Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
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| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
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| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
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2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
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5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART III, LINE 4A- PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE: WESTFIELDS HOSPITAL, INC. (WESTFIELDS), A STATE LICENSED 25BED, LEVEL IV CRITICAL ACCESS HOSPITAL, IS A WISCONSIN NON-STOCK 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 WESTFIELDS. 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. WESTFIELDS PROVIDED $897,003 IN FREE OR DISCOUNTED CARE TO LOW INCOME AND UNINSURED PATIENTS IN 2024. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: WESTFIELDS 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 $3,673,620. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES: $217,075 WESTFIELDS 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, 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, WESTFIELDS 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. WESTFIELDS 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, THOUSANDS OF LISTENERS WERE REACHED THROUGH INTERVIEWS WITH THE RADIO STATION KS95 AND THE WELL WISCONSIN RADIO PODCAST. WESTFIELDS ALSO DEBUTED OUR COMMUNITY E-NEWSLETTER, WHICH NOW 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, WESTFIELDS 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 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 COMMUNITIES. IN 2024, THE PROGRAM CONTINUED TO GROW ITS PRESENCE IN WESTERN WISCONSIN, INCLUDING HUDSON, NEW RICHMOND AND AMERY. THIS INCLUDED ACTIVE PARTICIPATION IN LOCAL MINISTERIUM GROUPS, COMMUNITY COLLABORATIONS, FOOT CARE CLINICS AND GRIEF SUPPORT EFFORTS THROUGH THE ST. CROIX VALLEY GRIEF COALITION. HIGHLIGHTS OF FAITH COMMUNITY NURSING IN 2024: 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; CONTINUED PARTNERSHIP BUILDING AND OUTREACH IN HUDSON, NEW RICHMOND AND AMERY THROUGH PRESENTATIONS, MINISTERIUM MEETINGS, AND LOCAL COLLABORATIONS. IN 2024, LITTLE MOMENTS COUNT (LMC) OFFICIALLY EXPANDED INTO THE ST. CROIX VALLEY, LAUNCHING A NEW REGIONAL COUNCIL AND DEEPENING OUR COMMITMENT TO EARLY CHILDHOOD BRAIN DEVELOPMENT IN RURAL COMMUNITIES. WITH SUPPORT FROM THE ST. CROIX VALLEY FOUNDATION, THIS LOCAL EFFORT BEGAN IN MAY WITH A REGIONAL LAUNCH EVENT ATTENDED BY OVER 125 PEOPLE, FEATURING EXPERT SPEAKERS AND RICH COMMUNITY DIALOGUE. IN THIS FIRST YEAR, THE FOCUS HAS BEEN ON LAYING THE GROUNDWORK BRINGING PARTNERS TOGETHER, LISTENING TO COMMUNITY PRIORITIES, AND BETTER UNDERSTANDING THE UNIQUE STRENGTHS AND NEEDS OF RURAL FAMILIES. THIS FOUNDATION HAS HELPED SPREAD AWARENESS ABOUT WHAT LITTLE MOMENTS COUNT IS AND SPARKED EXCITEMENT ABOUT THE OPPORTUNITY TO WORK TOGETHER FOR COLLECTIVE IMPACT. IN 2024, LMC ATTENDED 16 OUTREACH EVENTS ACROSS THE ST. CROIX VALLEY, CONNECTING WITH OVER 1,500 PEOPLE AND INSPIRING EVERYDAY MOMENTS OF CONNECTION BETWEEN ADULTS AND CHILDREN THROUGH TALKING, READING, SINGING, PLAYING, AND STORYTELLING. THESE EVENTS AND PARTNERSHIPS HELPED SPREAD AWARENESS ABOUT EARLY BRAIN DEVELOPMENT AND THE SIMPLE BUT POWERFUL WAYS CAREGIVERS AND COMMUNITIES CAN SUPPORT YOUNG CHILDREN. THE MOMENTUM BUILT THIS YEAR IS CREATING NEW OPPORTUNITIES TO GROW LOCAL ENGAGEMENT, STRENGTHEN PARTNERSHIPS, AND WORK TOGETHER IN SUPPORT OF CHILDREN AND FAMILIES ACROSS THE ST. CROIX VALLEY. HIGHLIGHTS OF LITTLE MOMENTS COUNT IN 2024: 125+ ATTENDEES AT MAY'S LAUNCH EVENT; 16 OUTREACH EVENTS ATTENDED ACROSS THE ST. CROIX VALLEY; 1,500+ CAREGIVERS, FAMILIES, AND COMMUNITY MEMBERS REACHED; 1 REGIONAL COUNCIL FORMED, REPRESENTING 5 COUNTIES AND GROWING PARTNERSHIPS IN RURAL EARLY CHILDHOOD SPACES. WESTFIELDS PROVIDED VAN TRANSPORTATION AT NO COST TO PATIENTS LIVING WITHIN 25 MILES OF THE HOSPITAL WHO WOULD OTHERWISE FACE BARRIERS TO ACCESSING CARE DUE TO LACK OF TRANSPORTATION. IN 2024, THIS SERVICE PROVIDED A COMMUNITY BENEFIT VALUED AT OVER $43,000. WESTFIELDS CONTINUES TO HOST, MAINTAIN AND SUPPORT THE COMMUNITY GARDEN ALONGSIDE LOCAL COMMUNITY PARTNERS. |
| FORM 990, PART III, LINE 4A | 2. HEALTH PROFESSIONS EDUCATION: $403,085 IN 2024, WESTFIELDS 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, CERTIFIED REGISTERED NURSE ANESTHETIST, RADIOLOGY, PHARMACY, PHLEBOTOMY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESIDENT PHYSICIANS, AND EMERGENCY MEDICAL TECHNICIAN PARAMEDICS. 3. SUBSIDIZED HEALTH SERVICES: $3,232,113 WESTFIELDS IS COMMITTED TO PROVIDING NEEDED SERVICES, EVEN AT A FINANCIAL LOSS, BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNTS. IN 2024, SUBSIDIZED HEALTH SERVICES INCLUDED: PRIMARY AND SPECIALTY CLINICS, RESPIRATORY THERAPY, BEHAVIORAL HEALTH, AND ONCOLOGY. 4. CASH AND IN-KIND CONTRIBUTIONS: $13,688 WESTFIELDS SUPPORTED LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS THROUGH CHARITABLE DONATIONS AND SPONSORSHIPS IN 2024. BENEFICIARIES INCLUDED THE SALVATION ARMY, RIVER VALLEY CHARITIES, HALOS OF THE ST. CROIX VALLEY, FAMILY RESOURCE CENTER ST. CROIX VALLEY, AND THE ALZHEIMER'S ASSOCIATION. THESE CONTRIBUTIONS HELP ENHANCE LOCAL SERVICES AND PROMOTE HEALTH AND WELL-BEING IN THE NEW RICHMOND AREA. IN-KIND DONATIONS INCLUDE STAFF HOURS SPENT IN SUPPORT OF LOCAL COMMUNITY BOARDS OR COMMITTEE WORK SUCH AS: REGIONAL TRAUMA ADVISORY COUNCIL AND STATE TRAUMA ADVISORY COMMITTEE. 5. COMMUNITY BUILDING ACTIVITIES: $18,299 WESTFIELDS PROVIDES LEADERSHIP AND PARTICIPATES IN SEVERAL STRATEGIC COMMUNITY COLLABORATIONS AND INITIATIVES, INCLUDING: COMMUNITY HEALTH ACTION TEAM, LIVING WELL TOGETHER, SHINE, HEALTHIER TOGETHER, AND NORTHWEST WISCONSIN HEALTHCARE EMERGENCY READINESS. WESTFIELDS ALSO CONTINUES TO PRIORITIZE SUSTAINABILITY AND ENVIRONMENTAL STEWARDSHIP THROUGH A VARIETY OF INITIATIVES: 70 TONS OF MATERIALS WERE REUSED OR RECYCLED, KEEPING THEM OUT OF THE LANDFILL; MORE THAN $300,000 WAS SAVED THROUGH THE GREENING THE OR PROGRAM; 0.2 TONS OF EQUIPMENT WERE DONATED FOR REUSE; 69 TONS OF RECYCLABLE MATERIALS WERE PROCESSED. THE MEDICATION TAKE BACK PROGRAM COLLECTED 721 POUNDS OF UNUSED MEDICATIONS, HELPING PREVENT ACCIDENTAL POISONING OR MISUSE AND PROTECTING LOCAL WATER SUPPLIES. 6. COMMUNITY BENEFIT OPERATIONS: $21,066 STAFF TIME IS ALLOCATED TO THE TRAINING, MANAGEMENT AND REPORTING OF COMMUNITY BENEFITS TO BEST CAPTURE WESTFIELDS COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT. IN 2024, WESTFIELDS ALSO ALLOCATED FUNDING TO SUPPORT PLANNING EFFORTS FOR THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS INCLUDED FEES PAID TO HEALTHPARTNERS CENTER FOR EVALUATION AND SURVEY RESEARCH (CESR), WHO PROVIDES TECHNICAL SUPPORT, DATA COLLECTION AND FACILITATION FOR CHNA-RELATED ACTIVITIES. 7. ORGANIZATION AWARDS AND ACHIEVEMENTS WESTFIELDS IS PROUD OF ITS CONTINUED STATE AND NATIONAL AWARD-WINNING TRADITIONS OF EXCEPTIONAL CARE AND PERFORMANCE IN ALL AREAS. HERE ARE A FEW OF THE HIGHLIGHTS FROM 2024: TOP 100 CRITICAL ACCESS HOSPITAL IN THE COUNTRY FROM THE CHARTIS CENTER FOR RURAL HEALTH; 2024 PERFORMANCE LEADERSHIP AWARD WINNER IN THE "QUALITY AND "PATIENT PERSPECTIVE" CATEGORIES FROM THE CHARTIS GROUP; TREE CAMPUS HEALTHCARE AWARD FROM THE ARBOR DAY FOUNDATION; GREENHEALTH EMERALD AWARD FROM PRACTICE GREENHEALTH; NAMED A PERFORMER BY THE WISCONSIN HOSPITAL ASSOCIATION IN THE FOLLOWING CATEGORIES: INFECTIONS, PATIENT EXPERIENCE, PATIENT SAFETY ALL PATIENTS AND PATIENTS WITH SURGERY, READMISSIONS; FIVE-STAR PATIENT SURVEY RATING, PUBLISHED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES; WESTFIELDS CEO WAS NAMED ONE OF 90 CRITICAL ACCESS HOSPITAL CEOS TO KNOW BY BECKER'S HOSPITAL REVIEW; ONE OF WESTFIELDS NURSES WAS NAMED NURSE EXECUTIVE OF THE YEAR BY THE WISCONSIN ORGANIZATION OF NURSE LEADERS; ONE OF WESTFIELDS NURSES WAS NAMED NURSE LEADER OF THE YEAR BY THE WISCONSIN ORGANIZATION OF NURSE LEADERS. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED TO REMOVE REFERENCES TO RH-WISCONSIN, INC. AS A CORPORATE MEMBER AND MAKE OTHER CHANGES TO IDENTIFY GROUP HEALTH, INC. AS THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATE MEMBER OF THE HOSPITAL IS GROUP HEALTH, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | GROUP HEALTH, INC. APPOINTS THREE DIRECTORS TO THE BOARD. EIGHT COMMUNITY DIRECTORS ARE APPOINTED AS DIRECTORS BY GROUP HEALTH, INC. UPON RECOMMENDATION BY THE EXECUTIVE COMMITTEE OF THE BOARD, AND TWO HEALTH CARE PROVIDERS ARE APPOINTED AS DIRECTORS BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL'S CORPORATE MEMBER, GROUP HEALTH, INC., APPROVES THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMENDMENT OF ARTICLES OR BYLAWS - DISSOLUTION - CHANGE IN FUNDAMENTAL NATURE OR PURPOSE - SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS - MERGER OR CONSOLIDATION WITH ANY OTHER ORGANIZATION OR ENTITY - ANNUAL CAPITAL BUDGETS, OPERATING BUDGETS, AND STRATEGIC PLANS - UNBUDGETED CONTRACTS WITH OR EXPENDITURES TO UNALLILIATED ORGANIZATIONS - ESTABLISHMENT OF NEW ENTITITES OR SIGNIFICANT RELATIONSHIPS WITH OTHER ENTITITES - GUARANTEEING DEBTS OF OTHER PERSON OR ENTITY - BORROWING OR LENDING FUNDS - TRANSFER OR CONTRIBUTIONS OF ASSETS TO ANOTHER ENTITY - APPOINTMENT OF THE PRESIDENT AND THE BOARD CHAIR |
| FORM 990, PART VI, SECTION B, LINE 11B | THE HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH, INC. (GHI), THE MANAGEMENT TEAM OF THE HOSPITAL, GHI'S INTERNAL LEGAL DEPARTMENT AND THE HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF THE HOSPITAL. THE HOSPITAL MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 | THE HOSPITAL PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY REGIONS HOSPITAL (REGIONS), GROUP HEALTH, INC. (GHI), OR LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW) ALL OF WHICH ARE RELATED ORGANIZATIONS, OR BY WESTFIELDS HOSPITAL. GHI, AND REGIONS, LAKEVIEW AND WESTFIELDS HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE HOSPITAL 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, THE EXECUTIVE COMMITTEE OF REGIONS, THE COMPENSATION COMMITTEE OF GHI OR WESTFIELDS EXECUTIVE COMMITTEE (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES 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 THE HOSPITAL BOARD OF DIRECTORS INPUT, THE ST CROIX VALLEY EXECUTIVE LEADER CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH THE HOSPITAL BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE HOSPITAL PRESIDENT. THE HOSPITAL BOARD HAS DELEGATED TO THE PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL THE HOSPITALS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE HOSPITAL EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE HOSPITAL OR HEALTHPARTNERS. |
| 990, PART VII, SEC A, LN 1A, COL (B) - RELATED ORGANIZATION AVERAGE HOURS | DIRECTORS AND OFFICERS OF THE HOSPITAL ARE EMPLOYED AND COMPENSATED BY GROUP HEALTH, INC., REGIONS HOSPITAL OR THE HOSPITAL. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM WESTFIELDS HOSPITAL FOUNDATION 1,657,824. |
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