DOCUMENTED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING OFFICERS' COMPENSATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2012. EACH YEAR, UNDER THE DIRECTION OF THE LAKEVIEW HEALTH SYSTEM'S COMPENSATION COMMITTEE, AN ANNUAL TOTAL COMPENSATION MARKET REVIEW IS COMPLETED TO PROVIDE A COMPREHENSIVE MARKET REVIEW FOR THE FOLLOWING EXECUTIVE POSITIONS WITHIN LAKEVIEW HEALTH SYSTEM CEO, SYSTEM CFO, CLINIC PRESIDENT, CLINIC ADMINISTRATOR, AND HOSPITAL PRESIDENT. IN 2011, THE COMPENSATION COMMITTEE RETAINED AN INDEPENDENT EXECUTIVE CONSULTING FIRM TO PROVIDE A REVIEW OF ALL COMPONENTS OF COMPENSATION INCLUDING BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. IN 2012, UNDER THE COMMITTEE'S DIRECTION, THE GHI HUMAN RESOURCES DEPARTMENT USED THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES. BASED ON THIS UPDATED DATA, THE COMMITTEE LEARNED THE COMPENSATION RATES THAT ARE CONSIDERED P50 TO P60 OF THE MARKET FOR COMPARABLE LAKEVIEW POSITIONS. OTHER CONSIDERATIONS OF THE COMMITTEE INCLUDE: ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES, INDIVIDUAL PERFORMANCE, EXPERIENCE, SUBJECTIVE EVALUATION BY BOARD MEMBERS, GENERAL ECONOMIC CONDITIONS, COSTS OF REPLACEMENT, PREVAILING COMMUNITY ATTITUDES AND BELIEFS REGARDING COMPENSATION. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2S. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS, INC. THE HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. |
| 990, PART VII, SECT A, LN 1A, COL B: AVERAGE HOURS - RELATED ORGANIZATION | AVERAGE WEEKLY HOURS: THE COMPENSATED BOARD MEMBERS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY THE HOSPITAL OR GHI. THE COMPENSATED BOARD MEMBERS AND OFFICERS DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATE - STILLWATER HEALTH SYSTEM -100,000. TRANSFER TO AFFILIATE - LAKEVIEW MEMORIAL HOSPITAL FOUNDATION -289,969. TRANSFER TO AFFILIATE - STILLWATER MEDICAL GROUP -6,100,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411693838 | HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(4) | N/A | Yes (1) | ||
| HPI-RAMSEY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411793333 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| GROUP HEALTH PLAN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410797853 | STAFF MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | HEALTHPARTNERS INC | |
| HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411670163 | HEALTHCARE EDUCATION & RESEARCH | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE I | GROUP HEALTH PLAN INC | |
| CAPITOL VIEW TRANSITIONAL CARE CENTER | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 412011453 | POST HOSPITALIZATION PATIENT CARE | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410956618 | HOSPITAL | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411888902 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(VI) | HPI - RAMSEY | |
| RHSC INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411891928 | HEALTHCARE STAFFING | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | HEALTHPARTNERS INC | |
| RH-WISCONSIN | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | WI | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | HPI - RAMSEY | |
| PHYSICIANS NECK AND BACK CLINICS | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 270684883 | SPECIALTY PATIENT CARE | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | GROUP HEALTH PLAN INC | |
| HUDSON HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390804125 | HOSPITAL | WI | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | RH-WISCONSIN & GROUP HEALTH PLAN INC | |
| HUDSON HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391279567 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | WI | 501(C)(3) | Yes (1) | 170(B)(1) (A)(VI) | HUDSON HOSPITAL INC | |
| WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 263616590 | PROVIDE MEDICAL TRANSPORT SERVICES | WI | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | RH-WISCONSIN | |
| LAKEVIEW MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411386635 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | STILLWATER HEALTH SYSTEM | |
| STILLWATER MEDICAL GROUP | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 830379473 | PHYSICIANS GROUP | MN | 501(C)(3) | Yes (1) | 509(A)(2) | STILLWATER HEALTH SYSTEM | |
| STILLWATER HEALTH SYSTEM | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 300221189 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | HPI - RAMSEY | |
| WESTFIELDS HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | RH-WISCONSIN & GROUP HEALTH PLAN INC | |
| WESTFIELDS HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391770913 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | WI | 501(C)(3) | Yes (1) | 509(A)(3) TYPE I | WESTFIELDS HOSPITAL INC | |
| RAMSEY INTEGRATED HEALTH SERVICES | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411503090 | IN-HOME PATIENT CARE | MN | 501(C)(3) | Yes (1) | 509(A)(2) | HPI - RAMSEY | |
| PARK NICOLLET HEALTH SERVICES | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 363465840 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | Yes (1) | 509(A)(2) TYPE III | HEALTHPARTNERS INC | |
| PARK NICOLLET FOUNDATION | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 237346465 | GRANTS TO SERVE THE COMMUNITY | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(VI) | PARK NICOLLET HEALTH SERVICES | |
| PARK NICOLLET METHODIST HOSPITAL | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 410132080 | HOSPITAL | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | |
| PARK NICOLLET INSTITUTE | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 410961862 | HEALTHCARE RESEARCH | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | |
| PARK NICOLLET HEALTH CARE PRODUCTS | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 010638901 | HEALTH CARE PRODUCTS | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE II | PARK NICOLLET HEALTH SERVICES | |
| PARK NICOLLET CLINIC | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 410834920 | HEALTHCARE | MN | 501(C)(3) | Yes (1) | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | |
| PNMC HOLDINGS | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 411741792 | HEALTHCARE REAL ESTATE | MN | 501(C)(3) | Yes (1) | 509(A)(3) TYPE I | PARK NICOLLET CLINIC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS ADMINISTRATORS INC | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411629390 | THIRD PARTY ADMINISTRATOR | MN | HEALTHPARTNERS INC | C | Yes (1) |
| HEALTHPARTNERS ASSOCIATES INC | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 522365151 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | Yes (1) |
| HEALTHPARTNERS SERVICES INC | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683568 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | Yes (1) |
| HEALTHPARTNERS VENTURES INC | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411838197 | DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES | MN | HEALTHPARTNERS INC | C | Yes (1) |
| HEALTHPARTNERS INSURANCE COMPANY | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683523 | MEDICAL AND DENTAL INSURANCE | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | Yes (1) |
| DENTAL SPECIALTIES INC | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 451297583 | DENTAL CLINIC STAFFING | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | Yes (1) |
| HEALTHPARTNERS CENTRAL MINNESOTA CLINICS | |||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411236798 | MEDICAL CLINIC STAFFING AND MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | Yes (1) |
| PARK NICOLLET ENTERPRISES | |||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 411656735 | REAL ESTATE FOR RELATED ORGANIZATIONS | MN | PARK NICOLLET HEALTH SERVICES | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPARTNERS INC - CLAIMSHEALTHCARE SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $2,636,457 | InvolvedAmt |