HUDSON HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HUDSON HOSPITAL INC (EIN 39-0804125)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201113149349302866
- Schema version
- 2010v3.4
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T14:25:04-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CTR 90 S 7TH STREE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390804125 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HUDS | NameControl |
| Phone | 7155316000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 STAGELINE ROAD | AddressLine1 |
| City | HUDSON | City |
| State | WI | State |
| ZIP Code | 54016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARIAN M FURLONG | Name |
| Title | PRESIDENT | Title |
| Phone | 7155316000 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CINDI R FULLER | Name |
| Phone | 6123055000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARIAN M FURLONG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 STAGELINE ROAD | AddressLine1 |
| City | HUDSON | City |
| State | WI | State |
| ZIP Code | 54016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48298328 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HUDSONHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 403 | TotalNbrEmployees |
| Total Nbr Volunteers | 181 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 45789449 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47125935 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 172761 | InvestmentIncomePriorYear |
| Investment Income Current Year | 136835 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 901964 | OtherRevenuePriorYear |
| Other Revenue Current Year | 750000 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46864174 | TotalRevenuePriorYear |
| Total Revenue Current Year | 48012770 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21798199 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 25392047 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22165440 | OtherExpensePriorYear |
| Other Expenses Current Year | 19920540 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 43963639 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45312587 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2900535 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2700183 | RevenuesLessExpensesCY |
| Total Assets BOY | 59989870 | TotalAssetsBOY |
| Total Assets EOY | 63839334 | TotalAssetsEOY |
| Total Liabilities BOY | 29811610 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30724453 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30178260 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33114881 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CARING FOR THE HEALTH OF OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 40337774 | Expense |
| Revenue | 47763037 | Revenue |
| Description | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS | Description |
| Total Program Service Expense | 40337774 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 403 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEILA PROEHL - CHIEF FINANCIAL OFFICER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7155316013 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 STAGELINE ROAD | AddressLine1 |
| City | HUDSON | City |
| State | WI | State |
| ZIP Code | 54016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JOHN CLYMER | |||||||
| DIRECTOR - VICE CHAIR | 1.00 | X | 130 | 0 | 0 | ||
| SUSAN GILBERT | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| BILL GOLD MD | |||||||
| DIRECTOR - CHAIR | 1.00 | X | 130 | 0 | 0 | ||
| DENNIS HARTUNG MD | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| KENNETH HEISER | |||||||
| DIRECTOR | 1.00 | X | 380 | 0 | 0 | ||
| RUTH MISENKO | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| MIKE SELLMAN | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| MARK STANNARD MD | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| GREG YOUNG MD | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| MARIAN M FURLONG | |||||||
| DIRECTOR & PRESIDENT | 50.00 | X | 130 | 276342 | 51337 | X | |
| BURKE KEALEY MD | |||||||
| DIRECTOR | 45.00 | X | 130 | 385356 | 82429 | ||
| BROCK D NELSON | |||||||
| DIRECTOR | 55.00 | X | 130 | 548780 | 161919 | ||
| SCOTT A SCHNUCKLE | |||||||
| DIRECTOR | 50.00 | X | 130 | 374523 | 96799 | ||
| J GLASNAPP | |||||||
| DIRECTOR | 1.00 | X | 130 | 0 | 0 | ||
| DEBORAH BRISCH-CRAMER | |||||||
| VP - CHIEF NURSING OFFICER | 50.00 | 169970 | 0 | 22207 | X | ||
| STEVE MUELLERLEILE | |||||||
| VP - PLANNING & DEVELOPMENT | 40.00 | 205929 | 0 | 13179 | X | ||
| SHEILA PROEHL | |||||||
| VP - CHIEF FINANCIAL OFFICER | 50.00 | 0 | 201847 | 34717 | X | ||
| MICHELLE M SIMPSON | |||||||
| PHARMACIST | 40.00 | 119817 | 0 | 13467 | X | ||
| KATHRYN M ANDERSON | |||||||
| REGISTERED NURSE | 40.00 | 123546 | 0 | 24443 | X | ||
| DARLA R KLEMENTZ | |||||||
| MANAGER - PHARMACY | 40.00 | 122359 | 0 | 13403 | X | ||
| THOMAS J RICHARD | |||||||
| DIRECTOR - FINANCE & MATERIALS | 40.00 | 118143 | 0 | 13009 | X | ||
| KATHRYN A SMITH | |||||||
| REGISTERED NURSE | 40.00 | 119290 | 0 | 22950 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 981124 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1786848 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 549859 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REGIONS HOSPITAL | |||||
| PO BOX 64059 | ST PAUL | MN | 55164 | PHYSICIAN & ADMINISTRATIVE STAFFING | 1904634 |
| HEALTHPARTNERS | |||||
| PO BOX 1450 NW3600 | MINNEAPOLIS | MN | 554853600 | ADMINISTRATIVE & INFORMATION TECHNOLOGY | 1357912 |
| GROUP HEALTH INC | |||||
| PO BOX 64059 | ST PAUL | MN | 55164 | SPECIALTY PHYSICIAN SERVICES | 1050384 |
| WESTERN WISCONSIN ANESTHESIA ASSOCIATES | |||||
| 329 SOO LINE ROAD | HUDSON | WI | 54016 | ANESTHESIOLOGIST SERVICES | 888912 |
| EFH COMPANY | |||||
| 2999W COUNTY RD 42 SUITE 206 | BURNSVILLE | MN | 55306 | REMODELLING SERVICES | 216810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PATIENT SERVICE | 623990 | 46532308 | 46532308 | |
| OTHER HEALTH CARE | 623990 | 227136 | 227136 | |
| DIETARY | 722210 | 160578 | 160578 | |
| GIFT SHOP | 453220 | 112898 | $112,898 | |
| PROGRAM SUPPORT GRANTS | 623990 | 93015 | 93015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47125935 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136835 | TotalRevenueColumn |
| Exclusion | $136,835 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1035558 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 285558 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 750000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 750000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 750000 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48012770 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47763037 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $249,733 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411285 | Total |
| Program Services | 384140 | ProgramServices |
| Management And General | 27145 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21239179 | Total |
| Program Services | 19830395 | ProgramServices |
| Management And General | 1408784 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3741583 | Total |
| Program Services | 3493392 | ProgramServices |
| Management And General | 248191 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16320 | Total |
| Management And General | 16320 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48343 | Total |
| Management And General | 48343 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3110230 | Total |
| Program Services | 2199897 | ProgramServices |
| Management And General | 910333 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231446 | Total |
| Management And General | 231446 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380201 | Total |
| Program Services | 19108 | ProgramServices |
| Management And General | 361093 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213020 | Total |
| Program Services | 31535 | ProgramServices |
| Management And General | 181485 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 965771 | Total |
| Program Services | 965771 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39191 | Total |
| Program Services | 2974 | ProgramServices |
| Management And General | 36217 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2450 | Total |
| Program Services | 65 | ProgramServices |
| Management And General | 2385 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1342163 | Total |
| Program Services | 1226026 | ProgramServices |
| Management And General | 116137 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2911290 | Total |
| Program Services | 2655000 | ProgramServices |
| Management And General | 256290 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174138 | Total |
| Management And General | 174138 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL & OFFICE SUPPLY | 7222819 | 7028338 | 194481 |
| BAD DEBT | 1481522 | 1481522 | |
| EQUIPMENT & MAINTENANCE | 1345849 | 850137 | 495712 |
| OTHER EXPENSE | 302044 | 160392 | 141652 |
| RECRUITMENT & TRAINING | 133743 | 9082 | 124661 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45312587 | Total |
| Program Services | 40337774 | ProgramServices |
| Management And General | 4974813 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9327709 | BOY |
| EOY | 11449919 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5686101 | BOY |
| EOY | 8054963 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 864440 | BOY |
| EOY | 954620 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075003 | BOY |
| EOY | 207454 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 53431279 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19435161 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34521531 | BOY |
| EOY | 33996118 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1385860 | BOY |
| EOY | 1777223 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7129226 | BOY |
| EOY | 7399037 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59989870 | BOY |
| EOY | 63839334 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5154400 | BOY |
| EOY | 6220318 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24270000 | BOY |
| EOY | 23605000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387210 | BOY |
| EOY | 899135 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29811610 | BOY |
| EOY | 30724453 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28575827 | BOY |
| EOY | 31195529 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1520743 | BOY |
| EOY | 1837662 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81690 | BOY |
| EOY | 81690 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30178260 | BOY |
| EOY | 33114881 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59989870 | BOY |
| EOY | 63839334 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2700183 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 236438 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $0 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | HUDSON HOSPITAL, INC. PAYS FOR CERTAIN CORPORATE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number DA Fs Held | 3 | NumberDAFsHeld |
| Donor Advised Contributions | 490213 | DonorAdvisedContributions |
| Grants Paid From Donor Funds | 173294 | GrantsPaidFromDonorFunds |
| Aggregate DAF Value | 1919352 | AggregateDAFValue |
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 81690 | BeginningOfYearBalance |
| End Of Year Balance | 81690 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 81690 | BeginningOfYearBalance |
| End Of Year Balance | 81690 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 81690 | BeginningOfYearBalance |
| End Of Year Balance | 81690 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12136252 | OtherCostOrOtherBasis |
| Book Value | 12136252 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29388511 | OtherCostOrOtherBasis |
| Depreciation | 12949212 | Depreciation |
| Book Value | 16439299 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11162329 | OtherCostOrOtherBasis |
| Depreciation | 6040861 | Depreciation |
| Book Value | 5121468 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 744187 | OtherCostOrOtherBasis |
| Depreciation | 445088 | Depreciation |
| Book Value | 299099 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33996118 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED FINANCING COSTS | 509994 |
| NONCURRENT PLEDGES RECEIVABLE | 353640 |
| INVESTMENTS REQUIRED FOR CURRENT MATURITIES | 984721 |
| INVESTMENTS LIMITED AS TO USE | 5248157 |
| OTHER RECEIVABLES | 302525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7399037 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $2,780 |
| THIRD-PARTY PAYOR SETTLEMENTS | $896,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 899135 | TotalOfAmounts |
| Total Revenue | 48012770 | TotalRevenue |
| Total Expenses | 45312587 | TotalExpenses |
| Excess Or Deficit For Year | 2700183 | ExcessOrDeficitForYear |
| Other | $236,438 | OtherAmount |
| Total Adjustments | 236438 | TotalAdjustments |
| Excess Or Deficit Per FS | 2936621 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 48298328 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 48298328 | RevenueSubtotal |
| Other Revenues Not Included | -285558 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -285558 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 48012770 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 45598145 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 285558 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 285558 | ExpensesNotRptdF990 |
| Expenses Subtotal | 45312587 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 45312587 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | PART V, LINE 4: HUDSON HOSPITAL, INC. HOLDS $81,690 OF PERMANENTLY RESTRICTED ASSETS RELATED TO HUDSON HOSPITAL, INC.'S BENEFICIAL INTEREST IN THE NET ASSETS OF HUDSON HOSPITAL FOUNDATION, INC., A RELATED ORGANIZATION OF HUDSON HOSPITAL, INC. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CONTRIBUTION OF LONG-LIVED ASSETS 30,073. INCREASE IN INTEREST IN NET ASSETS OF HUDSON HOSPITAL FOUNDATION 335,820. TRANSFER OF NET ASSETS TO HUDSON HOSPITAL FOUNDATION, INC. -129,455. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL PROPERTY EXPENSE -285,558. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL PROPERTY EXPENSE 285,558. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 166 | PersonsServed |
| Total Community Benefit Expense | 278373 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 278373 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2294 | PersonsServed |
| Total Community Benefit Expense | 1538735 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1538735 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03370 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2460 | PersonsServed |
| Total Community Benefit Expense | 1817108 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1817108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03980 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 81942 | PersonsServed |
| Total Community Benefit Expense | 605443 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27471 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 577972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 122 | PersonsServed |
| Total Community Benefit Expense | 112125 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 112125 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11134 | PersonsServed |
| Total Community Benefit Expense | 1088217 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1088217 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02380 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38517 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 38517 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 93198 | PersonsServed |
| Total Community Benefit Expense | 1844302 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27471 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1816831 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 95658 | PersonsServed |
| Total Community Benefit Expense | 3661410 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27471 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3633939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07960 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7613 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7613 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7613 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7613 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24 | PersonsServed |
| Total Community Building Expense | 3405 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3405 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14 | PersonsServed |
| Total Community Building Expense | 1078 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1078 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 400 | PersonsServed |
| Total Community Building Expense | 80948 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 80948 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 250 | PersonsServed |
| Total Community Building Expense | 7227 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7227 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 245 | PersonsServed |
| Total Community Building Expense | 2156 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2156 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 933 | PersonsServed |
| Total Community Building Expense | 110040 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 110040 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $860,764 | BadDebtExpenseAmount |
| Amount Attributable To | 150000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9210969 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9128909 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 82060 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 ST CROIX VALLEY SHARED SERVICES | |||
| HOME HEALTH AND HOSPICE CARE | 0.25000 | 0.00000 | 0.00000 |
| 2 WESTERN WISCONSIN CANCER CENTER | |||
| MEDICAL ONCOLOGY AND RADIATION | 0.23700 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 STAGELINE ROAD | AddressLine1 |
| City | HUDSON | City |
| State | WI | State |
| ZIP Code | 54016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: THE COSTING METHODOLOGY UTILIZES CMS MEDICARE COST REPORT METHODOLOGY. BAD DEBT IS CALCULATED USING COST CHARGE RATIO FOUND IN THE MEDICARE COST REPORT. | ||
| PART I, LINE 7G: HUDSON HOSPITAL, INC. (HOSPITAL) IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2010, LOSS ON SERVICES FOR HOSPITAL OUTPATIENT SERVICES INCLUDING RESPIRATORY THERAPY, PHYSICAL THERAPY, ONCOLOGY, EMERGENCY ROOM, OBSERVATION AND PROGRAMS FOR CHANGE TOTALED $1,088,217. | ||
| PART II: THE HOSPITAL IS AN ENERGETIC MEMBER OF THE LOCAL, STATE AND REGIONAL COMMUNITIES. AS THE HOSPITAL SUPPORTS INDIVIDUALS, ORGANIZATIONS, EVENTS AND PROGRAMS, IT LIVES OUT ITS COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY. KNOWING MUCH MORE CAN BE ACCOMPLISHED TOGETHER, THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM BUILT VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. 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 TOBACCO COALITION, HEALTHWATCH OF ST. CROIX COUNTY, WISCONSIN YOUTH APPRENTICESHIP PROGRAM, WEST CENTRAL REGIONAL TRAUMA ADVISORY COUNCIL (RTAC), THE HEALING ARTS PROGRAM, ST. CROIX VALLEY FOUNDATION PARTNERS FOR THE FUTURE, SOMERSET MIDDLE SCHOOL CAREER ACADEMIC AND PERSONAL AND SOCIAL SKILLS (CAPS) CLASS, AND LEADERSHIP HUDSON.TO HELP LOCAL BUSINESSES AND ORGANIZATIONS BETTER UNDERSTAND THE CHANGES IN THE HEALTH CARE MARKET AS A RESULT OF HEALTH CARE REFORM, THE HOSPITAL AND WESTFIELDS HOSPITAL SPONSORED EXTREME MAKEOVER 2010: WESTERN WISCONSIN HEALTH CARE REFORM EVENT. OVER 225 COMMUNITY STAKEHOLDERS ATTENDED TO DISCUSS THE EMERGING IMPLICATIONS AND WHAT THEY MIGHT MEAN FOR THE COST AND QUALITY OF EMPLOYEE HEALTH CARE IN THE FUTURE; OPPORTUNITIES AND CHALLENGES; PRIORITY ISSUES; AND THE IMPACT ON HOSPITALS, BUSINESSES AND THE STATE. A GROUP OF INDUSTRY EXPERTS FROM MADISON, WI AND KEYNOTE PRESENTER, MARY BRAINERD, PRESIDENT AND CEO, HEALTHPARTNERS, INC. PROVIDED THEIR PERSPECTIVES.THE HOSPITAL CONTINUED ON ITS ECO-FRIENDLY JOURNEY USING SUSTAINABLE BUSINESS PRACTICES IN ORDER TO PROVIDE HEALTH CARE THAT'S HEALTHY. GREEN INITIATIVES INCLUDED THE RECYCLING PROGRAM, COMMUNITY SHARPS DISPOSAL SITE, CREATION OF THE COMMUNITY GARDEN - THE HOSPITAL IN SUPPORT OF HEALTHIER TOGETHER - ST. CROIX COUNTY (FORMERLY CHIP), AND THE COMMUNITY LABYRINTH. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY SUPPORTED AGRICULTURE (CSA) AND SERVES AS A DISTRIBUTION SITE FOR LOCALLY-GROWN FRESH, ORGANIC PRODUCE FOR THE COMMUNITY AND PARTICIPATING EMPLOYEES. | ||
| PART III, LINE 4: "BAD DEBT" EXPENSE REPRESENTS THE UNPAID OBLIGATION FOR CARE PROVIDED TO PATIENTS WHO HAVE BEEN DETERMINED TO BE ABLE TO PAY, BUT HAVE NOT DEMONSTRATED A WILLINGNESS TO DO SO. BAD DEBT INCLUDES ANY UNPAID PATIENT RESPONSIBILITY THAT MAY INCLUDE, BUT IS NOT LIMITED TO, DEDUCTIBLES, CO-INSURANCE, CO-PAYMENTS AND NON-COVERED SERVICES.THE FOOTNOTE IN THE HOSPITAL'S FINANCIAL STATEMENTS READS AS FOLLOWS: "THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S JUDGMENT. PATIENTS AND RESIDENTS ARE NOT REQUIRED TO PROVIDE COLLATERAL FOR SERVICES PROVIDED. PAYMENT FOR SERVICES IS REQUIRED WITHIN 30 DAYS OF RECEIPT OF INVOICE. PAST-DUE ACCOUNTS ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY AND THEN TURNED OVER TO COLLECTION AGENTS. ACCOUNTS FOR WHICH NO PAYMENTS HAVE BEEN RECEIVED ARE ANALYZED AND AFTER APPROVAL ARE WRITTEN OFF. IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE HOSPITAL."THE HOSPITAL UTILIZES CMS MEDICARE COST REPORT METHODOLOGY TO DETERMINE BAD DEBT EXPENSE. BAD DEBT IS CALCULATED USING THE COST TO CHARGE RATIO FOUND IN THE MEDICARE COST REPORT.BAD DEBT EXPENSE IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER WISCONSIN HOSPITAL ASSOCIATION (WHA). | ||
| PART III, LINE 8: MEDICARE SURPLUS (SHORTFALL) IN LINE 7 REPRESENTS THE ADDITIONAL 1% OF ALLOWABLE COST THAT CRITICAL ACCESS HOSPITALS RECEIVE. MEDICARE SHORTFALL IS CURRENTLY EXCLUDED FROM THE COMMUNITY BENEFIT CALCULATION PER WHA, BUT CAN BE INCLUDED IN OTHER FINANCIAL REPORTS.THE HOSPITAL BASES ITS MEDICARE COSTING METHODOLOGY ON THE CMS MEDICARE COST REPORT METHODOLOGY; COST TO CHARGE RATIO. | ||
| PART III, LINE 9B: THE HOSPITAL DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT DEBT COLLECTION POLICIES, WHETHER IMPLEMENTED BY HOSPITAL STAFF OR HOSPITAL'S AGENTS, SHOULD REFLECT THE HOSPITAL'S MISSION AND VALUES. THE HOSPITAL WILL NOT TOLERATE ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OR COLLECTIONS CONDUCT BY ITS DEBT COLLECTION, ATTORNEY AND AGENCY, AND THEIR AGENTS AND EMPLOYEES, AND HOSPITAL EMPLOYEES RESPONSIBLE FOR COLLECTING MEDICAL DEBT FROM PATIENTS. THE HOSPITAL WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. THE HOSPITAL WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A (FINANCIAL ASSISTANCE) CHARITY CARE APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR CHARITY CARE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED.- THE LEVEL OF AUTHORITY REQUIRED TO MAKE DECISIONS REGARDING AUTHORIZING LITIGATION, PAYMENT PLANS, AND CHARITY CARE IS: - BALANCES OVER $25,000 - CEO - BALANCES BETWEEN $10,000 AND $25,000 - CFO - BALANCES BETWEEN $1 AND $10,000 - DIRECTOR OF BUSINESS OPERATIONS | ||
| PART V, SECTION B, LINE 3: IN 2009, UNDER THE GUIDANCE OF THE ST. CROIX COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP) STEERING COMMITTEE, A FORMAL COMMUNITY NEEDS ASSESSMENT COMPRISED OF QUALITATIVE AND QUANTITATIVE RESEARCH METHODOLOGIES WAS CONDUCTED AND RESULTS REPORTED. THE REPORT USES THE STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2010, AS ITS GUIDE FOR IMPROVEMENT.CHIP PARTNERS ENGAGED IN THREE DIFFERENT ACTIVITIES* TO INFORM DECISIONS ABOUT SETTING PRIORITIES FOR THE COUNTY'S 2009 TO 2014 PLAN:*PHOTOVOICE, AN INNOVATIVE RESEARCH METHOD DEVELOPED BY DR. CAROLINE WANG DURING THE LATE 1990'S WAS SELECTED AS THE QUALITATIVE RESEARCH COMPONENT OF CHIP BECAUSE IT FOCUSES ON SOCIAL ACTION AND DEVELOPING PARTNERSHIPS FOR CHANGE. THE RESEARCH WAS DONE IN PARTNERSHIP WITH WISCONSIN AREA HEALTH EDUCATION CENTERS (AHEC) AND APPROVED BY AND CONDUCTED IN ACCORDANCE WITH THE UNIVERSITY OF WISCONSIN-MADISON INSTITUTIONAL REVIEW BOARD. PHOTOVOICE PLACES CAMERAS IN THE HANDS OF LOCAL RESIDENTS TO ENABLE THEM TO DEPICT THEIR EVERYDAY LIVES THROUGH VISUAL IMAGE. PHOTOVOICE INTENTIONALLY SEEKS TO INCLUDE GROUPS WHO TYPICALLY DO NOT HAVE DIRECT ACCESS TO POLICY MAKERS. IN ST. CROIX COUNTY THREE GROUPS OF SIX WOMEN RAISING CHILDREN WERE RECRUITED: (1) MOTHERS WHO ARE CONCERNED ABOUT MATERNAL AND CHILD HEALTH ISSUES; (2) MOTHERS WHO ARE OF HISPANIC ETHNICITY AND DO NOT SPEAK ENGLISH; AND (3) MOTHERS WHO ARE CONCERNED ABOUT HEALTHY EATING AND ACTIVE LIVING FOR THEIR CHILDREN. CO-PRINCIPAL INVESTIGATOR FOR THE PROJECT, MAGGIE STEDMAN-SMITH, PHD, MPH, RN, COMPILED A FINAL REPORT, USING PHOTOVOICE TO HEAR THE VOICES OF MOTHERS RAISING CHILDREN IN ST. CROIX COUNTY, AND PRESENTED THAT REPORT TO THE HEALTH IMPROVEMENT STEERING COMMITTEE. THE PARTNERS ALSO DISPLAYED A PHOTOVOICE EXHIBIT AT THE PHIPPS CENTER FOR THE ARTS IN HUDSON AND AT OTHER PUBLIC VENUES. PHOTOVOICE RESEARCH PROVIDED IMAGES, OVER 100 PHOTOS, AND ACCOMPANYING OBSERVATIONS FROM THE GROUPS OF MOTHERS ABOUT THEIR HEALTH CARE CONCERNS.WHILE THE GROUPS OF MOTHERS DID NOT VOTE ON THE 11 HEALTH PRIORITIES OF HEALTHIEST WISCONSIN 2010, THEY DID, HOWEVER, ECHO MANY OF THE THEMES IDENTIFIED AS PART OF THOSE PRIORITIES. THE PHOTOVOICE FINAL REPORT SUMMARIZED THE THEMES MOST OFTEN HIGHLIGHTED BY THE THREE GROUPS OF MOTHERS:- ACCESS TO HEALTH CARE SERVICES- IMPROVED NUTRITION AND NUTRITION EDUCATION- ENVIRONMENTAL HEALTH AND SAFETY* CHIP SURVEY ("USE YOUR VOICE")THE ST. CROIX COUNTY PARTNERS DISTRIBUTED SURVEYS BY MAIL TO (5000) ST. CROIX COUNTY HOUSEHOLDS USING RANDOM RESIDENTIAL SORT. SURVEYS WERE MAILED TO A PREDETERMINED NUMBER OF HOUSEHOLDS IN EACH OF THE (12) ZIP CODES INCLUDED. AN EMAIL SURVEY WAS ALSO SENT TO 4,698 OPT-IN USERS IN CITIES SERVED BY AREA NEWSPAPERS (ONLINE SUBSCRIPTIONS). THE SURVEY ASKED RESPONDENTS TO 1) INDICATE THEIR LEVEL OF INTEREST IN EACH OF THE 11 HEALTH PRIORITIES IDENTIFIED BY THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND 2) RANK THEIR CHOICES FOR THE TOP 3 PRIORITIES. WHEN RANKING THEIR TOP CHOICES, THEY WERE TO ASSUME THAT THEY WERE IN CHARGE OF ALLOCATING RESOURCES TO MAKE CHANGES THAT WILL MAKE A DIFFERENCE IN PEOPLE'S LIVES; THAT THEY HAD LIMITED RESOURCES TO USE IN THIS EFFORT; AND THAT THEY WOULD NEED TO GATHER THE SUPPORT OF THE COMMUNITY IN ORDER TO GET THE WORK DONE. THE SURVEY ALSO GATHERED SOME BASIC DEMOGRAPHIC INFORMATION ABOUT THE 683 INDIVIDUALS WHO COMPLETED THE SURVEY AND ASKED ABOUT RESPONDENTS' OPINIONS ABOUT THE THEN UPCOMING LEGISLATION BANNING SMOKING AT CERTAIN ESTABLISHMENTS IN WISCONSIN. THE SURVEY PRODUCED THE VOTING RESULTS DISPLAYED ON PAGES 8, 9, AND 10 OF THE FULL REPORT. IN ADDITION TO THE PRIORITY RANKINGS, THE SURVEY RESPONDENTS ALSO OFFERED THEIR OPINIONS ABOUT SECONDHAND SMOKE AND ABOUT THE PROPOSED TOBACCO LEGISLATION-WHICH TOOK EFFECT IN JULY OF 2010. BY A WIDE MARGIN, RESPONDENTS FELT THAT SECONDHAND SMOKE IS A SERIOUS HEALTH HAZARD, AND NEARLY 75% OF THE RESPONDENTS SUPPORTED THE TOBACCO LEGISLATION. QUOTATIONS DRAWN FROM COMMENTS OFFERED BY SURVEY RESPONDENTS APPEAR THROUGHOUT THIS REPORT; IDENTIFIED BY THE "USE YOUR VOICE" TAGLINE.*STEERING COMMITTEE REVIEW OF QUANTITATIVE RESEARCHFOLLOWING A SERIES OF MEETINGS TO REVIEW AND DISCUSS DATA AND STATISTICS RELEVANT TO EACH OF THE 11 HEALTH PRIORITIES, THE CHIP STEERING COMMITTEE MET AT THE HOSPITAL ON MAY 28, 2009. AT THAT MEETING, THE GROUP CIRCULATED THE ROOM IN SMALL GROUPS TO DISCUSS DATA DISPLAYS ABOUT EACH HEALTH PRIORITY, AND THEN VOTED ON PRIORITIES ACCORDING TO THREE MEASURES:1. SIZE AND PREVALENCE OF THE ISSUE- HOW MANY PEOPLE DOES THIS AFFECT?- HOW DOES THE PREVALENCE OF THIS ISSUE IN ST. CROIX COUNTY COMPARE WITH ITS PREVALENCE IN OTHER COUNTIES, THE WESTERN REGION, AND THE STATE OF WISCONSIN?- HOW SERIOUS ARE THE CONSEQUENCES? (URGENCY; SEVERITY; ECONOMIC LOSS)2. EFFECTIVENESS OF INTERVENTIONS- HOW LIKELY IS IT THAT ACTIONS TAKEN WILL MAKE A DIFFERENCE?- HOW LIKELY IS IT THAT ACTIONS WILL IMPROVE QUALITY OF LIFE?- HOW LIKELY IS IT THAT PROGRESS CAN BE MADE IN BOTH THE SHORT TERM AND THE LONG TERM?- HOW LIKELY IS IT THAT THE COMMUNITY WILL EXPERIENCE REDUCTION OF LONG-TERM COST?3. COMMUNITY CAPACITY- ARE PEOPLE LIKELY TO SUPPORT ACTIONS AROUND THIS ISSUE? (READY)- WILL IT BE NECESSARY TO CHANGE BEHAVIORS AND ATTITUDES IN RELATION TO THIS ISSUE? (WILLING)- ARE THE NECESSARY RESOURCES AND LEADERSHIP AVAILABLE TO US NOW? (ABLE)OF THE 11 HEALTH PRIORITIES REPRESENTED WITHIN THE STATE HEALTH PLAN, ST. CROIX COUNTY IS FOCUSING ON THE TOP FIVE IDENTIFIED PRIORITIES: ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES; OVERWEIGHT, OBESITY AND LACK OF PHYSICAL ACTIVITY; ADEQUATE & APPROPRIATE NUTRITION; ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION; AND TOBACCO USE AND EXPOSURE FOR PLAN YEARS 2009-2014. | HUDSON HOSPITAL, INC. | |
| PART V, SECTION B, LINE 4: NEEDS ASSESSMENT IN CONJUNCTION WITH OTHER HOSPITALSIN ADDITION TO THE HOSPITAL, WESTFIELDS HOSPITAL (NEW RICHMOND), BALDWIN AREA MEDICAL CENTER (BALDWIN), AND RIVER FALLS AREA HOSPITAL (RIVER FALLS) ALL HAD REPRESENTATION ON THE STEERING COMMITTEE AT THE TIME THE NEEDS ASSESSMENT WAS DONE. THEY ALL CONTINUE TO BE ACTIVE MEMBERS OF HEALTHIER TOGETHER - ST. CROIX COUNTY, AT VARIOUS LEVELS OF INVOLVEMENT. | HUDSON HOSPITAL, INC. | |
| PART V, SECTION B, LINE 5C: NEEDS ASSESSMENT REPORT AVAILABILITYTHE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) RESULTS - BOTH EXECUTIVE SUMMARY AND FULL REPORT ARE PUBLICLY AVAILABLE ON THE HOSPITAL AND PUBLIC HEALTH WEB SITES AT WWW.HUDSONHOSPITAL.ORG/COMMUNITY AND WWW.CO.SAINT-CROIX.WI.US/PUBLICHEALTH; AVAILABLE IN PRINT FORM AND AVAILABLE UPON REQUEST. RESULTS WERE ALSO SHARED THROUGH A PRESS RELEASE TO LOCAL PAPERS; EBLAST TO KEY STAKEHOLDERS AND BUSINESS PARTNERS, AND AT A COMMUNITY FORUM HELD ON FEBRUARY 2010, AT WHICH 120 KEY STAKEHOLDERS FROM ACROSS THE COUNTY ATTENDED. | HUDSON HOSPITAL, INC. | |
| PART V, SECTION B, LINE 7: UNADDRESSED IDENTIFIED NEEDSOF THE 11 HEALTH PRIORITIES REPRESENTED WITHIN THE STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2010, ST. CROIX COUNTY WILL FOCUS ON THE TOP FIVE IDENTIFIED PRIORITIES FOR THE COUNTY: ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES; OVERWEIGHT, OBESITY AND LACK OF PHYSICAL ACTIVITY; ADEQUATE & APPROPRIATE NUTRITION; ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION; AND TOBACCO USE AND EXPOSURE FOR PLAN YEARS 2009-2014. OF THESE FIVE, HUDSON HOSPITAL & CLINICS LEADERSHIP (WITH HOSPITAL BOARD SUPPORT) COMMITTED TO VARIOUS LEVELS OF INVOLVEMENT FOR EACH (LEAD, COLLABORATE, PARTICIPATE, ADVOCATE):- ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES - LEAD/COLLABORATE- OVERWEIGHT, OBESITY, LACK OF PHYSICAL ACTIVITY - LEAD/COLLABORATE- ADEQUATE & APPROPRIATE NUTRITION - LEAD/COLLABORATE- ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION - COLLABORATE/PARTICIPATE/ADVOCATE- TOBACCO USE AND EXPOSURE - PARTICIPATE/ADVOCATEWHILE THE HOSPITAL HAS CLINICAL EXPERTISE IN ALL THE IDENTIFIED HEALTH PRIORITIES, IT CHOSE TO LEAD/COLLABORATE ON THOSE TOPICS WHERE IT HAS THE GREATEST AMOUNT OF RESOURCES (BOTH STAFF AND MATERIALS); CAN BEST UTILIZE ITS CONTENT EXPERTS, AND HAVE THE GREATEST IMPACT ON OVERALL HEALTH IMPROVEMENT. HOSPITAL STAFF MEMBERS SERVE AS TASK FORCE CHAMPIONS OR WORK GROUP LEADS ON ALL OF THE ABOVE PRIORITIES TO HELP ADVANCE THE PLAN. | HUDSON HOSPITAL, INC. | |
| PART V, SECTION B, LINE 13G: THE HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2010 ALONE, THE HOSPITAL PROVIDED $278,373 IN CHARITY CARE. THE HOSPITAL DEFINES CHARITY CARE 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. TO INFORM AND EDUCATE PATIENTS ON ITS FINANCIAL ASSISTANCE PROGRAM, CHARITY CARE POLICY, AND GOVERNMENT PROGRAMS, THE HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. WHEN A PATIENT VISITS THE HOSPITAL'S EMERGENCY DEPARTMENT OR IS ADMITTED TO THE HOSPITAL, BASIC INFORMATION ABOUT INSURANCE STATUS IS REQUESTED. IF A PATIENT DOES NOT HAVE HEALTH INSURANCE, PATIENT FINANCIAL SERVICES IS CONTACTED TO MEET OR FOLLOW-UP WITH THE PATIENT. ALL PATIENTS WITHOUT INSURANCE AUTOMATICALLY QUALIFY FOR A DISCOUNT OF 20%, REGARDLESS OF INCOME. IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY ARE ELIGIBLE FOR FURTHER DISCOUNTS, THEY WILL BE REQUESTED TO PROVIDE ADDITIONAL INFORMATION. ENROLLMENT ASSISTANCE, INFORMATION, AND REFERRAL SERVICES ARE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDER INSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE HOSPITAL'S BUSINESS OPERATIONS, EMPLOYS ONE PATIENT FINANCIAL SERVICES REPRESENTATIVE TO OVERSEE ITS FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2010, THE HOSPITAL SPENT $4,185 IN STAFF TIME TO ASSIST 625 PATIENTS ENROLL IN PUBLIC MEDICAL PROGRAMS; $16,840 IN STAFF TIME TO GUIDE OR REFER 1710 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $67,146 IN STAFF TIME TO GUIDE OR REFER 4,869 PATIENTS TO FINANCIAL ASSISTANCE. FINANCIAL INFORMATION (PAYMENT, BILLING AND INSURANCE COVERAGE) AND FINANCIAL ASSISTANCE OPPORTUNITIES ARE NOTED ON THE HOSPITAL'S WEB SITE, ON ALL BILLING STATEMENTS, AND IN THE PATIENT INFORMATION GUIDE, DISTRIBUTED TO ALL NEW PATIENTS. IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. | HUDSON HOSPITAL, INC. | |
| SCHEDULE H, PART I, LINE 6A - COMMUNITY BENEFIT REPORTAS A NOT-FOR-PROFIT HOSPITAL, THE HOSPITAL NEEDS TO BE ACCOUNTABLE FOR ITS TAX EXEMPTION STATUS - ACCOUNTABLE TO ITS BOARD, STAFF, PHYSICIANS, DONORS, KEY STAKEHOLDERS, COMMUNITY PARTNERS AND MOST OF ALL TO THE COMMUNITIES IT SERVES. THE 2010 REPORT TO COMMUNITY MICRO SITE (HUDSONHOSPITAL.ORG/COMMUNITYREPORT) PLUS PRINT REPORT COMMUNICATES THE ACCOMPLISHMENTS AND CHARITABLE WORKS OF THE HOSPITAL IN SUPPORT OF ITS MISSION - "CARING FOR THE HEALTH OF OUR COMMUNITY" AND THE HUDSON HOSPITAL FOUNDATION, INC.'S COMMITMENT AND SUPPORT IN THESE EFFORTS. THE REPORT TELLS THE HOSPITAL'S STORY IN A PERSONAL AND INTERACTIVE WAY. THE STORIES SHARED ARE IMPORTANT AND TOUCHING REMINDERS OF THE HOSPITAL'S AND HUDSON HOSPITAL FOUNDATION, INC.'S COMMITMENT TO MAKE A DIFFERENCE IN THE LIVES OF THOSE SERVED. THESE REAL-LIFE STORIES ARE POWERFUL WHEN TOLD BY THE PEOPLE WHOSE LIVES WERE SAVED, CHANGED, OR SIMPLY TOUCHED BY THE HOSPITAL AND HUDSON HOSPITAL FOUNDATION, INC. EFFORTS AND DEMONSTRATE COMMUNITY BENEFIT IN ACTION. | ||
| SCHEDULE H, PART I, LINE 7F - HEALTH PROFESSIONS EDUCATIONTHE HOSPITAL'S STAFF PROVIDED CLINICAL TRAINING FOR 100 NURSES AND NURSING STUDENTS AND 22 HEALTH PROFESSIONALS INCLUDING EMS FROM SEVEN INSTITUTIONS AT A COST OF $112,125. IN ADDITION, THE HOSPITAL VOLUNTARILY PARTICIPATED IN THE WISCONSIN NURSE RESIDENCY PROGRAM (WNRP). THE PROGRAM IS A STRUCTURED LEARNING EXPERIENCE FOR NEWLY LICENSED REGISTERED NURSES DESIGNED TO PROMOTE EFFECTIVE TRANSITION INTO PROFESSIONAL PRACTICE. THREE NURSES, PAIRED WITH EXPERIENCED HOSPITAL NURSES ACTING AS COACH/SUPPORT PERSON, COMPLETED THE 12-MONTH PROGRAM. EACH YEAR, IN ADDITION, HUDSON HOSPITAL FOUNDATION, INC. PROVIDES (2) $2,000 SCHOLARSHIPS TO LOCAL HIGH SCHOOL SENIORS PURSUING HEALTH-RELATED EDUCATION AND CAREERS. | ||
| PART VI, LINE 2: NEEDS ASSESSMENTTHE MISSION OF THE HOSPITAL IS CARING FOR THE HEALTH OF OUR COMMUNITY. TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THOSE THE HOSPITAL SERVES, THE ORGANIZATION REMAINED COMMITTED TO ITS PARTNERSHIP WITH ST. CROIX COUNTY PUBLIC HEALTH AND THE COMMUNITY HEALTH IMPROVEMENT PROCESS. HEALTHIER TOGETHER - ST. CROIX COUNTY (FORMERLY CHIP), FACILITATED BY BOTH ORGANIZATIONS, IS A STRATEGIC, ONGOING, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. A STEERING COMMITTEE OF 25+ MEMBERS REPRESENTING DIVERSE ORGANIZATIONS AND AGENCIES FROM ACROSS THE COUNTY PROVIDES OVERSIGHT AND GUIDANCE. TOGETHER, THE COMMITTEE REGULARLY ASSESSES THE STATE OF THE COUNTY'S HEALTH. HAVING COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FALL OF 2009, ACTION AND EVALUATION PLANNING ENSUED IN 2010 AND A FORMAL COMMUNITY HEALTH IMPROVEMENT PLAN WAS COMPLETED AND RELEASED IN JUNE 2011. PLAN IMPLEMENTATION HAS BEGUN AND THE HOSPITAL REMAINS COMMITTED TO PLAN SUCCESS. | ||
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2010 ALONE, THE HOSPITAL PROVIDED $278,373 IN CHARITY CARE. THE HOSPITAL DEFINES CHARITY CARE 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. TO INFORM AND EDUCATE PATIENTS ON ITS FINANCIAL ASSISTANCE PROGRAM, CHARITY CARE POLICY, AND GOVERNMENT PROGRAMS, THE HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. WHEN A PATIENT VISITS THE HOSPITAL'S EMERGENCY DEPARTMENT OR IS ADMITTED TO THE HOSPITAL, BASIC INFORMATION ABOUT INSURANCE STATUS IS REQUESTED. IF A PATIENT DOES NOT HAVE HEALTH INSURANCE, PATIENT FINANCIAL SERVICES IS CONTACTED TO MEET OR FOLLOW-UP WITH THE PATIENT. ALL PATIENTS WITHOUT INSURANCE AUTOMATICALLY QUALIFY FOR A DISCOUNT OF 20%, REGARDLESS OF INCOME. IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY ARE ELIGIBLE FOR FURTHER DISCOUNTS, THEY WILL BE REQUESTED TO PROVIDE ADDITIONAL INFORMATION. ENROLLMENT ASSISTANCE, INFORMATION, AND REFERRAL SERVICES ARE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDER INSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE HOSPITAL'S BUSINESS OPERATIONS, EMPLOYS ONE PATIENT FINANCIAL SERVICES REPRESENTATIVE TO OVERSEE ITS FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2010, THE HOSPITAL SPENT $4,185 IN STAFF TIME TO ASSIST 625 PATIENTS ENROLL IN PUBLIC MEDICAL PROGRAMS; $16,840 IN STAFF TIME TO GUIDE OR REFER 1710 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $67,146 IN STAFF TIME TO GUIDE OR REFER 4,869 PATIENTS TO FINANCIAL ASSISTANCE. FINANCIAL INFORMATION (PAYMENT, BILLING AND INSURANCE COVERAGE) AND FINANCIAL ASSISTANCE OPPORTUNITIES ARE NOTED ON THE HOSPITAL'S WEB SITE, ON ALL BILLING STATEMENTS, AND IN THE PATIENT INFORMATION GUIDE, DISTRIBUTED TO ALL NEW PATIENTS. IN ADDITION TO FINANCIAL COUNSELING, THE HOSPITAL HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE. | ||
| PART VI, LINE 4: COMMUNITY INFORMATIONTHE HOSPITAL SERVES RESIDENTS FROM ST. CROIX AND PIERCE COUNTIES IN WESTERN WISCONSIN AND AREAS OF NEIGHBORING MINNESOTA. OUR PRIMARY SERVICE AREA IS HUDSON, WI 54016 (INCLUDES HUDSON, HUDSON TOWNSHIP, TROY, ST. JOSEPH'S AND NORTH HUDSON). OUR SECONDARY SERVICE AREA INCLUDES WI (BALDWIN, HAMMOND, HOULTON, NEW RICHMOND, PRESCOTT, RIVER FALLS, ROBERTS AND SOMERSET) AND MN (BAYPORT, LAKELAND, AND STILLWATER). 2010 CENSUS LISTS THE POPULATION OF ST. CROIX COUNTY AT 84,345, A 33.6% POPULATION GROWTH SINCE 2000. RAPID GROWTH CONTINUES WITHIN ST. CROIX COUNTY, MUCH IN PART DUE TO ITS CLOSE PROXIMITY TO THE TWIN CITIES (MINNEAPOLIS/ST. PAUL) WHERE MANY RESIDENTS COMMUTE TO WORK. ST. CROIX COUNTY'S POPULATION IS COMPRISED OF: 7.4% UNDER 5 YEARS OLD, 26% UNDER 18, 10% 65 YEARS AND OVER, AND 50% FEMALE. THE POPULATION IS 95.9% WHITE, 0.7% BLACK, 0.4% AMERICAN INDIAN, 1.0% ASIAN AND 2.0% HISPANIC OR LATINO. ST. CROIX COUNTY HAS A HIGH MEDIAN INCOME COMPARATIVELY WITHIN THE STATE - $69,682 AND A POVERTY RATE APPROXIMATELY HALF THAT OF THE REST OF THE STATE - 6.3%.ACCORDING TO THE 2011 COUNTY HEALTH RANKINGS REPORT, ST. CROIX COUNTY RANKED AS THE 2ND HEALTHIEST COUNTY OVERALL IN THE STATE (OUT OF 72). | ||
| PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS AND THE MEDICAL STAFF IS ORGANIZED IN THE PUBLIC'S INTEREST. THE HOSPITAL AIMS TO BE THE PREMIER PARTNER IN THE COMMUNITY'S QUEST FOR HEALTH AND HAPPINESS. WORKING IN PARTNERSHIP WITH EACH OTHER, THE HEALTHPARTNERS FAMILY OF RELATED HEALTHCARE ORGANIZATIONS, HUDSON PHYSICIANS - WWMA, AND THE COMMUNITY, THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2010. 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: - IMPLEMENTATION OF EPIC ELECTRONIC HEALTH RECORD (EHR) WHICH ADVANCED QUALITY AND EXPERIENCE FOR PATIENTS, CLINICIANS AND MEDICAL STAFF, AND CREATED A REGIONAL HEALTHPARTNERS NETWORK. THE HOSPITAL IS ONE OF THE FEW ITS SIZE NATIONALLY TO HAVE EPIC.- IMPLEMENTATION OF THE START SEEING YELLOW PROGRAM TO PREVENT INPATIENT FALLS.- IMPLEMENTATION OF SURGICAL CARE IMPROVEMENT PROJECT (SCIP) - NATIONAL PATIENT SAFETY INITIATIVE TO REDUCE PATIENT INFECTION RATES. THE HOSPITAL REPORTS SOME OF THE LOWEST SURGICAL INFECTION RATES IN THE REGION (1:201 PROCEDURES - U.S AVERAGE 1:57 PROCEDURES).- ADDITION OF MANY NEW HEALTH CARE PROVIDERS TO THE CAMPUS TEAM, INCLUDING SPECIALISTS IN INTERNAL MEDICINE, PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, MIDWIFERY, OPHTHALMOLOGY, SPORTS MEDICINE, NEPHROLOGY, FAMILY MEDICINE, THE HOSPITALIST PROGRAM AND OTHERS.- COLLABORATION WITH FIVE OTHER HOSPITALS AND TWO MEDICAL PROVIDER GROUPS TO CREATE THE CANCER CENTER OF WESTERN WISCONSIN (CCWW), LOCATED ON THE WESTFIELDS HOSPITAL CAMPUS, NEW RICHMOND. THE CENTER AND SYSTEM OF COORDINATED CANCER CARE WILL AFFORD PATIENTS REGIONAL ACCESS TO THE AREA'S ONLY RADIATION THERAPY CENTER. GROUNDBREAKING TOOK PLACE IN EARLY AUGUST. CENTER OPENING: MAY 2011. - RECORD-SETTING 532 BABIES WERE BORN IN THE BIRTH CENTER - MARKING THE HIGHEST NUMBER OF BIRTHS IN A SINGLE YEAR SINCE THE HOSPITAL'S FOUNDING IN 1953. BIRTH CENTER GROWTH: 11%.- ACCORDING TO PRESS GANEY SURVEY DATA (1800 HOSPITAL DATABASE), THE HOSPITAL'S BIRTH CENTER NURSING STAFF RANKS AMONG THE BEST IN THE NATION - 99TH PERCENTILE FOR FRIENDLINESS AND ATTITUDE (AMONG TOP 18 HOSPITALS NATIONWIDE).THE HOSPITAL'S DEVOTION TO THE HEALTH OF THE COMMUNITY STARTS WITH PROVIDING EXCEPTIONAL MEDICAL CARE TO EACH PATIENT AND EXTENDS TO FAMILIES AND ORGANIZATIONS THROUGHOUT THE REGION. THROUGH ITS COMMUNITY BENEFIT PROGRAM, WHICH IS INTEGRATED INTO THE ORGANIZATION PLAN, THE HOSPITAL OFFERED SPECIAL HELP AND SUPPORT - FOR INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP TO EFFORTS OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL. 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 2010 COMMUNITY BENEFIT CONTRIBUTION EQUALED $3,743,979 WHICH REPRESENTS 7.8% OF NET REVENUE. | ||
| PART VI, LINE 7: AFFILIATED HEALTH CARE SYSTEMPLEASE SEE SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." | ||
| WI,MN | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIAN M FURLONG | |||||||||||||
| 130 | 225586 | 0 | 50756 | 0 | 0 | 0 | 0 | 0 | 51337 | 130 | 327679 | 0 | 0 |
| BURKE KEALEY MD | |||||||||||||
| 130 | 355756 | 0 | 29600 | 0 | 0 | 0 | 0 | 0 | 82429 | 130 | 467785 | 0 | 0 |
| BROCK D NELSON | |||||||||||||
| 130 | 416402 | 0 | 131527 | 0 | 851 | 0 | 83323 | 0 | 78596 | 130 | 710699 | 0 | 0 |
| SCOTT A SCHNUCKLE | |||||||||||||
| 130 | 280975 | 0 | 82672 | 0 | 10876 | 0 | 25565 | 0 | 71234 | 130 | 471322 | 0 | 0 |
| DEBORAH BRISCH-CRAMER | |||||||||||||
| 148389 | 0 | 21443 | 0 | 138 | 0 | 0 | 0 | 22207 | 0 | 192177 | 0 | 0 | 0 |
| STEVE MUELLERLEILE | |||||||||||||
| 178312 | 0 | 27221 | 0 | 396 | 0 | 0 | 0 | 13179 | 0 | 219108 | 0 | 0 | 0 |
| SHEILA PROEHL | |||||||||||||
| 0 | 178226 | 0 | 23621 | 0 | 0 | 0 | 0 | 0 | 34717 | 0 | 236564 | 0 | 0 |
| MICHELLE M SIMPSON | |||||||||||||
| 119263 | 0 | 500 | 0 | 54 | 0 | 0 | 0 | 13467 | 0 | 133284 | 0 | 0 | 0 |
| KATHRYN M ANDERSON | |||||||||||||
| 122840 | 0 | 500 | 0 | 206 | 0 | 0 | 0 | 24443 | 0 | 147989 | 0 | 0 | 0 |
| DARLA R KLEMENTZ | |||||||||||||
| 116442 | 0 | 5863 | 0 | 54 | 0 | 0 | 0 | 13403 | 0 | 135762 | 0 | 0 | 0 |
| THOMAS J RICHARD | |||||||||||||
| 110206 | 0 | 7799 | 0 | 138 | 0 | 0 | 0 | 13009 | 0 | 131152 | 0 | 0 | 0 |
| KATHRYN A SMITH | |||||||||||||
| 118473 | 0 | 500 | 0 | 317 | 0 | 0 | 0 | 22950 | 0 | 142240 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 DIRECTORS: BROCK D. NELSON $ 34,855 SCOTT A. SCHNUCKLE 8,955 -------- TOTAL $ 43,810 |
| PART I, LINE 6 | HUDSON HOSPITAL, INC.'S (HOSPITAL) PRESIDENT AND CHIEF FINANCIAL OFFICER (CFO) ARE EMPLOYEES OF REGIONS HOSPITAL (REGIONS), A RELATED ORGANIZATION. THE HOSPITAL'S OTHER OFFICERS ARE EMPLOYEES OF THE HOSPITAL. BOTH REGIONS AND THE HOSPITAL HAVE MANAGEMENT INCENTIVE PROGRAMS WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAM REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (NET MARGIN), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A NET MARGIN THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXEMPT PURPOSE AND ACHIEVEMENTS | FORM 990, PART III, LINE 4A | I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HUDSON HOSPITAL, INC. (HOSPITAL), A STATE LICENSED 25-BED, LEVEL IV CRITICAL ACCESS HOSPITAL (CAH), IS A WISCONSIN NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THE HOSPITAL IS THE SOLE CORPORATE MEMBER OF HUDSON HOSPITAL FOUNDATION, INC., A FOUNDATION WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL. GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. ARE CORPORATE MEMBERS OF THE HOSPITAL. THE HOSPITAL IS PART OF THE HEALTHPARTNERS FAMILY OF CARE. HEALTHPARTNERS, INC., A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) WHICH IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4), 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). HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL AND REGIONS HOSPITAL'S SISTER ORGANIZATIONS, REGIONS HOSPITAL FOUNDATION, CAPITAL VIEW TRANSITIONAL CARE CENTER (FORMERLY NORTH ST. PAUL TRANSITIONAL CARE CENTER), AND RAMSEY INTEGRATED HEALTH SERVICES, ALL OF WHICH ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HPI-RAMSEY IS ALSO THE SOLE CORPORATE MEMBER OF RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). HEALTHPARTNERS, INC. IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C) (3): GROUP HEALTH PLAN, INC. (A STAFF MODEL HMO) WHICH IS ITSELF THE SOLE CORPORATE MEMBER OF HEALTHPARTNERS RESEARCH FOUNDATION, PHYSICIANS NECK & BACK CLINICS AND HEALTHPARTNERS CENTRAL MINNESOTA CLINICS, INC. (FORMERLY CENTRAL MINNESOTA GROUP HEALTH, INC.), ALL OF WHICH ARE EXEMPT UNDER SECTION 501(C) (3), HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION, AND RHSC, INC. RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. ARE CORPORATE MEMBERS OF THE HOSPITAL AND WESTFIELDS HOSPITAL, INC., BOTH OF WHICH ARE WISCONSIN NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS ALSO THE SOLE CORPORATE MEMBER OF WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY, AN AMBULANCE SERVICE WHICH IS A WISCONSIN NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TOGETHER, ALL OF THESE RELATED ORGANIZATIONS COMPRISE THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS), WHICH IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT COMBINES THE PROVISION AND FINANCING OF HEALTH CARE SERVICES, FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS VARIOUS ENTITIES' MEMBERS, PATIENTS, AND THE BROADER COMMUNITY. 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 WORK IN PARTNERSHIP WITH THE HEALTHPARTNERS FAMILY, HUDSON PHYSICIANS - WWMA, AND THE COMMUNITY TO ALSO PROMOTE COMMUNITY HEALTH THROUGH CLINICAL INITIATIVES, EDUCATION AND OUTREACH, AND COMMUNITY HEALTH IMPROVEMENT EFFORTS SUCH AS HEALTHIER TOGETHER - ST. CROIX COUNTY. |
| THE HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE HUDSON COMMUNITY AND SURROUNDING AREA - A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1953. PROGRAMS AND SERVICES INCLUDE: A REGIONALLY POPULAR BIRTH CENTER, RANKED IN THE TOP 3% OF BIRTHING UNITS (TOP 50 HOSPITALS) NATIONWIDE FOR EXCEPTIONAL CARE DELIVERY; EXPANDED PHASE II CARDIAC REHABILITATION PROGRAM; HEART CARE CLINIC ADDITION - PEDIATRIC CARDIOLOGY (WESTERN WISCONSIN'S ONLY SOURCE FOR THIS SPECIALTY); A NEW INTERNAL MEDICINE CLINIC AND A HOSPITALIST PROGRAM (ONLY HOSPITAL IN WESTERN WISCONSIN TO PROVIDE THIS MODEL OF CARE). OTHER SERVICES INCLUDE: THE EMERGENCY CENTER (WITH MEDICAL HELICOPTER TRANSPORT SERVICE), IMAGING CENTER, REHABILITATION CENTER, SURGERY & PROCEDURE CENTER, CANCER CARE, HEART CARE, NEUROLOGY, ORTHOPAEDICS AND MORE. THE HOSPITAL CAMPUS IS DESIGNED WITH THE LATEST TECHNOLOGY AND AMENITIES TO SUPPORT WHOLE HEALTH AND HEALING FOR PATIENTS AND THEIR FAMILIES - INCLUDING A NATIONALLY ACCLAIMED AND INTERNATIONALLY RECOGNIZED HEALING ARTS PROGRAM. THE PROGRAM, A COLLABORATION BETWEEN THE HOSPITAL AND THE PHIPPS CENTER FOR THE ARTS, IS ONE OF THE MOST COMPREHENSIVE HOSPITAL ARTS PROGRAM IN THE REGION WITH OVER 175 ORIGINAL PIECES OF ART ON DISPLAY AT ANY GIVEN TIME. BEST CARE, BEST EXPERIENCE ACTIVITIES, INCLUDING PROMISES TO PATIENTS AND PROMISES TO EACH OTHER WERE INTRODUCED IN SUPPORT OF A CULTURE OF EXCELLENCE - ONE OF RESPECT, ACCOUNTABILITY FOR EXCELLENCE, AND EMPLOYEE ENGAGEMENT AND INVOLVEMENT. THE HOSPITAL'S OVERALL "ENGAGEMENT INDEX" WAS 86%, AS REPORTED BY TOWERS WATSON, A GLOBAL ORGANIZATIONAL PERFORMANCE CONSULTING FIRM. "HIGH PERFORMING" COMPANIES HAVE ENGAGEMENT INDEXES BEGINNING AT 76%. A PATIENT'S WILLINGNESS TO RECOMMEND IS A LEADING INDICATOR OF SUCCESSFUL CUSTOMER SERVICE. THE HOSPITAL INPATIENT SCORES REMAIN HIGH AT THE 88TH PERCENTILE NATIONAL RANKING (TOP BOX: "WOULD DEFINITELY RECOMMEND") AMONG PRESS GANEY HOSPITALS OF COMPARABLE SIZE. PRESS GANEY IS THE COUNTRY'S LARGEST HOSPITAL DATABASE OF PATIENT SATISFACTION SURVEY DATA. II. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2010 THE HOSPITAL AIMS TO BE THE PREMIER PARTNER IN THE COMMUNITY'S QUEST FOR HEALTH AND HAPPINESS. WORKING IN PARTNERSHIP WITH EACH OTHER, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, HUDSON PHYSICIANS (WWMA), THE COMMUNITY, AND THE HOSPITAL ACCOMPLISHED A GREAT DEAL IN 2010. 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: - IMPLEMENTATION OF EPIC - ELECTRONIC HEALTH RECORD (EHR) WHICH ADVANCED QUALITY AND EXPERIENCE FOR PATIENTS, CLINICIANS AND MEDICAL STAFF, AND CREATED A REGIONAL HEALTHPARTNERS NETWORK. THE HOSPITAL IS ONE OF THE FEW ITS SIZE NATIONALLY TO HAVE EPIC. - IMPLEMENTATION OF THE START SEEING YELLOW PROGRAM TO PREVENT INPATIENT FALLS. - IMPLEMENTATION OF SURGICAL CARE IMPROVEMENT PROJECT (SCIP) - NATIONAL PATIENT SAFETY INITIATIVE TO REDUCE PATIENT INFECTION RATES. THE HOSPITAL REPORTS SOME OF THE LOWEST SURGICAL INFECTION RATES IN THE REGION (1:201 PROCEDURES - U.S AVERAGE 1:57 PROCEDURES). - ADDITION OF MANY NEW HEALTH CARE PROVIDERS TO THE CAMPUS TEAM, INCLUDING SPECIALISTS IN INTERNAL MEDICINE, PEDIATRIC CARDIOLOGY, ENDOCRINOLOGY, MIDWIFERY, OPHTHALMOLOGY, SPORTS MEDICINE, NEPHROLOGY, FAMILY MEDICINE, THE HOSPITALIST PROGRAM AND OTHERS. - COLLABORATION WITH FIVE OTHER HOSPITALS AND TWO MEDICAL PROVIDER GROUPS TO CREATE THE CANCER CENTER OF WESTERN WISCONSIN (CCWW), LOCATED ON THE WESTFIELDS HOSPITAL CAMPUS, NEW RICHMOND. THE CENTER AND SYSTEM OF COORDINATED CANCER CARE WILL AFFORD PATIENTS REGIONAL ACCESS TO THE AREA'S ONLY RADIATION THERAPY CENTER. GROUNDBREAKING TOOK PLACE IN EARLY AUGUST, CENTER OPENING IN MAY 2011. - RECORD-SETTING 532 BABIES WERE BORN IN THE BIRTH CENTER - MARKING THE HIGHEST NUMBER OF BIRTHS IN A SINGLE YEAR SINCE THE HOSPITAL'S FOUNDING IN 1953. BIRTH CENTER GROWTH: 11%. - ACCORDING TO PRESS GANEY SURVEY DATA (1800 HOSPITAL DATABASE), THE HOSPITAL'S BIRTH CENTER NURSING STAFF RANKS AMONG THE BEST IN THE NATION - 99TH PERCENTILE FOR FRIENDLINESS AND ATTITUDE (AMONG TOP 18 HOSPITALS NATIONWIDE). WHILE 2010 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." THE HOSPITAL AND ST. CROIX COUNTY PUBLIC HEALTH CONTINUED TO CO-FACILITATE THE COUNTY-WIDE COMMUNITY HEALTH IMPROVEMENT INITIATIVE NOW KNOWN AS HEALTHIER TOGETHER - ST. CROIX COUNTY (FORMERLY CHIP). SINCE JUNE 2008, THEY HAVE WORKED TOGETHER TO BETTER UNDERSTAND CURRENT AND FUTURE HEALTH CARE NEEDS OF ST. CROIX COUNTY. THE PROCESS INVOLVES ASSESSING, PRIORITIZING AND ADDRESSING HEALTH NEEDS IN THE REGION. HEALTHIER TOGETHER IS A STRATEGIC, COUNTY-WIDE, COMMUNITY-BASED APPROACH FOR CREATING AND MAINTAINING HEALTHY COMMUNITIES. A STEERING COMMITTEE OF 20+ MEMBERS REPRESENTING DIVERSE ORGANIZATIONS FROM ACROSS THE COUNTY PROVIDES OVERSIGHT AND GUIDANCE. THEY WORK TOGETHER TO BETTER ALIGN EFFORTS AMONG COMMUNITY PARTNERS AND CREATE A MORE STRATEGIC FRAMEWORK FOR LOCAL HEALTH IMPROVEMENT ACTIVITIES. FROM THE 2009 COUNTY-WIDE COMMUNITY NEEDS ASSESSMENT (EXECUTIVE SUMMARY AND FULL REPORT ARE PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE), THE TOP 5 HEALTH PRIORITIES WERE IDENTIFIED FOR THE PURPOSE OF EDUCATING AND MOBILIZING AREA ORGANIZATIONS, PLANNING ACTIONS TO IMPROVE PUBLIC HEALTH AND QUALITY OF LIFE, AND GARNERING RESOURCES FOR HEALTH IMPROVEMENT INITIATIVES. THE TOP 5 HEALTH PRIORITIES FOR 2009-2014 ARE: ACCESS TO PRIMARY AND PREVENTIVE HEALTH SERVICES; OVERWEIGHT, OBESITY, AND LACK OF PHYSICAL ACTIVITY; ADEQUATE AND APPROPRIATE NUTRITION; ALCOHOL AND OTHER SUBSTANCE USE AND ADDICTION; AND TOBACCO USE AND EXPOSURE. | ||
| A COMMUNITY FORUM AND MULTIPLE WORKSHOPS WERE HELD IN 2010 TO SHARE ASSESSMENT FINDINGS AND CONTINUE DIALOGUE ABOUT POSSIBLE ROOT CAUSES OF TROUBLING STATISTICS. BEGINNING IN JUNE 2010, FIVE TASK FORCES AND OVER 100 COMMUNITY MEMBERS BEGAN ACTION, IMPLEMENTATION AND EVALUATION PLANNING TO MOVE ST. CROIX COUNTY'S COMMUNITY HEALTH IMPROVEMENT PROCESS FORWARD. THE HEALTHIER TOGETHER - ST. CROIX COUNTY PLAN (RELEASE DATE - JUNE 2011) WAS TO REPRESENT THE COLLECTIVE EFFORT OF MANY DEDICATED INDIVIDUALS WHO WORKED TO FIND CREATIVE WAYS TO IMPROVE HEALTH ACROSS THE COUNTY. THE HOSPITAL PROVIDED A SIGNIFICANT AMOUNT OF INTELLECTUAL, IN-KIND AND FINANCIAL RESOURCES TO THIS INITIATIVE SINCE IT BEGAN. TOTAL 2010 COMMUNITY BENEFIT CONTRIBUTIONS IN SUPPORT OF THE HEALTHIER TOGETHER INITIATIVE ARE VALUED AT $47,282. THE HOSPITAL'S DEVOTION TO THE HEALTH OF THE COMMUNITY STARTS WITH PROVIDING EXCEPTIONAL MEDICAL CARE TO EACH PATIENT AND EXTENDS TO FAMILIES AND ORGANIZATIONS THROUGHOUT THE REGION. THROUGH ITS COMMUNITY BENEFIT PROGRAM, THE HOSPITAL OFFERED SPECIAL HELP AND SUPPORT - FOR INDIVIDUALS OR FAMILIES EXPERIENCING FINANCIAL HARDSHIP TO EFFORTS OR ORGANIZATIONS STRIVING TO IMPROVE THE QUALITY OF LIFE FOR ALL. TOTAL 2010 COMMUNITY BENEFIT CONTRIBUTION EQUALED $3,743,979 WHICH REPRESENTS 7.8% OF NET REVENUE. THIS FIGURE IS REPORTED AT COST PER THE CATHOLIC HEALTH ASSOCIATION (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES AND IN ACCORDANCE WITH WISCONSIN HOSPITAL ASSOCIATION (WHA) REPORTING REQUIREMENTS. TRADITIONAL CHARITY CARE AND HEALTHCARE ACCESS FOR LOW-INCOME INDIVIDUALS - $278,373 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 $278,373 IN FREE OR DISCOUNTED CARE TO 166 LOW INCOME AND UNINSURED PATIENTS. CHARITY CARE REPRESENTS ABOUT 0.6% OF THE HOSPITAL'S TOTAL OPERATING EXPENSES. CARE FOR MEDICAID PATIENTS - $1,538,735 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 2,294 PATIENTS TOTALED $1,538,735. SUBSIDIZED HEALTH SERVICES - $1,088,217 THE HOSPITAL IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. IN 2010, LOSS ON SERVICES FOR INPATIENT AND OUTPATIENT HEALTH SERVICES INCLUDING EMERGENCY AND TRAUMA - OBSERVATION, EMERGENCY DEPARTMENT, ONCOLOGY AND HOSPITAL OUTPATIENT SERVICES (PHYSICAL THERAPY, PROGRAMS FOR CHANGE, RESPIRATORY THERAPY) TOTALED $1,088,217. COMMUNITY HEALTH IMPROVEMENT SERVICES - $456,763 THE FOLLOWING ACTIVITIES OR PROGRAMS WERE CARRIED OUT AND SUPPORTED BY THE HOSPITAL IN 2010 FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH: - COMMUNITY HEALTH EDUCATION ($272,207) OVER 10,000 PEOPLE ATTENDED EDUCATIONAL PROGRAMS, CLASSES, SPECIAL EVENTS, HEALTH FAIRS OR SUPPORT GROUPS TAUGHT OR HOSTED BY MEDICAL AND CLINICS STAFF AND CAMPUS PARTNERS OR WERE HOSPITAL FITNESS CENTER MEMBERS (1:1 EDUCATION AND FITNESS TRAINING). TOTAL COMMUNITY HEALTH EDUCATION EXPENSES TOTALED $272,207. CLASSES INCLUDED ADVANCED DIRECTIVES, PRENATAL/FAMILY PLANNING, BREASTFEEDING, BABY SIGN LANGUAGE, BABY MASSAGE, BABYSITTING CLASSES, DOMESTIC VIOLENCE, FAMILY/PARENTING/SIBLING EDUCATION, HEART DISEASE, MEDICATION SAFETY, MENTAL HEALTH AND DEPRESSION, NUTRITION/WEIGHT MANAGEMENT, SCHOOL-BASED HEALTH EDUCATION AND WORKFORCE DEVELOPMENT - HAND HYGIENE, EFFECTS OF SMOKING, CAREER DAY, ETC., AND YMCA PRESCHOOL SAFETY PROGRAM - RISK WATCH. IN ADDITION, OVER 450 PEOPLE ATTENDED 25 FREE HEALTH SEMINARS ON RELEVANT HEALTH TOPICS. OVER 60 CPR/AED AND FIRST-AID TRAINING CLASSES WERE OFFERED TO 631 PARTICIPANTS, AS YOUNG AS 6TH GRADE. SPECIAL HEALTH EDUCATION PROGRAMS AND EVENTS WERE PRESENTED TO REHABILITATION THERAPY CLINICIANS FROM MN/WI (ORTHOPAEDICS CONFERENCE), SENIOR CITIZENS (FALLS PREVENTION SEMINARS), AREA YOUTH (ANNUAL BIKE SAFETY CLINIC) AND AS PART OF LEADERSHIP HUDSON - A PROGRAM DEDICATED TO PROMOTING AND DEVELOPING DYNAMIC BUSINESS AND COMMUNITY LEADERS. OVER 250 PARTICIPANTS ENJOYED AN EVENING OF ZEN - A HOLISTIC APPROACH TO BETTER HEALTH (MEDITATION, YOGA AND NUTRITION TIPS) OFFERED THROUGHOUT THE YEAR. COMMUNITY-BASED HEALTH FAIRS INCLUDING THE REGIONAL HEALTH & WELLNESS EXPO AND HUDSON'S TASTE OF HOME COOKING SCHOOL ATTRACTED OVER 900 PEOPLE, WHO LEARNED ABOUT RECREATION THERAPY - THE BENEFITS OF MOTION AND MOVEMENT, PORTION CONTROL AND SIMPLE INGREDIENT SUBSTITUTIONS, MEDICATION SAFETY, FREE BLOOD PRESSURE CHECKS AND BLOOD SUGAR TESTING. SUPPORT GROUPS FACILITATED BY HOSPITAL STAFF INCLUDED CANCER, NEW PARENT, SMOKING CESSATION AND WEIGHT AND WELLNESS. 166 PEOPLE PARTICIPATED. OTHER SUPPORT GROUPS OFFERED ON CAMPUS BY COMMUNITY PARTNERS INCLUDED CARDIAC REHAB, CELIAC AND SPRUE, CROHN'S & COLITIS, DIABETES, AND PARKINSON'S DISEASE. HEALTH RESOURCE CENTER (HRC) IS OPERATED BY THE HOSPITAL AT A COST OF $18,220. OVER 1200 PEOPLE UTILIZED MATERIALS OR SERVICES. THE HRC IS A LENDING LIBRARY WHERE PATIENTS, THEIR FAMILY AND FRIENDS, STAFF AND COMMUNITY MEMBERS CAN ACCESS HEALTH AND WELLNESS INFORMATION FROM PRINT RESOURCES, INTERNET SITES, ORGANIZED EVENTS, AND STAFF ASSISTANCE FROM A REGISTERED NURSE. OVER 1200 BOOKS AND MAGAZINES ARE CHECKED OUT ANNUALLY. WELLNESS CLASSES ARE OPEN TO THE COMMUNITY AT NO OR LOW COST. THE HOSPITAL FITNESS CENTER, AN ONSITE COMMUNITY FITNESS CENTER USED BY 120 COMMUNITY MEMBERS INCLUDING PHASE 3 CARDIAC REHAB PROGRAM PARTICIPANTS, WAS AVAILABLE FOR USE. OPERATING COSTS OF $65,463 INCLUDED DEDICATED STAFF TIME TO ADMINISTER FITNESS AND EDUCATION PROGRAMS, SPACE USAGE, AND REDUCED FACILITY MEMBERSHIP FEES. - COMMUNITY BASED CLINICAL SERVICES ($10,804) THE HOSPITAL HOSTED NUMEROUS BLOOD DRIVES IN SUPPORT OF THE AMERICAN RED CROSS AND CONDUCTED FREE BLOOD PRESSURE SCREENS THROUGHOUT THE YEAR AT A COST OF $5,067. THE HOSPITAL WELCOMED THE SURVEY OF THE HEALTH OF WISCONSIN (SHOW) MOBILE EXAM CENTER TO ITS CAMPUS AS A MEANS TO LOCALLY SUPPORT STATEWIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS. SHOW WAS LAUNCHED BY THE UW SCHOOL OF MEDICINE AND PUBLIC HEALTH TO RIGOROUSLY ASSESS AND TRACK RESIDENTS' HEALTH IN DETAIL, IN THIS CASE, THE HEALTH OF ST. CROIX COUNTY HOUSEHOLD RESIDENTS RANDOMLY SELECTED TO PARTICIPATE. OPERATIONAL COSTS TOTALED $1,100. THE FIRST GERIATRIC FALLS PREVENTION SCREENING WAS HELD FOR COMMUNITY MEMBERS AS A FOLLOW-UP TO THE FREE FALLS PREVENTION COMMUNITY HEALTH SEMINARS BEING OFFERED. HOSPITAL STAFF WORKED COLLABORATIVELY ACROSS DEPARTMENTS TO PLAN EVENT AT A COST OF $4,637. - HEALTH CARE SUPPORT SERVICES - ($173,752) IN 2010, OVER 11,600 PEOPLE REALIZED THE BENEFIT OF HEALTH CARE SUPPORT SERVICES AVAILABLE INCLUDING TRANSLATION/INTERPRETER SERVICES, VAN TRANSPORTATION, COUNSELING SERVICES, AND LIFELINE HOME MONITORING SYSTEM, TO NAME A FEW. MORE SPECIFICALLY: ASK-A-NURSE IS A COMMUNITY RESOURCE PROVIDED BY THE HRC. FREE EDUCATION CONSULTS, CUSTOM-RESEARCHED HEALTH INFORMATION, AND REFERRAL TO COMMUNITY SERVICES ARE PROVIDED BY REQUEST VIA DROP-IN OR BY TELEPHONE. ASK-A-NURSE AVERAGES 100 REQUESTS PER MONTH. SERVICE WAS PROVIDED AT A COST OF $11,576. THE HOSPITAL'S GOOD SAMARITAN FUND, SUPPORTED BY HUDSON HOSPITAL FOUNDATION AND EMPLOYEE GIVING, DONATED $2,340 TO HELP 26 INDIVIDUALS RECEIVING CARE ON THE HEALTH CAMPUS. FUNDS PROVIDED WERE FOR URGENT AND EMERGENT NEEDS RELATED TO THEIR HEALTH INCLUDING: DURABLE EQUIPMENT, NON-NARCOTIC PRESCRIPTION DRUGS, GAS CARDS, CLOTHING, ETC. ENROLLMENT ASSISTANCE, INFORMATION AND REFERRAL SERVICES WERE AVAILABLE TO HELP SECURE A PAYMENT SOURCE FOR UNINSURED AND UNDERINSURED PATIENTS. PATIENT FINANCIAL SERVICES, ADMINISTERED BY THE HOSPITAL'S BUSINESS OPERATIONS, EMPLOYS ONE PATIENT FINANCIAL SERVICES REPRESENTATIVE TO OVERSEE ITS FINANCIAL ASSISTANCE PROGRAM AND, ALONG WITH SUPPORT FROM DEPARTMENT STAFF, HELPS PATIENTS ENROLL IN GOVERNMENT PROGRAMS, FIND OTHER SOURCES OF PAYMENT, OR ACCESS SERVICES BEYOND MEDICAL CARE. IN 2010, THE HOSPITAL SPENT $4,185 IN STAFF TIME TO ASSIST 625 PATIENTS ENROLL IN PUBLIC MEDICAL PROGRAMS; $16,840 IN STAFF TIME TO GUIDE OR REFER 1,710 PEOPLE TO COMMUNITY SERVICES/PUBLIC HEALTH ASSISTANCE; AND $67,146 IN STAFF TIME TO GUIDE OR REFER 4,869 PATIENTS TO FINANCIAL ASSISTANCE. | ||
| PROGRAMS FOR CHANGE, THE HOSPITAL'S OUTPATIENT CHEMICAL ADDICTION TREATMENT AND RECOVERY CARE PROGRAM, OFFERED PARENTS AND FAMILY MEMBERS THE OPPORTUNITY TO PARTICIPATE IN EDUCATIONAL LECTURES, GROUP DISCUSSION, AND FAMILY TREATMENT GROUPS FREE OF CHARGE IN SUPPORT OF THEIR LOVED ONE. THE HOSPITAL PROVIDED $26,876 IN STAFF TIME TO SUPPORT THE 245 ATTENDEES. VAN TRANSPORT SERVICES WERE AVAILABLE TO COMMUNITY RESIDENTS WITHIN A 15-MILE RADIUS UPON REQUEST. OPERATING COSTS FOR THE PROGRAM TOTALED $18,439. OVER 1,600 RESIDENTS TOOK ADVANTAGE OF THE SERVICES. HEALTH PROFESSIONS EDUCATION - $112,125 THE HOSPITAL'S STAFF PROVIDED CLINICAL TRAINING FOR 100 NURSES AND NURSING STUDENTS AND 22 HEALTH PROFESSIONALS INCLUDING EMS FROM SEVEN INSTITUTIONS AT A COST OF $112,125. IN ADDITION, THE HOSPITAL VOLUNTARILY PARTICIPATED IN THE WISCONSIN NURSE RESIDENCY PROGRAM (WNRP). THE PROGRAM IS A STRUCTURED LEARNING EXPERIENCE FOR NEWLY LICENSED REGISTERED NURSES DESIGNED TO PROMOTE EFFECTIVE TRANSITION INTO PROFESSIONAL PRACTICE. THREE NURSES, PAIRED WITH EXPERIENCED HOSPITAL NURSES ACTING AS COACH/SUPPORT PERSON, COMPLETED THE 12-MONTH PROGRAM. EACH YEAR, HUDSON HOSPITAL FOUNDATION, INC. PROVIDES (2) $2,000 SCHOLARSHIPS TO LOCAL HIGH SCHOOL SENIORS PURSUING HEALTH-RELATED EDUCATION AND CAREERS. CASH DONATIONS - $5,345 THE HOSPITAL'S CASH DONATIONS TO OTHER TAX-EXEMPT COMMUNITY ORGANIZATIONS IN THE FORM OF SPONSORSHIPS OR MEMBERSHIP DUES TOTALED $5,345. IN-KIND DONATIONS - $38,172 IN-KIND SERVICES PROVIDED INCLUDED STAFF HOURS SPENT IN SUPPORT OF BOARD OR COMMITTEE WORK (HUDSON ROTARY CLUB, ST. CROIX ECONOMIC DEVELOPMENT CORPORATION, ST. CROIX COUNTY SUBSTANCE ABUSE ADVISORY COMMITTEE, UW-RIVER FALLS CHANCELLOR ADVISORY COUNCIL, ST. CROIX VALLEY VISUAL ARTS COUNCIL, AND WISCONSIN HOSPITAL ASSOCIATION); EQUIPMENT AND SUPPLIES (HELP FOR HAITI - MARK DRUFFNER, MD MISSION TRIP); SPECIAL EVENTS PLANNING (HEARTWALK, NAMIWALK, HUDSON RELAY FOR LIFE); AND OVERHEAD EXPENSES OF SPACE PROVIDED TO NOT-FOR-PROFIT COMMUNITY GROUPS FOR MEETINGS.. COMMUNITY-BUILDING ACTIVITIES - $110,040 THE HOSPITAL IS AN ENERGETIC MEMBER OF THE LOCAL, STATE AND REGIONAL COMMUNITIES. AS THE HOSPITAL SUPPORTS INDIVIDUALS, ORGANIZATIONS, EVENTS AND PROGRAMS, IT LIVES OUT ITS COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITY. KNOWING MUCH MORE CAN BE ACCOMPLISHED TOGETHER, THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM BUILT VALUABLE CONNECTIONS WITH INDIVIDUALS AND ORGANIZATIONS FROM PUBLIC, PRIVATE AND NONPROFIT SECTORS TO SHARE SKILLS AND ASSETS. 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 TOBACCO COALITION, HEALTHWATCH OF ST. CROIX COUNTY, WISCONSIN YOUTH APPRENTICESHIP PROGRAM, WEST CENTRAL REGIONAL TRAUMA ADVISORY COUNCIL (RTAC), THE HEALING ARTS PROGRAM, ST. CROIX VALLEY FOUNDATION PARTNERS FOR THE FUTURE, SOMERSET MIDDLE SCHOOL CAREER ACADEMIC AND PERSONAL AND SOCIAL SKILLS (CAPS) CLASS, AND LEADERSHIP HUDSON. TO HELP LOCAL BUSINESSES AND ORGANIZATIONS BETTER UNDERSTAND THE CHANGES IN THE HEALTH CARE MARKET AS A RESULT OF HEALTH CARE REFORM, THE HOSPITAL AND WESTFIELDS HOSPITAL SPONSORED EXTREME MAKEOVER 2010: WESTERN WISCONSIN HEALTH CARE REFORM EVENT. OVER 225 COMMUNITY STAKEHOLDERS ATTENDED TO DISCUSS THE EMERGING IMPLICATIONS AND WHAT THEY MIGHT MEAN FOR THE COST AND QUALITY OF EMPLOYEE HEALTH CARE IN THE FUTURE; OPPORTUNITIES AND CHALLENGES; PRIORITY ISSUES; AND THE IMPACT ON HOSPITALS, BUSINESSES AND THE STATE. A GROUP OF INDUSTRY EXPERTS FROM MADISON, WI AND KEYNOTE PRESENTER, MARY BRAINERD, PRESIDENT AND CEO, HEALTHPARTNERS PROVIDED THEIR PERSPECTIVES. THE HOSPITAL CONTINUED ON ITS ECO-FRIENDLY JOURNEY USING SUSTAINABLE BUSINESS PRACTICES IN ORDER TO PROVIDE HEALTH CARE THAT'S HEALTHY. GREEN INITIATIVES INCLUDED THE RECYCLING PROGRAM, COMMUNITY SHARPS DISPOSAL SITE, CREATION OF THE COMMUNITY GARDEN AT THE HOSPITAL IN SUPPORT OF HEALTHIER TOGETHER, AND THE COMMUNITY LABYRINTH. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY SUPPORTED AGRICULTURE AND SERVES AS A DISTRIBUTION SITE FOR LOCALLY-GROWN FRESH, ORGANIC PRODUCE FOR THE COMMUNITY AND PARTICIPATING EMPLOYEES. COMMUNITY BENEFIT OPERATIONS - $121,209 COSTS ASSOCIATED WITH DEDICATED STAFF, PROGRAM OPERATIONS, RESOURCE EXPENSES, TRAINING, TRAVEL, WHA SURVEY COMPLETION, COMMUNITY HEALTH IMPROVEMENT PROCESS EXPENSES, COST OF FUNDRAISING FOR COMMUNITY BENEFIT PROGRAMS, 2009 REPORT TO COMMUNITY (PUBLICALLY AVAILABLE ON THE HOSPITAL'S WEBSITE) - ANNUAL COMMUNITY BENEFIT REPORT AND LAUNCH EVENT, AND OTHER PROGRAM EXPENSES TOTALED $121,209. THIS INVESTMENT REFLECTS THE HOSPITAL'S COMMITMENT TO THE COMMUNITY BENEFIT PROGRAM AND REPORTING PROCESS. THE HOSPITAL "TELLS ITS STORY" IN ITS ANNUAL REPORT TO COMMUNITY TITLED "EACH DAY, HEALTHIER TOGETHER." THE REPORT, NOW AN ONLINE MICRO SITE (LIMITED REPORT PRINT QUANTITIES AVAILABLE) SUPPORTS THE HOSPITAL'S GREEN INITIATIVE AND SHARES HOSPITAL ACCOMPLISHMENTS, SUPPORT EFFORTS OF THE HOSPITAL FOUNDATION, AND LIFE-CHANGING VIDEOS FROM MEMBERS OF THE COMMUNITY. | ||
| FORM 990, PART VI, SECTION A, LINE 6 | AS OF JANUARY 1, 2009, THE CORPORATE MEMBERS OF THE HOSPITAL ARE GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. THESE SAME ENTITIES ARE ALSO THE CORPORATE MEMBERS OF WESTFIELDS HOSPITAL, INC., A CRITICAL ACCESS HOSPITAL IN NEW RICHMOND, WISCONSIN. GROUP HEALTH PLAN, INC. AND RH-WISCONSIN, INC. ARE PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF NOT MORE THAN THIRTEEN (13) PERSONS APPOINTED AS FOLLOWS (AMENDED BYLAWS, ART. II, SECT. 2): - SEVEN (7) COMMUNITY DIRECTORS NOMINATED BY THE BOARD'S NOMINATING COMMITTEE AND APPOINTED BY RH-WISCONSIN, INC. - THREE (3) DIRECTORS APPOINTED BY GROUP HEALTH PLAN, INC., ONE OF WHOM MAY BE A PHISICIAN AND ONE OF WHOM MAY BE THE CHIEF EXECUTIVE OFFICER OF REGIONS HOSPITAL - ONE (1) DIRECTOR WHO IS A MEMBER OF THE ACTIVE MEDICAL STAFF OF THE HOSPITAL AND APPOINTED BY WESTERN WISCONSIN MEDCIAL ASSOCIATES, S.C. OR BY THE LARGEST ACTIVE PRIMARY CARE PHYSICIAN GROUP SERVING THE HOSPITAL. - ONE (1) DIRECTOR SHALL BE THE HOSPITAL'S CHIEF OF STAFF - ONE (1) DIRECTOR SHALL BE A PHYSICIAN NOMINATED BY THE BOARD'S NOMINATING COMMITTEE AND APPOINTED BY RH-WISCONSIN, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL'S CORPORATE MEMBERS - RH-WISCONSIN, INC. AND GROUP HEALTH PLAN, INC. - JOINTLY APPROVE THE FOLLOWING ACTIONS OF THE BOARD OF DIRECTORS OR INITIATE THESE ACTIONS DIRECTLY (AMENDED BYLAWS, ART. III, SECT. 1): - AMENDMENT OF THE ARTICLES, BYLAWS OR OTHER GOVERNING DOCUMENTS - APPROVAL OF THE ADDITION OR DELETION OF MAJOR SERVICE LINES - SALE, LEASE, MORTGAGE OR PLEDGE OF ANY REAL ESTATE OR INTEREST THEREIN, OR OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS - ADOPTION OF AMENDMENT OF A STRATEGIC PLAN, AND CAPITAL AND OPERATING BUDGETS - APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES - APPROVAL OF BORROWING OR LENDING OF FUNDS IN EXCESS OF ONE MILLION DOLLARS - MERGER, CONSOLIDATION, AFFILIATION OR JOINT VENTURE WITH ANY OTHER ENTITY AND TRANSFER OR CONTRIBUTION OF ASSETS AND FUNDS TO SEPARATE ENTITIES - ESTABLISHMENT OR DIVESTITURE OF ENTITIES OF WHICH THE HOSPITAL HAS AN EQUITY OR MANAGEMENT INTEREST, OR ESTABLISMENT OF ANY SIGNIFICANT AND CONTINUING RELATIONSHIP WITH ANY ENTITY - APPOINTMENT AND REMOVAL OF THE HOSPITAL'S PRESIDENT AND CHAIR OF THE BOARD OF DIRECTORS - DISSOLUTION AND DISTRIBUTION OF ASSETS | |
| 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 HEALTHPARTNERS, INC.'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. ONCE THAT REVIEW PROCESS HAS BEEN COMPLETED, IT IS THE POLICY OF THE HOSPITAL TO MAKE AVAILABLE TO THE FINANCE AND AUDIT COMMITTEE OF IT'S BOARD OF DIRECTORS, AND TO IT'S BOARD OF DIRECTORS, A COPY OF THE 990 PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS REQUIRED BY THE BYLAWS OF THE HOSPITAL, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND SUBMIT A REPORT TO THE CHAIR AND HOSPITAL PRESIDENT. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE HOSPITAL'S PRESIDENT AND CHIEF FINANCIAL OFFICER (CFO) ARE EMPLOYEES OF REGIONS HOSPITAL (REGIONS), A RELATED ORGANIZATION WHICH HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND CFO. EACH YEAR, UNDER THE DIRECTION OF THE REGIONS BOARD OF DIRECTORS' COMPENSATION COMMITTEE, AN ANNUAL TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE COMPENSATION COMMITTEE OF REGIONS. THE COMPENSATION COMMITTEE'S MARKET REVIEW PROCESS AND SUBSEQUENT DECISIONS INCLUDE THE FOLLOWING ELEMENTS: - INDEPENDENT BODY - COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEE MEMBERS' INDEPENDENCE - STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS - AUTHORIZED BODY - REGIONS' BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY AND AUTHORITY TO REVIEW AND APPROVE THE COMPARABILITY DATA OF ALL OFFICERS AND ASSOCIATE MEDICAL DIRECTORS - REGIONS' BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF ALL OFFICERS BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA. - COMPARABILITY DATA - EVERY THREE YEARS, THE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY SURVEY FOR ALL OFFICERS OF THE ORGANIZATION. WITH THE INPUT OF THE CONSULTANT, THE COMPENSATION COMMITTEE DETERMINES APPROPRIATE PEER GROUPS INCLUDING BOTH LOCAL AND NATIONAL PEER GROUPS. THE SURVEY CONSIDERS EACH ELEMENT OF TOTAL COMPENSATION AND AGGREGATE TOTAL COMPENSATION. BASED ON THIS DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, THE REGIONS HR DEPARTMENT, UNDER THE COMPENSATION COMMITTEE'S DIRECTION USES THE SAME RECOGNIZED THIRD PARTY SALARY SURVEYS TO DETERMINE MEDIAN SALARY STRUCTURE CHANGES AND AVERAGE SALARY INCREASES. BASED ON THIS UPDATED DATA, THE COMPENSATION COMMITTEE DETERMINES THE TOTAL COMPENSATION RANGES FOR EACH OFFICER. - THE ELEMENTS OF TOTAL COMPENSATION ARE SALARY, INCENTIVES, BENEFITS AND PERQUISITES. - PROPER CONTEMPORANEOUS DOCUMENTATION - MINUTES OF THE COMPENSATION COMMITTEE ARE PREPARED AFTER EACH MEETING AND APPROVED AT THE NEXT MEETING. - TOTAL COMPENSATION IS APPROPRIATELY REPORTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. THE HOSPITAL'S OTHER OFFICERS ARE EMPLOYEES OF THE HOSPITAL. THE HOSPITAL COMPENSATION PROGRAM CONSISTS OF: KEY POINTS: - SALARY RANGES ARE DETERMINED BY UTILIZING PUBLISHED SALARY SURVEY DATA AND LOCAL JOB MARKET INFORMATION (TYPICALLY HRRAM'S ANNUAL SURVEY). - RANGES ARE UPDATED ANNUALLY DURING MAY BY THE HOSPITAL'S HR DEPARTMENT. - RANGES ARE POSITION SPECIFIC AND ARE 95-100% OF THE TWIN CITY MARKET OR 100% OF THE WI DATA (THE HIGHER OF THE TWO). - REGIONS COMPENSATION DEPARTMENT IS REFERENCED FOR NON-MATCHING POSITIONS WITH HRRAM DATA. - WISCONSIN HOSPITAL ASSOCIATION (WHA) SALARY SURVEY IS ALSO REFERENCED FOR SENIOR LEADERS AND EXECUTIVE POSITIONS. - PLACEMENT IN THE RANGE IS DETERMINED BY JOB DESCRIPTION REQUIREMENTS, INCLUDING EDUCATION, TRAINING, EXPERIENCE, LENGTH OF TIME IN THE POSITION, AND PERFORMANCE IN THE POSITION. - POSITIONS WITHIN MANAGEMENT COUNCIL UTILIZE THE COMPA-RATIO FOR REVIEW OF SALARY RANGES. TYPICALLY MANAGERS WILL BE 0.90 OR GREATER, DEPENDING ON SKILLS, MANAGEMENT EXPERIENCE, ETC. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL. THE HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE WISCONSIN SECRETARY OF STATE'S OFFICE. THE HOSPITAL'S CONFLICT OF INTEREST POLICY CAN BE VIEWED THROUGH THE HUDSON HOSPITAL.ORG WEBSITE. | |
| AVERAGE HOURS - RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) | DIRECTORS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH PLAN, INC., REGIONS HOSPITAL, OR THE HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | CONTRIBUTION OF LONG-LIVED ASSETS 30,073. INCREASE IN INTEREST IN NET ASSETS OF HUDSON HOSPITAL FOUNDATION 335,820. TRANSFER OF NET ASSETS TO HUDSON HOSPITAL FOUNDATION, INC. -129,455. TOTAL TO FORM 990, PART XI, LINE 5: 236,438. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411693838 | HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(4 | N/A | 0 | ||
| GROUP HEALTH PLAN INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 410797853 | STAFF MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HEALTHPARTNERS INC | |
| HUDSON HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 391279567 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HUDSON HOSPITAL INC | |
| RH-WISCONSIN | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | WI | 501(C)(3) | 0 | 509(A)(3) TYPE II | HPI - RAMSEY | |
| HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411236798 | PRIMARY AND SPECIALTY PATIENT CARE | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | GROUP HEALTH PLAN INC | |
| HPI - RAMSEY | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411793333 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411835843 | MEDICAL EDUCATION | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| HEALTHPARTNERS RESEARCH FOUNDATION | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411670163 | HEALTHCARE RESEARCH | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | GROUP HEALTH PLAN INC | |
| CAPITAL VIEW TRANSITIONAL CARE CENTER | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 412011453 | POST HOSPITALIZATION PATIENT CARE | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| RAMSEY INTEGRATED HEALTH SERVICES | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411503090 | IN-HOME PATIENT CARE | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HPI - RAMSEY | |
| REGIONS HOSPITAL | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 410956618 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411888902 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HPI - RAMSEY | |
| RHSC INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411891928 | HEALTHCARE STAFFING | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HEALTHPARTNERS INC | |
| WESTFIELDS HOSPITAL INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN | |
| WESTFIELDS HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 391770913 | PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT | WI | 501(C)(3) | 0 | 509(A)(3) TYPE I | WESTFIELDS HOSPITAL INC | |
| PHYSICIANS NECK AND BACK CLINICS | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 270684883 | SPECIALTY PATIENT CARE | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | GROUP HEALTH PLAN INC | |
| WWESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY | |||||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 263616590 | PROVIDE MEDICAL TRANSPORT SERVICES | WI | 501(C)(3) | 0 | 509(A)(3) TYPE II | RH-WISCONSIN | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS ADMINISTRATORS INC | ||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411629390 | THIRD PARTY ADMINISTRATOR | MN | HEALTHPARTNERS INC | C |
| HEALTHPARTNERS ASSOCIATES INC | ||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 522365151 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C |
| HEALTHPARTNERS SERVICES INC | ||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411683568 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C |
| HEALTHPARTNERS VENTURES INC | ||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411838197 | DEVELOP HEALTHCARE BUSINESS OPPORTUNITIES | MN | HEALTHPARTNERS INC | C |
| HEALTHPARTNERS INSURANCE COMPANY | ||||||||
| 8170 33RD AVENUE SOUTH PO BOX 1309 | MINNEAPOLIS | MN | 554401309 | 411683523 | MEDICAL AND DENTAL INSURANCE | MN | HEALTHPARTNERS ADMINISTRATORS INC | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HUDSON HOSPITAL FOUNDATION INC | ||
| B | 129455 | CASH AMOUNT |
| HUDSON HOSPITAL FOUNDATION INC | ||
| C | 30073 | CASH AMOUNT |
| HUDSON HOSPITAL FOUNDATION INC | ||
| L | ||
| HUDSON HOSPITAL FOUNDATION INC | ||
| M | ||
| HUDSON HOSPITAL FOUNDATION INC | ||
| N | ||