2024-11-13T11:37:53-06:00 2023-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2023-01-01 844261122 HEALTHPARTNERS RC HEAL 9529935603 8170 33RD AVE SOUTH BLOOMINGTON MN 55425 NATHAN PULSCHER PRESIDENT, OLIVIA HOSPITAL 9529935603 2024-11-13 0 HOLLY K MOEN P01800653 6123055000 2023 2024-10-15 13:58:12Z OLIVIA HOSPITAL & CLINIC NATHAN PULSCHER 8170 33RD AVE SOUTH BLOOMINGTON MN 55425 40183451 0 X WWW.HEALTHPARTNERS.COM X 2020 MN TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 9 5 190 7 0 0 254804 699740 35019978 38826385 0 477120 182427 180206 35457209 40183451 42037 66272 0 0 18545460 19597335 0 0 60794 11778484 11339148 30365981 31002755 5091228 9180696 82644354 96302346 29356531 29525523 53287823 66776823 X TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 0 0 27112200 66272 38905123 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 27112200 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 190 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN J BRANDT 9528836584 8170 33RD AVE S BLOOMINGTON MN 55440 SHERRI BRODERIUS DIRECTOR & CHAIR 0.50 0.00 X X 0 0 0 JEREMY FRANK DIRECTOR, SEC. & TREASURER 0.50 0.00 X X 0 0 0 BRENDA HOLM DIRECTOR 0.50 0.00 X 0 0 0 JAMES LYONS DIRECTOR 0.50 39.50 X 0 381275 80939 CARIN MARTINSON MD DIRECTOR & VPMA 44.50 0.50 X X 346288 0 53935 JENNIFER MYSTER DIRECTOR 0.50 49.50 X 0 657914 140179 GREG SNOW DIRECTOR & VICE CHAIR 0.50 0.00 X X 0 0 0 NATHAN S PULSCHER DIRECTOR & PRESIDENT 0.50 49.50 X X 0 313799 66188 LISA HERGES DIRECTOR 0.50 0.00 X 0 0 0 MATT WESTERLUND DIRECTOR 0.50 49.50 X 0 332526 58836 AMY L DEWAYNE DIRECTOR (JAN-APRIL) 0.50 X 0 458049 67579 NANCY ANDERSON CFO, VP FINANCE 45.00 0.00 X 209639 0 44981 JENNIFER MACIK CNO, VP PATIENT CARE SVCS 57.00 0.00 X 192512 0 44012 KELSEY J FISCHER NURSE PRACTICIONER 42.00 0.00 X 207708 0 46724 JON R KEMP PHYSICIAN 45.00 0.00 X 334730 0 53767 JASON C MABEE NURSE ANESTHETIST 40.00 0.00 X 334129 0 53758 MELISSA A MARVIN PHYSICIAN 40.00 0.00 X 207112 0 28183 JASON D RASMUSSEN NURSE PRACTICIONER 36.00 0.00 X 231349 0 47963 NATHAN BLAD FORMER PRESIDENT 0.00 0.00 X 0 302156 51046 2063467 2445719 838090 24 1 1 0 BIG STONE THERAPIES INC 500 CROSS ST BIG STONE CITY SD 57216 MEDICAL SERVICES 2179887 BUFFALO LAKE HEALTHCARE CENTER 703 W YE PO BOX 368 BUFFALO MN 55314 MEDICAL SERVICES 847803 AYA HEALTHCARE INC PO BOX 123519 DEPT 3519 DALLAS TX 75312 MEDICAL SERVICES 565713 PETER SANDERS 2989 CANYON RD CHASKA MN 55318 MEDICAL SERVICES 237500 SAGILITI 23505 SMITHTOWN RD STE 280 EXCELSIOR MN 55331 UTILITY CONSULTING 217405 9 68063 412811 218866 699740 PATIENT SERVICES 623990 36651852 36651852 MEDICAL RETAIL 623990 2156307 2156307 CMDI REVENUE 623990 18226 18226 38826385 477120 477120 101468 0 101468 101468 101468 CAFETERIA SALES 445200 78738 78738 78738 40183451 38905123 0 578588 X 66272 66272 891367 891367 14813824 13638755 1135934 39135 582985 548466 34519 3291097 2964642 312219 14236 18062 18062 2139 2139 24687 24687 3571805 3225223 339159 7423 128443 8882 119561 133841 75183 58658 515530 94590 420940 625424 593591 31833 79595 77094 2501 66500 52010 14490 503776 492651 11125 1294520 1106463 188057 70102 67377 2725 SUPPLIES 3166259 3166259 EQUIPMENT EXPENSES 563747 536176 27571 TAXES AND ASSESSMENTS 313470 313470 OTHER/MISC FEES 278741 66830 211911 569 204 365 31002755 27112200 3829761 60794 18388545 19256667 5277051 5010207 296105 471285 102450 189066 33215602 12418133 20341100 20797469 37735325 50199465 428418 378187 75360 82644354 96302346 11219157 7777892 4443708 18137374 17303923 29356531 29525523 X 53287823 66776823 53287823 66776823 82644354 96302346 9180696 4308305 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1 LOBBYING ACTIVITIES HPRC PAYS CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. 19235542 1989029 17246513 12344336 10423062 1921274 1635724 6042 1629682 20797469 LEASE OBLIGATION 17303923 17303923 X PART X, LINE 2: HEALTHPARTNERS RC DBA OLIVIA HOSPITAL AND CLINIC (OHC) IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 1 1 1 0 0 620377 620377 0.02000 5620388 4983121 637267 0.02060 6240765 4983121 1257644 0.04060 100156 100156 0.00320 69536 69536 0.00220 169692 169692 0.00540 6410457 4983121 1427336 0.04600 1 728335 9324107 9508345 -184238 X 1 1 1 1 HEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC (OHC) 100 HEALTHY WAY OLIVIA MN 56277 HTTPS://OLIVIAHOSPITAL.COM. 396652 X X X HEALTHPARTNERS RC - OLIVIA HOSPITAL & CL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH X 1 22 1 HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH 0 1 X 100.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT- X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT- X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT- X X X X X 1 X 0 X X X X 1 X 0 0 HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC) PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE OHC 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/ABOUT/COMMUNITY-HEALTH-NEEDS/ HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC) PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI- WESTFIELDS HOSPITAL, NEW RICHMOND, WI- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN- PARK NICOLLET METHODIST HOSPITAL, ST. LOUIS PARK, MN- AMERY REGIONAL MEDICAL CENTER, AMERY, WI- HUTCHINSON HEALTH, HUTCHINSON, MN- REGIONS HOSPITAL, ST. PAUL, MN HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC) PART V, SECTION B, LINE 11: COMMITTED TO HELPING OUR COMMUNITIES BE HEALTHIER, OHC COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS.IN 2021, WE WERE PART OF A COMPREHENSIVE CHNA THAT INCLUDED ALL THE HOSPITALS IN THE HEALTHPARTNERS SYSTEM. IN CONSULTATION WITH THE IMPROVE GROUP, THE ASSESSMENT ANALYZED HEALTH DATA AND INPUT FROM COMMUNITY MEMBERS TO IDENTIFY THE BIGGEST NEEDS:ACCESS TO CARE. THROUGHOUT HEALTHPARTNERS OUR TEAMS ARE WORKING TO EXPAND THE USE OF TECHNOLOGY (TELEMEDICINE, EMAILS, TEXT MESSAGES, MYCHART MESSAGES, ETC.) TO ENGAGE PATIENTS BETWEEN VISITS AND PROMOTE HEALTHY BEHAVIORS. ACCESS TO HEALTH. OUR FOUNDATION IS ASSISTING TO HELP TRANSFORM THE FOOD SHELF BY MAKING HEALTHY, CULTURALLY SPECIFIC FOODS ACCESSIBLE AND APPEALING (SUPER SHELF). IN ADDITION, CREATED A MOBILE FOOD SHELF FOR RESIDENTS IN OUR COUNTY. WORK CONTINUES TO EXPAND THE USAGE OF THE MOBILE FOOD SHELF, WORKING WITH ADDITIONAL COMMUNITY PARTNERS. MENTAL HEALTH AND WELL-BEING. IMPROVING ACCESS BY ADDING A PSYCHIATRIST AND SOON A THERAPIST ONSITE IN OLIVIA IN COLLABORATION WITH HUTCHINSON HEALTH. A PARTNERSHIP WITH 2B CONTINUED AND OUR FOUNDATION TO OFFER TEENAGE MENTAL HEALTH FIRST AID IN OUR AREA SCHOOLS. CONTINUE TO IMPROVE PROVIDER COMMUNICATION, CARE MANAGEMENT AND COORDINATION.NUTRITION AND PHYSICAL ACTIVITY. OUR FOUNDATION CONTINUES TO WORK ON A COMMUNITY-WIDE INITIATIVE TO SUPPORT EATING BETTER, MOVING MORE AND FEELING GOOD INCLUDING: POWERUP SCHOOL CHALLENGE, CLASSES FOR COOKING AND SPORTS NUTRITION ONLINE, COMMUNITY OPTIONS FOR PHYSICAL ACTIVITY, FAMILY MAGAZINES, ONLINE RESOURCES, AND MORE. A PARTNERSHIP WITH OUR COUNTY BACK THE PACK TO FURTHER EXPAND NUTRITION AND PHYSICAL ACTIVITY. IMPLEMENTATION OF A POWERUP FRUIT & VEGGIE RX PROGRAM THAT OFFERS EDUCATION AND VOUCHERS FOR FRUITS AND VEGETABLES AT AREA FARMERS MARKETS AND GROCERY STORES. SUBSTANCE ABUSE. COLLABORATION WITH COMMUNITY PARTNERS TO INCREASE SUBSTANCE ABUSE PREVENTION AND EDUCATION. HEALTHPARTNERS RC - OLIVIA HOSPITAL & CLINIC (OHC) PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR OHC'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2023 WAS 36.3% OF GROSS CHARGES. PATIENTS WHO RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. 2 1 - RURAL HEALTH CLINICS RENVILLE CLINIC 420 MAIN STREET N RENVILLE MN 562840606 HEALTH CLINIC 2 - HECTOR CLINIC 131 BIRCH AVENUE HECTOR MN 553420117 HEALTH CLINIC PART I, LINE 3C: OHC PARTICIPATES IN A MINNESOTA ATTORNEY GENERAL'S (MN AG) AGREEMENT THAT GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER. HPRC APPLIES THE MN AG OR THE 501R DISCOUNT, WHICHEVER IS GREATER. PART I, LINE 7: OHC USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS. 16A, B, C HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/OLIVIA/PATIENT-GUEST/PATIENT-INFORMATION/FINANCIAL-SUPPORT/ PART II, COMMUNITY BUILDING ACTIVITIES: AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL SERVING THE RENVILLE COUNTY RESIDENTS SINCE 1951, OHC CONTINUES TO PLAY AN IMPORTANT ROLE AND IS POSITIONED WELL TO MEET THE HEALTH CARE NEEDS OF THE AREA. OHC IS A FULL-SERVICE MEDICAL CAMPUS OFFERING EMERGENCY SERVICES, SPECIALTY CLINICS AND RURAL HEALTH CLINIC, AS WELL AS INPATIENT, OUTPATIENT, AND MATERNITY SERVICES. OHC IS GOVERNED BY A BOARD OF DIRECTORS WITH REPRESENTATION FROM COMMUNITY MEMBERS AND RENVILLE COUNTY COMMISSIONERS.WORKING IN PARTNERSHIP WITH EACH OTHER, OHC, THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS, AND THE COMMUNITY ACCOMPLISHED A GREAT DEAL IN 2021. ADVANCEMENTS WERE MADE IN SUPPORT OF THE TRIPLE AIM: TO ENSURE BETTER HEALTH FOR ALL, IMPROVED PATIENT EXPERIENCE AND AFFORDABLE HEALTH CARE. DEDICATED STAFF PROMOTE COMMUNITY HEALTH IN THE FOLLOWING WAYS: COMMUNITY WELLNESS PROGRAMS, LACTATION CONSULTS, EXTENSIVE RECRUITMENT FOR PROVIDERS, NURSING STAFF AND OTHER SUPPORT STAFF, DIABETES, NUTRITION AND WEIGHT MANAGEMENT AND CAREGIVERS; ATHLETIC TRAINERS WERE PLACED IN SCHOOLS TO EDUCATE AND ASSIST ATHLETIC PROGRAMS; TRAININGS FOR HEALTH CARE PROFESSIONALS AND NURSING STUDENTS; FLU CLINICS WERE BROUGHT TO BUSINESSES AND COMMUNITY; AND COUNTY LEADER IN PANDEMIC AND DISASTER PREPAREDNESS.OHC ENCOURAGES PATIENTS AND THEIR FAMILIES - THEIR PARTNERS IN HEALTH - TO BE ACTIVELY INVOLVED IN DECISIONS ABOUT THEIR OWN HEALTH CARE. RESEARCH SHOWS THAT PATIENTS AND THEIR FAMILIES WHO ARE MORE INVOLVED WITH THEIR CARE FEEL THEY GET BETTER RESULTS AND ARE MORE SATISFIED. SAFETY AND SATISFACTION ARE OUR PRIORITIES. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2023BETTER RURAL HEALTH CARE STARTS FROM THE GROUND UP. WE'RE MAKING OUR COMMUNITIES HEALTHIER WHEREVER WE CAN WHETHER THAT'S INSIDE A DOCTOR'S OFFICE OR AT YOUR LOCAL FARMER'S MARKET.WE'RE PROUD TO PARTNER WITH HOMETOWN COMMUNITY AND SERVICE ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FRIENDS, NEIGHBORS, AND MORE. OHC STAFF PROVIDED 1088 HOURS OF TIME AS PRECEPTORS FOR STUDENT PROFESSIONAL INTERNS IN A VARIETY OF MEDICAL FIELDS.REVOLUTION WELLNESS EMBRACING A HEALTH AND ACTIVE LIFESTYLE TO HELP GROW A COMMUNITY OF WELLNESS. THROUGH MINDFUL DECISIONS, SUPPORT, AND GUIDANCE WE CAN HELP EACH OTHER IN MAKING BETTER CHOICES FOR OURSELVES, OUR FAMILIES, AND OUR COMMUNITIES. 2023 ACCOMPLISHMENTS INCLUDE: OHC CONTINUES TO RECEIVE A 5-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FOR THE QUALITY OF PATIENT CARE. OHC CONTINUES TO BE AN ACUTE STROKE READY HOSPITAL WITH A LEVEL 4 TRAUMA REDESIGNATION. WE ARE ACTIVELY INVOLVED IN INCREASING SCORING ON THE PRIMEWEST ARCH QUALITY PROGRAM AND MNCARES MINNESOTA COMMUNITY MEASURES. IN 2023, TEAM MEMBERS COMPLETED A QUALITY COHORT WITH SUCCESS IN INCREASING HEALTH PARTNERS RELATED REFERRALS FOR SPECIALTY CARE BY KEEPING CARE CLOSE TO HOME. AS THE ONLY HEALTHCARE FACILITY IN THE COUNTY, WE CONTINUE EFFORTS TO INCREASE ADMINISTRATION OF COVID VACCINATIONS AND OUTPATIENT ANTI-VIRAL MEDICATIONS. WE HAVE IMPLEMENTED AN EVENT REPORTING SOFTWARE TO CAPTURE CRITICAL DATA USED TO IMPROVE QUALITY AND PATIENT CARE SATISFACTION. WE ARE CONTINUALLY STRIVING FOR EXCELLENCE IN QUALITY AND SAFETY FOR OUR PATIENTS IN ALL AREAS OF HEALTHCARE. PART III, LINE 2: BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINANCIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. OHC DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION. PART III, LINE 3: OHC AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS, INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH OHC REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. OHC DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, OHC IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE. PART III, LINE 4: ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE: THE FINANCIAL STATEMENTS DO NOT HAVE A SEPARATE BAD DEBT FOOTNOTE. THE FOLLOWING IS PART OF OHC'S PATIENT ACCOUNTS RECEIVABLE AND CREDIT POLICY:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ANNUAL ALLOWANCE FOR DOUBTFUL ACCOUNTS OR CHARITY CARE, BASED ON ESTABLISHED GUIDELINES FOR IDENTIFYING UNCOLLECTIBLE PATIENT ACCOUNTS AND CLASSIFYING THESE ACCOUNTS AS EITHER DOUBTFUL ACCOUNTS OR CHARITY. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, OHC'S MANAGEMENT PERIODICALLY ASSESSES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE BY TAKING INTO CONSIDERATION BY PAYER CATEGORY, THE EXPECTED NET COLLECTIONS, ACCOUNTS RECEIVABLE AGING, HISTORICAL COLLECTIONS EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE PRIMARY SOURCE OF THE ALLOWANCE FOR CHARITY CARE IS CHARGES FOR UNINSURED PATIENTS. PATIENTS WHO ARE INSURED ARE ASSESSED SEPARATELY FOR COLLECTABILITY FROM UNINSURED PATIENTS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO ESTABLISH THE NET REALIZABLE VALUE OF PATIENT ACCOUNTS RECEIVABLE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CHARITY CARE. PART III, LINE 8: OHC'S MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A. PART III, LINE 9B: THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE OHC FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH PATIENTS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM PATIENTS AND COLLECTION AGENCIES. OHC'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT. PART VI, LINE 2: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE OHC 2021 CHNA AT THEIR CHNA WEBSITE. PART VI, LINE 3: WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT OHC. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. OUR FINANCIAL ASSISTANCE APPLICATION OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY (PLS) OUR FINANCIAL ASSISTANCE POLICYALL STATEMENTS THAT ARE SENT TO PATIENTS INCLUDE A COVER PAGE THAT INCLUDES INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAM.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS, FINANCIAL COUNSELORS, AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTION WORK IS DONE OVER THE PHONE, THOUGH THE HOSPITAL HAS STAFF ON SITE TO ASSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS. PART VI, LINE 4: OHC SERVES THE ENTIRE RENVILLE COUNTY AREA, AN AGRICULTURAL COMMUNITY LOCATED IN THE SOUTHCENTRAL MINNESOTA, APPROXIMATELY 100 MILES WEST OF MINNEAPOLIS, MINNESOTA. THERE ARE 14,548 RESIDENTS IN RENVILLE COUNTY, INCLUDING 3,390 CHILDREN UNDER THE AGE OF 18, AND 3,070 CITIZENS OVER 65, AS OF THE LAST CENSUS. ADDITIONALLY, THERE IS A LARGE POPULATION OF MIGRANT AND SEASONAL FARMWORKERS THAT SERVE THE AREA THROUGHOUT THE YEAR. THE THREE CLINICS THAT ARE ASSOCIATED WITH OHC LOCATED IN RENVILLE, HECTOR AND OLIVIA ARE DEDICATED TO ENSURING ACCESSIBLE HEALTH SERVICES FOR THE ENTIRE COUNTY. OHC PROVIDES PRIMARY CARE AND CARE COORDINATION TO 6,815 PATIENTS THROUGHOUT OUR THREE CLINICS IN RENVILLE COUNTY, MINNESOTA. OHC HAS BEEN SERVING THE AREA RESIDENTS FOR OVER 70 YEARS AND PROVIDES ACCESS TO HIGH-VALUE PRIMARY CARE AND CARE COORDINATION REGARDLESS OF THEIR ABILITY TO PAY, HEALTH CONDITIONS, AGE, OR ETHNICITY. PART VI, LINE 6: PLEASE SEE OHC'S SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS - "I: CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." 0 OLIVIA HOSPITAL & CLINIC FOUNDATION 8170 33RD AVE S BLOOMINGTON MN 55440 411839619 501(C)(3) 66272 0 PROGRAM SUPPORT 1 0 1 0 0 0 0 1 0 0 JENNIFER MYSTER DIRECTOR 0 473822 0 146111 0 37981 0 94631 0 45548 0 798093 0 16047 AMY L DEWAYNE DIRECTOR (JAN-APRIL) 0 333972 0 104314 0 19763 0 24750 0 42829 0 525628 0 0 JAMES LYONS DIRECTOR 0 286419 0 87181 0 7675 0 30280 0 50659 0 462214 0 0 CARIN MARTINSON MD DIRECTOR & VPMA 328373 0 15639 0 2276 0 16500 0 37435 0 400223 0 0 0 MATT WESTERLUND DIRECTOR 0 256502 0 71252 0 4772 0 30182 0 28654 0 391362 0 0 JON R KEMP PHYSICIAN 330544 0 0 0 4186 0 16500 0 37267 0 388497 0 0 0 JASON C MABEE NURSE ANESTHETIST 292795 0 0 0 41334 0 16500 0 37258 0 387887 0 0 0 NATHAN S PULSCHER DIRECTOR & PRESIDENT 0 261957 0 45121 0 6721 0 28036 0 38152 0 379987 0 0 NATHAN BLAD FORMER PRESIDENT 0 217354 0 83562 0 1240 0 27462 0 23584 0 353202 0 0 JASON D RASMUSSEN NURSE PRACTICIONER 172091 0 0 0 59258 0 12195 0 35768 0 279312 0 0 0 NANCY ANDERSON CFO, VP FINANCE 172345 0 37294 0 0 0 9528 0 35453 0 254620 0 0 0 KELSEY J FISCHER NURSE PRACTICIONER 176774 0 0 0 30934 0 11299 0 35425 0 254432 0 0 0 JENNIFER MACIK CNO, VP PATIENT CARE SVCS 159365 0 33147 0 0 0 8807 0 35205 0 236524 0 0 0 MELISSA A MARVIN PHYSICIAN 105775 0 80000 0 21337 0 10395 0 17788 0 235295 0 0 0 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 AND OFFICERS: JENNIFER L. MYSTER 45,684 PART I, LINE 6 OHC OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OHC. THE PRESIDENT OF OHC IS EMPLOYED BY PARK NICOLLET HEALTH SERVICES (PNHS), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM OHC, GHI OR PNHS' MANAGEMENT LEADERSHIP INCENTIVE PROGRAMS, WHICH INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT LEADERSHIP INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G., SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. FORM 990, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS DIRECTOR: JENNIFER L. MYSTER $16,047 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC (OHC) IS A NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). IS THE SOLE MEMBER OF OLIVIA HOSPITAL FOUNDATION AND IS PART OF THE HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 2,000 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS, AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. OHC IS A MEDICAL CENTER DEDICATED TO PROVIDING QUALITY PATIENT CARE WITH A PASSION FOR CLINICAL EXCELLENCE, PATIENT SAFETY, AND A COMMITMENT TO ASSURE THE VERY BEST HEALTH CARE FOR THOSE WE SERVE. OHC IS CHANGING THE FACE OF RURAL HEALTH CARE; STRIVING TO BUILD A HEALTHIER TODAY AND TOMORROW FOR OUR COMMUNITIES WE ARE PROUD TO CALL HOME. OUR FOCUS IS NOT ONLY TO GETTING PATIENTS HEALTHY, BUT ALSO KEEPING OUR COMMUNITY WELL. IN 1951 THE RENVILLE COUNTY HOSPITAL WAS DEDICATED AND OPENED AS A NEW HEALTH OPPORTUNITY FOR RESIDENTS IN THE AREA. OVER THE YEARS, SERVICES HAVE EVOLVED, AND BUILDINGS HAVE BEEN RENOVATED TO MEET THE DYNAMIC NEEDS OF OUR COMMUNITY. IN 2007, RURAL HEALTH CLINICS LOCATED IN THE CITIES OF HECTOR, OLIVIA AND RENVILLE WERE INTEGRATED INTO THE HOSPITAL BUSINESS WHEN PRAIRIE FAMILY PRACTICE, A PHYSICIAN OWNED CLINIC SYSTEM, WAS PURCHASED BY THE HOSPITAL TO ESTABLISH WHAT WE RECOGNIZE TODAY AS THE OHV. IN 2015, A NEW MEDICAL CENTER IN OLIVIA OPENED. ON MAY 1, 2020, OHC, FORMERLY RC HOSPITAL & CLINICS, OFFICIALLY JOINED HEALTHPARTNERS. OHC, WHICH INCLUDES CLINICS IN HECTOR AND RENVILLE, HAS REMAINED A DISTINCT, LOCALLY GOVERNED ENTITY AS PART OF HEALTHPARTNERS. THROUGH THE AFFILIATION, OHC PATIENTS AND COMMUNITIES HAVE BETTER ACCESS TO MORE CARE OPTIONS AND SERVICES. HEALTHPARTNERS IS THE LARGEST CONSUMER-GOVERNED, NON-PROFIT HEALTH CARE ORGANIZATION IN THE NATION WITH A MISSION TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH MEMBERS, PATIENTS, AND THE COMMUNITY. TODAY OHC IS MADE UP OF: OUTPATIENT CLINICS IN OLIVIA, HECTOR, AND RENVILLE A 16-BED CRITICAL ACCESS HOSPITAL IN OLIVIA IN 2023, OHC HAD 150 EMPLOYEES ON AVERAGE THROUGHOUT THE YEAR. CHARITY CARE: CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH CARE SERVICES PROVIDED TO PEOPLE WHO CANNOT AFFORD TO PAY AND WHO MEET THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CRITERIA. THE HOSPITAL PROVIDED FREE OR DISCOUNTED CARE TO LOW-INCOME AND UNINSURED PATIENTS AT AN UNCOMPENSATED COST OF $317,262.45 IN 2023. GOVERNMENT-SPONSORED MEANS TESTED HEALTH CARE: OHC PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICE TO MEDICAID PATIENTS. A SHORTFALL IS CREATED WHEN PAYMENTS RECEIVED FOR THESE SERVICES ARE LESS THAN THE COST OF PROVIDING THE SERVICE. OHC HAD A SHORTFALL OF $278,467 IN 2023. COMMUNITY BENEFIT TO THE COMMUNITY: BETTER RURAL HEALTH CARE STARTS FROM THE GROUND UP. WE'RE MAKING OUR COMMUNITIES HEALTHIER WHEREVER WE CAN WHETHER THAT'S INSIDE A DOCTOR'S OFFICE OR AT YOUR LOCAL FARMER'S MARKET. WE'RE PROUD TO PARTNER WITH HOMETOWN COMMUNITY AND SERVICE ORGANIZATIONS, PUBLIC HEALTH EXPERTS, FRIENDS, NEIGHBORS, AND MORE. HEALTH PROFESSIONAL EDUCATION: OHC STAFF PROVIDED APPROXIMATELY 2,581 HOURS WITH 62 STUDENTS AS MENTORS FOR STUDENT PROFESSIONALS PURSUING VARIETY OF MEDICAL DEGREES. FINANCIAL CONTRIBUTIONS: -OHC DONATED A TOTAL OF $7,735 IN 2023 TO THE FOLLOWING ORGANIZATIONS: -AREA SCHOOLS, AREA COMMUNITY TOWN DAYS, RENVILLE COUNTY AG SOCIETY, TIM ORTH MEMORIAL FOUNDATION, RENVILLE COUNTY WALK IN THE PARK, ETC. COMMUNITY BUILDING ACTIVITIES: -OHC, ALONG WITH THE FOUNDATION PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COLLABORATING AND WORKING TO ADDRESS COMMUNITY HEALTH NEEDS WITH MANY LOCAL PARTNERS. -MN RURAL POPULATION HEALTH COLLABORATIVE, MN CARES (HEALTH CARE HOMES)- RENVILLE COUNTY CHA/CHIP, ETC. -PARTICIPATION IN COMMUNITY-BUILDING ACTIVITIES THAT SUPPORTED ECONOMIC DEVELOPMENT, EMERGENCY PREPAREDNESS, LEADERSHIP DEVELOPMENT, COALITION BUILDING, HEALTH IMPROVEMENT ADVOCACY AND WORKFORCE DEVELOPMENT. -ENGAGING WITH OUR LOCAL SHIP COORDINATOR TO FACILITATE COMMUNITY IMPROVEMENTS AND INITIATIVES, SUCH AS A SUPER FOOD SHELF, HEALTH, AND WELLNESS EFFORTS, AND MORE. COMMUNITY OUTREACH: COMMUNITY BLOOD DRIVES AT OHC. ENCOURAGING OUR STAFF TO DONATE BLOOD IN ADDITION TO OUR COMMUNITY MEMBERS. THESE EVENTS ARE HELD TWICE PER YEAR AT THE OLIVIA SITE. ADULT GRIEF SUPPORT GROUP CLASSES ARE HELD THROUGHOUT THE YEAR FOR ALL. IT'S A TIME FOR INDIVIDUALS TO EXPLORE, SHARE, PROCESS FEELING, AND RECEIVE COMFORT AND COMPANIONSHIP. THESE CLASSES ARE HELD IN PERSON AT OHC. COMMUNITY BENEFIT OPERATIONS: OHC STAFF'S TIME TO COLLECT, ANALYZE AND REPORT COMMUNITY BENEFITS FOR 2023 WAS APPROXIMATELY 32 HOURS. FORM 990, PART VI, SECTION A, LINE 6 PARK NICOLLET HEALTH SERVICE (PNHS) IS THE SOLE CORPORATE MEMBER OF OHC. FORM 990, PART VI, SECTION A, LINE 7A OHC'S BOARD OF DIRECTORS IS COMPRISED OF 10 VOTING DIRECTORS AS FOLLOWS: FIVE COMMUNITY DIRECTORS NOMINATED BY THE BOARD AND APPOINTED BY THE CORPORATE MEMBER, TWO PHYSICIAN DIRECTORS NOMINATED BY THE BOARD AND APPOINTED BY THE CORPORATE MEMBER, AND THREE MEMBER DIRECTORS DESIGNATED BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B PNHS THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF OHC'S BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS -APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT - MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OR THE CORPORATION. -BORROWING , MORTGAGE, PLDEGE, ENCUMBERING OR TRANSFER OF CORPORATE ASSETS -AFFILIATIONS OR JOINT VENTURES WITH ANY OTHER ORGANIZATION - ADDITIONS, EXPANSIONS, ELIMINATIONS OR REDUCTIONS OF MAJOR SERVICES LINES - UNBUDGETED CAPITAL EXPENDITURES OR OTHER FINANCIAL COMMITMENTS IN EXCESS OF $1,000,000 FORM 990, PART VI, SECTION B, LINE 11B OHC'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF OHC. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF OHC, GHI'S INTERNAL LEGAL DEPARTMENT AND OHC'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 OHC. OHC MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE OHC BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE GENERAL COUNSEL OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 OHC OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OHC. GHI, PNHS AND OHC HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE OHC PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, EITHER THE COMPENSATION COMMITTEE OF GHI OR THE OHC FINANCE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM SALARY AND TOTAL COMPENSATION RANGES EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEES REVIEW AND APPROVE EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, OHC BOARD OF DIRECTOR MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE FINANCE COMMITTEE MEMBERS' INDEPENDENCE, AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. WITH OHC BOARD OF DIRECTORS INPUT, THE PRESIDENT OF PNHS CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH OHC'S BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE OHC PRESIDENT. THE PRESIDENT OF OHC ALSO DETERMINES THE COMPENSATION OF OTHER EMPLOYED OHC'S OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE PRESIDENT, OHC HR DIRECTOR AND THE PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS. THE OHC BOARD HAS DELEGATED TO OHC'S PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OHC-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE SURVEY, THE OHC PRESIDENT, OHC HR DIRECTOR AND PNHS SENIOR DIRECTOR OF COMPENSATION & BENEFITS. FORM 990, PART VI, SECTION C, LINE 19 OHC'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM OHC OR HEALTHPARTNERS. OHC'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. OHC'S CONFLICT OF INTEREST POLICY THROUGH ITS RELATED ORGANIZATION, HEALTHPARTNERS, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. FORM 990, PART IX, LINE 11G MEDICAL SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 1,673,689. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,673,689. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 1,551,534. MANAGEMENT AND GENERAL EXPENSES 339,159. FUNDRAISING EXPENSES 7,423. TOTAL EXPENSES 1,898,116. LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411386635 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) LAKEVIEW HEALTH 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410811697 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) LAKEVIEW HEALTH 0 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 CLINIC STAFF AND FACILITIES MN 501(C)(3) 509(A)(3) TYPE I LAKEVIEW HEALTH 0 LAKEVIEW HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 300221189 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1)(A)(III) RH-WISCONSIN INC 0 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391770913 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) WESTFIELDS HOSPITAL INC 0 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 363465840 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) HEALTHPARTNERS INC 0 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 010638901 DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALES MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410834920 CLINIC SERVICES MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411741792 HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390908320 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391726539 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) AMERY REGIONAL MEDICAL CENTER INC 0 HUTCHINSON HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 841715908 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 363317820 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 170(B)(1) (A)(VI) HUTCHINSON HEALTH 0 OLIVIA HOSPITAL & CLINIC FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411839619 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS RC 1 HEALTHPARTNERS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411693838 HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4) N/A 0 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 RH WISCONSIN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE I HPI - 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