REGIONS HOSPITAL

CORPORATE STRUCTURE, PURPOSE, GOVERNANCE: REGIONS HOSPITAL (REGIONS) 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 REGIONS. REGIONS, A LEADING FULL-SERVICE HOSPITAL PROVIDING OUTSTANDING MEDICAL AND SURGICAL CARE, HAS SERVED THE TWIN CITIES AND SURROUNDING REGION FOR OVER 140 YEARS. THE MISSION OF REGIONS IS TO IMPROVE THE HEALTH OF ITS PATIENTS AND THE COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE, WHICH MEETS THE NEEDS OF ALL PEOPLE. REGIONS IS THE SECOND LARGEST PROVIDER OF CHARITY CARE IN MINNESOTA AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. CHARITY CARE: REGIONS IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. IN 2024 ALONE, REGIONS PROVIDED $70.6 MILLION IN CHARITY CARE CHARGES ($35.4 MILLION IN CHARITY CARE COSTS) TO CARE FOR 20,121 PATIENTS WHO DID NOT HAVE INSURANCE OR COULD NOT AFFORD CARE. CHARITY CARE REPRESENTED 3.0 PERCENT OF REGIONS' TOTAL OPERATING EXPENSES. THE MAJORITY OF PATIENT ACCOUNTS WRITTEN OFF IN 2024, WERE PURE SELF-PAY PATIENTS WITH NO COVERAGE AND NO ABILITY TO PAY. REGIONS DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY A THIRD-PARTY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. REGIONS IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. FOR EXAMPLE, IN 2024, REGIONS PROVIDED INPATIENT AND OUTPATIENT EMERGENCY SERVICES TO SELF-PAY PATIENTS TOTALING $240.4 MILLION IN CHARGES. APPROXIMATELY $23.1 MILLION OF THESE CHARGES WERE WRITTEN OFF AT A LOSS. REGIONS PAID $18 MILLION IN 2024 TO THE STATE OF MINNESOTA (THE STATE) FOR HEALTH CARE TAXES EQUAL TO 1.8 PERCENT OF ITS NET REVENUE FROM PATIENT CARE SERVICES. THE FUNDS RAISED BY THIS TAX ARE EARMARKED BY THE STATE TO INCREASE HEALTH CARE ACCESS FOR MINNESOTANS WHO ARE OTHERWISE UNABLE TO FULLY PAY FOR HEALTH CARE SERVICES. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: REGIONS PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES, TO MANY MEDICARE, MEDICAID, SANE AND OTHER GOVERNMENT PROGRAM PATIENTS. IN 2024, PATIENTS FROM GOVERNMENT PROGRAMS FOR SENIORS CONSTITUTED 45.5 PERCENT OF REGIONS' CHARGES, PATIENTS FROM GOVERNMENT PROGRAMS FOR THE POOR CONSTITUTED 20.1 PERCENT OF REGIONS' CHARGES, AND CHARITY CASES WERE 3.2 PERCENT OF CHARGES. ONLY 31.2 PERCENT OF CHARGES WERE FOR COMMERCIAL PATIENTS. ALTHOUGH MOST OF REGIONS' REIMBURSEMENT COMES FROM GOVERNMENT PROGRAMS, THESE PROGRAMS OFTEN DO NOT COMPENSATE REGIONS FOR THE FULL COST OF PROVIDING CARE. COMMUNITY BENEFIT SERVICES: 1. COMMUNITY HEALTH IMPROVEMENT SERVICES REGIONS INVESTED IN A BROAD RANGE OF INITIATIVES THAT IMPROVE THE HEALTH OF THE COMMUNITY BEYOND THE WALLS OF CLINICAL CARE. IN 2024, THIS INCLUDED SUPPORT FOR MAKE IT OK, POWERUP, LITTLE MOMENTS COUNT, THE TEEN LEADERSHIP COUNCIL AND FINANCIAL COUNSELING SERVICES THAT HELP REDUCE BARRIERS TO CARE. THESE PROGRAMS ADDRESS MENTAL WELL-BEING, CHILD DEVELOPMENT, HEALTHY HABITS, YOUTH ENGAGEMENT, AND ACCESS TO INSURANCE-ADVANCING HEALTH EQUITY AND SUPPORTING INDIVIDUALS AND FAMILIES ACROSS THE LIFESPAN. 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, REGIONS CELEBRATED THE LAUNCH OF A 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. REGIONS 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, REGIONS REACHED THOUSANDS OF LISTENERS THROUGH INTERVIEWS WITH THE RADIO STATION KS95 AND THE WELL WISCONSIN RADIO PODCAST. REGIONS ALSO DEBUTED A 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 7 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, REGIONS DEEPENED 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 SUPPORTHELPING 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 VOICE 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, 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 REGIONS AND EXTERNAL PARTNERS TO LEARN ABOUT AND EXPLORE A VARIETY OF CAREERS. 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 INCREASED DIVERSITY IN MEMBERSHIP REACHED 200,000 TEENS THROUGH THEIR CONSULTATION TO THE HEALTHPARTNERS INSTITUTE USER EXPERIENCE TEAM ABOUT TEEN PRIVACY AND ACCESS TO MEDICAL RECORDS.