4A (Expenses $ 1473899280 including grants of $ 15940) (Revenue $ 1819662313)
SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE METHODIST HOSPITAL 2021CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS EIGHT HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2021 CHNA: AMERY HOSPITAL & CLINIC (AMERY, WI) HUDSON HOSPITAL & CLINIC (HUDSON, WI) HUTCHINSON HEALTH (HUTCHINSON, MN) LAKEVIEW HOSPITAL (STILLWATER, MN) OLIVIA HOSPITAL AND CLINIC (OLIVIA, MN) PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN) REGIONS HOSPITAL (ST. PAUL, MN) WESTFIELDS HOSPITAL & CLINIC (NEW RICHMOND, WI)

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 6B: PARK NICOLLET FOUNDATION AND PARK NICOLLET CLINIC

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 7D: PARK NICOLLET BOARD APPROVED THE IMPLEMENTATION STRATEGY FOR PARK NICOLLET METHODIST HOSPITAL ON DECEMBER 15TH, 2021. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED ON THE HEALTHPARTNERS WEBSITE AT:HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 11: THE 2018 HEALTHPARTNERS CHNA PROCESS IDENTIFIED THE FOLLOWING SYSTEM-WIDE PRIORITIES, WHICH PARK NICOLLET METHODIST HOSPITAL THEN CUSTOMIZED THROUGH ITS OWN IMPLEMENTATION PLAN. COMPLETED ACTIONS IN 2021 ARE LISTED AFTER EACH PRIORITY.PRIORITY 1: ACCESS TO CARE- SIGNIFICANTLY INCREASED PSYCHIATRY TELE-MEDICINE VISITS AS STANDARD.- PRIMARY CARE EXPANDED HOURS AT ALL LOCATIONS INCLUDING SATURDAYS.- SOCIAL WORK SERVICES ARE AVAILABLE EVERY WEEK TO CONNECT PATIENTS AND THEIR CAREGIVERS TO RESOURCES.- PARTICIPATED IN MPLS TRANSEQUITY SUMMIT- MAMMO-A-GO-GO SCANNED 1,825 WOMEN IN 108 EVENTS AND DIAGNOSED SEVEN INCIDENCES OF CANCER FOR PEOPLE WITH LOW ACCESS TO MAMMOGRAPHY SERVICES.-ADDRESSED 4,166 CARE NEEDS, PROVIDED 1,090 IMMUNIZATIONS AND SERVED 574 CHILDREN WITHOUT HEALTH CARE COVERAGE.-PROVIDED $1.3 MILLION IN COMMUNITY PROGRAM SUPPORT.-PROVIDED FOUR COVID VACCINE & BOOSTER CATCH-UP CLINICS IN SENIOR CARE FACILITIES, CENTRAL CLINIC AND LOCAL APARTMENT COMPLEXES IN PARTNERSHIP WITH ST. LOUIS PARK FIRE DEPARTMENT. PRIORITY 2: ACCESS TO HEALTH- REVIEWED GRANT APPLICATION AND APPLICATION PROCESS FOR EQUITY AND INCLUSION LANGUAGE AND INCLUSIVENESS. - BEGAN COLLABORATIVE PILOT WITH MINNEAPOLIS PUBLIC SCHOOLS ON DEVELOPING CURRICULUM FOR CULTURALLY-SPECIFIC GRIEF COUNSELING AS PART OF OUR GROWING THROUGH GRIEF PROGRAM.- CONTINUED $16,000 GRANT TO PORTICO HEALTHNET TO ASSIST WITH HEALTH INSURANCE NAVIGATION IN OUR SCHOOL-BASED HEALTH CLINICS COMMUNITIES OF RICHFIELD AND BROOKLYN CENTER. $55,000 GRANT TO CHILDREN'S DENTAL SERVICES TO PROVIDE DENTAL CARE IN THESE HIGH NEED AREAS AS WELL. $11,000 GRANTS EACH TO BROOKLYN CENTER AND RICHFIELD SCHOOL DISTRICTS TO COORDINATE CARE AND INCREASE ACCESS FOR EQUITABLE CARE. PRIORITY 3: MENTAL HEALTH AND WELLBEING - FOUNDATION SUPPORTED DAKOTA COUNTY SHOWING OF FILMS RELATING TO TEEN MENTAL HEALTH AWARENESS.- PROVIDED SEVERAL INTERNAL AND EXTERNAL EATING DISORDER CLINICS. - STAFF CONTINUED TO SERVE ON THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION COMMITTEE, CONDUCTED TRAINING FOR HP BCSN STAFF ON ACES, HENNEPIN COUNTY CHIP MENTAL HEALTH ACTION TEAM, SCOTT COUNTY CHIP. - OFFERED CONTINUED SUPPORT AND FISCAL AGENT SERVICES TO LOCAL COLLABORATIVES.- NOW! PROGRAM SERVED 78 STUDENTS WITH 696 HOURS OF THERAPY. 100% REPORTED LEARNING NEW SKILLS TO MANAGE NEGATIVE FEELINGS.PRIORITY 4: SUBSTANCE ABUSEPRIORITY 5: NUTRITION AND PHYSICAL ACTIVITY- CONNECTED BROOKDALE AND HEALTHPARTNERS BROOKLYN CENTER CLINIC STAFF TO CEAP TO PROVIDE RESOURCES FOR PEOPLE EXHIBITING FOOD INSECURITY.A FULL REPORT OF PARK NICOLLET METHODIST'S 2018 CHNA AND IMPLEMENTATION PLAN IS POSTED ON THE HEALTHPARTNERS WEBSITE AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/, WHICH PROVIDES A DETAILED DESCRIPTION OF ALL THE ACTIVITIES.

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2021 WAS 40.2% OF GROSS CHARGES. PATIENTS THAT RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL.

PARK NICOLLET METHODIST HOSPITAL
PART V, SECTION B, LINE 24: PARK NICOLLET CHARGES ITS PATIENTS GROSS CHARGES IF THE PATIENT HAS ELECTIVE SURGERY, WHICH IS NOT MEDICALLY NECESSARY.

PART V, SECTION B, LINE 3E
PARK NICOLLET ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA.

PART I, LINE 3C:
IN ACCORDANCE WITH OUR AGREEMENT WITH THE MN ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THIS DISCOUNT FOR 2021 WAS 40.2% OF GROSS CHARGES. PATIENTS WHOSE RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL.

PART I, LINE 7:
PARK NICOLLET METHODIST HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS.

PART III, LINE 2:
BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINANCIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. PARK NICOLLET METHODIST HOSPITAL DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION.

PART III, LINE 3:
PARK NICOLLET METHODIST HOSPITAL AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS, INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH THE HOSPITAL REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. PARK NICOLLET DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, PARK NICOLLET IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE.

PART III, LINE 4:
PARK NICOLLET METHODIST HOSPITAL'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, AND ALLOWANCE OF DOUBTFUL ACCOUNTS. THE FOOTNOTE IS LOCATED ON PAGE 24 OF THE ATTACHED AUDIT REPORT.

PART III, LINE 8:
PARK NICOLLET HEALTH SERVICES BELIEVES THAT THE LOSS WE INCUR WHILE PROVIDING CARE TO MEDICARE BENEFICIARIES SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. IF THESE SERVICES WERE NOT PROVIDED BY US THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. THE MEDICARE LOSS CLAIMED ON PART III, LINE 8 ONLY INCLUDES ALLOWABLE HOSPITAL COSTS THAT ARE DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND DO NOT INCLUDE ALL OF THE COSTS THAT ARE INCURRED WHILE PROVIDING SERVICES. PARK NICOLLET CLINIC ALSO PROVIDES SERVICES TO MEDICARE BENEFICIARIES BUT THERE IS NO PLACE TO REPORT A MEDICARE LOSS FOR A FREE STANDING CLINIC ON THE FORM SET. IF ALL SYSTEM WIDE COSTS WERE INCLUDED IN THE CALCULATION ALONG WITH OUR MEDICARE ADVANTAGE PRODUCTS OUR MEDICARE LOSS WOULD BE $146.0 MILLION FOR ALL OF PARK NICOLLET HEALTH SERVICES SYSTEM WIDE.

PART III, LINE 9B:
THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE PARK NICOLLET FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH PATIENTS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM PATIENTS FROM PARK NICOLLET AND COLLECTION AGENCIES. PARK NICOLLET'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT.

PART VI, LINE 2:
IN 2021, HEALTHPARTNERS, PARK NICOLLET HEALTH SERVICES, AND METHODIST HOSPITAL CONTRACTED WITH THE CENTER FOR EVALUATION AND SURVEY RESEARCH (CESR), PART OF HEALTHPARTNERS INSTITUTE, TO COMPLETE THE 2021 CHNA. THE CHNA IS COMPRISED OF MULTIPLE DATA SOURCES, MANY EXISTING FOR OTHER PRIMARY PURPOSES, WHILE OTHERS WERE COLLECTED SPECIFICALLY FOR THIS PURPOSE. TYPES OF DATA WE GATHERED INCLUDE HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES ADMINISTRATIVE DATA, PATIENT AND MEMBER-REPORTED DATA COLLECTED PRIMARILY FOR EVALUATION OF HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES COMMUNITY INITIATIVES OR OPERATIONAL PURPOSES, AND PUBLICLY AVAILABLE DATA DESCRIBING BOTH DEMOGRAPHIC CHARACTERISTICS AND HEALTH AND WELL-BEING OUTCOMES. THIS DATA IS COMPLEMENTED WITH RICH QUALITATIVE DATA COLLECTED THROUGH COMMUNITY CONVERSATIONS WITH HOSPITAL STAKEHOLDERS AND COMMUNITY MEMBERS AS WELL AS A SURVEY OF HEALTHPARTNERS AND PARK NICOLLET PROVIDERS.FINAL PRIORITIZED NEEDS- MENTAL HEALTH AND WELLBEING- ACCESS TO HEALTH- ACCESS TO CARE- NUTRITION AND PHYSICAL ACTIVITY- SUBSTANCE ABUSEA FULL REPORT OF PARK NICOLLET METHODIST'S CHNA AND IMPLEMENTATION PLAN IS POSTED ON HEALTHPARTNERS' WEBPAGE AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/IN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, PARK NICOLLET HAS SEVERAL MEANS OF ASSESSING THE HEALTH CARE NEEDS OF THE POPULATION WE SERVE:CONVENING/PARTICIPATING IN ONGOING COMMUNITY COLLABORATIVE FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNITY HEALTH CONCERNS. THESE COLLABORATIVES INCLUDE:-INDIAN HEALTH BOARD-MAKE IT OK STEERING COMMITTEE-NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE-PARK NICOLLET FOUNDATION BOARD OF DIRECTORS-PARK NICOLLET GENDER CLINIC-RICHFIELD HEALTH RESOURCE CENTER ADVISORY COUNCIL-ST LOUIS PARK CENTRAL CLINIC ADVISORY COUNCIL-YMCA OF THE NORTH, RIDGEDALE BRANCH SENIORSPARK NICOLLET FOUNDATION ANNUALLY SOLICITS GRANT APPLICATIONS FROM COMMUNITY NON-PROFITS. A KEY COMPONENT OF THE APPLICATION PROCESS ASKS APPLICANTS TO IDENTIFY AND QUANTIFY THE HEALTH CARE-RELATED NEEDS THEY ARE SEEKING TO ADDRESS. REVIEW OF THESE APPLICATIONS YEAR-OVER-YEAR PROVIDES A GOOD PICTURE OF COMMUNITY NEEDS AND HOW THEY EVOLVE OVER TIME.

PART VI, LINE 7, REPORTS FILED WITH STATES
MN

PART VI, LINE 3:
WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT PNHS. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: PATIENTS AT THE HOSPITAL ARE OFFERED OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY AT THE TIME OF CHECK-IN.HOSPITAL BOOKLETS OR INFORMATION PACKETS GIVEN TO EMERGENCY CENTER PATIENTS AND INPATIENTS.WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. OUR FINANCIAL ASSISTANCE APPLICATION OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY (PLS) OUR FINANCIAL ASSISTANCE POLICYALL BALANCE FORWARD STATEMENTS, WITH A BALANCE OF $200 OR GREATER AND NOT ALREADY ON A PAYMENT PLAN, INCLUDE AN FA APPLICATION AND INSTRUCTION TO COMPLETE THE APPLICATION ALONG WITH ANSWERS TO FREQUENTLY ASKED QUESTIONS ABOUT THE FA PROGRAM.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS, FINANCIAL COUNSELORS AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTION WORK IS DONE OVER THE PHONE, THOUGH MANY OF OUR CLINICS AND THE HOSPITAL HAVE STAFF ON SITE TO ASSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS. OUR THIRD PARTY COLLECTION AGENCIES ARE ALSO TRAINED TO INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. WE ALSO CONTRACT WITH OUTSIDE SERVICES TO ASSIST PATIENTS IN THE GOVERNMENT PROGRAM APPLICATION PROCESS IN MORE COMPLICATED CIRCUMSTANCES.

PART VI, LINE 4:
"HEALTHPARTNERS IS THE LARGEST CONSUMER GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE NATION, SERVING MORE THAN 1.2 MILLION PATIENTS AND 1.8 MILLION MEDICAL AND DENTAL HEALTH PLAN MEMBERS. OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. AT HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES, OUR VALUES ARE EXCELLENCE, COMPASSION, PARTNERSHIP, AND INTEGRITY. OUR PARTNERS FOR BETTER HEALTH (PBH) GOALS ARE A SET OF GOALS TO IMPROVE HEALTH, DELIVER A GREAT PATIENT EXPERIENCE, AND MAKE HEALTH CARE MORE AFFORDABLE. OUR HOSPITAL CHNAS AND THE PBH GOALS ARE SYNERGISTIC AND WORK IN PARALLEL TOWARD OUR VISION OF: HEALTH AS IT COULD BE, AFFORDABILITY AS IT MUST BE, THROUGH RELATIONSHIPS BUILT ON TRUST.METHODIST HOSPITAL AND PARK NICOLLET HEALTH SERVICES ARE PART OF HEALTHPARTNERS, THE LARGEST CONSUMER-GOVERNED, NON-PROFIT HEALTH CARE ORGANIZATION IN THE NATION WITH A MISSION TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH MEMBERS, PATIENTS AND THE COMMUNITY. METHODIST HOSPITAL IS RENOWNED FOR HIGH-QUALITY PATIENT CARE, MEDICAL EXPERTISE AND DISEASE MANAGEMENT. IT IS RECOGNIZED AS AN AREA LEADER IN CANCER, CARDIOVASCULAR AND MATERNITY CARE AND NEURO-REHABILITATION MEDICINE, WITH EXPERTS WHO ARE HIGHLY TRAINED TO PROVIDE PATIENTS WITH PERSONALIZED CARE AND TREATMENT.METHODIST HOSPITAL IS LOCATED IN THE CITY OF ST. LOUIS PARK IN HENNEPIN COUNTY, MINNESOTA. FOR THE PURPOSES OF THE CHNA REPORT, THE ""COMMUNITY SERVED"" BY METHODIST HOSPITAL IS PEOPLE LIVING IN HENNEPIN COUNTY AND INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.ACCORDING TO 2019 AMERICAN COMMUNITY SURVEY DATA, HENNEPIN COUNTY HAD 1,265,843 RESIDENTS, 50.5% OF WHOM WERE FEMALE. - THE MEDIAN AGE IN THIS COUNTY WAS 36.8 +/-0.2 IN 2019, WITH 14.5% OF THE POPULATION 65 YEARS OR OLDER. THREE-QUARTERS (75.4%) IDENTIFIED AS WHITE, WITH 15.1% IDENTIFYING AS BLACK OR AFRICAN AMERICAN, 8.4% ASIAN, 1.6% AMERICAN INDIAN OR ALASKA NATIVE, 0.2% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 3.4% SOME OTHER RACE. - 6.9% IDENTIFIED AS HISPANIC OR LATINO. THERE WERE 248,962 HEALTHPARTNERS AND PARK NICOLLET PATIENTS (AGE 18 AND OLDER WHO HAD AN IN-PERSON OR TELEMEDICINE VISIT WITH A HEALTHPARTNERS OR PARK NICOLLET PROVIDER IN 2020) WHO LIVED IN HENNEPIN COUNTY IN 2020. - OF THESE, 91% WERE OVER 25 YEARS OLD AND SLIGHTLY OVER HALF (58%) WERE FEMALE. - THREE QUARTERS WERE WHITE, WITH 11% IDENTIFYING AS BLACK OR AFRICAN AMERICAN, 5% ASIAN, LESS THAN 1% AMERICAN INDIAN OR ALASKA NATIVE, LESS THAN 1% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 1% SOME OTHER RACE. - 3% REPORTED A HISPANIC OR LATINO ETHNICITY. - OVER 95% SPOKE ENGLISH, WITH THE SECOND MOST COMMON LANGUAGE BEING SOMALI AT 1%. - THE PATIENTS SERVED BY HEALTHPARTNERS AND PARK NICOLLET IN HENNEPIN COUNTY MOSTLY HAD COMMERCIAL INSURANCE (63%), WITH 22% HAVING MEDICARE AND 13% HAVING MEDICAID."

PART VI, LINE 6:
PARK NICOLLET METHODIST HOSPITAL IS PART OF PARK NICOLLET HEALTH SERVICES, AN INTEGRATED HEALTH SYSTEM. OTHER AFFILIATES INCLUDE 1) PARK NICOLLET CLINIC IN MORE THAN 30 CLINICS, AND OTHER CARE LOCATIONS, 2) PARK NICOLLET FOUNDATION, THE PHILANTHROPIC ARM OF PARK NICOLLET HEALTH SERVICES, HELPING TO BRING RESOURCES TO NEEDS IN ITS COMMUNITIES, 3) PARK NICOLLET HEALTH CARE PRODUCTS, PROVIDING RETAIL PHARMACY AND HEALTH RELATED PRODUCTS THROUGH EXISTING PARK NICOLLET LOCATIONS, 4) TRIA ORTHOPAEDIC CENTER, LLC, A LEADER IN ORTHOPAEDIC TREATMENT, PROVIDING COMPREHENSIVE CARE FROM DIAGNOSIS, TO TREATMENT, TO REHABILITATION.THE SAME GROUP OF PEOPLE SERVE AS THE DIRECTORS FOR THE BOARD OF EACH OF THE AFFILIATES, EXCEPT THAT PARK NICOLLET FOUNDATION IS GOVERNED BY A DIFFERENT GROUP OF PEOPLE. EACH AFFILIATE FOCUSES ON MEETING COMMUNITY HEALTH NEEDS AND DECISIONS REGARDING THE EFFECTIVE USE OF RESOURCES TO RESPOND TO THESE NEEDS ARE COORDINATED. A SPECIFIC EXAMPLE OF THIS COORDINATION OF SERVICES TO RESPOND TO COMMUNITY NEED IS WITH THE FOUR SCHOOL-AFFILIATED COMMUNITY CLINICS. INITIAL DEVELOPMENT, FUNDING AND ONGOING FACILITATION IS PROVIDED BY PARK NICOLLET FOUNDATION, STAFFING THROUGH PARK NICOLLET CLINIC, LABORATORY AND OTHER DIAGNOSTIC SERVICES THROUGH PARK NICOLLET METHODIST HOSPITAL, AND OUTPATIENT MEDICATIONS, EYE GLASSES AND DME SUPPLIES THROUGH PARK NICOLLET HEALTH CARE PRODUCTS.

PART VI, LINE 5:
"PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSES IN MULTIPLE WAYS THROUGH METHODIST HOSPITAL, PARK NICOLLET CLINIC, SPECIALTY PROGRAMS AND ITS COMMITMENT TO RESEARCH AND EDUCATION. PARK NICOLLET STRIVES TO MEET ITS COMMITMENT TO THE TRIPLE AIM OF PROVIDING HIGH QUALITY HEALTH CARE AT AN AFFORDABLE COST TO THE COMMUNITY BY ENHANCING THE PATIENT EXPERIENCE.PARK NICOLLET'S COMMITMENT TO THE PATIENT AND FAMILY EXPERIENCE IS ARTICULATED THROUGH A FOCUS ON HEAD + HEART, TOGETHER (HHT). ""HEAD"" REFERS TO OUR WORK AROUND EVIDENCE-BASED MEDICINE, OUR ATTENTION TO CLINICAL OUTCOMES, THE WAY WE WILL USE DATA TO MAKE DECISIONS ABOUT THE BEST CARE PROTOCOL TO FOLLOW, AND THE BUSINESS OF RUNNING A LARGE HEALTH CARE SYSTEM.""HEART"" IS ALL ABOUT PROVIDING COMPASSIONATE CARE IN THE MOMENT AND KEEPING OUR PATIENTS AT THE CENTER OF EVERYTHING WE DO AND EVERY DECISION WE MAKE. WHEN WE WORK ACROSS BOUNDARIES WITH OUR PATIENTS AND FAMILIES, WE WON'T DO THINGS ""TO OR ""FOR"" PATIENTS - WE WILL DO THINGS WITH PATIENTS AND THEIR FAMILIES.""TOGETHER"" MEANS DOING BOTH HEAD- AND HEART-CENTERED ACTIVITIES IN COMBINATION. IT ALSO MEANS WORKING AS A TEAM ACROSS DEPARTMENTS AND SPECIALTIES, ALL OF US UNITED AROUND CARING TOGETHER WITH OUR PATIENTS AND THEIR FAMILIES IN THE COMMUNITIES WE SERVE.PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSE THROUGH ITS 426-BED METHODIST HOSPITAL IN ST. LOUIS PARK, 25 CLINIC LOCATIONS IN ITS 96-ZIP CODE SERVICE AREA, 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES, AND 12 SPECIALTY CENTERS. PARK NICOLLET FOUNDATION SERVES AS THE CONVENER OF THE COMMUNITIES WE SERVE, INVOLVING ADMINISTRATIVE AND MEDICAL STAFF IN ITS INTEGRATED SYSTEM, TO ASSESS COMMUNITY NEED AND FACILITATE A BROAD ARRAY OF CLINICAL AND SPECIALTY SERVICES AND THE ADMINISTRATIVE SUPPORT TO MEET UNMET NEEDS IN THE COMMUNITY. PARK NICOLLET FOUNDATION ALSO PROVIDES FINANCIAL ASSISTANCE TO COMMUNITY ORGANIZATIONS AND SERVICES THAT ARE CONSISTENT WITH NEEDS IDENTIFIED IN THE CHNA AS PRIORITIZED BY ITS BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION'S BOARD OF DIRECTORS IS A COMMUNITY BOARD AND PROVIDES ACTIVE PARTICIPATION IN THE NONPROFIT MISSION OF THE ORGANIZATION.PARK NICOLLET'S INTEGRATED SYSTEM PROVIDES COMMUNITY BENEFIT TO UNDERSERVED POPULATIONS THROUGH CONVENING OF COMMUNITIES, EDUCATION AND SUPPORT OF PATIENTS AND COMMUNITY MEMBERS DIAGNOSED WITH CHRONIC DISEASE, AND RESEARCH TO IMPROVE QUALITY OF LIFE. HEALTH PROFESSIONALS WITHIN THE INTEGRATED SYSTEM ASSIST PATIENTS IN THE COMMUNITY, THE STATE, THE NATION, AND AROUND THE WORLD WHO NEED SPECIALIZED PROGRAMS AND SERVICES FOR VARIOUS CONDITIONS.PARK NICOLLET ALSO IS A RECOGNIZED LEADER IN PROCESS IMPROVEMENTS TO COORDINATE PATIENT CARE AND PROVIDE PATIENTS WITH SOCIAL SUPPORT SYSTEMS TO IMPROVE POPULATION HEALTH. THIS HAS BEEN ACCOMPLISHED THROUGH ITS INITIATIVES THROUGH THE PHYSICIAN GROUP PRACTICE DEMONSTRATION PROGRAM SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PARK NICOLLET ALSO PARTICIPATES IN THE NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION PROGRAM THAT IS SPONSORED BY THE CENTER FOR MEDICARE AND MEDICAID INNOVATION. IN ADDITION TO INNOVATING AROUND CARE DELIVERY DESIGN AND PATIENT SUPPORT SERVICES, PARK NICOLLET PARTICIPATES IN MULTIPLE LEARNING INITIATIVES TO SHARE ITS KNOWLEDGE AND LESSONS LEARNED WITH OTHER ORGANIZATIONS ACROSS THE COMMUNITY AND THE COUNTRY. PARK NICOLLET HAS BEEN COMMITTED TO THESE EFFORTS IN SUPPORT OF ITS COMMITMENT TO THE TRIPLE AIM OF IMPROVING HEALTH, PATIENT EXPERIENCE AND AFFORDABILITY BY PROVIDING COMMUNITIES WITH SUPPORT SYSTEMS ASSISTING PATIENTS AND FAMILIES TO IMPROVE THEIR HEALTH.GRANTS AND COMMUNITY SUPPORT - IN 2021, PARK NICOLLET FOUNDATION GRANTED $4.3 MILLION TO PARK NICOLLET DEPARTMENTS AND COMMUNITY 501(C)(3) ORGANIZATIONS TO FUND OUTREACH SERVICES AND SUPPORT PROGRAMS ADDRESSING OUR KEY PRIORITIES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2021, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, RICHFIELD, AND ST. LOUIS PARK. NO-CHARGE AND LOW-COST DENTAL AND MENTAL HEALTH CARE IS AVAILABLE BY APPOINTMENT. PARTICIPATING FAMILIES INCLUDE THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, ARE NEW TO THE AREA OR HAVE SENSITIVE HEALTH CARE NEEDS. WALK-IN VISITORS ARE WELCOME AT ALL LOCATIONS. ALL HEALTH CENTERS ARE OPERATED IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS AND FUNDED BY PARK NICOLLET FOUNDATION.PARK NICOLLET HEALTH SERVICES MUSIC THERAPY AND SPIRITUAL CARE - SPONSORED MUSIC THERAPY AND SPIRITUAL CARE SESSIONS IN METHODIST HOSPITAL AND ACROSS PARK NICOLLET TO HELP RELIEVE PATIENTS' PAIN, ANXIETY AND SYMPTOMS.PARK NICOLLET METHODIST HOSPITAL HOSPICE HENRY B. MELROSE VETERANS HONOR PROGRAM - PROVIDED THE SPECIALIZED CARE, SERVICES AND SPECIAL NEEDS ITEMS TO VETERANS AT END OF LIFE AND EXPRESSED GRATITUDE FOR THEIR SERVICE TO OUR COUNTRY.STRUTHERS PARKINSON'S CENTER SUPPORT FOR PATIENTS AND CAREGIVERS - SUPPORTED THE ACTIVITIES OF CLUB CREATE, THROUGH BOTH IN-PERSON AND VIRTUAL ACTIVITIES. OUR VIRTUAL SESSIONS WERE HELD WEEKLY FOR 90 MINUTES AND INCLUDED MUSIC, DISCUSSION, REHAB AND EXERCISE.FRAUENSHUH CANCER CENTER NURSE NAVIGATOR PROGRAM - SUPPORTED AN EXPANSION OF THE NURSE NAVIGATOR PROGRAM. THE ADDITION OF A COLORECTAL CANCER CARE NAVIGATOR WILL PROVIDE PERSONALIZED ONE-TO-ONE CARE COORDINATION, APPOINTMENT SCHEDULING, SUPPORT AND INFORMATION TO HELP PATIENTS MAKE THE BEST DECISIONS ABOUT THEIR MEDICAL OPTIONS.PARK NICOLLET CLINICS AND METHODIST HOSPITAL PATIENT SPECIAL NEEDS PROGRAM - PROVIDED PATIENTS AND FAMILIES IN NEED WITH PERSONAL CARE ITEMS, CAFETERIA MEAL VOUCHERS, TRANSPORTATION VOUCHERS TO GET TO MEDICAL APPOINTMENTS OR OTHER CARE SETTINGS, PRESCRIPTIONS, MEDICAL EQUIPMENT NOT COVERED BY INSURANCE, AND MUCH MORE.THE FOLLOWING ARE EXAMPLES OF SPECIFIC ACTIVITIES THAT ARE SUPPORTED BY THE PARK NICOLLET FOUNDATION AND PARK NICOLLET HEALTH SERVICES AND DEMONSTRATE THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY AND MEETING UNMET COMMUNITY NEEDS.INNOVATION AND RESEARCH - RESEARCH IS EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS.VOLUNTEER SERVICES AS A PART OF THE FOUNDATION, PARK NICOLLET VOLUNTEER SERVICES SUPPORTS AND MANAGES VOLUNTEERS TO ENHANCE PATIENT CARE ACROSS ALL OF PARK NICOLLET HEALTH SERVICES. MORE THAN 300 VOLUNTEERS PROVIDED 47,328 HOURS OF SERVICE. COMMUNITY PARTNERSHIP PARK NICOLLET FOUNDATION PARTNERS WITH PARK NICOLLET HEALTH SERVICES, 15 SCHOOL DISTRICTS, 97 PUBLIC SCHOOLS AND AREA NONPROFITS TO ADDRESS UNMET HEALTH NEEDS AND IMPROVE ACCESS TO CARE. PATIENT AND FAMILY EXPERIENCE PARK NICOLLET FOUNDATION BRINGS ENHANCED CARE TO PARK NICOLLET CLINICS, SPECIALTY CENTERS AND METHODIST HOSPITAL BY PARTNERING TO GIVE PEOPLE THE SAFE AND CARING ENVIRONMENT THEY NEED TO HEAL, THROUGH THE FOLLOWING PROGRAMS:- GROWING THROUGH GRIEF A SCHOOL-SUPPORT PROGRAM FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF A FAMILY MEMBER OR FRIEND.- MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM PROVIDES NO-FEE BREAST CANCER SCREENING, DIAGNOSTIC SERVICES AND EDUCATION TO WOMEN IN NEED ACROSS OUR COMMUNITY.- SCHOOL-BASED HEALTH RESOURCE CENTERS PROVIDING NO-FEE SCHOOL-BASED MEDICAL CARE TO CHILDREN AND YOUTH FROM BIRTH THROUGH HIGH SCHOOL GRADUATION AT FOUR CENTER LOCATIONS.- NOW!(NO OBSTACLES TO WELL-BEING) SCHOOL-BASED TELEMENTAL HEALTH PROVIDED NO-FEE MENTAL HEALTH SERVICES, VIA SECURE VIDEO, IN THREE SCHOOL DISTRICTS: BURNSVILLE, RICHFIELD AND ST. LOUIS PARK. SUPPORT IS PROVIDED TO STUDENTS STRUGGLING WITH ANXIETY, DEPRESSION, COMPLEX GRIEF, FAMILY DYSFUNCTION, TRAUMA AND MORE."