2025-11-17T15:30:02-06:00 2024-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2024-01-01 410811697 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC LAKE 9528836584 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 ALITA R RISINGER CFO 9528836584 2025-11-17 1 0 HOLLY K MOEN P01800653 6123055000 2024 2025-03-06 01:10:19Z ALITA R RISINGER 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 192857499 0 X WWW.LAKEVIEW.ORG X 1880 MN TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 13 8 1309 95 0 0 2513693 1251353 182803212 189992686 1294327 1613460 -74455 0 186536777 192857499 213720 154107 0 0 102052560 109851277 0 0 0 71483986 73654284 173750266 183659668 12786511 9197831 132668016 147309789 21740563 20999869 110927453 126309920 X TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. 0 0 166029321 154107 189992686 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 166029321 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 0 1 0 1 0 0 1309 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X SCOTT C PALMQUIST 9528837556 8170 33RD AVE S BLOOMINGTON MN 55440 X MIKE ANDERSON DIRECTOR AND CHAIR 0.58 0.00 X X 0 0 0 SUE HEDLUND DIRECTOR & VICE CHAIR 0.58 0.00 X X 0 0 0 SHARON TOLVA DIRECTOR & TREASURER 0.58 0.00 X X 0 0 0 ELIZABETH BRADSHAW DIRECTOR 0.58 0.00 X 0 0 0 BRIAN L CRESS MD DIRECTOR 0.50 44.50 X 0 353328 43934 MICHAEL FUNK DIRECTOR 0.58 0.00 X 0 0 0 BRETT C HAAKE MD DIRECTOR 0.50 56.50 X 0 737926 124577 PAHOUA HOFFMAN DIRECTOR 0.50 49.50 X 0 452315 112677 JASON HOWARD DIRECTOR 0.58 0.00 X 0 0 0 ANNIE JACOBSEN MD DIRECTOR 0.50 49.50 X 0 628525 74310 JOHN UPPGREN DIRECTOR 0.58 0.00 X 0 0 0 KHU THAO DIRECTOR 0.58 0.00 X 0 0 0 ALITA R RISINGER DIRECTOR & CFO (JULY - DEC) 0.50 49.50 X 0 725287 155052 BRANDI L LUNNEBORG PRESIDENT 0.50 59.50 X 0 708122 144394 NANCY L EVERT SEC. & GENERAL COUNSEL 0.50 49.40 X 0 830206 248257 EMILIENNE ANDERSON VP NURSING SERVICES & CNO 0.50 39.50 X 258660 0 29297 THOMAS S ANDERSON MD VPMA 0.50 49.50 X 0 497218 77505 BRENDA HALL VP ANCILLARY SERVICES 40.00 0.00 X 233433 0 24689 MATTHEW A RICHIE VP SMG (JAN - NOV) 0.00 40.00 X 0 409545 55496 DOUGLAS E JOHNSON CFO LHS (JAN - JUNE) 0.00 40.00 X 511654 0 29214 MICHAEL D WEIS MANAGER SURGEY ANESTHESIA 40.00 0.00 X 311017 0 55550 JUSTIN R CUSICK NURSE ANESTHETIST 40.00 0.00 X 273036 0 52987 MICHAEL S KENNEDY NURSE ANESTHETIST 40.00 0.00 X 241653 0 48505 JASON D TAUZELL NURSE ANESTHETIST 40.00 0.00 X 239632 0 49925 ADIENNE K BACKUS NURSE ANESTHETIST 40.00 0.00 X 235857 0 15996 ANDREW E DORWART MD FORMER SMG PRESIDENT 0.00 0.00 X 0 313511 63716 NATHAN S PULSCHER FORMER VP ANCILLARY SERVIC 0.00 50.00 X 0 359790 72106 2304942 6015773 1478187 187 1 1 0 HEALTHSYSTEMS COOP LAUNDRIES 725 MINNEHAHA AVE E ST PAUL MN 551064441 LAUNDRY SERVICES 446437 ALLINA HEALTH SYSTEM PO BOX 9114 MINNEAPOLIS MN 55480 MEDICAL SERVICES 439455 INTERIM HEALTHCARE STAFFING 2833 FAIRVIEW AVE N ST PAUL MN 55113 STAFFING 164164 MIDWEST UROLOGIC STONE UNIT 1885 CTY RD C WEST ST PAUL MN 55113 MEDICAL SERVICES 157145 CORE STAFFING 452 N FRANKLIN ST STE A FRANKENMUTH MI 48734 STAFFING 148910 10 1234474 16879 1251353 NET PATIENT REVENUE 623990 180470253 180470253 CONTRACT REVENUE 623990 5497860 5497860 MEDICAL RETAIL 623990 3726788 3726788 CAFETERIA 445200 297785 297785 189992686 1613460 1613460 192857499 189992686 0 1613460 154107 154107 1086947 1086947 85070447 77404524 7665923 1370317 939895 430422 16573374 14902531 1670843 5750192 5098055 652137 333538 271216 62322 119711 119711 9055916 7491095 1564821 668625 364034 304591 1085638 892967 192671 2660076 460897 2199179 1819280 1646195 173085 749217 726195 23022 353037 323599 29438 107667 107667 6111149 5206274 904875 407189 375793 31396 MEDICAL & PHARMACY SUPP 45875707 45822472 53235 EQUIPMENT & MAINTENANCE 1720424 1624891 95533 TAXES & ASSESSMENTS 1606202 1606202 OTHER EXPENSE 980908 718379 262529 183659668 166029321 17630347 0 33665272 31654741 17582236 25952672 2525714 2328388 22443619 30265696 107023052 52135342 53597107 54887710 2854068 2220582 132668016 147309789 19072571 18952724 63116 104324 2604876 1942821 21740563 20999869 X 110927453 126309920 110927453 126309920 132668016 147309789 X 9197831 6184636 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 PART II-B, LINE 1: THE HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATION FOR LOBBYING ACTIVITIES. 22364922 22364922 39749255 22993629 16755626 199206 154938 44268 38373429 28986775 9386654 6336240 6336240 54887710 LEASE OBLIGATIONS 1876699 OTHER LT PENSION LIABILITIES 66122 1942821 X PART X, LINE 2: THE HOSPITAL. 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, 2024 OR 2023 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 275.000000000000 1 1 1 0 0 3857010 3857010 0.02080 2819936 1283445 1536491 0.00830 12157101 10217093 1940008 0.01050 18834047 11500538 7333509 0.03960 497314 7915 489399 0.00260 376515 376515 0.00200 14406154 6450616 7955538 0.04290 269340 269340 0.00150 15549323 6458531 9090792 0.04900 34383370 17959069 16424301 0.08860 3350 3350 0.00000 4983 4983 0.00000 1546 1546 0.00000 13600 13600 0.00010 23479 23479 0.00010 1 5706617 30304501 34109391 -3804890 X 1 1 1 1 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 927 CHURCHILL STREET W STILLWATER MN 55082 WWW.LAKEVIEWHEALTH.ORG/ 8029322 X X X LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/ABOUT/ X 1 22 1 WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW 0 1 X 200.000000000000 275.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.LAKEVIEWHEALTH.ORG/POLICIES X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/PATIENT-GUEST/ X HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/ X X X X X X 1 X 0 X X X X 1 X 0 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: AS PART OF THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), HEALTHPARTNERS SOUGHT BROAD COMMUNITY INPUT TO ENSURE THE PERSPECTIVES OF THOSE MOST IMPACTED BY HEALTH NEEDS WERE INCLUDED. THESE CONVERSATIONS WERE DESIGNED TO ELEVATE THE VOICES OF COMMUNITY MEMBERS, PARTICULARLY THOSE FROM UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND TO ENSURE THAT INPUT FROM A WIDE RANGE OF STAKEHOLDERS HELPED INFORM THE CHNA FINDINGS. COMMUNITY CONVERSATIONS WERE FACILITATED WITH LOCAL PARTNERS AND STAKEHOLDERS INCLUDING:HEALTHPARTNERS SYSTEMWIDE STAKEHOLDER GROUPS: COMMUNITY ADVISORY COUNCIL, ADVISORY COUNCIL ON SOCIAL DRIVERS OF HEALTH, COMMUNITY AND ADVOCACY CORNERSTONE, SOCIAL DRIVERS OF HEALTH INTERNAL STAKEHOLDERS, HEALTHPARTNERS DISABILITY COLLEAGUE RESOURCE GROUP, MAKE IT OK STEERING COMMITTEE, MENTAL HEALTH & WELL-BEING STAKEHOLDERS, ACCESS TO CARE STAKEHOLDERS, BLACK AND AFRICAN AMERICAN COLLEAGUE RESOURCE GROUP, TEEN LEADERSHIP COUNCIL, AND LEADERS OF COLOR COLLEAGUE RESOURCE GROUP.AMERY REGIONAL MEDICAL CENTER - SPECIFIC PARTNERS AND GROUPS: PARTNERS FOR RECOVERY, TRANSITION OF CARE COALITION, POLK COUNTY COMMUNITY SERVICES DIVISION, AMERY HOSPITAL PATIENT AND FAMILY ADVISORY COUNCIL, ST. CROIX HEALTH LEADERS AND STAFF, OSCEOLA MEDICAL CENTER PATIENT AND FAMILY ADVISORY COUNCIL, AMERY FAITH LEADERS, PARTICIPANTS AT THE POLK COUNTY FAIR, AND PARTICIPANTS AT THE ST. CROIX TRIBAL HEALTH SHOWCASE.HUDSON HOSPITAL - SPECIFIC PARTNERS AND GROUPS: HUDSON AND WESTFIELDS HOSPITAL PATIENT & FAMILY ADVISORY COUNCIL AND NEW RICHMOND MINISTERIUM.HUTCHINSON HEALTH - SPECIFIC PARTNERS AND GROUPS: MCLEOD COUNTY STAKEHOLDER MEETING, HUTCHINSON FARMER'S MARKET, COMMUNITY NEEDS ASSESSMENT MEETING. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC - SPECIFIC PARTNERS AND GROUPS: STILLWATER COMMUNITY HEALTH ACTION TEAM, COMMUNITY THREAD, AND LAKEVIEW PATIENT AND FAMILY ADVISORY COUNCIL.HEALTHPARTNERS RC (DBA OLIVIA HOSPITAL & CLINIC) - SPECIFIC PARTNERS AND GROUPS: OLIVIA HOSPITAL AND CLINIC FOUNDATION, RENVILLE COUNTY HOUSING COMMITTEE, RENVILLE - KANDIYOHI COUNTY COMMUNITY HEALTH ASSESSMENT MEETING.PARK NICOLLET METHODIST HOSPITAL - SPECIFIC PARTNERS AND GROUPS: SENIOR COMMUNITY SERVICES, ST. LOUIS PARK MENTAL HEALTH COLLABORATIVE, CRG COMMUNITY LEADERS, PARK NICOLLET YOUTH VOLUNTEERS, PARK NICOLLET FOUNDATION BOARDREGIONS HOSPITAL - SPECIFIC PARTNERS AND GROUPS: REGIONS COMMUNITY MEETING, RAMSEY COUNTY ADULT MENTAL HEALTH COMMUNITY ADVISORY COUNCIL, REGIONS HEALTH EQUITY COMMITTEE, REGIONS PATIENT AND FAMILY ADVISORY COUNCIL.WESTFIELDS HOSPITAL - SPECIFIC PARTNERS AND GROUPS: WESTFIELDS AND HUDSON PATIENT & FAMILY ADVISORY COUNCIL AND NEW RICHMOND MINISTERIUM. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS EIGHT HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2024 CHNA:HUDSON HOSPITALWESTFIELDS HOSPITALLAKEVIEW HOSPITALREGIONS HOSPITALHUTCHINSON HEALTHHEALTHPARTNERS RC D/B/A OLIVIA HOSPITAL & CLINICPARK NICOLLET METHODIST HOSPITALAMERY REGIONAL MEDICAL CENTER LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: HEALTHPARTNERS INSTITUTE LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED THREE PRIORITY COMMUNITY HEALTH NEEDS:MENTAL HEALTH AND WELL-BEING SUPPORTING EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING; REDUCING STIGMA; AND IMPROVING ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES.SOCIAL DRIVERS OF HEALTH ADDRESSING COMMUNITY AND ENVIRONMENTAL CONDITIONS THAT AFFECT HEALTH, SUCH AS INCOME, HOUSING, FOOD ACCESS, EDUCATION, TRANSPORTATION, CHILDCARE, BELONGING, SAFETY, AND CLIMATE IMPACTS.ACCESS TO CARE ENSURING EQUITABLE ACCESS TO CONVENIENT, AFFORDABLE, SAFE, CULTURALLY RESPONSIVE, AND HIGH-QUALITY HEALTH CARE.THE 2025 - 2027 IMPLEMENTATION STRATEGY, WHICH RESPONDS TO THESE NEWLY IDENTIFIED NEEDS, WILL BE ADOPTED AND REPORTED ON BEGINNING IN 2025.DURING FISCAL YEAR 2024, HEALTHPARTNERS HOSPITALS CONTINUED TO IMPLEMENT STRATEGIES ALIGNED WITH THE 2021 CHNA PRIORITIES, WHICH INCLUDED ACCESS TO CARE, ACCESS TO HEALTH, MENTAL HEALTH AND WELL-BEING, NUTRITION AND PHYSICAL ACTIVITY, AND SUBSTANCE USE. PROGRESS ON THESE STRATEGIES ACROSS THE HEALTHPARTNERS HOSPITALS IS DESCRIBED BELOW.NEED: ACCESS TO CAREGOAL: IMPROVE ACCESS TO CARE THAT IS APPROPRIATE, AFFORDABLE, AND CONVENIENT. STRATEGIES:LEVERAGE TECHNOLOGY:CONTINUED THE USE OF TECHNOLOGY TO ENGAGE PATIENTS AND SUPPORT PREVENTIVE AND CHRONIC CARE. EFFORTS INCLUDED ENHANCING MOBILE CHECK-IN AND TEXT COMMUNICATIONS, INCREASING MYCHART ACCOUNT CREATION AND ONLINE SCHEDULING AND IMPROVING PATIENT ARRIVAL EFFICIENCY. VIRTUAL CARE SERVICES IN PRIMARY CARE CONTINUED TO ADVANCE, INCLUDING THE REFINEMENT AND SPREAD OF VIRTUALIST AND ADVANCED PRACTICE CLINICIAN (APC) CARE MODELS. MYCHART WAS ALSO USED TO DELIVER PROACTIVE OUTREACH, HELPING PATIENTS STAY UP TO DATE ON PREVENTIVE SCREENINGS AND CHRONIC CONDITION MANAGEMENT.CARE COORDINATION:CARE COORDINATION STRATEGIES CONTINUED TO FOCUS ON TRANSITION CARE MANAGEMENT AND SUPPORTING HIGH-RISK PATIENTS TO PREVENT HOSPITAL AND EMERGENCY DEPARTMENT READMISSIONS. REGISTERED NURSES CONDUCTED OUTREACH TO COORDINATE CARE, AND DEDICATED HOSPITAL FOLLOW-UP VISIT TYPES REMAINED IN PLACE TO HELP PATIENTS SEE THEIR PRIMARY CARE CLINICIANS WITHIN ONE TO TWO WEEKS POST-DISCHARGE.ADVISORY COUNCILS:HEALTHPARTNERS CONTINUED TO HOLD QUARTERLY PATIENT ADVISORY COUNCIL MEETINGS TO GATHER INSIGHTS AND IMPROVE THE CARE EXPERIENCE. FEEDBACK FROM THESE COUNCILS INFORMED EFFORTS TO ENHANCE PATIENT SATISFACTION AND GUIDE SERVICE IMPROVEMENTS.COMMUNITY SENIOR CARE:CONTINUED THE COMMUNITY SENIOR CARE PROGRAM, WHICH SUPPORTS OLDER ADULTS DURING CARE TRANSITIONS BY BRINGING CLINICIANS INTO THE HOME. THE PROGRAM EMPHASIZES NURSING EDUCATION ALONGSIDE CLINICAL CARE TO ADDRESS PATIENTS' MEDICAL NEEDS, SOCIAL DRIVERS OF HEALTH AND PERSONAL GOALS OF CARE. TEAMS WORKED CLOSELY WITH CARE COORDINATION AND SOCIAL WORK STAFF TO ENSURE SMOOTH TRANSITIONS AFTER DISCHARGE, REDUCE READMISSIONS, AND IMPROVE OVERALL QUALITY OF LIFE FOR PATIENTS WITH COMPLEX NEEDS.COMMUNITY PARAMEDICINE: THE COMMUNITY PARAMEDICINE PROGRAM PROVIDES FOLLOW-UP HOME VISITS FOR PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL, WITH A FOCUS ON THOSE MANAGING CHRONIC CONDITIONS SUCH AS CONGESTIVE HEART FAILURE. THESE VISITS HELP SUPPORT RECOVERY, REDUCE READMISSIONS AND CONNECT PATIENTS WITH ADDITIONAL RESOURCES.HOMECARE:CONTINUED TO PROVIDE COMPASSIONATE, IN-HOME CARE FOR PATIENTS WITH SERIOUS ILLNESSES WHILE SUPPORTING THEIR CAREGIVERS. ONGOING QUALITY IMPROVEMENT EFFORTS FOCUSED ON REDUCING AVOIDABLE HOSPITALIZATIONS THROUGH EARLY FOLLOW-UP VISITS, USE OF AN AUDIT TOOL TO ASSESS PREVENTABILITY, AND ENHANCED MEDICATION EDUCATION. THESE EFFORTS HELP ENSURE PATIENTS RECEIVE TIMELY, COORDINATED CARE IN THE COMFORT OF THEIR OWN HOMES.TO SUPPORT MEDICATION SAFETY, A COMMITTEE WAS FORMED, A PATIENT HANDBOOK WAS INTRODUCED, AND MONTHLY AUDITS WERE CONDUCTED. PATIENTS RECEIVED A MEDICATION BIN TO USE DURING VISITS, AND NOTEBOOKS TO TRACK QUESTIONS, HELPING IMPROVE COMMUNICATION AND SATISFACTION.HOSPTIAL@HOME:PROVIDES HOSPITAL-LEVEL CARE FOR ACUTELY ILL PATIENTS IN THEIR HOMES INSTEAD OF EMERGENCY ROOM TRANSFER OR HOSPITALIZATION. IN 2024, HOSPITAL@HOME PREVENTED 169 ADMISSIONS AND SAVED 760 BED DAYS.WORKFORCE RECRUITMENT AND RETENTION:CONTINUED EFFORTS TO STRENGTHEN THE FUTURE HEALTH CARE WORKFORCE THROUGH RECRUITMENT, TRAINING AND MENTORSHIP OPPORTUNITIES. PROGRAMS FOCUSED ON CAREER EXPLORATION FOR HIGH SCHOOL STUDENTS, APPLIED LEARNING PARTNERSHIPS WITH LOCAL EDUCATORS, AND PROFESSIONAL MENTORSHIP FOR INDIVIDUALS PURSUING HEALTH CARE CAREERS. INTERNSHIP OPPORTUNITIES IN PATIENT CARE AND ANCILLARY SERVICES ALSO PROVIDED VALUABLE HANDS-ON EXPERIENCE FOR STUDENTS. THESE EFFORTS ARE DESIGNED TO INCREASE AWARENESS AND ENGAGEMENT IN HEALTH CARE CAREERS, PARTICULARLY IN ENTRY-LEVEL AND TECHNICAL ROLES.ADDRESS DISPARITIES IN CARE:EFFORTS CONTINUED TO FOCUS ON REDUCING AND ELIMINATING DISPARITIES IN CHRONIC CONDITIONS, PREVENTIVE SCREENINGS, MATERNAL AND INFANT CARE AND CHILDHOOD IMMUNIZATIONS. WITH AN EMPHASIS ON HEALTH EQUITY, HEALTHPARTNERS WORKS TO IDENTIFY DISPARITIES RELATED TO RACE, SOCIOECONOMIC STATUS, LANGUAGE AND OTHER FACTORS. HIGHLIGHTS OF THIS WORK IN 2024 INCLUDE:- INCLUSIVE LEADER WORKSHOP: THIS FOUR-PART MODULE FOR LEADERS BUILDS SKILLS TO FOSTER INCLUSIVE WORKPLACES AND BETTER SERVE DIVERSE COMMUNITIES. LEADERS LEARN TO USE THE EQUITY LENS TOOLKIT, LEAD EQUITY-FOCUSED COACHING CONVERSATIONS, AND BUILD INCLUSIVE STRATEGIES. BY THE END OF 2024, OVER 50 PERCENT OF LEADERS COMPLETED THE WORKSHOP.- UNCONSCIOUS BIAS TRAINING: THIS VOLUNTARY FOUR-PART ELEARNING MODULE DEEPENS UNDERSTANDING OF HOW UNCONSCIOUS BIAS IMPACTS COLLEAGUES AND THE COMMUNITY. IN 2024, OVER 500 COLLEAGUES COMPLETED THE FULL TRAINING.IN ADDITION, OVER 330 COLLEAGUES ACROSS THE ORGANIZATION HAVE BEEN TRAINED AS HEALTH EQUITY CHAMPIONS. THESE CHAMPIONS SERVE AS INTERNAL LEADERS IN ADVANCING EQUITY BY PROMOTING CULTURALLY RESPONSIVE CARE AND HELPING TEAMS APPLY AN EQUITY LENS TO THEIR WORK. TO STRENGTHEN CONNECTION AND LEARNING AMONG THIS GROUP, A CULTURE ROOTS NEWSLETTER AND COLLABORATION PLATFORM WERE LAUNCHED, OFFERING REAL-TIME UPDATES AND TOOLS FOR EMBEDDING EQUITY IN DAILY PRACTICE.-BREAST CANCER PREVENTATIVE SCREENING: HEALTHPARTNERS CONTINUES TO PARTICIPATE IN THE BREAST CANCER GAPS PROJECT, A COMMUNITY-DRIVEN INITIATIVE FOCUSED ON IMPROVING SCREENING RATES AND REDUCING MORTALITY AMONG BLACK WOMEN. IN 2024, CULTURALLY RELEVANT EDUCATION AND COMMUNITY PARTNERSHIPS SUPPORTED MAMMOGRAM ACCESS. A "PINK PASS" INITIATIVE AT CLINICS WITH ON-SITE MAMMOGRAPHY HELPED INCREASE SAME-DAY ACCESS TO OVERDUE SCREENINGS. -CHILDHOOD IMMUNIZATIONS & WELL-CHILD OUTREACH: DIRECT OUTREACH WAS PROVIDED IN FIVE LANGUAGES TO IMPROVE WELL-CHILD VISIT AND IMMUNIZATION COMPLETION RATES, WITH FOCUSED EFFORTS ON MEDICAID MEMBERS. A TEXT-BASED OUTREACH IN PARTNERSHIP WITH THE MINNESOTA DEPARTMENT OF HEALTH RESULTED IN CONVERSION RATES OF 40-43%. COMMUNITY-SPECIFIC EVENTS, SUCH AS A SOMALI CHILDREN'S HEALTH FAIR, HELPED ADDRESS GAPS.-PRIMARY CARE ACCESS & CARE COORDINATION: APPOINTMENT ACCESS WAS SUPPORTED THROUGH EXPANDED CLINICIAN RECRUITMENT AND COLLABORATION WITH ADVANCED PRACTICE NURSES AND RN CARE COORDINATORS. THESE EFFORTS FOCUS ON CHRONIC CONDITION MANAGEMENT AND CLOSING GAPS FOR PATIENTS WITH THE HIGHEST NEEDS.-OUTPATIENT LACTATION PROGRAMS: ALL VALLEY BIRTHING CENTERS CONTINUED TO OFFER INPATIENT AND OUTPATIENT LACTATION SERVICES, HELPING SUPPORT BREASTFEEDING SUCCESS THROUGH EDUCATION, CONNECTIONS AND CULTURALLY SENSITIVE CARE.-FOUNDATIONAL TO THESE EFFORTS IS THE COLLECTION AND USE OF DEMOGRAPHIC DATA, NOW DOCUMENTED FOR MORE THAN 94 PERCENT OF HOSPITAL PATIENTS. THIS DATA HELPS IDENTIFY DISPARITIES, GUIDE OUTREACH, AND INFORM SYSTEMWIDE EQUITY DASHBOARDS AND IMPROVEMENT EFFORTS. LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 24: WHEN A PATIENT IS UNINSURED THERE HAVE BEEN INSTANCES WHERE A PORTION OF THE BALANCE IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINING BALANCE IS COVERED BY CHARITY CARE. EXAMPLE: AN UNINSURED PATIENT HAS $1,000 IN GROSS CHARGES FOR AN EMERGENCY ROOM VISIT. THE PATIENT QUALIFIES FOR CHARITY CARE AND ALSO IS ELIGIBLE FOR THE UNINSURED DISCOUNT. A PORTION OF THE GROSS CHARGES IS COVERED BY THE UNINSURED DISCOUNT AND THE REMAINDER BY CHARITY CARE, WHICH MAY TOTAL AN AMOUNT EQUAL TO THE GROSS CHARGE FOR THAT VISIT. PART V, LINE 11 NEED: ACCESS TO HEALTHGOAL: STRENGTHEN EXISTING AND EXPLORE NEW COMMUNITY PARTNERSHIPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH.STRATEGIES:SOCIAL DRIVERS OF HEALTH: HEALTHPARTNERS CONTINUED 'ADVISORY COUNCIL FOR SOCIAL DRIVERS OF HEALTH' TO ACCELERATE AND ALIGN EFFORTS TO IDENTIFY AND SUPPORT PATIENTS AND MEMBERS WITH SOCIAL NEEDS.UNITE US: OUR HEALTH PLAN AND CARE DELIVERY SYSTEM CONTINUED TO ADDRESS SOCIAL DRIVERS OF HEALTH BY COLLECTING DATA AND CONNECTING INDIVIDUALS TO COMMUNITY RESOURCES. KEY FOCUS AREAS INCLUDE FOOD, TRANSPORTATION AND HOUSING. IN 2024, UNITE US WAS USED TO SUPPORT THESE EFFORTS, INCLUDING THE ABILITY FOR COLLEAGUES TO CREATE AND SHARE CUSTOMIZED COMMUNITY RESOURCE LISTS WITH MEMBERS OR PATIENTS, AS WELL AS INTEGRATING COMMUNITY RESOURCE LISTS DIRECTLY INTO EPIC FOR SEAMLESS SHARING DURING CLINICAL ENCOUNTERS.FOOD SECURITY: -IN 2024, FOOD INSECURITY SCREENING AND REFERRAL EFFORTS CONTINUED DURING WELL-CHILD AND MEDICARE WELLNESS VISITS TO HELP IDENTIFY AND SUPPORT PATIENTS WITH UNMET FOOD NEEDS.-PARTNERSHIPS WITH LOCAL FOOD SHELVES WERE MAINTAINED TO SUPPORT THE SUPERSHELF MODEL, WHICH OFFERS A DIGNIFIED AND WELCOMING EXPERIENCE FOR ACCESSING HEALTHY FOOD. CURRENTLY, 89 FOOD SHELVES IN MINNESOTA AND TWO IN WESTERN WISCONSIN USE THE SUPERSHELF MODEL. -A CLOSED-LOOP REFERRAL PILOT WITH THE FOOD GROUP WAS ALSO LAUNCHED IN 2024 TO STRENGTHEN CONNECTIONS BETWEEN CLINICAL CARE AND FOOD ACCESS. THIS EFFORT ENSURED THAT 100 PERCENT OF REFERRED PATIENTS WERE SUCCESSFULLY CONNECTED TO FOOD RESOURCES, WITH A FOCUS ON MEDICAID MEMBERS AND CULTURALLY RELEVANT OPTIONS. INSIGHTS FROM THE PILOT ARE INFORMING BROADER STRATEGIES FOR LINKING PATIENTS TO COMMUNITY-BASED SUPPORT.TRANSPORTATION: IN 2024, HEALTHPARTNERS CONTINUED EXPLORING WAYS TO IMPROVE TRANSPORTATION OPTIONS FOR OLDER ADULTS, PEOPLE WITH DISABILITIES AND INDIVIDUALS WITHOUT RELIABLE TRANSPORTATION. ONE KEY STRATEGY WAS PROMOTING ACCESS TO RIDECARE, A NO-COST, STATE-FUNDED MEDICAL TRANSPORTATION SERVICE AVAILABLE TO ELIGIBLE HEALTHPARTNERS MEMBERS. BY HELPING CONNECT PATIENTS TO THIS SERVICE, HEALTHPARTNERS AIMS TO REDUCE MISSED APPOINTMENTS AND IMPROVE ACCESS TO CARE.COMMUNITY COLLABORATIONS: IN 2024, HEALTHPARTNERS CONTINUED CROSS-SECTOR COLLABORATION TO ADVANCE COMMUNITY HEALTH AND RESPOND TO SOCIAL DRIVERS OF HEALTH. GOAL: PROMOTE EARLY CHILDHOOD BRAIN DEVELOPMENT. STRATEGIES: REACH OUT AND READ: HEALTHPARTNERS CONTINUED THE REACH OUT AND READ PROGRAM, DISTRIBUTING OVER 4,000 BOOKS TO CHILDREN IN CLINICS. THIS INITIATIVE FOSTERS EARLY LITERACY AND ENCOURAGES FAMILIES TO READ TOGETHER.LITTLE MOMENTS COUNT (LMC): IN 2024, LMC CONTINUED TO GROW AS A STATEWIDE INITIATIVE FOCUSED ON EARLY BRAIN DEVELOPMENT IN THE FIRST 1,000 DAYS OF LIFE. THROUGH PARTNERSHIPS IN HEALTH CARE, EARLY CHILDHOOD, MEDIA AND COMMUNITY SECTORS, LMC INSPIRED SIMPLE, EVERYDAY INTERACTIONS THAT SUPPORT HEALTHY CHILD DEVELOPMENT.2024 HIGHLIGHTS INCLUDE:-115+ CROSS-SECTOR PARTNERS ENGAGED STATEWIDE-8,000+ FAMILIES REACHED THROUGH BIRTH CENTER AND NEW PARENT RESOURCES-175,000+ FAMILIES SUPPORTED THROUGH HEALTH CARE COLLABORATIONS WITH 12 SYSTEMS AND MULTIPLE PUBLIC HEALTH DEPARTMENTS-14M+ IMPRESSIONS THROUGH MEDIA CAMPAIGNS ON MPR AND DIGITAL PLATFORMS-100+ LMC RADIO PODCAST EPISODES PRODUCED-100,000 DOWNLOADS OF THE EARLY RISERS PODCAST-REGIONAL EXPANSION LAUNCHED IN THE ST. CROIX VALLEYCHILDREN'S HEALTH COUNCILCONTINUED TO PARTICIPATE IN THE CHILDREN'S HEALTH COUNCIL, A REGIONAL COLLABORATIVE FOCUSED ON IMPROVING HEALTH OUTCOMES FOR CHILDREN AND FAMILIES. IN 2024, THE COUNCIL SUPPORTED SHARED LEARNING AND COORDINATED ACTION ACROSS HEALTH SYSTEMS, NONPROFITS AND EARLY CHILDHOOD ORGANIZATIONS TO ADDRESS ISSUES SUCH AS MENTAL HEALTH, FOOD SECURITY AND EARLY DEVELOPMENT. THIS WORK INFORMS SYSTEM-LEVEL STRATEGIES THAT BENEFIT FAMILIES WITH YOUNG CHILDREN.GOAL: PROMOTE SUSTAINABLE OPERATIONS TO POSITIVELY IMPACT THE COMMUNITY. STRATEGIES: SUSTAINABILITY: ENTERPRISE-WIDE SUSTAINABILITY SUCCESSES: IN 2024, HEALTHPARTNERS CONTINUED TO ADVANCE SYSTEM-WIDE SUSTAINABILITY EFFORTS. HEALTHPARTNERS ALSO RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 11TH CONSECUTIVE YEAR, IN RECOGNITION OF ONGOING ENTERPRISE-WIDE LEADERSHIP IN ENVIRONMENTAL STEWARDSHIP.NEED: MENTAL HEALTH AND WELL-BEING GOAL: REDUCE THE STIGMA SURROUNDING MENTAL ILLNESS. STRATEGIES: MAKE IT OK:IN 2024, MAKE IT OK CONTINUED TO REDUCE STIGMA AND PROMOTE MENTAL HEALTH AWARENESS THROUGH COMMUNITY OUTREACH, EDUCATION AND ENGAGEMENT. A REDESIGNED WEBSITE LAUNCHED IN MARCH, PROVIDING A MORE INCLUSIVE EXPERIENCE AND UPDATED RESOURCES TO SUPPORT MENTAL HEALTH CONVERSATIONS, INCLUDING THOSE RELATED TO SUBSTANCE USE DISORDER.2024 HIGHLIGHTS INCLUDE:-73,000+ WEBSITE VISITORS-18,000+ REACHED THROUGH RADIO AND PODCAST INTERVIEWS-6,000+ ENGAGED AT 30 IN-PERSON COMMUNITY EVENTS-995 AMBASSADOR E-NEWS SUBSCRIBERS (140 NEW IN 2024)-495 COMMUNITY E-NEWS SUBSCRIBERS (SINCE MAY LAUNCH)-632 ATTENDEES ACROSS 15 PRESENTATIONS (497 ATTENDED THE SUBSTANCE USE DISORDER SESSION)-162 NEW AMBASSADORS TRAINED THROUGH 7 VIRTUAL SESSIONSGOAL: INCREASE ACCESS TO EDUCATION AND RESOURCES AROUND MENTAL HEALTH AND WELL-BEING.STRATEGIES: BE WELL: THE BE WELL PROGRAM CONTINUED TO SUPPORT EMPLOYEE WELL-BEING THROUGH A RANGE OF ACTIVITIES AND RESOURCES FOCUSED ON MENTAL HEALTH, RESILIENCE AND OVERALL WELLNESS. THE PROGRAM PROVIDES YEAR-ROUND OPPORTUNITIES FOR STAFF AND THEIR SPOUSES TO ENGAGE IN WELL-BEING INITIATIVES, INCLUDING GROUP COACHING, TEAM CHALLENGES, AND ON-DEMAND TRAINING SESSIONS. TOPICS OFTEN INCLUDE STRESS MANAGEMENT, PSYCHOLOGICAL SAFETY, AND HEALTHY LIFESTYLE PRACTICES. ON-SITE SUPPORT AND TAILORED ENGAGEMENT EFFORTS HELP PROMOTE A CULTURE OF WELL-BEING THROUGHOUT THE HOSPITAL.MENTAL HEALTH COMMUNITY COLLABORATIONS: IN 2024, HEALTHPARTNERS CONTINUED PARTICIPATING IN REGIONAL MENTAL HEALTH COLLABORATIVES TO STRENGTHEN SUPPORT FOR MENTAL WELL-BEING. THIS INCLUDES ENGAGEMENT WITH COUNTY HUMAN SERVICES, OTHER HOSPITALS AND CLINICS, NAMI, MAKE IT OK AND ADDITIONAL PARTNERS THROUGH THE BEHAVIORAL HEALTH CO-OP.GOAL: IMPROVE ACCESS TO MENTAL HEALTH SERVICES. STRATEGIES: CLINIC MENTAL HEALTH INTEGRATION:CONTINUED BEHAVIORAL HEALTH SERVICES INTEGRATION INTO TOTAL HEALTH CARE AT ALL LOCATIONS.SCHOOL MENTAL HEALTH PARTNERSHIPS:CONTINUED PARTNERSHIP WITH SCHOOLS TO PROVIDE MENTAL HEALTH SERVICES TO SCHOOLS AND REDUCE STIGMA. NEED: NUTRITION AND PHYSICAL ACTIVITY GOAL: PROMOTE AND SUPPORT PHYSICAL ACTIVITY AND NUTRITION AND SUPPORT AND ENCOURAGE HEALTHY FOOD AND PHYSICAL ACTIVITY ENVIRONMENT CHANGE. STRATEGIES:DIABETES EDUCATION AND PREVENTION: IN 2024, HEALTHPARTNERS CONTINUED OFFERING DIABETES EDUCATION AND PREVENTION PROGRAMS FOCUSED ON HEALTHY EATING AND PHYSICAL ACTIVITY TO SUPPORT DIABETES MANAGEMENT AND PREVENTION. COMMUNITY NUTRITION EDUCATION CLASSES REMAINED A KEY STRATEGY, WITH THE ADDITION OF ON-DEMAND OPTIONS TO INCREASE ACCESSIBILITY FOR PARTICIPANTS. POWERUP: IN 2024, POWERUP CONTINUED TO INSPIRE KIDS AND FAMILIES TO EAT BETTER, MOVE MORE, AND FEEL GOOD. A GROWING EMPHASIS ON MENTAL WELL-BEING LED TO EXPANDED "FEEL GOOD" RESOURCES, PROMOTING COPING SKILLS, CONFIDENCE AND EMOTIONAL HEALTH THROUGH MINDFULNESS, UNPLUGGING AND KINDNESS. IN-PERSON OUTREACH REMAINED STRONG THROUGH EVENTS AND COMMUNITY PARTNERSHIPS.2024 HIGHLIGHTS INCLUDE:-13,000+ REACHED THROUGH POWERUP PRESS FAMILY NEWSLETTERS DISTRIBUTED VIA SCHOOLS AND COMMUNITY PARTNERS-2,189 LISTSERV SUBSCRIBERS (108 NEW IN 2024) ENGAGED THROUGH MONTHLY E-NEWSLETTERS-23,094 KIDS AND FAMILIES ENGAGED THROUGH 131 COMMUNITY EVENTSTEEN LEADERSHIP COUNCIL (TLC): IN 2024, THE TLC CONTINUED TO AMPLIFY YOUTH VOICES AND BUILD RESILIENT LEADERS THROUGH PUBLIC HEALTH LEARNING, VOLUNTEERISM, AND LEADERSHIP DEVELOPMENT. MEMBERS EXPLORED CAREER PATHS, ENGAGED WITH COMMUNITY PARTNERS AND LED PROJECTS TO ADDRESS HEALTH AND WELL-BEING. PART V LINE 11 2024 HIGHLIGHTS INCLUDE:-25 MEMBERS FROM 22 COMMUNITIES IN THE TWIN CITIES METRO AND WESTERN WISCONSIN-INCREASED DIVERSITY IN MEMBERSHIP-REACHED 200,000 TEENS THROUGH CONSULTATION ON TEEN PRIVACY WITH HEALTHPARTNERS INSTITUTE-REACHED 500,000+ TEENS THROUGH SCHOOL NUTRITION AND BODY IMAGE CONSULTATION WITH RAMSEY COUNTY AND BEREAL-REACHED 500,000+ TEENS THROUGH ACES EDUCATION CONSULTATION WITH MINNESOTA DEPARTMENT OF HEALTH-REACHED 11,400 STUDENTS THROUGH FOOD PRODUCT CONSULTATION WITH EVERY MEAL-PREPARED AND SERVED 400 MEALS FOR UNHOUSED INDIVIDUALS AT THE ST. PAUL OPPORTUNITY CENTER-PACKED 1,417 OPIOID PREVENTION KITS FOR STEVE RUMMLER HOPE NETWORK-COLLECTED 25 GROCERY BAGS OF FOOD THROUGH HIGH SCHOOL FOOD DRIVES-ADVOCATED FOR DIGITAL LITERACY AND FLAVORED TOBACCO PREVENTION AT THE CAPITOL-HOSTED ANNUAL MEETING WITH KEYNOTE BY DR. ANDREA SINGH AND YOUTH PANELISTSNEED: SUBSTANCE USE GOAL: REDUCED OPIOID PRESCRIPTIONS, DOSES, AND PATIENTS MEETING CHRONIC OPIOID USE CRITERIA. STRATEGIES:MEDICATION TAKE-BACK: CONTINUED MEDICATION TAKE-BACK, WHICH HELPS REDUCE ACCIDENTAL POISONING AND DRUG ABUSE BY OFFERING FREE AND ENVIRONMENTALLY FRIENDLY MEDICATION COLLECTION AT OUR HOSPITALS AND CLINICS FOR THE COMMUNITY. OPIOID PRESCRIPTION REDUCTION: SINCE INITIATING TARGETED OPIOID REDUCTION STRATEGIES IN 2018, OUR CARE SYSTEM HAS SEEN A SUSTAINED DECLINE IN OPIOID PRESCRIBING. AS OF 2024, PRESCRIBING RATES REMAIN LOW AND STABLE, REFLECTING THE LONG-TERM IMPACT OF COLLABORATIVE EFFORTS AMONG PHARMACY, PRESCRIBERS AND PAIN CLINICS. WHILE FORMAL TASK FORCES AND TRACKING EFFORTS HAVE SCALED BACK, HEALTHPARTNERS CONTINUES TO SUPPORT CHRONIC PAIN MANAGEMENT THROUGH COLLABORATIVE PRACTICE AGREEMENTS, REFERRALS TO PAIN CLINICS AND PARTNERSHIPS WITH MEDICATION THERAPY MANAGEMENT PHARMACISTS TO HELP PATIENTS SAFELY TAPER OFF ADDICTIVE PAIN MEDICATIONS.SUBSTANCE USE COMMUNITY COLLABORATIONS: IN 2024, HEALTHPARTNERS CONTINUED ACTIVE PARTICIPATION IN COMMUNITY COLLABORATIONS FOCUSED ON EQUITABLE PROGRESS IN THE PREVENTION AND TREATMENT OF SUBSTANCE USE. PART I, LINE 7: ACTUAL COSTS WERE ESTIMATED USING A COST-TO-CHARGE RATIO AND EXCLUDING BAD DEBT. PART I, LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES LAKEVIEW IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY. LAKEVIEW PROVIDED COMMUNITY ACTIVITIES AND PROGRAMS WHICH WERE SUBSIDIZED BY LAKEVIEW IN ORDER TO IMPROVE COMMUNITY HEALTH. LAKEVIEW PROVIDED SUPPORT SERVICES TO PATIENTS AND FAMILIES IN MANY WAYS DURING 2024. MOST NOTABLY, LAKEVIEW PROVIDED NURSE NAVIGATORS FOR BREAST HEALTH AND CANCER SUPPORT TO ASSIST PATIENTS WITH SCHEDULING, COORDINATION, FOLLOW-UP APPOINTMENTS, AND PROVIDING CONSULTS AND COMFORT TO THOSE PATIENTS DIAGNOSED WITH CANCER. THE CHAPLAINCY PROGRAM AT LAKEVIEW ALSO PROVIDED OUTREACH SERVICES, INCLUDING BEREAVEMENT GROUP CLASSES. PART I, LINE 7F: HEALTH PROFESSIONS EDUCATION LAKEVIEW COORDINATES AND SUPPORTS WEEKLY CONTINUING MEDICAL EDUCATION (CME) PROGRAMS FOR STAFF AND COMMUNITY EDUCATION. IN 2024, OUR STAFF PROVIDED PRECEPTOR TIME TO STUDENT PROFESSIONAL INTERNS IN PHARMACY AND NURSING. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES LAKEVIEW IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS. LAKEVIEW SUBSIDIZED INPATIENT AND OUTPATIENT HEALTH SERVICES, INCLUDING CLINICAL DIABETES AND NUTRITION, LABOR AND DELIVERY SERVICES, AND HOMECARE SERVICES. PART I, LINE 7I: CONTRIBUTIONS FOR COMMUNITY BENEFIT TO FORM PARTNERSHIPS THAT IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES, LAKEVIEW PROVIDES GRANTS TO LOCAL ORGANIZATIONS. OUR GRANTMAKING EMPOWERS OUR COMMUNITIES AND BUILDS MOMENTUM FOR INNOVATIVE PROGRAMS AND SERVICES THAT MAKE A DIRECT IMPACT ON LOCAL HEALTH PRIORITIES.LAKEVIEW HEALTH FOUNDATION'S BOARD OF DIRECTORS HAS OVERSIGHT OF THE DISBURSEMENT OF HEALTH AND WELL-BEING GRANTS ON BEHALF OF LAKEVIEW WHICH BENEFITED THE COMMUNITY. INKIND CONTRIBUTIONS INCLUDED SUPPORT OF MISSION TRIPS FOR EMPLOYEES AND PHARMACEUTICALS. SEE SCHEDULE O, SECTION 4. CASH AND IN-KIND CONTRIBUTIONS, FOR DETAIL ON GRANTS OFFERED, SPONSORSHIPS PROVIDED, AND INKIND SUPPORT GIVEN IN 2024. PART II, COMMUNITY BUILDING ACTIVITIES: LAKEVIEW CONTINUOUSLY FOCUSES ON SUSTAINABILITY EFFORTS. PART III, LINE 4: SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q, ON PAGE 25 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT. PART III, LINE 8: THE 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.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:1) IT PROVIDES SERVICES TO A SIGNIFICANT PORTION OF OUR SERVICE POPULATION AT A NEGATIVE MARGIN; 2) THE HOSPITAL WOULD DISCONTINUE PROVIDING SERVICES TO MEDICARE PATIENTS IF THE DECISION WERE BASED STRICTLY ON A FINANCIAL BASIS; 3) THERE IS A COMMUNITY NEED TO PROVIDE THESE SERVICES LOCALLY; 4) IF THE HOSPITAL DID NOT PROVIDE THESE SERVICES; THEY WOULD BECOME THE OBLIGATION OF THE GOVERNMENT. PART III, LINE 9B: IF THE HOSPITAL DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, AND IF THE PATIENT IS ELIGIBLE FOR DISCOUNTED (AND NOT FREE) CARE, THEY WILL PROVIDE THE PATIENT WITH A BILLING STATEMENT AND APPROVAL OR DECLINATION LETTER REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE HOSPITAL WILL REFUND ANY PAYMENT THE PATIENT MADE FOR CARE WHICH EXCEEDS THE AMOUNT THAT IS DETERMINED TO BE PATIENT RESPONSIBILITY. THEY WILL ALSO TAKE REASONABLE MEASURES TO REVERSE ANY COLLECTION ACTIONS THAT MAY HAVE BEEN INITIATED AGAINST THE PATIENT. PART III, SECTION A, LINE 2: BAD DEBT EXPENSE METHODOLOGY THE "ACTUAL COST" OF BAD DEBT EXPENSE IS ESTIMATED. BAD DEBT EXPENSE REPRESENTS THOSE ACCOUNTS RECEIVABLE WRITTEN OFF FROM PATIENTS THAT HAVE NOT PAID THEIR BILL AND HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE. THE BAD DEBT AMOUNT IS THE RECEIVABLE AFTER INSURANCE PAYMENT AND ADJUSTMENTS HAVE ALREADY BEEN MADE, INCLUDING ADJUSTMENTS FOR SELF-PAY IN ACCORDANCE WITH THE AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. SINCE REDUCTIONS HAVE ALREADY BEEN MADE FOR DISCOUNTS AND OTHER ALLOWANCES, THE ENTIRE BALANCE IS CONSIDERED BAD DEBT AND NO FURTHER REDUCTIONS ARE CONSIDERED.THE PROVISIONS FOR BAD DEBT FOOTNOTE IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS IS INCLUDED IN SECTION 1, PART (P), PAGES 11 AND 12. PART VI, LINE 2: HEALTHPARTNERS HOSPITALS ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED EVERY THREE YEARS, AS REQUIRED BY THE IRS. EACH CHNA DEFINES THE COMMUNITY SERVED TO INCLUDE ALL RESIDENTS WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA, ENCOMPASSING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AS WELL AS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.FOR THE 2024 CHNA CYCLE, HEALTHPARTNERS CONTRACTED WITH THE CENTER FOR EVALUATION AND SURVEY RESEARCH (CESR), PART OF HEALTHPARTNERS INSTITUTE, TO LEAD THE ASSESSMENT PROCESS. THE CHNA DREW UPON MULTIPLE DATA SOURCES, INCLUDING HEALTHPARTNERS ADMINISTRATIVE AND MEMBER-REPORTED DATA, AND PUBLICLY AVAILABLE DEMOGRAPHIC, SOCIAL, AND HEALTH OUTCOME DATA AT THE COUNTY AND STATE LEVELS.A CROSS-HOSPITAL CHNA WORKGROUP REVIEWED AND SYNTHESIZED DATA, FACILITATED STAKEHOLDER CONVERSATIONS, AND ADMINISTERED A PRIORITIZATION SURVEY WITH INTERNAL AND EXTERNAL PARTNERS. USING STRUCTURED CRITERIA THAT CONSIDERED EQUITY, SERIOUSNESS, AND THE IMPACT ON UNDERSERVED POPULATIONS, THE WORKGROUP IDENTIFIED THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. QUANTITATIVE FINDINGS WERE PAIRED WITH QUALITATIVE INSIGHTS FROM COMMUNITY CONVERSATIONS TO ENSURE THAT LOCAL PERSPECTIVES INFORMED THE RESULTS.THE PROCESS INFORMED THREE PRIORITY COMMUNITY HEALTH NEEDS THROUGH THE 2024 CHNA, WHICH WILL GUIDE THE 2025 - 2027 IMPLEMENTATION STRATEGY. THESE PRIORITIES ARE DESCRIBED IN PART V, SECTION B, LINE 11.DEFINED COMMUNITY AREAS:AMERY REGIONAL MEDICAL CENTER, INC POLK COUNTY, WISCONSINHUDSON HOSPITAL ST. CROIX COUNTY, WISCONSINWESTFIELDS HOSPITAL & CLINIC ST. CROIX COUNTY, WISCONSINLAKEVIEW MEMORIAL HOSPITAL INC WASHINGTON COUNTY, MINNESOTAREGIONS HOSPITAL RAMSEY COUNTY, MINNESOTAPARK NICOLLET METHODIST HOSPITAL HENNEPIN COUNTY, MINNESOTAHUTCHINSON HEALTH MCLEOD COUNTY, MINNESOTAHEALTHPARTNERS RC DBA OLIVIA HOSPITAL & CLINIC RENVILLE COUNTY, MINNESOTA PART VI, LINE 3: LAKEVIEW DEFINES FINANCIAL ASSISTANCE AS THE COST OF CARE DELIVERED TO PATIENTS WHO HAVE A NEED FOR MEDICALLY NECESSARY TREATMENT BUT WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY; PATIENTS WHO ARE UNABLE TO PAY THE REMAINING BALANCE LEFT BY THEIR INSURANCE; AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION.LAKEVIEW IS COMPLIANT WITH THE 501R FEDERAL REGULATIONS, AND PROVIDES EASY ACCESS TO THE FINANCIAL ASSISTANCE PROGRAM INCLUDING THE FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION, AND PLAIN LANGUAGE SUMMARY. THE FINANCIAL ASSISTANCE PROGRAM AND LISTS OF PROVIDERS COVERED BY THE PROGRAM IS ALSO WIDELY PUBLICIZED AND AVAILABLE ON LAKEVIEW'S WEBSITE.TO INFORM AND EDUCATE PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM, FINANCIAL ASSISTANCE POLICY, AND GOVERNMENT PROGRAMS, EACH PATIENT IS OFFERED AND PROVIDED WITH THE FINANCIAL ASSISTANCE PROGRAM POLICY AT REGISTRATION. THIS INFORMATION IS ALSO IS ALSO PROVIDED IN PUBLIC LOCATIONS, INCLUDING REGISTRATION, ON PATIENT STATEMENTS, AND LAKEVIEW'S PUBLIC WEBSITE, HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/.IN ADDITION TO FINANCIAL COUNSELING, LAKEVIEW HAS STAFF SOCIAL WORKERS AND CASE MANAGERS TO HANDLE CRISIS INTERVENTIONS, EMERGENCY ROOM NEEDS, AND PATIENT AFTERCARE.TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE, EACH PATIENT BILLING STATEMENT AND COLLECTIONS LETTER PRODUCED BY LAKEVIEW INCLUDE THE FOLLOWING NOTICE: LAKEVIEW HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM. FOR COPIES OF OUR APPLICATION, FINANCIAL ASSISTANCE POLICY, AND PLAIN LANGUAGE SUMMARY, WHICH INCLUDE INFORMATION ON ELIGIBILITY AND HOW WE CALCULATE FINANCIAL ASSISTANCE, PLEASE VISIT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/LAKEVIEW/. OUR PATIENT FINANCIAL SERVICES TEAM CAN HELP YOU ENROLL IN THIS PROGRAM. PLEASE CALL 651-430-4533. PART VI, LINE 4: LAKEVIEW SERVES THE EASTERN TWIN CITIES' METRO AREA AND WESTERN WISCONSIN. LAKEVIEW'S CORE SERVICE AREA INCLUDES STILLWATER, BAYPORT, LAKE ELMO, LAKELAND, AND MARINE ON ST. CROIX, MN ALONG WITH HOULTON AND SOMERSET, WI. PRIMARY SERVICE AREAS ARE HUDSON, NEW RICHMOND AND STAR PRAIRIE, WI, AND AFTON, MN. SECONDARY SERVICE AREAS ARE NEARBY CITIES IN EASTERN MINNESOTA AND WESTERN WISCONSIN. PART VI, LINE 5: LAKEVIEW PROVIDED EDUCATION SCHOLARSHIPS TO PEOPLE WITH DIABETES THAT REQUIRED NUTRITION AND LIFE-STYLE EDUCATION; THEY ALSO PROVIDED FREE LAB AND PHARMACY SERVICES FOR PATIENTS OF THE ST. CROIX FAMILY MEDICAL CENTER, A LOCAL MEDICAL CLINIC THAT PROVIDES FREE AND DISCOUNTED SERVICES FOR INDIGENT AND LOW INCOME PATIENTS OF THE AREA. FOR ADDITIONAL DISCUSSION, SEE FORM 990, SCHEDULE O - "EXEMPT PURPOSE AND ACHIEVEMENTS". PART VI, LINE 6: AS A MEMBER OF LAKEVIEW HEALTH, LAKEVIEW PARTICIPATES WITH THE MULTI-SPECIALTY CLINIC AND HEALTH SYSTEM LEADERSHIP WITHIN OUR OVERALL ORGANIZATION IN PROVIDING ACCESS TO CARE, SUPPORT GROUPS, EDUCATIONAL ACTIVITIES, AND FINANCIAL CONTRIBUTIONS TO THE MARKET AREA DESCRIBED ABOVE. THE MULTI-SPECIALTY CLINIC FURTHER PARTICIPATES IN MINNESOTA COMMUNITY MEASUREMENT, PRACTICES AND MEASURES PROVIDER, PERFORMANCE WITH SPECIFIC PREVENTIVE CARE METRICS AND SPECIFIC CHRONIC DISEASE MANAGEMENT METRICS. IN 2011, LAKEVIEW HEALTH AFFILIATED WITH HEALTHPARTNERS. THE MISSION OF HEALTHPARTNERS IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE SO MINNEAPOLIS MN 55440 411386635 501 (C)(3) 100000 0 COMMUNITY SUPPORT 1 PART I, LINE 2: THE HOSPITAL MANAGEMENT STAFF REVIEWS THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE HOSPITAL'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE HOSPITAL'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. 0 1 0 0 0 1 1 0 0 NANCY L EVERT SEC. & GENERAL COUNSEL 0 529742 0 238830 0 61634 0 213042 0 35215 0 1078463 0 53243 ALITA R RISINGER DIRECTOR & CFO (JULY - DEC) 0 483006 0 238898 0 3383 0 105485 0 49567 0 880339 0 0 BRETT C HAAKE MD DIRECTOR 0 558058 0 156687 0 23181 0 74219 0 50358 0 862503 0 0 BRANDI L LUNNEBORG PRESIDENT 0 453163 0 201906 0 53053 0 95322 0 49072 0 852516 0 36046 ANNIE JACOBSEN MD DIRECTOR 0 409606 0 0 0 218919 0 25875 0 48435 0 702835 0 0 THOMAS S ANDERSON MD VPMA 0 390763 0 20556 0 85899 0 30860 0 46645 0 574723 0 0 PAHOUA HOFFMAN DIRECTOR 0 298998 0 141191 0 12126 0 66643 0 46034 0 564992 0 0 DOUGLAS E JOHNSON CFO LHS (JAN - JUNE) 198865 0 136445 0 176344 0 0 0 29214 0 540868 0 121739 0 MATTHEW A RICHIE VP SMG (JAN - NOV) 0 320947 0 87183 0 1415 0 21391 0 34105 0 465041 0 0 NATHAN S PULSCHER FORMER VP ANCILLARY SERVIC 0 277395 0 73399 0 8996 0 31598 0 40508 0 431896 0 0 BRIAN L CRESS MD DIRECTOR 0 262138 0 0 0 91190 0 0 0 43934 0 397262 0 0 ANDREW E DORWART MD FORMER SMG PRESIDENT 0 202553 0 0 0 110958 0 24508 0 39208 0 377227 0 0 MICHAEL D WEIS MANAGER SURGEY ANESTHESIA 251344 0 32656 0 27017 0 17441 0 38109 0 366567 0 0 0 JUSTIN R CUSICK NURSE ANESTHETIST 228804 0 0 0 44232 0 15674 0 37313 0 326023 0 0 0 MICHAEL S KENNEDY NURSE ANESTHETIST 174358 0 0 0 67295 0 13915 0 34590 0 290158 0 0 0 JASON D TAUZELL NURSE ANESTHETIST 228619 0 0 0 11013 0 12757 0 37168 0 289557 0 0 0 EMILIENNE ANDERSON VP NURSING SERVICES & CNO 217389 0 39527 0 1744 0 13961 0 15336 0 287957 0 0 0 BRENDA HALL VP ANCILLARY SERVICES 200480 0 32373 0 580 0 0 0 24689 0 258122 0 0 0 ADIENNE K BACKUS NURSE ANESTHETIST 183580 0 0 0 52277 0 0 0 15996 0 251853 0 0 0 PART I, LINE 3 THE HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH, INC. (GHI), OR STILLWATER MEDICAL GROUP (SMG) WHICH ARE RELATED ORGANIZATIONS OR BY LAKEVIEW HOSPITAL. GHI, SMG AND THE HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL'S PRESIDENT AND OTHER OFFICERS. 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: NANCY L. EVERT $ 54,415 BRANDI L. LUNNEBORG $ 23,018 ALITA R. RISINGER $ 50,924 PAHOUA HOFFMAN $ 32,173 PART I, LINE 6 THE HOSPITAL'S OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY GROUP HEALTH, INC. (GHI) OR SMG, RELATED ORGANIZATIONS OR BY THE HOSPITAL. COMPENSATION REPORTED IN FORM 990, PART VIII INCLUDES ANY COMPENSATION DERIVED FROM GHI'S, SMG'S OR BY THE HOSPITAL'S LEADER 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 PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE LEADER INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, AND OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF SYSTEM 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. 990, SCHEDULE J, PART II, COLUMN F: PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTOR: NANCY L. EVERT $ 53,243 BRANDI L. LUNNEBORG $ 36,046 DOUGLAS JOHNSON $ 121,739 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. 990, PART III, LINE 4A: EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. (LAKEVIEW HOSPITAL), IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF 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. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. 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. HPI IS THE PARENT ENTITY OF GROUP HEALTH, INC. (GHI), WHICH IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND THE SOLE CORPORATE MEMBER OF LAKEVIEW HEALTH. LAKEVIEW HEALTH IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND THE SOLE CORPORATE MEMBER OF LAKEVIEW HOSPITAL. HEALTHPARTNERS AND LAKEVIEW HOSPITAL PARTNER WITH OTHER PLANS, CARE PROVIDERS AND NONPROFIT 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. LAKEVIEW HOSPITAL CONTINUES TO BE AN INTEGRAL PART OF THE STILLWATER MINNESOTA COMMUNITY AND SURROUNDING AREA AS A VITAL AND NECESSARY COMMUNITY RESOURCE SINCE 1880, THE FIFTH OLDEST HOSPITAL AND SECOND OLDEST CONTINUALLY OPERATING HOSPITAL IN MINNESOTA. LAKEVIEW HOSPITAL CONVENES AND SUPPORTS MULTIPLE COMMUNITY COLLABORATIVES TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. LAKEVIEW HOSPITAL IS DESIGNATED A LEVEL 3 TRAUMA HOSPITAL AND HAS MEDICAL STAFF IN A VARIETY OF SPECIALTIES, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN WITH A LEVEL II NURSERY, GENERAL SURGERY, ORTHOPEDICS, OTOLARYNGOLOGY, OCCUPATIONAL HEALTH, EMERGENCY MEDICINE, HOSPITAL MEDICINE, NEUROLOGY, ONCOLOGY, UROLOGY, CARDIOLOGY, SPORTS MEDICINE, GASTROENTEROLOGY, RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. COURTESY AND CONSULTING STAFF PROVIDE ADDITIONAL SERVICES, INCLUDING PAIN MANAGEMENT, INFECTIOUS DISEASE, PULMONARY/SLEEP MEDICINE, AND ORAL SURGERY. CHARITY CARE: 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. LAKEVIEW HOSPITAL PROVIDED $5,946,438 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2024. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: LAKEVIEW HOSPITAL PROVIDED INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES TO MEDICAID PATIENTS. PAYMENTS RECEIVED FOR THESE SERVICES WERE BELOW THE COST OF CARE PROVIDED. THE EXPENSE TO COVER UNREIMBURSED MEDICAID COSTS FOR PATIENTS TOTALED $1,536,985. THE COST INCURRED FOR OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS $1,943,064. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: LAKEVIEW HOSPITAL IS COMMITTED TO COMMUNITY HEALTH IMPROVEMENT SERVICES, WHICH INCLUDE A RANGE OF ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH BEYOND PATIENT CARE. BELOW ARE HIGHLIGHTS OF SUCH ACTIVITIES THAT FALL WITHIN THE CATEGORIES OF COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE SUPPORT SERVICES AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT. IN 2024, LAKEVIEW HOSPITAL CONTINUED TO SUPPORT COMMUNITY EDUCATION THROUGH A VARIETY OF IN-PERSON AND ONLINE CLASSES. THESE OFFERINGS HELPED INDIVIDUALS AND FAMILIES ACCESS INFORMATION AND RESOURCES RELATED TO HEART HEALTH, INFANT AND MATERNAL CARE, CPR AND FIRST AID, AND RESPIRATORY WELLNESS. EXAMPLES INCLUDED CHILDBIRTH EDUCATION (OFFERED BOTH VIRTUALLY AND IN PERSON), BREASTFEEDING SUPPORT, HEARTSAVER FIRST AID AND BLS SKILLS TRAINING, ADVANCED CARDIAC LIFE SUPPORT (ACLS), PEDIATRIC ADVANCED LIFE SUPPORT (PALS), AND THE BETTER BREATHERS CLUB FOR INDIVIDUALS WITH CHRONIC LUNG CONDITIONS. THESE PROGRAMS REFLECT LAKEVIEW HOSPITAL'S ONGOING COMMITMENT TO HELPING COMMUNITY MEMBERS STAY INFORMED, PREPARED, AND SUPPORTED IN THEIR HEALTH JOURNEYS. IN 2024, THE MAKE IT OK COMMUNITY INITIATIVE CONTINUED TO RAISE AWARENESS, CHALLENGE STIGMA, CONNECT PEOPLE TO RESOURCES, AND ENCOURAGE OPEN CONVERSATIONS ABOUT MENTAL HEALTH, INCLUDING SUBSTANCE USE DISORDER. IN MARCH, WE CELEBRATED THE LAUNCH OF OUR REDESIGNED WEBSITE FEATURING A NEW LOOK, NEW EXPERIENCE, UPDATED CONTENT, AND TAILORED RESOURCES DESIGNED TO HELP EVERYONE FEEL WELCOMED, SEEN, HEARD, AND INCLUDED. EXPLORE AT MAKEITOK.ORG. LAKEVIEW HOSPITAL'S OUTREACH REMAINED STRONG, WITH IN-PERSON AND VIRTUAL COMMUNITY CONNECTIONS THROUGH EVENTS, ACTIVITIES, PARTNERSHIPS, AND TRAINING NEW AMBASSADORS, LOCALLY AND NATIONALLY. IN MAY, DURING MENTAL HEALTH MONTH, LAKEVIEW HOSPITAL REACHED THOUSANDS OF LISTENERS THROUGH INTERVIEWS WITH THE RADIO STATION KS95 AND THE WELL WISCONSIN RADIO PODCAST. LAKEVIEW HOSPITAL ALSO DEBUTED ITS COMMUNITY E-NEWSLETTER, WHICH GOES OUT BI-MONTHLY. HIGHLIGHTS OF MAKE IT OK IN 2024: 73,000+ WEBSITE VISITORS 18,000+ REACHED THROUGH RADIO AND PODCAST INTERVIEWS 6,000+ ENGAGED AT 30 IN-PERSON COMMUNITY EVENTS 995 AMBASSADOR E-NEWS LISTSERV SUBSCRIBERS (140 NEW IN 2024) 632 ATTENDEES THROUGH 15 MAKE IT OK PRESENTATIONS (497 ATTENDED THE SUBSTANCE USE DISORDER PRESENTATION) 495 NEW COMMUNITY E-NEWS LISTSERV SUBSCRIBERS (SINCE MAY 2024) 162 NEW AMBASSADORS TRAINED THROUGH SEVEN VIRTUAL SESSIONS IN 2024, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE, AND FEEL GOOD. THIS YEAR, LAKEVIEW HOSPITAL DEEPENED ITS FOCUS ON "FEEL GOOD" RESOURCES, OFFERING SIMPLE AND APPROACHABLE WAYS FOR KIDS TO BUILD HEALTHY COPING SKILLS, CONFIDENCE, AND EMOTIONAL WELL-BEING. WHETHER IT WAS THROUGH PRACTICING MINDFULNESS, FINDING MOMENTS TO UNPLUG, OR SPREADING KINDNESS, POWERUP PROVIDED FUN AND PRACTICAL IDEAS TO SUPPORT KIDS IN FEELING THEIR BEST. IN-PERSON OUTREACH REMAINED STRONG, CONNECTING WITH FAMILIES IN MEANINGFUL WAYS THROUGH EVENTS, ACTIVITIES, AND COMMUNITY PARTNERSHIPS. AS MENTAL WELL-BEING CONTINUES TO BE A TOP PRIORITY IN OUR COMMUNITIES, POWERUP IS PROUD TO BE A TRUSTED SOURCE OF SUPPORT HELPING KIDS AND FAMILIES BUILD SELF-CARE HABITS, STRENGTHEN EMOTIONAL RESILIENCE, AND FIND EVERYDAY MOMENTS OF JOY AND CONNECTION. LEARN MORE AT POWERUP4KIDS.ORG. HIGHLIGHTS OF POWERUP IN 2024: 13,000+ REACHED WITH THE POWERUP PRESS FAMILY NEWSLETTERS, THROUGH SCHOOLS AND COMMUNITIES 2,189: POWERUP LISTSERV SUBSCRIBERS (108 NEW IN 2024) ENGAGED THROUGH MONTHLY E-NEWSLETTERS ENGAGED 23,094 KIDS AND FAMILIES THROUGH 131 EVENTS THAT POWERUP ATTENDED THE HEALTHPARTNERS TEEN LEADERSHIP COUNCIL (TLC) CONTINUES TO DEVELOP THE NEXT GENERATION OF RESILIENT LEADERS BY AMPLIFYING YOUTH VOICES AND GIVING THEM A PLATFORM TO MAKE CHANGE IN THEIR COMMUNITIES, DEMONSTRATED THROUGH INCREASED GROWTH IN PUBLIC HEALTH AND LEADERSHIP SKILLS, INCREASED SELF-CONFIDENCE, A SENSE OF BELONGING AND GREATER RESILIENCY. IN 2024, THE TLC MEMBERS CONTINUE TO BE ENGAGED AND EXCITED ABOUT THE UNIQUE OPPORTUNITY TO IMPROVE HEALTH AND WELL-BEING IN THE COMMUNITY. MEMBERS CONTINUED TO HAVE THE OPPORTUNITY TO BROADEN THEIR UNDERSTANDING OF HEALTH AND WELLBEING BY LEARNING ABOUT PUBLIC HEALTH CONCEPTS AND TO CHOOSE VOLUNTEER OPPORTUNITIES WITH ORGANIZATIONS WORKING TO ADDRESS COMMUNITY HEALTH NEEDS. TLC MEMBERS ALSO EXPLORED THEIR PERSONAL STRENGTHS AND GREW AS LEADERS BY PLANNING AND FACILITATING MEETINGS, COLLABORATING TO ACHIEVE SHARED GOALS, AND ENGAGING WITH COMMUNITY LEADERS AND ORGANIZATIONS. THEY ALSO ENGAGED WITH PROFESSIONALS WITHIN LAKEVIEW HOSPITAL AND EXTERNAL PARTNERS TO LEARN ABOUT AND EXPLORE A VARIETY OF CAREERS. FORM 990, PART III, LINE 4A LEARN MORE AT HEALTHPARTNERS.COM/ABOUT/COMMUNITY/TEEN-LEADERSHIP-COUNCIL. HIGHLIGHTS OF THE TEEN LEADERSHIP COUNCIL IN 2024: 25 MEMBERS FROM 22 DIFFERENT COMMUNITIES IN THE TWIN CITIES METRO AND WESTERN WISCONSIN REACHED 200,000 TEENS THROUGH THEIR CONSULTATION TO THE HEALTHPARTNERS INSTITUTE USER EXPERIENCE TEAM ABOUT TEEN PRIVACY AND ACCESS TO MEDICAL RECORDS. REACHED 500,000+ TEENS THROUGH CONSULTATION WITH RAMSEY COUNTY PUBLIC HEALTH AND BEREAL, FOCUSED ON SCHOOL NUTRITION AND BODY IMAGE CURRICULUM. REACHED 500,000+ TEENS THROUGH CONSULTATION WITH THE MINNESOTA DEPARTMENT OF HEALTH, FOCUSED ON ADVERSE CHILDHOOD EXPERIENCES (ACES) EDUCATION. REACHED 11,400 STUDENTS THROUGH THEIR CONSULTATION WITH EVERY MEAL, TASTE-TESTING FOOD PRODUCTS TO INCLUDE IN WEEKEND MEAL KITS. PREPARED AND SERVED 400 MEALS FOR UNHOUSED INDIVIDUALS AT THE ST. PAUL OPPORTUNITY CENTER PACKED 1,417 OPIOID PREVENTION KITS FOR STEVE RUMMLER HOPE NETWORK, PREVENTING 5,668 OVERDOSES ORGANIZED A FOOD DRIVE AT 10 DIFFERENT HIGH SCHOOLS, COLLECTING 25 GROCERY BAGS OF FOOD FOR THE HALLIE Q BROWN COMMUNITY CENTER. ADVOCATED FOR LEGISLATORS TO ADDRESS DIGITAL LITERACY AT YOUTH DAY AT THE CAPITOL. ADVOCATED FOR LEGISLATORS TO PREVENT THE SALE OF FLAVORED TOBACCO PRODUCTS AT TOBACCO DAY AT THE CAPITOL. MORE THAN 100 PEOPLE REGISTERED TO ATTEND THE TLC'S ANNUAL MEETING: CULTIVATING A HEALTHY APPROACH TO SUCCESS FOR YOUTH. THE DEPARTMENT CHAIR FOR PARK NICOLLET PEDIATRICS WAS THE EVENT KEYNOTE SPEAKER AND TEEN PANELISTS ANSWERED QUESTIONS FROM THE AUDIENCE ABOUT THEIR EXPERIENCE IN THE TLC AND TOPICS IMPORTANT TO TEENS. IN 2024, LITTLE MOMENTS COUNT (LMC) CONTINUED TO GROW AS A STATEWIDE INITIATIVE DEDICATED TO RAISING AWARENESS ABOUT THE POWER OF BRAIN DEVELOPMENT IN THE FIRST 1,000 DAYS OF LIFE. THROUGH A BROAD AND INCLUSIVE MOVEMENT, LMC UNITED MORE THAN 115 ORGANIZATIONAL PARTNERS ACROSS SECTORS WORKING TOGETHER TO INSPIRE SIMPLE, EVERYDAY INTERACTIONS THAT HELP CHILDREN THRIVE. LEARN MORE AT LITTLEMOMENTSCOUNT.ORG. THIS YEAR, LMC EXPANDED ITS REACH THROUGH NEW AND EXISTING PARTNERSHIPS IN HEALTHCARE, EARLY CHILDHOOD, MEDIA, AND COMMUNITY SPACES. THE BIRTH CENTER PROGRAM PROVIDED NEW PARENT RESOURCES TO OVER 8,000 FAMILIES. LMC'S GROWING HEALTH CARE COLLABORATIVE NOW INCLUDES 12 HEALTH SYSTEMS AND MULTIPLE PUBLIC HEALTH DEPARTMENTS, COLLECTIVELY SERVING MORE THAN 175,000 FAMILIES. MEDIA CAMPAIGNS ON MPR AND SOCIAL PLATFORMS HELPED US REACH MILLIONS WITH MESSAGES THAT PROMOTE TALKING, READING, SINGING, PLAYING, AND STORYTELLING FROM THE START. ENGAGEMENT EFFORTS ALSO EXPANDED WITH MORE THAN 100 EPISODES OF THE LMC RADIO PODCAST AND MAJOR MILESTONES FOR EARLY RISERS, INCLUDING 100,000 DOWNLOADS AND NATIONAL RECOGNITION. A NEW REGIONAL EXPANSION IN THE ST. CROIX VALLEY BROUGHT TOGETHER LOCAL PARTNERS AND COMMUNITIES FOR COLLABORATIVE, RURAL-FOCUSED ENGAGEMENT. HIGHLIGHTS OF LITTLE MOMENTS COUNT IN 2024: 115+ CROSS-SECTOR PARTNERS ENGAGED STATEWIDE 8,000+ FAMILIES REACHED THROUGH BIRTH CENTER AND NEW PARENT RESOURCES 175,000+ FAMILIES SUPPORTED THROUGH HEALTHCARE PARTNERS 14M+ IMPRESSIONS THROUGH MPR AND DIGITAL CAMPAIGNS 100+ LMC RADIO PODCAST EPISODES PRODUCED 100,000 DOWNLOADS OF THE EARLY RISERS PODCAST EXPANSION LAUNCHED IN THE ST. CROIX VALLEY THE ST. CROIX VALLEY FAITH COMMUNITY NURSING PROGRAM IS A HEALTH CARE MINISTRY PROVIDING PHYSICAL, EMOTIONAL, AND SPIRITUAL CARE FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES THROUGH PARTNERSHIPS WITH LOCAL CONGREGATIONS AND LAKEVIEW HEALTH. IN 2024, THE PROGRAM CONTINUED SERVING SEVEN CONGREGATIONS IN THE STILLWATER AREA AND EXPANDED ITS REACH IN HUDSON, NEW RICHMOND, AND AMERY, WISCONSIN. THIS INCLUDED PARTICIPATION IN LOCAL MINISTERIUM GROUPS, COMMUNITY FOOT CARE CLINICS, AND GROWING ENGAGEMENT IN GRIEF SUPPORT THROUGH THE ST. CROIX VALLEY GRIEF COALITION. HIGHLIGHTS OF FAITH COMMUNITY NURSING IN 2024: SERVED 4,888 INDIVIDUALS DIRECTLY (1,941 INDIVIDUAL AND 2,947 GROUP CONTACTS) ACROSS SEVEN CONGREGATIONS REPRESENTING OVER 25,000 MEMBERS PROVIDED 479 HEALTH SCREENINGS AND 4,120 REFERRALS TO COMMUNITY OR CHURCH RESOURCES HOSTED EDUCATION OPPORTUNITIES FOR 1,308 INDIVIDUALS AND SUPPORT GROUPS FOR 472 PARTICIPANTS HELD COMMUNITY FOOT CARE CLINICS AND A WELLNESS DAY SERVING 218 INDIVIDUALS, WITH 190 RECEIVING SCREENINGS FREE FOOT CARE CLINICS AT GRACE PLACE SHELTER SERVED 34 CLIENTS LAUNCHED TWO GROWING THROUGH LOSS GRIEF SUPPORT SERIES THROUGH THE ST. CROIX VALLEY GRIEF COALITION, REACHING 334 INDIVIDUALS AND LOGGING OVER 1,500 VOLUNTEER HOURS DELIVERED THREE EVIDENCE-BASED STEPPING ON FALLS PREVENTION CLASSES, SERVING 34 PARTICIPANTS CONTINUED PRESENCE IN HUDSON, NEW RICHMOND, AND AMERY THROUGH PRESENTATIONS, MINISTERIUM MEETINGS, AND COMMUNITY COLLABORATIONS. THROUGH THE PROGRAM, FAITH COMMUNITY NURSES IN THE STILLWATER AREA SERVED SEVEN CONGREGATIONS WITH A TOTAL REACH OF OVER 25,000 MEMBERS. IN 2024, 4,888 INDIVIDUALS RECEIVED DIRECT SERVICE FROM A FAITH COMMUNITY NURSE. SERVICES INCLUDED HOME AND HOSPITAL VISITS, ASSISTANCE WITH CARE TRANSITIONS, NAVIGATION OF THE HEALTH CARE SYSTEM, REFERRALS TO COMMUNITY RESOURCES, HEALTH SCREENINGS AND EDUCATION, VOLUNTEER COORDINATION, AND SUPPORT FOR ALL AGES ACROSS LIFE STAGES. NURSES ALSO FACILITATED SUPPORT GROUPS ON TOPICS SUCH AS CAREGIVING, GRIEF, AND CHRONIC ILLNESS, WITH A FOCUS ON WHOLE-PERSON CARE AND THE CONNECTION BETWEEN BODY, MIND, AND SPIRIT. LAKEVIEW HOSPITAL IS COMMITTED TO PROVIDING SEVERAL HEALTH CARE SUPPORT SERVICES, INTENDED TO INCREASE ACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. THESE SUPPORT SERVICES INCLUDE: NURSE NAVIGATORS FOR BREAST HEALTH AND CANCER CARE, OUTREACH CHAPLAINCY SERVICES, FAITH COMMUNITY NURSING, PRESCRIPTION ASSISTANCE, SOCIAL WORKERS PROVIDING SUPPORT ABOVE AND BEYOND STANDARD OF PRACTICE. 2. HEALTH PROFESSIONS EDUCATION: IN 2024, LAKEVIEW HOSPITAL CONTINUED ITS COMMITMENT TO TRAINING THE NEXT GENERATION OF HEALTH PROFESSIONALS BY SERVING AS A CLINICAL TRAINING SITE FOR STUDENTS ACROSS A VARIETY OF DISCIPLINES. STUDENTS GAINED HANDS-ON EXPERIENCE IN REAL-WORLD CARE SETTINGS UNDER THE SUPERVISION OF EXPERIENCED CLINICIANS. CLINICAL TRAINING WAS PROVIDED IN THE FIELDS OF NURSING, PHARMACY (8 STUDENTS), RESIDENT PHYSICIANS (11), PHYSICIAN ASSISTANTS (18), AND MEDICAL STUDENTS (13). 3. CASH AND IN-KIND CONTRIBUTIONS: LAKEVIEW HOSPITAL SUPPORTED VARIOUS NONPROFIT ORGANIZATIONS, COMMUNITY GROUPS AND SCHOOLS THROUGH CASH DONATIONS, SPONSORSHIPS AND GRANTS. THESE CONTRIBUTIONS HELP STRENGTHEN COMMUNITY RESOURCES AND IMPROVE OVERALL WELL-BEING IN THE ST. CROIX VALLEY. EXAMPLES OF ORGANIZATIONS SUPPORTED THROUGH SPONSORSHIPS INCLUDE MEALS FROM THE HEART, CANVAS HEALTH AND VALLEY FRIENDSHIP CLUB. IN ADDITION, THE LAKEVIEW HEALTH FOUNDATION ADMINISTERS GRANTS ON BEHALF OF LAKEVIEW HOSPITAL. GRANT RECIPIENTS ARE REVIEWED AND APPROVED BY THE HOSPITAL'S GRANT COMMITTEE. IN 2024, GRANTS WERE AWARDED TO LOCAL ORGANIZATIONS INCLUDING CANVAS HEALTH, COMMUNITY THREAD, YOUTH ADVANTAGE, VALLEY OUTREACH, FAMILYMEANS AND YOUTH SERVICE BUREAU. 4. COMMUNITY BUILDING ACTIVITIES: LAKEVIEW HOSPITAL PROVIDES LEADERSHIP AND ACTIVELY PARTICIPATES IN SEVERAL STRATEGIC COLLABORATIONS AND COMMUNITY INITIATIVES, INCLUDING THE COMMUNITY HEALTH ACTION TEAM (CHAT), CONNECT COALITION TO REDUCE YOUTH SUBSTANCE USE, WASHINGTON COUNTY COMMUNITY LEADERSHIP TEAM, WASHINGTON COUNTY PUBLIC HEALTH, METRO HEALTHCARE COALITION AND REGIONAL HOSPITAL LIAISON PLANNING. LAKEVIEW HOSPITAL ALSO CONTINUES TO PRIORITIZE SUSTAINABILITY AND ENVIRONMENTAL STEWARDSHIP THROUGH A VARIETY OF INITIATIVES: 186 TONS OF MATERIALS WERE REUSED OR RECYCLED, KEEPING THEM OUT OF THE LANDFILL; MORE THAN $54,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM; 24 TONS OF CAFETERIA FOOD WASTE WERE DIVERTED TO LOCAL PIG FARMS THROUGH THE FOOD TO HOGS PROGRAM; 1.8 TONS OF EQUIPMENT WERE DONATED FOR REUSE; 158 TONS OF RECYCLABLE MATERIALS WERE PROCESSED, RESULTING IN MORE THAN $36,000 IN COST SAVINGS. THE MEDICATION TAKE BACK PROGRAM COLLECTED 739 POUNDS OF UNUSED MEDICATIONS, HELPING PREVENT ACCIDENTAL POISONING OR MISUSE AND PROTECTING LOCAL WATER SUPPLIES. IN ADDITION, LAKEVIEW HOSPITAL'S EMERGENCY MEDICAL SERVICES TEAM PROVIDED COVERAGE AT COMMUNITY EVENTS, STRENGTHENING LOCAL PARTNERSHIPS AND REDUCING EMERGENCY RESPONSE TIMES. FORM 990, PART III, LINE 4A 5. COMMUNITY BENEFIT OPERATIONS: STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE LAKEVIEW HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. IN 2024, LAKEVIEW HOSPITAL ALSO ALLOCATED FUNDING TO SUPPORT PLANNING EFFORTS FOR THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS INCLUDED FEES PAID TO HEALTHPARTNERS INSTITUTE'S CENTER FOR EVALUATION AND SURVEY RESEARCH (CESR), WHO PROVIDES TECHNICAL SUPPORT, DATA COLLECTION AND FACILITATION FOR CHNA-RELATED ACTIVITIES. 6. ORGANIZATION AWARDS AND ACHIEVEMENTS LAKEVIEW HOSPITAL IS PROUD THAT OUR HOSPITAL CONTINUED ITS NATIONAL AWARD-WINNING TRADITIONS OF EXCEPTIONAL CARE AND PERFORMANCE IN ALL AREAS. HERE ARE A FEW OF THE HIGHLIGHTS FROM 2024: RANKED HIGH-PERFORMING IN HIP AND KNEE REPLACEMENTS BY U.S. NEWS AND WORLD REPORT IN ITS 2024 TO 2025 HOSPITAL RANKINGS; TOP 25 ENVIRONMENTAL EXCELLENCE AWARD, GREENING THE OPERATING ROOM RECOGNITION AWARD AND CIRCLE OF EXCELLENCE AWARD IN SUSTAINABLE PROCUREMENT FROM PRACTICE GREENHEALTH; FIVE-STAR PATIENT SURVEY RATING, PUBLISHED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS LAKEVIEW HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER RATIFIES THE PERSONS ELECTED TO LAKEVIEW HOSPITAL BOARD, AT LEAST 75% OF WHOM MUST BE COMMUNITY LEADERS. THE PRESIDENT OF THE SOLE MEMBER SERVES AS AN EX OFFICIO NON-VOTING HOSPITAL BOARD MEMBER. ADDITIONALLY, HEALTHPARTNERS AS THE SOLE MEMBER OF LAKEVEIW HEALTH APPOINTS ONE PERSON TO THE LAKEVIEW HOSPITAL BOARD.THE PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF LAKEVIEW HEALTH ALSO SERVE AS BOARD OF DIRECTORS OF LAKEVIEW HOSPITAL, INCLUDING 9 COMMUNITY MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CUSTOMARY POWERS INCLUDING APPROVAL OF HIGHLY SIGNIFICANT ACTIONS OF LAKEVIEW HOSPITAL'S BOARD OF DIRECTORS. THESE INCLUDE AMENDMENT OF THE GOVERNING DOCUMENTS; APPROVAL OF STRATEGIC PLANS AND ANNUAL BUDGETS; MERGER, CONSOLIDATION OR SUBSTANTIAL AFFILIATION WITH ANOTHER ENTITY; APPOINTMENT OF THE PRESIDENT OF LAKEVIEW HOSPITAL; AND INCURRENCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B LAKEVIEW HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND LAKEVIEW HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF LAKEVIEW HOSPITAL. LAKEVIEW HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE LAKEVIEW HOSPITAL 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 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW HOSPITAL) PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY GROUP HEALTH, INC. (GHI), STILLWATER MEDICAL GROUP (SMG), BOTH OF WHICH ARE RELATED ORGANIZATIONS OR BY LAKEVIEW HOSPITAL. GHI, SMG AND LAKEVIEW HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF LAKEVIEW HOSPITAL'S 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 EXECUTIVE COMMITTEE OF LAKEVIEW HOSPITAL OR THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES ARE DETERMINED FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE 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, THE COMMITTEES' MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMMITTEES 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 LAKEVIEW HOSPITAL'S BOARD OF DIRECTORS INPUT, THE PRESIDENT OF REGIONS HOSPITAL CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE COMPENSATION COMMITTEE'S APPROVAL, DETERMINES THE COMPENSATION OF THE LAKEVIEW HOSPITAL PRESIDENT. THE BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL HOSPITAL-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE LAKEVIEW HOSPITAL. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. FORM 990, PART VI, SECTION C, LINE 19 LAKEVIEW HOSPITAL'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS. LAKEVIEW HOSPITAL'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. 990, PART VII, SECT A, LN 1A, COL B: AVERAGE HOURS - RELATED ORGANIZATION AVERAGE WEEKLY HOURS: THE COMPENSATED BOARD MEMBERS AND OFFICERS OF LAKEVIEW HOSPITAL ARE EMPLOYED AND COMPENSATED BY LAKEVIEW HOSPITAL, GHI OR SMG. THE COMPENSATED BOARD MEMBERS AND OFFICERS DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO STILLWATER MEDICAL GROUP -1,900,000. CHANGE IN PENSION LIABILITY VALUATION 7,136,423. CAPITAL TRANSFER FROM LAKEVIEW HEALTH FOUNDATION 948,213. 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